HomeMy WebLinkAboutLot 7DWCP No.
DISPOSAL WORKS.CONSTRUCTION SUMMARY
TOWN OF MANSFIELD
BOARD OF HEALTH
DWC LOCATION t
7 4-
SUBDIVISION LOT NO. .
APPLICANT TELEPHONE
STREET TOWN STATE ZIP
FEES:
�150.00 Perc for-Ne'w Construction Date Received
_$150.00 Construction, Upgrade Date Received
_$.75.00 Septic System Plan Revision Date Received
_$ 25.00 Septic System Repair Date Received
_$ 25.00 Disposal System Reinspect Date Received
_$ 25.00 2nd Reinspection Date Received
SDS Certification Inspection Date .Received
INSPECTIONS:.
1 st Inspection Date Approved Disapproved
Comments:
2nd Inspection Date Approved Disapproved
Comments:
Reinspection Date Approved Disapproved
Comments:
word.dwc
mmonwealth of Massachusetts Town Of Mansfield
Soil Suitability Assessment for On -Site Sewage Disposal
Fee $150.00 ®'New ❑Upgrade Site Number -
Location address: ELF S-SEEi- Applicant: —T_ hV ( i,S R W Al._S 4 A
Subdivision/Lot: LO 1 -7RcLL1 tij6 �FiQ1I)S \(1 LLAddress: w R o,k_b
t LEf3c)2o, MA , C)Z'703
Owner: Telephone: 8 C'99 , 2R l
Performed by: R 1 t-�l Co. l NC , Witness: Scott Leite, Health Agent (Site Evaluator)
Address: I SN3
o o . t h} M At N tt FZ �j Address: Six Park Row, Mansfield
Telephone: 5ef3 33 -3-731 Telephone: 508 261-7366. .
Office Review
Soil Survey published 1978 Publication scale 1:20,000 Soil Map Unit 4- F' Drainage Class
Soil limitations1 /�
Surlicial Geologic Report not available. Geologic Material t"1( ,� (Q-�_._ ()U t WI�S H Landfoim PL.AJ 9
Flood Insurance Rate Map: M/Above 500 year ❑ Within 500 year ❑ Within 100 year flood boundary
Wetland Area: National Wetland Inventory Map (unit) Wetlands Conservancy Program Map (unit)
Current Water Resource Conditions (USGS) Month 1241 1 Range: ElM Above Normal Normal ❑ Below Normal -
Summary
TH t TH 2 Locus
Soil class
Percolation Rate `L 2
Adjusted ground water
Certification
I certify that on April 30, 1993, I have passed
the examination approved by the Department
of Environmental Protection and that the above
analysis was performed by me consistent with
the required training, expertise and experience
described in 310 CMR 15.017.
Scott Leite Date
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