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HomeMy WebLinkAbout Maple St. - 1981-1985TOWN OF MANSFIELD, MASSACHUSETTS 50 West Street, Mansfield, MA 02048 Edward Tartufo, Chairman Edward Rosenberg, Clerk Louis Diamond Frank Zarek Peter Fontanini May 10, 1983 Mr. Donald A. Baker 2 Liberty Street Foxboro, MA RE: 'Lot 1, 29 4, 6, 7, 8 Maple Street Dear Mr. Baker: Please be advised, the Board voted at their meeting of May 4, 1983 to tentatively approve the report of soil examination for your above referenced lots pending the submission of a definitive plan showing the design and layout of the disposal systems and the results of the well water testing. Sincerely;#, ZJ- 9!5�� Ed�TKrtufo, Chairman EJT/dab TO WN WN OF MANSFIELll APPLICATION FOR ON -SITE SEWAGE TESTIJiG Number N Date Fee Paid Lot to be tested, address S —/� —� —_� Owner of Property C� / 2 JLA Phone &y3-Fr 27,( Address___` 7- Engines y�� C� _Phone Licensed Installer t� �� Phone 69% b 373 AddressPr� I. If lot is on an existing street you must get a numbered address from the Town Assessors, in order for the Board of Health to take action on the application. 2. Fee $100.00 3• On -site sewage testing in season December 1 to April 30. 4. All seasonal testing applications MUST be received by March 31. 5. You must know before the Town's Engineer comes out to your lot, as to where you wish to have on -site sewage testing done. 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches. c, enough water for on -site sewage testing 7• Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has hot been suspended by the Board of Health, or if an out -of -season approval is granted.,,s V 4 1 copy for applicant 1 copy for treasurer 1 copy for Board of Healthgp TOWN OF MANSFIELD APPLICATION Number Date Xa��C/ Fee Paid Lot to be tested, address_/ FOR ON -SITE SEWAGE TESTING J Phone`%lJ15%��0 Owner of Property y{'/A1n%i y /i' / Address a %✓ood I/i/ RLIA- e y f Engineer y j�y✓I �J�z�/rueP✓llng d Phone 6 Licensed Installer Nk nU014-' Phone Address 1. In order for the Board of Health to take action on the application, you must get numbered address and map and parcel number from the Town Assessors office. No application will be accepted without this information. 2. Fee is $i "O . Application and fee must be filed 10 days before testing date. 3. On -site sewage testing for in season water table testing; December 1 to April 30. 4. Percolation testing may be done all year. All seasonal testing applications MUST be received by March 31. 5. You must know before the Town's Agent comes out to your lot, as to where you wish to have on -site sewage testing done. 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches c. enough water for on -site sewage testing d. sufficient 4" pipe for a monitor well ]. Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has not been suspended by the Board of Health, or if an out -of -season approval is granted. Fee is non-refundable. 8. All septic system plans number, street number, 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health and DWCP applications must show.soil testing and lot and plot number. REV8-20-86 , 9-17-86 Commonwealth of Massachusetts Town of Mansjreta Soil Suitability Assessment for On -site Sewage Disposal Fee S 150.00 (7NNew ❑ Upgrade Site Number (p - Please fill out only shaded area. Office Review Soil Survey published 1978 Soil limitations _ Publication scale 1:20,000 Surficial Geologic Report not available. Geologic material Soil Map Unit Drainage Class Landform Flood Insurance Rate Map: ❑ 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 Range: ❑ Above Normal ❑ Normal ❑ Below Normal nth Pr UPfPmnrPc revieWed: Summary Ttr ( TH Z_ Soil class Z T Percolation rate z V\& 2 W-- Adjusted ground water g9 ton 7 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 CIv1R 15.017. K wtt�(.t VW0 sl- � l 2� Scott Leite Date On -site Review Location _ Land use ZJ2)`x 4PT Vegetation /�e r­F`y Date page __ of Landform Surface stones Slope Distance from: Open water body _ possible wetland _ Drainage way _, Drinking well _ Property line _ Deep Observation Hole Log Test Hole Number Parent Material ( Depth to bedrock Vk*Depth to GW Y?,� LYPIow 0 weep 0 seep ❑ Perched 0 wet Soil Depth of naturally occurring pervious material R-S_ 8iLgh ❑ Low 0 Drip WGdv 0 bIrmin¢ 0 Dec miug r � �+ t`w Moddiers 75 �8 iz G,3, Test Hole Number _ Depth to bedrock "jJ Depth to GW j 090w 0 weep 0 seep 0 Perched 0 wet sod Parent Material ' Mgh 0 I� 0 Dnp Depth of naturally occuring pervious material � �V,,-' p-gtwdv O lneren w 0 De =sw.a Torture Color' Motthn Coos�stanc® GW Modifiers _.. --_ _. ...... De th/sur P Hrca _Test Hole - _TA./__ .. Depth of Perc Begin Presoak q;lj%/ End Presoak 7. i w _... Time at 12 _ w +p._ 1644 6" Time (9„,6 RateMIN/IN_ for Method used__ ..__ . Depth observed standing Depth weeping :......_... ... ...._........._. Depth to soil mottles Index Well # 1 Berry School # lGilbertStreet._ # 3 Fruit Street # --USGS Well .._._ ......_ TA Index Well Level... Less: Index well high Adjustment factor Site Level l® i Less: Adjustment Factor C) TOWN OF MANSF.IELD APPLICATION FOR ON -SITE SEWAGE TFSTI14G Number_ _ Date "e a 3; �!111 ,; _ Fee Paid Lot to be tested, address—/0 Owner of Property / ly� � #11/a_1 Phone Address , 7-re(Y Engineer j6 A✓i Licensed Installer Address Phone Phone r-R,3 1. If lot is on an existing street you must get a numbered address from the Town Assessors, in order for the Board of Health to take action on the 2. Pee $100.00 3. On -site sewage testing in season December 1 to April 30. 4. All seasonal testing applications MUST be received by March 31. 5. You must know before the Town's Engineer comes out to ,your lot, as to where you wish to have on -site sewage testing done. 6. Requirements needed at time of testing; a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches. c. enough water for on -site sewage testing 7. Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has not been suspended by the Board of Health, or if an out -of -season approval is granted, 1 copy for applicant Office at 50 West Street Town of Mansfield Massachusetts Board of Health Report of Soil Examination Applicant: The Bonwood Co., Inc. Application # Location: Lot # 2, Maple Street Mail Address: 249 Chauncy Street, Mansfield, MA 02048 Engineer: RIM Engineeri Mail Address: Date: 1 /9/85 Tel. No.: 339-2950 Tel. No.: 339-3731 Inspection By: Karl S. Drown, Health Agent 12/11/84 Soil Loq: Test Hole #1 Test Hole #2 0-24" T & SS 0-24'' T & SS 24-108" Tight to Loose Bony 24-80" Coarse Bony Coarse Gravel and Gravel 108'' Refusal - Large Boulders Ground water depth: Ground water depth: Test Hole #4 Ground water depth: Percolation Test Data: Test Hole #5 Ground water depth: Test Hole #3 Silty Sand Ground water depth: Test Hole #6 Ground water depth: Test Hole # 2 Test Hole # Depth: 48" Depth: Town Water Available4,) 0 Q E: A � t TE 0k �Q�_ N,, ,�,, . PROVED DEAN TOWN OF MANSFIELD rnl APPLICATION FOR ON -SITE SEWAGE TESTING ` Number Date Fee Paid - o0 Lot to be tested, address Owner of Property_ Address �e- Engineer Licensed Installer Address Phone ?3y a 9s0 Phone i1%- ?a yr 1. In order for the Board of Health to take action on the application, you must get numbered address and/or map and parcel number from the Town Assessors office. 2. Fee is $100.00 3. On -site sewage testing for in season water table testing; December 1 to April 30. 4. Percolation testing may be done all year. All seasonal testing applications MUST be recieved by March 31. 5. You must know before the Town's Agent comes out to your lot, as to where you wish to have on -site sewage testing done. 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches C. enough water for on -site sewage testing 7. Pe-r-mi-t w3i1-1 -become i nval i d ifoercolation test is not performed the current percolation season, provided that t e season .-within has not been suspended by the Board of Health, or if an out--of- season approval is granted. Fee is non-refundable. 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health TOWN OF NANsfttLu y APPLICATION FOR ON -SITE SEWAGE TESTING - Numberjy • ]Date _-%L=7-- -- Fee Paid Lot to be tested, address 2 S7 /0-2)q m " Owner of Proper�y ' ai d `' �' (° i 11 Phone "P `S3� (r�C Address %rC)f %�� / 7 F�% ` > +i �ti YC /2Lc) Engineer 9! czs (''F bra a_�"'l<'� Phone Licensed Installer Cthf k Phone Address - 1. In order for the Board of Health to take action on the application, you must get numbered address and map and parcel number from the Town Assessors office. No application will be accepted without this information. 12 �yF� 2. Fee is $}40 00. Application and fee must be filed 10 days before testing date. 3. On -site sewage testing for in season water table testing; December 1 to April 30. 4. Percolation testing may be done all year. All seasonal testing applications MUST be received by March 31. 5. You must know before the Town's Agent comes out to your lot, as to where you wish to have on -site sewage testing done. 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches c. enough water for on -site se:iage testing d. sufficient 4" pipe for a monitor well 7. Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has not been suspended by the Board of Health, or if an out -of -season approval is granted. Fee is non-refundable. 8. All septic system plans and DWCP applications must show,soil testing number, street number, and lot and plot number. 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health its l 8H,89 REV. 8-20-86 , 9-17-86 Office at 50 West Street Applicant: Location: Mail Address: Engineer: Mail Address: Town of Mansfield Massachusetts Board of Health Report of Soil Examination Application # 2 Liberty Street, Foxboro, MA Tel. No.: John Rizzi Inspection By: K.S. Drown 1/24/83 Health Agent Soil Log: Test Hole #1 0-3611 Top&Subsoil 36"-84" Sand0ravel w/cobbd s coarse clean Groundwater depth: 84" Test Hole #4 Ground water depth: Percolation Test Data: Test Hole # / Depth: 46" Rate: 2 MP7 Recommendations: Test Hole #2 0-361, Top&Subsoil 36-961,Sandwravel w/ cobbles coarse/clean Ground waterdepth84" Test Hole #5 Tel. No.: Test Hole #3 Date: 1 /9_1 /83 Ground water depth: Test Hole #6 Grou mnrM u dwaterdepth: Town Water AvailableWo) 1 °F Test -Hole # Rate: us -DIVDS 31VO As a3NO3HD Diva A8 a31Vlf1OlVD —30 -- 'ON 133HS TOWN OF MANSFIELD APPLICATION FOR ON -SITE SEWAGE TESTIj1G Number Date Fee Paid Lot to be tested, addrese_ Owner of Propert Phone ,:!Fn -a27 Addre s s z C� lis% Engineer -CPhone Licensed Installer nn Phone (9lJq_g j3 Address nP 1. If lot is on an existing street you must get a numbered address from the Town Assessors, in order for the Board of Health to take action on the application. 2. Fee $100.00 3. On -site sewage testing in season December 1 to April 30. 4. All seasonal testing applications MUST be received by March 31. 5. You must Tarnow before the Town's Engineer comes out to your lot, as to where', you wish to have on -site sewage testing done. 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet £Or pits or galley trenches. c. enough water for on -site sewage testing 7. Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has not been suspended by the Board of Health, or if an out -of -season approval is grant�c� 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health SHARON SURVEY SERVICE Land Surveyors & Engineers 10 E. Chestn6t St. Sharon, Mass. 02067 C Phone 7"7869 01, A-4 I'D ?I t I - I lb-0 4f, -- -- --------- SO- vp TOWN OF 14ANSFIELD APPLICATION FOR ON -SITE SEWAGE TESTING Number -Date— Fee Paid Lot to be tested, address Owner of Property Phone Address 3 X06Z€4 Engineer Phone 3 Licensed Installer �' Phone Address - 1. In order for the Board of Health to take action on the application, you must get numbered address and map and parcel number from the Town Assessors office. No application will be accepted without this information. 2. Fee is $100.00. Application and fee must be filed 10 days before testing date. 3. On -site sewage testing for in season water table testing; December 1 to April 30. 4. Percolation testing may be done all year. All seasonal testing applications MUST be received by March 31. 5. You must know before the Town's Agent comes out to your lot, as to where you wish to have an -site sewage testing done. 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches c. enough water for on -site sewage testing d. sufficient 4" pipe for a monitor well 7. Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has not been suspended by the Board of Health, or if an out -of -season approval is granted. Fee is non-refundable. 8. All septic system plans and DWCP applications must show soil testing number, street number, and lot and plot number. ; $ j' - 1 copy for applicant 1 copy for treasurer1it �l t 1 copy for Board of Health REV. 8-20-86, 9-17-8c TOWN OF MANSFIELD, MASSACHUSETTS 50 West Street, Mansfield, MA 02048 Edward Taxtufo, Chairman Edward Rosenberg, Clerk Louis Diamond Frank Zarek Peter Fontanini May 4, 1983 Mr. Donald A. Baker 2 Liberty Street Foxboro, MA RE: Lot #3 Maple Street Dear Mr. Baker: Please be advised the Board voted at their meeting of May 4, 1983 to deny the report of soil examination for your above referenced lot as it failed on 1A3/83. The Board voted to approve the re ort of soil examination for Lot #3 Maple Street that was taken on 1 24/83, pending the submission of a definitive plan showing the design and layout of the disposal system and'the results of the well water testing. Sincerely, Ed and , Chairman EJT/dab Office at 50 West Street Town of a Mansfield Mass Board of Health Report of Soil Examination Date: 21 8 Application # D. 6, galcer Tel. NO-: Applicant: t #3 4a. 1e Street Location: 2 yibert Street Fozboxo yo 140, Mail Address: Tel. No.: Job gizzi Engineer: �--- Mail Address: Inspection By' soil LOT Test Hole #1 0-241q it 24-120 S ravel trace gilt Ground water depth:10 "ter Test Test Hole #2 0-24, To'-P8"Snbsoii 24-120" Sand&Gravel trace silt Ground water depth: Test Test Ground water depth: Test Ground water depth: Ground water depth: Ground water depth: Test percolation Test Data: NED Test 1 Depth: 36" AF Rate: 6 14PI 1 Recommendations' ATE Town Water Available (NIJI PE APPROVED PLAN A, AM G SITF MUST BE KFOT Office at 5o West Street D.A. Baker Applicant:--- ..,+ 3 Mav1 Location: Mail Address: _ ------ Liberl Sohn Rizs Engineer: _-------------" Mail Address: - Inspection BY:--Js-'-"'`"" Soil_ Test Hole #1 0:21.4'A­Tbsoil 24-96" Silty Sand&Gravel Town of Mansfield Massachusetts Board of Health Report of Soil Examination Groundwater depth: No water Ground water depth: Application # — - — Date: Tel. No.: Tel. No.: Testa Test Hole #2 o-soil 24-72" Tig Subt silty eaud&gTavel Ground water depth: No water Ground water depth: Tests Ground water depth: Percolation Test Data: Test Hole # 1 & 2 Depth: 36" Rate: No Rate Recommendations: Town Water Available (N9 I Test6 Ground water depth: 'Test Hole Depth: Rate: -S71WY3 Office at 50 West Street Applicant: _ Location: Mail Address: Engineer: _ Mail Address: Town of Mansfield Massachusetts Board of Health Report of Soil Examination Application # 2 Liberty Street, Foxboro Tel. No.: John Rizza Tel. No.: Inspection By: K.S. Drown, Health Agent lA3183 Soil Log: Test Hole #1 Test Hole #2 Test Hole #3 0-1811 Top&Subsoil 0-1211 Top&Subsoil 18-132"Sand&Gravel 12-961, Sand&Gravel some silt some silt Date: lA3/83 Groundwater depth: 961, Groundwater depth: 72" Ground water depth: Test Hole #4 Test Hole #5 Test Hole #6 Ground water depth: Ground A��t rou aterdepth: Percolation Test Data: Test Hole # 2 Depth: 361, Rate: 4 NIPS Recommendations: Town Water Available (NO) . NSF ,ram t %r" epth: Rate: ,EPosf t r, / Al U .. TOWN OF MANSFIELD APPLICATION FOR ON -SITE SLWAGE TESTING Number. Date Fee Paid �U / n ��NN t e Lot to be tested, address C � 1 �74 �e Owner of Property /`/ //91/4-Y -v j_ ;I, Address—_SG1� .. ___m Engineer_,D Phone Licensed Insta.11er�/`,nnPhone �(G �,�, Address 1, If lot is on an existing street you must get a numbered address from the Town Assessors, in order for the Board of IIealth to take action on the application. 2. Fee $100,00 3. On -site sewage testing in season December 1 to April. 30. A. All seasonal testing applications MUST be received by March 31. 5. You must know before the Town's Engineer comes out to your lot, as to where you wish to have on -site sewage testing done. 6. Requirements needed at time of testing; a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches. c. enough grater for on -site sewage testing %. Permit will become invalid if percolation teat is not performed within the current percolation season, provided that the season has not been suspended by the Board of Health, or if an out -of -season approval is granted. 1 copy for applicant 1 copy for treasurer i cc?y for. Board of Health Office at 50 West Street Applicant: Location: Town of Mansfield Massachusetts Board of Health Report of Soil Examination Baker Realtv Co. plication # Date: 1/5/85 Mail Address: Foxboro MA 02035 Tel. No.: Engineer: RIM Engineering Mail Address: Tel. No.: 339-3731 Inspection By: Karl S. Drown, Health Agent 11/27/84 Soil Log: Test Hole #1 Test Hole #2 Test Hole #3 0-30" T & SS 0-32" T & SS 30-78" Tight Coarse Sand and Gravel 32-92" Tight Coarse Sand and 78-112" Fine Sand - Trace Silt Gravel with Trace Silty 92-112" Fine Sand Ground water depth: Ground water depth: Ground water depth: Water at 92" Water at 102" Test Hole #4 Ground water depth: Percolation Test Data: Test Hole #5 Ground water depth: Test Hole #6 Ground water depth: Test Hole # 1 Test Hole # F, Depth: 60" Rate: 9 Minute/Inch a Town Water Available (JU DATE �A'P�i.:. A�f PLAN „1ST BE KFPT ON THE W APPLICATION FOR ON -SITE SEWAGE TESTING Number Date Fee Paid (/ 0 -0011 Lot to be tested, address 2-E-C' T( m,i'TV 2 ffia Owner of Property �Q�C�R 2>`�Z-%%, r01 Phone Address U' Engineer S'iQ� i%G1� LL�2 v�i Phone Licensed Installer t—A / 2��Phone 1. In order for the Board of Health to take action on the application, you must get numbered address and/or map and parcel number from the Town Assessors office. 2. Fee is $100.00 3. On -site sewage testing for in season water table testing; December 1 to April 30. 4. Percolation testing may be done all year. All seasonal testing applications MUST be recieved by March 31. 5. You must know before the Town's Agent comes out to your lot, as to where you wish to have on -site sewage testing done. 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches C. enough water for on -site sewage testing 7. Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has not been suspended by the Board of Health, or if an out -of - season approval is granted. Fee is non-refundable. 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health M I is I I 1 I i v _ 4 \tilt' �•I 1 1 1 a, U O 8 -- I �; S = (-0;icv J.iliu ! ,C-, _.^g1_'e.erJ� Plan:!ers, 010 C-. ildl S-., Boston, -- SO L E-?PMiN—AT-O;i FOP OF -SITE SEPiA6E DISPOSAL L:7 a -ion To ,a �Sc�N `� Da'ua �_-ieerVAV A �C��1r�N��i.MG� 0t it ll Bui lc or Dev�opd� 4)� S0__i PP()FrFES 0 (Zero) .s e::'_sting surface elevation at .taSt pit, Hole Ho. l Hole No. 2 Hole No. 3 0 - Topsoil C - Topsoil 0 - Topsoil_ Subsoil - Subsoil Subsoil. .: i'ldter Level � Hole soaked for I1IIS. FL,- _,ot is aCCeotable Percolation Pate: 1" in rains:` N.,ot dCCeptd'il1H - - _ MASSACHUSETTS BUILDING DEPARTMENT OFFICE AT 50 WEST STREET 339-6447 April 299 1981 MEMORANDUM (�vj FROM: Bertram M. Cook, Deputy Health Agent TO: Board of Health RE: Lots # 20.21 and 22 Maple Street Please be advised the above referenced lots on Maple Street were all *preliminary peros. We were not able to establish the lot lines All distances from the pond and the lot lines were estimated. The engineer did not have a surveyed plot plan. Also be advised, Bob Hutchinson representing Landmark Engineering, was not a Registered Professional Engineer. BMC/dab THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH May 1, 1.98l Susan Thibedeau 17 Buckingham Road Norwood, Ma. 02062 Re: Lots # 20, 21 and 22 MAple Street Dear Ms. Thibedeau: Please be advised, the Board voted at their meeting of April 29, 1981 to withhold any action on your above referenced lots and to advise you that in the Board's Regulations, "Minimum Requirements For The Disposal of Sanitary Sewage In Unsewered Areas", Regulation II, stating distances for sewage systems to a public water supply. We are enclosing a copy of this regulation for your reference. The Board cannot accept the pare tests until they are aware of where the test holes are in relation to the lot lines and the pond, as it appears to be in violation of this regulation. Sincerely, Edwar��tufo, Chairman Enc. CC: Landmark Engineering EJT/dab Office at 50 West Street Town of Mansfield Massachusetts Board of Health Report of Soil Examination Applicant: Susan mhib d au Application # 217 Date: 3/25/80 Location: 390 Ma-ple Street Lot #21 Mail Address: 17 Buckingham Rd , Norwood, Ma_ 02062 Tel. No.: Engineer: Landmark Engineering Mail Address: Tel. No.: Inspection By: n. , I)P lxty wna.7, h Agent, Rnh glatchinapn lil/28AI Soil Log: Test Hole #1 Test Hole #2 Test Hole #3 0-30" Top&Subsoil 0-3011 Top&Subsoil 30-120" Med. Sand w/some 30-74" Sandy gravel stone 74-12811 Fine Sand Ground water depth: Test Hole #4 Ground water depth: Percolation Test Data: Test Hole # i Depth: 361, Rate: 21 MPL Recommendations: Ground waterdepth: Not reached Ground waterdepth: Test Hole #5 Ground water depth: Town Water Available (X ) Test Hole #6 Ground water depth: Test Hole # Depth: Rate: Office at 50 West Street Applicant: Location: Mail Address: Engineer: _ Mail Address: Town of Mansfield Massachusetts Board of Health Report of Soil Examination Application # Tel. No.: Tel. No.: Inspection By: Soil Log: Test Hole #1 Test Hole #2 Test Hole #3 (9 7o TqS p— Ground water depth: Test Hole #4 Ground water depth: Percolation Test Data: Date: Ground water depth: Mv� Ground water depth: Test Hole #5 Ground water depth: Test Hole # Depth: �7� Rate:Z� Recommendations: Town Water Available (V-r Test Hole#6 Ground water depth: Test Hole # Depth: Rate: 7— rl Fa l r TOWN OF MNSFIELD APPLICATION FOR ON -SITE SEWAGE TESTING Number_ Fee Pald`�5 _ Lot to be tested, address__ _ Owner of Property, Address /2--0 G� E ng i neerY Licensed Installer Address Phone 6- 2a�aJ cf ne 3l5� -0G6W Phone 1. If lot i> on an existing street you must get a numbered address from the Town Assessors, in order for the Board of Health to take action on the application. 2. Fee $65.00 3. On -site sewage. testing In season December 1 to April 30. 4. For out -of -season testing $100 deposit after the Board of Health gives approval for testing. 5. All seasonal testing applications hUST be received by Parch 31. 6. You must know before the Town's Engineer comes out to your lot, as to where you wish to have on»site sewage testing done. 7. Requireirwnts needed at time of testing: a, your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches. c. enough water for on -site sewage testing '1 copy foi• applicant 1 copy for treasurer 1 copy for Board of Health Office at 50 West Street Town of Mansfield Massachusetts Board of Health Report of Soil Examination Applicant: Siman Thibedeau, Application # 257 Date: 3/26/81 Location: Lot 20 390 Maple Street Mail Address: 17 Buckingham Rd. Norwood_, Ma, 02062 Tel. No.: 762-2235 Engineer: Landmark Engineering Mail Address: Tel. No.: 384-3064 Inspection By: B. Cook Deputy Health Agent Bob Hutohinson 4/28.181 Soil Log: Test Hole #1 Test Hole #2 0-2211 Top&Subsoil 22-48" Bony sandy gravel 48-13211 Fine sand Ground water depth: not reached Ground water depth: Test Hole #4 Ground water depth: Percolation Test Data: Test Hole #1 Depth: 30" Rate: 2 MFI Recommendations: Test Hole #5 Ground water depth: Town Water Available( x ) Test Hole #3 Ground water depth: Test Hole#6 Ground water depth: Test Hole # Depth: Rate: Office at 50 West Street Town of Mansfield Massachusetts Board of Health Report of Soil Examination Applicant: 4%zk Application # Location: Mail AflrtrP..s R' Fnninee.r' Mail Address: Inspection By: Soil Log: Test Hole #1 Test Hole #2 O ,2 ;z- T1. S Ground waterdepth:,4- Ground water depth: Test Hole #4 Ground water depth: Percolation Test Data: Test Hole # Depth: Rate: Recommendations: Town Water Available Test Holy #5 Ground water depth: Tel. No.: Tel. No.: Test Hole #3 Date: Ground water depth: Test Hole#6 Ground water depth: Test Hole # Depth: Rate: Office at 50 West Street Town of Mansfield Massachusetts Board of Health Report of Soil Examination '•• :.n ThibpdAan ApplicationD. i Location: Lot rear of 390 N"le St., Lot 22 Mail ' • • "Buckingham Rd., Norwood., Ma. 02062 Engineer: Landmark Enaineerina Inspection By: 13. Cook, Deputy Health Agent Bob Hut hinson 41/28/81 Soil Loa: A Test Hole #1 0- " Top&Su soil 28-58" Sandy gravel 58-104" fine sandy gravel Groundwater depth: 93" Test Hole #4 Ground water depth: Percolation Test Data: Test Hole # 1 Depth: 441, Rate: 424MpI Recommendations: Test Hole #2 0-2 " Top&Subsoil 28-58" Sandy gravel 58-12011 Fine sandy gravel Groundwater depth: 100" Test Hole #5 Ground water depth: Town Water Available( x ) Test Hole #3 Ground water depth: Test Hole #6 Ground water depth: Test Hole # Depth: Rate: Office at 50 West Street Applicant: Location: Mail Address: Engineer: _ Mail Address: Town of Mansfield Massachusetts Board of Health Report of Soil Examination Application # Date: Inspection By: Soil Log: Test Hole #1 Test Hole #2 0 —;�-P �S' O --.;2 s 7-9--Y Groundwater depth: % Groundwater depth: /6D Test Hole #4 Ground water depth: Percolation Test Data: Test Hole #5 Ground water depth: Test Hole # Depth: Rate: Recommendations: Town Water Available ( Tel. No.: Tel. No.: Test Hole #3 Groundwater depth: Test Hole #6 Ground water depth: Uu1ju 1. Rate: / T`ST A o�F TOWN OF MANSFIELD APPLICATION FOR ON -SITE SEWAGE TESTING Number cJ Da to �3 — 2 6 !�/ Fee Paid Lot to be tested, address�&47rle�L Owner of Property.�(,�������it� �cx,�(p�x y Phone Address/7 ✓�rGu l?"�?sz< �2LC�� ��0�� EngineeP i1 � �zesfi-} Phone �z Licensed installer Phone�3�r/— �LSGSJ Address 61% 1. If lot is on an e>:isting street you must get a numbered address from the Town Assessors, ii. order for the Board of Health to take action on the application, 2, Fee $65.00 3. On -site seviage testing in season December 1 to April 30. 4. For out -of -season testing $100 deposit after the Board of Health gives approval for testing. 5. All seasonal testing applications MUST be received by torch 31. 6, you must know before the Town's Engineer comes out to your lot, as to where you wish to have on -site sewage testing done. 7, Requirements needed at time of testing: a, your own engineer b. `lack -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches. c, enough water for on -site sewage testing '1 copy for applicant i copy for treasurer 1 copy for Eoard of Health TOWN OF MNSFIELD APPLICATION FOR ON -SITE SEWAGE TESTING Number Date V7-Z(c-1�// � r11 r3.f f Fee Paid O'`" Lot to be tested, addre,;s�� Zo`3�o �2Zoee Owner of Propert / q, . J c�tG.<2a,% Phone Address/o;�cu�cz En 1ne f� Licensed Installer Address D>_-e,6 Z� Phone3 q - y- I. If lot is on an existing street 4u must get a numbered address from the Town Assessors, in order for the Board of Health to take action on the application, 2. Fee $65.0O }. On -site sewage testing in season December i to April 30. 4. For out -of -season testing $100 deposit after the Board of Health gives approval for testing. 5. All seasonal testing applications MUST be received by March 31. 6. You must know before the Town's Engineer comes out to your lot, as to where you wish to have on -site sewage testing done. 7. Require,iients needed at time of testing; a, your rn-in engineer b, back -hoe or similar' equipment, which would be able to dig 10-12 feet for pits or galley trenches. co enough water for on -site sewage testing 'i copy for applicant I copy for treasurer copy for Board of Health , rl�" Office at 50 West Street Applicant: Location: _ Mail Address: Engineer: Mail Address: Town of Mansfield Massachusetts Board of Health Report of Soil Examination Foxboro, MA 02035 RIM Enaineerina Application # Date: 1/5/85 Tel. No.: Tel. No.: 339-3731 Inspection By: Karl S. Drown, Health Agent 11/27/84 Soil Log: Test Hole #1 Test Hole #2 Test Hole #3 0-30" T & SS 30-98" Tight Packed Silty Gravel Ground water depth: Test Hole #4 Groundwater depth: Percolation Test Data: 0-32" T & SS 32-102" Tight Packed Gravel with Trace Silt Ground water depth: Ground water depth: Test Hole #5 Ground water depth: Test Hole # I Depth: 48" Rate: 8 Minute/Inch >9 Test Hole#R Ground water depth: Test Hole # 2 e: r.._ 'i itAR D OF aF " Town Water AvailableMOVED PLAN (p� N OF4AVSR Number Date Fee Paid 2g Lot to be tested, address /iJ%� Owner of Property d ?_ bs�L— A di Phone Address �=o ko/%Z U' &I EngineePhone Licensed Installer �iQ /1J Phone Address i 1. In order for the Board of Health to take action on the application, you must get numbered address and/or map and parcel number from the Town Assessors office. 2. Fee is $100.00 3. on -site sewage testing for in season water table testing; December l to April 30. 4. Percolation testing may be done all year. All seasonal testing applications MUST be recieved by March 31. 5. You must know before the Town's Agent comes out to your lot, as to where you wish to have on -site sewage testing done. 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches C. enough water for on -site sewage testing 7. Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has not been suspended by the Board of Health, or if an out -of - season approval is granted. Fee is non-refundable. 1( 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health Office at 50 West Street Applicant: Location: _ Mail Address: Engineer: Mail Address: Baker R Lot # 3 Foxboro RIM Enq Town of Mansfield Massachusetts Board of Health Report of Soil Examination Maple Str MA 02035 ineeninq ication # Date: 1/5/85 Tel. No.: Tel. No.: 339-3731 Inspection By: Karl S. Drown Health Agent 11/27/84 Soil Loq: Test Hole #1 Test Hole#2 0-28" T & SS 28-84" Tight Packed Silty Brown Gravel with Boulders 84-96" Loose Coarse Silty Gravel Ground water depth: Ground water depth: Test Hole #4 Ground water depth: Percolation Test Data: Test Hole # 3 Test Hole #5 Ground water depth: Test Hole #3 0-26" T & SS 26-60" Tight Silty Gravel 60-108" Tight Coarse Gravel with some Silt Groundwater depth: Test Hole#6 Ground water depth: Test Hole # Depth: 52" Depth - Rate: 10 Minute/Inch t n I.3 )ARD OF HEAL] r,t Town Water Available(,;) TE "'� i MPE PROVED PLAN et )c; r" rzr: Kr:r)T r\l Tt F SITF Owner of Property._ Address l Engineer_ Licensed Installer Address Si N/FC'{V�i �� rnc�c Phor 1. In order for the Board of Health to take action on the application, you must, get numbered address and/or map and parcel number. from the Town Assessors office. 2. Fee is $100.00 3. On=s1. ite "sewage testing for in season water table testing; December'1 to, Aprih'30. 4. Percolation testing may be done all year. All seasonal testing applications MUST be`'recieved by March 31. 5: You must ;know before the Town Agent comes out -to "your""lot;' as to'". where you wish "to have'on-site sewage testing don'e:' 6. Requirements needed at time, of testing: a. your own engineer. b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley, trenches c.''enough water for bn-site.sewage testing 7:.. Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season ;has not been suspended by the Board of Health, or if an out -of - season approval is granted. Fee d s non-refundable. 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health 0 Office at 50 West Street Town of Mansfield Massachusetts Board of Health Report of Soil Examination Applicant: Baker Realty Co. Application # Date: 1/5/85 Location: Lot # 4 Maple Street / Mail Address: Foxboro, MA 02035 Tel. No.: Engineer: RIM Engineering Mail Address: Tel. No.: 339-3731 Inspection By: Karl S. Drown Health Agent 11/27/84 Snil Lon. Test Hole 91 0-22" T & SS 22-94" Tight Packed Silty Gravel Groundwater depth: Test Hole #4 Ground water depth: Percolation Test Data: Test Hole # Depth: Rate: Recomme dations: Test Hole #2 0-28" T & SS 28-96" Tight Packed Silty Gravel Ground water depth: Test Hole #5 Ground water depth: 1 36" 11 Minute/Inch Town Water Available (V,) TP.St Hnle. 42 Ground water depth: Test Hole#6 Ground water depth: Test Hole # - _ - T s-///" _ TOWN OF MANSFIELD APPLICATION FOR ON -SITE SEWAGE TESTING Number Date a , ov E Iq k H Fee Paid e_& Lot to be tested, address ta) Owner of Property Qii��Rv4 L7 di Phone Address '/nn � & C/ I/a 141 Engineer �yj, 0& n wd `y _Phone Licensed Installer -Phone Address 1. In order for the Board of Health to take action on the application, you must get numbered address and/or map and parcel number from the Town Assessors office. 2. Fee is $100.00 3. On -site sewage testing for in season water table testing; December 1 to April 30. 4. Percolation testing may be done all year. All seasonal testing applications MUST be recieved by March 31. 5. You must know before the Town's Agent comes out to your lot, as to where you wish to have on -site sewage testing done. 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches C. enough water for on -site sewage testing 7. Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has not been suspended by the Board of Health, or if an out -of - season approval is granted. Fee is non-refundable. l 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health Office at 50 West Street Applicant: Location: Baker Real Town of Mansfield Massachusetts Board of Health Report of Soil Examination Co. # Date: 1/5/85 Mail Address: Foxboro, MA 02035 Tel. No.: Engineer: RIM Engineering Mail Address: Tel. No.: 339-3731 Inspection By: Karl S. Drown, Health Agent 11/27/84 Soil Log: Test Hole #1 Test Hole #2 Test Hole #3 0-32" T & SS 0-22" T & SS 32-72 Coarse Sand and Gravel 22-96 Clean Coarse Sand and 72-96" Medium Sand Gravel Ground water depth: Groundwaterdepth: Ground water depth: Water at 72" Water at 84" Rust Line at 48" Rust line at 54" Test Hole #4 Test Hole #5 Test Hole #6 Ground water depth: Ground water depth: Ground water depth: Percolation Test Data: Test Hole # 1 Test Hole # Depth: Rate: 48" D' e: 4 Mi nute/Inch"" Town Water Available(/) / _DATE "r P� APPROVED D PLAN TOWN OF MANSFIELD APPLICATION FOR ON -SITE SEWAGE TESTING Number Date Fee Paid1�� n Lot to be tested, address Owner of Property 9" ? R 40 b L %i� �(ai Phone Address Engineer �� 0Q/ 1 %� Y� Iy d-& Phone Licensed Installer %.Q / 0 DJ } —Phone, Address 1. In order for the Board of Health to take action on the application, you must get numbered address and/or map and parcel number from the Town Assessors office. 2. Fee is $100.00 3. On -site sewage testing for in season water table testing; December 1 to April 30. 4. Percolation testing may be done all year. All seasonal testing applications MUST be recieved by March 31. 5. You must know before the Town's Agent comes out to your lot, as to where you wish to have on -site sewage testing done.' 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches C. enough water for on -site sewage testing 7. Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has not been suspended by the Board of Health, or if an out -of - season approval is granted. Fee is non-refundable. Ir 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health Office at 50 West Street Town of Mansfield Massachusetts Board of Health Report of Soil Examination Applicant: Marie R. Baldner Location: 801 ,Maple St. Mail Address: 155 Winter St., Mansfield Engineer: RIM Engineering Co., Inc. Mail Address: N. Main St., Mansfield m Inspection By: Karl S. Drown, Health Agent Soil Loa: Tact Hole 41 0-24" TOP & Subsoil 24-90" coarse clean gravel rust line 60" Ground water depth: 60" Tact Hole #4 Ground water depth: Percolation Test Data: Tact Hnle#9 Ground water depth: Tact Hole 45 Ground water depth: Application # Date: 6/27/83 Tel. No.: Tel. No�39-3731 Test Hole #3 Ground water depth: Test Hole #6 Ground water depth: Test Hole # Test Hole # Depth: 2MPI 811 �)tth Rate; Rafe. I Recommendations: y, i Town Water Available( ) ip0 _. 1 �.. p L I� KPI 6 t" A II L, $" 56`'�''@}p�fl F P 4 (X a�qAJgµ� O N a III... j,�E (E' 4� ( s E TOWN OF MANSFIELD APPLICATION FOR ON -SITE SEWAGE TESTING Number Date August 3, 7983 Fee Paid $100.00 Lot to be tested, address zL z Owner of Property Marie A, Baldner Phone 155 Winter Street Mansfield Engineer Rim Engineering Co. Inc. Phone 339-3731 Licensed Installer Brunelle Contracting Co. phone 339-4245 82 Gilbert Street Mansfield 1. If lot is on an existing street you must get a numbered address from the Town Assessors, in order for the Board of Health to take action on the application. 2. Fee $100.00 3. On -site sewage testing in season December 1 to April 30, 4. All seasonal testing applications MOST be received by March 31. 5. You must know before the Town's Engineer comes out to your lot, as to where you wish to have on -site sewage testing done. 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches. c. enough w#ter for on -site sewage testing 7. Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has not been suspended by the Board of Health, or if an out -of -season approval is granted. 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health Office at 50 West Street Applicant: _ Location: 813 Maple St. Mail Address: Engineer: Mail Address: Town of Mansfield Massachusetts Board of Health Report of Soil Examination Marie R. Baldner Application # Date: 6/27/83 155 Winter St., Mansfield Tel. No.: RIM Engineering, Co., Inc. North Main St., Mansfield, MA Tel. No.: Inspection By: Karl S. Drown Health Agent Soil Log: Test Hole #1 Test Hole #2 Test Hole #3 0-24" Top & Subsoil 24-114" clean coarse gravel Ground water depth: 108" Test Hole #4 Ground water depth: Percolation Test Data: Ground water depth: Test Hole #5 Ground water depth: 339-3731 Ground water depth: Test Hole #6 Ground water depth: Test Hole # Test Hole # Depth: 36" p k ' U, � i Rate: 2 MPI ateLj Recommendations: Town Water Available( ) "A_[ zAUS G 3„34'. i°.. .I, b...., ON V P t 'f... f 9 _ TOWN OF MANSFIELD APPLICATION FOR ON -SITE SEWAGE TESTING Number Date August L 1983 Fee Paid $100.00 Lot to be tested, Owner of Property Marie. j. Baldner Phone Address 155 Winter Street Mansfield Engineer Rim Engineering Co. Inc. Phone 339-3731 Licensed Installer Brunelle Contracting Co. phone 339-4245 Address 82 Gilbert Street Mansfield 1. If lot is on an existing street you must get a numbered address from the Town Assessors, in order for the Board of Health to take action on the application. 2. Feb $100.00 3. On -site sewage testing in season December 1 to April 30. 4. All seasonal testing applications MUST be received by March 31. 5. You must know before the Town's Engineer comes out to your lot, as to where you wish to have on -site sewage testing done. 6. Requirements needed at time of testing; a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches. c. enough wgter for on -site sewage testing 7- Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has hot been suspended by the Board of Health, or if an out -of -season approval is granted. 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health Office at 50 West Street Applicant: Location: _ Mail Address: Engineer: Mail Address: Town of Mansfield Massachusetts Board of Health Report of Soil Examination Marie R. Baldner 827 Maple St. Application # Date: 6/24/83 155 Winter St., Mansfield Tel. No.: RIM Engineering, Co., Inc. Mansfield N. Main St., Mansfield Inspection By: Karl S. Drown, Health Agent Soil Loa: Test Hole #1 0-30" Top & Subsoil 30-96" tight coarse gravel rust line 36", 60" Ground water depth: 54" Test Hole #4 Ground water depth: Percolation Test Data: Te.Rt Hole 45) Ground water depth: Test Hole #5 Ground water depth: Tel. No.: 339-3731 Test Hole #3 Ground water depth: Test Hole#6 Ground water depth: Test Hole# ApetI (F Depth: 44" Depth:� Rate: 3 MPI Rate: Recommendations: Town Water Available( ) r,l SIT RF " YJ _ TO" OF MANSFI&D APPLICATION FOR ON -SITE SEWAGE TESTING Number Date August 1. 1983 Fee Paid $100.00 Lot to be tested, address ;yT• Owner of Property I*te --. Baldner Phone i Address 155 Winter Street Mansfield Engineer Rim Engineering.Cb.:._Inc. phone 339-3731 Licensed Installer Briinel.Te Contracting Co. phone 339-4245 Address 6.26,iIbert Street Mansfield 1. If lot is on an existib*gg street you must get a numbered address from the Town Assessors, in order for the Board of Health to take action on the application. 2. Fee $100.00 3. On -site sewage testing in season December 1 to April 30. 4. All seasonal testing applioations MUST be received by March 31. 5. You must know before ttie Toitnls Engineer comes out to your lot, as to where you wish to have 6n-site sewage testing done. 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar,.equi�pment, which would be able to dig 10-12 feet for pits or galley trenches. c. enough w$ter for on -site sewage testing 7. Permit will become invalid if percolation test is not performed within the current percolation seaeoh,,provided that the season has hot been suspended by the Board of Health'# 6r if an out -of -season approval is granted. 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health Office at 50 West Street Town of Mansfield Massachusetts Board of Health Report of Soil Examination Applicant: Marie R. Baldner Location: 833 Maple St. Mail Address: Engineer: _ Mail Address: Application # 155 Winter St., Mansfield Tel. No.: Rim Engineering Co., Inc., Mansfield Mansfield Inspection By: Karl S. Drown Health Agent Soil Lop: Test Hole #1 0-24" Top & Subsoil 24-96" tight coarse gravel rust line 36" Ground water depth: 48" Test Hole #4 Ground water depth: Percolation Test Data: Test Hole # Depth: 36" Rate: 3 MPI Recommendations: Test Hole #2 Groundwater depth: Test Hole #5 Ground water depth: Date: 6/27/83 Tel. No.: 339-3731 Test Hole #3 Ground water depth: Test Hole #6 Ground water depth: Te tTile# epCh Rate: b Town Water Available( ) a, U AFJDII MAN MUST BE K P !_e.'�R' llfl' ? 3 ..fir.. TOWN OF MANSFIELD APPLICATION FOR ON -SITE SEWAGE TESTING Number Fee Paid M0.00 Lot to be tested, Owner of Property, ljapte Pi, Baldner Phone Address 155 Winter Street 'Mansfield Engineer Rim Engineering Co. Inc. Phone 339-3731 Licensed Installer Brunelle Contracting Co. Phone 339-4245 Address 82 Gilbert Street Mansfield 1. If lot is on an existing street you must get a numbered address from the Town Assessors, in order for the Board of Health to take action on the application. 2. Fee $100.00 3. On -site sewage testing in season December 1 to April 30. 4. All seasonal testing applications MUST be received by March 31. 5. You must knob{ before the Town's Engineer comes out to your lot, as to where you wish to have on -site sewage testing done. 6. Requirements needed at time of testing: a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches. C. enough water for on -site sewage testing 7. Permit will become invalid if percolation test is not performed within the current percolation season, provided that the season has hot been suspended by the Board of Health, or if an out -of -season approval is granted. 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health THE COMMONWEALTH OF MASSACHUSETTS r BOARD O P H E A L T H April 27, 1981 ERE Corp. 150 North Main Street Mansfield, Ma. 02048 Re: 1038 Maple Street Dear Sir: Please be advised, the Board of Health has voted to tentatively approve the report of Soil Examination on your above referenced lot pending the submission of a definitive plan showing the design and layout of your disposal system. Sincerely, Edward J.'Tartufo, Chairman Office at 50 West Street Town of Mansfield Massachusetts Board of Health Report of Soil Examination Applicant: FRE Corp. Application # 265 Date: 3Z31/81 Location: 1038 Merle street Mail Address: 150 North Main St., Mansfield Tel. No.: 33 -3731 Engineer: RIN Ring, On., Tn.- Mail Address: 150 North Main Street Tel. No.: 3 9-3731 Inspection By: B. Cook, Deputy Health Agent RIM 4/21/81 Soil Lop: Test Hole #1 0-2011 Top&Subsoil 20-12011 Bony sand W/gravel Groundwater depth: none Test Hole #4 Groundwater depth: Percolation Test Data: Test Hole # 1 Depth: 2411 Rate: 2 DTI Recommendations: Test Hole #2 0-2011 Top&Subsoil 20-12011 bony sand w/ gravel Groundwater depth: none Test Hole #5 Ground water depth: Town Water Available ( A Test Hole #3 Ground water depth: Test Hole #6 Ground water depth: Lei h c % 1411) -rk u TOWN OF MINSFIELD APPLICATION FOR ON -SITE SEWAGE TESTING Number Be to /11d 3li8I Fee Paid �166 Lot to be tested, address� 3a md�le _5f :`l. 2 i 40100,0(; ° Owner of Property_ E 2 E CoYr Phone 3 3 9- 3 73 Address 1 5-0 /Xo {mod,„ - -C AZl 5 r l�/ Engineer 1PI �h� Co L _Phone 3 3 g —3 7 3 i Licensed Installer. Jo4h 5ti 11� Phone2-176U00.00 Address / 70 I i r �k 4 S 1. If lot is on an existing street you must get a numbered address from the Town Assessors, im, order for the Board of Health to take action on the application. 31 2 2 1 $0100.00 2. Fee $65.00 3. On -site sewage testing in season December i to April 30. A. For out -of -season testing $100 deposit after the Board of Health gives approval for testing. 5. All seasonal testing applications MUST be received by larch 31. 6, you must know before the Town's Engineer comes out to your lot, as to where you wish to have on -site sewage testing done. 7. Requirements needed at time of testing: a, your own engineer b, back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches. C. enough water for on -site sewage testing '1 copy for applicant 1 copy for treasurer 1 copy for Bcvird of Health REPUBLIC PLUMBING SUPPLY CO., INC. 890 PROVIDENCE HIGHWAY NORWOOD, MASSACHUSETTS 02062 617/762-3900 AMERICAN WATER STAN®ARC? HEATERS R�+au TOWN OF MANSFIELD APPLICATION FOR ON -SITE SEWAGE TESTING Number 3 Date 'ie) Fee Paid Lot to be tested, 7Y i 'Z_ Owner of Property /1/J� / �y���iL/� Phone ;"3/-r� , Address '-GCK e-A, Engineer_/, t✓,qT%1 .%3oylv-1-e-A:3 l //�L/f � �. Phone Z� z- t�f/y/a Licensed Installer — -_"- 1. I£ lot is on an existing street you must get a numbered address from the Town Assessors, in order for the Board of Health to take action on the application. 2. Fee $100.00 3. On -site sewage testing in season December 1 to April 30 4• For Out -of -Season testing $100 deposit after the Board of Health gives approval for the testing. 5. All seasonal testing applications MUST be received by March 31. 6. You must know before the Town's Engineer comes out to your lot, as to where you wish to have on -site sewage testing done. 7. Requirements needed at time of te.stinga a. your own engineer b. back -hoe or similar equipment, which would be able to dig 10-12 feet for pits or galley trenches. c. enough water for on -site sewage testing 8. Permit will become invalid if percolation test is not performed within the currert percolation season, provided that the season has not been suspended by the Board of Health, or if an out of season approval is granted. 1 copy for applicant 1 copy for treasurer 1 copy for Board of Health