HomeMy WebLinkAboutPerkins Ave #26 - 5/6/1986Office at
50 West Street
Town of Mansfield
Massachusetts
Board of Health
Report of Soil Examination
Applicant: _
RICHARD S. BLANDORI
,__Applications
86-128 Date:_..
Location:
o_._. • o _I _7_Uf_
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Ln`r -?-
Mail Address:
1n ara__StrP.Pt_M,-gfIaId MA
n2A48------Tel.No.:
3T9IlL_.._—
Engineer:
RIM
_._
__Mail
Address:
15Q North Main Street- Mansfield,
mA n2n4R___Tel.No.:
339-37;1
WITNESS BY Scott Leite Health Agent DATE 5/6/86
TEST HOLE #1
gw depth None
rust mark 99"
0-24'' Top &
24"-53" Med
with Gravel,
53"-99" Med.
little or no
RATE 2 M/I
DEPTH 30"
Sub
& Coarse Sand
little or no fines
to Fine Sand,
fines
Reconvnendation;
SOIL LOG
TEST HOLE TEST HOLE_
gw depth gw depth
rust mark rust mark
sty
r
MOVED swis n
G r olation ,rate
PRE ground
� ' Flt'a ter t, _, a _
El REJECTED
DATE .<1d2Pl���/�C
PERC TEST DATA-_..-_,._.
RATE RATE_
DEPTH DEPTH
Town Water Available ( )
TOWN C�b MANSFIELD-------- PERCOLATION TEST REPORT BOARD OF HEALTH
t�t�
MAP LOT SR EET S a A✓'/ OWNER/BUILDER
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"1 PERFORMED BY IVA
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COMMENTS
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TOWN OF MANSFIELD
APPLICATION FOR ON -SITE SEWAGE TESTING
Number'
Date
Fee Paid
Lot to be tested, address
Owner of Property C�42 _•JI Phone
Address 10 L
Engineer 1 Phone C/
Licensed Installer _j�S�N`/� wA /Te- Phone
Address ail DUB- ST '""q /4-T �C �-� —
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
;.,s,A ` ent ..comes out. to ;.your,,. lot, ,as to,
..,::�. w �.,
6. Requirements pegded, at: time of_lie t ig:. .. .
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