HomeMy WebLinkAboutPlain St. # 8 & 9 - 8/26/1984Commonwealth of Massachusetts Town of Mansfield
Soil Suitability Assessment for On -site Sewage Disposal
174 S 150.09 Site Number
Location address: Z;;, S
Subdivision/Lot:
Perfonned by: rr _✓ �� -r";
Address:
Office Review
Soil Survey published 1978
Soil limitations
Owner:
Address:
Telephone:
Witness: Scott Leite, Health Agent (Site Evaluator)
Address: 50 West Street
Telephone: 508-261-7366
publication scale 1:20,000 Soil Map Unit Drainage
SurFcial Geologic Report not available. Geologic material Landform /F2',-
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
Other References reviewed:
Range: ❑ Above Normal ❑ Normal ❑ Below Normal
Office at
50 West Street
Town of Mansfield
Massachusetts
Board of Health
Report of Soil Examination
Applicant: Joseph P Rezza Application # Date: May 8, 1984
Location: Lot # 10, Plain Street, Mansfield
Mail Address: Plain Street North Attleboro Tel. No.: 699-2912
Engineer: W. T. Whalen Engineering
Mail Address: Tel. No.: 699-4604
Inspection By: Karl S. Drown Health Agent 4/26/84
Soil Log:
Test Hole #1 Test Hole #2 Test Hole #3
0-12" T&SS
12-132" Clean Coarse Sand and Cobbles
Ground water depth: Ground water depth:
Water at 132"
Test Hole#4
Ground water depth:
Percolation Test Data:
Test Hole #5
Ground water depth:
Test Hole #6
Ground water depth: A p Ground water depth:
PROVED
Test Hole # t f'ais 1p
Depth: 24"
- the D
Rate: 2 Minute/Inch f ue:
Recommendations: _,---, /;
i, i;ild _3�`
Town Water Available t
TOWN OF MANSFIELD 1�
APPLICATION FOR ON -SITE SEWAGE TESTING
Number li
��V ()'p fib•"it
Date
Fee Paid
Lot to be tested, address ��! �U R0
Owner of Property. % aSe---R Phone 10' ,9'" .Is /2
Address 7 (,Ili Al S"% . P6 2 /-& W77i G. X Xx t9;#
Engineer Phone l` 9 YG cc,
Licensed Installer Phone
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 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.,
x $ ' 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.
UA,
6. Requirements needed at time of testing:
a. your ownengineer.,
b. back -hoe or similai, equipment, which would-be able to dig 10-12 feet
for pits or galley trenches.
o. 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
loopy for treasurer
1'.00pyrlforEoard,iof''Health
z
Office at
50 West Street
Town of Mansfield
Massachusetts
Board of Health
Report of Soil Examination
Applicant: Joseph P. Rezza Application # Date: May 8, 1984
Location: Lot # 9 Plain Street Mansfield
MailAddPess: Plain Street North Attleboro Tel. No.: 699-2912
Engineer: W. T. Whalen Engineering
Mail Address: Tel. No.: 699-4604
Inspection By: Karl S. Drown Health Agent 4/26/84
Soil Loa:
Test Hole #1
Test Hole#2
0 - 8" T&SS
8 - 48" Coarse Clean Sand
48 - 144" Clean Medium Sand (loose)
Ground water depth: Ground water depth:
Water at 132"
Test Hole #4
Ground water depth:
Percolation Test Data:
Test Hole #5
Ground water depth:
Test Hole #
Depth: 24"
Rate: 2 Minute/Inch
Recommendations:
Town Water Available /K
Test Hole #3
Ground water depth:
Test Hole #6
Ground water depth:
est H le
VED
TSFIELD
in,
T ON
TOWN OF MANSFIELD
APPLICATION FOR ON -SITE SEWAGE TESIIN� VI
NumbeAV
Date Z/
Fee Paid OD / IV( y
Lot to be tested, address Co%(�-_ +/!/7
Owner of Property �/ os CPsa' / �cr`zZ�4 Phone
Addrese(AiNT
Licensed Installer Phone
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 Health to take action .on the
application.
2. Fee $100.00
3. on -site sewage testing in season December 1 to April 30.
413 All seasonal testing applications MOST be received by March 31.
�,,a 1 t{f t yrt
' ' s� t 'S You must knnw'lxtfore the Town's F�gineer comes out to your lots Seto
l * fl�,kl�x"�5' cPi� where: -you wish;.o�have On este @@Wage t9Bt4fi,dOn@. ' c
I
°'HeQuirements:`-I1@ed94�-�8t
v` C a. yOtir OWIl p@ngiae@r
`< b: back=hoe�ore`imilar'equipment,,which-would,i�eable to"dig 10-12 feet
for,;pite.or, galley trenches.
o.:_engugh water for on -site sewage testing
%. 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.
for.applioant
Town of Mansfield
Massachusetts
Board of Health
Office t 50estStreet Report of Soil Examination
50 West
Applicant: Joseph P. Rezza Application # Date: May 8, 1984
Location: Lot # 8 Plain Street Mansfield
MaiIAddreSS: Plain Street, North Attleboro Tel. No.: 699-2912
Engineer: W,T. Whalen Engineering
Mail Address: Tel. No.: 699-4604
Inspection By: Karl C nrnwn Health Agent 4/26/84
Soil Log:
Test Hole #1
0-12" T&SS
12-84" Medium Sand
84-132" Coarse Sand
Ground water depth:
Water at 132"
Test Hole #4
Test Hole #2
Ground water depth:
Test Hole #5
Test Hole #3
Ground water depth:
Test Hole #6
Ground water depth: Ground water depth: Ground water depth:
.ate
Percolation Test Data: APROVED
Test Hole #
T,,s e
Depth: 24" [e
Rate: 2 Minute/Inch 1 ? t
Rocnmmanr9atinnc-
Town Water Available (d%)__ :v BF KFPT ON ME ME
TOWN OFMANSFIELD�
APPLICATION FOR ON -SITE SEWAGE T.
Number,,' //
Date4� '°y
Fee Paid- 00
Lot to be tested, address
zo % ,%v
Owner of Property Tsc�.�' azZ 9
Phone �Fp-.29i2
Addrese��r%i� .U62irb AcX�x� ti1�
,Vhgluee 'fi{l 'f' [71111fI1 � .IG��/FtZ.1f1G- t Phone
Phone
Licensed Installer
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 Health.to take action on the
application.
2. Fee $100.00
�Qnsite sewage testing in season December 1 to April 30. tf „
" ., ; All'seasonal testing application MUST be received by M+;rohx€ I Fz6 ,
th6Nw
w�. ,YM�er '., 1,, • YN�` t ta]�,pyr� fie �Town's FIngineer OIDBB�.OI�t"tJ�>w ag �'i0t„sii� � rS:�c kG.�'y
np , kr �" `f YN Pjr017fRW. BS.tBh 881 �agB `t®B ) � r '�`t-55� �,}s
t f./ rnvvk �'7Ji r 44 t,h�ttA�Y F
x +y C t it, tad tr Ef l t rj4'vF htv{ 1{i F^�
Y a t ���0. `4t`$eQUiremeAtiB Ilse 48Tti i} llle, Of t88tzngiP� �r �+
Yy,( Kit tih Yi!`'. r a your own.,eng Geer Y, � - d'"r�'r i9', ".7 t
b.' back -hoe or: similar equipment,>whid2�-would be able to dtg 16=12 feet
for pits or galley trenohes.
water, for. on -site sewage testing ,
03 ;'en9ugh''
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.
TO`i CT, ' AI 9 ILLD
0 ' , .
AFIIICATICr' r'CR RAEFAIR OFSEPT
IC ST1}
Application number__ —
Date s ? k 5-
Fee Faids�
Lot to be repaired, address r�
�� Fhone
Owner of Property
Address
Applicant's Fame
Address T _
Engineer
Fhone___ ---
Phone
Address
it / ;�g-�>� Phone
Iicensed. Installer —
Address'' a
1. Fee 40.00 Single Jam
1;5,0 for each additional unit
oms
t to
2. lot,masttonwhkowerefyou wisheore the Tto havengineer on-sitecsee ageutestin your
done.
3, Requirements needed at time of testing..
a, your ovn engineer gent, which vrould be
b. back hon or similar equip_ alley , trenches
able to dig 10-12 feet for pits or g
o, enough water for on -site sewage testing
4. See 7 ansfield. Board. of Eealth regulations ;`4 and ;`16
1 copy .for applicant 1 cop9 Board. of ;'.•ealth
1 Copy for Treasurer