HomeMy WebLinkAboutElm St. # 545 - 9/24/1990TOWN OF MANSFIELD
BOARD OF HEALTH
SOIL EXAMINATION REPORT
LOCATION: 545 Elm Street
SUBDIVISION:
LOT NUMBER: 2
PERC NUMBER: 90-89
PERC DATE: September 24, 1990
APPLICANT: Don DesVergnes
ADDRESS: 676 Lindsey St., Attleboro
OWNER: Same
ADDRESS:
ENGINEER: Bill Gottweil
WITNESS: Scott Leite, Health Agent
TEST HOLE 1
GW Depth: None
Rust Mark:
SOIL LOGS
Perc Rate: 2 MI
Test Depth:
Soil Description: 0-30" Top & Sub
30"-138" Outwash, Med. Sand, Little or No Fines
138" Bottom
TEST HOLE 2
GW Depth: Perc Rate:
Rust Mark: Test Depth:
Soil Description:
GW COMP WELL: ADJ FACTOR:
ADJ'D GW/EL:
APPROVAL Soil, Perc Rate, Groundwater.
Groundwater ONLY at inches/El
Im
PERC ADDRESS C
SUBDIVISION
)WN OF MANSFIELD, MASSACHUSETTS
50 West Street, Mansfield, MA 02048
PLICATION FOR ON -SITE SEWAGE TESTING
FEE $100.00
NO.
TELEPHONE Z 2 _-3
CITX STATE e?
TELEPHONE
ADDRESS CITY STATE
ENGINEER, l ��(/ L f tr(/( TELEPHONE
ADDRESS 6 Vj tC { CITY STATE
1. In order for the Board of Health to take action on the application, you
must get numbered address from the Assessors Office at the Town Hall. No
application will be accepted without this information.
2. Fee is $100.00 per lot. Application and fee must be filed ten (10) days
before testing date.
3. Percolation testing and groundwater testing may be done all year.
4. You must know before the Town's Agent comes out to your lot where the
on -site sewage test is to be done.
5. Requirements needed at time of testing:
a. Your own engineer.
b. Backhoe or similar equipment to dig 10-12 feet,
C. Enough water for on -site sewage testing.
d. Sufficient 4" pipe for a monitor well.
6. Permit will become invalid if percolation test is not performed within one (1)
calendar year, provided that testing has not been suspended by the Board of Health.
Fee is non-refundable.
7. All septic system plans and DWCP applications must show soil testing number,
address and lot number.
Original to Board of Health, 1 copy for Treasurer's Office and Applicant
Revised October 1989
TOi.q OF _t SFTELD--aCGr:_ TEST RE20P,T BOtJl^ 0[ HEALTH
PERC NO� STREET Gj � ��! /d? �— OWNER/BUILDER
SUBDIVISION LOT 2, WITNESS BY
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