The URL can be used to link to this page

Home My WebLink About0084 CENTERVILLE AVENUE - Health 84 Centerville Avenue A=226-110 Centerville SMEAD No.53LOR UPC 12543 smead.com • Made in USA c 2 "R a� P No..$Q:..... Fine $....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................To>�..............OF...................1� 6,table------..................................... Appliration for Uh4posal Works T000trurtioxt Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: 84 Centerville,Ave. .- Centerville. MA 026.2 .....................•---•------------....-•-------------...--------------.....................--- Location-Address o t No. Rev. Bruce. ..................................------------------• -------- ----------------- .-... a A & B Cesspool ServiceWner 128 Bishops s Terrace,dr�jrannis, MA 02601 ---------••-----.........................•-•. -----......----...........---- off..----•- .--•--- ............................................... ------------------ ----S - Installer Address U — 3...............I_...._______-Expansion Attic ( ) Garbage Grinder a Type Dwelling dingNo. of Bedrooms___.___..._ Size Lot.... q: feet U p, Other—Type of Building ............................ No. of persons-•.-____-___-3............ Showers ( ) — Cafeteria ( ) Q, Other fixtures -------------------------------- . WDesign Flow............................................gallons per person per day. Total daily flow.............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter................ Depth................ x Disposal Trench—No..................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------------------_ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-� Percolation Test Results Performed by......................................................................... Date...._................................... aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_-___-_-_____-_-_---___. �T4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ - --------------------------------------------------------•-••---.....------------•------•--------------.......--•-•---•---....----•-•.......--••--------•..... Ix 0 Description of Soil.........................Sand__.... ---------------------------------------------------------------------- x U W ----•--------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-.------ UNature of Repairs or Alterations—Answer when applicable.-Ias-tallat3 on---of__a-.l*0.00__gallnn..pre.-east septic tank. 1 distribution_box._a.nd-a._1.,QQO..gallpri..pre-cast..leacth.pit._wtbh__extra..zt�one..and..build c9V&:pe,t@nt9rade. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 7 t L S of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board health. Signed. 6 �' -- 4�22r0...... Dp to Application Approved By...=........... ----------•---•------------------•--•----------- -•--•--•.4/2276b............ Application Application Disapproved for the f o owing reasons----------------------------------..........................................................Da ••-•-••-----•--- ......--•-••----•----•-------•---•-------------------------------•--------••-----•--.........--------------------------------••--•--------------------------------------------------------------------- Date Permit No...80................................................ Issued....4/22/80 Date 4 _ � . t No..J'3O::�__Z - FEs.... �.Qt�..._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..-OF.................. ftinsteble............................................ ,2�jip irativ t for Uagonaal Works Tnntrnrtinn Prrmit r ,F, -Application is hereby made for, a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at P-4..o l taxi g, Aye.da.:Ccr��L® eA..T�....022.632 --......---•-----------------=--=-•----....._.:_....--------•----------------•__----------------- Location-Address W Rev. 1puce. 1313 Rd.. -,-- ---....---•- --------- --------- --------•----- - . ---• .....................� ---- Owner ddr A & Cq§§' o0l S ry ce 198 Bish rye� a s, mA t 6ol ----------•-•._..._••••--•-•••...:_ ...-•--•--•---•••••• ....................... _--•-•-•••. -.....I... ............................................ Installer Address Type.of Building Size Lot............................Sq. feet Dwelling Other Type—No.. Building _of Bedrooms___________,�.............................._ Expansion Attic ( ) Garbage Grinder ( ) ___________________________ No. of persons.............3............ Showers ( ) — Cafeteria ( ) WDesign Flow-Other fixtures•.........................allons per person per day. Total daily flow............................................gallons. a WSeptic Tank—Liquid capacity............gallons. Length................ Width................ Diameter_______________ Depth................ Disposal Trench—No____________________ Width..................._}Total Length.................... Total leaching area____________________sq. ft. 3 Seepage Pit No----------_--------- Diameter____________________ Depth below inlet.................... Total leaching area.................. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No.' i________________minutes per inch Depth of Test Pit.................... Depth to ground Water_-____________________-. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--------_............... D Description of Soil .............................................and ..... _.:<: ,-------- ............... .........-....... x -, W ••-••---------- ------------ ---- -------------------------------------------E'"--------------•----------------------------------------------------------------------------------••--• U Nature.of Repairs o. Alterations'—Answer when applicable_!tl!-* lii+.ion-_.Qf._a-_ ,QQQ._ ll.Rn__p -mot Septic tk,-•l.dis•_�ibuton--bgax a0d__ _-1R®lil-- ],on--ire- . � -- . ._ �, _eat. __r� __ as __bui]�. . ; The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i: 5 of the. State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed J�-. fi t. - M -• ............ Application Application Approved By--•-•----••--=-•••------ •-•-••-------------•-••-•••••••-•--•-•-•----••--••-•--•--•••-----•. ----------- Date Application-Disapproved for the,following reasons----------------------------------------------------------------•---------------•--------------------...........- -------------------------•--•---...-•------------------------.....----.....-•-----------•--•---------------•-•--••-•--•-•--•----•-•----•-•-•--••••---------•-•••-••---•-----.......................... Date Permit No.•-8�--•--••-----•__ ... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................... own.......OF.........Ba table.....:.......................................... TntifirFatr of TompliFamr. THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) R A & B Cesspool Service. M Bishops Tee i A �2601 -- 626'i by--------------------------�•---•-------•------•---•-------------•----•-•------•T------------------------••�1 � .. _....•••--•----••....._.... .. 84 CenterVilleoAve., Centerville. NA 1*6p. -- &v. Bruce Bowen at ••••••--••--••-•-•-••-••-••••••--•-••-•-•--•-•••••----•--......•----•--•-••-.._•-•••-•-•--•--..__.---•-•---•-•--•-•-••--••••--------•----....----•-••••-••-•••-•-•-•-•-••-•-•--•-••••---•-------- has been installed in accordance with the provisions of TITLE r of The State Sanitary Code a de•cribed in the application for Disposal Works Construction Permit �'o.____.______�_:_-_. _ ___ __. dated_---______-; '. 7d THE ISSUANCE OF TINS CERTIFICATE SHALT. NOS' BE CON UE® AS A G ARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE._.. ..................... .................. Inspector -1 . ------. - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH €30- . T+� ...............OF............Pa►stable....._......_._..._........_....._.._......... No..........f. .... c FEE.......... 5.b0 �i��ar��a1 nrk� �nn�irnr�ilan rrnti� Permission is hereby grantedA_&..B Cee6®t�l Service•.• 128 Bishops pro,t-- i$u_•• . 02b01 to Co ru t'( ) or epair ( X) an Individual Sewage Dis osal System at No.....................nt $vilie Ave.-, Centervillet KA 0§32 -- Bsv.__Bruce Bow®a___________________ 5tret. as shown on the application for Disposal Works Construction P its 80 ._.-: Dated.__._ _2 /�®................... ® Board of Health f DATE.................------ -_d----- •---•----------------------••--------------•---- <.. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS LOCATION 0--Wfif f' 14'4w'-SEWAGE PERMIT NO. VILLAGE I I N S T A LLER'S NAME- i ADDRESS Y 8 U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED I ki jib C . o