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Home My WebLink About0024 DEEPWOOD CIRCLE - Health 24 Deepwood Circle }. Cent, orvill ,z 088 S M E A D Na 2.1MOR UPC 12M anadA= • Me&In MA 1 � � I THE COMMONWEALTH OF MASSACHUSETTS �.� BOAR® OF HEALpT.H .............. Q.wt,.............OF.................... a ............................ , ppliratilan for Dispnsai Marks Tonotrnrtion rand# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........... • . � I.-� ' I _ 11 _ i Locatio -Addre or r� o, e• ✓G 2 J....�l^..........�LC4�e�...S.................... ...... ...................`r `'C- :. KS. ...._. -- (c; Q� Owner Address Installer Address Type of Building Size Lot..=41 ...Sq. feet Dwelling—No. of Bedrooms............ _..........................Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4Other fixtures ....................................••-•••---•----•--......-•--•-••-----------•-----•---.---••-•.---•--.................--•-•-........••'--•'--•--••- W Design Flow....................5 5-............___.gallons per person per day. Total-daily flow---.__......._._....__._.3.30.....gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter.........._..._. Depth...-........._.. x Disposal Trench—No..................... Width..-..p.....i........... Total Length........pp.A...... Total leaching area..... _------ sq. ft. Seepage Pit No._.-__.._�._._____.. iameter..........F.... Depth below inlet......C?..._..... Total leaching area... ...sq. ft. Z Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed by�A)ME.A"._ ___._ '.. S1L 11� �. Date--------- --1 .: _.___. Test Pit No. L._14--___minutes per inch Depth of Test Pit_______ __ _______ Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --------------------------------------------------------- -••------------------------------------ ----- --------------------------- •..... _------- •----- --'-- 0 Description of Soil-•--•---------------------------------------%---------- ------- --------- L --•-•--•---------•--•-•-•----•------•--------------------•-•-------.----- x jJ A1� � ---.._..--•----•------------ �J � �. ---- W UNature of Repairs or Alterations—Answer when applicable............................................................................................... --------•-----------------------------------------------•------------------•-------------•--.....-•----.....----------------------..-...--------------•--------------------------------------......••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ed the oard f he th. Signed . --••---.j- ------------------------------- �lov................................ S `I Application Approved BY...........--- ----------- ---------- -- ----�--�--`�-......... , . _.----^-------------------------------- ate Application Disapproved for the following reasons--------------------------------------------------------•-----------------------•--------------------••-•----'•' ----------------------•--------------....-------------------••---......-------•--------------•---•--------••••••-•-••-•--•-•----•----•-•---•-•---------•----------•-•--•-•-------•-••-......-•---....... Date Permit No......��.ram- - Q ................ Issued•-•••----•••-••-------•--•-••••-'•••'--•--------•--_... Date No.............` ; *� Fes$...:` :5 :...... THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH .............. L. �.............OF....................I. f Appliration for Uiopoottl Workii -C utuitrurtiort Prrinit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .r , -. ... ,. .........................................L22-r- ....... Location-Address or Lot No. ...---•----•--•------•.........................Ownerr Add...... ..-•---•--.....................••........• -•--••••-••••-••••••.............•••.......... •-ress••••--•-•••-••••.............._................. d Type of Building ._... Installer fJ; Size Lot.2_Z 3 i ....Sq. feet Dwelling—No. of Bedrooms___......._I ...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ------f-----------------_- No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures................................. , W Design Flow.......................................................gallons per person per day. Total daily flow.......................... .30.._.......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..._.....I.......... Diameter..........f _.... Depth below inlet...... . ........._ Total leaching area'... 30...sq. ft. Z Other Distribution box ( Dosing tank '-' Percolation Test Results Performed by .°: � r-.. :.•': ti.E..•..r'.:.-.l_'t:f_?!.... .�_k�Date..............�__��_`�_�_.._.. as Test Pit No. 1___. :...minutes per inch Depth of Test Pit....... :....... Depth to ground water..... f� Test Pit No. 2..............o-...minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ...-----•--------------------------------------------------------------------•.......---------...---....•...--••----........._........--•-••......•.....-•-- 0 Description of Soil-------------•-•- --------••---------•-- -----• "=--------------------•- -••-----------------------•-----------•-----•------------- U ---••----------------•--. ; , 1 f_51 'i"At...l ait " _ r�-r-4 ••-•---•-----•-•--•-- ............................................ ---•---•---•------------------------------------•----------------•-•-•-•----........-•-•--••------••----•-------------•-------•--------.....----•-------••--•--•---•-------••---•--•--••--•-.........._. VNature of Repairs or Alterations—Answer when applicable................................................................................................ ---------------------•----•---------•--------------------------•--••------:.....•-••••-•-••--••-•-•-••-•-••-•-•---------------....---•-----•-•-•-•---•-•-•--------•--•--•--•-•._.............••.•••--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITTIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until.a Certificate of Compliance has-been i ued the roard of hea th. Signed.....................................................................lA� .�, ..__ s'� C.....19�' Application Approved B =---t-^Y> �1..` �ti , ?c /ate PP PP Y =--•-•- ...- .•• --•-•-•-•--•----••-•-••••••. Application Disapproved for the following reasons---------------------------------------------• ............................................................ --------------••----.....---------------...--•--....--------•---......---------------........-------•----•--•----•------•------------------............................................................ Date Permit No...... ,- C ................ Issued-............................... • Date ----------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................................I.......OF..................................................................................... C�rrtifirtttr of f�out�fi�nrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by .............••----..•....--------•---•---•-------•-----....-----•--((---.....--- :._.. Installer 7 has been installed in accordance with the provisions of TITI.,E-�S of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__.......................t C) 'R•-2---• dated------ (rr ; = THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....::..:....... L 20 ............................... Inspector ••-•-• •-•--- - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -- OF Nd �..........: ?:�:.. FEE..� .�. -•--- Mopmal. Vorhg Tonotrttrtion Uprutit Permission is.hereby granted........!........................... to Construct ( 4- or Repair ( ) an Individual Sewage Disposal System at No �- 1. ! r -• _ �. ..------•................... .Street as shown on the application for Disposal Works Construction Permit ..... Dated..... ............. DATEN.Pj (S t ' .•--•-- ., Board of health --•----•------••-•--•--•------•-----•-•_... . FORM 1255 HOBBS & WARREN. 114_ ., PUBLISHERS ��------- J r 777-7 OA/LY FLOW - //D X 3 z 330 G.P.O. SEPT/c T,4N/f = 334X/SO o =5�9jrG.P,0 . 6/SE /,000 t7/.S�S,4L /�/T•-USE /,040 6,c(1. . � TOTAL, lJ,4/L}�FLoJ�t/= .334 G..o� J Peo(� OES/GAS/ /�E'.eGOL4T/�iS/.2./!T�• N ? � rAN� , /it,/ �9/�S/• O•e LESS o oRioe .r�'�`>�OF;✓4 .t-4 P�,ZN F " E46c { RICHARD y`{G� � ��° PETER • � QA A R 9 SULLIVAN _ ., .. No.2o (� C/ST ��O� ADO �F�is rERr`0 `4� ZL Z : s; I p m " f I'O , p- 4 opt , .. �- �o�n9 • . 6,dL, /.Y✓ BOX 0 33 Scet� / 4o': �.4TE �-z G-B�S / LE2ri�y T//.4T TNE' °pw 4 6 r D .yaw.v n�. V�' ';387 pG, l G q_ �o�t[3" S ,4AIo 4,Fr.9Aee ,2E4v/�EkI�NTS o� T/•'� �2�Gisr�erO.CQNo slieriEYa.�S 72PWIV James Giatrel,is I3.4fE0aAl AA/ ShIOK/�(/f�E,e�aN S.�oU�-��aT QE USE17