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Home My WebLink About0030 CATS PAW WAY - Health �o Collf Paw WAY C n +It;J t Ile N SMEADO No.2-153LY UPC 12934 emead.com • Made In USA SUSTAINABLE FORESTRY ITIATIVE CYAffiid Mar Scurc 110 I __. .. LOCATION SEWAGE PERM-I`T , N0. Q 6'15;�Z'5- f��y rs le!?4L � AGE Iq (� INSTA. LL' flt'S--'-� NAIVE i. ADDRESS III UIL DE It OR OWNER Let DA- TE PERMIT- ISSUED- �'7iZ DATE COMPLIANCE ISSUED ,d Q e rxR C-4 Fu$.. No. . IJC/ I, THE COMMONWEALTH OF MASSACHUSETTS -t BOAR® OF HEALTH . ..... -....0F.... �5<LC�C/��................................... Appliratinn for Biipuual Worku Tunstrue#inn runtit Application is hereby made for a Permit to Construct ( ) or Repair (4--aan Individual Sewage Disposal System at ion- ddres or t No. ... r . . -- j1 Lo----------------------------------------------•-----.. {w�nQrr Address _4T_.[./ r�O+T ••._ 1. �-Y._.!/... ....................................................... FMi Installer ' Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.............................. .............Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ...................................................... W Design 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.........................._............. Test Pit No. 1................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........................ ODescription of Soil.............. s. ` -•-------•------------------------------------ --------- ----•------.....-----•----- x UW Nature of Repairs or Alterations—Answer when applicable__---_.J_-- .rll1U_..�/ _- .� _______________ P PP ,, -------------- -•-----------------------------------------•---------------•-------------------•---•------••-------------•--------------------------•--•---------------•------......................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI:I; 5 of the State Sanitary Code- The undersigned further ag ees not to place the system in operation until a Certificate.of Compliance has bee .issued by the boa of health. Si d•• �� _ ._. ........ .I......... Date Application Approved By.. ...... . ....:........ /�A_�................. Date Application Disapproved for the following reasons:................................................................................................................ --•-•.......................••••••----•-•••••-•••---••-•-•-•••--•-••-•--•-.....---•--........----•-•.....•••--•-----•---------------------------••------------------•--•-•------•---•--......•-•-------- Date PermitNo......................................................... Issued....................................................... Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA � I r, a No J F • .4 } ..............x THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH f...........0F...:..� ...`... ,` .r�.f°off °............-....................... Appliratiou for %posal Workii Tontitrurtioaa rrmi# Application is hereby made for a Permit to Construct ( ) or Repair ( _')man Individual Sewage Disposal System at Locaftion,;Address �_ { j or Lot No. Owner `i Address .................rf ,`J#✓ �y:�f...._ 1 ........ ___ I '..J A,:r / ✓r ,r. --- ...._.,_ .c_..... ....... ................... ...._. ...._.._. .... ......._----••------•........._._...____......----•-•. Installer Address QType-of Building Size Lot............................Sq. feet U Dwelling—No..of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '- Other—T e of Building No. of persons____________________________ Showers — Cafeteria a' Other fixtures _________________________________ _ W Design 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........................................ W ,� Test Pit No. 1................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........................ x .....:............................................. Description of Soil....................' =..................... .....-----f -------------------------------------------------------------------------------------------------- W ------ -- ----- V ..----------•-------------------•---------------•---•----•--------------------------•-•-------------•-----•-----------._.._.__...--------------•-•-. W U Nature of Repairs or Alterations—Answer when applicable-------- ",> _____ _r__-_f._-._-__; ......____,____:_...................................... ------------------------------------•------•------------------------------------------------•--•----------...------------------------------------------•-------------------------------------•-._...-•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT L- 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. P° r Date Application Approved By.. ----- . /,0✓ ................. ---- -------- ---------- -----•-• ----•....-••-------._----- Date Application Disapproved for the following reasons:--••-----•-----•-------------------•-------------------•--------•-=•-----•------•---------••---•------.._......_ ..............•----------....----•------------------••-----•-•----•-----------------•---------------•-••---•------------•-----•-----•-------.__..----------------------------------------------••....... Date PermitNo......................................................... Issued....................................................... Date _ TH COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................................... .............................................. Trrtifiratr of Toutpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ` ! yr y InK;it ller at ...................................................X R .. _. dr } ... .__G____-•-••••... . $-F.. ....... ..- .....!`•.(___...- .r,....-'-:_ has been installed in accordance with the provisions of TITLE j of The State Sanitary Cody as r�.scribed in the :t k __application for Disposal Works Construction Permit �'o.�___�_ _ ,�___________________ da.ted_./0l� ._7 _1Y__......_.______.. THE ISSIJ CE F THIS CERTIFICATE SHALL NOT BE CONSTRUE® S A GUARANTEE THAT THE SYSTEM WIL FUN ION SATISFACTORY. DATE..../Z = ---------------------------------------------• Inspector....---- •••-• ............................................................. THE COMMONWEALTH OF MASSACHUSETTS �- BOARD OF HEALTH OF.... ;r� 4.r ............................... rt ! No. FEE Permission is hereby granted_ f �..�`"%"�` '�"gip. .. .. ` � °' �� '�.'' to Construct} ( , ) or Repair4� _) an Individual SqA age.Disposal System at No.__, ::1 f-_•! L r "` �! r_.i f °v t r t j-� f/r;rr ................. t f �! s r ' Street as shown on the application for Disposal Works Construction Permit No_ ________________ ".._............ c ; -----------•---- ��'-d ................................................ DATE...................................................................-............. Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS No...., r2- ...... Fxs.... ... THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALTH ................oF...... .... Appfiratinn for DiiiVood Vinkfi Tnntrurtion rumit - Application is hereby made fora Permit to Construct (bor Repair ( ) an Individual Sewage Disposal Syst a I-s iz,o----rI---y----:,--�-- --I- .. ....... I - _ di )- , t ddress or Lot No. ..__••_7�•t___. __.a .. ..................................... ..... ... .. ...............•---. .-_._..._._......_...__.__ -------- --•-------- w VV e Q 4dress dr ss ---�'--- - - � r i , 6 a ( --•--------- � Installer Type of Buildin Size Lot______________________ ____Sq. feet V DwellingyNo. -- Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons.__.._............____...... Showers ( ) — Cafeteria ( ) Other fixtures . ------------------- --'-----------------------------.----•--•-•-•-----------------------•------------------- -- WDesign Flow__ __________________ ___.. -_-----____ Mons per person per day. Total daily flow........................................----gallons. W Septic Talik Liquid ca acit /e" allons Length p q P y Width Diameter. Depth.. x Disposal Trench—No.--------•-••---•---• Width-------_;�o th-- ..... otal leaching area--------------------sq. ft. Seepage Pit No..l............... Diameter../,411 th e w i ....__._..____...... Total leachin area.. - �______ ft. g Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date---------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.._______-_______--.--. C=, Test Pit No. 2................minutes per inch De th of Test Pit.................... Depth to ground water__--_-_-________-------. a ---••-----------------•-------. ......................................................... 0 Description of Soil----------------------------------- �----------------------------------------------------------------------------------- x U •--._......•--•--------•••---------------------••--------•-----•---••--------.••••-------••-••--------...---•-------.................................................. ------- -_---------.-_----- w VNature of Repairs or Alterations—Answer when applicable.--------------------------------------------------------------------------- ----- ------ ---------•-•----------------------------------------•--•----------------•--------------•--------•-•------••--------------------•------------------•---------------.---••--------------•---------------- Agreement: 'eThe undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned rther agrees not to place the system in operation until a Certificate of Compliance has b sued b t - eat . Sign — ------ - - -------------------------- -----------_----- ................................ Application Approved BY ------........ Da 7-7--- ate Applicatioti,Disapproved for the following reasons------------------------------------------- ••------------------------------------------------------------------ ----------------------------------------------------- ----------------------------------------------------------••... Date PermitNo......................................................... Issued................................................. Date ------------� e No..... ,' m _ Fix.... ... ....... THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH . � F....... .......... .. - Appliration for 15iipniial Marko Tnnitxnrtinn Vrrznit Application is hereby made for a Permit to Construct (tl�or Repair ( ) an Individual Sewage Disposal Syst a. ....... --.....- / ddress 7, or Lot No. �,psatt°n �. ss a o e -------•- (.�:y- 1=U q$-�fl `e-zx� am ~ Installer Address QType of Buildine Size Lot............................Sq. feet U .7' Dwelling—No. of Bedrooms........:......_ Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' fixtures __._...-•----•- Design Flow_- they xtu gallons per person per day. Total daily flow___.........................................gallons. W - - - - -- Width---------------- Diameter---•--------.... Depth--- ............ Septic rank Liquid capacltyt` allons Length_______________ 1 x Disposal Trench—No_____________________ Width------------------._t/To 1. ength-__- _____-�__ otal leaching area--------------------sq. ft. µ Seepage Pit No.j--------------- Diameter__ s" r Total leaching area __ _ -sCj. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date---------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water-_-----__-__-____-___. Test Pit No. 2................minutes per inch De th of Test Pit.................... Depth to ground water__-___-_____________---- ----------------------------------------- •-•-••-----------•--•-- ---•••---•------•••-••••••-•----......................................................... 0 Description of Soil............................... ------------------------------------------------------------------------------------------- x c, 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 Article XI 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 Application Approved BY s .,•�' __ '- i --------------------- - --- --Appri-cat—ion Disapprove orthe jottowing reasowy---------------------------------------------11. ........................................................................................................ ---------------------------I------------------------------------------------------------------ Date PermitNo--------------------------------------------------------- Issued----------'----------- --------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF,7ALTH 7 "� OF................... ..... ..... ............... Tatifiratp of Tompliaurr T S IS-7?16 C E I Y, That 6 Individual Sewage Disposal System constructed or Repaired by.......... ......... ................ --tali-------------- ------- ----------------------------------------------------------- er ----- ------- -,2..... ................. . ............... has been installed in accordance with the provisions of Art)/e Uo..The State Sanitary Code as described in the application for Disposal Works Construction Permit No._____._.......... .................... dated---------S3:7/.a.-.?-3.......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH A ..............OF.... ................... No.J.- ........ FEE 41-------------------- - --- ------- -- -----0.11�4—........................... Permission4ertby granted....0 to Co uc (,i ) ,or Re air an 191- '-du I Se'va`g'd,Disposal S r-m V1 4tu-- M, Street -,, Date as shown on the ap plication for Disposal Works Construction ....... �x 0 -21' - ----------- Boa of Health DATE- ----------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS