The URL can be used to link to this page

Home My WebLink About0069 HIGH NOON DRIVE - Health 69 High Noon Rd. A= 133-226 - Centerville i /// S M E A D® No.2-153LOR UPC 12534 smead.com • Wade In USA Sag- MMMSOuKw � 1N�tUS®NMSPRODUC�Ilt VAVWSFPROGPAMAM � o ASSESSOR'S MAP NO. PARCEL LOCATION®/7— c2— SEWAGE PERMIT . NO. y� IACE Lllo& I N S T A LER'S NAME i ADPRESS �08 UI DE R OR 0 R G � 11J DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �� i 141 �vv ------------ �6 4S a7 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l3 ............... ..... .. _........_...:..OF.................._.....................-_:...------..----------._..................._... �i 13 Appliratiou for Diupuuttl Workii Tunutrurtiun Vautit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ....... fi...e.en- -cul k----------------------- ..... --A................................................... Lo -lion-Address Lot No. �q aG._...... u. r...- - 1- .............. ...... .& � . der ._. O er Add ss -- ---- ---- Type A.0 Ce c�A c........S'�•. staller , Address of Building 3 Size Lot....../.A..o_43...Sq. feet Dwelling—No. of Bedrooms................................•...........Expansion Attic ( ) Garbage Grinder ( ) �VD Other—Type T e of Building No. of persons............................ Showers 0.i YP g ---------------•------------ P ( ) — Cafeteria ( ) Q' Other fixtyres .--•-•--•-----•-•--------------•-•--•----.......-----------------------------•-•----------....---•--••-•----•---•-••-------•--.....-----.....-------- d W Design Flow........... 5........................gallons per person per day. Total daily flow..._....33U........................gallons. WSeptic Tank—Liquid capacity.j�u.V.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_ ____________________ Width.....7_.........._ Total Length..........r........ Total leaching area....................sq. ft. Seepage Pit No............. ...... Diameter.......... ....... Depth below inlet....4............. Total leaching area..a2Q.Ll......sq. ft. Z Other Distribution box ( ✓f Dosing tank aPercolation Test Results Performed by........6.a: 1fr.......d...N J..e................... Date__....�.�3 O " F-S' a Test Pit No. 1.1---j.A__.a_minutes per inch Depth of Test Pit___._......lei...-. Depth to ground water.._..PV.Q...fr O-.+e r fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --•---------------------•---•---••••-••----------•-•••--_.....:... -----••----------------------........................................... .--------.--•-- 0 Description of Soil........- ............. 0.0in...61....:s!�4b-S0.11---•----- (� I°Z -•----......1'1_ed i-,LM.------.'�o...---• W .. 4lGAtS�.---•-----------Sa0.4.A.1............ t--A-A-'_-Ut..----------••--------•------------------------•----•------------...---------------....------------•--•----- ................................ ------•------•--•--••-•----•---------------•-----•---•••---•----------------------------••.........--•---.............................................................. V Nature 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 issued by the board of health. Signed...................................................................................... ---•---------------------------- pp�� ." /�/e Application Approved BY .� .. 95:;L ........................................ .......... ------------- Date Application Disapproved for the following reasons----------------------------•----•-••--------•-•-----•---------••------------------•-•---._.........--.....----- ..............•-•---•-•--............-----------•-------•------------------•-•--••--•----------•-.....---•-•---------------•-•-•--•-----•-•--••-•-•-------•-•••---•---••-•---------•------••....._------ Date PermitNo......................................................... Issued................................................... Date �; \ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF.......................................................................................... Appliration for Dispasal Works Tanotrudion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: , ....pv .......... ..cxa.t.......... ...............Lot ..r/; .... �. A..:.h...............d......... !'T...e..-.t...4....l... ..... Locak oqAddress . .... . •,A.. 1AY . .............................. . .../0....... C.L or Lot N.2 (J.. - 0 .er Address .........ce 44.-r.1................LAM.e.;.......................................... ........ .....6.4Ltn. In taller Address Type of Building Size Lot.._.../A+_( ...Sq. feet U 3 t) 6 Dwelling—No. of Bedrooms.......................:....................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons........_......_............ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow............... ..................gallons per person per day. Total daily flow-------- .......................gallons. Ix Septic Tank—Liquid capacity. ..gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. ---------------- - Width......I............. Total Length------------------- Total leaching area ...................sq. ft. Seepage Pit No............I........ Diameter.........8........ Depth below inlet....4r............ Total leaching area_._;_9.....sq. ft. Z Other Distribution box ( I,** Dosing tank ( ) Percolation Test Results Performed by.............11.'&1K.tf,#.....01....jV4-e..................... Date..... 0 ..... ................ . .. ..... Test Pit No. 117A.A..minutes per inch Depth of Test Pit......AA........... Depth to ground water.....E 2.0... r fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.............._.._.. Depth to ground water........._..._.......... . ................r.................................................. ........."* **........... ...........*---------------**........***------------------ 0 Description of Soil.............O.. k—. ............Atc.&M... ................ .... .............. .......... ..................1-..0............ .. Saft .1 mt) Al-------------- a P-1................................................................... ......................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Systemin accordance with the provisions of T I T IS 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...................................................................................... ............................... 11*_�<�-0&1 A:�e - ApplicationApproved By---..--.................................. ......... ........................................ ............9A &! ...... Date Application Disapproved for the following reasons:........................................................................................................... ....................................................................................................................................................................................................... Date PermitNo........................................................ Issued..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...7� ...........OF......... ... .. ...............I......................................... Tntifiratp v�fTvutjx11attrr THIS IS TO IFY, That the Individual Sewage Disposal System constructed or Repaired by..._._.. ...... ......................................................................................................................... Installer at...............L.,*- ...... (, I . ..................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......1K scri. �--, / F. .............. ...... dated_ ./!F/ _�. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCT7, FACTORY. DATE............................. ... . .. .......................... inspector.......I ... ....................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .OF..................................................................................... No C; . .........................................r1. 4C--- ............— FIM..................... giopiasal Works Tonstrurtion Prrutit Permission is hereby granted......... LV;WPL.,................I....................................................................... to Con struct or Repair an I Se,a i n ividual w xe Ds 0 tem atNo........LjDf:(..... ......... ...... .........,.......... ...................................................................... Street as shown on the application for Disposal Works Construction Per nut No.215..........?...f r-oDated........ ............ 7 c;_ ........................................................................................................ DATE. (-/ Board of Health ............................................................... FORM 1255 A. M. SULKIN, INC.. BOSTON 7-4 S[ AM L� _ 3 6CpiZooly WO; GAIZC'Sf�Gt. :G �i.1DClZ; UAIL.1( FLOW ._ :.��CS x 3 3 33o G. P. D. SEPT'1c .. TANK= .336 yl ISo �► �rr 70 4Q5 G.P.D . t ® sC TOAA IC?00 . Al.....TAIJIC., \� DISPbSAL P:iT' .0 5E 1600 &-AL. � �J t TSo S.F 2 , 5 , ILgb D _ � _ ! - - r-- -- i YFLOW33o GIRD 2' PfL ss OF t�I A f PETER - .-�( � � Sll LIVAN -� b 1JS1� a•. Nt7 �Ca >` ��o I AL - _ - --- `�; IJ SSsON ENS', � .i + (C�o•(� --- TE,Slya l.Ol y I?471 . . 1 ob �L`1 n " FG• = I d S FG � I b C� ;1 t, TG,�rso= i v£� e I v+u� �s�•� o�sr. l' 'saw) /00o Aw Io3 /000 /Nti :�.•• XVV GAL, .�• � GAC, /� BoX {�2,(0 .S.EorrG {��Z � , ,. t.�q�N -• �iq l vp lav Z �,�,QT/F/EO PLOT WRSHC-D �L4N .* STONE �,,.b93 S�iJDY ,SGQL�' IL n.AVt cL PRO F i L L 93 1Qo SCALE / GE.eT/,CY TNQT T•�,�E /�eof� F�c� SAlaw.v .�/E•�Eov G�iypGY.S w/T//TiyE S�d�•,c,�ic/E I've. .2��JlJ/2Ek1�NrS o.� T,y� �E6/.STZ�eG=IJ�4N0.S!/.e!/EYo,�S Toxiv .V GOC.�TT�,p C�sr�.21i/Llc' a- ,yl,�� W/TH/iS/ 30 T//ls s�!f�if/�E.e�O�t/.Si�000 0/S�pT-QE USG�p To E.!T,dI�L/S.y Lor-�/NEs