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Home My WebLink About0067 LAKE ELIZABETH DRIVE - Health 67 Lake Elizabeth Drive Centerville A= 226-015 r I No-9 .6 f L THE COMMONWEALTH OF MASSACHUSETTS (0 / BOARD OF HEA.LTH WfJ................OF.....RXW..i._C....c....!o/-:2:....-----.....--------------------......... Appliration for Dis anal Works Tonstrnr#lun ramit Application is hereby made for a Permit to Construct ( t.-,<or Repair ( ) an Individual Sewage Disposal System at: ...--------•-, • E L z c 3 'rv•...l k....... ................... ! ............. ...........•-•-•....._..__..._...... .._ .... - Locati dress r ot ....... .-•-•-•-----•. ............ ..... Owner Address a .-•• .._. Q dl ... ..-'` ........................................... ••......_.___._..__•--•--••-•-••••-•••••••-•----•-••--....-•-••••...._..--••--••-••......_....••.. Installer Address Type of Building Size Lot..l �.Z. ?.-....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder O P4 Other—Type of Building •.._.•--••.............•... No. of personsShowers Cafeteria j ( ) a' Other fixtures ................................. d "� -off,;;;--.--•----••-•-•...................................................•---•----......---•----------" WW Design Flow..........:. ../.0....................gallons pet'gewon per day. Total daily flow........... $.®.._..G.�17......gallons. WSeptic Tank—Liquid capacity.$° -.gallons LengthAP !bn. Width. r.s. Diameter................ Depth.'L'.... x Disposal Trench—No.s.- ?S"__". Width_._h;Z......... Total Length....V!; ....... Total leaching area-?/"o 5C2-sq.ft. Seepage Pit No--_---------------- Diameter.................... Depth below inlet.................... Total leaching area.................sq. ft. Z Other Distribution box ( L�— Dosing tank ( ) )) '.4 Percolation Test Results Performed b .... ._C ...jV1`'!. ..k "..g.S• Date..s..�. !(_?®.:.... 0 a Test Pit No. 1_... -_.minutes per inch Depth of Test it.... .___.___.. Depth to ground water...1_2....._._.. Test Pit No. 2............."..minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil...Q 7.�k` T . A .- ).� r'!c i u.y"l.. .!�.'/...�.................................. UW ...............••-•-•-----••••--•--•-••--...-•••-..._..-•••-•-----•••••••-•---•......._._........-----•.........-----•--••-•-- -••..____._._...................._-•-----•-•••--•••----- Nature of epairs or Alterations-Answer when ap licabl __. .C._..Q'.� _N .s -j... 1 S"� cam `c Tw Ni _......5 _ � �� rrusuco ^'....................................................... ' �►-. f .--"---......�N .......---.. Cic-✓da IM1.Q C� PS' Agreement: +'x'b t; The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'IU' 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued4bythe board of health. Signed. ...- :. ............... _2 Application Approved By... ..... -""----•-•"---•••---•-•-•--•••-•-•••......... ........................................ Date Application Disapproved for the following reasons:...............:.......................................................................................... -- ................"---"---------...-----........."...-"""-""-"•-----"-"---------"--."...-----•-•----""-"--•.-••-•----•----••---_._.------.................._......._.._.........................._......._ . �O Date Permit No.. .._.. ....................._.... Issued............................................ ...... L E a Date ft �J No.» THE COMMONWEALTH OF MASSACHUSETTS - �r BOARDS OF HEALTH rw.N................OF.....1. ✓..Vt.C /-e.----..................................... Appliration for Disposal Works Tonstrurtion rrrntit Application is hereby made for a Permit to Construct ( L,)"'or Repair ( ) an Individual Sewage Disposal Systun at: .............:�"- »C: ;• G!z ar 7L•..»�?R:...... --• G O-T-..... .................................................._.. Locati ddress or Lot No. 75o G r+ G-A U f -7 C�k� R 1��"7'f� PA' ................•-----------...---..._.._ ......------•........ Owner .. ..._..Address •-- ......_........».».»...... a ........ ..RQ �r.... —------------------------------------------- ------------------------- .............----------------------------- .......-------......... Installer Address - Type of Building Size Lot..� �. _?� ......Sq. feet Dwelling—No. of Bedrooms.._......�______________________________Expansion Attic (—}-- Garbage Grinder ( % � Other—Type of Building No. of ersons________________________ Showers W YP g ------•--------•-------•-•-• P ---- ( ) — Cafeteria ( ) p' Other fixtures ................................... "---------------------------------------------------------••-•-----......--------- .... WW Design Flow............ �_0..............:......gallons pd person�� per day. Total daily flow..__.__--_6 ..... l�..--gallons. WSeptic Tank—Liquid capacity_S a0-gallons Length__P.!J?-. Width_'r.ff.! .. Diameter................ DepthiK.�__'.... x Disposal Trench—No: S__._. Width_.-J_Q.......... Total Length___.y�.........Total leaching area. A_A_.5!°!.-sq. ft. t 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.................sq. ft. Z Other Distribution box ( L)-- Dosing tank (. ) f '-'' Percolation Test Results Performed by.... ?_ �+c e-•--►'!'�-j/?y P-S S -!! tq...-•___-_•-----. a �_..7------=- ........ Date 4 Test Pit No. 1....4.�•:_..minutes per inch Depth of Test kPit....L2_.......... Depth to ground water...!_2_--_____________ f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---•-----___---•-•---•-•------------••-------•--••......................................:--------- •----••------•------�- D Description of Soil....O-. �..._Ta�? "__5. h C�,.�. a�.- ►J 11'?c i v r'`�..... N '.................................. -------------- -----•------.._._•--•----------------•-----•-------••--••--•------•----•-•--------------._..._..-_ _ ---------.. ...----------................ -----•------....----------•---- U Nature of Repairs or Alterations—Answer when applicable 0 1 d4_.N ._....._.. oo...5 zy_s N _..._..S_ lcrw �r t�sc�co f".�> F� �j................................-cv�i ................... l Agreement: rx rc.j Kd The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with F b the provisions of TITI.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. 11 Signed!� N.. `' Date Application Approved BY 1 Q,.rir``�.. ?�: 5.�:_ .-------•---------------------------•-----» ^Z �S-.... ....................Date- e7 Application Disapproved for the following reasons:..........................................................................................................--- c--•--.....-•.................•----•-•---------...----......•-----•.......•.. --...._.__....----•-•-------........---•-.....-•--------... ----•••..-•- Date — PermitNo.-- / a ..................--.... Issued........................................... ---.._.._ - Date -- --------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Lu.IJ..............oF........ ?u . ."...�y .............................................. Trrtif iratr of Tontphanrr THIS IS TO CERTIFY, That the Individual,Sewage Disposal System constructed (c)'or Repaired ( ) by.. •-- ..................... •----------........... _............-•------- ---•----•----•-------•---•------•--......._._......_ ,l C(Z � c--`7_ ', Installer s 4 C ` j lC �r"\ (p r• at ----.../......---Z c` -� ....=---.4' --------=----- .............................................................. �{ )has been installed in accordance with the provisions of TIT application 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No _- _________ dated__. ?l C<_.(' _.___._....._........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION----= SATISFACTORY. r�,� y f DATE........- --------------• ..---•----------••-•------•--....._........... Inspector._... c� - •-..._ --------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..OF.. .�, rt -n.S..'� bl.11 19isposal Works Tonstrurtion Vlerntit Permission is hereby ranted_____ pp.1?t"✓ ._ to Construct ( �,)''or Repair (_ ) an Individual Sewage Disposal System at No........ t'.............................. . d .......... ---------- ---=---------•--•------.._._..-----•--.................. Street l/ as shown on the application for Disposal Works Construction Permit No. yb. D'ated..r, ? < :.'�� ................ n f .................................X... .._l+ .__=- ,.;...: ......---------... DATE. 7s. Board of Health Dcs I6M w DATA SH OT I of Z SWJ64 PAM{L}' 5 8EDeoo)AS SEE SNP 7- o Z NO GA)ZrZA&E AvG DAIC r 5 X //0 550 G PD PLAr4 VIEW -EP7'`r- TAN< = 55ox zcW1 = 11D0 �SPD U SE 1500 G ALLOAJ i APJ K LEA.CN F/aD - US4 5 F�oworr C;k,-ol s S/nEwA�t, AteCA 2 loo SF CAPA,'-1 Tr; l /2 Srx2,5 , Bo7-7-0NA A42EA = 4Co0 SF CAPACITY : 460 5`X096 : 4 y/ GPD DE516^J Fro K/ _72 J 6 PD S I ►TE PLAN DE S/CN P:✓9G 2A- L 2 M 114/114CA Lo T /s LA KC t ZA Th n.q"iS vie Lc HOUSE --tt 70 / 3 S u' ¢O ' 3, Sc-ALE: As Nos` 10 4+ MAY 11, 1990 3 �- 1 EST HOLE P- ¢1 y 5- 4x 8 tLotAJ DfrrUSSo2S w : 0 1 /Z OF 3 6EV-SHED -,7V�s�, Z"PCAsr�� 71Q/Pp//J,� EL. I2- TOP + ,1 All 2 INV 7.q5 SA ��rJ F'-ow e In11/ ++s LIN FSt�. Vl'tVy 8.7 88.5 01Sooa5 9-o l��'7 8�a e ° � 'Y 5- 50 b 15 GA ---' , �,- 5- Is 4t , SCPTI(- >, A�� ALA E✓I�i�U T� �= 4,,� Pvc �- u !I I6 2 2= USGS AD3. T 7111 S 6t=Lc)w FLD\n/ L.IN uc ��r ! T �q'I M �,�;t of �.;s _ o. 6-LP-6-LP-T I F Y i AA T rNE. FoUN DA�G1\l :Sj40;%J,\l NCeCoN �� JOHN CISTER I` J. ; GONt PLYS v✓l i/4 THr- 51 DC LIrJE. AND 5L,113AC-< RE:a t � r FoZ Tire TotiJ/q o '_ / r e F Id0. 148�2 f ` ` Vir QSCE�� L,l(t n �o() � G� : 4-f l a f 7 b 1 4 a �S . R 6 JJ 10 ti 49, `��` L o T /S / 8+� 181 2 a o r 01 / �; 5T-irl:a a r� E'A 5T►NC, CESSPOOL 411 LA KC o ZONR46 DASrkic-T �r/ r Au- G:2AQE s t46V D ✓ EXISTiN6 — L�° vF-U , wErLAND —- --- — ` SP07 ELEVAT10" BX4 PL A tJ V (E kA/ SCALE o i"= 30' OF L.oT I -' LAKE EL(ZA�E—i B UCE 12P" I VIL-1 �3 MUR v"3 NET ARC