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Home My WebLink About0030 LAKEVIEW AVENUE - Health 30 Lakeview Avenue Centerville A= 252 — 121 —080 i ,IOCATIOt-11 SEW&C,E PERMIT UO. J ct _ fv _L � eU/it. u- �y� IW.ST&LLER'S U&NIE ADDRESS 0- '2x2 a I :5 LLy�!,-5Z bUII.DER 5 tJ AtvlE ADD E%y DNTE PER"I-T DATE COMPLI AtJCE ISSUED : Vi h; Ira =.� s� OH \ I t_ No..... � _._.... F ............... THE COMMONWEALTH OF MASSACHUSETTS �,/� BOAR® OF HEALTH ................................•- Appliration for Disposal Worko Tongtrnrttun rrun� Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .... r41 ,f!l ----------------------- --•...-----------------.......--- 1.0.----- .r-.....------. Location-Address or Lot No. ..... .. , .. --------------•--._.... -----.... ��. .vim'..... �..�� ,.�• Owner Address a ................. : T.. S1,1. .............................................. --•----•-•----- .1Y4 D' Installer Addrz d Type of Building Size Lot... .V24 ....Sq. feet Dwelling—No. of Bedrooms......................_..•......_...___..__.Expansion Attic ( ) Garbage Grinder ( ) p4 Other—Type of Building ............................ No. of persons......._.................... Showers ( ) — Cafeteria ( ) w Other fixtures ---------------------------------------- - W Design Flow..................jLT,5..............gallons per person per day. Total dail flow..............E- 0..............gallons. WSeptic Tank—Liquid capacity��gallons Length. O'_�.. Width• --------- Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No. ........ ....... Diameter-___--®_''.46 Depth below inlet.._7__.a... Total leaching area..ff ....sq. ft. Z Other Distribution box ( ) Dosing tan ( ) Percolation Test Results Performed by-sa .�. fi ...... Date._._ '_:... .:°V__......__.. a 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........................ a ---.......................................................................................................................................................... 0 Description of Soil....................... •-•••...SOeLS...."ri--_---------------------------•---------------------••-•------------...----•---•---------------. x UW -•-••----------------•-----------•-•-----••-•-•••-•••----------------------------------•-•-•-•----••----•••-••-•-----------------------•----•--••--.................................................... 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 TITLE 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 alth. Signed---'' d�� t�...__..... : ��.�......----•--- --y� �� Date Application Approved By......... - -------••-•.......•---•--•••-........••••••----••-••••.............•-----•• ��"..7.�... .. Date Application Disapproved for t e f ollowing reasons---................................................ .................. ..... ........... ............. - .............. 1 Date r PermitNo.•-•---- .Z...--•-------------------------------- Issued---•- --. -- te.... . .................... Da No. `* _....... , Fss.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. IGl1 .....OF.......... i4. +UtSSTi�I r; Appliraation for Disposal Murks Tonstrurtinn ramit A0lication is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal PF:.: Y ( ) P ( ) g P System at: Location-Address or Lot No. ........................ �---•-- t .. f'.--....-•---------...... ................................ ... Owner Address W �r i�ITci�/Gd E JG !4cJ? __/_y__i_Q-5, - _.... Installer •ss Address UType of Building Z_ Size Lot__ ,5_�2-. _....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) P4Other fixtures ...-•---------- --•------------------------------------------------------------------------------------------------------•......------••------------ W Design Flow...................J�+v�...................gallons per person per day. Total daily flow..............__04--2- ......gallons. W Septic Tank—Liquid capacit 0..gallons Length/o_"6_.. Width._-�._...._ Diameter________________ Depth................ x Disposal Trench—N�.................... Width.................... Total Length...._............... Total leaching area---_................sq. ft. Seepage Pit No..................... Diameter___. 26t_ Depth below inlet...!7`_3.... Total leaching area.�_..sq. ft. Z Other Distribution box ( ) Dosing to k ( ) Percolation Test Results Performed by''�4�i __ .. ?"a_ .---.__.-_ Date._e.n. .:77............. Test Pit No. 1_..7'�—I;_.._minutes per inch Depth of Test Pit.................... Depth to ground water.e GHe &,v*- D! 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W •--------- ---- O Description of Soil----------------------- .....j�"'lr '.._L'. 1 ' x .....---•--•. V --------••----------------••-------------•--._...-•----•-•--•---------------------------------------•------••-•----•--------•----------•---.._....------------........................................ W ---•-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U 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 TIT1'.;,,. 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 boardof ealth. .......... ------ D �� ApplicationApproved By.. ........----•----•.................•--•-•--•--•--•-----------.............---•- . Date Application Disapproved for the following reasons---------------------------•...----•-----------------------------------------•--•------..._...--•--------•-•-•--. ..--•--------------------------••--•---------------•--•------------•-•--------------...---------------------------•-------------------------------------------------------------................ Date PermitNo........! ....•...---•--•------------------------ Issued....................................................... Date TH`E COMMONWEALTH OF MASSACHUSETTS ,. BOARD OF. HEALTH ............................... .... ..... ...... ..............................._.............. C�rrtif iraate of Toutpliaanrr THIS IS TO CE TIFY, That the Individual, Sewage Disposal System. constructed ( ) or Repaired ( ) b 6-:! i. .�: ..__ ::t....................................... at......................... +1 nur + �/............................................................... -• -------- . has been installed in accordance�,with the provisions of j,Im F 5 of The State Sanitary Code as described in the application for Disposal Works construction Permit,Na_ ! � :`:_________________ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEK WILL FUNCTION SATISFACTORY. DATE.................................°"�x> _. . ... Inspector --- ..................:........... x".`gso THE COMMONWEALTH 017 ASSACHUSETTS BOARD OF WEALTH l .............. *tr" ...........,OF........*Af lert`/J/�1r 1' .. ............................... No........12St-3....... FEE........................ Disposal Works Tonstrnrttivit an it Permission is hereby granted.................0.... €? i ------------------------......--------------....-------••-•-•---------•-----•--- to Construct ('k ) or Repair ( ) an Individual Sewage Disposal System ow - at No..----••-------•---•....4� ...... ... �'1 Glt�R. : .... � � Street as shown on the application for Disposal Works �ont truet on Permit No. �'`.-�__.___. Dated.._ •..,ZAt...1�. .7...... x. .p ...-•--•----•--•-----•-•---•-•-•-----•-......--•-•...................................................... Board of Health DATE. FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS ''"V .- �e ASSESSOR'S PARCEL [ -� 1: 0CATI SEWAG*E PERMIT 01 V I L L A G Vl-� I N S T A LLEl-' �,, ANI i, A.DDR ES, S B U I L E R OR OWN ER e DATE PERMIT ISSUED _er �� DATE COMPLIANCE ISSUED .. � � Pump COMW�- C) 1 � 1 J' THE COMMONNV-ALTH OF MASSACHUSETTS b � BOARU OF HEALTH . .................oF....E A1J�?�.... AvOrtttton for Uhipn61 Works Towitxurttott frrmit Application is hereby made for a Permit to Construct (ve) or Repair ( ) an Individual Sewage Disposal System at ................__... to -lL � -------------- .---------.--•------------•------•--•- -•- --------------------..............--- Location-Address or Lot No. ......................_. � ...... ��A_ k,,. ...........-----......... caner Address U a ...............................#kf .---.. ;1. .......................... ...----••-- .--•. ---• ---•--- Installer Address d Type of Building c°— Size Lot... L's4e_... S U Dwelling—No. of Bedrooms.............`....._...._....____ .Expansion Attic .( ) Garbage Grinder ( ) Other—Type.of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtur s W Design Flow.....................• _�._._.^____..gallons per person per"day......Total-daily flow.--------------------------- _•._..gallons. WSeptic Tank—Liquid'ca.pacityl�;�- .gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No............7--___.. iameter........... _..... Depth below inlet........ .. Total leaching area...4C?0-sq. ft. Z Other Distribution box ( Dosing tank ( ) Pum C.4I�a Ber4- AFTW— S C- T"V.- `" Percolation Test Results Performed by...... $ ._ .. ..le '.................... Date........ ...._..._. Test Pit No. 1..____�_ -_---._minutes per inch Depth of Test Pit.......9. -___-- Depth to ground water........................ (i Test Pit No. 2......� minutes per inch Depth of Test Pit........13=r6 Depth to ground water------Iz_!-l�_... ----------------------------------•------------------------•---.................---••--••--------•-•......................................................... 0 Description of Soil............................... •••....... .-• .............- --- •• ------.... V -------------------••-••---•-•••��- - t�� ^^ �-� ------------------------------------------------- � -•-----------------•-------•------------------....------------•-•--•-•-••-••••....._.._...•.--•--••--------------••••------•----...•••-•-------•---•--•-•---••••-•••---•-••••---•-•----••......-•...... U 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 TITL U 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 t bo Xo6 lth. Si ... ........--• - ...........................G Da Application Approved By...- ...----..... Da e Application Disapproved for th ollowing reasons----------------•-------•----•--•-----------------------•--------------------.....-----------------......._...... .......................................•-------------•-------...-------•-------•-•-•-•--....--------.......•••-•-••••-••-••••-••••••--••-•-••-•--•-•------------••--•-•••••----••---- •••-•••-•-•---Date Permit No......................................................... Issued-..................... .................................. Date i t—_ I t� No------------------------ ti FR$...........`................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .Q .N................OF... .C ► ! '1 ,A►3.(. .............................. . . Appliration for Disposal Works Tonstrnrtinn Vautit Application is hereby made for a Permit to Construct ( 01 or Repair ( ) an Individual Sewage Disposal System at: tF _ Location-Address or Lot No. ---•••.............••-__. DW A t2T,.�---._..0A./-11.1.D- .,L.......... ..........--.............................. `^^.G................................... W _Qxner Address ................................Ql........ t LL�.--•-------•••--........_ Installer Address AA U Type of Building Size Lot.... Dwelling—No. of Bedrooms.............. .........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type� yp of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) � Other fixture . . ----•------------------•---------.....--------•-----------------------------------•-------------------....--------•-••--••-.-•---- W Design Flow....................... _... ____..gallons per person per day. Total daily flow......................S5.0.......gallons. WSeptic.Tank—Liquid capacity.1,COgallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length...........:�....... Total leaching area....................sq. ft. Seepage Pit No._._____._.�__.. iameter.._..._.....F----- Depth below inlet.._.....�a...... Total leaching area....4oOsq. ft. Z Other Distribution box ( Dosing tank ( , ) Rjm�i� C.14XVABee. A.F TeIZ. 51—P"C- TANIC_ Percolation Test Results Performed.by.......�A:I.T--4Ez...._4._!,!_ .43'................... Date........ _-' "&_S_._.___... a Test Pit No. I.........?..-..minutes per inch Depth of Test Pit.........._..... Depth to ground water........................ f14 Test Pit No. 2......_-� ..-minutes per inch Depth of Test Pit.........!Zr�Depth to ground water....... .:.1...... P+ ---------------------------------------------------•----•-----------•----------•••-•---...-•-.--•--•......................................................... 0 Description of Soil ---- --- x �... 1...1 ................................................ w ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•---.......-•----•--- Z. 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by th boa of lth. ... A--------------................................................. ................................ Approved By.......... . .... . ....... Da e ...................................... �a Application Disapproved for th ollowing reasons:... .......................................................................... ............................•----....----....._....----------------------•------•--------•-•--------•----•----------------•----•--•----------•------•-------•---------------••------•-•-----•----------- Date PermitNo......................................................... Issued--..•....................................•-••--•----••- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH .............OF.............. 12 Ae ..................... Tn#ifiratr of ToutpliFana THIS IS TO CERTIFY, That the Individ al Sewage Disposal System constructed ( ) or Repaired by �..... st -----------------•-----------•------------------------.-.---------..._...........••; at 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......................................... dated--------- -....._. ...._... -.-. THE ISSUANCE OF THIS CERTIFICATE SHALL "(PBL RUED AS A GUA j � THE SYSTEM WILL FUNCTIONS TISFACTORY. _ DATE............................. .. .... �t ZI v Inspector.............. THE COMMONWEALTH OF MASSACHUSETTS -. BOARD HEALTH j 7- Disposal ,orkii} Tnnotrnrtuan Vamit Permissionis hereby granted---------------------------------------------------------------•---------------•---------•--•--••---..........=......._................•---- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo.. .....-----•------------------- - X ��`s on t............................................... ....... est -JQ as shown on the applica on for o al Vl or ks (ons Permit No... � - ated.......c. r 2 -•-•--•-- Bo f DATE....... of eal FORM 1255 HOBBS WAR EN. INC.. PUBLISHERS 1 r ,/'f a r'�. 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