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0308 NYE ROAD - Health
308 Nye Road Centerville A-= 148 - 039 l Q CATION cl SEWA*G j ,PERMQT �NO. ko VILLAGE I N S T A LLER'S NAME i ADDRESS G U I L DE R OR OWNER DATE PERMIT ISSUED ` 000-/ DATE COMPLIANCE ISSUED J3 � i 0 \ _ '�ti Y No. .Pa/ . � ............I. COMMONWEALTH OFMASSACHUSETTS BOAR® OF HEALTH 7t2wN.......................OF.... 9..!e<.t T! ............................................ Appliratinn for Disposal Works Tow3trurtinn Prrutit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. ...T..4.� T---------------------------------------------------- ° aX... a?��..:..........G�e -• 9= Owner Address W ..'�.......... 0�.csr.-aCr70^- ....�•S�'�'�...�:GP....�X� _ _ _ •---... . ---...--•--•---•-- •--.. ....-•--•-•--•-•-•--•----•--- ......_..--•---- ---•---•-••---------•-••----- -- S feet Installer Address PQ d Type of Building Size Lot_ /1 s y8"_.._ q. U Dwelling—No. of Bedrooms...:Theme.. ......_----------:----Expansion Attic 1400) Garbage Grinder (Aecp Other—T e of Building /P9ti No. of persons......_.3................ Showers — Cafeteria Q' Other fixtures ................................. W Design Flow........................./L_d....____gallons per person per day. Total daily flow.............___._..__.3.3_a......gallons. WSeptic Tank—Liquid capacity/.e&!G_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. Other Distribution box (✓f Dosing tank ( ) � Percolation Test Results Performed by...gh!!��s•...S .!�pA............................... Date......�._'•51-:. _`j_..__........ ,.a Test Pit No. 1...........%;..minutes per inch Depth of Test Pit......! ........ Depth to ground water.._-V9tAK-......_. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.;....................... •---•--•-•-•----------------------------•-------•----------•------•-•---•--..... ------------- ----------- -------------------------------•---.----- O Description of Soil...........O sue. t .9.r�-V-- 'sc.B�so� .._.. U -----•�-- a- -----------�''----a___-5'�^`a--------------- 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 ITT TIE 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. Date Application Appro0.. ......... _". ...--•-•-•-••-•--------••----•................................ Date Application Disappro or the following reasons:--.-------------•----------------•-•-------------...---•----------------------------------------------••-••-•--- ................................... ...............-•-•-----•-- --•-•----••-......__..._.................................................................................. Date PermitNo......................................................... Issued....................................................... Date NO..11-.e_.. S Fnw. ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 5u�ti..__-----------------0F... ra' a^±9.a ................................ Appliration for Uiip.a i al Works Tnnitrnrtiun ramit Application is hereby made for a Permit to Construct ('-, ) or Repair ( ) an Individual Sewage Disposal System at: ....VS.:..---�Z•- ---------...S...P..T �`a• ..........................................C r ...................................... _.. ... _ Location-Address or Lot No. ..................................................... .....---....Cif' Owner Address c•rC. a +_.._... ---•----•-------------•- . -•-•-•-----•-----------•-----1<� •-=•••-•••..:........................................... ------- ---------- Installer Address Type of Building Size ....Sq. feet aDwelling—No. of Bedrooms....?._12i' '.....................Expansion Attic ({rG) Garbage Grinder (N5o p•, Other—Type of Building ........ No. of persons........3............... Showers (. ) Cafeteria (v4 Pa Other fixtures ----------------------------------------------•-•. W Design Flow..........................11.0.........gallons per person per day. Total daily flow......................... ......gallons. WSeptic Tank—Liquid capacity_i4? 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 (✓J Dosing tank ( ) aPercolation Test Results Performed by.._eA.? &_ ...—> r��S�?_._.•..............•........... Date...... ". .` .._.____... Test Pit No. 1........... ..minutes per inch Depth of Test Pit...... _ ----- Depth to ground water.- ....... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water............... o p : ....•-•-----•--•--•--•--••....---•...............•-•...................._....•--•-•--•••--•-...----••••-•-•••••-•-••...-•--..................•....... xDescription of Soil...---•--� :.-....Z-*........_1 G�?.7? w c..,� Sgf.4------------------------•--•---......-•-•-----------........--••---•-••----- U •----•-------•-•••......-•--••-•--•-•------•---••• ............ W x •---•-------- --------------------------•••-•-•-------•--•----•-•--••--•---•---•---------••--••-•-•--------------•-•---••------•••---••••••--•---•••-•-----••-•-....--•••-••-•-••-•-••-•--.......-_.... 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 IITT.;. 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. . -4 ._c...... `'--------------------------- C e3 t ---- Date Application A ro PP PP r't ..` .:........----•-•........................••......---.................----•- ...... -..... ....... ' Date Application Disappro or the following reasons-----------------------------------------------------------------------------------------------••-----•....•--•-- .. ...-•----------------------------•--------......--------...---------------------------------------------------------------------••--- ......--•••--•--- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..70w r!�'.....................OF.... ....................................... Trtifirtar of T.untpliaanrr THIS IS TO CETIFY, That the Individual Sewage Disposal System constructed ( l�or Repaired ( ) j �.yc A, /^ I ..ntstaller at...... 1/._._.j^...._�__.____! X .._ ....-_.....•._S r /.!�r�r! __ _____________________________________________________.....•.....•.............. 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 PP P �------1�-�-----••----------- dated....... :-"`�----'-"-------------........... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI FU CTION SATISFACTORY. DATE.. ...2-_�!.--,�1"''............................................ Inspector................ A,:!- ...................................... THE COMMONWEALTH OF MASSACHUSETTS ., BOA OF HEA No. ......= FEE..... l................ �i��rn�aal larks �nn��rnr�ilan rrmi� Permission is hereby granted......� �?f:rG,. ......f?af -----------------...................................................................... to Construct (---`-or Repair ( ) an Individual Sewage Disposal System r Street 1 as shown on the application for Disposal Works Construction r it,No,-- Dated•.�__�i�!.__��'"".. F CGS•-�--c- _._ ..._.. a ..... ..... ---------------------------------------------- ....................------------ DATE----/ ................................................ .� Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r ;mill►�.Lr tr AMIW 3 8t�eaC�K . LO &AMMA40 "I&JC?U*7-. 27AI W FLO%c/ 's tIO A 3 • SSO 6•P•Ut qS 3 'c.,C-T•'11C T�K s 330v ISO 7• • AR5 4P.O.' .• USE=• t 000 6d.I... t�SPOSAL PIT uSC: tOGo 6dL.. Z�,3�-�__""11TT'' SVG WALL AWAA : tejO qiM Igo SF ,t OZ.5 • S'75 4-P•D. 14 S � SOIT M 0¢M• SO 59. L )A WA '1 SO f+F: +t l.� ti SC 6a.PD.. gf'.3 TbTA1- IDAI W FLOW PAP •o'? �s •� � oMW- bi twcowno1.1 tZ4TE % I*w 2MIu•O¢ ,. lit Vie. *vmr BY 0442LS6 n a Fa,wr.'�. IN Of t4 9-1.1 Sq i �ARD Or��yr ALAN, �C -+I 44.1 sn � j s y q w q No.240* 0100 10 AL a'cToT Foos ia►o.o •Y. 1 df r Aftjpmw MC Sp Z i tMrc�A�•O dAke SvA51�1t. 4'pvb Twr 1w GAS. 44�t314 3 / 'eox 41"Co Topm to tr t •: Dow 942. 9e.4 � ,t LG*464 .A M1�• PIT Saar. :;�a�.i,�• :. WAf/1�D STOWGL g8 41 ��• , • CEtZTIt=1ED pl.b'T• PL_.�41..! Pcto>c tt_E LotAT1OW Cewra (urs ALL—UIL 40 VJATBP' pt.41.1 RE;:Sme JCE CGRTIF-! TkAT TN6. �700Q Q IOI1 5l.lowN 14LC Mall Go�MPLVS vV ITK TNEt 5t DE t•I►•JC Lar AND Selrt.Ae.4 G'C-4UIIZeME-WT4i 01= TMC Tovjw or- '$, 247TARvc.B rt/�1 `Pc.• 'Bk. 33'� 81 PATE u,fE Iwc. RCGtSIL-tZED 1. Wo SuevaYoms O'STECVIL4.G o MASS• T1-115 nt_AN tS UaT E�A►Sc� _ 114SfcvMt-%4r �����/C`� 7� TILL• UFO/GT�i �iItGWI.D APPLICA."'r No.._7. ..- 3y FIzs..... ��.......- APPROVED THE COMMONWEALTH OF MASSACHUSETTS B st Conservation Dep men BOARD OF HEALTH 1-z.1 TOWN OF BARNSTABLE 0" Applirtt°t ult for Diripniul Workii Cnomitrurtion Prruttt Application is hereby made for a Permit to Construct ( ) or l.Zepair V) an Individual Sewage Disposal System at: ----....2o ....vl .. . -.......- ... ,.................................... ........_.... ...._..._.---------------- !d�a L cation-:\iclress or Lot No. U. ......................................... ••--------------•-••••---•----------••••--•------................................................ rncr ress N . Installer Address Type of Building Size Lot.............................Sq. feet ►� Dwelling— No. of Bedrooms........ .....--------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- - - W Design Flow.................................. gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity__- Kallons Length---------------- Width----_-_---_--- Diameter................ Depth................ xDisposal 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........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •--••-•••--•-----------------•-•-•••........•---••••-•••......_...•.-•-••-.........••------•--•••---............--•••--•--•-••---•-•••---••-•----...------••. 0 Description of Soil........................................................................................................................................................................ W V .-------------•••----...•-•--•--....._.......-•-••--••---••-•------•----••-•-••--•-••---•-•------------•-•-•----•...--•--•-••---••-•••----•---•-•-••--•• ................................................ ---------------------------------------------------------------------------------------------------------- j{ _( r`/ - U Nature of Repairs or Alterations—AnswQrwhen appllicab .._..-1 . U-,___ __ C - tl ___.._.�. ................ C.�,-�.............. ------------- Agreement: J The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i ued b the board of health. Signed ------ ............................................... .................................:...... Dace Application Approved By .................. �� ,,� Dace Application Disapproved for the following eafons: .............. ... ..... ............................................................................ ... ................................... . ................. . ..................................................... . . ..... ...................................... -------- ............................ Dare PermitNo. ... ....--.3-- --- --------------------- Issued ...... .. ...................................................... Dace I,--____-----------------M 3 No qq ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /TOWN OF BARNSTABLE Appfiration for Diripwial Workii Towitrurtion rrrmit Application is hereby made for a Permit to Construct or Repair V) an Individual Sewage Disposal System at: ........an I ......ts3' .....Ye�' Rd.,.................................... ............. .�A---- ..................................................................... or Lot No. ------------------------------------------ ---------------- ------------------------------------------------------------ ..less ..................................................................------------ ............ Installcr Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------3—-------------------------- --- Expansion Attic Garbage Grinder aOther—Type of Building ---------------------------- No. of persons________-___-__--__.-__---_. Showers Cafeteria Otherfixtures ........... ......................................................................................................................................... Design Flow...................................... gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity.../iM' allons Length________________ Width__--.__-.______- Diameter._._..__.._..._. Depth_............_.. 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 ( ) 14 Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit_._.__.....__..__... Depth to ground water..._____-__._.__--___._. 44 Test Pit No. 2................minutes per inch Depth of Test Pit__._........_._____. Depth to ground water.___._.............._... P4 ............................................................................................................................................................ 0 Description of Soil...................................................................................................................................................................... W ......................................................................................................................................................................................................... ..................... ---------------------------------------------------------------------------------------- I ............................ ......................... , /A-- ---------- --- - -----( A. U Nature of Repairs or Alterations—AnswVwhen applicable-------------0.0----- -----A.�� A --------6,CCI.C-1................ 4.:ar............ 5.)-u^R.............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issUed_bbjv the board of health. Signed ................... .... ...... .................................................................. ....................................... Daw ---------------------------------------...................... Dare Application Approved By ................ Application Disapproved for the following -easons: ............................................................. .................................................................. ............................................................................................................................................................................................................... ....................................... Permit No. -��_'3----(_ Dare Issued ....................................................11........... Date ———---————————————————————————————————————— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Contylianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by-------------------'C-_ ..6-AN-.N��......................................................................................................................._.......................................... 1. Installer ► at -------------- ......... --------------------------........................................................................................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. V------ dated -------------...... _.................... 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 TOWN OF BARNSTABLE Rapasal Marks Tomtrudivn rrntit Permission is hereby granted..........3(—KI. ��L--------------------------------------------------------------------------------------------------- to Construct or Repair ( L/Jan Individual Sewage Disposal System atNo..............2��E-------Aj ........ L.........-------------------------------- ---------------------------------------------------------------------------------- r Street &733;X as shown on the application for Disposal Works Construction Permit No._ .. ... -,- Dated.... 'V, �\ ;y.............. ....................................... I.-\ .................................................. T-'J" DATE.............. --------------------------------- Voard of Health FORM 36508 HOBBS&WARREN,INC..PUBLISHERS TOWN OF BARNSTABLE 7 N LOCATION � ` /lI ��� SEWAGE # VILLAGE ASSESSOR'S MAP & LOTZLb'- ,031� INSTALLER'S NAME. PHONE SEPTIC TANK CAPACITY //06() G4[ Q &k LerC-V, 10Id.) LEACHING FACILITY:('tyy5e�� t ( (size)2 NO. OF BEDROOMS PRIVATE WELL O U�� ATER BUILDER OR OWNER DATE PERMIT ISSUED:_ i DATE COMPLIANCE ISSUED: VARIANCE GRANTED:GRANTED: Yes No 333 - sy cr �� 33 eox ad �c-lcv_ - a THE COMMONWEALTH OF MASSACHUSETTS r.r BOAR® OF HEAL ..�V................OF...... J . h.S. ... ..................................., Appliration for Dhiposal Worko Tvn�tr rvvd` rrmt# Application is hereby made for a Permit to Construct (1__-41 or Repair ( ) an'-Individual Sewage Disposal Systemat: . ..........................................................• ....._..... C_r '� .. ....._ -- .. ...._.. --------------- - ..... -2V.� .... ......•••--.....•--•- ....Own. Q k ..- _-- a be c R4............... Installer Address.'r , �^ ems+ Type of Building Size Lot_..�`.__�.............. Sq. feet DwellOther—Type T eoof Building of persons Attic ( )Showers Garbage Grinder ( j 04 yP g ............................ P ( ) Cafeteria 04 d Other fixtures ------------------------------------------------------.•.....-•-•-------.........._............... Design gallons per person er/day. Total ly flow___.._ olxs. W Desi Flow )) _......._.- WSeptic Tank—Liquid capacity.(�� gallons Length............ Width.._........ Diameter................ Depth..... _1........ x Disposal Trench—No..................... Width_____ ------ Total Length__....,_.,....... Total leaching area.._.._ _____ .. sq. ft. Seepage Pit No......I------------ Diameter.....�� Depth below inlet___________________ Total leaching area.. �..Y 5q—Ft� Z Other Distribution box (x) Dosing t nk ( ) � /j r- (� U'• P. 91 ~' Percolation Test Results Performed by......_ ,aw—---- _.-:-"____________ _ _.__._.,L.'_.. Date_ ... .... .a t P P r P gr �' �0�7��jeee ..a Test Pit No. 1....... ......minutes per inch Depth of Test Pit--- Depth to oun we _ ...___._._ 0i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ----------�f..-e ---------- } O Description of Soil.................................. ....A. UC P --*G ----------------- U ----••----•--•-----•-•••---•-----••---•--•-----•---••-•---------•--••-•-••........---•-•-•••-••-----•--•-•--•--------•-•-•••......-•----•••----------••••...................•--•---•....--•••----•-•-- W x --•--•-•-••-----------------•••-••...---------•----••--••--•---•-----••-•••••••-•-•-----•------•••••----•--------•----------------------•••-••-•---•--•••••••--------•-----------•--•......---•-•------- 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 iITI=Z 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. igned................................................................................... te ApplicationApproved •--•------...•..........................................................•--........• 3 ! ................... Date Application Disapproved or Ke following reasons:....................... ............................................•------•-------------•--..........---•------•-......------....---------------•--------------------------.................................................... Date PermitNo......................................................... Issued-----------------------------•-------••-------------- Date V, • ...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 61m OF ................................ .......... it rurtion r amit or Msvk' 1�11r Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: 'N. ............................ ........................ ...................................... -- ---- -;r�ss.............-------------- -oc n- d fo-rt-------------------------- ow .. . ........ 23 .................. ....4N4;.............................................. ----------------------------------------- 4MW t VnStj9er ize Sq. feet Type Y(-- U 1 Dwelling—Nobf Bedroonis—.........................................Expansion Attic Garbage Grinder Other—Type of Building ------ No. of persons____________________________ Showers ------I............ i- ------------------------- Cafeteria Other fixtures .............................................................r I, ..................................................... Design Flow,.........................................gallons per person per day. Total,daily flow_,_.__._ _._ __. ___gallons. 9 Septic Tank Liquid capacity............gallons Length________________ Width.-' -W Dla;je3rj0 .... Dep"tho TY ------ .. t . Disposal Trench—No.............1�1�jWidth;................... .Otaf Length.......7.7........ Total leaching area_,__............ f t. Seepage Pit No..................... D meter.................... DeptV below inlet_____ Total leaching area....... sq. f t. z Other Distribution ox IDa,, tank Percolation Test R sults Performej T............. D�tue --------------4estQ4 _4 ou ,.-I Test Pit No. I.......X.....minutes per inch I of '04th to Test Pit No. 2- ...minutesi, er inch epth of' 8tt' Pit..pc. ............ Depth to P4 ................... ............ I-----------"-----------------------------------------7------------------- 'j.........# 0 Description of Soil............................. ........................................................................... ....................... ......................... ................................................... U ...........�............................... . . ............................... .................................................................................... ..�.......... .............................................................. .............................. U Nature of Repairs or Alterations—Answer when applicable.............. fa . ........g g, rid.i .............. ................... ...........................................%�.......................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System inlaccordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in p 42th operation until a Certificate of Compliance has been issued by the board of health. Signed.................................................................................... ...................... 01 a t e ........................................................................................ ...................................... Application Approved<Vi. .... Date Application Disapprove/fo/the following reasons:............................................................................................................... ......................................................................................................................................................................................................... Date PermitNo..................................................... IssuedL....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (15truftratr of Toutliftaurr THIS IS TO �,7FATIFY, That the Individual Sewage Disposal System constructed or Repaired by.......... .....JQ.C�............................................... ............................................................................................. ta at............................. ......z........... -----------I=_e�i C has been installed in accordance with the5rovisions of TITLE Y of The State Sanitary Code as described in theapplication for Disposal Works Construction Permit No..........6?. -. -Q..... dated_.............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........................5.7/2—.6.y............................... Inspector---..A__ .............................................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF..............I—........................................... No.. FEES .............. Disposal Workli %aunotrurtion "Pamit Permission is hereby gra '1� nted.. e..1"'? . ............... 7 Disposal .......................................................................... s slos System to Construct or Repair(e )-an Indivi al Sewa atNo............................ ............ ./ara stree ...... -- - ------------------- --------------------------------------------------------------------------- Stree �gposal W of as shown on the appli tion r Construction Pe o..................... Dated_________..-_____._-_..____....___._._._.. Board of Health ---- - - --------------------------------------------------------------------------- DATE.....t.... . ......... . .... y............. ------------------------ ... m 'X" INC., I FOR1.1 1_05�A. M. ULKIN, IC E30STON LOCATION SEWAGE PERMIT NO aLAGE � INSTA LLER'S NAME & ADD ESS i o3 • • e IIDE R OR OWNER DA T E PERMIT ISSUED DAT E COMPLIANCE ISSUED r — 13��� a _� � � ,- � � . r �4_ 33 3 I � r V� Sa I �A) 5, L' n1 840qo _ .. DDQQ EX7-6-A1L> FALL_ FyF'PL�CF� Bi_ E- _ X pr-of'!le V E- W? T � c ,9 t_ E- o " = / ' ^'it9tu'< /OL COVE,QS ro �1tTN!IV' clro v n d Profile /`, n F r 1 A.) 1 s ;-4 E- L Scf-�Ev. 4o PVc. OAR EOU?9LT OrG .S PTiC lr)rrnurn r aof � �2 Uf' /� A c.JaSh _ TANK-�• � 0/5-r BOX + �• � - t- (o` dia - _ - G.. 3ur-nP s I j t � u 4 /� /CEO© GHL-. SEPT/C. 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