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Home My WebLink About0009 RACHEL CARSON LANE - Health 9 Rachel Carlson A i Centerville A= 190—202 W m C 10259 HASTINGS. YN ,JLOCQ.- s. `ld - a'O 5EWo. E PERMIT U0. I S �LE,R 1J�,Pll E S S BUILD R 5M D RE S DQTE PERNAIT ISSUEDDATE COKAPLI WdCE ISSUED : �` "V 'L)� �J � y .�� 1=0C 10 1- SEW�,C�E-P-ERMIT t�10. -Al_l_E-R-5-1.1-L1M-E --A D DR E- - - E5.0 1-L E-R-S- b A=TE-P-E RM-1-T-1.55U E-D r �� y 3 . ,.. � _.. � .... �.. .. .-t...._�i .. -�- t V No.Z.71•......... FEE............ ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD/ F H A TH . . ..... ............OF....... ... .......... ......... ...... . .............................. Appliration -for i3i,iijiMial Works Tonfitrurtion Vrrmit Application is hereby made'for a Permit to Construct or Repair an Individual Sewage Disposal Syst7nt 0._4........ a. . .. ... . ..........�..0 J/ �............ ................e.... --.-... Loc tio -An ress or L-o00t-1-L)--�-o-. .. --------- . .........------------------------- .........C — -4= Owner ----.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.*.-.-.-.-.-.- Address .......... ......... Installer Address Type of Building Size Lot/_57__�__ -----Sq. feet U Dwelling—No—of Bedrooms........ ... .............................Expansion Attic Garbage Grinder ( ) Other—Type of Building ---------- --- No. of persons---------------------------- Showers Cafeteria ( ) 0-4 ------------------------- Otherfixtures ------------------------------------------------------------------------------------------------------------------------------------------------- Design Flow____-___---34A-0..................gallons per person per day. Total daily flow--------------------------------------------gallons. 9 Septic Tunk—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.in),6t----------------e--- To al leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 4 ,__ ;r/,(/ 77f Percolation Test Resu 1--'!is Performed by------------- ------------------------------ Date.........____._.__.____ Test Pit No. . a --- .__-minutes minutes per inch Depth of Test I ---- Depth to ground water........ ...... -- ---- - �--q — GTq Test Pit No. 2................minutes per inch Depth of Test Pit--____-__-._____.._- Depth to ground water------------------------ 1X .............. . --- ------ -;,.�..................................................................................----------------------------------- 0 Description of Soil... ..... .. .... .. ... .... -.40,06 ------------------------------------------------------------------------------------------------------------ U --------------------------------------------------------------------------------------------------------------------------------------I-,,-,,,,,,--,-------------------------------------------------- ---------------------------------1--------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------_,_-------- ...... ---------------------------------------------------------------------------------------I------------------------------------------------------------- ---------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewa,e Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned rtlier agrees not to place the system in operation until a Certificate of Compliant ce has been issued by the rd of alth. L-ned-- -- A- ......... .. ....... ---------------------------- ....-!n-- 7 Application Approved By —--------- ------ ....... .... . .. . ..................... ------- 7. 7y S;*Dalp Application Disapproved for the following reasons:................................................................................................................ ........................................................................................................................................................................................................ II Date Permit No......................................................... Issued...- Date I-------------------------------- ......... FEs............l.11......... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEA TH 1 .. _.... .........OF.._... - .. t.X ..... -- Applirathin -for Diii viral Vorkii Cnonstrurttuu Vrrmft Application is hereby made for a� Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst 6`! - . ,---- ------------- -------=- �=-------------- -------•--- -•-•--......------•-•-------•- `+, Locati Address or Lot S.. • . « t . Owner Address W Installer Address U Type of Building Size Lot ___Sq. feet T; • Dwelling—No. of Bedrooms..__-__ ..-.------------------------Expansion Attic ( )_ _ Garbage Grinder ( ) aOther—Type of Building __.__....... .............. No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other xtures .....___........_____--------------------------------- 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 i . et........... __. Total leaching area-------------.----sq. ft. M,. Z Other Distribution box ( ) Dosing tank ( ) d' F �7� ~" Percolation Test Results Performed by---"--- ------------------------"--"---"".........•-••--•-----•--•--•.... Date---------------------------------------- 04 Test Pit No. 1________________minutes per inch Depth of Test Pit-------------------- Depth to ground water.._._________.______.... Gz, Test Pit No. 2...............minutes per inch Depth of Test Pit.................... Depth to ground water._.....____"________.... a+' Description of Soil_. -_:__. _._ --•-• --...""------"---------------"""----"----....--------"-----------------.._...._.._....------------------. x W UNature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------.------------------ ------------------------------------------------------------------------------------=------------------------------------------------------------------------------------- --------------------------- Agreement: - The undersigned agrees to install the aforedescribed Individual Sewa e 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 been issued by th rd of alth. are Application Approved `By--••• -r-------------------- %�jp---------"------------- r'� -•-- - - 0. f..... Application Disapproved for the following reasons.-----•--------"--------•--------................................................_................................ •--•--•---------------"---------•--•------"-••-------------••------------------------•--------------------------•-•-----•--------------------------------------•---•-•---••-------------•---"_----.----- Date aPermit No......................................................... Issued....................."--................................. Date THE COMMONWEALTH OF MASSACHU:SETTS BOARD F HEALT Trrfif irtt#r of Tompliaurr T I I CE 1 That th Indjyjdual Sewage Disposal System onstructed ) or Repaired ( ) by.. -/ninstalled ..•= -••----•---. - ------. ---------•------ • -••--••---•--•----•-- . ........... --•-------------- nstaller at..... ' .'l..00 /.-"-- � o-So /�,d- " ....je............... - has b in accordance with the provisioArticle XI of e State Sanitary C as described in the application for Disposal Works Construction Permit No........ dated.....461.1.31.1-� _ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE 2ONSTRUED AS A GUARANTEE THAT THE SYSTEM .WILL FU TION S TFSkACTORY. 0. DATE-------"•--1- -•-•"• � .......----••----.•..•. Inspector.-f 3--"---•-------"- ---•----------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OfN HEALTH No. ....7 FEE_..: . ........ �i��rr�ttlZvarS Permission eby granted-----`- --- �"_-... ........................................... to Constru ( or Rep ' ( ) Inewage Disposal stem . , � et Of -•- ' treet as shown on the application for Disposal Works Construction Per 0._____... .r _, 7__ ___. Board of Heal DATE........................... •• ••-• --._. .......................... ` FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS:' - �f h � �_ d c � d � ., s � I . -� ,acr� fs.� lti � A � S�orc Wad