HomeMy WebLinkAbout0257 STRAWBERRY HILL ROAD - Health 257 Strawberry Hill Rd
247-220 Centerville (�
d _ +
x
l
1
No. 4210 1/3 ORA
Pendaflex'
AWL
10%
3
i
T 1
A OKI SEWo.C-xE PERMIT UO.
IWSTQLLERS U&ME ADDRESS
BUILDERS Q &VAF— 4,DDRE55
DATE PERMIT ISSUED
D b.TE COMPLI Q 4CE ISSUED : - -�
t
s�
fv7,/ e
XAA.✓s ir✓
a
��i9�/tOa✓ /9v2—
d2, FRIC
NO. .....3.7....
THE COMMONWEALTH OF MASSACHUSETTS
.....
.101�0 BOARD 0/JF HEALT
.......OF....... j4.................
. r
Apphration -for Uhipwial 10orkii Tomitrurtion Prruift
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System t:
.......... ......................................... ............... ..................................................... ............
d ress
---------------
wner,
-------------
n 11 r ation- ddress t 01.4
or
, ?00
.5. ............. ...........
. .........
.................. ..... ...... ........................ ....................... .................................4
Owner' Address
......... ................ ....................................................... ................
Installer Address
Type of Building
Size Lot............................Sq. feet
U
Dwelling—No. of Bedrooms--__.___...... __________________________Expansion Attic Garbage Grinder
04 Other—Type of Building ------------------_------- No. of persons---------------------------- Showers Cafeteria
Oth res --------------------------------------------------------------------------_-----_----------- ---------------------------------------------------Design Flow............................................gallons gallons per person per day. Total daily flow..... ------------------ ........gallons.
P4 Septic Tank—Liquid capacity./ff-rl gallons Length................ Width_._.__._........ Diameter______.-___...__ Depth_-------------
Disposal Trench—No. .................... Width...._.._._..______.. Total Length____-__-____-...__._ Total leaching area-----------_------sq. ft.
Seepage Pit No_____________________ Diameter___________.__.._._. Depth below V* ilet,---- Total leacli --------sq. f t.
leaching area.......
Dosing tank 7
Z Other Distribution box ( )
Percolation Test Results Performed by.......................................................................... Date.............____.._.__.-__.__..___.._..
Test Pit No. I................minutes per inch Depth of Test Pit-.-_________--__-__. Depth to -round water..-._______.__.__-__....
LL, Test Pit No. 2................minutes per inch Depth of Test Pit.________-_---_____- Depth to ground water__.__._.._____-_-__..__.
a ------------------------------------------ .. ..............................
0 D6scription of Soi�._=-------- /0......... ... . . . . _W _ --- - -- --- -----------------------
�4 — .1 16' "'___0 ---------------------------
...
.................. ........ - -- -------
U I ;-- - ____—---------------------------
--------------------------------------------------------------------------------------------------------------------------------------*---------------*---------------------------------------------
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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has 4e-M issued by the board of
j - -----------------.- Y
Sign .......
. 101P � =" 4
------ ,--------------------------------
Date
Application Approved By-----•
-- a- ----- - .�� ----------
Date
Application Disapproved for the following reasons:----------------------------------------------------------------------------------------------------------------
.............................................................. ------------------------------------------------------------------------------------------------------------------------------------------
Date
Permit No......................................................... Issued--------------------- ..................................
L Date
—---------------- —----------------------
No.. 1 A
THE COMMONWEALTH OF MASSACHUSETTS
w
BOARD OJF HEALT
J
. .......OF....... P6-. ........................................
Appliration -for Bi-qVviiial Works Tomitrurtion Vrrinit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at:
............ ........................................... ..............................................................................................
tioij._-Address ,, or L N ot ot/
.................... �3
................... ......................I....Z�. ......... ............................. ...................................
Owner Address
................................_.-........................... ................................ ..................................................................................................
Installer Address
< Type of Building 7 Size Lot............................Sq. feet
U -21
Dwelling—No. of Bedrooms.__ Expansion Attic Garbage Grinder
Other—Type of Building ............................ No. of persons.-______------____-_-_--_--- Showers Cafeteria
P-4 Other 6 tures ----- --------------------------------------
---------------------------------------------------------------------------------------------------------
Design Flow.. ............. allons per person per day. Total daily flow----- -------------gallons.
:------------------------- _g, -------------------------
P4 Septic Tank—Liquid capacity__?!6ga1lons Length______________- Width_._.........._.. Diameter_.......-..----_ Depth----------_----
Disposal Trench—No. .................... Width-___--.-._-----.-_-- Total Length_.--____---_----_--- Total leaching area.............. -----sq. ft.
Seepage Pit No--------------------- Diameter-----____-_____.--_- Depth below let Total leaching area----- ------------sq. ft.
Other Distribution box Dosing tank 2 7 6
Percolation Test Results Performed by.------------------- ...............................I..................... Date------------------......------------....
Test Pit No. 1---_-----------minutesperinch Depth of Test Pit-_---__--___-___--. Depth to -round water___-..-_.--------.-.__.
(� Test Pit No. 2................minutes per inch Depth of Test Pit......_..........__. Depth to ground water..........._..._..._.._.
.............. ------------ -----------------------;rl- ;�--- ---I........ •................... -
Description -- -----I - ------3t__ 'i Ce, C/Z�Description of Soil :7_------ --------- 4..... -------- --------------------------
&V
----------------------- ---12........1
U ---------��.&......... ....... --- - ----—--------------------------
W ...........V
-------------------- ------------------------------------------------------------------------------------------------------------------------------------------------ --------------------------
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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bptip issued by the board of health. '67
%
��Slgn AA__ Date
--- ----------------------------------------------------------- ------------ -------------------
Application Approved By------- .... -
Z - 0_2 —---------------------- --- ate D ----------
Application Disapproved for the following reasons____________________________-------------------------------------------------------------------------------------
------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------
Date
PermitNo......................................................... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............0 F..... ..............................................
%Ufffifiratr of V611,11mphaurr
TH IS O9�WFIFY, That the Individual Sewage Disposal System constructed �) or Repaired
---------- --- .......... ------------ ............................
Z/by....
- ----------- ------
Jns er t;
at....... -- - ----- - -- -- ------- - -- --- ------ - .............................
- -------- ...
.....................
has been installed in accordance with 7e pr�ovisions of Ar " I XI of The State Sanitary Code as dq�iObed in the
application for Disposal Works Construction Permit No.-._ -----------�F.�e............... datcd_1�.......?-----74-_---------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE............r�-------------- -----_---- ........... Inspector------- ........................
THE COMMONWEALTH OF MASSACHUSETTS
.
BOARD 9F HEALTH
........OF...... ..........................................
No.................... .. FEE....A)..........
Permission isXereby granted---- -------- ------_------------------- -- ------- ................................ ------ --- ---
to Construct/-(b"I"or Repai an I dividual Se sp I yste;4� ----------
----- ------------
at No.-.4-, V------- .... . . ..... ........ . ..... ... ........ a.................................
St G t
as shown on the application for Disposal Work Construction Pe zn No... ated_& .................
zn
-------
DATE................................................................................ Board of III
- Heal
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
y
�U
/ � J
• 4 ,
4e, +
- -
e
j3 Of RICHA
SAS 4
f A r^.
bAXTE
CA ter 24046
rE "1 Fz I Er ►"Lo r PL A►J
�OLAT1 cQ /VIA`S
C- 4 DATA.
:5A1O K1"v
PLA EJ
LoT-
��28�1G PL lalz 3Q
D S T E;?-U i i r M.A, ss
?ETiT!po-�e-YL
T
�"e
}iv Jo
N
Of�As^
iv y
R10HARD
A.
BAXTER H
fir e4CMH
�{�a�
Cc- n I er � T- P-A Q
�O�/�T1O►J I-Iyn�JNaS MA;S
Tl-14 T 7'S/L F`OVAJAA4 77AV
`owe! 1-1I Q?A oA.) cez"'Oe l d
Lo T' 44_
Q��5T�2co l..�N� �,�s�✓cyoes
O 5 T E,?—V l_t_C— J(%1! SS
?eTrn oQe2..
M
.a
_r E
-' ---- ------------------------------------ - -------------------- -
TP
I 4-ml
______________________
-71
lb
1 I I
P
I ,
D
�i
°
I
I
! I I I Id1 64_ - --------------- r----- ------ --------- -�
17
v f
- - ------------------------ r----------- _ Py
I I
cr) _. 1 °.
I I I I I
1 I
v
I
- --
45
I i
5
r
-•I � 1
S � ^
f
i
I l
r ,'
xa
wo
r
� E.
i ee
I
i
� I
r
I - -
J
A.
0orli,
e7l
� e - j
kg � A
-914.1- t
e
_ I ,
2x4 WALL NO. 3
,� '®
16 ,�--®
. -- iMr —--rr r4• ,4• rr- - ra• rr rr �•r razsnr r-zieraz• rr ra• r�• •n+enr r-anr
fll
io
FI-4 - �11 il 11 '
2x4 WALL NO.. 2
o
r
Bileo bulkhead door
23'-9"
5'-0" 13'-9" 5'-0"
6-2 11/ 3)W')Orb'-O" T-O"W-&IY X 6-0"
z
a
io
C
co
rn �
cq ' i Efl
Fn
a j x
d -
C
M
O _
th CV oD
O CD
x
fi—
T-O' Exiisting outside!wall Exis Wslider removed.
emove casement window and finish opening.
{
1
t
EA
i
t.
f
f
f
+
i
r
� U
Ail J
r -—
-to
tj s _ f
f�`��°�• { 4 F. e rJ sn r� r-s ans i ssnr ii 3 rl ra vc n w
i
� � -
r6 or
2x4 WALL NO. 1
da641-11 wonq i jou)
��; � �� 63 Z �j u
(.. LO �yJ /CATION SEWAGE . PERMIT NO.
-Pe
b L4
VILLAGE
r � )l'7 J
INSTALLER}S NAME & A.00RESS
A VILDE A OR OWNER
GATE PERMIT ISSUED e ri
0ATE COMPLIANCE ISSUED `
i
A,
ti
art,
gill
i
\ ' 410
2s r�`I(
r
��- 22-11
-Ali
<J
7..
T E COMMONWEALTH OF MASSACHUSETTS
BOARD 4.gE TH
.......OF.. a............ ------------.........................
C_51)sr-
Appliration fur Uiipniittl orks Tomitrnrtiun rami#
Application is hereby made for a Permit to Constru ( or Repai ( ) an Individual Sewage Disposal
tem at: � / �� /�/� Y
Gt� 2Zo
.................... .................. .... ..._....................�y�._...... .............. '....
�o Loc i �G���'f Z A IZI Lot No.
W ----•------------ f�.�.., -° ......................................... /� _ /(!�__. ...-----•.....
..
Installer Address
dType of Building Size Lot... .._......3_...Sq. feet
U Dwelling—No. of Bedrooms.............................. .. .Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ............................ No. of ersons---._--...........--....---- Showers —
a yp g p ( ) Cafeteria ( )
a' Other x�ures --------------------------------
d ___----
W Design Flow.......- .--...........................gallons per person day. Total daily flow.....3.36_...._.................gallons.
W Septic Tank—Liquid capacitv/M..gallons Length.......... Width............ Diameter................ Depth
p ..............
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 ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.........--..........--.
Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................. -..
------!------ --------_---•-- . .-- -- _.. ----_ ... p;
Description of Soil---...(./ -------- - ---------- --- ----- {
cxj
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 C de The u er • ne rther agrees not to place the yst,m in
operation un C •fi a e of Compliance has be is s d by t "b r ealth.
Signed. _. ....
. _._ ... ..-- ----- - -------------•--- .._. Date........_.....
Applicatio Approved By.............................--- ------------------
Date
Application Disapproved for the following reasons------------------•----•-----....-•-•-•--•---•-----------------•-----...........................................
.................................................-........................................................................................................................................................
Date
PermitNo........................................................ Issued........................................................
Date
r
Nop FRic......LT..1...(�..............
T E COMMONWEALTH OF MASSACHUSETTS
�AR D F E T t-I
AVVliratini for Bi,ripnsttl Workii Tonstrurtion Prrmit
Application is hereby made for a Permit to Construe ( /or Repair ( ) an Individual Sewage Disposal
Systemat: � � .................................. •---..... ...........................Y-..,;.
ss r Lot No.
��;; 0 o
� � OWN --- _ ---•----------------------•---•------..
Installer s Address
Type of Building Size Lot....;��L".......Sq. feet
U Dwellin No. of Bedrooms.............................................Expansion Attic Garbage Grinder
aOther—Type
of Building ............................ No. of persons........................---- Showers ( ) — Cafeteria ( )
dOther es ..................................•----•--•--•-•-......-•--••--•------•---------------..---------•--. .
Design Flow__`.__.__ .....................gallons per person p day. Total daily flow------ h 1
W ��-41------------------•---gal gallons.
WSeptic Tank—Liquid capacit, Zallons 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-Pox,( ) Dosing tank
t
Percolation Test Results Performed by.........................-•..............................•---•-•--_...._ =Date._..---•-•--...---•-•----------•----•--
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:'.:__._____.....__. ..
kt!�
W
ZO Z Description o o .•----- ' ..--------
--------------- --• . ----•-•-•-•---------'--------••-•-••--------•---•-•----U / iv '
-
-------•--------------- ------------------------ ..-----............_._..------•-•-•--------•-•----•-•--•-•-----------------------.._...--••---••-•-.......................... ------------------
f
U Nature of Repairs or Alterations—Answer when applicable_.__._a.....................................................................
________________________________________,....__._.._..________.___.._.____._.._..._................_......_.._
Agreement
The undersigned .agrees to install the aforedescribed Individual Sewage Disposal System in acc rdance with
the provisions of TITLi 5 of the State Sanitary C de The u er • ne rther agrees not to place the yst m in
operation un C •fi of Compliance has bee iss d by t b r f�liealth.
Signed. •. • •----•. .... _ C7 ` t'.T
---- ----•.
Date
....................
Applicatio Approved By-•-•-------•----••-•-•-•......................•---.. ......-•-•------------....----•-•-------- ....................
Date
Application Disapproved for the following reasons:.....................................................................................................
Date ' d
ji
PermitNo......................................................... Issued. ................................................
Date
E COMMONWEALTH OF MASSACHUSETTS
BOARD HE T
.
Tn#ifiratr of Tomplianr
THIS IS TO CE.9-Q4 That In dua S age Disposal System constructed ( 61 or Repaired ( )
by-------------------------------- -- - --- -- --- -----
Ins lie;
at..............
has been installed in accordance with the provisions of TI L� 5 of T State Sanitary Co described in the
application for Disposal Works Construction Permit No..... ___"__. � ._____...... dated_. ........................
THE ISSUANCE O THIS CERTIFICATE-SHALL NOT BE CONS AS A GUARANTEE THAT THE
SYSTEM WIL FU ION, SATISFACTORY.
DATE......
...Z.. ...d ................................... Inspector .... ...........-----
E COMMONWEALTH OF M SSACH/USETTS
/ BOAR OF Hi
A Fji_
No. .. ............ .. FEE........................
uiavoli rks o ton "P.rruti#
,
Permission is hereby granted----
1 .
to Construct Pr 1 S9e g a� �al syst '
at No 011� / f t .... .......1�--- ....----- ✓ /...`__'`"_..-----•------ ..........
Street
as shown on the application for Disposal Works Construction Permit No................ .. ted0/ !�____ ..__._...... ........
�j .....................................---- -q
: o d of Health
DATE........................... vim•.......................................
FORM 1255 A. M. SULKIN, INC., BOSTON fr
i
Bi: ORUQ t`
1.10 GARBAGE: �jWiJDE2 M I/B,41 *I
o/a1Ls( FLOW _ 110 A 3 330G.Po 9&'� ago �;.'' •..
SEPTIC TA►JK = a3ox150"/• �495G.P. R f f t l
U5E= l000 'D,sr. - - `
r ace s
l T�•,. ' I
o15Po5At_
1 o o o GAL. J Pit'
v4E ,.h
PIT
t5o S.F. X �.•5 a . 3?5 G.1?o p ? Th Y .r=j.•
50T TO/A AIZ.E.A a .. 1�`0 5 F•_ ` N � s I'�" �.
5p S.t= x ►• oo G.P.o ti. �'
"ToTA 1_ D ESI GN r .g-2 5 i,.P D. �• rrr t , I
-TOTAL. pA 1 L�( FL-oV! - 330 G,PO, �IOD• e '
PE2Got-ATION RATE, I''N ZM1N
i
S or ALAN
IIRICHARD i� 4 A W.
A. 78
BAXTER n JONES
No.24048 N 25100
�NO SUR�f'� / z
I' TS`�T /BLa
- . TOP FWD I00 o
NGLE /V�Z& �/ 9
II ��a 1000 INv.
I� sop 1 DIET. 111 S�PT 9 .,,r. ' • .
�/. G 1 G }
II Z L IODO 1tJY, BOX i'G TANK ;
• GAL. ,�...
PIT INV.. INV.
�d WIT41 -
SA4.hj. WASt•1GD
I; TO
I- �3� 1
t CEttTIFIGD PLOT Pi-A-0
i
PR.UFILG t_oC4'TIoN �y
No IIL 4Q..._ DATa 4?.
o IilI�4r P L-A LI REF E2EN`GE
t tE P.TIFY THAT ITNE �vvrJ�drlo+� SNovYN
• HEREON GOMPL.`(5 Y�IITH'THE SIpEL1N'i= ��-r- �. ��
' Aug 5E'CC�GK tZ. Rv►R.>rMENY> F 'Cµ� i
LOGp.TED •WITNI T .E FL D PL. IN
BAwrev-e WYE INC.
�Q6•D't.AN D S u F-W EYOV-'S
i -T"I..j PLAN ► 5 NOT d> d AN 03TGP-VILLE ' MA65•
i"-I-R•,vM6NT Sv2Vey -rNE o1=F5E-r5 6"OuL
' ►Jo-t DE •VSE.D'TO DE'TERf^I►.l� L_oT VI►-1E�j APPLIGA►-IT '`
w ; ,.�"
a c
-----_-
1 f �
I � 1
I
i
i
t� y1
1
' •... — � �.- jCra%�+ ' r.. 41..E l�J'+r.'�► �/�G l��G,
.� -.�.-��.' /� ._: � :=> :.:,,,,i �:'; Jj-% 'i' Wit..• /`,�/� I/ _
_ ` 1. t i`--L-r �.et
r~
�' ti�-_3��,T�S,s�—ice l�r�=�.v'� i L_ ,..'✓ .-.1:r,Y'.a
f 1 „
1 4
ABLE
LOCATION SEWAGE #
VILLAGE - ASSESSOR'S MAP & LOTcW7—c,'U>0
INSTALLER'S NAME & PHONE NO. jO�e"W7 c
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (.size)—
NO. OF BEDROOMS PRIVATE WELL O BLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED: //��
DATE COMPLIANCE ISSUED: "'
VARIANCE GRANTED: Yes �o
��1a�:o�'�s�
1���, �
_ �� � Q �
D
�� ' ���
�� �
��