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Home My WebLink About0130 ASHLEY DRIVE - Health 13o Ash Fey rd cenferv;lit 72 123 S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAINAFORESTRY MIN.RECYCLED FORESTRY INITIATIVE CONTENT 1070 C.Ciad Fib"Sourcing POST-CONSUMER wW W.sfiprog,.m.r rg SFW12% MADE W USA ^.F_T 0 P M VEn AT SM FAD.CJIU I I f (� Cl 2� - s 03 LO T SEWAGE PERMIT N0. I N S T A LLER'S NAME i ADDRESS BUILDER OR MINER Y d C) DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED- a - ��-1. s � 1 r No........... F�$.. 5,00......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................r2awn........OF.......Barnatabl,.e---............................................... Appliratinn for Uhgpas al Works Tonstrurfuan Prrutit Application is hereby made for a Permit to Construct ( ) or air, X an Individual Sewage Disposal System at: Jf 13.0..Ash)..ey....Dr_ive.t....C.entervi11-e,.--.Q Z6-3 2------------------------------•---------•------•---------.........--------....----•-••-•••-------- Location-Address or Lot No. RQb r �..XoQ •------- ---------------------------------------------- ,34 ash ,eft.. .a.ye_...... s rv..?1 .�--- 2632 Owner Address a A... .B...Cesspool_.Service_____________________________________ IZ5..Bishops_ Terrace ,_Byanni s _02601 Installer Address Type of Building Size Lot................ .........Sq. feet Dwelling—No. of Bedrooms...................3...................... Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.......... ................ Showers ( ) Cafeteria dOther fixtures --------------•-•-------------------•--••-------••----•---••......---•-•-•..........•. 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 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.......----............. f14 Test Pit No. 2................minutes per inch Depth of Test Pit...--............... Depth to ground water........................ Ix •---- = Sand...& O Description of Soil Graved.---••------- ---• •----------•------------------------ ..--- --- ....... ------------------------------------------ -------------•----------------------•-•--•--•------..........---------------------------------•-------•-••------.._.•..•....-----•---....._.....-•--•---- W V W UNature of Repairs or Alterations—Answer when applicable--------.-Inztall,ation...af..aa..l-t.QQQ---gall.on� st-one---packed--lRach--•pit---4-avex l.ow-�---------------------- •---............._ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance wit' the provisions of'I'LE 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 the boa4RXIth. Sig '`''`' S1�1,17 Date Application Approved By....... ... ..... . •. •....................... •--••••.5,�21 Date reasons Application Disapproved for the following -........................-•-••-•••-••--•••---•-••-•-•--•--•••------•---••---•--•--............................ ............................•-------...-----------••-----------•---•-----•-------••-•-----•--------•----••••-•--•...•-----------••-•---•-------•--......•--•--•--•-•.................................. Date Permit No......................7g .......................... Issued_...................._1211.7.9----------.... Date I THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH ...........::........fit ► 1r3...... OF..............aa=S bja_..,............................... ....,.. Trrtifiratt rif Toutplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) by.L -A--: Viaa.--.12-8...ftz opa...Te= E».a--- 'smia.,...OZ6.01...................... at.. .3 --..Oeat0 rv.iil 0.•..i``Z6.32...... '- ltoka 't_..2.R...Y.90.................................... has been-installed in accordance with the provisions of TITIL j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------' .):.._;Z..A.3;....... dated------------51. 117"9................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. /1 DATE.....��P....`.. .�._T Inspector v a � --------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �. D .....................:T.E�tW'n.........OF....... arno:�£able.......-----.---------...---•--------........ • No.._ -•--....... FEE........�?.J.00 Disposal Vorkii Titustrttr#iatt ranfit Permission is hereby granted._ &_.B..Gess;b.6d. 0 d 0_4..AM U 0 ,v..: to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at No..130.."UAY.. -;L: +...QlAnk oTmi11 .#..C3!202-.-4 Robe t .�'s_..Too str t as shown on the application for Disposal Works Construction P mi No. ..... ated............5./.2.1-/79 oard of Health DATE...... -- f' l FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS J Fps ..................... tI .+ THE COMMONWEALTH OF MASSACHUSETTS "�--, BOARD OF HEALTH ....................T0 .........OF....... i � r; 4phration for Dispusa1 Works Tnnitrurtinn "reruns Application is, hereby made for a Permit to Construct ( ) or Repair O an Individual Sewage Disposal System.`at 1.30__.ohlay..krlye.s--- jalri-'�1ar:l $lle.....M:32--------------------------------------- Location-Address or Lot No. 'A�� €�. ........................... ......__... __. f3 :�! S� i~?1 .R...C632 OwnerAddress wA � G` 1 .. � ..................................... Installer • pq Address UType of.Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms__________________3......................Expansion Attic ( ) Garbage Grinder ( ) a14 Other—T ype of Buildin g ____________________________ No. of persons.________.�:........_._---- Showers ( ) — Cafeteria ( ) A4 Other fixtures ....... W Design Flow....... per person per day. Total daily flow.................................. WSeptic Tank—Liquid capacity..........._gallons Length................ Width_..........._. Diameter.--_-................ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.__................. Total leaching area___.__:._____...__._sq. ft. 3 Seepage Pit No..................... Diameter____________________ Depth.below inlet...,................ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) �-' Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. 1.........._.....minutes per inch Depth of Test Pit.................... Depth to ground water........................ w Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water............... Rai ................. O Description of Soil........ ®� V ..._..••-••-•••---•-••-••--...•-----•---•-•--....••...............................••--••---•--••-.....___.___••-•---•-•-------•--------•-----•-----•--•-------••----•-••---•-------=--___---••--••-•-- W U Nature of Repairs or Alterations—Answer when applicable---------j&G_taj j0. _•� -• �� ... -•-----•-•-•••--.......................................... -----=-------•------ -- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with TT�'Ir�• the provisions of 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. Sig Date � Application Approved By....:_. . .. ....-•----••••-- ------------ 5/'1/?1 -- Date Application Disapproved for the following reasons:--••• --••--------=-V--•-•--••---------•-••-•---...•-•-•-•-•---•--•----•-------••••--•---•---...----•••-- ........•.............•------•---•--•----••--•--•-••----•--•-....--•---•--•-----•-•-•-----•-•••--•-•••-•------•-••-•-------•-•••----•••---------•••-•----•-•--•-----•-._.-•••-----••---••••--•-•••--••- t ; Date P , -512_/ Permit No......................��.:e...._...---•--•---•----=--- Issued..................... � .. .-----•------- Date