The URL can be used to link to this page

Home My WebLink About0529 BAY LANE - Health (2) 5�9 &A THE COLIMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r 7_0 W k) CkfnS�� a r^ ................................... _..-..-..OF............................................---------------................----------•---- +��`'� , pplira#ion for Bhipoiial Works Tonfit `u.rtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Indivvidual Sewage Disposal System at: Cam,O �r' v l l ..........Z--�.....`1-----.....--�`' Y L......-e ��¢�'`..... .A......."= •............................... I7�0 6 e - '^ Locajion•Ardr s vs -- ••--•• V ( S or Lot No- .....-••••-•----•-•-•................................................ ..................................................... ............. Owner Address Installer Address d Type of Building Size Lot................ ___ _____...Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (tj Pk Other—Type of Building ............................ No. of persons___.____________________-_-_ Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................... .. W Design Flow......................SS...........gallons per person per day. Total daily flow......... ... WSeptic Tank—Liquid'capacity_--Sdd_gallons Length................ Width__.___--______-_ Diameter---_--_________- Depth_..__.._._..0 x Disposal Trench—No ____________________ Width.................... Total Length.................... Total leaching ai-ea_!O.V...... - . t. Seepage Pit No.-•-__------ iameter..__--__� ------ Depth below inlet_..__.. . Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by......ljo,1„j v_. /b•�z_ ___..�'tu �,�-e� 6-1Date......... �1 `a Test Pit No. 1__4L-------minutes per inch Depth of Test Pit.../L_'........ Depth to ground water-----Ai .o--- LL, Test Pit No. 2_ Z__ _minutes per..inch Depth of Test Pit..s�:j......... D@pih to ground a .s .. -i,. ______ _________ .._.__...__..........__......__............................._. h� ________________________,..�.______ ........_ .._ .. O Description of S-61 �......... ------- ...... ----•--- U S 'ra e✓� �` �r2.t9I/ --•---.�U=/� c �4 A/--------�� /`z� -------------------- U4 '; 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 i T T p 5 of the State Sanitary Code— TWbo ed f rtl:er ees not to place the system in operation until a Certificate of Compliance has been issued bf he th. Si ned..................................................... •-•--•--•---......--•-•----•- -----•-•----- /../..9 ._.._ e�o ��•• ..--• - --d Date Application Approved By----• �✓�= �./r j .-.--..__... --------------------------------------- Date Application Disapproved for the following reasons--------------•----------•--------------•-----------•--•----................................................... .......................................--------••---•----•---•-•-•---•---•---•-••-•-----••-•---•----•------•-••-••-•-•--•-•-•--••-••--.----.---••-• Date PermitNo......................................................... Issued....--•------••• ----------•-•-••••--•--•---•-•-•--•- Date No---- _.?:v F>m... ...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF......................................----------------•-----..._...... Appliration for Diopo,ia1 Works Tonitrurtion ramit Application is hereby made for a Permit to•Construct ( ) or Repair ( ) an Individual Sewage Disposal System at �y f'") �/ /+ r .....-----�� ••.....------. ............ ............. ... --•---. .....................- j Loc3�jpn-A�dr�s� r or Lot No. a t�w� ............. 1-----------------------....................... --•-•-------..............------------.... -••---.......... - j� Owner Address Installer Address UType of Building Size Lot_____ ��..d...._Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (t aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ----------------•---------•--- W Design Flow............................................gallons per person per day. Total daily flow....._.............�....... ............gallons.... Septic Tank—Liquid capacity.kSa4.gallons Length................ Width................ Diameter_............. De th.._.___` Disposal Trench—No __ _________________ Width................... Total Length......... ____�-_- Total leaching area..�� _.... s 'ft. Seepage Pit No-------- - i--- iameter...........�..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by............................................ __................................... ..�...........__.....�*I�bate....................... _...t-. Pit--- Test Pit No. 1____ ____minutes per inch Depth of Test Pit.__ ....... Depth to ground water................ (s, Test Pit No. 2..._---..--•____minutes per inch Depth of Test Pit.................... Depth to ground water........................ a+ ----•------------------------ •: r o O Description of Soil..........U , ie',t` GC Odt E jj A b ✓n CRo�A;St x ---- - ----- --- ---- ------- -• ............................................ v .n✓. 2 vim..:--------�� •�L.--••�4��9-'-�-----•� .. ----- ----------------------- - W . U . Nature of Repairs or Alterations—Answer when applicable................................................................................._._....._...... .........................................................................,9,._...._........................_..........._......................._..---.................---------............................................................... Agreement• ,P The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE, 5 of the State Sanitary Code— Taunig ed fu ther a es not to place the system in operation until a Certificate of Compliance has been issued byd of h � Signed m2/!.9 ----- ------ -- ------------------- Date Application Approved By--••--- ------ C9: s. ---"'�`.. ------------------•----- Date Application Disapproved for the following reasons:--------•--•--------------------------------------------•--------------•-------------••---.....%a::------------- ..-••-•-•-••••--•-------...-•-•••-•----•--•-•••-----------•-•-•---•-------------•------------••--•-.....--•••-•••-------•--•---- --------•-•-----------••••••-•-•••--•-•-------•-------•----•-••---•. Date PermitNo---...................................................... Issued-....................................................... 1 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH h................OF..... � ,,,,•7,�t+ ........................................ Trrtifiratr of Tontltlianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (4'' or Repaired ( ) by---._.......�.ofC..11...........:AA4_(Z; .....................e.......................•---•-•--••----•-•------------------.............................-•-------------....._ TInstaller at has been installed in accordance with the provisions of TI`� r. 5 of. The State Sanitary Code as described in the application for Disposal Works Construction Permit No.. ..__. ...._0..... dated.......... ..................................... THE ISSUANCE.OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... " r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........O F........,. �,t ►+ + .! ......................... ✓"`i,.r'° No 8.1 FEE... d............. - Disposal ork �onotrurtion( rrntit Permission is hereby granted------... ............. Q.Nf ...................................................... to Construct (L' or Repair ( ) an Individual ,Sewage Disposal System ' atNo. Y _V................ - ,� ------------•-------------------------------- - - ----------- Street as shown on the application for Disposal Works Construction Permit No._ ,"__ _ Dated--------- ..1..�1� . .1....... } and of Health DATE--------- x FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS . 9 V, �a �c i J its M o rM /f � 4PRUFO-FD f L?k00^f e+'., 4 `.'NI T/ C'yL L 0/y IA zo Ed. 22 N J 1 .0 �r!/ l / 20 17 Q DIS1`,1`WE n5( t fiTIFIFU l,7 H� r�Lriv Cr:rl l f=YiTliAT TiIL PIJ1L1.)1NC, SITE PLAN 1" i _SHOWN A PLAN 7 � 7HF N N":7 L N IS LOCATED E � )P O W 0 S UG U C _ GROUND AS SHOWN HEREON & 'THAT IT; .T— CONFORM TO TFiE ZONING BY LAWS OF'THE WtiEN,CONSTRUCTFD `DATE '� f'i�1G�R - -- , EF a_, � 6Wh 'C�� C/�� PREPARED FOR: f;'UBEF�'7 v�r� } t CIVIL•, ENGINEERS , LAND SURVEYORS, J RL G'. LANE)SURVF YWMOLJIha& Or lc ans;MA SCALE DATE SECTION`- SEWAGE S!_P-I 1C 1 ANK 'E)" BOX LEACH __ r►, - �t ':,1/.F' At r 1!r-,• 7r I 14,n F(.,F. C•I',r'/Ul,.I' ,� ..t ..( f:'4.A_ is w! 'a � a 0 TANK ` ,- � � ,:• L I_t V. E LF V fJ J . Bh•,' ', 11 t.,i Cr JE'.i^ rp..IV. , - . :$ -t�( p�;;•� ,- %{ r r+.�pi. 1-,i is.:.1-:ihli u;... VJArIII.f:) ,TO!"l' ,I P. TEST HOLE LOG4 . �. .1 1:`i f I V ./'.•l/n ;1\l� , i /?. /(-�' � ,;l s .:�/s C"J f. )o V11 I INt tiff i.ic . r.i R E D R 0 0 M 14OU(at T:I i i .H. _= 2 DESIGN J1vd.S/Ji! �n�)n PFRC' iAfI v� 2 wIi 'IJ (71 1'r�,r I1 --�-2UL �y _ r_ _ �o. � FIUWItAEE > >Cl(r,nl_./unr rr IM1UN ct.lr)/V SENft(: TIWK.`' /' > V,-j' Fsg.vv f�v,r. I3E'O'C? SFHrIr:.IANK SITE;72 J LEACH. FACILITY ` y> SIDE WALL.. 7 (1,',r. jlrJ!( !'%s){ _' • )1 - r ( ip 3F)ND .e V_- 4A,o� 1'3OTTOM /. ! � ' J <:1 rr;k/. < 1 f`✓: f' WD 4 z CIF.�J,�✓ � � E . AND /^rat USL: /i1r ACIIINC,*, :. ,W/\rF.I'! I IJf r",r 1-INII Itl l,r �;� /• T:. .`. - ._ _G ... _ ._,. _� '. NOTES {UN`LE(;S. c�t I iE:FtNn,L .v(� I E_;.i)` > • ' ft' `I: , 1 DArUM,(MSU r.;TAKf-tV f{tr)M HY ✓ � r''). ., (-JlJ!U71'ti\Nr.t f, PaAl, 1 2: MUNICIPAL WATER /,5 !•\V/\II J 131..c T 1-1 PE MTCFI; 14 ',PFR FOOT ( I)FSIC-N LOAOINf,; FOR At I Plikd A 1 UrVI I i(AA;I!(, / �G') 5. MIN 4:rtOUN(%< r,)VI Ft nVI Ir AE,L.:Sf VJAI;i I At"If I I II ,`�11 r I (> ,J(11N S 1 11IPF M11()L WA L f Il(il I'I .r'�/ 1i.•� ', !� 1 ,`OIVSTftUCI I()N tilF T Hll_5 T O Eili. ACG !ItL�ANCF' i�,l 1 I I (;r)M :OI- tirhS.,; �,r,,C,., .1 '+ "i)•�. 'Ga,"' "'ti ' ' IATLENVIRONMENr Al- (,OUE '!ITLI 5' t � 7 REG.PROFESSIONAL. L.NC.INFEI ., r Y f _ • c BOAR(? OF IiGALTH CONTOURS,'• l( x1sTw(:,t (PROPOSE U1 :0•-0 O •nr A{Pli(.)VI I) (.. ., ,.OA f U rvTA r `)-