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Home My WebLink About0052 HUCKINS NECK ROAD - Health (2) aka- �co �i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��f cs.rvial..............OF............. .:nr.t .�af.................................... Appliration for Uiipnual Works Tomuurtilau Prruti# Application is hereby made for a Permit to Construct (><I or Repair (. ) an Individual Sewage Disposal S'y ..5 - ..............................................rl r.. Isocation-Address> rI/ or Lot No. e ......C4x. CrL�2t,Pr.. �lf,Ctlr .S- .Ll!j.m't........................ �m � l_/.[l��.S7i�ir�.�..ILIL/�� Owner Address W ,-a r .t =- d f 5` � f�r.�✓ ... ��s ------............ Installer Address Type of Building Size Lot... L........Sq. feet Dwelling—No. of Bedrooms___. .r. .®-................Expansion Attic ( ) Garbage Grinder (p,�p) aOther—Type of Building ---------------•__._._____-. No. of persons_--_-_____._-•____-_______ Showers ( ) — Cafeteria ( ) Q' Other fixtures ---...-•---••--•----•--•-------• - W Design Flow................................ per person per day. Total daily flow---------ZK,T.C�.....................gallons. WSeptic Tank—Liquid capacity.�oizn.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.-_1,sgri��. 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........o__...minutes per inch Depth of Test Pit.....�a ......_.. Depth to ground water........................ �T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil---- ..... z o./..... V ------------------------- ----------------------•--------------- 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 iIT .^. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bn by the r�" of health. �i• /'"� yr/' ' 'f", �5s. fi►•�4's Signed...'�t3,..... i Date .: ApplicationApproved By-•-•-•--•-•----••••---••------••-••-----------•-----••••-•--------------••----------•-----••---- ........................................ Date Application Disapproved for the following reasons---------------••------------------------------------------------------------•--•---------------•-•---•--••...... ..-•--••--•--••-----•...............•----•--•------•--------•--------------------------•---•--------.....••-------------•---•-•-•-•---•----------•--------•-•--......--••-----••••-•---------••--------- ` /.. . Date Permit No......................................................... Issued_-`----, ................. 7�:.. dr_-�..�[` Date No...�.%..-.._ ... F$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...----....7. e�.us✓�l..............OF............ ,.,,................................. Applirtt#inn for Disposal Works Tutistur#iun ranti# Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: �,/ ` " /7 - /�.A1'Ci-C-A...........--•----- --•- � -....... •.----•--- ............. )voc�ation-Address or Lot No. i... Aar...+E c�!l.rrxrn�-r- ✓. ..._._...-•• e??�_;S t:�..CF_ G+r:�l :�°.� . f.!L/..+,� .................. Owner Address e a ----•---- �_-�=x.r•!�.....�.1�,�:�::.----•---•-••-•-----...-•-•-•--•-•--•--------- -•-./:r ff��.._.._._.�r.Paz.r.�`�=�"---�tjf`.........-•---•-------••--- Installer / Address Type of Building / Size Lot...10__�Kla_.......Sq. feet aDwelling—No. of Bedrooms___. ?t x_ -________________Expansion Attic ( ) Garbage Grinder QI Other—Type of Building ............................ No. of persons----_....................... Showers ( ) — Cafeteria ( ) a Other fixtures ....-•-•-------•----•--••-----•- . W Design Flow.............................. 1-Z47"....gallons per person per day. Total daily flow.........71 Tog .....................gallons. WSeptic Tank—Liquid capacity 1. rtr..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.__/t %�,.Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ `-4� Test Pit No. 1........;_Z-----minutes per inch Depth of Test Pit.....I.-V........ Depth to ground water------------------------ (i Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ RI' ---- ------------•-•--•--------.._...... ............... --............ .. ------- ----------------•-------- ' 0 Description of Soil--- -' 41.t�----":...;%' M... -rr.✓.ae--`.- ems U -------------- •--------------------------- .... ............... -----------------------------•-•-----------------------.•----•-------------------------------•-----•---------•---•-•-•--•:------- W ................................................... VNature 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 Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has nrI e by the rd of health. Signed.. � Y tt �¢, �, + }----•--- --- "�' �?.- --/L / Date Application Approved BY..........................................................-:........................... ............. ........................................ Date Application Disapproved for the following reasons------------------------------•------------------------------------------------------------------------------.... ..........................----......-----------•----------••---••-----................---•-•-•--....-----------.....--•------•-----... ------•---------------------------------------- ------ Date PermitNo................----------------------------•---•-------• Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................OF. r/1 f r.. t n ,Y. Cnrr�if irtt#r of �rrut�littnr�e ,.....THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ()..•) or Repaired ( ) ----- �.::_.c.. .................::.................---........-----•-----------------------------.............--------.........-------------•---......._...._...--•---............. by-• �•,•----•- Installer at-------(j.Z I� t� /U G c /: i�..--•••..__....- %• . - .............................. ----------------•---•----••--•--..._..------------- ---•-•----------- 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 ................ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED ASt GUARANTEE THAT THE SYSTEM WILL FUNCTION SAUSFACTORY. DATE /1�: - Inspector---------- ------------------------------ --------------- ....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No...?r�'..::.:t ✓ _ FEE.---��--''.............. Disposal Works T.nnu#r ion autit Permission is hereby granted....... ......--.--'-.......... ...... =- `----------------------•-----------•--.....----............_ to Construct 4(/) or Repair ( ) an Individual Sewage Disposal System at No....................../ .c A...................... 1...._................................................ Street as shown on the application for Disposal Works Construction Permit No..................... Dated......................................... Board of Health DATE............................................................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS ►..io C-�x�czg.c�t✓ cs¢��1z �J ,mF- tC TA"k = 33ov tSo % • 49c,6-P.O. tic oo tJS�- t OOt� 6�5.4... �.-� _. # t ,. A�4r. �ESPo�AL PiT - �sE. I000 GAS, -Z.s + 3-lS 6-P.D. /AND, f� � BVT' AA AREA- C�;o S . SC> Sim. A l .o = 50 �r 11 TOTAL �eSA6Q = 425 G.v a. T r�N"_' a rOTQ L L..>-( t='Low = G;_=fZCot&'T IOLj owre 1"w 2M,W' otz LE�44. 7= . !�F rl 9 'Tor > %4o 4. p loon iNv '�+ 4 lop 3 axe L i.tv -Bo TK o CyAt.. (, i• LEgcN 'A FiT 5A WAfMtD Sra�r� �o sroNF-- Y C_S_z T.I tGr PLCc ,-' PL.Q.ti.3 I I L,&d I CGtZTt t•=V Tt4AT' Tt4E 1 V AnOt-4 5Wowt•J PL A►.1 lZ i=tZEt.lGE 46-1W1_06-1 f0,V% LIeG WITI-! TWG: '51DE '._t► E-_ Lo ` 'BUD SETBACKC-QUI�ZEA/Sc�TS OF TWf DATE1. 12GGtS raIZED t-Awo 5U2Va`(ot`S T1415 t7LA►J IS RIOT LASC-V OMJ AW 05TEVV%Lt.G o 14CASS. %J.. -QL)AA .:k�1 i API>Lt CA,ti-j-{' f u.' E3C_ WIC Tu t7t '1'GL'/bl��jl"- -LD'T t_1Ne•�; - ._ 4zr�iv2.