The URL can be used to link to this page

Home My WebLink About0014 MADISON AVE - 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 �� ' ��