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Home My WebLink About0278 CASTLEWOOD CIRCLE - Health 78 Castlewood Circle �iyannis . _ 1 A= 273-029 � f LOCATION $ EW E PERMIT N0. ::2 7E VILLAGE 40/1js INSTALLER'S NAME 6 ADDRESS Aso W�1�� 5�: al, G�,-ti� lo BUILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED . 3�,�i �� o! � °T � � � � � \ � �� \ � �. � \gyp �� \ �. . . csy. \ S �� / �- a 7/,F LOCATION /� SEWAGE PERMIT NO. 2 �� CPS VILLAGE INSTA LLE�R-'S NAME i ADDRESS BUILDER OR OWNER 0 �- DATE PERMIT ISSUED /0 --31 -7f DATE COMPLIANCE ISSUED 7 4r r 1 i J r ' cp r /4V / I No:....I........... ... Fps.......... ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ?..............OF....... lt.�.�t_ .!r± 4..-C'........ ....... Appliration for Uhip aal lVarkg Tatuitrnrtiun thrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: , ke Locatio •Adds ss or t N0 9 ....... - ��/ ly, . z 7 e�J /� u °vr Fr --•- ..... Ow .. ,'a�!.!��............... ....... !._ -- �/�i cue =.._ trI�19 �/. . nstaller` Address Q Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms........_3..............................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ................:................ . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity ZP�a..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. 1 Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date------------......-----------........... Test Pit No. I................minutes per inch Depth of Test Pit.......--........... Depth to ground water..................... . Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •---•--------------- A--•--•--------- ----._........-•--------.......----••---•--•-•------ -------------- ••-•------ ---------- ••---••------ O Description of Soil................"'�_.f4 k ----------_- vri ------------------------•------------------------------------------------ ..--------------------------------------------•---------------------•------------------------------------------•------------ U Nature of Repairs or Alterations—Answer when applicable_.....l.h__S /._J__-(al,�-----)mb!/ -� �' esG o vo ...............................-........................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T?TL: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has.. ---� health. Signed �O Date Application Approved B .: _ ��F= ��to S�r Application Disappr ve or t e following reasons-.....................................----------•-------------•-----------•-----------......----------••......- ................................... ...... .•--••----•----------------•••-•-------••---•------------............................................................- .................................. . Date PermitNo........................................................ Issued....................................................... ,1 Date •N� j� FEB.... .........-........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 0 .0.............OF........ d ' 1.. , ...................................... Applira#ion for Disposal Works Tonitrurtion Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: / f. � ................_.._---- S /f&94IGc±. /r�:!'_-r............... -•--......-----•---.........--•-------...----�-•=�---•-------------•-•---................._. f� ocat s o t No .Z l..�..._. p Ad res ....... ............ f nstaller Address QType of Building Size Lot............................Sq. feet UDwelling—No. of Bedrooms___________ ..................._..........Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a� Other fixtures ---•-•-••--------------• - ------------------•••••-•-...-•-•••-••••-•-----•------•-••--•--..........••--••--••-••-•-••-•••--•--•-- '--..... Design ............................................aper e n per day Total daily fl ..----gallons. PSeptic Tank—Li uid ca acit _/ !?.gllons Length Width . Diameter__._.-_._.•_.___ Depth ------..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 ( ) Percolation Test Results Performed by......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... (� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ tx ............. --- ........................... ......................................................... ODescription of Soil----------------- _.:_.... "_._ h.. ... --•----------------------------------------------•------------------------•--••---•--•-••------ "W V ....•••---••••-•--•-.._..•••••-•-••••--.....-•--........••-•----.....•----•--•-•--•--•-•--•-•--••---•.._...-•---•--•---•-•-••••••--•-•-•---•--••-••••-----•-•-•••-••-•••-••-••-••••----•••--•••-------- W -------------------------------------------•----••••---••----•--•--•-----•-------•-•••••-••---••-•---•••--------•./------ ---- --- ------- AX U Nature of Repairs or Alterations—Answer when applicable.........+ .r. ! ts �r_ 8 ►_.___ aC __: --------------------------------•--_.._.._...-••-•••••......•••••--.._...._..._..•••-.......•••••---•-•-........--•••--••••-••---•...•-•••._....••••••••-••••••••-•-•-•-•-.....-•-•--••........_-•••-._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b ' su by?theboard.of hoalth. Signed_ ... QQ." Date,,/ Application Approved`B � rate Application Disappr, e r t„ following reasons------------------------------------•-------------------------•--------------------------------•---•-••--•------ •••--•••-•-.....••••-•-•--•••..... ....... ......................................................................................................................................................... Date PermitNo......................................................... Issued_...................Daze- ................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF................................................................................. 0Wr#ifiratr of Toutphanrr THIS IS TO CERTIFY That the ndi idual Se a e is 1 System constructed or Re aired � Y ( ) P ( . r 1 �I Installer at..............................' -E 4k±+":?q_, -- �?'e/ ( at! - / � '.........................................................._.._ has been installed in accordance with the provisiol of T 'L r f The State Sanitary Code s de/ribed in the . � ° _ � application for Disposal Works Construction Permit No.________'.______•�_______________ dated-__.. __________________- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. / DATE......................................41..:_'_....d _.....-•-•-•-•---•--- Inspector. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH g No._.__..:....f , ... FEE...::................... io oo�tl o amitnulion. andt Permission is hereby granted__......::�ual :............ to Construct Repa ( an Inn rage Disp al System at No...--•-•-- 9::t-- X -� ---••--tom--- --•-• - --- ------------- Street as shown on the application for Disposal Works Construction Permit Nol` __ _.��_ Dated--,Fhv.:...................... ---------------••--------•--••--------------------------------...---.......••--•••-•••-•••••-•••••_.._._ t� � Board of Health DATE.-1- ---------------•----------...------------....- j FORM 1255 HOBBS & WARREN, INC., PUBLISHERS AsBuilt Page 1 of 1 L O C A T ION E11IIf A-C I PERMIT NO._ VILLAGE N �9 ri h I N S T A LLER'S NAME i ADDRESS BUILDER OR OWNER , -r DATE PERMIT ISSUED 9-- 3e ._ / DATE COMPLIANCE ISSUED l 1310 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=273029&seq=1 10/9/2013