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Home My WebLink About0068 CIT AVENUE - Health Cob C�� f�/e , /�I,,j�� S i LCATION SEWAGE PERMIT NO. VILLAGE C� T /7/c/ nU I ( - OE . 92 D _ I N S T A IIER'S NAME i ADDR u E 15 f a 4` ,c lf,7 ,Yh ,ter- e 0 U I L 0 E It OR OWNER DATE PERMIT ISSUED . DATE COMPLIANCE ISSUED /�� :� .: w�dv � ,p �� ' i, � �iNYk �._ 3 � 54 r� �+ a i ��- . _ � ��. �- ® a � � ,� .,. ,:, r . . ^ , -- No ------ ~ � THE COMMONWEALTH orMAssACxussrrs U�� V�� HEALTH ��""" "�� ~" ................. ........................OF............................................-_-................................. - �.°� �� ./ Appilrotvou» mw� �� l� Works fa*mitrur4mwn thrmitApplication ' ` ] is hereby made for u Permit to Construct ( ) or Repair 4�~�~�� Individual S��u�� D�noo� c � ' � ' System at: Location Address or Lot No. Add ess z�mo� ' ' ��' � Type cfBuilding Size feet Dwelling—No. of Bedrooms..................... Expansion Attic ( ) Garbage Grinder (_) ' Oder--Ivoeof Building ............................ No: of persons............................ Showers ( ) -- Cafeteria ( ) ' p^ Other 6xtocoa ^ -_ �___�� ~� --_----'_.--'''-__---''_'. -_--'--_---_---._-_- --_-, Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid ............gallons Length................ Width................ Diameter----------------- Depth................ Tc�oc6 �o. \��16- Iota �ouodz Total f� u�pouu -- ---.------ -.--_--' Total , .--.------' oru /cuou�o�uccu.-----__�g Seepage Pit No-__---'' Diaozeter--.----- Depth below inlet.................... Total area..................og,ft. . Z (}d`cc Distribution box ( ) Dosing tank ~~ Percolation Test Results Performed bv.......................................................................... Date....................................... 0-4 Test Pit No. l................minutcsperinnh Depth of Test Pit.................... Depth tn ground *uter......................... f3:4 Test Pit No. 2................minutes per inch Depth of Test PiL--.----'.!:- Depth to ground vvatcr.----..-'--.. _---_--------_-.-------------.----.-------'-'---'�------'--'-------------'-_-_� �J� ` Description of -' '--' ................ i ..............:---_-_.-_'-_----_--.---.. ' 2�utoc� of ��aroor /��oru600u--/\oo��c �b�ouno6�be.---��.��..^��.--',��!��--_---.--�^�- -----'-- ''---'-'------ Nora ..................... Fxs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................... ..... ........OF............................................------------------------..._................. ApplirFation for Disposal Works Tons rnriinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair 4P-t an Individual Sewage Disposal System at: . 8......_ .. ..T.........).9.v-e----------------------------f-� ------ Location-Address or Lot No. - �- ,� - — ....................•-•-----.... - 11 ?vx'„5��,,r......f�c.�--------------- � ... - - Owner Address a � /Q 4.. ------....r1/....................... 4�r� �i9llca --- -5-4cle .4A. Installer� Address d Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms...........................................Expansion 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. W Septic 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. 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........................ ......................................................... ••-------•---------------•------------------------ ..-----•----•----------.... ----------------- 0 Description of Soil........................................................................................................................................................................ x U •-•...--••-•----•--•-•••••••••••••-•--•--•-•••-•••-•--•--•-•---•-••-••--•---•-•••••...........-•------•-•-••-•••-••••--••--•----•--••-•-•-••••--••----••••••••-•••••••••-•-•-•••••----•-•-•-••--•--••••. W V Nature of Repairs or Alterations—Answer when applicable._------_--�---J�___-_--/..00...................... ........ fix ..••••-••-••--•-••-•-•••••••••••••••-•--•--•--•--•-••---•--•-•-----•-•••••-••-•••-••••••--••-•-••••--•••••••••-•----••------••-•---••••••-----•-----•-••......----•...••--••-••-•••......-••-•-•----•••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI.j 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ssued by the board o health. Signed.--••- .........•• -•----•. •! 11''�''.......----•- ...... .��.J�.h3 Date ApplicationApproved By....-•-•••-•••••••-•-••••-••-•---•••••••....::.••••-•-•••-•.............••-•-•.................. ........................................ Date Application Disapproved for the following reasons:----•-•••-•••-••-•--•••••--.......---•-•----•---•-----••---••••----------•-•-••---..................•-••--•---•- ..............•-----•--•......----•-------•-------------------•-•-••--••••------••------....•--••--•••......••-•-•-••-•••••••-••-•••-••--•••••...•-•--------••-••---••••-••----------•---••-•---•--•----- Date PermitNo......................................................... Issued..................-.................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... UTrriif iratr of f ompliFanr THIS IS TO CERTIF That th Individual Sewage Disposal System constructed ( ) or Repaired ( ) by•-•--•-••-•--•-•-•••••............• •------• --)'`-�---------------•------••----...--•---.--.--....-.--•--•-•----•-•---..--.....-----.------..-----•--•------.----- Installer at..........................---6_•R........... ' .........A.Ze,..---------. -----------------------------•-------------------------------•-•--------------------. 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 No..__. 6 ........... dated...........................................: THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.. DATE............................................................ti'� .��. �. Inspector--------............. ...l C --------------.......----••-•-•------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No ..........................................OF..................................................................................... ....... FEE ................... �i��a nrk� �nn�irnr�irrn rraati� Per/is is hereby granted•. as to Consj ) or .ayij an Individual Sewage Disposal System atNo. ...-..... ��.. .-----•-----•---•.......................---------------------•------•-------------. ........ -- Street y ' as shown on the application for Disposal Works Construction Permit No. ` y ___ Date ..__ ................. f, r -=•-•••-•-•------------- -- -----------------------------------------------•----------••. Board of_Health YKATE................................................................................ • FORM 1255 HOBBS & WARREN, INC., PUBLISHERS No,...c1.7 Fay.../ .. x THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH W b Appliration -for Diovoiial Workfi C owstrurtion Vrrulft G Application is hereby made for a Permit to Construct ( �or Re air9-liv'dual Sewage Disp osal System at n , Y� 9�=---------- - _ 4 ..... . )-----•'-------•---- 1 ation-Add or Lot No. �J_ _..-- ••�--`� --------- •----------------- caner— �/ Address --•-----•----------------- '-----..'---•----__...... _. ....•--_. .......... 4--------•--•-----••--•-----•----------------•---•--•------------•---•-----._...----------------- Installer Address Type of Building Size Lot_4:1t._6r-n...5 . feet .-, ----------------------Expansion Attic ( ) Garba m `4 Other—Type of Buildin� � yp gW_:6_V^P_�).b..lrtfeNo. of persons......L:!57,._M Jhow/V(j ) — Cafeteria ( ) Otherfixtures ----/ /le ....... ----------- -------�----------------------------------------------------•----- W Design Flow..... . -----------------------gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity./-_C'n- allons Length................ Width................ Diameter---------------- Depth---------....... x Disposal Trench—No_____________________ Width-------------------- Total Length.................... Total leaching area-.__.-_-_._-.______-sq. ft. Seepage Pit No------J------------ Diameter____________________ Depth below inlet.................... Total.le ping ar�e�t__.__.__.______.sq. ft. Z Other Distribution box ( ) Dosing_tkjilc ( ) -Z�- 7S✓ je Percolation Test Results Performed by._._ _. .tt'sq--- Date_________________________________ ,a Test Pit No. 1________________minutes per inch Depth of Te.t Pit..__...._.-......___ Depth to ground water-------- -----I f� Test Pit No. 2_____________ in es p r„inch Depth of Tt P -___ -------------- Depth to ground water....... 0 Description of Soil------} .-- �� rW -•---- .. ----'x _.. -------------- ----------- ------------•--- ---�------------ - - - -V 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 been is d by th rd Hof hhealti�^ Sied...--' -'--- -•-• -----"--'--'----.... :v------------------ I t✓G s` Date Application Approved By......'- -- -- Date Application Disapproved for the following reasons: '------------------- .................................. --------••----•'----=------......----------•----'---"••-•-------------•-----------•--...........'----"......---'-�.. ----.......... ...........•.... ....... ...... Date Permit No. Issued 1 � '.......... ------ Date Fims........ ....`': ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7-1 Avphratiuu -fur Di ipasal Ivor u� on utrurti rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal Syst at: ' - � d - • - ---- -r2� Locat, s or Lot - - --- ------ - ----- -- ... ............................•-•.............--------------••-•-----------•------------------•--- h� Owner Address •-•-----•------------�----�--_ ...`p✓-...... .......... Installer Address Q Type of Building .�... Size Lot............................Sq. feet Dwelling—No. of Bedrooms-_. _. ....§�"'___________________ Expansion Attic ( „) Garbage Grinder Other—Type of Buildin ersons_____________� yp g ____ _ ��: _ - ___:J 'Showers ( ) — Cafeteria ( ) Q Other fixtures. - --------- -r,�-- w,,� ----------------------- W Design Flow---' -----------------------------------�allotis 'per person per day. Total daily f]ow--------------------------------------------gallons. . Septic lank—'Liquid capacity_____-_-__-_gallons'LGngth....._.�._.____ Width...._..-- Diameter................ Depth_-_.--._-.._...- x Disposal Trench—No_----------__':_: Width__-;:____:-.__- Total-Length`_-_______._--- Total leaching area.____--.__--.____._-sq. ft. t.v Seepage Pit No.................. __ Diameter.................... Depth below inlet.................... Totall le c inVrea-- _._-_-_.___._sq. ft. r z Other Distribution box ( ) Dosing tank ( ) 6 -- 1-2�. `7r``� aPercolation Test Results Performed by------'k_C-,,�q_:,_U)_._� ,• _ ---------------------- Date------------------------------------7 Test Pit No. 1________________mmutes per inch Depth of Tes Pit__-_._______.__.__.. Depth to ground water--------- _.________.:� 1. 1q f1 Test Pit No..2___________.....minutes per inch Depth of Test Pit-----::............. Depth to ground water-------------- ------------------------------------------- .�__,'_i`�£� Description of Soil___µ, � ' ..r ,� -- -,5-- _-- �± t.ii.e l .� -�f y U � - - ! , ______________ _________---___.__... - ____-__4 -7----------------------- 1__�Lw___.._____-____ .,��__ __ ____.__ _ ___ _-_________-_______-________--____-_..____-_-- 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 been issued by the board of.health. Signed------. ----•-•-•-------•------"_..------ / Application Approved By--•-.--•- �w .' t �t,L-�" Date Application Disapproved for the following reasons:............................____-______________•_____-_--_--•-----•------------------.......................... --------------•••--------------------- ------------_---- .........................................................................................----•••..--•"------------------------•--•..----------•----""-----•--•-•-•---••--•--"•---- ............................................... ` Date PermitNo......................................................... Issued........................................................ Date ,THE.'COMMONWEALTH OF•MASSACHUSETTS BOARD OF HEALT ........0F.... .. . . . �r�.. ..." ........ ..................... �rrtifiratle.of f"n.0 Haurr T S S TO RTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) byb � = •._ ..............................-_-•- ........ ._... {. .__............... .........................'_ ...___ "t at 1 • y Ins alle f (s^ 1 4 ------j- -- •--• ---•-'--•! ---------•-r r has been installed in accordance with the p ovisions of Article Xj of The State Sanitary Cod A'4a .'described t�tl�e--- application for Disposal Works Construction Permit No......_../�✓�...-_'-----�_�...... dated-.-_._..j�___-__ /t;, __..._._.. THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM V+(I� FUr?�.IAT ISFACTORY. // DATE-------- - -•-•• ---------------------•---------•------- Inspector.....................'-.............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH' .> No.--.----- --------- FEE........................ uodual C!uutrurtiitrrutit Permission is ih eby-granted.. .• �' �.r � ;/-•.............. to Construet9( or Repatr ( ) an w �•d. ./. C'.at No.--• ' f. (, 7 _. ..... 4� -r--------__- ^ ' Street as shown • on th application�f.o�a.r Disposal osal Works Constudony-P .nit N -------lDa ted...._ Y✓'- ._.:-••--- - .--------�•----........ Board I- h DATE-- . .. FORM 1255 HOBBS & WARREN. INC pUBLIS ERS 'ti Y, r a p s ` - 72F: 7- vv. CP sANr , c AvA'C_ AEI / i r ! i It kA N ' t { A VI:EEW t r F • pM i E i j� i 1 i 1 i • o. g T- i /oT- _ter � � ti•- `,� - - - -...�..�/ - �____-_--- .___._.._ -__- ,-._ - 010 I .y r t k ti / IG1 :. 7/1 pAN ell A., Y/644 ',r✓ � , �` � .� =�'� ._ ,,- � ��,•u��'� rj 0 �.._ ' 3 1 t i aj 3€{5 } i i q f�aa r p1 h 3 t 1 y( t4 f a p77