The URL can be used to link to this page

Home My WebLink About0172 COMPASS CIRCLE - Health 1�� , ��e � � / � /7.9,, N � LOCAT ON SEWAGE PERMIT NO. 2.M, -&� Z222� VILLAGE /2� L�,ZZ ZZ I N S T A L L E 'S NAME i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 61 `� cS -- � �° I�I �� ,� � c�� , it � � �. � . � _ _ � o � � �. �� o � 7 � ,. h No....... Fzs.... THE COMMONWEALTH OF MASSACHUSETTS X X SOAR® HEALTH '� •' ��1wN................ OF...... / 02 .... . .................................. Applira#ion for Di-silos ai Works Tons.trurtion Prrmit Application is hereby made for a Permit to Construct �4_) or Repair ( ) an Individual Sewage Disposal System at: _ .... r:_..A_A0 } C',2 ..foss �'•�<<< .............................................. Location- Tess or Lot No. z:.�'-•-----'---2..s:T .. --•---•----•---------•--------------•-----•-•-•-•-------•--------•---•-••-•--•----......... ..... O ner . Address .....5pe ............_ . ------------------------------• --•••-•------••--•••._...-•-•-._......••--......__. ............---------........-•-•-•... Installer Address U Type of Building Size Lot...!D_jo Q 1_f _..._..Sq. feet Dwelling—No. of Bedrooms.......... .............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _Dw,cutr��....._ No. of persons......:-(�................... Showers ( ) — Cafeteria ( ) dOther fixtures -----•------------------------•------••---••--...........---------------------------------------------------------•--------------•-••-•......-----•-- W Design Flow.........:55.............................gallons per person Ver day. Total daily flow................2.1.0..................gallons. WSeptic Tank—Liquid capacity...11 gallons Length f..__ . Width..!L4. Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area.-..._Yf.7..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by_. e!70`l �►A�.!.................. DateA k.rl... 7. ...... a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..A'-" t ( Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil rS/`�_Y�'� ._..- � eri. ---•------------------------------------- -------------- 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 TITLL p 5 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 ze board of health. Signed------•------.•------------••--------•-----•---------------------- ---�� -,�� ApplicationApproved By............ .:J••`......................................................................... ........... -- to . Date Application Disapproved for the following reasons--------------................................................................................................ .............................•----•----------•---•-------------------------•--...........--•--------...--•••--•-•.......•---•--•••-••---••-•••-••-••-•--•--•---••-••---•-----•------••--••-••••-•------- Date Permit No........ ��.................................... Issued.... '�� - . .................... Date R No.........L.'..: ..... FEE ..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD Of HEALTH p .......... ...... ApplirFa#ion for Disposal Work, (fonstrnrtton Prrutit Application is hereby made for a Permit to Construct (74-) or Repair ( ) an Individual Sewage Disposal System at _. .................P ....- .......�..... ...........----•- Location Address or Lot No. ....Cv (./......?S.:.`..._ _. .....................•••................... ------•....... ............------.------------- g.....f�FGt:...T..[......._...�r..�..._.... Owner Address r......J.� Installer Address Type of Building Size Lot...! ?;.!. ?.......Sq. feet Dwelling—No. of Bedrooms............ ............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ...... No. of persons......`? Showers ( ) — Cafeteria ( ) Otherfixtures ..---•--•--------------------------------------------------•--•••••••----•--••---•-••--•--•••-..................................................... Design Flow.......... `..............................gallons per person per day. Total daily flow.................. .................gallons. WSeptic Tank—Liquid capacity...l.csAigallons 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 ( ) '~ Percolation Test Results Performed by._-`%�o�:rc'_'_-_Cc_e_ : . Syr`' ................... Date..a. 5. ? a . . Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...!'!'."'._e �T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ---------------------------�-�---------•--------..i._....... O Description of Soil._. :Z_y_e.", u/ /7,Psr r�;_a_.� S 'f (� ------------------ --------------------- -------------------- ••----•-•--------------------- .-------------- --------------------------------- •------------- ---------- --------- .----------------------- •--•- W 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 TITLE 5 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 ----------------•----.. . ApplicationApproved By...- '�.......•--•-------•--••••••--------------•••-••---•--..........•-•-••-•••••-----• ---- Date Application Disapproved for the following reasons________________________________________ -•-------•-•................................................................................. ........--•.....................................•-••--------•----•---•---.........-----.....:.............-------------......-----•-•-------............................................................ Date r - PermitNo.......... t. .................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................OF...... ,..d�i�-�.0 . ....r............................. (9rdifiratr of TontpliFanrr THIS IS TO CERTIFY-Tha�tt the Individual'Sewage Disposal System constructed ( ) or Repaired ( ) Installer has been installed in accordance with the provisions of TI T IZ 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.../__..�.__r?..................... dated--_----_-.-.--_---••-.-........................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH \ . ................. ..OF. I�rrc. •- +Ud. ..................................... No........... l , _._ ... . FEE.......--- •..... Disposal Works Tonstrudion Prrutit Permission is hereby granted..:v ___ : .: . ._ . .-•----••...... to Construct (/) or Repair (,—) an Individual Sewage Disposal System Street as shown on the application for Disposal Works Construction Permit No.._..7i... ....... Dated.......................................... fi �r Board of Health DATE........... = ......................................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS _ 77wWr s � �ilE�/j U M iN+SH v�ADJf� x,5 FiivtSN Gtt�,�v'E GtVat'M Ga? Vgr OVEN. ja Ta xp• s _ CLCr✓.a _ .4+7X � _ \ � .' 4 P we"t q 6 -r----�- --�= x� � -- c•� .—��.� a"rt�rt .rie+e�era �� c5tr�xFi� 3-PEA as�s.++6 At A z s I /moo o ��a• l i ° d o j� / '� d a l�, _.... .._.._ � e�f ` !P�'r N,�+p'�E� Coy✓ar. � � P �S T. Z AV f-'�'"•J �-i4 _-_.-.---_ _._...---- -r-� gE tt�v�&"tr � � � ` i � " a � o b / 1 � , l t _ ,• ': �• Via; k Z., Y9C.AI/N& )1P/7 5• .� R -5 Dec.. ALL � L�� /1�3J� 7 5 - [�U'� ✓' r ____ 27•00 --- V 44* /Vitoa4 a s r- •s 3ys�R /©�f�L i 4�.t !?:.. �. /J� z 1 � '*� r� �� i $f f�+J(- — 8�/. S 01 " V. "Se �` k tii h pf ti ' tt'� I {y '. -'� +•off' .} r''r -'! I p� a �jJLs� ( ,4: Sn' �a< a Yam'- ,�'r r•� 1 ^;. - .� .'�,,1+ ,,' '+Y. ,,;5 .. ✓ I�1 Y,. _ 12 kd� .O }.r;rr- :. ps. l;l 'tL a *e�`•'° .s •;{iw,.t '!i- 9 ! /aU`fy ! A 1146 /� , _ 4 -Q CGS :, rr ^�/.n ^yr.. b,:�_♦ s. � •-`,, .G 'y +Y, j r,.; Q/roi, Yt .*t y y `` yi t� y�`�+�4"111YR . .r.+i't'�1• r. �". �[�t ��h � 41 0, `Yv ` •. ,`.�`-t y, .r�hF� J�XY �Ir a'C R `.....-. �—.�.. - �•� [� J 'a �.� •S`s`3tiY7. .1 � �"' � � .�.�.r .`'k y� •'.F 3��" •t � R:- � + YY a '"t'y'{.,• yk'°l. 3.:. ,: s_ M .-•i ',�,t�Y arua. "' _ .� r. `` ` 1. '� 4 A s. ws -it. �W_ - i+ .aTk lJ niS 7n' «L t F t •�,}t; '-:•�'�. .'„" �t P ' g � '' �t"' k_i � s r y�'wi�"�� g_�.S'y� fit` srl �'"•r,�P� `t :. - . JNJ- " 4,�1 L � • �� !'. �'t .� .,tom,_ f^'} �'] y /+ y''� w /.'4 I•- _ �x 'L--. r:• � + �a Y"Ff'1•:. .!w. - ! f (✓.-J fw� �S144. I �?"k l hi`.: :.-^�`• f(_!+- ./,`..1tj( ,f fri YT"� 'v t.. .,' ' tX Y"yid' a� ,qy.�, ? ,,,K��^ Y`:- „� .1 :'ram /T,V !i.• �r r s� F4en ASV , f�r)r_ "41 f�Ett• xATE� L 2r��i,I �i../Gi-� ,�CA�E: ,� -- - o� t�,�►-. �,� s��?� ! • d w, e v , �t t 1 t _