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Home My WebLink About0100 FRANKLIN AVENUE - Health FO 1OOF�rank�liri7:7- A��e AA II k ° c� � z rn =p A 75 1 ' lN I ' } F o vNe�} L71 � . r fo LD 5-5 ► ) -n W 4 ck --� TUB I U, �� 00 O I-z mo Lo a n F%c f C) Tt C f � n � - m -�- m ASSESSOR'S MAP NO. 2C1:2 PARCEL 2 ��1 SS- 3/c_ LOCATION 'I✓e SEWAGE PERMIT NO. �- VILLAGEE y /Gsoti INSTA LL ER'S NAME & ADDRESS 6 Job Gy S fo n s Aw,11J BUILDER OR OWNER- ge,47 �b A-],:, All DATE PERMIT ISSUED 17 �� DATE COMPLIANCE ISSUED - .� �'6� - ' . -.� d � \� �� _, � e No— .. FhB ....... A.D. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .70w.�i..........0....... .............. . . .......................................................................... Appliration for IlWpaoul Works Tomitrurtion "ernfit Application is hereby made for a Per!mit to Construct or Repair ( 1�-<an-Indivi.dual Sewage Disposal System at: lag V ................................................................................................ .................................................................................................. Locat* Address 'M 0)dtt 4 ...................... .............................................. . ........... .................................................................. Owner Add f ) :1.....1.0................................. 4 &................................ . ....... ........ ... ..............................................7... ..................... Installer Address Type of Building Size Lot.............................Sq. feet U Dwelling—No. of Bedrooms.......o....................................Expansion Attic Garbage Grinder ( Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( Other fixtures ----------------------------------- ------------------------------------------------------ ............................................I----11......... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid'capacity............gallons Length................ Width..............._ Diameter_.._............ Depth.............._. Disposal Trench—No. .................... Width................_... Total Length..............._.... Total leaching area....................sq. f t. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date............................0........... aTest Pit No. I................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........._............... - ---------------------------------------------------------------------------------- ......*,'"I"'111,11,111,-------------- 0 Description of Soil.........................................................0............................................................................................................ ---------------------- --------------------------------------- ---------------------------------*---------------------------------------- --------*-------- .................................................................................................................. ;��.....................;�- -��7-------------------------------------- U Nature of Repairs or Alterations—Answer when applicable... .......................................................... -------------------------------------------------------*.....................................................7................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TLITA U 5 of the State 1 Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ............. n issed by the board of he�th. Signed...... .r... ---0�........�0.......... ....... .......................... .......................... Date Application Approved By................ ..L_ ........................... ......... 1)_ 1_�t Date Application Disapproved for the following reasons:.............................................................................................................. ........................................................................................................................................................................................ Date PermitNo...... ....................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH bid. OF......r�'i-h..)../4LI_ ...................................................... Applirn#inn for Dispnoal Works Tonsuvrtiun Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( of an Individual Sewage Disposal System at: �p ` lQ g /,G��!/.'�e s, /f 4t �e Locaji/pAddress� .... D..... ex 0,�t✓ No. �.. ...�.../.»,/../ ................_.... .......................................... . ...................................................... .. Own /YGf�gt �� .................... � 1+ S ...........................................r � --.......... . ........ ................. ... Y.» .».......................».........Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.......................:....................Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building No. of persons............................ Showers p.l YP g -------•-----•-•------------ P ( ) — Cafeteria ( ) a Other fixtures ----------------------------------------------------._._. . W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. WSeptic 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest 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........................ Al ...........................................................•----...--------........------•-••................................................................ 0 Description of Soil......................................................................................................................................................................... V -------------------•..........---••----•--.......----•------------------..............._.. ...... UW ••••-•-•-•••--------------••-•--------•-•••••••••••••-••••-••---•--••••-•••••••-•••••-•-------....---•••••••-••••......-- Nature of Repairs or Alterations—Answer when applicable..../...?5�//........ v .o ............................-...........................................=....... 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 n iss ed by the board of hea th. Signed... ........•...................................... ..........................- Date Application Approved By-••••-•••-•-•• ... ..... ..... - ..�� Date Application Disapproved for the following reasons:........................................................................................................---- ----•-•-------------------------------•--•---....--•-----------•----•-•-•-•---..........»-•---............-----••----------.........---......------.........------------.........•••---....-•-......»» Date PermitNo..... .:.. L.0..................».... Issued................................................... .» Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH�/f ............ !r-�.........OF.............. r.:- .^ tt .`:f............................. Tafif iratr of f omplinnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by. �i r..... <. cs...................................................::........-•-................................................ .--•-----•........... /� Installer at.-------_---1 ?..f........ .nYr::r�f?.?�� ----- -- ---------------•--......-----------------------•.----- 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......la ._... ........ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... ..�.. .. .A. ....................... . Inspector...................... .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............O F.............: � r�.a zz.:a�.��-..� ri............................... No..., DisposalWorks Tunstrur#iutt f truth Permission is hereby granted.... ... . �z....... .............................:..................................................»_»» to Construct or Repair (k) an n�dual Sewage Disposal System at No.... / '?- c :�z a w ..._1Q.1P...... v �l - .a ..................................................»... Street'�J as shown on the application for Disposal Works Construction Permit No..(f VI) Dated.......................................... .... ................................................. C/ Board of Health DATE.............6. ,...k ..................................... FORM 1255 A. M. SULKIN, INC.. BOSTON