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Home My WebLink About0009 GENERAL PATTON DRIVE - Health LOCATION SEW GE PERMIT NO. VI t L A G E INSTALLER'S NAME L ADDRESS 'Rbn amz IE e 9®y-p y=— I F (269E t:^t4-D co" pX-T-4A . "YAkmis 1-77 9- R U I L D E R OR OWNER tglma DATE PERMIT ISSUED — gS DATE COMPLIANCE, ISSUED ' �_ '� _ -5 n � � rn { e IQA R N*UTW1 tq g-� p iovun 0.+iiv'E'. No..?Z South 94 Am=� MIA O.2.C-0-4 F�s�.��.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - r- ................-•-•----._........ Appliratiun for 0iipnoal Works Tonlitrnrtiun Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ............��...._M.].: tnv.X:c•c,:..: .!? '\ N J... .!:�:•�. ...... ......... .... ..... �...._... .. .�!!!^!w�S.................. V Location-Address b _ or Lot N Own r Address. a ........................... .- L- -_..2.....---�- �...:�.-•-- --....... s •.... ...... 5.... � .............. Installer Address Type of'Building Size Lot.............................Sq. feet - �..� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of BuildingNo. of persons............................ Showers• _Cafeteria PaOther x s .......................: :.....:............._.......:............._..--:..................:-......--...........------.......lons. ............... allons per person per day. Total daily flow...... .,'.._.....................gal W � Design Flow.......:......... g^ P P P Y• Y WSeptic Tank—Liquid capacityLO .gallons Length................ Width................ Diameter................. Depth................ x Disposal Trench—No. .................... Width..................... Total Length............ \__ Total leaching area....................sq. ft. 3 Seepage Pit No...........k.......... Diameter............... Depth below inlet____.::3.......... 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......................... Test Pit No: 2................minutes per,inch Depth of Test Pit.................... Depth to ground water...................... P4 --------•-••.....................................:.:...........:...................•---.............:-......................---...;......---•-••-••--......-- 0 Description of Soil:..........................:.......................................................................----------------._....._............-----••-----------••---................................................... �l ------------------------------------ -------- ----------------------------------------------------'.......................................... .... ... ....-----------_------....---.....:_.---.------------ V Nature of Repairs or Alterations—Answer when applicable'. �.._.. n ___4.__. ? ...mo w' Agreement The undersigned agrees-to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LITLZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance y t boa eajttt. Signed--- -- ......... . .... .......................... .............�...��. Application Approved BY------------------- --- . -- -- ---- -•----.--•--....------------......----- -�.......de_'. ----- Date Application Disapproved for the foll ing reasons:......................................................................:......................................._ -•-•----------------------------•-........_...--•---.....................------------------.....----..._...........................-----...................................._.... . .......... Date .. PermitNo................................................... ._. Issued........................................................ _ Date ,No (j s c = _of FEs�.��C�v� •_ THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH '"7.`t`-.. t�.."j-..---OF-... �' r ✓t� �^__ .�.. Appliratiun for Disposal Works Tonstrnrtiun . rrntit a` Application is hereby made for-a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: y� �J ..............�_.._ E -�.._ ----..-... ........... ss. or Lot No - ... ... W � C1,L L� Ow � j° ,� 4T.y>...... Yli Vl.ddressS...... _1C `��' ........ C E Installer Address Type of Building Size Lot............................Sq. feet .-� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building .........� No. of persons............................ Showers a YP g ----------------- P ( ) — Cafeteria ( ) dOther fixtures --------•-----• ••----•----•-••---•••........-•--••..•.....................•----• .............................................................. W Design Flow......._.�-=: .......................gallons per person per day. Total daily flow...... _.' _ ...................gallons. WSeptic Tank—Liquid capacityl,OG�.gallons, Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.......... Total leaching area....................sq. ft. __.... Diameter...... �� Seepage Pit No.___.__._.L.__ ��...._._... Depth. below inlet..__.��........... Total leaching area.................sq. ft. 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........................ GL,•. Test Pit.No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---------------------•-----------------------••••-•-.--.••-=•---•-.....--•-•--•••-••---•••...••••-•--•-•-••••-•••-•-...........--=•••.............---- 0 Description of Soil................................ U -------------- '. - - ......_........... - ........................................... .... W ---------------------------------------------------------------------------------------------------------------•---------------------------------- ---:----------- ... ..---------.--------•---•---- x° U Nature of Repairs or Alterations—Answer when applicable_-____ _` '._.__=��_ -._.�..`...4..d73Q__T Ki w = .r...._.�?...- -- -------------------- 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 haste-been issued!_)y t board�o f-lieal'th- ................................ ApplicationApproved By---•-•�--- ... ...... ............................... —1 '�U...................................... Date Application Disapproved for the f oll ing reasons:----•..............................•---.---------........_...-.---------------..........._. .............. •-�---------------------------------------------------------•..................................................................................................................................... Date PermitNo...................................................---. Issued..........................•-•---••--......•-••••••..... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ ........................OF........................... ........................... ..... ....... Trrtifiratr of fauntphaurf THIS IS TO TI Y That the )ndvid 1 Sewage Disposal System constructed (�) or Repaired ( ) by................................. •-•--- -- ;... � � -----------............................................. ..................................._.... ""Installer at............................--.......C ....................................- L- ------ --=� .... ` ........------..... ------------.......----•-..... has been installed in accordance with the provisions of TITLE 5 of T e State Sanitary,Code ' d f`scllbed in the S—E application for.Disposal Works Construction Permit No..........................2_...._.... dated_.... 7...i.... �....5_.._......._...._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. . DATE .......... � ................. ......... ................. Inspector.••. l . THE J- COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... .......................:of .......•.... ...........•--•--•--........... ........ No.......................... FEE........................ !raT!'_j? � urku Tunstrnrtin r uti Permission is hereby _-- .... . . ..... ... �.�........-/�,,'' ^,� t.ltf� ... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No Street as shown on the application for Disposal Works Construction Permit No... .... ''.... Dated._..._..-:,.....-.-.95....... .......................................... .... ........ fllenM ( - oard f DATE-----------�.1.11_ 3S------------•-•--------•----------.. LOCATION PERMIT IJO, D DRE S S � BUILDER 'S L1. E ADDRESS DITE PERMIT ISSUED - a Z 7Z2-6L DATE CONIPLI b KiCE ISSUED : 4 r V d 'i 's sY � M + r 0......................... ...... THE COMMONWEALTH OF MASSACHUSETTS B)�OARD OF HEALTH Appliratiuu -fur 43WVuuttl Workii Towstrurtion Vaniit Application is herebymade for a Permit to Construct ( ) or Repair 41 an Individual Sewage Disposal Sy em at: Locatio Addr or Lot No. ... ........ .. ... . - - --- • - - f_LrLJ....-...----- -- - - - - --....----••-•------••--•-----------------.._. Owner a ddress 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 ( ) 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 ( ) aPercolation Test Results Performed by-------- ----------------------------------------------------------------- Date------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit-----.....,......... Depth to ground water..-._----_-__--__------ f= Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-----.---_-----_---..._. LY .• ---•-------------------- -----------••-•-•--•----••-•-••----•-------------•-......--•-•------- ------- -------•-----•---••-•--••-----------••---- G Description of Soil i} - ----------------------------------- U ------------------•-------------------------------------------- ----- --------------------- .................................................-------------------------------------------------- -------------W 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 YI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en ss d by the oard Sig d. --- ------- •--• �n� ---'.----�;7---..- Date Application Approved By------ �- L C--- ------ -- - ------ 7__Az�=_74.... Date Application Disapproved for the following reasons--------------------------•-•-•--••-•------.........---••----------------._..........-•----••....---•----------- ..............•-•-----...-------•---.....---•--------------.....--------••-----•-•---...._....-•----•---------------•----------------------------••-----••---------------------------_----------------- Date PermitNo.............................................-........... Issued........................................................ Date ..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD _OF HEALTH 7 .................... ..........OF.... ........ Appliration -for Dhipomt Workii Towitrurtion wrnift Application is hereby made for a Permit to Construct or Repair (-1 an Individual Sewage Disposal System at: ........................ Location-Addr esp 4 or Lot No. ... ....... ................ ........................ .7................ ............................................... 1, Address ................ -------------------------------------------------- L J-4L.�JVVI ....... �'.�lz ,�-- ------ . . ....... Address Installer U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--------------------------------------- ----Expansion Attic Garbage Grinder ( ) -1 a4 Other—Type of Building __________________________ No. of persons.____._..__._._._...___..... Showers Cafeteria ( ) 44 Other fixtures -------------------------------------------- W -- -------------------------------- -------------------------------------------- .................. Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. P4 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. it. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date............. ------------------------- Test Pit No. I................n-linutesperinch Depth of Test Pit_--_________________ Depth to -round water----- ------------------ (14 Test Pit No. 2................minutes per inch Depth of Test Pit-______________._.__ Depth to ground water------------------------ r4 .............................................................................................................................................................. 0 Description of Soil---------- /,/., -..---------------------- ------------------------------ ........... ................. ........ -------------------------- ------------------ U ............................... .................................................................................................................................................................... W x ----- ----------------- ----------------------------- ---------------------------------------------------------------------- ..................................I-------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.-.-?'--.."-/.`/.,,' i", ...!_24 /--------------- --------------------------------------------------------------------------------------------------------------------- -- - •A ------------- 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 een iss d by the board Sied.. . .... .... ...... -- --------- X ...... XD6at-e ... . Application Approved By-------- --- --- ----- ......... ---------------------- ----- -- Date Application Disapproved for the following reasons:.......................... ------------------------------------------------------------------------------------- ...................................................................................................................... ................................ ------------------------------------------------- Date PermitNo......................................................... Issued..................... .................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................OF..... ............................................ Qwrft'firatr of 0,11mlifitturr THIS IS TO CERTM--Y, That the Individ�al Sewage Disposal System constructed or Repaired (i--) by.......I .................................................. --it----------- .............................................................. A), Installer ---- ------------------------ t ai........... ....... .... ......................... -------I--------------------------------------- . ................................... has been installed in accordance with the provisions of -A riche Xf of The State Sanitary Code as described in the application for Disposal Works Construction Permit .............. dated'7_.__;R__r__.=_7Z----------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ------ Inspector-------............... . ..... ........................................... DATE---------_-------------- --- ------- THE COMMONWEALTH OF MASSACH' BOARD OF HEALTH .................................. OF, . 1///j, ............................ No.---- ......... FEE- .................... Di-typpal Permission is hereby granted/ri�L,Z,� ... ..... ......... ...... ........... ------------- ........ .. ------7 ...... ................ to Construct or Repair an Individual Sewage Disposal System /1 at No.V--- ..... ........................ ............................................................ ---------------------------- Street' c -7 ----------------- .........as shown on the application for Disposal Works Construction Per N ated.... ....— /7_4 _t. ...........................— of Health C DATE.. Board -------------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS