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Home My WebLink About0063 HARBOR ROAD - Health 43 Narinr Q/., {l�nnis �p i e IN3S LOCATION a /d 5 E W A C F PERMIT NO. 63 Alle�qov VILLAGE ERD INSTALLER'S NAME & ADDRESS � 1�,/rSi r��P�i � c�� -r•�J_ L e\ ® UILDE 'R OR OWNER DATE PERMIT ISSUED Q DATE COMPLIANCE ISSUED 1 � o � 3, �w 1� Fps.. ...................... No.�Z. r.7.... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........... ...................OF.......................................................................................... Appliratiou for Uhipavi al Works Toutitrurtion Virmit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: D .......-•---•..... .----%:-.....---•••---••••-..._._... ..........................••. ................----•- .... ......................... Location-Addr ss or Lot No. Owner Address .........X........ ....................................•-............. ----•---....--•-••-•-•-----•------....--••........---•••-••••---•-•-.........................••... Installer Address d Type of Building Size Lot..Z4`?: M---....Sq. fe V Dwelling—No. of Bedrooms............... ..........................Expansion Attic ( ) Garbage Grinder aOthet—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ...................................................... W Design Flow............................................gallons per person per day. Total daily flow..............X.3®...................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.....14........... Total leaching area.A20 7....sq. ft. Z Other Distribution box (/� Dosing tank ( ) j Percolation Test Results Performed by_-44/o.1PJA�e-. ......., .................... Date.... ��S�t�Z___._..._..__....- aa Test Pit No. /of utes per inch Depth of Test Pit....A-0..a...... Depth to ground water-------- (i, Test Pit No. A .....24.flunutes per inch Depth of Test Pit-----� `...._.. Depth to ground water........'............. Description of Sgil_.l_:. �I �� '. -•-r <----5W!5i '----....l.....`.. ------------------------------------------------------------------------------------------------------------------------------------------- W --••-•---•••----------------------•--•----•••--••--------------••-••-•--•--•---••-•-•---••••----••------------•--•--------------•••••••••••••••••••-•-••••-----••--•-•-•--•--•--•-••......-••--------•-- UNature 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 TITL L 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha issued y the board of health. Sint' �� ate ApplicationApproved B ...•. .................-••-•-•••••-•••--•--•....-••--••---••-••--•-•----------------- .........-. .. ..................... Date Application Di v the following reasons:............................................................................................................. ....................... ..... ••-----•-•----••----•--...•-•••-•-••••--•-••-----------------•----•--••••--•-----------•------- Date PermitNo........................................................• � Issued_....................................................... Date .. No. > �........... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........................OF.......................................................................................... Appliration for Uhipoii al Works Tomitrnrtion Orrmit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: /iarbcs- 2-4 1"N a/vpsy ¢ /to �Z C /7 J ......G..3....................... . .4................................. ------------. ...................... -......----- p Location-Addr ss �j p,�o Lot 1 0 .................'!�: ..... d0®e�'3�Ca�... "s s L r d N �C--..... / C3tJ r �l t! f..+-. � ...............•---------......_..._ /f •-----. ..-- Owner Address W :, =-------------•------------.-------------..---------------•- ..............................................•-•-----•----....•..........---.._....••.--•---...•- Installer Address Type of Building Size Lot... ---.....Sq. feet Dwelling—No. of Bedrooms................ .........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ............... No. of ersons_...._.._................__. Showers — Cafeteria Pa YP g ------------- P ( ) ( ) d` 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....._.yL..._...... Diameter.......A.'_..... Depth below inlet.._.._".._..... Total leachingarea.��.._sq. ft. Z Other Distribution box (t,,) Dosing tank ( ) Percolation Test.Results 1 Performed by..�_ *1 /ar. Date....__ "._ .................. a Test`Pit No. lingl Lutes per inch Depth of Test Pit__.Z3._.._.._.. Depth to ground water........................ Test Pit No. 2/.K.5_3-2��mutes per inch Depth of_Test Pit.....Z4......... Depth to ground water......- t4 ......••... .... -------------------••••••.....--.. . ........................._....._--•-•-----..........•••--.._.............---•-•..---•- ii O Description of Sf�il.�' t� 4tkz�; u � Pe ' � °� t. s st V ...................0.T------ -ey............................................................................ W ------------------------•----------------------------------------------------------------------•-------------•-•--------------•----=---------------------------------------•---------------------- UNature 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 n issued by the board of health. / S- y a- -.. .- Z ""�° '_ •-----_------------- "; a;e *- f ts'Application Apprved --------••••• ----r -�-----••----- f ---.. Date ----••...Application Disa prdv d f o the following reasons: Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD) c&F HEALT ...... gym,.................OF......1 ..... -Pr? ................................ TrrtifirFabr of Toutph anrr T S T ERTIFY, That the Individual Sewage Disposal System constructed ( l-�or Repaired ( ) by - '' '......-- ------------- ------------------------•------•-----•-•--•------------••-----....------••-------•--•-•------......--- /� :c(e Installer has been installed in accordance with the provisions of TITLE E 5 f The State Sanitary Cod/-j bed in the application for Disposal Works Construction Permit No...1�..'__�.".Y� .......... dated_,? ..!.................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ' DATE.........................................•---...............------••-•..._...... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BQAR F HE T --yy f.. ! !- ........................OF...... .....................e.!._.' ....................---.................---... N,, '_6 7 K FEE. Touts ion rranit Permission i5lilereby granted._; __ L.. -; . : _._... ......-•-------------------- to Constr ?7Pl Repair ( , art In ' idua+l/ .v�rage Disposal System atNo.- t ....... �„ ,r' ... ----••----------•-•.------. ------------•-----------•--------------------- -- ............. Street /� �� as shown on the application for Disposal Works Construction Permit Nod.. __:` :.. I ed...... .................................. 0 �Z/ Board of Health DATE - .- -•-•-- -0--- ------. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS t End. /os:L3 t Zo A ,4 io 0«K h . t 8 3 z GO,P, Z 3 \ t �$ ,3 1 2Z z8 I 1 � CAI ij IN \ 1 � 1 and. 73s t 9Z•GS I Eo'ge o� POP me/7rl A60R RIO �a�� ou�J 1 /4n of prr+�oo 3 r4� f��i9 r �y4nii�s , "10 . Zorn io, LC. /7/7Z f �`/3Z/3 PLpN Awx eeAe, /ZIP /�Y.4NA//;, /�✓J.q /4ss�mrd �} �°' ` do/wry/� _ • s• r E/. ZG,Sf B�ic�t Gbr nac� Brrc.t ehJx"neY 41 rC.r 4.rrO BOX F3/G/! YZ"��/ S N: �r�v®�D�YC4s�t"4/X C F El, zo.a /ra c/S/ny �o/ with fcp� E/. Zo.Z o , r• C ltlQjf�cd S�anc. 4�a�nc� n Ovi 145 ice ,C • �/Z ra•' � '�c O'�f O _ 'I Design Data No. of Bedrooms; 3 Sdil Af Soil Log Total Est. Flow: 330 gals./day TeSjo 1,14/e5 Garbage Disposal: No. Application No: 7 1437 No. of Leaching Plts: 2 Date: 11/5/82 Bottom of Leaching Area: SG•_3 s.f. Time: /D �M Side Leaching Area; /5'0:7 S.f. Witnessed by: 4.,ew Total Leaching Area; 207. 2 s.f. 49 rr Reserve Area: Engineer: J.L. Clougherty C Percolation Rate: Less than 2 min. per inch Leaching Area per Percolation Rate: yt33,3 �o/S y / r/ t /Yo .wr,er• je ��p/rca��: ✓ofcPf! �• G'/or��/�e� j �E `'�/3l/.3 .•.:; . /i-s'-fit