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Home My WebLink About0034 LAFRANCE AVENUE - Health t� y , ,, f I�i LOCATION . SEWAGE PERMIT NO. 'O' uu D INSTA LLER'S NAME i . ADORES ilool ® UILDER OR OWNER DATE PERMIT YStUED DATE COMPLIANCE ISSUED . .. i ' { d � 4 � A No.................. �2F Fimx.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD ,PF HEALTH --------------- ............OF...A9a4,n................................................................. Appliration for 11isposal Works Towitrurtion Frratit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: Av e. ............... ...... ........... .............................. .................................................................................................. Location-,Address or LotAM AONner AddresA f. ....... 7 W ...........* - ..�?144 .404............ *. ......................... nstaller Address Type of Build' Size Lot.............................Sq. feet Dwelling No. of Bedrooms......-Z...............................Expansion Attic Garbage Grinder (Akw Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ................................................. --------------*---------------------------------------------------------- ----------------------Design Flow.............5S.77....................gallons per person per day. Total daily flow.......26-Jo-90....................gallons. 04 Septic Tank f Liquid*capacity....10pons Length................ Width._.............. Diameter._._._........_. Depth................ ;4 Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. ZI Seepage Pit No.....I............. Diameter..... ........ Depth below inlet........ Tft A&V leaching area.. I----sq. f t. Z Other Distribution box Dosing tanV Percolation'Test Results Performed by...:-:rn....�4,4A-4...... ... . . ............ .......... 4 - &Z Test Pit No. 1.... minutesperinch Depth of Test Pit___________________...... lepth to ground water.____.__..........._.__. _114 "it ....n Test Pit No. 2................minutes per inch Depth of Test Pit..._._......_....... Depth to ground water..__._.................. P4 ................. ............ ................ --------------------------------------- 0 r, Description of So* ...I!n —4-4i; I ....... - ..... ...... ............. .................................................................................. ---------------------- ...... ....................................................................................................................................................................................................... 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 TH T= 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.....�. ....... Date .........."----------------------- -------------------- -------------------------------- --------- ... Application Approved By...... '.2.................... Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo........................................................ Issued... ... .. ........................ Date -A ........... THE COMMONWEALTH OF MASSACHUSETTS :BOARDPF HEALTH ......OF.............. ............... .......... --------------------------...... ,,..1,Appliration for Bhoposal Works Tonstrurtion Prrutit Applicati6ii is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: F., 4 '44 Location-Address P ,or I,)teg y &.19 VO 4a4 ............................ t-4 res ....... .... .. ....... ............ --- ... ner Add 4 ir ..J..t 4..................o........... ems......................... Ile r *i�nstaller Address Type of Buildin Size Lot............................Sq. feet Dwelling ZkNo. of Bedrooms............................................Expansion Attic Garbage Grinder (Am,0 04 Other—Type of Building ............6............... No. of persons............................ Showers Cafeteria PLIOther t. es ........................................................................................ ........................ "i--- ------------------------gallons per person per day. Total daily flow....... --�.....................gallons. Design Flow.. wiTV, 1:4 Septic Tank Liquid ca. pacity..../tAeOons Length................ Width.........-- ... Diameter.--------------- Depth................ Disposal Trench—No_.................... Width_.___.____.___._._.. Total Length.____._____..___.._. Total leaching area.....................sq. f t. Seepage Pit No.....I............. Diameter......5?--------- Depth below inlet..... T41eaching area.-t2 �....sq. f t. Other Distribution box (/ ) Dosing tan ( ""r Percolation Test Results Performed by..t�=----- ........... .......... Test Pit No. I.... -/1 -minutes per inch Depth of Test Pit___________________ epth to ground water...___...____:..__.__... Test Pit No. 2................minutes per inch Depth of Test Pit__.__.___..._.______ Depth to ground water_..____._._.___.___._._. ................... ........................................ . ......................... ....................................... A ------------ 0 1 Description of Soj...!.'t!. ..... .............. ..... ..... U ............ .... ................................................................................................................................J ............... W ......................................................................................................................................................................................................... Z U Nature of Repairs or Alterations—Answer when applicable..............................:................................................................ ............... .......................................................:................................................................................................................................ Agreement: The undersigned agrees to install the aforedesc,ribed Individual Sewage' Disposal System in accordance with the provisions of T I LE 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.,.4, ................................................. ............................... -------------- Date Application Approved By....... 9,�V' ..V�---------------- - ------------- Date Application Disapproved for the following reasons:.............................................................. ................................................... ....................................i.................................................................................................................................................................... Date PermitNo....................................:................... Issued....................................................... Date THE COMMONWEALTH OF MASSACOUSETTS BOARD OF HEALTH a ............................................... ............ . .......OF....... 4, ToWrtifiratr of Tomphaurr THIS IS TO C T�IF That the.IndikiLdual Sewage Disposal System constructed ( or Repaired .. .. ..... --------------------------------------------- ....................... by . ....... . Z.. 41a iF' ... .. . ....... ...... a............. ...... . ----- at....!t........ ... . . has been installed in accordance with the provisions7,'? 5of The State Sanitary Code as described in the application for Disposal Works Construction Permit N o..Y(-/#" ..�gs:4"f............. dated.. ------------------- THE ISSU E OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE DA ............... . . ......................... Inspector-------------W--------- ....RA. r% ....................................... THE COMMONWEALTH OF MASSACHUSETTS* BC?ARD.. 'OE HEALTH + ......OF.:....... ............................................ N ..... FEE........................ Dispo's ork strudi!o Un �rriyn��' -ra I...... il�.et ...... .. ..... Permission ij..hereby L ted....%ilil .. ....................... .............................. I...... ............. ........ R an.Individ ' evCrage 13� osal System t epa e 0 Cons ;( C4 C_lee-1 at NIJ�� ua[12 . ...................... Street as shown on-the application for Disposal Works Construction PeryaggNI: ��!.4. Dated,�__-Z—Z7................ ......................... Board of:Health DATE./ �F:�....CEO—%...................................... ,FORM 1255 MOB13S & WARREN. INC., PUBLISHERS 2v^.^u�iurM•...arr..r...r.w..�•w.n,w.wrM.wnafgwv.,.�r.+rF ay.aw..w.wv.urr—..w..+rw..•wn.nw+.w...r w.._ue...w+��++'•.r�^•l,.r..va�.........w�...n.......a...•+n.v�..s-+w..w.w...•w._�-.+vw•..•+.'�f+••.....+^•^vr'•e*+nnv+wr "w+�w:+an+na' �,+.•r..w.wsuwn, ' G 14 b�rt r / m /.S" > �s/�i~D ram, �, (/.. r��J ,S T h' v K' T/% y a ' 5�l.r n s P - 0 rJ r r1 c r r a o O s' e 4e. ['t k 'All 6 c� Al o ra ✓ v e xr .-,7 rt la ! Ce-,le_� 7- 1901 'o- -. v 9v�.-V;�,d. -e��,; /4 elegy " �°' z /7i p �p w f/ei f ` S h c.' " t" �7 h7/7'/ "0 Az> ` J `7 0-'4 '77r r e>;-p 41 /i i,41171 o►' -A of w4li OF ,qt•4 �+ _ d 3 FRANK FRANK1i C NOoiERY CONE TG� RY o 6 to. . 10 , 1Cv4 77C C' /4Vf Ii 7�D !M!��`' �-�--_- �— �-- � c�sT��O! r�"•;t.�� °JG1 ST - ��t*.•' O i .� �i PLAN of LAND IQ /Ir',a MASS. OWNED BY FRANK CONERY 5 TRENTON ST. NYANNIS. MASS. 02601 . 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