The URL can be used to link to this page

Home My WebLink About0015 MASA'S PLACE - Health 45-IT)WKS LO CATION � SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME & AD�RE S ZS B U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED t V. c l i r �. 6 r N ........ Fus... 5................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® Off' HEALTH r , ....................OF... .............. Appliration for Uhipvii al Works Tonstrurtinn Vrrmit Application is hereby made for a Permit to Construct (P_�or Repair ( ) an Individual Sewage Disposal System at- - .. .. -----.... . Location-Addr s ................ .�............... - '_. ............. . ..... ....................................------- O n ` dd s W ............. .... ....... ... _... ............• ................ . ...............••---".................__._.. Installer dress UType of Bui ding ize Lot...14-3�` �......Sq. feet Dwelling—No. of Bedr)oms.__........�...........................Expansion Attic ( ) Garbage Grinder 0&-3) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures --------------------------------•-- :- .............................................................................................................. W Design Flow_...........j 142...................••_.gallons per• i per day. Total daily flow..................330............. WSeptic Tank—Liquid capacityJ000.gallons Length._.`.._.. Width..4AL-__ Diameter................ Depth.,........_.. x Disposal Trench—No..................... Width___F.....tP..._._.. Total Length.................... Total leaching area....................sq. ft. If Seepage Pit No.......'............ Diameter....fo:'O... Depth below inlet...4. a...... Total leaching area... 1...sq. ft. Z Other Distribution box 0_1 Dosing tank ( ) 6 a Percolation Test Results Performed b %�-f�l t? � ��1�;? 1 �..._. Date....-1 179.....•.._...__. Y ,� ,4 Test Pit No. AWWZ-_minutes per inch Depth of Test Pit.to-�...... Depth to ground ater&lr6,..4V!% '2 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to gr, Vot -_ .................. x Description of Soil �'.. _ X _�PC..'��...G±v!�J ��/,Pi �,..��-_'. ..�.�.E��!--f � ..................... - ........... ?�.: _. ._. Z. -,- -------- W 7.. �,.. �� .!,�� d' �il �.��A�-/fir✓�.._ nAcKECHNfE.. _ U � Df La00 �A /A / .oBi1� .p �� U 1Vati e o epa�s o Alterat>ons—Ilnswer when applicable-_--------------- �F _.T�q � ._........_.. ............. ---- Agreement: L� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI L 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 h and of health. Sig ......... . ...' •..... ... ................................................ Application Approved BY - � ' Dat7�� . Date Application Disapproved for the following reasons:•-----------------•--•'-----------------•---------•---•----•--•------------•--------------.--•------------------• --•-•----•-----•--'........'•-•--•---------•------•---•----•---------------------------------------------•-•••--••-'-•---•----- .......................................-.................-............. / 7 Date Permit No.:....................................................... Issued_...(!_..!.'7�l_._. r-...................... Date :No. .. .............. .... .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................... .............. Apptiration for Disposal Works Tonstrurtion thrutit Application is hereby,made for a Permit to Construct (t,-j or Repair an Individual Sewage Disposal System at: ............... 40 IL 14- ............................................... ................................................................................................. Aocation-Address . . ...........I.'..-...i ......................... ................................ he Aress ........... . .... ... .............. ... .................. .. _ ... Installer Address .....Type of Building SLi,;(e Lot... ......Sq. feet U Dwelling—No. of Bedrooms.............3..........................Expansion Attic Garbage Grinder (Vp) 04 Other—Type of Building ---------------------------- No. of persons........................__.. Showers Cafeteria Other fixtures ....................................... b4 1;Yr, --------------------- Design Flow............JIQ.......................gallons per I)er-wn per day. Total daily flow..................C-206-2............. lops. ' i�0$1 1-0 P4 Septic Tank—Liquid*capacity.1006.gallons Length.5�6.. . Width..4...t Diameter................ Depth..4.......... Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.....................sq. f t. Seepage Pit No.......t........... Diameter....bq.LV.". Depth below inlet-_- Total leaching area..:.261...sq. f t. z Other Distribution box (P-� Dosing tank ( ) 4 - 'd-,21j..........I........ .114 Percolation Test Results Performed by.a-e__,.6 i1PV,91'?6171. dhi.2d.�r�.... Date......il 3,'2/74q............... ' C f 0-� Test Pit'No. 1014W.2minutes per inch Depth of Test Depth to ground waterAk'im_.4z4!K_f 1-4 rZ4 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to groun ................. N OF ............. ....................................................................................... .. . ............ 0 Description of Soil....Ge.'e—j?) Aenx ... --- .. . ......... ----------W g"' ..it 0 _.MnKECHX1E._- -147 U Ws;��&ehv aff ifable--------------------------------------- No. 04 .......... . ............. ................................................................................................................................. . ...... Agreement: N The undersigned agrees to install the,aforedescribed Individual Sewage Disposal System in c r ance with the provisions of T IT 112 5 of the State Sanitary C We—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the b-oard of 1jealth. Sign S 4 ............... ................................ ( .... `Application Approved By...... Date Application Disapproved for the following reasons:................... ............................................................................................. .................................................................................................................................. ....................................................I............... Date PermitNo....................................................... Issued....................................................... Date -4 THE COMMONWEALTH OF'MASSACHUSETTS B(?- RD . . HEALT .....,OF........ : .. ...... .......................... Tatifiratr jot Tom i na THIS IS TO C TINYThat the It io' dual Sewage Di tem constructed or Repaired Repaired by yy- ' - ) 01 , ' , .......... .........' I- - ro . ... ... .. ..... .... .................................... Installer ......... ............................................................................. at........... f T. has been instilled in accotdance with the provitions f I T 5 of The State Sanitary C9de as-descfi ed in the 0 A ............ Works Construction.Permit N application for Disposal ...... .............. dated THE ISSUANCE OF THIS CERTIFICATE SHALL OT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL PUNCTIOW SATISFACTORY. DATE; - --- ------- InspectorZ THE COMMONWEALTH OF MASSACHUSETTS BOARD Q I- HEA..4W V.. ........t............... ............. ..............OF............ . ................................ No ........... FEE....Zin............ Disposal Work T nstr n ram Permission is reby granted..... .......... ................ D to Constru& .Kor Rpair, pn Inyl i ual Sewage isposal Sy r___ A at No...- ......2Ae ._a4e-L.;Q.... l Street�_ J I � 0., Dated..._ as shown on the application for Disposal Works Constriiiction Pir t ............. ............... r ........ .............. t* ------------------------------ B.ard •Pf Heali DATE---- ........................................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS j. te, A I L L t 7't gr�, '-tell:........... ------------ tL Lj'PEAS 0:-irk 'V&A Z.-41-W; Ir.7k - ,. . , .IN 4:, AL PRECAST&�O G SEPTtV r TA �ISEEPAGE -?PlTj�k 40 Iumi:,; En.1t,(T,� _SKE EUE VAT Irk 7. TWASHED Jh 0 NDATION TC' a u AtkCT 66' ......mlp Ct Vy N'KHOf Es i M I 'Ti F" t-0)L vT.j, i7 _Afar V Ll 47 7 .1�t",4L, 4�'t -V'4 C 40��'p 4 I6`2 I4-t7,h.v*A;A Illy,I loll�4r aw-7- V 41;SCH EDULEL P P_03L M 0 EDIt W'Min t '4N t'U V N DATI U- N V E s i I 9 T -SEPTIC 44K I'NVr OW-1 SERTACA"NK j r v!UN TO 93 !:C k, I;;BOX N4v-,;,-I'N'T,O�,l�D1,STRIBU7]-ON ON BOX� 43 T,IN 'SE-EPAGE-r'.011,'-T.7'r I -4 air, i�A.'TO M 4r�7 t OT� N 17-f* VISION�80STDN 4 3URVZYA,C0 N S,Ni ��100T-TOW �OF,` R D I S