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Home My WebLink About0026 SNOW CREEK DRIVE - Health 26 Snow C - - Centerville A= 307 —209 1 m i y I o � o o UPC 17734 0 Now R 'Rr�aa�+`" MAGTINas.ON ASS�O I S MAP NO. 07 PARCEL LD N5w SEWA E - PERMIT NO. V1LLAPE � N --2= %6 INST ILER'S N i ADDRESS d U I L D E R OR OWNER N E DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �, r d \ e � ^� �: �' o � \ —� l�l�� a i �I / �� ASSESSGr.MS MAP NO: PARCEL NO.: .....- THEBOARD ALTH oc Fu cSA;HUSETTS .. • ° U - .............OF. g . �„•........................... A liratiun fur'Uftq uittl Works Toustrur#inn ramit 'Application is hereby a e forjamit to Construct �(,) or Repair ( ) an Individual Sewage Disposal System at, ........... .. - � .� f.......... ................. '--��---...-----........------...............................-- - c io Address or Lot No- ..--•-••••....�.C_ .Y......... -.. .-- --•------------------------- ........ .................. Owner W ---•-•---- -- �---.. . _.. • -----• J.-• .� ••-•-....._ � ... .1�_.... i s ,-1 � Installer Address d Type Building Size Lot.................... ......Sq. feet U Dwelling—No. of Bedrooms___.. ................................Expansion Attic Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other ur W Design Flow...................... ......................gallons per person per day. Total daily flow........ ......................gallons. WSeptic Tank—Liquid capacity/4404' .gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. ---•-------•-------- Width.................... Total Length......._...._ Total leaching area....................sq. ft. .... 3 Seepage Pit No....... ......... Diameter...... ...... Depth below inlet...... .......... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank � r/ p� ~' Percolation Test Results Performed by............... l r........57w. .AV911--......... Date........��.}�..z_.. .... �._T-. `�a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground wafer,-.._.. __.! 934 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•-•-----••••-•••---•---••---••------•.....................•--- -----•-------•---•------------..................---------•----------•••.........••-•.••--- 0 Description of Soil...................................................................................................................................................-----•............... W ------•-------•-•-----•-------------------------------•-..--- r- �.....-- tt --¢ • U Nature of�airs or Alterations—Answer app ble_.__ �_f ... ..fl___..._' ' ../_!._@.__.....1. �1.�,.,`. Agreement: / f The undersigned agrees to install the afore escribed Individual Sewage Disposal System in accordance with the provisions of iITIZ4 5 of the State Sanitary/su he ndersigned further agrees not to place the system in operation until a Certificate of Compliance has bey e Signed•---- ....... ...........3 ; ate Application Approved By........... ... ........ ............. ................. -•----•-- = � a _. Date Application Disapproved for the following reasons:---•--•--••---------------•--•--•---------•-----•--•--•----•--.-••------•-----•-------•-•••--•------••••-.... -------•----------------- ........ •-•----------- •--------- --�-------------........_..... ------------------------------------•---------------------------------------------------•--- Permit No............ --- Issued..........................................Date------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE t -� ....----- -r9:�.XJ.............OF..... ... ------..� ............................ Appliration for disposal 1911rks Tonstrurtion Prrutit Application is hereby made for a Permit to Construct k.or Repair ( ) an Individual Sewage Disposal System at Z/v,- �. • ...? S...... ........�`�-..1...._ `�a- ......................................... ,,�.- C ion ddfess . or Lot No- .. ... ads .._...... . tX ... .�f -- .-Jt ........-...... Owner a ....... _., ot ........... d.... ...... ' " .......... /t J��' ........ /Q_�........ }.._� .......... Installer Address 7 J Type -Building Size Lot..............................Sq. feet U Dwelling—No. of Bedrooms...... --------------------------------Expansion Attic ( Garbage Grinder ( ) Other—Type T e of Building No. of persons............................ Showers G-I YP g ----•....................... P ( ) — Cafeteria ( ) a' Other r .. ------ ------------------•----••-----•-------------------•-----•-•---•----•------------------•----•-•-•-.------- Design Flow........................:...................gallons per person per day. Total daily flow........-.��_...�'-�..4...................... gallons. Septic Tank—Liquid capacity/gallons Length................ Width................ Diameter................ Depth................ Disposal Trench-No..................... Width.....:.............. Total Length.......... Total leaching area....................sq. ft. Seepage Pit No.......�.......... Diameter....._n..1..... Depth below inlet..=..I........... Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank . /24 Percolation Test Results Performed'by.--- ---. .k----... `rd st .......... ..... Date 4 a -- ._........ --........ ,.� Test Pit No. 1. ...............mmutes per inch Depth of Test Pit.................... Depth to ground wa er,._.__. __ Y.�.. `o NiP Li, Test Pit No. 2................minutes per inch Depth of Test Pit...................: Depth to ground water........................ P4 ...............................-............................................................................................................................. 0 Description of Soil..............................•--....-•---•----------•---•-------•--•--•-........---•---•-------•-••---•---..........------•--•-•-•-•------=--..........--.._._......... W ••---•------------------------ .....................................---------------------------------•--.--•---•---•-------------•--••----...---••-. .....-•--•-............... _...---- r"` ._....�,�.---,."". VNature f airs or Alterations—Answer app�i bier F3L__...' f'.._!! "._..__.__t1,.4 �n Agreement: The undersigned agrees to install the afored scribed 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 been issuedby t'e b 4health. Signed-----. . . ..- • --._ . .=4?...................... ---�...... ...... ...: � . �. sue• n to .. Application Approved By......... b 'l"' -'' `"""z - 1 e Date Application Disapproved for the following reasons:.......................................................................................... ................. ...........-•-•------•--------•-•----•................................••--•-•--•---------•-•-••----•-------•••-:.......---...--•--•--......--••--------..............-------•----.....------......... ..�..... Hate PermitNo................ ••.. .._ Issued---------------•---... - •--........................ ........... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF 'HEALT H ...............OF.......... ?191v "... .......................... Tntif iratr of Toutp t!t r TIV S TO4"T1 ha 13e F eiz�al-S g i "°S=ste s ructed or Repaired ( ) by--- � j ... G ........................._.... Ins aHer» at.............• :::::3 ------...... ......... � � .- ------- ---- - ----------------------------------------------------.............. ............-------- has been installed in accordance with the provisions of T 1 F ofT he State Sanitary Code as descr ed -n the application for Disposal Works Construction Permit To.._..._. ... .�._..... dated------- � ._1� �......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SAT FA ORY. DATE............................. -� .-- ------------•-••-•--- Inspector................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOAR. DT_9 HEA ` ................OF........ ..Pr/��s'.la ... .�....... ............... No......................... F .......... Disposal sal Pliks/Tattstrurtion Vrrutit Permission is herebyanted............. granted - - .................................... ...................._.. to Construct 4 ) r Repair ( ) an Individual ewa a Dis osal Sy� atNo.............F.'=�?. ... ' ....... T ------- ................................... Street as shown on the application for Disposal Works Constructuan-"'emt.- o.. ..,y}, _- Dated........ .....-�... r,,............ r ..................................._ B may_ oard of Health DATE............. ' ', ........•--•-•--_-... ........._........................... FORM 1255 A - SULKI ,ZINC., BOSTON _ d F . OLD L.0 IrA Y' 1.::Kip _,y; "�I►..1,G-t-L..E. t'/�`p�t�.� — �C��D�C7Q1�,� __ 'i b:Z.1� ...__.. %jF��. ._._ . 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