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Home My WebLink About0015 WARREN AVENUE - Health J LOCATION SEWAGE PERMIT NO. VILLAGE ,ay14-n i S I N S T A LLER'S NAME i ADDRESS R U I L D E R OR OWNER lb t If SEE DATE PERMIT ISSUED D A T E COMPLIANCE ISSUED K�� -.,._::: G ii r i// �� i � � // i .r, / t. �� T / """ � \,\� / �� l /~r_ � m �� I Sal' N. Fs. ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....",l.. ...................0F..ejJ 4..:.-i�r�� ........................................... for Bi-qvu5ttl Works Tunutrnr#inn Frrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: uJ/+22 1. Location-Address or Lot No. r7-w� S f rr19-;-....................................... -- -- .....---•------•--------••-•----•-------•.................................... Owner Address ...... F-�...... �.AbL?4Y Address 6S7..... Installer Address Type of Building Size Lot./K!?!L`f.'..........Sq. feet V Dwelling—No. of Bedrooms_._...4-.................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building4/.n/-7/�._:C!f7-26.yo. of persons............................ Showers ( ) — Cafeteria ( ) Pa Other fixtures ---------------------------------------••--•-- W Design Flow...........................�................gallons per person per day. Total daily flow__._4.40 ......................... WSeptic Tank—Liquid capacity/ ?!;!.gallons Length_..M..._..... Width....4•`...... Diameter------ Depth.. �-.!"_- x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......?.----------- Diameter......... ....... Depth below inlet............... Total leaching area...�!do.....sq. ft. Z Other Distribution box ( )C) Dosing tank ( ) Percolation Test Results Performed by. .4. L..C,ls'E-.. ! Cj! ! ''�!! 1.. Date..!2- '� ......__.. 0.4 Test Pit No. I...... .._..minutes per inch Depth of Test Pit.... Depth to ground water,.4424'W.....__. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ix ..........-•--•-------------•._.....-----------•-•--•------------------..............-----------------•-----------•---------..........------................ 0 Description of Soil.... ` T�.------ "! W V -•-----------•---•---•-----------------•--•---------•---....---•-----------------•-•---------..._..........--••-•----------•••-•------••--------••-----•-••--------•------...----•---...------------.... 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 iITLi: 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. D to Application Approved By................................• :. - Date Application Disapproved for the following reasons---------------••----...-----------------------------•---------------------------•--------------.......----.----- ------•----....-•-•------------••---------------•-•-•-----••--••--•..........-----------•--............-----------------------•-•---•-•--•--••---•------•----•---------•----•-•------••-••-----........ Date Permit No......��_ 1_`.��-.-E�- --•-------. Issued -•---- - Date No�6..�-� .�. g z' Fss.— _��.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................:........................O F........................................----.--•--......................._....__......._. Appliratiun for Uiupuuttl Works Towitrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: •� �� Location Address or Lot No. Owner Address >. Installer Address Type of Building Size ..........Sq. feet Dwelling—No. of Bedrooms.......4............:....................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures .----••-•-•-•--•-•-----•---•-•--------••---...--•----•-•--•------•-•--....--•--••-------•--...---•-----•-----------•-•-••................••-•-....... W Design Flow........................=' ...........gallons per person per day. Total daily flow..... 40.............................gallons. WSeptic Tank—Liquid capacityls�-?.gallons Length..L......... Width....�'...._. Diameter.....-"":...... Depth... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......?_........... Diameter.........4Z...... Depth below inlet......-'-¢:.......... Total leaching area..�a�?.....sq. ft. Z Other Distribution box Dosing tank ( ) '-' Percolation Test Results Performed by._::L4_._. °!"....t'=''' i!'�!_= �! : :. Date... /.._...__. a Test Pit No. 1.._...Z-.....minutes per inch Depth of Test Pit... ' ..'_. Depth to ground water.'��.i° �!......._. G74 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ...r--------•--------------------------------------------------------------------------------------.................................. -....... D Description of Soil... ?....' }! .........// f:^n .�; "'- '` ''...---•----•----•-----------••--- U •--•••.-••••••-••••••••--•-••.........................•----•--------------------•............-•------------••-•••---••----•••••....--•-----••---- W x ................-....................................................................................................................................................................................... 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 TITIE 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. r __-Signed•-•'-/........ = ........ .---''•�...-•--...•----•..f.--•- ................................ /�� / Date Application Approved By.................................... ___- .Z:l' K✓/ ....-�• ...............•----•-- Date Application Disapproved for the following reasons--------------------------------------------------------•------•---------------...-•---•-•••---•-....._......•-- ---.•.•......................................•----•--------...-----------•-------•-----•----------.......•-•....-•••-•-•••--•-•-----••-•-•-•••••...--•••-•••---•-------•••----•••-•••••......--•--...--- _ Date Permit No.------ -......--..->::.I.. -•---•----•-=------------- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........OF..................................................................................... f9rrtifiratr of Toutplitture THIS IS TOICERTIFY, That the Individual Sewage Disposal System constructed ( _),-or Repaired ( ) by................. UU c'' '�re" s- -------------------------•---------.---------.-.------------•------------_-.---.--.-----•------.----------•----•-•--•--•-•-•--•-----•--------------------------------- {� Installer at. �.•`^1 �`--i.a.�.!:�'f`-_�1 ::- --------------------------•---------------•---------------•---------------.-------.-..------------ has been installed in accordance with the provis ons of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__.{s.~-'-_!_(.`�: ....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIL UNCTI0 SATISFACTORY. DATE................ .�... . � ..................................... Inspector.--•--- ------•-------•-•------------------------------•-----•----•-••••-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - v ..........................................OF...................................................................................... -7---- No 2.... FEE. s,:.��.......... Disposaln Marko Tonutrurtion "pan it Permission is hereby granted........ . to Construct (V,�)-•ar Repair ( ) an Individual Sewage Disposal System atNo......J:=E�.....lAl kt?-.c . .....J.=.c....------.jid':Fpnn"5.........-------................................................................................ Street _ as shown on the application for Disposal Works Construction Permit No6 I.,-Ei.. Dated......�..��a/ `^ . ............ �j DATE.................. Board of Health --------•---. ..---•------•-•............... FORM 1255 A. M. SULKIN, INC., BOSTON 1 kv4,Y.,,A r ql; k zo,v Jowra' 40 � wide d 4'Pit T,F? I�.z r.. Q I i —lS� 100 tA 2-6 J J.P' /SUO J ,o •1 w l d tome , I _Pot 2 0/4 �.. r&oj i o�ed CJ t J9 p , 150 I N lP /7•Z c 1 # 8,61, Ccya C ,4nee rc� { Sketch. P44''o? Pand in Afanvu a, Na, ]o beru2i.a. Cate y 4 f �� F t -e i tot2. a s o{wwn•,on a ptan made joy ' f Jomiiiie.S':. 9,tonbetta iby wank Corgi , dated EI-S-8 t ?. :... Ceua.t i on a Qhown. ba a ecd -on U.S.0 dat w;t a i 1 is a • sl9eAtc. t"e2 .*4A Ph 1q ..-_ 4.7 P r. 9 c sd ! \ H Of Mq 'WILLaAM H. . I �p FA<DIE -J•"Y p No. 8995 ''II t ` ♦94�Y� IL