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Home My WebLink About0090 NORTH PRECINCT ROAD - Health qD W � y� �(V\ _ 3d No..- .......--....... F.Es.............................. THE COMMONWEALTH OF MASSACHUSE`rT$ BOAR® OF HEALTH �QGtJ/ ................OF...... ,40/9I'r-,. .. Alipfiration for Di-spn, al Works Tnntitrnrttnn Vamit Application is hereby made for a Permit.to Construct (,1,<or Repair ( ) an Individual Sewage Disposal System at: C _ ,��OLW �.� � .r�/........P /_._...c... ... • .0T �_6-------------------�------------------- ... Location-Address ............... ............ 1?�l� L._.�P .C' .�/ --------------------- -•-----------------•---•---------.---------------------_-.. Owner Address '•---------------•-------------•-••---------............................ ------....-----•-----............................._----- --- Installer Address , Q Type of Building . Size Lot_2-0...0.�.40---Sq. feet aDwelling—No. of Bedrooms._........._-7.........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther fixtures -------------•--------------------------------------------•--•--•---------•---•---..__.._....------•---------------------------.....--•--•-•--•---- W Design Flow....._._._.te�...................gallons per person per day. Total dail 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....../----------- Diameter-------4g........ Depth below inlet.............. Total leaching area...Z.4®sq. ft. Z Other Distribution box ( Y_� Dosing tank ( ) aPercolation Test Results Performed by---- .................. Date...... .1.....- ,� Test Pit No. 1 -_-Z..minutes.per inch Depth of Test Pit... ¢1� ..... Depth to ground water---- ®'-------- Test Pit No. 2...<..Z..minutes per inch Depth of Test Pit... Depth to ground water..P;V.G!- VO__ •--•----------------------------------------------------- x - � �Sg.f...... . I `= - DO Description of Soil.... Ap _ 4 ._ UNature of Repairs or Alterations—Answer when applicable-------------------------------------------------------------------------------------------- ......................................................................................................................................................................................................... ---------------------------------•--------------------------------------------------•-••--•-----------------•-------------------------------------------•-•-------------------------------...----------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance wit" f'1T/'1'�- the provisions of :T t I L 5 of the State Sanitary Code—The undersigned further agrees not to place the system r". operation until a Certificate of Compliance has be iss ed e board of 1 ealth. e Y1g_2?'_._ ....- ------•. ..... .........Application Approved By------- ! .. V/' f- -ate Dat Application Disapproved for the following reasons:_:_ ....................... .................-.................................................•--------------•-------•-•---------...•-------------•--------------------....--------------------------...--•--------•-•------------- Date PermitNo......................................................... Issued....................................................... Date No..........41,11 FE-B ............... .......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF....... AVVfiraffou for Dhymial Works Towitruttion ramit Application is hereby made for a Permit to Construct (Yror Repair an Individual Sewage Disposal System at: ... ...........................!!4.<2/ ----------*-----------------------*......Location-Address or Lot No. ...............................................2 .......--------------------------------- -------------------------------------------------------------------------------------------------- Owner Address .................................................................................................. ................................................................................................... Installer Address Type of Building Size Lot.2,0....0.940...Sq. feet U Dwelling—No. of Bedrooms.............. .........................Expansion Attic Garbage Grinder ( ) 44 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) Otherfixtures .................................................................... ................................................................................. Design Flow___.______...�6� ...................gallons per person per day. Total d *1 flow_____.-.__._.__..... ......0..............gallons. WLiquid capacity/4�a.gallons Length-----/........ Width---- ---------- Diameter_.__:_""...... Depth_____..Septic Tank Z Disposal Trench—No_.................... Width____...._.._._._____ Total Length.._.________________ Total leaching area....................sq. ft. Seepage Pit No....:-/............. Diameter.___._._________ Depth below inlet__.._4�kP......... Total leaching area...-7, 42sq. ft. Z Other Distribution box'( Dosing tank Percolation Test Results` , 7:Performed by.... .................. Date-----.ZI........ .......... Test Pit No. 1..f��t..?__minutes per inch Depth of Test Pit._/.' Depth to ground water____--- ------ Test Pit No. 2_'5_.Z_..ii"inutes per inch Depth of Test Pit--- Depth to ground water__A-,-,*7.C2ke'C-�_. ------------................................................................................................................................................ 0 Description of Soil.... ------- ................................................................ ........................... U W ---------------------------------------------------------------------------------------------------------------------------------------------------------------........................................ U Nature of Repairs or Alterations—Answer whenPd plicable................................................................................................ ........................................................................................................................................................................................................ Agreement: i. The undersig'hW agrees to install the aforeaescribed 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 operatibn until a Certificate of Compliance Asobeen issued by the board of health., Sig A........ ......................................... ................................ :17--------------------------------- Date DatE Application A proved By........... .... .. 0? ............. ........................................ K Application Disapp roved for the following reasons:.................. ............... .................................................... ................................................................................................................................................................................................. Date Permit No...................... ................................ Issued_....................................................... Date T4E COMMONWEALTH OF MASSACHUSETTS BOARD OX HEALTK ...........OF........... .................. . . THIS IS,"TO-C RT FY, That the Individual Sewage Disposal System constructed (/<Or Repaired by--- ...... .... ................................... .... ---- -------------------------------------- -- -- ------------------------*------*------------t li" ------------------------------------------ at........4 ....... - ...... --- has been installed in accordance with the provisions of T 2 5 o4he State Sanitary Co aydescribed in the sal Works Construction rm 6 application for Dispo it,N THE ISSUANCE OF THIS CERTIFICATE SHA OT BE CONSTRUED AS A GeARANTEE THAT THE SYSTEM WILL FYOCT)ON SATISFACTORY. -t DATE............. .................0 ...... Ins ec -------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS ^r " O c�- BOARD OF MEALTHAj r C, �......OF............. No ...... FEE...lye........... Permission is hereby granted......m, ....... ------------------------------------------------- ...................... .$ .............. to Construct j-16irlRepair �/njndwidual Sewa gelsp al System Y s,( atNo..__ .... ... ..... ....................... Sec, as shown on the application for Disposal Works Construction Per tnit-'X --- Dated.... - ------ Dated_.__ .Z------;2 1.4SE # ------------------------- ............. DATE---..I................................................................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS ,w -+ - ---..__ _ _ _ _ - --- T-- �2 S'c_` + 'r,ST, d�.DG• � 40 34Aj � 3G.A5 3G •..- iooc^d , .f •.I :� f�`t- ' . - --.-- _ _ _ __ .__ W _'7�_c-4 __ ..._ __ .,..L._ _. - 32 06 . f - - -- -- -- -- e X,St,h 9 qr-0vncl Pr-0 f le 5ckYL P 40 �� Ore - -- EQu�L To 56-Pr/G � ,-r,,r7,I„um %4 der oot � washes' Stone r/ cis_ T Box I - - 6" o � O • • 1000 6AC_. SEPT/L TA/VK Of 14 / SG ALE jqGE � G T H P! O j 3 S to /�// \ •O a Q qo All t3EGA2OO/'z'i H ✓SE i;., f� E /- /�_ / TE5 r B7- -7 0 SPo5Gr G. .e A T E- 1 L- 0 4V 'oe A T E - SO o G1191S./0,09 -- --+- -r` C' , � �. u: �. --- .-- • S E-P T! G TF-I JV f< �3 G' x ;' S �J 3q�o �.... .. --__._— TEST HoL E # / TEST HOLEz `# 1 4 -- _ �. � � � ,1• u '3 . - U 5 E •- /COD GAL =''9 il./ .. _ ..3 �.3_ __- G_� 4 C -- \` L -,9G 40' EFL. O/.q �_' S 37.3 sU8S0/� 24 38. D Svf35�7/� 00 � ► _ i GAGS�OAY 38 a BOTTOM �G? S•F � i • O) _ �6! 3g�- 7-07r9L - 457 2 ILL EAGH F�/T MED• ` Q SAND 1 - /l./O I.JATE,P- /VCpG�/.J7 S G. LN G 6=7 / C.. /9 /ti/ Slowly o/v TH� s �� 4ti pow S Foie GOAJFO�E'M 7-0 THESET- BAG.4e OF 7-HE- 7-0441N O� cH J `HB G Er.J TE,� iJ/L-L E, MFiSS. SLOG. SETE5.9C � iE'E-QU/fir-IE-ME-A./TS Pie E P/9 2 EO F02 itH OF MAs �' ti oar EVEaUr H. y�� S G A G_ E• : R S S H o w A./ O /9 T E- EVERC I 9�s HINCKLEI!H. n,16 $ No. 1787 S^ HINCKL S / / �� / V ' A➢�1 ISTV 4k��STEv ypQ / yF-� ,eMOL/ TH , /1--7195S. 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