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Home My WebLink About0090 CHERRY TREE ROAD - Health qO e,4 h?r�y Cf�,- 7 v I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............................OF....................... ............................................................. Apphratiou for Mipaiittl WorkB C ouBtrartiou unit Application is hereby made for�ermit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ( � _ _. ...._ .....��. .. "``w`-1(. ..5............. . . L�. �--t= .................................................. Lola' Address ' or Lot No. 4 . v __ _.. ......................S ..... .. ...._..._.........._....._...................... �'`� Owner - ry r--. Address Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms._.._._3...............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures .----•--•--------------------------------------------............................................................................................... W. Design Flow............. ...................gallons per person per day. Total daily flow........ _ .:.2.................gallons. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. fi. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.._...._._.._........... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... G4 -•••------••-----•-------•...._....-•-•........................................•--•------•------............_----•.............--• ••-••••••••.._.----_--•-- 0 Description of Soil.........................................................-------•------•--------...-----------------------------------------------...............-••--------•--•-•_.... W U ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------••---•--•---•. x •---••--•----•----------------------•---------•••••-------•---------•------------•-••-•-•---•-•-------•-•-----•------•-----------•-•-•------•-------•---•-•-......--•--------•......----•-. U Nature of Repairs or Alterations—Answer when applicable......... ............ L_ .._...V.7 AP...... 0--_----_e fir;-S.-T k'!�------C S C""!�_c_ - ------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Complian ued by the hoar-d-of_ ealth- k a a >gned - .._..-•-. ......... .• •_ ..._. ........ ............._.. �r - at w Application Approved BY ••.--•--••• -•-------••.................. .......... Z-� __ tate ............ Application Disapproved for the f ollo g reasons:......................••-•--------••---•-•--•-----------------•---------------...............-----..._•-_---•-- ---•-••--•----------•-----•--------------•--------•---------......_...._._..................----------------•---------••-•----...------•------•--•------•-•-- --••--------. Date Permit No......................................................... Issued-................................... - Date „_ ; No................-....... Fizz............._....._..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ............ ....................OF........................................... Appliration for %Vasal Works Tonitrur#ion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atCC: (� ................_..l..�7........o:`L v V,y.....S. .__....._...._ > C ............_._......................_... .. ... ----•__.. Locati Address or,Lot No. ---—: Owner`"”- Address p Installer Address d Type of Building Size Lot.................... ......Sq. feet Dwelling—No. of Bedrooms.•.....Z................................Expansion Attic ( ) Garbage Grinder ( ) a'4 Other—T e of Building No. of persons............................ Showers YP g ---------------•--••-----•-- P ( ) — Cafeteria ( ) dOther fixtures -------••-----•-•----------------------•---•----------.•-•--••-•••-•-•-•----••-----•-••--••••--•••••-•---•-•---•---.....•-•--•-..._•--••-•-••--_------ W Design Flow........... ------------------gallons per person per day. Total daily flow.......�7__ _C ....___......._..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.............._..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) IH Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ pr.1 Test Pit No. 2................minutes per inch Depth of Test Pit..........-......... Depth to ground water........................ P4 -•••------••-•-•-------••••--•-•-•••-•..............•••----....•--•••-••.........-•-••••-••••••••-•.......................................................... 0 Description of Soil..........................................................................•-----•---•-•-------------•-------••------•------------------------••-•••--••••---••-•------•. x U .........•-•--•--••--•-•----•••--•--•••........•••---•-----•--------------•••-•-.....---------••-•••-----•......•--•-----._.......---•-••---•---••-•--••-..................--•------•-•...•--....._...... w ---------------------------•-----------------.--------------._.....------------------------------------------------------------------------------------------------------------.....---•---•••--•-•_.... x Nature of Repairs or Alterations—Answer when applicable _'�•..k ._......... '.�? �- • � S-�C K U P PP r W ; C7 r s w .. e [`s I_ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of TITL% 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Complian s-been--issued by the board-of-health. igned....... ............. -7-- Application Approved By...................... ...............C` � i �- 1"! ...............•---..._ _...._....-•-•-••• ...----•---•- Application Disapproved for the follow,• g reasons:-------••-----------------------------------------•--------....----------------•--••--•-••••--•-.............._ -•.............................•--•-•-----._.........••••--•---•...... ....................••-•-------•------------------...._......-•--•-•--•--•------•--•-•----•-------.._.__.._..- --^•---•--- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (Irdif iratr of Tontphattrr j THIS IS TOL5RTIF,Y, That the IncIividual�Sewage isposal System constructed ( ) or Repaired ( ) bye..........._�U................................................, . • ' .`.'�� ---------•---.._...._....._...............---.........--•-- -----..._ Installer_ -- e--------•has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION ATISFACTORY. _` l ............................... Inspector Inspector.......�•-�--•------••--•-_----.. DATE--•-•---•••••--•-._....•• - r THE COMMONWEALTH OF MASSACHUSETTS BOARD ,OF HEALTH .......7.. ........OF `'t` v �,\, SA t2_ No...... . ..:...�.� ....... ................................................................... FEE........................ Diopil ttli Works Tono#r tort Vamit Permission is hereby granted_ i. ..................... -- ... - -............ -•----.......................----- _---- r to Construct ( ) or Repair ( an Individual Sewage Disposal System_ _ at No.........................2 1-) ........ .�.!eF.._....5- '•..- J ' - ..... ••-• --- Street _ as shown on the application for Disposal Works Construction Permit No.................� __ Dated.._..__. L GF ......A..----...... �'y DATE. /___ �_ h �- .............. Board of Health FORM 1255 A. M. SULKIN• INC., BOSTON LOCATION � SEWAGE PERMIT NO. VILLAGE COTU k-T INSTALLER'S NAME i ADDRESS B U I L D E R OR OWN ER M i DATE PERMIT ISSUED � ._ .2-7 _ 6 DATE COMPLIANCE ISSUED C 2� . ji)(0 39/ MOO GAL C'P£CAsT PtT N lEv j bep GH-L ('12t,°CH51 �iT No..-1/44 Fwic 2....... . THECOMMONWEALTH 0 OFc Ts BOARD HEA TH Z� ..............OF ...... .. w1 G`e 1YYY/ � Appliration -for 130patial Workii Towitrurtion Putuit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal �( System ------------' .......................---------------- Loca n•A ss or'Lot o. r O e r 1p C4 Installer Address Q Type of Build' Size Lot__��_�a S_-___-Sq. feet Dwelling YNO. of Bedrooms-_.--_�............................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtur W Design Flow.................. .....0.. gallons per person per day. Total daily flow...........,-- ..............gallons. WSeptic Tank L Liquid capacity/ -gallons Length---------------- Width................ Diameter................ Depth.-__-___.--_. x Disposal Trench—No ____________________ Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No.......... ........ Diameter-------------------- Depth below inlet.................... Total leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by--_----------_- ........................................................ Date...:------------------------------------ a Test Pit No. I________________minutes per inch Depth of "Pest Pit.................... Depth to ground water-..---------.--.--.----- �14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water--.-.----_------_---___. P4 ...................... 0 Description of Soil--------- --------------•--••---. ----d -------- t........................ •• - ------------------------------------------------ x W 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bees issued by the oard of health. Signed +� t -------- ---------------------- Date Application Approved By--------- ..... . .... 7� D�fe Application Disapproved for the following reasons:-------- ----------•-----•--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued........................................................ Date 1 No..A// ----- THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEA TH Y , ppliration -fax Bhipoiitt1 Eorki,.Toniitrurtiou Vrrnift Application is hereby made for a Permit to Construct ( or--Repair ( ) an Individual Sewage Disposal SyStem9Y _. ................. ..............- Loc A ss - o i� o. ..._. • a O . --•---------------------------•--•-- I r Installer Address ��sw Q Type of Buildin w Size Lot._ �`__..............Sq. feet U DwellingvNo. of Bedrooms..._-. .......... ...............Expansion Attic ( ) c Ga.rbage Grinder ( ) aOther,—Type of Building : ----------------------- No. of persons.-,--------------------------- Showers ( ) — Cafeteria ( ) P4 Other fixtu Q -------------- -------------------------------------•-----_------- g ... .::_.._._ ..gallons per person per day. Total daily flow-_--------. . .... : gallons. W Desi n,rFlow- ---------------- �"'�...----------- Septic Tank L Liquid capacity� _gallons Length-----------------Width.__..___._. Diameter----------------- Depth---......_-..... xDisposal Trench—No -------------------- Width-------------------- Total Length------------------_ Total leaching area-..----- ----------sq. ft. Seepage Pie-No---------/.:...... Diameter-------------------- Depth below inlet..................... Total leacling area------_-. .._.sq. ft. Z Other Distribution box `( ) Dosing tank aPercolation Test Results ? Performed by------------- ....................................................---- Date:--.t_---_--------------- ----------- Test Pit No. 1..................minutes per inch Depth of "Pest Pit.................... Depth to ground water-------------;..--..---- (_, Test Pit No. 2........:_a`..--minutes per inch Depth of Test Pit................:'•. Depth to ground water....------._...-_----. ------ Ofi .. - .....-----_•--•----------------------- x Description of Soil .. ""V 1� -*----W -------- ------------------------------- V - = = = W r -- UNature of Repairs:or Alterations—Answer when applicable----------------------------------------------------------------_------..:----------------..... Agreement r The undersigned agrees to install-the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be-=issued by the 12pard of health. Signe �..: . ---------- ------ ' - y' A lication *Approved B `� �y Date te Application Disapproved for the following reasons:........................ ............ ....... ........ .. ......... _..___..:_ -------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------- Dae Y Permit No.......................... ,. Issued.............. a Date IV,21 a ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF- HEALTH OF........ .................... virntifiratr of f"ontVlianrr �THI IS CE TI he;ndividual Sewage Disposal System constructed ( ) or Repaired ( ) bY� -- -- ........................... - --- -----•----------•--------------------------------•-------.......... Installer at... / . /,... - ----- ------------------- has been installed in accordance ith the provisions of Article XI of The State Sanitary od 'as scri ed in the r y application for Disposal Works Construction Permit No...-..._...!yf.L................... dated-.*/. --------------.. ` TOLE ISSUANCEjOF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL tqN,CTION SATISFACTORY. y DATE. r Inspector - . THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALT 4 , ..................O F. . :. w // � . �i� >�rttt o LIT, n � rxutif Permission}s.h.ereb ranted.._. ✓- ------------- ...... TK ....... - to Constr ��,or Rep ' ( ) an In -to Sewage p .al, Sy oe at No. .....-•••---7------ -_-r =isposlal'�orks � V/�('(/� � ------------ - ----- Street as shown on the application fo Construction t No.. _ . .®rd'/bi] ated_. ........ Health DATE--- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - r r : _I. TEST- T,I � , F - - --- ° - ' _- LF Roors i t i Q 'g ;DECAY S W vp + PRoP s � • ; --- � - �-- -� T � -- --�- ---� �LL�----- - -r-,- -- RAC �®' - --- - - - I - - - --=--5°►- -- -- 1 I---� Y �r R ✓E r --� - S O' - - °�' t 3 - 11 6 - IFHT l3,�ow M I • S I I � t 7- , I , I ArL i i �C I - USE I 7�/16011 CFa,LhR 1— :— �I I P IE R¢o�-.4T 1 o t� ! ; I i -- - — — - - - - o-c. TG orb-_ot�S_ p ► S_TFi - - { - I � T J-7 _1i -T i ----- ' - - +--- -�- -- -I----- --- -— -- - - -- -- -- i 0_€k R!X__TIE E ?o�D Ic _ 3 viF� C 0 T v I T -MA_ �-• � i W_Q�W�l�r '`A Ss 0 IRO rt- -tf_ I �- �t} PI RSON 1PA � A9 — - K �_ ... I i I i I I 1 1 � , I ; - i 1 I � I I _ I I i I I ! I i_ I L ; � I I I -- -