The URL can be used to link to this page

Home My WebLink About0419 MARINER CIRCLE - Health i LO AT ION/`� CS(EEWIA G E 7FMIT NO- VILLAGE. 6 0 -To T- 1pIA s --f I N S T A LLER'S NAME i ADDRESS GUILDER OR OWNER Y151 WHO U 7-1Y DATE PERMIT ISSUED f DATE COMPLIANCE ISSU �� . .T PIS Co�4ws1 w 3 7 0v 13 A Y v✓ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH . L ®GU ................OF.........�Q/1/(]. .p._......__..._............._..._.... Appliration for Di-sposal Warks C antrnrtiun ranfit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ' ...� ":: 1............... ...................................... ........................................... .. - - -------••...............--- Loc Ad �_ / _ n �ly�or.-�ty�.N�o.�q .......... Own ' ..... { '^.. .../....I--------- f(��Ardates3oC/ �/�E .............. a � Installer Address ��tt Type of Buildings Size Lot._c�?� Sq. feet V Dwelling—No. of Bedrooms. ............ .......................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons........(V................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ....................... W Design Flow...........o,5,:5......................gallons per person ay. Total da' f�ow........ ...........................gallons. WSeptic Tank—Liquid capacity_/Qgal ons Length_ ... Width:. _:. Diameter................ Depth................ x Disposal Trench—No. ................... Width.._ .___.......... Total Length........------r-.Total leaching area..... sl. ft Seepage Pit No.--... ,�------ Diameter-------j�...----- Depth below inlet.-�3- Total leaching area.. .3_�._7..� . Z (" ) g ( --•---. ------ Date.... ..�� Other Distribution box Dosing to �7 Percolation Test Results Performed-by __.__... .__ - .-_.- .................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--_ -_,,_ryry fs, Test Pit No. 2................minutes per inch Depth of Test Pit................... Depth to ground water��ll�� P� ................. --- - ---•--•-•--------------- O Description of Soil-•-•-,(�-,0 - -------------............. - - �� U -•-••-•--- - ----- - ---- W --------------------------- •... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ -•--------------------------•-----•-•-----.....-•-••----•-----------.....--•-••--------••-•--•--..........-------------------------•------------------------- ------................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewa Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Co The undersigne urtlier grees not to place the system in operation until a Certificate of Compliance has bee sued by the board iealt Siged---.- ........t.. .. . ... ---- ..... Application Approved By.._ = z7/.�....�/ -- ................................ ate-----�--. �V�....... Application Disapproved for the following reasons--------------------------------------------------------•----------------------------------------•------------- ......................................................-.................................................. ................................................................................................ Date PermitNo......................................................... Issued....................... ............................ �*•f.-mate No 4 391f? Fus..�J..d............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1E 'r' J i r �C� k_ OF....................................... ................................................ , ppliration for Disposal Works Tonstxnrtion Errant i Application is hereby made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal System at 1514 ILocation-A_ddress or Lot No. ...................... -_..._J ........ ....................................................... ( -' 'T -•-.na a W owner dress `....................f:............-•--••--•--� ..... ............................... ........... ................----•-Address ' Installer UType of Building Size Lot..... .---31/.-Sq. feet )-. Dwelling—No. of Bedrooms.._.____. ------------------..........Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building .`:�': _.___ No. of persons.......�................. Showers ( ) — Cafeteria ( ) � Other fixtures -----•-----.-- W Design Flow................ .....................gallons per person per day. Total daily flow___....._..... ............................gallons. WSeptic Tank—Liquid capacity.Ar! ..gallons Length .. __._ Width.l�F(y.._.. Diameter................ Depth................ x Disposal Trench—No..................... Width............ Total Length.................... Total leaching area................-:sq. ft.A �- Seepage Pit No..................... Diameter.......2........ Depth below inlet- ....... Total leaching area... .....'....sq t. Z Other Distribution box (1) Dosing tank '~ Percolation Test Results Performed by........ '................................f................< ....... Date..................,--------------------- Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground.water._'.) ........... .__. 14 Test Pit No. 2._...•......•...minutes per inch Depth of Test Pit.................... Depth to ground water I _.�!�_._r__,. a ••----•----•--•-•-•---------•-----•--•----••----------•---------------------•---•----•----•-•-•----.._........---------•------•...-•------••••--•••-......•. O Description of Soil.-- r_........................a__,...:.._.... 1/fc t.` ........11 .. UW ...--•---•--•----------------•-••----•...•-••---• ------------.. -----.......`........---------------------------------------------------------•----------------------•------------•--------------. 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 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 issued by the board of health. Signed--------------- ------- ' - ' ate Application Approved BY... --' % y s`! ------------------•------•-- ----- �'ev Date Application Disapproved for the following reasons:------•-------•----------------•-------•----•----------------•------•----•-••--•---•---•-- -----......._------ .....................•--•-...----....---...----•-----•-------.....----•--•-••-•------•••-------•-------•-•-•----------•-•-•-----------•••----------.................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH , ....................................... ...................................... / TratifirFatr of Tuntpfianrr THIS IS TO CERTIFY/That the Individual Sewage Disposal System constructed (,><) or Repaired ( ) ........ .. .._ / Installer` has been installed in accordance with the provisions of "' P 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N ------------------ dated................................................ THE IS.SU E OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE A GUARANTEE THAT THE SYSTEM WI CTION. SATISFACTORY. r/� �j DATE....,1". --•---•--------------•-•---------•--••-------.---. Inspector............. -- --•- � = - THE COMMONWEALTH OF MASS CHU ETTS BOARD OF HEALTH r f(� r.)�. No.. �e FEE........................ Disposal Works.,(1111anstrudinn rnmit � Z ^-•.........................................................•.. Permission is hereby granted....................... .----•--•---......-•----.....----------•--•---- - . --- to Construct O/) or Repair ( ) an Individual Sewage Disposal System atNo l ..................................f - ' ./ .:...... Street ' as shown on the application for Disposal Works Construction P mit No,.�.................. Dated.......................................... DATE......-....................,/._----Z..�'/��'-.-••--••--•----- Boardealth FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS AL A MI l IV 4� .! ��.,:� 1 i.4" c• 1 1 n, 4 c r r� tTCfW1 `. t (l. ��. +., �`, 1 1 �� t , ► 1 . i� i �" t� " �"• .y 1� z- _ Uf..1 L.F'aR� c'"fT � FZ t IL o \ �� -- A �t PE S t ��.► _►t:� 1�_.l T f- 1 ► t 1 ._ , o rSC CoA,`,T t 1 CiC G)_ ALL. '_)F PT IC A�J k S, C 20 WALE �. �c�f+.�� JC-t IS ---` - - - - - - - _ - 5�-- eENbkIC Au- 0nJS(_)ITA3L.E HxrF_e1A.t.-_ 8e&3F_ATI-{ rJ � Tt-�E I�.►�1E2T E +/AT10►,iS o� L.E AGE E r.JE-� YrtS The A. 2A�OS o� 1 Ai 30 1C.Pt t 1L. l tTN C t*A`/- F1'1G1e ,),1 10 �►.a.i D' Gt �JEL.. C� arm_ �C�,2D o>r t-+F..A.� i -A UST - N .�'. �' � `� - Y�c i'JCSTt�a Ep �J!•4E�•_1 T��. �y STE M tS N�A2. • �• _� (� � ("'\1 ,(1 � `� c�0+�PL E-T`t d rJ 1�o F'E'_10� T� 6�C.�F•t u_.�►.a 6�. �,1 t o' i 1 J �1 Q (� ►..►St-A.L~I. .ar� lJ ►ttJ ® �.L 11J IaGG o2 tv 1C�. W t T1-� 'T t T t-E �Z o F Z�+E -STATE Y cooE ,s►.so ,sty Lc)c n„L_ re aV r�o� �.� a..sv I o 0o e TAP t cP.� t �no C�ac- . SEP r ic, T��k QF+ ZYP E A C. I-4 1 nJ C_. - S� I G TAB l Z 8y' AM E4z►GA+J Pt'Fc.P.ST ��e,t� CAR'- €C1 c�A.C.. . ►�1C'STT T�Aa..1 K5 iZ.E�..l�CGE(7 T1•iL'OcX.�N Ov-�- W�T>•-1 E��TZ.�G w El-CJ�7 �1�2E �,�!�T1-i I lA - '/Z" EMF3En�� c� �T t_ ;Zc»S �._� tiOTE ACCESS tofi." •+oL.ES Tn I ZS• .......,,-._....._ -�Or-, � e`�oTO�i;. <_.c�e�.k_ iS �OOn ps=_ T�-�:.T ��EF�T`�C -T�►.�� A�.1.:� uevL�-�-i,►..lGn PtT'S T t t�T ;P TO t Lt�1CNt � Lk� i1 / � i ,C. --�T:-_'^ _=�?'.�'._7-. ��;�.. -\��. \c.7-Jc•�,�-,-r-`y.��---- �5.- >-- r-,-- - �� ,,-,-.`-��ZY�f --- --- � `cc 0 J � 7' Yl�• \` ! r ='�- o . • ( Q p1,,lFoec,Eo ca sc. U1ST. 1� ° m O ® ® o (r) O ® O c jpck'3 �` ��E.f TtG T•�.�J k- e a EI.�V (eylr.,-G qpq �11 OIE�SEK,VAT kO t1 F'tT5 71 N ---_ rj C ' // 1 a o I F 'tct2C�� ..PST r C►�t �-r�7 2 /M til I l - -- � i• � - _ �, + cuoT -r_� sc.�a L�. I._..E A C N ►r.1 C-1 P tT O�SE�vATio� BOA2�=> n� HEALTH i - / G et,j c) ptopo,s e0 Pf? 0P05Eo5FE\dA9tE DISQOSJS .. S%JSTF.M _ ; - - - -- ___ -- -'-- r�Pc�_;� �otitTe-3St- L _ Z ,p � � _ `.`___ �.�` 'f✓i'�E e_ OF `3ED2�X'>M> � -;. �., �xsST- 5Po7 - ��.�✓ �•� , - �Ef�'�'�►..l e YES-'_ Y�ET7T�eaC,� '� �t � :'..e.. F��>P 5PU T- ��.�.'.� • — - - - -- _: - --- (--4ALL• -*JS PEDZ PEVSO►J eel?_ D^y m PEQ.C.c>t..A�i tnk_1 cST HoLE?� I L - LEAC�rti�G+ y �� r� Mn.t_ i;�_t C_. _ - i t __ �9x ' �.E��}le.�� .� '� �'�- � QgsE 2✓AT-t�*� ��ST" t-��..E �- � - M ASS tom- '5C ALE At, t.IC BATE - r � � c. li - i..� .� S„•�, � ��„� �� 1�C'� o l'kPL�tt 5 O>J ! �+. _ . .T T-�4 CS� ,.e,.�{�r,..1•'a�,'_• .,. Z4 6{Li �;i►...�',r„�1 ; ...� •.�. Z7 G!"►.1. /: NORM GROSS AN EtJGc t►,EE� = I�C 'M�.r� �r20SSw1Aa..�, VS. MASS_aid I ,. n.