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HomeMy WebLinkAbout0092 OXFORD DRIVE - Health qa c j C LOCQTIWJ 5EWi!iC4E PERMIT UO. n - - - 3 _ _rso � IW &LL'ERS ADDRE5S BUILDER J �,5 V UIE DDRE 55 � /N Dla%'E PER"IT 155UED -g7 -- D A,TE COMPLI &MCE ISSUED : — — — w o AL � �d Q` i C' No.-••••-•�.v�__.. Fss... ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _.Town---------- OF..$.arPjPUb1V....................................................... Appliration-fur Dispooat Workii Towitrurtion Prrutit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: 0A ord••-DrlV.e.X-•-Mo ult....(King!.s...Grant-) ............Lot...?3................................................................... Location-Address or Lot No. Cha.rl z..R._Ea.atman---------------------------------------------- -2...Gle-M.-Rocs-k-Roa�l ---- test Harlw eh,---Ma. Owner A�dress a Falmouth-Excavation•-Contractors=..__inc• -..$9•-. ring•.BarA R t..___Fa1mouth.__.Mass . � Installer Address d Type of Building Size Lot----35-,-175......Sq. fe t U Dwelling-No. of Bedrooms------3------------------------------------Expansion Attic ( ) Garbage Grinder ( ) ;L4 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fiat re _____.__. d ------------------- --------------------------------- w Design Flow................. ..._........_gallons per person per day. Total daily 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.................... Depth belo inle ---------- Total Total leaching area.:__-.-_--._.___--sq. ft. z Other Distribution box ( - ) Dosing tank ( ) :01 �-e -/WJ'—%/ 7 Percolation Test Results Performed by---Alan...W._.._JOYIes---&...ASSO............. Date.-Maf...Ut.... 9-7T. Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water._.-__-..__-.._--__-_-- L11 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ �i — - f 1------ --- - O Description of Soil.4 �` i�'' x �� f � EL r a - �. = - ------------ ---------•-----•-•-•-----•-------•---•--..........---•-•-••-'----•---------- w UNature 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 NI 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. Signe Date Application Approved B � . -_ __ ___________ PP PP Y -�- �� �'be! � Date Application Disapproved for the following reasons------------------------ ...................................................... --••--------------•-••---•-••'--- -------------- Date PermitNo........................................................ Issued........................................................ -t Date ................................................ ... .................._............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH .......... ......OF....... ................................ W.I.prtifirate of fguutpiiaure T I?0 TIFY, �ltat the Individual Sewage Disposal S tem constructed ( ) or Repaired ( ) � Ile has been installed in accordance with the provisions of Ar ' f The State Sanitary Code as described in the application for Disposal Works Construction Permit No---- ___ --- ------------ dated.... `. :`.. ............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE®.AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................................................'----------------•••••---•... Inspector.................................................................................... i DOE -. - Fa�...........�t�+ 3x THE COMMONWEALTH OF MASSACHUSET.TS !tom BOARD OF HEALTH _. . _Town OF..Barns table. z ; ....---- pliliration lnr Bhipviitt1 Vvtki Tomitrurtion ihrhift ' =f Applicat bn is hereby made for a Permit to Construct ( I or Repair ( ) an IndividuaA Sewage Disposal System at: PXf©rd D v G4 u3t tin -'_: -G ta't)'... dot 7 - . 3 Location Address t or Lot No. Charles Ft o is €z .......................................... •2 era.- ?c - 3€a4 , x.,€ ---Fa-lw hs -ma a �'aimott th caner W xCa a.t oW.e9 contractor Ine . Add ;F Installer Address ' Type of Building I'. aT : . Size Lot_.-.15s1_75......Sq. feet U DwellingZENo Aof "Bedrooms-_.__3.-_-_ -_ -_-- x ansihn Attic Garba e Grinder — i P ( ) g p-, Other—TypeCof Building .................... _- No. of persons. ............... ,Showers ( ) — Cafeteria ( _ P4 Other firtt e ----- ---- ---- ----- ----- -----•-- W Design Flow .:.' _...:_ _.-_--. gallons per pel n per day. Total daily flow..._._. gallons. ? W Septic T aiik Liquid capacity gallons Length________________ Width......... ---- Diameter_._. _'nelith x Disposal Trench'h—No. ______ �idth._.-.. . .. __:_.,Total Length____________________ Total leaching area__,_: l. .. _._._sq. ft'. Seepage Pit No Diameter.................... Depth belo nle ....... otaj eli� ,.tre t - --_:___ stl it. � .. z Other Distribution box ( ,) Dosingb tank Percolation Test Results Performed_by.__Alatl �+"o__ J -C1F'a cRG A ¢ o............ Date.`:. W __.11n 1991 a __minutes per inch. Depth of 1 eat Pit ' Depth to ground w:t1Pr ,-1 Test Pit No 1 ........................ - r ri, Test Pik No 2____: __min es r inch Depth of Teat P- :}Depth to,ground ter G s 7 x ------------ -- W ` -•• ----------------- Nature of P.e airs or Alterations Answer when applicable _ ------- ----. ,________`__.._ __...... _............. ; n -------- r _ ... -- -- ---- - - •------------- - - " Agrefinent ? r ;The undersigned agrees 'to mstal1 rthe aforedescribed Individual .Sewage Disposal System in accordance with . yf r t w the provisions of.Article XI of the State Sanitary Code— The,undersignedYfurih&agrees<noti o place the'system in " opera ion until i•,Certificate of Compliance has been issued by the.board°df . . Si_ g -- ------------ --- Application Approved'By- /---_....._ .... p y _ Date S APPlieation'.Di§approved for the following reasons; •---------------------- .:-- -------- -- ----- ----- •------ ---- ; ....... ................... ............ t. d___----___-_---_--____--_---___-__---______ -_____ t t Date q PermitNo................................... ------- ----- � .�. Islued- -;�._`-................................... Date THE COMMONWEALTH OF,MASSACHUSETTS : BOARD F HEALTH . r OF..... ........ ..... -Tprtifiratr of f"0nty ittnre` _ t S T TI Y t the Individual Sewage Disposal yst m constructed or Rep fired ( ) bye... -- --- - -- -- ------ --- p: .. ..-- --•--••. -•--------------- at .......................... - -------------------- -------- ------- - -- -------- ---._..__ --•-• ..--•••- ••-- ---•••.•••••----•------- has been installed in accordance with the provisions of : r �P e State Sanitary desiess�ilied in the application for Disposal Works Construction Permit No --------- --------------------- dated---------- ------------------------------------- n �. T JE ISSUANCE OF THIS'`CERT4F;CATE SHALL NOT,.BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM` WILL FUNCTION SATISFACTORY: DATE .............. ----- .........................--------- IT Ir spetor- -------------------- ry ' THE COMMONWEALTH OF MASSACHUSETTSY fir BOAR• " O HEALTH .............. .............OF.................................... ..a.•-+"' No. FEE .;•-••••-- ........ K� , rrutit - P tssi is hereby .grante _ =' ------------- r ----- to C t pair' I S a e • at q - - _• -- -- ----- r-- -- - - { treet i.. e.�- as shown on the application for Disposal-Works Constructio' rmit o. _---- ated____ --------- --- ------ -------- a 'Board Heal777DATE } •-- ....•._....-•••- 'FORM '1255. HOSBS�& WARREN. INC.. PUBLISHERS .,, , � c Irk"• r$ v�►J y� 1 J4M i 1 � i �I 'I � ovo rar ,s,r I � } A- tz,* SAW F6 3!7 c� ALA ;'• �J� .tr,�. c c 17 JilNA 1`I77 VW-4 "j 13(7,?e.-l