HomeMy WebLinkAbout0022 PAULA LANE - Health 22 PAULA LANE
A= 019— 148
Cotuit
r
No. .� Fimn..THE COMMONWEALTH OF� SA;HU �S
G77 FF'"'�1!�r'"'Ci //''11�L..... ii�-77
� -1 .......0 F.......... ... ... ........ .... _
g , .
p\� App irnttnn for Bisposal Marks Tonstrurtion p a it
Application is hereby made fora Permit to Construct ( o Repair ( ) an Individual Sewage Disposal,
Sy tem °
Location.Addr s or Lot No.
_a �ner Address
W .f
a ... `.......----•-. ......._ ---------------------------------------------------
Installer' feet
� . Address
U Type of Building Size Lot..' 5 -.. q.
Dwelling o. of Bedrooms................. ----------
------------
Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
a' Other fixture .
--------- --
Design Flow.............. ��.......... . gallons per person per day. Total daily flow.............. ...__:_..__gallons.
WSeptic Tank Liquid capacitylgallons Length................ Width................ Diameter------- -------- Depth................
x Disposal Trench—No..................... Width... _. ota •........... _ Tota chi area.................... ft.
Seepage Pit No....../........... Diameter/t2 _ eptl- o e ._.. .. al. ac ng area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( ) - f�C4ly
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 Tes Pit.................... Depth to ground water........................
P4 •-------••-------------•----------------••......-•4a:�/
ODescription of Soil.............................................................. --------••-••••.....--------....-•••-•---•• --------------
W -•-•------------•------------••---•---••-•----------•-•--•--••--••-----•---•-••-•----•--.....--•----•-••-----------•-•--•-•----------•--•------------------•----•---•-••-•----•---••--•.........--------
VNature 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 undersign further . rees not to place the system in
operation until a Certificate of Compliance has been issued by e b d f h
Signe .-• . . ................ ...:.....: .. ......... ......•-- ................................
Date
Application Approved BY ..... . ----� ...... • � ,Q/e
D£te
Application Disapproved for the following reasons------------------------------•-------••-------------------------------------------------•------••--••••--..----
---------------------------------•--•-•---•••----------------•----•---•••-...................------•-•---.........................................
Date
Permit No-----------------------------------------•------- ------ Issued..... ..: Date
5 --�{----------•--•--.-----
_-_ ._-.-._-- _..__-_--__-...-.................-_--_...---- --------- ------------------------------�
No..S.Ygl.. FE$.
THE COMMONWEALTH OF MASSACHUSETTS
BOA R D O H I L H
. ..........
/
Apliiiration for Digpmial Works C on/strur#ion Prrutit
Application is hereby made for a Pernlit to Construct ( or Repair ( ) an Individual Sewage Disposal
Sy tem01`t
� .. �� .... d . ...... ....
lr! ae!�. .. ' .
Location-Addr s or Lot No.
- ^ -••-••••.............•••••...........••... ---_.......... •..........
ner Address
Installer Address
Type of Build' Size S ...-.Sq. feet
U Dwelling o. of Bedrooms.____ ... '.. _____Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building ....._.. , No. of ersons_________________ Showers —
a YP b -=-- - P -----'--- ( ) Cafeteria ( )
dOther fixture ----------------------•----•-•-•--------------------..._..---------------•----------------•---......................:.................................
W Design Flow. ........... ...__ gallons per person per day. Total daily flow____.__........................ -gallons.
WSeptic Tank T Liquid capacity ggallons Length................ Width__ ...... Diameter______ ._.:Depth................
x Disposal Trench No .................... •• -• .• __ � a�� .�rac n� area__. :_---s.q ft.
Width.. � I ota o ch' area---- ' s ft.
Seepage Pit No _:_ ._ __: Diameter _ epth o I e g q.
Z Other Distribution box ( ) Dosing tank ( ) . :r j '-_ ,r e ' T_;fr.
Percolation'Test Results Performed by _________________________________________ Date_...___._.:':...........................
Test Pit No.. 1.... ..........minutes per inch . Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Tes Pit.................... Depth to ground water........................
a' .................................................. ....... .. ...........................................
ODescription of Soil............................................................. ._..---•--•---•-••------•--
U
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 under ign furt ier ees not to place the system in
operation until a Certificate of Compliance has been 14"-, b e b f he
Signe •... ............... -- ----- . ••--• ................................
Date
Application Approved:BY-- • --- . ..... . .. --- 1�
Application Disapproved.for the following reasons:--------
may:. k r.•. •::R+(. a
•......................................_______.______________..__.____...............__________..____.__..._.__._.________._.___.__.___._______.______._.______________.___
Date
PermitNo......................................................... Issued....................................... ...............
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF ZHEALT4-1
............OF....... .. .. ::.. .... .. .., ......... _ ...a:
THIS I T C TI hat . dividual Sewage Disposal System constructed ( ) or Repaired
by..
Yr. ._ ._.. ...__. .... ...__ a+.. .. _._______.
4
has been instal ed in accordance with the provisions of Article' XI'of Tlila�te Sanitary CPC, :
as des ib 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 SATISFACTORY.
DATE -.........................
................ Inspector.....................................................................................
k• THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEALT
�'`
.......OF....... ....... .......................
No....S..` ........-• FEE.. ,
Din �t1 r tLixt rruti
Permission 's ereby granted .. . ..----• ...
to Cons ct ( ) air )'an I idual S a Di sai System [•.
at No. tiG r...sd ... ._� -' •' -----....--
jr Street.
as shown on the application for Disposal'_Norks Construction P t X
Dated... z _ .......
r ---
._..
Board o Healt
DATE................. xak
4T ...
-FORM 1255 HOBBS & WARREN,'INC., PUBL(' f;RS !
l4i
vj: p
4,1
T1,
10i
In,
35-
��l J
T iz
Al
41 E
ZV
4t
4r;
.t fig;
AW
ss
ij�
• fi• 14 J a i"
J `*
f. f�� r..a«+-:h• ,�i- +..,.,.a.-d..ain a �( -1.'fr"' i t r. � f � 7
Y';r,,.,
Ar
Ig
r t f a r„..Y,� .....•..'rat �--.t e_a-'t....-t---ra• ...rw�y.3..�.:a.�:..w yS.�� '
• t,i T ' i�'�,. .. '`� S r. 'f, } .' \ fir{•Y i s
+%'.. ; � F•t d� -.} l•� - } lt. ,ea' f' i J �'�'� s R~
{
r.
i
E
,
1 _
1 '
3
o
j � \
1 1 4 7p
i
R 1 ,
t
e
11 r fJ1
A ul
J \ Co
� s
r
i = f
l
i
:
f
• l i .F. ,Y r -
:
'
i
t
f t �
'
0
W
v N � n ._ �: •
l °
4 -
r
s
:
_ —
- _
-
zl--� 6� � �
I I I ..I I .
` t I ,
J. !... w
' , ' I, i .I. ., _ I.. ' ' .. I.
F
l - __.___. ._-_ _ ---- _�xw___ ! ____!__.. i.. _._.. 1 - - ---- - - _ . �.. i__
„__ r _ I_. Y I .U _. _.:
, {
I
I 3 4
�__._ � _
_ .-
A
I I { I I _. { f I 1
! r , I
t _ _� 4_ 1 . i i I
I I I I I I I I j ! S
I , .
_. '..� ._ i __. _-...-�._._.__ ; .__....J__.._ ; 1.__ _. _... _L..-._._I. _ _ __`_;' -- - __l-_ '- '_-__�- ' --I_-- ' _----t- i._.____ _..F .„ _ ._.{_...., -__ r
i I t I i
1 1
1 I { ; } fi 1 1 ^ ! I
..t__" ._:___ _k. _.,_�.,. _... —_- - d��..l - --.-.-1.--.- _._..�.. _ :!.__ _....i_ ._:_I.__, r, _- ! __{._.__ . ,�__ ; '._ __+ ..i_ ..1.. .. _ _ f_.._.-�.-...__ _t _-�_._ + _ -_—I _ ._.-. .
1 ' }-- ! i I+{ 1 ��_,
1
1 i y ( I
' ,"I s ! 1 I 1 + _ i I ___ ._.. _i.-_,_ I_ ._ .. y ._ T _ _ _ _ _! ._. ! _,..._,.S_- ! ,�. I _ .._L�..- .4_,..._�.._._ I _ f .. .- 1_ _I -_
i
I' I I 4 ' - 1 I 1 I I
1 I
I i 1 _ _I -�._ �� _I_ _I: -f , I I __i I _ cc I I
{
! ' I I i { P11 t I
; y i ' I Ii It
f
F
.. ..- _. _ r. __ __.__ _ .. _. .-
1 i i � �
# _+ -_ -j - - _ ! +-�I -�
, I -J r._
r i7 ; I ft
1 1 I I I ' I I ! i
I r
1 1__ 1 i I I I 1 I
I _. i i I i
_ __j .....__.. _..� .-.. .ti
I ! I i I I I _ - -- _p - Q! � !
m
; I .
I
i I I i .J, ' f i ! j ' Z
1 I � .I n_........I. _ —3 I _ . I
1 I I I j i I I i I I
__.
I i., I t I �_ I I_ W.i. i ;
I { i II I ; } i C' I ! d
I - l__
:.. y.__ -,__,.i......,__ } 3'-.___ .,....,.__(,..___.1_._._._.'.._, i..__.„_� _.- {- I—-....,4_..-_ s._....�- _ -_ �..__._. ' l,_.:.,.-_ _._-1.. I ... .1- - _
I I I
_ __
! _ _.. F. _ _ _} 1_.__ ___ _____- _
I I i j._ I L_ _
I _ I
__. __1 ___-�__ I_. ....i I_'._ + r V i
..._
.. , � ...1 _ .-_._--s.. ...._
{ I I .
! I I I f ' { 1 + ! - 1/$!.�/ I_ y!$0 Il y j S i , ` -
! ! 1
I i j i ; I I . i , ! I I I-
i I ' I I , I I i 1 i �1 j I { ' .I I i I
.._..i_- i __.s-_-.-.-_I_,-._ ,...t.-_- - , I ...,.. t .. ._ .._ _ i. __ _.. .._ _ _. i_ _... _ I_._ } _ .. -1_ .�..• - _ f __._.�. -.. _ _ _____ -
I i I f I 1 1 I I I I
! i 1 I
r1 ,
i I 1 I n _.' _ �..__ I 1
1 ! I
_ f _ _ _. ___ 1 . . _ .�... __ 1 i____ . c_. _ Z� _._I-.____� _�
t... , I ..-_�_ _ I !__._ ..-._I. .I_ _ - H i _ _ - � -- I 1___-.L.,_ 1 � - .lo_ _
- ' _ r
f I
3 'I _I_ _j, _ _ �� _1_. a
I , _ _
1 I i
I f
r .__r.__{._ — d_ _ �I�y
__- 4._ _. w,.
f1 ! I ` , I I { { I { i .
1 i { ii� ~ ' _..I I
__-r_ _- _ _... I I- 1- h \u L c O
__'._
�. J" _ r�s
I I 1 I ! I e wl I � "+ I _ �- u
__ ,.. ..,_ _,..,_ ,__, _ - - ..� _._
I I 1 I r ; , 11 ( 1 LL I ; #-, Q �i
I _ 1 ! t J j 'c; V
I I 1. : I I--_. -.L..--i 1 1 ...„_. i,_:_ 1._...,I- I....-.O. I , ' E-_._Y 1 - !- J - _ t-.. ' ..I
�1Im
, { ! I I I I { I _ 1 ' I I ..L- I ! I ,_lI I + I ..I t.l� I I I I Iµ I F:.
,. '_L _ !{
,.,,.. j. .....,__. L.. I� I -} 4
I I 1 I I I { ! ..I. 1 I - I I I .. I '• t 1 I -
' i 1 I {
T1
__
! I
I 1 + �.
+j
�---- Z
1 I I , t
I 1 1 1 I \\ I 1 I \
I { I I ` I I ! I i I i
! . ! i I I I
._ I { ' . _ ' '� I _ I I ..___ t '. ... '.
.. .
! I e
1
i�
{...._ j. ...-.}. _ I _ �. _ ff. _ I..,._r,I. .. I I _� _ _._._4 C.._...._- I Ji..... 1. ! I ,�, -. I- - .. - I^—" ._:._ I r,
I I ;._ ! i I ( ..}. -. ( I I I c1.. I B I- i { {' ! I I I /� � ' d : 41
....1.1.1- !-_ i. -_- I �.? ...:. _ , _._A.'.�. l-_ -c1 - ! .._ .. I .. !. .
_ I-
;._. 1 i I I _ * I_d_.._ _ i_._.. -_ ,._ I_,.. _ _
I. 1 j ! 3' I Ir j I i
..t 1 _ .f.. _ _ It. y,:
{ I I I
1 } { I o I,
_C' r
_ L ..
I i ' I I I 1" �I 0o m 1
I j i I i I I ' i �'� i } I I I 1
I , - -- - --
!_--. _ I I i_ I_ _�_ �L 1 l
- _ _.... - -. _ j ;SF� r ;.
i.
j I
I I I 1 I I I { I _i t i , L t q i I I I I I I — I
I { LL I i I1.1_ _ I _ __. '_._i�-.
i
I' I I I - I I I I .
{ I I ZI I 1
_ I _,,._�.._ .
-�
{ { I i I I I i I �L. -I /-y�/g h , ! .I 1 i i , .
. ,
I
— '_
i
I { I {i I ! I i I I -
I. i I i I !. _ 1 I I I i 1 { ! E .
_.. .
1 I i i , { J pl �I I . ! ;.. 14 I I
f_. i_,.__, I_ . '_ 1 ; I 1 ! _ ,1: 1 d.. f_. I I 1. _I_ . i i
I ! 1 ' I I1. { I - I I �' _I.. I I 1 ! ,!_.,.......' .__✓_ .I _ ! i L... ! .. i '
m. _..
i
�� {
�� I 1
I
I_. •, 1,.' _ .. 1
,, .. ,
! I �, �
��
�,.
I
1 A 1
I I I n I' ��, _ __
..L_ __._1 a _.,
/ {
�'1.. _
� Z. 1 p I I .
1ZSo I I , I
- I
I L. .
I
1
I i
Wi. I I I r.
.
I 1 I _ I.
I I�
, _!.._ .;.-_ 5...,-_�y._..._�i._.�1;.,> .. j .}... I.. ... ....... _ - ., !- ,_._....! _ _ .. 1- -__ - i..r '.i_
1 1 ,
I I a ! I I , ,
' - - / M I
I V i ,
f J I 4 S I i. _. I .. r I . F -
1
W,.._. f.. I I I. _�..-
13 ,
1 ... -
f .-... I i cr!-_� VI !, 1 L ,
4
;
I
. i
• I I
I I' I i 1 U N I i.1 I 1 I I ( i i 1 I I I 3
{ I I i: 1 . _ .._ , .. I _. ,. ._ _ ,
_._,_ -...l, _, 1 .. I .. .,. _,.. ; _ _ ,I I.
1 ! ,. , 1
i i I I I I + ! + 'I I
y I - , I j I i I I i ai I , .
I
1 • ! : ' -
I-
! I i !
—I
II
! I
I :
' 1 I I _ _! .. L I I ' 4 .
1 1 1 i
I I I 1
! I I + I { f ;
.
I I I } I ''
I ._ _ ._
1
i
1 i
I I I
I I I 1 I I ! i _ _ i !
_ {.
I I
1 I. i i i ' i
i !
I I
! ! I j 1 I 1 I I I ' I. L. ,
, ! i { I
,
. ! _ -
I 1 .- I