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Home My WebLink About0869 PHINNEY'S LANE - Health �� phan s �� a��s �� '� �� l�7 ,- �� . 4 �. C i I r. i i �' NW'GoNli ey" tiCUt Oan p �mS✓ wls IN� 1 di I l 961' £ F� s ifl 68 # V i as St I.LGL� F�,A�I►L-� - `� �3�DiZl�ON� �� , �`J! ��•� F%� lr .--= u0 C-,Arzs�� GrLI��z --`•;n� ----tb�- PeoR _ .*-..b► . __ ve.l�.�{ Fl_o.,ca = 11b x 3 = 330 �•P•D. , 3'v - r ►^��,,� PiT ...- • -.� 5 i-1 G TP+�i 1L = 33o.r (�iG % • 4�}�7 6.F?D. ��,�XP. TZ t i l lS� l oOCb GAt_ SPo�.AI_ PIT usi✓ loon G,4C- i4LL ALZF A 1So St^ ir $vTTO�K ,ptZeA z r:;0 s-T=. So S>r�. � t •o So C•-�.RD. _ ( � { 1 �- �,,.�r , • ' i, t j, TOTAL. ESIGtJ = •425 G.RD. { r £ ` •T-oT4 t_ 'oA•t U4 1=Low = 33D 6.Rp. 1 ► �. } Praf1GDLQT\OU tzh-rE . l tU tmI u OR LE tt�te OF s pay• , { ' j t E z } / iiiC}IAFtp �yo 10 R!_A f�, ? / ._ . �nJ (� Y rr 6g 2 1�. ��etsTE��O� ,,''� `� l� .� 'ST��c•�`,��. � r f `�jy� �' + • fit Cr'Al��7i i t I.'t 1 L { ' +_ - * v { I ToP.Fwo's goo o TesT Lo Ate/ d �pB IOao tM/. •eA _ , 6 4r�pFs DISf. soe soiv 'Box 9G, Sepnc 1000 9S h+V. t1N• j. '� GAL.• LAyE�s PIT IF TI { j i WASI.IED { 1 SAND STo►.1� 89.1�5' } C.SZTtr-IED pLC>r I=>L./SV 1 LOCATIO" GENTEeVI " r=. $,SOO L1oF T �A.-TEn 1 G G tZ T t 4=�{ T 1-1 A T T N G EvII . 'S 4aotiu tJ , PL r4�1 '2 G I W ►IIA T►AG: 51 D E-t`t q ►-tE: . i 'i e 1 A u a SE'r n 1G 1~c 4 U 1 ENt +••►TS o it -�N y O L_L_I( 1-4 L,G. Za23 � G �W't.2 0�= '�ARNST 6�-�-' oPA.`i•E /5 rr�;•.... �� k"� �•�-�. t B/�7CTG�Z. LJ`(E 1�-1G_ j Ili RGGIS'fc-_za '►1�r.i� 5U2V�YocZS i! Tt-4l5 l7r_A�-1 l5 6-1oT eA.>E'D U4 A�.1 OSTE2V1l.LG o /VCASS. Lf.l4t'L;J/.ilEt.ti '�jUG,�/C�{ Yt�C: UF4-Si=T'�,, �iL1G4:11D APPL-AC:4,t�-r R,ART/4UP-' WILL/AM6 t" S �:iS-. -�. UG0...:�C�. UC1 LQ.Mt:'ti.dl.' •1.zT�". . I�IL�d�..� __.. _. _... _. �7 .r-_.• �_ Fps,o�:'��`� No................ ..... _............... THE COMMONWEALTH OF MASSACHUSETTS_ BOAR® OF HEALTH Appliration for Bispos al Vorkfi Tomitrurtion Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...h. ...................... --------•------------------------------------- Lo ati_o Address 7� •� t No. /r, >Ow er dre/ss�. � •---..... - .!•1. ---.. 1J �G'�.'.....-•..................................... •-•---1'•l - ---••-•---•-- Installer Address Type of Building �� Size Lot___-1.&��?42......Sq. feet Dwelling=No. of Bedrooms....ldtar____________________________Expansion Attic (b� Garage Grinder ( ) aOthers Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -••••-----••---------------• . . W Design Flow.........................s, _ .._.gallons per.person per day. Total daily flow................... Cr...........gallons. WSeptic Tank—Liquid capacity.!,9*P.gallons Length................ Width---------------- Diameter---------------- Depth................ xDisposal Trench—No- -------------------- Width.................... Total Length......,............. Total leaching area-_______..-.__------sq. ft. Seepage Pit No...#_4.9%----- Diameter------& -------- Depth below inlet.. p. .... Total leaching area..................sq. ft. Z Other Distribution box 6,-f- Dosing/ Percolation Test Results Perform ..................... Date...1�",C"_.7F'.._.....__.. Test Pit No. 1.:n....I-----minutes per inch Depth of Test Pit.................... Depth to ground water........................ i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---•------ Description of Soil-----------�`.r��,.�--,�,c��._...Q'�--------��- � - ��= � f r L`ux =.---- V -----------------------------•------------------------•-------------------------------•-•...----•----------------------------------------------------•------•-----------------..... -----------------------------------------------------------------•---------------------------------------------------------------------------------------------------=---...._......--•-•-•---••......- 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 iIT1E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ued by the board of health. Sige ( - ............................. .............� .. 79 Date Application Approved By._. Date Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------•. -----------------------------------------•--•----------•------------......------------....-•• --••-••-••----------..................-........------------------------------------------------------ Date PermitNo......................................................... Issued-....................................................... Date J 7% THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH xt�' QA ...............:OF........... Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual. Sewage Disposal System at: .... :�....P: �'. __ ...,eraRth'.f ------. ....-•---•---•- - +�1.t. ............................ innr .,t r Lot No. -. T _ L cati Add ess +W / 0.►' / O er /' dress ,4 Installer Ad ress ' ,4 ` TyDwellin No. of Ber pe of Building, Size Lot...#„�.•-v4QA0......Sq. feet g— drooms. ---••-__--_----------------Expansion Attic ( Gar age Grinder ( ) `. pa Other—Type of Building ___________________________ No. of persons............................ Showers ( ) — Cafeteria ( :). a Other fixtures ------------•-- --•--•......... - Design Flow........................ s+ ....gallons per person per day. Total daily flow_......_._____.___ .._..._._..gallons. WSeptic Tank—Liquid capacity.l .gallons Length................ Width---------------- Diameter---------------- Depth................. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.. _p_QlaV'... Diameter..... .......__. Depth below inlet-46 ��"°..... Total leaching area..................sq. ft. Z Other Distribution box Dos>n ,t nk g ( 1 ...Ln�f?'lll!L=---------------------- Date:_..�t'--7�......-•----.a' Percolatipn Test Results Performed by...... _.4_ „E__.; a Test Pit No. 1 ......minutes per inch '`.Depth of Test Pit.................... Depth to ground water----- ........ ... Test Pit No. 2................minutes per inch-,s Depth of Test Pit.................... Depth to ground water---___---_----__--__-- ---------•--------------------- •.. .....................................................................� •---_---- � - � � - ll_=escr>ponooi----- -=------------ --`-.X..... �: r_-=------•- x W ------------------------------------- UNature of Repairs or Alterations—Answer when applicable:.................:.....................::................................................... 5 ZyU. :'° Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of ilTi.;.;, 5 of the State Sanitary Code— The undersigned further agrees not to place>the system in operation until a Certificate of Compliance has been issu b the.board of health. Si e - '7� 'I ✓/i Date Application Approved By_.._._.,.--_„�:�...--- --,•�� Date Application Disapproved for the following reasons------------------------•--------------------------------------•---....------------------------------..._........ ......................................................................................................................................................................................................... Date PermitNo................•----------•-•-••-....--•-•------•---•-- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS "1 BOARD OF HEALTH ✓l d l.................OF..... . ...�1,,,na,, ...................................................... Tprrtif raV of Tomplitturr ..THI� RYTO ER I Y, That the Individual Sewage Disposal System constructed (� or Repaired ( ) by.. ..-.-{�'ty. •... ......... ...................... ..nstaller. Chas been installed in accordance with the provisions of T�TI,Y, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__._....rf.a__7.................... dated_....___.. ..-.1. .............. . TIME ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A dUARANTEE THAT THE .s SYSTEM WILL FUNCTION SATISFACTORY. DATE....---•••......-•-•........-••-•--- . --•-------...•-•.._.. Inspector.............................................................. ava THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH` . 1!.'.......................OF..... - -1'j--..----...-.---------....-.........._._.........,....,.. N ._ •••_•..... :. FEE........................ i �tl �r � C�� imrn rani Permission is hereby granted................................................... -•••---•-•• w to.Constru or pair ( ) an 2In �r3ua1 �a Dispo System r Sheet as shown on the application'for D> posal Works Construction jr ---------- Dated---9.__ .... :................ - ------------------------------------------- ! Board of lth DATE--------I`................................................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS ,