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Home My WebLink About0004 JASON'S LANE - Health 4 Bonnie Briar Osterville A= 121 - 132 — — — 1 , J:. L C A T ION SEWAGE PERMIT NO. VILLAGE n7-eg L.X' INSt,ALLTS NA,UE A ADDRESS RUILDED R OWN R ' Div DATE PERMIT ISSUED 7 DATE COMPLIANCE ISSUED ;�,��,� � �. - i - - � _ . � o ,�. �. .F 'x-'- �1'Qo....-7 3: .(J .............. ....... Fps '......... THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH ............................. Appliratiou for Dtti usa1 Vorki Tomitrur#ion Vamit Application is hereby made for a Permit to :Construct ( ) or"Repair Ft ) 'an Individual Sewage Disposal System at: ` , Locatio Add r s or Lot No. / � ----..--••---- -----• O Address c ..... e -- -.._..... 1 :... . ...... . Installer Address aa Type of Building Size Lot...` e _.___.Sq. feet U Dwelling—No. of Bedrooms .: _.....Expansion Attic ( )` Garbage Grinder — p`'�,, Other—Type of Building _* . .. .. ._ No. Of;persons............. Showers ( ) — Cafeteria ( ) a Other fixtures ._ - _ ................ W Design Flow................- -: gallons per person per day. Total claily�flow_____................._.. . ._ .gal_...... Ions. Ra' Septic Tank—Liquid capaclt gallons Len gth._•'Vb.. .. Width, "q...._ Diameter________________ Depth_. 7:h,_ W Width Total Len th j, Total leaching area....................s ft. x Disposal Trench—No. ............. g � g q. Seepage Pit No.........I....... >ameter.....:..�� .. Depth below inlet 5: ,%..... Total leaching area...:�4�'...sq. ft. /� � Other Distribution box ( K') Dosin tai k ( ) � _ z t 8''. r `-' Percolation Test Results Performed b __ �+ (G 7 y i` .. 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........................ ..................... •--•-•-•--------•....-•-------------------- ----------�........................................ O Description of Soil............4 40 A4.------• ------!tZig( ..i 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 iITLP 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ss ed by the bo-r f t . //- Signed. 7•_- - --------•------- -- •-•------•-•--.;--......••.----- Application Approved By............ ...:1.�._ �� 7- ,� ........ ... .....•--•--•••--•----.-..................._.......... .................. Dat te ................. •.............................. Da...... Application Disapproved for th following reasons:.................................. ..... ..____.._ 7 F--•--..-•-Date Permit No..... ---------------------------------------- Issued_... ............................................ - ••r-••-•-. ------ Date �� No.. ... F r :-:......_ .. . . THE COMMONWEALTH OF MASSACHUSETTS BOARD F` HEALTH Appliration for Diipniial Workii Tanstrnrtion ramif, Application is hereby made for a.Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 4pj4,,0A40Loecatiop7A Addr/ Z e t o.4 r or Lot No. ...... f,{. _...... ...•-•• •-•• / ., re I ---•------•---• •• 1 \ /? (��j��i/ Address W ............... ....••----•. --•-- ....._..._. aa ------- ___-- � Installer � Address •9p,., �, Type of Building Size Lot_ 15..,0 ,&.____..Sq. feet Dwelling—No. of Bedrooms............:. .......:................Expansion Attic ( ) Garbage Grinder04 (& `4 Other—T e of Building ................ No. of persons.......................... Showers — Cafeteria Other fixtures •---------------••-•- . Design Flow gallons per person per day. Total daily flow-.__.. ._ gallons. W � g P P P y _I WSeptic Tank " Lit�u>d;capacrtt} 'a']lons Length _� �... Width _ Diameter________________ Depth. .......... x Disposal'Tren',�h ,N l yVldth .... Total Length_____..._ . Total leaching area..__�...._.......sq. ft. Seepage Prt"No Diameter . ._.._. Depth below inlet.__.___ Total leaching area..f4% ....sq. ft. Z Other Distribution box'(- Dosing tank ( ) j '-' Percolation Test Results 'Performed'by, xa -- - - -. -.- � - Date........((�__I.�.°hh i' ....... Test Pit No. L... :::minutes per inch Depth of Test Pit __-t22........ Depth to groundwater ..�..'`_----------- Test Pit No. 2._...�e.....mi' Dep utes per inch th,of Test Pit....... ...... Depth to ground water `............. R; _ - ....................:..:: •........-_----•--•••=-•-•••---•-••-_-••-. ODescription of Soil.......... ,:. °0-44 ----• I at � --- --........-............................................................... _ _ ---• ----•• ---------------- ------ ----------------- 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 TITS.; ' 5 of the State-Sanitary Cod The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i su d b the bo 11 Signed...- =............ ` Date Z`n.�.. • 'Y ........-•••-•.......: ------•--APPlication Approved By. '.• , Date Application Disapproved for the following reasons----------------------•-•----•---•----•-•-------••--•---••---•-••-------•---------------•--•--•---••--••-_---••- 3. -----------------------------••-••-•••� --•--•-•------•-••••-.._..._...........--••••••• �,'y a . t� PermitNo.. .....-•-....-------•••-•••••.- _ Issued_---------•--------------- ,�- ---- . Date �, - v `$V THE COMMONWEALTH:=OF'MASSACHUSETTS #' BOARD OF HEALTH ' OF (grrtifiratr `oaf TompliFanrr THIS IS TR �*RTIF ;Tka)gkx by Individual�"' �ISewage Disposal System constructed ( ) or Repaired (. ) 'h.�c S ltr .✓ / Ins ............... ......_...... ... - at .............................. --•- --------------------.-----=--•-•-•----------------------._...---.....-------------- has been installed in accordan e.with the provisions of T1TLt. r The State Sanitary Code as described in the application for Disposal Works t%instruction Perini. iVT. ..................... .................. dated_..................... ....................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE }} SYSTEM WILL FUNCTION SATISFACTORY. ------------------------- A", DATE...'` ":`" ''.,.., Inspector --- v,..•f�b �."ys. +�, do v*.�_y?��, ,.,,,F,,�F'Z f � .g,��y Ja�; - THE COMMONWEALTH OF MASSACHUSETTS 7 BOAR--OF HEALTH.3U 4,cf,f rlsl�ce. OF.............................. ;.. FEE........................ rma� ' Permissio s, .�;� �.. n)is hereby granted -----•_ C k •- to Construct Rqfa3, (• T'fividual Sewage Disposal System73� at No4 .;.,d ..... ..--- ........................... � -y,.___•------- •- --•---...--------------•---. T Street as shown on.the application for Disposal Works Construction Permit No..... _ __ r._;Dated.......................................... .................................... . -- --`- ------__- * and of Health DATE_ _..�� :_. _ .. -• �-- ............... FORM 4255 H0B68h'& WARREN, INCf`' PyBLI5HER5s� 'x�e,zRiGa er $Y'�i i.r`:w 1., - - ,., *.F.k�",.mt .u. ..eF'. ...:}_^r .Y.ry 1.'�o in a.'♦ xN ,__t. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) mP�C I DATA -IV — _— ti XLL4 ;`Low 110 u S� 1 SUO 'GAL-. I 01-1 �+15r//''''�)O5A L PIT - uSF IOoo Gnu ; � rN �- .�.w.�..�f ✓51VNCS __. S;MGU/AI...L Atzt A = tee It F�3 SF yy�� /^� of '��Z.S = A,-Jp e, - 41 L.crr. •Viva /�L.(^.A T (�( y TOTAL �I .SIC,IJ = G.RD. ioi� Z'1 Jf 'TbTI�tr OQt L�f FL1?W 4q PD. r, 5)(PAIJ5low +r G�� •_ Pt✓ r-DL&T10 J O&TE : ("Iu 'Ltic I u 02 1�55. TAW pe�� / lqj MIN A114 � MiC -res MCX.T 4. o�+y G Sv35ott� T=- 4'Pv� Iw. GAL, o fox 9o� Sepn 1 o e. TahtK IObO( siloC. GAL. LEAN Ra.o qo,2. Rt PIT .� f � f WASMEJ> SAa� _ STo,.iE Ts3.o f Pt2OT=-t L-E _ tOCATlo�1 _ t2 ' � '� A EfG. W o Ses b.l,.�- �T p1?c"Fo5 E:V E ` GVT1i=*4 Tt4AT T14G TL WoLLjt3L 5t• (>c u A1..1 RC .tZ 141~_QEaW GCXkAPLVG W VrI A TWG. 51 DE.ti...(WE--- I Aut> 4SETY3AGK VC-QU1QEAAcuT1-> Dt; Tf4r-- -{a%,v U -tz- -.- t2EG1S't'cREt� t.-a1.ta " SUev�Yoczs TN!-5 PL.AW I'S LIOT ZA'SGV C)" AN OST��ViLiL- o �1rCASS. 1(,J'9rR?UAA Ek,4 r 4 -rj4C.. C:F S�=T�i 1Sj4OWLD APP t_t CA,"T r-.br Bc U5C-o TO C>M:rCvl�/114t_ t_O-V 1-1was ."`