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Home My WebLink About0095 OLD EAST OSTERVILLE ROAD - Health 45 old Easy- Os fvi lk kmd I I 4 I I I i. I I S M E A KEEPING YOU ORGANIZED No.10334 2453L. MADE IN USA GET ORGANIZED AT SMEAD.COM LOCATION SEWAGE PERMIT NO• VILLAGE 111 ST A 'S N E i ESS a 0 U I L D E It OR OWN ER .42 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED a~ 14 use L PR ......_l.. . ... Fic$ .................. �/ THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH Dom_.... ..........OF....... ----..--......---..........._........... Appliration for Dispns�al ,arks Tonstrnrtiun ramit Application is. hereby made for a Permit to Construct (V�or Repair ( ) an Individual Sewage Disposal System at: t - —7 ................__...._. . -.54�Ti._.....05T` ...... �� ® t.--�� L Z� r ............. ...... ---•-•----- .....- ................ . -•-.• •Loea' -Address or Lot No. .............•------.--. .... L-4k ..:..._.... ............................................. -•------------ ----------------........------ Owner Address ---------------------------------- 19t1 T. ------•-------------•-------- --..., ----- ---•-•---------.. Installer Address Type of Building Size Lot...._ W------Sq. feet Dwelling—No. of Bedrooms............ .........................Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building No. of persons............................ Showers Other—Type g -------------•-•----•------• P ( ) — Cafeteria ( ) Other fixtures ------------------------- ---••---------------------:.. W Design Flow............. ---------- ......gallons per person per day. Total daily flow.......................Sao...._..gallons. WSeptic Tank—Liquid capacity ..gallons Length................ Width................ Diameter.....--......... Depth................ x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit N ..........f...--.-/Diameter........��....... Depth below inlet..........&..o ... Total leaching area... M.. ...sq. ft. z Other Distribution box Dosi tank ) AA Percolation Test Results Performed b �"�J-`.��..::71`J.P.R.PS-AT_ Date......4./80--•-••-_.... a Test Pit No. 1.....72,_minutes per inch Depth of Test Pit......1.�.._ Depth to ground water....... .......... 4i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -------••----•---•------•--•----••-•---...-•••--....••----••-•--------------•-------••---•-•---••----.......••-------•-•----•---•-•--•------••--......--•-•- 0 Description of Soil...................... V ----- --- -------------------•-•----••---------------•--... .........-- .l��..------ .....---------.. .....----------.........---.....----•--•-•-----•------ - - 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 TITIZL 5 of the State Sanitary de— The dersigned further agrees not to place the system in operation until a Certificate of Compliance has be iss ep d by oard health. S- w ...................................... .. ........ . ................... ............................. �- Date Application Approved By..... = � � -- -- ----------------------- r = r " ' ate Application Disapproved for the following reasons:---... . .. --•---------------------------•--------------------•-------........................... ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... ...---•-- ----•----------- Date (:!0) FEx..3. ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD, OF HEALTH .. ..............................Appfiraftan for Dhiposal Works Tonstrurtion ramit Application,is hereby made for a Permit to Construct V) or Repair an Individual Sewage Disposal System at A2..... .........................................K.................................... Locat* 0 Address or Lot . P 4\ L_L) .............................................................. ........ 64--—--------- ................................................................................................. owner Address .................................................11.A_o4FR .. ...*................................... .............................................................. .................................. Installer - Address Type of Building Size Lot............................S Dwelling I ling—No. of Bedrooms..............13 q. feet I............................................Expansion Attic Garbage Grinder Other—'type of Building ........................ No. of persons............................ Showers'! i ) — Cafeteria QI Other fixtures ..........4.........................�................................................................................ Design Flow.-*----........ .........4 ___..gallons per person per day. Total daily flow--- ..........................................galloiis. 9 Septic Tank -Liquid capacityffl(p..gallons Length................ Width..._............ Diameter............... Depth................ Disposal Trench No............ 1'afh_,- ....... Total Length.................... Total leaching area.......-............sq. ft. Seepage Pit No..........I--------j/Diameter........A........ Depth below inlet..........(.._...* Total leaching area.... ...sq. ft. Z Other Distribution box (1-11) Dosin tank F, D ................... 0"ZI 4. ate..... Percolation Test Results Perfo:-med by --- - ---. 1 Test Pit No. 1.......Air-- minutes per inch Depth of Test Pit......'--:!:,._ Depth to ground water........ ........... f4 l jest Pit No. 2................minutes per inch Depth of Test Pit__.........._...._.. Depth to,.--",ground water..._._..........._.._... .........................m.................................................................................................................................... 0 'Description ofSoil............... I— D I , ... .... . jilt L —. -./Uer ................ - ................................... ...................................................... Is --------:...................................................................I......................................................................... ....................................o------------- UNature of Rlp yLirs or Alterations—.Answer when applicable___________________________:__.................................................................. ........................ ................................. ............................... ---------------------**----------------- -------------------------------------------------- Agreement: The undersigned agrees tofinEtall the aforedescribed Individual Sewage Disposal System in accordance with 'f the provisions'o ii," -IL 5 of the State Sanitary F7de The t;Lidersigned further agrees not to place the system in operation until a Certificate of Compliance has be _ss e by the?Vardp health. ......... ..... . .. ......... . ................... ................................ Si ... .. ......................... Application Approved 4.......... . .. . .. .. ........ . ....... ............................ . ...... 't 7 Date Application Disapproved for the following reasons:... ........................................................................................................... ......................................................................................................................................................................................................... Date PermitNo.......................................................... Issued-..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0............. ........ ............. ............. .. ....... ............................. T S I T 0 ACJI F Y6, ii nfifirate tit Tautpliaurr I Vh tl* Individual `Sewage Disposal System constructed or Repaired by------ ................................................................................................................................... I Uer V at... ............. ... ..........CO../-----CNPZ....PL/.................................................. has been installed in accorda6ice with the provisions of TITIF, 5 of The State Sanitary Code as described in the application for Disposal WO'rks Cons-,ruction Permit No.&- dated_--..__________________________________________ ........................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................-------------------------------------------------------- Insp&-tor.........................I........................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 60-<7 2. ....... 0 F..... ................. ................. ............................ 0 No................. FEE....................... nrk11 Ton Irmtion " rmit Permission is hereby granted.............. .. ... . . ..,.... ...... : . .................................................................... to Construct r5epair an ndivduai�enrage DisvoAt 4at No........ Z_ . ....... ..a...... 1*4: �....... a ......o --- ... ... .Z ..................................................Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... --------------------------------- Board qk"Health DATE------. ...................................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1�PTt G 1✓at�A tL 330� ic7G {o = 4-9 tw U Ste- l 000 GAt_ . .�15PaAL Pt`f' - 1.�5E. 1Ocx� GA,te. iG� Wit= 2.S BC7r OAA ,new- 9:�;O :ter-'.SD �eop Sri'. 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