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Home My WebLink About0075 PINELEIGH PATH - Health - - - - -- - � - -- - -- `I vS M E A KEEPING YOU ORGANIZED Na 11 Z-153L, MADE IN USA GET ORGM20 AT SMEAD-COM No. `.. � Fi&B .... .......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 11 ��> o1N.V.....--OF.......�'�� .................................. Ol ' Appliratinn for Eliupnttl arks Tnnu#.rur#iun ibrutit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: C �.v4- e-4-7 6f/ �/�?t/ S T�'� l�/�7"�v/�s LG�` t. / / . J ... '..........__......................................... ................................ ......-----------..............-.------..... �. ....................... -7- Location-Address or Lot No. - Owner -•-•••.••----••-•--•-•---•--Address W ..•...•.------.... G ........................................••.......... --.---.......... Installer Address d Type of Building Size Lot..333-_6......Sq. feet U Dwelling—No. of Bedrooms............. .................Expansion Attic ( ) Garbage Grinder '4 Other—T e of Building ........ No. of persons............................ Showers — Cafeteria 04 d Other fixtures -------------------------------•---•---•---•-•-----------------------------------------------------•-----•--------•------------...._................. W Design Flow...........-.�`�. .......................gallons per person per day. Total daily flow......... ..........gallons. WSeptic Tank—Liquid capacity�ao...gallons Length/p.14".-... Width..!.'�_ Diameter_____________ _ Depth..6.�� .. x Disposal Trench—No.................:... Width.................... Total Length.............._..... Total leaching area....................sq. ft. Seepage Pit No.--_____Z......... Diameter......./..a./..._.. Depth below inlet........4......... Total leaching area.:3:3l ..-._sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by......----- !:`r!9?Z�� yl. ... Date__ ? ....... ��Y' ------...••--•--• --------•-•-••• . ... .. as Test Pit No. ....minutes per inch Depth of Test Pit... _....... Depth to ground water....... ---.--_-_-. Test Pit No. 2,. 4.Z....minutes per inch Depth of Test Pit....e .... Depth to ground water-------.............. Q+' ------ ---------•-------------- -------------............-•-------- -•--- .--- --•-•- •----------- Description of Soil Cj-"_Z4' hc/ovLa1�2�-1.... vij-Sa�L "- 144 �� ...........................=5.........------------------------------------------••------•-----•----•-•-•---•--.._..._......-----.....-•---------------••------•-------•---•-------•---•----........... 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 iIHE 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 y the board eal ........ ......... .. ..... .. ...... ...... ..... ................ 6�/ ...... Date ApplicationApproved By.......... .............................------------ --- --- • ----------•. ......... {_ 5R5---..... i Date Application Disapproved for the following reasons:-------•------------------------------------•----------•---••-------------------••••--•-•-•---•-.............__ -•----------------------------•••-•-----------•------•••............------•----••--•--------•--•-----•--•.............................-••--•••••-•-•----....------------. -••----•--••-•-----------•-••-- Date Permit No...... � ------ ---I.... Issued........................................................ Date No.� r Fzs�-��........ ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..TIC/ /........OF...... !.5.7 �.�.'................................... Appliration for Disposal Works Tonstrurtion Vrruti# Application is hereby made for a Permit to Construct (L,' or Repair ( ) an Individual Sewage Disposal System at: fjl.- ..l...iw�.C�7Gf/..»�i�Tt/• a�STL�Z e�//�iz!�ui?s.....................Z'-7 » /.�sc»fir.»e•------•--............. Location-Address or Lot No. ctie-�z_ a W ...------•.............Address......................................�..Owner........-------..................._....... ..........----....._. ......................-•----......----••--•---••--• Installer Address Type of Building .S Size Lot.,T3.3 ......Sq. feet 4 Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (4 `4 Other—T e of Building ....... No. of persons............................ Showers — Cafeteria a Other fixtures -------------------------------------------•------ --- Design Flow........... 53........................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity.?�O6n...gallons LengthL�!..4-....... Width..4..X."... Diameter................ Depth.._ ::... x Disposal Trench—No..................... Width..... Total Length............. .... Total leaching area..................sq. ft. Seepage Pit No........Z:........ Diameter.......Z'0........ Depth below inlet........K.,....... Total leaching area. ?.-�:�......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '"' Percolation Test Results Performed by..... D�^� ....... ..... . ......... `� r Test Pit No. I...G:.z.....minutes per inch Depth of Test Pit...!�4....._.. Depth to ground water..................... Test Pit No. 2..G.Z ..minutes per inch Depth of Test Pit... Depth to ground water....... ............ a .............•••---------••-----•--.........--••-••...........--••--••••---•-••------------•------....._.•-------•-•...;---•••........•......--••--•-••-•-- 0 Description of Soil.. - ;........... 4" ;Sv!3-Sca<� Z4.. �4�f...................?/............... S!---�� 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 TITIS 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issu y the board o_f healt1r- ........./ • ... 1' ........ . ......•. ��..�.D�t:...v».... _ Application Approved BY..................:.........................'.......---- ..... ........... .. ....... - {�{3-��......... Date Application Disapproved for the following reasons-------------------------------------•----------......-----------------------•--•-•---------•••............»»» ..............................................................................................•---.....»...------........---------------........---.........-•-------------------•••--••-••---•......._ Permit No.---- - �. 2. 1 .» Issued.........---••............... ---------------------•-•-•-•»- ........_.......ate....» Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............7) .........."IA/ OF....... / .r/ST�'/3LL� ..... Trrtif irate of Toutplinurr THIS��Ff_ITIFY, That hat the Individual Sewage Disposal System constructed (! 011 or Repaired ( ) by............: . ..................................... � . Install�� -'/ _........................................................ ......».....................•. -•-- ._ at.......... ,. .___.. .__... - ` ' has been installed in accordance with the provisions of TIT F*of The State Sanitary Code a described 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................----------- ........................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH !�, j 2 � ...............7a r�!V..........OF.. f- -ST/ G E Fa�..l. No......................... ........... Disposal T�rh Tons#rttrtion 1hruti# Permission is hereby anted ...0...... ------•-----•---------------•-------- .......-........... ....... .........»».. Y €n to Construct (� r R air,( ) an Vividu Sew a Disposal System at No..... L p street as shown on the application for Disposal Works Construction Permit '-.� -!Dated.... . .................. ................--............................. ................................................ Board of Health % DATE.......................I.....---.r _ ............................ FORM 1255 A. M. SULKIN, INC., BOSTON L0CATIL .4 f � £ WAGf PEIRMIT WQ. YJLLAGE 1 .._ . y-, I HsTa L L E R'§ NARIE 'A ADDRESS U ILDE R OR OWN ER DATE C 0 MPLI A NCE I SSUED --� � � ` Q- . -� ° ' \ ..� i �� '� a G� a � a � ,, �, f 77 Ficic.......IS-,........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................OF...... ....................................................... Appliration for Dhipoiial Workii TomArtution ramit Application is hereby made for a Permit to Construct or Repair ('4-) an Individual Sewage Disposal System at: -7 ?L?PA *Location... ....... --------------------------------------------------------------------------------- -Address �....P.bA i.Or QLot 5ofzo4i.�w....". ------------------------------------------------ - -- . 16.7 ...Owner Address ...P+.A _QAQQ...................................................................... ................ Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder A4 Other—Type of Building ............................ No. of persons........................... Showers Cafeteria P4 Other fixtures ...................................W. ................................................................................................................... < Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width..._......_..... Diameter---_.__,--_----- Depth................ Disposal Trench—No..................... Width.................... Total Length.................._. Total leaching area.........0..........sq. ft. Seepage Pit No-----------__----- Diameter.................... Depth below inlet.......__......._... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ 1-4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ GT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.___._.................. P4 ........................................................... ----------------- -----------"-------*-------------"......*"*--------7--------- 0 Description of Soil.........................................................I............................................................................................................. x U ......................................................................................................................................................................................................... ----------------------------------------------------------------------------------- ............................ -----X—i--------- ............ U Nature of Repairs or Alterations—Ans Ve when ............ 74. fca—le . ...................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL I TL ITE4 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b the board of health... ........ ...... .... 0124� S;S�ned, .. ........ ......................................... ........ Application Approved By.............. . ....... ...... ........... J.......... ---------- ............. ........ .......................... .... Date Application Disapproved for the following reasons:............................ ................................................................................. ..............................................................................................................;........................................................................................ Date Permit No.. — ES ............... Issued...........................................0........... Date --—----------------- Fas.. IJ'•� .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ZXA).t......................OF..... �r3f lia{,Gc '��...... Appliratinn for Raposal Works Tons#rur#ivit Fermi# Application is hereby made for a Permit to Construct ( ) or Repair (4.-) an Individual Sewage Disposal System;at: { Location Address J p. or Lot D10 t .. .... ......... ........................•-- .»..... rne4eil2......sn ►�.» 5ep_catt�e-� rbors, Owner Address �+• '.... ............................................•----.................... . Inst•Iler Address Vv Type of Building Size Lot............................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 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 below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( U Dosing tank Percolation Test Results Performed by................................................•••---.....-----•-•-.--... Date........................................ ,aa Test 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........................ All ....---.......••---•••--•----...-----•----.....--•.....................................................•----•----.............-•--------............---...... 0 Description of Soil...........................................................•............................................................................................................... w -•---------•-••----•............................................................................................. ---•-------.......-------•---•-•...........---........:........................... V Nature of Repairs or Alterations Answer when applicable.Z'n l�+`� ?...___.. re"t �4..W! ............. I f- e- - o•--jam- ?a. .. ?�eGf?.. t_t i_..4'l S r+ a_.a ..nerve mace..•----•---••....... ......................................•..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System,in accordance with the provisions of TITIS "5 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. Sined. a � ----------------------.................. .....- _ � �. _ Application Approved By............` .... ....... ...... ........ � ....... .....Date .........•... Application Disapproved for the following reasons:..........................................................................................................--- .......................:.........•--------.......---••-•-----•...........----...-----......-----------....--•----------------•--•-•-----.....------...---------•--..................•••..•--..........» Permit No:..... . ? �»..:,: Issued...................................................... _... ............... » Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........�4.w7?.................OF......` tws�lcipla.................................................. (In if irttte...orf faumpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( . ) or Repaired (« ) by... ..... ._.. ..... ...».. ....................................' .................. .»_...» ............... �...._.. ----- at................. ._.� .� 1 ,: �....... I ler --._�1... `� ..._. _. ----. has been installed in accordanc h the provisions of T of The State Sanitary tCod;Mde 'bed in the application for Disposal Wcrks Construction Permit No.......... , :::. dated___. . ................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.. .. ---- - ---.. Inspector----------- ------------•--......•....... -• ---...-------._.. THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH /,, .................................. ...... c^a Wrt...............OF..... orris le..................................................... No�...lL...... FES........................ 13hipasal��i,,V,1orks Tnns#rur#iun rrrmt# Permission is hereby granted.......C:.3T"� to Construct ( or`Y3ep, r�{ an I divi S wa ispos l sk � -•--•--- -•-- •••• :l J .................. . ..... -----...... _.._ ...... Street �' r- as shown on the application:for Disposal Works Construction Permit .. <..��'Dat d- � ............:........�..... `� .............�_p...: :_ `�.{ ..........----------.........» DATTh ............. Board of Health ...... ;;;Lo ..K..FORM 12�5P A. M. SULKIN• INC.. BOSTON(a�, 4 --• - - - - - -- - - �' _j _ . `fir low TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS r Z.So 0 4"CAST IRON 12°MAX. 12"MAX ` ° OR SCHEDULE 40 4"SCHEDULE 40 PV.C.(ONLY) y 7pP of Gcf3= P.V.C. PIPE ° PIPE- MIN. LEACH I PITCH 1/4'�PER.FT PITCH I/4"PER.FT. PIT PRECAST Z9,o 3 � _ 1 1 LEACH I N G / INVERT a % ' _ , Z 8, �o `•o EL..Z9,R4.. INVERT INVERT o . Q.; PIT OR ql °. SEPTIC TANK yg:3g DIST. z8.00 ; . w EQUIV. EL... EL.. >_ / LiwE n INVERT Z000 BOX �1 0: ;:: .. -L— Z8 6� • •• GAL. INVERT ten. u- o; EL.....t...... INVERT � ww o• •:�• 3/4•TO Il/2 _ EL......7 �o / \ IF o e ELZ'Ir ?. STONED 'IA" TAT �/ I ,�$$ �I.•�'' i G8 ��- \� / °;' �8 i /o. � '• eZ.2/moo �' �- E57/sritiG i 3e 6'DIA. o /d D I AIftveb .--�,{ PROFILE OF GROUND WATER TABLE It I -¢6' / �� D,e�`/E � SEWAGE DISPOSAL SYSTEM NO SCALE --- r�i \ I — -- \ !- I SOIL LOG WITNESSED BY : P/� osE p DATE �`!�)!�6f!y TI ME./�-oo L��`J � / D�!�!IV�NG BOARD OF HEALTH 10 0 PooG i �o �T I_ TEST HOLE I TEST HOLE 2 ENGINEER) --- -- -- — — ��-- 33 338 ELEV. .z`�: . . . I S 0 ( � 10 i ZQy s�6_so.c s e-.�� DESIGN DATA : 00 eox - I - -' + tz.z73o " Z7 NUMBER OF BEDROOMS . . . . '� . . . . . . . . . I seen TOTAL ESTIMATED FLOW . . . GALLONS/DAY ,-, --" BOTTOM LEACHING AREA . . .. . . . SO.FT. /PIT/C.PP. V , T eESe1ZVG y Z T 6 I p Co�'lLS� SIDE LEACHING AREA . . . ��-50 . . SQ.FT./ PIT/17/.L!' \ L v�' SR-sVrj GARBAGE DISPOSAL . y�='�. . .(50% AREA INCREASE) �D TOTAL LEACHING AREA . . SQ.FT 1 . I 7 gv PERCOLATION RATE . 3o S�/j.�Gf1 MIN/INCH LEACHING AREA PER PERCOLATION RATE I No WATER ENCOUNTERED l NUMBER OF LEACHING PITS APPROVED BOARD OF HEALTH . . . . . . . . . . . . . . . . . . . . • ..Sion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S/TLr L ^� /92�/s J CO s �- DATE . . . . . . AGENT OR INSPECTOR /`7Ay �� i�8g �SCAZC /•�-30 ' OF nF'�c !! tN OF r 6CdC o EDY�If"=D • �oT Lo T 1 1.r� E. �� . Ceti Ar,4 q),,,o /-JA.S Z 6C . �:��EY s � ' "� •�.,. 2810U r 'sj—E�� % PETITIONERLL �L �Q� �;Q�