HomeMy WebLinkAbout0156 STURBRIDGE DRIVE - Health c -
' v i
No...... Fms.... ...........�...&
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF-. HEALTH
...OF.....B.
Appliraation for Disposal Works TnnstrurtWti Urrmit
Application is hereby made for a Permit to Construct (k) or Repair ( } an Individual Sewage Disposal
System at:
Location-Address or Lot No.
.. �1r1..�.9_�� �f.�✓ic�4.I. :�_ t�c��?.eQ�_�a���....._....�?�.E....�!e��o=� i �6J.
--•---•--••-...__... _...
Owner Address
W
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling moo. of Bedrooms.............................. . . .Expansion Attic ( ) Garbage Grinder
............................ No. of ersons_..-..........._........_... Showers — Cafeteria
Other—Type of Building p _ ( ) ( )
p-' Other fixture ----.
-----------------------
W Design Flow................. ..........� --gallons per person,,p�er day. Total lily---- Diameter-_-6.4..... Depth...._��....
x Disposal Trench—No..................... Width_._............... Total Length................._. Total leaching area.....................sq. ft.
0o
Seepage Pit No-------/.....'..R.._.. Diameter.......T......... Depth below inlet.....42.......... Total leaching area...�®.....sq. ft.
Z Other Distribution box W l Dosing tank ( )
Percolation Test Results Performed .......... Date.5_.7-.� .................
aTest Pit No. 1._ .._.minutes per inch Depth of Test Pit___ _ .._..... Depth to ground water.. ��------•L
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.ova'-.!...._.?..
Ra' -------- --------------------------------------------------------------
-.....
.......
-------
-----•-------------------------------
------------
-..............
O Description of Soil......_��l10,w....:sA_. '
V ....-•---••-•-•-----•---•---•--••-•---•--------•--•......----••••-----------------------------------••-------------••-•--•--••------------•-------•-•---•.._.......----...•---•--••------•----•-------•-.
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 TITLE 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.
� r
Signed '�Z��'!' Lc%• ......-- . ..�....`%............ 7y
Application Approved B
At ate
Date
Application Disapproved for the following reasons------------------------------------'---------._....-----------------------------------------------------.......
....................................................................................................................................••-•-------•--•--•---•-•---•-----------_----------_----------
Date
t� �
PermitNo.......... .................................... Issued........S g ��-•------•------------
Date
r
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Ta c,�� o F.............
i� T ...
...................................
Trrtif iratr oaf Tout r1iFanrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Installer
at L a T � �.T�i .��f 0 --------°Sr���ic�
has been installed in accordance with the 1frovisions of TITLE' 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No------ /.I----------------------_--. dated-._..--; 7. -_71._....._...._..
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
No.----L2 FEE_.....................
Disposal Works Tanntrndinn "truth
Permissionis hereby granted--------------------------•---------•---.......---•----------------------------------------.................................................
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
atNo....- G a - y .......J.111A-....��t.��-�........ ���,--.-..------c�S f..C'.� �..--=-------------------------------••-•---•---•--
Street
as shown on the application for Disposal Works Construction Permit No_2/7..------ Dated----Sf__J.17:71r'.................
---------------------------------------------•------------------------------------------.......-•-•------
Board of Health
DATE........................................._......................................
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
I � �
No.....,.�, ------ Fim...... _.....
THE COMMONWEALTH OF MASSACHUSETTS
_ BOARD OF HEALTH
r ,
j it, s j OF. . r f e �f 1. -----'---------------------------------
Appliration for Disposal Works Tonstrnrtiun Fermi# $'
Ap°p>cation is hereby made for-a Permit to Construct or Repair ( ) an Individual Sewage t,f.1sposal
System at
.. ,l a `. .° --- ----- --------------•---.........----------------------........ ..
................5....._.:..._..................... ......... ...._..r................ ....._.....
Location=Address or Lot No.
......................-----------------------------••---•--•-------.._..........-------......._..- ----------------------------------------------------.......................-----------------------
Owner Address
Installer Address
Type of Building Size Lot............................Sq. feet
Dwellings No. of Bedrooms............r ..........................Expansion Attic ( ) Garbage Grinder
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a Other fixtures --------------------------------
d
W Design Flow.................. =*-------------------gallons per person per day. Total daily flow............. x._rx ...gal�on�
WSeptic Tank—Liquid capacity��j" ..gallons Length k I�_.... Width. .?A... Diameter------------------ Depth_4_-6__-
x Disposal Trench—No. .................... Width.... Total Length............ __.... Total leaching area....................sq. ft.
Seepage Pit No...... ............ Diameter-------- ........... Depth below inlet... ........... Total leaching area.RLSQ.......sq. ft.
Z Other Distribution box F,f) Dosing tank ( )
Percolation Test Results Performed by ..,.. :...: K _'��� .... .... Date.? .1-_ .
_ !
,aa Test Pit No. ....mmutes per inch Depth of Test Pit �. __..__..I.- Depth to ground water ......... ....... .
Test Pit No. 2................minutes per; inch Depth of Test Pit.................... Depth to ground water_.—F..................~�
a ---------------=-------------------•----•--•------------------------------------....................-----......---•----..........•---......---.•---- r
DDescription of Soil......': !? -'t..............•--•----------------------------------------------- -----------------------------
V •--------------------------------
•-•
---------------
--------------------------------
•----------------------------------------------------
-------------
-........
•----------
--------------------
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 TITTIE 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.
Signed...................................................................................... .................................
Date
......---
Application Approved By------ -----------------------------------------------------------------------------•---...
Date
Application Disapproved for the following reasons:.................................................................................................................
.........................................................................................................................................................................................................
Date
PermitNo.............•- -r................................... Issued-------- -'-- ......................
Date
:THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
: :.. a.W ...............OF.............. . ...............................................
K , Trrtifiratr of Tomplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by----------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------•--
Installer
at......------.. r-- .��y .
has been installed in accordance with thel�rovisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No �V.x........................... dated---.--- ................
THE ISSUANCE OF THIS CERTIFICATE SHA&NOT BE'CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE..................................................................... -------- Inspector....................................................................................
THE"COMMONWEALTH OF MASSACHUSETTS
BOARD-OF* :HEALTH
r +r/r/c............OF... !f f S G...................
No....L .. FEE........................
Disposal luorks .01nnotrurtion rrmit .
Permissionis hereby granted-----------------------------------------------------------------------------------------------------------------------------------------------
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
at No.----. ....6.o-T.....&�!G�------.�f_l,(✓1....,lj.t.��f.r.=.....- ��G r;----------e2.,5_-�="�&Al��
Street
as shown on the application No Disposal Works'Constructions 3/Permit No 7........ Dated-__R _ _�-._ t!................
a .t-.1:
r .........................................................................................................
Board of Health
DATE...................................................................-............
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
. ,...+rra.�,�::a. .aw.M:.ti:s• �ay.v�,�e,..rLS1,a�..a.`v..ws .,t..:.�.tY<.., ,..., a. w' ;� _ _ �
41
-- CN
UO C-•.A28AC-t✓ GR1
T>t t_�4 T Low _ 110 -4 3 = S3o G.r->.v. > N
�EF�r"Ic 'T-A,31C = 33o.r (r7o
GX P
bI5Po5At
I'c> SF 2.S = 3`7S Co.P.D. (!�
7ApK,
8crTm a2EA ST-.
`i'"O
0 t�ox
� Ste. A 1 .0 = SU M
TOTAL -C;lESl6W = d2S &.PD n f 1
To"T 4 t_ r-Lava .FD,.
PIT
GrtdGDL&,T%OLI t0b�TE CIQ 2-AAI 1 OTZ L>✓;. Q1 J
V
S�
Y Iti h 3 £ 4
�
r1� 1.40. 19334 O
loft; f
Tore V-4
{ + F�1 V1♦♦ /��♦1
Pik �.
LOAM luv- cj-(.GO
�'P'oe I oov IWV-
9(.7
'
SU$ SOIL-
Box
SI_Pr+c I C
utv. Tia't K
GAL. q( ;.
LEacN A
PIT n
%vAUARV
SA N C>. STOW.- Rio
-
,
CS17-TtPiat7 PLL-)'T'
Plzor-:-!L-E L O C A T!O I-J O S T E FZ v i
EL-% z ' nL�t.—, j yy /-7 cf
NO Fi-V-E1.
4I'j l`
kvA-TeZ
f�ii!OPof iLD PL Q =
I GVtZ't ih'�( 7'�-!AT THE_ FOUNt7AT1oNSN��� IC_C-
--
t lE:CV't z�t.1 Cc �PL�(S �l/ 1TF TI-li=: 51 p� Ll►�E: I_O T. 4 4
Aut7 SC"rC♦AciG �CQUt�EMc�TS., o� 'r'Nt
-To w►.1 of P->AKN 5 T A 5 L E.- i-,r G. 3 13 -7 3 L-
S
`j'Wl5 C?t.A►-! lam, LJOT Ut1-1 /-\,.&,I 05TE�VII_LL= v�-- ILCrLSy.
tiJ�f :JtnC;►.!�' �iUt_,/t=�' Y T+.(_ C:I=L ,�=�/i itIGWLD A.F>I l_IGA.!^�l�T"_ TONy i 1ZA �1 G}-41
U),Lo T"ii i7C�1'! t_M+►Jt=_ 1 C>'Y' U_i1�Ii _,
PWAt 4
1,.1C7 C-7A28AG� �RI�•tv�S� �•�J cp
ba► .�f Fww %tt7 -4 3 = 30 pv N
`'� TtG TA+JtC -'3`�•r (�JG % : d�rj &x.
6.PID- n'
US�- l bOC> 61,4E.
kTAl4,e-
TAf^le.
PtT - usE ' 1t�oo Gnu . td
a4Y hew. V
�ty>-WALL AZFA = l�jQ S.t=.
5F• P41 . �A
15en-T-OAA Af�EA ST-. aoX
MIA
SO S.FvTOTAL L7ESIGt.I = d25 A PD•
't';t>TQt- ; ptT"&',t ,
G'I�r2r-OL .T10t..1 CZl�T� ��Ytu Sm w 02 Ujq5OF
nY
ALAN
8
to, 1953U4
OL
rr�C'1OTCp
su
5^✓17/7`J 2c iTO? G•uo c 11oo.c
\� LOAN d'p„oG �000 ' 1tN .7 A
Q-P,pe u►sr:
5015 so#t- -Sox qG.9 Sc-pr►c
Z IWV.
1600 IiuV. t R6•Zr
G4L-. 9l..o
• PIT
N e;
VC/�-r1-1 •r
SA N ta, STONESIR
C Sv_TtF«o PLC P>L-.ham
i Przo�-t L — -
� LaGATio1-1 OS T'E 21c' t L..�C
Z., to SGAL y� t� p' A.''C 5/ZS /`71
N O wYAK m 7-
('flat-Oroe.c> Q'LAA-1. R1,1=`PE--�.1GC
t�IZ`Ct1=�{ Tt4AT FouNvA-,T4or.45" ut.J
VJ I r to T l-1 51 v: L.1► t L p T q- �=}
A►Jta ��"`��hGIG �'C4JI�EM�.uTy OF T►-tt=:
-TO W+J
t`
vn.T� .� �� �},��. �.. �` ; _ _ a h.•,;-rem. �;. uY c= t��=_'
, � r
t2EG1S t :D t�.1.1G 5U2�Jir.Yvt`4
Tt=V-V L-►..G o /�rLSyY
Tt-A t5 VI-A" t s t_J oT t'Av7C.[7
', ItJrr('C'JMC ►�1i �,c�t��> `C y. 1t1{= t:F� �i�T°r ?��Gl�lL1J ' A:NIat IGA.hJT� ToNy FRAt-4CHI
_ C7
• ? -' .. ', _+ . `7� ' to k' x - . ... ' 4
May' 30;' 1979
Mr. Anthony,Franchi w
Woodridge Road,
-Weston `Massachusetts 02193 ..... y ; '
Dear•Mr. Franchi s
on May 29 when you applied for' twoYsewage ,permits for Lot 49
Deerfield Itoad. and Lot 44 Sturbridge Drive, 0ste`rvil'le, you..:
submitted a check..in ,the► amount. of $30;00
'•Each% application for akeewmge permit is $25 00{ and"the cheek
should have read.,,.-�.rs.ax ,
"We -shall hold the, two sewage permits u#Wreee3.pt of your
additional check .for $2.0;00.
,.1w
Thank you fcr your cooperation,
D Very truly aura
t `
John M. .Kelly'
Director`.of Public Health y
.. • ^ Y .. ,. .....,i r s b, < M-. # • ,.il. t Ott F {