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Home My WebLink About0001 VERMEER COURT - Health ,�. Vets,m e CR Cod x+ 0 L0CAT10N I SEWAGE PERMIT NO. VILLAGE 1°NS A ER'S NA . � i ADDRESS - u tUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED I L . ,No.._ -56....... ;.. Fps'... .....• THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ro ..... oF.............13�g 1",f«........................ Appliratiuu for Uiipuiitt1 Worbi Tomitrur#iurt thrutit Application-is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ........................... ..p.. ........... --------- :---••-L ----•--•------ 5• ----••-----••------ Location•Address or Lot o. �.�, -Ll �l._..�.i9 .............. ----...... --- .... 1..�?- ner � Aa�ess a ................................. ►..� ..,...... f.�.L.s..� � --------•--••-•-•---....... --........ Installer Address Type of Building - Size Lot..... feet Dwelling—No. of Bedrooms............. Expansion Attic ( (, Garbaget Grinder (��6 Other—Type of Building _.......... No. of persons............................ Showers p., yp g --•-•------ p ( ) — Cafeteria ( ) a' Other fixtures .................................. .................. W Design Flow.................. ... .__gallons per person per day. Total daily flow................�.Xb...............gallons. WSeptic Tank—I_iyuid capacity b(��.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 (—}- Dosing tank ( ) - _ Percolation Test Res is Performed by....................` 1�/i(v��.� tn� Date........................................ aTest Pit No. 1_ Yminutes per inch Depth of Test Pit....-l ..._._ Dept to ground water.._, i�i !y.... Test Pit No. 2........�_._ p P // P g minutes er inch De th of Test Pit..._._....•-.--•--._ Depth to round water.............. ........................................}---------------------------................................------------...........------..........-------------..... O Description of Soil.................................... - :......L 04--q----f7U�-5•01....:.-- --------------------------------------- x ----------------------------------------------------••••......•... « �� /Z W ---------- ----------------- ..........................-..................-......................................................................................•................ VNature of Repairs or Alterations—Answer when applicable.......m...................................................M................................... -----------------...................................................................................................................................................................... .......... Agreement: The undersigned agrees to install the aforedescribed. Individual Sewage Disposal System in accordance with the provisions of iITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' ed by the boar f Health. Signed------ ..�...... Date Application Approved By................ ..:............ y � .............................. ......... Date Application Disapproved for the following reasons----------- ----------------•----•--•-----............................................................ -----------------•---------...---••---------------....------•-----------.....------------.......---......................------------------------------------------------ ._----••-------••-••.........._ Date PermitNo...............................-......................... Issued--•------•--•... - - - - - - ------ - -- -- - u__-_-Date /----- - ------------ r_ No.................6 6.. FEs .��....._............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ---rolv`L..-...........oF.............� 1 ..... ltration for Bifqpuiittl urk,i Tonstrnrtion "amit Application is hereby made for a Permit to Construct ' 1 - or Repair ( ) an Individual Sewage Disposal System at: .�''" 1 ` ...........................�,��....4`�. t....--..... .......... elit ........ ..o_ .....`.--------- 3 ............... Location-Address or ....................... opt ner - ---••-•--• -----•-•---•---.... ..T,"O";�. t✓ ......_... / t. .1K� . .nstaller Address Q Type of Building ,.. I; Size Lot_____;?; _4.�f_8q. feet Dwelling—No. of Bedrooms......... ----------------------------- Expansion Attic ( - Garbage Grinder aOther Other—Type of Building ____________________________ No.j,,of persons_._._.___._______.__._._._._ Showers ( ) — Cafeteria fixtures ..... -••---•-••-•-----•-••----._...--•_______________._..._.------._...------•-----------•--•--__._.___._.._....-•------...__....-------......._...... W Design Flow___________________ __�i:____ _._____..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......I............. Total leaching area..................sq. ft. z Other Distribution box Dosing tank ( ' .a Percolation Test Res is Performed by.I_.__.........._._.. _ A:It.....vFW___ Date........................................ ,� Test Pit No. 1. _ S.,..minutes per inch Depth of Test Pit...... �_._____ p ground water..... YS S Dept to ound wat GL, Test Pit No. 2._.:__.......minutes*per•inch Depth of Test Pit____________________ Depth to ground wat'er...... �1 a .................................. .i.......................................................... ....--•-- ...-----------•-- Description of Soil....................................0 -•--- -----L- V "^-•-- -------------------------------------------------------------------------------------------------•------------------------------------------•-•--••.••--•••-----•..._..._•-•----.....•-•-...-----_.... V 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 TITLi- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i sued by the boar f health. Signed ....._ ,f,1 1�. -——— ----- Application Approved B Date Date Application Disapproved for the following reasons_____________________•---___...__....__________________-_____-_____________...__:____....._. __._.._........_.. -•------------------------------••------•---•------••------------•---...--•-----••---•---•---•-•----._.....-•--•--•---...._..--------------•----------.•----•----•---•---.•••••--••-•••••••-•- Date ,Permit No......................................................... Issued--------------•------------....---•--........._•--•••-- Dam THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (Intifiratr of oni littnr�e - THIS IS TO CERTLW-, That the Individual Sewage Disposal System constructed X) or Repaired ( ) by---------------------------------------------- ?-� ............... s flf ----------..........---...-•--------•----• ^ / -{.� Installer ..................• •-- ^- -- at.............................................�•---•.•--1-----•--- ----------- �Z, '1 has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..elg3" 641�_______________ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE . -- DATE...:............ �!. ...Y. `� SYSTEM WILL FUNCTION SATISFACTORY .... ....... .. ....�.--• .-------- Inspector......_....-�,t�--��------------•-------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1. ..............OF.............. -/! -f :. No.��..."'j�6._.. FEE... G .......... i �rouul Turku �onutri Lion• pr Permission is hereby granted................. ^"�"-�.._. . .___ l �' -- •................................................... to Construct t-h or Repair ( ) n Individual Sewage Disposal System _ ..__. _ v Street as shown on the ap ratio or Disposal Works Construction Permit No..................... Dated.......................................... ---•--••-- -•..... �� \Board of Health DATE.___.... FORM 1255 A. M. SULKIN, INC., BOSTON \\` /YOT� PC UK /rt/N iE�q,CN//YG �'/T A,�E MORE TN.9:`/ /2'�BELOIt/ z • 1RAO��A. a4"O//4M DETER C•ONCR-AG77 COi/E.f o SHALL B.F. aMOuGNT To 9�PYC P%PL t A-AVy CAST /.PON COYZ-R [.L 3E USEo �, s GoNCRe'y MIN: P/TCN- ' t 2 • M/iV. CO/VC.eC�7 L ER 197 2 LAY- 4 WA SHC-0 SANE d R� :�,��N.APF�t.P�' ��-. ,�N 7,A.K D/ST • f f ► . • • • � � • . , � .F �F . a ft' '`t �PTb?!`�►a� 'r f • f fEfTrLe /VC'+� • • • 3�4 �2 • ,:r t. . t'� rr`r� � � =fit t .�, s r • i'rf OL'P7N.• f �. • WASNA-P STO,YE JI ,+..7 try,.,:. r,t:. 1 f 9 y"+ 9•.} V },�R £..�e-. , 1 � •. P= •.. • � �'� .�} �� $ Y r� • �.::• o' of • • 0 d p PRECAST SEEPAGA L z • A ,; : r`.;4 mf_'�l �T 'i � /� y I .T •.i •. fr o s.6 s�o P/T OR �U/V,.. /L FP APIA M. 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TES $A4-kI.S.1 0 LloAAIMS*104 DATE AGENT 4ho• su � T SCALE] - 4D DATE , - �ZS'��3 ►. _L U�i'ED GE ENGINEE lNG CQ°!N ' GL�ENT I CERTIFY THAT THE PROPOSED E615TERE REGISTERED JQB;N0. �J� BUILDING ':SHOWN ON THIS PL AN` CIVIL LAND CONFORMS -TO THE ZONING LAWS DR ;BY � '� A.,,,,;�. LLNGINEER SURV •- ------ OF BARNS•.TA.BL MASS. - 712 MAIN' STREET. CH. By