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HomeMy WebLinkAbout0090 WEST WIND CIRCLE - Health 9c) l0 A T ION � c, SEWAGE PERMIT 00. "f' y l v�s7L le— S,/- f,/o VILLAGE LV �INSTccA LLER'S/ [ NA7 E i ADDRESS so , `/A,�,V®cTh 0 UIL0ER OR WNER euti5 , Su. Y,4 fnv� DATE PERMIT ISSUED DATE COMPLIANCE ISSUED i e� O'er��� No.... x$..... .................... THE COMMONWEALTH OF MASSACHUSETTS �i BOAR® OF H A TH ..............OF...... ...... --------- -----.-..--------------------------- Appliratioo for Biiposal Works Tonstrurtion jkrutft Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at r c ...... .........-- . ---.... - / - ... ---........ _ .cation- ddres or Lot No. rr s -- - .. -------------------- -- Own , a .....----.:� ---. . . . _...... ........... Installer Address a Type of Building Size Lot-:_f F l�1. ..Sq. feet Dwelling—No. of Bedrooms..............._._.__.........___.__.Expansio�j Attic ( ) Garbage Grinder ( ) '114 14 Other—T e of Building No. of persons.......K6................. Showers ( ) — Cafeteria a' Other fixtures ................................... W Design Flow............ , .................gallons per person per day. Total daily flow......................3_31j....._gallons. WSeptic Tank—Liquid"capacity/ Ln..gallons Length../0_ _. Width..... Diameter________________ Depth..0`V. x Disposal Trench—No..................... Width.............._..... Total Length.................... Total.leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth-below inlet.................... Total leaching area...P ------ ft. Z Other Distribution box ( I ) Dosing tank ( ) Percolation Test Results Performed bY..._.. J.. �____________________________________________________ Date_.___/�_� `............._..__. as Test Pit No. I-____-________minutes per inch Depth of Test Pit.................... Depth to ground w ter-______ rz Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...................... Ix -------------- ................................................ .�----�- --------- ----------•- ------- ---------•------ --- ---- -----._._......_.....-----......._-----------------..... O Description of Soil.-- w x --------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•------- 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 iITI-E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' ued by the o d o health. S0-1 igned__ ------------------------ ....................... .ems. ,......-- te Application Approved By-----_------- ---- _... ._._ -- �-"-'.y------ dace - Application Disapproved for the following reasons-------------------------•-••----------•----------------------------------------•--------------------•---------- ..................................•------------------------------------------- Date PermitNo......................................................... Issued...................................................... Date No. ^ � 1- THE COMMONWEALTH OF MASSACHUSETTS rr - BOARD OF H A TH /Ol �---------- ---OF......� �'y� .' :... .................................... Appliration for Bigpusal Works Tutuitrnrtinn ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at• s ..............f-_......_... ........... ... ....; ..._...-- ocation- dldress -• or Lot No. _`........................ ....................5..... .. ... .............................. W .. ....: =L=.� :d........................ ...........................................................---.................................... a � � Installer Address UType of Building Size Lot.__./_. .� ..Sq. feet �-, Dwelling—No. of Bedrooms................ ._.. ..__..._..Expansio Attic ( ) Garbage Grinder ( ) 04 Other—T e of Building No. of ersons...... .................. Showers ( ) — Cafeteria dOther fixtures ....................................................-................................................................................................. Design Flow...... ....S. .. ..._....gallons per person per df y. Total daily flow...................... .3.0.......gallons. WSeptic Tank—Liquid capacity gallons Length.�/L?e�..... Width......._ Diameter--------------- Depth.A j"-_. x Disposal Trench—No. .................... Width.................... Total Length.................... Total.leaching area...................--sq. ft. *page Pit No_____________________ Diameter-------------------- Depth below inlet..._................ Total leaching area.. _ ...__.sq. ft:. Z Other Distribution box'( Dosing'topk ( ) Percolation Test Results Performed'by. '. _;. ....:................................................ Date_._._.._ l�... ._..__. 14 Test Pit No. I................minutes per inch Depth Lof Test Pit.................... Depth to ground water...... _„_} 4.1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.. . a t Description of Soil--- "` , 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 L 1 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been � ued by the rd o health. ate Application Approved By------ <:..,. �s e ../�a '` Application Disapproved for the following reasons:.. ........................................................................................................... _ .............................................•--------------------------------=.....-----------------•-----------•------•-----------------•-----•------------------------------------------•------------ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ T�- ............-....-OF...:. ......... :::. .. Trrfifiratr of Tompliatta T S IS T IF"Thatith hdiv>dual Sewage Disposal System constructed ( or Repaired ( ) by ._.. ------------------- --- a; _ ..._._ __ .. ._ ...._. at __.. �..,..r dJ ............. _.�....,�_ ., -------------------------- --- - 44 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 NoRy!_..T.y_o................. dated...... ......................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................................. ---------------- Inspector----••---- ----------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE L H 1 _ / . No.........................: �t.FEI , .'............... �i "a Permission is hereby granted. ................... ......C ....fw-- -•--- ............................................................ to Construat ct or Repaj'�, (� )7 divi+u Se ge Di al Syst 1 Street ' as shown on the application for Disposal Works Construction Permit No..............i;•___ Dated.......................................... i - - �" . -----------------------------------------------------•-•---•------------.---- / �� ... Board of Health. DATE.............................. ..,, FORM' 1255 A. M. 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