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Home My WebLink About0130 WEST WIND CIRCLE - Health I3o ink�9w� � LOCATION `JU SEWAGE PERMIT NO. VLo+ ILLAGE o5s ervi�� (�✓�s� f /,N� C�a�l� INSTA LLER'S NA E A ADDRESS so rri OW d U I L D E R OR OWMER DATE PERMIT ISSUED .4 DAT E COMPLIANCE ISSUED rA�k r; y Lo ' 1 No............ Fps.....5J............... THECOMMONWEALTH OF MASSACHUSETTS e BARD OF HEALT _...��ai'�V........OF...... ! . 1 Appliration for Dispas al Works Tontitrnrtiun rantit Application �is hereby made for a Permit to Construct (_�_or Repair ( ) an Individual Sewage Disposal sys Location-Add s or Lot o. Ow r � �r > s Address ---------------- Installer Address U Type of Building Size Lot---�. � 6....Sq. feet Dwelling—No. of Bedrooms--------- ------------------------------Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building . No. of persons.........6. Showers — Cafeteria ( ( ) p-' Other fixtures ------------------------------ Desi n Flow.............. `. . .J W g ... ..................gallons per person er�da Total dail�rflow__._... J__p_....._._._._.__...ga119r�s. WSeptic Tank—Liquid capacity/ gallons Length._14946... Width...S........ Diameter________________ Depth....0 . x Disposal Trench—N ..................... Width.......k.......... Total Length..............,.... Total leaching area...... -..-........sq. ft. Seepage Pit No________ ________ Diameter.........6_-___- Depth below inlet_..._........... Total leaching area.. �_f]�._._sq. ft. Z Other Distribution box.{ Dosing tank (. ) '-' Percolation Test Results Performed by._... -�J,,P�.4.. Date____-��F...'-.jY-1 ,-7 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water----- ............ (z, Test Pit No. 2................minutes per inch Depth of Test Pit:................... Depth to ground water. `�'1. O Description of Soil.................... ---••� .6)1- ' /tl - ................................. x W --•------------------------------------------•-•-------------------•-•---•-------------------------------------------•------------•••-•-----------•-•-----•••--------------•---•-•-----•••--•-..•••-- M. 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 TIT11 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 Signed---..... .. . ---• p . • ................... D Application Approved By................ -• .........--- - Date Application Disapproved for the following reasons:----•------••....••-----•--•-----•--••••----•-•--...--••---•----------------•-•-•----•------•--•------....-_.... - -- --- ----------------•-----.....--•--------•--------------------------------------•-------•------••... ............................................ Date Permit No_ •------------------ Issued_........ f �. ..-� ... 0_...._ Date .. ----- ---- - -- - - - --- -- -- ------ -------------� i ^yvr� t No........................ Fizs.S ............. THE COMMONWEALTHOF MASSACHUSETTS BO..ARD OF HEALTJH - 9 OF.... Appl rFa#ion for Disposal Works Tonstxnrtiun Famit Application is hereby made for a Permit to Construct or, Repair ( ) an Individual Sewage Disposal System at ............ Location-Add r s or Lot o O e , Address Installer Address g ..�.....Sq. feet U Type of Building Size Lot_.______ I—I Dwelling—No. of Bedrooms_______...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building Owe,,�No. of persons........6---------------- Showers ) — Cafeteria ( ) d Other fixtures ----- ---- W �P Design Flow________________:_.__.______________gallons per person er�d�r Total da }�flow__.__. ----0_____.____..______gall�x�s. W Septic Tank—Liquid capacity/.* _gallons Length__1: 4____ Width__ ___________ Diameter------------- Depth...9_..... __- , xDisposal Trench—N ____________________ Width......i............ Total Length............. Total-leaching area-,--- ___ ___..sq. ft. .!� _. De th below inlet____." Total leaching area.. s . ft. � Seepage Pit No-------------------- Diameter.------- ---= -- P --........ g �-- q z Other Distribution box-4. Dosing tank ( ) `-' Percolation Test Results Performed by. --- Date____ ' _`'`__ 9. a 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 �f.�_ 'A,,rfr� ................................. O Description of Soil------------------- � 9:_r_ _ A ___ U .___________________________________________________________________y_____________...____.__.__._._.__._._._______.___________...______._____......_.________._______._...__________.___._____.___..____ 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 further4agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of ealth. . Signed ' ---•••. �' ....... .Application Approved B D ......•••.... Application Disapproved for the following reasons---------------•••-.=...-•--•-------------------------------------------------------------------=-------________ .. i -................ Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I�: :Y.L........0F... .. .. ......... ....• Trdifiratr of-f ontpliFanrr THIS IS TO CERTIFY, That the Individ al Sewage D�i�sposal`:System obstructed ( or Repaired ( ) by__-----•------•••------ � -- - in 11 r 4 has been installed in..accordance with the provisions of TIT F 5 of The State Sanitary Cody. a escrib d in the P .�_ .° application for Disposal Works Construction Permit 1V'o.....______________,f�_.___ _ __.___. dated----�__ _1-_�-_....��_._.______.. THE ISSUANCE-OF THIS CERTIFICATE SHALL NOT BE COPTR AS A GUIRAN EE THAT THE SYSTEM WILL F NCTI(pN SATISFACTORY.DATE...••••-- •• 11_81-------------------•-•--•....----• Ins ector........ . THE COMMONWEALTH OF MASSACHUSETTS ! BOARD OF HEALTH r OF..... ..-. d-... No...�__..._.. .fs FEE.... ' Disposal Works Inns , ion ermit Permission is hereby granted-•=•-- ..,e,0.. -, __.•. �7_�.f�.. to Construct (47 o,,r� Repair ( ) an Individual Sewage ,/ .---fi Disposal Sys at No.../ 1�..__ ., „e � -P-144/.. -= cre� �. wI t --as shown on the application for Disposal Works Construction Permit No.................... Dated______________________________ . s -r---e: -----...' - oard of Health,,' DATE:_ .................... ,/ .. :.. FORM 1255 A. M. SULKIN• INC., BOSTON N GLim EK Ac,t— -ALL ELE_16. 5t4w- t- .: AEF Mfr-,"A. L ESL 0600-'SC U Or.l U" i .h.1.11E �Z-j-- PI-V-W p.L_L t._tc• Ef, A ►A JQ I L)t- OF- ALA- -- -- � ��._UNL�� G�T'NE�>tsE 5.f"t�Ga�tED_ I �/ \ ' 1\ Pi PI :`5 -Co At,30 Id rc TH SY`�T�M SNALL _w WE CAST 1�,�u 1 SCt v.E Ap P\/C r mm ((�� 0 `y L"{l— A-LL I EPCK: TAWKS ��-,1 e,t3�TTIo.J $max A"o L.�/.Ct-1t�Jta PtT✓ SHALL t3E DE'��G,..�EO F=�P__ /� — V-F-Wo✓E A�� 15UtrAa�E MATE�IAI- He�IE�TLI 'C•�/[14' ' + _ _ — e O 00 C) 0 0 ( - '-"c 1a\ elz Tr E LEVA•T1O..SS OF LEACF+t.lEi PnS f�oC_ ^•' ` �_ IPI ____—, � ^ C O A S G ;Ut A#JOKF�I� �cJtTN C�Ay R1E AT i , ? � �.) � -i � `� 1L.J �� 5,.G.-�D /►.N D C'�2.�.�lEt_ `>!l �i• - jt� G ---- --- I 0 O ® c V 9---Tµe 16Au4 ST ex�[:> o I= t+E�I.-V1-1 M UST- 1 e f� � r•aCSTIP�ED wrl� T�+� �ySTEr.-1 IS 1VE.A� C0t-jfD'LETIptil Ago aelo� TG �.c_,�Fi�I.�Ea I y�,•. ,-...�z"`...--- � -� Imo• •�--- � t J ! � � � �-- l�►�t._.ES� oTl-tEt�...rISE �aoTED, AL_:_. :,YSTEr� o //�� •�'� EOf�IF'Oa�1�ti3T'S Sr,-t�o.t_.x__ G o C O IQCL DGwJL i- WIT" T IITE e�]ZAoF -r"v NrATE TYPICAL ® 0 C\) (0—; Q] IT-ey1 -1 Gc�rJ>"c A� SD tarty t, c#dL � S U OT Tin SG Ak- E .. /t/l,1 •F�!/f�1i(./at' ,�.1t/c.� L?Le.4a�ic.fS�G� T ��.��" IJOTE p.tT41p}a1T,�.� x tiaep I ,; T Pecs*:, C�A.L <�'��: rP,�� PI ��.. _lam ASH�tiI�_ P►� __ _,. - -ram 26.26,5 VAT/0 / V/T5 eEr�FoPCEr� g�t�r ._. o__.►c �y A,��.r�tc...J P�Ec_r.Sr �tcaT to scaLE Nor To Sca.�E _ . 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'Ar It &Ma 1 ►C3p 6.� c . �r 2 1 `, (j V t Z /�� f 1 >�e t►i Focce4� csy.sc• ' pt�T �oK O ® O . 06 r+JIC Q¢eT M PT -lb 16E Lo9✓EL STAG LE TyP I GA L SE [/.AGE SYSTIE M FTcs F t L� ' O y ".' _ +.to-r Tot-f L-IE ' l t i LI rr.... 44 d L+6 P MAP SECTION PARCEL, /,OT ADDRESS WE v T 11�J lip 1 PROPOSED PPYRUING LOCATION DE S iG.o/ C,E l7 ee/-4 o�- ,epos �ceo eavl'aut .V v, I E�° +- Eri7r 'Gtr Lc�ry PROPOSED SEWAGE PISPOSA,C SYSTEM OF Ae- .e cbM S _ QEo.IP00 M ' Q.a. y ELF.,(/• ,i,.r � 4 �..��;:,.� r• '�4� � ��fit..:. AL", Cfi*Cf�/N6 QeEQ u/lfl� ___ :�f�� m �e�J3G�,[..�Ct.�'l17't�••e� P T. r;.a�' � r'=! ;, t �' � ice; �.!_f l�•.._� a�'► �� '� . Y �i i�„.�.ram.,. .. -. .I�.PPI..tc.I•.tu-r: Etl�tGttt�t2: -_.. Pr' ?POSECJ LEACHING PIT 1 r ' �,�'f u i A ' C w EAG)N EEO NG i hl C. C-) (>o % E x PA KI s I o N F �, S o t.td�c�rN N G N ruP►y 1J�J"�CJ M A t2+ s - 7T x 4?rc I•�% _ Ca P C) ;' SCALZ: "m IMEt? AS NOTED „ OF k ORAIAINI my: t;.K1iD my- AV" ov: .-K.AN MO. -` .. ..: