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Home My WebLink About0295 WEST WIND CIRCLE - Health 2� 5 W e O--wt �a 1- Ol 1 Oq`1 = OS i 321r- R (OvER Rp [ IS (30 a 1 I 1 I i I ' I S M E A KEEPING YOU ORGANIZED No. 12134 2-153LGN 5USTAILE R MIN.RECYCLED INITIATIVE CONTENT10% Certified Sourcing POST-CONSUMER wwwx9progrem.org SFW1290 MADE IN USA GET ORGANIZED ATSMEAA.COM r LO '" ATION A�1 $ ! WAGE PERMIT NO. Lif 33 LAJ eV1,3V C IK.f c -7 VILLAGE G l a INST A tLER'.S NA " E A ADDRESS so. �� 3 U I L 0 E R OR w vF1ER e0 C OVA DATE PERMIT ISSUED (DATE C0IMPLIAHCE 155UE0 -io., 35 _ ® 0 0 �y Ld 3$ FimB 6-?7......... ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL11-1 I f .....OF... ---- ------------ Appliration for llhipaoal Workii Tonstrurflott ranfit Application is hereby made for a Permit to Construct 44 or Repair an Individual Sewage Disposal System at: iA ......... .. Co e or I t No.ation�-A dress . . .. ..... ... . . ..................... Owner ddress ;t4 . ..... ....................... ...............S.prR�.o....... ..................�� V Installer Address Type of Building Size Lot....16."..V1..Sq. feet U Dwelling—No. of Bedroom -------------------Expansion Attic Garbage Grinder ( 04 Other—Type of Building No. of persons.........(0--------------- Showers Cafeteria ( Other W -------------------------------------------------------------- --------------*----------- -redy� Total d�_____ Low............0.0_0.............Design Flow........ ..........._gallons per person pe ..-PAlMns. 134 Septic Tank—Liquid capacitylOM.gallons Length.10.6----- Width____ Diameter---------------- Depth .K.3. Disposal Trench—No..................... Width......e............ Total Length...............r... Total leaching area--___.. .. .....sq ft. Seepage Pit No----------I......... Diameter....... ......... Depth below inlet......d........... Total leaching area... ..Sq. ft. Z Other Distribution box ( /) Dosing tank Percolation Test Results Performed by.- ... Date------6---7;..,9 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.;... ...... - ---------------*............. .......................... 0 Description of Soil------------- . ..J .......To...... _W...... W U ............. ........................................................................................................................................................................................... ....................................................................................................................................................................................................... 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 TL I'i IL4 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been * sued by the board of Ith. 5a Certificate of Compliance has been sued D ned.... ... . . ........... ApplicationApproved By........ .... ............................................................................ ........... Date t f 110 j Application Disapproved t following reasons:............................................................................................................. ......................................................................................................................................................................................................... Date t Permit No......................................................... Issued ....................................................... Date —--------- No....................... Fps. ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT 1/1......0 F..R2,C!,-.7,.J�ti4.. ...................... . .................. Appliration for llispoiial Works Tonstrurtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: _rl .....7.......a A_ddres!,_A er No, n- ------ . .. . ...................... 12....e2n .. .....t 4 q ............ ---------r Owner 12WIP. ........... -wa.L Add dre, .......... ................f--4�.o..... ..................-n.........4 ........... Installer Address Type of Building A; Size Lot...16��01..Sq. feet Dwelling—No. of Bedrooms----------- ---- --------------------Expansion Attic Garbage Grinder P4 yp Other—Te of Building 81"', No. of persons.._..__. - -------- Showers Cafeteria 04 Other fi:W. ............. ................................................. Design Flow____._......S ', --Z ...............gallons per person per�dp. Total daily/flow............ .................olYons./ 1:4 Septic Tank—Liquid capacity/A AO.gallons Length-1.0.4...' Width._.,(...... Diameter................ Depth.463 x Disposal Trench—No..................... Width.....i!............. Total Length..............z.... Total,leaching area.._.._. ....sq. ft. Seepage Pit No---------I---------- Diameter......----_--._- Depth below inlet..... ---------- Total leaching area.. ft. Z Other Distribution box ( I) Dosing tank ( ) Percolation Test Results Performed .... Date..... ... �2...6/... 1.4 (,.=�z- C�l/ Test Pit No. I...........:....minutes per inch Depth of Test Pit...._.._...._....... Depth to ground water-----I , 4 gr . V-0............. .Til5q 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water/,.......Wff- 94 ............I..... ..... . ................. .......... ...................... 0 Description of Soil............. 0 #_p--- ------------------------------------------ ............ ---------------------------------------------------I------------------*-------------*----------------------------------- --------------------------------------------------"---------*--------------- ....................................................................................................................................................................................................... U Nature of Repairs or-Alterations.—Answer when applicable.....................j......................................................................... ................................................................................................................................................................................................... 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 d by the board of!4-alth Sine ....... Z ........... ApplicationApproved By........... ........ ............................................................... .....J�J..... ................ 11 X Date' owi. Application Disapproved for t I owing reasons:.............................................................................................................. ................................................/....../ ............................................................................................................................................ Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS .BOARD OF HEALTH .......r(!)1,,.V..10........OF.... (9rdifirate of Toutpliatta THIS I,.S TO CERTIFY, That the I di *du,I Sew ge Disposal System constructed or Repaired 9 by-------------- ..............................:r- ... ---------- ------— y.1 4141X��................................ Installer /7 X-------- ..... .............0--d-Z -F has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as Msc Z �bed in the application for Disposal Works Construction Permit No......... ...;X '?........ dated-. .......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STF E THAT THE SYSTEM WILL FLR4CTION SATISFACTORY. DATE.............. ......................................... Inspector---- ......................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.............. OF... ... . FEE..... :7/1.!/ ......... Disposal Workii (inn j�udion 1hrmit Permission is hereby granted....—fp ...... ..............Ln................................ to Construct4) orNRepair an Individual Sewage Disposal System .................... Street as shown on the application for isposal Works Construction Permit No......................Dated.._....._.._.__.............---.---------. 1, application c Za . .............................. oaW-ol-i H.ealth......................................... •DATE..............L.. .......................................... FORM 1255- M. lii4�-.r'BOSTON Id-10 ---- - -- GEoJ E2 411- N OTE S —�- --�--T-T----., --- ALL ECfV. 54-LoWi.: AE3jW MEA0.i EA l..E�i'EL PITC6i ALL L.IWES A Mioj,MJlr� OF _ — I h - 1 j _ Ue.lLCS'� CjTNE2'vJtSE 5P'EGaF[ED. ALA-- F'IPES To Anita 1•,I THE 2d \ - -- -- - i - DE CAST 1�►J c X DUCE a0 P,/ ,- �- ALL 5EPTC TALIKS A SHaL L O` I N ?-C) v ,4At_Ek Lds.f�,r 1C�S WHEN INSTALLEDuNDER PA%ANG .,- Cl� �" ' -.--� r / � �--'- 10Ef�k ✓E A .A.. 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PE'PLaCA1/e'w 7mar � �r EC 'J„_1` V ',�� S'";' __ �. ��d•��`' '�!'" � /�J�.. � r o RAYMOND �[ T'� ,eEQ�rt� G N.U. oe s�,ccr.�w o r.; ;L ; /, L N/.VG \rV�.21 -Ae 583 Q �% 1 ✓ � - . , PROpO.SEO L('-AC"'ING pIT / �� SJ��yQ� AP'PL.IGAA1'r: GI.jG11Ji�,R. Alae&V E4G)NE:E-e,WG INC. ' D1SPCaSe►L. T•1 _ 100 ?� E x psk til s t o rll , j ��'PfiIOF f -, (00 E FaLt�Cx7i N N!G 61YJA � +s " �� 9- oE5%CsIJ ROBER 0Z5-% 1 -r7 I E. Y4fRO, RAYMOND ~ SHEET A ANO.1987J ti SCALE: DATE. AS NOTED JL//1� ?�4={ > OF I � p �fx'�oNaL EN6� ,, 5Sc�Ll�P- ,I�.,�" PLIGA.TI Oh.� too, .3,3 71 DRAWN er CNKO 9Y: A►PC BY: PLAN Mo- v -