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Home My WebLink About0014 WINDRUSH LANE - Health 4 Windrush Lane Osterville A= 093-068 J o vsn ui epow a woa•peews VCM adn NOIESK*ON {4 l i +1 I i I 4 Ccj9a 66 LO CAT I N SEWAGE PERMIT NO. ® 1q � VILLAGE INSTA LLER'S NAME ADDRESS B U I L D E R OR OWNER DATE PERMIT ISSUED DATE COrAPLIANCE ISSUED 2 /�� Q Q h �t 0— �,,. G . FEE: $30.00 No.......�P......_....... ;��s:z....... .............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® ® �E LTI-� SUBJECT TO APPROVAL OF.O�� r��,��,wT LLE C®NSERVAT9 -•----..... . ...---... ............ ..... ........ ��aen�.,.�, —Naclk f ApplirFa#Uan for Dispas ai Works Toustrnrtion Vamit Application is hereby made for a Permit to Construct ( x) or Repair ( ) an Individual Sewage Disposal System at: „-,-•.Windrush„Lanex„Oste y_ille, ......................... Lot 2 _..... ..................L -....._......_ ..••••--------•.._.......__.•---....:.._::_.........------ ocation Address or Lot N John B. and Mafalda M. Larson 1737 Wed ................................................... ...................... -............ Owner Address �1 ..� 32„Third Ave.-,._Oste:--Y. ,�.le, = '........................... ................ :.. . ; InItaller Address d Type of Building Size Lot..42,,000__+---- Sq. feet Dwelling x No. of Bedrooms............................................Expansion Attic �o) Garbage Grinder (x ) Other—Type T e of Building No. of persons............................ Showers I� YP g ---------------------------- P ( ) — Cafeteria a Other fixtures -----•-------------------------•-•-•------------------.....------------------------------............................................................ W Design Flow...UQX3...(.B&l—d pasj._..gallons per person per day. Total daily flow.....................330._......._.._....gallons. a Septic Tank—Liquid capacity1500 gallons Length................ Width................ Diameter________-___-. Depth................ Disposal Trench—No. Width_16'-0" . Total Length_24 -..`._.....Total leaching area..__...584_.....sq. ft. �13Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( x) Dosing tank ( ) `—' Percolation Test Results Performed by...._.Alan_:1N.___Jones„PE____________________ _ Date...5�8I79..................._. -611 a Test Pit No. 1.....1.........minutes per inch Depth of Test Pit 11....9.___.. Depth to ground water._10' '. Test Pit No. 2.....1.........minutes per inch Depth of Test Pit-11_!_-0" Depth to ground water..10'-6" P4 .................................. -------- ----- ---- ---. .. --.---•--•--------------••--•----------_---•------------ O Description of Soil.....2'.-0" Loam and Subsoil- ....... -- .--- --.--------- -------- W UNature of Repairs or Alterations—Answer when applicable---------New................ --------------------------------------••-•..------ 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 be 'issued by the oard of health. S• ---..... •-•• '''''` ................................. , I � --••-- Date Application Approved By------ ------• _...... ......'� 1-4e�.. Date Application Disapproved for the following reasons: --•-----------••-----------------•--- ..........................•--•-•-•-•------------•--...------•--------•-----••-------....--•-•-------••---•------•-----••••------•--•--------•-•-----•--------•------•---------•-•......-••••-----....... Date PermitNo......................................................... Issued_....................................................... Date No........... �..... THE COMMONWEALTH OF MASSACHUSETTS k. BOARD O HE T Appliratiun for Disposal Workii Toufarurtiun prrtttf Application is hereby made fora Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: Windrush 'Lane, 0sterville, Mass. Lot 2 ,,. ................__...........•--.........•--.................................................... S ...........• -- ••--........_... •--................. John B. and MafalhatW.-` 9fson 1737 Wed ewood Common` N`Concord Mass. 01742 x�,---------------------- ------------•--•-•-•---------....------•------•--- .......-........................................................................................ I .. " Owner Address at n„� W _ ..�� — 32 Third Aire. 0st-rsarzl? 9 MA InfKa7ler Address Type of Building 3 Size Lot__42-,000__±__._..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Po) Garbage Grinder (X) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) WOther_fixtures-•----------•--•-• ••-_ ----• . .._... ...................................... Design Flow..110X3 .Bedrooms)...gallons per person per day. Total daily flow............................................gallons. ' W T5�0 .C4� Septic Tank—Liquld ca act ............ allon.� th________________ Widt ----Off Diameter---------------- Deg h_._...__....._. W P i Y g 16 t g Z �_Orr 594 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 ( X) Dosing k ( ) an W. Jones PE 5/8/79 a Percolation Test Resulis Performed by-__...._...an..._.._-•--•............11 t—0"-•-••-•----....._.. Date________................................ a Test Pit No. 1.__.`.._......minutes per inch Depth of Test Pit.............. Depth to ground water........................ Gam=, Test Pit No. 2_._....._.....minutes per inch Depth of Test Pit......-ds�_... Depth to ground water--10 t-6" -------- 21 ir -------d ia l an V! .. --L.oam an •-�u�s a 8 - Medium Sand Descriptionof Soil..........--........................................................................................................................................................... x W ...........-_p.............•--------------------------------------------------------•---•--••......••-•-•. ------ U }` ew Natuee of Repairs or Alterations—Answer when applicable........:...................................................................................... • `....................................... 1 Agreement: ` The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TiTLL 5 of the'State Sanitary Code— The undersigned furtker agrees not to place the system in operation until a Certificate of Compliance has beeu issued by the bo�,l of health.', ----------- Application Approved By... ---------------------------------------- Date Application Disapproved for the following reasons------------- ••----••-----------=----------------••------•--- ..:_ -•...............•--........------------............-----•--•--------------------...........------------.--•••••-••----•-•••----------------••-•-•--••--•------•••--•--•••-------••----•••--•-•....•---- Date PermitNo....:.................................................... Issued....................................................... Date r THE COMMONWEALTH OF MASSACHUSETTS BOARD HEA t ......OF..................................................................................... Trrtifiratr of Toutplianrr THIS IS TO CERTIFY; That the Individual.Sewage Disposal System constructed or Repaired ( ) by..... .....•-j•---.....J/� ---- , - . 0' Ins�Iler - ..................•---•-- �'As bfen installed in accordance with the provisions of TI r 5 of The. State Sanitary Code as described in the application for Disposal Works Construction Permit No"-. __-G_-__n.G............. dated_-.._�......................................... .... �v THE.. ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SA TISF CT RY. DATE.................................. Inspector---•-------• l THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEA H ........ 0 .............OF..--...-- �......:'.. '..................... �d No.............��`. FEE........:............... Disposal Works Tunutr iutt "anti` Permission is hereby granted..............l�.....•--- -------p` =air -_---------------------•---•-------•------... . ......_..... to Constr" t ( o�l R pair ) an Ind'v ay Sewa g �D>sp h,al System d �at No.." :. -- "!.1 :_. 1!iZ�!�'4._�.:. r+� � .dr•( ` % '1" (/..... . -- Street as shown on the application for Disposal Works Construction P r it N _ _____.. Dated.._.'..._'�_._�.._........�......... .. '._.Z�1 • ----------------------- • •-•' Board of Health , DATE........::......----�� .�.......................----- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ®............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'SSIUVW03 .. _OLO-0. -. ---..OF...... _ 318V NUVZI Appliration for Uhip aiial Works T11mitruritoanVrrmt� Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sew ge Dispopaly System at:................\N-1 U Ae ... .........Z............. L Address or Lot / Owner Address W Installer Address —� d Type of Building Size Lot----- ..._.____4EL%t_ . U Dwelling—No. of Bedrooms___....... Expansion Attic �b) Garbage Grinder N P4 = Other—Type of Building ____________________________ No. of persons............................ Showers ( ) Cafeteria ( ) a' Other fixture ---------------------------- W Design Flow..................�._..---..................gallons per person er day. Total daily ow..........................................) 6llon�s` - Ix Septic Ta�— d capacity.�5��g ` g II e p �a ..gallons Len th_�___:'`____. Width'5_'4______- Diameter................ Depth ._ Disposal —No. ___ ........... Width.....��__-------- Total Length....--._.`'...... Total leaching area_._ (-_4.....sq. ft. ___-- Diameter.................... Depth below inlet-.__/.. Total leaching area_.. __. sq.: ft.� Seepage Pit No______________ p g Z Other Distribution box (L�� Dosing tank ( ) 6,p-�M -� 11 '-' Percolation Test Results Performed b W .L.�-° ` R- Y - •- -... u� Date ��._... ,aa Test Pit No. 1......_i........minutes per inch Depth of Test rt_-.11!s3--_-____ Depth to ground water-__f_G -e5.-_ Test Pit No. 2..............-minutes per inch Depth of Test Pit----`..0...... Depth to ground water__1C�.as�..... xt .---------------------------------------------•-------------------....-- --- o �---- ----- l/ ; Description of Soil----------- --s�----------------- -�.._--�-��g�.r?�._.�----- �--"-------------��/i�� _ -.---- -' --------------------------------------------------------------------------------------------------------------------------------------------Z--•-•-----------------••----------•-----•....:_:.'._..,. UNature of Repairs or Alterations—Answer when applicable.______ !�_L_�_-C---__--1_...__...._a�____S-N --E---F !L . tc rE,-----.sv !�-�"�t 2 YEA....2=,0u,4b------occ- r' �ey...................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of f^IT T-'^ 5 of the State Sanitary Code— Th�eru dersi ed fustier agrees not to place the system in operation until a Certificate of Compliance has e iS y"'t o� heaIt]F- Sined- ---......................................................... ZNA4 'F- i- MAF fy1. �;t,O Date ApplicationApproved BY................................................................................................... Date Application Disapproved for the following reasons:................................................................................................................ ...............•----•---•--••••--......•--•--•-•------------...•••---•----•-•••-•......••--••------•--•-•--------•-----•••-••••••---...---•-••--•••-------------------- ......................... Date PermitNo............`...::.................••---.......----•---.. Issued_....................................................... Date F THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ............,.`�..(/ y...............OF........... ..... . ............................................. v %luntiftratr of Tompliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired:.( ., b . Y r I r r Ci G �� ...�. ......_... at...... ?.., :_ ..................--•-•-•-•---••--••-- has been install d in accordance with the provisions of j;;` 5 Qf Thaae State Sanitary Code as described-in the application for Disposal Works Construction Permit N __�___ ---------- z _...... da.ted------ THE ISSUANCE OF.T.HIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE' . SYSTEM WILL FUNCTION .SATISFACtORY. ..DATE.........---•--....-----•--•----------------------------•••............-••••-... Inspector..................................................................................::_ THE COM'MONWEALTHrOF.MASSACHUSETTS BOARD O 'HEALTH �.Lge� ... OF - �. ........ N .. FEE....` 'd k ...•-•-•- Bioposat Works TDOns ttrtiott frrutit Permission is ere y granted-------------•-•--...-•---•-••----••-•-......---------------••••-----•••-----......-•••-•---•-•••••••••-•--••••••......•----•......-•-••-.... to .Const ct � epair ( ) an div'dual Sewage Di osal st at No... ., � . - .. 1. 1 � �� == ............. - Street as shown on the application for Disposal Works Construction Perm" No6�! _ .____ ated_._._7` " 71_� / 'f _ `.................................................. Board of Health ' FORM 1255 HOBBS & WARREN. INC., PUBLISHERS No. ..... Fss. .: . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . .. OF.........:...........:........:..... ............................................... Appliration for Bhgpoliai Works Tongtrurtiun rrrmit . Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal, System at ......... ... = .............................................................. -•------••••-----•----.........---._.....-•---•---•----...._..------.............. ....._ & "Location'-Address or Lot No. .._.._.---• �_. ......................•------.....___________._..._ .....................................................-................. .._........._..__ W Vr r, Owner Address .......................................................... -----•-••-••••••--•••--••-•-•--- ........................................................ Installer Address Q Type of Building Size Lot............................Sq. feet U" Dwelling—No. of Bedrooms________________________________ _Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons................._---------- Showers Cafeteria Q, Other fixtures -------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. s W Septic 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.................... Total leaching area____._____.___._.sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed bY--••••----................................................................. Date........................................ aTest 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----------:............. Q,' •------------------------------ ----------------•--•----------------------------•----` '---------........................................................... 0 Description of Soil................................................•....................................................................................-----------------------------•-•-•- x 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:T`T p r 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 ApplicationApproved.vBy.................................................................................................. -•--•-................................. Date Application Disapproved for the following reasons.•-- -----------------•--= ,.._. ---------------------•-------•---. ---------------------------------_-•--------------------------____ --------- ______---•---------------------------------------------------------------------- -----••••••--- Date t PermitNo......................................................... Issued....................................................... Date • THE COMMONWEALTH OF MASSACHUSETTS BOARD' OF. HEALTH OF.... �- C�rr�ifirtt#.r> THIS IS TO CERTIFY, That.the Individual Sewage Disposal System constructed ( or Repaired ( ) by----•---------•••--•-- -••••• ---_--- =-- ----•.....................••-•----•-•---•••-• -------•----•-•-------•-•-...... .--------•---•-•••-•---•••-----..._.....--- I staller at Y R, / "� ---- s » '� has ieen instal din .accordance w h th provis>ol s of > o he Sta e Cantary Code as described in the ,.application for Disposal Works Construction Permit 1 o.7_ _____ _ ___:_______ da.ted_._.__ .t, .THE ISSUANCE OF THIS CERTIFICATE SHA NOT BE C NSTRl9E® AS A AN'PEE THAT THE SYSTEK WILL TUNCTION SATISFACTORY. DATV:.__ ....................................................................... Inspector.................................................................................... �H THE COMMONWEALTH OF MASSACHUS"Eq fS r ,' T14 BOAR D, OF HEAL 4i , 4 OrYIJ✓. x.. FEE f i b s 1TWns ti U rrmi ,z Per-mission;is hereby granted__.__ x ..... ......... ' 1`o Cons" uct �Repar ( ) an ndvldual'Sewa e D' posal yst atNo ------------------- ,. t as shown on t e application for.Disposal Construction Permit No �------ -- _ Dated__'.-J— � ,----------- )ATE•- FORM 1255f HOBBS & WARREN. INC., PUBLISH RS ;a ' I I I 1 IJ t I it III low iL .. Tt E} ' /� . ram" ^� - .1 � •. � � '� `� 1 -., .'/ a'. •i ,f. ,i. .r .«/l ., .. � i \ ' � 1 en ;� �\'�_ .. . I , I '.., i � /Ja// �/l� �\_� „mow ` .. _lr•_`I X �` T..'-'w..' '��, w , � 1� \ •� ` , — � { � ,`\ • ; •c �r \ 14, -51 I /.>+�s� .'"r (�-. �.�-_�._w r ,!!' fir;J f r+y !7 f. r"}%-•tJ/. ( _ /�'./� .... , .. 1 - fr• SG r ) 1` i C � j..'F' 3. 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