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Home My WebLink About0279 CAMMETT ROAD - Health 279 Cammett � 78- 100 . ' i"alai Sfon %vulis ! r . Ro No..... ._... Fss.. � THE COMMONWl3-96TH.OF MASSACHUSETTS _ M BOARD OF HEALTH ' - . ............OF............. ... .. ..... Applira#iun for DiipugFal Workii Tomitrur#iun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..... ?._ ................... z -•-._..4P,................... ............••-••-------------....... . -----------------------•...........-•-.-- ----- ------------- Location-Address or Lot No. ................... o� .F't .......... .azy2.-•-•-•-----------------........... ..........--..............................................................................._..... Owner Address Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms................ . .......................Expansion Attic ( ) Garbage Grinder ( ) persons ................ Showers — Cafeteria Other—Type of Building ..._ No. of��'�_!_____________ p ( ) ( ) Q' Other fixtures ........KtJ 9�n�.......xiz!4 ......................................................................................................... W Design Flow.............. 95....&.C9------__gallons per person per day. Total daily flow---l�°__�_�_=....��...........gallons. WSeptic Tank—Liquid capacity_!_vv�__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 e_4,P..S..._..sq. ft. Other Distribution box ( ) - Dosing tank ( ) Percolation Test Result Performed by..........�! .Tk2..... ...................... Date........ % .9--------•--- ,Wa Test Pit No. 1 ________minutes per inch Depth of Test Pit...... y_l....... Depth to ground water.................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 1............................................................................................................................................................. O Description of Soil ARA.45 1 ,�rZS � Dy 6 A�..................•---. 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 iITL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issuepc�_by the boa d of hell . Sign .................... . . .................•....---....-- -�.... Date Application Approved By...... - .... ........................................ 1�..�.. Date Application Disapproved for the following reasons:......... --•---•-••-•----•---•--•----•-------•-•••---•-----•---------••--------------------------------•---- .................................................. --------•- V' .. ----- .....--- Date Permit No........ •-- ......... .. . -•--. / \ Issued.---- C�° == � .................... � Date THE COMMONWEALTH,,OF MASSACHUSETTS BOARD OF HEALTH : zr OF............ .. G 1/"`--- Alipliration for Disposal Works Tonstrurtion Vamit 'Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ............. .. ..C A»"I"C 77.......4 pit................... ..............•--•--•------•---•-•••-••--•-••-•------•--••-•-----•-•---•--.._.............._--••-- Location-Address ...................�.o. feet..........PPA& --......_..._..._•-••-....._ - or Lot No. Owner Address -------------•---........................... Installer Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms...............Z........................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building, .__4e °'?!_ ........... No. of persons.........1_________________ Showers ( ) — Cafeteria ( ) Q' Other fixtures .. 0 9/.`/------ ............................ d Design Flow.._............q�....�?'f'9...._ gallons per person per day. Total dail� flow__-1fP__ _.3_=.....P.4 .... . gallons. W ---- WSeptic Tank—Liquid capacityli!Mu,..gallons Length................ Width.....(k........ Diameter................ Depth................ x Disposal Trench—No-----_---•--_------ Width—) ....,..._._.... Total Length........ Total leaching area....................sq. ft. Seepage Pit No.............. ----- Diameter......'.. _..... Depth below inlet....... ......... Total leaching areaA.P.1......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ar. Percolation Test Resul Performed bY._......_. !Q_'�7 ��..-•- ...%S! �!`f ....................... Date.._..... A ........__.. ' Test Pit No. 1;........minutes per inch Depth of Test Pit.._._.�t ........ Depth to ground water..__.._r!!!�!�_ ~" Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ - - ---------------------- ----------------- - --------------•----•-...•-•----------------•:----•-------------•••- O Description of Soil....- -........ME-17....... PAJ-<<K-C---1le' ......Aam§---------------------- x V ---•-•-•-•-••-•-•-•-••••-••-••-----•.....------•••-----••-••••--...•-•----------------•--•--...------............. W •-•---•-•-•••------------•--•----•---------••---••••--•-•-••--•-••-•-•••----•-----•----•-•--•--•••-•---•--•-•••----•----......--••---•••-•--•-......................................................... VNature 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 TITIL- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue by the board of hell SM�� : : ........ .±. ..`. ..............................• Date Application Approved BY � ' ............................................. -//0).=` .-.2�k Date Application Disapproved for the following reasons:... ------••-------------------------------------------------------------------------------------------•-- ................•----•--------.......-------------------------•-----------•--------------....-----------.._..-•---...........------•--------------------------•------------------------------------------ Date PermitNo......................................................... Issued--•------------------------._.._..--•--••--•••--•-••••. Date � x ,,THE COMMONWEALTH OF MASSACHUSETTS BOARD OF LTH .............. .......................OF............... .... � �. r .:.:.:.. ........... Terfif irate of Toanplittnre fS IS O E Y, That� he n ividual Sewage Disposal System constructed ( ) or Repaired ( ) by. ..... --• =... - ----- Installer at.-- • t :..--•••- ... .... . ...... •... -•--• ha been installed in accordance with the provisions of T• f -�y"e tate Sanitary o .e as,described n the application for Disposal Works Construction Permit N :_.'.. ...... (�i ... .... da.ted_-_/�49.`, Zr--_:"_'._, _. :_.•...... THE ISSUANCE OF THIS CERTIFICATE SHA NOT BE CONSTRUE® AS A GUARANTEE T AT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector...............................................,.---....------......---......_...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH ...... ....... FE ...................... As�tar,� 'l �#rni-rn rrutif Per 'ssion�is hereby granted to Cons ct ) or )Afn Indiv�u l S'ewag posal stem at No..= •--------0. .... ._..... '� ...... Street as sh wn on the-application for Disposal Works,Construction Permi Dated. "'� � .--_: .. ................. -------- ........... Boar of ealt"H h DATE.................to- le- 7.............................................................. •. r FORM 12.55 HOBBS & WARREN. INC.. PUBLISHERS =ac t 1_�4 FL.cov r rt to 3 = SS ,r=s=-r-tc TA jw- r- 33oY lSc % • 4-9S 6.P0. l�Ste- C C C>C::) 6aS 1_. 'PIT - use to00 G&-L-. ,MGWAI--L AeF-:A = (S0 S.F. tc� SF' It .1 7a 7c> TC7TAL. 'VES%GW = .425 6•.P.D. T2>Ta L mat L-`f - ' 330 6.PD. t%�f�GOt.QTu�c.J CZA`t"E� : l� i►.f 2.�4t t tJ 02 L.ES�s. ,Q Pfr C1• : Ktl t� OF ? 24d ZN exam " 1 t 1 -re5T q/21 1� t-�j= lei, 'Tor F�+v t�ao.a Llr ..,..•� 4,,P� 1. LOW d Op I o0o i►tv. 1 X PWx= I ST 1W. JFySDt(.. r -Box `iG< Sc-�vnc 16, Z, Wv. TIa ht K (DOD �G'° twv. t►N. ';;. 1s2L. 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