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Home My WebLink About0090 CEDAR TREE NECK ROAD - Health 90 Cedar Tree Neck Road A= 075—029 Marstons Mills . n ' v n n E ( 3 v I� I: f } �. 04, .. K .. 6 � •ram • � �� . J � f a r• o , LOCATION SEWAGE PERMIT N0P °ter- VILLAGE 1-2g INSTA LLER'S NAME i ADDRESS Kau BUILDER OR OWNER DATE PERMIT ISSUED 3_�C9-79 DAT E COMPLIANCE ISSUED k'd ee /6 s8 No.......... .7�. FEs............�................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........� O.wj4.---......OF....i_Agp m.6 ...................................... Appliration for Bigpu.a al Works Cfnnstrurtiun Prrutit Application is hereby made for a Permit to Construct ( &,<Or Repair ( ) an Individual Sewage Disposal System at: _ �` �` �j/� g0..........6MM-�......� ....-t`!. �.------ ------ 1 l - --........ ............Lo ion-Address —or Lot No. ................�-P ................................... ......._...-•---•--•--•....................... Owne , ..........................•-----Address Installer Address 00 d Type of Building Size Lot... 1o� .. Dwelling—No. of Bedrooms....................3.....................Expansion Attic ( ) Garbage Grinder (//b) Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixAtur Q ------------------..---......-•--------------------------------------......------..............---•--....--•------ W Design Flow................S. -......._----------gallons per person�pr day. Total daily flow......................S.-�----........gallons. . �3 ad WSeptic Tank—Liquid capacityJL�gallons Length..._._".._._ Width../�._ Diameter................ Depth._.�3..- - x Disposal Trench—No..................... Width.................... Total Length.............._..... Total leaching area....................sq. ft. Seepage Pit No............f------- Diameter..........01.. Depth below inlet............... Total leaching area......;? .sq. ft. Z Other Distribution box ( P< Dosing tank ( ) p /Percolation Test Results Performed by. � 1 ._4._N`� .'..rA.:�. '..PQDate........:Who---------- Test Pit No. 1.....:-Z.'.-minutes per inch Depth of Test Pit........ -..:-.._ Depth to ground water........ ............ LL, Test Pit No. 2.......Z�r_..minutes per inch Depth of Test Pit.......t1....... Depth to ground water.................... ----------------------------------------------•-••---------•---..............---•-•.........._....._......................................................... 0 Description of Soil....................................................... - •--------------•----- = ........... (xj ---------------------•---------•-•--••••...:- t _9�?!�.. �eQ.3... ...............-•----.............-•---•---- W ----•-------------------------------------------------------------------------------•--------------------------------------------------•-•...---------------•--------------------------.....•-••--.•-•-- 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 iI Lr� 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. S' ed---.... .. ..................... ............-.._................ ate Application Approved BY 1 Cr-........f� c� Date Application Disapproved for the following reasons:-------•--------------------------------------------------------------------•----------------•-•-----.....-•-••- ---•-•---••-----------•-.......--•----------------------------------------•-----.............-----.....------------------------------------------------•-------•--------------•--------•-----.....--•--- Date ................... Issued....... �_ Q Permit No.....................•--.._..-------- ---- -•-- .................. Date Nof.!�._:... Fss.. '.�............... THE COMMONWEALTH OF MASSACHUSETTS BOARD iD OF HEALTH Vava.k4..........OF...... ...................................... Appliration for Biipos al Workii Tonotrur#inn Famit Application is hereby made for a Permit to Construct ( ') or Repair ( ) an Individual Sewage Disposal System at ........................f?_...... ......ZQA.r.2.....&A............................ --- -�-+_ Loc,attion-Address or Lot No. ..... ..! :Y? ......_.....& M................................... .......•-•--.............................. ••----•--•----•---.................-•......... �-^ Owner Address a Installer Address '_. ..................Ex Expansion Attic Garbage Grinder d Type of Building Size .Lot... _... . . Dwelling gNo. of Bedrooms_________________________ p ( ) g aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtuLas -•--••-•-•---•-••----•------•-••.....................•••----•----••---•----•-••••-••-•--••••••••---••-••---...----..........__......_......--•-•----- a.9 WDesign Flow...................:." ...................gallons per person per day. Total daily flow....................... - ''�-..........gallons. WSeptic Tank—Liquid capacity.Wf gallons Length..e_" _.___ Width.. -_,/#Z). Diameter................ llepth...5 x Disposal Trench—No..................... Width.................... Total Length.........._...ry.... Total leaching area....................sq. ft. Seepage Pit No............/....... Diameter.......... _. Depth below inlet.......v ........ Total leaching area...... P.sq. ft. Z Other Distribution box ( pl Dosing tank ( ) , � aPercolation Test Results Performed by. i',> l.' ��...i..: `I. .`._,�: ? ! �:-6 Date........ .._ 1.e.._....t_......_.. Test Pit No. 1.._._'+. r_�..minutes per inch Depth of Test Pit..___ .� ._____ Depth to ground water....................... . (i Test Pit No. 2-------7_-...minutes per inch Depth of Test Pit.......!::fir..... Depth to ground water........ ............. a --•---......••••-•--••--••-•--•--•-•-••-•-----•.....................•--•••-•-•......._...---•-•---•--••-••----•.....--•-•••......-•......................................................... DDescription of Soil----------------------•..........----••-----••-----••-••••.......-•-•--•••---••----•--•••-•.-----•----••--.....••----............................----•................ V ---•-•-•f ` '- "`' - ` �-��'-'.......................................................... W -----------------------•--------------------------------...--------.....-------•---•------------------------------------------------------------------------......................••---._.....•••...... 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 LITi p 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. S' ned.........7........................•-•--••.....•-------------••-•......••---........... .....-•------••--........._.... �1 date Application Approved By • •-c.�----•�i!• �j.!�. :................ ......................``. ate�4.------ 17 Applieation Disapproved for the following reasons:.............. _..___..___.___.______._____.._.______.._.__._.____._______.........._............---••-••- ....--•-----••---••---•--•---•-••---•••.............•--••----•-••-----•-••--•-••------.......---•--.....•--••----•------•------•-----••----••--•--•.._..---•-••-••---•----------•...---•••-----•--•----- ` Date PermitNo......................................................... Issued......=F•- ------. ................ Date THE COMMONWEALTH OF MASSACHUSETTS x BOARD OF HEALTH ........... �.......OF........ I dE4<+.............................. (9rrtifiratr of TontpliFatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) y...................---- 14 _...•. •• -••--•--•-•• ••----•-••.........-••-•-•...-•---•••. Installer f at...................................... __.._......._...v. _...t:.__ r.._..___... r___.__. •.SCJ_____________ ____ __-_ has been installed in accordance with the provisions of TIC%2P4Z 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...I ..Ly y'................ dated------ �^ .._..._._._..____ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.--• .... ............................................... r s f r THE COMMONWEALTH OF MASSACHUSETTS B ARD OF HEALTH No......................... FEE........................ Dispos tl/ orko �onitrnrtion rranit Permission is ereby granted__..___. ' .1 .11( __. ...:1. : ..........._ to Construct ( or Repair ( ) an Individual Sewage Disposal stem at No.._--••• i t:r..- -•-••...tom-. s ._....t_�:� € . { IF �t r ? _ Street as shown on the application for Disposal Works Construction Pe it No�..__, '.._.._ Dated_..____`................................. t7i J Board of H...... ` ealt/ � DATE...... .. ............................................. FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS T�'��t�►�l •D,4T�4 S 4 QO C•aA28AGC- Grzt Qt>S;2 t>&I L1( 1`LAW a I ICG K S : 33p G.P•D. SrEF�'"T-1 G TAI-J k - SSov t50 % • 4-95 6.P n. ,-1 4 U5£- t 000 GAL. .t?ISPOSA.L PIT - USE 1 ocoo GA.L. SM&WAL.L AI A, = (50 S.P. 1� st= )c 2.S • 7S G.P.L . 'Sar'rom 4,.sZmA,t O-.d 6T-. SD fj:=. A 1 .0 rr ND act. ., r P�tLGOl.QT10U tZl�TE 1� tU 2�rt1 tJ L7r ' t:� t j:1 R ��l� • 'i �Y� : } rr 130 TOT p1 wo"T'; 1 a�;,;�a-Y• �Nt> s IbO.C. ' C.J LOA "Goe tuv•Q v f � '� � �dap I{!�/• ''� Z ,f -Sox Js SEPnc p :. tuv l( 7-ANK GAL. LEacW a TOT w r e I LID WA54IED STOtJE, �.g CEtZT%PIED Pl-(7T- P2o�-t L� L OCATI O" 1 CMaTt1`- T14AT' T14F-- H:)fj taawu Q TZr--FERc Ca NFRi;iD1-1 tfC-WPLVS WIT" TNT -j1 DE LI► E-- Aur-> Sr=TMACV- VGQU(QeMEuTS 61= TWe Y BAATCVZ. �-. WYE 1Q�� t2EGlS•ILIZED '1../L►-1G SUev'�YotZS Tt41S pE-AW IS LOT A,W o5-TEevtLt_C_ o MAS5, 1FJ�it-rZU E�t.11" �,UE:�ir~.� TtIC, c�F�, `t-�, St1aE�Ln APPL_1GA-t--jT_ e ti.br BE USCr? T' > l-)r.- t e c'�.;t�.�� t_c� ; t_t t.t,-, - r �tJ�jAC..Tj M U,G�