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Home My WebLink About0291 FLINT STREET - Health 291 Flint Street Marstons`Mills A= 101 - 016 I r�� LOCATION : _ SEW&C�E PERMIT UO. VILLAGE fy" ISA vT MA1�s — — — — IMST&LLER S 1 &L AE P, A.DDRESS BUILDER'S !J &"F- ADDRESS MTE PER"VT 155tED.:3L-301ft(z — — — — DATE COMPLI MCE ISSUED A 14 THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH p..C__l................OF...../. .... ..S.. .-.- .-.�°................... A Iiration -fur 4%ivooal Works Tonstrurti n Vanift Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal systern t: /,/� -74— ---------------- ----------------------------------------------------------- •••---•••--------------------•••-•••••-'-•-•••--•••---••-------•••---•-••••-•---•••-...-•--••---- Locatio ddress o o No- 7`Q_e _ r.ra ter Ada................... �/ .gOwner •-ai.. P J 1S ress In al1e�. V iD Address Type of Building ''� �P`GN u s f .f Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms---------- __ Expansion Attic Garbage Grinder aOther—Type of Building ____________________________4to. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures .......... --------------------------------------------------------------------....................................................................... W Design Flow--------------------------------------------gallons per person per day. Total daily flow---------------------------------------------gallons. WSeptic Tank—' Liquid capacity�'-DOgallons Length---------------- Width-------_...... Diameter................ Depth..-.--_-_-.----- x Disposal Trench—No. .................. Width._.__.._._ __�__��otal Length.................... Total leaching area...............-----sq. ft. Seepage Pit No._�_OQP.... Diameter5��►_`-.__--- pth below i let___ l -- Total leaching area.__-_._---_-___-sq. ft. � z Other Distribution box ( ) Dosing tank ( ) '0 / 3"3 tt,`;-(_ - aPercolation Test Results Performed by------- ------------------------------------------------------------•--_. Date-----___.------------------------------ Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water-..._-..--..---------.-. f4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water - water.-.--.-.--_____..-._.- ' ' � � rG Descri)tiQn of Soil.------e1 • � - --- - .- - .•--•--.. -------- -- -------- --UW -• 7---------- r- -- - 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 Article \I 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�j ApplicationApproved By................................................................................................. ._.: /7.-£-4j�e--- Date Application Disapproved for the following reasons:................................................................................................................ -------------------------------------------------'-------------'--------------------------..............................-- -- ---- -- ------------------------------------------ Date ----- Permit No.----�-��--�-j d-- ---------------------•--. Issue---- d.---.--------------�/.�.. - -------------------------------- ate ------------- - -- - — � v No......................... Fps./.,.),.................. THE COMMONWEALTH OF MASSACHUSETTS /�- BOARD ffOF HEALTH j....... --.._OF....../.J4.K.f "!--L/ ......................... Avvlirtttfuu -fur Uhipaoal Works Towitrurtfon Vrruift Application is hereby'made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ....--••-- .................................................................................. ....._....------------------•-••------..._....--------•--....--------------••-------•------------ Location--Address or-Lot o � Owner ('� � A�ress . --�1-= ---�'��-'------�=- .....��.5--------------------------------- .....lY.-.'�.:7.1 F....•-----��-�--t............... 1L.............. Installer Address U Type of Building �a��t Size Lot............................Sq. feet �rI f t Dwelling—No. of Bedrooms-_-.___. --ry J.�-�-. .�--.--.-----Expansion Attic ( ) Garbage Grinder ( ) pal Other—Type of Building .............. ............. I o. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ---------------------•----------------------------•----------••--•••••---•-------------------•---•---------------------------•------..........•-----. W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacitv/_d>. (C allons Length---------------- Width_.............. Diameter---------------- Depth.-.._--___------ x Disposal Trench—No. .................... Width-----------w__.. 'Dotal Length.................... Total leaching area....................sq. ft. Seepage Pit No..�.n �'__- Diameter-.%to!r....(`qDepth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-------- ------------•----••--••-----------.........--•-••----•-•--------• Date------------------------------------._.. Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water...-----_.-.-_-.___-_- (� Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water--.----..--.-___--_..... (� ..-•--------------------------------------•-•-•-----------------------..................-•-...••........................................... •---.--- ODescription of Soil.......................................................................................... .............................. ---------------------------------------------- x .......` ------------------------------------ U Nature of Repairs or Alterations—Answer when at plicable---- ' ` r ( l -•--- ------------------------------------ ------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------•.._---•--..------------------------------------------- -------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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 By-------------------------------------------------------------------------------------------------- ........................................ Date Application Disapproved for the following reasons:--------------------------------•---•-•---...-•----.....--•--•-•-•-•---•----••----------------•--•-•--••....... ..........••--•--•-----••------•-------------------------------------------------- ------------------ Date PermitNo......................................................... Issued...................... ................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Z...:2.% ..r..............OF......... rr. 5.....u.. ...1.. -.-...--.............-.. Tntifirate of Tilutpliattrr THIMS`TO CERTIFY That the Individual Sewage Disposal System constructed ( or Repaired ( 1 by--•••-••----... f r d'" .............................................................S ._..--•• ,-y/ r ------•-.._.._......_...-•-•-•------•------•-_....._........___......_.___.__....______.... at.... ------------ / ------- /•......... Install v t has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------------------------------------------ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATIS AC ORY. DATE----------�------------—--f------- ................... Inspector---`--- - THE COMMONWEALTH OF MASSACHUSETTS r^" BOARD �1 F HEALTH / ..1..�.............OF......�: �A.r-/�.l�. U_.. DioVoottl Norkii (nooitrurtion waft Permissionis hereby granted...................................---•-----•------------•--•--•-----------•----•----------•-----.----------------•------------•-----..----- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo.............................................................................................................. Street as shown on the application for Disposal Works Construction Permit No--------------------- Dated.......................................... -•-------------------•--•------------•-•---••-•------------------•--._....._......------.._._.....•----- � DATE. Board of Health FORM 1255 HOBBS & WARREN'. INC.. PUBLISHERS TOXIC AND HAZARDOUS MAT RIALS REGISTRATION FORM NAME OF FIRM: 6/. /5c9 d 74 MAILING ADDRESS: TELEPHONE NUMBER: CONTACT PERSON: Does your firm- store any o Fthtoxic or hazardous materials listed'bel.ow, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a YES or NO answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address : /� n s ADDRESS: I a1A_1.e4 A ,j1%94'' - 4 TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasline or coolant systems ) Refrigerants j Automatic transmission fluid e_' Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals ti Motor oils/waste oils printing Ink Gasoline, Jet fuel Wood preservatives ;. • Diesel fuel, Kerosene, #2 heating oil Other petroleum (creosote) j p products: grease, SwimmingPool chlorine lubricants Lye or austic soda Degreasers for en j ! g engines and metal Degreasers for driveways & garages Jewelry cleaners Leather dyes f Battery acid (electrolyte)Rustproofers Fertilizers (if stored Car wash detergents outdoors) Car waxes and polishes PCBs Asphalt & roofing- tar Other chlorinated hydro- Paints, varnishes, stains, dyes carbons, (inc.carbon Paint and lacquer thinners tetrachloride) Paint &. Varnish removers, deglossers Any other products with Paint brush cleaners "Poison" labels (including Floor & Furniture strippers chloroform, formaldehyde, j Metal polishes hydrochloric acid, other Laundry soil & stain removers acids) (including bleach) Other products not listed it l fee may be Spot removers & cleaning fluids which you , (dry cleaners) R E C IV QD toxic or hazardous (please Other cleaningsolvents list) FfF�,LTF� ��Pfi, Bug and tar removers TOWN OF BARKS-TAnLE Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners I Disinfectants S E P 2 8 1981 Road Salt (Halite) � i THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA �satlsfa ` 1 V Y Y � 1 Y � '� T�iTL',�8�3Ta"czviia;ici'pai l 1.. 2. Printers BOARD OF HEALTH °t°r'' 3. Auto Body Shops O unsatisfactory- 4. Manufacturers COMPANY , 4�� , , '� ,7 tit (see"Orders") S. Retail Stores y � 6. Fuel Suppliers ADDRESS % .��„� _; 1" 1.%� i ,' Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoo MAJOR MATERIALS Case lots Drums AboveTanks Undetgro.und Tanks IN OUT IN OUT IN IOUT N gEllonse Tesl Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: i ME DISPOSAL RECLAMATION RE RKS: 1. Sanitary Sewage 2, Water Supply OTown Sewer O Public x t OrOn-site Q�, Private L4,.; - . — 3. Indoor Floor Drains: YES / NO_ j O Holding tank: MDC �r O Catch basin/Dry well On-site system URVhRYj . I— 6:e4l�- _, 4. Outdoor Surface drains:YES NO Q HoldinL• tank: MDC O Catch basin/Dry well OOn-site system S. Waste Transporter Licensed? flame cf.Hauler_ _1)p,stination jjaSte ,Product YES NO Ail ) l� t a r , / r r: L- ` f bo Person(s)s) Interviewed nspector 'D/12 ate ei f