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Home My WebLink About0093 LAURIES LANE - Health �� Lc j L(-+v!�s ASSESSOR'S MAP NO. 09L'141 03 NEEL v L0CATto" 3 ++ SEWA E E MIT NO. LoT 6G LmvIE�Es LAND $� VILLAGE n Ik Mms T ows ► �I�A ILLS. INSTALLER'S NAME i ADDRESS t2ST® �t� � 6 3� B U I L D E R OR O W NN FATE PERMIT I 'S U E D - .,1- d--8 6 DATE COMPLIANCE ISSUED '3 U®T " �g S77 ee. j/ ASSESSORS MAP NO: .o.....`: `�. PARCEL NO.: I F r�� Nss...r..�............. .....m THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH VA.. ...D��V..........OF.,.8 ......... !¢'fd� Appliratinn for Di4pniittl Works Tonotrur#iun 'fermi# Application is hereby made for a Permit to Construct (Vor Repair ( ) an Individual Sewage Disposal System at: .. .. /�Ii�L.S - - .......... a -Address l .. C..E. l to ....................... -- ......................../i/I..4/ V��°` I��N....................... N/S a ...................P- _..._..aox 4!` .. h!, Installers c� (� Address U Type of Building lJ Size Lot. ...Sq. feet Dwelling—No. of Bedrooms. Expansion Attic K"Yo Garbage Grinder Pk Other—Type of Building ._ .. LG.....:........ No. of persons..........................._ Showers/W — CafeteriaWd Otherfixtur s ------------------------------------------------------------------------------------------ ---------•--------------------------------------------------- W. �1 Design Flow....................6.5.__..._......gallons per person er,day. Total daily flow....Z-15-n....--•.-------.-_-----.•.- Ions. WSeptic Tank—Liquid capacitv&�gallns Length-�`�.._.. Width,.&..... Diameter................ Depth._............. x Disposal Trench—No. .................... Width... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.01V. Diameter...l-e-2.......... Depth below inlet-..-/............ Total leaching area_.26 5..sq. ft. Z Other Distribution box ( W Dosing tank ) ,,�// 7186 7 Q Percolation Test Results Performed by.__..u.jGZCOO .................................... Date.....`�`��7/86........ aTest Pit No. 1......�__-minutes per inch Depth of Test Pit.L-344.qI Depth to ground water.___ . fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.��.. a --- ODescription of Soil---------... ----- ---------•---------•---------------------••-••----•------------------ _ •.-- •-----• - - VNature of Repairs or Alterations—Answer when applicable. .1 ��._.. ��JV `t ° ..v`� .. S S irt:u_Qtt1 :>--------- -�� - .... Agreement: '-'r-c> The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITU 5 of the State itary Code— The undersig ed furtragreof to place the system in operation until er to of Compl' a een issued by the boa of e It // /I Sig `? 2`71.. ---•• ---•........�Dpte Acation Ap roved By._ -.-=--• �as�: �''- ------•.... ...... .............• --------- �- Date Application Disapproved for the following reasons-------------------------------------•---------------•--------------------------------------------------------•- --••-•-•--•--------------•-•-•----•--.....--•--.......---............--•---•----•------......------------..-•--•---.......-------------------•---------------------------------------------........------ ^ Date PermitNo........ .................L...._--- -_ Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , OF. � ! � '?L�`................ .:... Appliration for Disposal Works Tonstrurtion Permit Application is hereby made for a Permit to Construct (&�/Or Repair ( ) an Individual Sewage Disposal System at• _ �� - 5 ...... ...... ...............•----- dot .... /�-•----.. .. . ---.......... �� ` f_7 �✓ Address !/l/ ) / N/l i I/�/�V`� . tk d o — .............................. w • ........... .:. p G' Installer �T I I J(2 c e O (� Address `62�� Type of Building - v �' Size Lot.? .................Sq. feet U Dwelling—No. of Bedrooms.�.. 73..........................Expansion Attic (1Q10 Garbage Grinder " Other—Type of Building ......... No. of persons............................ Showers,( �j — Cafeteria,('(/�j) QI. YP g -..f.,1�-•--- WOther fixtures . .............................................--•-•-•-••--......----•--------•-----..- �.....................----........-------- Design Flow......................:<: ............ ..gallons per person er1day. Total daily flow.... :_..__.......__.................gallons. Septic Tank—Liquid capacity��allons Length. .dry--..... Width 6L6!..... Diameter................ Depth..q......... x Disposal Trench—No--------------------- Width.................... Total Length................... Total leaching area....................sq. ft. 3 Seepage Pit NoZYIZ ...... Diameter....l%:......... Depth below inlet... ............ Total leaching area..2.62..,�_•..sq. ft. Z Other Distribution box ( ta' Dosing to ) , Percolation Test Results r Performed b �!>�� _... �.� ..... ................... Date..... ��.1..� ?. ?....... ,.a Test Pit No. 1-------�...minutes per inch Depth of Test Depth to ground water..... . .. . . Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.. �y. �+ �- -----------........... ----.----•-•----.-----•----•------....._...._. Descriptionof Soil... �4. -•-•--• . --•--•-------------•-••-•--•----•---.........................---•-_.. .... • . U Nature of Repairs or Alterations �--Answer when applicable � � �i - T 5 � = �!?...�P,5 d Agreement: &co/ •- ""� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of TITU 5 of the StatSgnitary Code—.The undersign d further agreAeoKhot to place the system in opeHcationp r ' to of Compl' a een issued by the boar of th. &4AX4 SigLd— �-1-rVIZ121"'Z11-11 L... .......J ........ f: ......... AedBy i. t: ... .................................. .. .... e..... Date Application Disapproved for the f ollouring reasons:....................................•._____..............___._._____________._.._._.._............_._.....--_ -•---------------------------------------•--.....---••-•--....................---......----•-------..............--••-----•--....----...----••----•-••......--•----•-•.....---...--•--•-•••--•--......._ PermitNo........... ........... _.... Issued...........................................Date..... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............OF......�.. RA./c...�g/..Z-7..... ................................ Tatifirab of Tomplittnrr THIS IS ..� Y, That the Individual Sew Disposal System con tructed (aired ( ) by.......................... .• '!E."`.r.-------------•--• ,_.. _o l:`.S t.Q..� ......•.................------............. at �Xt- ...........................................•-----•-----------•---•-----•-••------.............•..... has been installed in accordance with the provisions of TITIF 5 of The State Sanitary C e a des�bed in the application for Disposal Works Construction Permit No..... . ....... dated....... _ '�,-�. .......... o THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FU C-TJAN S FACTORY. DATE................•i. ..................... Inspector----•-.../-------------------•........................................... A OZ %04HE COMMONWEALTH OF MASSACHUSETTS i �I�RJlIIlC� G�7 <NtzC„• BOARD OF HEALTH /a ►`t" Rvri�T V/V ... c No. 6y. g Fes:.....:.... tupoutti Turku Tonu#rtutUan ermtt �T I^/ Permission is hereby granted_.: .. .. ... •. .. Y•,.�- C••a 1 to Construct V,9r Re air ) an I�dual Sewage'Disposal ystem atNo.......1,61.... ea.. Cr+L-(6*& -....r= .....�llr�.-Vu1........................................................... ��reet-- ��y � as shown on the application for Disposal Works Construction Permit 6 ?:Z'Y�F.� ated.. .�............ r - -.-------- -.� ... .. . . ----•- -_4a_(;�`_ Board o He th DATE..........�.. 16....••.......•. ....... FORM 1255 A. M. ULKIN, INC., BOSTON