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Home My WebLink About1489 OLD POST ROAD (CT & MM) - Health 6"T - L0CUAT10*1 1`,�� SEWAGE PERMIT NO. VILLAGE I NSTA LLER'S NAME i ADDRESS I )51,5co// �so� R U I L D E R R OWM R O DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 4 J I �� ' '�� i �y �� 'd , I'I 3 THE COMMONWEALTH OF MASSACHUSETTS BOARD-OF HEALTH - r �, ,c�v ..........:... Applira#ijatt for Uiipviia1 Warkii Tonstrurtintt rnmit App �lication is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: .............................................................. 1 otron- --G.r�._�T------------------- Owner Address W Installer Address _ Type of Building Size Lot__ ®..jZ .9.Sq. feet Dwelling—No. of Bedrooms...... --------------------------------Expansion Attic Ab Garbage Grinder `4 Other—Type of Building No. of ersons____________________________ Showers a YP g ---------------------------- P ( ) — Cafeteria ( ) Otherfixtures -------------------------------------------------------------------------------------------------------------•---................................... W Design Flow........ -------------------------gallons per person per day. Total c aily�flow___---33.�...._......______.._.._gallons.r( WSeptic Tank—Liquid capacity.ICMgallons Length�z-6..... WidthA.-!Q. __ Diameter---_.__.._._... Depth__,."'j-. , x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...._�.-._______ Diameter-----Ij.......... Depth below inlet_--Co.._...._.. Total leaching area...�o..sq. ft. Z Other Distribution box (V) Dosing tank 410 aPercolation Test Results Performed by....I..................................................................... Date__ a Z5_°._.79...._..._.. Test Pit No. 1...4.�.2-___minutes per inch Depth of Test Pit..... .. ....... Depth to ground water.._/V.c i42Getx+�G�2 (� (i, Test Pit No. 2....4z,.___niinutes per inch Depth of Test,Pit.......1.Mw�.... Depth to ground water..._.�_4��_�wcoc�au -T 44-` i .-• ----------------•---.--_... ...-----•--- --- --- Description of Soil-4.0-- �---� ------�-- -2�-- t'AJ`Y �2... ,a.u�1.� , x ------------- ---------------- ----Z----- ---�"�--`-�- �' --- -------- U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ -----------•--- ............................................ Agreement: The undersign agrees to stall the'aforedescribed Individual Sewage Disposal System in accordance with the provisions of ii 5 of State Sanitary Code—The undersigned further agrees not to place the system in operatigfl nt'1 a sate of mpliance has been issued by the bo rd�of health. -gned 44��& -`-'-------------------------- •--- IkZ Ap licatio pproved BY `� :.... / ........................L"�,'" ,Date Date Applicatio Disapproved for the following reasons---------------------------------------------•---------------•---------------------------._...--•---------....... --------------------------------------------•------••---------------------....----------•--••-------•---------------•--------••---•----•-----------........----------------------------------...------ Date PermitNo......................................................... Issued........................................................ Date 4 FEs............._............ _ THE COMMONWEALTH OF MASSACHUSETTS BOARD ':OF HEALTH Appliration for Klispnsal Works Tnnitrnr#inn Vamit { Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ..�......... K,?-? :-.*.7........................ Lt'... 4 d f..............-. - Location-Address _ or Lot No. .............�:� ......................�n .....?-F_-I.................._.... Owner . Address W Installer Address Q Type of Building Size Lot.-t9a.,2.n;�.a.Sa. feet Dwelling—No. of Bedrooms,....�.-__---••-----------------------Expansion Attic W kI Garbage Grinder QC) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q1 Other fixtures ...-----•---•-----••-----•------ - W Design Flow....... .........................gallons per person per day. Total daily flow----.--,'-, ,i_!ma`s_..............._..._._gallons. WSeptic Tank—Liquid*capacity!Tf:��_,_gallons Length Widthf.t_(Q.".. Diameter...--_._- Depth._S.'-d...'F x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area-_______-___-____--•sq. ft. Seepage Pit No-----I.:.......... Diameter.......`----------- Depth below inlet----:r.......... Total leaching area...2,nCl.sq. ft. Z Otl er Distribution box (V/) Dosing tank Percolation Test Results Performed by-- t•--------•---•...-•--•----------••--•••-••------••-••......-•-••••... Date---E' _ ----------- Test Pit No. 1_..�..?.-_--minutes per inch Depth of Test Pit____�_.�_._._... Depth to ground water_- -. _=_.__.,,,�r 7 (14 Test Pit No. 2___! ----_minutes per inch Depth of Test Pit------:?....... Depth to ground water..... -_- __.....j::,A cw IV ---------------------------------------------------------------------------------------------------------- ----------------------- ••-- D Description of Soil. -----..2.." 2'-, C_c v= `= --•---- ------ : �,^� x ....--•-••---------•--••••--•••••-••••-••••••--•-•••......----•-----•-•--•- •••--••-•-------•----•-••-•--••---•----•... W --•-•---- •----------•--- � _ ?_ •-0--:-Z'--� (?�'>�....�1 •-•-�'`-.... ._t=:+?.�f1gt3-�7�;� ��.k" ��!>�_� ............... VNature of Repairs or Alterations—Answer when applicable..... ............................................................................................. --------•---------------------•----------------------------------------------------------•---•--------------•-•--------------------------------•------------------------ ............................... Agreement: The undersiEN agrees t stall the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i T d 5 of State Sanitary Code—The undersigned further agrees not to place the system in operati n .1 a sate of, , mpliance has been issued by the board of.health. Ap Icatio Approved By.. ••-•••-- •---••.........-•. •-•_---- -•---•-• •------•-••-••- Date Applicati Disapproved for the following reasons______________________________________________________________ --••-•---•----------------------------------•------------------...--------..•.........-----•------------------•-••••-•--•-•---------•-----------------•----•-------------••......••---•---•-•.......... Date PermitNo.......................................................- Issued•...................................................... Date i i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...... ..............................................................................oaf �unt�li�anr� THIS IS 0 CERTIFY, Tlakt the Individg Sewage Disposal System:constructed ( ) or Repaired ( ) by.................... -- .----- -•----- -- •----•......... ... ............... at........ ........... ............... .......... ...------ ............................................................ has been installed in accordance with the provisions of 1 i' '.E j of The State Sanitary Code s de-cribed in the application for Disposal Works Construction Permit No. `�!�� .............. dated_- .'__l.� ._ T _................ a: ;• . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STRUE® AS A dated--, ANT E THAT THE h._. `SYSTEM WILL FUNCTION SATISFACTORY. DATE. r..!� ...`.. ��-•--..... Inspector .............. THE COMMONWEALTH OF MASSACHUSETTS j BOARD OF HEALTH .-- OF................................................................................... NO..... FEE....... L " ��a��I nrk� n��nr�uan .rrani� • Permission is hereby granted................. . -.�.......................................................:...........••--- .... to Construct ( ) or Repair ( ) an Ind id4fal Sewage Disposal System at No Street ,, , as shown on the application for Disposal Works Construction Permi rNo.V '.-2.�"7Dated....�7-��!_ .................. ......_. ...... Cyr tR�.. Board of Health DATE - -•--•-------........................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r � � I.'51 LG- FAMILY - :5 BSVP-00M �I DA%LY FLOW -- 110X 3s y306.P, p !� $EPT1G TANK = 33UxI So% =�495G.P. � • y5c- 1000 GA%-. D1SP05AL PIT U51~ 1000 641— II 5 J)SWALL AP-S - I 5�o ,I 150 5.>= x . 2.5 •- 375 G.Po Aj 5o S.F .x I• o 50 G.Po• �i -TP.TA I- C>5--51 GN : 42 5 G.P M . I� TOTAL DA 1 L%( FLbIN = 330 G•PD• f fI PERCOLATION RATE s I"IN VAIN oPLE55 T1+ Z- t s r lam. OF htt�s PETER SULLIV 29733 q/ 1 ICO .. �.. � � r.. '�C• CeST To FWD' 2 I 4-IoLF ' 4= Lt�gy loon lNv. VIST. INS• GAL. 'vCA GG S�j Ir I Bn�C SEPTIG Z A L�Acu 1 v��0 N PIT INV. INV. y I'�3/Q•I YZ I G WAb41fiD R 6TvN6 � Ib2�p C>=2TIFIGD PLOT PI-A.Q L PRUFI LG 1.oLAZ1ow -MA 1 U �-Z MICE lk� IuA SGAL� I GE.RTI�Y THAT 'CND QIZL'>P �c�:.cG. 541oµfIJ P�--AN REF626►� GE. N6.P-SOW GOMPU?6 WITH"TNE S I VV--UW S-- Awc;o SE'cC GK 26Qv12>✓M>=N7'> of -CN� � (. 'TOWN OF �AT�I�yStfilc ANU IS IJ�T'" G LOCp.•TED WITN11J N•E G%-000 PLAItJ -" 6AKTE2e wyl= INC. • R.EG 1 SZ E�6.U't-Au D S u iz.Y E�(oE< TIA15 PL&^1 15 NOT oa AN os-rEszvILLE• - ti1a5S. IN5TR.UMENT ej V IZV y rr -T IA 0Pr5E-75 5u0ulS> .: �rrevHe�H[ r cruc:: r-.,- Iv 1 1 wa Aas, toy t�7 0 D v U S �- PET- LC:5 -7 �`PLTII OF PE ?ER SULLIVAN _.. ._.No.-29133 0 J FSs�0 A L ESA ,.%r