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HomeMy WebLinkAbout0845 OST.-W.BARN. RD - Health 845 Ost.!W Marstons Mills A = 124-028 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA N . t THE COMMONWEALTH-OF" MASSACHUS S BOAR® OF HEALTH T�.t n�...............oF.....,.... ..i�9---8_6. _ � 1. , , `y DarApptiration for Uhipoii al nrko C�nnitrurtion ami tom, � Application is hereby made for a Permit to Construct (Io�or Repair ( ) an Individual Sewage-.Disposal System at: ................ o T .................. ... Location-Address p or se�dn/(�------.-- tt:,------------------------------- --.... 9...:d.�_.�✓,�.���.----- ��................................ caner �/f/J�f Addrd6ZJrta�°o W .. ........... ......--...! &Iiat........ .............. -•-•-• _ .. ° Installer Address dType of Building Size Lot - .....Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic (yp) Garbage Grinder (W o) Other—Type of Building ..N/A............ No. of persons.............................. Showers ( ) — Cafeteria ( ) a Other fixtures ------------------------------ - .. ----- W Design Flow-------- /�........................gallons per�n per day. Total daffy flow-:----•-•.3-'3-0....................gallons. �r WSeptic Tank—Liquid capacity/47k;V__gallons Length. !z...... Diameter................ Depth.._a-_•_6_.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------/.......... Diameter...6__'__.---- Depth below inlet...6. ........... Total leaching area.,2_0-0-..sq. ft. Z Other Distribution box ) Dosing tank ( ) Percolation Test.Results Performed by---��d�1!/g ..._1$.-_.4lia`l-Q ...&-. " Date...._. �4, '�*...... . aj Test Pit No. 1.e..Z...minutes per inch Depth of Test Pit---/-�L--------- Depth to ground water.../V—O-,, .e---. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+' •--•--------------------------------------------------•-•-•---•---•• --•••-----P ------------•----5-1-•-`--------•---`.I--------------.--.----!-_--•------- Descriptioniof Soil------ _ -- ..tt> � J -60...---1 41 U ----�.Irv.b--•----/��1,1.P.�........LiC�:SEZ----� �/.��---r------�-Q--�-`-�-/`f_.Y--.`�_._..�2_�1��t�d.�t..�.�c1�$-/_�_S_ W /9 ---------------------------------------------------------------------------------------------= ---- 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 TL I'L U 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. Sied.-- ... -•-• - ------------------------------------------------•-•---•--- .........................._.... ee? Date Application Approved By--- • .6, ...... T-? � Date i Application Disapproved for the following reasons:....................................................................----------•-=-------------•---------------- Date PermitNo......................................................... Issued....................................................... Date .. 11 � I THE COMMONWEALTH- OF MASSACHUSETTS BOARD OF HEALTH 4:1 Lit .l4}................OF......... Allp ira#iun for Bispaa al Works Towitrurtiun Urrmit Application is hereby:made for a Permit to Construct (.101) or Repair ( ) an Individual Sewage Disposal System at: ...............tea r- ' Location-Address or Lot No. .................................................................................................. ...........................•••................_•-•-........_..--•......................._......... Owner Address a •••••-------•-••.......................•--------••-•-•-.._......•--•-••........................... -----••-•—••••-•••---•.....•-----•-•-•_..••••-•••••••••..................._............._._._... Installer Address Type of Building Size LotZO.R....-`~ q..-:______S feet U Dwelling—No. of Bedrooms------3..................................Expansion Attic alp) Garbage Grinder (Uo) p., Other—Type of Building _.N:/A_____________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q+ Other fixtures ......................... ...... ----------------------------------•-----------------•---------•--------•--•----------- W Design Flow......../!�a........................gallons per p n per day. Total daily flow......... r....................gallons. WSeptic Tank—Liquid capacit}✓ONN-.gallons Lengtl .~e5.0.... Width..V.%®.".-: Diameter................ Depth...5....a... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......o�!........... Diameter._ -_--------- Depth below inlet._a.............. Total leaching area.P—.Q�_..sq. ft. Other Distribution boxer) Dosing tank '-' Percolation Test Results Performed by. qn%_! <P...4-.. lF r A ........:In Date_.........f�5 aTest Pit No. Lie.. -...minutes per inch Depth of Test Pit._ ._r.__..• Depth to ground water../V_0 V.jC__ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ oil O Description of Soil......Q..---4 .Y .. �!,� '1� .�./41 ---....�G�J,���r� � �.....'-".�'�_ ���'���`v_�. U1➢tu. ......../.1.41Z......... C-I.0&Z...-. ........ ...... Cat?A.� Wh' ------------------------------------------------------------•------------------------ ---------------------------------------------.-----•--••------------------------.-- 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 ilTLE 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. Sied .....:.......•••-••••.......------.......--••-•---•--•-•------ ------••-•-•-- Date Application Approved BY `..................7_5�' ............ ! Date Application Disapproved for the following reasons--------------_-----...........................-----•-----•-------------------------------=•-•-••.........-- ................................ ...-••••--•..............•....; f ---------------.........-•---'----------••--•----------------_--- ---------................................................ Date PermitNo......................................................... Issued........................._............=-•-•-------•--•- Date ,.c THE COMMONWEALTH OF MASSACHUSETTS _ BOARD. O HEALTH :..........O F.................:. . ..... .. ......................................... ITrru irat of T mpliFanre THIS IS T CE IF a he I '.v al 'a i s ystem constructed ( ) or Repaired ( ) by.............. .._ . -----•_.... ----•-• -- - ..... 5t er at. �, = • - ...................................... has been installed in accordance with the provisions of TI" q ale State Sanitary Code, esc n the y 63 sC .... ._.. application for Disposal Works Construction Permit No.._._L__ ________ _____________ dated_...______._ _____._... THE ISSUANCE OF._THIS CERTIFICATE SHALL NOT BE CONSTRUED,AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY: �� DATE....... .. .............�......._.... '.-.........._. Inspector.... 4— THE COMMONWEALTH OF MASSACHUSETTS BOARD OFe.4JEALT 00 N9 -. 0 ..,.....OF................. ...............................................1FEE._. .l.... Ru11uuFal ku u iun rrmi Permission is hereby granted............. ••.... to Constr ( for Repair ( ) an In ividual Se age Disp st 00 "�• . at No...: �i .�:... a treet as shown on the application for Disposal Works Construc09,tion P t 1' _____ Dated.._.__.__.__ __ .__. .... ��.. =F B:: oard'.of Hea 2 3-7 - " DATE--------- ------------- -•-•• ............................. •-•-- FORM 1255 HOBBS & WARREN, INC., PUBLISH S �vO„ �iEds _ /�:. 7- ��....._ J�rr►.t � _ TEST H OLE 91- PA.U.L IYjUR. 2A7- S!V'SPE`CToR 1 EXIST. LJ EL C. E 9-0lz 56 7z' ' o-. a4 " L(DAM A N D r ' SUBSOIL 60 " MED/4)M S fi tq ? To P)T =! i. ANL? LIGHT GRAVEL TEST " NQtE 60" 144'f M�G1LIf ELEY 5 .a � N O W A T E A E N CC IV rIC ED 5E'PTtC 'r,91V ' 0/5T. W' )( r f 4J Y C3, fgSSUM. 1944 /ZESFRVE. EL V 6LO,O , M/Al/A4 U 4,4/ P2oPOSED �' SEPT/C SyS.T�w! CONS•T2UGfi�ON` ' - - - • .. SHA [ G. CONF02M TO .>uJA55 • DES/GIv FLOW ` 's �,n GAL DAY a E/V V/,e OI./�,EA/Tom . CODca T/TL g L { A G.� 2.L1 �/h/GN E- 0. 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