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Home My WebLink About0083 RIVER RIDGE DRIVE - Health . . . ( �1� \\��f�\��y��\�� - . : :� . : . . . . : • w � � . I . � � 77- L V t A T 10 _ SEWACE ESERMiT . IND, l-- 1 �� dG- ALd VI - i.. ACE d IL oINSTA LLER'S NAME 9 ADDRESS � 8 U I L 0 E R 0 OWNER Q. J Sri I TH DATE PERMIT ISSUED DAT E C 0 M P L I A N C E ISSUED � �� i�d o2'�c 5- t . of THE COMMONWEALTH OF MASSACHUSETTS ARD .,9F HEALTH t�-a -------------------------*--------*-----------Appliratiou for Dhipoiial Vorkg Tongtrurtiou Wratit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal Syst9m at: . .......... .................. ------ .. . ............................... ....rion- ress ............ ..... ... ...... ..... . ....................... . ... .......... ...................................... ow r es ....... ...... . .. .... ..... ... ....Y4 ...... ... .................. ................ System at . ........ ------------*------------------- Installer Address..... Type of Building Size Lotz. .-Sq. feet 7- * ------------ Dwelling—No. of Bedrooms..........j-----------------_--------Expansion Attic Garbage Grinder (A14 W) Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Othqr fixtures .................................................................................................. ------------------------__ ._ Flow......//.0............................gallons per person per day. Total daily flow..............0.........................gallons. Septic Tank—Liquid capacity............gallons Length................ Width....._.......... Diameter__.-_________--- Depth...._._.__...._. x Disposal Trench—No. .................... Width.................... Total Length____............____ Total leaching area------------_------sq. f t. Seepage Pit No..................... Diameter.................... Depth below inlet............_._.._.. Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosin nk —) Percolation Test Results Performed by.,- Date.. ..... ... Test Pit No. 1................minutes per inch De pth�NiTest ilt� .................Depth to ground water____.....__._..._... ... f� Test Pit No. 2................minutes per inch Depth of Test Pit...___.........._... Depth to ground water.-__._._............__.. 9 ....................... .......... 0 Description of Soil--------- ........................................... -11,—------ ......................................................... U 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 TL 1'1 LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in *0 Ce operation 4utril/,zi ific)te of Compliance has been issued by the board oVealth. .. ................. ...... AppoeationApproved By................................ ..... ................... .......................... ............. Date Application Disapproved for the following reasons:............................................................................................................... ....................................................................................................................................................................................----_----------- Date < ----- 3 Permit No.....;.:;� .. ----- ------------ Issued............91e ... ANAL r l Now- _..... ( Fes$..: ! =� . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF F HEALTH .Z 1ppliration for Disposal Works C�onstrurtion thrmit Application is hereby made for a Permit to Construct ("J"or Repair ( ) an Individual Sewage Disposal Sys em at: < o at:on• .ddress,, , Address ....... .................... ............... Installer AddressPq j UType of Building Size Lot/��_/!_/-.�_ ________Sq. feet �-, Dwelling—No. of Bedrooms........'.J______________________________Expansion Attic/pd ) Garbage Grinder 0) a`4 Other—T e of Building No. of ersons____________________________ Showers YP g ---------------------------- ----P---•----- ( ) — Cafeteria ( ) dOt��}}er fixtures ---------------------------------------•-- --•--•-----------------------.._... W Design Flow.___1.�O..............................gallons per person per day. Total daily flow__J✓ ...........................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—NTo_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosin tank ) ~' Percolation Test Results Performed by fin- .__..._......__ '✓� ________....... Date :.Y__�_.____�___._____... a Test Pit No. I................minutes per inch Depth of Test Pit__.__.______________ Depth to ground water_-___---_-___________--. (Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---------_.............. O Description of Soil.........Q: �v v-••-•--�........... '' UW -----------------------------------------•----..__...-----------------------------•---------____.___-•-___------------------.___-----------------=..................................................... 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 T?'7_':,Ej 5 of the State Sanitary Code—The undersigned 'further agrees not to place the system in operation t a rtifi to of Compliance has been issued by the board of health.do / _... t 0. Ap cation Approved By............................................................... ........--------- --•-• { _ Date Application Disapproved for the following reasons-------------•---••••------••-------•----•--•-----------•---•-•--------------•----------------------------_•--•- ______-•------------------------------------------------------------------••-----------•-...----...----••--...._..._•---•-•-----_---...•-----•-•--------------------------------- ---------------------- � "�` �j / Permit No...`"�-�_...1._.. ' A ._.. Issued..... 1 L9 Date ate THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CIrrtif irate of TOutplianre THIS S TO CERTIFY That the Individual Sewage Disposal System constructed ) or Repaired ( ) ly.:.�.�c�_,1-•;�L%'= J_2.................................................................................................................... !/ Installer at... 5-------�"' v�t _�/ Z�/ ..............................................%/ -�../✓ has been installed in accordance with the p,rovisions of TiT% of/T e State Sanitary Code as descri�'] the application for Disposal Works Construction Permit No............. ..��_-�---- dated....._. . .1.--S-1�.-.---.---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................•--------------•----•--.......----•-----••-•-•-----------_.._. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH c ��7 ? J..:--r.............OF.... /r/:�`(_1?:- F...... .✓..- ......_.._...._......_.. N Disposal Works Tuns#r ion rrutit Permission is hereby granted__._,_ :.% � ''�'/' '_J.... -�'.l=-- �' to Construct( /or Repair ( ) an In ividual/Sewage Disposal System at i�'G._ _ •-------_s'• r! ✓:_,/- �1' t c'r^..../-:��/ f-_�`/J cry =: �L! iC�i:. j - --• 1 Street l- r� as shown on the application for Disposal Works Constructiop....P_erlmit-hTZ _� _____ Dated________. __�_��27--.----. Board of Health DATE_ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ' I I .... .. 1. r ..... _. 1 I I 1-7 ry i • i � l t �1 P, ' I I 10, .. IT iik DI I ion�d. I : i , t , r , : - - I � + I .. ,� /�('-}� f^.._ _- _' ._., - - a Pro's+ .; ! ;.• i 51 NCa LRICHAFU f� t a r OA L.ri j Ll 3• L,►I LY FLOW c I IO x I 51=p�'IG T.�NK� 7j'�X tA�o c.¢qr-✓ 1.-�.P, 17• *� °"'.y �� . �� _o f ' bts�o FIT -�:, us P - St DeKlAL:.L,4 . , 1 P.-. 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