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Home My WebLink About0064 ROSELAND TERRACE - Health �� -�P �' �� .� i �� , - p� L 0 C, A T 10 td�l�/�.�PSfe�1s S E W G E P Z R t T N Q. 40 r VILLACE tl r s 3 G INS' TA LL . R'S NAME t% ADDRESS DATE PERMIT ISSUES DATE COMPLIANCE ISSUED A 6co `� � No. ......_.....Yo Fps...../...5....._............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ ....................OF...5� c 44.14b...._.........----..................................... Appliration for Uiopooal Works Tonitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair #_1) an Individual Sewage Disposal System at -•• !i y_...fi r.. -�. [ram..-------•..................... .....•--•.........----•••--•--.._............•----•--••-••-•---•-•---•-•-.................._---... Loc lion-Address or Lot No. �A �--�k )aZd---:..ar--s.............................. ... . ...(o�l.__@P..w �rrrxc�er. 'c!c .A'.� .s...._.......... Owner Address W `�Q 1�!'iK�EO Sd /1!14iq ,5..rW} ;fie { 14 ---------• -•----•-•----------------------------------------•-•••-•......••... Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building No. of persons............................ Showers — Cafeteria a Other fixtures ---------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------_--------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 14 Percolation Test Results Performed by.......................................................................... Date........................................ 14 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ ------•---•----------------------------------------•--..................------....................--......................................................... 0 Description of Soil........................................................................................................................................................................ x U .---------------------- •---------------•-------------------.........----------------•••••--••-------------•-----------...---------••------------------------------------•----------•-------......_------ W ---------------------------------------------------------------------------------------------------------------------------- ----------------------- l > -- V Nat, of Repairs or Alterations—Answer when applicable_X'Yl� .-_ ..._-(PgD...�Ql��[�_!e9?�. _t�._G►_._.._..._. fSi. L_... .� rITA " - � ---------------------------------------------------------------------------------------------------------------------- --------------•-------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of TITLE 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 he board of health. __.Si d- u1 '--------------------- ��D��p��2._ Application Approved By------------ ...... -- -------- = 7"' ._.... Date Application Disapproved for the following reasons---------------•------------.....------------------------------•----------------•--- .......................... ...........................•-----•-.... ---••-......----•---...---......---•----------................--I---•--------------------------------------------------•-----------------------------...•-•-•••. Permit No`-:�'_-..----- -------------------- Issued_......-----.....................--•-------nau-..... Date No. .._..-. � Flms....f a� ....._..... —. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........t 00-o .. .................OF..:.................................. Appliration for Disposal Works Tonotrurtion r.ermit Application is hereby made for a Permit to Construct ( ) or Repair (frj an Individual Sewage Disposal System at: ....:.....• --== S2 f hlE.tr7....l..........._.. -----------•---•............. .................................................................................................. Location-Address or Lot No. rro ...................... --------------------------------- ....... ..........e.....--••!--. ....... Owner Address` u/1l�a W � �C� o ................•-- ........................... ................................ ..�SrG.....��e......5!re� ............... ............. Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers — a .� aYP g ---------•------------------ P (---->-----•.Cafeteria ( ) Otherfixtures -------------------------------------------------------------------------------------------------------------- . -_.. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ LZ, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 -••--•---•-•................................•-••-•------.........------......_....---•---•---•........................................ ---------- .------•----- 0 Description of Soil............................................................•---•-•-••-•-•-•---•---------------------•-•------------...-•------------------...------------••-••.....---- x c, w _ V Nature of Repairs or Alterations—Answer when applicable__ n=�' ___.&CIO_._ -01,0,*1 !��:'-W ��__t'___ ------ - ....._.. ---5r� .__1C u rec�-------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT1E 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. Sired ?'!...=----------------------------------• Application Approved By......... ....................... . ..........•. -•......••-•.----•- �r ..... Date Application Disapproved for the following reasons-------------•-------...--------•----•--------------.._..-------------------------------•----•----------•----•-- ....................•---..............._......_....-------•.......--------------•--------......._._....-------------------------------••....-••--••--------------••-•-----------------------.....---•--. •"° Date PermitNo.. .......... - ----•-...... r Issued------------------------.............................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......'" bus ..........I.......OF.- rnftc. 1�...................i.................................. (Irrtifirate of Tontpliattrr TH CERTJFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( r) by...... ..... ----------------•-•-----•-•---....-- -•--------..............:......---•----••-----•----- ................................ --" Installer at........L04...... . ............................ FA (l �l�.._..... ----•-•----------- has been installed in accordance with the provisions of LE 5 of The State Sanitary Code a Ades r ed in the application for Disposal Works Construction Permit No.t ---.--:� ..(-�-__. dated ...- ' ---p -_-p------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST,gUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION ATISFACTORY. DATE........ ...... --- Inspector.......- l21 ..................... .............._. + THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Own....................OF.....12C0r)1$'t41= J fs-- ........ .......... ......................................................... NoFEE........................ Disposal orko Tonotrnrtion Vrrntit Permissionis hereby granted------.. ....--.-------•.................•---••••-----------------------...••--.........--•••••.......---... to Construgt ( ) or , epair ( ) an Indio,,,*, Sewage Disposal Sys �p1 at N ' . !tx !...........f ...'t'+�R. K Street �,, as shown on the application for Disposal Works Construction Permit NCL., -' g ated `'" ................... W.� ......••. ... ' - ............................... r, Board of Health DATE------• V �.._L .o f_l'.-1rO . .. FORM 1255 A. M. SULKIN, INC., BOSTON LOCATION: ��' SEWAGE PERMIT NO. : -?3/ �o52 T VILLAGE: INSTALLER'S NAME & ADDRESS: a3 g 14Y y,F13 141aln r4fJ , 04-f;t- .-Ii514V- " .l BUILDERS NAME & ADDRESS: �- /►G h!rt • r DATE PERMIT ISSUED: DATE COMPLIANCE ISSUEDJ: x� dAIF w N Gv Is-h' s No. -------•-- Fus. /. 1l .... THE COMMONWEALTH OF MASSACHUSETTS ®ARD ® HEALTH OF........ . ... .G --------------.............................. _f 072 J I i-1 Appliration for Diavviittl Works. Tongtrurtion Vrrulff Application is hereby made for a Permit to Construct (14/or Repair ( ) an Individual Sewage Disposal System at ,-- 2-4—��- �' 6 _ /C► c.`!�0.w -.•-.-. _I ---- ---- -----------------------------•--•-----•----- f ---. Location- ddr ssp� _ or No. �! Owner Address f?------------------------------------------------- --- -`_ i �'- / G• -----------------....._....---------- Installer Address Q Type of Building Size Lot_.-.-..-._-________________Sq. feet V Dwelling—No. of Bedrooms---- .............. . -Expansion Attic ( Garbage Grinder ( ) per., Other—Type of Building WV_� �i_.___. C. of persons____________________________ Showers ( ) — Cafeteria ( ) Q' Other fixtures --•-----------------•---_----- .. . W Design Flow-----------�_________________________gallons per person per day. Total daily flow........ ...............-----gallons. WSeptic Tank—Liquid capacity/ _gallons Length................ Width........... Diameter----.----------- Depth------.-__.-_. x Disposal Trench—No- ____________________ Width............ Total Le th_._-._---.-_-.--___- Total leaching area--------------------sq. ft. � sof Seepage Pit No 1_____________ DtameterM—----- el. _K._._.__. _._.__ T tal leachi g a ea.__... ___._______sq. it. z Other Distribution box ( ) Dosing tank10 Percolation Test Results Performed by-------------------------------------------------------------------------- Date..............-._...------------------.. W Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water--.--.---.--_-_.-_.__.-. 9 ----------------------------------------------------------------------------------------f---------,I....................................... x Description of Soil- -0_—.3---- Mvo?.-4-d.A l.... �1J�_� _,.> �r'/�4vo—u _ _/4 - 1� - ---------' U ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•---------------------- W x --------------------------------------------------------------------------------------------------------------------------------------------------------------------•----------------------------------- V 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 XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has,4eep issued by the boa health. ------------ S* L_ r Date Application Approved By---- el_. ...... ... .........L.e. . Date Application Disapproved for the following reasons----------------------- ---------------------------------------------------------------------------------------- ..--•--•-----------------------------------------------------------------------------•-•--------------------------------------------- ----------------------- -------------- ...------------------_-- - Date Permit No........................................................ Issued........--- .......... "Date --_______----_------------------------------ ----------------- ------------a%___-----'�__--------- No._2-w--------- f........................ THE COMMONWEALTH OF MASSACHUSETTS BOARD O?, HEALTH I.... ................................................ _OF....... Appliration -for Bi!iposal Vorks Tonstrurtion, Pumit Application is hereby-made for a Permit to Construct t.<or Repair an Individual Sewage Disposal System at: I'M.FA ................................... ............................ .......................7 ................................................................... ,r LQL No. p o a or........................... ............. .......................M.A.4.ar.................................... Owner Address ..........................4.14.4-7-0................................................ ......... A�AZ011?4-&--------------------------------------- Installer Address Type of Building r L. Size Lot--------------------------- Sq. feet Dwelling—No. of Bedrooms----An---------------------------------Expansion Attic 41:0r Garbage Grinder ( ) Other—Type of Building V190P---AV_Mfo. of persons_............:............ Showers\ Cafeteria ( ) Otherfixtures ----------------------------------------------------------------------------------- ----------------------------------------------- .................. Design Flow-----------$D-----------_----_------gallons per person per day. Total daily flow------- ...................gallons. Septic Tank—Liquid capacityAMP-Lyallons Length................ Width..._....._..... Diameter---.-_---._-__ Depth---------------- Disposal Trench—No_ ------------------- Width......._....._...... Total Leiizth-------------------- Total leaching area------------- ------sq. ft. Seepage Pit No-----/------------ Diameter .. T t I leaching 9 a ----------s(l. It. Other Distribution box Dosing tank �ta Percolation Test Results Per-formed by--------------------------------------------------------------------------- Date-------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit.._.._............_. Depth to ground water--------------------- Test Pit No. 2................minutes per-inch Depth of Test Pit.._._.__....___..... Depth to ground water.........__.__.......... --- -------------------------------------------------------------------------- ---- ..............r......................-----------------I------------ 0 Description of Soil__4_—3 WOO .4- .......�*14�.... -----_SOW4 .....-------------- --- ---------------------------------------------------------------------------------------------------------------------................................................................................... U ------------------ -----------------------------------------------i................ .................. -------------------------------------------------------------------------------------------- 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 XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has i0em issued by the bo health. S* ne ..... ---- ------------------------------------------------------------------- Date Application .. ..... ----- Application Approved By_ ........................I---------------- -', _492q,---- ----------------- Date Application Disapproved for the,following reasons:.............7!!!!!/------------------------------------------------------------------------------------- .......................................................................................................................................................................... ---------------------------- Da PermitNo............................... ........................ Issued... .... ..... .... .............. THE COMMONWEALTH OF MASSACHUSETTS BOAR HEALTH OFX�. ................................... Trr 'firair of Oautpfianrr T IS I TO CER.' Tha ividual Sewage Disposal System constructed (� or Repair �d -----------------------------------------------by._.. ......... .. .. . .. ........ fAtaller b has been installed in accordance with the provisions of Article.XLof Thi-State S-anitary^�yde a described in the- application for Disposal Works Construction Permit No. ��A'004......... ----- dated-3K;7. .7-7- ------------------------ THE.ISSUANCE OF THIS CERTIFICATE SHALLAOT BE CONSTRUED AS A GU RANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.,, T a or . . .... -----4- . ......... de �A N DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEAL' ? ... .... .... ..... ..... ... ....................OF...... FEE ............ jr, BispoAal Porkii fit hin rranit Permi!sio is ere by granted ,- . 1 .............. to Co Wg ' )—or Rep ndivid I _ge.Disposal System-------------------- -- at N( -- -- ----- trect as shown on the application for Disposal Works Construction mit ---- -- ------ - Date ... 44-10 �rect Mit ... ------------ -......................... A ffid— Boa d of.Healt DATE...... 'a. ....?y -- - -------------- .......................... 71� FORM 125 ,.HO13E3S...&...WARREN:-INC.-:-PU'B—Lwawii----,--,-,-- i a J