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Home My WebLink About0867 SANTUIT-NEWTOWN ROAD - Health i �� _ �, � ;� � � �� f LOCATION SEWAGEO PERMIT NO. U VILLAGE ,/1 11 INSTA LLER'S NAME i ADDRESS e U 1 L D E R OR OWN ER DATE PERMIT ISSUED V1r DATE COMPLIANCE ISSUED m© i r 1 6� FimB 4.9............... Th C_ M ONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 0a 4 o3q . ........----.....OF. ........OF......a.................................................................................. , Appliratiou for Dispaiial Works Toustru'divit Vernfit Application is hereby made for a Permit to Construct ()0 or Repair an Individual Sewage Disposal System at: Y 7-7 FOAJ A 4o T ..................... ............. ------------------ ...............................hi .. .. ........]�..... ............ ------------------- ....... Address Installer Address U Type of Building Size Lot..... -----Sq. feet Dwelling—No. of Bedrooms..........................................Expansion Attic Garbage Grinder Other—Type of Building of persons_..............__._... Showers Cafeteria P4Other fixtures ------------------------------------------------------------------------------------------------------ Design Flow.........%5745............. gallons per person per day. Total daily flow... ....gall'ons. 04 Septic Tank—Liquid capacity? 'gallons Length... Width...,6........ Diameter................ Depth. _ 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 ( ) Dosing tank, ( ) ..,......_R5 Date..S:F_ ZQ - *'Z- , Percolation Test Results Performed by...�J,ph.ij----;P�t jl�65M4F............... ................................ Test Pit No. L.-'2....minutes per inch Depth of Test Pit../ ........ Depth to ground water...__ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to grou . ................. -X" OF Rq 3.Y...Z.......i.......... .............. ........................................ . 1. ...4............... 0 Description of Soil....0 .............F......1?A./# !W-See.z;... %, ..................... ---- ....... . . ..... ... . ......... les ---- Q) ..........I.e........... ............ ...................... ......... ... ...... __4. ........ Aa ....... ............... ...................................................................................................................................... ........ U Nature of Repairs or Alterations—Answer when applicable.................-----------_-------------- ------------ ..... .... ............. ............................................................................................................................................................ ... . ............ Agreement: E The undersigned agrees to install the aforedescribed Individual Sewage Dispo s 'Go dance with the provisions of TL I Ti 11,1, 5 of the State Sanitary Code—The undersigned further a ee not to place the system in operation until a Certificate of Compliance has been issiAej by the board of health. -Signed..Y.-'."" D ---------- ------ ------------------------- .........../-------------------- Application Approved By........ ...................................... ---------/_ ----------- ate Application Disapproved for the following reasons:.............................................................................................................. ...........................................................................................................................7----------------------------------------------------------------------------- Date PermitNo....................................................... Issued..................................................... Date J ......... No.. 3- .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Disposal IV arks Tonstrurtion Prrutit Application is hereby made for a Permit to Construct (Y) or Repair ( ) an Individual Sewage Disposal System at: ` fir i/J • ............__..._.._ ............................................................. -•...-••--••---------•--•..._.....•-•------------•••••••-•-••-•---•.........................--•-•- /� �. Location-Address r + _ or Lot No. 7* f � A/ �}rd '�'.1t� r�`✓ ......................».....................................__-•-------------------------------- .... Owner Address W Installer Address Ff.' , Q Type of Building Size Lot_.�.-`d'..ff:� Sq. feet aDwelling—No. of Bedrooms........... .......................:.......Expansion Attic ( ) Garbage Grinder (--) p, Other—Type of Building of persons..........1-.............. Showers ( ) — Cafeteria ( --) Pi Other fixtures -------•------•------------- W Design Flow......... 4`� ________________.___..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. Seepage Pit No..................... Diameter......:.......... Depth below inlet................. Total leaching area.�!�:�__....sq. ft. Z Other Distribution box ( ) Dosing tank '-' Percolation Test Results Performed by._ 1r l_ f I< < ' ?D - c�L -------------•---------•----•--•--•-•---........ Date..........._..-"---•--•-----------•.... aTest Pit No. 1 -----Minutes per inch Depth of Test Pit..Z^=�--�___.. Depth'to ground water_._._.._"`'............. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...... P+ ................................................. ..........................................................•-•-----•-.... 4�.DF.. .. Descriptionof Soil_y. ....... •-•-•------•-•••........_.........•--.......-•------f-•------------- ----...----.....-•-•-------------•..._ � .�ppUL�ge� �r ---L- .......... ........ . -*-<ih__,--------- _-C-t//J o .. ----•----•--------------------------•-----------------•--•--------••--------.......................---------------------------._...---------------------•••-•---••-•- Ran.•-•--•-- U Nature of Repairs or Alterations—Answer when applicable....................................................... L. .....�:-491........... .....................................................................•--•-•-•-•-............----•...-•-........--•-----------•----•....----...._...................... I I 1 1 Agreement: �yE �;y �isT 44 1 The undersigned agrees to install the aforedescribed Individual Sewage Disposal rSfy'steiii'inl a F mice with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agr`esfnot to place the system in operation until a Certificate of Compliance has been i§A&w4 by the board of health. Signed_. . .. . . -•----......-••.....- Dat Application Approved B ________ ` � 0-1 Date Application Disapproved for the following reasons----------------•----•-•---------•------•--------•-------------•-----------------...----•---•------........-•---- ...•-••-•...........................•--••....--••---••-•-•-•----•---••••-•--•-----•--••---.._...•-••-•-----•--•••--••-•.....---••--------•--•--••••••••---••••-•••••--••-•-••-•--••--------------......_ Date PermitNo......................................................... Issued......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............OF... .... _' .......... . . TrrtifiraU of ToutpliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by....•.....................................................................--`---.�....---------- ------`-'... ----�---.....----•---------........--..----------------•-- at .� h! .- ' '154 /S! �Insta er ! ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ has been installed in accordance with the provisions of TITLY, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....... ...3- `j ........... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEMwipt FdNCTION SATISFACTORY. !- - DATE -�..�� ...... ............................................... Inspector..... .... .------ -•-------------.------------------------------------.--•--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��..........OF...... .hl:..f! rtr.' ��-2 l ...................................:.................... R 0 No........................7 FEE........................ Disposal Vorko Tonotrndion Frrud.t Permission is hereby granted----------------------------------•---•--------- ....----•-------------•---•---•--=--...--------------•-••- ......-�.:......_._.. to Construct ( A or Repair ( ) an Individual Sewage Disposal System _ . � � at f` . T» tom+ / / 1 ._j J. Street as shown on the application for Disposal Works Construction Permit No....................Dated.......................................... f �BoadHealth DATE........ --�-�•�••-�-------•................•--•-••-- •------ FORM 1255 HOBBS & WARREN, INC.. 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