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Home My WebLink About0026 SHAMMAS LANE - Health 26 Shammas `L"Q Y Marstons Mills A= 064-108 s � t 1tF i i ASSESSOR'S P NO. 0(0 PARCEL I D� IOC .'`¢ ION C , SEWAGE PERMIT NO. VILLAGE � INS A LLER'S NAME L w A'DORESS � f R UILDE R -, OR OWNER DATE PERM14 , ISSUED ' DAT E COMPLIANCE ISSUED ,q-5 ;73"`4? 4�$,rl ,Al 1 V 3:3 60H CONY A f& &U 13Ar41Y No.. 9.�. .�.... Flcs.....,1..:2............ THE COMMONWEALTH OF MASSACHUSETTS OAR® OF HEALTH OF . ..................... Co Appliratilau for Mivviia1 19orks Towitrurtuart Prrutit Application is hereby made for a Permit to Construct (V/)0,_0r Repair ( ) an Individual Sewage Disposal System at: ...................... 1 :s....... / ............... Location-Ad or t No. USiJ_ C E .. , - -----------------•-•-- --• . .. s ctr,� - W Owner �,,PP ddres 22 Installer l Address Type of Building Size Lot-__ S__Z�.7........Sq. fee Dwelling'—No. of Bedrooms........____________________________________Expansion Attic (� Garbage Grinder { ...........................a .. —Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -----------------------------------------------•-------•---•---------------------------------------- __..._....----------.._.......------ Desi n Flow_______.._ �i- _ �v _ ons. W g ,� ,j_____________________ _gallons per person er al. Total dais flow._..__.._.__.____._____.______.__ ______._ga WSeptic Tank—Liquid capacity z gallons Length___%._____ Width._. -�_'f Diameter________________ Depth..... x Disposal Trench—No_ ____________________ Width__�.__.__.___._._ Total Length.........__.____.__ Total leaching area_._____.!!_��____....sq. ft. Seepage Pit No......I_._...._____ Diameter._._.__.. Depth below inlet.......... Total leaching area�__TS____sq. ft. z Other Distribution box (� Dosing tank ( ) t- aPercolation Test Results Performed by................ -------•-------------•--••-------;--•-•----•-----••----- Date.......................ff ----- Test Pit No. 1.4_2------minutes per inch Depth of Test Pit.... . ....... Depth to ground water....N- __��, 4� Test Pit No. 2................minutes per inch Depth of T st Pit__......_______..___ Depth to ground water........................ YV o �';; 7-- � ,� -�'�G -----------------------------------------------------........------------- Description of Soil .��.�_.._.._._��L�:__- �' ------------------------------------------------------------------------------------- x W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------••---- 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 iITiE 5 of the State Sanitary Oo The tend signed rther agrees not to place the system in operation until a Certificate of Compliance has been is e y th oard oft alth. Signed- ----•-• ........•-•---- -- -- ----•------• •------------••-• •- --••--- -••---------------- Date Application Approved By......._______ -• ........... Date Application Disapproved for the following reasons:--•-----------•----------•----•---•-----•--------;..-•---------------------••---------------------•-•-•------•-- ...._..-----•-••-•...............•-•----••-----------------•---------------••---------...._..•------........----------------------•---------•-----•--------------------------•------•-•--------...._.._. Date PermitNo.....0.7..-..._.VA./....................... Issued....................................................... Date ..... Fimic Z.f ...:.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 .LC�........... ......oF. > "-� -- � ' Appliratiun for Diupu.stti Works Tonfitrnr#ion Vernfit Application is hereby made for a Permit to Construct /')"or Repair ( } an Individual Sewage Disposal System at: .......................................a ocation--........_lj................................ . -. --._.----. -:......7.......� ... ..N--......-.... .._.................t.. �j/? Location-Ad�r-e s elz � � p�/ _�r I,Ot No.J /.�- _.. ...................................... 12i&ll l�Owner T Address ------------- Installer Address -7(? Q Type of Building Size Lot.y.._e...................Sq. fe Dwelling_—No. of Bedrooms_._.......=..................................Expansion Attic kto Garbage Grinder L. aOther—Type of Building --__---_.___•._--_•_-_____ No. of persons............................ Showers ( ) — Cafeteria ) Q' Other fixtures .................... . .. Q -- -�------------ ....•-•-----•------•-------- CU Design Flow......._-.�'�..�................... gallons per person .per ay. Total daily/!flow...........:........__........._............gallons. W Septic Tank—Liquid capacity6n`'�.gallons Length..:... �.. Width....5_.(a^' Diameter................ Depth....: ........ x Disposal Trench—No..................... Widt ---.___-----_---.-. Total Length....._............. Total leaching area............ ......sq. ft. Seepage Pit No* o..............✓ Diameter....!:)-___-__-_-__ Depth below inlet............... Total leaching area X:- �.....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY---•••-•••••--••----•-•--•-----•-•-•-----•-•----•;•.......... --••--•. Date----------------------f4............... Test Pit No. 1G.Z-------minutes per inch Depth of Test Pit--- ........... Depth to ground water.._ " N .. -Al (Z, Test Pit No. 2..............._minutes per inch Depth of Test Pit.................... Depth to ground water........................ a0 G- -•--a. y f� f Y v C.C�fl t / � 1.._... ;.... --. ...Y-----•-•-------••-•----•-•---------------•----------------•---------------•-- Description of SoiL.......(._4................................................... ? � x V .-..-------•------ ------------------------------ •--•------------------------------------- •-•------------------------------- •------------------------------------------------------- ------------•-------- W 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 TITL1� 5 of the State Sanitary Co t4 The andarsig led further agrees not to place the system in operation until a Certificate of Compliance has bee is ue h./aboard of health. Signe ........ ..............lt-:� ..........................f Date ^ Application Approved BY "^s 3--_...... �,�.... --------F4-==J`� Date Application Disapproved for the following reasons:................................................................................................................ -------------------------------------••------------..----•-----------------•--------------...---------------------------------------------------•------------------------------------------------------- Date �/ L Permit No....f1----�..'-•-_!Vdl........................ Issued•....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS /.�7P 1.-3La � BOARD OF HEALTH c� ,_� Tnrtifiratr of Tomptianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed t-� or Repaired ( ) V I r/ x•-e r -r by-•-•---•............ ......••--•-------.,.............................................----••-•----••------------•-•----••-..............-•-•.........-•---------.......-•••-•-••-••--------.-- I Installer at......... j'-•�' ..t". �frx'. ................. ......... has been installed in accordance with the provisions of T—t3fV. , 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-----?.7-------r-f_ ?._(-------- dated..............._____ .......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... ._`. ' p �: F} •....,�� Ins ector .....................................................`G�"` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 14 ; ...............oF......................vx..............--------.--•. ........................ No..1. ..:....� .. ....J.. ........ FEE. _................. Permission is herebygranted...�.-._.__.. ... . .• n.�#ruan rrnt�i Dis juloat Works To to Construct l ) or Repair ) an Individual`,S %N Disposal, /stem �/ 6-- ... at No...... 'o /1 x; �"C Am. �e ra�� uJ1"/( ..... ..... •�---........----.. .....--.•-•---••---------•...•--•------ .............................................................. Street as shown on the application for Disposal Works Construction Permit No._s r.....e.. _'.... Dated..........................:............... \ \ / //, DATE................. - ....................................... Board of Health FORM 1255 HOBBS & WARREN. 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