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HomeMy WebLinkAbout0013 STARLIGHT DRIVE - Health 13 Starlight Drive 100-041 Marstons Mills J LOCATION SEWAGE PERMIT NO. g� S5` G.�� `ial VILLAGE INSTALLER'S NAME i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED 1 --2-I-86 DATE COMPLIANCE ISSUED � .� Z-©7- S-S- Sa 3� 33' 98, No... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF -HEZiLTH F...73-Aklv.5' 6!�(Y,--------------------------------- .............T _��.. ......0 IN 0 Appliration for 11isposa1 Workii TowTiturtt' tt 11nmit Application is hereby made for a Permit to Construct or Repair ( an Individual Sewage Disposal System at, FV\V to ..... ........ ----------------------- ................. .................... ............................................. Location-Address or Lot No. 'V j !e�.................... ........... ;tVj&.46.L_.n...T....................................... ---------------- Y ? 1w er Address 14 -7- e........ ....... .... Installer Address Type of Building Size Lot.-VIA5.0.........Sq. feet U Dwelling—No. of Bedrooms------- a.............................Expansion Attic Garbage Grinder Other—Type of Building ... No. of persons............................ Showers Cafeteria Other fixtures Design Flow........VA ...................gallons---per'person----per" day.' '......Total...---.....daily'...fl-,o...w......---------3----a----o......G.....P'K­Jb)_.---­g'-a"I*I'o...n's- Liquid*capacity_.))ffOP.gallons Length....9.......... Width....5" P4 Septic Tank --------- Diameter................ Depth Disposal Trench—No..................... Width T ....... Total Length............ Total leaching area....................sq. f t. Seepage Pit No.----___-_-I--------- Diameter______ ----------- -------- Depth below inlet-.....(0........... Total leaching area...51A ..sq. ft. Z Other Distribution box ( ) Dosing-"k ( . ) - 1­4 Performed by........j4MJLJ ..... �4 Percolation Test Results k"-Y__#_"_____1--------------------- Date... ,4 Test Pit No. I....... ....minutesperinch Depth of Test Pit------d........... Depth to ground water.._._._}1.........._----------- Test Pit No. 2................minutes per inch Depth of Test Pit___................. Depth to ground water------ ............i.............................................................i.........................IF....................................................... 0 Description of Soil........ ........ ...... ...... ... ......�4 .......... ....................... 2-10. ..................................................................................................................................... W ............... ........................................................................................................................................................................................ �Zi 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 TITLE LE4 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. Signed.. .................. Da Application Approved By. 9:�.............. .... ......... Date......... Application Disapproved for the following reasons:......................................................................................... ...................... ......................................................................................................................................................................................................... Date Permit No..........zzz2.. --------------- Issued....................................................... Date - THE COMMONWEALTH OF 11iASSa .HUSETTS BOARD OF HEALr H� �� Y ...... a...OF ...wf ........ �* � Aplifiration for R. park C��', ��rttr�iun rrmit Application is hereb`1 made for t Perm t to"'Construct ': ��Zep a r '� Individual PP Y ( ) p (� ) Sewage Disposal System at* ¢, p Location-Address are` ✓ or Lot No. .......... _ tl !n.c: cow T --._. .. 3:: •-•-----D4�_L�-D.... ••- Owner •� F{��°" � `3-- --• ` Address � Installer n nE � � Address �1 Type of Building } -r Size Lot::a4la.�!�-----------Sq. feet Dwelling—No, of Bedrooms r...: _____________ ______Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building ll� ?:._ No. of ersons____________________________ Showers a P ( ) — Cafeteria Other fixtures ••-=•-- = - W Design Flow......... _, ._ ....................gallons-per person per day. Total daily flow___ _ e O 04 W id pacity_);)�' ___gallons Length___ _ ___________ Width ............ Diameter Diameter_-______._._.__ Depth __!'/...... Disposal Trench— Septic Tank—Liqul ca Width.................... Total Length..........t......... Total leaching area_______:............sq. ft. Seepage Pit No---------i,._-____.. Diameter____________________ Depth below inlet.... _............ Total leaching area__MA47_.sq, ft. z Other Distribution box (- ) Dosingp4sqk Percolation Test Results Performed b __._. Date._.__: "!__Z. `"` Test Pit No. 1_._. "..____minutes per inch Depth of Test Pit_____ __________ Depth to ground water.... ._____...:.. Gz, Test Pit No. 2___.............minutes per inch ' Depth of Test Pit.................... Depth to ground water---_-----l_.__._____.__- G4 _ O Desgiption gf Soi __.._ �` �'f... ? t?`i._'�ia 1e+ (p�i `" � �s� j= �- -- '°' ............... -- ......................................... ::_:.......................................................... U Nature of Repairs or Alterations—AnsiK r when applicable _________________________________________________________________ .. k ••-- 4 -- --------- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with- the provisions of TITLi; 5 of the State`Sanitary Code ' The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beeK issued by the board of health. Signed.o - -`---•---.�e._: . r.. ,x s _.. ............ �1 Application Approved By____.... A ' / Date Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------•--••--------- -----•-•------------------•------....----•-----------------...---------....------•------•--•------------•--•-••-••---•-----•-•-•---------•-•--•-•--------••-•-•••--------• ............................ �...,,,. � Date PermitNo.--------` �-- ___. Issued........................................................ Date THE'COMMONWEALTH OF MASSACHUSETTS, BOARD OF HEALTH : Trriifiratr of Tumplittnrr THIS IS TO.CERTI ,That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) .�^ I to er \ -- --- ------- has been installed in accordance with the provisions of TIZE 5 of The State Sanitary Co�e'as escribed in the application for Disposal Works Construction Permit No________-------------_-T?_____. ---- dated_. +/ a `'_7 .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE . -SYSTEM WILL FUNCTION SATISFACTORY. , 1 Z ..........InspeetoT.. --- a THE COMMONWEALTH OF MASSACHUSETTS a; � A. BOARD OF HEALTH s v T zr r t OF..-........ ? ... .... ....... ..... ........ .. ...... �.,� p - No FEE..�...r ........... ' trrsatrkw it Firnfit Permission is Hereby' granted ._-__--- ,- ` '� �ILt _._ t:..____•-•------------------------ -- • -..... C ! •�-�_•_•_•__ to,C,_onstruct �,e-atr��(� a Iridiv�1ua1 Se,%,age Disposal System at No i'- •= ' ,r .�C� { �� *.>l C ! � ---- r .1r ��;� ..Street. -- ---- ` " '^ asshown on the application for'Dis al Works Works Constructionf Fermi �� '�_;tDated_..__. �_- _ Sf................ F �,j - p Cam, Board of Healt DATE_-.......��:; .----- �.•. FORM 1255 A./M. SULKIN, INC 09 STON,, 1 EM FA /c.Y x SE�Tjc i;4n//.< - a3oX%1IL-eX ' �-- 7"oT4 L.. O� 5/6�! = ✓ 'S f 10 1�P7 �► 7'vT,aL t /Lys . -so LO W = 3 v . DES/C / •aE�2cG L 477dAl .e47-E: . r7 ��� ... PETER c�G� � RiCHARD wy �7 r,• f z'�. o SULLIVAN �� A. Jj v No. 2913� �' a BAX7 ER. �n ' �. Of c' 1110 21048� { TEST'f/a� SL117".4 M 7 �. �s. 3 2G�o2•D. 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