The URL can be used to link to this page

Home My WebLink About0159 STARLIGHT DRIVE - Health (2) 7 �. LO CATION 16 ? SEWAGE PERMIT NO. VILLAGE p, INSTALLER'S NA,ME. ` a ADDRESS G U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED____(� �� tt 6 �51 37 3 ' o' s THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 6 ... .......oF.._ !a.r�. .L� -- --- ........................ ApplirFation for Uhipoii al Workri Tow3trurtion Vamit Application is hereby made for a Permit to Construct ( ) or ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. ...-•-•--�°4 v»'..... If...�_i��S ^ �'�----•--•--------•---.. .....- .�&V. Y4 a?��.��1`..l�r..*&A.................. Owner Address n i+ •-------•-•• ..... �?. E�+ '.{1ti-�11.-L_1....: A '�1 li -' _ !__S..1P g6!� Installer Address Type of Building Size Lot,4`,,3.)---------------Sq. feet doms._Dwelling—No. o Bero .............................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria Q, Other fixtures --------------- -------•-••-••. . W Design Flow.......4!i� ......................gallons per person per day. Total daily flow----- .30.___.......................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 ( ) Dosin ( ) aPercolation Test Results Performed by.__..' .. .._._ Date___.2_^'Z.�,E.-7+ '......_.. ,a Test Pit No. 1................minutes per inch epth of Test Pit------___.....------- Depth to ground water.... /............. Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-_____-__F__-___-........ a •--•-------•-----••-•----------------•--------•-------------------------------------•--•------••-----------•-----•---------------•-•-------------------•-••- 0 Description of Soil---------.........-.................................---------------------------------------------------------------------------------------------•-----------------• x 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 iITL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the board of health. Signed /..�V� he. ........ 2/e � Date Application Approved By----- ( = - -- -- -_ -----•---------------•----------•------- ..... !-....... ' Application Disapproved for the following reasons:---•-------•------•----------------•----•---•-•----•--••---•-----.......-•------•---........................... -----------------•--------....---...------------------•-•------...............----------------------•-•-------------•---•-------•------ -----•--------------------------- ............................ Date PermitNo.-----••.1�........................................ Issued....................................................... Date ILI No................_.....-- Fins............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '. ......OF....BR...q.m-r;7w.a�.. -:.. ApplirFation for Disposal Works Tonstrurtion Prrutit Application is hereby made for a Permit to Construct ( ; -&__Repair ( ) an Individual Sewage Disposal System at: .............�oT ...E Location-Address or Lot No. L^.� ,,, m < ' ��a IO-A rr�C r,.+4 J �C n •7 rfsr ttR!` Ursa s5-------------••-- - .............•---. -----•.. . g Owner } Address iW4 Installer Address Type of Building Size Lotl�-.': 3t_••-••••----••Sq. feet Dwelling—No. of Bedrooms•. .-='"..------------------Expansion Attic ( ) Garbage Grinder ( ) 4 a'k Other—T e of Building ..... No. of persons............................ Showers YP g ---•----------=-------- -- •-�-------•-------------------------------------------••-(----> — Cafeteria Other fixtures ............... -- -(-----)- ...•-----•----•-•-•--••-•--•- W Design Flow........�?� 'S........................gallons per person per day. Total daily flow-------- ?Q..........................gallons. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet...........0........ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing, ank ( ) a Percolation Test Results Performed by.__..tt.1'AP--,A. ! 7t .......................... Date..... ................................ T a Test Pit No. 1................minutes per inch Depth of Test Pit_...�.._........ Depth to ground water---__�-�-------.-. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... W ... •---------------------------------------------- -........ ---------- -.................. -•... .... ••---•------...------------------ ...------------ •........... 0 Description of Soil..................................................----•----........-------•---------------------------•------------•-------------------------------------....------_... x 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 TITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee #issued by the board of health. —`-,'`Signe �_. --r•-`---•-=.--:�s.�-----•------ / n A.)- � r Application Approved B `. -------- ••------•--•.......-----•--•- ........................................ Date Application Disapproved for the following reasons------------------------•---••.............................................................. a.t.e-------------- Z ---------------------------------__- -------- ✓� Cn l (� Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Curdifirate of ToutpliFanre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (� )--or i2epaired ( ) by = ` S .j" --------------------------------------------------------------------------------------------- -------- 7r/ q ) j9 'L l Z ( .............. Installer rr :� at.............. ---------- _ �Y }------------------- has been ins�lled in accorda� with -5-o Tie State Sanitary CodF.esccipeg n e application for Disposal Works Construction Permit No......................................... dated_--.-.---_ ......__..__.__._...._.._.... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL F NCTION SATISFACTORY. /77 DATE................ Zl..��?�o............. Inspector__.. ..........._ --•-------•••------•-•--••------•----•--•--•-..._.._....•-•.....•. t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...................................................................................... � '' No......................... FEE........................ Disposal Works %"�,�trat ion rrntit Permission is hereby granted .: y^�R f.i -•---------------------------•---------------------------------•----------•--•-------------- ,;:-, to Construct ( ) or Repair ( ) an Individual Sew age Disposal System ;dam -No.... .at e 1 , r 161 c as shown on the application for Disposal Works Construction Permit No..................... Dated_ .................................... ----•-----------------------•---- tJ Board of Health DATE-...............k ............................................................ t` FORM 1255 HOBBS & WARREN. INC.,. PUBLISHERS 'f4P.AFs/Gry Z ,W 7`.A S///6L:E FA/J/L Y -- 3 BE'IO.E�oOM �� • � � ___ �`% /VO 6A 2BAGE 1 3C� ,3--j OA/LY SLOW = //DX3 '—730 G.P.O. 1 USE /4a4 6'�!L_ � (h _ ' '�-�'`--.•"� BoTToryA.P�.�l = So .5..� � r-- ��`� �5• �.� , MGM � o H OF »w` %f PETER o SULLIVAN ��1' :'o` 1:'t_L.IA?o4``': .' No. 2b733 "# l c• 1 �'� `� Y EI / 'IST i5334 �J��• �4uL/�u 97,C) 6,dL, /�Yl� BOX 7;4A-/c :. �'✓`.4.�HE.c7 ' c .• V TGNE �' /�G' ��Z C'E.2T/F/EO JAG OT PL.Qn/ v-09 C- FV S il/o \n/4,7Z-:;(L �o / GE.er/,CY 771 4T Ts/E c�� ,•/p. SHaw.v :; G _ z h/E.�EO.v GOMPGY,,s W/Thy 7iyE'.S/IOE�,/�t/E B�XT�,2 �;NYE /.uC. AiS/O 02-7'2?AG,L- ,e�QU/eE�1�NTS O� 71 4 ,AEG/Sr�eGI.G4N0,S!/.el/EYO,�s Alt 5 ��• �`.� V�� l_ �..�.�f�� T.��t��v /s /t/o/- a�lsEo o.✓,a.v /�vsT,e- V� S�[-f/i!/,�E.2�4N.S.�v�4L/[•I�/i/OT ld,E USEp /S,S/ Lar- L.//✓E,S oES/Giv Z ,A) 7-Q S/N6G:E F<tiy/L Y --- 3 BE'lo.E'ooM �2 • � `�`= /VO (5AA-119<l6E C. ,3-4 " ----- - J7 OA/LY FLoW _ //D X,3 - .3.30 6� 1�/.rF�2S,4L �/T---USE /000 6',c1� � (n �.. �� r \'`•.,T f,�,�,,,__..�� , ,fO .5:.�• X /a = .SO G./?d. �� - �-. MGM l o Sr �ai- 7''oT�J.0 '�42.5,-G.P o. � TOT.Q.L IJ.4/Lr�LoK/= �33G G•Po � + � � � � i Av PETER ? SULLIVAN No. 29133 y�, j C " , 4vr /- NO \f Ll TE.Sryat-E��j V•8�8� • Lc4- • . /rV✓. GAG.. 6,aL, p BOX � �., •� • , b L.FdLA/ 0/T �(�/O ��.� .S.L�17•� W.Q.fHEc7 ' /iVYC /Nd .• .STGNE �'' /�'•�' 1S,Z G'E.2T/F/EO �G OT ,oL.4�t/ C o ZS' / GE,eT�FY T�QT•TyE' S.-laW/r/ L . � - z A.vv.SE"T1/�G,� .2�QlJ/�'E�lENr.S O.� 7//� ,2EGisr�.ec=�.GQivo.S1�,2�Eya,P,� ToW�t/ OF��2n/�.l/�-f�l_�/1�vI� /S NOT• C�STE.21�/LLc � �1,�.� GOC.arE.o y�//Thy/y T.�/E �'L,aapOGQ/mot/, oo Tyls mac.��v /s �oT G�-4sEo a.v,a 11Y - Spiv.yE.2�dN.5.4/c�UG I�//Q7-Q,E USEp f r99 r No... ✓ FEB THE COMMONWEALTH OF MASSACHUSETTS BOA O F HEALTH ------.. ..t2U...N- oF.. .... !-1. .1V i _1-` ............................ Appliration for Uiipngal Works Tonstrurfiutt Prrutit Application is hereby made for-a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: --- s'#-------------------------------------------- L on-Address or Lot No. 1. a AddressO .....................!: RIVM MkFF&.;--------------------------- t...... Installer Address d Type of Building Size Lot....:?'Q�w.........Sq. feet Dwelling—No. of Bedrooms....___.__%................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of ersons____________________________ Showers — Cafeteria as YP g -----------•-------•-------- P ( ) ( ) P-1 Othe fixtures .........................-•-••------------•----•--•--.•.---•-•------•----•-----------------------------•------------••-•----•--=--------------------- W Design Flow_____-____ 91.5________________________gallons per person per day. Total dail flow--- ..............gallons. - __ W Septic Tank .Llquld capacity_._ 1.....gallons Length___ l__$__.____. Width... ........ Diameter____. i�________ Depth __._.._.. x Disposal Trench—No_ ____________________ Width_ ................. Total Length________ _�_.____ Total leaching area............... __sq. ft. Seepage Pit No.........1----------- Diameter....... ------- Depth below inlet...... Total leaching area...�q ....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by -- ______________________________ Date-_`__7_�w�4.p___.J__.-------- a Test Pit No. I................minutes per inch Depth of Test Pit_____________....... Depth to ground water_______________________. fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -•-•-------------------•-•------•-•--••---•---•------------•--•----.._.--•-•----...-----•-----------.......................................................... 0 Description of Soil.......................................... -•----•-----...----------------------...----------------.............................................. ---------------------------------------------------------------------------------------------------- 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the board of health. .^ >3 Signed.-- ---•-- --_ ----= ---------••---_-.-------------------------- ......... fit -•- PP PP y---------•-•-b6,, -•-- A lication A roved B - _______._�_ __� _e_'=- -------- -- -- - ------- Date Application Disapproved for the fowing reasons-------------------------=----------------------------------------------------------------------•---------------- -----------------•-••---•.....--------••--•---•-------••--------------------------------------------...--•-----------•-..:_.-----------------•-•--•--------------•-•--•-•------•------------••---------- Date PermitNo--------------------------------------------------------- Issued_------------------------------------..._.._..._------ Date No................_....... Fss.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH O. 4.V_, �.......... . ... .F.......:: Appfiration for Disposal Works Tonotrnrtion jirrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...:._ ---------------------------� ---------------------------------------------- ot A ..._... -•-- ----• ,. .... ........ W a • •................•-••-•---- Vrc Type of Building Size Lot___:?'. _C;,,>__________Sq. feet' I•-. Dwelling—No. of Bedrooms__Is.,--------------------------------"Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria.( ) a � Other fixtures .................................................. •---•-----------------•--•----•---•------•--------- W Design Flow.....4a:.7________________________gallons per person per day. Total daily flow:,,;__3` +.-6'�_jP,0_______.________gallons. WSeptic Tank—Liquid capacity.)_,.......gallons Length__ ......... Width_-"_!........ Diameter_' __________ DeP "_^ ---•------; x Disposal Trench—No_____________________ Width.................... Total Length........____........ Total leaching area....................sq. ft. Seepage Pit No.......I............. Diameter.....rd.......... Depth below inlet___ ........... Total leaching area*f �µ"....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by'"" __________ Dat _ �___ a ,, .�....�a-•--- Test Pit No. 1................minutes per inch Depth of Test Pi ................. Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........:.............. 0 Description of Soil......................................................................................................................................................................... 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 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 the board of health. Signed........... ------------- tee Application Approved BY - -•- .._..._=--- ................•---- ............................ Date Application Disapproved for the f allowing reasons-------------------------------------•--•-=---------••---••-----•-----•-----•--•-- ---...--•-----•••••--•-•- --------------------------•--•-•-•---•------•---•-••-•-------•--•----------•-----....---....-.......................................................................................................... Date PermitNo....................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ ... M, ..........OF............. ........... ....__••__.__...... (9rdifirtttr of Tontplianrr THIS IS T=0TIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ,.-•----._...-•-•..................................•----------------....-----.........----------•-•--...................................................... 4 at..- �„ .- - <� 1 - In J�- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-------- _-�l_ __ dated___.._..__._ _/_1�35---________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE... ............................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r- "' j ......................................OF..................................................................................... No......................... FEE....._...._.---••••-•••- Diopo.sal 0 � Toa ` n lrrmi# Permissionis hereby granted-------=-......... . ._.._..._•---•-----••-------•- - --....... ...................................................... to Construct ( ) r p ' ( Indi�i rage i S st y ,� at No.---•-• `- ak ------------------- -- -- Street - — jA as shown on the application for Dis osal Works Construction Permit No...................I D to _____� __.____ PP P .- 1 DATE__ ............................................. so rd of Health ___-__._�-__________ ___J.� FORM 1255 A. M. SULKIN, INC., BOSTON