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Home My WebLink About0362 WHISTLEBERRY DRIVE - Health r 2 Whistleberry Drive arstons Mills 062 - 034 • Gor-�P�v`� a �y °OZE y y hg wr yFrl- Z �L a O C y • N 31;� `moo•� - '(�'�\ • � a o CP � y Z . T 2� - D OVIZ— Co o � MIJ PLOT PLAN WA,5 mr m.40E fR4M FOUNPATIOV 4OCQTI01V Pk AN AN /Ns7)m-MENT JURVEY.4N0 /S FOR THE (/SE Of THE Q. ,VK GANG Y !/NIER NO . L M e i3e2 2Y D Z I �I' C/RCLIMSTANCES ARE OFFSETS MBE 1 �-- 1 V USED FOiI' FENCES, wAL L,S, HEPGES, 8, 121J S A�'.)LE t-'c ETC. M EO a Y: OF 44rS, y .4/i/1 0!f ENGINEERING INC. ROBERT G-4 60 EAST A;4LAfourg H/GHwAY E. RAYMOND -' E.45T FA"OUTH MA. OZ5,96 .cs No. aoe JCAZjf: SATE- SNEETt STts APAWN Y- CNECATPBY ,IPPR BY= PL..4N NO. 9 js fs -v7 ,P�1L L O CAT ION SEWAGE PERMIT No* :, S- 709 PILLAGE A LLER'S NAME i ADDRESS . Lc �c J R B UILDER 'ON OWNER 4. DATE PERMIT ISSUE6 . �, o�7�R5� ti ® DATE COMPLIANCE ISSUED Z)QA`JN 16 oST45 �i f t :ON ddW SbOSS3SS`d ^�Q q ` Fps......:.................... THE COMMONWEALTH OF MASSACHUSETTS.-i BOARD OF HEALTH3AMSTACLE cOraSEr'.IYA T!^'M �_o.cv -----------------OF.......�A IJ P' �SL OOMMISS1O pliration for Disposat. arks Tonstrnrtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: q Stem 2,� W i^I I STM ..�l•--f - = {-•---•--------- ----••••••-------...----•----......-•--------••-------•••••...-•------------._.._...--•-------•--- A Location- Lo IA AVE •-.••••..�._. ..-------------------- ----------. 4.... t No. vo.4 ....................... Owner Address w }. i&H YI bE SIs-r1=H ° ntirvlS Installer Address d Type of Building Size Lot....46,Md.....Sq. feet U1-4 Dwelling—No. of Bedrooms............. .Expansion Attic ( ) Garbage Grinder ( ) 4 Other—T e of Building No. of persons............................ Showers — Cafeteria P4Other fixtures ------------------------------------------------•• ... w Design Flow................. J....................gallons per person per day. Total daily flow---------- D.........................gallons. WSeptic Tank—Liquid capacity.1=.gallons Length................ Width-._..------.---. Diameter. _....... Depth.....--......--- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......1 --------- Diameter......k--.--..... Depth below inlet.................... Total leaching area....18........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date....................................... aTest Pit No. 1................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----.................... a •---------------------------------------------------------------------------------•---...--•-....._......................................................... ODescription of Soil........................................................................................................................................................................ ` --------------------------------------------------------------------------------------------------------------------------------------.................................................. --------- --- U NIture of Repairs or Alterations—Answer when applica.ble................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in cco ance with the provisions of iITI,E 5 of the State Sanitary Code— Th , ndersigned further agrees not to pl ce t system in operation until a Certificate of Compliance h b iss d b f Signe -• --- •-- -------------------• -- --•----••••_-•-- Da e A lication Approved By......•••... -- _ PP PP -•••.••--• • • . .... D e Application Disapproved for the lowing reasons-----------------------------------------------------------------------------•------------------------.........._ ...........................•---------------------------------............------------...........----•---•-••........••••-••-•••--•••---••--••----••••-•-•-•- .......................: ----------- Date PermitNo------- ---------_7 q 0)------------------------. Issued........................................................ Date -- _— �----------------------------- 1 I • s a_ �� No......................-- Fxs............ ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... ........................--.....OF..........................................--..... Appliration for Disposal Works Tonstrurtion rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................_........_...................................................................... ....................................................•.._.......................................... Location-Address or Lot No. ......................_--........................................................................ .......----••.........----•-----••--••....•-••-..._...................•••-••••.............-...--- Owner Address w Installer Address UType of Building Size;Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a'4 Other—T e of Building No. of persons............................ Showers —Type 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. 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........................ LX, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •------••--------------••----------•----•-----------••---------....-----....._...............---....•--•-...••-•----------•----•••-----........•-......---- 0 Description of Soil......................................................................................................................................................................... . x U -••--•----•----•----•-------•------------•-----•---------------------------••--•-••---•--•-•••------._...--------•----•••-•......----••......•......................................................... VNature 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.................--.---------------- ----------------------------------------------- -.. ----- D e Application Approved By------. ---- �- D e� Application Disapproved for the 41owing reasons:-............................................................................................................. --•---•------------------------------•-•-•--•-----....-•------------.....-•---•---.....•--•----.....----•I-•--••--•------------•--•---------••---•••-----------••••--•---•-----••-----•-••...----••---••- Date PermitNo..... ------------------------- Issued•....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (Irrtif irate of Tutnpliiinrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed O or Repaired ( ) bY- IC,I^{ARh.... UN-LI CJ ------------•--------------- ----------------------------1 DT 2.9 Installer at_ F'. -•------•-�)ia-IS7�E-3ERR`----------------------•-----•-----------------------------------------------------.--.------------------•----------------------- 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.-_...�..S--_.70-3.........`_ dated---------------------------_...................... STHE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE-THAT THE YSTEM WILL FUNCTION SATISFACTORY. DATE.. ......... G Inspector P THE CO4M-9NWEALTH OF MASSACHUSETTS- BOARD OF HEALTH So O0 OF................................................ INM No......u. .. b-� FEE-. �i��o�itl orko �on�trnrttion rrntit Permission is hereby granted...... 1�'Q gD....g v N Li C?t.. ............... to Construct (x) or Repair ( ) an Individual Sewage Disposal System E at No......... ----.Lct-- wN ISTL t jERR`C.- I Street Zj<J_ U as shown on the application for Disposal Works Construction Permit No--------.-- _ Dated. E�' t ..............••-••......--•---------• . y , a �(��/jf " a ---rdW ,�"' �L,� ••,�. -ems.... ...,. - DATE ............. ----------------------------- .............................. FORM N, , 55�A. M. SULKIN, 'INC., BOSTON 41 A GENERA 4, , . 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