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Home My WebLink About0037 LATTIMER LANE - Health (2) �� a-�-� mom' w r � ................... THE COMMONWEALTH OF MASSACHUSETTS ------------- Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal. System at .k'y S— ---- -- --- ---- ----- - - -; ------------------- ....................... ------j -------- .................... .......tf............................. Installer Address P4 Other6�mn� ------------------------------------------------------------'-_-----'--._--------.--_--- Dcsign Flow............................................guDooa per person per day. Total daily flow------------------------------------------ Septic Tank—Liquid capacity------------gallons Length—__--- Widbb-----. Diametcr---.—.. Depth------ Disyoau Trench--BTu -------------------- Width.................... Total Length-------------------- Total leaching area------.-sg. h. Seepage Pit No--.--.-- .................... Depth b6mv inlet.................... Total leaching area-----..-sq. fi. Z Other Distribution box ( ) Dosing tank ( ) � �~~ Percolation Test DemJm Performed by-------------------------------------------------------------------------- Date---------------------------------------- Test Pit No. l................minutes per inch Depth of Test Pit-------------------- Depth to ground ~xter-------- ;14 Test Pit No 2L----'-.minutes per inch Depth of Test Pit- Depth to ground water.. 9` — .--.--.----------.—_---_—_--- .---------- .----'__--'_—_— Description � _--._----.------_--.----__--_'—''___'_-----_-'-----'_--_----__-----''----_—_- .------------------------_—.._----_- --._--.. . U Nature of Repairs or Alterations—Answer when ---_------ ----------------------------------------------------------------- - �� . Agreement: The undersigned agrees to install the aforedescri6ed Individual Sewage DisposalSystem in accordance with the provisions of Article XI 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 hoard of health. ale ...------__'--_---------.---.----.--.----'_--. � ` "=" Issued...........'............................................ THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA No..... _.. Fins...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH, , pphration -fur Bhipuottt Workii Tomitrurtiou Prrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: 4/ _ `� / J { = - ------------- - ,r�r- r ncateion Address / ` ! 1` or I of o. ✓ I r kOwger r Add.ess F .......-- . _ ....--f-- = Installer Address d Type of Building/ Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) pa-, Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures W Design Flow--------------------------------------------gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity-----.-__--gallons Length_-_-_______--- Width---------------- Diameter................ Deptll.-.............. 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--------- ----------- ---------------------------------------------------- Date----.------------------------------- W Test Pit No. 1________________minutes per inch Depth of Test Pit-.-___________-_.._. Depth to ground water..-.-_-..-__._-.----.--- f� Test Pit No. 2................minutes per inch Depth of Test Pit---------------- Depth to ground water---------------------- W -------------------------------------------------------------•-----•---------- -... ODescription of Soil.........._---------------------------------------- ,-r.. - -�---- ------ ---_--. ------ -------------..._... -.-.------------------- x W !�.: �----`------ Nature of Repairs or Alterations—Answer when a licabl -- d_ ----------- --------- - --•------- --------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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 ' - =-----f L�' 1--` -.• " - --------- ------------------------- --�. --------------- .� � = Dat •-p Application Approved By---- .......!t-�`t==t �* '' L -!'�"c` f ate Application Disapproved for the following reasons:----•----------•---•--------------•------------. .....-•------------------------------------------------------- •--------------------------•-----------------------------_------------------ Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF��MASSACHUSETTS BOARD OF/aALTH w. .....+ ...........OF_................V.. .--�.-..----4...._. .. .. .. ................. ............... �r^ / ,-Tntifiratr of fI'omphaurr THIS,.,16&' 'C-ERTIFY rTXiat the Individual Sewage Disposal System constructed ( ) or Repaired ( ) r ....- --- ----- --- ---- , f � *. w„ §Installer at '' ''tom--2 s a* � � � = ...... ------. t`r4 v ,,++ / has been installed iCiccordance with the provisil(Yis of Art,i�cle XI of The;P,tate Sanitary Code as-desci i ed in the application for Disposal Works Construction Permit No----!j... :... _.�............... dated.-.. :�_�'__ __.._ __._�^'�_._.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT TIME SYSTEM ILL UNCTION SATISFACTORY. DATE---- .... ....f ......---- Inspector_,!'............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f- '' .. '. �:. ...... ....OF - ': :r" '' r _...................... ............. No. 2...4n....... FEE- ---------------- Porat, k uu t r ivat° rrmit � Permission is hereby granted _,, ,�' .............................. ................. to Consltruct ( ) or Repair,,(�an Individual Sew age Disp gal Sys emj / No .. --`""� r/ r, .__: .x - �"z l`t-'s-' ". �,'....------ at 'j� -:- :.. -- -- ,1, _.�,., - y-•---- --- .,y: Street `� ------- --------•-' l as shown on the application r Disposal Works Construction Permit No-----------..__.,..... Dated",l -�; �. r Lr Board oVaXW55 DATE.._..`--' . -- l �' FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS No..� .srr.- �C��`� C� • 1 G, Fes$.... ... S THE COMMONWEALTH OF MASSA HUSETTS BOAR® OF ��LTH _,.....--.OF.............................................-----------.......-.------......-------- Appliration -fur Utipuuai Works Tomi#rnrtiun Vrrmit Application4is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst" at: ---'Lza._) .. .... ................................................................................ L. tion-AA ess or Lot No. . . . . ....... Owwnneer� Address �— Installer Address d Type of Building / Size Lot------------------_--_____Sq. feet U Dwelling No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons.--------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures _______________________________ __ 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 ( ) Percolation Test Results Performed by......------............................................................ Date-----_---------.--.-----------------.--- aTest Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-----------------....... Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water.-..-.-.-----_--_------. - ------ ----•--------------- - -----•-•-.--------------------------- O Description of Soil----' K ` � V - •- - - -------------- VNatur Repairs or Alterat ons—Answer whe applicable.-.--.C-G b '2 , ---- -------------------------------------------------------- ------------------------ -----;� --------- Agreement: ` The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' d by the board health. Signed---- --- -- •--•------------------------ -------------------------------- G Date Application Approved By..........� •-- •----•-- --=�... C �ac Application Disapproved for the following reasons------------------------------•---------------- ----------------------------------------------------------------- ---------------------------------------------------------------•---------------------------------------•-------------------------.- Date PermitNo......................................................... Issued........................................................ Date Fmx ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF WLTH _. .-} ..........OF_:........................:"""` ----------------_.._...................----- Appliratiun -fur. Biipuuttl Mirkii Tomitrurtiun Vamit . Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at : ' Z-a.+Y. _ _ y5 I = - Looation_Address or Lot No. Z Apt— `. .......................................................—.................................... t Owner Address WI ✓-'�' ------------------------------- --•--------•-------••------•---• --••-------•-------•---------•---•--•--- Installer Address dType of Building_, Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms..------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons---------- ------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------- -••-------•-- W Design Flow............................................galloris 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------- ----------------------------------------------------•-••--........ Date.--.-----•--------------------------:... Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water.._---_-.---_-----.._- Test Pit No. 2---------------:minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------ ^ -----------------------------•--- ----- 4 ..............._... - �-- .-_ O Description of Soil.....:•- ------------------------------ �a:;ac 'I• ! " t x '--------------------------•---••-----•--------------•----------------•----•--•----••-------•---------------•-------•-------•---•--•---•-•-----•----------•-•--------------- W ----------- :-------- ----------- ------......................................................... -------- -- -- ---- UNature of Repairs or Alterations—Answer when applicable G ----.-- > ' •. w_ f�.. � b c Agreement: 6M '°� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been* by he board ihealth . ySigned ,--`. -- �; .•- -_- t--.------- -------------------- ................................ E r,. r� / Date 179 Application Approved By----- 6-feAC :�;- ". � "��' '. � d llatc''� Application Disapproved for the.following reasons:.-•-••------------------•-------•--------- . .._.........--•-•-•-•-- -----------�-•-......-•-••-......•..... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD Of HEALTH ........... .............................OF. (11rrtifiratr of TOMPlitturr THIS 1 TO ffRTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by � "`�'^'tl ---- } . ----------------------------------------------------------- ---------------------- y� Installe al _____ S./_ I_. ._ A .. ................................... ................................................. i =_.... dated....!�=-- / "...... s described in the has applic application forinstalled Disposal accordance Con traction Permit No XI of��'heState Sanitary Code a� ��-�Y� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® ASrA GBJAR�ANTEE THAT THE SYSTEM WILL FJJNCTI N SATISFACTORY. € P . DATE.. •--t�1 Inspector re G* €"`, ? THE COMMONWEALTH OF MASSACHUSETTS BOARD OF�HEALTH . rOF..-. ..._�.. ....................' ------------------.........._.... NO......... FEE...... .. Dinpaiial_IV rka-Cnung#rurtiun rrrmi# Permission is hereby granted --- -- ...•••. to Construct ( or Re0- ( an..I divt al�,Sewage Dts o 1 System , *•- : At -------••--- --•-- as shown on the application for Disposal Works Construction Per i�t,4';q Dated....l. .__ __/ -� Board of Health DATE_'— .. ................ .....-•-•-----• ;. FORM 1255 Hoe6S iWARREN. INC.. PUBLISHERS No....."-.,/ ... THE COMMONWEALTH OF MASSACHUSETTS BOARD?ZO HE TH ........OF... ..... J.............. Apphratiun -fur Uiipu,ial Worho Tonotru tiOn 13rrutit Application is ereby made fora ermit to Constr ct ( " ) or Repair ( ) an Individual Sewage Disposal System at ---•----•----- -- ...... ----• ---- -----------•• ---•- . -----'--- .................... Locati [fdre I .� or Lo o. O%Qner Address W a .......... ........ Installer Address Q Type of Building/ Size Lot----------------------------Sq. feet Dwelling No. of Bedrooms___-----------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) � v Other fixtures W Design Flow........................... _____gallons per person per day. Total daily flow........................................:---gallons. 9 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�ie Total leaching area_._-__--..-__--..sq. - z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date.........•._..---..------------------- Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water...-_--_-._-.--._.---_- 44 Test Pit No. 2----------------minutes per in h Depth of Test Pit-------------------- Depth to ground water-_._--.---_--_--..--___. •------------- ----------------•. 0 Description of Soil------------------------ -- •-- -----------------------------------------------------------------------------•-•-••---•---------------------------- Nature of Repairs r Alterations—A ns e when applicable._.. ' --- ; _. . 11AS------------------------------------ - -- .._--f�- . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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. Sign . gfA'---•_----•----------------•------•-------- --------- -•-•---•------- Application Approved By.__.__ I... .. �. -- - -= -------- - - - -------------------------------------- Date Application Disapproved for the following reasons:.-•------- ..............................................................-------------------------------• ---------- ----------------------------------------------------- Permit No. Date -----------•-•••••--•••-•-'••-••-------------------- Issued.-----------------------------••-••-•---•----•---...... Date ............•..•..............•....•...•.••••...•.........•............................••............ . THE COMMONWEALTH OF MASSACHUSETTS BOARD';".I..�� HEALTH ��'`''� . ............OF...... .. .. ....... ..... .. .. . .............................. (Errtifiratr of Turnpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by------------I Installer at.........................................................................................-----•-----------------------...---••'•---••--•-----•-----•-------••--••-•-•--••------•-•-------........... has been installed in accordance with the provisions of Article XI of The State Sanitary Cod s described in the application for Disposal Works Construction Permit No----------- -------------- dated-'-.�...��y�.�_____........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G ARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------------------------------------------------- Inspector--------------------•-----•--------•------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH r ..OF No.. FEE ----------- R.1upilfial Norkii (nauitrurtion Vern fit Permissionis hereby grante - ------ ----------- ---------------•--•---------------•-------------------------------.-•------.--.------------- ...... to Construct o epair, ( ) an dtvldual Sew D' posa ystem at No.----- 4 l ---- •-- •--.... -----' f Street /� 7- as shown on the application for Disposal Works Construction Permi o____________ __v.. Dt _ - {/--------------•- .... ._. /.mat- -- ........... Board of Health DATE---------------•-----------•--.....------------------------------'---t.......... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS < No..... ................... -Z.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HE TH . . ..................... ... OF_.?. .. ... .................... Al Appliration -for Uhiposal Workii Tawquu fiall Yrrmit Application is hereby Made for a Permit to Constr ct ?)""Cr Repair, divi .,.an dual Sewage Disposal System aW . ......... .... .2 ... . . ..... ........ .... - ------ -------- ------------- ------ "0 .... ---- ---------- .. xwwres------ ---- ---- ------- L,cati Add or 1� r re s . ....... ..... .................................... ........... ....... 4. Owner Address ............................................................................................... ................................................................................................. Installer Address Typ�'.of BqildmW Size Lot.................... feet U 6��ng-K-No. of Bedrooms---------------------------------------- -----Expansion, Attic Garbage Grinde'r� Other 4Type-'of Building ----------------------------- No.,of persons----------------------------- Showers Cafeteria Other fixtures ------------------------------------- ------ ------------------------ ........................ ---------- -------------------- pq son per day. Total daily flow............................. Design Flow..............................%$7-A--------gallons per r I fts. W ' ' ,..............gallo� 11 — M7'Epacity-------f....gallons Length................ Width................ Diameter------_--------- Depth----------------- P4 Septic Tafik ' qu Disposal Tr nch No��..... hingarca------- ------------sq. f t. e -------------- Width---------------- --- Total Length-,------ -----....... Total feac Seepage Pit No......................4ti4meter.................... Depth below mlg�---------- Total leaching areii---------- -------sq. f t. Z Other Distribution'box sing',tank N4 -7�1 Do Percolatip. 'T st Results Performed'by---------------------- ................................................. Date................--------------------- Test-Pit No. 1................minutes.per inch Depth of Test Pit---------i.......... Depth to ground water-----------:............. T 'Pi t No. 2................minutes h D th of Test Pit------- --- Depth to ground water------------------------ est . ...... ................................................................................. -------- ------------------------ 0 Description ofs- oil------------------------- ..................I------------------------------------------------------------------------------- U�4 -------------------.............. ............................................................. ---------------------------------------------------------------------------*----------------------------- --------------------------------------------------------------------------------------------------I------------------- --- -------------------- Y U Nature of Repairspr Alterations—Aqns)je W' hhen appllcable.__'—'_ ---- - -- ............. . Ar------------------------ ------------- VAU. ----- Agreement: The undersigned agTees,to install the'aforedescribed Individual Sewage Disposal System in accordance with j the provisions of Article XI of theState Sanitary Code—The undersigrred further agrees not to place the system'"in operation until a Certificate of Compliance has been issued by the board of health. b 4— 'Si ..... S " ------- ------------------------------------------------- --------------- N Application Approved By----- ---------- --- - --------------- ........................... - -I 21f 4 Date Application Disapproved for the folibwing reasons.:------------------------------------------- --------------------------------------------------- .................. ..........................r�-----------------------------I --------------------------------------------------7--------------------- ----------17---------------------------------------------------- Date ......................................... ......... Issued-_----------------------- ............................. Permit No_ Date THE COMMONWEALTH OF MASSACHUSETTS J. BOARD OR HEALTH OF...... ............. .............. firate of TIJIM1111-anrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by----------------------------- --------------------------------------------------------------------------m.................................I............................................................ Installer at....................................... ----------------------------------------------------------------------------------------------------------------- -------------------------------------------- has been installed in' accordance with the provisions of Article XI of The State Sanitary CodVas dUcribed. in the ............. �pplication for Disposal Works Construction Permit No------------ -------------- dat:cd..-7 THEJSSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GeARANTEE THAT THE TEM WILL FUNCTION SATISFACTOR 'Sys y DATE................................................................................. Inspector----------------------------------------------------------------.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ,,PEALTH ............. 0 F ...... .. .......... ... No.......Y. 44 FEE_004.*,...:........... Binpviial Wvrki5 Qlantitrurtion Vamit , Permission.�is hereby grante ........................................... ........I......................................................................... ...... to Construct �e jVepaij(- (0 an,$dividual Se D osa ystem atNo......i4_ -9 ........... .... .... . .. ... ....... '49 Street as shown on the application for Disposal Works Construction Permi o............. I ted---.' -- --- ---/7_;r........ ---------- i(Mot --—----------------- Boar o 'a th DATE...............L------------------------------------------------------- �ORIM '1255 HOBBS WARREN.'INC.. PbBLISHFRS