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Home My WebLink About0183 LONGVIEW DRIVE - Health (2) 8a tr� �h�a eve +� - �.s� - os� � No--------1� .......... ...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H SAL T. H. q3 OF.... .......... 41r ��........ .. ....../........�e Appliration for lliiposal Morko Tonstrurtion Prrutit Application is hereby made for a Permit to Construct 6/0, Repair an Individual Sewage Disposal System at HWx#ijkD ... ...... ............... .. ✓ .............. . ... .. .. •...... ... .......... ... ......... Location ��ddre _ 0 t A...... ............... M1 No. Owner Address .............. ........ I ................ ...... ......... ...... nsja-i�e r Address U Type of Buildipg Size Lot.../�/.dt-e .....Sq. feet Dwelling—PNo. of Bedrooms---. :3.............................Expansion Attic Garbage Grinder 04 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ..................................................................................................................................................... Design Flow......................... ........gallons per person per day. Total daily flow..........._T1.10 gallons. W ---------------- .... Septic Tank-Liquid capacity/6�. allons Length................ Width.___._.___-__._. Diameter__.________.___. Depth................ Disposal Trench—No-.................... Width_-_-_ .,g t-a—1��h. I leaching area....................sq. ft. JT � Total 3t nlet. Seepage Pit No...._1 ........... Diameterl"... Zpt .4Z w inlet..........6...... Total leaching area..�.d sq. ft. 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___________.-_-___--___. Test Pit No. 2................minutes per inch Depth of Test Pit_.._._..._.__..__._. Depth to ground water______________________-. 0 Description of Soil.................... �4 U ........................................................................................................................................................................................................ W Z ---------------------- ----------------------------------------------------------------------------------------------- ............................................................................... 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 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 is . by th board of�h�aaff�Nhlhy .e' igned ... . . . ........... ---- -------------------------- Z_enis W,,,_ t Y....... ..........3. Application Approved B . .. . .....4.... // / ate Application Disappioved for the following reasons:........................................ --------------------- -'I'll................................. 7------------------------*.....D'-a't'c--------------- PermitNo......................................................... Issued--- ............ Date ,... ——-------------------------------------------------------- No.........&---------- Fi$�...................... THE COMMONWEALTH OF MASSACHUSETTS .BOARD OF HEALTH H ... ...... o F......... .... '.. tr .� A liration for Igiaposal Workq (finuitrur iOO Punfit Application is hereby made for a Permit to Construct ( r Repair ( ) an Individual Sewage Disposal System at iol t . 7 sLocatfon• ddre & — j or t No. ,... f f y w am` . .✓ ,.. � , .a�,.;�,«C� ..o ....:......... fx..:z...... y,.t.lye.. . a!3........ Oner Address ........................:........... ......Installer.............. ... ...........................Address. .............. .................... UType of Building , ,,. Size Lot_-_j p ....Sq. feet Dwelling No. of Bedrooms....... .............................Expansion Attic ( ) Garbage Grinder ( ) CL, Other-Type of Building ........,................... No. of persons............................ Showers ( ) — Cafeteria ( ) p' Other fixtures ---------------------------•-•.__ --------- :; W Design Flow........................ _.4,:.___.__gallons per person per day. Total daily flow_.._..........:....-4 V.............gallons. Septic Tank-Liquid capacity/-' allons Length................ Width................ Diameter................ Depth................ xDisposal Trench—No ................... Width �_..( ; al L ,i tI .._ Total leaching area ...._ Sq. ft. Seepage Pit No..._....k........_.Diameterl..��. �_. I1�pth beldvt inlet _..�_. _..__ Total leaching area.'. ��J sq. ft. Z Other Distribution box ( - ) Dosing tank ( ) aPercolation 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 inch Depth of Test Pit-----............... Depth to ground water__-_---__-__--_---::__-_ _.. --- ................ O Description of Soil = #. --•----------------•-- V ...--•••••-•-••-•---•-----•-------------••-•---•---•.=••-•••-•••-•-••--•-----=---•----------------------------------....-------------------------•------------........................................ ----------------------------------------------------------------- -•---------------------•--------- -----------------------------------------------------------------------------------.=--••-••--•---- 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 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 is --by th board of h�rt caned. a� Application Approved B / te Date Application Disapproved for th,e follozviny reasons:--------•--•---------•-------••------• : .................................................................... -•-----------------------•-•---•-----•-----••--••---......------........_•------••••-_..... ,*,7 Date Permit No..........----•-•----•-• ................................ Issued•-- �-•-- - .1�_.Z............. THE COMMONWEALTH OF MASSACHUSETTS BOARD Of HEALT .............. OF........ .. .. . .......... Trrtifiratr Of Qlampliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( '`) or R paired ( ) y. .-- --- d- ---------------- ✓I I stnller e, "x^ tt oo at ♦ 1 at_� __.`..................'-�`-i- - -__ - --- �G�':�� i '--. ..�.c�"`..�r ---------• -----._ ................................ has been installed in accordance.with the r•ovisic�t'ns of Article XI o The State Sanitary Code�as,cksc ed in the application for Disposal Works Construction Permit No.................. --___-_--_-______ dated__��dw.�rr,1 tom..__. r--___--_-•---_ THE ISSUANCE OF THIS CERTIFICATE SHALL HOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. < s DATE...... ...g (-.f; Inspector -• ',: ,,, -- A� vw.::.._. THE COMMONWEALTH.'OF.MASSACHUSETTS BOARD OF: HEAL..,. 47. ... 7 4 . t.+A .............O F........ , ,�.a t, u 'r` ~f ........... �-av� No..........e .... ° FEE... w..�•.. .,. . .... �i��O�tt1 Or�� t�� i�trOrtiO�t ier�it Permission is hereby granted................................................... ••-- -- •••• .... --........••.... ... ......... to Construct or Repair ( 4) arr�1ndrvI Sewage' llr asal S em at•No. p w f ! * Street T -.. 1�� as shown on fire ap lication for Disposal Works Caris ruction Zr` ut I� ......... x rd or Health DATE---------------------------- FO AM`'-`1.255 HossS & WARREN. INC., PUBLISHERS ,s L ne No...... ` ...... �^ Fps � ..... .�.. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OW HEALTH Appf r�fiun for Biiipnfittf i8orkfi Tomitrnrtinn Vrrmit Application is hereby made for a Permit to Construct or jepair ( ) an Individual Sewage Disposal Syst a : / Location aAddress or of No. q --------- 7 Pn W Owner ------ Ades s _ --------- Installer Address UType of Buildin ( Size Lot_____:___ __.�...... q. feet �-, Dwellin 7L-o. of Bedrooms______________g �N �j.........................Expansion Attic ( ) GarlSage rinder ( ) aOther—Type of Building __________________•-------_ No. of persons............................ Showers ( ) '— Cafeteria ( ) d Other fixtures --. ------- -------•-------•--------- W -------------- -Design Flow-- ----- �W___Ynons llons per person per day. Total daily flow----------------_--- ----------gallons. WSeptic Tank Liquid capacit Length................ Width__...____...___ Diameter--------- Depth__-_-_-_-_;___-. x Disposal Trench—No_ ____________________ Width.............. *�Anth _'._____ _. Total leaching area_________._____..._.sq. ft. �fSeepage Pit No._`---•-•-___-_. Diameter�Q`�'�__ D► ��Cl�f--_.--•----r-----. Total leaching area..7_1_11_.�q: 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.._.._.:_____________.-. fs, Test Pit No. 2......._.._.•...minutes per inch Depth f Test Pit____________________ Depth to ground water-..._--_____________---- P' ------. ----------------------- ---._...........................................-------------------- - 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 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. igned........ Application Approved By--- .... -�� a '° LG= t e e Application Disapproved for the following reasons:---- - --•-•----- ....................................... ------------------•-••----------••-•---••-----------•-------•----•----------•-----------------------•-....---------------•----------•---•-------------------------------••- -----••---------•------•--•- Date Permit No. - Issued------ . ............... D e l No....... . ...... :":""`":..... THE COMMONWEALTH OF MASSACHUSETTS BOARD ®E HEALTH 11 OF...... ....F ..: .r. g 1 ----------------- Apptiration for Ehiipoii at Workii Towitrurtiou rrrftti# Application is hereby made for a Permit to Construct ( `or Repair ( ) an Individual Sewage Disposal System at ,z +fit b i Location s�- dress--------------------------------- ----Y P eebe},� rAddresso wner a - ----------- ------------------------------------------------------- YP g : nstal er ' Address p Type of Building Size Lot....... /ire .__.-_-5�"q. feet U Dwelling-�No. of Bedrooms_____________3� p ( ) g ( ) .........................Ex Expansion Attic Gar e GYM—der aOther—Type of Building ---------------------------- No. of persons--_----___-____-___________ Showers ( ) — Cafeteria Q' Other fixtures __________________________________ --------•-----.-•----••---------------------------•----- •••----•-------------------------------------------•---- Desi Flow....................5 Mons per person per day. Total daily flow......_.__ gallons. W � �-•--: -�� P P P Y Y ----Ott-`-n'--f" ---�------------ WSeptic Tank/Liquid capacity -. -.g Ilons Length................ Width-----------..... Diameter---------------- Deptll__.______.__._.- x Disposal Trench—No..................... Width .. rotal Length--,....... Total leaching area.... _.__.__..sq. ft. 3 Seepage Pit No.--/------------- Diameter //. .. D`el �biCletr '__. Total leachin are. �__ ____ 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------------------------ 41 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__________--__"__-_-.__. -"---------------------.el.................... ......................---------------------------•------•----•-•-----•--------------------------------- DDescription of Soil o------------------------------------------------------------------------------------------------------------ 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 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.................................. --••--•----•-••-•-------•---••------ ••-• ----------------- ----- Date Application Approved By---- y .. _rr `: _._ D- ¢ } 1 �'� -- � Application Disapproved for the following reasons:................................................... ..............----•------------------------------ •......-•-••---------•--•--------•-----------------------•-•••--•••-•-•••--•------•--•-•-•----------------•-----------------------------------------------------------------------------•----------•---- Date PermitNo........................................................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD ,OF HEALTHY CIrrtif irFair of (lomptiFtnn THIS IS-TQ CER IFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) t Y : «e'"'� by ------------ --- •------------ H Instal er has been installed in accordance with the provisions of At'ticle XI of The State Sanitary Code as descrilled in the application for Disposal Works Construction Permit No................. �y.._..._____ dated._._. ,� ..._d THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON RUE® AS A G;A'RANT'EE THAT THE SYSTEM WIL ,FU TION S ORY. f� DATE --•--------------- Inspector... ----------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No:..... . .. ----- 'gr FEE....- . Permission is reby granted........-..........`� ��'�, ��=�:•dP*r�- ----'•=• --------- -----••-- = --` -��'-�-•----�-�'---- to Constr ct<( is Repair ( ) an Individual Sewage Dispo al S tem ` at No.`"? v _ •w G,•• .ref' $•�,1�a i 9' a'�-x.es —�?� �`�t>' ---------------------------------------- as11 shown on the application for Disposal Works Construction Permit No_,Ala. __ Dated___: T. Bea? DATE - ....---- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS