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HomeMy WebLinkAbout0097 CINDERELLA TERRACE - Health 97 Cinderella Terrace Marstons Mills h A = 047 .102 No. .:.......1�............. THE COMMONWEALTH OF MASSACHUSETTS ,td BOARD OF HEALTH d� _._......� i:�....................oF........ -�� Appliration for Di-nVaiial 11arkii Towitrnrtion thrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .................................................. Location.Address or Lot No. .....................4 "S IZMff 9:..----i4A��5------------- ....2.0.. C� ..ram.... :.....C.4knjs ..... .......... Owner Address a N iC! ....CO�.YTI---------------------------------•--------... •----------.... ........................................... Installer Address Type of Building Size -----Sq. feet Dwelling—No. of Bedrooms...............3.........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building Y95 7 EK�i No. of persons____________________________ Showers — Cafeteria Q' Other fixtures ........................................................................................ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.lOaogallons Length................ Width---------------- Diameter................ Depth............ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.ltX?Q_Gft, Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by..__-�1LA_?U__w...o --,!-).............................. Date... _ _A?V__77.•....•.... aTest 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........................ x -•-•-------••-----•-•--- ---......••••------------------------------------•----•---......-•-..._.................-------- O Description of Soil... �"..6 ! D..�131 6 �ICL. f. ........................... "61- • 2,6 4 _ : 'ga�l-- ? ----�� sP911.............................. U •-----2-�-. -- 1�' fC°y�r�-�!�!L21L1.tn..M .� L:7....f Cw ...s?�`�-$�D ]m ...............................7 --- �.....lZ:v�� csvr►Cn� �u •wN_ �.._ i .(� ' AT �C '►� N4�_ UNature of Repairs or Alterations—Ansvier when applicable______________________________ ------------------------------------------------------------- ------------------------------------------------------ '_ f ........................ Agreement: — L" The undersigned agrees to install the aforedescribeAlividual Sewage Disposal System in accordance with the provisions of'.TT LE p of the State Sanitary Code—The undersigned furtheragrees not to place the system in , operation until a Certificate of Compliance has been issued by the board of health. S' ned ----------------•-------------•....--••--•-•-•------ �rr D //� Date Application Approved BY----- �• - --• --:.// - --- - ----------------------------------•- -•��'-�- 7-�----------- Date Application Disapproved for the following reasons--------------------------------------------------------------------------------•-----------•••-••-•------.--_... •--•---------•---•-•--•-------------------•---•-------•---•--...-•--•--••--•--•-----------••-••-•--•---•------••---•--•--•-•--•----•--..........--•,--------•--------•------.....---------••----•---- / Date Permit No........................ .. Issued._.L -------.2-X---7/ry..----------.... Date No................--....... Fms........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH tow. , ...............OF...... 3� -.-----------------------.............. Appliration for Dispwq al Works Tomtrurtinn Vautit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ._...�( C'�L�7c.4�:�`'�.....-tU r��1�' �v`i� �1�+ � �YI� ..� ������ ?"'��� --• •---------------- .--- ..--- ................................................. s� L^ocation—Address { �g }� tft` 1 or Lot No. ��qq `?� � — ` •..... ....A.. ............. . ..0.. "A S 4__..�� �... �7 �t'�t��� rylq.• Owner Address !r t C t . l............................................. ..4 ....... .................. ....... .. Installer Address Type of Building Size Lot...q.44_1 ........Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p`�., Other—Type of Building 0. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................................. Design Flow.........................................:..gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity 4Qj��?gallons Length_______...__--_- Width................. Diameter--..--_--___-._- Depth................ x Disposal Trench—No ................ Width.................... Total Length.................... Total,leaching area............_.......sq. ft. Seepage Pit No.W Q.��(-. Diameter.,................... Depth below inlet.................... Total leaching area_........._.......sq. tt. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by .__AAA1V.. .......:...... Date...Mr� �+-.` '�-_--_--_--- aTest Pit No. I................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........................ O Description of Soil..- - " U 3x 1? `y t ��i� ' c... 0...........................a^ ���c�t f � ,9Q+d,� x ,` °► 1-0 ' sc. v v�+� r�r�- , <c rr C c !�'� et ... W 5- 1Z�; �) IV `"' f-., rl art p t�..yrn `j'�i f COY n qp l,�t� u.xA ---. --------ta;� --- � .r.. .. 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 ITTL p 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............... Date ApplicationApproved By.............................................................................. Date Application Disapproved for the following reasons----------------•-------•--------------------•----------------------------------•----........................... ------------------------------------------•-----------------......----•--.....--•--•---•-----------...--•--•---•-•--•-•------------...-----------•-•---••----------••--•-----•---------------••........ PermitNo............................................ Issued...�__..............................................27 G- 7 Dau Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ::70..W.A�...........OF.......'O .Z.A). .............................. Tntifirtttr of Tuntph anrr THIS IS TO CERTIF , That the Individual Sewage Disposal System constructed (V) or Repaired ( ) by------ ..... • �..........................•--........-----------------------------•--------•-------............................-----......--•---...-----.......... Installer at. Q..T 10•--------.CL!—.7_). , ......... /Z,./? --------. 1.h!Z1L.l---------------------------------------------- has been installed in accordance with the provisions of TITIZ j of The State Sanitary Code as described the application for Disposal Works Construction Permit No. - --- 7............. dated-...J.�" -�?..--_--.'..... 7 THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.. DATE....��.'20^ T ...................................... Inspector---/pr y---,----` ........ -- l�C:,-------•---•--•---. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ;1 .........OF....... /...qA .. . 31. U. FEE... C��. �i��n��a1 nrk� C�nn��ruan anti# Permission is ereby granted---- ------ --------------------------------------------------------------------------•-----•- to Construct or Repair ( ) an Individual Sewage Disposal System at No.•----•�.07_../Q......./N? /L LLr4 G.`.`.1�.L2...............AWi._/hj.lGL,. ................................ ._..........:`. Street as shown on the application for Disposal Works Construction Permit ... Dated .. ._.... s_ _...7. ....... •................. . c�.��.-------.of...- ----------•--------•--•-•---------•----...... Board of Health DATE--------------------s:.----------•---....-.----......_............-----....... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS LOCATION J � SEWAGE PERMIT NO. VILLAGE I N S T A LLER'S NAME i ADDRESS BUILDER OR OWNER 0, L ve"l DATE PERMIT ISSUED DATE COMPLIANCE ISSUED f�- � �• �� , 27 3 VL w 1 AAMqSTA8V% MARIL a� 1 T�t!•!1l419N!�el r r i Pate; Febm4m 8, 1977 To; A,*ered Wel� a 'Q 32 Ue4 Lme Naahpee, fle 0264 the b Aota at pa ta}'X a aA4 4 J 'etA a .jai, �r eeeseea�"Msseelessese!ea�eAge�eseeee too efesAfeReesseeseaae+e eAw thQl I98� Q ' Re.eee.••,• t;., eenAve• eesaeegee left eeeeeAee � e• aAa+se ���6j�ie� $'�te e s e e'�s'!d a"7f�.A�';�"������'e!e��r'li�1►i��� e�$�► �Rl eM�.Y H r °_'"���'!� 'd'�"��ryeeeAaeaae1s4 !elsesAaQpAARI�f �3eeeeaa4'!�?��l �ye•� • 7a�SAaAle9eelJAee.r !43 � , se at tho t*4ataap way ` V404 wwv. , rle OMI wt { A. t .-Ale do t 11041so t �� a� utsett�i 0,011 3b2.2541 - 334) ono we r , Bled ' ash e Y mw Way P044 414a1A ►��l3�e�eeAes.•e• eees .e• e•'� e • :, •.e * atDeaee• z RU1440 Heal* a t Val �, ` . ALAN W JONES & ASSOCIATES '• .'CONSULTING"ENGINEERS c '! CARLETON DRIVE EAST SANDWICH, MASS. 02537 TELEPHONE 888-3154 '; '' * ; r2 "� ;i n t •` f • t r� �,'. + Y 1 • .fit• t! i #r a !�'� <. { 4 '. y:' Y .ii� A�i a`.�.14�`��! ND.PERCOLA,A.A,V, ,tw '1,.l+fu�r ,f To:: Knotty ifi Page tz3:lders r ersamel �px° sen'ta � iul Murray'r J �jBo.r! r9"^„J� tltl®® `' "� r P' o-� ':k #J.'LJ 5R7 .,�ILy :4.d'p�gi76�,n.►. 'Sandwich. Y2O�.7♦ t $'•t °+ • F`. p -serPv3.ce :ann .W.- V onexD r.. .-Cinderella Terrace Test" c�cat nnro ' '60.,: into"- C4 'Xarst©ns- Mills, Nass,' F• H �� Y" ;sbutheriy :si.de f. , 4r .,. r�"`'. x 'y f. ' + .,sJt g...y +• •F� ( > +• ,A fl 0 E�LInt� 9u ±e ''.t , � r ..� � +..' ar - �.;w# w -S r f' :a• - � '-..� •=+�e r% r .. r., I � ye, .�.�,�i1y✓f' '� k- R f +.r ,i{�• a � t_.r` � f '' }. t �..(;a .,. � f '� 4y {,:RNL R!'�`"'•�i 3.� F+-.. "R �'x. ,... T s '.Ay• 5� .:} f �. •f t X'iti IIiedltt42. Q 't''(f3 '$ `y 4 yellow, sand small staane i AYsrage' arcs .at .cn ate It �} " l 0 � �:: . r � • ,4i , ! f •: F . j dr in: le s t l n. 2 fmin. :' 8 r 0" r L+ , ` '+ r•',y` �S •... ♦ f 4..a f,T" .. , ✓ ,. + ,. +?yi it medium _whiten Gindi'• ALAIk. 41 n' water 'eneOuntercd . < , jlater levels indicated, ' :f any, are those observed ,when test pit was ®xcavated and do not ,necessarily represent permanent ground Y+ater ,levels.; r ,- _ mot_ + ., 1 .. P e .�. $-Y • ! NE , , IN a - •. I _ : � : � . ` . � . , � ram{ � ���� 17 �Q'� �. � ,S lU 77. SON _ , 1