HomeMy WebLinkAbout0045 HOLDER LANE - Health 45 Holder Lane
Marstons Mills r
A= 174-016
i /
AsBuilt Page 1 of 2
TOWN OF BARNSTABLE
LOCATION Sr �fL Lan. SEWAGE #
M
VILLAGEASSESSO 'S MAP 1z LOT
INSTALLER'S NAME F. PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:Oype) (size) 60C
NO. OF BEDROOMS 73> PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNERf ,�J�
y s
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
.r,
1
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http://issgl2/intranet/propdata/prebuilt.aspx?mappar=l 74016&seq=1 9/6/2016
MAP
PARCEL ; ® I (a _
No. _•-....... LOT F�$...........................
..
THE COMMONWEALTH OF MASSACHUSETTS
BOAR 1= HEALTH
---7(/W j.................OF........ .A`e�' ' 1 ................................
Applira#ion for Disposal Works Tonstrurtion Frrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at
.......`.` :.. ..... vl.� ..1 � . ..... --Ltd • x�l� ! �� ....
L ion-Address or Lot No. �; jj
O n Add
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling=No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons__-••___,___•_______________ Showers — Cafeteria
0.' Other to es ••--••......•--•--......•...•.
w Design Flow............• _. _. -_.•.••._.......___gallons per person per day. Total daily flow........... .. . ................gallons.
W Septic Tank—Liquid'capacity,l_Q_0.0gallons 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
f1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Description of Soil........................... ......
x
M
w
U Nature of Repairs or Alterations—Answer when applicable------__________ -_-,._.............-_...._..._...__.
02
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITS; 5 of the State Sanitary Code— The unders• d further agrees not to place the system in
operation.until a Certificate of Compliance has b issued by t e bo -d health. / r
Signed--.... -• ------ - -- -- ---- -------------•-•-- ! k ..1. ------
- ry
Application Approved B ... ---••-----•- •-•• • -•--• ....................... ---' -`-�`-----
Date
Application Disapproved for the following reasons-........................... ...............................-•-•----•-••-•-•-•••---..........................
..-•-•-•------------------------------------------•---------•---••----------•-------------•-------------•---••--•-••-•••-------•-••------••••-•-•-•-•••---------------•--•......--------•---•-•-._...._
Date
9c!�.rw-lr Permit No.--- -•----------------•---
Date
THE COMMONWEALTH OF MASSACHUSETTS
.s 1 BOARD—OF HEALTH
- L)et:1..................OF.........t,?.loll/.),IV7;•
Appliration for Disposal Works Tomitrurtiuti Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair (.a. an Individual Sewage Disposal
System at:
•ltl r�, + dlh (�;+1 '# ti �' U 9�I Ate=
++// Location-Address { p or Lot No, f j
_---------------------- -� :._/_...j� U o ---�-y--..-._...�----r---------._......••--....
OwnAd
Installer Address
d Type of Building Size Lot-_____--_•--__•_____________Sq. feet
U Dwelling—No. of Bedrooms.............._.........................Expansion Attic ( ) Garbage Grinder ( )
a Other—Type of Building ........ ................. No. of persons............_--------------- Showers ( ) — Cafeteria ( )
Othertes ................. --•----•------------------------.........
Design Flow............ y'.. ..................gallons per person per day. Total daily flow___._.____ ._ __.__....._..._..gallons.
w W Septic Tank—Liquid caPacityf�M���gllons Length................ Width---------------- Diameter---------------- Depth................
x Disposal Trench—No. .................... Width.................... Total Length__....__..___.�,.. Total leaching area....................sq. ft.
Seepage Pit No......�R........ Diameter._._.__...... Depth below inlet___.,�K_ tTotal 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........................
4.1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--._________.__.........
W __________________ P_.._.__....__....� ........... -------------------------------
_______________•-________•-__--_._____________..........
O Description of Soil------------------------------� ' c! °
x
w
VNature of Repairs or Alterations—Answer when applicable--------------- .............................................................
----------------------------•---------•---•--....-••••-•••••-•-•--••--- .A -�............. .�-- ------------------_------------------•---•---•-----•---------•-•----•-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITL% 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 Ire;a- y = = ==-: -------------•------- " - �-- --
Application Approved B -------------------- -- - ---------......
--------------
Date
Application Disapproved for the following reasons:--- }� --------------------------------------------------•••----
---••••---••--•-•-•-•-•••-••--•--••-••••......--•�•••-••-••••-•--••--•-------•••-•-----••••--•----•-•- �•--------•-•--•--•----•-••-------•------•-• -- ----------••-•...-•-----•---••-••-•......_.
Datc
Permit No. �.--•--� --•-------------------- Issued. r � �J
--•-
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�. t.. ...............OF...... .3, ....................................
Trrtifiratr of Toutpliatirr
THI..I-9-TO CERTI&Y, That,the Individual Sewage Disposal System constructed ( ) or Repaired
by.......... ......... --------.
-----------------------------------•-------._......._...----------.....•----•...•---------
.-F nstaller j{
at .....�..__I`U�_. f'l�,>..._.� (1 t^�-------•--� t+��.�...0 t.!.. -----------------------------------------------------------------------------------
has been installed in accordance with the provisions of T Z r f The State Sanitary le as d cribed in the
application for Disposal Works Construction Permit No. ---- _-__.__._ dated_... "' _""--
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UED AS A GUARANTEE THAT THE
SYSTEM WILL NCTION S�T1SE"TORY.
..... ---------------�-------_---- r-- .......................... •.DATE............ Inspecto
THE COMMONWEALTH OF MASSACHUSETTS
BOARD_®F HEALTH
o.- 1� �1..........I......... � 11J • a
..
N •............
FEE................ ....
BiupuaaMurksutirliriutt eriitit
Permission is hereby granted ------ -------- -= ----------. ----------------------•---•-------....--------............._.......
to Constrict ( ) or Repair (L,.- ° an Individual Sewage Dispos>l System
at No.•••t .E...••--)•�c f•-K.Lt.•.......... ! -------- �a.tn M _ F _ +_ ....... ............................/ d
� .....................................
Street
as shown on the application for Disposal Works Construction Permit - Date�j
^ ---•-------•----•- - 1/__1�'_-...
4�j� Board of Health
DATE..... ............................._.....--------------------
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
Q.0 C A T ION S E W A E PERMIT N0•
rua
- o
- --- c
VILLAGE
INSTALL It S NA i ADDRESS
R
6UILDEIt 00 OWNER
J
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
'1
OFO
1_
4
= - TOWN OF BARNSTABLE
LOCA}iTION cn? z SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) /�— (size)
NO. OF BEDROOMS 77> PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:'
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
.-
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n
4 1
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No..�f ......�y Fxs..............................
THE COMMONWEALTH OF MASSA6iUSETTS
BOAR® OF HEALTH,
...............T_&o�.......OF...............( .A.f'r,W_�. r7--------------------------------
ApplirFatiun for Uiupuual Workg Tunitrnrtiun 1hrutit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at:
.. ...................... ..................&.6 IVG.'e.................................... ...547 ....
tion-Add,,s • o t No.
------
Owner �r...........................
•Address
Installer Address
Type of Building Size Lot.... __.l.�l. Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic (Mo Garbage Grinder (A150
Other—Type T e of Building No. of persons............................ Showers
Pa YP g --•--•---------------------- P ( ) — Cafeteria ( )
GL' Other fixtures .
W Design Flow.......................................gallons per person per day. Total daily flow.._._.......�3-_.�.-__--.._._....gallons.
WSeptic Tank—Liquid capacity..cad_Dgallons 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 J / C�
Percolation Test Results Performed by.. .."1..._ Date /.z". (-.0/
aTest Pit No. 1...&-rf.5.minutes per inch Depth of Test Prt------).��...__ Depth to ground water_____. .
GT4 Test Pit No. 2.. p p p g ti.
minutes per inch Depth of Test Pit____________________ Depth to round water._._ ____________ ..
n+' ....................................__......-•-•_./•---- - --•- -----------•--•---•-..........Description of Soil.............................................. '-f------ V.7.,.} --- �l Q!......-•---------------------_-------------
v -------------------- ........................................................
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 I ITI:j 5 of the State Sanitary Code—The undersigned further agrees n to place the s stem in
operation until a Certificate of Compliance has been issued bythe board of .
Signed----------------- Q`
�� d�
Date
ApplicationApproved By.................................................................................................. -------------------------...............
Date
Application Disapproved for the following reasons:---•------------------------------------------•---•----•--------------.........................................
-----------------•--••----...----•----------.........----------•-••----•-•-------•---....----------•---•---•-••--••---•------•---------------•-•----------•---------...................................
} Date
PermitNo...................................................-.... Issued--.....................................................
Date
No..P�............. FEB..............................
THE COMMONWEALTH OF MASSACHUSETTS
� . BOAR® OF HEALTH
.....Pl.. .4�/.--------.OF.............. ?.. -->.r ':....--
ApplirFa#iun for Disposal Works Tonstratrtiun 1hrutit
Application is hereby made for a Permit to Construct (,!,'for Repair ( ) an Individual Sewage Disposal
System-at.................�- . � ------.-�-----------•-- J/� • --- -------- --- ----- ................... 7..... W &M.tion-Add res f� �Jor-ot No.
•------•-•^--••------............. ..✓..:j �' ._.'. :.....�.!!(!._!r-t�'...._ .;�....0fc_4. ............._.... �%-. �� ! J ���
v,.
wOwner ;•_1 {' / Address
7sr r _.._.__..._ iN �l tr ............................... ..--.•---_.._.._...._...............•.....
.1 3 f i�Y•.:._
Installer Address
Q Type of Building Size Lot...._ ..../--_ _ _ _Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( i� Garbage Grinder (Av )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
aI Other fixtures ..........................................................
W Design Flow....................•f",�_.. ...............gallons per person per day. Total daily flow----------- ...............gallons.
WSeptic Tank—Liquid capacity./.sj,+!.).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....................-:.. :��" z��z'._6......_.. Date...................
Y
14 Test Pit No. L.L_If ..minutes per inch Depth of Test Pit---.___I_.r ..... Depth to ground water______ _._ _.
It.
Gz, Test Pit No. 2.�� ___minutes per inch Depth of Test Pit....___..._--------- Depth to ground water___t.......:...........
f........... ----_-.-----•--
O Description of Soil-----------------------•-----------._.._..... }_^`'� ' � C tj
. z... .., .
x ---------•---•--••--•� /L2........................ ►- �
VW ----••-----------------------•..•-----------------------------------------------------------------------------------------------•--------------------------------------------------------------------••-
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 TITL> 5 of the State Sanitary Code—The undersigned further agrees no to place the s stem in
operation until a Certificate of Compliance has been issued by the board of 1 ealth.
Signed.. ----t._. ✓?b e�-�' _ -��J.
Date
ApplicationApproved By.................................................................................................. ........................................
Date
Application Disapproved for the following reasons:--•-------------•-------•-•--------------•-------•--------•--------------------•-------------------...........•.
•----•••••-•----•-•--•-•••-•-••••--•----••••-•••••--•••-----•--•-•--•-•---•--•••------••---•-•--••-•-----...•-•-•---••••••-•--•••••••••-•••••---••••-••-•----------•------•---•--••.----.----•-•-•-••----
Date
PermitNo......................................................... Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............t.... ? .........OF............... fli .. .. �z..t' .•..•....................
..
(9rdifiratr of Tontpliaurr
THIS IS TO CERTIFY That the Individual Sewage DisP0 System constructed,,(")I or Repaired ( )
by----------------------------------------------' ............. nc" '! .. _..._..-----....---...---•-------...--
art� 4: ,
" installer
T_7 -
has been installed in accordance with the provisions of'TITLE 5 of The State Sanitary Cod as scribed in the
application for Disposal Works Construction Permit No t ':_t!_ ................. dated__._. `-_r_,_. ..�-'r__..__.._._._______
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® GUARANTEE THAT THE
SYSTEM WILL UN ION SATISFACTORY.
DATE... ' = --•--------......----------------------------- Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
4/.- ' . ! - ^.:........OF..................... .. .. 0`- ..:,.f '.t
Nod ----•••1..... FEE......-- •--4 ......
Disposal Works Tuustruriion rrntif
Permission is hereby granted.......................................
�,1> - f c. .......................................
to -Construct or Repair ( ) an Individu 1 Sewage Dispos-1 Sy temf�� f y�' /U�,
at No. ; �,
istree�
as shown on the a li on for Disposal Works Construction Permit No._.________, "" ated..........................................
........................................---------- .................................................
•...............................•••••.....___ oard of Health
FORM 1255 A. M. SULKIN, INC., BOSTON
E/No pr4z 14L 561 c- , i riV
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No.10
G t S
ON
CERTIFIED PLOT PLAN .{ C'25F/V 7-E/-V/ L,_,f-
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5 74 °5 61Y SCALE' / „_ 40 ' DATE
DREDGE ENGINEERING CO. ING
- CLIENT 1, CERTIFY THAT THE PROPOSED
E(313TERE REGISTERED. NO,...v'3`20 �. BUIL..DING SHOWN ON THIS PLAN
JOB ...........-
C1ViL LAND. CONFORMS. TO THE. ZONI.NG. LAWS
ENGINEER R DR.BY V L OF AANSTABL , MA.�Sv
?12 M A I N' S TR,E ET CH. 801
Y� `: G'y
-HYA;NNI .S,, MASS. "Z T
SHEET..LO�'. r. ATE REG. ' LAND SURVEYOR
LOCATION SEWA E _PERMIT NO.
#66—#YY h 10 Ue f lam ' �r
V,
INSTALLER'S NAME i ADDRESS
8 U I L D E R OR OWNER
DATE PERMIT ISSUED �-
DATE COMPLIANCE ISSUED (or z� ,�
Froo 0 DU S
FRim ... -
THE COMMONWEALTH OF MASSACHUSETTS
I �J� I---..-- BOARD OF H A T H
,/0004................0F...�&.e 4q—,T. 4A.. 1(f.------•-----.......................
ApplirFation for Disposal Works Tonstrnr#inn Frranit
Application is hereby made for a Permit to Construct ( or Rep it ( ) an Individual Sewage Disposal
System a :
......�?...............1�. /,?/�-:-/ems---.... ..--. ...--------- ......-- ......................
Location-Add'
or Lot No
%---CCp.r ..I--------------------- ----------?-.-, .__.s__..�.c�_... �
Owner Address
,Wa ------•--�.axe e-�_ ,_,S.C.0---/----------------•.....--- ----------------�C�j'Z- 14. ....--•-----...........................
Installer Address
U Type of Building Size Lot._Y-S� feet
Dwelling—No. of Bedrooms........ ..............................Expansion Attic Garbage Grinder (^
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
04 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........................................
Test Pit No. ���t►_a�_..minutes per inch Depth of Test Pit___r._ ....f_. Depth to ground water..... .... ...........
(i, Test Pit No,���2.minutes per inch Depth of Test Pit/_ -___•---• Depth to ground water. . _
Description of Soil r_.1 f!�1 _. 's 1 I
x _
V -- -------- - ---- ---------------- ,� -
w ---•---------------------------------- ---------�"-`'_'�� . - - ------------------------------------------------- ------.L;.........
UNature of Repairs or Alterations—Answer w applicable...............................................................................................
•-------------- --•-----------------------------------....•..------------------------................------...--•-------------------•----•-•--•-•--•-••--•• ...........................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iI r 5 of the tate Sanitary Code—The undersigned further agrees not to place the system in
operation unti a fi t of pliance has been issued by the board of health.
Signed L�Y!C...••. ----
Date
Application Approved By---••••... ••••. ---• ---•-- -------- ----•---•--------------------- --..--•--------- ---�!
Date
Application Disapproved for the f o lowing reasons:
.......................................................... ............................................................----------------- -------...................................................
Date
PermitNo--------------------------------------------------------- Issued.......................................................
i a a Date
No......................... Firm.............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HF;.ALTH
AV
. ...........
...... OFA Jp...... Ile....................................
Appliratiou for Bifipmal Warkfi Tonotrudivit tirrutit
Application is hereby made for a Permit to Construct ("-Y or Repair an Individual Sewage Disposal
Systema '0
............ ...... ....... ..... .......... .......................
Location-Addrqs or Lot No
..................... ..................................... -- ---------
Owner Address
a .. ........................... ............ ........................................................
..........
Installer Address
Type of Building Size Lot...Y-14;--- feet
Dwelling—No. of Bedrooms.......:...............................Expansion Attic �C,) Garbage Grinder (,,I
Other—Type of Building ............................ No. of persons-----------_--------------- Showers Cafeteria
Otherfixtures .......................................................................................................................................................
Design Flow..._........ __________________gallons per person per day. Total daily flow---------- ?._...._...._.......gallons.
04 Septic Tank—Liquid capacity............gallons Length................ Width...._..._._..___ Diameter--- ............ Depth..__._.________.
Disposal Trench—No. .................... Width_____...._.......... Total Length._._._.._...___.___. Total leaching area....................sq. f t.
Seepage Pit No..................... Diameter...........____.._._ Depth below inlet___._._____.________ Total leaching area..................sq. ft.
Z Other Distribution box Dosing tank
Percolation Test Results Performed by.......................................................................... Date.........................................
1.4 Test Pit No. ....minutes per inch Depth of Test Pit ,--- Depth to ground water----- ..............
�_4 -I
44 Test Pit N017b",+--f..minutes per inch Depth of Test Pit____ �.......... Depth to ground water-4
71 j� ^
9 ------------------------------------------------------------------------------------------------------------------------------ S..... ......
.
_2
0 Description of Soil.._..---%.-.. ------ ......Z 9. ..
........................
--------------------------**........... ........---------------- --------- -------------- ---........ - f_4 -
.......... I-Answer w w
U Nature of Repairs or Alterations—A ---------------------- ........ .................
applicabii-i.�--------------------------------............................................................
........................................................................................................................................................................................................
Agreement:
----- ...... .....
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TI'AA, 5 of the State Sanitary Code—The,undersigned further agrees not to place the system in
operation u it of pliance has been issued by the board of health.
Signed."-'. ------ ........
Date
ApplicationApproved By................................................................... ............................. .......................................
Date
Application Disapproved for the following reasons:.................................................................................................................
.........................................................................................................................................................................................................
Date
PermitNo......................................................... IssuedL.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.......✓.............7............. .................... . ........................
Tntifiratr of Toutpliattrr '
TUJS IS TO CERT. IFY, That the Individual Sewage Disposal System constructed (&��or Repaired
by..... ...... 11.................... 7 ............--------------------------------------
A14
X-----------------------------
siali;
.......... ................ !��s..........................................at........ 1_Q.........................
has been instilled in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.......................................... dated_._._____-._._____........_...._.........___.__.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STRUEDAS A GUARANTEE THAT THE
SYSTEM WILL FVNCTIPN SATISFACTORY.
. �0
DATE................&J. 7)--- ......... Inspector_...
........................... .. ....... -------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HE;A4TH
..................... OF...A---- 41 ................................
=...................
g
........................................................................
g.
is ......... ......Permission *_,4ereby granted...
pair "I d* e Construct (4o,7 ad' rid to �vidualSeAiag D Sal System
I .. e o..
at .—Z... ....... ----------......................................................................................
Street
as shown on the application for Disposal Works Construction Permit No..................... Dated..____._________.._.__...._.._............
.......................................................................................................
Board of Health
DATE..................i............................................................
FORM 1255 A. ..,SU,LKIN. INC,. BOSTON
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LEGEND
CE i'
EXISTING; SPOT ELEVATION Ox0
rr !&f P OT PLAN
A EXISTING '.CONTOUR --- O —
�---_� /p /a t /> ,a� �
011
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