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Home My WebLink About0041 JUBILATION WAY - Health 41 Jubilation Way ' Marstons Mills A= 098 - 062 _ I LOCATION `�'7 SEWAGE PERMIT NO. VILLAGE' I N S T A LLER'S NAE I ADDRESS K D U 1 L D E R OR OWNER . r � ft � DATE PERMIT ISSUED Zgg7�' -- ' Y DAT E COMPLIANCE ISSUED -1 I e Qy ` ` — o(o 2j THE COMMONWEALTH OF MASSACHUSETTS BOAR® HE .......................__...--------......OF. Appliration for MspaaFal Works Tanstrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sys �32 tem at Z .... 1- /f �,-1. •®� ..... ............................. 7 .... (' .. ...---- ------- ------- _... • -•...---•-- ,�1.1.11 on.Address 0/� r Lo 0 O er AV a ..................... .... �' --- ........ �i.. nstaller Address /P� ___U ___Type of Building Size Lot_./_..,�_ -----Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder Other—Type e of Building No. of persons............................ Showers Ga yP g ---------------•-----------• P ( ) — Cafeteria ( ) Q' Other fixtures ---------------------------------------------------------------- w Design Flow................�~� .................gallons per person per day. Total daily flow-_--."T-�............................gallons. W Septic 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 (I-) Dosing tank ( ) Percolation Test Results' Performed by................................ .......................... Date........................................ Test Pit No. 1....�_.Z._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........................ ••--•-. ......... ------ ---------•-•---•-- 1- - . --•- Descri Description of Soil. `...Q ..-.. 5.....-...?........ (� -$._. �e. x P w UNature of Repairs or Alterations—Answer when applicable................................................................................................ ----------••------------------•-------•----•---------------------------•............--.._.._._...... --.....----•---•-•-•--••---•••-...••--------•--••••-•---------•-••----.._...----•-•---------•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI:' .1 p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation. until a Certificate of Compliance has been issueVytij� oa o t Y Sig .. .. ... ......................... ::: .........................• -...__•-•..... .... ... .....• ---- ------ _ Date Application Approved By.......j LYlIIw ------------------- -•-•--. �'2 -7 .� - Date � Application Disapproved for the following reasons:............................................................................................................... -••--•.............................................•-----•--•-----------.....------...-----.........----•..-----------------------------------•--•------•----•-•-•-•-------------•----------•---•••••--- Date Permit No. ry,..........-•-•-•---•--•.................. Issued------.. -l.G ... .. Date ......... ............No ..... FEic .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA11 ...........................................OF..... ............ Appliration for Disposal Warks Tanotraftak 11truth Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at n ......................... ............ ....... ................................... ........................... ... 09ton-Address go.. ... ..... ...... A ..................... . ....... I------ ner A ess.... .. .00$ ........................ . ... ......... ...... -------- nstaller Address Type of Building Size Lot. . .............Sq. feet U Dwelling—No. of Bed 41 rooms............................................Expansion Attic Garbage Grinder PL4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria P-4 Other fixtures ....................................................................................................................................................... Design Flow............... ...............gallons per person per day. Total daily flow........ ........................gallons. W Septic Tank—Liquid*ca acity............gallons Length________________ Width_.__.._._....__. Diameter__._..________._ Depth................ p Disposal Trench—No. ;................... Width....../;�....... Total Length.._.,-: ________;l- Total leaching area_.._,,?__:,._,�...sq. ft. Seepage Pit No_____________________ Diameter____...__.._.__..._. Depth below inlet;.._._.............. Total leaching area..................sq. f t. Z Other Distribution box (jt—) Dosing tank ( ) - 0-4 Percolation Test Results Performed by.......................................................................... Date----- 1.4 -------------**---------------Test Pit No. ___minutes per inch Depth of Test'Pit.................... Depth to ground water_._._.____.._......____. 1:74 Test Pit No. 2.................minutes per inch Depth of Test Pit__._._._.._________. Depth to ground water...._._.._.____._____._. P4 ......................... .................. --------------------- 0 7 . ...........kL ...................+ft ...J?ey.Description of Soil..... k/..:...... � T4C :�_ _ U ........................................................................................ ............................................................................................................... ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable.............................................................................. ................ ...............................................................................................................................................................I........................................ 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 6f,Compliance has been issued tboa. of-t"! it _y S1 ne'd. 9 ..... .......................................... ................... --- ------------------*---------- $/0� Application Approved By......72 11 ;1 1 . .. - Date 7_1z; .... .............................................. -,2 - 7_.ey......... / Application Disapproved for the following reasons:........................ .....................................................----------Date.. i....... ......................................................................................................................................................................................................... Date PermitNo.......................................................... Issued_._.........-----------------...-------..._._...._... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF 'HEALTH ............. OF................... .............. ..****........... Tertifiratr of Tifutpliatta THIS.IS TO CER IFY,�haythe Individual Sewage Disposal System constructed or Repaired by... . . ... . ........ .................................... . ... ... .. .......................................... in' ,tx �' at....................... .............. . ... . ....... . . ... ..... . .... ............ has been ins , led i accordance with the pro,4dons of T L E 5 The State Sanitary Q,6& as desc i d in the application for Disposal Works Construction Permit N -77, --------------------------------- .... .............I........ dated--- THE ISSUANCE bF,'THIS CERTIFICATE SHALL NOT BE CONSTRUED AS.A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF , EALTH ................... ...OF..................r�...... .............. ...... FEE...__....._,............. Disposal 1&1 *15 an y wtion "punfit Permission, thereby granted------.. /............................. ----------------- ................ or Aeplaw Individual SewnS an Indi I S Disposal System to Construct IV Y 2....... - -------------- .... at No..n..... Street as shown on the application for Disposal Works'Construction Per No D a t e d...,-'/' ... ............ B f Health . DATE.---- �............................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS G E "Z v ' IL WET AAA r , I � i nt FMD .0 t ilD�tO TaOp' � 1 t~xP Arc BA � A rr_�. r 1 !�-�- �eaAa-- na U, G-t w : tto pS+49 G.P�v St 'nC- 'rA.UJV- t 4a5 uE!(GR2 t ct5Pa5at� _pt7 v$� t OLDS ST1t.1 �itvAt.l. Ae6a► = t86 'aF'' . 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