The URL can be used to link to this page

Home My WebLink About0020 KERRY DRIVE - Health ULf '� f J L O CATION / SEWAGE PERMIT NO. VILLAGE INSTA LLER'S ACE ADDRESS 0 U I L 0 E R OR OWNED Al DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED g� -o d� i .� .... ..........®.................. TH-E COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T ...........................................OF......................... ................. t Appliration for Disposal Works Tonstrurttun rrmit,` Application is hereby made for a Permit to Construct ( ) or Repair ( ) Individual Sewage Disposal Syst at: j M.. ............ .. ....................... .....•.. _. ......... -- ...•Loca..... ...... ... .................... ..... .. i ... ......................................... �/� O` !£f`•' f /� Addre5;; a ................................. lt/..._... ........... ................. & ... ......•......... ::.. � Installer /Address UType of Building d� Size Lot"{{;........:...............Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) ,Garbage Grinder M) 9k Other—Type T e of Building No. of persons............................ Showers f, } Q, YP g ...............•------------ P � ) — Cafeteria ( ) Other fixtures . .... ......- -•----...•-•.........................••-- w Design Flow............................................gallons per person per day. Total daily flow...::._..-••--•---........................gallons. 1:4 Septic Tank—Liquid capacity,l�.gallons Length................ Width................ Diameter..........--.... Depth................ Disposal Trench—No. Width.................... Total Length Total Total leaching area....................sq. ft. See a e Pit No.--....�........ Diameter....0........... Depth below inlet..... I/'!......sq. ft. F g P �:••--••--•• Total leaching area....___. Z Other Distribution box ( ) Dosing tank ( ) f ~' Percolation Test Results Performed b ................Y. _.__......_._.._....t �D-. ..-.••-..--.y Date Test Pit No. l................minutes per inch Depth of Test ................ Test Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G4 ........•••---... ---•......................•------•...................-•-•-•-•--••---•---•-------------.........--•---..................--........--•---. ODescription of Soil---..... Q...•-/�. .......`. •----•------•-------...-•--••-•-------------------------------•---------••----•---------•-•-------•--.....---•---- x w VNature of Repairs or Alterations—Answer when applicable............................................................................................... ......-•---•-•••-•-•-•---••••--••---•••---••••---•-••••-•••••••••••••••••••••......-•••••.....•••••-••-•••• Agreement: The undersigned agrees to install the aforedescribed, Individual Sewage Disp al System in accordance with the provisions of TITLE 5 of the State Sanitary Cod The dersig d f lie a rees not to place the system in operation until a Certificate of Compliance has been ' s ed by It . Signed ...•••. ........... .... -•...... ..........•--••-•-••----•--_.... ` Application Approved B Da PP PP Y r..:.. -•-- .• . •• •-••.. ........--•---... -----1Fi� -- .: Date Application Disapproved for the following reasons:---•-•......-•............--••---••.......•••••-•--••••...•-•-•••••••-•....••--•••-••..:...............•---- r l ........... .........................._.._.._............--•----------••---•-••--•------------• --•-•--•--'• -•---•---•--- Date PermitNo....................................................... Issued....................................................... S Date r ---------- ---- - t f t N ......./ S -- Fmc.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. ... ....................OF ........................................ Appliration for Dhipaii al Works Tonstrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sysa /v... �/�.�� v ----- ............ - ... Locatio Addre / /J�, ._.mac/(../...... -------•l- `.' (.`...N....--- --------------- o Address _ .....•-•---•.............. .......�1�---- �1..1 :...�c .............................. Installer /Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.-__....0?'-'o ............................Expansion Attic ( ) Garbage Grinder (AA) '4 Other—Type of Building _______________ No. of ersons--.._-•....___..__--_-_.-_-- Showers a YP g --------•---- P ( ) — Cafeteria ( ) P I Other fixtures -------------------------------• - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity/7'0�.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_L f" ......sq. ft. z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by........... .. .1 ............................................. Date..... Pl ._.___.._.-. 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........................ ----------------------------------------------------------------------------•-•.........•-•.._..••--................................•--------- •..... ... _•--•- 0 Description of Soil........................................................................................................................................................................ x U •----...-•-••••--------••--•--••••-•--------•--•-•••--••--•---••••-••••---•--••-•-••-•......••------••-•-...•---•-•••••-•-•••••-•---•••.._....---•••---.._....••----.......•---••-••••.............•-••- w ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-••--•---•--••-•_..._. V 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 TITLE 5 of the State Sanitary Code The dersign d f he ees not to place the system in operation until a Certificate of Compliance has been s ed by f t Signed -....•-• •---_•---• - •-• •••-•....__- /t/v.... ...�.I•. / Da Application Approved BY................ -a""'=�� .•---• ----� _ ._. ..... ..---.._..------ /D.It'e �-•------ Application Disapproved for the following reasons________________________________________________________•_-__...___-__-_-_______...._.._._-:..••_______..._ ---- --•--••-•-•-••-••----••--••-••-•-•-••--••-•-•-•-••-•-•---••••----•-•-•---•._...-..-..•--•-•._._...-••--••--••-••---••...._..-••-••••---••-•••-•--••••---••••--•••-••--- ----•--•••--._..._. Date PermitNo......................................................... Issued_........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.....................................1......................................I........ TrrtifirFatr of ToutpliFatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by......... ......••• e ;.................... ,✓� ,/✓ ler at --••----..__. �1 ......... C� a � =-------,�WL...s9L4,.-f1eA.......................................................................... has been installed in accordance with tige provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....J?:71 t'A......... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. t -��, DATE.................... r-- ---� -•• - Inspector........ 1_ .`'... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.............................................................. ................. FEE.......L/ Bhipouatl Works Ton,strurtioat rrntit Permission is ereby granted--------- � =------- = .................................... to Construct _(� ) or Repair ( ) an Individual Sewage Disposal System atNo.............. ?. lbw"= .......6'_-.............. ----••-- ............................................................. Street as shown on the application for Disposal Works Construction Permit fjNo..................... Dated.......................................... ----...•• ...... rt .. � .............................................................. Board of Health DATE ,/ FORM 1255 A. M. SULKIN, INC., BOSTON - Si�IGL� FAMILY( - :6 BCORooM ii uo GAC' %SAGE -6mw'DscZ N II DAlt-y F:LoW % Ito 3s Z3vG,Pp it SEPTIC TAQK m 330x15o% - ,495C, U ,e7o II usm- 100o GAL, Ic� �f DISPOSAL. PIT U-SE I v o0 GAL, �Aee4 I 51VrLVALL AP-SA. 1Fc = S �; BOTTOM AREA r j�o S,F, II 5p S.F X I. o R., 50 6.Po. . . 'ToTA� �E51GN . •�}-2 5 G.P D. I �I TOTAL, DA I t-Y FL 0W = 330 G,PD, I TM Jc. 4! IS I PEKcoLATIoN RATES I''IN 2MIN orLE¢S 00 P /03,7 I �ySN Of Ar4sJ' PtSN OF M /ua. /ao.¢ �r C7XIST •. I o� RICHARD yG� oa ALAN cis 1 Z�pp Wct _ ? A. r.4 ? G .1 w. '^ BAXTER i � 0 JONES �) 9�•/ 91'S �No.240480 n . 151oa y y�� VIZIva G Q1 T>zRipQ- J HoLrw 1o✓se3 FL o Id TOP FWD�'Ib.� ,ELF IctL ��.� IdL.. -��p.,^y,�-�-JJr • loon INJ. 5✓> 014 DIST. INV. GAL. � ' I Dp0 BOA �G:PTIC. 49"4' S 4 a GAL.. INS! 44�_- Tn.NK 4 Cft PIT INV. INY. G WITO r q4$ Q9,o b } /3 •, �j ` WA,uco L 6TvN6 CIA sue. Z I CE2TIFI — PLOT PL.AW PR-UFILr LoeAT IoN 3S ( � tJ o� 5 C P.L E - A¢SroFJS . /�I t�-vS • 09 WATT, ��/ I > 1 cERT1Fy THAT THE HOUSE SNO,WN PLAN REFE2ENGE NER60W GOMPLYS WITH THE A1.1D SET34GK R.6QV►2EM Mj!", F 'tµE- ToIVN of- 'Mik, APsI.0 AND 1S � l-OGATED WIT WN TN6 Gl.00D Pl,A1N :>AT 2-Sa3 � a BAKTEcZe IJYE INC. 7M3 PL&M IS NaT Btl5c D old Aw ze.6ItaE:.26,DII-AwDSuF-VEYoeS Iu�jTRUMENT Su{ZVe O ST E2VILLE' - Mi�.SS. Y �-r NE la1=FSETS Suoul,'� , No-s e'S 'V$EOTC► pE-T'EFZMI►.IE L.cT �_INES aPPLicp w-r _I>� �I .-N► H I �i ,I �aIwGAX-- FAMI0Y = �� BEOR0oM I, I ,I WO GAtt'BAGE 62AwDsw- 'V II DNiLY FL-oW x 110 X 3 = Z,306.P0. II SEPT►G TA►JK = 330x150% : -4956.P0. _ ►OS'`�•�'`� II u5mr 1000 GAL. �I ol'5Po5AL PIT UsE I000 GAL-. Dt+WALL. ARL-!a - 150 S.R ILO • 150 5:t^ X 2.5 � 375 G.Pq 1 i 50TTOM AREAS �p 5 F• / TN. 't\ � . I 50 S.F x I- o It II -.roTA 1-. DCz51GH * ,42- (�,P. D. �I TOTAL. DA 1 LY FLoy.( = 330 G.PD, �--� o- P•w�ic.. �S 1 PE2c0LAT1oN RATE ] i''IN 2M1N oPZ-Lif¢S 00 A03.7 I' it /oa, y r /03. SH Of Algy, �1H OF M,�,�� R1CHA.RD yGs --- AL•AN A. w9 II BAXTER w JONES H IV 9Y•p No. F N . 75)00 'y �O sU1t�6 TE`�T �25181 TOP FWD Fc.` �n .Yw '' • 'I 1a�►N yy� 100u lN�• = �J- P►5T. INS. Gay. q9 e,EPTI(- i) pD0�// LP Tu INV, INV. C "I G WITW q4� Q9'0 �' A�W �ucD `' CL .61rvHer Nn --+�I'�•— Coy -•-.{1'�•- ' C1=2TIF.IGD PLOT. PLA -J PR-oPILG LOLA'T ION — /V A¢STojJS M 88 ( 1 No• 5CP.LE 09 WAT» 'IaPoS�� V= zEN GE !I 1 CERTIFY 'THAT THE I�oUS� SHC)WW iI NE21ao 1.1 GoMPL�(5 1n!►TH"C H� S 1 oEL►N I= I it Awe S6T�.GK R6Q�►R.EMEN`f� 10WN Or- Bb¢A,TAPbLkS AND IS II LOCATED WI TN•6 G 1-0o D A PLIN T I IJ �• G� G. I;= DATEII t,.,Q 6 cTEQ a P. M INC. I 7..E61 ST bQ6r'D I I.Au D 5 u e.Y EYoe'S Tu15 PLn.►.i i e p KJOT anyc D oId AN OSTEtz-VILLE• - MASS. jl 1 Iu5T'9_VMEN'T 5U2v1 y �-T AF- 0I=FSE75 SWouQ� No-T p� 'VSEOTO D�'TEFC/^I►,!E L.oT -INE.�j APPLIGA►-IT I� 717�)r Arav