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Home My WebLink About0030 KERRY DRIVE - Health old Kerr �ri�e, Y{� �7R,� LO CAT I N SEWA E PERMIT NO. VILLAGE INSTA LE 'S NAME i ADDRESS 4 i_ L-if, �� ' R OR OWNER DATE PERMIT ISSUED DATE C0M Pl. IANCE-, t,ISSUE0 e s �- - .� Fims.3`�./......._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Applir-ation for Dispaoul Mirkii Tnnitrnrtinn ranat Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .......�. 1_`_....L s........... " !��... � .. ! .................................................. Location,�A.ydd)ress/ c or Lot No. ..' - m b i...........................G✓riL.:.:.:,_l.�f.......... .............. �� Lr----.-••-•-•------.^--------------------•------- O n r Address a .................. .-.. 4 F .... --- Installer Address Type of Building ,3 Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (H 4 PLI Other—Type of Building ............................ No. of persons........................---. Showers ( ) — Cafeteria ( ) P4 Other fixtures -------••-------•--------------- ---- --- W Design Flow_.......... _S. .......... ...........gallons per person per day. Total daily flow.............. .. ..................gallons. WSeptic Tank—Liquid capacity/0 Q .gallons Length-------_------- Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------/----------- Diameter......X......... Depth below inlet......G........... 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.---...............----. Test Pit No. 2................minutes per inch Depth of Test Pit---................. Depth to ground water........................ •---'------------------ -------------------------------•---•-----------..............----•-••-•--••.--•...................................................... 0 Description of Soil............................................-............................................................................................................................ x U .................... -------- 2 -------------------------------------------•--- --------------------------------- ............ ----•- � W ..... �lJ�.�L ---- ------6."Ic--- -- - ... UNature of Repairs or Alterations— nswer when applicable............................................................................................... -•-=----------------•------------•-•-------------------•--•'---•----•--..........--........-------------•----------------.......--------------------------------------------------------------....-----. Agreement: 's. '• The undersigned agrees to install the aforedescribed Individual'Sewage Disposal System in accordance with the provisions of 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 lth. _ Signed....... !/_ '``_.. ----••----• Dat Application Approved By.. � ��' i%%` ----••--••-- -•--•- � ; ' Date Application Disapproved for the following reasons---------------------------------------------•---....---•---•--------------------•---•--••--••---•............... .....................•----......--•-•-------'----------------••'-•---------•------------•------......---- ---------------------------------------------------------------------------- Date PermitNo........................................................ Issued....................................................... Date Il I No.._ :_ •_ .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. ........................OF........................... ......... _.......................... ApplirFation for Disposal Works Tonstrurtion umit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: J! l ll .. ' - .._.....:...�. ....._. _:�......_._ .,�......._.... l.� .._✓............... ..... ....... .................. ..............._..............._..._...__. Location-Ad ress o r ? F tie i� �.._..._.��1t` _ .Lot No. .......................................... r .._....... _?..... .... .......... .^^ ._.3._.........__-_._._._.._.... Owner Address �= ::........-.�. :�`..Q--------------------•...-------- •-----..................... Installer Address Type of Building Size Lot........:...................Sq. feet Dwelling—No. of Bedrooms......... ..............................Expansion Attic ( ) Garbage Grinder (h' Other—T e of Building .............. No. of persons...................... Showers a YP g -------------- P ---- ( . ) — Cafeteria ( 1 Otherfixtures -----------------•------------------•--......-•-------......--------------•---------------------------------•.....-•.......•---.......--•--••----•... W Design Flow... ................gallons per person per day. Total`daily flow-___•-:-•--_.3_'..©.........._....._gallons. WSeptic Tank—Liquid capacity Z.f'' .gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........ _._!__.._.. Diameter.......--e. ....... Depth below inlet.......G.......... Total 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 Test Pit No. 2................minutes per inch Depth of Test Pit.................__. Depth to ground water........................ ....................................................... .................................................................. ------------------------------ 0 Description of Soil.......................................................... .:. ...................................................... U ••--••-•-•---•---••••-••-•••--••••-•--•-•••••••-•-•-•-......••--••••-•----•-•......•------•....•••-•••••-•-••••••......-•--•--•--••......----• .......................................................... w x ...------------------------------------------------------------------------------------------------------------------------------------------------------•.......................... 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 TIT1E 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 li€alth. Signed.-------... '.-'''f.c ............................................................... ---------•-------------- . r Date:, Application Approved BY - � ✓ ,¢'� ------- 1��.} --•.•••... Date Application Disapproved for the following reasons:.............................................................................................................. ----------------•-............---..........------------....-•---------------•---------•--•------•-----•----•...-•--•-•••-••--••••••---•---••----•-•••••-•------•--••-•-•------•------••-•-•----••--.... iDate PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... TntifirFa#r of TumpliFanu THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-------------_- b F ------.A L_.Aa.--•--- '2 Installer has been installed in accordance with the provisions of TITIZ 5 of The State Sanitary. Code as described in the application for Disposal Works Coristruction Permit No----- .":>_.2'_. ........... dated................................................ THE ISSUANC OF THIS CERTIFICATE SHALL NOT BE CONSTRU AS A GUARANTEE THAT THE SYSTEM WIL F CTION SATISFACTORY. DATE.....GL ... . . ........................................................... Inspector... .......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH FEE...... ........... Disposal Works T11notrudivit Vprrmit Permission is hereby granted........ _. . Y _._.f� ..... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No.............=-•-L.I_......J - �-='::._s. I�==•"• Street as shown on the application for Disposal Works Construction Permit No ................ Dated........................................... DATE_ and of fleaith FORM 1255 HOBBS & WARREN. INC., PUBLISHERS ,t 51�g1NGLc- FAWLY - 3 BEDIROOM .y 4-L-14 oa I -1k uo GARBAGE GwNo�cz �--- - aq -9 WT's i�a-� AR ' 10A.%L.sf FLOW s IIo x 3 = a306.PO _ JA U4 Ij',5EPT•►G TAQK = 330xl5c>% -i< 9 j b,P, ySE• I000 GAL. , - �,y � u't a ' -- 0. T.H.• ' f 015Po5At_ PIT uSE 3 1 v o0 C-SAL.• �, �p0• vRur. lol, 51 D�.WA�L gR.Ets II t 5a S.F � t BOTTOM AREA s „ �o SiF._ . . 1 o \oV -T dC A I_ C E 51 GN r 4Z 5 G.P D d S y o,aox q5 T-OTAI_ DA 11-Y F%-01N 0 PEIZG0L.AT10N RATES VINQ ZMIN 0I2—LE55 p N PROP ' • - ao y 1.5 I�Iva. � OF q A. �1 1 lALAN � W. M ! Na 2� JONES 3 ' .I p_7,49 f T6ZT F6. . Icy Top FWDL1o3..d HOLE �C7n37 `Y� r I too.Cp I►'N' 100.3 I+ r 160 rkm loco IN\i• pIST. INJ 49.8• GAL. CO, i 91.G t�GpTIC IOoc� INS 0cX TANK ' 1.EAGLI. �) PIT INV. INV.99. ` WITW WAS11GI) �t ' 6TvN6 1' TGE2TIFIGD PLoT P1..A.W Wo 5GALE 5CALM JIN-a50pY 'V AT E ' N0' WATG . RE P E IZE tJ GE is � GEQT►FV THAT TN�YRApFPI"p' SHo1rYN j= NERED►•l GOMPLYS 1nIlTN'THE S 1 DE1.1►J E �Q 7- i5 Auer SE6'fBvkGK R.6Qv12EMENY� oF 'TNE -TOWN OF BARNSTNIal—AND IS NOT 1..G, t_ocp,-rED ANITHIVJ TN•f} FLoo� PL.v.IN BAkTEcZe NYE INC• i 1 iZ.EG I SZ EQ6►U'I.AN D'5 u V-V rMYoL fITu15 Pl.�•til Ili NOT 5A'5EaD O►d .AW 03TG=P—VILLE - MASS. INyI-�uMEN'T SuevG-Y �-T DI=PSETS 6uOu0 I 11 NoT DC- V>C.f�'Cd �CTt":.P II.1C LET L.I�l�� -r le>,, L\/A APPLI�A*� 5