HomeMy WebLinkAbout0099 MOUNTAIN ASH ROAD - Health 99 Niiountafii, oad
Ma' rstons Mills _
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HICHARDS®N DRYWALL
99 MOUNTAIN ASH RD
MARSTONS MILLS
MASS,02648
Office:508-428-3980
Home 508:428-1310
Fax: 508-428-5818
April 1, 2005
Floor plans for office extension.
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MARSTON MILLS, MA Q2E�3
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99 MOUNTAIN A3H RD.
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MARSTON MILLS, MA 02&4:
THE RICHARDSONS
99 MOUNTAIN ASH RD.
MARSTON MILLS, MA 02648
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i LOCATIO N- �7 SEWAGE PERMIT NO.
gely
VILLAGE
INSTA LLER'S NAME A ADDRESS
�T m� r1rU
Roe llic- IV.
BUILDER OR Oc_ NER-
�•es It,e r.1,4
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED t , '
J1 J
Gf1P3AJtp
i
No....'�. 1��3 Fes$. .............
THE COMMONWEALTH OF MASSACHUSETTS
�- BOAR® OF HEALTH
' 47,19
J
......... .....OF......
ApplirFa#iu�a for Diupus�al arks Tonstrur#ion Vrrutit
Application is hereby made for a Permit to Construct (N or Repair ( ) an Individual Sewage Disposal
System at
9 - /Z5
...
cation-A ress or Lo o. B
................................... fo, ...A---->------------------
Owner Address
•............. .........
� Installer Address a-
Q Type uilding Size Lot feet
feet
V DwellingNo. of Bedrooms___..._ .........Expansion Attic Garbage Grinder— :/ .
Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
G4 Other fixtures ------------------------•---•-••--
W Design Flow.................S�...._._...._....gallons per person day. Total da y POW................4_-15.-0.......... onsr„
WSeptic Tank—Liquid capacity.1 allons Length...—_�,._ Width__ -(..._ Diameter________________ Depth- 1..-�...
x Disposal Trench—No. .................... Widt -------------- Total Length........ Total leaching area....................sq. ft.
Seepage Pit No........./......... Diameter..___ ...._... Depth below inlet........
Total leaching area...t sq. ft.
Z Other Distribution box�_� Dosin ank )
Percolation Test Result Performed by._ / :_. __ .... Date_..... ____
,-1 Test Pit No. 1.�._...___minutes per inch Depth of T Pit......! Depth to ground water Ip�
�-, t i.._._..
44 Test Pit No. 2................minutes per Inch Depth of Test Pit....... .E.... Depth to ground water-.__-_____��d
a /�---I----------t- ...........- ------------------ -----------------•• ------------c. ._... ...............
Description of Soil Es { -��C /�cSO . .--•7... 0� f --
c.� -----------------------------------•---------------------------------------------------------.----------------------------------------------------------
W
VNature of Repairs or Alterations—Answer when applicable................................................................................................
•••• •-"--....---•-----•------•----------•"•'-'..................
Agreement:
The undersigned agrees to install the aforedescribed Indi ual Sewage Dis sal System in accordance with
the provisions of TITLL 5 of the State Sanitary Code— Th der signed furtl: ag ees not to place the system in
operation until a Certificate of Compliance has be ' su e bo d of
S' ned. - '_. .....-•" . . -- .
�&
Application Approved --•-- . ••. ...................... L d""`"' _.. .. ..........................
Date
Application Disap ov for the following reasons:------. .....................................................................-•-•..........................
Date
PermitNo......................................................... Issued.......................................................
�z.
No.....v:.`�___� Fmi.l ....................
THE COMMONWEALTH OF MASSACHUSETTS
"BOARD OF HEALTH
------------................-OF....... b4z...................................
Appliration for 11ispotial 19orkii Tomitrurtion runfit
Application is hereby made for a Permit to Construct ( or Repair an Individual Sewage Disposal
System at 44 ............................
...........
/0 or L-A.,
...................... ......... .........................
Owner Address
............... ............................................................. ..................................................................................................
Installer Address 3 J7 Type Qf-Building Size Lot /Sq. feet
U 0"-D-welling—No. of Bedrooms Garbage Grinder (kb
--------3........W.J11'K.........Expansion Attic V-A--
0.4 Other—Type of Building ............................ No. of persons___.._....._......__...._.._ Showers Cafeteria
04 Other fixtures .........................................................................................................................
-1� *--------------------------
Design Flow..................S�., ................gallons per person r day. Total da�y flow.................3.0-0.........gallons
W Pe/ ;#I
9 Septic Tank—Liquid capacity..&.�- allons Length-__X-4- Width-Y=6---- Diameter................ Depth-.V:7A-.
Disposal Trench—No. .................... Widthp.t............ Total Length......._..._ ...... Total leaching area_._.....}.,_.--------Sq. f t.
Seepage Pit No........./........ Diameter....___ .......... Depth below inlet........4....... Total leaching area.... :30.sq. ft.
Z Other Distribution box Dosineg k
Percolation Test Results Performed by---- ----- . ....:4r ..... Date....../ _ L 7 _-------
1.4 Test Pit No. l..Z.-Z-.minutes per inch Depth of TV Pit....... Depth to ground water.._._._
44 Test Pit No. 2................minutes per inch Depth of Test Pit----____ a�------ Depth to ground water........................
-- ------- .......................... ----------- ............... !JP—/
0 Description of Soil...... 0
.... . ......
------------ ----
-------------------------------------------*--------*--------------*-------------------"---------------------------------------------------------------------------------------- - -------*------
.............-.................................z........................................................................................................................... .........................
U Nature of Repairs or Alterations—Answer when applicable................................................................................................
..................................................................................................................................................................I.....................................
Agreement:
41 System in accordance with
The undersigned agrees to install the aforedescribed IndiYiflual Sewage Dis sa,e _Zis Sal urth a" ees not to place the system in
the provisions of TITLE. 5 of the State Sanitary Code— The Xdersigped 9
operation until a Certificate of Compliance has be sued e boaed of cal
.............. . ...... ..................... ...... .. ...................
DaDa.
ate
Y-.z...............
Application Approved B-- ........ . .......................... .......
Date
Application Disapprove or he following reasons:........ f..................................................................... .............................
(------------------- --------------*---------------*--------—-----------------------------------------------------------Date--------------
PermitNo........................................................ IssuedL......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........................... .........OF.....................................................................................
Trrtifiratr of-Tompliaurr
I S TO TIFY, That the Individual Sewage Disposal System constructed ( r Repaired
b ....been
...!.�-.......... .... ..../.............................. ..... ........................................................e ..........................................
I taller
I..........
?a . --------k. ....... ..... .. ...... . .................................................... -- -------
..........
-----------1U1 ?dsXescri e 1-n the
has been installed in actor ante with the provisions of TIC" ' 5,oj The State Sanitary Code
application for Disposal Works Construction Permit No.-_ Jl-dj.............., dated- . .......................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. 11
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF....................................................................................
No...Q................ FEE....
Disp a o I*drV. o trurtion p..a......n...f..i.t
Permission is eby granted_ ..j.............—
.................................................
: . ..............................
,
to Constru,t Or Repa n viu e Disposal system
. ....... .. ...at No ------ ............................................... ...............
Street
as shown on the application for Disposal Works Construction Permit No_____________________ Dated.Zz -/ ...............
--- -------- ,--K
,//
...............—1-4z-50-;�--.--Alfl! " --------------------------------------------------------
DATE_..... ---------- "o 03 Board of Health
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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S►NG►� FAM11_`! - B�ORQoM P►r t•I ,� `�
No 6•A:QBA►GE 6e,No�cz. $ - ° )9,e
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SraPT►G -rAt.JK 330><150'/• =�491rb.P
t�SE- 100o GAf`... COY,
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LOGp.TED WITNIW 'r V .,Oop PLAIN
DA*T L-.L�.jlfBAxTE2e NYE INC.
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