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0371 MARSTONS LANE - Health
a�rss 3ga > - s c u , a a a ' r - I Ll Nag /.... - Flrs.....v. ._... THE COMMONWEALTH OF MASSACHUSETTS " BOARD 'OF HEALTH ......... ........ ............OF... , -- AV,p ration".for Vispo'sal.1. urki InsIr�rttun Application-is hereby made for a Permit to Construct ()().or Repair:'( ) an Individual Sewage Disposal System at ,MA T S ..L.,�: :. r9rIQ. �L .. t .. .. :.............................. Locat o or Lot No 3 ! ........., ............. .3 .v &C..:kAlo...; j Owner dd ss + ... .... ........ ..... . ...... installer Address ff ' Type of>Building Size Lot.444.l b t Sq feet' U,_ f Dwe111. No. of $edrooms:__-.3 Expansion ,.Attic "(u Garbage Grinder. ( (� ng. ......<:. Other-T ype of B.utding .__....: No of:persons. :.... Showers ( ) = Cafeteria Other"fixtures ). d: - --• - kW Design,Flow :::_ gallons,per person er day Total:'daily fiow- ?�1/0. � ® G�'. '_Septic Tank I:1gmd=capacrty�Q gallons Length �.... Width Id Diameter ;y Depth .: tW' R.Dlsposal}Trencl No Width_:: Total Length Total:aeaching area..:: sq. ft. F Seepage Plt No �.. „__._... Diameter._.:/__�'�__...: D- th�:below inlet._. � Total. eaching area sq. ft.' �:- Z Other Distribution box' ( Dosing tank ( )` 1 �Y GOW W��e.Is 'Percolat ontTest-'Results Performed by. _ 3 _dtd. ''J '3 � Date 1, 51�& ............. � / ,..1- Test Prt No 1 minutes per inch Depth of Test Pit ! Depth to ground-water._ CTX3�.e,.. w Test Pit.No 2:...... ...niinutes-per inch Depth of Test Pit /Q.� De�th to ground wafer $ U w �:� to k �� fI 1 � 1 �i -- W, 1pfS3 � . y � isu�. � �6 ,O Desctiono 0� �X�D 6:_1___ .. ........L��.. .... h ... ... ..� /Z -C - ..........._ U Nature of Repairs or~Alterations Answer when applicable......... .. ................................. .......................... ......................................... Agreement. `The undersigned agrees,,to install,the aforedescribed -Individual.Sewage'Disposal System inaccordance'with- .the provisions of TITLE 5.:6f the-State Sanitary Code-The undersigned fukher agrees nof'to place'.the-system'm operation until'a Certificate of Compliance:ha n issued:b3j,the board'of h `l li. e' .: . .............. � APPhcation Agprov..ed:'By ..... .. % �� -Date A Ilea ionD> a r"v ll`pp t pp o ed f t e f o owm reasons :. n -f .w Date k ={y.-Permlt NO a f r�s k-' 9r + °P t' 'f- z ca FT F - �.; Issued.: �. ., r x }, �Y. ,�.• f i S - e ',1'' '; ,.t .., - Date,� S - S yJHE COMMONWEALTH OF MASSACHUSETTS " + ' BOi4RD OF .HEALTH x .0. �pf�rtt#r of fa�rut...Inre THIS IS TO CERTIFY Tha he.Indlvidual Sewage Disposal System constructed (X) or Repaired ( ) . X Install .• at a h ance with the provisions of TIT 5 of The State Sanitary'Code as described in the applbcation forl'Dis`posal Works Construction.Permit No :_. t-_ . ,... .....: dated ._:__,.. :.......... THE ISSUANCE OF THIS..CERTIFICATE. S14ALL';NOTaBE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY DATE:.:. ......... , • - ..: . ::...,(� ?..., Ins ector.. �' .......................... H P a THE COMMONWEALTH OF MASSACHUSETTS >y, x mot+ `. � , ; °BOARD OF HEALTH 7�T � { Ls Aintstr "I li� r Perrn>sslon Is hereby granted :. a:: i` p t, {to°PConstruct�(x) orRepaar`( ) an Individual Searage>Disposal System } at:,No 1 5 „ P Street y x a s as shown on the application:for Disposal Works Construction "Permit No :. :.::._:-_.::. Dated_____ :_:.. ._;: _. _..... ----- ••• ..... - - ,Board of Health. .DATE.... ....---•�---•----- ------------------------------------------•---•- /f ..FORM 1255 -,A.,M. SULKIN, INC.. BOSTON j, ir L tia L0CAT10N `'�,�� � SEWAGE PERMIT N.O. "VILLAGE INST. A LIER' qA i !MS � � 6UILDEIII R OWN ER DATE PERMIT ISSUED `2 DATE COMPL.I,, ANCE ISSUED � T tolekt • eq, 3� � •. 777t,4 �:'• 14fu'' '[\'�- . - ., t y.i`'i � b._.'.: �Y. �9m@ill,: �.#aR.��. a. .- - �n �'�.+5" ''�ii SC ' L or Wit L '. �, ��� � 'LS cam^-----^-Et7.5.o r EL8c64 _ J o 76 ice, -14- Poe 94 �~ _ •' `�..-' ' .-- - t4-1 tit .e i rvp of nNc- i i N V/ J ", '"� ti `{' /` i �$ov.v0 - f.�5 00 NFL/tA f / zo cv ' iC P6Je �\ _ ""` f #�I7Ps �� ' r.. .►. f` x ' 4 \'1 SO > : r _ �` f 91F --_._. - ,_> l2� _ o Lv ' ��,FI � *; r "•, � � 'j 1 C?•A , i(1 --�. �.� kA ARCI tom`-.5 3 czF� Z� 1 �,* *o� ! v E„ �DA.}ED - 1 l�Nf.JiV ,EL 434 n / \ _ — —)" � � r .� � / � _.--•--� � �'`� � `, �� EX/sn,�� sEP-r'� � sysT�nn coNsrauc-r�art -raz,r 5r��i 9QNMENTAL COOPS -niMLE g. —F > rv�cJyeS REv i 5ED 7- 1-�-7 ry THE TbNlt�1 '� r• ► 1 / �L s' �:u} / PQ !_' _ _.--- DONZE? OF ASAL 1H iZF�U6A'flOniS ,� i- � �- ,�'1.� - . •- , / ,��.` � ,���.vA-r7 cam.?5 SEPtS�•TAN IC, a i STR� �JTiatJ C�o�l AND LEACi-i IN!a Sit T TC 5S OF © VA-;et! "), v / - . / _- -- /V1�im • CO CL-'r E• i ✓ , + r' +` ,,y' v_. _ sue.' -j"i.`�l�'J�-1 fC- •-".,-,`' , •- i f� �AZI L . 20000951 'f ` -J� c t3E LOC�'T rr t1N LF.+o - Q � �,!�_ /f� •' _ _ __.._...� � ..f �� �, ._.-•_- _ � t7��i la 1V t.[y,A►C?i hf l.� Lt�� ALL Pt Pg-5 -ro epe V�IATE / � ' • . fl Erg LTN A!.-�E.Lr APMOVAL. � ; \ ,. Nunn e� of o J�f fLll w LEAGN 11�1�a QAT�r 't.. J # ev'yE#[ L-e^4H AREA `� LEAG{-�. GAPQ G IT7 �, Zn OF P6A r.ToNE FbQ ��,,. , Z� ��6"� ,r�nP+�pcvto� s coves. : PR©pose l e^r t4 CAPAGi� - � ��- t�v� EdGN T �F r rJ�S r�zoM � ...."..�.� ��� � �'Z x-rr x ;x �, ;. �.,, , :� ..-•^' 12 MPJ. f 0� SON.40�'Vr O� Ni'�• j e,t+ _. -�t V `a•++ 4,k, SLGPE C o �v r-AT Qti 5= ►d'�w►�t. i� ' - t„o - t.� - -- - F s, �`z W ^4-11N A,- S C-Vj'rIC,4C F_.LEVMITI4N Ep►C.N I. STONE ' / # iv T , ' CiAl.L4N } '1! -i '`_ / { FAIT ROADM7� L.�.1fl1�0 • �. rJ +��.i �41 ;.,_ ,�i,G�t,�►. C. Ir. s Lro _ �". R���R t,.E• L ,�? _Ym � ).`>E v' �L V AT?0ll '�0 FP � L].. __ S ° - 1��0 � TM1 , 37 fo � S,. ENGINEERING CoRm DESIGNING BUILDING IORTINC. - DENNIS, MASS. 385@283!jl K+ ALOANENE AgCM{T<CTs'OTAMOAAO cAwn