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Home My WebLink About1324 MARY DUNN ROAD - Health a . y d ! T o c t LOCATION SEWAGE PERMIT NO. /:YQ V /1 'A/9 >" b(JAZAl R?b VILLAGE INSTALLER'S NAME D ADDRESS iUILDEIII OR OWNER DATE PERMIT ISSUED DATE COMPLJANCE ISSUED r.. 32 a� - --� R r A/Z t t I I � 3 I � A I No... . F IMB............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF. HEALTH .................. ........................OF.......................................".. Appliration for Dhipaaal Workg Tiamitrurtion runtit Application is hereby made for a Permit to Construct or Repair (V/) an Individual Sewage Disposal System at: 139 P ..................................... ...............................................E;_K7........................................... Location-Address 0 ............................................. .........................................0...................................................... Owner Address ......................... ................................................................................................. InstalleV Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms ........................Expansion.Attic Garbage Grinder a Other—Type of Building ............................ No. of persons.__..__........._-____--___ Showers Cafeteria Otherfixtures ...................................................................................................................................................... W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. .9 Septic Tank—Liquid'capacity_i.9�9.gallons Length................ Width.__...........__ Diameter..._.....___.___ Depth................ Disposal Trench—No..................... Width......___...___..... Total Length__.........,_....... Total leaching area--------------------sq. ft. Seepage Pit No...__0-------------- Diameter.41.4-------- Depth below inlet_............_...._. Total leaching area..................sq. f t. 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_-___-_.............._.. 44 Test Pit No. 2................minutes per inch Depth of Test Pit..............___... Depth to ground water..__._........_......... ..........................................................................................................................................I.................... 0 Description of Soil....................................................................................................................................................................... U ......................................................................................................................................................................................................... W .............................................................. ......................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable....A_dd_1!_Zo__A_.oR...q�__e -P.-i-t....W..IfttiN....two--- q�...ltq:vs� Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'JITIU4 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 health. Signed. .CAS. ..J.-,-904 . .................... Jd(cho........ Date Application Approved By... .... ...... . ............................ ....................Date-- .............. Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Application is hereby made for a Permit to Construct or Repair (1/ an Individual Sewage Disposal ' tem at: 13 S1 Location-Address or Lot No. Owner Address ..........._-----_---'_-'---��_-- '-_---'---_--_-- ____----- -___'_ ' Address Type ofBuilding . Size Lot............................Sq. feet 'Dwelling—No. of Bedr000�u'][��'0�C----------.. �x/ Attic / ) Garbage Grinder ( ) � ` (7t6er--I`me of ---'-----_—.-- 2�o of persons-----------.— Showers ( \ -- Cafeteria ( ) 1 � 04 � Other fixtures-1:31 .�__._--_—'---_-�^'............................................................................................................ � Design Flow............................................ per person per day. Total daily flow............................................ 9 Septic Tank Liquid ~~ ^ Pit 2�v--�---.-- Z) .��^�.--'. Depth below'� - ---------- Total l urcu leaching -------- ^ 5 � ft. is��xx�oohoz ��( \ Doy� t�o� �� ` ' ~ ~~ P�rcou1�� Test ll�oodtu Performed by.......................................................................... I�ut�----_------------_� � ' � Teat Pit No. l................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................uinotes.pcc inch Depth of Test Pit.................... Depth to ground water------------------------ c� -------'---'----'---------------'---------'-'-'------'----'---'--'------- ��. � Vl U Nature1.0 the provisions of TTTIE 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 health. Date �7;p Date Date IS Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF, HEALTH, THIS IS TO CERTIFY, That the Individual Sewage Disp6sal'Sys�tem constructed or Repaired Installer The undersigned agrees to-install the aforedescribed Individual Sewage Disposal System in accordance with s 'the provisions of TITLE ft he State Sanitary Code as described in the on for Disposal Works Construction Permit No--- has been in talled in accordance with applicati THE ISSUANCE OF THIS CERTIFICATE SHAL tONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTO12Y 7, THE COMMONWEALTH OF MASSACHUSETTS BOARD,,� HEALTH to Construct or Re air (VA) an Individual S .wage Disposal System .................................. Bo�a�,_ W _e. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS � � � ` ' � / 1 � � 56 1 i� �., ,�I y` ,fir No...._.. =`-. .... 3 �� ' ®� -? Flmiz � ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �� .. OF.....6,w. ,t!. �f1.. ------------------------- Appliration -fur Ui�pniitt1 orkii Towitr urtion Vanift Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Indivpidu�a) Sewage Disposal System at• Q F� Location-Address k or Lott No (� f ... wner Ad ress a .....Moo •-•••-A. l:24-•-- ----•------------------------------------- ----W,4 sT.-----1 e.... Installer Address QType of Building Size Lot__ A-----_-____Sq. feet Dwelling—No. of Bedrooms---___ __ _. ..._..._..Expansion Attic ( Garbage Grinder eL p, Other—Type of Building -------_____________________ No. of persoiiS.__-_,5 .................. Showers ( ) — Cafeteria ( ) W Design Flow_Other fix ......................................................ons per person per day. Total daily flow__-.. �� ______________gallons. Septic Tank Liquid capacity/kiVgallons Length................ Width------ Diameter_____._._-_..___ Depth._..-_._-..---- Disposal Trench—No,.................... Width...... _____. ength ____ eaching area__--._-._.__...___--sq. ft. Seepage Pit No...._....�._..__.. Diameter/ .__ pt elow in e ................. . o Y leading area......_..._.____sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a-U off` Y-jra"70� aPercolation Test Results Performed by---------------------....................................................: Date------------------------------------.-.. Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to ground water._.------_- _.-__._.. �14 Test Pit No. 2......_---------minutes per inch Depth of Test Pit.................... Depth to ground water-----------.--.--- Ix ....................... ---------- F �...; O Description of pik 1`�..:-. r'� ` `� s f U --••---•-------------- -ens z ---' ..----•-----•-----•-------•-------•--•-------•-•-•------------•----•----------•----•---------------------- ----•------------------- W x ••----------- ------------- --------------------••-•---••-----------------------------------------•-----••••••-------------------••--••....•••---------•-••••....._....---.....-•-.._..-••------------- 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 Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b issued by the board health. igned- -------- f"F P �'c a $ -------- ----4wr —-/ lam -- - - --- ---- �/ -�-jam-------•-- - Date Application Approved By-.---- -...... %.. - ...... ------(9__-----��.-._.7-6----. Date Application Disapproved for the following reasons----------------•----------------------•---------...._.....-----------------.......------....----•-_-••••----••-. ------------------------------------------------- ----------------------•••••--------••------•-•-•••••-•----•-••-•-••------------••-•---•••----••••--- ................................................. Date PermitNo......................................................... Issued........................................................ Date No.. .`!..G_.. FEiic ................ THE COMMONWEALTH OF MASSACHUSETTS _ BOARD/PF HEALTH . ..N .....oF.............�� % ......................... ApplirFation -fur E iipvii al Workfi Tonfitrurtion Vrrnait Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ._.....� �?Y.. UNNs.. '�-, T C�M•�s% u� .f_r� CS Location-Address r Lot No. E77y!....`" .SS_a. ........................... 1 2w1. r.__M�t.Ss. A L .caner �.� 7 / ��_N eS7!......0� /�..I�� Installer Address UType of Building Size Lot...,5.1T... .... ..._....Sq. feet Dwelling—No. of Bedrooms..._.. ................................Expansion Attic ( Garbage Grinder (A10K1 6' p4 Other—Type of Building ____________________________ No. of persons___ ------------------ Showers ( ) — Cafeteria ( ) W Other fixtures --------•---•-- -•----- W Design Flow_________________�4�_6).------_-----____ zllons per person per day. Total daily flow---_____-�-------.J.�.---___-.._..-..gallons. WSeptic "1'auk Liquid capacity-� 7r< allons Length________________ Width........ ------- Diameter----------...... Depth---------------- Disposal Trench—No_ ____________________ Width...-._._-___-__-. _s'I qqtz n th__._..___.�:'_f..(`� 1- achingarea....................s ft. Seepage Pit No----------/------- Diameter.�t'r�^_'��r �£�epth below inlet-----`_......._._. 1 otal leaching a.. Seepage ft. _ z Other Distribution box ( ) Dosing tank ( ) - 0�/ - ✓� --�, �' �/-j v- T< Percolation Test Results Performed by............................................................ ............. Date----•--------------------------------... Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water.._._-_---._-_-----__-- G4 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water-..__-_-___--_______.._. Description of S IL- � r �.. r j JGr� xP f�{ ------------------------ ---------- ------. ------------------ (� -----------------------yT--L� '' •� C !n_-r ` W 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b issued by the board oo ealth. C l/"lLt Gfis�t.P�+� l� /_UF � IgnCd .....=y ---- ................................................. v ate ....... //�// �._......_...p Application Approved By._....__.o �_r��= - ��f`,tLL�Y'7-- L- `=... `' �` �- 76 Application Disapproved for the following reasons__________________________________________ -------------•----•---._----..-------•------------Date------•- •--••--•-•---.--.--•-•---•------------------------------------•-•-•------------------- •-----•-•---------.-------.------------------------------------------.-----•------•---•-------------------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH "- ;� Trrtifirntr of 0141naph anrr :~ - THNlt!�q S TO CERTI Y, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by------- ---------- : 6=---�-�-------------------------------- --------------------------------------------------------------------------------------------------- Installer !�(� V� �1 A cJ l.� M/3 sS at /l/j- 1 ,-` G-�-/_N--- ------�----- ----------- ------------------------•-•-------.------•--••------------- has been installed in accordance with the provisions of A "c'el XI of The State Sanitary Code as described to the application for Disposal Works Construction Permit Na��{�_f____.._. ........... dated'..'.-_4-...__//:._.7/-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE---- O-:7,7/-Y--7�----•••-•--••----••----•----------------- Inspector......�--�---------------4)2q`--"">t -------------- THE COMMONWEALTH OF MASSACHUSETTS 76�)= .�. .... �......BOARD�F HEALTH.. . ... OF...... ...- rl'�STA,6� .�:..................... / No.... FEE....-/ ....-------.._. Dinvoli a1 ork C onotxnr#ioat anti# Permission is hereby granted-----J�/Y� A 1_ .______ to Construct ( 01 r Re air ( ) an Indi "dual Sewag Disposal System at No. (IZ �, !0/L1/til/9-(-!/�, �J�, -� /t 1 --Y U N -�� D - • Street � / - as shown on the application for Disposal Works Construction Permit o._... _ �ed--------------------------•-------•-. .. -�----��=---- C- --'�`------ -�-.. $oard of Health DATE-------------------------------------------------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS �y�r 2 V je to T O 48�o00 .SQ.FT. �rrsr�,G PociGev CF4C.Al r 1 r- s N �Oclp G,cK, 'S�iC rqL� �3T MaC6- -. P�P55a!wACL-� SL-' ' i c8 300,00- -- 3 3 lf,:5e7-� Ply r �oCA-T/c�N CC�iMMAQ[�/D � Nf ASS. , scams / ''so` D9rE Z i!/974 !'G9r/ ,REF: s/�lowti o" •4 PL.9�v Fv� Pub �: �c.•vey ,P�isr�y� oF" ��vs. 77,0(47- 7//E �X/S T/niG tiEt . �puNDA77ai✓ .3 WN ON 7A1/S A?,9o*1 /S LoCATCD oN Tf1E G��D AS s.�ow�/ <`�� '�.�h;;;�2a; . .+t,"All