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Home My WebLink About0026 PALOMINO DRIVE - Health � a(e palm�+ino q�• �DYI �': � w �' � •. �� ;v �� , �ate� r erville G No. 4210 1/3 ORA Pendaflex' 10% LOCATION '' SEWAGE PERMIT NO-(7 _ I-OT 8:3 �AQn7 l AlQ hP L38 VILLAGE INSTA LLER'S NAME i ADDRESS .3 6 S Fz9k l-16 f4 T -bg t BUILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED 27 + -*V No..........1- ... *� '` � ,ram - Fss........1' THE COMMONWEALTH OF MASSACHUSETTS we -02--�-aOAR® OF - HEALTH . ... ............ ... Appliration for llhip Taal Works Towitrurtion Errant Application is hereby made for a Permit to Construct (*<, or Repair ( ) an Individual Sewage Disposal Sy . L-�► �t � .................. "g.T..&V ........................... 3 Location-Addr or Lot N -o 06 _. .. s......... `d I• w .. Aj Instal er Addiess Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms....... _----Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria ( ) d Other fixtures --------------------------------- ----------------------•---------------------- ----------------...------•--••-------- W Design Flow....... -. . . gallons pe jm22"per day. Total daily flow...... .......................gallons. WSeptic Tank—Liquid capaclty�AV14allons Length.....R....... Width..____-___-,Diameter---------------- Depth.34/--__-- x Disposal Trench—No--------------------- Width.................... Total Length......._ _._._..... Total leaching area_._.._...._. ....SQ. ft. Seepage Pit No.....:...I......... Diameter`Ai...&'"-. Depth below inlet__.`re:JJ��.... Total leaching area...5V-V ft. z Other Distribution box (400f' Dosip.' _ � g4ank� ) Percolation Test Result Performed by._ ...... .... ........ Date........................................ Test Pit No. 1... ......minutes per inch Depth of Test Pit.................... L pth to ground water_-___--______-_...___--. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------- Description of Soil ' -,,,� = = - /2/ - --------------- -------- U _ _ T ------------------------- :. ` w ----•- UNature 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 iI'i T1. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ee is Ted b he bo of th. Sig d. - Date Application Approved By.........•-F --- ---_.�.V. . . _ •--------•-•------. -!L f-� 7 Application Disapproved for the following reasons:.......................... ----------------------••----•...Date---------•--•• ---...................................................................................................................................................................................................... Permit No......................................................... Issued-.I/ - �� Date -•----•----•---.... -----------Date-------•---•...............^-- a � Fva.............................. THE COMMONWEALTH OF MASSACHUSETTS • ., BOARD OF HEA T ' .................. (J (�tiL1.....OF.............. ,).. ! � ............................ - ApplirFation for Uiipooal Workfi Tonitrurtion Vantit Application is hereby made for a Permit to Construct (or Repair ( ) an Individual Sewage Disposal System at: Location- W � Add�re l., J.. o1r�rL,o t N I Z ......•...... --•---... �- -_ - ----•--..... ...... .t!4`+l�.� .�.�t�'N. J °^r.,.F.r..r.•-•-^--- a er . Addres� .......... f3 � .......�.............. t.......................... InstallerOw Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms... ._ _____Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria a Other fixtures . ., •r v d � ........sy/'ice--------- W Design Flow____!__ ___________________________gallons per pit.,oh.per day. Total daily flow-------'--'�'_'x� .......................gallons. W• Septic Tank—Liquid capacity/#4!'_tgallons Length----:___...... Width_____ '/______ Diameter________________ Depth_ _.._.. xDisposal Trench—No_____________________ Width-------_-_-------- Total Length.................... Total leaching area____________:=----sq. ft. Seepage Pit No.........J.......... DiameterV' ___T,.""""'__ Depth below inlet__. ?.._. :...__ Total leaching area..... .%=r..�s4. ft. Z Other Distribution box ( Dosi ank ( ) � Percolation Test Results Performed by....�_I)_ _ .+...__ ...... ........ Date........................................ aTest Pit No. I.......!__.__minutes per inch Depth of Test Pit____________________ L?epth to ground water______________________-. Test Pit No. 2................minutes per inch Depth of Test Pit____________________ Depth to ground water........................ .................................................................................................... 0 Description of Soil "'" �„= �,.---Z- �'� -• -" r� .......................r------_-------. --- . W •-------------------------------------••- � ��. v ••--•- --•-•------------•-:•------•----••-•--•----------•-------•••- ------------------------------•-•-••-•-••----•---------------•-•-•••••-•----••••-•------•-....-••-...•----••---•--...--••_------ UNature 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 TITL% p 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....... = °r- --.. '---` (SA ' P ` t Date F Application Approved By.._..-- E --•-•-- r ......................... 7_._gate __ 1! Application Disapproved for the following reasons:---- .......................... ---------------•-----------------------------------------=------..._......_ .........................................................................................................................................................................I............................... Date PermitNo...................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........`. . ..... . .........OF................J. ':-......... ...........................--.-..................... Gam' .;� _ V v� z- ur#tftratr a 61--ipliattrr THIS IS TO CERTIFY, That the divi ua Sewage isposal System constructed ( yerRepaired y ...... ( ) b --•--_•--- ------ _- _--f . - • - -••----...-•••-•-------•-••----------------•----........._.........._-----••-•-..._------------ I 1 at �'---`l-- '> !� ::................ -------------------------------------•-----•--------- „! has be'e �'I i �� p �! . lwvz r n costa lei in ccor nce wI ti tie r islorl of T i j of The State SanitaryCode as descrked in the Permit No.__ application for Disposal Works Construction Perm _._?„�' f_S�'_�_______________ dated__...___- ^_ • - •-•----•-•----•-------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................................•------------------------•--•-----"=........ Inspector..................................................----••------•----.... ........... ' G THE COMMONWEALTH OF MASSACHUSETTS r� BOARD OF HEALTH 7 ' 1 i- ....... . ............0F............. . .................................................. No......................... FEE........................ Disposal Pork (90 otr ion rrnt'# Permission is hereby granted............ ----------- ----••-• -------•• --- •----•-•-•• ........................................... Construct ( � Repair ( ) af�i In ividual,Sewag isposal Sys gm _ Street ��. f J 7 as shown on the application for Disposal Works Construction Permit No:'?_____________ _ _at'ed.__.________.____._____.__._._...__...._.. I' /� --------------------, - _ _ Board of Health �. DATE........................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS �i n No.._. .__�.3 Fxs.... . ._ ....... .:� THE COMMONWEALTH OF MASSACHUSETTS 17 BOAR® F HEALTH.. �/ `...........OF............ ...(mot .....--- --------------._..._.._.............-•-•-- ,��lir��ion � n��rttr�ion rruti# Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Se e D posal System at: iof� /:.d�•--••.�f-rl vcc '...-.. ......... -.9.�. �........................ ` ......�, o ,�7Lv - Locati Address r Lot No. 1 Owner , ----------------------- Address Installer Address Type of Building Size Lot...� ....4.49.Sq. feet f Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures --------•---•------------------- --QGO,-o W Design Flow...... l ..........................gallons per VA e ay. Total daily flow__...........-�:.. ............_gallons. WSeptic Tank—Liquid capacity/dpogallons Length-__ Width.___._ _`._... Diameter................ Depth...v4e'........ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...,l............. Diameter.../ .:s. Depth below inlet__-. .... Total leaching area... sq. ft. Other Distribution box.-(L-)� Dosing tank ( ) > aPercolation Test Result Performed by._... �K! .___ '� �~ ........... Date...... . Test Pit No. 1. minutes per inch Depth of Test Pit.................... Depth to ground water.___..__.__._.__....._. (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --- •---........................................................ O Description of Soil------•-. ��m�r -v -- = bl l --- ...................................... •••------------------------------•----•---•-•---•-•------------------------------------------------------•---•-----•----------•-------•----•--•----•-•---•-•••------•--•----•----••......•-•-•--•....-- 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 TLITI-E, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee is u d by t oard 1 lth. Sia .... ....... --- ........... •--•-------- -----•-------• ' - D to Application Approved By..... •-• .... =............................. .`7 :........... Date Application Disapproved for the following reasons:.... ------•-•---•-------------------------------......................... --------------••- ...........----- -------•-•---------------------•--•------....---••-•---•----•----------•---------...._...........--------'•-•........-------••-•------• •....._._....--------------------•----••---------------------.... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH ......... ... .....OF.............. —........................................ (Inrtifiratr of Tontpliatta THIS,IS T CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) bY----•---- - ---- .......................... ----------•-------. ----- ................... ......:........... Install at..� ----•--�-f..... .x' .. has been inst led in accordance with the provisions of T T r of The State Sanitary Code as described i tl application for Disposal Works Construction Permit No... ------ --�----•------------- dated- �-�-�--=- --- ... , THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE T A SYSTEM WILL FUNCTION SATISFACTORY. DATE-----...---•.................•-•-......--•............----------------..._.... Inspector......................................................... •-•-- -- ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. t ... ...OF...........,�.. . ............................. .. c�S N .......... y:cs EE.__..._ :' lft:, Permission is h reb anted------.... ........................................... ......................................................... Y g'1' to Construct - or pair ) an Individu rag' D sal ystem . Z at No...`_.�. .tom.._. '? :.... 5��. _. ._ mac+ r--- = Street as shown on the application for Disposal Works Construction Per No. .__._ �i ` 7 - -- Dated---�-`-- - ••-•---•................... _ _................................. DATE.........-•---••---•---•--••-•-•----•......................................... Board of Healt� FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1 ; No...................... Fxs.......................... _ THE COMMONWEALTH OF MASSACHUSETTS BOARD,,ft- HEALTH a .... ... s. �Ajipliration for UiopooFal Work Tonotrnrtion- rrmit Application is hereby made-for a Permit to Construct ( or Repair.( ,.); an Individual Sewage Disposal System at: 1l e� ll..... ... .�.. .... Locatioy..Address or 5 t No. �/ �r ".!..`..---••-.........-------•----..!'"'`�.....:Y..^_�! :.... Owner. a / Address .........................................._..Installer ...... _......_.._.... Address .... ............ • • Type of Building' E Size Lot._..-`�_�__--'.__4_ TSq. feet f d YP g` '` ;; '�.. :r Dwelling—No. of Bedrooms................................._..........Expansion Attic ( ) Garbage Grinder ( ) p-I Other—Type of Building ____________________________ No, of persons............................ Showers ( ) — Cafeteria ( ) Other W fixtures ............._..................... ;, �U_.-__• -__ DeNgn Flow......ZfG-_________ __________t _gallons per �pcsUpef—day.. Total daily flow.............. : ..............gallons. WSeptic Tank—Liquid capacityz'�s2agallons Length__._ _._ Width...... Diameter________________ Depth....y�__... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit NO. /......_._.__ Diameter.__.�'�.��_ Depth below inlet... A._�.._. Total leaching area.__:.` y/.; � _. q. ft. Other Distribution box �' Dosing tank ( ) ZPer olation Test Resu Performed b .____ ' '�4!^-�___. '�"� _ J ........... Elate Elate_......�A��._ /�._.... a y r �.. a Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ TesiVit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O DescripoiL. = W .............. ------------------•---------------------•----------••---------------------------••--------------- --------------------------------------._...--------•--••-•-----•--•--_-----:-_---- Nature of Repairs or Alterations—Answer when applicable-----------7 ---------------------- Agreement: The tmdei'signed agrees to install the aforedescribed Individual Sewage..Disposal System in accordance with `the provisions of i 'L v 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Co lianc has b issued by the board of health. __...-•-•---•-•------------------ - ate Application Approved By........................................................... ................................... .............-- --- Date Applieation'Sisapproved for the following reasons:................................................................................................................. Date PermitNo.......................................................-- Issued....................................................... Date THE COMMONWEALTH Qf MASSACHUSETTS i �. BOARD TH ..........................................OF..................................................................................... F. (Intif iratr of TompliFanrt �TF , ERTIF That the In ii I >Sewage' i sal System VC ; ructe ( ) or Repaired ( ) 11 by`-------- ... e4L----- /*10111 l�'"' --. '"-�J'In 7�� . at-_--.._..---•---••---•--•--••-•... ...............••----__---•-•--••--------•--••-------• W -----------••••-------•-•------------- - .. --- •- has been,installed in accordance with the provisions of F The State Sanitary'CXde4s Ae rt dd in the application for Disposal-Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRlDE®AS A:GUARANTEE THAT THE SYSTEM,WILL FUNCTION SATISFACTORY. DATE:'1...........--............................................................... Inspector...................................................................................... THE COMMONWEALTH OF MASSACHUSETTS t4o-� BOARD4 )6gvLTH tk 3;1 04 ..........................................OF..................................................................................... No......................... FEE........................ R t ago Sr k-fonotrion rrmi# Pi ,r h gr.. e ............... = --- -_•--- ......... -•_•• ......................... to Coi s ldf` I�e'pat an In 11 Sw'de�Di ''f� a'1�Y1 at No. -----•-----•----•---- r... ......... 3;�-.,�. as shown on the application for Disposal Works Construction0i" -e........-•...............•---... r' ___________________________________________________________ _........................................ __ Board of Health ' DATE................................................................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS f .. _ � ,. . _ i � `, � . �/ r I • J it A'�� 1 y� 1 _ /oz So /ODO y OC. OZ•o e + 7 W, Z ' 9� /o%So /o%oD 4� ctiAs ir/E.O 9Z 9soo CXrStirrC1' a r-0e'0r7d farofi !e ' ^.. //'`+ T / LJ A / p C r•o c 5 e.cl c?,-c, r-7 d r ,�T •. _ _ f a _ �8 " w4Zs/7.ed silorsE c,f 71 \p a. }'j 6 Scim t� o I • I o�h I000 6s44 SEf T!G TfiN�` 44-JZX5h7d Stonc�4• ` • Y >, A'; i zwlo�'. Asp 'h' 3 � � ocrrv� f/c?vs - . S T B'r P 9 t� . 'G �' �► 7. r MiilJ�'in/Gj/ TNT 5 S Pf�IJL Mt/�E�f Y , I r � GW �i4 OA'TUM ,M.S.Lr $IRrt7slfMb/G geaPOA psp7� ST HALE u_ /O a fir" /oro - .5, !.�E w A�.� = /9�� S .G �Z S `i�i's!8 •�A[.S�%.4 y —Z- oT 83 — 43) 60 3,7 S.-F t q tnedi urr-r 00 � Sa�d / N — r'70 (,ua,fG►r enGour-�f'erec� G7/�7 64.//-7 G a.� e �r�c�� n C. G r-/'ra � ' � �' ,�'L_. 19 AJ A,'a E)e S Z_ O TT 8,3 B o o he 280 , FAG 55 B _AqG 0A-1 F.9�e 6-: S7-/,97-& 5 ` ByieAJ5TF98LE- S5. , JA,'A 1038 -r u ' �QFC1�Tt. 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TANS EFF 51: E3 o T T orT Z- 0 7- 8 3 — v 43, lo3cj .t CH 7 rne�;vr- ' S/2 � 3 35, b 0 Lof 1 �.-�n WQ,f�r enCauntere� G7C7�.vn Ga.Pe Gr'�9>/'7 �• h4� c.._ �44je5o•� G DT �? G O/L/ ST,,9TE S T.q r� Ic— nil I /N G. NA OF /978 .}AM G\ S �-i r, GI Gar-� f o c Ai S In Gorrtotir,S 8i9,E-'/l/vTfaBL� , r'L'T ASS. 76— ��1