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Lot 7 Septic Permit 7/11/62 IN WHERE APPLIC, CHECK OR Fl Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons Showers ( ) — Cafeteria ( ) Other fixtures Design Flow q gallons per person per day. Total daily flow gallons. Septic Tank Liquid capacjj'ty./ t 0 gallons Length Width ... Diamete Disposal Trench—No. 41^ Width Total Length...J O O r Total leaching area Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Perforated 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 Depth �SO sq.ft Description of Soil Nature of Repairs or Alterations—Answer when applicable Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to operation until a Certificate of Compliance has been(issued by the boa lld of h Application Approved By Sign `� v—r_ed ....�' . ..I _ /r ‘` U in accordance with place the system in • 1! 1262 tf Date Application Disapproved for the following reasons Permit No Issued THE COMMONWEALTH Or MASSACHUSETTS BOARD OF HEALTH l.N/1, OF....J.�t'u' "LaIrr7""'r7 U &YItfintle of Otmmpfianu THIS I ;TO rCERT6FY, That the Individual Sewage Disposal System constructed (✓ ) or Repaired ( by �1L ' ' ' .f got et 04'. a -t- f.LL has been installed in accordance with the provisions of Article 11 of The State Sanitary-Cod as dxscribed 'n the application for Disposal Works Construction Permit No !R1 dated... ' "r / ,i.IY# &. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A AR NTEE THAT THE SYSTEM‘WII,L FUNCTION SATISFACTORY. ( �DATE.... °t ) °Z inspector Installer No THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF liC+%iis"_rr-{�� Disposal i,, Its O$ui��g^''tr 0iutian Jrrmit Permission is hereby granted fw A (22 k C/, to Construct ( l4royRepai;. ( ) an Infividual Se vrage D po`,1 System at No (1,4 -'.r*„-e ,z. l Street as shown on the application for Disposal Works Construction Permit No 1' Dated s"'"'" 11.evil..s i Neff'-e.'9/yl J Boa d of Eleagi FEE DATE ‘14-1.2.t1.- FORM 1255 NOBBB & WARREN. INC., PUBLISH ERv