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Lot 1 Septic Applications CHECK OR FILL IN WHERE APPLICABLE Fas...1...: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C2tty OF e� 6'bectr []I 1�ppliratiiun fur lBinpusai rr;urks t nwtrurtinn 1trwit Application is hereby made for a Permit to Construct (I ) or Repair ( ) an Individual Sewage Disposal System at: (\441' Y''`` tt-L ;ri� ' l r . Iaratlon-Adores or Ist Na h!<azl._ - Ccsk�alyn. Address .1(]dross Type of Building Size Lot Sq. feet Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons Showers ( ) — Cafeteria ( ) Other fixtures Design Flow 'q F pp gallons per person per day. Total daily flow gallons. Septic Tank—Liquid capacit} .O.gallons Length Width Diameter Depth Disposal Trench—No. Width Total Length Total leaching area 6O0 sq. ft. Seepage Pit No Diameter Depth below inlet Total leaching area <q, ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed 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 Description of Soil 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 urther agrees not to place the system in operation until a Certificate of Compliance has been issued by the boa lth. Si ned.._.( tcaaaCn.,.edi.. Application Approved By .e 2`..{.!r;fa ._ ..iy�flx 271 Application Disapproved for the following reasons' Date Permit No 215)-- Issued.. s Date A7 1..9.7r/ rri No 786 THE COMMONWEALTH OF MASSACHUSETTS PEE/ 5T6( BOARD OF H EACLTH dike- ��� OF yi V /) Application for Buipuyal darks Tountrurtinn Iirrnut Application is hereby-made for a Permit to Construct ( ) or Repair ( ) an lndis idual Sewage Disposal System at: a or Lot Yo Address Add es Type Size Sq.of Pnitr ng Si q- feet Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( ) Other—Tape of Building No. of person. Showers ( ) — Cafeteria ( ) Other 1xures Design Flow gall(xrs per }o son per clay Total d ily flow gallon- Sept ic teak—Liquid cal Ku-it/3 OOdalrnrs Length AAidat Diameter Del Dsposrd Trench—No.---___-- Width Total Length Total letchiug area sq. ft. Seepage Pit No Diamete- Depth below inlet Total le tag .acs_.. Re c. Other Distribution box ( ) Dosing tank ( ) /166 r£ ��"sta� d.c4Of Percolation Test Results Performed by CI Date Test Pit No. I minutes per inch Depth of let Pit Depth to ground way- Test Pit No. 2 minutes per inch Depth of "Test Pit Depth to gr■ tmd mater Description of Soil Nature of R ep:rits or .Al hen applicable - Agreement: The undersigned agrees to install the aforedescribed individual Sewage Disposal System in “cc0Han ce wit]. the provisions of Article NI of the State Sandnay Code—The undersigned further agrees not to place the system iu operation until a Certificate of Compliance has been issued by the board of health. Application Approved By tJ- > - etien DLL;-.19 7 Application Disapproved for the following reasons 'HERE APPLICABLE CHECK OR F No THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH City OF Northamtton FEE Appliratinn fur 3Jiupugal iinrku Lnn. trurtiun ]rrmit Application is hereby made for a Permit to Construct (gxJ or Repair ( ) an Individual Sewage Disposal System at: Lot 1, George 'Tobin Land LocatioatAddrese no. __G.ao.Pge �'obiti 21 Kimball St. :r `lorence or,n,r Installer Address Type of Building ddress Size Lot 12,000} Sq. feet Dwelling—No. of Bedrooms 3 Expansion Attic ( ) Garbage Grinder Other—Type of Building No. of persons Showers ( ) — Cafeteria ( ) Other fixtures Design Flow 50 gallons per person per day. Total daily flow 300 gallons. Septic Tank—Liquid capacity 100°gallons I ength Width Diameter Depth -- Disposal Trench No. Width Total Length Total leaching areaU0U sq. ft. Min. Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft Other Distribution box ( ) Dosingtan�° c ffj� ) _ Percolation Test Results Performed by.._L.(._.Niot_L..�_ .. ti. ., Date 7-8-66 Test Pit No. 1 11 minutes per inch Depth of Test Pit , epth to ground water none Test Pit No. 2 minutesper inch Depth of Test Pit Depth to ground water Rotton ledge at 41 . Sitilid ledge at 71 DescriptionofSoil Glacial till, silts. A bed should be constructed at this site. 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 board of health. Signe Application Approved By- Application Disapproved for the following reasons George robin Cock-c 1 07 . in accordance with place the system in 7-8-66 Date Date Date Permit No Issued Date