840 Applications & Permits Lam — Yb
IIIGINAL
COMMONWLALTLI OF MASSAGIUSLTTS
Board of Health ArthanpIav . ALA-
APIUCATION CO DISPOSAL SYSTLM CONSTRUCTION PC
ttion fora Permit to Cons'uct14 Repair( ) Lpgrade( 1 Abandon( - %Coo�mpleteSystem JInclividu gfC Mposuts
£Building )C512l1LV Owl/ln It
rig-No.of Bedrooms r1UC frO0 5
Lot S
,35890 sq.ft.
Garbage grinder(No
-Type of Building No. of persons Showers( ).Cafeteria ( )
Fixtures (gyp
i Flow(min-required) 00 gpd Calculated design flow gas Design flow provided DDl gpd
Dare 11 lilt/Q4 Sumer 01 sheets Recision Date
Sep&' p or Cot o ; - Vnlle,g\ Q./JM44- Al tiOrtaril({
ption of Soil(s) Sa no-- 0 s J p J
raluamr Form No 311 (j Ta) Name of Soil Ecnl u uator P: Reale �-{Daate of Evaluation 0/1(1/nib
RIPIION(W RERMRS ORAEFERATIONS / U� 1 h 1+5 I ZFC-fL ' jei1
ndersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
r agr es to y to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
-- qQ Date Ltji_3/0J
'I-6?-4 L44)freival
n
COMMON WLALTIIO M,ASSACCIUSFTIS
Board of Health,
MA.
CP.IHIFICATL (�L C11''MANCE
ription of York: ❑Individual Component(s) )(Complete System
undersigned hereby certify that the Sewage Disposal System, Gonstructed ( .Repaired O.Lpg
i
w plans/as-built plans
ded
teen installed in accord
ication
tiler
goer.
issuance of this permit shall not be construed as a guarantee that ,
nc
No. it 1'
I / A
FEE%
Naaelei 39H
Abandoned ( )
'ice
with the pr visi a of 310 CMR 15.00 (Title 5) and the approved
d esi
s "¢0(
d Aid . Approved Design flow
AI 4�1
gMl—r!Cet pr .�i Date:
the syste
will function as designed.
hapecto¢
dating to
Lion 8 40 4k )M[rfup1l Rocfi
Owner's Name Y(O/1Ur our I'b4A.f .r�1']ANb
/Parrelk P'IAp l qa /f)4 #r1
Address too Q)pe SI f102na. ,114,
io11LIIn # 3
Telephoner( ti(a3. (p. 5yj0
tiler's Name. l(_, eptJjl
/ii.Man
Designers Name AI D (� f Rj , 01g55
Sy �jhOra^
Addles` 35o ar� £n£ed /Louie( L� kk44our
rem fiJu
phone# 5L}5zs2 fletli_ncilgt
Telephone# L//3, 3d 3.5951
£Building )C512l1LV Owl/ln It
rig-No.of Bedrooms r1UC frO0 5
Lot S
,35890 sq.ft.
Garbage grinder(No
-Type of Building No. of persons Showers( ).Cafeteria ( )
Fixtures (gyp
i Flow(min-required) 00 gpd Calculated design flow gas Design flow provided DDl gpd
Dare 11 lilt/Q4 Sumer 01 sheets Recision Date
Sep&' p or Cot o ; - Vnlle,g\ Q./JM44- Al tiOrtaril({
ption of Soil(s) Sa no-- 0 s J p J
raluamr Form No 311 (j Ta) Name of Soil Ecnl u uator P: Reale �-{Daate of Evaluation 0/1(1/nib
RIPIION(W RERMRS ORAEFERATIONS / U� 1 h 1+5 I ZFC-fL ' jei1
ndersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
r agr es to y to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
-- qQ Date Ltji_3/0J
'I-6?-4 L44)freival
n
COMMON WLALTIIO M,ASSACCIUSFTIS
Board of Health,
MA.
CP.IHIFICATL (�L C11''MANCE
ription of York: ❑Individual Component(s) )(Complete System
undersigned hereby certify that the Sewage Disposal System, Gonstructed ( .Repaired O.Lpg
i
w plans/as-built plans
ded
teen installed in accord
ication
tiler
goer.
issuance of this permit shall not be construed as a guarantee that ,
nc
No. it 1'
I / A
FEE%
Naaelei 39H
Abandoned ( )
'ice
with the pr visi a of 310 CMR 15.00 (Title 5) and the approved
d esi
s "¢0(
d Aid . Approved Design flow
AI 4�1
gMl—r!Cet pr .�i Date:
the syste
will function as designed.
hapecto¢
dating to
CDNMON\V AIT}2 OF ■ ASSACHl'SLTTS
Board of Heald,
DISPOSAL S1'STD1 CONSTRUCTION KOUTT
Abandon( ) an individual sewage disposal system
described in the application for
Construct( Repair( ) Upgrade( )
nission is hereby granted to;
« fj ¢1- J9Z r C k
tonal System Construction Permit uVo
i t/-t// , dated
vided: Construction shall be completed tsitI in three years of the date
Date Board of Health
FEE _C. ✓•
c
1255 flea.596 A.M.SLIMn to.Boston MA
permit. All local conditions must be met.
TO
F
COMMONWEALTH OF MASSACHUSETTS _.
/Uor4halM oN „NA : o
APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTION PERM :1
Board of thalth,
ye
'Lot #a
/Parcel# /•t
L`N
Rd.
Ciao
0
ner's Name Pio,ier t1/e 0.b
•
tar
RC
Address /yd NNe e4 Fore°
Lai o Lel d
filer's Name
phone
Designers Name ra )I5
drhess 350 01 In e /tic z re%Aer t¢JN ,h '
one# 913. a 3. 5957
,f Building
ng-No.or Bedrooms
-Type of Building
Fixtures
n Flow (min.required)
Date d3 Number of sheets
Sib( Nan lar I onto-- Valley Nehict4 ,Cr- MP14N141
iption of Soil(s) ,Cann- UaSSt q
'valuator Form No. T 11 (It td) Name of Soil Evaluator /I?• Peed-
Festi
110
' CI
MS
No.of persons
Lot Size 35,, 89O sq-h.
Garbage grinder Y44O
Showers ( ),Cafeteria ( )
gpd Calculated design flow 550 x 5 Design flow provided
Revision Date
;RIPTION OF REPAIRS OR AI4ERATIONS
R $t gpd
Date of Evah
on te/iv/aaa
undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
her agrees o not to place the syste in operation until a Certificate of Compliance has been issued by the Board of Health.
Date J_
" COMM ON\\,TDIEM OF MASSACHUSETTS
Board of Health l' 'be- 7 'tACI-4uy"j'�:ti19.
t t
=i
z , t
CERTIFICATE OF COMPLIANCE
nion of Work: U Individual Component(s) Complete System,
&roped hereby ceitify that the Sewage Disposal St temp Consu i led ( ).Rep SI ( ) U pg'a l 1
1J x,,h
i
FEr �h0
it j ri
Al-.An I
i t II d-m acc.rdanccicada the provislons of 310 CMR 15.40 (1 t1 hand the a 1 proted de i plans , h It I la ,relating to
non . dated Approved Design Flow J (gp:0
I(; kr;
Inspector:
:nonce of this permit shall not be construed as a guarantee that the system will function as designed.
Date:
COMMONWEALTH OF % 1ASSA[ >TUSETTS
i
�ql ,r, 1 1�y�y7a/ HA.
DISPOSAL SYSTEM CONSTRUCTION PERMIT
ission is here by granted to; Construct(/ Repay( ) Upgrac(e( ) Abandon( )ay mdtadupl setstgedrsposal system
.c i1 y J r:1• b ;
as descfibed in die application for
Board of Health.
FFE t'
,._,-, .;
,sal System Construction Permit No - . ,dated
ded: Construction shall be completed within three years of the date of this permit All local conditions must be met
ate sass zuswtnce.Boston MA Dates j . Board of Health Mr �. R.S. TA.�� GP.O.
FEE
COMMONWEALTH OF MASSACHUSETTS
Board of Health, !/ir-Mctn y910 , Mel, J 2
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIt.
runt for a Permit to Construct(}.I Repair( 1 Upgrade( ) Abandon( ) -N4Complete System ❑Individual Componenh'
lawn 1
0
,au
ion Z a r�L { aM I UN
GL. .4 r .(o
Owner's Name Q/Of&r Age saLlNJ it /
Parcel# f] i 4 t/d
/
Address /YO /9 6 Site e. Pore l4A .
Lot # Ga
Lot lea
Telephane# H13. s(p. 5Y 0
let's Name
Designer's Name = an e155
ss
Address 350 d Mild, 2d.. i-lehed6h)
hone#
Telephone# CI/3 333. 5g5 7
Building Resl/ence, (&'ld/n ak)
g-No. of Bedrooms ( FilC eeetron MJ
Type of Building
ixaues
Flow (min.required)
gate 7 7
lc �latn
don of Soil(s)
duator Form No.
Lot Size 35 g90 sq.ft.
Garbage grinder C Y
Na of persons Showers ( ).Cafeteria ( )
(5c255)
I/O gpd Calculated design flow ,,¢O X 1- 5 Design Bow provided
Number of sheets Revision Date /✓4_
-/or 'ioneer ✓a//��.. blab a r umaeliay
Sand.- �tkfsS aa� p
$11 Cif /a) Name of Soil Evaluator ,1, reel/ Date o
Og/ gpd
aluation (v((Y/r}!)0/
IPTION OF REPAIRS OR ALTERATIONS
dersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Date
ions
EE
COMMONWEALTH OF MASSACHUSETTS
Board of Health, , MA.
CERTIFICATE OF COMPLIANCE
Description of Work: O Individual Component(s) ❑Complete System
The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired (),Upgraded ( ),Abandoned ( )
by:
at
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relax:
application No. , dated Approved Design Flow (gpd)
Installer
Designer
Inspector: Date:
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
FEE_
N° COMMONWEALTH OF MASSACHUSETTS
Board of Health, , MA
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposals
as described in the applicatic
at
Disposal System Construction Permit No. , dated -
Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be i
Form 1255 Rev 5195 AM Sulkin CO.Boston MA
Date Board of Health
COMMONWEALTH OF MASSACHUSETTS
Board of Health, /VOrrtehanl fION b(A.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PLRMITV"
i Building ReSte(0)Et (40X31 y 4-19 //��,,,,
ig-No.of Bedrooms /cue) tieyravn5
-Type of Building No.of persons
Fixtures C/CU)
Flow(min.required) //D gpd Calculated design flow 550 X/.5 Design flow provided
Pit /a3 Number of sheets l Revision Date NA
c Plan £,- AoneeP Valley Nhhia-1 -%r aNfrij
KA net.- Cla SSZ qq
(1 ('b la) Name of Soil Evaluator P. Keel+ Date of Evaluation
Lot Size 35, 113.90 sq.ft.
Garbage grinder/40
Showers( ),Cafeteria ( )
late
rdon of Soil(s)
aluator Form No.
UIPTION OF REPAIRS OR ALTERATIONS
FP gpd
v/I9/aac l
rdersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
r agrees o not to place the systJep�in operation until a Certificate of Compliance has been issued by the Board of Health.
1r�-`er LA`.•i� Date ses 8
ions
9170
Lion Lor#a fharop'fdN gd, (gtx-6, bb)
J/
Owner's Name'laver� ✓aye 4'400 ieir Woremmiy
'Parcel# 'ia ,/
��1�H
Address me 4Ne Oyreek &rev e
/i�
.y 1/
61# 6,0 (bid d�
�
/'.may
Telephone# '//.3. 5g1J,54&3O (-. .nAIt3/wt 9
Iler's Name
L
Designer's Name 474 n /thus
ess
pp /
Address 350 Oil b ,4,y rnx pe/deriaJw)114 °
,hone#
Telephone# 913. as 3. 595;
i Building ReSte(0)Et (40X31 y 4-19 //��,,,,
ig-No.of Bedrooms /cue) tieyravn5
-Type of Building No.of persons
Fixtures C/CU)
Flow(min.required) //D gpd Calculated design flow 550 X/.5 Design flow provided
Pit /a3 Number of sheets l Revision Date NA
c Plan £,- AoneeP Valley Nhhia-1 -%r aNfrij
KA net.- Cla SSZ qq
(1 ('b la) Name of Soil Evaluator P. Keel+ Date of Evaluation
Lot Size 35, 113.90 sq.ft.
Garbage grinder/40
Showers( ),Cafeteria ( )
late
rdon of Soil(s)
aluator Form No.
UIPTION OF REPAIRS OR ALTERATIONS
FP gpd
v/I9/aac l
rdersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
r agrees o not to place the systJep�in operation until a Certificate of Compliance has been issued by the Board of Health.
1r�-`er LA`.•i� Date ses 8
ions
COMMONWEALTH or MASSACHUSETTS
MA.
FEE a-
id 61AESC
CERTIFICATE Of COMPLIANCE
Pion of Work: 0 Individual Component(s) 0 Complete System
idersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ).Upgraded( ),Abandoned ( )
m installed in accordance with the pro sions of 310 ClVIR 15.00 (Title 3) and the approved design plans/as-built plans relating to
Rion No. dated . Approved Design Flow (gpd)
COMMONWFALTII OF MASSACHUSETTS
Board of Health, 1 J4/lc mpio A. MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERM;
don for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) -"1 Complete System ❑Individual Compose W
ik CUA
son Cal #a L-fnaM ' oN eL . .
r41/
Owners Name olonee,-14NP. aLiloi 4r u .a
_
'Parcel# /'lap # 40
Bbild��
Address /YO ONe, ;Feel Florrn e MA .
101 # 66 /(-6f pa)
Telephone# 4f3. 58l. 5y30
.0,ikd K (9 CC
lees Name 4 C,
s1. .
Designer's Name 4 an 155
esssiyofZ,tn
"[1�/�,
• •
Address 3,rp Q4 In4e14 Qd>
'cheek ON /iM.
q /�ryL
shone# �2'/' 'Llt / O�fr
7q�/[{
!_ /"
Telephone# 413. 333.._`Jg57
Building
%stench//(&/ ;IdmG{ �!L)
g-Nn.of Bedrooms Fore- ,ge dicjr?J
Type of Building No of persons
rixtures (Sd 5I
Flow (min.required) I/0 gpd Calculated design flow SSo X 1. 5 Design flow provided ga•f gpd
late 7/7/63 Number of sheets / Rrsisioi Date AMA
Sep-lic An-FD. Money- ✓al/e frbdoc4 'Cr. 1-�uMaNi4u
/don of Sou(s) Sand_ CAM'S pp J
Z( (If h49 Name of Soil Evaluator 0/. (reel Date of Es/titration 6(I'1/azIO/
Lot Size 35; g?o sq. re
Garbage grinder
Showers ( ),Cafeteria ( )
dilator Form No. if
IPTION OF REPAIRS OR ALTERATIONS
dersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Date
ions Yoji
9- o3
Mon of Work:
COMMONWEALTH ,OAF MASSACHUSETTS
Board of Hraleh,�t'rtarit i MA.
CERTIFII_AIE OF COMPLIANCE
❑Individual Component(s) ❑Complete System
rsigned here, certify that heSeewage Dis s osa4 Syst -. Co, rrt ted Repae ( J,Ups e
1 . e phi
/ �7 / ' t a 1. i' iii` . Gvdl/
r
in msalle in acco:daince with the pm su s of 810 CMR 00 (Tide o) and the approved design plans/ao-bt ilt plans relating m
Mon dated %�B.oJ�tkilov d- (gpd)
ek Inspector.
FEE /6/G
d O,Abandc
dO
,uance of this permit shall not be construed as a guarantee that the
em will function as designed.
/ //,
COMNONWLALTll Of MASS,\CHUSLTT
Board of Health :t(%.: 111/i sjj!?:T:l;MA.
DISPOSAL SYSTEM CONSTRE CTION I'GP iTT
ssion is hereby granted to; Construct(;',.,...)'./Repair( ) -:upgrade( ) Abandon( )an indisidnal sewage disposal system
f
%' ( /y� as described in the, plicntiou for
al System Construction Permit Nb dated'. 80et o uc 0/
led: Construction shall be completed within three years of the date of this peinpr All local conditions must be met.
Date •(Board ofHealth
COMMONWEALTH OF MASSACHUSETTS
Board ufHealth, /�Jrlh0.(11�?0 A A1A,
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
icarion or a Permit to Consvoct(}.I Repair( ) Upgrade( ) Abandon( ) - omplete System O Individual Compo eras
canon
Lof Ffd _ c f%Iam
p/Parcel#
Owner's Name Pioneer 14(4 aLrlorl O
Lof # 66 Lei Wa
laller's Name
ire
ephone
)fBuilding
ng-No of Bedroan
iles:Vence (gaddiq
fvc secCc,M.
(
phone# Ni3. 516). 5'13o
Designer's Name Alan tie(is
Address 3�0 d4 fn4elet£cL
Telephone# (//3 333. q
Lot Si
-Type of Building
No.ofpersons
Fixtures
Flow(ruin.required) //O gpd Calculated design flow Sib R /• 5
Date 7/7/6, Design Bo
V( Number of sheets Revision Dare
cco-bc Plan At- Mon'erVallen/ ab
>don of Soils)
Strict--% C14rS2 `a 0. Adl�f eel
aluaror Form No. i{f( i tl /d) Name of Soil Evaluator /0, eel •l
(Sol5J
IPTION OF REPAIRS OR ALTERATIONS
lleriot.JtyIA
X35 t90
c
Garbage gri ndes
owers ( ),Caf fr44( )
C_ Er-
Date of Et aluador
670 dd0/
iersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Date
ans