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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