Misc. Lots Applications & Pemits THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF_.
FEE .i r 0.0
)pptirutinn for Uinpusat 3hurks Cnunstrurtiun hermit
Application is hereby made for a Permit to Construct ( ) or Repair (r ) an ludi 'dual Sewage Disposal
System at: s
Loeatio
Instalw
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building No. of person
Other fixtures -
Design Flow gallons per person per day. Total d
Septic rank—Liquid capacity gallons Length Width
Dis osal Trench—No. Width Total Length
or Lot No.
Address
Address
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
Showers ( ) — Cafeteria ( )
flow gallon-.
Diameter Del ell
Total leaching area sq. it
Total leaching :u-e-i sq. It
Seepage Pit No Diameter Depth below inlet
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by
Test Pit No. I minutes per inch
Test Pit No. 2 minutes per inch
Description of Soil
Date
Depth of Test Pit Depth to ground water
Depth of Test Pit Depth to ground water
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescrihed Individual Sewage Disposal System in accordance with
the provisions of Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued e board /e...e
Signed_ .!/55 l.ye*
filar-t if Xs'
Application Approved By
r
Application Disapproved for the following reasons:.-.. _ _.. -
Permit No
7SDate
Issued..- �Sl./f` —
Date
by
ors
LSOAWD CrtEALTH
OF
Otrrtifirtttr of kinmpliunrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
Installer
at
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Piipnmtt1 llfnrko inanstrurtinn Hermit
FEE
Permission is hereby granted
to Construct ( ) or Repair ( ) an Individual Sewage Disppsal System
at No
Street
as shown on the application for Disposal Works Construction Permit No Dated
Board of Health
DATE
FORM 125 5 HOBBS & WARREN, INC_ PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF S)Ctka
Igiplirati flispn al s�Qtnustrurtinn Permit
Firs./J n
Application is hereby made for a Permit to Construct (1/C or Repair ( ) an Indie idual Sewage Disposal
System at:
eiI
OW;
tustaller Address
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 gallons
Design Flow )),,�— gallons per person per day. Total daily flow
Septic Tank—Liquid capacit,/.+-Dctgallons Length Width Diameter Depth
Disposal Trench--No Width Total Length Total leaching area...)Q.Q..Q..sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. 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
Oa°
or Lot No.
Address
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 TITS. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been i ,[red by the board of health.
Signed L ,�
" ,� e�'L ZY
Application Approved By ..." ' -�? . oats
Application Disapproved for the following reasons
Permit No .L C
Date
.F..�..9.7-J.
by
at
has been installed in accordance with the provisions of TITI.?. 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No at
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
"COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Trrtifirtttt of Tomplittntt
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
Installer
No
flispos$l
Permission iybereby granted i
to Construct (V ) or Repair ( ) an Individual Sewage Disposal System
;k
arks Tonstrnrtion Permit
Fez.
at No .S-.....::.:... .. .:.,.t... Street
as shown on the application for Disposal Works Construction Permit No
Dated
Board of Health
DATE
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
—
THE COMMONWEALTH OF MASSACHUSETTS
qv
BOARD OF H EEALTH
.t.y� f i2tifL77
3pplirntirm farIlispnsal
Harks Qtnnstrurtinn Permit
Application is hereby made for a Permit to Construct (14r Repair ( ) an Individual Sewage Disposal
System at
wn
Installer
Type of Building Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
Dwelling of Bedrooms P
Ottheher—T Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures gallons
Design Flow // x gallons per person per day. Total daily flow
Septic Tank—Liquid capacitte.a.gallons Length Width Diameter Depth
Disposal Trench—No. Width Total Length Total leaching area_$.e...d...sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area Jsq.. ft.
Other Distribution box ( ) Dosing tank ( ) L
- /e v/+fT' -Q`t.
Percolation Test Results Performed by Date �l
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
or Lot Na
Address
Address
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 further agr es not to place the system in
operation until a Certificate of Compliance has be issuep ed by the boar of'�e'@ltlr
Si ed_f.. -.. ... —.
Application Approved By
Application Disapproved for the following reasons
Date
Permit No _53/6 Issued....Ct
7 ) 97
b
OF • - CHUSETTS
BOARD OF HEALTH
OF
hlrrtifiratr of &Qmnpliatur
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
Installer
at
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No .+` dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
la
No J �Jr t.� `.
iisposttl arks Qtons$rurtion ilrrmit
FEE,!.._e._.....1
Permission is4ereby granted
to Construct ') or Repair ( ) an Individual Sewage Disposal l System
at No y r....-.:_.,.__:U * .i
Street
as shown on the application for Disposal Works Construction Permit No. .,Dated
Board of Health
DATE
FORM 1255 HOSES & WARREN, INC.. PUBLISHERS
0
THE COMMONWEALTH OF MASSACHUSETTS
FEE
BOARD OF HEALTH
TOMJiJ OF LVDLTNANPWt-I . . ..
Application for 3hipuial 'e urlts Tunotrnrtion lJermit
Application is hereby made for a Permit to Construct (/) or Repair ( ) an Individual Sewage Disposal
iystem at: �, L r2,{g� ACeeS-
*turELib 6ruesmAMPTh$ PAP) t visit,
Locatlov.Address - ur
c.�.a �atll�
A�A._G ye2Ri aver �q fryWl Haar /hobo
gddro.
t,�.�an<r Size Lot Sq. feet
Type of Building 4 Expansion Attic ( ) Gar ge Grinder (✓1
Dwelling——No. of Bedrooms 8 Showers ( Cafeteria ( )
Other—Type of Buildwgs"MI6LE FAMILY.. No. of persons
Other fi sLi gallons.
Design Flow gallons per person per flay. Total da y1ffow 64„
�6OPgallons Len h./76 Width 6r) Diameter Depth.(
64:-.1.l Tr nc Liquid capacity.. Total Length Total leaching area sq. ft.
Disposal Pit No Width t g Z Total leaching area 64$ sq. ft.
Seepage Pit No 2 Diameter I3'xifP Depth below inlet g
Other Distribution box ( in Dosing tank ( )
Percolation Test Result M..kA
Performed by. J tNE/ . 0C irl Date
_.5_ 14—�/i-
p+
per<•Test Pit No. 1 minutes per inch Depth of Test Pit a Depth to ground water.. *
Test Pit No. 2 minutes per inch Depth of Test Pit B 7 Depth to ground water..._.Y.f.s'..._..._
Description of Soil IB, �l y mu.
t&-&4-' SANbv & AVEL
Nature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
Agreement
the system nsoperation lunti a 5 of the State Environmental Code—Certificate of Compliance has been issued by undersigned
further not to place the
Signed - "---
Application Approved By
Application Disapproved for the following reasons:
Permit No
Issued -
rnm
arm
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
T7Db OF NorrHt4MPTh
Certificate of Compliance
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by
has been installed in accordance with the provisions of TITLE 5 of The State Environments at
Code as described in
the application for Disposal Works Construction Permit No. dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
In ctor
0
FEB
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOt•hi OF IJORD-IANIP20
Appliratinu fur flinpnsal 3hnrizs (nunnirnriinn j rrmit
Application is hereby made for a Permit to Construct (/) or Repair ( ) an Individual Sewage Disposal
System at:
__.Rov'E 4.3 (WESSWFMPTet1 PAD)
Location.Address
AbA 6-, MERRlrr
Owner
tar ND. L (2.483 AC-12e5)
t.,
Installer Size Lot S4 feet
Type of Dwelling Building 9. Expansion Attic ( ) Gar ge Grinder (v 1
Otheri—T No. of Bedrooms �o Showers ( — Cafeteria ( )
Other—Type of Buildiug5AJ6GE FAMiIY... No. of persons
Other fixtyrses
Design Flow DO
Septic Tank—Liquid capacity.
Disposal Trench—No.
Seepage Pit No /Di
Other Distribution box ( ✓)
Percolation Test Result;
Peet.Test Pit No. 1 Y
Test Pit No. 2
440
gallons.
gallons per person per day. Total dmlyr flow Depth_6+
' r �nD Diameter
(OO gallons Length 126 Width
Width........�_..__. Total Length Total leaching area sq. ft.
Z Total leaching area 64 ---.sq. ft.
ameter �3 x�(y Depth below inlet
Dosing tank ( ) J S-is- g-
Performed by l'.'1af-AVt E`NE"})-, geci- �� Date
minutes per inch Depth of Test Pit A SG 6t Depth to ground water .tC)..._
butes per inch Depth of Test Pit 3 7 Depth to ground water 1%ti
Description of Soil 04 -trs0iL
cp-ISS UMW/ T1k5.
(6-84-" SANDY 69,MEL.
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedeeurri I Individual de The underrsi Ded further[agrees not accordance
place the
iss
the provisions of TITLE 5 of the State Environ
system in operation until a Certificate of Compli.
Application Approved By ..
Application Disapproved for the followi
by the board of health.
al cuvxtaf 9C
r era_ mg, N-P.R-rte
g
Permit No.
—qs
easo
Issued
Date
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-TOON OF iq.niAtArrbt4
Certificate of Compliance
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by
at
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF Nit 4.MPTD
No OF FEE 9
niSP11041 orkri Tuttotrurtion Permit
Permission is hereby granted Alci,A to Construct Construct ) or Repair ( ) an Individual Sewage Disposal System
at No./LSn0 Street
as shown on the application for Disposal Winks Construction Permit No Dated
-
,1,A03
I DATE al ;) 917 -7-2,tLi--! )47: ' •
-m 1255 ElfrIND Hoses&WARIIEN nA Publishers
Feu
AMONWEALTH OF MASSACHUSETTS
.BARD OF HEALTH
OF ...AC'11714 IY1.plc is _.
/oration -for Di$pusal Marko gutlutrurtintt lierntit
Atoiro
wtfon is hereby made for a Permit to Construct ( y) or Repair ( ) all I ndie Alai Sae':gt
i' d.:LLr`1UFic
) R C
lr( f Systan at:
....i :..LCLL...._4c. M 7.A r 1_{41�t/ _ A
.Y.C_- 11iti
nelca. _ M ,czl or Lot .
Owner
mH,.,., . "P Sq. feet
Installer Size Lot i 1
Type of Building Garbage Grinder ( /) yc5
Dwelling—No.of Bedrooms 3 F.xiii Attic ( ) - Cafeteria ( )No. ot
Other Pe of I wild lug
Ogler fixtures
- -- - ' - J4 r -gallon
Design Float/ Sc I•a 5cl gallons per person per clay'. Total daily (low
Septic ank Liquid c p;nt Ilon Length With 11 I)inctc Dld &{i
e.164- Ft 4 .(' Width YE Total .�/ J/j.sq I
.
Seepage Pit No Dia meter Depth belo w inlet Total leaching :WM -' II
Other Distribution box ( ) Dosing tank ( ) n Uatc_:J� l 3_-
s Lt.... i"4[ L.. e ----.
Percolation Test Results Performed by Depth wider /lC!rc__.
Test 1'it No. 1 i- minutes per inch Depth of st Pit %C-� Depth to ground water_
Test Yit No. 2 minutes per inch Depth of "let Pit .-- .
Description of Soo C_-C t i Se. ! C S._ LCC.S 41''' .2.C..: su.t) s 1L -! C ,
i 4`[s . t.L.t t(. 4L-- 4 t4eLt.'-C__ I_e / ._7 qr� it. 'f 1=r-ie 1.:fi
Nature of Repairs or Alterati Answer i. .,1 L �r.applicable
_i LL `FLG 1. A/ % ) :Lr ). ...4„,....,"„....0.
tlle - (t. t.,,. w{il «L. 44.. CC'S .-It!, 7' %. .et ,e :7) .
r\yreThen[ 1 Disposal 1
The undersigned agrees t'. install the aforedescrihed Ltdicid Individual Sewage System in tcc rd nee with
the provision, of Article NI 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
�N-OP ki
/,�`�?� S
/ !ALES J. C.C.
HUBLER
0 20623
q tp 2:'
?A4f,s STEP �•�
".�s?to�nnt.E
Application Approved By
Application Disapproved for the following reasons'
u„c
lade
by
Permit N
Issued trait
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF _..._._..._ _.
(Qertifirate of Ulumplitture
THIS IS TO CEh TI[}', That the Individual Sewage Disposal System constructed ( 1 or Repaired
at
illed in accordance with the provisions of Article NI of 1 lie State Saanitar_ Code as desrl ibed in the
-:aiun !or Disposal Works Construction Permit No. ate
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DAT 17 nspector
No A.3 Oa
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
eti OF Pi-T-4
Applirntinn far fiitpnnttl n (>inuntruriinn Penult
Application is hereby•made for a Permit to Construct ( ) or Repair ( ) an Individnal Sewage Disposal
System at:
o
Installer 7 near„
Type of BuildirN Size Lot Sq. feet
Dwelling—No. of Bedrooms -3 Expansion Attic ( ) Garbage Grinder (J./C.
Other—T ,pe of Building No of persons Showers ( ) -- Cafeteria ( )
Other fxtures
Deign Plow t g gall o a per person pc day. Total drily flow 36Q_gallon.
Setif Call: Liquid capncitia Eck gallons Length AFidtl Diameter Dy.dN
Disposal Trench—No. Width Total Length Total leaching arrt _ ¢I. It.
Seepage Pit No ) Diameter Depth below inlet . "Total leaching arc- wl. ft
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by 1)ate _ .
Test Pit No. I minutes pc inch Depth of Test fit Depth to ground watt--
Test Pit No. 2 ninutes per inch Depth of Test PiL_aalf Depth to ground w r-741-¢P._.
y
or Let
Address
Description of Soil
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accnrdance with
the provisions of Article N 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 healt .
Si ned j.._Jl/ �' ' �t�nr �v-Sit--
Application Approved By (/!'ii- /�• 'K'Slrem"1 f p�l'�ai IV 7
UUU I nay
Application Disapproved for the following reasons'
pli:;c7
Permit No 716.d Issued ` �_._l./_7F
Date
-- --- -- '" THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF.
glrrtifiratr of fltumplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
at
application for Disposal Works Construction Permit No dated
SHE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
Installer
DATE
Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
l3inpumal ifiurkn Lunntrurtimtrrmit
n
Permission is ereby granted
an individual Sew Disposal System
to Construct kit. Sewage
.„Disposal
Repair ( ,)
FEEJ.+ r/
y
at No r Dated s-..�F-., i �' I�
as shown on the application for Disposal Works Construction Permit No 1
Boo rd of Health
DATE
FORM 1255 HOBS5 & WARREN. INC.. PUBLISHERS
Street
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
City OF Northampton,__ ,_
liratinn for Disposal Ulurks CIunstrurtion j1rrmit
FEE
pplication is hereby made for a Permit to Construct (}C) or Repair ( ) an Individual Sewage Disposal
stem at Road Lot 4
Westhampton
Location.Address
James Boyle
or Lot No.
Address
Owner
1. 736 acres
Installer Size Lot -Streeel
'ype of Building 3 Expansion Attic ( ) Garbage Grinder (X)
Dwelling— No. of Bedrooms No. of persons Showers ( ) — Cafeteria ( )
Other—Type of Building
Other fixtures
gallons.
)esign Flow 55 gallons per person per day. Total daily flow 3.3I17GL...S.=. lle tl
Septic Tank 9ta}Liquid capac1y.l.rj..QWidthns Length
Width Diameter � cipy 5 ,-ft4Pd
Disposal tywra1cA—No. 1 Width �...9 � Total Length_.12..5 ' Total leachin
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Pero Distribution box ( )
Dosing tank ( ) Date 4.-23x..24
Percolation Test Results Performed r inch Depth t._of Test des
Test Pit No. 1 2..!)_minutes per inch De of Test Pit LO ` Depth
th to ground water
wnter _None
Depth
Pit No. 2 minutes per inch Depth of Test Pit p g "
7" loam 113" sand
Description of Soil
Nature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescrihed Individual Sewage Disposal System in accordance with
Agreement
[he provisions of 7.1115) 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 wait
Signed._ . . . ..
7r
Application Approved By
Application Disapproved for the following reasons
Date
Date
Date
by
Permit No
Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
//�� //��
alertifitatt Df vilnnplinnr¢ aired
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
Installer
at
has been installed in accordance with the provisions of TIT IL
application for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT
SYSTEM WILL FUNCTION SATISFACTORY.
LATE
5 of The State Sanitary Code as described in the
dated.
SE CONSTRUED AS A GUARANTEE THAT THE
Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
, City OF Northampton
k1 t finnan for Bispnsttl mortis Cnunstrurtiun iermit
pplication is hereby made for a Permit to Construct ()C) or Repair ( ) an Individual Sewage Disposal
Lot 4
rstem at:
Westhampton Road
Location•Address
James Boyle
or Lot No
/ i^^'
$eeT
'ype of Building 3 Expansion Attic ( ) Garbage Grinder (X)
Dwelling—No. of Bedrooms Showers ( ) — Cafeteria ( )
Other—Type of Building No. of persons
Other 5 fixtures
gallons.
Design Flow gallons per person per day. Total daily flow Diameter ..5 Depth
Width Diameter t
{ Tank Liquid capacftv.l S.QWidthns .4' l Length 12 5 ' Total leaching
Address 1. 736 acres
Ins Size Lot
ci y 5%„�'ft4pd
Septic ir No. 1 Width.._..fj_... ._.Total ... sq. ft.
Disposal Pit No Diameter Depth below inlet Total leaching area
Other Distribution No Dosing tank ( )
Percolation atiotnTest box ( ) Date 4-2.3=7.1
Percolation Test Results Performed r inby ch Depth t_.of Test Pit Test Pit No. I _2. 0_.minutes per inch De of "Pest Pit.__Lll' Depth
to ground wa[er. .None
Test Pit No. 2 minutes per inch Depth of Test Pit Depth
of Soil 7" loam 113" sand
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The ions ofiTIT agrees to install the
State Sanitary eCode—The undersigned fu e r Disposal r gre s System in
accordance
system in
the provisions of m»
operation until a Certificate of Compliance'd been i ed by-i1C-'A
e:..ned... 20 .. !
34F/�J1
Date
Application Approved By
Application Disapproved for the following reasons'
Permit No._._._.
Date
Issued 3a k %isX
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF Th,A,v/ece;----r-tr--..
gridiron, Otomplianre
THIS IS TO That the Indityl:iage Disposal System constructed (yet-II Repaired ( )
by.................... . .
application for Disposal Works Construction Permit No. dated f/4
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GUT ANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE–........ Sib 111/7>" Inspector..........
THE COMMONWEALTH OF MASSACHUSETTS
_j_ BOARD\ OF HEALTH 74_
.. OF
. tytgALt-- gler
has been been installed in accordance with the provisions of TITUS 5 of he State Sanitary Code as cl7red in the
at----------------------
No—..................
Permission is hereby ranted.......... ..... Ei c ici
. . ., is?
to Construct OCi)pr .ev9.ir ( ) an Indieirleal Sepage Dispoel Syle(._
at No.............................T...........................::::.......:......T.'......:it..... .. . ................................................... ....,.
Street j ,c,.)..._ /.3.ft t )_
as shown on the application for Disposal Works Construction Dati#7
–1/6,7,„ _ Board of Health
DATE........... ..............................................................
FORM I 255 HOBBS & WARREN. INC.. PUBLISHERS
Eliopoop). Toinotrpficlogginff
FEE
.2
4 /9"fifW19
Oh=n / sG-E2-5
vw void N
i vc_1-du pll1 c -
f e 7 s✓oq v
t� i�ao�5 /9 11
poi ti��f�u�S a/°f5 ay1
Jo! j odc/Q .2_/1 J�a o a� of ?/ g 9 ;`
k,Pi/ �nc U„1oC/s void
I
a s nod-(
C
oz
9 tli z/fi5
y -lid dspd I
a
X09
i l J,B! I ', I,
(Zx la/ Li
a � d"0
II 1)c\i
■ S �z fo1 77 t
9 (17 ,7_
i
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ary oF_ _ ri/2atYlp{av!_ _
Application -fur Uispusttl Works Cnunstrurtinn lfernti
Permit to Construct (X )
or Repair ( ) an Individual Sewage Disposal
.5
tut hn.
q._eiilich.Aves ail amc_fe .. A?. .......
Address
Fe
MILES' I
HUBLEB
20623.
f�QIS1E
\IONALk
Application is hereby made for a
rstem at:
K'esihnmaicn eaa4
k' lei f ,€._iticsle Address
Owner
Installer
'ype of Building '3 Expansion A
Dwelling—No. of Bedrooms_—- No. of ens
Other—Typ
e of Building - pee
Other fixtures
)t�-5� gallons per person per day. Total daily
Septic Flow Width -
..Mons Length I.
Septic
spo 'Lmk—Lign+ c.E a -- Width Total length—
Seepage Peens°�' Fl�'iameer`dth_- Depth below inlet
Seepage Pit No Diameter p
Dosing ink. )� .�d.4�'�AA ��
Percolation Distribution bee ( ) i
Perc
Address
Size Lot/be..3..____Sq, feet BS
c ( ) Garbage Grinder (� Y
Showers ( ) — Cafeteria ( )
flow .0 gallons.
Diameter Depth__-�jd4
-Total leaching arcr_.-2 sq. ft.
Total leaching area sq. lt.
r is -
Date_ S23-13-_._- ...
-
Performed utes r inch
elation Test Results
Depth to ground water O
1
Test Pit No. 1 minutes per inch Depth of hest Pit ' —'— Depth to ground water—
Test Pit No. 2
minutes per inch Depth of Test Pit P
' aI SW._harc
Description of Soil 04 a {4f?-.SA L7
[I_. I IGa-'�< -
�
6 " Z c n
s
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual
mderai Sea fgetlDi Disposal
n tem in ace system m
the provisions of Article NI of the State Sanitary Code—
operation until a Certificate of Compliance has been issued by the board of health.
Signed Date
Application Approved By
Dale
Application Disapproved for the following reasons'
Date
Permit No
Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD Zierh hi
Applirutinn-fn Buspu a111nrkn Qnn,truriinu )rruiit
is hereby'rnade for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Application
ystem at: Q
pie/3( oe
7314
Idr= .
or Lot No.
Address
tvc.r l`Ld.._TZity" Addeo.
r to:teu� Size Lot Sq. feet
y l>e of Bull ug _ Garbage Grinder 3 Rspansion Attic ( ) _ Cafeteria ( )
Dwelling—No. of Bcdingnts__ No. of person, - Showers ( ) -
Other—T7 Type of Building.di ig
Other fixtures AQrI $:dlon
Design Flow d c galls - per person per day. Total clail flow De -h
Width th Diameter'Septic Trench nch— N a,amt Q_Width Length Total leachn t, era sq. it.
VA"idtli Tut II ngth
Disposal pa Pit No =�O Diameter - Depth below inlet Total leach i „ rri - sq. f'.
Other Distribution No Dosing tank ( )
Per cr ati Test box ( ) Date
Percolation Tt Pit N Results inPerformed r inch -- - Depth to ground w.u-- —
Test Pit No. 1 ( mutes per inch Depth of Pest Pit r P
Test Pit 50. 2 minutes per inch Depth of Pest PiLJr:._d Depth to ground eater &Q-e
Description of Soil
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforcdescribed Individual Sewage ge Disposal System in accordance with
provisions of Article NI of the State Sanitary Code e-1 The undersigned further agrees not to place t'the system in in
/;,vl_,) 1 tf77
operation until a Certificate of Compliance has been issu by the boar( of ea _J
Si ned 1,,,,, u «
Application Approved 73 V
Application Disapproved for the following reasons
nprr
/ R- Issued___ 14 -'e- 021 jail?9.��
Permit No
JJ o,e
BOARD OF HEALTH
...,_ __._...._.._ ___,
f2ertlflratr of fQnmplitmrr or Repaired ( )
That the Individual Sewage Disposal System constructed ( ) _ -
THIS IS TO CERTIFY, - - ---- - - "-
t ._. _ ._. __ Sanitary the
dated
a been installed d m accordance with The provisions of 9rt¢le XI of The State Code as described in
application for Disposal Works Construction Petmit No-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
_..__._. Inspector.. .__ .___. __._..__._._._._.___._..
DATE SYSTEM WILL FUNCTION SATISFACTORY.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
L_i,...I .. Win/ . _._ ..__.
ligpi,6tl1 Wurk5 trvDnitrtitiiftt4.gpermif............. ................................
. ._.___ - _ -.._._.___..
granted o al System
Permission
nstrU r: ( is reby g e Disposal( r Repair ( an,Tndry ulval ew'rg
to Construct iii_ (a'f sn<
! _ Dated -
at ho __-
L
as shown on the application for Disposal Works Construction Permit
B� t Health-.
n I
FE
. ._ ._, ._.._._._..__._.
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
AISSINSIIIIMOSISMI
' Faa. .?3.pA�t„ of y4S
No
THE COMMONWEALTH OF MASSACHUSETTS e F MIUBSER
BOARD 'OF HEALTH
20623
Gdy OF _ _d4riltamp Alf) '.t4 tSTEP�c
Appliratiutt far Bi0pu5a1 Thurko (7T,uut tructtuti ihrritt Fs ioNe
Application is hereby made for a Permit to Construct (A) or Repair ( ) an Individual Sewage Disposal
System at: 46
/'aaci �7 NA are
f{�.ef/fbtA+nF��cnLe t)on-Addr q_t snc(z_.Ave• cr.£tz4m,ci�
LIQR.er�! -. 1,1-4114
Owner Address Address
Ownu
WAddress
a Installer Size Lot./..531 Q Sq. feet
Pai
Type of Building 3 Expansion Attic ( ) Garbage Grinder ( ✓)
U Dwelling—No. of Bedrooms_.- Showers ( ) — Cafeteria ( )
No. of persons
� Other—Type of Building 3
n. Other fixtures 30 0 allo
Q Se i el-51 gallons per person per day. Total daily flow
g '
W Design Flow Width _- Diameter D,epthth' SD
Mons Length -- Total leaching area_-:d:/r� sq. ft
p' Septic lTaancLiquid._Etcv ga 2l' .
W U, __ Total Length - t
F'[_e(iame Width_._./-rX�- Total leaching area sq. i
Disposal �`°"'- Diameter Depth below inlet
?z Other Distribution Pit No Dosing tank ( ) �/ 3 -
,z Percolation atiotriTest box ( ) � /} �� Date s'2 7 3
_ Performed by m-(��e -1_II.LM-�+'- t
Perwlest it Test .Results y_— Depth to ground water_ ID
"1 Test Pit No. 1 minutes per inch Depth o Test Pit Depth Del th to ground water
"� minutes per inch Depth of Test Pit P
� Test Pit No. 2 P
O Description of Soil_-Q-fel' {cp__.Sat/ at:_..Jc.assi [0":-4‘7.tr -&1.hey.-Srr.nd Sfl--.lobs eI
ilz" 4e__7.C!-'__.54114 Sill_itase.
w
UNature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance wi
the provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system
operation until a Certificate of Compliance has been issued by the board of health.
Signed Date
Date Application Approved By
Application Disapproved for the following reasons' Hate
Issued Date
Permit No
Cr 4
id1 .7nL '� , Al
S
, 07 =„/ L-EZ �l
Pa dlct-'y f Sa/J 9 u j07
Ioj /nsodsIp c) 40(12,Q5
h,af7us bU,mQys Lavd
wolf#) ///ads 1_9- 7X
ap12 kwj;utos a FPf5 a Ni,
'p311 ay cy. J?JOM hp'
CVQGY /v'c1citWb'f1_i s3/yl
t:1--\-.
2
11\ 13
n.
i 'IX 'i is
p/a& / sods/G 0_ a ",0z.
1.00
l ga
od \\\1 \
. \
�a���� ��
)
.\
LTA /°7 _ `I 72
( _ __�� ° 7
1
l __
0521
vl ,•2
I
1
i
THE COMMONWEALTH OF MASSACHUSETTS
.{—BOARDa OF HEALTH
Ot l (\ _.... OF /__ GT iiril�ll..
Application .fur Uiupuial 3i1urks (hnn5trnrtinn 43rrntii
Application is hereby made for a Permit to Construct (✓ ) or Repair ( ) an Individual Sewage Disposal
Y
)4" #1;
FEE.!,J.L C_
stein at:
or Lot No.
Lar,ao d
fl!�i!ct y Address.
Address
uca Size Lot Sq.�f�ee/t
Cype of Building Expansion Attic ( ) Garbage Grinder �1
Dwelling Type of Bedrooms_ - Showers ( ) — Cafeteria ( )
No. of 1 c -ona
Othet—Type of Building —
Other fixtures -- .Q Q _gallon.
—CO gallons per person per day. Total daily flow
Depth
Septic Flow Width _-- Diameter // I'
�a51gallons Length Total leaching arc. CF--C—G s4 ft.
Septic Tank—ench—virl enyac b Width_ -(-' Total I.ength_RC/
Disposal Pit No—No. Diameter Depth below inlet Total leaching area -- .sq. it
Other Distribution Pit No Dosing tank ( )
Other Distribution box (♦� Date 71
Test by____. ground water
Test Results Depth to a
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 p
Description of Soil
Nature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Agreement:
Individual
ivdnslgSed age Disposal pos l System in place cor system
the provisions of Article XI of the State Sanitary Code—
The
operation until a Certificate of Compliance has be issued y t he board of health. V �� �/
Sig9ctild ,�[/� /��.., l J'+?�;l_fz/"
"11i't t_I/_US-il tint. -. Daro
Application Approved By '�i - J
Application Disapproved for the following reasons
Permit No. Y.2
Date
Issued__'Ay C1/:- '2- /2./%
THE MONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Trrtifirtttr of Tam}tliatnrr
( )
Repaired
THIS IS TO CERTIFY, That the Indicrdval Sewage Disposal System constructed or Repaired
,,,taller
rap been
with the provisions of Article XI of The State Sanitary Code as described in the
application
THE I SATISFACTORY.
installed in accordance -
THE for
ISSUANCE Works THIS CERTIFICATE ATE S No_-- . BE C
SSUANCE OF THIS CERTl FtCATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTIONS '
Inspector....____..__.___
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
FEE
▪ .._......_
-
")
No '
• 4- :2- OF
nittpo0ttin}hnrktt TW tttrurttnn 1rrmtt
�LL
Permissron,yr„erehy granted - -
1 ) ,( ,,,�Vis osal System
to Constrpyty( � )4a F2epavy�. aIndtvtdute TY3N�� p
� � 'f
Strcet /
- rS . .._. ... ra /
at Noon application '''' ern.q No / .{__� Dated
as shown on the application for Disposal \Vo?ks Construction P
DATE.-./- le lq 7y
FORM 1255 HOBBS eo WARP EN. INC.. PUBLISHERS
Board of Health t)
0
FEN
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
jawn1 OF Notn44Mf rr»
Application for olork�o Tonntrnrtion ljermit
Application is hereby made for a Permit to Construct ( ✓) or Repair ( ) an Individual Sewage Disposal
system at:
wk511-te4Gtt rbri ROAD
Loran
.1f)A. G. M&R9ITT
Owner
car wet) C .z94 /jrfet:5)
LotN
c/O My. -John ..:H0k4.¢✓dl
3.4. natl 21e.e. Addre cfibnp Alli 42.040 Addr
Size Lot Sq. feet
Type of Dwelling Building 3 Expansion Attic ( ) Garbage Grinder (4
Otheri—T No. of Bedrooms (p Showers 0/1 — Cafeteria ( )
Other—Type of Building,St/�/bbl.E FAHLLi No. of persons
Other fixtures
330 ns
Design Flow gallons per person per day. Total dailx flow Depth gallons Length /7:0 Width_a Diameter P
Dispo Tank nc Liquid capacity.i.�l Width s Total Length Total leaching area sq. ft.
Disposal Preach-5o
Seepage Pit No 3 Diameter_i3s_x IC Depth below inlet 2 Total leaching area 972 sq. ft.
Other Distribution box (11 Dosing tank ( ) McERUMr1 Date 5--I9-it
Percolation Test Results Performed by LCV1ErNl=� �r
9b Depth to ground water �t �t
Qe«,Test Pit No. I LZ minutes per inch Depth of Test Pit A 0&� Depth to ground water
Test Pit No. 2 minutes per inch Depth oft ? Pit G X08' Depth ground LI
Installer
Description of Soil el-4: (.ohnv TILL
1$- 1-...mow-attt
Nature of Repairs or Alterations—Answer when applicabl
Agreement'.
The undersigned agrees to install the aforedescribed Indiv dual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environ .t Ct•: —The undersigned further agrees not to place the
.:-• i tie. • 'the b&rd of health.
system in operation until a Certificate ofgComplianc-1=—' � % g, h r 21 {AkeU/ q-/C
Si nedar c, t>{vf r,.-rnr'iAt ! i gin—
Application Approved By
Application Disapproved for the following reason
Permit No.
Issued
tare
Dace
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
wnl or NORIHAMPiad__
Certificate of Iampliattce
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by
h _ i
has been installed in accordance with the provisions of TITLE 5 of The State Environdaredal Code as described in
the application for Disposal Works Construction Permit No.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. Inspector
DATE -- - -
THE COMMONWEALTH OF MASSACHUSETTS /(p
t ;P AS
BOARD OF HEALTH uv
No .. . .
1�OW/4 oF' ._Meti!N 4MPTCt.1. FPZ....�
33ispnsa n rrmit
�rks �I ns
F
Permissio is hereby granted....-_.. ..-.'..._-_. ._..I .:—.P
to Construct ((A) o( R t ( ) an Inc'jvidual Scryage Disposal System
.._.Wh1.Qs`Yt jl /..=-.'L1
at shown the L st7 e.S- Date ...-_.
as shown on the application for Dispo9al Works Construction Per � - � 5 S
DATE..-....._ �y[ C
Form 1255 CHOW) HOBBS&WARRENS Publishers
No Fizz
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�wIJ or Biel Hiff4 1!!f l
Appliratian far Bib-pliant lark�s C�anstrnrtian Permit
Application is hereby made for a Permit to Construct ( ✓) or Repair ( ) an Individual Sewage Disposal
system at: CAT 1..+0.3 CF.7-91± /tiQ?ES�
N1.k5Y!Nh!Qr°"' RoAb ct No.
•••••• _•
Location,Add mss
Glk- {_:Tahn....15-.gPla.(dd+:c(� mHG1
.. /.FDA G. MRg ITT
owner
Address
a lint eller Size Lot Sq. fee
nType of Building 3 Expansion Attic ( ) Garbage Grinder (✓
V., DwellingType of Bedrooms (0 showers (� ) — Cafeteria
`y Other—Type of Building SON6LE FAHILy No. of persons
G Other fixtures 330 gallon
Design Flow 56 gallons per person per day. Total dail flow
W W Septic Tank—Liquid capacity./500 gallons Length /24/1 Width_yk Diameter Depth
44J"x Dispo sal Trends--N o. Wi dth Total Length Total leaching area sq.
I
Seepage Pit No 3 /Diameter 13#x IA''.. Depth below inlet 7. Total leaching area 972 sq. t
Other Distribution box ( ✓) Dosing tank ( ) 5"I9-74"
z Performed 16N#/MCERIAS Date
Percolation Test Results byh{r.Depth 96' Depth to ground water ry,7r
.7
.] Qerc.Test Pit No. 1 12- per inch De th of Test Pit alt Depth to ground water
y, Test Pit No. 2 minutes per inch Depth of Test Pitt too„ Depth g brY
0 o-6" - Pea)Ll-
Description of Soil_
�-If5 IFRNv ntL
PI 1$- tafgit SANRY...6gA•i
UNature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance wit
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place rh
system in operation until a Certificate of Compliance has been issued by the board of health.
Signed
Application Approved By - . Dee
Application Disapproved for the following reasons
P..
Permit No. Issued
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-tDWtJ OF NoittRieitaisi
Certificate of Compliance
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by at
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as describe,
the application for Disposal Works Construction Permit No.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT 1
SYSTEM WILL FUNCTION SATISFACTORY.
No FRE
THE COMMONWEALTH OF MASSACHUSETTS '`THI
BOARD OF HEALTH ,:�
? MILE
. //r _. OF i1ll.IA.1nrf./C,I _ .. ... c Hut?
Application for Dis}Insttl 'Works (nouatxurtionJerntt t,9\sr,t5
Application is hereby made for a Permit to Construct ( x) or Repair ( ) an Individual Sewa
System at: _ >f 3 16
fieat(1C/�}QLl kl.GAd
e
twa,,tt Addren .`1 1:'41itG .Nee .astLl.e[ap-Lu_ ..--
6CLlL! F-' /{L2L�r�r. A!Iarcer
llwnrc
A,ldrec
Installer
Size Lot y.3 C.t7._-11 . .._Sq.
Type of Dwelling Building Garbage G-inder I
Expansion Attic ( )
Otelri—Type of uildimm�s Showers ( ) — Cafeteria I
- Other—Type of L'udrling
No. of person.
u Other fixtures _- -
2 "/I C' -gal
�� I •l5 gallons per person per day_ Total duly flow Depth _�
Design pt c Flow Ili mrMr _ _ p
—f, Laic Tank Liquid capalh allons Length Width
/' Total leaching area t "2 -`
Seepage Disposal- n...*t--�+- ° Dianne Width [eS-. Total Length Total leaching area <
Seepage Pit No Diameter Depth below inlet
Other Distribution box ( ) Dosing tank ( )
z —h1•..�r, N.),.(-t :.-.. /1-E Date i i-3_.
Percolation Test lit t Results Performed by ' _ far. th to ground way,: C.C'
Tea I'it .�'o. I $ minutes per inch Depth of lest Pit. 7...C.-. P 6
Depth to ground water.
--
Test Pit No. 2 minutes per inch Depth of Tat lit
— .
Description of Soil L -L.
Jcc Cr /cgs - /r Jy end_ 117 {oas
1 7 42 7C .SLr ln.L1 X11 Fit n7
. - -
Jt .u`e L , Lt 1.� anN 41-4 14 f i -CI CL_ .LA-- '1-. t IL
Nature f IZti .ta s or Alterations Answer when applicahle I 1i.- [/4 7 t It',. /[ i /Il: � / I
(AI
c '- LIB- F.1`H.. .ftuM „Li11<{t i ./ [ et. t- >ke"f [ltY -<
/
Agreement. CLiS � �f j
The undersigned agrees to install the aforedesr d ed I n licich d Sewage I i posal , ) n n c b :met
the provisions of At tide NI of the State Sanitary Code—The undersigned further agrees not to place the syst
operation until a Certificate of Compliance has been issued by the board of health.
Signed - ;fate
Application Approved By Date
Application Disapproved for the following reasons'
. .- .. . -___. Date
Issued..._.._._.__.
Permit No Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
h[rriifirate of (Qor}Ilittnrr
Tins IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( 1 or Repaire
he maauer
at - ..
n. been installed in 'ccord:mre with the p walrus of Article Xl of The State Sanitary Code as describer
application for Disposal Works Construction Permit No --
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE TH.
SYSTEM WILL FUNCTION SATISFACTORY.
Inspector__ — ----
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF _.._� 1 aft4
Appliratinu or fli5pn0a1 1Uarkk onit trnrti0tt lierntit
Application is hereby"made for a Permit to Construct (✓ ) or Repair ( ) an Individual Sewage Disposal
so
nn}ono _mar ._
FEE/.51 G_�.....
ystein at:
type of Building ' .3
Dwelling—No. of Bedrooms__
Other—Type of Building
Other hxtures��
Design Flow
Septic Tank—Liquid capac y.!Q
Disposal Trench—rNo.
Diamete
Seepage Pit No..
Other Distribution box ( )
Percolation Test Results, Perfor
Teat Pit No. 1_. 1U minutes
Test Pit No. 2 minutes
lot No.
eadres,
A"d`°` __ 5 feet
Size Lot -- 9 f��
Garbage Grinder
Expansion Attic ( ) _ Cafeteria ( )
No. of persons Showers ( )
_...,3QQ gallon-
gall[ s per person per day. Total daily flow
_ Dinictr Depth
pitons Length \Fiddh - sq. ir.
g:, Total Length Total leaching "r--�-
GV idth
Depth below inlet 'total leaching area - sq. h..
Dosing tank ( ) Date ---- - _-
med by - -- Depth to ground rr ate- ,�,// ---
per inch Depth of Test Pit t Depth to ground water F/��£''--
per inch Depth of Test Pit �r.f2
Description of Soil
Nature of Repairs or Alterations Answer when applicable
Agreement:
The undersigned agrees to install the afored eseribedl Individual Sewage tgetDisposal System in caccordance nceem in
the anon until of Article NI of the State e as been Code �(
Application Approved By by the board of health.
��:y
P Si a �. jaJ.�...�%A�-�Xa.._� -F darer -977
operation until a Certificate of Compliance has been tsstc t
PP pp V
Application Disapproved for the following reasons:___-.
Permit No
759
oz
Issued..C , 071, 1977
J �o
by
at
has been installed in accordance with the provisions of Article XI of The State S nii d Code as described in the
application for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Trrtifiratr of Trimplianrr area
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( 1 or Repaired (
meatier
)
DATE
Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
lioposttl linrlto (nnsirurtinu Vrrmit
Permission ihereby granted_...
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
, r
at No {__ s<"
F E E ' -
as shown on the application for Disposal Works Construction Permit No -_.art
_. Dated -z.
Board of Health
DATE
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
,1o..G_ Fun./ 5: as g.
.Zs
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Applitntinn fur Disponat Works flrnnstrnrtiun Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an lndit idual Sewage Disposal
System at:
A/ �„
�ue"I- w ne ""'-"�-
Installer Address
Type of Building Size Lot Sq. feet
Dwelling—No. of Bedrooms -3 Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of person Showers ( ) — Cafeteria ( )
Other fixtures - gallon,.
Design Flow d gillors per person per day. Total daily flow g
Septic T::nk—Liquid capacibig251 gallons Length Width Diameter Devil
Disposal Trench— No Width Total Length Total leaching area tlQ0-sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching are t ul. n
Other Distribution box ( ) Dosing tank ( )
Date
Percolation TTest Results minutes Performed by Depth to ground water
Test Pit No. 1 minutes per inch Depth of Test Pit 1 g
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
# Id
or Lot No.
Address
Description of Soil
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the
the provisions of Article XI of the State Sani
operation until a Certificate of Compliance ha
Signe
described Individual Sewage Disposal System in accordance with
ode—The undersigned further agrees not to place the system in
ued by the boa
Application Approved By
Application Disapproved for the following reasons'
D,r_9r/Q7s
D ate
Permit No / 7S
by
at .-r.<-.-- .14
has been installed in accordance with the provisions of Article Xl of The State Sanitary y Code as described in the
application for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
THIS
THE COMMONWEALTH OF MASSACHUSETTS
ARD OF HEALTH
diri- OF tarrtifirafr of atom liantP
Z fl�t�lndrvtdual Sewage Disposal System constructed (�or Repaired
Installer
DATE
No
inspect°
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
3Binpooal Thnrkn U.gnntruttinn 1rrmit
FEE
Permission is .hereby granted • al System
to Construct.( � ) or Repair ( ) an Individual Sewage_Diep4 y
at No stmt
as shown on the application for Disposal Works Construction Permit No Dated
Board of Health
DATE
FORM 1255 HOBOS & WARREN, INC_ PUBLISHERS
......rnwninvywnnve•Priwrimrrersivirrin rrenvirrrrInwr Prey..
THE COMMONWEALTH OF' MASSACHUSETTS
,/ BOARD OFF HEALTH
6 L L1 OF 144-C it41 ix ALI
1pplirtttinn for Oinpndttl 3Slnrks (nnnRtrurtinn Penult
Application is hereby made for a Permit to Construct (I")or Repair ( ) an Lndisidual Sewage Disposal
FEE /. L 4
,stem at: i ,7
1, an � � or Lot
tb- «ac, , 1— },z.,
+sst_o i Adatess
o�e. ? Iti
Calder Size Lot Sq. feet
'ype of Building g Expansion Attic ( ) Garbage Grinder (�
Owdri—Type of Bedrooms 'S Showers ( ) -- Cafeteria ( )
Other—Type of Puilding
No. of persons
Other fixtures __gallon>-
)esign Flow ,.2..A gallons per person per day. Total daily flow lle nh
qq 5 llons Length Width I)iameter_
disposal Tank Trench Liquid capac{tjot- Vi Total leaching area- Q-Q sq. ft.
\4'itlths�-d t Total Length�Q� -
Sie ge Pit No No............... e Depth below inlet Total leaching area sq. It.
Seepage Pit No �� , Diameter 1
Other Distribution box V Dosing tank ( ) Date y
t
Percolation Test Results Performed by -- De th to ground water1.
Test Pit No. I.. minutes per inch Depth of Test Pit Depth to ground water
Test Pit No. 2 minutes per inch Depth of Test Pit Depth
of Soil
Nature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
Agreement
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee ssued by the board of health.
Sid .ie",r"� n
' j (� .. beer-, am,-1.91%
rte:a . ...%1 i_ :,1,g� 1
Application Approved By
Application Disapproved for the following reasons'
Permit No Q2
Date
Issued ,Ch Aits-2-1.._1.7...11 11
-HE OMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..__..._._..._.
OF
Etrtitirate of Tontplianre
That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
THIS IS TO CEPT(F _ - - ---�--
_. – installer
I as been installed in accordance with the provisions of .Article XI of The State Sanitary Code as described
dated -
application for Disposal Works Construction Permit No"
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
L FUNCTION SATISFACTORY. ---
by-----------------------------------
SYSTE
DATE
Permission i ereby
to Constr ct ) qrt a air _ -- --
- _ . 7.A.eSe' s.e`.`t..`� Street Dated _ %/tl" cX°'1, 7Li
at shown - -
as shown on the application for Disposal Works Construction Pe1uss[ No
Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Uovo grkgpangtrurtion Permit
granted lk`.+SL" sal System
FEEl-+-i-.I..Q-
R ) an /Individual Sewageviispo .... . - _
DATE..._ !.11/1—ICA_cat2, i-9-77
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
�"'j - Hoard of Health
FEE........... plttl Crt$4f
THE COMMONWEALTH OF MASSACHUSETTS !$a�M0.E5 �C un
BOARD OF HEALTH 09tER
C/¢y OF _ Korth env)* )_ _ < UBLE on 2062
ES/ONACEi..
Applirtttintt for +�in}tnnttl 'Works (nnn5irurtinu Permit e, t,
Application is hereby made for a Permit to Construct (x ) or Repair ( ) an individual Sewage
/stem at:
W e s-fhs.m-A%n.-...Adc es nil-.._.._.. g French A.Y .. aatbamicfan PIA 0i027
--pp [[
Location Address
AQ lLr:l.% Address
Address
_ - 22'j3 Sq. feet or Lot No.
Onner
Installer
Size Lot
'ype of Building F. pension Attic ( ) Garbage Grinder (
---- ) Cafeteria ( ) yes
Other tae of Bedrooms - - __ _ Showers
No. of Ic en -. _ ...._—
Other—Type of Building - --- gallons
Other hstnres _.-- - .-.._. g
gallons per person per day. Total daily [lo
Septic Flow CO lei-C°g Width - Diameter _ Depth .. ,Q'
/ 8galfons Length 3'T8-. sq. (t
/$'_ _Total Length_-.a./ total leaching arca. -
Sepl1C Tank—Llgllld G1p2C1IV
Disposal TFateh�'�'�
_ FLPDia e eFidth_ _ Depth below inlet.___._.._..Total leaching area sq. v.
- _._____ Diameter.._.. )
Other Distribution Pit No _ Dosing tank ( , '' rr n -23
4,141 LLift-ellY Date. .5_. tt_.,
Other Distnbvnon box ( ) - LF z
Y-- 'tth O' Dept to ground water
Performed by )31 4144
Percolation Test Results P
Test Pit No. 1 ��.-.—minutes per inch Depth of Tes Pit it___. Depth to ground water ----
- ;minutes per inch Depth of Test Pit -- Y
Test Pi[ No 2 —
S4L1- acts,`'
soil /ease E rt- �C S�1nC -.-
Sof.l G l
Description of Soil Q=E� �� - - - --- -
__.
Nature of Repairs or Alterations—Answer when app iG a --
_ .
The undersigned agrees to install the a£oredescribed Individual
The ividu undersigned further Di agrees not m in place the system w in
ividual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—T
operation until a Certificate of Compliance has been issued by the board of health. —
Signed__..__._. - ___._._.
._-___-._._ Date
Date
le
Approved By
Application FP _"'_ ._
Application Disapproved for the following reasons:___
___ _ .__ _ __ .. tire _-
Issued._._. __. _ _.
Permit No.__._.._.____._._._..._.____
nem
Hof
hN
-M
Lol — g 1
O/ f
Fi,fure I
i
5f ee t
II
11ou se
$eafrc Tao k 20
I r,e14 /g'r21
I lest P%/ —>I� prsposu!
D-Box i
To Gieslhampjon
Wi-s rtirI MnbN ,P D
NFet C,{y Dialer in le u3ea
P/ar) Showrn
5-an, terry
,See ° The S1-<¢e Sorilary {cide '
ar XI 4( SPeci4c,fr6ns Sewage Disposal r Pry) he'd Shadok) i d
fa8 yeslunlion iert
Norfham,olor) M/`}
C-23- 73 /"= u0
by nr.iHto bte,P
No 756
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Faa a
- � v
Applirution-for iupouul Wliorku Tonstrurtion Vrrutit
Application is hereby•made for a Permit to Construct (V or Repair ( ) an Individual Sewage Disposal
System at: ' J/ #/
Adar.zs
l.t.vr%r.• - 1--- Address qq, feet
msrsaa Size Lot_
Type of Bin ng Garbage Grinder (i
—L pansnon A[UC ( ) — Cafeteria ( )
Other
Dwelling Type of Bedrooms. No. of persons — Showers ( )
Ot —T)pe of Buil lug
Other fixtures ,�Q gallon
Q gallon, per person per day. Total daily flow
Septic Flow p p - Diameter Del it -- —
Jl -,Ilovs 6th— Width D -tc l:Tr Liquid e.7 at \Yidthad. Total Length_ ry,/ Total leaching area 4z) e —sq. ft.
Disposal Fit No Depth below inlet Total leeching area 't. h.
Seepage Pit Ao lliameter_ P
Dosing tank ( ) Date
Other Distribution box
su ( ) Performed by - --
Percolation Test No.Results 9 Depth to ground tter!%Q h-a
Test Pit No. 1. t ninutes per inch inch Depth of Test Pit 9 Depth to ground at-- --
Test Pit No. 2 minutes per I Depth of Lest Yrt p
Description of Soil
Nature of Repairs or Alteratin Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article NI of the State Sanitary Code The undersigned further agrees not to place the system in
operation until a Certificate of Compliance h s been issued by the hoar of he-Ith.
h. ,P y '7
Si nttl 1J ai. 1' fI t /97!rtileCtina
Application Approved R}' .__
Application Disapproved for the following reasons- / D`"_
4 73— Issued.__ K.e...L ._I/»---
Permit No
Dan
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF autopilot-at
yt
flertititcntr of �1,nntpilot-ar Repaired ( )
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or 1
by
Installer
at -._ _ ._, __.
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application ISSUANCE ANCE OF THIS Construction ERTII Permit SHALL Xo.
„_.-'.-
THE ISSUANCE OF THIS CERTf FICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. Inspector
DATE
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
, t
it _1t r• -, r FEE l.'., '
4). OF ,...
Disp000l Marks Cn it
vitsfrixttinn Prrnt
reh granted ce, /' �
Permission
nst u ) o Y g ( ) Dis oral System
aos shown on the a heat on for Disposal Sewage P
1 oN Re oar / a i hi.4 sti
Street ' t
at s o n o - - -ti: {. Dated. , , ..,/'_t__t./.7
Pp p sal Works Construction PermSt o 4 IC(
l
� � - 3 L Mme. of
--" '"
Board of Health
DATE.._..__._._ .._._.__.. ..__ __.___.._.____.
FORM 1255 HOBBS & WARREN, INC_ PUBLISHERS
o..-Z B
THE COMMONWEALTH OF MASSACHUSETTS EA LTH
BOARD OF
OF
Applirtttiott-for Diupouttl ltitirko Tottutrurtiou '4erutit
Application is hereby"made for a Permit to Construct (° ) or Repair ( �)/a an` Individual Sewage Disposal
System at: ,al, ,. .fG' __.________ ...._._.. .1 i ..,
u Left
Ad fres,
9Et7^9__i,sutler _ -_
Type of Iuil�ng U __
S
t e Lot ._..
_
feet
Dwelling of Bedrooms --_� Attic ( ) Garbage Grinder (///
Other— I pe of 1 t i k I n g . Vo t:: person) -_ -. Showers ( ) -- Cafeteria ( )
Other natures -' - . . ... .... ... ...
Design Flow
-51 ,0 ........gallons per person p t day. daily flow - 3QQ .gallons
Septic lank— Liquid c ;at i�j __gallons L e Length_ Width Diameter__ -
Dt _ _
Seepage Tr ench Vo -'' - Width _Tot l Length Total rrc. sq ft
Seepage Pit ti / Diameter— D epth below inlet................... Total leaching re: ea:. r
Other Distribution box Dosing tank ( ) . ...................... Date . -
Test Pit \o. 1_1- ninutcs per inch Depth of Test Ii Depth to ground wat -
Percolation est Results by -- .
Test Pit No. 2 _ nvnvtes per inch Depth of 1 e+[ - i Depth to ground o ter VeL €
-
Description of Soil_ - ____-.................................. ......
- _.__ .....
Nature of Repairs or Alterations--Answer when applicable -- _ _ -----
-� - 1 d Individual Sewage Disposal es not to place the system in Code—
Agreement:
i
The undersigned agrees to install the aforedescr to The undersigned further
State Sanitary
tic has been i spe.d by the b and of I calth 4[—CA111
theration unt of \rtiic \l of the Slat
operation until a Certificate of Compli: •
Oft."4,.#17
Approved By .-_. ..
Application Disc ..-
D...
Application Disapproved for the following reasons'- _ p77
........ ......... .......... .. ... .... ......... . .
_ - _. Issued t o, j.9.77
Date
Permit No._/
by
at
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
eirrtifirate of Cumplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
Installer
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
/ I 1
OF t ✓I��_x '-'i
No 1 Dispoottl itiorkn alonstrurtion hermit
.L >"t
Permission is hereby granted sal System
or Repair an In IVxlu 1 Sewage Dyspp Y
to Construct ( ) (? ( % � r� -
FEE > _ _i. ......
Dated -7 `1-�
as shown on the application for Disposal Works Construction Permit '- - F1dY.}
aura st H �� .:�•�
DATE
FORM 1255
HOBBS & WARREN. INC.. PUBLISHERS
I
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ell OF h!odhamp kin
Appliratinn fur flinpnnttl Works Cinnntrurtinn berm
( ) an Individual Sewage
Application is hereby made for a Permit to Construct (y, ) or Repair
/stem at:
lti'e�fh�r
Location..Addrss.O.ad
Aber./ da1L .ff 9...tan ch._e4.re.--. 010:27
Owner
Dartaner
'ype of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures - .. 3aQ gallon=
9(,1 gallons per person per day. Total daily flow
Flow 1.49...61
W ' Length Width ---
3 _ _ _._. Expansion Attic
No. of persons
Addeess
Size Lot. .QLi0__Sq. feet
Garbage Grinder (✓) yes
Showers ( ) — Cafeteria ( )
sq.
e Dim,eter
allons engr .-
D Septic Tank—Lignul. . ..tev - - - / ___Total leaching rata_
nr,. _�/e/d width /.tY t-.._-. Total Length__._a�f_ t.
Disposal Pit No Total leaching area sq. i
Diameter_.-- - Depth below inlet
Seepage Yit No ( ) Doemitan ( f) Z,i'I�
Other Distribution box ✓i ��,t�-Q- - IE llnte-.a' /"
Performed by ��
Percolation Test Results Depth to ground water
Test Pit No. 1 7o minutes per inch Depth o lest Fit to ground water
Test Pit No 2 - ---- minutes per inch Depth of Test Pit Depth
of Soil C /C.°. ..kp_sc tl__L!i...../o C.sG'y fAx 6%g ..53i iy _.Sand /t?..silk
_....
5.01_-A ML _-Erin •
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 further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health
Signed
Depth R C�l
Date
Date
Application Approved By -
Application Disapproved for the following reasons: .' _._.. Date
Permit No.___..._._.___._.._._.___._
Issued..._ 'Daw
_ r ■
L : . '''s 'sapigq.S
va io. Doi.a nog 'a;
40] W u c , ) s e a .
to `�51 $ ns.o � `
NI;o U i =�ci macs
�n socsip a6on.a pap p w ooa �
1
-'/ P
o
•
. ti
FER
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
C<y . of J4f°,t-la n.YP-1a.TJ
jsppitratttl1 for Disposal II%Drko Wpnwtrurttnn jgrmtt
Application is hereby made for a Permit to Construct (✓ ) or Repair ( ) an Individual Sewage Disposal
d l / ham 'Ka . J.............. 7
- .
.....__...
ystw at:
la.catio or Lot v°/ J! / cc./ .....
Ft>r,r<-i, v teLli i
Owner Y'°}tallcr r.Le le.z-.......__._. _ Address -
/!� Size Lot.!�,.Ull_�!_.__Sq. feet
Type of Building Garbage Grinder (r7
y- _-_.__. .Expansion Attic , Cafeteria ( )
Dwelling—No. of Bedinoms.._._........ , . Showers ( ) —
e of Building No. of persons __.. - , - _. __.
Other-Typ __ - '-"'..
ow- .ail 1. - gallons.
Other fixtures - - - --- - - gallons gallons per person per day. Total daily flow 4 __, _- .
Design Flow. -- - SVidth raQ ° - llian it r Deyd<'•
Septic auk--Liquid capaci } -gallons Length/2.a Total leaching area sq. ft.
Total Length a-5lG sq. ft.
e, Q Total leaching are
Disposal Trench-No. _��_.._�Diametria,:.r_Y2�{. Depth below inlet
Otherge str �D _.. D , g tilt ( .n
Other Distribution box ( ) _..... .............
_.__-- 7✓
Performed ed —-- - - "
Percolation Test Results _ /ii: ' Depth m ground water
._e_,3Q.('_- Depth to ground watt . .___.
Test Pit \� 1 (-.— minutes per inch Depth of Test Pit -.-
V /�O
_.. minutes per inch Depth of Test Pit P _..
Test Pit No 2 -t P P
Description of Soil l7` it /CC/ s. -a
77 - - /l w (1 sC ;.e F -
- ---- s as�,s't eB
a d
... o m
Nature of Repairs or Alterations Answer when applicable
---
Rf&ISIERED-
. .._....._._.._._... _..
gr m
Agreement:
The undersigned agrees to install the aforedeseribed Individual Sewage Disposal -
the provisions of Article X1 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.
Signed_._._._....__..._._.._....._.___.
Application Approved By._..._._...__.._....._._._.._..__.__._._.__
Application Disapproved. for the following reasons:... - ....
Daze
Permit No.........................................................
Issue -
Oate
N
N
n
'o
ithe reco
$omplies
its Senile
ered a p
mended
6th Art;
sewage disposal
e XI of the
his is not
n, as to lot
Ln} ut.8
• c.ckt-a 1 , s
15 5k)5F t
<.' R. 1J bbides, R. S.
D PT°
r
. FEB
No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...City OF........ Qr 4/m/2 )U h
Application for IM ipui al PR orbs OCon itrurtifln Vrrinit
Application is hereby made for a Permit to Construct ( IV or Repair ( ) an Individual Sewage Disposal
System at: 41i.24a.a2,P ten RI
'Addeo,' or Int No.
Address
Owner
W • Tddress
.7 instance _ Size Lot..L�$�f...] Sq. fee
G Type of Building y` Expansion Attic (tsar Garbage Grinder ( '�;
U Dwelling--No. of Bedrooms _ Showers ( ) - Cafeteria
Other Type of Building
No. of persons
6 Other fixtures l�yjQ allow
Design Flow i gallons per person per day. Total daily flow
W n fo"t Diameter Depth_. .0 n
C4 Septic Tank—Liquid capacityyL�22.gallons Length...22.9i;Width_.. - Total leaching area sq. f
W• Disposal Ti..n<it—No. Width M SQ.Q._s I
Total leaching area.. q
'� Seepage Pit No /.- Diameter below�nlet_ �"
> Dosin ( ), �: _ 9 //
z Other Distribution box ( ) � ��. - Date..(.-lr Q- 7�
'" Percolation Test Results Performed b ,�<t
J Test Pit No 1._..I minutes per inch Depth of Test Pit l'a° Depth to ground water
���
L Test Pit No. 2 f minutes per inch Depth of Test Pit../7[T " Depth to ground water✓. ^y'
r is
o
tt4 Lf t' Laa.en. 1 L.G r/ co .e. 5[ctm-C �_"4/ w. sqa\
Description of Soil i'"' "" { < s�
o
U F-_o
W u_ _m
x• Nature of Repairs or Alterations—Answer when applicable , pFUI$(�{�El)
9f He ese
Agreement: p5g�
-The undersigned agrees to install the aforedescribed Individual Sewage Disposal System �€Pr�E :
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to pla ^'
operation until a Certificate of Compliance has been issued by the board of health.
Signed tone
Application Approved By
One
Application Disapproved for the following reasons'
Date
Issued Dafe
Permit No _ -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
irertifiratr of Tontplianrr
THIS 1S TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (
by tnetarer
at
has been installed in accordance with the provisions of Article XI of The State S nitary Code as described in
application for Disposal Works Construction Permit No dad
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT
SYSTEM WILL FUNCTION SATISFACTORY. ^_ ^'
No
Fax
THE COMMONWEALTH OF MASSACHUSETTS �pt(N OF
BOARD OF HEALTH r°I MMES ,
City of NPtt&tn, i00 o Huraea
u 20623
4°Applirutinu fur lJinpnsul Mirka rnttntrurtinti 1lrrwtt Q� G,sit
Application is hereby made for a Permit to Construct (x.) or Repair ( ) an Individual SewageC� f Cti i
System at: ^
/Wei-f_.lfain�ctan /1aard It Z 7
Po 6e rL' E L cati n.Address or Lot No.
g anti .7 eanc4t AVit.
EaiLA np.ia MAC Owner Address
rQ Installer
Q Type of Building Address
v 3 Size Lot 45213 er feet
.1 Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder (/) y
P. Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
W
G Other fixtures
W Design Flow .,5-0 1.;2, gallons per person per day. Total daily flow 3c.o gallons.
fYi Scenic. lnk. Liquid cap acity.l_ e .gallons Length Width Diameter_. Depth 6rdj _.
• Disposal Trwnnh —nr
^ P Pi id Width (8 Total Length ;Z[ Total leaching area_.. g sq. ft.
5 Seepage Pit No Diameter Depth below inlet Total leaching arca sq. G.
z Other Distribution box ( ) Dosing tang ((y ) /t
Percolation Test Results Performed by rbee Mt__A-Lh4QW p 23_
J ,r/ Date St water 23-73
.1 Test Pit No. I 3 minutes per inch Depth of lest Pit 7'C Depth to ground rater 6.0
IT, Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
R4
0
Description of Soil C -44w fc,c SDii .Q.+! /nisei. V" - 364 Silly S9R.d SJ(/a or.
U - C - 7.G Sar1.i( S{�/ CSC. y .
W
O• 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 further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed
Application Approved By Date
Application Disapproved for the fallowing reasons' Date
Date
Permit No Issued
Date
SW
i
Fea ./_CL.
C er
No
THE COMMONWEALTH OF UAS4'.EhIJSETTS U/ 11i , J.
BOARD OF HEALTH 3'=
C�/;y or- _* 11/<rra,e, kr) u)
yr e r r7
} } lTCU1int fu 71';41 it[i War h AS 5 rurIiUi li[1 lltl i_t to. ,veAp
x r
Applicati:m s Iey ri i Castru<t {K ) ;r Re air ( ) a" u . g I y `
System at: pp t j 1
! /e1L...J.'�RIkILl�L[] LE.GA.[L_..._....._.._°
er rn No.
. .
(?de.t `kk�y,i%et.f 9 .tt9eci .A VC, 5rs1.Aiarzp /' NA
st,_ q
Installer r .
Address
6 Type of Building Size Lot /52.8
.3
O"l Dwelling—Na. of Bedr ooms 3 E>panswn Attic ( ) 6
Vin.
fe et
te rsiote "f�
a.P Other—Type of I ildiva
Other fixtures No. of ye n ... .. .. .... .._ Showers ( ) -- ( tfeteria 1 )
ii 'et. Flow 0 h'� ;Ion, per person per day. Total daily how. 3QQ g lI on-
rp; Septic 'Dinh—Lt,u i cnnc rv� itoru Length Width Diameter _ ._.. De .4,:,s 41
t tr& x Disposal ti �� . Ei.G Width /8 Total Length a/ Total leaching area..ent . fi
Seepage l'it Cc Diameter Depth below inlet Total leaching xrea si it
tk
z Other Distribution box ( ) : Dosing tan )
a Percolation Test Results Performed by sA/ pa 1e s 23-a Test Pit No. _minutes per inch Depth of est Pit 20 De th to ground water.
E,
n V Tel Pa c n minute:per inch Depth of Te a
.';t____ - _. Depth to grotmd neaer
Description of Soil 0—V" !y Suz/ G4._._.icGSei Y - 34` Silly son ' S[7/ c.c
M
E S'iti Jo _ .._ . ___ _ . . ..50 o elf
.._.
61. U Nature of Papairs or Alterations—Answer when applieal e
Agreement: Sewage UtF oml S'stem In ocanrd nee wit nnd.r= net agrees to install the afortdescrihed Individual F
Yx .. die provisions of Article XI of the State Sanitary Code --The undersigned further agrees not to place the system i
Pioperation until a Certificate of Compliance has been :sued by the board of health.
SigaoJ � {{�' y}c[ ,/'�
I 4'tY. _ . _ �.�f{.•("•LL it 77 J .J t�. Ii Apph inn Approved By Apph tiun Disapproved fur the plotting / a ass'
# . pp
x
g... sued Dee
Ferinit No Issued
p
: 714
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
C6tt OF
Appliration for +Bitipnsttl Inn lw
o
Application is hereby made for a Permit to Construct
L,
Y
j o▪ .n▪ e�
1,mot Win- -- --
r�tnnaller
ystem at:
FEE M7 0
nntitrurtinn Verutit
Repair ( ) an Individual Sewage Disposal
� ynz
or Lot Na
,date:.
Fype of Building Expansion Attie
Dwelling—No. of Bedrooms No- of persons
Other—Type of Building
Other fixtures
Design Flow gallons per person per day. Total dai
7 Se allons Length Wkid-
Septic l Tk—Liquid mPacity-oi g
W idth Total Length
Disposal Prenco—N°. De th below inlet
Seepage Pit No Diameter P
Dosing n
Pero Distribution box ( ) , .- gb
Percolation Test Results minutes Performed inch
Test Pit No. I minutes per inch Depth of Test Pit
Test Pit No 2 minutes per inch Depth of Test Pit
Address 5` feet
Size Lot q'
Garbage Grinder ( )
Showers ( ) -- Cafeteria ( )
ly flow gallon.
Diameter— Depth.
Total leaching arcs sq. ft.
oml 4-e_ Caaat area mid
1%?
�. � Oc
Date
Depth to ground water
Depth to ground water
Description of Soil
Nature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
Agreement:
the provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has etr issue by he Ito rd o health.
Application Approved By
S
4PD:z4,./.97,
Date
Application Disapproved for the following reasons'
Permit No.--J Lb
Issued V Daf
Date
a d i9../6
THE COMMONWEALTH OF MASSACHu L. .-
BOARD OF HEALTH
OF
......._._.__.._.....
._._........._.
Tertificate of Tomplinnce
. .__._._.__.Repaired
epair
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or R ( )
by -
--pap Installer
at _-
has been installed s alled in a ccordance with the provisions of Article XI of The State Sanitary Code as described in the
dated
application for Disposal Works Construction Permit No. -
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTOR Y.
Inspector.. ..__.___._._.__..___.___.__._.__..__._.._._
DATE.
THE COMMONWEALTH OF MASSACHUSETTS / ��
BOARD OF HEALTH � 1-
'� l:(�_...._ _._._.._._.... FEE ^'� A1.( .42:
..../ '✓ ,! aria. .OF A U
No. 716 .--- ti P or (fA 5trurtion %krmit ._.
�l5}TR al - - --. - -
Permission is_ r e granted - _- ....
to Constr is (✓)frePair ( a Individual Sewage Disposal SLVS=emb . .
s- jdr'� L---- s .`6✓nn•��.` DatFd ���x-� �rI .L
at No - `�- -
as shown on the application for Disposal Works-Construction Pens�NOI� ..)fr. }
(� 445-� SoeN of rnith
DATE.........:. ..
4 ..-77. ._.____.__._._
FORM 1255 HOBBS B WARREN INC-' PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF ..0+1-11r-arbilf
'— o
Applitatiun fur 13i }tu t t9 Tunstrurttnn 'Permit
Application is hereby made for a Permit to Construct (1 7) or Repair ( ) an Individual Sewage Disposal
'stem at: ..t �fQ
........_. ...... .._ or Lai No.
c?,eo aru.
o e
Address
, s - Install r Size Lot Sq. feet
ype of Building Expansion Attic ( ) Garbage Grinder ( )
Dwelling—No. of Bedrooms Showers ( ) — Cafeteria ( )
Type of Building No. of persons
Other—Tth gallons.
Other fixtures
)esign Flow gallons per person per day. Total daily flow Depth
''`` Width Diameter P
Septic l Tr nth--No. Length Total Length Total leaching area sq. ft.
Width Total leaching area sq. ft.
)isposal Trendr—No. Depth below inlet �/
Seepage Pit No
tion__ .__.-.. Diameter P Rue ceta
Pero Distribution box ( )
Dosing tank ( ) ate
Percolation Test Results Performed by Depth to ground water
Test Pit No. 1 minutes per inch Depth of Test Pit De to ground water
Test Pit No. 2._.____._minutes per inch Depth of Test Pit P g
Faa
Address
Description of Soil
Nature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance h been issued by t board health. a{e LY p
"%y,7f
Signed _„}
Application Approved By - " r,,,„1/
Date
Application Disapproved for the following reasons'
Permit No CY-V
Issued...
Da„
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
._.._..__OF....... ...._...._.__.__.
._._.........
&rtifirate of (guttyliana
constructed ( ) or Repaired ( )
of The State Sanitary Code as described in the
t
_ dated -- ---
Las been installed Disposal m sal W accordance with the ofd Permit - __
Ipplieation for Disposal Works Construction Permit No_
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector........ .................... ...................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Installer
Disposal 6r,arks fnnstrurhnn Permit
c 1 r ---
Permission i ereby granted '=SI
t"or Repair ( ) an Individual Sewa e Disposal System
g P
to No onsttr 't+ S ) -' sa.«
at as shown on the fl L f G Dated —
e application for Disposal Works Construction P rmit o ���
DATE............................. ..................................................
FORM 1255 HOBBE & WARREN. INC-. PUBLISHERS
e
; /.t l �Bo Q of ri lth 1:.
,...?4.1
THE COMMONWEALTH OF MASSACHUSETTS
y�+OARD OF HEALTH
r Application fur Diapuattt 'Pirko nnatruriiun %ermii
F., 37 rrT
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Lountdual Sewage Disposal
ystem at:
type of Build
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures __gallon>.
Design Flow gallons per person per clay. Total daily flow _ lle th
Ilons Length Width - Diameter__ i
Septic l TrC—Liquid capaci 4-ga Total leaching are. sq. ft.
Width Total Length
Disposal Pit No Depth below inlet Total leaching area sri. ft- lee
Percolation Other Pit No Diameter ( -r l/ C �..('�._�J..z-e_IL U;e
Dosing tank ) Date
Perch ation Test on box ( )
Percolation Test Results minutes Performed by Depth to ground wale'
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 Pi t P
QON
r ,atc
or tot No.
Address
Address
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
No. of persona
Showers ( ) -- Cafeteria ( )
Description of Soil
Nature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
Agreement:
the provisions of Article Xi of the State Sanitary Code —The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b:' iy§ned by tthb� of hgalth. r�}� "7
Si•ned... !7M '7ij k/ tt�.�_../,_J�1�
Application Approved By -
,..s.- r._ 7.
Application Disapproved for the following reasons
Permit No
Date
Issued. 'at).�._ 9a)
(J Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
(1jPrTifttnfP of Clltl}T liuntr
or Repaired (
__.
That the In 1dua1 Sewage Disposal System constructed (
)
THIS IS TO CERTIFY, dt -----
Y
L _
ro loons d Arnde XI of The State Sanitary Code as described _the
-
p been install Disposal accordance with the p _ _ _ _
dated. ........................ ...................
. - .......
,ppli THE for DiNCEl Works THIS CERTIFICATE ATE SHALL No........ .......... .....................
.
THE ISSUANCE OF THIS CERTl F:GATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
Inspector_____.__.__..__._.._._________.____._____._._
DATE._.__.__._._._._..__..____._.__.__.. -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
a' ✓'-/' __.__._ _...__.__. FEE f.. //
OF _./ .
Btapn l�nrkffinirut#tintrrmit
Permission 1) ` e by air granted
(
// qy R a1r ( ) 1r�/in<1v1du I Sewage lspovl System
at Nonstr e`# ( ) f� / Street /�i -.1 -
1--
as shown on the application for Disposal Works Construction
-4e .. It t o L - !7 ,.� 7 -
.`i.:Tic Bard of ealth
DATE—.................._.
FORM 1255 HOBB5 B. WARREN, INC.. PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
/
Fins 4,510 a_
Apptiratinn fur Biupuz' t Wnrkuy (nunntrurtiun Permit S.n
Application is hereby made for a Permit to Construct (/)or Repair ( ) an Individual age Disposal
a7
ystetn at:
"- ins<ou
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building
4--
or Lot No.
Address
Address
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder (�
No. of person- Showers ( ) — Cafeteria ( )
-
Other fixtures Flow -e.-. gallon per person per day. Total daily flow
gallons Length Width
Septic l Trenc Liquid mp¢cit a�� Width _. _Total Length
Disposal Trench— 473-. Depth below inlet f{��
Diameter
Other Distribution Plt No Dosing tank ( )
Percr n T st box ( ) Performed by
L4
Percolation Test Results - O
"Pest Pit No. 1 � minutes per inch Depth of Test Yit
•
Test Pit No. 2 minutes per inch Depth of Test Pit./40
Description of Soil
QD gallon.
_ Diamete- Depth_ --
Total leaching area sq- ft-
Total leading area-. s q. It
Date
Depth to ground water.Depth to ground water erne,
Nature of Repairs or Alterations.—Answer when applicable - -
The undersigned agrees to install the aforedescribed Agreement:
The Individual DSed Sewage
Disposal osaes not to place in cor system in
the provisions of Article XI of the State Sanitary Code—
operation until a Certificate of Compliance has been tau byytt board of health.
Signed " """'/irf_._'✓!,�il
Application Approved By
Application Disapproved for the following reason•
Date
Date
Date
// Issued
Permit No.-(Gh.
Dam
ay
tt
tas been installed in accordance with the provisions of Article RI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF .. . .. . . .
Qtrrtifiratr of Tamplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
Installer
DATE
No_;
Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF I
1Disposal Minn Tousttrurtiou tirrmit
Permission fs ereby granted `�t
B Vd 'dual Sew Disposal System
as shown on the application for Disposal Works C
�; Repaair � an I
Street
at No. Dated ._,....__
onstrucnon.pernnt No !
PP P
Boned or Hea16
DATE
FORM 1255 HOBS & WARREN. INC.. PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Ara,fr t
,
.pplutttinn for Disposal rr;ur Tnnstr
Application is hereby made for a Permit to Construct ( ) or Repair ( )
union
167 el ° �?
stem at: 2/�
Addv .kdar
In Iler(imp Address
Address
.... p Cafeteria..........................
.__._._._._.._ No. of persons..................._.. Showers ( ...
.- gallons.
._."' Total daily flow........................_
. ..gallons per person per day. _....__..
Diameter .-. P
Tank Liquid capacity Q..gallons
'ype of Building
Dwelling—No. of Bedrooms._..
Other—Type of Building
Other fixtures -- .a
D
)esign Flow.......__..:.. .
' aClt .-..._
Septic
fermi#
an Individual Sewage Disposal
or Lot No.
Size Lot..._......._..._.__._Sq. feet
3 Garbage Grinder ( )
.___Ex ansmn Attic ( ) — eria )
Length._._____.. Width
._ ..Total Length_...
Depth below inlet.....
tank ( )
Depth of Test Pit..--.
Depth of Test Pit_._..
__ .. ...Depth
Total leaching area 3 44 s ft
. Total leaching area...._--_.....sq. ft
Disposal Trench—No.._._.__.._._Width
Seepage Pit No._..._._._.._.. DiameterDosing
Other Distribution box ( ) Performed os__
Percolation Test Results
Test Pit No. 1....__....minutes per inch
mutes per inch
Test Pit No. 2---------m
Description of Soil..................................................................................... .. .... ..................................................................
. ..................__..._.._._._...._....._._........._....__....._.__..__..._..............._.......
..._._._...__.._.._...._._...__......_..................
Date..............
Depth to ground water
Depth to ground water
_..__ . _...
Nature of Repairs or Alterations—Answer when applicable.......... .
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the the provisions of Article XI of the State Sanitary-f�o"de"—The undersigned further rther agrees not to place the system in
,,rd of heMfg' e
-� 4....-3.l-.>
2
operation until a Certificate of Compliance has been issued by the ,� — Date y
--
Stgpe1" - ( :-.• de('1i
Jam-' ` t' n... Date
Application Approved By........._......._....._..._....._ ...-
Application Disapproved for the following reasons:..__......._.__... ............ ......_._.._...-...,-.- ....._.
_A(' c-I rliaq .
...._. .1
nau
Permit No.__.........._...._
THE COMMONWEALTH OF MASSACHUSETTS
�yy yBOARD 1 . V
L .. A r
A
OF
LtftttP
(IPYltfttM#P Seof wage�Disposal or Repaired ( )
THIS IS Ttio(c , Y r gygt`Iadrvrdual Sewage Disposal System constructed ( )
y
. . x
... .a.+ dBt>(l6Ed iR
..........................................................
i
- - ' ' ' The State Sanitary
L � dated
triplication 1 can nsor Disposal p accordance ons the provisions rermi No 4rtrde NTEE THAT THE
rpph THE ISSUANCE ANCEl Works Construction Permit SHALL AL THAT i
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G)IA
--.TION AT R `
SYSTEM WIL -... � �el
DATE..................
......_....... ..........................................................
..._............................................. Inspector...............................-......._...................:.'
THE COMMONWEALTH OF MASSACHUSETTS
� BOARD � ii.t
. . OF.._._...:. . ._........... ._.__
...........................
d _
Fa
Ilin}tn-K- oir. J4-nty ----gioP Permit
ranted _I '" ystera*
/
Permission is tye>/eby granted In t.T21 P, G7
to Construct ( .-� or Repocatr%( • ) .-,
at No. !... . .. . � ....
l .ti/
b
:: T /
as shown on the application for Disposal Works Construction pecmtt
_
_._ _.........
.._................._..........._.--eoa.a of Health
DATE—...........................................................................
ATE............................................................_....-............
FORM 1255 HOBBS & WARREN. INC_ PUBLISHERS
COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
eta / OF 1..IF�T"'_"*-
aypIllatian fur Disposal Eli arks (nnns#rnrtinn 3, rrmit
Individual Sewage( an Ind age Disposal
Application is hereby made for a Permit to Construct (✓) or Repair )
ystem at:
-19Veie'1.!d .._.._........ ............_.....___._ or Lai nab Kohl
i ss
...
.r�l�ksL —' t'a�
.-----..._.._._..- Address
.. ._...... .....................................
Installer Size Lot
Building Attic ( )
Sq, feet
e of Bm nag Expansion
Garbage Grinder ( )
of Fa _.._.-_.____. . Cafeteria ( )
Dwelling Type of Bedrooms -'No. of persons..............__.__ Showers ( )
Type of Building .'"._._._
Other—Typ - ---_-.-_". gallons.
Other fixtures .---
.11ons per person per day. Total daily flow
niameter
Septic Flow -Liquid allons Length Width
.
Septic Tank—Liquid caPacitY
Depth below inlet__.
tank ( )
rype
De th
h...__..___ t ILds ft.
Total Length Total leaching l aarea sq. ft.
Total leaching area-.___._...-..
Disposal Trench—No
Seepage Pit No.._-_...
Other Distribution box
Percolation Test Results
Test Pit No. I
Pit No. 2._._...
Description of Soil-- --------
Width
Diameter--_—
Dosing
Performed by
minutes per inch
minutes per inch
Depth of Test Pit
Depth of Test Pit
..._._..__
Nature of Repairs or Alterations—Answer when applicable....--...--.------�-.-
Agreement:
until a Certificate of Compliance has been
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
ope SanitarY by the board of hfealther agrees not to place the system in
the provisions of Article XI of the State
Date............
Depth to ground water
Depth to ground water
..........................nom.. ./
. _ ea
Application Approved By'----�---1 - - �- "-
Application Disapproved for the following reasons:._ .___._..._._.__.__._._...._ ..... .___. __.._ _...._naie
Permit No to
Isaned..L4kfi`-'? n
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF ..............._.._.
Trrtiana of (gi mplianrr
or Re aired ( )
r ----
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( P
.._._._...__...__ _._....._.._ ]�,<an.. .
It..........._...____._... _..__._.__......._.___....
gas been installed in accordance with the provisions of Article XI of The State Sanitary Code as described
m
application
THE SS ANCE Works Construction
CERTIFICATE o..-_.._.._._._
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE............................................................................ .. Inspector.. ....... . . .. ... ........... .. ... ....... .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CL;
OF jn" 7 -
_.... .._
�is}�ns nrks Taunt nctinnrrmit
.2.k>,
Permission t3�ItiereR granted).` - D s osal Sys
to Construc ( ) R air a ndiviwual ag5 p - �J
4/ Ib` ... 1 osl.JV I /Y &roe
at No..._..... 't NoLI% . Dated..LW.FL-. r
�7�
as shown on the application for Disposal Works Construction/P�t
Rs zrC or Hal
No. 61
FEE.. ' G
DATE...._._._.._._....._._..._.._.._._..__...._,......_.........
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
FEE
No...T...f 1
THE COMMONWEALTH OF MASSACHUSETTS
BOARD ,OF HEALTH
LtF _ OF �i .. -'--'
y _ ,
Application for #lispuunl irr orkw (gunotrurtiun Ilertnit
Application is hereby made for a Permit to Construct (d or Repair ( ) an Individual Sewage Disposal
System at: a. //l� ,c_�
,°).tii-LOCa' .off '.,-'xd ((jilt Ceti er Lot No.
. i. ( �:��. . .. Address
,�p Owv
DI LiY=•: f er ca4 Address Sq. feet
.a ra,<pe. Size Lot q'
y Type of Building `'f43e Ooms Expansion Attic ( ) Garbage Grinder ( )
`� Dwelling—No. of Bedrooms Showers ( ) — Cafeteria ( )
a. of Building No. of persons
Other—Type ng
d Other fixtures gallons
Design Flow ... ..gallons per person per day. Total y flow Diameter Depth
tit
p .Mons Length
z Septic l Trench nch— d capaaty_I g2 Total Length Total leaching area._.-+tr..f).sq. it
W Disposal Trench—No. Width Total leaching area sq. ft
Diameter Depth below inlet
x Seepage Pit No
z tank ( )
, Other Distribution box ( ) Dosing ta Date
Percolation Test Results Performed by Depth to ground water
z.1 Test Pit No. ] minutes per inch Depth of Test Pit Depth to g ground water
fy Test Pit No. 2 minutes per inch Depth of Test Pit P
t4
� Description of Soil
U5
U
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance wi
the provisions of Article XI of the State Sanitary Code—The undersiigned further agrees not to place the system
�i Signed "_ issued o fbeth. 4
operation untilpPCertrficate of Compliance has`lxen sued by t v boa? Al"P
Date
A lication Approved Vt "`
Application Disapproved for the following reasons'
Date
Issued_ y_., L '..... r./ L..11
Date
Permit No 1 l
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
t� lie/1e1-tia .`v.._. 1
stem constructed (k.5 or Repaired ( )
THIS IS TO CERTIFY, That the Individual Sewage Disposal Sy
-.L°..._L�ozQ ._.____._....---------- ..
�r6" � � . .. the
State Sanitary Cycle as described in th
been installed in acwr ce � � � ti
CQPrtifiratl! Df aims iattrl
as em ins a d with the provisions of Article XI of The tae - dated
pplication SS Disposal Works THIS CERTIFICATE ATE S o._._..O -_
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
)ATE iYSTEM WILL FUNCTION SATISFACTORY. !J , G, � - a'-
,,2�^^ I 1"Q..6.c., Inspector....}O.,i:4'''&."_`i.. . .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_.._.
e d
_..__..
No.._11
13ispssttl rr;oats Qlonatrurtiutt titrinit
s- - ' Y
Permission ia'fterchY gr anted In ividuai Sewage
FEE
I
posal System
to Construct ) oar Repau (
at No. __-__ ....... Street
as shown on the application for Disposal Works Construction p t ENO `` --
...... It;—.. E6ard of 4I
Disposal
_ ..___...___... .. .....__._._._..........
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
?p p
(44 OF
Application for Moping A inks Qtunotrnrtintt tIrrmit
Application is hereby made for a Permit to Construct (for Repair ) an Individual Sewage Disposal
stem at:
FEB
ype of Building
Dwelling—No. of Be
Other—Type of Buil
Other fixture
)esign Flow
Septic Tank—Liquid ca
)isposal Trench—No.
Seepage Pit No p
Dther Distribution box (V
Percolation Test Results
Test Pit No 1 9
Test Pit No. 2
or Lot No.
Address
Address Sq. feet
Size Lot q'
3 Expansion Attic ( ) Garbage Grinder ( )
Brooms Showers ( ) — Cafeteria ( )
ding No. of persons
s 3-Q.-d gallons.
`y D gallons per person per day. Total daily flow Depth
+ allons I ength Width Diameter Y
parity}.Q-O.Pg Total leaching area 1,./4 q. ft.
Q Width a 4 Total Length
Diameter Depth below inlet Total leaching area sq. ft.
Description of Soil
tame
Dosing tangy(. 1144. Date._.7- / - 6 Performed by h o th to ground water '
minutes per inch Depth of Test Pit y� r Depth to ground water n
minutes per inch Depth of Test Pit Depth ground a�-n-+s
1...
sett 71 r ar 4ow,.4 -F
Nature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the Pmcisions of Article XI of the State Sanitary ode 1 The un oar�of hffurther agrees not to place the system in
operation until a Certificate of Compliance has /r
Signed. l. r . .1 ,..,i.-V
Application Approved By
3d fl4 �
Late
Application Disapproved for the following reasons'
Permit No c71-3 Q
Issued..
Date
La. 3 0 L.9k.6
FEE
THE COMMONWEALTH OF MASSACHUSETTS
BOARDOF HEALTH
I 4-y OF A
.. )c^ *lf1.:. ..�l'_'�.P
Appliratiun fur 3)i0{►uunl urku Cnunstrurtiun 1rrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
ystem at:
Lee ion-Address
!f /^� y� .fit y� �j (� .. �._ ._A%)..s.s. S: ...,..-_3:1.e.�-_G."...A.1.c.F'
[�A'L1T t'I 11.120.1,x:,5 �" f Address
Owner
Installer
'ype of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
Design Flow
3
Address
Size Lot / Z et-e- -- Sq. feet
Expansion Attic ( ) Garbage Grinder
Showers ( ) — Cafeteria ( )
No. of persons
L gallons per person per day. Total daily flow
Septic Tank—Liquid capacityiQ CO gallons ns Width Diameter
Jisp Trench— No. Width Total Length
Se epage Pit No
Diameter Depth below inlet
3.0c' gallons
Dther Distribution box ( )
Percolation Test Results. Performed by i._.3'
Test Pit No. l... minutes per inch Depth of Test Pit_ -* Depth to ground water-..!'"Lt.-"'e'
Test Pit No. 2 minutes pert inch Dckt t of Test Pit Depth to rmmd water
Tht°,7 )sect Description of
_st
Dosi
Depth
Total leaching area Z. L?...sq. ft. .
Total leaching area sq. ft
Date..,.- 7.' (t
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.
Signed r e/ eo—naaA
Application Approved By
Application Disapproved for the follow
9
aso
in accordance with
place the system in
7— ,--Le4
Issued
Permit No
Date
Date
Date
Date
DAVIS ENGINEERING COMPANY
Registered Land Surveyors and Civil Engine.,
30 Crafts Avenue
NORTHAMPTON. MASS....Apr11-.25,_1463...
Board of Health
City Hall
Northampton, Mess.
Gentlemen:
I have made a percolation test at the property of Robert Tetro on
Westhampton Hoed, and make the following report:
Soil: 0" to 8" Loam
8" to 42" Medium to coarse brown sand, a few smell pebbles.
No Ground Water.
Percolation Rate: Three inches in two minutes.
This is excellent drainage materiel for this purpose.
Very truly yours,
Almer Huntley, Jr., Yle�' Sanitarian
No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Application for nispusttl i,i,nrks Qiunstrnctiuu permit
Application is hereby made for a Permit to Construct ('- ) or Repair ( ) an Individual Sewage Disposal
System at:
or o No.
Location-Address or
(11 wee .. . L- t. •_„ .a
Nf..fitN..-
-1 Installer f Address Size Lot Sq. feet
d Type of Building Garbage Grinder a
O Dwelling—No. of Bedrooms Expansion Attic ( ) Garb ( )
cbNo. of persons Showers ( ) — Cafeteria ( )
ty Other—Type of Building P
M Other fixtures lions
{C{r� Design Flow f gallons per person per day. Total daily flow
r4 Septic Tank—Liquid capacity.:., gallons Length Width Diameter Depth
til
Disposal Trench—No Width Total Length Total leaching area ''0 sq.ft.
x Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by
Date.
1-1 Test Pit No. 1 minutes per inch Depth of Test Pit Depth to ground water
.+ Depth to ground water
p`"., Test Pit No. 2 minutes per inch Depth of Test Pit eP gT
a
O Description of Soil
5 Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance wit
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system it
operation until a Certificate of Compliance has been issped py the board of health. ; -
/ ,._ ii
Signedk '.., j y Date`
Application Approved By it Date
Application Disapproved for the following reasons'
Date
Permit No .l-'` Issued.._it`�-" *m7__�-i ,��3
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
i , . . t7T-4/
tertifirttte of (6nmplittnre
THIS I O ERTIFY, "hat the Individual Sewage Disposal System constructed ( ) or Repaired (
,A a1' .^'A eta
i T'A/
as been installed in accordance with the provisi o
pplication for Disposal Works Construction Per
ISSUANCE OF THIS CERTIFICATE
SYSTEM WILL FUNCTION SATISFACTORY.
)ATE /..4�N � .1 F .3
us of Article XI of The State Sanitary Code as described in the
rmit No dated._..thies .:!...�...li.r. .._..
SHALL NOT BE CONSTRUED AS A GUARANTEE NTEE THAT THE
4o
t.
Inspector. ..dt C , ._,. if _ i ? (J- 4-I
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
LTV. OF !.{.:al. II I^i
Mopoottlifforko Otm inirurtinn Iermit
Permission is eby granted
,r 7‘+` 41" k to.. ._.t_ h
to Construct (, or Kepair ( ) an Individyal Sewage ' posal System
at No ! .. id Street
as shown on the application for Disposal Works Construction Permit No
'3 Dated /
v
X..i� . Hoard of N{iltir
FEE
DATE
FORM 1255 HOBS & WARREN. INC.. PUBLISHERS
[ER HUNTLEY, JR. & ASSOCIATES, INC.
Successsors to Davis Engineering Co. Established 1870
Registered Land Surveyors & Civil Engineers
orkr
Of
oard of Health
ity gall
orthemp ton,
entlemen:
Mass.
I have performed a percolation test
30 CRAFTS AVE., NORTHAMPTON, MASS.
TEL (413) 584-7444
October 16, 1964
on Lots 1 and 2 belonging
o Samuel Crescione , located on Westhampton Road, and find the
ollowing :
Soil : Fine to medium sand,
Percolation. Hate : one inch
some silt.
in seven minutes.
No ground water encountered..
Very truly yours ,
Jr.(
91mer Huntley,
Reg. Sanitarian
No..... ..(!-4 FEE.
THE COMMONWEALTH OF MASSACHUSETTS
,{
BOARD OF HEALTH
(. e:bp or /.�1tnemttt
Application for fispuual ID urka Touutrurtion Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposa
System at:
2ttSiXt2 ' 4) or Lot No.
Location ddress
,/�u:Ans.t( .s-area'- ran.:_n Address Address
tzl
ia.s - owners�^^
*' / �
L"` . Installer 7 Size Lot Sq. lei
d• Type of Building &�W611 rC w-�
U Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder
aOther—Type of Building No. of persons Showers ( ) — Cafeteria
a. Other fixtures
2 Design Flow p g allons per erson per day. Total daily flow gallon
W
W Septic Tank—Liquid eapacity._r ngdlons Length Width Diameter Depth
• Disposal Trench— No. Width Total Length Total leaching area_.,.34-4...sq.
• Seepage Pit No Diameter Depth below inlet Total leaching area sq.
z Other Distribution box ( ) Dosing tank ( ) Date
.7 Percolation Test Results Performed by
„1 Test Pit No. 1 minutes per inch Depth of Test Pit Depth to ground water
W Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
0.S
o Description of Soil
U
w
UNature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance w
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system
operation until a Certificate of Compliance has been the r of health. _ J '//��
Signed .. .... 'd A
. Date
Application Approved By .544:+'- --a,- a' nAC
Application Disapproved )or the following reasons
Oa th
Permit No._.Id q Issued Afac...I 4...1.9.4 y
Dam
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
(11.A of % m, +t7F.1
ertifirafe of (IIt mylimue
THIS IS TO CERTIFY�p�, Th�a/t the Individual Sewage Disposal System constructed (� or Repaired (
enist
itaeInsi kr
i ' zt a..i7.S^�k ' �24F._MIli._%
as been installed in acc rdance with the provisions of Article XI of The State Sanitary Code as described in the
Ipplication for Disposal Works Construction Permit No / al dated yZey,../..& /1/.4(
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.4PLC..
)ATE , 4...»&44.#'
Inspector.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF_.
J
FEE
Disposal rInrks @tnnstrnrtinn hermit
Permission,is ehy granted (jetrAkaf thateciii
o Construct (/) or Repair ) g_'�I1ndividual Sewage Disposal System
.t No .%f.:"i''r.%M: . h4L.L.'ltt:
Street
Is shown on the application for Disposal Works Construction P it No /d f Dated . ':. f_ll Lc'
Boar of a�.x
/ATE
ORM 1255 HOBBS B WARREN. INC., PUBLISHERS
FEE ._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
('.(i vy OF int
)ppliratinn fur Disown'. fc nrkn (nnstrurtinn fermi#
Application is hereby made for a Permit to Construct ( ) or Repair (Y) an Individual Sewage Disposal
stem at:
Loca tioo. 4arej _ p
or Lot No.
a .. ....--- Address
.� owoero ap ,O
I �-��lell..�� Address
,7te of Building "i"r Size Lot Sq. feet
llwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures gallons
esign Flow gallons per person per day. Total daily flow 6
optic Tank—Liquid capacity gallons Length Width Diameter Depth
isposal Trench—No. Width Total Length Total leaching area sq. ft.
eepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Cher Distribution box ( ) Dosing tank ( )
ercolation 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
)escription of Soil
caturc of Repairs or Alterations—Answer en applicable.
Jan
\greement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
he provisions of Article XI of the State Sanitary Code—"the undo igned further agrees not to place the system in
Iteration until a Certificate of Compliance has been issued by th .boaj'¢of h th.
Signed.... ..ear L.e. .."' /L...... .. - -- a.
D to
Application Approved By
Application Disapproved for the following reasons•
THE COMMONWEALTH OF MASSACHUSETTS
FEE
BOARD OF HEALTH
C 1 OF /00 R-17119 II Prot)
Appliratinn far flispnsul emits C!Iunstruriinn Vrrtnit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
stem :
5+12 ff ff d (r'
/ eat •Addrrn
.1:(2-nrattYrI Lagers
owner
..f V.W 1-1 AO U S e -P � • - r• Kdm- p--yr
Installer Address
ype of Building ��11 Size Lot_3...A.C..±-Sq. feet
Dwelling—No. of Bedrooms % Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
esign Flow..-. • -+-V.gallons per person per day. Total daily flow__40.0 gallons
eptic Tank—Liquid eapacityiO.D4allons Length Width Diameter Depth_ ..,,,
isposal Trench— No Width Total Length Total leaching area Y sq. ft
eepage Pit No Diameter Depth below inlet Total leaching area sq. ft-
Idler Distribution box Dosin iik ) -/S--6 /
ercolation Test Results ) Performed by gi..A • fW. Date_d Y
Test Pit No. 1 minutes per inch Depth of Test Pit. .. _ Depth to ground water2-A -e-
Test Pit No. 2/'1 minutes per inch Depth of Test Pit Depth[too ground water
lescription of SoiLS�Q.n.e-1.4.K......d-A H).-4W-n-°'"-e-4y""A ` 'a. "-"""-A '
1a• re of Rq airs or Iterat ns— sr er hen ap0ivabl ,Leg -b-e.
_tiv o.Nc .. e aa_�' `c �...�SJ� �� eCt.
tgrcehnent:
The undersigned agree to install the aforedescribed Indiv dual Sewage Disposal System in accordance with
he provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
iperation until a Certificate of Compliance has//b��,,ee''nn issued by the hoard of health.
-
Signed-, /
Application Approved By
Application Disapproved for the folio
ng reaso
Permit No
`% - 1St Ca
Date
Date
Date
Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
Fax
BOARD OF HEALTH
Appliratinn for Disposal Huth!' Tunstrurtinn Vrrmit
Application is hereby made for a Permit to Construct
stem at:
or Repair ( V) an Individual Sewage Disposal
.r/ / Location-IIdres{. - or Lot No.
�4. F`Owmr°. Address
1 .:__.:.. tiy x.Q.c.-.:r
It/taller
ype of Building
Dwelling—No. of Bedrooms Expansion Attic
Other—Type of Building No of persons
Other fixtures
esign Flow
optic Tank—Liquid capacity
isposal Trench—No
cepage Pit No
ther Distribution box
ercolation Test Results
Test Pit No. I minutes per inch
Test Pit No. 2 minutes per inch
Address
Size Lot Sq. feet
Garbage Grinder ( )
Showers ( ) — Cafeteria ( )
gallons per person per day. Total daily flow gallons.
gallons Length Width Diameter Depth
Width Total Length Total leaching area sq. ft.
Diameter Depth below inlet Total leaching area sq. ft.
) Dosing tank ( )
Performed by Date
Depth of Test Pit Depth to ground water
Depth of Test Pit Depth to ground water
'escription of Soil
Tature of Repairs or Alterations—Answer when ap licabl
( tnc±- :.Le
&Lai- hie
.greement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
re provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in
peration until a Certificate of Compliance has been/issued by th ,d of heylth.
Signed --
application Disapproved for the following reasons
)pplication Approved By
Dore
a 6
Date
i_7
Permit No
Issued :--n
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
x »• '-'47
Ifs P t3...... .
ftrrtifiratr of flam4htatur
THIS IS TO CERTIFY,„That the Individual Sewage Disposal System constructed ( ) or Repaired (F')
L ( C' ,hstall .L ' w
s been installed in accordance with the provisions of Article XI The State Sanitary Code as described the
,plicalion for Disposal Works Construction Permit No dated_THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A ARANTEE THAT THE
TSTEM WILL FUNCTION SATISFACTORY.
ATE '�I. .?` 1,...y..%6 Inspector... ' ..+' A .../✓,
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
P
OF tar,
for. .+aJ- at
Tiapasal ,forks (t%nntriuiion ljrrmit
Permission is hereby granted./ 'i'�...f..`.�-
t Construct ( ) or Repair ( %) an Indbzjdual age Disposal System
t No
s shown on the application for Disposal Works Constru
FEE
)ATE
ORM 1255 HOBBS St WARREN, INC.. PUBLISHERS
street
ction Permit No .1. Dated
1
1
THE COMMONWEALTH OF MASSACHUSETTS
FEE
BOARD OF HEALTH
W
A.p.pliratintt fur )ispnsul @T urkw Otaustrurtiutt hermit
Application is hereby made for a Permit to Construct (K or or Repair ( ) an Individual Sewage Disposal
stem at: /
3TA:4 r.
.4 m4 o-Addyas jf r Lot No.
TT /4 Owner„ Address
r�e� Address
Installer Size Lot Sq. feet
ape of Building ,,./ g
ding �[ Garbage Grinder ( )
Dwelling—No. of Bedrooms / Expansion Attic ( )
Other—Type of Building No of persons Showers ( ) — Cafeteria ( )
Other fixtures h - 0 0 gallons.
sign Flow .7 .gallons per person per day. Total daily flow
DDa
eptic Tank—Liquid capacity gallons P L,ngth Width / Diameter D7-
isposal Trench—No. Width. r Total Length._.....--it Total leaching area -- --Q"sq. ft.
eepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Ther Distribution box r ) Dosing tank ( )
em Test Test Result'? minutes Performed by
Date
Test Pit No. 1 1 minutes per inch Depth of Test Pit Depth to ground water..el'tel-
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
)escription of Soil
Satire of Repairs or Alterations—Answer when applicable
kgreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
he provisions of Article XI of the State Sanitary Code—The undersigned further agr�j s not to place the system in
rperation until a Certificate of Compliance has beq¢jssued by tYk bold of Vyepl th.
Signe
p
Application Approved By
Application Disapproved for the following reasons
q na
�te..{
Permit No ° ° Issued. 0 Date /
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
�rrtifirate of �J.Dtti tianrt �or Repaired ( )
THIS IS TOLE TIFTe Th, the Individual Sewage Disposal System constructed (' )
1IrTR.t Tig1 /C• m:taller
s been installed in accordance with the provisions of Article X[of The State Sanitary-d Code as described in the fig
,plication for Disposal Works Construction Permit No 0 i '
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT DE CONSTRUED AS A GUA ANTEE THAT THE
ATE C+, U q�
Inspector... � Ig f- If
I�gya YSTEM ILL FUNCTION SATISFACTORY. ^L
THE COMMONWEALTH OF MASSACHUSETTS
. BOARD OF HEALTH
r t✓ace or f—cerr> 7_ FEE
Joolt] i - .- . . . U �I
Eiiapo aI 3/urks 4ntt»tr /t inn Permit
granted l I"" v t(.HI o f 14. .G
Pnstruct p�+s�hereby gr•
�n,`'n"a a (/ dtvtd Sewage Disposal System
o Construct or yr )
tt No street Q F Dated ;:f.a (f /`%` `
No
as shown on the application for Disposal Works Construction PxA it t t .?,j et rlai•
-'- Board of Health (I
DATE
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
6
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
FEE
( 1t OF 71t::-',`s6iit.:Y:2
lgipliratinn fur mpunat 1.11 arks Q nnstrurtinn 'hermit
Application is hereby made for a Permit to Construct (' ) or Repair ( ) an Individual Sewag
/stem at.
<�.y-'_ . a ...frddress.1� or Lot No.
....._.._.._ _ , iYwuer Address
v..stalk( C ° Address
ype of Building Size Lot .j ,Sq. feet
Dwelling—No. of Bedrooms 3 Expansion Attic ( ) G r{nAer ( )
Other—Type of Building No. of persons Showers ( ) - Cafeteria ( )
Other fixtures
esign Flow ..5....0....gallons per person per day. Total daily flow 3.4.4 gallons.
eptic Tank—Liquid capacityj..0.44allons Length Width Diameter Depth
isposal Trench—No...... /J Width oil) Total Length Total leaching area 4f'= ftl sq. ft.
eepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Cher Distribution box Dosing tank , _�..
ercolation Test Results Performed by g aIleztb:-c— ve - Date.... - 7 - ,,E...e
(7) y
Test Pit No. 1 ? minutes per inch Depth of Test Pit.... e' epth to ground'water._.z:.ru..C.
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
■escription of Soil J ,o 44- .%g,we �' te-p, -.
•ature of Repairs or Alterations.—Answer when applicable
greement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
he provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in
:peration until a Certificate of Compliance has been issugd,by thy/ oard`.of health.
Srgned
_e ✓ Pate
A lication Approved By %��� - 1 ' a ` t-r1 3 1
PP PP Y _. ° `� '" bate
Application Disapproved for the following reasons
Permit No..._ .if
Issued.....Lu,
7 r
Date
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
iPrtificAtlanta
THIS 1S j CE TIFY, That e Individual Sewage Disposal System constructed ( ).er Repaired ( )
ft.oulikni 4 -- OA
Is been ins ailed in accords e with the provisions of Article' I of The State Sanitary Code as described in the
)plication for Disposal Works Construction Permit No ac A dated
---q�_ �.r�
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT 6E CONSTRUED AS A WANie 7eTT*'HE
YSTEM WILL FUNCTION SATISFACTORY.
ATE Inspectot' .A -.}
,. _ .�1i
'A .. C�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1o.
Permission
Construct
t No
4
%{Innd - urks Qtunutrnrtinn ljrrmit
iytereby granted.......,.::
t/),:or Repair ( ) anrdividual Sage Disposal System
1L..k.Y Lmer..t ...if t:.'R• . off-
s shown on the
reef
application for Disposal Works Construction Permit No...4_2..r Dated
..a:Ne::.1 - t._•• Board of Heil(k
Fez
)ATE
ORM I2^3. KCBBS Of WARREN. INC.. PUBLISHERS
• 2
, Sib
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF .
FEE 6
Appliratiun fur +3iapnnal Norio QJn wtrurtiun Permit
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
'stem at:
"ff- LoLocation--r
p.
441' Jwner Address
Installer
ype 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 --
esign Flow _ gallons per person per day. Total daily flow gallons_
eptic Tank—Liquid capacit gallons Length Widtii Ia:uncter Depth
isposal Trench—No. Width Total Length Total leaching area sq. ft.
eepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Rher Distribution box ( ) Dosing tank ( )
ercolation Test Results Performed by Date
Test Pit No. I minutes per inch Depth of Test Pit Depth to ground water
round th to w ter
Test Pit No. 2 mnmtes per inch Depth of Test Pit De�P g
or Lot No.
Address
)ascription of Soil
;attire of Repairs or Alterations—Answer when applicable
\greemcnt:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
he provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
tperation until a Certificate of Compliance has been issued by the board of health.
Signed
Application Approved By
Application Disapproved for the following reasons
Permit No J / 6
Daft
Date
Date
Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
y BOARD OF HEALTH
`/'tj OF
Appliratiun -fur Dismal Marks Tunstrurtinn 13rrniit
Application is hereby made for a Permit to Construct Kor Repair ( ) an Indiidual Sewage Disposal
FEE/_3!0"a
ystem at: -j ,_t
i
or In No.
"_ Address
Address
Cype of Building Size I.ot Sq. feet
Dwelling—No. of Bedrooms r'vpansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of parson; Showers ( ) --- Cafeteria ( )
Other fixtures
)esign Flow .5- gallons per person per day. Total daily :low gallon-
Septic "Cink Liquid capaci W...gallons Length V l'idtl ❑ian cter - 1
Jisposal Trench—No. WidthA(*" Total Length_fat Total leaching vrrr_ sq. ft
Seepage Pit No Diameter Depth below inlet Total leaching are sq. it
Jher Distribution box ( ) Dosing tank ( )
?ercolation 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 u rsigned further agrees not to place the system in
aperation until a Certificate of Compliance has been issued tlh x
Application Approved By
d
4 6
Application Disapproved for tire folio wing reasons-
Permit No.-Q d
Issued.
fa,s26 _L97i
Date 7
y
as been installed in accordance with the provisions of Article RI of The State S t
sitar Code as described in the
pplication for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIF'CATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
LATE Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
@lrrtifiratt at (1inmplianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
Installer
No i
Arr
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
�ispu5al
pritro, Tnn5trurtiau Tirrmit
F
Permission is I}ereby granted
to Construct ( ;') or Repair ( ) an Individual,Sewage Dispo9lah System
at No y Strcet
Dated
as shown on the application for Disposal Works Construction Permit No
DATE
FORM 1255 HOBBS & WARREN. INC_ PUBLISHERS
Board'of Health
THE COMMONWEALTH OF MASSACHUSETTS
FEE
BOARD OF- HEALTH
��.ti 3 OF 1�iCt-'^'.'vlry¢ '1
I L�
Application for Uinponnl rh urko Cnonntrurtian 1rrmit
Application is hereby made for a Permit to Construct (le`or Repair ( ) an Individual Sewage Disposal
stem at:
-TILL
or Lot No.
Address
Owner
Installer Address
fi Size Lot Sq. feet
me of Building— of Bedrooms Garbage Grinder
Dwelling—No. of Bedrooms Fxpansron Attic ( ) g ( )
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures gallons
esign Flow gallons per person per day. Total daily flow
as
eptic "tank—Liquid rapacity. gallons Length Width Diameter De$t
isposal Trench—No Width Total Length Total leaching area ..10 S sq. ft.
eepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
ether Distribution box ( ) Dosing tank ( )
'ercolation Test Results Performed by Date
Test Pit No. I 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
)escription of Soil
Qature of Repairs or Alterations—Answer when applicable
kgreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
he provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
)peration until a Certificate of Compliance has been issued by the board of health.
Signed
Application Approved By
Application Disapproved for the following reasons
Permit No 1 3 C
Issued
Da
Dat>v
7, /p/.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
A/ "c1 OF 17,P^"c"a'ry'G F
&Crrtifirttir of (Qpmpliantr
THIS IS,TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
JiAta' vi
Installer
Is been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
iplicrtion for Disposal Works Construction Permit No
dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
YSTEM W L FUNCTION SATISFACTORY. --
ATE ( W' - ' iT i I G3 Inspector jk/
)
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Dthpu8F1�, �3 nrkn cfLonfotrurtiott Prrmii
Permission reby granted
o Construct ( ) or Repair ( ) an Iw4piidual ewage Disposal System
it No Ebert
as shown on the application for Disposal Works Construction Persian No 'ian Dated Y i4
Board of Health -
FEE
DATE
=ORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
o.
THE COMMONWEALTH OF MASSACHUSETTS
FEE
BOARD OF HEALTH
eif OF .44471"biliNgMAJ
Application for Disposal L arks Construrtion ptrtnit
Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal
411/..C...tetaateeZfielf ACI•ta Pettilduitif .le-r 7..Wiriei Ate.—
'System at:
Location-Address Cr Lot No.
C#04ifiss4-37- .Zia/Mkt di./
Owner Address
Address .,..___,
Size Lotof?ttin % Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
No. of persons Showers ( ) — Cafeteria ( )
gallons per person per day. Total daily flow gallons.
gallons Length Width Diameter Depth
Width Total Length Total leaching area sq. ft.
P t Mn Diameter Depth below inlet Total leaching area sq. ft.
Installer
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
Design Flow
Septic Tank—Liquid capacity
Disposal Trench—No.
Seepage
Percolation Test Results Performed by.2.//zier Date.74/12/7"--
Other Distribution box ( ) Dosing tank ( )
, Q
&o'
Pit No. 1 430 minutes per inch Depth of Test Pit Z.L "' Depth to ground water Z It
zzt-R._ Test Pit No. 2..iiti.....minutes per inch Depth of Test Pit Z = P Depth to ground water
D6re /ioiC Prechcitc- gia" P.647°
Description of Soil...4 4 742/ela.e.c.5 6. 474442 e-0" a° 4/ CgAl;
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 further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Application Approved By
Signet
Application Disapproved tor the following reasons•
Permit No
Issued.
Date
Date
Date
Dare
FEE
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Appliratinn for Disposal Harks (Qnnstrurtinn Dewitt
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
System at:
%Jil /21/i/n/ar^4/dreae , Se iv>q ' /-ec/. 227/
LaationAd
or Lot No.
.e-r-
413.ceriza.l2
owner
Type of Building
Dwelling—No. of Bedrooms 3
Other—Type of Building
Other fixtures
Design Flow St gallons per person per day. Total daily flow 3 00 gallons.
Septic Tank—Liquid capacity/00A._gallons Length 8?0° Width ye'p Diameter Depth'r ft'
Disposal Trench—No. 4 Width....3=n" Total Length /J 5 Total leaching area Aao sq. ft.
Seepage Pit No Diameter Depth below inlet Total leachin area
Other Distribution box ( ) Dosing tank ( ) g sq. ft.
Percolation Test Results Performed by..✓...Flii!PT ^—.4'9adTael-/ L 41,-;-' /y,f-
Test Pit No. 1 / minutes per inch Depth of Test Pit 7 2-c • ground water 4/
Depth to ground water er/on/E
Test Pit No. 2 minutes per inch Depth of Test Pit Y o" Depth to ground water._NA.r4's
Description of Soil..4 .1 722E2• ^•4 / '-c.' S/7 •'Qf Ji4T 3 .-6YAM.) 1r_4', lc.
% F//
_1/4/2?
Installer
Address
Address
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder ( y-
No. of persons Showers ( ) — Cafeteria ( )
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to i st ll the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI 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
Application Approved By
Application Disapproved for the following reasons
Date
Date
Date
Permit No Issued
Data
Rad-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Applirtttiun for 7isipu�tt1 illurks fnunulrurtiun 13n-urn
Application is hereby made for a Permit to Construct (41-Or Repair ( ) an India idual Sewage Lisposal
System at: C. f1
Ins
or Lot No.
C/t _e0Cmss
Add re
Type of Building Size Lot Sq. feet
Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building _ No of t x,n: Showers ( ) — Cafeteria ( )
Otter fixtures
design Flow gallons per person per day. Total daily i1ow gallon-.
Septic lank,— Liquid capactj-O gallons Length \Mdtf Diameter De 0
disposal Trench No. Width Total Length Total leaching area g.C. .sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. It
ether Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by Date
Test Pit No. 1 minutes per inch Depth of Test Pit Depth to ground watc
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
Me provisions of Article XI of the State Sanitary C. The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be i .0 . by h. S
Application Approved By
DC/97r
Application Disapproved for the following reasons'
Permit No._e .
Issued
1.x'.7
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Qtrrtifiratr of lilumplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by haul],
at -
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATF Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF % I
NO..6 1 FEE-AV'
Qnanntrurtiun Permit
Permission iszkfrehy granted ...- ' •
to Construct 1( ,t.1 or Repair ( ) art Individual Sewagg Disposal System
at No ......f.�
as shown on the application fe"r Disposal Works Construction Permit Not Dated.._(-,
Board of H€oath
DATE
FORM 2S5 HOBBS & WARREN. INC.. PUBLISHERS
.e9 f Faa._J.Jf......C;..(.._
THE COMMONWEALTH OF MASSACHUSETTS
'BOARD OF HEALTH
,t,
(�kta OF ti:YZ lq} 'CCb
Pp.pliratinn far 1is{Innat i,r,nrkn fannntrnrtinn Permit
Application is hereby made for a Permit to Construct (✓ ) or Repair ( ) an Individual Sewage Disposa
System at:
x " r
.11.9qatiod s or Lot No.
-- �
(..{4A Address
m 24:1=1"14-1
Installer Address
• Type of Building Size Lot Sq. lei
U Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder
a, Other—Type of Building No. of persons Showers ( ) — Cafeteria
W Other fixtures
6 Design Flow gallons per person per day. Total daily flow gallon
W
7. Septic Tank—Liquid capacit Q/�Q...gallons Length Width Diameter Depth
Disposal Trench—No. Width.4G Total Length r{Q Total leaching area._s.O.d...sq.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. I
z Other Distribution hox ( ) Dosing tank ( )
Percolation Test Results Performed by Date
Test Pit No. 1 minutes per inch Depth of Test Pit Depth to ground water
V. Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
0.S
O Description of Soil
U
W
VNature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance wi
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system
operation until a Certificate of Compliance has been i ued by the boar//d,/GE It :/
Signed [ -�/ ✓/.rJ--- `•7 f'4T. �j ie
Application Approved By -- �rr ,. -.. '.•. +.�.Q.7.'.
141
Application Disapproved for the following reasons'
nate
Permit No..f1 ( V Issued /Lffi/.....zZ.. y.i.q-7-a....
Date
Iy
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Qtrrfifiratr of (tlotttpliatur
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
Installer
r.
as been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
pplication for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
WSTEM WILL FUNCTION SATISFACTORY.
)ATE
Inspector
Permissio
Construct ( !/ )
No At'
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Disposal
OF itratatinfrbil
Orka Qintjsfrurtiott rani#
n is granted.
Y R „4.:
I/ l
or Repar ) a¢ Indivi dual Sewage
e
FEE.,11.3..0 Y
posal System
street
o shown on the application for Disposal Works Construction Permit No..:24:.e Dated_
ti:s.l i -2te ,7,. L
Board of xmlt -�1r1
ATE
!RBI 1255 HOBBS & WARREN
NC.. PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Application
04x.furihpn,otturk�s Q nuntrnrtinn 1ermit
Application is hereby made for a Permit to Construct (K or Repair ( ) an Individual Sewage Disposal
iystem at:
. 4
Ovation old tO iaV or Lot No.
Fxx.L5 0 0
yrY.lLdc:
Address
)ter Address
'ype 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
)esign Flow .5:0 gallons per person per day. Total daily flow gallons.
septic Tank—Liquid capacitO.l&..gallons Length Width Diameter Depth
)isposal Trench—No. Width Total Length Total leaching area sq. ft.
seepage Pit No Diameter Depth below inlet Total leaching area sg
)they Distribution box ( ) Dosing tank ( ) lad 6 WX o
'ereolation Test Results Performed by Date 0 C,
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
)escription of Soil
Sature of Repairs or Alterations—Answer when applicable
greement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
ae provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
peration until a Certificate of Compliance has been issued by the board of health.
Si ed.`_.(,1I.'.:[t.:Y6Ga 6n.s „Ye .617,...-2-4/x64
1 lication Approved By ,( y n atp /9.7./
Dar
1.pplication Disapproved for the following reasons'
Permit No 4/7L
eldidose
Issued
D
Oat
11,..1.97! r
ry
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
OIrrtifirate of Tomplianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
Installer
as been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
.pplication for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
)ATE. Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF_._1.1:C��:F9:7" �.:✓.tL.:/:� Pes�._.—!id
inis}ras . rr'Irks fffnnstrnrtion jrrmit
Permission is reby granted ))'=t 14L..41 h ft;
o Construct (-.1.1()) or Repair ( ) an Individual Sewage Dispo-�T1 System
It No a.. f 1.41-42144.4.t.42......,.
CL st. f
Is shown on the application for Disposal Works Construction Per it/NoL..fi Dated.. Ltd /I i.% 7/
8oard��ith1��
DATE
'ORM 1255 HOBBS 8 WARREN. INC.. PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
1 ppliratinn far Disposal Works
Application is hereby made for a Permit to Construct
stem at
Installer
ape of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
FEE.... A I
nnstnutinn Permit
or Repair ( ) an Individual Sewage Disposal
or Lot No.
Address
Address
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
No. of persons Showers ( ) — Cafeteria ( )
sign Flow .J gallons
ptm Tank— Liquid capacity 6Qgallons
sposal Trench—No. Width
tepage Pit No Diameter
per person per day. Total daily flow gallons.
Length Width Diameter Depth
Total Length Total leaching area sq. It
Depth below inlet Total leaching areamod. J. tt.
her Distribution box (g Dosing tank ( )
ercolation Test Results Performed by
Test Pit No. I minutes per inch
Test Pit No. 2 minutes per inch
Date
Depth of Test Pit Depth to ground water
Depth of Test Pit Depth to ground water
ascription of Soil
attire of Repairs or Alterations—Answer when applicable -
greentent:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
e provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
leration until a Certificate of Compliance has
L:hj��P.iis�s�ueed bb t boala of health.
pplication Approved By
7L
pplication Disapproved for the following reasons'
Permit No -6
Date
Issued %4-7...5
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
FEE/✓�.i1!
Appliratinn fnY Jispnsul Murk (nnttstrurtinn lirrutit
Application is hereby made for a Permit to Construct ( ") or Repair ( ) an lndi‘idual Sewage Disposal
'stem at: elhawiet
ype of Building
Dwelling—No. of Bedrooms
Other—Type of Building No
Other fixtures
esign Flow gallons
eptic Tank—Liquid capacity gallons
isposal Trench— No Width
eepage Pit No Diameter
ether Distribution box ( ) Dosing tank ( )
ercolation Test Results Performed by
Test Pit No. 1 minutes per inch
Test Pit No. 2 minutes per inch
or Lot No.
Address
Address
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
of persons Showers ( ) — Cafeteria ( )
per person per day. Total daily flow gallons.
Length Width Diameter DCpti
Total Length Total leaching area sq. ft.
Depth below inlet Total leaching area sq- ft.
tescription of Soil
Date
Depth of Test Pit Depth to ground wate-
Depth of Test Pit Depth to ground water
tature of Repairs or Alterations— \nswer wen applicabl –A!1=C-.-'-ttie
greement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
he provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be issued by the boa, of health.
Signed_F
kpplication Approved By
Spplieation Disapproved for the following reasons'
//
at, ZeeLfxr
r to
Permit No.--Q..3
- . Date
Issued 0e4 ?/97,3--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
C rrtifirtttr of Qlnmplittttrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
Installer
been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
alication for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
'STEM WILL FUNCTION SATISFACTORY.
\TF Inspector
3_x_7
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�ispnsttl 3Wnrks Cnnuutrurtintt 'lrrmit
Permission is.htreby granted --+i-
Construct (. ) or Repair ( ) an Individual Sewage Disposal Systefth
No 1KSs.:d 1-126j?.zh'
g
shown on the application for Disposal Works Constmcfiov Permit No.�:�l 3
kTE
RM 1255 HOBBS & WARREN. INC.. PUBLISHERS
Boar
Dated_.-
of ncalni
,..779
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF E� en
Applitatinn for +Diipu at Thnrks Tottarurtinu V3rrutit
Application is hereby'made for a Permit to Construct (Yr or Repair ( ) an Individual Sewage Disposal
FE a_1 S.0 0
'stem at:
x'77 ._.. ._�_..�. Gjf
p
(name-
yle of Buil Size Lot Sq. feet
d
Dwelling—No. of Bedrooms - Expansion Attic ( ) Garbage°e Grinder ( )
Other—Type of Building No. of perwn=
Showers ( ) -- Cafeteria ( )
Other fixtures - .
ulions pe. person per day. Total daily flow gallons
�evtic anw De al —. ..
te 'I:Trench—Nl eapnat QO Wlon Length A'irlth_ Dcm et ft
Width Total 1 ength Total leaching area
i pa I Preach No. Total I a I va„ rea '9-!}�
eeprge Pit No Diameter Depth bel ow Ml et �,p 4
Dosing tank / CO d ��f O'^,L
)ther Distribution box ( ) g ( ) 1Tite
'ercolation Test Results Performed by per Deth to ground watc-
'Cesc Pit No. 2 Test Pit No. 1 minutes per inch Depth of Test Pit p
minutes per inch Depth of Test Pit Depth to ground w-a*er
or Lot No.
Address
Description of Soil
Nature of Repairs or Alteratints—Answer when applicalpl
Agreement:
The undersigned agrees to install the aforedescrii ed Individual Sewage Disposal System in accordance with
the provisions of Article NI 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.
Application Approved By
Si ned
Application Disapproved for 11 following reasons'
Permit No 779
cefrildni
THE COMMONWEALTH OF MASSACH USETTS
BOARD OF HEALTH
'L a OF 7 p7-tio1% tc
trtifiratr of fdnnt liana
THIS I TO CERTIFY Th t e Individual Sewage Disposal System constructed (4or Repaired ( )
y
t Z(
as been installed i .. 7
b in nee dance with the provisions of Article XI 4f The State Sanitary-Code as described in the
dated
Ipplication for Disposal Works Construction Permit No THE
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A UA NTEE THAT T
SYSTEM WILL FUNCTION SATISFACTORY.
JATG \
__'kifti L.l-...I-%.� Inspector 1 -ftntiet—
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.t t OF__.. Jc,":1 n r'i1C
Iiwpnsavi,.i-f�fnrko innnstrurtinn 1rrtnit
Pestruct -( ) o reby granted -:
to Constructs( ) or epaa,,( ) aq. v ml Sewage Disposal System ( 7
at No / y r - Dated
as shown on the apphcation�for Disposal Works Construction Permit No �
a
:a d of H !1
FEE
77
DATE yyd .:.',� �..i /177
FORM 255 ORB. & WARREN. INC_ PUBLISHERS
713
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Igppliratinn for lispnsal 31hnrks�Qlnustrurtinu iirrntit
Application is hereby made for a Permit to Construct (Vor Repair ( ) an tnduidual Sewage Disposal
stem at
or r.et No.
Address
tesraaet
re of Building Size Lot Sq. f�
Dwelling-No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building _ No. of persons Showers ( ) — Cafeteria ( )
Other fixtures `
s J.
:sign Flow 7 __gallons per person per day. Total daily now gallon.
-.ptic T::nk—Liquid capacitia(%gallons Length Width - IJirmteter 17emi
sposal Trench—No. Width Total Length Total leaching arc. sq. ft.
!epage Pit No Diameter Depth below inlet Total lead area sq- It
her Distribution box ( ) Dosing tank ( ) / FAQ ((I�' 't: 141Let
seolation Test Results Performed by ___ _________ _ _ _ _ ° DaCe
Test Pit No. 1 minutes per inch Depth of Test Pit Depth to ground wetr
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground we*er
scriptian of Soil
attire of Repairs or Alterations—Answer when applicable
greement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
e provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in
ieration until a Certificate of Compliance has been issued by the board of health.
Signed(�� � ! —• '6,�, ��
pplication Approved By 4- —1 """1— -—Cdt .1) --/,77
O 8' Date
pplication Disapproved for the following reasons-
Permit No 7 p Issued i��f'�I,��4.• 11.7.4L-a7 te 7
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
&ertifiratr of hlnnL}Tliaare
TATS IS TO CERTIFY, That the 1ndic8'.e;d Sewage Disposal Sy constructed ( ) or Repaired
is been installe I in accordanctt accordance with I provhhohy of Vry b N I of The trte Sanitary Code as described in the
pphc rion S Disposal Works Construclion PPRtht Cn_ _ fisted
THE ISSUANCE OF THIS CERTSF;CnTE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
iXSTEM WILL FUNCTION SATISFACTORY.
ptor
>ATF ec
--
No.-1.. s
THE COMMONWEALTH OF MASSACHUSETTS
BOARD/ OF HEALTH
OF 7
Sri_,}uTSttl 317orh� Tonotrurtion Hermit
Permission tyfiereR v granted 1 ( � ,,r.-X-
to Construct ) or Repair ( Inclividuid Sewage Di sal System
ri u
at No jX - t�<.�._ gad-rr _.tee
Dated
as shown on the application ii De-posal Ai'o I'= Construction Yernut No%.t / s
fin :.=i 'a on
DATE
FORM 1255 HOeSS & WAPREN. NC_ PUBLISHERS
No °f 4 L1_.__.. FEE
THE COMMONWEALTH OF MASSACHUSETTS
t , , _ BOARD. OF HEALTtH,_
r..U-? OF • /sr.
.Appliratiui fur 3ispeisttl rdi arks•(tnnstrurtiun Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposa
System at: —.
_ .—L/t! .e i a ✓� _
..
Loa10 dre
or Lot No
al Installer Addttss
�6q Type of Building -t Size Lot Sq. fei
Dwelling—No. of Bedroornar Expansion Attic ( ) Garbage Grinder
a. Other—Type of Building No. of persons Showers ( ) — Cafeteria
W Other fgeptrec ..
C Design Flow gallons per person per day. Total daily flow gallon
W Septic Tank—Liquid capacity gallons Length Width Diameter 11111
Z Disposal Trench—No Width Total Length Total leaching area sq.
• Seepage Pit No Diameter Depth below inlet Total leaching area sq. 1
Z. Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by Date
.1 Test Pit No. 1 minutes per inch Depth of Test Pit Depth to ground water
{i, Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
U Description of Soil
U
U
kl
UNature of Repairs or Alterations—Answer when applicable
Agreement
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance wi
the provisions of Article XI of the State Sanitary Cod The undersigned further agrees not to place the system
operation until a Certificate of Compliance has b " sued l�the board� health.,/,
'/.. -2-
Signed ogee
.
Application Approved By d ,:,t_. t - i" ,
nate
Application Disapproved for the following reasons'
Date
Permit No °'' Cj t t '1 �
Issued.
. i (i 2
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Ottrfifiratt of Clottift Hann
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (k<or Repaired ( )
Installer
(
I aJZ
S been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
plicmon for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
(STEM WILL FUNCTION SATISFACTORY.
ATE t t 2 Inspector •
o
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF /
latopooall
arks Tottotrurtion fitrutit
FEE
Permissionkfiereby granted
Construct ( ), lag Repaip ( agipdividual S e Dismiss' System
, , -
No
Street shown on the application for Disposal Works Construction Permit No, Dated -' -
ATE
1RM 1255 HOBBS & WARREN. INC.. PUBLISHERS
Board of Haidth
Fax
THE COMMONWEALTH OF MASSACHUSETTS
r.
BOARD OF HEALTH
.Application fur JJ.inpuzat Marks (innntrurtinn /Irrmit
Application is hereby made for a Permit to Construct ( 4— f' epair ( ) an Individual Sewage Disposal
stem at
tt r.HAP'I /J ?t &) C`4. A c
ri� KYt
Loca' t..Ada s
Owner Address
: t,•rj / IAcSETT
or cat No.
gig:_
Installer
,,pe of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
sign Flow -t TV
:ptic Tank—Liquid capacity
isposal Trench—No.
:epage Pit No Diam
ther Distribution box ( )
ercolation Test Results Perfo
Test Pit No. Li / minutes per inch Depth of Test Pit" . Depth to ground water..11_.:t.7�.0
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
cscription of Soil..YE.'•.&el(Cr `i- .t I'd•
Expansion Attic
No. of persons
Address
Size Lot._�...:!.i:._T.....Sq. feet
Garbage Grinder ( )
Showers ( ) -- Cafeteria ( )
gallons peaipper per day. Total daily flow gallons.
gallons Length Width Diameter Depth
Width Total Length Total leaching area..'6& sq. ft.
eter Depth below inlet Total leaching area sq. ft.
Dosiig'fi;k ( ) , % _44
rmed by..%Y_C.4....41...24_.LG'47 Date,.'_ )7 14
.r✓
7
attire of Repairs or Alterations—Answer when applicable
greement:
The undersigned agrees to install the aforetesesibed Individual Sewage Disposal System in accordance with
le provisions of Article NI of the State Sanitary, ode—The undersigneflThther agrees not to place the syysfem in
aeration until a Certificate of Compliance has b - issued by the board • h % -
�, >G7
Signed
,pplication Approved By
application Disapproved for the following reasons
Permit No
Due
Date
Issued.
Date
.g.r
THE COMMONWEALTH OF MASSACHUSETTS
BOARD
LAI OF
Applirtttiutt fur fliupuzal
F HEALTH
sc
U
Application is hereby made for a Permit to Construe
item at: t '.
(
Fas..f�Ja-� P
pnrtrurtiutt tirrittit
or Repair ( ) an Individual Sewage Disposal
pe of Building
Dwelling—No. of Bedrooms Expansion Attic
Other—Type of Building No. of persons
Other fixtures
sign Flow gallons per person per day. Total dail
ptic Tank—Liquid capacitgd... gallons Length Width
sposal Trench—No. Width Total Length
epage Pit No Diameter Depth below inlet
her Distribution box ( ) Dosing tank ( )
:rcolation Test Results Performed by
Test Pit No. 1 minutes per inch
or Lot No.
Address
Size Lot Sq. feet
Garbage Grinder ( )
Showers ( ) — Cafeteria ( )
y flow gallons.
Diameter D th
Total leaching area._!Q.CI sq. ft.
Total leaching area sq. ft.
Date
Depth of Test Pit Depth to ground water
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
ascription of Soil
ature of Repairs or Alterations—Answer when applicable
greement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
e provisions of TIT i. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
>eration until a Certificate of Compliance has hen issu by h.
pplication Approved B
pplication Disapproved for the following reasons
Signed..
DF4.!-1U_1
Date t
Permit No
tr
Issued.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
(Qrrtifirate of tdnmplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
Installer
s been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
iplication for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
YSTEM WILL FUNCTION SATISFACTORY.
ATF Inspector
To
THE COMMONWEALTH OF MASSACHUSETTS
y BOARD OF /HEALTH
OF
33iopnaa ark Otnu v ion lrrmit
J ,
Permission hereby granted
t Construct (.( ) or Repair ( .� an Individual Sewage Disposal Systein
�Y tt � .. .
t No } C . street
s shown on the application for Disposal Works Construction Permit No Dated
Board of Health
)ATE
DRM 1255 HOBBS & WARREN. INC. PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ktil
FEE /t,3: 0
)ppliratiun -fur Uispuial ifiurkiQluttutrurtiun iJrrtttit
Application is hereby"made for a Permit to Construct ( or Repair ( ) an Judi.ideal Sewage Disposal
stem at: xx
litiafrbizac
hvnnaer
ype of Buildii g
Dwelling—No. of Bedrooms
Other—Type of Building .
Other hxturess
esign Flow .9 6 A gallons per person per day. Total daily tl
eptic 'lank--Liquid cmncitO.50agallons Length Width
isposal Trench--No Width— Total 1-ength
eepage Pit No / Diameter Depth below inlet
Ither Distribution hog ( ) Dosing tank ( )
e uctation Test Results Performed by
lest l'it No. I minutes per inch Depth of Test I'
Test Pit No. 2 i unutes per inch Depth of Test P
"A
Lo: Na.
Add:sv
AJAmss
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder (rt."(
No of pone. Showers ( ) — Cafeteria ( )
ow 3170 gallon-.
Digneter Deitch
_ —
___ Total leaching area s9. tt
Total teaching urea
Date.
Depth to ground water
laid / Depth to ground water .A60
tescrption of Soil
dative of Repairs or Alterations—Answer when applicable
lgreement.
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accnT lance with
he provisions of Article NF of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued j�y• the�oard of 1.calth. *HI
-i;7i, /977
Application Approved By
Application Disapproved for the following reaso
Signed
0 ` '7
Permit No..-J 3 7 Issued.
',e 0Z/ 1977
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF.
Trrtifirate of fltomplitture or Repaired THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) p
)
Installer
:s been installed in accordance with the provisions of article XI of The State Sanitary Code as described in the
tplication for Disposal Works Construction Permit No date
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
)ATE Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF � ! 7j,'-.n. !s..
{
Tioposal iliorktt (nitatrurtiott Permit
L./ (I 144 to
Permission is ereby granted � �,u , e Disposal System
Construct ( ) or Repair " )43t Sc
wag
1 . . f
at No
:non
as shown on the application for Disposal Works Construction PermittNo_F
DATE
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
2 Dated__..i€i"`.
Board of Health
7/
THE COMMONWEALTH OF MASSACHUSETTS
r BOARDlOF,HEALTH
pplirntinn fur Bispnsnt 1r;arks Otnnstrurtinn Vermit
11
F„„ [5-, 0 d
Application is hereby made for a Permit to Construct ( ) or Repair ( )`aann Individual Sewage Disposal
or Lot No.
:em at:
Address
Installer Address
ie of Building Size Lot Sq. feet
Dwelling—No. of Bedrooms 3 Expansion Attic ( ) Garbage Grinder
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
igr, Flow '�qq ......gallons per person per day. Total daily flow 6t. 0 gallons.
tic Tank—Liquid capacitylcs.d gallons Length Width Diameter Depth
posal Trench—No Width Total Length Total leaching area 7J)._Gsq. ft.
leaching area r. ft.
:page Pit No Depth
ler Distribution box
:colation Test Results
Test Pit No. I
Test Pit No. 2
scription of Soil
Dosing tank ( )
Performed by Date
minutes per inch Depth of Test Pit Depth to ground water
minutes per inch Depth of Test Pit Depth to ground water
Lure of Repairs or Alterations—Answer when applicable
;reement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
eration until a Certificate of Compliance has been issued by the board of health.
Si ned... ._......
C51 /id
Dote'
pplication Approved By M 21
pplication Disapproved for the following reasons
Permit No... 3 7
issued
7
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF . . .. .. . . .
(Qprtifirott of Tomplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
Installer
as been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
Ipplication for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
No 11.3
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OFHEALTH
ezt Lik OF �H_.ttEt
erl
Eliopasabitiorko 01, strut-lion Prrm'ct
Permission Iptereby granted .4 to Construct (_ i ) or R�ppit ,.) a rvidu Sewag�isposal System
at No d�1�•" Lc7 ld � l S.«.t /I lc
3 y.
as shown on the application for Disposal Works Construction(Pe[mit,No_e.`1--✓/�/) Dated
i Board of H
.�
FEE./
06
DATE
FORM I25S HOBBS & WARREN. PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
1ppliratinn for �ispns i!i' nrkke Onswtrnrtinn Permit
Application is hereby made for a Permit to Construct (" ) or Repair ( ) an Individual Sewage Disposal
FEZ.jSi/V-
item at:
or Lot No.
lL d ./n.fiatia Mru
.4 /�f'e Address
Installer Address
Size Lot Sq. feet
pe of lig Building Garbage Grinder
Dwelling—No. of Bedrooms 2 Expansion Attic ( ) g (
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
(f.__gallons per person per day Total daily flow .600 gallons
sign Flow —f !a1 p P y'
ptic Tank—Liquid capacit v�.Jr.Qgallons Length Width Diameter Depth
isposal Trench
No—Vo.
Width Total Length Total leaching area 40%0 0 sq. ft.
Pit No Diameter Depth below inlet Total leaching area sq. ft.
;epage
ther Distribution box ( ) Dosing tank ( )
erc et Test Results Performed by
Date
Test Pit No. 1 minutes per inch Depth of Test Pit Depth ground
Test Pit No. 2 minutes per inch Depth of Test Pit P th to g round water
Fescription of Soil
Iature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
he provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has r-- issued by the board of hea
Signed.... ./ ._ . c C./li
a.
;ti if 71
Application Approved By `� natei
Application Disapproved for the follow reasons'
Permit No...{--
p. loam
Issued _t ;..11)
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
(IIrrtifitate of (Qnmpliatttt fired
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (
Installer
s been installed in accordance with the provisions of Article XI of The State S vita Code as described in the
pplication for Disposal Works Construction Permit No da
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
iYSTEM WILL FUNCTION SATISFACTORY.
)ATE Inspector
No. 2136.5-.
Mayon [1 a�iawful nstrttttintt Permit
Permission ereby granted to Construct �/ or epaiy ) Indivtdua' ewag Disposal System
at No /I ?7..41. !. Street
orks Construction Pgrmi//t, No...
.3.5 Dated
THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEALTH
. eitit OF jJLb�py./
FEE./- 'ad
as shown on the application for Disposal
DATE
FORM 1255 HOBBS IS WARREN. INC.. PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
airrtifiratt of elautPliatta
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (V) or Repaired (
Installer
'as been been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
misfit tom for Disposal Works Construction Permit No dated.. . ..9
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE X X Inspector...--,
No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Disposal ii arks Tonstritrtion Damp
Permission," hereby granted
to Construct ) or Repair ( ) an Individual Sewage DispoLal Syst&
at No
Street
as shown on the application for Disposal Works Construction Permit No Dated
FEE
DATE
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
Board. of Health
t
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
' d
nut........._....._.—...
Applirtttinn fur Ilispusttl rr; grits fltunstrnrtinn rrmii
Application is hereby made for a Permit to Construct () or Repair ( ) an Individual Sewage Disposal
ystem at:
oration.-AaM.s
or Lot No.
Address
Address
,s- Installer IJ Size Lot Sq. feet
f ype of Building _� Expansion Attic ( ) Garbage Grinder ( )
Other-Type of Bedrooms Showers ( ) — Cafeteria ( )
Other—Type of Building No. of persons
Other fixtures
Design Flow gallons per person per day. Total daily flow gallons.
'
Width Diameter Depth
DispoTank—Liquid capacii}l� •'y gallons Length Total leaching area L sq. ft.
Width Total Length
Disposal Pit No Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution No Dosing tank ( )
Perco ation iTest box ( ) Date
Percolation Test Results Performed by g
Depth to round water
Test Pit No. 1 minutes per inch Depth of Test Pit P
minutes per inch Depth of Test Pit Depth to ground water
Test Pit No. 2 f
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 further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
1 Date
Signed s
Date
Application Approved By
Application Disapproved for the following reasons'
Permit No
Issued
Date
J
Date
0
Fes
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF; HEALTH
��;;_ ;.� ,. �_ �. _f.
t V
Application for l3iopooal cork, Tonotrurtion 3rrmit
Application is hereby made for a Permit to Construct ( - t+r Repair ( ) an Individual Sewage Disposal
iystem at 1 rn 44`f' f n 4 -- a ti,
d tea -
/—...C) % ./L pL. X — ,j....^ 7- - r-t_ t-rds—e.
Ad//Qs es
t.!-. $_._ tit t,-£ Installer / Aitl ss
Size Lot Sq. feet
Iyye of Building Garbage Grinder L-)
Dwelling—No. of Bedrooms 3 Expansion Attic ( ) g
Other—Type of Building441.24..Jaaa¢No. of persons Showers ( ) — Cafeteria ( )
Other fixtures /.%eruti. :e_S.,vx.z Lr.h /L.Ii.Er.? Cape:F/.Sts..... -fad-k '
Mons per person per day. Total daily flow gallons.
Design Flow gallons P P
gallons Len h Width Diameter Depth
Septic Tank—Liquid capacity gt
Disposal Trench —No. Width Total Length Total leaching area sq. ft.
Seepage Pit No Diameter fcc-Depth below iinlet - Total leaching area sq. ft.
Other Distribution box ( ) Dosidg tael)%( ) i — ' 2 L.t -
A
rx • .• '1 . .1 • Date. < `f - t
Percolation Test Results Performed by th to round water _ S
Test Pit No. 1 minutes per inch Depth of Test Pit r Depth to ground water - .
Test Pit No. 2 minutes per inch Depth of Test Pit Depth ground -
C.a
- 2 .,is
Description of Soilvw`-- `" r.- ' if n
ioe i.rrn,1' Dw.I er /'^""g"Ir` n."O (r1Q g-t -211-ta y" „4LAI-4Gr•
Natureof Repairs or Alterations Answer'when applicable
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 further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health
Signed
Application Approved By
Application Disapproved for the following reasons'
Permit No
Issued
Da
Date
Date
Dam
o \-
33 Fax._./. 5, L 6
No
THE COMMONWEALTH OF MASSACHUSETTS
/'�
BOARD OF HEALTH
Ce._ of f. f-. l? ! 'i{.
1pplirtttinn in Bispnsttl Hods (Qnnstrurttnn Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
yy -"- _ or Lot No.
.,/Lt.LC�`'ne-pry/.-.14—i`+�""' Address
////�//abt;sM..?�--A1 F-e' a Address
etInstaller Size Lot Sq. feel
M Type of Building Garbage Grinder p`
U Dwelling—No. of Bedrooms 3 Expansion Attic ( ) g
j No. of persons Showers ( ) — Cafeteria
Other—Type of Building P
d Other fixtures gallon:
W
Design Flow gallons per person per day. Total daily flow
W Septic Tank—Liquid capacit} fg. tus Length Width
Length Diameter
leaching areal Depth
ee+-n �sq. fi
X Disposal Trench--No. Total leaching area sq. 0
'.- g
Seepage Pit No Diameter Depth below inlet
z Other Distribution box ( ) Dosing tank ( )
Date
Percolation Test No.Results minutes per by Depth to ground water
J-1 Test Pit No. 1 miunYes per inch Depth of Test Pit P g
.] per p Test Pit No. 2 minutes
k, er inch Depth of Test Pit Depth to ground water
W'
O Description of Soil
U
W
2.
U Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance wi
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system
operation until a Certificate of Compliance has been issued by the board of hhealth.
SG
Signed b.' - // / -
: 6),,,.
.. . ^ '"�
Application Approved By ( L 2U
Date
Application Disapproved for the following reasons-
nate
g3 3
Issued a 19a}
Permit No_.. owe '
ty
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF .. .. . . .
QQrrtifirtttr of lintaplittnrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
)
Installer
It
ms been installed in accordance with the provisions of Article KI of The State Sanitary Code as described in the
Application for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE Inspector
THE COMMONWEALTH OF MASSACHUSETTS
y BOARD(,OF HEALTH
21—{... OF /� .Trip.
flispnnttlinrks Cot fruition Vrrntit
Permission iyEereby granted 7 <u 'C
to Constr gt V or Repair L(�� ) an}individ�ua/al�SS-ew Disposal System
at No 4L- l6 f� ^*X2` l Jli street p -7
as shown on the application for Disposal Works Construction Permit No /f3y3� Dated..- ``t ?� 1471
rat
Board of Heal
FEE., I O 6
DATE
FORM 255 HOBBS & WARREN. INC.. PUBLISHERS
79 -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1 ../t' n OF J404-
Appliratinn fur 3inpn5al iffurks &xMrnrtinn Vaunt
Application is hereby made for a Permit to Construct (01'or Repair ( ) an Individual Sewage Disposal
stem at:
X2 4 ' _
� rF��,f 21'
FE,l ,..4.0
ype of Building
Dwelling—No. of Bedroom
Other—Type of Building
Other fixtures
esign Flow � ��yy gallons
eptic Tank—Liquid capncitJlut.g:dlons
isposal Trench—No. Width
eepage Pit No Diameter
■they Distribution box ( ) Dosin
ercolation Test Results Performed by
Test Pit No. 1 minutes per inch
Test Pit No. 2 minutes per inch
Address
ALlre
Size Lot Sq. feet
s —Expansion Attic ( ) Garbage Grinder (
No of pe wn, Showers ( ) — Cafeteria ( )
)escription of Soil
per person per day. Total daily !low gallon.
Length Width Diameter Depmi
Total Length Total leaching area sq. ft.
Depth below inlet Total lead area- a- P.
g tank ( )
/AV p p 4-t abraz<•�c'
y Date
Depth of Test I'it Depth to ground water
Depth of Test Pit Depth to ground water
Sature of Repairs or Alterations—Answer when applicable
lgreetnent:
The undersigned agrees to install the aforedescrihed Individual Sewage Disposal System in accordance with
he provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in
)peration until a Certificate of Compliance has been js;tred.b boar of health.
Application Approved By
Application Disapproved for the following reasons
/n7�- -7
vate-
Permit No..7/
Dat
fat f n)f/ 7
Issued S. e
&
Dam
THISl 0 l I
by
THE COMMONWEALTH OF MASSACHUSETTS
BOARD �Oy OF HEALTH
OF
2rrtifirate of Tam liana (V).
----.'or Individual Sewage Disposal System constructed (V). or Repaired ( )
4-# 1 -. _-... -.. -;e` —t' c of O notec&,t..Gtr
at n installed bas been installed in accordance with the p tvision5 of Article XI of The State Sanitary C�/lc as described in the
'7 a_ dated !- ._./f 7
application for Disposal Works Construction Permit No ./
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WI L FUNCTION SATISFACTORY.
DATE (7r
19.7R'
Inspector.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
C'Ify
or Not Hi p eq.
Pppliration -fur Bispnsttl 'Marko auuMtru tiutt 1rrmit
Fee
Application is hereby made for a
stem at:
fl n /Lad
a .Address
to ler/ C..�ai/e /
owner
Permit to Construct (K) or Repair ( ) an Individual Sewage
3(
Installer
ype of Building
Dwelling—No. of Bedroom-
Other—Type of Building _-
Other fixtures
9 tine A Ave,
at
Address Rfae �l otoa7
Aadre�.
Address
Size Lot /5 000 Sq. feet
3 Expansion Attic ( ) Garbage Grinder ('�) t(es
.., No. of persons Showers ( ) — Cafeteria ( )
eptic Flow So
{ � gallons per person per day. Total daily flow +300
v%��"gallons Length Width Diameter
ispo Tank—Liquid capacit_
Fee.Cd._ \\'idth l8 Total Length a� Total leaching area
epage Pit N-o---++n Depth below inlet Total leaching are
eepage Pit No Diameter P
Ither Distribution box ( ) DosinCank (Performed '-
h M.+-
'ere
gallons
Depth J'(�
, $- sq.ft
sq ft
_�i.4i{-el- 1 4 Date - 23-7.p'
Testa Test Results[ minutes y_.. - _ Grp
Test Pit No. 1 Z minutes per inch Depth "Cest Pi ESQ Depth to ground water
ground water to Depth Test Pit No. 2 minutes per inch Depth of Test Pit De P g
0-6 " h,c se-,e( C4 Inst� e"-36-",s.%fy _sand 541-1 fag se,
)escription of Soil e S ettel
3(n " - (.c' say.d .T&' {.i.m._._r.�'_f.th__9cnr:�! ,
9ature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
Agreement:
the provisions of Article XI 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 hoard of health
Signed
Application Approved By
Application Disapproved for the follow
9
easons•
Issued.
Permit No
Daft
Date
Date
Date
j
d '-I1"h, r'w riq
, Ofi=„ l EG e- 7-5
yN/ vafd tIVIIi0N
Wyd("c,°y/Sa 1 /N /07
0,2 Ay, ods-,& ad2) 2
5Cioi/O3 /J ,Ja 12
h,vf ,ars klit CO 0y5 U°id
,7001.2 �i_II ci” a/Of> aN
F;o n • 7 /)f1)
tr.di ,No/t W'i53/%I
—`,r— {------- Uc fdcu0y f S
,I2t, el lolay josoo:';p ,x.940
2
S i
a_py
-J l
i1
�I I'
i
I i
Za R7 ig
plication
'stet at:
Route 66
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
City OF _ .Northampton
FEE asoo
ppivatian far Uispaatti iflnrk Cn inatrurtiatt '1rrinit
is hereby made for a Permit to Construct ( )() or Repair ( ) an Individual Sewage Disposal
CLocat au.A �
ype of Building 3
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
resign Flow 55 gallons per person per day. Total daily
1500
g
500
'cork Tank,Lio rid capacity gallons Length Width
bsposal Tr
Width 20 Total Length 50
endy—No
ieepage Pit No Diameter
Taller Distribution box ( ) Dosing tank (RPB
'ercolation Test Results Performed by
Test Pit No. 1 0 minutes per inch Depth of Test Pit
Test Pit No. 2 minutes per inch Depth of Test Pit
4 '6" varved V.F. sand and silt,
Lot 61
or Lot No.
Whittier Drive, Northampton
f• EAr
Address
Size Lot 1.0 Ac
Expansion Attic ( ) Garbage Grinder (X )
No. of persons Showers ( ) — Cafeteria ( )
flow 330 gallons.
Diameter Depth
Total leaching area 1000 sq. ft
Depth below inlet Total leaching area sq. ft.
Huntley Assoc. Date 3-1-85
Depth to ground water
Depth to ground water
Description of Sod 9" OTS 2'9" silty fine sand,
groundwater at 3'6"
Nature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
:
the provisions of TITLE 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.
/`Sigel...
Application Approved By '�/ EC irKe
Application Disapproved for the following reasons
Permit No V ^ 7S
Issued
Daze
'.f
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
C I.TYor....NORTHAMPTON
@Trrtifirztr of tdnntpliana
THIS IS TO CERT! ,plgiVidi wage Di sposal System constructed (Repaired by . AC
at has been installed in accordance e provisions of t!L.. 5 of The State Sanitary Code s de rib in the
application for Disposal Works Construction Permit No �-' F. dated 3� 6
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANT HAT THI
SYSTEM WILL FUNCTION .SA,TITACTOpRY.
DATE Q
�Lt.�v✓`-� 41 r t i y 5 Inspectpor .. ""
-
`a.J s.[z,
THE COMMONWEALTH OF MASSACHUSETTS 0c/
BOARD OF HEALTH
No d S CITY OF NORTHAMPTON D c.d>%
d iihpuntt Ek1 OjAnStrurtiun 1Prinit
Permission ijoitereby granted /S ° q
to Construct repair ( n I ivrdt�ltewage/y} s stem "'-' �,/ , J /
at No �I—r �. (.' 'f(J W sure". _ /�`J� ,L/�J
as shown on the application for Disposal \Works Construction Per g �� DtAT�! Y G�Pi
31 e gc Hoard M Healtthh_//�J
DATE /J/
FORM 1255 HOBBS Sr WARREN. INC.. PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
`tn` City OF Northampton
Appliration for flisposal corks (ll nstrurtion 'ermit
Application is hereby made for a Permit to Construct (x ) or Repair ( ) an Individual Sewage Disposal
System at:
Westhampton Road
James Stoe,�ry e'"ddress
FEE
Owner
LA.t...l
or Lot No.
Address
Installer Address
Type of Buildin! 3 Size Lot 3.4...A27 Sq. feet
Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder (X)
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow 55 allons per person per day. Total daily flow(3. 30 x 1. 5) 49..rgallons
Septic Tan --Liquid capacity 150 lions Length Width Diameter Cap aC leiy' S al da
Disposal "R —No.....1___._.. Width 12-5' Total Length._yb_.S' Total leaching wtYa �� tH y
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by R.H. Sabbides Date4-23-74
Test Pit No. 1 2• 0 minutes per inch Depth of Test Pit 10 ' Depth to ground water none
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
Description of Soil
10" loam 12" Clay 98" sand & gravel
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 I L 5 of the State Sanitary Code—The undersigned farther agrees not to place the system in
T^
operation until a Certificate of Compliance has been issued by the board of health.
Signed
Application Approved By
Application Disapproved for the following reasons-
Permit No
Date
Date
Date
Issued.
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Qlrrtifiratr of atom Tlianrr
THIS IS TO CERTIFY, TI t. to - rs . L
•age Disposal System constructed ( ) or Repaired ( )
!/�� �. u
by f�_ Installer
at
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No dated (Cal. oe�a -C- ,4
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATF Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF. .. . . ... .. ... . .. ... Fez
No Tinprnnl i'florkn (tonntrttrtion rrrmit
Permission is hereby granted
to Construct ( ) or Repair ( ) an _Individual Sewage Disposal System
at No street
as shown on the application for Disposal Works Construction Permit No Dated
Board of Health
DATE
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
City
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF Northampton
Pau
. i 1 ) ppliration for 3Jilipuiiaf inure::� Lonntrurtinn irrutit
Application is hereby niade for a Permit to Construct (X ) 01 Ruj tir ( ) all 1 di:idua1 Sewage Disposal
System at:
Westhampton Road
James Bbyte Ad.lr--s
owner
Installer
Type of Buildinj
Dwelling—No. of Bedrooms Fcpans
Other—Type of Building No of persons
Other fixtures
3
Lot.__],
Address
Size 1.0t 34.s.427 Sq. feet
n Attic ( ) Garbage Grinder ( X)
Showers ( ) — Cafeteria ( )
Design Flow 55 allons per person per day. Total daily
Septic ianl -+Liquid capacity 150.Ftllons Length AAloth
Disposal 71-1€4*---No. 1 Width._12.5' Total Length -.16-5-1
Seepage Pit No Diameter Depth below inlet
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by R. H. Sabbides
Test lit No 1 2• 0 minutes per inch Depth of Test Pit _ 10'
Test Pit No. ' minutes per inch Depth of Test lit
flow.(3. 30 x 1. 5)r��t(49`.kalluns.
Diameter.. Odp ab11LYt
Total Icaching afra 98.R, fgal/day
Total latching area sq. ft.
Date 4—2 3—7 4
Depth to ground water_..nOrte_,___
Depth to ground water_
Description of Soil 10" loam 12" Clay 98" sand & gravel
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the a forcelescrihed Individual Sewage Disposal System in accordance with
the provisions of 5 of the State Sanitary Code— The undersigned flu ther agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed
Application Approved By
Application Disapproved for the following reasons
by
Permit No
One
Date
Issued.
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
C'ri.rrtifiratr of Oloutpliaurr
THIS 15 TO CERTIFY. That the Individual Sewage Disposal Sjsttm coast ntot ed ( ) or Repaired ( )
Installer
at
has been installed in accordance with the provisions of Ti'C_; 5 of The State Saniktry Code ;ts described in the
application for Disposal Works Construction Permit Sn_._..._.._.____.._.__..... dated.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SAT"FACTORY.
4TATA
inspector
C EF7CW/NG P/T
42? ti
1/00.5E-
/
80-'
/35 4>
WEST/1AMPTON ROAD
* KELLOGG /000 GALLON
DRY WELL W/TN 4 '
$TONE 9[[ 9ROoN0.
LOT/
34,4?7 J1'
PERC J/Tf
RESERVE
AREA
/500 GAL CON
SEP7/C TANK
PLAN OT PROPOSED SEW4GE DISPOSAL SYSTEM
Lc/ / WEST//LJMPTON ROAD, NORT//AMPTON
GREPAREP GDR — JAMES [sov[E
h
LMLR HUNT'_EY,JR. & ASSOaATES,INC.
REGISTERED LAND b URVEYORS 9 CIVIL ENGiNFERS
125 PLEASANT STREET
NORTHAMPTON,MASS.
D-11' SCALE: / 40
DATE 8-/8-81
10T2
ro T E-
ALL WoRK Tr SE
LONE IN ACCaRD
ANCE MTH THE
ENVIRONMENTAL
CuCE • TITLE 5
x
No....Ql �.^.S.. Fas.,,,�/6
. THE COMMONWEALTH OF MASSACHUSETTS
BO O OF H LTH
LAel F
Applirtttiou for 3lispostti Marks (llunztrruurtinn 'hermit
Application is hereby made for a Permit to Construct (Jr Repair ( ) an Individual Sewage Disposal
System at:
� // 4 /
La ess�O or Lot No.
Address
W
.
a Di
ca Installer Address veal/
U Type of Building Size Lot._. .7.. a- •Sq. feet
Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
WOther—Type of Building No. of persons Showers ( ) — Cafeteria ( )
a. Other fixtusCs
W
Design Flow ..S..5-
gallons per person per day. Total daily flow gallons.
R'. Septic Tank—Liquid capacity.aW-idtons Length Width.), Diameter D ..
Lai• Disposal Trench—No / Width../Z S Total Length.../hear Total leaching area •S
• Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
z Other Dion Test box ( ) Dosing tank Z / c d .,/a3/2u
Percolation Test Results Performed by ..... .. ....r Date Y/ J
,al Test Pit No. 1 au) minutes per inch Depth of Test Pit_..LQ Depth to ground water_).1fn't
(i, Test Pit No. 2 minutes per inch Depth of Test Pit pDepth to ground water�.x '- a p
O Description of Soil LD l �g 4 • �1 el / Tr Y Lvim.
0 ((IJJJ
U
W
U Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescrihed Individual Sewage Disposal System in accordance with
the provisions of T_TLL 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 and of heal .
Sign �✓/-.l._. ... =" _ cyoz-p �j�.-....._...
Application Approved By A tsN�C. . .0 0141X._7•
Application Disapproved for the following reasons• .e
/-as Date
Permit No Issued. py�o(
Date
■
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
r -
atrrtifiratt of Tamp liana
THIS IS TO CERTIFY, That the-Individual Sewage Disposal System constructed (2<or Repaired (
by , •
-__Installer
at .
has been installed in accordance with the provisions of T11,2.1.T, li of The State Sanitary Code cleesccied in thi
application for Disposal Works Construction Permit No /- — la dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU D AS A GUARAN 1H T TH
SYSTEM WILL FUN ION SATISFACTORY.
DATE 8 Inspector .,
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_--
.
—
-
- -- 9' OF ,
No FEE
Eippolial ii trkg Tonstrurtinu j1rrmit
Permission is hereby granted 1 i . ..._
to Construct (1.,4.or Repair ( ) an Individual Sewage Disposal System
at No , r _l ,
sirce, - - ---
as shown on the application for Disposal Works Construction Pert No.:........—.... Dated
1 c _
,—Usatd J of
7 / i Heilth
DATE , — f ,
FORM I 255 H013135 8 WARREN. INC.. PUBLISHERS
Fes..
pttH
OF MgSG THE COMMONWEALTH OF MASSACHUSETTS
0� BOARD OF HEALTH
.• AL: ER
• M.
HUNTLEY. JR. City OF Northampton - -
4 a
p
Ap lication for fliopazal 'Marl�o (nnnntrurtinn Permit
E ff i1 r XLE
NG�a/ p
Application is hereby made for a Permit to Construct ( X) or l:cpair ( ) an Individual Sewage Dispos
System at:
Westhampton Road Lot 2
Lecaem,-Address or Lot No.
L ites._HayJa
Owner Address
hssaser Address 34. 37C
4 Type of Building Size Lot Sq. ft
Dwelling— No. of Bedrooms Expansion Attic ( ) Garbage Grinder (X
yOther—Type of Building No. of persons Showers ( ) — Cafeteria (
a. Other fixtures y3Dxj.5=495
Design Flow 5.5 gallons per person per day. Total daily flot4 gallo,
xl
• Septic Tanji—Liquid capacity..l5.0Qallons Length Width Diameter Cd aC Depth ...i4
Disposal No....1 Width..9...4.1.__.Total Length....i3...i... Total leachingmr sq.
Seepage Pit No Diameter Depth below inlet Total leaching area sq.
z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by R..B_....Sabbldes Date 4-23.-.7..4
"l Test Pit No. 1.._2..0....minutes per inch Depth of Test Pit 10' Depth to ground water_None
X. Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
O Description of Soil 10" Loam- 1.1D" sand
4
U
D
5
U Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance w
the provisions of TITLE 5 of the State Sanitary Code —The undersigned further agrees not to place the system
operation until a Certificate of Compliance has been issued by the board of health.
Signed page
Application Approved By this
Application Disapproved for the following reasons-
pate
Permit No Issued.
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
QIertifiratr of alomplianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by I.amu..
at.
has been installed in accordance with the provisions of T ITLE 5 of The State Sanitary Code as described in
application for Disposal \Vorks Construction Permit No dated_
THE ISSUANCE OF 'HIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT 1
-____` SYSTEM WILL FUNC' SATISFACTORY.
-
Fss . .
t-0 OF kkri THE COMMONWEALTH OF MASSACHUSETTS
AMER ` BOARD OF HEALTH
M.
S HUNTLEY. JR. L. City OF Northampton
4 X0 tl
$ ; r ."/ 1ppliratinu for Disposal marks Cnonstrurtion rrrmit
ii/ Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Dispos:
System at:
Westhampton Road Lot 2
._......_..._
T Location.Address
or Lot No.
aamea..Hayda 0„ne. Address
4 w:taaer Address 34. 376
G Type of Building Size Lot Sq. fe
Dwelling—No. of Bedrooms 3 Expansion Attic ( ) Garbage Grinder (X
yOther—Type of Building No. of persons Showers ( ) — Cafeteria (
z, Other fixtures '�t2
G Design Flow 55 gallons per person per day. Total daily flow 30x =495 gallu
4 Septic Tart—Liquid capacity..1504alions Length Width Diameter Ca aCi th...664
Disposal 'rear—— N...1. Width..9.e.4' Total Length_1.3..5.-.. Total leaching^ar�r sq.
Seepage Pit No Diameter Depth below inlet Total leaching area sq.
y Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by R..11. Sabbides Date 4-.23.-7..4
i Test l'it No. 1_..2.-0__minutes per inch Depth of Test Pit _LB' Depth to ground water- None
y Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
4
D Description of Soil 10" .Loam- 110" sand
L
J
J
j Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance w
the provisions of:ISi 5 of the State Sanitary Code— The undersigned further agrees not to place the system
operation until a Certificate of Compliance has been issued by the board of health.
Signed Date
Application Approved By
Date
Application Disapproved for the follmving reasons
Date
Permit No Issued.
Due
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF -
Qlrrtifiratr of Q ompliaurt
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by insole.
at
has been installed in accordance with the provisions of TITIL 5 of The State Sanitary Code as described in
application for Disposal Works Construction Permit No dated_
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT 1
SYSTIIM WILL FU! TION SATISFACTORY.
Fins
pvM OF kgl,e., THE COMMONWEALTH OF MASSACHUSETTS
▪ AIMER -'4 BOARD OF HEALTH
.r,, M.
3 HUNTLEY. JR. . City of Northampton
9 Nu
$ fGI �°vi 1ppliratinu fur Di ipnsai fporlc, Tonotrurtinti tirrinit
Yof Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Dispos:
System at
Westhampton Road Lot 2
Location.Address or Lot No.
,lasaes...Say.Le-
Owner Address
4
Installer Address 34, 376
Z Type of Building Size Lot Sq. fe
1 Dwelling- No. of Bedrooms 3 Expansion Attic ( ) Garbage Grinder (X
q Other—Type of Building No. of persons Showers ( ) — Cafeteria (
r
Other fixtures a.30xLe5=495 Ilm
d Design Flow 5.5 gallons per person per day. Total daily flow ga
Y Septic Tamps T--Liquid capacity_.l5Uf%allons Length Width Diameter Ca aCivy 664
:] Disposal 1'AID& — No. ...1 Width 9...41 Total Length....13...5..-. Total leaching-ar s
C
Seepage Pit No Diameter Depth below inlet Total leaching area sq.
L Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by R..B.._.Sabbides Date 4-.23=24
JTest Pit No. 1....2..0....minutes per inch Depth of Test Pit 10' Depth to ground water_Norte
y Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
O Description of Soil la" Loam 11D" sand
J
W
Z
:J Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance w
the provisions of I 5 of the State Sanitary Code—The undersigned further agrees not to place the system
operation until a Certificate of Compliance has been issued by the board of health.
Signed Dace
Application Approved By Dane
Application Disapproved for the following reasons'
Date
Permit No Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
ftertifiratr of Ulompliuurr
THIS IS TO CERTIFY. That the Individual Sewage Disposal System constructed ( ) or Repaired
by Installer
at
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in
application for Disposal Works Construction Permit No darted
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT '
SYSTEM WILL FUNC . SATISFACTORY.
� � Fine
�NOrR, , THE OF 5
44' �c
�� ALMER o�M.
F NUNTLE Y. JR. -
o
City. ... OF Northampton
LE .
p au. 1■ l
i Pel N�ej ?pill-ka tan fur ili po5MI urks TuttStrttrttutt Pamir
/ _ A�
Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal
System at:
Westhampton Road Lot 2
Location t Address
or La No.
Ja1uea_Bay.1 a
owe. Address
1-1 t"sta°er Size Lot 34. 376 Sq. fee'
d Type of Bing- Garbage Grinder
V Dwelling—No. of Bedrooms 3 Expansion Attic ( ) g (}{
.a Showers — Cafeteria
Other of Building No. of persons ( )
4 Other fixtures p30x1,5=495 gallon:
Design Flow 55 gallons per person per day. Total daily float' g�
LL�� Width Diameter Depth._.
[x Septic Ta�1—{Ligmd capanty..l50.Qallons Length CaWaCrey 6bc1 f.
`Z Disposal -4 ,c-&v.-No.._1 Width_9...4' Total Length .13....5. Total leaching az
Z
Seepage Pit No Diameter Depth below inlet Total leaching area sq. t
Z. Other Distribution box ( ) Dosing tank ( )
Date 4-.23.--2.4
.J
Percolation Test Results minutes Performed by R.H__. Test it 1 Depth to ound water. None
.7 Test Pit No. 1._2_0..minutes per inch Depth of Test Pit 1D' P �'
, Test Pit No 2 minutes per inch Depth of Test Pit Depth to ground water
0 Description of Soil 10" Loam 1.14" sand
V
W
M
V Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescrihed Individual Sewage Disposal System in accordance wi
the provisions of TIT I% 5 of the State Sanitary Code—The undersigned further agrees not to place the system
operation until a Certificate of Compliance has been issued by the board of health.
Signed Date
Application Approved By Date
Application Disapproved for the following reasons'
Date
Permit No Issued. Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
G/rr OF 4/4LQ.7.11mo -
Application for Dismal i.', =its QCnnstructinn futon
Application is hereby made for a Permit to Construct ( sdror Repair ( ) an Individual Sewage Disposal
rstem at:
R. t. ....et?I.es'! ''1.er041_/ :_.. <47.._' Ssr/A Egad °
Locution•Address
Owner
Instiller
Spe of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
0
-9
or Lot No.
Address
Address
Size Lot. Sq. feet
Expansion Attic ( ) Garbage Grinder (e-'
No. of persons Showers ( ) — Cafeteria ( )
' Flow 50 gallons per person day T W dad flow Soo Ions.
eptic —Li uid ca dt /@FA.... ons Length r-6' Widths' " Diameter Dep . /0"
)ispoTardy,,,_ 9 Pa¢ 'N id 10 3o Total leaching area.kC?Q.._..sq.ft.
iispage Pit No Diameter a Width . Depth Total Length g
ieepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
)ther Distribution box ( ) Dosing tank ( )
?ercolation Test Results Performed by.✓A'z T^-AQi/744/ ✓4d' Date.. / Zh...
Test Pit No. 1 i•¢ minutes per inch Depth of Test Pit 3 1-11411 Depth to ground water../Ife it/e-
Test Pit No. 2....C...._.minutes per inch Depth of Test Pit.1/r Depth to ground water /11gters
Description of Soil /_o" IoP34/.4-7:./.-10..`_-114-71 P-G` fI qy C:Wes -FR46°
Nature of Repairs or Alterations—Answer when applicable
Agremtent:
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 further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed.
Application Approved By
Application Disapproved for the following reasons•
Permit No
Issued.
Oa
Date
Date
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1ppl ratinn for 13tapnsal Works Cnnnstrurtinn hermit
Applicatipq is h eby mad for a Pehmit to Construct ( % or Repair ( ) an Individuals Sewage Disposal
stem at: 44// /Ldp yQ 1 a- /' .I�X A .e4"t A.)
cis• W .1 .._.......
� on��r s or r xo.
Addr s
Address
ype of Building U Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder ( )
Dwelling—No. of Bedrooms P
No. of persons Showers ( ) — Cafeteria ( )
Other—Type of Building
Other fixtures
esign Flow gallons per person per day. Total
optic Tank—Liquid capacity/a gallons Length Width
'isposal Trench—No Width Total Length
Pit No Diameter Depth below inlet _
daily flow gallons.
Diameter Depth
,,..,,,,..as��'//TTotal leaching area sq. ft.
.�(I..¢..:..,/r...`Total leaching area sq. ft.
eepage
)ther Distribution box ( ) Dosing tJj /f�� 7.t/
'em Test Test Results inter per by ��r
k/ n-er(ry r Date 3'/ �'`/Hou�
Test Pit No. I a. minutes per inch Depth of Test Pit_{"' Depth to ground water..
Test Pit No. 2 minutes er iggh Depth of Test J Pit to ground water
)escription of Soil Depth
'
_ B�Fi'0
4ature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
[he provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been is ed by the board of l}eplitf.
Application Approved By
Application Disapproved for the following reasons'
7
n
Permit No 21- /1
Date
Issued 7/iJ fl
.0••■••••11.11nr,. ....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEA TH
alifiratt of Tomplianre
THIS IS T ERTIFY, Tha Intiiv. ual wage Disposal System constructed ( ) or Repaired ( )
atY.................... ....1..?1.1 Lt....2......4:...... ......................e.'....../(2.1.. ...G Th 0^-f 4-'31)-6'
has been installed in accordance With the provisions of TITLE 5 arc The State Sanitary Code arifi'd in chi
application for Disposal Works Construction Permit No ?)- i 1 dated 7,/
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR D A GXNT TH
SYSTEM WI FUN ION SAT/re/TORY.
DATE 7 Inspector 7•-' ,
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF I-IALTH
No11:1.77 .. . .,.,... .^.. . .. OF.. .... .. ................ ...... .................................
FEE.............,...,-
1. ......
Permission iS ereby n ed Cal
..)1 grattitinlOCEEIr40 Cleitotrtuttatt Pritit , 41
Eirrrryyt c, T‘ l tit- 6_ 6.
to ConstruT2 T: Rep* cl d an Ipelittidual/Sewse tispogal Spe:b1.$ at-,
at No........ .....................................t...... — - '' ' i / / /
Street ^ • ;
as shown on the application for Disposal Works Construction Permit No.siLki...s.ired.. ..W........[.........
A &aid of Health .
DATE............ (
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
¢R
EY, JR
Pea
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
City OF Northampton
Application for /lomat Motto Qluustrurtiou j rrmit
Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal
ystern at:
Westhampton Road
Lot 2
Location-Address or Lot No
,L aea..Say.1a
Owner
Installer
'ype of Building
Dwelling— No. of Bedrooms
Other—Type of Building
Other fixtures
3
Address
Address 34 376
Size Lot [ Sq. feet
Expansion Attic ( ) Garbage Grinder (X )
No of persons Showers ( ) — Cafeteria ( )
)esign Flow 5.5 gallons per person per day. Total daily
Septic Tate—Liquid capacity.150fgallons Length Width
)isposal &tr:cc,. .1. Width.9 I' Total Length....13...5..
Seepage Pit No Diameter Depth below inlet
Jther Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by R..B....Sabbides
Test Pit No. 1._.2..0...minutes per inch Depth of Test Pit 1D'
Test Pit No. 2 minutes per inch Depth of Test Pit
firm+10x1•5=495 gallons
Diameter ea aci y6K4 gl/day
. Total leaching—at q. ft
Total leaching area sq. ft.
Date 4-..23--7..4
Depth to ground water None
Depth to ground water
Description of Soil 10" .Loam 1.10" sand
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`1? 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
Application Approved By
Application Disapproved for the following reasons•
by
Date
Date
Date
Permit No Issued.
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
QIrrtifiratr of Qlnmpliunrr
THIS 1S TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
Installer
at
has been installed in accordance with the provisions of T121,15 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNC 'I SATISFACTORY.
DATK
Ins ector
THE COMMONWEALTH OF MASSACHUSETTS
BOARS OF HEALTH
�'l.1
OF '4v`'�'�t4) . --rt
Application or 3ispnsal Marks Qlunnntrnrtinn tirrmit
Fva
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
Location- ! .., ss or Lot No.
Address
• � _ .. ....-.-.. • Address
stem at:
roa°+fa ,2y 37bs feet
+pe of Building p Size Lot...24.4 Sq.
Dwelling—No. of Bedrooms 3 Expansion Attic ( ) Garbage Grinder (K)
Other—Type of Building No of persons Showers ( ) — Cafeteria ( )
Other fixtures
sign Flow SS' gallons per person per day. Total daily flow.._..i30 X L-E.!f<%4galtons.
or swtelfty,
_ptic Tank—Liquid capacity./S gallons L ngth Width Diameter
W'
isposal Trench—No Width p
... Total Length f..j.J... Total leaching area
eepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
ther Distribution box ( ) Dosing tank )+/ c' a' n 9 3 ��.L
ercolation Test Results Performed by !!�� d-y�-�s.Ll'.4 Date T
Test Pit No. I at.Q_minutes per inch Depth of Test Pit /0 r Depth to ground water
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
Description of Soil
lature of Repairs or Alterations—Answer when applicable
agreement:
The undersigned agrees to install the aforedescribed Indi- . to Sewage Disposal System in accordance with
he provisions of TITS 5 of the State Sanitary Code— The undersigned further agree not to place the system in
iperation until a Certificate of Compliance has 1..71 issue b +' -
i
Signed
kpplication Approved By
Application Disapproved for the following reasons-
Permit No q` —`-0
Issued.
THIS IS TO
as been installed in accordance with the provisions o TITLE 5 of The State anitary Cociejs krithed in the)
t "4—44
install
IT—3-0 rill, r/
.pplication for Disposal Works Construction Permit No dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL TION
)ATE
)SAT IC/r TORY. Inspector aitle4921
FU CL$FI
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
eic OF
entailer of Coup liana
F , That t In iividual Sewage Disposal System constructed (I/KtRepaired (
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH -1.Z
12/— ' OF
No
ilioposal OUi1w Tamar
Permission is hereby granted
to Construct or ca) an Individual Sewage Disposal System if
at No Street
as shown on the application for Disposal Works Construction Permit No. Dated
FEE/
rn3qnttt /7 b
DATE e7
FORM 1255 HOBBS. & WARREN. INC.. PUBLISHERS
d of Health
}
"V VW Y,i/ /q
6/7 t./ -_� -ilsan1ai voQln pals la
✓P/ .J LEHI';'r%_// iO1/ in, 1(d ahodCac �s ) qc u
ea/ /(-/4/ACV fs0M 7" Fey 5-u0 1/v_)/j /Dads X9- 77
Jof 1csco/sld 26O/11o'$ ?pcJ hm/luvs a/°/S ,Atiji
hJr'/ �u � u/n2o S u°/� p ,n a9 9Z iafom ff,,,? ;
d yoj /YO/ct 'UfrNlS3/y( (Ja/daiSy/sdr
1
�Xod-0
Z^,9/ P/a 0_7( / sods 1
POI. {Sl
QiY, l/ �G"a'
“---, 1
r T /y
. D911011
1 „\, ^
.--„FF07 I Z It 19 d i o
0
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
C,{y .OF ._Norfha[»F%()..
Appiiratinn fur i3iipmia1 nrks Cnnnmtrurtinn 3ermit
Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal
z
or Lot No
5' /?iffrl, elve.... lika.mpkin /1 oi027
FE
MILES J.
HUBLER
20623
n 2,2(2 0 ra
't'\9�rSIEP s
oF?SfONAIE�
ystem at:
{te .fhem,¢koca ,Liana
Lacaunn 3ddrrss
....Alert E tin/..le.tt
Owner
Address
Installer Size Lot 45; C99 Sq. feet
Cype of Building Garbage Grinder ( ✓) %eS
Otheri—Type of Bedrooms 3 Expansion Attic ( ) g
Other—Type of Building
No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
gallons
Design Flow SO 0-5--(:)gallons per person per day. Total daily flow 30P Depth _ n
Ilons Length VVidth Diameter P
Septic lTpe—Liquid c.rti .... i vl Total leaching arcs sq. it.
Seepage � . _ ( Diameter er"idth..1.� Total below inlet Total leaching area sq, ft.
s.,
Seepage Pit No Diameter Depth below inlet
Other Distribution box ( ) Dosing tannkk((
f)f tyi-Qt-V Date. ti— 2:3- 73-
Percolest Test No.Results iter p Performed by_
Teat Pit No. 1 T minutes per inch Depth o "Pest Pit �`-c Depth
to ground
roun 1 renter 6:•01 0
Test Pit No. 2 minutes per inch Depth of Test Pit Depth ground
ICY CL JP.ove .._-.8.-'-/8°-sir .. sattd laase
..1,8tion .. Soil 8 p - li M {�tCM
!8 "— E,.c' san.al Sltl_.lapse) (A,.c'_fr 7o s..
Native of Repairs or Alterations—Answer when applicable
SM
r
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
Agreement:
the provisions of Article NI 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
Application Approved By -
Application Disapproved for the lotion reasons'
Permit No
Issued
Date
Dam
Dam
Date
70...7..:1_.0
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF __
Q V
Application fur !T- itipasttl ifinr�k%s Cnnttntrttrtinn jirrmit
Application is hereby"made for a Permit to Construct ({/) or Repair ( ) an Individual Sewage Disposal
? (Idlers Cr?",', `'r:
. o.
� p
System at:
Type of Building
Dwelling—No. of Bedroom-
Other--Type of Building
Other fixtures
Design Flow SO gallons per person per day. Total daily
Septic Tank Liquid ea,me 1_gallon 1 en th Width
Trench �- Width Total Length.
S eepage Pit No Diamete- Depth below inlet
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by - - - --
Test Pit No. 1 minutes per inch Depth of Test Pi -
Test Pit No. 2 minutes per inch Depth of lest Pft_7o2.Q
stall:.
Aaaau
nm:rn
Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder (kill
No. of pcuwa Showers ( ) - Cafeteria ( )
now -_sea gallon..
I)i: netr Deptl .
'Dotal leaching area —. sq. ft.
Total leaching area.
Description of Soil
Date
Depth to ground 'v
Depth to ground w
Nature of Repairs or Aiterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordanre with
Agreement
the provisions of Article SI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance -s been issue. by the of 1, iealtik 4k 7.1,���
Signet .V
'l \\ ityi i`1 - X 1./977 6T_nbi-t 71
Application Approved By
Application Disapproved for the following reasons
Permit No 7-52-.
Issued
Dr.t
THE COMMONWEALTH OF MASSACHUSti 15
BOARD OF HEALTH
OF
Qlrrtifittttr of «nmplitttttr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired wired (
Installer
Ls been installed in accordance with the provisions of Article XI of The State Sa t ry Code as described in the
)1-diction for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
YSTEM WILL FUNCTION SATISFACTORY.
AT
Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
£Jiw}Tnttttl Tinrko (uit trnrt pn irrmit
Permission is r granted
to Construct Repair r Repair ( f) anrt divfilul Sex age ,Disposal Siy t
sten
at No �d
r-
street
as shown on the application for Disposal Works Construction Perpnit No
DATF
FORM 1255 HOSES & WARREN. INC_ PUBLISHERS
FEE.,/,:'....
Board of Mean
THE COMMONWEALTH OF MASSACHUSETTS
BOARD _OF HEALTH
OF PC-1 (4
Appliratiun fur Diipnmal 'lurks Cnuustrurtinn 1rrmit
Application is hereby made for a Permit to Construct (• ) or Repair ( ) an Individual Sewage Disposal
stem
Faa�J' • Ud
at: � Location p
Aavili
a�ppee ��{{������tty��y��{�r�yy//�`�_
rSll....1.+L—TS.ee-'r rt
ype of Building
Dwelling—No. of B drooms Expansion Attic (
Other—Type of Building No. of persons
Other fixtures gallons.
esign Flow gallons per person per day. Total daily flow
egallons Length Width Diameter Depth
expo Tank—Liquid capacity. gt
Disposal Trench—No Width Total Length Total leaching area sq. ft.
eepage Pit No Diameter Depth below inlet Total leaching area sq. ftap
)ther Distribution box ( ) Dosing tank ( ) )Dd 0 U �LyCJtl 4Wxf
'erc Test Test Results minutes per by
Dale
Depth to ground water
Test Pit No. 1 minutes per inch Depth of Test Pit P gr
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
ter
01-- No.
Address
Address
Size Lot Sq. feet
Garbage Grinder ( )
Showers ( ) — Cafeteria ( )
)escription of Soil
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescrihed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance s been issued y the boar\d of h th.
Signed y � ri...-�0
Application Approved By
1=a�..%f.G7 [.. Dart
Application Disapproved for the fallen i ng reasons
Dart .iuf
Permit No.._8-V-C
ly
t
as been installed in accordance with the provisions of TITS' 5 of The State Sanitary Code
,pplieation for Disposal Works Construction Permit No
dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE' Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
Qlrrtifirntr of @lumplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
Installer
as described in the
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF 1_Il:
1. I
fiopnoal Marko Cnnnotrurtinn ifttinit
Permission iip&reby granted 'lid'• " ' ' IL((3 t`1.itc.
to Construct,('/ ) or Repair ( ) an Individual Sewage Disposal System
at o i
N 1 f!
FEEL..:.!
-- sreet
as shown on the application for Disposal Works Construction Permit No it
Dated
l.; •, u 1 Board of Health
DATE
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
Q
Faa....
THE COMMONWEALTH OF MASSACHUSETTS
/I BOARD OF HEALTH
6/ Ty OF i(IOR Yf/ti/ifiTA'J
Application for Disposal hi,arks tlnnntrnttinn f ermi#
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
ystrm at:
/ Y
11L.? ?-ZItlYG�/' 7tiou- ._._.!�>u_.._..�reZ.G; 6`/ fil_Z.a.!e -[�- zs _
' Location Address ,Ye3 l a7-,,,,v,tern inrst!N o
SI .Al/704./
Address
Ass
Installer s Installer ddre
type of Building Size Lot. Sq. feet
Dwelling—No. of Bedrooms 3 Expansion Attic ( ) Garbage Grinder ( 'l
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures 3vo tons.
lesign Flow Sal gallons per person per day. Total daily flow ..
Septic Tapp—Liquid capacity/.QAagalloni Length.t'-d " Width..,%-__.ti 'Diameter Depth..._.-.CP._.
S spasal
¢rest —No...../............... Width a is r Total Length_S.QV....._. Total leaching area 60 o sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Dther Distribution box ( ) Dosing tank ( ) // � d_ %3
Percolation Test Results Performed by..ij�7 -.SS 4 24-2' '-hick..,_. Date..-Y
Test Pit No. 1 4 3 minutes per inch Depth of Test Pit...;,-"Q" Depth to ground water '✓°'Ili
Test Pit No. 2 — minutes per inch Depth of Test Pit Stn es Depth to ground water..-. -e2
Description of Soil.'- A" rC9e0.-IP.eC; $L 4..::_..%F:44/0 f sie_7 ei'_4 `• C'GAY
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 further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Application Approved By
Signed.
Application Disapproved for the following reasons•
Permit No Issued.
Date
Date
Date
Date
! ONI S3IVIJUSbV t or A . ramrrrn IZYN iv i
---------- 1>^1 JI/M ONn02/9 e'_ /d .7 /1 r7n
f r 1
I
-
I
;I
is
•
�p�t S. -,7 i//17C&• , 3)vo/✓ rr34: O//n0809
—I-
,.0-ZI Cr72i '.
'. 7;0 / V7 9-/ J -f',1':2
. 7-0 ;'"-
.,42-s - Fur " 0 ;z
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t
„ 77/ 1-'7.oc�0L „ V-/ -��cl�((yC t
•
1
i
'ssl/Gv 'rn.Go'%vl+ '.ZY0%Y - :rs=z°vr 7
J VW/. Y : 'y yir9v , �, /YO/1 d.;
EL-2 L :31N0 .Y7,i� 2,/, Ci, . r' ,':/i.7' /P 09tr.9n6'
1/p' /✓O// V4bY ;,HC ..
io.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O` /F HEALTH
CTV OF NAQTyAniOn,
Application for Binomial r: orlui flnnsirnrtion fault
Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal
iystent at:
,,/_ 5.2.31 A4ZOee
�1: z.�i!i.....f'�.....! ._..__ ofl„� or Lot No.
Owner Andrea
Installer Address
Type of Building Size Lot Sq. feet
Dwelling—No. of Bedrooms 3 Expansion Attic ( ) Garbage Grinder (+-1.--.
('-1.--.
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures 0 Ions
Design Flow gallons per person r day. Total daily flow p oe"
_ r6" Width St-i Diameter Depth Septic T Liquid opacity/./J.fJ.O..galtona Length
Disposal T —No. 1 Width `¢d Total Length 3 c Total leaching arearOOf7.....sq. h.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution box ( ) Dosing tank ( ) ,/��._ Ei✓G/Q.Date.' Z-73
Percolation Test Results Performed by ✓f. !%47 V .17k:
Test Pit No. 1 at minutes per inch Depth of Test Pit..3 —G" Depth to ground water..at VC
Test Pit No. 2 — minutes per inch Depth of Test Pit.%'0` Depth to ground water_ C
_.natt(
Description of Soil /—Q.`..._(44A44S: TU,..50/c; .0-a" tJl'7rF..'Pi 410i_.Q-.Gr"
catesr si+,t(.A...T..._i%e C A4- M-4.- ./1-.6" .&CZ:, s•e.✓o 75 7134C6 ....92L O.
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 further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Application Approved By
Signed.
Application Disapproved for the following reasons
Permit No
Issued
Date
Date
Date
THE COMMONWEALTH OF MASSACHUSETTS
JAMES `'t
BOARD OF HEALTH
/i
ti; t r+
° a"Appliratian for Disposal f r arks Tottstrutiinn ntuit
StiTHONt
rA [
? U
ZS°%
Fs�_...__--
rCyv�
�'.Fi
Application or Repair an Individual Sewage Disposal
Rime ,r5
Application is hereby made for a Permit Co Construct (.'U � ( )
System at:
waribilAlt fl
Loration.A .
WILuAte z do o�H
Fcur4CO La/Yi/2.E/ f -oN
Installer
Type of Building
Dwelling—No. of Bedrooms
Other—Type of Building
Other fixtures
F
ur Total daily flow
gallons per person per day. S
Design
or Lot No.
Address
RY/dN �i'Gi....`
Address p2
Size Lot
Expansion Attic ( ) Garbage Grinder (k)
No. of persons Showers ( ) — Cafeteria ( )
ow /O Width
Septic Tank—Liquid ca /s�d�6allons Length
Disposal Trench—No
Seepage Pit No
Other Distribution box (A
Percolation Test Results
Test Pit No. 1 g'
Test Pit No. 2
LGD gallons.
Diameter Depth 0 ft.
Total leaching areaxh
Total leaching area. sq. ft.
pacify.. _.
......... Width 'P' Total Length._A ...
Diameter Depth below inlet
) Dosing tank ( )
Performed by OKE�%E
minutes per inch Depth of Test Pit
minutes per inch Depth of Test Pit
Date... -/l ee
/',�,..J ae Depth to ground water /tO 1e e
//e Depth to ground water... g &ig-
Description of Soil T P Sou-, 04;416-E Syti.P
ire-Pni Ao.ef.,egr
f-zV4 ►y 5-94/.2> 4/ geroc
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to
operation until a Certificate of Compliance has issued by the board of health. n
Application Approved By
Application Disapproved for the following reasons
Permit No g7
Issued_
in accordance with
place the system in
S— 7-4)z
Date
Date
87_.._..
..........
Date