Loading...
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 , o _Z 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