Lots 60-64 Applications & Permits THE COMMONWEALTH OF MASSACHUSETTS
F HEALTH
BOARD O I /
.._.__C 7I1 OF.. A/07ZZ d/172f .l0.4.1
Application for Pispusal arks Olonstra�ctiun iltrmit
Application is hereby made for a Permit to Construct ( ) or Repair (✓) an Individual Sewage Disposal
ystem at: 10/2_
cjv!!!1___dl � ova eo7A.tl
S.sAy�Y 4-#4‘_e n9 //nei✓E eQ: . �pA.ztt
- -' Address
r,.eai<r Size Lot/S,- ar....Sq. feet,„.
'ype of Building 3 Expansion Attic ( ) Garbage Grinder (`l
Other—Type of Bedrooms Showers ( ) — Cafeteria ( )
Other—Other of Building No. of persons
Other fixtures Total daily flow
Design Flow........ gallons per person Length per day Total Y Diameter Depth
Disposal Ta — squid capacity gallons 1'angt Total leaching area-3./aO.......sq. ft.
Sepage Pit No /.Di-me Width.. .:0 Total Length inlet /.'tt Total leaching area sq. ft.
No Diameter Depth below inlet
Other Distribution st No Dosing tank ( ) Q/a:f��/
Perch nT t box ( ) ✓ /'
Percolation Test Results Performed inch Dpth o.. u`NZ ..._. �`ep___ Droun. . ater .Baer._..
Test Pit No. 1....(rlr.._..minutes per inch Depth of Test Pit. - ..-.-'- Depth to ground water
-.
Test Pit No. 2 minutes per inch Depth of Test Pit Depth
Fan
Add ess .Lai N F/r..ii.
Sop
gallons
Description of Soil Z.t• x2 7.Ot C2L4.7
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 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 is by the board of • nUG, ay ..2_-..._..Date `. ..._
Sign
/
.... h. ll.
..............
Application Approved By Date
Application Disapproved for the following reasons:..... ...................................................................................................
... . ... .. ... Date
Date
Permit No
THE COMMONWEALTH OF MASSACHUSETTS
FEE
BOARD OF HEALTH
t: ;} of r7GLLi11s;_411 .
Application for lispusnl Larks Qunstrurtian Vaunt
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Hem at:
( . (3.27L4"'e"t F� Address
Qe
6 Address
1) . V x=e °e`' Size Lot Sq. feet
ape of Building Expansion Attic ( ) Garbage Grinder ( )
Dwelling Type of Bedrooms No. of persons Showers ( ) — Cafeteria ( )
Other--"Type of Building
Other fixtures gallons.
sign Flow 66_ .gallons per person per day. Total daily flow Depth
optic Tank—Liquid capacity ]VD gallons Length Width Diameter
Width 3' Total Length % 0) Total leaching area o 0 sq. ft.
cpage Pit No Diameter Depth below inlet Total leaching area sq. ft.
eeprge Pit No
¢her Distribution box ( ) Dosing tank ( ) Date
ercolation Test Results Performed by D th to rtend water 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 g
)escription of Soil
4ature 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 (health. ye—te 7" 4 `/
Sigrr� _._ 42.2- Date
,(1-y,�� Date
Application Approved By -
Application Disapproved for the (allotting reasons•
Date
%t( )9t y
f Issued
Date r
Permit No t
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH,
OF e �7 rn
4,r' h .?'^' I._._...
rrtifirati of Oim► plummy.
THIS IS TO VIR FYI
b installed in accordance with the provisions of Art
3
the Individual Sewage Dkposal System constructed (• ) or Pep
C eti- rue I �.
'
been Ins
plication for Disposal Works Construction Permit No
THE ISSUANCE OF THIS CERTIFICATE SHALL
(STEM
ATE
ed ( )
icleI of The State S. Code as describe in the
d
Sanitary
,�.o( 7y i e
atcd
NOT BE CONSTRUED AS A GUARANTEE THAT THE
VNLL FUNCTION SATISFACTORY. /`t (. `y ,_
7 /� Inspector.__..4e-/`t
o._._iL.(.
Permission) hereby air (
:o Construcr..(�; 1 pr�2eparr (. ) a�I Individual Sewage Disposal System r A No i ( Dated�Nl'^•' 1 Z�as shown on the application for Disposal Works Construction `t No�� ed r r
ri B Qd
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
(.Y OF ae r"t ;v/�oZ`
�i�pns�y!
net Tonwtrurtion Urrmit
FEE
DATE..... .._ __.. ._ .
FORM 1253 HOBBS & WARREN. INC.. PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
Fes
BOARD OF HEALTH
et;ti t OF iiCii "iri z l
Application for i iapaanl ca arks (nauatructian hermit
O Application is hereby made for a Permit to Construct ( 'or Repair ( ) an Individual Sewage Disposal
tem at:
d
'
or Lot Nu.
Address
Address
t""'ne°� Size Lot Sq. feet
pe of Building
Dwelling No. of Bedrooms Expansion Attic ( ) Garbage Grinder
g Garb V
Other—Type of Building No.N of persons Showers ( ) — Cafeteria ( )
Other fixtures gallons
sign Flow gallons per person per day. Total daily flow g
dd
ptic Tank—Liquid capacity gallons 4 Length \'id C Diamete Depth
sposal Trench—No. Width —' Total Length Total leaching d
d sq. ft
:epage Pit No Diameter Depth below leaching area . ,
her Distribution box ( ) Dosing tank ( )
Date
:rc n Test Results Performed by
Test Depth to ground water
Test Pit No. I minutes per inch Depth of Test Pit
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
escription of Soil
fature of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
h
ae provisions of Article RI of the State Sanitary Code—The undersigned further agrees not to place the system in
peration until a Certificate of Compliance has been b�/the board of health. �.7_b
/
Sfgaed21' �Y� -in+a [G 7l/-7`/.r"6C!""`"`°
J'1 Date
tf�+qu..c:L1..
application Approved By =�� -der Date 0Q_�--
mm
Y
Application Disapproved for the following reasons
Permit No 6 °1-•
Issued
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_
L L J ___. OF fi Ci- II r
rg��T trrtiticatr Ut TuiM1tianre y or Repaired ( )
THIS IS T � r--77FY hat theiIndl u11 Disposal 5/stern construct ( )
1 /b C c Ld •
dated
been installed in accordance with the provisions of Arnde hI of The State Sanitary code as desert in the
plication ISSUANCE Disposal Works Construction Permit TE No_-.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
MUM LL FUNCTION SATISFACTORY.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Inspector....: / _.f - i ........... ....... ..
(1 .tirb. _. of J%c:r ez4 a"li
�iS{IUS11 � It rho tt& rurtiot1 prrmit
.zTuCC - .. ._ .
by granted -- -
a ndivith l Sew ag isposal System
Permission is here.
to Construct ( or Repair, _.
S _..� d .. street P % _E
at No ._ . _ _. Dated
4r f /i Y/altIi -
as shown on the application for Disposal Works Construction rmit No rw of
FEE - ................
FORM 1258 HOBBS B WARREN, INC.. PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
FEE
BOARD /OF HEALTH
tiff), OF Ji_r:fit.' !!: till.'
Application for Elistfnttttl cr;nrkn Qtnnntrurtinn rrmit
Application is hereby made for a Permit to Construct (Y) or Repair ( ) an Individual Sewage Disposal
item at:r z
t c‘;1.. t- i toe eir.
)n�
1/. T
L2-7
or Lot No
Address
-r t eir Address S feet
pc of Building Size Lot q
Garbs e Grinder ( )
Dwelling—No. of Bedrooms Expansion Attic ( ) g
Other—Type of Building
No. of persons Showers ( ) — Cafeteria ( )
Other fixtures _ gallons.
sign Flow gallons per person per day. Total daily flow_ Depth
Sat gallons 11ength Width Diameter eP
:epic Tank—Liquid cipacity Total leaching area :."t G 0 sq. ft.
spage Pit No Width % Total below inlet g s< ft.
aepage Pit No Diameter Depth below inlet Total leaching area sq.
ther Distribution box ( ) Dosing tank ( ) Date
ercolation Test Results Performed by De th to ground water
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 eP ground
lescription of Soil
(attire of Repairs or Alterations—Answer when applicable
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 furthet agrees not to place the system in
iperation until a Certificate of Compliance has been issue by the board of health; G 6
Signed??
/3 , i d9 --1 7-1 - .{ - "rir r !�+w^?
Application Approved By 1*
Application Disapproved for the following reasons•
4
Daft
Date
Permit No
�. 2
/ I Date
Issued (Lihh lT 11 1
THIS IS)1), C4E 1 .1
er
t el 6 d- it 1l&& 3,L 6-=
-4
been installed in accordance with the provisions of Artie XI of The State Sanitary Code as described the 7 in
Ilication for Disposal Works Construction Permit No •i (I
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G RANTEE THAT THE
'STEM-LNILL FUNCTION SATISFACTORY.
1 y+,h 1 i 1 i. Y Inspector,4-, i- i`,... - i,
\TE -
�i
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
vt oF._
hirrtifiratr of Tnmplianrr
ha the I�d vid 1 Sey.�age Dvfiposal System constructed (r' ) or Repaired ( )
n3- 3
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF__lia7- %FLn4- t L
Einpnngt G!nrkn Two/ruffian prrmit
Permission i, granted
7 s'
) Construct Tsr Re Fair ( Sewag _ sposal Syst em
No ` e 'I a 4 -
1,(1 .r
tG-. ` Dated '7 7 / ,
Street i
s shown on the application for Disposal Works Construction li-/y I� AYL
��'L o. d of dth
)ATE
ORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
FEE
THE COMMONWEALTH OF MASSACHUSETTS
, BOARD /OF HEALTH
1
_.. (.11/1'4 OF hf.p;Td'e c;1.2'fE:a. ..
0 J
Application for Disposal a arks Cgottstrnrtion Daunt
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Rim�at:
,ter :r33f L ?
7i ba „ �ddrvss
„e co,
or Lot No.
Address
Address
hnsQ tr Size Lot Sq. feet
ye of Building
Dwelling— Garb e No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures gallons
sign mow o A gallons per person per day. Total daily flow..
G' Width Diameter:pnc Tank—I,igmd capacity
syosal Trench— No................._
epage Pit No Diameter
Cher Distribution box ( ) Dosing
ercolation Test Results Performed by
Test Pit No. 1 minutes per inch
Test Pit No. 7 minutes per inch
gallons Length ht i Depth
3 dpi
Width Total Length .1 ` Total leaching area el'CI sq. ft.
Depth below inlet
tank ( )
escription of Soil
Depth of Test Pit
Depth of Test Pit
Total leaching area sq. ft.
Date
Depth to ground water
Depth to ground water
(attire of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
agreement:
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 issue by tae layard of health, �/
�q 1.�. L,;�,... Cc fi , , 5l T
S ed_!A ' - - Date
rG �
Application Approved By "fr
Application Disapproved for the following seasons'
Permit No._
Date
Date
Issued /�,�.�. 7 l
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF - tM{ it)14.,
wrrtifiratr of Snplianre
THIS j TO E5,T FP, at Indhvt}ddual .�S5ewage T,�asposal System constructed (" ) or Repaired ( )
been installed in accordance with the provisions of lrti9lee l of The State Sanitary Code as described in the
)iertion for Disposal Works Construction Permit No • dated 6 .1-% C--!
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G RANTEE THAT THE
STEM:,(MILL FUNCTION SATISFACTORY.
ITF ✓ter"( % •� /l /b 7% Inspector 4-111"-'C Jt ilk 11--P-14
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
I OF j ��
Univalent Narita C�ionatrnrtian Urrntit
Permission tyh reby granted 71. i . , 4'41 4e;r4t`- - tit �/
Construct ( 1 or 1tepairl( ) an I+cdividuai Sege Disposal System C�
No ate s- - It h -li `! l
street �!vkf % /'f
shown on the application for Disposal Works Construction Permit No Dated 'i y
Aoar
cQ•k r _•- .1�
cc" 'yy.-i9.i
d/Jl
FEE
ATE
1RM 1255 HOBBS a WARREN. INC_ PUBLISHERS
THE COMMONWEALTH OF MASSACHUSETTS
FEE
BOARD OF �HEApLTH
,p
l Ott OF tt47w^nk`-r o
Appliratton for Disposal nil orlw (nonstrurtion tirrmit
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
tan at:,
.
or Lot No.
cr Address
tier
Address
Size Lot Sq. feet
pe of Building
Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage ag a Grinder ( )
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures gallons
sign Flow p gallons per person per day. Total daily flow G
ptic Tank—Liquid capacity / 0 tgallons Length Width t , Diameter De th
/e
sposal Trench— No. Width 3' Total Length Total leaching arm —d 0 sq. ft.
epage Pit No Diameter Depth below inlet Total leaching area sq. ft.
her
Distribution box ( ) Dosing tank ( )
Tcolation 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
attire of Repairs or Alterations—Answer when applicable
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
to provisions of Article RI of the State Sanitary Code—The undersigned further agrees not to place the system in
peration until a Certificate of Compliance has'bj�ee(gissue b t board of health. '/ _C.
Signcd21 `-z� "*llQ' i'l f .N-r.e 7 7
application Approved By sdI8 be t k
application Disapproved for the following reasons•
Date
Date
Permit No
Issued
Dam
7 igEY
THIS h(` TO ERTI
Vf_ g.-.t_4- #_../Y (J 4.4,s 't):--"
been installed in accordance with the provisions of Artici Xi f The State Sanitary C de as desccibed in the
plication for Disposal Works Construction Permit No (0 .7 dated j L9 6 y
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUKRANTEE THAT THE
!STEM WILL FUNCTION SATISFACTORY.
I' y�w,r,{n 1
�A.wf
) % F Y Inspector ` " % `y. {/"`
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF - t�anni Il
yertifirate of atonti litture
thetindfci[!t:•.I' SSwage Djsposal System constructed (4.- or Repaired
f—tri CA
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
i
,r
3inpanat •ihfarkn htnustructiuu 1rrmit
Permission is reby granted A.: L.� -d1+-ets, f ly.,:actart1
Construct ( or Repair ( ) an I vival Sewage�lsposal System
No r. .n L'/�. 4A14-.. sk.._lie'- so-eel . . G
; shown on the application for Disposal Works Construction Perm/it No
Dated 1 I
411 .1 useet-K.
FEE
ATE
)RM 1255 HOBBS & WARREN, PUBLISHERS
Board oCtiealtl