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FEE
1 COMMONWEALTH OF MASSAC14USETTS
06� Board of Health, \ l MA.
APPLICATION FOR DISPOSAi SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) - O Complete System OIndividual Components
Type of Building Lot Size sq. ft.
Dwelling - No. of Bedrooms _ _ ) Gar )
Other Type of Building f{vuSQ No. of persons Showers — ,1 - _ p O, Cafeteria ( )
Other Fixtures f
Design Flow (min. requir d)
R Plan: Date
TitleQ
gpd Calculated design flow S �_ Design flow provided gpd
Number of sheets Revision Date
Description of Soil(s)
Soil Evaluator Form No. Name of Soil E%ahtator AW Date of Evaluation
DESCRIPT)ONOfREPAIRS ORALTERATIONSLA QU) JC�.-11
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further agrees of to lace the system in operation until a Certificate of Cgatpliance as been issued by the Board of Health.
Signed Date
Inspections
_ b I�- f l l
No. ` I, <J` t FEE '7
COMMONWEALTH OF MASSAC14USETTS
45
Board of Health, 1 MA.
CERTIFICATE OF COMPLIANCE
Description of Work: Q Individual Component(s) O Complete System _
The LindZ-' geed hereb certify that the Sewage Disposal System; Construct edr epaired (graded (A!Abandoned ( )
by: 1 ItJ�
at 4 )-rn ?%.tt0 -
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to
application No. = dated `1,2/ 4/ Approved Design Flow 3-� ,7� (gpd)
Installer
Designer:_' Ile,L Inspector: IVA f6en i P,Date:
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
No. C' 2L �X1
COMMONWEALTH OF MASSAC14USETTS
FEE��
Board of Health, NN I MA.
DISPOSAL DISPOSAL SYSTEM (_CONSTRUCTION PERMIT
Permission is hereby granted to; Construct( ) RepairUpgrade( ) Abandon( ) an individual sewage disposal system
at as described in the application for
Disposal System Construction Permit No. �/ , dated I
Provided: Construction shall be completed withi¢�l f the date of this permit. All local conditions must be met.
Form 1255 Rev 5/96 A.M. Sulkin Co. ChuWown MA Date 410 -- t Board of Health
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