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HomeMy WebLinkAboutPermit 91-53, 91-54 Ftvi;\-1\Age)C- --kes -1-4,t'Sfed f.. . No i0:-. %7-'451. GPA).-700 ..-.-- .,1 f_ _....i, . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF -_ __..•... 414- . ppliratinn for illiprwal ii r nrk.i Tongtrnrtinn Permit Application is hereby made for a Permit to Construct 00 or Repair ( ) an Individual Sewage Disposal System at: -gOe(Tiy -',nr' ,2///- G O E�cot . , ) JA e,�E 7---t� O��ic�6,C"_ p L ' n-Addr ,� r o LLot Na ..... - —ter 1 ad24/4 , S-1. J9)c , h5-J �""�' thi ss W LAD DA U6' 1 -Vr ! A20 .tia I Ma- • ( It7 i Yellq L.t/ '' S 1-1 (21 Installer Address d Type of Building Size Lot Sq. feet U Dwelling — No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( ) aOther— Type of Building No. of persons Showers ( ) — Cafeteria ( ) a, Other fixtures W Design Flow gallons per person per day. Total daily flow `/'-t 4-' gallons. W Septic Tank — Liquid capacity ''" '- gallons Length Width Diameter 4Depth Disposal Trench — No. ....3 Width 3 '- Total Length --w fAcH Total leaching area. '- sq. ft. Seepage Pit No Diameter Depth below inlet Total leaching area. 4, sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by CONS 1 NG 1�* • Cofir co =4 Date /9 ,.a Test Pit No. 1 minutes per inch Depth of Test Pit....; Depth to ground water 7 L=44 Test Pit No. 2 `--'- minutes per inch Depth of Test Pit"*1 1 Depth to ground water tom' P-1-"°" h a r�> cc 1.)�A!1/4) b O Description of Soil IS -') L .. /_ (.2.` 2ef,) A -- f n f-f---y2 ,4tO V W U 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 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 L issued by the board o_f health. r� r/;�{//(/Jr t1 .:!' -1' ':" �//!�� (� Signed-- /'';'. / sL , 1'1 ��,,, � ; � ----' � Date Application Approved By . Y�`� '�/1 - t Date Application Disapproved for the following reasons: ��-- � G 1 Date Permit No ,,,j .......1.'a.LCY-S ...�1 J iN Issued. ' I �71 ` — - —— — Dat•e S/`'4)- .- i �.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF _. Irrtifiratr of Tomplianre TH1 ' 1 0 CERTIFY _What the Individual Sewage Disposal System constructed (:, ) or Repaired ( ) by ... -"r • irat: V + I ,. n s Installer 6PL5Iicct at I. k (--- c .a., ...e IsL iThr- 5t r 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 ` /— 44 dated .5.1..<, THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. J .IA IDATE .... .. 1 q.. Inspector _ l � ( Fv1 _ikike..ex- -k-n ...vik- rd- .e., AP 00 No.°�d�...._....... G F$s....I ' ' i j.r...a52J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF ...YARMO JT 1-•. Appliration for ilisposal IN arks &in, tritr#ion }frrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: . c5ozer,/ ` /Lieleatz-- .0,e/ziE Zo7-4-- . ----A .1A-e.e6-7--6)7-7.79-67 -- -* i asC.L.L....&.�.2at n ..i .k. .-L V:..l k 42..»Il_z:Q_a.. or L t No. __ ........�.. .• ffils5 w jA .at - .sue.._N I.i..�s .1.j . ...... A/AA:.4 S Installer Address Type of Building Size Lot. Sq. feet U Dwelling— No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( ) ` 1�,,p Other—Type of Building No of persons Showers ( ) — Cafeteria ( ) a Other fixtures Design Flow ��� gallons per person_per day. Total daily flow 44 C) 41gallons. W Septic Tank — Liquid capacity 4 606gallons Length '-(--0" Width `t' -1 n Diameter — Depth., '_ g II xDisposal Trench— No. ...s.3 Width -3,- e) Total Length 30'EAco Total leaching area.S/'j•S 6 Po Seepage Pit No Diameter Depth below inlet Total leaching area. sq ft. z Other Distribution box Dosing tank ( ) `� Percolation Test Results Performed by CQAS7 k_ PG 1�Ez PN( eD Date 3 A//9C) Ii .-1 Test Pit No. 1 ±minutes per inch Depth of Test Pit.. Depth to ground water` I - " . i. Test Pit No. 2 -c minutes per inch Depth of Test Pit c 1 t Depth to ground water PLQ°" b A4 11J c c.Er-,vS-4N t O Description of Soil V � � )1L z_e 9 o,U A4-T 4 -H' �Lto W UNature 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 TITLE 5 of the State Sanitary Code — Th undersigner agrees not to lace the system in operation until a Certificate of Compliance has n issued by e board of :+� Ariz- s � .�r�i 1 - a '�•� -�/� ---- �, spa Vli=ii Application Approved By_._ ... .._ sl •9 4 , D e Application Disapproved for the following reasons: 6 1 '31 C‘,0 Date Permit No , -9J - --' J/V/S Issued. IsizsAl 61(1t.kuLpf- _ G^y. c ,, _.__ Dc2L-1 No...., FE ....... 5 l c 153 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF =_a.� .t,:ts Apjiliratiun fur 3Ji. ponttl Iii orkg CIun trurtiun Prrmit Application is hereby made for a Permit to Construct 1N or Repair ( ) an Individual Sewage Disposal System at: / .!:,/-/.7-fi . /i0.e. .ad&E .Z 7--g /4-z .,././4e,e6--;-- kild.d.L.�' L • n-�►_d�r�� ,� f�1 �� r ow��... .. .. ............•'y�S.... -0..Q_ WQ.L. 44.�. '. ... _ �.(.. S` 41 . .c-4,11.1.) ii-Oe 17.1.....66.Yag4:Cds . ,_.1nstaller- Address Type of Building Size Lot Sq. feet Dwelling— No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( ) a Other — Type of Building No. of persons Showers Other fixtures ( ) — Cafeteria ( ) .eCW Design Flow gallons per person per day. Total daily flow `�`y v gallons. 1 W Septic Tank — Liquid capacity ' ov- gallons Length Width 'Is- • Diameter Depth 1 x Disposal Trench — No. Width '' -011 Total Length ,30'eAN� Total leaching area sq. ft:G PA Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft. z Other Distribution box e ) Dosing tank ( ) Percolation Test Results Performed by -ASTR/ f it)6 i1°E ed Cc) 'd(' Date 314-1 / d ..a Test Pit No. 1 -- '- minutes per inch Depth of Test Pit 8 i ± Depth to ground water 4 '7 I — 0 . ri: Test Pit No. 2 G - minutes per inch Depth of Test Pit ' Depth to ground water.._4,)07 eE CO & C4 o c c.E A ►J , k O Description of Soil W U 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 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. AAf 4 k vr a.e e ' Sign 1k-Diwa - .3h. / ;Arm • ate^ (15 Application Approved B c. _�4= two:""'�' Iv .. • A � 1 PP PP Y Date Application Disapproved for the following reasons: "'"TS Permit No .... Issued ...1 ..,.., Date Z 517 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF (rrtif iratr of Tumpltanrr THI 1 TO CERTIFY,-,That the Individual Sewage Dip osal System constructed ) or Repaired ( ) by ^—' Tctcl\Ceinstaller L _ ^ at �.. r a �I \U i has been installed in accordance with the provisions of TITLE, 5 of Te_ State Sanitary Code as described ,iiif the application for Disposal Works Construction Permit No 'ft^' _. dated ._ _,�} THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A GUAtANTEE THAT THE SYSTEM WI L FUN TON SATISFACTORY. DATE .,.1 Inspector_..- iii2DV--) ---A-""'L'''''' IL. i. A.60-4-- :__\_ ,RA,.. 2c.,_J-ri No.� . F$ .... fvd 1-45.3 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF TARMOUTH Api1iraIirnt fur Disposal l=r inks (nunwtrurtinn ftrittit Application is hereby made for a Permit to Construct X or Repair ( ) an Individual Sewage Disposal System at: • ......Q Z-/ )ii . re/E-- J7---g i4( r- ,UTT46&--- Zakiad c-141779' .. n-...Aatuddrniis 4121 Alii.9.4/.9R 00 80.4.1 Kliii '311:......6a.,. ..s.,,Lf(tss a be.,,, ,17-11- .& d® -.-triaia..!it...... -.YO.K -ad5-5 nstaller Address Type of Building L Size Lot. Sq. feet -� p Dwelling— No. of Bedrooms T Expansion Attic ( ) Garbage Grinder ( ) '�,, Other—Type of Building No. of persons Showers ( ) — Cafeteria ( ) a4 Other fixtures d W Design Flow gallons per person per day. Total daily flow `�� gallons. 0: Septic Tank — Liquid capacity. •L'n°gallons Length. >`-(a" Width (1 '- 10" Diameter Depth S '- " Disposal Trench — No. 3 .... Width..' - v" Total Length ' E.C1 S Total leaching area. 1 • f C"P 41 614 Seepage Pit No Diameter Depth below inlet Total leaching area........ • sq ft. z Other Distribution box X) Dosing tank ( ) - Vci " Percolation Test Results Performed by Co4S7 k . /t)6/�E'EK1 ,, ''- co ZN11C- Date. /61° Test Pit No. 1 C a- minutesper inch Depth of Test Pit 81 + Depth to ground water r "7 ► 0 4' LL, Test Pit No. 2 a- minutes per inch Depth of Test Pit 2 l Depth to ground water...4)O7- e-or-bet g 1) c.-EA SA 0 b / 0 ,� E Description of Soil ✓ S O� wit-. S v.�.l) 44� `�' W UNature 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 TITLE 5 of the State Sanitary Code — The undersigned further agrees not to place the system in operation until a Certificate of Compliance has . n issued bi► the board of i alth. Al-t It yr , c=k.i . „ 1,.74.2r4w.-.......07 ' 1-t k Pa'2AKAO • -- 3/1// S ,,,,,, p Application Approved By.s.,,�_ .�► ... ••.- _...n. --&k all ate Application Disapproved for the following reasons: .�� Date Permit No f,3y)..0 - �� �� Issued. � t� .... Date 3 »2 5.. 9