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