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HAS PLAN REVIEW FEE BEEN PAID?` YES NO
PLAN APPROVAL: DATE ?/ � �/ APP. BY
DESIGNER: <GT�yE - ox50 PLAN DATE (O o2
CONDITIONS -4-
1'42/r '42/r
WATER SUPPLY: TOWN WELL
WELL PERMIT DRILLER
WELL TESTS:!
4
PLUMBING SIGNOFF a
COMMENTS:
Y
FORM U APPROVAL:
,W'
DATE ISSUED
CONDITIONS:
FINAL APPROVAL:
CHEMICAL DATE APPROVED
BACTERIA I DATE APPROVED
BACTERIA II DATE APPROVED
WIRING SIGNOFF
APPROVAL TO ISSUE YES NO
BY
ALL PERMITS PAID YES NO
WELL CONSTRUCTION APPROVAL YES NO
SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO
OTHER YES NO
ANY VARIANCE NEEDED YES NO
FINAL BOARD OF HEALTH APPROVAL: DATE: BY:
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MAP # #
PARCEL # STREET Sby ke, 6L V 1.0
CONSTRUCTION APPROYAL
HAS PLAN REVIEW FEE BEEN PAID?f YES NO
PLAN APPROVAL: DATE / 1p 9 APP. BY ZdD
DESIGNER: �GTEyE -D1U)e 5d PLAN DATE (O lal7,6
CONDITIONS
r r _ /l,z, (4, e-,,1 - CL—c- e-- n `F c: - w 444
WgER SUPPLY: TOWN WELL
WELL PERMIT DRILLER
WELL TESTS:' CHEMICAL DATE APPROVED
PLUMBING SIGNOFF
COMMENTS:
FORM U APPROVAL:
Jj,
DATE ISSUED
CONDITIONS:
FINAL APPROVAL:
BACTERIA I DATE APPROVED
BACTERIA II DATE APPROVED
WIRING SIGNOFF
APPROVAL TO ISSUE YES NO
ALL PERMITS PAID YES NO
WELL CONSTRUCTION APPROVAL YES NO
SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO
OTHER YES NO
ANY VARIANCE NEEDED YES NO
FINAL BOARD OF HEALTH APPROVAL: DATE: BY:
SEPTIC SYSTEM INSTALLATION
IS THE INSTALLER LICENSED?
TYPE OF CONSTRUCTION:
NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW
CONDITIONS OF APPROVAL
(FROM FORM U)
YES NO
NEW
REPAIR
YES
NO
YES
NO
ISSUANCE OF DWC PERMITYES NO
DWC PERMIT PAID? C YES NO
DWC PERMIT NO . s INSTALLER:
BEGIN INSPECTION OESNO:
EVAVATION INSPECTION: NEEDED:
CONSTRUCTION INSPECTION: NEEDED:
AS BUILT PLAN SATISFACTORY: YES:
APPROVAL atO BACKFILL:
DATE:
A//9' 7
BY __-
FINAL GRADING APPROVAL:
DATE
FINAL CONSTRUCTION APPROVAL: DATE: < 3�1 BY
North Andover Board of Assessors Public Access
,ioR7y
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Sales
Town of North Andover
Roard,of Assessors.
Parcel ID: 210/104.D-0035-0000.0
SKETCH
ick on Sketch to Enlarge
Summary d`
Residence
Detached Stru re
Condo /
Commercial
Comparabl Sal
Page 1 of 1
Property
Record Card
Community: North Andover
PHOTO
Location: 76 BOXFORD STREET
Owner Name: BORYS, STEPHEN W
KATHLEEN A BORYS
Owner Address: 76 BOXFORD STREET
City: NORTH ANDOVER State: MA ZIP: 01845
Neighborhood: 5 - 5 Land Area: 1.01 acres
Use Code: 101 - SNGL-FAM-RES Total Finished Area: 3130 sqft
ASSESSMENTS
Total Value:
12,.:1.1:_ _ — . -- -
CPT®" Code 90734
•CPT is a registered trademark
http://csc-i of the American Medical Association.
MKT9872-1
CURRENT YEAR
521,200
`'00
tMenactra,
MeningocOccall
(Groups A C.Y and W-1351
Polysacchande Diphtheria
Toxord Conjugate Vacdne
PREVIOUS YEAR
472,400
290,300
182,100
LE
Sale Date: 12/31/1972
Grantor:
Page: 0739
348
7/11/2007
VwperaC�yCa �3ena
�
1%o. CO
GpC®5
Code d ms �s�on
.pPT menc
ct she P
�9a�2.1
M
North Andover Board of Assessors Public Access
,roRYy
h y
Return to the Home page click on logo
New Search
Sales
Parcel ID: 210/104.D-0035-0000.0
SKETCH.
on Sketch to Enlarge
Summary
Residence
Detached Stru re %- A,
Condo /
Commercial /
Comparabl Sal V
i
Page 1 of 1
Property
Record Card
Community: North Andover
PHOTO
Location: 76 BOXFORD STREET
Owner Name: BORYS, STEPHEN W
KATHLEEN A BORYS
Owner Address: 76 BOXFORD STREET
City: NORTH ANDOVER State: MA ZIP: 01845
Neighborhood: 5 - 5 Land Area: 1.01 acres
Use Code: 101 - SNGL-FAM-RES Total Finished Area: 3130 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 521,200 472,400
Building Value: 313,300 290,300
Land Value: 207,900 182,100
Market Land Value: 207,900
Chapter Land Value:
LATEST SALE
Sale Price: 0 Sale Date: 12/31/1972
Arms Length Sale Code: N -NO -OTHER Grantor:
Cert Doc: Book: 01221 Page: 0739
http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&Linkld=990348 7/11/2007
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No.
FORM 11 - SOIL EVALUATOR FORItt
Page 1 of 3
Date:
Commonwealth of Massachusetts
/✓O Ay lb Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
Performed By: S ,eS _Date: RIZ91
Witnessed By: 2s
Aea,"s.
/l ��1-i/
-17 �`/ Tel /
Newconstruction El Repair
Office Review
Published Soil Survey Available: No ❑ Yes
4
Year Published Publication Scale -166 7 Soil Map Unit
Drainage Class �. Soil Limitations-1
iterations A .. .... -
Surficial Geologic Report Available: No LJ Yes El
Year Published Publicatic:i Scale
GeologicMaterial (Map Unit).......................................................................................................................... ............................
Landform� ......., ... ..... ._.... ...............'..:................................................. ,............... ...... .............................. � ._.._....................
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑ Yes L�
Within 500 year flood boundary No Yes ❑
Within 100 year flood boundary No 3Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit) ................. ................. :......................................... _......................
Wetlands Conservancy Program Map (map unit)................................................................................................_
Current Water Resource Conditions (USGS): Month
Range :Above Normal ❑Normal ❑Below Normal ❑
Other References Revitwed:
o1P
DW APPROVED FORM • 12/09195
FORM 11 - SOIL EVALUATOR FORM
Rage Z of 3
Location Address or Lot No. % %
Oft -site Review
Deep Hole Number Z- Date: cIZ91G Time: ',Weather
Location (identify on site plan) 4 -ex—
Land Use =� Slope M !� Surface Stones "4b
Vegetation pQ,4
Landform YKB✓cwi�t� `
Position on landscape (sketchon the back)
Distances from:
Open Water Body �6&J feet Drainage way '?M feet
Possible Wet Atea ?/Do : feet Property Line feet
Drinking .Water WellOther
DEEP OBSERVATION HOLE LOG'
Depth from
Surface (lnchis7-
. Soil Horizon
Soil Texture
IUSOAI
Soil Color
('Munsell)
Soil
Mottling
Other
Structure, Stones, Boulders, Consistency, %
Gravel)
13W
�s L
✓ ��v�1 enr
.c-5
/V
Parent Material (geologic) __ Z Z-4— Depthto9edrock:
Death to Groundwater: Standing Water in the Hole: Weeping from Pit Face:
)estimated Seasonal High Ground Water: nz
DEP APPROVED FORM - 12/07/95
817__932 --761s P.,02
t'.=w
�4
0
-PERCOLATI S MT:
-------------------------------------- ................... FOR -4
2
Location Addrets or Lot No. 77
..,COMMONWEALTH OF MASSACHUSETTS
Massachusetts
Percolation Test
Time:
�:C) a Ite: —1,2_ ql,'
Observation Hole
Depth of Pere
Start Pre-soak '
�. Ski _ . {
_
End Pre-soak
Time at 1.2" -
Time at 9"
a 6"
Time at 6
Time
..Time As" -6")
Rate Min./Inch
Minimum of 1 percolation test must be performed in both the primary area AND.
reserve area.
Site Passed i Site Failed ❑. ...............
j
Performed By:
By:`
Comments:
iiDIP AFMOYW YORK - U'"IS
. ... ... ... .. ... I . ................... .... ... ..... ........
e �
FORM 1I.- SOIL EVALUATOR FORM
Page 3 of 3
Location Address or Lot No. 7?
494�Z -A4
Determination ,for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole inches
❑pth weeping from side of observation hole inches.
YDepth to soil. mottles inches Ah,()Z---7- F:30A)o
❑ Ground water adjustment ...... feet
Index Well Number ...... Reading Date . _ _. Index well level .... ... -.
Adjustment factor Adjusted ground water level
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in al areas.
observed throughout the area proposed for the soil absorption system?
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on 11157 (date) I have passed the soil. evaluator examination
approved by the Depa tment of Environmental Protection and that the above analysis
was performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.017.
IL
Signature Date
1WDEP APPROVED FORM • 12/07/9s
I
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,
Town of North Andover
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
146 Main Street
North Andover, Massachusetts 01845
WILLIAM J. SCOTT
Director
June 16, 1997
Steve D'Urso
22 Lilly Pond Road
Boxford, MA 01921
RE: 77 Boxford Street
,!D
This is to inform your that the proposed plans for the site referenced above have
been disapproved for the following reasons.
1. Elevation of perc test missing. (N.A. 6.02j)
2. All pipe to be schedule 40. (NA 18.15)
3. Manhole to within 6" of grde missing on tank. (310 CMR 15.228(2))
4. Scale on site plan not stated.
5. No wetlands disclaimer. (NA 6.02o)
6. Bed size less than 900 square feet. (NA 2.14(1))
7. Trenches to be used when possible. Please explain why bed selected. (310
CMR 15.240(6))
8. Suspect there are more than 4 bedrooms because of in-law apartment,
therefore insufficient leaching.
If you have any questions, please do not hesitate to call the Board of Health
office at the number below.
Sincerely,
_Sandra Starr, R.S.
Health Administrator
cc: Wm. Scott, Dir. CD&S
File
Steven Borys
BOARD OF APPEALS 688-9541 BUILDING 688-9545
CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Town of North Andover, Massachusetts
NORT#1 BOARD OF HEALTH
Of 1
O tT�io ,e 6
OL c
F
1- A
'',s�,•,o0. DISPOSAL WORKS CONSTRUCTION PERMIT
SACMUSE
Applicant G�:✓'✓`cpG / i�-e,-S�t-.
NAME ADDRESS TELEPHONE
Site Location 7t� /3dx 'j— -��
Permission is hereby granted to Construct ( ) or Repair( an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S. No.
Fee
7J
MAP AND PARCEL /
ADDRESS l 13 cyi�
OWNER dte (�� a �j�'A
SIZE OF LOT IN SQUARE FEET O S—
# BEDROOMS
SEPTIC SYSTEM LOCATION�/�
(For example, FRONT YARD SOUTHEAST CO"R)
FINAL GRADING DATE �' q " q 7
AS BUILT PLAN IN�FILE? 1 S
INSTALLER
DWC PERMIT DATE
CERTIFICATE OF COMPLIANCE DATE
ENGINEER
Form No. 4
Town of North Andover, Massachusetts
BOARD OF HEALTH
November 12 9 97
CERTIFICATE OF COMPLIANCE
This is to certify that
the Individual Soil Absorption Sewage Disposal System constructed ( ) or repaired
by George Henderson
INSTALLER
at 76 Boxford Street
SITE LOCATION
has been installed in accordance with Board of Health Regulations as described in the Design
Approval Site System Permit No. 939 dated August 6 19 97
The issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
BOARD OF HEALTH
APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE: J CURRENT INSTALLER'S LICENSE#
LOCATION:
LICENSED INSTALLER: le �� }, s Za
SIGNATURE:.��.� I /L .,_ TELEPHONE# G G �S-8 '9S—
CHECK
9S
CHECK ONE:
REPAIR: Z__, NEW CONSTRUCTION:
IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS -BUILT.
Administrative Use Only
$75.00 Fee Attached? Yes �� No
Foundation As -Built? Yes No
Approval �f Date:
ANDOVER SEPTIC 47 Railroad street ROTO -RAM Nature of Service
El NIC NIC (978) 475-2593 Bradford, MA 01835 (978) 452-9022 0 EmergeEmergeencyncs
F.99 Night
.Date of Service PAY FROM THIS BILL
Customer Name: 13P� % f
Service Location: —y I
Phone: / (J
Contact:
Billing Address:
City:
Special instructions
Per:
A■VOKA
❑ Incomplete' Reason:
Septic Tank Pumping and Cleaning
"Done the Right Way"
Emergency 24 Hour Service - 7 Days a Week
Services Rendered
Vacuum Pumping
Observations
Drain Cleaning
'SepOc Tank
❑ Good Condition
❑ Main Line
❑ Drywall
❑ Leechfieid Runback
❑ Toilet Howl
❑ Leech Pit / Overflow
❑ Riding High
❑ Kitchen Sink
1:1 D -Box
(liquid level}
❑ Bathtub / Shower
O Pump Chamber
❑ Full to Cover
❑ Vanity
❑ Grease Trap
❑ Excessive Solids
❑ Floor Oram
El Catch Basin
Top /Bottom
O Yard Drain
❑ Portable Toilet
❑Use No Powdered Soap
C] Vent
❑ Other }
El Heavy Grease
❑ Sewer Jet
Qty: /
E3 Roots
❑ Other
Size:❑
Suggest Electric
Footage:
C1Under 1000 gallonsgallons❑ 1500 gallons
Rootering
4000 gals
[32000 gallons El3000 gallons 11lon
C3 Van Called
❑ 5000 gagons ❑ other .
C3 Other
Misc.
O Digging Charge ❑ Backhoe ❑ Inspection
hrL
O Location ❑ Consultation O Certification: P/F
❑ Service Call ❑ Estimate Reason:
❑ Labor ❑ Portable Toilet Rental ❑ Pump Repair
❑ Waiting Time ❑ Baffle ❑ Repair
' DJ'gging Charge Is Per Driver ❑ Chemical Treatment
®iscretion ❑ Other
DescrigUon of Work
Recommendations Terms of Payment
Parts
Vacuum Pumping Drain Cleaning NET 15 DAYS Tax
Yr. Month Yr. Month
Discount
Terms & Conditions D Cash ❑ Check O Credit
I -
Not responsible for damage Tota)
mag beyond curb line. 3. 1.5%per month will be charged to accounts past due.
2. All complaints shall be reported within 48 hours. 4. The purchaser agrees to pay all coat of collection.
I _
Town of North Andover, Massachusetts Form No. 2
C� 140DTq, BOARD OF HEALTH
o �� �y
�
• s
DESIGN APPROVAL FOR
CNOSEt� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant-e-��-°^_ Test No.
Site Location � }
Reference Plans and Specs._, C116 X?
ENGINEER DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
Fee
CHAIR AN, BOARD OF HEALTH
Site System Permit No. 939
uc7'/010 /ot%
c�/Z �
4. Variance Request - Merrimack Eng.,
to groundwater
OTHER BUSINESS:
Town of North AndoverNORTH
OFFICE OF 3a°,'"`� ",�
COMMUNITY DEVELOPMENT AND SERVICES °
30 School Street
North Andover Massachusetts 01845
WILLIAM J. SCOTT
Director
August 12, 1997
Steve D' U rso
22 Lilly Pond Road
W. Boxford, MA 01921
RE: 77 Boxford Street
Dear Steve:
This letter is to inform you that the proposed septic plan for 77 Boxford
Street has been approved.
If you have any questions, please do not hesitate to call the Board of
Health office at the number below.
Sincerely,
Sandra Starr, 0 S.
Health Administrator
cc: Wm. Scott, Dir. CD&S
Steve Borys
File
CONSERVATION 688-9530 HEALTH 68P-9540 PLANK—INC 588-9535
STEVEN J. D'URSO
Environmental Designs
22 Lilly Pond Road
W. Boxford, MA 01921
(508) 352-9872
TOf4�L2�%� \>
> WE ARE SENDING YOUAttached ❑ Under separate cover via
❑ Shop drawings Prints ❑ Plans
❑ Copy of letter ❑ Change order ❑
[LIEUVIER OF VQLUSEDUML
DATE
DATE
ATTENTIO
RE
JUL 3 1 19 f
❑ Samples
the following items:"
❑ Specifications
COPIES
DATE
NO.
DESCRIPTION
%7
THESE ARE TRANSMITTED as checked below:
P- For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
❑ For review and comment ❑
❑ FOR BIDS DUE 19
REMARKS
❑ Resubmit copies for approval
❑ Submit copies for distribution
❑ Return corrected prints
❑ PRINTS RETURNED AFTER LOAN TO US
COPY TO
SIGNED:
(! nnnln.rrrs. .rw nn1 .e nn1eA LIn AI.. .. r.e 11.. ..- -• ......�
NORTH ANDOVER BOARD OF HEALTH
DESIGN REVIEW REPORT
DATE -//
FEE: PERMIT ## DATE RECEIVED l5_ 9-%/9
APPLICANT c�TEll�/U�4Ie�S MAP PARCEL
ADDRESS LOT # STREET ## 77
ENG. TLS UE 'UeS dSTREET �i<,xo 5T
ENGINEER'S ADD. D' -,-Z- Z/6LY �; O/V i' )
PLAN DATE
CONDITIONS OF APPROVAL
APPROVED
REASONS FOR DISAPPROVAL:
/SLG /�/pe;� �o -�6E
TO L011, U
0 16
REV. DATE
DISAPPROVED
(/v, 14 6.0,2,; )
sc /-j 4--6 . VA- I&, l S
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Ir p/—, �,t°/�D�' i1/55//UG 62x,)
TO O 5 Eb
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CN4 a, 14A
Z&hz�AJ —770 -5,5 1.6 c c-_
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BOARD OF HEALTH
AGENDA
LIBRARY CONFERENCE ROOM, TOWN HALL
THURSDAY, AUGUST 7,1997
7:00 P.M.
1. Variance Request - New England Engineering, 1532 Salem Street - 310 CMR
15.212 depth to groundwater, 15.255(2) slope requirements and N.A. 14.01
distance between trenches
2. Variance Request - NE Engineering, 35 Evergreen Drive - 310 CMR 15.212
depth to groundwater and N.A. 14.01 Distance between trenches
3. Variance Request - NE Engineering, 29 Johnnycake St. - NA 14.01 distance
between trenches and NA 5.02 Distance to wetlands (from 100' to 50')
4. Variance Request - Merrimack Eng., 66 Marion Drive 310 CMR 15.212 Depth
to groundwater
OTHER BUSINESS:
a) Discussion of possible ssds procedure change
b) Update on septic management program
c) Update of Senior Aide worker
r.7
I•
l
05--
Em
E
PITS
MIN 440 LEACHING MIN 1 (13'x16') PIT MANHOLE/PIT
GW MIN 4' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE
BOT + SIDE x LOAD = TOTAL
(L x W x #) (2x(L+W)xD x ##) (G/ft2)
CHAMBERS
MIN 440 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT
MANHOLES 12"-48" STONE SPLASH PADS SLOPE .005
BED/TRENCH (Bed max. 60' X 60') MIN 13' X 16' PIT
BOT + SIDE X LOAD = TOTAL
(L x W x #) (2 x (L+W)xD x ##) (G/ft2)
FIELDS
MIN 440 GPD 900 ft2 BED GW MIN 4' BELOW BOTTOM OF FIELD
PIPE ENDS JOINED?- - 4" PEA STONE? C—' DIST LINE SLOPE .005?
>31COVER-VENT " SCH 40_ MIN 12" COVER
RATE ( 0 X L-0) X 6 = TOTAL
L W LDG
DOSING TANKS AND PUMPS
DIMENSIONS X X = PUMP CAPACITY gpm
L W D Vol.
DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME
gpm
MANHOLES TO GRADE ALARM SEP. CIRC.
inlet) HWL LWL CHECK VALVE
OP. SWITCH ENUF STORAGE? TDH
Copyright D 1996 by S.L. Starr
GW' (Min. 1' below
BLEEDER HOLE MANUAL
WEIGHTED?
J,�P)l fp--
PLAN REVIEW CHECKLIST
kDDRESS 7z -ENGINEERX 1�
3ENERAL
3 COPIES v STAMP LOCUSy NORTH ARROW SCALE
'-ONTOURS t/ PROFILE ✓/(Sc) SECTION -L,,--- BENCHMARK ~'SOIL &
?ERCS Qr--- ELEVATIONSY WETS. DISCLAIMER WELLS & WETS
4ATERSHED?A/0 DRIVEWAY!/ WATER LINE 04 FDN DRAIN M&P
3CH40,z TESTS CURRENT? C�� SOIL EVAL
SEPTIC TANK
II AIN 150OG .17 INVERT DROP v GARB. GRINDER) �-comps +200)
10' TO FDN I/ MANHOLE- ELEV ✓ GW L----## COMPS. ' GB
D -BOX
SIZE ## LINESA FIRST 2' LEVEL STATEMENT
INLET 75 - OUTLET— = r ( 2" OR .17 FT) TEE REQ' D? 40
LEACHING
MIN 440 GPD? RESERVE AREA 4' FROM PRIMARY? — 2% SLOPE
!100' TO WETLANDS &-`� 100' TO WELLS v 4' TO S.H.GW L/ (5'>2M/IN)
20' TO FND & INTRCPTR DRAINS 400' TO SURFACE H2O SUPP
4' PERM. SOIL BELOW FACILITY MIN 12" COVER L/ FILL? ` (15')
BREAKOUT MET?
TRENCHES
MIN 440 gpd
W OR D (MIN 6')
BE 10' MIN.
SLOPE (min .005 or 6"/100') SIDEWALL DIST. 3X EFF.
RESERVE BETWEEN TRENCHES? IN FILL? MUST
4" PEA STONE?
BOT + SIDE
(L x W x #) ( DxLx2x## )
Copyright 0 1996 by S.L. Starr
VENT? (>3' COVER; LINES >501)
X LDNG = TOT
(G/ft2)
G
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
AVVUration for Diiipvtial ftstrm Tonstrnrtion rrrmit
Application is Dsxc4 made for a Permit t nstall ( ) or Repair/Replace (X) an Individd S al ewage Disposal System at:
37 00 xfDR-C� –
r i� %
OwneY
Designer or Installer
Type of Building
Dwelling — No. of Bedrooms
114,
7 ,0 _ Lot No.
/%'!7 Address
Address
Size Lot Sq. feet
Expansion Attic /JiO Garbage Grinder Wo
Other — Type of Building No. of persons Showers ( ) — Cafeteria ( )
Other fixtures
Design Flow gallons per person per day. Calculated daily flow D gallons.
Septic Tan Liquid capacity gallons Length _0Width Diameter Depth
Disposal "�— No. / Width � Total Length � "Total leaching area e.9eO sq. ft.
Seepage Pit No. Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by S� �� 10? Date �Zg�9G
Test Pit No. 1 _minutes per inch Depth of Test Pit f00 ` Dep to ground water
Test Pit No. 2 _minutes per inch Depth of Test Pit'' Depth to ground water D
Description of Soil
Nature of Repairs or Alterations — Answer when applicable
Ems"
Date Last Inspected
Agreement: — The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the
provisions of TITLE 5 of the State Environmental Code. The undersigned fu ther agrees not to place the system in operation
until a Certificate of Compliance has been issued by the Board If Heal h.
SignedX
Date
Application Approved By
Application Disapproved for the following reasons:
on
for
Permit No.
Issued
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Tntifiratr of Tnntphaurr
Date
Date
Date
THIS IS TO CERTIFY, That the On -Site Sewage Disposal System installed ( ) or Repaired/Replaced (
has been constructed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the
application for Disposal System Construction Permit No. dated
Use of this system is conditioned on compliance with the provisions set forth below:
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION AS DESIGNED. This Certificate expires on
DATE
Inspector
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
43isposal `-piarm Tnnstrnrtinn Vrrmit
Permission is hereby granted to
to Construct ( ) or Repair/Replace ( ) an On -Site Sewage Disposal System located at
Street
as described on the application for Disposal System Construction Permit. The Applicant recognizes his/her duty to comply
with Title 5 and the following local provisions or special conditions.
All construction must be completed within three years of the date below.
Board of Health
DATE
FORM 1255 (REV. 4/95) H&W HOBBS 8 WARREN TM PUBLISHERS - BOSTON
THIS FORM APPROVED BY THE MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION