Lot 7 Septic Application CHECK OR Fl!
IIS.S File No. 78-56
No_
......... ..........
THE COMMONWEALTH OF M5ssACHUSETTs
BOARD OF HEALTH
c PIT of NUrcru, ,t PTON
i}m n1I5t1IUTin.I
:nit to Construct (X ) or Repair ( ) : a Individual ewngr
Aptplira?inn fo,
Applic Ltion is hereby made for a Per
System at:
CloTent Street
Fru
Victoria H. N6eeler
()Taste Bros. , Inc.
t „aat.
Type of Hrilding Size Lot Sq. feet
Type
Dwelli ig— No. of Bedroom: _ Fapansion Attic ( ) Garbage Grinder ( )
Other --Type of Pcilding No. of pp -.. -_-- Showers ( ) -- Cafeteria ( )
Other futures
-
Design Flow gallons per person per day. Told dai; • flow
Septic TLn':—Liquid cauacitc Lena h.—_........_ Width Diameter
Disposal Tench--No. AATin Total Length Total leaching ar-u
Seepage Pi: No - Diameter _ Depth below inlet Total leacbimb area
Other Dist ibution box ( ) Dosing tank ( )
Percolation Test Results Performed by `Ciehael C . Suprenant, PE Date 04/28/78
Test lit No_ 1 4.3 minutes per inch Depth of Test Pit 8•0• Depth to ground water 7.59
Test I•it No. 2 6.4 minutes:tes per inch Depth it of Test Pit 8 •0' Depth to ground Wc.' .-0
0" — 6" Torsoil - Dark Brown .p}
6" - 21 " Subsoil - Srovn
Lot No. 7 Wheeler Subdivision
353 Fmrt.s Pit Hoed Northarrton., RR
998 Nesthamotort Road Northarnton , 1L:a
g:lon
Dcpt'.
Rn
h.
Description of Soil
21" - 96" Sand-Clay - 6rnv -
Loosely Packed - Dome Stones , om ( it
Nature of 2epairs or Alterations—Answer when applicable - =-
Agreement: '
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System iif v+ =nee wid
the provisi ms of Article NI of the SU:te Sanitary Code-- The undersigned further agrees not to place the system in
operation t ntil a Certitticate of Con:p!iunce has been issued by the board of health.
Signed
Application. Approved By
Date
Daft
Application Disapproved fur the following reason
Datt
Permit No Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF
("rrfifir:ir Ilf ("Innpiianr
TIIIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (. ) or Repaired
)
by
at
haS heeil .i culled in is e v a tiv 1 r . o:: of Artii-._ Si of The St. . Sanitary Code as described in the
appliclion for I)ispn<al ACor1:3 Cntxtrnetinn Permit No dated
THE ISSUANCE OF THIS CEkTiF;CATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTCRY.
FIATG --