HomeMy WebLinkAbout0252 PINE RIDGE ROAD - Health 252 Pine Ridge Road
Cotuit
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8
TOWN OF BARNSTABLE
LOCATION e� \ `�r3 �'d �D- SEWAGE #
-?&-35
VILLAGE#- t,�° ASSESSOR'S MAP & LOTO/9 /,Z y
INSTALLER'S NAME & PHONE NO.Carjl,,K,
SEPTIC TANK CAPACITY /J�t)� �a too►.,
LEACHING FACILITY:(type) ` ; - (size)
NO. OF BEDROOMS PRIVATE WELL OR .PUBLIC WATER
BUILDER OR OWNER `C'CG..ae
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
bit �. dd
1000
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH APPROVED
TOWN OF BARNSTABLE
Sarnstable Conservation Department
Appliration for Di ipatial Wurkli C owitrurtion Iltit Date—
Application is hereby made for a Permit to C cytr t ( ) or Repair ( . ).._.an Individual Sewage Disposal
System at: ~
a......P�:r::......._ � ---------- ------�-- ----------- ".--2. ..............................................
Location-Add hks ^ r�T No.
._.. •-
t fsy.............
Installer °" `-� Address
UType of Building Size Lot............................Sq. feet
�.. Dwelling— No. of Bedrooms...-. 3 Expansion Attic ( ) Garbage Grinder ( )
WOther—Type of Building ---------------------------- No. of persons-------_--.--..----------- Showers ( ) — Cafeteria ( )
44 Other fixtures ------------------------------- - -
------------------------
W Design Flow............................................gallons per person per day. Total daily flow........................................--..gallons.
WSeptic Tank—Liquid capacity------------gallons Length---------------- Width--------.-..---- Diameter................ Depth................
x Disposal Trench--No. .................... Width.................... Total Length.................... Total leaching area....................sq..ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.---................ Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by---------------------------------------------------- •----•--•-----••-•--• Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit...........--.--.... Depth to ground water........................
fZ Test Pit No. 2................minutes per inch Depth of Test Pit-- ............. Depth to ground water........................
a' -----------------------------------•-------------------------------•-----------------------------•----------
......
--...----•---......•--•.........
*----
-_..•-
ODescription of Soil............ --------------------•----•---------...----------------------•--------------••-•---.-.----------------------------•.-------•---
W
------------------------------------------- --------------------- •---•---------•-••---•.--•-•-•-•------.------•------••-------•--•----------------.....................
VNature of Repairs or Altera> ons— swkw hen applicable............... .. .. . . .-......._--. e1_:........._....__..
1-.
..........................J.a.Q. ------. � � C•. -••-•---•--.•------•---- ------------------------------------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Envir mental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Co li ce h s been isW
rtef health.
Signed .. ....-... .-. .............�e ....�....
Application Approved By ... ..... ....._--.... .. .0.._:. .... . 3Application Disapproved for the following re so s: ..... .......... ....................................................................................-
----S��
Permit No. .-- ..�.. Issued .---..-/--' a ..^...�.............Dae......
Dace
t�L.i.A►«V�tw.�r...�, •yy��t�-✓-.y,.. W..�w_vf•. `�r .�V _-r.s--b' ^V vv,i� .�w�r '..V'�� w^��4 _q�y .`,.w"'��� y'.M. •-v. 1
No.... = s, F>$..............................
THE COMMONWEALTH OF MASSACHUSETTS —
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Diripwiaal Wnr1w Towitrnrtiun frrmft
Application is hereby made for a Permit to C'on,,gt eI ( ) or Repair ( ) an Individual Sewage Disposal
System at: `
a P` ...................
,.. ...
...................................................... aa : Location-Add s rc Lott No.
v.. _._....M ...e— Otrncr . - 11----- ................... ••....--- ----.......-.............. ..........................................
.....................................
Installer t Address
Type of Building Size Lot............................Sq. feet
U Dwelling— No. of Bedrooms._..3 Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building ............................ No. of persons._--_--__--_--_______-----_ Showers ( ) — Cafeteria ( )
a' Other fixtures ...... .............. _ .
w Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity-_----.._---gallons Length---------------- Width...._.---------- Diameter................ Depth................
x Disposal Trench— No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( ) /
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 •---•-•---•.........:.............•••-•-•-••-•••-•-•-•••----•••-...........---------•----•---............................................
-----------------
-•-
Description of Soil !;2���-���----• --•-•----•-••--------•----------•-------
V ....••••-•--.......••--••••-•••-••-•-•------••-••--••--•-•---•--- ---•------------------•--•----------------------------------------•----•--•-----------------.....---........_--••-----------•--
.
--------------------------------------------------------------- J•-Q••------------••-•--------•----•-----------••---------......--- ••.-----------------------------------•-•--------•----
U Nature of Repairs or Alterations— swekwhen applicable----------- , ....� _. .� `&!_ :.............. .. _.................
�...-•---•-•--------------- .Q. C?----- ... ----- -7-•----------.-----.--------•---------------- ------------------------------------•-------------------------•--------•---
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 further agrees not to place the
system in operation until a Certificate of Com ice has n issued by the of health.
Signed(\ ' 3
....: .......
Date
Application Approved B /G'l __ �.... :......:....! (-i l I- ::------------------------. .. ....:. -2.��.3.
PP PP Y - ......
� �� � ��� � • Daze
Application Disapproved for the following reasons: ..................... .............. . . ..........................................................'. Z...^ .
. ._..........................................L�.�J>.... ..y. —".........I .........................................................................._........^... ........ .......�.. ............------
Permit No. ..-...1...�... ,,.. ,_.� a ^/y13
�..........
.._.............. Issued ..................GT..Dace.....i....------..........Dace......
THE COMMONWEALTH OF MASSACHUSE17S
BOARD OF HEALTH
TOWN OF BARNSTABLE
(fertiftrate of Compliance V
IS IS TO CERTIFY, That the Individu 1 Sewage Disposal System constructed or Repaired
by . ..................... ---------------- --------------- ........................................................
at ...........�` , .......... .......
................................... ........... ........ ............................. ------------*..... ------------------
has been installed in accordance with the provi;* ns of TITLE 5 ojTbe StatemEgnpronmental Code as described in
the application for Disposal Works Construction Permit No. 6
4........ dated ------- ............ ------------ ....
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE. C014STRUEDAS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE..... ........ .................. Inspector --- .........................................................
............._ k✓
--------------------------------------------------------------------
THE COMMONWEALTH OF MA SSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE 3,0,69-D
No. Q FEE........................
Dispasgi-Porkii Tanntrudwin Vamit
------ ...... ... . . . .. .. .....
Permission is hereby granted.......... L--I.......... ....................................
to Construct oy-Repair. an Individua Se*age Dis Qsal system
at No................ ...............................................S�....... ------------- J--------
-- -- ----------
Street
as shown on the application for Disposal Works Construction Permit V... .....:! Dated.... ................. ............
.............. ------ ----- ...... ...
Board of Health------------:... ........ ...........
DATE............................................................I....................
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
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SCH DULE .
PROPOSED, SITE PLAN
'ION D� a
TANK = g G," SEWAGE SYSTEM DESIGN �
IN
'IC .TANK = jyy(a.-.��i--� ( D / U f j 111114,. ,
UTION .BOX = SCALE 1'�=
ya Jan. J/9 1978
RIFID-ruAN any C—640
1
L0`,CATION SEWAGE PERMIT NO.
V I k L A G E
Leg (R i )0&-je- pr)PAO 6�—( u
I N S T A LLER'S NAME i ADDRESS
BUILDER OR OWNER
DATE PERMIT ISSUED � 5-- '7?
DATE COMPLIANCE ISSUED -'e
- I
`� d
e
r `
ld
•--Jr •-•- ...._....'....._
No.
THE COMMONWEALTH OF MASSACHUSETTS
- BOAR® OF HEALTH
�.�7� :.----..75�-!,4!'En... .............OF....... 1 �5 a l ...........................................
Appliration for R-4pooa1 Works Touo#rnrtion Permit
Application is hereby made for a Permit to Construct (k'�'or Repair ( ) an Individual Sewage Disposal
System at: /,�
....._......1�f n .., " .... ..../��... ................................. .....----•------�ar...�.�----•-------------....... ..��. �a:..............--
L ation-Add,esj or Lot No.
�r,. Addr.ess
"--........�..............:...... .....' .-•. , AZre s-s..................... "-----••--
Installer ...... t
QType o uilding r Size Lot............................Sq. feet
U Dwelling—No oof'Bedrooms........I..................................Expansion Attic ( ) JD Garbage Grinde
aOther—Type of Building VuWIMl ....... No. of persons....... ................ Showers ( ) — Cafeteria ( )
Otherfixtures ------------------•-------------- ----------.................................----••-- !
W Design Flow......1.10.............................gallons per: er day. Total daily flow..........flo_........................ 0lons.
WSeptic Tank—Liquid capacit} f llons Length_10•` __. Width...5�12'0.. Diameter................ Depth.. P.._..
xDisposal Trench—No...................... Width.._z::.._.:._........,Total Length..........`..................... Total leaching area....................sq. ft.
Seepage Pit No....I............... Diameter...../ ........_. Depth below inlet....6............ Total leaching area.`4.7......sq. ft.
Z Other Distribution box (ref Dosing tank )
Percolation Test Results Performed by f? . �.I .Y�.01. Utz:....:. ..................... Date..J _..... .........
minutes per inch Depth of Test Pit...30._.._.__.. Depth to ground water
� Test Pit No. 111 °.�... p p ---. p
(� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ••-•---=--•-••••-----•-•••-••=••----•-••....•-•••-•---------------------•--------•-------------------------------- ......._..--•-••_.
O Description of Soil---- _ oil.I S_L?�l � ---------•-----"--"--------------------------------------------- P�... OF... ................
------------
.....-----"--""---•--••-------------------" "---•-
W - �gNVv�CK �'�,
11
-------------•-••----•--.....---•---•-••--•---------•---•-•--•--------•--............-----------•-••------------........_.....__...•••••....•••••--• �-----------B.--•--••... ...........
UNature of Repairs or Alterations—Answer when applicable........................................... La _.__CMAPMAN..... �' ....._...__.
N o. 27654. ............
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal lkh h ance with
the provisions of iIT?., 5 of the State Sanitary Code— The undersigned further agrees not t e the system in
operation until a Certificate of Compliance has been issued by the board of health.
e ----------- -------•----------"--."---•--------------------•--•---..._.. --- --------•--------•--------------
Date
Application Approved By--•--eadl� = ���L -----_----_---"--"-_--- :�� � 1�.?�• .
Date
Application Disapproved for the following reasons:......................................................................................... --------_..---
--•••---••...................................••-•-•-----•------------....••-•••---••-•••-•-•••--••.....••d.............••••--•----------------•••••••••-••-•-•-•••-----•-•••--------••--•......---------
Date
PermitNo......................................................... �Iss j `....
? ., Fps.. :ram'
No. ...... ............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH..
.......OF...::..!�. ! _ .�.1
•.,�:���irtt� ort for �i��oo�a1 orko C�000�r�r#ion '�rrnti# ' '- . : •
Application is hereby made for"'a Permit to Construct (pej or Repair ( ) an Individual Sewage Disposal
System at
........... l'��� rt1.�C .. �dt..._ 4r�, - "
ocahon-Addr ss -'- or Lot No
..............................................r .1
' " � OwAddress
WJ' ......... i
Installer Address
Type Building' Size Lot............................Sq. feet
V
Dwelling—No. of Bedrooms........I............... _.___._.__Expansion Attic ( ) Garbage Grind
Other—T e of Building &.k l._ _._._... No. of persons....... ________________ Showers — Cafeteria
a th i. g -- -----...--_P-- ( ) ................................
� • . Other fixtures -------------='=-------•---=------ ----------------------------------------------------------.:. '
t'$._ allons e er day. Total daily flow.._._..... .11�......................... Ions.
Design Flow---.::�-l�...................... .�.g P P Y• � Y Ili? 1;�
WSeptic Tank—Liquid capaci . lions Length_/_Q.-k._._ Width._5.. ".. Diameter________________ Depth... ..:........
xDisposal.Trench—No. .................... .kidth.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No...1................ Diameter...':00......... Depth below inlet._..( ..... Total leaching area..2&7...._.sq. ft.
z__,-/,-Other Distribution box (rs) Dosing tank ( )
Percolation Test Results Performed by y�" 't? ux�e' ��i5................................. Date... an..]V,1918 -__.
Test Pit;No. lllrt�_?-..minutes per,inch .Depth of Test Pit..._Rd r..._.__.. Depth to ground water&�'�!IC.p✓tJd'A'�
Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to groun 1N OF
t� ..=----------------------••---•---------.....:-•-•-------------.......----.._...-•••••--•-•--•-•-•••• .. 9ss --•----•
.D Description of --
Soil.....6..° _ Qr:�.� ?(5. ��• .--- •----•---••----------------•------------=-----------------•.
� � � RENWI�K•• a
W .................. =' -•----......--._.._....... --._..._ " CHAPJY]A111
U Nature of Repairs or Alterations-Answer when applicable................................................. .10�1�No_ 2765 4 -
------ -
...-----•----------•-•----------•---•......................•-----•-----------.......--•.:.::........-----•...--------------_..-••-----•--•---------- °F�s�! ......
Agreement: s -�+
The undersigned agrees 'to' install the aforedescribed Individual Sewage Disposal System ordance with
'the provisions of iITL is 5 of,;the State Sanitary Code---:-,The undersigned further agrees not to place the system in
operation until a Certificate off Compliance has been issued,by the board of health.
Sl -Z-1 _______ ________________________________ ._____........ / _._...,.._f
......7.._..._
Date � �APPlication Approved BY --_-----------••••-
. r
Date
Application Disapproved for the following reasons---------------•----------•-••---•--------••-------------------•-------------•-....__.....-•-------•---•------•--
_---_-•---------------------......•........ ______-•-----------------------------------------------____-----------•-----
i ,+ Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
�•�.- BOARD OF HEALTH
�! ............OF......... ...... '........'.....................
&rfif ratr of Tampliaurr
THIS I TO CERTIFY, Tha,, �Indivdual..Sewage Disposal System constructed ( or Repairedby....--•--•-•._...,...�t.�!w4: -!� �` •---- --------- -------------_-. f'
sjaller
!�AV.X4, .1_2. I ...... A.............
7.h ---- -
a� has been installed in accordance with,the'provrsio s of TI Hof The State Sanitary as described in the
' :,application for Disposal Works Construction Permit Nw!tl ____.._ _ '............... dated_ .l,5 "'._.. 1 %
I THE ISSUAN%...OF THIS.CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM,�;YVILL..FU'NCTION SATISFACTORY.
DATE... i ...:.. a .Inspector
ts` ` THE COMMONWEALTH OF MASSACHUSETTS'
BOARD F HEAL H ,.
r
...... .......OF...........:. ........ . .......�tr... .. �...
No FEE.....-•.................
% osat rko Tv.nstr io rr i# I
Permission is hereby granted_:nn.... .. -•--•- - ---- ..........................
F„,, o Constru- or Rep r n I' idual Sewage sposal t
4.4(04
at No.
treet
as shown on the application for Disposal.VVorks Construction P VN -.. � ��
Dated-f -- ..........
Board of HI%'rl
)DATE....... ------------ I--------------
- ••••--_ -
FORM '1255 HOBBS & WARREN, INC..4PUBLISHERS - - „"`:5• -
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2".PEASTONE �•• LOAM a FILL--- I2w�X. Ga D
DI SY. I.
BOX I• °°° 0 �°
+'I•'2,"MIN. ° U DacaC� 97.7
io'MIN. 7vv I� o, °° 1000— GAL. d 901
SEPTIC ° PRECAST OR e °
I' • BLOCK ° 0
TANK ;'. . SEEPAGE PIT °° 0
I o °
SAA1rea11 sF o •
°° �'01. u C ?e •� 0 DO I
20' . MINIMUM ; e'. °° 101�1��=?W S b 04 vl `
FOUNDATIONSB..Z
` I
• 'I`'u 4 #tyi�'`-WASHED-STONE s
U9VATIOb BKrTCW -- to papc, OATa s �.,vDwe .a..,,;
{ SCALE: .1`"44' t L%�a7Gf n°81^ tll/ '6�5,f l tg�CEI C e"ICt Eft" TEST BY : 0�o-44 'e&!f z±! ' AGC`��1.► I wf
OWN INSPECTOR; �.csc,L �►/u.0 .o�
C-CSC }�JI'�a�p%Qi�/s = �tTSl` BACKHOE OPERATOR :
�o�i� ..��oG.�►e
- TEST MADE ON �. io
dw
wop
LaT
ri'� 1 fir ;��' kfxr�. #i� •Cs, � %oe.ov
ATE
I
ELEVATION. SCHEDL14E ,
PPOP021201 91TV PLAW '
4
I. INV. AT FOUNDATION
_ � r £3L�A�t� �3Ya4LM OC�818q
2. 1 NV. INTO' 'S.EPTIC TANK = IN
t
E 3: INV. OUT OF SEPTIC TANK = 9640 TU tCt5,5s '
4. [`NV. INTO yDtSTRIBUTION BOX•
` 'SCALE: I"= S/D ' Ja17. /9� 1978
5. `1 NV. OUT- OF DISTRIBUTION rBOX• I - 9 :25 C— r440 K.
6. iINV INTO SEEPAGE PIT fa:f� r .. CAPE COD SURVEY CONSULTANTS
.` ROUTE 132
};z •Z OTTOM OF 'PIT 9D.Dt� HYANNIS,MASS.
A DIVISION ROSTON SURVEY CONSULTANTS. INC,
E S. OTTOM OF STONE LAYER _ ^ i