HomeMy WebLinkAbout0032 RIDGE TOP ROAD - Health 32 RIDGE �-
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j TOWN OF BARNSTABLE
LOCATION / SEWAGE # ..
VILLAGE (fb U I ASSESSOR'S MAP & LOT
INSTALLER'S NAME.&-PHONE NO.Jr-0' ggk / e '7 /L.9 f
�. SEPTIC TANK CAPACITY All24 5 ..
LEACHING FACILITY: (type)3 -5m ota- /�RCI�
(size) �� 'e l.3 � i� �
NO.OF BED .S
EUIDER :ZWN
3
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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No.
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIppYication for Migaal *p5tem Construction Permit
Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) omplete System O Individual Components
Location Address or Lot No. Owner's N e,Address and Tel.
Assessor's Map/Parcel.02 7 _ �,+7—_00 2 s,
O - Z9
Installer's Name,Address,and Teel.No. Designer's Name,Address and Tel.No.
aw�/J V"zeeG, Y- �e.
Type of Building:
Dwelling No.of Bedrooms Lot Size.S? 3r-57 .ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow— 1Z/1V® gallons per day. Calculated daily flow /r gallons.
Plan Date S Z� — 9 Num er of sheets Revision Date
Title S/ li°"� 4,- eaV- / 0 S"2-
Size of Septic Tank Type of S.A.S. — S7 S' S
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) N ems✓ S�'
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions o itl 5 of the Env onmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been iss y is oar alth
Signed Date
Application Approved by y Date
Application Disapproved for the following reasons
Permit No. Date Issued �"
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" x �.ivo. �9 ya� � , _. Fee joi
THE COMMONWEALTH OF MASSACHUSETTS `Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpprication for )k6pozar *pgtem Construction Permit
Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) A< mplete System ❑Individual Components
Location Address or Lot No. 3?'Z lu-0� eoO' Owner's N e,Address and Tel.Ap.
_ Assessor's Map/Parcel _ooI 120
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
f 1
Type of Building: r ,
Dwelling No.of Bedrooms Lot Size .ScE 3s9 eft. Garbage Grinder( )
Other .Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures" q
Design Flow ��0 gallons per day. Calculated daily flow / gallons.
Plan Date Z 7— Number of sheets /� Revision Date
Title Ld v, / S Z kde&± led,
,94
Size of Septic Tank lb�Q Type of S.A.S. 7— N
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement: 4
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions o itl 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been iss y s B ar alth.
Signed Date -7/r
Application Approved by r Date
Application Disapproved for the following reasons
Permit No. D Date Issued
---------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERT ,that the -site Sew e s s y tem Constructed( )Repaired ( )Upgraded( )
Abandoned( )by
at L v,4 Z r 2 has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 9 9 dated 7,��,� .
Installer Designer 4A
The issuance of this e s all t construed as a guarantee that the s t m will ncX /i de✓, ed.
7,
Date Inspector v / { !� r
---------------------------------------
No. 9'l 0 6 Fee Ice,
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
OiZpotar �$'�-em Construction Permit
Permission is hereby granted to Construct( \,Tfepair( )Upgrade( )Abandon
System located at L a vZ /' 3 Z- or.o�I.G t7TG� /20P i�ti•(7�--
and as described in the above 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.
Provided:Construction musgbe completed within three years of the date of this p "t.
Date: / Approved by -
se'd
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Y{• s'o• Y+ SECOND FLOOR PLAN
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SCALE —1'-0.
BUILDER: scoTTcARni JOB NAME= �sm DESIGN DATE REVISION DRAWN BY JB DESIGNS
0 LOT w jz CAR c os-area �t JB
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MAMI
EMMY
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OMM AREA
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3 I MOM FAMLY ROOM § 7
EMT
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i2 CAR GARAGE y e
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ar e� r+• so ♦r ro• ka• do•
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FIRST- oR e�,d SCALE�14,0"
JOB NAME MPOSEURE�o+cE DESIGN DATE REV 551ON DRAWN BY JB DESIGNS
BUILDER soon cA u FOR MR do►M CtiSTOM HMSE os-a�-� # JB `
0 LOT yy/2 CAR GARAGE
� 44TOWN OF BARNSTABLE
:LOCATION f7� ! lev. SEWAGE #
:VILLAGE C,o_h IASSESSOR'S MAP & LOT
INSTALLER'S NAME&-PHONE NO.' dl
SEPTIC TANK CAPACITY"
LEACHING FACILITY .:(type)3 32b1:go/• _ G,�.'r (size) 3<1
NO 'OF BED
UILDE
PERMTTDATE: COMPLIANCE'DATE:
7 l C
R:. ..
Separation,Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility' Feet
Private Water Supply Welland Leaching Facility'(If any wells exist'
on site of within 200 feet of Teaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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TEST HOLE LOG
qe DATE:
8� SOIL EVALUATOR.
WITNESS:-.-- Ea
R4 PERC RATE: . ._c _._.--.--
SP � Y
oop O 0 L O O
_ % ti y
Imp
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7
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O LDA.QS oe Go.9RS�
Est
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DESIGN DATA
' \ DAILY FLOW:(j )BDRMS.z 110 GPD=33o GPD
SEPTIC TANK: 3.3a GPD z 200%= 4,6-o GPD
USE: lSoo GALLON PRECAST SEPTIC TANK
LEACHING FACILITY:,
7-:7-
_1z.9--off
CAPACITY:
SIDEWALL: -
,� BOTTOM: /3'X �3,:5'Xo, -y__
TOTAL:
o�
�� -- �'Zak oz G,B•,
NOTES: �
1. ALL PIPE TO BE 4"DIA.SCH 40 PVC. /OTfj�L f�QCf1f _ T.
2..PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION
BOX. --------_ - - -. ..---.-_- ------____
3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN
6"OF FINISH GRADE.
4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A35���
GARBAGE DISPOSAL o
5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED v -ON A 6"LAYER OF STONE. i4G.0 iP C J43 D,
6. INSTALL GAS BAFFLE IN OUTLET TEE r LAYER OF 3/8•PEASTONE OVER
3/4•-1 In•WASHED STONE ALL
AROUND .
TOP OF FOUND.
@ EL 65,v
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8t,3z e/3z el,/S 790
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SEPTIC SYSTEM PROFILElee
pko
SITE SEWAGE PLAN GENERAL NOTES
j FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION
OF ALL UTILITIES,ABOVE AND UNDERGROUND,PRIOR
TOfO 7— TO ANY EXCAVATION OR CONSTRUCTION.
.�L.�.�', �.30,��. �• /��M, Z7 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH
PREPARED FOR 310 CMR 1&00:TITLE V.
3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE
_......... ..... _ f _ DETERMINATION.
w 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED.
DATE: Nl.9f'Z, SCALE:--/ =30 '
S. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY
REQUIRE PECTIONS.
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RUMBA u"et
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WELLER & ASSOCIATES
FTIF646FALMOUTH ROADCENTERVILLE, MA. 02632
EL: (508)7754735 FAX: (508)775-0754
APPROVED BY: