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HomeMy WebLinkAbout0040 CRANBERRY RIDGE ROAD - Health ��rs�s uj��1S p�� - pS� _ 'LOCATION , SEWAGE PERMIT NO. LAGS INSTA LLER'S NAME i ADDRESS V f ASSI BUILDER OR OWNER 0k,Uk: PERMIT ISSUE-6 ► DATE COMPLIANCE ISSUED � � � _ A \VI L_. � O� 4 a �. \/ E•a �/per V ` ` 1 �, ad No.._......... """ ��^w� ,y ( w THE COMMONWEALTH OF ASSACHUSETTS BOARD CHEALTH ....----..... ..............OF........... .... Appliratiou for Dispn'Fal Workfi Tonstrnr#inn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..- --.. EAW... ......................... 1`.�.d�.....- ••---- ......---- , j tali ss or Lot No. �� ---- `-- -- """ .. .......................... --•- -•-- ... ...........••..................... ----- ._ -•-- - ..... ......... Owner dd as a •------------------•-- ........14..*. ....L.., .�._.......... ........................ .-.•-_.----•-......_.._.--•---•--•--••-•.._... Installer Address Type of Building Size Lot....:.QQ ......Sq. f t U� Dwelling—No. of Bedrooms................ ._.._..................._Expansion Attic' ( ) Garbage Grinder � Other—Type of Building ............ No. of persons.........5.............. Showers (2) — Cafeteria ( ) dOther fixtures -----••-----------------•-----......---------....................................................... _ _ - W Design Flow._.........5.....�. ....... ...... a Ions per person per .day. Total daily flow....-.-.-.-...........................gallons. y W Septic Tanl Liquid capacity-.-.-. allons Length................ Width............ Diameter.----.--_....... Depth................ Disposal Trench—No. .................... Wid .._._.....--.-._--•• Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.....)------------- Diameter....t............ Depth below inlet.....4 -----.---:.Total leaching area.... .4. gq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Result Performed b ............................a2./t. -..Y............ Date.,..:. '..... �d -7�p Test Pit No. 1.. ...-..minutes per inch Depth of Test .............. Depth to ground water........................ fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... . _ ... x Description of Soil..._._._.._..__ l� .It .....jv.-. -------------------- U ........................................................................................................................... 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 TLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss d y the board of�he � AAigne .........•---..�••... ............� ------•••••. ? '? -- ` Date Application Approved By..._---- .. Ll�d ._.. a 3` r Date Application Disapproved for the follo ing.reasons- ---------------------`------•---------.-.----••----------•-••---------------.-------------------------:------ .............................•------------•---•-•--•......-- !/ ------------•. Date Permit.No............................ Issued._ .:�5�'?9_ IC .• ,--------- . Date •..............•• ......•.. i - No...........,'''r ��"... Fps.. ............... THE COMMONWEALTH OF MASSACHUSETTS r BOARD HEALTH OF..........: ...: ................._...................................... lrl ti ri for Bispoa al Works Tnnstxnrtiun ramit Application is hereby made,,.for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: - � or cati sr Lot No ..... -• .......................... ........................................... Owner �1d ss ......... ------- -..... ....... � Installer Address P Type of Building E Size Lot___ `: .:...Sq. f t Dwelling—No. of Bedrooms___. Expansion ( ) Garbage Grinder 01 aOther—Type ,of Building � ............. No. of persons.........s57---------------• Showers''(aZ ) — Cafeteria ( ) Q' Other fixtures ................................ W W person per day. Total daily flow................. tx ....._.___gallons.Design Flow _...... ,,,Paons per anl Liquid ca aci Depth__Septic T tY . allons Length _..__ Width________________ Diameter...__ �' I. _.. Disposal Trench No. .................... WM .................... Total Length......... Total leaching area___....................sq.ft.- Seepage Pit No____ ______________ Diameter ..__._.__ Depth below inlet_... _ Total leaching area___ ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Result Performed by___`:-.................... � ............. Date_ Test Pit No. '1. �'"__minutes per inch Depth of Test rt ._._.____ Depth to ground water..................... f3, Test Pit No 2,:._,............minutes per inch Depth of Test Pit.......... Depth to ground water..,.'*.................... Y a' Description of Soil.......... ..._- .: �....... ................ _.__...._______._______._.____........._.._ --_._.__________ -___._____._.._____..._.._._____......_..._..___ 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 been iss d y the board of h th- . .� . '61 Dat Application Approved By..." -•- --- Date Application Disapproved for the following reasons____________________________________________________________________________________________ ___________________ ................ ......•.....-•-- --- .._..----••------...------•-------•......•-•---......------•. . ---•-..__...._ Date PermitNo.................. .................................... Issued_--•------•-----------------•----•-----------••- '"C.�.. '-•----- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... ...�1�'"' .OF......... ., ................................... %lurrtifiratr of Tomplianrr THI 0 CE .TIF ; That th ndividuaI SA�g. posal System constructed ( or Repaired ( ) V by-......... ►-.-r. - ----- f at • r.. +!= ----- --------- has been installed in accordance th the provisions of T 5 of e State Sanitary Cede as described ,,in the application for Disposal Works Construction Permit No _ .:,:_'"'_.- - __.___. dated_ ..•__. t���- - $... THE "ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON RUED AS A GUARANTEE THAT THE SYSTEA+ -W 1. FUNCTION SATISFACTORY. C _z� DATE.......... k Sl....... ...................................... Inspector.................... ..------------•-------....--------- THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF:: HEALTH 0`.: .... O F......._.. .._. r/ 11. S�* ., , ._.... ,... No._....... ... �`.,S FEE............................. ks Upinnn#r ion rr it a Permission is hereby anted;_.-- • _..-•-• .-•--- ---------•-_-- -----• O( -- ... to Cans r t ( r i ) an' Indroldual' S v age Di osal Syst �+ r 4 ------St -et• `. as shown on the application for Dispos or onstructon Perm- / __.._ ated....7`' "��.'.. f.......... .............. - nof- eall pK BoarDATE._.. _._ ! r FORM 1255 HOBBS & WARREN. INC., PUBLISHERS G t T.l 1 Lam( F LC,.�✓ a 1 to 4 3 = 33b 6.RV. \ Z Is c % • 4-9 5 6.P.0 N Cu:u:At✓ F--t T t 0(Do Gar`. S4 b �Uwat 1_ ArzEa = t�,o S.P. kSPprp [� KS L�P,r� Tc��',�tr 17�,IGtJ = -425 G.P.D. {''�,+ � _ c�►(. T.,4-1L EtC�, t Ef�c D US,I1(. 4_I OQ LES f � N r Zl . r. r_ GU IZC MUvE- USU tT, MA1" - ��ZV � tot 0Lrr-Oi pe 3Taut ' Q I.�GI. 'Tor rwt> :,00.o tuv.,�i7, b �v�7p1 lot 4'Pp� blsf, iw. CIO r pox 9G5 Seprtc i o ut;.`p,c. tuv� D I i TartW. , -5 1 -- a2 D l000 -q , ,N 1►N. � JAL. 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'roTati` T -al L 3W 6.F.D. s.T t'kax L•,LdZ-it i I 2'k,"T E- 11.! 2 art I u O 2 � L -- . prof,W 1?C MbV6 vuSWT1 11Afi 'Tr T jQl 0LITO 1 D& 0I'D0 •2v 6e G e.�1a1- 1.•,loc.�''.1 - wi c►..t=A�i.� Odic t•r-:,,,�%...:,:, .:��w-�^'-, o: -7, �vp/!1 lot �'Pvb DIr,T J PP w. I Gip !GIGg � d / ' INV. -Box ��JSTo�tK (0 Q: 4,0 I tINV tw. (yAL. �I�f rito•� LeAG►-i A Pi T mow►! w,-ru � C.i=[ TtFIGt7 �l_ca1- F'L ,L," F-'�c. F-'i Lam_ --------�-- ---...__� -._._ LOCATIyP-j -/3' _ j mp ►Jo �.�c.La�- GC/�I_t 5 1�b Q�C (�•Zsr Na N�,�TEiC ' C t.It T t 1-: `11 ►-1 A T' T i-1 G_ ��P ��,.�.., S 1 L-1,t!1.1 P L. ►-E F-c►i c:L'_ 1�t 1�(_<>1�2, .�C�.1r�I'l_`<S WIT{•-Z YI-ji_ jIDE L.11-.1E, A1.yL� :`•i E�.r.Cl, t'r.l;,uI�:LML:a.lT'� o� 't�►-+t . �---�'T� �G �aw►.:� c.; ���'Ati?�.t 1�LV� -� Z Z Z PA,-,6- I57 Uq tZ=Gt1; iLC,C-C 1-A., 0 5U2va1-(0i�- `[`l i{•j•:I►', .C/ll�t-.y , j.J� .�/l_ < (1fi_, t..{ t:�Icr'i il•ILF.II� /A.ptrt_l c41t--j -7 �( *� T __- TtiUly A" l-41.��:. TOWN OF BARNS ABLE LOCATION SEWAGE # 7 VILLAGEA1111 ASSESSOR' MAP & LOTd347-10--f�� INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY < U® LEACHING FACILITY:(type) ` L-4-1v (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER I DATE PERMIT ISSUED: / fZ6 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No CRAW TAi,.k ° p ax L,13Acl�� 4077-� I � Ivs 1,,� j4.) '..'.. ..... Fss... /THECOMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Dio oottl Work,i Tomitrurtiort Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair YJ' an Individual Sewage Disposal System at: �_ cation•Addres sV or Lot N . owner Addre ...pRd ............................ .. . .................................................... Installer Address d7Iype of Building Size Lot.................... U ............................Sq. feet ,., 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............................................gallons. WSeptic Tank—Liquid capa6tyJAQ0..gallons Length---------------- Width..._..__----_-.- Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.... ------ Diameter-------------------- Depth below inlet...C............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water...................... fs Test Pit No. 2................minutes per inch Depth of',Test Pit.................... Depth to ground water........................ a ---------------------•------......------.---•---------------•----•--------•----------._...--•----- Descriptionof Soil "•..-------------------------•----------------------------------------------------•-•----------•--- V W ••-•••-----•-------------- -------- -------------�----------------------------------------------- = -- . UNature of Repairs or Alteration —Answer when applicable.-..__ �1-� _____� .1 _e----------------f9 l .�......... P.: .._-•.---4M eA---Z s-AA14-------------------------------------------------------------------------------------------------------------------a...........•--- 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 Compliance has been issued by theboard of health. Signed .. - L.'. t'c l A?�� _ Da Application Approved BY '' � '. Dace Application Disapproved for the following reasons: .................................................... ............. .................................... . . . ...................................................... ..........----------------------------------- -------- ......------ *..... ........-I). e Permit No. .............. ~.. ` ...... Issued ---- '"... ..�. T Date f No.r�...'.�..`.''� ' r ' Fx$.................... /THECOMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Diripoiittl Works Tonitrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (110 an Individual Sewage Disposal System at: f / - �() CAA4)��R!� � J�./�G -I �4d /�i:5.,'C t r,,. f�%7I./ c ..............•-•-............._.........--•------•............................................ .................................................................................................. Location \ddressf or Lot No. 1...!�1...----••...............•--•---•-........................--... ......................................................./*'r :�:.../ .............................................. nn Owner Address Installer Address VType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms______ ___________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther 'fixtures --------------------------------------------------------------------------------------- ---------------------------------------------------•--------- W Design Flow...............\...........................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid"capacity_tg�?O_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 Qther Di-,trr"ibution box ( ) Dosing tank ( ) `" Percolation Test Results Performed b �1 - % 1 -� Date........................................ a y--------------------- f -; Test Pit No. I..n............minutes per inch Depth of Test Pit.................... Depth to ground water-----------_____--___--- 4, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..............._........ a r Description of Soil!. -- -------------- ----------------------------••-•-----• --------•--------.._..----•-------••--------------•-••--••-•••-•••--•----•••-•-••-......------------. x U ----•- W ---------------- .-.._.. ...------••.... ---------------------------------------......------.... U Nature of RepairsorC�Alterations—Answer when applicable._____ A�,��--_.----C A:T-. .............�_��...�_-•.......... 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 Compliance has been issued by the board of health. Signed �m = I ?......... / c'....... ��... �- � - - �- Application Approved By ------------ - ------ -- - z � 1 1 Date Application Disapproved for the following reasons: ............................. ........................................ .... .......................................................................... (/ ....................................................... -------------------------------------- Z ~.. G,7 / r� F Date Permit No. --------- .. ...................... Issued .... a,e ..�✓-.. � Dare ------- ------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (IT rtifi ate of (ITampliance THIS-IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (,A- ) by ..........1 � r --------= ----�C , ._....--------- n tall cl - er ..----------- /� � at ..............���e1........ !'f' .C.. �/'4 {-- r a r� cC - � ............. has been installed in accordance with the provisions of'TITI.E of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ._..._.. ....."'. .... dated _.. ^" --- the f THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ....5 . - - l_. ,�= Inspect c.-.... �--�.----------- .. �'✓.��'� .. ------------------- -------------------------------------------- ----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE fNo_..,............... FEE........................ �tl� ork� �unotritrti,an �rrntit Permission is hereby granted...._'_ .......�r..__ . -----------------------------------------•-----------............... to Construct ( ) or Repair. (�V) an Individual Sewage Disposal System C3 street__1) - as shown on the application for Disposal Works Construction Per it%d:"'.. __� Dated---./.............. �J/v DATE.. r a `T--'r .� .. r - Board of Health FORM 36508 HOBBS&WARREN.INC..PUBLISHERS