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Home My WebLink About0064 CRANBERRY RIDGE ROAD - Health i� C N OF BARNSTABLE r,`O'CATIt1N_� 94— EWAGE # _-- VILLAGI% ASSESSOR'S MAP & LO'I'— II4STALLER'S NAME fg PHONE NO._��--.�.. SFsPTIC WANK CAPACITY LEACHING FACILITY:(tgpe) NO. OF BEDROOMS� —PRIVATE. `J ELL OR PUBLIC WATER��__ e BUILDER OF OWNER 7i%m �— DATE PERMIT ISSUED:_ DATE COLIPLIANCE 13SUED_ VARIA.NICE GRANTED; Yes No_--. {� .�► V �� t� TOWN OF BARNST'ABLE ,OCATION� SEWAGE # �dt VILLAGE i Y �Y1� ��S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. ►Q� L.t�l�`1� ��' �l SEPTIC TANK CAPACITY_ (ecci U� � (,� 9 (4'f ces 5rr-`a�- LEACHING FACILITY:(type) (size) NO. OF BEDROOMS � PRIVATE WELL OR PU WQIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE C0111"LIANCE ISSUED`_ VARIANCE GRANTED: 41� f 0—o IXvu e a �a u ' � os7i G'eSS ri 1 1 r�y4 i. 0 CA ; 8QH 5 skiA "G E PE MiT g! � o I L L A G i qLASSESSORS MAP NO: PARCEL NO.: I� s M. n Ale. �&'S M A M E A Q D A E S Slk ._.._,�..�.._.. .'ter�t Rrt d 1 L D E . t D A T E PkRilT i sYE' } T E GOMPLI A NCE t S a U E0 G5 �—2- �r e ` - y . v , � S► ASSESSORS MAP N0: . PARCEL NO.: '® -- No. _....... Fxs.............................. THE COMMONWEALTH OF MASSACHUSETTS B AR® OF HEALTH ..... Appliratinn for Mipmal Works Tnnitrnrtiun Vamit Application is hereby made for a Per to Construct ( ) or Repair X) an Individual Sewage Disposal System at: ................- .. =............ 'r --....------.................---••-•....... ---•......._..._ ._. .. •Nb a`!1 oca' n�dd--SS•---•-•-------------•-------------- Lot.No.� -- Owner Addre �FM+•1� Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms__________ _ __________________-------- Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures .................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. R; Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area..____-_•••_--------sq. ft. Seepage Pit No---_---------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Omer Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water-.__-.______--__•-_____. Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ • - - - �.. ODescription of Soil----------- _�.°� .. .....-..--•-•-.....•-----•--•-------------------- - - - ----------- -- -------------------- �� ------------------------ -------------------------------- --------------------------- ----------- - ------ --------- ------------ --- U ture of Repair or Alterations—Answer when applicable.__..._.__' ° _ �� ?..__��...� . a ..---.. _-.. .........5;�s _ - . ..... .. ---`-....Clay. ... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with . the provisions of iT T a."" i of the State Sanit Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha beek issu dd by the oard of health. Signed-- •--- . ------ ..... `-- -- ----••-----•-- 114�----81`--- Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons:----•---------••---------------------------------------------••----------------•---------------•••......------ ------------•-----------------•••--...........--••-•--•------..............••-••------.........-•-••---•--------•---•---------•-------------------------•-----------•---••-----•-•-----•----------...... Date PermitNo....................................................... Issued....................................................... Date �J o, No.`�_a..�.�,�...�-- �'�" Fps. �•C.ro THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -•--_------- -- - _...................OF....................................... ................................. . ppliration for Uispaoal Workii Tiamitrttrtion Vamit Application is hereby made for a Pe t to Construct ( ) or Repair) an Individual Sewage Disposal System at• (r ................ ..... . : ......_ . Q .... ...--.....-•---..------...._....... .------------. ---- .............. oca Ad ess `4`{ \/1 !- k or Lot No.�/�) f�y ^1{ `.' S Owner Address ............. .. ..... Installer Address dType of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Aq Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ...................................................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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 ( ) `-� Percolation Test Results Performed by-------- -•••-••-••-------•-•---•------•-•••--•-•---••--•---••--••------•- Date........................................ aTest Pit No. I.........._-----minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ L14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 1 .. DDescription of Soil.......... -• .. . ..1�. ... ................................................•-------..- -- i f................... "� ICT ` V` 1 ---------------------------------------------•----------••-•-•----.........----------•--•-..........•-----.---- ............... --•-•-------• ----- ----------•--------•- ---- 7. V Nature of Rep airs or Alterations—A}ns�wer when applicable_.._._.__ __N._ ��_-.....___.t�1� ___."� t..._.._.: .. ----------- 'j''' YJ J•.it°�.�- -------------- a_ ! Imo..( ___L_•__ ....___ °A Agreement: / The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of l-_€.;: i of the State Sanit�r�`C . — The undersigned further agrees not to place the system in operation until a Certificate of Compliance h �s bee�n�iss�ued by the board of healthy Signe v.t1l-x -� ��Jac�.� ---------------- �5 Z. Y Date ApplicationApproved By................................................................................................... Date Application Disapproved for the following reasons----------------•-----------.....----•-------•---•------•-----•------------------••------•--•--•-•••--••-------- -------•----•----•---•-•-----•---...•-----------------•-•--------------------------------•-•-•••...•-•---•------•---••-•------•--------.....-•-•-•••••--•••••••-•----••---•--•---•-•••-••-----•••-•-•-•- Date PermitNo.......................................................-- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Trrtifiratr of Taautpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repairedx) by----- �� ! .............. .�V l� - .:5-------•----....---•--.......-•........................•--••-•-----••---.....---•-------•--------------- t" i Installer at �� O — 1zj �. ' f—'�1�'� 1 i --------------••- `! ....-- rr------------�P l�.,(; L= .....r.�.. has been installed in accordance with the provisions t� iiii : j of he State Sanitary Code as escri e the application for Disposal Works Construction Permit No.-___-__--gw6, L- - dated__-.._-_-_--E�� _.�:.�_ ._._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT i HE j SYSTEM WILL FUNCTI .N SATISFACTORY. /,�� Z DATE.............................."-1........................................... Inspector............---•- ' •9--(;.............................. THE COMMONWEALTH OF MASSACHUSETTS ` BOARD OF HEALTH � ..�. & �1..................OF....... A.K. .L. ` .��-. � ................. v FEE.. .. ...... �iaa�roa��1 orka� �ono�rttr##ion .ermi� Permissionis hereby granted...................... ..........-•---------.-•----•--•------•••••••----------------••-•-----•••--••--•----------•--.....................-_. to Construct ) or Repair 6 ) an Indi dual Sewage Disposal System _ r Street as shown on the application for Disposal Works Construction Permit yNo�_.L'2�....) D red..__----A._.d-z_f gg.� ........ --------------- /rjBoard of Health DATE................. ...... .....• ....•. /✓ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS No... ........ Fla$�.................. THE®®COMMONWEALTH OF MASSSACHUSETTS FH EtT/H q '-------------- OF.... .. . .................. Applirtttivit for i Vviial Workii Tonstrt i�an ALpp,,cai.,.).nt is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Di posal ^ sten-Add or-- ............ .................... --......... '� �- .-- z'� ►�Z�• .eaf!' caner ............................ Address Installer Address Type of Building Size Lot_ct2/_.eltd...__Sq. feet aDwelling No. of Bedrooms____________________________________________Expansion Attic ( ) Gar'1�age Grinder ( ) p, Other—Type of Building No. of persons............................ Showers ( ) Cafeteria y ) a' Other fixture ...................................................... W Design Flow__ _...._._. _.............g_.._.___.gallons per person per day. Total daily flow.__....._ ...._._______._._ ......gallons. WSeptic Tank- Liquid capacity.!_ _.._.__ allons Length................ Width................ Diameter................ Depth--_.--_---_____. x Disposal Trench—N ..................... Width.........-. _. ._ Tots enQth ._._.___ ....... Total leaching area....................sq. ft. Seepage Pit No...... ___._.__. Diameter_ �_.`�' � e ow iL ._.._._ Total leaching area..................so,. 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..................... 44 Test Pit No. 2................minutes per in h Depth of Test Pit.................... Depth to ground water........................ ---------------- O Description of Soil----------------••••-... -- .... .p_ - -._..._.... - - - - 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by tb9board of h lth. y - Signed � �' ��....._._.: ' Date Application Approved BY =•�'• ---- -- - � ��.2.. ... ..... +� . ��7 Application Disapproved for th/e�following reasons:_"`-I ..5�= �'� :!�, .:___:....�_h i-f_a_ �_. i /f . i ,�_tAI:fir.. == `I!1 1�i1. .'C.w'I 4 L--f-., Z0 4 ,. . -- ,* 7.5 d ~Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS Application is hereby made for a Permit to Construct A--0-r Repair an Individual Sewage Disposal System at: or L Address Installer -K-L ga-lions per person per day. Total daily flow---------- .............gallons. Seepage Pit No......./......... Diameter-,/k� 4&-ep4teY9 ift?elr-'.� .... Total leaching area..................sq. f t. ------------------ Z Other Distribution box Dosing tank The undersigned agrees to install the aforedescribed Individual Sewage Disposal System inaccordance with the provisions of Article XIof the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by t!loboard of hLth. Signed atc Application Approved By. Application Disapproved for the following reasons:.................................. 7 Da --------------------------'--------'------------------'------------------------'--------'---'------ Date PeroitNo.----'--'-_--'---------------- Issued........................................................ -ate _ � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...vte—�PZXAII...... .......OF..... (9rdifiratr of TH TO CERTIFyl, That,(the I divid idl Sewage Disposal System constructed L'<or Repaired ------------------- has been installed in accordance with V"' provisions of Articl'e XI of he State Sanitary Code as described in the THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAUTH No....Z4, ..... FEE.2-............ Disposal Syst at No..;ter � ....g..;W, W I DATE Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS � � � Q ' A f