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Home My WebLink About0092 CRANBERRY RIDGE ROAD - Health 9�CranberryyRidge Road Marstons Mills A = 030 056 r" i TOWN OFBARNSTABLE i4 W/ LQCATION SEWAGE # VILLAGE f?7is Stasis f21�1/s T ASSESSOR'S MAP & LOT 030 , 051; INSTALLER'S NAME&PHONE NO. 4'JP'-0 3 g,4 ac SEPTIC TANK CAPACITY low LEACHING FACILITY: (type) 2-k '?V(P.*/, fZ GriACllS (size) 1-S—X /3 NO. OF BEDROOMS 3 BUILDER OR OWNERr Li��laro/ PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 leac 'ng f ility) Feet Furnished by lti'1� �� rho-�, ��yy�� ,��1� � • . ,. - � �. � _ '� . , . 3�, y`, �s 0 �co �4� All A4,1 � ^ �a leg i (ado," 'y �r-C�� I�e._ S � �s , �, -� �Su�rs ��' �� -tom � �'� �� _____ �oC2 J ,,,ems � No. l 7 _�—�' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for � gponl *pgtem Con mruction Permit Application for a Permit to Construct(e /Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Companents Location Address or Lot No. 9 Cj^l96��/ �^r' r y/= /�t, Owner's Name,Address and Tel.j lo. Assessor's Map/Parcel 30 o Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 11Z —a /Z/ .eo7./vi,, /,/c Type of Building: Dwelling No. of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other. Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size,of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) .2'i��$J �� 2 -SOO 6,41 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 th6 provisions of Title 5 of the Environri ental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed Date Application Approved by4,5�77A - Date 7-/9-9� Application Disapproved for the following reasons Permit No.9 — Z/ Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(4--4-Repaired ( )Upgraded ( ) Abandoned( )by 4 ose� d e Z_?Ad+r6,5 at 9 elv.4j19 s bh,/Is has been constructed in accordance with the provisions of Title 5 an the for Disposal System Construction Permit No. dated Installer bte_ Designer The issuance o this permit shall not be const ed as a guarantee that the e ill function as d st-ab d, Inspect//Goy r' �if --—---—-----------1f�0 —Ds�o---------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 1=i2;pogal *raem Con.5tructiort Permit Permission is hereby granted to Construct(4-4-Repair( )Upgrad ( )Abandon( ) System located.at _ream G/'�-c! ,r.✓cr _. ��a /yitor roH S lei.%/s and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and 1he following local provisions or special conditions. - Provided:Construction must be completed within three years of the date of this it. f�' Date: 7�/� 19/ Approved by l r J TOWN OF BARNSTABLE J LOCATION SEWAGE # i VILLAGE ASSESSOR'S MAP & LOT o 30 INSTALLER'S NAME&PHONE NO. �i✓J5 SEPTIC TANK CAPACITY - LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER 411r Li,orofa,�� PERMITDATE: COMPLIANCE DATE:_ % --20- F9 _ Separation Distance Between the: Maximum e a ea ax' um Adjusted Groundwater Table to the Bottom of Leaching FacilityFeet 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 leac)iing f acility�,j Feet Furnished by i 1 " TOWN OFBARNSTABLE ' LOCATION �7 C��.�Ha�;^�,� �<`��%' 42 SEWAGE # � I VILLAGE ASSESSOR'S MAP & LOTo30 INSTALLER'S NAME&PHONE NO. 1,2. SEPTIC TANK CAPACITY lore LEACHING FACILITY: (type) _",.f�o Gy:! l r� ;:�Z'=� (size) X NO. OF BEDROOMS BUILDER OR OWNER_ gf� lero/' PERMIT DATE:_7_/9- 4 9 COMPLIANCE DATE: ? -?0 o� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet 1 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 leac ng facility Feet Furnished by J.L.� of * ;;• �4 w � it No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for Mgozal *p!tem Contruction Vermit Application for a Permit to Construct(e;,yRepair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. � n�gy��w �/= /W e Owner's Name,Address and Tel. o. il!!ls bar4 LW4PW Assessor's Map/Parcel ,, 3® 0576 je u Inss/taller's Name,Address,and Tel.No. 407-d-1` f Designer's Name,��Address and Tel.No. y Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil SiorWZ Nature of Repairs or Alterations(Answer when applicable) 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 of Title 5 of the Environmental Code and not to place the system in operation until a C--rtifi- cate of Compliance has been issued by this Board of Health. Signed Date 7-- /9~?f Application Approved by 4A Date 7-/P 97 Application Disapproved for the following reasons Permit No. Date Issued -11-/ c/ No. ( 7 Z w +� Fee _S " THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes �-:PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS 01ppYication for Mi!5pov;ar *pgtem Congtructt rY Perm4t— Application for a Permit to Construct((repair( )Upgrade( )Abandon( ) O Complete System O Individual Components Location Address or Lot No.q,-' e Owner's Name,Address and Telpo. yy 9rSrays Ali/�s b.�.b�a L/PAQ PW Assessor's Map/Parcel QU Installer's Name,Address,and Tel.No. q&77-0J V f Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( j Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil i Nature of Repairs or Alterations(Answer when applicable) &S'7"y/1 Sw 641 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 of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date 7—/9-9� Application Disapproved for the following reasons t_.. Permit No. 9 9— Date Issued — /�- --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(c- 4-Repaired ( )Upgraded( ) Abandoned( )by , .o e,04 Q.,_1?i4 A o3 at 1%/,//.s has been constructed in accordance with the provisions of Title 5 anAhe for Disposal System Construction Permit No. dated Installer ,/,Z e 04 &e- Designer The issuance o this permit shall not be const ed as a guarantee that the em ill function as des`igne . Date ""' ,G Inspect I � ---,---------------��0 Bs�---------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS liopoal *pgtem Construction Permit Permission is hereby granted to Construct(4,)-Repair( )Upgrad ( )Abandon( ) System located at_l rxn +G/'-'-a 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 must be completed within three years of the date of this .e t. Date: 7 /// / Approved by 1 r 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated 7^ If- p9 concerning the property located at �� r��/�� ,�� meets all of the following criteria: failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. Tsoil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 feet of the proposed septic system &---R ere are no private wells within 150 feet of the proposed septic system Pre—re is no increase in flow and/or change in use proposed ere are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] • If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14) feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) l� B) G.W. Elevation -5'X —..the MAC. High G.W. Adjustment a DIFFERENCE BETWEEN A and B SIGNED : DATE: [Sketch proposed plan of system on back]. q:health folder.cent e e p4 Al' LE o e �p0 sh5r�6� z - ay s TOWN OF BARNSTABLE LOCATION _L�� ;QH�cHi /l�a%' � SEWAGE # _ 9 F 4/%l i VII.LAGE_f'd�ors;ass fig:�/� ASSESSOR'S MAP & LOT 1, O3- INSTALLER'S NAME&PHONE NO. -'>'7'- 0 1),. 1,,a,:r.J SEPTIC TANK CAPACITY lycn LEACHING FACILITY: (type) v (size) S X /3 NO. OF BEDROOMS /f BUILDER OR OWNER 41lr Li�larG/ PERMTTDATE:1—/9- 49 r COMPLIANCE DATE: 7 -? Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 T Furnished by 06 L i No..... lJ-•---- FIMX. 2.................._ THE COMMONWEALTH OF MASSACHUSETTS �I( BOARD OF HEALTH T4.IGf�.................OF........ / k `'.. ......................... ............... Applirtttiun for Ditipooal Works Tomitrurfinn Prrutit Application i hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: _ - - - •- .. ------------- •v'---......_ �....�'l. .................................. ....................................................j ................................ Owner Address a ........... ......... Installer Address QType of Building Size Lot............................Sq. feet U Dwelling—No, of Bedrooms___-_-3...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of 1 Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fi to es ...................................................... WDesign Flow........... ...........................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity_/Z)144allons Length................ Width................ Diameter---------------- Depth---._-___.--.--. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq,. ft. Seepage Pit No......14A&. Diameter____________________ Depth below inlet.................... Total leaching area____ d_ q. ft. Z Other 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---_--_---_-__________-. fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water____-_______-_____._---. a -•--•----•-•--•-........-•----------------•-•-••----••--....--•------•-••--••--•---------...-•----•.......................................................... 0 Description of Soil------...----_---------------.................... -- -----••-- U -------------------------------------------------------------------------- �°......- .....v...............-----------------------------------------•------ ----- -...---- x --------------------------------------------------------------------------------------------------7------------------------------------------------------------------------------------------------- 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 Cod —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is's ed by the board th. Signed----- ------•••. v ...� ------------I------------------------------- ............--................. D e Application Approved BY = -------------- `+ Date Application Disapproved for the ollowing rea ons:.................................-------------••---------------------------•---••--••...-••-----•-----......... --•-------------------------------------------------•----------------------..............:-•----•-•--------••-•••-•-----•------••-----••••--•-•-•------•--------------------------••---------------•... Date Permit No......................................................... Issued. �-/7- Date --------- ------___ -- ------- ------ --------------I------- ------ /�/ THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A- -F m L DATA ,K A 1 'i f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �✓ 1- '.I .. ..............0 F............;:.rf^ ................................... Appllration for Disposal Worko C onstrurtion Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ' ) an Individual Sewage Disposal System at: ............i :_c_a" .. , •- Loction-Address or"Lot No. ----•---------fit........................ .h ----------------------- --•--------•--....-•---------•-•--........:_..------.....-----------------•---•-- --------•----- Owner Address Installer Address UType of Building Size Lot.................._.........Sq. feet -, Dwelling—No. of Bedrooms_______ ________________________________Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building ____________________________ No. of ersons..._________._________._..._ Showers Other—Type g p ( ) — Cafeteria ( ) Otherfixtures ---------------------------------•--------------•-•-----•- ------------------------------------------ ----------------------------------•-•--• DesignFlow____________ W I,')_____________________gallons per person per day. Total daily flow..................._------------------------gallons. W Septic Tank—Liquid capacity_ p _,,;gallons Length-------_------- Width---------------- Diameter---------------- Deptlt.__.._._..._... x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area_-----..____--______sq. ft. Seepage Pit No........ t1 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........._._-_-_._..-__. G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-..._-.___--__--___----. P4 ----------•-----•-•-•----------•---••••--------------••-._...----•-•-----------•----•--•--•--------......................................................... 0 Description of Soil...................................................................... ----------------------------------------------------------------------------- ---------------- 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 isued by the#board rof health. Signed......4 _`w€4 R;c.................. € .� 5 -----------•--•---•-•••-----------• ................................ Application Approved B Date -- r- -----}- ---------- z..�' [x [ r.' 4 Date Application Disapproved for Hite following reasf s:••-----------------------•-•------------•-•--------•-•---•-----------•---------•--------------------•----------- ----------- ------•--•-----•------._.------•---•--------------------••--------------...-------------•-------•--- ------------------ --- ----------•---•----------------------- f� _ Date Permit No:....................................................... Issued...'. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , f .. ....*..................OF....... .... tt entif it t i 1'f{ tti�It t o THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( ) by.............................. ----------- :.• ,rs= -114-------------------------•-- Installer has been'installed in accordance wi h the pu6visio ls�of Article XI of The State Sanitary`Code as describedln the application for Disposal Works Construction Permit No________________________________________ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NC ITIE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUI�CTIOy SATISFACTORY. DATE.............- :' R!J $- `F n_ ---------------------------•----- Inspector-----••--- •-•------.................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :« '' ., . OF ...... -0....{ ...� 7/Y f..wjT ...` No...........2 t?- - FEE_ Binpasal Warkii Tonfitrurtion an it Permission is hereby granted........... ` t h_______.. --------------------------------------------------------------------------------------------- to Construct (ti ) or Repair ( ) an .Individual Sewage. Dispe'gal System F- sue , ,, r Street ^'3 as shown on the application for Disposal Works Construction Permit No ` 4:_�2____ Dated ------- -- cj7� �r , .......................... Board of Health f DATE............. ................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS r'�