HomeMy WebLinkAbout0008 RASPBERRY LANE - Health ---- _ 8 RASPBERRY LANE
MARSTONS MILLS
A= 102- 102
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TOWN OF BARNSTABLE
LOCATION 8 ( !y �, SEWAGE#— _
VILLAGEI v � A(Q ASSESSOR'S MAP&PARCEL/'
INSTALLER'S NAME&PHONE NO�,
SEPTIC TANK CAPACITY ]�;x ``
LEACHING FACILITY:(type) �mac��)M� C{V�v►l1r�fC (size) j A <—
NO.OF BEDROOMS 3
OWNER C •,�
PERMIT DATE: _ COMPLIANCE DATE: (J Q
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
FURNISHED BYV,k -I-4CO51+
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TOWN OF BARNSTABLE
LOCATIONS (ry SEWAGE# Mao -W&
VILLAGE Wrs$rwo ���(�ASSESSOR'S MAP&PARCEL/ d
INSTALLER'S NAME&PHONE NO'- , At�KIn � 4
SEPTIC TANK CAPACITY �x/Sfi-rN l
LEACHING FACILITY.(type) (size)
NO.OF BEDROOMS
OWNER I C ,
PERMIT DATE: r COMPLIANCE DATE:1014d4
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
FURNISHED BY ,
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3pccIC
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No. 20 9,0 s Fee 16
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Rpplitation for MispoBa.Y 6pstrm Construction permit
Application for a Permit to Construct( ) Repair(i//Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Locatio� Address or Lot NQQ. 6 RGfY (r Owner's Name,Address,and Tel.No.
NIGH(, '&3S M,)I S 1 / I�rOWcJ )rnndd�,
Assessor'sMap/Parcel /02 /O
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size Ak lt'S sq.ft. Garbage Grinder( )
Other Type of Building /P_Slarol c, I No.of Persons Showers( ) Cafeteria( )
Other Fixtures -rb
Design Flow(min.required) _ gpd Design flow provided 3 t{ gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank �C 5 ,,V Type of S.A.S. SGO GIQl Gj z"m/1
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) A NGcJ 114111 UN �
Ll-cek CV1" PIS tj I t� N`5 l o-�e 05 A a; nl_�l rn)
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 Certificate of
Compliance has been issued by this Board of Health.
Signed Date
Application Approved by - Datetj
Application Disapproved by Date
for the following reasons
Permit No. '
:IQ� 10 Date Issued l ���
No. f. * Fee
` TH;E COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION = TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftpf ratloul'for Disposal 6pstem Construction Permit
Application for a Permit to Construct( ) Repair(V) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
'-. Locati Address Sor Loft NQ. Fj' �� {y (, �3 Owner's Name,Address,and Tel.No. -
Assessor's Ma /Parcel ,))S I ztowfo rAotk e
P /�2. ,�'`J� I
Installer's Name,Address,and Tel.No. Designer's Name,Address;and Tel.No.
Type of Building:
Dwelling No.of Bedrooms 3 i Lot Size ,2 G Af lr S sq.ft. Garbage Grinder( )
Other. Type of Building &10a-4fG 1 No.of Persons Showers( ) Cafeteria(
Other Fixtures -r
Design Flow(min.required) gpd Design flow provided �� ( gpd
Plan Date Number of sheets Revision Date �L:2 1 o "r 0 4 - y.
Title
Size of Septic TankX/5//NC Type of S.A.S. 540 qG�/G�? /F17 ��/vW�1r�yS
Description of Soil
Nature of Repairs or Alterations(Answer whent applicable) ,.Lr�1C✓
.dl(yl �PGCPt CIAfeM�OF14 /�1� N�`� ink" t�S Sk-r)WN OL-4)
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 Certificate of
'r Compliance has been issued by this Board of Health.. �.
Signed G '� Date .s�
Application Approved by tom,..`-- I J {,+ `, �'I Date /
Application Disapproved by Date
for the following reasons
Permit No. t3 "'r ° Date Issued
. i _
------ -- - ----------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance
THIS IS To CCERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
_ Abandoned( )by,,D A ?,fo o rs--Fn,c
at F3- Ar sh�(V LA N G es Icei s AA, I'C has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.-1 v30 � Of- dated
Installer D.A /(� Ott{�n}( Designer `
#bedrooms Approved design flow gpd
a.
The issuance of this y I permit shall not be construed as a guarantee that the system will rant'off as designe .
Date A b � Inspector
----------------------------
No. :70)0 36la Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
Disposal *pstem Construction Permit
Permission is hereby granted to Construct( ) Repair Upgrade Upgrafde( ) Abandon( )'
System located at„- �ft/ a11)10 1V 0y5 b)5 +/+! Pt
f _
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the followingrlocal provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit...* Q ►`
Date :" •+�fj 'x Approved by ^^"
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L0C TI � SCX � GE PERMIT NO.
VILLAGE, S
� HSTA LLER'S NAME ADDRESS
14
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U ILDE R OR OWNER
DATE PERMIT rSSUED :y,
DATE COMPLIANCE ISSUED
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�ZC 7, "--A
TOWN OF BARNSTABLE
LOCATION �11 C��y In. SEWAGE -3 7�
VILLAGE_ �/S��/�S �l��lS ASSESSOR'S MAP & LOT -3- 1 R !1
INSTALLER'S NAME&PHONE NO. l��s`7��o�`� C0�z - ;77/
SEPTIC TANK CAPACITY
LEACHING FACELITY: (type e-41ee 2c A" (size) �f.k Z")(-C,
NO.OF BEDROOMS
UII.DE R OWNER
PERMTTDATE: g— 7 COMPLIANCE DATE: ' q
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 .: `7 --E— Lc� P�►C� ....._.....
_
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�✓/ --.....0F............. _5,.. N....7. �_............----•---
Apphratiou for Uiipnital Workii Tonstrurtion Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
syst���.� .. $ N ........................................... ..... ....................
K ..� !f.
.- - Lot No
Locate n-Address
..... ..._' f 2l.2.. w .Z!...... �w.C_
ss
a OwnwIn re
-...
•--....----•-_..._- /
Installer Address
d Type o Building Size Lot_ /_ a_J' ?._Sq. feet
Dwelling—No. of Bedrooms.__..._...............................Expansion Attic ( ) Garbage Grinder (�+
'4 Other—T e of Building 4' ............ No. of persons......__.................... Showers �.— Cafeteria
GaOther fixtuxes ------------------•----------------•-------------------------------------------------------••----•--------------•--•---•-•••-••••-•-------••-•----•--
W Design Flow........... .........................gallons per person er day. Total daily ow------- _ .........................gallons.
R: Septic Tank—Liquid"
ca acit �_. allons Len th_�-,�7___ Width__���_ Diameter________________ De th__._l!_'______..
W P 9 P Y-------- g g P
x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area..._................sq. ft.
3 Seepage Pit No------ ........ Diameter.___.(40......... Depth below inlet___.f5!_`.'t...... Total leaching area... ...sq. ft.
Z Other Distribution box ( ) Dosi )
Percolation Test Results Performed by----- ------ - - Date........................................
as Test Pit No. 1....A.2.....minutes per inc Depth of Test Pit.. _______________ Depth to ground water------lvtAe�
Test Pit No. 2......3_.___minutes per inch Depth of Test Pit._.At............ Depth to ground water.......
..........0.................... ........................................................................................................
O Description of Soil_..-•••---•------ 0 - 2._..._ ' -
T&>e ........ .:....... ...
W -•-•------•---------..................................................................................-----•------------.....---•-----•-----------••-•----•-------.._..__..._.__.-----•---•---••-_._..
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 iITIE 5 of the State Sanitary Code— The unders• ned further agrees not to place the/System in
operation until a Certificate of Compliance h issu d by the board f ealth. T
Signe ---•---_. . .....-- -
Date /
Application Approved By-------- ------ --- ..___ ................... _ `. /�.
Date
Application Disapproved for the following reasons---------------•------------...-•------------•-•----------------------------------------------•-•-••-•-•••------
------------------------•.••-----•--•-------••-...•--••-•••••--•----....------.........•--..........••••-'•--•........-------•-•------•------------•---•--•-------•--•-••--•-._...-•- •--•••-------
Date
PermitNo............. - -_ Issued------------------------•••-•••-•---••-........._......
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH F
C". ,dn.,....--.....OF..............°" ?. ?d... f..�_ ">. ..............
Appliration for 14spnoal Marko Tonstrurtion Permit-
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System t
....... '..:�... ........ .....---••-•.................•••- ............................._.....••---
�r y.• Location-Address . r,P ,.�?f or
Lot No.
.......... f..f�! ��al........... .................. M1r"
.�..
W �•� � ) f Own ._..e Address
i ........
.................7t I._f........... .�C�.�-------•--•----•----..... - ......-. ........
Installer Address
Type of Building Size Lot. ..Sq.'feet
Dwelling—No. of Bedrooms._....`:-..................................Expansion Attic ( ) Garbage Grinder (- �
Other—Type of Building ' -`............ No. of persons............................ Showers '"— Cafeteria
a Other fixtures _-----•-•-----•--•-•----_-•---------•-•--•-------- • --
Design Flow.......... .. ........................gallons per person per day. Total daily flow.......�R__................................gallons.
Septic Tank—Liquid capacityA s :..gallons Length.Zf13.`.. Width..'` ._ _ Diameter................ Depth....e'1.......
x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area...................sq. ft.
3 Seepage Pit No....' `: ......... Diameter Diameter.....:! ......... Depth below inlet.... ...... Total leaching area..2:'_..e;;.;_.sq. ft.
Z Other Distribution box ( ) Dosing-,tan
0-4 Percolation Test Results Performed by.. ,.•c_:_.w '" R_ ......�.............................. Date........................................
,al Test Pit No. I.....L2.....minutes per inch" Depth of Test Pit../.................. Depth to ground water......
Test Pit No. 2......�..—...minutesper inch Depth of Test Pit....et............. Depth to ground water...._..✓ .r! 'ie
ae.................... _.... ---------------------------------------------------- .----------------------------•-•-----------------..._.
ODescription of Soil............................................... !f � r . .----••---•-•--•------•------•----•----•---....--•--••-•-•--•-•-•---------------•
'
. .. ._ '..... = "' . , . 5r.!fit .....
w -----•--------•---------------••---•••---••••---•-----•-------------•-----------•.....---------•••----••...•----•---•------------•-----•-•---------••--•-........--••------------------•-..............
VNature 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 TITI,i 5 of the State Sanitary Code—.The undersigned further agrees not to place th s tem in
operation until a Certificate of Compliance b� e issu d by the boardbf health. a
(�/„y .,
Signed z4�nwol. ........ = � ............... .
Date
Application Approved By ...:"_ �. - ::....................._ ...........
.
Date
Application Disapproved for the following reasons:.........................................................................................................---
--------------------------------•--------•----•-•--.....-•---------•--•-------•-•--•--------------..............-•----------...._....._........_.............-----•---....--•••--•••-----.........-•-..Daft
Permit No........C d.— .� _-- Issued ..... �
Date
THE COMMONWEALTH OF MASSACHUSETTS
-•w BOARD OF HEALTH
........ .........OF,......+� ,°'�!.�'r.�'.�'�'✓� . ..................................
Tntif irate of fgompliana
THIS IS,TO CERT FY, That the Individual Sewage Disposal System constructed �r or Repaired ( )
.�
Installer
at......................................... •---••••-••---•••..._•--_.._. .......................•----•--••---...........
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit dated------- .. . . ......... •-•
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL.FUNCTION SATISFACTORY.
DATE............. p i........................................... Inspector---- ...............................................:..................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
` r fib -'. ...............oF............; ✓?��.r.." .. .1..: .. '.. d--s...................... �^' e1s?
......� ?'� Flak.�...,:<.........
Disposal,for�o (tanotrurtion remit
J /sal . Z +
Permission is hereby granted.......et�•-�.I...............•---•---...._..
'...-•------........-•--------....-----.._..................-•--•-•--..................._.._
to Construct os_Rpair _ . an Indivt ual Sewage Disposal System
( ) ( ) g P Y
Street r,
as shown on the application for Disposal Works Co�n-struction—Permit.;No��._ S_:'.->-. Dated....... 1-2: ...e ..
Board of Health
DATE.......•----• ........ ...........................•--...._....... ........
FORM 1255 A. !�. SUL IN, INC., BOSTON
- •____.....� :_ - _ z<.-ar�r—n:•s•-;:a�.:c•T.- .r-`:wc�rxr.ee.c.-x�-..::.-•wrce�.rbve-o..e.s+•ae�w�'•..rr-x�:-x•.- ..:._:...,e.`.,. _ _ �rw-. c --- --- . '-- -- - -
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.. - - InSta:la+-t1 sial rrrsj„'d 1: _f+ '� $tL Environmental Cori'' L:a Town Crf
.
-, rd of Health ltegt•;3
fi t; €_, , : TG`r' • ' �� i,k v ��se tits item;�s -ci:-r: 1- ,tan s!:at!not be in taif�:i j ii u ti�.;•:ised town:;�sta=!tf
v �� _..._ p Y f
x
VLPW Jopf� � � , _ 7 eS approval inch�.R mft the ica
.... � _— 'e+�tY 3 pro i• f �s#.3�! : r :,er from afrp# �r: to><���.
Y7 �� �.� �L. G..�-.cam .;t :� : ? C'� : F ii,. S',.)tt' y e location as E :.1J?�.f Ave sewer I.F.W.S
U , {
:- to iEistallat Dn,t`.. erff the cat' n
TA4 F
4XG �" s E:T`? [ R 4 x septic cori :`ncnrs,CFE•:lr .e installation.
Y p t gravity sewer piping is tc: i,n 4 irEr%:.chetEt+te 40 PVC a.1,'n•' ;•�; i ""he i first feet out o
tree distribution box shaii be All-japing connectJons*o be 91:.r=r'
n1. L �..j0 x �?-t-:is sPptitdesigh E�lart i n.� r; ,f :;t+ �rl for property!in d �, _r`cr arFy other
+C. p ,
�c• _ _ - - +r -� C` :t PI. pose other thL,'the system installation.
} c = r:!i Title 4 cornpo::ent.,a= :r_ T i ' 3 soeci€ications.
pIOU -� i/.� ��'! tV ;�1t1*1 5l`:3!I l*2 :Ci!ilt:E�t'l'i1_= �::sC ::G':1 t1n tts ulife;, "^ �t!'et1t��:t r H2O local ed.
g p is
f �r ; existing leaching Gr tY� l-z= s;:.,1 a p►3irned and€ilit-.i a It',;.,a�arial e. Tide W!
! , Ito.
abandonment procedurr.� ! �;rl:; 'd GeSSpCvI(S)aritl C'i•.ttc� lE:;+Ti3CIS Ssi:!S within the
"`.7 shall .+.. itr l _ .. ::Fria with c n ami pp, iti� % ,cifirat:cros-
g E� posed SAS h al,be; : ced :ea S `i
�c?Dt1c components arc t'� "%.' 1 •:.I;in c.later service line.Sewer
s ` [ toi_ leeired iwith an ap; .': + .,1 �chetlUte 40 i"J�C lNiti tFc�sva��er 5erViCi
OrV,le sect:.Ijf;J:? '-.ii�Il£'S!�QYP.iT2'E1�j X .t3i.?r3 ,- �+•��M i�i!��� �
�p l`J' t Sing the fine.
s - F,►
tr i ;+ ._ -,r;-ir�y is to be rertimt--t if iiA ie�it:.�y3tem is not
garbaoe grinder Qx!St� . r e,it
4—tried:to ac-orri nG: �t FNI)Jer.
t _
"i: in #ler i t� _ 4:. =r xeavatiot+arot�r+.:.+at
_yrc
Sta 5 r. ,
7EM ��4M�� E'rt':�t�Ct1211 :ll@ SLrU€Tliir;t��.:r 1t� _: �:!struc�.: res during ti!=Q i i`.`�!.`..t!111 !i!'tirL°55!� the sepit_
- -- g
3{'{'ern. - - -
t ��+ 1 [� > _ p:s: cr�ly represe t' 'i:: .e�+f=—stetrn ran be i�t5tal+c �r;r*t._ ,-rr i x—y meet;ng Title ��
i�gzjirerrients.
AW
►---- � .% ` ' " propertyf owner-!'ht. ':.`/i<?tV��t'{ILT<<[fttETlc�tD 8l]}�r'JVp ti'f f�icl;lit!'r+ it?; Of bf(�f(O0 , s afii
Icsign f!o%Fr_lnstallatiws, ,•t tr'� . tt._ S',item as proposed and receipt=' ,client forr the desir,v
_ Ea;i nE [ip.�rned apprC, ..1 k;f tRN'd .nivi-criteria by the property oti!ire D_ nt af.
'.tfs validity of ttt1��Idt� +� .}!I t�Rfslrc'1'I7it#.i the expiration of i? r tv�Yr, ifSSTc?l!3trlrl p£rmtit!wSUf'i; i::l
<pian or:tic�faticlit`: �t=v :!.3�' r-:411 exu,.Y(?00titre s�%pir:i$,r>;:r� "+,t t i '1CCita off ct3(llpliiitTc _
well �, isSi ed for theinst-41le ._, "'_ SYST[tr, e 1 :l'ts plainCE Y-1
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