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Home My WebLink About0135 REDBERRY LANE - Health i 13'S TOWN OF BARNSTABLE LOCATION 1`0'7' '81� ��y-k ( L�_SEWAGE # 95 VILLAGE ASSESSOR'S -MAP & LOT INSTALLER'S NAME 6, PHONE NO. /f/CK�`f C'd�•�Jl� O ..T-�C— SEPTIC TANK CAPACITY 1 , S0Q _ LEACHING FACILITY.(tgpe) NO.OF BEI).ROOMS `( PRIVATE WELL R PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: . l � DATE COMPLIANCE ISSUED: S VARIANCE GRANTED: Yes No�� i yII S1i No... ................. F ss...7 ..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................... .....OF..... � .�•�✓--S------ .......................• Appliration for UhipasFal Workii Tumitrurtinn Prrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ...... ......---•••--.-•--- --•• --- ------------------------ --------------- ca ion-Address ^! ' ....t No. .�T �. c.1� �,E� ,✓r ?7 .... - ... ------ -------•----. ........... Owner Addres;;;" Installer Address d Type of Building Size Lot.......... 6� q. feet Dwelling—No. of Bedrooms...........3............................Expansion Attic Garbage Grinder-f--}---- '4 Other—Type of Building 1 F a not No. of persons.........SP--------------- Showers — feteri Q' Other fixtures __________________________________ W Design Flow...................•............._________._gallons per person per day. Total daily flow____.__..__._..... gal 'SS �� 3-• -••-•••-•-----.•--•-•-gallons. WSeptic Tank—Liquid capacity./O00-gallons Length..V.'_L._. Width._'.'Zo. Diameter................ Depth.47.!V. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..........t---------- Diameter.............------- Depth below inlet......14.i...._..... Total leaching area.2.9!....sq. ft. Z Other Distribution box ( ✓S Dosing taakr(—) Percolation Test Results Performed by------ .................... ................� Date__1. , 7 ,.a Test Pit No. 1....._-Z.minutes per inch Depth of Test PitJ.. Depth to ground water.._/................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water -......._.._. x � 6 �7 O Description of Soil_____________________________ 1_ 1..v^'' C -j� � U •-------•----------------•---------•--•--•----------•----•-----•---•-•-•--.........--------....._.........-----------------•----•-......•--.-•-- VW •••••-•--•-•-------•...............•---•-••---••---••--------------•------------•-----•---------•-----------•-•••-----------•-••---••------•---•-•-••-•---......•...................................... 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 TL I TL LEj 5 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 the board of health. Signed.._X_ S \ S 3 Application Approved By.._. _ .. ••• • •-- •---------------------•- �J � . ..--•------------•..............•-- Date Application Disapproved for the following reasons:................................................................................................................ ....................•-••-•-----------...-------------•-------•---•--.......---------•----...--------...--•----------------------------•-------•----------•••---••----•--•-----•--••---•------•--------- p Date Permit No......... ., .:�� l Date .........---------------------------- No..C?..c�.... 10c) 8 THE COMMONWEALTH OF MASSACHUSETTS -7 U�� BOARD OF HEALTH Appliration for 14spos al Works Tonstrn.rtion ramit Applicatiori is hereby made for a Permit to Construct ( or Repair ( } an Individual Sewage Disposal stem at: ........ ................................................................._ ...................-- _ Location-Address or_Lot No. .... J. � 4-- .t_�^� i_/�^! `.�.............. i �-!k7.5f? m!1! 7e > t_/ Owner Address"' ! ... ..,.... ..j Z ..�!. ....-'--'L --'-'_...�f`7.................. Installer Address Type of Building - Size Lot...4-g?.,../113 QSq. feet Dwelling-No. of Bedrooms........... .............................Expansion Attic(—) Garbage'Grinder•( )•-- No. of persons Showers p., Other—Type of Building .__L_._��_�_ p �_________________ Showers Cafeteria(-°^)— QI Other fixtures .............." W Design Flow......................—5._:=.Q...;._.gallons per person per day. Total daily flow.........._....._ ..`...._.___._.___gallons. WSeptic Tank—Liquid*capacity_ 0 Q.gallons Length Width..T,..... g" Diameter------:......... Depth Z.`. t.. 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 Other Distribution box Dosing tank—(— _,- aPercolation Test Resul!� Performed by..... ....% _ .....__..._..v-:p._.:......._... Date_ .-''�,lt _��___t...._.. Test Pit No. I...._--_Z..minutes per inch Depth of/Test Depth to ground water..!_4__.............. rZ.l Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil.................•---•--••-•.=�-�'-'-� ......1.....--�......-'-� .ram..�5:a;...... rt -----------'---....--- U -•-•------•----•-------------------'---'-•-•---•-•.....--------•--•----•------'--••••------....-----------...---•---------'----------------'----------._...----••'-•--•..__..._.......-'-•---•••-....••. W -----'•-------------•----------------------------------------------------------------------------••-------------------------------------------•'---•-------------------------------..........--•-'-.... V 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 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 issued by the board of health. Signed--- Applicationte Approved By .. .,� -. • Date Application Disapproved for the following reasons-------------•---------•-----•----------•------•-------•-------•-----------------'•-•-----•----•-••---.....---•-- ...............................•--•--'-'-••-----.....----•-'-----•-----•--•'----'•-------....-'-'--......---------------'------------------------•-'-------•---------------------'-----•--..._........-- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS /.- BOARD OF HEALTH ........./t/dw.....OF..... j. j ................................................................... (IntifirFa#r of 1-9ontplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( Or Repaired ( ) by-----t__1 ir' •♦ I••l•-•C'---•-tom-•• '.-.._.�.....__--•---•-' -••-•'•-•-'-'-•-.•"•---._.__.•'................•-••--•._..._..........-----........._....•--- � .nstaller . ........ _ ....asn has been installed in accordance with the provisions of TITLE 5 of The tate Sanitary Co as esc ' in the application for Disposal Works Construction Permit No--- .p r' .. .____ dated.. .... .. .... ... GCS ' -----• / �s t ------'------•---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A ARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � ... . . . Inspector DATE. -------------------- THE 1 _... COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -� O F.. I i? k� No.G�. - �3 FEE...... 5...... Mapos al ork ion r ion rrnti Permission is hereby granted........ - ....................'----•- `.'fi =' = ..............•-••--...... to Construct (Io-ror Repair ( �) an Individual Sewage Disposal System Street psi as shown on the application for Disposal Works Constructio ermit NUJ-._ Dated._ (n� �n DATE.......... f 3 .................................... r t - FORM 1255 A. M. SULKIN, INC., BOSTON fit