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Home My WebLink About0115 RIVER RIDGE DRIVE - Health TOWN OF BARNSTABLE LOCATION LO r /y /I'/y&t ,T/06. U, SEWAGE # r — 0 O VILLAGE /fit`4l2STOri.S f1r1/LL 5 ASSESSOR'S MAP & LOT " INSTALLER'S NAME & PHONE NO. IJ,Ei71ti//t,,q f SEPTIC TANK CAPACITY ) 0 D 0 6/1 G- LEACHING FACILITY:(type) L (size) NO. OF BEDROOMS 3 PRIVATE WELL OR UBLIC VATER Q!U�DER>R OWNER J 5A,l7-11 DATE PERMIT ISSUED: 3 L/- yr- DATE .COMPLIANCE ISSUED: — a G r D S/ VARIANCE GRANTED: Yes No 13N t I YS`�` ' 3l ` C4 No --...RY Fim$...76.... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF- HEALTH moo.Pul..k1..---.....OF. A1�A.1 S..il .............................. .....? Appliration for Disposal arks nnitrurtinn rami# Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: nyt ��u C,n �� v G— 1'Yu t�t,5 . Lo ' n-Address ..............••............._.............. -•-••-•-• ---- ---------•-- - -- --- d Owner W ess /. ...... -- ---- ------ ------- ----- ••................._.......................-••-••---•- a Installer Address Type of Building ( Size Lot_. ....Sq. t Dwelling—No. of Bedrooms....�J...................................Expansion Attic (�O) Garbage Grinder s Other—Type of Building No. of persons............................ Showers ( ) — Cafeteria ( ) PaOther fixtures -----....•--------------•--------...---•----------•---....----------------•--•----------..--------•-----------•------•--...........--•---•---•-•-•---• � T W Design Flow.......55 ...........................gallons per person 1per day. Total daily flow......? .........................gallons. WSeptic Tank—Liquid capacity.k.�.gallons Lengthl?r-6._.. Width'-_l.A... DiameterP------___:' Depth.5.'15---. x Disposal Trench—No. .................... Width.................... Total Length............... Total leaching area....................sq. ft. Seepage Pit No......... .... Diameter.._..A......... De t)i below inlet..36�5 ....... Total leaching area..................sq. ft. Z Other Distribution box E% Dosin,g4ank (4p ( �µ `9�� Percolation Test Results Performed by 'C --��1`�- .:-- �.----------------- Date_�FJ_______._.... .............. ►-4 Test Pit No. l...Z ...minutes per inch Depth of Test Pit....lZ......... Depth to ground water 1tj.LAp0U&1M0q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------- ----------•• •••----•-------------------.-.. -•-•• -.......... ------- O Description of S il.....p_ °. ._.L id .l- ._16-!.�---•-�Z rQ....!_=.e- C:•••_.l'�.�s��J V ...........i ..C!.-X ----------••---------•--------•-•-----------••.................•-------•--•--...•...--------....--------•-•-----•-•-----...------......----------•-....------------ 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 TITLE; 5 of the State Sanitary Code—The undersigned further agrees not to place.the system in opeFation a Chet tifi It e f Complian-c�a.s been issued by the board of health. Signed K ..1 l-�-.. I.. -•-- Date A,: pproved By••--...... .w -- . ---• ........................................ ......... ?-_M. - Date Application Disapproved for the following reasons-------------------------------------•-----------------............-----------------......---••••----.....------- --•-•------•-•-------.....--•----------------------•---------••---•-------------...........------------------------------ Date PermitNo.... �- �.P...... ...._...- -------•-------•-----•--• Issued---........................................................ Date 4-OT 3 i 7 g No&�.... Fimic THE COMMONWEALTH OF MASSACHUSETTS BOARD—OF HEALTH ...._..........av,..l.........---•-•..OF........ ..!y!z.r4. � Appliration for Disposal Works Tontrur#ion Prrutit Application is hereby made for a Permit to Construct (") or Repair ( ) an Individual Sewage Disposal Syslem at* Lo �.-_v z:, ` C �� ls.�_ ..1"i �ZS?u.lCS. ��....--------------------•--.....!..4.. ......................................... Location-Address J r ram_ or Lot No. - ..._...... ... .......................•---.........._..... l 1 Owner /1 ` �_- •Address a l�- �'r�,r�C ✓` �� :s" ..................................... ............ Installer Address Type of Building ',kk Size Lot..�.�;. _....Sq. f t Dwelling—No. of Bedrooms............................................Expansion Attic (t1U) Garbage Grinder E)5 Other—Type of Building ............................ No. of persons............................ Showers — Cafeteria P4Other fixtures ----------------------_-----------------._--.___-------------------------------------------------------------------------------------------------- d W Design Flow.......S5..............................gallons per person ,per day. Total daily flow.......J5_........................gallons. WSeptic Tank—Liquid capacityA gallons Length _.._._ Width` _-.iQ_. Diameter-_-_--.-----•--- Depth.J--X5-_.. x Disposal Trench—No..................... Width.................... Total Length.......... ..... Total leaching area....................sq. ft. Seepage Pit No........ .......... Diameter....._ .......... De th below inlet..3! ...__.. Total leaching area..................sq. ft. Other Distribution box Dosi tank (ILI1 X ! l Z Percolation Test Results Performed by. r! X ._!v _ .._�_ _(................... Date.!6��_ �.-�•C e7. aTest Pit No. 1...L_�....minutes per inch Depth of Test Pit.._.�.�........ Depth to ground water 01...&.<OUtiIl-&Z;� Gz, Test Pit No. 2..........I......minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -----------------� ............................................................. O Descri tionof S �.......... .....::.:x . .: . :............ -- _...--••--........----•-------U - � 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 TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation a Gertificate of Complianco.kas been issued by the board of health. / /. 1 � 7 Niaagned. l.`Date A cation Approved By........... �• /_.a-_-../..�.:-_�_Z Date Application Disapproved for the following reasons:---------•------------------------------------------------------------------•--_••--•-----•-••-•............_._ ----------------------------------•------------....------------......-•---.._......_...---.......--------••-•-•••--------•-••---•-•--••-•-•••-•••-•--•----------------•-•----•••--••-•--•-••••-----_--- Date Permit No.-g 7.- _. __________________ -•-- -a..�--------------------••- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .:!........ ............................................ Tntifirttte of Tontpltanrr THIS IS T0, CERTIFY, That the Individual Sewage Disposal System constructed (/) or Repaired f� /= /; J Installer J j at y "'-l:[ /:L...... ::::__ —( j '. — 'J•...........................� J .l _.......--•------ = �_.: has been installed in accordance with the provisio' 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 CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. -� DATE............................151J 4Q-99...................... Inspector.........--------- --•••-----•.-•-_-_--.•••.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH N12`... 0 ...... ... ....... ........................... FEE.1;2 -- Disposal Workii Tondrudion rrntit Permission is hereby granted ) ` -�_ -------=f-'� ............................................................. ..... to Construct/( L�or Repair ( ) an Individual Sewage Disposal System atNo. f r t..........................................r �✓ _..r L`f�: ....i'�'�r'�' ..........................` : ....................................... at Street q as shown on the application for Disposal Works Construction Per No�!7` o.� ____ Dated.......................................... ------......••---••••.... ...... Board of Health 2 DATE.................... -•`------._.�................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1 • ------------ OF —=T; 1-)AT'/S. �PySH OF �qss � 9 —51 NCzLS FAMILY RJO G-►A. ,qCz� cq r NL R SULLIVAIV 1' tea,I L-Y 1=LDVV t I lox 3 33o G PD ; No. 29733 H . 55-FTIG TANK� � x rho � �qS C,P, p• y .��¢�° �� . ci% P. p 5. : x I. O <fq.R p. : : . "rdT.b.l... D>^SIC-I►t�l = 5� G7.P, D. - :: TC1TAl LILy :FI.bVC1 - 33p Ca. PD. 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