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Home My WebLink About0175 RIVER RIDGE DRIVE - Health 97 S ve✓ o�Too� i:t:71 73i TOWN OF BARNSTABLE LOCATION f_ ! SEWAGE �# 7 — �` - VILLAGE � ;ASSMESS 'S' AP & LOTGj"9 -007 INSTALLER'S NAME & PHONE NO. ��05 SEPTIC TANK CAPACITY )Ll a a !,-A ci LEACHING FACILITY:(type) ] p , "r (size) doo NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER „/ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � t �/�0�1 ` i3�� . � � � . ,� _� r 0 La.� No... Fimic 141-0......... THE COMMONWEALTH OF MASSACHUSETTS ,-, BOARD OF HEALTH .................1.0WA..........OF........ ..................................... Appliration for Uhqpaaal Worko Tomitrurtion ramit Application is hereby made for a Permit to Construct ( V) or Repair an Individual Sewage Disposal System..at:.............ZY-Orz ....Z.o.co.....'D.rt,.v.e.... 4A.M.. L - ............ .... ................ ............... .... ................................0.7........q................................... Location-Address or Lot No. ................................................................................................. ---------------------------------------------------------*--------------- -------- Owner Address .................................................... .................................................................................................. Installer Address Size Lot_...-'21. Type of Building p4 -.4k...Sq. feet U _------------------Expansion Attic ( )Dwelling—No. of Bedrooms................ Garbage Grinder ( Other—Type of Building ............................ No. of persons---------------------------- Showers Cafeteria ( Otherfixtures ..................................................................................... .............................. Design Flow.......................5!�..............gallons per person per day. Total daily fl ow- ......gallons. ------------------------- 1:4 Septic Tank—Liquid capacity..IWD..gallons Length................ Width-____---_______- Diameter._.._........... Depth................ Disposal Trench—No. .................... Width.................... Total Length......._.._...._.._. Total leaching area......_ ........sq. ft. Seepage Pit No.............a!---__- iameter----------- Depth below inlet.........._... Total leaching area...2;�.Q....sq. ft. Z Other Distribution box e Dosing tank ( ) Percolation Test Results Performed by.......7 ...+:.AY_M.......................... Date........1.1J8 (3-7..................... Test Pit No. 1................minutes per inch Depth of Test Pit..__._..........__._ Depth to ground water..........__---------- Test Pit No. 2................minutes per inch Depth of Test Pit._.............._... Depth to ground water.__...._._....:....._.._ .................................: .......................................................... .... ....................a...F�....... fk................. ffi- 0 Description of Soil.......................M1............. ......C-OA.es......... __>........... ...... ................................................. x ---------*-------------------------------------------------------------------------- ----------------------------------------------------------- ----------------------------------------- Z4 -------------------------- ............................................................................................................................................................................. 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliane a ee i byq board f health. Signed ------ ............. ................---------------- Dzte ApplicationApproved By ---------0\e'-7 --------------------------------------------------------------------- ------ Date Application Disapproved for the following reasons: --------------------------------------------------------------------------------------------------------------------------------------- ................................................................................................................................................................................................................ ................. .................... PermitNo. .......... Issued ................................................................ Date E N.. ...7� FEB.... �<......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................J.ULQ.. ..........OF........ .................................... Appliration for Rapoottl Workii Tonitrttrtion 1hrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at 17 Location-Address or Lot No. •.............•-------------•---••-----.....................................................•..... ..........--..................................................................................... Owner Address ................................................... ...........•-••-•------•-•-••- Installer Address ... feet aDwelling—No. of Bedrooms................. -------•-----.___-___Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a4 Other fixtures __._..__.•..................... ----•----•------------------------•--------------------••----------••---•--•----- - -••---...-•---•------ W Design Flow...................... .............gallons per person per day. Total daily flow....................... _..........9......gallons. WSeptic Tank—Liquid*capacity..I_W�D.gallons Length....._..•....... Width................ Diameter._.___-_-___-__- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area..___-_ ----------- ft. Seepage Pit No_____________ ._____ iameter....___.... ._.. Depth below inlet....._....... Total leaching area.._Ke. ...sq. ft. Z Other Distribution box ( ' Dosing tank ( ) I Percolation Test Results Performed by........ ffatz. ..._.....°. .......................... Date.._...A�__� _ ..... ................ Test Pit No. 1_---------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water____-_-_--_-___--..____- R+ -------------•----•-----•---•---------- -------------•--------••---------•-------•-•------------ ODescription of Soil '�!( ? - ? GQrl-. _ ...........t�t 1d�aila....................................... 0 c, x ---------------------------------•-----------------------------•---------------------------------------------------------------------------------------•------------------•--------•-•----•-•--••-•----- 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 Environmental 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 - ------------------------------------------- --- -- ---------------------------------- -- ........................................ Date Application Approved By ............. ` � ..c c-.,,M-.- - ....-------------------_---------------- ----- ,3 7.-. ../ Application Disapproved for the following reasons- ............--------------------------------------------------------------------------------------------------- -------- ------- ------------------- --- - -- -- -- ------------------------ -- --- --- --------------------------------------------------------------------------- - -- -- ----- ---------------------------------------- Date PermitNo. ............../-/ —.. .��------.......----...--- Issued ..............................................................--.... Date THE COMMONWEALTH OF MASSACHUSETTS _r BOARD OF HEALTH .............._... ..---... OF ..... ArZ14';na( ....:.............. Gerti£irate d Compliattre THIS IS TO CERTIFY, T the Individual Sewage Disposal System constructed ( or Repaired ( ) b cr ! � -3. —7�- Cq� tn� Install at .. .«./.----...-/---.---...-- ....................................... ... ... ( ---- .... has been installed in accordance with the provisio s of TITLE 5 gQIT� SttEnvironmental Code as described in the application for Disposal Works Construction Permit No. ................................................ dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION �/SATISFACTORY. 51 DATE........................ ."-.....C........ t .. --....:...................... Inspector .............. .............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD FOF HEALTH I No...... 1. ... ..! FEE..... ... Disposal or T trurtion Upamit Permission is hereby granted............... ............. .__----------_.__-- to Construct or Re�aic( ) an Individual S,e rage Dis .os System 7 .._... ,' .......................................................... at No................ --------�1........2-----... ` `� Street as shown on the application for Disposal Works Construction Permit NoC'--W--- Dated.......................................... Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - 1 C ChTION1. v NO. l LLAGE PP],ICANT FEE DURESS ' TELEPHONE NO. (Non-refundable ;INEER Batter & Nve,Inc. Peter Sullivan TELEPHONE NO. '428-9131' +1'6 SCHEDGULEDr (Applicant's Signature) i v,tfs OFt'SQb1AP06c l.OT NO: •• s... .... .. . . .... . . . . . .... . . . . a r. . . . . .. . . . ... . ..'. . . . . . . . • • SOIL LOG .. 3-DIV.I5ION NAME DATE__ 7/8 f CFj� TIME t?T+NSION AREA; YES�NO $g_N _ MICI�NIEV�I ENGIN_EERA ' ):7C! PIATERPRIVATE WELL T �UNU 11JG BOARD OF HEALTH A . �ULLR EXCAVATOR < :TCH: (Street name,etc. ,dimensions of, lot, exact location of test holes and percolation' tests, . locate wetlands in proximity to test holes) NOTES: • ';n' F�1 DC9� , :-.� ••..�; is • . 15Q. , o` �� rvill t `I��f yt 'yry,-Yyy.,• .+y'%t •'. 'J' ... .. SIR- 7 tCOLATION RATE:_ ' 2 k1D-j /1P) ;'i HOLE NO:TP- I ELEVATION: TEST HOLE NO: ELEVATION: 1 T'o'PS 61 t- 1 2 2 3 4 �. SU•BSO1 L 4 5 5.. 5 N1' 5 tiA�t) 7 10 re,L 10 11 11 12 144" 12 13 No k►ATV.R 13 0 14 14 15 • TkBLE FOR SUBSURFACE SEWAGE: :LEACHING FIELD. LEACHING PITS LEACHING TRENCHES UCTABLE FOR SUB-SURFACE SEWAGE. REASONS E ' ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED -ON PERC TEST APPLICATION :NAL: COMPLETED IN ENTIRETY BY P. BOARD OF HEALTH : Y: RETAINED BY APPLICANT x _ _ t�1=�lGF�I �LS.T� �Ir,6GL� Lao GAtzSGG C�fZl z. �� \ -- O/e/Vl�E batt_`r Flow = ►10 x 3 = �3d G•PD. /�� E�t-I c TA+�t IG = 330,E ►S c % • 4�� G.P.D. ,^' �� USA- l ooC) GAL.. /-' i l /�'� c • � at ,',•r � - i \ It l r n 7 i•. �_-_ .,ar=Lc/ALL AVE-A 150 S.F. G.P.L . BdtTo Svc Atz ea � ST=. 'l �n rt:,•i= y �� "' b � sue. >< t .o = so C•�.R D. ', � `+ , �-t�,� ,�/:� ,' TOT,&L -C7 ESt6W = 425 G•P.D. , +; y�J T-oTQt_ �att_�r r-Low = 3306w. \ N PEIZG0LTl0LJ IZhTE S J"mj SO W* 02 6,A• KTER r SULLIVAN V. NO. OPEN At �'r•��t��filr �i/ 7 1��t 1_,C__tt• L ...�7Y VD,TEST 7� 8 '�,.-•, .,,...�-• ,�.1--�,�_...%�� ---,:, ...,._ •• y cam. �,.�; Top >"N� = � ICJ ,�,• �----- ..ii.rv•<... .'r,�......� 4- ! •,50 SUC�SO/L 4�P//PE 'box �9,4 To LrH 'A COOR4<E PIT e wtru WA541ED SToN LOCATI01--A GGI�_rI4=�( T►JAT TkC-- f/��/=c%�t✓n. 51lawIJ P� _ b,Q t-lF:l�t_ta►,1 Gc�lPt_�l5 W ►1l� Tt-I�: �IDC.t_lt-IE: c� �u� �;c.•l-L•,nc1C �cc;�l:�:.tic�+�Ty oc= T•Nt~ •To w u c;= 6.9.E N.S7152&4.E , %J I�r :;t O RCGIS`t'LCZ�D LAWO SUeva 01Z-4.; T W S P L A t-1 IS L1 OT Z-Ate,G.V 044 A b.l 4 "AC_k.1 o 4u7 0;rC 5�T�, 's14 w 1;r eat. U•:>L►� rc, i�c,l't.c_Mc►�1�: LOT Ltt. a