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Home My WebLink About0119 CRANBERRY LANE - Health (2) liq efon" 4% TOWN OF BARNSTABLE L o LOCATION LOT Z GS�� tt�y Ldt� SEWAGE # c66 ' 1 I5'g 4 ILLAGE 9d M�� b� ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO. ��` ��o ° ( � 7 d�I SEPTIC TANK CAPACITY (, n Ol I�OVi 3 cv EACHING FACILITY:(type) Le0q6t Q A (size) P OUb" l cv td 5 NO. OF BEDROOMS j PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: /'w o w l g g b DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No a---� r 1' v9� ti �Zf �U No.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C)I .l ..........OF............ Appliration for Uispaoal Wnrks Tonstrur##ion Permit Application is hereby made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal Sy ........: .. .•..-• ...................................... .t_�. ..- LQT .. ...._.._.. ............ _.......... 1. SSL � Q.[ l. .... ...•... � L ............_...._._..... caner Addre .,q a ................................................... 2.�.s c`�` -........... .......... ..�!1 ... ...1......:..�:........... Installer Address Type of Building = g Size Lot..!�Z� � --•-....Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic (• ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g .....--•................•-•- P ( ) — Cafeteria ( ) QOther fixtures ---•-•--.....• •....................... ... ----------------••--.-.... .-•-.-............-.-• Design Flow................ ��......... -.- . gallons per person�pler Jay. Total 'ly #ow.............__... - W YJ` �................. Ions. W Septic Tank—Liquid' iquid capacity.. b.gallons Length........&..... Width:. . .. Diameter..........•..... Depth...�_a_..,_.r..ou x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No........_.t._.__.... Diameter........Q....._ Depth below inlet.......... ..... Total leaching ar -z—&,bCo..sq. ft. Z -- Other Distribution boxV Dosing tank ( ) `" Percolation Test Resgs, Performed by......P..&W.f,.J...L 1: ...... .................. Date.:...T:..... :. ..,J1v...,,r 64 Test Pit No. 1................mmutes per inch Depth of Test Pit.....144...... Depth to ground water.... .Y f74 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water_..................... �t _ f.._...... ..: .. Description of Soil...... C�LNI .... � ..:. Glfh �re,�(�c 1...... ....� tr..........�........ v !l QA W S I�b-----. _...'. W ........................................................ ..::� . ... UNature of Repairs or Alterations—Answer when applicable........:...................................................................................... I --•-•..............•----.................................-•-------•-••---..........--•-••......•-•................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:ITL , 5 of/)he State Sanitary Code— The undersigned further agrees not to place the system in operation nt• Certificat Compliance has been niissued by the board`of health. Signed......1..✓l.� .. --•-••--•-••.... -�6 Appli ion Approved '!J.. ......•..... Date - Application Disapproved for the following reasons-..............................,....................•.............................................................. j 1 �� . Permit No.....��.............. ...... Issued..................................... _ Date•-•--- Date A_ No.................. Ficz Z ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH_��'- ..........OF............?6�1� ............... Appliration for Disposal i0orks Tongnution lirrmit Application.is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: pre,4 C &J LOT Location-Address 1 F3 A-V 4- 1 Lk ....... ------------------------------------- 0 Address .................................... ...... ..................................................7.............................................. Installer Address Type of Building Size Lot ...z.............�L * .Sq. feet U 15 .4 Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder III Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Other fixtures ................ Design Flow................ .....................gallons per person per day. Total daily flow.............��ao.................gallons. GG Septic Tank—Liquid capacity.! gallons Length.P'(7"... Width;.!.;,.1..A...Diameter............2.. Dep, 6._ .......q....... .... Al Disposal Trench—No..................:.. Width....................... Total Length__._.._......__..._. Total1-iiii-chin-g area'__-................sq. ft" Seepage Pit No........_..I..__......I.......... Diameter." ...... Depth below inlet..... . ...... Total leaching aR 2LF2!.9sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by._.... ...............0�.................. Date...... . Test Pit No. I................minutes per inch Depth of Test Pit_...!A4...... Depth to groundwater.... Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water_.._.................... .......................... .... ...........................i;...................... kL(k" ln(u SCVY\0 12-4 ldqe+�d 0 Description of Soil:. ...............................y................ --------------•J*...*---------- .......... ....... ......................... .........*---....... ---C---........ -*...... ------------7- a. ................................................................................................... ..................................................................................................... ............................................................................................... U Nature of Repairs or Alterations—Answer when applicable................................................................................................. ..................I.......................................................................................................................................................................�!................ Agreement: The undersigned agrees to install the aforedcscribeol Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of6the State Sanitary Code-t=The undersigned.further agrees not to place the system in operation. until,-a Certificatelo-yfl/compliance has been.issucd b the boird of health. o ?y V ... .......................................... Signed. ........ ...%�.�.................. pplic Date A lic4tion Approved ............................................................. ......... 7------------ Date Application Disapproved for the following reasons:.................... .....................4 .........................F.......................................... ....................................................................................................................................................................................................... i Date Permit No.... ....... Issued.. . - -D .......I........................ ate ----------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 51961�5_7684, OF........................................................ ....................................................................... (Intifirair of Tou* tplianre THI I S ST$V RTIFY That the Individual Sewage Disposal System constructed or Repaired by........q.Lg....................................................................................................................................e.......................................... Installer I -7 0 7' c-;� CR 1-91-16 ;Q 9 y 4 at.................................................................. ..................//�X 4�/L/S 446e .............. --- ..................................................... 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 No. ..... --- dated_...... ....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................... ........................ . ........ Inspector.......................U........................................................ j THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 3 t EEL .................7....d.....U.7'....<...........OF..................................................................................... N;o'......................... FEE........................ Tonstrudion lirrmit Permissionis hereby granted.................... ......./............................................................................................................... to Construct V) or Repair 4& ndividu I Se age Di atNo...... ;A......el....................j..........V .................................. A.............................................................................................. Street as shown on the application for Disposal Works Construction Permit No //S% Dated.................................................... _............................. ........... Board of Health DATE...... ................ - T014N OFBaR�jS�A LEA5SE550R5I")AP LOT - . =5�5.0 2o'r�IN. LN pE4a5T0>\?� ZONING Top OF _.:. .:.. . !O:MIN. SETSAr,C,KS �F"R ON - SDF_S� #_5 REAR- �ovNc. SEPTIC TANK C-5T. pOX. EACflNG FAC1L1?Y A ; • .. ------- �-1_N/IJGROVNDCovEiZ �— rr �--- - Y�� t�,2� t i � i L _ —... _ ��iw ,` • LA7- 7" >" 10c) GAL. %9`t' ^ter a ' 0. zf Lr SECTION- SENAGE _ �rG►�E �, -�� o A°� �� 40,71 (-e>a om SOT 'ice' r HGLe) -I Ili TEST HOLE L065 DESIGN FOR 3 gEDRo�M 9 D ICJ ELL I KI r' N ,! TEST 6Y� -bOW N C P� e E�. PERG.RATE 2- MIN.//N. SI i"� s 9 2.5 86 FLOW RATE I 10 GAL:/DAY 33a C7PQ I �/ r :'DATE- : IJ LT 170 E T2 /`� � �IITNE55� 5EPTIC. TANK 3SO 0-S) -495 CiQL 6 T 5 REQ'D. SEPTIC. TANK ' 1000 C- t L p~- Trl , 6L 5 .'1` LEACHING AC I L I T Y 510E WALL Io 6 t bg,4(2,5)_��I,0 C310, Eorrolrl `7Z 5OIvl. BE ' Z�,."7 - 5g9,5G/o f�� - •:-` L��.. > ,~� — NCHMARIC., B►�B 35f 'TOTAL 5F. - CcEAti PI r IoE F IR.USE LEACHING r - f, — #�sVE L — NOTES _ _ J /. DATUM(H5L)t TAKEN FROM NYRI,IIJ I QUADRANGLE MAP 2. MUNICIPAL t,/ATER I s AVAILABLE 31 _ 3. DB51614 LOADING fOR ALL PRECAST uIJlT5:AA5140-HO-44 ,' f0,7 4.PIPE uomr5 SHALL BE MADE WATER TIGHT. IJQ I,UATE2 i _5. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH j. j COMM.OF MASS. STATE ENVIRONMENTAL CODE TIME EfJC,E OF WETLANp �NCncJ�v"rE��1> _ G. THIS PLAN FOR PROPG'SED l.(ORKONLY AND.SHDUt-D AtollI' , f r ar U5FD FoR PROPERTY:• LN. STAKtNG. a.' ck, ft Ati[D 6ENAGF. PLAN ' . ARNE H.. . oJALA ARsYF ya I LEGEND: . 31 ,' LOT y. (YOWn cape engIneerinq ,' Locus 2; CRRN6ERRY t AN i-�`�'.11Wni is �,_ NO OJALA ,� : Cotirou2s .CEx�ST:) ----- CIVIL ENGI.W-c-;RS REFERENCE:'I7,GE �. .� Sl(o Zy'�r _ ! ) ._ w a�/ LptNC7 SURVEYORS ,• PROP, --o---a--- PREPAREDFOR � . .. :`., --) CONC.80UND-- t Met S C6 DATE ARN A.F' �i�in Si q2G Main st.Yclrmouth,ma TEsr HOLE `' ; _ BhYSI D:E BLI I LD-I ICI ti board of`health SCALE 3 E 9 � . J06 NO• 86- 5 I 2 APPROVED DATE.: P�AF-01S10-e�-E ,11A —