HomeMy WebLinkAbout0023 BLOSSOM STREET (CENT) - Health (3) 23 Blossom Street
Centerville
A=246-023
UPC 12534
No.2_ 1_53LOR �„
HASTINGS, UN
No..A-:�lFimic
T E COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
ApplirFation for Bhipaaaal Workri Tomitrurtion ramit
Application is hereby made for a P r it to t r Repair ( ) an Individual Sewage Disposal
S at:
14
............................... -•................••------.... ..... --••-•-------•---•-•••--......----..........
ocation-Address or Lot No.
... T - -- •-... ............................ .........•----•-•--•••---•--•------...--------•-•-•-•-----••••------..............................
Address
a .c��.... .. ---.-
Q4 Installer Address
U Type of Building Size ......Sq. feet
�-, Dwelling—No. of Bedrooms............a...........................Expansion Attic ( ) Garbage Grinder ( )
aP4 Other—Type of Building No. of persons........................... Showers —
YP g ---------------------------- P (---->--•-•--Cafeteria (-•-)-
dOther fixtures -------------------------------------------------------------------------•---•-------------------•----•-----.
w Design Flow..............................4�_._____..gallons per person per day. Total daily flow____ ---------•--_---•-.................gallons.
30
r « •.CIO /k..
W Septic Tank—Liquld capacttylGf�...gallons Length�_`...�__.._. Width__4-_._._.--_. Diameter________________ Depth.___.___.._.._..
x Disposal Trench—No. .......a........ Width_.............. Total Length...?lO._.._...._. Total leaching area..1f"�-----sq. ft.
Seepage Pit No._.___ -------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (✓j Dosing tank ( )
aPercolation Test Results Performed by. �_. ....................... Date.... -_".Zo..............
Test Pit No. 1_____Z p p ���DS / p ground!-/ /!,.s...._._minutes per Inch Depth of Test Pit_..�_._1z..._ Depth to water____________ _______
44 Test Pit No. 2.......Z�.-____minutes per inch Depth of Test Pit--- ----- Depth to ground water----l.4:s.......
-------•-------------------------------•. ------- --------•------- ------------------
------•-•-•-----------•----------•--------------.--------
Description of Soil '• Sti�3 �.�l�i�.Si�.e/ O:y.�.. j� � --------•----------•--
T'
x r
c .......WV> tee'11------ ?Y.�.>.............................................................................................................................................
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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Comp ' ued by the oard of health.
-- Signed --
e -
ApplicationApproved By .. .. . .................. ... . -- --- -8-...... ....: .------.. ... .... .. ................ ................ ...--'----'------
Date
Application Disapproved for the followin reasons- ---------------------------- -- ------------------------------------- - ------ - -------- -------------- --------
.................................................... ......... .. ..---.............-- . .......--................................................I........------ ------------- ----------------. ------------
Permit No. ........
----- -- .. .............................................
...................... Issued .....-------------- Date
---.-...... Date
G\No. � .
�'
Fimic
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
r�
Appliratilan for Uiiltasal Worse Tomitrurtion ramit
"� 1
Application is hereby made for a Permit toC ns 't ) r Repair ( } an Individual Sewage Disposal
Sy at:
` /� Location-Address or Lot No.
..,SA Pw .... — .... ...:.Address....-^• — •-....:�:........
..............1. . �.!. ...
.. ...................•-•••••••. ..........................'...............................................
_.._.: ...._••••-•----
Installer Address
d Type of Building Size Lot__ /2� ......Sq. feet
Dwelling—No. of Bedrooms.______.___:...........................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures --------;�---------------------------------------•---------------------------------------------------------------------.....--------............__..
Design Flow______________________________-�`-_5 ____gallons per person per day. Total daily flow____ �...........................gal
WIons.
WSeptic Tank—Liquid capacitylG_r�.___.gallons Length_____ Width_.__`_!I_.�__ Diameter________________ Depth_S__:�'___..
x Disposal Trench—No. ........ ........ Width___ .......... Total Length...14_' ........ Total leaching area__'_1_41_1:?.....Sq. ft.
Seepage Pit No........ __.._._. Diameter____________________ Depth below inlet..................... Total leaching area.................sq. ft.
Z Other Distribution box (✓f Dosing tank ( )
Percolation Test Results Performed by.G'_¢ __ `t tea'. g_______________________ Date___1_:! __ .��' __....__.__..
,
Test Pit No. 1_____Z_______minutes per inch Depth of Test Pit___f�_l�__. Depth to ground water.__�J.:>.
Test Pit No. 2.......�-___.minutes per inch Depth of Test Pit...1_.J-�_- Depth to ground water_-__/_/...s..._.___.
a ---------------------------------------- .........................................................................
O Description of Soil---T ��v`�� iG' __5.• :x/ - A ....S'e'p'
W Nt {
x ------------------------------------- -- _--------------.--.-•-------------------------------`--=-----------------------------------------•-------------------........---•--.
U Nature of Repairs or Alterations—Answerl,when applicable._______________W
-----------------------------------••---------------------------------------------•-------...-------------------------------...--=-------------------------------------------------•----------......----
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 Compliafree-hes.been-issued by the board
ofof'health.
Signed u' !- r ` "^ �a�.� "_!-_s.•..q'-`�
ApplicationApproved By ..... .. . ---................ _..__.; --�__..... y ..------..._--__--__-__-__.--_ _.--___-_.__.-_Date
Application Disapproved for the followin reasons: ----------------------
- ... ....................................------- ---------------------------------------
Permit No. ---..... , Issued ----------------------------
.................----.....Date-----
' Dace
t
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Chet tifirate of C antyltttnve
THIS .&, 00SCEF at t davidual Sewage Disposal System constructed ( ) or Repaired ( )
o sTw. --1.. __VIP
(s� `f------------------
by --� nstaller -at � . � 0, -- g A)a- . _ -�-�------------------
has been installed in accordance witA the provisions of TITLE 5 of The Stat E.. lronmental Code as described in
the application for Disposal Works Construction Permit No. ...... _-.. dated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE �64T.RUE AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
---------------------
THEInspector :: = �t=<
DATE.. ------------------ ----------------------
COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No...�A-' TOWN OF BARNSTABLE _
l-,� �-----�• FEE..- •---...--•---:.....
Disposal Workii Tuniandwi tt Vantit
Permission is hereby granted_____ F �. � ✓ V
----•--••• •_ ---- ---•-------•---•-----------------------------------•-•-•••••-•--•••--•-
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
atNo--------------------- -•------------------------------•---•--.---------------------...t �..._
Street rJ� I1
as shown on the application for Disposal Works Construction Permit N op ated_._.'o ................
`
DATE................................................................................ Board of Health
FORM 36508 HOBBS Q WARREN,INC..PUBLISHERS
TOWN OF BARNSTABLE
y0 f TH E T��
��Q��• ♦o, OFFICE OF
i BeBa9TeaL i BOARD OF HEALTH
°,ems i639' `ea 367 MAIN STREET
QED MAY k'
HYANNIS,MASS.02601
February 4, 1992
Bennett Hodgkins
108 Westberry Lane
Cotuit, MA 02635
Dear Mr. Hodgkins:
You are granted variances from the Board of Health Onsite Sewage
Disposal Construction Regulation and "100 foot" Regulation to
install an onsite sewage disposal system 80 feet from wetlands at
Lot 15 Cranberry Lane, Hyannisport, Massachusetts. listed as
parcel 23 on Assessor's Map 246, with the following conditions:
( 1) The system shall be installed in strict accordance to the
revised plans dated January 30, 1992.
(2) The designing engineer, Edward Kearney, shall supervise the
installation of the onsite sewage disposal system and
certify in writing to the Board of Health that the system
was installed in strict accordance to the submitted revised
plans.
(3) The dwelling cannot contain more than three (3) bedrooms.
Dens, study rooms, finished cellars, sleeping lofts, and
similar-type rooms are considered bedrooms according to the
Massachusetts Department of Environmental Protection.
(4 ) The existing cesspool shall be removed or collapsed and
filled with soil.
The variances are granted because the existing cesspool on the
property which is only 46 feet from wetlands, will be replaced
with a system which meets Title V, the State Environmental Code
and all other Town Health Regulations. Therefore, the new system
may alleviate a source of pollution.
Very truly yours,
oseph C. Snow, M.D.
Chairman
BOARD OF HEALTH
TOWN OF BARNSTABLE
JCS/bcs
copy: John Milne
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t !
TOWN OF BARNSTABLE
Hof INc Taw Rece.I.M b _ .
OFFICE OF .
s,a13r.ai, i
BOARD OF HEALTH ate
y rAua
t639' `gym 367 MAIN STREET
�a r
HYANNIS.MASS.02601
VARIANCE REQUEST FORM
All variance requests must be submitted fifteen (15) days prior
to the scheduled Board of Health Meeting.
NAME .OF APPLICANT �3E^�^��=� /�-��� ,�/!/.5 TEL.# S-
ADDRESS OF APPLICANT /o
NAME OF OWNER OF PROPERTY T.4A/14/.4
SUBDIVISION NAME C zg ✓i�.tr= i��E�� 4 asSDATE APPROVED aQ-• '�'�r
ASSESSORS MAP & PARCEL NUMBER 05 LOT SIZE //, '7� t
. LOCATION OF REQUEST ,. GCAN-& `-*" L,Q,0A /'r�[ iV�✓ !� �`
REGULATION List Regulation) ,o Z : i ,
VARIANCE FROM ( 9
/� C 7
REASON FOR VARIANCE (May attach letter if more space is needed)
To ig Df,IE / To 'f:T L E�'T ��y��aZ,E +�=x/-5-7'/�/ G
PLAN - �` lecoPIES OF PLAN MUST BE SUBMITTED CLEARLY .OUTLINING
VARIANCE REQUEST
VARIANCE APPROVED
NOT APPROVED
REASON FOR DISAPROVAL
Ann Jane Eshbaugh, Chairman
Susan G.- Rask
Joseph C. Snow, M.D.
BOARD. OF HEALTH
TOWN OF BARNSTABLE
.lea t_f�`i t #f)-7475
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HEALTH DFOF .� .., ,
BAPoII
comp let ed by ' ds I✓,gev,_VG
HIGH GROUND-WATER Lt-VEL COHPUTA7iOF1
Site Location: �LaS5- ' N;,—T Lot No. /s
Owner: Address:
Contractor: Address:
Notes: ,
STEP l Heasure depth to water table ED
to nearest 1/1 • • • • • • •' • • " " " " " " " date
STEP 2 Using Water-Level Range Zone .
and Index cell Nap locate .
site and,determi ne: „v
A) Appropriate Index ,we) l . .. ,... ...,..,. _
B) Water-level range Zone . . ... . ... ...
STEP 3 Using monthly report"Cutrent
Water Resources Conditions"
determine current depth to
water level for index well . ....• Z/1�D
mo. yr
STEP 4 Using Table of Water-level
Adjustments for index well
STEP 2A , current depth to
water level for index well
'JS7EP 3) , and water-level
zone (STEP 2B) determine
water-level adjustment • -'•-•......... ....... . . ..... .. . . . ... .
STEP $ Estinate depth to high water t%
by subtracting the water-
level adjustment (STEP 11)
from measured depth to water '
level at site (STEP 1) . . . ........ .. . . . . ... .. . . . ... . • ,
Figure 3 r
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PROPOSED ACDITION Mre4avOenNetrerrore.a.a� � ao+u.
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�p 23 BLOSSOM ST nr prbr m erort er aartroetia�levy fanwre
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Title: NEW iST FLOOR e-mail: -stefonrichman@hotmail.com
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23 BLOSSOM ST.
of the deOMw pior ro~of oartnctk&Oft faww e be s�g n
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Title: NEW 2ND FLOOR e-mail: stefonrichman@hotmail.com