HomeMy WebLinkAbout0152 HORSESHOE LANE - Health �152 HORSESHOE LN. , CENTERVILLE
MAP- 207, PAR, 128
No. 42101/3 ORA
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O O O C
No. 7- !t9,5 Fee d
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
to ; Zipplication for �Di!5pooaf *pg;tem Cow6truction Permit
\IApp'hcation for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. O r ce- ca �^�1� Owner's Name,Address and Tel.No.
4 Y Assessor's Map/Parcel �'�N Cr i A4 f� C�r A,9��/
Installer's Name,Address,and`Tel.No. /,/ Designer's Name,Address and Tel.No.
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r,0A-)NSarUC 1d `1 �Oa�SaV t2C-t1-/O
Type of Building:
Dwelling No.of Bedrooms — Lot Size sq. ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank �t'2 Q Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) S 4 r
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and mainten ce of the afore described on-site sewage disposal system
in accordance with the provisio t of t onmental de and not to place the system in operation until a Certifi-
cate of Compliance has bee is ued by s B d H alt
Signe It.
444qA� Date 4 `
Application Approved by a I Lf.dek..,..: Date F
Application Disapproved for the following reasons
Permit No. Date Issued
No. Fee Vic✓
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
0,,
ZippYication for Migogar *potent Congtruction efmit
��� IEj
lkApphcation for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No./3'�Z o r ce C' Owner's Name,Address'and Tel.No.
Assessor's Map/Parcel Ceko r Ile 1.N �, n' r/U e
A '
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. r' t
rciCo 0 t C7 K.) c)C-�r
Type of Building:
Dwelling No.of Bedrooms — Lot Size sq. ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow t gallons.
Plan Date Number of sheets Revision Date
Title
A Size of Septic Tank eo o Type of S.A.S.
? Description of Soil
n
,Nature of Repairs or Alterations(Answer when applicable) U etw 1 r
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintena ce of the afore described on-site sewage disposal system
in accordance with the provisions-ofq'i e of nmental a and not to place the system in operation until a Certifi-
cate of Compliance has been,�ued by 's B lalt
Signed • ► Date -`
Application Approved by fie. . t,r- - -= Date —,7
Application Disapproved for`th�follo rng reasons
Permit No. Date Issued
---------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS TO CER tha the On-site ewage Disposal System Constructed( )Repaired( )Upgraded O
Abandoned( )b f2 A.9 u C
at �I. ca Itn o r s e S N .*y'v f C- has been constructed in accordance
with the 70s of Title 5 a�e��or Di�sppsalS stem Construction Permit No. dated ,fir•'-4 ^ 9► 7 .
Installer � ,C;1 —Designer
The issuance of this permit shall not be-construed as a guarantee that the system will function as designed.
Date ) 0 `nl 1 Inspector
h,
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.yf
No. 44 O Fce
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
lwigpogal *pgtem Con0t`ruction Permit
Permission is hereby granted to ConstVAt
)Rep ' ( )Upgrade( 7�)Abandon( )
System located at ,�S� r 5- nn+ �e ti.t 7t e� , /I �
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
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comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this Cermit.
Date: L � �7 Approved by
Town of Barnstable
.ARN9TA8LG Board of Health
y MAss.
s639. � 367 Main Street, Hyannis MA 02601
Office: sof � 19,1997 Susan o.Raak,R.S.
PAX: SOS-790.6304 Ralph A Murphy,M.D. ,
Brian R.Orady,R.S.
Mr. Scott Frank
24 Plant Road,
Hyannis, MA 02601
Dear Mr. Frank,
You are granted variances, on behalf of your client John Camey, to install a replacement
on site sewage disposal system at 152 Horseshoe Lane, Centerville.
The variances granted are as follows:
• 310 CMR 15.220: To utilize a sketch plan prepared by a licensed disposal works
installer showing the proposed septic system location in lieu of submitting engineered
plans as required.
• Part VIII, Section 10.00: To utilize sidewalk areas in the design data calculations in
lieu of this Board of Health Regulation which only allows the bottom area to be used
in the design data calculations.
The variances are granted with the following calculations:
1. The septic system shall be installed in strict accordance with the submitted sketch, by a
licensed disposal works installer.
2. The existing cesspools shall be abandoned in accordance with Title 5, the State
Environmental Code. This means, the installer shall either fill in the cesspools with sand
or remove the existing cesspools.
The variances were granted because the existing cesspools were malfunctioning. The
proposed replacement septic system meets all the requirements of Title 5, the State
Environmental Code.
Sincerely yours,
eu sUan G. sk, R.S.
Chairman
Board of Health `
i
Town of Barnstable j
frank
NO.
dfTME>�,
,� SG DATE
U&MAABU& ! FEE
659. Town of Barnstable
REC. BY
Board of Health
367 Main Street, Hyannis MA 02601
Susan 0.Rack,R.S.
Office: 508-790-6265 Brian R.Grady,R.S.
FAX: 508-775-3344 Ralph A.Murphy,M.D.
VARIANCE REQUEST FORIV�
All variance requests must be submitted at least fifteen(151 days prior to the scheduled Board of Health meeting.
C NAME F APPLICANT�,C)�r� .�� TEL. NO. 3�
ADDRESS OF APPLICANT
NAME OF OWNER OF PROPERTY
SUBDIVISION NAME DATE APPROVED
ASSESSOR'S MAP AND PARCEL NUMBER ;20 D I D Ste_ Lot -�
LOCATION OF REQUEST
SIZE OF LOT &aS� SQ.FT WETLANDS WITHIN 200 FT.YES
NO
VARIANCE FROM REGULATION (List Regulation) QC)\-\
S �dc> A Ccc r-6 e- ,. b
%��so itc�sic4ruz- F�,�n Pe,.r� tit s�c.'r�or• tC)'00 Secvtg3N i>� bec,�u �G�C S�
REASON FOR VARIANCE(May attach if more space 1s needed) �r G�e,� c� e3�5kc�nclL
PLAN - FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING
VARIANCE REQUEST.
VARIANCE APPROVED Susan G. Rask, R.S., Chairman
NOT APPROVED Brian R. Grady, R.S.
REASON FOR DISAPPROVAL Ralph A. Murphy, M.D.
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