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HomeMy WebLinkAbout0127 SHORT BEACH ROAD - Health 12' -SHORTBEACH ROAD CENTERVILLE � A = �I/I__�_A ��p6CYClFDCQL llll m � z UPC 12534 N0. 2 OR ��posr.coNS°�` HASTINGS, MN TOWN OF BARNSTABLE f/ LOCATION /, % ,S'kvs. 4 A 0 SEWAGE # 6 S'b F� VILLAGE ASSESSOR'S MAP & LOT ZC)(9=0 qk INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY 14Wd Cma LEACHING FACILITY:(type) �rqos z,,,5 7 "`(size)'""C-f' NO. OF BEDROOMS - PRIVATE WELL OR PUBLIC WATER v4L,C, BUILDER OR OWNER vft-e. DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes DR.. No t ,, . 3 14 Board of Health Town of Barnstable P.O. Box 534 Fps . . ` b .-:........ Hyannis, Massachusetts 02poi THE COMMONWEALTH OF MASSACHUSETTS BOARD OF"I HEALTH ---.....I.Gt.,Y1....................OF.. 4n}s I............................................................ Appliration for Diopoottl Works Tontitrortion rrmif Application is hereby made for a Permit to Construct ( ) or Repair (14') an Individual Sewage Disposal System at: .1...........{7or... ...............�en Iry �e. :-.. 1' Location-Address 1 1 or Lot Nq ------------------•----•--------•------------- 1zM1►14!lQtll� �. - Owner Ad ress afi---G4m*.......................•--- mvn..d:r Gue Installer Addr s d Type of Building Size Lot............................Sq. feet U DwellingNo. of Bedrooms............................................Ex ansion Attic— p ( ) Garbage Grinder ( ) Other—Type T e of Building ._•_________________________ No. of ersons.__.._...........___.._..... Showers — p, yP g P � ( ) Cafeteria ( ) Q' Other fixtures --•------------•--------•-•----•-•---•••----•-•----_.... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length.............•.. Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area--_---_----.__------sq. ft. Seepage Pit No-----------_-------- Diameter..................... Depth below inlet.........__:::_...:. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank( -) `" Percolation Test Results Performed by-- -------------------------------- Pit._.._..........__... Depth to ground water-.--_--_-___-----._----. 44 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water.................... P4 ••-••••---••------------•---••-----•-•--•• •----•••-•••----••-••------•-•............................. 0 Description of Soil........................................................................................................................................................................ x V --------•--•••-•-•••-•--•--•••••••-----•...••--------•-----------•-----••........................ ..................................................•-•.._............................................ 0 Nature of Re airs or Alterations—Answer when applicable.rr_o ---/ogD-_pct�,.,52 _ ?tk6?4tlllf?.sS#yT4�,�:_-. Agreement: rr The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI T LE 5 of the State Sanitary 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............... . ....... ..... -••-•-• j7--ECG- -----•-----------------••--••------ Date Application Disapproved for the following reasons---------------•----------------•----•------------------------------------------•--------._...--•--._............ --------------------------•-•-•-----------•••--------•--••-••--•---•_... ----• --•••-••••-----•--••••---•----•-----•--•------•--------- QQ Date Permit No....... ..................................... Issued Date E THE COMMONWEALTH OF MASSACHUS T 1 INEER MUST SI•?ZF"v''i DrSIG :I�c�v' ENGND CERTIFY IN V" .; O BOARD OF HEALTHY LLATION A INSTALLED IU '„CT ETA TN�C SYSTEM WAS ....:Lo.wn......................OF....'s)UMAq.U'p,............... .;.. Trrtifirttir of Tootphaurr THIS I$ TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (44 ) by1°s..l .-----•--•------------•---•--••----------------•-----........---...----.....-•---•--•---•---........----.......--------•--••------•-....._---••- at•..._ 1' ---------S. - ..•.A ...---- ller--•--CC `y= ..... has been installed in accordance with the provisions of TIT 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 CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................................•---•--..........------•-----...--••--..--_. Inspector.................................................................................... f TOWN OF BARNSTABLE E . LOCATION /, % .S'%� ,:� � 'r;. _ SEWAGE # i VILLAGE ASSESSOR'S MAP & LOT 0 yb INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY laad .-* LEACHING FACILITY:(type) (sire) -. NO. OF BEDROOMS -2, PRIVATE WELL OR PUBLIC WATER v rc BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes ... No iv I✓►3)� � ! hg iti o l J ` y h 3 N f F p w� No....a'a:6p Fiv$................-......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i OF- ,_ Appliration for Disposal Works Toustrur#ion 11nmit Application is hereby made for a Permit to Construct ( ) or Repair O an Individual Sewage Disposal System at: I tl `. 1 ,t rr ............ ... .................................. _...'-•-••'-----------•.......------•-----•--------'-'-----........--------------"----'------'... Location-Address or Lot No. i1 i.. I-� •. r.. )F � . I I t J J p ...................... ......................................"_'__.._...................._._...- ................._........................................._._____..............._......--.-_.._.. Owner Address A i r es CH �r / J-'•-"-'•-'-'--'----'----'•.............. .....••-"-'--••--:..--•'-..... - Installer Address Type of Building Size Lot............................Sq. feet 1-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ...._...._.. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by...........................•---------•-----------••-••"'-......_...•----- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_..-_--.-_-._•---__----. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_.-____----.-_______--_. P4 •--••---•....................•--•'-•-'•--'---'••---•-•••-•"•-'-'-•'•'•""---'...................._.........................................................0 Description of Soil........................................................................................................................................................................ x V ----•------------------------•-'------•---'----••'-••--•-------------------------•-...------'--------------------------------•-----...•-----•--------•--•---••'----•---------•--"---•'•......-•--••-•-- W U Nature of Repairs or Alterations—Answer when applicable=__.....__.!____'.._" t ... :. ... /. « Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT i. . p S of the State Sanitary 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---...-----'... . ---- ...................................... --••--. Date I Application Disapproved for the following reasons----------------'------------------------------------------•---•--------•----•--•----......-•'•-•---•-••.....---- --'---'-'-'--'----........••-'-'--•--'..............'•'•'-'--......••'-"--'---••--'----••'--•-'"-'•-'-.•-••••-'--•-••--••-----•••'---••"-•-----------•-••-•-'-------•-....'•-------'••---•'-......... pp� G Date Permit No......(J �----�o- ------------------- Issued _' Daze ' N IIl _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH DESIGNING ENGINEER MUST SUPERVISE ..........................................OF................................................ ... h!�. TAL'LA`I`It)1°t,AND CERTIFY IN W�=.IT1, %'F.�rrtifiratr of ' _Mpljan� YSTEM WOAS INSTALLED IN STRICT THIS I T CERTIFY, That the Individual Sewage Disposal System constructed PLAN.or Repaired (•w ) by---------.-•--�= � 6-6---y'.c! ------------------------------------•-•--------------------------•-•--...........------------•---------._......."'---•----'--..........._ aller has been installed in accordance with the provisions of TIT- 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__.__.Q__�=G.SSC�..___._..__ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL�THIGP°ING ENGINEER MUST 1"- ALLATION AND SUP`f'Vl`lE Gc/ ....:.............................OF....'.............� I, TK= S.Y.STE!�rt--. CERTiFI' IN 111' 00 ' C� gb ....................•-----••- - lr��,��-INSTAL No..--•.... ACCORDANCE TO PLAN. LRI.. ; Disposal Works Tonstrnr#ion antic Permission is hereby granted........... --•'--b-._Cc '.n_ ...........=........................................................................... to Construct ) or Repair ) a Ind' idual S .wag, jDlij�posal System at No............. 7-----'5.....--` -'---- "=`=�' ---:....'`-----------------.� Street as shown on the application for Disposal Works Construction Permit No.... G�G. Dated.......................................... DATE. &_/ Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS THE Tp�O TOWN OF BARNSTABLE OFFICE OF BaaasTeaL$, �11 BOARD OF HEALTH 6a yO �i0T�r9. am k�0 367 MAIN STREET HYANNIS, MASS. 02601 Stephen & Jane Woelfel September 15 , 1987 ' 117 Walpole St. Norwood, MA. 02062 Re: Your property on Short Beach Road Assessors Map and Lot No. 206-106 Dear Mr. & Mrs . Woelfel : The Board of Health recently conducted a sanitary survey of the properties bordering the Centerville River area. The Health Department personnel conducting the survey were of the opinion that your present onsite sewage system on Short Beach Road is inadequate and is in all probability contributing to the pollution of the river. We are requesting your cooperation .in upgrading your onsite sewage system. Please have a professional engineer submit plans for this upgrading within 30 days of receipt of this notice. We would appreciate voluntary compliance, if possible. We will , however, take official action if voluntary compliance and cooperation is not received . Please advise us of your intentions , in writing, in this matter so vital to the environment you live in. Please contact the Coastal Health Resource Coordinator, Dale L. Saad. telephone 775-1120 ext. 182, if you have any questions . Very truly yours , � n MOk-elIy gtia irector of PLIVlic Health JMK/ds ti� - I . � � - I � .� - I -. . . - I ,(. , .-10 I .1 . .4 I ,-,, . -� - � I I .I . . � I I I I . I - �.� . I- . I .-­,l I----- � .- - I - I : . . � - - SECTION - SEWAGE k . I I . .. � .. . . . .. . — , " " . . , ,______r-L0at:i;_l-,oKF - -­_ ____ __ ____ _ - , . I . . . . I r I . . . .. — _ B � . - . . . It , . I --- � . I ; - I I � I I . .1 I . I. � 4 . . ) . - . I I � fir-6T- I I . I � . I . . I . �� ., . . . . - � � . I .. I , � . . . rnln��,_ =0.5+ 16 -SEPTIC TANK- -7 - - ­ I .11 - � . -LEACH I N G . . I . � . � OPOFFON - I FF U:z-ol ' I I I I I I . ! . I I P'l_0 W Ir D 4 , --�; -1: . �l .. . -- . � -REVIDYE*Ltlly ut"ll-lu TT LTL�.V-_S WL I .I I . -.21,OF'/&To%,, -': .. I . / � .I . 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