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HomeMy WebLinkAbout0168 STRAWBERRY HILL ROAD - Health ri 1368 Strawberry Hill Road Centerville A = 147 118 AMMMA fl qq (� Fing THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiun for 11iipuiia1 Workii Tunitrurtiun runfit Application is hereby made for a Permit to Construct (pe) or Repair ( ) an Individual Sewage Disposal System at: C 'N T't-lt V l L L; 1�o ST •3 .E' �/ �� 2.o z� Location-Address or Lot No. C�.J .�� Owner �----Ad A„ Installer Address Type of Building Size Lot....<A,�_A..........Sq. feet -� Dwelling—No. of Bedrooms.............. r_._.._---------------------Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building . No. of persons............................ Showers — Cafeteria a' Other fixtures ............................ W Design Flow...............................:g; `..gallons per person per day. Total daily flow....... ..___�f o-......_..gallons. WW Septic Tank—Liquid capacity/AV...gallons Length__ G.__ .__ Width... _ -_... Diameter_., Depth..46Z.'_' .. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter.__..e?_�._..... Depth below inlet----4 ........... Total leaching area__g!�...._sq. ft. z Other Distribution box ( Vj Dying tank *................... Date...___.' .........v__..__..._. '-' Percolation Test Results Performed b .... ti._ � l� .� ,aa Test Pit No. 1 0i$...Zi___minutes per inch Depth of Test Pit___ Depth to ground water-___--�'.......... 4_ Test Pit No. 2...............minute's per inch Depth of Test Pit---l.Z`�r%�.. Depth to ground water......._._..._.-_---__ . P+ --••-•----•-----------------•-------. --------------------.._..--------• ----------------------- •......... •................................ O Description of Soil------ P v ........ —Aa v:j1-... ��i°ZS _.. �S1t ------•-------------------------•--•------•--- U .............................................---------------------------------------........------.......------------------------•------------------................................................. W UNature of Repairs or Alterations—Answer when applicable.................15�ZE--------- ..................................... -----------------------------------••----------------------•------------•-•-••-••------•-----•----------••-------..................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmen Code—The undersigned further agrees not to place the system in operation until a Certificate of Complianc as en 'ss d he and o health. Signed------- --------------------- - -- ------ -- ---- --- ....................... . 5 .. ` Dale ApplicationApproved By ................ . ---.. --- -------------------------------------------------------------------- ------if<—i... Date Application Disapproved for the following reasons- .........................------------------------------------------------ -- ------------------------------------- -- -------- ---------------------------------- ------------------------------------ ----------------- ----------------------- u q Date Permit No. a- S. l ----------- ----------- Issued ------------------------------------------------------..... -- -------------------'--- Date �c t t. No....7 _La FEz THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for 11hipauttl Workg Tons#urtion runfit Application is hereby made for a Permit to Construct (1/) or Repair ( ) an Individual Sewage Disposal System at: til t-R.V% I-L' le. ST.4w�3 /y ............................................................... Location-Address or Lot No. .......5 S/� ............................................... ................................................................................................... a Owner 'c .. 15T Address � A�/ ......�................. .............. -• ......-•� . ... .................. � di-'- Installer Address Type of Building Size Lot....! .=...........Sq. feet U Dwelling—No. of Bedrooms..............4---------------------------Expansion Attic ( ) Garbage Grinder- ( ) a p, Other—Type of Building ............................ No. of persons•----_-__-__-___-_--__-____ Showers ( ) — Cafeteria ( ) al Other fixtures ............................ . WC� Design ...............................Flow �---- l _ ----- DisposalP --- � gallons per person per day 1 daily - - gallons. Tank—Liquid caPacttY✓�V.-_gallos Length Widt ,�' Diameter_______� tal tal > Seepage P t No._-.��........ Diameter Width............ DepT�belownn et___4-_........_T�otallleacching area________________sq. ft. Z --Other-Distribution box Dosing tank ( ) . `-' Percolation Test.Results Performed by....��-.��.....�__ — /+w................... Date--- - _:. "........_.. aTest Pit No. 14�._� _minutes per inch Depth of Test Pit... �� �- Depth to ground"water......" .............. GLI Test Pit No. 2...............minutes per inch Depth of Test Pit--- Depth to ground water.........-.._.:......... R+ -----------------------••-•--_. ...._.......-••----••-----._....----•--•---•-•...-•-•--••-•......................................................... O Description of Soil------ `��3•--..... ! "'�........................................ '-!'��=� x W __ _ ___ ..................................................... Nature of Repairs or Alterations—Answer when applicable.................SS 5---__-•-_a ...-----••-•-------------------------------•----------••---•-•-•---•----------=•----•-•----••---...------•--•---------------------------•--.....-----•-•-----•-------------------------...--•.......---- 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 issAd by-the board of health. �� Signed __ ^ "`j ---------�-- Dale lication Approved B Y --- PP PP ------------ --- A � Date Application Disapproved for the following reasons- ------------------------------------------------------------ ------------ --------- --------------------------------------- --..... ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- - ---------------- Da[e PermitNo. 9 9-.................----- Issued ...................................................... ---- ------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE GPrtifirate of Campltance THIS IS TO CERTIFY,.That the Individual Sewage Disposal System constructed ( ) or Repaired (�) bcr/ - - T1............ .-----------------------....------.-------------------------------------- . --.. Installer at * t ... ................ �! _ E.(..(....(R�------------- C "i-------- I has been installed in accordance with the provisions of'TITLE 5 of The State En ironmental 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. --- /`3 Inspector ---------- ,.x.) . --------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH7' TOWN OF BARNSTABLE Disposal 10orkv Tungtrudivit rrutit Permission is hereby granted.. .✓ :��-----------•-•- to Construct °(X) or Repair ( ) an Individual Sewage Disposal System at No.•-••... ,.. /..j...�6 - c� ;1•��,P-�........ .(..------��--4_----•-----<'`�. ^�AVI•--...... S .» Street as shown on the application for Disposal Works Construction Permit No.=-,V;.?_ Dated.......................................... ..........................- :_) ........................................................ ~. Board of Health DATEt3-----------------•-------------------- FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS , -tot 23, I , L 10 M 30.0 ka,u load i �o• �i pep �ow►s'.('.d. ° ° a4•. No. .bed�roonYs_ j ii: a : 233' 6 j at.a 100% CXp. rr, � `� `� 9"flwe " 211 4�. Wacit .0 t4 20,21,22 gA=so; Aaea 0.5 Ac. ca.C� I'"-40 , 3o i bate 11-6-92 bane C4,it koad 49 ka�rGoti lZr: eeng. _.. _ oad- 401 ate LI I ! , j 2.S i " r M 1000 ! . s N N ri x� x 1-7 X 4 p�,t : � I J. • .. , 1 ! I ,S h I X in o i �P.tcie Lan. o�g and yannvs p ; . 9o� �oi►n 7ede.�ju ! I . I l4 2 Alo,Co•t�. 0,21,'22 a1 wn ors a p,Ca.'s ' -book-76 I £Ceva�.ioir.� aae ors art a�.iunsed datr�m. I a- geolt pit # P-796 3 Made. 11-3-92 i 1�,/'� �./jeoltc. : Le�sa.2 InLi►a:pest /" . . . .. . . . . . p I - - - Ito -t0 r r: C ► o D R o� coa�.e a�FA.e . � _ -J V , V LNE to i. #1 b 4.' 324�0' xe x I ti �b� W F BARNSTABLE LOCATION �1�l 4JIM SEWAGE # l VILLAGE ASSESSOR'S MAP & LOTc-,;�// ,7—//r INSTALLER'S NAME & PHONE NO. ,b61t7Ue ) 6d-hi T -' 'SEPTIC TANK CAPACITY (�LEACHING FACILITY:(type) �/T �/ ) (size) d i ENO. OF BEDROOMS PRIVATE WELL O UBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No " I ��,,;��D�� ��I�SZ jg , ��� 2$° �© . t PARCEL ID: CENTERVILLE 110 PLAN 1 (107;,78' CA LC.) 247/117LO sT / � sTRFF I to ° T / 20.2' �O TO 05' 22 PARCEL I.D: 70, I 0 247/115-TOO °GAP = LOCUS Q f BRB r /V 23.3' ° 0 / / 59.7 ," N / CRAIGVILLE BEACH ROAD ryca• v LOCUS MAP rn UPOLE SEPTIC =--- - --_ LOCUS INFORMATION AREA _ _ 23.6' �j / _ PLAN REF: 76/1 & 391/39 0'74 Ql = EXISTING _- TITLE REF: 22540/192 WIND ZONE 3: EXPOSURE B. HOUSE = PARCEL ID: MAP 247 PAR. 118 _ _ ZONING: RB/WP SETBACKS:: 20'-10'-10' - "C.. #168 _ FLOOD ZONE: . Lu - - _ COMMUNITY PANEL: 250001-0008-D DATED:;07/02/92 QD / - - - / CERTIFIED PLOT PLAN \ 46 8' - — (FOR NEW GARAGE) LOCATED AT: - - —1 A-- - —- 168 STRAWBERRY HILL ROAD °' CENTERVILLE, MA. PREPARED FOR l w�Y I JOHN TEDESCHI / / I SEPTEMBER 23, 2013 Or AL- / EDWARD UPOLE / I Q �� STONE U1r I 0 �No. 2 98 / 63.0 PARCEL; ID: / I W tiq p1�as 247/118 AREA=.5. ACRES / I w z E. A. S. 62. 1 SURVEY, INC. C.BAS. 141 ROUTE 6A GRAPHIC SCALE F SALT POND BUILDING / P.O. BOX 1729 20 0 10 20 40 s p / SANDWICH, MA. 02563 tx ( IN FEET ) �' / BUS:(508)888-3619 CELL:(508)527-3600 1 inch = 20 ft. ` _ i SHEET 1 OF 1 J 1585