The URL can be used to link to this page

Home My WebLink About0180 STRAWBERRY HILL ROAD - Health 180 Stravvberry Hill Road -- Centerville A= 247 - 11.7 5 M EAD® No.2.153�OR UPC 12534 smeW com • Mads In UBA " . i No. ��,,tt�j U 1 r 3 Fee AM THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpHrat[on for Mispo8AY 6pstrm ConstCUttlon permit Application for a Permit to Construct( ) Repair()o Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 1 O Si(-p,,d; r-� � {L'y_,) Owner's Name,Address,and Tel.No. . e f-Ir Twan g e.V_ �e. : 138' W.t✓aq__,:ra.► elf. Assessor'sMap/Parcel 7-Lij I 81-7 o Installer's Name,Address,and Tel.No. PO 03zo_-7 tad Designer's Name,Address,and Tel.No. q1 g \(-,24 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 1(01000- sq.ft. Garbage Grinder( ) Other Type of Building S t✓Slt -�dYw`, �� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date O- S -?000, Number of sheets Revision Date Title 1%D SI r' ,�1 d ~l11J�rt•1 Size of Septic Tank Q Type of S.A.S. jC• d hL► ` �1.. �. Description of Soil Nature of Repairs or Alterations(Answer when applicable) J%n 5+as i 1 Ai /4-t o o o p 5j A L . TA VI I Z 1)� S--,r, -ox Aj d Co n✓!tG1 13 E-6-1 (k(p Date last inspected: Zoe, Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. p Si ed Date —Zo O(i Application Approved by LIN,, E Date =� 0 Application Disapproved by Date for the following reasons Permit No. QQ J, Date Issued �u `F No. iti ? Fee (JlJ i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC.HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS' Yes 2ppfication for VsposafT*ystent• Construction Permit Application for a Permit to Construct( ) Repair()o Upgrade( ) Abandon( ) ❑Complete System KIndividual Components Location Address or Lot No. ,t.rl } y ti (Zi) Owner's Name,Address,and Tel.No. 379 f-jr TWAn l C.IC' Assessor's Map/Parcel '7_4 7 1 1 a,05;-t o Installer's Name,Address,and Tel.No. 1'o 3 ar -7 Designer's Name,Address,and Tel.No. CAfGwicke Fn1'•eJO�,S�S L�,,,�e,.;.(lc Type of Building: Dwelling No.of Bedrooms 3 Lot Size !(D,W O} sq.ft. Garbage Grinder( ) Other Type of Building S i Asl t No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date O 'ZU O01 Number of sheets Revision Date ' Title 1�6iJ �1/rev i�Z.0 J� 1-�-�t,\ ��r� Size of Septic Tank 1 5 On Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1:7,s S 6 A s t A v, 14-1 O 15 O o 4 A L . TA✓11�?, (u Lo/Z' a C S k Date last inspected: Zoc—%, Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. pSied, Date g ' � "Z 09 Application Approved by 'A/U. 1. Date Application Disapproved by Date " for the following reasons Permit No. co 01- 2 Date Issued �'- S_-0 07 THE COMMONWEALTH OF MASSACHUSETTS d-�0 r BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-sit Sewage Disposal system Constructed( ) Repaired(�/ ) Upgraded( ) Abandoned( )by ( . �l 1 C51 f, LL(: at d0 S rA� QP6g lei it it VAJ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No)UO - dated Scv.�e 0 Installer GA-0_la.)'i CLk ��►�-(!ipt j y 4) Designer #bedrooms 3 Approved deli flow j d gpd The issuance of this; e it shall not be construed as a guarantee that the system will fimctio as designed. Date - I Inspector . Q -- -------- '- ---- --- '- --------- - - ---- -- --- - - -- ' ---- - -' - ------ No. 00"I -2N3 Fee loo THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Misposal *pstetn Construction Permit Permission is hereby granted to Construct( ) Repair°;j ) Upgrade( ) Abandon( ) System located at C�U �!/A?,,,,(.&V•� ^(� �/t� 6—4Q k"lI ° and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to 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 perm t. Date n —()4j Approved by ��' i e-I- ►b -i-�i�>>rib� or $ac V 0 NEW t5oo qlc l � Q 0 m Cl� c I u � 3 E V TOWN OF BARN�STABLE LOCATION /,Fd -5�4,,a-,yge ,, f/Lo/SEWAGE# 2pCg - Z 43 VILLAGE ��-+^�v�� "ASSES SOR'S MAP&PARCEL 2 K 7 INSTALLER'S NAME&PHONE NO. LLC V 2!K-Y028S SEPTIC TANK CAPACITY _15aC, /a C i4 - (O LEACHING FACILITY: (type) �,Gc,4Cl„ ►►� (size) (c) Q, NO.OF BEDROOMS 3 OWNER :FWAniGIL. PERMIT DATE: O - S - Oc( COMPLIANCE DATE: - J - Oq Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY C 4.D w. CL d'1 k<' D f l Se--5 'U-C " i J I , 7,(o Pr to y qq.4 t ►y,° A3.57 TOWN ,OFT BARNS`TAAcBLE, LOCATION E W A G E # G!O'�� VILLAGE v`."C�.f�.il�1� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY � `�� e zS�S ✓��L� LEACHING FACILITY:(type) &-e—C 4-ST- size) NO. OF BEDROOMS PRIVATE WELL OR P 1l BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r ` a . i 38 Fro N j � V Fint THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratilan for Bi-sposal Works Tnnstrnlrtion Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( tan Individual Sewage Disposal System at: Location-Address or Lot No. ---------------• ..------ ................................. -------------------SX4AA.........................................................Owner Addr ss a - L: 4 y_ f Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.___3�,�......................................Expansion Attic ( ) Garbage Grinder ( ) ok Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 04 Other fixtures ........................... W Design Flow.......�6......................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_.__(p�•-----•-• Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank.( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit-__•__•-.••--•------ Depth to ground water........................ 0�4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water•._•••____----_-________ a •-•-••••••------------------•-•--•-•••-•---••••---•--•......••••••-•----._.........--•-•----•--•-•-•......................................................... 0 Description of Soil-------------------------------------------------------------------------............................................................................................... x V -------------------------------------------- •------- •------ •------- •------------------------------------------------------------------------------------------ ------------------ ------------ ------- ------------------------------•-------------•-------------•-----•---------------•-•--------------•-----------••-------------••.......... ---••••• ......••• •.... `............ U Nature of Repairs or Alterations—Ans er when applicable.___ T _____�s_�..._�� ............. •-------------------------- 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 b n issued b the bbard of health. Signed --------- --- ----- ......................... --------------- --------------------------- .`..1 - Date Application Approved By.... `is x --� Z--�.............. Date Application Disapproved for the following reasons- ...............................................-------------------------------------------------------------- -------------------------------------------------------------------------- ........................................ Permit No. _ �----------- ------ ------------------�,�?---'------ ---------- -------- Issued -------------�fJ---�-�Z----------� Date 4 No...r.��.... ......Z l r �✓ Fss...... .... THE COMMONWEALTH OF MASSACHUSETTS ` BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tonstrurfinn Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( can Individual Sewage Disposal System at: ................ ......`��..0 YG w al.Y�l ..� ��\....6fl.... ......................Tt-y G.�.,uvls.............................................. Location-Address r or Lot No. ----------------- A• !........... ................................. •.................. �! Q.......................................................... O,ner Address a ............. c� . ? ti. —............_.. P� Q� U LI C�. f -(l � _...:. Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms---- ------------------------------------Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type e of Building No. of persons ....................... Showers 0.1 YP g ---•------------------•----- P ( ) — Cafeteria ( ) Q' Other fixtures -----------•--• ••-----•-----••-••......-••---... ... - W Design Flow.......... ..........................gallons per person per day. Total daily flow...... . ...................gallons. W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. c Seepage Pit No..................... Diameter..../.D.1------- Depth below inlet...../0.......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.................••-:-----•••----•-•-......_....---------•••-•--••...-•--- Date........................................ Test Pit ,No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 444 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •••--•-•---••---••••-••-••--••-•••••-•••--••-•••-••--••--•...............•-........---------•--••---......................................................... 0 Description of Soil........................................................................................................................................................................- U •-•.._....•--••--••.......••••-•-•----•--.....•--•-••--•---•-•--•--•-•------•-••-•................•-.....-•••••••-•-----•------•---•-••......•.......................................................... W x ---------- _-...... U Nature of Repairs or Alterations—Answer when applicable.____ S .la��....... . n_.� .L ._. �L ............. ?.r-....::------ v .7,}G .....® was....... ... ..................................... 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 sys'temlin operation until a Certificate of Compliance has be n issued by the board of health. Signed -`' - ..`..- Application Approved BY %. �--'fir'"':L.�- 4`� r - -� e^ ...1� Dace Application Disapproved for the following reasons- --------------- ------------.----------......... ..........___...................................................... .......... -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------- .......... -----------................... 6-� - Da[e PermitNo. --------...�= Z. ..................... Issued ..........................................................1� ll Da[e THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE del`#tfira a of 01-11amplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( by ......... Yam � . -�`�.:In--s-[-a-l-l-e-r-------------------------------------------------------------------------------------------------------------------------- at ................................5�C.b.---- 1C 1rc,.w m✓vy..--- I,`', .iA--------!1W.................................----.........................................................---............. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for-Disposal Works Construction Permit No. ..... dated ��.1U2/�� ------7----------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE -r ..... ............ Inspector ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No. �6_ � TOWN OF BARNSTABLE 3v ......................... FEE......... Disposal Works Tunstrur#ilan Uprrutif Permission is hereby granted.......... ... .5 .(�.-........................................................................ to Construct ( ) or Repair ( t-)—ate Individual Sewage Disposal System atNo..•••............... . .------s v w, Y vy y......�1�r_�(.....�r�.------......................................------------------................ Street (�if_L/ AG—2 9 d as shown on the application for Disposal Works Construction Permit No.................... ated......................................... ............................................f.... e0�LJ --"'�� DATE. / Board of Health ------------------------------ t FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS