HomeMy WebLinkAbout0247 STRAWBERRY HILL ROAD - Health 247 Strawberry Hill Road
A= 247-096-003
Centerville
is
UPC 12534
.2-153LOR
yG, TOWN OF BARNSTABLE
�1 J
LOCATION A y 7 57"/?A w,9 eRRy &1ze-'EWAGB # 2
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED: —
DATE COMPLIANCE ISSUED; `f
VARIANCE GRANTED: Yes No
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No......7w FEB.. ...30.00
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH_13 3
TOWN OF BARNSTABLEy�� 9�• ���
.� lit�i>��c nr �#i►�,�n�u1 'If�nrk,� Cnngt�#rn�c#inn erttti#
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at: t
247 Strawberry Hill Road yannisp rt
..........................•...........L.._..••••----•......••-----••-••......•..._.........__.... .••---•-••--•-•••••............------•-•-••-• •• -••......•-•---..... --•-...---•-.-•-••
Location-Address or Lot No.
Caf o 1la
......................-......................---••--••------•.................................. --•-----------------••----••••-•-•••••-•--•-•----•-•-•-••-•.......---.......................--••--
W J.P.Macomber Jr. O,rner Address
Installer Address
UType of Building 3 Size Lot............................Sq. feet
►., Dwelling— No. of Bedrooms..............------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ............................ No. of persons.............................Showers ( ) — Cafeteria ( )
QOther fixtures .------•------------------------------------------------------------------------------- .............................................................
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
R; Septic Tank—Liquid capacity------------gallons Length................ Width---------------- Diameter................ Depth......_.........
Disposal Trench-- No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No..................... Diameter---------------..... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
04
,-� Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
04 -•------••--------------------•--•••---••---••-----..........--••--••---•....................................................................................
O D cri 'o of
W aw Vc GH-7-e 1----------•---•----•---------.-•--•--•---------------•--•---------•------------------------------------------------------------------•-----.--.-------•--------
V ....-•------•--••--•-----•..............•••-•--•-•••••---•-•••-•............-•--•-••-•••••••••---•••-••••••---------••-•-••----••-••-•-•--
W
x •-- --------------------------------------------•-•-----------------•-----------------••-•-•-----. ------------•----------------....--•-----•-•-•--••-----••-•••--•--•-•••-•-•---•••......-••••-••.•....
U Nature of Repairs or Alterations—Answer when applicable--- --1000...Fallon septic tank. and 1
..-Mo... ]hp __•laachin9.__pit_,�....O.. tt ng••.ex st ng... esspool.................................................
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 Compli nce has ben ssue by the b rd health.
Signe ---: - ..---� ................... .......6/9/9. ....:------
Date
ApplicationApproved By ..................... �.. ..................................................... .o.. tQ... .:��
Application Disapproved for the following reasons: ................... . ... .... ............... .... ........... .-...................
.. ..................................................... ........................ . . . ..... ....................................................... -. ................ . ........
r Date
Permit No. ------ ,3.........L4--.57 ....._... Issued ................lf.�._..._`..:....... .... .......
Date
� mat( • _ ,. ... - ' 4
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH _
3
TOWN OF BARNSTABLE
, pphratiott for Diripoiul Workii TowitrurtionfIrrutit
Application i's'*'hereby made for a-Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at
247 Strawberry Hill Road West Hvannisport
.. ...................................•--..........--•------------------•-•---.......•---•_.._.. ..-----•------••••••-••--••••---•---•-...----•--•-•-••...--•-------••.._.........-----------------
Caf olla Location-Address or Lot No.
........---•----------.......................................•-................................. -----•---•-----•--•-----••--.................••----•------•--••-•......._..------.......-------•-
W J.P.Macomber Jr.Olrner Address
Installer Address
UType of Buildig 3 Size Lot............................Sq. feet
.� Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons----------.................. Showers ( ) — Cafeteria ( )
Otherfixtures ---------------------------------------------------------------------------------- ..............................................................
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.
3 Seepage Pit No..................... Diameter.---.--..-_-...... Depth below inlet.................... Total leaching area...................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by................................................................... ••--• Date........................................
a
Test Pit No. 1----------------minutes per inch Depth of Test Pit..................... Depth to ground water........................
93. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..--....................
9 •--•...........................•----••--... ••---••--•-••-----•---•--•--......_...•-•.._...............----......
xD ar ,goVfG�oa_V_e_ •-•--•-••--------------------------------------------•-•---•------_-....-•----------•--`-.............--------•-----•--•---•---•--........---.................
U ...............................................••---...........-----•---••----••--••--•------
...........................................................•---------•--.........-•----•..._......------•. ...........................-----•--•----••-•------..............-••-......---•--.......--
U Nature of Repairs or Alterations—Answer when applicabl'`e�l-�1_�J__00 gallon_"septic tank and 1
-_..
1000--.gallon-•-leachin- pit-• -Omit•tin7 -existing-•cessAool-• ••-•-•--••-
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"en s ued by the board of health.
Signed--�.• ._........ .................. E/9/93... ....
Date
Application Approved By .................... g
1'..- l`�'.-...........�
Date
Application Disapproved for the following reasons: ....................... .............................................................................................................
--------------------------------- ------------------------------------------------------------------------------ ----------------------------------------------- ---------- --------------- - ........................................
GDate
Permit No. L.-?...-....c �...................... Issued ...... - ��.. ........... .......
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
('Ie>r#ifirate of (11-omplianre 1
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired �XXX
by J.P Macomber Jr. --------------------......._..... ..... ...... ........................ .................. --. ...........
..............�.. ..................-- --------- _... .._:... -
lacrdlcr
at ..247...Strawberry...Hill....Road....We.s.t Hvanni.s.:.Dort...........................
................................................................
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 ......._............................_...._.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.................q...... _......................... Inspector ... .. .... . .........._..._.......__... . ........
- ------------ ---------------------,----_,_-_,___.--____-•_m-----__-•_----- --_
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
q i TOWNIOF BARNSTABLE
No..1._:L.. C':S FEE-. .32_.00..
�t DSFtI,• M aC omT mitrurtion "nutit
Permissionis hereby granted......................................................................---•---••---•---•-••-•----------•••-••---•••---..--.....--•-............
to Const u t ( ) or Re air ( ) n Individual Sewage Disposal System
at No.....r.._... 7..SLrawb�rry Hiall Road WestvHyannisport
street i-
as shown on the application for Disposal Works Construction Permit No. 3_�.4�._�- Dated...........................................
�' Board of Health
DATE....................��----�---G�-------j---�-----------••----..............
FORM 36508 HOBBS♦!t WARREN.INC.,PUBLISHERS