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Home My WebLink About0552 STRAWBERRY HILL ROAD - Health 552 STRAWBERRY HILLS CENTVILI A= 249 165 i s I IN • bpc 12534 No.2�153_LOR NASTIN98,YN TOWN OF BARNSTABLE LOCATION 2 0 u.t e, A A►/ /:6 EWAGE # ' VILLAGE Ctn ASSESSOR'S MAP&LOTO� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY _ �I LEACHING FACILITY: (type) C In l6Zr'S (size) 500 A� NO.OF BEDROOMS BUILDER OR OWNER U/&r' i PERMUDATE: 6111/52 COMPLIANCE DATE: 9'611 1 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 ®� /v I� � '` a a� ��- . ` �� I I � .. _� Fee K THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1) es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2ppfication for �Digoar bpmem Construction Permit Application for a Permit to Construct( )Repair� )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components on dress o Lot No. Owner's Name,Address and Tel.No. � � raw`berrry Hill Rd.. ,Centerville Cherri Und.erhill Assessor's Map/Parcel 771-7486 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P95B8�7 089, Centerville , MA Type of Building: Dwelling No.of Bedrooms 3 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 Type of S.A.S. Description of Soil Sand Nature of Repairs or Alteration!?(Answer when applicable) New Title-5 System, consisting of a D—hnx and 2 heavy (hits leach r.hgM'hpr-, . Date last inspected: 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 Certifi- cate of Compliance has been issued by thi5 Board of Health. Signe t Date —- Application Approved by W A Date Application Disapproved for the following reasons Permit No. Date Issued >J F THE COMMONWEALTH OF MASSACHUSETTS Enteredincomputer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS F 0[pprication for M.5pool *pgtem Con! truction Permit Application for a Permit to Construct( )Repair )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components on dress o Lot No. Owner's Name,Address and Tel.No. °� rawber. y Hill Rd.. ,Centervil e Cherri Underhill Assessor's Map/Parcel V. "� 7 71_748 6 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service �95BP7�089, Centerville, MA Type of Building: Dwelling - No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder( ) „ Other Type of Building No.of Persons Showers( ) Cafeteria( ) i Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title f' Size of Septic Tank Type of S.A,S. „ f Description of Soil Sand Nature of Repairs orAlteration3(Answer when applicable) New Title-5 System, consisting of a D box and 2 hP v3,r du it lPach chambPra Date last inspected: 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 Certifi- date of Compliance has been issued by thi Bo d of Health. Signe l i f Date ^ Application Approved by Date Application Disapproved for the following reasons6L Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS Underhill BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewa a Disposal S item Constructed( )Repaired (X )Upgraded( ) Abandone )b W.10 E. Robinson Sep is Service at DD� Styawberry Hill Rd. , Centerville h constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. w°" dated InstallerWm. E. Robinson Sr. Designer J. The issuance of this permit shall o/ b/�jconstrued as a guarantee that the sy Ttern�dll =t* e igne�Date �/�l Inspector ! V a No. Fee $5 THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Underhill Mioogar *pgtem Congtruction Permit Permission is hereby granted to Construct( )RepairX )Upgrade( )Abandon( ) Systemlocatedat 552 Strawberry Hill d,. , Centerville and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction t be c mp -ted within three years of the date of thi e�t-: r1Date: CV �'/ Approved by l y '1' •� �� NOTICE: This Form Is To Be Used For The Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I, William E. Robinson, Sr. ,hereby certify that the application for disposal works construction permit signed by me dated A-6 yW'F—'21 concerning the property located at 552 Strawberry Hill Rd., Hyannis, MA meets all of the following criteria- / e are no wetlands within 100 feet of the proposed leaching facility. e are no private wells within 150 feet of the proposed septic system. e is no increase in flow and/or change in use proposed. e are no variances requested or needed. te proposed leaching facility will be located with 250 feet of any wetlands,the bottom of the proposed leaching facility will=be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S. map) a B)Observed Groundwater Table Evaluation(according to Health Division well map) SIGNED: �, DATE LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 60 (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). G'/`-y t � O Ana �� TOWN OF BARNSTABLE LOCATION _Ss S � dd �,ts , /t A%/ /4,'/.4EWAGE # / VILLAGE Ce-n k °' ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. Y� SEPTIC TANK CAPACITY /000 LEACHING FACILITY: (type) _ C�Am Ao e-,, (size) NO.OF BEDROOMS J BUILDER OR OWNER U A ; / I PERMITDATE: 5I19 /59 COMPLIANCE DATE: 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 v YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 161 Fill in please: APPLICANT'S YOUR NAME/S: ^ ' a5r BUSINESS YOUR HOME ADDRESS: r ,�� ' 5 _ r a�s-77�, - 3y3 e e m u; 26 Z TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS ' v r PE OF BUSINESS f1 IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS / ��— &-41 rfJr� AP/PARCEL NUMBER �(O� (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISS1 ER' OFF E This individual be n irF-or e o an per it requirements that pertain to this type of busin&JST COMPLY WITH HOME OCCUPATIO!, RULES AND REGULATIONS. FAILURE TO ''Au hori Signature** COMPLY MAY RESULT IN FINES. MEN I _ -- G 2. BOARD O EALTH This individual has been infor of t permit re uirements that pertain to this type of business. Authorized igna ure** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: