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Home My WebLink About0703 STRAWBERRY HILL ROAD - Health 703 Strawberry Hill Rd. , Centerville —A= 249-061 No. 42101/3 ORA ilt P a nESSELTE IPex 10% (5 0 a ° 0 M TOWN OF BARNSTABLE LOCATTON2o3 S/l,o�.,�r-22 l�� f'� SEWAGE # VILLAGE ASSESSOR'S MAP & LOT°Z5`r — oG/ INSTALLER'S NAME&PHONE NO. 191(c/t�, if 2 7 S e 3 2 SEPTIC TANK CAPACITY ZV c'n LEACHING FACILITY: (type) /0y_c e.4 rT Pr i (size) C� -2 `Sr �o, , NO.OF.BEDROOMS 3 BUILDER OR OWNER �Y�-�� V-<6 0,2 c- ff 91ic, e i T PERMTTDATE: 3 ' '/5 S COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 Q 0 13 12 t.0 i0005T a� e . . r TOWN OF BARNSTABLE LOCATION;70 3 5i/1, -,Y•e 2/ l�i �� ff 40 SEWAGE # �l S= 3 IT d VILLAGE ec A-17 C-S 11111 ASSESSOR'S MAP & LOT^�5d5 — oe/ INSTALLER'S NAME&PHONE NO. RR« �wj r SEPTIC TANK CAPACITY Lv o G.� A.csS LEACHING FACIL=: (type) 100 e C,4 s! ft i (size) CX 6/ NO.OF BEDROOMS BUILDER OR OWNER Z),,- PERMITDATE: _ ' s/5 S COMPLIANCE DATE: Al Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well andieaching 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 Ck i 13 !� A a°" V N_ LQ l000ST Q P� T _ No.... .:.. ...._. Fa$......3 0................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Ali►ipmial li ork6 Tomitrnr#ion ramie Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 703 Strawberry Hill road Centerville ..............•--•--------•-•-•--..........................-•--------•-•--••••--•-••......-•.....• •••-•--•---•-•-•---••---................----•------------•----•---------------••••.....•-•--...•-- Location-Address or Lot No. Georr�. e and Lynda Kalweit 39 Marie Ann Terrace Centerville . .....-• -- -•-••----- ----------•••.--....•.-•-•••.•......---•..... ...._... W ARCH CONST COo"17CC HYANNIS Address Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.-_--_------Dwelling— Attic ( ) Garbage Grinder .(l) 04 Other—Type of Building ............................ No. of persons---...--.................... Showers ( ) — Cafeteria ( ) a' Other fixtures ................... W Design Flow..........110 ..gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.110Q0gallons Length---------------- Width---------------- Diameter-......-.-.---.-- Depth................ x Disposal Trench-- No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.....1.............. Diameter......J6----------- Depth below inlet--------6......... Total leaching area..................sq. ft. Z Other Distribution box (x) Dosing tank ( ) �4 Percolation Test Results Performed by.......................................................................... Date........................................ a a Test Pit No. 1................minutes per inch Depth of Test Pit................--.. Depth to ground water........................ GXq Test Pit No. 2................minutes per inch Depth of Test Pit.....---....---..... Depth to ground water........................ a -------------------------------------------------------------------•----------------.........................--•------------•----------..............••.•---- 0 Description of Soil.............................................................................................................................................................--........ W U ....---•-------•-------•--•-...•-------•---•................•--•---•----•-••-----••--•-••-----------•----•---------...-•--•----••---...•--•----........-•-•••----------------••--•••--••••----•-•---••- W ---•-•• -••-------------------------------•-••••------------------------------•--•-------•-----------------•-----------------...---------•---•-•---------•----------•---.........--•----•---......... U Nature of Repairs or Alterations—Answer when applicable...........TITLE---V--- SEPTIC__-SY.STEM_________________________ 1.000.... ANK f._ DBOX... ND__ 1000_LEACH...P-IT...WITH.._2---FEET.STONE__________________________________________ 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 issued by the and e _ Signe .................. ...... 3....14....95.:...... Dare Application Approved By ............... ...... .....j, .. ......... . ....... .-- -----...... ....................... ................Dace........... ........ Application Disapproved for the following reaso ................................ ---------------- --------- ..---- --------------.....----------............---------......-----..................... . ,' Permit No. .................. Issued . ...... ...._....� ..Dace...... ...... �� --��.O , t 12 No.. .. Fas......3 0_............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di►ipoou1 Vork,g Toutitrnrtion rrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at 703 Stawwberry hill road Centerville .............................•------.....---•---•-•---._....---------------•-•--..........--_...-• -•------•-•--•----••-----••------•-----•------•----......-.......--•---------------.......---••••- { Location-:Address or Lot No. George and. Lynda...Kalweit 39 Ann Terrace Centerville .....- - •--- -----Max-- -- ••••••- -----------•---- ---------•...._..------..__............................. ARCH CONST CO Owner HYANNIS Address a •--•----------•------•----------------••------•-•----•-----------------•---•-••---------......---- ---.........................................................................=..................... Installer Address UType of Building 3 Size Lot____________________________Sq. feet Dwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder kit/) aOther—Type of Building ---------------------------- No. of persons--------------•------------- Showers ( ) — Cafeteria ( ) dOther fixtures -----------------------------------------------------I----------------- ---------------I.............................................................. W Design Flow..........110 gallons per person per day. Total daily flow.........................................•..gallons. WSeptic Tank—Liquid capacity 19 QQgallons Length................ Width_--..-.-.--.-. Diameter................ Depth................ x Disposal Trench--No .................... Width.................... 'Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.-.-.I............... Diameter.--...fi........... Depth below inlet......... Total leaching area..................sq. ft. Z Other Distribution box (x) Dosing tank ( ) aPercolation Test Results Performed by-------- ---------------------•------•---------------------•------•----•-. Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f? Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ ai DDescription of Soil......................................................................................................................................................................... W [ UNature of Repairs or Alterations—Answer when applicable.......--.TITLE- V-SEPTI•C-..SYSTEM-•.-••_-_•••••-••••-----, 1000 TANK, DBOX AND 1000 LEACH PIT WITH 2 'BEET STONE 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 issued b�board f-hea k . Signed,.,-_.. .v...._.-.��?.,n.-..n..................................�� ........................ .. ......_ ....... 3.,/..1 /9.5........ Due Application Approved By ............. 3./11A.................�s-----�. ,........... � ... .�.-.. ................. ...............i ce........._....._ Application Disapproved for the following reason.cr.-----------------------------------------------------------..._..---------------- l....-........-.. / e Permit No. ................... j I l/ Issued ........,_- D�e ift ............. .jlr...l.� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CP1tifirate of Tomylt';Unre a THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x ) bARCH C.ONST.......CD... :-..._.....--..-- ..._ .... .._..._ ...... ................................. ..............................y ........... . .. ..-... ........-.. 703 STANWBERRY HILL ROAD CENT90ILLE -------------------------- ------------------------------------ ----------------------------------------------- has been installed in accordance with the provisions of TITLE 5 ;Lhe State Enrv' on mental Code as described in the application for Disposal Works Construction Permit No. - '-".-.. � dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST 'UYA AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............._.._...-..-..-.�.._ -.........:-L.. ...-.._...--......-.. Inspector .......... ,..; ................... ___,-,m_.-.__________.__.__.-_-_.----------------------------___----------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE NO......................._ FEE_bw..._..._.... Rapooat Workii Tomitrurtion lermit ARCH COIQST. CO Permissionis hereby granted_- - - ---- --•-- - - ----------------------------------------------------------------------------------------------- to Cons t uet ( r RR i k n Individual Sewage Disposal System IU3 S�Rg1W73IEM I�I L ROAD CENTERVILLE ,� [w► atNo-------------------------------------------------------------------- ---------------__--------- ------ 1 Street � ✓1 1 / as shown on the ap lication for Disposal Works Construction.� �� n �, --•--n----��-�-•- !Y�_- ... ...h,er t it No. ---'4.' ate�, . [ l •---•...-•- ,� " �,-,` r Board of Healtlr� �} l DATE..........:............--�-----1-=--�----....................... ------------ FORM 38308 HOBOS&WARREN,INC..PUBLISHERS ,