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HomeMy WebLinkAbout0848 STRAWBERRY HILL ROAD - Health 848 Strawbery Hill Rd. A= 230- 16 Centerville S M E A D'o No.2-153LOR UPC 12534 amead.com • Made In USA ooyc I!6lU5�N11NOI000CTUE SFI OFMMMCWM WWWSFWWGWVA i l57 Flea P't TOWN OF BAP?NESTABLE 200 SEP 2 6 PH 1: 12 DI ;, i �U✓l cl� 1 N �. i �, i .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliriitivit for Di►ipwi tl Wor1w Towitrurtion rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( �n Individual Sewage Disposal System at: ' ' Location-A, rcss ....AL.W.... o Lot o. �\.L.� 1f ...... .1 ......... ........................ �'- - ....� \�.�... ......... O,cncr (adc Installer Address d Type of Building Size Lot...........................Sq. feet Dwelling— No. of Bedrooms_______________________Cx�s _Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons----__--_--_--__.___._..--- Showers ( ) — Cafeteria ( ) dOther fixtures -_---------------------- ------------- - -------------------------------------------- -----------------• .......................................... W 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....................................... Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ---- ------------------------------------------------------------------------------------------------ ------- ------------------------ ..... ----------- -... ----•" 0 Description of Soil........................................................................................................................................................................ x V ...............................................•-•---...........--•----•-...._._........---••---....-----•.......•-----••.........._..........._..--•••---•-•----•--•---...................--------...... W .................................................. •--•--•----..._...-•-•--------............_.....-----••-----•-------"•-------------.....-••--•------•----•--...----...... x Nature of Repairs or Alterations—Answer wh n a licable.. f CO.c��i.-��,.y��x••>--...-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 Com ante as b is the board of health. Signed ...... . . ....... ... ... . ... ...... " .." ....................... .La..�.. .....Q:� Application Approved By Q..-. �..ZL! ...... �NvNbtwT AAPoN �3�a20 ®1= tf Efiz.7 .. ' �+1�1L oN I��Nl�3 Date Application Disapproved for the following reasons: ................................................................. ........................"""...................""".................. .................... ....................................................... Da � te Permit No. _ .`..........`.� .................... Issued ........ .� " ........... ........... ... Dace ............... A7 YI L '46. No..9"�> ............. = FEB—* THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appfiratiou for Diripasal Workii Towitrurtiou Frratit Application is hereby made for a Permit to Construct or Repair 14an Individual Sewage Disposal System at: r Lot 0-------_-------- ......... Oo-ncr Address ................................ Installer Address Type of Building Size Lot............................Sq. feet U aDwelling— No. of Bedrooms............. &7, _E1 xpansion Attic Garbage Grinder Other—Type of Building ...................... ..... No. of sons-..------------------------- Showers Cafeteria 12,C_r ')�"4— Other fixtures ---_------------- --------------------------- ----------------- - A ._ L.. ......... - Design Flow,..........................................gallons per person per day.j Totftf-daily`flow I.............. ........gallons. 9 Septic Tank—Liquid capacity------------gallons Length---------------- Width-.-_---___-.--.- Diameter-__..-_-_.--_-__ Depth__._...__.._.... Disposal Trench--No. .................... Width____-.-___.-.--___.- Total Length.................... Total leaching area....................sq. f t. Seepage Pit No..-_---_.---_---.__ Diameter.--__-.-_-----.-- Depth below inlet____________________ Total leaching area..................sq. ft. Z Other Distribution box Doslirirm g.tank Percolation Test Results Peffo �d-byn-:.:,'--------*........................................................ Date..................w...... ........... Test Pit No. I----------------minutes per inch Depth of Test Pit......_._.____._..__ Depth to ground water_....................... Test Pit No. 2................minutes per inch Depth of Test Pit...._._._.__.______. Depth to ground water....__...._._._.___..__. -------------------------------------------*---------*"*.................."----*..........*­.....­*..................................... C) Description of Soil............ ..........................*---------------"............................................................................................................ ............................................................................................................................................................................................... ....... . ............*-----------*-------------*-------------------------------------------------------------------------------------------------*................................. . ................ U Nature of Repairs or Alterations—Answer when aUlicable._%7)V .... . ................. ........................................................................ 15( Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 oft he State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Com:t-ia—n_c�e'%Z�,asbee Issu tf-�y the-board of health. Signed .... .............. jF la Application Approved By , mu ....'.-z.P�A4 ....... ---- ------------b------- ----w-o�Ly­j......qj_i�j�......�)......................................................... --Date C_J3t4T(N6CN7' UPOM C)-Pta 01- 1 W c 0V i/'qh_-- Application Disapproved for the following reasons: ................................................................................................................................. ......................................................................................................................................................................... --------- ------- 9� te PermitNo. ------------ --------------------- Issued ...................... ....................... .................... Date t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE � Certifir ate.of Tomplianre T S TO C&O'TIFY, That the Individual SAage Disposal System constructed or Repaired ------------ . ... ------- ...................... h,:die ............ ---------------------------_ b. ......... .. ............ .................................... .......................... ......... .........IN at -------- --------- --- has been installed in accordance with the provisions of TIXI of The toe Environmental Code as described in the application for Disposal Works Construction Permit No. .-W. . ..... dated ........ Y� THE ISSUANCE OF THIS CERTIFICATE SHALL/NOT'BE CONS, UED A 63-bA NTEE THAT T E SYSTEM WILL F CTI N SATISFACTORY. 0 Inspector > DATE----- ...... ........................ ............... .......... ---- --------------------------------------------- ... ....... ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTl4D/ ._— _11'V_ TOWN OF BARNSTABLE No FEE._. �d_..de ........... ..... Uhipoaal Warkp Tomitrud- Wit rprutit Permission is hereby granted ....................................................... .................... ---I ............ to Construct ( )—or Repair an Individual Sewage(D�posal tern at No. -a.....I Rll/ cy.'s, .....CAN_:..................................... ------ ---- t<0 - --- Street �..___'._....___ , ­... ._. ..............I......r 6- N ,,\/O§sh6wn on the application for Disposal Works Construction Per - ---­--­---- -­--------------- ............. ........ . ................................. Board of Health DATE........ . ......................... ............................ FORM 38908 HOBBS 6 WARREN.INC..PUBLISHERS ehy 1 r' �SPOO L 1 . U� 1 � -TAM►k b 0 . D� c � / A _ N F!tTehtTO �96�1(3A L O TT-o� I'Dr-. - t� �gq�4:::7�- No p�f�2N� �LCG�t2tG ' 20 UN�Wfl z S Co 2- 'I -PC 'l�l TOWN OF BARNSTABLE yQF TM E Taw OFFICE OF Beaa9Tsn i BOARD OF HEALTH i639' 367 MAIN STREET HYANNIS, MASS.02601 January 19, 1993 Eric Broman 62 Monomoy Circle Centerville, MA 02632 Dear Mr. Broman: You are granted a variance on behalf of your client, William Souweine, to install an on-site sewage disposal leaching facility 96 feet away from the existing on-site private well located at 844 Strawberry Hill Road, Centerville. The Board of Health recommends that you sample the private well water for laboratory analysis every year. The variance is granted because the existing cesspools are illegal according to DEP and are located only thirty (30) feet away from the private on-site well. The replacement septic system meets Title V, the State Environmental Code and all other Town of Barnstable Board of Health Regulations. Sincerely yours, usan G. sk Chairman BOARD OF HEALTH TOWN OF BARNSTABLE SGR/bcs cc: William Souweine broman TOWN OF BARNSTABLE LOCATION8j (� �Q�UlURjNSEWAGE # ASSESSOR'S MAP & LO =a -t INSTALLER'S NAME & PHONE NO&\��` i` &� -111 Ga(R4 SEPTIC TANK CAPACITY JkFjC0 q( , LEACHING FACILITY:(type) ��3FUC&� Q'�j (size) X NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: I(p Q DATE COMPLIANCE ISSUED: I` VARIANCE GRANTED: Yes No 9 IN .I of ' -Ile' k