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
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TOWN OF BAP?NESTABLE
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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 ...............
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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
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TOWN OF BARNSTABLE
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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
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