HomeMy WebLinkAbout0394 STRAWBERRY HILL ROAD - Health 394 STRAWBERRY MILL ROAD
Hyannis
A = 248 — 228
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TOWN OF BARNSTABLE V®O-
LOCATION �9p' S'f�d-��s�.r 61,?/ -2-1 SEWAGE#
VILLAGE ASSESSOR'S MAP&LOT Z �.?a
INSTALLER'S NAME&PHONE NO.C"a1e& �c/fa�i� S�<�<tPs 9Go-s23—si�J
SEPTIC TANK CAPACITY la.00 5:'cr l
LEACHING FACILITY:(type) 6k-C (size) c!:5X6-
NO.OF BEDROOMS
BUILDER OR OWNER
PERMIT DATE: 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) �/f Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) �" Feet
Furnished by / -
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No. D Fee
T E COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftprication for Misposal *pstrm Construction permit
Application for a Permit to Construct( ) Repair(.-<Upgrade( ) Abandon( ) ❑Complete System PI/ndividual Components
Location Address or Lot No.-IAA '`^@``�`°'�' L��!� Owner's Name,Address,and Tel.No.ryb`o--S-Z 7
Assessor's Map/Parcel 2 yt� 2*f
Ins ller's Name,Address,and Tel.No..S c-c7- 'T"s'- Designer's Name,Address,and Tel.No.
(r L'4idE row 9�desJ; ye�s�rf A/
9-1-29 s!
Type of Building:
Dwelling No.of Bedrooms Lot Size , ;ZJ--.4e, sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title r
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) ��/Grp
d PitslGe� r®rf �P�.Go m /C:G� �!�/✓/��t �s fo li�Fc
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 Certificate of
Compliance has been issued by this Board of Health. /
i ed G Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
J
Permit No. Date Issued
^• .*..-r,+.ti.-w..r-an. ,. - .r..n�f�__ /�/(]j���/,/. �.rrr��" ;.� /[\J'�j��, .. s -. .. ,�eg r !,
y _ �JV ,~�'IG.yip +6✓ _ �t r... A''�a,f,: r •s'`v'V,A `;.�h 1'�.�,:,'_t"' i..r'. � '�{ ` �. +�`
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9
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No. 14 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
• Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftplitation for Misposal 6pstetn Construction Permit
Application for a Permit to Construct( ) Repair(,/Upgrade( ) Abandon( ) ❑Complete System 91ndividual Components'
Location Address or Lot No._ V,y 1"`1-4 1� /4 �� i�� Owner's Name,Address,and Tel.No.eAfq-SZ 3- s'
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No.s-off'- 3= ��'�-'- Designer's Name,Address,and Tel.No.
�4C/./4�iiG.f C�s°`tC�`'Ci or'� ,/'�.!'iorciG fora-+r�f„S• A� y
f d :sTd /t7G/��i s'T; !<- yb•.r-s: tr/�1 ./�/,/� � .
Type of Building:
r Dwelling No.of Bedrooms 7 Lot Size sq.ft. Garbage Grinder( )
'1
1 Other Type of Building ' No.of Persons Showers( ) Cafeteria( )
Other Fixtures
[f' Design Flow(min.required) gpd Design flow provided gpd
Plan Date ,/ e Number of sheets Revision Date
' Title Z� .x i
-' - Size of Septic Tank Type of S.A.S.
Description of Soil
�r. .Nature of Repairs orAlterations(Answer when applicable) //,,,,..�.
�, •,r'.ar 7- �� Ir
�S.��'r r�/^.o+rl :Fr�r'A'ia/ ^"G�l`ms /"•-.,�P !/"i�'''�c>cy�_ i>r s- •G / -SC' ' i'�
f e
° Date last inspected:
1 Agreement:
r,
f a 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 Certificate of
Compliance has been issued by this Board of.Health. LL
. i ed /[r —� /1 Date
' 'Application Approved by J/ �, Date
s V / v
Application Disapproved by / r Date
for the following reasons ' Pµ
A
• Permit No. /J) ✓ Date Issued
THE COMMONWEALTH OF MASSACHUSETTS,
BARNSTABLE,MASSACHUSETTS '
/0
F Certificate of Compliance ,
jCERTIFY,HISISTO that the On-site Sewage Disposal system Constructed( ) Repaired(c�/ Upgraded( )
Abandoned( )by
at, 39'�/ cS/�ir<N•!r rry .i/ :p � r has been constructed in ac o� ance -
' :
with the provisions of Title 5 and the for Disposal System ConstructionJ Permit N . at-d
Installer mod's ----- Designer Al
#bedrooms Approved+des g flow., ''� gpd
The issuance of this permit
sshalll`ndt bee construed as a guarantee that the system will function designed. r
Date l 't/ + Inspector "... ""' •.
__-_____ .__.._�...- ...� _ _.� .:-__.r__�.v..a.=.ev.,--..�-s-=-...__-�..,-.-.,�.-..-._.•.... .___.-...�-_�-.-._ .. —•___-__-__ - __--v-._. -ya.
;t No.
Fee
)THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstrm Construction Permit
Permission is hereby granted to Construct( ) Repair(?/)� Upgrade( ) Abandon( )
System located at
and as described in the above Application for Disposal System.Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following.local provisions or special conditions.
Provided:Construc on must be dompleted pthin three years of the date of this permit.
Date,. Approved by
Y, ��
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 0 HEALTH .
_77��n..............OF..........:if - - �_ ......................................
Application is hereby made for a Permit to Construct (1<0—r Repair an Individual Sewage Disposal
S;sQat
4�-21jq . ....... . )44
SS
Z Other Distribution box ( ) Dosing tank ( )
-------------------
The undersig ed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
aC
operation until a Certificate of Compliance has been i�ssue jbyboa* rd 11th.
Z/ Date
Date
PermitNo........................................................ Issued........................................................
Date
No-------- ............. .................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.. . . -®ug ... .......OF...... .. + l;.*-«w :..d; s�.
Appliration for Di.iVa,ia1 Works Tomitrurtion Vrrmft
Application is hereby made for a Permit to Construct O o Repair ( } an Individual Sewage Disposal
Syste,,tn fat
.- ._Ey ^wyrj"a, �': _ l ', of' :.9 -a-l
�w a x atron l ddie.ss• /� �{ t j . or I;kot o.
...... :: ', TTT Fr1,,,x.�F'^- '..f-' s�° _...9. lzi'" ..3` ,arra,,...........
owne. Address
Zo
14 Installer Address
UType of Build Size Lot____ -----------------------Sq. feet
Dwellin No. of Bedrooms-.--------. ...........................Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building ............................ No. of persons-........................... Showers ( ) — Cafeteria ( )
Q' Other fixtures -------------------------------
W Design Flow_A______________ y=':_ .__.-gallons per person per day. Total daily ..... it R ___..___.._gallons.
WSeptic Tank -----------capacity/f_:� .gallons Length..... Width----------.----- Diameter.......--------- Depth___._____.......
__:.Total Length___________________ Total leaching area__...-_.............s ft.
x Disposal Trench—No_____________________ Width------------------ or g q.
3 Seepage Pit No_n................. 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--.--------____-__-----.
f14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------
P4 . .- .
.---____ Y _ - .-_� ________________.........................................................
D Description of Soil---------------•-- r �f- °�-t=r=....
x
W
U Nature of R airs or,Alt ations—Answer when applicable.-------------------------------------------------------------------------------------------
---.
C ---•----•----------------•----------------------------------------------------------------------------------
Agreement:
The undersig ed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by/the,zboard of health.
f/ �*
Signed
_ L :
Da
t4 �
te
A lication Approved B -� .__.__ ut ......................
PP PP Y =- r° s 6 p,;: - to 7 5 --
Application Disapproved for the following reasons:--------I----••---------------•---------•------------------•--•-----------•--------------•---•-------•--••----.
---------------------------------•------------------------------------•------------------•---------------•-•-----------------------------------------------------------------------•---•-•-•------------
Date
PermitNo......................................................... Issued.........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�` ............OF.... .. rl •y,t � ;;I .sue.:
TV.rrfifiratp of Tilutphatirr
THI JS �0CERTIFYhat the Individual Sewage Disposal System constructed or Repaired ( }
bY---------ir r --=ls;nt --------------------------------- ------------------------------•-•--
at x ---.. ,1X(ovisions,
SlleI
hhas been installed in accordance with theof Article XI 6f The State Sanitary Cade as described-in the
application for Disposal Works Construction Permit No...: ...:....... . ................ dated. .--.---7.-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL NOTION SATISFACTORY.
,Q
DATE..-------•--•---•------^-�5...... --- ---------------=---"----------- Inspector....... `-
- ...-_-----•---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
r °
No. --------------- FEs-_,_12--- ----------
�rrttJ ��1A�i�t�
Permission is hereby granted-_ - `--*---------------- ................................................
to Construct i�X)I or Repair ( ) an Individual e*,4,ge Disp sal System r
3
at No: efr�. 3 .g ..... yr Ua -tPVt 3¢ � .... � q�Ys�fa v ry`z?+= ? YE a `
•. Street �`/ AJ
as,shown on the application for DisposalWorks Construction Permit � 1t; .._.: Dated ? �° ` _ " _..--____
r. .
........---------=-=---
DATE......... ��.: .
' B and of Health
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS -