Loading...
HomeMy WebLinkAbout0394 STRAWBERRY HILL ROAD - Health 394 STRAWBERRY MILL ROAD Hyannis A = 248 — 228 0 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 / - l i ti � O O � 1 �'+ � C� � ` � � p` o �, M � � � � � � � � � � � � � � c � 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'. � '�{ ` �. +�` l 9 ;2 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 -