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Home My WebLink About0070 JOYCE ANNE ROAD - Health 70 JOYCE ANN RD., CENTERVH LE UPC 12543 yea Now 53LOR °psr•co ° HASTINGS, MN I April 27, 1993 TO: Warren Rutherford, Town Manager FROM: Susan G. Rask, Chairman of the Board of Health RE: Fuel Tank Storage License Fees During our public hearing regarding the Board of Health fee schedule held on April 22, 1993, Mr. Tillo of ,7 .Joy_ce_ Anne _Road..,-,Ceritery -:-1-e suggested the Town should return the funds o1lec-ttedfrom the fuel tank storage license fees to those individuals who are removing their underground tanks. This would help those individuals fund the costs associated with removal of their tanks. Currently, the Clerk's office bills and collects funds from those individuals who own underground fuel storage tanks on an annual basis. The Board of Health wishes to encourage these individuals to remove their underground fuel storage tanks. We believe that such funding may be very helpful to many citizens of the Town. Thank you for you attention to this important matter. cc: James Tillo 70 Joyce Anne Rd. , Centerville Linda Leppenen TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS 1 NAME ID O ADDRESS 212 g VILLAGE LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: /n � OR CHEMICAL Zoo 4-...J J J&Z (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4.. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS A P P R O V E D Barnstaple Conservation Commission Data O -- No.. ..........._....... Fimx.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...TO. V)..................O F...-�.Cl-i�(�-5- Appfiratiun for Uigpuiia1 Works Tongtrurtion Prrutit Application is hereby made for a Permit to Construct (V ) or Repair ( ) an Individual Sewage Disposal Systeul at: r. �� C�.(�.dct .. --►-�-------- ---------- ------ .................................................... o-a on-Ad or ... r il2n..._� .. ..... . .ru =�------------------ ...................61 `� '�I/.... rlt�! ...�------------- O ner V I�ddress Installer Address Type of Buildi g Size Lot----- Type feet U Dwelling-No. of Bedrooms____________ ____________________________Expansion Attic ( ) Garbage Grinder (L-(�S aOther—Type of Building ____________________________ No. of persons___________________---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures .------•----•----•-----•------•- W Design Flow________ __ ___ _____�i.�L _ gallons per person per day. Total daily flow.........................� f� __.___gallons. � Septic Tank--Liquid capacity/1(_�______gallons Length................ Width................ Diameter................ Depth................ Disposal Seepage Pit Trench o....... -_____.- Diameter kith_jd. Dept Total let.__. ________Total leaching leachinga area___y ........ q, ft. x z Other Distribution box ( ) Dosin tank ) , ( / `-' Percolation.Test Results Performed b .i .'f"V.__ C.�'1! ' Date__ /_ _`_�___________________. Y----•• --•--•-- ,� Test Pit No. I....,, 2'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__-__-_________________. --••-•-1---- O Description of Soil----0-^Z �re.........�-CZ- �" ---- -� c.� -� 5 - -��----------------------------------------------------- w U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------------------___________________________________________ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance.with the provisions of I- p 5 of the State Sanitary Code—The undersigned further agrees not to place.the system in operation until a Certificate of Compliance has be issued b th b d of health. igne Z ... Application Approved BY -�� U. ��/d --��---.�--�e---�--- Date Application Disapproved for the following reasons:_________________________ .................................................................-___.___._....._..._. ....-•--•------------•---------------•----•--•--•--•--------•--------------------------•---•-••---•-•••---••---•------•--•--•-••-•----•----•-•--•---•--•-----------------•-----•--••-------------------- Date PermitNo......................................................... Issued_....................................................... Date L• �.� No. _....... Fss .�..'�........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH lU..�1,1.V1. -- ---...OF... O. 1n. _..... Appliration for Uhipvii t1 Mirkii Tomitrurtinn Prrutit Application is hereby made for a Permit to Construct V or Repair ( ) an Individual Sewage Disposal S stem at R ._. .� 6. .. -fit.----____.�_.... _ --- - ------------------ ------------- qqc ion•Alr or t No. 1 -- h. ! " "r...... 1--- ------------- ner • Address a _ ..-- �n s: - d ------------------- � .........•-----...------------•----.............--- Installer Address d Type of Building Size Lot---- feet U Dwelling—No. of Bedrooms......... ............................Expansion Attic ( ) Garbage Grinder (y)'$ aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Ot r W Design Flow....... .54.•_.....__�l�..�,/�-gallons per person per day. Total daily flow_-__._......................gallons. WSeptic Tank—Liquid'capacit......__..___gallons Length................ Width---------------- Diameter................ Depth................ x Disposal Trench—Zo- •------------------- WidtV j......._._._.. Total Length------- Total leaching area___..1/,0.X.sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing.tank ( ) p! '- Percolation Test Result .2• Performed by---- Date..31 1-7 ............. Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Cl, Test Pit No: 2................minutes per inch . Depth of Test Pit.................... Depth to ground water.........:.............. a ----------------------------- .... lf�. w ' ---------------------------------------------------------------------------------------------------------------------------------------------------------- ............................................ U Nature of Repairs or Alterations—Answer,when applicable............................................................................................... s( .................................................................................•....._...._.._..............._....--....----..._....._........__....................__......__........_.._......_._. Agreement: The undersigned agrees to i'stall the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:T`:' y g g p y 5 of the.State- Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Com"pliance has bee i sued b the boar of health. Sig dv A lication Approved B � / PP PP Y ==== -:,---•---•.....................•---•---•••---___-. ..........------------- ............... Date Application Disapproved for the following reasons:..............----•--•--•----------••••-•••-•-••••-•--•----••-------------•-•-------------.................... ................•••••--•--------------••--•--•----••---------------• .......... ---------------------------------------------------------------------------------------------.-•••-•-------•-------- Date PermitNo......................................................... Issued....................................................... t Date t THE COMMONWEALTH OF MASSACHUSETTS • '"•'> ABOARD OF HEALT lowo.................OF.. .0..f. 6 ..... . .......................... Tntifiratr of Toutpliatta / /��,R wage Disposal System constructed (1�) or Repaired ( ) by...Tl�C7..Si t'�"lYI 4.. �bA ciividua- Se ----------•-------------•-•--••--------------•---------.....-------------_-_-_-_.-----•-----------_- 1 taller srhas been installed in accordance with the provisio�is of'60ki d`9` The State Sanitary �AdcAs*%ibyd in the application for Disposal Works Construction Permit'eT o_______________________________•-__---••. dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...........................'.................................................... Inspector.................----------........................................................ 1 THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEA1 TH 9 + t _ / TD.(J Y}................OF..,... ........................... No......................... FEE..... :_.. ..... -EWposal Workii To ar in rruti# Permission is hereb granted -� ..... to Constru ( or Repair ( an dividual S . a Dis tl l Street ., as shown on the application for Disposal Works Construction Per _ o.... ___ 1 ted.....,..................................... ----- -- --------------------- - Board of Health iDATE------.- .............................................................. i - j FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 1 -r - -GA Q G LE Ir•,AM 1 Lam( • 4 E7��nRDID�V� V./l n4 oA t L-Y Vrw..v . ►Io 44 +50%'blov�'.P.R 5a1pTt G T A.U414 • ddo If 200 %_ inc) . 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LEActa PITS SAS I, 6aA��z. ioy6L +JO '.S_4LIW I >; ('��o �o►T� 3I/'1 far IJo �QTg12- rum• 4IG�f31 ' t Ca-stTt FY T"AT TNT FOL) t>A Pt.-d�.t 2EF�r,.�C� I� ``�� ►-BEQE.o�.1 -'GOMP�-Y S W t TN T�iG. �hEl.1�at�hr. �I ��T AND Sk'TSAGK. %Z640Izr-_mrL4-r,5 OF T► & Toga" OFrid. j �I APPLE th100 C> c..s�,�..�.•t�•-' ' $A X T e 2 !. I.i`i t= 1�.1C. r �%5Trm ¢.Eo LAt.tn� Sc�evt-�(oe� TKIS PL&W 1A, UOT BASED OQ AU IUKTCOAA -AT !� OSTE:QV1ts.b Sys. SUttVe/ T"Q OFFSET; S1�OULD �IUOT is6 USeU I APPL. GAw To 'DETecm4 F_ LoT Ld6JF$. L67- 2 / ,�► L0CVolO SEWAGE PER 0• N � C - VILLAGE _e y ee INSTALLER' NAME i - ADDRESS BUILDER R !.rN En _ , DAME PERMIT ISSUED If-43 _ � � DATE COMPLIANCE ISSUED - 51�� r n �L4 �2 f an . l' al