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THE COMMONWEALTH OF MASSACHUSETTS
BOARD ® 'HEALTH
OF........
-------------------------------------------
Allpfirativit for Elisplasat Works Tonstrurtion Fumit
Application is hereby made for a Permit.to Construct (,__�or Repair ( ) an Individual Sewage Disposal
System at• ss Z
SLI ' ` . 1. .. ,> .. f ---------------------------------------
L oca...p iorf ddress or Lot No.
._.. .: .. . ................. ...........................••......--•---• ...._•-•-•-..........------•.---•--------.............
Owner Address
Installer Address
Type of Building, Size Lot.1�.Z J�...�..Sq. feet
aDwelling-�'No. of Bedrooms............................................— Expansion Attic ( ) Garbage Grinder ( )
p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ------• -------------------------•---•---------------------------•-•-•--------.....................-- ...........................................
W Design Flow.............! _____.....__ gallons per person per day. Total daily flow........_..._r:� ..__._--.._.....__gallons.
WSeptic Tank--Liquid ca ....ty� gallons Length................ Width............... Diameter................ Depth...............
x Disposal Trench—No. Width. \ d ! `Total leaching area sq. ft.
Seepage Pit No.....{.............. Diameter_. ____. pth el i .....
Total leaching ar ...__ sq. ft.
Z Other Distribution box ( ) Dosing tankc�
Percolation Test Results Performed by.......................................................................... Date.................�....___._...Z..
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to round water_-_
' (s, Test Pit No. 2................minutes per inch Depth of Test Pit..__-__....._.•..... Depth to ground water.....___.__.__..._......
�� lg.... ..... d------- -i. _ -•• ---------
O Description of Soil. . Cj�_C " � � '�t!._ :
of —
1 ..... --
W V_
---------------------- -�= a------• .7v.----- -- . ....................................
VNature of Repairs or Alterations—Answer when a plicabl ......................................................................._...____....__._.__._.....
----------------•---...........---•--------......_............---------------------•--••------•--•--............-------------------•---------------------------------•------•-----•----....---•-•...---
Agreement:
The undersigned 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 board of health.
Signe ........... ........ ........................................ ................................
/f Da e
Application Approved By......° .G� 1 ; G � � � �' �� 'Date
Application Disapproved for the following reasons---------------------
---•-------------•---......---......•---•...---------------••-•---•-------------•••••••......._.__....•. .....................................= - ` ------ --_.!--._.....Date
Permit No.----....-•--•-••---•--•--•-••---••------•••-. --_... Issued.. -.----.
Date
No.--�(�.�---•-•• Fxs.., . .......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD ® HEALTH
---------O F. ....s. -----•-
/..... - ---- ----
, ppliration for Biupmial Works Cnomitrur#ion lirrutit
Application is hereby made for a Permit yo Construct ( or Repair ( ) an Individual Sewage Disposal
System at: j /� ✓ r f,'
'^.. � �.. d .... '.1' 3.'"y �s� i3Lr4^.� L :a -- 7 •�+ Jf f�
.. ...._..� _........t �� ......... ..... ' ...........ems' ' ._.. .7.. ...... ....-.......................................
Location` ddress �/ s� or Lot No.
• - -•-------------------------•-•---••-------.....---------------•--•--------------.............-•--
Owner Address
'�'-+......................................
Installer Address
Type of Building, Size Lot_ _ ___ ', £ --.Sq. feet
r, Dwelling NO. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ______-_ No. of ersons____________________________ Showers —
a YP g --•----••--••------ P ( ) Cafeteria ( )
Otherfixtures .....................................................................................................
Design Flow_ ______________ ___�•�!..___ .....:__.�__ii gallons per person per day. Total daily flow......... gallons.
WSeptic Tank Liquid capacityf. !Wgallons Length............ Width____ ______ Diameter................ Depth................
x Disposal Trench—No...................... Width..... --- of L -,4 Total leaching area_______________-____sq. ft.
Seepage Pit No.. ....... Diameter_ j` "p1_..._ t i el ef____________ __�. Total lea hing a } sq. ft.
Other Distribution box ( ) Dosing tank (; ) '+�,,,( ,,/r;t f (� � _l[ %ja
aPercolation R esults Performed by ..----•-- --------------••••--- -••••--• ..._•..... -•_. Date-------•----•--
Test P 1 - . 1......_.........minutes per inch Depth of Test Pit.........._......... Depth to ground water__-a..��...e........
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Description of Soil �"' "l /`�d"'....V........A.._..... . _:_ ,•.:. -
''
........................................``
,r�
f
•.......•-•-_----•--
U Nature of Repairs or Alterations—Answer when applicable.......... _____________________•.__._.__::_._..._.:_____.____._.____.._._._..___.._.....____.
x
Agreement
The undersigned 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 board of healthf .
Sign - ----- - .........................................-••... ...
PA
Application Approved.By ._ - -- rLtil,4 D_- -_ ......
D
Application Disapproved for the f olloiging reasons:____________ ______
Ii' = Date
Permit No.••_- ............................................
i g Issued............... X
.r....._..... % Date•--
. .
THE COMMONWEALTH OF MASSA HUSETfS
" BOAqD OF
HEALTH ,r ,
S
Sd
......... . . .�'j4'''t"/L".-�.." ...:..................
(I ........
rr#ifiratr >af Tom littUrr
T S TO CERTI hat I dividual Sewage Disposal System constructed ( or Repaired. ( . )
i Installer
00,
has been installed in accordance with the p von isis of Article XI�°f The.State Sanitary Cod as.de0�............. .....
4 . . . . ..... ;. .... .. ..
ribe in,the
application for Disposal_Works Construction Perinit-No __..,,�__.It 10________________ _dated__�__�� ___- --- -------
THE ISSUANCE OF THIS CERTIFICATE SHALL',NOT BE CONSTRPPAS A GUA NTEE HAT THE
SYSTEM ;1NI Fr N T SATItFACTORY.
L , .. 5" .� s -i °k'PygD�"OVI - P'' �€Y •lh4 'v..d ab i
:ATE_..._ -- 1t2gpeCtOrr
�+'!"_�3 ',&r .�'«+,2'U€'�`f"�.""'" -.:`�}�f �" �,�r. �.•? ..� ,, :.. k # .. . ?t- ° ? .- .. 3 • •'•� ;+l f �"rgi :-��f'K{�.
THE COMMONWEALTH OF MASSACHUSETTS ,
f BOARD HEALTH
.........OF..._.... ... .......................................... .
No...
......
yl.,6k FEE
t r ` 1 r tru 'grit; rrmit
Permissiotf is ereby granted ........................--- ........................ _..
to Constructs Repair ( ) nedividKewa a posal S/
at No.. �' J�'" -�f�.-... ..�'� ...----- ---... ... ....
Street
as shown on the application for4isposal Works Construction Per o...... _� ___ ted__�� . .........
Board o Health
DATE....71'*r;,hX.._.,•.._..-•-------------------------------
FORM 1255 HOBBS &,WARREN, INC., PUBLISHERS ,
V
�j
s s6
:July ,l 14
-Re Lot 13, Kristi way E
Marstons Mills
Mr. Robb-.:A* Campbell.
Old Strawber"ry Hill Road
-Centerville, Massachuseiti b2632 R
Dear' Mr. Campbell:
.Your request for a-variance from, our` l50 foot,distance between_
a well and sewage system has been approvod, .provided, .a minimum
horizontal .distance of. 100 Feet is maintained.,
We agree. that 'the derth•of the' -well 'should be}a' consideration;,
however, the State of Massachusetts' has •no specific well regulations
-.,.and '100 -feet; in Regulation 3«2 of 'Article •Xx, his a minimum acceptable'
distance. . Hoards of Health have the authority to increase'�this°
distance on 'any' lot without publishing a new last
DLeading authorities now consider•a minimum of ;.2Mfeet with.a ,
drilled -well and ,400 feet to be within reason.; Nevertheless, experts
could argue' this for weeks
The•vai ante was .granted not for monetary reasons, . 1t .was
.. ,granted because in case .of weld. and/'or 'septic syotem ,failure, there
is-' adequate, room for replacement« ;
Robert L. Childs r 'Chairman
s Ann Jane Es�hbaugh .
vc
s Gerald., W. Hazard, M; D
TOIIN'OF .BARNSTABLE 'BOARD OF HEALTH
Hite
y h
to,
.June •1+9, 1974.�'
. .z
..his.' '-`, 1 .,. 3 • ` _ - ' . ° s l _ x ,
Board of Health 1 4 It
,
Town,of Barnstable , _ - I
Hyannis, Mass. 02601
To the,Board of Health: -7
-� � 5�3`. ate,.,. � � _..) �, : � � � �-•'; � . '
The undersigned_petitions the-Board of Health to vary, in the manner
an&for the reasons -hereinafter:se. forth,i the application of the regu
lations:pertainingFtothetl'SOafoot dimension from well` to leeching pit`
on the following described premises. 4" <
Location Lot 13; KristirWay, Mar_stons Milli ..Y"Plan;enclosed herewith.
'Reasons for petition:
At `the-time' this regulation was published, the Board bf Health office
was contacted, -the explanation-was given that'-this new regulation would.
apply to newly created.lots but would 'not'.be imposed on legally existing
f` 16ts.-' The::undersigned fproceeded,'to `ebtain estimates, for.all phases of
4y
` construction, - subsequently=.a mortgage was .approved, based4on submitted
t' `estimates.:
;nr - The additional fifty feet .6f pip ng.represents an additional expenditure ,
- 'of%about $350.00, an"appreciable, amouiA 'to one of limited income.
Finally, it would .appear ao the undersigned that•'the 'application of this` w
regulation -should take into account the water table and depth of the well
as well as';the horizontal separation*between top of the.well pipe 'and
,leeching pit, if tha logical intent t of,:the` regulation is `tto..be farily 'ap-
plied;' t
It is requested•�that the 100'.: separation..be applied.
Respectfully `submitted,
t l„ Robb'A. Campbeli
�..; . Old •Strawberry'Hll,'Road
'�° Centerville,' Mass 02632
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J PLAN 80TK Z I ?, PA6C 117
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