HomeMy WebLinkAbout0526 MAIN ST./RTE 6A(W.BARN.) - Health k
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526 Main St., W. Barn.-
........ ...
TOWN OF BARNSTABLE
�pF tM E TOi�
OFFICE OF
DAUSTABL S BOARD OF HEALTH
y NABS,
i639' 367 MAIN STREET
I �'Q tlAY k
HYANNIS,MASS.02601
February 4, 1994
James Barrett
526 Main Street
West Barnstable, MA 02668
Dear Mr. Barrett:
You are granted a variance to install a replacement onsite
sewage disposal system within 100 feet from an onsite
potable water supply well located at 526 Main Street, West
Barnstable with the condition that the "garden" well shall
not be used for drinking purposes and shall be clearly
labeled "Non-potable water supply not for human
consumption" .
The water supply well which is utilized for drinking
purposes should be tested on -an annual basis to ensure it
meets drinking water standards.
This variance was granted because the existing cesspools and
piping had "failed" . The location of the new septic system
was the best location available within the constrains of
this lot.
Very truly yo rs,
i
Joseph C Snow, M.D.
Acting Chairman
Board of Health
Town of Barnstable
JCS/bcs
Barrett
A J33 --- 00
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No-- ----------.... . Fxs....� .��.....
APPP0 FD THE COMMONWEALTH OF MASSACHUSETTS
Barnstablt; C. , ,, s : Department BOARD OF HEALTH
? ,g, _ `Z TOWN OF BARNSTABLE
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s ned Applirtt7811161i for Di-nVoottl lVorko Towitrnr#inn Prrmi#
Application is hereby made for a Permit to Construct ( ) or Repair ( __�an Individual Sewage Disposal
System at:
---••• ..
Loc i n-Address or Lot No.
- ----------------------------------------- �-� ----..............--
Owner dre
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling— No. of Bedrooms---..._...... ---------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ............................... . .
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capaeity j.L Wgallons Length................ Width---------------- Diameter---------------- Depth..............
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No-------------_------ Diameter__-_-xScr___. Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed bY.......---................................................................ Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
L= Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
p+ ..................................•------------------•---------•-••---------------...................---------------------------------........----......----
0 Description of Soil........................................................................................................................................................................
x
U .............................................. --------------------------------------...........-----------•---- .......................................................................................
W
UNature of Repairs or Alterations—Answer wh a licable--.-_... �G� S�..._ . ..._4___�1-___-_---`-'�_ .......... ,=.
------...-- --.(------ ------ ---- ------ -----------------
Agreement: at Qf^\
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—T ersigned further agrees not to place the
system in operation until a Certificate of Complia has be is ed b the and of health.
Signed �;; �. ..........................a.......-------
Application Approved B a........... . . .. . . ........ - te. { .........
Application Disapproved for the following reason • .............................................................................. ...........
-------------------- ........... .. . ..---- ..-- ---- -------------------..................---------------------------------- -------
� Dare
Permit No. ................ . .................... Issued 1 . .. ...... ..... ......................
D e
zz f
t AIC _0 el
- t VC C 1
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No..____... - .. FEs.... ....
THE COMMONWEALTH OF MASSACHUSETTS
g . BOARD OF HEALTH
/_ ,2y_S/TOWN OF BARNSTABLE
'Allpliration for Di ipwial Worlm Towitrnrtion ramit
Application is hereby made for a jPermit to Construct or Repair ( �an?Individual Sewage Disposal
System at:
tom........� ': d. � .�----------------•-------- ---------------________---'--------.--------
LL ti n•Address or Lot No.
Owner r
1ddes
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.......... ------ _____ __Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
QI Other fixtures _______________________________ _ _
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity-_(d6d-galIons Length________________ Width---------------- Diameter---.------------ Depth................
x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No"____-�.............. Diameter.._. --___- Depth below inlet____________________ Total leaching area..................sq. ft. "
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
a Test Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water........................
Gi, Test Pit No. 2________________minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 ............................................................. ...............................................................................................
0 Description of Soil........................................................................................................................................................................
'14 I
W ______________________________________________________________________________________________________________________________________________________________________________________ _9_._.
U Nature of Repairs or Alterations—Answer when agplicable._-_-- -.� __..-_s�--�___K ._ '�.............. j's
-T3(�C -"---�----- ...................
s �
Agreement: n�lk ►r w Nkl- a �k S
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions,of TITLE 5 of the State Environmental Code—T ��ddersigned further agrees not to place the
system in operation until a Certificate of Complia c has bee is ed b theb`bard of health.
Signed .... :��.z:........... .........-t.... n--- - j
...... r G'- lf—............. to
;t
Application Approved By ..�.v I. ..;I]_. ........A R------- �p�X.f-n......�.. � - .. .�. i�/�I
Application Disapproved for the following reasonf. ............................................................................ ..........
...................................................................... •r"' `............ ................................. . -
......----.....-.... ------------ ------------
........ � � -- � Date
Permit No" ------------------r-. ""'--------------------. Issued ........../.... e ; ------ ------
-_ _______
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
V ertifirate of (famplinurE
THIS I TO CERTIFY, hat the Individual Sewage Disposal System constructed ( ) or Repaired
by ...._-Scv C'� 1:.. .... : - ------------------------------------------ ------------ --- ------------------------ ------ -------.-------------------------------------------
r -tak, t_
at .. a.�..........(`Vr^1 ..........rIA-.------------------�r�-,._ �! .N T ..��. .. Y'�...G- - _.............
has been installed in accordance with the provisions of TITLE 5 f T e State nui jonmental Code as described in
the application for Disposal Works Construction Permit No. ................... ' ----- .. . dated --------------------------------....... . ..
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BEfC NSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
��`�'-'�----- -----------...._--------------DATE ...- ........`�... .-_-------------------- Inspector ,~ !f'-
,!f
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�� TOWN OF BARNSTABLE ��
No... ....;-_- ---- FEE....,.._-.............
Uispwial Workii fnnotrnr#ilan Rrrn it
Permission is hereby granted SCc� ---M--•--�� 1'.n ----•-"-----..........................................................
to Construct ( ) or Repair (1/) an Individual Sewage Disposal System
at No.......... - ...... -J- G.L( .. /
Street _ 77
as shown on the application for Disposal Works Constructions ermit No._ -- _^�Dated�,n..__-__ ,A _ / 1
1 `7 iZrl� of e
DATE........ j ---•-•••'-FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS
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