HomeMy WebLinkAbout0009 MOUNTWOOD ROAD - Health 9 Mountwood Road
Marstons Mills - -- —- - --- -- - - - -- - - - - -------- ._..
.A= 150-075
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Tov, c: RNSTAeLE
OFFICE OF
BOARD OF HEALTH
'�3Q' \b� 367 MAIN STREET
Tfl,L'►Y L . .
HYANNIS. MASS. 02601
VARIANCE REQUEST FORM ..
All variance requests must be submitted five (5) days prior to the scheduled. Board of
Health meeting.
NAME OF APPLI CANT yA L.pt�C) 11.1c. TELEPHONE NO. -7-7 S- 1 9 0 o
ADDRESS OF APPLICANT -7fo5 WEST MMI-I SrP1=T I-F11�NI.i15�,U/�55 , _ p�6o /
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NAME OF OWNER OF PROPERTY 9<=)AncoP-P I r`,c. 419 AAA-1 L.I ST \AJo2z-.EsT12f- , M A .
LOCATION OF REQUEST Lca-r 1 �t�toc„�Tiyc.�D �� ��:L-ro►.iS /l�l t t.Ls _ MA .
L 150 oPFSCT WELL •►o PLOP. LEAcH• PIT / 4B5r"F- '
VARIANCE FROM REGULAIWION (List regulation) 2. loo' oFF-,ET WTL I—OP""To LEACH. F-r .-tL-tnF (til
VARIANCE REQUESTED' (Specific request) 'SEA /gyp e+ALT
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REASON FOR VARIANCE (May attach letter if more space needed) �thQ,hx,z8 pQE•i,an�� t
G�AL+TI-D caw.iEf LoT 14. Ccrep -ro �,4eLL tacrtiZo►l ? "T�Ft� Sv�a�.'SSiou Pcstc S Pi,---P.
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PLANS - Two copies of plan must be submitted clearly outlining variance requested.
VARIANCE APPROVED _
NOT APPROVED
REASON FOR DISAPPROVAL, 3
PLEAF SLID clzpq 4A-0..A,-w-M 'rc> : Robe .- _L Childs, Chai,rmat
r1 I t5
PaoX 1 S9
E.SN•�wierJ , MA -, o/Ls37 Ann Jane Eshbaugh .
H. F. Inge, M. D.
BOARD OF HEALTH
TOWN OF BARNSTABLE
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W ELL ti PLOT P� A J-1 l��o I no+ So
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WELL PAC PST PL.,-11.1 I So,
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LOCATIONyyryry �J SIWWA_GE PERMIT NO.
VILLAGE
I N S T A LLER'S NAME ADDRESS
R U I L D E R / OR OWN ER t
DATE PERMIT ISSUED ��� ` �
DATE COMPLIANCE ISSUED
w
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h
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701
F�s...... �
..............
THE COMMONWEALTH OF MASSACHUSETTS l..
BOARD OF HEALTH
o Q
..................... . ................OF......................................------............................................
Appiiratilan for Ilhapoiitt1 Works Towitrnr#iun 11nmit
Application is hereby made for a Permit to Construct �X ) or Repair ( ) an Individual Sewage Disposal
System at
....:..1.....aak k_...D,O....... ---------------•--•---•----•• --Ind/ S'Re� --�1..�L,�s._.��...............�..-•----
Location-Address
-• �`T LAN -lx ..........
....................
----•----.....
Wct .. ' �✓Sl./ rT�,Q"� n�iS f1Ylr
a E. .1 �... . .......
� Installer Address
Type of Building Size Lot.._.__ _2?j� ?........Sq; feet
,., Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
04 Other fixtures .................................
44
Design Flow............................................gallons per person per day. Total daily flow__-_.._............................._......_gallons.
W.
WSeptic Tank—Liquid capacity............gallons 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........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.....................
(z, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
04 •-••---•-••-----------•-----------•----•--•---•---••-•-•....---•--•.................•--......_....•......................................
--•-----------------
0 Description of Soil.........................................................--..........--•-•------------------•------••-•--------------.......................-----------...............W
U •-••--•-••••--•--•-------•--•----........•----•----•---....•---•--------•......................•••-•-•-•-•-•-----•--------------•--••--••-••-----•-••----•-.........•-•....._..--•••-----••......-•----
x -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certi to of o liance has been issued ba
nd of healt
e�1 C
Signed__. �G�ul $ 2 0
----•-- ... ............................•-••--_..._
.... ..............•
�^ D e
Application Approved By.................. . . --- . _•• . ...--+•--•----------.....--•-----•--------- -•-- 1.. .............
D t
Application Disapproved for the f oll v ing reasons---------------------------------•----------------------•-------------------..................................
.........---••--------•-•--------•••-•-....--•-•-----•--•--•..............•-------•--•-•-•----------•--...-•-----•-•-----...---•------------•---------•-------------------•---••........................
Date
PermitNo........................................................ Issued.......................................................
Date
t,
No.
JIF
Fssr--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..............,....:........................O F........................................----•-..............._........_........_......----
Appliration for Disposal Works Toustrnrtiun 1rrmit
Application is hereby made for a Permit to Construct (,X) or Repair ( ) an Individual Sewage Disposal
System at: .
I 'Old
sus n .
Location Address or
4AN.D...... ............................................. ---• ......... "i' ..
a ,t46' il1A?!S YJ S Q ......................... ...................� ................................................
Installer Address
'
Type of Building "Size Lot., -Z:oCy........Sq. feet
Dwelling—No. of Bedrooms____._ ...........:....................Expansion Attic ( = Garbage Grinder
04 Other—Type of Building ____________________________ No. of persons........................._`.' Showers ( ) — Cafeteria ( )
II, 94 Other fixtures ..................................
WW Design Flow............................................gallons per person per day. Total daily flow...........................................gallons.
Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Dept h................
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching arm...................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........................................
,aa Test Pit No. 1................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_..___..._......._.__....
a •---------------- ------------------------------•------....._...---•-••..... . ••-•-•--•-•.....................11...................................
0 Description of Soil..........................................................----•-----........_....---•-----------••-•-------...........-•-------.._..---------•-----........_........_..
U ............. •----•-•-••--• -----------------------------------------------------
W
VNature 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`TITIS 5 of the State Sanitary Code-.The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has_been issuedZeNard of healt,
,2�
>gned__
------....•-- --- Z-/
Da
Application Approved By..... •-------- -- ....... --•••-•----•-••••-----•----•.•-•-•• .... �._. .
D. e
Application Disapproved for the f oll ng reasons:............... '.
...................................•----.............._----.............. .._.................. ..........................................................................
.3(.. .....____---.�`' `Date
PermitNo........................................................: P. Issued........................................................
Date
THE COMMONWEALTH OF, MASSACHUSETTS
BOARD OF HEALTH
O F............
4
Trrtif irate of f�nrm�rlittnr�e
> THIS IS TO CERTIFY, That the Ind:v>dual`a ewage Disposal System constructed ( . ) or Repaired ( )
at --...---�.... �-wdx4t 7_kr2 t�_ s...-----.Pj 4 ---•- ---To-l�) -- ................................. ....................
Installer
RF has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit IvTo.__ __5-.7� •---.--.... dated---------_................................
:.....
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM ;WILL FUNCTION SATISFACTORY.
DATE ..$�..-------..� : 1 ( f ...... Inspector ... m .................
- -
THE COMMONWEALTH OF MASSACHUSETTS ICAer TIV'tjC, t7N Gllvff IQ
BOARD OF HEALTH
Ca fe vc.Tt4 N /ou t,
.....................OF.............................................................. .5+l $"ltECh� p °
No.. ... Fase..?Q.........
is usttl x. arks Tonstrnrtuan Verittit
( ) Repairy ( ) ;�- .. P System
=-
or an Indi al"vid "Sewage Disposal S �
Permission >s hereby anted......__ ` , H........ ..................... --••-•
to Construct �,t�'t.L._u4�: i
at No ..--------••---•---•..--•- ..
--�t,'1��=�•w�a.o.tf�•--••---��+-�/-t-.-•--•------�IA+A��•�'t-�h�--...1�4Ad:�..�.
Street
as shown on the application for Disposal Works Construction Permit No....%.ST J!��ated.................: ....
1 T� y r f f'n r r. of He ......... 1
DATE
1.
--- I ..............
4 •3
FORM 1255 d: M. SULKIN, INC:, BOSTON w. •
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THE T0�♦o TOWN OF BARNSTABLE Y
OFFICE OF
BAHd9TAUF, i
MMM BOARD OF HEALTH
pp 1639.
`am k\ 367 MAIN STREET
HYANNIS, MASS. o26o1
November ,8, 1984
Homcorp, Inc.
c/o Christopher Kuehn
765 West Main Street
Hyannis, Ma. 02601
Dear Mr. Kuehn:
You are granted a variance to install a septic leaching pit at Lot 1, Mountwood
Road, Marstons Mills, 108 feet from an abutting well on Lot 16, in lieu of
the required 150 feet, and 75 feet from a drainage ditch, with the following
conditions:
(1) All of the conditions issued on October 10, 1984, by the Conservation
Commission must be strictly adhered to or the variance will be voided.
(2) All other regulations contained in Title 5, of the State Environmental
Code, and the Town of Barnstable Health Regulations must be strictly
adhered to.
(3) The designing engineer must supervise construction of the system and.
certify in writing to the Board that his design has been complied with.
(4) This variance expires December 1, 1985.
Public water is available to Lot 16. The developer stated that he had offered
to install public water to Lot 16 at his own expense but his offer was refused.
V ry truly yours,
o ert L. Childs, airman
�-
Ann Jane Eshbaugh
BOARD OF HEALTH
TOWN OF BARNSTABLE
JMK/mm
CC: Conservation Commission
ELLIS 6? THULIN, INC: LAND SURVEYORS & CIVIL ENGINEERS
478 ROUTE 6A-P.O. BOX 159 DAVID C.THULIN, PE
EAST SANDWICH. MASS. 02537 JOHN R.ELLIS, RLS
TELEPHONE (617) 888-2345
February 10 , 1986
Board of Health
_ Town of Barnstable
367 Main Street .
Hyannis , Ma . 02601
re . 84-142 , Lot 1 , Mountwood Road
Gentlemen :
Enclosed please find three copies of the Certified Plot Plan for
the ref . lot indicating as-built condition of the septic system
and location of the residence .
A table is included which demonstrates that the septic system
was installed in substantial condformance with the design set
forth in the Proposed Plot Plan with the following exceptions :
1 . The four foot deep .leach pit shown in the design has
been replaced with a six foot deep pit to take
advantage of soil conditions encountered .
2 . The septic tank was relocated slightly to. retain
existing trees .
All elevations are measured on the system components prior to
backfilling .
Very t ' my o r;' ,
llis & Thu n, Inc .
David C . Thulin , P.E
CC .
Homecorp , Inc .
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