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Home My WebLink About0150 GREAT HILL DRIVE - Health 150 Great Hill Drive Centerville A = 174 035 G Ox, orid. NO. 1521/3 ORA .. _, f. r.. � i' i> { e f'' t t f. 11r t' i `; �: �; S: 4- c, k �: f' THE COfLONWEALTH OF MASSACHUSETTS BOARD OF HFZALTH ot'AD17..................OF....&. rXZ-5:1 Z/f..................................... Appliration for Disposal Works Tonstrurtion rumit Application is hereby made for a Permit to Construct (1,0<or Repair an Individual Sewage Disposal System at: . ..... ...... 6.C-c.�4.... 'n........�. C.................................. Location-Add or �bt No. . ..................... .............. X .......ce er Address _ .S ............ __ - -C .........T ...................sc&zn.. .................................................... Installer Address Type of Building -q j_ A�Size Lot.. .1 A_3§q. feet U Dwelling—No. of Bedrooms..........8.............................Expansion Attic (#14 Garbage Grinder (46) PL4 Other—Type of Building ............................ No. of persons__..._...._.._........_..... Showers Cafeteria Otherfixtures ............................................................................................................................................I.......... Design Flow............. .._.._........__..gallons per person per day. Total daily flow__.___...... _._.._............gallons. 9 Septic Tank—Liquid capacity!ODO-gallons Length................ Width..._..._._....._ Diameter---------------- Depth.....__...__.__. Disposal Trench—No. .................... Width....._......._.._... Total Length____.........._..... Total leaching area....................sq. f t. Seepage Pit No_____________________ Diameter-__---__-___-____-_- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing ta4j Percolation Test Results Performed by ....... Date..... T- fr �4 A7- 14 7. Test Pit No. lv&d.5..minutes per inch Depth of Te Pi .... Depth to ground water- Test Pit No. 2-MMAminutes per inch Depth of Test Pit-- --- -$ 44 t P't Depth to ground water..' 0 Description of Soil............ A_"� ------------------ 1........... ....... •................... ................ ---------------3------ ---Sin, — ;a ----------------- I ff I— __j(---1------F,,";,VC .............................. LAWWRI,............................................................................ ................!!�. -- I -----------C- Nature of Repairs or Alteration4 4 7=nswer ft INIcea'3M----_------_------------------------------------------ U 4ein p ..................................................................................................................---------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI 5 of the State Sanitary Code—The undersigned further agree to place the system in 2 operation until a Certificate of Compliance has been issued by oard of h::I t Signed ". ................. ...... ....... . Date ................ .............................. ............................ Application Approved By. Date Application Disapproved for the following reasons:... ......................................................................................................... ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date f)7y- No..... ......... -.. Fim.B............._............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Volc: e?...................OF...j.�� +E'47 ?Ice ...................................... Apptiraation for Ropos al Works Tontratrtion ramit Application is hereby made for a Permit to Construct (V or Repair ( ) an Individual Sewage Disposal System at• ,r , ....L�::a. 1 .SC..........`:: .�.. :S .... ..Z..i._p.... a..}..._._.. ....................... ,�^ N Locati XD on-Addr ss _ or t No. *'......----•---� t�:?C....��/��• ��E'� �''c�i" L��f� '.......• --- W � `� !6yvner f S ..i Address f1 t .. ..... Installer Address Type of Building Size Lot.."�� 7..............Sq. feet Dwelling—No. of Bedrooms...........Sr.............................Expansion Attic ( T Garbage Grinder (` aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QIOther fixtures ..........•...••-•--•------------•-•-•---- .. ..---------------------------------------•---•-... --• -- W Design Flow..............`�.�. ..................gallons per person per day. Total daily flow____.....:_.' ` ....____.----- .........gallons. 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...-.............s : ft. Z Other Distribution box ( ) Dosing tank( ) • " . l C, f / 7 _ a Percolation Test Results Performed by............................ ...................... .._._........ Date....................._...... Test Pit No. 1 P&4S_.minutes per inch Depth of Test Pit.... . t__ Depth to ground water.-_,A-��,<?��. Test Pit No. 2-•7'. -'minutes per inch Depth of Test Pit....... "^_.. Depth to ground water________________________ _---r D Description of Soil.............. --r--- ............................. - -' . lir ' SCt , W --------------------------- ----- - -� ----- ------------ ---••• -• - ---- U Nature of Repairs or Alterations 4 mower °k�efi a plicab _________________________________________________________..................................... 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 a es not to place the system in operation until a Certificate of Compliance has been issued by e board of Ialth. Signed - ..... --•, •-----------------------------••-- � •.Rim y/ Date Application Approved By............................................................. Date Application Disapproved for the following reasons---------------------------------------------------- •-•-------------------------------......................... --.......-•--•--•---••.............•-•••......_.....••-•-••-••....._._......-----•••-•••-••-----•-••......•-••-••-•-••••••••••••••---------••-----•-----••-•------••----•---•---------•--•---•--...--•--- Date PermitNo......................................................... Issued....................................................... Date t THE COMMONWEALTH OF MASSACHUSETTS `.. -�.-�. .... BOARD HEALT ....... ...d GC.)t'7...........OF........., F........ '•.C-��..1 . ....................Af................:........ Tnr#ifirat a of ToutpliFatta THIS I. ,T_O CERTIFY; hat the Individual Sewage Disposal System constructed ( or Repaired ( ) ..... .. .... s......- . --- - •.... at......... :....-----------------------•----------••-----•--•-•-......-----------------------------------------.....---------------------------------------••--•---•--•----------=--------------- has been installed in accordance with the provisions of TITLE gaf/ThjA at e Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated_............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALT41 / ..........................................OF......... ........---.-------:..........................•---....................... No......................... FEE........................ Disposal Morks Tot;,gr ioniVamit Permissionis hereby granted-. ------- ------------------------- -------------------------.- ----------------.-....---------....•-----•-•---.-••--------- ` to Construct ( )L-r Repair ) In ivi ual r S,ewagei SP11/. ystem�/j� a.: k at No................ .................................................1di .........................•.. ----........................................................... Street as shown on the application for Disposal Works Construction Permit No.___ _r.__�Dated.................�'` ... ........................•--•-•-•--••---------------------------------------•-------•--•-------•---- Board of Health DATE................................................................................ FORM 1255 A. M. SULKIN, INC., BOSTON r�� t LOCATION SEWAGE PERMIT NO. VILLAGE 17Y - cOr INSTAL ER' NAME ADDRESS B U I L D E R OR OWNER DATE PERMIT ISS ED h9 DATE COMPLIANCE ISSUED �r/�� f� v . M t� �� , � I � � . - f y � r r. _10)o" 01 n A7 1 , L yid; r . 29 14 , I - oF4ss'c `No¢ CERTIFIED PLOT PLANit , � AL ��y `boy 40T 2!8 ROy�BERT lut^ C /V 7 E)Q $E MUCE . No.10951.O Q FtDRE I N ` .oa� `' 9pFFSS ONA\- A J of X A.�zo� �9 y ®vs�� SCALE / "= 90 ®ATE 19t ;�►° IlY2cL-��rc-r� r 1. CLIENTS I CERTIFY THAT THE PROPOSED,',- EOISTERE ,, ,RE0.1,3 "E tED sfi$ J®® No.-. '�3._...: `..:.. .BUILOIIYf3 SHOYVN ON THt3 PLAN . :CIVIL. CONFORMS TO THE ZONING 1.AaAlS F_ /V 'ENGINEER r r"�� O�.I� � "� f ®F BARPdSI'/�BL MASS r •t, tt 15 .��,r } /.� I� ;M1�A /� "Al 5r1 I<(wl'�171 N.IIYT ppi pp�� get @� - YS"ql;: `J L +.1'VI A`V,�`� r st jd t ;1t �. f J� MY,AIjMN I. , s �j �, � '' Z DA .E REG. LAND SURVEYOR An 7 . 1, 1•AFL L tt I +� �...� f , v 1 v ION tv Nu 44 kk It ru kk °'e•�• •� o a ;� ® � A y � � � � Wad Zt 14 U � . 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V• • • • . n N d� w `^• • • • �• se • e 4 ® 0 O 14it ` � '��O;Q � �VIW a • . ��• ss ♦ q � l� Zi� � too , . • � • • •4M M 0p �4 � � �° � VI \ v III IK Q V � tj qa� oli 14 U rs xx � � � � � � cyQo vi ca 0 to zo : h Q ® K ` � SNOW W p QQ IN Q b U.S. Postal Service TIFIED MAIL RECEIPT .• • Provided) tti 1 ` 3•-7 �P 026 7 . f1J Postage $ ^^ Q ru Certified Fee yr v lT � ark Return Receipt Fee ' 7 5 = �� (Endorsement Required) ` Here O Restricted Delivery Fee Gj p (Endorsement Required) Total Postage&Fees $Er y �. a` Sent To Street Apt.No.; � O or PO Box No.city,Ste �r 0 -z)-on- PS Form 80 Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail.+ ■For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. ■If a pogfmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,January 2001 (Reverse) 102595-M-01-2425 Town of Barnstable MARMAJIM R atory-Selrvtem a Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 MAP 17 June 10, 2003 NIEMI, RICHARD A&DOROTHY PARCEL. ' 03S 61 Trayer Rd. LOT :, - Canton, MA 02021 Pkl�t; NOTICE TO ABATE VIOLATIONS OF TOWN O . BARNSTABLE BOARD OF HEALTH REGULATIONS NUISANCE CONTROX, REGULATION NO. 1 The property owned by you located at 150 Grea ill Rd., est Barnstable was inspected on June 9, 2003,by Donald Desmarais,Health Inspe , ecause of a complaint. The following violations of the Town of Barnstable Board of Health Regulations, Nuisance Control Regulation No. 1 were observed: Nuisance Control Regulation No. 1, Part VII, Section 1.00: Open garbage in back of an unregistered pickup truck,tires, couch,blankets in yard. You are directed to correct the violations within seven days of receipt of this order letter. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Please be advised that failure to comply with an order could result in a fine of$100.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable Q:Health/orderletters/refuse/274 South.doc �\E �