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Home My WebLink About0179 BARNSTABLE ROAD - Health 179 Barnstable Road" Sewer Acct # 4290 Hyannis Y i i I {I'I i 0 i No. 0 V 4`— FJ�✓`tWQ.� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(pprication for Mizpaal *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( Q ❑Complete System ❑Individual Components Lo ion Address or Lot N . Owner's Name,Address and Tel.No. Asses s Map/Parcel- > m% Installer's Name,Address,and Tel.No. 3 r d Designer's Name,A drind Tel.No. 14� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected- Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by t ' Board of, Iealt . 3�Signed vl/( Date Application Approved by ` Date O Application Disapproved for the folio ng reasons Permit No. .-UU 2 —26 S Date Issued Z G THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS RTIRY. that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )b at has-been construc ed i accordance with the provisions of Title 5 and the for Disposal Syste Construction Permit No. 20 Q 2G dated U Installer Designer The issuance of this a 't sh.1 not be construed as a guarantee that th system u ti as designed. Date ' Inspector No. 00 2 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE., MASSACHUSETTS Zippticatton for Mtopozal *p!5tem,con5truction Permit Application for a Permit to Construct Repair Upgrade Abandon El Complete System El Individual Components Log,ation Address or LotN9. Owner's Name,Address and Tel.No. Asses o 's�MaplParc.l Installer's Name,Address,and Tel.No. Designer's Name,Addres§Ind TeL No. Type of Building: Dwelling No.of Bedrooms Lot Size sq:ft. dar'bage-Grinder Other Type of BuildingNo.of Persons Showers Cafeteria( Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Typeof S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ti Date last inspected' Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described-on-site sewag6 disposal systeni in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by�t �B oyd ofjflealth. Signed —Date— Application Approved by t)�- 4'. 4&2F��= Date 61.2-r1a-q_1 R Application Disapproved for the follo ng reasons Permit'No. U 0 2 —.2 Date Issued— 2f lo -------------------------- THE COMMONWEALTKOF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of,Compliance THIS IS R that the,On-site Sewage Disposal System Constructed Repaired Upgraded Abandoned( b at /7 a een constru ted in accordance h'A c with the provisions of Thle,5 and the for Disposal SXste6/Construcfion Permit No. 2 Q 02 dated (P ;Installer Designer The not be construed as a guarantee that the in will _nction as designed.issuance;of this permit shall' Inspector Date C 04, 0 C ———-—————————————————s No. 0,2 43 5- Fee 2s- - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Miqoal i6pitem Construction Permit Permission is hereby granted to Congruct( )AAW, ( ) pgrad.e( )Abandonv, System located at ci Nvnd as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this g.t.P rmil A. Date: Approved by q,—, V I i vvvu vi "ai uaiaUlu Regulatory Services . FtME r t, Thomas F. Geiler,Director Public Health Division 9BAMSTAB E,g* Thomas McKean,Director l�� 200 Main Street, Hyannis, MA 02601 fD Mp'l Office: 508-862-4644 Fax: 508-790-6304 April 19, 2002 Elizabeth Hennessey 179 Barnstable Road Hyannis, MA 02601 RE: Map & Parcel 310151 Dear Sir: You are directed to connect your building located at 179 Barnstable Road, Hyannis, MA., to public sewer on or before October 19, 2002. The Superintendent of the Department of Public Works has notified us that your property abutts town sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask., RS., Chairperson copy: Peter Doyle Sumner Kaufman, M.S.P.H. Return receipt requested Wayne Miller, M.D. sewerco2 / \ V N�No....,/.. �d..-.. Fes$.. ............ ill' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........._0F.............. -. .. ................... � li tt iu�t for Diopmat 10orko C omandion 11nmit Application is hereby made for a Permit to Construct ( ) or Repair �an Individual Sewage Disposal System at -- •'-��'- --------•--•...................... .......................... ............................................ Location• dress or Lot No. ..._�7- _. .€ '---------... -------------- ------•-•------------•-----------------------------------•----------------------................. O ner .............................Address Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.........................................Expansion Attic ( ) Garbage Grinder04 ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria P4 Other 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..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date-----------............................. aTest 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........................ P4 ••-••-•--••••-•--•---------•--•-•-•-•••••-••-•-•••-••--••-•.................••••-•-•-•••....---..._.........-•-...--•--•--••----•--------•=----•••--•-....... 0 Description of Soil..................................................................................... --------------•--------------•------------------------------•----••••-••.••... U -----------•-••••-•-•-••...................•-•--••••-•...••••••••----•••-•-.........-•-...-••---.....•••-•-•--•-----•-•----•----•••••---•..........•••-•-•••-•••-•--••----••---•••---•................•. -•-----------•---------------•--------------•--•-----------•-------•-••-•--------------•••-•-••-•---•--------------------------•-•••............--••----••-- ......................................... V 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 Article YI 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 f h. Application Approved By. _. ,( ---P�--- --- 7 L°��d l G Application Disapproved for the following reasons-..................... •--.....-•••••••••-•--•-•----••-----••••••••••••••••--••••••-•--••••............•-------- ....•••.....•-•-•--•---------------••••-•--•-.......---•-••-•-•-----------•--•-••••-----•--•---•--•••.....-•--•--•••.........•-•---•--•---•--•••••••••••••-••••••••-•-•••---•-•••••-•••••-•••••----•--_.. Date PermitNo......................................................... Issued......................................................... Date / i/ No... f ...... I+x$. ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........O F.......... ...:.:. ........................ Applira#ion for Rapnoal Works Tonotrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal S stem at .................� . .................... . - ... ..................... ....._.........-------...•-----.._..----- •-----•----------•---..........._........ Location'-tdress a or Lot No. TA. Z ..... .............. .....................•---•----....-------- -••--------•----•-••-----------..._•-----....... W O n r Address ........ ------------------------------ Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms------------------_;:,___:._____ .Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ______________':-____:____ No, of persons____________;_______________ Showers ( ) — Cafeteria ( ) W Other fixtures -' :::_•-••---••••••----------=----•----•------------•---•-•---•----••---••••=-•=•••-•-••--•----••-•--••-. W Design Flow........................................____gallons per person per day. Total daily flow.............................................gallons. WSeptic Tank ' Liquid capacity__........ 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1.................minutes per inch Depth of Test Pit---------:.......... Depth to ground water___-__-________-_______- (� 4Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------•----------------------------•--------••---.:_..---•--•---------...-•--•--------....----------••---•---._...-------._..................---------• Descriptionof Soil._::.---•••••-•••-••••--•-••-••••-=---•-•••--=.......................................................................................................................... x UNature 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 Article XI of the State Sanitary,Co � —The undersigned ft ther agrees not to place the system in operation until a Certificate of Compliance has been issued a4' the boa d h. � "' '' .. , Application Approved By •• -• ----•••--•-••••---••--•• ...e-/ " . .. Application Disapproved for the following reasons: =--•--------•-------------•----------•••••---•-----•-•••-•••--•---D••-----••---.._.._ ........... --• •••---...__... .......... •••--------••---••••• - - -•------••---Date . PermitNo............................... ..............:........ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS ` BOARD OF TH I n - r y... OF..... .......... ................................................. fit wrtif iratr of t file r THIS S CE TIFY, That the Iz idu 1 Se ge s S em c structed ( )'or Repaired b ••_. .... _•-_... -- y taller 7, tate at--has been installed in a -or ance with the provisions of ticle XI of-Th Sanitary C a describe in the application for Disposal Works Construction Permit No........... - ........�- -------- dated----;- --- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR .. A A GUI NTEE HAT THE SYSTEM WI � F RI`, CTIO SAT , FACTORY. s J DATE. ----- Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF. HEALTH' No. FE� ......... Permission.is hereby grant l--,,_----: .. ....... _._ ..... .................._..._ to Constru t or r ( an Ind ua Sewag isposal System r . I� - street. as�shown,on the application for DisposaLorks Construction P No. ...... o - .......----•-. .. a f Healt DATE•- •-_+ _.._,e .:................ ............ FORM 12 ORBS &- ARREN, INC.. PUBLISHERS,,' - :