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Home My WebLink About0140 CEDAR STREET - Health 14U CEDAR ST. HYANNIS A - 328 162 i� I�I' No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for �Digooal *pgtem Construction Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( d) O Complete System ❑Individual Components Location Address or Lot No. ,qtj ced* A,44Owner's Name,Address and Tel.No. may' F� -�-�►c� U Assessor's Map/Parcel F_�G z f QM G3 , ve— CeK 1 �t Installer's Name,Address,and Tel.No. ll % Designer's Name,Address and Tel.No. �Lr ro wU Cobs�L?f� V P41 A Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building .1'1%1'4 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) b Q •Z Date last inspected: Y 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 this Board of Health. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued r` D0� �.� / No. � Fee V THE COMMONWEALTH OF MASSACHUSETTS Entered mcomputer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for Miopogar bpgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon("') ❑Complete System ❑Individual Components Location Address or Lot No. /� �1�(�,. -/�, ` Owner's Name,Address'and 1 rTel..No. y�`l -7 K- � Assessor's Map/Parcel " / k" rit "3 2�- /(Z '53 Installer's Name,Address,and Tel.No. 1 1�.,, " Designer's Name,Address and Tel.No. _50A Lhn Type of Building: •� Dwelling No.of Bedrooms , Lot Size sq.ft. Garbage Grinder( ) Other Type of Building Sttn A01% 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. D gc ription of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Ilw In P 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 this Board of Health. Signed m Date Application Approved by 1 Date Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Complianre THIS S TO CE a the OM it Sew a is sal tem C q,T, #( )Repaired( )Upgraded( ) Abandoned( by (� at f l P dC My N Nl ha constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No dated + 2 Installer Designer The issuance of this permit stall—not/ be construed as a guarantee that the s e w' 1 Y c�ti p a�d�signed! V Date 1 00 Inspector I / / � _ fill Ef lr_ f l •, -----------------------Fee 7TE�,_ No. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS { Migooal *pgtem Construction rmit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon ) System located at and 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 permit. Date: Approved by Z .248 '659 92LI Receipt for Certified Mail / 4�o No Insurance Coverage P ov ed W TEDSTATES Do not use for International Mail . POSTAL SEN E (See Reverse) O Mf Sent tLV 0) Stree d o. U c6 P.O. Ote and de C QCID Pos ge Co) Certified Fee L O <L Special Delivery Fee CO CL Re3'EPICte2l�Deli�e?y.�'e� - -� _ RetWhIR KdWinigI to Whom&Date Delivered Return Receipt Showing to Whom, Date,and Addressee's Address TOTAL Postage &Fees Postmark or Date I STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). m 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address 12 leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return rn address of the article,date,detach and retain the receipt,and mail the article. L 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. C M 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY on the front of the.article. E 0 5. Enter fees for the services requested in the appropriate siaces on the front of this receipt.It 'LL return receipt is requested,check the applicable blocks in item 1 of Form 3811. I a 6. Save this receipt and present it if you make inquiry. 105603-93-B-021E A LOCATION SEqAGE PERC1T 00• VILLAGE � I S TA lLE Q1 S FACIE & ADDRESS ® U I L D E R OR 0160Ea DATE PERMIT I S S U E 0 3y,2 7_c,r0 DAT E C 0 M P L I A N C E ISSUED 3 3/-- �$ I SENDER: ;V ■Complete items 1 and/or 2 for additional services. I also wish to receive the w '■Complete items 3,4a,and 4b. following services(for an H ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. d ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. ■Write'Retum Receipt Re uested'on the mail piece below the article number. d w p a a 2. El Delivery to ■The Return Receipt will show to whom the article was delivered and the date a delivered. Consult postmaster for fee. o 3.A*IQ Addressed to: 4a.Article Number 777 I� E 4b.Service Type0 cc «' ❑ Registered 41 Certified I �3 ❑ Express Mail ❑ Insured S Ix LU ❑ Return Receipt for Merchandise ❑ COD a7.Date of Delivery Z o- p 5.Received By: (Print Name) S.Addressee's AcTdress(Only if requested c and fee is paid) g 6.Sign _ure: (Addressee or Agent) PS Form 3811, December 1994 Domestic Return Receipt UNITED STATES POSTAL SER A1Q QMi- J `3, -Pesteg.4,,&Feed Paid c ,t o.G-10 • Print your nse�� ess, and Board of Health Town of BanlStablA P.O.Box 534. Hyannis,ME-Sachusetts 02601 Town of Barnstable ,� � • Department of Health, Safety, and Environmental Services q� + BARN9TABLE • . . . . MASS. ,� Public Health Division 1639• ♦ ��Q®0 E039. 367 Main Street, Hyannis MA 02601 '7�� - "M BIZ kf NO 5)4+ a �9�G Office: 508-790-6265 'Thomas A McKean FAX: 508-775-3344 za Director of Public Health October 17, 1996 Jay H. Tracey 83 Blantyre Ave. Centerville, MA 02632 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 140 Cedar Street, Hyannis was inspected on October 16, 1996 by Edward Barry Health Inspector for the Town of Barnstable because of a complaint. The inspection of your septic system revealed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: 15.303: Backup of sewage into the basement. 15.211: Cesspool is located on the property line and one on abutters property. You are ordered to pump the septic system and to keep it pumped daily, if necessary, to avoid any discharge of sewage into the basement. You are also directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health cc: Brenda Ward