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HomeMy WebLinkAbout0076 FALMOUTH ROAD/RTE 28 - Health 76 Falmouth Road Hyannis --�-JJ pl a d 0 / TOWN OF BARNSTABLE LOCATION`e , e 'o a d Z 1 -A r SEWAGE # VILLAGE � �,o sg/ a ASSESSOR'S MAP & LOT 0 OS .INSTALLER'S NAME & PHONE NO. A & B CANM 775-6264 SEPTIC TANK CAPACITY ODd LEACHING FACILITY:(type) ( :D (size) "6 X NO. OF BEDROOMS .PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER/ c.,h t.,,d A �� ///v?��. DATE PERMIT ISSUED: } DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No V 1 �J v � J d.J "o 'SI '� ff O No. �— --' Fee OLr'^ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Mi!6pomY *pgtem Con5trUCtion Verna Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandory(\) ❑ Complete System ❑Individual Components Location Address or Lot No.7 to rna v yh Owner's Name,A, andand TeL No. Assessor'sMap/Parcel �. 77 Installer's Name,AdAe&a' mco Designer's Name,Address and Tel.No. 350 Main Street 1,. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building M?k V!A No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd 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) t n I 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 Certificate of Compliance has been issued by this Board of He th. Sign o � Date /,., 4)6 Application Approved by Date Application Disapproved y: Date for the following reasons Permit No. Date Issued No. --� Fee , THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: F PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 'es Application for Migpogar 6pgtem Cow9truction Permit Application for a Permit to Construct O Repair( ,) Upgrade O Abando> ❑ Complete System ❑Individual Components Location Address or Lot No.7�j f'�1�n 10 U ){1 Owner's Name,Address,and Tel No. (�ya n n 1 S _ ,� K,,�� S��r,✓,�,J Assessor's Map/Parcel �,� ' ► 7 s, _ y a Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: -. Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building /?a%X U 1--C- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd 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) /,, /n U ( r 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 Certificate of Compliance has been issued by this Board of Health. Sign \ /J o Date o6 Application Approved by �!. '/ a DateZZ Application Disapproved y: V Date for the following reasons r. Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned by Aj <D n at 7 TA ) G L,-t 11 / _ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.IZ6 dated Installer Designer #bedrooms Approved design flow / gpd ` The issuance of this permit''hall no be c nstrued as a guarantee that the systemr i�funct'onias d�edsigne/ 14 Date ,�/ / Inspectorrv1�'/./l�/ —————————————— ——————————————— ———————————— {. p t C No. 6 Fee ."" r THE COMMONWEALTH OF MASSACHUSETTS a• PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS �1 Wigpogal,*pgtem Con5truction Permit Permission is hereby granted to Construct ( ) Repair ( ) nUpgrade ( ' /),//Abbannd/on System located at ,��/'I )�/ Jt /C /� . hl Yfly,1�1/V 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 m st be viompleted within three years of the date of th're Iit Date Approved by v t/ J Town of Barnstable ti Regulatory Services Thomas F. Geiler,Director bum Ar ,.� Public Health Division Thomas McKean,Director 200 Main St, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 23, 2003 Richard A. Sullivan 342 Long Pond Drive South Yarmouth, MA 02664 IMPORTANT NOTICE RE: Map & Parcel 311-005 Dear Addressee: You are directed to connect your building located at 76-Falmouth-Road,-Hyannis, - Massachusetts, to public sewer on or before August 29, 2b03:—____ _ ---_�_� The Department of Public Works, Engineering Division, has notified us that your property abutts recently installed vacuum 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 complaint against you, in a court of law, due to your 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 Wayne Miller, M.D., Chairperson Susan G. Rask, RS. Sumner Kaufman, M.S.P.H. Return receipt requested .Cc: Barbara Childs, Water Pollution Control Mark Giordano, Engineering Q:Sewerorder.doc