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HomeMy WebLinkAbout0249 FALMOUTH ROAD/RTE 28 - Health k 249 Falmouth Road Hyannis JA= 292 - 163 �I . 6D "r0 s5woz_ 0. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zpprication for �Oigozar 4p..tem Courtruction Perron Application for a Permit t0nstruct(1) Repair( ) Upgrade( ) Abandon(/E:l Complete System ❑Individual Components Location Address or Lot No. `Z��{ %L 51 ,q�yyo gip{ 'QopA Owner's Name,Address,and Tel.No. �(a'P S. 4Ld y-i,qeZ Assessor'sMap/Parcel "Ej LI I(o ]""', / S rho? otbol Installer's Name,Address,and Tel.No. e4feW,de. Designer's Name;Address and Tel.No. 13a- -74,3 �v 6 qzt go1c Censc2�r,[ P"4 Q s-L I)pe 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(min.required) t4O 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 o - iterations(A wer when a ica C� 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. Si ned Date S 2 "Za Application Approved by Date / o Application-Disapproved:by: .°Date for the;following reasons Permit No. 0 Date Issued G FeeJ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes .� apWication for �Bioogal i�paem Comaruction Verna Application for a Permit to Construct( ( ) Repair,( ) Upgrade( ) Abandon(jj�❑ Complete System ❑Individual Components Location Address or Lot No. c{ Z 5!- fA�Mo,T , p� Owners Name,Address,and Tel.No. 1 Assessor's Map/Parcel ,,.:. /�, ,,,,v►i3 ,�,�9 oL6o� Installer's Name,Address,and Tel.No. Carew,61 r- /F✓L�?% SAS Designer's Name,Address and Tel.No. PU• r3�Kr� 3 ° Type of Building: ' Dwelling No.of Bedrooms q Lot Size &lP 00 sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 4_1 t(O 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 o ,� . r Iterations A w r when�_ ( s e apphca - �p t t , dO ` „. Date last inspected: t.' -Agreement: t r , 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. - Si ne,d Ft'°' Date ) Application Approved by Date tom/ Application Disapproved by: Date for the following reasons r. Permit Nov 17 ^ 2 0 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(V)by t"I A!,P, i,it i( A J OJ C S C1 C y , at 2 S - ZS ( 1 ✓_t i j_j .n,4� a has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ; Y-), dated t Installer 0/i 5--S L.�_C. Designer #bedrooms Approved design flow gpd. The issuance of this permit shall not be on/s'trued as a guarantee that the system will'*fun}ction as designed. ��'�� ' r Date /I 1 , ! Inspector !r / �. . : ��, itt y i (�1, l _... IN Nod- ? _CQ/© Fee ✓ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE, MASSACHUSETTS h 0t5pogal �&pgte'm Construction Vermit Permission is hereby granted to Construct .( ) Repair ( ) Upgrade ( ) Abandon (Vill,' System l'.ocated at ;~ -r� Lit( .Z4 I 6A. I0"T.0 &,43 >' fZt z and as described m 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 ust 7becompleted within three years of the date of this permit Date Approved by� \ Town of Barnstable Regulatory Services • Thomas F. Geiler,Director '• aAuvseae[.e, 3�, Public Health Division Thomas McKean,Director 200 Main St, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 23, 2003 Sally A. Norris 57 Snows Creek Drive Hyannis, MA 02601 IMPORTANT NOTICE RE: Map & Parcel 292-163 Dear Addressee: You are directed to connect your building located at 249'Falmouth Road, Hyannis Massachusetts, to public sewer on or before August 29, 2003. 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 Y 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 THE FOLLOWING i IS/ARE THE - BEST IMAGES FROM POOR QUALITY ORIIGINAL(S) im DATA JUL 2 2 2003 °FtHE fn. Town of Barnst r a + BARNSTABLE, 9� ,� Board of Rea ArfD N1p't A 200 Main Street, Hyannis MA Office: 508-8624644 Rask,RS. FAX: 508-790-6304 "muer Kaufman,MSPH WPFWayne Miller,M.D. Mr. Phil Cwynar July 17, 2003 50 Old Harbor Road Hyannis, MA 02601 tt E€ 4 Fa.�_ .� �+'" u• :fib' ` S"k^ "�' �i "f P . �R �ensb ©f T e�tCoaicfB�u � �o 1' b die Sevier Dear Mr. Cwynar: You are granted an extension of time, on behalf of Ms. Sally Norris, to connect the building located at 249 Falmouth Road Hyannis Massachusetts to public sewer. The extension is granted until the property transfers to another owner or for two years (until ,August 1, 2005, at which time the applicant may request another extension), whichever occurs first. You are hereby notified that two years from now, if another extension is requested, the applicant may be required to hire a DEP certified, septic system inspector to inspect the existing septic system and to provide the Board of Health a copy of the eleven page inspection report for review prior to making a decision regarding your request at that time. This extension is granted because you indicated Ms. Norris is currently in nursing home recovering from a serious medical condition and is unable to comply with the order to connect the building to public sewer at this time in her life. Please ensure that you record the attached document at the Barnstable County Registry of Deeds and provide the Board of Health a copy of the recorded document. "relyayner, M.D. Cha' an Cc: Peter Doyle CwynarSewerExt M1 July 17, 2003 BOARD OF HEALTH VARIANCE DECISION On or about May 29, 2003, the Petitioner, Sally Norris, received an order from e board of Healtho connect the premises located at 249 FalmouthRoad, Hyannis, Ma, listed as Parcel 163 on Assessor's Map 292, Hyannis, MA..to the public sewer. Due to her illness and limited income, the petitioner's agent, Phil Cwynar, applied for a variance to waive the requirement that the building be connected to the Town of Barnstable sewer. Based upon the application for a variance and other information submitted, the Board of Health finds as follows: 1. The petitioner's agent, Phil Cwynar, stated that the on-site sewage disposal system located on the subject premise is currently functioning properly. 2. The petitioner's agent, Phil Cwynar, stated that Ms. Norris is experiencing financial hardship. 3. - If the property owner is required to incur the costs attendant to connect to the Town of Barnstable sewer, she will be forced to forego basic necessities causing her severe hardship. 4. Based on the representations by the petitioner's agent Phil Cwynar, that the on-site sewage disposal system is functioning properly, the Board of Health finds that the risk of environmental damage will be acceptable if the Board of Health temporarily waives the requirement that the subject premises be connected to the Town sewer, until such time as said on-site sewage disposal system fails to function. WHEREFORE, the Board of Health, grants the Petitioner a variance, waiving the requirement for the aforementioned Petitioner that the subject premises located at 249j Falmouth Road, Hyannis, MA. be connected to the Town of Barnstable sewer, subject to the following conditions: 1. This variance shall expire within 2 years from the date of issuance. >2. Nothing in this variance shall be construed as limiting the Board of Health's power to revoke this variance should it determine that the onsite sewage disposal system'is malfunctioning. 3. The Petitioner shall record this variance at the Barnstable Registry of Deeds within thirty (30) days from the date of issuance of said variance and shall provide the Board of Health a copy of the recorded variance. BAR STABLE ARD OF HEATH Chair n Barnstable, SSG: On this ?//Wday of July 2003 personally appeared the above-named Wayne Miller, M.D., of the Town of Barnstable Board of Health, and acknowledged the foregoing instrument to be his free act and deed. Not ry Publ' My commission expires ur49 4 Q:DeedSewerVariDed.doc r--RECEIVED June 26,20U3 JUN3020Q3 TOWN OF BARNSTABLE HEALTH DEPT. PUBLIC HEALTH DEPT. THOMAS MCKEAN, DIRECTOR 200 MAIN ST. HYANNIS,MA. DEAR MR McKEAN; MY NAME IS PHIL CWYNAR AND I AM ACTING IN BEHALF OF SALLY NORRIS IN REGARD TO MAP&PARCEL 292-163 ,LISTED AS 249 FALMOUTH RD. HYANNIS, MA. MS.NORRIS RECEIVED A NOTICE TO CONNECT THE ABOVE MENTIONED BUILDING TO THE SEWER LINE ON OR BEFORE AUGUST 29, 2003. MS. NORRIS IS CURRENTLY IN A NURSING HOME IN MASPHEE RECOVERING FROM A SERIOUS MEDICAL CONDITION. SHE IS A SENIOR CITIZEN AND LIFE LONG RESIDENT OF HYANNIS. MS.NORRIS IS UNABLE TO COMPLY TO YOUR CURRENT ORDER AND REQUESTS EITHER A TIME EXTENSION OR VARIENCE IN REGARD TO THIS CONNECTION REQUEST. THE VARIENCE REQUEST,IF POSSIBLE,WOULD BE BASED UPON THE HOOK UP HAPPENING WHEN MS. NORRIS WOULD SELL HER PROPERTY. THIS WOULD EASE THE FINANCIAL BURDEN PRESENTED AT THIS TIME IN HER LIFE. PLEASE CONTACT ME WITH FURTHER DIRECTION OR INFORMATION AS I AM CURRENTLY ACTING IN HER BEHALF IN ALL BUSINESS MATTERS. THANK YOU FOR ANY CONSIDERATION YOU CAN AFFORD MS. NORRIS AT THIS DIFFICULT TIME IN HER LIFE. SINCERE PHIL CWYNAR 50 OLD HARBOR RD. HYANNIS,`MA. 02601 508-771- '3884 I r Doc:934,743 08-13-2003 11 :17 BARNSTABLE LAND COURT REGISTRY July 17, 2003 BOARD OF HEALTH VARIANCE DECISION On or about May 29, 2003, the Petitioner, Sally Norris, received an order from the Board of Health to connect the premises located at 249 Falmouth Road, Hyannis, Ma, listed as Parcel 163 on Assessor's Map 292, -Hyannis, MA..to the public sewer. Due to her illness and limited income, the petitioner's agent, Phil Cwynar, applied for a variance to waive the requirement that the building be connected to the Town of Barnstable sewer. Based upon the application for a -- variance and other information submitted, the Board of Health finds as follows: 1. The petitioner's agent, Phil Cwynar, stated that the on-site sewage disposal system located on the subject premise is currently functioning properly. 2. The petitioner's agent, Phil Cwynar, stated that Ms. Norris is experiencing financial hardship. N 3. If the property owner is required to incur the costs attendant to connect to the Town of Barnstable sewer, she will be forced to forego basic necessities causing her severe hardship. 4. Based on the representations by the petitioner's agent Phil Cwynar, v that the on-site sewage disposal system is functioning properly, the �o Board of Health finds that the risk of environmental damage will be n acceptable if the Board of Health temporarily waives the d� r` requirement that the subject premises be connected to the Town sewer, until such time as said on-site sewage disposal system fails to function. WHEREFORE the Board of Health grants the Petitioner a variance, waiving the requirement for the aforementioned Petitioner that the subject premises located at 249 Falmouth Road, Hyannis, MA. be connected to the Town of Barnstable sewer, subject to the following conditions: 1. This variance shall expire within 2 years from the date of issuance. r 2. Nothing in this variance shall be construed as limiting the Board of Health's power to revoke this variance should it determine that the onsite sewage disposal system is'malfunctioning. 3. The Petitioner shall record this variance at the Barnstable Registry of Deeds within thirty (30) days from the date of issuance of said variance and shall provide the Board of Health a copy of the recorded variance. j ;nM LE ARD OF HEATH r, .D. Barnstable, SSG: On this &/day of July 2003 personally appeared the above-named Wayne Miller, M.D., of the Town of Barnstable Board of Health, and acknowledged the foregoing instrument to be his free act and deed. ..is�id PrJ itii b/$3fb J �4 Not ry Pubf My commission expires J-1 { lo r' f ' 3 { BARNSTABLE COUNTY REGISTRY OF DEEDS A --R--U��E COPY,ATTEST <1 ,�TSL @t JOHN F.MEAI-jE RE61ST_R. BARNSTABLE REGISTRY OF DEEDS Q:DeedSewerVariDeci.doc r July 17 2003 BOARD OF HEALTH VARIANCE DECISION On or about May 29, 2003, the Petitioner, Sally Norris, received an order from the Board of Health to connect the premises located at 249 Falmouth Road, H annis ,Ma ..listed as. Parcel-163 on As sessor's Map 292 Hyannis, MA..to the public sewer. - Due to her illness and limited income, the Petitioner applied for a variance.to,waive. the requirement that the building be connected to the Town.-of Barnstable sewer. Based upon the application for a variance and other information submitted, the Board.of Health finds as follows: 1. The Petitioners stated that the on-site sewage disposal system located on.the.subject premise is currently functioning properly. 2. , The petitioner*is experiencing financial hardship. 3. If the. Petitioners. is required to incur the costs attendant to connect to the Town of. Barnstable sewer, she will be forced to forego, basic necessities causing her severe hardship_ 4: Based on.` the representations by the Petitioner that her on-site sewage disposal' system. is functioning properly, the Board of Health finds that the risk of environmental damage will be acceptable if the Board of Health temporarily waives the requirement that the subject premises be connected to the Town sewer, until such time as said on-.site sewage disposal system fails to function. WHEREFORE, the Board of Health, grants the Petitioner a variance, waiving the requirement for the aforementioned Petitioners that the subject premises located at 249 Falmouth Road, Hyannis, MA. be connected to the•Town of Barnstable sewer, subject to the following conditions: 1. This variance shall expire within 2 years from the date of issuance. 2. Nothing in this variance shall be construed as limiting the Board of Health's power to revoke this variance should it determine that the on-site sewer disposal system is malfunctioning. RIDECI 3. The Petitioners shall record this.variance at the Barnstable Registry of Deeds within thirty. (30) days from the date of issuance of said variance and. shall provide. the Board of Health a copy of the. recorded variance. BARNSTABLE BOARD OF HEATH Wayne Miller, M.D. Chairman Barnstable, SSG;: On this day of July 2003 personally appeared the above-named Wayne Miller,'M.D., of the Town. of Barnstable Board of Health, and acknowledged the foregoing instrument to be. his free act and deed. Notary. Public My commission;expires VARIDECI TOWN OF BARNSTABLE LOCATION ;; yCZ--y�� Z✓� �1Z� 'jO��i SEWAGE # VILLAGE /T X/1/ 5 jASSESSOR'S MAP & LOT 7— INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS Y BUILDER OR OV�NE� - i6 r' ,4 PERMTTDATE: ZIn— COMPLIANCE DATE: �� V Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished byay' � bpi � � � � , � � � � i � � cN � v � � . . �. N N No. Fee IX,-_ THE COMMONWEALTH OF MASSACHUSETTSEntered in computes Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for �Digponl *ps�tem Con.5truction Vermit Application for a Permit to Construct( )Repair(i/)Upgrade( )Abandon( ) ❑Complete System M Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel vr. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7 7/- Type of Building: Dwelling No.of Bedrooms Lot Size ,/84ae-5 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. i Description of Soil -r to s Nature of or Alterations Answer when applicable) Repairs � . Date last inspected: ,s 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 issu h' ar f Heal ,� fly Signed Date mA Z Application Approved by " Date z,2= R: Application Disapproved for the MlowingYeasons Permit No. Date Issued 1 Feed THE COMMONWEALTH OF MASSACHUSETTS` + Entered in computer: PUBLIC HEALTH DIVISION —TOWN OF BARNSTABLES MASSACHUSETTS' Yes Yicat on for Miopogal 6potem Construction Vermit Application for a Permit to Construct( )Repair(Xupgrade( )Abandon( ) El Complete System L�1Individual Components Location Address or Lot No. Z 41 n Owner's Name,Address and Tel.No. Assessor's Map/Parcel J41,weU�4 / / /7! Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. s 7 — 3 .; Type of Building: Dwelling , , No.of Bedrooms �U_ Lot Size ./S'4'r2°5 sq. ft. Garbage Grinder(.00 j Other, Type of Building ,/'e�s jVe*,P No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title y Size of Septic Tank Type of S.A.S. DescriRtion of Soil Nature of pairs or Alterations(Answer when;applicable) 1wl / ,* G ,L t 46 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 issue, by h's`Boar Hof Healt Signed Date Application Approved by Date Tiff - Application Disapproved for,the Mowing easons ' JI Permit No. 17-/ - i-M. Date Issued ——— —— ——————————— ——————————— ———— — .r. 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 17�Z�t? at _J- - / has been constructed in.accordance with the provisions of Title 5 and,the for Disposal System Construction Permit No. -dated Installer Designer , The issuance of this pemut shall of b .construed as a guarantee that the�s�st ill function s gnud Date �a Inspectar: ———— �—-=------------------�- ------ No. 711o_ Fee 3 THE COMMONWEALTH OF MASSACHUSETTS �-✓ PUBLIC HEALTH DIVISION - BAR NSTABLES MASSACHUSETTS Mi!6poml-*pstent Conmruction Vermit Permission is hereby granted to Construct.( `)Repair(V<Upgrade//( )Abandon( ) F System located at ?_ /.�h, 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.. r N Date:__T�� Yh� f. Approved by �r z l C�IICI GT Ce! ev 7`01�e lelh, eG� y � y . _ CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION I'Elt5li'l' (tiVs`I'IIOU•I' DESIGNED PLANS) hereby certify that the application for disposal works . construction signed permit si d b me dated �(�`���� , concerning the P g Y Property located at ��l�✓D�/o� }�Yl/ri1��.5 meets all of the following criteria: /7iicrc arc nuvc'•lands wilhin o fc^! of(he nromsed scutic system Y 'ncre arc no rivate wells within i.�0 feet of the proposed seQtic system 41cP obscrvcd ercundn•^ter 'abie s A,rcv ?r seater'eiovv the hattom of?he ?e chinst .artily V ;;acre is.nv increase in 'lo%v..and/nr=7anee n !jse nr000sed 1� T;icre are ao•;arinncrs rcauested or iccded. SrcNED DATE: ICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER (Attach a sketch plan of the proposed system. Also irthe licensed installer posesses a certified plot plan, this plan should be submittedl. i...: _-