HomeMy WebLinkAbout0057 FIDDLERS CIRCLE - Health �7 FIDDERS CIRCLE (�i- ►=�' ��.
Hyannis -�
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LOCATION SEWAGE PERMIT NO.
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VILLAGE
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I N S T A LLER'S NAME i ADDRESS
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® UILDE It OR OWN Ell
DATE PERMIT ISSUED lv ISO
DATE COMPLIANCE ISSUED
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No. / THE COMMONWEALTH OF MASSACHUSETTS Entered n computer.
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01pplitation for Disposal 6pBtrm ConstrUttion Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ,❑Complete System ❑Individual Components
Location Address or Lot No. iy r7 J= cd @,a-$ Gif e— Owner' Name,Addre s,and Tel.No.
Assessor's Map/Parcel 1&6- t4p n is 1 U
I Caller's Name,Address,and Tel.No. 608-7 h/ 9 3 79 Desi er's Name,A dress,and Tel.No.
,r- 0%6-k+I Cp �rcx�-J Inc
a s aY
Type of Building:14
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) d Design flow provided d
g ( q ) gP � P gP
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 Co not ace the system in operation until a Certificate of
Compliance has been issued by this Board of ealth.
Signed Date
I Application Approved by - Date
Application Disapproved by Date
for the following reasons
Permit No. (� Date Issued
/NO. .:.I Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.
Yes
PUBLIC.HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
21ppYication for Misposal 6pstent (Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon 0l El complete System El Individual Components
Location Address or Lot No. S F-
r7 ,dc�'e r-5 di r< C Owner's Name,Addre s,and Tel.No.
``,, YJe-� 11A�t len. J- s') r= cle� a.Cez.,
Assessor's Map/Parcel o f /(oS a t't n 15 H i ,m w Zvi 1- p7^n
Installer's Name,Address,and Tel.No. 5 08 -`)7/-9 3 99 Designer's Name,Address,and Tel.No.
,ate c! Rr - fl�ars 1S
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(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) 1 ��e ,7 c P ;C
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance
--o^ff�the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code-nfd not to-place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date s13
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. f 7 —1 4 1 Date Issued �-
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS I TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned by <" ['dtXl` 1) ..Loe-
���nt G�� r y
at ,o� �C, I'ct has been constructed in accordance
-Y-'"-
with the provisions of Title 5 and the for Disposal System`Construction Permit No. Z U� - dated ,
Installer_. Designer
#bedrooms Approved?,ill
sign floes gpd
a
The issuance of this pe it shall not be construed as a guarantee that the system r)a�tio/n as designed. �1
Date n ! 12 Inspector / tJ ,, A4> 1�1
No. o ( Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Bisposal *pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon
System located at sn /"'I d e4 f ro K-!F; a �✓'G C//
0
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Constructioni ust be completed within three years of the date of this permit.
�+ 4V
Date Approved by n
.. ..... _
Town of Barnstable Barn
Regulatory Services Department '��a�n,►
1
BARrtsTASM : I
_ ._16� �e� Public.Health.Division _ _____ -..___ _____
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7012-1010-0000-2848 -0240
March 28, 2013
YVETTE M. MALENFANT
57 FIDDLERS CIRCLE IMPORTANT NOTICE
HYANNIS, MA 02601 Map & Parcel: 288- 165
The Department of Public Works informed us that public sewer lines are now
available in your neighborhood. According to our records, your property has a septic
system. This letter directs you to connect your dwelling, at 57 Fiddlers Circle, Hyannis,
MA, to public sewer on or before 3/30/2015.
The old septic system must be either removed or filled in due to future safety
concerns. This may be done by the same contractor who connects you to the sewer.
Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main
Street, Hyannis.
Failure to comply with this Board of Health Order may result in a complaint
against you, in a court of law.
For additional information pertaining to the sewer connection, please see the
reverse side of this page.
PER ORDER OF THE OARD OF HEALTH
omas A. McKean, R.S., C.
Agent of the Board of Health
Cc: Barbara Childs,WPC/Roger Parsons, Town Engineering, DPW
Enc.
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Public Health Division March 28, 2013
ADDITIONAL INFORMATION AND REMINDERS FROM OTHER DIVISIONS:
SAVINGS AVAILABLE/GRINDER PUMP:
A reminder to those of you who need a grinder pump for your connection:
Department of Public Works (DPW) sent you a letter in December 2012 stating the town,
for a limited time of two years, only from the receipt of the DPW letter, would provide
you with the pump at no charge. (This can save you thousands of dollars.) Please note:
You must pay the installation cost through..your own contractor. Please make your
contractor aware of this, if interested. Also be aware: this is a shorter deadline than
the Public Health Division's deadline on the reverse side of this page.
SAVINGS AVAILABLE/PERMIT FEE:
The Town offers a waiver of the residential sewer connection fee of $420.00 for those
properties that connect within two years of the receipt of the DPW December 2012 letter.
LOANS:
For loan(s) available, please see the enclosed brochure, or see the town website:
http://www.town.barnstable.ma.us/cdb (under the "CDBG Programs", see "Sewer
Connection Loan Program). For loan specific questions, you may contact Kathleen
Girouard, Growth Management, at 508-862-4702.
CONTRACTORS:
Information on Licensed Sewer Installers is available on our web site at
www.town.barnstabie.ma.us/PublicWorksTecli/sewerinstallei-s. Contractors, approved to
perform sewer connection work in the Town of Barnstable must obtain and file a Sewer
Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way,
Hyannis—contractors, please call Dave Anderson at (508) 790-6244.
FOR ANY QUESTIONS /ASSISTANCE:
Len Gobeil at the Town Manager's Office is available to provide you with direction you
may need in reference to the Stewart Creek Sewer Connections. You may contact him at
508-862-4701.
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THE COMMONWEALTH OF MASSACHUSETTS
f ce j BOARD OF HEALTH aARNST ro APPROVAL
..-TIOW-0..... oF... ° tr1 i " - .................................. EC®NS ofCONiMISS E�VA_TeC�,�
Appliration for Disposal Works Tonstrurtion rrmit �®N
Application is hereby made for a Permit to Construct ( "<or Repair ( ) an Individual Sewage Disposal
System t
� .. ocati .�ddress r Lot No.
AdJApp :� py9 'Ow�ner A9&w�ry�y➢ P
Installer Address
Type of Building - Size Lot...0.1.2:?Q....Sq. feet
U Dwelling—No. of Bedrooms................ .................... Attic ( ) Garbage Grinder ( )
Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a Other fixtures ------------------------------•. .
W Design Flow.............. ..____._s_____.....__gallons per person per day. Total daily flow................... '............gallons.
9 Septic Tank—Liquid capacitA ..gallons It ength................ Width................ Diameter---------------- Depth................
Disposal Trench—No. ......... ......... Width.....10......... Total Length----- ...... Total leaching area___ 54?._sq. ft.
Seepage Pit No--_----------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (� Dosingtank ( ) t
'-' Percolation Test Result Performed by � ...'t--�1*e.....:1.`-�-V ....4,Date...... 1.I 311,g
._..-__..
Test Pit No. 1-----
Test per inch Depth of Test Pit ....... Depth to ground water____-._
P P P
f=, Test Pit No. 2.... Z,..minutes per inch Depth of Test Pit__.__--10....... Depth to ground water......... ..............
Q+' ...................... -------•-•-•-•--•-•...............•----•-----------•-•-•-..._...........---.......-••--------•------------•---•--•--..._....--.-----
ODescription of Soil.............r�1-w .......A k ....................•--•-...-----•----------------------------------------------
V ---------
---------------
•-•-------------------------------------------------------------------------
•-•-•---•----••-----•--•------------------------------------------------------
•--•------------------
W ----•••--•-------------------•-..........--••------•---•-------....•---•----------•-----------•-------•------------------•---•---------....--•-...------------•......--------•--•---•-----...-----------
VNature 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 TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been ' ued by the board of health.
11• i ned....... ............... I`
�19.......
Date
F ' Z .Application Approved By-_-e Date--------------
Application Disapproved for the following reasons:..... .......
..............•-•---...-•--------....------------....----•----------------------------------•----------.....-----------•-------- -----------------------------------------------------------------------
Date
PermitNo......................................................... Issued.......................................................
Date —
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALTH
..
............�',,a..... ........OF.........;.s. ...
Trrtifiratr of TourpliFaaarr
THIS O That the Individual Sewage Disposal System constructed ( �r Repaired ( )
by ..... -- . . .-•..................
_.. --- Installer -----------------------------•--- I
has been installed in accordance with the provisions of Tl; of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.ey.... ............
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 OF HEALTH
79
S ,....................OF......... Z ... !�...�;....--•---....... a`.�—
No................ ..... FEE..._._.Sl..............
Disposal rks irrra rrmit
Permission ' hereby granted..- --•- ......•... --••• .---•----•---•-----••------•--••----•---•--•---•----•-----•--•---•...................
to
No. - &v.
I�'• I fpSysat Constµc�� Re it In1 S .�a --- -�------------------------------------
Street
as shown on the application for Disposal Works Construction P it N . _. _ __. / 2 '
- ----- Dated f.- -----f...... ..........
Board of Heal
DATE................................--•-----------------------•-
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS -
Fms ��......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.f`? v ....... ......OF:.... !h. '"i4 .. -----•--------•---.......
J
r-ApplirFatiuu for Dhvvoii al Vorkvi Toutimartiun patuit
Application is hereby made for a Permit to Construct (VI Repair ( ) an Individual Sewage Disposal'
System at--,,, ,
.............. i^`--t tl " � t 3. .............................
-.. ............................................ - ............................................................
('j,ry�} \Locatiiyon,-Address'' y�.�q (� y� or Lot No. � -�y � � y�
................1_�/s _99 gar"�a��-r_.'�°=-..fi &nFIA4A Aa!*r . .air:'E...��,: s!. �9 �:,..... A`�'��.......�,.r ".�.;�..R."�'':�P__�
Owner Ad s
F
w .i .s _ ..�. _ ... _A .. ___---_------------------
Installer Address
Q Type of Building , Size Lot.J...... .->9_ -___-Sq. feet
( Dwelling—No. of Bedrooms................- .....................Expansion Attic ( ) 1-11
'; Garbage Grinder ( )
p� Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a Other fixtures .----•--•-•-•--------------•--•-•--•---•--•••-
" '?.-----------gallons.
W Design Flow..................�........_____________gallons per person per day. Total daily flow..................__.:_- .. gal
WSeptic Tank—Liquid capacity'.4,1 __gallons Length................ Width--._ .......... Diameter---------------- Depth.................
x Disposal Trench—No. ........A.......... Width.....l j(%___._._.. Total Length.....- .`"a__.._._ Total leaching area_n_-5!1 6__sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area...................sq. ft.
Z Other Distribution box ( DOM _ tank ( )
'-' Percolation Test Resultfs Performed by. -l�i" •• •- `¢ ....... -=- --�- 1# '
-. Date....
rP•---•••--•-.
Test Pit No. 1...._f�......minutes per inch Depth of Test Pit____-_V?_...... Depth to ground water_._...._ ___-_•,._
(s, Test Pit No. 2....!._ba_._minutes per inch Depth of Test Pit.......!L'________ Depth to ground water.......11..:...........
Ri ................. + ---------•-------•-------------•------..........-••-•------•------...--•---....---•-...............................................
ODescription of Soil �' -.'-"-.-�--------------! ----...-----------•-------------------------------------------------------------------------•------•---------------------
V .....••••...--•-••••-----•-••••••--•••----•••......-----•••... -•-•-•-••-•--•--•-.....•-••••-----••••-•--•-••--•----•--•-•-••-•-•---•----•--••---•-•••-•••••-•---••-••-•-•......--•---•-•-•-......•••••.
W '.• ---•--••-••----••••---------•-••••...••----•------•••---••--------------------------•••-•----•--------------••--••-••-•-••••-••-••-----•---•-•••••---•---
UNaturiof Repairs or Alterations—Answer when applicable........................................:......................................................
f
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITL L 5 of 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 of health.
1
r Date
--•- -
..........
Application Approved BY Date
Application Disapproved for the following reasons:--• .. -----••-•-•--•--•---•-••-••-----••••--
.........--•-••••-•••--••-...-•-•----•••••-•••---•----••-••--•----••---•---•......-•-•--......••=----•=---•••--.....----•-•------•--••....._...••••-•--••-•-------•-••.................................
Date
Permit No... ='----------------------------=-=- Issued
-------------
Date
'r THE"COMMONWEALTH OF MASSACHUSETTS
BOARD IF HEALTH
OF..... .
Trrtifartttf of TilutpliFaatrr
s' T TO 1 That the Individual Sewage Disposal System constructed or Repaired .( )
by ....._ ... Installe1r � ' �
has been installed in accordance with the provisions of -TTE 5 of The State Sanitary Code as described in the
"„ . dated_. . ,t . c".
application for Disposal Works Construction Permit N __.__ --_ __ _. ,2-- .
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE..........--•--•-•----•--•-------------------•-••--...-•---:....•--_------A=--- inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARDZDF HEALTH
No.........................
-
Diu u,llFal lark �tr#iva� . rrmit
Permissio hereby granted ..... ......•----•-----------------------------------------
to Co r ct r air�( an In ' ual CIN ,f qi.P sal Sy em R
Street
ate
as shown on the application for Disposal.•�'��orks Construction mit fig-
--- -
------ Dd'."____" ..�.� .........
o
�.�
oard.,ofaH
DATE• ••••-••••• .............................................................
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
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