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HomeMy WebLinkAbout0028 GREENWOOD AVENUE - Health 28 Greenwood Avenue -Hyannis . A= 289-112-001 o a r No.t 3 "d� v Fee . THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppIitation for Disposal *pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ❑Complete System ❑Individual Components Location Address or Lot No. a% 'R(EEi(woob AVE; Owner's Name,Address,and Tel.No. YAlJhYls Assessor's Map/Parcel �gq I,a a4 RV -TA-tie L� AUG Installer's Name,Address,and Tel.No.502—4-17—$9,77 Designer's Name,Address,and Tel.No. CGAP� G tC b� �rQ1S�'S LI C (� A 153 W -r wt 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) PPAMW :!5sie 57� Date last inspected: I I Agreement: U 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. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 2 —U 6 Date Issued ��. 9 r No. _013 - J-- G i� _ = ,` 1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BAR STABLE, MASSACHUSETTS $ ,{ 2ppYitation for Zisposal 6pstrim Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components Location Address or Lot No. aS 'RF@j Woa AVE Owner's Name,Address,and Tel,`No. JAYQ ,S Assessor's Map/Parcel a,Q q (I a. 94 la4 2 g u P D /4vJE f- J&J"15 Installer's Name,Address,and Tel.No..502-4177-S?.7"7 Designer's Name,Address,and Tel.No. �CAPtCc- ��.,-taea��us�^S (-LC N f� 15 3 Szr Wl SA?t� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) t Other Fixtures i 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 i Nature of Repairs or'Alterations(Answer when applicable) A1340NO SsPitc YVSIEV4 Date last inspected: t J 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 Date 3-A I 11� i Application Approved by Gb': Date Application Disapproved by ' Date for the following reasons Permit No. 2 0 I --0"I � Date Issued �—2 1 -----=-------- ---- -_- --------_-- -----_------'-_.---- --- ----------------------------------------------------. THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS :6 t r ° Certificate of Compliante THIS IS TO CERnTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(�by at V I:';- has been constructed in accordance with the provisions,of Title 5 and the for Disposal System Construction Permit No.2 013_0q D dated ?-2 I? Installer �NElt.jlhE C.LC Designer #bedrooms Approved design flow gpd The issuance of this permit shall not )be)construed as a guarantee that the system will`function sadesigned. Date ( �;/ +`t' J Inspector ____-_.________ ---------------- ----- --------------- No. 7 d ( 09 0 Fee _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS MIsposal 6pstem Construction permit ``// y g ( ) P ( ) Upgrade( ) ( 1�) Permission is hereby ranted to Construct Repair U rade Abandon System located at o e REsw1Q)0cjt) Aoig is 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:Cons ction ust be completed within three years of the date of this permit. 1 } r Ci Date e � f / f 3 Approved by i % AsBuilt Page 1 of 1 a */- 7 i� l CATI SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME i ADDRESS ,�Ali Si'FAk M,rYLll BUILDER OR OWNER Z-Z`lply/z m 9 2/Nn DATE PERMIT ISSUED � 244u r . DATE COMPLIANCE ISSUED `v F-Ro y T \J` ��to http://issgl2/intranet/propdata/prebuilt.aspx?mappar=289112&seq=1 3/21/2013 Town of Barnstable Barn .� Regulatory Services Department 'm"eftacft sntuvSTAS e. _ ' _Public_Health Division 200 Main Street, Hyannis MA 02601 Office: 508-962-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-1010-0000-2848 -0264 March 28, 2013 MARY JANE PAULL, TR PAULL REALTY TRUST OF 2007 28 GREENWOOD AVENUE IMPORTANT NOTICE HYANNIS, MA 02601 Map & Parcel: 289- 112 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 28 Greenwood Ave, 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 B ARD OF HEALTH Thomas A. McKean, R.S., C.H.O. ------------Agent of the Board-of-Health_ - ------------------��—_---------- -- -- Cc: Barbara Childs,WPC/Roger Parsons, Town Engineering, DPW Enc. Q:\SEWER connect\Sample order letters for sewer connection\Form LeGA Sewer hook-up sample 2013.doc �I 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.bai-nstable.ma.us/cdbg (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.bai*nstable.ma.us/Pub].IcWorksTech/sewerinstallers. 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. QASEWER connect\Sample order letters for sewer connectionTorm Let3A Sewer hook-up sample 2013.doc 8/- � �.� � L CAT10 t� SEWAGE PERMIT NO. VILLAGE N�rs INSTA LLER'S NAME i ADDRESS BUILDER OR OWNER Z-AylN' M f7 2/JV 0 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED rn t o J FRo:V T �3` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Application is hereby made for a Permit to Construct or Repair an IndividurAOARM&S.Wposal'" System at: .....alkw.40........... .......4�xrlms...........A,2. .................................................. Location-Address or Lot No. Owner Address In�,a Address Pq 14 Type of Building Size Lot---a..V Z Other Distribution box (/,'I Dosing tank ( ) - Percolation Test Results Performed by.!K�4p�4�44e---Z!�? ---'--'----- -----'----------'----'--'--'--'------'------ Agrccuzeot. The undersigned agrees to install the aforedescri6ed Individual Sewage Disposal System in rdance with' the provisions of ^_ ~~ /"^ "e State Sanitary Code The undersigned ^=` �- - nper^zux/ uou/ u Certificate of Compliance has been issued by t4hnbDoard of healt Dt Date Date Date N ._ ..- .......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH M=. Z""0 . V..--. ..-OF.... A./S.rX.<�'.�14C......................... Allp iraatilan for Uhipmaal Work.5 Tnnitratrtion Pamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: OLP......... _..... .._... ............................................. Location.Address or Lot No. ------...ro .21 ........................................... ..............._...---------------....__.._.... Ower --------------------------------------------Address Installer Address U Type of Building Size Lot...;V/;+_u'&j9___Sq. feet Dwelling—No. of Bedrooms..................3_................_______Expansion Attic ( ) Garbage Grinder (AW) 4 Other—Type of Building No. of persons________-___•-•_____________ Showers — Cafeteria a Other fixtures --------------------................................................................................................................................... W Design Flow_._....._..��£ .................. :_gallons per person per day. Total daily flow............S. Q.................gall�� � Septic Tank—Liquid capacity./>O?O gallons Length__W__`K.._ W idth._4/._e!4 Diameter.-IV ._. Depth.:,f W x Disposal Trench—No. .................... Width................_... Total Length.................... Total leaching area___-__-__•••_•-_____sq. ft. /-___---. Depth below inlet_..�i: _.._... Total leaching area...✓KK.sq. ft. ,Seepage Pit No..______ Diameter._._.._.-�________. Z Other Distribution box (Al Dosing tank ( ) aPercolation Test Results Performed Date....... ..................... Test Pit No. l...AZ....minutes per inch Depth of Test Pit.....&-------- Depth to ground water.__.....9."......__. G� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f----------------------••---•---••---•-------------•----••------•---------------- �?_-......._........-•••-•-•••----•--......----•-••. D Description of Soil------- `5 ! -SD'!,G.................................................c57}4e l.;:�----ems...--. x -----------•••-•-- ----- ------•---- ----• C'� i 0-_/ .�1---- U --------------•-• -•••••-•-••--•-•••--•---..........-••-•••--- W S ----V-at/t� � yk �y ,% - U Nature of Repairs or Alterations—Answer w en applicable...___......:................................................................................... ..-•---••--••••-•----•-------•-•-•--•--•---•----•••••-••--•-••--•--•-••••-•-•-•••-••.............•--•-••--•--•-•--•--------•----•---•••••---•-••----•-•-•••••--•-••••••••-•••••-----••----•--•------••-- =,s Agreement: M The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in pr.Gordance with the provisions of'TT LE p 5 of the State Sanitary Code— The undersigned furtl gree not a e s, stem in operation until a Certificate of Compliance has been iis�suedl b_y,.thh board of healt Signed...... l__. D e Application Approved By...... s;/ + ----------------------------- ---�'� °, ✓_. Date Application Disapproved'f or the following reasons---------------------------------------------------------------•----------------------------•-•-•......----_----- -------------------------------------•--••--•------•-----------------------------•------------------......---------------------------------------•-•-----------------•----------------------•-•---------- Date PermitNo................................. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH = W.1 ....OF........ r.e 1 .................... �rrtifi" atr of Toutph aurr THIS IS TO CERTIFY, That the likividual Se e Disposal System constructed ( ) or Repaired ( ) Inst lle 71p � has been installed in accordance with the provisions of TI`" Z j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.�.�_._y,��,i............... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................................:_.' Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD .OF HEALTH "tst�„�x>.......OF. �* '.� �f' ""+ �c" ........... No . ............................... 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