HomeMy WebLinkAbout0093 GREENWOOD AVENUE - Health 93 Greenwood Ave
Hyannis
A= 289-099 /
J
T �
I
i
fI
V 1
f
_J
No. G��` J s Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
2ppliLation for Disposal .6pstem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(pl""'❑Complete System ❑Individual Components
Location Address or Lot No. 93 6��•�! g C'_ Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel .9 `� `i S
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 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) C 6&,_ym P,,4— ok 3 GE'1, C
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenanceof 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.
Sief, Date 7 23
Application Approved by Date —:a 3,-1 3
Application Disapproved by Date
for the following reasons
Permit No. '10 1 3— Date Issued a'
}
No. D' I Fee 25 :
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
4plication for 30isposaf 6pstetn Construction Permit
Application for a Permit to Construct( ) -Repair( ) Upgrade( )-Abandon((/j**`e❑Complete System ❑Individual Components
Location Address or Lot No. "i itnoo
I� o Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel -1)a Cf®Cl Y
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
�clug,4
Type of Building
;-'Dwelling .No:of Bedrooms.,° f,:v , , «� Lot Size; sq.ft. Garbage Grinder( )
a:. a
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) ,4h r"eX1W e—a— Df� 3 GeSs�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 tgtplace the system in operation until a Certificate of NCompliance has been issued by this Board of Health.
Sdgned"' Date 7 3 / ?
Application Approved by ; Date
Application Disapproved by �_.. ` 4— : . , Date
for the following reasons a
d'• ti;
Permit No. -7"� � Date Issued r.
Th E COMMONWEALTH;OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
{
;...certificate of tomphaitc
THIS IS 66CCE�RTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
i Abandoned Afou�,JNC
` k
6 at 7 wi e-r,.J w&0 J '.%1}y� has been constructed in acco dance �
with the provisions of Title 5 and theNfor Disposal System Construction Permit No.a�'3 Z dated y 3
Installers s%1,,e, A Z row L-,� i A Designer N
#bedrooms Approved design• ow - gpd
The issuance of this pe . -i ball not bi cons ed as a guarantee that the system will funetionaas�signed.v ✓ ,/ /p
Date � �,_,t"J Inspector
--------------------------/--^^---(---------------------------------------------------------------------------------------------------------
No. �U 2J '" to'1 5
1 Fee
THE COMMONWEALTH OF MASSACHUSETTS
- t PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
}. • . ...y..i .r <, 1. i
t . �i��IDSaYp8telttOUStructlon 3permit `
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon
Systemlocatedat Pt Cor�t,.r we9e lot! Y4,4WIS
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:Construction must be completed within three years of the date of this permit
DateApproved by _
` . io 6
+�a
II `
1�
C'
Town of Barnstable Barnstable
Regulatory Services Department
AMZ�
_Public Health.Divlsion
200 Main Street, Hyannis
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7012-1010-0000-2848 -0318
March 28, 2013
MARK& NANCY MEEHAN
76 CARTER ROAD IMPORTANT NOTICE
WORCESTER, MA 01609 Map & Parcel: 289-099
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 93 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 OARD 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.
QASEWER connect\Letters Stewart Creek Sewer ConnectsV%4AII.ING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc
1�
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.
i
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:H\v\vw.town.barnstable.ma.us/cdb,a (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
w�aw.town.barnstable.ma.us/PublicWorksTech/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
0
508-862-4701.
QASEWER connecAl-etters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 W2015.doc �)
LOCATION : EW&C4E PERMIT MO.
�� r ram- ®� A
o i
VILLAGE , -XO
IWSTQLLER5 Q 1,- IE 4',r- ADDRESS
i
BUILDER 5 KI &MF— ADDRESS
DATE PERW-T --
D ATE COMPLI W,ACE ISSUED ; /K 7y
i
r
r
No.--- ---7 - .............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
A.: .fi-..................OF........ A.-. .f
App iration for Roposa1 Worko Tomitrur#ion Vauld
Application is hereby made for a Permit to Construct ( ) or Repair. ( ) an Individual Sewage Disposal
System at:
-.�. ......Ail-------- ------ -------------------------------------------------------------------------------------------------..
e Location-Address p o Lot No.
Je---- ��°i� �''� --._..... .........._....-• °
�Jy� /�v,� �♦q Ow r �.r ddr e•
a -----------� ;f dui-----•-••-•-------•------------------------
Installer Address
QType of Building Size Lot___________________________Sq. feet
U Dwelling—No. of Bedrooms______________________________ __ _Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons____________________________ Showers — Cafeteria
a Other fixtures -------------------------------------------------- -
W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter---------------- Depth----------------
xDisposal Trench—No.____________________ Width-------------------- Total Length---------------_--- Total leaching area..__________________sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet_______________..... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date...................................
Test Pit No. 1.................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------
fl, Test Pit No. 2................minutes per inch Depth of Test Pit___________________. Depth to ground water_______________________-
0 Description of Soil........................................................................................................................................................................
-------------------------------------------------------
W ___________________________________________________________________________________________________________________________________________________________ y- 9
U Nature of Repairs or Alterations—Answer when applicab�.-__/-_ =-�__ �__.__ _%�-._�`''_'__���_ �t'�
-----------------------------------•------------------------------------------------------- _;LO:t,"�•--- --------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued b the ar of i►eOth. `
Sig - --------
/ Date /
Application Approved BY--=•-• . - ••••••••••-- =
--- -- -- - ----
--_____---•-----------------------------•--- Date
Application Disapproved for the following reasons________________________________ ___________ .__.__________
s / DatePermit No-----------------
-------------------
Da.----
le
r-
------------------------------------------------------------------------
--------------------------------------------------
Issued
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
n s t,�
Appfiratioit for Utsp s of Works Tonstraartioaa rnmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
............................................. -
Location-Address > or Lot No.
;,.s.
= L r -----------------------------------------•--•-------------- .._....---`-�-----------=- ---------'fi-Z,%'_---•
t ,r-
Owner �/ ,• r Address'
1 Installer Address
Q Type of Building Size Lot____________________________Sq. feet
U Dwelling—No. of Bedrooms______________________............_.........Expansion Attic ( ) Garbage Grinder ( )U
04 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures ---------------------•--------••-----------------------------
'`. Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
= . W
W 'Septic Tank—Liquid capacity------------gallons Length................ Width................ Diameter---------------- Depth----------------
x Disposal Trench—No.____________________ Width.................... Total Length-------------------- Total leaching area--------------------sq. ft.
3 Seepage Pit No..................... Diameter____________________ Depth below inlet.................... Total leaching area------------------sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed bY------- ------------------••-•-----------------------------•••-- ••-•--•. Date------------------------------------
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.------__-.-_---_-_--__.
w Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water------------------------
9 --------------••--•---------.._.__._...-•-•-----------•----•--------------••----------------••..---•........................................................
0 Description of Soil......................................................................................................------. ••--•---•- ----------------------------------------------
x
U
W -----••--••-----------••--•-•-•-•--- ------------------•••---•------•------------------•---------•---------•-••. --• -•-•••••-•.._..__
U Nature of Repairs or Alterations—Answer when applicable ,atA _4"J _ _ _.... _ r:! t§ +- t
- -- -
--------------------------------------------------------------------------------------------a�a� �/o��?�'
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued b. the boar&of health.
' Signe .... -- ..---...- . .. F.-!...............
ate
Application Approved B C�'"`..�
Date
Application Disapproved f oy.the f allowing reasons: ------------------------------
"4
.............................................___---------------------_____________________________________._______________________________ _._......_________...__.__________________._______._____
Date
PermitNo.................................... Issued-------------------y.r,------------------ -----------------------------.....---
� Date
THE!COMMONWEALTH OF MASSACHUSETTS
BOARD HEALTH
Tertif iratr of TilutpliFaatrr r
THIJ IS E Y, Th t�Indial Sewage Disposal
System constructed ( ) or Repaired
bY•-•-•-- .. ---- •-------- -------------------------------•-----------------------
------r�-r at---
Za--------
has been installed in accordance with the provisions of Article XLof�Trhe State Sanitary C e s de cri d in the
application for Disposal Works Construction Permit No________.......________/:_*x........ dated-------___ _--_ f'�.
`". ��f
THE .ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTJWED AS A GUARANTEE THAT THE
'SYSTEM WILL fUNCTION SATISFACTORY.
DATE..........q..[f
----!`"__"-----•--------------••-•----- Inspector----- •-- ---- ----•�--------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD CIn HEALTH
No._. :-L• ,;......`. :...d:.. . ....... ......oF............ - FEE
.,,.
Pratt
• a
Permission is hereby granted--- �' --' --------- --------•-•-- --�� ---------------- ---------------------- -- ........................................
to Construct Lo 1pls Xn dividua wage Disposal Sy
at No.- - -------------
•..
Street L� /
as shown on the application for Disposal Works Construction lit N _._. ____ __ _ Dated__------- __-�1_' ._-______.,
=••- -•••------•--•--.............. ----- -li""-—---------- ------------------
Board of Health
DATE ............ --- . .
F
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
t ,a
- �
y
1
j !.�
1
i
• I .
• � d
t • � ♦.
� G
. ..
I
C
Oj
IT
jzc
20
.............
77
\f
-
_
_
5
i
m
ui
LA
SZ
�-
Fil
Ul
1
x.
Arli
tin
. ....... . ...
.� 1
.r
. _ __ -�
.�-_-
_ —
. . _
��
._ _..
_. __ _, ._
._ __
_ _ _ .
�..
_ �__ ... _ _,a . .
_. _ _.
. . . ..., . _. _ 1
- - - .._
_ . . . _ _ _
__.-
_ _
. � ,
_,
. � t {( ;,�
- � .�
` i
.. . _ ._ .
l
..--- __-. .. .._ ._ ... _.._ .. _..�. r._._..._ _ _ ._. .. .��
e
_ ..� � 1
a
'� -£.
�,(
�:
- - \.
� it � Q 1
K _
,�1'1
1
�.�;,
�^o� �:
"� � '
� �r
. .. _.
.. ..
. _
_ _ . ,
I. ., ...�.... _ _ , .
�'