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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. 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