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Home My WebLink About0096 GREENWOOD AVENUE - Health " 96 GREENWOOD AVE. ,HYANNIS A = 289 115 e 1, i Town of Barnstable Inspectional Services Department EM NSTABUM * Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO March 2021 Kenneth Tomasian and Eva Gonsko 96 Greenwood Ave Hyannis, MA 02601 RE: SEWER CONNECTION DEADLINE EXPIRE_ D 96 Greenwood}Avenue 11 annis A 289-115 u . _. ..,.. 9. _y Dear Property Owner, Your sewer connection deadline has passed. Please contact the Public Health Division Office to provide an update relative to the status of property's connection to public sewer (i.e. contractor name, DPW sewer connection permit number, anticipated connection date.) If you would like to request an extension, such request must be in writing addressed to the Board of Health (200 Main Street Hyannis, Massachusetts) or e-mail Sharon Crocker at: sharon.crockergtown.Barnstable.ma.us within fourteen(14) days. Sincerely yours, Karen Malkus-Benjamin Town of Barnstable Health Division Coastal Health Resource Coordinator karen.malkus(d-)town.barnstable.ma.us It C�-✓ �. # -}-6 ( �: 1 3 6 0061. `f 61 1 TOWN OF BARNSTABLE .� LOCATION fi 6/re47 W"K al&- SEWAGE # VILLAGE IY>6gd,&�25 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 42&s ` Z x/ SEPTIC TANK CAPACITY A010 L/ LEACHING FACILITY: (type)s > -J 61J (size) /D 1(3e Xa NO. OF BEDROOMS 3 { BUILDER O CWN�E ) PERMITDATE: 3`3®"2ZO COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Sf Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) /e h Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) I Feet Furnished by C v o s 0 r tI No. '®G ,s let 5— Fee c THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppftcatton for atgaal *pgtem Comaructton Vermtt Application for a Permit to Construct( )Repair(4pgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address an/d�T,1..l N/�` Assessor's Map/Parcel Installer's Name,Address,and Tel.N Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building XPS1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ll gallons per day. Calculated daily flow 1J.�154-11 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /1-15--00 Type of S.A.S. Description of Soil; Nature of Repairs or Alterations(Answer when applicable) 7�/TLL1�f� 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 issued W this Bo d oUlealth. / Signed Date 3 A01'40 Application Approved by \ Date J.-acp Application Disapproved for th following reasons Permit No. ®� , � /S` Date Issued No. 'Leo C) 11�r Fee c THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Application for �Dizpozar *pgtem (Construction Permit Application for a Permit to Construct( )Repair(4pgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. O r/� wner's Name,Address and T 1./iNNAi Assessor's Map/Parcel /wyahw%s _?l Z Installer's Name,Address,and Tel.N '/7 Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder Other Type of Building IGQSf eyl� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 13-411:57 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank I5wo Type of S.A.S. /f�9rl Cow ii' i��/�Je�rs 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 Code and not to place the systemuin operation until a Certifi- cate of Compliance has been issued b this Bold ofHealth. ^� Signed Date Application Approved by Date _2-o—.1,aaxa Application Disapproved for the following reasons Permit No. nn� — � / 5� Date Issued t y THE COMMONWEALTH OF MASSACHUSETTS Z T:r� —�ls BARNSTABLE, MASSACHUSETTS (Certificate of (tompriance THIS IS TO CERTIFY,that the On-site ewage Disposal System Constructed( )Repaired(V)Upgraded Abandoned( )by �Ol�D LO�f t�ee5, ; at 9b i YreelI 11✓&W42 r?!/��LY�I 5 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. -arys_ ! _dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date kf -A — 1 Wien, Inspector � �l --------------------------------------- No. /;we — I q" 7j a —l 1-5— Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpo5ar *pgtem Construction Permit Permission is hereby granted to Construct( )Repair(✓)Upgrade( )Abandon( ) System located at weo o aoif /,y 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. f Provided:Construction must be completed within three years of the date of this permit. w, Date: — 1,0w Approved by N! 1/6199 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERNUT (WITHOUT DESIGNED PLANS) I, �D��cr �OTj, hereby certify that the application for disposal works construction permit signed by me dated 31191110ve concerning the property located at �1��' h �VAenlr r 'meets all of the following criteria: f/ The failed system is connected to a residential dwelling only. There are no commercial or business . l uses associated with the dwelling. Is' The soil is classified as CLASS I and the,percolation rate is less than or equal to 5 minutes per inch. There are no wetlands within 100 feet of the proposed septic system There are no private wells within 150 feet of the proposed septic system /There is no increase in flow and/or change in use proposed There are no variances requested or needed The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor ethod when applicable] limf the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following:A) Top of Ground Surface Elevation(using GIS information) 33, / B) G.W.Elevation �'� +the MAX High G.W. Adjustment. DIFFERENCE BETWEEN A and B SIGNED : DATE: (Sketch proposed plan of system on back]. q:health folder.cent L o-0 _ p � S -36