HomeMy WebLinkAbout0125 GREENWOOD AVENUE - Health 125 GREENWOOD AVE
Hyannis
A = 289 -- 109
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No. 110 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
Zipplication for VspoBal 6pstem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(X ❑Complete System ❑Individual Components
Location Address or Lot No. 1 at 5 GY A%)E� Owner's Name,Address,and Tel.No.
HYAPUtS VlaCtEw-1 CO#JLC-y
Assessor's Map/Parcel ;Z99 (0 1 of$ �►2C"I='Ally 14v� �*��1�lS
Installer's Name,Address,and Tel.No.$68-471-ft-'79 Designer's Name,Address,and Tel.No.
cA0c_wjta C ewrE PktS�Es uL
1� «a s p �A
Type of Building:
Dwelling No.of Bedrooms till Lot Size (�t 7 3�— sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) A— gpd Design flow provided 416 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)
Aaki, aa�1 ex(ST(' xm �Syttc, 5Y51etA
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 Certificate of
Compliance has been issued by this Board of Health.
S' ed Date —f ��Q t
Application Approved by Date //�Z Oe/y
Application Disapproved IV Date
for the following reasons
Permit No. �OI,,��-�� Date Issued
No. I V X Fee Z
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
Zipplicatiou for ]Disposal *pstem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(X ❑Complete System ❑Individual Components
Location Address or Lot No. (a S A%);9 Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel oZgq ' "- �tS ( HY.FJ�1SIo (as 2t= J&
Installer's Name,Address,and Tel.No.56 g-47 7 9S/711 Designer's Name,Address,and Tel.No.
CAP G,W(D G �J71DZ PPUS� [�t.G_
<< �o t 5"I— per"' tj
Type of Building:
Dwelling No.of Bedrooms Lot Size (4,7 3S� sq.ft. Garbage Grinder( )
Other Type of Building No..of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) A16 gpd Design flow provided N,4 gpd
Plan Date Number of sheets Revision Date y
Title
/ Size of Septic Tank Type of S.A.S.
Description of Soil _, z
-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 system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Sigged t Date - 1(0"r�0
°). Application Approved by Date VA/�/y
,Application Disapproved b Date
for the following reasons
Permit No. ��U Date Issued y�/3!i
--------------------------------- --------------------- - _ • - _-- ------- ----- ---------------------------------
TH E COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
` THIS IS TO C�EpRTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned(X)by Cd1 PF[a�(� �aL( u---
at I'., C C Q a2)Wom AV 0=5' has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.201 q - 1 I V dated
Installer C2APEGe,CDC Designer M ,
#bedrooms A/4 Approved design..flow � gpd _
The issuance of this Berm t shall of be construed as a guarantee that the system w'I function as7designed�
Date / Ins-
------------------------------------
No.701 l.1_ 6 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon
System located at 19!5 (:;rk fujnO-p A U C H YA-, IJw S
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.
I !
Provided:Construction must be completed within three years of the date of this permit.
Date 91 16 1701 t'I Approved by U /r
l
`T Barnstable
IHE Town of Barnstable
.� Regulatory Services Department j edca�j
■ARMA13 t~ I
-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 -0325
March 28, 2013
VINCENT CONLEY
125 GREENWOOD AVE IMPORTANT NOTICE
HYANNIS, MA 02601 Map & Parcel: 289- 109
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 125 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.
LPERRDER OZTHE 4BOADF 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 Connects\MAIL.ING L.etA Sewer 2Pgs Merged 3-28-13 Yr2015.doc
l
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 fur 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/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.barnstab]e.ma.us/PLibllcWorksTech/sewerinstalIers. 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 connectUtters Stewart Creek Sewer ConnectAMAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc
G TOWN OF BARNSTABLE
LOCATION 4Jl�C� _ SEWAGE ` 0� D�
VILLAGE lr _ ASSESSOR'S MAP & LOT-
INSTALLER'S NAME & PHONE NU.�^- Gn
SErTIC TANK CAPACITY
I.EACHING FACI.LITY:(typP)
t (size) Oo
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER.
BUILDER OR OWNER .,_
DATE PERMIT ISSUED: -
DATE COMPLIANCE ISSUED_��
VARIANCE GRANTED: Yes��__—No�
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Town....... OF............Barns..tabl..... e
.e----------------------------------------------
ApplirFativat for Dispas al Work,5 Tamitratrtivat prrutit
Application is hereby made for a Permit to Construct ( ) or Repair XX)§ an Individual Sewage Disposal
System at:
105 Greemwood Ave. Hyannis
................_........--...................................................................... ----•---•••••----•......•--......-•------------••-•-•-•-•-•---•---------••-------............-•-•-
Location-Address or Lot No.
James Lanoix
------------------------ ._..._....... ner---•-------------------------------------- -----•--------------------•--------. --------------•--------------------------------------------
Owner Address
W J .P.Macomber
-----------•---------------------------------------------------------------•••-•:....._..----..... ..-•-•••••--•••-••-••••••--••••-......---............--•••.....•-•-••......--•••-••-•-...--•-•••--
Installer Address
Type of Building Size Lot.-------_-----------------Sq. feet
.� DwellingX-XNo. of Bedrooms..........................................Expansion Attic ( ) Garbage Grinder ( )
PL, Other—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures ..---------•......................
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter..-------.-----. Depth.......... ....
W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching are a..............._....sq. ft.
ZI
Seepage Pit No----------- --------- Diameter.............--..... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box'( ) Dosing tank ( )
�_4 Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit................--.. Depth to ground water......................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....---...-..--. ------
W -------------------------------------------------------------------------------------------------••-.........................................................
0 Description of Soil......................•.................................................................................................................................................
V --------------------------------------------------------------------------------------------•--•---Sand•&---..r a....1
e
W
VNature of Repairs or Alterations—Answer when applicable-.----•........................................................................................
-----------------------------------------------------------•-•-------1--1....0---...11..n---�1-t.................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of .�1�Tr1-
LE 5 of the State Sanitary Code— The undersigned further agrees not to.place the system in
operation until a Certificate of Compliance has bee issued y th oa-d of heal .
Signe ••• . •• ... --------•-8.13
Date
Application Approved B
Date
Application Disapproved for the:,f o&wing reasons----------------------------------------------------------------------------------------•-----•-•--.._.._........
---------------------•--•---------------------------------....................................................................-••--------.............................................................
c Date
PermitNo.--------$_:_: G. ........................... Issued---------------•-••--•-•••••••-•_.......................
No... t:..J.6 .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town OF Barnstable
.............. ............... ... .....
App irFaiiun for DiupuuFal Workii Tomitrurtion V rrnait
Application is hereby made for a Permit to Construct ( ) or Repair 4X)� an Individual Sewage Disposal
System at:
105 Greemwood Ave. Hyannis
................_........--...................................................................... _...._..._.....•-•-----------•----•---....----•••-----•.......•-•---•.._....--•-----•---..._------
James Lanoix Location-Address or Lot No.
Owner Address
W J.P.Macomber
Instailer Address
Type of Building Size Lot----------------------------Sq. feet
DwellingXX No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
pal Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a4 Other fixtures ------------- ------------------ .
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................
Disposal 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 ( )
Percolation Test Results Performed by.......................................................................... Date--------------------------------------
,`4a Test Pit No. 1-__-_-_____-__minutes per inch Depth of Test Pit.................... Depth to ground water-.-__-.-__-__-_____-_---
GT., Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_....__-___-____-______-
a -------------------------------------------------------------------------------------------•--••---.........................................................
0 Description of Soil---------------•-----....---•--------•--------------.._...._......--------• .
x Sand & Gravel
W
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
U Nature of Repairs.or Alterations—Answer when
applicable_______________1_—___1_000----g_aL_1_on___p --------------------------------
---------------------------------------------------------------------------------------•--..._.....-----•----------------------------------------------...---------------------------------............
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TILL- i of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued a y the'board of health.
8/30/88
Signed__- ,/- %?V'! 0_ ........................
Date
Application Approved BY ^~ `'' " -- -f=---g
Date
Application Disapproved for the following reasons----------------------------------------------------•---------•--------..---•--------------------........._...._
----•---------------•---......-•--------------------•----.....---------------------.....----------...--------------------------------------------------------------------------------------------•_.....
Date
Permit No-------- --- -= 542_,'� Issued........................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Torn Barnstable
..........................................OF.......................................................................I.............
Trrtifiratr of TompliFaurr X
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
J P macomber
by................ ....r-•-•---•---••--•--------------•---------------.--.------.------inscaii--------•-•------------------•--••--••------------------------•---------•-------•---------------
at---.105 Grecnwood...Ave .
--_Hyannis----------•--------••--------------------------------------------------------------------------------------------------
has been installed in accordance with the provisions of T I TIE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No........... ..... dated------------------------------------------------
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
Town Barnstable 20.00
...........................................pF.----................................................................................
No... �?.�>. . FEE........................
Diupuuul Workii Tonarudion anti#
Permission is hereby gra J P Ma-omber
'je -------- ...'.....------•-----------------------------------------------------------------------------•-------...........•-•-...........--
to C st1 uc ll or R p r n Individual Sewage Disposal System
?V UxrUWooc� Zv . kiyannis
at No
Street
as shown on the application for Disposal Works Construction Permit NoD�:_S U!�_ Dated..........................................
•----------------•------•----------- ..................................................
...................( f ( ------........................_.. Board of health
DATE. �=--�--•---�--�
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS