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Home My WebLink About0180 GREENWOOD AVENUE - Health Ir 180 Greenwood Avenue, Hyannis DAVID STEPANIS 1 } No. �-o 1 -3 I71, Fee a2 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftplitatiou for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ❑Complete System ❑Individual Components Location Address or Lot No. i2o AV6 Owner's Name,Address,and Tel.No. HY64�oS 3�AtJ s -t> YA 5 Assessor's Map/Parcel ;t Q g 12 0 Gaes1 Wckl> A4uN is Installer's Name,Address,and Tel.No. .50S-L-77•-V8 7 7 Designer's Name,Address,and Tel.No. c'Ape(of DE �1JTEk��ISC� C.e.� 15-3 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building QG5 e (NXLkU , 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) ApAftisj 614 CT e T &z—T i cC_ t(STt 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 to place the system in operation until a Certificate of Compliance has been issued by this Board of Hea Signed Date '3 y—;Lc) c3 Application Approved by Date Application Disapproved by Date for the following reasons 2 Permit No. 0( 7— Date Issued 51 r 3y^ 1 3 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes 1 PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pptication for 0sposal 6pstem Construction Permit } Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon X ❑Complete System ❑Individual Components Location Address or Lot No. 18Q G,4t�nlwoon AVF— O ame,Address and Tel.No. HY,q."Ols r9po 5-rEPI4ic11 5 M Assessor's Map/Parcel 1 50 Q �!2 tom)tt2)C�r�D (j Installer's Name,Address,and Tel.No. SOS-"7-'98 7 7 Designer's Name,Address,and Tel.No. CAVEw1oE 6WTEZJ0 L56S LA C- 153 Gcxct6a�e�,�t4c,St' niv�5t-��o�E' Type of Building: i Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building A G5 t DGJtt Aj -No.of Persons Showers( ) Cafeteria'( ) Other Fixtures Design Flow(min.required) gpd Design flow provided /V gpd { Plan Date Number of sheets Revision Date I i Title i Size of Septic Tank Type of S.A.S. Description of Soil - x � y _ R 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 ti i accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of i Compliance has been issued by this Board of He*IN Signe Date S '3 0 -a o t3 Application Approved by Date ' 3 U Application Disapproved by - Date for the following reasons n ` i Permit No. 0 ' -- "" Date Issued S r 3d 3 ----•--------------- - - --- ---- -_ __—______ .-- �___-__---._,_ ;-. - _:.-----,--------- ----- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(x)by CA PEW I D E C PT6;0AJSES I.C.G. at 1 S() GV_G9JW00D 4Vr= 4-(e+l *J($ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.a4i 3"1 j l dated '5 - 3U 13 Installer C��aR-� L (.�� Designer A / � #bedrooms Approved de� fl `! /�/ gpd The issuance o this .ermit shall not be construed as a guarantee that the system `ill fa ion as desg ed. (� ( � �{ p Date V V g Y! Inspector VIn S --------- ------------------- -- - _ _ _ _ - _ _--.. _----_-_- -._ _. -- --------- No.'20� 3 " � Fee �S THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Bisposal 6pstetn Construction Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon X) System located at 1 SQ (a 2�Zw LstkX:z AL)6 t+yAHU ) 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. Provided:Construction must be completed within three years of the date of this permit. Date `� Approved by - 1 Town of Barnstable Barnstable .�. Regulatory Services Department MAmeftaCkv IARNbTABLE, I I 6 Public Health Division m 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 -0387 March 28, 2013 JEAN STEPANIS 180 GREENWOOD AVE IMPORTANT NOTICE & Parcel: 288- 150 Ma HYANNIS, MA 02601 p 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 180 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 Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Y0015.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.barnstable.nia.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.barnstable.ma.us/PublicWorksTech/se.werinstalIei-s. 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\Letters Stewart Creek Sewer Connects\ TAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: L�'9� ` C Lt vv�-s�, Board of Health MAILING ADDRESS: %S0 (741—FEt Ajt- 14yAtj.J tS_ Town of Barnstable TELEPHONE NUMBER: ~r'1 a cti S' ` P.O. Box 534 CONTACT PERSON: A. N,% S Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) . Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business s-. LZ CL f fi;TN CASEMENT wr?owe g� --- NEW now 7X4 PA1RTITON NEW SLIDI1,6G GLAS15 DCx3F I H.ALL<-,FXTENDED— UN 11 1_ _FL NEW UJITENT �_-_- -- LullnowOW wIT" I L HALF flovr-�F- TGN -.NG�i -- 54TN 221011 -IFREF rF INOTA - - S�r SKY � wI°D LUri- 6 t_TAG �cr i , BATH c);;m of Barnstable Ro.Box 534�iyannis 02601 ,I�"sassachuset+s E C_ � 2 TOWN OF BARNSTABLE LOCATION �� -�ODDC%1� _,SEWAGE # q3— /®6 VILLAGE t� ASSESSOR'S MAP & LOT 1�C) INSTALLER'S NAME & PHONE NO : SEPTIC TANK CAPACITY�� tt d - ' LEACHING FACILITY:(type) j jam, (size) 16Q0 NO. OF BEDROOMS �__PRIVAvTE WELL OR PUBLIC WATER BUILDER OR OWNER I DATE PERMIT ISSUED: a DATE COMPLIANCE ISSUED: ,VARIANCE GRANTED: Yes No �/ �\ L .r V1 ' Li .� + � ' .�, _ � II / �� T 3 ,� _� ; �� W �,��, !'/� � r,J Q ii /� 1 � � � Gf � ..Ev, No.... . Q� Fps:. . .... AMO"VEO THE COMMONWEALTH OF MASSACHUSETTS Barnsta twwnvtian GcpC=j= BOARD OF HEALTH OWN OF BARNSTABLE S'g Appfirafift for Di►ipooal Workiq Tomitrnr#ion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: r .... .1�u % r d . ..�e .p®�...... .:..... Nvner A dress W (r -------- ----�- x _:.r -..Ils,_: �� Installer Address UType of Building Size Lot............................Sq. feet ., Dwelling— No. of Bedrooms_____ _____________________________--_-Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons._-.-.__-___-__-____._____- Showers ( ) — Cafeteria ( ) a' Other fixtures ............................... . . d ..............•-------•-- ------------------------- ----- ��. Design Flow--------------------------------------------gallons per person Der day.day. Total ly flow..�.T.0 �....._._.........._._..._gallons. WSeptic Tank—Liquid capacityP. 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ �34 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ P .........................................................•---•--......._...................------............................................................ 0 Description of Soil..................................................................................... ----------------•---------------------------------•---•-•-•---•----•----..-------- W --------------------------------------------------------------------------------------------•---------------- ----- UNature o Rep rs o Alt rations—Ajns`y�r when applicable._f .................... ........... ----- -- ------------------------••-•----------------..._---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersig ed further agrees not to place the system in operation until a Certificate of Compliance issu b rd e Sig ... ....... ..... ........ . .................. ........ . .................... ..Daw..... 0 Application Approved By .........� .... ..tz , . ......... .......... .................... .......... ....1.o1.�a�.. ..'.�..� LYare Application Disapproved for the following reasons: .... .................... ........... .............................................................................. ................ .._— q:...............-. ................�fe.................. PermitNo. .... -------------------------------- Issued ..... . ...........----- . .............................. Due _�� _ _ _ _ _. _ , __._ _:..- � K-.4�_��i.-Lf-.z--�y. v.V�r� _RJ-�.-V.v-`y�� I4'.-` _ ��-W...r•�w-n w. �-��_�.rw_�_� �. -�.�. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ,� rlirati>att for 1i�� ltulnrlt C�a��t�trrtinn rrntit Application is hereby made for a Permit to Construct ( ) or Repair Individual Sewage Disposal System at: Loci on \d rr - or Lot No. w 7� �F'f^ ,•, � / ��GL J. Al 6o07 �1I L o2/ �-1C .......................... . _... - _. ...... �_r Installer Address Type of Building Size Lot............................Sq. feet .. Dwelling— No. of Bedrooms.--._�___________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) G-I Other fixtures ------------------------------ W Design Flow............................................gallons per person er day. Total ttd//aily flow_.,._ 0__.....__._.___...........gallons. WSeptic Tank—Liquid capacityln .Dgallons Length.... _...... Width...Y----------- Diameter.......:........ Depth................ x 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........................................ aTest Pit No. I----------------minutes per inch Depth of Test Pit____________________ Depth to ground water........................ (7 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ....--------•--•--------------------------------•--------....__....-------------••••--•-•--•.....-•-......................................................... i 0 Description of Soil................................................................................................-----------------------•-•--••-----•`.................................. U ---------------- •------------- •--•----------------------------------------------- =----------------------------------------------------------------- .._...__... ..._.........._----------------------------- Nature of Repairs or Alterations—Answer when applicable _.I.�_� o... _:... j r� W ................................. .. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with • the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance as-beet •issued by..the-board of health. Signed----.:_ /UY......_......... 4 j/..�.................. ......... ...�.s.�1..�- Dare Application Approved By .......... Application Disapproved for the following reasons: ........................... ................ .. ...................._.......... ._........._........................--.... ................ ................ . ........................... .......... . ..................... .._............. -- . ............................... .............:.......................... ey - Date PermitNo. ..../..3... 7e)..C......... . ............ Issued ............. ................................................... Dare THE COMMONWEALTH OF MASSACHUSETTS l BOARD OF HEALTH TOWN OF BARNSTABLE �j r 1u•Ertifirate of C�Dtttyliattre � 4 f r f I THIS IS TO CER g FY, That the Individual Sewage isposal System constructed ( ) or Repaired at ............................... /..�.....v........,(-W--' L`f K- ...:..... ..............._..... ....................................................-- has been installed in accordance with the provisions of TITLE 5 The State Environmental Code as described in the application for Disposal Works Construction Permit No. ......9-r3--_...7ee........... dated ....................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � ,._._...........:..._.... ..._.....__................... DATE................../._-... ............ �...r..�_�l_............ .._.... . - Inspector .__.._.._. ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �J TOWN OF BARNSTABLE Ropostt1.° orks Tonotrution motif Permission is hereby granted 1 `Pj' �._..6 f{ � C !.at.............................................................. to Construct ( ) or Ile air {�an Individual, Sewage Disposal System Street �17W ` � as shown on the application for Disposal Works Construction Permit No-_.__.___/ Dated----.!.-�.._�.P�.................... ----•-••----••-•--• --• _ !. . -------------------------------------------•--•--•-• // Board of Health DATE_.__..__.!-_ .. � ' FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS