HomeMy WebLinkAbout0023 HILL STREET - Health d 23 Hitt Street
�. 289-120 h ` ` Hyannisport
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THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THI�S IS TO CE TIFY,that�thhe,On-site Sewage Disposal system Const cted,(, ) Repaired( ) Upgraded( )
Abandoned( by .l 1`�k�'l/`�� ���. � a f- e' �JLC t
at Z 3 1 I t c 4yette 4s: l 4-500-/ has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit NePO/-1-176 dated Ic31>1'112e�A
Installer 6S Designer
#bedrooms .3 Approved design flow god
The issuance o/f his permit shall not be construed as a guarantee that the system will ctio designe
Date - C 1 4 Inspector
I
No. �✓ Fee 5<
01
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS YeS
2ppfication for Misposar *pstem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ❑Complete System ❑Individual Components
Location Address or Lot No. Z3 Owner's Name,Address,and Tel.No.
Assessor'sMap/Parcel a 9 ZD K�� n��� iYL CO
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Installer's Name,Address and Tel.No. a Designer's Name,Address,and Tel.No.
D.ON�IZI(o�?' EXG.Q-v�/e�n1�SF.�T1G 5-e—vi['�.5 ���
ce k D2S63
Type of Building: SG$—a 8j—a19�
Dwelling No.of Bedrooms 3 Lot Size a (Q sq.ft. Garbage Grinder( )
Other Type of Building AAV.)ckt No.of Persons Showers( ) Cafeteria( )
Other Fixtures
I Design Flow(min.required) uE A7 gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil f {�
Nature of Repairs or Alterations(ArI when applicable)
Co h e-c; o -c-Ze-w ter'
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Boar"Mealth. /9
Signe Date r l
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit NO. �� Date Issued
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_:Yew/
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
E
01ppYication for Misposar .6pstem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(�/❑Complete System ❑Individual Components
Location Address or Lot No. z 3 t f 7962�"r Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel y��,� 5 K f,h n�� �. ''''� s l h
t'
Installer's Name,Address,and Tel.'No. Designer's Name,Address,and Tel.No.
pON�/2l(�ftTEXG�¢'v�/ON� SE.�T�G Strvi��$
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1444 e4 W 4 a2 AVA
Type of Building. _ ` 509- $8j-z 166
Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building Q C No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) �o 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) -
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,.@ ealth.
Signe j.Date
Application Approved by Date
f Application Disapproved by Date '
for the following reasons
Permit No. / 9 Date Issued
---------------------------------------- --------------------------------------------------------- ---------------------
"� THE COMMONWEALTH OF MASSACHUSETTS
\ BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) r Repaired( ) Upgraded( )
Abandoned(�/y 0 f 0 YC.1 G •L to V(44 V14 4 7 DI) a �0/1'�1� l Oi,/y e
at 7 a �T( � �� ��,�„, ��i has been construct6d in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit N . --t /dated
Installer R)"-e��j( ( Designer
#bedrooms "Z Approved design flow gpd
The issuance of this permit shall not be construed as a guarantee that the system will� Ction designed
Date ��) o Inspector 1A r
No. k Fee (X�.
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction 3permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon
System located at 2. 7k 14tTa ),,�4`,_s An,A 6 Z D /
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
/, ustbe yompleted within three years of the date of this pe
Date ,/` // // Approved b7
Town of Barnstable Barnstable
Board of HealthRUWSTABM j
200 Main Street, Hyannis MA 02601
2007
s'
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
CERTIFIED MAIL# A D 0g 1$bo 000 z O'SW 9 eo5 z.
March 21, 2016
Hester Glover
5 Hill Street
Hyannis,MA 02601
IMPORTANT NOTICE
MAP - PARCEL: 289-113
RE: Show-Cause Hearing
Dear Hester Glover,
You are scheduled to appear before the Board of Health on Tuesday, May 10, 2016 at
3:00 p.m. at the Town of Barnstable Town Hall, Hearing Room, second floor, 367 Main
Street, Hyannis, for a show-cause hearing. Your presence at this meeting is
mandatory.
This hearing will be held to show-cause why your property at 23 Hill Street has not
been connected to Town sewer by the December 3 0, 2015 deadline. .
During this hearing, you will have an opportunity to be heard,present witnesses, and
provide documentary evidence pertinent to this case.
If you have any questions please call the Health Division at 508-862-4644.
PER ORDER OF THE BOARD,OF HEALTH
f
T omas C e C
Agent of the Board of Health .
TOWN OF BARNSTABLE
LOCAUON��3 I�i� L14 SEWAGE # <` e
VILLAGE n Te_�w:5 �o�� ASSESSOR'S MAP &LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) 4 ""& (size) Lf
NO.OF BEDROOMS
BUILDER OR OWNER WtAUICLV1 A ®�Y`
PERMITDATEV04 . 10 ` COMPLIANCE DATE: or
�Oy•'�.1 1�`�.`►
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 2-V + Feet
Private Water Supply Well and Leaching Facility (If any wells exist ,Cy
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 a of 1 cling facility) Feet
' Furnished by c��� �LAAt `!
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',THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
01ppYication for ;Diopogal *pztem n5tructiou Permit
Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at:
Location Address or of o. Owner's Name,Address and Tel.No.
Installer's N\amne,Address,and Tel.No. _ �^I l—�g3S Designer's Name,Address and Tel.No-
- BLS/ L4--7—.3
Type of Building:
Dwelling No.of Bedrooms 3 Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Put, °►�
l lSocl w ;(
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 iss?z6#y thi Board of H alth.
Signed � � Date Q��� ' b (2 S5
Application Approved by
Application Disapproved for the following reasons
Permit No. Date Issued 1 `l
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y s �TJE COMMONWEALTH OF MASSACHUSETTS_ °
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs MASSACHUSETTS
01ppYication for Zigozar 6 15te7)an
w5truction Permit
Application is hereby made for a Permit to Construct( )or Repairn-site Sewage Disposal System at:
Location Address or Lot No. Owner's Name,Address and Tel.No.
Installer's Name,Address,and Tel.No. 1�,�-aQ,3S Designer's Name,Address and Tel.No.
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rO r`^ �rr�.t.-.�Y��1�LS� Cc,
t
Type of Building:
Dwelling No.of Bedrooms 3 Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Description of Soils vJ ��-
Nature of Repairs or Alterations(Answer when applicable) ey"- Ce-sg Rau'
\,s. 14 (3e arch
Date last inspected:
Agreement:
i
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 iss ed y thi Board of H alth.
Signed \, yam,, Date (jaJ
p ; Application Approved by �'w
a Application Disapproved for the following reasons '
Permit No. e9 3= �-� Date Issued
t
HE COMMONWEALTH OF MASSACHUSETTS
p,.
PUBLIC HEALTH DIVISION- BARNSTABLEs MASSACHUSETTS
Certificate of Compliance -
-VHIS IS TO CERTI Y,that the On-site Sewage Disposal System installed or repaired/replaced( )on J
by CG,r (4 r-,Lr. J QS , for W
as �- has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No" — �-L dated I 1 -' O —q .
Use of this system is conditioned on compliance with the provisions set forth below:
THE COMMONWEALTH OF MASSACHUSETTS
j PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS
1i0o5al *pgtem Con5tructton Vermit
Permission is hereby granted to L c.-sx- d*j•,
to construct( ) epair( 1-).an On-site Sewage System located at
ac w w t a 5 .
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.
i
All construction must be completed within two years of the date below.
A--Z
Date: �Ikd"J - �- 1 �1 S Approved by
1
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?0'rcal / ao
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS)
Jc�,hereby certify that the application for disposal works
construction permit signed by me dated N1 V o 1q9�, concerning the
property located at L 61 :0- .5 Strce� meets all of the
following criteria:
• There are no wetlands within 300 feet of the proposed septic system
• There are no private wells within 150 feet of the proposed septic system
• The observed groundwater table is 14 feet or greater below the bottom of the leaching facility
• There is no increase in flow and/or change in use proposed
• There are no variances requested or needed.
SIGNED : \,ice-�kcl ti.� DATE: N 0 V • 2.01 ' ( �
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
[Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan,
this plan should be submitted].
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AsBuilt Page 1 of 1
qq '1 ll TOWN OF BARNSTABLE
LOCATION-A L.Ot SEWAGE# S `T
VILLAGE VVAU M,� % Qg,,k ASSESSOR'S MAP&LOT 1f?INSTALLER'S NAME&PHONE NO. ,,., 1 f`1Jp w ar:t AL&. 417—A&3.ri
SEPTIC TANK CAPACITY D b11
LEACHING FACILITY: (type)'A*) —% (size) ?D "`
NO.OF BEDROOMS 3 II !q • /►e^;10 ''
BUILDER OR OWNER \.l3 i tl:Qvk G 01*0 .
PERMITDATE+144. )X _COMPLIANCE DATE: tJOV 1495
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 2-0 + Feet
Private Water Supply Welland Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 of 1 ching facility)
Feet
Furnished by� �4�AA.
Q f��
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http://issgl2/intranet/propdata/prebuilt.aspx?mappar=289120&seq=1 2/15/2019