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HomeMy WebLinkAbout0023 HILL STREET - Health d 23 Hitt Street �. 289-120 h ` ` Hyannisport e c i ------------------------------------- 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 -�r o 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$—a 8j—a19� Dwelling No.of Bedrooms 3 Lot Size a (Q sq.ft. Garbage Grinder( ) Other Type of Building AAV.)ckt No.of Persons Showers( ) Cafeteria( ) Other Fixtures I Design Flow(min.required) uE A7 gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil f {� Nature of Repairs or Alterations(ArI when applicable) Co h e-c; o -c-Ze-w ter' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar"Mealth. /9 Signe Date r l Application Approved by Date Application Disapproved by Date for the following reasons Permit NO. �� Date Issued No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_:Yew/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS E 01ppYication for Misposar .6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(�/❑Complete System ❑Individual Components Location Address or Lot No. z 3 t f 7962�"r Owner's Name,Address,and Tel.No. Assessor's Map/Parcel y��,� 5 K f,h n�� �. ''''� s l h t' Installer's Name,Address,and Tel.'No. Designer's Name,Address,and Tel.No. pON�/2l(�ftTEXG�¢'v�/ON� SE.�T�G Strvi��$ i 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 `! 1 � --. _ �� 1i �' �, c. _` II ,` �� � . ` , ..�—_ ' � e �? �� � � . a�76 ca No. le -1 !!� �Lt�rC a s Fee ®� s.. ',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 �^�..:,�"_ .-•'ram,... ,��������oY���� '7 + k� I -" -... .r .A-r„��.. �;.+9 .-i +.. '�, .:rrw.wr'4:;r;,,..ir•"'e. r..,,,,�+r.s........i � i No. 1 /�aF 9lJI y PQ�C� � O�� Fee4 on �, C�( 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. \\ 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 i ?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]. i i 3 R 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�� ti Fya .3v ' http://issgl2/intranet/propdata/prebuilt.aspx?mappar=289120&seq=1 2/15/2019