HomeMy WebLinkAbout0027 JANICE LANE - Health ,7 J NICE LANE
-lyannis -
k 307 - 275
TOWN OF B.ARNSTABLE
LOCATION Q-7 nWj SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT d Z%5
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY 6,15,n
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS 3 PRIVATE WELL OR UBLIC WATE
BUILDER OR OWNER ��
DATE PERMIT ISSUED:
DATE .COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
1L
,$I ._
e_
� M
�l' � i
�� ,;�-�
. �
,N� `'S
O
�� o �.
J
ary
� �`��� ,.
~�
::`
Lf
No —&7T Fee .
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
es
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ftpliLotlon for ]Disposal *pstrm Construction 3pPrmit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(t(❑Complete.System ❑Individual Components
Location Address or Lot No. 91_70D n-^C e. Owner's Name,Address,and Tel.No. Ca lr / Cc b nctcF
Assessor's MaplParcel 30 7 " eD-
installer's j® ddrtss,a td T 1.Ne,, �U n. Designer's Name,Address,and Tel.No.
rC1 1) N1d t -77
Type of Building: 11
Dwelling No.of Bedrooms Lot Size r d-3 q.ft. Garbage Grinder( )
Other Type of-Building 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 IV IA r -
Nature of Repairs or Alterations(Answer when applicable)) - �r°J- n
'Date last inspected:
Agreement:
K=: The undersigned agrees to ensure the.construction and maintenanc of the afore described on-site sewage disposal system in- i
accordance with the-provisions of Title 5 of the EnvironmentaW6re and n o place the system in operation until a Certificate of
- ter,.•
Compliance has been issued by this Board of Health.
Signe Date
.Application Approved.by Date Q �y
Application Disapproved by Date
for the following reasons
Permit No.' Date Issued 1 /
a No. C ( 377 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
' Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ZippYication for:Disposal Opstent Construction Permit
1 Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(t ❑Complete System ❑Individual Components
Location Address or Lot No.ol-7 7_76i j e, .Yl Owner's Name,Address,and Tell.iNo.CMG i-h y CCt(C, b rc,-
�y Assessor's Map/Parcel 30 -7 S' �� 7 ' Vlt C L 0 e r t O n Y)' 5403x Y7
I Installer's Name;Address and Tel.No. �0 Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size , _ {� JQ sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date /� Q. Number of sheets Revision Date
e�-
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Q
Nature of Repairs or Alterations(Answer when applicable) ri o e)4"e,41` !,; ► ,
�U C 0 r),4r
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 -o e an3 d n Ito place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signe _ Date /
Application Approved by Date g ),3
. Application Disapproved by Date
» A.
for the following reasons
Permit No. cJ G 7 / Date Issued 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(VA 1. r 4�i�44;
at 1`7.3a n�(' P _ f has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No./_X/C/'-,)77dated
Installer r�di-)iA� Loa�, u�..��jj)� t', Designer _
#bedrooms (( Approved design flow F jgp d
The issuance of this perm'.#shall no(t!be/c�oonnstrued as a guarantee that the system willfunction t ,as de ig ed:� � (� y
Date 1 //�1 �'f Inspector t' siJ j 'rJ f JAY'/ ,'� �- `1 '�
G -
No. & - 77 Fee J
THE COMMONWEALTH OF MASSACHUSETTS J
` PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
MIsposal 6pstetn Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon
System located at
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:ConstructiT
t be co plete within three years of the date of this p it.
Date l3 Approved b
i
LqIMUM JD Ll1leSL`M
I 13-
CS ! ,
e0 . F F �k
;_gym ' I S u.
ic N Postag, $ tea
Certified Fe
O.
' Retum_Receipt FeW ar/ Postmark �N
JP }(Endorsement Required) l at;r4, p_Here
.-Restricted Delivery Fee
0 -(Endorsement Required) \ t
ra j
C3 Total Postage&Fees
r A C_ATHY GAUTHIER
ro ,27 JANICE LANE
'HYANNIS, MA 02601
I
I
■MComplete items 1,2,and 3.Also complete A. Signature
item'4 if Restricted P Delivery Is desired. X ❑Agent
■ rint your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Receive by(Printed Name) C. Date of Delivery
■ Attach.this card to the back of the mailplece,
or on the front if space permits.
1. Article Addressed to D. Is delivery address different-from Item 1? ❑Yes
If YES,enter delivery address below: ❑No
~ ,CATHY GAUTHIER
.27 JANICE LANE
HYANNI:S. MA 02601 s. seprlce Type
I�i rU fed Mail 0,Ppress Mail
❑Registered IJYRetum Recel t fo erc,Mart se
❑Insured Mail ❑C.O.D.
t 1 4. Restricted Delivery?(Extra Fee
2 Article Number, 7 012 1010 a o a a 2 8 4 8 0493
(Transfer from service label)
PS Form 3814,"february 2004 € Domestic Retum Receipt` 102595 o2-nt-tsao
' t
r' �t Town of Barnstable Barnstable
Regulatory Department AFAmpicaNy
BAR1VnABLL
SS
�9 - 4 _____ __._ _. 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 -0493
March 28, 2013
CATHY GAUTHIER
27 JANICE LANE IMPORTANT NOTICE
HYANNIS, MA 02601 Map & Parcel: 307-275
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 27 Janice Lane, 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 TH BOARD OF HEALTH
s A. cKean, R.S., C.H.O.
Agent of the Board of Health
Cc: Barbara Childs,WPC/Roger Parsons,Town Engineering, DPW
Enc.
QASEWER connecAUtters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc
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:
littp://www.town.barnstable.ma.us/cdbg (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.bamstable.ma.us/PUblieWorksTech/sewerinstallers. 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 ConnectAMAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc
j