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Home My WebLink About0041 LATTIMER LANE - Health 1 Lattinier Lane Hyannis A= 288-155 a II jf I II I o ° 00 I — Fee No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS SppYication for Misposal 6pstrm Construction Vermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 41 LA TTl 4Gu_L J NY Owner's Name,Address,and Tel.No. Assessor's Map/Parcel �,/ 14 Installer's Name,Address and Tel No. Designer's Name,Address,and Tel.No. Lg G� Type of Building: f Bedrooms Lot Size s .ft. Garbage Grinder Dwelling No.o q g ( ) j 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 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 He Signed Date 5-3p -,aO 13 Application Approved by Date S - 3y `�to 13 Application Disapproved by Date for the following reasons Permit No. a Date Issued V� ---------------------------------------------------------=----------------------------------------------------------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zippl cation for -`iBpoSal 6pstem ConstCUctlott 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System El ..,Individual Components t •s Location Address or Lot No. 41 LA-TTl jet3 W H Owner's NamV,Address,and Tel.No. .. Assessor's Map/Parcel a I S 5 Installer's Name,Address,and Tel.No. S -28'77 Designer's Name,Address,and Tel.No. x 153 G�u�4�2ClGFc� St'� +�b�'• Type of Building: Dwelling No.of Bedrooms Lot Size 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 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) AlfJU�IU 'a1GL�SZ` T �l�i s4'� y lh� 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 ha�been issued by this Board of He dt . l Signed " A Date —3 v —eZ V Application Approved by Date Application Disapproved by Date < e for the following reasons Permit No. 6 Date Issued d I "THE`COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CCERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned)k/)by O AQGk)(t ,� Gr J GAPPJ5ES C UC at L/< <-�� 6)97, LA'iwF 4ygVN!S has been constructed in accordance 30— 13 with the provisions of Title 5 and the for Disposal System Construction Permit No.a0 �� dated Installer 04pewme EK m OmI� (,(.C• Designer - v #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will-fu'nution as designed. Date tlj'?T` 41 � Inspector;r � ----� ....__._._____._._._._,.......---------.___._.-_.___.____-__.___._.__. _..--.__-._,--.-.--. --,-----__- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(X) System located at qj 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 perm' Date 3y Approved by Town of Barnstable Barn .� Regulatory Services Department M�ftigcaC j fACtN3IAa I I 39. �� 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 -0578 March 28, 2013 JOHN &ELIZABETH FITZPATRICK 41 LATTIMER LN IMPORTANT NOTICE HYANNIS, MA 02601 Map & Parcel: 288- 155 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 41 Lattimer 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 T BOARD 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 Yr2015.doc vi 1 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.barnstab]e.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.barnstable.ma.us/PublicWorksTech/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 Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc 1i G TOWN OF BARNSTABLE rr LOCATION �/ /l�/� �rs� �� SEWAGE # VILLAGE ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY P-oo e-. . LEACHING FACILITY: (type) ® KF�� S(size) <i NO.OF BEDROOMS BUILDER OR OWNER Of-Ale PERMITDATE: �Z COMPLIANCE DATE: Separation Distance Betwee the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility '}= .Feet Private Water Supply Well and 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 feet of leaching facility) Feet Furnished by - ', q i .S ASSESSORSMAPNO' No: � PARCEL NO;�,��,®/F.E .....�.•.--J�...�>..` i THE COMMONWEALTH OF MASSACHUSETTS M BOARD OF HEALTH TOWN OF BARNSTABLE AVp iration for Diti-Vnotti Workg Tonitrurtiinn Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: --•-----------------------------------�_--------•_•---- - --------------- --------------------- ---------=---------------------`------------------------------ Location-i\ddress or Lot No.= Owner Address W 4, Installer Address Type of Building Woo �2�/yl S'�N LL °�/✓z �Y Sq. feet Size Lot--------------------------- Dwelling—No. of Bedrooms----- -----------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons------3................. Showers ( ` ) — Cafeteria ( ) Q, Other fixtures ------------------------------------------------------ W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. R: Septic Tank—Liquid capacity1_570-0gallons Length---------------- Width------.--------:-Diameter---------------- Depth................ Disposal Trench—No. ------- --- Width................. Total Length-------j6&---- Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter-------------------- Depth below inlet.................... Total leaching area..... ft. z Other Distribution box ( ) Dosing tank.( ) Percolation Test Results Performed by------------------------------------------------------- •------------------ Date........................................ a Test Pit No. 1________________minutes per inch Depth of Test Pit-------------------- Depth to ground water-:____.___:-_--_--.--- fi, Test Pit No. 2................minutes per inch Depth of Test Pit_................. Depth to ground water........................ 0 Description of Soil........................................................................................................................................................................ V ------•-------------------•------------------------------------•----------------------------------------------------------_-------------------------...-----------_------------__....__-----__---_--_....3 W a UNature of Repairs or Alterations—Answer when applicable._Q�4�^ --------92qA7777!!J�►.......... 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 has been issued by the board of health. Signed ..��a —a�►-1A...................... ......... _ Da Application Approved .... ................... .. ............................................. 7 Dace Application Disapproved for the following reasons: .... . ......... ... .......................................................................... ............................................. ...----- . Permit No. �. ..L............. 1..... Issued ......�p- ,� e� Dace 0 No-� /Fzz THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di_npnittl Wor1w Tatuitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: � 1 ( , (,�,1/l y l/I fl T / ; .......y! .. Tr/.a??..�/�....�°�`...----'----.�._... ...... .. o s"S' Location-Address or Lot No. x -TA ....,, -----------•. Owner Address W "Y� --------------------- ---- -------------------------------- --- Installer Address Type of Buildingw o o /2 A/Lt S</G' 1= T=�, ;�7 Y �' Size Lot............................Sq. feet �., Dwelling— No. of Bedrooms.___._3----------------------------------Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building __.......... No. of ersons......_'. ................. Showers 04 0.i YP g persons----------- � ( ) — Cafeteria ( ) g .................gallons per person per day. Total daily, flow... d --•-------------------------------------- ------- Other fixtures .-----.-. _ _ _ W Dest n Flow---------------- ------- - _... Diameter----------------- C4 Septic Tank—,Liquid capacity!_! �Q QgalIons .;.;Length-------------------Width meter...............�Depth................ Disposal Trench—No. ....__.��--- Width.. . .... .... .... Total Length--------- Total leaching area....................sq. ft. 3 Seepage Pit No________ ___________ Diameter-------------------- Depth below inlet.................... Total leaching area....�.cL(Lsq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by-------------------------------------------------------------------------- Date------------------------..........----- a Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water......................... G14 Test Pit No. 2................minutes per inch Depth of Test Pit_................. Depth to ground water........................ 9 -----------------------------------------------------------------•------------------••-•......---•--......................................................... 0 Description of Soil.............................. ------------------...---------------------.......---....------------------.....-----------------------------------------------•----- W ----------------------------------------------------------- ---------------------------------------------------------- ----------------------------------------------------------------••-•-••••.••--•- U Nature of Repairs or Alterations—Answer when applicable_QO-tA�__..._.. ,r�(STin�e, Ot_S S6bOL. V,--b 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 has been issued by the board of health. ti Signed "'`'` = �Zr 5�. �"-- Dar Application Approved B /��^/�J�� r�.. ��--1,11�-------------------------------------------- "*" .. �.��. YC t't' ......... ':."_--`-'--- t / Dace Application Disapproved for the following reasons- ----------------------------------- ...................................... . . ............ . ............ ---------------------- -- PermitNo. ................................................................ Issued ��" ..�- .,.- .....-.-... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE t Certificate e of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ------- ------------------------- --.............................................. Installer ------------------------ -------------------------------------------------------------- has been installed in accordance with the provisions of TITLE of—The ate Environmental Code as described,in the application for Disposal Works Construction Permit No. ..w --- .....� ....---- dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE - - .. ..�1 L.: ------------- ------.._...--------- ---- - Inspector V`�----- ------------------------------------._ a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1� � TOWN OF BARNSTABLE ' � No........................ FEE..__.....__............. Displaiial Works Tuno#rudion "Vrrmit Permission is hereby granted---------- ........eV.f%Ar ••. to Construct ( ) or Repair ( an Individual Sewage Disposal AS.y..s..t.e.. ystem at No...•-• 1----..--•�`--t .-t=£ a....-------�J-�"--•---------------H-y... w M�G�YZ� as shown on the application for Disposal Works Construction Permit/ " . Dated..---____ - --- ---- ._ . ...... ...... � ��r / Board of Health DATE -------•----.....•-•---••-•-----•-•----------•---••_... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS I E i CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, hereby certify that the application for disposal works construction permit signed by me dated 9-A , concerning the property located at �< V'� J v-,-k— t meets all of the following criteria: • There are no wetlands withinS%feet of the proposed septic system /N6A) • There are no private wells within 150 feet of the proposed septic system NO N F • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility /`( 0/U • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. NO IV e SIGNED : e DATE: L� 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]. o N T f . N N � N M N • ) I , I � I J 00 IN, E