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No.ZA I ` 1 Feelt 2t
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
01ppliLation for Disposal *pstem Construction permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components
Location Address or Lot No. 3 j`7 1 OW Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel I_2_A Tw%_ Jc4
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
( "o S 9L Gow
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) A�Soowp®a/ If &M e L/S/,/ /I;'— Gpl�, C pv�
Za �+�✓ !''�✓M(i^L rep. S6-rur e.C'
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 Health.
Signed,, Date GV)
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Date Issued
No. ZO 12) " ZZ� I FeeT624
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
P,UBLIC.HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftplitation for -Misposal *p8trm Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components
Location Address or Lot No. ?j0 7 pcy Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 1 Z Niv-n(,o iJ,q Sr P01 /¢,NSx
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
7Lq"S G6w
Type of Building:
t
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 r Type of S.A.S.
Description of Soil
t, . V-1
Nature of Repairs or Alterations(Answer when applicable) D av /),,M o L
e"de-1C(,OAL Sgv64� $�co.tf
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 Health. Ilk.
1 4 G it �� Signed.� G-"�*"----" �/ Date � ,/ !
Application Approved by } ' Date ,� / '�f�
_ / —. ff �
Application Disapproved by Date
for the following reasons
Permit No. 16-12'S'62 )N o "/ Date Issued
TFI FK COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,-MASSACHUSETTS
Certificate of Compliance
r THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ), Upgraded( )
Abandoned by f t4 Ky.&% o c i 4.a-, S s 7 I c.p^P
at I L NyA,ri W�-_ has been constructed in ac or In"e
with the provisions of Title 5 and the for Disposal System Construction Permit Now ' n&d
Installer Designer
#bedrooms Approved design flow 1 ,/ gpd
i
The issuance of this permit shalll�not b/constru d as a,guarantee that the system will. cfionn as fdesigned.
Date ' j Inspector tj
____.____________________,________,_-___._,__.__-..__---__.__-_-___-_,_._____._,___,_____-,_._-.___--_._________._______.___________ __________________
No.1201-1-, �°� Fee '*2 00
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon
System located at /Z Nk9✓'Jr cry c✓�..,
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.
l
Provided:Construction must be completed within three years of the date of this permit.
Date , S L7,013 Approved by
rr Town of Barnstable Barnstable
ti
Regulatory Services Department U�MedCeC j
URNSTABM
MASSPublic Health Division
9Q i6j9• ti�� m
200 Main Street, Hyannis MA 02601 �OB7
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
9
CERTIFIED MAIL#7012-1010-0000-2848 -0844
March 28, 2013
SOPHIE MUSHINSKY
40 WOODMERE RD IMPORTANT NOTICE
FRAMINGHAM, MA 01701 Map & Parcel: 307- 004
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 12 Nautical Way, 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
P � )
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
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\MAII.ING UtA Sewer 2Pgs Merged 3-28-13 Yr2015.doe
r
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.bariistable.ma.us/cdb, (under the "CDBG Programs", see "Sewer
Connection Loan Program). For loan specific questions, you may contact Kathleen
Girouard, Growth Management, at 508-362-4702.
CONTRACTORS:
Information on Licensed Sewer Installers is available on our web site at
www.town.bariistable.ma.uS/P.LtblicWorksTech/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 Off_ce 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.
Q:\SEWER connect\Letters Stewart Creek Sewer ConnectAMAIL.ING L.etA Sewer 2Pgs Merged 3-28-13 Yr2015.doc