HomeMy WebLinkAbout0029 NAUTICAL ROAD - Health 9NAiJTICALwWAY
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No.
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
Tipplitation for BispoBal *pBtrm Construction permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components
Location Address or Lot No. ?0-7 2.'f2 Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel 2H S3 tJW7lL4L U SDP`f 4E CwS/Wf,,Sn �goti -7b8 _/y.Y1'7
IInnrsstalllle-r's Name,Address,and Tel.No. Designer's Name,Address,anJ Tel.No.
Type of Building:
Dwelling No.of Bedrooms V" Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures A 94
Design Flow(min.required) gpd Design flow provided �/I,/ 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) �02.✓ ��.a<<S,�l /12k� e7✓^7c�rat
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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 Heal h.
Signed Date �Z
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. (7 Date Issued
t,
No. � Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes r
~01pplitatiott for 33isposall6pste tt Construction 3pPrmit
,.
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon) ❑Complete System ❑Individual Components
Location Address or Lot No. 3 D-7 Z` ?- Owner's Name,Address,and Tel.No.
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Assessor's Map/Parcel 17-1-3l �.)PV71t_4. L-) ✓q Sa `� /'1.,S/,4rNSK 50-& -7b6 -/Y Y�7
Insst�allle"r's Name,Address,and Tel.No. Designer's Name,Address,an Tel.No.
In
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
_ Other Type of Building No.of Persons Showers( ) Cafeteria( )
r
Other Fixtures
Design°Flow(min.required) gpd Design flow provided A gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank i A.--j i' #. s Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) N�)� %�`'{aC�s� /`7✓�lc�/�rZ
Date last inspected:
Agreement:
f
f 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 f
Signed �� Date
Application Approved by Date _&
Application Disapproved by - Date
for the following reasons
2 ;
Permit No. 0�l Date Issued
Th E COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned(,<�4,by '7 p.dC(j-yrw ur, ram.5 Ga,n.P-
at z"1 jqj 1,cot- has been constructed in accordance 2
with the provisions of Title 5 and the for Disposal System Construction Permit Nool l ---)/ dated
Installer Designer y/
#bedrooms Approved design flow n gpd
The issuance of this pe it sha 1 nbt b construed as a guarantee that the system wiPWhco ase-designed
Date Inspector /
4
------------------- --------- _.___.------;-.----------------- ----------------------------------------
----------•---------_-----------
No. gO 13 "o�`�T- Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
disposal 6pstem (tonstrnction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(;A)
System located at 2-1 J A-J-1 4 cep u��11
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 a completed within three years of the date of this permit
Date�n 's2- Approved by
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111511
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I a Complete items 1,2,and 3.Also complete A. Si nature
item 4 if Restricted Delivery is desired. ❑Agent
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m Print your name and address on the reverse 43-An'dmssee
so that we can return the card to you. eiv D f qel
a Attach this card to the back of the mailpiece, ) b
or on the front if space permits.
1. Article Addressed to: D. Is delivery address diffe t from item 1? ❑Yes
If YES,enter delivery address below: ❑No
SOPHIE MUSHINSKY t;
40 WOODMERE RD
FRAMINGHAM, MA 01701 3. See Type
P Certified(Nail ❑express M
❑Registered etum eipt for chap Ise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) YeS
2. Article Number ,
(transfer troro service Iabeq (( I 171 012 i 1 r010 f 0000 i 2 8 4 y8 0851
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PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
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UNITED STATES POSTAIL,S tr -j; 110, G;, ' .. " ' „ "{=ids tass
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• Sender: Please print your name, address, and ZIP+4 in this box •
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j Sewer Connect
Odo Public Health Division
a Town of Barnstable
200 Main Street
Hyannis,MA 02601
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NPosta $
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Retum Receipt 00
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Restricted Delivery Fee tl) N CO
C:3 (Endorsement Required)
M Total Postage&Fees $ ! �y
r-9 SOPHIE MUSHINSKY
N 40,WOODMERE RD
FRAMINGHAM, MA 01701
Certified Mail Provides:
o A mailing receipt
o A unique identifier for your mailpiece
e A record of delivery kept by the Postal Service for two years
Important Reminders:
o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail.
o Certified Mail is not available for any class of international mail.
o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
n For an additional fee,a Retum Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
o For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery':
o If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT.Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
Town of Barnstable Barnstable
Regulatory Services Department ;alcaC'i
IARNSTABLE,
16394.
MAMPublic Health Division m
F° 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 -0851
March 28, 2013
SOPHIE MUSHINSKY
40 WOODMERE RD IMPORTANT NOTICE
FRAMINGHAM, MA 01701 Map & Parcel: 307- 242
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 29 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
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 THE B RD 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 connectU.etters Stewart Creek Sewer Connects\MAIL.ING L.etA 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:
http://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.barnstable.nia.Lts/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\L.etters Stewart Creek Sewer Connects\MAUNG LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc