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HomeMy WebLinkAbout0029 NAUTICAL ROAD - Health 9NAiJTICALwWAY A f" 307` 242 ,< e v Fee �� 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 sV—Jdv`- 6-mv-VL41t✓ _56Ct/ccX 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. s 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 r .. 111511 VIM I a Complete items 1,2,and 3.Also complete A. Si nature item 4 if Restricted Delivery is desired. ❑Agent X 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 I' PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 j UNITED STATES POSTAIL,S tr -j; 110, G;, ' .. " ' „ "{=ids tass o . .. • Sender: Please print your name, address, and ZIP+4 in this box • I I j Sewer Connect Odo Public Health Division a Town of Barnstable 200 Main Street Hyannis,MA 02601 li-IhI-}l�f�riil}li�if'li4' il��'i i';lrsllyt,`1�lIIll1°i(11111 I� � .. 0 � C0 - OFFICIAL NPosta $ 0 Certified F4V Q) co O Postmark Retum Receipt 00 M (Endorsement Requirere O 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