HomeMy WebLinkAbout0032 NAUTICAL ROAD - Health 32 NAUTICAL WAY
Hyannis
A = 307 — 003
No. �� ��w� Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
Applitotion for VspoeAY 6pstrm Construction permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon X ❑Complete System ❑Individual Components
Location Address or Lot No. ( ,�� / IC. RD Owner's Name,Address,and Tel.No.
Assessor'sMap/Parcel13931
OO� � tiJ6fc.'TICe4L. �
Installer's Name,Address,and Tel.No. 5 —�71—FSFS�`I Designer's Flame,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size (0 U 19 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)
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 ((`� -� —
Application Approved by —Yk A/V'V��y�'�it . Date /L9 —�f —
Application Disapproved by Date
for the following reasons
Permit No. (� f Date Issued
No. U 7 ?j C� Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS =
01pplitation for Misposaf *pstrm Construction permit m
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(Xj ❑Complete System ❑Individual Components
Location Address or Lot No. 3a.ILOUT,<*- RrD Owner's Name,Address,and Tel.No.
IJ
Assessor's Map/Parcel 3 0O3 �y�>UNos 3� l�/IT4cS17 " 1jly if
Installer's Name,Address,and Tel No. S(X5-477—',1g"i1 Designer's N e,Address,and Tel.No.
�j#� a���s Ltcl � 0 A
Type of Building:
- Dwelling No.of Bedrooms Lot Size lV OI "1' 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)
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 n� Date (® •�Q-- ��
Application Approved by ,_)61 ((,��� �, Y�Gj Date /d
Application Disapproved by Date
for the following reasons
Permit No. 1) Z' f �Gf Date Issued /0
TIi E COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned(x �:�t)by AEMD5 LL("••-
at 3;. c: W RD �FY b4 ijk)l_S has been cogst cted i.W4 accord c
r
with the provisions of Title 5 and the for Disposal System Construction Permit No <9 p t U l
Installer (U06&.)(w_ 61T$<P ZtJ Designer WA
#bedrooms Approved design flow gpd
The issuance Q this(permit shall not be construed as a guarantee that the system will t�� n as designed.
Date ! Inspector
t
No. Q D I j / Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
MispoBal 6pstem Construction 3permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(x)
System located at ,3 2 PA LIT l C6(..r P—Gi W b Y�4aj I
I
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions. ti
Provided:Construction must be completed within three years of the date of this permit. /
Date Approved by
AsBuilt Page 1 of 1
LOCATION SEWAGE PERMIT N0.
VI L L A G E
INSILA LLER'S N .ME R ADDRESS
e U I , OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
To w h ha.V
}
http://issgl2/intranet/propdataJprebuilt.aspx?mappar=307003&seq=1 10/9/2013
No. / Fee
` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
• Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
application for Disposal 6pstem Construction permit
Application for a Permit to C tr t( ) Repair( ) Upgrade( ) Abandon(X ❑Complete System ❑Individual Components
Location Address or Lot No RO Owner's Name,Address and Tel.No.
�VWM5 R l C_ a k;OA
Assessor's Map/Parcel 30, -x 3 025 PIC_PRC_P&11JT RV W1&4 4 M
Installer's Name,Address,and Tel.No.5O$-Y77—SS 1 7 Designer's Name,Address,and Tel.No.
ChJ)kXbtbe
� 3 au�ac��¢rr 5"z' M,4ESNP�
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*tjb<-�O z 5 6--P—ciG 6YStE
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 Healt
S' ne Date C
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. � �� 3 Date Issued d 3
No. G/ ? �� Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS,- Yes
Applicatiolf for-Misposal 9ppstetn Construction 3permit
Application for a Permit to Cfflt ct( ) Repair( ) Upgrade( ) Abandon(X ❑Complete System ❑Individual Components
Location Address or Lot No j JJA0110,A Owner's Name,Address and Tel.No.
t? XtZkPA
Assessor's Map/Parcel 3 p07 A-3 ;Z5 P1 _ 122 W f&.<"e9r8e. MIA
Installer's Name,Address,and Tel.No.50$-Y77 SS 7 7 Designer's Name,Address,and Tel.No.
'CA1P�tbE ENTfl ;I 56S )lJ/�
t 3 COW#Ut_:¢�/�-c. ST MA4�SHPP'
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)
'Date last inspected:
tAgreement:
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 Healt
Signed , Date —O�
Application Approved by Date
+� Application Disapproved by Date
for the following reasons
Permit No. c � �-' Date Issued
r
_ TU E COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned()()by ( Mew rr,)G ��T sE:5 C.0 c
at 5 a Tl C►�4{ _ �U ��/�111U(� has been constructed-in accordarfee
with the provisions of Title 5 and the for Disposal System Construction Permit No. I J, dated
Installer e_&k3Lk [bC— &Jjj�6U� (.,[X-- Designer
#bedrooms Approved design flow / „I gpd
1.
The issuance of this permit�shall
yn Jot be construed as a guarantee that the system will,function a}s�ldesgned.
Date lr y! {� ! Inspector o'u_
----------------------- --- - --------------- ---- ------------------------------------------------------------
No. / _--s Fee (.�
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pstrm Construction permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon
System located at 5a 0.4uT t C'4(.. P c)A D L'N Awyis
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 co ipleted within three years of the date of t is permit.,
Date / / L3 Approved-by — \
twill Town of Barnstable Barnstable
Regulatory Services Department WMmicaM
1 1
URxseAUM
q 6 9. ,��' Public Health Division m
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 -0820
March 28, 2013
DIANE &PAUL SHERMAN
SHERMAN, TODD F &DODD, KENNETH
32 NAUTICAL ROAD IMPORTANT NOTICE
HYANNIS, MA 02601 Map & Parcel: 307- 003
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 32 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 ARD OF HEALTH
homas 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 Yr2015:3oc
t
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 $420.00 for those
properties that connect within two years of the receipt of the DPW December 2012 letter.
LOANS:
For loan(s) available, please see the enclosed brochure, or see the town website:
http://www.town.barnstable,ma.us/cdbg (under the "CDBG Programs", see "Sewer
Connection Loan Program). For loan specific questions, you may contact Kathleen
Girouard, Growth Management, at 508-862-4702.
CONTRACTORS:
Information on Licensed Sewer Installers is available on our web site at
www.town.barnstable.nia.us/PubilcWorksTe.ch/seweri.nstallers. Contractors, approved to
perform sewer connection work in the Town of Barnstable must obtain and file a Sewer
Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way,
Hyannis —contractors, please call Dave Anderson at (508) 790-6244.
FOR ANY QUESTIONS /ASSISTANCE:
Len Gobeil at the Town Manager's Office is available to provide you with direction you
may need in reference to the Stewart Creek Sewer Connections. You may contact him at
508-862-4701.
QASEWER connecAUtters Stewart Creek Sewer Connects\MAIL.ING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc
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� A �N � ,, � SEWAGE PER NO.
VILLAGE
IN�A,I�I�ER,;S N , ME A AQDRESS
R U I L D E R OR OWNER
DATE PERMIT ISSUED
DATE . COMPLIANCE ISSUED 1Z ��
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THE COMMONWEALTH OF MASSACHUSETTS
_ BOARD OF HEALTH
........... ® ...........OF.....W ..,el.',��i41 ..............................
ApplirFation for Di-spasaal Worka Tonstrn.rtivaa 1hruat
Application is hereby made for a Permit to Construct ( ) or Repair ($<an Individual Sewage Disposal
System at:
..... __ �.. --..... ........ . 1..............................•-----•.....------............•--•............-•---
oc io d s or Lot No.
.......... ' ---- -•......................•----•---•--....... ...------•-----.......---....------•........---
__, :
O Address
a �r .e��f !...�.� . ... ......... .............................
Installer Address
Type of Building/ Size Lot............................Sq. feet
�-, Dwelling_dKo. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
04 Other—T e of Building ............................ No, of ersons.....................--..... Showers —
yp g p ( ) Cafeteria04 ( )
d Other fixtures . ---•----•------------
W Design Flow............................................gallons per person per day. Total daily flow...............•............•...............gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter--------........ Depth................
" x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area............._....sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
W Percolation Test Results Performed by --------------••--------------------•----------------•-•-•-.... Date
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.......---.--.--....---.
G4 Test Pit No. 2................minutes per inch Depth 9f Test Pit.................... Depth to ground water.---....................
Yly.-
-----•-------- . ..................................---------••-•---•--•-•.......--•-••--.....•--••.....-•--
ODescriptionof Soil --- --- - - --------------------------------•-----------------------------------•---------------
x
W -•-••••---•------------•-•--••---•-•-••-•--•--•-••...r...•-•----•-••-•-••-•----•-•---•--•-••-••--••-----•--•----- --
Nature of Repairs or Alterations—Answer when applicable------.--/-- �...�
U P -•-...- ----------------- ......... .........
.................................................-•-----•-----•-••------------------•-••----------•---•----...------.------ --------------------------------------------------------------••--..--•---Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITL% 5 of the State Sanitary'Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by t boa o he lth.
�= Signed. Wit..._./6G7 _ .. -- •----• ........ --- ®""o.`,r
at
Application Approved By. ------•••.............•--•. . . ....................... D
Date
fApplication Disapproved for the following reasons:---•----••------••-•------••-------•----•-----•--•-•------•---••••-------------------•--•-......••----.......---
•---------------•--•..................-•••..........-••---••....---••------•••••-•-•-----•......----••----•••-•-•---•-.•-•-••••-••-------•-•---•-••-----••-••-•--•-•-•••••-----•----•••---•••-----------
a Date
Permit No..� _� 0 7 / ....................................................... •
Date
t
No. ... .��-.. Firm..............,.............
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
........... ---.......0F..... 'v'�� f� + s +`�J' -------------------------_--
Appliratiun for %Vus al Vorkg Tunuitrnrtion Errant
Application is hereby made for a Permit to Construct ( ) or Repair ( s-T'an Individual Sewage Disposal
System at
.... uqg % k ..!''% �4 ...._. %Crr .. --------- --••........ ................... ............•--
oc iou ddress or Lot No.
! ' .. ....._---•- •---••... ...-•---••---•-••-•-•--......_..••-••.................
Address
Installer Address
Type of Building / Size Lot.............................Sq. feet
U Dwelling—ewl�lo. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building ..... No. of persons............................ Showers
a YP g --------------------••- P ( )--- Cafeteria (--->.Other fixtures .........................
-----------------------------------------------•-----------------------•-----------------
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width.....:.......... Diameter................ Depth................
x Disposal Trench—No_ ____________________ Width..................... Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No..................... Diameter....................
Depth -below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank, . ). . .
'-• Percolation Test Results- Performed bY........................................................................... Date_.....................................
1.7
Test Pit No. 1•................minutes per inch Depth of Test Pit.................... Depth to ground water--_-_-_______-__-__-___.
0: Test.Pit No. 2................minutes per inch Depth Hof Test Pit.................... Depth to ground water........................
. -,
� ........... ��g
O Description of Soil......... �...
�__�.
x
UNature of Repairs or Alterations—Answer when applicable___--_-_,'. -✓ -._✓ ... _..D U- _____..
---------------------------------------------------------•-----------....-------------•-----•--•-•..........••----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
.the provisions of TITLE 5 of the-State Sanitary 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. f
Signed = f�✓✓ ! ' ....... ..._ .. ...
f at
Application Approved By_ r .;,� .�`f :yC' - 'O r ------------
Date
Application Disapproved for he following reasons:.............. .4W*.__....... -•---------------------------- --------------
F•4,:
...................................................... •-------•---..•-•-•----•--........................
N: Date
Permit No._ ._. .. . Issued ......................
Date -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALT�A
% ��........O F.... ..... � - ....................
'Wrtifirttte of Tomplianrr
THIS. T CERTIFY 'That the Indivlidual Sewzggg„Disposal System constructed ( ) or Repaired (
by - `. �' �r"�'�' !` �' I' r ._.._._. I r%` � ! ' " °'z'"= `------•...............................•-----•-------.............-•-----•-------•--.
nstaller
has been installed in accordance with the provisions of TITLE' f ate Sanitary Code as described in the
application for Disposal Works Construction Permit �'o............................. ' d 4 a.ted___.-.._.�v.-.�_ _�_�_�....----••--- --------•--.---•--
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE..................... �....
r'
U- ' ------------------------------ Inspector.................. .......................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH "
OF..
C �� .............. ...'..,..' `sr�'..... ! ..........................................................
..................
�Ii��ou�I Turku �unu�rtun �rant� �..�
Permission is hereby granted....ice'..
................................
to Construct ) or�dRepair:(� -j"an:,Individual Sewage Disposal. System
at NO..•-7�__ ._•�...... . ,_✓' `"' a''S.'�'�, -------; r-1 f-- ,`r-•--- ...... --'•==--------------•-------------•--
Stre"W
as shown on the application for Disposal Works Construction Permit No.gr.-2-71 ... DDa'ted.._..��
DATE. /,-ajw,,RREN.
-� -- Board of Health
FORM 1255 HO INC., PUBLISHERS