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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 $420.00 for those properties that connect within two years of the receipt of the DPW December 2012 letter. LOANS: For loan(s) available, please see the enclosed brochure, or see the town website: http://www.town.barnstable,ma.us/cdbg (under the "CDBG Programs", see "Sewer Connection Loan Program). For loan specific questions, you may contact Kathleen Girouard, Growth Management, at 508-862-4702. CONTRACTORS: Information on Licensed Sewer Installers is available on our web site at www.town.barnstable.nia.us/PubilcWorksTe.ch/seweri.nstallers. Contractors, approved to perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis —contractors, please call Dave Anderson at (508) 790-6244. FOR ANY QUESTIONS /ASSISTANCE: Len Gobeil at the Town Manager's Office is available to provide you with direction you may need in reference to the Stewart Creek Sewer Connections. You may contact him at 508-862-4701. QASEWER connecAUtters Stewart Creek Sewer Connects\MAIL.ING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc r � A �N � ,, � SEWAGE PER NO. VILLAGE IN�A,I�I�ER,;S N , ME A AQDRESS R U I L D E R OR OWNER DATE PERMIT ISSUED DATE . COMPLIANCE ISSUED 1Z �� S €� � � �� �� �� a � � � � � � � �� �� � � � Fimic THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ........... ® ...........OF.....W ..,el.',��i41 .............................. ApplirFation for Di-spasaal Worka Tonstrn.rtivaa 1hruat Application is hereby made for a Permit to Construct ( ) or Repair ($<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