HomeMy WebLinkAbout0035 NORRIS STREET - Health 31-35 NORMS STRET
Hyannis
o A = 306 - 034
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TOWN OF BARNSTABLE Dater 0
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS: jT
BUSINESS LOCATION: OL L—I S --S c INVENTORY
MAILING ADDRESS: 13 6� 4 c TOTAL AMOUNT:
TELEPHONE NUMBER: 6O
CONTACT PERSON: V2 r a -
EMERGENCY CONTACT TELEPHONE NUMBE_ . MSDS ON SITE?
TYPE OF BUSINESS: (A��
INFORMATION/RECOMMENDATIONS: Fire District:
Waste Transportation: //y Last shipment of hazardous waste:
Name of Hauler: Destination:
Waste Product: Licensed? Yes No
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more a month requires a license from the Public Health Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS
The board of health and the Public Health Division have determined that the following products exhibit toxic or
hazardous characteristics and must be registered regardless of volume.
Observed / Maximum Observed / Maximum
Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive
❑ NEW ❑ USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
❑ NEW ❑ USED (insecticides, herbicides, rodenticides)
Gasoline, Jet fuel,Aviation gas
Photochemicals (Fixers)
Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED
Miscellaneous petroleum products: grease,
Photochemicals (Developer)
lubricants, gear oil ❑ NEW ❑ USED
Degreasers for engines and metal Printing ink
Degreasers for driveways &garages Wood preservatives (creosote)
Caulk/Grout Swimming pool chlorine
Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers Miscellaneous Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt& roofing tar PCB's
Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,
Lacquer thinners (including carbon tetrachloride)
❑ NEW ❑ USED Any other products with "poison" labels
(including chloroform, formaldehyde,
Paint&varnish removers, deglossers hydrochloric acid, other acids)
Miscellaneous. Flammables Other products not listed which you feel
Floor&furniture strippers may be toxic or hazardous (please list):
Metal polishes
Laundry soil &stain removers
(including bleach)
Spot removers &cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS A P cant's Signature Staff's Initial
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YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 or 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
DATE/0 a:Fr d / Fill in please:
f1a, � �t APPLICANT'S YOUR NAME/S:
\a iu -
yes s1
BUSINESS YOUR HOME A DRESS:`
TELEPHONE # Home Teleph he Number - �� —
NAME OF CORPORATION:
NAME OF NEW BUSINESS 7- Ta~�e.�'_ .Gcrzd(. c :r TYPE OF.BUSINESS, awr Scan e° Go.a7TJ`
IS THIS A HOME OCCUPATION? YES. N
ADDRESS OF BUSINESS l c lt` . - MAP/PARCEL NUMBER �CO C��J [Assessing)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST G.Q-TO 200 Main St. - (corner of Yarmouth
Rd. & Main.Street) to make sure you have the appropriate permits and licenses required to legally operate)fdu E3Usi-ess in this town.
1. BUILDING COMIVIISSIO ER'S OFFICE
This individual s-b errinf Frr�e of!an ermit requirements that pertain to this a of business. MUST COMPLY WITH HOME_ OCCUPATION
c_ Y q P type
,�:�T/J�Y�`•---_,�. .__ RULES AND REGULATIONS. FAILURE TO
�A�thoriz igpature** __ __--.- — r,:.n"FLY MAY RESULT IN FINES,
COMMENT , ...� I, ?
L, 41j A i\ r,
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2. BOIASD OF HEALTH
This individual has b en i rme the permit requirements that pertain to this type of business.
g MUST COMPLY WITH ALL
( " ' HAZARDOUS MATERIALS REGULATIONS,
Authorized Signature*
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
I
Authorized Signature*
COMMENTS: i
i .
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TOWN OF BARNSTABLE Date � IZU
TOXIC AND HAZARDOUS MATERIALS ON-SITE�-KVENTORY
NAME OF BUSINESS: eS7 I het7Cho& 4aeJ e-ci pe P—,
BUSINESS LOCATION: �3 I orr( 5 c - ��Sjqjq. INVENTORY
MAILING ADDRESS: r5 �,-- TOTAL AMOUNT:
TELEPHONE NUMBER:
CONTACT PERSON: 22av,IJ !�l�t
EMERGENCY CONTACT TELEPHONE NUMBE : 7 MSDS ON SITE?
TYPE OF BUSINESS:
INFORMATION/RECOMMENDATIONS:
Fire District:
Waste Transportation: ) Last shipment of hazardous waste:
Name of Hauler: Destination:
Waste Product: Licensed? Yes No
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more a month requires a license from the Public Health Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS
The board of health and the Public Health Division have determined that the following products exhibit toxic or
hazardous characteristics and must be registered regardless of volume.
Observed / Maximum Observed / Maximum
Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive
❑ NEW ❑ USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
❑ NEW ❑ USED (insecticides, herbicides, rodenticides)
Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers)
Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED
Miscellaneous petroleum products: grease,
Photochemicals (Developer)
lubricants, gear oil ❑ NEW ❑ USED
Degreasers for engines and metal Printing ink
Degreasers for driveways &garages Wood preservatives (creosote)
Caulk/Grout Swimming pool chlorine
Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers Miscellaneous Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt& roofing tar PCB's
Paints, varnishes,stains, dyes Other chlorinated hydrocarbons,
Lacquer thinners (including carbon tetrachloride)
❑ NEW ❑ USED Any other products with "poison" labels
(including chloroform, formaldehyde,
Paint&varnish removers, deglossers hydrochloric acid, other acids)
Miscellaneous. Flammables Other products not listed which you feel
Floor&furniture strippers may be toxic or hazardous (please list):
Metal polishes
r
Laundry soil &stain removers
(including bleach)
Spot removers &cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature aff's Initia s
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
4pliLafion for Misposal *pstem COYYBtCUCtion VPrmit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandotov❑Complete System ❑Individual Components
Location Address or Lot No. I i-3s Mo rh S Owner's Name,Address,and Tel.No. 5"b9_6796 a q W
Assessor'sMap/Parcel 36(0 U3 �`1 (u)n1`5 on e P-U• Gox o2s
Apeo Ap-
Installer's Name,Address,and Tel.No.�7Y-j/_P 399 Designer's Name,Address,and Tel.No.
�r#,(a 'C'ors(wts c k°w, Sr�c. t/S'Srtlust'ry nJ��4
o ,
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 'ITgpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
04
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 Environmenta Code an of to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date
Application Approved by Date It S `f
Application Disapproved by Date
for the following reasons
Permit No. �� Date Issued
—_--_- ------- __  - - -- r a �—_—_s�— __ -- ----- - - -- - - ---
�No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
B PUBLhI,C;HEALTH.DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
application for ]Disposal 6patem Construction Permit
Application for a Permit to Construct( ) Repair( .) Upgrade( ) AbandoVVEI Complete System ❑Individual Components
Location Address or Lot'No. 3 1 4-3S 11J0 V-f S •j�- Owner's Name,Address,and Tel.No. 5'b9_ 52,6 y�S
� U3 Assessor's Map/Parcel 36( 4tU ) 3
Installer's Name,Address,and Tel.No. 5)S 372 Designer's Name,Address,and Tel.No.
141 -4 �, ,An:11< r 9 1 voZ�S!
' Type of Building: - s
Dwelling No.of Bedrooms Jv A- 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 i r
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
.. 7 7
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore des6ibed on-site sewage diiposai system in
accordance with the provisions of Title 5 of the Environmental,C-ode an of to place,th se ystem in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date
Application Approved by . �^ Date j� —S ' f 3
Application Disapproved by Date
for the following reasons
Permit No. U 7 " t 1?j 2 - Date Issued 5— 1 3
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned(Y)by / �r' �u i ��sr>� Y Y�!n r-a IDI c
at ,31 t iCA h n jr-, has been constructed in accordance
1
with the provisions of Title 5 and the for Disposal System Construction Permit No. ?-ol 3^ti 3- -dated
Installer Designer
#bedrooms - Approved design flow gpd
The issuance of this permit all not be construed as a guarantee that the system will function as designed. ,/� �! 0
Date 1///JJ Inspector
No. a 0(3 _ L 32_ Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
disposal Opstem Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon
System located at = ` ,_ lr r4 j'S 5:_6, 0/c/ "'0 n f'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.
Provided:/Construction must be completed within three years of the date of this permit.
Date (� 5 I Approved by ax
1
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E®RT®L®TTI CONSTRUCTION INC.
DRAINAGE LAND DEVELOPMENT _ SEPTIC SYSTEMS
February 7,2 13
Anna Dye
P. O.Box 28 ,� ' �� �j-�U �fs�
Centerville,MA 02632 ,
U
Telephone: 508-560-2485
RE: 31 and 35 Norris Street-Hyannis,MA(BCI-2013-040)
Bortolotti Construction,Inc.proposes the following site services for the above referenced location:
Connect two outlets to town sewer train with 60 LF of 6" SDR 35 PVC pipe. Surface
restoration limited to backfilling with existing excavated materials. $ 2,295.00 .
INC: Septic Abandonment Permit,pump and abandon existing septic system,all material
and labor,backtill and grade,removal of excess till.
NOTES: Assumes existing septic outlet pipes are suitable for con.nectioat. All interior
plumbing by others. Loam and seed can be provided in spring for.tatfl additions.]$500
charge,if desired. We are not responsible for repairs to driveway slue to heavy trench
traffic or irrigation repairs to lawn sprinkler systems. Restoration of asphalt driveway
can be provided at$4 per SF.
CLAUSES: Dig Safe only marks out main roadways—If private mark out is.,required,slue to
underground utilities,it will be billed at an additional charge. A finance charge of 1.5%
per mouth will be charged to any invoice that is not paid in full upon receipt. If any
phase of work is delayed,date to circumstances beyond our control,a'payment for work
completed will be require& Acceptance must be received within 60 days of proposal
date or prices may be subject to change due to economic circumstances.
The total price for the above stated work will be$2,295.00 with payment tennis as follows: 50%
Deposit Due Upon Acceptance,Balance Due In Full Upon Completion Fork.
Thank you for the opportunity afforded us in offering this proposal.
ACCEPTANCE:. R spe fly-s _ e
4:021
DATE:/W31, �Paul R.Willard,Estimator-rdf '
a Dye Bortolotti Construction,Inc. +
P.O.BOX 704 o MARSTONS MILLS,MASSACHUSETfS 02648 • (508) 771-9399 m FAX(508)428-9399
bortolotticon structionOverizon.net
TOTAL P.01
Town of Barnstable
Department of Public Works Permit Number
Sewer and Trench Permit
Connection / Disconnect Mod or Repair
Map Et Parcel#W: 36�•- 6 j 7 Water Supplier
Street J i5 U tir 1^l;S —' Sewer Account#
Village �'���/I i Permit Fee Et Check# �� s`SlJ
1. Residential Bldg Fee-$420.00 Commercial Bldg Fee-$875.00
Septic Abandonment Permit# 2. Surcharge for Each Additional Bldg on Same Service-$200.00
3. Surcharge for Pump Station-$300.00
4. Minor Repair or Disconnect of Existing Service-$50.00
Project Contact Information 3
r Contractor Name .
Owner Name �1 P Contact Name ) (Jh e p
Mailing Address ('•p. r, $ Business Address
` nic�/tJcr gwjq -
-� Contact Phone :6 s 1!1 - ti 3 E / iJ
T"
Telephone : 01A - L� Contact Fax — nt 3 l`'t
Property Use Information
Residential F-71 Commercial FI Commercial Use
Industrial Standard Industrial Code
Number of Bidgs Size of Parcel (acres) : 6i.
Pipe Dia Et Material.: �j;j ,3 1�—Du _ Pipe Length
Before excavating in a Town Way or on Town owned property, the sewer installer must obtain a Road Opening/Trench
Permit and comply with the Construction Standards Et Specifications outlined therein. Applicant must notify DPW
48 hours prior to installation. Failure to comply with the regulations shall be grounds to revoke this permit.
The Sewer Et Trench Permit is valid for 180 calendar days from DPW approval and the installation must be completed within
that time period. Engineered drawings must be submitted, with this application form, to the DPW for all commercial or
industrial installations. The drawings must be approved before a permit'w 11 be ued.
Contractor Signature rs Date --
..
DPW Approval Signature Et Date f`'`J
Sewer Permit Expires
Sewer Connection Form (Rev; 2010) Page 1 of 4
Excerpt from the Board of Health Meeting Minutes on 11/12/2013.
I. Septic Variance (Cont):
A. Anne Dye, 35 Norris Street, Hyannis, Map/Parcel 306-034 — Previously
ordered to connect two dwellings to public sewer, extension granted.
Anna Dye was present and said that she is retaining ownership of the property. She
has received the loan for the sewer connection from the county and has contracted
Bortolotti to do the connection to town sewer. Anna said the one connection will tie
in both the house and the cottage. Ms. Dye said the permit is # 4709; however,
Bortolotti was not able to quote a completion date at this time.
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MStmark
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M (Endorsement Required) Hepg O r
I N (Endors�em McRequired)
C3 Total Postage&Fees $:i�-6
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4 of PO Bar No. `�(D c>� Z
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Certified Mail Provides: }
e A mailing receipt
d A unique identifier for your mailpiece
o A record of delivery kept by the Postal Service for two years
Important Reminders.
o Certified Mail may ONLY be combined with First-Class Made or Priority Mail®.
n Certified Mail-is not available for any class of international mail.
o NO'INSURANCEtCOVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
o Fo 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
Mebeipt(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
equpli to return receipt,,,a USPS®postmark on your Certified Mail receipt is
Jrrta,
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".
n 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 7630-02-000-9047
�' •MP�ETE THIS SE • • • •
■ Complete items 1,2,and 3.Also complete A ig ture
item 4 if Restricted Delivery is desired. ❑Agent
s Printyour name and address on the reverse ❑Addressee
so that we can return the card to you. g ceived by(Pri d Name) C. Date of livery
■ Attach this card to the back of the mailpiece, !O `/
or on the front if space permits.
D. Is delivery addressdifferent from item 1? Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
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TCertifled Mail ®dress Mall
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I 4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number ; r7 G11 0'lJ R 0+f 0 0 01 4 5 2 5 6 0 41 '�'�
(fiansfer from service label) 9 14 :I., ,€ t
i PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATE ', , A
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Town of Barnstable
Health Division
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- 200 Main Street
•Hvannis,MA 02601
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TOWN OF BARNSTABLE BAR-W .
26 Ordinance or Regulation
` WARNING NOTICE
�2(-I3 2
ar
Name of Offender/Manager .�(1� vf`, dob
r Re
Address of Offender MV/MB� � a�t ,,.� � q-#
Village/State/Zip C ` `31 SSU
Business Name am/pm, on 20_
Business Address
Signature of Enforcing Officer
Village/State/Zip
Location of Offense 4e- a 4+--\ D ✓ �`
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Enforcing Dept/Division
Offense .
Facts l__� 'i`P
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This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
14, �V
Town of Barnstable
Board of Health
200 Main Street
Hyannis, MA 02601 r September 19, 2013
To Whom It May Concern:
I apologize that I was not able to attend the September 10 Town Meeting,
but I did not receive the letter until September 12 at my P:O. Box in
Centerville. The postmark on the envelope was dated Friday, Sept 6, 2013
which probably did not allow enough time to get to me. The next day, after
receiving the letter, I spoke to Sandra and explained my situation. Also, Mr.
Join Parziale came to my house a couple days later, so I am aware that there
will be another meeting on November 12.
Since the last meeting, my house has been on the market for sale, a short
sale. My understanding from you was to wait and see what happened with
the sale. It recently became a short sale land will eventually become a
foreclosure, although the date of foreclosure has no een set. Meanwhile, I
am occupying the residence until that time. My realtor, Deb Blakely, of
Kinlin Grover ids aware of the situation and she has been informing
prospectivef the mandatory hook up to the town sewer. This will be all
worked out in the sale of the house.
I have gotten quotes from different septic companies and even have all the
necessary paperwork for a county loan, but because of my financial situation
and the house short sale status, the hook up has not yet been done. If
possible, I'd like to request that it be done by the buyers at the time of
purchasing the house. The price of the home will be adjusted to pay for the
hook up.
Let me know if I should attend the November meeting and if my plan to
hook up at the time of selling it is acceptable to you. I really appreciate the
extension very much and your understanding in this matter. Please contact
me if you need to speak to me or have any questions. My number is 508-
560-2485. Thank you. l
Sincerely, -
dye
I °�' ���
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ct# ,5 -L
s o .01
own di stabl4e Bare
THE T ,$
Board ofV*4'lth , �,� ame;cacm
9nAa"sFA°''E'er tJ 5� 200 Main Street, Hyannis MA 02601039
D MASS. A p - `
0 /1��W
�o°lfD MAt° A, 2007
OFFICE: 508-862-4644 ` 9 �d Wayne Miller,M.D.
FAX: 508-790-6304 h�& ,�I / Paul Canniff,D.M.D.
Junichi Sawayanagi
Ms. Anna Dye, PO Box 28, Centerville, MA 02632
blAO� ATTENDENCE REQUIRED.
September 4, 2013
The Board-of 5feafth requests you or a representative to attend
the Board of ifeafth meeting re: 35%orris Street, 51fyannis —
Tour one year e,-�tension on the d-eadfine to connect to the
town sewer system eypiredf ugust 2013.
Thankyou.
HEALTH Phone 508-862-4644
i
Your item will be heard at the Board,of Health Meeting on the:
Date of.. Tuesday, September 4, 2013
You,or a representative for you, is expected to be present to answer questions
the Board may have. `
Meeting Location: Town Hall, 367 Main St, Hyannis
Hearing Room, Second Floor
Timex; 3:00—6:00 P.M.
Approximately three days prior to meeting, an agenda will be sent out to you—
once it is available. It will also be available on line at the town website:
www.town.barnstable.ma.us
Go to ..."Boards & Committees > Board of Health
or- Go to Official
Agendas
QAAGENDAS BOH\let Receipt of BOH Submission 2013.doc
{
�zT Town of Barnstable Barnstable
Board of Health
i BAAN9TABLE, • 2007
ASS $ 200 Main Street, Hyannis MA 02601
rfD M(�A
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
May 29, 2013
Ms. Anna Dye
35 Norris Street
Hyannis, MA 02601 `
RE: .Extension-of Time to Connect°Dwelling to Pubhc,Sewer ° ' A 306 034
w
3 5`Norrls Street IIyann> MA
Dear Ms. Dye,
At the May 14th 2013 meeting, the Board of Health voted to continue this matter until the
September 10, 2013 meeting of the Board.
Last year on June 12, 2012 you were granted a six month extension to connect your dwelling
located at 35 Norris Street, Hyannis to public sewer. This extension expired on January 1, 2013.
This extension was granted because you.stated you needed additional time to look into quotes for
the work and for obtaining loans. However, your two dwellings on this property were not
connected to public sewer before the established deadline.
At the meeting on May 14, 2013, you stated that you did obtain price quotes but you did not yet
hear back from the County Loan Program.
f This continuation will provide you the opportunity to contact the County Loan Program to
receive a determination as to whether you qualify for the loan and to take additional steps toward
connecting your two dwellings to public sewer.
Ae
rs,
, M.D.
Q:\WPFILES\A.nnaDyeContinuation2Ol3.doc
1
oF��E r Town of Barnstable
ay,� Barnstable
Board of Health
DAM RrABLE, • , D I
MASS. 200 Main Street, Hyannis MA 02601
�p 03 9. ♦�
- AlfD MA'S s } 2007
I
Office: 508-862-4644 j Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
BOARD OF HEALTH MEETING MINUTES
Tuesday, May 14,12013 at 3:00 PM
Town Hall, Hearing Room, 2ND Floor
367 Main Street,.Hyannis, MA
A regularly scheduled and duly posted meeting of the Barnstable Board of He th was held on Tuesday,May
14,2013. The meeting was called to order at 3:00 pm by Chairman Wayne iller,M.D. Also attending
were Board Members Paul J.Canniff,D.M.D and Junichi Sawayanagi. T mas McKean,Director of Public
Health,and Sharon Crocker Administrative Assistant,were also present.
I. Hearings — Se_pIi A. Anna.Dye, owner— 35 Norris Street, Hyannis, Map/Parc ,
requesting extension on sewer connection deadline.
Anna Dye was present and explained that she had gone through steps to appl to
financing. She has not received information back from Mr. Ayer. At this time, sh
has decided to sell the house and has just recently put it on the market. She sai it
will be harder to sell it if she must dig up,her yard right now to put in aseptic. Ms.
Dye is asking for an extension.
Continue to Sept 2013, come back to BOH give status of how sale is going, and
have an answer from Mr. Ayer on whether county loan will be processed.
B. oug as — rive, Hyannis,
Map/Parcel 266-012, requesting extension on septic repair deadline.
Structural problem. Must replace septic system by Jun 1st; otherwise, must secure
area around septic and have no occupancy. BOH will continue to June 18, 2013
meeting. If resolved before this, inform Mr. McKean and it will not need to be on
agenda.
C. Arlene Wilson representing Robin and Marcia Brown, Trustees — 250
Smoke Valley Road, Osterville; Map/Parcel 097-002. Revocation of
Disposal Works Construction Perm it#201 2-323.
Board of Health revoked permit# 2012-323.
II. Septic Variance — New:
Page 1 of 4 13011 5/14/13
f
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Board of Health Meeting 5/14/13
April 26, 2013
i
To The Board of Health:
r
I would like to request an extension on the deadline to connect my property to town
sewer.
I am currently trying to sell the house. I can no longer afford to keep it. The septic
system will become 20 years old on August'2013.
I applied for the loan, obtained three bids for the work which ranged from $2,900 to
$6,000 and never received a final approval for the loan.
1
I would like to apply under the 310 CMR 15.301 (4) ...within the next two years
following the transfer of title, provided that such written agreement among the buyer and
seller has been disclosed.
Thank you for your consideration.
Anna Dye
35 Norris Street
Hyannis, MA 02601
508-560-2485 -
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j, #
NO
Barnstable
�tKEr 'Town of Barnstable
' Regulatory Services Department uCl"
MANSTABM
9 1639. Public Health Division
200 Main Street, Hyannis MA 02601 2007
L
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
April 8, 2013
i
Ms. Anna Dye
35 Norris Street
Hyannis MA, 02601
j
RE: CONNECTION TO TOWN SEWER: OVERDUE
On June 12`h,2012 the Board of Health granted you a six month extension for connection
of your dwelling at 35 Norris Street to Town sewer by January 1, 2013. We have no
records that indicate that you have abandoned your existing system, nor have we received
any information about your sewer permit/account. Failure to comply with the Board-of
Health order to connect will result in a complaint against you, in a court of law. If you
desire to come before.the Board of Health(next meeting is May 14, 2013) or if you plan
to connect in the next few weeks, please let us know as soon as possible to avoid the
complaint.and any fines.
ADDITIONAL INFORMATION FROM OTHER DIVISIONS:
LOANS:
For loan(s) available, please see the enclosed brochure, or,see the town website:
http://www.town.bamstable.ma.us/cdb2 (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: 1
Information,on Licensed Sewer Installers is available on our web site at
www.town.bamstable.ma.'Us/PublicWorksTe6h/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.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
508-862-4644
i
pp SHF Tp�
Town ®f Barnstable Barnstable
Regulator Services Department A,A„�;caC
RY
IIARNS•CA[3LE,
r MASS. $ Public.Health Division
ib39. ♦�
°lfo Miss a .200 Main Street, Hyannis MA 02601 2007 �.
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
01/03/2011
Anna M. Dye
- ---._35..Norris St:
Hyannis, MA
02601
IMPORTANT NOTICE
Re: 35 Norris St. Hyannis, MA. 02601
Map & Parcel 306-034
Dear Anna Dye:
According to our records, your property at 35 Norris Street, Hyannis, MA has a septic
system (last inspected in 2000) and is not hooked up to the public sewer system. Public .
sewer lines have been available in your neighborhood since 2003, Some time ago, you
were notified of your obligation to hook up and establish a sewer account with the town.
This letter directs you to connect your building located at 35 Norris Street, Hyannis, .
MA, to public sewer on or before July 1, 2011.
i
I
Sewer connection permits are available from DPW-Water Pollution Control Division,
617 Bearse's Way, Hyannis MA 02601 (508)1,790-6335. i
If you should have any questions,please telephone me at 508-862-4644.
PER ORDER OF THE BOARD OF HEALTH
l
as A. McKean, R.S., C.H.O. j
Agent of the Board of Health
I
i
f
�t r Town of Barnstable Barnstable
F. Board of Health 11111 i
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+ BARNSTABLE
b& Y. 200 Main Street, Hyannis MA 02601 2007
rfD MA't A I
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
JunichiSawayanagi
I
May 29, 2013
Ms. Anna Dye
35 Norris Street
Hyannis, MA 02601
I
>ME: Extension of Time to Connect Dwelling.to Public Sewer A=306-034
35 Norris Street Hyannis, MA �
Dear Ms. Dye,
At the May 14th 2013 meeting, the Board of Health voted to continue this matter until the
September 10, 2013 meeting of the Board.
Last year on June 12, 2012 you were granted a six month extension to connect your dwelling
located at 35 Norris Street, Hyannis to public sewer. This extension expired on January 1, 2013.
This extension was granted because you stated you needed additional time to look into quotes for
the work and for obtaining loans. However,'] your two dwellings on this property were not
connected to public sewer before the establishedi deadline.
At the meeting on May 14, 2013, you stated that you did obtain price quotes but you did not yet
hear back from the County Loan Program. i
This continuation will provide you the opportunity to contact the County Loan Program to
receive a determination as to whether you qualify for the loan and to take additional steps toward
connecting your two dwellings to public sewer.
Sincerely yours,
Wayne Miller, M.D.
Chairman
Q:\WPFILES\AnnaDyeContinuation2Ol3.doc
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Certified Mail Provides: * N
e A mailing receipt
o A unique identifier for your mailpiece
n A record of delivery kept by the Postal Service for two years
Important Reminders:
a Certified Mail may ONLY be combined with First-Class Mail®or Prip_rity Mail®.
e 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.
o For an additional fee,a Return 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 LISPS®postmark on your Certified Mail receipt is
required.
a 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".
n 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
1
COMPLETESENDER: COMPLETE THIS SECTION / DELIVERY
19 Complete items 1,2,and 3.Also complete A. npaL--L-Z�dressee
item 4 if Restricted Delivery is desired. ent
■ Print your name and address on the reverse X
so that we can return the card to you. B. R ed by(Prin Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑No
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2. Article Number 7 012 1010 0 0 0 0 2850 9040
I (Transfer from service label) I
PS Form 3811,February 2004 Domestic Return Receipt 102595-0244-1540 1
UNITED STATES POSTAL SERVICE
First-Class Mail
Postage&Fets Paid
LISPS
Permit No:G-10
I
I
• Sender: Please print your name, address, and ZIP+4 in this box •
I
s Town of Barnstable
Health Division I
200 Main Street
Hyannis,MA 02601
I I
I
I
I
I
I
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�I,9, Town of Barnstable Barnstable
A§AnmftC
Regulatory Services Department j
BARNSUBM
9 b'9. ,$' Public Health Division
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
April 8, 2013
Ms. Anna Dye
35 Norris Street
Hyannis MA, 02601
RE: CONNECTION TO TOWN SEWER- OVERDUE
On June 12th'2012 the Board of Health granted you a six month extension for.connection
of your dwelling at 35 Norris Street to Town sewer by January 1, 2013. We have no
records that indicate that you have abandoned your existing system, nor have we received
any information about your sewer permit/account. Failure to comply with the Board of
Health order to connect will result in a complaint against you, in a court of law. If you
desire to come before the Board of Health(next meeting is May 14, 2013) or if you plan
to connect in the next few weeks, please let us know as soon as possible to avoid the
complaint and any fines.
ADDITIONAL INFORMATION FROM OTHER DIVISIONS:
LOANS:
For loan(s) available, please see the enclosed brochure, or see the town website:
http://www.town.bamstable.ma.us/cdbiz (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.bamstable.ma.us/PublicWorksTech/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.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
508-862-4644
i
Town of Barnstable Barnstable
�Op SHE Taw
Regulatory Services Department {ppy "'m'caM
4
F QARNSTAQLE, ' -
MASS.
163
9. $ Public.Health Division -
��
M .200 Main Street, Hyannis MA 02601 2007
}
Office: 508-862-4644 Thomas F.Geder,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
01/03/2011
Anna M. Dye '
_ 35-Norris St.- - -
Hyannis, MA
02601
IMPORTANT NOTICE.
Re: 35'Norris St. Hyannis, MA. 02601
Map & Parcel 306-034 i
Dear Anna Dye:
According to our records, your property ati35 Norris Street, Hyannis, MA has a septic
system (last inspected in 2000) and is not hooked up to the public sewer system. Public
sewer lines have been available in your neighborhood since 2003. Some time ago, you
i
were notified of your obligation to hook up and establish a sewer account with the town.
This letter directs you to connect your building located at 35 Norris Street, Hyannis,
MA, to public sewer on or before July 1, 2011.
Sewer connection permits are available from-,DPW-Water Pollution Control Division,
617 Bearse's Way, Hyannis MA 0260.1 (508) 790-6335.
E
If you should have any questions, please telephone me at 508-862-4644.
PER ORDER OF THE BOARD OF HEALTH
i
as A. McKean, R.S., C.H.O.
Agent of the Board of Health i j
Sj
Town of Barnstable Barnstable
i MO i
Board of Health
.4RNST" , I(�
M^S 200 Main Street� Hyannis MA 02601 2007
tfD MA'S�`
Office: 508-8624644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
November 26, 2012.
Ms. Anna Dye
35 Norris Street
Hyannis, MA 02601
RE =Extension of Tune to Connect pwellmg to Public Sewer.° -� � A 306 034-
s 3 5 Norrls Street Hyannis,MAy, x t _ i_ U :. ,, s
Dear Ms. Dye,
At the June 12'' meeting of the Board of Health, you were granted a six month extension until
January 1, 2013, to connect your dwelling located at 35 Norris Street, Hyannis to public sewer.
This extension is granted because you stated you needed additional time to look into quotes for
the work and for obtaining loans. Please be aware that most contractors listed in the Yellow
pages of the telephone book(listed under"Septic") are licensed within the Town of Barnstable to
perform sewer connection work. It is suggested that you obtain price quotes from at least three
separate contractors.
Sincere y yours,
Wayne Yiller, M.D.
Chairm
Board of Health
Town of Barnstable
Q:\wPFILES\DyeSewerC6nnection2012.doe,
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Malkus, Karen
From: Crocker, Sharon
Sent: Monday, May 21, 2012 4:16 PM
To: Malkus, Karen -
Subject: Anne Dye, 35 Norris, Hy
FYI,
Anne was in this afternoon (Mon, 5/21/10) and took out an abandonment permit. She still plans to go to the BOH
6/12/12 to request an extension until the end of the summer to hook up to sewer. (She will be working on getting quotes
and the loan from the County.
Sharon
P h on e C.o-n ay--% S J
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1 Pc<..r (a f=OY -e.
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Town of Barnstable Barnstable
.� Regulatory Services Department AlAmedcaCft
1AENSTABLL
`"AS& Public Health Division
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
5/18/12
Dear Anna,
Our goal is to work cooperatively with property owners to get properties in compliance
with Health orders. As I mentioned on the phone, to avoid tickets with fines you need to
appear before the Board of Health on June 12, 2012 to ask for and extension for
connecting your property to the town sewer.
The other steps you can start working on are;
1) Abandon the current septic system (abandonment permits obtained at Health
x
Division 200 Main St. Hyannis, (508-862-4644)
2) Get a sewer connection permit from DPW (DPW-Water pollution control
Division (508)790-6335)
Thank you,
Karen Malkus
Coastal Health Resource Coordinator
Town of Barnstable Health Division
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4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number -- -- —-- - ---- - -- -- --.._-- _
(Transfer from service tabu) 7008 3230 0002 5178 2190
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PS Form 3811,February 2004- Domestic Return Receipt !
�. ,„ P 102595-02-M-1540 I
F
J fIHE+T° I, " Town of Barnstable Barnstable
�o
Regulatory Services Department a'caC j
BARN STABLE,
„Ass.
ibgq' Public.Health Division
�� m
prf°M b 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
01/03/2011
Anna M. Dye
35 Norris St.
Hyannis, MA
02601
IMPORTANT NOTICE.
Re: 35 Norris St. Hyannis, MA. 02601
Map & Parcel 306-034
Dear Anna Dye: k
According to our records, your property at 35 Norris Street, Hyannis, MA has a septic
system (last inspected in 2000) and is not hooked up to the public sewer system. Public
sewer lines have been available in your neighborhood since 2003. Some time ago, you
were notified of your obligation to hook up and establish a sewer account with the town.
This letter directs you to connect your building located at 35 Norris Street, Hyannis,
MA, to public sewer on or before July 1, 20i11.
Sewer connection permits are available from DPW-Water Pollution Control Division,
617 Bearse's Way, Hyannis MA 02601 (508) 790-6335.
I
If you should have any questions, please telephone me at 508-862-4644.
i
PER ORDER OF THE BOARD OF HEALTH
as A. McKean, R.S., C.H.O.
Agent of the Board of Health
i
i
o ..
Ir
PostagLn
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Certified F �Q
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C3 )NY-N n�----- = D`� ------------------
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or PO Box No. ,
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4, '-4 n s M/fit- U"Li;,0
Certified Mail Provides: liki
n A mailing receipt "
o A unique identifier for your mailpiece
o 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®.'
p 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.
o For an additional fee,a Return 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"RestrictedDeliveryt
to 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
COM�LETE THIS SECTION • • ON DELIVERY
■ Gomplctz i'te!s 1,2,''annd 3.Also complete A. Si ,at r
item 4 if Restricted Delivery is desired. ❑Agent
■ Print your name and address on the reverse ssee
so that we can return the card to you. B. eceived by(Printe e) ery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different ro Itej
1. Article Addressed to: Q If YES,enter delivery addr lo
3 Ne--(-ri' S S'}.
I4-11 CL n i s ) �� �� 3. Service Type
6Certified Mail ❑Express Mail
Z- �o ❑Registered ❑Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number iCm
(Transfer from service label) 70�8 323� �002 5178 2190
PS F6rm,3811,February 2dM 1 s'Ao`mestic Ref"urn Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVICE First Iass Mail
Pos g�&Figs Patti
LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Town of Barnstable
4,
Health Division
'= 200 Main Street
I Hyannis, MA 02601
Barnstable
�0FIHE T°w� Town of Barnstable
y�P °� Regulatory Services Department ;ericaCit'
t BARNKrABLE. • -
9$ 639. ,�� Public.Health Division d
ArF°MAC A 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX:, 508-790-6304 Thomas A.McKean,CHO
01/03/2011
Anna M. Dye
35 Norris St.
Hyannis, MA
02601
IMPORTANT NOTICE_
Re: 35 Norris St. Hyannis, MA. 02601
Map & Parcel 306-034
Dear Anna Dye:
According to our records, your property at 35 Norris Street,Hyannis, MA has a septic
system (last inspected in 2000) and is not hooked up to the public sewer system. Public
sewer lines have been available in your neighborhood since 2003. Some time ago, you
were notified of your obligation to hook up and establish a sewer account with the town.
This letter directs you to connect your building located at 35 Norris Street, Hyannis,
MA, to public sewer on or before July 1, 2011.
Sewer connection permits are available from DPW-Water Pollution Control Division,
617 Bearse's Way, Hyannis MA 02601 (508) 790-6335.
If you should have any questions, please telephone me at 508-862-4644.
PER ORDER OF THE BOARD OF HEALTH
as A. McKean, R.S.,.C.H.O.
Agent of the Board of.Health
s
No.�2z b/ � L Fee__ 1r11
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Zipprtcatton for Migogar *potem Comgtructton Vermtt P
Application for a Permit to Construct( . )Repair(V)Upgrade( )Abandon( ) ElComplete System ElIndividual Compon nts �
Location Address or Lot No. S5 001Z 1 S J Y, Owner's Name,Address and Tel.No. /(
Assessor's Map/Parcel F110 V-%VV%l N v
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
*\1 CL-CA(.)0—ISe(TitL
vs kc�-X_s ST (A
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 gallons per day. Calculated daily flow gallons.
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 w n applicable) Low-e y— (411 =TkI S Pt 1
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 ace the system in operation until a Certifi-
cate of Compliance has b 77� a
Signed Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired Upgraded( )
Abandoned( )by - T�
at has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer Designer
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date Inspector
t^/ep Fee
-I THE COMMONWEALTH OF MASSACHUSETTS Entered in col er:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
j = 3pprication for Mi5potar *pftem Conkruction Permit !Ouf
Application for a Permit to Construct( )Repair( [Jpgrade( )Abandon( ) O Complete System ElIndividual C
Location Address or Lot No. v Owner's Name,Address and Tel.No.
35 �llo�LQi S STY. 0 '
Assessor's Map/Parcel H 1'%AA
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. /
L e /�J-
.. vM�p-c� e- Sir ♦'cL
Type o ild ng:
A`Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Ot e'' Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures''•
Design Flow gallons per day. Calculated daily flow gallons.
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) \ r r t
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 Certifi-
cate of Compliance has been issued by this Board of Hea
Sign Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued
------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ql._�pgraded( )
Abandoned( )by 4 4 11_
at V1} q s6ftfhas been constructed in accordance
with the provisions 44' e orDispo tm'Constructio t No. dated
Installer Designer
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date Inspector
No. n� Fee
7 THE COMMONWEALTH OF MASSACHUSETTS
- PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
1=i.5poga1 *pgtem Construction Permit
Permission is hereby granted to Construct( )Repair( Wpgrade(, )Abandon( )
System located at v v
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date: Approved
Town of Barnstable Barnstable
ti
Regulatory Services Department AlAmakaCj
BAMSTABLL
MAS& Public Health Division
039. �0 m
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
5/18/12
Dear Anna,
Our goal is to work cooperatively with property owners to get properties in compliance
with Health orders.As I mentioned on the phone, to avoid tickets with fines you need to
appear before the Board of Health on June 12, 2012 to ask for and extension for
connecting your property to the town sewer.
The other steps you can start working on are;
1) Abandon the current septic system(abandonment permits obtained at Health
Division 200 Main St. Hyannis, (508-862-4644)
2) Get a sewer connection permit from DPW (DPW-Water pollution control
Division (508)790-6335)
Thank you,
Karen Malkus
Coastal Health Resource Coordinator
Town of Barnstable Health Division
C5bq 8 to Z—I-((off(
i
AsBuilt Page 1 of 1
TOWN OF BARNSTABLE �j
LOCATION �(Ot'Y� S t SEWAGE #_1v
VILLAGE � CI nl S . ASSESSOR'S MAP 6s LOT 3,16-o 3
•-r
INSTALLER'S NAME S& PHONE NO. �✓�l /CL,LFIJ
SEPTIC TANK CAPACITY
LEACHING FACILITY://(type)-- � (size)
NO. OF BEDROOMS "'f PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER /
DATE PERMIT ISSUED:DATE COMPLIANCE ISSUED: y'
VARIANCE GRANTED: Yes No C_
G
r
cL
http://issgl2/intranet/propdata/prebuilt.aspx?mappar=306034&seq=1 1/3/2011
C- : TOWN OF BARNSTABLE
LOCATION �orrG `"� SEWAGE #C13 �
VILLAGE �n/5 ASSESSOR'S MAP & LOT 3,0 6-0 3
INSTALLER'S NAME & PHONE NO. /�i60h1 ' �4�W/Q '70 Z ;
SEPTIC TANK CAPACITY /a�
LEACHING FACILITY:(type) - (size)
NO. OF BEDROOMS `t PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: 40
VARIANCE GRANTED: Yes No
W ti,E'4 t
t.
7,7
O L _
- � C�p
r V VN
No.21::._L/2.7 Fizz... ......................
APPROVEO
THE COMMONWEALTH OF MASSACHUSETTS
io
8e >ateble Conservation DePeAan®rtit BOARD OF HEALTH
TOWN OF BARNSTABLE
,� lirttt� fur Diripwial Warbi Tom Tomi tx c 1 o f exuti
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at:
..................... .1........ `S lv .� T
------
n \ oca im-:lddress or Lot No.
..............Z�\1 ;r ..l�l -�.-� - ` u rrtia--- -----.--------------.---------------------•-------
O��ner Addres.
Installer Address
Type of Building Size Lot.............................Sq. feet
Dwelling—No. of Bedrooms..___._��......................_.._.__Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building No. of persons---------------------------- Showers ( ) — Cafeteria ( )
a' Other fixtures ..
W Design Flow...............................gallons per person per day. Total ily flow_... 0-._.._......_......_._..gallons.
W Septic Tank 4L I_iquid capacity
acity 1 gallons Length._.t.(,.�...... Width--b......... Diameter................ Depth................
x
Disposal Trench--NO. Tj ' & Width.....57-_--._.--- -rotal Length... ....... Total leaching area....................sq. ft.
3 Seepage Pit No..-_-..----_----. Diameter----------- ------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
f� Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
a ------•--------------------------•--•-•-•••--------------•••---...--•-•--•-••--•••••--•-••-••••••••..........-•----•......-••-•................-----------•--
0 Description of Soil........................................................................................................................................................................
W ---•••---------------------------------------------------•---------.._.......--------•-•----------••--------•------------------------• ----•...............................
UNature of Repairs or Alterations—Anse er when applicable.. .716 �t�......`.15.L. ...D. .!d CS -•.--..-.---.
Agreeme t:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Co as bee the bo Of alth. �s
Signe-------------------- -t----- .......................... . .. ....... ........................... ....85_77 1 L:7" p -
Da
Application Approved By .................V ----�. ......__..._....... - :........... .......
Date
Application Disapproved for the following reasons: ............. . ........ ............... ............... --.---..................-- ...................
..................... ................... . . .................. .. .............................. ... ... . ....................... .............................. .............. . .....................
Permit No. ........f.3..:7Y .7...... .................... Issued ........................................................
`e......
Jf
-.2 7 7.�... .............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
,TOWN OF BARNSTABLE
Appliratiatt for Diripwial Works Tomitrurtion rnmit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at:
............ .... ....................... .................................................................................................
Location��I.,,I.ress , or Lot No.
---& , _
........ ..Vj.
.—.......o f................................... .....................I.......I ....................................................
w ner
-1 Al , �
d,,,r
.....................I................................ .................. .... i.('r.......L
lnstallW'UAddTeSS
Type of Building Size Lot............................Sq. feet
oms-------a-------------------------_---Expansion- Attic Garbage'Grinder
a
—No. of Bedro
/..............Other—Type of Building .............. No. of persons............................ Showers ( ) — Cafeteria
Otherfixtures ................. .............................................................
-----------
Design Flow.........�:; .....................gallons per person per day. Total ily flow._'14 19
r----------------------
1:4 Septic Tank—1 Liquid capaci,tv.P;ZgaI Ions Length--- .... Width-. .- --------- Diameter---------------- Depth................
Disposal Trench Width--------------------;; Total Length..- ..... Total leaching area....................sq. f t.
Seepage Pit No--------------------- Diameter.................... Depth below inlet--.......__.__._____ Total leaching area..................sq. f t.
Z Other Distribution box ( ) Dosing tank ( )
1.4
0-.4 Percolation Test Results Performed by........ ................................................................. Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit---.--.-__._....--__ Depth to ground water----........._.._._......
G74 Test Pit No. 2................minutes per inch Depth of Test Pit...--..._.__----____ Depth to ground water...-_-......__.-__......
9 .............................................................................................................................................................
0 Description of Soil........................................................................................................................................................................
.................................................................................................................. .....................................................................................
....................................................................................................................................... ........................
U Nature of Repairs or Alterations—Answer when applicable- ....... ...............
.....................V............ --- -- ----- ..... ........................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compjiarice has beedissued by the bo, Ir r_,j
d of health.
Signed-_�........ . ......... .............................. .......................................... ----r q- 7...d.......
D.
ApplicationApproved By ----------------- ,n---- -- ----- --------------------------------------------------------... ........,Sy----
Date
Application Disapproved for the following reasons-- ----------------------------------------------------------------------------------------------------------------------------------------
.............................................................................................................................................................................................................. ........................................
Date
Issued ....................................................................Permit No- ------- 3-- 7............................ Due
------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of Compliance
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired
.. .
by ....................................... �ijA---�_*............._Auk T ...................................................................................................................
V
at .............................. -:2 . .......... -------------.. .....1.........�_'s I............................................................................................................
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit NO. - 5�3-7-- 7-- - dated _. ................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.................. -I—)..........................--------- Inspector _7 --------------------....................................
----------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE FEE...3.o.................... .
Utqtmal Worb Tonotrurtion"fermit
Permission is hereby granted I �_\(41C__1_4 A- I A.)() �S.:::>/'�-j I ( -
---------------*-------�i .....................--------------i----------------------------------------------------------------------
to Construct or Repair ( t,) an Individual Sewage Disposal Sy5ltefn
atNo.--- ----. -c::�.......... ...(--------- ........................................................................................
Street
as shown on the application for Disposal Works Construction Permit No...Y. Dated..........................................
..................................N, ---------------------------------------------------------
....................................... U
DATE............... - -ioard of Health
FORM 38308 HOBBS&WARREN.INC..PUBLISHERS