HomeMy WebLinkAbout0020 PAINE AVENUE - Health 20 PAINE AVENUE
Hyannis
A = 288 — 143
o
1
No. r90j J Fee a5
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
01pplitation for Vspasal 6pstem Lt""' 3pPrmit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ❑Complete System ❑Individual Components
Location Address or Lot No. 3-10 Qq E 1 Y Owper' e,,�Add legsxand Tel.No.� Q �k
Assessor's Map/Parcel Zgl{~143 ! �a-- ;n ye—
"����.•11 q�'
Installer's Name,Address,and Teal.No.,}� C.�.'b c¢�-t p Designer's Name,Address,and Tel.No.
�pyLL FAie,4' ST-t_LA-
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
Natuuiee�o"f�Repairs or Alterations(Answer when applicable) AAn&or%
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance More described on-site sewage disposal system in
accordance with the provisions of Title 5 01 the Environmental and not to place the system in operation until a Certificate of
Compliance has been issued by this Bo of e
Sign Date
Application Approved by Date I
Application Disapproved by Date
for the following reasons
Permit No. Date Issued t_�
No. 5463 63 `° K
Fee &V
THE COMMONWEALTH.OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
. ftplication for Disposal 6pstem Con ction Permit
Application for a-Permit to Construct( ) Repair( ) Upgrade( ) Abandon'( Complete System Q Individual Components
i. r
Location Address or Lot.No 'I- E Y4R+N Owner's ame;,Addr s and Tel.No.(fib
G
any uaLr° -r � �.
Assessor's Map/Parcel -49Y— 143 � Z.o q:r`� �� 1A q/yni�- �
Installer's Name,Address,and Tel.Not Designer's Name,Address,and Tel.No.
Type of Building: '
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of PersonAkj'*'��t�` Showers( ) Cafeteria( )
Other Fixtureg
Design Flow(min requirebK, .1 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
FV
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement: t'{'�_.' ty\r4 e W'+3`
The-bridersigned agrees to ensure conAructioSn and ma�!Aancce-�,_the'aforpe described on-site s wage disposal system in
accordance with the rovisionsof Tit1e.5 0 1he Environmental C and not to lace' e s s em r o eration n il a Certificate of
Compliance has been issued by this Boa . of e 1
tr g.q
Y. ahSagri o. Date
Application Approved by Date L
Application Disapproved by Date {
for the following reasons
c 1
Permit No. > Date Issued
---------.------ -- - ---- ------ ---------------------- ------------ ------ -------------- ---------------------- ------------ .
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
certificate of Compliance
THIS I TO CERTIFY,that the On-site Sewage Disposal system Con§trusted( Repaired( ,) •U;pgriided( )
Abandoned
-S~4 V V „z..{v^� 4q Y 1 �f K.. •E�.... '
If at to Gi"tN*p �4nnwn has been constructed in accordance
with the prov's'n s and the for Disposal System Construction Permit NoC/S I�S,pp dated ..ff e
Instal/l� / Designer
#betlrooms Approved de ign w gpd
The issuance of th is pen it shall not be construed as a guarantee that the system w b functio ,al/designed.
Date U ( / Inspector
No. � ') 1 —��OS Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
30isposal 6pstem Construction 3permit
Permission is hereby to Construct_ ) Repair( ) Upgrade( ) Abandon
Y� \
System located at Al t
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
1 ,
Title 5 and the following local provisions or special conditions.
Provided:Constructio must be completed within three years of the date of this pe t.
Date t � 5 Approved by
® Complete items'1,2,and 3.Also complete gna re
item 4 if Restricted Delivery is desired. t ❑Agent
P ® Print.your name and address on the reverse Addressee
so that we can return the card to you, �L Rec . r.n C. Date of Delivery
a Attach this card to the back of the mailpiece, Ht,
or on the front if space permits.
PHILLIP A.IDOHERTY, TR. I F=livery d diffpnt 1? ❑Yes
S,e N livery i9dress b IR No
% DOHERTY, PHILLIP A& JAMES F TRS
36 GROUSE LANE
HYANNIS,,MA 02601
ice Type
I�Certified Mail ❑Express Mail
❑Registered WIG=R t fo e_ dice
SS ❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑yes
2. Article Number 7 012 1010 0000 2848 1384
(Transfer from service labeq
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
E
I
I UNITED STATES POSTAL.SERVICE First-Class Mail
I Postage&Fees Paid
LISPS
Permit No.G-10
I
• Sender: Please print your name, address, and ZIP+4 in this box •
I I
I I
jSewer Connect
I 'mc Public Health Division
I Town of Barnstable
O� 200 Main Street
I
I Hyannis, MA 02601
I
I I
I I
I I
I I
I I
I
MAL
WA UD
a
cD OF F I C VAL USE.
cO Postage $
tv , /PNt4l S
C3 Certified Fee /
M Return Receipt Fee Postmark
O (Endorsement Required) ( �r��ere `
Restricted Delivery Fee G
O (Endorsement Required)
13 Total Postage&Fees s v. /
a SpS
ni PHILLIP A. DOHERTY, TR.
00:,%DOHERTY, PHILLIP A & JAMES F TRS-
16 GROUSE LANE
JHYANNIS, MA 02601
Certified Mail Provides:
a A mailing receipt _
o A unique identifier for your mailpiece
e A record of delivery kept by the Postal Service for two years i
Important Reminders: I
e Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®.
o Certified Mail is not available for any class of international mail.
o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
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.
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 Mailseceipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT.Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
TOWN OF BARNSTABLE "
LO ATION 3 Pa n- -i � A � SE W AGE l�g
VILLAGE ASSESSOR'S MAP & LOT;?- g
INSTALLER'S NAME & PHONE NO. p�ca r �•to 3i Y} -j S" _
SEPTIC TANK CAPACITY \/oi--`U
LEACHING FACILITY:(type) 3 6, (size)
\ i
NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER i
BUILDER OR OWNER E2o /jC rp_T
DATE PERMIT ISSUED: R-/ 6
DATE COMPLIANCE ISSUED 7 J
VARIANCE GRANTED: Yes—,-- No
f �J
i
�j CLIt�
z
s
TOWN OF BARNSTABLE
LOCATIONQ,,nC � SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY CS�� c�C
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL OR( UBLIC WATE
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No d
II
i 0
��
�J`�/ f I
.�
`V
f
�,
x
�!
A Town of Barnstable Barnstable
Regulatory Services Department 'HmedcaC"
BARNUABM
I
� "�3�. � Public Health Division
i on, 200Main Streef�HyannisMA'02-6 01-- m
2007�—--
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7012-1010-0000-2848 -1384
March 28, 2013
PHILLIP A. DOHERTY, TR.
% DOHERTY, PHILLIP A&JAMES F TRS
36 GROUSE LANE IMPORTANT NOTICE
HYANNIS, MA 02601 Map & Parcel: 288- 143
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 20 Paine Ave, Hyannis, MA,
to public sewer on or before 4/30/2015.
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 BOARD OF HEALTH
A. cKean, R.S., C.H.O.
---Agent of the-Board-of Health--- _._ _ ._.. __._ ____ ____.-._-__-._._ .. _______...... . .. ........ . __.
Cc: Barbara Childs,WPC/Roger Parsons, Town Engineering,DPW
Enc.
QASEWER connectEettets Stewart Creek Sewer Connects\MAU-ING L.etA Sewer 2Pgs Merged 3-28-13 Yr2015.doc
1
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.lna.us/PubIicWorksTech/sewerinstallers. Contractors, approved to
perform sewer connection work in the Town of Barnstable must obtain and file a Sewer
Connection Permit with DPW-Wa=er 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 connectl otters Stewart Creek Sewer ConnectsWAIL.ING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc