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HomeMy WebLinkAbout0048 PONTIAC STREET - Health 48lf ontiac Street Hyannis; r� " � 186 c p i 7 I I y B i LO••CATION _ SEWAGE PERMIT NO.. ©n, li3 e /�v Vi`LLAGE 2 I N S T A LLER'S NAME & ADDRESS f33 lyiia�sT��11:5ItCrs � � 4� BUILDER OR OWNER DATE PERMIT IMED 7 f7 DAT E COMPLIANCE ISSUED 7- /- zz � � . -�. r �'�� � .��' �? � � - ���V ®` �! , � �. �, , r, f TOWN OF BARNSTABLE c• L`JCr t'I'ION =SEWAGE # b n VILLAG (IV AM MAP & LOT INSTALLER'S NAME &,PHONE NO. � SEPTIC TANK CAPACITY �� �G�` Cam` rn C.��C�„ Pti old LEACHING F.ACILITY:(type) =r&& �— (size) e( NO. OF BEDROOMS PRIVATE WELL OR PUBLIC.WATER Vu. BUILDER OR OWNER e DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: �I VARIANCE GRANTED: Yes No fl 4 s�. �f _S t !r y, �^.� _ .. F::- �,' f� • � • r i N9. 1 Fim.............................. THE COMMONWEALTH OF MASSACHUSETTS APMOVEO BOARD OF HEALTH Barnstable Conwrmion Ws emwnt roW N OF Bi`R N STA B L E Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: p Location-Address or dot No. N\ V-�`�1 ............................................... ...(A-- �S �s.. #.,..._ O�ncr ddre s Installer Address UType of Building Size Lot............................Sq. feet .� Dwelling— No. of Bedrooms----------2....................... ---Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures _---------------------------- - - W Design Flow............................................gallons per person per day. Total daily flow-------------------_........................gallons. C4 Septic Tank—Liquid capacity-1 �-gallons Length................ Width---------------- Diameter................ Depth................ W Disposal Trench--No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No.._---.-.1-......__.. Diameter-t9�....._.. Depth below inlet-. Total leaching area..................s ft. � P g q• Z Other Distribution box ( ) - Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -- --- -----------------------•----•--•-•--•---............................................ .. xDescription of Soil------------- AJ...fir-`f^�"�' ------------------. V --•.....-----•---••----••-••-•------•---•-...---••--•-•----•...----••-----•-••--•-----•-•--••-•-----•---•••-------------•---------------•-•--•-••--•-•---•----•---•-•-•-••-•._.......-••---••--••....... W ............... -----------------------------------------------------•------------------...--••--------•----- - ------ --- - - -------------------- •-•------- •-----•---- UNat e of Repairs or lterations—Answer when applicable.__.__ c� .---- __. _c� l cZi�� ........ � 1 - . ... '-- --------------------•------.---.--.------------------------......------------------•-------------------------........................... 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 undersi ned ther agrees not to place the system in operation until a Certificate of Complia e has ben issue t e b of health. p,.� �-t. Signed n �'.. ..... .......................... V Application Approved BY ................ .... .. 2..�1 y..... ........... "---' - -----..........................................------------.......... are Application Disapproved for the following reasonf ................................................ ..�.................................................................................... ....... .................................... .......... . ................... . ................................... ...... .......... . . ...................... ......----*.......................... Permit No. .. .. ... ..!g Issued .f2 ....................... ----------- ......[e..........................Date...... �.✓'V-- -Y_- .= V.. -y—4—...-r•._V-:..V c^+..rrai v- i .- ..,_ y� :: .-j _ i:.-c _. _ T �r-9+_ - - .. - N094_10S THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ppliratiun for Di.!ripuul Wurk,5 Tunutrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( L)-an Individual Sewage Disposal System at: .............. ..... .--------•---•------------------------------- ' `\p Location-Address ( 1 or Lo ... lf- . .... -•----•................................. . ...(4-X..fO�"_5� �.:...STt.N......----..._........-----..........----•- O�rncr ddre s ., •• 4 Installer Address I' U Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms---------- ----------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) '! Other fixtures ...................................•----•--•--•------------....------------------------ -----------•-•------------------•------•-----•---•••--------. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity,/�lo.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench--No. .................... Width.................... Total Length ................... Total leaching area....................sq. ft. Seepage Pit No.........I........... Diameter.61XC._...... Depth below! inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................mmutes 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........................ �+ •--••• -------------•-••--•...---••------•---•--•------------••-•-•-------•----•-...•--•-----...---.............•-•--.....-----.................•_..... Descriptionof Soil............. >s_ � .-------------••----------------------------------------•---•-----------------------•---•--.....-----....... V .---------------------------•••-----------.....................------•--•--•------•---------.......--------••----•••------------------•••••-------------•----•••-----•...........--...------•............ W ----•---••-•-----------------------------•--•-•--------------------••---------------------...------•---------•----------....----...----•- . . • .... . --•----- ----- U Nature of Repairs or Alterations—Answer when applicable------(A-0—d......�----- c� �,� 5'G• U1' ........ � 1 � ? _.......--- --------------•--------------------------------------------.....--------------------------------•---------------------..._............. 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 undersign`ed_fs>rther agrees not to place the system in operation until a Certificate of Complian e has b en issued��t ale bow of health. - Signed ..,... ................. .................................................. ......--------!:....-..-....-..=,.:. ApplicationApproved BY ._................................. .......... .......... `... ?�.. 'y.-..-............................................................................. Date _ Application Disapproved for the following reasons: .................................. .............................. ................................... ..................... ................................................. ..........................................--... . /-...... ........................................ _..- D� l q Permit No. .. .. .r / � Issued � . ...............................gate..... ...._.................-----... ............. to THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE u•TTertiftrate of Toraplianre THIS IS TO CERTIFY, That he Individual Sewage Disposal System constructed ( ) or Repaired by .........-- C.O.N\...�`'` - `�"v', .. ........ - - ------ ............... . ................. ........................................... I' e at .......--._�<C. .... >\..V;.oNC-.-- -------51' ............................................................_. .. .. ...--...................--...................... ............._..... 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. ' --------- 0..-S._... dated ....... .-.....-.- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ,�.. .. DATE............... ............ - ----..--...------- Inspector ................. :. -: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L — f� TOWN OF BARNSTABLE �Q No..... ................... FEE-- �iu�.uuttl urk� �unutr�rtiun �rrutit Permission is hereby granted---------- ,.r� .....�=------ = •a; ---•-•-•-------------------------- to Construct ( ) or Repair V� an Individual Sewage Disposal System atNo.---- (•�S` �(}^ ` ..........54r.................-------......._. ....------. ------------------------------------------!..._...:----•-............... ' 3trect 4 - / Y- Z as shown on the application for Disposal Works Construction Permit Nog.........�..... Dated... Z/lN c _ -�G� - / /^ Board of Health DATE. - ---------•-•.............••------------------------------ FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS AsBuilt Page 1 of 2 TOWN OF BAIR__NSTABLE PO N� c.C,C. �'c SEWAGE # - VI ti LLAG ASSESS M ,-� �ORS AP & LOT��. f�l f INSTALLERS NAME & PHONE NO. SEPTIC TANK CAPACITY I(�C�J �-G�� (�x� L_Pr LEACHING FACILITY:(type) (size) a Q[ Jiff. NO.OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER�� BUILDER OR OWNER Prn✓� ��,�--t�� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED:' L/ VARIANCE GRANTED: Yes No http://issgl2/intranet/propdata/prebuilt.aspx?mappar=269186&seq=1 9/2/2016 �_ ............... THE COMMONWEALTH OF MASSACHUSETTS 4 BOARD OF HEAI TH Allp iratinn for UiipusFai Warks Tnnotrnr#inn a mi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: i Y 4. //'' ��/y��p.G may. D.L. ._ . l..SC.rc - _.�f@!l�I y7 ..`....Lcf2.L................................ Local onAr or Lot No. ... --------- S. .. ..._ ----------------------------------------------------------------------- W Ow • Address a - - ..... - '--•---_.._.._...•-----------------------_....•-----_........--•--•---.........._..._. Ins Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.......... .__._Expansion Attic (�Y Garbage Grinder ( ) p, Other—Type of Building ____________________________ No. of persons........ Showers ( ) Cafeteria ( ) Q' Other fixtures -------------------— - -------------------------------------------------------------- -••--•----•--•--------- w Design Flow.......1-r__�'------------------_______gallons per person per day. Total daily flow....... ....:3. .....gallons. W Septic Tank—Liquid capacit)V.'� '_5;�_gallons Length.A_f...... Width__ Diameter________________ Depth................ .._._.._ x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.....1-------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing t ( ,� Percolation Test Re541ts Performed by-.______ :__ �__,. L�-,Le�lj.� __. Date...... �� ��_____-. ,.,-a Test Pit No. __. "R_ ,� _..minutes per inch Depth of Test Pit____________________ De th to ground water........................ 44 Test Pit No. 2.............___minutes per inch Depth of Test Pit.................... Depth to ground water........................ x - � - � -- ....._ ----•---------- t.,O p ` frid .. � 1G � "tdescr Description of Soil---- - - ------- �--------__. .�?. ..�._.. --- --- ............... ----••-•-••---••-•-•-••-•--...-•-----•-._....-•-.....--•••.............•-•------•---.....--••------•--• e- - -- w x -------- --- U Nature of Repairs or Alterations— r when applicable.---______________ ..................................................... ---- --------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' s d by�boar t t g Q � �DE.� Si ........ �_.�. ApplicationApproved By........................ _ -•- =------•------••----•--•-••-----••-------- ........ ............ Date Application Disapproved for the following reasons-----------------------•--------------•-------------"-.......................................................... --•...---•-•----••••--•-------••-------•-------------•--•-----------...••--•-----•-..._.,-----•--...-•-------••--•••-•-•••••••--•----••-•-•-•--•--•------------•••-•••---------•---•---------•••--•----- .......Date Permit No......................................................... Issued_._. .-' 1 Date �V e f �,�-•w �l r �r NO.. EPEE..........................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTJH �Dlc2o1.......... oF......... :.. r�ir.S ...._. ApplirFation for Diipnsal Workii Tnntrnrtijan Vamit Application is hereby made fora Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System aIt `l /� C­� ./ e�14 ........... 4 ... !Z Location-Ad ess or Lot No. . _ .�.5..- ..�,... -......---•------------- .....................................................--.......................................... wner Address a ��-r.... . ..... ....... ...... ........ Inst er Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms......,m�27.............................Expansion Attic ( ) Gaorbage Grinder ( ) Other—T e of Building ............................ No. of persons......A=�_............ Showers — Cafeteria Q' Other fixtures ------- ................................... Design Flow..........5- ____________________gallons per person per day. Total daily flow..........3,::�70.......................gallons. WSeptic Tank—Liquid ca.pacit��o -gallons Length--- ______ Diameter________________ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------T::---------- Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other` Distribution box ( 4-f- Dosing _ ) P-4 Percolation Test Results Performed by_____ Date..... Test Pit No.&?./,_C?_._minutes per inch Depth of Test Pit____________________ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P I' i. - -- - ... -- -- �►" ---- •� Xp ms O Descri l. e "! W • .................. ---------------------------------------------------------------- ----�-------•-------------------------------------------... --'=»`� -••-••--- x '' --------------------- U Nature of Repairs o1� Alterations—Answer 1applicable_______ __ _____________________::..:_._. .:_.___ :..___.________._.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal•System in accordance with the provisions of TIT11 5 of the State Sanitary Code— he undersigne further aTees not to place the system in operation until a Certificate of Compliance has been iss by 1 ,and hea d ------------------- /� y, Date Application Approved By....... -----C..�..__.. ------------------ 0Date Application Disapproved for the following reasons:................................................................................................................ .g Date PermitNo................ `---------------- Issued---------------------------------•---------•----------- Date E COMMON LTH OF MASSACHUSETTS f/ � BO 46*t HEALTH I ..........................................OF.... ......................................._................._.........._... rdifiratr ,a liFanrr T IS TO C IF - Y , That t In i ual S, e sal system constructed ( ) or Repaired ( ) ba- Z ;. ----_- -- •----------------•-•---- stall at. ........�--- ---r� .. �? r/' Z' ._ .l x��r,,C-------------------------------------------•------------------ has been installed in accordance with the provisions of _j of he State Sanitary C B-i 4bed in the application for Disposal Works Construction Permit N .................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........... l= Inspector........ --------------- --- THE COMMONWEALTH OF MASSACHUSETTS BOARD OFn HEALTH . .....OF...........//�'� .... .................................•.........._. �r- �.... FE&:.__. t �r�aaal gar �anirUan rrl�tt Permission is hereby granted. "" -, ---•----•- .•--•------------------------------ -�-=---...------.................... to Construe ( or Repa,if')( ) an Indivie.1u2dSewag is osal ystem der Street as shown on the application for Disposal Works Construction Permit WD ) .............. 7 e ^t ______________ _____________________ __ ___-____________-_— ,. 7� � Board of Health ` DATE ------------------------- FORM 1255 HOBBS &'WARREN, INC., PUBLISHERS " AA, F pit e r r n � o j, 4 I f. .; '•, ar,�4i"r��.'4d q'�a Art r� P w.�r*'� �3 tjfi ;zr✓1 r x- tx4 l r R^•.� k�s�'.,, . `a' I }. /lg o 9 J s � {�,� S��:: F`�+: + ? y r 4i9..r;� - f � .t •'.r f { j .� C I f f, •# f lC � j ibZ !• t t t I t ) r r IE--:24• -� - 4 L45AC.04', rj I DI ST BOX �Q°R SAL,. ` Q s r/C-P//^'. ' ` � -- '�.�y ♦ e• $ •` 3 t } Ln }#t`r -�, � hi 'tp r '..., - -r � �•,yrj t`}o-t . r. ) r � N t, _ l 1 A 1qr F $ i 1 tFj - lam r h-r. !_ 7 s7.Q V I + ! !'S f�.�q •L l-. RoBtk jar dtk4: z �.ila f is :G, l _ �J 71C A IVO ZLISZ ^ r9 i r b i,i� b)lt? AA 1" br 11,N`1! 7 /STD` L t # Y so JL, �♦1.••.V ! ;l1 _ Y r ' LEGEND CERTIFIED` PLOT PLAN k EXISTING` SPOT, IE.LEVATION OXO lEX1ST:INO.. }CONTOUR --- 0 - - �> FINI$H, ED SPOT ELEVATION 0.0 Lv 7 4 TAG "-FINISH 0 CONTOUR 0 f/� _S _ CAPPROV:ED !-BOARD- OF? .HE.ALTN IN, Irma DATE AGENT SCALE: - 5 ,DATE:: ' :.! �, k 4 �^ i ENGINEERING CLIENT # LOREDGE _ — I CERTIFY THAT"-THE PROPOSED ,... l;l . EGI�.STItR:E REGISTERED jOB N0. 7 0_f`l____ BUILDING ',SHOWN ON THIS PLAN CIVIL' LAND' CONFORMS TO THE ZONING LAWS pR.BY: .A �i ! ENGINEER SURVEYOR — tOB'ARtd TABLE ,p MASS. .. 3 33 NO. MAIN_ST 712 MAIN ST; CH. 8Y SO. YARMOUTH,.MASS:; HYANNIi 'MASS. �Z - ~ � ' ti ¢ ` SHEET_,LOF 'DATE' REG.. LAND'-. SURVEYOR i. _., v {a „. ,�.k; 5.z ta.r•;.gi;, i r •,ar ayr. 'y i.:" !. ,,_M rr- _,...¢�' . tom xY-w•,�� m v: sy ..Y -x+,: 77 .. :�2•} -.ate ,+,"•• '3-s .;.. ,.r '�•"+� rf: ^''� �" �. s ,.:�.Y' y..f.�, .a,�r�.,r �i*.. 4,. .�..' g-Aber..`'Ytl�'.'-.a�"'�` .j �° oi ." �t„;,,�;'. 'v.;�+�,y; _x ",. :' - .y:. .,1J -y.. _ r�i.c� r �• a a ,dr:�- � �,> _ � c" -t y :. NG. /T .r'pf-y Y .'t��Y -". «..w.. x4•�'• � - t l � �.'�M .� ARa � 1 df U � Yn� .�jj/���,y�. �I �+' �. �IY��_:�6✓���i�T� ����� �n a >y r PYG':PJPL� ALL ®� 70 C r, .C.�9 S Y./IE°CJ/5! .0 s.4LL."B.E USE.D - \• "•r F<•• k f McAI. CONC.� TE r f? z G 4® Co 1%Ef� C'L eAAl SAN.0 5 r QAC.Je,=/L.L CAST *LAYER 2 IRON P/PE GAL.': �0 •w o o a b MIN. P/rew e ° o$EP /C% �e •e 0e °E•®FFoIE'.CIY .V�•° �• •ee ' *Al�p op �o rA SHF- O. s • e _WS7'a°0,N/ X � rQ 3 s o .o r e . DEPTf1 • ° o 0 WA .4P"ST®NE tir e a.. a ► • e • • • • • p r PRECAS T SEEPAGE " r l NVGA'T eL EVAT/ONS 6 /7 D/AM %NYERT AT BlJ/LD/NG FT z /NLET .S�'®T/C Ti�FNJ�' 1 a.: FT.. PIA C�SEE.7�4B1/LAT/O/6/> D /TLET SEPT/C TANK �,3 /cT :h 1 /hIL.EY D/STR/B/ITJON BOX GROUND r AIrEX-Ti4 SECT/C�V:OF 0erner'O"STR/BUTJON aOX:!F-q 9F7 A /AVLETSEEPAGE P/T- �FT �E' AGE O/S/00SA C}SKS71E l A-Z2 V-L5AC/�1//VG �!?' TA�IlLAT/ON ®ES/GN 'Cf�fTE�fA F: x ST AZ-E % � !` O~ r i. � D/I►9ENSlON A FT. - , D/.•9ENSJGN' AFT. NUMELri� OF�EOROOMS - 3 . - a . pJ/�9E/V 5/ON :G�_F T. �,✓: ; - GAR8.4GEo/sPosaL.uN/r ' SO/G SLOG •� � 1� � g'= ` r C LObV eSO/ ? ET / S F SESTTdtAl..ESrf^lATEF T - - l NUMBEk' QF SEEI�IGE'.P/TS .,FLEY DATE OF SOJL. TEST:.;� :4 -// `SJDE LEACHING PI&R.P/T L�� .b �� / r ®orrom t�+cN/ivcr PAR PJr ?&` Esu z SQ Pr uK 4 z o A r < ; .• RCDtAWOW /ea 4ff,4f/: MI N•/I NChf T®TAL'.LEAC�//NG !AREA. SQ FT -I�RCOLA7701V RATE2 MIN. dNCH RESERVE LE.4C/NiNG AREA_�SQ F T folk • r k v R yt 00 G'F Aj � r s .. • ���5ww / Y PO A/7,fd4 �f V i 2 ,•� -r p^p "/ 'rr...w C:t y,_ `..`.. �V -���I� ;; x '-7 A 1 f t �.¢�, y �J• � w R , O ,BUNIKi$ #" �.a t t..4 r : 3 [ � t 1�• ®r. 111/ I .®/Y�i /ST.ti ._s� �i� �'s.. a "?Ja_'iff1!ST R Nam.=A9�tlfJk' ,dry w �'` t� '-� `_"`$� ,�,, :�F:y+'x'r 4.,.? � ��� ��'.> �r .�/��; �,;" � J/Y.r+��11�1;�a ��•� y S0 �10Ji�/��/'��Ief,�•� , ,S z 'x,- s * , i. �'r _ "z �"w.'� HAAROL<N -' r;`r. �, sr ` - = .e, �'_:F�' - �• _�.: - .�•-. - 3 '- +,. =i-.A '' i,1� i• a „" :,yt �+..� .:L l" x- s,x - H. 7 wya �2 Y�I i� , �@I AWir 5:. - - cls:n:_c.•. ��m''" � .asaa7vl�.•: ..�" _z: ,�,-- �& .r .y.., ::;.. R' >" - � ,;.:�i,��.;®-. - .c ...:m I , oFT"E* Town of Barnstable VIDENCE US POSTAGE^^ O PITNEY BOWES Public Health Division L _+ � i IN LE.. . 200 Main Street DEC�,: � �. ��° �@@�, o �F;'a,o+p0 Hyannis,MA02601 IN.mumm. ? ZIP� 02 02601 �P 007.330 1 _ 7021 0350 0000 1549 41,26 I 0000373143DEC. 08, 2021, f KELLEY, PAMELA M PO BOX 100563 n A w _ 3 I v E ! i 1�i,3 3i1 319a !, a1 i ...�9- _--- 3Sii :1, lfl i 3'Ja aaa 3, R! �8•.I i ii 60MPLETE THISSECiION • • ON DELIVERY .. ■ Complete items 1,2,and 3. A Signature ■ Print your name and address on the reverse X ❑Agent i so that we can return the card to you. ❑Addressee ® Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. I -dress different from item 1? ❑Yes i delive address below: N ry ❑ o s KELLEY, PAMELA M I PO BOX 100563 I i FLORENCE, SC 29501-0563 I 3lServiceType ❑Priority Mail Expresse ; \ i IIl�fll�lf�fll4lllll II II II�IIIfI�I�IIII�IIIII) ❑Adult Signature ❑Registered MailR ❑ dull Signature Restricted Delivery ❑ istered Mail Restricted) ry 9590 9402 7037 1225 8090 35 ❑Ce Certified Mail Restricted Delivery s gInva ure ConfirmationTm f I ❑Collect on Delivery ❑Signature Confirmation I 9 Article Number(fiansfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery __ �Insured_Mail 7221 0350 0000 1549 4126 oi'RestnctedDenvery (( !! ss PSL Form 3811,July 2020 PSN 7530-02-000-9053 Domestic,Return Receipt I i Town of Barnstable �" Inspectional Services Department aaxNsrnOLL Public Health Division 9� D 39. A`0� 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7021 0350 0000 1549 4126 December 7, 2021 KELLEY, PAMELA M =P0 BOX 100563--- FLORENCE, SC 29501-0563 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 48 Pontiac Street, Hyannis,MA was inspected on 11/03/2021 by Sean M. Jones, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the.septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching facility with standing liquid level at or above the invert pipe (per Town Code 360-20 h). You are.ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. You maybe eligible for a waiver from replacing an onsitc sewage disposal system if your property will be connected to public sewer in the near future. For information regarding public sewer availability at your property, please go to https://www.townotbamstable.us/Departments/Assessing/Property Values/Property- Look-Up.asp or telephone the DPW Administration Office at (508) 790-6400. Any written request for a waiver or extension must be filed in writing to the Board of Health, 200 Main Street, Hyannis MA, 02601 PER ORDER OF THE BOARD OF HEALTH omas McKean, R.S., CHO, Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\48 Pontiac Street Hyannis.doc