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HomeMy WebLinkAbout0065 SEA STREET EXT - Health 65 Sea Street Extension, Hyannis A+308 - 272 FPF'*" i E V-e c> -P cav+ i' 2 -?> 12 U-.)/ C) s - 4--o uj 1 c� 4-6 J TOWN OF BARNSTABLE LOCATION 0o'5 .SIM S T. Cx T, SEWAGE# 7 -4 3 3 VILLAGE �/.� - .,� ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) size) 141�Q : NO.OF BEDROOMS p OWNER G ,Gvs� PERMIT DATE: �V/ 9 I/ 7 COMPLIANCE DATE: of of / '7 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY aii- W W w � W :c 4 �g O No. O I J 3 i Fee V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS RpPlication for Migo!gal *V5tem Con tructiou Permit Application for a Permit to Construct O Repair(r,< Upgrade( ) Abandon O ❑ Complete System Individual Componenthj Location Address or Lot No.(p SFA 5 . 45,('7. Owner's Name,Address,and Tel.No. AIA A, I&A.v t/rs', MA, pa G o 7 So8-a 7�- 1433 Assessor's MaplParcel ,p Installer's Name,Address,and Tel.No. SAS 7 D/q J_z Af Designer's Name,Address and Tel.No. AIA Type of Building: Dwelling No.of Bedrooms IfIA Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building ®F SGC__ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) it/D C1QA1��gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ,yA Description of Soil Nature of Repairs or Alterations(Answer when applicable) d(J Date last inspected: Agreement: The undersigned agrees to ensure the struction nd maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title o e Enviro ental Code and not to place the system in operation until a Certificate of Compliance has been issued by this' ar Signed . Date /�O Application Approved by Date Application Disapproved by: Date., .' for the following reasons Permit; 03. Date Issued No. .A O 0— y )3 f Fee THE COMMONWEALTH OF MASSACH.USETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for Migo5ar *pgtem Con.0truction Verrnit Application for a Permit to Construct( ) Repair(W Upgrade( ) Abandon( ) ❑Complete System U Individual Components.,.) Location Address or Lot No.6.9 StA s!. t -^',. Owner's Name,Address,and Tel.No. MA #vAAIN3$ , MA, oaGol Sob-a75 - 1433 Assessor's MapMarcel Installer's Name,Address,and Tel.No. �j�S �/� �iYE. Designer's Name,Address and Tel.No. AIA a Type of Building: Dwelling ' No.of Bedrooms Ae, •Lot Size sq. ft. Garbage Grinder Other Type of Building No:of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Al O CN.4 Al(FC gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title L� Size of Septic Tank /66120 O Type of S.A.S. vA Description of Soil Natu 1e of Repairs or Alterations(Answer when applicable) ` Date last inspected:. Agreement:', The undersigned agrees to ensure the.const ur cti and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title15 ofthe Environ ental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health! Signed O Date /9, 1 ,7 Application Approved by Date _ C11 -2 Application Disapproved by: ? ` Date for the following reasons Permit No. 3 ! Date Issued �:+.-�.��� ate_.�,car�.'sac� 'o�a:;ate-:.s+� -r*i..�„�..Pam_ ....?�.F'c�::r.._YrS .,!s�w�-a� i�ip•�.'p4'�,!wr-�*-r.+2 rT��„r��t-'9,..�:�...� THE COMMONWEALTH OF MASSACHUSETTS 1 V BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (Upgraded ( ) Abandoned(nn )by OA a- tY- at has been constructed in accordance l { with the provisions of Title 5�and the for Disposal System Construction Permit No. ���3 dated Installer W Designer t #bedrooms r Approved design flgw/ t gpd l The issuance of'this pe mit shall not be construed as a guarantee that the system will function Is designed' Date Inspector ^� -�:ili•r—��.c=.��—+�-_.. ��n�.. .�_„ya�.�__�. '_'=-"±�[�c:=4tE�s�rs.�;nrs�-.::���.t`�:r�t. �?a�-�i►�?«x4�?i»-,+�"�+}i,�w.��:+x.i3�aa�+.�:cc� t�. (' © -i No. e'�'`-k-/ � � "' / Fee � W THE COMMONWEALTH OF MASSACHUSETTS r� �1 r 6 PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS J Migonl q§p,tem Con.5truction Vermit Permission is hereby granted to Construct ( ) Repair ( -r-�Upgrade ( ) Abandon ( ) System located at 4: .s .Q�t �ixa'• and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of-this p'errr%t. Date C9-!D—) ''? Approved by,• Commonwealth of Massachusetts Title 5 Official Inspection Form i; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner Owner's Name, information is required for every Hyannis Ma page. City/Town 2/27/17 State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1. InSpeCtOr: ikey to move your cursor-do not Chad Hathaway key the return Y Name of Inspector H.P.S. � Company Name - P.O.Box 151 �I Company Address Forestdale Ma 02644 City/Town State Zip Code 774-274-2581 12866 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 2/27/17 Inspector's Sign a Date The system inspector shall sub i a cop of this inspection report to the Approving Authority(Board of Health or DEP)within 30 da -�ripleting this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 �oir0e Commonwealth of Massachusetts RON Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M °"( 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner information is Owner's Name required for every Hyannis Ma 2/27/17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: New 1500 gallon H2O Tank was installed in parking lot area by Pastore Excavation do to existing tank cracking. steel covers are to grade and tank has tees in place. leach pit was camera inspected due to no access(under paved paring lot B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined"(Y, N; ND)for the following statements. If"not determined,"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �< 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner information is owners Name required for every Hyannis Ma 2/27/1 7 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments yy< 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner Owner's Name information is required for every Hyannis Ma 2/27/17 page. Cttyrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: I D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ®. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 4 of 17 Commonwealth of Massachusetts n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner Owner's Name information is required for every Hyannis Ma 2/27/17 page. Cdyrrown State Zip Code Date of inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure- criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone If of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts ugTitle 5 Official Inspection Form Subsurface Sewage Disposal System'Form-Not for Voluntary Assessments 65 Sea Street Extension Property Address Owner 65 Sea street Exstension Realty Trust S nder Owners Name information is required for every Hyannis Ma page. Cltyrrown 2/27 o17 State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ® ❑ Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner Owner's Name information is required for every Hyannis Ma 2/27/17 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system?(Include laundry system inspection information in this report.) ❑ Yes ❑ No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: retail eye glass store Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): 1,994 Grease trap present? ❑ Yes ® No Industrial waste holding tank present? ❑ Yes ® No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ® No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Ti tle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner Owner's Name information is required for every Hyannis Ma 2/27/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: current Date Other(describe below): General Information Pumping Records: Source of information: none Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system 0 Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Altemative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner Owner's Name information is required for every Hyannis' Ma 2/27/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: tank 2017 leach pit unknown Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2.61. feet Material of construction: ❑cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10, feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 2'feet Material of construction: concrete ❑ metal ' ❑fiberglass ❑ polyethylene ❑other(explain) 1500 gal H2O with covers at grade If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Sludge depth: 0 t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner information is Owner's Name required for every Hyannis Ma 2/27/17 page. Cltyrrown State Zip Code Date of inspection- D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 0 Scum thickness 0 Distance from top of scum to top of outlet tee or baffle 0 Distance from bottom of scum to bottom of outlet tee or baffle 0 How were dimensions determined? 0 Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): pump every 2-3 years as maint. to protect leaching Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): j Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner Owners Name information is required for every Hyannis Ma 2/27/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: t Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): r Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments i M SVey`o. 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner Owner's Name information is required for every Hyannis Ma 2/27/1 7 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): s Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No- Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: leach pit was camera inspected. Pit is 6'and half full of water no stains above current level to indicate past failure t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M ''e 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Own information is Owner's Name required for every Hyannis Ma 2/27/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): t Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner 6 H/ner's Name information is required for every Hyannis Ma 2/27/17 page. Cityrrown State Zip Code tion D. System Information (cont.) Date of Inspec Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System'Form-Not for Voluntary Assessments 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner Owner's Name information is required for every Hyannis Ma 2/27/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately i a - q 3 phi s Cove�' 3 Rssv�� 1oc� on �pec.6c�_. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner Owner's Name information is required for every Hyannis Ma 2/27/17 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: Check Slope pe ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 25'+ feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: GIS on town website El. 30 Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 65 Sea Street Extension Property Address 65 Sea street Exstension Realty Trust Synder Owner Owner's Name information is required for every Hyannis Ma 2/27/17 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 THE Town of Barnstable Barnstable NH%rnTp� Board of Health ���� • saxtvSTAet.e. • I MASS. g 200 Main Street,Hyannis MA 02601 2007 i639• �0 Office: 508-862-4644 Paul Canniff,D.M.D. FAX:. 508-790-6304 Donald Guadagnoli,M.D. Junichi Sawayanagi December 22, 2016 Mr. Mark Synder, Trustee 65 Sea Street Extension Hyannis, MA 02601 RE Extension Granted/Public Sewer , K `; A 308'272 e :f 65 Sea Street Extension; Dear Mr. Snyder, At the December 20, 2016 meeting of the Board'of Health, you were granted a five year extension to connect your building located at 65 Sea Street Extension, Hyannis to public sewer. This extension is granted ,because there is no sewer stub available at your property line, according to the DPW. Extensions were previously granted in 1999 and in 2012 but have since After the five year extension period has ended, in December of 2021, and if this situation doesn't change, you may request another extension or variance in this regard at that time. The Board specifically-placed on record that this extension/variance shall be transferable to a new owner in the future. Sincerely yours, pa - aul 'ff, Chairman Board of Health Q:WP/Snyder 65 Sea Street Sewer Exentension 2016.docx f N { Mark Snyder • 65 Sea Street Extension Hyannis MA 02601 (508)274-1433 11/27/16 Town of Barnstable Board Of Health _ Attn: Dr. Paul Canniff, DMD Chairman of the Board of Health 200 Main Street - Hyannis,MA 02601 Dear Dr. Canniff, I am writing to you concerning an extension to connect the building located at 65 Sea Street Extension,,Hyannis,MA to the public sewer.The building is in the Donald Snyder Family Trust. My father, Donald Snyder,died on 01/04/2016. I have enclosed a copy of a letter from the Board of Health from 11/26/2012 concerning the five year extension to connect the building to the public sewer granted to my father.It states that another extension can be requested. I met with Mr.David Ariderson`recently concerning this situation. He explained to me that there is still no sewer stub at our property line,which is part of the reason why the five year extension was granted n 11/26/2012.My understanding from talking to him is that nothing has changed with this situation. i The reason I am contacting you now is that I have a person who wants to join my practice. He is only interested in doing so if he can buy into the practice and buy the building.The man he hired to do the building inspection immediately brought up the issue of the connection to the public sewer. He said he would be interested in buying the building,but only if we can get another five year extension that can be transferred ovento'him,should be buyahe building. Otherwise,he is going to withdraw his offer:' ,' I would appreciate your thoughts on this issue. I look forward,to hearing from you. Sincerely Mark Snyder. 9 Town of Barnstable BarnstaWe � Q r Board of Health KAM # 200 Main Street,Hyannis MA 02601 2007 �a6J9 *ti p IVIO� Office: 508-862-4644 Wayne Miller,M.D- FAX: 508-790-6304 Paul Cannily D.M.D Junichi Sawayanagi November 26,2012 Mr:-Donald Synder 119 Breakwater.Shores Drive Hyannis,MA 02601 RE Extension of Tune to Coect BIldin _to the Sewer A08 272 65 lea Street Extension, Dear Mr. Snyder, At the June 12� meeting of the Board of Health, you were granted a five year extension to connect your building located at 65 Sea Street Extension,Hyannis to public sewer. . t. This extension is granted `because there is no sewer stub available at your property line, according to the DPW. An extension was granted to you ill 1999 but it has since expired. After the five year extension period has ended, in June of 2017, and if this situation doesn't change,you may request another extension or variance in this regard at that time. Since ly yours, { Miller,M.D. fay airman Board of Health Q:\WPFILES\SnyderSewerExtension2012dnc - t I UNITED STATES POSTAL SERVICE First-Class Mail- Postage&Fees Paid P LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • j I I Pub�; �. t�e�� v r 5, M G Z.C,-.o r1111 IIt fill fill i11i,ii Hill fii 1M.1I 11'! 7it i31dil11 I " ISENDER '6EbVE' RY'; ■ Complete items 1,2,and 3.Also complete A. Si item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse o ❑Addressee so that we can return the card to you. B eived by(Printed Name) C. Date of Delivery I ■ Attach this card to the back of the mailpiece, or on the front if space permits. H deliv dfess different from item 1? ❑Yes 1. Article Addressed to: If YE ter delivery address below: ❑ No I �b Y1 Ci-� � �• Srl� ``' I MA 3. e 1 ) k Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise O Z�6 ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number --- -- ► ` (transfer from service label) 7006 0 810 0000 3524 562 1 PS Form 3811,February 20134 Domestic Return Receipt 102595-02-M-1549 1 U=S. Qastal ServiceTM E✓SERTIFIED MAaILTM RECEIPT (Dome s tieWillOnly;No.lnsurance Coverage Pr- ovidedj IFo�,delivery,information,visit Wur web`site aat www.usps.com® 6. _s PS_F orm 3800,June 2002 See_Reverse for,lnstructions Certified Mail Provides: (—eAeH)Zooz our loose buoy Sd • A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years &nportant Reminders: Q Certified Mail may ONLY be combined with First-Class Mails or Priority Mail®. • Certified Mail is not available for any class of international mail. n NO INSURANCE_ COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional,fee,a Retum Receipt ma 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 aq ped a return receipt,a USPS®postmark on your Certified Mail receipt is 13 For an,additional fee, delivery may be restricted to the addressee or addressee's authorized a ant.Advise the clerk or mark the mailpiece with the endorsement"Rest►icteelivery". ea If a postmark.on the Certified Mail receipt is desired,please present the arti- cle at the positioifice for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. tMPORTANT:Save this receipt and present it.when making an inquiry. taternet access to delivery information is not available on mail addressed to APOs and Ms. THE i°� Town of Barnstable Barnstable Regulatory Services Department , STAB g p P MASS 1639.. Public Health Division 200 Main Street,,Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Directory FAX: 508-790-6304 Thomas A.McKean,CHO„ 1 1/13/12 Donald P. Snyder ' 119 Breakwater Shores Dr. Hyannis, MA 02601 IMPORTANT NOTICE Re: 65-Sea St..Ext:_ annis, MA. 02601 Map & Parcel: 72 Dear Mr. Snyder: The Board of Health sent a letter 4/8/11, directing you to connect your building located at 65 Sea St. Ext., Hyannis;•MA,to public sewer, on or before Oct.15,2011. This deadline has passed. ` According to Dave Anderson, from DPW Engineering Division, your property's requirements for sewer connection are complex,because the sewer stub was not brought up to the property line. A variance was granted in 1999, but has since expired. In order to be in compliance and to avoid future fines, you need a new variance or to connect to town sewer. Please request a hearing before the Board of Health, by sending a written petition w requesting a hearing on this matter within seven(7) days'of,receipt of this letter. If you should have any questions, please call 508-862-4641. Sincerely, Karen Malkus Health,Division w TOWN OF BARNSTABLE CF TH f T�4 OFFICE OF ? 13AMSTAEL BOARD OF HEALTH y MAO& p °°ems i639: 367 MAIN STREET . HYANNIS, MASS. 02601 BOARD OF HEALTH VARIANCE DECISION On or about February 20, 1999 the Petitioner, Donald P. Snyder, received an order from the Board of Health to connect the premises located at 65 Sea Street Extension, Hyannis, MA to the public sewer. Due to excessive expenses, the Petitioner has applied for a variance to waive the requirement that his building be connected to the Town of Barnstbale sewer. Based upon the application for a variance and other information submitted, the Board of Health finds as follows: 1. The Petitioner, stated that the on-site sewage disposal system located on the subject premises is currently functioning properly. 2. The representative of Town Engineer, of the Town of Barnstable Department of Public Works, stated there is no "stub" available for connection int....... ---- collar installation would be required to connect this property to town sewer. 3. If the Petitioner is required to incur the costs attendant to connect to the Town of Barnstable sewer, he will be forced to withdraw funding from retirement funds. 4. Based on the representations by the Petitioner that his on-site sewage disposal system is functioning properly, the Board of Health .finds that the risk of environmental damage will be acceptable if the Board of Health temporarily waives the requirement that the subject premises be connected to the Town sewer, until such time as said premises are sold, transferred to an individual or entity other than the Petitioner, or until such time the existing septic system fails to function properly. WHEREFORE, the Board of Health, grants the Petitioner a variance, waiving the requirement for the aforementioned Petitioner that the subject premises located at 65 Sea Street Extension, Hyannis, MA be connected to the Town of Barnstable sewer, subject-to the following conditions: 1. This variance shall expire within five (5) years from the date of issuance. 2. Immediately upon theisale of the premises, the transfer of the premises to i an individual or entity other than the petitioner or the existing system fails r to function properly, this variance shall be rendered null and void and the . � s vardec I order that the premises be connected to the Town of Barnstable sewer shall be in full force and effect. 3. Nothing in this variance shall be construed as limiting the Board of Health's power to revoke this variance should it determine that the on-site sewage disposal system is malfunctioning. 4. The Petitioner shall record this variance at the Barnstable Registry of Deeds within thirty (30) days from the date of the issuance of said variance and shall provide the Board of Health a copy of the recorded variance. BARNSTABLE BOARD OF HEALTH an G. Rask, R.S. Chairperson Barnstable, ss; On this day of 1999, personally appeared the above-named, Susan G. Rask, Chairperson of the Town of Barnstable Board of Health, and acknowledged the foregoing instrument to be his free act and deed. Notary Public My Commission expires BARNSTABLE REGISTRY OF DEEDS vardec i UNITED STATE e� ? SL : . & QZ-•; ,.a, 1c�.ss�� a�� °'�� g' ,�t,Fgaid I • Sender. Please print your name, address, and ZIP+4 in this box • p I t Glen E.Harrington,L.5 9 Leda Rose Lane Marstons Mills,MA OPW 0 I I I r SENbER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY e Complete items 1,2,and 3.Also complete A. ignatu item 4 if Restricted Delivery is desired. ent e Print your name and address on the reverse X ❑Addressee so that we can return the card to you. ece' edVU Printed Na C. Da of elive I ® Attach this card to the back of the mailpiece, (,, or on the front if space permits. 1. Article Addressed to: D. Is del ry address diffe nt from item 1? 0 Yes If YES,enter delivery address below: 5&o a /r I 3 6 Z- / 3. S ice Typ Ceti,../_ e vi-` e, Z��� rt�ed Mail ❑Express Mail ❑ Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(EVm Fee) ❑Yes 2. Article Number (Transfer from service iabeq 7 010 2780 0 0 0 0 , 6 812 373.3 .a PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540: OF THE 1p� DATE: "-7 �— O FEE: * BARNSfABLE, yMASS. i63939• ,0� REC. BY4AVW. Town of Barnstable SCHED. DAT Board of Health 367 Main Street, Hyannis MA 02601 4 Office: 508-790-6265 u G.Rask,R.S. FAX: 508-790-6304 r Ka M.S-P.I9n9 !� R 1 Mu J VARIANCE REQUEST FORM LOCATION i Property Address: by 8 EA St v gDrr J4 ANNI3 k.4< Z Assessor's Map and Parcel Number: AMP 0 &ei 172 Size of Lot: Wetlands Within 300 Ft. Yes Subdivision Name: No Business Name: die N/�V SA IV Ok(g f),�S APPLICANT CONTACT PERSON Name:06 41 A L, A , SxLo9kie Name: Address: ja]�Q I f J k i A T r� ��So _ Address: y Phone: ► yAkIV 2 'y�l k 0�40) Phone: -7 7 S l—)-) FAX: FAX: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) ��eaa. �► 3�� G� ZQZ�Tll OF Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only],outside dining variance renewals(same owner/lessee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S., Chairman NOT APPROVED Sumner Kaufman, M.S.P.H. REASON FOR DISAPPROVAL Ralph A. 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There currently is no sewer available for the planned subdivision. This department is not planning to extend municipal sewer in that direction, any time soon. At one time Morin asked if the Town would consider extending sewer from the Bearses Way/ Pitchers Way intersection up to the proposed entrance to his development. But I explained that the project would be too expensive and since only twelve or fewer properties would benefit, I felt that the betterment assessments to the property owners would be unreasonably large. During that conversation, Morin mentioned that he might look into obtaining an easement from the Four Points hotel (the Cape Coddler) or from the Cobblestone II people. If he could arrange an easement, he could tie-in to the municipal sewer system through those neighboring properties. He never got back with any sort of plan, so I assume that the easements method was not workable. 2. The property at the corner of Sea St Ext and North Street called to verify the availability of a sewer connection stub for his property. There is NOT a stub available for this property. The property owner would need to dig up Sea Street Ext and put a tie-in collar on the sewer main. This department does allow that type of thing. The property owner needs to hire a contractor who is on the DPW- Eng Div list of ROAD OPENING contractors to do that part of the job and lay pipe from the sewer main to the property. Both callers asked me to pass this information on to you in preparation for hearing. DJA Page 1 First-Class Mail UNITED STATES POSTAL SERVICE Postage&Fees Paid USPS Permit No.G-10 C Print your name, address, and ZIP Code in this box G Board of Health Town of Barnstable P O. Box 534 Hyannis;Massachusetts 02601 W ti... .. tti:'vif U. .4.::'!-,!!i_!_i.�•. L-d !!L{=_{.-I I d SENDER: I also wish to receive the ;t7 ■Complete items 1 and/or 2 for additional services. m ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Atttac permit. this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address `y ■Wdte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N -C ■The Return Receipt will show to whom the article was delivered and the date .. C delivered. Consult postmaster for fee. ° 0 v 3.Article Addressed to: 4a.Article N�mber OV Re.3 CL E 4b.Service Type «' / ❑ Registered Certified Ir rn Ch W / ❑ Express Mail ❑ Wsured .0 � No J ❑ Retum Receipt for Merch ndise r] COD ` o 7.Date of liiv w Z �I Qa60i !Z. f T 5 5.Received :(Print Name) 8.Addre ee's Address ress Onl if requested LU and fee is paid) r g 6.Signa e: ( ressee or Agent) / ~ X — PS Form 3811, Decembef 1994 102595-97-B-0179 Domestic Return Receipt 1� Z 203 498 808 US Postal Service Receipt for Certified Mail' No Insurance Coverage Provided. Do not use for International Mail See reverse)-- Sent to� Street&,fNuu(mT/r Post. 'ce,State,&Z!P Cod �do1.6 O� Postag $ 33 Certified Fee v� S Special Delivery Fee Restricted Delivery Fee L rn Return Receipt Showing to Whom&Date Delivered n Retum Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees Is V) Postmark or Date a I - - Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service o I window or hand it to your rural carrier(no extra charge). I 2. If you do not want this receipt postmarked,stick the gummed stut to the right of the Z return address of the article,date,detach,and retain the receipt,and mail the article. 1 LO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. " M I 5. Enter fees for the services requested in the appropriate spaces on the front of this E I receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. Lo`L 6. Save this receipt and present it if you make an inquiry. 102595-97-a-0145 d p�oFixEra�f TOWN OF BARNSTABLE , OFFICE OF • BAMST • f _ MMS BOARD OF HEALTH .� 0 °°ems i639. `gym 367 MAIN STREET 'EO MpY k' HYANNIS, MASS.02601 FINAL ORDER February 18, 1999 Donald Snyder 119 Breakwater Shores Drive Hyannis, MA 02601 Re: Map 308, Parcel 272 ORDER TO CONNECT TO TOWN SEWER Dear Snyder: You are directed to connect your dwelling located at 65 Sea Street, Hyannis, Ma., to public sewer on or before August 18, 1999. The Superintendent of the Department of Public Works has notified us that your property abuts Town sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. However, the DPW notified the Health Department on February 18, 1999 that your dwelling has not been connected to town sewer to date. Acting under the authority of Chapter 83-11, of the General Laws of Massachusetts, and Regulation 15.02, of 310 CMR State Environmental Code, you are hereby directed to connect to the town sewer system by August 18, 1999. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4649. PER ORDER OF TH BOARD OF HEALTH 1 T s . Mc can -41 Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask,R.S., Chairman Ralph A. Murphy, M.D. Sumner Kaufman, MSPH TM/bcs copy: Peter Doyle Return receipt requested f Barnstable �ME'° Town of Barnstable ti " s"n" �. Department of Public Works �erlcac Y ' F%6 P. 382 Falmouth Road ,.Hyannis MA 02601 http://www.town.bamstable.ma.us 2007 Mark S. Ells,Director Office : 508-790-6400 Fax: 508-790-6406 June 9 , 2011 Mr Donald P Snyder 119 Breakwater Shore Drive Hyannis , Mass -02601 Subject : Availability of Municipal Sewer for 65 Sea Street Extension ; Map:& Parcel 308 - 272 Mr Snyder ; After some research through municipal records, this office has determined that municipal sewer is available for the commercial property at 65 Sea Street Extension. During the installation of-the sewer main a wye was installed along the sewer main for the future use of the commercial property. The wye should be in the middle of the road, at a depth of approximately 10 feet. To tie-in to municipal sewer, the property owner will need to excavate the road, down to the wye, install a 6" sewer stub up to the property line, install a sampling manhole at the property line, and install 6" pipe up to the building. To properly accomplish this, the property owner should contract with a local engineering consultant to inspect the situation-and design the sewer tie-in. The property owner will then need to, hire a local sewer contractor to complete the designed sewer work. The contractor will need to file a Sewer Connection Permit, and a connection fee, with this office. As part of the permit submittal, a copy of the consultants' design will need to be included, for review and approval by this office. The design can be submitted for review before a contractor is hired and performs the work. As part of the contractors' work,`a .Septic Disconnection Permit will need to be obtained from the Town Health Division, and the existing cesspool or septic tank will need to be destroyed. The Health Division will inspect and sign-off on the septic disconnection. If you have any questions, or need to discuss this in more detail, please, contact this office. Sincerely ; David J Anderson . Construction Projects Inspector Town of Barnstable DPW i I UNITED STATES POSTAL SERVICE ifs-Clash Mail Postage&Fees Paid USPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box • I I Town of Barnstable Health Division 200 Main Street I Hyannis,NIA 02601 I r j I,tt�l�l �it �l tltljjltill�$gjtiat,t,�ti���it!!�}1 L,tplalg'i 1 }�l13.1}il+liii }� f13�fFfrF t}fit SENDER: COMPLETE THIS SECTION ON DELIVERYQMFtt-,--E THIS SECTION.J ■ Complete items 1,2,and 3.Also complete A. SI nature I M item 4 if Restricted Delivery is.desired. X , ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. — B. Received by(Printed Na We) C. Date of Delivery I ■ Attach this card to the back of the mailpiece, I 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 N tt 1� 3. Service Type 1 a n n i S i lM 2 rtifled Mail ❑Express Mail p 1 ❑Registered ❑Return Receipt for Merchandise O Z(pb ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 700� �81� �000 3525 5453 �~ (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 Ln Ul ru 0 I L .. S ..:..:- u'I m Postage $ �N Certified Fee Is C3 Ret n Receipt Fee Postma O (Endorsement Required) 4 eey�kere Q O RestrictedDeliverffee tl LVt r- l (Endorsement Requ"dj CO l:3 TOW Postage&Fees $ [ p s Q Sent To 11 O DO1'>CA - f`- Street Apt No II or PO Box No. lJ �t�4�LU Sho��S Dry ... 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For valuables,please consider Insured or Registered Mail. 17 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 USPSe 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". a 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. Internet access to delivery information is not available on mail addressed to APOs and FPOs. �pp Tp� Town of Barnstable Barnstable T HE ti Regulatory Services Department e;caC RY RA RN. ABLE. MASS. 39 i6�q. Public Health Division ' Op `� Arfb MA�A' 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO 4/8/2011 Donald P. Snyder 119 Breakwater Shores Dr. Hyannis,MA IMPORTANT NOTICE Re: 65 Sea St. Ext._Hyannis, MA. 02601 Map & Parcel: 308-272 Dear Mr. Snyder: According to our records, your property at 65 Sea St. Ext., Hyannis, MA has a septic system and is not connected to the public sewer system. Public sewer lines have f f been available in your neighborhood since 1999. A variance was granted in 1999, but has since expired, per the variance's five year extension. This letter directs you to connect.. your building located at 65'Sea St.Ext.,Hyannis, MA,.to public sewer on or before, Oct.15, 2011. Sewer connection permits are available from DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis NIA 02601 (508) 790-6335. You may request a hearing before theBoard of Health. If you would like a hearing please send a written petition 'requesting a hearing on this matter within seven (7) days of receipt of this letter. If you should have any questions, please call 508-862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health oo Town of Barnstable Bad AMMINUF Board of Health 0 aARNST"M =MASS. * 200 Main Street, Hyannis MA 02601 2007 ptfD��a Office: 508-8624644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi November 26, 2012 Mr. Donald Synder 119 Breakwater Shores Drive Hyannis, MA 02601 RE }Extensfon:of Time to Connect Building tojPubhcSewer A 308 272 65 Sea Street Dear Mr. Snyder, At the June 12th meeting of the Board of Health, you were granted a five year extension to connect your building located at 65 Sea Street Extension, Hyannis to public sewer. This extension is granted because there is no 'sewer stub available at your property line, according to the DPW. An extension was granted to you in 1999 but it has since expired. After the five year extension period has ended, in June of 2017, and if this situation doesn't change, you may request another extension or variance in this regard at that time. Since ly yours, Way e Miller, M.D. Chairman J Board of Health Q:\WPFILES\SnyderSewerExtension2Ol2.doc .. -. s 2?5 G!S P Fes'0 2:..F H a�E_6 0 QyoFTeETo�f TOWN OFBARNSTABLE . b'r OFFICE OF t . BeaasTesz 0 B0 R A D F HEALTH yam° i639'PY 1, $67 MAIN,STREET. k HYANNIS,,MASS.02601 BOARD OF HEALTH VARIANCE`DECISION - On or about February 20, 1999 the Petitioner, Donald P. Snyder, received an order from the Board of Health to connect the premises located at 65 Sea Street Extension, Hyannis, MA to the public sewer. ;Due to excessive expenses, the Petitioner has applied for a variance to waive the requirement that his building be connected to the Town of Barnstbale sewer. Based upon the application for a variance and-other information submitted, the Board of"Health finds as follows: 1. The Petitioner, stated that the on-site sewage disposal system located on the subject premises is currently functioning properly: 2. The representative of Town Engineer, of Town of Barnstable ..... _ _._ ...__..__.,� Department of Public Works, stated there Is no stub" for -- --- ----- __.._. connection into the sewer line at this roe Extensive excavation and ......... ......_._. - --- property. ....: . collar installation would be required__to connect this property to town sewer. _ 3. If the Petitioner is required to incur the costs attendant to connect to the Town of Barnstable sewer, he',will be forced to withdraw funding from retirement funds. 4. Based on the representations by the Petitioner-that his on-site sewage disposal system`is functioning'properly; the Board of Health finds that the risk of environmental damage will be acceptable if..the Board of Health temporarily waives the..requirement that the subject premises be connected to the Town sewer, until such time as said premises are sold, transferred to an individual,or entity other than the Petitioner, or until such- ....._..._.. . time the existing septic system fails to function properly WHEREFORE, the.Board of,Health, grants the Petitioner a variance, waiving the requirement for the aforementioned Petitioner that the subject premises located at 65 Sea Street Extension, .Hyannis, MA be connected to the Town of Barnstable sewer, subject to the following conditions: 1. This variance shall expire within five.(5) years from,the date of issuance. . 2. Immediately upon the sale of.the premises-, the transfer, of;the premises to, an individual or entity other than the petitioner or the existing system fails to function properly, this variance shall be rendered null}and void.and the vardec order that the premises be connected to the Town of Barnstable sewer shall be in full force and effect. 3. Nothing in this variance shall"`be'r construed as limiting the Board of Health's power to revoke this variance should,it determine that the on-site, sewage disposal system is malfunctioning. 4: The Petitioner shall record this variance at the Barnstable Registry of Deeds within thirty (30) days from the date of the issuance of said variance and shall provide the Board of Heaith'a copy of the recorded variance. BARNSTABLE BOARD OF°HEALTH an G. Rask, R.S: ° Chairperson Barnstable, ss: On this day of 1999, personally appeared the above-named, Susan G: Rask, Chairperson of the Town of Barnstable Board of Health, and acknowledged.the foregoing instrument to be his free act and deed. Notary Public My Commission:expires, 4 s. a ... . .. ..• �-.. 8ARNSTASLE REGISTRY OF.--DEEDS - vardec { f r 1 r � THE t `' P_ _ DATE: ' °�' W%�l Y-ct/lif--�-�FEE x RAMSTABLE, y MASS. 1639 REC. BY4 ArED MA'S a�0 Town .of Barnstable �Y 1 SCHED DAT Boar&of"Health 367 MVI Street,Hyannis MA"02601 µ 400 AW 0 ce: 508- 6265 u G.Rask,R.S. tS FAX: 508-790-6304 r Ka M.S-P.I 9'99 VARIANCE REQUEST FORM g - LOCATION Property Address: n�� �i� ST• 1 :. 14 yAl✓N)3 Assessor's Map and Parcel Number:4dF 30Z met 1?2 Size of Lot: Wetlands Within 300 Ft. Yes Subdivision Name: No t _ Business Name: 06!v/�h P.. S AfU OW APPLICANT CONTACT PERSON Name: Name T Address:. q 9— 9"g i t)A T�fj 9� U Address: Phone: y,eN�i 'Phone:: FAX: FAX: VARIANCE FROM REGULATION(List 16g) REASON FOR VARIANCE(May attach if more space needed) Checklist(to be completed by bffce staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V,and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request,application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(same owner/leasee only],outside _•y dining variance renewals[same ownerfleasee only],and variances to repair failed sewage disposal systems(only if no expansion to the building proposed]) - {, Variance request submitted at least 15 days prior to meeting date ;VARIANCE APPROVED Susan G. Rask,R.S., Chairman NOTAPPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL. Ralph A.Murphy, M.D. 4 /WP/VARIREQ. . a E x :� Zvi&zt of If ✓l/L � ���« E Y/ F � r ` y cy E '• Barnstable 4_ �t Town ofi Barnstable ¢ A&MmftCf Regulatory Services'Department-- MUM + _ MASS Public Health Division 200 Main Street Y .H anrus MA';Q2601` 2007 Office: 508-862-4644 IN, Thomas F.Geiler,Director FAX: 508-Z90=6304 - Thomas A.McKean,CHO 1/13/12 : Snyder r 119 Breakwater Shores Dr K Hyannis MA 02601 IMPORTANT NOTICE µ;'' ` Re. 65 Sea St`: EAL Hlyannis;MA. 02601 Map.& Parcel: 72 : Dear Mr. Snyder: The Board of Health sent a letter 4/8/11, direct" you to connect.your building located y p , at 65 Sea St. Ext.` H anM1n><s MA to ublrc'sewer on or;before Oct 15,2011. This Y � P,,� P deadline has passed j)� � s r According`to Dave Anderson;from DPW Engineering Division,,your property's requirements for'sewer connection are'complex,because:the sewer stub was not brought v` up to the'property lme.' A variance was. d rri•19991 but has-since expired. 'I grante n order to be incompliance and to avoid future fines, you'need a new Varian cd or to connect to town sewer. a Please request a hearing before the Board of Health, by sending a written petition requesting a hearing on thrs matter wrthm seven(7) days,of receipt of this letter. If you should have,'any questions, please call-508-862 4641. 'Sincerely � ^ Karen Malkus Health Division >u Ao j m ,.. - T ` Barnstable f-BarnA hk De artment'of Public Works aw�merlcacmr P 382 Falmautl--Road, Hyannis IVIA 02601 http://www.town ba m8table:ma us = Mark S.Ells;Director Office : 508-790-6400 Fax : 508-790-6406 June 9 , 2011 Mr Donald P Snyder 119 - Breakwater5hore Drive 3 Hyannis , Mass 026`01 Subject . Availability of Municipal Sewer for 65 Sea.Street Extension ;, Map: & Parcel - 308 272 Mr Snyder r After some research through municipal records, this office has determined that municipal sewer is available for the commercial property at 65 Sea Street Extension. During the installation of the sewer.main a,wye was installed along the sewer main for the future' use of the commercial property. The Wye should be in then iddle of the,road, at'a depth of,,.approxin .ptely l0«feet. To tie-in to ,municipal' sewer, thef pro perty,owner.will need to excavate the road, down to the.wye, install a.6" sewer stub up to the property line, install .a sampling manhole at the.property, line, and install 6" pipe up to the building. To properly accomplish this, the property ovine 'should contract with a local engineering consultant t6inspect the situation and design the sewer tie-in. The property owner will then need to hire a local se vercontractor to'compl.ete the designed sewer .work. k . The contractor will need to file a Sewer Connection Permit, and a connection fee; with this office. As part of the permit submittal,, a.copy of the consultants' design Willneed to be included, for review. and approval by this office. The design can be - submitted for review before a contractor'is hired and performs the work.. As,paft of the contractors'Iwork,,a-"Se`ptic Disconnection Permit will need to be obtained`from the Town .Health Division, and the existing cesspool'or septic tank Will need to be destroyed. The Health Division will inspect and sign-off the septic disconnection. If you have any questions, or need to�discuss this in more detail, please, contact this office. Sincerely <_ David I Anderson_ Construction Projects Inspector Town of.Barnstable DPW r "� 4x Barnstable 'own ofanstable Y All , Regulatory Services Department A""'el'cac" , "TyVSTABLE ' - - - - NAss �m Public Health Division c� xt639• � ._ m 200 Main Street, Hyannis ILIA 0260.1 2007 LOffce: 508-862-4644 Thomas F.Geiler,Director t � 1 FAX . 508-790=6304 Thomas A.McKean,CHO 4//8\/2011 'Donald PSnyder 119 Breakwater Shores Dr. Hyannis,_MA IMPORTANT NOTICE Re: 65 Sea St.Ext.-Hyannis, MA. 02601 Map & Parcel: 308-272 Dear Mr. Snyder: According to our records, your property at 65 Sea St. Ext., Hyannis, MA has a septic system and is not connected to the'public sewer system. Public sewer lines have been available in your neighborhood since 1999. A variance was granted in 1999, but has since expired, per the variance's five year extension. This letter directs you to connect. Hyannis, MA, to public sewer on or before your building located at 65 Sea St. Ext.; Oct.15, 2011. Sewer connection permits dre.available from DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis MA 02601 (508) 7.90.76335. You may request a hearing before the Board of Health. If you would like a hearing please send a written petition requesting a hearing on this matter.within seven(7) days of receipt of this letter. . If you should have any questions, please call 508-862-4644. PER ORDER OF THE BOARD.OF HEALTH 4^ 7 ��--- Thomas A. McKean, R.S.; C.H.O. Agent of the Board of Health sum TOWN OF BARNSTABLE OFFICE OF ��. BOARD OF HEALTH 367 MAIN STREET HYANNIS, MASS.02601 BOARD OF HEALTH VARIANCE DECISION On or about February 20, 1999 the Petitioner, Donald P. Snyder,order from the Board of Health to connect the - Extension, H yder, received an Hyannis, MA to the premises located at 65 Sea Street Petitioner has applied for a variance Public is sewer. Due to excessive expense connected waive s to the , the the Town of Barnstbale sewer, e requirement that his building be Based upon the variance and other information submitted, the Boar application d of Health finds as followsor a 1 The Petitioner, stated that the on-site sewage the subject premises is currently functioning properly. 2. The representative of Town Engineer, of the Town Department of Public Works, stated there is of Barnstable connection into fhe sewer line at thisproperty.nO stub" available for e required to connect Extensive excavation and collar installation would be ct this property to town 3. If the,Petitioner is required to inc Town of Barnstable sewer, he will be forced to withdraw incur the costs attendant to connect to the retirement funds. funding from 4. Based on the representations b y the, Petitioner that his on-site sewage disposal system is functionin g properly, the Board of Health finds that the risk of environmental damage will be acceptable if the temporarily waives the requirement that the s Board b Health connected to the Town sewer, until such time a subject premises be transferred to an individual or entity other than the s said premises are sold, time the existing..septic system fails to function e Petitioner; or until such WHEREFORE, the Board of3Health, ran properly.. requirement for the aforementioned Petitioner 9 is the Petitioner a variance waiving the at 65 Sea Street Extension that the subject premises located Barnstable sewer,.subject to the foil"Owing conditions- n of 1 This variance shall expire within fiv e (5) years fro the date of issuance. 2: Immediate) u ;;.� •. y upon the sale of the premises, the transfer Zc�o� an individual.or entity other than the petitioner or t of the premises,to to function properly this variance shall be rendered existing system ystem fails dered null and void and the vardec � � F 141 =_ order that the premises be connected to the Town of Barnstable sewer shall be in full force and effect. 3. Nothing in this variance shall be construed as limiting the Board of ` Health's power to revoke this variance should it,determine that the on-site sewage disposal system is.malfunctioning. - 4. The Petitioner shall record this variance at the Barnstable Registry of Deeds within thirty (30) days from the date of the issuance of said variance and shall provide the Board of Health a copy of the recorded variance. BARNSTABLE BOARD OF HEALTH <' an G. Rask, R.S. i Chairperson Barnstable, ss: On this day of 1999, personally appeared the above-named, Susan G. Rask, Chairperson of the Town of Barnstable Board of Health, and acknowledged the foregoing instrument to be his free act and deed. Notary Public My Commission expires vardec y n_ s VW �QO TOWN OF BARNSTABLE f` .CL ` OFFICE OF ' BAA;,T BOARD OF HEALTH moo i639. \gym 367 MAIN STREET HYANNIS, MASS.02601 August 26, 1999 Dr. Donald Snyder 119 Breakwater Shores Drive Hyannis, MA 02601 Dear Dr. Snyder: Attached is the Board of Health Variance Decision granted to you on August 24, 1999. Pl ease register this variance decision at the.Barnstable Registry of Deeds before September 24, 1999 and provide the Board of Health a copy of the recorded variance. Thank you. Sincerely yours, Thomas A. McKean Health Agent Town of Barnstable\ TM/bcs Synder oFTHE jo TOWN OF BARNSTABLE ep OFFICE OF 3AHI9TAM : BOARD OF HEALTH NAB& C0 'b-3°' 367 MAIN STREET EO MAY b' HYANNIS, MASS. 02601 August 26, 1999 Dr. Donald Snyder 119 Breakwater Shores Drive Hyannis, MA 02601 Dear Dr. Snyder: Attached is the Board of Health Variance Decision granted to you on August 24, 1999. Please register this variance decision at the Barnstable Registry of Deeds before September 24, 1999 and provide the Board of Health a copy of the recorded variance. Thank you. Sincerely yours, Thomas A. McKean. Health Agent Town of Barnstable\ TM/bcs 1 synder TOWN OF BARNSTABLE OFFICE OF 9AUSTLML : BOARD OF HEALTH NAB& p 039. \gym 367 MAIN STREET 'f 0 MAIFY " HYANNIS, MASS. 02601 BOARD OF HEALTH VARIANCE DECISION On or about February 20, 1999 the Petitioner, Donald P. Snyder, received an order from the Board of Health to connect the premises located at 65 Sea Street Extension, Hyannis, MA to the public sewer. Due to excessive expenses, the Petitioner has applied for a variance to waive the requirement that his building be connected to the Town of Barnstbale sewer. Based upon the application for a variance and other information submitted, the Board of Health finds as follows: 1. The Petitioner, stated that the on-site sewage disposal system located on the subject premises is currently functioning properly. 2. The representative of Town Engineer, of the Town of Barnstable Department of Public Works, stated there is no "stub" available for connection into the sewer line at this property. Extensive excavation and collar installation would be required to connect this property to town sewer. 3. If the Petitioner is required to incur the costs attendant to connect to the Town of Barnstable sewer, he will be forced to withdraw funding from retirement funds. 4. Based on the representations by the Petitioner that his on-site sewage disposal system is functioning properly, the Board of Health finds that the risk of environmental damage will be acceptable if the Board of Health temporarily waives the requirement that the subject premises be connected to the Town sewer, until such time as said premises are sold, transferred to an individual or entity other than the Petitioner, or until such time the existing septic system fails to function properly. WHEREFORE, the Board of Health, grants the Petitioner a variance, waiving the requirement for the aforementioned Petitioner that the subject premises located at 65 Sea Street Extension, Hyannis, MA be connected to the Town of Barnstable sewer, subject to the following conditions: 1. This variance shall expire within five (5) years from the date of issuance. 2. Immediately upon the sale of the premises, the transfer of the premises to an individual or entity other than the petitioner or the existing system fails to function properly, this variance shall be rendered null and void and the vardec order that the premises be connected to the Town of Barnstable sewer shall be in full force and effect. 3. Nothing in this variance shall be construed as limiting the Board of Health's power to revoke this variance should it determine that the on-site sewage disposal system is malfunctioning. 4. The Petitioner shall record this variance at the Barnstable Registry of Deeds within thirty (30) days from the date of the issuance of said variance and shall provide the Board of Health a copy of the recorded variance. BARNSTABLE BOARD OF HEALTH �T� an G. Rask, R.S. Chairperson Barnstable, ss: On this day of 1999, personally appeared the above-named, Susan G. Rask, Chairperson of the Town of Barnstable Board of Health, and acknowledged the foregoing instrument to be his free act and deed. Notary Public My Commission expires vardec