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HomeMy WebLinkAbout0032 SEABROOK ROAD - Health 32 'Hyannis SEA A = 307 — 020 i a l - No. O C Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplitation for Misposal *pBtrm �ConstCULtion 1hrmit(JQ Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components Location Address or Lot No.3 a, 5CA18F2.coV_ t—D i4Y Owner's Name,Address,and Tel.No. ( ALXS 4�r_T s V,,. /e_A?54&i(,r r1GS Assessor's Map/Parcel 3 Z)AO $ 5 M&+ L?OJ -Ab fokNA- t� Installer's Name,Address,and Tej.140. 509-417-B€-1.7 Designer's Name,Address,and Tel.No. M W ­1=24tlAq 75EI MM,6AFeE� CQ Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement:`, The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date —17 Z) Application Approved by Date Application Disapproved by Date for the following reasons Permit No. — Date Issued lD No. < J / tiC1' Fee C THE COMMONWEALTH OE MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppYication for 13isposal-b-pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon;k ❑Complete System ❑Individual Components Location Address or Lot No 3 a SC-Aeiz oo4 f_bD +W Owner's Name Address,and Tel.No. (�,W use r Z� - /C� 14tuTtE$ Assessor's Map/Parcel 3 D.-to DowydkN J1s Installer's Name,Address,and Tel.1,4o. 502-477-85'I7 Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type.of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) AUODcxJ SAC. S�S w Date last inspected: f� Agreement: l The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 7 a Application Approved by Date Application Disapproved by Date for the following reasons Permit No. f / Date Issued lG a- THE COMMONWEALTH OF MASSACHUSETTS ,M BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned <)byC4peQ)1bmE07vsQPW « at 3 a S o��� mA-p 14 MWJI!� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No��13 �J3 dated Installer 040FI ADG �K�� Designer #bedrooms Approved design gpd The issuance of this rm' shall of b� nstrued as a guarantee that the system will ijn designed Date Inspector ------------ --/--- --- ----. .-_-- -- --- _ _ - -- ------- ----------- ------ - - ----------------- No. r ( � � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Bisposal *pstrm Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(x) System located at 3� S EABRpn K oAi) i"(S and as described in the above Application for Disposal System Construction Permit. The applicant recognized hislher duty to comply with a r Title 5 and the following local provisions or special conditions. Provided:Construction must be c m leted within three years of the date of this pe it. Date !n �� Approved by UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Sewer Connect " Public Health Division 0 Town of Barnstable } 200 Main Street Hyannis,MA 02601 I M Ile Complete items 1,2,and 3.Also complete A. yature item 4 if Restricted Delivery is desired. ❑Agent E Print your name and address on the reverse X ��� Y'~ ❑Addressee i so that we can return the card to you. 04ecelved by(Printed Name) C. Datetof Dgilvery M Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No I " NAUSET, INC % CAPEABILITIES INC I 895 MARY DUNN RD HYANNIS, MA 02601 3. Se�' Type [ Certified Mail ❑�q press Mail I ❑ ff Registered Aeturn R or Merch i ❑Insured Mail ❑C.O.D. 3 4. Restricted Delivery?(Extra Fee) es 2. Article Number 7012 1010 0000 2848 0967 I (Transfer from service fabeg !, PS Form 3811,February 2004 Domestic Return Receipt. 102595-02-M-1540 w Er o OFFICIALCIO � S�. ro Postag $ r1J O Certified FeW C3 Return Receipt Fe ®� ¢Postmark O (Endorsement Requir �p �Here M N Restricted Delivery Fee O C3 (Endorsement Requlred) rR 0 Total Postage&Fees s ( h ,v (;NAUSET, INC ` a %`CAPEABILITIES INC r 895'MARY DUNN RD HYANNIS, MA 02601 Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail& o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 ve Town of Barnstable Barnstable rprftld Regulatory Services Department J.F e =watvsrAet.E. I Public Health Division 200-Main-Street,, Hyannis-M-A-02601 2007 -- Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-1010-0000-2848 -0967 March 28, 2013 NAUSET, INC% CAPEABILITIES INC 895 MARY DUNN RD IMPORTANT NOTICE HYANNIS, MA 02601 Map & Parcel: 307- 020 The Department of Public Works informed us that public sewer lines are now available in your neighborhood. According to our records, your property has a septic system. This letter directs you to connect your dwelling, at 32 Seabrook Road, Hyannis,MA, to public sewer on or before 3/30/2015. The old septic system must be either removed or filled in due to future safety concerns. This may be done by the same contractor who connects you to the sewer. Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street, Hyannis. Failure to comply with this Board of Health Order may result in a complaint against you, in a court of law. For additional information pertaining to the sewer connection, please see the reverse side of this page. PER ORDE4OFTHE OARD OF HEALTH omas A. MC.H.O. Agent of the Board of Health Cc: Barbara Childs, WPC/Roger Parsons,Town Engineering, DPW Enc. QASEWER connect\Letters Stewart Creek Sewer Connects\MAILING L.etA Sewer 2Pgs Merged 3-28-13 Yr2015.doc Public Health Division March 28, 2013 ADDITIONAL INFORMATION AND REMINDERS FROM OTHER DIVISIONS: SAVINGS AVAILABLE/GRINDER PUMP: A reminder to those of you who need a grinder pump for your connection: Department of Public Works (DPW) sent you a letter in December 2012 stating the town, for a limited time of two years, only from the receipt of the DPW letter, would provide you with the pump at no charge. (This can save you thousands of dollars.) Please note: You must pay the installation cost through your own contractor. Please make your contractor aware of this, if interested. Also be aware: this is a shorter deadline than the Public Health Division's deadline on the reverse side of this page. SAVINGS AVAILABLE/PERMIT FEE: The Town offers a waiver of the residential sewer connection fee of $420.00 for those properties that connect within two years of the receipt of the DPW December 2012 letter. LOANS: For loan(s) available, please see the enclosed brochure, or see the town website: http://www.town.barnstable.ma.Lis/cdb!� (under the "CDBG Programs", see "Sewer Connection Loan Program). For loan specific questions, you may contact Kathleen Girouard, Growth Management, at 508-862-4702. CONTRACTORS: Information on Licensed Sewer Installers is available on our web site at www.town.Barnstable.ma.us/PLibllCWorksTech/sewerinstalIei-s. Contractors, approved to perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis—contractors, please call Dave Anderson at (508) 790-6244. FOR ANY QUESTIONS /ASSISTANCE: Len Gobeil at the Town Manager's Office is available to provide you with direction you may need in reference to the Stewart Creek Sewer Connections. You may contact him at 508-862-4701. QASEWER connect\Letters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc e IN C p J_1 a40 N 9� Al c cN� FEB THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Appliratiou for Uispofi al Works Tomitrurtiou Prrutit Application is hereby made for a Permit to Construct ( ) CRep�air ( ) an Individual Sewage Disposal System at: , -------------------------- ----•------.----------------•-------•------------------------------------•--•---------------••--- - Location-Add ss 2.v - or Lot No.0. �........... -••...................... .....'--........---"-'----....................--... Ownpp++�� ^.....Address ..._.... e_!"SS.?. `p4 !...... x2!�flo!�._...._. -•.....•--"•"-•................................. Installer Address Q Type of Building Size Lot............................Sq. feet U Dwellingl�No. of Bedrooms.......,3 .............Expansion Attic ( ) Garbage Grinder ( ) �-+ Other—T e of Building No. of persons............................ Showers W Other—Type g --------•----•-•--••-------- P ( )--- Cafeteria ( ) dOther fixtures -------•---- ------------------•----------------•-----•--•-•••-•-•---•---•••••••.......--•-------••......•-•--•---- W Design Flow............................................gallons per person per day. Total daily flow----........................................gallons. WSeptic Tank—Liquid'capacity............gallons Length................ Width................. Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..........:.......... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-•-•----•••--•-----•••-•••-•-••---••---------••-------------•'••-......•. Date........................................ Test Pit No. 1................lninutes per inch Depth of Test Pit.................... Depth to ground water......................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---••---'---•••••---••--••---•----•'---••'-•----....•-••••--••--•••'-•---------------•------•----•--.........................................•----------... 0 Description of Soil........................................................................................................................................................................... U .....--•-------------•--....-------•'-••'----•---------••--•-•-•-----•----••---•••...•----------•-•--...-•------------•••-••-•-•---------'•••-•---•------••••-••----•-•--'•-•-----._...........•---•-.... M --------------------------------------------------------------------------------------------•------•----- ----- ------------------------------------------- p ---------- ------- ......._...3„� U Nature of Repairs or A rat' ns—A swer when applicable____ Q�fl a4}P__.._ ��IIla�4__.. '� Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITILE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be iss d b th rd of health. Signe � ......-•--...-•••-••-•-•- 7 �� Application Approved By-•••---•• . ------• ' -••...............•------' ... S�.S.._... Ddte - Application Disapproved for the Vlowing reasons-......................................----------------------•------------------•-----------••-•-•-•......-'"-' ..............................................-----------•------•-----------------•'----------•-'------•--•'••••••-•-•••••-•-••----•----•--•---•••......--•---•--•----• ............................... Date Permit No.---------? ._ —---------- Issued--'----. I �� -..- ......--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH App rFatin�t for: Disposal Works Tonstrnr#inn rrmit Application is hereby made for a.Permit to Construct ( ) rrR air ) an Individual Sewage Disposal System at. "'°,^ . - - .................. : ................................ ................................................ Location Add ss or Lot No. ---------- ............................................... �y a - aOwn y Address ?........... `---C . Installer Address Type of Building Size Lot.................... .....Sq. feet DwellingNo. of Bedrooms........ "..............................Expansion Attic ( ) Garbage Grinder ( ) A Other—Type T e of Building ............... No. of.persons Showers a4 YP g --------•---- P ( ) — Cafeteria ( ) Otherfixtures d xtures :................... W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic,Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ xDisposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------_______________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (' ) Dosing.tank ( ) ~' Percolation Test Results Performed by............................................................................ Date------------........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P�q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------- ............................................................................................................... 0 Description of Soil..................... ._.............------------•-••-----------.....----------------------------------------•-------•-------------------•-•••-•••-.._._....••... x U ••••••••••••••--•--••••---••••-•-•••-••••-....•--••••--••-••••----•....-•---•--••••••----•••--•••-•••••--•••••----•-••••-•-••......-•••--•-•••-...•--••-••--•-•••••••-••••......-•--•--•••---•-•--••---- U Nature of Repairs or A rat ns—A swer when applicablJ __ , Agreement: jg The undersigned 'agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the.provisions of TITLIJ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued b th ,o rd of health. �y Signe .:y _.. A....: "-'-�a.m3l._=............... �+ +! ..................... .. i APPlication Approved By.. • ••• --•- . _ ......••. e� De Application Disapproved for the lowing reasons--------------------------------------------------------•-......------------......--------------••-•••..___---- ••-•--...7..•.--•------------------------ --------•--------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................O F..................................................................................... Trtifiratr of Tompliaanrr THIS IS TO CE TIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Installer at------------------Z -4-......--- " " ••.... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Co as e'cribed in the application for Disposal Works Construction.Permit No.__:�_."5.'_' .S_..?........_..__. dated_..._s" ...`a___ - .................... THE ISSUANCE OF THIS CERTIFICATE SHALL,NOT BE CONSTRU ® AS A G AR TEE THAT THE 'SYSTEM WILL FUNCTION SATISFACTORY. DATE.....--••--_._•-••- -. ...._•---••-_____..... Inspector..-•-•--•...... --------------------------- THE COMMONWEALTH OF MASSACHUSETTS asp. BOARD OF HEALTH ,qs ..........................................OF.................._..._..........----------.....----._....._.................•---.... ` �``' No... •••-•-... FEE.... ........ ........ . .�, Disposal Work T ntrnrtion Virrutit Permission is hereby granted ►........ . .... : . ` h. t.l- ----------------------•-•-•-------•-••--------.................... to Construct ( ) or Repair ( ) an I dividual Sewage Disposal System atNo.----•-----S--Z----------- ° -D_.. . -----�4.............................................................................................................. Stree as shown on the application.,for Disposal Works Construction Permit tNo. ."�.5h Dated.....5 ............................................... ------ - = Boar of ea , DATE.......5 1_715.............................................. FORM 1255 A. M. SULKIN, INC., BOSTON -