HomeMy WebLinkAbout0022 SMITH STREET - Health 22 Smith Street
Hyannis
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TOWN OF BARNSTABLE E�
LOCATION 1Z22 -TAI 1� Vr2*6�- SEWAGE # ;Zoo3 o24
V1 LAGE ITn�s�it 5 V �? ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. P.v rNgoiU 569'7775-�F776
SEPTIC TANK CAPACITY 15o a
LEACHING FACIUM (type) (size) j 3 x 4 2 X z
NO.OF BEDROOMS -
BUELDER OR OWNER G ! W600
PERMTT DATE:_ /a 7/6 3 COMPLIANCE DATE: �[ 3 D
Separation Distance Between the:
Maxi um Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (9 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
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No. 200 -09 Fee 50.00
THE dOMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIppficatiou for 30iopooal *pgtem Conmruction Vermit
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Application for a Permit to Construct( . )Repair( x)Upgrade( )Abandon( ) O Complete System O Individual Components
Location Address or Lot No. 1 o t 12,22 Owner's Name,Address and Tel.No.
Smith Smith St Hyannisport Gil Wood
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. 6v [ Designer's Name,Address and Tel.No.
W.E. Robinson Septic C.R.Short
P.O. Box 1089 P.O. Box 1034
Genterville :775-877-6 S. Dennis MA
Type of Building:
Dwelling No.of Bedrooms 5 Lot Size sq.ft. Garbage Grinder(noo
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil sand
Nature a log Aot ra�o (Ar 0 wp apBlj�cal�e�
Install Title 5 septic system
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 E onniental C e and not to place the system in operation until a Certifi-
cate of Compliance has been issue by this d Health. 0
Signed , r �°`" . Dat
Application Approved by Date �o� 7-0 3
Application Disapproved for the following reasons
Permit No. a lj 0 3—08Y Date Issued a Z 3LIJ
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No. 2 U 0 09 Y _ �;:•�' h � ,�- Fee 50.00
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THE C'O` O'�VWEALTH OF MASSACHUSETTS.' Entered in computer:
- Yes
PUBLIC HEALTH,DIVISION -TOWN OF BARNSTABLEMASSACHUSETTS _
4NI,
, iication for Z,igpofaY p terry Contruction Permit;
Application for a Permit to Construct(' )Repair( x)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or.Lot No. 16tt l.2,2 2 `, Owner's Name,Address and Tel.No.
"? SmftlL,$m th St Hyann"isPort i Gil Wood
Assessor's Map/Pa;c"J
� U6v7
Installer's Name Address,and Tel.No. Designer's Name,Address and Tel.No.
W:t. ;Robinson Septic C.R.Short
P.6:,,Box 1089 P.O. Box 1034
h lent: S. y ;"a M
Type oflBuilding: -
Dwelling No.of Bedrooms 5 ( Lot Size sq.ft. Garbage Grinder(noo
Other Type of Building " No.of Persons Showers( ) Cafeteria( )
Other Fixtures ( �'
Design Flow gallons per day, Calculated daily flow Y �'� gallons.
Plan Date A .tr..3 Number of heels Revision Date-
N. Title ��. ' i�
Size of Septic Tank Type of S.A.S.
Description of Soil sand ( p 1
�= �. Install Title 5 septic system �~
ti Nature�f�te �i o�Abt a�i'kons�(A gv eorrPen ap�li�c!%
Date last inspected: {
i 'ti
Agreement::;.'
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title of the Er on
Code and not to place the,system in operation until a Certifi-
cate of Compliance has been issued by this d Health. S a
Signed ,,•. Date
Application Approved by Date No?2-2 7--0 3
Application Disapproved for the following reasons
Permit No. oZ U 0 3—08Y Date Issued 3
Gill Wood THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( x )Upgraded( )
Abando.�ted( by W. Robinson Sept= Service
at lot 1 Y,2_2 Smith Street Hyannisport has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 240 dated � 7/0
Installer Designer
The issuance of thi pe it shall not be construed as a guarantee that the s stem will fun o'o s\designedd.
Date L� ' Inspector
No. 2003—W Fee 50.00
Gill Wood THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
1=too$at *pe;tem Conotruction Permit
Permission is hereby granted to Construct( )Repair( x)Upgrade( )Abandon( )
System located at /1►22 Smith St Hyannisport
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of type
t e
Date: oZ/Q-7/03 Approved by
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TOWN OF BARNSTABLE Ems.
LOCATION
�r�- SEWAGE # 003 -ORW
VILLAGE ASSESSOR'S MAP &LOTS
INSTALLERS NAME&PHONE NO
eN
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type). �S (size)
NO.OF BEDROOMS 5
BUILDER OR OWNER 6d Wag
PERMIT DATE:
COMPLIANCE DATE:' 3" 0
Separation Distance Between the: Feet
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility
� Private Water Supply Well and Leaching Facility (If any wells exist Feet
on site or within 200 feet of leaching facility)
exist
Edge of Wetland and Leaching Facility(If any Feet
within 300 feet of leaching facility)
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Furnished by
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TOWN OF BARNSTABLE
LOCATION t? SEWAGE #
VII.LAGE " -� ASSESSOR'S MAP & LOT ����
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 1 r-
LEACHING FACILITY: (type)
(size) 13 x 4 2 X Z
NO.OF BEDROOMS S
BUILDER OR OWNER G aa0
PERMIT DATE: '�a /b COMPLIANCE DATE: 3 d
Separation Distance Between the: Feet
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility
Private Water Supply Well and Leaching Facility (If any wells exist Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet of leaching facility)
'� Furnished by
TOWN OF BARNSTABLE Q
BAR-W �. 3340
Ordinance or Regulation
WARNING NOTICE
Name of Offender./Manager 6�0 �0;rl 0od
Address of Offender U) RIP Alf ref 0\)t,,,L4 MV/MB Reg.#
Village/State/Zip AAri{.1 � � / ���.f�i�
Business Name ! � ,, am/ ; on 206 V
Business Address _Dry. 1 4,,s 2Z A �
Signature .of tm-1forcing Officer
Village/State/Zip
Location of Of ense 144 34r.J 4707V1 11 Af
7 Enfg"rcing Dept/Division
Offense_ t1 ; _ t ell '(Ia1A eP r /?00. . x r . +44
Facts 1)14 /?_Pff 740 At,4,xe V,JId (Lof re-, OW
�Vj -7/ I 's Af d�(.o C IG11 IAJ,
This/will 'servle only as a warn ng.,/At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
P "'+ wig`` T-!Y` •-.. --^ -••--•' . .. .._Y,. ..,.-1.. _.e..Y � � ...
' TOWN OF BARNSTABLE340
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Ordinance or Regulation, "k
WARNING NOTICE � {
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Name of Offender/Manager (fit ) fs #' r'
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— & Alt f tY {
Address of Offender R L+ �r t_ ,- V/MB Reg.# tea
Village/State/Zip I-LAI'4 1 (;� �,C�� . #
Business Name ` P tl} am/pmr, on fat 20_ '�/ . �
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Business Address ;, ,f,- V4
Signature .of Enfoyrcng Officet
f�S ", �.
Village/State/Zip
Location of Offense _ � G�P�✓fr f p�1r +� �> . '�'r� 1'
# j ' / Enforcing�tDep`t/D`ivisior
Offense 1 6- t + �1����ik j'rVV=J"'4'e e`.._�4, I?rl 0.
Facts f,I a{ r�r�t� A�` ��1�f3 {�r�� � t� ���t���l'L[s1�f>r�rr� 4 's'?t�tt'
—711 S I e)q A'r .�xl1 ` feO 4 A1#4
This will serve only as a warning. /"At this time no legal action ha "'be'en taken ,i-
It is the goal of Town agencies to achieve voluntary complianb'et. �, of Town '.
Ordinances Rules and Regulations. Education efforts and warning snotices are
g g .,.
attempts to gain voluntary compliance. Subsequent violations wil°l •result in �a+ , . .
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG PINK ENFORCING OFFICER GOLD-ENFORCING DEPT w ?P
Health Complaints _
14-Jul-04
Time: 10:09:00 AM Date: 7/1/2004 Complaint Number: 17529
Referred To: DAVID STANTON Taken By: Sally Shea
Complaint Type: GENERAL
Article X Detail:
Business Name:
Number: Street: Circle Drive
Village: HYANNIS Assessors Map_Parcel:
w Complaint Description: Caller states there is a refrigerator on one of the
properties on this road. This has no doors on it.
It is an apartment sized refrigerator. It is
obvious from the road. She states that she is
worried that this is may be dangerous if children
play with it.
Actions Taken/Results: DS WENT TO SAID STREET. IT WAS NOT
OBVIOUS FROM THE STEET(AT LEAST TO
DS) DS HAD TO CIRCLE AROUND TWICE
BEFORE SEEING THE REFRIGERATOR. A
WARNING NOTICE WAS ISSUED TO
REMOVE THE RUBBISH. THE DOOR IS OFF
AS IT IS SUPPOSED TO SO NO KIDS GET
TRAPPED INSIDE OF IT IF THE DOOR
CLOSED ON THEM. DS RE-INVESTIGATED
THE COMPLAINT ON 7/13/04, AND THE
REFRIGERATOR HAS BEEN REMOVED. NO
FURTHER ACTION REQUIRED.
Investigation Date: 7/2/2004 Investigation Time: 3:20:00 PM
1
L 0 C*110N S E W A GE PERMIT " NO.
113
.,VILLAGE 4
I'NS,TA,L.LER'S NAME & ADDRESS
B U I L D E R O:R. OWNER
DA T E P ERMIT. Itt U E D C
0ATE COMPLIANCE ISS.UED���o�
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•� THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
LOF............. ........ l a! ............................
Appliratinn -fur ]i,ipuiial Worku TonfUurtion Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
------.��.TZ .T.................................... -••---•--••--•--••------•-------•-----•..................•-•-----•--•---•--•--•-----------•--....
Location-Address _ or Lot No.
AP. -----
----- -f........-.=---------.!yjY aJ
Owner Address
........... =-•----------------•---•--•----•------------ ----------ST,Z. . . ...............
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms__.-_____-�
-----------------------------Expansion Attic ( ) Garbage Grinder ( )
a, Other—Type of Building ---------------------------- No. of persons.--------------------------- Showers ( ) — Cafeteria ( )
a' Other fixtures
W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons.
WSeptic Tctuk—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 ( )
aPercolation Test Results Performed by-------- --------------------------------------------------------------•- Date-------------------------- -_---------
Test Pit No. 1................minutes per inch Depth of "Pest Pit-------------------- Depth to ground water........................
rZq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water............------------
P41 ------------------------------------------------------------•--•--•--•--------•------------------------------•-----------•-----------------------------------
ODescription of Soil-----------------------------------------------------------------------------------------------------------..............---------...---------. --. -------------------
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U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------
Agreement: �., •"t.
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
070
�.._ .... •--• ..--- ---•------•----•---------------------- �� -•--•-...
Application Approved By--------r fPigned
- -.::�� _7 6 -------�` e9
Zat
Application Disapproved for the following reasons----- ----------------------------------------- - ------------------------------------•-•------------•------
•----•--••-•-----•--••--••---•--•--------•-------------------••--------------------•--............................................................... --------------------------------------------------
Date
PermitNo......................................................... Issued------------=------- ..................................
Date
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.OF.............6 ' ----------------------------
Appliration -for 'Mipviial Workfi Tomitrurtiou Vrrulft
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at:
........................ ...................... ................................................................................................
Location-Address or Lot No.
................... ............... /,.............................................. .......z................5_;�................
............ ...................................
Owner Address
......................................................................................... ......................................................................................I..........
Installer Address
Type of Building Size.-L. ot----------------------------Sq. feet
Dwelling—No. of Bedrooms................3
...................--------Expansion Attic Garbage Grinder
Other—Type of Building ............................ No. of persons________-___________________ Showers Cafeteria
0.1
Other fixtures ----------------------------------------------------------------------- -----------------------------------------------------------------------------
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
Septic Tank—Liquid capacity----- ------gallons Length................ Width_---_-._.._.-_.- Diameter___-__--_____ Depth.__________-.-.
Disposal Trench—No- ------------------- Width_____-______________ Total Length__________________.- Total leaching area-------------- -----sq. f t.
Seepage Pit No_____________________ Diameter____________________ Depth below inlet______._____.______._ Total leaching area...... -----------sq. f t.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by----------------------------------------------------------- --- Date------------- --------------------------
Test Pit No. I-----------_--minutes per inch,,, Depth of Test Pit_--_________________ Depth to -round water---_____-_-_____-..__..
114 Test Pit No. 2................minutes per inch Depth of Test Pit_-_..____.__________ Depth to ground water------------------------
P4 ................I--------------------------------------------------------------------------------------------------------------------------------------------
0 Description of Soil---------- ...........................................................................................................................................................
x
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W
--------------........ ------------------------------------------------------------------------------------------------------------------ ....... -----------------------------------------------------
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Z Nature of Repairs or Alterations—Answer when applicable..-------------------------------------------9----------------------------------------------
........................ ..............................................i-------------------------4----------------------- --------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
igned___ .............................. -----/ '
....................00
Date
Application Approved By---------- . ......... . -------
ate
Application Disapproved for the following reasons:................................................... . ........................................................
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------..........
Date
PermitNo......................................................... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...... ........OF........ . .. ............................................ .....
Prtifiratr of W"I'ampliatta
VS IS TO CERT Fy"JY�)/Ihij Individual Sewage Disposal System constructed or Re,aired
F,
by... . ...... ---------------_- ------------------------- ........................
6bep't. ?,74---------- .......... ............
V*&
.............7...................
has been installed in accordance with the provisions of Artic I of Tk tate Sanitary eode s descr/le'd * the
ated....... ............. ...
application for Disposal Works Construction Permit No---- --- d, ,J /-7 Z
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THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE p AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE_.. Inspector
---- -----------1 ---------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD Of/ EALTH e
........
.......... OF...........
............. ......
N ....... FEE__._.__` _...__.....
4
Di-VIV01iiI lVarkii TT"'Igtr Kit Ovvrrmit
Permission is hereby granted__- . .........'I........... ------- .... ................. .............................
kern to Construc 0 epaijr 'jTn Individual Sewn/Cf,/ ------- ........... --- -------
atNo.- .................... I.. ...... .......*4. -------------------------------------------
Street
'(r it 0------- ---- ----- Da Per - ...as shown on the application for Disposal Works Construction P
----- . ....... ..... .... .
4ep"', card of Health
DATE......../ —.2 -------------------_----------
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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