HomeMy WebLinkAbout0005 SNOW CREEK DRIVE - Health 5 Snow Creek Drive
Hyannis
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v Town of Barnstable Health Inspector
OFTHE Tp� Office Hours
ti Regulatory Services 8:30-9:30
* Thomas F. Geiler,Director 1:00—2:00
• BARNSTABLE.
9� 63. � Public Health Division
AtfD MPIA Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 % Fax: 0. 7 0
AMNESTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE
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1. General Information: Size of Property:
Address: "411 rW- — ap3D7 Parcel
Name &Ak:n, Phone#: 7 a Z7J U
2a. How many bedrooms exist at your property now
2b. Are you planning to add any bedrooms? If yes, how many?
2c. How many bedrooms total are proposed at this property (including the amnesty unit)
2d. Please include a copy of the floor plans for the entire property - showing the existing
rooms in the home plus the proposed amnesty apartment and/or addition. Please label
each room clearly on the plans.
3. Is the dwelling connected to public sewer? 'KES NO
If the dwelling is connected to public sewer,skip questions#4 through#9 below. c
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4. Location of dwelling is INSIDE or UTSI E a Zon F ution to ublic sulup y wel�lfs?
5. Is the dwelling connected to an ONSITE WELL or to
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6. Is a disposal works construction permit on file? YES dr NQ
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6a. If yes,how many bedrooms were approved according to this permit? Budroor.
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7. Were any building permits obtained for construction of additional bedrooms? YES or NO
8. Is there an engineered septic system plan on file at the Health Division? YES or NO
9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO
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FOR OFFICE USE ONLY
The Public Health Division has no objection to bedrooms at this property.
Special Conditions:
Signed: Date:
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