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HomeMy WebLinkAbout0049 STETSON STREET - Health 49 STETSON STREET Hyannis A = 306 - 056 Q n No. 0CL f 0Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:SL PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppliLation for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandons ❑Complete System ❑Individual Components Location Address or Lot No. T/ ,Q w er' Name,Address,and Tel.No.3Q5-a �q6— 1°�k6,J i1 onaxa 2wv Ut as Al 9,(� Assessor's Map/Parcel a� (o 33 0 Installer's�r � N�,�ldress,�rtd Tel. io. JM- Y:Z8-39a.� ' Designer's Name,Address,and Tel.No. T ��'rj 'tV' ,�,c s ®�G � �6� Type of Building: Dwelling No.of Bedrooms Lot Size ACQ!S 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 i 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 Environme ode and t to place the system in operation until a Certificate of Compliance has been issued by this Board of Hea Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued No. �U I _ Fee THE COMMONWEALTH OF-MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plication for MispoBal *pstrtn Construction Vermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon w [:]Complete System ❑Individual Components Location Address or Lot No. �9 � Ct6)n(j Owner' ,Name,Address,and Tel.No.305-a 6—Ol y7 Assessor's Map/Parcel3V(p/0,5(o t=-/ —3-530 5— Installer's Name, ddress, d Tel.No. 5� y�1'37a.� Designer's Name,Address,and Tel.No. jvr_S't_i_LLA-_k i y ST�t�sF-tr c.l �• A?u►�s tz,r�s�t/t•l��l��l`�-U34Y� ` Type of Building: Dwelling No.of Bedrooms Lot Size '/� A<r6s sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers(, ) Cafeteria( ) r 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) (� i, i ]��/►i/ ` Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afor dgibed on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental-Code and ot to place the system in operation until a Certificate of Compliance has been issued by this Board of He th'f Signed �-- Date Application Approved by /Tl_ � Date 0>7 Application Disapproved by Date for the following reasons Permit No. Date Issued ---------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site /Sewage Disposal ll}syystem Constructed( ) Repaired( ) Upgraded( ) Abandoned`Wby / at fSGn s'� I�SIQi?h� 5 _ has been constructed in accordance with the provisions of Title 5 and the for Dispos"al System Construction Permit No. / dated ! Installer Designer #bedrooms Approved design flow n gpd The issuance of-pi p•ffI 't gall not be construed as a guarantee that the system will Ziin'i n as designed. Date l J Inspector -------------------=--------------------------------------------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS r Misposat 6pstrm Construction j3Prmit Permission is hereby granted to�Construct( ) Repair( Upgrade( ) Abando>� `System located at q +S IC4510ri S� and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. ProvideConstruction must be completed within three years of the date of this permit. Date 7 '5 Approved by ,% (� t AsBuilt Page 1 of 1 LOCATION SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME & ADDRESS ItUILDER OR OWNER DATE PERMIT ISSUED ^ 12/e DATE COMPLIANCE ISSUED 1 M1 ter 4 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=306056&seq=1 7/7/2015 POEM D , Q I►1�V� V LJ1ru ru � cc OFFICIAL USE! IU1 fC3 Postage $ s Certified Fee AAA Postmark O Return Receipt Fee r`� 0 (Endorsement Required) �d� Here Restricted Delivery Fee `L� 1 > p (Endorsement Required) v' t= NdhN N Total Postage&Fees Sent To ra �` a-y-C-4 P . S1Y)A aY-\ ------------ -------------------------------------------------------------------------- � or PO Box t--No2CCIp N C 2 S 4_— !f 1—C. + ------------------------------------------ -------------------------------------------- City,StateOn ZIP+4 Certified Mail Provides: o A mailing receipt e A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years y Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. o 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. e 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. n 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 Town of Barnstable ' Barnstable Regulatory Services Department caC j RAMSTABM 9 9. ,0 Public Health Division fD f AP`p 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7014 1200 0001 0358 2240 February 9, 2015 RICHARD P. SIMONEAU 2000 NE 25TH STREET IMPORTANT NOTICE ` WILTON MANORS, FL 33305 Map & Parcel: 306-056 DEADLINE APPROACHING According to our records your dwelling at 49 Stetson St., Hyannis,MA, should be connected to public sewer on or before 3/30/2015. This is a reminder that all permits need to be in place before this date to be in compliance: I l) Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street, Hyannis. 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. 2) 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. Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health SECTIONENOR; COMPLETETHIS SECTION,';, COMPLETE:THIS ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Si nature item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse X �103 ssee so that we can return the card to you. B. Receive pyf(Printed N ) C. Date of Delivery ■ Attach this card to the back of the mailpiece, !! or on the front if space permits. ' D. Is delivery address different from ite ? ❑Yes 1. flicle Addressed to: if YES,enter delivery address below ❑No F2(0 ICHARD P. SIMONEAUjA ' 00 NE 25TH STREET r WILTON-MANORS, FL 33305 3. Se ce Type WCertiNed Mail press Mail `❑Registered eturn Rec ❑Insured Mail ❑C.O.D. �'s 4. Restricted Delivery?(Extra Fee) p Yes 2. Article Number I 7 012 1010 0000 2848 1131 I (Transfer from service labeq ! PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 P L� !t i UNITED STATE PbWAd8YFkV1�tIIII'IIIfitIiIf ili ii (� ittf.i ►� 1 First-Class Mail Po age&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • jSewer Connect Public Health Divsion Oa Town of Barnstable 200 Main Street i I' Hyannis, MA 02601 I I I I � I z A, m w co Postage $ 1PNN S O O Certified Fee � "p ��O Postmark ecet Fee fl (Endorsement Requi ed) �71 J O Restricted Delivery Fee (Endorsement Required) O Total Postage&Fees $ �• / Sps � RICHARD P. SIMONEAU C3 2000 NE 25TH STREET WILTON MANORS, FL 33305 i 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 i Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mails,. e 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. a 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 Town of Barnstable Barnstable oF� .� Regulatory Services Department AFAmerlcaCity MAS& Public Health Division m -200-- ain -treet—Hyannis MA 02601 00 3 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-1010-0000-2848 -1131 March 28, 2013 RICHARD P. SIMONEAU 2000 NE 25TH STREET IMPORTANT NOTICE WILTON MANORS,FL 33305 Map & Parcel: 306-056 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 49 Stetson St., 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 ORDER OF TH OARD OF HEALTH Thomas A. McKean, R.S., C.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 LetA 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 y ur 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.bai-nstable.ma.us/cdbg (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/PublicWoi-ksTech/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 ConnectAMAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc _LOCATION SEWAGE PERMIT NO• VILLAGE INSTA LLER'S NAME i ADDRESS .,/ /ylrJ�vd�,1 Pit r 5��, /!aG BUILDER OR OWNER -r- DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED TT 1 ,� o No V.... ......... TKE COMMONWEALTH OF MASSACHUSETTS 6'0ARD OF=HE�A -I rH .1"Z OF...../�� . . .. ........................................ Apphration for Uhiposal Marks Tumotrurtion Prrutit Application is hereby made for a Permit to Construct or Repair Individual Sewage Disposal System at: ......11f _ZZ Zqjpw........ .......404vve.o .................................................................................................. ..... ..L ' -Ad ss or Lot No. .......L. . ..... . ................. ............................................A--------------..................... ner dres A ..................... res .......... .... .... . Installer Address ype of Building Size Lot............................Sq. feet U Dwelling-9 No. of Bedrooms---........0Z...........................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers Cafeteria P4Other fixtures ..................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 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. ft. 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 ground water.......------........--. Test Pit No. 2................minutes per inch Depth of Test Pit---........_...._... Depth to ground water---................----. ............ ............ ..... . ............... ............................................................................................... 0 Description of Soil...._. ........... . . .. . ...................... ............................................................................ U ......................................................................................................................................................................................................... ............................. ................................................................................................................ . . ........................ ,ej 4- ;�........................ U Nature pf Repairs or Alt -41ons—Ar er when agplicaAb 14PV, //4 ...... . ........... . ............................ L.1... ....... ...................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITHE 5 of the State Sanitary Code— The undersigned further agr es not o place the system in operation until a Certificate of Compliance has be i issued b 210a. s/no t Sign .ZDhe S1 .. ...... Sign ... ..... ... ..... PZ Date Application Approved By.............. .......................... ... --------- Date Application Disapproved for the following reasons:................................................................................................................ ....................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date No......................... Fps.... r TAt CIZ*M-MONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Jir ..............OF..... r f.;E` of k`',tPXa. ......._................................. Apptira#ion for Bispos al Works Tonstrnrtiun, ramit Application is hereby made for a Permit to Construct ( ) or Repair ( "an Individual Sewage Disposal System at ! ' f tom....- -�•�• �' ,,�c_...1/ ' �f LI nH,, . ...e.er ``�`,✓r` �,A°'✓'` ' L A t'ss or Lot No. .... � tt xl ................ '�...'�.' --- _...... ....................................... W ess • •-•Ly jC ..................... ......... ..__.r f ___-----. .. ..__._ ._... Installer 1 Address d f ype of Buildings Size Lot............................Sq. feet U Dwelling• No. of Bedrooms........... ............... .Expansion Attic ( ) Garbage Grinder ( ) �-+ Other—Type T e of Building ............... No. of persons...... Showers — Cafeteria a YP g ---------;-- P ( ) ( ) a � Other fixtures ......................................................I...........................-..............................-.................................... 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..................... WiAflth.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter•.._.........___..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) It Dosing tank'( ) Percolation Test Results Pefrormed by.................................................................-•------- Date........................................ Test Pit No. 1................minutes per inch Depth,of Test" Pit.................... Depth to ground water........................ Gil Test Pit No. 2................m nutes per inch Depth of Test Pit.................... Depth to ground water........................ G - a r" ............... w.................................................................................. 0 Description of Soil....... r-�' ' .ri _...' . .. U -•................... ..... ; ---------------•---------------------------••-----.....---------------••-------------•--- sl _ UNature Qf Repairs or Alterations—Answer when applicable %�:.,t'�}'�'P_ `����---� __-_---- F ?�`........................ {J °r5i' G r .6 �v ia'ef r.;^ r x Agreement: s The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TILT 5 of the'State Sanitary Code— The undersigned further agrees notyto place the system in operation until a Certificate of Compliance'h s been issued by the,ttoar of health f' .qf x�",i �.,.......-+ .,< ,,F-'�' 12 ?APPlication Approved By----•--•--- ........ •---------- Date. ... Application Disapproved for the following reasons-----------------••--------......................-----••-•--••-•------•----•-•----------•-•--------------------• -----------------•--........---------•--......--•--•-----.......-----•-----•----..........--------------•._....----------------•-------•----••----------------------•-•--............. .................. PermitNo......................................................... Issued.................. ................................ Dattee THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - �� Al -�a�' OF... ':�K QLatif iratr of Tnmplittnrr THIS IS TO CEliaTIFY That the Individual Sewage Disposal.,System constructed ( ) or Repaired y r /t b r� ! . . fai.� ... C...... ............................... .._ ........................................................F ... ...... ....... ! f d qpy /p { at--•---------..Z --•--- •-•-----------••..... ......... ..:,, --- •------ •----------•---•-------------•------•-••-•--•------.........................................r1 has been-installed in accordance with the provisi ns of TITLE `" he State Sanitary Code as described in the application for Disposal Works Construction Permit No--- =-�--`"�.............. dated_...._-___.___._.___________._ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................. ..................... Inspector....---. . 1 THE COMMONWEALTH OF MASSACHUSETTS. . BOARD t�F HEALTH a h A /. . " OF .^' sf nA..-L/7✓��i. yirP',rR �r'0r ..... ¢`9t No......................... FEE........................ a Permission is hereby grantedt t / r� -"''%`..... .............................. .... to Constrt of ) ©_r, Reypair ( an Individual-Sewage Disposal System at No.. -s � f'r�. ram . s', , ..� .�r �...:.-' ........, ..._.... ----- Street as shown on the application for Disposal Works Construction Permit No...................f.. Dated................�>.................... /L .i' ............................................._ �9 r Boar of Health R• DATE...................................... ....... ............--• FORM 1255 HOBBS & WARREN. INC., PUBLISHERS -