HomeMy WebLinkAbout0067 STETSON STREET - Health 67 Stetson Street
Hyannis
A = 306 - 058
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No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
TippYitatiou for Disposal 6pstrm Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon J ❑Complete System ❑Individual Components
Location Address or Lot No.03 -Spn -, Owner's Name,Address and T No.
14 anni 0VNU;F ��. .0.
Assessor's Map/Parcel 3(� —S'� s
I .tal r' Na a dress �n►d Te}.No. 5�8-'�rI/"9 399 Designer's Name,Address,and Tel.No. J
���v���an5t���h
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 orAlterations(Answer when applicable) QO
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 n not place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. o
Sign — Date �/ 16//�
Application Approved by Date
Application Disapproved by Date
L --------------- --------------- ----------
for the following reasons
Permit No. 2U(Z —U Date Issued
. No. O I v l Fee
k THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: c/
PUBLIC HEALTH DIVISION -TOW IROF BARNSTABLE, MASSACHUSETTS Yes
4plication for imisposal *pstem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components
Location Address or Lot No.6(7154n C-, Owner's Name,Address,and Teri.No.
3 .
r a rJK�racR�5 t'a. l''� ?%
Assessor's.Map/Parcel 34W, _. , Gc i?d1 f 5 �,,(�cS 0
Installer's Name,Address,and Tel.No. hl- 9 395' 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) SS DGc�
Date last inspected:
Agreement:
r'
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 td place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
SignQ� Date
Application Approved by I n / Date
Application Disapproved by ; Date
for the following reasons
Permit No. 7 u q L/ Date Issued 21(,117
f
ti
TH E COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
�� " '� �� Certificate of Compliance
THIS I O CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned( by
at „ -• ri has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. °/�-D t/) dated a /
Installer �-,r � a/�,s �,r}-E ,_1G Designer
#bedrooms K) IA— Approved design flow gpd
r
The issuance of this permit shall not bec�onst71-3
asa guarantee that the syste will 'n tio- adesi ned.
Date '3 /i Inspecte,
No. 6 ( l�,- Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS
Disposal &pztem Construction Permit
Permission is hereby granted to Construct( ) /Repair( ) Upgrade( ) Abandon
System located at
a
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.
Provided:Constru * must be completed within three years of the date of this permit. p/
Date a.. („ Approved by �A /� 1
I r
AsBuilt Page 1 of 1
IUWn Ur JJA"blAbLtS
LOCATION 6 7 $><,c_'T`S'G°N S l^ SEWAGE a
VILLAGE f-�ZA•AMJJ S ASSESSOR'S MAP&LOT 3&u " 5r
INSTALLER'S NAME&PHONE NO, U4)l-it1U6✓AJ
SEPTIC TANK CAPACITY 'S GCS to(o-GL� Gz 5 S fog/
LEACHING FACILM: (type) S X b1VdA C0fW1(size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
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 facilitt Feet
Furnished by .2i a-- �� LW,'K
� --c f5t
A
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http://issgl2/intranet/propdata/prebuilt.aspx?mappar=306058&seq=1 2/6/2013
MAP O!� LOT
PAR _
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIlZONMENTAL PROTECTION
ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500
TRUDY COXE
Secretary
VID B. STRUHS
ARGEO PAUL CELLUCCI sioner
Governor
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. ^ 8
PART A
--.- -- CERTIFICATION r�
7 sTtlt s' Name of Owner I�ELE l KEN
ress:
Property Add
J/ i, � 14Y6o N i S 5�31L---,Address of Owner: O�d
Date of Inspection:gnl2--9q- �'�3 ffAYE�NILL �l �1
Name`of Inspector:(Please Print) Dion C.Dugan jQL-/�D/NCr M►4 t) �i7
1 am a DEP approved system inspector pursuant to Section 15.340 of Tide 5(310 CMR 15.000) /,Qr, 99
Company Name: Dion C.Dugan �
40 47
Mailing Address: 1543 Main SL
Telephone Number: Ormater,Ma.02831 (501I)IMS-0390
CERTIFICATION STATEMENT
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 inspection. The inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems. The system:
Passes
_ Conditionally Passes
_ Needs Further Evaluation By the Local Approving Authority
_ Fail
Inspector's Signature: Date:
The System Inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within thirty (30) days of
completing 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 Department of,Environmental Protection. The original should be sent to ttre
system owner and copies sent to the buyer, if applicable, and the approving authority.
NOTES AND COMMENTS
t
"l
revised 9/2/98 Page Iof11
..
i; Primed on Recycled Paper
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: Lo7 5T&-750Y.I
Owner: 146le N 61 NEK5
Date of Inspection:
�lz-99
INSPECTION SUMMARY: Check A, B, C, or D:
A. SYSTEM PASSES:
- i have not found any information which indicates that any of the failure conditions described in 310 CMR 1-5.303 exist. Any failure
criteria not evaluated are indicated below.
COMMENTS:
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.
Indicate yes, no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If "not determined",explain why not.
_ The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of
Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection; or
the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration, or tank
failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as
approved by the Board of Health.
_ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)
or due to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of the Board of
Health).
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
The system required pumping more than four times a year due to broken or obstructed pipets). The system will pass
inspection if(with approval of the Board of Health):
broken pipe(s) are replaced
obstruction is removed
revised 9/2/98 Page 2of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 0 57-t-7'sOIN =�T y/}/J If l,
Owner: g eL t4 191 kEN S
Date of Inspecti
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 the
public health, safety and 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 THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
_ Cesspool or privy is within 50 feet of surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
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 TI4E PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well.
_ The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well.
_ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a
private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the
well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less
than 5 ppm. Method used to determine distance (approximation not valid).
3) OTHER
revised 9/2/98 Page 3ofIt
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 4,-7 STEM ST. I�Y�9+sN )S
Owner: 14 E J,-w /91 KE4 S
Date of Inspectign:
D. SYSTEM FAILS:
You must indicate either"Yes" or"No" to each of the following:
1 have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this
determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure.
Yes N
Backup of sewage into facility,or system component•dueto an overloaded or-clogged SAS or cesspool.
_ t// Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or
t/ cesspool.
_ / Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS.or cesspool.
v Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow.
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 Soil Absorption System, cesspool or privy is below the high groundwater elevation.
Any portion of a 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 I 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for
•-coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E. LARGE SYSTEM FAILS:
You must indicate either "Yes" or"No" to each of the following:
The following criteria apply to large systems in addition to the criteria above:
N/A The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public
health and safety and the environment because one or more of the following conditions exist:
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 II of a public
water supply well)
The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2)• Please consult the local regional
office of the Department for further information.
revised 9/2/98 Page 4of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address:
1�07 15TYT50i n l- YA'.f N ,s
Owner: 14 t1CN fi 1 KeN s
Date of Inspection:
�--�Z qq
Check if the following have been done:You must indicate either "Yes" or "No" as to each of the following:
Yes No
Pumping information was provided by the.owner, occupant, or Board of Health:
_✓ _ None of the system components have been pumped4or-aUeast two weeks and-the system has>been.receiving normal flow
rates during that period. Large volumes of water have not been introduced into the system recently or as part of this
inspection.
/`— - — As built plans have been obtained and examined. Note if they are not available with N/A.
_ The facility or dwelling was inspected for signs of sewage back-up.
_ The system does not receive non-sanitary or industrial waste flow.
JZ/ _ The site was inspected for signs of breakout.
All system components, excluding the Soil Absorption System, have been located on the site.
t _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles
or tees, material of construction, dimensions,depth of liquid,depth of sludge, depth of scum.
The size and location of the Soil Absorption System on-the site has been determined based on:
Existing information. For example, Plan at B.O.H.
V _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable)
[15.302(3)(b))
_ The facility owner(and occupants,if different from.owner).were provided with informatiom on the proper maintenancs of
Subsurface Disposal Systems.
revised 9/2/98 Pages of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 0 7J-rbT/G h ST, 1�x�N/f�
Owner: Nattw: A�kiJn1� `
Date of Inspection:
FLOW CONDITIONS
RESIDENTIAL:
Design flow: — g.p.d./bedro m.
Number of bedrooms(design): Number of bedrooms(actual):
Total DESIGN flow
Number of current residents.
Garbage grinder(yes or no):FLU
Laundry(separate system) (yes or no):Alq If yes, separate inspection required
Laundry system inspected (yes or no)
Seasonal use(yes or no):Alo 1997
Water meter readings,if available (last two year's usage(gpd): 3,000 gals. 1998 � 000 gals.
Sump Pump(yes or no):
J -tLast date of occupancy:
COMMERCIAL/INDUSTRIAL-
Type of establishment: cN/
Design flow: qpd Based on 15.203)
Basis of design flow
Grease trap present: (yes or no)_
.Industrial Waste Holding Tank present: (yes or no)_
Non-sanitary waste discharged to the Title 5 system: (yes or no)_
Water meter readings,if available.
Last date of occupancy:
OTHER:(Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information:
U ka4mt5, O hI/UE'Q
System pumped as part of inspection: (yes or no),A
If yes, volume pumped: gallons
Reason for pumping:
TYPE OF SYSTEM
Septic tank/distribution box/soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system(yes or not (if yes, attach previous inspection records,if any)
I/A Technology etc.Attach copy of up to date operation and maintenance contract
Tight Tank Copy of DEP Approval
Other
APPROXIMATE AGE of all components, date installed(if known)and source of information: i4ppgo X mzz
Sewage odors detected when arriving at the site: (yes or no) �
revised 9/2/98 Page 6of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
7roperty Address: (a 7 51-t75t S
Owner: 0'r- fq I lots
Date of Inspection:
L}-(a-2g
BUILDING SEWER:
(Locate on site plan)
Depth below grader
Material of construction:_cast iron_40 PVC_other(explain)
Distance from Urivate water supply well or suction line
Diameter_
Comments:(condition of joints,venting, evidence of leakage,-etc.)
��>,.►TS �E T/6 T. 1`P� ��L ��T/N[r- �L) .5 /Gills �F 1L-%�`/�l
SEPTIC TANK:'
(locate on site pl
Depth below grade:_
Material of construction:_concrete_metal_Fiberglass _Polyethylene_other(explain)
If tank is metal,list age Is.age-confirmed by Certificate of Compliance_(Yes/No)
Dimensions:
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle: -
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:
How dimensions were determined: by tape and rod
'omments:
(recommendation for pumping, condition of inlet and outlet tees orrbaffles, depth of liquid level in relation to outlet invert, structural integrity,
evidence of leakage,etc.)
* Recommend: Maintenance pumping every 3 - 5 yrs.
GREASE TRAP:
��—
(locate on site pla 1
Depth below grade:_
Material of construction:_concrete_metal_Fiberglass _Polyethylene_other(explain)
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:
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity,
evidence of leakage,etc.)
revised 9/2/98 Page 7oftf
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: (p?
Owner: (.(.etew A I
Date of Inspection:
TIGHT OR HOLDING TANK:IUI (Tank must be pumped prior to, or at time of, inspection)
(locate on site plan)
Depth below grade:_
Material of construction:_concrete_metal_Fiberglass_Polyethylene_other(explain)
Dimensions:
Capacity: gallons
Design flow: gallons/day
Alarm present
Alarm level: Alarm in working order:Yes_ No_
Date of previous pumping:
Comments:
(condition of inlet,tee, condition of alarm and float switches,etc.)
DISTRIBUTION BOX��U�
(locate on site plan)
Depth of liquid level above outlet invert:
comments:
(note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) -
PUMP CHAMBER:
(locate on site plan)
Pumps in working order:(Yes or No)
Alarms in working order(Yes or No)
Comments:
(note condition of pump chamber,condition of pumps and appurtenances, etc.)
revised 9/2/98 Page 8of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
roperty Address: sr ►�yr�+�rN)s
owner: I+ei&W y-j t k-ErJ5
Date of Inspection:
SOIL ABSORPTION SYSTEM(SAS):
_/
(locate on site plan, if possible;excavation not required,location may be approximated by non-intrusive methods)
If not located, explain:
Type:
leaching pits, number:_
leaching chambers,number:_
leaching galleries,number:_
leaching trenches,number, length:
leaching fields, number, dimensions:
overflow cesspool,number:-i)t 3 "(5-1
Alternative system:
Name of Technology:
Comments:
(note condition of soil, signs of hydraulic failure,level of ponding, damp soil, condition of vegetation, etc.)
r 5� Ce5S(bGi_ —Oft( A f— J `X -1 OVerPlow C oL — u
�►p SitrN OF FaILLt �
CESSPOOLS:
(locate on site plan)
Number and configuration: nLl G
Depth-top of liquid to inlet invert: U p
lepth of solids layer: 3 1,
Depth of scum layer: D C
Dimensions of cesspool:
Materials of construction: COnCr f J31 duC- _
Indication of groundwateriO 1l/C
inflow(cesspool must be pumped as part of inspection) rU(A N b C "-C)
N i=tUvJ
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
* Recommend: Maintenance pumping every 3 - 5 yrs.
PRIVY: N/A
(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.)
revised 9/2/98 Page 9of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
n�IS
7
roperty Address: 51 ETA ��
Owner: H�f� kF�y
Date of Inspection:
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent reference landmarks or benchmarks
locate all wells within 100' (Locate where public water supply comes into house)
C
— p _ 53 '�
vJ
I
aJ
I .
� t
A
W
revised 9/2/98 Page 10of11
r
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
'roperty Address: (07 5T&—T-!'0'4 �T- N rl�N N►5
Owner: Y-eCt'N ?j I
Date of Inspection:
NRCS Report name
Soil Type_
Typical depth to groundwater
USGS Date website visited
Observation Wells checked
Groundwater depth: Shallow Moderate Deep
SITE EXAM Slope
Surface water
Check Cellar
Shallow wells
Estimated Depth to Groundwater�—>/()Feet
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans on record
-ZObserved.Site(Abutting property, observation hole, basement sump etc.)
Determined from local conditions
Checked with local Board of health
Checked FEMA Maps
Checked pumping records
Checked local excavators, installers
Used USGS Data
Describe how you established the High Groundwater Elevation. (Must be completed)
1' 1 v
revised 9/2/98 Page 11of11
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1. Article Addressed to: If YES,enter delivery address below: ❑No
ROY& SUSAN OKUROWS10 ? PVON.o I
` -67 STETSON ST 9 O I
O 9 N I
HYANNIS, MA 02601
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4. Restricted Delivery?(Extra Fee)
2. Article Number
(rransfer from service label) n°112 l i•i 01,0,'D O D O 12 8 4t8 l 115 5 _ _
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PS Form 3811,February 2004 Domestic Return Receipt' 102595-02-M-is4o
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UNITS i 3l,E C 3x 5 �1 � i ,~3 r� .0t6f Cf t il:
b o a'g"8cees a,d
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-.YI 1 0.. iti roipRa. .eK4 V_I��'_ri
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• Sender:, Please print your name, address, and ZIP+4 in this box •
Sewer Connect
Public Health Division "
Oa Town of Barnstable
---'- 200 Main Street
�I
Hyannis,MA 02601
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I �117711l�l�IRl1l11'�llt'll'�l�R'�.11!l�III�Ir�fl�li�il��iJj.l:�,�,i! ,.
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OFFICIAL
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Restricted Delivery Fee
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,A ROY& SUSAN OKUROWSKI
67 STETSON ST
HYANNIS, MA 02601
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,
[HEA Town of Barnstable Bar
nstable
Regulatory Services Department M�ftedcaC'j
BAMSPABM I
63 on 1 Public Health Division
9� 6gq. ,�� m
Forst " 200 Main Street, Hyannis MA 02601
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7012-1010-0000-2848 -1155
March 28, 2013
ROY& SUSAN OKUROWSKI
67 STETSON ST IMPORTANT NOTICE
HYANNIS, MA 02601 Map & Parcel: 306- 058
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 67 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 T BOARD OF HEALTH
mas . McKean, R.S., C.H.O.
Agent of the Board of Health
Cc: Barbara Childs,WPC/Roger Parsons,Town Engineering, DPW
Enc.
QASEWER connec6Letters Stewart Creek Sewer Connects\MAIL.ING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc
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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:
littp://www.town.baFnstable.nia.us/cdbL, (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/Publ1cWorksTech/sewer1nstalIers. 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.
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