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0070 STETSON STREET - Health
T Stetson Street Hyannis A= 306-074 C'C TOWN OF BARNSTABLEA60- LOCATION S� SEWAGE # l�1 VILLAGE A�� ``cc ASSESSOR'S MAP & LOT 0 au INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY t �•- �b LEACHING FACILITY: (type) size) NO.OF BEDROOMS BUILDER OR OWNER � /� 1� -� PERMITDATE: COMPLIANCE DATE:h Separation Distance Between the: (,�G Maximum Adjusted Groundwater Table and Bottom of Leacl g aF cility ��� y Feet Private Water Supply Well and Leaching Facility (If any wells exist 1 r� on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Faci ' ny wetlands exist within 300 a of leac aci ' ) Feet Furnished by { /SAD S P j t 1a I �j f No. 9 0 [(.n 6- Fee 2— . THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppf cation for Misposal bpstem Court action 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System El Individual Components Location Address or Lot No. O� �,� 50n �}-r�,� Owner's N`ame,Address, d Tel.No. 3U� f Sohn s Assessor's Map/Parcel 3o(, G,),/ l� n{$ c$ ' Q aloU J Installer's Name,Address,and Tel.No. —7�j/ 93 C? Designer's Name,Address,and Tel.No. 00, >r f i AY !uL1-,' m• t JS c�►^y f`c� 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) c 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 Environment nd not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal Signed Date /' Application Approved by Date Application Disapproved by Date for the following reasons Permit No. b `� Date Issued g" I L( Fee . _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21pplicatlon for disposal,6pstem Construction Permit Application for a Permit to Construct( ) Repair( _.) Upgrade( ) Abandonj(t� [:]Complete System ❑Individual Components Location Address or Lot No. 00 S1, 5ptn Owner's Name, W s ddress,and Tel.No. J O 9-I? )I- V 5V 3 6L)e— 1 ,3 An i=- /G Assessor's Map/Parcel jot,//U O c f 1A z, j) S. 1 ^ a a-4-0/ Installer's Name,Address,and Tel.No. 5_U8-/)-?/ 9359 Designer's Name,Address,and Tel.No. ∨}c_,Ic.tfj Cc�r►�Fr t-;or,-srx , ys l��sr ry f ' Mc� S err ��;/�� a,� U3•ia .", Type of Building: " i Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) xo• Other Fixtures Design Flow(min.required) 'may gpd Design flow provided gpd Plan Date Number of sheets Revision Date Y Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) at Date last inspected: ~� I 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-Gode-and,not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healt / Signed _ Date y / Application Approved by Date Application Disapproved by Date for the following reasons Permit No. b Date Issued ---------------------------------------- ------------------------------------------------------------------------------------ ------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(1 by &r''t-olo&t._. ar4rc.";cb , Lt,<_ ' at 7C� S)<2. ,Y1 S�-. -���/,e,i�;G has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a'0 13 "G'Y%ated 9 Installer Designer #bedrooms /� Approved design flower gpd The issuance of this perm shall 'of be construed as a guarantee that the syste5m will fun {o a design . Date Inspector. T ------------------------------------------------------------------------------------------------------------------------=-------------- C �/ No. �G ' - © 1 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Bisposar 6pstem Construction 3permit Permission is herebyanted to Construct Re air Upgrade Abandon �' ( ) p11 I� ( )• Pg ( ) ( System located at On S� o } . T��tJ( r►n 1 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. Q Provided:Construction must be completed within three years of the date of this permit. {� f Date Approved by COMPLETEo •MPLETE:THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. S item 4 if Restricted Delivery is desired. X ❑Agent ignatur ■ Print your name and address on the reverse Addressee so that we can return the card to you. B. Received by4 Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or 9n the front if space permits.. D. Is delivery address different from item 1? 13 Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No FSUZAN�E. FELLOWS, TR. S E.F. TRUST 70 STETSON ST HYANNIS, MA 02601 s. Seyjce Type IWCertined Mall o. ress Man ❑Registered WOftetum Race[ for M ha dise ❑Insured Mail ❑C.O.D. la; 4. Restricted Delivery?(Extra Fee) Yes 2. Article Number 7 012 1010 0000 2848 1445 .(transfer from service label PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540; UNITED STATES POSTAL SERVICE ` First-Class Mail Po tage&Fees Paid uses Permit No.G-10 Sender: Please print your name, address, and ZIP+4 in this box • I � I I - I I I Sewer .Connect I � Public Health Division � a Town of Barnstable I 200 Main Street I Hyannis,MA 02601 I I I I I �I I Ln Jill co OFFICIAL 43 ti 'Postage $ Certified Fee />! � RetumReceipt Fee ((gyp �Pos��arerk O (Endorsement Required) ^ e Restricted Delivery Fee r3 (Endorsement Required) \`v bPostage&Fees ZAN E. FELLOWS, TR. .F. TRUST STETSON ST ANNIS, MA 02601 Certified Mail Provides:,. p A mailing receipt 1 a A unique identifier for your mailpiece u 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 r � - 4 Aj oF�T Town of Barnstable Barns�tablle Regulatory Services Department AMmeficaCfty 1 1 snRrtscnst.e. ' ��� Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-1010-0000-2848 -1445 March 28, 2013 SUZAN E. FELLOWS, TR.S.E.F. TRUST 70 STETSON ST IMPORTANT NOTICE HYANNIS, MA 02601 Map & Parcel: 306- 074 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 70 Stetson St.,Hyannis, MA, to public sewer on or before 10/30/2015. 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 A.McKean, S., C.H.O. Agent of the Board of Health Cc: Barbara Childs, WPC/Roger Parsons,Town Engineering, DPW Enc. QASEWER connectEetters Stewart Creek Sewer Connects\MAILING L.etA Sewer 21'gs 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 gender 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.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.bamstable.lna.us/PublicWorksTech/sewerinstallers. 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 connectULetters Stewart Creek Sewer ConnectsNAMING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc � TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In ' Out Owner C_ �5 Tenant 1--166 (aet.A I NG Address -to � C� I� J T Address I ET�tj f I, Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities '- �T f4lr�.�arlf 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 11M` OF (N U I a 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width Z (Q Sg /V F?-7-- 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allow d (max) _:�F Number of Persons Allowed (max) Person(s) Interviewed °7Ei1�A1�( �, �I�pv � Inspector If Public Building such as Store or Hotel/Motel specify here