HomeMy WebLinkAbout0087 STETSON STREET - Health 87 STETSON STREET
Hyannis
A = 306 — 059
1
1
`-3 -,-- /0- Fee � 5
No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftplitation for MispoBal �6pstrm Construction J)Prmit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon K ❑Complete System ❑Individual Components
Location Address or Lot No. $ r)S+• #Deer
' am Address,and Tel.No.2 o3-&A3-�
Assessor's Map/Parcel,3GG /0 1 66
Install r's.N e.,Address,and Tel No. IT4.0-�7 - 91391� Name,Address,and Tel.No.
fe
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)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
jaccordance with the provisions of Title 5 of the Environmental C-o e an t to place the system in operation until a Certificate of
mpliance has been issued by this Board of Health.
Signe Date
ion Approved by Date c5/-3
isapproved by Date
reasons
l Date Issued S
e
2
No. �G/3 . Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC'HEALTH DIVISION—TOWN OF BARNSTABLE, MASSACHUSETTS
01pplication for Misposal Opstem Construction Vermit
Application for a Permit to Construct( ) Repair( ) Upgrade.(., ,) Abandon(/ ❑Complete System ❑Individual Components
Location Address or Lot No. 19 9 � . Owner's Name Address,and Tel.No.�03-(vA
e Pf'cw2 i
Assessor's Map/Parcel �C�G O J o! t v0.n Ai
t1 aoV6U
Installer's Name,Address,and Tel.No. Soo&- 9'399 Desig er'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) p y in,--
Date last inspected: #'h °n+. 4 4a •. .� ,....«.1 rrp»��'". "
Agreement:The undersigned agrees to ensure the construction gn gr and maintenance of the afore described on-site sewage disposalsystem in
accordance with the provisions of Title 5 of the Environmental Gode an of to place the s stem in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signe Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
f
Permit No. C7-''j — Date Issued
_----------------- - =----_-__ = - - == _
TH E COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS I TO CERTIFY,that the On-site Sewage Di-spoosal system Constructed( ) Repaired( ) Upgraded( )
Abandoned(6y &r Ta� &, C_�r�ST�U�T
at '� has been constructed in accordance
with the provisions of Title'5 and the for Dispo al System Construction Permit NQ>��5 /2(') dated )/ 4 3
Installer Designer
#bedrooms Approved design fl w gpd
The issuance of this perm�tsha l no be c s�rue as a guarantee that the system will notion a- esigned.
Date J P`-^'' I �/ Inspector
----\--------------- ------------ ----------------- -- ------------------ ---------------------------------- ---------------------
No. ,Qc>j 57 ,/ Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
disposal 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon
System located at 59 i --�Qn SF-. 411wo icy
,i
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:Construction must b�r completed within three years of the date of this pec
Date �j� /1 Approved b
e
c.
:A'
•:MPL ETE TH IS SECTION COMPLETE • ON DELIVERY,
s Complete items 1,2,and 3.Also complete i re
item 4 if Restricted Delivery is desired. ❑Agent:
e Print your name and address on the reverse ❑Addressee
so that we can return the card to you. Received by gjyad Nam C. Da of livery,.
■ Attach this card to the back of the mailpiece, 1
or on the front if space permits. �
- D. Is delivery address different from item 1? Y
°� . If YES,enter delivery address below: ❑No
S E-PHEN & KATHLEEN BROMM-N
22-41 IARYELLEN DR
�I "ORD, CT 06460
I'
3. Se ice Type
IN Certified Mail ❑Express Mall
❑Registered Return andise
[3 Insured Mail ❑C.O.D. (,J
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number � 7 12 1.010 0000: 28,48 116 2
(Transfer from service labeq _ l i 1111 i t i M i 1 i�,; s 1 I ii i� � 1 11
BPS Form 3811,February 2004 Domestic Return Receipt 102595.02-M-1540
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
I _
• Sender: Please print your name, address, and ZIP+4 in this box •
1 Public Health Division Sewer Connect
Town of Barnstable
M j 200 Main Street
Hyannis,MA 02601
I
I y} F 7 ti FF tt 7t {{
ll�l rI_ItiIllifllrrl_I,Ii,:t,l�:�lt:irI 11 iSlfil:If litll lft;tr
a
ru
rr—i7
co s F I
CE] Postage $
ru
Certified Fee
C3 i�Postma
Return Re Fee e Here
C3 (Endorsement
Required)
C3 N
Restricted Delivery Fee
O (Endorsement Required)
O Total Postage&Fees $ (�• �� (/�
a STEPHEN & KATHLEEN BROWN
,E 224 MARYELLEN DR
MILFORD, CT 06460
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
important Reminders:
o Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile.
n Certified Mail is not available for any class of international mail.
c 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'.
a 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
Barnstable
Town of Barnstable
.�. Regulatory Services Department ;micaC j
■AMSfABM I
'"A3
t639. Public Health Division
♦ m
- 20U-Main Street;-Hyannis 1VIA-02601------------------—2D07—----- ---�--
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7012-1010-0000-2848 -1162
March 28, 2013
STEPHEN & KATHLEEN BROWN
224 MARYELLEN DR IMPORTANT NOTICE
MILFORD, CT 06460 Map & Parcel: 306- 059
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 87 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
homas A. McKean, R.S., C.H.O.
Agent of the Board of Health
Cc: Barbara Childs,WPC/Roger Parsons, Town Engineering, DPW
Enc.
QASEWER connectUtters Stewart Creek Sewer Connects\MA11.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:
http://www.town.barnstable.ma.us/cdbQ (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/PubllcWorksTech/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 connectTetters Stewart Creek Sewer Connects\MAIUNG L.etA Sewer 2Pgs Merged 3-28-13 Yr2015.doc
LOCATION SEWAGE PERMIT NO. .
VILLAGEG -
ate
INSTA LLER'S NAME i ADDRESS 9 U I L D E R OR OWNER
i
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
1
1�1
11/ U
2
o
v
S
-�
Fss............o
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
...............................
Aliptiration for Disposal Workii Tontitrnrtion ramit
t Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage'Disposal
System at
`` Location-Address or Lot No.
....... � ..".�.�.1.... ,�c...................•---•-------------•-----------. ..................JS"�4:/!'�: ,..........._........._..................-
Owner ( ddress
a .............. .- -s--- e/-•"'•----t•.....................
Installer Address
VType of Building Size Lot............................Sq. feet
., Dwelling—No. of Bedrooms..._�-------••-•-----_-____--_-....Expansion Attic ( ) Garbage Grinder ( )
Pk Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtu
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..................... 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 Test Pit.................... Depth to ground water_____-_______-___._____-
(i Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water..__-____-_-_-__--_____.
a --••-----••-------•-••-•••••----•-••-••••--••------••-------------------------------•--••--......---.........................................................
0 Description of Soil........................................................................................................................................................................
x
U --•.....••••••-•-••---•-----•--••-------•--•--•-----•----••------•---•--••-------•-•------•------•-••-••--•-•-••-•-•---------•--------•-----•••-•-•----•--•--------•••--•..................•----••--••.
W ••-••------•-----------------•-----••--------•-•••••--•--•----------•---------------••---•------•---- .........................................•---•---•-------•--•••••-•--•--••-•••----
UNature of Repairs or Alterations—Answer when-applicable.......A'M_IQ......la-'O.,e......10
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance eeft b the board of he
S* n ----•- . •--- --•- .••----- ?..-
Date
Application Approved By--••-------••. - -- ........................................ -•••------ ....--1-J ---
Date
Application Disapproved for the f l ing reasons-----------------------------•-------•-----------------------------------------------------------..............--
.........-•---------•-----....-•--------------------------------------••---------•--------•-------------.._..................--------------••------------------------------------------------------...---
Date
PermitNo...................................................I. Issued-----------•---••••---
Date
No... S-:104 Fizz..... .................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
".�........OF... .�
Appliration for Disposal Works Tontrurtion Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
Location-Address
•--•••••••�L"`�---�':— �....�r..f�?4.'•••...-•••••`-.........•------------------------• •---.....------..7L - _�!...Ip Lot No--•--•---•--- ------...........-----..
or
_ ._.._. ----
Owner Address
IL
...--•-
..._. d ---_.....
Q�
Installer Address "'`
d Type of Building Size Lot............................Sq. feet
U Dwellin No.-"of Bedrooms____._ -____________________ .....Expansion Attic�-•� g— �.7 --.------ p ( ) Garbage Grinder ( • )
aOther—Type of Building ____________________________ No. of persons_._____._:.................. Showers ( ) — Cafeteria ( )
d Other fix
tur s ------------------------------------------------------------------------------------------------------------•----------------••---------•-------
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_____________________ 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 ( )
Percolation Test Results Performed by
a --------------------------------------------------•••----•-----•---•-•---- Date---------
Test Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ---•--•-••--•---••-•--------••-•--•••••---•---••-------••••---•----••-----------------:..-----_..............................................................
0 Description of Soil-------------------------------------•-------•-•-------••---••-••-_•••.=------------------------------------------------.....•.•.-•.------------------•-------------
W
V ..............................•••--•-----•••••••••---------••-------------.........------••...----......•--•---------•.._...-••----------••------------•--•----=---------.....••--••---••-•------•-----
W
x ---•-------------------------------•---••---•---•-•-----------------•-----•-•-•-----•--...•••-•--------••-- -•---------------••-----•----•----•--••---•----•-
U Nature of Repairs or Alterations—Answer when applicable.........4-D0. ----------•------•
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accortlan ewrth
the provisions of TITU 5 of the State Sanitary Code—The undersigned further agrees not to place the system"m'
operation until a Certificate of Compliance h _been_41ssued by the board of hea �~--n--.
D to
Application Approved B .......................................------- ' _ "." ... l
PP PP Y
Date
Application Disapproved for the f o o ing.reasons:...............................................-=------------------------------------------••--•----•---•--••••-
--......--•-----•-----------------•------....._..-•-----------------------.....--------•--••--------......__.._.:-...__..-•--••---•---••-•-----_....--------•--••--•-•-•----•----...Date
PermitNo......................................................... "' Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........................................OF �:a. .'`- �' : ?��...'�.................................
....k
Tntifiratt of Tontpliatta
T.(� TO C&,RTIFY, That_thez-ftVuj Sew, (e Disposal System constructed ( ) or Repaired ( )
installer
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No......................................... dated__..-_____.______.-___._____._____._.__.____i.-
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTI N S TISFACTORY. ,
DATE 1.fas........................... Inspector..............-- .. ....... ------........... 1
F
i
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
7Q ...Qu......''`.........OF._....�.k.�-.- "ns"�C_<...
...............................
t No. FEE..
Permiss>on is hereby granted 'cX �c_.m- .. -f '' '--------------------------------------------••----.
to Construct ( or,Repair ') an Individual Sewage Disposal System
Street
i as shown on 'e application for.Disposal Works Construction Permit No...... .. Dated_ _______________________________________
�#AtE ............................................. Board of Health
RM 1255 A. M. SULKIN, INC., BOSTON