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HomeMy WebLinkAbout0064 STUDLEY ROAD - Health V • p 64 STUDLEY RD., HYANNIS A=306.014 1 �I r� i I �4 ICI i, I yy I No. ! Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 9ppliLation for Vepo8al Opstrin Construction 3pPrmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel q,SITUA ( SA n k to PZ^&1u In ller's Name,Address,and Tel.No. Designer's Name,Addres ,and Tel.No. 'R,01VLCO 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) a C. :5 tan 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 Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal ed Date Application Approved by Date of` Application Disapproved by Date for the following reasons Permit No. c7y Date Issued i No \J�./ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Z,. Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,,MASSACHUSETTS RppYi ation for Misposal bpstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components Location Address or Lot No. / 0% Owner's Name,Address,and Tel.No. Assessor's Map/Parcel C�-�V�( ` 1� sana 4..�1 (��' P4An'(`�.r a�$� Installer's Name,Address,and Tel.No. Designer's Name,Addres ,and Tel.No. TO`QtAt R, 0 04L CA 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) rpm )E�(( s=To�z c. Lw--i tci 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 Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. a S, ned Date — b107 Application Approved by Date Application Disapproved by Date + Yfor the following reasons Permit No. r � 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( ) Abandon4,L by 17 ,V at has been constructed in accordance with the provisions of Title 5 and1he for Disposal System Construction Permit NA ' - dated Installer4 "" �(] �r Designero� #bedrooms Approved design flow gpd The issuance of hi penhit shall not be construed as a guarantee that the system will ft In designed. Date / Inspector V / No. r".V l -- "- Fee s THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) bandon toe") System located at Ij 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 in t be co leted within three years of the date of thisDate ( � Approved�)fermit. i Town of Barnstable Inspectional Services MAM ' Public Health Division 039 A�� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 December 10, 2018 Sandra Pendergast 64 Studley Road Hyannis, MA 02601 IMPORTANT NOTICE Map & Parcel 288-066 This is a reminder that your property at 64 Studley Rd,Hyannis, MA was due for connection to public sewer on 3/30/2018. The property owner was previously notified of the obligation to connect to sewer and to establish a sewer account with the town. Information on Licensed Sewer Installers is available on our web site at http://www.townofbamstable.us/PublicWorksTech/sewerinstallers.pdf Please note the following two permits are also needed to be in compliance: 1) 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) Sewer Connection Permit issued by DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis. Once you choose a contractor/installer have them call Dave Anderson at(508) 790-6244. If you are unable to proceed with a sewer connection you may request a show-cause hearing before the Board of Health. If you would like a hearing, please send, or e-mail, a written petition requesting a hearing to Sharon Crocker at 200 Main Street Hyannis, MA 02601, or sharon.crocker@town.barnstable.ma.us If you have any questions,please call the Health Division at 508-862-4644. Thank you for your prompt attention to this matter. Karen Malkus Town of Barnstable Health Division I mat . ru •. • r� {l1 d a0 F F I C I A L USE Ln 4 Postage $ r ru Certified Fee C3 Posy rk Return Receipt Fee C3 (Endorsement Required) Ln Restricted Delivery Fee r— (Endorsement Required) / 2 C3Total Postage&Fees ru (^� r'� �kY� �. Daniel R. & Sandra M. Pendergast U,. 65 Studley Road Hyannis, ma 02601 Certified Mail Provides: a A mailing receipt o A unique identifier for your mairpiece ' 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 Mail@. c Certified Mail is not available for any class of international mail. e NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n For an additional fee,a Retur 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 ® Complete items 1,2,and 3.Also complete IT- item 4 if Restricted Delivery is desired. Agent ® Print your name and address on the reverse Addressee so that we can return the card to you. B. Received by( rinted Name) C 6ate of Delivery ® Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes t. Article Addressed to: If,YES,enter delivery address below: ❑No DanielSandra M. .Pendergast 65 Studley" oad F.Jyannis, ma 02601 3. Service Type ❑Certified Mail ❑Express Mail ❑Registered ❑ Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (transfer from service label) 7 012 1010 0000 2851 17 2 2 C' PS Form 3811,February2004 Domestic Return Receipt f02595.02-M-1540,f I � _. UNITED STAg€&•PQAL.SERVI First-Class Mail Q Postage&Fees Paid. LISPS- s Permit No,G-10 � . 0-4 I I Se4er. IS]-ease print your name,aaddress;and ZIP+4 in this box+ I Town of Barnstable r Public Health Division t' 200 Main Street Hyannis, MA 02601 I,r�. , i 1,1 I I III jj)i'ii.ijI Ifl,ill-ill fill I',Ifiliiii, 'THE'�ti Town ®f Barnstable Barnstable AgAnaftC Regulatory Services Department j * &UtNSenst.E. "39 ,�� Public Health Division ' A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000 2851 1722 January 13, 2014 Daniel R. & Sandra M. Pendergast 64 Studley Road Hyannis, MA 02601 IMPORTANT NOTIC Map & Parcel 306-014 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 64 Studley Road, Hyannis, MA, to I ublic sewer on or before 3/30/2018. 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 enclosure. i PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health I Eric I ' Q:\SEWER connect\Sample order letters for sewer connection\64 Studley Rd Hy Jan 2014.doc I TOWN OF BARNSTABLE / v LOCATION 5X7e'd/e V /"&ll SEWAGE # VILLAGE ASSESSOR'S MAP & LOT ©6®fY INSTALLER'S NAME&PHONE NO. /� ! SEPTIC TANK CAPACITY g� LEACHING FACILITY: (type) Z-`,5w5 (size) A) 1C�UIC NO.OF BEDROOMS ppJ� BUILDER OR OWNER CIC-- PERMITDATE: /, Q8 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 facility) Feet Furnished by N 4 W CDW N /No. � .r Fee �-0 Y .THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYicatfon for Zigaar *pgtem Congtruction i3ermit Application for a Permit to Construct( )Repair(/)Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 6, Owner's Name,Address and Tel.No Assessor's Map/Parcel #Yalfe-9 v rde�!/ A `� l /Installer's Name,Address,and Tel.No. [� 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 �/40 gallons per day. Calculated daily flow r7 30 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 'ice® Type of S.A.S. � > l Description of Soil #"mod Nature of Repairs or Alterations(Answer when applicable) 7 /���' 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 Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b this B wd Health.. / SignedDate 1J leg Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued 30 No. a '� Fee Entered in computer-.-- Yes THE COMMONWEALTH F MA O MASSACHUSETTS .._ US TTS PUBLIC FiE"A&H DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZlppYication for Mi5po5ar *p!tem ConfStruction permit Application for a Permit to Construct( )Repair(Upgrade( )Abandon( ) [P/Complete System 0 Individual Components Location Address or Lot No. l p� r Owneer's Name,_Adddress and Tel.No. / h Assessor's Map/Parcel '7 t-/ ��,�/5 knvd X Y Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. m,...... Type of Building: Dwelling No.of Bedrooms .?.� Lot Size sq.ft. Garbage Grinder Other Type of-Building ePWrlf No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3O gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /Se©© &—Ld Type of S.A.S. 7— 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 accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b this Board o Health. y Signed Date Application Approved by r 1. Date �1d A�- Application Disapproved for the following reasons Permit No. '� Date Issued THE COMMONWEALTH OF MASSACHUSETTS � ®� BARNSTABLE, MASSACHUSETTS (Certificate of QCompliance THIS IS TO CEP TIFY, that the On-site Sewage Disposal System Constructed( )Repaired(VI"Upgraded( ) Abandoned( )by at / 'S has been const ed in accordance J with the provisions of Title 5 rue and the for Disposal System Construction Permit No. y�'3 SS dated 3 y'g Installer Designer The issuance of this permit shall not be c nstrued as a guarantee that the syst function s esigned. Date "�— CI 9? Inspector ( ,/ ---�r---G--------. .--- -------^�-- No. / ��/ � ------------ 3OCJ JOlq Fee SV, THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS dig ogaY *pgtem (Construction permit Permission is hereby granted to Construct( )Re air( ` Upgrade( )Abandon( ) System located at - ti .S lno_ y / ysi/.�sfs� S and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this Date: � �� Approved by Y 101"7 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF=;SKETCH AND APPLICATION FORA f, DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I. /7— �. ��0� �4 `, hereby certify that the application for disposal works dated 1`o/Q. . concerning the construction permit signed by e- m property located at 6 G✓�-��le /GC GI` �P�99�15 mees all of the - -lowing criteria: /There are no wetlands located within :oo fee:of;,e proposed leacaing facility �Thert- '"here are no privateweils within :J .'eel of:ne:rocosed_eCdC s';sle, s no increase in low anther ::range .n'ise:r000sed A .ere are no varianc.s requested or seeded. c ire _ a7 'eel jf;nv•.ve_ia_�rs :hP ' ct e proposed lvchina - _ faciiir✓ .il 7( ^ .ess-han �f'uuuSed:e3C:ling '"' � '� :CG e-" •• �y� . :):.4G�'3�t�r ta0.l�'�neaJ,�tinn Please complete the following, _ A)Top of Ground Elevation(according:o the Engineering Division G.I.S. mapj B)Observed Groundwater Table Elevation(according to Health Division well inao) 1 1 a • s ... DATE: ® ea SIGNED: .� . LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 4 Y . 3 Rk' [Attach riskeetch plan of the proposed pstera-Also if the licensed installs posessa a catifted plot plan, pltitl p�hOtlld� .. .44 4 v . i 1«# - s ...�,m,��,• �'� i5'�4T"£ .,'�.��,,fY:r..!"t 2 �..�-f ..,4 ti } .^ a ,nr•� ^a 4" �• r.•''ab.� °` ' .°a�,�e+����� �f......�t._ 4 r ., k `e` ^r '�,�¢. ..v ', a r �r x�'� y`'�' 0r :. u 'i .. .rt�p . .,� ". n yd.:.y ..,F"x'�s�d.T F�y'�u"A. n 3•.,µ F�-. x3i �.''m,e zk.,. Y.V•. � r. `i°' Z i JzsIl J r r r .Woe # O O -M-(o j S71400 N � n n -� TOWN OF�B�ARNSTABLE LOCA1 N 7 J � I'Or� SEWAGE # VILLA ASSESSOR'S MAP & LOT j INSTALLER'S NAME&PHONE N0. /�7`?J SEPTIC TANK CAPACITY �Z� LEACHING FACILITY: (type) 1-515 C"Pe,, S (size) /0 X Z-- i NO.OF BEDROOMS BUILDER OR OWNER /CC,- PERMITDATE: all_Vk COMPLIANCE DATE: 1 -30 Separation Distance Between the: i Maximum Adjusted Groundwater Table and 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 facility) Feet Furnished by 13 '�rar aye. Z A1- Z2i A3: A i- i Ali 1 i BLt 3