HomeMy WebLinkAbout0069 STUDLEY ROAD - Health 69 Studley Road
Hyannis
A= 306-010
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No. d — Fee u
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ftplication for Misposaf *pstem Construction permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( Complete System ❑Individual Components
Location Address or Lot No. ti 4 5�VC/1 cy IZO Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel kA,111 0 6 —0 0
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(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
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 Boar of Health.
Signed Date /t
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. �J ,3(� Date Issued )
No. d - 3 Fee J
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01ppYitation for ]Disposal *pstrm Con ttuttion Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ❑Complete System ❑Individual Components
Location Address or Lot No. �j 5t v f�. Owner's Name,Address,and Tel.No.
?j t T r
Assessor's Map/Parcel F0^f f 3 4 —0 l 0
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Imo, .r»S I�jfC7�•J
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
�a
Nature of Repairs or Alterations(Answer when applicable)
1
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
.r
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 Boa Health.
Signed /^ Date,
Application Approved by Gg VI, Y Date /
w
Application Disapproved by Date
for the following reasons
Permit No. / ' 3G Date Issued / )Y//,
----------------------------------------------------------------------------- -----------------------------------------------------
TH E COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
!°'�`�'�° 1 Certificate of Compliance
li THIS IS CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned( t T.- exc
at 6 7—laCD\ L 1Z-C) V e N-j It S has been constructed in accordance
with the provisions of Title 5 and the for Disposa System Construction Permit No.2 J 1 dated q 1 121�
Installer p Designer
#bedrooms a ��,/-�'_ Approved design
-flfof god
The issuance of
this pe/ 'it shall not be construed as a guarantee that the system wil�funofi as designed. `
Date l'a L �3 Inspector
----No.---- -- - 7 l---------------------------- -------------------------------------------------------- ---------------
THE COMMONWEALTH OF MASSACHUSETTS Fee
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstem Construction vermit
Permission is hereby granted to Construct^^^(� ) Repair( ) '' 11 Upgrade( ) Abandon( ��
System located at
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:Consstt�ruction m st be completed within three years of the date of this permit I n
Date / �Z y Approved by / � 0�-
TOWN OF BARNSTABLE
LOCATION / SEWAGE#
VILLAGE ! ' _ASSES OR'S MAP&PARCEL
INSTALLERS NAME&PHONE 140.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS 4
OWNERolX
PERMIT DATE: 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 facility) Feet
FURNISHED BY
9 i I
a
o z e
� 0
,
SENDER: COMPLETE:THIS SECTION COMPLETE THIS,SECTION Oki OELIVERY
■ Complete items 1,2,and 3.Also complete nat
item 4 if Restricted Delivery is desired. Agent.
■ Print your name and address on the reverse X Elee
so that we can return the card to you. celved by( Name) Q.p to of PelLery
o Attach this card to the back of the mailplece, uJ
or on the front if space permits.
- -- ----—— - ---n-Is delivery address different from item 1? ❑Y
jBENTJAMIN & SUZANNE BAXTER,�SRj If YES,enter delivery address below: ❑N
69 STUDLEY ROAD
HYANNIS,MA 02601
I � I
Servi a Type
�Certifled Mail ❑� ress Mall
❑Registered LB'Return a dise
❑Insured Mail ❑C.O.D. �
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7 012 1010 0000 2848 12 3 0
(Transfer from service labeq
PS Form 3811,February 2004 Domestic Return Receipt 1,02595-02•M-15
1
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Sewer Connect
d4 Public Health Division
a Town of Barnstable
200 Main Street
Hyannis,MA 02601
rtrrrt�lrr:'Ir1�1�1rr.ijdlllf�jif�'��i�tjrjlj.jrjjljljjjla.j.r(� lr�r
,, .
ru Co Postage $ �PNN'S Q �
Certified Fee ,9
C3 Return Receipt Fee Postmark
O (Endorsement Required) p�Here
Restricted Delivery Fee �! ��, O
C3 (Endorsement Required) '
rq
O Total Postage&Fees $ ell
t�
r BENJAMIN & SUZANNE BAXTER, SR
rC3�- 69 STUDLEY ROAD
HYANNIS, MA 02601
Certified Mail Provides: _
o A mailing receipt ,r
c A unique identifier for your mailpiece
e A record of delivery kept by the Postal Service for two years .
Important Reminders:
e Certified Mail may ONLY be combined with First-Class Maile or Priority Maile.
• 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 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.
e 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
I
Barnstable
W � Town of Barnstable
Regulatory Services Department j"' caC j
• snRrtsr"Pl-�
----- y--Ma&s= $ -- - ----- - ---- ------
Public-Health-Division --------- - -- - - - ---_------------
m
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 -1230
March 28, 2013
BENJAMIN & SUZANNE BAXTER, SR -
69 STUDLEY ROAD IMPORTANT NOTICE
HYANNIS, MA 02601 Map & Parcel: 306- 010
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-69 Studley Road, 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.
=McKean,
OARD OF HEALTH
I C.H.O.
Agenf of the Board of Health
Cc: Barbara Childs,WPC/Roger Parsons, Town Engineering, DPW
Enc.
QASIEWER connectVLetters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc
fR
--- ----------
-----Public-Health-Division -
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/cdba (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.
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 connectEaters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Y0015.doc
Barnstable
°FSHEr�� Town of Barnstable
Regulatory Services Department Al-AmmicaM
9Q MASS. Public Health Division
tj 039.
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Arf0 MA1 a' 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
March 22, 2613
Douglas Brown
PO Box 145
Centerville, MA 02632
Dear Doug:
The Health Division has just reviewed sewer connection permits for the Stewart Creek
area. Several properties are missing abandonment permits, which are needed for the
project's completion and are required by the Health Division. This letter is a reminder to
follow up with our Division for the following properties:
27 Keating Road, Hyannis (Map-Parcel 306-006) Sewer acct#4641
69 Studley Road, Hyannis (Map-Parcel 306-010) Sewer acct#4642
Our records also show missing abandonment permits from 2011-2012 for:
104 Enterprise Rd, Hyannis (Map-Parcel 294-019) Sewer acct#4629
149 Pleasant Street, Hyannis (Map-Parcel 326-053) Sewer acct#4581
Your prompt attention to this matter is greatly appreciated.
Karen Malkus
Coastal Health Resource Coordinator
Public Health Division
200 Main St., Hyannis MA
Email: Karen.malkus@town.barnstable.ma.us
508-862-4641.
Q:\SEWER connect\ABANDONMENT REMINDER LETTERS\Multi Prop Doug Brown Mar2013.doc
69
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