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Health Master Detail Page 1 of 1
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Health Master
Logged In As: TOWN\malkusk Health Master Detail Wednesday,March 28 2018
Application Center Parcel Lookup Selection Items
Parcel Septic Perc Well Fuel Tank
Parcel: 306-013 Location: 72 STUDLEY ROAD, Hyannis Owner: CORBETT, LILLIAN M
Septic 1 j New Septic...
Permit number: 2015-080 � Y Permit type: Iselect type Lrq Complete system: ❑ _
Issue date : Complete date : 9
Septic tank size: I Type/Size of SAS:
Installer: ICapen, Richard M. , Capewide Enterprises, LLC v Card on file: ❑
I/A service type: ISelect service v Innovative/Alternative Technology type: Select IA type v
Variance date : Abandon complete date : 9/9/2015 Abandon permit number: 2015-080
Repair deadline date : I I Repair notification date : Keyword:
Comments: Delete Septic
New Inspection...
Number Inspection Date Inspector Result
0 I Select Inspector v Select result v l
Received Date Comments
3/28/2018 EIS
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Save Septic Changes Return to Lookup
http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=306013 3/28/2018
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Tracking Number:70141200000103585081
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February 18,2015,11:57 I
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VE Town of Barnstable Barnstable
Regulatory Services Department j edeaC j
STABLE,
39. g Public Health Division
i639. m
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7014 1200 0001 0358 5081
February 9, 2015
LILLIAN CORBETT
72 STUDLEY RD IMPORTANT NOTICE
HYANNIS, MA 02601 Map & Parcel: 306- 013
DEADLINE APPROACHING
According to our records your dwelling at 72 Studley Road,Hyannis, MA, should be
connected to public sewer on or before 3/30/2015. This is a reminder that all permits
need to be in place before this date 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) 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.
LIMITED TIME FOR SAVINGS ON GRINDER PUMP
The Department of Public Works (DPW) is still offering grinder pumps at no charge, if
you obtain your permits and connect to sewer promptly. (This can save you thousands of
dollars, but this offer will expire.) Please note: You must pay the installation cost of
the pump through Xour own contractor.
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.
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
'At NwNeL 0 qlqio- oV15—oFo�`,
L CATION SEWG PERMIT NO.
21 ,57'uGk-Y
VILLAGE
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INSTALLER'S NAME B ADDRESS
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DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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COMMONWEALTH OF
THEBOARD OF HEALTH
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OF............. ..............................................._...._................._...
Application for Uhipoga1 Works C omlrnrffon Famit
Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal
System at:
.45-r ........A .tVX��►� S
Location-Address or Lot No.
1 A�!i ............ .........._-..............
!.Y._9 c�-1y f? . �.�...._.. •• •-
Owner _ Address
a -----•.... �_ 1.�`'®.....1. 4?� '!'`�C'..................... .............. '9 'S_ �� ....1`2�. 3
Installer Address
d Type of Building Size Lot...........................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—Type of Building ............................ No. of persons............................ Showers — Cafeteria
a Other fixtures ..........................................
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
GG Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
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.................•----•-•-•----•---------•----•--•-------•-•-----•-•--••-• Date........................................
aTest Pit No. L_______________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........................
R,'
0 Description of Soil........................................................................................................................................................................
x
U ----------------------------------------------------
•-----------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-----.
V Nature o; Repairs or Alterations—Answer when applicable...........4.40.......... .. ............ ..
7`(h ---------r;�---------- _ Lf 'L7"5---------------------------------------------------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of i?HE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been ' s by bard health.
Signed-•-• •• . --- •
Date
Application Approved B �.c-r-- .J --•----•-
PP PP Y ^-�
Date
Application Disapproved for the following reasons---------------••-------------------•------------------•------•----------------------..........................
..------------------•----------------------•-----------------------------------------------------------..__....-----------------...-----------------------------------------------------------------•---
Date
PermitNo........T.7.. L9.7.3................... Issued.......................................................
Date
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........OF......
1-zt c '`Q
...................-..........................
Applirtt#inn for Bisp.a iial Workii Tomtrurtiun rrnti#
Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal
System at:
Location-Address or Lot No.
............. f UI2/. Ell 6a------------------------------------- --................-- 1�.� /9r±_n,%5 f9 t'��s 5-----------..•..•...--------
....
Owner Address
- .....
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.....�...................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures ................-------•----...
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................
Disposal Trench--NTo. .................... 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..........................
(Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ................•----------------------------..•---
0 Description of Soil..........................................................•------------•---.....----------------------------•------------------------------------------•----•----•--•...
x
U •--••-•••••--••••••--•----•------•--•-•-----••-•--•--•-••-•.....---•--••••.........-•-----------•-•--•-----•-•--••-•--...•••--•----•-•----•••.......--••-•---•-•--•-•-•••••---------•-•----------------
W
U Nature of Repairs or Alterations—Answer when applicable.--____-__ 11-____---._ ............r.()............
-1{---T!d`-t� -:;L........4....-....... T .:...-• ...........................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'TTLE ; of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been ' s bell and f health. // yy
. /... .. ..... .
Date
Application Approved By••••..... -a �t �----------"�_-'I---------•----------------- 1� Date
Date
Application Disapproved for the following reasons---------------------------------------------------------------•--------------------------------------.........•-
•--•----------------------------------------•------------•---------------•---.........--.............-----•....----•.....-•••-•-•...••••--•••••....••--•••-•••--•••-••••-----------------------......_..
Date
Permit No... ..Q-.. - ----- �.. -. Issued._.. -•---- ._..
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEA�L�TygH
kTrdifirtttr of Tnntplittnrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired �}
by... -/.- Yv"'�> ----------•----------•------•-----•-----------•..................•-••••-••••---•••-----•---•••-...--••--•--...--••------
ler
at.-----••-•-•-.........�-.-•..... �.� t• ............
s..`.. .........�..........ITT ITT..........................................................................................
has been installed in accordance with the provisions of 1I i E 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No._......Ei.-7...:.._��.�.... dated________________________________________________
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY. �
DATE................... j' ...................................... Inspector............./N" _
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
. ".��. :AJ Gh-�-............OF.....i.` .C? � r �......................................
No.. FEE.........
-� ...
Disposal Works Tun#rur#uan rrntit
Permission is hereby granted.......16 Z�'1 ts. 1r..... 1.-•----•----------------•-----•------------------------------.....---•-----••.....................-•-•--.
to Construct ( ) or Repair an Individual Sewage Disposal System
at1�T0.............�... `' --•--...... '...1.�':� .._......J. �?_.. v.ti=l`` --•-•------....-----------•.........------........................................
L Street as shown on the application for Disposal Works Construction Permit No.F) /4 .75.E Dated...........................................
rA3 Board of Health
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS