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0091 HINCKLEY ROAD - Health
9,1 Hinckley Road F Hyann is. No. Fee � � THE COMMONWEALT F MA A U ETTS Entered in computer: U PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIpplication for Thgpozal *pgtem CongtrU:Ction Permit " Application for a Permit to Construct( ) Repair( Upgrade( Abandon( ❑ Complete System ❑Individual Components 0 Location Address or Lot No. / C Owner's Name,Address,and Tel.No. Assessor's MapTarcel Installer's Name,Address,asp Tel.No. Designer's Name,Address and Tel.No. G/es/—z-� .oe?cl—,_5_Dv 3 P,�P, 6 3 34- 11fpe of Building: 50. ��✓`�� 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_et"22y1,0 1—�✓� iBj 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 b t is of ealth. Si e Date 7 AX 4e)o Application Approved by. Date Application Disapproved by: Date for the following reasons Permit No 46Date Issued THE COMMONWEALTH OF MASSACHUSETTS o $ARNSTABLE,MASSACHUSETTS ®� Certificate Of Compliance V, THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by at has been co struccttedd iij gccordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector I , TDN SUN No.. D _ � Fee THE COMMONWEALT�OF4 A&HUSETTS Entered in computer: .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYication for Mi5pogal 6pztem Conotruction Permit Application for a Permit to Construct( Repair( ) Upgrade( Abandon( ❑Complete System ❑Individual Components Location Address or Lot No. q/ OcKIC-k �� J Owner's Name,Address,and.Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. C�6Gr%�`ZL e2PI 570 uC.'77ATI ZIVC. !,a/�S�r'ia✓ mac!.- 5�� 39Z 8334 f$ Type of s 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. , i Description of Soil Nature of Repairs or Alterations(Answer when applicable) - Date last inspected: Agreement: f 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 t is oard of .ealth. Si e ,r� Date 7 Application Approved by r'�"I 4-.. �� Date I Application Disapproved by: Date for the following reasons r. Permit No. /7 /(J " Date Issued ---------- --------------------- ------------ THE COMMONWEALTH OF MASSACHUSETTS 11 0 ® BARNSTABLE,MASSACHUSETTS p Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned b ( ) Y at has been constructed in ccordance with the provisions of Title 5 and the for Disposal System Construction Permit No. n dated Installer Designer dd #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector -----------------------Fee ------- ; No. 42�1� THE COMMONWEALTH OF MASSACHUSETTS (V PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS '711tgponl 6p6tetm Con,5tructton Permit Permission is hereby gr ted to C/o/nst ct ( ) pair ) U grade ( Aban o ( ) System locatedAIC and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty ! to comply with Title S and the following local provisions or special conditions. ti Provided: Cons cti n must be completed within three years of the date of thi p rmit _ Date Approved b Pp Y Town of Barnstable WebMap Page 1 of 1 31#098 311 64500i1 31 E1044 E 4 5 v # 83 311089"5 E , "31 31;1047 ' 31,1099 S7 34 r 311051 #83 311096z. 91 Qn i= 311043 31.1006 . #90h� W 311©48 ,� 311049 i f 311005 f " Full Screen ,Magnify , ZoomEln "; Zoom Out �' 4 P�nnt�Map�-, http://207.190.197.68/Webmap/assessmapO6/TOB W ebMaphiresK.asp?mapparback=addres... 3/7/2006 f Certified Mail#7005 1160 0000 0191 2106 Town of Barnstable Regulatory Services anc Thomas F. Geiler,Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 3, 2006 Jeannine L. Hubbard .PO Box 1.186 Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 310 CMR: 15.000 THE STATE ENVIRONMENTAL CODE TITLE V: MINIMUM REOUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE The dwelling owned by you located at 91 Hinckley Road, Map & Parcel 311-050 (Aka 15 Hinckley Road)Hyannis was demolished. The following violation of the State Environmental Code was observed: 310 CMR 15.354: Abandonment of Systems: No permit pulled to abandon septic system as required. You are directed to correct the violation listed above within thirty (30) days of your receipt of this notice, by getting a septic abandonment permit, and abandoning the septic system at said location. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH cz A�P�^ e^���rj� 2006 Do-/ �I , GJrn omas A. McKean, R.S. ��"d per. Director of Public Health Town of Barnstable QA0rder letters\Sewage violations\91 Hinckley Roaddoc Wle'L21 OW3lOF BARNSTABLE LOCATION /" �lSEWAGE # � r� a3 li - I7 p VILLAGE ASSESSOR'S .MAP r INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY �`�tS��., ii �,s/Z� s�✓ LEACHING FACILITY:(type) .j Ce S] �� (size) NO. OF BEDROOMSPRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No E Cf 0 �. �r ASSESSMS MAP NO: �%� �`Z � FI?as. ....�.� - �{ TH N E MCA TS BOARD OF HEALTH TOWN OF BARNSTABLE 0 �- "ratiou for Di �t tti 3 ,arks C�>au trurtiuu- erutit tion is hereby made for a Permit to Construct ( ) or Repair (/an Individual Sewage Disposal ystem at: / ocation-Ad ress or Lot—No. .- ----n.........................:.......... ............ ....... -----------...---•--•---.._................._---____. r. Owner dress e = X Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms........../-----------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures _______________________________ _ _ 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.............. Z Other Distribution box ( ) Dosing tank ( ) Ic H, Percolation Test Results - Performed by.......................................................................... Date........................................ 04 Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------------------------------•-----------------------•--------------------•---•-••-••-•--•----......................................................... 0 Description of Soil--------•-----•---------------------•------------------•-----------------------------------------------....----------------------...__.....-----•-----•-•------------•- x V -------------------- -------------------------------------------------------------------------------------------------------------------------- -------------------•------------------------------•---- ---------------------------------------------------------------------------------------------------------- ------ ----- V ature of Rep ' or Alterations—Answer when applicable.-._._ ------------ ��-�•-. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compli R �be ' te-bv�frd of health. / / �l ..... �.. ....... ............................... ...1/1..1----------------------- Signedv '� 1 Dac Application Approved B :.::. - ........................ .. . ........................... .....a Dace / Application Disapproved for the following reafons: --------.--- ......... ...... ......... ..... ........................................................... .................... ---------------------------------------------.------- .......---------/--f.--........................ Permit No. ..... ? .. Issued -.....1-./..- ..� .'---��.�� Dace T .._.. - �' _ Fas. Q.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH- ,� f /C ors �. J ��. TOWN OF BARNSTABLE fi , ? lirtttil�u for Uhripw ttl Nnrkri C vastrnrtion Prrntit 1 1� 'Application is hereby made for a Permit to Construct ( ) or Repair ((/�an Individual Sewage Disposal System at: _ I-t yyr.. . ji cation-i�d�lress / or Lot No. ......................-------- Owner _ Address 't..n =5 ��rta�t a --------------- - ----- -- -- -- 1----- s Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms........... .. -------------------Expansion Attic ( ) Garbage Grinder ( ) aa Other—Type of Building No. of ersons---------------------------- Showers g -----------=---------------- P ( ) — Cafeteria ( ) d Other fixtures ------------------------------------------------•----. 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. 3 Seepage Pit No.-.----_. _-------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ 0_� Test Pit No. 1----------_---minutes per inch Depth of Test Pit.................... Depth to ground water...--..---.--.--_--.---- L1, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------_---- 9 --•----•----------------------•---•--••---•....-------•----------•----•------------.........------....----------------------------•-•--••------....----.----- 0 Description of Soil......................................... ----------••-•---•--•--•--------------------------------------•-----------•-----------------------------------............._.. x U ....--••------------•------•---------•------•------••----••-•-----------•-------•------------------•---------•--•-------•---•....-----------------------•---------•--•••------•-----•------•----•--•---- UW --------------------------------------------------------------------------------------------------- --- Nature of Repairs or Alterations—Answer when applicable.... -fin_..... . 5 C>. _....- ` �.. ... ..fit^� --------� � �-e ----....1r .t� . A......( � �c�.L................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be is&ued=by-the-board of health. /51 Signed ........ . .a................._7.... 7- --------------------------------- ---- U..k.,— Date Application Approved B r-----.--- �%� .�%'2.�1 /.�� �" l ....... ....................... .... ---;Date Application Disapproved for the following reasons: ................................................... -- ....... ... ............................ ------------------------------------------------------- ------------............---..............................--------------------------- ------------------------------------------------- .................. ......... // Date Permit No. �f....'-1�.... Issued - 1./....t''.-��- �- .. ... Dare ._--------------—..----`------ ---------------- ----_. — ----.----_,---------� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifi a e of Tompliance THIS IS T� CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired Y ) n Installer at .. 1: ! ��4: 1�......\.�--. �---t------------�-�. -r�� -•..t... ..... has been installed in accordance with the provisions of TITLE of The State Environmental Code as described in the application for Disposal Works Construction Permit No. . —......�_" ` dated .. ." ��..... `��... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED-AS A GUARANTEE THAT THr SYSTEM WILL FUNCTION SATISFACTORY DATE �._1......../`----------- /... Inspector' , - G� -------------------------------------------------------------- --------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE q No.......... .. .......-=- FEE.. Disposal Tunitrurtuan "Urrntit Permission is hereby granted--------,`�.�grhi ... ............................................ ---------------------•---------------------------...._.............---•--... to Construct ( ) or Repair (v)an Individual Sewage Disposal System at No......f .... �( �-----��- •-----. -----•.............•-•----.----- -- --------------- ......... Strce� as shown on the application for Disposal Works Construction Permit�Noj��.1 �1Date�d_.✓�"`� .......���� ..............��if2 a 1 �1 ... ......�'j.....'�.!Li Board of Health J DATE.......----/--------------(-/--------•-----•-•---•------------------------ / FORM 36508 HOBBS&WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map J?"1 1 Parcel ®" Permit# 92 Of Health Division Date Issued Conservation Division Application Fee Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Itl1��d� Historic-OKH Preservation/Hyannis Project Street Address b 7 L7Aiwo �115- 46Lemy zla:4,v,�J Village +4-YWW)5 Owner A_JF �� A Address '5'0 �",Oym �. �01 (Cl�. Au�/.+zr T—dual Telephone 65b9)'77S__ 1 �5631 Permit Request A WD&,dam h " l�✓ ►;ter--s - vrtSjai Oilic /� °79ao Square feet: 1st floor: existing proposed_ 2nd floor:existing proposed Total new L'� a�L Zoning District Vie) Flood Plain Groundwater Overlay CLIP— Project Valuation Construction Type r) Lot Size o"(14 Grandfathered: 0'es ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure 641 114 ' Historic House: ❑Yes M'No On Old King's Highway: ❑Yes �lo Basement Type: O Full 0 Crawl ❑Walkout 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric O Other Central Air: ❑Yes ❑No Fireplaces: Existing New. Existing wood/coal stove: 0 Yes 0 No Detached garage:O existing ❑new size Pool:0 existing 0 new size Barn:O existing 0 new size Attached garage:O existing O new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization 2""'A eal pp # &1i5-f Recorded Commercial ❑Yes ❑No If yes,site plan review# Current Use A64ArWM Proposed Use 3"a' m t L.� BUILDER INFORMATION Name � V CAA, l Telephone Numbers Address PC) 6ex, 2,7_vP License# n s/S77 aA 6;Lq.2, Home Improvement Contractor# Worker's Compensation# _�t/G 9 36Cr8/3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO OV 060 i°& . ta2oJ IDS SIGNATURE v 0 Id