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0031 WOODBURY AVENUE - Health
31 WOODBURY AVENUE, . AYANNIS A= r r 1 ' o i e i ri xq— No. Fee THE COMMONWEALTH OF MASSACHUASETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplitation for Misposal *pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(X ❑Complete System ❑Individual Components Location Address or Lot No. 3 �(�� �y�,�� e�1(t Owner's Name,Address,and Tel.No Assessor's Map/Parcel 30 O 56 3( OU06'0 VC—' 14VAAIAJf Installer's Name,Address,and Tel.No. 5095-4°C 1—FR T 7 Designer's Name,Address,and Tel.No. L°AYeW10C 61J rWKjSZ-;> ,tip/ 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> n0&1 Gkks7 nJ a 5cyric :Y S-c el 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 ealt igned Date �°'t Z").o l Application Approved by Date Application Disapproved by Date for the following reasons Permit No. fr ' Date Issued 7 J ----------------------------------------------------------------------------------------------------------------------- -------------- n, �~ No. I rA I Fee C } ` Ar z THE COMMONWEALTH.OF MASSACHUSETTS Entered in computer: ' Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS RpplicAtion for Mi"osal 6-pstem Construction Permit 4 Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(X ❑Complete System ❑Individual Components Location Address or Lot No. 3( WOOT*v" A VG Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 307 (j S� �Y 3( LVDEQZlijtx KE HYAxIAJf Installer's Name,Address,and Tel.No. 508.14 T Z-r-ir T'? Designer's Name,Address,and Tel.No. CA?=W(t?G h 1�A 1�+ �y Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) 1 Other Type of Building No.of Persons Showers( ) Cafeteria( ) - Other Fixtures y 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) Ag-1Urd) eys7/AICc 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 i Compliance has been issued by this Board of Hea_I . Signed Date Application Approved by Date Application Disapproved by Date for the following reasons - Permit No. f 1 Date Issued Ll ,/ 7// O THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(k)by C -WU lAF_ Gvr�AL(2� - at 3 -- WOOD " AV6 14 has-been constructed in accordance a with the provisions of Title 5 an the for Disposal System Construction Permit No / f a 1 dated 14 f l 1 1 R'— i Installer _NpF4L-X bF Designer NIA #bedrooms'" Approved design flow gpd _The issuance of this permit shall not be construed as a guarantee that the syste will funciion+as esigned. _ Date-^. ,J ` . i / / Inspector No.-- Yf' { Fee THE.COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(x) System located at 31 i/l1 obtC Up_%4 Airf 5 t4yA Jt��s .:, h's and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her du to comply with PP P Y PP gn duty P Y .. •� Title 5 and the following local provisions or special conditions. :, ,` Provided:Construction must be completed within three years of the date of this pe i ; , �# Date l{ �J ` t/ ® Approved by� � r1 A 7 - _ .. Y 1:'.v. "'F .. :.a.: ;. ve+_..._.S,H.-kxmaCLiMI®'1irc•#a. Town of Barnstable Barnstable HWE Board of Health I edea j AR+ BNSPABU- ' 9 MASS. g 200 Main Street, Hyannis MA 02601 1639. .m 2007 Office: 508-862-4644 FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi July 26, 2016 r Ms. Christine Cotell 31 Woodbury Avenue Hyannis, MA 02601 RE: Extension Granted, Sewer Conne-CE16n 31 Woodbury Avenue,°Hyannis Dear Ms. Cotell, You are granted an etension until April 15, 2017 to connect your home located at 31 Woodbury Avenue to public sewer. If you have any questions please call the Barnstable Health Division at: 508-862-4644. Sincerely, Paul Canm , JNM. Chairman Q:WP//Sewer extension Cotell 31 Woodbury Ave 2016.docx 31 Woodbury Ave 307-050 OwnerChristine Cotell Sewer connection Due: 3/30/15 March and April No show-received letters and Sheriff letter,Tom sent letter must attend July Criminal Action? Did not respond to Health Division mailings Sheriff delivered order to appear before board in March BOH extension-Must make rental registration and connect by 7/12/16 Do not have.abandonment permit as of 7/1/16 t Return of Service I,this day served the within Board of Health Show-Cause Service Notice by wasmade at leaving at the last and usual place of abode of Christine Cotell. 31 Woodbury Avenue,Hyannis,MA. Date of Service: May 19,2016 Mailed Copy: May 19,2016 -/A Constable—Process Server Disinterested Person Signed under the pains and penalties of perjury. Service Fee: $50.00 Constable Office P.O.Box 715 Barnstable,MA 02630 (508)362-0098 Fax: (508)362-0188 i i u / Town of Barnstable Barn �ZHe rpm pf-Amedcacnr -� Board of Health 1 1 W v AB i 200 Main Street, Hyannis MA 02601 2007 s ABED m M Wayne Miller,M.D. Office: 508-862-4644 Paul Canniff,D.M.D. . FAX: 508-790-6304 Junichi Sawayanagi May 18,2016 Ms, Christine Cotell 31 Woodbury Avenue Hyannis,MA 02601 _ t FINAL NOTICE AND DEMAND A. 307 050 Dear Ms.Cotell, You are scheduled to appear before the Board of Health on Tuesday, July 12,2016_at 3:00 p.m. at the Town of Barnstable Town Hall,Hearing Room, second floor, 367 Main Street,Hyannis;for a show-cause hearing. This is the second hearing scheduled for your property. Your presence at this meeting is mandatory. This hearing will be held to show-cause why your�r berty the March 31 Woodbury d deadline. Hyannis MA has not been connected to To Y During this hearing, you will have an opportunity to be heard, present witnesses, and' provide documentary evidence pertinent to this case. Failure to comply with an order of the Board of Health may result in further legal action. 4Chairn R THE BOARD OF HEALTH r, M.D. Q:\Legal\31 Woodbury Avenue Cotell FINAL 2016.docx 31 Woodbury Avenue Cotell FINAL 2016.docx r ���Q�vr► ��/1� �°pTHE r°may Town of Barnstable Barnstable Board of Health j�"a`j °"`MASS.STAB", 200 Main Street,Hyannis MA 02601 I MASS. 3,Mgt►�� 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi February 24,2016 Christine Cot:,11 31 Woodbury Avenue Hyannis, MA 02601 IMPORTANT NOTICE : 307 - 050 RE: Second Show-Cause Hearing Dear Christine Cotell, You are scheduled to appear before the Board of Health on Tuesday,April 12, 2016 at 3:00 p.m. at the Town of Barnstable Town Hall, Selectmen's Conference Room, second floor, 367 Main Street,Hyannis, for a show-cause hearing. This is the second hearing scheduled for your property. Your presence at this meeting is mandatory. This hearing will be held to show-cause why your property at: 31 Woodbury Avenue, Hyannis MA has not been connected to Town sewer by the March 30, 2015 deadline. During this hearing,you ,rill have pn opportuflity to be heard,present witnesses, and provide documentary evidence pertinent to this case. Failure to comply with an order of the Board of Health may result in further legal action. If you have any questions please call the Barnstable Health Division at 508-862-4644. PER ORDER OF THE BOARD OF HEALTH cKean, CHO Agent of the Board of Health Q:\Lega1\C0NSTABLE\1ega1 Stewart Creek Connect-31 WoodburyAveHy Mar2016.doc Civil Processing Division 508-362-9578 A Barnstable County Sheriff's Office 3261 Main Street,Barnstable MA 02630 Telephone(508)362-9578 Barnstable,SS March 1, 2016 I hereby certify and return that on 2/29/2016 at 12:55 PM I served a true and attested copy of the within Letter in the following manner:To wit,by delivering in hand to Christine Cotell at 31 Woodbury Avenue Hyannis, MA 02601. Basic Service($50.00)Total:$50.00 t i Deputy Sheriff Ronald Chevalier Deputy Sheriff BOH 4/12/16 Excerpt from February 9, 2016 BOH Meeting I. Hearing —Sewer Connections: . Stewart Creek Properties overdue for sewer connection. A. Christine Cotell, Hyannis owner- 31 Woodbury Avenue, Hyannis Upon a motion duly made by Dr. Miller, seconded by Dr. Canniff, the Board voted to have a letter delivered by a constable requesting the owner's appearance at the March 8, 2016*Board meeting. (Unanimously, voted in fa vor.) *Christine Cotell — move to April 12, 2016 to allow Constable's service.., cc5 kivt /mac Town of Barnstable Barnsta le Board of Health j"`" j W ems"M�`� 200 Main Street, Hyannis MA 02601 �A i639 a`0� 2007 lE0 MA'I s F+ m Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi May 18, 2016 Ms. Christine Cotell 31 Woodbury Avenue Hyannis, MA 02601 FINAL-NOTICE AND DEMAND" Show-Cause Hearing'as!�' w x A=307 OW, Dear Ms.Cotell, You are scheduled to appear before the Board of Health on Tuesday, July 12, 2016 at 3:00 p.m. at the Town of Barnstable Town Hall, Hearing Room, second floor, 367 Main Street, Hyannis, for a show-cause hearing. This is the second hearing scheduled for your property. Your presence at this meeting is mandatory. This hearing will be held to show-cause why your property at: 31 Woodbury Avenue, Hyannis MA has not been connected to Town sewer by the March 30, 2015 deadline. During-this hearing, you will have an opportunity to be heard, present witnesses, and provide documentary evidence pertinent to this case. Failure to comply with an order of the Board of Health may result in further legal action. PER RDER THE BOARD OF HEALTH VV4Vn filler, K.D. Chair n Q:\Legall31 Woodbury Avenue Cotell FINAL 2016.docx 31 Woodbury Avenue Cotell FINAL 2016.docx 2wF- f� � � S"� t has a �'l: e —." �, s Return of Service I, this day served the within Board of Health Show-Cause Hearing Notice by leaving at the last and usual place of abode of Christine Cotell. Service was made at 31 Woodbury Avenue,Hyannis,MA. Date of Service: May 19,2016 Mailed Copy: May 19,2016 Constable—Process Server Disinterested Person Signed under the pains and penalties of perjury. Service Fee: $50.00 Constable Office P.O. Box 715 Barnstable,MA 02630 (508) 362-0098 Fax: (508)362-0188 HOWARD A. COLENUX Constable INVOICE P.O. Box 715 Barnstable, MA 02630 DATE INVOICk# Tel. 508 362-0098 5/20/2016 28679 .� Fax. 508 362-0188 w a Town of Barnstable `Lc Public Health Division- S. Crocker - � 7 r rLn 200 Main Street �� w Hyannis,MA 02601 YOUR FILE/DOCKET NO DESCRIPTION AMOUNT Linda Whitcomb, et al. 50.00 88 Greenwood Avenue -Hyannis, MA 02601 Christine Cotell 50.00 31 Woodbury Avenue -Hyannis, MA 02601 SHOW-CAUSE HEARING NOTICES Thank you for your business. Total /"$100.00 -3��� 407�i IQye� o. �3Ux 6 i /Y7H7mloeJlse-77-) 4'11�ss-. 0,2-7&9 ��.d�%Pf�L dJ,�L.IL��-�S'� lyys9lG'yc1F'G?�Fi' IR } , Q�% P9 / d9� D -I . FimB_Zo_............... THE COMMONWEALTH OF MASSACHUSETTS / w BOAR® OF HEALTH ..........................................OF........................................-----...----.•----------.-----------------•------. a ApplirFatinn for Dispaa al Works Tnnitrnr#inn tIrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( } 41 In ividual Sewage Disposal , Sys t at• .?�. . . . . .. -- ---..... 4����f--------------------- .....: .'. .. Location- ddress �f or Lot No. a • D w _..------•--•---------'.............................................................................. Oner Address --------------------------- ------------'-------------...-------•----.....----•-•-----------.......------..........--------•-- -... Installer Address } dType of Building Size Lot............................Sq. fg�et Dwelling—No. of Bedrooms...__.........................Expansion Attic ( ) Garbage Grinder �) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Gi 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..................sq. ft. N Z Other Distribution box ( ) Dosing tank ( ) t � Percolation Test Results Performed by.......................................................................... Date........................................ ` Test Pit No. I................minutes per inch Depth of Test Pit.----------......... Depth to ground water_-__--__--_-_-__-..____- 7. G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �_. `-------------------------------------------••-•---••--•--------------------•----•-------------.--------.------------•-•----------------=---•-•--------- , "� Description of Soil--------------'------....----------------...------------'--•--•--...------------------------------------------------------------------------------:-•------------------- U W ---------'-----------------------'-'•--•---•----•••----'-------------------------------'--'------'------- �^ U of Repairs or Alterations—Answer when applicable....___ ______________�0 __ ___.. ....... . _ ' �J ------------ ----------------- Nature ----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi.L 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. t: ned ---------------'----................----------------•'--'----------------•--••-•-- -• ........._.... Application Approved ByIthfollowing .... .............................."---------........_........._..-'---- l Date Application Disapproved f reasons-......................................................................................................... 1: .....................................•---••-----------------•--------------------......----••--------......'---'-'.._.....-------•----:------------------'------••-------'---------•---•----•-"--------- Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trtgf rau of (goutphaurr T 1 IS O C RTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired b .. ..... -.-----•-- ...:... :. y In t s alter at_.. application 1 cation for Disposalosal VVorkse with the provisions of T Constru Construction Permit No �.. . 'f/The State Sanitary Co asA ibed in kie �' t� PP P dated-- Z----- -------------------- v THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS;A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ( DATE.......................... ......................... ----- Inspector-- ��? r ---------------•-•---- y FEa..... d:................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................--.............OF......................................................................................... Appliration for UWVosal Works Tomarnrtinn thrinit Application is hereby made.for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ..._-- ..� ........................ •-..-•---------.•.-••----.--•.-••.-••-...._. .-••.-•--•-•----••--•------------.._.._-•- Location- ddress or Lot No. ....-•-------••••••---••••••--•--•••--••--• .............. Owner --•Address a ••..... .......7....� ...... --••--•---------------••••................_..._____•. •••...... .....•.. ---...... ........-••••••••••••-•••---•........••.... Installer Address dType of Building Size Lot............................Sq Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ,�-T---- -- aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) G 1 Other fixtures .................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ xDisposal 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........................................ _ Test Pit•No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pd -----------------------------------------------------------------------------------------------•--...---------.....---...-----.._..........--•-----•-••_•••-- ODescription of Soil......................................................................................................................................................................... x W --------------------- ---------------------------------------------------------------------------- - UNature of Repairs or Alterations—Answer when applicable______ __ _________ ._ ± . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI1 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ned ............... 100 t Application Approved By. ~ ..... ._ . ` _.. Date Application Disapproved f r the following reasons-------------------------------=----------------------------------------------------------------••-••••••••-••--- •--------•----------------••-----•------......----.....-------------------...----•-------------.-.........---------------------------------------------------------------------------................... Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF... ................................................................................ Trrtifiratr of Tuntplianrr T�IS IS 0 TIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired T =-----------•••••-------•...--••••_•• •. -••-••--•••••••----•-•-•-••••••-••-•-••-•--••.............•-•-------_--•- by ..�c .:#. Installer at- .. � �---------------------- - ----------------••••• ---------- has been installed in accordance with the provisions of TIT, r f The State Sanitary Co . as d gibed in the application for Disposal Works Construction Permit No-----.__............�................... dated_-. .. �f�.-�.........._._.._.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.. ---__•.. 3/�5 Inspector:.....�-•�-�-------------............................. * f/ THE COMMONWEALTH OF MASSACHUSETTS BOAROF H A T / J�..........................OF.....'sn .G .. :. --.................................... No ,..... , .!.. FEE v ElifivolI 1 rk C-a1ni#rudion Wrnfit r Permission is hereby granted ....................................------------------------------------------•---------......_............._. t to Construct ( or !Vv>r ( an Ind' idu 1-Sewage Disposal Sys' at No .. Stre t as shown on the application fo Disposal Works Construction Permit _ o...... Dated,,.:::'t! ........................... Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r Barnstable Assessing Search Results Page 1 of 2 �s -go Home: Departments:Assessors Division: Property Assessment Search Results 3 Owner: CORREIA, GAIL Property Sketch Legend Map/Parcel/Parcel Extension 269 /055/ Mailing Address �0 CORREIA, GAIL z %SPOONER, GAIL 25 WOODLAND AVE HYANNIS, MA. 02601 2005 Assessed Values: Appraised Value Assessed Value Building Value: $73,500 $73,500 Extra Features: $3,200 $3,200 Outbuildings: $600 $600 Land Value: $ 123,700 $ 123,700 Interactive Property Map: ap requires Plug in: Totals:$201,000 $201,000 1 have visited the maps before Show Me The April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: CORREIA, GAIL 9/15/1986 5320/332 $75,000 POMEROY,JAMES F 11/15/1982 3618/289 $ 15,000 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $36.48 Town Fire District Rates Other f $6.05 Barnstable-Residential $2.12 Land B. Barnstable-Commercial $2.80 Hyannis FD Tax(Residential) $305.52 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $ 1,216.05 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $ 1,558.05 Due to rounding differences these values may vary http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeS ervices/Finance/Assessing/... 6/1/2005 Barnstable Assessing Search Results Page 2 of 2 Land and Building Information Land Building Lot Size(Acres) 0.16 Year Built 1930 Appraised Value $ 123,700 Living Area 833 Assessed Value $ 123,700 Replacement Cost$98,066 Depreciation 25 Building Value 73,500 Construction Details Style Conventional Interior Floors Carpet Model Residential Interior Walls Drywall Grade Average Minus Heat Fuel Oil Stories 1 Story F A Heat Type Hot Water Exterior Walls Vinyl Siding AC Type None Roof Structure Gable/Hip Bedrooms 2 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 1 1/2 Bathrms Total Rooms 5 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,300 $2,300 BRR Bsmt Rec Room 250 $900 $900 SHED Shed 80 $600 $600 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) E http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 6/1/2005 LOCATION SEWAGE E83P36MIT NO. - Woodland Ave. VILLAGE 1 Hyannis INSTA LLER'S NAME & AD.DRESS Robert B. Our Co. Inc." Great Western Rd. North Harvich, Mass. B U I L D E R OR OWNER James Pomeroy DATE PERMIT ISSUED 3/17/83 DATE COMPLIANCE ISSUED oTZT • r c- `3 33 �-y 15 fix:s+t�.� Pit No. Fee 2 Fee�UU-. ` Uv ,THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: tZ Yes PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS > 01ppYication for 0iopoof bpztem Conotruction.Permit Application for a Permit t Coo D ct( . )R�air( Upgrade�(�) ndT( O C plete System [IIndividual Components Location Address or Lot No. i', Owner's Name,Address and Tel.No. wao �w. _°1'�a1+►�My (�A�:L � S l+v� S QOon� Assessor's Map/Parcel voq Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel No. CQ+��o\,1l �1^�rQr1'ytS £wli� SuPY�y�A� =rtC. p_ 6- Sov yy z3 Ards-14 P g1;L . s.e S-ocs A-a t4ud p0 M4 3 z Type of Building: Dwelling No.of Bedrooms Lot Size OI 3 2 o sq.ft. Garbage Grinder( ) Other 'Type of Building � 'l No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow er 2b gallons per day. Calculated daily flow 34$ gallons. Plan "Date t -26 O Number of sheets I Revision Date Title 2S wood I, w Size of Septic Tank i o0o Type of S.A.S. & 1mt Description of Soil S24- 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 by this Board of Health. Signed C Date S�3t' 200-�- Application Approved by ) Date "' / v_ Application Disapproved for t e following PP PP g reasons Permit No. 2 Uo,5- O`13 Date Issued b, oo— No. Z7. Fee Entered in computed - 1.E COMMONWEALTH OF MASSACHUSETTS Y es J PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIppYication for Miopozar *potent Construction Permit E " Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components A -Location Address or Lot No. ` 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. �5)e S�,r ve y; n Type of Building: Dwelling No.of Bedrooms Lot Size 2 sq.ft. Garbage Grinder Other - Type of Building n� n^ \ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 2 2b gallons per day. Calculated daily flow 3<' gallons. Plan Date -t�s-2 o c7 S Number of sheets Revision Date Title L Size of Septic Tank 1 O QU ' Type of S.A.S. 0. a.V,loos I;:,"51)X&r )17. F Description of Soil' _62' . Nature of Repairs or Alterations(Answer when applicable) • F Date last inspected: Z oo� a 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 by this Board of Health. _ Signed - Date 2 Application Approved by'r Mn,. 1 Date Application Disapproved for the following reasons ,r Permit No. Do S-- I?`/3 Date Issued /n / ------ ---------- -------------------THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS &dN W 1 DA! Certificate of ComplianceTHIS IS TO CERTI Y, that the On-site Sewage Disposal System Constructed( )Repaired ( ,Upgraded( ) Abandoned( )by A �,,,.J�sz LYt`t1(>ft sc < L` at I _Z has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �2(log /3dated Installer r-4n-PA.): c-St- Designer E Ar kg The issuance of this /��rmit hall not be construed as a guarantee that thy' do, as designed. Date 6 /�4= 5 Inspecto���_ No. 2( // �� Fee to Q " THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Di$pozal 6potern Con.5truction Permit Permission is hereby granted to Construct( )Repair( ,upgrade( )Abandon System located at �k< WooMto-A' 1�. 46A.A_% _ 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 ermit. /LI. Dater �, J / > >. Approved by. ` _ �s r` 9/16/03 j' Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, hereby certify that the engineered plan signed by me dated concerning the property located at 2 S iy/^,�r s meets all of the following criteria: • This failed system is connected to a residential dwelling only. There are.no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct deep test holes and percolation tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will-be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) o B) G.W. Elevation +adjustment for high G.W. _ A DIFFERENCE BETWEEN A and B ZS SIGNED : DATE: 5 /� NOTICE Based upon the above information,a repair permit will be issued for bedrooms ` maximum.. No additional bedrooms are authorized in the future without engineered septic system plans. q ASeptic\percexemp.doc 06/16/2005 08:12 5083626506 EAGLE SURVEYING INC PAGE 01 k, Town of Aarn.stable Regi latary Services . Thomas F.Geller,Director Public Iffealth Division Thomas McKean,Director 200 Main Streets Hyannis,MA,02601 Of&A, 508-862-4644 Fax: 508-790-6304 JjistaUer & Designer Certi cation Fo Date: 1.LI& Designer: � p a� WAtA61 pG IwastaUQr: C r `e P-V, i3.v7�7(o3 Address: x 7-V' &A Address: on -�c1 L do e 9 was issued a permit to install a (date) (installer septic system at based on,a design drawn by (address) ,57�Ah-- S dated S a (designer) —ZI certify that,the septic•system referenced above was izistalled substantially according to the design, which may include minor approved CbAuges suet,as lateral relocation of the distribution box an&or septic tank. 1 I certify that the septic system referenced above was installed with major chadges (•.e. greater thaw 10' lateral relocation of the SAS or any'ver6cal.relocation of any comptoient of the scoc system)but in accordance with,State&Local Regulations. Piao.revision or certified as built by designer to follow. eZ'S i 1gper"s,SignAture) (AlEx Arilgnees Stamp Mere) PLEASE RETURN TO BARNSTABLE_ PUBLIC HIALTH X? ION. CERTIVIC � COMPLIANCE WILL NOT BE ISSUED UNTIL BOT TR% 1F'ORMW AND A.S- RuELT CARD ARE RECE�VE BARNSTAB L ALTIRI X1 Si4N. THANK YOU. Q:Soeltls/5tpfi0Da4iFeF catifimfm Form M Re e�,-1 TOWN OF BARNSTABLE Lip 'A'I'ION Wood&n� Aoc g SEWAGE #400-5 .CAGE I�, � ASSESSOR'S MAP & LOT i /.�a a cn,�- ✓rU INSTALLER'S NAME&PHONE NO._ SEPTIC TANK CAPACITY /.SOO se-1 LEACHING FACILITY: (type) off.`5-00 C SUa 1lub (size NO. OF BEDROOMS BUILDER OR OWNER -Tin. � �T'� Soayrntw PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility goo !L 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 a 8 V ts•s� �'Q Q S fl• � o �� h V w a�9j Nc ..3�/...... Finil...I.4...Q4....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .............. own....OF......Barnstable---- --------------------------------------------------- . jiApplirFtiouor Uu l Works Toustrurtiou 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: Woodland Ave. , Hyannis, MA 02601 ................_......_--. ... .......................................... ----......----•-----•-------•-----......••-••-----......------------------------............-•-•-- Location-Address or Lot No. Kenneth Lawrence Woodland Ave.. H 02601 --------------__.........-----.......----......----------•----.........---•--......_... ....................................ya _ A ........-- Qwner Address W A & B Cesspool Service 128 Bishops Terrace, Hyannis= MA _02601 -... Installer Address QType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms....................... ........._..........Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons___-�E_.._..__...__.__.___. Showers ( ) — Cafeteria ( ) Q' Other fixtures ----------------•--------------• - Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic 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.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 •- 0 Description of Soil...._San-------------•-•--•-----------------------•---------•------------------------------------------------------------------------------------------------•----- x U ---•---------------•-----•-------•----•--•-•---...--•--•---------------------------•-......--••-----------•----------••••--•-•--•--•----------------------•-------------------------•----•-•-•--•..••••. W ••-•------------------------------------------------------•---------•-----------•-•-•---------------------•----------.__._...------•---------------••------•------•----•----------------•------•------- VNature of Repairs or Alterations—Answer when applicable____inst-a llatison__Df..a...l,_QDQ..gallc)n..._pxp.-cast stone---packed._leach : The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITALE 5 of the State Sanitary Code— The undersigned further agrees n to place the system in operation until a Certificate of Compliance 1� been issued by the b ar h' • ----- - ------- - - •. ....... -----.......•••.-'-`�. s-- ........6/--3/83.--.... /Date ApplicationApproved By--------- ------ --------------•-•---•--•-------•••-•---.....................-- ................ / --3483........ Date Application Disapproved f o the flowing reasons:................................................................................................................ ......................................................................................................................................................................................................... Date Permit No.83-------------------------------------------------- Issued..........;.-•-61.--3,83-----.....----•-----•--- Date 1 - N,03-- •--- 10..QQ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... ....... .........T..�:...OF.......13a=.stable........------------------......_...............--------- Appliratilan for Diip.aiial Works Tumtrnrtiun Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: _Woodland Ave..,.._ Yannis j-MA_---0260.....•--•.......... __----••---------------•----------------------•------------*• ........ Location-Address or Lot No. Kenneth Lawrence .Woodland AvW.t,...HY. i - -_ 1•----Q6O1......... ---•---•..................... ............ ...---•--•-----•--......_..-•---------•_.... .... --- --- Owner Address a .-A &... • Cesspool Service........................................... ...128..Bishops Terrace, Hyannis1..MA 02601-- Installer Address d feet Type of Building Size Lot_______ S________________ q. Dwelling—No. of Bedrooms....................3.....................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons...4...................... 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................ xDisposal 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. 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........................ 04 ODescription of Soil-•---Saria--------------------------------•-----.......--•-----•-•--•---...---•••-•••-••• •-•-•--••-•••.-• -•--•-•-•---••-•••............--------- x W ---•-•----------------------•---------•-••••---•--•--------------------------------------------------------------------------------•-----------------------------•------•-------•-•-......••----•---•--- VNature of Repairs or Alterations—Answer when applicable____insta-lat2_Dri_.Df..a_.1,.0.00__galloa,.-.preLmeast ... atone---packed.-leagh__(ovQ �.QW)• --•--------------------------------------------------•---•••••-------••-••... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT ILj 5 of the State Sanitary Code—The undersigned further agrees no to place the system in operation until a Certificate of Compliance has)been issued by the b ark 11 ea the Date, Application Approved BY-•••--=- ........ -_mac-` .............................................................. ---_-•---_6/-3/83••------ Date Application Disapproved f o the lowing reasons:-•-••-••--------•----•---•----... •--------•----------•--------•--•-•---•-----•-----------•••--•-•-••-.....---- 1 Date Permit No.83.................................................. Issued..............61._318 --•--•................... Date -•- THE COMMONWEALTH OF MASSACHUSETTS."_ BOARD OF HEALTH .....................Toron..........OF......Barsstable.................................................... (Irrfifirtttr of ft omplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X) by..A_&_E Cesspool Service.,..128..Bishops-_Terrace,--HY rixA -,---I -----Q �Q�--------------------•-----•-------•------- Installer at............. 00dland_.Ave-,•-.Hyannis, MA• 02601 -----•.....K�>s1n h ,awl?a ce-----------•-------------------------•------------ has been installed in accordance with the provisions of TITLE 5 of0 ...... e State Sanitary Code as described in the application for Disposal Works Construction Permit No.......... dated-------6/3/ 3________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU ® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. lDATE...............§f._3*8�---•------..........-•-•---------...------...._. Inspector..--- -........-_....._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 83-�1 ................�s�w..n................OF........Barnstable.......------..........---...................._... No......-••••-•......-.7z FEE...........$..t90 0W.Vusal Works Tonntrnduarc anti# Permission is hereby granted..............A_&--B-ce eSP.Q01_.5erlt1Ce----------.......---------------------........---•----....------•--- ._.. to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at No. --••--••Woodland Ave'-� H�rann ---...9. 91......-" ----.Kenneth_laWL=e....................................... t Street as shown on the application for Disposal Works Construction Permit No..,P, -. Dated..........6/..3/8,3............... ..................... •---.. . -----••-------------------------------------------------------- 61 3/83 Board of Health DATE -------------------------------•--•-----------•-••----•••••........ FORM 1255 A. M. SULKIN, INC., BOSTON ' LOCATION S I W A G E PERMIT N0. �l Z �,vcF 3 3 9 VI L AG EL I N S T A LLER'S NAME A, ADDRESS i I U I L 0 E R OR OWN ER DATE PERMIT 1S3DED ;. DATE COMPL14NCE ISSuED..:, f C Boa O3_`nSS1 33NV111W03, 11r0 o, N3NMO MO Violins } -7 SS311AOr 1 3WrN S-8311 YISNI " rl 30r111A 0 fa ON 1IIlis I is r m 3 s- NOI 1 r 3 01 CSso�9t'� t4lts. )s l -3 TOWN OF BARNSTABLE / � LOCATION ICU . SEWAGE # _� /`_ " VILLAGE <4 ASSESSOR'S MAP & LOQ��-� I INSTALLER'S NAME & PHONE NO. i SEPTIC TANK CAPACITY l f LEACHING FACILITY:(type) (size) { NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER j BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i ,f r l ��� N -�� } � �. ��� 4, c ,,, fl � �� � � �" �, � �V� `lulls �5��� �� � ��� S 0 Town of Barnstable Barnstable °p IMF r°�y Board of Health j e' �j 9"A ti SS. �'g 200 Main Street, Hyannis MA 02601 Dm �AjfD 39. A� 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi February 24, 2016 Christine Cotell 31 Woodbury Avenue Hyannis, MA 02601 IMPORTANT NOTICE : 307 - 050 RE: Second Show-Cause Hearing Dear Christine Cotell, You are scheduled to appear before the Board of Health on Tuesday, April 12, 2016 at 3:00 p.m. at the Town of Barnstable Town Hall, Selectmen's Conference Room, second floor, 367 Main Street, Hyannis, for a show-cause hearing. This is the second hearing scheduled for your property. Your presence at this meeting is mandatory. This hearing will be held to show-cause why your property at: 31 Woodbury Avenue, Hyannis MA has not been connected to Town sewer by the March 30, 2015 deadline. During this hearing, you will have.an opportunity to be heard, present witnesses. and provide documentary evidence pertinent to this case. Failure to comply with an order of the Board of Health may result in further legal action. If you have any questions please call the Barnstable Health Division at 508-862-4644. PER ORDER OF THE BOARD OF HEALTH (:Z WM an, CHO Agent of the Board of Health Q:\Legal\CONSTABLE\legal Stewart Creek Connect-31 WoodburyAveHy Mar2016.doc Civil Processing Division 508-362-9578 yt Barnstable County Sheriff's Office 3261 Maim Street,Barnstable MA 02630 Telephone(508)362-9578 Barnstable,SS March 1, 2016 I hereby certify and return that on 2/29/2016 at 12:55 PM I served a true and attested copy of the within Letter in the following manner:To writ, by delivering in hand to Christine Cotell at 31 Woodbury Avenue Hyannis, MA 02601. Basic Service ($50.00)Total: $50.00 r 'Deputy Sheriff Ronald Chevalier Deputy Sheriff The Commonwealth of Massachusetts INVOICE ;s- 3261 Main Street o � r�wrt6ta6le P.O.Box 729 Bamstablc Village,MA 02630 ;� o Sheriff's Department Telephone:508-362-9578 Civil Process Unit - Paz:508-362-7012 James M.Cummings Phone:5 0 8-862-4644 Please remit to: Sheriff P.O.Box 729 III I III I I IIIII II I III I II II I II III Barnstable Village,MA 02630 Public Health Division-Town of Barnstable (Attn: Sharon Crocker) Amount Due: $ 50.00 200 Main Street Invoice#: 16001301 Hyannis MA 02601 Invoice Date: 03/01/2016 Your File#: PLEASE RETURN THIS TOP PORTION WITH YOUR PAYMENT Payment Due Upon Receipt Writ:Letter Please send a copy of this invoice with your remittance Barnstable Board of Health Invoice#: 16001301 vs. Invoice Date: 03/01/2016 Christine Cotell Serve: Christine Cotell Served by.Deputy Sheriff:Ronald Chevalier 31 Woodbury Avenue Service Date/Time: .02/29/2016 12:55 pm Hyannis MA 02601 Method of Service: In Hand Fees Amount Basic Service 50.00 Total Fees 50.00 Amount Due: 50.00 l- V .X 1J I Page 1 of 1 BARNSTABLE•BOUki,_ /CHATHAM•DENNIS•EASTHAM•FALMOUTH•HARWICH•MASHPEE•ORLEANS Pr%- .OWN•SANDWICH•TRURO•WELLFLEET•YARMOUTH I ' :1t i °Ft►�,Oh Town of Barnstable Barnstable Regulatory Services Department MgmwicaCft • IIA MASS. IE, • I I I I. 7 0 Public Health Division lFD MA'S 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO February 24, 2016 Barnstable Deputy Sheriff's Department PO Box 729 Barnstable,MA 02630 RE: Christine Cotell, 31 Woodbury Avenue,Hyannis Dear Deputy Sheriff: Please deliver the enclosed letter dated February 24, 2016, for Board of Health Hearing Notice, as an"In Hand" delivery to: Christine Cotell, 31 Woodbury Avenue, Hyannis, MA 02601 regarding a show-cause hearing for not complying in connecting the property up to the town sewer. G The billing address for the service is: Public Health Division— S. Crocker Town of Barnstable 200 Main Street Hyannis,MA 02601 If you have any questions,please feel free to call me at 508-862-4644. Thank you for your assistance in this matter. Sending4ny regards to you-all, Sharon Crocker Administrative Assistant Q:\Legal\CONSTABLE\legal Stewart Creek Connect-31 WoodburyAveHy Mar2016.doc Civil Processing Division 508-362-9578 f Town of Barnstable Barnstable �ppIHE►ply !:. n� y�P9. Board of Health j j y L' MASS.M 200 Main Street,Hyannis MA 02601 a ASS. q �AT 639. ►`� 2007 f r+ta't Office:. 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi February 24,2016 Christine Cotell 31 Woodbury Avenue Hyannis,MA 02601 IMPORTANT NOTICE : 307 - 050 RE: Second Show-Cause Hearing Dear Christine Cotell, You are scheduled to appear before the Board of Health on Tuesday,April 12,2016 at 3:00 p.m. at the Town of Barnstable Town Hall, Selectmen's Conference Room, second floor, 367 Main Street,Hyannis, for a show-cause hearing. This is the second hearing scheduled for your property. Your presence at this meeting is mandatory. This hearing will be held to show-cause why your property at: 31 Woodbury Avenue, Hyannis MA has not been connected to Town sewer by the March 30, 2015 deadline. During this hearing,you will have an opportunity to be heard,present witnesses, and provide documentary evidence pertinent to this case. Failure to comply with an order of the Board of Health may result in further legal action. If you have any questions please call the Barnstable Health Division at 508-862-4644. PER ORDER OF THE BOARD OF HEALTH Wean. CHO Agent of the Board of Health Q:\Legal\CONSTABLE\legal Stewart Creek Connect-31 WoodburyAveHy Mar2016.doc Civil Processing Division 508-362-9578 AsBuilt Page 1 of 1 � yid LOC&TIONI : 5EW66C4E PERMIT MO VILLAGE IW5T4LLER 5 U&ME ADDREss GUILDER'S Q &ME &.DDRE5S QQTE PERIAIT ISSUED 7 _J DATE COMPLI W ACE ISSUED : #V4 � 16 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=307050&seq=1 2/3/2016 11 Ln .. ru ru m LFJ M Postage $ 0 01 SP' Certified Fee N /�� ark M Return Pa"`SHn Receipt Fee H�e O (Endorsement Required) 0 Restricted Delivery Fee O (Endorsement Required) f y 1 AV/Vk ru Total Postage&Fees $ r� Sent To C- � C �Q r ^ r , �lr'-i S (� tC_I p Street Apt No.; or PO Box No. J_�_lry,State,ZIP C +4 Av 6 Z &0 1 0.d1(1( 5 i Certified Mail Provides: < o A mailing receipt - - n A unique identifier for your mailpiece o 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 Mail® e Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a 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. m 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 1 •1 ky • • • I ■ Complete items 1,2,and 3.Also complete A.A. S item 4 if Restricted Delivery is desired. 1 `� A nt Print your name and address on the reverse ddressee • so that we can return the card to you. B. Received by(Print ame) C.Dat";of Delivery A Attach this card to the back of the mailpiece, or on the front if space permits. _ D. Is delivery address differ"ent'from"ffem 1? yYe 1. Article Addressed to: k n a If YES,enter delivery,address below: o 'J\ CsJvod �•� Av G�A r\t 5� (y-V— 3. Service Type Certified Mail p Priority Mail Express'°° 0 (pp 1 ❑Registered ❑Return Receipt for Merchandise � ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. (Trans rfromNumbe 7014 1200 0001 0358 2257 (Transfer from service lab PS Form 3811,July 2013 Domestic Return Receipt i f UNITED STATES POSTAL SERVICE I First-Class MaiV j Postage&'Fees Paid USPS I Permit No.G-10 I i • Sender: Please print your name,address, and ZIP+4®in this box* I I I Town of Barnstable jO Health Division j 200 Main Street i Hyannis,MA 026.01 . i I I I 1116111111,1l11,1,f111-1III1111111,1f,f111111111, 111oil Town of Barnstable Barnstable Regulatory Services Department j' ` C j + BARNSTABLE, "tA. Public Health Division i639 `�� m 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scah,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7014 1200 0001 0358 2257 February 9, 2015 - JOSEPH & CHRISTINE COTELL 31 WOODBURY AVENUE IMPORTANT NOTICE HYANNIS, MA 02601 Map & Parcel: 307-050 DEADLINE APPROACHING According to our records your dwelling at 31 Woodbury Ave., 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. 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 SECTIONDELIVERY ,111111 Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse i!J ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date 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 1. Article Addressed to: If YES,enter delivery address below: ❑No JOSEPH & CHRISTINE COTELL'f' %COTELL, CHRISTINE C 31 WOODBURY AVENUE HYANNIS, MA 02601 3. Se Ice Type I, IYCertified Mail P,9press Mall ❑Registered WRetumt�Bac6lp"erandise ❑Insured Mail ❑C.O. 3 a i� 4. Restricted Delivery?(Extra Fee ❑Yes 2. Article Number 012 101 Q M] 2848 12 61, (Transfer from se►vlce.labeo PS Form 3811,February 2004 Domestic Return Receipt 1;02595-02-M-1540 t E I UNITED STATES POSTAL SERVICE. First-Class Mail I Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • I Sewer Connect Public Health Division Town of Barnstable 200 Main Street j Hyannis,MA 02601 ..D ru r. co OFFICIAL USM.I. `a Postage $ru CerpBed Fee ` Return Receipt Fee ff ®Postma LA C3 (Endorsement Required) Restricted Delivery Fee p (Endorsement Required) rq I-3 Total Postage&Fees - t-• `/ �SP� a JOSEPH & CHRISTINE COTELL o %COTELL, CHRISTINE C 31 WOODBURY AVENUE HYANNIS, MA 02601 Certified Mail Provides: o A mailing receipt ` r n A unique identifier for your mailpiece a 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 Mails. o 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. 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. 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". 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 J tHE r Town of Barnstable Barn Regulatory Services Department AFAmeficaC'j snsivsrnsi.e, MASS. - -- -�0�� ,�� --—--------Public-Health-D1Vlslon----- --- - - -- 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 -1261 March 28, 2013 JOSEPH& CHRISTINE COTELL %COTELL, CHRISTINE C 31 WOODBURY AVENUE IMPORTANT NOTICE HYANNIS, MA 02601 Map &Parcel: 307- 050 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 31 Woodbury Ave., 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 THE OARD OF.HEALTH Agent of the Board of Health Cc: Barbara Childs WPC/Roger Parsons Town Engineering, DPW g g g, Enc. QASEWER connect\Letters Stewart Creek Sewer Connects\MAILING L.etA Sewer 2Pgs Merged 3-28-13 Yr2015.doc f —.._.____ 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/cdbg (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/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. _ __.-------_-FQR_AN_Y_.Q_UES_T_IONS_/-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. e QASEwER connectEetters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Y0015.doc 01922 1 MAI 1 4/16/2007 I �; 001 A270368 L0 ❑ Change nil State Incident Date Station Incident Number Exposur. ❑ No Activity ;` LOG'tlOn ❑ Check this box to indicate that the address for this incident is provided on the wildland Fire Module in Section B"Altemative Location Specification'.Use only for wilcland fires. Census Tract 60 i ,.❑ Street Address I I El Intersection 31 �J �WOODBURY AVEN-UE �, _.AVE u Number/Milepost Prefix Street or Highway -� eS Street Type Suffix ® In front of . �` ❑ Rear of (Hyannis '�I�;1�&MA 02601 ❑ Adjacent to Apt/Suite/Room City State Zip Code ❑ Directions IISea St �'° � I ❑ Cross street or directions,as applicable C Incident Type E1 Dates&Times Midnight is0000 E2 Shifts&Alarms 413 Oil or other combustible Local option Incident Type Iliciuid Shill Check boxes If Month Day Year Hour Min dates are the L ( I still u ® Aid Given-Received � same as Alarm ALARM always required I �- Date. Alarm 04 16 2007 10:32 platoon Shift or No OfAlarm�istrict 1 ❑ Mutual aid received I I I I ARRIVAL required,unless canceled or did not arrive 2 ❑ Automatic aid recv. u ® Arrival 04 16 2007 10:38 E3 Special Studies Their FDID Their 3 ❑ Mutual aid given State Local Option CONTROLLED optional,except forwildland fires 4 ❑ Automatic aid given I I 5 ❑-Other al given ❑ Controlled ..® None Their Incident Number LAST UNIT CLEARED;required except wildland fire Special Special ® Last Unit � 112007 StudylD# Study Value '• �.�� Cleared 04 16 11:06 f - .t. 1. L� t Actions Taken C1 Resources G2 Estimated Dollar Losses&Values ii Check this box and skip this section if an LOSSES: Required for all fires if known. Optional for non fires. i I 86Llnvestigate ❑ Apparatus or Personnel form_is used. None' .Primary Action Taken(1) Apparatus Personnel Property I I ❑ 45 (Remove hazard I Suppression 1 3 Contents I I ❑ .,.:Additional Action Taken(2) EMS u 0 J PRE-INCIDENT VALUE: optional 82 LNotify other agencies. I Other 0 0 Property I I ❑ Additional Action Taken(3) Check box If resource counts'nclude aid ❑ received resources. Contents I I ❑ Completed Modules H1 Casualties ® None H3 Hazardous Materials Release I Mixed Use Property Deaths Injuries N None [:-y.::Fire-2 Fire ❑ NN® Not mixed ,y;Structure-3 Service �� �� 1 ❑ Natural gas: slow leak,no evacuation or HazMat actions 10 ❑ Assembly Use ;..: Civilian Fire Cas.-4 2 ❑ Propane gas: <21 lb.tank(as in home BBo grill) 20 ❑ Education use U. Xire Serv. Casualty-Civilian I ,� 3 Gasoline:vehicle fuel tank or portable container 33 ❑ Medical use I J 4 l b Kerosene:fuel i b burring equipment or portable storage `� ❑ Residential use 1vIS-6 ❑ 51 ❑ Row of stores il l llf Die sel fueue o : vehicle fuel tank or portable storag _IazMat-7 ❑ 53 ❑ Enclosed mall Detector 6 Household solvents: Home/offices Ill,cleanup on 58 ;..wildland Fire-8 H2 Required for confirmed fires. ❑ p p y ❑ Business&residential 7 Motor oil:from engi ne ine or portable container 59 ❑ Office use Apparatus-9 ❑ 60 ❑ Industrial use Personnel-10 1 ❑ Detector alerted occupants 8 ❑ Paint:from paint cans totaling<55gallons 63 ❑ Military use f ' 2❑:Detector did not alert them ( 0 ❑ Other: Special HazMat actions required or spill>55 gal., 65 ❑ Farm use ii U❑1 Unknown Please complete the HazMat form 00 ❑ Other mixed use f 3 , Property Use Structures 341 ❑ Clinic,Clinic Type yp infirmary 539 ❑ Household goods,sales,repairs 131 Church,place of worship 342 ❑ Doctor/dentist office 579 ❑ Motor vehicle/boat sales/repairs ❑ 361 ❑ Prison or jail,not juvenile 571 ❑ Gas or service station 161 ❑ Restaurant or cafeteria 419 ❑ 1-or 2-family dwelling 599 ❑ Business office 162 Bar/tavern or nightclub 213 ❑ Elementary school.or kindergart. 429 ❑ Multi-family dwelling 615 1--] Electric generating plant ❑ High school or junior high 439 [1Rooming/boarding house 629 ❑ Laboratory/science lab 215 241 ❑ College,adult j 449 ❑ Commercial hotel or motel 700 [1 Manufacturing plant ❑ 459 ❑ Residential,board and care 819 ❑ Livestock/poultry storage(barn) 311 ❑ Care facility for the aged 464 ❑ Dormitory/barracks 882 ❑ Non-residential parking garage 331 ❑ Hospital 519 ❑ Food and beverage sales 891 ❑ Warehouse Outside 124 Playground or park 936 ❑ Vacant lot 981 ❑ Construction site < = ` 655 0 Crops or orchard 938 ❑ Graded/cared for plot of land 984 ❑ Industrial plant yard 669 Forest timberland 946 ❑ Lake,river,stream "`!` ❑ (timberland) 951 ❑ Railroad right of way 807 Outdoor storage area ' 919 Dump or sanitary landfill 960 ❑ Other street Lookup and enter a Property Use 931 ❑ Open land or field 961 ❑ Highway/divided highway Property Use code only'rf 962 - ❑ 962 ❑ Residential street/driveway Property Usyou have e boxecked a (Residential street,road NFIRS?Revacn03111W " 70368 - EXP 0, 4/16/2007 PAGE 1 OF 2 _- HYANNIS FIRE DEPARTMENT - MFIRS REPORT Person/Entity Involved 1775-1676 Local Option - siness name(if applicable) 'I Phone Number ;. Check this box if I same address as I Joseph I LI I I � I - u incident I�mtion. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three duplicate address.lines. 3 1 J I WOODBURY - I AVE I AVE I Number/Milepost Prefix Street or Highway Street Type Suffix aI I I I (Hyannis Post Office Box Apt./Suite/Room City A 02601 State Zip Code :.L] More people Involved? Check this box and attach Supplemental Forms(NFIRS-IS)as necessary. W Owner Same as person involved? . Then check this box and skip Local Option the rest of this section. Business name(if applicable) - Phone Number Check this box if I I I L I s• a'same address as u LJ "( incident location. Mr.,Ms., Mrs. First Name MI Last Name Suffix Then skip the three I u u duplicate address t lines. Number/Milepost Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code L Remarks: Local Option •:t;; i =MS WITH A MUST ALWAYS BE COMPLETED! ® More remarks?Check this box and attach Supplemental Forms (NFIRSAS)as necessary. a' Authorization 198901 (Eric Kristofferson ICaptain/EMT-I� Suppression 04 16 2007 Officer in charge ID Signature Position or rank Assignment Month Day Year :heck box if me as OV'i in charge. Nil98901 Eric Kristofferson Ca tain/EMT- Suppression 04 16 2007 I II p pp LMember making report ID Signature Pcsition or rank Assignment Month Day Year . 270368 - Exp 0, 4/16/2007 31 WOODBURYAVENUE page 2 of 2 HYANNIS FIRE DEPARTMENT - MFIRS REPORT 01922 1 u 4/16/2007 001 A270368 L ❑ Delete NFIRS - 1S Stale Incident Date ;Station Incident Number Exposut ❑ Change Supplemental K2 Remarks 31 WOODBURY AVENUE Vile were call by a man at 31 Woodbury Avenue who states his daughter said there was a few puddles with oil in them and a discarded can in the road. We responded with E-823- M. Storie, McCormack, and `Kristofferson. Upon our arrival we found a small plastic .trash can that was in the street. The road was dirt with several puddles of water. I believe the plastic can had nothing to do with the hydrocarbon sheen. The can was ;,empty and no indication of it having gasoline or oil in it. didn't smell any gasoline and didn't see and black oil residue. I did see a few puddles with a light 1,',;?-�.F.. ;� inbow colored sheen on it. Indicative of a past gasoline or oil leak from a vehicle passing through. We used some absorbent pads to attempt to pick up some of the sheen. We were able to remove most of the sheen with the pads. We double bagged the pads and I made contact with the DPW to pick them up ;tomorrow. I also called David Stanton from the Barnstable Board of Health to she if he wanted anything lse done. He said he would be on Tuesday to see if there was any other residue that had to be addressed 3E-823 returned to trs. Ca tain E Kristofferson,\,, -,,l`/07� �I I ,j., A270368 - EXP 0. 411612007 HYANNIS FIRE DEPARTMENT MFIRS REPORT A4(,'F 1 BUILDER_5 __.Q.&"E -�-_ .ADDR.ESS. MkTE PERMIT ISSUED — j— 7 � r_D.A.TE-- COMPLI.&tacE_ISSUED /r � � � �s© } �. �� a ���- �t� 4 �. N�6 y�G = Fi$. J11 ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L , ... O F.....G � � �ly° j...................... Ap iration -fur Bhipuiitti Works ( owitrurtion Vane t Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: s� ........ -------•-•------------•-----------'---•-----------------------•-•••---•---•-•-•--......---------- Addtion essca � orA .. Lot Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ---------------------------- No. of persons.........------------------- Showers ( ) — Cafeteria ( ) 44 Other fixtures ------------------------------------------------------..................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic "lank.—Liquid capacity/U 4 .gallons Length................ Width................ Diameter...........----- Depth_.-----------. x Disposal Trench—No..................... Width.................... Total Length-------...._.--_--- Total leaching area--------------------sq. ft. Seepage Pit No------e%�?U--- Diameter.................... Depth below inlet-------------------- Total leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-------_-----_--- ------------------------------------------------------ Date....----------------------------------- ,� Test Pit No. I................minutes per inch Depth of "Pest Pit.................... Depth to ground water....-_------------------ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit....._.....-___.._.. Depth to ground water------------------------ ------------------------ ----------------------- ODescription of Soil.--- = ---� ------------------------------------------ -------------------------------------- ----- V -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- VW ---------------- -------- ------------------------------------------------------------------------------------------- ------------------ - ------ ----------- -------------------------------------- Nature of Repairs or Alterations—Answer when applicable-J.-vi - �� -------------------------------------------------•----------------------=---------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article hI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bpeVissued by the bo rd o h lth. Wwnrw Signed. -- -- --- /! Application Approved BY Date Date Application Disapproved for the following reasons:---•---•----------------------------------- ...................=................................................ ....................................................................................................................................................................................... _-------------- Date PermitNo.------. 6 ---0•--------'----'-•---=----------- Issued............................................-----....... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :C- OF L, = :...... / vzIi.................... . ..... � - Appliratiutt -for R.ipuiitt1 Workii Towitrtirtiuti Prrniit Application is hereby made for a Permit to Construct ( ) or Repair ( kr an Individual Sewage Disposal System at: -'"�—�J --0�-- <n----- ---------------------------- --------- ----------- Im,.;ion-Address L a � ;✓ D . 1 I or Lot No.ar/1 f ' .. % . . ...................... Installer Address Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms._.-_-_-_.................... . .Expansion Attic ( ) Garbage Grinder ( ) a.1 Other—Type of Building ____________________________ No. of persons.--------------------------- Showers ( ) — Cafeteria ( ) Other fixtures W Design Flow............................................gallons per person per day. Total daily flow----------------------------------------....gallons. WSeptic Tank—Liquid capacity...'_jGgallons Length---------------- Width.......--------- Diameter------.--------- Depth.-__.---_.--_. x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........ G�jU-- Diameter.................... Depth below inlet-------------------- Total leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by--------------------------------------------------------------------------- Date---•------------------------------------ a Test Pit No. 1----------------minutes per inch Depth of "lest Pit-------------------- Depth to ground water_.-.__-.._-_---...___. �14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-..-_._----.-_------.--- �Y4 ............. •------------------------------ - xDescription of Soil---- / i/I - . .............. U -----------------------------------------------------------------------------------------------•-------••••-•••••-•••-•-•-••...-----•-•----•-----------------------------------------•------------- -- W ------------------- ------------------------- U Nature of Repairs or Alterations—Answer when applicable.._ '!G''Lo, -rl A--__- i/�?J�2;---"---1::L/ ---------------------------------------------- -----•-------------------------------- U 7 . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b en ssued byAthe bo d o/#hVlth. SignedJ---------------------- ----------------------- ------------nate------------ Application Approved By--.-- /l Date Application Disapproved for the following reasons:------------------•-------------•-------------------.--.-.-.--•-•-----------------•---------•----•------•------- ..............•-••-•••--..._...-----...•---------------------.....--------------••••-••----•-------•----........_...........-----•------••------•--------.._..-••-----------••----------_----•---•...... Date PermitNo........................................................ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS �1 BOARD OF HEALTH f '7G% -z ..........OF... ' ..f....................... uprrtifiratr of Tomplitttire THIS IS TO CERTIFY, That the Individual Sewagg Disposal Sysjem construct d ( ) or Repaired by 1,�_--: �----- ..._� 7t'a °D '. ° .:............................1 ,. �. ....................................... �/)/`tU q �� //!/q Jy A pip Installer i f+ry at..c""`........'F/�l J7J/f_-!-'��'l��J!�C-�__�.�.,!C••_.,...../....�/��P/J!/.�''7...•C:.�-�.................�f�..>-7' -f-- ----••----••--------------- has been installed in accordance with the pro iv sions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-_--._-_-_-��-------------------- dated__.-_-._-.%�__'___ _7-___ ------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--------- - ------•-----------------•--•-------•-------- Inspector----------•---........ .......---------- ----................................ THE COMMONWEALTH OF MASSACHUSETTS .4US1FCT BOARD OF HEALTH J...........OF..._/< �' 17.J:- :.� ... .......... 1/— No........... FEES__2./.Z ..... Permission is hereby granted.... T`- ` f _._ _ 11�� fy? C4'"�.. --''_i/� __� to Construct ( ) or Repair (j an Ipdividual Sewa e Disposal System at No..4���....� fTr� t-Jl�2 _t !1, � Jam: C-,�I.. Street as shown on the application for Disposal Works Construction Permit No---- ...... Dated........_� 7 -7-_--__•.. j�.. ' 9 / - � Board of Health DATE----- /_... �...:. FORM 1255 HOBBS & WARREN.. INC.. PUBLISHERS - 7il 77 7 j 'NO TES . EN`ERAL ACCESS COVERS MUST T BE W1 THIN 9 MINIMUM. - ,_ MUM. N VER T, �'EL E VA T I ONS DES I GN CR I TER IIA 6 'OF FINI�SH GRADE 3 MAXIMUM COVER 101.7 INVERT AT BUILDING: DESIGN FLOW.* 1014. 1 FIRST 2' TO 100.05 � 3 1 BEDROOMS AT 110 G.P.D. PER I rH1 s PLAN IS FOR, THE DESIGN AND CONSTRUCTION INVERT IN SEPTIC TANK: ll,� -M ONLY. BE LEVEL A41N 2' OF PEASTONE 100.6 BEDROOM EQUALS 330 G� P.D. OF THE SEWAGE DISPOSAL SWE 7 OUT SEPTIC TANK: I NV ER T IN DIST. BOX.- 4 DIAM P/m_ 314' - 1 112* DIA, /00.0 DATUM IS ASSUMED. FOR BENCH MARKS NO GARBAGE GRINDER 2. VER T I CAL I NVER T OUT D I ST. BOX: 9.83 o 100.6 T2 DOUBLE WASHED STONE SET. SEE S/TE PLAN. A.' OAS 2> __ 1 -1 97.75 "INVERT IN LEACH CHAMBER.- 99.75 SEPTIC TANK REQUIRED, BAFFLE 3� 1BOTTOM OF LEACH CHAMBER: 97.75 3. ALL CONSTRUCTION METHODS AND MATERIALS AND 2-500 GAL LEACHING. CHAMBERS 330 G.P.D. X 200% - 6*6'0 GAL. 3 OUTLET I NIA STONE AROUND, 12.8r x 25-1 x 2-d !ADJUSTED GROUND WATER. SEPTIC TANK PROVIDED; 1500 GAL. MIN. _5 MAINTENANCE OF THE SEPTIC SYSTEM SHALL D-BOX W14 F TER: NIA CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL 1500 GAL OBSERVED GROUND WA SEPTIC TANK 6' CRUSHED STONE OR !BOTTOM OF TEST HOLE #1: 92.4 $OIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEAL THREOULATIONS. COMPACTED BASE DESIGN PERC RATE ( 5 A41KIINCH 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER SOIL TEXTURAL CLASS - I ' AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER PROFILE : NOT TO SCALE EFFLUENT LOADING RATE'- 0.74 GPDISF 330 GPD 0.74 GPDISF 446 S.F. REQUIRED THAN 3* IN DEPTH SHALL BE CAPABLE OF W1 TH- STANDING H-20 WHEEL LOADS. PROVIDED., 2-500 GAL LEACHING CHAMBERS W14 ' STONE AROUND, A-471 S.F. 5, ALL SEWER PIPE SHALL BE SCHEDULE 40 OR 471 S.F. 0.74 - 348G.P.D. APPROVED EQUAL. 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED -80 SOIL TEST PIT DATA & PRECAST CONCRETE 'AND WATERTIGHT. D X SHALL BE WATER TESTED TO CHECK FOR LEVEL WHEN THERE I ND I CA TES S7 INDICATES I S MORE THAN ONE OUTLET. PERCOLATION OBSERVED TEST GROUNDWATER 'DIG-SAFE". 7. BEFORE CONSTRUCTION CALL TP #1 1-888-DIG-SAFEAND THE LOCAL WATER DEPT, FOR LOCATION OF UNDERGROUND UTILITIES. ar r . 0' HORIZON TEXTURE COLOR 102.4 e0.2 2 4 LOAMY IOYR 6. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE 50 - ..SAND 313 DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION 7. . .................................... 101.8 n. OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE �+102,6 LOAMY IOYR 2-500 GALLOND-Bofors CONSTRUCTION INSPECTIONS. LEACHING CHAMBER SAND 518 W14 STONE AROUND EXISTING 24 . .................................... 100.4 9. EXISTING LEACH Cl MED I UM IOYR PIt to BE PUMPED DRY AND SEPTIC TANk' rp*l, BACKFILLED. SAND 518 10 ll 25, 60- Dk*CA. 10ti 2 4 84 r)y BM CORNER STE EL-103.4 DINING No ROO& No WATER • 92.4 120 uz 8-`D,?O0At I I a f OOp IC2,2 1102.2 45 DATE: APR IL 8, 2005 TEST BY: STEPHEN HAAS PERC RA TE: < 2 MIN/INCH sl. SECOND FLOOR PLAN -AREA !�835± S. F. A44 40, /0 'r7 I X, 4 MARBLE ONDIDH /v 5 E WO 0 D L A 1\1D A VE_1\1UiE- . "AP 20-9 PA R CE /V s RA RAIS 7A 191 jE ( 1-1YA /V "A �f � PRE ORO FN LEGFND OA I L 0 0 IVI- 0 C8 CONCRETE BOUND W- WATER L I NE 00-5 S CA L 2F 20 MAY 16 2 7/ HYDRANT _G GAS LINE - A G .L E SURVEY I NG I Nc OHW- OVER HEAD WIRES L OCUSI LIGHT POST 9123 R a u t e 6A 02-675 Y a r rn(::) u t h p t MA . -E- UNDERGROUND ELECTRIC LINE ( 508 ) 362-8 1 32- T- UND TELEPHONE L I NE UNDERGRO -5 ( 508 ) 4 3 2 -3-33 -CTV UNDERGROUND CAPLEVISION LINE +40.4 SPOT ELEVATION --40--_ EXISTING CONTOUR (401 PROPOSED CONTOUR CALL SAHICFW CHECK CFW DRN: SAH 0 to 40 08 NO: 05-023 FIELD -CFWIEEK L OCUS,'4 MAP Fj j97.75