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Home My WebLink About0005 HUCKLEBERRY LANE - Health 5 HUCKLEBERRY We MARSTONS MILLS _ A = 102 125 I C TOWN OF BA.RNSTABLE LOCATION S 1IIC1616 Pf_r 161. SEWAGE # VILLAGE—A /L�i��S ASSESSOR'S MAP & LOT L�2 '1Z4_ INSTALLER'S NAME&PHONE NO. o�oJ SEPTIC TANK CAPACITY lfzy LEACHING FACILITY: (type) XW.1 �y� (size) /a 930°4> , NO. OF BEDROOMS BUILDER O OWNER D/ N PERMTTDATE: S' ZDO COMPLIANCE DATE: 7 100 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility r 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 C i ,. .?-� ...�- ------{G� � � � L. J �r `�� '� `' i �s b,. � �'� V� ' ( t ! /7�� i � 7 � � ® \ � ® ,,, _�. y � 1,^1 �� PC ,� ,. Town of Barnstable ® Health Division � ® I /® Arr+e+r aovvEs O 200 Main Street Hyannis,NIA 02601 r 02 1 A $ 00-410 0004606238 JUL 31 2007 MAILED FROM ZIP CODE 02601 we LA3^ �o��y , m(�r a-LX3z NIXIE 022 DC 1 OO 08,J09/0'7 RETURN TO SENDER ATTEMPTED - NOT KNOWN UNAGLE TO FORWARD 1 ! BC: 02601400200 *172.2-07330-01-42 1 r 3•t Town of Barnstable Regulatory Services Department B,RWNAB , : Public Health Division• 9$ 59 A 200 Main Street, Hyannis MA 02601 ArFO MA'S Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Stephen McHugh. 6-8 Tarleton Street W. Roxbury, MA 02132 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the 'rental property at 5 Huckleberry Lane, Marstons Mills. Enclosed is an application. Please use a separate application for each rental unit youf rent<out.l Should you need more applications, they are available online at www:town.barnstable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page.x You may print out as many as you need, and return them to the Health Division with the appropriate 2007 fees included. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to give us a call. Thank you in advance for your cooperation. Sincerely, CUt ie - Health Division(Assistants -. J j. �,:yt :;nr�Health Director�:,r,�_ 1;, : ,t% .r "I .. c , ��. . T . • to z/z� No. Fee THE COMMONWEALTH OF MASSACHUSETTS c Entered in computer: s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zippiication for ;tgpool *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade Abandon( ) 9/complete System ❑Individual Components Location Address or Lot No�-1141c4wPil?,�Y 6 0 . Owner's Name,Addressss and Tel.No. Assessor's Map/Parcel 5�9�Jr J/1`r /' -� 6 le� Installer's Name,Address,and Tel.Np. �J Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ?J Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow /lV gallons per day. Calculated daily flow cJJ�' gallons. Plan Date Number of sheets Revision Date Title r 1 Size of Septic Tank ----Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued y this ar of Health. Signed Date Z Application Approved b- 1VDate -,'j3'" Application Disapproved for the following reasons Permit No. rpext�lw K _CF� Date Issued !::�i '` � TOWN OF BARNSTABLE i LOCATION SEWAGE # i VILLAG ASSESSOR'S MAP & LOTI�Z INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY If lei4� LEACHING FACILITY: (type) (size) NO. OF BEDROOMS I BUILDER O OWNER f7i �f PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: -; Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility F4— 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 hC i o t I 1 - .i No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS s 01pprication for Mioponl bpotem Conotruction Permit Application for a Permit to Construct( )Repair( )Upgrade(Y)Abandon( ) P Complete System ❑Individual Components Location Address or Lot No�. "� ��H�///�{ Owner's Name,Address and Tel.No. Assessor's Map/Parcel �a�JC��✓��S'J"/j�/S- /�w D I e� Installer's Name,Address, Tel.Ijo. �� 5� Designer's Name,Address and Tel.No. rJ/1 /y 7 7/ Type of Building: �, Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(�`Y� Other Type of Building Af31 t1f#ef No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 44 gallons per day. Calculated daily flow �. gallons. Plan Date Number of sheets Revision Date Title _ Size of Septic Tank 15 Type of S.A.S. /®X��X J Description of Soil y" H�/�fl4f0✓S /i/ �Cgd, 0 Nature of Repairs or Alterations(Answer when applicable) i Date last inspected: J p 111 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 y this ar- of Health. Signed t% Date Application Approved b aLf Date '' Application Disapproved for the following reasons Permit No. �l�D-'� � Date Issued " THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS u Certificate of Compliance / THIS IS TO CE TIFY,that the On-site Sewage Disposal System Constructed( )Repaired(Upgraded(v) Abandoned( )by ®r �� G�iTS�' at J01 / '�`Srd�1 �/�5 has been constructed in accordance , with the provisions of Title 5 and the for Dispos System Construction Permit bT1 �1 dated -�� Installer The issuance of th) e t shall iYot be construed as a guarantee n that the�t m will function as de 1 gneW,1,671349 Date ✓ /�>�/'1� Inspector 1i1 '� Av / v UV Vf U _ No.�yi"g ———————————————— Z /� Fee F 7. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Y; Miopooaf bpotem Con.5truction Permit rj Permission is hereby granted to Co s c ( )Repair )Upgrade(V15 Abandon( ) System located at - � / /�, 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. 'k Provided:Construction must be completed within three years of the date of this ' Date: 6 -,� Approved b , �r x •Via: NOTICE: This Form Is To Be-Used For the Repair Of Fail ed )lied Se`tic Systems Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) L �Ob�l'� J • kn' — 6 hereby certify that the application for disposal works aPP P construction permit signed by me dated ��Z �OD concerning the property located at ✓� �t ��e��l /�, e' /ty5'9// eets all of the followins criteria: iv/T'ne failed system is connected to a residential dwellingonly. There are no comme:cai or business }ses associated with the dwelling. a soil is classified as CLASS I and the percolation rare is Iess than or equal to J minutes per inc:i. here are no wetlands within 100 feet of he proposed sectic system There are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change in use proposed L/There are no variant`s requested or needed. l✓ The bottom of the proposed leaching facility will not be located less than five feet above the ma.,dmum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptcr ' /meth od when applicable] If the S.A.S. will be looted with 250 feet of any vegetated wetlands, the bottom of the re s p po ea leaching facility will not be located less than fourteen(14)feet above the ma durum adiusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W.Elevation 7 l�— +the MAX high G.W.Adjustment. 7 _ �Z DUTERENCE BETWEEN A and B l 7 SIGNED DATE: [Sketch Proposed play of system on back]. 4:hub folder exit I - �v o s.� H- 4(-VS rS £ z(Ir1 ;t azw