HomeMy WebLinkAbout0062 COACH LANE - Health LAA
COACH LA. , BARNSTABLE
- 298 087
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pF1HE Toy, Town of Barnstable
Regulatory Services
• eMxxsrnsLE, •
y MASS. g, Thomas F.Geiler,Director
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A'Eo �A Public Health Division
Thomas McKean,Director
367 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
November 13, 2001
To Whom This May Concern:
This letter is written to state that Mr. Warren Miranda installed the septic system located at 62
Coach Lane, Barnstable. The septic system was inspected on January 26, 2000 by Donna Z.
Miorandi, R.S., Health Inspector for the Town of Barnstable. The septic system was installed
properly and permission was given to back-fill the site.
The septic permit was issued to Mr. Rodger Roberts of Mid-Cape Septic.
Sincerely,
Donna Z. Miorandi, R.S.
Health Inspector
°F rw,ti Town of Barnstable
Regulatory Services
• BABNSfABL& •
9 MASS. g Thomas F.Geiler,Director
�A s6gq. �10 lEoY Public Health Division
Thomas McKean,Director
�_'367 Main'Street, Hyannis,MA 02601
Office: 508-8624644 Fax: 508-790-6304
November 6, 2001
To Whom This May Concern:
This letter is being written to state that on November 18, 1999 a disposal works construction
permit was issued for 62 Coach Lane,Barnstable to Miranda Construction along with Rodger
Roberts of Mid-Cape Construction . It was issued in this manner due to the fact that Warren
Miranda was not and still is not a licensed septic installer in the Town of Barnstable. Mr.
Miranda stated that he would be doing the job under Rodger Roberts license.
The septic system was actually installed on January 26, 2000 by Warren Miranda. Donna Z.
Miorandi, R.S., health inspector for the Town of Barnstable inspected the septic system and
passed it. However, the certificate of compliance was not issued due to the fact that we had not
obtained an as-built card from Mr. Miranda. This department became aware of the fact that
Rodger Roberts was not on site during the construction nor did he have knowledge of the system
being constructed at the time.
Mr. Miranda stated to this department that he was going to come in and take the.test to become
licensed in this town. He never came in to do so however, in the interim Rodger Roberts
submitted an as-built to this department.
Mr. Peter.Agostinelli, in the meantime, was closing on his house and needed a certificate of
compliance. I told Mr. Agostinelli that I would release to him only, a COPY of the certificate,
with the understanding of the predicament that he was in but would not release the original nor a
copy to Warren Miranda since he is not licensed in the Town of Barnstable.
Sinc ,
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Donna Z. Miorandi,
Health Inspector
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THE COMMONWEALTH QF MASSACHUSETTS Entered in computer Ye
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UBLIC HEALTH DIVISION.- TOWN OF BARNSTABLE. MASSACHUS'ETTS .
Zlpprication for Migo,5af *p,tem Cott.5truction Permit
nU pplication for a Permit to Construct( : Repair{ )Upgrade( )Abandon( . ) - omplete System O Individual Components'
Lora on Addres r Taot No/. wner's Name,Address and el.No.
Assessor's MaPl arcel ,O 8 3 22r gin,M
JU
vvvt $j
Installer's Name,Address,and Tel.N". esi ner's Name,Address and Tel. o.
�y� Q y ,o 6 9
Type of Building: 5! U
Dwelling No.of Bedrooms of Size S sq. ft. Garbage Grinder( )
Other Type of Building 'n, No. of Persons Showers( ) Cafeteria( )
i Other Fixtures
Design Flow 410 gallons per day. Calculated daily flow 4 U gallons. .
Plan Date -, - � Number of sheets Revision Date
Title
Size of Septic Tank 00 Type of S.A.S.
Description of Soil / (�' 4'" 4i "�,42 1 /� OCNAMJ 3S6 /n, 00UA
lit ,{Y ad� ti. j' l rtP Iye" 5gn0
Nature of Repairs or Alterations(Answer when applicable) ;
Date last inspected:
Agreement:
x
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 En r nmental Code and not lace t ea operation until a Certifi-
cate of Compliance has been is su d by is Boar of a _.-
Sig .7
ned Date
- Application Approved by - - Date
Application Disapproved for the following reasons
Permit No`. _ Date Issued l—
- - ———————————————————————————————————————
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
'Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired( ) Upgraded ( )
Abandone ( )by
at 6 2- -G G( has been constructed in acc nce
with the provisions of Title 5 and the for Disposal System Construction PermitNo. ' 7 7 dated
Installer Designer
The issuance of this'pe i I of a 'ns as a guarantee that the 9te �il-fu ti as ygne Je
Date � Inspector r
,�
Fee ( �yi
THt COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION.- BARNSTABLE, MASSACHUSETTS '
i oar �bp-qtem, Con.5truction Permit
Permission is hereby granted to Construct(�epair )Upgrade(; )Abandon( )
System located at 2v
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 permit.
�1-�9-gip
Date: Approved by
TOWN OF BARNSTABLE
0
LOCATION C.d 4LZ .ate SEWAGE # � 7
VILLAGE Al'Kk ��,a�Cp ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE NO. Mid.. co✓!p J'e- �� (!D�
SEPTIC TANK CAPACITY ,/Tb 6 /
LEACHING FACIL=: (type) ' iglo lle(A f (size)
NO.OFBEDROOMS—
BUILDER OR OWNER -P,�C' 'OEi .'
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the: J/
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ti0 4z4- '�1 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
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< (�� THE COMMONWEALTH QF MASSACHUSETTS Entered in computer:
Yes
�UBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS
Q� Rppltratton for W6poear *pgtem Construction Vermtt
P0 pplication for a Permit to Construct(VI/Repair( )Upgrade( )Abandon( ) omplete System ❑Individual Components
Loca on Addres r Lot No. --Owner's Name,Address and el.No. -0
Assessor's Ma arcel
Installer's Name,Address,and Tel.N l `tt a p%cr's Name,Address and Tel.,No.
MIA
Type of Building: $% /G Z
Dwelling No.of Bedrooms of Size l sq. ft. Garbage Grinder( )
Other Type of Building ��a i�cr'� e C No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 0 gallons per day. Calculated daily flow qY 0 gallons.
Plan Date Number of sheets Revision Date
Title ~'
Size of Septic Tank /S, —00 !Ft • Type of S.A.S. •,
f/ J�
Description of Soil /0!!2 nne-
If Ocx�n. 3� /n� OotLrti Zoe. F-0�0
1'4 4 " Oawni CcmiA",� A4ea �� �
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 lace t operation until a Certifi-
cate of Compliance has been issu d by is Boaz of
Signed Date
Application Approved by C Date
Application Disapproved for the following reasons
Permit No. Date Issued
------
TOWN OF BARNSTABLE
LOCATION C d�,L SEWAGE # 7
VILLAGE P vt A ,�f1 cr(� ASSESSOR'S MAP &LOT I
INSTALLER'S NAME&PHONE NO. nrj���7 1J 'Tea G�
SEPTIC TANK CAPACITY / 4
j
LEACHING FACILITY: (.type) �'it /-P� r (size)NO.OF BEDROOMS BUILDER OR OWNER I�/I-P` L' yi,7 Oft iid ea4cr )
COMPLIANCE DATE:
. .. PERMTT.DATE: ����_
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of,Leaching Facility yU `✓'� �� 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
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Fees q.
uter:
THE COMMONWE4LT1.1 r,OF MASSACHUSETTS Entered in com p Yes
'6�rPUBLIC HEALTH HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
l�61 attou for t5 o5aY *pgterrY �Cor�gtructtou ertrYtt
0 Application for a Permit to Construct(volRepair( )Upgrade( )Abandon( ) KC
omplete System El Individual Components
Loca on Addre r Lot No Owner's Name,Address and Tel.No. �O — r
6�� 4 h>U + R+ c In e s�8�z
Assessor's Map arcel
Installer's Name,Address,and Tel.No. esigner's Name,Address and Tel.No.
I C�e'e
( 'I! 07
o�Aaa GK�//v� 2
Type of Building:
Dwelling No.of Bedroom ` Y Lot Size S sq. ft. Garbage Grinder( )
Other Type of Buildings , a 6 No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow/1 0 gallons per day. Calculated daily flow 414U gallons.
Plan Date - I- �� Number of sheets Revision Date
_Title S
Size of Septic Tank Type of S.A.S.
Description of Soil [/ Q SG-4 . /d 41,Ic A,, 00
,A A120 Qj V/, !�n ru2l� /?_> M F✓J S�rl l7
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 lace the sys operation until a Certifi-
cate of Compliance has been issued by 9fis Board of
Signed - , Date,l� f 6r
Application Approved by Gam-, Date "
Application Disapproved for the following reasons
Permit No. - -7 ` Date Issued /l'
f THE COMMONWEALTH OF MASSACHUSETTS
_ a
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( )
Abandoned( )by
at K2 CO-G h Z .1 6n, H has been constructed in accordance.
with the provisions of Title 5 and the for Disposal System Construction Permit No. " ?7 7 dated R /7—9
Installer Designer ,
The issuance of this permi s 'll of e c ns as a guarantee that thee ill funyctio as d s gne
Date Inspector
No. ( ! _ ��7 ---------------------------------
Fee ` oi
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
1=i!5po!5ar *patent Con.5truction Permit
Permission is hereby, ranted to Construct(Repair )Upgrade//( )Abandon( )
System located at e ✓�/ Z, All / v) co a x
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 permit.
Date: (l— / Approved by
4.4' II.G• ID•C• ___— ID:1: 13:b' ,4.0', -
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TH- I cu 7 'H• 2 .ram,/v 7 6 . ALL CONSTRUCT i ON 11< T A I LS TO aE IN CONFOP,MAN� F WITH MA . F�rV I RONMENT.�I.
COC F ( TITLE V ) ' OCAL 'r ', ' T l ONS .
y1GaiIJS �� h���yy 8 7 . COATRACTOR TO VER I r LOCA r 1 �". OF ALL UT I L I F I ES PRIOR TO CONSTRUCTION .
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,'•a s s o c i ate S " 508.831•0041 .. ,
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.• DATE �.��� HEALTH AGENT .�• 320 �otuit Road
.a; _ Sandwich, MA 0256
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