HomeMy WebLinkAbout0057 AUTUMN DRIVE - Health 5 ' AUTUMN DRIVE, CENTERVH LE
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UPC 12534
No.2-15_3L.OR
HASTINGS,MN
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Health Complaints
25-Aug-98
Time: 2:00:00 PM Date: 8/24/98 Complaint Number: 1517
Referred To: GLEN HARRINGTON Taken By: GLEN HARRINGTON
Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE
Article X Detail:
Business Name:
Number: Street: Autumn Drive
Village: CENTERVILLE Assessors Map_Parcel:
Complaint Description: Town is dumping road oil and gravel on a
vacant lot on Autumn Drive. Oil and gravel is
from the Town's repair of road surfaces in the
area. Darcy from Con Com has already looked
at it . Are there any other hazardous material
regualtions that apply?
Actions Taken/Results: GH - I looked at approx 12 cubic yards of oil-
stained gravel. The gravel was dry and free of
any liquid free-flowing oil. There was no
staining on ground or liquid run-off from gravel
piles. No haz mat violations cited. Only
potential filling or storing of material within 100
feet of a wetland under Con Com pervue. I
spoke with complainant and explained above.
Investigation Date: 8/24/98 Investigation Time: 3:00:00 PM
1
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Health Complaints
24-Aug-98
Time: 2:00:00 PM Date: 8/24/98 Complaint Number: 1517
Referred To: GLEN HARRINGTON Taken By: GLEN HARRINGTON
Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE
Article X Detail:
Business Name:
Number: Street: Autumn Drive
Village: CENTERVILLE Assessors Map_Parcel:
Complaint Description: Town is dumping road oil and gravel on a
vacant lot on Autumn Drive. Oil and gravel is
from the Town's repair of road surfaces in the
area. Darcy from Con Com has already looked
at it . Are there any other hazardous material
regualtions that apply?
Actions Taken/Results:
Investigation Date: Investigation Time:
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TION 5EW&(C E PERMIT MO.
VILLAGE ��� �� '_ —
IWSTQLLER S U&tAE 41,-' ,ADDRESS
BUILDER 6 Q [TIE ADDRESS
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DIaTE PERNA T ISSUED
DATE CONIPLI WACE ISSUED ;
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No...... /....... Flzs.i./.........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD QF H TH
-..--------O F...... . ... ----------------------
Appliratiuu -fur Uhipuial Works Tomitrurtion Vrruift
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
1,7 1r ,.e� .. _..
----------------------------------------------------------
Loca o -Address or Lot No.
7 ----•-/._.---
�Owner 000, Address
Installer Address
Q Type of Building Size Lot-------------------------_Sq. feet
U Dwelling—No. of Bedrooms.............................. .. .Expansion Attic ( ) Garbage Grinder ( )
a4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
G4Other 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.
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___-._.--_-_---_.-__--
(i Test Pit No. 2----------------minutes per inch Depth of Test Pit_--_-_----..__-___-- Depth to ground water------------------------
-----------------------------------•---------------.........................................................................................................
0 Description 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 Article \I 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.
Date
Application Approved By------------------- • ........ -•-- ... •-- -- --���1 llj a 1.� '-_--.4
Date
Application Disapproved for the following reasons:...----•---•---------------------------•--;------------- ....................................................
---•--------------------•-----------------------------------------•-•-------------------------------------•-----•---------•--------------------•------------------------------------•-------------------
�� Date
PermitNo......................................................... Issued......I------------------------------------------------
Date
-- ---���� —-- —__ _--__----------------------- -------------------------------
No.. ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD qF H A TH
----------OF....... .. .. 7.1.........................¢'
Appliraation -for Rapoiiaal Works Towitrurtioat VPrntit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
T Location.Address or Lot No.
. i
- -
W Owner Address M
a •--(y'-`-'•W=l,'�,.�,..,=-y ,.._•.'�,✓. 3=r--' t .10%Jv: ?:z.r2...............
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
per, Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Otherfixtures ---------•-••----••------------------------------------------------------------------------------•---------•------•-•-------•------------•-----------
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.
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--.--.---_-.---.--.-----
f� Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water--.--.----_-_-___---.
----------•-----------------------••---.._.....-----------•--•----••-------.._.........••-•••••-•--......................................................
0 Description of Soil----------------------------------------------------------------------------------------------------------------------------------------------------------------------
x
U --------------------------------------------------------------------------=-----------------------------------------------------------------------------------------------------------------------------
W
U Nature of Repairs or Alterations—Answer when applicable......?'- ! � jam ! -��, ----------------------------_..
-------------------------------------------------------- ------•---•------------------•--•-•---------------••-------•------•-----•-------------------- •---••------------------------------------------
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 been issued by the board of health.
h.
Signer ------ '�-,t. sz = !'"r'_.fa :- .. F_�__ � ._�_7
-
- Date
Application Approved BY---------------- �41-
"_.-_. � 'f-GL`' ! - G
Date
Application Disapproved for the following reasons-------------------------------------- --•----_-------•- .............................................
------------------------------------------•.-•----------------•---------•------------------- ............................------------•------------•---------------- ••---------------..................
Date
PermitNo......................................................... Issued...................... .................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD.. G}F HEALTH
...................O F......k6 ....................
_ , Tutifiraatr of f1aampliaanrr
TI, IS IS TO C r 7FY,/T,a/the Inddual Sewage Disposal System constructed ( ) or Repaired
by / 't ................... ----...-•---------------..... ..............
Installer
( f I
-
has been i stalled in accordance with the pr�isions of = ticl XI of The State Sanitary Code as described 'n the
application for Disposal Works Construction Permit Nl----------- �7------ dated----
..........
THE THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM W L FUNCT ON SATISFACTORY.
DATE........1•�...............
Inspector.._.. _
THE COMMONWEALTH .OF MASSACHUSETTS
' BOARD Fj� HEAL H
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o- O F......I.... j�Y7.......... _�?
No. FEE... .................
) ��traa�tt t �arrutit
Permission is hereby granted ��--•---. 8 P L'� •--- ' ------
to Constr ct ) Repair (Kan Indivi ual� waDisposal yJ,�tem
at No..,.. U � ter, L/ •f= --••---•------------------•--------•-----•-
`
r `Street // —�
as shown on the application for isposal Works Constructionxa
llo._-__ _...- i ed__/07./ - /- -•..-,
r - f .��'- 'l - '� v--------------
e_ _ 7C
/ / Board of H@alth
DATEl ----------•----•----------------------------------
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS