HomeMy WebLinkAbout0871 BUMPS RIVER ROAD - Health 871 BUMPS RIVER:°.RD, CENTERVI
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UPC 17534
No.2-1553COR
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to Whom&Date elier�d�0 r U
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STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(we front).
1. If you want this receipt postmarked,stick the gummed stub to the right of the,return address
leaving the receipt attachRd and present the article at a post office service window or hand it to
your rural carrier(no extra charge).
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return
address of the article,date,detach and retain the receipt,and mail the article.
3. If you want a return receipt,write the certified mail number and your name and address on a
return receipt card;Form 3811,and attach it to the front of the article by means of the gummed y
ends'd space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT
REQUESTED adjacent to the number. 0
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6. Save this receipt and present it if you make inquiry. 102595-93-Z-0478,
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TOWN OF BARNSTABLE
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager J
Address of Offender) / f3V wor Pt&ep MV/MB Reg. #
Village/State/Zip �p_A4-ew U/&
Business Name am/pm, one 19
Business Address
Signature of Enforcing Officer
Village/State/Zip
Location of Offense
Enforcing Dept/Division
Offense
Facts `I K-e-C "4r.- Ju .1../I
This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
e TOWN OF BARNSTABLE BAR-W jJ58
Ordinance or Regulation
WARNING NOTICE
Name of, Off ender/Manager A t ai kkT46
Address of Offender �- ) / i U °mph , ` 4d MV/MB Reg.#
_ .K -�.
Village/State/Zip ' //" , '
Business Name ¢ ypm, on19
x J*
Business Address t �.rr' _�
Signature of Enforcing Office
Village/State/Zip
Location of Offense Sud
: Enforcing Dept/Division
Offense OrA,0"Cr
Facts
ThisVw' 11 servejorily as;' a warning. At this time no legal action has -been taken.
It is the goal of XTown, agencies to achieve voluntary compliance of Town
Ordinances, Rules ;and\Regulations. Education efforts and warning notices are
attempts to .gain voluntary compliance. Subsequent violations will result in
appropriate legal''actio,n by the Town.
Health Complaints
24-Jun-96
Time: 10:11:40 AM Date: 5/3/96 Complaint Number: 165
Referred To: CHRISTINA KUCHINSKI Taken By: CHERYL PAOLINI DUTRA
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail:
Business Name:
Number: Street: Suomi Road
Village: HYANNIS Assessors Map-Parcel:
Complaint Description: In the lot next to there is rubbish
and a variety of junk. This lot has been in this
state for a least one year. p� fu IV) I
Actions Taken/Results: CK observed household debris, scrap lumber,
trash, and tires on the lot.
21
Investigation Date: 5/6/96 Investigation Time: 4:30:00 PM ,
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No...................
Fps.: ......................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_......... ..OF.............................................................. ........................
Application -for Bi ipwiat Works Tonotrurtion Vrroiit
Application is hereby'made for a Permit to Construct ( " ) or Repair ( ) an Individual Sewage Disposal
System at: �r
...tyress . �` -----• ----------•--------- &-(-J ---- ---- --------- --- -
...
oeatio or Lot No.
Owner Ad(d r
W
-••------•--... .
_.... ------•----• -----•--------------•-------------------------• .....................
Installer A ress
Q Type of Buildin Size Lot_- °4_�_________Sq. feet 4.,
U Dwelling No. of Bedrooms-------------------- Attic ( Garbage Grinder
aOther—Type of Building _-_-'s'�'ert .._. No. of persons____________________________ Showers (I--)— Cafeteria ( )
a' Other fixtures ------------------------------- --
W Design Flow__ ____________�� .__._._____.__._-_gallons per person per day. Total daily flow._._._.__.__._.___..__._____._____-_-._.._..gallons.
9 Septic Tank t-Liquid capacity-��`�gallons Length---------------- Width................ Diameter---------------- Depth-_-______-_----
.
Disposal Tre ch`eNo_ ____________________ Width---__________s-�TotaI Length--------------_---- Total leaching area--------------------sq. ft.
Seepage Pt �1s.__f j4 __.____ Diameter__________ _____•�I�ep�lt belo inlet__..__.______.______ Total leaching area-___-___-____.._.sq. ft.
Z Other Distribution box ( ) Dosing tank ( ) U� - -J-� — 5✓r 7 S_
aPercolation Test Results Performed by.......................................................................... Date-----_---------------------------------.
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.---_______.__-._.._.-..
fi Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water__-__-_- --_________----
r _...
---- -- ----- ---
O Description f it---a-- -li _ = - 'yl-1 - --� --- -/2-- .
�,; __.� -.------
--- - _ J.
W ----- ----------
VNature 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 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 he Ith.
Signe °-"-/-cG �� ------ -----
D e
Application Approved By........ Vie" ... ------- Date
Date
Application Disapproved for the following reasons-------------------•----._______-_---_--------_._._..._..-•-----__-------------------------...-_-----.._---------
--------------------------------•---•...----•---------------------------------------------------•---•----•---•-•----------•-----------•-•-•.._ ..-----------------------------------------------_-•-•--
Date
Permit No. Issued �y _7
Date
No...-•--.... -S-.... Flea.... .....................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........... ... ................OF................................---...............-----...-----.....-..........
Appfiratiun -fur Biipuott1 Works it Totuarurtion Vrrnt
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
�
[J ."y VY`ice 4�(YJ{j6.J' /
ocatIon Address 4 or I,ot No.
--- "-. - '' - .. .------...------ ............................................. ............. . -----•
a . owner Addrees
-vA-•---••... .. .--.•---•-•-•-•-- ------------------------
nstaller rss U Type of Building Size Lot-._" 'd --------Sq. feet 4—
�-, Dwelling—No. of Bedrooms. _---
--------------71---_-_--__----_Expansion Attic ( Garbage Grinder ( •�-----
`� Other—Type of Building ----- ._�' .c No. of persons____________________________ Showers Cafeteria
dOther 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 ( ) U� - J-j — c "" 7 S'
aPercolation Test Results Performed by---------_----- ......................................................... Date------------------------- ------------..
,a Test Pit No. 1----------------minutes per inch Depth of Test Pit-.._-__-__-_--___--. Depth to ground water..-_------.-_-.-_-------
LT, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-.-..--.__---.-_-___.-.
� --•---. .--. _ ' ... e
----------
0 i x . 12escrttion o Sp . .. .
v ---------_-_� .�_ti� ��.cl� - -
w
VNature 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 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 he th. /
Signe _ :. - _ -- ??" .................. ------��-- - 2- 6
afe
Application Approved By---------1,16 Imo,, , ' ij------ . -•--••......•-•-- tC�. ...4. -1--76--
Date
Application Disapproved for the following reasons:-..-•--.---.--••----------` -----------------------------------------------------------------------------------
------------•--•-•-•------------------------------------•---------------•----•-------•----------------------------.------•----------•------------------------•--•-----------------•-•-------------------
- � Date
J$r
Permit No. Issued -�--�- --------....../---------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALT
..........�......0 F........' ':.. ...::.........
W.trrtifirntr of f�untphatt r
THI�I TO ERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( )
1 C- . . ------.
by..---••---- . -------------•----
� � ' Instal] r
has been installed in acco dance with the provisions of Article 1I of The State Sanitary Code as scri� in the
application for Disposal Works Construction Permit No----------------------------------------- dated --...... �_ --._._.______........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS RUE® AS A UARANTI:E THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE........... 7 .. Inspector. 1 !/L ------•------.-----
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
......OF............ .......... /`�
No. ............. FEE--f--V ...........
t uo or Tlomitrurtion Vrrmit
Permission 's hereby granted----- --------- ----------------------------------------------•----------------•--------•---------------------
to Constr ct ( of Repair ( 'a Individual/Sew e Disposal S stern
at No._1fi//�Gt �.1�..._. .��. � l�� ✓� -_ ------------------•----- •--- -----•--•-------•---
-----..� .. `.
Street /,/
as shown on the application for Disposal Works Construction Per it o________ ___ ___1 _ -ated-_-.(?
---....-•---.--•-----•.......
Board o Health
DATE.................
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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_ VvE '5T YAR9w0U ?.Ft V A 5 s � SUA�j
LO,CAT ON S , AGE PER NUT NO.
VIL_LAGE ,�
INS�A LLER NAME & ADORESS].
B UI,LDE R OR OWN R
DATE PERMIT ISSUED 6 Al-7
DATE COMPLIANCE ISSUED
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No......1 .`..-50 F�s...l. .............. .
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
..........................................OF.................................._....----------------•----------------••----------------
App iration for 11ispow 1 Works Tonstratinn thrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
==------------- -----•-----••---------------•-•---....-•---- ---- --------•-----------------------------.....---
fj c Ir Fat�ion.q Address or Lot No.
._.....�./ !Y`L_...�� r� :��-............ ..•---------- -••-•----•----•----------- ................
-;-- ..... -- ----
i�o✓�� r � ��� ddresr q�
Installer AddressC)d d n
Type of Building Size Lot............................Sq. feet
Dwelling4ZNo. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
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............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..------------------------------------..
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
(z, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water------_.................
-- ........ _-/-•----------------------------------------------------------•-----------------....-----------------•------------------------•....--....--
ODescription of Soil------ . -•-------------•-------............---•-•-----•-----•------------......------------------------------------------------------------------
x
V -----------------•---------------..._......----.._......-------------------•-----•-----------•-----•---------•.--------•----•---•-------•--•--------- .................................................
W ---------------------------------------••-----------------------------•--•----......--------•--••--------------------•.
.....................
_ ._ _ J.......r.....
U Nature of R pair or ltera ions—,A saver when applicable... .......... ... 9 ._ .:_. �........ .................
►.�clt la.d. --, aL --------------------------------------------------------�--------------------- ----------......----------------------.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 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,o iealth.
,y —
Signed ._.... ---/--� ---------------------------- •-- --- L..---.
Application Approved BY-------- - --- ------lb------------ -•_-- -_ -----•-------•---------- - e--..
Date
Application Disapproved for following reasons------------------------------------------------------•-••--------------------------------------------------...
------•-•----------------------------------------------------------------------------------•------------•I----•-----------------------------•----------------•-------------...------------------...--•---
Date
Permit No........
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-•----...----- -------------------------OF.........................................................................................
ppliratilin far Ilispos al Works TonstruIrtion ramit,
Application is hereby made'for a 'Permit to Construct or Repair an Individual Sewage Disposal
� PP • Y ( ) P ( ) g P
System at:
.....?7Z - ............. -------------------------------------------------------------------------- .--- ------
+— � }- _ ♦ catio Add ess
or Lot No.
-.
W t ddress ......
a � _ ... .._ .............. /
Installer Address �� � �='6�
as _TW BUG►
U Typ Dwell nldin No. of Bedrooms.._._. Size Lot............................Sq. feet
� r
g ---------------------••--------___-__-Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building .... No. of persons............................ Showers —
a YP g ------------------------ P ( ) 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
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
LZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ _
•-------------- -
0 Description of Soil•---- -
U ------------•-••-•-•-•------••----------------•-----------•---------------.........------......------....-----•------------••-•--------.
--------------------------------------------------------------•--• --•-------------••-------•----•-••--•••.------- -
tJ Nature of pair or ltera 'ons— swer when applicable �° ! - - = ---•------------•
�. �i. .........................................--------------------- -------------------------------•----------------•-•-•----------•
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 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 o ealth.
'Signed _ _. . .... -•--....... -----• •-------•------ ���
. �%�~� � ate
Application Approved By....... ......b------------ ------ --- ........................ + " .•-'
Date
Application Disapproved for following reasons:------•-------••--------------------------------------•-----------------------
•.....................•--............._.......•-------•----••------------•...-•--------••-----------•.....--•••-•--•••-•-••-••-••------•----•------•-•---------•••----••-------••--------••••-----••-•--•
Date
Perinit No......................................................... Issued.. 07
...-
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
(9rrtifiratr of Tnntpliatta
THIS IS TO C" TIF,.' T the-Individual Sewage Disposal-System constructed•( j or Repair ) "
S -Q
by ......•--- . ---... ..a� -----•--- -•••-----'--...................................................
---• "''' ..................................................
I
� Installer
has been installed in accordance with he provisions of TLI of The State Sanitary Code as described in the
application for Disposal Works Construction.Permit N ............ dated-!;.-'^�-'�--"-'-�;�-��-----------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST E® A GUARANTEE THAT THE
SYSTEM WILL FUNCTJQN SATISFACTORY.
1 DATE..... - ........................... Inspector:
i ----------------------------
,. THE COMMONWEALTH OF MASSACH ETTS
r BOARD OF HEALTH
A'.
...........................................OF.....................................................................................
O ............... FEE........................
din nn�a nrk ,u5nntrnrtinn panfit
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Permission is hereby granted f ..y11=f+iv�----------------------------------•---------------...--------..... ------------
to Construct '( ) or Repair ( ) an Individual Sewage Disposal System
atNo..-••••••$-�•1...........er'mfs.....4rd-t1[........ku•........................................................
Street
as shown on the application for Disposal Works Construction Permit. o.'_�2S* ;sq__ Dat d._ .....................................
........................... - --------------
Bcsf Hea «
DATE...........al5..' . "$,5----.....-.a.`.
FORM 1255 A. M. SULKIN, INC.. BOSTN �`'
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LU' G,ATION SEWAGE PERMIT NO.
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V14LAGE
ALL ErR'S NAME i ADDRESS
'EAR- OR OWN ER
1 �',.L.•t.�--,�����- �c�i���.�"� �� r.� ��-cam
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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AsBuilt Page 1 of 1
L $'Gy-W'TION SEWAGE PERMIT NO.
PILLAGE l n
3,D
I N S T A LLER'S NAME ADDRESS
r
R- OR OWN ER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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http://issgl2/intranet/propdata/prebuilt.aspx?mappar=167032&seq=1 11/12/2015
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