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Home My WebLink About0083 CLIFTON LANE - Health 83 CLIF'TON LANE, CENTERVILLE A=147-155 i UPC 72543 �a No. 3..LOR HASTINGS MN IL f Health Complaints 19-Jan-06 Time: 12:00:00 PM Date: 1/18/2006 Complaint Number: 18627 Referred To: DAVID STANTON Taken By: JUDITH FLYNN Complaint Type: CHAPTER II HOUSING Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 83 Street: CLIFFTON LANE Village: CENTERVILLE Assessors Map Parcei: Complaint Description: ST ;I-ES THAT HE 1NAS ASKED TO DO WORK AT THIS LOCACTION Y HE CONSIDERED REFLISFi). OBSERVED THAT HCU"E SHOWED EVIDENCE OF A SEP=OUS FIRE. HOUSE HAS BEEN REHABED BY OWNER (Permits?) STATES THAT THERE IS NO CENTRAL HEAT. SEPTIC IS FULL ALSO VIEWED AN OVERLOADED DUMPSTER. Actions Taken/Results: IDS WENT TO SAID LOCATION. GUY DID NOT SPEAK ENGLISh Ar THE HOUSE. PHOTO OF DUMPSTF P T EaKEN. DS ONLY OBSERVED C&D IN 7 H DUMPSTER, WHICH IS NOT A DS DID NOT SMELL ANY SEPTIC ODOR OR OBSERVE AN OVERFLOWING SEP-11C. NO FURTHER ACTION REQUIRED. Investigation Date: 1/18/2006 Investigation Tinne: 2.10:00 PM 1 >0"tL`gtc� ��:,,a„� �>, • - � - - ' • 3�,�1 1� • • • l - • •'9�0�h �rf��''t�,•#:', r+ +�' ! vpY h ,� �i. < -k'ti'V t{V \� � j >dl�w li i(� t9�{I► 1 �, fSf rY��`,L i.r 3�•� f�+� ��'` �� a�aYa ,ajy Ig Wild I��F�� A�r� ;Fs�9L1 h ��+b �1��. �• �'§� ',�� .J•'s j '��,• -ti'�.�•s*,��a.a�,t �� t `1g�. p �,�''�`yw�il��,fS�t�z;�`Me{�/!.`��ti�i-�r• �� ,'� •N '�€��r� j 1t y9# ;�� 'y tA4t� ia";c'^at+ry��i,` .�4^A �`j�••° ,', j �y�ti+^i, IFk� •Yl`:;1`, ! �° '!,f �" 1N1"+•' " :F`"J} 59>P.`,..t' � r:.� „{'. " �y ��\� rP 1 ; +� "r: ,..�,+•'"'� ,�`? fi.#*. f-i:.y•hK"�we• �.-a,"` ��'l 0 c 4 �/M4 S _ �� 11 �'� � r.. , /•�"w' ."v+-.�'�',,.t�li< 1 � a �'.1iie•�i'�rg6 r'�G•t a 4"r• �'�a..n. 229 R .y .� i Ft , n .mow`� •r!� ,.�� ,ti r-.. i. t '..:�Fh"f. frt :L'i�'.`f'• ,��1r "S 4 . �y ,r't�A�` r i -•�,+��r�. .`.,.ey,"ffi"+ ,e,. y :z.r �>1,lr-.�� t.d a�'� ;�p/�• ,� • '��'� �� (r a a'fb+•>i ,+ .`ycr'`a•JI'4 i4 a R� +r' 'ii �• � �"+q+--, i�t t ,��1 - �,.-'a'C�' -`+ems �,i �t4t��-}ws• ..,.. ^`' -- •C� =� 9e�r ,i��+•* � .�`t 1��ly, �� II9t.'^-;:t. Gyr A + Y a Y - S 1 r f y. 1 � f - CAUTION I Nora -r DU ItUl FL OR AROUND THIS CONTAINER 08 4, -1 ;1 N " ■ 4028 w42.,@ I • r• 1 i 1 ^. 4Y .i:•. `. R y x S] R I ' tw 4 I .+ �' '`' '"�` rat'^ �,t„II .,. Y� •.f � s '.s�� ':1T6'�'�"$,�,•�yg� .'.".fit '..��.� ��s �°$ �" .,, ILI ttt .+ r •c�^—` " `r" s i}'y" sad " Alo -a ✓ ��-,�y J�� P'��'� d ti I I I ✓ry s �.No. 7 �� Fee - y - T THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0[pphratton for 3h5po0ar *paem Conotrurtton Vermtt Application for a Permit to Construct( )Repair(\.,/Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.1'3 C •+Vt.;, L_CLV-0 Owner's Name,Address and Tel.No. Assessor's Map/Parcel 2-47 — Installer's Name,Address,and Tel.No. -7 73" Designer's Name,Address and Tel.No. rf\i D -CA ec- Se(Prtt c. ROA-0 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder( ) Other Type of Building tseyolhq o. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow a gallons per day. Calculated daily flow 3 gallons. Plan Date Number of sheets Revision Date Title fij Size of Septic Tank/ c IYAL-4—D Type of S.A.S. C Description of Soil A VU Nature of Repairs or Alter tions(Answer when applicable) !c_ c —V AWE IL-T_R&-Lt� a 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 is d of Health. / 7Signed J Date /—� Application Approved by _ Date l —G Application Disapproved for the following reasons Permit No. 7— y 9 Date Issued f/--9- 9'7 P7o. 7" Fee Ps�.ov " THE COMMONWEALTH OF MASSACHUSETTS; Entered in computer: ., PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE MASSACHUSETTS �Q I 01ppYication for 3i5pooaf *pgtem CorigtructioWPermit Application for a Permit to Construct( )Repair(N-11/upgrade( )Abandon( ) ❑Complete System ❑Individual Components - I Location Address or Lot No. 9 3 C. `%fToo—, L-a Owner's Name,Address and Tel.No. LGnLTevui �L rNV7 Assessor's Map/Parcel -2-4-7 S Installer's Name,Address,and Tel.No. 7 73. Designer's Name,Address and Tel.No 2 A N ry S R o t9.D Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building RlA i bGyJ't hq o. of Persons Showers( ) Cafeteria( ) Other Fixtures '� t Design Flow gallons per day. Calculated daily flow y n7 gallons. Plan Date Number of sheets Revision Date Title Size of Sepiic Tank CTD 6.A 4-,I—DKJ Type of S.A.S. W/ Cr,(/ CPPC �YOF Description of Soil 'Z-7; n C A 1� r Nature of Repairs or Alter lions(Answer when applicable) >� �.� 1 �o d \oh i(z_ )C i C I r s L.. S ire ' oh S �� S 14 v h ��, -4►� 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 i d of Health. Signed Date Application Approved by Date Application Disapproved for the following reasons +'vMa � h- `Permit No. 9 7— G y / Date Issued 7 ,rM ' ----------- ------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded Abandoned( )by l�_ St Q'I t O_ at G l� -c�� oY1 t.• 1N IjjfZV t LL 8 has been constructed in accordance with the provisions of Title 5 and the for Disposal§ystern Construction Permit No. 9 7"6`/ ' dated /1- G - ! 7 Installer Designer The issuance of this permit shall not be construed as a guarantee that the system wr`ll}�fu'nction as designed. Date I ' ,� Inspector `I cc No. 7 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migogar 6potem Congtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at Q Lr ki Q I'E , C L. L(� J 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: �� ` _ Approved by p fi NOTICE: This Form Is To Be.Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) j cl,e� 1�,�C� ;hereby certify that the application for disposal works I i construction permit signed by me dated l�—�� ,concerning the t I property located at g t cr`; fie' C—'eWAe-✓V\Ak, meets all of the ` following criteria: V . There are no wetlands located within 100 feet of the proposed leaching facility I/. There are no private wells within 150 feet of the proposed septic system f `'1 There is no increase in now and/or change in use proposed t/• There are no variances requested or needed. t led within 250 feet of any wetlands,the bottom of the If the proposed leaching facility will be loca proposed leaching facility will Q41 be located less than fourteen(14)feet above the maximum adjusted i groundwater table elevation. { Please complete the following: —1 A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) o� B)Observed Groundwater Table Elevation(according to Health Division well map) � q . 0 pbo� �.� DATE: `q IOk�V' SIGNED LICENSED SEPTI SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted). r > 1 ' q:health folder.cert I ` 4 f �(Z.�✓' _ - "- . o i 0 . ,'� � '.� 1 � t ` r ., f i � 11 � �� ,t TOWN OF•BARNSTABLE �V LOCATION _ 1 - �Z `n J SEWAGE # VILLAGE - ,- ASSESSOR'S MAP& LOT ► INSTALLER'S NAME&PHONE N �d�-��` SEPTIC TANK CAPACITY 1"S OTC 5►\ LEACHING FACILITY: (type) l �� C dG��t�Tt•• L� (size ��ljC _ —. NO.'-OF BEDROOMS BUILDER OR OWNER PERM.rrDATE: I! - �i 'q`7 COMPLIANCE DATE: Sep iiation Distance-Between the: Makimum Adjusted'Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist ain site or within 200 feet of leaching facility) Feet Edg6 ofWetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by } T 7(fA TOWN OF BARNSTABLE � M LOCATION l ( - �� . o SEWAGE # 7 q VILLAGE l�ut�� ASSESSOR'S MAP & LOTL.J—J-L� INSTALLER'S NAME&PHONE SEPTIC TANK CAPACITY 15 OU 5 l LEACHING FACILITY: (type) (size) 6414CQ_ NO. OF BEDROOMS 00/0 t haw'f 3" C °e'�y 3 0 BUILDER OR OWNER PERMPTDATE: 77 -COMPLIANCE DATE: j . 2 - 7 P ,� _ Separation Distance!'Between the: Maximum Adjusted`Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any-wells exist on site or within 200 feet of leaching facility) t Feet Edge of Wetland and Leaching Facility(If'any wetlands exist , within 300 feet of leaching facility),4 Feet Furnished by 0 O 1