HomeMy WebLinkAbout2009 FALMOUTH ROAD/RTE 28 - Health 2609 Falmouth Road (route 28)
Centerville
A = 189 005002
No. 4210 1/3 ®RA
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ASSESSORS NAP N0: / Z 01)5�- „ .
No.. .-.�_. .�,� PARCEL NO.: .�iP �� r �� 2 Fmc.�.sv
_ �.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
o ..--.....oF.............,�. it/S7ff,BLS------------....._......_...
�irtt#i�a f i tt1 urkii Tomi#r�.r#iurt anti#
i-!1 eb atle fo ermi to Construct or Repair an Individual Sewage Disposal
Application s y ( ✓� p ( ) g p
System at:
a''2
....--•....� ...... ... �... /0,e� �.... C!g v ✓... ..............
ocation ddress or Lot No. .••-
'.Ys rar....._. P( ----Co. .. man....... . ......C ✓1 .......
O ner Address
/ ............................................
G"S
Installer Address L-
Type of Building Size Lot........ .................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of BuildingW 0a...F� ,17V No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures.------------------------------------------------------
W Design Flow.......................�.-�`�-•...........gallons per person per day. Total daily flow...............3�O.................gallons.
WSeptic Tank—Liquid capacity/VOA..gallons Length....... Width.....6........ Diameter________________ Depth....
x Disposal Trench—No.....-.•------------- Width..................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No----------/-------- Diameter.........6-_`_..._ Depth below inlet......L��....... Total leaching area.CA�r y...sq. ft.
Z Other Distribution box ( ) Dosing ( ) l
'-' Percolation Test Results Performed by._..... t. .....�...E�6� .
r
Date................
,aa Test Pit No. 1......4:___.minutes per inch Depth of Test Pit....... .... Depth to ground water_._._Nddm--_..
i
Test Pit No. 2----- :.....niinutes per inch Depth of Test Pit......./ ...... Depth to ground water. �_v�..__..
---------- --------------------------•---•--.................
Description of Soil / �.__...TD SQ� _._`>`._S. f3Jld(L a -�- ✓17. _.......
__ 'gN.
x r9_�V C44✓�—L N� .�,�i��1Np_...W�9?�i�__.._,�NCDv�i��e�-------------------------------------
U
---•-----•-••--------..--•-•----•-•-•--•------•-•--••---------------•-•-----•----------.....-----...---------•----------.....-•-•------••-•-------•-•--------------------------------••-•--•----••---...
U Nature 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 A ITLE 5 of the Stat itary Code— The undersigned further agrees not to place the system in
operaition
until a ti of Compl' has been issued by the board of health. /
Signed...........
�` `�F �r6
A Approved B G 1........... .
Date
Application Disapproved for the f ollowin reasons:................................................................................................••----.........
-----•--------------•---...--•--•..._...............••--.._..............------••-•-•--...•--•--...••••----•-•-•••...................--•-••-•••----•••--------•-•-•-----•••---•............-•---•----••.
I Date
Permit No.---- ................. Issued.....................•. ----...--•-------- .......
Date
s
Ficz
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............. ...........OF..............46
I 7,`1 ..
Applirntiun for Disposal Works Tonstrnr#ion Permit
Application is hereby made for a Permit to Construct ( V�or Repair ( ) an Individual Sewage Disposal
System at:
... _...�_........end 7 ....... _ .........................---
_------•
/ cation Address Co. or Lot No
f .........._L� ....... . .f�`y.�:..��� 7..... J l t��-L.�«...-
... /,/ .%-��✓ .Address ._.
-• Installer Address .....� �.. ..................� q
Type of Building Size Lot... ................S . feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ®�A ��d No. of persons............................ Showers
a YP g ---------------•--- ---•-•- P ( ) — Cafeteria ( )
Otherfixtures . •------------------------------.-.--.------------------•-------------••----•---•-------•--•--------.-.._....-----•-----------•-
W Design Flow------------------------�.--�--...........gallons per person per day. Total daily flow.................-�4.0................gallons.
WSeptic Tank—Liquid capacity./OALgallons Length...... '. Width...... ..____ Diameter................ Depth.... ......
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........... ---_.... Diameter..........(a.`.... Depth below inlet....... Total leaching area. -2.6_!-/...sq. ft.
Z Other Distribution box ( ) Dosing tank /
Percolation Test Results Performed by.... +fir...I� �'.•�°��!� 9fc����(
a ---- ---------------•----.. Date........ -----------
a Test Pit No. I....... ....minutes per inch Depth of Test Pit.......�_ ..`_... Depth to ground water.._...�4_ .
Gil Test Pit No. 2......�__..minutes per inch Depth of Test Pit........ ---- Depth to ground water.A/p� ......
............. :: •-----•-•--•-----------------------•------._.._...- ----.......---------.......----...............----.--•-
D Description of Soil .�........e�.' •--�' ._54/ U�' // :_.... t_ 1 .!. 17 �- , 6,19A1 ?
---•-- ®C--4.?-V94=.... ..._ztI6--- 1��QLe� J ..... d Z4-k.....
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 T I TiL 5 of the Stat tary Code—.The undersigned further agrees not to place the system in
oper > until a tiff of Compl' as been issued by the board of health.
Signed.............. ✓ . .
A tion Approved B i� ! �.....__..L_.. `'�
PP PP Y r r -- ---v-- =---- ---------.............................. ............. --
Date
Application Disapproved for the foil
owin reasons------------------------------------------------------------------------------------•.---•--••---------....___
--.....--•--...-----•---•-----------------------•--......----...---....---------•------.......-----...._....._.............................----...........------•---.......-----......_•--•-----.......«
o........�.-! a
..... l Z ._ Issued.................... -•------
te
. .............?--�-...._..__... Date ^.......---.._...
Permit N ...
THE COMMONWEALTH OF MASSACHUSETTS
-� BOARD OF HEALTH
.......................Gl��........OF........i ' J! � ,% ��t ..............................
.............. ......
Tutif irate of Tomplinnrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (i�') or Repaired ( )
bY- - ...... /�L�........................•----------....----••---...-•----••---.............::----------••---...............•---•----.......••--..............._._._
�- /tl j 59, I//L L E
at....�-J. -•-----�..........&W—ME al_. �k' 1l Q c......_.. .... _.._._.
has been installed in accordance with the provisions of TITLE 5 of The�tate Sanitary Code as des r'bed in he
application for Disposal Works Construction Permit No...... � .....�. .._ .Lz__ _..... dated------- ,......T+.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.....................7.=... .. 5-2----•........................... Inspector---- - --•---•----
J �, +H E COMMONWEALTH OF MASSACHUSETTS
C ' S BOARD OF HEALTH
No... ._ .....�...... ....... ........... ................................. FS$.....
:..........
Disposal Norks Tonu#rur#ion Permit
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Permission is hereby granted - .....--•-•.................-------•---•-----•••----------.......••-•-•--••-•-----•--•-.............---............««....
to Construct ( of or Repair ( an Individual Sewage Disposal S stem
at No...�. 7__ _...6&_.j c ...�!giC'1!m ...... �_ � T • ✓OLLF................. ... ..........---
....
Street \\ a -
as shown on the application for Disposal Works Construction Permit Nd ,......!..LG.1 Dated......��.._._?.l(.... �.�.........
E ................................ ! a.._.-...............................................-
[ g Board of Health
DATE--------••------.....---•--------- ...................................
FORM 1255 A. M. SULKIN. INC.. BOSTON
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I CERTIFY THAT THE PROPOSED BUILDING '
SHOW14 ON THIS PLAN CONFORMS TO THE
ZONING LAWS OFA�r.�s-rA�L , MA.
LEGENDDATE, // 20 r,
EXISTING SPOT ELEVATION 0 _ }
PROPOSED SPOT ELEVATIONlOC"a. "
EXISTING CONTOUR ---0- --
PROPOSED CONTOUR PAUL A
0 ::F
DAVID P.,\;,"*"'. o LEVY
NOTE: THE LOCATION OF ANY UNDERGROUND MARIANJ ;>;;•:;: � No. 10617 y
SEWERAGE,WELLS, OR OTHER UTILITIES SHOWN ON CIVIL
THIS PLAN IS APPROXIMATE ONLY AS DETERMINED is �F� ;
A .ANo.31.115 'L\�STF�
FROM RECORDS AND/OR VERBAL INFORMATION. o _
THE CONTRACTOR IS RESPONSIBLE FOR THE ;%
VERIFICATION OF THE EXISTING LOCATIONS IN
THE FIELD.
N IN i
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EVY & ELDREDGE ASSOCIATES,INC. CLIENT -PROPOSED PLOT PLAN
ENGINEERS - LANDSCAPE ARCHITECTS JOB NO.h_ LOB' 7 CPp!AD/,) j-ou*rE
PLANNERS LAND SURVEYORS DR. BY, WIS$ - '�--- —•
IN Lel-T VILIO�
889 WEST MAIN STREET CHKD.BY, _ f�rysa�.L.�;, ►��/�S�� ,
CENTERVILLE* MA. 02632 PKET I OF?.. SCALE, "= 50 DATE, II 13 BCC,
20 FT. MI.-V. /YOT1= /F EITHER 7"We SEPTIC TA V k OR
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LEACN/iYG >/T ARE 11ORE TNA/V /2"SEL 0-&V
/N. 4 GRAOE� f► 24"O/AM E7ZR CONCRE7T� COVER `•
SNALL eE R NT T 8OUGO scyEOCILE f0 61�AOE.�AN ,EXTRA
CONGRPTE PV•C. P/PE IyrE,gVy CAST /RON CoV-SW Sf/ALL 13E USFO
EL. log,p O'OyERS W. P/TCN /F"//V ,r7R/V4=WAY
_e.•_ /tg�PFR FT.
2% M/N. IF7
o_ Q ,qpE CO KER CLEAN .SAND
A BAC Ae L L-
-" = -� LIQUID LEVEL
f-DMA. - _ 2"LAYER
e SCHEO U n r,..n _ .R_.�
P.Y.c P/PE IOQQ GAL. r • 1 • • • • • • pro o or
-'a MIN.O/TG'N D/ST, o 4 WASHED S7YJNE
SEPTIC TANK ° s 1 • . . . • • , e a
BOX o • / $ • r • • e + a°a •
a EFFECT/VE ° •
:'•�; ° + • DEPTH • • 1 • v o 1V,45fIED STOiYE
a •. :. o O • • • • . • • 1 p o •
3'717,S C�F�, ° s a • • • • • • +.+ o p PRECAST SEEPAGE
• = t l 3.O �P,D, a n. a • • • • • • • • D P&P P/T OR EQU/V.
113x I .p g �o + • • • • • • • e o
IAIVL-KT E,LEVAT/ONS 46>0,1j Gr•?D o o a - - I
/NXE'RT AT BUILDING Fr6 D/•4M
INLET SEPTIC Ti4/VK 103 FT.
IZ F7 P/AM• C SEE TAOULATION,
OU?LET'SEPTIC TAn.#< 103.7 FT.
f 3•S &7' GROUND MITER TABLE
//VL,ET DIST/�/BUT/ON BOX o SECT/ON OF
OtITLETD/STRIBIlT/ON BOX 10 3•3 FTSEDGE O/.SP4��L .SYST'�M
I/VLET' LEACH/N6 PIT _-_(_FT. 7/q$411-ATIO/V
LEACH/1V6 *4=/T D/ME/YS/ON A -3. FT
DES164V CR/TER/R s 0
cAL_E %4p = /= ~
NlJMSER OF SEDROOMS '� D/HENS/aN G S FT.
GARAGED/SPOSAL UN/T SOIL LOG
TOTAL EST/MATED FLOW ?"O G.4L.�DAy SOIL TEST #/ SOIL TEST-**2 SD/L TES7"
NUMBER OF Lt°`ACX/NT P/TS { ELEK 103.5 ELA- 103• ( DATE OF SO/L TEST Z�( 8(
SIDELEACHIN6 PERP/T 1 --1 SQ. FT. 0"-Z' TOP CV- p'-Z Tc, s-L RESULTS AV17-MESSED BY
BOTTOM L 4cH/NG PER P/T 1 i s SO. .A7- soy s•ofl SuRSott_ PERCOLA7-1oN RATE#/ L Z IVJAy//NCH
TOTAL LEACHING AREA Z�14' Sa FT. Z,_ IZ� ��-(Zi I�>�COLA-r1.0NRA'7"EA2 e-Z MJN.1INC1i
RESERVELEACNINGAREA SQ. FT.
i,,«a�uN� IUD�V►t�
4u ssu,lD SA.4C> So�1- sT moo. P- C�1O3
DAV1D P >, �' C AUEI.� CTFr--vE.L $ h�STQBI-1�. KA S —
�T 1VIARIar.O t;'
c3 CP 1 ry
No.ar_.� LEVY & ELDREDGE ASSOCIATES. INC.
.41���' "r�°��air B(.. 1.5 EL- 9{ 1 889 WEST MAIN STREET CENTERVILLE,MASSACHUSETTS 0263:
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' `'_ i' ® NO G/eOUND yy,4TER ENCOU/1/TFRED CI IXA17 : �`f S I D� D.ITE: 111)816(,
�� r1 GRO UN� LV.gTER AT EL Et! ✓OB NO. !o�S SHEET y OF z
a
` Legend
ILWJ
0
r w Parcels
A'rrems �-_ 1890Q3 Town Boundary
1ti8 90064A9 ;__- v �,t Railroad Tracks
#49 �. Buildings
19 '9
., 118900601Q ✓'".^^-""r "' ," ,� . - .i Approx.Building
#51', -,,,.�•, t �+ �, _ ._"' r'..- v u. ���� .�'"`"+.: Buildings
-_ ' ' Painted Lines
# fr _ Parking Lots
l Paved
P Unpaved
s d
Driveways
:re p" .. 13 Paved
Unpaved
Roads
M Paved Road
Unpaved Road
_ ®Bridge
V ® Paved Median
-_ -- Streams
l Marsh
Water Bodies
16914
''1 98 495002 #64 . 1$g1 11
189005 00f
! #2025
16924
#P
kE
-
'` -- 11 kA 8 9143
61 ;
195158 - r / 189144
#100 #51
_ 18915,9
#98
-- _ - 18 916 4
189157 - � ,t4 #96 189162 18'9163
} #16 ❑- ❑
Map printed on: 1/9/2020 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit
adequate for legal boundary determination or representations of Assessor's tax parcels.They are
Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026ot
0 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624
reflect current conditions,and may contain such as building locations.
Approx.Scale: 1 inch= 83 feet cartographic errors or omissions. gis@town_barnstable.ma.us
VCI IL•""'V InC-vltc1 v 116U-IV1 I QL%J#10 IVIIIIO
,Dept of Fire-Rescue&Emergency Services INCIDENT REPORT Fax (508j 790-2380
r 1875 Route 28,Centerville,MA 02632 COMM REPORT 19A FDID#01920
Type
Power line down Date' 10/26/01 Norm 01-F-0805 Shift: 3 District 1-3-2 Pg.1 of_
Reporting WALK IN AT STA.1 Location: 2009 ROUTE 28
Party:
Callback (508) 790-2375 Location Business: Dispatcher: Gifford, Jeffrey
Tel.P. Tel:#:
Call Read on: Direct report to FD (verbal) Apparatus/Personnel Response:
InfComments:
Co / REPORTED PHONE POLE DOWN .- ENG 302 0 ENG 305 3 RES 324 3
. ._..:.
ENG 304 0 LAD 314 0 RES 325 0
Time 14:52 On 14:53 On 14:53 Ret 16:25 In 16:25 ENG 315 0 BRH 317 0 RES 326 0
Reed: Air. Loc: Qrts: Serf.
Weather. CLEAR Temp. 59 Wind: SW @ 18-2 mph BT.300 0 BRK316 0 BOAT 0
BRUSH: Class: Cost 0 Sea/ CHF 301 0 DPT 320 0 SC 321 1
Cause: Other:322 1
BUILDINGS:177,
Occupancy: paved public street Total#of Personnel: 8
Owner. Owner's Owner's
Address: Tel.#
Tenant Tenants Tenants
Address: jTel.#:
Automatic Fire Alarm COMM FIRE Form#62
Classification Code: Left With/At
Hazardous Materials Yes _j No _j Substance..
Present?
EQUIPMENT: Type: Location:
Year. Make: Model: Serial No.
MOTOR Type:
VEFflCLE:
Year. Make: Model: Reg. state:
Vehicle VIN#;
Color.
Owner. Address&Tel.#
Operator: Address&Tel.#
OTHER AGENCIES NOTIFIED: Contact Person: Phone: Time. By:
NARRATIVE REQUIRED
CALLS:ON ALL
Light pole fell over into the road in front of 2009 Rt 28 Cent. Spilling approx. 5 gal of oil frorri the transformer Liquid was
contained on the paved surface with speedty dri. Nstar notified and responded to make repairs . Notifactions were made
to proper dept. of the oil spill. Nstar supervisor Jim Noonan was on location and will have Nstar clean up the spill.
y
100 `'+}
06
Nov e�RN��P cf-
'(O\N NEp�t4}t�i
'<.
LIST ITEMS NEEDING
FOLLOW UP:
REPORT Clough, Glenn Date: 10/26/01 FIRE CHIEF Date:
BY: RECEIVED: ], U
SIGNATURE: SIGNATURE:
r"
CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT
1875 ROUTE 28
CENTERVILLE, MA 02632
(508)790-2380/FAX#(508)790-2385
OIL/HAZARDOUS MATERIAL RELEASE FORM
F.A.#
LOCATION:ADDRESS OF RELEASE: O yr `/
�
DATE OF RELEASE: d-d 6 -0/
PRODUCT RELEASED:
ESTIMATED QUANTITY: —
CORRECTIVE ACTION TAKEN PONSIBLE PARTY:
u /' (-In , — lJ,
c e r1 v.0 �/ /✓J' F1✓Z Ceti rc✓d
NOTIFICATIONS:
FIRE DEPARTMENT: YES( NO( ) DATE: TIME:
NATIONAL RESPONSE CENTER YESKI NO( ) DATE: TIME:
DEPT. OF ENVIRONMENTAL PROTECTION YES( NO( } DATE: TIME:
OIL SPILL COORDINATOR: YESk) NO( ) DATE:®TIME:
TOWN BOARD OF HEALTH: YES(cK) NO( ) DATE: TIME:
TOWN HARBORMASTER: YES( ) NO(pO DATE:TIME:
OTHER AGENCIES:
COMMENTS:
REPORTED BY. /Dr! DATE:_
WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH
C-O-MM FORM#58
� I
vi
Health Complaints
29-Oct-01
Time: 3:00:00 PM Date: 10/26/2001 Complaint Number: 3142
Referred To: LEE MCCONNELL Taken By: DANIELLE ST.PETER
Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE
Article X Detail:
Business Name:
Number: 2009 Street: Rt. 28
Village: CENTERVILLE Assessors Map-Parcel:
Complainant's Name: Fire Department
Address:
Telephone Number:
Complaint Description: Telephone pole collapsed across Rt. 28.
Telephone pole had a transformer on it, which
leaked oil onto road.
Actions Taken/Results: Road was closed to traffic. Telephone pole
was moved to side of road to allow westbound
traffic through. Eastbound was closed to traffic
until oil was cleaned up. Telephone company
cleaned up the oil with speedy dry.
Approximately 4 gallons of transformer oil
leaked onto the road. The transformer oil did
not contain PCB's. The telephone company
had their clean up specialist come and
investigate the clean up.
Investigation Date: 10/26/01 Investigation Time: 4:40:00 PM
1 �