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Home My WebLink About0015 GORHAM LANE - Health 15 GORHAM LANE, CENTERVILLE A = UPC 12534 �� No.2-153LOR �`'tsr-coo HASTIINGS. met LL 1 ��r 64 Town of Barnstable Department of Health, Safety, and Environmental Services • ,sttrrsr,►a,.s, Public Health Division 367 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas A McKean,RS,CHO FAX: 508-790-6304 Director of Public Health TO: MARY J. MACNOWN DATE: JAN. 20, 2000 15 GORHAM LANE CENTERVILLE, MA. 02632 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. - The septic system owned by you located at 15 GORHAM LANE was inspected on 05/09/96 by ROBERT BORTOLOTTI a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: BACKUP OF SEWAGE INTO FACILITY OR SYSTEM COMPONENT DUE TO AN, OVERLOADED CLOGGED SAS OR CESSPOOL. The above system, according to our records has been in a failed state for more than two years. Therefore, you are directed to hire a licensed Town of Barnstable septic system installer to sketch a proposed system that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within(14)fourteen days of receipt of this notice. The septic system must be brought into compliance within (30) thirty days of your receipt of this directive. You are also directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into buildings, onto the surface of the ground, or into surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable gJ"thW1.Wtl.52q.&C refs 1 rod J Z 273 502 582 US-Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse 7 St eet Nu r P i IP , Postage Certified Fee Special Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered Q Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees ch Postmark or Date o /.o2S—Gz5 LL U) a f I , I I Stick postage stamps to article to cover First-Class postage,certified mail fee,and f charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service jwindow 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 a') return address of the article,date,detach,and retain the receipt,and mail the article. u1 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the r gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article n RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C O addressee,endorse RESTRICTED DELIVERY on the front of the article. _M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. r`5 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0073 d d SENDER: I also wish to receive the ■Complete items 1 and/or 2 for additional services. w ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ai d ■ this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. d ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2,❑ Restricted Delivery N « ■The Return Receipt will show to whom the article was delivered and the date a delivered. Consult postmaster for fee. v 3.Article Addressed to: 4a.Article Number d d / S Z c OLD E E � 4b.Service Type r° • � �z� ❑ Registered 1$ Certified °C W ❑ Express Mail ❑ Insured 5 w ¢ ❑ Return Receipt for Melchandise ❑ COD c 7.Date of Delivery Z 1 -•�, '� 7 02_. 5 Rel eived.@y: not N�®e). II: _k ;,op,Aglorkdee's Addr s(Only if r quested w i o and feO paid) t rn g �Ignatu a°• �( q,v Ps Form 3811, December 1994 102595-97-B-O= Domestic Return Receipt + +J UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid USPS Permit No.G-10 i • Print your name, address, and ZIP Code in this box• i peblic Health Diyis1o11 own of Barnstable P 0. Box 534 Hyannis,,Massachusetts 02601 i i I Town of Barnstable • • Department of Health, Safety, and Environmental Services KAM �,►�tntsrsat.�, Ak Public Health Division 367 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health TO: MARY J. MACNOWN DATE: JAN. 20, 2000 15 GORHAM LANE CENTERVILLE, MA. 02632 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. _._.. The septic system owned by you located at 15 GORHAM LANE was inspected on 05/09/96 by ROBERT BORTOLOTTI a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: BACKUP OF SEWAGE INTO FACILITY OR SYSTEM COMPONENT DUE TO AN OVERLOADED CLOGGED SAS OR CESSPOOL. The above system, according to our records has been in a failed state for more than two years. Therefore, you are directed to hire a licensed Town of Barnstable septic system installer to sketch a proposed system that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within(14) fourteen days of receipt of this notice. The septic system must be brought into compliance within (30) thirty days of your receipt of this directive. You are also directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into buildings, onto the surface of the ground,''or into surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable q:hahh\W1aWdc52y.&c , ... .......... ml, mmi .-N 0", WE"W 193099 3099 UU1194 - MIJ : 0000000 37BC ........... T10 .6 MACNOWN,MARY J .. .......... .. .................... ................ ........... m .... ....... .. .......... CENTERVILLE 02632 .......... . ............. ................. .................. 1254149 .:......... ........ 100000 40 20200 ...................... . . ......... ........... .. 0616 ........... .......... CO REESE, ROSBY ROAD 0227 .............. HE ............. -w:R _i Sewer Information I 1214197 193 1099 a/k/a 86 Capt.Crosby Rd. Gorham Lane kk . Centerville — I Robert Bortolotti dISA3Y,G .b Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. d QT 1.O-N= / l SEW Q-C;E-P-E-RM.IT 1.1-0. `y 6 -40 i G G& �P-4� ! C� �i •cN� ' f �f f E-5.0 -l:D-E D-ATE—P-E-R-tu�l-C _Forma & concrete tax tote 4 �2-6 } ............ No.�....;1:&f7 Ymiz ..... ....— THE COMMONWEALTH OF MASSACHUSETTS BOARD -OF HEALTH OF..........6.. .................................A. . .......... . . ........ ... ........... Appliration -for Ditipaiial Works Tutu5trurtion Vamit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal 5ystem at: ............../. .... ...................................................................... 74-1, ation-Address or Lot No. .....Z:F,� ....... ..... ... ................................................................................... _I------------------------------------------- ddre .................. ................................... ............................. .......... .....A..................................... ................. Installer Address Type of Building Size Lot--_-----------------------Sq. feet U Dwelling—No. of Bedr Expansion Attic Garbage Grinder (Bedrooms_____________________________________.____Expansion ---------------------------------- a4 Other—Type of Building t.... No. of persons._._..q—----------------- Showers Cafeteria ( Othgrfixtures ----I-- -------------------------------------- -- - --------- ----------- Design - ------------- --------------------------------------------------------- Flow—, tl--gallons per person per day. Total daily flow--__ .............._.........gallons. P4 Septic 'FLiik'��-�Liqtii/capa(:it,/Po------gallons Length________________ Width................ Diameter_--------.-._--- Depth-----------_--- Disposal Trench—No--------------------- Width-___-----.-_-_-.-_-- Total Length_-_-_--__-._-___.-_- Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter./.iP.P.�--- Depth below inl ---------- Total leaching area-----_------ ---sq. it. Z, Other Distribution box ( ) Dosing tank ( ) ;T -- — Percolation Test Results Performed by....................................................... ---------------------------------- Test Pit No. I---------------minutesperinch Depth of Test Pit--------------------- Depth to ground water-..---_-----._._--.___.. rXq Test Pit No. 2................minutes per inch Depth of Test Pit_.............._... Depth to ground water--._.----__--_-.___-_--- a ............... ................... ........................ ---- ----/_ . ...................................0-- ------------------ 0 Description of Soil------------------------ ... ..�,77...............el. .. ....... ----- ------ -------- ------------------------------------ ...............*..5L2,.._. -------- ---- ------------------------- U ---------------------I--------------- ------------------------------------------------------------------------------------------------------I----------------------------------------------- --------------- 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 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 is tied by the board of,health. -9 1 7Z Sigrive --- --- --- --------------------- I&A-1 / / Date 0 Application Approved BY-------;.P-C ...... ------------- 7-------------- _1 D a e Application Disapproved for the following reasons:................................................................................................................ ---------------------------------------------------------------------------------------------------------------------------------------------------------- .....h,--------- a-t.e.............. Permit No......................................................... Issued......... ... ... I 5�2---------- ----------------- ---------------------------------------------------r�,---------------- No.....t - ~ I Fmc.........t.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , 7......... OF.... - . Appliration -for Uhipwial Workii Towitrurtion Vaulit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at:,-I' r� _Lo anon•Address or Lot No. n dr ss Installer Address d Type of Building ` Size Lot________________-- _.---.Sq. feet Dwelling—No. of Bedrooms.. Ll— Attic ( 6�' Garbage Grinder Other—Type of Building .. No. of ers ns...... Showers — Cafeteria P4Otl- r fistur s � r ...- a ------ ----------------------------------------------------------------------------------------------------------------- W Design Flow: ..:. gallons per person per day. Total daily flow---- . ...................._...gallons. 9 Septic Tank�Liquid�capacit�� .gallons Length-_--------_-- Width------.......... Diameter__..___.._....- Deptli..------_------ xDisposal Trench—No..................... Width.......------------- Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No..__---------------------- Diameter_Z.C_'-3 --- 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....__..............___. ( , Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water_----------._-------__.. P4 -------------- ----------------- ---------•---•...............................................----------•--------------------••-------------------- -- 0 Description of Soil--------- ---------- - ""' x U ------•--------•------•------------------------------------•-•-----------------------------------------------------•-------------- 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 XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been Is ued by the board of, lth. Signe r74 -`- ----------- - --------- - '� Date Application Approved BY �'--...... � ' -�. ... Date Application Disapproved for the following reasons---------------------------------- --------------------------------------------------------------------------- --•-----------------------------•---..........-------------------•------•----•--------------------------_....-•-------------•----•---- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALT 14 ................ .. ...................... T rrtif irat a of Tlimpliatur f� THIS IS._ 0 CER" IFY, hat the Individual Sewage Disposal System constructed (k") or Repaired ( ) v I staller /` �G ---------------------------------------------- .--- . -- -- has been installed in accordance with the pro sions of :Article XI of The State Sanitary Code .as described in the application for Disposal Works Construction Permit No..............rs"..` ......_..-_...--_ dated, /'i`....../............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................................---............................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH0 F, ... .. ......oF...... ..... NO. .... FEE.... ............ _. gVit �v vn Vrrmit Permission is hereby granted_-_-._-__�_-___--- ..----.�..._1.. _..: �' _ r�. to Cons ct ) or a air`k ) �an�Individual Sewa�D sposaj/�ys m at No � /�< �t. .�..... ...�._.-_. .. _`.y...�..... ..... ... ...... ....... •___..... �.. V .-.. .. / Street as shown on the application for Disposal Work4 Construction Pemit Nam '... - "...-_.,/ Dated--_....,/..f. .,�.. _` ....... Boar"d of Health DATE--------•-------------------------------------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 9 iG@ Cyr 0 i A x 4 t 9 s i i _ 7 f s i I _1 fltl�ttrles ±�. 3tttnle� BUILDING CONTRACTOR ROLLING HITCH RD. CENTERVILLE. MASS. P