HomeMy WebLinkAbout0473 PINE STREET (HY - Health 473 PINE STREET
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Centerville
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Town of Barnstable Barnstable
y�P Board of Health ;'er"aC j
r°A MASS. 200 Main Street,Hyannis MA 02601 �m
1639. �e A 2007
AlfD MA't
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
June 28,2016
Ms. Dawn Dennen
473 Pine,Street
Centerville, MA 02632
Re: Underground Fuel Storage Tank, 473 Pine Street, Centerville
Dear Ms. Dennen,
On June 14, 2106, the Board of Health voted unanimously in favor of accepting your
1989 photograph showing a steel tank laying on top of the ground (adjacent to piles of
lumber, a palette, a ladder, and other construction products) as evidence that your
underground fuel storage tank was removed during the addition work which occurred at
your home.
This removal information will be logged-into our computer database. This issue is
therefore resolved.
i
l er, M.D.
Q: WP//473 Pine Street Undergound Tank 2016 Resolution.docx
06/11/2016 08:37 STAPLES 0837 PAGE 02
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Town of Barnstable Barnstable
MAMOMCO
Board of Health
13 S"LE.
MASS. 200 Main Street, Hyannis MA 02601 2007
AIFD Mp'l a,
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
May 17, 2016
Dawn Dennen
473 Pine Street
Centerville, MA 02653
RE: Underground-fuel:Storage Tank
473 Pine Street, Cerltervrlle,lVlA
Dear Ms. Dennen,
Thank you for your letter dated May 6, 2016. In an attempt to assist you with this problem, Mr.
Leonard Gobeil has been attempting to reach you by telephone. His telephone number is (508)
737-5786.
Also, you are scheduled to appear before the Board of Health at their next meeting on Tuesday
June 14, 2016 at 3:00 p.m. The meeting will be held in the Town Hall, second floor Hearing
Room. Please be sure to attend this hearing to provide up-to-date information regarding the
status of this situation (the status of the storage tank).
Sincerely yours
WaynPan
iller, M.D.
Cha'
Q:\WPFILES\Dennen 473 Pine Street 2016 Status Hearing Notice.docx Dennen 473 Pine Street 2016 Status Hearing Notice.docx
May 6, 2016 Dawn D. Dennen
•473 Pine Street—
Centerville, MA.02632
774-487-1787
Dear Mr.Thomas McKean,
I am updating the Board of Health in the Town of Barnstable regarding the discussion surrounding the
underground tank at 473 Pine St. Centerville, MA. I had previously showed the Board a photo of the
removed tank that had been removed in October of 1989 that was on my front yard. At the previous
hearing 6 months ago I was given a quote by Dr. Miller for$175 from Tank Removal Services Ilc of Cape
Cod.When they came to my house they had given me an approximate quote of$500. 1 spoke with Jamie
from Tank Removal Services Ilc, he said that the reason for the price difference is that the price at the
Hostetter property was for probing around the periphery of the building and a simpler job. He stated my
property entails more work due to the fact they have to go into a crawl space wearing protective gear and
instead of probing they need to dig, possibly using machinery to locate the line where the oil tank had
been disconnected. He said this was a more difficult job.
I did phone Len Gobeil at the Lombard Fund as suggested. The fund ran out in fall 2015 and future
funds won't be available until 2016. 1 will try and call him to see if this might be an option in the future.
have applied for 2 home equity loans.The first at my own bank T.D. Bank and the second at Rockland
Trust. T.D. Bank denied me and Rockland Trust wanted to see my property taxes paid up until they would
consider lending to me even though I was upfront about wanting to pay off the taxes with the loan. I have
been diligently working on this issue. I hope soon to begin paying on the year 2016. In the meantime I am
applying for another loan.
I did contact National Grid who reported to me they keep records up to 10 years. I have been unable
to come up with proof of when the gas was converted to oil or a bill from that time. National Grid did put
me in contact with a woman Ms. Lauren McLane,who they thought may be able to help.me.She arranges
for meters to be placed or moved.When I spoke with her she wasn't sure if she could help but would look
into it and let me know either way.
On another note I have had medical issues, been inpatient and presently living in transitional living
situation. I am not working at the present time and my sister is helping me out with my living situation.
If you need documentation of any of the above please let me know. I want to work with the Board of
Health and very interested in environment and persons living within the area.
` Sincerely,
a���t/�tJ oV. o�.��vim✓'
Dawn,D. Dennen
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IME Town of Barnstable Barnstable
ti
Board of Health
■nxrisrnate,
MASS 200 Main Street, Hyannis MA 02601 2007
�'°rFa MI►'1�
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul CannifJ D.M.D.
Junichi Sawayanagi
November 29, 2015
Ms. Dawn Dennen
473 Pine Street
Centerville, MA 02632
RE: Hearing Continued for Six Months/Underground Fuel Storage Tank
473 Pine Street, Centerville, MA
Dear Ms. Dennan,
At the October 13"' meeting of the Board of Health, the Board voted to continue this matter for
six months. The hearing was held concerning an underground fuel tank at your property located
at 473 Pine Street, Centerville.
During the hearing, you stated you did not have funds to hire a private company to verify the
absence of the oil tank at that time. You stated the tank was removed during the time of your
home renovation in 1989. The contractor removed the tank and gave it to a colleague to be used
as a coal storage bin. A photograph was submitted showing a tank on top of the ground adjacent
to the renovation worksite.
This extension is granted because the Board requests you to obtain additional information. For
the May 2016 hearing, please bring information from your builder relative to the removal and
reuse of the tank, copies of gas heating bills for your residence, and any other documentary
evidence that you could provide to support the claim that the tank was removed. (i.e.
photographs, removal permit from the local Fire Department). You may also consider contacting
Mr. Leonard Gobeil (508 862-4701) to inquire about obtaining Lombard funds to fund the hiring
of a professional tank company to determine whether the tank was in fact removed.
The hearing is continued until Tuesday May 10, 2016 at 3:00 p.m.. The meeting will be held
within e second floor Hearing Room of Town Hall, 367 Main Street, Hyannis, Massachusetts.
Sinc ;r ly your ,
W �"n ii airman
Q:\WPFILES\FuelTanlcDennen2015.doc
t �
c S^�
EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES ON OCTOBER 13 2015
I. Hearing — Underground Storage Tanks (30 years+):
Dawn Dennen, owner—473 Pine Street, Centerville
GRANTED AN EXTENSION.
Dawn Dennen found her photo of the tank removed and dated 1989. It appears
the fire permits were not taken out.
The owner said she received a quote for $500 to remove the tank (if in ground), Dr.
Miller said the Board had a receipt from Tank Removal Service and they only
charged $175 — may try them.
The house was originally very small without any bulkhead, etc., There was a small
standing space that appeared to be where the tank was.
Once the addition was built, the bulkhead was added.
The Board granted an extension of six (6) months and asked the following: (1) the
owner continue to'try to locate the builder who has since moved to Florida, (2) the
owner should try to show some proof that the house had been switched to gas
since 1989 (26 years ago) (possibly an earlier bill and a current bill showing the
same account number or something from the gas company), (3) the owner contact
Len Gobeil and see if the Lombard Fund may be applied to have a test done to
verify the tank is not in the ground.
Q:\BOH RESULTS\RESULTS-Exempts\Excerpt BOH Results 473 Pine Ln Cent 10-13-15.doc
gal f
THETpwy Town of Barnstable Barnstable
HAP w O�
y MASS'
�O
Board of Health a�amecacmr
0MA'1A1 200 Main Street, Hyannis MA 02601
2007
OFFICE: 508-862-4644' Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
Dawn D. Dennen, 473 Pine Street, Centerville, MA 02632
ACKNOWLEDGEMENT OF RECEIPT:
April 21, 2016
Tou are to appear before tFie (Board of.7feaftH for a
continuation on your Hearing and to update the 0oard on
your status in regards to the removal of underground
storage tankat: 473 (fine Street, Centerryille, VIA,
Tfiankyou.
Your item is scheduled to be heard at the Board of Health Meeting on the:
Date of: Tuesday; May 0,_2016 (Continued from September 2015)
Meeting Location: Town Hall, 367 Main St, Hyannis
Hearing Room, Second Floor
Time: 3:00—6:00 P.M.
Approximately three days prior to meeting, an agenda will be sent out to you—
once it is available. It will also be available on line at the town website:
www.town.barnstable.ma.us
Go to ..."Boards & Committees > Board of Health
- or - Go to Official
Agendas _
Any questions, please call Sharon Crocker at 508-862-4739. Thank you.
QAAGENDAS BOH\let Receipt of 130H Submission 473 Pine St Cent MAY2016.doc
R
Town of Barnstable Barnstable
d
Board of Health I
BARN STABLE,
6 9 `�g 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Camiff,D.M.D.
Junichi Sawayanagi
November 29, 2015
Ms. Dawn Dennen
473 Pine Street
Centerville, MA 02632
RE: Hearing Continued for Six Months/Underground Fuel Storage Tank
473 Pine Street, Centerville,MA
Dear Ms. Dennan,
At the October 13th meeting of the Board of Health, the Board voted to continue this matter for
six months. The hearing was held concerning an underground fuel tank at your property located
at 473 Pine Street, Centerville.
During the hearing, you stated you did not have funds to hire a private company to verify the
absence of the oil tank at that time. You stated the tank was removed during the time of your
home renovation in 1989. The contractor removed the tank and gave it to a colleague to be used
as a coal storage bin. A photograph was submitted showing a tank on top of the ground adjacent
to the renovation worksite.
This extension is granted because the Board requests you to obtain additional information. For
the May 2016 hearing, please bring information from your builder relative to the removal and
reuse of the tank, copies of gas heating bills for your residence, and any other documentary
evidence that you could provide to support the claim that the tank was removed (i.e.
photographs, removal permit from the local Fire Department). You may also consider contacting
Mr. Leonard Gobeil (508 862-4701) to inquire about obtaining Lombard funds to fund the hiring
of a professional tank company to determine whether the tank was in fact removed.
The hearing is continued until Tuesday May 10, 2016 at 3:00 p.m.. The meeting will be held
within she second floor Hearing Room of Town Hall, 367 Main Street, Hyannis, Massachusetts. .
Sin c,r l our ,
YY
W /n it airman�
Q:\WPFILES\FuelTanlcDennen2Ol5.doc
°Ft"E r Town of Barnstable
ti
Regulatory Services Barnstable
9s MAASSS. Richard V. Scali, Director ; cf.nmedca ,
1639. �� Public Health Division I I 1 y
�ArED MA'S A
Thomas McKean, Director 2007
200 Main Street
Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
September 15,2015
DENNEN,DAWN D.
473 PINE ST
CENTERVE LE, MA 02632
RE: Underground Storage Tank
473 PINE STREET
Centerville
Map/Parcel: 228105
Tank Number: 1
Tag Number: UNK
FINAL NOTICE
Board of Health records indicate that an underground fuel(or chemical)storage tank at the above location exceeds
thirty(30)years in age and has not yet been removed as required by the Town of Barnstable Code Chapter 326,
Section 3,Fuel and Chemical Storage Tanks.
You are directed to remove this tank. Upon completion of the tank removal,please submit to this office a copy of
the permit for storage tank removal issued by your local Fire Department. This permit is required to be obtained
prior to the tank removal. This copy of the removal permit serves as documentation that the underground storage
tank was properly removed and disposed of.
Should you be unaware of the existence of the above mentioned tank or its possible previous removal,an
independent third party(i.e. oil company,tank removal company,or environmental services company)may be able
to assist you in physically locating and/or verifying the.current existence of the tank. Should this be the case,a
written document from the independent third party is required as verification that the tank had been previously
removed and/or does not exist. You must provide written documentation of proof that there is no longer an
underground storage tank located on this property.
You have ignored two previous orders to comply and to appear for a hearing before the Board of Health.Failure to
comply with this order will result in future penalties. Unless this issue is resolved,you are once again ordered to
appear before the Board of Health for a hearing at the next available public meeting,which will be October 13,
2015. The meeting will begin at 3:00 PM and will be located at Barnstable Town Hall, 367 Main Street,Hyannis,
MA 02601. If you have any questions regarding this matter,you may contact Timothy Lavelle,Hazardous Material
Specialist, at 508-862-4645.
Tho s A. McKean,RS,CHO
Public Health Division,Director
Q:\Hazmat\Underground Tanks\2015\30 yr old UST 473 Pine St CENT-posting 091515.doe
Town of Barnstable October 7,2015
Public Health Division 2
200 Main Street
Hyannis,MA 02601
Dear Thomas McKean, =a`
I am writing this in response to a final notice from the Department of Ijealth requesting that I
provide written documentation of proof.that an oil-tank has been removed from my property at
473 Pine Street Centerville,MA(Map &Parcel 228105 Tank 1).
In 2012,Tank Removal Services in Hyannis came to my property to search for,and verify the
absence of,this tank.They determined that they would need to suit up, come back and dig deeper
in order to provide enough evidence to the Department of Health.At that time they estimated the
service cost to be$500, and informed me that they would provide more information at a later
time, as a neighbor was in a similar situation.A significant amount of time went by until I was
contacted again.
When I renovated my home 26 years ago,the contractor removed the tank before finishing the
flooring and gave it to a colleague to be used as a coal storage bin.I was told that locating the
person who received the tank would not be useful,but that locating the builder who removed it
would be enough.I am pursuing this currently.
I am struggling to meet all my financial obligations,which, as I hope you can understand, can
often be overwhelming.Presently. I am not working and do not know when that will change.I
have two sources of income and am still not always meeting my financial responsibilities.I have
been on an I.R.S.repayment plan.I am behind over a year in Barnstable Town Tax.Boston City
Law is threatening to foreclose on a property of which I am using the rental income to live on. I
am doing my best to pay these taxes by selling what I can, looking for work and borrowing
money.I did apply for a home equity loan but was denied;my roof needs a replacement and the
furnace needs repairs.
I understand that I missed the Sept. 8 hearing.I am willing to cooperate with the Department of
Public Health,but unfortunately I simply do not have the funds to have Tank Removal Services
verify the absence of the oil tank. This summer I contacted the Town of Barnstable Department
of Public Health,seeking financial assistance in the resolution of this issue. My call was returned
after two weeks by an employee who had been on vacation stating that there was no money for
this sort of thing.
As I stated previously,I am trying to locate the builder responsible for the removal of the tank,in
the hope that he will be able to provide proper verification. I am planning on attending the
meeting on October 13,2015 to discuss the issue.
Sincerely,
awn Dennen
°FZHEtp�, Town of Barnstable
Regulatory Services Barnstable
�Bnx? ss. Richard V. Scali,Director
N.1639. ,0 Public Health Division I f
ArF p�,l
Thomas McKean, Director Zoos
200 Main Street
Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
September 15,2015
DENNEN, DAWN D
473 PINE ST
CENTERVE LE, MA 02632
RE: Underground Storage Tank
473 PINE STREET
Centerville
Map/Parcel: 228105
Tank Number: 1
Tag Number: UNK
FINAL NOTICE
Board of Health records indicate that an underground fuel(or chemical)storage tank at the above location exceeds
thirty(30)years in age and has not yet been removed as required by the Town of Barnstable Code Chapter 326,
Section 3,Fuel and Chemical Storage Tanks.
You are directed to remove this tank. Upon completion of the tank removal,please submit to this office a copy of
the permit for storage tank removal issued by your local Fire Department. This permit is required to be obtained
prior to the tank removal. This copy of the removal permit serves as documentation that the underground storage
tank was properly removed and disposed of.
Should you be unaware of the existence of the above mentioned tank or its possible previous removal, an
independent third party(i.e. oil company,tank removal company,or environmental services company)may be able
to assist you in physically locating and/or verifying the current existence of the tank. Should this be the case,a
written document from the independent third party is required as verification that the tank had been previously
removed 'and/or does not exist. You must provide written documentation of proof that there is no longer an
underground storage tank located on this property.
You have ignored two previous orders to comply and to appear for a hearing before the Board of Health.Failure to
comply with this order will result in future penalties. Unless this issue is resolved,you are once again ordered to
appear before the Board of Health for a hearing at the next available public meeting,which will be October 13,
2015. The meeting will begin at 3:00 PM and will be located at Barnstable Town Hall,367 Main Street,Hyannis,
MA 02601. If you have any questions regarding this matter,you may contact Timothy Lavelle,Hazardous Material
Specialist, at 508-862-4645.
<Tho s A.McKean,RS,CHO
Public Health Division,Director
Q:\Hazmat\Underground Tanks\2015\30 yr old UST 473 Pine St CENT-posting 091515.doc
Town of Barnstable - ir5i LZ October 7,2015
Public Health Division e
200 Main Street
Hyannis,MA 02601
F'LL'e
-- - - - --Dear-Thomas-McKe
I am writing this in response to a final notice from the Department of I3`ealth requesting that I
provide written documentation of proof that an oil tank has been removed from my property at
473 Pine Street Centerville,MA(Map &Parcel 228105 Tank 1).
In 2012,Tank Removal Services in Hyannis came to my property to search for, and verify the
absence of,this tank.They determined that they would need to suit up, come back and dig deeper
in order to provide enough evidence to the Department of Health.At that time they estimated the
service cost to be$500, and informed me that they would provide more information at a later
time, as a neighbor was in a similar situation.A significant amount of time went by until I was
contacted again.
When I renovated my home 26 years ago,the contractor removed the tank before finishing the
flooring and gave it to a colleague to be used as a coal storage bin.I was told that locating the
person who received the tank would not be useful,but that locating the builder who removed it
would be enough. I am pursuing this currently.
I am struggling to meet all my financial obligations,which,as I hope you can understand, can
often be overwhelming.Presently I am not working and do not know when that will change.I
have two sources of income and am still not always meeting my financial responsibilities.I have
been on an I.R.S. repayment plan.I am behind over a year in Barnstable Town Tax. Boston City
Law is threatening to foreclose on a property of which I am using the rental income to live on. I
am doing my best to pay these taxes by selling what I can,looking for work and borrowing
money.I did apply for a home equity loan but was denied;my roof needs a replacement and the
furnace needs repairs.
I understand that I missed the Sept. 8 hearing. I am willing to cooperate witlithe.Department of
Public Health,but unfortunately I simply do not have the funds to.have Tank Removal Services
verify the absence of the oil tank. This summer I contacted the Town of Barnstable Department
of Public Health, seeking financial assistance in the resolution of this issue.My call was returned
after two weeks by an employee who had been on vacation stating that there was no money for
this sort of thing.
As I stated previously,I am trying to locate the builder responsible for the removal of the tank,in
the hope that he will be able to provide proper verification. I am planning on attending the
meeting on October 13, 2015 to discuss the issue.
Sincerely,
awn Dennen
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Regulatory Services' Barnstable
9B STAB[E,� Richard V. Scali,Director ;mencaCity
039. Public Health Division ' I ( �.
�prED MA'S A
Thomas McKean, Director Zoos
200 Main Street
Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
September 15,2015
DENNEN,DAWN D
473 PINE ST
CENTERVILLE,MA 02632
RE: Underground Storage Tank
473 PINE STREET
Centerville
Map/Parcel: 228105
Tank Number: 1
Tag Number: UNK
FINAL NOTICE
Board of Health records indicate that an underground fuel(or chemical)storage tank at the above location exceeds
thirty(30)years in age and has not yet been removed as required by the Town of Barnstable Code Chapter 326,
Section 3,Fuel and Chemical Storage Tanks.
You are directed to remove this tank. Upon completion of the tank removal,please submit to this office a copy of
the permit for storage tank removal issued by your local Fire Department. This permit is required to be obtained
prior to the tank removal. This copy of the removal permit serves as documentation that the underground storage
tank was properly removed and disposed of.
Should you be unaware of the existence of the above mentioned tank or its possible previous removal, an
independent third party(i.e. oil company,tank removal company,or environmental services company)may be able
to assist you in physically locating and/or verifying the current existence of the tank. Should this be the case,a
written document from the independent third party is required as verification that the tank had been previously
removed'and/or does not exist. You must provide written documentation of proof that there is no longer an
underground storage tank located on this property.
You have ignored two previous orders.to comply and to appear for a hearing before the Board of Health.Failure to
comply with this order will result in future penalties. Unless this issue is resolved,you are once again ordered to
appear before the Board of Health for a hearing at the next available public meeting,which will be October 13,
2015. The meeting will begin at 3:00 PM and will be located at Barnstable Town Hall,367 Main Street,Hyannis,
MA 02601. If you have any questions regarding this matter,you may contact Timothy Lavelle,Hazardous Material
Specialist, at 508-862-4645.
Tho s A.McKean,RS,CHO
Public Health Division,Director
QAHazmat\Underground Tanks\2015\30 yr old UST 473 Pine St CENT-posting 091515.doc
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M ^C&L
DATA
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�Sa� �
g a e
vn of Barnstable
egulatory Services Barnstable
'chard V. Scali, Director
lic Health Division
omas McKean Director 117
Qhmwy (W�6 200 Main Street
l� j Hyannis, MA 02601
Fax: 508-790-6304
July 2,2015
DENNEN, DAWN D
473 PINE ST
CENTERVILLE, MA 02632
RE: Underground Storage Tank
473 PINE STREET
Centerville
Map/Parcel: 228105
Tank Number: 1
Tag Number: UNK
FINAL NOTICE
Board of Health records indicate that an underground fuel(or chemical) storage tank at the above
location exceeds thirty(30)years in age and has not yet been removed as required by the Town of
Barnstable Code Chapter 326, Section 3,Fuel and Chemical Storage Tanks.
You are directed to remove this tank. Upon completion of the tank removal, please submit to this office
a copy of the permit for storage tank removal issued by your local Fire Department. This permit is
required to be obtained prior to the tank removal. This copy of the removal permit serves as
documentation that the underground storage tank was properly removed and disposed of.
Should you be unaware of the existence of the above mentioned tank or its possible previous removal, an
independent third party(i.e. oil company,tank removal company, or environmental services company)
may be able to assist you in physically locating and/or verifying the current existence of the tank.
Should this be the case, a written document from the independent third party is required as verification
that the tank had been previously removed and/or does not exist.
Failure to comply with this second and FINAL order of the Board of Health will result in automatic
scheduling of a hearing before the Board at the next available public meeting,which will be August 18,
2015. The meeting will begin at 3:00 PM and will be located at Barnstable Town Hall,367 Main Street,
Hyannis,MA 02601.
NOTE: The July Board of Health meeting date was changed. Therefore,this issue will be addressed at
the August 18d' meeting instead.
Thomas A. McKean,RS,CHO
Public Health Division,Director
Q:\Hazmat\Underground Tanks\2015\letters sent 070215-FINAL NOTICE\30 yr old UST 473 Pine St CENT.doc
ZHE Tpk, Town of Barnstable
P �
Regulatory Services Barnstable
BMtNSTAHLE,
„ASS. g Richard V. Scali,Director AFAmericaCdy
q, 039. Public Health Division 1 I 111 ►
AlFD MAC a
Thomas McKean,Director 2007
200 Main Street
Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
March 30, 2015
DENNEN,DAWN D
473 PINE ST
CENTERVILLE,MA 02632
RE: Underground Storage Tank
473 PINE STREET
Centerville
Map/Parcel: 228105
Tank Number: 1
Tag Number: UNK
Board'of Health records indicate that an underground fuel(or chemical)storage tank at the above
location exceeds thirty (30)years in age and has not yet been removed as required by the Town of
Barnstable Code Chapter 326, Section 3,Fuel and Chemical Storage Tanks.
You are directed to remove this tank within sixty(60)days from the date of this Notice.
Upon completion of the tank removal and within ninety(90) days of receipt of this Notice,please submit
to this office a copy of the permit for storage tank removal issued by your local Fire Department. This
permit is required to be obtained prior to the tank removal. This copy of the removal permit serves as
documentation that the underground storage tank was properly removed and disposed of.
Should you be unaware of the existence of the above mentioned tank or.its possible previous removal, an
independent third party(i.e. oil company,tank removal company, or environmental services company)
may be able to assist you in physically locating and/or verifying the current existence of the tank.
Should this be the case, a written document from the independent third party is required within ninety
(90) days of receipt of this notice as verification that the tank had been previously removed and/or does
not exist.
You may request a hearing before the Board provided that a written petition requesting same is received
by the Board of Health within ten (10) days after this order is served.
Failure to comply with an order of the Board of Health will result in automatic scheduling of a hearing
before the Board at the July 14,2015 public meeting. The meeting will begin at 3:00 PM and will be
located at Barnstable Town Hall, 367 Main Street,Hyannis,MA 02601.
Thomas A. McKean,RS,CHO
Public Health Division, Director
Q:\Hazmat\Underground Tanks\2015\letters\30 yr old UST 473 Pine St CENT.doc
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FTHE Town of Barnstable
ti
Regulatory Services Barnstable
BMtNMASSES. Thomas F. Geiler, Director
AFAmerica My��AIf1639. � Public Health Division 11111 I
Thomas McKean, Director
2007
200 Main Street
Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
July 27, 2012
Dawn Dennen RE: Underground Storage Tank
473 Pine Street 473 PINE STREET,
Centerville, MA 02632 CENTERVILLE
Map/Parcel: 228105
Tank Number: 1
Tag Number: Not available
ORDER TO REMOVE UNDERGROUND TANK
The Public Health Division (PHD)records indicate that an underground storage tank was
installed at your property in 1968. The PHD does not have records verifying the removal of this
tank, nor did the Centerville-Osterville-Marstons Mills Fire District have a tank removal permit
on file for its removal. This tank exceeds thirty years in age and shall be removed as required by
the Town of Barnstable Code Chapter 326, Section 3, Fuel and Chemical Storage Tanks.
Therefore, you are directed to remove this tank within sixty (60) days from the date of this
notice.
Upon completion of the tank removal and within ninety(90) days of receipt of this notice,
please submit to this office a copy of the permit for storage tank removal issued by your local
Fire Department. This permit is required to be obtained prior to the tank removal. The copy of
the removal permit serves as documentation that the underground storage tank was properly
removed and disposed of.
Should you be unaware of the existence of the above mentioned tank or its possible previous
removal, an independent third party (i.e. oil company, tank removal company, or environmental
services company) may be able to assist you in physically locating and/or verifying the current
existence of the tank. Should this be the case a written document from the independent third
party is required to be submitted within ninety (90) days of receipt of this notice as verification
that the tank,had been previously removed and/or does not exist.
Q:\Hazmat\Underground Tanks\473 Pine Street 30 yr July 2012.doc
You may request a hearing provided that a written petition requesting same is received by the
Board of Health within ten (10) days after this order is served.
Per Order of the Board of Health
Thomas A. McKean, PS, CHO
Health Agent
QAHazmat\Underground Tanks\473 Pine Street 30 yr July 2012.doe
1
°FTHE Tp� Town of Barnstable
P ~
Regulatory Services Barnstable
vB MASS. Richard V. Scali, Director AS-America City
Public Health Division I I I
Thomas McKean, Director
Zoos
200 Main Street
Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
July 2, 2015
DENNEN, DAWN D
473 PINE ST
CENTERVILLE,MA 02632
RE: Underground Storage Tank
473 PINE STREET
Centerville
Map/Parcel-, 228105
Tank Number: 1
Tag Number: UNK
FINAL NOTICE
Board of Health records indicate that an underground fuel(or chemical)storage tank at the above
location exceeds thirty (30)years in age and has not yet been removed as required by the Town of
Barnstable Code Chapter 326, Section 3,Fuel and Chemical Storage Tanks.
You are directed to remove this tank. Upon completion of the tank removal, please submit to this office
a copy of the permit for storage tank removal issued by your local Fire Department. This permit is
required to be obtained prior to.the tank removal. This copy of the removal permit serves as
documentation that the underground storage tank was properly removed and disposed of.
Should you be unaware of the existence of the above mentioned tank or its possible previous removal, an
independent third party(i.e. oil company,tank removal company, or environmental services company)
may be able to assist you in physically locating and/or verifying the current existence of the tank.
Should this be the case, a written document from the independent third party is required as verification
that the tank had been previously removed and/or does not exist.
Failure to comply with this second and FINAL order of the Board of Health will result in automatic
scheduling of a hearing before the Board at the next available public meeting, which will be August 18,
2015. The meeting will begin at 3:00 PM and will be located at Barnstable Town Hall, 367 Main Street,
Hyannis,MA 02601.
NOTE: The July Board of Health meeting date was changed. Therefore,this issue will be addressed at
the August 18"'meeting instead.
Thomas A. McKean, RS,CHO
Public Health Division, Director
QAHazmat\Underground Tanks\2015\letters sent 070215-FINAL NOTICE00 yr old UST 473 Pine St CENT.doc
..rM
�pFSHETp�y Town of Barnstable Barnstable
P
Board of Health a�nmeicacm
nAnNs-rAsLe, ;
:MASS.
ppA i639
rED MAt Q" 200 Main Street, Hyannis MA 02601
2067
OFFICE: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
Dawn D. Dennen, 473 Pine Street, Centerville, MAf 02632
ACKNOWLEDGEMENT OF RECEIPT:
September 1, 2015
Tou are to appear before the Board of Oeafthfor a hearing
regarding non-compliance of removal of underground-storage
tankat: 473 Pine Street, Centery „ as per the
Public xealth Division letter datedjuly 2, 2015.
Thankyou.
Your item is scheduled to be heard at the Board of Health Meeting on the:
Date of: Tuesday, September 8, 2015 Continued from August 2015
Meeting Location: Town Hall, 367 Main St, Hyannis
Hearing Room, Second Floor
Time: 3:00—6:00 P.M.
Approximately three days prior to meeting, an agenda will be sent out to you—
once it is available. It will also be available on line at the town website:
www.town.barnstable.ma.us
Go to ..."Boards & Committees > Board of Health
- or- Go to Official
Agendas
Any questions,please call Sharon Crocker at 508-862-4739. Thank you.
QAAGENDAS BOH\let Receipt of BOH Submission 473 Pine St Cent Sep2015.doc
v xf
•n /A -
O
Town of Barnstable October 7,2015
Public Health Divisionao
e
200 Main Street `r
Hyannis,MA 02601
Dear Thomas McKean,
I am writing this in response to a final notice from the Department of Ijealth requesting that I
provide written documentation of proof that an oil tank has been removed from my property at
473 Pine Street Centerville,MA(Map &Parcel 228105 Tank 1).
In 2012,Tank Removal Services in Hyannis came to my property to search for,and verify the
absence of,this tank.They determined that they would need to suit up, come back and dig deeper
in order to provide enough evidence to the Department of Health.At that time they estimated the
service cost to be$500,and informed me that they would provide more information at a later
time,as a neighbor was in a similar situation.A significant amount of time went by until I was
contacted again.
When I renovated my home 26 years ago,the contractor removed the tank before finishing the
flooring and gave it to a colleague to be used as a coal storage bin.I was told that locating the
person who received the tank would not be useful,but that locating the builder who removed it
would be enough. I am pursuing this currently.
I am struggling to meet all my financial obligations,which,as I hope you can understand,can
often be overwhelming.Presently. I am not working and do not know when that will change.I
have two sources of income and am still not always meeting my financial responsibilities.I have
been on an I.R.S.repayment plan.I am behind over a year in Barnstable Town Tax.Boston City
Law is threatening to foreclose on a property of which I am using the rental income to live on. I
am doing my best to pay these taxes by selling what I can,looking for work and borrowing
money. I did apply for a home equity loan but was denied,my roof needs a replacement and the
furnace needs repairs.
I understand that I missed the Sept. 8 hearing. I am willing to cooperate with the Department of
Public Health,but unfortunately I simply do not have the funds to have Tank Removal Services
verify the absence of the oil tank. This summer I contacted the Town of Barnstable Department
of Public Health,seeking financial assistance in the resolution of this issue. My call was returned
after two weeks by an employee who had been on vacation stating that there was no money for
this sort of thing.
As I stated previously,I am trying to locate the builder responsible for the removal of the tank,in
the hope that he will be able to provide proper verification. I am planning on attending the
meeting on October 13,2015 to discuss the issue.
Sincerely,
Dawn Dennen
Town of Barnstable
OF THE T
Regulatory Services Barn
�p o Thomas F. Geiler, Director ;mericaCity
Public Health Division I
9 MASS. $ Thomas McKean,Director
Argo ,(A 200 Main Street 2007
Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
October 29, 2009
Dawn D. Dennen
473 Pine Street
Centerville, MA. 02632
RE: Assessors (map-parcel) 228-105
As of October 1, 2006 a new rental registration ordinance was put into affect requiring all
property owners of rental units to register their rental units with the Town of Barnstable Health
Division. According to our records, you own the rental property at 47�_ 3 Dri S--"re -t)
Centerville, MA. 02632. Enclosed is an application. Please use a separate application for each
rental unit you own. Should you need more applications, they are available online at
www.town.barnstable.ma.us. Go to the Health Division page by looking in the Department
Menu. There is a link to the Rental Registration information on the Health Division page. You
may print out as many as you need, and return them to the Health Division with the appropriate
2009 fees included.
Please contact me to schedule inspection of the property as soon as possible. If there are tenants
presently occupying the property please provide the contact information being sure to include a
daytime phone number for all tenants. For your use an occupant's permission form has been
included to allow for inspections to be performed in the tenant's absence.
Failure to comply with this ordinance will result in the issuance of a non-criminal ticket
citation in the amount of$100. Each day of non-compliance is considered a separate offense.
Should you have any questions, please feel free to call 508-862-4072. Thank you in
advance for your cooperation.
Teresa Wright
Division Assistant
Health Division
Direct#508-862-4072
f S.`
�-Health Master Detail Page 1 of 1
if
Health fester
Logged In As: .TOWN\wrightt Health Master Detail Thursday, Octob.
Application Center Parcel Lookup
Parcel Septic Perc Well I Fuel Tank
Parcel: 228-105 Location: 473 PINE STREET, CENTERVILLE Owner: DENNEN, DAWN D
Business name: Business phone:
Rental property: Imo' Deed restricted: ❑ Number of bedrooms 01
Contaminant released: F, Fuel storage tank permit: F-
Save Parcel Changes Return to Lookup !I
Parcel Info Parcel ID: 228-105 Developer lot:
Location:473 PINE STREET Primary frontage: 130
Secondary road: Secondary frontage:
Village:CENTERVILLE Fire district:C-O-MM
Sewer acct: Road index: 1258
Asbuilt Septic Scan: 228105_1 Interactive map -
Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:OUT
Owner Info Owner: DENNEN, DAWN D Co-Owner:
Street1:473 PINE ST Street2:
City:CENTERVILLE State: MA Zip: 02632 Countr
Deed date:07/15/1987 Deed reference: 5814/329
Land Info Acres: 0.21 Use: Single Fam MDL-01 Zoning:SPLIT Neighborhood: 01
Topography: Level Road: Unpaved
Utilities: Public Water,Gas,Septic Location: Rear Location
Construction Info Building No Year Built Effective Area Bedrooms Bathrooms
1 1950 1926 4 Bedroom Full
Buildings value:x154,600.00 Extra features: tt2,400.00 Land value: zr149,900.00
http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=228105 10/29/2009
—D CERTIFIED MAILTm RECEIPT
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Certified Mail Provides: (911eney)ZooZeunr'oosewiodsd
o A mailing receipt
■ A unique identifier for your mail piece
e A record of delivery kept by the Postal Service for two years
Important Reminders:
a Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail&
■ Certified Mail is not available for any class of international mail.
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valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
e For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
e If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
Internet access to delivery information is not available an mail
addressed to APOs and FPOs.
Health Department Drop-Off Hours: 8:00 AM -4:30 P.M
0% .
Town of Barnstable Received by Health .
Regulatory Services Department on
Richard V.Scali,Director
» B""16 9. » Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
ACCESSORY AFFORDABLE APARTMENT
SEPTIC QUESTIONNAIRE
Property Address: q13 Qtc-)p SA_ �n�Pn���IP_ l�l0
Assessor's Map/Parcel. Number: - I o5
Applicant(s) Name: -DA`orn
Phone: -4W -171R-1 E-Mail: AA&anoen COCn CZ)b+ ,ne_�
Size of Lot:
2a. How many bedrooms exist at your property now?
2b. How many bedroom are you planning to add as part of the Accessory
Affordable Apartment Program application? 0
2c. How many bedrooms total are proposed at this property (including the
Accessory unit)?
2e. Is the proposed Accessory Apartment contained within:
✓ the main house; OR
a detached structure
2f. Submit floor plans for all buildings on the entire property.
Show all existing rooms in the dwelling and the proposed
accessory apartment. Label each room clearly. Label measured
width of all open doorways. Use straight edge for hand drawn
plans and be sure all labeling is legible. y
Signed:a &fW ) PO Date:
1
i
* t ACCESSORY AFFORDABLE APARTMENT
SEPTIC QUESTIONNAIRE
rs t r FOR STAFF USE ONLY
b r s
I �1 °Is th -dwelling connected to Town sewer? ❑ Yes ff No
�F *2Dwe_IlingJocga�tged ❑ INSIDE ❑ OUTSIDE the Saltwater Estuary Protection Zone
�'m •�k3 �' w ,-Vt4" �k� ».,�,�' `S r�`f�y.'',F'�Y.-c'"�ter+.. s
;DwellinglocatedINSIDE ❑ OUTSIDE public supply well Zone of Contribution
,',.�,,�,�� '�� �' � �;-
Dwellingsconnected to ❑ON=SITE WELL ❑ PUBLIC WATER
a 5 Disposal works construction permit on file? D-fes ElNo
6. If yes, how many bedrooms were allowed by this permit: bedrooms
7. Were building permits obtained for additional bedrooms? ❑ Yes c❑ No
8. Engineered septic system plan:
a. On file at the Health Division? es :;:; ` ❑ No
b. If proposed accessory unit is detached from'prindgal dwelling, is that plan
on file? ❑Yes ❑
u tY4h."S; '� '#atPw°iyxro
9. Existing septic systempa cacity is bedroorns4
•� � '
Cg rsaatairi '
For the accessory un tNto rec4—-approval from§the Health Department the
following action musto_ ccur,:, t �,
*a� ,Z b.rsie.-.ate•. .w.S
❑ Existing systemaccommodates proposed°additional bedrooms)
;: Ion Y
❑ Upgrade dXistin#ysystem toiaccommodaWladd tional bedroom(s)
❑ Must removLe a"b�edrodni COMA 01ma_m4house
❑Must connect;Betachedl'structure;toithemxistin j�septic system
t °of x + ''�r4M� `i
❑Must install sepvt9ic,systerimfor�the;detachedstructure
1 F
pther
3 tr 6 a, c' � r' �.` w1
Signed - � Pate .
2
air "� td'
Borrower ClientDawn D. Dennen
PropegAddrem 473 Pine Street
Chy Centerville County Barnstable sic MA zh,Code 02632
L.W. Anchor Mortgage Company, Inc.
BATH
F0-1A MASTER
BEDROOM c BEDROOM
o C o BATH
' DEN SECOND FLOOR
r �
j 2. Q OPEN TO
LI VI NG ROOM -
*DIMENSIONS ARE APPROXIMATE
*ROOMS ARE NOT TO SCALE
KITCHEN
LI VI NG ROOM DI NI NG
Q HAT ROOM FAMI LY
Q ROOM
`11 DI NI NG AREA Q
0
G c c
C Q FIRST FLOOR
8. D :BEDROOM LI VI NG
o KI kTCHEN
ROOM
12. 0 10. 0
20. 0
SCALE I inch�2 fat
Gross Living Area
AREA NAME OF AREA Sq. Ft. TOTALS Calculations
GIAI FIRST FLOOR 1346.00 1346.00 -3.60 X .10.00 -30.00
GLA2 SECOND FLOOR 752.00 752.00 28.00 X 10,0D 280.00
30.00 X 20.00 600.00
28.00 X 12.00 336.00
20.00 X - 8.00 160.00
-8.00 X 10.00 -80.00
20..00 X 12.00 240.00
18.00 X 17.00 306.00
22.00 X 13.00 286.00
McKean, Thomas
From: McKean, Thomas
Sent: Thursday, November 18, 2010 4:13 PM
To: Dabkowski, Cindy
Subject: RE: AAAP Program
1) Map 228 Parcel 105, 473 Pine Street Centerville MA Dennen
The floor plans for 473 Pine Street shows four(4) unlabeled rooms, a "computer/den" room which is enclosed with
privacy plus three bedrooms on the submitted plans. However, the septic system is only permitted for three bedrooms.
The floor plans need to be revised/completed properly and the computer room will have to either be removed or
redesigned so that it will not be considered as a "bedroom."
2) Map 228 Parcel 105,473 Pine Street Centerville MA Dennen,-Too many bedrooms , only three bedrooms
allowed, but the submitted floor plan shows four bedrooms. Will the applicant pull a building permit to remove the
wall to remove the fourth bedroom?
----Original Message-----
From: Dabkowski,Cindy
Sent: Wednesday,,November 17,2010 11:43 AM
To: McKean,Thomas
Subject: AAAP Program -
Good Morning Mr. McKean
Will you be able to sin off on the following AAAP properties?
9 9 P P
* Map 250 Parcel 064 614 Phinney's Lane Centerville Raleigh
(Revised floor plans- include five foot opening between two upper bedrooms)
* Map 228 Parcel 105 473 Pine Street Centerville MA Dennen
Please let me know as soon as possible
I would like to speak with you regarding a couple of initial site visits. Some issues that I hope that the Health
Department is able to assist with such as moisture, mold, mildew, etc. .
Are you available to speak with me?
1
r ' Town of Barnstable Health Inspector
oFT"E r�tyy Regulatory Services Office Hours
8:30—9:30
o� Thomas F.Geiler,Director . 3:30—BMWSTABM
Public Health Division
y MAs3
�At 059• a`�� Thomas McKean,Director
ED Mp`l
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
5 o AMNESTY PROGRAM APPLICANT-SEPTIC QUESTIONNAIRE
Date:September 29,2010
1. General Information: Size.of Property: .21 Acre
Address:473 Pine Street Centerville,MA 02632. Map 228 Parcel 105
Name:Dawn D.Dennen Phone#:774487-1787
2a. How many bedrooms exist at your property now?3
2b. Are you planning to add any bedrooms?NO If yes,how many? 0
2c. How many bedrooms total are proposed at this property(including the amnesty unit)?.3
2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the
home and the proposed amnesty.apartment. Provide width measurements of any open doorways. Please label each room
clearly.
3. Is the dwelling connected'to public sewer? NO
If the dwelling.is connected to public sewer,skip questions#4 through#9 below.
4. Location of dwelling is INSIDE or OUTSIDE a Saltwater Estuary Protection Zone?
5. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells? ; =
6. Is the dwelling connected to\PUBLIC WATER?YES 4 J -71
CD
7. Is a disposal works construction permit on file?
YES br NO
i
8. If yes,how many bedrooms were approved according to this permit? Bedrooms. m
;v
9. Were any building permits obtained for construction of additional bedrooms? YES` or NO
10. Is there an engineered septic system plan on file at the Health Division? YES or NO
11. Has the septic system been inspected by a DEP certified inspector within"the last two years? YES or NO
------------------- ----------------- ----------- -
-------------------------- --------------------------
FOR OFFICE USE ONLY
Public Health Division has no objection to bedrooms at this property.
Special Conditions: on ,V 04- ( ^oL _1� � �„� as a aeeQriVv-%
Signe Date: 1 71-gl;p/J
..
Q XGMD-HousingUccessory Affordable Apartment Program\ADMINIFORMS&LETTERS1Blank Forms amnestyapp l..DOC
�i Borrower Client Dawn D. Dennen
PmpenyAddrem 473 Pine Street
City Centerville cuonty Barnstable smte MA zip Code 0263�
1.cnder Anchor Mortgage Company, Inc.
L0AIH
MASTER
BEDROOM C BEDROOM 4-1'
CCIc
0
C o BATH
as o
DEN SECOND FL QCR
c i,cf6
-P
12. 0
OPEN TO
Li VI NG ROOM
401 MENSI ONS ARE APPROXI MATE
*ROOMS ARE NOT TO SCALE
KI TCHEN
LI VI NG ROOM DI NI NG
eAT ROOM FAMILY
Q
a ROOM
DI NI NG AREA
c c C, FI RST FLOOR
C
8' D BEDROOM LI WI NG
o KI TCHEN
C 06 ROB!
12. o 10. 0
20. 0
SCALE: I inch=12 feet
Gross Living Area
AREA NAME OF AREA Sq. Ft. TOTALS
Calculations •
GIAI FIRST FLOOR 1346.00 1346.00 -3.00. X .10.00 -30.00
GL12 SECOND FLOOR 752.00 752.00 28.00 X 10.00 280.00
30.00 X 20.00 600.00
28.00 X 12.00 336.00.
20.00 X 8.00 160.00
-8.00- X 10.00 -80.00
20.00 X 12.00 240.00
18.00i X 17.00 306.00
22.00 X 13.00 286.00
Town of Barnstable Health Inspector
oFt Toy, Regulatory Services office Hours
1• 8:30—9:30
o� Thomas F.Geller,Director 3:30—4:30
BALMSrABLE, * Public Health Division
g
Fp 3�A�0 Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
AMNESTY PROGRAM APPLICANT — SEPTIC QUESTIONNAIRE
Date: September 29,2010
1. General Information: Size of Property: .21 Acre
Address:473 Pine Street Centerville,MA 02632 Map 228 Parcel 105
Name:Dawn D.Dennen Phone#: 774-487-1787
2a. How many bedrooms exist at your property now?3
2b. Are you planning to add any bedrooms?NO If yes,how many? 0
2c. How many bedrooms total are proposed at this property(including the amnesty unit)?3
2d.Please include a copy of the floor plans for the entire property. Neatly use a.straight-edge. Show all existing rooms in the
home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label each room
clearly.
3. Is the dwelling connected to public sewer? NO
If the dwelling is connected to public sewer,skip questions#4 through#9 below.
4. Location of dwelling is INSIDE or OUTSIDE a Saltwater Estuary Protection Zone?,
CD
5 . Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply;wells? M
h T
i.i.•.xS � -7.9
6. .Is the dwelling connected to\PUBLIC WATER?YES CD
A
2
7. Is a disposal works construction permit on file? YES or NO r.:-��. :;`*
8. If yes,how many bedrooms were approved according to this permit? Beds oms.
9. Were any building permits obtained for construction of additional bedrooms? YES or NO
10. Is there an engineered septic system plan on file at the Health Division? YES or NO
11. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO
-------------------------------------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
The Public Health Division has no objection to bedrooms at this property.
Special Conditions:
Signed: Date:
Q:\GMD-Housing\Accessory Affordable Apartment Program\ADMIWORMS&LETTERSTlank Forms amnestyappl.DOC
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Town of Barnstable Health Inspector
�'THE rows Regulatory Services Office Hours
8:30—9:30
Thomas F.Geiler,Director 3:30—4:30
MUMSTABM i Public Health Division
MASSS&
A 1639. � Thomas McKean,Director
rFG M0'�A
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
AMNESTY PROGRAM APPLICANT — SEPTIC QUESTIONNAIRE
Date: September 29,2010
1. General Information: Size of Property: .21 Acre
Address:473 Pine Street Centerville,MA 02632 Map 228 Parcel 105
Name: Dawn D.Dennen Phone#: 774-487-1787
2a. How many bedrooms exist at your property now?3
2b. Are you planning to add any bedrooms?NO If yes,how many? 0
2c. How many bedrooms total are proposed at this property(including the amnesty unit)?3
2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the
home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label each room
clearly.
3. Is the dwelling connected to public sewer? NO
If the.dwelling is connected to public sewer,skip questions#4 through#9 below.
4. Location of dwelling is INSIDE or OUTSIDE a Saltwater Estuary Protection Zone?
5 . Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells?
6. Is the dwelling connected to\PUBLIC WATER?YES
c=
0 1
7. Is a disposal works construction permit on file? YES or NO cm
c-a Z
8. If yes,how many bedrooms were approved according to this permit? Bedrooms.
9. Were any building permits obtained for construction of additional bedrooms? YES or NO s a
z
10. Is there an engineered septic system plan on file at the Health Division? YES or N
w n
11. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NQ:3
--------------------------------------------------------------------------------------------------------------------
s m
FOR OFFICE USE ONLY
The Public Health Division has no objection to bedrooms at this property.
Special Conditions:
Signed: Date:
Q:\GMD-Housing\Accessory Affordable Apartment Program\ADMIN\FORMS&LETTERS\Blank Forms amnestyappl.DOC
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' AsBuilt Page 1 of 1
LOCATION f SEWAGE PE 1(
q4 l -- - I'2 2 }
VILLAGE
Ci7nayizvt
I N S T A LLER'S NAME A ADDRESS
R U I L D E R OR OWNER
S�
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i
DAfi`E IKEI'MIT ISSUED �
DAT E COMPLIANCE ISSUED J
. � 1
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http://issgl2/intranet/propdata/prebuilt.aspx?mappar=228105&seq=1 9/29/2010
TOWN OF BARNSTABLE
rLOCATION q' P ne- 61. SEWAGE #
0
`VILLAGE ,/�-���y� �, ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. '%4 A . &
SEPTIC TANK CAPACITY a
,„LEACHING FACILITY•(type) lorec--R"' (size) 6 XIc
NO,.-OF BEDROOMS ' PRIVATE WELL OR PUBLIC WATER
t
BUILDER OR OWNER
DATPERMIT ISSUED: l0 act
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
r l
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s
2 No.. ... Fms........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD, OF HEALTH
�✓...........of.........r,��c..r..�v- 61 ------- -------------------
ApplirFa#ion for Uispao al Vorkg Tonstrur#iurt ramit
Application is hereby made for a Permit to Construct ( ) or Repair (�n Individual Sewage Disposal
System at:
Location Address 6r Lot No. )
es
a •--- i�l.L.i•�4Y...---'•- -"--4.•i rie Y ^
..................... --.......... ..IY?'_ "_ ...... r... p� ,e /6/��•• d
Installer 999--- Address//�F/al[
U Type of Building 3 Size Lot....�. �.-...Sq. feet
.-� Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
PqOther fixtures -------••-•-•--------------------•••........---- ••--......-••••-••-•--. --•-------••--.........••--•••............-•---••••........_........_•_....
W Design Flow.................�.57....................gallons per person per day. Total daily flow............33.0......._.............gallons.
WSeptic Tank—Liquid capacity_.f_t?.c.Atallons Length..,3.-6_`". Width.q Qa f/ Diameter__-_--_.____ Depth..S__'---.7`9
x Disposal Trench—No. .................... Width.................... Total Length..................... Total leaching area...._...............sq. ft.
Seepage Pit No........I----._-___-_ Diameter.__...(.ro" Depth below inlet... i7' . Total leaching area.._S_'l..l._..sq--ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by---./- .toza.._1Fi4,� 1'e�r�.__._._�N� Date.....s --z.5 . '
.
Test Pit No. 1......Z........minutes per inch Depth of Test Pit------ 2.'G_'Depth to ground water_. ✓.?. _ __.
fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
--••---••-•-•--••------•-•.............•--•--•-•----•------••-----------...••---------------•--••---------------- --------...-.-----------...
xDescription of Soil...a-_,3f.S--•--T�'-!`'-5 --�.s�_t3Sr1%�__ _1!�1 .Lt�- !__-.A:?, J 4.
Vu C.4..ca- sue < iSt�s.c�a. !x'_.r��---------------------•---•-------------------•--•...........................................-----------••-------••--•-----.............
W
x ........................---------••-••----•-----••-•--••••---------------•-.....-------•--•------•--------•-•-----••. --••------••••--•----••-------••••••-------•--------•-•---•-•--•-......_...--••--
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'I' Lip 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 of health.
Signed---••-••-• -----•-• . .... -------•--•---•---------•--- ..... . -----••-• I ... ........
Application Approved By..... .... • --•--•--•--•••---- = •...
e
.. .....................
......
Dare
Application Disapproved for the f ollo'wing reaso ---------••••------•••-•••-•-•••-•-•------------------•••------•-•-•--•--••-----•----•-•.........--•--•---------
........................................ ...... ....... -- --•• •-------------••----•---- ---•--•--•--•-•----------------•-•---- -..... ..................................
Date
PermitNo.....� ........................................ Issued_....... ---•-------._...---
Date
T
FEB.......... ......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
/0 1.� A,/
........I.....................OF........
�e------------------------------------
Appliration for Bhipaaal Tontitrurtion Prrutit
Application is hereby made for a Permit to Construct or Repair (�n Individual Sewage Disposal
System at:
.................... !Zg.......... ..................
.... .......
Location........... --TdWress .........................t No.-r__4................................
A......... .V1% A-1
Owner .................................
Address
............ .................................................................................
Installer Address 7...*---------
Type of Buildifig 8 � zy,�
Size Lot_.......................Sq. feet
Dwelling—No. of Bedrooms............3............................Expansion Attic Garbage Grinder
Other—Type of Building ...................
No. of persons............................ Showers Cafeteria
Other fixtures ................................
---------- -----------------------I---------------------------------------------
Design Flow________________.!R.5_....................gallons per person son per day. Total daily flow.___......... _____._.___.____..___gallons.
9 Septic Tank—Liquid capacity_.ZCp�_�al Ions Lengihn6_'- A Width_ '_./�� Diameter-----........ Depth._$=.P`
Disposal Trench—No. .................... Width_...__..._..__.._... Tota�_Len qth........... ........ Total leaching area....................sq. f t.
inle Total leaching area._.____17...sq—ft.
Seepage Pit No._.___._!_....__._.__ Diameter......6,r�o.... Depth below t..6 �.V........
Other Distribution box ( ) Dosing tank
Percolation Test Results Performed
D ate----- . e ........Z
Test Pit No. I......Z._...._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___.____.........__..._.
............................................................... -------------*------------------
0 Description of Soil... . ....
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
,L x
IT
the provisions of' UE 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 of health.
Signed.......... 14
..................................................14..................... .. ...
Application Approved By.... ...... ..... ..............
............ ........4,�
7 Z.
D.t/e
Application Disapproved for the following reasoq!s:!';* ...........................................
.........................................................
.................I....................................a J ..
.. -----------D--a-t
Permit ------------- Issued........� /Di ---------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEA
..........OF........A A. Z
Trrtifiratr of Tompliancr
THIS IS TO C RTIFY, Th he Individual Sewage Disposal System constructed or Repaired
by........ -r 7
... ----------------- --------------*--------*-------------*--------------------------- ......................................
at C� •- i....... .. ...... . ....... Installer
--------------------------------------------------------------------------
ce 7
)E 5o
has been installed in accordance wi. li the provisions of T"!T �44he State Sanitary Code asAescribed in the
application for Disposal Works Construction Permit No---- dated-....---/0 __,... ............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUN ION SATISFACTORY.
DATE.......Z Z./.17..14_2�------------------------------- Inspectcg�_ ---- --- ................... .. ............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.......................................... .........
G.
No ............... FEE........11_=�el.......
Permission,is hereby granted..... ....../16_�J .............................................................................
IVI.u I w Ig Dis7 sal System
at 1J
to Construct or Repair anInd'
Z
No......... ....... r2. ....
Street
as shown on the ap 'cation for Disposal Works ConstructionQ�xmit No.-/?d- ated.___ . .... ........ .......
........... . .... ......... ..
DATE........ ------ . ........... Boar Health....I...................................
FORM 1255 HOSES & WARREN. INC.. PUBLISHERS
TEST PIT #1 TEST PIT -*2 8�_6a GENERAL NOTES
0' ELEV =.37.2 ELEV.:: -- --
�� n 1. ALL ELEVATIONS SHOWN ARE BASED UPON NO V D
TOPSOIL, i I -77
SUBSOIL,8 i I
FILL ,i i� 2. PITCH ALL LINES A MINIMUM OF 1/8" /FT. UNLESS
OTHERWISE SPECIFIED.
3.5' -' a - 00000 ") �q O o C 00000
2 N _ 000 0 U O (D �J 0 0 0 0 00 3. ALL PIPES TO AND IN THE SYSTEM SHALL BE CAST
('
I_- - _ _ _ - - - - - - - I 0 00 0 0 0 0 O 0 0 0 0 0 00 IRON OR SCHEDULE 40 PVC.
000 0 0 0 O O 0 000000
-�
MED 000 O 0 0 0 000 -� 4. ALL SEPTIC TANKS, DISTRIBUTION BOXES, AND
I 0 0 0 LEACHING PITS SHALL BE DESIGNED FOR H 20 WHEEL
000 0 0 0 (D O 0 C 0 0 0 00 LOADINGS WHEN UNDER PAVING.
SAND I \ 000000 � p 0 000000
,o' 000000 0 O 0 0 0 0 00C 5. REMOVE ALL UNSUITABLE MATERIAL BENEATH THE
-i- 3'' 14 000001 @ O 0 000000 INVERT ELEVATIONS OF THE LEACHING PIT FOR
-- ---- -- T + ^ TYPICAL DISTRIBUTION_ BOX 000 0 0 c� O O 0 0 0 0 0 CO A DISTANCE OF 1OFT AND BACKFILL WITH CLAY -
~ LIOU —0" h FREE SAND a GRAVEL HAVING A PERCOLATION RATE
=/2 EL 25.20 NOT TO SCALE _6 0' OF 2 MINUTES PER INCH OR LESS.
NOTE- DISTRIBUTION BOX AND 6. THE BARNSTABLE BOARD OF HEALTH MUST
NO WATER ENCOUNTERED GAL. REINFORCED SEPTIC TANK BY BE NOTIFIED WHEN THE SYSTEM IS NEAR COMPLETION
OBSERVATION PIT TYPICAL /000 GAL. SEPTIC TANK ACME PRECAST OR EQUAL. TYPICAL LEACHING PIT AND PRIOR TO BACKFILLING.
UNLESS OTHERWISE NOTED, ALL SYSTEM CCMPONENTS
PERCOLATION RATE= 2 Ml-N. /INCH NOT TO SCALE NOT TC SCALE SHALL BE INSTALLED IN ACCORDANCE WITH TITLE Y
OBSERVATIONS BY: ✓ERRY DUNNING NOTE- TANKS REINFORCED THROUGHOUT WITH OF THE STATE SANITARY CODE AND ANY LOCAL
BARNSTABLE BOARD OF HEALTH ELECTRIC WELDED WIRE WITH 24-1/2" RULES WHICH MAY APPLY.
ENGINEER ARROW ENGINEERING INC. EMBEDDED STEEL RODS IN TOP a BOT- -, 8. CONTRACTOR IS TO NOTIFY ENGINEER, PRIOR TO THE
DATE 8125189 TOM. CONCRETE IS 4,000 PS.i. TEST. INSTALLATION OF SEPTIC SYSTEM, OF ANY DISCREP--
ANCIES BETWEEN TEST PIT RESULTS AND FIELD
NOTE.' CONDITIONS.
Observation pit to be excovoted 2.5'be%w 9 ACCESS MANHOLES TO SEPTIC TANKS AND LEACHING
proposed bottom ofp/t. E/evot/on to verify PITS TO BE BUILT UP TO 12 INCHES BELOW FINISH
Sol/ cond/t/on Ond water tab/e.Board of Heath to GRADE.
not/fled pr/or to construct/on.
TOP OF
x,41y W � f iT
FOUNDATION
\ \ 40 ELE V.=,37. 7/'
\ , -43X5 FINISH GRADE FINISH GRADE FINISH GRADE OVER LEACHING
\47x5 / S.S. _ _ FINISH GRADE OVER TANK OVER "D" BOX AREA ELEV. =38.0'
\ i i
-7
` 424 39X l ELEV.= 37 4' ELEV.= 37.4' ELEV.= 37.5'
\ \ s.s�•\ \\ �T.$_;_,i �, ���- � / � / , �R �\ � M/N � \` EXIST. GROUND
�
. \ 1
s J // S=2.0%
Hiq /CT -- rcr''o V - " \ Abandoned 5'__S=/.0% o _ . t�X Y8u X 3�
(� ---
O existing septic to -- —— 1 /6 S = /.O 1 WASHED STONE
be pumped out and I NV= 33.90 — f •�
!yam f,-/led with clean,sv - �'-- I NV._ �.
w 33.38 A °,
�avrrr �c 37x5 I N V.= 33.68' /OOiO GAL I NV.=33.43' 't• °�° :: .... . . . . .::.:.�
2z Tic D I ST. BOX :° 2,q 3� ��2„
/o, P/ o REINFORCED (TO BE LEVEL b�. a• ••.:::: . : : . °° x 4 X 1
CONCRETE ° WASHED STONE
a STABLE) ° °. ...., ..ors 9i 92 .... : ::.:::
8725 S.F. F�,yO11v � E� 37'�NG �' to SEPTIC TANK ° ° • : : : :::-::� BOTTOM OF PI
BASEMENT/ v J . .
,2. , � (TO BE LEVEL a STABLE) INV.= 33.05 �'�°°° •� � ° a
ELEV.__.27 05____
2 6, 2,
1?0' DO
�.--- -
xr , �o 2, FX TYPICAL SEWAGE SYSTEM PROFILE PRECAST LEACHING PIT
��R y (TO BE '_EVEL a STABLE)
NOT TO SCALE
37f
FO _ 36x2 ° X9 39Xq LEGEND -- - - - --
MAP SECTION PARCEL LOT ADDRESS
/ EXIST. CONTOUR — --- ---- --- 8 �-- - -_- -
*4k - 36�x6 PROPOSED CONTOUR 8t 228 _— -____-- - /05
1, EXIST SPOT ELEVATION 8 X 0
PROPOSED SPOT ELEVATION 8 +0 --
X8 38s� PERCOLATION TEST x ZONING DISTRICT r FLOOD HAZARD ZONE
36
10F' aAN'� OBSERVATION PIT RC--------- - --- - -
NK
Top
,, v �& DESIGN CRITERIA �L�„ °F ��ss,�,
PROPOSED ADDITION AND
ANK /�� . ��,ar � SEWAGE DISPOSAL SYSTEM
tOP a NUMBER OF BEDROOMS 3 { E i
`r< o PERSON PER BEDROOM ^_2 a RAYMONO LOTS 9/ 8 92
$ No.21583 :
,�F GALLONS PER PERSON PER DAY _-55__ F�, �FC�SP�° PINE ST.
LEACHING REQUIRED _330_G.P.D s/ .A °Q CENTERViLLE A.
�3 > LEACHING PROVIDED 549 G.P.D. '
DISPOSAL. NO
RUN, APPLICANT ENGINEER
- HERRING '
2 CENTERLlN4T BOTTOM OF 2 &c
3 WIDE DIrCN r r Willis Michaelson ARROW ENGINEERING I N(-
— 6 SEWER DESIGN vtn 0F ,, 10 CAPE DRIVE SUITE B-
r I 56 East Way
., r f WATER
- `�-- - RUNNING OR STANDING SIDEWALL= ?XfI`X5,Y6X2.5 = 47/.2 G.P.D. � 'BE �, Mashpee ass. MASHPEE, MA Q E49
-No
�rS
BOTTOM = Ii-XS X/O = 78.5 G.P. D. y be, 4 SCALE t)A1 E. SHEET
CENTERLINE NERRIN6 RUN TOTAL= 549. 7 G.P. D. I AS SHE Nr , SEPT 27 /98.9
T BOTTOM OF 2' WIDE DITC`
A 1 DRAWN BY : CHECKED BY APPU. BY PLAN NO.
PLAN SCALE / = 20' OVAL
413.P. R.E.R. PER