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HomeMy WebLinkAbout0300 BARNSTABLE ROAD - Health 300 Barnstable Road, Hyannis ; - s - — - --- N J i 4 0 i i i I � o I i COMPLETE • ■ Complete items 1,2,and 3.Also complete A. SI re item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the,back of the mailpiece, / or on the front if space permits. D. Is delivery address different from item 1? El Yes 1. Article Addressed to: if YES,enter delivery address below: ❑No i 1M A- 3. Service Type , 1 CCertffied Mail ❑Express Mail G �b6 ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes it II ii if ire r'. l:t !!�� iittir�a !!!r 2. Article r limrn r t t i 's70 0 8 t t3 2i3 d t 0©0 2 19 718 i 2 4a2'8`';''�" (Transfer from service label) I PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 •UNITED STATES POSTAL SERVICE First-Class Mail. Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • /SIR '1 W. f Town o Barnstable Health Division 206 Main Street�:�5' • .�l �hMdi Hyannis,MA 02601 ' : J I I � �. • e ni Ica F � � L USE aPostage $ 02601 in `�_ Certified Fee ru CO 41Postm rN O Return Receipt Fee I� (Endorsement Required) — Here CO 0 Restricted Delivery Fee 2 C� r3 (Endorsement Required) Q J m M Total Postage&Fees $ m ro Sent To ' -----�......... 5._ -:L C3 Street,Apt.No.;2,� 1Ip.p1 -or --POY3ox N-- � ... ..---'(1 S _! ...... -----------No. City,State P+4 a-n r-N PS Form :rr A6gust 2006 See Reverse for Instructions Certified Mail Provides: ■ A mailing receipt ■ A unique Identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Maile or Priority Mali®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For 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. ■ 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. in 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. PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047 TOWN OF BARNSTABLE LOCATION 3OO BQrn 5 4-4j c U , SEWAGE #,3/D -/1/y VILLAGE a ASSESSOR'S MAP & LOT Ib- q INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 01� ZIP (sized Orrr NO. OF BEDROOMS © PRIVATE WELL OR PUBLIC WA R BUILDER OR OWNER VA , 5 , ' r-ex m y� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i r �� 6 °FIK�E Town of Barnstable Barnstable / P Regulatory Services Department j aicaC j I BARNs-rABLE, 9 639. Public Health Division Cb i639. `0 m AlfD MAC A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO 3/28/11 First Light Holdings LLC 300 Barnstable Road Hyannis, MA 02601 IMPORTANT NOTICE Re: 300 Barnstable Road Hyannis, MA. 02601 Map & Parcel: 310-144 Dear First Light Holdings LLC: According to our records, your property at 300 Barnstable Road, Hyannis, MA has a septic system and is not connected to the public sewer system. Public sewer lines have been available in your neighborhood since 2002. The property owner was previously notified of the obligation to hook up and establish a sewer account with the town. This letter directs you to connect your building located at 300 Barnstable Road, Hyannis, MA, to public sewer on or before September 30, 2011. Sewer connection permits are available from DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis MA 02601 (508) 790-6335. You may request a hearing before the Board of Health. If you would like a hearing please send a written petition requesting a hearing on this matter within seven (7) days of receipt of this letter. If you should have any questions, please call 508-862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health U.S. Postal Service CERTIFIED MAIL RECEIPT D. . Insuratice Coverage . . . rn F I C I ru Postage $ 13 Q C3 Certified Fee °7 F E B P2003 Return Receipt fee Here (Endorsement Required) O O Restricted Delivery Fee c� p (Endorsement Required) 0 Total Postage&Fees o-' Sent To ^n- (�,f k . ..L�! 1...... ...1.XS!-C ....... ...e = --- Street Apt.Norq .; rq or PO Box No. L-J City, 4 State,ZIP+ - r� , M ✓� D1 -( dj .. . Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail.. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For 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. ■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 Deliver}'. s 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 affik'iab"el with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,January 2001 (Reverse) 102595-M-01.2425 S' SEN&R. COMPLETE • •MPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. ignatur item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ? ❑Addressee so that we can return the card to you. B. Recei ed by(Prin me) C. D e of D ivery `■ Attach this card to the back of the mailpiece, or on the front if space permits. _ D. Is delivery address different from item 1? Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No i lyv 4&" /0 3. Servile Type /1 Certified Mail ❑ Ex ss Mail v�C/ ❑Registered 01leturn Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article I ,'=7001s194i0 0004 '90;42 139:6 =H,(1-ransfe( sr .1i! N .i st fit )237t ) ) ,si ! � 'PS Form:3811-,August 2001 1- Domestic Return Receipt 102595-02-M-1540I I it tttt ,t , it ►tall 1 1 H UNITED STATES POSTAL SERVICEer lass Mail. r� e.&Fees Paid r�Phi sl No.G-10 o 1i • Sender: Please print yodMime, address, and ZIP+4 in this box • Public Health Division Town of Bamstable. 200 Main St. Hyannis, Massachusetts 02601 C c��i','r pit i i ig i! }i i i( 3; y iii ►4 ` ! ; �`�.'?T h► !li?!?iiFii?�IiFll?:?iiill?!??ll�i??!liii?i.l?i}!??illii?E�eli? I INE Town of Barnstable Regulatory Services VI � s�AB Thomas F. Geiler,Director 039.MASS. Public Health Division Thomas McKean,Director 200 Main St, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 19, 2003 First Light Holdings LLC 310 Barnstable Rd. Hyannis, MA 02601 RE: Map & Parcel 310-144 Dear Sir:' You are directed to connect your building located at 300 Barnstable Rd., Hyannis, Massachusetts, to public sewer on or before July 15, 2003. The Department of Public Works, Engineering Division, has notified us that your property abutts town sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. CHO Health Agent for: TOWN OF BARNSTABLE BOARD OF HEALTH Wayne Miller, M.D., Chairperson Susan G. Rask, RS. Sumner Kaufman, M.S.P.H. Return receipt requested Cc: Barbara Childs, Water Pollution Control Q:Sewerorder:doc Town of Barnstable FINE 1p�� Regulatory Services Thomas F. Geiler,Director • BARNSTABLE, �$A,E059. r Public Health Division Thomas McKean,Director 200 Main St, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 19, 2003 First Light Holdings LLC 310 Barnstable Rd. Hyannis, MA 02601 RE: Map & Parcel 310-144 Dear Sir: You are directed to connect your building located at 300 Barnstable Rd., Hyannis, Massachusetts, to public sewer on or before July 15, 2003. The Department of Public Works, Engineering Division, has notified us that your property abutts town sewer lines. The lines were extended because, of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. CHO Health Agent for: TOWN OF BARNSTABLE BOARD OF HEALTH Wayne Miller, M.D., Chairperson Susan G. Rask, RS. Sumner Kaufman, M.S.P.H. Return receipt requested Cc Barbara Childs, Water Pollution Control Q:Sewerorder.doc W P r I I.CS SL bo1:u �o2S1'v �a� I Postal (DomesticCERTIFIED MAIL RECEIPT Only; Provided) art u-1 Article Sent T u1 —0 3 as Postage $ s C3 Certified Fee Or Post)rrk QReturn Receipt Fee ( Z 5Z a�(Endorsement Required)C3 0 Restricted Delivery Feep (Endorsement Required) S\0 Total Postage&Fees $ /` C3 S Name(Plea a Print Cle (to be complete y mailer) m - - - --- ------------------------------------- o- s ragy�gAr.n/oo Er 0 Ciry st--, a -----------------•---------- Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece -, ■ A signature upon delivery 1�`4- 1-1 ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■ Certified Mail is not available for any class of international mail. t ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For 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. ■ 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". ■ 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. PS Form 3800,July 1999(Reverse) 102595-99-M-2087 f COMPLETE'SENDER: COMPLETE THIS SECTION / ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. S' ture item 4 if Restricted Delivery is desired. ❑Agent + ■ Print your name and address on the reverse Addrq6see .l so that we can return the card to you. B. Received by(Printed Name) C. D 6-of, livery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 'D. Is delivery address erent from item 1 ❑Y 1. Article Addressed to: If YES,enter delivery address below: ❑ No 4�p� -pe`��LC� 3 3. Service Type P-0-e-rtified Mail ❑ Express Mail ❑ Registered ©-Re Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number / (Transfe from service latiel)� 401 'Q0.Q j —I PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2509, UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Public Health Division Town of Barnstable 200 Main St. Hyannis,Massachusetts 02601 ,�, 11i,,,,,i�i,ii,,11,,,,,,ii,1„iil,►,I1„,,,i,ili,e,ii,,,,i,i,i 1VVVU Vl "UIL11.3ta"Ic Regulatory Services °FtNe r Thomas F. Geiler,Director Public Health Division r .. �HARNBLE.g! Thomas McKean, Director `b i639' 200 Main St Hyannis, MA 02601 Y Office: 508-862-4644 Fax: 508-790-6304 April 24, 2002 Michael Princi C/o First Light Holdings LLC 300 Barnstable Road Hyannis, MA 02601 RE: Map & Parcel 310144 Dear Sir: You are directed to connect your building located at 300 Barnstable Road/Kings Way, Hyannis, MA., to public sewer on or before October 24, 2002. The Superintendent of the Department of Public Works has notified us that your property abutts town sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply.with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. a ER OF E BOARD OF HEALTH cKean, R.S. CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, RS., Chairperson copy: Peter Doyle Sumner Kaufman, M.S.P.H. Return receipt requested Wayne Miller, M.D. I sewerco2 1 V VV 11 V1 "al ll.3laul"G Regulatory Services Thomas F. Geiler,Director Public Health Division • s • 9B" MASS�� Thomas McKean, Director 1639. A`0 200 Main Street, Hyannis, MA 02601 FD Mpr Office: 508-862-4644 Fax: 508-790-6304 April 19, 2002 Muhammad S. Abrahani Tr C/o First Light Holdings LLC 310 Barnstable Road Hyannis, MA 02601 RE: Map & Parcel 310144 Dear Sir: You are directed to connect your building located at 300 Barnstable Road/Kings Way, Hyannis, MA., to public sewer on or before October 19, 2002. i The Superintendent of the Department of Public Works has notified us that your property'abutts town sewer lines. The lines were extended because of the density, and the size of the lots in the area,,and the potential for serious health problems.. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas . McKean, R.S. CHO . Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, RS., Chairperson copy: Peter Doyle Sumner Kaufman, M.S.P.H. Return receipt requested Wayne Miller, M.D. Aa NO PVeR RR '10AS so . TO FiRS-� . LI G HT 7 Zb 700 ( , . Ilkk(L 'g E S E N 7o 7�( A r A,D D 2 EJS A Tr-N sewerco2 (�^ l 1T P R(N C ( ?Ge� 5 ) D J us-r RL-cvRDS . 7H#%NK � aq . U.S. Postal Service CERTIFIED MAIL RECEIPT I (Domestic Mail Only;No Insurance Coverage Provided) I Article Sent To: ' -� _ — . . I ------------- --------------------------------------- PS Form 3800,July 1999 See Reverse for Instructions Certified Mail Provides: ■ A mailing receipt t ■ A unique identifier for your mailpiece ■ A signature upon delivery ^�! ■ A record of delivery kept by the Postal Service for two years 'Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For 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 y required. -"A ■ 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".; ■ 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. PS Form 3800,July 1999(Reverse)' `102595-99-M-2087 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete . Signet r item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed Name) Act elivery ■ Attach this card to the back of the mailpiece, dZor on the front if space permits. U D. Is delivery address different from item ? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No / 3. Service Type Ul�,-e'rtified Mail ❑ Express Mail /,• ❑ Registered 12"Ffeturn Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 71p� 6 —000f=�o,a� -5'i�e (Transfer from service label) I , i ; . I i, j i ! 1 PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2509 UNITED STATES POSTAL SERV NCE R First-Class all Postage&Fee;- � PM N O -- �e mrt �10 �p • Sender: Please print oy�pr� ; address, and—Zl'P+4 I box=•" Boyd afHmM Town of BeniblB 200 Main SL Hymi ta,M OM A V VV 11 Vl "A1 U3U%U1G Regulatory Services Thomas F. Geiler, Director Public Health Division „AS& ' Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 FD MA'S Office: 508-862-4644 Fax: 508-790-6304 April 19, 2002 Muhammad S. Abrahani Tr C/o First.Light Holdings LLC 310 Barnstable Road Hyannis, MA 02601. RE: Map & Parcel 310144 Dear Sir: You are directed to connect your building located at 300 Barnstable Road/Kings Way, Hyannis, MA., to public sewer on or before October 19, 2002. The Superintendent of the Department of Public Works has notified us that your property abutts town sewer lines. The.lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems.. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, RS., Chairperson copy: Peter Doyle Sumner Kaufman, M.S.P.H. Return receipt requested Wayne Miller, M.D. sewerco2 1 V rr 11 V 1 "41 Il a L LI M ~ Regulatory Services Thomas F. Geiler, Director Public. Health Division 9gThomas McKean,Director i639. a�0 200 Main Street, Hyannis, MA 02601 ED p�pl Office: 508-862-4644 Fax: 508-790-6304 April 19, 2002 Muhammad S. Abrahani Tr C/o First Light Holdings LLC 310 Barnstable Road Hyannis, MA 02601. RE: Map& Parcel 310144 Dear Sir: You are directed to connect your building located at 300 Barnstable Road/Kings Way, Hyannis, MA., to public sewer on or before October 19, 2002. The Superintendent of the Department of Public Works has notified us that your property abutts town sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should.have any questions, please telephone me at 862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, RS., Chairperson copy: Peter Doyle Sumner Kaufman, M.S.P.H. Return receipt requested Wayne Miller, M.D. sewe=2 U.S. Postal Service CERTIFIED MAIL RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) a PS Form 3800,January 2001 See Reverse for Instructions .Certified Mail Provides: n A mailing receipt a A unique identifier for your mailpiece o A signature upon delivery in A record of delivery kept by the Postal Service for two.years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of,international mail. n NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or RegisteredvWil. o 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. o 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'. n If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for pos*arking. 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. PS Form 3800,January 2001 (Reverse) 102595-M-01-2425 COMPLETE THIS ON ON DELIVERY1 ■ Complete items 1,2,and 3.Also complete A. ig atur item 4 if Restricted Delivery is desired. �)�� ❑ Agent ■ Print your name and address on the reverse Addressee so that we can return the card to you. Rgcoi�d Printed Name) C. D to of elivery ■ Attach this card to the back of the mailpiece, �v or on the front if space permits. D. Is delivery address diffe nt from item N O is 1. Article Addressed to: If YES,enter delivery address below: ❑ No D 3. SrvTyp �Cgfled -I Mail ❑ xpress Mail ❑ Registered lJ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number n 46 / (Transfer from service label) 0QQ �' /(p y� 1(� III (� PS Form 3811,;August 2001 + I Domestic Return Receipt 102595-01-M-2509 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • BoardatHuM Town of Ban*" 200 MWn S "Ywvdk mmuchow o1 L- I I oFtME Town of Barnstable Regulatory Services ► iARNSTABLE. ` 9 MAC Thomas F. Geiler, Director i639 ,0� Public Health Division Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March-12, 2002 First Light Holdings 310 Barnstable Road Hyannis, MA 02601 . RE: Map Sz Parcel 310 - 144 Dear Sir: You are directed to connect your building located at 300 Barnstable Road, Hyannis, MA., to public sewer on or before September 5, 2002. The Superintendent of the Department of Public Works has notified us that your property abutts town sewer lines. The.lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a.court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone meat 862-4644. PER ORDER OF THE BO RD OF HEALTH Thomas�A. McKean, R.S. CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, RS., Chairperson copy: Peter Doyle Sumner Kaufman, M.S.P.H. Return receipt requested Wayne Miller, M.D. sewerco2 Postal Service (DomesticCERTIFIED MAIL RECEIPT Only; ov 0 tti 0FFICIAL. USE a 0 Postage $ �P�NtS ilfq Q- O� ul Certified Fee c Postmark �0 Return Receipt Fee ��2 i R1 (Endorsement Required) +ut I /J � Restricted Delivery Fee M (Endorsement Required) O Total Postage&Fees $ _ �SP.S ' I� Sent T Iq Street Apt.No.; r PO Box No. ---: = fix-b" ------------------------------------------------------- O City,S te,ZIP+4 M1 Q 0�6� PS Form'-'800,May 2000 See Reverse for Instructions Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A signature upon delivFRy ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For 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. ■ 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". ■ 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 presenfit when making an-inquiry. PS Form 3800,May 2000(Reverse) 102595-99-M-2087 °FTME rti Town of.Barnstable M Regulatory Services 9`" 'ss"B`E M � Thomas F. Geiler,Director 1639. �0 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 5, 2002 Resources Construction P. O. Box 599 Hyannis, MA 02601 RE: Map & Parcel 310 - 144 Dear Mr. Priestly: You are directed to connect your building located at 300 Barnstable Road, Hyannis, MA., to public sewer on or before September 5, 2002. The Superintendent of the Department of Public Works has notified us that your property abutts town sewer lines. The lines were extended because of.the density, and the size of the lots in the area, and the potential for serious health problems. l Failure to comply with this.order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any estions, please telephone me at 862-4644. PER ORDER OF THE B ARD OF HEALTH Thomas A. McKean, R.S. CHO Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask, IRS., Chairperson copy: Peter Doyle Sumner Kaufman, M.S.P.H. Return receipt requested Wayne Miller, M.D. sewe=2 Sullivan, Barbara From: McKean, Thomas Sent: Friday, March 01, 2002 3:30 PM To: Sullivan, Barbara Subject: FW: 300 Barnstable Road tie-in to sewer Did a letter go out to.the owner of 300 Barnstable Road? -----Original Message-=-- From: Anderson, Dave Sent: Friday; March 01, 2002 3:17 PM To: McKean,Thomas Subject: 300 Barnstable Road tie-in to sewer Mr McKean ; Has a letter been sent out to the owner of 300 Barnstable Road concerning connecting to sewer. - I still haven't seen a sewer connection permit or had any phone calls from anyone for that property. DJA Map & Parcel 310-144 Owner First Light Holdings .LLC 310 Barnstable Road Hyannis 02601 Tel 508 - 477 - 0023 Builder Resources Construction Inc PO Box 599 Mashpee 02649 Attn Donald Priestly Tel 508 - 477 - 0023 101 COMMONWEALTH OF MASSACHUSETTS 4 EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONME Z VED SV 0 IQN 4 2001 TOwse�, HEALTH UEPT. TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 300 Barnstable_ Road Hyannis,MA '' Owner's Name: Mr. Sam Abrahanni Owner's Address: 300 Barnstable Road, _ Hyannis,MA Date of Inspection: 1/17/01 Name of Inspector: (please print)Mr. Carmen E. Shay Company Name: Shay Environmental Services Inc Mailing Address: 34 Thatchers Lane East Falmouth,MA 02536 Telephone Number: (508)-548-0796 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: SN 0 IN XX Passes CA E Conditionally Passes o Needs Further Evaluation by the Local Approving Aut HAY Fail F 51NSP�' Inspector's Signature: Date: 1/22/01 The system inspector shall submit a copy of this inspection repo o the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments Two Leach Pits, each with only 6" to 1' liquid,D-Box under asphalt, Pits have covers at grade. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 300 Barnstable Road Hyannis,MA Owner: Mr.Same Abrahanni Date of Inspection: 1/17/01 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: XX 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes, no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 300 Barnstable Road Hyannis,MA Owner: Mr.Same Abrahanni Date of Inspection: 1/17/01 I j C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 300 Barnstable Road Hyannis,MA Owner: Mr. Same Abrahanni Date of Inspection: 1/17/01 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than %2 day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply _ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. , Page 5 of 11 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 300 Barnstable Road Hyannis,MA Owner: Mr.Same Abrahanni Date of Inspection: 1/17/01 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No XX Pumping information was provided by the owner,occupant,or Board of Health XX Were any of the system components pumped out in the previous two weeks? XX _ Has the system received normal flows in the previous two week period ? XX Have large volumes of water been introduced to the system recently or as part of this inspection? N/A Were as built plans of the system obtained and examined?(If they were not available note as N/A) XX _ Was the facility or dwelling inspected for signs of sewage back up? XX _ Was the site inspected for signs of break out? XX _ Were all system components,excluding the SAS, located on site? XX _ Were the septic tank manholes uncovered, opened,and the interior of the tank inspected for the condition of the baffles or tees, material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ? XX _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes no Existing information. For example,a plan at the Board of Health. XX _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] i Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 300 Barnstable Road Hyannis,MA Owner: Mr.Same Abrahanni Date of Inspection: 1/17/01 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents: Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(yes or no): [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no):_ Water meter readings, if available(last 2 years usage(gpd)): Sump pump(yes or no): Last date of occupancy: COMMERCIALANDUSTRIAL Type of establishment: Retail—Commercial Offices Design flow(based on 310 CMR 15.203): 75 gal/1000 sq. ft.=300 gpd Basis of design flow(seats/persons/sgft,etc.): 4,000 sq. ft Office Building Grease trap present(yes or no): No Industrial waste holding tank present(yes or no): No Non-sanitary waste discharged to the Title 5 system(yes or no): Unknown/none observed during limited site visit Water meter readings, if available: Last date of occupancy/use: Current OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: None Available Was system pumped as part of the inspection(yes or no): No If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM XX Septic tank, distribution box,soil absorption system _Single cesspool Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Early 1970's -per Owner Were sewage odors detected when arriving at the site(yes or no): No Page 7 of I l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 300 Barnstable Road Hyannis,MA Owner: Mr.Same Abrahanni Date of Inspection: 1/17/01 BUILDING SEWER(locate on site plan) Depth below grade: 18" Materials of construction:__cast iron XX 40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: XX (locate on site plan) Depth below grade: 12" Material of construction:' XX concrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 5' deep x 5'wide by 10' long Sludge depth: 4' Distance from top of sludge to bottom of outlet tee or baffle: 2' Scum thickness: 1/2" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 18.5" How were dimensions determined: Measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Structural integrity of tank is Good with no notable cracks or leaks. No evidence of water infiltration or exfiltration. Outlet Baffle in-good condition. Water level is equal to outlet invert. GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 300 Barnstable Road Hyannis,MA Owner: Mr.Same Abrahanni Date of Inspection: 1/17/01 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day- Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: Present (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): Not Accessible-Located Under Asphalt,however,Leach pits have covers to grade. PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): ' Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 300 Barnstable Road Hyannis,MA Owner: Mr.Same Abrahanni Date of Inspection: 1/17/01 SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required) If SAS not located explain why: Type 2 leaching pits,number: 6'diam.x 6' deep pits leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields, number, dimensions: overflow cesspool, number: innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): _No evidence of hydraulic failure or of sewage backup. Only 6" in Pit#1 and 12" in Pit#2 of liquid. No evidence of staining on sidewall of leach pits, therefore no evidence of significant liquid level above that observed during the inspection. CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): ~ Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 300 Barnstable Road Hyannis,MA Owner: Mr.Same Abrahanni Date of Inspection: 1/17/01 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. y C Existing Apartment House A B Septic Tank (1500 Gal.) Leach Pit#2 0 Swine Ties: System A Leach D-Box Pit#1 A- Tank In—52' � B- Tank In— 10' A- Tank Out 56' B - Tank Out -17' A- D-Box—24' B -D-Box—61' A- Leach Pit#1 —39' B -Leach Pit#1 —37' B- Leach Pit#2—39' C-Leach Pit#2—56' ..._... .. . - ------- - _.. Page I I of I I OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 300 Barnstable Road Hyannis, MA Owner: Mr. Same Abrahanni Date of Inspection: 1/17/01 SITE EXAM Slope Surface water -200+/- feet(Cranberry Bog) Check cellar - Yes Shallow wells—None Estimated depth to ground water 30'. feet Please indicate (check)all methods used to determine the high ground water elevation: Obtained from system design plans on record- If checked, date of design plan reviewed: _XX Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers- (attach documentation) XX Accessed USGS database-explain: You must describe how you established the high ground water elevation: Checked with Hyannis Quadrangle of USGS Map. ' Trust Your Image To PIP The Printing Company PATE ABRAHAM 300 Barnstable Road•Hyannis,MA 02601 508-771-8800.800-585-4499•Fax 508-771-1278•Email pate @post.com PRINTING•SIGNS&BANNERS•HIGH SPEED&COLOR COPIES TOWN OF BARNSTABLE MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH Satisfactory 2.Printers 3.Auto Body Shops unsatisfactory- 4.Manufacturers O 5.Retail Stores COMPANY- Yk-', � (see Orders ) 6.Fuel Suppliers Z/ ADDRESS Class' 7. Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MARIALS Case lots Dq-tinis Above Tanks Underground Tanks IN OUT IN I OUT IN IOUT #&gallons IAge ITest Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils:fje,� waste metar i ) ro nVw-n —' transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: ZIP- ?� s DISPOSAL'R.ECLAMATION REMARKS: A/ 1. Sanitary Sewage 2.Water Supply C" - `�'� '5 �Town Sewer ublic !� ` n-site OPrivate —= 3. Indoor Floor Drains YES N0—Z 0 Holding tank:MDC 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES LNO ORDERS: Holding tank:MDC Catch basin/Dry well On-site system 5.Waste Transporter Narne of Hauler Destination Waste Product Licensed?, 1, �'Ap, YES NO 2. t., Ty, rson(s) Interviewed Inspector y Date 1k TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair � satisfactory 2.Printers BOARD OF HEALTH Y 'y 1 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS Drurns Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: �s r 1 .� DISPOSALlRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply Town Sewer )$(Public S? i cv�) O On-site OPrivate - 3. Indoor Floor Drains YES NOX \ O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES X NO O RS: O Holding tank:MDC XCatch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. C e son (s) Interyvlw�ed Inspector Date HAZARDOUS MATERIALS REGISTRATION FORM ..... DBA: 'Type Trends i fax: 1771-1278 =---........_—_............. -...................__................._.........................._......................_........, ,..................................................................._................_.. corp name: Mail Addr - ............_...._................-- .........__..............—_....................-...................__.€ ..................._..__._........................................._................................................................................... location: !300 Barnstable Road street 1300 Barnstable Road _...................: _..................._..-......................................................... ------- - mappar: city Hyannis _.—_.----------............. ......................_............................_....................._..................; .....................:................................................................: contact: ::.Peg Pessa state: iMa 1 .................................................._.__................-_.-.........---............_—....-..........__............... , telephone: 171-8800 zip: 02601! ................................,_....,.._....._.................................., :..........-................... : emergency: 428-1567 =-- -- --= erson interviewed: 'Sam Abrahani Business: ......_._._........... ....... inspection date 1 j1/19/95 category: ;Printers ---................ inspection date 2 type: ............................................ inspection date 3 OX public Ovate Q indoor floor drain 17 outdoor surface drain r license required private wate indoor holding tank and outdoor holding tank and 171 currently licensed R town sewag 0 indoor catch basin/drywel outdoor catch basin/drywel expir on-site sewag r indoor on-site syste outdoor onsite syste date: notes: DUE TO DESK TOP PUBLISHING, CHEMICAL USE REDUCED. compliance:............................... MANIFESTS ON SITE IN OFFICE. MSDS SHEETS ON SITE. RAGS !Unsatisfactory ........................................................................................€ PICKED UP BY ACME. GLOVE&EYE PROTECTION MUST BE USED. MUST LABEL OUTSIDE DRUMS WITH NAME&START OF COLLECTION DATES ON DRUMS. DZM 1/19/95 Chemicals: O gty's > 25 Ibs dry or 50 gals liquid description: unit of measure 1 photochemicals (fixers &developers) 110 Gallons printing ink --,-41urounds other cleaning solvents 5 Gallons ..............................................................................................._.._..........................---........._..........._., waste transporter :Safety Kleen ............................._..........................................-.......................................-................................................. waste transporter Acme Laundry(usually for rags) • ti - I1 TYPE INSTANTSIGNS INSTANT PRINTING ADVERTISING&DESIGN rw�t4 300 Barnstable Road Hyannis,MA 02601 Trust Your Image to Type Trends! PEG PESSA (508)771-8800 Office Manager FAX 771-1278 Itz T WN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH O satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS � lass: 7.Miscellaneous H699/S QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MA ERIALSUndergroundove Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) i I transmission/hydraulic Synthetic Organics: degreasers Miscella eous: A' Pig, Arri VG( �MK ITO x UcAff1w,P & 5 �, ,'LAMATION REMARKS: m �) 1. anitary Sewage 2. ater Supply �U 1,� trl Town Sewer ublic a Q On-site Private ,1� p V e 3. Indoor Floor Drains YES NO M Ad 1t0oj� © IV © O Holding tank: MDC O Catch basin/Dry well O On sitesystem 4. Outdoor Surface drains:YES NO ORDE O Holding tank:MDCL-CL6 el 0 O Catch basin/Dry well O On-site system / 5. Waste Transporter 6 D Vl l O m' of Hauler Destination Waste Product N� O ` S XtffD1. I � 2. 51WRL M eg,Aw'� a IlaNt erson (s) Interviewed Ins cto Datel TbxIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: I'MocF rl,51VAS Mail To: BUSINESS LOCATION:, ,OP7 Rft2ST BLS � y�jf//!//S Board of Health S Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: F-A-F 5)S 77L12-73 Hyannis, MA 02601 CONTACT PERSON: 3AM A'M-A•H--W o EMERGENCY CONTACT TELEPHONE NUMBER: �08 771- $$00 Oy 9'o$ t(2g•/�6 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities t allin at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES This form must be returned to the'Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: `S'`J 1 S�M� 'a rBsS �s C;2,� pje, TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case N Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal 110 Gqk Photochemicals (fixers and developers) Degreasers for driveways & garages &S Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents. Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) 54clk Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business L 71ie� �:Qvpw, Dr.Richard R.Singleton PRACTICE OF CHIROPRACTIC Practice limited to musculoskeletal.and neuromuscular pain syndromes MEMBER 300 Barnstable Road •American Chiropractic Association Hyannis,MA 02601 •Massachusetts Chiropractic Society Phone(508)778-5005 •ACA Council on Neurology FAX(508)778-7719 i r � o � uY39 �a9 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops (" 0, unsatisfactory- 4.Manufacturers COMPANY pr ��G J(�t a (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 3a� CjagS; 7•Miscellaneous GG�ivrr QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERLAULS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 19 x Kos.,(co, OZx— 0.4 x- � DISPOSAURECLAMATION REMARKS: n 1. Sanitary Sewage 2.Water Supply Town Sewer OPublic O On-site OPrivate A _ 3. Indoor Floor Drains YES NO � R/ 1"G�C.� �� v ��GGw�•:e e ��3Gt!e. O Holding tank: MDC 1 +0 O Catch basin/Dry well i G+vl,� Coll O On-site system SUS W-Nh WaAx 4. Outdoor Surface drains:YES N0� O ERSk / O Holding tank:MDC P e J7 wa.fo& O Catch basin/Dry wellLe� �a O On-site system ' � C ilk C4,V, -ram 5.Waste Transporter a, e Name of Hauler Destination Waste Product YES NO 1. .� /��� l �,• r�/lam' � r�.J'v ;. y.- � �/ 2. Person(s) erviewed Insp ctor Ddte r n TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops �1 unsatisfactory- 4.Manufacturers COMPANY��//YU- Q/f ��, (see"Orders") 5.Retail Stores 6.Fuel Su ADDRESS d Class: 7.Miscellanelous n NIV QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: p� Ge 1a N .D re- ASI r XV4L10f01f5W_ X X DISPOSALfRECLAMATION REMARKS: 1 �/ (� I. Sanitary Sewage 2. ater Supply SAW (,w)Kre —v s 2 0 Town Sewer PkPublic of 0 On-site OPrivate 3. Indoor Floor Drains YES NO Y,— -fo 0 Holding tank:MDC O Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO OR R !� O Holding tank:MDC VU 0 Catch basin/Dry well S L 0 On-site systemAAA S 5. Waste Transporter Name of Hauler Destination Waste 5 0 Product �qA�C-Y Y �1,691V / �y ,�'n 01 YES NO 0 c l� jq Person ) Interviewed In for at LkCIVAkD s11V(;�T6W TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS:SIN&Qrc ctp ), ppR ,TiC, Mail To: BUSINESS LOCATION: �O j`Pti�NS'�'�$ �D. ,�y \S Board of Health Town of Barnstable MAILING ADDRESS: �'P G P.O. Box 534 TELEPHONE NUMBER: 50�- -�a00 Hyannis, MA 02601 1 CONTACT PERSON: "�i EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for EON— your own use, weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your4 mailing address: r SMt - ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants / rodenticides) Degreasers for engines and metal 4 Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink �Ax' •aS _ Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine " •��� Car wash detergents Lye or caustic soda bc\j• Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) PKp'M L1APt-�NQPa - U3K3VT7 Other cleaning solvents mi�X , t 3 x cj G�qL, � oEv Bug and tar removers Household cleansers,oven cleaners White Copy- Health Department/ Canary Copy-Business INSTANT POINTING•INSTANT SIGNS•DMUTOP GRAPHICS I, HIGr SPEED&COLOR COPIES Trust Your Image To TYLU The Printing Company PEG PESSA- i (508)771-8800 - 300 BARNSTABLE RD. FAX(508)771-1278, HYANNIS,MA 02601 L TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH K 3.Auto Body Shops Q unsatisfactory- 4.Manufacturers �r (see"Orders") 5.Retail Stores COMPANY 6.Fuel Suppliers ADDRESS wJ � Class: 7.Miscellaneous nMr QUANTITIES AND STORAGE (IN= indoors;OUT=outd rs) MAJOR MATER S . IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel (A) Diesel, Kerosene, 02 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers r Miscellaneous: 1-305 pGA441J �t ;d•v.— 7--15 o� DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply own Sewer *ublic d✓ may,e O On-site OPrivate 3. Indoor Floor Drains YES N0_�_( O Holding tank:MDC_ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0_jS, r ERS: O Holding tank:MDC LN -O Catch basin/Dry well p tkb 'ti, • . O On-site system •' S v✓k �lvN� �iMJ. Gryd< 5.Waste Transporter Name of Hauler Destination' Waste Product 9 3 ' tA,1 1p,, Q YES NO 2. Person (s) Interviewed Inspector Date 1 ,� I No-THE T OFFICE OF THE BOARD OF HEALTH 0� 'ems OF THE # TOWN OF BARNSTABLE, MASS. HAHNSTABLE, .� MASS. ..p 1.63 9. �� ADD Max �` SEWAGE DISPO� P IT Permission is granted to "�`' t7`� =- to construct A``._`-___ _ 4�__: - �� - Sketch Upon the Premises of -------------- ------------------------ In the village of �� 75$or more feet sfr�om any source of water supply 20 feet from building 10 feet from property line 1 }! Vt. Health Officer. .'