Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0060 CROCKER DRIVE - Health
60 CROCKER F,* W,,e HYANNIS A = 306 211 r f 1 Town of Barnstable Inspectional Services Department i • STAB Public Health Division NAM 163 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO March 2021 Michael Macheras TR 60 Crocker Drive Hyannis, MA 02601 RE: SEWER CONNECTION DEAIWINE EXPIRED 60 Crocker Drive, Hyannis 7A= 306=211 Dear. Property Owner, Your sewer connection deadline extension has passed. Please contact the Public Health Division Office to provide an update relative to the status of property's connection to public sewer (i.e. contractor name, DPW sewer connection permit number, anticipated connection date.) If you would like to request an extension, such request must be in writing addressed to the Board of'Health (200 Main Street Hyannis, Massachusetts) or e-mail Sharon Crocker at: sharon.crockergtown.Barnstable.ma.us within fourteen (14) days. Sincerely yours, Karen Malkus-Benjamin Town of Barnstable Health Division Coastal Health Resource Coordinator karen.malkus(a)town.barn stable.ma.us - I� IL i CIO ►� _ 3 4` 43 Certified Mail Fee. Ir $ Extra Services&Fees(check tiox_;add fee as appropriate.) ❑Return Receipt(hardcopy) $... O ❑Return Receipt(electronic) $ Postmark r ❑Certified Mail Restricted.Delivey $ Here Q []Adult Signature Required $ Adult Signature Restricted Delivery$ O Postage M � Total Postage and Fees N g Ia `� Street and t.N.,or PO ox o. � airy ate ZIP+4e.. / Cc 1�iS (M 02L—vl Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailplece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this-,1 delivery. USPS®-postmarked Certified Mail receipt to the ; ■A record of delivery(including the recipients retail associate. ;-U signature)that is retained by the Postal Service- Restricted delivery service,which provides ['I for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders: Adult signature service;which requires the r ■You may purchase Certified Mail service with signee to be at least 21 years of age(not 's First-Class Mails,First-Class Package Service®, available at retail). _ or Priority Mail®service. Adult signature restricted delivery service,which •Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent:] with Certified.Mail service.However,the purchase (not available at retail). p of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a: certain Priority Mail Items. USPS postmark.If you would like a postmark on 1"�`1 ■For an additional fee,and with a proper this Certified Mail receipt,please present your -`i endorsement on the mallpiece,you may request Certified Mail item at a Post Office'for F-1 the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply ?,- You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. n electronic version.For a hardcopy return receipt, ,r complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this reeelpt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000.9047 rmplete items 1,2,and 3. : rstureint your name and address on the reverse X Agent that we can return the card to you. ❑Addressee tach this card to the back of the mailpiece, B• Received by-(Printed Name) C. Date of Delivery on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If c YES,enter delivery address below: ❑ No (Yl r C-In E- I (cO C'VZCI:cX- Qri / I I 3. Service Type ❑Priority Mail Express® II I DIII�I I II ICI I III II III I I I III I I I I III I I I I III ❑Adult Signature ❑Registered Mail TM ❑Adult Signature Restricted Delivery ❑ Restricted Mail Restricted f Certifed Mail® Delivery 9590 9402 5849 0038 3910 51 Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM • ---- -^?^:---� -fired Mall / ❑Signature Confirmation 7 015 ^17 3 0 0 0 01 4�9 8 7 i :8 5 7 9 ;'go ired Mail Restricted Delivery/ Restricted Delivery Ir$5nm // PS Form 3811,.July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACKING# I First-Class Mail Postage&Fees Paid USPS I Permit No.G-10 9590 9402 5849 0038 3910 51 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service f Public Health Division 200 Main Street Hyannis, MA` 02601 I , I a. oat"E Nti Town'of Barnstable'.... Pl?0N.IITDENI�E . - ,, U.S.POSTAGE>)PiTNEve0WES o Public Health Division BARN STABLE.� 200 Main Street 1.6 M{ R 2021 P .' �/ �� � MASS y 639. 0 —Gr Hyannis,MA 02601 r' rV, 0ZIP 2 02601 0 06`960 f . 0000373143 MAR. 16. 2021. 1_.tiv _?015 1730 0001 4987 8579 V Y M I �} C a315 vE 7. Yv 73 'c� s, to N AS L.E TO F OR VAQ.,D/E OR R:E V1 E.W xC�03 i 'LS L w (1� K2!.R z9i.!T 4,8.CF IG 4a[1 11 LgL{..—as, •�t�J��,7.®.�:~1i�� Ilf���tie�ta�����r0'���I�1�i.�a��'I'{���;�'�:�'�.�';��;;e�'O o;F''.B'���9�}��'� � �� 1 i j' 0 �..............—-- a is _.......... Town of Barnstable Inspectional Services Department N�'"B�^ Public Health Division 1639�- 200 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas.A.McKean,.CHO March 2021 Michael Macheras TR 60 Crocker Drive Hyannis, MA 02601 RE: SEWER CONNECTION-=DEADLINE EXPIRED 60 Crocker Drive, Hyannis A= 306-211 Dear Property Owner, Your sewer connection deadline extension has passed. . Please contact the Public Health Division Office to provide an update relative to the status of property's connection to public sewer (i.e. contractor name, DPW sewer connection permit number, anticipated.connection date.) If you would like to request an extension, such request must be in writing addressed to the Board of Health (200 Main Street Hyannis, Massachusetts) or e-mail Sharon Crocker at: sharon.crockergtown.Barnstable.ma.us within fourteen(14) days. Sincerely yours, Karen Malkus-Benjamin Town of Barnstable Health Division Coastal Health Resource Coordinator karen.malkus(a)town.barn stable.ma.us CULT i r OFt"E ram, Town of Barnstable Department of Health,Safety and Environmental Services s" MASS. `. Public Health Division s6Sq �0� ArFO 39 a 200 Main St.Hyannis,MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health November 14, 2003 Maurice M. McEvoy 56 Pleasant Street Hyannis, MA 02601 EMERGENCY CONDEMNATION AND ORDER TO VACATE Finding of Unfitness for Human Habitation and Determination of Immediate Danger The property owned by you located at 43 Pleasant Street, Hyannis,was inspected on November 14, 2003 by David Stanton, RS, Health Inspector for the Town of Barnstable, after receiving a call from Hyannis Fire and Rescue. Based on the results of that inspection,the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L c. 127B and 105 CMR 410.831 (D),the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. The following violations of 105 CMR 410.00, State Sanitary Code II: Minimum Standards Of Fitness For Human Habitation were observed: 105 CMR 410.750: Conditions Deemed to Endanger or Impair Health or Safety (I) "Failure to comply with any provisions of 105 CMR 410.600, 410.601, or 410.602 which results in any accumulation of garbage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. There was a large accumulation of garbage, rubbish, filth and other causes of sickness present at the location. There were several cockroaches observed at said location. Based upon these findings any and all occupants of the room inspected are hereby ordered to vacate and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof,which was ordered vacated,they may be forcibly removed by the local Board of Health(M.G.L. c. 127B), or by local police authorities at request of the Board of Health. Q:/health/order letters/housing violations/43 Pleaseant Street.doc Furthermore, anyone who fails to comply with any order of the Board of Health may be subject to fines of not more than$500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this dwelling may not be occupied without the written approval of the Board of Health. Please call the Board of Health for a reinsepection of the room once it is cleaned and ready to be occupied again. Note: This is an important leg 1 document. It may affect your rights. Signed� �. Thomas A. McKean Director of Public Health CC: Hyannis Fire Department TOB Building Department Q:/health/order letters/housing violations/43 Pleaseant Street.doc No.~C 1�' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for Migpogal 6pgtem Congtrurtion Permit Application for a Permit to Construct( )Repair(a)U de )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. Aock , t Owner's Name,Address and Tel.No. PYGLIAAssessor's Map/Parcel !'`I C��c � � � Installer's Name,Address,and Tel.No. ��/�C�-j `[ Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building &!S No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank OO Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Ti 5 of onme 1 Code and not to place the system in operation until a Certifi- cate of Compliance has been issue s oar Hea Signed Date oy Application Approved ley, Date 100-O-7�T� Application Disapproved for the following reasons " v — J Permit No. � � Date Issued 1. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �•s � q Yes ,. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zlpprication for Migpogar *patent Construction Permit Application for a Permit to Construct( )Repair(4�)Upgrade(�)Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �10 C AC<k,' X Owner's Name,Address and Tel.No. �e Assessor's Map/Parcel � — I I J' Installer's Name,Address,and Tel.No. pg�/�l,�n� Designer's Name,Address and Tel.No. ao &7-0'61A r�i9RS�t iS �iL�S Type of Building: Dwelling No.of Bedrooms_� Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date a.. Title Size of Septic Tank 00 Type of S.A.S. "Description of Soil f Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance-with`the provisions of TIOS 5 of nyironmeaal Code and not to place the system in operation until a Certifi- cate of Compliance has been issued is .oard Hea Signed Date /C/-/l Gu, Application Approved by - Date /G- 0 G_Z- 7c : Application Disapproved for the following reasons Permit No. ,G J Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTAthat the On-site Sewage Disposal System Constructed( )Repaired(!/)Upgraded( ) Abandoned( )by at - Cc,rt � has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.ZO"-6 3 r dated Installer Designer The issuance of this pe 't 11 not be construed as a guarantee that the ste will function ak�dsi.9n6109,11,, b C'Date InspectorA � --------------------------------------- k THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION ='BARNSTABLE., MASSACHUSETTS Mwie;po5al *pgtem Construction Permit Permission is hereby granted to Construct( )Repair(V/Upgrade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:ConstructiZus be completed within three years of the date of this p Date: / y/ � Approved by i t U6i99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CER=ICATION OF SKETCH kN-D .- PPLICATION FORA DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLAYS) I, 13 I % _ hereby ce:afy that the application for disposal wor's construction permit signed by me dated 16�-1?—oCj cancer tins the property Located at meets all of the following criteria: b The failed system is coney ed to a residential dwelling orilv. i Here are no comme: :al or business uses associated with the dwellins. The sail is classified as GLASS I and the ee.coladon race is less than or equal cc j minutes per inch. There are no wetlands within 100 Fe"of the oroposed senac sysem There are no private wells within 1:0 fee;of the oroposed senac system h There is no inc.-case in How and/or chanae in use oroposed There are ao variances requested or ne`ded. The bottom of the proposed teacain;facliry will not be located less than five fee;above the ma..dmum adjusted undwater table e!evadon. (adjust the goundwater cable using the Frimptor method when applicable] If the S.A.S. will be located wiCh?f0 tee;of arrt veg=ced we lands, the catcorn of the oroposed l=c una facility will net be locate less than fouretn(111) fez, above the maximum adjusted c*oundwater table e!tr/aaon, Please complete the fallowing: A) Too of Ground Surfacz =!e-iadon(using Cis iniormaaon) 8) G.W. cle-caaon. the rah G.W. Adjussrtent C. D��`i Cc 8 E iWEEv?,and 3 (She:c`t proeosed plan of s.s;e:n on bac'-J. q: czi[h ioidcn c I _ Y ` v TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ASSESSOR'S ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. Aqf /9r1,,7Z SEPTIC TANK CAPACITY r © LEACHING FACILITY: (type) (Q -� (size -76 > 13 NO. OF BEDROOMS BUILDER OR OWNER 1r,>f►'� �' /�Ao'1��1; PERMITDATE: /O-0Z0-06 COMPLIANCE DATE: AQ Qt—,::� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet j Edge of Wetland and.Leaching Facility (If any wetlands exist j within 300 feet of leaching facility) Feet Furnished by i i s i I I -r• d .. r�x!..a«.�'r-..^e,.•�'-r+•-,�-`�.-,�,n.nc•.-^Nwr?":r ,-, ,+„„^•rr?s,..;r-°.r�^.^;^'n.�•ar..:^,sT.„+, ';� r.^c-°.�,...�„K-...'+rrr�-`'-K•"-•�.,,..�. '*+xt'i,�-.-}t�^v� w.w.v., .�...A^v^s^�.,�" --...-- ,..,.�;:,� TOWN OF BARNSTABLE BAR-W Mo Ordinance or Regulation ` WARNING NOTICE Name of . Offender/Manager , ( ,f h Address of Offender e MV/MB Reg.# Village/State/Zip 01, MAA. S 11/1.,r t; J 1 Business Name /pm- on /U 131 A 01�3 Business Address ,,h' � a�.' Signature of Enforcing Officer Village/State/Zip Location of Offense (�t ;,i t:t t' , „� ��#�#h �rca.A, 9 r t FF ,r Enf6rcing/Dept/Division Offense.. to CA A,f [ fi! r-01 "9', �t4 Ad-4 1��O. Ij,(C t el Pl A Olt Facts ty �l✓�w•x r o d: ei r"r'A r 4,4 :A,t 1 s.f,A .,a f ft f ✓.f A 44 A4 )A fk Ira: 71 F .. !,•(f zsf h. 1��� F«+fX le a rCfs�p l� - i (0 !`,0"1) P L,i A/V Dr "� �t#U 0 4�, This will serve only as a 'warninTt-At this time no 1Be9al-action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town-10,4 Ordinances, Rules and Regulations. Education efforts and warning notices are4ov, attempts to .gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. 3v++...rr-.n ---.,'k—�'•s-.••--•.+i> z`Y'2,'. ?i '"_....a"�,-.,"a,-,t ^�.s.,.,^'r ^; 7:; TOWN OF BARNSTABLE BAR-W 39 Ordinance or Regulation WARNING NOTICE t• Name of Of fender/Manager AA, 4' e Address of Offender i r ,r - MV/MB Reg.# ' Village/State/Zip 1, f; P Business Name j,fir 1A) am/pm; on 151 /20! � Business Address Sigfiature of. Enforcing Officer Village/State/Zip Location of Offense # Enforcing/Dept/Division Offense. ts, 1. •:>. r. t r:srr � ;;rcR • ;` ' Facts ,7� A /Ca .s !' : (1 /*_ ;J+. #f'r Ca—lR !.;sf Ffc l/ A�ls ! `{.!. 1 This will serve only as 'a warning.t"At this 'time no legal`actidn has been taken. It is the goal of Town agencies, to achieve voluntary compliance of Town� d� • Ordinances, Rules and Regulations. Education efforts and warning notices are qw'". attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. K 14/I o� Health Complaints 30-Oct-03 Time: 11:39:00 AM Date: 10/30/2003 Complaint Number: 17148 Referred To: DAVID STANTON Taken By: Denise Witter �— Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS W Business Name: (° Number: Street: Crocker S eat Village. HYANNIS Assessors Map_Parcel: Complaint Description: There is a dumpster that is over-flowing and is attracting rats on the property. Caller said that there was even a dead rat found. The caller has not seen this himself but is calling on the behalf of another neighbor who is a widow and she is afraid to call because she is afraid of the neighbors and them finding out that she complained about them. Actions Taken/Results: Investigation Date: Investigation Time: ld3olu3 6 aJur �rr ,� 1 s �. • �. ,., Ln Er rq co F F I C IAA s Ln Postage $ � � p Certified Fee d p Postmark Return Reciept Fee ram. p (Endorsement Required) aHere p Restricted Delivery Fee co (Endorsement Required) 8666 .0 '-I Total Postage&Fees $ I a MSent To rr.��l1" I p fix!'c ,e !' c.�1e r f--------------------------- � Street Apt.tJo.; ----- or PO Box No. U , a, 71 Y --- - ---- --------�- City State,ZIP+4 wr rI hr^S 0 a6 6 Certified Mail Provides: , o A mailing receipt zooz ounr ugs wioj sd a A unique identifier for your mailpiece o 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®. n Certified Mail is—not available for any class of international mail. e NO.INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail n 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 uped to return receipt,a USPS®postmark on your Certified Mail receipt is requo 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". o 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 on mail addressed to APOs and FPOs. ■ Complete items 1,2,and 3.Also complete SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY A. Signature ! 2004�d g ❑A en item 4 if Restricted Delivery is desired. . g �" X ■ Print your name and address on-the,reverse ❑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? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No i VV/1 3. Service Type Certified Mail ❑ Express Mail n Registered Return Receipt for Merchandise V_r 'J��nf ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number a i i i (Transfer from service label) I:::: : : 7003 1680 0004 "5 4 5 8 19 5 / mestic Return Receipt 102595-02-M-1540 \ fig+4tl,i � 41��` 4titiij,.(16i�i[tk(6!(,ti.i'.6'4�k((i6��lit. ill.16_��E JAI �� �� JA_A V:.e>us L 8313w HC W506T 9Sfig fi000 099`C E002./ Ut#flf ' - o0Z� Qq;t , ii9nd3�Jdasod sn ,`}.1-�. � alge;su vgjo umoy +ro13N1 {Flg. It P. Certified Mail#7003 1680 0004 5458 1905 Town of Barnstable Regulatory Services Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 2, 2004 Michael Macheras P.O. Box 714 West Barnstable, MA 02668 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II -.MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND ARTICLE 51 OF THE TOWN RENTAL ORDINANCE. The property owned by you located at 60 Crocker Drive (apartment above garage), Hyannis, was inspected on June' 1, 2004 by David Stanton R.S., Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.351(A): Owner's Installation and Maintenance Responsibilities. Kitchen light was removed after a fire department investigation on 5/15/04, and has not been replaced. 105 CMR 410.351(A): Owner's Installation and Maintenance Responsibilities. Kitchen power was turned'off and not restored(because of light fixture electrical hazard). 105 CMR 410.351(A): Owner's Installation and Maintenance Responsibilities. Electrical wiring exposed in'the peak of the loft, with the ends wrapped in electrical tape. 105 CMR 410.550: Extermination of Insects, Rodents and Skunks. Rodents could be heard in the attic above the bathroom in the upstairs loft. 105 CMR 410.480: Locks: Tenants were not provided with keys for the locks to secure the dwelling from unlawful entry. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: Water damage was observed in the kitchen ceiling, and above the archway. Mold was present on the kitchen ceiling. 105 CMR 410.501: Weathertight Elements: The window above the garage is broken. Q:Order letters/Housing violations/60 Crocker Drive.doc A ' You are directed to correct the violations listed above.prior to renting out the apartment again by installing a kitchen light. By restoring all electrical outlet power, by installing an electrical appliance or removing the exposed electrical wiring in the ceiling, by removing the rodents in the attic, by providing tenants with keys for the door locks, by repairing the leak in the building causing the water damage, by removing any mold or mildew caused by the chronic dampness, by repairing all the water damage in the kitchen ceiling, and by replacing the broken window above the garage. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date.the order is served. Non-compliance could result in a fine of $100.00 per violation. Each day's failure to comply with an order shale constitute a separate violation. PER ORDER OF T BOARD OF HEALTH To .as A. McKean, R.S. Director of Public Health Town of Barnstable Q:Order letters/Housing violations/60 Crocker Drive.doc Health Complaints 02-Jun-04 Time: 9:49:00 AM Date: 6/1/2004 Complaint Number: 17453 Referred To: DAVID STANTON Taken By: DENISE WITTER Complaint Type: CHAPTER II HOUSING Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 60. Street: Crocker Dr Village: HYANNIS Assessors Map_Parcel: Complaint Description: Complainant is moving out today. Complainant said its an apartment about the garage. Complainant said that there is a family of raccoons living above the ceiling. Landlord wont get rid of them. Landlord had shut off electricity in the kitchen because a light fixture was sparking. He never put the electricity back on and that was May 15. Actions Taken/Results: DS WENT TO SAID LOCATION AND CONDUCTED INSPECTION. VIOLATIONS OBSERVED, ORDER LETTER WILL BE SENT OUT TO CORRECT VIOLATIONS. PHOTOS ON FILE. Investigation Date: 6/1/2004 Investigation Time: 4:15:00 PM 1 TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date LI Owner �iC61 i f PnACAed A f Tenant �P-6®f�Wl (OV�npOt Address rbae.c Dr-I'M Address l () CrvLkee Oriye. HWankrd Complionce Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities , A�l I J fsvAj r r <,, 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities /n �'7rd►�� �j� ��j�, ��� � 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural ��' @u f�� ey Elements �dn d�d�°i9 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Person(s)Interviewe _ Inspector �• \ (� If Public Building such as Store or Hotel/Motel specify here UA 60 Crocker Drive, Hyannis (off Sea St.). Kitchen light removed after electrical problem, not replaced. DS P + I , y .„. .ten., f+..5.a.... .. ... - �W r�•R'�. 4 .. � ��y�A ko- - w • r M 4 .. _..� _-. .... 66 +a� t �� � j e •yD w yf c 1 o) JI 4 Aiy- - w _ r _ rax+� Yir- 60 Crocker Drive, Hyannis (off Sea St. ). Exposed wire hanging from ceiling, end wrapped in electrical tape. DS : 1 6 2004 60 Crocker Drive, Hyannis (off Sea St. ). Kitchen ceiling water damage with mold . DS k i t a i :3 O^ CL \ J O n CD � 0 CD C v C. '-< 3 Ca .--. CL O cn Cf) CD f _ i I t \Y CD 496 Health Complaints 01-Jun-04 Time: 9:49:00 AM Date: 6/1/2004 Complaint Number: 17453 Referred To: DAVID STANTON Taken By: DENISE WITTER Complaint Type: CHAPTER II HOUSING Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 60 Street: Crocker Dr Village: HYANNIS Assessors Map_Parcel: Complaint Description: Complainant is moving out today. Complainant said its an apartment about the garage. Complainant said that there is a family of raccoons living above the ceiling. Landlord wont get rid of them. Landlord had shut off electricity in the kitchen because a light fixture was sparking. He never put the electricity back on and that was May 15. Actions Taken/Results: Investigation Date: Investigation Time: 00 01922 1 1 MA * 5/15/2004 os El Change Supplemental 001 1 A240511 �0� ❑ Delete NFIRS - 1S State * Incident Date Station Incident Number � Exposure K2 Remarks We received a call from Deborah Connors who lives at 60 Crocker Drive reporting a problem with a light in her kitchen and she wanted to speak to an Officer. I called her and she was on her way home and could meet with me to explain the situation. She said that when she turns on the kitchen light, it smokes and makes a funny g Y noise. She was told not to use the light b the owner but now she is afraid that it is unsafe. I . responded, code C, in 803. I met with the occupant, Ms. Connors, and she escorted me into her apartment above the garage. In the kitchen, I found a three bulb light fixture in the ceiling. When Ms. Connors turned the switch on to this light there was a significant arc from one of the bulb receptacles and a small amount of smoke. I advised her to not touch this switch until an electrician can repair this fixture. I found the owners son outside and asked if he could call his father to come to this location. Mr. Macheras arrived on scene and I explained the situation to him. I advised him that this is a significant problem and he needs to contact an electrician now to repair this problem. He did make contact with an electrician and Mr. Rex Burger from Reilly Electrical Contractors Inc. arrived on scene. He was advised of the situation and he was able to determine that the problem was located inside the light fixture itself and the wiring in the house was fine. He removed the light fixture and capped the wires until a replacement fixture could be obtained. There was no damage to the structure itself or the wiring, the damage was contained to the light fixture. 803 secured the scene at 1525 hours and arrived back in quarters at 1533 hours. Richard A. Knowlton, Lieutenant a240511 - Exp 0, 511512004 page 1 y . ` 001 240511 0'01922 5/15/2004 0 Delete❑ Change kupple�m�enS FDID State Incident Date Station Incident Number Exposure K1 Person/Entity Involved I I I774-487-1524 Local Option Business name(if applicable) Phone Number Owner I ❑ Check this box 9 IMichalis I U IMacheras u same address as MI Last Name Suffix Incident location. Mr.,Ms.,Mrs. First Name Then skip the three L� ) I DR DR Then ate add three 60 ICROCKER DRIVE (off Ocean Ave lines. Street Type Suffix Number/Milepost Prefix Street or Highway I rLAI I L�1 (Hyannis Post Office Box Apt./Sufte/Room City A 02601 State Zip Code K2 Person/Entity Involved I I I774-836-7101 I � Local Option Business name(if applicable) Phone Number Occupant II ❑ Check this box if I I (Deborah I u I Connors L__J same address as Mr.,Ms.,Mrs. First Name MI Last Name suffix incident location. Then skip the three I DR DR duplicate address 60 �� ICROCKER DRIVE ( off Ocean Ave ) lines. Street Type Suffix Number/Milepost Prefix Street or Highway `� IHyannis Post Office Box Apt./Suite/Room City MA i 02601 State Zip Code NFimii RwWn8'M page 1 of 1 i ntity Involved I I774-487-1524 4 1 Option I Business name(f applicable) Phone Number ® Check this box if u IMichalis 1 U IMacheras I L� same address as MI Last Name Suffix incident location Mr.,Ms.,Mrs. First Name ae'aaddress a 60 L��I CROCKER DRIVE (off Ocean Ave ) I DR DR lures. Street Type Suffix Number/Milepost Prefix Street or Highway I I I (Hyannis i Post Office Box ApL/Suits/Room City MA I 02601 State Zip Code ❑More people Involved? Check this box and attach Supplemental Forms(NFIRSAS)as necessary. Owner ®same as person involved? I I -487-1524 I Then check this box and skip Michalis 774 Local Option the rest of this section. -Business name(ifapplicable) Phone Number ® Check this box If J I Michalis I U I Macheras I l� same address as Mr.,Ma.,Mrs. First Name M I Last Name Suffix incident location. Then skip the three duplitateaddress 60 ��ICROCKER DRIVE (off Ocean Ave ) I DR DR lines. Street Type Suffix Number/Milepost Prefix Street or Highway M I I IIHyannis '�—✓✓ Post Office Box Apt./Suite/Room City i MA { I 02601 State Zip Code L Remarks: Local Option ITEMS WITH A MUST ALWAYS BE COMPLETEDI More remarks?Check this box and attach Supplemental Forms ZS ® (NFIRS-IS)as necessary. M Authorization 8203 (Richard A Knowlton I I Lieutenant / P I Suppression OS 15 2004 Officer in charge ID Signature Position or rank Assignment Month Day Year Check box if same as Officer in charge. ® 8203 1 (Richard A Knowlton I Lieutenant / P I Suppressioni L05J 1 15 1120041 Member making report ID Signature Position or rank Assignment Month Day Year - Ex 5 15 2004 page 2 of 2 a240511 p 0 / / A , I n I 0 Delete NFIRS - 1 1922 U - 5/15/2004 001 A240511 I 0 O Change State Incident Date Station Incident Number Exposure .1L, 13 NO Activity Basic ❑ Check this box to indicate that the address for this incident is provided on the Wildland Fire LS Census Tract 60 B Location Module in Section B"Alternative Location Specification'.Use only for wildland fires. ® Street Address 60 J I CROCKER DRIVE (off Ocean Ave) I DR ❑ Intersection trees ype s„ffix [3 In front of Number/Milepost Prefix Street or Highway ❑ Rear of �� (Hyannis 11 MA- I I 02601 [3Adjacent to Apt/Suite/Room ity fate Zip Code ❑ Directions I OCEAN AVENUE ❑ Cross street or directions,as applicable C Incident Type Dates&Times Midnight is0000 E2 Shifts&Alarms 440 Electrical 1�S E1 Local Opton ( IncidentT a wiring/eatupment problem, Check boxes if Month Day Year Hour Min YP dates are the u Still same as Alarm ALARM always required p Aid Given Received Date. Alarm 05 L 15 2004 13:00 Plhdtor No OfAlannOistria acion 1 ❑ Mutual aid received [Their I I I ARRIVAL required,unless canceled or du not arrive 2 ❑ Automatic aid recv. u u Arrival OS 15 2004 14:04 Special Studies FDID Their ® E3 Local Option 3 ❑ Mutual aid given State CONTROLLED optional,except for wildland fires 4 ❑ Automatic aid given ❑ 5 ❑ Other at given Controlled Special N ® None 1r nu ent um ® Last Unit LAST UNIT CLEARED,required except wlldlend fire Sttuecial dy ID# S dy Value Cleared 10511151 120041115:251 F Actions Taken G1 Resources G2 Estimated Dollar Losses&Values Check this box and skip this section if an LOSS ES: Required for all fires if known. Optional for non fires. 86 I Investigate I ❑ Apparatus or Personnel form is used. Non Primary Action Taken(1) Apparatus Personnel Property I -I ❑ 85 11Enforce code I Suppression 1 1 L 1 Contents I El Additional Additional Action Taken(2) EMS 1 0 0 PRE-INCIDENT VALUE: optional 45 1 IRemove hazard I Other L 0 �0 Property L I '❑ Additional Action Taken(3) Check box if resource counts include aid ❑ received resources. Contents ❑ Completed Modules H1 Casualties ® None H3 Hazardous Materials Release Mixed Use Property Deaths Injuries N® None ❑Fire-2 Fire NN® Not mixed ❑ Structure-3 Service 0 L 0 J 1 ❑ Natural gas:slow leak,no evacuation or HazMat actions 10 ❑ Assembly Use ❑Civilian Fire Cas.-4 2 ❑ Propane gas:<21 lb.tank(as in home BSO grill) 20 ❑ Education use 3 ❑ Gasoline:vehicle fuel tank or portable container 33 ❑ Medical use ❑Fire Serv. Casualty-Civilian 0 0 40 ❑ Residential use ❑EMS-6 4 ❑ Kerosene:fuel burning equipment or portable storage 51 ❑ Row of stores ❑HazMat-7 Detector 5 ❑ Diesel fuel/fuel oil:vehicle fuel tank or portable storag 53 ❑ Enclosed mall - 6 Household solvents:Home/offioe spill,cleanup only 58 [3 Business&residential [IWildland Fire-8 H2 Required for confirmed fires. ❑ 59.❑ Office use ❑Apparatus-9 7 ❑ Motor oil:from engine or portable container❑ 60 ❑ Industrial use 1 Detector a ants 8 Paint:from paint occupants cans totaling<55 gallons ❑Personnel-10 ❑ 63 ❑ Military use 2❑;Detector did not alert them 0 ❑ Other: Special HazMat actions required or spill>55 gal., 65 ❑ Farm use U❑1 Unknown Please complete the HazMat form 00 ❑ Other mixed use J Property Use Structures 341 ❑ Clinic,Clinic Type infirmary 539 ❑ Household goods,sales,repairs 131 Church,place of worship 342 ❑ Doctor/dentist office 579 ❑ Motor vehicWboat sales/repairs 161 ❑ Restaurant or cafeteria 361 ❑ Prison or jail,not juvenile 571 ❑ Gas or service station 162 ❑ Barltavern or nightclub 419 [3 1-or 2-family dwelling 699 [3 Business office ❑ 429 ❑ Multi-family dwelling 615 [3 Electric generating plant 215 ❑ High school or.junior high 213 [3 Elementary school or ndergart. 439 [3Rooming/boarding house 629 [3Laboratory/science lab 449 ❑ Commercial hotel or motel 700 ❑ Manufacturing.plant 241 College,adult ed. ❑ 459 ❑ Residential,board and care 819 ❑ Livestock/poultry storage(barn) 311 ❑ Care facility for the aged 464 ❑ Dormitory/barracks 882 ❑ Non-residential parking garage 331 ❑ Hospital 519 ❑ Food and beverage sales 891 ❑ Warehouse Outside 936 ❑ Vacant lot 981 ❑ Construction site 124 .❑ Playground or park 938 ❑ Graded/cared for plot of land 984 ❑• Industrial plant yard 655 Crops or orchard ❑ 946 ❑ Lake,river,stream 669 ❑ Forest(timberland) 951 ❑ Railroad right of way 807 ❑ Outdoor storage area 960 ❑ Other street Look up and enter a Property use 419 919 Dump or sanitary landfill Property Use code only if 931 ❑ Open land or field 961 ❑ Highway/divided highway you have NOT checked a ❑ 962 ❑ Residential street/driveway Property use box: I 1 or 2 family dwelling NFIR81 Re W ne]n1Ra A240511 - EXP 0, 511512004 PAGE 1 OF 2 : - TOWN OF BARNST LE LOCATION ,LKJ SEWAGE # = 5 t VILLAGE ,�y19/�/ � ASSESSOR'S MAP & LOT L t'J� I I INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: J aJ� [ C.S' (type) (size) f NO.OF BEDROOMS BUILDER OR OWNER PERMrTDATE: COMPLIANCE DATE: s �� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist --on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by I _ , i ® - 0 , �.W O TOWN OF BARNSTABLE LOCATIN cam/ 14� SEWAGE # -33� VILLAGE ASSESSOR'S MAP 6� LOT j -?(1 o? INSTALLER'S NAME & PHONE �7lg� !� SEPTIC TANK CAPACITY 1500 c art. LEACHING FACILITY:(type) 000-1p1 (size) —4 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER UILDER R OWNER [tjCU V I ACWFQ AS DATE PERMIT ISSUED: 8CO DATE COMPLIANCE ISSUED: ZZ - VARIANCE GRANTED: Yes No a A Ct 53 f a,- C 'F-= 21 j (\���` c "~ ASSESSORS MAP NO. 3� PARCEL NO... z�i Z zs 1 i No... : Fss ®............... /1 THE COMMONWEALTH OF MASSACHUSETTS 9 q` BOARD OF HEALTH T-W-N OF........... '/LN_.STf��G.�---------------------------- ,fie t tlittt#inat for Uiiipniial Works Tomi� urfinn Vennit Application is hereby made for a Permit to Construct (e/) or Repair ( } an Individual Sewage Disposal System at S ..... . ..... ........... ................................................ Location-Address or Lot No. E :, �vs - - r �`fic!{bus---•--�= ------------------------•--•----....-- ---...k�___._T_.....-- ---.... T�'� .-----•--------•-------........---•--- g � `� Owner Address WG.K`=..... ........�................... .................................................................................................. ,-� _ Installer Address dType of Building 3 Size Lot./y.�6S-----.Sq. feet U Dwelling—No. of Bedrooms........-----------------------------•••_-- Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) aOther fixtures ---------------------------------------------------------------------------------------.�J ----------------------------------------•---------------•---- W Design Flow.......... ...... per person per day. Total daily flow_._..___...3 3a------ ___. . gallons. WSeptic Tank—Liquid capacity.!sQ®•.gallons Length-F.�6...... Width..:!��_`..._ Diameter---------------- Depth................. x Disposal Trench—No..................... Width.................... Total Length............. Total leaching area....................sq. ft. > Seepage Pit No......./----------- Diameter......1© Depth below inlet.....6.-•......... Total leaching area..Z&/-7......sq. ft. Other Distribution box ( ) Dosing tank ( ) '—' Percolation Test Results Performed by 4!R_v o----- =_- �'�� `�'V'6r u l58/. -------- ------•---------- Date.-----------....-------->----•----•--- ►a _ Test Pit No. 1...�-.L-____minutes per inch Depth of Test Pit...�.............. Depth to ground water....... fi Test Pit No. 2..G.Z.....minutes per inch Depth of Test Pit____ Depth to ground water______ ____________ •----------------------•-------•----•---•-----•------------••--•--------.....---....--•-•--------•--......................................................... 0 Description of Soil-------- .�= Z` ��...4-� �.S�8-So>L. 24"-/�f� "&P. SA-,-fib- . - V -----------------•................................................................................................ ......................................................... W -------------------------------------------------------------------•----------------------------------------------------•-------...------------------------•------•--------•----•••-••-----------.----- UNature of Repairs or Alterations—Answer when applicable.___............................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i1'1, _5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue)by the board of health. Signed---- r =-------------- r . --•�- � Date ApplicationApproved By....................................... ••-- -----•-• ------ ---•-- ••----.... .................Date Application Disapproved for the following reasons:.... ---•-------•---•--••----•--•- ----------------------•--•••----------•-•------------.---- .................. ..................................................Date.................... PermitNo......................................................... Issued....................................................... Date No................, __ FEs............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Disposal Works Tonstrnrtion Prrmit Application is hereby made for a Permit to Construct (4,,-) or Repair ( ) an Individual Sewage Disposal System at: yr Location.Address' or Lot No. . ................»»».....».........» ............................................. ............_............1....... ..».».....+..`-.......................................... Owner Address ............................ ......V�?........ '++......-•--•-........ .....---••----........----•-•-•-•-...................--• ..��� -----.............. Installer Address PQ Q Type of Building Size Lot................:..S........Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ............................ . W Design Flow.............. A......................gallons per person per day. Total daily flow..........->._ro........................gallons. WSeptic Tank—Liquid capacityt4�v;?...gallons Length.e i� ...... Diameter................ Depth.g{ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area............_..___._sq. ft. Seepage Pit No......./........... Diameter......fa`....... Depth below inlet.....__�.t.......... Total leaching area.. .'�Z......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by..... ??S^.! ��-.._. ...... � .............. Date.:`��'°!E`..... .�_.�`r... . Test Pit No. 1... __ _-----minutes per inch Depth of Test Pit...!.`` ....... Depth to ground water........................ (i Test Pit No. 2.G..Z......minutes per inch Depth of Test Pit.... `....... Depth to ground water......`............. a ------•---••---•......................•-----•••-----•-••-----•----•-----•-------•...........•...........----•--••••----••-•----------•-••-•--••-.........-•-- o Description of Soil---------` 2-`0" �`'�' `� � 5 .�r? : '�/fr -'`4----1�"f-'�-�-' , �=��?�:...5.��1. U ---••-••-------••----•-------•-----•-•-.....•--......•--•-•---•••---••-•-----------------------•-•-••---...-----•-----------••-------•-•----------•-••---••---------...----•-•--------------•-••-------- W ••------•--•---------------------•--••---•------------.....---------•--.---------------------••-----•-----•---•••---•-----------••--•--•-••-----•-----•--------•-----•----..._------•--••-••---•------. 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 TIT:1 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue b the board of health. P P Y Signed---- !er. f c r> f ------ - ---=---- ---�--- ---•-----•---•-�� . / Date Application Approved B 0.).e............................. .........7 ` g Date Application Disapproved for the following reasons:--•••---•-•-------•----••--••••--------•---•-•--•-------••---•---------•-----•--••-------••--................. .............•------•-•----------...--------•------------•--------------.....------..........•-•••-----••--•---•----••-•---•-••---•-••••••••----...------------•--•------•--••--..... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ZOIn/,.�..........OF........ �t7 r n ..................................................... Trrtifiratr of TOmplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( °) or Repaired ( ) by..................................................................................................................................................................................................... Installer at................---- 4 ...�.... has been installed in accordance with the provisions of TITIZ 5 of The State Sanitary Code as descrJed in the application for Disposal Works Construction Permit No---- 6_"..has_ ............ dated---------- .".. 2S THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................7-n..L_.Ci 'X.-1•............................... Inspector--------------.. --------------------•----..-.---------•---•--••--- F30G THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .�.......0F...........G> a ✓�� �' ............................ No....�(.��.`'.� FEE ..................... Disposal JVorks QTonstrnrttion rrmit Permissionis hereby granted---------------------------t - -•------- -----------•-•-------------------------•-•-•---------------•------..-----•-•--- to Construct (cam or Repair ( ) an Individual Sewage Disposal System atNo............................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... •----•--...-•----•-----•-----------------------------------------------------------------•-•---•--....... . _.. Board of Health DATE.................... -_./. ..'..._ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS _ I �, of Z. N r IV / / 01 / / i �� \ NAM , 1 lo4 tv 04 O a �p n 7Li 1 I IV v P �I of PO i ' N07Z� �cZc�V.97/pni� 00 .01 i955 u�s�a D.9 Tvi-�, i r � LOCATION . 692N57?9,l3Lf- SCALE . . 3o DATE PLAN REFERENCE . . . . . . . . . . . . . . . . .. ... .. . .. ... ...... . . . . . of �iasr,��, f . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . . . . ELriV ARgrl' ,r. /'. 'EL 'EY I CERTIFY THAT THE No. L Nitr ? 1,,_ ..... .. . . .. . .. ....... .. . . . . AEI �610� /n} SHOWN ON THIS PLAN IS LOCATED ON THE GROUND FS\!$ `�'•j AS SHOWN HEREON, vvvv DATE . .. . . .... . . . . . . �liG,�/AZis N/gGc���,95 _ P77T/p/✓�2 REGISTERED LAND SURVEYOR SNEz r Z of Z' Ss>>�"r�s .� z8 00 L. . . ....-. . . . . ... . TOP OF FOUNDATION s CONCRETE COVER CONCRETE COVERS 4' CAST IRON 12°MAX. OR SCHEDULE 40 12".MAX. P.V.C. PIPE 4 SCHEDULE 40 PV.C.(ONLY) PITCH 1/4•'PER.FT. PIPE- MIN. LEACH PITCH I/4"PER.FT. PIT T T INVERT aG ` o EL..?.'�:�$.. INVERT INVERT o .SEPTIC TANK ERDIST. ¢ W .INVERT EL. BOX x S .. GAL. INVERT G' a. p:EL..Z¢.6�. EL.Z L� INVERT W /2EL.Z3,8. u-0 �:., W 6'DIA. -►� N. /o' DIA..��✓cv�•rTG`726D PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE .T .E.u.f . .... . . . '. . . . . . . . . . BOARD OF HEALTH TEST HOLE I TEST HOLE 2 �l./�� G--' ,(!E2GL'�� ENGINEER ELEV. . . ZG,/o. . . ELEV. . 2-678o, COP So a—So/ S a-so DESIGN DATA : ez,24,/0 b2"23, 80 3 NUMBER OF BEDROOMS TOTAL ESTIMATED FLOW 33o GALLONS/DAY /yGsD. BOTTOM LEACHING AREA 7B,So SQ.FT. /PITIC,0.D. Ss�/D SIDE LEACHING AREA . . . SQ.FT./ PIT/4-7/ G-P-D. GARBAGE DISPOSAL . (500/6 AREA INCREASE) TOTAL LEACHING AREA zG 7 . . . SQ.FT PERCOLATION RATE 7W.0 . MIN/INCH 144" zz,/4/0 /44- E'Z /3,So LEACHING AREA PER PERCOLATION RATE . �. . SQ.FT,/c.P.D. No WATER ENCOUNTERED a.vL-r RT 111177-1 NUMBER OF LEACHING PITS . . . . . . . . . . APPROVED . .. . . BOARD OF HEALTH �O •FAT•°f .S77Jn/6' o/✓ DATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AGENT OR INSPECTOR ZN /' i a��H of n�Ass 7 � � •y y LOT !/A/T L E.4 �� > R. AL 52 4 (ELLEY K C,�aclGt'r� S7TZEZ'`7" . . . . . . . . . . . . . . . . . . . S ,�3 No. zJ�ao a �.•.�� S i Vt PETITIONER AIAcl-t6l7_4 S W