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HomeMy WebLinkAbout0121 GREENWOOD AVENUE - Health 121 GREENWOOD AVE., HYANNIS A=289.102 1 d i z �I r i e i Town of Barnstable Inspectional Services Department • BARMASM - Public Health Division 16 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Leonid and Tatyana Sukennik March 2021' 121 Greenwood Ave Hyannis, MA 02601 RE: SEWER CONNECTION:DEADLINE EXPIRED 121 Greenwoodenu Ave; Hyannis,e F' A= 289=102 Dear Property Owner, Your sewer connection deadline 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.crockerktown.Barnstable.ma.us within fourteen(14) days. Sincerely yours, Karen Malkus-Benjamin Town of Barnstable Health Division Coastal Health Resource Coordinator karen.malkus(c)-town.barn stable.ma.us Lc.� 1 -- U�`� Town of Barnstable Inspectional Services Department • BAIMST"M s Public Health Division KASS 1639. 1� �" 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO October 21, 2019 Leonid and Tatyana.Sukennik 206 Burgess Ave Westwood, Ma 02090 I2E: SEWER CONNECTIONPIA IN -EXPIRED ! 121 Greenwood Ave.; Hyannis A-„289 102 p Dear Property Owner, Your August 30, 2019 sewer connection deadline 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) within fourteen(14) days. Sincerely yours, Karen Malkus-Benjamin Town of Barnstable Health.Division Coastal Health Resource Coordinator karen.malkus(o)town.barnstable.ma.us phone: (508) 862-4641 FtKE r�,, Town of Barnstable Barnstable Regulatory Services Department U4Ww'caCftY 1 ' IARNSfABLE. 9 ��� Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO 1, CERTIFIED MAIL# 7012 1010 0000 2851 January 13, 2014 Leonid & Tatyana Sukennik 206 Burgess Ave Westwood, MA 02090 IMPORTANT NOTIC Map & Parcel 289-102 The Department of Public Works informed us that public sewer lines are now available • in your neighborhood. According to our records, your property has a septic system. This letter directs you to connect your dwelling, at 121 Greenwood Avenue, Hyannis, • MA, to public sewer on or before 8/30/2019. The old septic system must be either removed or filled in due to future safety concerns. This may be done by the same contractor who connects you to the sewer. Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street, Hyannis. Failure to comply with this Board of Health Order may result in a complaint against you, in a court of law. For additional information pertaining to the sewer connection, please see enclosure. PER ORDER OF BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health • Enc. Q:\SEWER connect\Sample order letters for sewer connection\121 Greenwood Ave Hy Jan 2014.doc f i / [ No. `� ��Y � Fee $J 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Z(pprication for Milpogal *pftem Construction Vermit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) O Complete System El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 121 Greenwood. Ave , Hyannis, MA Dave Baker/ Marilyn Baker Ass e r' arce Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E , Robinson Septic Service P 0 Box 1089, Centerville , MA Type of Building: Dwelling No.of Bedrooms 3 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 Title Size of Septic Tank Type of S.A.S. Description of Soil Sand. Nature of Repairs or Alterations(Answer when applicable) Title-5 septic system- tank, D-box and. 2 leach chambers . 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 Title 5 of theonvironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss. ed b of Hea // q Signed -y✓" Date (a r d Application Approved by �' Date101�Q�[ Application Disapproved for the following reasons Permit No. o- Date Issued r i $50 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS w Application for Mi!5pool *p!tem Construction Permit Application for a Permit to Construct"( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 121 Greenwood. Ave,' Hyannis, MA Dave Baker/ Marilyn Baker Asse r' /Parcel 6 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E, Robinson Septic Service P 0 Box 1089, Centerville , MA 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 Title r Size of Septic Tank Type of S.A.S. Description of Soil Sand Nature of Repairs or Alterations(Answer when applicable) Title-5 septic system- tank, D-box and. 2 leach chambers . E 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 Title 5 of thefifivironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss ed b t o of Hea / C� Signed - 4 - Date APpli�horn'Appro,,v.eA�by �' ... � M Date xol�° Application Disapproved for the following reasons Permit N �- Date Issued 6 ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Baker (tertificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( X )Upgraded( ) Abandoned( )by Wm. E . Robinson Septic Service ry at 121 Giie%nwood. Ave . , Hyannis has been constructed in accordance with the provisio,�s of Title 5 and the for Disposal System Construction Permit No. "'" dated -- Installer Wm. R• Rob ins orb S r. Designer The issuance ofthis permit shall not be construed as a guarantee that the system will function as d'vsl,gned.r� 1 Date 1' !�! Inspector % 1�?% 1 v.) No. "� 47� --------------------------Fee $50 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Baker Mwi5po5a[ *p0tem Construction Permif' Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon System located at 121 Greenwood Ave . , Hyannis and as described in the above Applicayon fe-Di'spo al System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the followingg-kcal prf 'sio r�flecial c nditions. �y r Provided:Construction must be completed within three years of the date of thi�rmit. Date: /40 Approved b 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, Wm, E . Robinson Sr. , hereby certify that the application for disposal works construction permit signed by me dated concerning the property located at 121 Greenwood. Ave . , Hyannis , MA meets all of the following criteria: w• The failed system is connected to a residential dwelling only. There are no commercial or business es associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. There are no wetlands within 100 feet of the proposed septic system L/There are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change in use proposed There are no variances requested or needed.` The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] / the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed LLL� leaching facility will not be located less than fourteen(14) feet above the maxcimum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) I. B) G.W. Elevation +the MAX. High G.W. Adjustment . DIFFERENCE BETWEEN A and B SIGNED : L 1 DATE: [Sketch proposed plan of system on'back]. _ q:health folder.cen -.`_ �, ti y r ��� u ��\ c, ,. �X HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 Harold S. Brunelle RMUMMUMEMEM S�sZv�2e �eteetvz� Sage ,L'ic-ed BUSINESS: 775-1300 CHIEF EMERGENCY: 775-2323 DATErr TO I' s MAW I TI rV fc-p' Z4 &rwwtAl& A L,,E'- o'7,6ai -In agcordance: w' S27CAiR 9 ,21 1) abelo ] the folivwiiit� . tank (s) % (��� 1�►e �zs�fJ5r Located tat Have been approved to be abandoned in .place. : The. tank (s) -.have been properly cleaned by ; 1V✓FjAeeb t yiaAme4tio j e�Vic' PG gOk y(��- and-have been-f.i1.1.e.d-.wi-th--an-.approve.d-iner-t_ma.ter�ial of; _ L/ 11J--Fb Fii-�- Each step in thi0j.? �iess has been inspected and was found to be in compliance with th aFd ,.. � y"/ Y r P I For; Harold S. Brunelle �G26Q1 ,Chief Hyannis Fire Department CC. Town of Barnstable Board of Health 527CMR 9 .21 (1) If the owner decides to abandon a tank which is either located under a building and, cannot be removed from the ground without first removing the building or which is so located that it cannot be rernoved from the ground without endangering the structural integrity of another tank, [lie owner shall promptly notify the head of the local fire department of this condition. After verification that such condition so exists, the owner shall have all product removed from the tank, by hand pump if necessary, under the direction of the head of the fire department, and shall have the tank filled with a concrete slurry mix or any other inert material approved by the Marshal for this purpose. 1 Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. Vj_ �ie��e%r,�2Ca�-�'r�e C��rscced— ✓c�aaixda��re �x�e�cCca�rc APPLICATION. and PERMIT I Fee: for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: • Tank Owner Name(please print) iMV�` Signature( aplirng forpennI Address f�� 6� w lqU � ,��s 1• 4 a-Z601 Street city Stare Zip Removal • • • • Company Name Advanced Enviro. Spry: Tnc. Co.or Individual Print Print Address PO 'BdX 472 So. Dennis, Mg - Address .s`_: Print 02660 Prot - Signat (' ap g,for pe Signature(if applying':for permit) .O IFCI.Certified Other_ O lFCl Certified O LSP:# Other' Tank Locations Sreet Address c:. .. Crty� —— ., Tank Capacity(gallons) �• S / Substance,Last Stored Tank Dimensions(diameter x length). �< 60 Remarks: Firm transporting waste Advanced Enviro. Serv. State Lic.# MV5083856100 Hazardous waste manifest# E.P.A.# Approved tank disposal yard James Grant Co. Inc.Tank yard# QQR Type of inert gas Tank yard address Wa 1 cci St. RPa dyi.1 7 e fMa City or Town FDID#_ oz Permit# 9 9? ? q Date of issue Y / Date of expiration Dig safe approval number: a Dig Safe Toll Free Tel. Number-800-322-4844 Signature/Title of Officer granting permit After removal(s)send Form FP-29OR signed by Local Fire Dept.to LIST R ne Ashburton Place, Room 1310,Boston, MA 02108-1619. AP�tr/S 40j �� I r 414 Gf� e�1r FP-292(revised 9/96) of Bs� BARNSTABLE COUNTY 9� DEPARTMENT OF HEALTH AND THE ENVIRONMENT U SUPERIOR COURT HOUSE * F POST OFFICE BOX 427 BARNSTABLE,MASSACHUSETTS 02630 7�ssACHIJS Public Health 08)362-2511 Ext.330 333 Environmental Health 383 Water Quality Analysis 337 FAX(508)362-4136 TDD(508)362-5885 UNDERGROUND TANK TEST RESULTS NAME: DAVID BAKER DATE: 4/l/99 TANK LOCATION: 121 GREENWOOD AVENUE, HYANNIS TAG#NONE YEAR INSTALLED: UNKNOWN CAPACITY: 275 The recent check of the vapor monitoring well(s) near your underground storage tank (UST) did not detect any significant contamination. Because the use of soil vapor monitoring for UST leak detection is a limited technology we cannot,however,guarantee that.your tank has not leaked. You should also realize that a "good"result from our test is no indication of how long the tank will remain sound. Due to fiscal constraints,the Barnstable County Department of Health and the Environment has instituted a nominal test fee of$30 for one well and$10 for each additional well at a site. Accordingly, would you please send a check for$ NC made payable to R RN4TABE COUNTY to: . Charlotte Stiefel Barnstable County Department of Health&the Environment P.O. BOX 427 Barnstable, MA 02630 The following items, if checked,also apply to your UST: X We encourage the removal of older tanks before the expected leak(s) develop. X We encourage the removal of tanks under 300 gallons as they were not made for underground use. X Your UST doesn't appear to be registered and tagged as required by your Board of Health. It would be advisable to mark your monitoring well to prevent accidental usage. The soil conditions surrounding your tank are not ideal and may accelerate tank leakage. TANK IS BEING PERMANENTLY ABANDONED. A copy of this letter has been sent to your Board of Health and the records reflect the results of this tank test. If you have any questions please contact Charlotte Stiefel at(508)-375-6620. cc: Board of Health: BARNSTABLE Whereas,the escape of fuel from an underground storage tank may result in civil and/or criminal liability of the owner,lessee,licensee, licensor, and/or other persons in control of the premises; Whereas,the use of vapor monitoring procedures is only one of several procedures that may be used to detect leaking or escaping fuel; Whereas,the reliability and experience of the testing procedure is limited; and Whereas,from location to location and soil to soil test results may vary due to a number of factors; The County of Barnstable and the Barnstable County Department of Health&the Environment represent that while the test results give a fairly accurate reading of the vapor content in the well sites at the place and time of the testing,the soil conditions and condition of the tank and connections may be such that leaks could occur at the time of testing or shortly thereafter without detection. Similarly,the equipment is sufficiently sensitive as to detect fumes when, in fact,no actual tank or piping leaks have occurred at all. Therefore,no party shall rely exclusively on the results of the vapor monitoring test. Neither the County of Barnstable nor the Barnstable County Department of Health &the Environment shall be liable to any person either for the failure of the test to detect a leak when such a leak has,in fact,occurred or for the detection of readings which may indicate that vapors are present in the soil when,in fact,no leak has occurred. Neither the County nor any department thereof shall be liable for any faulty or overly sensitive readings resulting from the taking of such test. TOWN OF BARNSTABLE 14,1 LOCATION /A,1 62c-,12�cl ~ fit/ SEWAGE # f"-& . VILLAGE &VAIf s ASSESSOR'S MAP & LOT INSTALLER'SdNAME&PHONE NO. S a z_, `Z ��•" `� ,_. SEPTIC TANK CAPACITY lSI LEACHING FACILITY: (type) — ��7 `� dL (size) NO. OF BEDROOMS -`� BUILDER OR OWNER 0640 PERMIT DATE: e 0 = �9 COMPLIANCE DATE: ��'J:'• Separation Distance Between the: Maximum Adjusted Groundwater Table to the Botto f Leaching Facility Feet Private Water Supply Well and Leaching Facili (If any wells exist on site or within 200 feet of leaching faci ' Feet Edge of Wetland and Leaching Facility( y wetlands exist within 300 feet of leaching facility) Feet Furnished by a .� _ . `" 1 ,� ��� ,. ��, .� '<t a d � o..o �. 1 �¢ ^t a � � 4 �, ` ,�-\vim' I �, �'� _ ! 5 ` - _.:- No.. --(.-L.. ".....�-. THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALTH .......... OF.:. ......... -............................. Appliration -for Uhipoottl Oorkii Tonotrnrtion Puniit Application is herebymade for a Permit to. Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ............ !...... ........ ------------ ------------------------------------------------------------ Location.Address or-� ...... Lot o. �i1��.. ... ..... .........h'Yfti .1,S !Lf .... Owner Address a ......... 4.7-(d !�-® ! s----------- " L.� /ihit -S>�} � ...... ---------. Installer Address d Type of Building Size Lot............................Sq. :feet U Dwelling—No. of Bedrooms------------------------------- - -Expansion Attic ( ) Garbage Grinder ( ) P., Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ........• d ------------------------------------------- ------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity-...........gallons Length................ Width.........----_.. Diameter-----........... Depth..-._-._-.----- x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area............:-.._._.sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area------..-.----__sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-------- ---------------•-••-------------------•-------------- -------- Date--------------------------------------- a Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water.-..----.__._..._.._---. �,A Test Pit No. 2................minutes per inch Depth of Test Pit.____-___.._________ Depth to ground water--.-.._-_-__----__-----. 9 ------------------------------------------------------------------------------------------------------------------------------------------------------------ ODescription of Soil-------------------------------------------------------------------•------------------------------------------------------------------------- ---------- -------------- x x ----=------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ----------------------- U Nature of Repairs or Alterations—Answer when applicable............Avo----____.-/.'..Lp..J g.aQ._._.. 7�y _ 9G?�iJ ---------T v-------- ,Te�------------------------------------------------------------------------------------------------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i u by e yrd o health. ned.- . . I. � "'= .................... -••-------- ----•--------------------------- Application Approved By----------- ---------- - ----------•---•----•-----•- e Date Application Disapproved for the following reasons:........ ---••----------------------------•................................................ -----------•---•--•---•-••--•..............................•----------------•------------------------------•---•--------------------••-------------------...-•-•----------------------...-------------- Date PermitNo......................................................... Issued........... -------------------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD ,9F HEALTH �........ --.. OF....... �liPir�L ............... . .........................-- . pphration -for Diiipoiiat Morks Tomitrurtion Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at: 1 Location-Address or Lot No. Owner _ Address ------•-- -- ----C -------•-•--•--• -----••••-• ....................................................... Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) a4 Other—Type of Building ............................ No. of persons.........------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures W Design Flow------------------------------------------:-gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity--.--- -_-_gallons Length---------------- Width................ Diameter..........------ Depth-..----__....--. x Disposal Trench—No--------------------- Width-------------------- Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by----------- -------------------------------------------------------------- Date--------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit..------------------ Depth to ground water...._--..--..--.---..._. (� Test Pit No. 2________________minutes per inch Depth of Test Pit-------------------- Depth to ground water--.-----.-___--.--_-.___ IYi •---------•----------- ------------------------------------------------------............................................................._................. ODescription of Soil------------------------------------------------------------------------------------------------------------------------------------------------------------------------ x W ----------- 1 �/� (!O✓----- r_ ��['%�� U Nature of Repairs or Alterations—Answer when applicable._._....___.%/.?l1 t-- I Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beenisisgued by the oo rd of health. Si Tied_ '� l/Y� e�.... —�U,'�., / •-•-•-•--•------------------------------------- -------------------------------- Application Approved By..................1.. -"1 '� V Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------•-------•------------------- ..........••-•-------------------•-----------------------•-•-------------•--•••-•-------•-----•------•-•-I-------------------------•-------------------------------------•----•------•------------------- Date PermitNo--------------------------------------------------------- Issued...................... .................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...................................................................................... ` - CUrdifirate of f�11mVIiatta T ,T `T-0 CERTIF' , iat the Individual Sewage Disposal System constructed ( ) or Repaired (� by (�t� 1. ' �` 1 Z Inst. le �� ... has been installed in ccordance with the provisions of A eXI of Th State Sanitary C/ode as described in the application for Disposal Works Construction Permit No.............z:G___'�........---.- dated..._S�a_-__'�S ..'..� ............... THE ISSUANCE OF THIS CERTIFICATE SHALE, NOT BE CONSTRUED AS GUARANTEE THAT THE SYSTEM W1 FUN ATISF CTO Y. � DATE---- C ------------------------••-•-- -----�-- ----•------------•----.... Inspector :.--•-•-= ---- •--- —c—�;`--------- THE COMMONWEALTH OF MASSACHUSETTS 2G BOARD OF HEALTH 1 ..... ......OF............ .... --+- .--........------:..............._. No..................... FEE----- --------•--... r . Permission is hereby granted '-•_l- a-/ic-- -------1, ���- f ----------------------•---- ••-•------.............. to Construct ( ) Repair ( an Individual ,Sewage Disposal Syst J at No.!rr,�fltil- t "................�.z....�I./-�l��s''--t_� !. -�Z\_.C�t �..._. v Street / as shown on the application for Disposal Works Construction Per ------------ /DATE----- ..-�---------�—' -r-�/ Board of Health � ---- ---(---------------------------.------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS