HomeMy WebLinkAbout0097 KELLEY ROAD - Health 97 l(elley Road
292=0 '2 Hyannis
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COMPLETE 1N COMPLETE THIS SECTION ON DELIVERY
p Compiete iteixiej��''�'a �:2,and 3.Also complete A. SirjaurE
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. R iv (Printed area) C. D e of D ivery
■ Attach this card to the back of the mailpiece, C �11 �.
or on the front if space permits.
° D. Is delivery address d'dferent from Rem 7 es.
1. Article Addressed to: If YES,enter delivery address Belo
;Charles Gar diner 3. Service Type
25 Saga'Road
)a.(Pertifled Mail ❑Express Mail
I
I �` South Dennis,�MA 02660 ❑Registered ❑Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
t, 4. Restricted Delivery?(Extra Fee) ❑Yes
12. ArUcleNumber 7�12 1010�O00�02850 �8 �89 - ��
(Transfer from service label)
��PS Form 3&I,1;,'February 2oe4:, I ' I Domestic Return Receipt 102595-0244-1540
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 •
I
Town of Barnstable
a Health Division {
200 Main Street
"� Hyannis,MA 02601
f
Town of Barnstable
.,►RNSTABM Regulatory Services
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis MA 02601
Office: 508-862-4644 Fax: 508-790-6304
January,15, 2014
Charles Garidiner ' � ( (
25 Saga Road
South Dennis, MA 02660
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS,NUISANCE CONTROL REGULATION NO. 1
The property owned by you located at 97 Kelley Road, Hyannis, was inspected on
January 15, 2014 by Timothy B. O'Connell, R.S., Health Inspector, because of a
complaint.
The following violations of the Town of Barnstable Board of Health Regulations,
Nuisance Control Regulation No. 1 were observed:
Nuisance Control Regulation No. 1, Part VII, Section 1.00: Garba e/comps w
observed being stored within ten(10) feet of an abutters property. .
You are directed to correct the violations within thirty (30) days of receipt of this
order letter by either removing pile or moving pile back 10,feet from fence line in
back yard.
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.
Please be advised that failure to comply with an order could result in a fine of$100.00. Each .
day's failure to comply with an order shall constitute a separate violation.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S.
Director of Public Health
Town of Barnstable
Cc: Carol Burroughs
CERTIFIED MAIL: 7012 1010 0000 2850 8289
Q:Health/orderletters/refuse/197 kelley rd 1-15-14.doc
TOWN OF 13ARNSTABLE
LOCATIONC�/!is' �lJ ~� SEWAGE# cSr
VILLAGE /�` ��`''`'�3 ASSESSOR'S MAP&LOT X?A- 0 A'7-\
INSTALLER'S NAME&PHONE NO.�� �D StiPiP��� cry O 7
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) ��°������ (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: -[L O COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
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No. 7� yt� J / O� Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZippYication for 30igo5ar bpgtem Congtruction Permit
Application is hereby made for a Permit to Construct( )or Repair( ).an On-site Sewage Disposal System at:
Location Address or Lot No. �/ �f Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
0016
el eeP_
Type of Building:
Dwelling No.of Bedrooms Garbage Grinder( ) .
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow^'�� gallons per day. Calculated daily flow 33D gallons.
Plan Date Number of sheets Revision Date
Title
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) -S%i4-1,�, ✓� �/��` �7 ��—�
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 the Environmental Code nd not to place the system in operation until a Certifi-
cate of Compliance has been issuedthis d of alth.
Signed Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. lri l'�S Date Issued
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS
01ppItcatton for 30tgpogal 6pgtem Congtruction Vermtt
Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. �/� ) Y Owner's Name,Address and Tel.No.
/`�,,.r
Assessor's Map/Parcel �
' dnstaller's Name,Address,and Tel.No. / 7 Designer's Name,Address and Tel.No.
Type of Building:,
Dwelling ' No.of Bedrooms Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow J" gallons per day. Calculated daily flow 3�(� gallons. t
Plan Date Number of sheets Revision Date.
Title
Description of Soil ' �✓Ll -� F
Nature of Re l �airs or Alterations(Answer n applicable) J '&z,<(i41( I~-tJ✓✓ �'�;�� L T �K�
1A.11 I !,( U by
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 the Environmental Code nd not to place the system in operation until a Certifi----
Cate of Compliance has been issued b this Beard of ealth. p�
Signed Date
Application Approved by Date
Application Disapproved for the following reasons t
Permit No. ! G jr�S Date Issued
-----------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certifttate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced e-_)__on
by i' .- C Installer e-V—
at has been constructed in accordance
with the provisions of Title 5 and thl for Disposal System Co'nsduction Permit No. dated
Date _ Inspector
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR(IL D AS A GUARANTEE THAT THE SYS-
TEM WILL FUNCTION SATISFACTORY.
{ —————— ————————————————————————————— L ——
I No. �S 3 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
�Dtgpogal *pgtem C°ngtructton Vermtt
Permission is hereby granted to `CI 7r 0 C
to construct( )repair( "T an On-site Sewage ystem 1 cated o.#
7 K-,a I y e*10 G
Sweet
and as described in the above Application for Disposal System Construction Permit. 91, - Ys
No. Date
The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions.
All construction must be completed within three years of the date below.
Date: - j -C//., Approved by
Board of Health
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CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
NVOItKS CONSTItUCTION PEItMIT(WITHOUT DESIGNED PLANS)
1, hereby certify that the application for disposal works
construction permit signed by me dated �'-`! '� , concerning the
property located at meets all of the
. V
following criteria:
• There are no wetlands within 300 feet of the proposed septic system
• There are no private wells within 150 feet of the proposed septic system
• The observed groundwater table is 14 feet or greater below the bottom of the leaching facility
• There is no increase in flow and/or change in use proposed
• There are no variances requested or needed.
SIGNED: DATE:
LICENSED SEPTI SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
IAttach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan,
this plan should be submitted].
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TOWN OF BARNSTABLE
LOCATION ( /,y i?,A, hn`S SEWAGE
VILLAGE ASSESSOR'S MAP & LOT �-
INSTALLER'S NAME & PHONE NO.0 V 'S L -226
SEPTIC TANK CAPACITY �—Q O
� l
LEACHING FACILITY:(type) �,�/ (i IS (size)
NO. OF BEDROOMS t PRIVATE WELL O PUBLIC WATER
BUILDER OR OWNER�.p ,( A 0
DATE PERMIT ISSUED: . / (�
DATE ,COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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ASESSORS MAP N. 9.
°APCEL N0.•
No ...1 l 1 —�� Fps..........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH ��6"'�
..........................................OF........... �
Appliration for Dispaau al Marks Tonstrurtinn ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( )-an Individual Sewage Disposal
Sy at: .__ .J �. .... _.. ....
G _
�p lion-Add ess jj �or No.
~ P ---_...-- k.. `°`t� b..^....__ -1C`1�� _ _
V.
Owner A
Installer Address r
UType of Building �11 Size Lot............................Sq. feet
Dwelling—No. of Bedrooms........_._-1...............................Expansion Attic ( ) Garbage Grinder ( )
`4 Other—T e of Building No. of persons............................ Showers — Cafeteria
Otherfixtures ------------------------------•------------•----------.---••-•-•---••-----•-••------•••••-•••---•--•---------•--•-----•--•-•----••••-._..__......----
w Design Flow____________________________________ gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity. ...gallons Length................ Width.............:_. Diameter................ Depth................
x Disposal Trench— - Width ----------
....... Total Length........... Total leaching area....................sq. ft.
Seepage Pit No------- ______ Diameter.... ............. Depth below inlet.....A............ Total leaching area..................sq. ft.
Z Other Distribution box ( t.< Dosing tank ( )
Percolation t N Isuits Performed
perr Test Pi o. inch Depth of Test Pit:__________________ Depth to ground water........................
1z, Test Pit No. 1_...............minutes per inch Depth of Test Pit.................... Depth to ground water........................
Ix
0 Description of Soil.........................................................................................................................................................................
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 i i'�Li:
p 5 of the State Sanitary Code— The undersi ed furt r agrees not to place t e system in
operation until a Certificate of Compliance has n ' ued by the r of h
------------ - 11 •- 6
Application Approved By-••--------------•••.--••• __._.. /�ac
Date
Application Disapproved for the following reasons---------------••-------------•------------------ ----------------------------------------------------------
..-••-••...--------•------------•-------------------••--•----...-•--------------....---------._.:.--------=-----------------•-•---•--------•-•---•----------------•-------...-•---•-----•-•----...------
[/ Date
Permit No..................................... ...�...�..a Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........... ...... .....................OF........ -- ---- =N—�
Appliration for Biopoii al Works Tonstrur#ion Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
S t
anon-r1d ress or t No. X
-.....P -•. .................. .!�'^r}-----•_.►__° ! �`7 �Y "`
Owner r
Installer Address
UType of Building l Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.......................................... .Expansion Attic (_ ) Garbage Grinder ( )
aOther—Type of Building ------------7............... No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures ---------------------------------------------............------------------------------------------------ --------------------.._......
W Design Flow................................... .......gallons per person per day. Total daily flow.........................................,..gallons.
WSeptic Tank—Liquid'capacit}�. bb...gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench To..................... Width................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..... ........... Diameter_..G-------------- Depth below inlet....A............. Total leaching area..................sq. ft.
Z Other Distribution box (&4' Dosing tank ( )
aPercolation Test Results Performed by.................................. Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit_...............__.. Depth to ground water.........................
fTq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
04 •---•-------•------------------------------------------------------------------•-•--•-•••-•-__•--•--.........................................................
0 Description of Soil.........................................................................................................................................................................
x
x ------------------------- ---
U Nature of Repairs or Alterations—Answer when applicable.. __0�_G�..___.Q-----_____�o___--_.�_!- _._p___._.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iiL; 5 of the State Sanitary Code—The undersi neifur er agrees not to place t e system in
operation until a Certificate of Compliance has n sued by the a of - .... .----
- .. .
ApplicationApproved By--....................... .............................................................. .......... .. ................
Date
Application Disapproved for the following reasons-------------------------------------------------------------•-------------------••-------------•---------_...._
..................................
............................................................
-..C.....---------------•---------------------------•-•----••••--------------------•••--••-•----••--•---•-•...---•--
Permit No.... ....�.�..7.! Issued Date
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
/....C� :.......................OF............,.
Terfif iratr of Tontph anrr
TH' IS TO CERRT_I_FY, Th t the Individual Sewage Disposal System constructed ( ) or Repaired )
by......._ �------- ` .G. %±S - •---------------------------•------.....--•---.....--•-•---------------•---•----...............------....-•-•--•--._.._...--
Installer
at . �� =
has been installed in acco • ce with the provisions of T I T IE 5 of The State Sanitary Code as escribed in the
application for Disposal Works Construction Permit No..� ------ dated----L�AANTEE
_ -.€��2..................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A G THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
`���� BOARD O HEALTH
L-�CO I� AI �Aw.......................0 F...4' � —.
NO.............•-------••.� � FEE........................
. � �i��oo�l ork�.�ono#ritr#ion lermi�
Permission is hereby granted---- -tDI',_1.....L . ` Y _ _i�c�.....-•--------------------------------------------------------
to Consts. ct ) or a fir, ) ari Individual ewage Disposal System
l• l . i��c� _ . S----------• .............................................................
St PTO.-- ..... .......:. .� ---^-^J^- •--..-_ •-••--.��::��._�.=--... _._._... .
Street 11'7q
as shown on the application for Disposal Works Construction Permit Ncr ---------J--... Da^t-ed.._����/ ..
......................-__._._______._ K7. :-t..lf�ti._..........
Board of Health
DATE -- ---- •• 11------•-•-----
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS