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Home My WebLink About0016 LATTIMER LANE - Health 16 Lattimer Lane, Hyannis IF I ANKEE FURNITURE REFINISHING r i� I a 6 Dater TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: BUSINESS LOCATION: / Qnfil*f Pia: MAILINGADDRESS: Mail To: TELEPHONE NUMBER: �q Board of Health Town of Barnstable CONTACT PERSON: he ee P.O. Box 534 EMERGENCY CONTACT TELEPHO E NU BER: � Hyannis, MA 02601 TYPEOFBUSINESS: Cri Does your firm store any of the toxic or hazardous mat rials listed below, either for sale or for you own use? 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 your mailing address: ADDRESS: JAI y 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED I Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, �C NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes ,x Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS L A T ION SEWAGE PERMIT NO. VI L L A G E A C;,Ty INSTA LLER'S NAME j ADDRESS f I U I L D E R OR OWNER DATE PERMIT ISSUED i DATE COMPLIANCE ISSUED (V - TO J �� ' '� s f, i � _. a'�/ �.', w ' . f �, �� '� ` � � �i .-_ � ,\ �. , ` \ � �; �'''� � � � s. � � � � ��' � , . � �� .�' r . � - �, 4R�� ,. � � ! i • 6�) 'h_} No. j ! Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Nplitation for Disposal *pstem Construction VrrmIt Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon 9 ❑Complete System ❑Individual Components Location Address or Lot No. J6 L o tmec L.n,I HyaNhiS Owner's Name,Address,and Tel.No. M,cC,, % T, 5 e1Y Assessor's Map/Parcel `a$$ Ifs Pclac ,mer& f ;M��0��1ba'L Installer's Name,Address,and Tel.No. Iko6er"b,OL)r(b Designer's Name,Address,and Tel.No. 0l'1 (sreZ Western*,, Ho,rwic1,,mA O-U4 S S08--43J,-0530 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(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Sei S Date last inspected: Agreement: The undersigned agrees to ensure the constr on and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the En r en Code not to place the system in operation until a Certificate of Compliance has been issued by thi of H h. Si ned C/ Date f Application Approved by Date f . Application Disapproved by Date for the following reasons Permit No.- 7 J( Date Issued V _ V f ) as No. / � / � -� Fee THE COMMONWEALTH OF MASSACHUSETTS " Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIppfitation for Misposar opstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade'( ) Abandon ❑Complete System ❑Individual Components Location Address or Lot No. 16 LnHtmel- Qn,t Wy"iS Owner's Name,Address,and Tel.No.M,�tl ostl T, 5keeky ` oZ�o A�k►oc' ST,, l.a�neV�buf ,MAC 0\'�6oZ Assessor's Map/Parcel 'a gg ®_ Fig Installer's Name,Address,and Tel.No. �bp�-'j��ayf (m i Designer's Name,Address,and Tel.No. aH 6,reZ W esterr, *1, Hc,,r0lL►,,M A 0a6y S So Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures j Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil 1 I Nature of Repairs orAlterations(Answer when applicable) SQ i S%.' Date last inspected: Agreement: r The undersigned agrees to ensure the const/rrucon and maintenance of the afore described on-site sewage disposal system in ,accordance with the provisions of Title 5 of the Enyii.0//i anent. Code an not to place the system in operation until a Certificate of Compliance has been issued by this oq f He It'h. Si ed C/ Date Application Approved by _ Date Application Disapproved by Date for the following reasons Permit No. �L/T �l Date Issued --------------------------------------------------- ---------------------------------------------------------------------------- T11 E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance '. THIS.IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(x)by Ro6e-f-r R ns)r (sn, at ' (_t� ��(' tom, �1ypl►F�i 5� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Nt9 VC1`t)3 hated r�b Installer I Ata 43 ax�a.�Tn[�' Designer #bedrooms Approved design flow gpd The issuance of this pe it /anot��construed as a guarantee that the system wi - nootio s esig ed. .� 0 Date I �I Inspector /fJ P v / / _ ---- ��-1-` ��- -/----------------- ------------------ , -------- ------------ --- -- - ---- --y S ---- ;.No. �k I Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstern (Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(X) System located at 6 1 Oft`1m,ec a, and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. , -Provided:Constructio/n�`ust be corn leted within three years of the date of this p( Date �///y/� Approved b Town of Barnstable Barnstable Regulatory Services Department AE ftaCiy 1 1 1ARNSrAELMF, * I Public_Health Division 20 ain Street, Hyannis 1C�A 0�601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-1010-0000-2848 -0547 March 28, 2013 MICHAEL SHEEHY 290 ARBOR ST IMPORTANT NOTICE LUNENBURG, MA 01462 Map & Parcel: 288- 160 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 16 Lattimer Lane, Hyannis, MA, to public sewer on or before 3/30/2015. 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 the reverse side of this page. PER ORDER OF TH BOARD OF HEALTH omas A. McKean, R.S., C.H.O. Agent of the Board of Health i Cc: Barbara Childs,WPC/Roger Parsons,Town Engineering, DPW Enc. QASEWER connect\Letters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 W2015.doc 1 Public Health Division March 28, 2013 ADDITIONAL INFORMATION AND REMINDERS FROM OTHER DIVISIONS: SAVINGS AVAILABLE/GRINDER PUMP: A reminder to those of you who need a grinder pump for your connection: Department of Public Works (DPW) sent you a letter in December 2012 stating the town, for a limited time of two wears, only from the receipt of the DPW letter, would provide you with the pump at no charge. (This can save you thousands of dollars.) Please note: You must pay the installation cost through your own contractor. Please make your contractor aware of this, if interested. Also be aware: this is a shorter deadline than the Public Health Division's deadline on the reverse side of this page. SAVINGS AVAILABLE/PERMIT FEE: The Town offers a waiver of the residential sewer connection fee of $420.00 for those properties that connect within two years of the receipt of the DPW December 2012 letter. LOANS: For loan(s) available, please see the enclosed brochure, or see the town website: http://www.town.barristable.ma.us/cdbg (under the "CDBG Programs", see "Sewer Connection Loan Program). For loan specific questions, you may contact Kathleen Girouard, Growth Management, at 508-862-4702. CONTRACTORS: Information on Licensed Sewer Installers is available on our web site at www.town.barnstable.ma.us/PubllcWoi-ksTech/sewerinstalIers. Contractors, approved to perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis—contractors, please call Dave Anderson at (508) 790-6244. FOR ANY QUESTIONS /ASSISTANCE: Len Gobeil at the Town Manager's Office is available to provide you with direction you may need in reference to the Stewart Creek Sewer Connections. You may contact him at 508-862-4701. QASEWER connect\Letters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc