HomeMy WebLinkAbout0113 LINCOLN ROAD - Health 113 Lincoln Road
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Lead Paint inspections by Fred Hemmiia
16 Quaker Road, East Sandwich, MA 0253 7-102 7
Tel. 808=888 8378 . !n Mass; 800 286-8378 v ,s: FAX:508-888-8397
Email: lead palnftcx'�ffredher hAd.co" Website .WWw:fredhemmila:com
LETTER OF FULL DELEADINC COMPLIANCE
mac.; z�� �. S�-✓a��+
2-C Yq- Zo l
Dear /"IS. S-AVOIA
"]'his letter is to certify that I re-inspected your property located at 113 Li Rl LrOUII
apartment no. /'%-J , and relevant common areas, in the City or Town of_ [4YA-Aj A),
(- for full deleading compliance on _TUt_y . 10 ,ZDO-7
the initial inspection report of 4eej(_ " , and on that date those surfaces cited in
Z�,Zook were found to be in full compliance with
Massachusetts General Laws, Chapter 1 11, Section 197, and 105 CMR 460.000: Regulations for Lead
Poisoning Prevention and Control. Dust samples were taken and found to be within acceptable limits.
Massachusetts law does not require the. abatement or containment of all residential lead paint. The
residential premises or dwelling unit and relevant common areas shall remain in compliance only as long
as there continues to be no peeling, chipping oe flaking lead paint or other accessible leaded materials, as
long as coverings and/or encapsulants forming,an effective barrier over such paint or other leaded
materials remain in place, and as long as surfaces reversed to correct lead hazards remain reversed and
securely in place. The law grants you a 30-day maintenance period to repair deteriorated lead paint or
detached coverings over such paint, and to clean up, during which time this Letter remains valid.
The reverse side of this letter indicates the authorized person(s) who performed deleading on the property
and a general summary of the methods used. A complete reinspection report is attached to this letter.
which specifies how and on what date each surface was brought into compliance. Do not lose these__:._._
documents. -
To the best of my knowledge, the cost of the legally required deleading is S S
Sin.
erely,
�0 p� Inspector
I2736 _
DPH License Number
TOWN OF BARNSTABLE
LOCATION//.3 ZI VC dlq `�� SEWAGE # 2000 -333
VII LAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY dad J
LEACHING FACII.ITY: (type) (Size) 10.5'� 2 R•5
NO.OF BEDROOMS -2
BUILDER OR OWNER rrA
PERMTf DATE: ,�-25�0� '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 Z
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No. r r Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V/
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
0(ppYication for Digonl *p5tem Construction Permit
Application for a Permit to Construct(/-Repair(grade( )Abandon( ) omplete System El Individual Components
Location Address or Lot No. 1/3 G/IC ohl 904W Owner's Name,Address and Tel.No.
Assessor's Map/Parcel gt� `,�v raw"
`70— "8 � i(/ DA1.S !*,MS
Installer's Name,Address,and Tel.No..fig-Vj3'- y7-le Designer's Name,Address and Tel.No.,jpg- fq0, 92 g0
N r'
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
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
2 °' �.� S'r.�v��' CQ,�-t1r.2P
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 and not to place the system in operation until a Certifi-
cate of Compliance has been issue by this Board of Health.
Signed Date
Application Approved by Date 4
Application Disapproved fort following reasons
Permit No. ;0 oC - 3,33 Date Issued
Fee No. ' '��,
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS
01pprication for Dig;po!5ar *p!5tem Cow6truction Permit
Application for a Permit to Construct(-Repair(grade( )Abandon( ) UrComplete System ❑Individual Components
Location Address or Lot No.11,3 L r1C 0/r1 GA Owner's Name,Add ess and Tel.No.
Assessor's Map/Parcel rew—H
X.70- , ca Z s 1091//S
Installer's Name,Address,and Tel.No.,fo$-'/28- r71r Designer's Name,Address and Tel.No. spg_ 79q q2`J'O
✓ascp� 0.. C4'e'vs C ism C• G voox,
- N ,
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
Size of Septic Tank pe of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) /,SOO. 6,&l Spr�G �ws�/c w. oo :5 D 4,evall_y G/i
Date last inspected:
t
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 and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Board of Hea th.
Signed Date
Application Approved by 0—C Date X6 rk
Application Disapproved for t9 following reasons
Permit No. Date Issued -7/ o�
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFYj] that the On-site Sewage Disposal System Constructed( )-Repaired ( G�Upgraded( )
Abandoned( )by t1oSeA44 29.e 90,o 0_5
4 at //3 �ialco�y /2o,�d✓ f�ysgisrz/S has been construct e in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. o)m G -3 0 dated 1�6
Installer t/a � / ae 90.1-v0 -Designer
ner ax-5
The issuance of this permit shall not be const ue/d as a guarantee that the system 1l f nu o�Inas designed.
Date �/ � Inspector
No. .)CP b Fee
IdO—
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
litpogal *pgtem Construction_Permit
Permission is hereby granted to Construct( 4-Repair(4<pgrad ( )Abandon( )
System located at / L/H A?,
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: Construction mus be completed within three years of the date of per ' ;
Date:_ �'�S/o Approved by S- -
Town of,Barnstable
114E.T°yo Regulatory Services
Thomas F. Geiler, Director
* snatasTnate.
MASS. Public Health Division
039. �0
Argo '" Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office:. 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: '7 27 �� Sewage Permit# 24CXe - �33 Assessor's Map\Parcel �70
Designer: LAS:A Uyca,�S Installer:
Address: -C�- Address: P. 0 f:�M qqD
a y�vvio WL A O�loO l �C�. 02*4q
On 1 �'� D(a `�ty +C was issued a permit to install a
(date) (installer)
septic system at LA NGoi f`) based on a design drawn by
(address) -
L�l dated ju� 1
(designer)
LI I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Stripout (if required) was inspected and the soils
were found satisfactory.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow. Stripout (if required).was inspected and the soils
were found satisfactory.
(Installer's Signature) "
`S"�iS'9�`36 fri 57
(Designer' ign re) (Affix Designer's.Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:\Septic\Designer Certification Form Rev 03-09-06.doc
I
1500 GALLON TANK DISTRIBUTION BOX DRY WELLS CROSS SECTION LOCUS PLAN
NOT TO SCALE NOT TO SCALE NOT TO SCALE NOT TO SCALE NOT TO SCALE
100.b o 99.3
MIN Wm
covsR fro BE wltxnr s"of aRADE MIN. 12"COVER 2" 1/8"-1/2" WASHFD S ONE
„ Ez
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3 MQVIIr1UM
4 4" 40 P.V.0 3CH.
T U
2
It o t= [� o O O 3 0 0 0 o
I� I� I� I�
J
9 „ 96.5 .9 ,
"
t 7
3
• 97.17 ?�;;:;i:::•'sj;•::i;;:; o 0 0 0 0• o � 2 t.
0
1.1
, 94.5 :;;::;;F2::::;:•;y:::::a; � 0 0 � 0 � Q 0` � � � :::: / ?::i::?`9::;:9'i<)i:;t.:':i:::::.i;:::•
\ \ \ \ \ \ \ \ . WEST MAIN STREET
MIN 1. 25.5' 1.5 2.8 4.$3 2.8' u
�.ogANi<: :::::: : : :j
28.5' --- 10°5' �¢
10.5' 3/4%1 1/2"DOUBLE WASHED STONE 'y 3
J1OTTOM OBS 88.65
SITE SPECIFIC DOTES FLOOR PLAN DESIGN CALCULATIONS GENERAL NOTES
ALL PIPING TO BE SCHEDULE 40 P,V.C.
CESSPOOLS TO88 PUMPED AND FILLED NOT TO SCALE EXISTING BEDROOMS 2 0 110 G.P.D. ALL LOCATIONS OF UTILITIES SHOWN ARE AS
(REMOVE ONE NEAR TANK 220 G.P.D. MARKED BY DIG-SAFE AND ARE TO BE
VERIFIED BY INSTALLER PRIOR TO
INSTALLER TO NOTIFY DESIGNER 24 HOURS PRIOR TO NO. OF UNITS 3 CONSTRUCTION
BEGINNING OF JOB TO COORDINATE INSPECTIONS DEPTH BELOW INV. 2' THERE ARE NO KNOWN WETLANDS WITHIN
WIDTH 10.5' 150' OF THE PROPOSED LEACHING FACILITY
LENGTH 28.5' UNLESS SHOWN.
My� �� y�r� 29 FIRST FLOOR THERE ARE NO KNOWN POTABLE WELLS WITHI
SIDEWALL AREA 100' OF THE PROPOSED LEACHING FACILITY.
Ar BOTTOM AREA 9.3
y � jJ J lt�� JY TOTAL SQUARE FEET 464 SF THERE AIDE NO KNOWN IRRIGATION WELLS
WITHIN 50 OF THE PROPOSED LEACHING
1i
LIVING CAPACITY SIDEWALL 00.74 115.4 G.P.D. FACILITY
ROOM BEDROOM CAPACITY BOTTOM 0 0.74 221.4 G.P.D. THIS PROPERTY DOES NOT FALL WTHIN A
CAPACITY TOTAL :336.8 G.P.D. FLOOD ZONE AS SHOWN ON FIRM MAP
j, THIS DESIGN DOES NOT REQUIRE VARIANCES
A3� ACIt S THIS SYSTEM NOT DESIGNED TO RTO EGUILATIONSOR BARNSTABLE SUPPLEMENTAL
WELLS
/ ACCOMODATE A GARBAGE ALL CONSTRUCTION SHALL BE IN ACCORDANCE
SAS 3 -DRY VV EL L� � r- BEDROOM WITH TITLE 5 AND BARNSTABLE SUPPLEMENTA
_ �H� DISPOSAL REGULATIONS.
BATH REGULATIONS.
ELEVATIONS PROPOSED AS-BUILT SURVEY INFORMATION
10, 51 X 28, 51
[BH INV. 0 HOUSE 98.08 PLAN TO BE USED FOR INSTALLATION
mud INV INTO TANK 97.55 OF SEPTIC SYSTEM ONLY
room INV OUT OF TANK 97.3
INV INTO D-BOX 97.17 NOT FOR DETERMINING PROPERTY LINES
INV OUT OF D-BOX 97.0
INV INTO CHAMBER 96.5
BOTTOM OF CHAMBER 94.5 BENCH MARK -
•, ........... ------ _ _ Dice nr •1 11 Vpr-Ar% -On n /A .it-M
.. -_... _.-_ ._ �. -. _...- -. _ _.... ..� ✓..'."Jf VI.Y.:-�lv'L�. Vim✓
i WATER TABLE NONE ENCOUNTERED
DATE: OBSERVED BY: WITNESSED BY:
y r' SOIL LOGS
_ _._.-._. _.,- _.-.. .._. _._. June 29` ,2006 LISA C. LYONS DON DESMARAIS
_.__._,__-...m .___._._.__.._.__.__. .._.-_,_-..,._.__._., _. . . _..-._. _.._.,_. ' SOIL EVALUATOR BOARD OF HEALTH
OBS. HOLE 41 OBS. HOLE #27
D ELEV. DEPTH EI_EV. D PTH
1 T H 1 99.3 FILL 0" 99.2 0"
r 98.5 A LOAMY 0" A LOAMY OYR 3/3 ND
LO OYR
98.6 7"
i 0 98.27 3" B LOAMY SAND
(� i L 10 4/6
LOAMY
SAND YR
B 10YR 5/6
2 96.75 0„
" 32"
96° MEDIUM SAND 44"
i
C MEDIUM SAND
2.SY 6/6 lOYR 5/6
0 88.85 20
26" 89.25 „
__• , ® d 0 GROUNDWATER ENCOUNTE',RE 0 GROUNDWATER ENCOUNTERS
n.
�? t0 0 #113
12 PERC RATE<2 NUNS./INCH
� i
0 TC1F=100, 0
n �
TH 29
f
Z
t
HILLY alr '1 $�s,TREE
-
1 �y M ea r
C PLAN SHOWING:
_ e a 5 ��O PROPOSED SEPTIC SYSTEM REPAIR IN BARNSTABLE
X � y, FOR: DRAWN BY: LISA C. LYONS
Be h C�,�i'')0, Y, S E' t , t+ 1, - ARTHUR BELANGER DESIGNED & CHECKED BY:
o a t LISA C. LYONS
c ®o�A i S1 t 14® ,�1 LOCATION: REVISIONS:DESCRIPTION: DATE:
113 LINCOLN ROAD,HYANNIS
/-� !�, /�, / ' /,, ,,/ rrr�I I I � ` LOT#: 7 DATE:JULY 5106
l� l9/' I t C o f',, �,/Ll l K I' l e C� (.�' M2 v P28
E(, -100, 0 CAssumG>00 SCALE O ISA C. LYON .S.
1 CERTIFY THAT THIS PLAN CONFORMS TO LISA C. LYONS, R . S. (508) 790-9270
TITLE 5 AND BARNSTABLE B.O.H. REGULATIONS HYA.NNIS, MASSACHUSETTS (774)487-1638
(EXCLUDING WAIVERS SPECIFIED)
H6 0 -5-�3,_1
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