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Home My WebLink About0246 NORTH STREET - Health 246 North St e - -, o o I YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost .00 for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town (which you -it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. must do b M.G.L. g y y (Town Hall and et the Business Certificate that is leek s Office 1st FI. 367 Main St., Hyannis, MA 02601 (To ). g Take the completed form to the Town C , P required by law. 11 DATE:` O I t Fill in please: APPLICANT'S YOUR NAME/S: C- u BUSINESS YOUR HOME ADDRESS: >n N c` TELEPHONE J. # Home Tel Number NAME OF CORPORATION: NAME OF NEW BUSINESS I n TYPE OF BUSINESS IS THIS A HOME OCCUPATION? _ — _YE- .- NO 033001 ADDRESS OF BUSINESS-'` MAP/PARCEL NUMBER (Assessing) When.starting a new business there are several things y ust do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtainin e information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropr ate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual has been theR r�'ili p,the permit requirements that pertain to this type of business. MUST COMPLY WITH ALL V I(/I HAZARDOUS MATERIALS REGULATIONS Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS LJCENSING AUTHORITY) This individual has i r of the I' sing requirements that pertain to this type of business. Au orized Signature* COMMENTS: ✓� Date:'2 /� / �I TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS . BUSINESS LOCATION: hd rt — p 1 kfNVENTORY MAILING ADDRESS: <eL yn e_ TOTAL AMOUNT: TELEPHONE NUMBER S 10 qf�(o CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: ? —D g6 MSDS ON SITE? TYPE OF BUSINESS: poi `'1 t� t; INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous: Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes 0 r),-)V Laundry soil &stain removers l (including bleach) Potf �- file POL Spot removers &cleaning fluids (dry cleaners) �- Jo Other cleaning solvents Bug and tar removers Windshield wash 04Z ov WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Im UH �r9 Postage $LrI CerUfled Fee'ru O Retum Receipt Fee M (Endorsement Required) Restricted Delivery Fee O (Endorsement Required) M rU Total Postage&Fees Is m Se CO Mf o sire r,aPr. or PO Boz No. City,Siaie; Certified Mail Provides: o A met I.g receipt a A un' ue identifier for your mailpiece a 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®. o Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Retum 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 return receipt,a USPS®postmark on your Certified Mail receipt is required. . o 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". a If a postmark on the Certified Mail receipt is desired,please present the arti- cleat 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. PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047 .'I SECTIONSENDER: COMPLETE THIS COMPLETE / ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse x10 ❑Addressee so that v,A can return the card to you. B. ved y(Printed Name) Date of Delivery ■ Attach this card to the back of the mailpiece, 3 or on the front if space permits. O D. Is delivery a dress different fro ern 1? ❑Yes 1. Article Addressed to: ' If YES,enter delivery address below: ❑No UI I [ I E`^" I o' ' 3. Service Type ❑Certified Mail ❑Express Mail I V v ❑Registered ❑Retum Receipt for Merchandise Io ❑Insured Mail ❑C.O.D. 0 � Sk %':;• $ ��v�` 4. Restricted Delivery?(Extra Fee) ❑Yes 2. ice Number ��rU 7008 3230 O002 5177 8346 I Ps Form 3811 February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box' I I I � I I I I SR Town of Barnstable Health Division I 200 Main Street I Hyannis,MA 02601 I - I I I I �M ' n R Certified Mail#7008 3230 0002 5177 8346 Town of Barnstable Ve Regulatory Services y Thomas F. Geiler, Director &+RNtb 11 public Health Division MASS. F0 °i Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 11, 2009 Mr. Richard C. Elwell Ms. Brenda D. Elwell 141 Elliott Road Centerville, MA 02632 Re: 246 North Street, Hyannis, Assessor's Map 308, Parcel 038-001 ORDER TO CONNECT TO TOWN SEWER Dear Mr. & Mrs. Richard Elwell: You are directed to connect your dwelling located at 246 North Street, Hyannis, MA to public sewer on or before November 12, 2009. The Department of Public Works, Engineering Division, has confirmed for us,that your dwelling has not been connected to town.sewer to date. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. Upon connecting to the sewer you will be required to also have an abandonment permit for the existing Title V septic system. 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 will result in a fine of$100.0.0 per violation. Each day's failure to comply with an order shall constitute a separate violation. If you have any questions please feel free to call the Health Department at 508-862-4644. QAOrder letters\Sewage violationsMandonment letter\246 North Street,Order to connect.doc r PER O,JkDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable Cc: Peter Doyle, Water Pollution Control QAOrder letters\Sewage viol ations\Abandon men t letter\246 North Street,Order to connect.doc Certified Mail#7008 3230 0002 5177 8346 Town of Barnstable INC Regulatory Services ' Thomas F. Geiler, Director R&RNSTABi Y ` Public Health Division Q mac+" Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 11, 2009 Mr. Richard C. Elwell Ms. Brenda D. Elwell 141 Elliott Road Centerville, MA 02632 Re: 246 North Street, Hyannis, Assessor's Map 308, Parcel 038-001 ORDER TO CONNECT TO TOWN SEWER Dear Mr. &Mrs. Richard Elwell: Enclosed is a variance request application for your property located at 246 North Street, Hyannis. Please complete this form to the best of your ability and return to this office in order to get on the agenda for a Board of Health hearing. The meetings are once a month and once your application is received we will notify you of the hearing date. If you have any questions please feel free.to call the Health Department at 508-862-4644. Sincerely, Donna Z. Miorandi,R. S. Health Inspector QAOrder letters\Sewage violations\Abandonment letter\246 North Street,II—8-13-13-09 variance request letter.doc f COMMONWEALTH OF MASSACHUSETTS o EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS \� DEPARTMENT OF ENVIRONMENTAL PROTECTION V •' RECEIVE® _IiN 1 7 2001 TITLE 5 T��H ALTH DEPT BLE OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 246 North St.r Hyannis, MA Owner's Name: Charles Curran Owner's Address: 235 Bridge St'. Osterville, MA Date of Inspection: M Name of Inspector: (please print) W i 1 1 jam — Robi nson Sr. Company Name: William E. Robinson Septic Service Mailing Address: P O Box 1089 Centerville, MA Telephone Number: ( 5 0 8 ) 7 7 5—8 7 7 6 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to 7 tion 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: _� v I �i- Date: > --0 -' Tie system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Heanh,or D )within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd r greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving autho ity. Notes ind.comments **** his report only describes conditions at the time of inspection and under the conditions of use at that tim This inspection does not address how the system will perform in the future under the same or different condi ions of use. Title 5�n'spection Form 6/15/2000 page 1 a Page 2 of 11 , OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 246 North St. - Hyannis Owner: Curran Date of Inspection: Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. Sys m Passes: 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or reps' ed.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answ yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please expla' . e septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsour d,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existin tank is replaced with a complying septic tank as approved by the Board of Health. *A me al septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indica ing that the tank is less than 20 years old is available. ND a plain: Observation of sewage backup or break out or high static water level in the distribution box due to'broken or ob cted pipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with ap oval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND a plain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass ' spection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND e Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 246 North St. , Hyannis Owner: Date of Inspection: C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is fail' g to protect public health,safety or the environment. 1. ystem will pass unless Board of Health determines in accordance with 310 CMR 15.303(l)(b)that the s stem is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2. S stem will fail unless the Board of Health(and Public Water Supplier,if any)determines that the syste is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a urface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more froni a rivate water supply well**. Method used to determine distance * This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform b cteria and volatile organic compounds indicates that the well is free from pollution from that facility and th presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other fa lure criteria are triggered.A copy of the analysis must be attached to this form. 3. ther: 3 j Page 4 of.11 • OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 246 North St. Hyannis Owner: Curran Date of Inspection: 4 a—o System Failure Criteria applicable to all systems:. Y u must indicate"yes"or"no"to each of the following for all inspections: Yes No _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than'h day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private waiter supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. arge Systems: To b considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd- You m st indicate either"yes"or"no"to each of the following: (The fo lowing criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you ha a answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in ection D above the large system has failed.The owner or operator of any large system considered a significa threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.T e system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 246 North St. Hyannis Owner: Curran Date of Inspection: Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes/ No /� _ Pumping information was provided by the owner,occupant,or Board of Health ,/ Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? _ VX'Have large volumes of water been introduced to the system recently or as part of this inspection? d _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components,excluding the SAS, located on site? Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no Existing information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C SYSTEM INFORMATION Property Address: 246 North St. —B annis Owner: M rran Date of Inspection: I .~ ca-•ra FLOW CONDITIONS RESIDEN Number of edrooms(design): Number of bedrooms(actual): DESIGN w based on 310 CMR 15.203(for example: 110 gpd z#of bedrooms): Number o current residents: Does res• ence have a garbage grinder(yes or no): Is laun on a separate sewage system(yes or no):_ [if yes separate inspection required] Laun system inspected(yes or no): Seaso 1 use: (yes or no):_ Wate meter readings,if available(last 2 years usage(gpd)): Su pump(yes or no): L date of occupancy: COMMERCIAL/INDUSTRIAL a Type of establishment: f g 4 x i ra 9 Design flow(based on 310 CMR 15.203): 6 4 o gpd Basis of design flow(seats/persons/sqft,etc.): 3 Grease trap present(yes or no): Industrial waste holding tank present(yes or no):iv 6 Non-sanitary waste discharged to the Title 5 system(yes or no):Ao Water meter readings, if available: Last date of occupancy/use: I L;L!ti. csiS OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no): >L cJ If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYP,�OF SYSTEM Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if known)and source of information: o e Were sewage odors detected when arriving at the site(yes or no):�v 6 I Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 246 North St. Hyannis Owner: Curran Date of Inspection: ►X-jq-i-&-P BUI ING SEWER(locate on site plan) Depth elow grade: Materi is of construction:_cast iron ._40 PVC_other(explain): Dista a from private water supply well or suction line: Co ents(on condition of joints,venting,evidence of leakage,etc.): /oocate SEPTIC TANK.. on site plan) Depth below grade: :.- Material of construction:-�.-/Concrete metal_fiberglass_polyethylene —other(explain) Ga L. C v '*r+-s 6 1.ti-4/19 If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) ► d . ,I Dimensions: 4 s w Sludge depth: g - " j Distance from top of sludge to bottom of outlet tee or baffle: t/1 '. Scum thickness:1—3 ' ` J I Distance from top of scum to top of outlet tee or baffle: k Distance from bottom of scum to bottom of outlet tee or baffle: J JL e How were dimensions determined: n PLy x, G a r, L s Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of.leakage,etc.): Z L� a1s t-- 0.s 3 C►t— IV, GR ASE TRAP:_(locate on site plan) Dep below grade:_ Mat rial of construction:_concrete_metal_fiberglass polyethylene_other (eXP in): Dim nsions: Scu thickness: Dis nce from top of scum to top of outlet tee or baffle: Dis nce from bottom of scum to bottom of outlet tee or baffle: Dat of last pumping: Co ents(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): ... ,. 7 Page 8 of I 1 s OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 246 North St. ' Hyannis Owner: Curran Date of Inspection: l2��/� C,—o Tf HT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Dep below grade: Mate ial of construction:, concrete metal fiberglass polyethylene other(explain): Dime sions: Capa ity: gallons Desig n Flow: gallons/day Alarn i present(yes or no): Al level: Alarm in working order(yes or no): Date of last pumping: Co ents(condition of alarm and float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 'Q Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): / / w CZe .. ate/ PU CHAMBER: (locate on site plan) Pump in working order(yes or no): Al s in working order(yes or no): Co ents(note condition of pump chamber,condition of pumps and appurtenances,etc.): a 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 246 North St. Hyannis Owner: Curran Date of Inspection: / tP.—,A-►- 0—f SOIL ABSORPTION SYSTEM(SAS): V {locate on site plan,excavation not required) If SAS not located explain why: Type ,'r leaching pits,number:_ leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): _ i 11 �i2 C SPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Num er and configuration: Depth top of liquid to inlet invert: Depth f solids layer: Depth f scum layer: Dimens ons of cesspool: Materia of construction: Indicati of groundwater inflow(yes or no): Comme s(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY,.- (locate on site plan) Materials f construction: Dimensio s: Depth of olids: Commen (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address24 6 North St_ Hyannis Owner: Curran Date of Inspection: b a ng-t SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. Y� C `2 a i3 .y a 10 I Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 246 North St. Hyannis Owner: Curran Date of Inspection: � �- (�-o SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Ob ined from system design plans on record-If checked,date of design plan reviewed: served site(abutting property/observation hole with' 150 feet of SAS) Checked with local Board of Health-explain: -� Checked with local.excavators,installers-(attach documentation) Accessed USGS database-explain: You � t describe how you established the high ground water elevation: �- �� ' 11 No OF THEAD ----- --- -- �Pv OFFICE OF THE BOARD 'OF HEALTH y 'A OF THE o BA]INS E, o TOWN OF BARNSTABLE, MASS. 9 MASS. . SEWAGE DISPOSAL PERMIT Permission 'is granted t r` `� ____ to construct ------ - _— __ __e' - - �_° . Upon the Pre ices 'of Q Sketch fi r c . ' ', - '---- ----------------------------------------------------- In t villa e of e 75rmore feet, from any'source of water supply I� 20 feet from building 10 feet from property line *�x y f Gna y. y^t f � • ' `� Health i r. � t _ 0FTHE TCy o TOWN OF BARNSTABLE OFFICE OF HAHISTM : BOARD OF HEALTH rasa , i639' 367 MAIN STREET �0 MAY k' HYANNIS, MASS.02601 June 19, 1996 Charles F. Curran 76 Westfield Street Dedham, MA 02026 Re: Map 308, Parcel 038.001 ORDER TO CONNECT TO TOWN SEWER Dear Mr. Curran: You are directed to connect your dwelling located at 246 North Street, Hyannis, Ma., to public sewer on or before December 19, 1996. The Superintendent of the Department of Public Works has notified us that your property abuts Town sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. However, the DPW notified the Health Department on June 19, 1996 that your dwelling has not been connected to town sewer to date. Acting under the authority of Chapter 83-11, of the General Laws of Massachusetts, and Regulation 15.02, of 310 CMR State Environmental Code, you are hereby directed to connect to the town sewer system by December 19, 1996. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 790-6265. PER ORDER OF THE OARD OF HEALTH Th mas` . McKean Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask,R.S., Chairman Brian R. Grady, R.S. Ralph A. Murphy, M.D. TM/bcs copy: Peter Doyle Return receipt requested TOWN OF BARNSTABLE 130 SOUTH STREET '•"::; HYANNIS,MA. 508- ^^1^^ ^ �•'+c��• d TEL 508-790-6210•FAX 508-790-6224 v{L }v{\`.J1 hV ORGANIZATION ACCOUNT PORCH.ORDER INVOICE NUMBER AMOUNT DESCRIPTION 6501 61902 97001571 SUMMONS 27.00 HEALTH-CURRAN HOLD 592203 NORFOLK DEPUTY SHERIFF Town of Barnstable 3 K Department of Health,Safety,and Environmental Services _ P 015 4 9 6 5 5 '� 0 N, ,� z • fit' y -r Public Health Division ' P M 367 Main Street Hyannis,MA 02601 8 ,JL tell Set pa , s F ran X0- 77 S eet FIRST NOTICE: '9 0 � C� SECOND NOTICE:'22- i RETURN: 6 7J� CR#/-4, CR INT i ai SENDER:-t.'°, I also wish to receive the +: C ■Complete items 1 and/or 2 for additional services. H ■Complete items 3,4a,and 4b. following services(for an N ■Print your name and address on the reverse of this form so that we can return this extra fee): 102 card to you. d I>0 ■Attach this form to the front of the mail piece,or on the back if space does not p 1. ❑ Addressee's Address •� permit. y y ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N w ■The Return Receipt will show to whom the article was delivered and the date a delivered. Consult postmaster for fee. 0 1 m 3.Article Addressed to: 4a.A icle Number m 12 6/S f96 5-7&e C CC I E �° — "- " 4�b.SService Type u LET Registered ❑ Certified' IN �� ❑ Express Mail ❑ Insured c ¢ Q ❑ Retum Receipt for Merchandise ❑ COD /YID o a o Io 7.Date of Delivery w a �cc � p 5.Received By: (Print Name) 8.Addressee's Address(Only if requested 1 W and fee is paid) s c6.Signature`. (Addressee or Agent) N PS Form 3811, December 1994 Domestic Return Receipt ; r P 015 49�-545�. `�eipt for C -01 ertified Mail DJ�, 0 o No Insurance Coverage Provided Do not use for International Mail (See Reverse) ( , Sent (�s`�✓ Q�/ Street No P.O.,S3 and IP Cooffn d G a Postage $ ,3a Certified Fee . id Special Delivery Fee Restricted Delivery Fee �rQ 0, 0, Return Receipt Showing c9 pt to Whom.&Date Delivered Return Receipt Showing to Whom,, w c Date,and Addressee's Address T 7 TOTAL Postage $ Qy c; &Fees GJ Postmark or Date M to a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES Ise@ front). 1' u 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address ' leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier(no extra charge). li CC CC 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return 44 - address of the article,date,detach and retain the receipt,and mail the article. RA 1 i 3. If you want a return receipt,write the certified mail number and your name and address on a c return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT j REQUESTED adjacent to the number. j OD 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M i endorse RESTRICTED DELIVERY on the front of the article. E `o 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.It LL return receipt is requested,check the applicable blacks in item 1 of Form 3811. y a 1 6. Save this receipt and present it if you make inquiry. 102595-93-Z-0478 Y F1HE rowo TOWN OF BARNSTABLE - r, OFFICE OF t Beaa9TeBL i BOARD OF HEALTH y MA66. p 1639. `�0 367 MAIN STREET HYANNIS, MASS.02601 June 19, 1996 Charles F. Curran 76 Westfield Street Dedham, MA 02026 Re: Map 308, Parcel 038.001 ORDER TO CONNECT TO TOWN SEWER Dear Mr. Curran: You are directed to connect your dwelling located at 246 North Street, Hyannis, Ma., to public sewer on or before December 19, 1996. The Superintendent of the Department of Public Works has notified us that your property abuts Town sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. However, the DPW notified the Health Department on June 19, 1996 that your dwelling has not been connected to town sewer to date. Acting under the authority of Chapter 83-11, of the General Laws of. Massachusetts, and Regulation 15.02, of 310 CMR State Environmental Code, you are hereby directed to connect to the town sewer system by December 19, 1996. Failure to comply with this order will result in a court complaint against you for failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 790-6265. PER ORDER OF THE OARD OF HEALTH Th mas . McKean Health Agent for TOWN OF BARNSTABLE BOARD OF HEALTH Susan G. Rask,R.S., Chairman Brian R. Grady, R.S. Ralph A. Murphy, M.D. TM/bcs copy: Peter Doyle Return receipt requested ,firing Dept. (3rd floor) Map k _ Parcel • O cl Permit# House# Date Issued hoard of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee ``'{Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) d�"a Definitive Plan Approved by Planning Board 19 RNSTAB�` TOWN OF BARNSTABLE�cc� AS N PMW PROM THE Building Permit Application ENGIIIE WG DIVISION PRIOR TO CONSTRUCTIOR Project Street Address .2 C/ 6 /V,,v-th Village I Owner r 44 f IC,- Cu v r 9 ti Address i( ( e-.r 1W X/t Telephone p�oltiw c� ; lit+�► - Permit Request L. 0'/,:;/ G G1 A, o' s v`o y k- �.t >y �'lc✓�c. of First Floor square feet Second Floor square feet Construction Type (iris oc✓ c A. 7-, i Estimated Project Cost $ �, O O O• "—� Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) , Age of Existing Structure 2 O tA-,i-- Historic House ❑Yes Q'No On Old King's Highway ❑Yes p No ;,Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New _First Floor Room Count A Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other j Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number )7.2 gr— O S"/ Address 7 6 w i1' f A License# G dt �Lr g k• !y,RsJ , Home Improvement Contractor# 1 D C Y 0 y Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)