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HomeMy WebLinkAbout0054 SECOND AVENUE (HYANNIS) - Health 54 Second Ave. ,Hyannis A=267-136 r C --, 0 i I h I I �I a -� op THE T Town of Barnstable, I GYP o b ges ST l- PO , 1 Public Health Division, 4'F ""�"B"'g 200 Main Street _Hass. Z' �'s Hyannis,MA 02601 PITNEY BOWLS 02 1 A $ 05.540 0004606238 AUG20 2009 7005 1160 0000 0191 3622 MAILED FROM ZIP CODE 02601 p o Pam Dee A�'�9 Opq'�EMp c ,Avenue ' QED TOEEq O`-pUSNFC MFO lvo A'OR^ F0' rs.0 1bosUM .NO FNolC&sT pRFYVowNs FNMUSFO oT = C UFR Oat. ORFS0 V' - --- q@(FTOF Rout t OR�,gRO e No Icas rtl,%sf ssss r-oloU. JI111I41ii 1 lilt III III HIFIjj IIJJ �. - .lb . NEEMENNEEMW _ FFI- \ I I COMPLETE •N COMPLETE THIS SECTION • • \ I ■ Complete items 1,2,and 3.Also complete A. Signature I r Item 4 if Restricted Delivery is desired. ❑Agent I ® Print your name and address on the reverse X ❑Addressee I so that we can return the card to you. B. Recelved by(Printed Name) C. Date of Delivery I ® Attach this card to the back of the mailpiece, I or on the front if space permits. I D. Is delivery address different from Item 1? ❑Yes I _ 1. Article Addressed to: if 1 c3,enter delivery address below: LI No I 4 I I j I i I Pam Dee ! { 54 Second Avenue 1VjA 02601 s. Service Type Hyannis, . )9,Gertifled Mail ❑Express Mail I I ❑Registered ARetum Receipt for Merchandise I ❑Insured Mail ❑C.O.D. I Y 4. Restricted Delivery?(Extra:Fee) ❑Yes 1 2. Article Number ,} I (Transfer from service lab( 7005 1160 0000 0191 3622 -ro I ; PS Norm 387 y,February 2004 Domestic Return Receipt 102595-02-M-1540 l r. Certified Mail#7005 1160 0000 0191 3622 k , x;,, • _ ,n ,r ,, ,> ,.YTown of.Barnstable s * BARNSCASI E s _ MAfx�i:'s. �'i 4�mter; a�.I���'' °�..,' ti4 '`, , x.a r-i e =5 Regulatory Services =Thomas,F. Geiler Director, , Public Health Division t Thomas-McKean,Director, ` 200 Main Street,`Hyaannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 ti August 19, 2009 Pam Dee 54 Second Avenue Hyannis,MA 02601 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE CODE The property occupied by you, located at 54 Second Avenue, Hyannis was inspected on August 14, 2009 by Town of Barnstable Health Inspector Timothy B O'Connell, R.S., because of a complaint. The following violation of the Town of Barnstable Board Code was observed: § 3534 Responsibilities of Owners and Occupants: Garbage and rubbish not stored in proper receptacles. (Weather proof and rodent proof. i.e. plastic garbage can with a lid.) You'are directed to remove the garbage and rubbish from this property and dispose of it properly or place it within proper receptacles within 7 days of your receipt of C this notice. 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. Failure to comply with an order will 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 _ a Thomas McKean, CHO, RS Director of Public Health Town of Barnstable Q:\Order letters\Refuse\54 second ave,Hyannis 6.doc r� Certified Mail#7005 1160 0000 0191 3622 a�VE r , Town of Barnstable i IlARN5fABLE, pAsti.J Regulatory Services i639 #d `Y� Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 19, 2009 Pam Dee 54 Second Avenue Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE CODE The property occupied by you, located at 54 Second Avenue, Hyannis was inspected on August 14, 2009 by Town of Barnstable Health Inspector Timothy B O'Connell, R.S., because of a complaint. The following violation of the Town of Barnstable Board Code was observed: § 353-1 Responsibilities of Owners and Occupants: Garbage and rubbish not stored in proper receptacles. (Weather proof and rodent proof i.e. plastic garbage can with a lid.) You are directed to remove the garbage and rubbish from this property and dispose of it properly or place it within proper receptacles within 7 days of your receipt of this notice. 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. Failure to comply with an order will result in a fine of$100.00. Each day's failure to comply with an order shall constitute a separate violation. s PER ORDER OF THE BOARD OF HEALTH C Thomas McKean, CHO, RS Director of Public Health Town of Barnstable QAOrder letters\Refuse\54 second ave,Hyannis 6.doc 1 - Certified Mail#7005 1160 0000 0191 3622 � * Town of Barnstable BAxNSTnsLE, f NAB. 't539- Regulatory Services h� Ada—�a, Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 19, 2009 Pam Dee 54 Second Avenue Hyannis,MA 02601 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE CODE The property occupied by you, located at 54 Second Avenue, Hyannis was inspected on August 14, 2009 by Town of Barnstable Health Inspector Timothy B O'Connell, R.S., because of a complaint. The following violation of the Town of Barnstable Board Code was observed: 353-1 Responsibilities of Owners and Occupants: Garbage and rubbish not stored in proper receptacles. (Weather proof and rodent proof. i.e. plastic garbage can with a lid.) You are directed to remove the garbage and rubbish from this property and dispose of it properly or place it within proper receptacles within 7 days of your receipt of this notice. 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. Failure to comply with an order will 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 McKean, CHO, RS Director of Public Health Town of Barnstable QAOrder letters\Refuse\54 second ave,Hyannis 6.doc Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. APPLICATION and PERMIT Fee: /o - 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) �� „� ����� X / ignature(ifapllyi,g 5rpennit Address_ _ �dl �n�,� % ,vo 'G�c�c h 2-0/.S Street city State Zip • 40 HOISTING LICENSE # Company Name ;A/�"SGjv �ji Co. or Individual Print Print Address�D, /`�' mil' Address Print , 7 Print Signature ' applying for permit) Signature(if applying for permit) FCI Certified Other ❑ IFCI Certified ❑ LSP# Other ,71 Tank Location �/P �� ♦ r '�/ i Steet Address -—-- V-1i 1 City Tank Ga aci _ alloris 3 3� P tY(9 ) Substance Last_Stored__�7�F Tank Dimensions(diameter x length) !�f �X �� Remarks: Firm transporting waste ���si,r .r ii��ev�-on"/� ��,n State Lic. # Hazardous waste manifest# E.P.A. # Gi�� 7y��r" Approved tank disposal yard `l ��� r Tank yard# /> Type of inert gas 0.4 Tank yard address V 3nn City or Town FDID# Permit# �� 1 Date of issue a of expiration IQ Dig safe approval number: -, /��� 3� 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 UST R ulatory Compliance Unit, One Ashburton Place, Room 1310, Boston, MA 02108-1618. FP-222(revised 9/96) LVII . Vl UL11U.V� .✓L!V ' 1� UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS* A•SESS:ORS MAP N0. (,�7 PARCEL NO. /­3 (_ �_- M ADDRESS:_ 011 L �Ji VILLAGE: t r j� NAME. F V.1 C h — CONTACT PERSON ( �� N�� � P r f )' Yl C PHONE NUMBER dj LOCATION OF TANKS CAPACITY: TYPE- OF* FUEL AGE: TYPE: LEAK _ORw-CHEMICAL-: —DETECTION SYSTFKe DATE OF PURCHASE OF EACH: �� ; �.2�} �7L Z. 3. 4. 5. _ DATE- OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: 3�?S %� � PASSED L,- DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. L TOWN OF BARNSTABLE LOCATION S-11 Q t C SEWAGE 0 VI:,:. AGE ' - ASSESSOR'S MAP&LOT S=' INSTALLER'S NAME&PHONE NO. 0 d SEPTIC TANK CAPACTTy 4 LEACHING FACILITY: (type) V)k (size) AIV17 NO.OF BEDROOMS 77, D R OR OWNER PERMTf.DATE: � COMPLIANCE DATE: /0~ z. Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Pti�vate 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 r _r...,.�.L� S � �\ � �►�,\� -t--�a( � = ,�5�' ' !� ��� � � f �_ / _ :_ -b 0 No................. � Fps.. -3 0..0 0... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE , pphratiou for Di-nVniial Work,i Toutitrurtiin rumit Application is hereby made for a Permit to Construct ( ) or Rcpair.)(XX) an Individual Sewage Disposal System at:,f' � '27 41 A , - tion- • ress - -- Lot No. •--•----•-- Owner Address ................J7..P.._Mac.onher...J-r._...----------------------------•-•--- .................................................................................................. Installer Address UType of Building Size Lot............................Sq. feet .� Dwelling}-CNo. of Bedrooms---------; --------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ___________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures ----------------•---------------------_--_----•---------------- ----------------------- ------ Design Flow................. .-___________________________gallons per person per day. Total daily flow.-_-._.--.--_-__-___--___-___--__-. ----._gallons. W 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 ( ) Percolation Test Results Performed by.......................................................................... Date.................................... a Test Pit No. I________________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.-.----.._--__-_---__--- fx •---------------------------------•---......----•-••------...............-•----•----....-•-------•--......................................................... O Description of Soil..........................S.and...&...Gravel--------------------------------------------------------------------------x c, w UNature of Repairs or Alterations—Answer when applicable.....f]mi_t---cessp_onls_.___Instal1---1 1.Sf1.0_..__. ...............gall Qn..:tarik_,-_l.-spa._stzihut.i.on...hczx__and--- .9_JD.0.D_...gallan__.leach---p.i_ts--........ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia ce has b en 'ssued byZthe .ard f health. �/� Signed --- .... ./-2.8.1..9.5.....:.4� ..... ....-.--._-. .. .�.....-._.............__- [e ..... Application-Approved.By ........__........_.....::. ..................... '� Dare Application Disapproved for the following reasons: .......... .......... ........................ . ..............--------------------------------------------------- - ---------------- ---- -- -- -- -------------------------------..-..-------..... ......--..................:------ ----- ........................................ P..- .......:....... Issued ...J-. ;/.. .... Permit No. ...................... Dace 2'> -7 /- � No................------...-• j - Fps..$...3 0.-.0.0... r THE COMMONWEALTH OF MASSACHUSETTS�S j BOARD OF HEALTH TOWN OF BARNSTABLE i Applirtttivit for Diripmial add, Towitrnrtion 11amit Application is hereby made for a Permit to Construct ( ) or RepairX(XX) an Individual Sewage Disposal System at:,s- ................��.:...---------�'•------•T-•-=="-��* ��v�_�-=-�' = -•--------•- L--f+'--=•-•- _ Fr f. ° w'-r----- ---------------- L- tion-_'d'dress r Lot No. �T Owner Address i ................... ... �?.�.. _.ATr_n....._._ ............................. ....................................... ..... _...._..._..........._. Installer Address Type of Building Size Lot............................Sq. feet �-t Dwelling XCNo. of,Bedrooms--------- .-__-Expansion Attiv( ) Garbage Grinder ( ) e of Building ersons-_------_.--•--------__.__. Showers ( ) a Other—T YP g ----•-••-------•--------___- No. of P ( ) — Cafeteria dOther fixtures ------------------------------------------------------_-------------------•------•---- ..................................................... WDesign 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 ( ) ~' Percolation Test Results Performed by--------------------------------------------------------------------------- Date__................... ;4 1------------------ Test Pit No. I----------------minutes per inch Depth of Test Pit-----.-------------- Depth to ground water.---__.--__--__----_---- (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .......••-;-----------------•--•---•........_...•-•-•---•----••--------•......-------•.......------------.......------------•---..............--•-••-------' R iD Description of Soil---------------------�-`a.Rd..-j�... ramel..-------•---------------------- . V ...........................................•--•-•--.........-•-•-•--•---•........-------•--........--•------••--•-•-----•-••-----------......---------•--•--•---•---.....-------•---------- ....... W U ('Nature of Repairs or Alterations—Answer when applicable._.__ ► _ __. s-?�Q�?_� ...... t�sk .�,-1-1- --•-.. ............... aZ.1on tank•-1•-mod .str bla_t � ' and -�.Qt a1 az ... kt_._ i s. -----• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ben 'ssue by the board f health. �� Signed `�� . '1� .... 3 f 2 S'�9 5 - --- ------------------------ ---------------------------------------- `--Application,Approved BY ------ ---------- --------------- ----------- ------------------------------------------- -------------------------.. ......,. �. � Dale Application Disapproved for the following reasons- ------------------------------ ------------------------------..........---------------------------------------------------- r------------------------------------- ----------------- ---- ----------- -- ------------------------------------------------ ........................................ �.. _ Datea Permit No. -..._............_ Issued ---- .��..... ........................ h THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed..( ) or Repaired*(;XX ) by -- -------J.P.Macomber Jr - - ------------------------------------------------------------------------ --�ental I ----:�;^�. at -------- - Qsdery - �. .:_.... f ... yr../s 0 �, has been installed in accordance with the provisions of TITI.f�5_QE.LThe tate Environ Code a described in. the application for Disposal Works Construction Permit No. .. .` dated - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE`r AT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ! ------ Inspec cox__ ��- - 1....` ---� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ElispuBal Workii Tomitrudion "amit Permission is hereby granted....... .................................. to Construct ( ) or Repair(XX) an Individual SCp pe Di s 0*S yst "f at as shown on the application for Disposal Works Construction Perr�T_V''_'No'.��.�__---r ated__-F_ __ ......................... r Board of Health / DATE....-• -• .... = ......................... FORM 36508 HOBBS♦!t WARREN.INC..PUBLISHERS