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HomeMy WebLinkAbout0626 WEST MAIN STREET - Health 626 WEST MAIN STRI(r, I �[ A= ! ° 0 I i f i II'� t ' � COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY& ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 DEVAL L.PATRICK IAN A.BOWLE5 Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner Ellen J. Wadlin ton g June 5, 2008 Division Assistant Town of Barnstable Regulatory Services Public Health Division 200 Main Street Hyannis, MA 02601. ' Dear Ms. Wadlington, .The Massachusetts Department of Environmental Protection,Drinking Water Program, sent your office a copy of the enclosed enforcement document as it is our policy to copy local Boards of Health on all such actions. Although the mailing address of the owner/responsible party for"The, Ice House (VND)", Public Water System ID 4020018, is in Roslindale our records'indicat-hatx the facility is located in the Town of Barnstable. We show a physical address of 626 West gain Street, Barnstable, MA. If this physical address is in error please let us know. We consider s to,::`i be an active Public Water System subject to state regulation. Thank you for your a tion to►�kt Iis matter. o � Sincerely, r? Damon G. Guterman Drinking Water Program This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD#1-866-539.7622 or 1.617-574.6868. MassDEP on the World Wide Web: http://www.mass.gov/dep M� Printed on Recycled Paper Town of Barnstable CF SME TQ� Regulatory Services Barnstable do Thomas F. Geiler, Director lAFamencac►►' Public Health Division O + BARNSCABLE, 9 MASS. Thomas McKean, Director abAr 1639. 6. 200 Main Street 2007 Ep MAC Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 4, 2008 Dave Terry,Program Director1 Drinking Water Program Bureau of Resource Protection Mass DEP One Winter Street D Boston,MA 02108 " Re:Puritan Ice Cream c/o C&S Rando (VND) Dear Mr. Terry: Enclosed is a copy of a report sent to the Town of Barnstable Health Division in error. Sincerely, Ellen J.Wadli?ggton Division Assistant _. Massachusetts Department of Environmental Protection Bureau of Resource Protection -Drinking Water Program TRANSIENT NON-COMMUNITY(TNC)VIOLATION NOTICE OF NONCOMPLIANCE (NON) Enforcement Notice: M.G.L.c.21A sec.16,310 CMR 5.00 °�M �•''�� "- Attention: Owner/Owner representative/Responsible party: NON BO- 085D090 General Information PWS NAME: PURITAN ICE CREAM C/O C&S RANDO(VND) DATE: 5/2/2008 3895 WASHINGTON ST. PWSID: 4020018 CLASS: TNC ROSLINDALE MA 02131 -0000 CITYITOWN: BARNSTABLE Location Where Noncompliance Occurred: THE ICE HOUSE(VND) Description of Violations under M.G.L. c. 111 sec. 159-160 and 310 CMR 22.00 and 21.00 and Corrective Actions to Take and Deadlines for Taking Such Actions: T. The Department of Environmental Protection(MassDEP);Drinking Water Program(DWP),records indicate.that your system is in violation of the following checked•(X)requirements.In order to return to compliance for these violations your system must takelhe indicated corrective action(s)by -the prescribed deadiine(s): escr' for of ratio err o-i t t o.ah A"' l rie�r` ir►g °arc ct ONA Failure to submit the 2007 Within 30 days of receiving this NON X Annual Statistical report to the You must completely fill out the attached Annual Statistical report and submit 2 copies of the form to: Department,as requried by. MassDEP/DWP, 1 Winter Street,5th Floor,Boston,MA 02108,Attention Stats Program.You must also 310 CMR 22.15; complete and submit the attached Transient Non-Community Violation Response Form(TNCVRF)with your Within 30 days of receiving this NON You must obtain the services of a certified operator of the required certification grade by contracting with a ' efts certified operator and submitting the attached Public Water System Certified Operator Massachusetts p ,� 9 ,,, Compliance Notice to the Board of Certification of Operators of Drinking Water facilities( e Board);You must submit proof of your notice to the Board by sending a photocopy of the completed n6f1 a alortg1with the - attached TNCVRF to:MassDEP/DWP, 1 Winter Street,5th Floor,Boston,MA 0�108,Attention TNC e ` Operating a public water Program. Or system without a certified Within 30 days of receiving this NON You must apply to the Board for a temrQary six-myth emerrgency, operator as--required by 310 certification'and submit proof of your application to the Board by sending apt dcopy of tiwcomplgl:ed ' CMR 22:1 YB(1); application to the Department.You must also complete and submit the attach � NCVRF Weyoursponse.,, WI In addition within 6 months of receiving this NON Your system must be op d by pernnel tfulfill the certified operator requirements as stated in 310 CMR 22.11 B(1)and(2). N • E7y 'To apply for a temporary six-month emergency certification you must completely 11 out an il th" attached Application For Temporary Certification form along with the required fee, _the Board at 100 Cambridge Street,Room 1406,Boston,MA 02202. Within 30 days of receiving this NON Failure to submit the a cross You must completely fill out the attached Cross-connection Program Plan Questionaire for Transient Non- connection control program Community Public Water Systems and submit 2 copies to:MassDEP/DWP, 1 Winter Street,5th Floor, plan to the Department;as Boston,MA 02108.Attention TNC Proa am.You must also complete and submit the attached Transient Non- I requried by 310 CMR 22.22(T) 1 Community Violation Response Form(TNCVRF)with your response L 2. If your system HAS COMPLIED with any or all of the requirements listed and checked(X)above,you must submit proof.Examples of proof include copies of return receipt postcards from the post office postmarked prior to the deadline(s).You must submit the proof and 2 copies of the required information to:MassDEP/DWP, 1 Winter Street,5th Floor,Boston,MA 02108,Attention Stats program.You must also complete and submit the attached TNCVRF with your response. Important Information An administrative penalty may be assessed for every day from now on that you'are in noncompliance with the requirements described in this NON. Notwithstanding this NON,the Department reserves the right to exercise the full extent of its legal authority in order to obtain full compliance with all applicable requirements including,but not limited to,criminal prosecution,civil action,including court-imposed civil penalties or administrative penalties assessed by the Department.Contact Information: If you have"any"questions about this NON please call Damon Guterman at 617-574- 6811: Certified Mail#: Date Mailed: At tachments cc: MassDEP Boston-Office of Enforcement Dave Terry,Program Director MassDEP Regional Office-DWP Drinking Water Program Local BOH Bureau of Resource Protection!MassDEP ❑Certified Operator r 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Drinking Water Program TRANSIENT NON-COMMUNITY VIOLATION RESPONSE FORM(TNCVRF) M.G.L.c.21A sec.16,310 CMR 5.00 Attention: MassDEP/Drinking Water Program General Information DATE: 5/2/2008 PWS NAME: PURITAN ICE CREAM C/O C&S RANDO(VND) RE: NON.- BO- 085DO90 3895 WASHINGTON ST. PWSID: 4020018 CLASS: TNC ROSLINDALE MA 02131 -0000 CITY/TOWN: BARNSTABLE Location Where Noncompliance Occurred: THE ICE HOUSE(VND) ® Description of Corrective Action Taken under M.G.L. c. 111 sec. 159-160 and 310 CMR 22.00 and 21.00: My public water system has taken the following actions to correct the violations listed in the above referenced NON.(please check all that apply) IDescrr fionf i/o/at,+_o D,escr on >flCorrecr e�AE ors Tkn b e PutiYic aier S: t®m Failure to submit the 2007 Annual My system DID submit the 2007 Annual Statistical report to MassDEP by the required deadline. Statistical report to the ❑ Within 30 days of receiving the above referenced NON I am submitting this form;two(2)copies of the Department,as requried by 310 CMR 22.15: 2005 Annual Statistical-report and documentation that proves That my system submitted this report by the deadline. ❑ My system DID NOT submit the 2007 Annual Statistical report. Within 30 days of receiving the above referenced NON I am submitting this form and two(2)copies of the 2007 Annual Statistical report. Operating a public water system ❑ My system HAS the required Certified Operators and DID report to the MassDEP this change in operator status as without a certified operator as required•by 310 CMR 22.11 B(1); required. Within 30 days of receiving the above referenced NON I am submitting proof to the Department that my system has the required Certified Operator and had properly notified the Department.See attached photocopies of the license(s),contract(s),other supporting documentation that proves my system submitted this information by the deadline and the completed Certified Operator Status Table below. ❑ My system HAS the required Certified Operators but DID NOT report to the MassDEP any changes in operator status as required.Nithin 30 days of receiving the above referenced NON I am submitting proof to the Department that my system has the required Certified Operator.See attached photocopies of the license(s),contract(s) and the completed Certified Operator Status Table below. ❑ My system DID NOT have the required Certified Operator. Within 30 days of receiving the above referenced NON My system has ❑ Obtained the services of a Certified Operator of the required certification grade and completed and submitted a Public Water System Certified Operator Compliance Notice form to the Board for verification and signature.See attached copy of the completed form as well as the completed Certified Operator Status Table below. Applied to the Board for a temporary six-month emergency certification. I understand that within six months of receipt of the above referenced NON my system must be operated by personnel that fulfil the certified operator requirement as stated in 310 CMR 22.11E(1)and(2). See the attached copy of my application. I will report all future changes in my system's Certified Operator status to DEP within 24 hours of such changes.I ❑ will also provide MassDEP with written documentation of the change within 30 days. Failure to submit a cross- connection control program plan ❑ My system DID submit a cross connection program plan to MassDEP by.the required deadline. . to the Department,as requried by Within 30 days of receiving the above referenced NON I am submitting this form,two(2)copies of the 310 CMR 22.22(3); completed Cross Conection Program Plan Questionnaire for Transient Non-Community Public Water Systems and documentation that proves that my system submitted this report by the deadline. ❑ My system DID NOT submita cross connection program plan. Vithin 30 days of receiving the above referenced NON I am submitting this form and'two(2)copies of the completed Cross Correction Program Plan Questionnaire for Transient Non-Community Public Water Systems. ❑ My system was unable to meet some or all of the corrective action requirements identified in the above referenced NON.An explanation is attached.I understand that I may be subject to further enforcement action. e i iepera a StatusT;abi Name/Address/Phone# Licence# Grade Approximate dates of planned routine monthly site inspection Certified Operator Owner,Owner Representative,Water Commissioner or other Responsible Party Print Name: Title: Phone#:( ) Signature: Date: Email address: cc:MassDEP/DWP Regional Office,Local Board of Health Please complete and return this response form to:MassDEP/DWP,1 Winter Street,5th Floor,Boston,MA 02108,Attention Stats Program Parcel Detail Page 1 of 3 it-J _. i 17 Logged In As: Parcel Detail Monday, IL Parcel Lookup Parcel Info Parcel ID 249-133 ._.�.w _. _ .__.... ... _ ..._.. Developer .__.._ _..... __.. _ ...... _..__.w.... ._ Lot Location 1626 WEST MAIN STREET Pri Frontage 105 ............ -- - -- Sec Sec Road;DUNN'S POND ROAD Frontage 1-1-6-0— 100 Village HYANNIS Fire District'HYANNIS Sewer Acct,3932 Road Index r 1813 Interactive ,, � Map Owner Info Owner IRANDO, CHARLES SR Co-Owner 1C/O PURITAN ICE CREAM CO Streetl F3895 WASHINGTON ST I Street2 ... City ROSLINDALE � state MA zip E02131 CountryUS Land Info Acres.0.23 use!STORE/SHOP MD L-9 zoning HB Nghbd CIO Topography ; Road ......... Utilities, Location Construction Info Building 1 of 1 Year!1960'___.-_._ Roof, ___..- Ext MASONR 1.Y Built - Struct Wall i Effect z 1410 _.. ._ _ ..._..� Roof ____. ... ...... .......� AC;NONE .�Area . Cover Type _ _. .... ........m nt Be Style'Store 1 Wall _ Rooms Model `Ind/Comm Floor Concr Finished RoInt Boms,0 Full Grade:Average Heat ._.__ .. _. ..-..m Total ... . Type Rooms http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18110 6/9/2008 Parcel Detail Page 2 of 3 Stories ; Heat'Qi Found-(Poured Conc. Fuel ation 1 io --- ............................. ............... ---- Permit History Issue Date Purpose Permit# Amount Insp Date Comml 4/1/1995 B37665 $3,000 1/15/1995 12:00:00 AM HY REI ',� Visit History Date Who Purpose Sales History Line Sale Date Owner Book/Page Sale P 1 RANDO, CHARLES SR C56190 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2008 $126,700 $0 $16,800 $194,000 3 2007 $126,700 $0 $16,800 $194,000 4 2006 $89,900 $0 $3,600 $194,000 5 2005 $81,800 $0 $3,600 $148,100 6 2004 $77,200 $0 $3,600 $148,100 7 2003 $35,600 $0 $3,600 $108,800 8 2002 $35,600 $0 $3,600 $108,800 9 2001 $35,600 $0 $3,600 $108,800 ; 10 2000 $34,800 $0 $3,600 $83,800 11 1999 $34,800 $0 $3,600 $83,800 12 1998 $34,800 $0 $3,600 $83,800 13 1997 $30,900 $0 $0 $83,800 14 1996 $30,900 $0 $0 $83,800 15 1995 $30,900 $0 $0 $83,800 16 1994 $42,400 $0 $0 $93,900 17 1993 $42,400 $0 $0 $93,900 18 1992 $47,100 $0 $0 $104,300 19 1991 $60,800 $0 $0 $149,000 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=18110 6/9/2008 Map Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size zoom Out In 11K PIA he y r ®- 7PG Map: 249 F 27 16 Location: 4 30 Owner: 249132 4 1 029 Location In 290095 ((Map &Parce 0 844 a. 3T0021 Oi11 ry : xp Location u Acreage ........ .__._. .. a Current �Sv4 Mailing Addi 249133.' 0 626 Qr Appraised � Extra Featur b Out Building �289Q04 �V810 .T Land Tom: Buildings ., Total Apprai r LAssessed V #8 258 ^ Extra Featur Out Building Land Buildings Set Scale 1" = 59 I Aerial Photos 2 J, Total Assess Copyright 2005-2008 Town of Barnstable,MA All rights reserved.Send questions or comm( BarnstableMA v1.2.3082;.Production' http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=249133&map... 6/10/2008 P Pasr DEPARTMENT-OF ENVIRONMENTAL PROTECTION BUREAU OF RESOURCE PROTECTION . ONE WINTER STREET E �� � PITNEY BOWES - BOSTON, NIA 02108 02 1 A $ 00.42° 0004620151 JUN 06 2008 MAILED FROM ZIPCODE 02108 f C.- H&n'pt ::4vvz 51 o'.J ZOO Ak1i S7 44VAW Aft s� Nk off ® Printed on recycled paper. _;_. {{1lfist{fit{{t:{{e[test!'{[ttt{tiflf{titittisititf!{�tliii!{ii ` - . _. . � , .� � _ - - - r 1 Massachusetts Department of E"vimHmemta/ Protecdon Enforcement Notice: Bureau of Resource Protection — Water s4piY NON S E - W Notice of Compliance M.G.L c.21A sea.16,31a CMR 5.00 Genera! /nfomration Tf�E TCE '60 x C V f 6 zG V/Es T- iu �,� 5 azDa/�" 'LASS• NL' Location and/or Source Code Where Noncompliance Occtrned G4(7µ 1 Description or Compliance under M.G.L. c_ 111 sec. 159-16d and 310 CMA 22.00 i ne De artment of Environmental Protection, '-- � � Civision of'Nater Supply, has rei"wived:` ---- p .. i Q the sampling results collected by.yoursystem for the contaminant(s) and sampling period listed above. Q the sampling results for the c ontaminant(s) listed above that your system collected after the sampling period listed above. Lr!/a copy of the public notice your system provided to your caSomers. Q See Section E on the back of this page for additional information. Your system has taken the carrecJve aciarrs listed in the above-referenced NON and, with respect to those-violations, has now retumed to ccmpiianca. 9 Important Information i nis compiianc2 notice does not relieve you or your responsibility for continued =mniiance. It also aces not relieve you of your responsibility for providing all sue--n"ed monitoring data to this office. � V vj I r r E G, Ows 303M..ante =' b^eth A. Koulche•ras, C --F a-pe Cad TNater= Rev. 9195 No.----` F THE T - �° OFFICE OF THE BOARD OF HEALTH .0 'A OF THE A � o BAIHSTABLE, a TOWN OF BARNSTABLE, MASS. _ .� MASS. 5b �pA t639. `�� -------------- 19 0(4 DWI( S (DISPOSA :ERH MIT Permission is granted to ___ to cons uc Sketch Upon the Premises of - --- E:3 - - -- - -- ---- In the village of ------- --- 75 o more feet from an -- - --- --- ---- - ---I y rce of water supply 20 feet from building I 10 feet from property line Healt Ticer. I 05/10/2012 THU 14: 05 FAX 5083627103 Barnstable CTY HealthLab — Barnstable Health 0001/002 fi CERTIFICATE OF ANALYSIS Page: 1 of 1 Ba rnstable County Health Laboratory (M MA009) l� v ' acKu?� Report Prepared For: Report Dated: 511012012 Shaun F. Harrington All Cape Well Drilling Order No.: G1267516 P O Box 126 Brewster, MA 02631 Laboratory ID#: 1267516-01 Description: Water-Drinking Water Sample#: Sample Location: 626 West Main St,Hyannis,.MA Collected: 06/0912012 Collected by: Customer Received: 05/09/2012 Routine ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen 1,5 mg/L 0.10 10 EPA 300.0 W12012 's Copper ND mg/L 0.10 1.3 sM 3111 B, 5/10/2012 Iron ND mg/L 0.10 0.3 SM 3111 B 51l0/2012 pH 6.2 PH AT 25C NA 6.5-8.5 SM 4500-H-8 5/912012 9 Sodium 48 mg/L 1.0 20 SM 3111 B 5/10/2012 Total Coliform .Absent P/A 0 0 SM9223 5/9/2012 Conductance 280 urnohs/cm 2.0 EPA 120.1 5/9/2012 Sodium level rs above the maxium contaminant level. Those on a low sodium diet may wish to consult a physician. Attached please find the laboratory certified parameter list. Approved By: j (Lab Director) �a � c7J2, l i i i 1 ................_............_...._....................:.........._............_. ....._............_.... ......... l E i {Ff f 1 I i k ND=None Detected RL = Reporting Limit MCL=MaArnum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph:508-375-6605 gg 05/10/2012 THU 14: 05 FAX 5083627103 Barnstable CTY HealthLab Barnstable Health 2002/002 OE Hq� 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) Recipient: Shaun.F.Harrington All Cape Well Drilling Matrix: Water•Drinking Water Sampled: 05/09/2012 7:30 P 0 Box 126 Received: 05/09/2012 Brewster, MA 02631 Collection Address; 626 West Main St,Hyannis,MA order#: G1267516 Sample Location; Lab ID: 1267516-01 Description: Routine-7 Robin Rd Sample#: Date Analyzed: 5/9/2012 @ 10:52 Method: EPA 524.2 Analyst: yn Dillutil Comment: Sodium level is above the maxium contaminant level. Those on low sodium diet may wish to consult a physician. L�- EPA 524.2- Volatile Organics by GC/MS Parameter Result MCL MDR esult Mpt ug/L ug/L ug/L Parameter ug/L C u L JD ichlorodifluoranethane ND 0.50 loromethane Chloroform ND e0 o.so ND 0.50 ds-1,2-Dichloroethene inyl chloride ND 70 0.50 Bromometh na a ND 2.0 • . 0.50 s-1,3-Dichloropropene ND 0.50 I ND 0.50 Dibromochloromethane 1,1,1,2-Tetrachloroethane ND ND 0.50 0.50 Dlbromomethane ND 0.50 1 1,1,1-Trichloroethane ND 200 0.50 i ND 700 0.50 Ethylbenzene 1,1,2,2 Tetrachloroethane ND 0.50 Hexachlorobutadiene 1,1,2-Trichloroethane ND o,50 i 1,1-Dlchloroethane ND S.o 0.50 Isopropylbenzene ND ND 0.50 o,50 Methylene chloride l,i-Dichloroethene ND 5.0 0.50 ND 7.0 0.50 Methyl-tert-butyl ether ND 1,1-Dichioropropene ND 0.50 0.50 Naphthalene ND 0.50 1;2,3-Trlchiorobenzene ND 0.50 12 _ n-Butylbenzene ND,3-Trichioropropane ND 0.50 0.50 n-Propylbenzene 1,2,4-Tdchloroibenzene 0.50 1,2,4-Trimethyibenzene Np 70 o.so ND 0.50 ND 0.50 p-Isopropyltoluene ND -Butylbenzene ..._....._.............1;2-DPbroma-3-chI ropropane ND 0.50 Styrene ND o.50 1,2-Dibromoethane(EDB) ND ND 100 0.50 0.so tert-Butylbenzene f 1,2-Dichlorobenzene ND 600 ND 0.50 E 1,2-Dichlorcethane ND s.p o.so c loroethene ND 5.0 0.5 �ra0 I 0.50 oluene ! 1,2-Dlchloropropane ND 0.50 otal ND 1000 0.50 1;3,5-Trimethylbenzene �� ND 10000 0.50 I ND 0.50 ru-1,2=Dlchloroethene 1,3 Dichlorobenzene 0,50 Np 0.50 ND 100 1,3-DichlDrapropane trans-1,3-Dichloropropene ND 0.50 ND 0.50 1,4-Dichlorobenzene richloroethene ND 5.0 0.50 2,2-Dichloropropane ND 5.0 o.so TrichlorDlucromethane ND 0.50 ND 0.50 j 2-Chlorotoluene --- ND 0.50 lorotoluene ND1 0,50 l Benzene l - ND 5.0 0.50 Bromobenzene ND 0.50 ` Bromochioromethane ND 0,5o IE{ Bromodichloromethane ND 0.50 Bromoform ND 0.50 Carbon tetrachloride ND 5.6 0.50 Chlorobenzene ND 100 0.50 loroethane ND 050 Attached please find the laboratory certified parameter list. approved By: (Lab Director) ND=None Detected RL = ReportingLimit / MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph:508-375-6605 Page 1 of 1 i i No.0- Fee--- -------------- BOARD OF HEALTH TOWN OF BARNSTABLE TWN[ication Ar Well Conotruction Permit Application is hereby made for a permit to Construct �, Alter ( ), or Repair ( )an individual Well at: LA va:2z> Location — Address , Assessors Map and Parcel — �.� C� v : Y e 1��_— �- 1 i_ — n -------- Owner Address Installer DV:lNr Address Type of Building Dwelling --------- Other - Type of Building—= ____—__—______ No. of ------------------------ Type of Well — Purpose of Well rr t �-i-c-,Y-� --------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protec 'on Regulation — The undersigned further agrees not to place the well in operation until a Certificat .o om ce has been issued by the Board of Health.. Signed _ —_— _ it Z d e / Application Approved By ZodL , date Application Disapproved or the following reasons: ------------------------_-----__--_—_-_f__-___- \ a � � �` � � `� - —date Permit No. ��t 11�`C) — -- --- Issued-- —��JZAI:;L- ---------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ✓j Altered ( ), or Repaired ( ) by--- �� /Installer at- (Y— �LJL 1 5� 1,� l�� `5 has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -------------Dated------ ------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-----_-- ,.- — Inspector-- ------ - - --- A ; . (�26 +z -COP S No. --------------- Fee--- BOARD OF HEALTH TOWN OF BARNSTABLE ZipplicatiotifforVell Construct ion Permit Application is hereby made for a permit to Construct ( �, Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel 54 Owner Address StiGv n prod v, ^--- __- _C�__ � _1_z Installer — b'1 r Address O z Type of Building Dwelling r Other - Type of Building-;---__-____ No. of Persons------- _...... I Type of Well V Purpose of Well__L--� Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protect on Regulation - The undersigned further agrees not to place the well in operation until a Certificat Vof omp afhce has been issued by the Board of Health. Signed ;�� _-� J!Z. d e Application Approved By.I-Ij -_______,___-___- date t Application Disapproved Orr following reasons: I date Permit No. Issued---_-�-__ ?- ---------------____------- i. date i BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ,01', Altered ( ), or Repaired ( ) i Installer r at_ S� t�yA. YiN t --------------------------------- ------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ---------_-___Dated—----------.--------- i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE---- -_- —_ Inspector-- ---- -----------------------__---- BOARD OF HEALTH TOWN OF BARNSTABLE eCY �onoructionnertmit Qu No. Fee-------- Permission is hereby granted to Construct Alter ( ), or Repair ( ) an Individual Well at: -------------------------------------------------- Street as shown on the application for a Well Construction Permit 1: -No.16� 2-' 0 t L 00-�-.- __ - Dated-=5 r--1 0k--------- -- _ . DATE S 1 (I Z- I Z oard of Health ------ v GENERAL NOTES IT S T ENBECK 1. ZONING: HIGHWAY BUSINESS (HB) do RESIDENCE (RB) ' PROPOSED USE: AND REQUIRED PROPOSED � E t{@ BB LAB Lot B 2. MINIMUM LOT AREA: 40,000 S.F. 43,560 S.F. 40,034 S.F. 78,541 S.F. TAYLOR , INC * MINIMUM FRONTAGE: 20' 20' 179.35' 135.09' -1 ISTING VEGETATION MINIMUM WIDTH: 160' 100' 178.37' 125.90' Registered Professional Engineers & Land Surveyors TO REMAIN MINIMUM YARD SETBACKS: g g Y FRONT 60, 20' 53.7' 60.4' 844 Webster Street SIDE: 30' 10' 31.3' 31.2' Suite 3 1 REAR: 20' 10' 115.6' 213.V Marshfield, Mo. 02050 Lot B 781-834-8591 Fax: 781-837-8238 k 78,541 S.F. 3. THE LOCUS IS LOCATED IN FLOOD ZONE C (AREA OF MINIMAL FLOODING) AS SHOWN ON F.I.R.M. MAP NO. 250001 0005C DATED REVISED AUGUST 19, 1985 9 Steeple Street P.O. Box 630 ' 4. THE LOCUS IS LOCATED IN THE GROUNDWATER PROTECTION OVERLAY DISTRICT GP Mashpee Commons, Mo. 02649 ( ) y 508-539-9300 Fax : 508-539-9301 S 5. THE LOCUS IS NOT LOCATED IN WELLHEAD PROTECTION OVERLAY DISTRICT (WP) Email: adminGstenbeckandtaylor.com J` Water Quality' www.stenbeckandtaylor.com Swale �' � � 6. UTILITY INFORMATION SHOWN IS BASED ON BOTH A FIELD SURVEY AND THE LATEST PLANS OF RECORD. THE LOCATIONS OF Applicant: John Cardarelli See Detail Spillway UNDERGROUND PIPES AND CONDUITS ARE APPROXIMATE ONLY. PRIOR TO CONSTRUCTION CONTRACTOR SHALL VERIFY ALL Sht 8 of 8 See Detail LOCATIONS AND ELEVATIONS OF EXISTING SEWER CONNECTIONS AND REPORT ANY DISCREPANCIES TO THE ENGINEER. 111 Holden Lane �� Sheet of 8 W. Barnstable, Ma. 02668 ��`" Tel: 508-726-1202 s�Qy� # �... MATERIAL_ PILE 1. CONSTRUCT SEWAGE CONNECTION AS DESIGNED IN ACCORDANCE WITH THE STATE ENVIRONMENTAL CODE- TITLE 5 AND THE RULES OF THE BOARD OF HEALTH AND DEPARTMENT OF PUBLIC WORKS. caner: Charles Rando Jr. (To Be Removed) _ 18 Rosemary Road Infiltration Detail y 2. DISPOSAL FACILITIES MUST BE INSTALLED AT LEAST 10 FEET FROM AND 18 INCHES BELOW WATER SUPPLY LINES Dedham, MA 02026 Sht 8 of 8 1 ^. WHENEVER SEWER LINES MUST CROS J�ybE�TESIA�i.R1RE7f,=,E S CONSTRUCTED OF MECHANICAL -.. ,� JOINT CAST IRON PIPE AND SHALL B e 1. 3. PIPE LAYING: THE CONTRACTOR SHALL REMOVE BY PUMPING OR OTHER MEANS ANY WATER ACCUMULATED IN THE .. 0 . TRENCH DURING THE PIPE LAYING PERIOD AND KEEP THE TRENCH DRY UNTIL THE JOINTS ARE PROPERLY CONNECTED. q( 4. BEFORE BEING LOWERED INTO THE TRENCH ALL PIPE SHALL BE CLEAN AND FREE FROM DEFECTS 'THE PIPE SHALL BE 4 LAID TO GRADES AND ALIGNMENT INDICATED ON THE APPROVED PLAN, BUT SHALL MAINTAIN SELF-CLEANSING VELOCITIES RtE 28 0 52 OF 2.5 FEET PER SECOND. TERMINAL SEWERS REQUIRE GREATER MINIMUM SLOPES BECAUSE OF THE LOW FLOWS AND Overflow Structure "B" � �• _�:�a �' RD See Detail Sheet 6 of 8 0 VELOCITIES AT THE HEAD OF A TERMINAL LINE. " " 0 5. FOR SERVICE CONNECTIONS FROM THE MAIN TO 10 FEET FROM THE FOUNDATION. THE MINIMUM SLOPE SHALL BE 2R FALMO �O Rain Garden B ,�..�,. :.. _.. _.��, . . ;:�.�, . . .. .,.,. ;. M O .. t--. . A :.,..; ,.� . : _ :.. �,���,..,:.�:,•;.: ••. , ..;._._. -- � �, FINAL LOCATION OF THE STUB AT THE PROPERTY LINE SHALL BE LOCATED ON AN AS-BUILT" PLAN GIVING THE STATION, (See Detail Sheet 8 of 8) EOP one - - - - - o d DEPTH TO SWING TIES. QO� � w Lot A ��� 6. WHEN THE EXCAVATION FOR A SEWER EXPOSES OTHER UTIU77ES THE AREA SURROUNDING ALL PIPES SHALL BE FILLED °1 0 034 S.F. WITH GN%4" CRUSHED STONE FROM THE BOTTOM OF THE DEEPEST NEWLY EXCAVATED TRENCH TO ONE I (ONE) FOOT ABOVE OJT' 60V.C. 52 = , THE UPPER MOST PIPE PINE � Dumpster_...- D ■ st CONDENSE 7. THE SERVICE CONNECTION TEN FEET FROM THE FOUNDATION TO THE MAIN SHOULD NOT HAVE AN ANGULAR DEVIATION OF �, Enclosure ■ UNITS MORE THAN 180 DEGREES. ALL DEFLECTIONS , WITH THE EXCEPTION OF PIPE JOINTS, SHALL BE IN THE FORM OF LONG LOCUS 5{3 `4. SWEEPS AND NOT SHORT ANGULAR FITTINGS 3 500 GALLON vs I 8. THE USE OF FIELD COUPLINGS TO JOIN ROUGH BARREL PVC PIPE TO ROUGH BARREL PVC/AC IS DISCOURAGED AND GREASE TRAP S? I Pos LIMITED TO SPACINGS FOR WHICH THERE IS NO COMMERCIALLY AVAILABLE SHORT LENGTH OF PIPE WHEN USED, THE i� INSIDE EDGE OF THE PIPE SHALL BE FILLED SMOOTH. LOCUS MAP (NTS) °f • ' 53 I 54 �` `; 9. NO CEMENTED JOINTS SHALL BE ALLOWED UNLESS IN CONJUNCTION WITH RUBBER SEALS AND APPROVED BY THE I ;. TRANSFORMER SUPERINTENDENT. , PAD 53 'cn� s ~- M w I M 10. OPEN ENDS OF SEWER PIPE AND CLEANOUTS SHALL BE SEALED WITH CAPS OR PLUGS AS RECOMMENDED AND FURNISHED _. .,Freezer 54 h Overflow Structure "A" BY THE MANUFACTURER. ... .. C.O. / See Detail Sheet 6 of 8 ` PROPOSED 11. FIFTY FEET FROM THE FOUNDATION TO THE MAIN (WHERE SERVICE LEAVES THE FOUNDATION) CLEANOUTS SHALL BE IN THE Ft.=S(7.81t BLDG 54 6„VC•C,on ' w Rain Garden "A" FORM OF A WYE OR A TEE OF 6 INCH DIAMETER AND SHALL BE LOCATED AT THE PROPERTY LINE OF EACH SEWER ,M c� #626 See Detail SERVICE IN ADDITION, CLEANOUTS SHALL BE LOCATED ON LONG SERVICE NOT MORE THAN 100 FEET APART. WHEN THE ( Existing #644 y w Fire Slab = 56.0 Sheet 8 of 8 DISTANCE BETWEEN THE BUILDING AND THE PROPERTY LINE IS MORE THAN 100 FEET, A CLEANOUT SHALL BE LOCATED AT CAPE FISH & LOBSTER 1-1/2 Story W/F Domestic " ONE HALF THE DISTANCE, BUT NOT MORE THAN 100 FEET APART. Gas Meter % ONE 4 SCHEDULE 40 DcriiY Paper" Restaurant PVC SEWER W 4" TO 6" INCREASER I 12. THERE IS TO BE A MINIMUM OF 4 FEET OF COVER OVER ALL INSTALLATIONS PERTAINING TO SANITARY SEWERS (BUILDING 626 WEST MAIN ST � Porch H ._.. .,.�. 5. IDEW SEWERS, SEWER, PUBLIC SEWER). ARN TABLE MA Ramp S .� B S 1 69• •C• N + ' € 13. BACKFlLL THE COMPLETED SEWAGE SYSTEM CAREFULLY AND COMPLETE FINAL GRADING SO THAT SURFACE RUNOFF WILL o _ . e CO / FLOW AWAY FROM THE HOUSE AND SEWAGE CONNECTION. NDENSE _., UNI , ��; y s 1000 GALLON 1. Dec 12, 2007 Revisions due to Growth Mgmt. Dept. Review I e� w ; I GREASE TRAi° 1. SLOPE: SEWER MAIN- 0.0022, SERVICE CONECTION- 1/4" PER FOOT (MIN.) 2. Jan 22, 2008 Added Lot Designation �' I PROPOSED WATER y " " " 3. Feb 28, 2008 Removed Rear Curb Cut ' ,S t INVERT I 49,,5 - 2. PLACE 6 OF STONE UNDER 6 PIPE, SAND UNDER 4 PIPE. ERVICES... -CLASS 150 " " ' + 54 " ot� E 4 5r r " X 6 WYE BRANCH WITH 4. July 3, 2008 Added Rear Curb Cut, Removed Front Curb Cut a 6 G• L � ' c,- _:...- CCB CLEANOUT BROUGHT TO THE SURFACE 3. 1' OF SAND OR APPROVED GRAVEL TO B W��/ N �pl� / �/.�7 � (FILLED WITH SUITABLE Along Dunns Pond Road , Rearranged Islands Along W.Main St. 1, s - Y!"b' I � �''ALjr/L �T'1 `NOT Added A Rain Garden On Lot A. Revised All Notes For Changes ` ... g IL p S �_ `� MATERUIL. NO LARGE ROCKS) ) Revised Grading,Add Roof Runoff Dry Wells -' .: SEWER PIPE SHOULD BE INSTALLED UNDER ALL OTHER SERVICES. 5. May 28, 2010 Added Gas Service, Condenser units,And Transformer G __ r € r e r -m ur,� r Or _ .... :r.. �s c - a .. .. ;•.. r _t � uc G'_.. . 24 ' ja< - 19 1sTa - 4• Pad.Added Grease Traps. Edited Detail Added Sewer Connection And � UT5 BE PLACED AT ALL 90' BENDS. Detail For Building#644 And Notes ¢ . ,€ Bit. Conc. Walk �� � - AT 5. CLEANO SHALL LA v rt. Conc. Walk10 if V. 4 V.G. xis . . . 6. CONTRACTOR SHALL IMMEDIATELY NOTIFY OWNER AND DEPARTMENT OF PUBLIC WORKS AND DESIGN ENGINEER OF ANY WEST MAIN STREETEI's � � � � � I ° DAMAGE CAUSED TO OTHER STRUCTURES SUCH AS WATER PIPES, DRAINS, GAS MAINS, ELECTRICAL CONDO , ETC... DISC NTNUED STATE _ �. �� �F �_ .._...ca r, „ S �s -- _ 12 ._.... 0 SEWER m__ m-- - s _ �� ��. _ _. . A _�.��_ ES S :, Ch�mne �0 HIGHWAY LAYOUT - 80' WIDE 12" AC SE ' I ' " 1R 26 (160) 7. 4 1�2' MINIMUM COVER IN ROAD OR AS MUCH COVER AS POSSIBLE REVISIONS Y ( PROPOSED 6 SL ......EL.=44,8&< PVC SEWER CONiVECTION d_.... ._ ` oGA � & ANY BELOW GRADE EXCAVATION MUST BE BACKFILLED WITH 314" STONE 9. 4" PIPE SHALL EXTEND BEYOND FOUNDATION WALL 6'. (SUBJECT TO PLUMBING CODE) 4 01F ,e _..ow_ ` °' 10. ONLY APPROVED LUBRICANT SHOULD BE USED AT JOINTS. _ _... r 0 11. IT IS THE RESPONSIBILITY OF THE INSTALLING CONTRACTOR TO NOTIFY THE LOCAL BOARD OF HEALTH AND THE DESIGN r ENGINEER TO CONDUCT THE FOLLOWING CONSTRUCTION INSPECTIONS: SCALE 1 = 30' CE PROPOSED GAS CONNECTION .EXCAVATION AND BOTTOM OF SYSTEM PRIOR TO SYSTEM INSTALLATION DEMAND 1,473 CF HOUR .SYSTEM COMPONENTS INCLUDING INVERT ELEVATIONS PRIOR TO BACK FILLING SYSTEM. 0 15 30 60 90 120 12. AN "AS-BUILT" PLAN SHOWING TIES TO PIPES AT ROAD EDGE AND ALL CLEANOUTS AND BENDS MUST BE PREPAIRED BY DESIGN ENGINEER. EXISTING RESTURANT SEWER CONNECTION DETAIL 13. SEWER MANHOLE COVERS SHALL BE LEBARON CAT. NO. LA246-000 LABELED 'SEWER' PM BJT NOT TO SCALE Note: PROPOSED SEWER CONNECTION DETAIL CHECKED WM& TN DRAWN JM See General Note 6 Installer Shall Provide NOT TO SCALE See Sewer Installation Note #13 Ties To Foundation. See General Note 6 E See Sewer Installation Note J13 # T.O.F.= JOB No. 7294 Fin• Grade Note: G.R.=55.8 56.0 0 \\ \ \ Installer Shall Provide Fin. Grade c DATE December 3, 200� SCALE 1••= 30• \ \ \ \ \ ;� o 10' min. c c Ties To Foundation. \;�\\���\���\�/�/,�//i. /i.�//i.�//i.�//i.�//i.� x o 10' min. c W Note: ALL CONSTRUCTION TO o v v BE AS SPECIFIED AND APPROVED Note: ALL CONSTRUCTION TO v L 0 o Rim = 54.8 BY BARNSTABLE D.P.W. BE AS SPECIFIED AND APPROVED Proposed 0 BY BARNSTABLE D.P.W.- S-0,02 tL Rim - 54.07 Sewer Connection > Existing MlN'� INLET TEE � 6" SCH ® Inv. ® FND. 52.02 Inv. O FN. �0 14 MIN. 0 0.0 0 p/p Pro d- INLET TEE--,S- 2 40 pVC E P Inv. 14 MIN. DRAWING TITLE o OUTLET TEE 47.60 Prop. Inv. „ SCH 40 PVC PIPE 51 Prop. 4 Inv Inv. 4-- 10 Prop. Inv. Proposed Sewer Existi 6 MIN. OUTLET TEE ® FND 51 93 1° GREASE SANITARY • 50. 14 Prop. Inv. P ng Sewer Line Existing 50.3 S _ 0.OZ 10" MIN. LINE 49-58 Manhole To Chimney EL. 44.88 !� Sewer Line ExistingSewer " 6 CRUSHED STONE LAB = 46.67 cm � Prop. Inv. Manhole PROVIDE 1000 GALLON PROVIDE 3500 GALLON 6" CRUSHED STONE 45.67 Exist. Inv. 44.57 GREASE TRAP GREASE TRAP DRAWING No. LL 0 .-. .� r I ' av I I 0�r� ' ��T�aG� _ I:.;c1-r ' sF«v►cam sTa c � ; • 0 p -I t- N M r SOO P NA . w a �Z R 1L T U4 CUXDNV__ FT'NQTF �5'1 -V V4T" MI"C_CvIANIL>t`7T- T � • -_—�--- • a • _ ♦ � ._ � � i • --tom--- w i 1 I _ _ -_.---- �._._ ... -- —._ _ - � _. .- , I I LI .. ( . 1 -.J Mr N {� CeaYtr{c:► L,1+:��I7t�aU } MA, �. d Twa - v AY Taff \C UO , a 0 Q7 wI aL. lE F2AM� 5T 2UCT. ; �' t 4 N CPr'�LI, MC T V'4_ S�Io�PtN G CFNTT t:_ Pk'^,t "%,STU NIA � ! p Lr I � / 0 /� L () � { L I- C. I- IF A (✓ �� O SL.e 5 / Ar�: U) In 4 t ySL L 1D00 GP.I, SCF°Tt� j Boa. !E? ry r t1 i T<, C7 -C]ti/iC/ (O f kt�N- , / �1 �1 P J T�: 7l s •- u7 O I �r•T��. �r�r+c. 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P:,`AJ N tz�Z/ ENGINEERING DEPARTMENT NEW ENGLAND DIVISION BOSTON, MASS. ------------------ ?. ra �j MADE------------ -- P � w CHECKED------------------- scALE-_\_�_�-_tic_____-____ SHEET NUMBER DATE _lZ- ------GZ I OF B.I.M. 1533