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HomeMy WebLinkAbout0008 CURLEW WAY - Health 8 CURLEW WAY, COTUIT A= III r 11111/a . Town of Barnstable Health Inspector *THE) Office Hours O Q� o Regulatory Services 8:30—9:30 ThomasF. Geiler,Director 1:00—2:00 ' ,�� Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE l. General Information: Size of Property: *60 At?u Address: q JOR LLB 62 -T Map Parcel Name: kBXAld J. /L J-A Phone #: 56 40—0.fc2L 2a. How many bedrooms exist at your property now? 3 2b. Are you planning to add any bedrooms? &0 If yes,how many?. 2c. How man bedrooms total are proposed at this roe (including the amnesty unit)? Y p P property rtY C g tY 2d. Please include a copy of the floor plans for the entire property - showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to public sewer? ;IESi, or NO e.�� If the dwelling is connected�to�public sewer,skip,questions#4�'througli,#9 bElow;,� " , 4. Location of dwelling is INSIDE or OUTSIDE a Zone.of Contribution to public supply wells? Q 5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATE 6. Is a disposal works construction permit on file? YES or NO 6a. If yes,how many bedrooms were approved according to this permit? Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES or NO 8. Is there an engineered septic system plan on file at the Health Division? YES or NO 9.; Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO -------------------------------------------------------------------------------------------------------------------- FOR OFFICE USE ONLY The Public Health Division has no objection to - bedrooms at this property. Special Conditions: Signed: Date: O;/health/wpfiles/amnestyapp I o W,n��S � �c —rC�y�� /-__etroJ,n� TOWN OF BARNSTABLE LOCATION CI CG 0 �•-� �.t/ y SEWAGE.# VILLAGE GO ASSESSOR'S MAP & LOT � g ` INSTALLER'S.NAME & PHONE,NO. SEPTIC TANK CAPACIY LEACHING FACILITY:(type). � r (size) NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WATER . ' OR OWNER Q70 DATE PERMIT ISSUED: (/ DATE COMPLIANCE ISSUED: "' 1' 'Ir" 914 VARIANCE GRANTED: Yes No Q o 36-7 3.6 8 2,r 3 t .. JZJ/tnl IfiL Lk � �KL�=t�t1> VtlAyf> . v RO O KA UPPER- LFVf-L to:. .D. C%V y Ilk-1 coos=z CLCSC-Y G*�msr j I -IL)HA) 1/1ZZ4 Zo7VI7' A41-1. 0213f �Dl1J�/Z �Ft/CL A)0,4-9-rM E-l T A '12 Cv- (Z rA Zc �L �o N► L i �'�Co�2 A�x-E AREA G C) �iDSrt rte7�rNrU ae &/MVCk /�Q�1 I McKean, Thomas From: McKean, Thomas Sent: Wednesday, May 04, 2005 5:36 PM To: Dillen, Elizabeth Subject: Amnesty Applications/Septic Questionnaires 79 Suffolk Avenue/ Andrews The septic system shall be upgraded to accommodate four bedrooms. The application can be conditionally approved with the understanding that the system shall be upgraded prior to occupancy of the amnesty unit. 8 Curlew Way Cotuit/ Villa The septic system was approved for three bedrooms in 1990. Therefore the application is approved. QUESTION: Are there any windows provided within the basement bedrooms? If the answer is yes, are they properly sized for emergency egress? 23 Elliott Street, Centerville/ Anderson PROBLEM: The existing septic system was designed for four bedrooms. However, there were six or seven potential bedrooms counted when the submitted floor plans were reviewed. The submitted floor plans do not show doorway dimensions, door locations, room dimensions . Please have the applicant provide neatly drawn floor plans showing doorway locations, doorway widths, door locations, room dimensions, and window locations. � TOWN OF BARNST ..ABLE BAR-W 1378 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager6/Y11� �/���� Address of Offender CUrIc°Lr�-y MV/MB Reg,# Village/State/Zip Go-hIr-f Oa G 2.` - Business Name - - 7 am/ m on Jr' 7 1994 Business Address ©l Qd�c /7�00, COIC4,4 04A44 i* /ta' Signature of Enforcing Officer Village/State/Zip Location of Offense Enforcing Dept/Division Offense PUI-ra+1C t �q /uv► Facts 1TF i &-VSX my Cyr l <,r aW This will 6erve .orily as a warning. At this time no legal action has beerf taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. .-+ v � .1 ..}y .,. .yin i'•.,.;.- �. F.r , . ,..... s ,. ,. TOWN OF 'BARNSTABLE BAR-W 78. Ordinance or'Regulation Y WARNING NOTICE Name of Offende [Manager / '1. Address of ,Offender iJY^'ln( )' � MV/MB Reg.# Village/State/Zip `�V(" ., � 3-r- Business Name am/ m on 1994 Busin�ess Address ,P, 0, /760 � ;^� 04A4� Signature of Enforcing Officer Village/State/Zip ,,rrtt , Location of Offense �°*' �� 1 � t_,..0404- 4 Enforcing Dept/Division Offense V(S4,W f U q fv Facts '7"1-dd &y A A44 eA,"S' *f-�T Juj&.W Lj,4 - t)I rrvpz*-�F ",Kf-w SAtl rq~V la4ld�1-11 Wral,, F This will serve only-`as., a warning. At this time no legal action has beerf taken. It is the goal of '.T.own agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town.. TOWN OF BARNSTABLE BAR-W 1378 Ordinance or Regulation WARNING NOTICE +Name of Offender/Manager Address of Offender 41204-14t. p 104-1.4 MV/MB Reg.# Village/State/Zip 64;-rf . " Business Name. am/9 on 5-/2 19 94C Business Address � ik IIIw ,,, Signature of Enforcing Officer Village/State/Zip ,r Location of Offense " CW16w Enforcing Dept/Division Offense V—U( a.--,-- oS tit q-.114 , Facts 'Tk :r-i rya . Pau re {�;q f 1 _ A4 �� 6 This will Serve only- as a warning. At this time no legal action has beed taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. Health Complaints 07-May-96 Time: 11:10:00 AM Date: 5/7/96 Complaint Number: 170 Referred To: CHRISTINA KUCHINSKI Taken By: CHRISTINA KUCHINSKI Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: Business Name: Number: 8 Street: Curlew Way Village: COTUIT Assessors Map-Parcel: 010-019 Complainant's Name: Anonymous via the building d Address: Telephone Number: Complaint Description: Debris all over the yard Actions Taken/Results: Investigation Date: Investigation Time: nryu I � 1 Town of bamstable Building Department L. complaint/Inquiry Report —� — �� Rec'd by: Date: Assessor's No.: 11, _e 1 Complaint Narne: Location Address: M/P L � Originator n Narne:---7t.7 0 -., b /! Street V1 State: Zip: Telephone: D/E Complaint ® . Description: Inquiry Description: For Of ce Use Only Inspector's Action/Comments Date: Inspector. m Follow-up Action Additional Info. Attached r ont,Dfsaibudon. L1,71ite-Deparvncnt Filc ASSESSOR'S MAP NO. 10 PARCEL L 0 (A -e 10N � SEW A G E PE RMIT NO. flew VILLAGE I N S T A LLER'S NAME i ADDRESS 8 UIIDER 0 4CIO!W ED OMPLIAN D r w + �, � � 7� l"'� ,. z�� b No..l..�1..:. FEB THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE App ira#ion for Disposal Works Tonstrnr#iun jhrutit Application is hereby made for a Permit to Construct ( ) or Repair (,) an Individual Sewage Disposal �. System at: V I L` Lo ati nddress 9' �o Lot No. > .. ..».... ........... ..................................... ---------------------- Owner '.!._........ •-• •-- W /A/�/K' W �� U ` .. �� �-� y..=_......... ............................... PPP..._.....•................•.. - Installer Address Type of Building' Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms............ .._.......•...............Expansion Attic ( ) Garbage Grinder ( ) PL4Other—T e of Building No. of persons............................ Showers — Cafeteria aOther fixtures -----••----------------=............................................� ---------------------------------------------------------------------------------- W Design 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.......I----------- Diameter.................... Depth below inlet...... ._.._..... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest 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_--_______--__---_--__ a •---•------------------------------•-------------------•-----------•---------------- ------- -------------------------------- ---------------- 0 Description of Soil...............................................................................=-----------------------•---..•.......-------------•-•---------•----•----•----•-------••- W V •-------------------------------------------------- ---------------------------------------- ••-•----------------------------------------------------------------------------------- --------------- -------------------------------------------------------------------------------------------------------------------------------------•----------------------------------------------------•---•---•... U Nature of Repairs or Alterations—Answer when applicable...................................................•............................._.........._.. 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 been issued the board of health. ? 9� z //'' ,, 7 Signed ll��----- ----------------------------- [e Application Approved By ---------- . .._Z_ ti,ti1\ Application Disapproved for the following reasons- -------------------------------------------------.................................-..........-......................................... ..................------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------- PermitNo. ........,,�..6..-'.....l .o--------------------- Issued ----...................................................Dale----------- Date - THE COMMONWEALTH OF MASSACHUSETTS BOA°R® OF - tEALTH� •� � �` '��II�h�F1BARNSTABLE �. "� X v trutt x i jai Works Ton��rnr nn .rruttt is hereby mace for a Permit to Construct or Repair an Individu Applicationy ( ) p (,� al Sewage Disposal System at: ---.......1.. v L - _`......... - - -!- ----------•---------------------------------------------------- V.' �Loc� nddress (/ L �or Lot No. ---------------------- ..................... ._... --------------------------------- ..... Owner G Address a Wt'Y �? ----------- a 2 �. . c� �- ------ Installer Address d feet Type of Building Size Lot___________________________S q. U Dwelling—No. of Bedrooms_________________________________......Expansion Attic ( ) Garbage Grinder ( ) Pk Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures •-----•----------------------------k=-------------•-----•---------------------------------------------------------7-----------------._......------- WDesign Flow.............__.............................gallons per person per day. Total daily flow________________________.__,_.________._____gallons. WSeptic Tank—Liquid capacity_PP_gallons Length---------------- Width____________;___ Diameter---............. Depth................ Disposal Trench—No_____________________ Width.................... Total Length______________ Total leaching area....................sq. ft. Seepage Pit No--------/_----------- Diameter.........g.______ Depth below inlet.......Z......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water.................:...... fz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................_....... 0 Description of Soil-------------------------------------------------------------------------------------------------------------------------------------------------------............--- x x - ------------------•••---.••.----------------------:------•_-------------•-------------------.--------------••.••.•--------------------------------------------•------•-•--•-•--•-------------•-----•- "' U Nature of Repairs or Alterations Answer when applicable_______________________________________________________________________________________________ W .............................. Agreement: T 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 been issued y the board of health. /) � qU Signed 'N" ------------------------------------------- --- ...... re Application Approved By Dare Application Disapproved for the following reasons: ------------------------------............................................................----------------------------------- ----------------............................ ---------------------- ------------- --- - Date - :..�� Permit No. ----?6-------- --------------------- Issued ------------------------------------------------------------------- ,,,,..-. Date , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE # C�ex#i�ictt#P of C�ortt��Y�ncP THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ]�) by r Installer at ............... ------ -----------�Y -------------------------------------------------- ... --------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..... -------3--.0_0------ dated --------------- ----_--_-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. tom" �"` DATE--------�^ ----- �------------------------------ Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.....Z'12)......3.Ro TOWN OF BARNSTABLE Disposal Works Tuns#r uan rruttt Permission is hereby granted--------- F......Vd-�'r-------------------------------------------------------------------------------------------- to Construct ( ) or Repair (>.5�' an Individual Sewage Disposal System atNo----------------S-......c4f�... !{.?'--- �- -----_____---------•-------- ----------------_-___-----------------......................................... Street .22 as shown on the application for Disposal Works onstructton Permit No.��.,J�_ Dated.......................................... -------------------•-------•------•-- _.------------------••--------...---•--------... Cy Board of Health DATE........- .-_/..Q.................... .... FORM 36508 HOBBS&WARREN:INC.,PUBLISHERS 11 4T `-► TOWN OF BARNSTABLE LOCATION SEWAGE # /Q —324 VILLAGE Ci W y. ASSESSOR'S MAP 6z LOT INSTALLER'S NAME & PHONE NO. GV l/y► ?7 Zz9� SEPTIC TANK CAPACITY S A'(- LEACHING FACILITY:(type) r l� (size) 2- NO. OF BEDROOMS 3 PRIVATE WELL O PUBLIC WATER OURODROROWNER " V/ LL1ZS DATE PERMIT ISSUED: —7 / (a/c) (� DATE COMPLIANCE ISSUED: 9'a VARIANCE GRANTED: Yes No --a 3 6-7 ;2 J/ 38S (0-- No ......... �s.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF--- ALTH - g Appliration for DiipooFal Vorkfi Tonolrurtion Prrmit 1 Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 4.112 L ew 1�69 tv �. L ................-............- ............................................ ..--•...._-•-••----•---- ... •..........--- .7...............-- .... Location- dre s r t N r ....... d/S e ..............�1.-d..R �.....--�----•-�--p------- ....... , " /� �a�'� � !2 s s `�. /,"C7 a caner �1 WLS��✓�/1V �J .......................... 1 „ Address ............................ ......... .................--^--....... - •-•... ......... ......--•...................... .l..._ Installer Address .20 D 2 S-- S feet Type of Building Size Lot'2'0100-2-145------ q. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Otherfixtures .------------------------------------ ----------------------------------------------------------- W Design Flow.......................�s..........__..gallons per person per day. Total daily flow........... ..9.40.................gallons. :. W Septic Tank—Liquid capacityZ0._y allons 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. 2..sq. ft. z Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date...................................... aTest Pit No. 1................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........................ �. ® Description of Soil -5�------�-�--•/_C°�� d'��--------------------- ---------•--•--•-•--....._...---------.......--•--------- .. ._...---•... ..............' •-•--•----•--••--•---•••-•-•••......•.--••••-••••••-•---•-••---------------------•-••-•- w ..............._..�'d� ,.'ao g-------:��:-- ':'; :-. osr GL ..../ 1:: 1: 5 s' �✓ ® UNature of Repairs or Alterations—Answer when applicable............................................................................................... --------------------------------------------------------------------------------------------------•----------------...-----------•------------------......-----------...•--------------.....•-•--•-•.-•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TiTIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beerussuiedJey Ike board of health. Signed... . .-� r .............• � 7--••-•••.......... Application Approved By---. . ... . .... .................................. ------ .... ... .............. Date Application Disapproved for the following reasons------------------•-----------------•----•--------•-------------------------------------•---•--•-••------•-•-••-- ............................•----•--•-------•-----------......------•-•---------.....---•------...........-••--••--------------•=-•-•----------•------•---••••-----•---•-------••---•--•---••--...--•--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ^� .............O F... ........................................... fit %.'= ifirFatr of font rli�anrr THIS IS O CERTIFY, That the Indv ual Se ; Disposal System constructed (�or Repaired ( ) by........... . . . ..•---_. ..--- •• •......_ �: -------•------------•---•---•-•-•-------................------.............................•--- Installer at.••--•-••.... • --�-•--•. .--�-�... ' ....................................................--------- has been installed in accordance with the provisions of T 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. -fro .•_74F5.............. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................. Inspector.................................................................................... NoFps.... .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH J ....... ......................OF......................................................................................... ApphrFatiun for Uiopuoal Works Tunotrnstion amit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal:' System at: ---..... s�................... .....�.................................. ..... ...- ' ".l... ...._ ._A_..M�-� -• ---=L' W Owner � ��� �` ASs__.....Ab-....1. ��37 a .......................... ........................................................ ----•----.......••---.....----•--••---------_.... Installer Address ^ �0 Type of Building Size Lot..;1-_� __ _________Sq. feet U Dwelling—No. of Bedrooms....................�...._._...........Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QI Other fixtures ............................ W Design Flow................ ............gallons per person per day. Total daily flow................. ...............gallons. WSeptic Tank—Liquid capacityallons 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. -.7..sq. ft. Z Other Distribution box O Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minut s per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil-----7& ... .... ......A-_- !- . .---•-�-----.._ ............................................................. x �� .-----•• �! UNature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State,Sanitary Code— The undersigned further agrees not to place th/System operation until a Certificate of Compliance has been issued th. oard of health. Signed Fes.°®:----•---•-•................... 7 =A lication A roved B ✓._---_---- PPPP Y �� - --------------------------------- ,�Z., a Date Application Disapproved for the following reasons:-----•------------------------------------------------------•-------------------• ......---•-•------------•--- .....................•------•---------......---------------------------........_.........................---•-•-•-•--•----------•--•----•----•-------•-•-------------......---•••-•-•--•--...--••-•---•- Date PermitNo........................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ty�..............0 F.. Tatif iratr of Tomplianrr THIS IS. CERTIFY, That th 'vidual Seryage Disposal System constructed (14 or Repaired ( ) by ------ . -- -'-----••---------------------------------- �,�,l�' Installer at...............1,1� _.- .......< L")- ....... 1- has been installed in accordance with the provisions of T 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N fir-' . - -- -- --------- dated-.---------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................•-•-•--••--.......----........................•-----------...._. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ." � ..............OF...... �.,.... FEE._ :.e........ 19ioposal Vorkv Permission is hereby granted.....•-- Y Cam. a s `/ ................................ to'Construct ) or .Repair ( ) an Individual Sewage Disposal System - atNo...... ..---••-- �.�' � .. �t .._... . I....................................................= Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... - - 712 ---_ B �olHe'alth -----•�,, 1 .......DATE------------/JJJJ- _ FORM 1255 HOBBS & WARREN, INC.. 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