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HomeMy WebLinkAbout0025 EAST LANE - Health s- 25 East Lane L L (� a TOWN OF BARNSTABLE LOCATIOW-2;5 � SEWAGE VILLAGE ASSESSOR'S MAP 6z LOT( , -D� INSTALLER'S NAME I& PHONE NO. oaff G �t � —,-),/0 3 SEPTIC TANK CAPACITY �oO LEACHING FACILITY:(type) j < Gt�a l-S(size) NO. OF BEDROOMS 'PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER R�7 l DATE PERMIT ISSUED: (' DATE COMPLIANCE ISSUED:n ,:2-Y - �13 VARIANCE GRANTED: Yes Noj 7' 1 3 i '7 � 9 0, -a mx CD No.. ,..` ........................ THE COMMONWEALTH OF MASSACHUSETTS APPROVED BOARD OF HEALTH 8an�MMO Ca»vatiw Department TOW N OF B A R N S T A B L E Di►i,pwiai Works ( onfitrur#i rrutit Application is hereby made for a Permit to Construct r Repair � Individual pp y t ( ) o } ( ) a Sewage Disposal System at: / . _..... ..Sf------.aC_.../-•---•---.....•...............•------ ( v1 ! ------------------....----•-------------....-•--.....-••........ a L1.-�•'�?L. . .. Location-Address or Lot No. .... .... ....1o.f.................................................... .................................................................................................. O d s` y®-s ----.�.....L-............................................... -----Installer Address Type of Building Size Lot............................Sq. feet .., Dwelling—No. of Bedrooms......... ______.............._-------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ................•---------.---- _ - -__----_- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter................ Depth................ 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 ( ) aPercolation Test Results• Performed by..........-............................................................... Date........................................ 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........................ Ri 0 Description of Soil............................................................................................................................ --•--------•.............................. V � ••---•--------------------------------------•----•-----------........._..••----•._....-•-•--------•----------•. �^ /— U Nature of Repairs or Alterations—_Answer when applicable. �c .......�l P ... - - � v �1-Z----------------- "...........�.....j� `f 2�f l g-------- -------................................... 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 n issued b he boac-d of ealth. Signed .. :.. �.._............... .... gyp........... ..........� � Application Approved By ... .... .... ...... ._: ... to Application Disapproved for the following reasonr: . . ...:.................. ................. . .... .. .................................... ................................................... ... ....... ............... q D., ..... ........................................ Permit No. _� .........�.,1.... .. .. ... - Issued . .....10...... Date ../" ✓,.@3� l.!. u �, � ... w "Si V,r ^V" �_•'-Vv../ - � "'ly r.,i .s M �r v. -�.... -.- ..\ � . —- y �+ L— C:) No.q ,....:...... .................... THE COMMONWEALTH OF MASSACHUSETTS&/�B4OARD OF HEALTH TOWN OF BARNSTABLE / � -,1C - 43 ,�li.vitratunt ur Uir rv'n ul. lar'li� C��gt �r rtiun rruti { Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Ir ... �� -� Loc lion-:\ddress or Lot No. Ad ass ............... Installer Address UType of Building. Size Lot............................Sq. feet Dwelling— No. of Bedrooms.____.____T________________________________I?xpansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) '! < Other fixtures .-------•------ ------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity--.-. gallons Length Width Depth Disposal Tench No --. •.... 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 ( ) f aPercolation Test Results Performed by..---•----------------•--•-•---........................................... Date.................... .-----..._.---=--- Test Pit No.;1................minutes per inch Depth of .Test,Pit---__.-r..__....... Depth to ground water........................ L� Test Pit No. 2................minutes per inch Depth 'of Tesf Pit.................... Depth to ground water........................ ...._..._.-•----------•.............•••-----••••-•---•••------------•-•---------------•..._........ .......•--•--•--..........--••--..........-------•.-•-•- Descriptionof Soil--•-------------------------•--•----....------------------------•----------•------------------------------......---------------------------------------........---..--•- x _ - ............ ................. ...... ..._.. •-• . . -- - ------- U Nature of Repairs or Alterations—Answer when applicable......../,�j/ .._.......�� _C_._... ?�!................................. _...---•-•-•----.-�.� .�? --:.....:........�� _ y( _,E. c�!c`.5--•----•-•--..._..--•• -•........................ 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 by the board of ealth. Signed G ... J ° / � Application Approved By ... ; LJ'�.�.: �'. �/� ../f�...A....... ..(-._I`%1r.,�tf��. _::......... (- /.: 1 Application Disapproved for the following reafonr: . ....................... . . ............................. ....................................---............. 1.. 1.(/l Issued �.l ll/�1.`�1... ��...... Permit No. ,.. --vs..........�.......... ...... uate ! THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifi ate of (fomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( G---r by .............%::._/1 1�/.......� 1%--u - ------------------ ----:-------..-------------------------------------------------.............------------------------------- �.. -------OX( ---/:f................-------------------------------------------------------------------------- r..-.... has been installed in accordance with the provisions of TITLE�- f The State,EnvironmentalCode as described in the application for Disposal Works Construction Permit No. ---(i-------j ���z....1. .. dated ___.._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUEb AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............ .._.__.........._......................__... -----...-------.........-...... Inspector ..._-----------------....._...._............................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE--...................... t ��r�� Permission is hereby granted.-/��//` _ L� �.--5.--------- .............................................................. to Construct ( ) or Repair (--)-an Indi Ieal Sewa Disposal System ,, _ atNo....`:..2 -' �- = / /••----...---• " 'J- ----_ :� --- ------------••--•••.._...... l� ; i` e Street �•� as shown on the application f7­7 isposal Works Constructio �rmit No... ................. Dated-�__.._._._.__..........n....._�_.... 1 • •-� . .. Board of alth DATE................ !,.l--1 ----......- FORM 36508 HOBBS ai WARREN.INC..PUBLISHERS f 1 �tM Ii Town of Barnstable Regulatory Services snxivSWTAB E. MASS. g Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 30, 2012 Edmund Rennie P O Box 764 Cotuit, MA 02635 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 25 East Lane, Cotuit, MA,was inspected on April 27, 2012 by Jim Parziale R.S., Health Inspector for the Town of Barnstable. This inspection was conducted in accordance with the 2006 Barnstable rental registration ordinance requiring yearly inspections of all rental properties. The following violations of the State Sanitary Code were observed: 5 CMR 410.482—Smoke Detectors and Carbon Monoxide Alarms No smoke detector or carbon monoxide alarm located in basement. No smoke detector"or carbon monoxide alarm located by 1 S`floor bedrooms. No carbon monoxide alarm located by 2nd floor bedrooms. on orrect the State Sanitary Code violations listed above within twenty four (24) hours 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. However, these violations must be corrected within twenty four hours regardless of any request for a hearing. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. C Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF T BOARD OF HEALTH A. McKean, , CHO Director of Public Health Town of Barnstable f �w.