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HomeMy WebLinkAbout0494 MARINER CIRCLE - Health (494 Mariner Circle Cotuit F/ ., i A = 024 093 - — -- -- - — — --— - - I� 'Y COMPLETE [EsN, mplete items 1,2,and 3.Also complete A. Sig aturm 4 if Restricted Delivery is desired. gent rint your name and address on the reverse X ❑Addr ssee that we can return the card to you. B. Received by(Printed Name) C. IIt of D livery tach this card to the back of the mailpiece, on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑ es If YES,enter delivery address below: ❑ No Duane Duarte & Tracy L. Simmons ' 494 Mariner Circle Cotuit,Ma. 02635 3. Service Type ❑Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) PS Form 3811,August 2001 Domestic Return Receipt 102595.02-M-1540 r UNITED STATES POSTAL SERV First-,Class Mail— ' '+ OV �`' C_• �' P6stage.&Fees Paid�, v r!1 ri USPS Permit No.&10 • Sender: Please 4nt yob n ne, address, and•ZIP+4•in this box Public Health Division Town Of Barnstable 200 Main Street Hyannis,Massachusetts 02601 Al CCU*I A Ln Ln r1J ru Postage $ �� y Certified Fee d Return Receipt Fee �DO� Pore O (Endorsement Required) O Restricted Delivery Fee Q� p (Endorsement Required) O Total Postage&Fees , 4 r ^ Duane D. Duarte & Tracy L. Simmons f r-a 494 Mariner Circle o Cotuit,Ma.02635 �� Certified Mail Provides: n A mailing receipt n A unique identifier for your mailpiece n A signature upon delivery n A record of delivery kept by the Postal Service for two years 'Important Reminders: e Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. n Certified Mail is not available for any class of international mail.. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return 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 j required. fo 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'. n If a postmark on the Certified Mail receipt is desired,please present the arti- cle at 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 Farm 3800,January 2001 (Reverse) 102595-M-01-2425 FT"E rati Town of Barnstable Regulatory Services * BAMSTABLE, * Thomas F. Geiler,Director 9 MASS. 039. A Public Health Division rfD MA'S Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Duane D. Duarte &Tracy L. Simmons Date: 4/28/04 494 Mariner Circle Cotuit, Ma 02635 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 494 Mariner Circle, Cotuit, was inspected on, 5/15/98 by Allan Taylor, a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: SAS system was in hydraulic failure. Our records show that the system has been in a failed state for more than two years. You are.ordered to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacement septic system component(s). This plan is to be submitted to the Town of Barnstable Public Health Division Office (Regulatory Services, 200 Main Street, Hyannis), within (90) days receipt of this letter. The plan will bring the septic system into compliance with 310 CMR 15.00,The State Environmental Code, Title V. You are also ordered to upgrade or replace the septic system within six months (180) days of your receipt of this letter. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. You have the option of requesting an adjudicatory hearing pursuant to 310 CMR 15.422 Failure to compl, with this order will automatically result in a public hearing scheduled before the Board of Health. P ORD O T BOARD OF HEALTH as A. McKean, R.S., C.H.O. Agent of the Board of Health CC: Board of Health Nailed—septicletters +7001. 19,40 00041 90142 2355, , Y 1 Septic Inspection Information ........................... ............ 5/15/1998 :::::::: ::::::::::t :::::::::: 1024 494 >> € 4ta Cotuit Allan Taylor ........................ ........................ sytem was in hydraulic failure. ...................:.... ............................... ........ a� Search for Map/Parcel 024074 "• Town of:8arnstabie _ . w m�: For Parcel Number:,,024074 Rental Proper"y(Y Busness,Name, ZonedVContributiari(Y/N) ;. Area Number Contaminant Rel(Y/N) " . s Phone: 100000001 � Fuef Storage Tank Permit- �." . a Disposal Works Perc Test Well Permit „ Construction File/Permit No: 98327 r � Issuance Date.. �. =�� . , .- ,, � ,, � :. �� j05�512?26/1998�Completion Date: 28/1998j Size"&Septic Type/Sizeof SAS � Tank: >: Comments: 'ERE"—NCH 60 X 4X 2 meppar: 024074 ]OW er:" CU f? P 'BI,LOUIS J ro loc 28 ANCHOR LANE ✓�c.--" ..�y,r.„ ,a,%�.!,, :. ;<7 ': �r. -..,� terns, �xk '^�. a� , u ,..,, aa. ��,.F"" ,u;.y,.s"t�'�� ?z�s r,� ,.. �:; innovative/Alt4ti�tive`Technoil gy Septic Systems Single or -- Clustered tlAxT" et ,„ yp ✓ LA Service Type: add delete record V C�g4 Search for Map/Parcel 024093 ,,� Town of Barnstable " n xx"y{� s arma� For Parcel Numer 0 b24093 Rental Propert N) �a° Business Name.1-` - �f.,, Zone df ConV'ibution fN Area Number v Contaminant Rel(Y!N) i' Phone: " Fueito'rageank''Perrrirt; ` ' z,.. •,:;. , Card On Fif " , Ds,o' sal Works ��. ;;r; ,',,,>F ," "fits^;. a+�p;�•t .rr; Pere Test Well Permit Construction File/Permit No Issuance Date: ,; ;. Completion,Date:< x. T Size of Septic Type/Slze of SAS: Tank: r _u Comments: mappar: 024�093'^ Owner DUARTE,DUANE D&SIMMONS TR!"praploc 494 MARINER CIRCLE ` Inn ovatiue/Altgrnative Techn©iogy Septic Systems S ngle;or gr i C ustered VA-Type: ,,.. ,.. ,,e,,� gist=,„. a.�.,"o- rx -..yY, ,:,��. ,. .,°�:, "."r..y�, y�y,✓. ..r..,,. +.�'i "F .�py�, is. ^e?ig,,c:. �r..wr+srr�coer.rwe- � TOW`, ARNSTABLE 77 LOCATION - � 1� —�,��L.� SEWAGE # q9s VILLAGE �iS ec��T ASSESSOR'S MAP & LOT Y,O INSTALLER'S NAME&PHONE N0. SEPTIC TANK CAPACITY / 2.Q0 LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER .r PERMTTDATE: --Ia COMPLIANCE DATE: 4A Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private 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 K 0 10, L 6o No. — a 7 Fee 15_��, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIppricatiou for Migpogar *pgtem Cow5truction Permit Application for a Permit to Construct {/)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components 414!7, Location Address or Lot No. /4W4/R �/) Owner's Name,Address and Tel.No. n©� 0A1SC�� �l C/'( /"�. /C si Assessor's Map/Parcel Installer's Name,Address,an Tel.No. / ` Designer's Name,Address and Tel.No. _30 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow �1�� gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. GC Description of Soil 0 3 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and m ' tenance of the afore described on-site sewage disposal system in accordance with the provisions of Titl f the al Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b s Bo o Signed Date -' Application Approved by Date !G Application Disapproved for the-following reasons Permit No. Date Issued ;'t No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Mie;po5ar *p5tem Construction Permit Application for a Permit to Constrict V)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel OQ G^ - Installer's Name,Address,and Tel.No. 7�-1109 Designer's Name,Address and Tel.No. 77pEE��°G/R ,v z Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow G gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank ZOCO �n Type of S.A.S. Co -,X l / o Description of Soil (0 3 t COP, 3_l//� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: r Agreement: f The undersigned agrees to ensure thf-6onstruction an-•ma' tenance of the afore described on-site sewage disposal system in accordance with the provisions of Titl f the al Code and not to place the system in operation until a Certifi- cate of Compliance has been;issued b s Bo e Signed � Date Application Approved by i' ' Date Application Disapproved for the-following,reasons Permit No. -' ` ' i Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ) Repaired(x)Upgraded( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. -� ' dated Installer Designer The issuance of this permit shall not be construedas a guarantee that the system will function as designed. Date T� Inspector C No. - Fee _��THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS x1h5pont *pgtem Construction Permit Permission is hereby granted to Construct( )Repair(x)Upgrade( )Abandon( ) System located at U S Z NA Ga.�-tom r" rz,? and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be.completed within three years of the date of this permit. Date:__ —� �� - 7 p Approved by 10I9N7 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) f { W,6 V ,hereby certify that the application for disposal works construction permit signed by me dated - ,concerning the property located at 14 . r meets all of the following criteria: • There are no wetlands located within 100 feet of the proposed leaching facility • There are no private wells within 150 feet of the proposed septic system ` • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will flDl be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: M A)Top of Ground Elevation(acco—rding to the Engineering Division G.I.S.map) 'I" B)Observed Groundwater Table Elevation(according to Health Division well map) SIGNED: DATE:-4 LICENSED SEPTIC S TEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health(older:cert 1 � \ ,-. �� __ � y f _; ��� ' , � oay .,� �� o.,. �� Q r.� U I I--� Q ,- � � i TOWN OF BARNSTABLE LOCATION _qql MdMa QCL.� SEWAGE It VILLAGE- n � ASSESSOR'S MAP &,LOT_D 1 Y,Q]� INSTALLER'S NAME&PHONE N0. — SEP17C.TANK CAPACITY /OCR® LEACH NG FACMITY: (type) Z (size) 6 , T, / NO;;;OF.BEDROOMS BUILDER OR OWNER PERMITDATE: —COMPLIANCE DATE: Separatio.n Distance?Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private.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 v thin.300 feet of leaching facility) Feet Furmushed.by j i i i i Tmk l, � ` i LOCATION �� SEWAGE PERMIT NO. VIA LAGE A4 INS I A LLER'S 0, M ME- i ADDRESS U I L D E R OR OWN�CE_R. DATE PERMIT ISSUED q' ��_ � DATE COMPLIANCE ISSUED z- i / f-'. /1 �d it � � r� 3 �� �p �II � _ ___ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH �l1lEU ..................OF.....A ........................................ Appliration for Disposal Works Toutitrurtion Vamit Application is hereby made for a Permit Ito Construct L ) or Re/pair" ( ) an Individual Sewage Disposal SystemIt 0- at• / r � �{r�%ci' �-QL u-v!.. --,�I=�GC� Lo Ad r s- or Lot No. . .._. _.. - = • .-._.....__ � .. -------------------------- Ow r •-ress -. W .............•-•............................... ..........-•••••-----.._....................--- ... Installer Address UType of Building Size Lot... 00_ ____Sq. feet .� Dwelling—No. of Bedrooms________________ ,.__..-._..._...._._._..Expansion is ( ) Garbage Grinder ( ) aOther—Type of Building ... ................. .'No. of persons........... .........-- Showers ( ) — Cafeteria ( ) Otherfixtures ------------- ...----------------- -•--•----•----•-----••---• -------•---•--•..............----...........--•--•----••.........--- W Design Flow..........._1�7_5......................gallons per person per day. Total daily flow.......330_.......................gallons. WSeptic Tank—Liquid"capacity./_gallons Length Width_,, 4/._ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area.................. q. ft. Seepage Pit No...--...�.......... Diameter........ ."..... Depth below inlet.. ..?_..... Total leaching area.. ; Z Other Distribution box (�) Dosing a ( ) Q p- `" Percolation Test Results Performed by.. _ ____ ___________________ __.._........_................. Date..... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.. /��-)n f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.. .____ R+ /+� /---• ••---•---•---•---•-•••••••••-•••--••---•-....-•............................•----------........-•---•--••-•---.....--------...........---.--••- 0 Description of Soil.,O-_'.(V... .... ...... ....:.. .............-----•--•----•----...---•--•----••••••----•---••....-•-------•--•••--•-•-•---•-•--••--•------...----------_.. x ...----••-•••-•----•-----••-• ......30....... ----• -----------------------------------------------------------------•----------------•--------------•----.....---•-------••. ........................... ..=�`�:------------ - --------- ------------------------------------------------------------------------------------------------------------ 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 TITL% 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee sued by the of heal Si ed.... - �-- Da Application Approved By...... =--- ...•. •. --------- `yam �•................... -----�-��Y� / Date Application Disapproved for the following reasons:----•-------------------------------------------------••--------------------•--•---------------------.........-- --.....--•-----------•---------------•-•-•--•----------.......-----------.........------........--------.._......_...---....------•--------------------------------------•------------------------------- Date ;� _ l� PermitNo......................................................... Issued....2..•--•--`-------•-•-••--•••--.._..._....._ Date f No.$v-•53,6__ Fss......3o...vJ..._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /74W?'0.................OF..... 1 1. 6L} Y ........................................ Appliration for Rapnsal Works Tuns rnrtinn ranfit Applicationn is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Sysat_ 1 ........ .. ..--- / ..----•-... ----•----------•.......................... 7 Lo tion:Ad - l /r or Lot No. .... __............... ........-................... •..........7.....--.------� ------------•----. ------ . �d ress ��• Installer Address �� ��� Q Type of Building Size Lot.__r-...-y----------------Sq. feet U Dwelling—No. of Bedrooms....................... Expansion is ( ) Garbage Grinder ( ) --------- ayp g ...:............... No. of persons............_.._............ Showers ( ) — Cafeteria ( )Other—T e of Building �-��' Otherfixtures -----------------------••----...------------------------------......------------------------------------........._.......---• W Design Flow.............. ..S- ...................gallons per person per day. Total daily flow.......33-j.......................gallons. WSeptic Tank—Liquid capacity.h .gallons LengthJ4.16..... Width._j�..._ Diameter________________ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------!_--------- Diameter......... ._..... Depth below inlet_--7._3...... Total leaching area.._,.,_... Z Other Distribution box Dosing tank ( ) Q '-' Percolation Test Results Performed by _��� �---_=�- -...CG�C'......---... Date_...1-- :�S �v a ::._. ..... Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..... /} 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.. _(f�__ aV --------- O Description of Soil_.- ---- - / 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 Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of heal ,-)Sined 'f ?` l%/! %:��''� f ;==` �� ..........................= o Dat Application Approved By---..---- • .......I '"� ._... ..............•--..--_... `.'�_-ate_. r •. Date Application Disapproved for the following reasons---------------------•----------•----------------------------...-•----------------------... ---------•-•-------- ••-------------------•-------------._..........-----------•--........--•---------•----•----••-------•--.....-------•----...------••------•-------•---------------------------._.....----------•-...._.._. Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �OGtJ IC �................OF..... / Tatif iratr of Tuntplittnrr TH S IS TO G TIFY, That the/Individual Sewage Disposal System constructed ) or Repaired ( ) by---•-. ............._......--------------------------................------------------.. .................................. r� " �/` / 64-1e C%� taller at.. .- --- .� "1. ........................ - -�• .. ..`.................................................... has been installed in accordance with the provisions of T f L",I 5 of The State Sanitary Code as described ip the application for Disposal Works Construction Permit N -- �4__ t. ............ dated------- -_ . 5'-__5 - _____._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. G/ DATE....1..�.`.�..��-.`-:cT�.................................... Inspector--•-•-- ...... ........ .................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / No.................34 FEE._:,..................... �i��g�tt .irk inn�r ilan �ernti� Permission is hereby granted--•-- _.T... ...... 0........%.....s/-----..� �&,idu n - to Constr ct )Ar Repair ( ) an Individual evrag Dispos at No.... ....... ._ 1 ' ......�-c. KICI- -------------•••-••....... Street r as shown on the application for Disposal Works Construction Perm No. Dated..__ '....:.... ..........._.... Board of Health DATE......... a-.....^....-�. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS aww+i ---- - - ---- ��--d.�.L El-•�E�/. S}-�U�.✓►.� AP...� MEAr.! SEA �...6=�IE�.... : BP.SE�p o�1 V S.C � G-t .5 C�-r�►.� Pu�r.l E ,A L-L- 1,.t v E S A M I KJ I M vt-j OF U►.iL.CSS OTC-�t✓ �tSE SPEG«IEl`�. 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