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HomeMy WebLinkAbout0267 SCHOOL STREET - Health 2ilo SCHOOL ST*COTUIT — A-020-102 IP � No. r.; Fee THE COMMONWEALTH OF MASSACHUSETTS '� Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(ppYication for Zigogar 6petem Com5truction Vermtt Application for a Permit to Construct( )Repair(t/�Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. cQ to"? 5r CpTV j Owner's Name,Address and Tel.No. Assessor's Map/Parcel 07-0 1 o7. '--S Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. aoB� �d 117 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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank avtl Type of S.A.S. �tA-ie-Tresri�l� Description of Soil ML t56 Nature of Repairs or Alterations(Answer when applicable) Sf,42E=L`TIA t y U j A grei fTv .F�s��s LYF�it ut2S i, S Ij g Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Cer"- cate of Compliance has been issued by this Boar Sig Date /f 9Z Application Approved by _ Date Application Disapproved for the following reasons Permit No. Y7^ 2-2 Date Issued �� —� Q lob d No. Fee THE COMMONWEALTH OF.MASSACHUSETTS � Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLEs MASSACHUSETTS ZIppYicatiou for Migogar *patent Cop.5truction Permit Application for a Permit to Construct( )Repair(i/f•Upgrade( Y)Abandon( ) ❑Complete System ❑Individual Components. Location Address or Lot No: Q to") 15X' v^� Owner's Name,Address and Tel.No. �� Assessor's Map/Parcel,;. „� ,. 1 1'Y' t 1.rLj�j r •-5` r Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �o ell,7 �r xT ,, Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( ) ' Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow qV O gallons per day. Calculated daily flow 11667 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank ,0-../ Type of S.A.S. �-�- r�7-i�7�✓?(. Description of Soil dYt F/ Nature of.Repairs or Alterations(Answer when applicable).�a f I �G' S 10E i L:'TKtti Date last inspected: ' Agreement: The undersigned agrees to ensure the construction-and maintenance,of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b this Boar o s Sig - - �! Date 0-7 97 Application Approved by Date _,.7a —,9,7 Application Disapproved for the following reasons Permit No. Date Issued - ? THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY that the n-site ewage Disposal System Constructed( ) Repaired( )Upgraded([/ - Abandoned( )by at -5,_hec)L. 1 CQ_rUI has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 9 2 �-� dated ��'-2 .2 -$ . . Installer Designer_ The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date i.,/- J Inspector ,f 1 l .*'rV r 9 � ""O�.l ----------------—------ No. Fee - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS wigogal *pztent Con5tructiou Permit Permission is hereby granted to Construct )Repairer Upgrade(. )Abandon( ) System located at 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 '��•-�- � .� Approved by .'_r ./ NOTICE]: This Fornr is to he uscd for the Repair of Failed Septic Systems Only CER'['IFI("A'TIUN OF SKETCH AND APPLICATION FORA DISPOSAL WQRKS CUNS' i' C'I'IUN I'L+'ItMIT (WITHOUT DESIGNED PLANSI hereby certify that the application for disposal works construction permit signed by me dated `� Z , concerning the property located at `7 S��oy� Co�vc L meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED 7: — DATE: LICENSED SEPTIC SYSTEM 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]. jxcrt ��� a TOWN OF BARNSTABLE LOCATION c) y( re-IC-T SEWAGE # 2 -� VILLAGE �Q \ ��� ` ASSESSOR'S MAP & LOT N INSTALLER'S NAME&PHONE NO. M\G>66PL=r ;. SEPTIC TANK CAPACITY LEACHING FACILITY: .SNP �(type) ��� (size) �b NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE:- V- -22" 2 7 COMPLIANCE DATE: ?-3 Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 I "r G � { �vo Sj. Citizen Web Request Page 1 of 1 r,✓Q17,� ; 77 Citizen Request Management Request ID: 59663 Created: 8/14/2018 10:35:51 AM r Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office y Chapter II : Housing Anonymous: No Category: Substandard E.C. Date: 8/28/2018 'fF Created By: Crocker, Sharon Citations: Health Office Time Worked: 0.00 Response Time: 0.00 4 Request Location: Pamela Cara.ber 267 SCHOOL STREET Cotuit, Ma 02635 Parcel Number: Map: 020 Block: 102 Lot: 000 Request: Possible hoarding issue on first floor- hoarding in basement and residents are using a port-a-potty in the side rear yard. Cotuit FD contacted Building.Dept./Elec at 2 am -no electric service working.To get to electric panel, had to clear path in basement. RE: Health - hoarding and two questions: 1)are residents able to reach sanitary facility in house, and 2) is sanitary system operable. Deputy Wiring Inspector will check back at house today and advise. Request Work History: http://itsqldb/CitizenRequest/WRequestPrintPub.aspx?ID=59663 8/14/2018 i Date: August 14, 2018 To: Building File RE: Use of Port-A-Potty/Possible Hoarding Address: 267 School Street, Cotuit Originator: Gene (Deputy Wiring Inspector) Owner: Pamela J Caraber Complaint: Possible hoarding issue on 15t floor-hoarding in basement/residents using a port-a-potty at 2:30 AM. Enforcement Process Steps ® 1. Initiate local investigation: RA ® 2. Document/enter into system Yes ® 3. Contact ® 4 ® 5. Seek access to subject property 6. Seek administrative warrant(if necessary) ? ® Z Notify state authorities of findings NA ® 8. Document conclusion OPEN ® 9. Referred Bldg/Health/Electrical Property R020-102 Property is developed (1920)with 4 bedroom 1 bath single family dwelling on 0.46 acre in the RF zoning district. 08/14/2018.2:00 AM Cotuit FD contacted Deputy Wiring Inspector approximately 2 AM to report to the scene of to check the service to the house. FD had to clear a path in basement to reach panel. Inspector noted that residents are using a port-a-potty in the side rear yard of the house and questioned if A) residents could reach sanitary facility in house B)the sanitary system.is operable. Deputy Wiring Inspector will stop by house again today and check property. He will advise of conditions. Referring to Health for possible non-sanitary conditions& hoarding. l `TOWN OF BARNSTABLE LOCATION ��� S,Y,O,)L SEWAGE # 2 VILLAGE Win! ASSESSOR'S MAP&LOT ` 0-Y INSTALLER'S NAME&PHONE NO. n(1i\G�6a L SEPTIC TANK CAPACITY I sum LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMUDATE: �' " /� 7 - COMPLIANCE DATE: -/ 23 ;r,7 Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 I / o � P + o6 ' 1