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HomeMy WebLinkAbout0280 ARROWHEAD DRIVE - Health ARROWHEAD DRIVE; 'HYANNIS A 270 093 o Q� , 4 o 1 �i I� t6 o � I i a I ° I ° I I Y P TOWN OF BARNSTABLE LOCATION CR T6 SEWAGE # YS VILLAGE JL­J�� ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. 3 SEPTIC TANK CAPACITY 1 ©0 LEACHING FACILITY: (type) 5~ �- _&E�. �,/1/ (size) NO.OF BEDROOMS 3 BUILDER OR OWNER 1�1f�.�►T� j; PERMI'TDATE: COkPLIANCE DATE: 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 1. within 300 feet of leaching facility) Feet Furnished by 1 � 1 1 • / C n G No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:. Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS • _ Application for Migoml 6pgtem Con6truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components LocatiQn �ss or J of No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel ` Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 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 :3 :3-c> gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil r Nature ofRepairs or Alterations(Answer when applicable) 7­ 51,g5 y �' 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 o e f the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by this oard of H th. '. Signed Date Application Approved by Date Application Disapproved for the followW reasons Permit No. - Date Issued �� :�.- .— is _ ,• .r �....- ,.. `:».wr �* ..-.v ..-.. , � ..- .-.-+.._ .....�. ,y. _ ! _«�-..,�.e..w;...,arfa,++. �. .1 -e-ao-�..++.rvw+.r.-.r-.«.r+ra No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIQHEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS Z(pplication for Migonl *pgtem Congtrucfion J)ermit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) 0 Complete System Individual Components Locatign dress or J of No. � // Owner's Name,Address and Tel.No. Assessor's Map/ParfceJl :170 3 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building:.. Dwelling No.of Bedrooms Lot Size 0 L. sq. ft. Garbage Grinder Other Type of Building MR-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 Type of-S.A.S. Description of Soil Nature of Repairs or Alterations(Answer w�en appliic/cJJa��b��le) �f/x 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 o e f the Environmental Code and not to place the system, n operation until a Certifi- cate of Compliance has been issue by this oard of H�lth. Signed Date "..7 Application Approved by Date ',-A - Application Disapproved for the'-IollowQ reasons Permit No. - 3 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS'TO CERT , that the On-site Sewage Disposal System Constructed ( ) Repaired (k) Upgraded( ) Abandoned( )by at cZ Z5 G has been constructed in accordance with the provisions f Title 5 and the for Disposal System Construction Perdut No. !I dated Installer Designer r The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date .2.—!2 Inspector No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 1witpogal *pgtem Construction Vermit Permission is hereby granted to Construct( )Repair(3QUpgrade( )Abandon( ,),' System located at —�y 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: Approved by f TOWN OF BARNSTABLE 9 ff_ 3y5 SEWAGE# '. LOCATION C�$U T ASSESSOR'S MAP &LO INSTALLER'S NAME&PHONE NO � SEPTIC TANK CAPACITY x io (size) LEACHING FACII.TTY: (type) N0.OF BEDROOMS BUILDER OR OWNER PERMIT DATE' COTv�PLIANCE DATE: Separation Distance Between the: Facility 3 Feet Maximum Adjusted Groundwater Table and Bottom of Leaching l Well and Leaching Facility (If any wells exist Feet Private Water Supply facility) on site or within 200 feet of leaching wetlands exist Feet Edge of Wetland and Leaching Facility(R any within 300 feet of leaching facility) Furor ------ 'shed by ------ ---- i �� x � 10/9/97 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) I, he certify that the application for disposal works construction permit signed by me dated 7 , concerning the property located at 8b 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 not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S.map). B)Observed Groundwater Table Elevation(according to Health Division well map) , SIGNED: DATE: LICENSED SEP PCSYSTEM 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 folder:cert 14 Z 203 498 837 -`US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use fqp IntgInAtional Mail See revs Se SineetONUmber Po ce, od 90. Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee U Return Receipt Showing to Whom&Date Delivered Retum Recent Showing to Wham, Date,&Addressee's Address 0 TOTAL Postage&Fees is2,177 M Postmark or Date 0 t1 W d Stick postage stamps to article to cover First-Class postage,certified mall fee,and charges for any selected optional services(See front). f 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). E2 Q) 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C O addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this ,9 receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ri 6. Save this receipt and present it if you make an inquiry. 102595-97-8-0145 a t. �pIME Town of Barnstable BARNBrABLE, : Department of Health,Safety,and Environmental Services "'" Public Health Division i6J9• `0� A P.O. Box 534,Hyannis MA 02601 Office: 508-8624644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health May 7, 1998 Philip Trust Cape Erna Trust 294 Washington Street, Suite 605 Boston, MA 02108 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE,TITLE.5. The septic system owned by you located at 280 Arrowhead Drive, Hyannis was inspected on May 1, 1998 by Jerry Dunning health inspector for the Town of Barnstable. 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: Excess pumping and cesspool overflowing back into the cellar You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office ("['own Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 31.0 CMR 1.5.00, The State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. You are also directed to bring the septic system into compliance within thirty (30) days of receipt of this order letter. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. 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. PER ORDER OF THE BOARD OF HEALTH Thomas . McKean,R.S., C.H.O. Agent of the Board of Health cc: John Carpenter F� :r Town of Barnstable Department of health, Safety, And Environmental Services ""M health Division 367 Main Street,Hyannis MA 02601 Installe�r 11ww a McKeon _ onlce:-308-790.6263 D odor of Public Health t'/V{: 309-773-3344 TO: �rKl �.�►i.ati (Date) ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. , The septic system owned by you located at 110 A,= � e, Road, Street in the village of was inspected on ,5-- l - 9 by a ep Ic Inspector. c�� 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: You are directed to hire a licensed Town of Barnstable septic system installer to sketch a proposed system that will bring the septic system into compliance with 310 CMR 15,00, The State Environmental Code, Title 5 within (14) fourteen days.ofreceipt of this notice. The septic system must be brought into compliance within thirty (30), sixty (60), ninety (90) days of your receipt of this letter. You are also directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. 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. i PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable o� titles(1) 3 Health Complaints 28-Apr-98 Time: 12:05:00 PM Date: 4/28/98 Complaint Number: 1307 Referred To: JEROME DUNNING Taken By: EDWARD BARRY Complaint Type: TITLE V SEWAGE Article X Detail: UNSANITARY CONDITIONS Business Name: `6`�v 4V Number: 280 Street: ARROWHEAD DR Village: HYANNIS Assessors Map_Parcel: G� 3; Complaint Description: SEPTIC SYSTEM IS OVERFLOWING IN THE BACK YARD.THE SYSTEM HAS BEEN PUMPED A NUMBER OF TIMES(OVER 4 TIMES IN THE LAST 12 MONTHS BY JEFF WAHLL) THERE ARE TWO CESSPOOL ON SITE.THE OWNER LIVES OFF CAPE. THE ARE TENANTS AND HAVE HAD AN ONGOING PROBLEM WITH THE SEPTIC. A MAN BY THE NAME OF CARPENTER IN REAL ESTATE IN CENTERVILLE OVERSEAS THE PROPERTY Actions Taken/Results: Investigation Date: Investigation Time: UNITED STATES POSTAL SERVICE First-class Mail Postage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box• PUblic Health Dev181on Town of BVINS PO BOX 534 p2fa01 Hyannis,M � Fax(508)775- Phone(508)790-6265 ,Y d SENDER: I also wish to receive the •Complete items 1 and/or 2 for additional services. W. ■Complete items 3,4a,and 4b. following services(for an .0 ■Print your name and.address on the reverse of this form so that we can return this extra fee): card to you. ■pAttt�?this form to the front of the mailpiece,or on the back if-space does not t, ❑ Addressee's Address Z d ■Wdte'Retum Receipt Requested'on the mailpiece a number. 2. ❑ Restricted Delivery N ■The Return Receipt will show to whom the artic a � �e? date., o delivered. nsult postmaster for fee. 8 0 v 3.Article Add essed to: 4a.A I Number 06 m ❑ Re istered 'a' JS Certified '.x c W �Ss ❑ Insured Return Receipt for Merchandise ❑ COD ` c 7.Date of Delivery p 5.Received By:(Print Name) 8.Addressee's Address(Only if requested a and lee is paid) t g 6.Signa u`�r -(Addre,7ssor Agent),�, ~ PS F6Frn 3811,Pkembbr,11994 lozsss-W-s-olis,iDomdstic Return Receipt