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0777 FALMOUTH ROAD/RTE 28 - Health
777 FALMOUTH ROAD, HYANNIS s a car CAPE COD BUILDING Richard Davis INSPE 1230 Newtown Road Cotuit, MA 02635 508-420-0260 9 LETTER OF INITIAL LEAD NON-COMPLIANCE DATE Dear 90Q-1 ©fir This letter i- to 7 a��+BuR certify that I inspected the property located at ? ,apartment no. , and relevant common areas, in the city or town of�-f-`ova ves , for dangerous levels of lead � according to 105 CMR 460 .730 (A) through(F) : Procedures For Initial Inspection,Regulations for Lead Poisoning Prevention and Control, and determined that there were VIOLATIONS. The inspection was conducted on Please be advised that Massachusetts law requires that only certain. residential surfaces be free of lead paint . (Deleading must be done by a licenced deleader MASS. state law) NOTE: A copy of the report must be on site at the time of re-inspection which is after the deleading process . STRIP ALL WINDOW WELLS OR COVER WITH FLASHING. SEE NOTE FOR FURTHER REQUIREMENTS. DO NOT PRIME OR REPAINT UNTIL THE INSPECTOR HAS SEEN THE BUILDING. NOTE: MASS. GL CHAPTER 111 S.S. 190-199 Requires that : On both the interior and the exterior of any dwelling, loose offending paints or putty, regardless of surface or height, must be removed. The surface should then be sanded, reputtied and repainted with a non-leaded .material in order to reduce further deterioration. Any chewable surface within .(5) five feet of a standing surface must be stripped to the .bare wood and repainted with a non- lead paint. FEDERAL LAW 24CFR Part 35 Dated 1 April 87 requires stripping be done to the (5) five foot level and as` above. ** As,-of above date of regulation Si ely, it will be the responsibility of the 'owner to be aware of any future changes in the law. Richard Davis I 1074 Inspector Licence # Report # 6G� At the time of inspection children under 6 were living in the house O YES OKNO O INCONCLUSIVE P � No... 5 Fps......`. ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r. A.V11fir6tion for DiipnsFal Works Tonstrnrtiun rrmi# Application is hereby made for a Permit to Construct ( ) or Repair (Individual Sewage Disposal System at: 71 .. .............................F...._... .........._......_........................._ ......................................._. Location-Address or Lot No. ...................... L ..TA......................................................... •-••••-----------.._..-----•--....._.......•----................................................. jOwner -------------------•---••Address ......... . ....._.:.------•-------•--••--•---..._..... Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.......3...............................Expansion Attic ( ) Garbage Grinder ( ) agOther.—Type of Building No. of persons............................ Showers -----•-------•-•----•------• P ( ) — Cafeteria ( ) dOther fixtures -------------------------------------------------------••••-•----•------------•-•-•-•-------••----••-•-••-------•--------.....-•---•---.........---•-- Design Flow............................................gallons per person per day. Total daily flow--------------------------------3.3..Cg�allons. Septic Tank—Liquid capacity!a Ogallons Length................ Width---:............ Diameter__.__-__--_--._- Depth............. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------l............. Diameter.......... ........ Depth below inlet.................... 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.__......_...._._....... fZo Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 •------------------------------------------------------------------ -••........ •---------------------- -------------------- -------- ---•••--•-..-..-----•---.••••, 0 Description of Soil.......................................................................................... x V ------------------------------••-------•--........--•-----------------------------•-----------------------•----•--------------------------------------............................--------------------- W .............................................................................................................. ---------------P............ - -_-•---- --•---- _ ................................................ ._...._......._. V Nature of Repairs or Alterations—Answer when applicable._ �_e�_%�........_®��_.S`=......�%c..r�'S r__....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITIL4 5 of the State Sanitary Code— The undersigned further a ees not to place the system in operation until a Certificate of Compliance has been issued by th board o e Signe , .....=--- ---•--- 3 ----------------•- Dat Application Approved By.: ---- ..- ------ J-1jo Da Application Disapproved for the o lowing reasons---------------------------------------------------------------------------------------......................... ........................................................ ...............................................................-................................................................................ Date PermitN . ...... Issued....................................................... Date L i .ti' r " No? ."z . Fxs....- ................. _. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ---------- .........................OF......................:... .......... Appliration for Dispas al Worko Toll1i r ion rrutit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System at• ..... ....._ -------------•-........... --•---..7....................... •-•---------•--------•------•-••••-------•-------------------------- --_-__---------- _Location-Address or Lot No. ...................... .--------------- -----. ----•----------•................. -•---....•-----............................ ..-----------•••----•---- / /� Owner Address (� #"�r:G �� E. e� ry.� T Installer Address Type of Building Size Lot_.........................Sq. feet Dwelling—No. of Bedrooms:__...............................•.._......Expansion Attic ( ) Garbage Grinder ( ) � Other—T ' e of Building ._..__ No. of persons............................ Showers yP g --------------------------------- Design ( ) — Cafeteria ( ) Other fixtures_ -------------------Flow---•-•-•-••---- ...�.`. =7 ... � ....... W -_....___._gallons per person per day. .Total daily flow..........••.•--•---------- -- -------gallons. r c„ra W Septic Tank—Liquid capacity.......... ..gallons Length................ Width................ Diameter---------------- Depth_......:........ x Disposal Trench=.No..................... Width s .... 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 ( ) aI Percolation Test Results Performed by,......................................................................... Date........................................ Test Pit No. 1................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........................ Pd ----------------------------------------------- •----------- •-•--------- ------------ •---•-•------••------... ---•--•------•--------------•-••--•••--------•-- O Description of Soil...............................................----........-----------•--••-------------------------------------------•------------•------------•••••......---••....... x U . ••--•••••-•-•-••••----•----•-••-•••••--••------•------------------------------------------------•-•-....-----••--•-•• ----•-.... •-•--• •-----.W .. e ------------------------------------------- U Nature of }repairs or Alterations—Answer wl n pplicable .-- .......................................................................... 0 1. c'3 G+J` /'� / ✓ • ---•--•-•----••-•................•---......--•----•-••--------•--••-•-----•-•-----•-------•-•---•--•-•-•-•--••••--•--•--••--•-•.......---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIL 5 of the State Sanitary Code—The undersigned furthe�'Agrees not to place the system in operation until a Certificate of Compliance has been j5sued by the board�df�adl � ; > Si ned g •-•--•-••••_..... ••... p. .Application Approved By --•-• ..... .. I..h''. . ---� /0-_I-a� c ate` .�... Application Disapproved for t e following reasons-----------------------•-----•---------------------=-----------------------------------------------•-•-•.-----•• ....--•...............•------•------------•----...---------••------------....--------.......----....--------•-•----------------------------------------------------------------------------------------- DatePermit No " __r...?: ....................... Issued........................................................ Date _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............................:...........OF................................................... ............................... TUrdifiratr of Toutpfitture T I,IS IS TO,,CERTIFL( Th the Individual Sewage.Disposal-System constructed ( ) or,Repaired.( ) ........................................ -•..............••---•--••-•-•-•-------------••......_ --------------•------------------•--- -••-------------•---------------------------------...... has been installed in accordance with the provisions of TITLE' 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL F ,NCTION SATISFACTORY. DATE.. Z ----------------------------------= Inspector.. - = THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH OF..............................••-----•--•--.....................................---•• Ai .. . ................ -%i0o a1 or�ii (guipt ttr#iott rrutit Permission is hereby, granted K_ to Construct ( ) or.-ktep�ar = Indivi uaY Sewage D posal stem, atNo.......................................... 14-1 X ------- ---••--•--••-•-•-•--- . -- --- -------•-•.......... f ......................... Street as shown on the application for Disposal Works Construction Permit a _'_ _�'D,r�ted�. `! _' 1' (� oard,of Health DATEi .................................................... ¢ - FORM 1255 A. M. SULKIN, INC., BOSTON