HomeMy WebLinkAbout0498 GRAND ISLAND DRIVE - Health 498� BRAND ISLAND"DRIVE
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TOWN OF BARNSTABLE
LOCATION, 2rlm_X51a,,-,Q g SEWAGE #
VILLAGE ASSESSOR'S MAP'& LOT (D7�
INSTALLER'S NAME & PHONE NO. -S-,f4
SEPTIC TANK CAPACITY (i��tTt C�SSOa dCs \,Sr�
LEACHING FACILITY:(cppe)-Pg C— C49_r-� Esize) w rf
NO. OF BEDROOMS PRIVATE WELL O UREIC W
BUILDER OR OWNER ►'• f�L C�aT4 y
DATE PERMIT ISSUED:__fT
DATE COMPLIANCE ISSUED: Arl=�
VARIANCE GRANTED: Yes No �"
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LOCATION0a SEWAGE #lk
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VILLAGE Vf" j�_ ASSESSOR'S MAP & LO11�=
INSTALLER'S NAME & PHONE NO
3 SEPTIC TANK CAPACITY,
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMSPRIVATE.WELL OR PUBLIC WATT
BUILDER OR OWNER (14
DATE PERMIT ISSUED: _
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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FEE..... ........ "
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF' HEALTH
C?w
Appl ration for Disposal Works. Tonstrurtiun motif•.
Application is hereby made for a Permit to Construct ( ' ) or Repair (L-)-an Individual..Sewage Disposal
System at:
.........•••y .-....41.......... Qs .e Vrl� ...................... . ....
..-.
Location-AdIlress 1 or Lot No.
�.:..........YI, � �.f��<<�-^ t S 0A0J 11!':�_..................................................
Owner i ' Address
✓ �i-......... -.... .av ........................
Installer " _ Address
Type of Building Size Lot............................Sq. feet
�.� Dwelling No. of Bedrooms.... ...................................Expansion_Attic ( ) Garbage Grinder ( )
a
aOther—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( )
dOther fixtures ......................................-..................................................................... .........................................
W Design Flow......___f_lt-------------------------gallons per person per day. Total daily flow.......-/� 4� ....................gallons.
WSeptic Tank—,Liquid capacity............gallons Length................ Width................. Diameter__-__-__--_--_ Depth.................
x Disposal Trench—No.........:........... Width._......;...._:..... Total Length............. Total leaching area....................sq. ft.
Seepage Pit No....... . ... Diameter..... ..C?:__ .... De th below inlet................. Total leaching area.........__..... s ft.
3 P� .�..------ � - _ P g -- q•
Z Other Distribution box ( ) Dosing tank ( )
a 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:.......................
a
0 Description of Soil....--............-......._.........- -------..............-•--........:--------------------------------...--------------•-------•---------•-•-•--•--...._--•--•---
"� _ _
•..--•-•--- -------------------------•-- •---•-•--•-...------ --------•••--•----.........•--•-•----....-•--•-;.........................................................---------------- ... . .....
_ -
U Nature of Repairs or Alterations—Answer when applicable.......��......-_11 r ? .....��� ��T _______
s� ......... e :�_sTt. ..._ ss�. = ------. •............................. .
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 been issued by the board of healt .
.... o�
Signed... = .• .... ...................... -----•-----..Q .._..--•-------
Date
Application Approved By-••-•--•-----•f ',`�-........:.... ..... �
Date
Application Disapproved for the following reasons--------------------------------------------------------------------------•-•-•-•--••-----••...................
......---•...............................••----------............-.............................................................-............................................................
Date
Permit No...... .. ...... _......-•---------.. � Issued...........................
Date
No-2:..5 _ Fss.....Z.. .....
t THE COMMONWEALTH OF MASSACHUSETTS
BOARD . OF HEALTH
1� ✓.----.....OF. �
Apparation for 11inpnstt1 Works Tonstrurtinn 1krutit
Application is hereby made for a Permit to Construct ( ) or Repair Individual Sewage Disposal
System at:
� G• _ �
....---.._..� !_:....:tYeAW 4Q
Location-Address w .?.. :.�.'.r.�..
or,Lo,t,,N>o. P
. ................................................._.._..... ............A.1... ...
Owner _ Address
-----'.��� 1�.-••---------------•-• .Z �`Z ? -�---. �/?o....t .............•.........
pq Installer Address
VType of Building Size Lot............................Sq. feet
14 Dwelling—No. of Bedrooms.... ................:..................Expansion Attic ( ) Garbage Grinder ( )
a`4 Other—T e of Building .............. No. of ersons.._...._..___........__.__.. Showers —
YP g .............. p •--(----)-----•.Cafeteria ( )
Q1 Other fixtures ..---••-------. •------------•-•----•...--•--------.......----•-----••---••-------•--•--------•-•---..... -•----
W Design Flow........./0__r2........................gallons per person per day. Total daily flow........' ....................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length................_... Total leaching area....................sq. ft.
3 Seepage Pit No......./........... Diameter..._/I?........ 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........................
fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water............--..........
9 ------------------------------------
•----------------
.-----
........
-.---..----------...
--•-•----•-------------
:.............
----------------
-....
........._.
O Description of Soil..................-.......-.......................................................--------•----••------- ..------..........-.-•--•-------.........._.._............
W
W ..........................••--••.._....•-------•-•---•--•....._....•-•-•----•--••--•-----••-•---•-----........-•--------------•--•••-••-----•.......----•---......................-••--.....--•-.._......
x Nature of Repairs
-�T or Alterations—/Ans e whenapplicable 0 -----�: .. _ ... •X_ -- _..-------•-- ...
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 health.
Signed. ._.. °� 2=t �-. \ �
yp. V Date
Application Approved By............... - ---................................. .............9
U (Y Date
Application Disapproved for the following reasons--------------------•------------••------•------------------•----------------•--•--------••--•-......--..._•----- -
....-----•----•---------•--•-•---------------------------•--....---------.........---------•---•-•-----•-••-••---•--•----•--------•-••-------••-•------••--...........................................
Date
PermitNo......- = ..1�':.? ------------------- Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
737n .1A.2..........OF..:3%44. ... ..............................
CIrrtif iratr laf Tautphattre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
b /J 0 6_......i_- a tAd .----<- .t"�ri-4-------------------------•.----•--••---•--•---•---•--•------•--
Installer
at..........................-1--f�'---7-........G^214 --------��� �d�,. ........f
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 FUNCTIOP,SATISFACTORY.
DATE....................�.j...:...:. ......................................... Inspector..................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No.._,.....
.............
-.-- FEE.......... ...........
Disposal Workii. Tunitrudian erntit
Permission is hereby granted..........e LA*1.---,` �, .i.e_ ------------------------------.............................
to Construct ( ) or Repair (V) an Individual Sewage Disposal System
atNo---------------•--- ...------ v_........... . .... -------------------------------------
v Street
as shown on the application for Disposal Works Construction Permit No._ :S 7<� Dated..........................................
---------------------------•-- -----------------------------------------••-•---•---•---•-
DATE...................
C J Board of Health
= .�..----
Town of Barnstable
Regulatory Services
' r Thomas F. Geiler,Director
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
To: MCCARTIN,LAWRENCE M TR Date Tuesday,February 20,2007
THE KAMI TRUST
234 NESMITH ST
LOWELL MA 01852
RE:Underground Storage Tank at:
498 GRAND ISLAND DRIVE Ds Map Parcel: 070006
o�o— Tank NO: 01
Tag NO: 01101
Our records indicate that your underground fuel(or chemical)storage tank is over 30 years old,and has
not been removed as required by section 326-3: subsection 2 of the Town of Barnstable Code regarding fuel
and chemical storage systems.
You are directed to remove this tank within sixty(60)days from the date of this notice.
After your tank is removed, please furnish this office evidence in the form of a permit from your local
Fire Department within ninety(90)days of the receipt of this notice.
You may request a hearing provided a written petition requesting same is received by the Board of
Health within ten(10) days after this order is served.
Per Order of the Board of Health
Thomas A.McKean,RS,CHO
Health Agent
LY, �yY
1
. E ' Barnstable
Town of Barnstable
BARNqrABLX
RAS& Regulator Services Department
A
Public Health Division 2047
200 Main Street, Hyannis MA 02601 j
Office:508-862-4644 Thomas F.Geiler,Director
Fax:508-790-6304 Thomas A.McKean,CHO
Lawrence M. McCartin Trust
234 Nesmith Street
Lowell, MA 01852
RE: Underground Storage Tank at:
498 Grand Island Drive
Osterville, NIA',,
Map Parcel: 070006
Tank NO: 2
Tag NQ: 01101
Our records indicate that your underground fuel (or chemical) storage tank is over 30
years old, and has not been removed as required by section 326-3: subsection 2 of the
Town of Barnstable Code regarding fuel and chemical storage systems.
You are directed to remove this tank within sixty(60) days from the date of.this notice.
After your tank is removed, please furnish this office evidence.in the form o a pert a
from your local Fire Department within ninety(90) days of the receipt of thhils notic
You may request a hearing provided a written petition requesting same is r-e eived themer
Board of Health within ten (10) days after this order is served.
Per Order of the Board f Health'
C "�''�'"'`� Thomas.A:McKean, R , CHO
T- - - ��! G�:.'`¢ Health Agent
, q' �
Mako appiicutiOn to 10CAt Ftre 1PuPdrtment' i
Fire pepartnier2 tetalna original application and issues duplicate as Permit.
v �,a {
$ C 7r�<a vcYArl,
APPLICATION and P R 1T �ree: 25- -f
for storage tank removal and tray Aorta on to approved tank disposal yard in accordance wit'1 the provislons
of M.G.I..Chapter 148, 5jection 3i A, 527 � tv1Fi 9.00, application fa hereby made by:
s
Tamp Gwra«:r Name(0ea3e pr,a).isf t.'�i��� �::� � t!�
Address G_�`�1 ` i r _ •._i f-. r�. r ri-- y
l -
a
Company Name Tartk Removal Se_v :s— _--- ; co, or fmcfividu
Ft
1 :+ddrPEai� 56 Willow Ave, ,.-lis,MA j27301. r A. drv,,;
-- _. d S5
•�� y..�"
1
-of applying for permit) Signature(if appying f,cw permit)
r
fF I":ertftied Ot M N I�Gf'Certified !.g5 g Cit},Qr Y_ I
Tar*Locatlon
i
_'.ram.••-r. .. ..__...., -r-�._—.�—��..r.nwr.�.�� .. -
tartM Gapacfty(gaf)onsf Substance Last%ret" Home itzBtirig Oil �
t
Tank.Airnary�jonp(7;amatsr�r>entrar _ _, _ ` `-
r
Fir-n transporting waste Auto Body it; ecovery Mate Lic. 272
. .
MaxaMME waslia inanitest# ! j
J E.P.A.
I Town o 1 ai r5 t�1e
f
AAArcvCd lank disppsa)yard � Tanx yartl 4,
1ypA at inwh gas :ank yard a,.,lui',ss Flint St, Barnstable 1
f Ctty or Town _ Centex'v Ile _0.1920
—�- F=L71DM i�e:ris;itfs 1899 '
Date of issue Ma 29, 0�9 ►une (7,. 2�09
-- �-�_.w.._ Date of-expiralir n w._._
# C1i9 We approval number
l - - Di,Safe Toll Free?Te'..Number• 80U-?22- >s4w j
l� -
� Signature!Tilie of Officer granting pen,;(
TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
MAP NO. / PARCEL NO.
ADDRESS OF TANK: 408 Grand Island Drive Ovster Harbyal.LLAGE:
OWNER NAME: L A y} C �, AITIf N
INSTALLATION DATE:Q#lv6rll / l BYa f /�ft d��L 1 ?ff�l� i� ���•
INSTALLER ADDRESS: Z o ila644 AIIIASS
1
*TANK LOCATION: c� i o t (9 ..
Ipc L"OOAT x oN W I r" q&=05w T TO mU I LD 2 NO)
CAPACIT TYPE OF TANK -, 7 7- -4;/AGE / -/f YRS. FUEL/CHEM I=CAL .
:` TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE
LEAK DETECTION [ ] CHECK IF N/A� TYPE/BRAND
ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED [ ] YES [ C] NO DATE
CONSERVATION [ ]. CHECK IF' N/A DATE
BOARD: OF HEALTH TAG NO. [ ] DATE
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
�___.__.
.�, rJ
I
Town of Barnstable
oFTHe t Regulatory Services
Thomas F. Geiler,Director
Public Health Division
BARNSTABLE, Thomas McKean,Director
MASS. a
90� 1639, ,0� 200 Main Street, Hyannis,MA 02601
Phone: 508-862-4644 p
Email: health@town.barnstable.ma.us
Fax: 508-790-6304 r.
Office Hours: M-F 8:00—4:30
May 5,2009
Lawrence M. McCartin Trust RE: Underground Storage Tank Removal
234 Nesmith Street Order,'498 Grand Island Drive,Osterville,MA`
Lowell,MA 01852 Map Parcel: 070006
Tank#2,Tag#01101
Dear Mr.McCartin,
The Barnstable Public Health Division is in receipt of your request,dated April 24,2009, for an extension
to the time required to have the above referenced underground storage tank removed.
The Public Health Division appreciates your attention'to this matter and hereby grants an extension,for
the tank removal,of ninety(90)days.Therefore,the underground tank removal shall be completed by
September 12,2009. Should you have any further questions please contact Cynthia Martin of this office at
508-826-4645.
Mc an,RS.
Director of Public Health
L
Barnstable
Town of Barnstable
9$fA :
WS&L& Regulatory Services Department
Public Health Division 2007
200 Main Street, Hyannis MA 02601
Office:508-862-4644 __...__ _ _.Thomas F.Geiler,Director
Fax:508-790-6304 _... _. Thomas A.McKean,CHO
To: Date: April 1, 2009
Lawrence M. McCartin Trust
234 Nesmith Street
Lowell, MA 01852
o RE: Underground Storage Tank at: Ply
498 Grand Island Drive
Osterville,MA
Map.Parcel: 070006
Tank NO: 2
Tag NO: 01101
Our records indicate that your underground fuel (or chemical) storage tank is over 30
years old, and has not been removed as required by section 326-3: subsection 2 of the
Town of Barnstable Code regarding fuel and chemical storage.systems.
You are directed to remove this tank within sixty(60) days from the date of this notice.
After your tank is removed,please furnish this office evidence in the form of a permit
from your local Fire Department within ninety(90) days of the receipt of this notice.
You may request a hearing provided a written petition requesting same is received by the
Board of Health within ten (10) days after this order is served.
Per Order of the Board of Health
Thomas A. McKean, RS, CHO
Health Agent
aLC11Utence c176. cT cCaltln, 31. 2.
743 MAIN STREET
TEWKSBURY, MA 01876
TELEPHONE (978) 851-2340
FAX (978) 851-0558
- Afzw.i,e 24 2009
Town 0/ Bawnstagie
f2eguiato2y Sewv.icee Dzpawtment
Pugiic ffeaith Div.ia.ion
200 Na-in Stweet
f1!yann.iz, Na 02601
Attn: 7homa,3 A. f7cKean, RS, C110
flea-eth Agent
Re: Undewgwound Stowage lank at Map Pawczi: 070006
pl 498 gwand lziand D1iive lank No. 2
U,6 tea v.iile, Na 7ag No: 01101
Deaw S.iw;
A�tew a telephone eonvewzat-ion with Cynthia Nawt.ia,. youw
dzzi.61-'ant, I we,6/2ect)euiiy ,zequezt an extenz.ion of the t.ilme to"waver
the wemovai o/ the o.ii tank at my paopewty. 7h.iz .iz due to vai.ioit'%
advew�se cond.it.ionz .in my z ituat.ion that I d.izcu�szed with V7.iz,6 wt rz
that Nwee.�ude,3 me )ewom eom igt.ing th.iz izwo ject �y the date. et .Zat��rd
notice, ool 60 day. 1wom date o/ notice.
-, �t
S.incewe
Lawwence f7 NcCawt-in, N. D.
LNNcNl mz
I ..
Barnstable
DWI Town of Barnstable
; Regulatory Services Department
69. Q D
Public Health Division zoos
200 Main Street,Hyannis MA 02601
Office:508-862-4644 Thomas F.Geiler,Director
Fax:508-790-6304 _ Thomas A.McKean,CHO
To: Date: April 1, 2009
Lawrence M. McCartin Trust
234 Nesmith Street
Lowell, MA 01852
RE: Underground Storage Tank at:
498 Grand Island Drive
Osterville, MA
Map Parcel: 070006
Tank NO:.2
Tag NO: 01101
Our records indicate that your underground fuel (or chemical) storage tank is over 30
years old, and has not been removed as required by section 326-3: subsection 2 of the
Town of Barnstable Code regarding fuel and chemical storage systems.
You are directed to remove this tank within sixty(60) days from the date of this notice.
After your tank is removed, please furnish this office evidence in the form of a permit
from your local Fire Department within ninety(90) days of the receipt of this notice.
You may request a hearing provided a written petition requesting same is received by the
Board of Health within ten (10) days after this order is served.
Per Order of the Board of Health
Thomas A. McKean, RS, CHO
Health Agent
Food Application
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5 M E A Q
No. 2-153LON
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