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HomeMy WebLinkAbout0498 GRAND ISLAND DRIVE - Health 498� BRAND ISLAND"DRIVE �OsterviTYe ;; , oA = 070`— 00`6 C s 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 �" �WC�4tciv� — G�'14►2a�-� Ll Q �/`Gw tQ7�U Pee ca,�' f-J- x TOWN OF BARNSTABLEA LOCATION0a SEWAGE #lk 7z 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 i � - �i �� •, 6 j 2� ✓v, _ a �1.�� 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 i 5 M E A Q No. 2-153LON UPC 13134 smaad.com s Misdo In USA SUSTAINABLE FORESTRY INITIATIVE Certified Fiber Sourcing MANN�IflptOgre10.0t0