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0160 OST.-W.BARN. RD - Health
160 OST RN ID R6ster`.ViIIe; A 120 - 051 — 001 TOWN OF BARNSTABL5? LOCATION lbl'17 �k 9,44A ADIrSEWAGE # VILLAGE_n-5�F, R U I. 1 JE ASSESSOR'S MAP & LOT /26 - O-Sl INSTALLER'S NAME & PHONE NO. & Of SEPTIC TANK CAPACITY. O V LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATER BUILDER OR OWNER YO U-F f R A DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No !l q�5 D go r ' COMPLETE •N COMPLETE THIS SECTION.N DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. en ■ Print your name and address on the reverse. ❑Addressee so that we can return the card to you. Re ived by(ZnedNa C. to of elf ry ® Attach this card to the back of the mailpiece, b or on the front if space permits. l D. Is delivery address different from item 1? ❑Yes I1. Article Addressed to: If YES,enter delivery address below: No - 3c:V i John V ieira h i i 1,75 Hickory Hill Circle , •'` ,0sterville,MA 02655�� � 3. Service Type g_Ce tified Mall [3Express Mail Registered J"etum Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes I 2. Article Number (Transfer from service IabeQ j f i l 7 0 O 6` 0 8'Of x 0 0 0 0 =3 5 2 5 16',5 2 8 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-154C r? UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid a LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • 'x'owii of Barnstable ii ' Q Rea Division ` �j 200 Main Street �d�nnls r 1141111,11,114 if off.1�{�a,11-fl.1fill{11114 1111111111 I , �ZFtE T� �,. Town of Barnstable "'ASS " Regulatory Services Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 2, Q Fax: 508=790-6304 2, September 30, 2011 John Vieira J 175 Hickory Hill Circle Osterville, MA 62655 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION. The property owned by you located at 160 Osterville/West Barnstable Road was inspected on September 26, 2011 by Timothy B. O'Connell R.S., Health Inspector for the. Town of Barnstable in accordance with Chapter 170 of the Town of Barnstable. The following violations of the State Sanitary Code were observed: 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. The bulkhead was observed to have cracks at the interface where it meets foundation and is not weather tight. This may be reason water was observed within basement. Mold like growth was also observed on walls within said basement. 105 CMR 410.550(B): Extermination of Insects, Rodents and Skunks. Mouse droppings were observed basement. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by repairing or replacing-bulkhead so it is weather tight; by exterminating any rodents within dwelling . You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance could result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director.of Public Health Town of Barnstable CERTIFIED MAIL# 7006 0810 0000 3525 6528 Q:Health/Order letters/Housing violations/160 ost west barn 9-30-11.doc r . TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out Owner Tenant f-` Address (75 �I"'— Address f&0 6 Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water FacilitiesV I'll •G= 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits tno i 13. Installation and Maintenance of Structural Elements e c 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed(max) Number of Persons Allowed (max) Person(s)Jnntterviewed Inspector b\T.-, -A If Public Building such as Store or Hotel/Motel specify here t; ate:C)'/c5�Z/OfOg TOWN OF BARNSTABLE S4� > n� �cortis TOXIC AND rRDOUSN ERIALS ON-SITE INVENTORY NAME OF BUSINESS: BUSINESS LOCATION: .S eL j( P C, �_ ^� INVENTORY MAILING ADDRESS: 5 (? TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: L • 0401 c EMERGENCY CONTACT TELEPHONE NUMBER:Ls� ) MSDS ON SITE? TYPE OF BUSINESS: �c-+ � /cd�.(�c �2►� ,._�12toi l��ca�-,C'F' INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous,waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) i Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, W\ Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS n , p ' Town of Barnstable Regulatory Services ' � WE �► Thomas F.Geiler,Director 22 { Public Health Division * q Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email:health(a-),town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 April 20, 2005 Dear Business Owner/Operator: This letter is to inform you in advance of an upcoming visit to your establishment by the Town of Barnstable Health Department,Hazardous Materials Specialist. The purpose of coming to your business is to take inventory of all hazardous materials stored, generated,handled and disposed of on-site. The Hazardous Materials inventory is a routine function of the Public Health Division required by the Town of Barnstable Ordinance,Chapter 108:Hazardous Materials;-the 310 Code ©f1VIassachiisetts RiY&Nti&fs Section 30:.Hazardoi s Vasle;Regnfat ons aiid tfie federal` Emergency Planning and Community Right to Know Act(EPCRA). Copies of these laws.are . available for your reference at the Town Offices. The essential functions of the Hazardous Materials Specialist are as follows: • Inventory types and quantities of hazardous materials at business establishments. • Enforce Town Ordinance and State Codes'in regards to proper storage,handling and disposal methods of hazardous materials. • Educate workers and business owners regarding proper storage,handling and disposal of hazardous materials. • To assist businesses with regulation compliance through on-site inventory recording, information packets, guidelines and referrals. • Perform site inspections to ensure conformance with the regulations mentioned above. The Public Health Division will conduct a hazardous materials inventory site visit during the week of May 2—May 6. If you wish to schedule a specific day and time for your site visit; have any questions,or need further information,please do not hesitate to contact Alisha L.Parker, Hazardous Materials Specialist at(508) 862-4645,or myself,at the Public Health Division(508) 862-4644. Thank you in advance'for your time and cooperation. Sincerely, Thomas A. McKean,R.S.,CHO Director of Public Health Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Old Cape Village Fax: Corp Name: Mailing Address _.... Location: 160 Osterville-W Barnstable,Osterville Street: po box 513 ............................ ....._... ......_.... ......... ......... ........... .._ .... . ..._.... mappar: City: Contact: Gleison da Silva State: Ma Telephone: '508-420-1535 Zip: 02655 Emergency: 508-775-6859 Person Interviewed: Gleison da Silva ................._........................ ..._... Business Contact Letter Date: 4/20/2005 _....r......._..............._._....................... ...................:_......._.................................. Category: Painters/Strippers Inventory Site Visit Date: 5/12/2005 ....... 5 ....,..,._.....0 Type: Follow Up/Inspection Date: ❑ public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - ❑ on-site sewage ❑ indoor on-site syste ❑ outdooronsite system date ._...... 5/12-alp Not a big business yet,when they do a project,they buy compliance: enough for the job and leave the supplies with the owners upon Satisfactory departure. Do not have materials or stock on site where the business is located.They do not store any hazardous materials. Advised Gleison to contact health department if they expand and grow and begin storing haz mat so they can have an inventory count. f• Page 2 Town of Barnstable-Health Department i HAZARDOUS MATERIALS INVENTORY Chemicals: d❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more Waste Transporter: Fire District: Last HW Shipment Date Waste Hauler Licensed: No t 4r Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Old Cape Village Fax: ...... ,a, Corp Name: Mailing Address Location: 1160 Osterville-W.Barnstable,Osterville Street: po box 513 r......_.... __........... ........... mappar: City: Contact: iGleison da Silva State: Ma Telephone: 508-420-1535 Zip: 02655 Emergency: 508-775-6859 Person Interviewed: Gleison da Silva ..............._... ..----__.._._.._.. Business Contact Letter Date: 4/20/2005 ......... __..._.._... Category: 'Painters/Strippers Inventory Site Visit Date: 5/12/2005 Type: Follow Up/Inspection Date ❑ public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir — ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ............................................_... . 5/12-alp Not a big business yet,when they do a project,they buy compliance: enough for the job and leave the supplies with the owners upon Satisfactory departure. Do not have materials or stock on site where the business is located.They do not store any hazardous materials. Advised Gleison to „ contact health department if they expand and grow and begin storing haz mat so they can have an inventory count. A• • • t Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: d❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more Waste Transporter: Fire District: r Last HW Shipment Date: Waste Hauler Licensed: No `, f 4 • i / aa -- THE COMMONWEALTH OF MASSACHUSETTS AMoRD BOARD - OF HEALTH ftra wo CW=rMonCcparbeem TOWN OF BARNSTABLE Dispam it Application is hereby made for a Permit Construct or Repair ( ) an Individual Sewage Disposal System at: f/ � - - ----------------------- .._.._........._.... ©g.�e /r l Ge6fon-Address or Lot No. ^ ..-- ------------�- -b___.......................................................•------------._ .....---•-------•-••-------•-----•---•--------•----...-----------..._.._..............---.._---.. Ow r1 Address WS�A9U ,lV� _p4 -------------------------------------- ---------------------------------------------------------------------------------- Ins Ikr Address Type of Building Size Lot. . _�6.J.....Sq. feet Dwelling—No. of Bedrooms..__..-...3-----------------------------Expansion Attic ( ) Garbage Grinder (4--K aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures .......................... W Design Flow............................................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. Seepage Pit No--------------------- 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_-___-__________--____-. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .............................................-............................................................................................................... ODescription of Soil----------------------------------------------------------------------------------------------------.....................-............................................ x U ....--•••--••---•-•••-•---•-•-•-•----•------•-•----------•-•------•-------••------------------•----•--------•----•-----------------•-•••-----•--------•---•..._........................................ W x ----••-•-•------------------------•------•------•--••-••------•-•---•---•---•-----------------••--••----•--•-•---•.........------•----••-•-----------•--••----•---•...•------•-••---------------------- V Nature of Repairs or Alterations—Answer when applicable..-___--____,lr, ,&-___-;�----.--_�s�,.-/----�d_.;7- -—................... ----------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliant has been issuedky the d of health. Signed .....--- --- ......................----------------- Date Application Approved By --- )Z4,11,3_- - 1. Da[e�.. --- Application Disapproved for the following reasons: .........------------------------....................................................................................................... ................................----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ........................................ Dale PermitNo. ...........?.a`Z............ ��. �J -------------_--- Issued -----------.....................................--------a...--.. Date No._a-,Pl THE COMMONWEALTH OF MASSACHUSETTS BOARD, OF HEALTH TOWN OF BARNSTABLE Alp Aril .� trttftlan for DisvosaLIEVoirks Tutuitrurtion Prrutit Application is hereby made for a Permit Construct (� ) or Repair ( ) an Individual Sewage Disposal System at: �Y l /1o6�tton-Address or Lot No. .. — — . ......................................... .............................................. --•-••----------------------•---.............•--- Own z Address v � r------------------------------------ � Inst ller Address / d Type of Building Size Lot.....—--b_�_____Sq. feet Dw4ling—No. of Bedrooms..........2�____________________________Expansion Attic ( ) Gar" age Grinder a4 Other—T e of Building No: of ersons____________________________ Showers —Type g ----------------- P ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------•--•------------------------------------------------------•-•----•-••--•------------..._....--------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid ca.pacity............gallons Length..:............. Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet..................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I.....:..........minutes per inch Depth of Test Pit..................... Depth to ground water........................ fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 •---------------------------------------------------------------------------------•----..._...---••-........................................................ 0 Description of Soil----------------------------------------------------------------------------------------------------------------------------=-----------------------------•------------ x w x --------------------------------------------------------------------------------------------------------------------------------------------•---•------------••----•--------•--•--•--------------------- U Nature of Repairs or Alterations—Answer when applicable............. -ka-----..�__-------�F"' �_._.�l. ------------------ ----------------------------•---.....---...--------••-----••-------------------------.......-----------------•-•----------------------------•-••-•------------------ ( ------------......-•---•---- Agreement: i>-. .� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate-of Complianc as been issued by the b of health. Signed ----.. .... . ...lei:!-...... .------• .... ......... ................... Date ApplicationApproved By ------- ,�. ------------------------------------ ----------------------------------------------- -------f -_ l f -�--2 Application Disapproved for the following reasons- ------------------------------------------------------------------------------------ ....................... ---------------------- - ------------------------- ------------------------------------------------------------ .----................----------------------... .........---------- ............................ --. --- PermitNo- ------------�?. -..-.. ................ Issued .................................................. ---- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fer#if rate of (gontyliance 1 THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (��) by...........................��.r .... `' ,� ...---........----------- ---- --. ----------------------...-----------.....................................----------. -------. Installer at ................ ✓1 _t�L�t l�, )_n=; lk ------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 f The State Environmental 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 FUNCTION SATISFACTORY. DATE "..�-.�. ......... ------ Inspector ------------- .----------------------....------............----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No....IA-..�1.. FEE... ���.......... Dispasal Works Tonstrndion amit Permission is hereby granted........... -r ........ •---•.................................................................. to Construct ( ) or Repair S�<)-an Individual Sewage Disposaf System at No.............. . 'In..---....... �-==�--- -t1.tut.-I-t........J.b's" �✓��� �Q�......&k...----.�Wit!'°d!-t't'g(............ Street �y _ ,as shown on the application for Disposal Works Construction Permit No... a _ Dated.......................................... ................................. ........................................................... � --.•.....-----•..------ Board of Health DATE........-•..............•---.. ...--=y --- V FORM 3850E HOBBS&WARREN.INC..PUBLISHERS TOWI4 OF BARNSTABLE' ,! LOCATION /® ® 'SEWAGE # VILLAGE ASSESSOR'S MAP LOT /.2®a i INSTALLER'S NAME & PHONE NO. o cis, SEPTIC TANK CAPACITY 0 i ! LEACHING FACILITY:(tgpe)� (size) NO. OF BEDROOMS PRIVATE WELL ORrPU1LIC WATER BUILDER OR OWNER ,.`jam r� J�' l -� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED:__ R,2,�..a ' VARIANCE GRANTED: Yes x +._ Not f4 FLO j, �� 1: qx ,