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Home My WebLink About0016 BRAMBLE PATH - Health 16 BRAlVIBLEI PATH MAP/PARCEL4063046 f� 25 n5 VYI I U A `J F fjJ No..................... r. �t ---- Fps.....2 s THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH TLt!!L...... OF........t?aX4t......................................................... Appliration for Bispnsal- ,arks Toustrurtiun Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: /..��if � .h.. �.f , r ,ea��f._ Lz=-------------- Location-Address or Lot No. .............................................. /o_. �� r Owner Address A,, staller Address �rp� Type of Building Size Lot_ a--Sq. feet ►-� Dwelling—No. of Bedrooms.___.__.-_.'............................Expansion Attic (41) Garbage Grinder (441) Other—Type of Building _______________ No. of persons....... Showers a YP g ------------- P ( ) — Cafeteria ( ) Otherfixtures -•-•-•---•--------------------••-•••------------•---••.•-•-------------------------•---- I ..................................... W Design Flow____._______�,J'...................gallons per person per day. Total daily flow.................t-�.................gallons. WSeptic Tank—Liquid capacityl©a gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter................_... Depth below inlet_ ..______ ._. Tota leaching area..................sq. ft. Z Other Distribution box (cir Dosing tank ( /110 ` 1- - d`-7 -7• f f- 77 /1'..Percolation Test Results Performed by.... . tgt3- e1-_____________________________________ Date_ _.. ____.............. W Test Pit No. 1................mmutes per inch Depth of Test Pit.................... Depth to ground water........................ GZ4 Test Pit No. 2................minutes per inch Depth of Test Pit............._...... Depth to ground water........................ Rai ..........................................................A........._>.�.._ -------------ram Description of Soil S - * �A U !ft & W x •-•---•---•----•------------••-•-••-------•---••-•-•---•-••---___._••••---••-•---•--•----••----•••------------•---------•--------••------•--••----'------•--•-•-----•--•••••-'•-••--•--------'---_-_-- V Nature of Repairs or Alterations—Answer when applicable.............................................l,.................................................. 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 f Si nedf =-------------- ......... Application Approved B Date Date Application Disapproved for the following reasons:-------•••••----•--••---••-•'---•--------•-------------•----------------•-----------'•----•----'----____....---- ........................... .. i'.1 "- `- Date PermitNo......................................................... Issued-.-- --'- ----------------- Date �No..61 .................... Fim......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH 'Of.00 ...........OF...... .........C> 4t .. .. ... ............!...................................... Appiliration for Disposal Works Tonstrurtion rumit Application is hereby made i6r a Permit to Construct or Repair an-'Individual Sewage Disposal System at: ........... ,4"-4 ............ ............................................... .............. k7w�w-s L t' Address a rA%- 0.r.�o' No ...................... .-.Zee, ............................................................ Owner / � _.605�................4� 4 ddress.............................................. ......... ......... ----- nstaller Address love Type of Building Size Lot!0.�*__.--------.�j...Sq. feet U Dwelling—No. of Bedrooms---..._..%Y'._'%.........................Expansion Attic Garbage Grinder Other—Type of Building ------------------- No. of persons............................ Showers Cafeteria Other fixtures ......................... ----------------*---------------------------------------------------------------- ---------------------------------- Design Flow............... .. ......................gallons,,pe`r",,,person per day. Total daily flow.................YS40..................gallons. WSeptic Tank—Liquid cape acitve��t!'.gallons L�'ngth................ Width..._._........._ Diameter.-.--- --------- Depth................ Disposal Trench—No. .....................:Width_...._.............: Total Length..................... Total leaching area....................sq. ft.: Seepage Pit No---------- ------ Diameter.................... Depth below inlet..... Tot lea ingg�aj . ..................sq. ft. Z Other Distribution box (4-1— Dosin at Percolation Test Results Performed by. __i.. "14o -------------------------------------- Date./2 k...�7;� ........................ Test Pit No. I................minutes per inch Depth of Test Pit________-------____- Depth to ground,water____........_._...._.... Test Pit No. 2................minutes per inch Depth of Test Pit__._._..._....._.... Depth to ground water........................ ......................................................... ......;V& 0 Description of Qil.... . . .... tit .. .... ---------------------------- � ... .. ._ ---A.! 7-------- ......................... .. ..... ......................... X .............. ............................ U ............................... ........................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable-----------------................................................................ ........... .............................. ...................................................................... ..................................................... ............................... Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T IE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i!sFd by the boar� ........ ............................... S"gne ---------- Date Application Approved By.....14, ........ ----------------------------- ... ---- ---------Date Application Disapproved for the following reasons:............................................................................................................. ..................... ........................................................................................................................................ Date Pernih,No..............:........................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... .................OF......... ................................. ......... C.rdifiratr of Toutpliatta T"IT.0 CERAFY T at the ridividual S/w, DisVosa1_Sy9(em constructed or Repaired 10, y bi.... ...... ..... . ...... .. .... .. ta Her ----�e- -4?e at......................... ............... . . ......................................... ....... ........------------ has been installed in accordance with the provisions ns of of The State Sanitary Code as scriled in the --- .................................. application for Disposal Works Construction Pi��Af�*11IIA--�-;i..""�ll,��T ..........0.�P ................... dated-- 7 20, F THIS CERTIFICATE NOT BE CONSTRUED AS A GUARANTEE THAT THE TAE ISSUANCE 0 F1 SYSTEM WILL FUNCTION SATISFACTORY DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4- ................. 7 o 1—tf^. .I................OF........ ........................................ ...... FEE.12.S�............... tiff Disposal 11 W Plermissionj is—k&reby granted%V..., ........... ....... ....... ............ to C epairO)jm Individu ewage ,s s tern at 7W..... -- ---------- .. . . . .................. N Cons 011 C., Yr 0�_Utc;� _? org treet as shown on the app lication for Disposal Works Construction PVrt)it No./,I-. 4 Dated.... .. .... ........................ -,DATE.. r- rd a' It ... .... . .7d,................ Boa l -----FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 4. I Town of Barnstable O�'THE T Regulatory Services Thomas F. Geiler,Director Public Health Division BARNSTABLE, Thomas McKean,Director. MASS. �A �Qp 1639. 200 Main Street, Hyannis, MA 02601 ' ArFD MA.I A r Phone: 508-862-4644 Email: health@,,town.bamstable.ma.us C /�py Fax: 508-790-6304 (()JOffice Hours.: M-F 8:00—4:30 �% May 5,2009 Jeffery G. and Rosemary Adler RE: Underground Storage Tank Removal 16 Bramble Path Order, 16 Bramble Path,Marstons Mills,MA Marstons Mills, MA 02648 Map Parcel 063046 Tank# 1,Tag#01283 Dear Mr. and Mrs.Adler: The Barnstable Public Health Division is in receipt of a copy of the tank removal Application and Permit issued by the Centerville-Osterville-Marstons Mills Fire Department demonstrating that the above referenced underground storage tank had been removed in calendar year 2005. The Public Health Division appreciates your attention to this matter and has updated its data base to reflect this fuel tank status change. Should you have any further questions please contact Cynthia Martin of this office at 508-826-4645. T omas cKean,R Director of Public Health 0 i „ - * Barnstable SA.RNsCABLE, Mp Town of Barnstable 1639. Regulatory Services Department zooz Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Date: April 1, 2009 TO: Jeffrey G. &Rosemary Adler 16 Bramble Path Marstons Mills, MA 02648 RE: Underground Storage Tank at: 16 Bramble Path Marstons Mills,MA Map Parcel: 063046 Tank NO: 1 Tag NO: 01283 Our records indicate that your underground fuel (or chemical) storage tank is over 20 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 Oil Tank Page 1 of 1 Martin, Cynthia From: Adler, Rosemary [RAdler@ifaw.org] Sent: Monday,April 27, 2009 11:15 AM To: Martin, Cynthia Subject: Oil Tank With regards to a 60 day removal notice we received last Monday, I immediately brought the paperwork documenting our 2005 removal of the underground tank to your office. You were on the phone,and an associate graciously made copies of my paperwork and said you would leave us a phone message confirming receipt. My husband returned the next day, and was told the same thing. We appreciate the hectic nature of your position and just request a quick email response for our files confirming that all is now in order and our property file is properly updated. Than you in advance. Jeffrey/Rosemary Adler 16 Bramble Path - Marstons Mills, MA 0264e, 508428-3875 radler@ifaw.org --------------------------------------------------------- DISCLAIMER: The International Fund for Animal Welfare works to improve the welfare of wild and domestic animals throughout the world by reducing commercial exploitation of animals, protecting wildlife habitats, and assisting animals in distress. IFAW seeks to motivate the public to prevent cruelty to animals and to promote animal welfare and conservation policies that advance the well-being of both animals and people. This transmission is intended only for use by the addressee (s) named herein and may at -"A �.,� 4/28/2009 07/28/2005 23: 05 5088332630 NORTHSIDE LAND CONST PAGE 01 Make application to locai Fire Department. o`pR�, i� Fire Department retains original application and MUMS dwpllcate ae Permlt. R ,� � iN . wo o' A��. �41� a�xii�z�zG C�.a"r C��s r+rce4 - I#C& CA44 Jf ,1C APPLICATION and PERNI[�' for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M:G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: • Tank Owner Name(please print) Jeff Adler X Igoe fe ,F apptytng fof pemltt Address 16 Bramble Path, Marstons Mi 1 F; MA 02648 Street G1ry State op CampanyName Enviro—Sate Corp.Pant Co.or Individual ! S Front Address 14B Jan Sebastian Drive Address_ Sandwich, MA P"nt ant SignaturQ lying r per Signature(if applying for permit) 0 IFCI•Certlfled Other [0 IFCI Certified ❑ LSP# Other MM Tank Location 16 Bramble Path, MArstoWs Mills, MA Ste91Ad *.. it — Tank Capacity(gallons) 500 Substance Last Stored #2 o i l Tank Dimensions(dlameter x length) Remarks; Firm transporting waste Enviro—Safe Cor State Lic,# MA#329 Hazardous waste manifest# MAM84986o E.P,A.#_ MAC300001617. Approved tank disposal yard_Turner , Inc lank yard# 002 Type of inert gas Tankyard address . 235 commercial Street 1 '-L nn MA City or Town Marston$ Mi11a FDID# 01920 PermR# NI A Date of issue 7/ .g/ 005 Date of ex Iratlon '8/t f)(15 p �31�_ Dig safe approval number; 20053010237 Dig Safe Toll Free Tel. Number-$00-322-4844 Signature/Title of Officer granting permit After removal(s)("Consumptive Use"fuel oil tanks exempted)send Form FP-2908 signed by Local Fire Dept,to U,5T Regulatory Compliance Unit, Departrient 0 Fire ger*es, P.&.8ox1025,State Aoad,Stow,MA 01775. "Intematlonal Fire Code Institute FP•292(revised 4/97) Enviro-Safe Corporation Invoice No. 8505 14B Jan Sebastian Way Sandwich, MA 02563 508-888-5478 fax 508-888-9093 INVOICE - Customer Name Jeff Adler Date July 29, 2005 Address 16 Bramble Path PO# City Marstons Mills State MA ZIP 02648 Rep Heather Atwood Phone FID# 04-3023355 Qty Description Unit Price TOTAL PROJECT LOCATION DATE i 16 Bramble Path July 28 Marstons Mills 1 Pumping; Cleaning, Removal and Disposal of $1,795.00 $1,795.00 500 gallon UST(underground oil tank) 0 disposal of residual oil $0.48 $0.00 1 Fire Department Fee $25.00 $25.00 �1 cv— MASS HAZ FEE SubTotal $1,820.00 Payment Details Insurance Fuel Surcharge $109 2020 O Cash O Check Q Visa Mastercard TOTAL $1,929.20 Name _ CC#_ _ Office Use Only Expires Thank you! <.T,he..Commonwealth of Massachusetts Department of Public Safety 527'CMR 4.00 Form i Application for Permit, Permit, and Certificate of Completion for the Installation or Alteration of Fuel Oil Burning Equipment and the Storage of Fuel Oil Centerville, Osterville, Marstons Mills 71, `y li (City or Town) (Datel Permit #'s: FD Elec. FDID #: 01920 Fee Paid: $/� U Owner/Occupant Name: \ice ,, Tel.#: � - �- r Installation Address: Serviced Floor or Unit #: ❑Heating Unit ❑Dom tic Water Heater ❑Power Vent ❑Other Burner: ❑New sting ❑Location: Trade Name: Mfg:. Type: Model# or Size: Nozzle Size: uel Oil ❑Kerosene ❑Waste Oil Storage Tank: Qoew p Existing Location: �i ? Type: f Capacity: , gallons No. of Tanks:_ Special requirements (or additional safety devices) ❑OSV Valve ( 11 Line Protected ❑Sheet Rock ❑Sprinkler AFUE: pies p no EF ❑yes p no (Furnace and Boilers) (Water.he .ter) Co. Name:.,Son l npl R en,6 t Tel.# Address: .�l'>, 92 S City: Zip: 4 _ Completion.Date: Combustion Test: Gross Stack Temp.: Net Stack Temp: CO2 Test Breech Draft: Smoke: Overfire Draft: Efficiency Rating %: I, the undersigned certify that the installation of fuel burning equipment has-been made in accordance with M.G.L. c. 148 and 527 CMR 4:00 currently in effect. Furthermore, this installation has been tested in accordance with such requirements, is now in proper operating condition acid complete instructions as-to its use and maintenance have been furnished to the person for whom the installation (or alteration)was made. Installer: ri Print Name Cert of Comp. # Signature (no stamp) Address: ,� '✓ j /1' ; Ci � � Once signed by the fire department, this is a PERMIT for the storage and use of oil burning equipment. Approved by: VA, ��,�S�P-tet Date: (j-- a,:� REFER TO CHECKLIST ON REVERSE SIDE Form Distribution: White: Fire Dept. (Application) Yellow:.Installation(Permit To Store) Pink: Installer (Permit To Install) This form approved by the State Fire Marshal and provided:courtesy of,the Mass.Oil Heat Council. Form design in NCR by Cotuit and COMM Fire Depts. 41 1_`', 1 .{� not C-w toc- - i G Enviro-Safe Corporation Proposal Environmental Services w 14B Jan Sebastian Drive Sandwich, MA 02563 (508) 888-5478/Fax(508) 888-9093 Mr. Jeff Adler RE: 16 Bramblepath Underground Storage Tank Removal & Disposal Marstons Mills, MA 02648 SAME Ph#(508)428-3875 DATE REQUISITIONER DATE OF INSPECTION INSPECTED BY: PROPOSAL TERMS 07/15/2005 J. Adler 07/13/2.005 R, Fratus 30 Days DESCRIPTION UNIT PRICE Proposed Costs for Excavation, Removal and Disposal of Underground Storage Tank ENviRo-SAFE will utilize a backhoeand OSHA operator, OSHA trained crew, utility truck (w/tools, poly, equipment and PPE) and vacuum truck to conduct the following scope of work: 1. Town of Marstons Mills(Fire Department permitting and,coordination for inspection of tank 2. Excavation of(1) 500-gallon Underground Storage Tank. 3. Pumping and disposal of up to residual oil/pumpable sludge (if any) 4. Transportation and disposal of UST to a licensed tank yard r 5. Backfill to grade Enviro-Safe will complete the above scope of work including labor and equipment for the following contract price: • Labor, Materials and Equipment $ 1,795.00 • Pumping and disposal of residual oil $ 0.48/gallon • Town of Marstons Mills Fire Department Permit Fee $20.00 • Fuel & Insurance Surcharge 6% Note: • Should Enviro-Safe Corporation encounter contaminated soil in the area of the tank additional cost may apply. • Relocation of Utilites is an additional charge. • This price quote is valid for a period of(30) days. Send all correspondence to: Memo: Dear Mr.Adler, Enviro-Safe Corporation - Please sign and fax this proposal back to our office 14B Jan Sebastian Drive as soon as convenient. We need to have your Sandwich, MA 02563 approval to proceed in order to schedule. Please call if you have any questions. Thank You, �a� Heather Atwood 4eto Adlerust/share/prop/july05 07/26,/2005 TUE 09:22 FAX 0 001 r TX REPORT x�e TRANSMISSION OK TX/RX NO 0453 CONNECTION TEL 915088889093 SUB—ADDRESS CONNECTION ID ST. TIME 07/26 09:22 USAGE T 00'17 PGS. 1 RESULT OK I Commonwealth of Massachusetts Department of Public Safety 527'CMR 4.00 Form 1 Application for Permit, Permit,and Certificate of Completion for the Installation or Alteration of Fuel Oil Burning Equipment and the Storage of Fuel Oil Centerville, Osterville, Marstons Mills (City or Town) (Datel Permit#'s: FD Elea. FDID #: 01920 Fee Paid: $�� Owner/Occupant Name: ,i /" � ,� Tel.#: ��, �, �- Installation Address: sbv, 117)�1,e Serviced Floor or Unit #: ❑Heating Unit p D7xisting stic Water'Heater ❑Power Vent p Other Burner: ❑New ❑Location: Trade Name: Mfg: ae: Model# or Size: Nozzle Size: uel Oil ❑Kerosene ❑Waste Oil Storage Tank: 121vew ❑Existing Location: Type: „ '�� Capacity: `�,� ` gallons No. of.Tanks: Special requirements (or additional safety devices) ❑OSV Valve �Wli Line Protected p Sheet Rock ❑Sprinkler AFUE. ®des p no EF.❑yes p no (Furnace and Boilers) (Water.he ter) Co. Name: 3otal,A. * R 4L 661 ( Tel.# ( � `� 6 Address: 1'1,� --� City:., L 1%, Zip: 8,z. Completion.Date: Combustion Test: Gross Stack Temp.: Net Stack Temp; CO2 Test Breech Draft: .Smoke: Overfire Draft: Efficiency Rating %: I, the undersigned certify that the installation of fuel burning equipment has been ma&in accordance with M.G.L. c. 148 and 527 CMR 4:00 currently in effect. Furthermore, this Installation has been tested in accordance with such requirements, is now in proper operating condition and complete instructions as to its use and maintenance have been furnished.to the person for whom the installation (or alteration)was made. Installer: �i �: 162S'l Print Name Cert of Comp. # Signature(no stamp) Address: - r �. city9 Once signed by the fire department, this is a PERMIT for-the storage and use of oil burning equipment. A roved b h �w, , PP y: �r t }�fi 1R ; Date: REFER TO CHECKLIST ON REVERSE SIDE Form Distribution:White: Fire Dept. (Application) Yellow:.lnstallation (Permit To Store) . Pink: Installer(Permit To Install) This form approved by the State Fire Marshal and provided.courtesi of,the Mass.Oil Heat Council. Form design in NCR by Cotuit and COMM Fire Depts._ r 1 .I F �1�-. `�( u.F1.C, ci I ;�` J IV 1,1996 fVl IBC i1� 4 tVJ �Y1- 11 1�, i .;r 4 U�''; �1 c1 4 ter' j L. c--� / �z' L o F�tiJ ,L a 7- �J =- M• 35-7 - 1041 jN . r � 1 rE s r A� /. /Q J �•-�� po HOLE \ \\� � �. 9s /VQ � E/�C'C,(1/?' TES-7 A10LE ESU /- 7TS PEA T0W/`/ TZECoeDS .SCl--?L E_ T o I:✓ 1✓A T E )2 /.S Al 0"-' A V A / L F3 T,' L E /Al S P ,+ !f /\-7 / n// /-7U/ D/2 / VEw�I% �/ OT To 3E L0CA ? ED l� � O � OSED 8ED2oo/�-/S OVE ,z-:> M :_ E_sS DES/G� FLO Dq f-1- >0 DES / GN LOFaD /AJG /S USED pkoPoSED SEEPT'1C' SS-'S 7-E 1-7 CONST UC' T/ Q /�/ S'/ /f?/- PERCOt_ F-?T TEST , C O/,-/F O B /v1 _T O /-1 F? S S E nl V/Z O n/M E /`-' T f' 4- C'O D E y DF9TE D jr-UL-y /, /977 IgIVD 7-06✓N OF /eESULTTg / 'IAJOI-� ; 'l� s"✓ �L NEF� L7-H �EGULH T/ O/�JS' S/LL ELEV 70 Bc'> T F;501/E .eD. ,-1, PR O F l .L ,E 2 70 .J. S tiF D 7-OP of �-x�.5'�i�r:� 7— y P / � � ,L. 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