HomeMy WebLinkAbout0127 CAMMETT ROAD - Health 1 R _
4 ` 127,Cammett Road
,
r
,A_,07,8,t °
°.`Marstons Mills
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you ,
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is to
required by law. CD
DATE: �a Fill in please:
' r � APPLICANT'S YOUR NAME S: /wCFS LAM Mon
h 7�
� � 5� BUSINESS YOUR HOME ADDRESS: /�Z C t- • /JCS ,mot S cap
�w 4
ILIP TELEPHONE # Home Telephone Number 57 - 3�0 O3 9
NAME OF CORPORATION: /--D c-e Inlo,IA Nov G,�F- 1 N C-
NAME OF NEW BUSINESS TYPE OF BUSINESS ivnn.
IS THIS A HOME OCCUPATION? YES NO
ADDRESS OF BUSINESS ,2 MAP/PARCEL NUMBER 999 OW (Assessing)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING CO MISSIO R'S OFFIC MUST COMPLY WITH HOME OCCUPATION
This individ al e irRforrTTe of ny er it re it ments that pertain to this type of business. RULES AND REGULATIONS, FAILURE TO
COMPLY MAY RESULT IN FINES.
qut on Si atu e*
NCO M N : -
4 O
2. BOAR OF(IALTH
This individual has been informe o e i uirements that ertain to tIQ t� � ulsYn �H-ALL
p p HAZARDOUS�MATERIALS REGULATIONS
Authorized Signature*
COMMENTS: SN011vinD]18 SIVIN31dW Sf104aVZVH
7M�� OVVVJ 1J
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
,.., TOWN OF BARNSTABLE Date: //,4//g
OXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF'BUSINESS:
BUSINESS LOCATION: A" US INVENTORY
MAILING ADDRESS: ( - Ca— . �,�° TOTA UNT-
TELEPHONE NUMBER: 50 D 0-')`,i
CONTACT PERSON:
EMERGENCY CONTACT TELEPHONE NUMBER: 3o2 MSDS ON SITE?
TYPE OF BUSINESS: n, /Vvc •ten v C.- 14"IdS C406
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 material 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) Miscellaneous Corrosive
❑ NEW ❑ USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
❑ NEW ❑ USED (insecticides, herbicides, rodenticides)
L L Gasoline, Jet fuel,Aviation gas
Photochemicals (Fixers)
Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED
Miscellaneous 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 Miscellaneous Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt& roofing tar PCB's
Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,
Lacquer thinners (including carbon tetrachloride)
❑ NEW ❑ USED Any other products with "poison" labels
(including chloroform, formaldehyde,
5(,,'L Paint&varnish removers, deglossers hydrochloric acid, other acids)
Miscellaneous. Flammables Other products not listed which you feel
Floor&furniture strippers may be toxic or hazardous (please list):
Metal polishes
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 Applicant's Signature Staff's Initial
COMPLETE • OMPLETE THIS SECTIONON DELIVERY
A Complete items 1,:2,and 3. A. Sign ture
■ Print your name and address on X
the reverse ❑Agent
so that we can return the card to you. � ` 11 Addressee
0 Attach this card to the back of the maiiplece, Received by( ri ted Name) C. Date of Delivery
or on the front if space permits.
1:_Article_Addressed to: D.-Is de[Wiryaddre ifferent from item 11 ❑Yes
If YES.enter delivery address below: [3No
j Scott E DUharme
127 Cammett Road
,Mar9tons Mills, MA 02648
I
II IIIIIII IIII IIIIIII lII III II I'lll II II I�II I IIh 3. Service Type 0 Registered
Expresso
❑Adult Signature O Registered Mai1�
❑Adult Signature Restricted Delivery. ❑Registered Mail Restricted
O Certified Mail® j Delivery
9590 9402 2480 6306 7773 36 ❑Certified Mail Reslt6ted.Dellvery 13 Return Receipt for
❑Collect on Delivery Merchandise i
O Collect on Delivery Restricted Delivery El Signature Confirmati6nTM
15 1730 0 0 01 4 9 9 0 2748 1 . ❑Insured Mail ❑Signature Confirmation
O insured,Mail Restricted Delivery Restricted Delivery
(over$600)
Ps Form,3811,July 2015 PSN 7530-02-006-9053 Domestic Return Receipt
LISPS TRACKING#
First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
9590 9402 2480 6306 7773 36
N United.States •Sender—Please print your name,address,.-O'd ZIP+4®in this box*
I Postal ServiEP
I
'Town of Barnstable
Health Division
200 Main Street
Hyannis, HA 02601
I
I
I
TOWN OF BARNSTABLE
LOCATIONa J& SEWAGE # n
VILLAGE 4and ?Zl/l r ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.�,�`�rCl�1�
SEPTIC TANK CAPACITY �II� �L
LEACHING FACILITY:(type)� (size) G
.NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER J
BUILDER OR OWNER ('°.L�
DATE PERMIT ISSUED: 9' /G - � g
DATE COMPLIANCE ISSUED: 9' 17
VARIANCE GRANTED: Yes No
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Town of Barnstable
"MASS.
69 ' Regulatory Services
�p i �
Public Health Division
Thomas McKean, Director
200 Main Street,Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790=6304
April 26, 2017
Scott E. Ducharme
127 Cammett Road
Marstons Mills, MA 02648
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS, NUISANCE CONTROL REGULATION NO. 1
The property owned by you located at 127 Cammett Road Marstons Mills, MA was
inspected on April 26, 2017 by Timothy B. O'Connell, R.S., Health Inspector, because of
a complaint.
The following violations of the Town of Barnstable Board of Health Regulations, Chapter
54 Building and Premises Maintenance were observed:
.454-2. Building and Premises Maintenance. Observed large amount of appliances;
scrap metal; and other assorted debris stored on said property not within enclosed
structure.
You are directed to correct the violations within fifteen (15) days of receipt of this
order letter by either moving items into enclosed structure or removing them from
property.
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.
Please be advised that failure to comply with an order could result in a fine of$100.00. Each
day's failure to comply with an order shall constitute a separate violation.
PER ORDER OF THE OARD OF HEALTH J
a c ean,
Director of Public Health
Town of Barnstable
CERTIFIED MAIL: 7015 1730 00014990 2748
Q:Health/orderletters/refuse/1127 cammet road 4-26-17.doc
Citizen Web Request / Page 1 of 2
Logged
I Citizen Request Management Tuesday,April 182017
TOWN\
TOwN\oconnonnelt
ROUte to Users Search Requests Create Requests
Request Information
Request ID: 58718 Created: 4/14/2017 9:05:30 AM C
Status: Assigned To Staff Assigned To: O'Connell,Timothy
Health Office
Anonymous: No Request Category: Chapter 54-5 : Rubbish and
Garbage edit
Routine work: No Estimate: NO edit
Date scheduled: edit
Estimated 4/28/2017 Change Estimated Mar April 2017 May
Completion Completion Date:
Date: Sun Mon Tue Wed Thu Fri Sat
26 27 28 29 30 a1
�v 2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
23 24 25 26 27 28 29
30 1 1 2 1 3 4 5 6
Created By: Sousa,Vanessa Priority: Medium edit
Health Office
Citation Numbers: edit
Requestor Information .
Requestor
Request Parcel Map: r07-8 Block: 046 Lot:
Reporting a"junk" Number
yard. Says there are 11
cars,4 RV's,and pile of Parcel Lookup
trash.
Email:
Edit Requestor Information
Track Request Progress
Request Work History: -Internal Note History:
http://issgl2/internalwrs/WRequest.aspx?ID=58718 4/18/2017
20. 00
No.... S. .�? F.Es..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
.............. own--....... ...OF..................13arns.t.a.bl.
ApplirFatiou for Dispas al Works Cfuao ur#ion '"amit
Application is hereby made for a Permit to Construct ( ) or RepairXan Individual Sewage Disposal
System at:
127 Cammett Road Marstons Mills .
................_--.............................................................................. ••••••••••--._...•••......._..........-•-••••-•-•--•-•-........--••••............---•••--•--•••---
Location-Address or Lot No.
J..X..Cur 1 eI..............
Owner Address
aJ.P.Macomber -------••-----------------------------•-------•----------•--------........---.....................
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwellings No. of Bedrooms...........2..............................Expansion Attic ( ) Garbage Grinder ( )
'W Other—T e 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 ( )
aPercolation Test Results Performed by.......................................................................... Date.--------------------------------------
,a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...--....--------.--._..-
(i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................--......
9 •--------•-------------------------•----••-------•---------.........•-•-•-------.........•••..-----•.........................................................
ODescription of Soil........................................................................................................................................................................
xS and.... ...Grave 1...••••-------------------------------•------------------------------------•---•-•---------------•-
U
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------------------------
.......................................1.-.1-0.00...gallon...p.i t.....--•--•-•--•-•-----------1--10 0 0...Qa 11 o n.... ank-----------------..........••----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
TT�Y^
the provisions of 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 begi issued y}tc e b rd of he th.
lJ
Signed --- --_.. !r 7 ��. L� '.............••• •--•---9/16,(8......
Date
Application Approved By.............. '^^� - ..' -._...._.._..........._.. -------- -
Date
Application Disapproved for the following reasons-----------------------•--------•-------------------------------------------------------------------------------
......................................................-...................................................................................................................................................
Date
�ormit No.. �d g � Issued
Late
-I. Fim
$ 20.00
—`` THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..----- ..-.Town. .............OF..................Barnstable-------------..........................
A lirFation for Bio osal Works Tonstrurtion V arait
Application is hereby made for a Permit to Construct ( ) or Repair tX:kXan Individual Sewage Disposal
System at:
127 Cammett Road Marstons Mills.
-•..............----------•---.......---•--...--------•--•--------........._................_... -•----•----•-----••---••..._..._....-•----•--•-•----••••-•--•--------------•---•-----•-••---•-•---
Say Curley
Location-Address ...........................................
•-•.----or Lot No.
Owner Address
W J.P.Macombe.r
Installer Address
UType of Buildin Size Lot............................Sq. feet
Dwellin7lNo. of Bedrooms---........2..............................Expansion Attic ( ) Garbage Grinder ( )
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..................... Diameteri...............--. Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Perform7d by.......................................................................... Date........................................
Test Pit No. 1................minutes,per inch Depth of Test Pit.................... Depth to ground water.......-......------,..-
Gi, Test Pit No. 2................minutes Per inch Depth of Test Pit-------------------- Depth to ground water------------------------
.....................-----------------••------------•--........••--••--.........---••••--•--............-------••--••_.....--•-•-----•-•-•--------•......--••--•-•--•-----•--•---
ODescription of Soil.................................--------------•-•- ------------...--------------------------------------•-•---------------------------------•-------......
x Sand & 'Gravel
----------------------------------------------•--•--••..--•---
W
--------------------------------------------- -----
------------------------------•--------------------------------------------------------------------------------------------------...._.._...---
U Nature of Repairs or Alterations—Answer when applicable.---------------------------------------------•.....----.-............---.--..-•----•---.------.
1--1000 gallon it. 1-1000 gallon tank
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'TILL i of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be/j' issued by the board of
health.
-fila =I,----l----
Signed..
9/16/68
r , . :
Date _..._
Application Approved By............. �./ .. �.,�--�-.... --......... �,- -u
�+' � Date
Application Disapproved for the following reasons:------•--------•------•---------------------•----------•------------------------•------•.......................
----------------------------••----•---------•---•--...---•--•---•--------•----.........--------------•----•--•-•-•••••-•-•----------•---•-••--•--••-----------••-••----•-•---••------------••••---•••---
- Date
PermitNo........ ...................... Issued.......................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
..........................................OF..................................... .............
Tntif iratr of Tontph anrr
THISJISPTQ CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired gX�X
acom �er
by..........................................................................................................
......--•-----•-----------•---•---------------•---•--------.......---••---•-••------•.....
In t ler
127 Cammett Road Marstons M1 S .
at..............................................................................................................
has been installed in accordance with the provisions of Ti I T'L�- 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.......i5-l..... .. ..tj..... dated-_............................................
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................... 0.. JA.....W. ........................... Inspector...................... ...�.------------------------------••--------••-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town Barnstable
.........................OF..................................................................................... $ 20.00
No.... '.sR....�.U.� FEE........................
Rsjtoj a�.Fork Tonfrnrtion rrntit
e� er
Permission is hereby gr X......................co m--- ----er--------------------------------------------------------------------------------------------------------
to Construct 4 7 o6 Re.piet I�oadI Mars ons'aI ills . System
atNo........................................................................................................ -----------•---•-••--•----•-••--•••-•-----.._......---------•--...----•••--...........
Street
as shown on the application for Disposal Works Construction Permit Not�r._�2..fv.... Dated..........................................
�-`------------------------------------------•---------------
DATE.................7.':;.4=-'-.g.e.................................... Board of Health
FORM 1255 HOSES & WARREN, INC.. PUBLISHERS