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HomeMy WebLinkAbout2910 FALMOUTH ROAD/RTE 28 - Health E§i Falmouth Road (Rte�28) nsMills 22 --613 �1` Town of Barnstable �FZNE Tp�� Regulatory Services Barnstable Thomas F. Geiler,Director A"mericaClty * BA MASS.LE, M = Public Health Division 9 ASS. 039. 3�A Thomas McKean, Director 2007 g 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 9, 2010 Re: 2910 Falmouth Road, Marstons Mills To Whom It May Concern: Received a call-from former-tenant, Jennifer Johnson, stating there were problems with the house. Whenever she:moved furniture there was always mold and mildew behind the furniture.. on the wall. She stated she and'the landlord had a good relationship. She just wanted Health'to be aware of the problem. She also stated there were CO detectors in the house. Ellen Wadlington t j r. M fs CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT 1875 ROUTE 28 CENTERVILLE, MA 02632 (508)790-23801FAX#(508)790-2385 OIUHAZARDOUS MATERIAL RELEASE FORM j F.A.#� 3 ( � LOCATION: f ADDRESS OF RELEASE: 2910 FAtmou k R o,, DATE OF RELEASE: ip/2o - i 2om,j PRODUCT RELEASED:* r..e L art_ ESTIMATED QUANTITY:! +�.1.. CORRECTIVE ACTION TAKEN.BY RESPONSIBLE PARTY: I 4 LP/. !}J !% 1 X i3� /L�t ✓� � �/�'�tl��fiR��, •-y 91w�� �� NOTIFICATIONS: FIRE DEPARTMENT: YES(VKNO( ) DATE: TIME: NATIONAL RESPONSE CENTER YES(K NO( } GATE:%/ TIME: DEPT. OF ENVIRONMENTAL PROTECTION YES ( ) NO( ) DATE: TIM D+sp, OIL SPILL COORDINATOR: YES( ) NO( ) DATE: TIME: TOWN BOARD OF HEALTH: YES( ) NO( ) DATE:TIME TOWN HARBORMASTER: YES( ) NO( ) DATE:________TIME,,____ OTHER AGENCIES: n � COMMENTS: Cyr. A i�A-e-A c 2 Nlei'(� �i�_ J`/t+l•�z C�,L.� , ( fin {-•t- 'dn.)J. .t -- .r9 r . v REPORTED BY: 4T. 6OL--1 C • %ss —4tAATE: WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY480ARD OF HEALTH C-O-MM FORM 958 1- I i TOWN OF BARNSTABLE LOCATION �—/- ��ZF� SEWAGE # in ff VILLAGE — A� SESSOR'S LtAP & LOT Zm INS'rALLER'S NAVIE & PHONE NO. SEPTIC TANK CAPACITY • I LEACHING F ACILITY:(typz:)O (size) NO. OF BEDROOMS PRIVATE-WE.LL OR PUBLIC WATER BUILDER OR OWNER /"I GLuivn �'✓ ___ DATE PERMIT ISSUED: 7 7- .d DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes Nu�� i �r r It 9e► O r -;#- -4 THE COMMONWEALTH OF MASSACHUSETTS ........... _ BOARD OF HEA T -lawA .........OF............ --------------------------- Apphration for Elispaiial Workii Tomitrurtion Frrutit 4 Application is hereby made for a Perin* t ct pl,,R,-pair, an Individual Sewage Disposal SystMem at: L..,27.......... .................................................................................................. ocation- ddress or Lot No. y........ ...........iZ .................................................................................................. ow r Address a. ..... ........ ...... ----------------------------------- -------------------------------------------------------------------------------------------------- Installer Address PQ Type of Building Size Lot............................Sq. feet Dwelling�wo. of Bedrooms______________t? ..................Expansion Attic Garbage Grinder ( ) 2-------- P4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) Otherfixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width___............. Diameter.___.__..._..... Depth_..__........... Disposal Trench—No..................... Width____..........._.... Total Length..................... Total leaching area....................sq. f t. 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------------------------- Test Pit No. 2.........:......minutes per inch Depth of Test Pit........_....___.... Depth to ground water..---______---__________ a ............................................................................................................................................................. 0 Description of Soil..................................... ....... �4 ---------�r------------------------41------------- --------------------------------------------------- ...................................................................... ­-.2f—------- ....... . U ------------------------------------------------------------------ W Z ...........................................------------------------------------------------........................._............................ U Nature of Repairs or Alterations—Answer when applicable___________________/ . .................... ...........I--------......................................................................................................1=41- .7........................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b issued b he oar o'f heal A/ 1-17 ............ Sign,- /0... ....��Y...................... ............Date.......... ApplicationApproved By................ ..... ------------------------------- ......... Date Application Disapproved for the following reasons:.............................................................................................................. ......................................................................................................................................................................................................... Date PermitNo......... ......................... Issued....................................................... rate r ; r Fr,R,a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA , T /.(l I OF............e ... ��.... -------------•----•---•------ Appliratiou for Uis wi al Works Tomitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal syst f .-r�•� ----......../ � ..0 -- ---- ---- ---- ---- ----- ---- Location- ddress off. or Lot �o. ow-Ar Address Installer Address Q Type of Building Size Lot............................Sq. feet U Dwellin o. of Bedrooms_____________ .Expansion Attic Garbage Grinder A4 Other—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........................................ 1.4 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_______________________- ----------------------------------------••--•------•-----•-••--••--•--------------------......---•-•......................................................... O Description of Soil..................................... t................... -----------••--- ---••••--•••-••----••-••---........................ ----••-•-•-•-----------------•---••-•---•--••-••=••---••-••---------•---•----------•-••-••-•••••-•••------•--•-•---•-••-•......-••-••---•--••-•••--•••�- . UNature 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 TT .E y g g p y 5 of the State Sanitary Code— The undersigned further reel not to lace the system in operation until a Certificate of Compliance has been issued b the ��of heal,h. / Signed�.4��. -...%� -----•---••---•--•--•-- ..........................� 7 Date Application Approved By---•- -V_. ; �`_=.... ....... = Date Application Disapproved for the f ollouiing reasons________________________________________________________________________________________________________________ ---------------------------•-•-••--------•--------------.......--••--•---------------------•----------....-----•---------------------------------•--.................................................... Date PermitNo..........-.:1.= '-------------------------- Issued_....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA H TrrfifirFa#r of Tautpliaurr THY I yTO RTIFY, -hat the Individual Sewage Disposal System constructed ( ) or Repaired (4 1-""' by L at.. ��,��/�� ---------- � l� r i�--- � has been installed in accordance with the provisions of TITtE5 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 FUNCTION SATISFACTORY. DATE................... ............................... Inspector.......... •------ --- --------------•------------------ --------- THE COMMONWEALTH OF MASSACHUSETTS BOARD 00 HEALf'H OF....... �' -o•u��c. %Lam'/ ........................... 11' EALTH- No.... � FEE.--�'......:.......... Molins""ork oustr. ion amit Permission is hereby granted 1-d>� i✓. G�% .................................•-.................--- to Construcyt ,^� or Re air an In ua Se ra o_s "stem at No. F/ 1 �........ . --••- street as shown on the application for Disposal Works Construction Permit No.�Z'je...... Dated............................. -------------------------- ------------ --_• Board of Health DATE................. ......................-•--........... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS