HomeMy WebLinkAbout2910 FALMOUTH ROAD/RTE 28 - Health E§i Falmouth Road (Rte�28)
nsMills
22 --613
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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
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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:
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COMMENTS: Cyr. A i�A-e-A c 2 Nlei'(� �i�_ J`/t+l•�z C�,L.� ,
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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
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TOWN OF BARNSTABLE
LOCATION �—/- ��ZF� SEWAGE #
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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��
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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
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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