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Home My WebLink AboutCRAIGVILLE RETREAT CTR - FOOD Craigville Retreat Ctr, 208 Lake Elizabeth Dr. Centerville :Z26- oq� Town of Barnstable BOARDBAT. OF HEALTH man Board of Health Donald A.Gaudagnoli,M.D. BARMWABM _" F.P.(Thomas)Lee,. MA&8 Daniel Luczkow,M.D. Alt. 200 Main Street, Hyannis, MA 02601 Phone: (508) 862-4644 Fax: (508)790-6304 www.townofbarnstable.us Permit to Operate a Food Establishment In accordance with regulations promulgated under authority of 105 CMR 590.000 M.G.L. Chapter 94 Sections 305A, 30513, 146, 189 and 189A; Chapter 111, Sections 5 and 127A, a permit is hereby granted to: Permit No: 277 Issue Date: 01/01/2022 DBA: CRAIGVILLE RETREAT CENTER OWNER: CHRISTIAN CAPE MEETING ASSOCIATION Location of Establishment: 208 LAKE ELIZABETH DRIVE CENTERVILLE„ MA 02632 Type of Business Permit: FOOD SERVICE Annual: YES Seasonal: Indoor5eating: 160 OutdoorSeating: 0 Total Seating: 160 FEES FOOD SERVICE ESTABLISHMENT: $300.00 YEAR. 2022 RETAIL FOOD: COTTAGE FOOD OPERATION: Permit Expires: 12/31/2022 B&B-FULL BREAKFAST: CONTINENTAL BREAKFAST: MOBILE-FOOD: MOBILE-ICE CREAM: FROZEN DESSERT: Thomas A. McKean, RS, CHO, Health Agent FOR ESTABLISHMENTS WITH SEATING: PERMIT IS NOT VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALER LICENSE Restrictions: S *1ur-Oftice-Use Only:Initials:= �'�'�.� Town of Barnstable I Inspectional Services • • 1639. Public Health Division h -120�10 a Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office, 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT DATE'2- 1-7 Z NEW OWNERSHIP RENEWAL Z NAME OF FOOD ESTABLISHMENT: C rW b VJ L R eJ r-eon¢- CZVU4 t- ADDRESS OF FOOD ESTABLISHMENT: I a L-od�-2 EA(ZwK>gk 'D'- ,, C. ey,' ery* MA`A O Z6 J Z MAILING ADDRESS(IF DIFFERENT FROM ABOVE): / I fO5 /'t V2, V< II• , E-MAIL ADDRESS: CELL t b V I; l Ul v cx�R . O L!� TELEPHONE NUMBER OF FOOD ESTABLISHMENT: S( 69 )Z 7`J - f 2.6 S TOTAL NUMBER OF BATHROOMS: WELL WATER: YES NO ... (ANNUAL WATER ANALYSIS REQUIRED) ANNUAL: Y SEASONAL: DATES OF OPERATION: / / TO NUMBER OF SEATS: INSIDE: OUTSIDE: TOTAL: SEATING: MUST OBTAIN A COMMON VICTUALLER'S LICENSE FROM LICENSING DIV. ***OUTSIDE DINING REMINDER*** OUTSIDE DINING MUST BE APPROVED BY THE HEALTH DIV.AND LICENSING AND MEET OUTSIDE DINING REQUIREMENTS. IS WAIT STAFF PROVIDED FOR OUTSIDE DINING? Q0 IS AN AIR CURTAIN PROVIDED AT WAITSTAFF SERVICE DOOR(S)? lV 0 TYPE OF ESTABLISHMENT: (PLEASE CHECK ALL THAT APPLY BELOW) ✓FOOD SERVICE RETAIL FOOD-ONLY required for TCS foods(foods requiring refrigeration/freezer) BED&BREAKFAST CONTINENTAL BREAKFAST COTTAGE FOOD INDUSTRY(formerly residential kitchen) , MOBILE FOOD FROZEN DAIRY,DESSERT MACHINES :.. (MONTHLY LAB ANALYSIS REQUIRED) CATERING ... (CATERING NOTICE REQUIRED BEFORE EVENT(SEE PAGE#2) *** SEASONAL,MOBILE & NEW FOOD ONLY*** REQUIRED TO CALL HEALTH DIV.FOR INSPECTION PRIOR TO PERMIT BEING ISSUED PLEASE CALL 508-862-4644 Q\Application FormsTOODAPP 2020.doc 0 OWNER INFORMATION: II FULL NAME OF APPLICANT MCA GUCAVac Z� SOLE OWNER: YES/NO D.O.B OWNER PHONE # 56& _ 5 Z�S ADDRESS CORPORATE OWNER:C� \S\lam CORPORATE ADDRESS: 31 Vco5eeo- Afit, CWAU U&l , 02S)-j PERSON IN CHARGE OF DAILY OPERATIONS: List (2) Certified Food Protection Managers AND at least(1) Allergen Awareness Certified Staff All FOOD ESTABLISHMENTS must have 1 Certified Food Protection Manager PER SHIFT. **ATTACH COPIES OF CERTIFICATES** The Health Div. will NOT use past years' records. You must provide new copies and POST THE CERTIFICATES at your food establishment. Certified Food Managers Expiration Date Allergen Awareness Expiration Date 2. Lawr-k Q.C,,CA► VC 15,2ro �✓z �7/ 2oz` 2,"'. IGNATURE OF APPLICANT DATE ***FOOD POLICY INFORMATION*** SEASONAL FOOD SERVICE: All seasonal food establishments, including mobile trucks must be inspected by the Health Div. prior to opening!! Please call Health Div.at 508-862-4644 to schedule your inspection. Please call at least(7)days in advance. FROZEN DAIRY DESSERTS: Frozen desserts must be tested by a State Certified lab prior to opening and monthly thereafter, with sample results submitted to the Health Div. Failure to do so will result in the suspension or revocation of your Frozen Dessert Permit until the above terms are met. CATERING POLICY: Anyone who caters within the Town of Barnstable must notify theTown by fax or mail prior to catering event. You must complete a catering notice found at https//www.townofbarnstable.us/healthdivision/api)lications.asi). OUTDOOR COOKING: Outdoor cooking,preparation,or display of any food product by a food establishment is prohibited. NOTICE: Permits run annually from January 1 st to Dec. 3 1"each calendar year. IT IS YOUR RESPONSIBILITY TO RETURN THE COMPLETED APPLICATIONS)AND REQUIRED FEES BY DEC 1st. Q:\Application FormsTOODAPP REV3-2019.doc r Town of Barnstable BOARD OF HEALTH John T.Norman k Board of Health Donald A.Gaudagnoli,M.D. artk�� Paul J.Canniff,D.M.D. 200 Main Street, Hyannis, MA 02601 F.P. Thomas Lee Alternate Phone: (508) 862-4644 Fax: (508)790-6304 www.townofbarnstable.us Permit to Operate a Food Establishment In accordance with regulations promulgated under authority of 105 CMR 590.000 M.G.L. Chapter 94 Sections 305A, 305B, 146, 189 and 189A; Chapter 111,Sections 5 and 127A, a permit is hereby granted to: Permit No: 277 Issue Date: 01/01/2021 DBA: CRAIGVILLE RETREAT CENTER OWNER: CHRISTIAN CAPE MEETING ASSOCIATION Location of Establishment: 208 LAKE ELIZABETH DRIVE CENTERVILLE„ MA 02632 Type of Business Permit: FOOD SERVICE Annual: YES Seasonal: IndoorSeating: 160 OutdoorSeating: 0 Total Seating: 160 FEES FOOD SERVICE ESTABLISHMENT: $300.00 YEAR. 2021 RETAIL FOOD: COTTAGE FOOD OPERATION: Permit Expires: 12/31/2021 B&B-FULL BREAKFAST: CONTINENTAL BREAKFAST: MOBILE-FOOD: MOBILE-ICE CREAM: FROZEN DESSERT: Thomas A. McKean, RS, CHO, Health Agent FOR ESTABLISHMENTS WITH SEATING: PERMIT IS NOT VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALER LICENSE Restrictions: i f For Office Use Only: Initials: ti Town of Barnstable c� Date Paid L 1� AmtPd$ J�� AB Inspectional Services Check# 1�� ,p )qj MASS. `I-f o�� I 1 i639. `0 Public Health Division ArFD MAC� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT DATE �� t'7 ZO NEW OWNERSHIP RENEWAL J NAME OF FOOD ESTABLISHMENT: C;rctl 5 - 1��+r2ak eAkf r ADDRESS OF FOOD ESTABLISHMENT: 109 LLt.�Le. ,-11zad}h Drive t cawrUl1�� MAILING ADDRESS(IF DIFFERENT FROM ABOVE): 39 1Pro5?ecf Ag , Cevt4ervALt AA 01-63 2,,)( E-MAIL ADDRESS: Cray%W(g(d UC C R .o r4 TELEPHONE NUMBER OF FOOD ESTABLISHMENT: CSO& 775- tZ6 TOTAL NUMBER OF BATHROOMS:_), WELL WATER: YES NO ...(ANNUAL WATER ANALYSIS REQUIRED) ANNUAL: V1 SEASONAL: DATES OF OPERATION: 1 / ( /Z1 TO 12-/ 31 / 2 NUMBER OF SEATS: INSIDE: kk— OUTSIDE: TOTAL: 1 &0 SEATING: MUST OBTAIN A COMMON VICTUALLER'S LICENSE FROM LICENSING DIV. ***OUTSIDE DINING REMINDER*** OUTSIDE DINING MUST BE APPROVED BY THE HEALTH DIV.AND LICENSING,AND MEET OUTSIDE DINING REQUIREMENTS. IS WAIT STAFF PROVIDED FOR OUTSIDE DINING? J V 6 IS AN AIR CURTAIN PROVIDED AT WAITSTAFF SERVICE DOOR(S)? TYPE OF ESTABLISHMENT: (PLEASE CHECK ALL THAT APPLY BELOW) FOOD SERVICE RETAIL FOOD-ONLY required for TCS foods(foods requiring refrigeration/freezer) BED& BREAKFAST CONTINENTAL BREAKFAST COTTAGE FOOD INDUSTRY(formerly residential kitchen) MOBILE FOOD FROZEN DAIRY DESSERT MACHINES ...(MONTHLY LAB ANALYSIS REQUIRED) CATERING ...(CATERING NOTICE REQUIRED BEFORE EVENT(SEE PAGE#2) *** SEASONAL,MOBILE & NEW FOOD ONLY*** REQUIRED TO CALL HEALTH DIV.FOR INSPECTION PRIOR TO PERMIT BEING ISSUED PLEASE CALL 508-862-4644 Q:1Application FonnsTOODAPP 2020.doc OWNER INFORMATION: FULL NAME OF APPLICANT Q J Gard SOLE OWNER: YES/NO D.O.B 0 ZO OWNER PHONE# SOS —7 7 C, ✓d2 6,R � ADDRESS 3'� F ro4 per+ Ale-_ . r e Vl f er�y ii��,�.;-M— /� 0 G 3 2 .� , CORPORATE OWNER:I hrlstia raIMP N��FiyU �1SSOUGL�cdyl �CC/�{�� CORPORATE ADDRESS: 3 I �(� 2 CF �V � Cieok4V A 4� HA OZG 3 2 PERSON IN CHARGE OF DAILY OPERATIONS: 'jQz� act4&r. List(2) Certified Food Protection Managers AND at least(1)Allergen Awareness Certified Staff All FOOD ESTABLISHMENTS must have 1 Certified Food Protection Manager PER SHIFT. **ATTACH COPIES OF CERTIFICATES** The Health Div. will NOT use past years' records. You must provide new copies and POST THE CERTIFICATES at your food establishment. Certified Food Managers Expiration Date Allergen Awareness Expiration Date L. joa (Ao r8w / 1- 1.70 4t GQ.6 ay- l 2 / 13 / 2,5 12. /Z3 -WZD GNATURE APPLICANT DATE ***FOOD POLICY INFORMATION*** SEASONAL FOOD SERVICE:All seasonal food establishments,including mobile trucks must be inspected by the Health Div. prior to opening!! Please call Health Div.at 508-862-4644 to schedule your inspection. Please call at least(7)days in advance. FROZEN DAIRY DESSERTS: Frozen desserts must be tested by a State Certified lab prior to opening and monthly thereafter, with sample results submitted to the Health Div. Failure to do so will result in the suspension or revocation of your Frozen Dessert Permit until the above terms are met. CATERING POLICY: Anyone who caters within the Town of Barnstable must notify theTown by fax or mail prior to catering event. You must complete a catering notice found at http://www.townofbarnstable.us/healthdivision/applications.asp. OUTDOOR COOKING: Outdoor cooking,preparation,or display of any food product by a food establishment is prohibited. NOTICE: Permits run annually from January 1 st to Dec.3I't each calendar year. IT IS YOUR RESPONSIBILITY TO RETURN THE COMPLETED APPLICATION(S)AND REQUIRED FEES BY DEC 1st. Q:\Application FormsT00DAPP REV3-2019.doc oF.r�rq� TOWN OF BARNSTABLE HEALTH INSPECTOR'S Establishment Name: I Date: Page: of OFFICE HOURS PUBLIC HEALTH DIVISION 800-9:30A.M. BARNSTABLE. ` 200 MAIN STREET 3:30-4.30 P.M. Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date Verified .Ass. MON.-FRI. 9�01to Mn+a�Oi HYANNIS,MA 02601 soa-as2 4saa No Reference R-Red Item PLEASE PRINT CLEARLY FOOD ESTABLISHMENT INSPECTION REPORT �3 " wtCS s ,J1 ' Name 1 (� Date 1 Type of T f Inspection , d ,. n ^ y] Routin -��1 -� aaa Address t0v Risk Food Se Re-inspection Level Retail Previous Inspection Telephone Residential Kitchen Date: Mobile Pre-operation C Owner HACCP Y/N Temporary Suspect Illness Caterer General Complaint Person in Charge(PIC) Time Bed&Breakfast HACCP yly ° ,.� (� C��✓�C�= D Q In: Other Inspector Out: Each violation checked requires an explanation on the narrative page(s)and a citation of specific provision(s)violated. Violations Related to Foodborne Illness Interventions and Risk Factors(Red Items) Anti-Choking 590.009(E) ❑ aA,� Ai 6,4- F Violations marked may pose an imminent health hazard and require immediate corrective Tobacco 590.009(F) ❑ Action as determined by the Board of Health. Allergen Awareness 590.009(G) FOOD PROTECTION MANAGEMENT ❑ 12.Prevention of Contamination from Hands - � ✓ .✓�C i V ❑ 1.PIC Assigned/Knowledgeable/Duties ❑ 13.Handwash Facilities G EMPLOYEE HEALTH PROTECTION FROM CHEMICALS ❑ 2.Reporting of Diseases by Food Employees and PIC ❑ 14.Approved Food or Color Additives ❑ 3.Personnel with Infectious Restricted/Excluded ❑ 15. Toxic Chemicals FOOD FROM APPROVED SOURCE TIME/TEMPERATURE CONTROLS(Potentially Hazardous Foods) Q(� ❑4.Food and Water from Approved Source ❑ 16.Cooking Temperatures ❑ 5.Receiving/Coridition ❑ 17.Reheating ❑ 6.Tags/Records/Accuracy of Ingredient Statements ❑ 18.Cooling ❑ 7.Conformance with Approved Procedures/HACCP Plans ❑ 19.Hot and Cold Holding PROTECTION FROM CONTAMINATION ❑ 20.Time Asa Public Health Control t'✓I ❑8.Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) ❑9.Food Contact Surfaces Cleaning and Sanitizing ❑ 21.Food and Food Preparation for HSP ❑ 10.Proper Adequate Handwashing CONSUMER ADVISORY 7� ` ❑ 11.Good Hygienic Practices ❑22.Posting of Consumer Advisories -- Violations Related to Good Retail Practices(Blue ltemsl Total Number of Critical Violations Critical(C)violations marked must be corrected immediately. (blue&red items) U Corrective Action Required: No Yes Non-critical(N)violations mu st be corrected Immediately or Overall Rating within 90 days as determined by the Board of Health. ❑ Voluntary Compliance ❑ Employee Restriction/Exclusion Re-inspection Schellfuleh Emergency Suspension C N Official Order for Correction:Based on an inspection today,the items o checked indicate violations of 105 CMR 590.000/Federal Food Code. Embar❑ 9 ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other: 23.Management and Personnel (FC-2)(590.003) This report,when signed below by a Board of Health member or its agent A=Zero critical violations and no more than 3 non-critical violations. F=3 or more critical violations.9 or more non-critical violations, 24.Food and Food Preparation (FC-3)(590.004) constitutes an order of the Board of Health. Failure to correct violations regardless of the number of critical,results in an F. 25.Equipment and Utensils (FC-4)(590.005) cited in this report may result in suspension or revocation of the food B-One critical violation and less than non-critical violations 26.Water,Plumbing and Waste (FC-5)(590.006) establishment permit and cessation of food establishment operations. If if no critical violations observed,4 too 6 von-critical violations=B. Seriously Critical Violation=F is scored automatically if: no hot 27.Physical Facility (FC-6)(590.007) aggrieved by this order,you have a right to a hearing. Your request must C=2 critical violations and less than 9 non-critical. If no critical water,sewage back-up,infestation of rodents or insects,or lack of s 28.Poisonous or Toxic Materials (FC-7)(590.008) be in writing and submitted to the Board of Health at the above address violations observed,7 to 8non-critical violation . If 1 critical refrigeration. 29.Special Requirements (590.009) within 10 days of receipt of this order. violation,4 to 8 non-critical violations=C. 30.Other DATE OF RE-INSPECTION: Inspector's nature Print: 31.Dumpster screened from public view W 4_� Permit Posted? Y N Grease Trap Previous Pumping Date Grease Rendered Y N PIC's Signature Print: #Seats Observed Frozen Dessert Machines: Outside Dining Y N Self Service Wait Service Provided Grease Trap Size Variance Letter Posted Y N Dumpster Screen? Y N Violations related to Foodborne Illness Violations Related to Foodborne Illness Interventions Interventions and Risk Factors(Red Items 1-22) and Risk Factors(Red Items 1-22) (Cont.) FOOD PROTECTION MANAGEMENT PROTECTION FROM CONTAMINATION PROTECTION FROM CHEMICALS 3-501.14(C) PHFs Received at Temperatures According to 1 590.003(A) Assignment of Responsibility* F 8 Cross-contamination 14 Food or Color Additives Law Cooled to 41°F/45°F Within 4 Hours* 590.003(B) Demonstration of Knowledge* 3-302.11(A)(1) Raw Animal Foods Separated from 3-202.12 Additives* 3-501.15 Cooling Methods for PHFs Cooked and RTE Foods.* * 19 PHF Hot and Cold Holding 2-103.11 Person-in-Chazge Duties - 3-302.14 Protection from Unapproved Additives Contamination from Raw Ingredients 15 Poisonous or Toxic Substances 3-501.16(B) Cold PHFs Maintained At or Below 41°F/45°F 590.004(F) EMPLOYEE HEALTH 3-302.11(A)(2) Raw Animal Foods Separated from Each 7-101.11 Identifying Information-Original Containers* 590.003(C) Responsibility of the Person-in-Charge to 7-102.11 Common Name-Working Containers* Other* 3-501.16(A) Hot PHFs Maintained At or Above 140°F 2 Require Reporting by Food Employees and Contamination from the Environment 3-501.16(A) Roasts Held At or Above 130°F * 7-201.11 Separation-Storage* Applicants* 3-302.11(A) Food Protection* 20 Time as a Public Health Control 7-202.11 Restriction-Presence and Use* 590.003(F) Responsibility of A Food Employee or An 3-302.15 Washing Fruits and Vegetables 3-501.19 Time as a Public Health Control* Applicant To Report To The Person In Charge* * 7.202.12 Conditions of Use* 590.004(11 -Variance Re uirements 3-304.11 Food Contact with Equipment and Utensils 7-203.11 Toxic Containers-Prohibitions* ) q 590.003(G) Reporting by Person in Charge* Contamination from the Consumer 3 590.003(D) Exclusions and Restrictions* 7-204.11 Sanitizers,Criteria-Chemicals* REQUIREMENTS FOR 3-306.14(A)(B)Returned Food and Rated or 7-204.12 Chemicals for Washing of Food* Produce,Criteria* HSP HIGHLY SUSCEPTIBLE POPULATIONS 590.003(E) Removal of Exclusions and Restrictions Disposition of Adulterated or Contaminated g ( ) Food 7.204.14 Drying Agents,Criteria* 21 3-801.11(A) Unpasteurized Pre-Packaged Juices and FOOD FROM APPROVED SOURCE 3-701.11 Discarding or Reconditioning Unsafe Food* 7-205.11 Incidental Food Contact,Lubricants* Beverages with Warning Labels* 4 Food and Water From Regulated Sources 9 Food Contact Surfaces 7-206.11 Restricted Use Pesticides,Criteria* 3-801.11(B) Use of Pasteurized Eggs* 590.004(A-B) Compliance with Food Law* 4-501.111 Manual Wazewashin Hot Water 7.206.12 Rodent Bait Stations* 3-801.11(D) Raw or Partially Cooked Animal Food and 3-201.12 Food in a HermeticallySealed Container* Sanitization Temperatures* Raw Seed Sprouts Not Served* P 7-206.13 Tracking Powders,Pest Control and 3-201.13 Fluid Milk and Milk Products* 4-501.112 Mechanical Warewashing-Hot Water Monitoring* 3-801.11(C) Unopened Food Package Not Re-Served* 3-202.13 Shell Eggs* Sanitization Temperatures* TIME/TEMPERATURE CONTROLS 3-202.14 Eggs and Milk Products,Pasteurized* 4-501.114 Chemical Sanitization-Temp.,pH. 18 Proper Cooking Temperatures for PHFs CONSUMER ADVISORY 3-202.16 Ice Made From Potable Drinking Water* Concentration and Hardness* 3-401.11A(1)(2) Eggs-155°F 15 sec 22 3-603.11 Consumer Advisory Posted for Consumption of 4-601.11(A) Clean Utensils and Food Contact Surfaces of Eggs-Immediate Service 145°F 15 sec* Animal Foods That are Raw,Undercooked or 5-101.11 Drinking Water from an Approved System* Equipment* gg Not Otherwise Processed to Eliminate 590.006(A) Bottled Drinking Water* 3-401.11(A)(2) Comminuted Fish,Meats&Game Pathogens* Ef d-11112001 4-602.11 Cleaning Frequency of Utensils and Food Animals-155°F 15 sec* 590.006(B) Water Meets Standards in 310 CMR 22.0* Contact Surfaces of Equipment* * 3-302.13 Pasteurized Eggs Substitute for Raw Shell Shellfish and Fish From an Approved Source 3-401.11(B)(1)(2) Pork and Beef Roast-130°F 121 min Eggs* 4-702.11 Frequency of Sanitization of Utensils and Food 3-401.11(A)(2) I Ratites,Injected Meats-155°F 15 sec* 3-201.14 Fish and Recreationally Caught Molluscan Contact Surfaces of Equipment* Shellfish* 3-401.11(A)(3) Poultry,Wild Game,Stuffed PHFs SPECIAL REQUIREMENTS 4-703.11 Methods of Sanitization-Hot Water and StuffingContaining Fish,Meat,Poultry or 3-201.15 Molluscan Shellfish from NSSP Listed Chemical* g 590.009(A)-(D) Violations of Section temporary and e ide in cater- Sources* Ratites-165°F 15 sec* ing,mobile food,temporary and residential 10 Proper,Adequate Handwashing 3-401.11(C)(3) Whole-muscle,Intact Beef Steaks 145°F* kitchen operations should be debited under Game and Wild Mushrooms Approved By 2-301.11 Clean Condition-Hands and Arms* Regulatory Authority 3-401.12 Raw Animal Foods Cooked in a Microwave the appropriate sections above if related to 3-202.18- Shellstock Identification Present* 2-301.12 Cleaning Procedure* 165°F* foodborne illness interventions and risk factors. 590.004(C) Wild Mushrooms* 2-301.14 When to Wash* 3-401.11(A)(1)(b) All Other PHFs-145°F 15 sec* Other 590.009 violations relating to good retail 3-201.17 Game Animals* 11 Good Hygienic Practices 17 Reheating for Hot Holding practiceRequues should be debited under#29-Special 5 Receiving/Condition ( ) ( ) rinng or Tobacco* 3-403.11 &D 2-401.11 Eating,Drinking Using Tob * A PHFs 165°F 15 sec* - 3-202.11 PHF's Received at Proper Temperatures* 2-401.12 Discharges From the Eyes,Nose and Mouth* 3-403.11(B) Microwave-165°F 2 Minute Standing Time* VIOLATIONS RELATED TO GOOD RETAIL PRACTICES * 3-301.12 Preventing Contamination When Tasting* 3-403.11(C) Commercially Processed RTE Food-140°F* (Blue Items 23-30) 3-202.15 Package Integrity Critical and non-critical violations,which do not relate to the foodborne 3-101.11 Food Safe and Unadulterated* 12 Prevention of Contamination from Hands 3-403.11(E) Remaining Unsliced Portions of Beef Roasts* illness interventions and risk factors listed above,can be found in the 6 Tags/Records:Shellstock 590.004(E) Preventing Contamination from Employees* 1 g Proper Cooling of PHFs following sections of the Food Code and 105 CMR 590.000 3-202.18 Shellstock Identification* 13 Handwashing Facilities 3-501.14(A) Cooling Cooked PFIFs from 140°F to 70°F 3-203.12 Shellstock Identification Maintained* Conveniently Located and Accessible Within 2 Hours and From 70°F to 41°F/45°F Item I Good Retail Practices FC 590.000 Tags/Records:Fish Products 5-203.11 Numbers and Capacities* Within 4 Hours* 23. Management and Personnel FC-2 .003 5-204.11 Location and Placement* 3-501.14(B) Cooling PHFs Made from Ambient 24. Food and Food Protection FC-3 .004 3-402.11 Parasite Destruction* Temperature Ingredients to 41°F/45°F 25. Equipment and Utensils FC-4 .005 3-402.12 Records,Creation and Retention* 5-205.11 Accessibility,Operation and Maintenance Within 4 Hours* 26. Water,Plumbing and Waste FC-5 .006 Labeling of Ingredients* Supplied with Soap and hand Drying Devices 27. Physical Facility FC-6 .007 590.004(J) 9 9 Y tY 7 Conformance with Approved Procedures/ 6-301.11 Handwashing Cleanser,Availability 28. Poisonous or Toxic Materials FC-7 1.008 HACCP Plans 6-301.12 Hand Drying Provision 129. 1 Special Requirements 1.009 3-502.11 Specialized Processing Methods* 130. 1 Other 3-502.12 1 Reduced-Oxygen Packaging Criteria* 8-103.12 1 Conformance with Approved Procedures* S:590Formback6-2doc *Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. *Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. �p THE rok- TOWN OF BARNSTABLE .HEALTH INSPECTOR'S Establishment Name: e V/ ate: o Page:_ of ti OFFICE HOURS 9 Nsrna�e.o PUBLIC 2 0 MA NLTT DETSION 3:30-4:30A.M. Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date Verified 3:30-4:30 P.M. HYANNIS,-MA 02601 MON.-FRI. No Reference R-Red Item PLEASE PRINT CLEARLY 508-862-46" MP�a d FOOD ESTAB SHMENT INSPE T O REPORT Name Datefv#m - - Tvoe of section s Routine Address Risk Food Servi spection eve) Previous Insp cti nJ Telephone g Residential Kitchen Date: Mobile Pre-opePtttfo 12 Owner HACCP Y/N Temporary Suspect Illness Caterer General Complaint Person in Charge(PIC) Time Bed&Breakfast HACCPOther / ' Inspector u i IV 47 Each violation checked requires an explanation on the narrative p ge(s and a citation of specific provision(s)violated. i IV Violations Related to Foodborne Illness Interventions and Risk Factors(Red Items) Anti-Choking 590.009(E) ❑ Violations marked may pose an imminent health hazard and require immediate corrective Tobacco 590.009(F) ❑ Action as determined by the Board of Health. Allergen Awareness 590.009(G) ❑ FOOD PROTECTION MANAGEMENT ❑ 12.Prevention of Contamination from Hands ❑ 1.PIC Assigned/Knowledgeable/Duties ❑ 13.Handwash Facilities EMPLOYEE HEALTH PROTECTION FROM CHEMICALS s' ❑ 2.Reporting of Diseases by Food Employees and PIC ❑ 14.Approved Food or Color Additives ❑ 3.Personnel with Infectious Restricted/Excluded ❑ 15. Toxic Chemicals FOOD FROM APPROVED SOURCE TIMErrEMPERATURE CONTROLS(Potentially Hazardous Foods) ❑4.Food and Water from Approved Source ❑ 16.Cooking Temperatures ❑ 5.Receiving/Condition ❑ 17.Reheating ❑6.Tags/Records/Accuracy of Ingredient Statements ❑ 18.Cooling ❑ 7.Conformance with Approved Procedures/HACCP Plans ❑ 19.Hot and Cold Holding PROTECTION FROM CONTAMINATION ❑20.Time Asa Public Health Control ❑8.Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) ❑ 9.Food Contact Surfaces Cleaning and Sanitizing ❑21.Food and Food Preparation for HSP ❑ 10.Proper Adequate Hand washing CONSUMER ADVISORY ❑ 11.Good Hygienic Practices ❑ 22.Posting of Consumer Advisorie� p . Violations Related to Good Retail Practices(Blue Items) Total Number of)ritical Violation Critical C violations marked must be corrected immediately. (blue&red items I I Corrective Action Required: ❑ No ❑ Yes Non-critical(N)violations must be corrected immediately or Overall Rating within 90 days as determined by the Board of Health. ❑ Voluntary Compliance ❑,Employee Restriction/Exclusion ❑ Re-inspection Scheduled ❑ Emergency Suspension C N Official Order for Correction:Based on an inspection todaW,,t, El Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other: checked indicate violations of 105 CMR 590.000/Federal Food Code. 23.Management and Per (FC-2)(590.003) This report,when signed below by a Board of Health member or its agent A=Zero critical violations and no more than 3 non-critical violations. F=3 or more critical violations.9 or more non-critical violations, 24.Food and Food Preparation (FC-3)(590.004) constitutes an order of the Board of Health. Failure to correct violations regardless of the number of critical,results in an F. B=One critical violation and less than 4non-critical violations 9 25.Equipment and Utensils (FC-4)(590.005) cited in this report may result in suspension or revocation of the food 26.Water,Plumbing and Waste (FC-5)(590.006) establishment permit and cessation of food establishment operations. If if no critical violations.observed,4 to 6von-critical violations=B. Seriously Critical Violation=F is scored automatically if: no hot 27.Physical Facility (FC-6)(590.007) aggrieved by this order,you have a.right to a hearing. Your request must C=2 critical violations and less than 9 non-critical. If no critical water,sewage back-up,infestation of rodents or insects,or lack of 28.Poisonous or Toxic Materials. (FC-7)(590.008) be in writing and submitted to the Board of Health at the above address violations observed,7 to 8 non critical violations. If 1 critical refrigeration. . within 10 days of recei t of this order. viol 'on, to 8 non-critical violations C. w 29.Special Requirements (590.009) y p Si Ins e S a r P t: 3 .Other PATE OF RE-INSPECTION: p 9 31.Dumpster screened from public view Permit Posted? Y N Grease Trap Previous Pumping Date Grease Rendered Y N #Seats Observed Frozen Dessert Machines: Outside Dining Y N PIC s W at e _ Print: Self Service Wait Service Provided Grease Trap Size Variance Letter Posted Y-N Dumpster Screen? Y N if (i/ Violations related to Foodborne Illness -- Violations Related to Foodborne Illness Interventions Interventions and Risk Factors(Red Items 1-22) and Risk Factors(Red Items 1-22) (Cont.) FOOD PROTECTION MANAGEMENT PROTECTION FROM CONTAMINATION PROTECTION FROM CHEMICALS 3-501.14(C) PHFs Received at Temperatures According to 1 590.003(A) Assignment of Responsibility* 8 Cross-contamination 14 Food or Color Additives Law Cooled to 41°F/45°F Within 4 Hours* 590.003(B) Demonstration of Knowledge* 3-302.11(A)(1) Raw Animal Foods Separated from 3-202.12- Additives* 3-501.15 Cooling Methods for PHFs Cooked and RTE Foods.* 19 PHF.Hot and Cold Holding- 2-103.11 Person-in-Charge Duties 3-302.14 Protection from Uoappioved Additives* Contamination from Raw Ingredients 15. -590.004(F) Poisonous or Toxic Substances 3-501.16(B) Cold PHFs Maintained At or Below 41*F/45°F EMPLOYEE HEALTH 3-302.11(A)(2) Raw Animal Foods Separated from Each 7-101.11 Identifying Information-Original Containers* 2 590.003(C) Responsibility of the Person-in-Charge to Other* 3-501.16(A) Hot PHFs Maintained At or Above 140°F * 7-102.11 Common Name-Working Containers* Require Reporting by Food Employees and Contamination from the Environment 7-201.11 Se 3-501.16(A) Roasts Held At or Above 130°F* Separation-Storage* Applicants* 3-302.11(A) Food Protection* P g * 20 Time as a Public Health Control 7-202.11 Restriction-Presence and Use 590.003(F) Responsibility of A Food Employee or An 3-302.15_._ Washing Fruits and Vegetables * 3-501.19 Time as a Public Health Control* Applicant To Report To The Person In Charge* * 7.202.12 Conditions of Use 590.004 11 Variance Requirements 3-304.11 Food Contact with Equipment and Utensils * ( ) 9 590.003(G) Reporting by Person in Charge* 7-203.11 Toxic Containers-Prohibitions Contamination from the Consumer 3 590.003(D) Exclusions and Restrictions* 7-204.11 Sanitizers,Criteria-Chemicals* _ REQUIREMENTS FOR 3-306.14(A)(B)Returned Food and Reservice of Food* 7-204.12 Chemicals for Washin Produce,Criteria* HIGHLY SUSCEPTIBLE POPULATIONS HSP 590.003(E) Removal of Exclusions and Restrictions Disposition of Adulterated or Contaminated g - - Food 7.204.14 Drying Agents,Criteria* 21 3-801.11(A) Unpasteurized Pre-Packaged Juices and FOOD FROM APPROVED SOURCE 3-701.11 Discarding or Reconditioning Unsafe Food* 7-205.11 Incidental Food Contact,Lubricants* Beverages with Warning Labels* 4 Food and water From Regulated Sources g Food Contact Surfaces 7-206.11 Restricted Use Pesticides,Criteria* 3-801.11(B) Use of Pasteurized Eggs* 590.004 A-B Compliance with Food Law* * 3-801.11(D) Raw or Partially Cooked Animal Food and ( ) P 4-501.111 Manual Wazewashing-Hot Water 7.206.12 Rodent Bait Stations 3-201.12 Fond in a Hermetically Sealed Container* Sanitization Temperatures* 7-206.13 Tracking Powders,Pest Control and Raw Seed Sprouts Not Served* 3-201.13 Fluid Milk and Milk Products* 4-501.112 Mechanical Wazewashing-Hot Water Monitoring* 3-801.11(C) Unopened Food Package Not Re-Served* 3-202.13 Shell Eggs* Sanitization Temperatures* TIME/TEMPERATURE CONTROLS 3-202.14 Eggs and Milk Products,Pasteurized* 4-501.114 Chemical Sanitization-Temp.,pH. 16 Proper Cooking Temperatures for PHFs CONSUMER ADVISORY 3-202.16 Ice Made From Potable Drinking Water* Concentration and Hardness* 3-401.11A(1)(2) Eggs-155°F 15 sec 22 3-603.11 Consumer Advisory Posted for Consumption of 4-601.11(A) Clean Utensils and Food Contact Surfaces of E s-Immediate Service 145°F 15 sec* Animal Foods That are Raw,Undercooked or 5-101.11 Drinking Water from an Approved System* Equipment* gg Not Otherwise Processed to Eliminate 590.006(A) Bottled Drinking Water* 3-401.11(A)(2) Comminuted Fish,Meats&Game Pathogens* Eg ctim 11112001 4-602.11 Cleaning Frequency of Utensils and Food Animals-155°F 15 sec* 590.006(B) Water Meets Standards in 310 CMR 22.0* Contact Surfaces of Equipment* 3-302.13 Pasteurized Eggs Substitute for Raw Shell Shellfish and Fish From an Approved Source 3-401.11(B)(1)(2) Pork and Beef Roast-130°F 121 min* Eggs* 3-201.14 Fish and Recreationally Caught Molluscan Contact Surf 4-702.11 Frequency Sanitization of Utensils and Food 3-401.11(A)(2) Ratites,Injected Meats-155°F 15 sec* faces of Equipment* Shellfish* 4-703.11 Methods of Sanitization-Hot Water and 3-401.11(A)(3) Poultry,Wild Game,Stuffed PHFs SPECIAL REQUIREMENTS Stuffing Containing Fish,Meat,Poultry or 3-201.15 Molluscan Shellfish from NSSP Listed Chemical* g 8 590.009(A)-(D) Violations of Section 590.009(A)-(D)in cater- ; Sources* Ratites-165°F 15 sec* ing,mobile food,temporary and residential 10 Proper,Adequate Handwashing 3-401.11(C)(3) Whole-muscle,Intact Beef Steaks 145°F* kitchen operations should be debited under Game and Wild Mushrooms Approved By 2-301.11 Clean Condition-Hands and Arms* Regulatory Authority 3-401.12 Raw Animal Foods Cooked in a Microwave the appropriate sections above if related to Shellstock Identification Present* 2-301.12 Cleaning Procedure* 165°F* foodbome illness interventions and risk factors. 3-202.18 3-202.18 Wild Mushrooms* 2-301.14 When to Wash* 3-401.11(A)(1)(b) All Other PHFs-145°F 15 sec* Other 590.009 violations relating to good retail 3-201.17 Game Animals* 11 Good Hygienic Practices 17 Reheating for Hot Holding practices should be debited under#29-Special Requirements. 5 Receiving/Condition 2-401.11 Eating,Drinking or Using Tobacco* 3-403.11(A)&(D) PHFs 165°F 15 sec* 3-202.11 PHF's Received at Proper Temperatures* 2-401.12 Discharges From the Eyes,Nose and Mouth* 3-403.11(B) Microwave-165°F 2 Minute Standing Time* VIOLATIONS RELATED TO GOOD RETAIL PRACTICES * 3-301.12 Preventing Contamination When Tasting* 3-403.11 C Commercially Processed RTE Food-140°F* (Blue Items 23-30) 3-202.15 Package Integrity ( ) y Critical and non-critical violations,which do not relate to the foodborne 3-101.11 Food Safe and Unadulterated* 12 Prevention of Contamination from Hands 3-403.11(E) Remaining Unsliced Portions of Beef Roasts* illness interventions and risk factors listed above,can be found in the 6 Tags/Records:Shellstock 590.004(E) Preventing Contamination from Employees* 18 Proper Cooling of PHFs following sections of the Food Code and 105 CMR 590.000 3-202.18 Shellstock Identification* 13 Handwashing Facilities 3-501.14 Cooling Cooked PHFs from 140 to 70°F (A) ng °F * Conveniently Located and Accessible Within 2 Hours and From 70°F to 41°F/45°F Item Good Retail Practices FC 590.000 3-203.12 Shellstock Identification Maintained Within 4 Hours* 23. Management and Personnel FC-2 .003 Tags/Records:Fish Products 5-203.11 Numbers'and Capacities* 5-20411 Location and Placement* 3-501.14(B) Cooling PHFs Made from Ambient 24. Food and Food Protection FC-3 .004 . 3-402.11 Parasite Destruction* Temperature Ingredients to 41°F/45°F 25. Equipment and Utensils FC-4 .005 3-402.12 Records,Creation and Retention* 5-205.11 Accessibility,Operation and Maintenance Within 4 Hours* 26. Water,Plumbing and Waste FC-5 .006 Labeling of Ingredients* Supplied with Soap and hand Drying Devices 27. Physical Facility FC-6 .007 590.004(J) 9 9 y tY 7 Conformance with Approved Procedures/ 6-301.11 Handwashing Cleanser,Availability 28. Poisonous or Toxic Materials FC-7 .008 HACCP Plans 6-301.12 Hand Drying Provision 29. Special Requirements 009 3-502.11 Specialized Processing Methods* 1 30. Other 3-502.12 Reduced-Oxygen Packaging Criteria* 8-103.12 Conformance with Approved Procedures* S:590Formback6-2doc *Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. *Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. oFTHE TOWN OF BARNSTABLE. HEALTH INSPECTOR'S Establishment Name: Date: Page: of OFFICE HOURS ' BAR E,O PUBLIC 2 0 MAN SH EET 3:30-4:30 P.M. SION • : 0-4:30A.M. Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date Verified �p 67q.s�0� HYANNIS, MA 02601 MON.-FRI. No Reference R-Red Item .. PLEASE PRINT CLEARLY - 50a-862 4644 FOOD ESTABLISHMENT INSPECTION REPORT - Name Ww Date T e of T inspection O erAtimfA) Address t Risk F Serv' Re- ection Level Previous Inspection Telephone Residential Kitchen Date: Mobile Pre-operation Owner HACCP YIN Temporary Suspect Illness . , S� Caterer General Complaint Person in Charge(PIC) Time Bed&Breakfast HACCP d In: Other Inspector Out: Each violation checked requires an explanation on the narrative page(s)and a citation of specific provision(s)violated. Violations Related to Foodborne Illness Interventions and Risk Factors(Red Items) Anti-Choking 590.009(E) ❑ Violations marked may pose an imminent health hazard and require immediate corrective Tobacco 590.009(F) ❑ Action as determined by the Board of Health. Allergen Awareness 590.009(G) FOOD PROTECTION MANAGEMENT ❑ 12.Prevention of Contamination from Hands- ❑ 1.PIC Assigned/Knowledgeable/Duties ❑ 13.Handwash Facilities ell EMPLOYEE HEALTH PROTECTION FROM CHEMICALS C)'❑ 2.Reporting of Diseases by Food Employees and PIC ❑ 14.Approved Food or Color Additives ❑ 3.Personnel with Infectious Restricted/Excluded ❑ 15. Toxic Chemicals FOOD FROM APPROVED SOURCE TIME/TEMPERATURE CONTROLS(Potentially Hazardous Foods) ❑4.Food and Water from Approved Source ❑ 16.Cooking Temperatures ❑ 5.Receiving/Condition ❑ 17.Reheating ❑6.Tags/Records/Accuracy of Ingredient Statements ❑ 18.Cooling ❑7.Conformance with Approved Procedures/HACCP Plans ❑ 19.Hot and Cold Holding PROTECTION FROM CONTAMINATION ❑20.Time As a Public Health Control "'✓h `� ❑8.Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) 'O ❑ 9.Food Contact Surfaces Cleaning and Sanitizing ❑21.Food and Food Preparation for HSP ❑ 10.Proper Adequate Handwashing CONSUMER ADVISORY { / � 149 \ � ❑ 11.Good Hygienic Practices ❑ 22.Posting of Consumer Advisories �J J Violations Related to Good Retail Practices(Blue Items) Total Number of Critical Violations ,�-- L f Critical(C)violations marked must be corrected immediately. (blue&red items) J Corrective Action Required: Non-critical(N)violations must be corrected immediately or 3+ Overall Rating within 90 days as determined by the Board of Health. ❑ Voluntary Compliance.. plo s(Aon ion &AspeVr6~ Emergency Suspension C N Official Order for Correction:Based on an inspection today,the items ❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other: checked indicate violations of 105 CMR 590.000/Federal Food Code. 23.Management and Personnel (FC-2)(590.003) This report,when signed below by a Board of Health member or its agent A=Zero critical violations and no more than 3 non-critical violations. F=3 or more critical violations.9 or more non-critical violations, 24.Food and Food Preparation (FC-3)(590.004) constitutes an order of the Board of Health. Failure to correct violations re ardless of the number of critical,results in an F. 25.Equipment and Utensils (FC-4)(590.005) cited in this report may result in suspension or revocation of the food 6=One critical violation and less than 4,non-critical violations g if no critical violations observed,4 to 6von-critical violations=B. Seriously Critical Violation=F is scored automatically if: no hot 26.Water,Plumbing and Waste (FC-5)(590.006) establishment permit and cessation of food establishment operations. If 27.Physical Facility (FC-6)(590.007) aggrieved by this order,you have a right to a hearing. Your request must C=2 critical violations and less than 9 non-critical. If ho critical water,sewage back-up,infestation of rodents or insects,or lack of 28.Poisonous or Toxic Materials (FC 7)(590.008) be in writing and submitted to the Board of Health at the above address violations observed,7 to 8 non-critical violations. If 1 critical refrigeration. violation,4 to 8 non-critical violations C. 29.Special Requirements (590.009) within 10 days of receipt of this order. = 30.Other DATE OF RE-INSPECTION: Inspector's Signature Print: 31.Dumpster screened from public view f Permit Posted? Y N Grease Trap Previous Pumping Date Grease Rendered Y N #Seats Observed Frozen Dessert Machines: Outside Dining Y N IC's Sign a ri t: : Self Service Wait Service Provided Grease Trap Size Variance Letter Posted Y. N Dumpster Screen Y N �`[ Violations related to Foodborne Illness Violations Related to Foodborne Illness Interventions Interventions and Risk Factors(Red Items 1-22) and Risk Factors(Red Items 1-22) (Cont.) FOOD PROTECTION MANAGEMENT PROTECTION FROM CONTAMINATION PROTECTION FROM CHEMICALS 3-501.14(C) PHFs Received at Temperatures According to 1 590.003(A) Assignment of Responsibility* 8 Cross-contamination 14 Food or Color Additives Law Cooled to 41°F/45°F Within 4 Hours* * 590.003(B) Demonstration of Knowledge 3-302.11(A)(1) Raw Animal Foods Separated from 3-202.12 Additives* 3-501.15 Cooling Methods for PHFs Cooked and RTE Foods.* 19 PHF Hot and Cold Holding 2-103.11 Person-in-Charge Duties 3-302.14 Protection from Unapproved Additives* Contamination from Raw Ingredients 15 Poisonous or Toxic Substances 3-501.16(B) Cold PHFs Maintained At or Below 41°F/45'F 590.004(F) EMPLOYEE HEALTH 3-302.11(A)(2) Raw Animal Foods Separated from Each 7-101.11 Identifying Information-Original Containers* * 2 590.003(C) Responsibility of the Person-in-Charge to Other* 3-501.16(A) Hot PHFs Maintained At or Above 140'F 7-102.11 Common Name-Working Containers* Require Reporting by;Food Employees and Contamination from the Environment 3-501.16(A) Roasts Held At or Above 130°F* Storage* - Applicants* 3-302.11(A) Food Protection* 7-201.11 Separation g 20 Time as a Public Health Control 590.003(F) Responsibility of A Food Employee or An 3-302.15 Washing Fruits and Vegetables 7-202.11 Restriction-Presence and Use** 3-501.19 Time as a Public Health Control* Applicant To Report To The Person In Charge* * 7.202.12 Conditions of Use 590.004 11 Variance Requirements 3-304.11 Food Contact with Equipment and Utensils * ( ) 9 590.003(G) Reporting by Person in Charge* 7-203.11 Toxic Containers-Prohibitions Contamination from the Consumer "590.003(E) 590.003(D) Exclusions and Restrictions* 7-204.11 Sanitizers,Criteria-Chemicals* REQUIREMENTS FOR 3-306.14(A)(B)Resumed Food and Rratedor of Food* 7-204.12 Chemicals for Washin Produce,Criteria* HIGHLY SUSCEPTIBLE POPULATIONS HSP Removal of Exclusions and Restrictions r g ( ) Disposition ofAdulterated or Contaminated Food 7.204.14 Drying Agents,Criteria* 21 3-801.11(A) Unpasteurized Pre-Packaged Juices and FOOD FROM APPROVED SOURCE 3-701.11 Discarding or Reconditioning Unsafe Food* 7-205.11 Incidental Food Contact,Lubricants* Beverages with Warning Labels* 4 Food and Water From Regulated Sources 9 Food Contact Surfaces 7-206.11 Restricted Use Pesticides,Criteria* 3-801.11(B) Use of Pasteurized Eggs* 590.004(A-B) Compliance with Food Law* 4-501.111 - Manual Warewashin Hot Water 7.206.12 Rodent Bait Stations* 3-801.11(D) Raw or Partially Cooked Animal Food and 3-201.12 Food in a Hermetical] Sealed Container* Sanitization Temperatures* Raw Seed Sprouts Not Served* Y P 7-206.13 Tracking Powders,Pest Control and 3-201.13 Fluid Milk and Milk Products* 4-501.112 Mechanical Warewashing-Hot Water Monitoring* 3-801.11(C) Unopened Food Package Not Re-Served* 3-202.13 Shell Eggs* Sanitization Temperatures* TIME/TEMPERATURE CONTROLS 3-202.14 1 Eggs and Milk Products,Pasteurized* 4-501.114 Chemical Sanitization-Temp.,pH. 16 Proper Cooking Temperatures for PHFs - CONSUMER ADVISORY 3-202.16 Ice Made From Potable Drinking Water* Concentration and Hardness* 3-401:11 A(1)(2) Eggs-155°F 15 sec 22 3-603.11 Consumer Advisory Posted for Consumption of 4-601.11(A) Clean Utensils and Food Contact Surfaces of Eggs-Immediate Service 145°F 15 sec* Animal Foods That are Raw,Undercooked or Equipment 5-101.11 Drinking Water from an Approved System* * gg Not Otherwise Processed to Eliminate 590.006(A) Bottled Drinking Water* 3-401.11(A)(2) Comminuted Fish,Meats&Game Pathogens* effe cnvc mrzoor 4-602.11 Cleaning Frequency of Utensils and Food Animals-155°F 15 sec* 590.006(B) Water Meets Standards in 310 CMR 22.0* Contact Surfaces of Equipment* * 3-302.13 Pasteurized Eggs Substitute for Raw Shell Shellfish and Fish From an Approved Source 3-401.11(B)(1)(2) Pork and Beef Roast-130°F 121 min Eggs* 4-702.11 Frequency of Sanitization of Utensils and Food 3-401.11(A)(2) Ratites,Injected Meats-155°F 15 sec* 3-201.14 Fish and Recreationally Caught Molluscan Contact Surfaces of Equipment* Shellfish* 3-401.11(A)(3) Poultry,Wild Game,Stuffed PHFs SPECIAL REQUIREMENTS . a 4-703.11 Methods of Sanitization-Hot Water and Stuffing Containing Fish,Meat,Poultry or 590.009(A)-(D) Violations of Section 590.009 A D m cater- 3-201.15 Molluscan Shellfish from NSSP Listed - Chemical* ( )-( ) Sources* Ratites-165°F 15 sec* ing,mobile food,temporary and residential 10 Proper,Adequate Handwashing 3-401.1 i(C)(3) Whole-muscle,Intact Beef Steaks 145°F* kitchen operations should be debited under Game and Authority Mushrooms Approved By 2-301.11 Clean Condition-Hands and Arms* ' Regulatory Authority 3-401.12 Raw Animal Foods Cooked in a Microwave the appropriate sections above if related to 3-202.18 Shellstock Identification Present* 2-301.12 Cleaning Procedure* 165°F* foodborne illness interventions and risk factors. 590.004(C) Wild Mushrooms* 2-301.14 When to Wash* 3-401.11(A)(1)(b) All Other PHFs-145°F 15 sec* Other 590.009 violations relating to good retail 3-201.17 Game Animals* 11 Good Hygienic Practices 17 Reheating for Hot Holding Requirements. radicsrho ld be debited under#29-Special 5 Receiving/Condition 2-401.11 Eating,Drinking or Using Tobacco* 3-403.11(A)&(D) PHFs 165°F 15 sec* 3-202.11 PIIF s Received at Proper Temperatures* ' 2-401.12 Discharges From the Eyes,Nose and Mouth* 3-403.11(B) Microwave-165°F 2 Minute Standing Time* VIOLATIONS RELATED TO GOOD RETAIL PRACTICES * 3-301.12 Preventing Contamination When Tasting* 3-403.11 C * (Blue Items 23-30) non-critical 3-202.15 Package Integrity ( ) Commercially Processed RTE Food-140°F Critical and non-critical violations,which do not relate to the foodborne 12 Preventiori-of'Contamination from Hands 3-403.11E g illness interventions and risk factors listed above,can be found in the 3-101.11 Food Safe and Unadulterated* - ( ) Remaining Unsliced Portions of Beef Roasts* 6 Tags/Records:Shellstock 590.004(E) Preventing Contamination from Employees* 18 Proper Cooling of PHFs following sections of the Food Code and 105 CMR 590.000 * 13 Handwashing Facilities 3-501.14 A 3-202.18 Shellstock Identification ( ) Cooling Cooked PHFs from 140°F to 70°F Item Good Retail Practices FC 590.000 3-203.12 Shellstock Identification Maintained* Conveniently Located and Accessible Within 2 Hours and From 70°F to 41°F/45°F Tags/Records:Fish Products 5-203.11 Numbers and Capacities* Within 4 Hours* 23. Management and Personnel FC-2 .003 5-204.11 Location and Placement* 3-501.14(B) Cooling PBFs Made from Ambient 24. Food and Food Protection FC-3 .004 3-402.11 Parasite Destruction*. Temperature Ingredients to 41°F/45°F 25. Equipment and Utensils FC-4 .005 3-402.12 Records,Creation and Retention* 5-205.11 Accessibility,Operation and Maintenance Within 4 Hours* 26. Water,Plumbing and Waste FC-5 .006 590.004(J) Labeling of Ingredients* Supplied with Soap and hand Drying Devices 27. Physical Facility FC-6 .007 7 Conformance with Approved Procedures/ 6-301.11 Handwashing Cleanser,Availability 28. 1 Poisonous or Toxic Materials HACCP Plans 6-301.12 Hand Drying Provision 129. 1 Special Requirements 009 3-502.11 Specialized Processing Methods* 130. 1 Other 3-502.12 Reduced-Oxygen Packaging Criteria* 8-103.12 Conformance with Approved Procedures* S:590Fonnback6-2doc *Denotes critical item in the federal 1999 Food Code or 105 CMR 596.000. *Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. j Town of Barnstable BOARD OF HEALTH John T.Norman Board of Health Donald A.Gaudagnoli,M.D. a►xvsraBM + Paul J.Canniff,D.M.D. 9. 200 Main Street, Hyannis, MA 02601 F.P. Thomas Lee Alternate Oa Phone: 508 862-4644 Fax: 508 790-6304 www.townofbarnstable.us Permit to Operate a Food Establishment In accordance with regulations promulgated under authority of 105 CMR 590.000 M.G.L. Chapter 94 Sections 305A, 305B, 146, 189 and 189A; Chapter 111, Sections 5 and 127A, a permit is hereby granted to: Permit No: 277 Issue Date: 12/10/2019 DBA: CRAIGVILLE RETREAT CENTER OWNER: CHRISTIAN CAPE MEETING ASSOCIATION Location of Establishment: 208 LAKE ELIZABETH DRIVE CENTERVILLE, MA 02632 Type of Business Permit: FOOD SERVICE Annual: YES Seasonal: IndoorSeating: 160 OutdoorSeating: 0 Total Seating: 160 FEES FOOD SERVICE ESTABLISHMENT: $300.00 YEAR. 2020 RETAIL FOOD: COTTAGE FOOD OPERATION: Permit Expires: 12/31/2020 B&B-FULL BREAKFAST: CONTINENTAL BREAKFAST: MOBILE-FOOD: MOBILE-ICE CREAM: CQ.� FROZEN DESSERT: Thomas A. McKean, RS, CHO, Health Agent TOBACCO SALES: FOR ESTABLISHMENTS WITH SEATING: PERMIT IS NOT VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALER LICENSE Restrictions: I - , ' l `"E For Office Use Only: Initials: � ' Town of Barnstable ti _ Date Paid Amt Pd$ , STAB . : Inspectional Services ` �. fo 59. ��``� Public Health Division Check# sr Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 J Office: 508-862-4644 Fax: 508-700-6304 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT DATE �� JdO) l j NEW OWNERSHIP RENEWAL NAME OF FOOD ESTABLISHMENT: T' ✓ 2 . '�� ADDRESS OF FOOD ESTABLISHMENT: EL 4. V 7 MAILING ADDRESS(IF DIFFERENT FROM ABOVE): E-MAIL ADDRESS: - =� TELEPHONE NUMBER OF FOOD ESTABLISHMENT: ( Ja6f_ TOTAL NUMBER OF BATHROOMS: _ WELL WATER::YES_NO ... (ANNUAL WATER ANALYSIS REQUIRED)) , 2 ANNUAL: I/ SEASONAL: DATES.OF OPERATION: / l I)PTO 2 %9 26 NUMBER OF SEATS: INSIDE:)) OUTSIDE: TOTAL: 3" SEATING: MUST OBTAIN A COMMON VICTUALLER'S LICENSE FROM L ENSING DIV. ***OUTSIDE DINING REMINDER*** OUTSIDE DINING MUST BE APPROVED BY THE HEALTH DIV.AND LICENSING AND MEET OUTSIDE DINING REQUIREMENTS." IS WAIT STAFF PROVIDED FOR OUTSIDE DINING? % IS AN AIR CURTAIN PROVIDED AT WAITSTAFF SERVICE DOOR(S)? TYPE OF ESTABLISHMENT: (PLEASE CHECK ALL THAT APPLY BELOW) ✓FOOD SERVICE _RETAIL FOOD-ONLY required for TCS foods(foods requiring refrigeration/freezer) _BED&BREAKFAST CONTINENTAL BREAKFAST _COTTAGE FOOD INDUSTRY(formerly residential kitchen) _MOBILE FOOD FROZEN DAIRY DESSERT MACHINES... (MONTHLY LAB ANALYSIS REQUIRED) CATERING ... (CATERING NOTICE REQUIRED BEFORE EVENT(SEE PAGE#2) *** SEASONAL,MOBILE &NEW FOOD ONLY*** REOUIRED TO CALL HEALTH DIV FOR INSPECTION PRIOR TO PERMIT BEING ISSUED PLEASE CALL 508-862-4644 QAApplication FormsTOODAPP 2020.doc d„ OWNER INFORMATION: FULL NAME OF APPLICANT 41(4 ell SOLE OWNER: YES 'O D.O.B U I— OWNER PHONE# o K - & 0 a 'I� ADDRESS 3 fr�S p pr— /` C,J CORPORATE OWNER: �- _/ A CORPORATE ADDRESS: 4cos ' P"i If e/ C (� ✓' //� /('� PERSON IN CHARGE OF DAILY OPERATIONS: List(2) Certified Food Protection Managers AND at least (1)Allergen Awareness Certified Staff All FOOD ESTABLISHMENTS must have 1 Certified Food Protection Manager PER SHIFT. **ATTACH COPIES OF CERTIFICATES" The Health Div. will NOT use past years' records. You must provide new copies and POST THE CERTIFICATES at your food establishment. Certified Food Managers Expiration Date Allergen Awareness Expiration Date 1. 111 M / l .2d IK:1,fv#/ 7 / / r,2 -zNW SIGNATURE OF APPLICANT DATE ***FOOD POLICY INFORMATION*** SEASONAL FOOD SERVICE: All seasonal food establishments,.including,mobile trucks must be inspected by the Health Div. prior to opening!! Please call Health Div. at 508-862-4644 to schedule your inspection. Please call at least(7)days in advance. FROZEN DAIRY DESSERTS: Frozen desserts must be tested by a State Certified lab prior to opening and monthly thereafter, with sample results submitted to the Health Div. Failure to do so will result in the suspension or revocation of your Frozen Dessert Permit until the above terms are met. CATERING POLICY: Anyone who caters within the Town of Barnstable must notify theTown by fax or mail prior to catering event. You must complete a catering notice found at http://www.townofbarnstable.us/healthdivision/applications.asp. OUTDOOR COOKING: Outdoor cooking,preparation,or display of any food product by a food establishment is prohibited. NOTICE: Permits run annually from January 1 st to Dec.31"each calendar year. IT IS YOUR RESPONSIBILITY TO RETURN THE COMPLETED APPLICATION(S)AND REQUIRED FEES BY DEC 1st. . Q:\Applicadon FormsTOODAPP REV3-2019.doc i Town of Barnstable BOARD OF HEALTH b� Paul J Canniff,D.M.D. ° Board OIt Health 1,l Donald A.Gaudagnoli,M.D. John T. Norman '$ s 200 Main Street, Hyannis, MA 02601 F.P. Thomas Lee Alternate Phone: (508) 862-4644 Fax: (508)790-6304 www.townofbarnstable.us Permit to Operate a Food Establishment In accordance with regulations promulgated under authority of 105 CMR 590.000 M.G.L. Chapter 94 Sections 305A, 305B, 146, 189 and 189A; Chapter 111, Sections 5 and 127A, a permit is hereby granted to: Permit No: 277 Issue Date: 01/30/2019 DBA: CRAIGVILLE RETREAT CENTER OWNER: CHRISTIAN CAPE MEETING ASSOCIATION Location of Establishment: 208 LAKE ELIZABETH DRIVE CENTERVILLE MA 02632 Type of Business Permit: FOOD SERVICE Annual: YES Seasonal: IndoorSeating: 160 OutdoorSeating: 0 Total Seating: 160 FEES FOOD SERVICE ESTABLISHMENT: $300.00 YEAR: 2019 RETAIL FOOD: COTTAGE FOOD OPERATION: Permit Expires: 12/31/2019 B&B-FULL BREAKFAST: CONTINENTAL BREAKFAST: -- -- - - MOBILE-FOOD: MOBILE- ICE CREAM: C � FROZEN DESSERT: Thomas A. McKean, IRS, CHO, Health Agent TOBACCO SALES: FOR ESTABLISHMENTS WITH SEATING: PERMIT IS NOT VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALER LICENSE Restrictions: r+ e �INE � Initials: o� Town of Barnstable Date PaidL4 Amt Pd � BAMW^BrE.MAM ' Inspectional Services - �^ 1639. ° Check# Public Health Division Thomas McKean, Director I 200 Main Street,Hyannis,MA 02601 �� I Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT DATE JAI NEW OWNERSHIP RENEWAL NAME OF FOOD ESTABLISHMENT: G r-el, 1 5 v I//C 1 1/�2j- ADDRESS OF FOOD ESTABLISHMENT: 2-0 8- &,, 1 (_ , >/,,XeJ1, /,)/— MAILING ADDRESS(IF DIFFERENT FROM ABOVE): vim.. E-MAIL ADDRESS: cr TELEPHONE NUMBER OF FOOD ESTABLISHMENT: ('�Y ) 77j"- 1 Z 6 S— TOTAL NUMBER OF BATHROOMS: Z- WELL WATER: YES NO/ ... (ANNUAL WATER ANALYSIS REQUIRED) ANNUAL: X/ SEASONAL: DATES OF OPERATION: / / TO NUMBER OF SEATS: INSIDE: &U OUTSIDE: / TOTAL: SEATING: MUST OBTAIN A COMMON VICTUALLER'S LICENSE FROM LICENSING DIV. ***OUTSIDE DINING REMINDER*** OUTSIDE DINING,MUST BE APPROVED BY THE HEALTH DIV.AND LICENSING AND MEET OUTSIDE DINING REQUIREMENTS. IS WAIT STAFF PROVIDED FOR OUTSIDE DINING? IS AN AIR CURTAIN PROVIDED AT WAITSTAFF SERVICE DOOR(S)? TYPE OF ESTABLISHMENT: (PLEASE CHECK ALL THAT APPLY BELOW) - FOOD SERVICE RETAIL FOOD-ONLY required for TCS foods(foods requiring refrigeration/freezer) BED&BREAKFAST CONTINENTAL BREAKFAST COTTAGE FOOD INDUSTRY(formerly residential kitchen) MOBILE FOOD FROZEN DAIRY DESSERT MACHINES ... (MONTHLY LAB ANALYSIS REQUIRED) CATERING... (CATERING NOTICE REQUIRED BEFORE EVENT(SEE PAGE#2) TOBACCO SALES ... (ANNUAL TOBACCO SALES APPLICATION REQUIRED) *** SEASONAL, MOBILE & NEW FOOD ONLY*** REQUIRED TO CALL HEALTH DIV.FOR INSPECTION PRIOR TO PERMIT BEING ISSUED Q:Wpplication FormsTOODAPPREV2018.doc PLEASE CALL 508-862-4644 OWNER INFORMATION: FULL NAME OF APPLICANT 7 ��SIle SOLE OWNER: YES/NO D.O.B 7Z OWNER PHONE # 7 7S 6 S ADDRESS_ / 0 PC. I/ C �[ l-e/ y l/� U 3 Z CORPORATE OWNER: �; ,� FEDERAL ID NO. : CORPORATE ADDRESS: Cl /C S 10 c C-j PERSON IN CHARGE OF DAILY OPERATIONS: List (2) Certified Food Protection Managers AND at least(1) Allergen Awareness Certified Staff All FOOD ESTABLISHMENTS must have 1 Certified Food Protection Manager PER SHIFT. **ATTACH COPIES OF CERTIFICATES** The Health Div. will NOT use past years' records. You must provide new copies and POST THE CERTIFICATES at your food establishment. Certified Food Managers Expiration Date Allergen Awareness Expiration Date -Zi 1. a�hey (.CrS)��i� // //.3 /2 3 l. a ��, C4s�� , 2 Y / ` - 2._ ��`e�� G��u.,� i 7/ 1� / 211 36 SIGNATURE OF APPLICANT DATE ***FOOD POLICY INFORMATION*** SEASONAL FOOD SERVICE: All seasonal food establishments,including mobile trucks must be inspected by the Health Div. prior to opening!! Please call Health Div. at 508-862-4644 to schedule your inspection. Please call at least(7)days in advance. FROZEN DAIRY DESSERTS: Frozen desserts must be tested by a State Certified lab prior to opening and monthly thereafter, with sample results submitted to the Health Div. Failure to do so will result in the suspension or revocation of your Frozen Dessert Permit until the above terms are met. CATERING POLICY: Anyone who caters within the Town of Barnstable must notify theTown by fax or mail prior to catering event. You must complete a catering notice found at http://www.townofbarnstable.us/healthdivision/applications.asp. OUTDOOR COOKING: Outdoor cooking,preparation,or display of any food product by a food establishment is prohibited. TOBACCO ESTABLISHMENTS: All tobacco establishments must complete an Application for Tobacco Sales Permit and Employee Signature Form. NOTICE: Permits run annually from January 1 st to Dec. 31'each calendar year. IT IS YOUR RESPONSIBILITY TO RETURN THE COMPLETED APPLICATION(S)AND REQUIRED FEES BY DEC 1st. Q:\Application FormsTOODAPPREV2018.doc Ak y c(I _P"'t"4 � N Town of Barnstable Barnstable��O� �°F THE l°�� Board of Health ;erieaCf 9 nA MASS. a� 200 Main Street, Hyannis MA 02601 � a �op�o MASS. o°Ar 039.DM a�0 2007 FA't Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi May 16, 2016 Ms. Cynthia Diggs C/o Mr. Jim Lane 86 Summerbell Ave. Centerville, MA 02632 RE: Variance Decision — 'Number of Occupants Authorized at 125 Ocean Avenue, 208 Lake Elizabeth Drive, 19 Prospect Avenue, Arid 3'9/45 Prospect,Avenue Dear Ms. Diggs and Mr. Lane, You are granted variances from Section 105 CMR 410.400, of the State Sanitary Code, Chapter 2, Minimum Standards of Fitness for Human Habitation, which requires a minimum of 80 square feet of floor space for one occupant and 60 square feet of floor space per occupant within bedrooms which are used by more than one occupant. These variances are granted with the following conditions: 1) No more than eleven (11) occupants are allowed within The Groves building located at 125 Ocean Avenue. The applicant requested twelve occupants.within the six sleeping rooms. This request was denied due to insufficient floor space in Room #7. Overall a maximum of eleven occupants are authorized within this building. 2) No more than forty-seven (47) occupants are allowed within The Lodge building located at 39/45 Prospect Avenue. Forty-six occupants were originally requested by the applicants within the twelve sleeping rooms. One additional person is allowed overall due to a reduction in Room #2 (from 6 to 5) and due to approved increases within two units; Room #1 (from 7 occupants to 8) and Room #10 (from 3 occupants to 4). Overall forty-seven occupants maximum are authorized in this building. 3) No more than twenty-three (23) occupants are allowed within The Manor building located at 19 Prospect Avenue. Twenty-four occupants were originally requested by the applicants within the nine sleeping rooms. This request was denied due to insufficient floor space within Rooms #7 and #8. However the Board approved an increase in Room #9 by one occupant (from-1 occupant to 2). Overall, twenty- three occupants maximum are authorized in this building. Q:\WPFILES\Craigville Retreat Center Room Size Variances 2016.docx.! 4) No more than fifty-five (55) occupants are allowed within The Inn building located at 208 Lake Elizabeth Drive. Fifty-five occupants were requested by the applicants within the thirty (30) sleeping rooms within this building. Two-rooms were deficient in floor space. Therefore, the number of occupants within rooms# 1 and #24 must be decreased from two persons to one person within each room. However, the occupants within rooms #26 and 32 may be increased from one occupant to two within each room of these rooms. Overall fifty-five occupants maximum are authorized in this building. The variances are granted because these buildings will be used temporarily (i.e. on week-ends) by students for religious retreats. In some cases, the floor space calculations for the number of students exceeded, by no more than 20%, the space required based upon the square footage and floor space required by the State Sanitary Code for a rooming house. Also the septic systems for each building appear to be functional at each site. The Board is of the opinion that these minimal exceedances should not result in a health hazard for most individuals occupying.these rooms on temporary basis. It would be manifestly unjust to require the applicants to construct additions to the sleeping rooms at these dwellings constructed more than fifty years ago, considering the projected cost to construct the additions. Si rely yours yne ler, .D., Chairma Board o Health Town of Barnstable Q:WP//Craigville Retreat Center Room Size Variances 2016.docx avwc ryFA s Christian Camp Meeting Association 39 PROSPECT AVE. CRAIGVILLE, MA 02632 TELEPHONE 508-775-1265 laigville � For All People In All Seasons A�011/b/NO FOR THEE" ;e August 9, 2017 Mr.Thomas A. McKean Director of Public Health 200 Main Street . Hyannis, MA 02601 Re: Permit#177 Dear Mr. McKean, I noticed your permit#177 that is displayed in the kitchen of the Craigville Inn.The Massachusetts Conference of the United Church of Christ is no longer the manager of the Craigville Retreat Center,effective December 31, 2016.The Craigville Inn is owned by the Christian Camp Meeting Association and is now managed by United Camps, Conferences and Retreats as of Jan.1, 2016. The correct D/B/A is"Craigville Retreat Center/Inn".The"Lodge" should be excluded as it is a separate building where food is not prepared or served. Kindly forward a corrected permit to the following address: Christian Camp Meeting Association 39 Prospect Avenue Centerville, MA. 02632 Thank you. Sincerely, James A. Lane. President-CCMA Q� G Christian Camp Meeting Association 39 PROSPECT AVE. CRAIGVILLE, MA 02632 TELEPHONE 508-775-1265 024ville For All People In All Seasons ARO`70/NG FOR THe'N�' � January 23, 2018 Mr.Thomas.A. McKean, RS, CHO Director of Public Health 200 Main Street Hyannis, MA 02601 Re: Permit#277 Issued 11/06/17 Dear Mr. McKean, The above subject permit#277 does not have the correct information again this year.As mentioned in my attached August 9, 2017 letter,at the Craigville Inn, at 208 Lake Elizabeth Drive. Centerville, MA 02632, food service has been operated by the United Camps Conferences and Retreats since January 1, 2016, doing business as the Craigville Retreat Center. Kindly forward a corrected permit to the above address. Thank you. Sincerely, James A. Lane President-CCMA Bellaire, Dianna Oml From: Matthew Castleman <MattC@uccr.org> Sent: Friday,January 25, 2019 9:51 AM To: Bellaire, Dianna Subject: RE: 2019 Food Permit-Craigville Retreat Center Hi Dianna, My name is Matt Castleman. I am the new director here at Craigville. The former director retired last month. I apologize that this has fallen through the cracks. I spoke with Ms. McKenzie yesterday. I will gather everything you require and get this squared away post haste. As far as contact info goes, the best number to reach me at is either the main number 508-775-1265 or my cell which is 508-776-0268. Additionally, the best mailing address is my personal address here on site. 39 Prospect Ave Centerville Ma 02632. 1 can discuss this with you further when I bring in the food permit application. Thanks so much. Best, Matthew CastleMan Site Director Craigville Retreat Center 208 Lake Elizabeth Drive Centerville, MA 02632 508-775-1265 l From: Craigville Sent: Friday,January 25, 2019 6:32 AM To: Matthew Castleman Subject: FW: 2019 Food Permit-Craigville Retreat Center Craigville Retreat Center 508-775-1265 From: Bellaire, Dianna [Dianna.Bellaire @town.barnstable.ma.us] Sent: Wednesday,January 23, 2019 8:22 AM To: Craigville Cc: Bellaire, Dianna; McKenzie, Marybeth Subject: 2019 Food Permit-Craigville Retreat Center Hello; I've tried calling your establishment and the mailbox is full. I tried contacting the personal phone number on file and it is out of service.We are trying to contact you regarding your 2019 Food Permit Renewal. Please email or call me at your earliest convenience.You are currently operating without a valid permit. I've attached a copy of an application in case you didn't receive it. Please complete the attached application and include copies of 2 Servsafe certificates, 1 allergen certificate and a check made payable for$300.00 to the Town of Barnstable. Please submit this application by 01/31/2019.You will start accruing late fees after that date. CRAIGVILLE CONFERENCE CENTER Notes to File— S.Crocker, 2/16/16 1982 per Design Plan for Permit# 82-130: Buildings: Union 4 bedroom 440 gal. Andover 5 bedroom 550 gal. Yale 4 bedroom 440 gal. Boston 5 bedroom 550 gal. Site Mngr 4 bedroom 440 gal. Sub-Total 22 bedrooms 2,420 gal/day Plus Inn (based on water usage*) 4,160 ag Il/day TOTAL 6,580 al/day *The Inn Water Usage: Based on 10 year average usage of 374,350 gallons/year divided by 180 (Days in Use) = 2,080 gallons. 2080 x 200% =4,160 gallons/day for Inn. , Grease Trap25 (meals 1 x =0 ( ea s served/day) 3 750 gal/day Design had been for a 7,000 gallon tank. Letter dated 5/11/83 from engineer, Everett Hinckley, stated that due to the water table problems, it was impossible to put in a 7,000 gallon tank. Liquid depth of tank ended up 5'9" and liquid capacity became 6,210 gallons which he believed would function adequately. NOTE: ACCORDING TO Business Certificates Signed 2/4/16 by Robin Anderson The certificates show the following: Inn 63 Rooms At: 208 Lake Elizabeth Drive, Centerville Lodge 44 Rooms At: Prospect Ave—aka 39, Centerville Manor 44 Rooms At: 45 Prospect Ave, Centerville Grove House 12 Rooms At: 125 Ocean Ave, Centerville Total 163 Rooms I I QAWPFILES\CRAIGVILLE CONFERENCE CENTER Feb 2016.doc and QAMotel\Craigville Conference Center Feb 2016.doc THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ------.... ....... ......OF.........../9,4 TV &L Applirutiun for Uhyaaal Works Towitrurtion Vautit Application is hereby made for a Permit to Construct ( v) or Repair ( ) an Individual Sewage Disposal System at: - _.....�......... cU �2 - --.....-•--- ..... - �o,� /- ., U r or Lot No. Owne . Address W $� 8..CgVVZ I9-C-G......................... 1`le' .. Ts.c1.3 AFk.. � Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..... .............................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building ............... No. of ersons............................ Showers — Cafeteria fl, yP g ------------- P ( ) ( ) Pa Ot xtures ---- ,¢� Ity Design Flow.......... ................�......__gallons per�erson per day. Total daily flow_----&n.0........................gallons. WSeptic Tank—Liquid ca-pacitV_At@ ._gallons I4gth�®....... V l :"1° Diameter________________ e th__._.__._.__._.. x Disposal Trench 3-No.: .....3.... Width....�........... Total Length...(t.-*-......... Total leaching area... P----sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (6?,) Dosing tank ( I ) Percolation Test Results Performed by---------------------------------------- --------•------------------ Date--------------......------•-----------. aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ r4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -------------------- ....................................................................................................................... O Description of Soil.... -1►CeS ��e�-_�_ji)1 5 �, W?' - W �%�'�--- .,..---a ---f.�.l_�.xzT.k�r��--'--�•r!?.Jl•�:�,.s.el.�.t:•�"---�--e�1�cc�,,�w,,,...,<,,--r...[�+�t�'"�scs.� ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•••••••-- U Nature o€ Repairs or Alterations—Answer when applicable.1 ... --3-1 Wv-_—�.:_...f--.voc,.Gsr_-..,''7o'° Ger .-i�`r - � a P (� `_L e�4e ao---•(gay sct -----•-----------------------------------------------• Agreement: The undersigned agrees to install the afored riled Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary de— The uneboahealth. f l:er agrees not to place the system in operation until a Certificate of Compliance has be 'ssued by heDat Application Approved By....................-•----•---- --•..... '.�. --•--•------- --� - _- ----•- Date Application Disapproved for the f ollowi reasons:-------•-----------------------------------------------•----------------------------------. -•••---------------•-•----------------••----------------•---......-•-•••----•----------.....-•----------•...-•••-•••..._..-•-•---•••-------•--•-...•---------•--•--••---•---••-------••------•-••••------ Date PermitNo......................................................... Issued....................................................... Date ------------- -- — S /0 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f � ..........................................OF............................................................................. ...... Trrtifiratr of ToutpliFatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by................. ................................................................................................................................................ Installer at. ..........-�provisionshas been installed in accordance witof TITL j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.___x3..j3.-<5.. --•----------- dated--........-..................................... THE ISSU DICE F THIS CERTIFICATE SHALT. NOT BEZCONSTR A ro ARANTEE THAT THE SYSTEM WI t�FU CTION SATISFACTORY. DATE_- -.` L. Inspector No....t f S —A- THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH j ..............OF........... �"'!!f'rcrC/S7" �.c.............------•--.....----- Appliration for Disposal Works Toustrurtion thrmit Application is hereby made for a Permit to Construct ( V) or Repair ( ) an Individual Sewage Disposal System at ..........��) .................................................................................................. Location Address or Lot No. Own. Address ........................•--••••.............---•-••••-•••--...._........ --...•.....-----••---..........-••--....... Installer Address Q '-Type of Building 1 Size Lot............................Sq. feet Dwelling—No -of Bedrooms___....`..��. .--.•........._•.............Expansion Attic ( ) Garbage Grinder ( ) '04 4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Ot eE. xtures W Design Flow..... � ...._gallons peer�erson per day. Total daily flow.... !r?.........................gallons. ?aea WSeptic Tank—Liquid capacity ..gallons I t ° ..__. °� Diameter_______________ e th...._........... x Disposal Trench-No " .... _.. Width•.. 0..... 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 ( S ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ r4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ....................................................................................................... 0 De cription of Soll S f tdCF i�+.... ? t 4 yr Qt�,► •- ``d°t�,, t. 'f Gi.1's.�,t ...qi...----- W ---------•-•--- .......................................-••-----•--------------.._.........--•• ... •..... •. - VNature 4 Repairs or Alterations—Answer when applicable�c(SrAce t " 1 3voa C-sr-� I` a ea r � �� i?'" . .1 '�--X��'. �G�.ttC�- (,�"M(S- 1"f2�"f�sGt.1"fx�---•--. -•••••....... Agreement: The undersigned agrees to install the aforedl ribed Individual S wage Disposal System in accordance with the provisions of TITL L 5 of the State Sanitary Ce de— The undersig e further agrees not to place the system in operation until a Certificate of Compliance has be `vssued by he boa d health. --i �/�s� �gned . ............ .. --••- 3 nac Application Approved BY � . ---• --- '- ....__... .......... Date Application Disapproved for the f ollowt -'reasons:--------------•------•---------------------------------------•------------------------------------------....... .....................•---.....----•---------------------------------------------------•---.....----------••----••---•.....•---•---•••-••---•---•-•-•-•--•-•••-•-----•••--•----•••---•••-•••••----•------ Date PermitNo........................................................ Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trdifiratr of Tomph aurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) --------•--•-----...--•-----•----------------------------•-----•------•--------•------........-----------...............-••.............••- �� Installer has been installed in accordance with the provisions of TITLE, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....e�Z-!`5.>.............. dated-............................................... THE ISSVF F THIS CERTIFICATE SHALL NOT BE CONSTRU D A G ARANTEE THAT THE SYSTEM I ION SATISFACTORY. ..........................•-------•--------•---- Inspector--- ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '. .....................................O F....................... 'r FEE....`�'............... Disposal orb (fonstrnr#ion rranit Permission is hereby granted. ..... 5 to Constryc�t ) or Repair ( an individual Sewage Disposal S stem Street as shown on the application for Disposal Works Construction Permit No................7... Dated.......................................... ----------------------------------------•-------- Board of Health DATE.............................. � FORM 1255 HOBBS & WARREN, INC., PUBLISHERS UZ-• & LOC&T10�� 6°�B � &� EW&C�E PERMIT uo., �/ n- NALLAGE - - - - - - - IWST&LL R S ► &NIE� ADDRE BUILDE 2 5 Q &VAE &.DDRESS DILATE PERMIT ISSUED DATE COMPL1 &MCE ISSUED : ��!�� m_ y�443 Pl16 ��7 fir,,,^ �v8 ��€!i y;- s�• 0 - CID- LOCATION : fi 5EW6,C,E PERMIT UO. lW TALLER 5 u&ME e. ADDRESS BUILDER 5 tJ &MF- ADDRESS Dt.47'E PER"lT ISSUED /G 30"av D ATE COMPLI AK10E ISSUED I soI I s-T✓ A A .b ,LEI L. Cll Ih� � LOC4TIOf s� � EWo,CaE PERMIT MO. - - - - GQ-,- VILLAG E — — — — — — INSTALLER S IJ�tJIE ADDRESS BUILDER 'S Q A VAF— ADDRESS DATE PERNA T ISSUED DATE .COKAPLI &&ICE IS—SUED: ' c.S - s q3l - y1 ' o . Kitchen Pantry Deck Storage E Sunset Lodge- 1st Floor Meeting Living Room/Meeting Room Room Mech Laundry/Bath Entrance to Sunset Lodge Closet 39A1 Prospect Ave r Kitchen Hallway Ramp Entrance to Staff Apartment Living Room 39A2 Prospect Ave (7d•v..eo •Rio% v Co BedoaAlf Sunset Lodge & Staff Apartment n _ Craigville Retreat Center LA 39A1 and 39A2 Prospect Ave Centerville, MA LOCATION : 4 5EW l%C,E PERMIT Q O. VILLAGE IW T4LLER 5 W&ME ADDRESS BUILDER 'S Q &MF- ADDRESS DN-CE -PERM VT ISSUED /G ` 34--90 DATE COMPLI &MCE ISSUED a ' tyl 137 i _ ( _Z�4 L OXATION SEWQC,E PERMIT UO. k,-gc`, VILLA��% WSTQLLE 5 IJWF- 6 ADDRESS BUILDERS 1.! &MF- ADDRESS DtS►TE PERt-AlT ISSUED '— 7Y— — — — D ATE COMPLI &KICE ISSUED ; a �,�1606 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA P�OFTHETOky OFFICE OF THE BOARD OF HEALTH OF THE i BARNSTABLE, : TOWN OF BARNSTABLE, MASS. q MASS. pp i639. NFU MAY Ar\ ------------------ -------- 19 SEWAGE DISPOSAL PERMIT Permission is granted to ___ ____ _--- to construct ___ __ ____.____________________----------_----- —________ f Sketch Upon the Premises of -- ------- ------ --------- ---- ----- In the village of ---------- .----------- --- _-____--__-------- 100 or more feet from any source of water supply 20 feet from building • 10 feet from property line f �_ ref..<' - _ I H�nttl� Officer. I j CRA1CVILLE. P C g'R fib- . : SMEAD No.2.153LOR UPC 12534 smsad.acm • Mad*in USA IFI LOW & WELLER, INC. 477 Main Street- P.O. Box 119 Yarmouth Port, Massachusetts 02675 362-6868- 362-8131 Registered: George Low, Jr., R.L.S. Land Surveyors Everett H. Hinckley, P.E., R.L.S Professional Engineers William G. Weller, Consultant May 11, 1983 BOARD OP HEALTH Town of Barnstable Town Hall Hyannis, MA 02601 RE: Craigville Conference Center, Lake Elizabeth Dr. ,Craigville Dear Board of Health: Please be advised that we have supervised and inspected the installation and construction of the new sewage system for the above referenced location. We find that the system has been installed and completed in accordance with the approved plan with the exception of the following: Due to a water table problem, it was impossible to set the seven thousand gallon septic tank to the design depth. Therefore, the liquid depth of the tank became 5' 9 ' and the liquid capacity became 6210 gallons;'r'., It is our opinion that the septic tank as installed will still function adequately and the system will handle total flow as designed. If you have any questions, please do not hesitate to con- tact us. Very truly yours, Everett H. Hinckley, P.E. EHH:dlw cc i - �` Massachusetts Conference of the United Church of Christ . CRAIGVILLE CONFERENCE CENTER C, Craigville Massachusetts 02636 Telephone(617)775-1265 August 6, 1982 Mr. John M. Kelly Director of Public Health Barnstable Town Hall Village Green Hyannis, MA 02601 Dear Mr. Kelly: Please be advised that the Craigville Conference Center and the Christian Camp Meeting Assoc. have acted upon your concerns about the Craigville Inn expressed in letters dated July 22 and August 4, 1982. 1. Bathroom floors on the first and second floors have been replaced or repaired to the best of our ability with the intent of complying with Reg. 410.504 (A). 2. Bathrooms. oAlthe first and second floor with no windows have been provided with mechanical ventilation exceeding 40 cu.ft./minute exhaust. This with the intent of complying with Reg. 410.280A. 3. The rear wooden fire escape had all decayed or decaying wood replaced in 1981. All deck and rail surfaces were painted with two coats of quality paint at that time. All stair .ttreads were treated with preservative since your July 21 in- spection. 4. In addition to the above, several baths have been upgraded by removing unsanitary, rusted steel shower stalls and replacing them with Fibreglass stalls and appro- priate anti-scale shower controls. Several old style toilets and seats were : replaced since 1981. 5. The Inn was inspected by both the Building and Fire Inspectors on July 20 and found only minor deficiencies. With reference to the septic system, we have taken the following action: 1. Installed water saving (2gpm) shower heads on all showers and asked guests to limit showers to 2 min. each. 2• Installed new controls on 18 toilets which provideefor positive flush control. Said units offer a choice of flush handles for single or complex wastes. In- structions for use are posted on each toilet. 3. All plumbing has been inspected for inordinate dripping and necessary washers or valves replaced. 4. The firm of Low and Waller, Inc. has been retained to evaluate and make re- commendations for improving the system. They have already coordinated a prelim- inary site inspection and will make a detailed survey on August 9. 5. All cesspools, leaching pits, and grease traps will be pumpe& to enable said inspection. 6. We are also awaiting results of extensive water testing completed by environmental agencies since your July 22 sample. If there are further questions please feel free to contact myself or Dexter T. Bliss, Site Manager 2 - The Craigville Conference Center is in a transitional period as to management. Please be assured that we u-ill cooperate in every way possible to correct and improve sanitary, safety and any other systems. Si el r f . Paul Ouh Interim Director cc: Christian Camp Meeting Assoc. Miss Rose Levonian Assoc. for Conference Centers & Outdoor Ministries, Mass. Conf, U.C.C. Craigville Cottage Owners Assoc. AW55 - 5,9.viTit�e y _CoOF: 111. /All E -C�A161/1�� .�D�r/,�E.C�E �_C�E T�� ceklevlzce - -- -ate /�,�,Cf/sj/��L �_ T/y� �o�.<ouirr/G !/o<. To,r�s_�_✓ E=.r/o_%Eli —__ — .. -- -- — ..B>3T//�o0� _�.Cao�5 ._Co,✓;.A��✓ ��T��-'�__��.�E�•G,Y!�oo/J�--/Jives�'//�,T,Coo,e./.s/G,�__ _�--- P� G,C/�C,�C/J ��✓o��-7//�- - �J/"c.��-y fl�rw y__ ICI 6//> —_- ,IA 72A? , _ ✓//f1_ L/��/_l�•Poo'/Ol✓6 _ t ----- ------------- t RCp P Massachusetts Conference of the United Church of Christ 7 y # 4 CRAIGVILLE CONFERENCE CENTER Craigville Massachusetts 02636 Telephone (617)775-1265 October 15, 1982 Mr. John M. Kelly Board of Health 367 Main Street Hyannis, Mass. 02601 Dear Mr. Kelly: In the midst of transition, we are not sure that our letter to. you last week was mailed. Therefore, we are writing again to inform you about the actions of the CCMA Board of Directors on October 2. You had stronglyboet to our attention the need for a new septic system. engineering A check has been mailed to Low and Weller to begin work. By late spring or maybe s ooner, the system should be in place. Please confirm that we will get a license for the Inn in January based on this action. Sin rely yours, Rose Levonian Interim Director and Associate for Conference Centers and Outdoor Ministries �'' Cbrisulan Camp 01tefina Mactiation �Pnn,�ffixnvr, XabSe,a u's 41 Croigville (Cape Cod) Massachusetts 02636 �. THE INN' September 14,1982 Yx. John M. Kelly Director of Public Health Town of Barnstable 367 Main St. Hyannis,Ma. 02601 Hear Yx. Kelly: I wish to acknowledge receipt of your letter dated September 13 in regards to our properties on hake Elizabeth Drive,Centerville. We are working on the problem of our sewage disposal and will advise you in writing of our intentions. I shall be away until October 11; I would appreciate your addressing any possible correspondence before then to Mr. William Peck Ocean St. Craigville, Ma. 02664. Very truly yours, V Treasurer Copy: William Peck YA Our Private Craigville Beach House with Dressing Rooms and Lockers on the Warm Southern Shore of Cape Cod L September 1 1982= Christian Camp Meeting Association , P/o © Herbert Johns son 3. . 29 Fairwood Road' y. South Yarmouth- Ma '026d Re; Your property `on Lake Elizabeth Lr vo,. Conte rtrll .e ,. assessors ,Map- and, Lots Host 226-18' 4 i 9 A river Mr. Johnson -yt ' v The Board of Health recently oonducted<a• sanitary survey Of the properties .-bordering Lake Elizabeth and Red,Lily. Pond: The Healthy Department personnel 'Conducting the $urvey 'were o ,the k. opinion thhat your present onsito sewage ti�sysm can Lake'' tlitabeth Drive is inadequate and is in-.all' probability ,�®ntr�but�ng `tca..tYie, pollution ' of the pr nds M The committee for the"tm rovement and. • ' � r R preservation,o� the, Craig--, "^ vi,ll+e ponds has spent consI.derabIe •time and money off. the god Lily- - - proJect. Their efforts could -be meaningless unless ,you grid many% of ,your neighbors upgrade. your onsite sewage.d sposal aystomt )Ie 'acre requesting your<cooperation in uading your septic sTatem_ #- p9x .We would appreciate voluntary eom, lance, �� pc�s�ibie ' � 1,; however, take 'Official actin'A if 'vo►l.ur�tary-Oompliance and. cooper-A. ° 1 tion is not received r E Tease advise us of your intentions, in writing, in thts matter so vital to the environment you live th.,. Very truly yours,` f John M Kelly Director of Public Health JMKImm r r •rn ®SENDER: Complete items 1,2,and 3. ++ a Add your address in the"RETU. "space on reverses o� 1. The following service is requested(check one.) X S$how to whore and date delivered ........... ❑ Show to whom,date and address of delivery...�4t RESTRICTED DELIVERY Show to whom and date delivered............_G. ❑ RESTRICTED DELIVERY. Show to whom;date,and address of delivery.$_.__ (CONSULT POSTMASTER FOR FEES) 2 ARTICLE ADDRESSED TO: ReXi . C. Paul Bush m- Craigville Conference Cente 39 Prospect Aye. ,CRAIGVILLE MA. a ARTICLE DESCRIPTION: 02632 REGISTERED NO. CERTIFIED NO. INSURED IVO. r� 0523337 (Always obtain signature of addresses or amont) to i I have received the article described above. m SIGNATURE ❑Addressee GAuthorized agent Le DA OF DELIVERY �NlpdswARC i/6/L 5. ADDRESS(Coaapiwte only if raw-To ((!__�.• 100411 S. UNABLE TO DELIVER BECAUSE: ;. 1Z+�"S r""v'?,e.. 0 �16ty a" GPO• 9 rs-Aa-459 t � UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS PENALTY FOR PRIVATE SENDER INSTRUCTIONS USE TO AVOID PAYMENT Print your name,address,and ZIP Code in the space below. OF POSTAGE. M somommm • Complete items 1,2,and 3 on the reverse., • Attach to front of article if space permit% otherwise affix to back of article • Endorse article"Ratum Receipt Requested" 6 adjacent to number. RETURN TO BOARD OF HEALTH (Narm of Sender) TOWN OF BARNSTABLE P. 0. Box 534 , (Street or P.O BOX) .— HYANNIS MA 02601 0534 t ((sty,State,and Z'Code) r :♦ w TOWN OF BARNSTABLE OFFICE OF s BAR MAIL � BOARD OF HEALTH � iva o�p9* 367 MAIN STREET HYANNIS, MASS. 02601 July 22 , 1982 Rev. C. Paul Bush Interim Director Craigville Conference Center 39 Prospect Avenue Centerville, Ma. NOTICE TO ABATE VIOLATIONS OF ARTICLE II STATE SANITARY CODE MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The Craigville Inn, located in the Craigville Conference Center, 39 Prospect Avenue, Craigville, was inspected on July 21 , 1982 , by John Jacobi, Health Inspector for the Town of Barnstable , on a routine licensing inspection. The following violations were .noted: REGULATION 410. 504 (A) : Bathroom floors on first and second floor contain either bare plywood, pine sub-flooring or cracked linoleum. REGULATION 410.280 (A) : Bathrooms on first and second floor interior wall with no windows are not mechanically ventilated, with a fan providing 40 cubic feet/minute. REGULATION 410.452 : Rear wooden fire escape not painted or protected against rotting and decay. These violations were observed on June 8 , 1981 , on a routine licensing inspection. Re-inspection on July 21 , 1982 , revealed that these violations had not been corrected. Not recommended for licensure until violations corrected. You may request a hearing before the Board of Health if written petition requesting same is received within seven ( 7) days after the date order served. Non-compliance could result in a fine of up to $500. Each day' s failure to comply with an order shall constitute a separate vio- lation. PER ORDER. OF THE BOARD OF HEALTH oho M. Kelly Director of P lic Health JMK/mm cc: Board of Selectmen �r�1 • ♦f_� � J � � •��a ` y�� " x ..- a .��q t�, �y s?' .rr �' � S ¢,��.J•.a<� t r � e s r �+, x. �,�`-+�r "."�. 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C ePaUl Bull} -,yi Sr;Jr`r K1r �_� J ..� fa'�'A a. r d' �',-• ! - F, t 'y M r irntdr in rDirector� r ` �, a • =r Craigvil-16 Coriference TCen, er J4 Al �9 �Prospect:W76nue , t r C htervil d Ma; I"." `'' :ri a i ,� r Y x" rti•r ; � :A) tip � 's <"a r »d� ,,+ ". T '' t r s 1 r { >� J` •"' - -.-; ,.'`it r 7 A,: . ,r `*- . J�x "'e,. WrtICE 'TO a BAT ',V {LAT A . TTESxN� ATRY.CODEs., 1►IIl NIMftN1 RDS OF FI STANDATNESS FOR. HUMAN HABITATION }4 4 L. �i 7•'i ' Z' �.,, 1r t • .Y. a P,'•Z ..+ -� - +.�, .`a � r- v.�'„ '^A:: + n`� rR r r ,C tr ,'r ' �. r *k ^ T1ietCra +v lle- Iran; ioc ted�in the :Ceafg-,O .�.le;Ccs�iferencey Ce ter sg 4` • � w` rospe t' Ave ue '.� a gva l le, *rr s ^ risp cted°' on Atly,r 21,`, 982=; .< •John Jacobi `e;Ne.ath'' Trisectorfc t` e= Town /�ryr Barinstabl `one.°a r r Y i h' `. s la ` � `r ° rc u ne lic ns nc 'inspection. ; lid.,' 61]�ow'ing -`v�.o 'ate 6nzsi°were, F y - •�'' '}'.' e - Y,,r' •hh , •- iK"! .: ,v d :ryd '� ,,',, , ,, �.r F 3 rr �,, ,"' R ^e e �}�"+°� x J � ,4� 1'•. ^�•` jir"!'�a -` j r •a> P .Y r -a•`.- l }.-: ' -7, f: r,': � �` .^ 4.,. � ��e '�} ! REGULATION E410` 504= '(A3. : ,8atlnroom';f1'oor's ;on first and seconel - . floor° contains either%'bare plywood: fine<subafl's�oring or cracked 4 .r4 µ.^. - rla.noleum• Jay ^ r- rL 'Y E^ k, 4►'> i:.Y,^ 4 l -w 5` a a.t C A _ tee, a, ?,� f.t r s# ;; t ';_, 1 t} .r .,, 7 q i•, y � ,e 1, ' p t, *x 11/+'�', R$GULA�'ION".'410.28Q' tA1� •j~' G1tr.\JOmM7v �n ;frst sand r -�co .si 4 s nd 1aQr t: . ; ht�ntexior. wal .;'wi;th arid, nd r ^r k; wi ows-. a e;`not}inechan�c 11 ventilated; # 1 r e• '1 1 r ! t 1 r e F•s s* .r S -'. w�th a fan :providing ;40 cubic .felt%minute;:= � x y r•,:• ,.. ' l•'�t 4 ^n e': k y ra ?i - �' � �. `I1 -'b". r.,w i,. b'.Fti.j "�• ,r a" 1 '' ,;•;�• .� <. „t i r F iv✓ r, !f r�;g ,r d t,.�. _ '. 3 ,"sr k ,,;a•.• u.°�4a f `.y"� t .4 .,REGULAttQN 4101�4a2 : z;�-Rearz�wooden fire,=,escape 'n'ot, painted or.;F •" 4 4 Ir/�i.4{.�5/�Il.{i' . �.j1 I l�I52; A "r 6•. :h l/rSrA-6d MQdl H ,aine` pro` ting; ihd`. dccayl t+. ,+��' •f,•l•.' C.;,t# A �:•, ` t •r0.2eS is 't x. r'., ws d• '��`ifi r r. ,•# •, r,, ;� ,.�. ;. sn� ;` r'k ,e.'T �7� '` ,..°� � e,� rah + r�..r• -4 These �lo3ations ,�q re�'obser redK,on gJgne 8, �.981,�'0 �a" routine�licens3ng , .in3�bctidm `4.Re=inspection' on" U. 21 , f'l;9$2,•: ;.revealed- that- these= ,` , .. •. , :for tic • r ' ' �.. '1 violations had ;nbtfA een 4cor ected. -Not '•iecominended, r ensue � until , iriglations corrected• J..^a��'F` "v`4} �Fw • 1 r,}'t{d., {. ti� { 4�r kr^a �:} _ ,f 7.'j,.: �r ,`,''t r _, f �..; i ,.,•*. •�yt �' j; t�, f4r g , . . Yogi may r'ec uest a`'�he r nq' b'e:for'e�` the'rBoard xof Health=if,� wr.ztten ' ;" r k. `petition requesting; same, is' received withinseven;; t7x)t; days' after` date^brder�- served: •` x ,,^ u *t , s„ �.r G•r .lt,x ' a d t1.'t f X.4,•Y' rF a t r 'e a .♦ ;. . t Yt. 1 f•} �"� , ,� J .,�, *G r,. �:� a r+• C ar,ea.YA$i .f { r r 'jJ �"F Y ♦ "mar -r ` Jk. s ,+. .7; e, '�• t w M'' tl yt �:- r �, x... t r7Y''"en a :,Ncin-compliance. cou7:dsa~resultdin,,^a f�die b .up tto $500. EacY d �• °,r `*;,' ifailure` o-.Comely+.'w .th,-a 'Order:':steal]:,,condtitxit6",a,r_'separa��9;v10 t_ . � :�. * M . +►' w c r _� '..tr �.ation.� 31 = ° :;� ;tf*X , �",�-. •"�r p � 4 , • J ��:. r i r,,�•�y �a ... '+j -I4' � i�_r � � � ` Y t 4 1,, ;�;�"� r. �# r�' '' t? 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' 4 }.,, ., .�r .i;,,, P�, [ 4••,.r -7.; �- , ...}r1,.,�`S r.•,r 7F 1f 9r+'; - m ��:. + �-: vyr ,A�� [a'.. .y¢ r •rRr -;Yrt"' �,�.. .{ fit' .t�4� �#r.:.S r n,. �'' ��t t .• t '1Hedlth 11spe.ctOx�s hax a surveyed the area--and .have come to the .n Al _x,p r +tv _, ti wrt6ftc1usi6njth3 4 d'! pre se Yid !t g "system, h int o ol`eteg on site',sewa e' inq y'the` Inn '!'is a=`source-,of�pol-liltioh'tp 'the e p+and., YE�y,.i �. ,�•., r••• +• .`•4 h Y r< �' s P dT 7; u�� ir�l� lK.,`a �1, D. y `'!d.'4 .} 174.y«'tL..r _ �' t•'� �Y �. � �/r�f �• � i �.'vr ~, I .:• r c r a . . - e # c +, ,�r 1.w�:s �'.. � i 1".�,'-. .,/�..ad ,'tt \ •'• � +.-• '[ ;,ti S hig3i �t areccsnded;tht.' y�Qui`re" a +profese�orsal engineer r ' r ' to'•upgradei, your _present�,'sewage-.system .tQ` cpnform � s..closely as t F 4' q <us+i a �. r-< .- �_ pOSs l?le ';t0 :Title,-S =C they State 1'I'V",•1.�'4�nIjE 31t �,�0 ft: s 2tQYy •.t.,�, a.e .' .. r, x• e�. ry.F' ..,µ4r w e gt t ••�_ t,t 4 �-!5i t y i. 5 r !r [.-4 r�.,. a> ri i y'• t } ` y i p ,< u° Soo�n,'we ill 'be rcortductirig: a" sana try, survey. of,all -structures `� 'in thl';v i :i 3 Ly i ascertain fhe .probaxila t s Ko �t i+eir +5s t s `cbnutiinatin g' the'ponds. {. . n L � r; •..<� ; ;, � `�` - + '- r 2, '. ��{ -,' , q+ �yF.A ,�. q. •a q .{. r a } .¢'y 4" .7 .+e »,�,, � r? �.• �. •�} � •+°.... t -t �, ',lease 4c31 if you have any questions: S !r rr r,yf S•J7 #a i[14- '- " sr4.a's .i.Sa ^f,� i.. # '., a. - 'S }. ! t� j' ♦ h r Y �h'fi ,r ��g ,.[ a 1 tyr y� rG fi�f t i�r rr, °• f L, `.,.. .'a*. y.y rL i• < x^ `y ii''1;.a ,Very �+{.t i� l ' �` -�. } ,r- r r '3i o!.. .r '4 tr �, F { � ...r,. -;S .:i •^ . t r r . a / 7�' >r. r "� ,r�.? �:•Y '" rf.`.;.ia t-,' it # .tl�w+a sr ° .,` , � 4 e _� i.-�a.�+s 4ir 1'':4 `r �d� t ,�*L`i{ y,i.,.� 'r} ��' j-.'fit[* r ,r..,.` >�,.k, " v• � 3x�" '' ,� N."': .+,r7.t �n ..'� `�;.'. "r. • + 7r�{ 9 • y. fv'1q..:_ 5 r`" A� ? r r }y-, P �•, \ � � .- �, Mi• } -� � <• R''� .y + ..5 �}joh.Gn.M. r.L\6,L�}iy d •� a2�� r s � .. e } y r r T '� T V, L�.4��'4.�r'•..:d ..iFa �th :i ' ,,e+ F - r r ir{.?i } •i 't f n+ 1.._ f j;�:,ti T t � •� _ + ' _'/ r� §. , ..' �tL i,�.+;: s -[!, ' ��e tour .r � J--`,rt �, � yfr .t.-,� :' ..t .. r i Y 4 ��i� tn.yy 4 r .L. ' � Ji#Sl�a4ure 'U re M ' 1�+�.�. +. '-v- .'t..e�''"e ,_.;r dr�,7 .- '.. n S. :,`r wa..r ;s'',�- ''tip'i ��`� ty i r •• r '��'h fink a •.- J'7 3� f t ye !'y ✓7"t .+,�'Y.. a.+. -.� d'Mr3£• x ie. �js r `r 7.t� F r J t •'� r , Y 'v-' •� .{' F .4 4��. tl } -e } l"%p ' K, ,{ •?.'r ,C. � . +. ,,'h'•., � 6 r,..�.s°��'}ia' `'`�a.t� �i s" ''ls".�'7w'fi�� • ! 'j` .Y �, .r f r� DC � � ^Y.r TPy a r}: r, t ` sV •r'n ♦'4, p . 'fir" r ^ 2 „%1 ,kE•ai'1 � •�'?,a 5�.�"..4• �' R'T ,a+.•4 t rt �+n !` t• }, .• j. _ *,'J *'. `.� • � r : ,v r[ 7'i '� .f g.h y f ti�Y a r h x. ] •`++ u•h <.�7st s a>` - + \✓' _n + a r ; s ,rr t kff ¢ wf r ' •i 1'' n / t p< u **r z •tip 7 Zs % ti t Jr 's� a �� Y 7� w r ♦ �tk. .{ , - r ,,, . .,w Y i .� � - �}'� t• i � i ••' - r,tyi '1 , r �•iL• . 'hi f,r _ ' r 4 3.. r•. y. +.t4 'i J y,1, v /` pr ��! '4 '�� '��.fiF � .i r, �� ti> fT�.r k �'�� ¢ r - r. � �.r e- f J •t � � !�f � LL4[ } � a cS •' ar r t ;, 's 1, y� '7 CJ � {1,V•i'3 1a � � - t� i•,s t � h t ~,t r w'..1 '' 4u {..� s � . ti^j rw,L Cr '.d f�a�ir V" <' s z `�.ir ? '7L-�' r i r ; .r, '' •.•'r- s r - ..ti.'s h? ! �,.F r: R}�,r`r `•. ... V ''Y' "7•s - r k f- a w ��', €": .. tt` '# _ _ ,� r ti� t ! �, •[�,5�•;,y. ��y, f� ' Yt � '�'i..`�,k-t �'• S-+;� .. r', IXt �9 4i.-'. i. :t' • r f y e r tryr,'�' Sys "C �•.{s •�'''�� L1r�.3,.p,tx+g�. �� o�w'€ fir4J .�a v $.. S � `" h i + g.L.9'q l' V -rs, � �,.r.{•�C"`�x�7 � ti�.•tL :,Ai. 0,,`* ry p .,f x' �'t `,�, -;:qr`' `jy! a" ;4. "r}r•` .;j•.,�,r,f i•'�" ,r. et,... a . ,�, r•�. -. i r� J � s _ r TOWN OF BARNSTABLE !!! BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date 7 Owner -ut, , Tenant ,✓' Address ` Address Compliance Remarks or Regulation # Yes No Recommendations 2. Kitchen Facilities * 3. Bathroom Facilities 4. Water Supply .5. Hot Water Facilities �✓"' 1rC7 '" 6.. Heating Facilities f / Ff 7. Lighting and Electrial Facilities 00' (' ' 8. Ventilation 9. Installation and Maintenance of Facilities74 10. Curtailment of Service r . 11. Space and Use r-�7 C-f, 12. Exits 13. Installation and Maintenance of Structural 1v G" ! P- 711- `'c Elements g It — 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal , 16. Sewage Disposal 17. Temporary Housing PART II _ �! 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition 1 f�m f Person(s) Interviewed - Ins - - •`_` -�-------------------------------------- -- ___________________._________ __________..__________ If Public Building such as Store or Hotel,/Motel specify her __.__-..-______ Q ..____.. r ABLE . . . . . . . . . . TOWN OF BARNST BOARD OF HEALTH 1 ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date VG,( Owner + Tenant Address Address i Compliance Remarks or Regulation # Yes No Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrial Facilities 8. Ventilation U%� � c' •=C 1. `/(2 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use / U 10 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Person(s) Interviewed -------------------------------- Inspec -- -1�i-` - If Public Building such as Store or Hotel, Motel specify here ___ __-- _________ -----------------------------_-------------------- __________.._______..__ r THE COMMONWEALTH OF MASSACHUSETTS .iBOARD OF-.HEALTH NOTICE.TO ABATE A NUISANCE ,.. ` h ------------------------------------------------------------------------------------------------------------------- ---------------------------•--____-------------------------------- r. owners' A8 occupant ofr�.rz-Fr,_.�.. r. '✓n g t J�,_,�r"r_C. you, are hereby notified to remedy the conditions named below within days'of the.service of this notice, Sundays, and legal holidayg excepted, or to show cause why you should not,be'required so to do: : . .......... t? 3 .. .9"Ya. s n tti-_Y1 li' .. �✓.''Y= r.A-•__.. .r ..e'.,s ,-____-_- x_ _______________________________________________ __ ____. ---------------------- _ --- -j, - r. r. �•. _...-2 �- ------------------------------------------ x ---------------------------------._-_-__-_-_--_.-.._----------•--_-------------------------------------------- ----`- ------------------------------------------------------ ------------------------------- - ... If at the expiration of time allowed these conditions,have not been remedied and no cause aforesaid:be shown, such..further action will be -.taken as the law requires. By order of the Board of Health. d_Inspector. Mail_____ Personal Service___ley r -------------- ; Any objection or inquiry in reference, to this notice should be filed before the expiration of the.time allowed for the abatement of the nuisance. Address all communications, 'Board of Health,----_{ -i ------- ------ ---------Mass:" FORM.600 HOBBS & WARREN, INC. • ""V , • � f'��sY.� WMTi�F!t,} .�"!.,.K� ih3.§.S4F,�tW"$aP�' i t ob r pit - Town o "otabl T-OVA, .k r` r 1, have n 3 L ... M+b. '�i. � .` las 04 "�'4"�'f�. �d?s#vr�' .SWs . o that SOM xi semi< � 4u with, ola'Apbors an won p ; r. - op «' � m ' to the 'mookas ng t yq o � d t i y$ � Omer . �yw4 u � ��;y: �µ�� Y�� rPo. } $ 'rI5ef L\aMb ; .�+PM i,�-•fd 'pyn[2 Y 1�4 j AY Aary' r -to-' U4 a ' da th w the por t+u# root - 4d pv .. Ur .oa none opl o* . l 0 f w . € as you. 'llacono-almiris W 'two, '. . :, r• I( ! December 9., 1976 I . Mr Joseph DaLuz Building Inspector -- -- Town of Barnstable Hyannis# Massachusetts Dear Mr. DaLuz o All motels Est be relxGensed by the Health Depart., went January .1 1977 Please advise this of£ide of any motels that do not meet your standards; ' Very truly yours,: John M. lCelly Director of Public 'Fea th I ce: Chief Glen Clough I Chief John Farrington J Fire- Dopaxf,-rkenlu- 0.2 6 5 5 Buildiii in2pector U, t, Datc INOVOmber 9- , 1976 Tow�n of Darnntat)lc Tplan Buildir_Lr- Main Street Hyarmis, 'T"laso. ornroi "','11-iter 1484 Sect" G-, 28 of the !Ja_o. 11-mir the rA 10-1 t 0 f 011 owin[�- v.i.(,,1 at 1-on Of tlle lwz U,415_ng I awn Crairiille Inr-a -- Cro.if-vil-le Con.ference Center SS 2,M Lall.(- l_1_abctI Drive Ccm tOrville, Iv7ass. 02632 AT,70 U 3 The swoizo (Jetector^ on eac_,`i floor vor,_'c indo pendent of each other and Also Indeponderyt of tl-,tj ala Thoce s1riorld be "t I- warnir.17, . tied 1.11to the pre:: alarm warnin- oystem so that if one in activated, the alarm will sound throughout -the building. Serions Consideration should be given to connect -in this t' I systc;'Ijo "plus alarm, r3yatonm from thp, Hanor and Lodge direct to the Fire Departimonto There ot'jil is n r ojPYP0 of c.,: inrruishing �;-istnm over 4- zt .- Ij the cooki nm.closed Please a 1--t-ter dated October 229 1975 rejr ardiTi condition.. The Fire )?_-part iment shall :r2quire this SYCA�-�,T) be installod before my -_pe7sons are allmr.red to qv)artor in t.ho, buildiijr, rrcT- thir, date on. ✓00. Reporting Offic.'-al Miles Cent erville-Oste rVille Piro District [ice nf xbt Jr-irr ',9 9 M,A I!I ST 11,E E T OSTUVILLF, MASS '1?655 Q r c t-ob,�r 22, Ou 1j, L -' o- -2 o ardto coir- ' -nor 4 111 --roun roo—�-. '.nvor,,; 1n, J ♦ 1; V-1-1 ' i--Vc to b.41t-o u I C 1� 41, CHRISTIAN CAMP MEETING ASSOCIATION CRAIGVILLE, MASS. li. �I. August 20th 1974 Board of Health# _ Town of B�[arnstable, ny�Q On behalf of the Board of Piree-yors of the Christian Camp .Heeting-Association ,I_,wish .to .thank you for your cooperation in helping us _to .solv.e:..the-cesspool problem of the store in Craigville.. I will see, that Mr Whittemore gets -the proper legal easement-promptly...which_was. suggested in your letter. Than'..you<,.again.�for .helping. Sincerely, - frf mea B n r President SEN©ER: Be sure to follow-*ructions on other side PLEASE FURNISH SERVICE(S) INMATED 13Y CHECKED BLOCK(S) (Additional Charges required for these services) ❑ Show address Deliver ONLY where delivered ❑ to addressee RECEIPT Received the numbered article described below REGISTERED NO. SIGNATURE 0 NAME OF ADDRESSEE(Must alwayre filled in) CERTIFIED NO. ttw"' � S01819 j2 GNATURE OF ADDRES c GENT, IF ANY INSURED NO. DATE D LIVERED SHOW WHERE DELIVERED (Only if requested,and include ZIP Code) U.S. POSTAL SERVICE Z ' AW % ► OFFICIAL BUSINESS 20 PENALTY FO�t PRIVATE +: ., USE TO AVOID PAYMENT P AL OF POSTAGE. $300 1974 U.S.'MA IL 3-1 Postmark of Delivering Office OZ636 01 SENDER INSTRUCTIONS RETURN Print in the space beloai your name,address,including ZIP Code. • If special services are desired, check block(s)on other side. TO • Moisten gummed ends and attach to back of article. r -11 Board of Health 41 cn Town of Barnstable 397-IMain Street HYAMNIS, MASSACHUSETTS 020 SENDER: Be sure to follow instructions on other side PLEASE FUY€'N6'SH SERVICE(S) INI�TED BY CHECKED BLOCK(S) (Additional charges requa. for these services) ❑ Show address Deliver ONLY where delivered ❑ to addressee • RECEIPT Received the numbered article described below REGISTERED NO. SIGNATURE OR NAME OF ADDRESSEE(Must always be tilled in) CERTIFIED NO. 801820 IGNATURE OF ADDRESSEE'S AGENT, IF ANY INSURED NO. 2 DATE DELIVERED SHOW WHERE DELIVERED (Only if requested,and include ZIP Code) I � O S. POSTAL SERVICE OFFICIAL BUSINESS V PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE, $300 U.S t t Pos mark of Delivering Office y� SENDER INSTRUCTIONS r T s E •Print in the space below your name,address, including ZIP Code. o If special services are desired, check block(s)on other side. - T. • o Moisten gummed ends and attach to back of article.. z' ""' I++ Q I � •-� hoard of Health <�t Town of Barnstable � 5E, S97 Main Street c0 �8 G HYA,Pd M, MxASSACHUSETTS 0260 SENDER: Be sure to follow instructions on other side _ PLEASE FURNISH SERVICE(S) IN TED BY CHECKED BLOCK(S) (Additional charges requi.-. for these services) ❑ Show address Deliver ONLY where delivered ❑ to addressee RECEIPT Received the numbered article described below REGISTERED NO SIGNATU OR NAME OF ADD, SEE(Mus 'a-IWV b fillet ) �_. 4 CERTIFIED N0. 1 �/ 801821 '' SIG ATURE OF ADDRESSEE'S ENT, F ANY INSURED NO. _ J DATE DELIVERED SHOW WHERE DELIVERED (Only if requested,and include ZIP Code) j S. POSTAL SERVICE ¢ ddFFICIAL BUSINESS ^U Y PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE, $300 5 Aft U )9 .I3 Postmark of Delivering Office 0263� SENDER INSTRUCTIONS RETURN Print in the space below your name,address, including ZIP Code.• If special services are desired, check block(s)on other side. TO ® • Moisten gummed ends and attach to back of article. O ~ p Board of Health M Town of Barnstable 44 ' M 44 397,Main Street 'FIYAi NIS IIIASSACHUSETTS 1 r�- r -, 4 :. 4+ r'io`,-uY'�raS`�•^„5y�,�-I'n,.,•�i?*" Ev 'Y� ',L' r �Y n �{r Y: „3 r :' a =k nc .,w. ;,�,g„ - � ^e � x .r ti r '�-- t ram. f, n- ,. .�,•�#x'� ,'� r i .y' a b `.x sy• � �- ;. 't r 4 , _. Ali •J ., ` ,♦.#�Y� � �"' ? r +. ti YYI i .. t� �`•' _ y„ max, _ ' ' ' �,• 197 �' �". Y r•,. u. ;' 'r; C r � �r_�".�r e. J a �+,.,+ r t r ^, �: a , y��y^'•y y!g-5,. '� „a• '' y ,. , • 'TiiR s, ,�f''y�► asM +[ ,�4 Y�'S o:, ' J- ' - ;ry,.. ::fs.'a!iM.�� i:� �r•. 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'l ac + a •r: .., ' tho'not au tndiaj like t-d . * A �cr c tt�st3�x� h+ ` �Qr1�4 rettars a� �� au ra. i a� i r D _reconsici,ii chair 4 sion on -0011 ngr the r�� y sand h Vin ` Ana` ?; u ► 3c • ,3.}Y J` , t .:J - - t. sty ..-t" •.. + �.ti .J.Ca� {y�y+ �y r�r r ty �� : . �yy►�9 �- kz Jy�1g g p��1 ap a)V) vi y;� � ' .,"�,x. ii"i7A,i 4+�2�Yf7wV Problems� V,F'+l7 iit Mr+Frasx• trl 4f+Y rtbA L ,4 r,11Til ,E4 Yxa uen • r �rlcxalc� sxttaatax ' er n OP ► ! a ��A Y, is y• - F••a � �. .� ;:� ra a wxr{j; ' vll ! i rn) ///a��///��.�� .. �.. r,... .•t y. at � ,,Y _• - A 1`r yy�►..�� } y� .. 1 'q!'i .tiY*. r x >t a ^+y A _•i�` 4�• ,I^l,f ` .k *�'„ . a5.r.. -.. 3 t � 4�, x.- ` �•-�� - � i+o T • •'wF�i ��...,�?�i.,i��fF•3� wi� :�d"+Ii Jl.. J #', < � - f +{, ~ Pt• +f. tf '�� yl, ' .„�:3��kAFnMi ifs•ri1�+1�. ��MA dAM��.4. ^r� � ✓L i) ` y ', V � #r '`: .�yr 'i}, 3r 1_• a �. a• "f y r i� �' "x r} ., d Y`ci.\ + 4 r`'d-•p+, x^ ::�. 4 '1:�: ry • t •: a .r � a �'� .4 s ��r x fix•^i ra' .. � 7'� � S: r .. f * •.♦ y£4'+ - rfl rr' x'K ♦ 4' r: 1 **f S ,• rj . _x" t . *T r rt+ '�*' . •. f� . vnY l ��, �}.•, � t,�• Y hz' � ..lxn, a`xa � T h � � -"4` y. L. sr�t a n^�g j raw�1 p{�. • CHRISTIAN CAMP MEETING ASSOCIATION Craigvil.le Mass. August 8th 1974 Board.of. Health, Town of. Barnstable, Hyannis., Mass. Gentlemen, About one hundred_years ago Moses_ Hallett of Centerville built a store in Craigville which he operated in. the. summer months.. This., activity has. been an_ important part in the. life. of the colony. It has passed through_ three later ownerships, all,,. Cape. Cod people-. With the recent death of Miss Louise Walker who. ran it for 48 years, it has been bought. by Mr. Carroll. F. Whittemore who. has: moved. to Craigville... as. a year;. round. resident this spring. The Iot . on. whieh. the store stands"..,is...30' x 601 . The building- is almost the same dimension. Tn order-- to modernize the plumbing it is necessary to install a cesspool.. Since the front and rear of the lot are bounded by streets anal_the.. south. side. by lot #91 which contains one of- the CamA. Meeting, buildings, the only feasable location for aeesspool .would be lot #93. This_ lot #9.3 runs.north..of the. store lot between Valley Avenue_and_a.eombina.tion..of Bleasant and. Ocean.Avenues. Tn contains..the- building." used, as. the Post Office but this. is located, well. over_ 1001 from_ the. store. The_ Camp_.Meeting. As.soeiation_ regards this:.. lot as parkland. and. does_ not want to sell. i.t. However, since a cesspool.. would_ be_buried, it would not interfere with. this purpose. Therefore ¢we would. appreciate. it very much. if you could grant.. the necessary var.ianee to permit the location of the. ces.spo.ol. on. Camp. Meeting property, on. to #93. On July 12th.. 1974 the. Boar.d. of. Dir-ectors of the Christian. Camp. Meeting Assoc iation .with.. a quorum--present and voting., voted unanimously to permission..for this cesspool location. Sine.e , J es Buff to es.ident of. th 0 A E ' ¢ if N FIh(1L{) Low 1411,&' '?�0( 73 x a ` c �f2rs /W CP r r-r v r'2 3 rr c �o1? iY SENDER: Be sure to follow ' strut#ions on other side PLd4SE FURNISH SERVICE(S) INWATED BY CHECKED BLOCK(S) % (Additional charges required for these services) ❑ Show address Deliver ONLY where delivered ❑ to addressee RECEIPT Received the numbered article described below REGISTERED No. SIGNATURE OR NAME OF ADDRESSEE(Must always be tilled in) CERTIFIED NO. 1 SIGNATURE OF ADDRESSEE'S AGENT, IF ANY INSURED NO.801806 2 DATE D LIVERED. SHOW WHERE DELIVERED (Only if requested,and include ZIP Code) �3 MU.S. POSTAL SERVICE OFFICIAL BUSINESS 1 PENALTY FOR PRIVATE AX USE TO AVOID PAYMENT r OF POSTAGE, $300 191 o u® 02 Postmark of Delivering Office ✓ 4J SENDER INSTRUCTIONS RETURN Print in the space below your name,address, including ZIP Code. YeJ, • If special services are desired, check block(s)on other side. TO • Moisten gummed ends and attach to back of article. • r-1 0 Board of.Health M Town of Barnstable 0.€ 397 Main Street 14 HYANNIS, MASSACHUSETTS 01 SENDER: Be sure to follow i tructions on other side PLEASE FURNISH SERVICE(S) IN. TED BY CHECKED BLOCK(S) e (Additional gharges required for these services) ❑ Show address Deliver ONLY where delivered ❑ to addressee RECEIPT Received the numbered article described below REGISTERED NO. SIGNATURE gR NAME OF ADDRESSEE(Must always be tilled in) +I+ CERTIFIED NO. 801805 _'�ION URE OF ADDRESSEE'S AGENT IF ANY INSURED N0. )V3 1. � fix DATE DELIVERED SHOW W E D LIVERED (On y if requef fanrelude ZIP Code) i f �t�� jyl LE. U.S. POSTAL SERVICE AUG } OFFICIAL BUSINESS • PENALTY FOR PRIVATE s� USE TO AVOID PAYMENT OF POSTAGE, $300 �� U.S.M L 74 �I Postmark of Delivering Office �C,6 L! SENDER INSTRUCTIONS RETURN Print in the space below your name,address,including ZIP Cade. TO + • If special services are desired,check block(s)on other side. r-I a Moisten gummed ends and attach to back of article. r—I W ,r1 P4 co Board of Health I �4 _ Town of Barnstable I 3�'7 �v9�in Street I ETTS a) HYM..Ni&,,MASSACNLS I I I Imo - �� r ♦"" ,y� ti 'w. �,. •. + � , ; s � _�-f � �' 'ti•-,� +,r Y.�' '` }'1: � ,'� p:,� -?'+ , � - ., a• y. ,, a a. � r• s ,� �-• .� t'. ; �^ .' .�' �"`� �'' � � #, :,.fie r � l'• Pat '� a 9y�' '} '�•� e n` _Sd�y� F �_t�a .•S el.l�' //"t�/fy�A} +fi eyei��7'+ +4 "�rrr.'i`i�w"��k1c�F' �T� n ^' ,y ^5 �,. •, -.., r�s•.r • �...+A;d iAWrGLii•- 11r k' TP k 2. f > _�,, 2 '� _ l `H`•e 1 ', ,i cra,�+ r�Ientr �!�. le•Village '`. + r i...Y ! -c r Ya M 4 r-c Y c i.• t 1;tr } :. �y y�,�+� +� i5t ,.may, xp 1•N�f' .;, is- �'R..r3 f- t a ft3rvl #. Q♦ 1aSi1'�b� tt ^ }j e e bear '�'�+4 r► [!#i.�a EAYi. � w ,y - ' J s M1 •�rr •e+ �i.. 1 •N _•� Joseph"k+�4o,�4�a� a�m►y��r��awt,�+�\'�y��++��r� ��,.�,+�y�y �1r ��,�. 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T Yt •-e¢ - Y•47 .r •' '}tYrj Y 'y i{e Y .r. ��r.ri , f'..e ' ,� ' l � � yam - t ^��`t l.1»;� � wt �S ••.et* .. e r �` � . `�* ! r' e � �'�e ° .� w i*# �'� a fi 14, a> ,� n F,�. Yf +� � r i ! + `� a •� " r '- +'�;rXt ra " ," e �•..., �' - .2 '� 7`.r"�kr e ,�•[ � is ,',j, rk}. � ,i. ,r a�. t,-.. ;. � �`�'��c. ' #••., + e�-. a �' i ri .�#, `..y - .- 7` r y > • .. .d 'a l � v 4 'a! ., '- •y ! t 1, .t~f, 7i+� M « �. ' .� Z •i: ^. ' ". • r try r - .1• i � �« ,.-.. . ..a ;F � r r 4 .. r Mom. V � #:. s i.. k , ii ♦ . � � • D�.�ash JOSEPH P. MACOMBER & SON, INC. BOX 66 - CENTERVILLE, MASS. 02632 - PHONE 775-6412 775-3338 July 25, 1974 The Board of Health Town Building Hyannis, Mass. Attention: Members of the Board of Health Dear Members : We hereby request a variance for Mr. Carroll E. Whittemore of Ocean Avenue, Craigvillel` �Eyrfexgville, Mass . , to install one ST-1000 and 1-LP- 1000, packed in stone . The reason for the variance request is that system will be entirely on Christian Camp Meeting Association property. You will see by reading the attached. letter; they, have given their consent for Mr. Whittemore the use of this property for the above installation. 0 segh P. Macomber & SQrf, IrW JPM/f wm Enclosures .`i -, "- fit'. .. . .. ...:.. :.:... ... I i JOSEPH P. MACOMBER & SON, INC. BOX 66 - CENTERVILLE, MASS. 02632 - PHONE 775-6412 775-3338 p6o� \ R�� 1RN G�09m p f1pj ��s e1)971 i;v pfL 4 r A , ,; 'C, 6,., r 4.=n. `` '` f � 4 L#x tf^-. r% y 11 - - ' s S .' 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In Oral -V lle,, ��3~ ",� ., '' j'2 R. -hMOet�t 4 g +y j`� ` { t .«1 t•: .. •�`` h.Y tir ., , �''. .1G�'`.49�, �' a, {4uoii' b. i�� rtp.i.esQ+�� o!Ri�.��©t��'Cjf � i Sr Ta'+. {• up©2'1 -a:`-mat s©n'd a2 r :• it�.fil.e :xanci -seco .d,ed; : `it�.t as ©tad' •.t t.�r `.± ;., -.� .s_~• R r rmisi ion be :g;. ., XI. the rCY 1st3an Cate 140e g- s®� °a � \' r T J- a. i ti an kr r - , ` ttc Mr.,. ;Carroll, So 'Whittemo're� to :�roca�e a;oesspoc��. �fQx' t .e.�Sitore a� = Y L ,;` ."` `, orirgChr sti 'Camp'' ting A Bociatior 'pxoperty, betwe `- the f ,,t r 3 ;' . �. r store• and. the Poi#, -Off tee J t _ f r �_ J N a t t a. 1 F t { r - 4 > l '"f c 7 -_'..#a� , .L. v � ,-i o rt`� v t4 y f x', r" , . '� N Y{ n < ✓ram JX r , �, ,4 z ,z. a ,2• t o I r F r r .. i .A ,,�., A c. 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Z. 1 CHIRIST-!' l,jq CAMP MEET ASSOCIATION, co -p'oration duly CStaI_)IjSheC1 UndICC the laws of the Commonwealth of Massachusetts , and Wng AS LISUal place of business at Barnstable (Craigville) Barnstable for consideration paid, p . and in full cons? of �1 . 0y, YAR"OXXX grants to CARROLL E. an!d 101IT1EMO1\E , husband and wife , as tenants by the, entirety , ocoh of Boston, Suffolk County , Massachu- setts , vi 111 111MVIZI-011 rinullaI14,17, (D-scription and encumbrances, if arr,,3 an easement, as appurtenant to land of the grantees , to locate , relocate and maintain a sewerage disposal system in, over, under and upon Lot 93 as shown on a plan entitled "Grounds of the Chris— tian Camp Meeting Association At Craigville, Barnstable County , Mass . Scale 150 Feet To An Inch, " which said plan is duly filed in Barnstable County Registry A Deeds in Plan Book 24 , Page 49 . CHRISTIAN CAMP MEETING ASSOCIATION jilt MIUM-5 t, the said has Callsed its corporate Seat to be hereto affiscd and these presents to be signed, acknowledged and delivered, in its name and behalf by JAMES BUFFINGTON,JR. its PRESIDENT, and 0. HERBERT JOHNSON , its TREASURER, Hereto dL,.Iy authorized, this day of August in the year one thousand nine hundred and seventy-four. S;6";2e(--1 a;'d sea/ed'in ivesence, of CHRIS'.iIAN CAMP-MEETAUNG C ION \ASSO ---A10- L by / , � - .' ' �..` ..... . ......t.0 1 V. suiring I�f. P IDENT ' .......... by V-P, i"""0. b........... ..................... o nson ,r ert STMIER UTI'e Orin.w11111111raWlt Barnstable, ss . ss. August 19 74 1-11CI1 aPP'!0-':cd the ;'hOvc reamed JA -FINGTON,JR. and 0. HERBERT JOHNSON , PRESIDENT and TREASURER respectively as aforesaid, the insi'Rictic'jit to be thc h-cc.' act and deed Of [-he said CHRISTIAN CA-1.,1P MEETING, ASSOCIATION , before 111c, .. .................. ........ NoLury IMY (omnlissio"I cxpi 'n CHRISTIAN CAMP MEETING ASSOCCATION, a torpors tion dilly established under the laws of the Commonwealth of Massachusetts, and having its usual place of business at Barnstable (Craigville) , Barnstable County, Massad.usctts, for consideration paid, �X and in full consideration of $1. 00, grants to CARROLL E. WHITTEMORE and ::AGNBS..H. . WHITTEMORE, husband and wife, as tenants by the entirety, both of Boston, Suffolk County , Massachu- Qfx setts, with q1titriaim rnurituttf-4 'i (Description and encumbrances, if any} an easement, as appurtenant to land of the grantees, to locate, relocate and maintain a sewerage disposal system in, over, under .and upon Lot 9.3 as shown on a plan entitled "Grounds of the Chris- tian Camp Meeting Association At Craigville, Barnstable County, E Mass. Scale 150 Feet To An Inch, " which said plan is duly filed in Barnstable County Registry of Deeds in Plan Book 24 , Page 49 . F 7 f i E I t ICI £ i r. A wjtXtpwi w4,mlrtl, the said CHRISTIAN CAMP MEETING ASSOCIATION has caused its corporate seal to be hereto affixed and these presents to be signed, acknowledged and 4 delivered in its name and behalf by JAMES BUFFINGTON,JR. its PRESIDENT, and 0. HERBERT JOHNSON, ! ` its TREASURER, hereto.duly authorized, this �> , day of August in the year one thousand nine hundred and seventy—four. Signed and sealed in presence of CHR S AN CAMPMEET G\A7 OGI ION `) Sam�e..'s 'I:ut1ricj 'ori 'J"r: , FJ IDEDTT � . �.1.:.. ............. by 0. �Te"rbe•r 6*h 'son, TW8TJ1kER 0l1'r ("Tilmnulalurul#dl lit M rint rf - Barnstable, ss. SS. August 1974 Then personally appeared the above named JAMES BUFFINGTON,JR. and 0. HERBERT JOHNSON, PRESIDENT and TREASURER respectively as aforesaid, and acknowledged the foregoing instrument to be the Free act and deed of the said CHRISTIAN 5 CAMP MEETING ASSOCIATION, before me, 9 . ........................... ........ ....... .. ..................................... ,. Notary 1'ub JXtitit&3tKKkXF 0X- X My commission expires .�/ 19 } E c i^rt a� 1"V M cr' - m_ �--f 1 -C L rn 0 _ � I �ZZ Nj v �. _ �/��G�� /,�� arc GfJ/�� • , �� /, cfv /•ems � /�o ze ,�° /'�� s�ii� �� c�/A�-,rya� ��✓ G Cd e�ekr G.rCGv a�/� cOw 7 m pom No.-----3-,.,f-7.. Fula a....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ---.OF......... ------------------------------ -------- -for Bi-qVooal Workii Tonmrurtion Vrrutft Application is hereby made for a Permit to Construct or Repair ( 4�-`an individual Sewage Disposal Syst7 at: ...... ... . . ........ ........... ............. . ... .. ........................................................................................... ocatiodr s or Lot No. ............ ..... ............ . ........ ... ................................................................................................. Owner Address ........................ ......... .. ....... .. ..... ... .. .. ...... ........................................................................ ......................... Instal'I'er.. ..... .. . Address Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic Garbage Grinder Other—Type of Building -------------------------_- No. of persons_--____----________--_---_- Showers Cafeteria Otherfixtures ..................................................... ------------------------ -------- ......................... ----------------------------------- Design Flow--------------------------------------------gallons per person per day. Total daily flow_------------------------------------------gallons. � Septic Tank—Liquid capacitv--.---------gallons Length................ Width_.-__--------.. Diameter_---.-..._.-_-_ Deptli---------------- Disposal Trench—No. .................... Width___--___-_____-__-__ Total Length......_.__....__.._ Total leaching area--------------------sq. f t. Seepage Pit No-------------------_ Diameter.--_-___----_.__---_ Depth below inlet......____...._._... Total leaching area------------------s(l. ft. 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-..___.---_-_-_---._-.-. f4 Test Pit No. 2----------------minutes per inch Depth of Test Pit.....................Depth to ground water-_._.-._-___.--_------.. P1 ---------------- ---------------------------------------------------------------------------------------------------------------------------------------- 0 __Tit- _----------- Description of Soil----- .................. ... ........... -------------------------------------------- - --- ------------------------- ---------------------------- --- ---------------------------- .4� W ---------------------------------------------------------------------------- ...... ------------------- ------------------- ------7-�e-- --------------- - --- --- ----- U Nature of Repairs or Alterations—Answer when aelicable----------- ----- ------------------------------------------------------------------------------------- fD ------------------- --- ----W----------0,V .............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b en y+issued board of healt_d ign llv,..L ............... --- Date-------------- -7 Application Approved BY--------- ---It—- -_ - --- - "4A ------------------- �at Y;------- e........................................................... Application Disapproved for the following reasons:......................... ---------------- ...................................................................................................................................--------------------------------------------------------------------- Date _;_7� Permit No........................................................ Issued..---746-1 . ......................... Date No..---.� ---#---- . ....... ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HOAO ALTH F� ....OF......... ...... .........:... .......................................... Application -for 13i!i oiittl Works Tono#rur#ion Vrrnii# Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual`Sewage Disposal Syst at: o -- 't�'-•--...x ✓�...-...---- -•---•---(=------------- ------ --------------------------------------------•---------•------------------------------------- Catio dr ss �� or Lot No. .............-•••--• -•--•.... ........... - - •----•-•-- -- - --- ---••---•-•••••--•-•-•-••••••-------•...•-••••--•••-..-....•-------------- ....................... ' Owner / Address f, �------/-=-=- -11, -•--------------L•,-y-L---....... --•-----------------------•-----••-----------•------_----------------•--•----•--•------••-•------- V Installer Address tll Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ___________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther 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---------------------------------------- a Test Pit No. 1....._..........minutes per inch Depth of 'Pest Pit.................... Depth to ground water--_-__________-__-___- �14 Test Pit No. 2----------------minutes per inch Depth of Test Pit___.________________ Depth to ground water........................ D Description of Soil------ ----------------------------------------- x --------------------------------------- -----------------------------------------------------------------•-• ---------- Na 'of'vR Yp- rs or Alterations Answer when alivable_-____. _-__U , _ 9 ------------ �'�-- �--- ph _c.--•••--••---77_1 --------------------•----• •-----••••-•---•......--• •--�....-------------_---!--%=-V--- .. Agreement: The undersigned agrees, to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issued y Pt bard of healJt . igne �l+Cf�!i-y. 40 D to Application Approved By._...._... 7- - --- ••-• ------------------ /te _ Application Disapproved for the following reasons:--------------------------7.............................................................................. ._.._...-•-••---•--•.....................:..••----....:-------•--•---•-•••-----•----•---•----..•----------•-------•-•..__._-----•-•-•-------------------...__._._ ..................................... Date PermitNo......................................................... issued......................................................... Date I \ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA T . ...OF........... .... ......... ...... ........ ....................................... if rfifirtt#r of Toinplittnrr T IS IS TO CE:f1 That the� dividu4 Se ge Dispo 1 System constructed ( ) or Repaired by- �'1' r ;&SC.-,.t4---------------------------------------- ----------- ' Inst ... 9 at------® Xe .............� ....... has been installed in accordance with the provisions of Articl I of The State Sanitary Code as d scribed in the application for Disposal Works Construction Permit No.___._ 61 __ dated......•.. __. _ .. �'------------- , THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RA TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................................•-•-•••••••-------•--•--••--•----•----------... Inspector.................................................................................... THE COMN!5N 7VEALTH OF MASSACHUSETTS BOARD OF HEAL ........OF....� . . . ..�� ................... K�..,r. No. ...... FEE-;�---"'- ...... k #rur#io, rrnti `7 Permission is hereby grat i _____ to Constr t ( or Repair ( ayJI dividual Sewage sposal- Syste atNo. �. C {• -r�R ._..... ...._ ---------------------------------------- -- ----------- --- tmet as shown on the application for Disposal Works Construction IN _____ _ _ Dated.... r _......... Board of Health DATE---IIS14 -r�---------------••--------•---------••-•--•--• FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS .i JA Town of Barnstable Barnstable / Board of Health ` `"MAs�`� ' 200 Main Street, Hyannis MA 02601 I. Al 039. � 2007 f0 MAy Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi May 16, 2016 Ms. Cynthia Diggs C/o Mr. Jim Lane 86 Summerbell Ave. , Centerville, MA 02632 RE: Variance Decision — Number of Occupants Authorized at 125 Ocean Avenue, 208 Lake Elizabeth Drive, 19 Prospect Avenue, and 39/45 Prospect Avenue Dear Ms. Diggs and Mr. Lane, You are granted variances from Section 105 CMR 410.400, of the State Sanitary Code, Chapter 2, Minimum Standards of Fitness for Human Habitation, which requires a minimum of 80 square feet of floor space for one occupant and 60 square feet of floor space per occupant within bedrooms which. are used by more than one occupant. These variances are granted with the following conditions: 1) No more than eleven (11) occupants are allowed within The Groves building located at 125 Ocean Avenue. The applicant requested twelve occupants within the six sleeping rooms. This request was denied due to insufficient floor space in Room #7. Overall a maximum of eleven occupants are authorized within this building. 2) No more than forty-seven (47) occupants are allowed within The Lodge building located at 39!45 Prospect Avenue. Forty-six occupants were originally requested by the applicants within the twelve sleeping rooms. One additional person is allowed overall due to a reduction in Room #2 (from 6 to 5) and due to approved increases within two units; Room #1 (from 7 occupants to 8) and Room #10 (from 3 occupants to 4). Overall forty-seven occupants maximum are authorized in this building. 3) No more than twenty-three (23) occupants are allowed within The Manor building located at 19 Prospect Avenue. Twenty-four occupants were originally requested by the applicants within the nine sleeping rooms. This request was denied due to insufficient floor space within Rooms #7 and #8. However the Board approved an increase in Room #9 by one occupant (from 1 occupant to 2). Overall, twenty- three occupants maximum are authorized in this building. q:WP//Craigville Retreat Center Room Size Variances 2016.docx 4) No more than fifty-five (55) occupants are allowed within The Inn building located at 208 Lake Elizabeth Drive. Fifty-five occupants were requested by the applicants within the thirty (30) sleeping rooms within this building. Two.rooms were deficient in floor space. Therefore, the number of occupants within rooms # 1 and #24 must be decreased from two persons to one person within each room. However, the occupants within rooms #26 and 32 may be increased from one occupant to two within each room of these rooms. Overall fifty-five occupants maximum are authorized in this building. The variances are granted because these buildings will be used temporarily (i.e. on week-ends) by students for religious retreats. In some cases, the floor space calculations for the number of students exceeded, by no more than 20%, the space required based upon the square footage and floor space required by the State Sanitary Code for a rooming house. Also the septic systems for each building appear to be functional at each site. The Board is of the opinion that these minimal exceedances should not result in a health hazard for most individuals occupying,these rooms on temporary basis. It would be manifestly unjust to require the applicants to construct additions to the sleeping rooms at these dwellings constructed more than fifty years ago, considering the projected cost to construct the additions. l Sin rely yours, i yne ler, D., Chairma Board o Health Town of Barnstable Q:wPHCraigville Retreat Center Room size Variances 2016.docx R 31 ��.�j ry• `<�,�'�°P'�\ �� DATE: R , 'j=��_razt�� . �1 2 FEE: y;14, r. REC. BYS Town of Barns able �- �-1 S CHED. DATE Board ®f Health a C:� •��'rrc-yaa _ .._ _ ._2 1V1ain Street, Hyannis MA 02 601 FAX: ,.-? r;- t.-6tje-- Wayne A.Miller,M.D. Junichi Sawayanagi (Z Paul J.Canniff,D.M.D. ® REQUEST]FORM � LQK r1::r. _'J and Parcel Number: ✓� __ /� �3 'C ��8��y�',� Size of Lot: �^ "7 dL ctjMn; '�Wi-t i n 3O0 Ft. 4'es Business Name: /: LeaL /� be No eG� Subdivision Name. NAME: ` � eJe 10 S Phone 70 7—Z q 4' —-7,1 S ca Did t'he -v=:v_of iY1e property authorize you to represent him or her? Yes No CONTACT PERSON _y .�tSt? . e S�;,eun_ Name: Address: q p e—e- - Address: Sczrn+n-aev;17,p-d v� 7J263Z Ph .. one:— SD 7-7 65 p `7 s.) REAS (List Reg.) FOR VARIANCE(May attach if more space needed) lees U 111-11 SC d 024 v-d S 5 wgt: tkee L/ NAri"'L'�s:l_�. �� :3-a�i<-��: House Addition 0 House Renovation ❑ Repair of Failed Septic System ❑ %v ojrai feted ) afice staff-pef son receiving variance request application) Please submit copies in 4 separate completed sets. Copies the completed variance request form pies of engineered plan submitted(e.g,septic system plans) sevdn(7)page checldist confirming review of engineered septic system plan by submitting engineer or registered sanitarian F:;.!r(')Copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) t-rer stating that the property owner authorized you to represent him/her for this request i,_derstands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title 1 %o iec i sc a age regulation variances only) -ibniMed(for grease trap variance requests only) `e;:.est Epp icat;oz fiee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], NS =siG' c i MLI variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no i � _ ,,•,, ei; [ Y expansion to the submitted at least 15 days prior to meeting date V N r:�r:c.'i%iiFTJ Wayne Miller,Chairman RtASON``(I '=`S-':'7-,F,0VAL Junichi Sawayanagi — "-- Paul J.Canniff,D.M.D. `' \"=�'� �-===�-- �_-�\='-�p7ata\Local\Microsoft\�Tindows\Temporary .C�-_co'•:\BAv9P9B7\VARIREQ.DOC Inte rnet Groves House 125 Ocean Ave Map 226 Block 084 .08 Acres Craieville Inn 208 Lake Elizabeth Dr Map 226 Block 097 1.25 Acres Manor 19 Prospect Ave Map 226 Block 019 1.14 Acres Sunset Lodge 39/45 Prospect Ave Map 226 Block 183 3.55 Acres Craigville Retreat is surrounded by water, but I am not certain how close the wet lands are to each of these buildings. Before we meet in person, I could have that information. Varience Request Data Allowed Requested Allowed Requested� t �� Groves 5 0� Aw Inn Rm 1 0 1 Rm 2 1 2 Rm 2 1 1 Rm 3 1 2 Rm 4 2 3 Rm 4 1 1 Rm 5 1 2 Rm 6 1 1 Rm 6 2 2 Rm 8 0 1 Rm 7 1 3 Rm 9 1 2 7 12 Rm 10 1 2 Rm 11 1 2 Lodge SI/Lf Pa - Rm 12 2 2 Rm1 6 7 Rm14 2 2. Rm 2 5 6 Rm 16 1 2 Rm 3 4 4 Rm 17 1 2 Rm 4 2 3 Rm 18 1 2 Rm 5A 2 2 Rm 19 1 2 Rm 5B 1 2 Rm 20 2 3 Rm6 2 3 Rm21 2 3 Rm 7 2 3 Rm 24 1 2 Rm 8 5 6 Rm 25 1 2 Rm 9 2 3 Rn 26 1 1 Rm 10 3 3 Rm 27 1 2 Rm 11 3 4 Rm 28 1 1 37 46 Rm 30 1 1 Rm 32 1 1 Manor \`t Q,mgP tJ A4L Rm 33 1 2 Rm 1 1 2 Rm 34 1 2 Rm 2 1 2 Rm 35 2 2 Rm 3 4 5 Rm 37 2 2 Rm 4 2 3 Rm 39 1 2 Rm 5 4 5 Rm 40 1 2 Rm 6 1 2 Rm 41 1 2 Rm 7 1 2 35 55 Rm 8 1 2 Rm 9 1 1 16 24 -�- WELCOME TO THE CRAIGVILLE RETREAT CENTER j -_T Whether you have been here Before or are a new visitor, We are glad you found us! � 6 '.!. OFFICE HOURS 1Vlonday to Friday 9am-4pm _C Saturday 9am- 1pm - - f 9 1 , E (Expanded hours in the summer) Sunday I lam-2pm __..... C�j If you find us closed and you have An Emergency or need assistance: CALL 508-775-1265 ; We have a 24-hour Answering Service and a staff member living . U_ On-site will assist you. ' I ? s CALL 911 for POLICE - FIDE - OR MEDICAL EMERGENCY EMERGENCY EXIT INFORMATION A red dot 0 indicates your room on the floor plan. Routes of exit in the event of emergency are indicated by red lines. Be sure you know the location of the emergency/fire exits nearest your room. Halls and stairways are kept lighted at night. Emergency/fire exits are indicated by red and white signs reading "EXIT". Fire alarm stations are located in the hallways. These stations should not be touched except in the event of a real emergency. WELCOME TO THE I I CRAIGVTLLE RETREAT -_-. CENTER —� - , JrI - Whether you.have been here Before or are a new visitor, L— We are glad you found us! L i.— OFFICE HOURS Monday to Friday 9am-4pm ---... �•--1 I Saturday gam- l pm (Expanded hours in the summer) Sunday 11 am-2pm If you find us closed and you have An Emergency or need assistance: CALL 508-775-1265. ! ', We have a 24-hour Answering GIR, 6V�5 Service and a staff member living — On-site will assist you. CALL 911 for POLICE - FIRE - OR MEDICAL EMERGENCY EMERGENCY EXIT INFORMATION A red dot indicates your room on the floor plan. Routes of exit in the event of emergency are indicated by -i'' red lines. Be sure you know the location of the emergency/fire exits nearest your room. Malls and stairways are kept lighted at might. Emergency/fire exits are indicated by red and white signs reading "EXIT". Fire alarm stations are located in the hallways. These stations should not be touched except in the event of a real emergency. FLOOR FIRE ESCAPE r T p o 0 o? A-*q - H A B v o Yl'1 pow!r7 `R®0�•,� ' BATH L0 D 61 E SECO ND w...__. SA Room AL L--WA �' - - - V t _ 1 • - - 13 G* �0OW) _ . . FOUNT tt s r F L CC)F?, WELCOMI TO THE S H A G L W kY . f j ,.-� SCAP CRAIGV ILLE CON-FERE�tCE i CENTER j� M i LET g ! 10 U11 Ar Whether you have been here before or i I are a new visitor,we are glad you found us! OFFICE HOURS C IR A 1 G V I L-L E. ! Monday-Friday 9AiV1- #PNi Saturday 9.A M-1PM, ! Saturday(July&August)9_A.M-4PNl � i i'®►l r i Sunday If you finds us closed and neec assistance please can: 508-775-1265 EST THE EVENT OF k EIMRGENCY 'When the office is closed call. 508-775-1265. j We have a 24-hour answering ser-vice i } i Which will contact I (�oG,►7i j - - - A staff member living on site, ! i i � they will come to your assistance. j LOCAL E MRGEN CY is -UMBERS, POLICE '0111 `IRE 9 i UNCX ' t�0 i I flP�� PORCH EMERGENCY EXIT INFORMATIOid - i 7 A .red dct indicates your room on the floor plan. Routes of exit in the event of emergency are indicated by _1�-w red lines . Be sure you know the location of the emergency/fire exits nearest - your room. Halls and stairways are kept lighted at night . Emergency/fire exits are indi- cated by red and white signs reading "EXIT" . Fire alarm stations are located in the hallways , These stations should not be emerg=_ncv, 4WELCOWT yn TO THE -:0-. :3 4 3-5 C2 MGVMLE CONFERENCE i� I i I CENTER FIRE - - es Pc Whether you have been here before or I are a new visitor,we are glad you I R&d n? ,c,_e? aka 4�4 61Ir found us! �®LDS T - 0 F- Monday-Friday 9AM-4PIA - ` i Saturday 9A'4I-1F . i IT Saturday(July&August)9AM-.4?M ! i ! Sunday I.LkM-2 ! C RA, i G\/l L 1,E I If you fmds us closed and need assistance please call: 3 508-775-1265 B,�7la{ j Di THE EVENT OF A2!14T ' EMIR.GENCV: ii ` f i�-hen the office is closed call: ot> ! 508-775-1255. We have a 24-hour answering service Which`fob�1 A RPr I Which will contact �of�r'✓f 4 staff member living on site. za # j ; they will cone to your assistance. - 2 ! J 2�o� --- -. - 1 - . LOGE EMERGENCY . 6 I NUMBERS I '; �00 �1 i POLICE 911 FIRE 911 iiIzcCWK I l I ao 1.9L I i - EMERGENCY EXIT INFORMATION i • A red dot ' indicates your room on the floor plan. Routes of exit in the event � of emergency are indicated by �_ ,,>= red lines . Be sure you know the location of- the emergency/fire exits nearest your room. Galls and stairways are kept lighted at night . Emergency/fire exits are indi- cated by red and white signs reading "EXIT°' Fire alarm stations are located in the hallways . These stations should not be _ouched except in the even' Of emergency. I , DECK 13 HAI-LiWAyI SLOP, r CLOSED ap r E dJ 3 j 7— '� iz f Groves Rm# Square ft #of occupants allowed requested 1 75 0 1 2 80 1 1f 4 150 2 3; 5 115 1 Z 6 125 2 2 7 101 1 7 The Lodge Rm# Square ft #of occupants allowed requested 1 396 6 7 2 287 4 6A& 3 241 4 4 4 159 2 3 5a 141 2 2 5b 115 1 2; 6. 150 2 3 7 140 2 8 336 5 6 9 133 2 3A36 V 10 204 3 11 227 3 36 Manor Rm# Square ft #of occupants allowed requested 1 100 1 2 2, 98 1 2 3 282 4 5 4 140 2 5 286 4 5, 6 104 1 2✓ 7 88 1 8 83 1 2@ 9 114 1 16 i J The Inn Rm# Square ft #of occupants allowed reques d C 2 88 1 2 3 106 1 2 v 4 88 1 1 v 6 84 1 1 Y 8 75 0 1 V 9 99 1 2 v 10 102 1 2"�/ 11 118 1 2 12 125 2 2/ 14 137 2 2`� 16 115 1 2'� 17 105 1 W 18 115 1 2✓ 19 117 1 2✓ 20 147 2 3'f 21 178 2 3,/ 24 93 1 2 40 25 104 1 2 ✓ 26 98 1 27 114 1 2 ' 28 88 1 1 30 87 1 1 32 94 1 1,40 33 110 1 2 r 34 106 1 2� 35 123 2 2� 37 132 2 2'V 39 115 1 2V 40 100 1 2`/ 41 115 1 35 55 14 50 7� �/ TO: Cynthia Diggs 707-299-7490 BOH APRIL 12, 2016 DATE: March 22, 2016 EMAILED: Crai vg illekUCCR.org Cc: TM, RS RE: Craigville Conference & Retreat Center, 39 Prospect Ave, Cent. Board of Health Meeting -April 12 Y 2016 HELD AT: Selectmen's Conference Room Main Town Hall, 367 Main St, 2nd Floor, Hyannis. P (NOTE: this is not the same building as the Health and Licensing offices.) You'll find the Variance Application and the chart attached. FEE $ 95.00 Paperwork necessary that the Board will need will be five complete, collated packages of: 1)the floor plans, 2) a list of which specific rooms are involved in the variance from Code, 3)what is she proposing as the occupancy count for those rooms. REGARDING your question: Specifically for Lodging Houses, the Code requires 80 Sq.Ft.for the first occupant in a room, Thus, the smallest allowed space is 80 Sq. Ft. = minimum for one occupant. For two people and more: the sq.ft. changes to 120 Sq. Ft.. (now, it becomes 60 sq.ft/ea person for two or more. For three people, the square footage needed: 180 Sq, Ft (60+60+60) ...and so forth. 'Groves' Building, Room 1, 75 sq.ft - is correct at-0-. According to Code, it does not qualify for overnight occupancy. QALODGING HOUSESThart and Email Craigville Conf and Retreat Center Mar-22-16.doc r Crocker, Sharon From: Crocker, Sharon Sent: Tuesday, March 22, 2016 2:08 PM To: 'craigville@UCCR.org' Cc: McKean, Thomas; Scali, Richard Subject: RE: Craigville Conference & Retreat Center, 39 Prospect Ave, Cent. ®� tip- VARIREQ.DOC(60 Craigville Confer KB) Retreat Cent... Board of Health Meeting -April 12, 2016 HELD AT: Selectmen's Conference Room, Main Town Hall, 367 Main St, 2nd Floor, Hyannis. (NOTE: this is not the same building as the Health and Licensing offices.) You'll find the Variance Application and the chart attached. FEE $ 95.00 Paperwork necessary that the Board will need will be five complete, collated packages of: 1)the floor plans, 2) a list of which specific rooms are involved in the variance from Code, 3)what is she proposing as the occupancy count for those rooms. REGARDING your question: Specifically for Lodging Houses, the Code requires 80 Sq.Ft.for the first occupant in a room, Thus, the smallest allowed space is 80 Sq. Ft. = minimum for one occupant. For two people and more: the sq.ft. changes to 120 Sq. Ft.. (now, it becomes 60 sq.ft/ea person for two or more. For three people, the square footage needed: 180 Sq, Ft (60+60+60) ...and so forth. 'Groves' Building, Room 1, 75 sq.ft - is correct at-0-. According to Code, it does not qualify for overnight occupancy. 1 f E � Craigville Conference and Retreat Center Dated: 3/18/16 39 Prospect Avenue, Centerville Room Measurements By Health J P/to'c Groves Rm# Square ft #of occupants allowed 1 75 0 2 80 1 4 150 2 5 115 1 6 125 2 7 101 1 7 total The Lodge Rm# Square ft #of occupants allowed 1 396 6 2 287 4 3 241 4 4 159 2 5a 141 2 5b 115 1 6 150 2 7 140 2 8 336 5 9 133 2 10 204 3 11 227 3 36 total Manor Rm# Square ft #of occupants allowed 1 100 1 2 98 1 3 282 4 4 140 2 5 286' 4 6 104 1 7 88 1 8 83 1 9 114 1 16 total QALODGING HOUSES\Craigville Confer Retreat Center Occup Chart Mar2016 JP.x'Is Page 1 of 2 r t Craigville Conference and Retreat Center Dated: 3/18/16 39 Prospect Avenue, Centerville Room Measurements By Health J P/to'c The Inn Rm# Square ft #of occupants allowed 2 88 1 3 106 1 4 88 1 6 84 1 8 75 0 9 99 1 10 102 1 11 118 1 12 125 2 14 137 2 16 115 1 17 105 1 18 115 1 19 117 1 20 147 2 21 178 2 24 93 1 25 104 1 26 98 1 27 114 1 28 88 1 30 87 1 32 94 1 33 110 1 34 106 1 35 123 2 y 37 132 2 39 115 1 40 100 1 41 115 1 35 total #Occup. #of Rooms #Occup. Desired Discrepancy Groves 6 7 12 -5 The Lodge 12 36 44 -8 Manor 9 16 23 -7 The Inn 30 35 63 -28 TOTALS 57 94 142 -48 QALODGING HOUSES\Craigville Confer Retreat Center Occup Chart Mar2016 JP.xls Page 2 of 2 the Barnstable High School Performing Arts Center, West Main Street, Hyannis on April 2, 2016 at 7:30 PM. 4. Application for (2) New One Day Beer and Wine Licenses: Applications received from Paula Tropeano on behalf of Spoon and Seed for two new beer and wine licenses for the following events. The first event will take place on March 24, 2016 at Spoon and Seed, 12 A Thornton Drive. Hyannis for an "All Dressed Up" wine dinner. This event will require a one day wine only license. The second event is for a one day beer and wine license for a Canapes Party for Cape Cod Health. The event is to be held at Spoon and Seed, 12 A Thornton.Drive, Hyannis on April 7 from 4:30-7:00 PM. 5. Application for a New One Day All Alcohol License: Application received from Stacie Hevener on behalf of the Marstons Mills Public Library for a one day all alcohol license for the Roaring 20's Trivia Contest. The event is a fundraiser to be held'at the Liberty Hall, 2160 Main Street, Marstons Mills on April 1, 2016 beginning at 6:30 PM. 6. Consent Agenda: Public Hearings: 1. Application for Four New Lodging House Licenses: Application of United Camps Conferences and Retreats Inc., d/b/a Craigville Retreat Center, 39 Prospect Ave., Centerville, Cynthia Diggs, Manager for 4 New Lodging House Licenses as follows: Grove House, 125 Ocean Ave., Centerville - 12 teems- Lodge, 45 Prospect Ave., Centerville —44 rooms The Inn, 208 Lake Elizabeth, Centerville — 63 rooms Manor, 19 Prospect Ave — 23 rooms A total of 142 roams all approved by the Building Commissioner. `* on i ur�ued from 3/7/16 Hearing 2. Application for an Alteration of Premises for a Seasonal All Alcohol License: Application of 13 Live's Corp., d/b/a The Black Cat Harbor Shack, 159 Ocean Street, Hyannis, Scott C Brownlee, Manager, for an Alteration of Premises description to change.the existing premises description to: Current Description: 2 Story wood frame structure at 159 Ocean Street, Hyannis, MA with frontage on Ocean Street used for food preparation, window service, patron bathroom and a rear wood frame structure for service and raw bar. No interior seats in structures. Alterations include: Add new service area to the second story of the existing front porch roof structure with 38 seats; completely enclosed accessible by lift and two stairways (construction required). Eliminate ground level patio seating of 2 f ! Crocker Sharon � %1 From: Crocker, Sharon " Sent: Monday, March 21, 2016 4:28 PM To: Parziale, Jim Cc: McKean, Thomas Subject: Craigville Conference Center - BOH 4/12/16 Richard Scali said you have done a chart showing what the room counts are versus what the applicant was expecting them to be. He said they will need to come to the BOH 4/12/16 for special approval on Bedroom Count. Would you please email me a copy of your chart for the Board. Thank you. Sharon (Contact at Craig.Conf.Center- Cynthia Diggs (cell 707-299-7490) Mail Craigville Conference Center 28 Lake Elizabeth Centerville, MA 02601 1 Citizen Web Request Page 1 of 4 VIVA 15A; 1 g' Citizen Request Management n Request ID: 20133 Created: 7/13/2006 8:53:19 AN Status: Assigned To Staff Assigned To: Parker, Alisha Health Office Chapter 108 Category:Anonymous: NoHazardous Materials E.C. Date: 11/28/2006 ' Created By: Fontaine,Tina Health Office Time Worked: 0.25 Response Time: 11.00 " y ► Requestor Details: ► Email: Request Location: 39 PROSPECT AVE Centerville, Ma 02632 Parcel Number: M ot:map. 287 Block: 028 L Request: Leaking fuel tank underground. The fuel tank is located under the building they wanted to fill it up with concrete but when looking into it they noticed under the tank is contaminated. Request Work History: Entered on 7/17/2006 10:17:36 AM ALP spoke with Frank Pulsifer from COMM regarding the 750 - 1000 gallon UST at this locatioi on 7/17/06. FP stated that at a site visit approx. a year ago a fill and vent pipe were visible in the yard and it was determined that there was an UST present but there was no fuel burning being done at that time. The UST is underneath the building in the rear of the home. Frank was contacted the week of 7/10/06 by the homeowner to see what requirements were needed to abandon the UST. Envirosafe was contacted and pumped approximately 35-40 gallons of sludge from the UST. An engineer from Envirosafe took samples under the tank, by puncturing the bottom of the tank, after the sludge had been removed to approve the abandonment. The first reading came back at 1500 ppm. (Nothing over 2 ppm for abandonment). Soil samples were sent to the lab to confirm accuracy of the test. As of right now, no permits have been pulled and no work has begun on the UST removal. At these readings, abandonment is not allowed. FP will keel ALP posted on the permit pulling, soil sampling and removal of the tank. Entered on 8/1/2006 8:25:32 AM http://issql/IntemalWRS/WRequestPn*nt.aspx?ID=20133 11/17/2006 Citizen Web Request Page 2 of 4 Last modified on 8/1/2006 2:26:48 PM Follow up information on this from the COMM FD has been provided. Bennett O'Reilley contacted the COMM FD and DEP-Julie Hutchenson. They stated that based on the conditions found, complete tank removal and excavation as needed will be made in accordance with appropriate regulations. Case still open-awaiting for permit to pull tank from COMM FD. Entered on 8/15/2006 8:31:28 AM Paperwork on this property is in the file. No permit has been pulled as of this date. Entered on 9/20/2006 9:27:24 AM No permit has been pulled at the COMM FD as of this date for tank removal. Entered on 10,/2/2006 9:03:51 AM No permit has been pulled at the COMM FD as of this date for tank removal. Entered on 10/17/2006 8:16:06 AM 10/10/06 ALP Spoke with Frank Pulsifer of COMM-A letter came in from Bennett O'Reilley stating they are no longer the working LSP for this site. Frank nor I have heard from the site who will be the new LSP. We also found that this address is incorrect for the site in question. 39 Prospect does exist as an address, but the correct address (assessor's page) for this location is 4` Prospect Ave. There is a question as to how long a tank can be in place (it is not able to be abandoned due to it's leaking issues) before it needs to be yanked out-Frank and I have the sam( (no date) in our regs, and I tried to contact DEP with the question, have not heard back from them as of yet. Waiting to hear back on the new LSP as well. Entered on 11/8/2006 1:40:12 PM 11/8/06 ALP and Frank Pulsifer (COMM) went to said location to meet with Director Mary Woodbury. She was not present, but the Administrative Assistant let us know that there is work being done on the UST removal. They have prepared the area that the tank is located in, hired a new LSP and, hired a company to remove the tank from below grade. ALP will get the LSP and Company name from Mary. They are planning to go thru the floor and if need be thru a crawlspace in the cellar. No permit has been pulled for the removal to date. Entered on 11/17/2006 1:44:33 PM 11/15/2006 - Health Department received notice that tank removal permits were pulled at COMM Fire Dept. Email was sent out to agents for notification. No agent was able to attend site visit as it was the end of the day when they received notification via email. Entered on 11/17/2006 1:55:03 PM Last modified on 11/17/2006 2:03:10 PM 11/16/2006 ALP arrived on site. Already present were Frank Pulsifer (COMM FD), DB Environmental Services and Mike Pendergast-Supervisor- Environmental Reclamation LLC. No LSF on site. Floor boards were removed above UST, the top of the tank was cut off sections were removed in sections. The trenching issue was mentioned to the contractor and noted in the FD report by FPullsifer, shortly after, shoring was put into place. Photos were taken by ALP. Samples were taken at various areas under and around the area where the tank was located. At approximately 8 feet below grade, the reading was at 10ppm. There was still some odor of fuel coming from the soil sample. [The permissible limit is 2ppm]. Another soil sample was taken http://issql/IntemalWRS/WRequestPrint.aspx?ID=20133 11/17/2006 Citizen Web Request Page 3 of 4 approximately 2 feet west of the tank and 4 1/2' below grade (1/2' below tank) with a reading of 1.0 ppm. The truck became full around 12 noon with the vaccuumed soil and will begin operation again on Friday 11/17/2006 to finish up the project. Entered on 11/17/2006 1:59:44 PM Last modified on 11/17/2006 2:00:40 PM 11/17/2006 ALP went to site for final visit. The trench size is approximately 8'x 5 1/2' x 10'. F 10 feet below grade in the center of where the tank release was was located,a sample was taken and the reading was 0.6 ppm. The trench will remain open, but covered, until the lab tests come back. Mike will be taking samples across the entire bottom area of where the tank was. Internal Note History: Entered on 7/13/2006 8:52:37 AM Frank Pulsifer stopped by with this complaint. Said for you to call him when you get it. System entry on 7/13/2006 8:52:37 AM: Assigned to Parker, Alisha System entry on 7/17/2006 10:17:36 AM: Estimated completion changed from 7/18/2006 to 8/1/2006 System entry on 7/17/2006 10:17:36 AM: -Please Review- email sent to McKean, Thomas System entry on 7/17/2006 10:17:41 AM: -Please Review- email sent to McKean, Thomas System entry on 8/1/2006 8:25:32 AM: Estimated completion changed from 8/1/2006 to 8/15/2006 System entry on 8/15/2006 8:31:32 AM: Estimated completion changed from 8/15/2006 to 8/29/2006 System entry on 9/20/2006 9:27:32 AM: Estimated completion changed from 8/29/2006 to 9/26/2006 System entry on 10/2/2006 9:03:54 AM: Estimated completion changed from 9/26/2006 to 10/17/2006 System entry on 10/17/2006 8:16:06 AM: Estimated completion changed from 10/17/2006 to 10/24/2006 System entry on 10/17/2006 8:16:06 AM: http://issgl/IntemalWRS/WRequestPrint.aspx?ID=20133 11/17/2006 Citizen Web Request Page 4 of 4 -Please Review- email sent to McKean,Thomas System entry on 10/17/2006 8:16:12 AM: -Please Review- email sent to McKean, Thomas System entry on 10/24/2006 8:13:12 AM: Estimated completion changed from 10/24/2006 to 10/31/2006 System entry on 11/7/2006 11:18:18 AM: Estimated completion changed from 10/31/2006 to 11/14/2006 Entered on 11/8/2006 1:40:12 PM Last modified on 11/8/2006 3:11:32 PM Ed Lynch, President CCMA. 508-775-4796 (wrong number when called). Entered on 11/17/2006 1:55:03 PM Last modified on 11/17/2006 2:08:42 PM LSP - Paul Reider Environmental Reclamation, LLC 21 Riverends Drive Natick, MA 01760 617- 803-1016 paulreider@comcast.net Mike Pendergast - Supervisor DB Environmental Services, Inc. 201 Maquan Street Hanson, MA 02341 781-294-4285 Project Manager Dale Dennison Ed Lynch Craigville Conference Center Contact 508-775-4796 System entry on 11/17/2006 2:00:46 PM: Estimated completion changed from 11/14/2006 to 11/28/2006 http://issgl/IntemalWRS/WRequestPrint.aspx?ID=20133 11/17/2006 i_ Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. 0 0/1� M,6a' ,�- � a �wwc�/. o� eizCe �'rir�C�iUGc�ir� APPLICATION and PERMIT Fee: $25.00 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: 7Address er Name(please print) Craigville Conference Center XSignature(i!applying!or permit) 39 Prospect Avenue, Centerville, MA 02632 street city State Zip "Removal • • • • Company Name DB Environmental Co. or Individual Dale Dennison Print Print Address 201 Maquan Street, Hanson, MA 1234 Address 201 mag_quan Street, Hanson, MA Print Print Signature(if applying for permit) Signature(if applying for permit) R1 IFCI"Certified Other EX IFCI"Certified ❑ LSP# Other Tank Location 39 prospoect Avenue, Centerville, AM 02632 Steel Address city Tank Capacity(gallons) 750 UST Substance Last Stored #2 Oil Tank Dimensions(diameter x length) Remarks: Disposal Firm transporting waste Western Oil State Lic.# RI 17133 Hazardous waste manifest# MAR00050213 sq E.P.A.# RTR00050025 Approved tank disposal yard L10CKt0to 1TwL?i 'S—MEL Tank yard# 010 Type of inert gas CO2 Tank yard address � �t� CityorTown Centerville FDID# 01920 Permit# N/A Date of issue November 15, 2006 Date of expiration November 29, 2006 Dig safe approval number: ?006-460'3177 Dig Safe Toll Free Tel. Number-800-322-4844 Signature/Title of Officer granting permit After removal(s) ("Consumptive Use"fuel oil tanks exempted)send Form FP-29OR signed by Local Fire Dept.to UST Regulatory Compliance Unit, Department of Fire Services, P.O. Box 1025, State Road, Stow, MA 01775. "International Fire Code Institute FP-292(revised 4/97) t 'EST COMM Fire District 1875 Route 28 CENTERVILLE, MA 02632 1926, INSPECTION REPORT Wednesday November 15, d, CRAIGVILLE CONFERENCE CENTER 39 PROSPECT AV CENTERVILLE, MA 02632 Occupancy ID: 1184 Date Completed: 11/15/2006 Inspection Type: INSPECTION - UST Removal DB Environmental Services arrived at the HQ station today to file for the UST removal of a 750 gallon tank under the Craigville Conference Center, 39 Prospect Ave, Centerville. DB Environmental is the successor removal company after Bennett 0-'Reilley was dismissed from the project. Recieved a call from Administration that the tank was partially excavated. Called dispatch via radio to notify the TOB Board of Health, notification made successfully. Arrived to meet with contractors Billy Croke and Randall Gatnik from DB Environmental. During the inspection, the floorboards over the tank had been removed and the tank partially excavated on the top. The top of .the tank had previously been opened and pumped by the previous reTnoval contractor. Photographs taken by FPO Pulsifer. Contractors on site stated that the LSP would be on site tomorrow 11-16-06 and the complete excavation of the tank and surrounding soil would be done at that time. The contractors stated that they were preparing the area today. Additionally, I advised the contractors on site of the last readings from the prior LSP being approximately 14 feet under the tank, and questioned them on the process of soil removal. They were unsure of the exact process. I stated my concern with the depth of excavation and inability to get a trench box in place due to the soil conditions and cautioned them not to put a person in the excavation hole. Cleared w/o incident. Follow up with the Board of Health and additional site visits tomorrow will be needed to check the progress. 11/15/2006 16:20: 40 fpulsifer 11/15/2006 16:20 Page 1 4 f j A Tank Removals&Installations Tank.Pumping and Cleaning Environmental Remediation Demolition and Excavation Ivra�s �INE 201 MAQUAN STREET 108 SPRING STREET HaNsoN,MA 02g41 EVERETT,MA 02149 Phone: 781-294-4285 688-33TANKS DALE DENNISON Fax: 781-293-5492 www.DBENVIRO.COM Project.Manager Cell:617490=1335 *' Citizen Web Request Page 1 of 3 Elm EM E .01, _. .3 ., aka. rk 001, Citizen Request Management Request ID: 20133 Created: 7/13/2006 8:53:19 AN Parker, Alisha �f.. Status: Assigned To Staff Assigned To: Health Office y, Chapter 108 Anonymous: No Category: Hazardous Materials cc E.C. Date: 11/14/2006 Created By: Fontaine, Tina y Health Office r � Time Worked: 0.25 Response Time: 11.00 ► Requestor Details: ► Email: Request Location: 39 PROSPECT AVE Centerville, Ma 02632 Parcel Number: Map. 287 Block: 028 Lot. Request: Leaking fuel tank underground. The fuel tank is located under the building they wanted to fill it up with concrete but when looking into it they noticed under the tank is contaminated. Request Work History: Entered on 7/17/2006 10:17:36 AM ALP spoke with Frank Pulsifer from COMM regarding the 750 - 1000 gallon UST at this locatioi on 7/17/06. FP stated that at a site visit approx. a year ago a fill and vent pipe were visible in the yard and it was determined that there was an UST present but there was no fuel burning being done at that time. The UST is underneath the building in the rear of the home. Frank was contacted the week of 7/10/06 by the homeowner to see what requirements were needed to abandon the UST. Envirosafe was contacted and pumped approximately 35-40 gallons of sludge from the UST. An engineer from Envirosafe took samples under the tank, by puncturing the bottom of the tank, after the sludge had been removed to approve the abandonment. The first reading came back at 1500 ppm. (Nothing over 2 ppm for abandonment). Soil samples were sent to the lab to confirm accuracy of the test. As of right now, no permits have been pulled and no work has begun on the UST removal. At these readings, abandonment is not allowed. FP will keel ALP posted on the permit pulling, soil sampling and removal of the tank. Entered on 8/1/2006 8:25:32 AM http://issql/intemalwrs/WRequestPrint.aspx?ID=20133 11/8/2006 Citizen Web Request Page 2 of 3 Last modified on 8/1/2006 2:26:48 PM Follow up information on this from the COMM FD has been provided. Bennett O'Reilley contacted the COMM FD and DEP-Julie Hutchenson.They stated that based on the conditions found, complete tank removal and excavation as needed will be made in accordance with appropriate regulations. Case still open-awaiting for permit to pull tank from COMM FD. Entered on 8/15/2006 8:31:28 AM Paperwork on this property is in the file. No permit has been pulled as of this date. Entered on 9/20/2006 9:27:24 AM No permit has been pulled at the COMM FD as of this date for tank removal. Entered on 10/2/2006 9:03:51 AM No permit has been pulled at the COMM FD as of this date for tank removal. Entered on 10/17/2006 8:16:06 AM 10/10/06 ALP Spoke with Frank Pulsifer of COMM-A letter came in from Bennett O'Reilley stating they are no longer the working LSP for this site. Frank nor I have heard from the site who will be the new LSP. We also found that this address is incorrect for the site in question. 39 Prospect does exist as an address, but the correct address (assessor's page) for this location is 4! Prospect Ave. There is a question as to how long a tank can be in place (it is not able to be abandoned due to it's leaking issues) before it needs to be yanked out-Frank and I have the same (no date) in our regs, and I tried to contact DEP with the question, have not heard back from them as of yet. Waiting to hear back on the new LSP as well. Entered on 11/8/2006 1:40:12 PM 11/8/06 ALP and Frank Pulsifer (COMM) went to said location to meet with Director Mary Woodbury. She was not present, but the Administrative Assistant let us know that there is work being done on the UST removal. They have prepared the area that the tank is located in, hired a new LSP and, hired a company to remove the tank from below grade. ALP will get the LSP and Company name from Mary. They are planning to go thru the floor and if need be thru a crawlspace in the cellar..No permit has been pulled for the removal to date. Internal Note History: Entered on 7/13/2006 8:52:37 AM Frank Pulsifer stopped by with this complaint. Said for you to call him when you get it. System entry on 7/13/2006 8:52:37 AM: Assigned to Parker, Alisha System entry on 7/17/2006 10:17:36 AM: Estimated completion changed from 7/18/2006 to 8/1/2006 System entry on 7/17/2006 10:17:36 AM: http://issql/intemalwrs/WRequestPrint.aspx?ID=20133 11/8/2006 i -Citizen Web Request Page 3 of 3 -Please Review- email sent to McKean, Thomas System entry on 7/17/2006 10:17:41 AM: -Please Review- email sent to McKean,Thomas System entry on 8/1/2006 8:25:32 AM: Estimated completion changed from 8/1/2006 to 8/15/2006 System entry on 8/15/2006 8:31:32 AM: Estimated completion changed from 8/15/2006 to 8/29/2006 System entry on 9/20/2006 9:27:32 AM: Estimated completion changed from 8/29/2006 to 9/26/2006 System entry on 10/2/2006 9:03:54 AM: Estimated completion changed from 9/26/2006 to 10/17/2006 System entry on 10/17/2006 8:16:06 AM: Estimated completion changed from 10/17/2006 to 10/24/2006 System entry on 10/17/2006 8:16:06 AM: -Please Review- email sent to McKean, Thomas System entry on 10/17/2006 8:16:12 AM: -Please Review- email sent to McKean,Thomas System entry on 10/24/2006 8:13:12 AM: Estimated completion changed from 10/24/2006 to 10/31/2006 System entry on 11/7/2006 11:18:18 AM: Estimated completion changed from 10/31/2006 to 11/14/2006 Entered on 11/8/2006 1:40:12 PM Ed Lynch, President CCMA. 775-4795 (wrong number when called). http://issgl/intemalwrs/WRequestPrint.aspx?ID=20133 11/8/2006 Town of Barnstable Geographic information System November 8, 2006 lik y . Center�rJlert�er o � i o� i;� fit a p y F \ �\" t � N 0 7 Feet aye DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:226 Parcel:183 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel Owner:CHRISTIAN CAMP MEETNG ASSOC Total Assessed Value:$1457900 1"=100'may not meet established map accuracy standards. The parcel lines on this map W .� are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:%EGGERS,RICHARD H JR Acreage:3.55 acres Abutters WA are boundaries and do not represent accurate relationships to physical features on the map Location:45 PROSPECT AVE such as building locations. Buffer I Parker, Alisha From: Parker, Alisha Sent: Tuesday, October 10, 2006 3:33 PM To: 'Hutcheson, Julie (DEP)' Cc: 'fpulsifer@commfiredistrict.com' Subject: UST Question Dear Julie, I spoke with Frank Pulsifer today regarding a UST at the Craigville Conference Center located in Centerville, MA. [The location is being called 39 Prospect Ave, however; that address is incorrect. The correct address is actually 45 Prospect Ave, Centerville, MA 02632. This will be discussed with our Assessing and Engineering Depts. internally to make the correction]. The reason why I am contacting you is because we need to know how long the DEP allows an UST to remain in place that has had a soil analysis showing high amounts of contamination below the tank. The tank is located under the building and is not readily accessible. According to our regulations in the Health Department and the Fire Department, the tank can not be abandoned, but there is no timeframe stated for the removal. Since the release, the tank has been pumped, a soil analysis was completed, those results were above the allowable ppm, and the LSP (Bennett and O'Reilly) has been terminated from the job, by the owner, with no instruction as to whom will be taking over as the new LSP. We would like to know how long the owner has before they have to remove the tank. As long as they are working with and LSP on this, we don't have any issues with that, but we definitely don't want them to take too long to remove the tank if there is a specific timeframe from the DEP. Thank you in advance for your help! Regards, Alisha Alisha Parker Hazardous Materials Specialist Town of Barnstable Health Department 200 Main St. Hyannis, MA 02601 Phone: 508-862-4645 Fax: 508-790-6304 alisha.parker@town.barnstable.ma.us i BENNETT A O 'REILLY, Inc. 'Engineering, Environmental & Surveying Services 1573 Main Street Sanitary 21E/Site Remediation Property Line PO Box 1667Brewster, MA 02631 Site Development Hydrogeologic Survey Subdivision Waste Water Treatment Water Quality Monitoring Lard Court U 508-896-6630 Water Supply Licensed Site Professional Trial Court Witness 508-896-4687 Fax B006-4552 September 25, 2006 Ms. Julie Hutcheson, Case Officer MA Department of Environmental Protection, Bureau of Waste Site Cleanup Southeast Regional Office 20 Riverside Drive Lakeville, MA 02347 0 ef� S j RE: NOTICE OF LSP TERMINATION Craigville Conference Center RTN 4-19937 / Dear Ms. Hutcheson, In accordance with the provisions of 310 CMR 40.0169(2), and as consistent with the licensing requirements of 309 CMR 4.03(4),BENNETT&O'REILLY,INC. is providing notice that I [David C. Bennett, #4303] am no longer the LSP of Record nor have any further association with the Craigville Conference Center Site, as referenced above. BENNETT & O'REILLY, INC., was released from the project by Mr. Edward Lynch, Administrator of the Christian Camp Meeting Association through written communication with our office. BENNETT & O'REILLY, INC., has not been advised as to the name or company of the successor LSP. However, underthe Terms and Conditions of existing contracts, all original project documentation owned and on files with BENNETT& O'REILLY, INC., will be delivered to the successor LSP upon receipt of payment on any outstanding invoices. This Notice of Termination shall absolve me personally and BENNETT&O'REILLYINC collectively,from any and all future remedial response performance under the MA Contingency Plan;, 310 CMR 40.000. Should you have any questions,or need additional information,please contact me directly nNN ul ours, ILLY, INC. ennett, LSP for o nvironmental Services cc. Edward Lynch, Administrator CCMA - Potentially Responsible Party Centerville-Osterville-Marstons Mills (COMM) Fire Department, FPO Francis Pulsifer Thomas McKean - Barnstable Board of Health John Klimm - Barnstable Town Manager h S� tti COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AF DEPARTMENT OF ENVIRONMENTAL PRO SOUTHEAST REGIONAL OFFICE 20 RIVERSIDE DRIVE,LAKEVILLE, MA 02347 508-946- MITT ROMNEY STEPHEN R.PRITCHARD Governor Secretary KERRY HEALEY ROBERT W.GOLLEDGE,Jr. Lieutenant Governor Commissioner URGENT LEGAL MATTER:PROMPT ACTION NECESSARY August 2,2006 Ms.Mary Woodbury RE: BARNSTABLE--BWSC Director Abandoned UST Release Craigville Conference Center Craigville Conference Center 39 Prospect Avenue `' 39 Prospect Avenue,Centerville 46 Centerville,Massachusetts 02632 RTN#4-19937 NOTICE OF RESPONSIBILITY M.G.L c.21E,310 CMR 40.0000 ATTENTION:Ms.Woodbury On July 18, 2006 at 4:10 pm the Department of Environmental Protection (the "Departrriet�t" or "MassDEP")received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property which requires one or more response actions. Soil headspace screening - readings-exceeding 100 ppm were obtained during the intended closure-in-place of an abandoned 750 gallon, underground storage tank(UST)located under the building. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c.21E,and the Massachusetts Contingency Plan(the"MCP"), 310 CMR 40.0000,require the performance of response actions to prevent harm to health,safety,public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. i The MassDEP has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defrled by the M.C.P. The MassDEP also has reason to believe that you-(as used in this letter, "you" refers to the Craigville Conference Center) are a Potentially Responsible Party(a "PRP")with liability under M.G.L. e,21E§5,for response action costs. This liability is"strict'_';ymeaning!that it is not based on fault,but solely on your status as owner, operator, generator,transporter, d%sposer or other r person specified in M.G.L.c.21E§5. This liability is also"joint and several",meaning that you may be liable Y: for all response action costs incurred at a disposal site regardless of the existence of any other liable parties. y This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. DEP on the World Wide Web: http://www.mass.gov/dep Printed on Recycled Paper l 2 MassDEP encourages parties with liabilities under M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials.By taking prompt action, you may significantly lower.your assessment and cleanup costs and/or avoid liability for costs incurred by MassDEP in taking such actions. You may also avoid the imposition of,the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L. c.21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L.c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. MassDEP encourages you to take any action necessary to protect any such claims you may have against third parties. D MEDIATE RESPONSE ACTIONS The Department provided verbal approval to conduct the following Immediate Response Actions: Conduct additional assessment activities to determine the horizontal and vertical extent of the impact. ACTIONS REQUIRED In addition to oral notification, 310 CMR 40.0333 requires that a completed Release Notification Form(BWSC-103,attached)be submitted to MassDEP within sixty(60)calendar days of July 18,2006. You must employ or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response.actions at this site.You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals by calling (617) 556-1091or visiting http://www.state.ma.us/lsp. MassDEP has David Bennett of Bennett & O'Reilly Inc.as the LSP of Record for this release. Additional submittals are necessary with regard to this notification including,but not limited to,the filing of a written IRA Plan,IRA Completion Statement and/or a Response Action Outcome(RAO) statement. The MCP requires that a fee of$1200.00 be submitted to the MassDEP when a RAO statement is filed greater than 120 days from the date of initial notification. Specific approval is required from MassDEP for the implementation of all IRAs pursuant to 310 CMR 40.0420.Assessment activities,the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement. Unless otherwise provided by MassDEP, potentially responsible parties ("PRP's") have one year from the initial date of notification to MassDEP of a release or threat of a release, pursuant to 310 CMR 40.0300,or from the date MassDEP issues a Notice of Responsibility,whichever occurs earlier,to file with the Department one of the following submittals: (1) a completed Tier Classification Submittal; (2) an RAO Statement or, if applicable, (3) a Downgradient Property Status. The deadline for either of the first two submittals for this disposal site is July 18, 2007. If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal. 3 This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L.c.21E and the MCP. If you have any questions relative to this Notice, please contact Julie J. Hutcheson at the letterhead address or at(508)946-2852. All future communications regarding this release must reference the following Release Tracking Number:4-19937. Very truly yours, Richard F.Packard,Chief Emergency Response/Release Notification Section P/JJH/re 4-19937nor72.doc Attachments: Release Notification Form;BWSC-103 and Instructions Summary of Liability.under M.G.L.c.21E fc: Board of Health Board of Selectmen Fire Department cc: Bennett&O'Reilly Inc. 1573 Main Street,POB 1667 Brewster,MA 02631 ATTN: David Bennett,LSP s� V%gT COMM Fire District 1875 Route 28 CENTERVILLE, MA 02632 1926, INSPECTION REPORT Monday July 24, 2006 CRAIGVILLE CONFERENCE CENTER /11"39 PROSPECT AV CENTERVILLE, MA 02632 Occupancy ID: 1184 Date Completed: 07/12/2006 Inspection Type: INSPECTION - UST Removal Recieved a call from Diane at Envirosafe Corporation regarding an UST at 39 Prospect Street, Centerville, Craigville Conference Center. Diane is advising that they had been contracted to conduct a UST removal at this address for an abandoned tank. Upon inspection, she stated that they encountered a UST under the building. and inquired further about abandonment in place procedures. Advised her of the regulations relative to 527 CMR 9.00 relative to abandonment and soil analysis. Diane stated that they would be in to fill out the paperwork on 07-11-06 and abandon the tank on 07-12-06. On 07-12-06, our office had recieved no notification or permit to abandon the tank. I responded to the site to follow up and found two Envirosafe trucks and a member of Bennett O'Reilley on site. Identified myself and inquired the status of the UST. A member of Envirosafe advised me that the tank is an approximate 750 gallon UST under the building on the "C"/"D" corner to the rear of the kitchen area. The contractors pumped approximately 35 to 40 gallons of "sludge" from the tank, no liquid product. Last known substance stored in the tank was fuel oil and the tank has not been filled for nearly twenty years. Envirosafe gained access to the tank by removing floor boards in the building and breacing an access hole in the top of the tank. The tank was pumped and cleaned and two- approximately 1 1/2 inch diameter holes were made in the bottom of the tank to access for soil analysis. I was unable at this point to visualize tank integrity. Environmental Technician on site with soil analysis states at this time readings appeared higher than acceptable indicating positive ground contamination surrounding the tank. She stated that she would have her lab conduct analysis to confirm her readings. Advised her to make DEP notification as necessary and that I would be contacting TOB Health Department. Envirosafe and Bennett O'Reilley will be responsible for coordinating tank removal and soil removal/ contamination assessment as needed. Both to update fire prevention accordingly. Cleared w/o incident. 07/24/2006 11:04 Page 1 Il 'Est COMM Fire District 1875 Route 28 CENTERVILLE, MA 02632 Lip 1926 INSPECTION REPORT Bennett O'Reilley Representative Samantha R. Farrenkopf Environmental Technician 1573 Main Street P.O. Box 1667 Brewster, MA 02631 508-896-6630 office 508-896-4687 fax 07/13/2006 16:00:53 f ulsifer PULSIFER, FRANCIS /Fire Inspector Inspector j I Recieved call from David Bennett, LSP with Bennett O'Reilley. He stated that based on the conditions found at the site, notification has been made to Julie Hutchinson at the Department of Environmental Protection. Based on the conditions found, complete tank removal and excavation as needed will be made in accordance with appropriate regulations. He stated that they would advise us of a timetable for actions to take place. Reference number RTN4-19937. 07/24/2006 11:02:35 fpulsifer 07/24/2006 11:04 Page 2 L ' Citizen Web Request Page 1 of 2 - Citizen Request Management Request ID: 20133 Created: 7/13/2006 8:53:19 AN Status: Assigned To Staff Assigned To: Parker, Alisha Health Office Anonymous: No Category: Chapter 108 Hazardous Materials E.C. Date: 8/1/2006 n y Created By: Fontaine,Tina Health Office .', Time Worked: 0.25 Response Time: 11.00 ► Requestor Details: I, ► Email: Request Location: 39 PROSPECT AVE 45 Centerville, Ma 02632 Parcel Number_ Map:' Block: 0�g Lot: Request: Leaking fuel tank underground. The fuel tank is located under the building they wanted to fill it up with concrete but when looking into it they noticed under the tank is contaminated. Request Work History: Entered on 7/17/2006 10:17:36 AM ALP spoke with Frank Pulsifer from COMM regarding the 750 - 1000 gallon UST at this locatioi on 7/17/06. FP stated that at a site visit approx. a year ago a fill and vent pipe were visible in the yard and it was determined that there was an UST present but there was no fuel burning being done at that time.The UST is underneath the building in the rear of the home. Frank was contacted the week of 7/10/06 by the homeowner to see what requirements were needed to abandon the UST. Envirosafe was contacted and pumped approximately 35-40 gallons of sludge from the UST. An engineer from Envirosafe took samples under the tank, by puncturing the bottom of the tank, after the sludge had been removed to approve the abandonment.The first reading came back at 1500 ppm. (Nothing over 2 ppm for abandonment). Soil samples were sent to the lab to confirm accuracy of the test. As of right now, no permits have been pulled and no work has begun on the UST removal. At these readings, abandonment is not allowed. FP will keel ALP posted on the permit pulling, soil sampling and removal of the tank. Internal Note History: http://issql/intemalwrs/WRequestPrint.aspx?ID=20133 7/17/2006 ' Citizen Web Request Page 2 of 2 Entered on 7/13/2006 8:52:37 AM Frank Pulsifer stopped by with this complaint. Said for you to call him when you get it. System entry on 7/13/2006 8:52:37 AM: Assigned to Parker, Alisha System entry on 7/17/2006 10:17:36 AM: Estimated completion changed from 7/18/2006 to 8/1/2006 System entry on 7/17/2006 10:17:36 AM: -Please Review- email sent to McKean,Thomas System entry on 7/17/2006 10:17:41 AM: -Please Review- email sent to McKean,Thomas http://issql/intemalwrs/WRequestPrint.aspx?ID=20133 7/17/2006 TOWN OF BARNSTABLE 7 __ LOCATION /P Y't2 5,� '� , �f- SEWAGE # VILLAGE __ u Nd !_ ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS QA PRIVATE WELL OR PUBLIC WATER; lfjly BUILDER OR OWNER t,,1 I t ie DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i i ��} t,,�,�� - ,.... s � � � t �� s�� ;i ' No. Zi< Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(ppliCotion for &.qpo al *potem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon(Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Ador ss and Tel.No. -7) C�:t Assessor's Map/Parcel 14 Y' Installer's Name,Address,and Tel.No. r//// Designer's ame,Addre apd Tel.No. �G� �CL �J�rP�t�•!l� -- ��i�v-� r2�t--��/L 02 lero tie w", lst�n c Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable n `�'— ` ° Z10 5,17.n S` ^ ZJ !� QA ,-- _ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environme 1 Code and not to place the system in operation until a Certifi- cate of Compliance has been is i e Signed Date Application Approved by Dat / Application Disapproved for the Plowingqeasons Permit No. �$' ��G�w Date Issued NO. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for Miqaal *p!6temton!5truction Permit fi Application for a Permit to Construct Repair Upgrade Abandon( eED�]Complete System 0 Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. ck ) e!:� ^:)- 1 Assessor's Map[Parcel Pr1o;0co PTA �G — S-t- Sk 1 ;5oc-(p"AaA Installer's Name,Address,and Tel.No. Designer's Name,Add and TeAl.No. "'If �12 0 ve Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers Cafeteria( Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title N Size of Septic Tank -----Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer -7t qto^AQ_r A— _se� P en applicable) ar Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environrnenpl Code and not to place the'system in operation until a Certifi- cate ifi- Cate of Compliance has been is;u ealt Signed Date 4,1�2 ,7,0Ap fi ti Approved by Date//— —9 pj cgion '7 p 3� ` 1, An Disapproved for the fkowing i�asons ica Permit No. Date Issued —————————————----------———————————————————— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed Repaired ( Upgraded Abandoned by 11-n 0 .4 �7," at 1) e c ( has been constructed in accordance with the I visions o Title 5 and the for disposal System Construction Permit No. dated Installer 7��// --/ - Designer 2a4L The issuance of this permit shall not be construed as a guarantee that the systemwill function as designed. Date Inspector ------------------------------------------- - N. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS lwiqoal *p5tem on5truction Permit Permission is hereby granted to Construct , Repair Upgrade Abandon System located at 0 5,P C C and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by I h NC Thfo Chn:stkinCajnpMeeting,4- ss(xkzt ion CRAIGVILLE(CAPE COD) MASSACHUSETTS 02636 TELEPHONE 508-775-1265 For All People In All Seasons C� J J C i0It 1NE t June 5, 1998 Mr. Thomas McKeon Health Department 367 Main Street Hyannis, MA 02601 Dear Mr. McKeon: This letter will certify that the kitchen in the "Lodge" at 39 Prospect Ave. Craigville, MA 02.63.6 has been permanently removed as far as any food preparation is concerned and there are no plans to ever use again. There are no stoves now and no need for them in the future as far as we know. If you have any questions please do not hesitate to call. Sincerely, Herb Davis Administrator HD/gr Jan, 17, 2007 11 : 59AM MASS DEP No. 1265 P. 1/4 COMMONWEALTH OF MASSACHUSETTS Ingo ExECUTm OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION SOUTHEAST REGIONAL OFFICE 20 Riverside Drive, Lakeville, MA 02347 508 946-2700 DEVAL L PATR.ICK LAN A BOWLES Governor � (� secratm 71MOTHY P.MURRAY ARLEEN O'DONNELL Lieutenant Governor t /� �� Commissioner afav, Il FAX COVER SHEET FAX # (508) 946-2865 TELEPHONE # (508) 946-2851 DATE: January 17, 2007 FROKs Roberta Edwards PLEASE DELIVER TOr Barnstable Town Manager 508 790 6226 Board of Health 508 790 6304' TOTAL NUMBER OF PAQESr 4 (INCLUDING COVER PAGE) I PLEASE CALL IF YOU DO NOT RECEIVE COMPLETE FAR. CD. E � i Notice of Reponsibility, Christian Camp c j ,1 7- u= ut rn 1 This information is available in alternate(brmaL Call Donald ft Gomm ADA Coordinator at 617-W&1057.TDD Service-1.800.298.2207. j DEP on the World Wide Web: blip:/A~rness.gov/dep Printed on Recycled Paper • Jan, 17. 2007 11 : 59AM MASS DEP No. 1265 P. 2/4 Cf COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AF DEPARTMENT OF ENVIRONMENTAL PROT �� SOUTHEAST REGIONAL OFFICE 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 308-9 MITT ROMNEY ROBERT W.GOLLEDGE,Jr. Governor Secretary KERRY HEALEY ARLEEN O'DONNELL Lieutenant Governor Commissioner URGENT LEGAL MATTER:PROMPT ACTION NECESSARY January 12,2007 Mr. Carl Schultz RE: BARNSTABLE—BWSC President Christian Camp Meeting Association Christian Camp Meeting Association 39 Prospect Street 39 Prospect Street RTN#4-19937 Centerville,Massachusetts 02632 NOTICE OFRESPONSIBH= M.G.L c 21E,310 CMR 40.0000 ATTENTION:Mr.Schultz On July 18, 2006 at 1:00 PM,the Department of Environmental Protection("MassDEP")received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property which requires one or more response actions. During preparation to abandon in place a 750 gallon underground storage tank(UST)located under a crawlspace of the main building,oil contaminated soil was encountered. Subsequently the decision to remove the UST and the impacted soil was presented to MassDEP in an Immediate Response Action Plan(IRA Plan)submitted on September 18,2006. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c.21E, and the Massachusetts Contingency Plan(the "MCP"), 310 CMR 40.0000,require the performance of response actions to prevent harm to health,safety,public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terns and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise. Mass=has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined by the M.C.P. MassDEP also has reason to believe that you(as used in this letter, "you" refers to Christian Camp Meeting Association) are a Potentially Responsible Party (a "PRP")with liability under M.G.L. c.21E §5, for response action costs. This liability is "strict", meaning that it is not based on fault,but solely on your status as owner,operator, generator,transporter,disposer or other person specified in M.G.L. c.21E §5.'This liability is also"joint and several';meaning that you may be liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties. This ioformatlon is'avaMble in alternate format Call Donald 61.Gomez.ADA Coordinator at 617-556.1057.TDD Service-1.800.2M2207. Mas90EP on the World Wide Web: http:1A ww.maea.gov/dep Printed on Recycled Paper i Jan. 17. 2007 11 : 59AM MASS DEP No, 1265 P. 3/4 2 MassDEP encourages parties with liabilities under M.G.L. c.21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials. By taking prompt action, you may significantly lower_your assessment and cleanup costs and/or avoid liability for costs incurred by MassDEP in taking such actions. You may also avoid the imposition of, the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00. Please refer to M.G.L. c.21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L.c.21E is attached to this notice. You should be aware that you may have claims against third parties for damages,including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. MassDEP encourages you to take any action necessary to protect any such claims you may have against third parties. At the time of oral notification to MassDEP, the following response actions were approved as an Immediate Response Action(IRA):. • 'Conduct assessment activities to determine the extent of the contamination. On September 18, 2006 an Immediate Response Action Plan (IRA Plan) was submitted to MassDEP proposing the removal of the UST and up to one hundred (100) cubic yards of impacted soil. Appropriate shoring would be used to protect the structural integrity of the building, soil would be removed via hand digging and a vactor. ACTIONS REQUIRED Additional submittals are necessary with regard to this notification including,but not limited to,the filing of a written IRA Plan, IRA Completion Statement and/or a Response Action Outcome (RAO) statement. The MCP requires that a fee of$1,200 be submitted to MassDEP when an RAO statement is filed greater than 120 days from the date of initial notification. Specific approval is required from MassDEP for the implementation of all IRAs pursuant to 310 CMR 40.0420 and 310 CMR 40.0443, respectively. Assessment activities,the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement. In addition to oral notification, 310 CMR 40.0333 requires that a completed Release Notification Form (BWSC-103, attached) be submitted to MassDEP within sixty(60) calendar days of July 18, 2006. The RNF was submitted to MassDEP on September 18,2006. You must employ or engage a Licensed Site Professional (LSP)to manage, supervise or actually perform the necessary response actions at this site. You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals by calling(617) 556-1091 or visiting hn://www.state.ma.usAsp The Department has Paul F. Reiter with Environmental Reclamation LLC in Boston,MA as the LSP of Record for this Release. Unless otherwise provided by MassDEP, potentially responsible parties ("PRP's") have one year from the initial date of notification to MassDEP of a release or threat of a release, pursuant to 310 CMR 40.0300, or from the date MassDEP issues a Notice of Responsibility,whichever occurs earlier,to file with MassDEP one of the following submittals: (1) a completed Tier Classification Submittal; (2) an RAO Statement or, if applicable, (3) a Downgradient Property Status. The deadline for either of the first two Jan, 17, 2007 12: OOPM MASS DEP No. 1265 P. 4/4 3 submittals for this disposal site is July 18, 2007. If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal. This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c.21E and the MCP. If you have any questions relative to this Notice, please contact Julie Hutcheson at the letterhead address or at (508) 946-2852. All future communications regarding this release must reference the following Release Tracking Number:4-19937. Very truly yours, Dan Crafton,Acting Chief Emergency Response/Release Notification Section P/JJWrc 4-19937.72na Attachments: Release Notification Form;BWSC-103 and Instructions Summary of Liability under M.G.L.c.21E MassDEP's guide to hiring a Licensed Site Professional. fc: Board of Health Board of Selectmen Fire Dept Environmental Reclamation LLC 137 Newbury St.,7*Floor Boston,MA 02116 ATIN: Paul F.Reiter,LSP OS (41k4 V5) LO;C4TION SEWoC.4E PERMIT MO. VILLAGE lW TALLER 5 UWE 6 ADDRESS BUILDERS t l / MF- ADDRESS DATE PERNAl ISSUED /G - 30-0�'� — DATE COMPLI b,NCE ISSUED : s 115 b.7., / 37 r s rl LOC47*10 �EWO,(:�E PERMIT 1-I0. VILLAGE — — — — IWSTQLLER 5 WWE: ADDRE S BUILDER 'S ►J A►•AE ADDRI=SS DATE PERMIT ISSUED - - 0 _- DATE COMPLI &&ICE IS-SUED: _ - y3 , o ASSESSORS MAP NO: PACER- No. - ------ l - Fee------ ----------._...-- BOARD OF HEALTH TOWN OF BARNSTAB.L Application ffor Veil Con5tructionAermit Appl" ation ' ereby made Eor a permit to Construct ( ), Alter.,( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel ----------------------------------------- �--�-- O ner -- -- - a Address-----�'"7 -----------�- ----�-�---'---- -- ------------------------------ - - ------- Installer — Driller Address/ Type of Building Dwelling------------------------------------------------------------------ Other - Type of Building----------------------------------- No. of Persons------------------------------------------------------ Type of Well- 2' C Gad ---------------- Capacity-1.. �J- -�----------------------------------------- Purpose of Well-- A-------- - - ------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Wel rotection Regulat' n - The undersigned further agrees not to place the well in operation unt' Cert' ' at c s b issued by the Board of Health. Signed- - - - -- - - - - - --- - __`__ ""_ z date Application Approved B — --------- ---'---- '—�---- '�-L-- date Application Disapproved for the following reasons:-------------------------/----------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------- date Permit No. ------------------ Issued - -- -- --��----------------date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by-------` -- ------------------------------------------------------------------------------------------------ -- — Installer at � � � Aa//Y J - �f has been installed in accordance with the provisions of the Town of Barnstable Board of Healltthh�Private Well Protection/� Regulation as described in the application for Well Construction Permit Nolte-----� `�ate-Dated` ` A=--7 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------- - -- Inspector------------------------------------------------------------------------ �t 3� s. O yo 11 9 Fee d BOARD OF HEALTH TOWN OF BARNSTABL C Z[ppticat ion_*rVeil Con4truct ion Permit A ation- ,,-hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: 2� ►��... ------ ---------------------------------- --------------- --- — — --- -- — = — — --— -- -- P Location — Address Assessors Ma and Parcel y / O ner Address .�t ---------------------- ---------- — � bS "T 1 Installer — Driller .4ddress� Type of Building Dwelling------ y-------------------------------------------------- Other - Type of Building ----------- No. of Persons--------------------------------------------------- - ---------- -� - Type of Well- — - ==- Capacity- "r---( - Purpose of Well--�c��----------- ------------------ Agreement: `-',;*The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private We"rotection Regulati n - The undersigned further agrees not to place the well in operation unt' a Cert' ' at c s b issued by the Board of Health. Signed- ---------- - ------ ---------- ------- date Application Approved B - - -=------- -------- - �^' `� � — date Application Disapproved for the following reasons:------------------------------------------------------------------------------------------------- ---------- -- -------- --- - --- --- - - - - ----------------------------------------- - --------------------- date .- �,. - �1.- _ Permit No. �'—' -- - �- -- Issued--- -- --da-- --, . te i BOARD OF HEALTH TOWN OF BARNSTABLE Certificate (Of Compliance THIS IS TO CERTIFY, That the Inn^dividual Well Constructed ( ), Altered ( 1, or Repaired ( ) bY-------- ''�s -- -�7 � ----------------------------------------------------------------------------------- - - --- -- t Installer -------------------------------------------------------------------- ------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit Nol7�'"'- -------- Dated `` - =-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--------- -------— - --- -- Inspector----------------------------------------------- - ------------ BOARD OF HEALTH TOWN OF BARNSTABLE Veit Con5truct ion Permit No. v� I Fee- r"_-- i _ Permission is hereby granted--- �� - -- �1-� --------------------------------------------------------------- to Construct V), Alter ( ), or Repair ) an Individ al W r-. No. - ------------------------------------------------------. Street as shown �onn�the application for a Well Construction Permit ---- n No. —'_ ''"' r------=-------------------------- Dated------n' /-- -------�� --------- 1.4 - i ---_-__-__----- /'�_'� Board of Health DATE -- •` f c WELCOME TO THE I s CRAIGVILLE7CONFERENCErCENTER outdoor W W ^ 1 { :ts +' ; ! I f. CHAPEL d ( x Whether you've been here before In the pines e J W -,,-or are%a newrvisitor-vwe;re'glad W = \ you`,f ound-us! ! , Wwab 1a f } t r tI.,THEijOFFICEsIS OPEN,; Monday-Fridays,-19 {am -.4,pm the TABERNACLE c' Saturda 10 am - S m �� Z Y P 0 z. Sundayd 11l�a;m 2 pm _� 4 UNION 1 � - NOTE: 'E�panded-hours"du=ing the L_ j - the 7 summer' seasont f; f- - INN o . I;IIV- PARKIING W IF YOU` FINDS tTS W CLOSED PLEASE I L PjAD CALL. 508 775-1265 c h W YA�E )I LAUREL AVE �U IN THE EVENT OF AN EMERGENCY 0 LL �{1 f�BOS�ON 1 WHEN THE OFFICE IS CLOSED, CALL NW a.LLO o THE:,OFFICE NUMBER 775-1265. OUR wN 24-HOUR ANSWERING SERVICE WILL >> ASSIST YOU. THERE ARE MEMBERS OF J 00 Q e STAFF LIVING IN THE VILLAGE. a I W IF A-FIRE,ALARM-GOES,OFF, PLEASE C II CALL THE CENTER NUMBER ABOVE 0 BEFORE CALLING THE FIRE DEPT. W y a D THE LODGE AND INN ARE CONNECTED DIRECTLY TO THE FIRE DEPT. AND 0 W THEY WILL RESPOND. LL ,CL ❑ Is5-I LAKE y t• 4y 3 .. WW ❑ ❑ i j E L I ZA B ETH EMERGENCY`"NUM_BERS: - _ N® c POL'ICE" '-775 1212 _ -428-9111 N s . 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