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Home My WebLink About4039 MAIN ST./RTE 6A(BARN.) - Health 4039 main Street Glass Workshop 335-058 Barnstable TO N OF BARNSTABLE 4 LOCATIONISItiS �°� , ASS.' SEWAGE # a 4 3 VILLAGE p ASSESSOR'S MAP & LOT433S L_ INSTALLER'S NAME Cz PHONE NO - L� � i C5- SEPTIC TANK CAPACITY 1000 LEACHING FACILITY:(type) �; (sizey,41 )b NO. OF BEDROOMS L3 PRIVATE W 3LL OR PUBLIC W;AtER�-,. BUILDER OR OWNER '1fv\, DATE PERMIT ISSUED: '" 6 DATE .COUPLIANCE ISSUED: VARIANCE GRANTED: Yes No � ... . ..a I • A- -A No.---l�.. .� l� Fns......�.D.._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH fc-. . .. .....O F............. .n ............................ Aliptiration fiar M-4plaiittl Works Tone ndiatt Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual ,Sewage Dispos 1 System at: ................-...........................--................................................... .............................................................. ..- ----------- \ Lo ation-Add ss or Lot No. - � O ner � Address ------/--------------------- Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria Otherfixtures -------------------------------•----------------....--.•-••••-•-•--•-•••-••--•• -•---•------------•-••-•••••-••---....••••••......••-•............._.. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity------------gallons Length................ Width................ Diameter--------------.. Depth....---.....---. xDisposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.--.--.............. Depth to ground water-.-.---------.-..-_---. GT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------.................. ----- . ------ ...................................................................... --...--......................................................... ODescription of Soil------. . •-••••-•••-•••-----••-•-•---••-•••-••--•-•------------•-•--•--•---........................................................... x x -••--------------------------------------•-•-----••----•••-•-----••••••-••-••-••--•-•---•••••-••••••-----•••-----•...----••-••••...•••••-•--------•-•••••••--••--••••-•••--•---•---••••- -------------- U Nature of Repairs(or Alterations—Answer when ap l' ble.-...�.'.�5.�----.---P.c5` ....... (Z--P P........... -•-----.-. �-�-3�L\------------�------------------- `7 .................................... ® �'' '�! � Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with �•7�^ the provisions of/'1T 1 T t:s. 5 of the State Sa Ob n' Code— The undersigned further agrees not to place the system in operation until a Certificate of Co pliance s b n issued by the board of health. Sign 7 �- Date ApplicationApproved BY----------- �-•------------------------•-•--•--- ................................••... --••-••••••-•- Date Application Disapproved for the following reasons---------------•---------------------•-------•-----------------•-----........................................... --••••••••--••••••••-•-••••-•-••••--••••••--•••••--••---•••-•--•-•-•-••••-••--••--....•---••-••....••••-• Date PermitNo._._...F.2 L — -------------- Issued....................................................... Date No.-- - Fx$..... ._. .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,._ ...OF............ -_.J 4A.............................. Applira#iou for Dhipogal Works Tomitrurflott Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .....---..�:........�." ---- -------------- �...........�....--------------- ------••----....-------- '------. . ......-- - - L at:on Ad es or Lot No. - .. Owner } Address Instalier Address QType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) U Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ............................ W Design Flow............................................gallons per person per day. Total daily flow._................_......._.................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—NTo..................... 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........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi° Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R; -- Descriptionof Soil.........- .-.....----- ---..................................................................................................-............................ rJ ----------------------- •----------------------------------------------•---•-•--------------------.......-•-•---•--•----•-•---------•-------------------••-------•-------------------------•------------ W ....................................................--•• ---------- ----------- -- UNature of Repairs or Alterations—Answer when a bl .... _ s, t`17__ �� --v _ IPL r / O ......-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with p �'T'' of the State Sa. Ratr Code—The undersigned further agrees not to place the system in the provisions of 1 T!j Z operation until a Certificate of Compliance as ben issued by the board of health. f Sign e �`'1' my >_. ....•---•--------. E b .........................•--..................•------- APplicationApproved By...... n_ - -x--,^' .................................... ........................................ Date Application Disapproved for the following reasons-------------------------------------•-------------------------•----------------•--------------------...--•----- -------------- ------------------------------------------------------------------------------------------ ---•--•----------------------------------------------------------------------------------- Date PermitNo.......K2.....1.j ................ Issued•....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ .......OF............ ............................... Trrtifirtttr of Tompliatur TI ISMS TO CE TIFY, That he I dividual Sewage Disposal System constructed ( ) or Repaired_� } by......... •--•---•.................. ..........••-•--•-..•_.. �...........-•-----•-••-------.....: . ............................................................................. 4 I".aller has been installed in accordance with the provisions of i i 7� j of The Sta e Sanitary Code as described in the application for Disposal Works Construction Permit No......02.-...... .......... da.ted------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT HE SYSTEM WILL FUNCTION SATISFACTORY. DATE-----------•--------------7..-`�-30-- g.7.................... Inspector--.----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH tr /fit Z. a..r��. .c.......OF......... r - x '.:................................ �C !/ / ff NO...............L., FEE._. ...- Permission is hereby granted..... ___ ______-._..._._____.__._.......� ,. ....._....._.... to Constructtt��( ) or Repair ) an Individual Sewage Disposal System atNo--------------•�2...&--2---....��sou�.�...:r;L.7........................................................ Street ,� «3. ' .. as shown on the application for Disposal Works Construction Permit No.6,�_•_��3.._ Dated.......................................... n " Board of Health DATE----------•-.}. ` = ---•--•--.....--•----•----.._..... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS �i� Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 9A — Enforcement Order Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. Violation Information Important: When filling out This Enforcement Order is issued by: forms on the Barnstable Conservation Commission May 16, 2005 computer, use only the tab Conservation Commission(Issuing Authority) Date key to move To: your cursor- do not use the ,Caryn.Lee.Sa'meul1Trfi return key. Name of Violator PO Box 441, Cummaquid, MA 02637 Address 1. Location of Violation: as above Property Owner(if different) t_4039-M5inTStceet./RTE-6A(BARNS) Street Address Barnstable 02637 CityrFown Zip Code map 335 parcel 058 Assessors Map/Plat Number Parcel/Lot Number 2. Extent and Type of Activity (if more space is required, please attach a separate sheet): Alteration-of tfie=Conservation-Commission W:undisturbed-buffer zone.and 100'_buffer.zone by ,placement of a fencing fo .grazing area for alpacas (one,section.of fence in.wetlands),-construction of a shed(no:Building permit/shed registration or Conservation.permit on file), and enclosed storage area (green plastic siding). - t B. Findings The Issuing Authority has determined that the activity described above is in violation of the Wetlands Protection Act(M.G.L. c. 131, §40) and its Regulations(310 CMR 10.00), because: ® the activity has been/is being conducted without a valid Order of Conditions. ❑ the activity has been/is being conducted in violation of the Order of Conditions issued to: Name Dated wpaform9a.doc•rev.7/14/04 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File"umber: WPA Form 9A — Enforcement Order Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP File Number Condition number(s) B. Findings (cont.) �E=0ther(specity): Original.complaint by Health:Department Inspector regarding-.blocked.runoff.stream still under investigation.-A"call=has-been-placed-witFthe.Mosquito Control=On:May 92I 200.5.the- Conservation,Agent.found.there.was,some,runoff.making.it to_the pipe, but is was slow._There were some.rocks in.the stream.bed._.It appeared that it should be a.faster rate of flow based on the depth of the water in.the wetland it was draining.-The depth of the-water in the wetland across.the street, connected to this; was above the out flow pipe C. Order . The issuing authority hereby orders the following (check all that apply): ❑ The property owner, his agents, permittees, and all others shall immediately cease and desist from the further activity affecting the Buffer Zone and/or wetland resource areas on this property. ❑ Wetland alterations resulting from said activity should be corrected and the site returned to its original condition. ❑ Complete the attached Notice of Intent. The completed application and plans for all proposed work as required by the Act and Regulations shall be filed with the Issuing Authority on or before Date No further work shall be performed until a public hearing has been held and an Order of Conditions has been issued to regulate said work. E�The property owner shall take the following action to prevent further violations of the Act: File-the enclosed Request for Determinationr application by June-20, 2005 to request approval from the Conservation Commission to keep the fencing, shed and storage area. Fencing needs a 6" clearance(for wildlife passage)within Conservation jurisdiction. Failure to comply with this Order may constitute grounds for additional legal action. Massachusetts General Laws Chapter 131, Section 40 provides: "Whoever violates any provision of this section(a) shall be punished by a fine of not more than twenty-five thousand dollars or by imprisonment for not more than two years, or both, such fine and imprisonment; or(b) shall be subject to a civil penalty not to exceed twenty-five thousand dollars for each violation". Each day or portion thereof of continuing violation shall constitute a separate offense. wpaform9a.doc•rev.7/14/04 Page 2 of 3 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection -Wetlands WPA Form 9A — Enforcement Order LIIIMassachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP D. Appeals/Signatures An Enforcement Order issued by a Conservation Commission cannot be appealed to the Department of Environmental Protection, but may be filed in Superior Court. Questions regarding this Enforcement Order should be directed to: Darcy Karle Name 508-862-4093 Phone Number M-F 8:30 am to 4:30 pm Hours/Days Available Issued by: Barnstable Conservation Commission Conservation Commission In a situation regarding immediate action, an Enforcement Order may be signed by a single member or agent of the Commission and ratified by majority of the members at the next scheduled meeting of the Commission. Signatures: l Signature of delivery person or certified mail number wpaform9a.doc-rev.7/14/04 Page 3 of 3 Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: G CASS Cj0(ZX—S µ,3 p BUSINESS LOCATION: 40 3g' VV A IAJ ST C.l,c wt wr q-to to < 1) ✓ t4 02- 3 7 MAILING ADDRESS: Q 0 4,� I Mail To: Board of Health TELEPHONE NUMBER: _Fd $ 2-6 y I SW6 Town of Barnstable CONTACTPERSON: CAL2&4 - SA,�%-te_A 1 P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: �Gq sS 571^Dl o U� Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(forgasoline orcoolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) j lubricants, gear oil - NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels f Paint brush cleaners (including chloroform, formaldehyde, Floor& furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS