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HomeMy WebLinkAbout0075 CAP'N JAC'S ROAD - Health 75 Cap'n Jac's Road,Centerville A= 1 F ;; UPC 12534 No.2_ 1� 53L_R ,q��, HASTINGS, MN j u� + / E, { Commonwealth of Massachusetts 19y - 041 --mo Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments sum 75 Captain Jacks rd �4a M a Property Address ; Fernando Moura Owner Owner's Name r information is '. required for every Centerville Ma 02632 7/7/17 page. City/Town State Zip Code Date of Inspection ;, Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael DiBuono use the return Name of Inspector key. DiBuono Sewer and Drain ,Q Company Name 35 Content Ln Company Address Cotuit MA 02635 City/Town State Zip Code 508-364-9587 SI 13522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority ,. 7/7/17 I spector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. ,loeisposalt5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewagem-Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is required for every Centerville Ma 02632 7/7/17 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Sytem contains a 1,000 Gallon septic tank. As well as a new concrete distribution box and a 1,000 GI leach pit. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is Centerville Ma 02632 7/7/17 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts , Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is required for every Centerville Ma 02632 7/7117 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is required for every Centerville Ma 02632 7/7/17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to'15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is required for every Centerville Ma 02632 7/7/17 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants If different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is required for every Centerville Ma 02632 7/7/17 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: Vacant Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ❑ No Water meter readings, if available last 2 ears usage d Vacant 2 plus g ( y g (gp ))' years Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is required for every Centerville Ma 02632 7/7/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Not provided Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts 4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is required for every Centerville Ma 02632 7/7/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Original to home Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): Depth below grade: 3 feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): System is vented at the roof line Septic Tank(locate on site plan): Depth below grade: 2.5feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1000 If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ��M •'y 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is Centerville Ma 02632 7/7/17 required for every page.e. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 24" Scum thickness 3" Distance from top of scum to top of outlet tee or baffle 42" � Distance from bottom of scum to bottom of outlet tee or baffle Sludge stick How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert evidence of leakage, etc. q 9 :) Tees are in place Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is Centerville Ma 02632 7/7/17 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal [] fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is required for every Centerville Ma 02632 7/7/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert New June of 2017 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System s Page 12 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 75 Certain Jacks rd Property Address Fernando Moura Owner Owner's Name information is required for every Centerville Ma 02632 7/7/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit is dry. Stain line at 24" below invert Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 C Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is required for every Centerville Ma 02632 7/7/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): l5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is required for every Centerville Ma 02632 7/7/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately i 3 i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is required for every Centerville Ma 02632 7/7/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 10+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USGS maps indicate ground water well below 10+ft Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 75 Captain Jacks rd Property Address Fernando Moura Owner Owner's Name information is Centerville Ma 02632 7/7/17 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary: A, B, C, D, or E checked ❑ Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ❑ System Information—Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 No �R- 3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21ppfication for Vsposai *pstem Construrtion Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.7,<- 45 ,rr ,J4&,9 S 1) Owner's Name,Address,and Tel.No. F-ef/,ano[v A.®y,l' e fi-�b,'!�e Assessor's Map/Parcel C 9 9-O?1 ILDE 3 v-1-9 Installer's Name,Address,and Tel.No.,�169-36�/ F S W;7 Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Z Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd 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) e IQ G i�i�"�'✓ �� w tc/w Date last inspected: &j7 AV o y+ 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o�Healt Si ed Date b e /7 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued No /�-' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Applitatlon for Disposal *pstettt Construction Permit. Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No7C 6',,r,o Owner's Name,Address,and Tel.No.F--r,,4 o,,,oty /hover t Assessor's Map/Parce Installer's Name,Address,and Tel.No.s b K­3 7 Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms -2. Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd 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) lZe l G G e ��r`J'f'✓,'L w f 1 tuK tom-s�C Date last inspected: 4t n L A O tv i^ 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healt Si e ' Date Application Approved by Date-------------- / / J Application Disapproved by Date for the following reasons Permit No. / """ Date Issued lab / THE COMMONWEALTH OF MASSACHUSETTS - BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIIFFY,that the On-site Sewage Disposal system Constructed( ) Repaired(-< Upgraded( ) Abandoned( )by /, G( C�N •� �•LcJ-�✓ n (�E ,t� at ; C 41,S !6 o has been constructed in accordance i with the provisions of Title 5 and the for Disposal Sy tern Construction Permit No?O—�3 dated Installer D119u 0a o Se .0 G a �k. Designer f z #bedrooms Approved design flow gpd ti The issuance of this permit shall not be;construed as a guarantee that the system will"fu`riction-as d"e is gned. Date { *c ! Inspector �� ! --- -------------------------------Fee—�---- THE COMMONWEALTH OF MASSACHUSETTS PUBLPIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS J' O_ f Misposal *pstem Construttion Permit Permission is hereby granted to Construct( ) Repair(P<' Upgrade( ) Abandon( ) System located at 5 (. and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction mu t be cc' pleted within three years of the date of this permit. Date 2 Approved b �`'�., TOWN OF BARNSTABLE LOCATION 7 5 Cl� �+ �ca c- SEWAGE # VILLAGE C Lt,4 . ASSESSOR'S MAP&LOTLZ, %Q IV TO INSTALLER'S NAME&PHONE NO. _. SEPTIC TANK CAPACITY TANK ' �i (size)f LEACHING FACILITY: (type) NO.OF BEDROOMS 2 BUILDER OR OWNER V Q—4—Y �. o PERMITDATE: r) /7 1 XV COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by .9y�y aq, � r i. DATE: June 14, 2016 TO: Building File FROM: Robin Anderson, Chief Zoning Officer RE: 75 Cap'n Jac's Road, WB Staff received a complaint concerning run-off and ponding between two properties located at 75 Cap'n Jac's (Mary Ellen Conley) and 65 Cap'n Jac's (Michael &Mary Gordon). Reported to site on Thursday, June 9, 2016 with LI Bob McKechnie. y to C k r � 7 v I,y+ 16 4 _ R June 9,2016 Conditions- sunny, dry and comfortable. Checked 475 and found property to be vacant and over grown. An abandoned car was located on the side of the garage. The over growth was too dense to walk around the property. We approached 465 Cap'n Jac's Rd. and knocked on the front door. Mr. Gordon came out and showed us his side yard abutting the Conley property. I observed a large body of water in the middle of the shrubs (a visual divide and barrier between the two properties). There was no obvious source of water,and the topography did not seem conducive to natural ponding. Because the weather has been dry recently, the volume of water in this area was a mystery. The area on the#75 Cap'n Jac's side appeared to be dry. Although we were unable to walk through to the opposite side (on#75) we noted the leaves and overgrowth appeared to be and and yet the soil on the#65 side was very saturated and spongy. Again, we• noted that there was no visible water source. It was also determined that there is no irrigation system on#65 and the subject location of the ponding (which is approximately located in the middle area of the dwelling) was too far from the septic system(at the rear corner of the lot). • 1 Mr Gordon explained that the.ponding occurred over the past month but there has not been enough rain to explain the ponding or saturation level. Mr. Gordon stated he has had water in his basement for a longer but unidentified length of time. In fact, he stated that he just had an additional pumping system installed as his landscaper noted concern about the volume of water being pumped and he agreed it was excessive. Mr. Gordon also stated that he maintained the original unit as a back-up and installed a new secondary unit to act as the primary unit in order to keep the water from accumulating in his basement. After my discussion with Mr. Gordon, I contacted Dave Stanton, Chief Health Inspector for some other ideas about a possible water source. He suggested that perhaps there had been some road improvements lately that may have diverted the water or an underground spring. We were both confused because the ponding was reported to have been only over the last 30 days or so. With#75 Cap'n Jac's having been deemed to be not habitable and vacant for a least a year, we discounted the Conley property as a contributor or source of the water. I advised David that we contacted the water department to confirm the water had been shut off at the street back in Jan. June 10, 2016—Conditions Sunny, dry and comfortable On Friday afternoon, June 10, 2016, I returned to the site with David Stanton. Mr. Gordon was not at home but had previously given us permission to check the ponding in his yard. David was surprised by the large area containing water and agreed that the topography did not lend itself to settling in that location. We speculated about the water source being from#75 but I again assured him that our office staff spoke to the water department on 6/9/16 and confirmed that the water had been shut off on Jan. 21, 2016. In fact, staff member Brenda Coyle was informed that the water had been pouring out of Y p g the"second"floor and had filled the basement. She was also told that the shut off request originated in the AG's office. Brenda relayed the information to me over the phone and immediately directed her to note what she was told for our file. (I interpreted the use of the term "second floor"to actually mean the primary floor as the subject property is a 1- story Cape style ranch with only two levels (basement& ground floor). After discussing the ponding issue at the site, David and I walked over to 75 Cap'n Jac's and down the drive way to again look for a path around to the side or rear of the house. We stopped for a moment just in front of the garage door and David stated that he thought he heard something. I pressed my ear to the door and did in fact hear something but was unable at that moment to determine what it was. In an effort to hear better, David put his hand under the garage door(in the gap between the pavement &the bottom of the door). The door actually lifted up without resistance. We hesitated for a moment (afraid of the rodents and raccoons noted to be entering) and lifted the door about a third of the way in order to assess the situation. We observed a washing machine directly in 2 front of us on the rear wall. At this point it became obvious that water was running from an unseen source. The garage walls were covered in mold or mildew and the air was stale and dank. At that point, I called our Consumer Affairs Officer, Therese Gallant and explained the situation. Because there appeared to personal belongings we were reluctant to enter but felt it was necessary in order to properly assess the situation. David and I were both shocked to hear water running in light of the shut-off date provided to us by.the water dept. Officer Gallant logged our entry and we entered the garage to find the source. Our entry was strictly limited to the garage area only. The staircase to the basement was located just behind the wall in front us. As we approached and shined the flashlight, we saw not only that the copper piping to the washer had split but water continued to spray and pour out. The spray was directed on to the interior wall of the house. The electrical wiring was exposed as the spray had consumed the sheetrock and eaten through the wall. As the light bounced off the wall, we noticed it reflecting in the water which had risen up the stairs and actually filled the basement Although, the water appeared clean, there were mushrooms and unusual growths on the walls of the stairs. The wood was obviously saturated and soggy. I called my office and asked for staff to contact the water dept and send out a technician immediately. I also contacted Bob McKechnie to come to the scene in order to photograph the conditions as our devices were not capturing the scope of the damage. He arrived within 20 min. The water dept responded also and shut the water off in the street. A neighbor confirmed that he had observed this activity in Jan. (In fact two neighbors stopped over to talk to us during this inspection). Two addition water dept employees joined us on site. They were shown the basement and they reiterated that they had shut the water off in Jan. They departed from the site shortly thereafter. I called FPO Mike Grossman of COMM FD in order to have the FD notify Eversource to shut the power off. Mike immediately dispatched an engine to the site as our inspectors noted that the power was still connected at the pole. Staff recommended the disconnection due to the amount of water in the basement (approx 7' high) in addition to the exposed power lines. Also of concern was the fact that the mechanical equipment and electrical panel was currently under water. Upon arrival, COMM FD determined that the gas meter was disconnected alleviating that worry. Bob was released from the scene in order to continue with his scheduled inspections. David and I waited for Eversource. Two neighbors had ventured over to discuss the situation during our time there (one them had confirmed the water department's Jan response.) David and I returned to the office once the cherry picker was extended and the technician had begun the disconnection process. 3 00 ,t4 �q w � ���� '4w.F�a x� -.;kfia✓'�6c '�� �����''� .^.yr '��ia L}.>;„t •_�} `, . � r _ w• W 7 � 1 ,,�`�k�.,��h •� f F Z �l job 75 Cap'n Jac's Road, Wb Report 06142016.doc 5 Message Page 1 of 3 McKean, Thomas From: Less, Daniel (AGO) [daniel.less@state.ma.us] Sent: Tuesday, September 08, 2015 8:16 AM To: McKean, Thomas; Weil, Ruth Cc: wamdoc@verizon.net Subject: RE: 75 Cap'n Jacs Road Possible Candidate for the Abandoned Housing Program Thanks Thomas. I'll call Jacqueline this week. From: McKean, Thomas [mailto:Thomas.McKean@town.barnstable.ma.us] Sent: Thursday, September 03, 2015 8:38 AM To: Less, Daniel (AGO); Weil, Ruth Cc: wamdoc@verizon.net Subject: RE: 75 Cap'n Jacs Road Possible Candidate for the Abandoned Housing Program Good Morning Mr. Less, I talked to the owner's case worker, Jacqueline Easter of Elder Services (Protective Services), this morning. She informed me that the only contact is the owner, who is 64 years of age.. The owner's daughter is not involved in any way. Jacqueline Easter believes you will have good success talking to her. At this point due to the extensive repairs that are needed, the owner has no intention of moving back into the house. However, her monthly mortgage payments are currently very low (at$200) and when she eventually moves into a rental, the concern is the monthly rental will exceed $1,000 per month. Please feel free to telephone Jacqueline Easter to make arrangements to discuss the program options with her or to obtain the owner's contact phone number at the nursing home. Jacqueline is at 508 394-4630 extension 305. Sincerely, Thomas McKean -----Original Message----- From: Less, Daniel (AGO) rmailto:daniel.less@state.ma.us] Sent: Monday, August 31, 2015 12:29 PM To: Weil, Ruth Cc: Scali, Richard; McKean, Thomas; Perry,Tom Subject: RE: 75 Cap'n Jacs Road Possible Candidate for the Abandoned Housing Program Nice to hear from you Ruth!. Yes, we might be able to help you out. Have you had any contact from any other family members? If so, can you send me their contact information? In the meantime, I'm going to have our investigation unit look into the title. In these cases, I have found.it helpful to get a family member involved and convince them to have the owner sell the property — particularly when the owner is elderly and in a nursing home. The courts generally don't like it when we rush into court seeking a receivership in such cases. So, I have had some success in working with families knowing that the seriousness of the situation has risen to the AGO level. 9/8/2015 ti From: Marshall, Lizabeth (AGO) [mailto:lizabeth.marshall(&state.ma.us] Sent: Wednesday, April 19, 2017 10:58 AM To: Weil, Ruth Subject: 75 Cap'n Jac's Hi, Ruth, I had a quick update on the Cap'n Jac's property. The parties were before the Court last week for a receiver's report and the owner now has an attorney representing her. Everyone was in agreement that sale of the property (as a demolition) was the best option. On Tuesday, I got an email from Ms. Conley's lawyer stating that she had a potential buyer lined up. The receiver is going to set up a time to meet the buyer at the property so he or she could get a better look,but I'm hopeful that this means the end is in sight, and that soon the lot will be sold and the structure razed. Please let me know if there is anything you need. Thank you, Liza Lizabeth Lagarto Marshall Assistant Attorney General Office of Attorney General Maura Healey 105 William Street New Bedford, MA 02740 (508) 742-4516 (phone) (508) 990-8686 (fax) 1 U IV F-7 1 r_V2 Hv I -TA-Tc oAl FORM30 C&w HOBBS&WARRENrn THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH s�CITY/TOTWN DEPkRTMyENT ., g 'p ADDRESS S 6 GSM soy`0 �-L 7 TELEPHONE Address 77 Caon c G CS 2d �^�" Occupan /�EVA `'V Floor Apartment No. No.of Occupants_ __ No. of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units-- NQ.3tgries i Name and address of owner rl, 1-tQl Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: o s 6105, c, / !a ❑ B ❑ F ❑ M Doors,Windows: 0 2 Roof +, J21yW cz iuS J Gutters, Drains: Walls: ,,. �rS Foundation: Chimney: BASEMENT Gen.Sanitation: i ® 5) o 13) Dampness: p Stairs: r -A I IV r -- U Lighting: wa C ,_ r Ka o to, 49 STRUCTURE INT. Hall,Stairway: VkZ4-0-D G i Obst'n.: D. Hall, Floor,Wall,Ceilin : Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: W ✓cc.2 ziG i r o,- ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen. Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues_,Vents,Safeties: Kitchen Facilities Sink .51 n)6 n �6ca!_Ns We Lila I too Stove e Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: s Wash Basin,Shower or Tub: 0)0 Infestation Rats, Mice, Roaches or Other: b� 1 Egress Dual and Obst'n: 4AWCWAX General Building Posted a 1✓?% +-an b Cei n a Locks on Doors: on2 ONE OR MORE OF THE VIOLATIONS CH CKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJU�yR1Y." INSPECT /// - TITLE y A.M. DATE 2I� TIME n i AM THE NEXT SCHEDULED REINSPECTIONI ln�X PUSS Vn , ha� I�M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold,to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). , (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. a -..�..- .T,... . -., ..,-w..r-•.....--•-Y•-�r.r-.�a':r...m�^w%.-u,.+�-'y..dr^.'.'i- +ems. �,:-^• "er['�F�r�t'.�^.'�Y�.�j,.-'C:�w..'.2`t..,/b-.+-nn.(;�,:r;;ry•; "�'*+71�'L-."'., '�,»"s,�'.'�.w.ry']�rv.'''f'"�i^''^.,...'�. r� FORM 30 &w HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -.� SCI'TY/TOWN o DEPARTMENT 200 Mfl7tJ S'1rz-•c7 J-} sN`✓A1 c n��9 ADDRESS 90 6 2 146 170 y yTTELEPHONE / Address CaD� c�*�S 2 d "' � Occupan I' '� �1� Floor Apartment No. No.of Occupants k. No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units No.Stories Name and address of owner M "'r = Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: Doe)a s v 175f4x f tdl alve +o P t(sZ q Ill zi5l B ❑ F ❑ M Doors,Windows: , of. 4_op r, 5 ,,-'sIAp- d wett-',r'q�rY, Al fU 5T1 q Roof '`�' ei;q ..A Ly,4� A. w,A,0 V,4 S i Il S ('S-'tf'T�-"� -- Jf/6,6�0a Gutters, Drains: ( S,vt Walls: 4;; Foundation: Chimney: BASEMENT Gen.Sanitation: (^'t }^ ViRP1515jC.mil fOA a e0r► S /l) &V a Dampness: Av lin S Ml 6n r Stairs: -r-10)I +' ,j (,) -t,irn I fVra -- OA.,rkj 10 N Li htin : _V_0 wa11C ,}, �. AlAa.C+ A#nar ram hal(v ar*,< 'II10,'19 STRUCTURE INT. Hall,Stairway: , VC1^c c-OA6/J �a, MA n ia CLrwkr � " Obst'n.: (0 1 Hall, Floor,Wall,Ceilin : R. "tea b IMP S n6!9rN-ecl P[a Hall Lighting: Hall Windows: 4) HEATING: �Chimne s: Central ❑ Y ❑ N Equip. Repair I "� TYPE: Stacks, Flues,Vents: ! PLUMBING: Supply Line: "SO r l/r U G r,l �� O f ���- 441 t) /A ❑ MS ❑ ST ❑ P Waste Line: M H.W.Tanks Safet 'and Vents ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Mn ,/ i~n ►n k�.. Stove 0-ve +.,q,- N ;v c- _J Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: c, �,•� #fir . (�,�, , n�f A Wash Basin,Shower or Tub: t 1,!�) •Infestation Rats, Mice, Roaches or Other: , Egress Dual and Obst'n: r General Building Posted +--rbtf r ' 'So-SA,; 00s- -A Locks on Doors: ., , �_/��-/rt/ ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY." 1 V f J. t ( •f��- INSPECTOR�r _ TITLE ►r(?G 1 � � TIME A.M. DATE � � �M M. THE NEXT SCHEDULED REINSPECTION I)A10 I M. �r*U Pt,.S�r tin�n t�-� "��p, 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. D Failure to provide the electrical facilities required b 105 CMR 410.250 B , 410.251 A , 410.253 and the lighting in com- mon P q Y O O 9 9 mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions:. (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents,cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. •..p,.. ..� :_,,,."3`^•r•.�Lw.J'+r•'^.r41P'1arlAf.-^-.a:.+a»pc 3-•'rt�y.(,,.,,,.'-•,r •,t.�. _ -.. :•;.ar"L't7v"r•,#-..,�,N,.•w�..+vi!�'•.Pr__..r....w..- s.r,w•h-F'+.1. tiiw...•--7+r+4t`x..'°MS-"•."'1R'r.'�"`:-V:"�W. FORM30 HxW HOBBSBWARRENrm THE COMMONWEALTH OF MASSACHUSETTS C� BOARD OF HEALTH �-, tCIyTY/TOWN � � DEPARTMENT ADDRESS GSM 56 y`0� ' ( y�TELEPHONE Address `7 �, t ant' °sL Occupan, !' fY -= 1` rt "• Floor Apartment No. } No.of Occupants- No. + of Habitable Rooms No.Sleeping Rooms ,` - No.dwelling or rooming units No.Stories Name and address of owner "'i -= l r t�" Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drain age Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: , Dual Egress:and Obst'n.: 4.�t °�fi -F�r' s .' ,f t,_a I !>� ❑ B ❑ F ❑ M Doors,Windows: { r. , _,,; c i ,(i' � ►r,) 4a.,2 ✓) Roof .�� t-fi o),n1Vuj ,/15 r ` -fie, -- rs/� Gutters, Drains: }',f -v '►t-w Walls: 5. r Foundation: Chimney: "; s BASEMENT Gen.Sanitation: �''# (/? r� "' �� • Jr ,, t --4 '0A -G�l`> , ]/C' 0 4 6 / Dampness: Stairs: S 1.7 _. . », 0-1 �-jr h hi 0 A".jP) I � � F Lighting: 1 rr tu.�1l, ,%� !_�, �� �Cli._.�_, �; ;.�. a��r +, ,dt�, ar -P� r`l1'' STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: (.f , I,n >Iw,R Hall Windows: t) HEATING Chimneys: r Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: Al.% L, r r [' t ' a. 1 1 i ❑ MS ❑ ST ❑ P Waste Line: [Y� l�.a i H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen. Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink I/ , 1 r,,r A /i„/r �,- 'i +1•,} r} -• "_� r.'h `1l,r t ., r Stove �. ;�E �•-_ ) �-�.- rap" � ram•:,� r�,., ,J ;. .,� Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: ,- ' Wash Basin,Shower or Tub: —Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ` IL ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND 1 PENALTIES OF PERJURY." INSPECTOR Tom` TITLE f A.M. DATE TIME P.M. ;A.M. THE NEXT SCHEDULED REINSPECTION J t 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation,any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public- Health Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. P An other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner-yam to remedy said condition within the time so ordered by the Board of Health. 1 ENGLAND'S GENERAL EXCELLENCE WINNER Take your pick at a ?} Big weekend on tap lobster-roll Iu'ncheon for Harwich's. Bi io g g THINGS TO DO TODAY,A2 rN/ate �' CAPE LEAGUE EXTRA,111. t } x , a• a r 1 a, a• a• aaa a a a CENTERVILLE DENNIS-YARMOUTH SCHOOLS A Superintendent y�3 Carol Woodbury y declined to explain actions during the t � .. misconduct E, investigation of a teacher. Parents 4 r r question .. handll�pff U of teacher School chiefs actions during investigation come under fire Michael Gorss,who lives next to this condemned property on Cap'n Jac's Road in Centerville,says it has become a health and safety hazard,with rats.roaming the area,STEVE HEASLIP PHOTOS/CAPE COD TIMES By Christine Legere clegere@capecodonline.com SOUTH YARMOUTH — Nei hbors to et irelief Citing personnel matters,the Dennis-Yarmouth Regional School Committee fielded questions when parents recently pressed for informa- fro conde ned ho,use tion about the resignation of a middle school teacher who had been investigated for sexual misconduct with a 16-year-old Homeowner high school student. F Online The committee stressed signs contractst ,r that Superintendent Carol r See a photo gallery of the to begin cleanup ate, � ,� � � �' y'�-�'� � 'Woodbury was responsible for ,a y4Y condemned Centerville home: handlingersonnelmatters but 4. k capecodtimes.com/photos P ' By Geoff Spillane it's Woodbury s handling of this gspillane@capecodonline.'corn / � i# � , particular personnel matter that an eyesore,the condemned is troubling the public. CENTERVILLE —,Seven � yr� John P. Tierney wasiunder ., home was a potential health months after ahouseonCap n and safety hazard and had investigation in September and October for an inappro- Jac's Road in Centerville was , aka caused property values in the deemed uninhabitable and priate relationship with the condemnedby the Barnstable area deteriorate. high school student, with Public Health Division,con- Thee home, barely visible Dennis police ultimately con- y T from the road through the cludin there had been no cerned neighbors are finally Neighbors sa,Als sedan may have been sifting next to the garage of overgrowth of bushes,weeds as g ar receivingassistance from the the condemne prosecutable offense.While °ouse for 18 years. and trees;has many openings not makin a direct reference town and the hospitalized through which wildlife and g homeowner to clean up the house amongwe,,maintained neglected the property since vermin could gain entry,and to Tierney,the lawyer for the ro ert homes in the Higk police pointed out that 16 is the P P Yiew Hills December,when it was con- gutters are either missing or age of consent if the relation- On Tuesday afternoon, a community off Se Ne Road. demned because of hoarding hanging off the structure. g group ofsixnei bors gathered The expressed fr ship was consensual. gr P g Y P ation conditions. The neighbors During the investigation outside the ramshackle ranch that town health offic, had said that in addition to being SEE HOUSE, Aa and afterward, Tierney was allowed to continue to teach and conduct after-school Mattacheese A2 Friday,July 24,2015 1, Cape Cod Times I capecodtimes.com ..fi`T'ODAY ON THECAPE Trips and tours Canoeing:Salt Pond Paddle:10 a.m. to 11:30 a.m.,Cape Cod National 1 Seashore,Salt Pond Visitor Center, 50 Nauset Road,Eastham.Leisurely ,r ONLINE ., .. paddle in protected waters of Salt � 4 ® s o� Looking to make the most of the Cape's Pond and nearby area of Nauset m summer?Check out capecodonline.com, Marsh.Wear shoes that can get where'every day is a beach day. wet.$20,$15 ages 16 and under ,.s.. _. .;N4�. '?�'rX�x.,:�.•�fix^ '�.var+..r „ (minimum age 6).Preregister:508- 255-3421,ext.0. Tour Highland Light 10 a.m.to 5:30 p.m.,Cape Cod National Seashore, Highland Light,27 Highland Light Road,Truro.Views from Cape Cod's oldest lighthouse.$4,$3 youth (under 18)and.seniors(65+),$1 discount with same-day admis- sion to Highland House Museum. Children must be 48-inches tall. " 508-487-1121.www.highlandlight t �x� house.org. K r , y A A r North Monomoy Island Exploration: 10:30 am.to 1:30 p.m.,Mass 4 u Audubon Wellfleet Bay Wildlife r t Sanctuary,291 Route 6,South Wellfleet.Begins with 15-20 minute boat shuttle to North Monomoy Island and involves moderate walking,covering up to 2 miles over rt, �m ar tidal flats,along beach and through salt ma `rsh.Meet at causeway on •"�,�^: 1;,,..,,,,�"� •en•�"Ta�,,�r ,� '� �-'� +. ,,.,, a .' �r �, a �C r� vil r��a" F'.'j,t�z'k{ �h " +.�'a-, ��•e"� �+y'p�'i',,,:s,`�1��d- : v,d- s...4' .• r , i"Fti t, t���t�,�fi Morris Island Road in Chatham. ,,.. +�^rtr�yes„�'•�n�'M,.T,�'—�:'cx�. ��, w- ,'�,a�• ', �,ata�,:,. ,, C �' as �+^ �, r.�• 'A•,�F�'' '•� t y'r�* ��',�dtX� , Suitable for families with children ^:7��i: a r-Nry te` a ��, r �`' 'w , a"—�,:.. -�e•' u, M t •µ'4 a'rdr�y";;",°,F i" "Ne':�'r F''w1N�" 4�ww Lz wd a wr m 5 krtw�� k 8-17.$55.Register atwww.mas- `� � -'�;,;` �• -� ^^^� ��^'��. K ,�.� r-� m � r "`�' �� saudubon.org/wellfleetbay or call 508-349-2615. N n ww [ w s t5n w fi Lrfi,n ^ � :,�" 'Po' .. , ,r ',.�". wa,+ .. "m '^'r'�" � .'.s e•' �* '}'w .r rc�^�'�, � ,� '+.. ��, .SyGyrr4j , Captain Edward Penniman House-A ^�k,,r��� � {"w•. '�^^ �t '� a g r � ��ar�fa•$L, ki i e ,�'�fr '��, � r �•n r � 'n5n Whaling Famitys Story:tour,ll a.m. '�, � �''" j ,,l � � '+� ,� a"7 �, t r �• ` to noon Cape Cod National Sea !, , t � •, M+ € r xa :-l.0r,t .,3.,��. �.�. .;;� .t'i .'�rrl;ant P,•t rr• k',�§F?,'r, �r6. ��11:t_ ,�r? ,at fa- �r,;ry r ;r,�! ,r,, r E- .r f{ Yi �.a. .�'.,, .t r ':i,�F i.: a �e. ,l�.d. ,+. .Tfl' .r .,:ra,,h; .tarp. r r'd4:a:,;n:� •,�r.. '...x t, �;at•: ',,,.fit,}+^t., ti.:4!:,•.t�.d. ;; ....M. ...t_,.�.r „ . ..,.,.,. ., ... ,,..._ ;:. .,. r ..,�'�, ^t^r. `F4.., ....F,. .c,..a':• .,tr, ,..t. shore Captain.Edward :;�,,,..r.: .:...a...:..:,..r,.a....e..,..,+.,•.: ....M•..,.,...^.,.,...,.".. �...a..r...{...,a,.�.p...,..�_�..�1.�:'':e..+:�.I.r�..__,...,,..:...^..,.,,.,:�.:w,•.,..,,dt.,....�.....,.r...... ::a�a4,,:a.LY:.,,.:^..�•.:.�:. .P.r:.:..a.:W,�',�r+a•r. .::t:�} �• ..,.a. ,..,.,,�,�.,. �.. r. pp... . . ..... ... . . .. ...........aa. :. . :....,: . . .. ... . xr. a:x.�. �:�. . . ;.L,.. a:t•,�!;,...: ,.. .r:�;,, ... .. ..1 ra 4 ...: ..a :.,��,.a..�.. ... .,h,.I'� ..... } .... ... in_�. .. ... �'.. 3 r.. `��.f:.,: .:K�t`L ar:,.:. ..mr,....:i':•: ,}^.1 �:._ .. t•.,..:.. ,. , �.... .�1:,::�.!' r�': �, House,70 Fort Hill Road,Eastham. By reservation only.508-255-3421, ext.0.FREE! Kayak Trip:Well leet B 4 Wildlife Mass n extremely versatile beach with something to offer for OUR BEACH GUIDES Audubon Wellfleet Bay Wildlife Sanctuary,291 Route 6,South everyone,especially the young'uns.With several different capecodonline.com/beaches: Wellfleet.Explore winding tidal segments of land,including grassy,sand and rocky areas, Video and pictures ea Cape rivers and scenic marshes of Cape Cod with experienced paddler.All this beach is especially picturesque.It has several pools and creeks Cod beaches from our photog- raphers,videographers and family members must have recent at low tide,but if you don't want to walk a marathon to get to the readers.Submit your own. paddling experience and ability' sea,make'sure to get there when the tide is in.Parking is limited, Search by town or amenity. to swim.All equipment provided; participants may bring own boast if so get there early. Sticker or$15.. Beach sticker info. preferred.Suitable for families with children 8-17.$49.,Register at www. massaudubon.org/wellfleetbay or call 508-349-2615. TIP FROM THE TIMES Old Harbor Life-Saving Station open house:2 to 4 p.m.,Cape Cod THEY WROTE IT HERE:Cape Cod is especially blessed with writ- Geraldine Brooks and Tony Horwitz.And this tradition goes National Seashore,Old Harbor ers.In fact,some very well-known authors have made the Cape back in time.Henry David Thoreau loved his time on''Cape Life-Saving Station,Race Point their home,or come here often enough to feel that way.Among Cod,"and Henry Beston penned"The Outermost House"from Road,Provincetown.Built in 1898, them:Mary Oliver,Peter Abrahams,Patrick Robinson,Jennifer his deep feeling for our shores.And Norman Mailer—the late Old Harbor is last intact life-saving Weiner,Bernard Cornwell,Anne LeClaire'and Alice Hoffman.' Pulitzer Prize winner—settled down,if you can Ball it that,in station of original 13 on Cape Cod. On the Islands:Ward Just,Elin Hilderbrand and Nancy Thayer, Provincetown. c• 5 Park at Race Point Beach and take short walk to Old Harbor.Beach fee . n may apply. B Hyannis walling tour.4:30 p.m.,meet- ing at Hosteling International,111 Reception 6 to 9 p.m. Kid Stuff MISC. p.rrourne United Methodist s Ocean St.,Hyannis.Join Walk- Guild of Chatham Painters show and c.6rch,37 Sandwich Road.$7. " about International and Hosteling sale:9:30 a.m.to 5:30 p.m.,First Visit by Cape Cod National Seashore "Development of External Genitaa- -Soft-soled shoes.508-759-2666, International for free walking tour Congregational Church,650 Main park rangers:10 am.to 11 a,m., lia:From Evolutionary Origins to A08-866-3055. of historical highlights of Hyannis. St.,Chatham. Truro Library,7 Standish Way,, Congenital Malformations":8 p.m., Rain cancels.619-249-9813.FREE! Eastham Painters Guild show and sale: North Truro.Learn about life on and Marine Biological Laboratory,L 10 am.to 6 p.m.,Eastham 1869 around Cape Cod. t�' Concerts Auditorium,7 MBL St.,Woods,/ WAS Schoolhouse Museum,25 School Maker Sessions:Duct Tape Kayak Hole.Porter Lecture withMa,in Bart Weisman Smooth Jazz Group:6 House Road,Eastham. Camp:1 to 4 p.m.,Truro Library,7 Cohn,University of Flo a'Howard to 7:30 p.m.,Peg Noonan Park,270 Dunes of the Province Lands 10 to Standish Way,North Truro.Build Hughes Medical IYn �'tE'508 548 Main St.,Falmouth.FREE! 11:30 am.,Cape Cod National Meals a pond-worthy kayak with Dave 3705.FREE! Brain Sakes Band:6 to 7:30 p.m., Seashore,Province Lands Visitor Arruda "Inside the Pages'" Raimondi: Dennis Port Village Green,Hall Center,171 Race Point Road,Prov- Lobster roll luncheon:11 a.m. Teen Superhero Drawing Workshop: reading and b signing,7:30 p.m., Street.FREE! incetown.Explore dune landscape to 1 p.m.,Mattakese Chapter 2 to 3:30 p.m.,Brewster Ladies' Wellfleet Pre ation Hall,335 33 Lights Gospel Band:7 p.m.to of plants and wild cranberry bogs; #158 OES,20 Davis Road,South Library,1822 Main St.Ages f0-18. Main St.$ 10 p.m.,Destiny Coffeehouse, learn about Province Lands'unique Yarmouth.Eat in or take out.$13; Hands-on superhero drawing , Osterville f n Market:9 a.m.to 1 67 School St.,West Dennis.Free place in American history.Wear $7 chicken salad roll,$3 PG&1 for workshop with graphic novel artists p.m.,0 Ville Historical Museum, sober coffeehouse with Chris- shoes appropriate for walking in kids.Reservations after 8 a.m.: Andy Fish and Veronica Hebard. 155 Bay Road. tian slant.Family friendly,free loose sand;bring water.Check in 508-398-9030. Includes some background on Y a.m.to 8 am.,Veterans refreshments. at desk inside visitor center.www. Lobster roll luncheon;11:30 a.m.to superhero comic to -b - Be 480 Ocean St.,Hyannis.Gen- J nps.gov/caco.FRFF1 A4 Friday,July 24,2015 1 Cape Cod Times capecodtimes.com HOUSE ""� Am " Carpenters also were called to the property to estimate costs for From Page Al e LepWe do want the holes on the An Oldsmobile sedan,which fi n� side of the house patched up some neighbors said may have ', t x immediately to keep any animals been there for nearly 18 years, out,"Mckean said,but he added sits abandoned next to the I y; that the contractor determined garage. � � � a major reconstruction,includ- Neighbors said rats and mice ;,. t ing removing and replacing the have increasingly been seen at ;,:i t;:� i ' t roof,wouldbe neededto save the the condemned house and have i t : `' ' ' , home. been wandering onto other � I ' , �.',t'I ,� � p A �' OnThursdaymonung,adisas- properties in the area. t �' .i'n;:I�;,, m- ter recovery team was sent to Michael Gorss,who lives next gg „a;t„'.: J , ; the house,along with the social �t t&' � door to the condemned property, ; Ia x ;Na u�. t *t worker,to determine a plan for said the house was occupiedbyaI , cleaning out the interior of the reclusive woman for nearly twoti building,which Mckean referred decades,and by the time she was , :. to as a hoarding situation. removed from the property inJ .' "It's not pleasant.There's an . late December,the septic system ,; M� tF odor and junk is piled every- . had failed and that there was no �t ' , 3 +,� ,; where, he said. running water.He said he was Mckean said the homeowner recentlyhaving dinnerinhis home ;` ; nfi° signed contracts with the exter with his wife and two"'good- '€1 lay mination and disaster recovery . g l t€ �� d companies on Thursday after- sized"mice were scratching at ,t,��„€����m,,� ,as r1��� �r��i '�' p y the slider door to come in. ` + ,� f8{ t, ` ' Y '' noon,and cleanup of biohazards Gorss and neighbor Barbara " ',i,��rw, �� '#' y at ; it . 1 F` inside the home should begin Stember saidthe alsohaveseen a� 'k� ar# + gad " afn g y �r y� '�, t � � ��„ r� ��314 trxf i�a�.� n��i f R #� within five days. n large black rats roaming the area. a ;4 r r t , ,. �e ¢'rr ldx k �;�p k�+ l*', w p This will address any public "I'm disabled,and if a rat got health concerns in the neighbor- into my house,the rat would A representative from Disaster Specialists,in hat,meets with,a woman hood,"he said. win;"Gorss said."It's scary to Thursday in the front yard of the house on Cap'n Jac's Road in Centerville. Gorss said he was grateful that me." Neither person would give aname or comment on the condition of the progress was being made to clean Nearby resident Mary Coco house.STEVE HEASLIP/CAPE COD TIMES the property.He said neighbors said she had to take down bird had tried to help the woman for feeders in her yard because of hospital, has been paying the trash removal services.He also years, even removing trailer fears of rat infestation. mortgage and is up-to-date on said the septic system had been loads of trash from the garage and, Thomas Mckean,Barnstable property taxes. . checked and,despitethe concerns mowing the lawn,but she never public health director,said that Mckean said he had recently of neighbors,had not failed. spoke to anyone orthankedthem. since the home wasneither fore- been in touch with the wom- "She has the financialmeansto "In 18 years I never saw a closed nor abandoned,the town an's social worker to coordinate pay for the.contractors;'he said' 'window open or a shade up inthat was limited in what it could do repairs and cleanup of the prop- �`An exterminator was called to house,"Coco said. with the property.He said the erty,and the homeowner agreed the area Wednesday to place bait owner,a woman in her 6os_who, to pay for exterminator,land- - and traps between the property Follow Geoff Spillane on iscurrently in a rehabilitation scape, carpentry and interior lines of the house and neighbors. Twitter:.@GSpillaneCCT. I I r 14'{S�C'4.•/{�,�IIi�3F�d1�T'�fN'11{��.1{yw�$71L1;V� �^ �,X �::�,.r y'� X it F Fy � " q i d d � dL t.:1 r�r - ,W ,, yra Lwwb xV,.e Nrts��F4� • f u�xn n I�,v L 4 d,Lx °1 ,w ,nte +y. y �.�' 1:'' . 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'n^ 9 ^ �s ,rr� • \ • • s t} If s .y 1>, I w q t t � ; it a w i. • :• i i rT I n r 1.y4� J t %.�Y'L„A 6 4 .6{�h S '. t 1 hj ':, k:. • / .Me .I r Y 5fy v-r t9�a�1 .r t 8�T?� I}t i x nr Pt "•tf I.t : �6 '�;,sty ayyM as M r Ott' v Y tr L r q,W'�f y f Y Wr .., ...�, .°.L.. • -• \ too Crocker, Sharon From: McKean, Thomas on behalf of Health -75 Q-&P� Sent: Monday, September 21, 2015 4:00 PM To: Crocker, Sharon; 'Wayne Miller' Subject: FW: 75 Cap'n Jacs Road -----Original Message----- From: . Minehart, David D CIV [mailto:David.D.Minehart@uscg.mil] Sent. Monday, p September 21, 2015 3:31 PM To: Health Subject: RE: 75 Cap'n Jacs Road O J. Mr. McKean, Thank you for the update and I appreciate your help! V/r, Dave Minehart -----Original Message----- From: McKean, Thomas [mailto:Thomas.McKean@town:barnstable.ma.us] On Behalf Of Health Sent: Monday, September 21, 2015 3:15 PM To: Minehart, _David D CIV /f Subject: 75 Cap'n Jacs Road Good Afternoon, Thank you for the clarification. It is my understanding that_ a-n.e-i or requested the hearing in writing. She was first notified by telephone s ral days rior to the meeting ve date by Administrative Assistant, Sharon Crocker: _„_._................ In any case, you are correct that a hearing is not necessary in this regard. The responsible party, the owner of this property Ms Mary Conley, is currently staying at a nursing home temporarily. In regards to the public health concerns- the owner of this property along with the assistance of her social worker Jacqueline Easter, addressed the public health concerns by having the refuse/waste items removed from the dwelling and by hiring a professional exterminator. The work was paid for by the owner, Ms. Mary Conley. She also continues to pay her monthly mortgage. In regards to the abandonment issue, this matter was recently referred by/from our Town Attorney Ruth Weil to the Attorney General's Office to be considered for the Abandoned Housing Initiative (AHI) . .http://www.mass.gov/ago/doing-business-in- massachusetts/economic-develop ment/abandoned-housing-initiative-ahi/ Please let me know if I can be of any further assistance or answer any specific questions. Sincerely, Thomas McKean 1 0. I -----Original Message----- From: Minehart, David D CIV [mailto:David.D.Minehart@uscg.mil] Sent: Monday, September 21, 2015 2:18 PM To: Health Cc: dminehart@comcast.net Subject: RE: Board Of Health Meeting Agenda Mr. McKean, Thank you for your reply. This was not in regards to a varience. This is in regards to the property at 75 Cap'n Jac's Road in Centerville and was on the agenda as a "Discussion" item regarding the status of the situation there. I live directly across the street from this property that has been neglected for many years. The owner, Mary Conley was removed from the home last December and the house was deemed uninhabitable by your department. The house/situation then remained untouched for at least 6 months and no action was taken until the next door neighbor, Michael Gorss, contacted the Cape Cod Times who subsequently ran a front page article regarding the situation and lack of action to that point. That incident seemed to provoke a response from the town. In the following weeks, some bandaids were applied to the house. (Hazwaste removal, access points plugged and patched. Since then, we have entered .into another period of inactivity. Pretty soon, the entire building will be taken over by trees, weeds, rodents, and possible squatters since the doors to the house aren't even locked. Thank goodness that the condition of the house seems to scare them too. Then, on September 8th, we get a letter/agenda in the mail notifying us that the issue was going to be on the agenda for the Board Of Health for 3pm that very day! Needless to say, the meeting was over before we even read the notification. Michael Gorss, named on the agenda, is confined to a wheelchair, so. he definitely could not attend under such short notice. He also received his letter the day of the meeting. I quite frankly have no idea what was supposed to be discussed at this meeting, nonetheless, I would have attended if I had received adequate notice. I am not here to point fingers or cause rancor. It is plainly a sad situation that has occurred at 75 Cap'n Jac's Road and there are certainly legal issues that may be preventing this situation from being resolved in a timely fashion. What I do not understand though is the lack of clarity on what the plan is for resolving the issue. Not being afforded the opportunity to address the board •and seek answers is also very disturbing to me. I would appreciate the opportunity to have someone in your office sit down with us, as concerned neighbors, to see how things can and will proceed, perhaps having representatives come to our neighborhood would be more convenient. I am hearing too much hearsay and second-hand information from those in our neighborhood who have contacted your department for information, much of it unflattering and contradictory. I would prefer, however, to hear it firsthand from you. If the proper way to get answers is through these Board of Health meetings, then we need to be given proper and timely notice which clearly did not happen last time. Thanks for any information you can provide. V/r, Dave Minehart 80 Cap'n Jac' s Road 508-367-0164 -----Original Message----- From: McKean, Thomas [mailto:Thomas.McKean@town.barnstable.ma.us] On Behalf Of Health Sent: Monday, September 21, 2015 1:29 PM To: Minehart, David D CIV Subject: RE: Board Of Health Meeting Agenda 2 Good Morning, It is the engineer' s responsibility to notify the abutters in regards to variances needed for a project. Which location was this in regards to? -----Original Message----- From: Minehart, David D CIV [mailto:David.D.Minehart@uscg.mil] Sent: Monday, September 21, 2015 8:50 AM To: Health Subject: Board Of Health Meeting Agenda Hello, Can you inform me as to who is responsible for sending out (via USPS) the Board Of Health meeting agendas to those who are abutters or are included on the agenda as participants? The reason I ask is that me and.my neighbors were on the agenda to discuss an issue in our neighborhood during the September 8th Board of Health meeting. All concerned received the notification/agenda in the mail that day. As you can probably conclude, nobody was notified in time to make the meeting, therefore the issue was not addressed with no participants. Any information r a point of contact that I can call would be appreciated. Thank you. Dave Minehart USCG Base Cape Cod Housing Department Building 5215 Buzzards Bay, MA 02542 David.D.Minehart@uscg.mil (508) 968-6505 Fax (508) 968-6511 3 Message Page 1 of 2 Crocker, Sharon From: Crocker, Sharon Sent: Tuesday, August 04, 2015 9:26 AM ��� /-�v C_6-y, — To: Wayne Miller, M.D. (wamdoc@verizon.net) ' Cc: McKean, Thomasl� e�/ Subject: FW: BOH Agenda-August 18 and 75 Capn Jacs Rd, Center �2� Hi there, I will tell her that August is definitely too full and I will confirm September once I know. Thank you. Sharon .Here is what the PDF said. AUGUST 3, 2015 TOWN OF BARNSTABLE BOARD OF HEALTH, BOARD OF HEALTH OFFICIALS CONCERNED CITIZENS FROM HIGHVIEW HILLS IN CENTERVILLE, MASSACHUSETTS, ARE REQUESTING TO BE PLACED ON THE DOCKET FOR YOUR AUGUST 18, 2015 AGENDA. CONCERN: 75 CAPN JACS ROAD, CENTERVILLE, MA 02632. THE OWNER IS MARY CONNELLY. SIGNED: DAVE AND SHARON MINEHART, 80 CAPN JACS ROAD, CENT�ULE;--� �y HORACE AND MARY COCCO, 97 CAPN JACS ROAD, CENTERVILLE 6 CAPTAIN WILLIAM H DOHERTY,MASTER MARINER, 11 HELMSMAN DRIVE, ��3v CENTERVILLE (No signature from Captain Wm Doherty.) MICHAEL and BARBARA GORSS, 87 CAPN JACS ROAD, CENTERVILLE zf. PLEASE CONFIRM RECEIPT OF THIS NOTICE AND ACCEPTANCE TO ATTEND THE AUGUST 18 MEETING. SUBMITTED BY: MICHAEL GORSS, 87 CAPN JACS ROAD, CENTERVILLE 8/4/2015 Message Page 2 of 2 -----Original Message----- From: Wayne Miller [mailto:wamdoc@verizon.net] Sent: Monday, August 03, 2015 9:05 PM To: Crocker, Sharon Subject: Re: BOH Agenda - August 18 and 75 Capn Jacs Rd, Center Hi Sharon The pdf file was blank--can you resend please. I think the agenda is too full, plus I don't see what the Board can do for them. Thanks Wayne On 08/03/15, Crocker, Sharon<sharon.crocker@town.barn stable.ma.us>wrote: <<081815 Agenda.doc>> <<2015_08_03_13_31_12.pdf>> Attached is the agenda for the upcoming meeting, August 18. As you'll see on attached, three of the neighbors of 75 Capn Jacs Rd, Centerville signed a request to come before the BOH- brought in today, just at the wire of accepting additions. Black Pearl had also planned to request a new trainee but have not come back to pick up paperwork. The agenda has many hearing items on it, not sure how many underground tank and stable people will actually show for the hearing. As the work is in process at 75 Capn, shall I put 75 Capn on the September meeting? Thank you. Sharon 8/4/2015 Crocker Sharon From: Crocker,JSharon Sent: Monday, August 03, 2015 1:41 PM To: McKean, Thomas; Wayne Miller, M.D. (wamdoc@verizon.net) Subject: BOH Agenda-August 18 and 75 Capn Jacs Rd, Center Ell �. 081815 2015_08_03_13_31 Agenda.doc(80 KB) _12.pdf(33 KB... Attached is the agenda for the upcoming meeting, August 18. As you'll see on attached, three of the neighbors of 75 Capn Jacs Rd, Centerville signed a request to come before the BOH- brought in today, just at the wire of accepting additions. Black Pearl had also planned to request a new trainee but have not come back to pick up paperwork. The agenda has many hearing items on it, not sure how many underground tank and stable people will . actually show for the hearing. As the work is in process at 75 Capn, shall I put 75 Capn on the September meeting? Thank you. Sharon � ASS 6 3 �� 40� V b iF 1 Message Page 1 of 2 Crocker, Sharon From: McKean, Thomas Sent: Monday, August 03, 2015 9:31 PM To: Crocker, Sharon; wamdoc@verizon.net Subject: Re: BOH Agenda -August 18 and 75 Capn Jacs Rd, Center Please hold off until Dr Miller can review the info. Possibly will be heard at the September meeting. From: McKean, Thomas Sent: Monday, August 3, 2015 8:18 PM To: Crocker, Sharon; wamdoc@verizon.net Subject: Re: BOH Agenda - August 18 and 75 Capn Jacs Rd, Center I figured this case is closed (not starting) as the public health concerns were addressed. I wouldn't suggest taking action to bulldoze thehouse down as the house is owned by a woman who is in the hospital recovering from heart surgery. From: Crocker, Sharon Sent: Monday, August 3, 2015 2:53 PM To: McKean, Thomas; wamdoc@verizon.net Subject: FW: BOH Agenda -August 18 and 75 Capn Jacs Rd, Center Barbara Gorss said they would like to: " thank you for starting the process, "see what the plan of action is", and find out"where we go from here". She has been told our agenda has many items for August and may not be able to accept more for Aug. She has been very polite. -----Original Message----- From: McKean, Thomas Sent: Monday, August 03, 2015 1:53 PM To: Crocker, Sharon; Wayne Miller M. D. Subject: Re: BOH Agenda - August 18 and 75 Capn Jacs Rd, Center Hi I believe that there isn't any basis for a BOH meeting about 75 capt Jac's. The biohazards have been removed and a licensed exterminator was hired. Tallgrass and overgrown bushes are not public health hazards. g g The roof needs to be replaced on the house and if the water damage is extensive, the ceiling, flooring and sheetrock walls may need to be replaced. However, nobody lives there so it is not a health or safety hazard to any occupants. Also, it's not a public health hazard to the neighbors. It is up to Dr Miller- 8/4/2015 `Message Page 2 of 2 What does the signed request say- what is the basis for a public meeting? From: Crocker, Sharon Sent: Monday, August 3, 2015 1:41 PM To: McKean, Thomas; wamdoc@verizon.net Subject: BOH Agenda - August 18 and 75 Capn Jacs Rd, Center <<081815 Agenda.doc>> <<2015_08_03_13_31_12.pdf>> Attached is the agenda for the upcoming meeting, August 18. As you'll see on attached, three of the neighbors of 75 Capn Jacs Rd, Centerville signed a request to come before the BOH- brought in today, just at the wire of accepting additions. Black Pearl had also planned to request a new trainee but have not come back to pick up paperwork. The agenda has many hearing items on it, not sure how many underground tank and stable people will actually show for the hearing. As the work is in process at 75 Capn, shall) put 75 Capn on the September meeting? Thank you. Sharon 8/4/2015 Message Page 1 of 1 Crocker, Sharon bo q From: McKean, Thomas Sent: Tuesday, August 25, 2015 8:25 AM To: wamdoc@verizon.net; Jimmy Sawayanagi (exit5gallery@comcast.net); Paul Canniff (canniff.paul@gmail.com); Board of Health Cc: Crocker, Sharon Subject: FW: Crystal Garden Children's Learning Center FYI -----Original-Messag� e- From: Farsons, Roger Sent: T �sday, August 5, 2015 6:17 AM To: McKean, Thomas Cc: Anderson, Dave Subject: Crystal Garden Children's Learning Center Good morning Tom - based upon our joint telephone conversation yesterday afternoon with the operator of the above facility where it was stated by the operator that only pre - prepared foods would be served to the children I am Jnot requiring an external grease trap under Section 184-3 G. of the Town Code. Please contact me with any ques ion on this matter. Regards,Roger i 8/25/2015 i THE T °* °wo Town of Barnstable Barnstable N BARNS-TABLE. Board of Health "F""'wicaC"" '9 MASS. �Q o°pIf039. N`� 200 Main Street, Hyannis MA 02601 m 2007 OFFICE: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi Michael and Barbara Gorss, 87 Capn Jacs Road, Centerville, MA 02632 ACKNOWLEDGEMENT OF RECEIPT: August 31, 2015 Tou are to appear 6efore the Board of Yfeafthfor a discussion regarding: 75 Capn sacs Woad, as per your fetter datedAugust 3, 2015. Thankyou. Your item is scheduled to be heard at the Board of Health Meeting on the: Date of: Tuesday, September 8, 2015 Meeting,Location: Town Hall, 367 Main St, Hyannis Hearing Room, Second Floor Time: 3:00— 6:00 P.M. Approximately three days prior to meeting, an agenda will be sent out to you— once it is available. It will also be available on line at the town website: www.town.barnstable.ma.us Go to ..."Boards & Committees > Board of Health - or- Go to Official Agendas Any questions, please call Sharon Crocker at 508-862-4739. Thank you. QAAGENDAS BOH\let Receipt of 130H Submission 75 Capn Jacs Rd WB Sep2015.doc i Message Page 3 of 3 From: McKean, Thomas Sent: Monday, August 24, 2015 11:16 AM To: Weil, Ruth Subject: 75 Cap'n Jacs Road Hi Ruth, On December 27, 2014, this dwelling was condemned due to numerous violations. Attached is a copy of the letter of violations and a current photo of the property.. The owner is currently staying in a rehab facility in Centerville. She has a daughter who resides in CT but it is my understanding that she isn't interested in assisting her mother with fixing-up property. My question is: Can this property be included in the Attorney General's revitalization program? Tom «IMG_20150721_134032Jpg>> <<75CapnJacs.doc>> r 9/8/2015 Message Page 2 of 3 I'll keep you posted! dan From: Weil, Ruth [ma ilto:Ruth.Wei l@town.barnstable.ma.us] Sent: Thursday, August 27, 2015 1:25 PM To: Less, Daniel (AGO) Cc: Scali, Richard; McKean, Thomas; Perry,Tom Subject: 75 Cap'n Jacs Road Possible Candidate for the Abandoned Housing Program Dear Dan: I hope this finds you well and that you are enjoying this glorious summer weather. As the below e-mail reflects, the above-referenced property was condemned due to a chronic hoarding problem and the owner is now living in a nursing home. The town and the neighbors are frustrated because the owner's family has shown no interest in ameliorating the health and safety violations at the property. Would this property be a candidate for the Attorney General's Abandoned Property program? If so, Tom McKean is available to speak with you and provide you any information that you might need. Tom McKean's contact information is as follows: (508) 862-4640 ( office ); 508-294- 1391 (cell); Thomas.McKean@town.barnstable.ma.us Please do not hesitate to contact me directly should you have any questions. All the best, Ruth Ruth J. Weil Town Attorney Town of Barnstable 367 Main Street Hyannis, MA 02601 508-862-4620 (telephone) 508-862-4724 (fax) The information contained in this electronic transmission ("e-mail"), including any attachment (the "Information"), may be confidential or otherwise exempt from disclosure. It is for the addressee only. This Information may be privileged and confidential attorney work-product or a privileged and confidential attorney-client communication. The Information may also be deliberative and pre-decisional in nature. As such, it is for internal use only. The Information may not be disclosed without the prior written consent of the Town Attorney's Office of the Town of Barnstable. If you have received this e-mail by mistake, please notify the sender and delete it from your system. Please do not copy or forward it. Thank you for your cooperation. 9/8/2015 I Crocker, Sharon From: Crocker, Sharon Sent: Thursday, January 22, 2015 3:21 PM To: McKean, Thomas Subject: 75 Cap'n Jac, Centerville Jacqui Easter, Elderly Services, (work 508--394-4630 and work cell 617-785-9976) called. She wanted to know what specifically was needed to get the owner back into the house. She was wondering if we advised her to get a home inspector to give estimates of repairs needed. I did not see a letter in QAOrder letters or in the file. Tim O. was here and he suggested to first remove the trash and excess in house to allow access to egresses, etc. and to clean dirt-this appears to be needed before anyone is able to check out repairs. She will start with assisting owner in hiring someone to remove trash. If you have any more information for her, please call her. Sharon 1 .o CtATIhED MAIL. RECEIPT a (Domestic aFor delivery information visit our website at vvww.mps.Com@ �co OFFICIAL USE Lil M Postage $ Certified Fee /� DPostm Retum Receipt Fee 'C3 (Endorsement Required) xORestricted Delivery Fee0 (Endorsement Required) OrLJ Total Postage&Fees $ Sent To Ms. Mary Ellen Conley •____•_______- o street,Apt.No:;' ' 75 Ca 'n acs Road or PO Box No. p J City State,ziP+a Centerville,MA- 02632 PS Form :00 August 2006 See Reverse for Instructions i Certified Mail Provides: ° m A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Malle or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse':riiailpiece"Retum Receipt Requested".To receive a fee waiver for a dupllicdate return receipt,•a USPSe postmark on your Certified Mail receipt is ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 f� oFTHE Tph, Town of Barnstable �O Regulatory Services &UWWABLEMASS. 9. r Public Health Division AlfD1iA0�A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 7014 1200 0001 0358 1861 December 30,2014 Ms. Mary Ellen Conley 75 Cap'n Jacs Road Centerville, MA 02632 DWELLING UNFIT FOR HUMAN HABITATION, ORDER TO VACATE In accordance with M.G.L. c.l 11, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter Il: Minimum Standards of Fitness for Human Habitation, Thomas McKean RS, CHO, Director of Public Health for the Town of Barnstable, conducted an inspection of the dwelling located at 75 Cap'n Jacs Road, Centerville, Massachusetts on December 29, 2014 at 7:05 p.m. after receiving a call from Sergeant McKenna of the Barnstable Police Department. The owner's name in this dwelling is Mary Ellen Conley. Based on the results of that inspection, the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.831 (D), the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include: 410. 450: Means of Egress and 410. 451: Egress Obstruction: Piles of papers, cartons, empty cat food cans, tin foil wrapped products, and other items piled up on the floor and on top of furniture, blocking egress and passageways. Front left door to dwelling could only be opened roughly one foot and led only to a wall of stacked up belongings. 410.100: Kitchen sink, stove, and other appliances were not accessible. Large piles of cat cans and other debris approximately five feet high in the kitchen area. Q MCapnJacs.doc K 40.602(B) Maintaininll Dwelling Unit: Piles of papers, cartons and other debris piled on the floor and on top of furniture throughout. Spider webs observed along ceilings throughout dwelling. 410. 500: Rotted fascia boards and sills at exterior of dwelling. One is able to see into the attic space of the dwelling from outdoors. 410.100: Kitchen sink, stove, and other appliances were not accessible. Large piles of cat cans and other debris approximately five feet high in the kitchen area. In addition, Police Sergeant McKenna reported that there is no water service to this dwelling. The occupant was using a bucket as a toilet. Based upon these findings any and all occupants are hereby ordered to vacate and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated she may be forcibly removed by the local Board of Health (Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from $10-$500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied without the written approval of the Board of Health. Note: This is an important legal document. It may affect your rights. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, CHO Director of Public Health Town of Barnstable Q MCapnJacs.doc Pof' •oo Town of Barnstable h U.S.POSTAGE)>PiTNEveoweS i Public Health Division ��`o BARN 'ABLE.e! 200 Main Street �p'fD rnn+"0 Hyannis,MA 02601 — ZIP 02601 0 02 11V $ 005.50 0001383424 DEC. 30. 2014 1 • 7014 1200 0001 0358 1861 f ''�"-'-�^^ ` U.S.POSTAGE>>PITNEYEtOWES v ��o ZIP k 02 02ry601 $ 000.980 0001383424 DEC. 19. 2014 CERTIFIED MAIL- E RETURN RECEIPT REQUESTED Ms. Mary Ellen Conley Nei XtE 75 Cap'n Jacs Road RETURN TO 5 E N 0 E P Centerville MA 02632 ra !_ ivo ,� , i i iu is ra r 0 F eQ aw ac S's .8C:. s�25 J14eeZ t s.eti�t t ii� ie i••9� '•w ry •" .+ _.._ ._ E-'�°` -D 1 I i 9 13 a'1 1 1 1 7 9 \ t • t PLACE STICKER AT TOP OF ENVELOPE TO THE RIGHT 1 r r r y 'PF,7. YE'S Y4Y ."'�a:wnnY rM� MAW`. UNITED STATES FSO ALER/IC Tfr ? as.. «� age " eS t'al -,y£t9.." �ieu ,:C.�N•,, IsxdvR. "h:� Y"�' usps • Sender: Please print your name,address, and ZIP+4®in this box" I Town of Barnstable I Health Division 200 Main Street I Hyannis,MA 02601 � I I i h •ER:,COMPLETE THIS SECTION. • • ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ©Agent IA Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Rece! dby(Prirtt d Name) C. Date of pelivery ■ Attach this card to the back of the mailpiece, �d � l or on the front if space permits. D. Is delivery address different'from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No I Ms. Mary Ellen Conley 3. Service Type 75`=Capn Jacs Road ❑Certified M01) ❑Priority Mail Express'" Ceat;tflle,MA 02632 ❑Registered ❑Return Receipt for Merchandise ❑_Insured_Maii—O ColleEt on_Delivery ❑Yes ti 2. frai t ; . PS`Form--3811,July 2013 ,Domestic Return Receipt �. Citizen Web Request Page 1 of 4 t } Bh'sL4tA35 L'Ls e ' . Management Request Citizen Re - Internal Use q Request ID: 56467 Created: 6/10/2016 4:18:54 PM Status: Assigned To Staff Assigned To: Stanton, David Health Office Anonymous: Yes Category: Chapter II : Housing Substandard E.C. Date: 8/12/2016 Created By: Stanton, David Citations: Health Office { Time Worked: 4.00 Response Time: 2.00 -Requestor Details: -Email: Request Location: 75 CAP'N JAC'S ROAD West Barnstable, Ma 02668 Parcel Number: Map: 194 Block: 071 Lot: W00 Request: Complaint from neighbor came into building that there has been a lot of water pooling on his p rope rty\properly line Request Work History: Entered on 6/10/2016 4:33:21 PM by Stanton, David Last modified on 6/15/2016 8:31:35 AM DS went to said location with Robin Anderson. Started out at 65 Cap'n Jacs road where there was a complaint of water&it pooling between the two houses. We observed a good size puddle between the two houses (note: there have not been any heavy rains recently that would be the source of the water)We then proceeded over to 75 cap'n Jacs (note: property condemned about a year ago)We were trying to observe the best way to get over to the wet area (right\East side of dwelling)to locate the possible source. While we were near the garage, DS could hear water running in the garage area. The water department had supposedly already shut off water to the property at the curb stop a long time ago. We contacted the PD as well and informed them that the property was ordered condemned a year ago by the Health Division and that we were there on a complaint and that no occupants were allowed in the house and we needed to conduct a safety check as we could hear water running inside the dwelling. DS was able to open the garage as there was a slight gap at the bottom.The door was opened cautiously as there were issues of wild animals(raccoons, etc) present in the dwelling. As the garage door was opened,we could clearly hear the running water coming from the back of the garage, behind the washing machine. Behind the washing machine against the back wall of the garage was stairs to the basement. We http://issgl2/lntemalWRS/WRequestPrint.aspx?ID=56467 8/11/2016 Citizen Web Request Page 2 of 4 t observed a copper pipe that had water coming out at full force from what appeared to be a split in the copper pipe. We contacted the water dept:to let them know that it appeared that the water was still on to the house.They came out and shut off the water at the street,the first time they did,there was still a slow flow of water coming from the pipe,they turned it back on full,the water was gushing at full speed again,they then shut it off again, and the water stopped coming out of the pipe. The entire basement to within about a foot of the top of the cement was full (most likely the water overflowed out a basement window on the right side of the dwelling, however, we were not able to gain access to the far side due to the overgrowth of the property.) The water in the basement was crystal clear and we did not observe any sheens. Concern about if gas was shut off and the fire dept. located the gas connection at the house and the meter was completely removed so no gas present. We then had fire dept. come out to check it out as the electricity still appeared on (connected at the pole&had a meter) Eversource arrived and was disconnecting the power at the pole. Internal Note History: System entry on 6/10/2016 4:18:54 PM: Assigned to Stanton, David System entry on 6/10/2016 4:33:26 PM: Estimated completion changed from 6/24/2016 to 6/14/2016 System entry on 6/14/2016 8:34:50 AM: Estimated completion changed from 6/14/2016 to 6/15/2016 System entry on 6/15/2016 8:06:20 AM: 0 Estimated completion changed from 6/15/2016 to 6/16/2016 System entry on 6/16/2016 7:50:47 AM: Estimated completion changed from 6/16/2016 to 6/17/2016 System entry on 6/17/2016 8:40:20 AM: Estimated completion changed from 6/17/2016 to 6/20/2016 System entry on 6/20/2016 8:07:18 AM: Estimated completion changed from 6/20/2016 to 6/21/2016 System entry on 6/21/2016 7:58:39 AM: .Estimated completion changed from 6/21/2016 to 6/22/2016 System entry on 6/22/2016 8:09:58 AM: Estimated completion changed from 6/22/2016 to 6/23/2016 System entry on 6/23/2016 8:18:46 AM: Estimated completion changed from 6/23/2016 to 6/24/2016 System entry on 6/24/2016 8:22:52 AM: Estimated completion changed from 6/24/2016 to 6/27/2016 System entry on 6/27/2016 7:58:35 AM: http://issgl2/IntemalWRS/VvRequestPrint.aspx?ID=56467 8/11/2016 Citizen Web Request Page 3 of 4 Estimated completion changed from 6/27/2016 to 6/28/2016 System entry on 6/28/2016 7:56:04 AM: Estimated completion changed from 6/28/2016 to 6/29/2016 System entry on 6/29/2016 8:08:56 AM: l Estimated completion changed from 6/29/2016 to 6/30/2016 System entry on 6/30/2016 8:01:36 AM: Estimated completion changed from,6/30/2016 to 7/1/2016 System entry on 7/1/2016 8:34:45 AM: Estimated completion changed from 7/1/2016 to 7/5/2016 System entry on 7/5/2016 8:08:11 AM: Estimated completion changed from 7/5/2016 to 7/6/2016 System entry on 7/6/2016 8:46:19 AM: Estimated completion changed from 7/6/2016 to 7/7/2016 System entry on 7/7/2016 8:00:08 AM: Estimated completion changed from 7/7/2016 to 7/11/2016 System entry on 7/11/2016 8:16:53 AM: Estimated completion changed from 7/11/2016 to 7/12/2016 System entry on 7/12/2016 7:54:40 AM: Estimated completion changed from 7/12/2016 to 7/13/2016 System entry on 7/13/2016 8:19:17 AM: Estimated completion changed from 7/13/2016 to 7/14/2016 System entry on 7/14/2016 8:04:15 AM:. Estimated completion changed from 7/14/2016 to 7/15/2016 System entry on 7/15/2016 8:04:49 AM: Estimated completion changed from 7/15/2016 to 7/18/2016 System entry on 7/18/2016 8:08:58 AM: Estimated completion changed from 7/18/2016 to 7/19/2016 System entry on 7/19/2016 11:37:07 AM: Estimated completion changed from 7/19/2016 to 7/20/2016 System entry on 7/20/2016 9:02:51 AM: Estimated completion changed from 7/20/2016 to 7/21/2016 http://issgl2/lntemalWRS/WRequestPrint.aspx?ID=56467 8/11/2016 Citizen Web Request - Page 4 of 4 System entry on 7/21/2016 8:05:59 AM: Estimated completion changed from 7/21/2016 to 7/22/2016 System entry on 7/22/2016 1:20:42 PM: Estimated completion changed from 7/22/2016 to 8/1/2016 System entry on 8/1/2016 7:59:33 AM: Estimated completion changed from 8/1/2016 to 8/2/2016 System entry on 8/2/2016 7:56:33 AM: Estimated completion changed from 8/2/2016 to 8/3/2016 System entry on 8/3/2016 8:26:17 AM: Estimated completion changed from 8/3/2016 to 8/5/2016 System entry on 8/5/2016 8:06:59 AM: Estimated completion changed from 8/5/2016 to 8/8/2016 System entry on 8/8/2016 8:02:21 AM: Estimated completion changed from 8/8/2016 to 8/12/2016 http://issgl2/InternalWRS/WRequestPrint.aspx?ID=56467 8/11/2016 Citizen Web Request Page 1 of 1 l €A3t\STA(9LL Citizen Request Management - Internal Use a 163V. b� i 4901 _ Request ID: 52964 Created: 6/18/2015 1:32:43 PM Status: Closed Assigned To: Stanton, David Health Office Anonymous: No Category: Title 5 : Section 353-7 Sewage E.C. Date: 7/2/2015 Created By: Wadlington, Ellen Citations: Health Office Time Worked: 1.00 Response Time: 0.50 -Requestor Details: -Email: Request Location: 75 CAP'N JAC'S ROAD West Barnstable, Ma 02668 Parcel Number: Map: 194 Block: 071 Lot:W001 Request: Neighbor called and came in to say you can smell sewer smell. Very overgrown, lady is in rehab for open heart sugery. Numerous other complaints. Request Work History: Entered on 6/18/2015 3:14:26 PM by Stanton, David DS went to said location. No answer at front door. No search warrant for property. No septic odors observed.Condemned stickers on garage door and main entry door so it appears someone is already dealing with this property. No further action required at this time. Internal Note History: System entry on 6/18/2015 1:32:43 PM: Assigned to Stanton, David System entry on 6/18/2015 3:14:26 PM: Request Closed by stantond http://issgl2/lntemalWRS/WRequestPrint.aspx?ID=52964 8/11/2016 `s citizen Web Request Page 1 of 3 IRE _ �r 8A3L-TA-. Citizen Request Management - Internal Use Request ID: 51422 Created: 1/5/2015 3:11:09 PM ! Status: Assigned To Staff Assigned To: McKean,Thomas Health Office Anonymous: No Category: Chapter II : Housing Substandard E.C. Date: 1/20/2015 Created By: Parvin, Lindsay Citations: i Building Dept Time Worked: 0.75 Response Time: 0.75 Requestor Details: •Email: Request Location: 75 CAP'N JAC'S ROAD West Barnstable, Ma 02668 Parcel Number: Map: 1 44 Block: 071 Lot: W00 Request: Requestor lives in the house next to the home which was recently condemned. Requestor reports a strong sewage odor coming from the condemned property. Requestor is concerned that the house will remain in the condemned state for a long period of time. Request Work History: Entered on 6/17/2015 8:46:33 AM by Crocker, Sharon "The owner of the house is still recovering from open heart surgery. She is currently staying at a rehabilitation center. In the meantime, her house.remains abandoned. It was condemned back on December 27, 2014 due to blocked exits/entrances, no water, no access to kitchen , no access to bathroom, and piles of debris throughout. Caller,today,concerned about wild animals entering and exiting the dwelling. Spoke to her social worker this afternoon.They will call me back with more up-to-date information and family member contact information."per tm Entered on 6/17/2015 4:47:44 PM by Crocker, Sharon Last modified on 6/17/2015 4:48:06 PM 6/17 TM called the owner's case worker again today to inquire about whether any relatives could assist the owner with repairing the holes in the dwelling-to keep wild animals out. She said the owner's daughter resides in Connecticut; but she is unable or unwilling to help. However, she said the owner does have some funds available. She will advise the owner to hire a carpenter to patch the hole in the dwelling per TM. http://issgl2/IntemalWRS/WRequestPrint.aspx?ID=51422 8/11/2016 s Citizen Web Request Page 2 of 3 Entered on 7/17/2015 10:26:19 AM by Crocker, Sharon 7/17/15 Caller Mary Coco 508-362-7720 is asking for a call. She is concerned with the disastrous look of house and overgrown lawn. Wants to know if Town can also do something about that. Entered on 7/20/2015 9:20:14 AM by Crocker, Sharon TM called social worker for case again (both Thurs and Friday 7/17). She said she will meet with the owner this weekend about hiring a contractor, an exterminator, and a landscaper before next week Entered on 7/20/2015 11:45:40 AM by Crocker, Sharon Last modified on 7/20/2015 11:55:47 AM 07/20/15 Neighbor Barbara Gorrs#87, said the place needs drastic measures and her husband is disabled and is afraid to go outside as there are tons of rats coming from out. Lots of baby rats are under the car thats been sitting, unused for 15'years, and coming from under garage. She believes septic has failed. Asks for someone to drive by and see during daylight for clear assessment. Needs action asap. When police were called originally(?last fall)the police were stepping in feces everywhere in house and had come over to neighbors to wash off boots.The neighbors have done what they could,they have mowed in past, and have cleared area, and one neighor took 7 months of trash in garage away while she was living there.They need something done and they will not be able to get anyone to buy their houses on street.They may request onto agenda for Aug 18-BOH. Entered on 7/20/2015 11:46:44 AM by Crocker, Sharon Please call Mr. Gorrs with update. Entered on 7/22/2015 4:20:41 PM by McKean,Thomas Last modified on 7/22/2015 4:26:09 PM 7/20-TM called Ms Gorrs back and explained the status of the homeowner and the property as of that date. 7/21/150-TM went to the site and took photographs of the dwelling is bad disrepair and overgrown bushes. Later that afternoon, Ms. Mary Conley called and provided TM permission to hire a licensed exterminator to remove any rodents, a carpenter to make repairs and a landscaper to remove the overgrown bushes at the property. On 7/22/15 TM met a licensed exterminator(Ken Fowler)at the site The exterminator explained that a written proposal will be prepared and provided to the owner and cc to the Health Division.TM immediately telephoned the social worker,Jacqueline Easter to explain a clean-up company needs to be hired as soon as possible to remove any garbage and food from the inside of the dwelling. Ms. Easter replied that she will talk to the owner who is in a nursing home to get her approval to go ahead. Entered on 9/8/2015 2:38:00 PM by Sousa, Vanessa Disaster specialist company cleaned inside of house. Extermination company continues to exterminate any pests in property. all health issues addressed as of this date. -Internal Note History: System entry on 1/5/2015 3:11:09 PM: Assigned to McKean,Thomas http://issgl2/lnternalWRS/WRequestPrint.aspx?ID=51422 8/11/2016 dtizen Web Request Page 3 of 3 Entered on 6/17/2015 4:47:44 PM by Crocker, Sharon Case worker Jacqui Easter Entered on 7/20/2015 11:46:44 AM by Crocker, Sharon Last modified on 7/20/2015 11:55:58 AM Please call Mr. Mike Gorss 508-375-9125 http://issgl2/lntemalWRS/WRequestPrint.aspx?ID=51422 8/11/2016 Citizen Web Request Page 1 of 2 Citizen Request Management - Internal Use Fp �k Request ID: 34006 Created: 3/3/2011 11:12:03 AM Status: Closed Assigned To: O'Connell,Timothy Health Office Anonymous: Yes Category: Chapter II : Housing Substandard i E.C. Date: 3/17/2011 Created By: Wadlington, Ellen Citations: Health Office Time Worked: 1.00 Response Time: 8.00 Requestor Details: i Email: Request Location: 75 CAP'N JAC'S ROAD West Barnstable, Ma 02668 Parcel Number: Map: 194 Block: 071 Lot: W00 Request: Concerned for well being of person living in house. The outside and possibly the inside are both nearly uninhabitable.This is from concerned neighbors. -Request Work History: Entered on 3/7/2011 7:56:44 AM by O'Connell,Timothy Last modified on 3/7/2011 2:47:04 PM On 3-4-11 went to said property and knocked on door. No answer. I talked with neighbor who told me occupant is not home during office hours.If someone is concerned about the well being of a person within a home they should call police for a well being check. We can only get into home if occupant lets us. I will but property on BIRST list. Internal Note History: System entry on 3/3/2011 11:12:03 AM: Assigned to O'Connell,Timothy System entry on 4/8/2011 8:15:56 AM: Request Closed by oconnelt / http://issgl2/lntemalWRS/WRequestPrint.aspx?ID=34006 8/11/2016 Citizen Web Request Page 2 of 2 l http://issgl2/lntemalWRS/WRequestPrint.aspx?ID=34006 8/11/2016 Citizen Web Request Page 1 of 2 H19LySTAf L�+ hL0.5S �� Citizen Request Management - Internal Use Request ID: 21079 Created: 6/28/2007 8:56:17 AM Status: Closed Assigned To: O'Connell,Timothy Health Office Anonymous: Yes Category: Section 353-1 Garbage ¢p and Rubbish _ E.C. Date: 7/3/2007 Created By: Citizen Citations: $ Time Worked: 0.25 Response Time: 7.00 .... _..---- -Requestor Details: -Email: Request Location: 75 CAP'N JAC'S ROAD West Barnstable, Ma 02668 Parcel Number: Map: 194 Block: 071 Lot: W00 Request: Caller states property is completely overgrown with trash and 2 abandoned vehicles. Beware of coyotes and fox! Request Work History: Entered on 6/29/2007 2:51:21 PM by O'Connell,Timothy On 6-29-07 went to said location. Knocked on door but had no answer. I could not see trash or vehicles from my vantage point when knocking on door. I did not want to trespass so I did not go into back yard. Will close. -Internal Note History: System entry on 6/28/2007 8:56:17 AM: Assigned to O'Connell,Timothy System entry on 6/29/2007 2:51:21 PM: Request Closed by oconnelt System entry on 6/29/2007 2:51:34 PM: Request Reopened by oconnelt http://issgl2/lnternalWRS/V,RequestPrint.aspx?ID=21079 8/11/2016 Citizen Web Request Page 2 of 2 System entry on 6/29/2007 2:51:51 PM: Request Closed by oconnelt System entry on 7/3/2007 9:37:10 AM: Request Reopened by barrettc Entered on 7/3/2007 9:44:55 AM by Barrett, Caitlin Caller is adament there is trash in backyard. States there is a cleared lot next to property that you can definitely see the trash from. I explained to him we can't just go onto a property without permission. If able, please try.to re-inspect. System entry on 7/25/2007 4:22:53 PM: Request Closed by oconnelt http://issgl2/IntemalWRS/WRequestPrint.aspx?ID=21079 8/11/2016 i Town of Barnstable Regulatory Services Richard V. Scali,Director ; r BuildingDivision 5t:51 BLE 1ARN3TABLE. BARNS TABLE anm•rxurxurc?n.vvs:mu1639. �m Paul K. Roma Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 July 11, 2016 Ms. Mary Ellen Conley 75 Cap'n Jac's Road Centerville, Ma 02632 Re: 75 Cap'n Jac's Rd. Dear Ms. Conley, In response to a complaint, a site visit was made to the above referenced address. A number of hazardous issues were observed including an open door, black mold, a collapsing roof, and standing water in the basement. Please be advised that these conditions are unsafe and dangerous and according to CMR 780 Section R115.1 of the IRC with MA amendments (the Building Code)this structure must be made secure immediately upon receipt of this letter. Failure to do so may result in further action by this office at your expense. . If you have any questions, do not hesitate to contact this office. Sincerely, Paul Roma Building Commissioner TROY WILLIAMS SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection (508) 760-1819 40 Old Bass River Road South Dennis,MA 02660 Executive Office of Erivirormentcd Affcb Department of , Environmental Protection r *=ammFF.W*W ✓� Tnsdy Cozr, DftM e.struhs c ..tor»r 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM, f �996 C400 4 Ra CER PART A . �s�G CERTIFICATION i Property Address: '75 Lc�p►� J c S C``^�"'✓� I'` Address of Owner. Date of l LD c�+� S 6 � inspection: I /U 1e 6 (If different) a?3 h ��,s rr Name of 1 Company Name,Address and Telephone Number: . -Sc- 1.0 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection..The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes _ Conditionally Passes _ Needs Further Evaluation By the local Approving Authority Fails Inspector's Signature: Date: 196 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, 8,C,or D: A) SYSTEM PASSES: ,Z I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303, Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If'not determined', explain why not The septic tank is metal, cracked, stnmcturally unsound, shows substantial infiltration a exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic Unk as approved by the Board of Health. Irtv1•e0 1/15/951 t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 7 SS C A,,,, 1a S Owner: R,1. ys Date of Inspection: I/ice /c� c 61 SYSTEM CONDITIONALLY PASSES (continued) — Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _. The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: the system nay a septic tank ano soii aosorpuon system anki is within 100 feet to a surface Aaler supply or tributary* :c a surface water supply. The s\-stem ha, a septic tank and soil absorption system and is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool Discharge or pond,ng of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool - ised B/1S/9Si 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner. Date of Inspection: D) SYSTEM FAILS (continued): Static liquid level in the distribution box above outlet invert due to an overloaded or dogged SAS or cesspool. Liquid depth in cesspool is less than 6' below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to dogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of.a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,.attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E1 LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone II of a public water supply well) I he owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program equirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. cvibed 8/1S/951 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 75 J c- S Owner: �0 6c✓{'S Date of Inspection: Check if the following have been done: Pumping information was requested of the owner, occupant, and Board of Health. ✓None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ZA,s built plans have been obtained and examined. Note if they are not available with N/A. ,ZThe facility or dwelling was inspected for signs of sewage back-up. —LAThe system does not receive non-sanitary or industrial waste flow _L/The site was inspected for signs of breakout. _j./All system components, excluding the Soil Absorption System, have been located on the site. Zhe septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. Zhe size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. J�The facility o%%np (aid oc(-upants, if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. evi�ed 8/15/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 75 Cum "t Owner. Date of Inspection: RESIDENTIAL: FLOW CONDITIONS Design flow:zZLL-galIons dumber of bedrooms:, dumber of current residents: Garbage grinder (yes or no): Al Laundry connected to system (yes or no):--YF S Seasonal use (yes or no):A/C Water meter readings, if available:_ 9 S — /d .3,0o o 2 o c4 I ast date of occupancy: o c-c.... r� COMMERCIAUINDUSTRIAL• (ype of establishment: Design flow: gallons/day ,rease trap present: (yes or no)_ ndustrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title S system: (yes or no)_ ,eater meter readings, if available: ast date of occupancy: OTHER: (Describe) ast date of occupancy: GENERAL INFORMATION t'UMPING RECORDS and source of information: ND-TLJ A-, —ia o✓h1c. lc �. A System pumped as pan of inspection: (yes or no)No _ If yes, vOlume primped ¢,allons Reason for pumping t YPE O SYSTEM Septic tanUdistribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) \PPROXIMATE AGE of all components, date installed (if known) and source of in formation:�S l ewage odors detected when arriving at the site (yes or no) NV :"Ised 8/I1)/9S; 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 7-S Owner: Date of Inspection: SEPTIC TANK:_ (locate on site plan) Depth below grade: o? 1,o_s ,,,S t,- . f-a I Material of construction: -kfoncrete _metal _FRP _other(explain) Dimensions:_ Sludge depth:_4/ Distance from top of sludge to bottom of outlet tee or baffle: a Scum thickness: e2'/ Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffler Comments: fecommendation for pumping, condition of inlet and outlet tees or b es, depth of liquid level in relation to outlet invert, structural ntegrity, evidence of leakage, etc.) -lam s r,,.)g&--A; A^ s C.) e J� ti.�U 4 t.- �V � w w. c--. � ! 1 G.v�{� G✓Gl S [n O '�—. ../..�.. 1�1 c G.R O GREASE TRAP: locate on site plan) )ep(h below grade: Aaterial of construction: _concrete _metal _FRP —other(explain) ),mensions: gum thickness: )stance from top of scum to top of outlet tee or baffle: '-lance from bosom of .,rtim to honor, Ot 00!IP! tee or t)anle. omments: ecommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural ,legnty, evidence of leakage, etc.; e�ised 8/1S/951 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued, Property Address: 7,5 L Owner. Date of Inspection: 4-5 TIGHT OR HOLDING TANK:Alm (l ocate on site plan) Depth below grade: material of construction: _,concrete_metal_FRP—other(explain) Dimensions: Capacity:_ gallons Design flow: gallons/day -\farm level: _omments: condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: ✓ locate on site plan) Depth of liquid level above outlet invert: omments: •)ote ii level and distribution is equal, ex idence of solids carryover, evidence of leakage into or out of box, etc.) C -� L y ti V. H tit , " - W J .— i H G J rCA c r "UMP CHAMBER:_/? locate on site plan) Limps in working order:(yes or no) omments: •)ote condition of pump chamber, condition of pumps and appurtenances, etc.) revised 8/15/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 7 t5 Owner. Date of Inspection: SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: i ype. leaching pits, number. o�c_ (, �X C L u L,v ,-�- w ; a'Ste,H leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: :omments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of v etation,etc.) cA J-:>t CESSPOOLS: L(/I ocate on site plan) cumber and configuration: )epth-top of liquid to inlet invert: .)epth of solids layer. )epth of scum layer: )lmensions of cesspool: laterials of construction: ication of groundwater: inflow (cesspool must be pumped as part of inspection) omments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) "RIVY: _.L ocate on site plan) laterials of construction: Dimensions: Depth of solids: omments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) remised 8/1S/9S) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (contlnuecD p Property Address: owner. Date of Inspection; SKETCH OF SEWAGE DISPOSAL SYSTEM: Indude ties to at least two permanent references landmarks or benchmarks locate all wells within 100' i 2a HSILI, ag � L 'k6 'L�e��l, 10 )EPTH TO GROUNDWATER )epth to groundwater: feet adjusted high groundwater level ethod of determination or approximation: /4D S, -)-v w : ►'L ,ti V 3 a 44t ' I :evt.ed 8/15/9S) g Flo relief for Cap'n Jac's neighbors -News - capecodtimes.com - Hyannis, MA Page 1 of 3 Search St Hyannis ,, 1690 e-edition I subscribe I manage subscription CAP E1C.UnD TIMES c HOME NEWS SPORTS ENTERTAINMENT MEDIA BUSINESS OPINION LIFE CLASSIFIEDS JOBS AUTOS REAL ESTATE Tue,July 5,2016,, 01311UARIES WF'A'CHFR '1'HtNGS TO DO CAPE SHARKS LOSTTC ADDICITON CAPE WFDCAMS OIJSINLSS SERVICES I EXPLORE* NEWS NOW r Cap'n Jac's neighbors ... Traffic moving smoothly off Cape Cod this morning ... Cape Cod weather:Rain likely this morninc ADVER FISEMENT ABANDONED PROPERTY This 1 No relief for Cap'n Jac's neighbors � yYVthr' HghBoodySugar? seDestroys More than a year after occupant removed from home,blight,infestations continue to plague area ® ® Johnnie bond on�,Merar � Recommend B Birth Injury Attorneys johnniebondlaw.com Free Case Review TOP JOBS Personal Banker Universal East Falmouth,Massachusetts Citizens Bank ?.. Aviation Maintenance Instructor Plymouth,Massachusetts Cape Cod Community College t Senior Personal Banker Universal Hyannis, Massachusetts Citizens Bank •; 1 Coding Educator-Validator „ F Hyannis,MA Cape Cod Healthcare LL} More Top Jobs Weeds and shrubs encroach on a car and home on Cap'n Jac's Road.Steve HeaslipJCape Cod Times file By Geoff Spillane Posted Jul.4,2016 at 4:43 PM TOP HOMES Updated at 7:22 AM Wellfleet,MA-$619,000-Privacy in a close to town location.Wow!The exquisite setting is peaceful and serene and the topography CENTERVILLE—It was a case of dej6 vu Tuesday afternoon on Cal Jac's Road in Centerville. provides a beautiful wooded and tree... ....................................................................I...................... As they did last summer,residents gathered to speak to a reporter about misery caused by an Wellfleet,MA-$229,000-Bayside-Gently abandoned,blighted and vermin-infested home that has become an eyesore and potential health sloping treed lot within walking distance of hazard in the neighborhood of well kept homes. Wellfleet-center.Ideally situated 3 bedroom building site.Build your ideal home... ........................................................................................... The owner of 75 Cal Jac's,a recluse and hoarder,was removed from the home more than 18 More Top Homes months ago. Since then,nearby residents have endured rats roaming the neighborhood,stenches emanating from the rotting structure and declining property values. According to the town of Barnstable assessor's website,the home has been owned by Mary Ellen Conley since 1996. » STAY INFORMED Email Sign up Today After the Times first reported on the condition of the property last July,the town of Barnstable got NewsLetter in touch with the owner,who in turn paid for exterminator,landscaping and interior trash removal sign up for our newsletter and have the top services.Within days,tha tdisaster recovery team wearing respirator masks began cleaning the home, headlines from your comrnunity delivered right whichlyg X iur�I&PuSr�;A,y,�q� Aces. PRINT+ONLINE SUBSCRIBER ACTIVATIO4V1'Q°rt &FSTER SUBSCRIBE http://www.capecodtimes.com/news/20160704/no-relief-for-capn-jacs-neighbors 7/5/2016 i �,. ;No relief for Cap'n Jac's neighbors -News - capecodtimes.com - Hyannis, MA Page 2 of 3 Since then,it appears as if nothing else has been done at the home. The overgrown trees,brush and grass have once again almost hidden the house from view from the street,gutters are hanging off the building and holes that had been patched up on exterior walls and the roof have reopened to allow wildlife and rodents to gain entry. In June,Barnstable water and health officials were called to the home after a water valve failure caused the entire basement to fill with water.The flooding,according to neighbors,overflowed outside,causing structural damage to a rental property next door to the home.An attempt to reach the owner of the home,who lives in suburban Boston,was unsuccessful on Friday. Neighbors said they believe the standing water is still in the basement. Michael Gorss,who lives next door to the house,said his dog brought home a rat the day before, while neighbor Horace Coco said he can no longer put out bird feeders in his yard because of the rat infestation. Residents of the neighborhood have been hiring exterminating companies at their More videos: own expense to help combat the problem. ,ua "�, David and Sharon Minehart live across the street from the ramshackle home. t7�.r4. ; �y "It's not fair that this lady can do this,"Sharon Minehart said."We all own our homes.It's our nest egg. I LOOK AT THIS "If this was the health agent's neighborhood,this wouldn't be happening,"David Minehart said. No Interest Until 2018 With These Credit Cards ................................. .............. Barnstable Public Health Director Thomas McKean,who coordinated the cleanup efforts last year, Melissa McCarthy Uses New Skinny this week referred questions regarding the property to Barnstable Town Attorney Ruth Weil. Pill to Drop 50lbs in 35 Days Weil said a referral has been made to Massachusetts Attorney General Maura Healey's office for the Controversial'Genius Pill'Used By property to become part of the state's Abandoned Housing Initiative. M 11 illionaires "Cocktail"Drink Could Finally Be The program is described on the Attorney General's website: The Alzheimer's Cure Scientists Call This Smart Pill "The AGO's Abandoned Housing Initiative uses the enforcement authority of the State Sanitary 'Viagra For The Brain' Code to turn these properties around.Working in close partnership with cities and towns,the AGO -- ------ seeks out delinquent owners of abandoned residential property and encourages them to voluntarily Is This Smart Drug The Most repair their properties and make them secure.If owners refuse,then AGO attorneys will petition Powerful Brain Enhancer In The the relevant court to appoint a receiver to bring the property up to code." World? Hawking Says Smart Pill Is Proven A representative from Healey's New Bedford office sent an email message to David Minehart on To Double IQ Thursday,confirming that a receivership petition for the property has been completed and sent to John Goodman Loses 1001bs-So Barnstable District Court.A court hearing is expected to be scheduled this summer. Skinny He's Unrecognizable "I think it should be bulldozed,"said neighbor Mary Ann Gillooly. Why Is This'Genius Pill'Getting Banned Across The US? ............................... —Follow Geoff Spillane on Twitter; @GSpillaneCCT. Two Cards With No Interest for 21 Months Help You Get Out of Debt » Comment or view comments Powered by Newsmax. 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