HomeMy WebLinkAbout0019 CHAPPAQUIDDICK ROAD - Health 19 Chappaquiddick Road
Centerville F
A = 170 024
UPC 10259 o-
No. H163OR
HAS►IHQ• YN
711
7/i 3��r v `.;. - e ci� v t
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No. . FeeTHE COMMONWEALTH OF MASSACHUSETTS Entered in computer. Y:----
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Application for Th5ponl �&pgtem Con.5truction permit
Application for a Permit to Construct( ) Repair(A 'Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components
Location Address or Lot No. 19 C k>ApPA Gbv:ddi 6it.. Road Owner's Name,Address,and Tel.No. ' 1 a M ,3f✓�c 4.tt
Le.vvve_(J, r(- 19 C L%^fTRY.
L�mot.
Assessor's Map/Parcel l 7o /Z 4 75_— <{ C lL e
Installer's Name;Address,and Tel.No. C A fewiJe Wife"Pris') Designer's Name,Address and Tel.No.
P- . 3ori e 3 Z Q SY coa, rrti Kq
q wa1 G Ile oz�3Z Sod 2 ?3
Type of Building:
Dwelling No.of Bedrooms Ll Lot Size (Go 163 — sq. ft. Garbage Grinder ( )
Other Type of Building ',fit "t _ No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) t44Z gpd Design flow provided y gpd
Plan Date 5-�L cj-?.es a� Num r of sheets Revision Date
Title I Cj G�►A
Size of.Septic Tank �p Type of S.A.S. S T61,0-
.�
Description of Soil S-Vp t7 1•Q(•, -7,
Nature of Repairs orAlteratio s(Answer when applicable) (&f @w 0--13 �i� tE1 O�
,a
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Sign Date 5— 3 1—Z616
r
Application Approved 6 J, Date
Application Disapproved by: Date
for the following reasons
Permit No. _ Date Issued
No. " } • b Fee
v i✓ v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - To VN ,OF BARNSTABLE, MASSACHUSETTS es
21ppgtcattou for Zi5po5at *p.5tem Con5tructton Permit
AApplicaiion for a Permit to Construct O Repair(�K) ,Upgrade O Abandon O f� Complete System ❑Individual Components
Location Address or Lot No. (1 C�R PP A Q.,Aa i cL ROAD Owner's Name,Address,and Tel.No. � t5,(4'j rt
1 Le_v.Te(-, t(-
Assessor's Map/Parcel t 1 p /Z 4 -7 ? ) — "7 c#�? ( y am+`` G ✓Y�'ir
Installer's Name,Address,and Tel.No. C A eeW'J-� C �tI P�:s'1 Designer's Name,Address and Tel.No.
3 2�S`t c.an.,c,Qrfy ►I�,,�.
Ll-Lq 4c> Cu,%c✓. '(le SJr✓ 2 ?3. j.. 0-d .�
Type of Building:
t-
Dwelling No.of Bedrooms r Lot Size I G, 10' — sq. ft. Garbage Grinder ( )
Other Type of Building SSA i•t 1" kM v No.of Persons Showers( ) Cafeteria
Other Fixtures
Design Flow(min.required) r�4� gpd Design flow provided gpd
Plan Date J�-Z rt- Zo o i� f Number of sheets ' Revision Date
Title l y CGi AQ
•Y Size of,Septic Tank Type of S.A.S. P% P-0—
Description of Soil ¢ (,��4'�I C„ u' 7,�i r
Nature of Repairs or Alterations(Answer when applicable) N2c y Q1
fX 1 V IN / 1, `1,%_ 1 j 11 AA01 V A IJ IA
Date last inspected: -0 V v V- W
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 Health.
Signed'\, ^� _ Date
Application Approved by /}7 /� �/ ►/, ''l/,� '� /� Date �i� /4%?-
Application Disapproved by: Date - t
for the following reasons e
Permit No. / %S /� Date Issued
—
i�lxacxfliil5e
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
CerttficW of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired'()( ) Upgraded ( )
Abandoned( )by �Ll p(tr rJ� �'�l PJ 1 SG5 Lt.,(—
at �� �5��c�(g. Vt. Q� ra n'�-tly. l�e hay.,beenn�c"oonsstructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. �(/Q '�(/ dated
Installer C-4{1,0.)'(4 �� �' t s Designer
#bedrooms , a Approved design flow A/ gpd
The issuance of this permit hal nowt b/�`construed s a guarantee that the system�wi+l1 fuJ ction as/dye�signed. �/8W fl
Date Inspector J�-f/ /f/ � �� �1'� 1 1/Il ()
p ;i✓l!I J'
_.,�.—C.-*—Q—r�i ►u�ir�tias,i�r�wu«�r�esE�,r�swu,rw�"—'� v�e+r*itrt,r+r+eF�Piiri3
No. / /� ��` �'° t Fee /
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
li5po5al 4- p5tem Con5tructton Permit
Permission is hereby granted to Construct ( +)` Repair RO Upgrade ( ) Abandon ( )
System located at �cl C�VMP A4l,,t(�• �
and as describediin the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title S and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the date of th' pe tniI
Date (/9 � �C/�--no Approved by l
fr
1, wa of Isarnstaine,
Regulatory &rvicles
a.x►rgr�e�,
a TlIGalas F. Geller,Direclter
e �, 'Public Health Division
Tl omas McKeaa,'Diredor
200 MiRin Street,Hynnnls,MA 02601
Ofiux: 508-862.4644 Fax; 508.790-6344.
Installer & Designer Certification Emil !
Date,
4
Desi per: SC &o ,()eei i(� ,tirl c
`��. �._ Installer• _C., e—S
AEldrt:ss; 6Sy G�c,Y,b�rc t► �r Address; P c113
���-- -- --
C worehowm Krt Q �3;� vclC.r �1� +V14_o2�3.�
()n ZooS
was issued,a pertnit to install a
(date-) (installer) �.:.'..�.
septic system at — 1 OtLena u +dd<C,te Rood basEd on a design drawn by
(address)
£o1nro Lrac., dated' a Z4 ?°08
— ----=— " '
;(designer) -
_ J certify that the septic sys:terri referenced above was installed substantially according to
the design, wilieh niay include minor approved changes such as lateral relocation of the
distribution box and/or septic tartk.
I certify that the septic system referenced above; was installed with ma'or changes ges (i,e,
greater than 10' lateraI relocation of the SAS or any vertical.:relocatiort of any component
of the septic system) but Iri accordant a with State & Dotal 'Kegulations, Platt re'visiort or
certified as-built by designer to follow. C Ca,tcccWr P'o;a&4, ��+v t c�nK � otd S os 011 O lopejec 4+Qii
JOHN L.
. '�, cx1 Qxtstl�� tcw�tc
-- -----y a
G1tJRCHtI.L: `
(11 taller S Sim I'8� JR.
CIVIL -
410 7
° STk fi
(Designer's S aturejStamp Here-)
PLEAS „I'U .. ARN LE ` EL
IL NOT.
I
IL C !RECEIVED BY B g B AM A
TORM
Yo MLT I?IVI T N,
Q stealth/septic/Designer Certification Form;
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for hgtii�ed trdAts�, u in%0OAL 15.017.
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Court Finding:
Re-,I--I Road,.Centerville ....� '
Court Date: 02/09/2006 8:45 AM
David Stanton, RS represented the Health Division for Nuisance Control Reg. #1
citations. The following bars were reviewed: 69917, 69918, 69920, and 69921 .
Sandra Hammond, DOB 12-02-1966, did not show up for the hearing. She is in default.
No further action required.
Pd 'W
jz;)e—S
David W. Stanton, RS
QAOrder letters\Court Reports\Court Results\19 Chappaquiddick.doc
TOWN OF BARNSTABLE BAR_w 4866
Ordinance or Regulation
WARNING NOTICE i
in A
Name of Offender/Managerif
Address of Offender l Y f "� ,� � ! l. / t "`i � MV/MB Reg.#
Village/State/Zip ' „'irk (e`Ctr�
J � 1 fr
Business Name am/pm,' on . 7 / 200
Business Address ''� ` {` �` ' r!1-t
Sk4'ature .of Enforcing Officer
Village/State/Zip V I
Location of Offense
Enforcing Dept/Div/ision
Offense �.. 1V / t'" r 'f i4yf St
N
Facts, ; 1 f mow" '+°/�?faCr� �f'l l Cr f (� � T t.f' ,l� t f tr
Ail
This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. SubsequentJ violations* will result in ` 1
appropriate legal action by the Town. / N 1' '
WHITE-OFFENDER CANARY-ORD./REG.-PROG. ��PINK-ENFORCIN- OFFIIICER GOLDI-ENFORCING DEiP�T.
TOWN OF BARNSTABLE BAR-W '
w.
Ordinance or Regulation
WARNING NOTICE
r .
Name of Offender/Manager i,C
Address of Offender MV/MB Reg.#
Village/State/Zip �'� ' L i
Business Name - ; am/pm, on ' 20
r .
Business Address
Signature .of Enforcing Officer
Village/State/-Zip r!
Location of Offense
Enforcing Dept/Division
Offense f ' / # _` •. "
Facts4 . +
This will serve only as a warning. At this time no legal action, has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent- violations will result, in
appropriate legal action by the Town. µ1.3
I � +f �,,•'x�-
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCIN OFFICER GOLD-ENFORCING DEPT.
1 C T
Health Complaints
10-May-05
Time: 8:45:00 AM Date: 5/10/2005 Complaint Number: 18084
Referred To: DONNA MIORANDI Taken By: JOAN AGOSTINELLI
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number: 19 Street: CHAPPAQUIDIC ROAD
Village: CENTERVILLE Assessors Map_Parcel:
Complaint Description: Mutiple bags of trash all over the property.
Message came via voice-mail.
Actions Taken/Results: DZM re-investigated this property. The
conditions are worse. A lot of old furniture,
mattresses, sinks, rubbish, etc. Left Sandra
Hammond a warning to clean up by Friday,
05/13/2005.
Investigation Date: 5/10/2005 Investigation Time: 2:45:00 PM
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TOWN OF BARNSTABLE BAR-w 4807
Ordinance or Regulation
WARNING NOTICE
Name of Of f ender/Managez-1/10MA (. 1A . Tkhc�n
Address of Offender iq 0-14PPOOIN)C.� PPA' VO MV/MB Reg.#
Village/State/zip MA 09W`3 L
Business Name am,/pm, .on 4 ._' 20 65
1
Business Address 6
SignatureOfficerEnforcing Offir
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Village/State/Zip
Location of Offense ICIMP. PA U) clk 0 zffa�-
G oivision Enforcing Dept/
I
Offense
Facts --rkR�jLi opt G-60NO 0 0 V6j1erU,1V)M,9yG rkf.� I L-1
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This will serve`" only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in,
appropriate legal .actlion by the Town. W146
WHITE-OFFENDER CANARY-ORDJREG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
TOWN OF BARNSTABLE BAR-W 40
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager ;1 ; �., � � #
41'
Address of Offender "? J;Vi 11''.\Xf V'11'R.�_'.__MV/MB Reg.# i"
Village/State/Zip < { � t ,l`R4 �\' t,,l� F� �� '\
Business Name \' J am`/pm, on , f 20
Business Address
\ Signature .of Enforcing Officer
f �
Village/State/Zfp
Location of Offense .,
Enforcing Dept/Division
Offense
Facts
f t ! !.I II irf
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This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town. 1 r)'4�4 , . C " ;.,
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
r 1
Health Complaints
25-Apr-05
Time: 11:18:00 AM Date: 4/14/2005 Complaint Number: 18030
Referred To: DONNA MIORANDI Taken By: SHARON CROCKER
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number: 19 Street: CHAPPAQUIDICK RD
Village: CENTERVILLE Assessors Map_Parcel:
Complaint Description: CALLER IS AGAIN SEEING PROBLEMS AT
ABOVE LOCATION WITH TRASH BARRELLS
AND BAGS PUT OUT ON TUES. STILL
THERE TODAY. ANIMALS ARE GETTING
INTO IT.
Actions Taken/Results: DZM left a warning notice at front door-no
answer. DZM took pictures and also called
complainant. Rubbish barrel was Waste
Management.
Investigation Date: 4/15/2005 Investigation Time: 1:25:00 PM
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Ft ►+ati Town of Barnstable
Regulatory Services
* BMWSfABLE,
9 MASS. Thomas F. Geiler,Director
�ArFD MA'S
Public Health Division
r
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Bar(s): 69917, 69918, 69920, and 69921
Name of Offender: Sandra Hammond, DOB 12-02-1966
Location of Violation: 19 Chappaquiddick Road, Centerville
Date(s) of Violation: 7/08/05, 7/11/005, 07/12/05, 7/13/05, and 7/14/05
Violation(s): Town of Barnstable Board Code § 353-2- Storage of garbage and rubbish.
Facts:
On 7/8/05, Health Division received a complaint regarding a trash problem again. This is a
recurring violation at this location. Owner was given four warnings on storage of garbage and
rubbish within the previous year. Final warning notice issued on 7/8/2005 stating that the
garbage and rubbish needs to be cleaned up by 7/9/05, or$100/day citations would be issued.
Photos of violation were taken each day that the violation was observed. On 7/11/05 an orange
sticker was placed on the entrance door to the dwelling regarding the violation and issuance of
citations daily. On 7/12/05 violation still present. On 7/13/05 violation still present. A new
vehicle was observed in the driveway. The orange sticker had been attempted to be removed.
On 7/14/05 violation still present. Both licensed vehicles gone. On 7/18/05, garbage and rubbish
violation finally corrected.
Respectfully Submitted,
pp,
David W. Stanton, RS
Health Inspector
Town of Barnstable
200 Main Street
Hyannis, MA 02601
(508) 862-4644
TOWN OF BARNSTABLE BAR-W
Ordinance or Regulation
WARNING NOTICE
/
Name of Offender/Manager Sr,. rH QM✓M-ot i 7k4'is Rr'rkoja
Address of Offender MV/MB Reg.#
tr
Village/State/Zip ( .M +nn,, //4r M �
Business Name /pm, on JAL, 206)5--
Business Address e r
S1�4nature _oTf Enforcing Officer
Village/State/Zip II
Location of OffenseGCrr
Enforcing/phpt/Division
Offense T �. a t{rrrrttEi� Uc (� �r«, �
n !�✓ { r r,r r2i�t r, f'i �n P r f ;:'y
Facts r ► , ru . i' r fi F .�r n �+?_I
r3ffu�� ��.� ta�
This will serve only- as 'a`warning. At "this time no legal action has been taken.
Jet is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
Health Complaints
11-Jul-05
Time: 9:05:00 AM Date: 7/8/2008 Complaint Number: 18235
Referred To: DAVID STANTON Taken By: SHARON CROCKER
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number: 19 Street: CHAPPAQUIDDICK RD
Village: CENTERVILLE Assessors Map_Parcel:
Complaint Description: Again, the property has trash outside on curve
as though waiting for pickup. Its been two
days. Animals are getting into it.
i
Actions Taken/Results: DS WENT TO SAID LOCATION. NO ONE
HOME. GARBAGE OBSERVED OUT IN THE
FRONT YARD. PHOTOS ON FILE.
WARNING NOTICE LEFT IN FRONT DOOR.
FOLLOW UP WILL BE DONE.
Investigation Date: 7/8/2005 Investigation Time: 10:35:00 AM
1
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NAME OF OFFENDER ^ Jr� BAR 69917
TOWN OF ADDRESS OF OFFENDER
� / q
BARNSTABLE CITY,STATE,ZIP CODE 1 v
IN¢ipw� MV/MB REGISTRATION NUMBER
O +
OFFENSE
9 IAa A F.$ �„✓ j/A.` �w��p Ce 1`
LU
MASS. CL
639 �0 (/``
�p�ED MPS►' `7 �
G/� t .! aar A! 5 Pf��` S rt SAP Pry 1 ,�Q1t�rF fir%► . z
NOTICE OF TIME AND DATE O�VIOLA( .M / )ON —7 ' 20 M LOCATION OF VIQLASTIO 0/7 A'rVE / / �j� / ly
//VV�t V 14) lC(.-i/'t G�L(._�j /,%CJN.,I J
SI A UR OF E FORCING PERSO ENFO CI G DEPT. `,,¢¢ L BADGE NO. LLJ
Cn
VIOLATION � hc ��ra1��tltca Ida► o
OF TOWN u f
HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a
I H
ORDINANCE Unable to obtain si natur�ofgffender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS $/,# ~J
Date mailed u'
W
OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a
DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w
REGULATION <
(1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W
before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a
Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE.
(2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST
BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this
citation for a hearing.
(3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the
hearing to be due,criminal complaint may be issued against you.
❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$
Signature
TOWN OF BARNSTABLE
Ordinance or Regulation 4
WARNING NOTICE
Name of Offender/Manager
Address of Offender MV/MB Reg.#
Village/State/Zip
Business Name am/pm, on 20_
Business Address
Signature of Enforcing Officer
Village/State/Zip
Location of Offense
Enforcing Dept/Division
Offense
Facts
This will serve only as a warning. At this time no legal action has been taken.
1-t is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
Health Complaints
12-Jul-05
Time: 9:05:00 AM Date: 7/8/2008 Complaint Number: 18235
Referred To: DAVID STANTON Taken By: SHARON CROCKER
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number: 19 Street: CHAPPAQUIDDICK RD
Village: CENTERVILLE Assessors Map_Parcel:
Complaint Description: Again, the property has trash outsid
e on curve
as though waiting for pickup. Its been two
days. Animals are getting into it.
Actions Taken/Results: DS WENT TO SAID LOCATION. NO ONE
HOME. GARBAGE OBSERVED OUT IN THE
FRONT YARD. PHOTOS ON FILE.
WARNING NOTICE LEFT IN FRONT DOOR.
FOLLOW UP WILL BE DONE. DS
CONDUCTED A FOLLOW UP ON 7/11/05.
TRASH STILL PRESENT. FRONT DOOR
OPENED, WARNING NOTICE NOT THERE.
CAR IN DRIVEWAY, NO ANSWER AT
DOOR. TICKET ISSUED. ORANGE
STICKER POSTED ON FRONT DOOR
ABOUT GARBAGE.
Investigation Date: 7/8/2005 Investigation Time: 10:35:00 AM
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NAME OF OFFENDER wr^ � ] BAR 69918
.tr da�ft,�' tali
TOWN OF ADDRESS OF OFFENDER ' �/m t/
BARNSTABLE CITY,STATE,ZIP CODE /(p
THE Tpw� MV/MB REGISTRATION NUMBER
OFFENSE
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TIME AND DATE OF VIOLATION - LOCATION OF VIOLATION _ ( W
NOTICE OF (A.M. P.M. ON 20
SIGNATU E OF-NFOR ING PERSON - ENFORCING DEPT, f:` BADGE NO. W
VIOLATIONUj
fCP . u �
OF TOWN 1 HEREBY ACKNOWLEDGE RECEIPT OF CITATION X
a
ORDINANCE L-1511 Unable to obtain signature of offender. d� J
,�, ������-- THE NONCRIMINAL FINE FOR THIS OFFENSE IS S
Date mailed r ,, , — a
OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL
DISPOSITION WITH No RESULTING CRIMINAL RECORD. W
REGULATION N
(1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w
before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a
Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE.
r (2)If you desire to contest this matter in'a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST
BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this
citation for a hearing.
(3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the
n hearing to be due,criminal complaint may,be issued against you.
❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$
Signature
Health Complaints
13-Jul-05
Time: 9:05:00 AM Date: 7/8/2008 Complaint Number: 18235
Referred To: DAVID STANTON Taken By: SHARON CROCKER
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number: 19 Street: CHAPPAQUIDDICK RD
Village: CENTERVILLE Assessors Map_Parcel:
Complaint Description: Again, the property has trash outside on curve
as though waiting for pickup. Its been two
days. Animals are getting into it.
Actions Taken/Results: DS WENT TO SAID LOCATION. NO ONE
HOME. GARBAGE OBSERVED OUT IN THE
FRONT YARD. PHOTOS ON FILE.
WARNING NOTICE LEFT IN FRONT DOOR.
FOLLOW UP WILL BE DONE. DS
CONDUCTED A FOLLOW UP ON 7/11/05.
TRASH STILL PRESENT. FRONT DOOR
OPENED, WARNING NOTICE NOT THERE.
CAR IN DRIVEWAY, NO ANSWER AT
DOOR. TICKET ISSUED. ORANGE
STICKER POSTED ON FRONT DOOR
ABOUT GARBAGE. DS RECEIVED ANOTHER
COMPLAINT, AND INVESTIGATED ON
7/12/05, TRASH STILL PRESENT. ANOTHER
TICKET ISSUED. TICKETS BEING ISSUED
TO SANDRA J. HAMMOND, DOB 12/02/1966.
Investigation Date: 7/8/2005 Investigation Time: 10:35:00 AM
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NAME OF OFFENDER r -]BAR
AR 69920
TOWN OF ADDRESS OF OFFENDER y PA
4 Vf /1 f r Ad
BARNSTABLE CITY,STATE,ZIP CODE L�/C/Ar JPIa�
P`Of 1HE rpw� ' ° - MV/MB REGISTRATION NUMBER
OFFENS
MRN.1S . tee$ III A A f(.+rdy _ t ble 1.I�fr.C. p Uj
s4uJ "'A t,ir�A 0
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TIME AND DATE OF VIOLATION LOCATION OF VIOLATION r / W
NOTICE OF •' 3 (A.M.CPS) Jv 1 ,20Q5 01 C Inc, qvr c ` a
NIdTU EOFENFORCIN RSON / ENFORCING DE el NO. LU
pVIOLATION ,ti
41
OF TOWN LIJEREBY ACKNOWLEDGE RECEIPT OF CITATION X a
ORDINANCE M Unable to obtain si natuie of offender. a dU
Date mailed ��'yrA• THE NONCRIMINAL FINE FOR THIS OFFENSE IS $J00
w
w
OR YOU HAVE THE FOLLOWING AL�fERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL °-
DISPOSITION WITH NO RESULTING CRIMINAL RECORD. en
LLJ
REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w
before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, d
Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE.
(2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST
BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this
citation for a hearing.
(3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the
x hearing to be due,criminal complaint may be issued against you.
❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$
Sinnature __..
� � 4
i
Health Complaints
14-Jul-05
Time: 9:05:00 AM Date: 7/8/2008 Complaint Number: 18235
Referred To: DAVID STANTON Taken By: SHARON CROCKER
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number: 19 Street: CHAPPAQUIDDICK RD
Village: CENTERVILLE Assessors Map_Parcel:
Complaint Description: Again, the property has trash outside on curve
as though waiting for pickup. Its been two
days. Animals are getting into it.
Actions Taken/Results: DS WENT TO SAID LOCATION. NO ONE
HOME. GARBAGE OBSERVED OUT IN THE
FRONT YARD. PHOTOS ON FILE.
WARNING NOTICE LEFT IN FRONT DOOR.
FOLLOW UP WILL BE DONE. DS
CONDUCTED A FOLLOW UP ON 7/11/05.
TRASH STILL PRESENT. FRONT DOOR
OPENED, WARNING NOTICE NOT THERE.
CAR IN DRIVEWAY, NO ANSWER AT
DOOR. TICKET ISSUED. ORANGE
STICKER POSTED ON FRONT DOOR
ABOUT GARBAGE. DS RECEIVED ANOTHER
COMPLAINT, AND INVESTIGATED ON
7/12/05, TRASH STILL PRESENT. ANOTHER
TICKET ISSUED. TICKETS BEING ISSUED
TO SANDRA J. HAMMOND, DOB
12/02/1966. TRASH STILL PRESENT ON
7/13/05. ORANGE STICKER ATTEMPTED TO
BE REMOVED. NEW CAR PRESENT.
AGAIN NO ANSWER AT DOOR, FRONT
DOOR OPEN, LIGHTS ON. TICKET ISSUED.
1
NAME OF OFFENDER t j B A R 699
2 .
TOWN OF ADDRESS OF OFFENDER � '� { � � ���,i d�� C
BARNSTABLE CITY,STATE,ZIP CODE 2 ;/R1 r �'/lf
YHE ip� MV/MB RCGISTRATION NUMBER
P
OFFENS
RAH\Vl'AXI.i:,p' ,•, .}'f.�• �.jf/fir (\ ,r t yJf{} �J,J
P 11ASS. O W.e� �!• �M pN'.7 C. '� w w✓ i�,i w l CL
'ccww+s mr�iie P,,- R,ION ^'{I�11ie _ &6,rb -9r 5 ,�/ 4-h ae At (r! t�+/er 1,f a z
NOTICE OF �Ij1E AND�)AT`OFV LA(A.M. P�iJ ON �jV3 20 f LOC TION OF VI�O+LA}fION Q
SIG k� E €.FORCING PERSON ENFORCING D /` B D E N0. w
VIOLATION . + , r P01 r ,i o
OF TOWN ✓ I-
I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a
ORDINANCE Unable to obtain signatu a of offender
,�� THE NONCRIMINAL FINE FOR THIS OFFENSE IS $
Date mailed LU
ul
OR YOU HAVE THE FOLLOWINGiALARNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL
DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w
REGULATION
(1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W
before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a
Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE.
(2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST
BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this
citation for a hearing.
(3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the
hearing to be due,criminal complaint may be issued against you.
16
❑ I HEREBY ELECT the first option above,confess to the offense charged?and enclose payment in the amount of$
Signature
Health Complaints
18-Jul-05
Time: 9:05:00 AM Date: 7/8/2008 Complaint Number: 18235
Referred To: DAVID STANTON Taken By: SHARON CROCKER
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number: 19 Street: CHAPPAQUIDDICK RD
Village: CENTERVILLE Assessors Map_Parcel:
Complaint Description: Again, the property has trash outside on curve
as though waiting for pickup. Its been two
days. Animals are getting into it.
Actions Taken/Results: DS WENT TO SAID LOCATION. NO ONE
HOME. GARBAGE OBSERVED OUT IN THE
FRONT YARD. PHOTOS ON FILE.
WARNING NOTICE LEFT IN FRONT DOOR.
FOLLOW UP WILL BE DONE. DS
CONDUCTED A FOLLOW UP ON 7/11/05.
TRASH STILL PRESENT. FRONT DOOR
OPENED, WARNING NOTICE NOT THERE.
CAR IN DRIVEWAY, NO ANSWER AT
DOOR. TICKET ISSUED. ORANGE
STICKER POSTED ON FRONT DOOR
ABOUT GARBAGE. DS RECEIVED ANOTHER
COMPLAINT, AND INVESTIGATED ON
7/12/05, TRASH STILL PRESENT. ANOTHER
TICKET ISSUED. TICKETS BEING ISSUED
TO SANDRA J. HAMMOND, DOB
12/02/1966. TRASH STILL PRESENT ON
7/13/05. ORANGE STICKER ATTEMPTED TO
BE REMOVED. NEW CAR PRESENT.
AGAIN NO ANSWER AT DOOR, FRONT
DOOR OPEN, LIGHTS ON. TICKET ISSUED.
1
Health Complaints
18-Jul-05
DS WENT BACK AGAIN ON 7/14/05.
GARBAGE STILL PRESENT. 2 REGISTERED
VEHICLES NOW GONE. TICKET ISSUED.
Investigation Date: 7/8/2005 Investigation Time: 10:35:00 AM
2
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TOWN OF .BARNSTABLE BAR—W 4 865
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager 4!�ACUdk *-Va VhtV1orJ '7 9(?"IC&O7
Address of Offender (9 clkaOp-9- jIe_ 120art MV/MB Reg.#
� Y
Village/State/Zip A
Business Name 2,41 am/�m, on PV,1,212Q
Business Address _
Signature .of Enforcing Officer
Village/State/Zip
Location of Offense + q ,�� /j�G ,�J�� � gcw�
Enforcing Dept/Division
Offense �,r4ielr% '� -�o� a / -,r �/P ��,�� A.),K,N
w� - (� . h a- - �[1� d -(1
Facts moo,�� �n� mot- . ro, i��C� r) <_: Yoj o % A Cif[�l��r�I t�,
_ { . j _ _ � A
f�ckMAT' r'A Ou" of ^G . M2iA" k'rC, der 1, �m5 An 1."IA IC 614sli c(we111�+r,
This wild serve
sere only as a warning". At this time no legal action" has been taken. •)
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary, compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
._ ...._. ._.. ..sv ,.-. :..._v�. -:... .. .-s•�•v.,v9-.�+.r.... :;..-...y-x:++'t^-`+Yy'•.k,...r,t"..t•.v'n•'n ti. _ ,__ - aT ..
TOWN OF BARNSTABLE BAR-w 4885
Ordinance or Regulation
WARNING NOTICE
Name of Offender Manager s'e'"�'r1 a A4ayyl( ")r, -19 -n ;�
Address of Offender . . ,. ' ' cc:) MV/MB Reg.#
r ` .
Village/Stat'e/Zips ,f, ( � " .�� - 2
Business Name' 1 2:6, am/pm, on AV. 20)+5,
Business Jdresstil. ��� -
�' Signature .of Enforcing Officer
Village/Stat /Zip ,,) !
t ��,,�
Location of Offense of C' r ��. �rC 90W(1 (:�1��-�,ylie t�,t$/,( AerA
7 11 i/ Enforcing Dept/Division
� r
Offenses
Facts -<--_ ,r10 el r*4a1CIW91r4lffQ nA n =a.► F ��
i+' y� ,l�c7dt/1�1 4C 7 t
This willi serve only as a' warning. At this time no legal action! has been taken.
It is', the goal of Town agencies- to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts_ to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
1 WHITE-OFFENDER CANARY.'-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
TOWN OF BARNSTABLE BAR-W
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager SRA41- C -064j dob1
Address of Offender
—MV/MB Reg.
Village/State/zip-, J�
Business Name 2 d, a m A,-p-') 20
on
Business Address
Signature of Enforcing Officer
Village/State/Zip
Location of Offense qj
Enforcing Dept/Division
Offense r :4A, j i'N
-I r 2)A n
Facts
CA ffi -4 In %A It'A IA
This will serve only a.s a warning. At this time no legal action has been taken.
Itis the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
oF�"E Tws, Town of Barnstable
Regulatory Services
* BARNSTAsr.E, * Thomas F. Geiler,Director
9�6 639 .0� Public Health Division
pTFO MA'S a
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Thomas A. Brackett March 1, 2005
19 Chappaquiddick Rd.
Centerville,Ma. 02632
NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V.
The septic system owned by you located at 19 Chappaquiddick Rd. Centerville. was inspected on,
2/1/2001 by John Graci a Massachusetts licensed septic inspector.
The inspection of your septic system showed that your system has failed under the:guidelines of
1995 TITLE 5 (310 CMR 15.00) due to the following:
Backup of sewage into facility or system component due to overloaded or clogged SAS.or cesspool:
Our records show that the system has been in a failed state for more than two years.
You are ordered to hire a professional engineer or registered sanitarian to prepare a plan of
proposed replacement septic system component(s). This plan is to be submitted to the,Town of
Barnstable Public Health Division Office (Regulatory Services, 200 Main Street,Hyannis),within
(90) days receipt of this letter. The plan will bring the septic system into compliance with 310 CMR
15.00,The State Environmental Code, Title V.
You are a lso o rdered t o upgrade o r r eplace t he s eptic s ystem w ithin s ix months (180) days o f y our
receipt of this letter.
Any person aggrieved by any order issued by the local approval authority may appeal to any c ourt o f
competent jurisdiction as provided for by the laws of the Commonwealth. You have the option of
requesting an adjudicatory hearing pursuant to 310 CMR 15.422
Failure to comply with this order will automatically result in a public hearing scheduled before the Board
of Health.
P O E T BOARD OF HEALTH
i
omas A.McKean,R.S., C.H.O.
Agent of the Board of Health
CC: Board of Health
1/faded—septic letters
1.
V
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE:OFFICE OF ENVIRONMENTAL AFFAIRS .'
DEPARTMENT OF ENVIRONMENTAL PROTECTION
W X
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F'.
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TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 19 CHAPPAQUIDDICK RD CENTERVILLE,MA 02632
Owner's Name: THOMAS BRACKETT
Owner's Address: 314 OCEAN AV.HYANNIS MA.02601
RECEIVE[ i
Date of Inspection: 2/1/01
Name of Inspector: (please print) JOHN GRACI FEB 1 6 2001
Company Name: SEPTIC INSPECTIONS
Mailing Address: P.O .BOX 2119 TEATICKET,MA.02536 TOWN OF BARNSTABLE
HEALTH DEPT. i
Telephone Number: 508-564-6813 FAX 508=564-7270
CERTIFICATION STATEMENT t
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: :r
_ Passes
_ Conditionally Passes
_ Needs Furth valuation by the Local Approving Authority
X Fails
Inspector's Signature: Date: 2/1/01
The system inspector shall submit copy of this inspection report to the Approving Authority(Board of Health or DEP)within
30 days of completing this inspection. If fhe 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,t&the.buyer,if applicable,and the appru,,hig authority.
Notes and Comments
THE SYSTEM FAILS TITLE V INSPECTION.THE OVERFLOWS ARE FULL OVER THE PIPES,THE OVERFLOW
LEACH PITS HAVE NO EFFECTIVE LEACHING LEFT.
****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.
rPage2 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 19 CHAPPAQUIDDICK RD CENTERVILLE,MA 02632
Owner: THOMAS BRACKETT
Date of Inspection: 2/1/01
.4
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes: ,
I i
_ 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.
p r
Comments:
THE SYSTEM FAILS TITLE V INSPECTION.THE OVERFLOWS ARE FULL OVER THE PIPES,THE
OVERFLOW LEACH PITS HAVE NO EFFECTIVE LEACHING LEFT.
s�
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.
Answer yes,no or not determined(YN,ND) in the for the following statements. If"not determined"please explain.
rr
n/a 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.
I
ND explain: n/a ;
a4
n/a Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed rr'
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(q)are replaced
_ obstruction is�removed y-g
_ distribution box is leveled or replaced
I
ND explain: n/a
n/a 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
_obstruction is removed
ND explain: n/a
9
Page 3 of I 1
3,i
OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS
°'"�`
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ;.
PART A
CERTIFICATION(continued) R.
Property Address: 19 CHAPPAQUIDDICK RD CENTERVILLE,MA 02632
Owner: THOMAS BRACKETT
Date of Inspection: 2/1/01 '€
C. Further Evaluation is Required by the Board of Health:
t' i
„Y i
_ 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 manne'r`,'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 {
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: ' s
y g P P � y
_ 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 waf&supply. ? ;.
TIC
_ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. x •4'
_ 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 n/a
"This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and
volatile organic compounds''i'4&'a,tes 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,provided that no other failure criteria are triggered.A copy P
of the analysis must be attached'to this form.
pp`G.
3. Other:
3.
n/a t
FS,.E
4.�
14
.li Ci i.�•.. _
1
Page 4 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM '
PART A
CERTIFICATION(continued)
Property Address: 19 CHAPPAQUIDDICK RD CENTERVILLE,MA 02632
Owner: THOMAS BRACKETT
Date of Inspection: 2/1/01
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all-inspections: ry
Yes No
X _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged
SAS or cesspool
X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool
X Liquid depth in cesspool is less than 6"below invert or available volume is less than ''/2 day flow
X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times
pumped NOT IN THE LAST YEAR..
X Any portion of the SAS,cesspool or privy is below high ground water elevation.
_ X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
X Any portion of a cesspool or privy iimithin a Zone 1 of a public well.
X Any portion of a cesspool or privy is within 50 feet of a private water supply well.
X 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 ccliform 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,provided that no other failure criteria are triggered.A copy of the analysis must be
attached to this form.]
X _ (Yes/No)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. ,
Y) F
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.
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes no
X the system is within 400 feet of a surface drinking water supply
X the system is within 200 feet of a tributary to a surface drinking water supply
X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—I WPA)or a mapped
Zone 11 of a public water supply well
If you have answered"ye,"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.
Page 5 of l 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 19 CHAPPAQUIDDICK RD CENTERVILLE,MA 02632
Owner: THOMAS BRACKETT
Date of Inspection: 2/1/01
Check if the following have been done. You,must indicate"yes"or"no"as to each of the following:
Yes No
X _ Pumping information was provided by the owner,occupant,or Board of Health
X Were any of the system components pumped out in the previous two weeks`'
X _ Has the system received normal flows in the previous two week period?
X Have large volumes of water been introduced to the system recently or as part of this inspection?
X Were as built plans of the system obtained and examined?(If they were not available note as N/A)
X _ Was the facility or dwelling'nspected for signs of sewage back up? ,
r
X _ Was the site inspected for signs of break out
X _ Were all system components,excluding the SAS, located on site?
f.!
X _ 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?
X _ 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:
Yes no
X Existing information.For example,a plan at the Board of Health.
X _ 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(3)(b)]
tv
'i-
S
Page 6 of i l
,
3
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS j
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ;
PART C s
SYSTEM INFORMATION
Property Address: 19 CHAPPAQUIDDICK'RD CENTERVILLE,MA 02632
Owner: THOMAS BRACKETT
Date of Inspection: 2/1/01
FLOW CONDITIONS
RESIDENTIAL +
Number of bedrooms(design): 4 Number of bedrooms(actual): 4
DESIGN flow based on 310 CMR 15:203 (for example: 1'10 gpd x#of bedrooms): 440 `
Number of current residents: 2 `
Does residence have a garbage grinder(yes or no): NO
Is laundry on a separate sewage system(yes or no):NO [if yes separate inspection required] 't
Laundry system inspected(yes or no): NO
Seasonal use: (yes or no): NO 3 ^'
Water meter readings, if available(last 2 years usage(gpd)): n/a %
Sump pump(yes or no): NO
Last date of occupancy: n/a
COMMERCIALANDUSTRIAL
Type of establishment: n/a
Design flow(based on 310 CMR 15.203):�.n/aged
Basis of design flow(seats/persons/sgft,etc.): n/a
Grease trap present(yes or no): NO
Industrial waste holding tank present(yes or no): NO
Non-sanitary waste discharged to the Title 5 system(yes or no): NO ` 1
Water meter readings,if available: n/a
Last date of occupancy/use: n/a
OTHER(describe): n/a
GENERAL INFORMATION
Pumping Records ,'
Source of information: NOT IN THE':LAST YEAR.
Was system pumped as part of the inspection(yes or no): NO s
:o
If yes,volume pumped: n/agallons--How was quantity pumped determined?n/a
Reason for pumping: n/a
TYPE OF SYSTEM
X 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)
_Tight tank Attach a copy of the DEP approval
Other(describe): n/a
� u i
Approximate age of all components,date installed(if known)and source of information:
1964
Were sewage odors detected when arriving at the site(yes or no): NO
;r
Page 7 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 19 CHAPPAQUIDDICK RD CENTERVILLE,MA 02632
Owner: THOMAS BRACKETT
Date of Inspection: 2/1/01
BUILDING SEWER(locate on site plan) >.
Depth below grade: n/a
Materials of construction:_cast iron _40 PVC Xother(explain): n/a
Distance from private water supply well or suction line: n/a
Comments(on condition of joints,venting,evidence of leakage,etc.):
THERE IS TOWN WATER
SEPTIC TANK: X(locate on site plan)
Depth below grade: 0"
Material of construction: Xconcrete' metal_fiberglass_polyethylene other(explain)n/a
If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate)
Dimensions: CESSPOOL-UNDER POOL"
Sludge depth: n/a
Distance from top of sludge to bottom of outlet tee or baffle: n/a
Scum thickness: n/a
Distance from top of scum to top of outlet tee or baffle: n/a
Distance from bottom of scum to bottom'of outlet tee or baffle: n/a
How were dimensions determined: n/a
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related
to outlet invert,evidence of leakage,etc.):
THERE IS A SEWER LINE OUT OF HOUSE LEADING TO UNDER POOL,INDICATING THERE IS A
CESSPOOL UNDER POOL.
GREASE TRAP:_(locate on site plan)
Depth below grade: n/a
Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a
Dimensions: n/a
Scum thickness: n/a
Distance from top of scum to top of outlet tee or baffle: n/a
Distance from bottom of scum to bottom of outlet tee or baffle: n/a
Date of last pumping: n/a
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related
to outlet invert,evidence of leakage,etc.):
n/a
7
i
Page 8of11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 19 CHAPPAQUIDDICK'RD CENTERVILLE,MA 02632
Owner: THOMAS BRACKETT
Date or Inspection: 2/1/01
TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade: n/a
Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a
Dimensions: n/a
Capacity: n/a gallons
Design Flow: n/a gallons/day
.r�
Alarm present(yes or no): N/A
Alarm level: N/A Alarm in working order(yes or no): NO
Date of last pumping: n/a
Comments(condition of alarm and float switches,etc.):
n/a
i( g
DISTRIBUTION BOX:_(if present must be opened)(locate on site plan)
Depth of liquid revel above outlet invert: n/a. .
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.):
n/a
PUMP CHAMBER:_(locate on site plan)
r
Pumps in working order(yes or no);!NO
Alarms in working order(yes or no):NO
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
n/a
r
, x
.3
f
' a
R
Page 9 of I I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 19 CHAPPAQUIDDICK RD CENTERVILLE,MA 02632
Owner: THOMAS BRACKETT
Date of Inspection: 2/1/01
SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required)
If SAS not located explain why:
n/a s
Type
1000 GAL 6' X 6' leaching pits, number: 1
n/a leaching chambers, number: n/a
n/a leaching galleries, number: n/a
n/a leaching trenches, number, length: n/a
n/a leaching fields, number: n/a
6'X 6' BLOCK CESSPOOL overflow cesspool, number: 1
n/a `<<, innovative/alternative system
Type/name of technology: nla
Comments(note condition of soil;signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.):
THE SYSTEM FAILS TITLE V INSPECTION.THE OVERFLOW PITS ARE FULL OVER PIPE,THE PITS HAS
NO EFFECTIVE LEACHING LEFT.
CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan)
Number and configuration: n/a
Depth—top of liquid to inlet invert: n/a ,
Depth of solids layer: n/a
Depth of scum layer: n/a
Dimensions of cesspool: n/a
Materials of construction: n/a
Indication of groundwater inflow(yes or no) NO
Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.):
n/a
PRIVY: (locate on site plan)
Materials of construction: n/a
Dimensions: n/a
Depth of solids: n/a
Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.):
n/a N. `
. t
Page 10 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS €
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM 'f
ti= :
PART C
SYSTEM INFORMATION(continued)
Property Address: 19 CHAPPAQUIDDICK,RD CENTERVILLE,MA 02632
Owner: THOMAS BRACKETT
Date of Inspection: 2/1/01
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch 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.
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Page I I of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 19 CHAPPAQUIDDICK RD CENTERVILLE,MA 02632
Owner: THOMAS BRACKETT
Date of Inspection: 2/1/01
SITE EXAM
_Slope
_Surface water
_Check cellar
Shallow wells
Estimated depth to ground water 10+feet
Please indicate(check)all methods used to determine the high ground water elevation:
NO Obtained from system design plans on record-If checked,date of design plan reviewed: n/a
NO Observed site(abutting property/observation hole within 150 feet of SAS)
NO Checked with local Board of Health-explain: n/a
NO Checked with local excavators, installers-(attach documentation)
YES Accessed USGS database-explain::n/a
You must describe how you established the high ground water elevation:
USGS MAPS AND CHARTS- 10+FEET
5
k
. 1
Y
t� S
Postal
CERTIFIED MAILT. RECEIPT
D^ (Domestic Mail Only; . Insurance Coverage P rovided)
For delivery information visit our website at fLJ
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or PO Box No. 1) - �� C--
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a� Town of Barnstable
Regulatory Services
raro`t Thomas F. Geiler,Director
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
August 6, 2004
Sandra Hammond
19 Chappaquidick Rd.
Centerville, MA 02632
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS,NUISANCE CONTROL REGULATION NO 1
The property owned by you located at 19 Chappaquidick Rd., was inspected on August 5,
2004, by Donald Desmarais,Health Inspector, because of a complaint.
The following violations of the Town of Barnstable Board of Health Regulations,
Nuisance Control Regulation No. 1 were observed:
Nuisance Control Regulation No. 1, Part VII, Section 100: Trash on the ground
excessive bags of trash. Trash being stored next to the street.
You are directed to correct the violations within 24 hours of receipt of this order
letter.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten(10) days after the date the order is served.
Please be advised that failure to comply with an order could result in a fine of$100.00. Each
day's failure to comply with an order shall constitute a separate violation.
PER ORDER OF THE BOARD OF HEALTH
Eimas A. cKean,R.S.
Director of Public Health
Town of Barnstable
Q:Health/orderletters/refuse/274 South.doc
TOWN OF BARNSTABLE BAR-W
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager
Address of Offender MV/MB Reg.#
Village/State/Zip
Business Name am/pm, on 20_
Business Address
Signature of Enforcing Officer
Village/State/Zip
Location of Offense
Enforcing Dept/Division
Offense J i -S,A NJG S.3
e
Facts l VA A I rJo. L.M"f � ti.i T�►i�•.+��-
This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
Citizen Web Request Page 1 of 2
Citizen Request Management - Internal Use
Request ID: 29017 Created: 1/27/2010 11:58:07 AM
Status: Assigned To Staff Assigned To: Cabot, Jaime
Health Office
Anonymous: No Category: Section 353-1 Garbage
and Rubbish
E.C. Date: 2/10/2010
Created By: Parvin, Lindsay Citations:
Health Office
Time Worked: 2.50 Response Time: 10.00
Requestor Details:
Email:
Request Location:
19 CHAPPAQUIDDICK ROAD
Centerville, Ma 02632
Parcel Number: Map: 170 Block: 024 Lot: 000
Request:
Requestor reports that dumpster on property has been there for several weeks.
Requestor states that trash is overflowing out of the dumpster.
Request Work History:
Entered on 1/29/2010 9:06:52 AM
by Cabot, Jaime
Last modified on 1/29/2010 9:07:53 AM
JAC inspected complaint on 1/28/10 spoke to occupant who stated that Sandra Hammond
(508) 888-4267 was the owner and that she would be contacted also that fire inspector Mcneeley
from COMM had left a card at the dwelling. JAC issued warning for violations of 353-2 to Sandra
Hammond given to John Vittel. JAC called S. Clarke/Oceanside regarding the situation with the
twenty Cu Yd. roll off container. Paula from Oceanside stated that payment was due and that the
dumpster was also overfull and could not be moved.
Entered on 1/29/2010 9:12:05 AM
by Cabot, Jaime
JAC called Sandra Hammond on 1/29/10 to advise her that the citation had been given to
occupants at 19 Chappaquiddick Rd. Sandra Hammond stated that she had lost her job but that
the dumpster would be removed by Monday. JAC advised that the Dumpster was over full and
that it needs to be below the level of the top of the rails in order to be picked up.
Entered on 2/1/2010 8:54:56 AM
http://issgl2/IntemalWRS/WRequestPrint.aspx?ID=29017 2/1/2010
Citizen Web Request Page 2 of 2
by Cabot, Jaime
JAC will issue citation to Sandra J. Hammond, 12/02/66. if property not in compliance due to
past history of violations.
► Internal Note History:
http://issgl2/IntemalWRS/WRequestPrint.aspx?ID=29017 2/1/2010
1'..ION TOWN OF BARNSTABLE
�.
Vu LAGE SEWAGE #
ASSESSOR'S
INSTAL LER'S NAME gz PHONE NO. r� LOT
SEPTIC TANK CAPACITY
I-EACHING FACILITY: (type)
NO. OF BEDROOMS ON
BUILDER OR OWNER
PERMTTDATE: .S
COWL CE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility
Private Water Supply Well and Leaching Facility Feet
on site or within 200 feet of leaching facility (If any wells exist
Edge of Wetland and Leaching Facility
within 300 feet of leaching facility)
any wetlands exist Feet
Furnished by
Feet
{g
�I
TOP OF FOUND. ELEV. = 45,7± PROVIDE EXTENSION RISER WITH FINISH GRADE OVER D-BOX= 43.5'± GENERAL NOTES
COVER TO WITHIN 6"OF FINISH REMOVABLE CONCRETE COVER
GRADE OVER INLET& OUTLET TO WITHIN 6"OF FINISHED GRADE ° FINISH GRADE OVER LEACHING FIELD= 43.0' - 43.6' 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION
4'SCHEDULE 40 PVC MIN. SLOPE 1 /o SLOPE @ 2% MIN. OVER SYSTEM METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE
FINISH GRADE @ FND. EL.= 45.0'± FINISH GRADE OVER TANK EL.= 44.0' - 44.5' 5" DIA. OUTLET(S) ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES.
3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE
20" MIN.ACCESS COVER INSPECTION PORT w/ACCESS BOX w/ 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
(TYPICAL FOR 3) 9"MIN. 2"OF 1/8"TO 1/2" DOUBLE WASHED STONE COVER TO GRADE (SEE NOTE#22)
36"MAX. - ----� - - - --- OF HEALTH AND THE DESIGN ENGINEER.
9"MIN.
EXIST- SEWER ___ u_ -- __ 36"MAX. 1
�.� PROP. 4' 4" PVC PERFORATED PIPE 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL
PIPE �� SCH. 40 PVC SLOPE AT 0.5% TOP OF S.A.S. = 41 .50' - 41 .35' 9"MIN. BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED.
6 II 3" 2" DROP MIN. PROVIDE WATERTIGHT 36" MAX.
1 3" DROP MAX. 3 9' i_�_/
1�io MIN.SLOPE JOINTS (TYP.) 40.85'
0 4" PVC IN FROM END CAPS I 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS
14 SEPTIC TANK 4 PVC OUT TO i THAN ELEVATION =41.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS.
-= LEACHING FACILITY -' S SLOPE ALL SOLID PIPE AT ° MINIMUM.
12" --- ? 00
OUTLET TEE ' 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 .37 MIN. 41 .20' 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
48" - I - _
CONTRACTOR SHALL 22"ZABEL FILTER 6" CRUSHED STONE 0 0 6"EFFECTIVE
CONTRACTOR SHALL I 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED
i VERIFY CONDITION OF MODEL#A1801 4x22 OVER MECHANICALLY I o o DEPTH
VERIFY SIZE AND PRIOR TO BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND
EXISTING TEES COMPACTED BASE
CONDITION OF EXISTING 41 .00 BOTTOM OF TRENCH TO BE LEVEL EL. = 40.35' READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED
SEPTIC TANK AND REPLACE AS WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH
NECESSARY 5 OUTLET DISTRIBUTION BOX 30.0 4' 6' 6' 4' S' MIN.
�- TO BE INSTALLED ON A LEVEL STABLE AND DESIGN ENGINEER.
EXISTING 1000 GALLON CONCRETE SEPTIC TANK BASE. FIRST TWO FEET OF OUTLET 20.0' 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 45.00' ESTABLISHED ON A
PIPES TO BE LAID LEVEL. GROUND WATER ELEV.= <32.50' NAIL SET IN A FENCE POST AS SHOWN ON PLAN.
CROSS SECTION VIEW FIELD DETAILS 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION
*CONTRACTOR TO VERIFY AND SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL TYPICAL FIELD PROFILE FIELD END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE
NOTIFY ENGINEER, 1F DIFFERENT NOT TO SCALE NOT TO SCALE NOT TO SCALE AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY
- - - DISCREPANCIES TO THE DESIGN ENGINEER.
TEST PIT DATA
• • • '� " • ` `' 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE
! •• �•*s • # +�,� ,' • +�a� STRUCTURES SHALL BE MADE WATERTIGHT.
NOTE: ;+� +; �#' �� /'' : : : • • INSPECTOR: Donald Desmarais
1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG wJ ' 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR
THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. + ► " " SOIL EVALUATOR: Michael Pimentel, E.I.T. ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN
+•• •� ��'► • • + * DATE: May 19, 2008 SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
•� ' • ` . ' • TEST PIT#: 1 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS
' LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH
�' • "'`Y...,, ' . *« ••"+ ELEV TOP = 43.50' CASE THEY SHALL BE WITHSTAND H-20 LOADING.
�► ` • r;� # • • ,� • , ELEV WATER=_ <32.50'
* LOCUS * 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES.
* �` PERC RATE _ < 2 MIN/IN
46
• ` •! DEPTH OF PERC - 28 -46" 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND
,' • * UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES
r` ` • * •• . • TEXTURAL CLASS: 1 OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN
• ; COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN
• * 0 ACCORDANCE WITH 310 CMR 15.255(3).
r ; •
•
+ • 0"
b Q 43.50'
ra 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES
n ►' ' •o's * *. 4„ Fill 43.17' FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
�� • * • •• ' . • A Loamy Sand
.- �/ +• "* ••• ; 6" 10Yr 3/1 43.00' 16. PROPOSED PROJECT IS LOCATED WITHIN:
�. // s' Loamy Sand
70 00 4 , ' •• ASSESSORS MAP 170 PARCEL 24
96i�\ S55015'20"E a ��yy * • •.• B 10Yr 5/8 -
8.00' ,. • • i (5-10% Gravel) FEMA FLOOD ZONE C
04 EXIST. Y ** +• � • a .� Percw"`Y AS SHOWN ON COMMUNITY PANEL# 255001 0015 C
C CATCH "7 m ` + • - ,- R� 46" '"` 17. OWNER OF RECORD: THOMAS BRACKETT
BASIN �A�p a + « .* i h `. C_1 Coarse 2 5Y 6/1nd 39 67 ADDRESS: 19 CHAPPAQUIDDICK ROAD
.• : �) IS�1 �/ * •• (5-10% Gravel) CENTERVILLE, MA 02362
® (Ivo�gz • • . .• Hatc +
S / /O •
O/C • a J` •• 96" --- 35.50' 18 PLAN REFERENCE: PLAN BOOK 224, PAGE 87
MAP 170 �z DRIVEWAY 9y0
G 19. DEED REFERENCE: BOOK 20513, PAGE 332
oy� \cc0 T �Q ,,,. ' * 20. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
LOT 25 c�' \ \C
- - ��
4yr\ Fps Q -� - •- -- - - - -- ---- - � C-2 2.5Y 6/1 Medium Sand 21. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY
FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY
FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE.
LOCUSPLAN 132" 32.50' 1 22. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A
DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3 OF FINISH GRADE. A
SCALE: 1" = 1000' No Standing,Weeping, Or Mottling Observed REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS.
MAP 170 � �z Pam,/ - �, � �4s '��\ � DESIGN DATA TEST PIT DATA
\ SHED `5� ����� ##19 sS 061. \
LOT 24 �JP�� EXISTING \ 61 NUMBER OF BEDROOMS 4 INSPECTOR: Donald Desmarais
16,103S.F. ± LEGEND
Q� He 4-BEDROOM DESIGN FLOW 110 GAUDAY/BEDROOM ! SOIL EVALUATOR: Michael Pimentel, E.LT.
\S6� DWELLING ! / TOTAL DESIGN FLOW 440 GAUDAY DATE: Y
Ma 19, 2008
DECK TOF =45.7'± ' DESIGN FLOW X 200 % = 880 GAUDAY I TEST PIT#: 2 100X00 EXISTING SPOT GRADE
v
kt \ . 11�= ,� USE EXISTING 1000 GALLON SEPTIC TANK ELEV TOP = 43.50' - -- -100 -- --- EXISTING CONTOURS
/ p MIN
op ELEV WATER= <32.50'
�O� He Xb-
� ��g16 102 PROPOSED CONTOURS
INSTALL A 30' x 20' LEACHING FIELD PERC RATE _
102 PROPOSED SPOT GRADE
43.5
DEPTH OF PERC =
17. -- EXISTING 1,000 GALLON SEPTIC TANK (approx. SIDEWALL CAPACITY GAS GAS EXISTING GASLINE
3:5
42x7 loc.)TO BE UTILIZED AS PART OF THIS DESIGN NO SIDEWALL AREA CREDIT TAKEN TEXTURAL CLASS: 1
44 '� 1 i�� ❑/H/W EXISTING OVERHEAD UTILITIES
s3" ,� �- EXISTING LEACHING PITS (approx. loc.)TO BE FILLED
7 , w 2 BOTTOM CAPACITY
MAP 170 70)�stp, 'AlITH CLEAN, COARSE SAND AND ABANDONED. 0" 43.50' __
•6 , �'L + (LENGTH X WIDTH)X (0.74 GAL/SQ.FT.)= SQ.FT. Fill W W - EXISTING WATERLINE
LOT 18-008 \ ^ ��� ( 30' X 20' )X(0.74 GAL/SQ.FT.)= 444 GAL. LEACHING/DAY 4" 43.17'
Loamy Sand
PROPOSED ����� Benchmark 6" 10Yr 3/1 43.00' TEST PIT LOCATION
INSPECTION PORT .� y
Nail in Fence TOTALS: Loam Sand
�--- �'�
Elev. =45.00' 10Yr 518 PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE
i PROPOSED Approx. M.S.L. TOTAL LEACHING AREA 600 SQ.FT. (5-10%Gravel)
TOTAL LEACHING CAPACITY 444 GAL./DAY
DISTRIBUTION BOX 1 28" 41.17' - - PROPOSED 4" PERFORATED SCH. 40 PVC PIPE
PROPOSED 20'x 30' LEACHING FIELD ❑
PROPOSED DISTRIBUTION
\ �
Coarse Sand
C-1 2.5Y 6/1
MAP 170 (5-10% Gravel) REV. DATE BY APP'D. DESCRIPTION
LOT23 96" 35.50' SEPTIC SYSTEM UPGRADE PLAN
PREPARED FOR:
Medium Sand CAPEWIDE ENTERPRISES
C-2 2.5Y 6/1
LOCATED AT
132" 32.50' 19 CHAPPAQUIDDICK ROAD
CENTERVILLE, MA
i No Standing, Weeping, Or Mottling Observed
SWING TIES
RESERVED FOR BOARD OF HEALTH USE SCALE: 1 INCH = 20 FT. DATE: MAY 29, 2008
0 10 20 40 80 FEET
i
DESCRIPTION HC1 HC2
o `o PREPARED BY:
CORNER LEACHING (1) 42.2' 37.3' � CHCURCHILL
o �� JC ENGINEERING, INC.
,JR.
c �
e 2854 CRANBERRY HIGHWAY
CORNER LEACHING (2) 59.5' S6.5' N 4� o7 I EAST WAREHAM, MA 02538
CORNER LEACHING (3) 77.2' 57.6'
CORNER LEACHING (4) 64.8' 39.0' SITE PLAN 50$.273.0377
SCALE: 1" =20' Drawn By: BSM ! Designed By:MCP I Checked By:JLC JOB No.1411
PROVIDE PRECAST CONCRETE EXTENSION
TOP OF FOUNDATION = 45.7$ RISER WITH CONCRETE COVER TO WITHIN FINISH GRADE OVER D-BOX= 43.5 GENERAL NOTE S
6"OF F.G. OVER INLET AND OUTLET COVER REMOVABLE CONCRETE COVER
FINISHED GRADE TO WITHIN 6"OF FINISHED GRADE w o FINISH GRADE OVER LEACHING FIELD= 43.0' - 43.6' 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION
@ FOUNDATION = 45.0'± FINISH GRADE OVER TANK EL. 44,0' - 44,rj' 4 SCHEDULE 40 PVC MIN. SLOPE 1 /o SLOPE @ 2%MIN. OVER SYSTEM METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE
5" DIA. OUTLET(S)
ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES.
3/4"TO 1-1/2"DOUBLE WASHED STONE TO CROWN OF PIPE
20" MIN. ACCESS COVER w 4 2"OF 1/8"TO 1/2" DOUBLE WASHED STONE INSPECTION PORT w/ACCESS BOX w/
9 MIN. i (FILTER FABRIC USED IN LIEU OF PEA STONE 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
(TYPICAL FOR 3) w _
36 MAX. COVER TO GRADE (SEE NOTE#22)
PROPOSED 4"
�- 36"MIS. --- OF HEALTH AND THE DESIGN ENGINEER.
SCHEDULE 40 PVC 4" PVC PERFORATED PIPE 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL
" PROVIDE WATERTIGHT SLOPE AT 0.5% 40.85' ' ' BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED.
TOP OF S.A.S. = 41 .50 - 41.35 9 MIN.
2 DROP MIN. "
MIN.SLOPE 1% 6" 3" " " _ JOINTS(TYP.)
- _ 3" DROP MAX. 3 9 - (40.55'° (41 .13' - 40.88') 36 MAX.
o = 4"PVC IN FROM 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS
(42.79' 14" 42.5'± SEPTIC TANK 4" PVC OUT TO END CAPS l THAN ELEVATION =41.13' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS.
LEACHING FACILITY _ r
(41 .46) 12" r _, 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM.
(41 .69 ) , o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48w OUTLET TEE 41 .3T MIN. 41.20 (41 ,01 )
6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
19.1' O„ 6"CRUSHED STONE o o „
22"ZABEL FILTER �•�OVER MECHANICALLY • ' - - " ' ` ' -� �. � o 0 6 E oEPTHVE 7- LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED
MODEL#A1801-4x22 (GAS COMPACTED BASE 41 � PRIOR TO BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND
.00
BAFFLE ON BOTTOM) BOTTOM OF TRENCH TO BE LEVEL EL. = 40.35' READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED
6"CRUSHED STONE 5 OUTLET DISTRIBUTION BOX (40.80') 39.85 4' 6' 6' 4' WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH
OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE 30.0' 5'MIN. AND DESIGN ENGINEER.
COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET 20.0'
NEW 1500 GALLON CONCRETE SEPTIC TANK** PIPES TO BE LAID LEVEL. 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 45.00'ESTABLISHED ON A
LENGTH 10.5' WIDTH 5.66' DEPTH 5•58, **NEW 1500 GALLON SEPTIC TANK WAS CROSS SECTION VIEW GROUND WATER ELEV.= <32.50' NAIL SET IN A FENCE POST AS SHOWN ON PLAN.
SEPTIC TANK PROFILE NECESSARY DUE TO THE FACT THAT THERE FIELD DETAILS 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION
NOT TO SCALE WCARD AS T AN FILE WITHNG TANK AS THE BOARD R HEALTH. DISTRIBUTION NOT TO SCALE DETAIL TYPICAL FIELD PROFILE NOT TO SCALE FIELD END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE
AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY
- - - DISCREPANCIES TO THE DESIGN ENGINEER.
_- . -- _____- _ TEST PIT DATA
s R ' •� '� ` ; .• • 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE
NOTE: ., + ` • r�C r" `• a STRUCTURES SHALL BE MADE WATERTIGHT.
�r • : INSPECTOR: Donald Desmarais
1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG . . . a • ' • • ' • • • 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR
THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. +0 • �* ,� + SOIL EVALUATOR: Michael Pimentel, E.I.T.'
ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN
" '# • a • • .* DATE: May 19, 2008 SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
•� �' • a • ' • TEST PIT#: 1 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS
• .�� W •. `'"+ ` ELEV TOP= 43.50' LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH
• • CASE THEY SHALL BE WITHSTAND H-20 LOADING.
\ ; .•` ; \ ,`� � � a , • • a ELEV WATER= <32.50'
�A70 • r/ LOCUS • ' a PERC RATE _ <2 MIN/IN 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES.
a
S55015'20"E r . . , + •
8.00' ,' ' ; • DEPTH OF PERC= 28"-46" 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND
r • UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES
" OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN
EXIST. C " , • • • TEXTURAL CLASS: 1
C CATCH � 'f _ COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN
BASIN �AiO w • • • . + • l ACCORDANCE WITH 310 CMR 15.255(3).
5` `yv ® /QO�w� • • ra .0 O" 43.50'\ 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES n ry , ► • ••s•.' • + 4„ Fill 43.1 T FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
\ O IFa ' . 40 q Loamy Sand
5 �/ •a •• • '• + : 6w 10Yr 3/1 43.00' 16. PROPOSED PROJECT IS LOCATED WITHIN:
MAP 170 DRIVEWAY '� \ BOG �iQ ��N Loamy Sand ASSESSORS MAP 170 PARCEL 24
Z \cc C7 s • • • + B 10Yr 5/8
LOT 25 - -
c�Z ti i �s�Q O�'�` J O�Q a + • "' a ! '', ' • (5-10% Gravel) FEMA FLOOD ZONE C
oy OTA N } �► + N *• • 28"_--_ 41.1T AS SHOWN ON COMMUNITY PANEL# 255001 0015 C
Perc
S o 'Lid j ,. • + ` � ' .. 46" Coarse Sand 39.6T 17. OWNER OF RECORD: THOMAS BRACKETT
_j I a a • �I a•
A a I • •• ){ iSFI . C-1 2.5Y 6/1 ADDRESS: 19 CHAPPAQUIDDICK ROAD
Haftc�z y� oy / a • •+ +* l� +� • ' (5-10%Gravel) CENTERVILLE, MA 02362
MAP 170 / - >> \ ; - _ _ . 96" 35.50' 18- PLAN REFERENCE: PLAN BOOK 224, PAGE 87
Pam/ , �6 �6, 80 I 19. DEED REFERENCE: BOOK 20513, PAGE 332
LOT24 SHE `��J���`y� #19 - �'S ��, \ \
�. �^ ' 20. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
P� EXISTING
16,103 S.F. 4-BEDROOM 6'S \ C-2 Medium Sand
± \ -
- _- __--
2.5Y 6/1 21. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY
Q� /
096/1 FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY
�
DWELLING ` FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE.
v DECK TOF =45.7'± t / LOCUS PLAN
132"1 1 32.50' 22. A 4"PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A
DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A
SCALE: 1" = 1000' No Standing, Weeping, Or Mottling Observed' REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS.
_ I
\ > 5 �9�6 DESIGN DATA TEST PIT DATA
:.tpt3:a' : . LEGEND
NUMBER OF BEDROOMS 4
INSPECTOR: Donald Desmarais 100x00 EXISTING SPOT GRADE
42x7 LP /+/ DESIGN FLOW 110 GAUDAY/BEDROOM SOIL EVALUATOR: Michael Pimentel, E.I.T.
P 2
1rs 43.5 .___. ,1 TOTAL DESIGN FLOW 440 GAUDAY DATE: May 19, 2008 100 - EXISTING CONTOURS
11 „ �'7 � - -EXISTING LEACHING PITS (approx. loc.)TO BE FILLED DESIGN FLOW X 200 % = 880 GAUDAY 102 PROPOSED CONTOURS
AS-BUILT SWING TIES MAP 170 �O� gp D WITH CLEAN, COARSE SAND AND ABANDONED. TEST PIT#: 2
68. ' \ +� USE EXISTING 1000 GALLON SEPTIC TANK ELEV TOP- 43.50'
SCALE: 1"=20' LOT 18-008 �. - Fl-0-21 PROPOSED SPOT GRADE
DESCRIPTION HC1 HC2 "AS-BUILT" u, y�+ Benchmark ELEV WATER= <32.50'
GAS GAS - EXISTING GASLINE
INSPECTION PORT �"' � ' Nail in Fence INSTALL A 30' x 20' LEACHING FIELD PERC RATE _
�� =450'
SEPTIC COVER IN (1) 35.2' 30.3' Elev. .0
"AS-BUILT".� Approx. M.S DEPTH OF PERC ❑/H/W EXISTING OVERHEAD UTILITIES.L. =
SEPTIC COVER OUT(2) 40.6' 27.3'
DISTRIBUTION BOX SIDEWALL CAPACITY
DISTRIBUTION BOX(3) 54.8- 49,6' "AS-BUILT" 20'x 30' LEACHING FIELD
NO SIDEWALL AREA CREDIT TAKEN TEXTURAL CLASS: 1 W W EXISTING WATERLINE
INSPECTION PORT(4) 48.2' 40.9' BOTTOM CAPACITY
TEST PIT LOCATION
END PIPE(5) 69.5' 44.3' MAP 170
w
Fill
(LENGTH X WIDTH)X(0.74 GAUSQ.FT.)= SQ.FT. . �O "AS-BUILT" 1500 GALLON SEPTIC TANK
( OL X 20' )X(0.74 GAUSQ.FT.)= 444 GAL. LEACHING/DAY 4" Loamy Sand 43.17'
END "AS-BUILT"4"SOLID SCHEDULE 40 PVC PIPE
I 77.6' S5.7' LOT 23 , w 10Yr 3/1 43.00'
TOTALS: Loamy Sand
6 - - "AS-BUILT"4" PERFORATED SCH.40 PVC PIPE
- - - --
TOTAL LEACHING AREA 600 SQ•FT. 28" (5-10%Gravel) ❑ "AS-BUILT" DISTRIBUTION BOX
TOTAL LEACHING CAPACITY 444 GAL./DAY 41.17'
(96,87') ACTUAL ELEVATION "AS-BUILT"
Coarse Sand
C-1 2.5Y 6/1
(5-10% Gravel) REV. DATE BY APP'D. DESCRIPTION
#19
EXISTING 96" 35.50'
`SEPTIC SYSTEM PLAN
HC2 4-BEDROOM PREPARED FOR:
DWELLING
TOF -45.7'± C-2 Medium Sand CAPEWIDE ENTERPRISES
2.5Y 6/1
(5
LOCATED AT
(6) -Y`, _=_ 132" 32.50' 19 CHAPPAQUIDDICK ROAD
(4 No Standing, Weeping, Or Mottling Observed CENTERVILLE, MA
O HC1
RESERVED FOR BOARD OF HEALTH USE SCALE: 1 INCH = 20 FT. DATE: JUNE 30, 2008
"AS BUILT"
0 10 20 40 SO FEET
j Y.
....
L�K oF,Q
i0r+N L. �� PREPARED BY:
U ""`
3) JC ENGINEERING, INC.
PLAN N IL 7 2854 CRANBERRY HIGHWAY
EAST WAREHAM, MA 02538
- - - - - -- --- SITE PLAN 508.273.0377
SCALE: 1" =20'
Drawn By. BSM Designed By:MCP Checked By:JLC JOB No.1411