HomeMy WebLinkAbout0143 HAYES ROAD - Health 143 Hayes Road
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Commonwealth of Massachusetts
lugTitle 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
143 Hayes Rd.
Property Address
Shane Pacheco
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2011
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 filling out forms A. General Information -71
I
on the computer,
use only the tab 1. Inspector:
key to move your
cursor-do not Scott Campbell
use the return Name of Inspector
key.
Cardinal Construction
�y Company Name
32 Ridgetop Rd.
Company Address
Cotuit Ma 02635
Cityrrown State Zip Code
508-420-1295 S1388
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
3/11/2011
&s , g ure 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. LH
I
t5ins•11110 Title 5 Official Inspection Form:Subsurface S ge Disposal System•Page 1 of 17
it
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
143 Hayes Rd.
Property Address
Shane Pacheco
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2011
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:
® 1 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:
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-11/10 - Title 5 Official lnspedio;i Form:Subsurface Sewage Disposal System-Page 2 at 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
143 Hayes Rd.
Property Address
Shane Pacheco
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2011
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
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•11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
MW Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 143 Hayes Rd.
Property Address
Shane Pacheco
Owner Owner's Name
information is Centerville Ma 02632 3/11/2011
required for every
page. Citylrown 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
El ® 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 Y day flow
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
143 Hayes Rd.
Property Address
Shane Pacheco
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2011
page. Citylrown 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•11110 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
143 Hayes Rd
Property Address
Shane Pacheco
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2011
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): 2 Number of bedrooms(actual): 2
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 2201000
gallon septic
t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17
6
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
'< 143 Hayes Rd.
Property Address
Shane Pacheco
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2011
page. Cityrrown state Zip Code Date of Inspection
D. System Information
Description:
1000 gallon septic tank 10'+15'+l' Leach field
Number of current residents: 1
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ❑ Yes ❑ No
Seasonaluse? ❑ Yes ® No
Water meter readings, if available(last 2 years usage(gpd)):
Detail:
Sump pump? ❑ Yes ❑ No
Last date of occupancy: Current 2011
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•11110 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
143 Hayes Rd.
Property Address
Shane Pacheco
Owner Owners Name
information is required for every Centerville Ma 02632 3/11/2011
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:
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
El9 p
❑ 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):
Septic tank soil absorption system
t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
143 Hayes Rd
Property Address
Shane Pacheco
Owner Owners Name
information is required for every Centerville Ma 02632 3/11/2011
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed(if known)and source of information:
1984 Information on file at the Barnstable B.O.H.
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 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.):
Septic Tank(locate on site plan):
3
Depth below grade: feet
Material of construction:
®concrete ❑metal ❑fiberglass ❑polyethylene ❑other(explain)
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•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
Commonwealth of Massachusetts
r vm�
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
143 Hayes Rd.
Property Address
Shane Pacheco
Owner owner's Name
information is Centerville Ma 02632 3/11/2011
required for every
page. 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 0
1"
Scum thickness
Distance from top of scum to top of outlet tee or baffle
4"
Distance from bottom of scum to bottom of outlet tee or baffle
5"
How were dimensions determined? sludge stick 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.):
System should be pumped every 2 to 3 years. Inlet and outlet tees in place after inspection was
completed. Structural integrity of tank was good at time of inspection, liquid at proper working height
at time of inspection.No evidence of leakage into or out of tank.
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-11/10 Title 5 Offidal Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
'< 143 Hayes Rd.
Property Address
Shane Pacheco
Owner Owner's Name
information is Centerville Ma 02632 3/11/2011
required for every
page. City/Town 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
I
t5ins•11/10 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
143 Hayes Rd.
Property Address
Shane Pacheco
Owner Owner's Name
information is Centerville Ma 02632 3/11/2011
required for every
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 n/a no d-box present.
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.):
Soil Absorption System(SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•11/10 Title 5 official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 117
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
143 Hayes Rd
Property Address
Shane Pacheco
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2011
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
® leaching fields number,dimensions. 10'+15'+1'
❑ 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.):
Fine sand, no signs of hydraulic failure,no ponding or damp soil, normal vegetation. (grass lawn)A
variance was granted to allow a leaching trench to be installed 54 feet from water on both sides and
the bottom of the trench will be 2'above ground water.Variance on file at the Barnstable Board of
Health.
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-11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 13 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
143 Hayes Rd
Property Address
Shane Pacheco
Owner Owner's Name
information is Centerville Ma 02632 3/11/2011
required for every page. cftyrrown 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.):
t5ins•11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 14 of 17
Commonwealth of Massachusetts
�j Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 143 Hayes Rd
Property Address
Shane Pacheco
Owner Owner's Name
information is Centerville Ma 02632 3/11/2011
required for every
page. Cityrrown 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
1�
V
t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
143 Hayes Rd. -
Property Address
Shane Pacheco
Owner Owner's Name
information is required for every Centerville Ma 02632 3/11/2011
page.
City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
® Surface water
® Check cellar
® Shallow wells
4'
Estimated depth to high ground water: 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:
Excavation at time of inspection
Before filing this Inspection Report,please see Report Completeness Checklist on next page.
t5ins•11/10 Title 5 Official Inspection Fonn: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
143 Hayes Rd.
Property Address
Shane Pacheco
Owner Owner's Name
information is Ma 02632 3/11/2011
required for every Centerville
page. Cityrrown 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
Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17
t5ins-11/10
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t :•at. d143'Hsyes R:oadt Xentervi21e. f Your present, system,consi`sts,.nf as cesgpool `
situated�;fti° groriad, water: .The.:var ance 'allo�is :a-leack ing,trench°to' be
installed 54 feet`'fzom�"water on bath sines, `and the •°bottom of the trench/
}� �irill,be;two °feet'above`ground.,water.. The system'm► 11«.consist of{a sEgt is ,
'.,tank,ti didtribut'ion hox .gnd: leachfng'tietch
r;r .
k r•' L� f h', 5 . ,,, '•4 a s ^w "... u •� t"�' ,:t i. },a, '.� `, .. ' 'L � � . ,' .
The` Swelling i$ .restricted` toe,one .bedroom only This. was`a. summer cwell'ing `r
lR i' r, r
now beliVe3= in year s'irOUtid'.w
1k �x F 4.�. ,}" :1 t• +. { "} r � ..� a a ,�f J..,t. .��. .mot "tom - r -
�` °Tris variance is;granted'because the'present ;cesspool presents it. Health',', '
,,nuisance .and the -,proposed j'syste�siappears: to be' the base solut on.'for
tl
.prQpErty
e y r y r � !, y h 3- i '.• d'y! sr{ r �+.� ,• Fr`i 1
:You must receive approval of the,Consir,.v on"C mmission.
+r.' o
VEr t my ours,' 1 .A
R •ert. L. Childs;' 'Chai=n
?.- ' ..L` -, °n.t ti h•r ` 'i ,+,'�f" s
Eshbaugh ,r , ` ; . - •! „ ' ..:. '
S " ^' 'il:: Fa °Inge i'i. "D:, - ? ,�rl'L y\�� . „ .mot r ` c r �•
�{ , ,t BOARD OF. HEALTH
TOWN OF.BARNSTABL$
•°ccs' ..Cotiservationf Commissionw'
Y ,,¢a{[ ,� �.♦y { 1•yk�'P'j''4 ` r •. i ,'� �.{-,. s� �'.. ar. „}�r
�t i F. 1_, i }• r. p..�r, f .y� f r ate= :� { i.,
i}f.��+� C•� r ..t`s rs a l .,yF. ` . ' F k.�., /, s „`'
1 f .
143 Hayes Road
Centerville , MA 02632
December 29 , 1983
Mr . John M. Kelly
Director of Public Health
Town of Barnstable
PO Box 534
Hyannis , Massachusetts 02601
Dear Mr . Kelly :
As I need to replace my cesspool because of .deteriora-
tion and therefore leakage into the water table at Wequaquet
Lake , I would like to put in a septic tank and leaching bed
with your approval .
I hereby apply for a 54 foot variance from water to
water on each side of the work area at 143 Hayes Road in
Centerville . I am also requesting a 2 foot variance in the
water table and plan to raise the plumbing as well .
I am following the recommendations of Mr . John Jacobi , R.S .
of the Board of Health as he has been to the site and viewed
my problem.
In addition , I request permission to square off one
corner of the living room to increase the size within the
house as I need more- living area and storage space . The
house has no cellar--only a small crawl space under part
of the house . The addition would be 7' X 12 " to the North-
west corner of the house .
Thank you for your consideration .
Sincerely,
VeorgirS . Warren
copy to :
Mr . Gilbert Newton
Chairman
Conservation Commission
Hyannis , MA 02601
SEWAGE INSPECTIONS 0� 3 /® �►
' A'11ON143 Hayes Road DATE 10/25/02 c
L'Jc
A ;E Centerville,Mass. ASSESSOR'S MAP & LOT .
-INSJPE,C'r.3 :JOSEPH P. MACOMBER JR.
SEPTIC TANK CAPACITY 1 000 gallons No box
LEACHING FACILITY: (type) Field (size) 1 0 'X1 5 'X1 '
NO. OF BEDROOMS 2
BUILDER 0 OWNER Frank thomas
OWNER MAILING ADDRESS
3013 Silverado Terrace
Winter Haven Florida
33884
Y
F � -
tAI
IT
Ul
1V ,
DATE: 10/25/02
PROPERTY ADDRESS:143 Hayes Road
-----------------------
- Centerville,Mass.
02632
------------------------ RECEIVED
On the above date, I inspected the septic system at the above a dr 99, 1 2 2002
This system consists of the following:
TOWN OF BARNSTABLE
1 . 1 -1 000 gallon precast TAiagseptic tank. HEALTH DEPT.
2. 1 -leachfield 10 'X15'X1 '
Based on my inspection, I certify the following conditions:
3. This is a title five septic system. ( 78 Code )
4. The septic system is in proper working order at the. present time
5. Pumped the septic tank at time of inspection.
6. All variances granted this property is mn file at the Town
Of barnstable.
7. Leachingfield is 45' and 50 ' off the lake. ,
� . House has limited use.2-bedrooms and
thats it.
SIGNATUR
- ------ - --- ---
Name:_ J__ P . _Macomber. Jr .
.Corripany:Josp,ph _p__ Macomber 8 Son, Inc .
Address : BQx .............
-Q2_632-0066
Phone :-_508- 775_ 3338
THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY
won firm
JOSEPH P. MACOMBER & SON, INC,
Tan ks•Cesspools•Leachflelds
Pumped & Installed
Town Sewer Connectlons
P.O. Box 66 Centerville, MA 02632.0066
775.3338 775.6412
,per =f
�\ COMMONWEALTH OF IASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL, AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
TITLE S
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address:1 43 THaVi-a Road
Centsr4i 1 is,mass.
Owner's NameF'rank Thomas
Owner's Address:ajj3-,:__Si 1 y - ado T _r ace
33884
Date of lnspection: I n /2s /n2
Name.of inspector: (please print) Joseph P. Macomber Jr.
Company Name: J.P. Macomber & Sons Inc
Mailing Address: Box 66
Cent ervi 1 1 P Ma f)2632
Telephone Number: 508-775-3338
CERTIFICATION STATEMENT
I certffj that I have personally inspected the sewage disposal system at this address and that the information reposed
below is true. accurate and complete as of the time of the inspection.The inspection was performed based on my
,ratnute 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:
: ZpasseS
Conditionally Passes
_ Nleeds Further Evaluation by the Local Approving Authoriry
_ Fails
Inspector's Sigoatur i2tidDate:
The system inspector shall bmit 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 now 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.
Notes and Comments
..This repon only describes conditions at the time of inspection and under the conditions of use at that
utn'e'9Tbi'inspe"-i"' does not address tfow`the system will perform in the future under'tbe same or different
conditions of use.
Title 5 Inspection Form 6/15/2000 page I
i
i
Page 2 of I 1
q
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: Frank Thomas
143 Hayes Road
Owner: ('enter �i 11 P�MaGG
Date of Inspection: 1 0(2 r In12
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
Ae) 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:
The septic system is in proper working order
,it thP l2r cent time,
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(Y,N,ND)in the_for the following statements. If"not determined"please
explain.
A,�b 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.
ND explain:
AktV�Ubservation of sewage backup or break out or high static water level in th . ibution box ue 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
_ obstruction is removed
distribution box is leveled or replaced
ND explain:
.,%,D 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:
2
J
Page 3 of I I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 14-3 Hayes Road
rP_ntcrc7i 1_1 p, Mang
Owoer:
Date of Inspection: 1 25 2
C. Further Evaluation is Required by the Board of Health:
_t,� 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.
I. 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 wbich will protect public health,safety and the environment:
/0 Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is witbin 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:
YL2 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.
yfljThe system has a septic tank and SAS and the SAS is within a Zone I of a public water supply.
�f�A 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 tan1 and SAS and the SAS is less than 100 feet but 50 feet or more from a
• (private water supple well". Method used to determine distance
"This system passes if the well water analysis,performed at a DEP certified laboratory, 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,provided that no other
failure criteria are triggered. A copy of the analysis must be anached to this form.
3. Other:
3
I _
Page 4 of I I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 1 43 Hayes Road
Centerville,Mass_
Owner:Frank Thnma G
Date of Inspection: 1 a.1 2i f o 9
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
Yes No
ackup 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 th distribution box above outlet invert due to an overloaded or clogged SAS or
Jcesspool e
_ ✓ iquid depth in sesspeel is Tess th 6'below invert or available volume is less than 'h day flow
� Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
/of times pumped l
_v 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.
EES
portion of a cesspool or privy is within a Zone I of a public well.
portion of a cesspool or privy is within 50 feet of a private water supply well.
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 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,provided that no other failure criteria
are triggered.A copy of the analysis must be attached to this form.)
(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.
E. Large Systems:
To be considered a large system the system must serve a facility with a design now 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
_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 11 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.
4
u
page 5 of ; I
I.0
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISP
OSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST .
Property Address:
Gentervi
Owner:
Date of lospectioo:
Check tf the following have been done. You trust indicate' s"or"no"as to each of the following:
Yes N
Pumpvtg information was provided by the owner.occupant, or Board of Health
were an\ of the system components pumped out in the previous two weeks
Has the system received normal flows in the previous two week period ?
_,/Ha�c large volumes of water been introduced to the system recently or as pan of this inspection '
Were as built plans of the system obtained and examined?(If they were not available note as N/A)
Was the factliry or dwelling inspected for signs of sewage back up?
✓_ Was the site inspected for signs of break out ?
Were all system com pone ntsA$Lding the SA,S, located on site ?
�_ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition
of!ne baffles or tees, material of construction,dimensions,depth of liquid, depth of sludge and depth of scum '
I/ _ Was the faciliry owner(and occupants if different from owner)provided with information on the proper
ma�n!enancc`of subsurface seµ age disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has been determined based on
Yes n0 '
_ dxisting information. For example, a plan at the Board of Health.
etermined in the field(if any of the failure criteria related to Pan C is at issue approximation of diswcc
;s unacceptable) 1310 CMR 15.302(3)(b))
5
Page 6 of 1 I
OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address:1 43 Hayes Road
Centerville,Mass.
Owner:Frank Thomas _
Date of Inspection: 1 0/2 5702
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design):_; Number of bedrooms(actual): n2
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):
Number of current residents:
Does residence have a garbage grinder(yes or no):v
Is laundry on a separate sewage system(yes or no): (if yes separate inspection required)
Laundry system inspected( es or no): S
Seasonal use: (yes or no):Ay
Water meter readings, if available(last 2 years usage(gpd)): _2000-65, 000 gallons=1 78.09 GPD
Sump pump(yes or no):� 2001 -28,000 gallons= 76.72 GPD
Last date of occupancy:
COMM ERCIALAN'DUSTRIA L
Type of establishment:
Design flow(based on 310 CMR 15.203): ��_/_/ gpd
,.Basis of design flow(seats/persons/sgft,etc.): �IfI
Grease trap present(yes or no):_,12P
Industrial waste holding tank present(yes or no):A4A
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings, if available:
Last date of occupancy/use: AR
OTHER(describe): ,I)A
GENERAL INFORMATION
Pumping Records A „1� ,
Source of information:�` l�ff- 1Q/L
Was system pumped as part of the inspection(yes or no): _
If yes,volume pumped: 10b gallons-- How was quantity pumped determined?
Reason for pumping: Requested by the owner
T Se OF SYSTEM
,/Septic tank, ,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 /tj�Anach a copy of the DEP approval
Other(describe):
Ap 0'We age of all components,date installed(if known)and source of information:
Were sewage odors detected when arriving at the site(yes or no): /1C/
6
Page 7 of I 1
k�
OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 143 Hayes Roam
Owner: Frank rphomag
Date of Inspection:1 0/25/02
BUILDING SEWER(locate on site plan)
,�� Lite wieght 4" PVC pipe.
Depth below grade: / Through out.
Materials of construction: _cast iron40 PVC_2bither(explain):
Distance from private water supply well or suction line: Y547
Comments(on condition of joints, venting,evidence of leakage, etc.):
Joints appear tight No evidence of leakage system is
vented through the house vents.
SEPTIC TANK: !(locate on site plan)11Arr7
r(
Depth below grade:
Material of construction: concrete meta l o_ftberglasS.polyethylene
/l_.pther(explain) �!
If tank is metal list age:,!V6 is age confirmed by a Certificate of Compliance (yes or no):j>6 (attach a copy of
certificate) I
Dimensions: j �L�rttWr,
Sludge depth: S1
Distance from top of sludge to bonom of outlet tee or baffle:
Scum thickness: M _
Distance from top of scum to top of outlet tee or baffle: (3
Distance from bonom of scum to bottom of outlet tee or baffle:
Hoµ;'were dimensions determined: 0'
Corttments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
Inlet*tees .are in lace_
The tank is structura lv : u-n-a and shows no evideri_e of
leakage.
GREASE TRAlocate on site plan)
Depth below grade:Ai
Material of construction:,"concrete4,ometakOfiberglass g polyethylene other
(explain):
Dimensions: Of
Scum thickness: AA
Distance from top of scum to top of outlet tee or baffle:
Distance from bonom of scum to bottom of outlet tee or baffle: �!S'
Date of last pumping: AA--
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
7
Page 8 of 1 I
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 143 Haves Road
CpntarvillP.Mass.
Owner:Rsank Thomas
Date of Inspection: g),42 5/0 2
TIGHT or HOLDING TANK-4 elktank must be pumped at time of inspection)(locate on site plan)
Depth below grade: AM
Material of construction: AX concrete metal zV.4 fiberglass AA_polyethylene AY7 other(explain):
1A
Dimensions: kK
Capacity: A24 gallons
Design Flow: M gallons/day
Alarm present(yes or no):
Alarm level: A)A Alarm in working order(yes or no):
Date of last pumping: A)A
Comments(condition of alarm and float switches,etc.):
Tight or holding tanks are not present
DISTRIBUTION BOX (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert:_.4A
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; ctrihntinn In= iG not, present
PUMP CHAMBERI tli,(locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
Pump chamber is not present.
8
Page 9 of 1 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 143 Hayes Road
Centerville,Mass.
Owner:Frank Thomas
Date of inspection:
SOIL ABSORPTION SYSTEM (SAS):Zlocate on site plan,excavation not required)
Leachfield 10 'X15'X1 '
If SAS not located explain why:
Located see page 10
Type
L leaching pits, number: )
leaching chambers,number:6
leaching galleries,number:Q_
i leaching trenches,number, length: 0
leaching fields,number,dimensions: I—
Vo overflow cesspool, number: V
/�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.):
Loamy sand to medium coarse sand.No signs of hydraulic
failure or ponding.Soi s are dry.Vegetation
CESSPOOL(cesspool must be pumped as pan of inspection)(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer: Am
Depth of scum layer: A.4
Dimensions of cesspool: /60
Materials of construction:
Indication of groundwater inflow(yes or no):
Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.):
Gees Zo-1 C are not nrPGPnt
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.):
Pi-; vv i s nnt- nrParint
9
HIV 10ofII
OFFICLAI INSPECTION FORM— NOT FOR VOLUNTA-RY ASSESSME,—,
SU85VRFACC SCWACE DISPOSA-L SYSTEM INSPECTION FOR."
PART C
SYSTEM INFO RIvhTION(cominvco)
p cvt� .00 t,t 143 Hayes Road
Cen ervi S.
tit 01 Inipttt oo: 0 25 02
SKIETCH OP SCwACC DISPOSAL SYSTCM
p+o-101 I ,hurt or tnt ,tw,It oilpolll 1Y11tm Inclvdlnj ticl to 1I I(171 rwo P(rmincnl rcfcrcncc ivtt✓„1,,, ;
100 /tt1 Loctu wAtrt public w11(r 1V I
PP Y tn1(1
l t7tt bV1101n(
�..._... ....._ ... ................ .—`....- ----
._...
ItA
i \ Ln
w
10
Page 11 of I I
OFFICIAL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 143 Haves Road
Centerville,Mass.
Owner: Frank Thomas
Date of Inspection: 1 0/25/0 2
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water 7� As feet
Please indicate(check)all methods used to determine the high ground water elevation:
jq_Q__Obtained from system design plans on record -If checked,date of design plan reviewed: NA
yFS Observed site(abutting property/observation hole within ISO feet of SAS)
Nj _Checked with local Board of Health-explain:
ys Checked with local excavators, installers-(anach documentation)
YES Accessed USGSdatabase-explain: http4//town.barnstable.ma.us.
You must describe how you established the high ground water elevation:
Jsed; Gahrety 9 Miller Model. 12/16/994 Ground water elevations above
sea-level _
Jsed; USGS; nbzeyvati an wPl 1 r3at-a Tune 1992
Jsed: USGS-; Tec;hn! 4`in J;; » ry 1992 Annual ranges of around
water elevations.92-000-1 Plate#2
10 'X15 'X1 '
Leaching �!
Field j •net
f�
Groundwater: Feet Below Bottom of Pit High Groundwater r Adjustment 1.8 ft per Frimpter Method
Therefore,the vertical separation distance between the bonom
Of the leaching pit and the adjusted groundwater table is
feet.
Dug hole to 7 ' 6"
11
r
rr—Tr.rn.-.r.nmrr�.nam..r�:•.�.-.+rv.r:-+r-r-n*n+.r•*v'+a-er.c+..rn .rn-r-,-.•-r--r-. _. ._
'I-OWN OF Barnstable BOARD OF HEALTH
S011SURFACF SEWAGE DISPUSAL SYSTEM INSI'FCTION FORM - PART D - CEIITIFICATIUN
..._.�.�.......-_.,,a^.-.m.r.rm•n.rrir•Sa.rrnan-rn•.r:��,mrs mrv+rr '+� nm n•�mr+.rar.rrnn++r.:-.nr.- r-•� -
-TiPt OR PRINT CLEARLY-
PIlOPERT Y INSPECTED
STREET ADDRESS 143 Hayes Road Centerville,Mass.
ASSESSORS MAP , BLOCK AND PARCEL # Pam/!`
OWNER' s NAME Frank ThoTas _
,mom P/ilt7' D - CERTIFICATION
NAME OF INSPECTOR Joseph P. Macomber Jr
COMPANY NAME Joseph P. Macomber Vt6 n Inc
COMPANY ADDRESS Box 66 Centerville Mass 02632
Street Town or City State LIP
COMPANY TELEPHONE ( 508 ) 775-33-38 FAX ( 508 ) 790-1578
CCRTIPICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at
this address and that the information reported is true , accurate , and
omplete as of the time of .inspection . The inspection was performed and any
recommendations regarding upgrade , maintenance , and repair are consistent
will) my training and experience in the proper function and maintenance of oil-
site sewage disposal systems ,
Check one :
//
. System, PASSED
The inspection )which I have conducted has not found any information
which indicates that the system fails to adequately protect public
health or tile. environment, as defined in 310 CMR 16 , 303 . Any failure
criteria not evaluated are as stated in the FAILURE CRITERIA section of
this form .
System FAILED* \
The inspection which I have co 'Octed has found that the system fails to
Protect the ilublic health and the environment in accordance with Title
.5 , . 3.10 CMR 15 , 303 , and as specifically noted on PART C - FAILURE
CRITERIA of this inspection fo m .
Inspector Signature G Date
07copy
of tills c t.ification must be provided to the OWNER, the BUYER
where applicable ) and the 130ARD OF HErAL1'll.
• If the inspection FAILED, the owner or"`operator shall upgrade • the eyatem
within one year of the date of the inspection , unless allowed or required
otherwise as provided in 3.10 CHR 15 . 30'5 .
partd . doc
L dx A T ON S WAGE ,.PERMIT NO.
'VILLAGE �7
INSTALLER'S NAME i A 0 0 R E S 1. CRAIG MEDEIRO$So
nQ
142 Corporation Street
-R OW OWNER Hyannis, mass. 773-01328
DATE PERMIT ISS'U'E D
DAT E COMPLIANCE ISSUED 3��
�Ct;i9✓�dr/( Sf 77
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
IqApplication is hereby made for a Permit to Construct 'or Repair an Individual Sewage Disposal
System at:
Address '0
Ad
Installer Address
Z Other Distribution box ( ) Dosing tank ( )
The undersigned -agrees to install the aforedescribed Individual Sewage Disposal System�n accordance with
the provisions ofIZTi lE 5 of the State Sanitary Code—Theundersigued further agrees not to place the system in
operation until a Certificate of Compliance has bD en issu *�by the board of health.
--"--- ---------' ----�-----'-'-'
Application- - '-p,'-.-- _'....._____'-- ....._...'__' .............
,Date.----'-_'-_--_-_._-_--.--_--_--------__
oe
_-_'-_--'-_---___-__.-_-____-_____��_--------'_-_-__---_-'____'_-__---.--..���---__-
Parmit ,
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1 .
...................................OF...... .... " "' -.-^.................................................
�rr#�f�rtt#r laf f��ant�littn�r
1 -stem constructed or Repaired
THIS IS T EBTIF hat t Inc3;vidual S w ge Disposa Sy ( ) p ( )
by _�.( ...--- -
�w^�"=-
.. r^'"'
Installertl+..
"+! J`�' ` .. �r` ----- ---------------------------------------------------------
has �
at C'`.''-'.�r
C been instal(On accordance with the provisions o ! j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No----------------------------------------- d-ated.--._._-.-...-.-----.-.-----.-----.---.--.-.----
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WI -L NCTION SATISFACTORY.
DATE...J .na'.X/------------------------------------------------------- Inspector
THE COMMONWEALTH OF MASSACHUSE,TZS yL
BOARD F HEALTH ��`�'L
No......................... FEE........................
i n 1 ll T.nn tr inn �erntit
Permission is hereby granted--�-- -•-•-•-- ' ""
to Construct, ) or Repair ( a Individual Se Disposal Syr�
atNo.... 'z-r ._ ....... -.�.-o..•� � ? .• r ......................................................
ti
Street
as shown on the application for Disposal Works Con e ------- ated...........$..............................
�'----------•--•---- -------------------------------------------
Beard of Health
DATE ....••. "...... l
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS j
-� -
All
�. yf
No................_.......+ !J./ -it Fx$..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ZU..~''. .... .........OF....�.......vi-s.S7r> b /19
...............-----------------------•------•..............................................
ApplirFa#iou for Uiipus al Works Toustrurtiuu frrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
...............• `?✓'b. ...................................................... ...................................................................•..............................
Location-Address Lo No.
.... ii.�i?.� 4 ....................................I . .n a �'►—v1{l
wner, r a Address
--- _.A
--P--•G -R-a -------t=---J-•---i-•t�-----•--. -
-•----,t Z ..... -v---y•-l.a...o.....s.-....t.-..t..c..a...v.ti... :-3-'-e--'(_. --•r-•Y-.l..
Instal-l-e-r---•• `
a 19Z�j v l
Address
Type of Building Size Lot.................... .....Sq. feet
U
Dwelling—No. of Bedrooms...... ................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building .............. No. of ersons......................_.._.. Showers — Cafeteria
a yP g -------------- P ( ) ( )
a' Other fixtures ............................... . .
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................. Diameter................ Depth................
x Disposal Trench—No...................... Width.................... Total Length-.=:._ ..._._...... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.::................. Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_.--_-_______-__.-_-_--.
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
af -----�------------------------------------------------------------------------------------------------------------------------------------------
Descriptionof Soil----.--•�-a-A-. �.....................•-•-•._.......-•-•----------•-•---•---•-••••••---------------------•-•--•-----•---•-----•-•----•-•-------•------•-
x
W ••-------------------•----:-• ......••••---•••-••-------=---••-•-••----•--------- --•----•--•-••-------•---• ----
U Nature of Repairs or Alterations—Answer when applicable._.. -� }r = '"`--------- `i...d_ ..
_..._
'''f' ° ' ` ''4
Agre mom' ' .. j �
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Com liance hastDn issu y the board of health.gn -- .-• ................ rV
Appl tion Approved By --------------•----..---------------.------------- s�act�e
Date
Application Disapprove for the of owang reason .. ? ....................
..............••------•---•-----------•-----------------------------------------------.......-------------------•-------•-------------•••-•-•---•---------•-----••--•--...-----•••••--------•-----------
Date
PermitNo.............:........................................... Issued-.......................................................
Date
i.
,
MI
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Logged In As: Parceli Thursday, September 21 2006
Parcel Lookup
Parcel Info
_._. .. ....._.__.� _ ... _ _...,.._.._ ... Developer ...
Parcel ID;211-027 Lot
_..,�,.. �... ...................
Location ;143 HAYES ROAD Pri Frontage'75
........ . _.._..
Sec, _...
Sec Road
Frontage 1
villageCENTERVILLE Fire Distnct,C-O-MM
Sewer Acct Road Index i0678
Interactive01
Map , sa �00
Owner Info
owner lPAC HECO, SHANE Co-Owner,
Streetl 1143 HAYES RD Street2
City.CENTERVILLE State MA Zip 02632 Country USA
Land Info
_.
Acres'0.18 Use!Single Fam MDL 01 Zoning iRC1 Nghbd PF07
i..,,,._....._...,.. ,.,.. ., .. , 11.11 1.11 ..._.,.,
Topography!Level Road ,Paved
_.._..._
utilities IPublic Water,Gas,Septic Location(Lake/Pond Front,Excel View
Construction Info
Building I of
Year Roof __._ ._,__ Ext
1962 ,Gable/Hip Shing „
Built _ ._..,.....' Struct" Wall Wood le
Effect ��.. ,.,., , ., .__.__ Roof"__. _ ..�_.__ .. _,_. AC __..
2626 Asph/F GIs/Cmp T {Central F ��
Area Cover ype '
Int _._"_ _ _ Bed , ,.._ ... ....
I4 ��
Style IColonial Plastered 3 Bedrooms
Wall - Rooms
l.._ Int Bath
Model ,Residential Floor 1 Hardwood Rooms3 Full �� %, 9
�._.,._ ....... Heat i:... _., Total
Grade;Custom Type!Hot Air _ Rooms 1 '
_-
Hea .�t, _.... , . Found-s .......
Stories?2 Stories Gas
Poured Conc.
Fuel, ation
. Permit History
Issue Date Purpose Permit# Amount Insp Date Comments
1/26/2006 Out Building 89933
6/16/2005 Remodel 84855 $1,500 12/5/2005 12:00:00 AM
2/10/2005 Remodel &Addi 82167 $60,000 12/5/2005 12:00:00 AM
10/27/2004 Remodel 80196 $20,000 12/5/2005 12:00:00 AM
7/1/1992 B35220 $3,500 1/15/1995 12:00:00 AM CE DORMER
9/1/1990 B33944 $20,000 1/15/1991 12:00:00 AM CE 2ND FL
110/1/19 7 B31343 $3,500 1/15/1988 12:00:00 AM CE ADUN
- Visit History
Date Who Purpose
4/12/2006 12:00:00 AM Jeff Rudziak Personal Property Review
12/5/2005 12:00:00 AM Martin Flynn Meas/Listed
4/5/2005 12:00:00 AM Gary Brennan Measur/Remodling in Progress
10/23/2003 12:00:00 AM Andrew Machado Meas/Listed
12/4/2000 12:00:00 AM Paul Talbot Meas/Listed
Sales History ___...___.._._.__.._.....
Line Sale Date Owner Book/Page Sale Price
1 10/14/2004 PACHECO, SHANE 19133/192 $715,000
2 8/26/2002 THOMAS, GEORGIA S & FRANK W 15510/002 $100
3 12/15/1982 WARREN, GEORGIA 3636/298 $0
Assessment History
Save# Year Building Value XF Value OB Value Land Value Total Parcel Value
1 2006 $186,200 $0 $0 $501,500 $687,700
2 2005 $167,200 $0 $0 $343,600 $510,800
3 2004 $136,100 $2,400 $0 $406,100 $544,600
4 2003 $138,300 $2,400 $0 $157,200 $297,900
5 2002 $138,300 $2,400 $0 $157,200 $297,900
6 2001 $138,300 $2,600 $0 $157,200 $298,100
7 2000 $107,200 $2,500 $0 $88,600 $198,300
8 1999 $107,200 $2,500 $0 $88,600 $198,300
9 1998 $107,200 $2,500 $0 $88,600 $198,300
10 1997 $134,600 $0 $0 $73,800 $208,400
11 1996 $134,600 $0 $0 $70,100 $204,700
12 1995 $128,200 $0 $0 $70,100 $198,300
13 1994 $131,500 $0 $0 $75,700 $207,200
14 1993 $131,500 $0 $0 $75,700 $207,200
15 1992 $149,400 $0 $0 $84,100 $233,500
16 1991 $85,500 $0 $0 $123,300 $219,000
17 1990 $85,500 $0 $0 $123,300 $219,000
18 1989 $85,500 $0 $0 $123,300 $219,000
19 1988 $69,300 $0 $0 $45,000 $118,700
20 1987 $69,300 $0 $0 $45,000 $118,700
21 1986 $69,300 $0 $0 $45,000 $118,700
1--,,,-Photos _..._. _.,.,_.. _ ..._.._..
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Sw��aa3S
w31SkS OIld3S taSIX3
TW 21042-2 I 1 VV L 1 V'4/--G
2 @ IZ'01 IS
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At
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iw ul in ,t'��\2�2'0 L —� � -
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TOWN OF BARNSTABLE
LOCATION / � '.3 I� 1)� s �?c� SEWAGE #
VILLAGE C��'N ��2 V t,� ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.r- ,Q 91�. ,s .,(1l�.RR.L,.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) Z,/ d 0 (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER A
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
4
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gar 7'
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Bk 15959 Ps59 06,6507
t 08--23--2004 al 11 =51a
4
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Town of Barnstable ''a �
Zoning Board of Appeals
Decision and Notice r:�
Appeal 2004-098—Thomas
Modification of Special Permit 1987-70 :
ra
To allow for a 20 x 20 ft.storage space located above the garage to be used as living space—a family mom
Summary: Granted with Conditions
Petitioner: Frank and Georgia Thomas
Property Address: 143 Hayes Road,Centerville,MA
Assessor's Map/Parcel: Map 211,Parcel 027
Zoning: Residence D-I Zoning District&AP Aquifer Protection Overlay District
Relief Requested&Background: ---+
On August 27, 1987,the Board granted Special Permit 1987-70 to Georgia S.Warren to allow for the
C:
expansion of an existing non-conforming garage. That permit allowed for a 4-foot by 20 foot expansion
of the footprint of the garage and the building of a second-story above the garage area. In issuing the r-.,
permit,the Board conditioned the use of the area for storage only as that was requested by the applicant.
:
The permit allowed the garage to be situated 2.5 feet off the side property line where a 10-foot setback is
required, 10 feet off Hayes Road where a 30-foot front yard setback is required and 17 feet off
Wequaquet Lake where the Ordinance today would require a 50-foot setback as per Section 2-3.7(2) L_
Setbacks from Wetlands/Great Ponds.
Today,the applicants Frank and Georgia Thomas,who purchased the property in August of 2002,are
seeking to modify that permit to allow the second floor of the garage to be used as habitable space.
The subject lot is a 0.18 acre lot located at the end of Hayes Road on a very narrow peninsula of land in
Wequaquet Lake. According to the Assessor's record,the lot is developed with a two-story,two-
bedroom dwelling of 2,203 sq.ft.,of living area. The structure dates to 1962.
Procedural&Hearing Sununary:
This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on
June 15, 2004. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent
to all abutters in accordance with MGL Chapter 40A. The hearing was opened July 21,2004, at which
time the Board found to grant the appeal. Board Members deciding this appeal were,Sheila Geiler,Gail
Nightingale,James Hatfield,Randolph Childs, and Acting Chairman Ralph Copeland.
The applicant Frank Thomas represented himself before the Board. He stated that the property has a
purchase and sales agreement with potential new owners and they desire to have the space usable as
habitat area of the home as they intent to remodel and expand the existing bedrooms. The Board noted
that the total number of bedrooms on site is limited to two(2)and that no new bedrooms can be added.
The applicant noted that he was aware of that and the potential purchasers are also aware that the total
number of on-site bedrooms can not exceed two.
r
Bk 18959 Pg 60 #66507
The applicant stated that the bedrooms are small and the desire by the new owners is only to make larger
bedrooms possible. This is the only area that the home can expand into as the lot is small and there are
wetlands and water on two sides of the lot.
Public comment was requested and no one spoke in favor or in opposition to the request.
Findings of Fact:
At the hearing of July 21,2004,the Board unanimously made the following findings of fact:
1. The applicants in Appeal 2004-98 are Frank and Georgia Thomas seeking to modify Special
Permit 1987-70 to allow for a 20 x 20 ft. storage space located above the garage to be used as
living space—a family room. The property is located as shown on Assessor's Map 211,Parcel
027 addressed as 143 Hayes Road,Centerville,MA in a Residence D-1 Zoning District.
2. The subject lot is a 0.18 acre lot located at the end of Hayes Road on a very narrow peninsula of
land in Wequaquet Lake. There is only one principal building on the lot. The structure is small
and the bedrooms are also small. The ability to expand that structure is limited by the location.
It is surrounding on two sides by wetlands and water.
3. The applicants have a purchase and sales agreement with potential new owners and those new
owners seek to enlarge the existing bedrooms. The area of the expansion already exists it is only
a mater that the area is restricted to being uninhabitable space.
4. To permit that area of the structure that already exists to be used a habitable area would not pose
any significant detriment to the neighbors or neighborhood in that wetlands exist on the
neighboring lot and the dwelling located on that parcel is situated approximately 130 feet from
the garage.
Decision:
Based on the findings of fact,a motion was duly made and seconded to grant the modification to remove
the storage restriction imposed on the second floor of the garage,subject to the following conditions and
restrictions.
1. The first floor of the garage shall only be used as a garage and not converted into habitable
space.
2. The total number of bedrooms shall be restricted to two.
3. If public sewering should become available in that area,the owner of the property shall be
required to connect the dwelling to that system within 60 days of the sewer being made available.
4. The existing building and structure(the deck)shall be considered full build-out on the lot and
neither shall be expanded in area or in footprint.
5. A building permit shall be applied for,for the interior finishing of the area above the garage. All
improvements to be made shall be required to meet today's building codes. All inspections
required prior to the issuance of an occupancy permit for the area. The Building Inspector shall
also verify that there are only two bedrooms total on the property.
The above five(5)conditions replace all prior conditions imposed by Special Permit 1987-70.
2
i
Bk 18959 Pg 61 #66507
i
The vote was as follows:
AYE: Randolph Childs, ,Sheila Geiler,Gail Nightingale,James Hatfield,Ralph Copeland
NAY: None
Ordered:
Special Permit 2004-98 is granted with conditions. This decision must be recorded at the Registry of
Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year.
Appeals of this decision,if any,shall be made pursuant to MGL Chapter 40A,Section 17,within twenty
(20)days after the date of the filing of this decision,a copy of which must be filed in the office of the
Town Clerk.
la�lpCope and,Acting C airman Date Signed
I,Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby
certify that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and that
no appeal of the decision has n filed in the office of the Town Clerk.
Signed and sealed this da o &DO/9""und6i t e pai an penaltiL 'S�e—er-Lzl
e �fi LL, _>•'• ;
M
Linda Hutchenrider,Town Clei✓lcc�^ .• a
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y. Bk. 18959 Pg 62 #66507
Proof of Publication
LEGAL NOTICES
77
70VffN QF$ARWTABi ZQ Q OF APPALS
NO`I ICE tyfi PUMAC'HEARING UhIbER TEE 2UNING
ORDiNANGt
,Jule. ,20Q4xv
70 a 14C, c tiaii t 1
of Chapter 40A Qf the Gorieral rt aws of he Cbmnfbnwealtli'Of M iss<�cirasetts triad tit
amendMents therejo you are hereby nottfieii that
y:00 P Appeal Z004 098
drank an¢:Gebrgia Ttt9nja have ,pliQd fpr p M
or odtfraGb+3 of 5$pe�t{�Pr^mit}t987 fit?to
allow, a fit)x h 2t) 06. 'e,�pace tgcateci bbcfve ih2 gi%ngetnk a used r,ti.,w�u7 s}rzicr
a family r60ih ' he prbpetty r �cfcotgd as shown orz AssK5l of s bo 24't Pzkcit�0,
0ddressed'as.143,Hayes RoaQ Centerville,MA,n aAe$ide,ue ? 1�rnartO.Q+stn�t
Oavld H iind utarir l tsay.,It !c>'ap�il,ed for H: ' bdgie 6r es' ec�I fientl,t?OD3`t 11
tstiued tq Chrirtophef Lane fbr3 demolnron and tec�aSstrucUtl(t of tt snt�xlQ Fanvtygiwell,ilfl
on a non-cots or<rnn fot The appYGants s'eotc 3o mS�d�t3'ihe,�tspfoved wG�r;s5t4r t+yct:,s �v
; Welirng he iropei2y i�ci`cated as shown bn ASsessOWr M'ip440, ci
as 30 Mayflo+k _Lane gsRerari(le`f,AA+rt f esicienbe t; c�ninc�C`)XStli
eT t ?
:30P:rN1. Centew>f�ld itC pl==I x�►p a) dob Ta
Thomas,Capizzt,Jr;:/C@ntervjlle L�.G frasp�plied fof�.S,peclal Pe..in'1+t rn c4ord�nc�'wtth ;
Sect,on'4-4 3(2)Nary contQrinifig BtiildrngS or'$trttbto Usecl,,�i:$+n 7t�+'ot Twn fii,ttily
Aesidenoes and:fii d+rrgs unCel,Meat CttiaptEr AOA",' 4`cWh .{Tot,the iiemol+tinsr'.1+tci
reCoftstructton bf a:;ingle tam+ly dwelling on a,+ior1 cottlnntnng 9Q(The to ptryy is ISateti
as shown;on Assessor s Ntap 20t3,P,erce!125 iti�tdressep its ttii$q Cr�,gvdfo Be60)Rgrhd
Centernlle MA rn a.Resrdcartce R Xoning�Istrit l
These PubMc tieantag§vwll bra'iteid af Clue 8nitistaGl6vun#sail 367 Mania Hytiittue
MJ�.Hearirtg Hoom.;�nc��labr Wediie�day July�t,��tA Plsttstind ctypl+c.:51Nor+ ,i,r�y be
ii?viewed e{the Ptonn)ng Oiv+sip{t Zbta,ng Hbi�1,'of App�eyfs Offic9 Tc�w1t C7ffe� 20k1M tpt
::Street,tiyanrns MA � ` r:
d 5
, ,,.fllntc3lM'Cri>z`ef¢rL111 Ch�rt;+tlm
t3cki#4t1fA
f.
The Bamstat?IQ PQtnot
J*2 and July 9 20Da r
0
to
Parcels Within 300' of Map 211 Parcel 027
This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this
M list is responsible for ensuring the correct notification of abutters. Owner and address data taken from the Town of Barnstable Assessor's database i
on 6/20/2004 i
pa Mappar Ownerl Owner2 Address 1 Address 2 City State Zip Country
16094 GILES,ETHEL ADAMS& AMS,RICHARD C
d1 P 0 BOX 84 CENTERVR I.A IMA 102632
i.
to
M 210095 AMS,RICHARD C T - rBOX 255 CENTERVILLE 02632 USA
00
x 2I --I
10096 CANNIFF,JOYCE D TR YQUAQUET REALTY TRUST 106 HAVES RD CENTERVILLE IMA 02632 USA I.
' I
211023 BRAVER,MARTQ�I D
BOX 690345 QUINCY 02269-0345
W
11027 THOMAS,GEORGIA S&FRANK W 143 HAVES RD ICENTERVILLE MA 632 p
O
CC
11030 BRAVER,MARTIN D PO BOX 690345 QUINCY MA 2269-0345
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Monday,June 21,2004 i