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0940 OLD STAGE ROAD - Health
940 OLD STAGE RD, , CENTERVILLE A-172-093 1 No. 42101/3 ©RA ESSELTE 10% 0 0 0 0 i TOWN OF BARNS ABLE LOCATION CJJ l `t�' SEWAGE # _ VILLAGE ASSESSOR'S MAP & LOT 7 - INSTALLER'S NAME&PHONE NO. (sue- C>e�Nc SEPTIC TANK CAPACITY D Q LEACHING FACILITY: (type) NO. OF BEDROOMS ,() BUILDER OR OWNER 001,1 f P e2F PERMITDATE: " b COMPLIANCE DATE:T Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by G ASSESSORSWt4m` A N PARCELNO: ..� Fee THE COMMONWEALTH OF MASSAC PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ApphCatton for Migozal *pgtem ComgtrUCtton 3permtt Application is hereby made for a Permit to Construct( . or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. , Owner's Name,Address and Tel.No. C-.514T'a_.t i Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 4 ss< Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow E6 &ff gallons per day. Calculated daily flow '� gallons. Plan Date_BIZa -It I9tAto Number of sheets_ Revision Da e Title Chi` E(� ice' tT , �4444 �"0 t,�J�iA9� S �X'1-E�'L4-- tl� uC� 1 if Description of Soil 31 ® © . v►i 1 _ , tc P 112d C AAL-5D Amb, Nature of Repairs or Alterations(Answer when applicable) 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 Certifi- cate of Compliance has been issued b this Board of H alth. Signed o Date Application Approved by Application Disapproved for the following reasons Permit No. J?&* Date Issued �� s - i f No. ''`` ! Fee '�F "�/ L \ THE COMMONWEALTH OF MASSACHUSETTS 4 PUBLIC HEALTH DIVISION -TOWN OF•BARNSTABLES MASSACHUSETTS M Y for Mig aal *pgtem Construction�� "tcation � Permit i Application is hereby made for a Permit to Construct(��®rRepair( )an On-site Sewage Disposal System at: Location Address or Lot No. ,(.g Owner's Name,Address and Tel.No. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures j _ r� Design Flow 'J &f p- gallons per day. Calculated daily flow gallons. Plan Date MAO. -1 1961Ld+ Number of sheets 21 Revision Da e Title CE�'t'1 i=-(E1� I�.f1T c.aFJdR. IZ� Description of Soil 3�1-®+ 0 , off Nature of Repairs or Alterations(Answer when applicable) 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 Certifi- cate of Compliance has been issued b this Board of Hpalth. Signed Date N 1 Application Approved by (7 Application Disapproved for the following reasons Permit No. �► ,! Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On- a Sewage Disposal System installed( ✓<or repaired%replaced( )on by G G for V,_Agr-7� 1"7" as has been constructed in accordan �e with the provisions of Title 5 and the for Disposal System Construction Permit No. dated �M 'Use of this system is conditioned on compliance with the provisions set forth below: No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS li5pogal *r6tem Con.5truction Permit Permission is hereby granted to 4 r to_coggruct( Py repair( )an On-site Sewage Syst Gated at /' and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within two years of the date below. Date: t ` �� 9 Approved by 'SItJGI.E FAMIL.`( 3 E PL A" ON BA4L 4&MW 00 6AalMeorii a*4VW- VAlLy R4%1 = 3 X I10 = 3>W gPj> LOT d-� Oc.n 5`r�lo€ SwnG TANIL S UiL 1500 GAt.• Lj:A441&6 l - Cno x A 4prU cATtoN AMA W V- GPD s O,' SF=4.46 gF APPLZAT►oN 5M=WAU- AAA=4o�x 2�x?- 24v%F 'bts'Z'Ai L of LPWAIkW- TWA VoTT•oM Ao=A =loop X�-' 2do SF �aH �o►pllt. A2%0 4� IF 1,o,: ,;byc. , p�toLAti7lorJ I7� �5 MW�IIJcN � t" r-�s low 4• ter= cl� S H pF i 094--Towa `"OF PETER _X,•------� A. 1��M NO.29M ��-"mpg- eP 9 o, a R- CML �o o 0 tW �•r 7=2G°8 LsA4t -Ratwct�C �r 4 �L= 95 �ti i `• -f- fidwr 4 rWf 61 0 1.Ct(.11;,T1a•1 C.�tiJ'T�JIt.d..E figs 15 .1�kt�tlo SCA `t� MA2.'j�19440 F7"po4L_ I{�gpN C4w1p,K '11/rM. TIM Si mu 4s AW Lo i' 41� L G 32-61s I OWU OF TUG. IDMA4 OF �P 1-1Z pAP.G�t_ 93 -E%r,? 7A -L A►ro. _L ..lkr L�TOD W I MIN A Spcta 4L FtstvD $AkTU2- y Nye I NG n n LMjv 'ot w ym • 041 N45W o�sers� �Ron�: Bvt�,n+l�Grr s►ao�ts� Nor .s�� APpuc.�T: +�� {� �Jo1.1 W A 1'Iec5 ' ��a F' a •. t�oM�l.4 PeES f; y ` 4' \ a6�4 SGAL6 SD Ase 23,MY ZVA/,F 2C 20 �/D �►O a�Ea a � MAP i 72 FAG 93 es 4b IN" OF a 9 v � o PM b � �. SULI,iVAN w N0 26M qq•t OAIAI.E�'`'�'' 1 r� 4� 1 • �ii� � �e I � 3 Dp W• j""4 � `.� 53-13G 40. 3 J 4�/IK 4,IG A. ar46 o�p SP-A,64,. Postal oCERTIFIED MAILTm RECEIPT a (DomesticOnly; Provided) For delivery information visit our website Im at me y xrx 7g rsy� .3 ,CO Ln Ln Postage ,$ t I C Yiih/ p Certified Fee � I,lO H p0 Return Reclept Fee Q� �� He e� , (Endorsement Requied) p p Restricted Delivery Fee cO (Endorsement Required) N Total Postage&Fees $ I- -Ole m p Sent To 1 P1"P - `ai�eehw�c� f` - ----------------------------- Street,Apt No.; or PO Box No. �. p> a 3 0 ----------------- ------------------ ----------------------°....... City State,ZIP+4 , o�i �a ODA PS Form 38rr June 2002b Certified Mail Provides: (esramd)ZOOZeunr'ooec-odSd ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders., ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. I ■ For an additional fee,;delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. ■ If a postmark on the Certified Mail receipt is desired,please present the arti cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. f SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete la�� item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. g !?( Tinted Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, �'e , 00 or on the front if space permits. 1 D. Is delivery address different from item 1? ❑Yes r 1. Article Addressed to: If YES,enter delivery address below: ❑No >z t� R, C9rpe�wlxo� 3. Service Type 'Certified Mail ❑Express Mail f ❑Registered Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 70 13 1680 0004 5458 3510 �I (Transfer from service label) PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE 7"!.' First- Class s Mail Postage&Fees Paid USPS Permit No.G-1 0 • Sender: Please print ioUr"Jinarne, address, and ZI P+4 in this box • Public Health Division Town of Bamstable 200 Main St Hyannis,Massachusetts 02601 Ili Mlifil:Ld! Hd Mli IkIll....hill Health Complaints 28-Feb-06 Time: 8:35:00 AM Date: 1/31/2006 Complaint Number: 18644 Referred To: DAVID STANTON Taken By: JOAN AGOSTINELLI Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS Business Name: d Number: 900 4, Street: Old Stage Road Village:-'fiYAldN+&_ �r / Assessors Map_Parcel: Complainant's Name: Anonymous Address: Telephone Number: Complaint Description: Utility Easement has a great deal of rubbish (mostly mattresses, abandoned cars, washing machine, tires) Power company is cleaning some of limbs and is away of the problem. It is owned by J. Craig Medeiros. See attached assessor information. Actions Taken/Results: DS WENT TO SAID LOCATION. MUCH RUBBISH PRESENT. DS COULD NOT TELL WHAT WAS ON WHOS PROPERTY. DS SENT ORDER LETTERS TO THE 3 PROPERTY OWNERS AT THIS LOCATION (900, 940, AND 944 OLD STAGE ROAD) 940 AND 944 CALLED TO SAY IT WAS CLEANED UP, BUT THERE WERE STILL TIRES ON 900 OLD STAGE. DAUGHTER OF CRAIG MEDEIROS, DONNA CALLED TO ASK FOR AN EXTENSION FOR HER FATHER, AS HE IS OLDER. DS SAID THAT IS FINE, AND HE WILL WORK ON IT ASAP. PHOTOS ON FILE. DS WENT BACK TO SAID LOCATION ON 2/24/06, THE OTHER PROPERTIES WERE CLEAN, JUST TIRES LEFT ON 900 OLD STAGE TO BE CLEANED UP IN THE FUTURE. 1 Health Complaints 28-Feb-06 Investigation Date: 1/31/2006 Investigation Time: 1:45:00 PM 2 Certified Mail: 7003 1680 0004 5458 3510 Town of Barnstable Regulatory Services Thomas F. Geiler,Director MAM 03 - � Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 2, 2006 Jeffrey R. Greenwood PO Box 230 Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE CODE The property owned by you, located at 944 Old Stage Road, Centerville was inspected on January 31, 2006 by David W. Stanton, R.S., Health Inspector for the Town of Barnstable, because of a complaint. The following violation of the Town of Barnstable Board Code was observed: 353-1 Responsibilities of Owners: Rubbish was observed on your property. It is noted that this is probably the result of illegal dumping on your property, however, as the property owner, you are responsible for maintaining the property in a clean and sanitary condition. If this problem persists, you may want to look into the feasibility of installing gates with locks and\or surveillance cameras. You are directed to remove the garbage and rubbish from your property and dispose of it properly within 14 days of your receipt of this notice. 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 will result in a fine of$100.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF T E BOARD OF HEALTH omas McKean, CHO, RS Director of Public Health Town of Barnstable \Orderletters\Refuse\944 Old Sta e Road.doc Q g I� u '4 fig" �,« ,• �� ` €�t � T Logged In As: ParcelThursday, Februarys 2 2006 Parcel Lookup Parcel Info ...........r Parcel ID 172 093 002 Developer Lott LOT 49 ....,,.�_ _.. _. _. - - ._.------ . ......... Location'944 OLD STAGE ROAD Pri Frontage22 Sec Road I Sec Frontage village!CENTERVILLE Fire District jC-O-MM Sewer Acct I Road Index i 1174 Owner Info Owner(GREENWOOD, JEFFREY R Co-owner. . . -_ ........ __.-.__ . _�... ... _... Streetl P O BOX 230 Street2 _. ___..... . ._.___ . .....,. _ __._ _ ._.___.._.. .... City CENTERVILLE State MA Zip�02632 Country Land Info Acres}1.09 use Single Fam MD L Zoning AC Nghbd 0105 Topography Level Road 'Paved ............... ......... .........- Utilities' Location:Rear Location Construction Info .............. ....... ..............._....... ....................................................... _ _ ................................... ................... . ....... Building Year:2004- � � __..____.... Roof �H�� AC . G able/HI Built Struct p Type i Central Click for Building Detail Effect•......._. ... Roo f _..., . _. Bed 2241 Asph/F GIs/Cm 2 Bedrooms Area Cover= Rooms -. Int _._. .. Bath Style Cape Cod Wall Plastered Rooms Model Residential Total I Rooms'- _... ....__— Int Bath Grade Custom Mims. Floor _...___ _ Style i Stories i � Kitchen _. .. Style Ext __ _-.. .,, Heat __. _...... ,,_._..._. Bath Wall Wood Shingle Fuel = splitCarpet _...._ Heat V _. __...__.. Found-3. .._ __ _.......__....w Type Hot Air ation 1Gas Permit History Issue Gate Purpose Permit# Amount Insp Date Comments 8/30/2004 Finish Basement 78939 $3,000 5/3/2005 12:00:00 AM 3/23/2001 New Dwelling 52306 $164,256 5/18/2004 12:00:00 AM 12/2/1997 New Dwelling 27476 $55,000 6/9/1999 12:00:00 AM VOID Visit History Date Who Purpose 5/3/2005 12:00:00 AM Martin Flynn Meas/Listed 11/8/2004 12:00:00 AM Gary Brennan Drive by inspection only 5/18/2004 12:00:00 AM Martin Flynn Call Back Next 10/28/2003 12:00:00 AM Gary Brennan Drive by inspection only 8/4/2003 12:00:00 AM Martin Flynn Measur/New UC Under Construction 2/11/2003 12:00:00 AM Martin Flynn Measur/New UC Under Construction 10/23/2002 12:00:00 AM Martin Flynn Measur/New UC Under Construction 3/1/2002 12:00:00 AM Martin Flynn Measur/New UC Under Construction 5/22/2000 12:00:00 AM Martin Flynn Bldg Permit N/C 1/5/2000 12:00:00 AM Martin Flynn Bldg Permit N/C Sales History Line Sale Date Owner Book/Page Sale Price 1 1/3/2001 GREENWOOD, JEFFREY R C160273 $47,0 00 2 4/7/1998 BROWN, TYLER T C148026 $20,000 3 8/13/1996 PIRES, DONALD C141694 $1 4 3/15/1996 PIRES, DONNA C139924 $19,000 5 ELLIS, JACKSON L C62814 $0 Assessment History _..._. Save# Year Building Valise XF Valise OB Value -Land Valise Total Parcel Value 1 2006 $253,500 $9,200 $0 $151,800 $414,500 2 2005 $0 $0 $12,300 $134,000 $146,300 3 2004 $0 $0 $12,400 $157,300 $169,700 4 2003 $0 $0 $12,500 $66,500 $79,000 5 2002 $0 $0 $0 $66,500 $66,500 6 2001 $0 $0 $0 $66,500 $66,500 7 2000 $0 $0 $0 $49,000 $49,000 8 1999 $0 $0 $0 $49,000 $49,000 9 1998 $0 $0 $0 $49,000 $49,000 Photos FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 B Date: No. P ro51 Commonwealth of Massachusetts 8�z�usTs,ac t , Massachusetts Soil uitabili Ass ssment or On-site ewa a Dis osal 11 ......15�.1aq N4o Date: Performed By: !. !�I ....f .:.................. Witnessed By: .. ...��"�' ..... t"pwr�........P..1�........�.1.M�`tT�+�.�.......�.,....O.F..d.t&k.T61.......................... ewlel's w,n, !� �Ohl►�!� ��VLES «uion Addmu Of ,►dart,..•W 1 A 2 S v Q W.N eT R� L01 46 491 D .9r-A&& ED rokom i G�NTE�-�1e•�•� ��?J1-�iYj.�/tI�VL MA,? I n. PICA. 9 3/Cad i New Construction ® Repair ❑ Office Review lished.Soil Survey Available: No ❑ Yes Pub k ZS Soil Map Unit C Year Published 1• . ........,-.Publication,Scale �XaS551.VE........ Soil Limitations ............................. Drainage Class Surficial Geologic Report Available: No ❑ Yes 1...`1:.'l 1.r Publication Scale Year Published ' a Unit �.6.Q................................................................................................................................... Geologic Material (Map ) ....................................................................... Landform ........:4 .7... Sb�........1...!- t>.1....................:.............................. Flood Insurance Rate Map: Above 500 year flood boundary No ❑Yes - Within 500 year flood boundary No LJY]es ❑ ' Within 100 year flood boundary No LJYes ❑ Wetland Area: National'Wetland Inventory Map (map unit) . ............................................................................................................... ................................ Wetlands Conservancy Program Map(map unit) Conditions Month .. ...... .. Current.Water,Resource. Range :Above-Normal ❑Normal ❑Bela i Normal Other References Reviewed: DEP APPROVED FORM-12/0719S P"P6 FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 M I'1 Z � 9 Location Address or Lot No. On-site Review Z -PT-Olt Deep Hole Number ::. Date:. . 'L ...:... Time:.:. ..10.., .A-wA Weather i � °Location (identify on site plan) ». .». slope (%) Land Use 15.E .. Surface Stones °.. ...ONE zo4y A V- .D'3 Vegetation Landform Position on landscape (sketch on the back)�� ....... .. . Distances from: Open Water Body 000. feet Drainage way. :.: 3 feet Possible Wet Area ../30.0.: feet Property Line ..:::..:.:'Z9. feet Drinking Water Well feet Other ...:.,:. ..::::::.:::.:::..::.:. DEEP OBSERVATION HOLE LOG* Depth from' Soil Horizon Soil Texture Soil Color Soil Other Gra (USDA) (Munsell) Mottling (Structure,Stones, Boulders, Surface(Inches) rs, Consistency, °� 3 0'' a 1-4 7 S yq 1L p ,, �► Fiat. � io ye 6 a ►� .nay yr G�rn✓a�C. 21, 1 Zip 41,Ae L Parent Material(geologic) O DepthwBedrock: V WAS Depth to Groundwater: Standing Water in the Hole: l Weeping from Pit Face: Estimated Seasonal High Ground Water: Tr DEP APPROVED FORM-12/07/95 FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. d 7- c n .rra G ig p ��^ '�"�p 17 z/93 Determination for Seasonal High Water Table Method Used: e ❑ Depth observed standing in observation hole......... inches ❑ Depth weeping from side of observation hole.................. inches ❑ Depth to soil mottles inches ❑ Ground water adjustment ................... feet Index Well Number SD.w....'.Z5L Reading Date ...I��9r. Index well level .. 7 17. Adjustment factor ..".; .'..Z Adjusted ground water level ...................................................._... Depth of Naturally Occurring Pervious Material Does at least four feet of naturally the soil absorption n pervious risysteal �m?st ina�Es�area_ observed throughout the area propsed for If not, what is the depth of naturally occurring pervious material? Certification I certify that on MAY JJJ9 (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature 'ILL 6 Date i DEP APPROVED FORM•12/07/95 f � or 4, zs M v U 40 v 40 of N a � ZAD �l FORM 12 - PERCOLATION TEST � I Location Address or Lot No. .0rM &D Sr,4a,9 / C6�uT WAP r7z�93 COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test* 2- IS-:1L Time:..:...::Lo.:.3a:::..:Ot-r+•► Date: Observation Hole It / Depth of Perc Start.Pre-soak End Pte-soak Time at 12" Time at 9" /o,2,0 Time at 6" Time W-61 M/ Rate Min./Inch • Minimum.of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed Site Failed El ........................................................................................................... Performed By: Witnessed By: � +' Or 'STPa� DA of �i~�L1`b/ Comments: . .. :. .._..� ..�. ��. v�..............,.v..M �.. �,w.:..w..�.. ... �......�..:....�.:. ��� �...Mw.:-- DFP APPROVED POLM-IV07/95