Loading...
HomeMy WebLinkAbout0300 RIVERVIEW LANE - Health 300 RIVER VIEW LANE, CENTERVILLE A = UPC 12534 No.2-153LOR WO HASTINGnS. UN ` 'OWN-OF BARNSTABLE LOCATION ( ���(�/���-s SEWAGE## VILLAGEC— / �� ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY � C) LEACHING FACILITY:(type) — :— (size) X NO.OF BEDROOMS OWNER PERMIT DATE: jJ l COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 f ility) Feet FURNISHED BY i3� o� Hones A2 A3 -yr g3:a6 --3 n TOWN OF BAR.NSTA.EBLE `,OCA,'Fi0N 3 C,D I !��U C/"U;ecl L h SEWAGE # .._ JTC LAGfi, �e A fe/v r"l`I C ASSESSORS MAP&LOT___ ___.__,,, STAI:-ER'S NAME&PHONE NO. I'EMC TANK CAPACITY �.EACI ilNts FACILITY,Y: (type) C tit•µ /S (size) 140.OF UDROOMS.,.�_.._ BUILDER OR OWNER. � \ 5� �T®A :,._.� _ �__..COi�iPL.tAI�I, � separation Distance Between the: Aoximurn Adjuswo CroundwaterTable to the Bottom of Leaching Facility Eeel private dater Supply Well and Leaching Pacilioy (If any wells exist Feet Lonsite or within 200 feet of leaching facility) of Wetland and Leaching Facility(if any wetlands exist Edge 300 feet of caching facility) �4a ,,, , /Lt=Clio VVV ' BH E A of Fee ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS es Tipptitation for 30isposai *pstem Construction Permit Application for a Permit to Construct( ) Repair V<Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. Q0 /P Owner's Name,Address,and Tel.No. � &(4j/l ,. gZt Assessor's Map/Parce n_� C 4 Installer's Nam ddress,and Tel.No. �� Designer's Name,Address,and el.No, �/ /l.M10PS oli6 ar c� Type of Building: Dwelling No.of Bedrooms Lot Size/ sq.ft. Garbage Grinder( ) Other Type of Building 40 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) j gpd Design flow provided , y gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil , Nature of Repairs or Alterations(Answer when applicable) !�t✓ / - 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 H altf. 1 Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 2 a '(.} y Date Issued u No. Fee / 0 U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 21pplltation for bispo8al *pstem Construction peratt Application for a Permit to Construct( ') Repair(41 Upgrade.(. ) Abandon( ") ❑Complete System Individual Components 5 Location Address or Lot No. Qp �/J �'V o�,c v Owners Name,Address,and Tel.No. ��r>� - /0 f p/ I .. Jam % 6CU17C: l4 Assessor's Map/Parcel rc �U ! /h�g { J t Installer's NameAddress,and Tel.No—`,f1 G-'7f7 ���� Designer's Name,Address,and Tel.No.�6l'kZ!°17 07� C-1116 Type of Building: Dwelling No.of Bedrooms �`7 Lot Size/ V sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided (�V gpd Plan Date r Number of sheets Revision Date f�' ��- Title Size of Septic Tank � ,!`f71� Type of S.A.S. _ MC Description of Soil v Nature of Repairs or Alterations(Answer when applicable) j � `GJ �- S A , a t 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. C Signed %/% = cam, . ? y�� Date / L Application Approved by M �.• _ ,� Date Application Disapproved by Date.- .. for the following reasons y. Permit NO. D U Date Issued / /0 t 2- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS uSv) �s C, �jec�ruon� , Certificate of Compliance THIS IS TO CERTIFY,that the On-site-Sewage Disposal system Constructed( ) Repaired( L-J— Upgraded( ) Abandoned at �%/;12 LI,E� ➢( /1/ �I���/ has been constructed in accordance with the provisions of Title 5 and the for-Disposal System Construction Permit No._?o dated ( - /o /.. y Installer /�+f`^' • y •-/; - Designer #bedrooms _� Approved design flow 3 3 (J gpd The issuance of this permit shall not be construed as a guarantee that the syste'w`ilr crioni°-d signed. Date >-J ) Inspector No. U 1 -01 -7 Fee ' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS , Misposal 6pstem Construction J)ermit r Permission is hereby granted to Construct( ) Repair(M/ Upgrade( ) Abandon( ) System located at j JU' (- ✓.? / f�� /�, ,f i and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this perm/it� Date } 0 - / Approved by / Town of Barnstable 1WHE' i.� Regulatory Services Thomas F. Geiler,Director saxxsrAer.E, S Public health Division i639. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 503-362-4644 Fax: 503-790-6304 Installer & Designer Certification Form M ) Z®i� Sp Date: � Sewage Permit# � Assessor's iV1ap\Parcel Designer: 7�)afCfAM M Installer: a - Address: Address: �� T� �� L S )VW D2S 1 On —�� r f ;',�550W, ssued apen-nit to install a (date) �M (installer) septic system.at based on a design drawn by l AA (address) ` a"PA ,vie"W dated 1- (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. OF MqS 2� 0 R (Installer's Signature) ( o: 1140 (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNST ABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health/Septic/Designer Certification Form 3-264doc I Town of Bnstable. P# d cJ < of� Department of RekWatory services • Public Health Division Date rrarsBL& pose 163¢ `e�' 200 Main Stree4 Hyannis MA 02601 ~lfD MA't� / '✓ Time /C_ Fee Pd. o� Date Scheduled I . i `oil ,suitability Assess raier�t fog yvttage Disposal Performed By �f f ` ei� ' Witnessed By: ! j :: LOCATION & GENERAL INFORMATION Location Address - 11� 1IQ��J �t%! Owner's Name ��/ U Address �K .(0�� `3 �NvV?1(C �� bk 1, S> -r,' 7526.4' Assessor's Map/P4rcel: ��1 I Engineer's Name D&Y—Y-e I) n �� NEW CONS' U�rION REPAIR �L� Telephone Land Use GS 14Tt�V Slopes('Yo) ' U Surface Stones 206 i y ft Drinkin Water Well Zoo ft Distances from: Open Water Body ft Possible Wet Area g i I)tainage Way 7�O ft Property Line 7�y ft Other ft i SKETCH:(Street name,dimensiods'of 104 exact locations of test holes&pert tests,locate wetlands in proxitnity to holes) O %o 0 150.00'(DEED) J I.I6' —10.- fn 0 stop N ` ' O �. FENCE . ------ /mi1l --49 ' i r 150.10'(DEED) g - -Etw RIVERVIEW LANE H t I i Parent material(geologic la l ez S`, ' Depth to Bedrock All I Weeping from Plt Face N ----, Depth to Groundwatdr. Standing Water in Hole:' i Estimated Seasonal Nigh Groundwater N A i DtT ATION FOR SEASONAL HIGH WATER T, LE Method Used: ! in, Depth C1bperved standing,,'n obs.hole: in. Depth to Sall mottles: it i in. Groundwater Adjustment Depth toiweeping from side of obs.hole: I u A factoC, ._ Adj.Groundwater Level_ Index Well# — Reading Date Index Well levi 1 �• _ I PERCOLATIONTEST ' Date,. Observation --- Hole# 3 �► - Time at 6" Depth of Perc 11' Start Pre-soak Time.C� L`� d ?' 'Time(9"-6") End Pre-soak Rate MinJlnch Site Suitability Assessment: Site Passed X Site Failed: Additional Testing Needed(Y/N) Original:.Public x,e;iith Division Observation Hole Data To Be Completed on Back— ***If percola#On test is to be conducted within 100' of wetland,You must first notify the Barnstable C44servation Division at least one (I we6k prior to beginning. I DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel 29'- 132' (f 2 5 &A, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel) Ott 7 tt : L�.� ," Io OIL N A 44 DEEP OBSERVATION HOLE LOG Hole# N Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten ra I Flood Insurance Rate Man: / Above 500 year flood boundary No- Yes v Within 500 year boundary No Yes, Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring p vious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Envir mental Protection and that the above analysis was performed by me consistent with the requir ni g,expertise and experience described in 3:10 CMR 15.017. Signature( Date ! Z Q:\.SEPTIC�PERCFORM.DOC Town of Barnstable Barnstable IHE Tp�y Regulatory Services Department AlAmmicaM BARNSCABLE, 9� MASS 3 :' Public Health Division VVV VVV �m aMa�a 200 Main Street, Hyannis MA 02601 2007 i63q. Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7006 0810 0000 3524 5386 December 14, 2011 Ms. Sandra M. Cavaliere c/o David Holt Real Estate 1533 Falmouth Road Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 300 Riverview Lane, Centerville,MA was last inspected on 11/25/2011, by Sean McElroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • Over loaded SAS. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system with the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH omas McKean, R.S. CHO Agent of the Board of Health Documentl Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=16125 Logged In As: Parcel CeI Detail Monday, December 12 2011 Parcel Lookup Parcel Info Parcel ID 228-159 I DevelopeY LOT 20, 21 & 22 Location 300 RIVERVIEW LANE I Pri Frontage 150 Sec Road I Sec Frontage village CENTERVILLE I Fire District C-O-MM Town sewer exists at this address NO ( Road Index 1376 • Interactive(�,,,,,, -.rj ,•1,^ �_-� Map�'I t' - Owner Info Owner LAVALIERE, SANDRA M I Co-Owner %FEDERAL NAT'L MTG ASSOC Streetl PO BOX 650043 I Street2 City DALLAS I State TX zip 75265 Country Land Info Acres 0.35 I use Single Fam MDL-01 I zoning RC I Nghbd 0108 Topography Level I Road Paved Utilities Public Water,Gas,Septic I Location Construction Info Building 1 of 1 Year Roof Ext Built 1967 Struct Gable/Hip wall Wood Shingle Living 1580 I Roof Asph/F GIs/Cmp I AC None I TOIz Area Cover Type 2 l ' t2 Int Bed _4 2+; Style Cape Cod wall Drywall I Rooms 3 Bedrooms MT -TQs 24 - Model Residential I Int Hardwood I Bath 2 Full I 4 GAR ,2 .7; i ^4- tBMT• i f2 i2 BMT` t4, Floor Rooms I2,, 16. 24 24 - Grade Average Plus I Heat Hot Water I Total 6 Rooms Type Rooms stories 1 1/2 Stories I Heat Gas I Found- Typical Fuel ation Gross 3640 Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=16125 12/12/2011 o ��� ��.D s� � a s 7�O(I-, Commonwealth of Massachusetts. -- Title 5 Official inspection Form _ - Subsurface Sewage Disposal System Forme=Not for Voluntary Assessments 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 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. A. General Information 1. Inspector: Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name 29 Atwater Dr Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 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 11-26-11 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 4Sewagee t5ins•11/10 Title 5 Official Inspection Form:Subsurfaceal System•Page 1 of 17 T f Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 300 Riverview Ln Property Address Bank Owned (Contact David Holt @Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: 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): G ' t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official. Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 page. City/Town 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 Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts u 4 f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑_. _ The system has.a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the,surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts ,14 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 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 ❑ 1 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•11/10 Title.5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 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 (f any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x #of bedrooms): 330 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 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 Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 6-2011 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-11/10 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 page. City/Town 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: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (f yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ' ❑ Other(describe): t5ins-11/10 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 ,M 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (f known) and source of information: 1999 Were sewage odors detected when arriving at the site? - ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 24 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.): Good condition. Septic Tank(locate on site plan): Depth below grade: 18"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed b a Certificate of Compliance? attach a co of certificate g y p ( copy ) El Yes ❑ No Dimensions: 1500 gal Sludge depth: 12" t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 page. City/Town 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 20 Scum thickness 3 Distance from top of scum to top of outlet tee or baffle 5 . Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed. 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 Trtle 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a` wM 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is Centerville MA 02632 11-25-11 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 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 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real'Estate 1-800-966-2448) Owner Owner's Name information is Centerville MA 02632 11-25-11 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 0 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.): D-box had water at working level with signs of back-up from field. 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 Form:Subsurface Sewage Disposal System•Page 12 of 17 �I I Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments „ 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: u ® leaching chambers "' number: 2-500's ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding,,damp soil, condition of vegetation, etc.): Leach field had clear signs of hydrolic failure with stain lines above inlet invert. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions:of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments G M 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 page. City/Town 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 Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately LOJ6 � p a 4 0 76 t5ins•11/10 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 ,M 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water, ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12 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: pate ® 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: Original design plans show no groundwater at 12'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11t10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 300 Riverview Ln Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 11-25-11 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE f LOCATION 360 21,06e VtC--0 Y ANC, SEWAGE # fr 7 ✓' VILLAGE �1 ASSESSORS MAP & LOTS,?$—i S INSTALLER'S NAME&PHONE NO.j,b F 2�bi�Syry �E,pI t+c 7 75 g7�� SEPTIC TANK CAPACITY i 6 O LEACHING FACILITY: (type) D�C— S (size) NO. OF BEDROOMS a-crt 3 BUILDER OR OWNER PERMITDATE: j 0 h i I-q cZ COMPLIANCE DATE: I i�&9 Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 .. - y� :, Ib� ��+;� ., � 5.3, �; r �5 �� 6 �' L No. C 9—6 7r— Fee 50 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Rppfication for �Digpooal 6pztem Construction permit Application for a Permit to Construct( )Repair(x )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 00 River View Lane , Centerville Sandra Almonte Assessor's Gap/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E'. Robinson Septic Service P 0 Box 1089, Centerville Type of Building: Dwelling No.of Bedrooms -3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank i,�'00 Type of S.A.S. Description of Soil —Sol n G� Nature of Rers or Alterations(Answer when applicable) Title-5 septic system. T'Tank, D-box and. 2 stonepacked. chambers, w ' stone around.. 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 by this o of Heal . Signed Datem6 is g Application Approved by a Date Application Disapproved for the following reasons Permit No. Date Issued U— OS= r 9�'No. (O /� Fee $50 - r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ' 0. Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Z[ppYicatton for Zt2;opal *pgtern Congtructton Permit Application for a Permit to Construct( )Repair )Upgrade( )Abandon( ) ❑Complete System ElIndividual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 00 River View Lane , Centerville Sandra Almonte Assessor's Ma /Parcel r Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P 0 Box 1089, Centerville Type of Building: Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /SOO Type of S.A.S. Description of Soil S a illC) Nature of Repairs or Alterations(Answer when applicable)) Title-5 septic system. rank, D-box and 2 stonepacke cam ers, w ' stone. around.. 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 to operation until a Certifi- cate of Compliance has been issued by this Bo of Heal r / Signed Date/6 ts-g Application Approved by cr, Date /0-fir Application Disapproved fo the following reasons Permit No. --4� '7.- Date Issued U S THE COMMONWEALTH OF MASSACHUSETTS Almonte BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (X )Upgraded( ) Abandoned Wm. E ...Robinson Septic Service 300 � ' )by at lver V lew L^ne, Centerviiie has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 75J dated / . Installer Wm. F. Robinson S r. Designer The issuance of this pe 't hall n°��bee nstrued as a guarantee that the S#S'te wills furncti a des n"ed. .� Date / Inspector `aY 1 �d 0A�i) V_ � 0 -------------------------- -- No. �9'� 7- Fee $50 THE COMMONWEALTH OF,MASSACHUSETTS PUBLIC HEALTH DIVISION--"BARNSTABLE MASSACHUSETTS Almonte Zigogat *pgtem Congtructton Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at 300 River View Lane, Centerville 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. " Provided:Construction must bee completed within three years of the date of this rmit. Date: /o 115- ,, / Approved by A ti 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. a t , ' CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL Y WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, William E . Robinson,: ,rhereby certify that the application for disposal works construction permit signed by me dated 16—lJ! g �! , concerning the property located at 300 River View Lane , Centerville . meets all of the following criteria: e failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. l.,- The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. t�✓ There are no wetlands within 100 feet of the proposed septic system — There are no private wells within 150 feet of the proposed septic system here is no increase in flow and/or change in use proposed There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable) • If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) C '� B) G.W. Elevation +the MAX High G.W. Adjustment DIFFERENCE BETWEEN A and B L SIGNED : DATE: [Sketch proposed plan of system on backl. q:health folder:cert r � I b L ,/} �G V f TOWN OF BARNSTABLE LOCATION 366 L Leis V40 J ANC' — SEWAGE # G 7 VILLAGE -�1.nJI'tiP✓i 06 ASSESSOR'S MAP & LOT S SAC INSTALLER'S NAME&PHONE NO. i,,1M SL�,O K c 7 751 7�� SEPTIC TANK CAPACITY 15 O O LEACHING FACILITY: (type) "Df.L/tJL— l:S (size) NO.OF BEDROOMS A'ca 3 BUILDER OR OWNER PERMTTDATE: j o l r y I9'?--COMPLIANCE DATE: 1 I 17 Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 8 Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by SL I D II —LEI, I� f 9 NAME OF OFFENDER r;,J r, ,' A t o A/ ]BAR 80 330 TOWN OF ADDRESS OF OFFENDER .R C I a BARNSTABLE CITY,STATE,ZIP A CODE j N ci 4 O, r,1z pf NE A MV/MB RIEGIISTRATIO_NN NUMBER AN\'S7'ANI.F: OFFENSE !NABS. 4 o Q P cj t 5 4 t(2. �,,. ,e..k.�, �f 0�� �"�- .e S a TIME AND DATE OF VIOLATION "'�' LOCATION OF VIOLATION •� `� Z NOTICE OF ' :3t) (A.M./ M.)ON, , /i� } ,20 f(� 7�Q It�v VIOLATION SIGNATURE OF ENFORCING PERSON ! ENFORCING DEP,T; BADGE NO, LU Cn 14 OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE (]Unable to obtain sig ture of offender. ~ THE NONCRIMINAL FINE FOR THIS OFFENSE IS i J&b Date mailed 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 a (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 exceppted, 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 mey 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 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 oFISE'Ow1 Town of Barnstable I s 3Pow Public Health Division Q�P o BARNSTABLE. MASS. ` (y ` ` �. 200 Main Street ® 'ffD NUN�` Hyannis,MA 02601 • ; PITNEY BOWEESAA • '� 0004606238 J AN 11 �200110 ?008 .3230 0002. 5177 8889 MAILED FROM ZIP CODE 02601 ,4 Sandra A .1monte s , q ;,Box 425 �., Centerv111e,1Mt1 02632 , 1 NIXIE. 029 01. 02/11d 1.0 RETURN TO SENDER UNCLAIMED UNAMLE TO FORWARD E0: 02601400200 *0969-04963-11-*9 _tom 3NIla3l-Loa.Lva-iozi'SS3UUUVNwnigiiaHi.4o Id SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY I ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. p Agent ■ Print your name and address on the reverse X E3 Addressee so`that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on_the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No Sandra Almonte Box 425 i I Centerville, MA 02632 3. Service Type i�ertifled Mail ❑Express Mail ❑Registered4etum Receipt forMerchandise ; - r-- ❑Insured Mail 0 C.D.D. ; 4. Restricted Delivery?(Extra Fee) ❑.Yes I 2. Article Number ; (transfer from service labeq ii 7 D 8 3 2 3 0 0002 5177 8889 1 PS Form 3811_,February 2004 Domestic Return Receipt T 4 102595-02-M-1 540 i �. I -- �`"�'bw� Town of Barnstable pp Public Health Division g� q�'F RARNSTARLe, • 200 Main Street Q MARS. i6jA � 4pe,V� PITNEY(SOWES Hyannis,MA 02601 � $ 05.540 .. 02 1 A 000460 7009 2820 0003 3168 1367 ev • M41LEDFROM ZIP CODE 026001 E _ ,.. - - - Y 2m]NOTICE UNC ��1aYdE�a: wx_ tJC �7 042 -�t . U.--4 8* E #Li 1i1-11ie lit Iis1-111r1n lilt it His IIs1111'1i1.11""t1 1.111 , � i, z: r - i � SECTIONSENDER: COMPLETE THIS . ON DELIVERY Complete items 1,2,and 3.Also complete A. Signature I item 4 if Restricted Delivery is desired. X ❑Agent I ■ Print your name and address on the reverse ❑Addressee I so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery I ■ Attach this card to the back of the mailpiece, or�on the front if space permits. ' I D. Is delivery address different from item 1? ❑Yes I t✓ 1. Article Addressed to: If YES,enter delivery address below: ❑ No f I a' Ii��onte I I Z� C�ari+�� Road 3. Service Type arj�ngtol�; ZI 02$06 >•Certified Mail ❑Express Mail B ' _-- ❑Registered t�Aetum Receipt for Merchandise \ ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes I \\ i 2 laben Article Number 7009 2820 0003 3168 1367 (� �.+��t 4� � � (Transfer from service 102595-02-M-15401 Certified Mail#7008 3230 0002 5177 8889 TH A Town of+Barnstable 1:1 r l;. 1. + � ft.r t '>✓ + 4 ar y �4' Regulatory Services t t F z'tilFtliTA�Li€ " � r:S_ � isr.j f A � ,Th:omas,.F. Geilerj-Director—Public--Health Division Thomas McKean, Director'''A t _ 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 January 7, 2010 Sandra Almonte Box 425 Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II —MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION, THE STATE ENVIRONMENTAL CODE, TITLE 5. �z. The property owned 'by you :located at 300 Riverview Lane Centerville, MA was inspected.on January 6,"2010 by Timothy O'Connell, R.S. Health Inspector for the Town -of Barnstable.:This inspection was conducted on the basis of the rental registration of the Town`of Barnstable. The following violations-of the State Sanitary Code were observed: 105 CMR 410.300 and 310•CMR.15.00: There'were a,total of four (4.),bedrooms observed in this dwelling; two.(2) were observed on the first floor, two (2)were observed on second floor. However, the existing septic system (permit # 99-675) was not designed for(4) four bedrooms. It was designed for three (3)bedrooms. You are ordered to.correct the violations listed above within six (6) months of your receipt of this notice by pulling any required building permits (if applicable) You are ordered to remove one bedroom from this dwelling by removing entrance door and by opening door-way entrance to bedroom to minimum of five feet wide opening. This will bring the total bedroom count down from (4) four to the appropriate (3) three as designated by your septic permit You may request,a hearing before the Board of Health if written.petition requesting same is received within:ten..(I0)•,days-after the date the, order is.served.e;Non-Compliance,w 11 result iri'a'fine`of$100:00 per violation.• Each''day's failure to comply with an order shall constitute a.separate.violation . },< , , 7 Ji � p tT , : f, � � , , , E �RDER OF,,1 1�I,Ti�ARD O HEALT 7:+:= :G )iJ .JJI. 17l a .rt v•. C:7� .w,c? '. 0, (j.+ Lf T7�`"�!.�._7.:t ,:s,G7;J f ��I p , ' Y I.Y. n �( 7niu? ft mas A sMcKean,sR S., CH �,c OP , .J} _f +fit�,h,-a.zc, �: . ,c...:,",r,' E r r.,IRE Director of Public Health J\ Q:\Order letters\Housing violations\Rental ordinance\300 riverviewlane cent Certified Mail#7008 3230 0002 5177 8889 aF?k r Town of Barnstable i yT Regulatory Services AARN5TdF3r_E r. tAss. 01 Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 January 7, 2010 Sandra Almonte Box 425 Centerville,MA 02632 _ NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY CODE II=MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION THE STATE ENVIRONMENTAL CODE TITLE 5. The property owned by you located at 300 Riverview Lane Centerville, MA was inspected on January 6, 2010 by Timothy O'Connell,R.S. Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration of the Town of Barnstable. The following violations ofthe State Sanitary Code were observed: 105 CMR 410.300 and 310 CMR 15.00: There were a total of four (4) bedrooms observed in this dwelling; two (2) were observed on the first floor, two (2) were observed on second floor. However;the existing septic system (permit # 99-675) was not designed for(4) four bedrooms. It was designed for three (3) bedrooms. You are ordered.to correct the violations listed above within six (6) months of your receipt of this notice by pulling any required building permits (if applicable) You are ordered to remove one bedroom from this dwelling by removing entrance door and by opening .door-way entrance to bedroom to minimum of five feet wide opening. This will bring the total bedroom count down from (4) four to the appropriate (3) three as designated by your septic permit , You may request a hearing before the Board of Health if written petition requesting same is rer,eived within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH mas A. McKean, R.S., CHO Director of Public Health i Q:\Order letters\Housing violationslRental ordinance\300 riverviewlane cent Violation History AcctNo 25239 Almonte,Sandra 04-26-2010 28 Clarke Road Barrington Issue Date BAR No Fine Date Paid Amt Paid Disp Total Due Notice2 Final Hearing Arraign Offense 07-07-2008 79976 100.00 07-25-2008 100.00 Paid 0.00 Failure to Register Rental Property 03-30-2010 _80330 100.00 04-08-2010 100.00 Paid 0.00 Failure to register rental properties in 2010. 200.00 200.00 0.00 TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date + f l I v Time: In r Out l ( ` Owner Tenant ! � r Addresses C'1 Zs Address. Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed // L t PART II y Pj S f 70ft 37. Placarding of Condemned Dwelling; lam . 1�U / /QC) Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed`(max) � Person(s) Interviewed (l�i�-� Inspector If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date 1 — � 4 y Time: In 0 00 Out C) Owner Tenant Address 14 ( �S Address Compliance Remarks or -- Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities r 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents x 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 15, 6 2-5 P5 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed �l 14 PART II �j '`— 66 ISft 70f{� 37. Placarding of Condemned Dwelling; o�� ,Q, _ loft, /b o ri -- � Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) , t Number of Persons Allowed (max) ` �. Person(s) Interviewed ( Inspector If Public Building such as Store orcHotel/Motel specify here Certified Mail#7006 2150 0002 1042 0453 asHE Tom\ Town of Barnstable x I Regulatory Services RARMIMABL&1p MASS. Thomas F. Geiler, Director t53q. �m ar�ar Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 11, 2008 Sandra Almonte 28 Clarke Road Barrington, RI 02806 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II —MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION, .THE STATE ENVIRONMENTAL CODE, TITLE 5. The property owned by you located at 300 Riverview Lane, Centerville, MA was inspected on August 11, 2008 by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint. The following violations of the State Sanitary Code were observed 410.450 Means of Egress: Observed room within basement being used as bedroom without second means of egress. You are directed to correct the violations listed above within twenty four (24) hours of your receipt of this notice by removing all beds from basement and ceasing and desisting from using any part of basement as sleeping quarters. Due to the fact this room in the basement does not have the proper egress it is not considered a bedroom by Health Division.. Although, it may not be used as a bedroom due to septic restrictions. . NOTE: On August 13, 2008 said property was re-inspected by Timothy B. O'Connell, Health Inspector for the Town of Barnstable. During this inspection Mr. O'Connell did observed that the beds had been removed from the basement. This is the way the basement is to remain in the future. NO SLEEPING WITHIN BASEMENT. 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. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. QAOrder letters\Housing violations\Rental ordinance\300riverview cent. PER ORDER OF THE BOARD OF HEALTH =' 4V Tl�mas Al. McKean, R.S., C Director of Public Health Town of Barnstable Cc: Timothy O'Connell, Health Inspector QAOrder letters\Housing violations\Rental ordinance\300riverview cent. I�nS peg-ho✓� boo Qiver ✓ICti7 LV) avwv � il�Q, U,,l jQnv,4V 5vi2vwo04 & yWo AzA� NAME OF OFFENDER A d�,� Alyp 4 e, BAR 79976, TOWN OF ADDRESS 5?FENDER �- BARNSTABLE CITY,STAeTf�E,JZOIP CODE t� 0d� A ^ DATE r MV REGISTRATION NUMBER OFF NSE ° a.... IiANMASSNI.Y.. ' � (I,�te,- -�o .e f s is Ile- n 0 p e r.�,' =v't... - t,.t ffD r x 1""� o r t ry a Nc e CIA^P# LU 17e) 4� TIME AND DATE OF VIOLATIO TJ}- LOCATION OF V OLIyTl_ ION d' b _(Qrr W NOTICE OF t} (A� P:M.)ON ti ,20 r�b 'i? fr')��TC�_I+tr�11I'.1�.✓.wl IZ VIOLATION SIGNATUIE.OF-ENFORCNPEFaSON ENFQRCINGDEPT BADGE NO, OF TOWN 1( 1r/�6 u 1 HIE BY'A°C NOWLEDGE RECEIPT OF CITATION X uj a ORDINANCE ® Unable to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE ISDate S �t0R YOU H mailed AVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. � (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 exceppted, Q before:Thui e Barnstable Clerk,2DO Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. ti (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 02830,Attn:21 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 fall to appear for the hearing or to pay any fine determined at the 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 COMPLETE • DELIVERY ■ Complete itenr.s 1,2,and 3.Also complete A. Signature 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. R ived (Printed Name) C. Date f Def ■ Attach this card to the back of the mailpiece, (� O or on the front if space permits. f T D. Is delivery address different from item 1 Y 1. Article Addressed to: If YES,enter delivery address below: ❑No o I I a 3. Se Type ` s Certified Mail ❑ Mail ❑Registered Weturn for Merchandise 06� ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7006 2150 0002 1041 8887' T� (rmnsfer from sen4ce label) PS Form 3811,February 2004 Domestic Return Receipt /.0• 102e95-02-M-1540 1 i UNITED STATES POSTAL SERVICE o F•rs I i tMClass MVT m Postage&Fees Paid c _ USPS+ .r' C= P&Mit No.G-10 I, I • Sender. Please print your name, addresses d ZIP+fin th!ybox • jTown of Barnstable 1"- ,b CA � Health Division I 200 Main Street Hyannis,MA 02601 E I •illii i 1 .if 111111H 1 1! ., ll)H 1 Hill H 111 d 1 1 Health Parcel Detail P ge I of I/ } f s } 'J PJt,i GrJ(1(3, " Health Parcel "'a Parcel Septic Pere well FuelTank ' Parcel: 228-159 Location: 3€ 0 iRIVERVIEW LANE Owner: CAVALIERE, SANDRA M Business name: Business phone: Rental property: F Deed restricted: ( Number of bedrooms g' Contaminant released: Fuel storage tank permit: Save Parcel Changes z Return.to Lookup Parcel Info Parcel ID: 228-159 Developer lot: L_OT 20,2 Location:300 RIVERVIEW LANE Primary frontage: 150 Secondary road: Secondary frontage: Village:C:ENTERVIL.LE Fire district:C O-NJM Sewer acct: Road index: 1376 a Interactive map " x ,Y ,. Town zone of contribution:AP (Aquifer Protectlion Overlay District) State zone of contribution: OUT Owner Info Owner: CAVALIERE, SANDRA tit Co-Owner: Streetl:28 CLARKE RD Street2: City:BARRINGTON State:RI Zip: 02806 Countr Deed date: 1/15/1996 Deed reference: 10003289 Land Info Acres: 0,35 Use: Single Farm MDL-01 Zoning: RC Neighborhood: 010C Topography: Level Road: Paved Utilities: Public Water, Location: Construction Info N.:i i nr.j : ;Y:�"3u t.'focti"e, 1 1967 2013 3 Bedrooms2 Full Buildings value: 184,100.00 Extra features: $2,500.00 Land value: $2:36,900.00 G vf�5o /-J t � _ C) I �t http://issgl/Intranet/healthMaster/HealthMasterDetail.aspx?ID=228159 5/30/2008 300 River View Lane, Barnstable , Massachusetts - Google Maps Page 1 of 1 Address 300 River View Ln 0Centerville, MA 02632 s Ma I.P B�emyre Ave of Neer Rrgyre��e ,v pin. St f�it+e S- Main St J Co E I°aftPiC9$. �dy a f �A ©2008 Google-Map data©2008 NAVTEQT" - re-r s-ofU'S http://www.google.com/maphp?hl=en&tab=wl&q=300+River+View+Lane,+Barnstable+,... 6/13/2008 Cape Cod Summer Rentals - Cape Cod Vacations Homes - Massachusetts Homes for Sale Page 1 of 3 LISTING #YR061 ., J Y f Falemout''h�d Ong Pond pg aY GENERAL INFORMATION �tervilfe ra . Location: Barnstable -Centerville ► r,',S -r� q,g� e'IFy IT data©2008 Tele�Atlas TprmsrgfjUse Distance To Beach: 1 mile to Craigville Beach Rental Price: $1,800 Rental Rate (Monthly -Year Round) Price Description: monthly with 1 yr lease Spring Or Fall: ask Max. Occupants: 5 Pet Friendly: ask Bedrooms: 4 Full Baths: 2 Half Baths: 1 PROPERTY DESCRIPTION A lovely executive home.........This large home is available May 15th 2008 and features a yard with a privacy fence along the back.Cape Cod Rose Bushes line the front of this home with mulch for a welcoming appearance. Hardwood floors with an open Kitchen/Living room/Dining room... lots of room for entertaining. Professional kitchen for a chef...The bedrooms upstairs have wall to wall carpets with beige tones up the stairs and a speckled light blue and dark blue hue. The bathroom on the 1st floor is brand new-Completely Unfurnished but there is a washer&dryer and vacuum cleaner.....Please picture your own furniture in the rooms.These pictures were taken with the previous tenants furnishings.....With the right tenants this home could be your own castle..... A WORD FROM THE OWNER We will take care of the yard professionally so all you have to do is just enjoy it. Home will be freshened with new paint. http`.//www.capecodusarealestate.com/?pg=listings/details&listings_id=861. 6/13/2008 ' Cape Cod Summer Rentals - Cape Cod Vacations Homes - Massachusetts Homes for Sale Page 2 of 3 I . SPECIALS Available May 31,2009 Please visit our other properties PROPERTY DETAILS Dist.To Beach: 1 mile to Craigville Waterfront: no Beach Dock: no Water View: river view ( public Minimum Stay: 1 year launch to ocean) Max.Occupants: 5 Max.Cars Allowed: 3 Pets Allowed: ask Tub Or Shower: 1 both 2nd floor& 1 shower only 1st floor BED&BATH DETAILS Sleeper Sofa: no Crib: no Alarm Clock: no Linens Provided: no Hair Dryer: no Towels Provided: no Washer: yes basement Dryer: yes basement Iron: no Ironing Board: no ENTERTAINMENT TV: access Cable: access Satellite: no VCR: no DVD: no Stereo: no CD Player: no Radio: no Tape Player: no Game Room: no KITCHEN Stove: gas Stove Type: Viking professional gourmet stove vented out Dishwasher: yes Microwave: yes Toaster Oven: no Toaster: no Blender: no Coffee Pot: no Lobster Pot: no High Chair: no INTERIOR DETAILS http://www.capecodusarealestate.com/?pg=listings/details&listings_id=861 6/1.3/2008 » Cape Cod Summer Rentals - Cape Cod Vacations Homes - Massachusetts Homes for Sale Page 3 of 3 Finished Basement: yes Den Family room Vacuum: yes cable ready Heating Type: Gas FHA Central Air: no Window Air: available Portable Fans: no Ceiling Fans: no Working Fireplace: wood stove can be Indoor Dining: 12 used with receipt of professional cleaning EXTERIOR DETAILS Gas Grill: no... Gas attached to Picnic Table: yes wooden type main house Beach Chairs: no Furnished Deck: not at this Porch: no time/owner will be installing Patio: yes concrete Lawn Furniture: no Pool: no Outdoor Shower: enclosed H&C water Outdoor Dining: 12 SLEEPING ARRANGEMENTS Bedroom 1: 1st floor- unfurnished Bedroom 2: 2nd floor- unfurnished Bedroom 3: 2nd floor - unfurnished Bedroom 4: - Bedroom S: - Bedroom 6: - Bedroom 7: - Bedroom 8: - ADDITIONAL AMENITIES • 2 car garage • 2200 sq ft of living space • utilities not included http://www.capecodusarealestate.com/?pg=listings/details&listings_id=861 6/13/2008 I Town of Barnstable oF��ram, Regulatory Services Barnstablo fig`' do Thomas F. Geiler, Director Public Health Division * BARNSTABLE, 9 MASS. Thomas McKean, Director iOTFp MAC A 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 2, 2008 Sandra M. Cavaliere 28 Clarke Road Barrington, RI 02806 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 300 Riverview Lane, Cenertville. Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at ,,A,NA,v.town.barn.stable.m.a.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate 2008 fees included. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4644. Thank you in advance for your cooperation. Timothy B. O'Connell Health Inspector Health Division Direct#508-862-4646 FORM30 H&W HOBBS&WARREN'" THE COMMONWEALTH OF MASSACHUSETTS �� BOARD 0-F HEAL CITY/TOWN W _ t a � � D ARTMENTra � ADDRESS GSM S ey`oW 6 c TELEPHONE Address 3&0 Occupant Q;dA � Floor Apartment o. No. of Occupants No.of Habitable Rooms Lo No.Sleeping Rooms No.dwelling or rooming units No.Stories Name and address of owner ,. d` rks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: ` Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: TKI PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent s w ,t ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: p� Gen. Basement Wiring: L� DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry !� Den 1 7 Living Roome6: - Bedroom 1 Bedroom 2 Bedroom 3 Lf�v Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: A. 146 Kitchen Facilities Sink '"" Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION R T IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PER R .' INSPECTOR TITLE-49�� 7 �j 19 A.M. DATE v TIME l P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. i 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) -Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to.install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen.sink of sufficient size and capacity for,washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) .Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410..750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. �.i ,. .,"L.�.."!.rr+r,�.,i•("�,�vr.r'a'+"RFYAAti:. ;-''s^.1s..�.-..-v^....'""'..a... 'f"^,a'.+w.*.rC'a.+tir.r.+-.cx�hn,F�,d'TM.n.•.'b..v^+�•":N",:,...rr..+-Y'.."'^'."a".'4+'Y^.....',J:�t..—e,•a..-... � FORM30 C&w HoBBsB WARREN'M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L,_4Z�, CITY/TOWN ``� DEPARTMENT \7ADDRESS 4�M SVey`aw e TELEPHONE ` Address V y Occupant_ Floor Apartment No. No.of Occupants L No. of Habitable Rooms_0 No.Sleeping Rooms No.dwelling or rooming units No.Stories / Name and address of owner ,...../l/�'✓(-. aq �` R,,emarks Reg. Vio. YARD Out Bld s.: Fences: Gar ba e and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains.- Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: } Hall Windows: ; HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vents ^"` / V A AM ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pant (,j w lL A-4 `` 2r Den '7 ,.� Living Room Bedroom 1 - '701 �• �� - � . ..P�y ✓� -` r � Bedroom 2 all T �, 0> Bedroom 3 (o .� '� �Jp t.150 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove r Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Basin;Shower or-'Tub: . Infestation Rats, Mice, Roaches or Other: —Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE - a OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION RE ,,P.�ORT IS SIGNED AND CERTIFIED UNDER THE PAINS'AND PENALTIES OF PERJ0A INSPECTOR TITLE j r ( A.M. DATE "`" l f TIME i "' - P.M. I ' A.M. THE NEXT SCHEDULED REINSPECTION P.M. d 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold,to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire,'burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity,for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. PARCEL ID: LEGEND CENTERVILLE 228/097 -1 PROPOSED CONTOUR EX15T. LEACHING l ® PROPOSED SPOT GRADE LOCUS 1� X see note I 0 I —— gg —— EXISTING CONTOUR S� / STREET 51.4 ,�/ PARCEL ID: PINE . N ,�O 228/158 + 96.52 EXISTING SPOT GRADE � ��� W— EXISTING WATER SERVICE J �P EXIST. LEACH PIT /%,oy7�° X �p3p /� !9 TEST PIT see note 10 �y 51.8 4/ `o 00 / pro 51.8 ' / W Qci / f i =l 1 G PARCEL ID: / 1 \ CORNER ��., \ 228/oss LOCUS MAP 52H 0 ___-_ ,/ G ►� j LOCUS INFORMATION PLAN REF: 17/3, 358/36 & 399/65 TITLE RF: EXIST. I ,000G / .�� Ji I = — 51 6`/ ��� // / / PARCELS D: 1MAP32289PAR. 159 SEPTIC TANK - - / G \` ; // f \ � / // FLOOD ZONE: "C" Q =V =— _— = j COMMUNITY PANEL: 250001-0008—D DATED:07/02/92 PARCEL ID. 228/159 - / SEPTIC SYSTEM h0' CORNER =- AREA=15,324t S.F. �� / REPAIR PLAN _ _ C— _ #300 - - /'/ �i �/ LOCATED AT: fro 300 RIVERVIEW LANE - _ GENERAL NOTES: CENTERVILLE, MA. x \36 TREE ` PREPARED FOR 51.1 _. _ i / 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. ,/ ' �/O� j 2 ALLTW STATE EMATERI�TAL CODE SHALL CONFORM, TITLE VOATHE ND AN Q IREM NTS S A N D R A M. CAVALIER E Q� / LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED: JANUARY 02, 2012 - - �/, `- - 310 CMR 15.405 (1) (B): Rev. January 9, 2012 GAR. = 1 �/ 1) A 0.13 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING TO BE 3.13 FT (MAX) BELOW GRADE VS REQ'D 3 FT. (H20/VENT PROVIDED) OF M 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE �y DESIGN ENGINEER. DAR M G /� y �� — %`�'�•, 1 R/ '9 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING I ME PARCEL ID: 51 4 cS �F� FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 228/099 �}— ENGINEER BEFORE CONSTRUCTION CONTINUES. 140 �`````r`�,, \ 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OFC/$TER�� THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. NITAR t 1. =G� Z / 4� 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. / 1 / 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. PARCEL ID: 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 228/160 6 �2' / f THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING �aF 1 CONSTRUCTION. MEYER & SONS, INC. 10. EXISTING LEACH PIT TO BE PUMPED AND REMOVED PER TITLE 5. REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5 SPECS. �/ 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION P.O. BOX 9 81 � J 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY EAST SANDWICH, M A. 02537 1 13. NO PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING 14. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPEC.) (5 0 8)3 6 2—2 9 2 2 1 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW ` FOR THE USE OF A GARBAGE GRINDER UPOLE 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING • " 17. PROPERTY IS SUBJECT TO NITROGEN LOADING RESTRICTIONS. " y SHEET 1 OF 2 J 1392 t I NOTE: TO(PREVENT BREAKOUT, THE PROPOSED NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:48.87 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. T.O.F. EL.=52.50 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER, INSPECTION PORT OVER 14" OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. INSTALLED LENGTH F.G. EL.=51.8t F.G. EL.=52.0t F.G. EL:79.9t F.G. EL: 52.0(MAX.) ��0 OF MAS`r9 ::• f c VENT JIMs�" ARRE M. _ 9" MIN COVER/ c ME�. L = 15' L = 1 O'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) 12 37` " 1140 ® S=1% (MIN.) 36" MAX COVER 0 S=1X (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVCG' E LL-po-I 14" K.) 10.38" TO SANITAR "• INVERT y \IN 49.08 48"LIOUID INV.=48.83 COUPLER DETAIL UI OC L£VEL GAS BAFFLE INV.=48.51 3 ROWS OF 6 UNITS AT 5'/UNIT + 1.16' COUPLER 31.16'/ROW INV.=48.68 INV. 48.41 SOIL ABSORPTION SYSTEM (PROFILE) EXISTING 1,000 GALLON SEPTIC TANK EXISTING OUTLET RESTORE VEGETATIVE COVER BACKFILL WITH CLEAN PERC SAND TO TOP OF CHAMBERS 60" NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION :;•'`' :; ;'. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BREAKOUT=TOP ELEV.--48.87 GRADE ON A MECHANICALL COMPACTED SIX INV. ELEV.= 48.41 INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.= 47.54 310 CMR 15.221(2) EXISTING SUITABLE 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK 5' MIN. ABOVE BOTTOM OF 2.88' MATERIAL WITH 1500 GALLON SEPTIC TANK IF FAILED, T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH = 3 x 2.88' = 8.64' DAMAGED, NOT H2O LOADING, OR UNDERSIZED. (6.64' PROVIDED) USE 3 ROWS OF 6-ADS ARC 36HC 4) INSTALL INLET & OUTLET TEES W/ BOTTOM OF TESTHOLE EL.=40.90 - (H20) UNITS - NO STONE W/ COUPLER GAS BAFFLE AS REQUIRED SEPTIC SYSTEM PROFILE • TYPICAL SECTION 1s" N.T.S. n.t.s SOIL LOG P#: 13511 DESIGN CRITERIA DATE: JANUARY 3, 2012 SECTION iam NUMBER OF BEDROOMS: 3 BR DWELLING SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE. #1614 INVERT SOIL TEXTURAL CLASS: CLASS I WITNESS: DON DESMARAIS, BARNSTABLE B.O.H. HEIGHT END CAP DESIGN PERCOLATION RATE: <2 MIN/IN Elev. TP-1 Depth Elev. TP-2 Depth ADS - ARC 36HC CHAMBER (H20 LOAD) � 0" DAILY FLOW: 110 G.P.D/BR. DESIGN FLOW: 330 G.P.D. 51.90 0" 51.90 A LOAMY SAND LOAMY SAND MODEL ARC 36HC GARBAGE GRINDER: NO NOT DESIGNED FOR GARBAGE GRINDER 1aYR 3/2 i 1oYR 3/2 ( ) 51.23 8" 51.32 7" LENGTH 63" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT SEPTIC TANK: 330 gpd x 20OX = 660 gpd USE EXIST. 1,000 GALLON SEPTIC TANK B LOAMY SAND LOAMY SAND EFFECTIVE LENGTH 60'B TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY 1oYR 4/6 1oYR a/s DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. 49•49 C 2g'� 49.40 C 30" SIDE WALL HEIGHT 10.38" DISTRIBUTION BOX: 3 OUTLETS (MINIMUM)(H20 LOADING) OVERALL HEIGHT 16" MEDIUM SAND MEDIUM SAND OVERALL WIDTH 34.5" 4640 TRUEMAN BL 1/D PRIMARY S.A.S. 2.5Y 6/4 2.5Y 6/4 10.7 CIF M11mirmi6ow. HILLIARD, OHIO 43026 USE 3 ROWS OF 6 - ADS ARC 36 (H2O) UNITS-NO STON V73 CAPACITY (80.0 GAL) ADVANCED DRAINAGE SYSTEMS, INC. VA AND EXTENDED 1.16' W/ COUPLERS. PERC ® 47.72 VA BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF BIODUFUSER) PROPOSED SEPTIC SYSTEM SITE PLAN (BIODIFFUSERS) 18 UNITS x 5.0 LF x 4.80 SF/LF = 432.00 SF 40.90 132" 40.90 132' a (COUPLER) 3 ROWS x 1.16 LF x 4.80 SF/LF = 16.70 SF 300 RIVERVIEW LANE, CENTERVILLE, MA TOTAL AREA = 448.70 SF PERC RATE <2 MIN/IN. ("C2" HORIZON) Prepared for: Cavaliere DESIGN FLOW PROVIDED: 0.74GPD/SF(448.70SF) = 332.04 GPD > 330 GPD req'd NO GROUNDWATER OBSERVED SCALE DRAWN DATE: I Engineering by: Surveying by: MEYER 8 SONS,INC, draoDougaU Survey NTS D.M.M. 01/02/12 • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 PO BOX981 (508) 419-1086 REV.DATE: CHECKED to conduct soil evaluations and that the above analysis has been performed by me consistent with the EAST SANDWICH,MA 02537 SHEET NO. requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October, 1999. 508.382 2922 01/09/1 2 D.M.M. 2 OF 2 y F �f Y bedroom bath office` bath kitchen f dining area bedroom living room bedroom i garage 1 SECOND FLOOR a FIRST FLOOR OF MAssq * — OFFICE IS 69 SQ. FT. AND DOES DAR M f M Y y NOT MEET THE DEFINITION OF A BEDROOM 40 sl PER TITLE 5. 1