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HomeMy WebLinkAbout0523 STRAWBERRY HILL ROAD - Health , 3 Strawberry Hill Road Centerville P A = 249 103 i a UPC 12534 NO.22153�LOR � HAYTINGS., UN YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 U2qrs). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission o operate.) Business Certificates are available at the Town Clerk's Office, 1'FL., 367 Main Street, Hyannis, MA..02601 (Town Hall) DATE: F 707 Fill in please: APPLICANT'S_ YOUR NAME: BUSINESS Pome HOME DDRSS:TELEPHONE # Telephone Num er ;c� NAME OF NEW BUSINESS G/I � TYPE OF BUSINESS GlriD�'jr� IS THIS A HOME OCCUPATION?. YES. �--._ NO .: -° Have ytlu been given ADDRESS OF' .BUSINESS LSD ST ,T :MAP/PARCEL NUMBER 07 T �D When starting a new business there are several things you must do in order.to•be in compliance with the rules and regulations of.the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. [corner of Yarmouth Rd. & Main Street]_to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM NER'S OFFICE r This individ l hap e n in`for e, permit requireme is that pertain to this type of business. thoriz S ture* MMENT 6uj f 4Ji'Y�: �/J�f L7U°n 2. BOARD OF HEALTH This individual h n info ed the p rmit r irements that pertain to this type of business. Aut orize.d ignature** COMMENTS: . 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature.* COMMENTS: Town of Barnstable ,THE Regulatory Services 'Tp� Thomas F.Geiler,Director Building Division - . L�FiNSTABLE. v A g Tom Perry,Building Commissioner ent►,� 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Bice: 508-862-403 8 Fax: 508-790-6230 ADDroved: a . Fee: Permit#: HOME OCCUPATION REGISTRATION date: /,7 �7 1 PhoneOf t5 E, '-�'4,—, #:address: !' illage: 49� lame of Business: /� Type of Business:L/14 Map/Lot: LATENT: It is the intent of this secti/nto allow the residents of the Town of Barnstable to operate a home occupation xvithin single family dwellings,subject to the provisions of Section 4.1.4 of the Zoning ordinance,provided that the activity ;hall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the Premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted.as of right subject to the ollowing conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. - -• Such use occupies no-mom-than 400-square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular.matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by.such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned, Ilke a r ons for my home occupation I am register' g. Applic —Date: v Hor�eoc.doc Rev.5/30/03 C Health Complaints 14-Jun-05 Time: 1:30:00 AM Date: 5/6/2005 Complaint Number: 18076 Referred To: DONNA MIORANDI Taken By: SHARON CROCKER Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 523 Street: STRAWBERRY HILL RD Village: CENTERVILLE Assessors Map_Parcel: Complainant's Name: ANONYMOUS Address: Telephone Number: Comp laint Description: CALLER COMPLAINED OF CARS AND TRUCKS, BEER CANS, TRASH. LOOKS HORRIBLE. i' Actions Taken/Results: DZM inspected property and there are many i beer bottles, an old rug, open trash barrels, old elctric stove, old windows, 4 propane tanks and open bag of garbage. DZM shall send new owner, as of Feb. 2004, a warning and then a ticket if not cleaned up . 06/03/2005-DZM returned to take pictures and spoke to neighbor,-Strawberry Hill Landscaping. 06/09/2005-Returned to do s follow-up and the garbage has been removed but not the stove and the old windows. called and left a message and stated he is using the four propane tanks for his grill. Investigation Date: 6/2/2005 Investigation Time: 1 . TOWN OF BARNSTABLE BAR-w 4856 r ' t Ordinance or Regulation WARNING 'NOTICE" Name of Offender/Managers-- Address of Offenders �ra _ + '" +'�l a/z jell MVIMB Reg.# Village/State/Zip Crjeit�;O�Vlll , Business Name ain/ on A 6420_ Business Address Signa°ture .of E orc :n. Officer Village/State/Zip Location of Offense l7\ ,00AMAk ,,?,e7 R/a, M f2 ;1 ��}�( Enforcingg Dept/Division Offense I[ V4/tl� Facts OA+r--tV rAxOP ( MC'� MJ 1 ot � �� - � This will serve only as a warning. At this time no legal actioi has been taken. It is the goal of Town agencies to achieve voluntary compliance of Tow Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance.. Subsequent violations will result in- appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W 4' 08 56 € � $ Ordinance or Regulation WARNING NOTICE Name of Offender/Manager � �.'� ,�' Address of Offender,,I I +1 '� � My/MB Reg.# Village/State/Zip Business Name ..,. am%m on ;s( 7 20 --�' Business Address Signature .of Enforcing` Officer Village/State/Zip , Location of Offense .�tA.. Enforcin Dept/Oiv lion Offense# �' `� , Facts Gi !r tIle VC � X C, This will serve onlyas a warning. At this time no legal action has been taken. l g g It is the goal of Town agencies to achieve voluntary compliance of TownF , Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result inf^w appropriate legal, action by the Town. .+ ; WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORC{NG;OFF.ICER GOLD ENFORCING DEPT. Health Complaints 06-Jun-05 1 Time: 1:30:00 AM Date: 5/6/2005 Complaint Number: 18076 Referred To: DONNA MIORANDI Taken By: SHARON CROCKER Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 523 Street: STRAWBERRY HILL RD Village: CENTERVILLE Assessors Map_Parcel: Complainant's Name: ANONYMOUS Address: Telephone Number: Complaint Description: CALLER COMPLAINED OF CARS AND TRUCKS, BEER CANS, TRASH. LOOKS HORRIBLE. Actions Taken/Results: DZM inspected property and there are many beer bottles, an old rug, open trash barrels, old elctric stove, old windows, 4*propane tanks and open bag of garbage. DZM shall send new owner, as of Feb. 2004, warning and then a ticket if not cleaned up . 06/03/2005-DZM returned to take pictures and spoke to neighbor, Strawberry Hill Landscaping. Investigation Date: 6/2/2005 Investigation Time: 1 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION MAP gip^ Z'11 PARCEL 1 3 LOT TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 523 Strawberry Hill Road Centerville MA 02632 Owner's Name: Susan Boroy Owner's Address: Date of Inspection: December 27, 2003 Name of Inspector: (Please Print) James M. Ford RECEIVED Company Name: James M. Ford Mailing Address: P.O. Box 49 FEB 0 2 2004 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 TOWN OF BARNSTABLE HEALTH DEPT. CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of 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 Needs rther Evaluation by the Local Approving Authority Fails Inspector's Signature\sub Date: December 30, 2003 The system inspector sha 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. Notes and Comments ****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. Title 5 Inspection Form 6/15/2000 page l Page 2 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 523 Strawberry Hill Road Centerville, MA Owner: Susan Boroy Date of Inspection: December 27, 2003 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. Answer yes,no or not determined(Y,N,ND) in the 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 523 Strawberry Hill Road Centerville, MA Owner: Susan Boroy Date of Inspection: December 27, 2003 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 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 523 Strawberry Hill Road Centerville, MA Owner: Susan Boroy Date of Inspection: December 27. 2003 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow ✓ 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 I of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area- IWPA)or a mapped Zone II of a public water supply well . If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 523 Strawberry Hill Road Centerville, MA Owner: Susan Boroy Date of Inspection: December 27, 2003 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: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)). i 5 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 523 Strawberry Hill Road Centerville, MA Owner: Susan Boroy Date of Inspection: December 27. 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 Number of current residents: 1 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system (yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAL/WDUSTRUL Type of establishment: Design flow(based on 310 CMR 15.203): pd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Never pumped-per owner Was system pumped as part of the inspection (yes or no): No If yes,volume pumped: eallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components, date installed(if known)and source of information: Installed approximately 15+ years ago-per owner Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 523 Strawberry Hill Road Centerville, MA Owner: Susan Boroy Date of Inspection: December 27, 2003 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints, venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 12" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 4" Distance from top of sludge to bottom of outlet tee or baffle: 26" Scum thickness: 6" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage. GREASE TRAP: None (locate on site plan) Depth below grade: 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: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 523 Strawberry Hill Road Centerville, MA Owner: Susan Boroy Date of Inspection: December 27, 2003 TIGHT or HOLDING TANK: None (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/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even 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.): The D-box was level. No solids were present. The D-box was under a shed. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 523 Strawberry Hill Road Centerville, MA Owner: Susan Boroy Date of Inspection: December 27, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1 -6'x 6'(1000 Qal.) leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number, dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of vegetation, etc.): The pit was dry. The scum line was approximately 6"up from the bottom. There did not appear to be any signs of failure. CESSPOOLS: None (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 or no): Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): PRIVY: None locate on site plan) ( P ) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): 9 . Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 523 Strawberry Hill Road Centerville, MA Owner: Susan Boroy Date of Inspection: December 27, 2003 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. (3A A C3 a9 a ao6 a8 5 ` O 3 a s �q , a 3 y y 3(� 30 10 Page I 1 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 523 Strawberry Hill Road Centerville, AM Owner: Susan Boroy Date of Inspection: December 27, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 25 +/- feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained from system design plans on record- If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: Topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground waterelevation: Using the Barnstable topographic map and water contours map, the maps were showing approximately 25'+/-to,ground water at this site. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. 11 TO DATE TIME AM P nonn o- 't[', PM FROM AR AA�CODE p H OF ^ I N(7 3 � ` q / Sd3 S��a��eC �.�� EX�c'rn-0- E nn Q ;k C E M s c E s A M O E h -�.✓ham �I o SQeG�k heS -:*U GNED ` -sl b ► ALL PHONED BACK CALL RNED SEE YOU AGAIN ALL WAS IN URGENT TOWN LOF BARNSTABLE L&ATION JI r�4✓G�r Al) SEWAGE # VILLAGE V e r%/I �'�- ASSESSOR'S MAP& LOTo - ?O 3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY (;A / �iT X(o (size) LEACHING FACILITY: (type) NO.OF BEDROOMS �- 13UILDER OR OWNER nr bV o PERMITDATE: 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 cility) ...-� Feet Furnished by r i (3AC k A, i ag a� y3� 30 t .. -.. . .. � �. ...4 - .:-*Y-..�,.r r"—r'v...-..-.. !'F�1 S .'., h. .ti...+•.xTM....�r{— 'r tT' '+i.;iYe • -1 '" © TOWN OF BARNSTABLE BAR-W N 3797 . Ordinance or Regulation t . M 04 WARNING NOTICE 5-Name of Offender/Manager ,, fW 4 Address of Offender6�n, �an of 1po 1 'TPO MV/MB Reg.# Village/State/Zip �_A Y �/ p M �I 6 Business Name j "�amY on 20�v Business Address �'`• r ., tAri' Signature of E ,orcing' Officer! Village/State/Zip �,,{y� p } Location of Offens 0('1 "YEA il)P ,q1 , j M k)6;10W4:0e e �i.' //- y iA 0 ; Enforcing Deptl/ni'vision Offense N 013ANrr Qc(;c01_A-j-tf?Ai 10" ;t Facts t Y ItA -n:za f if d t4u J i /Nol/�N OCD G=X R6A`r r'' Wk This will serve only as a warning. At this time no°"legal action has `.been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. . --•f.-'. s.._... 't'+•:l..-._ ..+-+..r...ti, a4.F:.....n :-n.-.rF'tr. .. •o�� ."!-l�"rs.* q � ^.liy:}H, r T'^!`Jz+'..'J' f'lr�:, Y� - .w ,...: C" TOWN OF BARNSTABLE BAR-W IR M7 Ordinance or Regulation = ; ,, ,• ,-' WARNING NOTICE YPI r. Name of Offender/Manager' #, , ` , ' E ' r _ Address of Offender (. , (r } }� ;,y '¢ 0 MV/MB Reg.# Village/State/Zip k k)_", r o ilIT+ g' A � 0 - / .�+ � ': Business Name A °..Tam�/pm; on _, 20 Business Address Signature lof' Enfo=sing Officer f Village/State/Zip / '' ,�x Location of Off ens ' j Enforcing DeptVDi'vision ' MA Offense /1#t / t r � 1 1h, f'1, MAI I Facts r ,� ff"i : Thi's will serve only as a­warning. At this time no—legal-action has been taken. It is the goal . of Town agencies t' to achieve , voluntary compliance of Town ;Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to ,gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. to WHITE-OFFENDER CANARY-ORD./E EG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. < ,.,-_ .....P: .. tr,.,... _..✓ ,. :,. _:..,.-.. :-M.+s. f ., 'S K ,-. r,� ,.^ 4 ,..:x• .:t - 's -^r r�-. ..•...,..: ,. {� TOWN OF BARNSTABLE -„ BAR-WRY 0 '3029 Ordinance. or Regulation �t 0 \J� WARNING NOTICE Name of Offender/Manager ti 7(„/` 02o, V Qy� Address of Offender _`J,lfw51 `' / MV/tKB Reg.# Village/State/Zip l /:' � t✓IU Business Name am/ m� on 2ON Business Address r�a Signature of En/forcing,: OfficerI Village/SFtate/,Zip f. ,A,/ Location of Offense:_!5, } r " f Enforcing Dept/Division A IV �/� Offense V f._ t s• �--t ,- Facts' [! d ../ V. P) V 0-Al '7111a /1' MOW This will serve only as a warning. At this time nonlegal dction has been ',taken`. I.t is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. s WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD.ENFORCING DEPT. { TOWN OF BARNSTABLE xr B ...4-w* 302 Ordinance or Regulation �1 WARNING NOTICE �. Name of Offender/Mana er ,,`1 t a . D "A Address of Offender t , (, .., MV/MB Reg.# Village/State/Zip E� + �,' .` IC1, �� �r C. �' � " Business Name _ am/pm;-i/one �/_720 Business Address Signature of Enforcing Officer Village/State/Zip � Location of Offense,_{f `.. ' Enforcing Dept/Division Offense ' ` ? . t. ,..z- ` fVf F Facts ��1777))) A^ r );' , ' d t ! ` 1f 1. ,�J S }' 'I/k! 1` 8k Jy F It /' l 1 # fffF(91j„I1 ! `llf irk` f 1 r This will serve only as a warning. At this time no1legal action has been .taken..... It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the flown. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. NAM` OR O BAR 51376 TOWN OF ADDRES OF' FENDER ID / j A D A RNSTABLE CITY,STA E Z DE 6 i {I/! A gj DMrI v , 02jL]t� •T`�IKE tp� ¢ J ( MVIMB REGISTRATION NUMBER 7 +1� OFFENV / tt•d► �Ff �l V L PAN\�l'API.E. W i6y9 �0$ O W TIME AND D TE F yJ ION J C�' L 10 0 VIO 10 w NOTICE OF A!IV P.M. ON l /l � ��a�E� SIGN A{W E ENFORCING PE ON � Q EN CI PST � BA GB N 1.�' N VIOLATION o� d' , .s.� �} � L CD OF TOWN I H G=E''R EREBY ACKNOWLEDECEIPT OF CITATION X Q ORDINANCE XUnable to obtain ssii t e f offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S /"� ~ Date mailed 57/tm d 00 "-I w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION < III You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. 121 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,BARNSYABLE,MA02630,Att:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. 131 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. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature f�a� 1.�'vr }1 ',. pal�+ ta.:;. a r 4. •"N +.kt7..a °.pi. v r� ���,, u: rz 'f. Y"r.5 ;;.}xr r, :. k ,>< '�`m t ufcd.. m 3t ht -Ki" �' ^, 38 ­ .: � �;, 'A � 1.,'T '.r `•,,.rs ..'��. ,J :..,. r� a t .. ��;s i { r 1,.. {: i�A , k cb#d.. 7-`i � �� 4 `trr TOWN1 `OF BRNSTABL'E BAR TnT � 2 r T11 Ordinance or Regulation r� ;. TnTARNIT�TG:-NOT Name of. Offender/Manager Js` r-ta• .. "dob j)Address'. of Offendertl0A VMV/MB^"R g #R 17 Village/State/.Zip iJ1l / il� t�A i`r` t !` ✓34. _.: SS# Name r J r'ampm, on; 11 20p ►. � ,.Business. Address' �,�S`i"gnature of-'Enforcin'g Officer. Village%State/Zip f!F' •- P ��' ,t sty. rf 7 1St it 1 °kv"s'itl /P'\. G. .F+ '3Dr !•" r+'r � P 1' ' Location of Offense � <;,i � � , „+ °a i,;2,,. ,,„ �-• .. � d���> �� �`�' fy Enforcing Dept/Division ' Offense Facts [,,, f �pj„j, b { y*X.., "gS k ! /!j{ , �k .(.A,=s .. {( �' ,i,✓_ 6fi "ff �j`(1/ /(oi/ • j '�l i t ± ef Jd �1.:t �/ If ?LI {' f.'P '«-wd\ '1:. �t'.-f_titi�p��y ,•`S.'. 4. n''ir�.��i�'�,� :�t *' e� }WI' "y a.P''1 t,PCr ��"^a✓'r.,. w,)rt This-will serve- only as a 'warning. At this time no legal-"action has been taken. �� � It is the goal of Town agencies . to achieve voluntary compliance of Town T# Ordinances, Rules, and Regulations. Education 'efforts ..and 'warning :notices, are Y attempts to gain voluntary compliance Subsequent violations will result in +' appropriate "legal action by. the Town. -r-- 1, ZZ ;-, , r '? �/ WHITE OFFENDER CANARY.-.ORD/REG PROG PINK ENFORCING OFFICER GOLD ENFORCING DEPT. NAME OF OF 0 R ��-+ / 1 ! n DAD 6630 /J TOWN OF ADDRESS DF FFEND R\J n f I � D„n (� BARNSTABLE CITY,STATE CODE_ I/ `� +/ �' �{.ME Iq,. + � MVIMB REGISTRATION NUMBER OFFENSE /��,��fj / /�` /� jr1 / BARNS-TABLE. • t ./ 1 ( 7 l�F w, �L1t1 !/ J �L.-t/� CLLU O QED MM $ - W 7 TIME AND g,AT OF OLATION LO ION VIOLATION f ,, W NOTICE OF (9:rw. oo / 3 ,20 I� j�l� �Y }�1 Ip �V 9 SI tfA"U OF ENFORCING PERSO ENFO C P.T. BADGE VIOLATION �t1 rt Q ` � �_. _ �/ N0. N o OF TOWN I HEREBY ACKNOWL GE RECEIPT OF CITATION X a ORDINANCE Date to obtain si na re O offender. 1)�/} J ate mailed 9 ), ---- THE NONCRIMINAL FINE FOR THIS OFFENSE IS S (// ll!! W W OR YOU HAVE THE FOLLOWING A TERNATIVES 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 Q (1)You may elect to pa the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, J before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND, MAIN STREET,BARNSTABLE,MA 02630,Attn: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. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER DAD _ 6306 TOWN O/�Fp ADORE S F OFFEND ,p / /� III BARNSTABLE CITY,S A IP OD ' f / ••jL/)jJ 7L4J,VC'Vl t.../�.l �tNE iD� MV/MB REGISTRATION NUMBER OFFENS l " �111 1 IIARW AHI.E. JV! W � MASS. d plfD MPS A W TIME AND DA:E 0 I TION L• T ON OF VIOL T Z #, a .��_ �i�Act�L�k'�I�1 C� �W NOTICE OF (AN-/ P.M.)ON 20 SIGNAXO NF RCNG,P-RSO�tl"'r // 0 ..EN,FORCING �. ' J BAD N0. � VIOLATION l� �/� i, ems(/ O OF TOWN VJ.' E RBY ACKNOWLEDIS R• EIPT OF CITATION X V o a ORDINANCE Unable to obtaf sy nyure of bffen r. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Q —� Date mailed W LU OR YOU HAVE THE FOLLOWING 1 ERNA IVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, —j Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION;COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the 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 NAME OF OFFENDER j 3 .f"�® DAD . TOWN OF ADDRES OF OFFENDER 1 II(�f 1 D„n BARNSTABLE CITY,STAT,Z P (� f V 39 �tNE r 1 MV/MB REGISTRATION NUMBER OFFENS �V' x I yIARNS7ABLE, MASS. JI '�J//'r ,�Jf/'•��' ' d 'O i639. O PlFO M A, W _ 7 NOTICE OF TIME AND DA F (ION P M. '•N 4/ 20 L`CA N O VIOLATC (/1// L VIOLATION SI TORE FENF!)RCI�G�PERON } j , ��N CI DEPj,� `e ,� B�OGE,i��YA ' W II1J��IIJJ ( lk if_' �F+✓3 + LL+^ /44++ CD OF TOWN LH•REBY ACKNOWLE G RECEIPT OF CITATION X Q ORDINANCE �Unable to obtain sin uref d THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ a ' (( Date mailed b w LU OR YOU HAVE THE FOLLOWING AbTERNATI s'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 (f)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,230 South 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. a' (2)It you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against yoLt. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature r NAME OF OFFENDER DAD 66309 �. D„n TOWN OF ADDRESS OF ENDE 0,A �I BARNSTABLE CITY,STATE,ZIP C d r � l./y��1..V Tl t � Y_ �1ME Ip� - MVIMB REGISTRATION NUMBER OFFENS ,) ,,//'''�\ 11AX.i63 T9 NL4; LLi O0A _ �M . C � rE0 MIS�` W TIME AND D T F I:ATION ,�y LOC�°N F�VIO ATIO�*f� �/ /� NOTICE OF f—���(AM j P. ION / 20V� �! � .�1 tli�f'� �/>!il SIGN. URE O,F, ��OrCING�yERSON J '' a, Eta RCIN PT. I t J' �A¢G, 0!� LU VIOLATION �UtJIt. JAG ( -Y t? o OF TOWN Y ati EREBY ACKNOWLED�V ORDINANCE XUnable to obtain sig;at e o�fendeyr THE NONCRIMINAL FINE FOR THIS OFFENSE IS S ~ Date mailed— J r u OR YOU HAVE THE FOLLOWING AIEIERNAT ES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL w DISPOSITION WITH NO RESULTING CRIMINAL RECORD. a REGULATION (1)You may elect to pay the above line,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, _j Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. CL ((2)1 Ifs desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST 6AR ySTABLE 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 Health Complaints 28-Aug-01 Time: Date: 8/28/2001 Complaint Number: 3049 Referred To: GLEN HARRINGTON Taken By: DANIELLE ST.PETER Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: Business Name: Number: 523 Street: STRAWBERRY HILL RD. Village: CENTERVILLE Assessors Map_Parcel: Complainant's Name: ANON Address: Telephone Number: Complaint Description: WAS WALKING HIS DOG LAST NIGHT, AND SAW A FEW RATS RUNNING AROUND THE PROPERTY. Actions Taken/Results: Investigation Date: Investigation Time: 1 Miorandi Donna From: Lomba Lois To: Lavoie Debbra; Miorandi Donna Cc: McKean Thomas Subject:. COURT REPORTS Date: Friday, July 13, 2001 3:38PM Priority: High will need written incident reports for the following at your earliest convenience: Boroy, Susan/BAR 51376/BOH Regs/Miorandi ......_„:Cappellucci, Lori/BAR 52833 &52834/Dog/Lewis 'Horn,'Gerard Jr/BAR 55233/Sandy Neck/Horvath Marron, Susan/BAR 51126/Town Beach/Sturgis McManus, Dawn/BAR 50555/Dog/Moen McManus, Dawn/BAR 52829/Dog/Lewis Riggs, Katherine/BAR 52835/Dog/Lewis Riggs, Katherine/BAR 50557/Dog/Moen Sellew, Melissa/BAR 52830/Dog/Lewis Scares, Matthew/BAR 52831&52832/Dog/Lewis Thank you. Page 1 Health Complaints 14-May-01 Time: 3:05:00 AM Date: 5/2/01 Complaint Number: 2829 Referred To: DONNA MIORANDI Taken By: FLORENCE SMITH Complaint Type: Rubbish Article X Detail: Business Name: Number: 523 Street: Strawberry Hill Road Village: Assessors Map_Parcel: Complainant's Name: Address: Telephone Number: Complaint Description: 4 Oil Tanks, a Trailer, 8 cars parked in yard all the time. Trash in dumped in yard.,20 people living in a two bedroom house.This house is on the cornor of Strawberry Hill Rd. and Pine Street. Actions Taken/Results: DZM investigated . Trailer is on the property. Many bags of household trash and rubbish and a battery on the ground. Dog on property and broken stairs in rear to slider. New shed built on property. DZM mailed out warning/abatement notice to owner in Weymouth. Shall see building dept. on this matter. Investigation Date: 5/7/01 Investigation Time: 3:05:00 PM 1 Health Complaints *\ 03-May-01 \v Time: 3:05:00 AM Date: 5/2/01 Complaint Number: 2829 Referred To: DONNA MIORANDI Taken By: FLORENCE SMITH Complaint Type: Rubbish v� Article X Detail: Business Name: Number: 523 Street: Strawberry Hill Road � Cn Village: Assessors Map -Parcel: +� Complainant's Name: U Address: Telephone Number: Complaint Description: 4 Oil Tanks, a Trailer, 8 cars parked in yard all the time. Trash in dumped in yard. 20 people living in a two bedroom house. This house is on the cornor of Strawberry Hill Rd. and Pine Street. Actions Taken/Results: Investigation Date: Investigation Time: 1�3 W 5• • . _ �_ ._ No......................... YmB.............................. 'THE COMMONWEALTH OF MASSACHUSETTS BOAR® HEALTH ................ ..... O F............ . -- Appliration for Uhgpoii al Marks Tonstrnrtion jJandt Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ®�Z Lo tion Address -- or Lot No. ...... 0... .. .................. ----....---------•------- O ner Address a .... 1_a- ......C'2 -_2. '........................................ --------._.._..... ._..------........._....---•----------=---. Installer Address UType of Building. Size Lot............................Sq. feet ., Dwellingto, of Bedrooms.__.. .. .. _______________ Expansion Attic ( ) Garbage Grinder ( ) aOther-Type of Building ............................. No. of persons___________._.______.______ Showers ( ) — Cafeteria ( ) Other fixtures ................................................ -------==------------------------------------------------•--------_-__--•-------•••-----•------------ wDesign Flow............................................gallons per person per day. Total daily flow.............................:..............gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box ( ) Dosing tank ( ) s 7 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.................... 914 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ................ ----- - ••_ ODescription of Soil........... -------- --- ------ r��"' =--------------------•------------•--•-------------------...._._..------.........----- x U .....--•----------------•-----------•--••-••--------------------------•----....._..-------•-•-•--------._...-------------•--•----•----------•------------•--------•----.._........-•••------•-------•---- w U N re of epairs or Alteration — !erg en applicabl *................ Agre ment The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITH.;,,. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. igned _.. .................................. ................................ 6i Application Approved By--------- ---e� �'�JL at '� Date Application Disapproved for the following reasons________________________________________________________•_______-____________•--------------.._.._____....._..... • Date PermitNo..................................----------------•-- Issued....................................................... Date 0. 7 --rHE COMMONWEALTH OF MASSACHUSETTS BOARD Of HEALTH: { yOF.............. '} ' Appliration for Disposal Works Tonstrurtion runfit Application is--hereby made for a Permit to Construct .( ) or'Repair ( ) an Individual Sewage Disposal System at . Loc tion-yid�;dress --.•••••.••-or Lot No. .... ------------------•-•---- ........••--._............--- --•......_ . ......___ Oner ......................... yj9 A W ��I1f j ./ /;. 5.... .{ ' ` Add Installer . Address UType of Building Size Lot______________,_......_..___Sq. feet * TDwelling. o. of Bedrooms. _.1_ _..................................Expansio Attic ( ) Garbage Grinder ( ) n per, Other=Type'-of„Buildii g ........................... No. of persons_.____:.................... Showers ( ) — Cafeteria ( ) dOther.,fixtures ...............-........................................................................................................................................ W Design Flow..........................................gallons per person per day. Total daily flow.............................................gallons. WSeptic Tank'—Liquid capacity............gallons Length________________ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length_._____...__.____.__ Total leaching Area....................sq. ft. Seepage Pit No..................... Diameter.___._`.s.......... Depth below inlet____________________ Total leaching area...................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) r aPercolation Test.Results Performed by-'-........................................................................ Date........................................ Test Pit No. I................minutes per inch':Depth of Test Pit..................... Depth to ground water........................ f14 Test Pit No. 2............:.,.mimittes per inch 'Depth of Test Pit..................:_ Depth to ground water........................ • _..... O Description of Soil_..___........ j - .--- •:- V .............................................................-•--------•-•--•-----••-----:.. x . --•••••- -------- -----------------•. --- ---- --••---•-----•••••-- .... --••-----•---•--••---•--••. -• . .-•--- U N�tre ryof epair;or Alteryyatri��o}}n -Answeryy he applicable { y ry AgreEment: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. igned ----- .................... Date Application Approved By---------- ---„ ...................... Date Application Disapproved for the following reasons-................................................................................................................. ........................................................ ........................................-....--'-------------...----------•-------------•---------------------------.......................... Date PermitNo........................................................ Issued-........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OFA HEALTH ........... d'° ...OF............ : � !•• ...................................... Tntifiratr of Toutplianrr THIS IS TO CERTIE , That the Individual Sewage Disposal System constructed ( ) or Repaired ( 4--- " by _. : - -----..:.�` ------------- •----••-----•--...-----•----------......._......---......------•------------------- /� l...... er } ${ at ___ _ ... .. l:a _. _ .::. . .. -- -•--------------•---...---•--.....----•-.... has been installed in accordance w the provisions of "' r' rj the State Sanitary Code as described in the application for Disposal Works Construction Perlxiit No.___ __>... ........ ........ dated_... "" --"-_ -:. .•-.t_ THE ISSUANCE OF THIS CERTIF,I-C: E SMALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WI L .FUNCTION SATISFACTORY. DATE;_. r � - Inspector_.....,( - �^& ........................... .......................................... THE COMMONWEALTH OF MASSACHUSETTS *•" 't .. y .y�, - 1 BOARD OF HEALTH � "''+�'� ......OF..... .....-. ........................�` ` t. N �. FEE F . Dispos ' orkv T tr ion rrmit ,. . ,Permission is hereby grante ___ _ �r "__ ..... ....._ ..................... to Coi str f�( ) or Rep a t( an�Indi Hual ewage Dis sal ys 4f Street; f as shown on the,application for Disposal Works Construction, Permit No ._ ted__,, ".r _, __._7 -�� DATE ... Board+of'H(aitli -F.ORM1-Z"35 I HOBBS & WARREN, iJC.. PUBLISHERS - �y • •., - LOCATION SEWAGE PERMIT NO. 523 Strawberry Hill Road 79-316 _ VILLAGE CENTERVILLE INSTA LLER'S NAME i ADDRESS Manny Cabral 3 U I L D E R OR OWNER Susan Boroy GATE PERMIT ISSUED 5-22-79 DATE COMPLIANCE ISSUED 6-4-79 STRAWB6TRY 11/6C. R0,9D J r 0 1n• .. I�.r..w �w.-.kN+/�e+ .+w-..-..nY-. 1.•n..rv+._+.+w.. ..�_-..+n--w +..�jV.V rw..ew-..•.. nww•. •.w..v. w•-_..ter+. ._ ..._e�.e.,_..._.,. r _n.r.w.,+.._ _— • � P-r y,`'` S , Ilk ��: Y tv} �:''�,>j �� �, 5�� +-�E�.S�'a'�.� �'.a�•'�'�'r`�sr. +�': �% ,"ts�.:"�w.:;; uf� � q ' i' c ��yy} t -i•. 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