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HomeMy WebLinkAbout0980 WEST MAIN STREET - Health (2) 980 WEST MAIN STREET Centerville A = 250 - 049 S M E A D No.2-153LOR UPC 12534 smead.com • Made in USA r FWUSA1NWPROD VLW SFI �SO CFRTIFlED SDURCJNG W W WSFi+ROGRAN,ow. Health Complaints 15-May-06 Time: 8:00:00 AM Date: 5/9/2006 Complaint Number: 18808 Referred To: DAVID STANTON Taken By: DAVID STANTON Complaint Type: TITLE V SEWAGE Article X Detail: Business Name: Number: 980 Street: West Main Street Village: Assessors Map_Parcel: 250-049 Telephone Number: Complaint Description: Serious problem, sewage problem out back, puddles of sewage and it looks like it is going to collapse. Actions Taken/Results: DS WENT TO SAID LOCATION. TENANTS BROTHER TOOK DS OUTBACK TO SEE VIOLATION. THERE WAS A BAD ODOR OUT BACK, WITH GREYWATER OBSERVED. IT LOOKS LIKE THE SEPTIC IS GOING TO CAVE IN. DS AND DD SERVED THE ORDER TO CORRECT IN PERSON TO MATTHEW LAMBERT ON 5/9/06 @ 3:15 PM. UPDATE, ON 5/11/06, DS WENT BACK TO SAID LOCATION WITH PROPERTY OWNER, MATTHEW LAMBERT. AB CANCO PUMPED OUT THE SEPTIC ON 5/10/06 AND STATED TO HIM THAT THE SYSTEM DID NOT APPEAR TO BE IN FAILURE. THE REASEON THE SYSTEM LOOKED LIKE IT WAS IN FAILURE WAS BECAUSE THERE WAS AN ILLEGAL DISH WASHING MACHINE CONNECTION THAT WAS DISCHARGING OUT ONTO THE GROUND, THUS THE SOURCE OF THE GREY WATER AND ODORS. SEVERAL PHOTOS ON FILE. I 1 i Health Complaints 15-May-06 ORDER LETTER TO FIX SEPTIC RESCINDED. DS ALSO WENT THROUGH THE HOME WITH THE OWNER, HE STATED THAT THE BULKHEAD DOOR WAS DAMAGED BY THE TENANT OR TENANTS VISITOR. THE TENANT WAS NOT ALLOWED TO INSTALL A DISHWASHER OR WASHING MACHINE. THEY HAVE SINCE BEEN DISCONNECTED, AND THE PLUMBING REMOVED THAT WAS BEING ILLEGALLY DISCHARGED ONTO THE GROUNDS SURFACE. ALL TICKETS WERE VOIDED OUT BY DS. EVICTION NOTICE HAS BEEN SERVED. NO FURTHER ACTION REQUIRED. Investigation Date: 5/9/2006 Investigation Time: 11:40:00 AM 2 ri Town of Barnstable Regulatory Services sxtvsraa>.>~. Thomas F. Geiler, Director FA'�r Public Health Division 01,P441 700,5_-//�0_6 Thomas McKean, Director o J 9/-,/I,-7_200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Matthew Lambert May 9, 2006 1000 West Main Street Centerville, MA 02632 ***UPDATE: On 5/11/06, DS went to said location and met with the owner, Matt Lambert. DS is now rescinding this letter, as according to the Owner, AB Canco pumped out the septic system on 5/10/2006 and they feel the system is not in failure. DS took photos and went out with Matt after the system was pumped. The reason it was assumed the septic system was in failure on 5/9/06 was that DS observed wastewater ponding in the back yard (difficult for good observation, as it was raining out, heavy thorns, and safety concern as it looked like the ground was caving in) and come to find out, the source of the wastewater was an illegally connected dishwasher that was discharging onto the ground c e wast ater ponding. No her action required on the septic system at this time. U� 0 ( / NOTICE TO ABATE VIOLATI NS OF THE TOWN OF BAR [STABLE CODE. The property owned by you located at 980 West Main Street, Centerville, was inspected on May 9, 2006 by David W. Stanton R.S., Health Inspector for the Town of Barnstable because of a complaint. The following violation of the Town of Barnstable Code was observed: 360-16 of the Town of Barnstable Code: Sewage was observed overflowing from the failed septic system onto the ground. You are ordered to correct the above listed violation within the time frames listed below: 1) You are directed to hire a licensed septage hauler to pump the overflowing septic system within twenty-four(24)hours of receipt of this letter. 2.) You are also directed to keep the on-site sewage disposal system pumped as many times as necessary (daily if need be)to keep it from backing up into the house or onto the ground surface. 3.) You are also directed to contact and hire a professional engineer to design a septic system which meets local and state regulation requirements within fourteen (14) days of receipt of this letter in order to repair this system. QA Order letters\sewage violations\980 West Main Street.doc 4.) You are further directed to contact and hire a licensed septic installer to install a new septic system which meets local and state regulation requirements within thirty (30) days of receipt of this letter. It is also noted(and recorded with your first order letter dated March 23, 2006)that the laundry waste is discharged onto the ground,which is illegal. The laundry waste must be connected to an approved septic system. Non-criminal citations have started being issued for those housing violations which you have not corrected per your first order letter dated March 23, 2006 and received via certified mail on March 28, 2006. 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. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable QA Order letters\sewage violations\980 West Main Street.doc g�} ho� i• � �-,� � a"" V�''�1 �f ^�• i` ' � „"`" .:� •''*q,�„T". jam''- / 7�`•"., ... _ .. ` A Aef S ♦ l w it —r { Ia A 1, r dv t AA 1F. , rc y'pow 64 ~` . T 1 o ,. - !' -�► -i`fir 'V'-': �`,�. - �"; .40 At e 'Ire i � � + P f` 41& w opNL r' Z -•. � ; , r,y o / j �'� Y �'•�^ �' jam- _ �`� �� �, "r, ,�, ,,,���ppp" � ,����1 :i � � Y �! / •= •� •'+. } �. . `� _ ,;r' V+ 1. .� .gyp+���; rf�:i '�j '.� ,•. ;:.�•, � x 1 . .mow fi� jaw l _ e AA '',�ve .44 IA r � a r' +a�.. � � t t• L'i 1 ��1 �' N4 ��'e\Rt� ► .^ ei a ,r.:4 I- � ` �L'�'`� -�`' V 4 :�' � �I�� \ �'Jam- -•y*r• .• , I � /� F• ._tr� � � ^� lot dWk Ott 40 No \ �� r vas � f`�• � 1- �,�( Town of Barnstable Regulatory Services 9e� 1639n. `0�' Thomas F. Geiler,Director a Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 DATE: 3 a o NUMBER OF PAGES TO FOLLOW: TO: 0 M M FROMh / 1 �. r2 I PHONE: PHONE: (508)862-4644 FAX PHONE: �Q ^ 3 FAX PHONE: (508)790-6304 cc: -NOnTES/COMMENTS: I / �Nd e r F Y Z Z -f��yo f i n C-I"Cl' Q�y�✓ %� Fko WeJ4 /YJ mlq SJy�x ter/ ✓ /1 �e��er��`/��, /N2y ��i,�e �(apti.,e 4.r, �. vl � n,lla ��C/rIcleC/ o�or �A✓e d`PwiovPC�-�iro� Av Q:\Fax Form.dbc r P. 1 f i * COMMUNICATION RESULT REPORT ( MAR.24.2006 11:43AM ) . TTI BARNSTABLE BOARD OF HEALTH FILE MODE OPTION ADDRESS (GROUP) RESULT PAGE ---------------------------------------------------------------------------------------------------- 194 MEMORY TX 915087902385 OK P. 1/1 ---------------------------------------------------------------------------------------------------- REASON FOR ERROR E-1) HANG UP OR LINE FAIL E-2) BUSY E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION Town of Barnstable Regulatory Services KAM Thomas F.Geiler,Director 3 , Public Health Division Thomas McKean,Director 200 Main Street, Hywnis,MA 02601 DATE: 3 NUMBER OF PAGES TO FOLLOW: � TO: Faa o M NA ?r-e ► �d� w• PHONE: PHONE: (508)862.4644 AX PRONE: FAX PHONE: (508)790-6304 , cc: r - at a P. 1 COMMUNICATION RESULT REPORT ( MAR.23.2006 9:56AM ) TTI BARNSTABLE BOARD OF HEALTH FILE MODE OPTION ADDRESS (GROUP) RESULT PAGE ---------------------------------------------------------------------------------------------------- 181 MEMORY TX 915087902385 OK P. 1/1 ---------------------------------------------------------------------------------------------------- REASON FOR ERROR E-1) HANG UP OR LINE FAIL E-2) BUSY E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION Town of Barnstable • _ Regulatory� Re ulato Services Thomas F.Gefler,Director Public Health Division Thomas McKean,Director 200 M6n Street, Hyannis,MA 02601 DATE: 2 �� NUMBER OF.PAGES TO FOLLOW: TO:C,,AK �i v P�tO avi cf rjv. T�� PHONE: PHONE: (508)862,4644 FAX PHONE: FAX PHONE: (508)790-6304 790- .23 Y CC IHEA Town of Barnstable Regulatory Services 9eb `9. �� Thomas F. Geiler,Director prFO MA'S A Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 .Y5 M1723- Mg li v DATE: 23 0,6 NUMBER OF PAGES TO FOLLOW: To: M M ,� FROM v� Gv- PHONE: PHONE: (508)862-4644 FAX PHONE: FAX PHONE: (508)790-6304 750- .23�sr cc: • 4 0 NOTES/COMMENTS: f vsir� ` aMp/a�4� T� 0.0 3/a;z/o� 37 �Srvec� 6 5 lkv,4 Q 41- rr I� �d' _ I I ��T 't1`� S-Moke ekcC ' 61JAf ��r�✓PsP� /✓1 hose'41W (V411(5hecl fl�iS P Q•? l ST /UIJ� SOhOI� C2 le4r cokm e clf of �Jf O�v1 I n b�1�! ! "� 4/ �� J- of✓VI S2'I Ci(/'✓1 II Q ouo-,'P✓, °� R (�f,114 V'� �� o�fe�� r ed �ac(, C0rre.C W/ i•) IV dtouY- a . T Ifo �,ove a, �rl^k �-W y7 QAFax Form.d6c + , Certified Mail#7005 1160 0000 0191 2182 Town of Barnstable Regulatory Services UARNSUBM Thomas F. Geiler, (Director Ass. Public Health Division 10 Thomas Mclean, (Director �. 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Matthew Lambert March 23, 2006 1000 West Main Street Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION 310 CMR 15.000 STATE ENVIRONMENTAL CODE: TITLE V, AND THE TOWN OF BARNSTABLE CODE. The property owned by you located at 980 West Main Street, Centerville, was inspected on March 22, 2006 by David W. Stanton R.S., Health Inspector for the Town of Barnstable, Alisha Parker, Hazardous Materials Specialist for the Town of Barnstable along with Michael Whiteside and Jamie of the Massachusetts Department of Environmental Protection because of an anonymous complaint filed with DER The following violations of the State Sanitary Code were observed: '�05 CMR 410.482: Smoke Detectors: The smoke detector that is supposed to be present in the basement has been removed and has bare wires exposed. J105 CMR 410.482: Smoke (Detectors: The smoke detector on the first floor near the stairs to the basement is connected, but is hanging loose by the wires. d,,t A105 CMR 410.750: Conditions (Deemed to Endanger or Impair Health or Safety: A propane tank was observed in the basement. �u di�I� 05 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: The door leading out of the basement is damaged and not weather tight. 105 CMR 410.351: Owner's Installation and Maintenance Responsibilities: The electrical outlet by the washing machine and dryer is inoperable. 105 CMR 410.351: Owner's Installation and Maintenance Responsibilities: No electrical faceplate cover was provided over the outlet by the washing machine and dryer that is inoperable. �J,,r 405 CMR 410.351: Owner's Installation and Maintenance Responsibilities: An electrical junction box on the ceiling in the basement near the furnace has exposed wires because the cover for the electrical junction box is not present. QA Order letters\Housing violations\980 West Main Street.doc r 105 CMR 410.351: Owner's Installation and Maintenance Responsibilities: A potable water supply line over the oil tank was improperly sealed off, and has a slow leak. 105 CMR 410.351: Owner's Installation and Maintenance Responsibilities: The connections of the fuel supply line at the oil tank filter and furnace are loose. The following violation of the State Environmental Code Title V was observed: 310 CMR 15.000: Illegal Discharge of Grey water: The laundry facility at said location is not connected to the septic system at said location. Grey water is being discharged to the ground �(} surface via a pipe out the basement window. The following violation of the Town of Barnstable Codification Rental Ordinance was observed: § 170-7 of the Town of Barnstable Code: Owner\Property Manager's name, address and �rQ telephone number were not posted. § 170-7 of the Town of Barnstable Code specifically reads as follows: An owner of a dwelling which is rented for residential use, who does not reside therein and who does not employ a manager or agent for such dwelling who resides therein, shall post and maintain or cause to be posted and maintained on the exterior of such dwelling within five feet of the main entrance or within five feet of the mailbox(es), at least four feet and not greater than six feet above ground level, a notice constructed of durable material, not less than 20 square inches in size, bearing his/her correct name, address and telephone number. If the owner is a realty trust or partnership, the name, address, and telephone number of the managing trustee or partner shall be posted. If the owner is a corporation, the name, address, and telephone number of the president of the corporation shall be posted. Where the owner employs a manager or agent who does not reside in such dwelling, such manager's or agent's name, address, and telephone number shall also be included.in the notice. You are directed to correct the violations for the smoke detectors, and the tank in propane � the basement within 24 hours of your receipt of this notice by installing a smoke detector in the basement, securing the smoke detector to its base on the first floor and by removing the propane tank from the basement. You are directed to correct all of the other violations listed above within thirty (30) days of your receipt of this notice, by repairing\replacing the broken basement door, by repairing the electrical outlet (or changing the fuse if tripped) by the washing machine and installing a faceplate cover over it, by installing a cover plate over the exposed electrical junction box in the basement, by repairing the potable water supply line over the fuel oil tank, by tightening the connections on the fuel oil supply line, by connecting the laundry's grey water discharge to the current septic system or by installing a new septic system, and by installing a proper property rental sign in accordance with § 170-7 of the Town of Barnstable Code. The following is a list of recommendations you should consider to prevent any future damages\expenses: 1. Remove and properly dispose of the bucket of fuel oil under the fuel oil filter. 2. Seal off the floor drain and the old well pit located in the basement to prevent any hazardous waste from directly entering the ground (i:e. fuel oil tank leak) 3. Replacing the gauge on top of the fuel oil tank, as it shows signs of previous leakage. QA Order letters\Housing violations\980 West Main Street.doc 4. Replacing the fuel oil tank with a new double walled tank 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. PER ORDER E BOARD OF HEALTH omas A. McKean, R.S. Director of Public Health Town of Barnstable QA Order letters\Housing violations\980 West Main Street.doc Health Complaints 23-Mar-06 Time: 9:00:00 AM Date: 3/22/2006 Complaint Number: 18706 Referred To: DAVID STANTON Taken By: ALISHA PARKER Complaint Type: HAZMAT\SEPTIC\HOUSING.. Article X Detail: SEVERAL VIOLATIONS Business Name: Number: 980 Street: WEST MAIN STREET Village: CENTERVILLE Assessors Map_Parcel: 250-049 Complainant's Name: ANONYMOUS GIVEN TO DE Address: Telephone Number: Complaint Description: ANONYMOUS COMPLAINT CAME INTO DEP HOTLINE REGARDING DISCHARGE OF GREYWATER OUTSIDE AND POSSIBLE PROBLEMS WITH OIL TANK LEAKING Actions Taken/Results: DS, AP, ALONG WITH MICHAEL WHITESIDE AND JAMIE OF DEP WENT TO SAID LOCATION. SPOKE WITH TENANT, SHE WAS UNAWARE OF ANY COMPLAINTS, WE STATED IT CAME IN ANONYMOUS TO DEP. BASEMENT INSPECTED FOR VIOLATIONS. IT DOES NOT APPEAR THAT THE OIL TANK IS LEAKING (HOWEVER, IT IS A SUPPLY LINE BURIED IN THE CEMENT FOUNDATION.) SEVERAL VIOLATIONS OBSERVED. SEVERAL PHOTOS ON FILE, AND AN ORDER LETTER WILL BE SENT WHEN DS GETS SOME TIME. Investigation Date: 3/22/2006 Investigation Time: 11:15:00 AM 1 4p- -'*i A._-..___ to R r� N!tYc o{c 71 .s7--7 4i i r i jP —Poe—, ....... ,S i I i f v •:' Y"i,f:s�`��►T�r�� q t,:,., _� .., nicrHa rF (-,N!._JT r_;P',qF-:p,AcNjT s .. — — _ i� AM' 22 i 2006 r,S � ° 1 i •t I G � � y'k'�.. • T 1 AN y rr A Ak _ y CI,. 6 i ♦ r y w� +�""1i3:' .S.. ' \ _•�. `. .�,, fit � t -- .�'_-' � �• r`a ,� a � R � spa _ sr � ' � •-YW � ..� yy •. " ��r:l _ � � * .' art' `:�'r�-� t �`"!�` ''� �.. w';, --,, f- \V• ♦ �•[y �'� ��!d.� y 4 o e 3��.+\�a.-. ��,8 _"a��-A�1 �, ♦ �c��ri ��T ' 40 rl Alff. It it y.s�� 'fit•- �, t s � ��-" ,�`ar - [.��w -� �a � ����,�r �`� ,� �,� �`�'�, r ,��� - Al It r y ... 4 +mot -� �_1' .. � . a 46. ti 6 '.•'''�� �ta1�► /,r.�"f �� 'i_ _ �'`�{`°�"4. r�:�. �i.,�`.�r�y��� ��t�.+,_ •�f ; ,r �'n. _s�i�i�`�e�_ '�.._. f" 0 980 006 *rT P R i i „• �i� • � .j,'�•*,,�} ti i• w�' �.�` ��.� r �t • '�, •..t ,�. •.� •tip:. Ali '°•.mac./i' .,�, t •� r � � l��; ' .y iM ♦I• K. I It lb �; � ti ` a• .�,, f.• , •yam`, ' ,t'r `t i ;. Aof _ • m --,H.P1 ! 22 2006 _t ir - � r � ti Atj•� '� yy r 1 8 IN = A` EAKIN 1 w is I i I A ' 22 2006 r f OCR ' -wow"� At Y +!1 0 v' •f• v - i �r r. • 1 M1/t v, R 1« MAR 22 2006 3 �r!•" 1. �, ,. r I� .tt f �A t_ • � S <iN/✓.. i�Y������1���� � `'T ail 1. a y 3 �. T • 980 WEST w WEST MAIN STREET, CENTERVILLE. WATERLINE IN BASEMENT CRIMPED OFF AND PPING BY OIL TANK. DS\AP & DER *41 - ¢ xpoll o Y a5 +4 s � r AL u' �0 II ,I I RR � 3 . a ,:;tYrr rAl' asp _ jF •' � m o° 7' i - � Y 0,0 ' d� x� cu Y r R f 11 y a .k H / 1 ' � I x�M000IMC. � ���• �+ Op •:1 — — — • • • cyaj e spirt � i a,e3- � ,p'�-`e; - s r - S . 2 t i n Y L r ^'d r L !� 1. i C:) 1 1 I ":t . `Vein Street, Centerville. Follow up inspection. Illegal laundry discharge pipe going out onto the la' dip r� H 4 � r `j } 1 n -'I� t al '. p i La u n , �'� Y'C' �.,�y _ � ''�' .r;��.� .,''' •M� +y$� ._!/ .• � ``fir ;err .:yam' � \ Is ♦ y t `� .M., _ ..-. .,,, ! / i - t- � , , �` ,ems.� !�- .�, •��`� � „a. -+ �• �?. # "'.-fir•--� ..-.. ��.n�M+ -'r { L, .� �' ��.+n6...tw`IY+1• �..• ��,^Y �(,.i'),. *9�.-,u�• M1 �.. �. v'�" 1�1 ; "1 ¶,..�' /, �a��. .y .•.r � {, :�. � ?MAR vK` __, {:�• � x�+•a°7!G""7A� �' � a�' r 1 •.r «s-. 4 � 4 _ _•� C/rIM�,, i • '31LFp' r , .. fit. .___ 16 r.n * jb� T r.�.� _ �. y \ _ � � . 1 is - .�r ,,. �� .�< .` r.., � ° � r^ " r r"' .- fy� '�;;�w, 3'V ` � AST .. .��� �. 1- b ��. � _ �. k i yi. � � i ,`.� � .. fi ., _ }�1- •.� ' t • 1••*, ;• .. 7 me, Y' - 'turn ®l Balrnstable 110,.:74 P# Department of Regulatory Services Public Health Division Date Pyo`1He I��® �OQ� 200 Main Street,Hyannis MA 02601 BARNSTA111M • '^ . v MASS � � J. Time � �0 ,, Fee Pd. �D U 0 0 'Date Scheduled 2d e ' 1 - ®al ► uitabilio Assessment for Sewage Disp&al .<4 Wdnessed By Performed By: ' �< <- '� 1Tj�. � 1 I I n U134x , � .,. Owner's Name 0 . I—A"bfo-KrT 08 C Address Location Address ti p i �Q O �. P1 sit„t "'� W, t t A t t4 ST• I Sf� �..► l b c G� Engineer < 's Name Assessor'sMap/Parccl: �c-�_e q— 6 i 7 Telephone NEW CONSTRUCTION _ REPAIR n Slo es % Surface Stones r 12 Land Use K CS +P r1'T I'g� p ( ) Distances from: Open Water Body ��b ft Possible Wet Area r j . ft Drinking Water Well O ft Drainage Way .3 n` ItProperty Line }tt Other ft SKETC F](:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) at pZ Jul i{ 109 it 04 Ral�LA"D LL Ai•9 a E4:_T'I. Ir Depth to Bedrock > — Parent material(geologic) ' Weeping from Pit Face gb a<,Z Depth to Groundwater: Standing Water in Hole: Estimated Seasonal High Groundwater 1 i it 2 ;' rLYlni„rrl i yl' NS I.rLI_.1 1 T Method Used: in. Depth to soil mottles: in. Depth Observed standing in obs.hole: in Groundwater Adjustment ft Depth to weeping from side of obs.hole: Ad' factor Adj.Groundwater Level index Well# Reading Date: Index Well level j .. ..,. .....i........::..:.._..1_.....r....r..y.-........,.,:,5..:.......: ......... Y I.ur.Rf:.:d:l it rr-ltr::.;.�.l:rPAxF:!' 1 1 tr( _'!. 11 il'll 1 �(, y :1W47�{si - t r1.I.yI1 1 ,'I T.rk'� Ix aF°:Ih✓Yr ya f �.� Id it��. �1 r1�' II +F( ' r •'4�r . L.Iv1.�, �.�.. r-.drx.r„-r Q4 O 1 0'L Observation Time at lol laZ l0`-1 Hole N if Time at 6' Depth of Perc `' `�-?`� I O:'Ll I 1 : O'1 —Li-LAS Time(9"-6') StartPre-soakTimeQ1r4 At-L- 2�1 (-At- uS�+o End Pre-soak 11 ' i —l' —� ca ,, t f M �a t_rcS U N ra vb t-�.. '7' � . "A Rate Min./Inch e Site Suitability Assessment: Site Passed y Site Failed:�— Additional Testing Needed(Y/N) .,,.r n in Tn Be.C'mmnleted on Back--------- 1 CIS >::>;:::;:•:;.;:.::. ::::::.:...:.... ,rr Other Soil Depth from Soil Horizon Soil Texture $oil Color Mottling (Structure,Slopes,Boulderes. Surface(in.) (USDA) (Mansell) Z I 12" To Soil_ _ S -r✓L1 Aid 6L t-t60 SA�d 1-7- 35 Q Sn N1O I U R g t oos�- S.G. M-G SA t0 35 - 9Z C.I SAI�tt7 Z $ to G IS o Cs,2A�J61. sYQq-rlf �aoSt= M-e. SANiO 2- 1 C Z SA..•{p Z' S 1 � 2 G I °�u L'n dL AJ n 11 .IZD�I i3 li — 7.5 14 •S t' A ILIT ka Gol-or�S 88 -`iy e �.•.��.�ST2<3T�FIE✓� L—Al LdL.S �� :......:.. e . Solt other Depth from Soil Horizon foil Texture_ Soll Color Mottling (Structure,Stones,Boulderes. • Surface(in.) (USDA) (Munsell) Lc,Am 3 Z rC,-,A4.Le-� Sot 6 - I2 A Sni,, l o`'✓L '� Cj l=ri►h,bl-� N�10 S�a.Jd S 4/'lc0 ILi.COSE.:. t-A-GS�1a1L7 C (0 3 STa�ac1I Z (� SiAI�tU 2 - LboSE rl � 'l= SAto Sal.lD 2. 5' f; 2 10 50 G AQ 1-- Ar2t�tw�4tE� Gdt-artg e 60�'- �'`f4 - g11;u1 1411-u -7.5yvL Sly, v 9- STRA-C.*1--,- ::::::>::::< :>:«::;:>:«::;:>::»::;::;>DP>:<4> <:>:::.::::;.;:.::.;::.:.:;.::.:;::;<.;:.;:.:..:•::::.: •::::::.....:...... Soil Other Depth from Soil Horizon Soil Texture Sol Co or Mottling (Structure,Stones,Boulderes: Surface(in.) (USDA) (Munsell) L oAr" .SA.40 G- Locsnn..� la.4F, 'S/ , v RIABI-E- MC-a'� SArI✓�. p-Z F--C- S ArJ J w'rooc c LS G �' LooSE - M-G SA J10 Sartfl 2 .5 t' 3 7. Lam ..............................................:......... • <:Ian;:H:+(3!.I:F�::LOG.:;:::::::::<:;:.:::.:;:.:.;:.:::.::.::<::,>•.::.:....:..,,...�»..,�. P:OB.SER'SAT::::.::::.::.::::.>;,:.:::::::::.:.::.:.::•::. . . »; ......: < .6.0". .............. Other Soil fioriion Soil Texture Soil Color Soo Deth from Mottling (Structure,Stones,Boulderes. p (USDA) (Munsell) g Surface(in.) n 3 to all- . SAN✓,, IU�JZ 1 SAr-�1� z s,s�{ O F rLt AS r1.�- rt Q a4 SANd� ax1,01Z,6-Io GoA2316 C � 2Sk - EL ' — •L n�s� ri-�- sa�.,r ro S-fe4-cr r`u yo Gasro6l- "$ ,)C,> 1 01 2 �� Z 5 .��21 E GwT�b L u e Flood Insurance Rate an: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No_ Yes _nenth of Naturally n"'' krinv Pervious Material Does at least four feet of naturally occurring perviousaterial exist in all areas observed throughout the area proposed for the soil absorption system? G� If not,what'is the depth of naturally occurring pervious material? C'ertlfiCa Q1 r r S I certify that on `� (date)I have passed the soil evaluator examination approved by the ,�j-.-r Fi-Arun ental Protection and that the above analysis was performed by file consistent�vith Town of Barnstable P# pa zlt � Department of Regulatory Services �6 z Public Health Division Date op IHWE 200 Main Street,Hyannis MA 02601 BA STABIS, �J Time 0 ;oe)f Fee Pd. AEEDNIP��,eg Date Scheduled U SoilSuitability Suitabili Assessment for Sewage Disposal Witnessed By: Performed By: ...............:.::..,.,........,,...:.,...,.,....-,:,:::...,::,....,... .. .. !;_;;!Iri{;i�:,.,;n;:•:I!;,Y,.!ygp:;.M!„�:!ii!i!�^!�:11'al F':Iu....::l:l!i::... vv..,. .li.. ... .Tt:.T, .. ! u .na.rai,:,.,,' . � Owner's Name M Lk�rrt ry&w"[' Location' nn S! G 1000 ty*4 r 4C. t ( . Address <. Engineer's Name {✓1 A e�( / Assessor's Map/Parcel: Z Z9^ I 1 ✓ REPAIR ✓ Telephone k .N EW CONSTRUCTION - o � _� Surface Stones v� 0Land Use Gs -eIT AL- Slopes(/0) �� ft _It Drinking Water Well Distances from: Open Water Body�_ft Possible Wet Area a Drainage Way O l ft Property Line � ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pero tests,locate wetlands in proximity to holes) 0„-r�.J q S i (f Depth to Bedrock Parent material(geologic) 10L. A i G Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face • ndw ater IH High ou Seasonal u! Estimated S eas g - Eshm _ v - '=.e!ma+!r:.1:^:!�,-:;a!I,,m!,•���;!:;:;,„..•,; :.t. �,ili� =g!i5;! r?`i';;`rHa;ir ........... .....,:!.:v..:.;:..�,.,..,.:.,...,.. .,!. .lidv...,:�n+1., � � o+n!6.r_6r_.,,,. Method Used: in. Depth to Soil mottles: in. Depth Observed standing in obs.hole: ft. in Gmundwat+erAdjustment Depth to weeping from side of o s`hole: ti Reading Date Index Well level Ad•.factor_ Adj.Groundwater Level_ Index Well 1! --- :,�.r�+':i+�:•r:�+::r:'!!".Tiil:,,�!';;:;::x:,�::r,!;;;;.1:i!:�!�a�iii`t<�;:�t=��;+:ir,;:!i,� .... :.............:.....:.:: ,.:....,....... ..1 .._ :: ....: . i .......... :.._,.::.. ,.:::.,......t :1:..:..,.1.u..:.....:.. ,., ....:. ... ..:... .. ... ..... ,.d.•._ !,La.,.;L-:!ibi:ai�� ... ....._..........!:,:r,..:.o..,.!.,!ua!,I,.,..i..._!.�:i!u.,..,,...,.!-::4 , ..,r !.,:, . ..r AFu.:�?:) ,!!� M„ .l i i!!l,!11i+:iOtl n:L.t:....):?'li'1'C:f!!+!n!5.r!i41.nTn�ri,...•!F.J,thJ 41::,:r:n:c.:.-c:e:_.::_ Observation I Time at 9" Hole d ���14 Time at 6" Depth of Perc q Time(9"-6') — Start Pre-soak Time Q _L_L�� End Pre-soak 1 Z Rate Min./lnch _ Z Additional Testing Needed(Y/N) Site Suitability Assessment: Site Passed Site Failed: Hole Data To Be Completed on Back nriv nal: Public Health Division Observation ----- J 910 : Z'Ibl� JL bolo#,:::.::::::.. ;:><;:>:<:... :<:.::.;:.;:.:...::.;:bE �.P ::::.:::::.: :.:::.:: .... . T..:::<.:.::::.:.:..::... ....... ..... ........... ........ ........ Soil Other �Deplh•from• �.�:�:�Soil Horizon �••..:;:<.:;::Soil�Texture��•••�•����Soil Color Mottling (Structure,Stones,Boulderes. Surface(in.) (USDA) (Munsell) o I .. J�r1 aD 4 Z[5V( 5/ Z/ pj C� o 0 6 J E S-ne r 8S-15� CZ. SA1`4 Laaso- H.—C.3 L,� 44,Sl, A-T tDlt �� tI 7A 4 .. .. . . ................:.... . . Depth from Soil Horizon Soil Texture. Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. e 1 ::.::::::::::::::::::.:::.::.:;:.::.::;.::::.::::::..:.::.:.:......................:........................... ..... Depth frorrm Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency. [ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. n ' " e �yASd JP ..i;:. '.f .�...X x.�• > �>+ [_i'i 77 L3 a..a`�t �>ifSp.P'i q��,�,3�,e��r`�#.�,P 's �_F+" r,k+t Pa� $* d� �� ;i 1'-..� [ 1 Y .� �+P• 6 A P�..,R �•. ra 3f. I. '�'�.�{p.4 I l a �. i i ,t Y.`.a,. } .:g•„,P. ,.. idKiF. 'a 1 ::, v."1.�,r.., i:d.r"rr ��y�, i, i_. t.+l,.naypyP'ud ri S�)',MrNz #PI"..�� k a(i: 4'iF_F:,2�s i., �rs�i`, 4 ���.h5� �a .2srL�S " } 7 � $i y�-iFR•}at h�, t ^i ac d. �. �S t r.�a. r-r. L•!.r iS. tf t; [�„. '1V.•. M hr P ,;. w[..�..�... .. n.. �... .. Flood Insurance Rate Man• Above 500 year flood boundary No Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No_ Yes Depth of NflturallYOct:urring 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 pervious material? Certification I certify that on Jr' ; (date)I have passed the soil evaluator examination approved by the Department of Environthental Protection and that the above analysis was performed b rrle consistenf,5-1, h the re-miirerl traininw r_ exnertise and ext)erience described in 310 CMR 15.017. � t�/ , , �, a_