HomeMy WebLinkAbout0075 WEQUAQUET LANE - Health 75 Wequaquet Lane
Centerville
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Re: 75 wequaquet
Repairs for report isshued 2013 has been repaired. jmf
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Town of Barnstable Barnstable
.� Regulatory Services Department Q P
1ARNSTABM D
9 ,� Public Health Division
�yA
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
June 22 2018
Received by:
Signed by:
Donald Desmarais
MCKAY, DANIEL J & JILL M
421 BUCKSKIN PATH
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville,MA was last inspected
on October 05,2013, by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Remove Sono Tube from inlet
You were originally ordered to remove the Sono Tube before February 24, 2017;
however, this was not done as requested. A second notice was sent out to remove Sono
Tube before May 10, 2018
You are ordered to remove the Sono Tube within 6 months from the date you receive
this notification.
Failure to do this within 6 months will result in scheduling this issue before the Board of
Health at a public meeting.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
Encl: Please read copy of report concerning this problem.
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\75 Wequaquet Ln Centerville Third Notice
BOH.doc
commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Add Estate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Cw ner owner's Nam 01 608—
information is WOr�aetPr
required for every State Zip Code Date of inspection
page. City/Town
B. Certification (coat.)
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 anyure criteraunot evaluated crere criteria ed
in 310 CMR 15.303 or in310CMR 15.304 exist An
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)forthe following statements. If"not
determined," please explain.
ru
or not)
The septic tank is metal and over 2 years old*or th or exfiltrati n o tatic tank nk fa'lurewsemminent metal
Sy temiwilltpassrally
unsound, exhibits substantial infiltration
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):
XM
�l d
Title 50fficial iris pectionForm SubsurfaceSevageDlsposal System•Page 2of17
t5ins•3113
I,
Town of Barnstable Barnstable
Regulatory Services Department Cft
' fARN9TABLE,
Public Health Division o
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
June 22 2018
7
MCKAY, DANIEL J & JILL M
421 BUCKSKIN PATH
CENTERVILLE,MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville,MA was last inspected
on October 05 2013 b .Toe Martins a certified
, , y ns septic inspector for the State of
p p
Massachusetts.
The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to.the following:
' • Remove Sono Tube from inlet
You were originally ordered to remove the Sono Tube before February 24, 2017;
however, this was not done as requested. A second notice was sent out to remove Sono
Tube before May 10, 2018. However, you failed to correct this issue before the
established deadline.
You are ordered to remove the Sono Tube within 6 months from the date you receive
this notification.
Failure to do this within 6 months will result in scheduling this issue before the Board of
Health at a public meeting.
PER ORDER OF THE OARD OF HEALTH
ean, R.S., CHO
Agent of the Board of Health
Encl: Please read copy of report concerning this problem.
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\75 Wequaquet Ln Centerville Third Notice
BOH.doc
Town of Barnstable Barnstable
Regulatory Services Department j"�`"C
j
io3p.
BAsxsraBM + I I
N^S Public Health Division
a�� 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7015 1730 0001 4988 0343
May 22, 2018
GOODE, THOMAS F & CARLA A
71 SPRUCE STREET
WEST BARNSTABLE, MA 02668
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 71 Spruce Street, West Barnstable, MA, was last
inspected on 2/23/2016, by Shawn 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 15.303) due to the following:
• Leaching pit is holding 12"of water at inspection,with stain lines above inlet
invert and into riser.
You were originally ordered to repair or replace the septic system before April 20, 2018;
however, this system was not repaired or replaced as ordered.
You are ordered to repair or replace the system within'6 months from the date you
receive this notification. G
Failure to repair/replace the septic system within 6 months will result in scheduling this
issue before the Board of Health at a public meeting.
ER OF THE BOARD OF HEALTH
Thoma e n, R.S. CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\71 Spruce St W.Bam Apr2016-
Second Notice.doc
THE Town of Barnstable Barn
Regulatory Services Department j
�STABMKASS
0 D.
s639.
Public Health Division
200 Main Street, Hyannis MA 02601 200�
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL # 7015 1730 0001 4990 4803
Apr 20 2016
Thomas F & Carla A. Goode
71 Spruce Street
West Barnstable, MA 02668
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 71 Spruce Street, West Barnstable,MA, was last
inspected on 2/23/2016, by Shawn 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 15.303) due to the following:
Leach pit was holding 12"of water at inspection with stain lines above inlet invert
and into riser.
You are ordered to repair or replace the septic system within two ( )years from the date
you receive this notification.
You may request a hearing before the Board of Health if written petition requesting same '',
is received within 10 days. -
J
Failure to repair/replace the septic system with the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
T o cKean, R.S. CHO
Agent of the Board of Health
Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\71 Spruce St W.Bam Apr2016.doc
�tKE r�
Town of Barnstable Barnstable
Regulatory Services DepartmentAl-fterleaChy
# B'M�`ter Public Health Division I I
s639. �0
�EOtADrA 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7015 1730 0001 4988 0350
May 22, 2018
HALL, DARLENE
67 CUL DE SAC WAY
EAST PROVIDENCE, RI 02915
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5
The septic system located at 32 Main Street, Cotuit, MA was last inspected on
5/05/2014 by James Ford, 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:
• Single cesspools.
You were originally ordered to repair or replace the septic system before February 29,
2017; however, this system was not repaired or replaced as ordered. A second notice was
sent out to repair or replace the septic system before May 10, 2018. D
You are ordered to repair or replace the system within 6 months from receiving this
notification.
Failure to repair/replace the septic system within 6 months will result in scheduling this
issue before the Board of Health at a public meeting.
PER ORDER OF THE BOARD OF HEALTH
6;ho e n, R.S. rt0-
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\32 Main St Cotuit Third Notice
BOH.doc
° Z.
r
Town of Barnstable BarBarnstable�tN
Regulatory Services DepartmentBLF,
` Public Health Division I
i639' ���
QED 39- 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7015 1730 0001 4990 1581
May 10, 2017 - ,$ECOND NOTICE
HALL, DARLENE
67 CUL DE SAC WAY
EAST PROVIDENCE, RI 02915
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 32 Main Street, Cotuit, MA was last inspected on
5/05/2014 by James Ford, 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:
• Single cesspools.
You are ordered to repair or replace the septic system within one (1)year from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE OARD OF HEALTH
Thomas McKean, R.S. CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\32 Main St Cotuit Second
Notice.doc
r
T
Town of Barnstable Barnstable
Regulatory Services Department. 1 I
'" Public Health Division I
I
639���e 2007
200 Main Street, Hyannis MA 02601
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7015 1520 0001 2273 3210
February 29, 2016
Darlene Hall
67 Cul De Sac Way
East Providence, RI 02915
The septic system located at 32 Main Street, Cotuit,MA was last inspected on
5/05/2014 by James Ford, a certified septic inspector for the State of Massachusetts.
The inspection of the septic system showed that the system"Failed" under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Single cesspools automatically fail in the Town of Barnstable.
You are ordered to repair or replace the septic system within one (1)year from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
cKean, R.S. C
Agent of the Board of Health
Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\32 Main St Cot Jun 2014.doc
Town of Barnstable Barnstable
Regulatory Services Department "'*Nftcw
Public Health Division Q
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7014 1200 0001 0358 5951
October 28 2015
Laurie Mullen, Trustee
Smith Family Investment Trust
PO Box 1375
Cotuit,MA 02635
The septic system located at 32 Main Street, Cotuit, MA was last inspected on
5/05/2014 by James Ford, a certified septic inspector for the State of Massachusetts.
The inspection of the septic system showed that the system "Failed" under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
0 Single cesspools automatically fail in the Town of Barnstable.
You are ordered to repair or replace the septic system within twz424 xa s from the date C
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
cKean,R.S. CHO
Agent of the Board of Health
QASEPTICULetters Septic Inspection Failures or Future Evll32 Main St Cot Jun 2014.doc
Town of Barnstable
.� Barn
Regulatory Services Department Q p
1AMIMABM D
KA"Ma Public Health Division
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
June 20 2018
Received by:
Signed by:
Donald Desmarais
MCKAY, DANIEL J & JILL M
421 BUCKSKIN PATH
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville,MA was last inspected
on October 05, 2013,by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system"Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Sono Tube must be removed from top of tank.
You were originally ordered to remove the Sono Tube before February 24, 2017;
however, this was not done as requested. A second notice was sent out to remove Sono
Tube before May 10, 2018
You are ordered to remove the Sono Tube within 6 months from the date you receive
this notification.
Failure to do this within 6 months will result in scheduling this issue before the Board of
Health at a public meeting.
PER ORDER OF THE BOARD OF HEALTH
cKean, R.S., O
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\75 Wequaquet Ln Centerville Third Notice
BOH.doc
Town of Barnstable Barnstable
: .� Regulatory Services Department AlMotcaM
p
MXNff">L
°'".
s6� Public Health Division
p1�
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
June 20 2018
Received by:
Signed by: —
Donald Desmarais
MCKAY, DANIEL J & JILL M
421 BUCKSKIN PATH
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville,MA was last inspected
on October 05, 2013, by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Sono Tube must be removed from top of tank.
You were originally ordered to remove the Sono Tube before February 24, 2017;
however, this was not done as requested. A second notice was sent out to remove Sono
Tube before May 10, 2018
You are ordered to remove the Sono Tube within 6 months from the date you receive
this notification.
Failure to do this within 6 months will result in scheduling this issue before the Board of
Health at a public meeting.
PER ORDER OF THE BOARD OF HEALTH
homas McKean, R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\75 Wequaquet Ln Centerville Third Notice
BOH.doc
�5 ti���l�'
Postal
CERTIFIED MAILRECEIPTo
o <,
OFFICIALco
cD Certified Mail Fee
FJdra Services&Fees(check bar,add fee as appropriate) �FN Q ,
❑Return Receipt(hardoopy) $ �i-
III ❑Return Receipt(electronic) $ �'� Postmar - �!
0 ❑Certified Mail Restricted Delivery $ Here
❑Adult Signature Required $. q o Y
[]Adult Signature Restricted Delivery$ k
E3 Postage
M Total Postage and Fe
$ MCKAY, DANIEL J :ILL M
sent To 421 BUCKSKIN PATH
Street and Apt .,or CENTERVILLE, MA 02632
---- - -
-------- -----
Certified Mall service provides the following benefits:
■A receipt(this portion of the Certified Mail labeq. for an electronic return receipt,see a retail
■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
■Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
■A record of delivery(including the recipients retail associate.
signature)that is retained by the Postal Service" Restricted delivery service,which provides
for a specified period: delivery to the addressee specified by name,or
to the addressee's authorized agent.
Important Reminders: Adult signature service,which requires the
■You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mai®service. Adult signature restricted delivery service,which'
s Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
■For an additional fee,and with,a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version:For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047
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CF TMF �
Town of Barnstable Barnstable
doANimed
Regulatory Services Department cap 1
RARNSTABLL
94, 1639. ,� Public Health Division
�fD MA'S A 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL 47015 1730 0001 4988 0367
May 22, 2018
MCKAY, DANIEL J & JILL M
421 BUCKSKIN PATH
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville, MA was last inspected
on October 05, 2013,by Joe Martins, a certified septic inspector for the State of
Massachusetts.
• The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15,00) due to the following:
• Sono Tube must be removed from top of tank.
You were originally ordered to repair or replace the septic system before February 24,
2017; however, this system was not repaired or replaced as ordered. A second notice was
sent out to repair or replace the septic system before May 10, 2018.
You are ordered to repair or replace the system within 6 months from the date you
receive this notification.
Failure to repair/replace the septic system within 6 months will result in scheduling this
issue before the Board of Health at a public meeting.
PER ORDER OF THE BOARD OF HEALTH
/'fit ' '
Thomas McKean, R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\75 Wequaquet Ln Centerville Third Notice
BOH.doc
a
Town of Barnstable Barnstable
. . °' Regulatory Services Department Wfte,caC j
BARNSPABLB, +
9 1639. �� Public Health Division m
f0 MBA 200 Main Street,Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 70150.1730 0001 4990 1598
May 10, 2017—SECOND NOTICE
MCKAY, DANIEL J & JILL M
421 BUCKSKIN PATH
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville,MA was last inspected
on October 05, 2013, by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system"Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
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.
• Sono Tube must be removed from top of tank.
You are ordered to repair or replace the septic system within one (1)year from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF TH BOARD OF HEALTH
s McKean; R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\75 Wequaquet Ln Centerville Second Notice.doc
I ,
Town of Barnstable Barnstable
.�. ; Regulatory Services Department xmMerimcft
9� 6y Public Health Division
I
200 Main Street, Hyannis MA 02601 2007
Office: 508-8624644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7014 1200 0001 0358 0598
April 6, 2015
Daniel & Jill McKay
75 Wequaquet Lane
Centerville, MA 02632-2519
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville, MA was last inspected
on October 05, 2013,by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
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.
• Sono Tube must be removed from top of tank
You are ordered to repair or replace the septic system within two N)years from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
ORDER OF THE BO OF HEALTH
o cKean, R.S., CHO
Agent of the Board of Health
0 -
Q:\SEPTIC\Conditionally Passes Ltr\75 Wequaquet Ln Cent Feb 2015.doc
r
4
Town of Barnstable Barnstable
: .� ; Regulatory Services Department I
NAM
Public Health Division
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7014 1200 0001 0358 0468
February 24, 2015
Daniel & Jill McKay ~
421 Buckskin Pate
Centerville, MA. 02632
ORDER TO COMPLY.WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville,MA was last inspected
on October 05, 2013,by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system"Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
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.
• Sono Tube must be removed from top of tank
You are ordered to repair or replace the septic system within two (2)years from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
` Q
ER OF THE BOARD OF HEALTH
omas McKean, R.S., CH0
Agent of the Board of Health
Q:\SEPTIC\Conditionally Passes Ltr\75 Wequaquet Ln Cent Nove2013.doc
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Parcel ID 450-016.002 Developer Lot LOT 103__..�_.. ._
Location 75 WEQUAQUET LANE Pri Frontage 172
Sec Road Sec Frontage
village CENTERVILLE Fire District C-O-MM
jsewer exists at this address No Road Index:18D5
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Owner MCKAY,DANIEL J&JIL Owner
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Acres 1.00
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Town of Barnstable Barnstable
° Regulatory Services Department ;e'cac j
` 9A MASS. Public Health Division
tj i6;q. �0 m
AIfD AA°�A 200 Main Street, Hyannis MA 02601 2007 -
r
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7012 1010 0000 2851 1104
November 12, 2013 .
KAWeen F Halal Estate of
% Gar ter,
11 Foster S et Suite 205
Worcester, M 01608
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville, MA was last inspected —5<
J on October 05, 2013,by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system(—"Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
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.
0 Sono Tube must be removed from top of tank ,
You are ordered to repair or replace the septic system within two (2)years from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action. S
PER ORDER OF THE BOARD OF HEALTH Q
Thomas McKean R.S. CHO I
Agent of the Board of Health
Q:\SEPTIC\conditionally passed\75 Wequaquet Ln Cent Nove2013.doc
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http://Nieb.mail.comcast.net/sen-ice/home/—/?auth=co&loc--en_US&id=l89842&part=2 10/16/2013
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Addrts;We of Kathleen F Halal c/oAtty Cary Peters, 11 Foster St, Ste 205
Ow ner Ow ner s Name
formation it required for every Worcester MA 01608 1 a/5/2013
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.
Im Min out rtant
When A. General Information
flltrrg out forms-
on the cor ,puter,
use only the tab 1. Inspector.
key to move your
cursor-do-not b S-QR H
use the return Larne of Inspector
key. L t1 S Gvt.?c%
e/fl�„ 11 Company-Narre
Company Address S De h4 l5 JV D Z6 6 d
City/Town-5—Vk State �/ / q 7 Zip Code
S i
Telephone Number License-Number
B.Certification -. eve rp�Pw� ,oicfvrd� 'Cl. es slew
r
de' k joalr t /a s fAll ea(awa y Axoo Se on c-74nlC . fr>Q .- rorz�ORsSP
I certify,that I have personally inspected the sewage disposal system at this aodfess andtkt°atthe,,^-
information reported below is true, accurate and complete as of the time oftliee i spection...Ihe ins@actio
was performed based on my training and experience in the proper function and rrtaintenarice of o mite
sewage disposal systems.I am a DEP approved system inspector pursuant,Section15.34tpf
Title 5(310 CMR 15.000). The system: Ln
CIO
L�f. Passes Q Conditionally Passes Q Uails
PQ r n
0: Needs.Further Evaluation by the Local Approving Authority
�l3
ctor'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 gf irse..
fire-W3, TiftSOMdWImpactionFormSutsudm S6vegeDispmWSysmm-Ragetof17
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
• Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Add
'state of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
ON ner Ouu ner's Name
require information required very Worcester MA 01608 10/5/2013
page. Cityrrown State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important:When filling out forms A. General Information
on the corrputer,
use only thetab 1. Inspector
key to move your
cursor-do not v U
use the return
key. Name of Inspector
Accu Se check
slide
d6. Company Nacre
S. Dennis, MA 02660
Company Address
City/Town State S Zip Code
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
r;
❑ Needs Further uation by the Local Approving Authority �
�-1 C)
I pector's Signature Date ;
The system inspector shall submit a copy of this inspection report to the Approvl g Authority(Boat'
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system ('r,
has a design flow of 10,000 gpd or greater,,the inspector and the system owner?shall submit)the Q ,
report to the appropriate regional office of the DEP. The original should be sent fo the,syst A 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.
t5irs•3113 Title 5 Official Ins Inspection Subsurface Se pec wage Disposal System•Page 1 of 17
0 ���
Commonwealth of Massachusetts
Title 5 Official Inspection Form
a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Address
Estate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Om ner Ofv ner's Name
n is
squired or every Worcester MA 01608 10/5/2013
page. City/Town State Zip Code Date of Inspection
B. Certification (cunt.)
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 a failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. An ure 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 over20 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):
CdVAz
l9ra•3113 Tide 5 Official Ire pecfionForrrr Subsurface Sewage Disposal system-Page 2of17
• Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Add
,state of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Oar ner ON ner's Name
inforrivition is
required for ev" Worcester MA 01608 10/5/2013
page. Ciyf town State Zip Code Date of Inspection
B. Certification (coat.)
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes(cont.):
❑ Observation of sewage backup or break out or high s is water level in the distribution box due
to broken or obstructed pipe(s)or due to a broke ettled or uneven distribution box. System will
pass inspection if(with approval of Board of H th):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below):
❑ distribution box is I led or replaced ❑ Y ❑ N ❑ ND(Explain below):
XED
tem required pumping more than 4 times a year due to broken or ob cted pipe(s). The
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) Furth/environment:
on is Re red by the Board of Health:
❑ Condithich quire further evaluation by the Board of Health in order to determihe if
the sying protect public health, safety or the environment.
1. Syss unless Board of Health determines in accordance with 310 CMR
15.30the system is not functioning in a mannerwhich will protect public health,
safetynvironment:❑ sspool 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
t5irs•3113 Title 5 Official Ins pection Form Subsurface Savage Disposal SWWm•Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Address
Estate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Ow ner Ory ner's Name
informau; df for Worcester MA 01608 10/5/2013
page. City/town State Zip Code Date of Inspection
B. Certification (coat.)
2. System will fail unlessthe 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 s m(SAS)and the SAS is within
100 feet of a surface water supply or tributary to a ce water supply.
❑ The system has a septic tank and SAS an a SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and S and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank d SAS and the SAS is less than 100 feet but 50 feet or
more from a private water ply well*".
Method used to determi distance:
'* This system pa es if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacte ' indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less th 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attach to this form.
3. her.
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
❑ p� Static liquid level in the distribution box above outlet invert due to an overloaded
Y� or clogged SAS or cesspool
❑ Liquid depth in cesspool is less than 6"below invert or available volume is less
than'/z day flow
t5ins•3113 Title fi Official Ins pecuon Form Subsurface Sewage Disposal SysOem•Page 4 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Address
Estate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Ow ner ON ner's Name
information is
required for every Worcester MA 016OR 10/5/2O11
page. Cityfrown 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 aPrivate water supply well wi
th 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 of2000gpd-
10,000gpd.
❑ The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CM 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 st serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes" or" o each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system i ithin 400 feet of a surface drinking water supply
❑ ❑ the s em is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ e 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 an ered "yes"to any question in Section E the system is considered a significant threat,
or answere 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
re .onal office of the Department.
t5ire•3113 Titie5 Official Iris pectionForm Subsurface SevageDisposal System-Pa9e5of17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Properly Address
Estate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
ON ner ON ner's Name
information required
is Worcester MA 01608 10/5/2013
required for every
page. Cilylrown State Zip Code Date of hspectlon
C. Checklist
Check if the following have been done. You must indicate"yes"or"no"as to each of the following:
Yes No
X ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ X 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 art of
❑ this inspection? p
❑ Were as built plans of the system obtained and examined?(If they were not
available note as WA)
I ❑ Was the facility or dwelling inspected for signs of sewage back up?
❑ Was the site inspected for signs of breakbout?
�
dWere all system components, a ing 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:
0 ❑ Existing information. For example, a plan at the Board of Health.
QO' ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable)[310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions: q y
Number of bedrooms (design): Number of bedrooms (actual):
l
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): -F--
t5ins•W 3 Title 5 Official Ins pectlon Form Subsurface Sevage Disposal System•(fie 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Address
Estate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Ow ner Qv ner's Name
information is
required for every Worcester MA 01608 10/5/2013
page. Cityrrown State Zip Code Date of bspection
D. System Information
Description: 1660
2 (cx G 1+
Number of current residents:
Does residence have a garbage grinder? ❑ Yes 4--'No
Is laundry on a separate sewage system?(Include laundry system inspection �] Yes No
information in this report.)
Laundry system inspected? /v/A-❑ Yes ❑ No
Seasonal use? ❑ Yes JW No
Water meter readings, if available(last 2 years usage(gpd)):
Detail: Zo 1 -� /1000
Sump pump? ❑ Yes No
Last date of occupancy: 2,0 1 Z
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.
Grease trap present? ❑ Yes ❑ No
Industrial waste Ing tank present? ❑ Yes ❑ No
N -s ' ary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5irs-3113 Title 5 Official Ire pection F arum Subsurface Sewage Disposal System-Page 7 of 17
9
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Add
`rstate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
0wv ner ON ner's Narne
infortion is
required for every Worcester MA 01608 10/5/2013
page. Citylrown State Zip Code Date of Inspection
D. System Information (cunt.)
Last date of occupancy/use: e
Other(describe below):
General Information I • ,
Pumping Records: '(e 6V-%` -ice le-
Source of information:
Barns �2 Wu�1T�
Was system pumped as part of the inspection? ❑ Yes No
If yes, volume pumped: gallons
Howwas 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)and a copy of latest
inspection of the VA system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other (describe):
t5irs•3H3 Tito 5 Official Iris pectionForm Subsurface Savage Disposal System-Page 8oft7
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Add
'state of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Ow ner Qv ner's Name
requiretion is Worcester MA 01608 10/5/2013
required for every
page. City lrown State Zip Code Date of Irtspection
D. System Information (cost.)
Approximate age of all components, date installed (if known)and source of information:
Were sewage odors detected when arriving at the site? ❑ Yes /No
Building Sewer(locate on site plan):
Depth below grade:
feet
Material of construction:
❑ cast iron e4O PVC ❑ other(explain):
Distance from private water supply well or suction line: 1
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
6 No i effl( S
Septic Tank(locate on site plan):
Depth below grade: feet
Material of construction:
concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 100
Sludge depth: /
t5ins•3113 Title 5 Official lnspectionForm Subsurface Sevage Disposal System•Page got 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Addr�sstate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
O,v ner ON ner's NameL
information is required for every Worcester MA 01608 10/5/2013
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.) 2
Distance from top of sludge to bottom of outlet tee or baffle /�
Scum thickness `�
Distance from top of scum to top of outlet tee or baffle I,
Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? ('yrP
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
ov c I I=e
d hr
.fv h P dh C o dl°r�- N p�d s 7y . e r+P�jlto✓��
(-ie,yk' k Uve I/
Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
Elconcrete Elmetal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance op 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
15ira•3/13 Title5Official Ins pectionForm Subsurface Sewage Disposal SysbBm•Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
WWI Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Address
Estate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Owner Owner's Name
information is Worcester MA 01608 10/5/2013
required for every
page. Cityrrown 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 le, ge, etc.):
Tight or Holding Tan ank must be pumped at time of inspection)(locate on site plan):
Depth below gra
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ poly �Iene ❑ other(explain):
Dimensions:
Capacity:
gallons
Design Flow.
gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in worlbng order. ❑ Yes ❑ No
Date of last pumping: Date
Comments (conditi of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins•3113 Tide50fficial InspectionForm Subsurface sewage Disposal System•Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not fur Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Add
`state of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Quv ner Oyu ner's Name
information is required for every Worcester NIA 01608 10/5/2013
page. City/Town State Zip Code We of t•tspection
D. System Information (cunt.)
Distribution Box (if present must be opened)(locate on site plan):
Depth of liquid level above outlet invert
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of lea ge into or out of box, etc.):
� la-2 a .n 2 V
OZ.
Pump Chamber(locate on site p/amber,
Pumps in working order. ❑ Yes ❑ No*
Alarms in working order. ❑ Yes ❑ No*
Comments (note condition of pun of pumps and appurtenances, etc.):
* If pumps or alarms are jinwork* order, system is a conditional pass.
Soil Absorption Systeme on site plan, excavation not required):
If SAS not located, expla
t5ire•3/13 Title5Official Iris pec don Form Subsurface Sev+ageDlsposal System-Page 12of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Add�tate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
O�v ner onr ner's Name
information is required for every Worcester MA 01608 10/5/2013
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cunt.)
Type:
X— leaching pits number.
❑ leaching chambers number. IS
❑ 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.):
d A,
is z-&d
c�-sh�—Cj 'js
Cesspools (cesspool must be pumped as part of inspection)(locate on lte
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
t5irs•3113 Title5 Official Ins peclionForm Subsurface SevrageDisposal System•Page 13 of 17
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Add
estate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Cw ner Cw ner's Name
information is required for every Worcester MA 01608 10/5/2013
page. Citylrown State Zip Code Date of Inspection
D. System Information (coat.)
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 so/insf hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins-3M3 Tltle50fficial InspectlonForma Subsurface Sewage Disposal System-Page 14 of 17
P
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not fur Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Add
testate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Cw ner ON ner's Name
information is required for every Worcester MA 01608 10/5/2013
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cunt.)
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
wherew.
� public water supply enters the building. Check one of the boxes below.
L7 hand-sketch in the area below
❑ drawing attached separately
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t5rs-3113 Title 5 Official Iris pecfionForm Subsurface Sewage0isposal System-Page 15 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Add
`state of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Cw ner Cw ner's Name
information is required for every Worcester MA 01608 10/5/2013
page. Citylrown State Zip Code Date of Inspection
D. System Information (corn.)
Site Exam:
931*'
Check Slope
[{'Surface water
�Ceck cellar
L1 Shallowwells
a �
Estimated depth to high ground water. feet
Please indicate all methods used to determine the high ground water elevation:
Obtained from system design plans on record
12,
If checked, date of design plan reviewed: /� L �� ato
Date
❑ Observed site(abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health-explain:
❑ Checked with local excavators, installers-'(attach documentation)
lql Accessed USGS database-explain:
nip Q
You must describe how you established the high ground water elevation:
r• s �-� �s > s-'� • s
.3• 4"CC Gill!J✓h%ycyy- Ldh �y/L d �- S. �.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5irs•3113 Title 50fficial Inspection Form Subsurface Sewage Disposal System•Page 16of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
75 Wequaquet Lane Centerville MA
Property Add{essate of Kathleen F Halal c/o Gary Peter, 11 Foster St, Suite 205
Cw ner Cw ner's Name��
information is Worcester MA 01608 10/5/2013
required for every
page. Cily[Town State Zip Code Date of ftpection
E. Report Completeness Checklist
dQ Inspection Summary: A, B, C, D, or E checked
Ly' Inspection Summary D(System Failure Criteria Applicable to All Systems)completed
E(System Information—Estimated depth to high groundwater
PI/Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
t5irs•3113 Tide 501ficial Iris pectionFonrt Subsurface SevnageDisposal System-Page 17of 17
f
Town of Barnstable Barnstable
Regulatory Services Department
Q P
BA STABL£, ' D
9� 039. Public Health Division
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
June 22 2018
Received by:
Signed by:
Donald Desmarais
MCKAY, DANIEL J & JILL M
421 BUCKSKIN PATH
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville, MA was last inspected
on October 05, 2013,by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Remove Sono Tube from inlet
You were originally ordered to remove the Sono Tube before February 24, 2017;
however, this was not done as requested. A second notice was sent out to remove Sono
Tube before May 10, 2018
You are ordered to remove the Sono Tube within 6 months from the date you receive
this notification.
Failure to do this within 6 months will result in scheduling this issue before the Board of
Health at a public meeting.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
Encl: Please read copy of report concerning this problem.
Q:\SEPTIC\Title V inspection Report Letters Mailing\Conditionally Passes Letters\75 Wequaquet Ln Centerville Third Notice
BOH.doc
nstable
Town of Barnstable Bar
Regulatory Services Department P
�STABM D
639. Public Health Division
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
June 20 2018 HAND DELIVERED
Signed by:
MCKAY, DANIEL J& JILL M
421 BUCKSKIN PATH
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH'STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville, MA was last inspected
on October 05, 2013,by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Sono Tube must be removed from top of tank.
You were originally ordered to remove the Sono Tube before February 24, 2017;
however, this was not done as requested. A second notice was sent out to remove Sono
Tube before May 10, 2018
You are ordered to remove the Sono Tube within 6 months from the date you receive
this notification.
Failure to do this within 6 months will result in scheduling this issue before the Board of
Health at a public meeting.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\75 Wequaquet Ln Centerville Third Notice
BOH.doc
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Town of Barnstable Barnstable
. Regulatory Services Department N-AmericaMA
■AuvSrAHM
9� "9. ,�� Public Health Division
RFD MAt A 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7015 1730 0001 4988 0367
May 22, 2018
MCKAY, DANIEL J & JILL M
421 BUCKSKIN PATH
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville,MA was last inspected
on October 05,2013,by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system"Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Sono Tube must be removed from top of tank.
You were originally ordered to repair or replace the septic system before February 24,
2017; however,this system was not repaired or replaced as ordered. A second notice was
sent out to repair or replace the septic system before May 10, 2018.
You are ordered to repair or replace the system within 6 months from the date you
receive this notification.
Failure to repair/replace the septic system within 6 months will result in scheduling this
issue before the Board of Health at a public meeting.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\75 Wequaquet Ln Centerville Third Notice
BOH.doc
.r
Town of Barnstable Barnstable
��ZME raY
Regulatory Services Department A*AnmftCj
sARxSrABL&
"`"SS& Public Health Division
Q� i6g9• ,�� m
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
June 20 2018
MCKAY, DANIEL J & JILL M
421 BUCKSKIN PATH
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville, MA was last inspected
on October 05, 2013,by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Sono Tube must be removed from top of tank.
You were originally ordered to remove the Sono Tube before February 24, 2017;
however, this was not done as requested. A second notice was sent out to remove Sono
Tube before May 10, 2018
You are ordered to remove Sono Tube within 6 months from the date you receive this
notification.
Failure to do this within 6 months will result in scheduling this issue before the Board of
Health at a public meeting.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mai ling\Conditionally Passes Letters\75 Wequaquet Ln Centerville Third Notice
BOH.doc
•• r• • ••r
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IVISEN. COMPLETEI PLETE THIS'SECTION ON DELIVERY
j ■ Complete items 1,2,and 3. A. Signature I
I ■ Print your name and address on the reverse X ❑Agent
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I ■ Attach this card to the back of the mailpiece, I
or on the front if space permits. I
` 1 1. Article Ad_d_resse-d.to: D. Is delivery address different from item 1? ❑Yes
1 i If YES,enter delivery address below: ❑No
I i i
MCKAY, DANIEL J & JILL M
_ 421 BUCKSKIN PATH -
ENTERVILLE, MA 02632
3, Service Type ❑Priority Mail Express®
1 II I'I�I'I I�I 'I I II II II I I IT IIII I(I I II'I II I II) ❑Adult Signature ❑Registered Mai:'R
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pp11HE Tp� Town of Barnstable 'ti''F1; ''" U.S.POSTAGE>>PITNEYBOWES
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039. ,m� Public Health Division
�A�fD MA't a 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL 47015 1730 0001 4988 0367
May 22, 2018
MCKAY, DANIEL J & JILL M
421 BUCKSKIN PATH
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville,MA was last inspected
on October 05, 2013, by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system"Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
0 Sono Tube must be removed from top of tank.
You were originally ordered to repair or replace the septic system before February 24,
2017; however, this system was not repaired or replaced as ordered. A second notice was
sent out to repair or replace the septic system before May 10, 2018.
You are ordered to repair or replace the system within 6 months from the date you
receive this notification.
Failure to repair/replace the septic system within 6 months will result in scheduling this
issue before the Board of Health at a public meeting.
PER ORDER OF THE BOARD OF HEALTH
l
Thomas McKean, R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\75 Wequaquet Ln Centerville Third Notice
BOH.doc
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Y Regulatory Services Department j aftaC j
1639. Public Health Division
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL # 701501730 0001 4990 1598
May 10, 2017 — SECOND NOTICE
" MCKAY, DANIEL J & JILL M
421 BUCKSKIN PATH
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville, MA was last inspected
on October 05, 2013,by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
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.
• Sono Tube must be removed from top of tank.
You are ordered to repair or replace the septic system within one(f)year from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF TH BOARD OF HEALTH
s McKean; R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\75 Wequaquet Ln Centerville Second Notice.doc
Postal
'CERTIFIED mAiLO.RECEIPT
ca •. Only,
IiT
O OFFICIAL USE I
0'•' Certified Mail Fee
Extra Services&Fees(check box,add fee as appropriate)r
❑Return Receipt(hardeopy) $ p
0 ❑Return Receipt(electronic) $ ( lPostma k
r3 []Certified Mail Restricted Delivery $ ( c��I V Here >
r3 [I Adult Signature Required $ h z
❑Adult Signature Restricted Delivery$ \ �
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Total Postage and Fees
� Sent To MCKAY, DANIEL J & JILL M
O Sfieeiand
421 BUCKSKIN PATH
�iryS(ate,CENTERVILLE, MA 02632 -
Certified Mail service provides the following benefits:
■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
■A.unique identifier for your mailpiece. - associate for assistance.To receive a duplicate
•Electronic verification of delivery or attempted return receipt for no additional fee,present this ,
delivery. USPS®-postmarked Certified Mail receipt to the
•A record of delivery(including the recipient's retail associate.
signature)that Is retained by the Postal Service- Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent r�
Important Reminders: Adult signature service,which requires the
■You may purchase Certified Mail service with signee to be at least 21 years of age(not —.
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service, Adult signature restricted delivery service,which
■Certified Mail service is notavailable for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear,a
certain Priority Mail items. USPS postmark.If you would like a postmark on rn
•For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion,r
of delivery(including the recipient's signature), of this label,affix it to the mailpiece,apply f�
You can request a hardcepy return receipt or an appropriate postage,and deposit the mailpiece.,—
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt,•attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.
PS Form 3800,April 2015(Reverse)PSN 7530-02-000.9047
SENDER: COMPLETE THIS SECTION 011V V AF W 4 WGI&I W 4@1110AIX01 AN 0
■ Complete items 1,2,and 3. A, Signature
■ Print your name and address on the reverse X ❑Agent
so that we can return the card to you. ❑Addressee
• Attach this card to the'back of the mailpiece, B. Receive by(Pnn Name) C. Date of Delivery.
or on the front if space permits:
I.Article Addressed to: D; Is delivery address different from item 1.9 ❑Yes
If YES.enter delivery address below: ❑No
-MCKAY,DANIEL J & JILL M
421 BUCKSKIN PATH
I CENTERVILLE,MA 02632 i
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PS Form 3811,July 2015;PSN 7530-02-006-9053 I Domestic Return Receipt
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United.States •Sende;;,-Please print your name,address,ar1'd ZIP+4®in this box-
Postal Service
Town of Barnstable
` Health Division
200 Main Street
Hyannis,MA 02601
tKE Town of Barnstable Barn
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MAm
Regulatory Services Department e'"aC j
BARNSfABM
9. ,�� Public Health Division
f°Mx�" 200 Main Street,Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL 4 701501730 0001 4990 1598
May 10, 2017— SECOND NOTICE
MCKAY, DANIEL J & JILL M
421 BUCKSKIN PATH
CENTERVILLE, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville, MA was last inspected
on October 05,2013, by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
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.
• Sono Tube must be removed from top of tank.
You are ordered to repair or replace the septic system within one (1)year from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF TH BOARD OF HEALTH
s McKean, R.S., CHO
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\75 Wequaquet Ln Centerville Second Notice.doc
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o a Daniel & Jill McKay
`� c 75 Wequaquet Lane
Centerville, MA 02632-2519
Certified Mail Provides: t ,,
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®.
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For,
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof of I
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the,
endorsement"Restricted Delivery.• the postmark nepostmarking.l pi please t the potoff c forreceipt
if a postmarkonth Certified Mail
receipt is not needed,detach and affix label with postage and mail.
'IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
J d
I
SENDER:*COMPLETE THIS SECTION COMPLETE THIS SECTION . DELIVERY
■ Complete items 1,2,and 3.Also complete Signat I'e
item 4 if Restricted Delivery is desired. ❑Agent I
■ Print your name and address on the reverse A ssee
so that we can return the card to you. B. Received y(Printed N e) p� Date o
■ Attach this card to the back of the mailpiece, Vj w k
Yk
or on the front if space permits.
D. Is delivery address different f m tem 1? es 'p
1. Article Addressed to: If YES,enter delivery addre o I No;
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Daniel & Jill McKay
75 Wequaquet Lane 3. Service Type
Centerville, MA 02632-2519 d Certified Mail® 17 Priority Mail Express- �
II El Registered O Return Receipt for Merchandise
l ❑Insured Mail ❑Collect on Delivery
4. Restricted Delivery?(Extra Fee) O Yes
2. Article Number
(transfer from service labeq i t 11 7'014 12 O Q y p 3 5 8 0 5 9 8 I
PS Form 3811,July 2013 Domestic Return Receipt
UNITED STATES POSTAL SERVICE
::,Pos a e&• P�jd•,
.. c�,rnwr°.'T'+1'v.:;�. aps•�r';.. .
• Sender: Please print your name, address, and 210a 44.1 'ihis box'` "
Town of Barnstable
Public Health Division
200 Main Street
Hyannis, MA,'02601 I
i
Barnstable
Town of Barnstable
.�. Regulatory Services DepartmentMASS
• 1ARN8fAHLE, • � r
A, Public Health Division m '
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7014 1200 0001 0358 0598
April 6, 2015
Daniel &Jill McKay
75 Wequaquet Lane
Centerville, MA 02632-2519
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville, MA was last inspected
• on October 05,2013,by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system"Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
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.
• Sono Tube must be removed from top of tank
You are ordered to repair or replace the septic system within two (2)years from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
ORDER OF THE B01 OF HEALTH
cKean, R.S., CHO
Agent of the Board of Health
•
Q:\SEPTIC\Conditionally Passes Ltr\75 Wequaquet Ln Cent Feb 2015.doc -�
SENID OMPLETE THIS SECTION • SECTION ON DELIVER�
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s Complete items 1,,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery Is desired. ❑Agent
t P Print your name and address on the reverse X ❑Addressee
so that we can return the Card to you. B. Received by(Printed Name) C. Date of Delivery
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or on the front if space permits. 4
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑No
i +
[Dani6l &.Jill McKay p
I BuckskinPath026323. Service Type
nterville, MA ` 0 Certified Mail® 0 Priority Mail Express'
kl ❑Registered � ❑Return Receipt for Merchandise
❑Insured Mail ❑Collect on Delivery
4. Restricted Delivery?(Extra Fee) ❑Yes
2, Article Number — - -- `
(Transfer from service labeq �7 014 1200 0001 0358 0468
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f I PS Form$811,July 2013 Domestic Return Receipt
' , ! .....
PLACE STICIMR AT TOP OF ENVELOPE TO THE RIGHT
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CERTIFIE
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Public Health Division ;
' MRMASS"'' 200 Main Street
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421 Buckskin Path
Centerville,.MA _02632.
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Town of Barnstable Barn
Regulatory Services Department Q p
sARxsre►st.E, ► O D
�� � Public Health Division
A 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL # 7014 1200 0001 0358 0468
February 24, 2015
Daniel & Jill McKay
421 Buckskin Path
Centerville, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 75 Wequaquet Lane, Centerville,MA was last inspected
on October 05, 2013, by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
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.
• Sono Tube must be removed from top of tank
You are ordered to repair or replace the septic system within two (2)years from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
ER OF THE BOARD OF HEALTH
C; o in�
McKean, R.S., CH0
Agent of the Board of Health
Q:\SEPTIC\Conditionally Passes Ltr\75 Wequaquet Ln Cent Nove2013.doc
Postal
CERTIFIED IVIA. ILT. RECEIPT
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(Domesffc�Mail Only;No Insurance Coverage*Provided)
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mq
ao L U SzE;-,
Ln
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Certified Fee � Q+
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0 Return Receipt Fee Here
0 (Endorsement Required)
Restricted Delivery Fee '.
(Endorsement Required)
C3
rU Total Postage&Fees Is
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c" Daniel & Jill McKay
421 Buckskin Path
Centerville, MA 02632
i
Certified Mail Provides:
A mailing receipt , r
■ A unique identifier for your mailpiece _
■ A record of delivery kept by the Postal Service for two years
Important Reminders: +
■ Certified Mail may ONLY be combined with First-Class Maile or Priority Mail&
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT-Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
Postal
CERTIFIED 1OA.1T.--RECEIPT
(Domestic Mail Only;
OFFICIAL
co
ru Postage $ F '.
O Certified Fee
O Return Receipt Fee -Postmark
(Endorsement Required)Restricted Delivery FeeCrzHiere
i tiQ
M (Endorsement Required)
E:3 Total Postage&Fees
r-'I
ru
a Kathleen F Halal, Estate of
0
%Gary Peter
11 Foster Street Suite 205
--LVlorcester,_MA 01 F08
1
Certified Mail Provides: ,.
■ A mailing receipt
■ A unique identifier for your mailpiece '
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Maile or Priority Mail&
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
{ receipt is not needed,detach and affix label with postage and mail.
IMPORTANT-Save this receipt and present it when making an inquiry.
;� PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
i
COMPLETE •N COMPLETE.THIS SECTION
■ Complete items 1,2,and 3.Also complete A. Signat
item 4 if Restricted Delivery is desired. ElAgent
■ Print your name and address on the reverse4�0"5 ❑Ad ressee
so that we can return the card to you. B. Receiv d by( rented Name) C D teraf ry
■ Attach this card to the back of the.mailpiece, L(
or on the front if space permits. ff
D. Is delivery address different from item 9 ❑Y s
1 Article Addressed to: If YES.enter delivery address below ❑ o
!,Kathleen F Halal, Estate of '
'%Gary Peter fl
11 Foster Street Suite 205 ' 3, Service Type
j ❑Certified Mail ❑Express Mail
Worcester, MA 01608
❑Registered ❑Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Y
2. Article Number +� 7012 1010 0000 2851 112 4
(Transfer from service label l..
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
l I
I j
-,UNITED STATES POSTAL,SERVICE, First-Class Mail
Postage&Fees Paid'
USPs I
Permit No.G-10
Sender: Please print your name, address, and ZIP+4 in this box •
Town of Barnstable
Public Health Division
200 Main Street
Hyannis, MA 02601 I
00
f I
1 11 i ii lil 1 1 1 S r i 1 11. �
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A
Town of Barnstable Barnstable
i
Regulatory Services Department M*nodcaC'i
saxivsrABLF-
MASS. Public H6alth Division m
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7012 1010 0000 2851 1104
November 12, 2013
Kathleen F Halal Estate of
% Gary Peter,
11 Foster Street Suite 205
Worcester, MA 01608
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 _
• The septic system located at 75 Wequaquet Lane, Centerville, MA was last inspected
on October 05, 2013, by Joe Martins, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
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.
• Sono Tube must be removed-from top of tank
You are ordered to repair or replace the septic system within two (2)years from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R.S.; CHO
iAgent of the Board of Health
Q:\SEPTIC\conditionally passed\75 Wequaquet Ln Cent Nove2013.doc
TOWN OF BARNSTABLE
LOCATION� UA ao6l- 14- SEWAGE # !o T_)�
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INSTALLER'S NAME & PHONE NO. 'o 151W 5 • 34.4° 6 A37
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SEPTIC TANK CAPACITY a jo
LEACHING FACILITY:(type)�
KO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER % ? JL
�-?-RUILDER,,6R OWNER /� S i i�1 y lUrll�+
:DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED_
VARIANCE GRANTED: Yes Nq
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