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HomeMy WebLinkAbout0038 LIETRIM CIRCLE - Health (3) 6 KEEFE COURT, CENTERVILLE A=169-054 LOT 47 s a k d i i r, Commonwealth of Massachusetts r(p9-0 67 y Title 5 Official Inspection Form F Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Keefe Crtr,' U Property Addressa DOHERTY, MARY CATHERINE C Owner Owner's Name information is ✓ Ma 02635 1/18/19 required for every Centerville 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. Important:When A. Inspector Information $144- 13 5q-(8 filling out forms on the computer, use only the tab Michael DiBuono key to move your Name of Inspector cursor-do not DiBuono Sewer And Drain use the return Company Name key. 35 Content Lane Company Address Cotuit Ma 02635 Cityrrown State Zip Code 508-364-9587 S113522 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 1/21/19 nspector'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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 J Commonwealth of Massachusetts a _ . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments -� 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System contains a 1000 Gallon septic tank as well as a concrete distribution box and a 7'x40' Leach field. New 12/29 1997 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 - — 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone.1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: *" This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 c Commonwealth of Massachusetts dnR Title 5 Official Inspection Form II to Subsurface Sewage Disposal System Form Not for Voluntary Assessments 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. CityTrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: Number of current residents: Vacant Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 168 GPD 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts r I,F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is Centerville Ma 02635 1/18/19 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Pumping is recommended Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. 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 I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: new leach field 12/29/97 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on 'site plan): Depth below grade: 1.5 feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): System is vented through the roof t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts f Title 5 Official Inspection Form P. p Subsurface Sewage Disposal System Form -Not for VoluntaryAssessments ents 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. Clty/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank (locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1000 If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: 3 Distance from top of sludge to bottom of outlet tee or baffle 24" Scum thickness 3" Distance from top of scum to top of outlet tee or baffle 4" Distance from bottom of scum to bottom of outlet tee or baffle 30" How were dimensions determined? Tape Measure Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping is recommended. tee's are in place t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): I Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 r � Co mmonwealth ., th of Massachusetts p Title 5 Official Inspection Form to Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is Centerville required for every Ma 02635 1/18/19 page. Cltyfrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Level and at normal level Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Camera inspection to distribution box showed no sign of failure t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 I Commonwealth of Massachusetts l Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Keefe Crt U Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 7'x40' ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name required for is every Centerville required for eve Ma 02635 1/18/19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Operating as designed 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 6 Keefe Crt u Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �6,p 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 1/21/2019. Assessing As-Built Cards TOWN OF BARNSTABLE {� LOCATION 1YKam'Q C L'f' SEWAGE# VILLAGE �f°a� ^.�t 1 l e ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO.I T(tkp L,eQN 79 9;S SEPTIC TANK CAPAcrff %DO i< LEACHING FACILITY:(type)e'l4 r(l rYf qX, ' (size) NO.OF BEDROOMS �� BUILDER OR OWNER le-I PERMITDATE: I Z- Z Cs' COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater.Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (if any wells exist on site or within 200 feet of leaching facility) 4l0 nQ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of I ility) �t/O'�a Feet Furkiished by http://web.townofbamstable.us/Departments/Assessing/Property_Values/HMdisplay.asp?mappar-169064&seq=1 1/2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is required for every Centerville Ma 02635 1/18/19 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 10 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 12/26/1997 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) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Test hole data provided Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Keefe Crt Property Address DOHERTY, MARY CATHERINE Owner Owner's Name information is Centerville Ma 02635 1/18/19 required for every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ❑ A. Inspector Information: Complete all fields in this section. ❑ B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ❑ C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ❑ D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 �0 TO GS`7M1 �� Town of Barnstable Health Inspector 2-7''y Regulatory Services Office Hours 8:30—9:30 Thomas F.Geiler,Director 3:30—4:30 STABLE, * Public Health Division 9 MASS. g �A i639. A�0 Thomas McKean,Director rFo an►'� 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT — SEPTIC QUESTIONNAIRE Date: February 18,2014 1. General Information: Size of Property: .37 acre Address: 6 Keefe Court Centerville,MA 02632 Map 122 Parcel 089 Name:Mary Catherine Doherty Phone#: 508-360-4376 2a.How many bedrooms exist at your property now?2(one room in main house utilized as home office) 2b.Are you planning to add any bedrooms? yes If yes,how many? 1 2c. How many bedrooms total are proposed at this property(including the amnesty unit)?2 utilized as bedrooms 2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label each room clearly. 3. Is the dwelling connected to public sewer? NO If the dwelling is connected to public sewer,skip questions#4 through#9 below. 4. Location of dwelling is INSIDE a Saltwater Estuary Protection Zone? 5 . Location of dwelling is INSIDE a Zone of Contribution to public supply wells?WP 6. Is the dwelling connected to an PUBLIC WATER? �.a 7. Is a disposal works construction permit on file? YES NO 8. If yes,how many bedrooms were approved according to this permit? Bedrooms. 9. Were any building permits obtained for construction of additional bedrooms? YES or NO 10. Is there an engineered septic system plan on file at the Health Division? YES or NO 11. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO ------------------------------------------------------------------------------------------=--------------�----- FOR OFFICE USE ONLY r,4M G ✓''' cle- `,.h The Public Health Division has no ON tion to bedrooms at this property. Special Conditions: 'I re#- fe^a' 0_ ���p �v► - �ia� ko -lWO62) i l�v�J Signed: Date: 1� ro�,, 9, — �1/�z�y `�c(�,���-.,•��•sue, Crocker, Sharon 15-13 From: Crocker, Sharon �D l�j X / 3 a Sent: Wednesday, October 18, 2006 5:31 PM To: 'butler nutter.com P @ f C C Subject: Board of Health Meeting For Patrick Butler This is to confirm the hearing for: Mary DiBuono, 6 Keefe Court, Centerville will be on the agenda for the NOVEMBER 7, 2006 Board of Health Meeting held in the Selectmen's Conference Room, 367 Main St, Hyannis. The meeting will begin at 3 p.m. Thank you. Sharon Crocker n'n 5 z. d� �f i t - A Town of Barnstable MAASS. Board of Health ' P.O.:Boy 534, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. January 11, 2007 Mr. Patrick Butler, Esq. Nutter, McClennen &Fish, LLP Attorneys At Law 1513 Iyannough Road P.O. Box 1630 Hyannis, MA 02601-1630 RE„ , �IVlary L Dibuono;,6 Keefe Court Cenferv�l��e�MA�02632:--'? � �� ,��,,, I Dear Attorney Butler, On September 5, 2006 and on November 7, 2006, hearings were held during the public meetings of the Board of Health regarding 6 Keefe Court Centerville, Massachusetts. The hearings were requested by you. BACKGROUND On May 5, 2006, the Town of Barnstable Health Division received a complaint regarding overcrowding at the property owned by Mary DiBuono located at 6 Keefe Court, Centerville. On May 8, 2006 Health Inspector David W. Stanton, RS went to said location to investigate the complaint. Mary DiBuono, the owner was not available, so Mr. Stanton left his business card and asked the babysitter to have the owner call regarding the complaint. Per a phone conversation on May 15, 2006, the owner indicated that the subject dwelling is being utilized as a three (3) bedroom home. The owner, Mary DiBuono, further stated it is all family members residing in the home (herself, her daughter and son in law with their two children.). The following is a violation of the State Environmental Code: 310 CMR 15.214: Nitrogen Loading Limitations: Three (3) bedrooms being utilized within a Zone 2, Wellhead Protection Area with less then one acre of land, where only two bedrooms are allowed. Ms. DiBuono was subsequently ordered to correct the violation of too many bedrooms within thirty (30) days by eliminating one bedroom so that a total of only two (2) bedrooms would be present. Town Hall Record History: On December 26, 1997, Septic repair permit#1997-735 was issued for two (2)bedrooms. There are no building permits on file with the building division for three (3) bedrooms. The Assessors records show the property as being a two (2) bedroom ranch. The Assessors records show the property as being a lot size of 0.37 acres. Q:WPButlerDiBuono07.doc i You stated in your letter dated November 7, 2006, that the owner plans to reconstruct the house in such a fashion as to create two bedrooms in a proposed second floor and to reconfigure the first floor as a living areVeili m, kitchen, and dining room). This would allow for abandonment of the basem.nDuring the hearing held on November indicated that the problem will be resolved. Specifically, you stated that thedroom will be vacated. However your letter states: the homeowner woul opportunity to obtain appropriate financing and to complete construction. It is the opinion of the Board that the basement bedroom shall be vacated and the beds shall be removed from the basement room. The basement bedroom was never permitted and the total number of bedrooms exceeds that which is allowed onsite. In addition, it is unsafe for any persons to sleep within an illegal basement bedroom particularly at this property where there isn't an adequate second means of egress. The Board of Health upholds the original order of the Director of Public Health. PER RDER OF THE BOARD OF HEALTH Sin e ely, ; ayn Miller, M.D. hai an BOARD OF HEALTH Cc: Thomas Perry, Building Commissioner John Farrington, Chief, C-O-MM Fire Department Q:WPButlerDiBuono07.doc I � Nutter Patrick M. Butler Direct Line: 508-790-5407 Fax: 508-771-8079 E-mail: pbutler@nutter.com MEMORANDUM November 7, 2006 #107292-1 TO: Barnstable Board of Health FROM: Patrick M. Butler RE: Mary DiBuono 6 Keefe Court, Centerville It is the purpose of this memorandum to provide to the Board of Health an update regarding application of regulatory standards within the Board of Health's jurisdiction to the above property. Background As noted in the previous materials submitted to the Board of Health, at the time of Mrs. DiBuono's purchase of the property, the subject property was in its current configuration as it relates to the number of bedrooms. Further, it was advertised as such by the seller. This will confirm our discussions with Tom McKean on November 1, 2006 at which time we proposed a plan whereby the property owner would reconstruct the house in such a fashion as to create two bedrooms in a proposed second floor and to reconfigure the first floor as living area (living room, kitchen and dining room). This would bring the property into conformance with the so-called 330 Rule. In addition, this would allow for abandonment of the basement bedroom. The homeowner would request an opportunity to obtain appropriate financing and to complete construction. In addition, we have confirmed that the maximum number of occupants over the age of 19 is currently in conformance with the maximum requirements of two per bedroom. We have further confirmed that the number of motor vehicles parked over night is no more than that allowed, which is two vehicles per first bedroom and one vehicle for the second bedroom. Two issues have subsequently arisen. One relates to the use of the property for a home occupation. Barnstable Code Section 240-46 allows for one van or pickup truck not to exceed NUTTER McCLENNEN & FISH LLP *ATTORNEYS AT LAW 1513 Iyannough Road ® P.O. Box 1630 - Hyannis, Massachusetts 02601-1630 ® 508-790-5400 ® Fax: 508-771-8079 www.nutter.com s Barnstable Board of Health November 7, 2006 F` Page 2 one ton capacity and one trailer not to exceed 20 feet in length and not to exceed four tires. The homeowner has agreed to comply with those provisions and remove any property not complying with same. A second issue has arisen with regard to the use by the children and occupants living in the house of utilizing that portion of Keefe Court adjacent to the neighbor, John B. Denahy, Jr. Attached please find a copy of the Barnstable Assessor's Map in which I have highlighted in yellow the outline of the area within which Keefe Court is located and which is deemed a public way. Please be advised that we will be taking appropriate action providing notice to Mr. Denahy of the rights of the public related to this area. Any attempt to foreclose the rights of the public and in particular the occupants of 6 Keefe Court will be dealt with with appropriate legal action. In addition, we have been advised that Mr. Denahy has been taking photographs of the children from the public way while the children are located on the 6 Keefe Court property. We will be forwarding a cease and desist letter to Mr. Denahy providing notice in accordance with Massachusetts General Law Chapter 266, Section 120, on behalf of the property owner. We appreciate your review of the foregoing information and your consideration of the homeowner's proposal for resolution of 330 Rule enforcement. PMB:cam Attachment 1577016.1 74 n f g lima °N '{E�� Not I rd 1 02 ''" 7 h, 4" `.x''S`�'X"a . t y'�- "�.ak.."^- WWI 9 1 y n 'IN MGM n tom+ QAMPCi �� #47 � #57 2 a s.J" ;� ,f 4 g� Jr �-iT4xz KM IM,t�v ,WISwC ' RUM 7 r #+19�s gayw3 m # � c *�a r1V90 . On RM LIP- 3 .G¢°t�r rsy2' G y FJUN-09-2006 FRI 03:42 PH FAX NO. P. 02 '1 ;;.3. u t t e r Patrick M. Butler Direct Line; 508-790-5407 Pax: 508-771-8079 E-mail: pbutler®nutter.com MEMORANDUM June 9, 2006 Via Facsimile TO: Tom McKean FROM: Patrick M. Butler RE: DiBuono - 6 Keefe Court, Centerville Tom, As we discussed by telephone earlier this week, I have been retained by Mr. and Mrs. DiBuono to represent them before the Board of Health relating to the enforcement action brought concerning the number of bedrooms at the above-referenced property. Unfortunately, I am scheduled to attend a meeting concerning a family matter which was previously scheduled with the Department of Mental Retardation and Nauset, Inc. at the Nauset facility at the same time as the above-referenced hearing. Accordingly, I am requesting that the matter be continued to the next available Board of Health meeting date. In the interim, I anticipate visiting the premises and being in contact with you to discuss possible resolution short of the Board of Health hearing. Please confirm our office does not need to appear on Tuesday. Thank you for your courtesy. PMB:cam 1537021.1 Nutter McClennen &Fish LLP ■ Attorneys at Law 1513 lyannough Road,P.O.Box 1630 ■ Hyannis,MA 02601-1630 . 508-790.5400 m Fax: 608-771-8079 ■ www.nutter.com c. Nutter. . J Y Patrick M. Butler Direct Line: 508-790-5407 Fax: 508-771-8079 E-mail: pbutler@nutter.com May 25, 2006 By Hand s c ' (D Thomas McKean, Director Public Health Division 200 Main Street Hyannis, MA 02601 C3 Re: Mary DiBuono,.6 Keefe Court, Centerville Request for Hearing for Notice to Abate Violations Dear Mr. McKean: As representative for Mary L. DiBuono, I am hereby requesting a hearing before the Board of Health regarding the Notice to Abate Violations served on Ms. Dibuono via certified mail in letter dated May 15, 2006. I have enclosed a copy of the letter for your convenience. I also enclose a copy of a letter to you from Ms. DiBuono dated May 24, 2006 authorizing me to represent her in this matter. Please inform me of the hearing date and time. If you require further information, please contact my office. , Thank you for your assistance in this matter. Mu urs,tler PMB:rh Enclosures cc: Mary DiBuono 1532746.1 Nutter McClennen &Fish t_LP Attorneys at Law 1513 lyannough Road, P.O. Box 1630 ■ Hyannis, MA 02601-1630 ■ 508-790-5400 ■ Fax: 508-771-8079 ■ www.nutter.com MAY-23-2006 TUE 12: 15 PM P. 002/003 Certified Mail#7005 1160 0000 01912199 Town of Barnstable Regulatory Services Thomas F. Geiler,Director S.xt. Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 R Office: 508-862-4644 Fax: 508-790-6304 1 i May 15,2006 Mary L.Dibuono 6 Keefe Court Centerville,MA 02632 NOTICE TO ABATE VIOLATIONS : 15.000 THE STATE E NTAL CO ITLE V: MINIM REQUIREMENTS FOR SUBSURFACE D SPOSAL OF SANITARY SEWAGE I On May 5, 2006; The Town of Barnstable Health Division received a complaint regarding overcrowding at the property owned by you located at 6 Keefe Court, Centerville, On May 8, 2006 Health Inspector David W. Stanton,RS went to said location to investigate the complaint, You were at work, so David left a business card and asked the babysitter tohave you call regarding the complaint. Per our phone conversation on May 15, 2006 your home is being utilized as a three (3) bedroom home. You stated it is all family members residing in the home (yourself,your daughter and son in law with their two children,) The following is a violation of the State Bnvironmental Code: 310 CMR 15.214: Nitrogen Loading Limitations: Three (3) bedroom home being utilized within a Zone 2,Wellhead Protection Area with less then one acre of land. History: On December 26, 1997,Septic repair permit#1997-735 was issued for two(2)bedrooms, There are no building permits on file with the building division for three(3)bedrooms. j The Assessors records show the property as being a two(2)bedroom ranch, The Assessors records show the property as being a lot size of.37 acres. You are directed to correct the violation listed above within thirty(30) days of your receipt of this notice by eliminating the extra bedroom so that a total of only two (2) bedrooms are present at said location. The Town of Barnstable Health Department has a policy to eliminate the privacy of being considered a bedroom by installing a minimum five (5) foot cased opening with no doors, beds or people sleeping In the room. Please call Health Inspector David W. Stanton, RS to schedule an inspection of the property when the extra bedroom hits been eliminated at(508)862-4647. Please note: This is a State regulation,and there are no variances or exceptions to it. QA0rder letterslSewap vlolatlons%Keeiq Couot.dcc MAY-23-2006 TUE 12: 15 PM P, 003/003 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 OARD OF HEALTH . r Thom s A. cT�ean,R.S. Director of Public Health Town of Barnstable i i I : i , s i I i i I Q;10rdcr lotim\SmV AoMonii%Koefo Coub tdoc I jai MAY-24-2006 WED 12:04 PM P, 001/001 Mary L, DiBuono, CAP 6 Keefe Court Centerville,MA 02632 Fax No: 508-790-6304 TO: Thomas McKean,Director,Public Health Division FROM: Mary DiBuono, CAP RE: 6 Keefe Court, Centerville required response within ten days of receipt DATE: May 24,2006 NO PGS: One Dear Tom: I picked up the certified letter Monday,5122/06 at 4:45 and faxed it over to my attorney,Patrick Butler on Tuesday,5/23/06. He will be my representative in this i matter. Please direct any further correspondence to his attention. Patrick Butler,Attorney at Law 1513 Iyannough Road Post Office Box 1630 Hyannis,MA, 02601 i cc: Patrick Butler,Attorney at Law d SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A.Sign re item 4 if Restricted Delivery is desired: ❑Agent • Print your name and address on the-reverse k X JJ1ZL) ❑Addressee so that we can return the card to you. A_k�f RecePri of Name) C. Date of Delivery • Attach this card to the back of the mailpiece, /� _dor on the front if space permits. V D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No 3. Service Type �jCertified Mail [3Express Mail _�Registered ,<Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2,. 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For valuables,please consider Insured or Registered Mail. o For an additional fee,a Retum 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 required.to return frecgipt,a LISPS®postmark on your Certified Mail receipt is ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. Certified Mail#7005 1160 0000 0191 2199 Town of Barnstable Regulatory Services RAWMAULE, • Thomas F. Geiler,Director ;°�c►,,r " Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 15, 2006 Mary L. Dibuono 6 Keefe Court NOTICE TO ABATE VIOLATIONS OF 310 CMR: 15.000 THE STATE ENVIRONMENTAL.CODE TITLE V: MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE On May 5, 2006, The Town of Barnstable Health Division received a complaint regarding overcrowding at the property owned by you located at 6 Keefe Court, Centerville. On May 8, 2006 Health Inspector David W. Stanton, RS went to said location to investigate the complaint. You were at work, so David left a business card and asked the babysitter to have you call regarding the complaint. Per our phone conversation on May 15, 2006 your home is being utilized as a three (3) bedroom home. You stated it is all family members residing-in the home (yourself, your daughter and son in law with their two children.) The following is a violation of the State Environmental Code: 310 CMR 15.214: Nitrogen Loading Limitations: Three (3) bedroom home being utilized within a Zone 2, Wellhead Protection Area with less then one acre of land. History: On December 26, 1997, Septic repair permit#1997-735 was issued for two (2)bedrooms. There are no building permits on file with the building division for three (3) bedrooms. The Assessors records show the property as being a two (2)bedroom ranch. The Assessors records show the property as being a lot size of.37 acres. You are directed to correct the violation listed above within thirty (30) days of your receipt of this notice by eliminating the extra bedroom so that a total of only two (2) bedrooms are present at said location. The Town of Barnstable Health Department has a policy to eliminate the privacy of being considered a bedroom by installing a minimum five (5) foot cased opening with no doors, beds or people sleeping in the room. Please call Health Inspector David W. Stanton, RS to schedule an inspection of the property when the extra bedroom has been eliminated at(508) 862-4647. Please note: This is a State regulation, and there are no variances or exceptions to it. QAOrder letters\Sewage violations\6 Keefe Coutrt.doc 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 OARD OF HEALTH Thomas A. cKean, R.S. Director of Public Health Town of Barnstable QA0rder letters\Sewage violations\6 Keefe CouM.doc ,r 1 Health Complaints 15-May-06 Time: 4:15:00 PM Date: 5/5/2006 Complaint Number: 18793 Referred To: DAVID STANTON Taken By: TINA FONTAINE Complaint Type: CHAPTER II HOUSING Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 6 Street: Keefe Court Village: CENTERVILLE Assessors Map_Parcel: Complaint Description: overcrowding at 6 Keefe Court feels there are too many people living at that property. Actions Taken/Results: DS WENT TO SAID LOCATION. THERE WAS ONE VEHICLE IN THE DRIVEWAY. THE BABYSITTER ANSWERED THE DOOR AND SAID THE OWNER WAS NOT HOME. DS EXPLAINED THE REASON FOR THE VISIT WAS AN OVERCROWDING CONCERN. THE BABYSITTER SAID THERE WERE 3 BEDROOMS THERE, WITH 3 ADULTS (MOTHER, DAUGHTER &SON IN LAW WITH THEIR 2 KIDS.) BABYSITTER STATED IT WAS PROBABLY THE NEIGHBOR THAT COMPLAINED, AND THAT THEY HAVE HAD PROBLEMS WITH HIM AND HARASSMENT. DS LEFT A BUSINESS CARD WITH PHONE NUMBER AND ASKED BABYSITTER TO HAVE OWNER CONTACT DS CONCERNING THE ISSUE. THE OWNER, MARY DIBUONO, CALLED DS AND LEFT A MESSAGE. HER NUMBER AT WORK IS (508)862-7476. DS RESEARCHED THE PROPERTY. ACCORDING TO THE ASSESSORS, IT IS A TWO BEDROOM HOME. THEY HAD A 1 Health Complaints 15-May-06 SEPTIC REPAIR FOR TWO BEDROOMS IN 1997 (PERMIT#1997-735.) IT IS IN A ZOC, AND ACCORDING TO THE ASSESSORS RECORDS, IT IS A.37 ACRE LOT. DS CALLED MARY BACK ON 5/15/06. SHE STATED IT IS A 3 BEDROOM HOME, AND IT WOULD BE IMPOSSIBLE TO HAVE 5 PEOPLE IN 2 BEDROOMS. SHE SAID SHE WAS SOLD IT IN 1998 AS A 3 BEDROOM HOME. DS TOLD HER SHE CAN FILE A CIVIL CASE AGAINST THE PERSON THAT SOLD HER THE HOUSE IF THEY SAID IT WAS 3 BEDROOMS WHEN IN FACT IT WAS NOT. SHE SAID SHE DID NOT WANT TO PERSUE THAT. DS EXPLAINED IT IS IN A WELLHEAD PROTECTION AREA, WITH BEDROOMS LIMITED BY THE SIZE OF THE LOT. THE REGULATION IS A TOWN ORDINANCE, AND DS SAID HE BELIEVED THERE ARE NO VARIANCES OR APPEALS FOR TOWN ORDINANCES, BUT FOR HER TO LOOK INTO IT AFTER SHE RECEIVES MY ORDER LETTER. SHE WAS CURIOUS IF IN-LAW APARTMENTS WOULD EXEMPT HER, AND DS SAID HE DOES NOT KNOW, SHE WOULD NEED TO LOOK INTO IT. ONLY BUILDING PERMIT ON FILE IS FOR A GARAGE AND FAMILY ROOM. ALSO A HOME BUSINESS LICENSE FOR IRRIGATION IS PERMITTED. ORDER LETTER WILL BE SENT. Investigation Date: 5/8/2006 Investigation Time: 2:20:00 PM 2 i TOE _ n 1 Logged In As: Parcel to i _ Monday, May 8 2006 Parcel Lookup Parcel Info .. _................ ......,_.,...__ _ ....,....... .....__................... _ .. Parcel ID 169-064 Developer=LOT 47 Lot' Location 6 KEEFE COURT Pd Frontage;144 Sec Road TARAMAC ROAD Sec Frontage 103 village .CENTERVILLE Fire District i.C-O-MM _. _._..... _ _._............. - _,.,..._,.... ..... T._.-.._,._. Sewer Acct Road Index 0826 Owner Info ................................_.. ......_.. ............ _. ......... ........................... Owner i DIBUONO, MICHAEL A& MARY L Co-Owner Streets {6 KEEFE CT Street2 City I CENTERVILLE -� ���� State MA Zip`02632 Country USA Land Info ...... ..... ..... _ Acres 10.37 use!Single Fam MDL-01 Zoning I RC Nghbd 0105 Topography Above Street Road I Paved utilities Septic,Gas,Public Water Location Construction Info Building 1 of I Year .,,_._ .,.,,,,_. Roof; Ext Buut -970 struct=Gab /Hip Wall Wood Shingle Effect i647 Roof ASph/F GIs/ v. AC if e Area _1 Cover s/ Type Int;--.�___._ �..._�. Bed style;Ranch Drywall 2 Bedrooms ' wall: Rooms .. Int�.._ __. Bath Model 'Residential 1 Full Floor# Rooms - �f,,, ..... _._.. _._.__ _........ .,_ Total . Grade'Average Heat­­1 Hot Air Rooms 4 Rooms Stories ,1 Story I Fuel€Gas F ation Typical 1 Permit History Issue Date Purpose Permit# Amount Insp Date Comments 8/10/2004 Out Building 78954 1500 2/3/2005 12:00:00 AM Visit f Date Who Purpose 2/3500 5 1 2:00:00 AM Martin Flynn Outbuilding Insp Only 12/7/1999 12:00:00 AM Donna Dacey Meas/Listed 7...Sales History Line Sale Date OwnerBook/Page Sale Price 1 2/23/1998 DIBUONO, MICHAEL A& MARY L 11236/307 $109,000 2 12/16/1997 ZAPPALA, JOHN J 11118/114 $56,100 3 5/15/1985 JULESON, KEVIN J & CHRISTINE L 4512/235 $94,500 4 4/15/1982 STREET, GARY EUGENE ETALS 3467/185 $0 Assessment History......._._ .. _. Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2006 $134,900 $2,600 $1,300 $151,100 $289,900 2 2005 $125,100 $2,500 $300 $137,000 $264,900 3 2004 $101,500 $2,500 $300 $102,800 $207,100 4 2003 $90,700 $2,500 $400 $45,400 $139,000 5 2002 $90,700 $2,500 $400 $45,400 $139,000 6 2001 $90,700 $2,500 $400 $45,400 $139,000 7 2000 $64,600 $2,200 $200 $31,000 $98,000 8 1999 $64,600 $2,200 $200 $31,000 $98,000 9 1998 $64,600 $2,200 $200 $31,000 $98,000 10 1997 $73,200 $0 $0 $27,500 $101,200 11 1996 $53,500 $0 $0 $27,500 $81,000 12 1995 $53,500 $0 $0 $27,500 $81,000 13 1994 $53,600 $0 $0 $27,900 $81,500 14 1993 $53,600 $0 $0 $27,900 $81,500 15 1992 $61,000 $0 $0 $31,000 $92,000 16 1991 $64,800 $0 $0 $48,200 $113,000 17 1990 $64,800 $0 $0 $48,200 $113,000 18 1989 $64,800 $0 $0 $48,200 $113,000 19 1988 $52,400 $0 $0 $18,300 $70,700 20 1987 $52,400 $0 $0 $18,300 $70,700 21 1986 $52,400 $0 $0 $18,300 $70,700 Photos MAY-24-2006 WED 12; b4 P.M P. 001/001 Mary L, DiBuono, CAP 6 Keefe Court Centerville, MA 02632 Fax No: 508-790-6304 TO: Thomas McKean,Director, Public Health Division FROM: Mary DiBuono, CAP RE: 6 Keefe Court, Centerville required response within ten days of receipt ' DATE: May 24, 2006 NO PGS: One Dear Tom: I picked up the certified letter Monday,5/22/06 at 4:45 and faxed it over to my attorney, Patrick Butler on Tuesday,5/23/06. He will be my representative in this matter. Please direct any further correspondence to his attention. Patrick Butler,Attorney at Law 1513 Iyannough Road Post Office Box 1630 Hyannis5 MA 02601 cc: Patrick Butler,Attorney at Law r Health Complaints 14-Jun-06 Time: 4:15:00 PM Date: 5/5/2006 Complaint Number: 18793 Referred To: DAVID STANTON Taken By: TINA FONTAINE Complaint Type: CHAPTER II HOUSING Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 6 Street: Keefe Court Village: CENTERVILLE Assessors Map_Parcel: Complaint Description: overcrowding at 6 Keefe Court feels there are too many people living at that property. Actions Taken/Results: DS WENT TO SAID LOCATION. THERE WAS ONE VEHICLE IN THE DRIVEWAY. THE BABYSITTER ANSWERED THE DOOR AND SAID THE OWNER WAS NOT HOME. DS EXPLAINED THE REASON FOR THE VISIT WAS AN OVERCROWDING CONCERN. THE BABYSITTER SAID THERE WERE 3 BEDROOMS THERE, WITH 3 ADULTS (MOTHER, DAUGHTER & SON IN LAW WITH THEIR 2 KIDS.) BABYSITTER STATED IT WAS PROBABLY THE NEIGHBOR THAT COMPLAINED, AND THAT THEY HAVE HAD PROBLEMS WITH HIM AND HARASSMENT. DS LEFT A BUSINESS CARD WITH PHONE NUMBER AND ASKED BABYSITTER TO HAVE OWNER CONTACT DS CONCERNING THE ISSUE. THE OWNER, MARY DIBUONO, CALLED DS AND LEFT A MESSAGE. HER NUMBER AT WORK IS (508) 862-7476. DS RESEARCHED THE PROPERTY. ACCORDING TO THE ASSESSORS, IT IS A TWO BEDROOM HOME. THEY HAD A 1 � Health Complaints 14-Jun-06 SEPTIC REPAIR FOR TWO BEDROOMS IN 1997 (PERMIT#1997-735.) IT IS IN A ZOC, AND ACCORDING TO THE ASSESSORS RECORDS, IT IS A.37 ACRE LOT. DS CALLED MARY BACK ON 5/15/06. SHE STATED IT IS A 3 BEDROOM HOME, AND IT WOULD BE IMPOSSIBLE TO HAVE 5 PEOPLE IN 2 BEDROOMS. SHE SAID SHE WAS SOLD IT IN 1998 AS A 3 BEDROOM HOME. DS TOLD HER SHE CAN FILE A CIVIL CASE AGAINST THE PERSON THAT SOLD HER THE HOUSE IF THEY SAID IT WAS 3 BEDROOMS WHEN IN FACT IT WAS NOT. SHE SAID SHE DID NOT WANT TO PERSUE THAT. DS EXPLAINED IT IS IN A WELLHEAD PROTECTION AREA, WITH BEDROOMS LIMITED BY THE SIZE OF THE LOT. THE REGULATION IS A TOWN ORDINANCE, AND DS SAID HE BELIEVED THERE ARE NO VARIANCES OR APPEALS FOR TOWN ORDINANCES, BUT FOR HER TO LOOK INTO IT AFTER SHE RECEIVES MY ORDER LETTER. SHE WAS CURIOUS IF IN-LAW APARTMENTS WOULD EXEMPT HER, AND DS SAID HE DOES NOT KNOW, SHE WOULD NEED TO LOOK INTO IT. ONLY BUILDING PERMIT ON FILE IS FOR A GARAGE AND FAMILY ROOM. ALSO A HOME BUSINESS LICENSE FOR IRRIGATION IS PERMITTED. ORDER LETTER WILL BE SENT. THEY HAVE FILED FOR A HEARING VIA THEIR ATTORNEY PAT BUTLER. THEY WERE SCHEDULED FOR THE 6/13/06 HEARING, BUT THEN THEY POSTPONED IT TO THE NEXT HEARING. Investigation Date: 5/8/2006 Investigation Time: 2:20:00 PM 2 AUG-28-2006 MON 11 :48 AM FAX NO. P. 01 Nutter FACSIMILE TRANSMITTAL SHEET Today's Date: August 28, 2006 Time: 11:43 AM Employee ID: # of Pages: 2 From: Patrick M. Butler Direct Dial: 508-790-5407 Fax No: 508-771-8079 RECIPIENT COMPANY FAX NO. PHONE No. Tom McKean, Health Director Town of Barnstable 508-790-6304 COMMENTS: Could you please advise if the thirty day extension as requested in the attached has been approved at your earliest convenience. Thanks, Cindy STATEMENT OF CONFIDENTIALITY The documents included with this facsimile transmittal sheet contain information from the law firm of Nuttor McClcnnen&Fish LLP which is confidential and/or privilcged. The information is intended to be for the use of the addressoc named on this transmittal sheet. If you arc not the addressee,note that any disclosure, photocopying, distribution or use of the contents of this faxed information is prohibited. If you have received[his facsimile in error,please notify us by telephone (collect)immediately so that we can arrange for tht retrieval of the original dowuments at no cost to you. IF THERE IS A PROBLEM WITH THIS TRANSMISSION, OR IF YOU DID NOT RECEIVE ALL PAGES, PLEASE CALL 508-790-5400, AS SOON AS POSSIBLE FOR NUTTER McCLENNEN & FISH LLP USE ONLY Client-Matter No. 1.07292-1 Nutter McClcnnen&Fish LLP s Attorneys at Law 1613 lyannough Road, P.O. Box 1630 ■ Hyannis,MA 02601-1630 ■ 608-790-5400 ■ Fax: 506-771-8079 v www.nutter.com AUG-28-2006 MON 11 :48 AM FAX NO, P. 02 (b r�l C�LCQA D . - : Nutter Patrick M. Butler Direet Line: 508-790-5407 Fax: 508.771.8079 E-mail: pbuticr@nutter.com MEMORANDUM August 23, 2006 #107292-1 Via Facsimile - 508-790-6304 TO: Tom McKean CC: Mary DiBuono Renie Hatnman FROM: Patrick M. Butler RE: Mary DiBuono 6 Keefe Court, Centerville We have been in the process of researching and reviewing various alternatives to address the violation previously cited with referenced to the above property. In particular, we are looking at the possibility of utilizing permanent restriction of additional land in the form of a nitrogen aggregation restriction. This process will require additional title research and possible negotiations with third parties. Accordingly, I am requesting an additional thirty day continuance to allow this work to proceed. Would you please advise if staff would be in agreement with this request. Thank you in advance. PMB:cam 1556702.1 Nutter McClennen& Fish LLP ■ Attorneys at Law 1513 lyannough Road,P.O.Box 1630 ■ Hyannis,MA 02601-1630 r 508-790-5400 ■ Fax: 508-771.8079 ■ www.nutter.com N. 9 7- F.-!5 �- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes 3 3� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS c/ 01pptication for Wooml *proem Comaruction Vermit Application for a Permit to Construct( )Repair(�)Upgrade( )Abandon( ) D Complete System O Individual Components Location Address or Lot No. j �2 ��.L.�, ownensl`Iame,Ydress and 1.No. Assessor's Map/Parcel Installer's N e,Address,and Tel.No. '��19 Z_6-S'�/ Designer's Name,Address and Tel.No. �( ( fC Q 'l_. e c4-r- L. 7 Al?IGG►-.t- Stoma V Hq a14.n ;S Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Rep ai o2rAlterations(Answer when applicable) � hct—kCE} 6 j_Ct X I Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by�thii Board ealth. Signed ,M Date f 2 Application Approved by Date Application Disapproved for the following reasons .� N /�' / F ela THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS t/ 01pprication for Mi5poOl *p5tem Con0truction Permit Application for a Permit to Construct( )Repair(grade( )Abandon( ) Complete System O Individual Components Location Address or Lot No. �e —t` , Owners Name, ddress and Tel.No. e v t 1(e ti► G , J Assessor's Map/Parcel /a ri�r Iu Installer'sTp- e,Address,and Tel.No. O 5 S-` s �`r � Designer's Name,Address and Tel.No. ,ol t. -e n r Lf ,,- . 7 / / Z4/Ac r SCrG �{ q�!�! �rj G�^lj►� Type of Building: Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons 3 Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 'Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil i Nature of Repaiis or Alterations(Answer when applicable)_�t� G ►` �� ' vt a X i 2�e S . Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by thi Board ealth. Signed Date / Z 5'*'7 Application Approved by Date'/fir 2n<70-5�;7 Application Disapproved for the following reasons Permit No. Date Issued —————————————-- Fly— f"----------- ———— -- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate obrompliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( `� Abandoned( )by n't t �C_ L. e Ck-r" at e e e C � I has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. --'7 dated�' �' 1� 'r 7 Installer Designef The issuance of this permit shall not ber construed as a guarantee that the system will function as designed. Date - 1` _ _G� - <") Inspectorf"" ---�y--ire—�------------------------------- / -- No. /`"' c/ Fee ✓ �'t� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVyISION - BARNSTABLE., MASSACHUSETTS 4M1hniZ'�1f 4 w.'Re ASTA11Y ��I A1�'-'ru.�1� ,. yr�r•�i►�rA:K� ' iLlll i.liLt un hermit Permission is hereby granted to Construct( )Repair(�,�Pgrade . Aban on( ) �I System located at �v e e e�C � and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be/completed within three years of the date of thit. Date: 9!5� Approves t 10/9191 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A UISI'OSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I, l`L hereby certify that the application for disposal works construction permit signed by me dated f ���—��� concerning the property located at Cie -- meets all of the following criteria: e There are no wetlands located within 100 feet of the proposed leaching facility e There are no private wells within 150 feet of the proposed septic system e There is no increase in flow and/or change in use proposed e There are no variances requested or needed. If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will M be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) =` a B)Observed Groundwater Table Elevation(according to Health Division well map) _ DATE: SIGNED LICENSED SEPTIC SYSTEM INSTALLER THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also If the licensed Installer posesses a certified plot plan. this plan should be submitted). q:health folder:cent .: �� � . Cb �. ��� r` �v r-' TOWN OF BARNSTABLE \_ LOCATION SEWAGE # ( '7J5 VILLAGE ���i �^ Il le y, ASSESSOR'S MAP & LOT/9 f 0 INSTALLER'S NAME&PHONE NO. f M t e L E' 7 2— SEPTIC TANK CAPACITY 60 0 O LEACHING FACILITY: (type) M'qx (size) 7 k t/D NO.OF BEDROOMS �— BUILDER OR OWNER TeX-- e �j PERMIT DATE: /`-_t,6_-)_9> COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist h on site or within 200 feet of leaching facility) V'oQ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leac •ng ility) NC��P Feet Furnished by l ,g t3 z � i :�( TOWN OF BARNSTABLE _ ...;,.:LOCATION K� Q `C� SEWAGE# VIILAGE �c°���n•� I/a ASSESSOR'S MAP&LOT g ;IN:STALLER'S NAME&PHONE N0. ( L e -� ..:.:SEPTIC TANK CAPACITY 60 0 0 11 ACHING FACILITY: (type)r/1,f t �'f Ax (size) 7 k O hld.OF BEDROOMS 2 B;tTMDER OR OWNER ;PEkIvITTDATE: l�- `� COMPLIANCE DATE: l.%Z';2,? Q Sgparation Distance Between the: :,Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet ';:Ptivate Water Supply Well and Leaching Facility (If any wells exist <,on site or within 200 feet of leaching facility) h .Feet_ `'::Edge of Wetland and Leaching Facility(If any wetlands exist :::within 300 feet of leac ng ility) NOS a Feet ' :Furnished by y TOWN OF BARNSTABLE LOCATION _� ��Nofc� �c) A,-P, SEWAGE # VILLAGE cef T-eJ VN\1,9- ASSESSO MAP & LOT INSTALLER'S NAME&PHONE NO. —✓ SEPTIC TANK CAPACITY �✓7V n-a— j�QD C L LEACHING FACILITY: (type) eqla6ei T ,L (size) 6_,5 NO. OF BEDROOMS BUILDER OR OWNER rtSG o PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply.Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by f ,emu✓" Lt �(0 VI) a, � _:r TOWN OF BARNSTABLE LOCATION(0 , CA) SEWAGE # VILLAGE l ASSESS M,r& OT p� 11VS�1 NAME&PHONE NO. / SEPTIC TANK CAPACITY i*�J` C LEACHING FACILITY: (type) �/J (size) A200, /�. NO.OF BEDROOMS e BUILDER OWNER C )ai-1-2 PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facili (If any wetlands exist within 3net of �jhing fac' ty Feet Furnished /C� �N 4�,- >o CD ago qmm Do Ul o job t co px Ln CD co 03 W ° m o O w c 15 cr Cn It, t OD o - 4_ Na Cn t A w } A n m 1 CD � +J }