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Home My WebLink About0107 ARROWHEAD DRIVE - Health - ^a 3i 107 Arrowhead Drive Hyannis ,, _ - -------__ _--------- _- - --- - - - --- - �� o ` a 7 L �a ° III Q o I 0 , i ° o i VI LAGB 0 7 J#fr0 lJ yr ASSESSOR'S 1VfAP&LOT - INSTALLER'S NAME&PHONE NO. SEPTIC TANK-CAPACITY LEACHMG-FACILrrY:(type) �i (size) No.OFBEDROOMS 3 BUMDER OR OWAIER -PERMITDATE: ""= COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted.Groundwater TWe to the Bottom of Leaching Facility Feet Pnvate Water.Supply Well and Leaching Facility Of any welts east on`site or.wphin 2(3U feat of leaching facility) Feet Edge of Wetland and;Leaeti ng r-acility(of any wetlands exi within 300 feet qf:e4c.hini factory / t Furnished b /iiI Y t�jpc� � I i Flynn, Judith From: Crocker, Sharon Sent: Wednesday, March 18, 2015 3:54 PM To: Flynn, Judith Subject: 107 Arrowhead Dr, Hy FYI, Caller received certified letter for Repair of Septic I received a call from owner. Originally house owned.by parents. One of the children tried to force the sale of the house. Septic report done and failed. Court upheld that the house would go to all the children and would'not have to be sold. Now, they are going to write a letter to BOH requesting hearing. They do not believe it actually is in failure. No backups have occurred. No issues at all. Report shows that everything looked ok except that there was a stain line suggesting a high liquid in SAS at an earlier date. Sharon le t t 1 y. Lr) For delivery inlormation visit our.website at www.usps.come .. D- 0 CEI Postage $ r Certified Fee O M Return Receipt Fee v�,ark Z O (Endorsement Required) Here z/ C3 Restricted Delivery Fee O (Endorsement Required) r-I O Total Postage&Fees W. ( g Z 0 F 'Serafina'Carlos, Estate of + 107 Arrowhe j brive Hyannis, MA`'-02601 " 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 f receipt is not needed,detach and affix label with postage and mail. f IMPORTANT: Save this receipt and present it when making an inquiry:17 PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047 SENDER:-COMPLETE THIS SECTION tOMPLETE THIS,SECTION ON DELIVER y- ■ .Complete items 1.,2,and 3.Also complete A. SiMr item 4 if Restricted Delivery is desired. gent ■ Print your name and address on the reverse Addressee so that we can return the card to you. B. Rfive by(Printed Name) C. Date of Delivery ■.Attach this card to the back of the mailpiece, 1W� or on the,front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: No SerAfina Car OS, Estate of 107 Arrowhead Drive 3. Service Type Hyan t , MA:�02601 ?. i Certified Mail ❑Express Mail " ❑ Registered ❑Return Receipt,for Merchandise ❑•Insured Mail ❑C.O.D. 4., Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service fabeo 7 0-12 1'01 G' 0 0 0'0� 28 51 0954 PS Form 3811.February 2004 Domestic Return Receipt 102595-02-M-1540.j UNITED STATES POSTAL,SERVICE First-Gass Mail Postage&Fees Paid USPS :y Permit No.G-10 f• SerLder: Please print our name, address, and ZIP+4 in this box • C`j r co N Town of Barnstable � `i ,trblic Health Division o i �!200 Main Street annis, MA 02601 Town of Barnstable Barn °pSHF RegulatoryServices Department i a"a�1 ILARN ♦63q.`�'r Public Health Division �p �0 rfD MAt° 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#7012 1010 0000 2851 0954 October 17, 2013 i Serafina Carlos, Estate of 107 Arrowhead Drive Hyannis, MA 02601 The septic'system located at 107 Arrowhead Drive, Hyannis, MA was last inspected on 9/11/13 by Shawn Mcelroy, a certified septic inspector for the State of Massachusetts. I The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into the house due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system.within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future enforcement action. (�7ER-OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health . t - r Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\107 Arrowhead Dr Hy 0ct2013.doc Parcel Detail http:!/issgl2/intranet/propdata/ParcelDetail.aspx?ID=20514 THE o i!a ��p~ � '�� r •�� Q� �� UAW AUL {` MStiS, +a y ..A v y1'rr.;.�. [/�/^/� .. .. � f '•a.f�M^,-,. nwaT" \QpA Iti3S1. A1a� i •}' �-..a.f[+1- v . -f • C'�`�+�".�+.�r.'..:.wci�; - \•'E.°�- a Logged In As: Parcel Detail Wednesday, October 16 2013 Parcel Lookup Parcel Info Parcel 271-127 I Developer D Lot Location 1107 ARROWHEAD DRIVE Pry 75 Frontage Sec I Sec Road Frontage Village HYANNIS . I Fire HYANNIS District Town sewer exists at this Road 0039 address No Index Asbuilt Septic Scan: Interactive ,,�s?a �":• 27112711 Map Owner Info ` Owner 1CARLOS!FRANCIS&SERAFINA I Co- r Owner Streetl 107 ARROWHEAD DR Street2 City JHYANNIS I State FMA I Zip 02601 Country Land Info 1 Acres 10.25 ! Use ISingle Fam MDL-01 Zoning RB Nghbd 0104 Topography Level Road Paved Utilities jPublic Water,Gas,Septic I Location I =A=1 Construction Info Building 1 of 1 Year f Roof Ext 1971 Gable/Hip Wood Shingle Built I Struct Wall LArea of AC 1200 I Co�er Asph/F GIs/Cmp TYPe None 9K 1"3 Style Raised Ranch I Wall Drywall I Rooms 3 Bedrooms • `�o - , Model I Residential I Int Carpet I Bath 1 Full I a s Floor Rooms 4: sas, BMT' Grade Avera6e Mirius I T yp eae Rooms Hot Water I 5 Rooms r Stories r1 Story Fuel ation r t I Heat Gas I Found- poured Conc. * • , .Gross x http://issgl2/intranet/fpropdata/ParceiDetail.aspx?ID=20514 10/16/2013 Commonwealth of Massachusetts O W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 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. A. General Information 1. Inspector: Shawn Mcelro _ 4�} Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluatio by the Local Approving Authority 9-11-13 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner.shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at,,that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. J . t5ins•N13 Title 5 Official Inspection Form:SV u ce Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 i Commonwealth of Massachusetts f t: u v, Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) ❑ 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 static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ' ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 11. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: �❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: I D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well; ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Mns•3/13 Tdle 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection i C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection?' ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (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: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 i I Commonwealth of Massachusetts o Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form =Not for Voluntary Assessments 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection D. System Information r Description: I Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No 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 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 8-2013 Date Commercial/Industrial Flow Conditions: Type of Establishment: .,. Design flow(based on 310 CMR 15.203): Gallons per day(gpd) r Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3113 + Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank,distribution box, soil absorption system t ❑ 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): t5ins-3M 3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1994 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 54"feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): Depth below grade: 48"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: 1000 gal Sludge depth: 12" t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 2" Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): i Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes El No t5ins•3113 Titie 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , ' 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection D. System Information (wont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Good condition with water at working level. There was also evidence of back-up from pit. 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.): i * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): i If SAS not located, explain why: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts ; Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1-1000 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit in good condition with water at 24" below inlet invert. Pit had evidence that it had been filled beyond its capacity and into d-box. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 _ L Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i 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, i etc.): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately A 0 i �- � C v3o,y D - 36 � •, •t ttrr I Zi - t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. City/Town State Zip Code Date of Inspection D. System Information (corn.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20 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: 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: USGS and town maps show groundwater at greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 107 Arrowhead Dr Property Address Estate of Serafina Carlos Owner Owner's Name information is required for every Hyannis MA 02601 9-11-13 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 . Town of Barnstable Barnstable Regulatory Services Department t "' Public Health Division . I i639• A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Second Notice Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012 1010 0000 2851 4136 e � ,a July 9, 2014 Eda Smith, ET,AL 107 Arrowhead Drive Hyannis, MA 02601 Drive Hyannis, MA was last inspected on The septic system located at 107 Arrowhead y 9/11/13 by Shawn Mcelroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5'(310 CMR 15.00) due to the following: • Backup of-sewage into the house due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH c ean, R. �. O Agent of the Board of Health , Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Arrowhead Dr Hy 0ct2013.doc " Town of Barnstable Barn Regulatory Services Department 1111 F ' '"MSTAB NAM Public Health Division 639 ♦� 200 Main Street, Hyannis lVIA 02601 2007 Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7014 1200 0001 0358 0147 i September 8, 2014 Eda Smith, ET AL 99 Arrowhead Drive , Hyannis, MA 02601-2415 ' • The septic system located at 107 Arrowhead Drive,Hyannis,MA was last inspected on 9/11/13 by Shawn Mcelroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into the house due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within sixty.(60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future enforcement action. PER ORDER OF THE B ARD OF HEALTH omas c ean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Arrowhead Dr Hy Oct2013.doc lime Town of Barnstable Barn Regulatory Services Department A*Anm aCM ". ' Public Health Division I I 03% 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Second Notice Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED`MAIL#'7012 101-0 0000 2851 4136 July 9, 2014 Eda Smith, ET AL 107 Arrowhead Drive Hyannis, MA 02601 The septic system located at 107 Arrowhead Drive,Hyannis, MA was last inspected on 9/11/13 by Shawn Mcelroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5-(310 CMR 15.00) due to the following: • Backup of sewage into the house due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH c ean, R. O Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Arrowhead Dr Hy Oct2013.doc � i P SECTIONON SENDER: COMPLETE MIS SECTION COMPLETE.THIS I ■ Complete items 1,2,and 3.Also complete A. Signature I item 4 if Restricted Delivery is desired. ❑.Agent X ❑Addressee 6 1 ■ Print your name,and address on the reverse so-that we can return the-card to you. B. Received by(Printed Name) C. Date of Delivery !N'Attach this card to the back of-the mailpiece, or on the front if space permits. D. Is delivery address different from item?? ❑Yes I 1. Article Addressed to: If YES,enter delivery address below:• ❑No _ I - Eda*'Smith, ET AL I I 107°Arrowhead Drive - I H anhis, 3. Service Type MA 02601 � �/ ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandlse ❑Insured Mall ❑C.O.D. : . A 1 4. Restricted Delivery?.(Extra Fee) ❑Yes 2. Article.Number Z (Transfer from service►abe0.':.' 7 012 1010 0000 2851 413 6a 11 'r a Y" e - P ¢ � 102595-02-M-1540 1 ! � i', ( I ( � ��J��Il rPS Forml3811! February�2004!�� C iDomestic Return Receipl 4. e. -'�'�a� ....n.�:�--�.,a�-�...s...... -�e�.�a..•++.-- -'� s ,..ems—+n4�.. - ..� 4 ....• .,.5. z00vl&-r09t�lli4� �'CI'"'7.:U`-" ' w. I"-'m4 z Q'W L.G,WA V V.n 7 G.KJ ..J'C .a W IV I:)'N rC..- ,ram TtIa l,.exren�.n. .,T. � c,T%v. ''i'�I;:! 031S3�p aA!JQ Pe9gMOJay LO 0 n( 1d,3036 IV 13 `u1!wS eP3 l� bI0Z '60 'inr6Zb£9£1000 I09ZOHW`s�uueCH 0817"900 $ MI zo m L 09Z0 dIZ aaalxS u!EW OOZ . '3ltlYLGNtl Ytl uoiSIAIQ y7leaH 0119nd alggsuaug;o uA%oL S3M08 A3Nlld<<3J`d1SOd S71 '4 h I i ! Town of Barnstable Barnstable Regulatory Services Department M" S. Public Health Division I i6J9� �� 59, 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO i CERTIFIED MAIL# 7014 1200 0001 0358 0147 September 8, 2014 Eda Smith, ET AL 99 Arrowhead Drive s . Hyannis, MA 02601-2415 The septic system located at 107 Arrowhead Drive, Hyannis, MA was last inspected on 9/11/13 by Shawn Mcelroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into the house due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future enforcement action. PER ORDER OF THE B ARD OF HEALTH omas c ean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\l07 Arrowhead Dr Hy Oct2013.doc �. j-'I'SEN DER:�,6 0"MP-LE'TE TH-'I'S'SE COMPLETE THIS SECTION ON DELIVERY'. ` I ■ Complete items 1,2,and 3.Also complete' A. Signature item 4 if Restricted Delivery is desired. ❑Agent i ■ 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�- •..t ■ Attach this card to the back of the mailpiece, I or on the front if space permits. {' ( 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes I If YES,enter delivery address below: ❑No % Eda Smith ETA!' . I ,,;._ 99 Arrowheadtr ` „�.�ive 4 ti I `'`"'` 3. Service Type Hyannis, U2501-2415 1 ❑Certified Ma010 ❑Priority Mail Express'" . ❑Registered ❑Return Receipt for Me rohandise _�, -. s• v.�-_ .ts fi l ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service iade/ 70 14 1200 0001 0358 `014 7�/ • l , PS Form 3811,July 201,3 . Domestic Return Receipt [. ��.i11�}��►d ►, `(f��,0;��.i�,Fr►�ir�r`e,e��,�{��i��,li�i,��,,i,e . ��$ �Z�S� :a'it"ttE S + ►.._ b"�Pe< S S:::S:b�' _b'3 Z.13 - 00zle0tr`cJ0,9 z0 :?$? - - a.btflNso1 '®1 a'isvNn: s3awnN HORS' ON j wsn iy i yi C [A " � r'� 5l vz- 09Z0 `dW `sluueA nu ea nno�� a p u V 66 r w -1d lD `ul!WS eP3 t'_fi20 WSEO 't000 002T KU t7l0Z60 'd3St7Zt7£8£t000 109ZOVW'S1uue,CHMI, zo 013}, Y•900 s I,09ZO clIZ laails WOW 00Z algigsu elfl 3 a aZ S3MO8 A3Nlld<<3E)b'lSOd S-n t / s' -0 .. m -91 For delivery information visit our website at www.usps.come OFFICIAL. Ln cc Postage $ � �� Certified Fee O Poernark O Return Receipt Fee Here O (Endorsement Required) M Restricted Delivery Fee M (Endorsement Required) USPS r-� p Total Postage&Fees rs , r� fV o Eda Smith, ET AL 107 Arrowhead Drive Hyannis, MA 02601 f Town of Barnstable Barnstable. Regulatory Services Department M`"BM i634' A1$wPublic Health Division I � . 20 am`�traet, Hyannis MA 02601 2007 Office: 508-862-4644 Second NotICE Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000 2851 4136 � d July 9, 2014 Eda Smith, ET AL �� 107 Arrowhead Drive Hyannis, MA 02601 The septic system located at 107 Arrowhead Drive, Hyannis, MA was last inspected on 9/11/13 by Shawn Mcelroy, a certified septic inspector for the State of Massachusetts. , The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: a Backup of sewage into the house due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. ' Failure to repair/replace the septic system within the deadline period may result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH —� c dean, R. O --� ,Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Ev1\I07 Arrowhead Dr Hy Oct2013.doc �" Town of Barnstable Barnstable Regulatory Services Department � `►� BAM `ter Public Health Division 1659• 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7012 1010 0000 2851 1869 January 27, 2014 Eda Smith ET AL 107 Arrowhead Drive Hyannis, MA 02601 y The septic system located at 107 Arrowhead Drive, Hyannis,MA was last`inspected on 9/11/13 by Shawn Mcelroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system.showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into the house due to an overloaded or clogged SAS. o You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH . omas c ean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic.Inspection Failures or Future Eval\107 Arrowhead Dr Hy Oct2013.doc o��r Town of Barnstable Barnstable Regulatory Services Department B" `ter Public Health Division V 1639. �0 p 200 Main Street, Hyannis MA 02601 200� Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7012 1010 0000 2851 1869 anuary 27, 20,14„ Eda Smith ET AL 107 Arrowhead Drive Hyannis, MA 02601 The septic system located at 107 Arrowhead Drive, Hyannis, MA was.last'inspected on 9/11/13 by Shawn Mcelroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system.showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into the house due to an overloaded or clogged SAS. l You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future -�' enforcement action. J PER ORDER OF THE BOARD OF HEALTH omas c ean, R.S. C O s- Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\107 Arrowhead Dr Hy W2013.doc 7. ■ Complete items 1,2,and 3.Also complete A. Signature ' I item 4 if Restricted Delivery is desired. X Agent❑Addressee I ■.Print your name and address on the reverse i I so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery I ■ .Attach this card to the back of the mailpiece, I or on the front if space permits. D. Is delivery address different from item 1? ❑Yes I 1 Article Addressed to: If YES,enter delivery address below: ❑ No I I I - I Eda Smith.-ET AL 107 Arrowhead,Drive j H anniS 'MA.02601 s. service Type I y � ❑Certified Mail ❑Express Mail I I ' ❑ Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 12. Article Number 7 012 1010 0000 '2 8 51 1869 1 c (Transfer from service label) y PS Form 381.1'February 2004 1 1 t t Domestic Return Receipt 102595.02-M-1540_;l .,.� jffflft�I:�i� I . O SSA b�eW/V n >, O,1bi dMO%/ Q�blS HOO& OAt Q dA, -LON _Oak O SS�bOO y ON 4 b3�N�s p1 o�N t4OZ 6Z Nt ntpe9£l0oo SOWQ 6 ! o48'000 $ 109ZO&Z : ! S3M08A3N1ld<(3Jd1SOd S71 699`L T592 0000 OTOT 2TO - h blOZ '6Z Nvr6Zb£9£1000 1 ' oo Ml ZO O 109ZO VW`SIUUL' H o Y mo► 93fd� 9 109Z0 dIZ aaalas UWW 00Z uorS►^r(l'PILQH oilgnd :o ajgujsuaeg 3o umo,L S3MOe A3Nlld<<3E)VLSOd- .n https://tools.usps.com/go/TrackConfirmAction.action?tRef--fullpage&tLc=1&text28777=&tLabels=70121010000028511869 English Customer USPS Mobile Register/Sign In r Service i au.spSCOM' , Search USPS.com or Track Packac r Quick Tools _ 4 Track Ship a Package Send Mail Manage_Your Mail Shop Business Solutions Enter up to 10 Tracking A Find f Find USPS Locations Buy Stamps t sc d I TM Customer Service Cal ul Wc, Tracking Have questions?We're Here to help, j ,Q Loo p Co y Hold Mail Change of Address Tracking Number:70121010000028511869 l I I Requested label is archived. Restore Archived Details> Product & Tracking Information Available Actions Postal Product: Features: Certified Mail" i 1 h T Tt< "T TU" r ITEM CATI01{ February 18,2014, D Iel vered I HYANNIS,MA 02601 10:54 am i f Track Another Package , What's your tracking(or receipt)number? _ Track It , LEGAL ON USPS.COM ON ABOUT.USPS.COM OTHER USPS SITES r Privacy Policy Government Services About USPS Home) Business Customer Gateway> Terms of Use Buy Stamps&Shop) Newsroom> Postal Inspectors> FOIA> Print a Label with Postage> USPS Service Alerts> Inspector General No FEAR Act EEO Data) Customer Service> Forms&Publications Postal Explorer> Delivering Solutions to the Last Mile> x Careers> Site Index> 0Lj_%0SC0ff I CopyrighO 2014 USPS.All Rights Reserved. . - t https:Htools.usps.com/go/TrackConfirmAction.action?tRef=fullpage&tLc=l&text28777=&tLabels=7012101000... 4/1/2014 Postal (DomesticLrl LrI For delivery rmation visit our website at vvvvvv.uSps.Coma n' 0 F� F' I 'I �tL USE to CO Postage $ Certified Fee \��M'q 0 ";�Postmark Retum.Receipt Fee ��r Here �0 1 C3 (Endorsement Required) Restricted Delivery Fee MAR -5 2014 (Endorsement Required) Q ► O Total Postage&Fees rs o Federal National Mortga"ge Association I P0Box'650043' i Dallas, TX-75265=0043---- - -� _T��} Certified Mad PrQvides:x` ■ 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 delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Force 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 autf.orized 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,Augus:2006(Reverse)PSN 7530-02-000-9047 r o Complete items 1,2,and 3.Also complete A. S' -ture item 4-if Restricted Delivery is desired. X �)4efent o Print your name and address on the reverse 2 . ❑A N essee so that we can ireturn the card to you. `g"Received byT6QUWF0 TO Date of Delivery o Attach this card to the back of the mailpiece, wg or on the front if space permits. �.'0. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: '❑ No Federal•National Mortgage Association MAR 8 PO Box 650043 Dallas,�TX`75265-0043 - J'prviceType ]'Certified Mail ❑Express Mail i Registered ❑Return Receipt for Merchandise ❑.Insured Mail ❑C.O.D. i 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ; • I !! .: ' 7018 °1'01'0l•0000 'E85�1' 2548 `(Transfer from service/abeQ PS Form 3811!.February 2004'. t Domestic Return Receipt 09. 595-02-M-1540;' UNITED STATES POSTAL SERVICE First-Class Mail Postage.&Fees Paid USPS Permit No.G-10 � • Sender. Please print your name, address, and ZIP+4 in this box ! �, a� I I Town of Barnstable Regulatory Services Department t Public Health Division 200 Main Street Hyannis, MA 02601 • i I i I i I 1)1 j1111 fill ii,li11i,iilifli'I'it I I P � a Uwe Town of Barnstable Barnstable Regulatory Services Department AlAmedmCM 5KAM q9. Public Health Division I �• �0 p 200 Main Street, Hyannis MA 02601 200� Office: 508-862-4644 Richard Scali,Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7012 1010 0000 2851 2545 March 5, 2014 Federal National Mortgage Association • PO Box 650043 Dallas TX 75265-0043 The septic system located at 107 Arrowhead Drive, Hyannis, MA was last inspected on 9/11/13 by Shawn Mcelroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into the house due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future enforcement action. PER ORDER OF TLBOARDOF HEALTH omas McKean, R.S. CHO • Agent of the Board of Health Q:\SEPTIC\Utters Septic Inspection Failures or Future Eval\107 Arrowhead Dr Hy Oct2013.doc Postal CERTIFIED4RECEIPT (DomesticOnll?,'No Ins'drance Coverage Provided) CO 1 For delivery information visit our website at www.usps.coma rq OFFICIAL I "Oe Nt 1110 I CIO C Postage $ 'may "19 Certified Fee C3 ark 0� 0 ReturnReceipt O Fee 4 O (Endorsement Required) f 4 Restricted Delivery Fee I C3 (Endorsement Required) s I rq PS I O Total Postage&Fees � o j�Eda'Smith{ET L 107 Arrowhead'Drive-, `...�.......... i Hyannis, MA 02601 �- -- 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 Meils ■ 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 i 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 i 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 https:Htools.usps.com/go/TrackConfirmAction.action?tRef=fulipage&tLc=1&text28777=&tLabels=70121010000028511869 English Customer USPS Mobile Register/Sign In Service • auSpSCUM* Search USPS.com or Track Packac Quick Tools Track Ship a Package Send Mail Manage Your Mail Shop Business Solutions Enter up to 10 Tracking A Find Find USPS Locations Buy Stamps Sc d I TM Customer Service> Cal ul t�FpeE$.T 1 a C k I�g Have questions?We're here to help. Loo p I�Co Hold Mail Change of Address Tracking Number:70121010000028511869 Product & Tracking Information Available Actions Postal Product: Features: Certified Mail" February 18,2014, Delivered HYANNIS,MA 02601 10:54 am I February 18,2014, Unclaimed HYANNIS,MA 02601 8:24 am Notice Left(No January 30,2014, Authorized HYANNIS,MA 02601 1:14 pm Recipient Available) January 30,2014 Depart USPS PROVIDENCE,RI 02904 Sort Facility January 30,2014, Processed 12:50 am through USPS PROVIDENCE,RI 02904 Sort Facility January 29,2014, Processedthrough USPS PROVIDENCE,RI 02904 8:48 pm Sort Facility Track Another Package What's your tracking(or receipt)number? Track It LEGAL ON USPS.COM ON ABOUT.USPS.COM OTHER USPS SITES Privacy Policy> Government Services+ About USPS Home) Business Customer Gateway, Terms of Use+ Buy Stamps&Shop+ Newsroom> Postal Inspectors+ FOIA+ Print a Label with Postage+ USPS Service Alerts> Inspector General> No FEAR Act EEO Data+ Customer Service+ Forms&Publications+ Postal Explorer+ Delivering Solutions to the Last Mile> Careers> Site Index+ �V�.�f:�1K Copyright(D 2014 USPS.All Rights Reserved. • https:Htools.usps.com/go/TrackConfirmAction.action?tRef--fulipage&tLc=1&text28777=&tLabels=701210100... 3/12/2014 Town of Barnstable Barnstable Regulatory Services Department • anxxsrnst.r:,,0r Public .Health Division p'E01MA`A 200 Main Street, Hyannis MA 02601 zoos Office: 508-862-4644 Richard Scali,.Interim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7012 1010 0000 285.1 1869 January 27, 2014 Eda Smith ET AL 107 Arrowhead Drive Hyannis, MA 02601 The septic system located at.107 Arrowhead Drive, Hyannis, MA was last inspected on 9/11/13 by Shawn Mcelroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into the house due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period may result in future enforcement action.. j PER ORDER OF THE BOARD OF HEALTH I PomR/c ean; R:S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\107 Arrowhead Dr Hy 0ct2013.doc Parcel Detail http://issgl2/intranet/propdata/ParceiDetaii.aspx?ID=20514 1 1 ♦ti A ry MASS, i•� - �'�'4 / Logged In As: Parcel Detail Tuesday, January 0 21 14 Parcel Lookup Parcel Info Parcel 271 127 — -I Developer'LOT 73 ID Lot -- - Pri Location,107 ARROWHEAD DRIVE Frontage 75 Sec - = - - ------ -- ---) Secl- -- Road ' Frontage' Fire------ Village HYANNIS I District IHYANNIS Town sewer exists at this Road 0039 address iNo Index Asbuilt Septic Scan: Interactive ;xCI A 271127_1 Map 51, , z __ • Owner Info - —-- -- -- -- -- -— Owner 7SMITH, EDA ET AL Co-Owner l- Streetl 107 ARROWHEAD DRIVE Street2 r ~� City HYANNIS - _ State IMA I Zip[02601 Country Multiple Ownership Info % Owner Name Co- Address Owner 34 SMITH, EDA ET AL 107 ARROWHEAD DRIVE, HYANNIS MA 02601 ANGELONE, 107 ARROWHEAD DRIVE, HYANNIS 33 PATRIZIO MA 02601 33 MELENDEZ, ANNA 107 ARROWHEAD DRIVE, HYANNIS MA 02601 Land Info Acres.0.25 Use iSingle Fam MDL-01 Zoning FRB _ Nghbd 0104 Topography Level - Road Paved Utilities Public Water,Gas,Septic + Location�— • Construction Info Building 1 of 1 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20514 1/21/2014 i i SHF Town of Barnstable Barnstable. T°�� Regulatory Services Department ; SSeLE'r i639• Public Health Division �� 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012 1010 0000 2851 0954 October 17, 2013 Serafina Carlos, Estate of 107 Arrowhead Drive Hyannis, MA 02601 The septic system located at 107 Arrowhead Drive, Hyannis, MA was last inspected on 9/11/13 by Shawn Mcelroy, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into the house due to an overloaded or clogged SAS. You are ordered to repair or replace the septic system within sixty (60) days from the. date you receive this notification: Failure to repair/replace the septic system within the deadline period may result in future enforcement action. ER O///F/JATHE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent.of the Board of Health J�- Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\107 Arrowhead Dr Hy Oct2013.doc ? TOWN OF BARNSTABLE LOCATION /b� `� �� /,--. SEWAGE #�� jJ VILLAGE /� /�, ASSESSOR'S MAP & LOT V 71'1� l N _7R_�"pN INSTALLER'S NAME & PHONE NO _ �� /CUl4� u�� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: ^ VARIANCE GRANTED: Yes No /— � 1 :, ,� ,.�� -� „ a O �� ;_ �N. � t �� - I �x � � �- '� � - ' � _ ` ....._ � -t��__ � r M � y� ., � .� .,�. .G 4� • �..✓r'��'_'�^tea � �- �! p. � � � . Fzs......... .0......... A"ROM HE COMMONWEALTH OF MASSACHUSETTS 8 BOARD OF HEALTH t TOWN OF BARNSTABLE Applirttio ►ioot�n for Dipl Worlw Tonotrnrtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal System at .. ...... ---------------- --------------------------------------- -----------.......-----------......:------ ocati or Lot No. �l - f d 5 ��R'.Cl1/ --------•--•--------------------- ----------------------------- .....................- cr �C/C n Addresy ..i. /fiif Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling No. of Bedrooms------------------------------ - - -Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons------------------------:--- Showers ( ) — Cafeteria ( ) 04 Other fixtures ------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity--..........gallons Length---------------- Width---.--...-....-- Diameter...-............ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 'A Seepage Pit No-------------_----- Diameter............---.---- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by.......................................................................... Date......................................... aTest Pit No. I.............. minutes per inch Depth of Test Pit.................... Depth to ground water......................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ---------------•..-.....-......------------------------------------•----•------..._..------------------------------------•--------------..........•---••••-- 0 Description of Soil.......................................................................................................................................................................... x - ----- - --------- ---•----•----- } N tore of.Repairs r to ti A s� e when applicable.ms ./ Io Oa /`1__. v- � e ;w• U -• f----••---•---- Agreement-- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance hlbeessued th board of health.Signed ................... .................................................... ...-....�1!:-�`.�. Dare ApplicationApproved By ........... .. .... .................................................................................... ......4Y -?/ -.20C� Application Disapproved for the following reasons: ........................................................................................................................................ ............................................................................................................................................................................................................... ........................................ �j � Dace Permit No. f t--� I $....J................ Issued .................................................................... ............ ......................... Dare "'NoJ.y' Fas. .., ... ..... THE COMMONW BOEALTH OF MASSACHUSETTS AR® OF HEALTH TOWN OF BARNSTABLE i_ li tt �' t t.��.� rtt nu for �t�� , ul Wnrk,s Tomitrnrttnn 1rrmtt Application is hereby made for a Permit to Construct ( ) or Repair (-'*-)-an Individual Sewage Disposal System at: .. ....... r._ !c� /r.d.------...h ------------------- ------------------------------------------------------------------------------------------------- Location-Addrn's or Lot No. -_ a- t/ I(�' AY�1 it �il�bl/K.l�.�.J�.��.---. 7.- ll.�U-C /!_C_ddre5 -- ---- --•• .. O/ ......_.............. ......�._............ ...----_------_...-------- Installer Address d Type of Building Size Lot........................:...Sq. feet Dwelling- No, of Bedrooms............................................Expansion Attic ,( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers'( ) — Cafeteria ( ) d Other fixtures = W Design Flow............................................gallons per person per day. Total daily flow................. ...........................gallons'.- 1:4 Septic Tank—Liquid capacity------------gallons Length---------------- Width................ Diameter................ Depth................ Disposal Trench—No. .................... Width--------------------- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.___---_._-_--___-- Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank*( ) Percolation Test Results Performed by------------ ----•---•••---•---•...•••-•-....--••-•-----•-••••-••-•--. Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ... ..........-............................. Descriptionof Soil.......................................=..............=...................................................................._............. x V .....•-••-----•--....---•••-•----••--••••--•••-••-•--•--••-•-•••-•-•---•------•----•••-----•----•-••-•-•-•••....-••••----------•-•--••-••---•---••--•••-••.....:•-•.......................................... W x ----------- --- U Nature of Repairs or Alterations—.Answer when applicable��5-_0-(1......../d.��'....yG��.�Ll__:..� fjJ��_--- .- --------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been/ilssued by the board of health. ... . ... ..... . . . ` -a ` Signed C ........ Application Approved By ........... .-f.. ._..`�� ..�s - ................................................................................... ......4�i..-. �e .-.. Application Disapproved for the following reasons: ........................................................................................................................................ ................................................................................................................................................................................................................ ........................................ 1� Dare PermitNo. .......... ---- ---/..g1....�b................ Issued .......:............................................................ Dare THE COMMONWEALTH OF MASSACHUSETTS _ \ BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS. TO CERTIFY, That the In ivfdua�Sewage��sal System constructed ( ) or Repaired (�-) by ............................................................... .... .... .. /( .......CL.......................... ........................ at .............................................................. ................fl'........... 1: .........�.................................... .................................................................... has been installed in accordance with the provisions of TITLE 5 of The State En ironmental Code as described in the application.for Disposal Works Construction Permit No. ......9.... .._...�..$-5....... dated .................... ......... ...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C NSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. _ DATE ....... �>9 / G*�!.......................................... Inspector;-r-�.. .<,��%' -. �... ��............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE .�....1.!!:� FEE.3 .......... Dispnsttl Work,9 Tonstr i> n "rrmit Permission is hereby granted.............. rfS,_._t....��.��l�j:Cl ..__. to Construct ( ) or Repair (,-Tan Individual Sewage Disposal Sy ter C ` S[rcct as shown on the application for Disposal Works Construction Permit No._&./,f�..t}_ Dated.._.__..L� �....��.... ...................... ; ----------------------------------------••-•-••--••••-- q Board of Health DATE.................. -. .1.-.1..-(,-�................................ FORM 38708 HOBBS Q WARREN,INC.,PUBLISHERS - - •