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HomeMy WebLinkAbout0345 ARROWHEAD DRIVE - Health 345 Arrowhead Drive -- - - Hyannis --rl r ° 1 ° ,y ° ° . 0 1 i ` t� rc'. ``f j 3."^'i;'-.'�.'"4"" + aryysuv,+�l,.wr y�,j,nnr.v ?7'� ?ttmr.t r ,tY1'C"""+.^K'?u�'Au4«a,. irtiM-frS^r •+h#..+�qi" "� ; J'' , s t f� oq S: s .,• lk TOWN 'OF 'BARNSTABLE BAR=W 34 aJ ' Ordinance or Regulation WARNING NOTICE Name of Offender/Manager S. S l% C44 Address of Offender MV/MB Reg:# Village/State/Zip N L�✓t r, - f. ps I A ad C&/ Business Name. awpm-)on /LI 2006 Business Addressil Signature of Enforcing Officer -Village/State/Zip Location of Offense �l f�b1.� ^rA,:; U/ fC C. "i r>r�.,/f• w ��; i J ` Enforcing Dept/Division Offense. a' L�a.tiA �hrv,.st��F �acl'�'. d� - 3 _IM /l C ,A, 6, Facts7' ru Olin J.GC! ! k,vs/ /'I 4+ r � , .r MOuaJ Iv'6+ J +'n i} .." This .will s&rve .only a a warning. At this time no legal a g ction has bee , taken. It is the goal of own agencies to' achieve voluntary compliance of Town'riv,,�4; Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the -Town. WHITE--OFFENDER, -CANARY-ORD./REG.-PROG .',PINK-ENFORCING OFFICER, GOLD-ENFORCING DEPT, TOWN OF BARNSTABLE f% `19 BAR-W ' c. Ordinance or Regulation WARNING NOTICE Name of Offender/Manager ���� �� �� Address of Offender MV/MB Reg.# Village/State/Zip �,> Business Name 5 am%pm, on Business Address C Signature of Enforcing Officer Village/State/Zip Location of Offense Enforcing Dep"t/Division Offense Facts r This will serve only as a warning. At this time no legal actiondhas beeg,�' taken. It is the goal of Town agencies to achieve voluntary compliance of Town : ,, Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. V COMMON WEAL I'J I OF M.ASSACH.USIETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTE(CT.ION OR ONE��=a ONE WINTER STREET, BOSTON MA 02108 (617) 292-5 500, APR 2 2WRUDY COXF, 350 MAIN STREET ,` := ro4"VrF ^�S Secretary ARGEO PAUL CELLUCCI �. WEST YARMOUTH, MA �'HDEP�'WAVID,B S�RUIIS Governor trim 508-775-2800 �/` ��Comanissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION MAP 270 PAR 064 PROPERTY ADDRESS: 345 ARROWHEAD DRIVE, HYANNIS ADDRESS OF OWNER: DATE OF INSPECTION: APRIL 17, 2000 ERNEST CASH NAME OF INSPECTOR : JAMES D. SEARS I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 9310 CMR 15.000) COMPANY NAME: A&B Canco MAILING ADDRESS: 350 Main Street,West Yarmouth,MA 02673 TELEPHONE NUMBER: (508)775-2800 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X PASSES CONDITIONALLY PASSES NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY FAILS INSPECTORS SIGNATURE: DATE: APRIL 24,2000 The system Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. NOTES AND COMMENTS: SITE OVER ALL PASSES,INSPECTION OF SYSTEM IS BASED ON CONDITION OF SYSTEM AT THE TIME OF THE INSPECTION.THERE IS NO GUARANTEE ON THE LIFE OF THE SYSTEM. revised 9/2/98 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIVICATION(continued) i Property Address: 345 ARROWHEAD DRIVE, HYANNIS Owner: CASH, ERNEST Date of Inspection: APRIL 17,2000 INSPECTION SUMMARY: Check A, B, C, orD: A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B SYSTEM CONDITIONALLY PASSES: N/A 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. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If"not determined",explain why not) The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate Of Compliance(attached)indicating that the tank was installed within twenty(20) years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank is failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. The system will pa pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced _ The system required pumping more than four 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 i obstruction is removed .revised j9098 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 345 ARROWHEAD DRIVE, HYANNIS Owner: CASH, ERNEST Date of Inspection: APRIL 17,2000 C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: N/A Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303 (1)(b)THT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen and is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER a I revised 9/2/98 3 • u SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 345 ARROWHEAD DRIVE, HYANNIS Owner: CASH, ERNEST Date of Inspection: APRIL 17,2000 D]SYSTEM FAILS: NA You must indicate either"Yes"or"No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to Determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an over- loaded 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%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 Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: N/A You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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 mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. revised.9/2/98 4 t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 345 ARROWHEAD DRIVE, HYANNIS Owner: CASH, ERNEST Date of Inspection: APRIL 17,2000 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. X None of the system components have been pumped for at least two weeks and the system has been receiving normal Flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. X As built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,including the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid depth of sludge,depth of scum. The size and location of the Soil Absorption System on the site Has been determined based on: X Existing information.Ex.Plan at B.O.H. X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)[15.302(3)(b)J X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal System. revised 9/2/98 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 345 ARROWHEAD DRIVE, HYANNIS Owner: CASH, ERNEST Date of Inspection: APRIL 17,2000 FLOW CONDITIONS RESIDENTIAL: Design flow: 330 g.p.d./bedroom for S.A.S. Number of bedrooms(design) 3 Number of bedrooms(actual): 3 Total DESIGN flow Number of current residents: 2 Garbage grinder(yes or no): NO Laundry(separate system) (yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): YES Seasonal use(yes or no) NO Water meter readings,if available(last two(2)year usage(gpd): Sump Pump(yes or no): NO Last date of occupancy: N/A COM M ERCIAUINDUSTRIAL: Type of establishment: Design flow: Gpd(Based on 16.203) Basis of design flow Grease trap present:(yes or no): Industrial Waste Holding Tank present:(yes or no) Non-sanitary waste discharged to the Title 5 system:(yes or no) Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: N/A System pumped as part of inspection:(yes or no) NO If yes,volume pumped: gallons Reason for pumping TYPE OF SYSTEM X 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) I/A Technology etc.Attach copy of up to date operation and maintenance contract. Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed (if known)and source of information: 1997 PERMIT#97-366 Sewage odors detected when arriving at the site:(yes or no) NO revised 9/2/98 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 345 ARROWHEAD DRIVE, HYANNIS Owner: CASH, ERNEST Date of Inspection: APRIL 17,2000 BUILDING SEWER: N/A (Locate on site plan) Depth below grade: Material of construction cast iron 40 PVC other(explain) Distance from private water supply well or suction line Diameter Comments:(condition of joints,venting,evidence of leakage,etc.) SEPTIC TANK: X (Locate on site plan) Depth below grade: 21" Material of construction X concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) If tank is metal,list age Is age confirmed by Certificate of Compliance (Yes/No) Dimensions: 1,500 GALLON PRE CAST Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: 31" Scum thickness: 0" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 17" How dimensions were determined ASBUILT&TAPE Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) MAIN TANK AT WORKING LEVEL,OUTLET COVER 21"BELOW GRADE.ONE OUTLET TEE. GREASE TRAP: N/A (locate on site plan) Depth below grade: Material of construction _ concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) 4 revised 9/2/98 7 , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 345 ARROWHEAD DRIVE, HYANNIS Owner: CASH, ERNEST Date of Inspection: APRIL 17,2000 TIGHT OR HOLDING TANK: N/A (Tank must be pumped prior to,or at time,of inspection) (Locate on site plan) Depth below grade: Material of construction _ concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) Dimensions: Capacity: Gallons Design Flow: gallons/day Alarm present i Alarm level: Alarm in working order Yes; No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) I DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert: 0 Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc,) D-BOX NOTED ON PLAN AND ASBUILT,DID NOT DIG UP AS GROUND ROCK HARD.TANK SHOWED NO SIGN OF BEING OVER OUTLET TEE,BOX IS AROUND T BELOW GRADE. PUMP CHAMBER: N/A (locate on site plan) Pumps in working order:(Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) revised 9/2/98 8 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 345 ARROWHEAD DRIVE, HYANN►S Owner: CASH, ERNEST Date of Inspection: APRIL 17, 2000 SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not located, explain: Type: Leaching pits,number: Leaching chambers,number: 2 Leaching galleries,number: Leaching trenches,number,length: Leaching fields,number,dimensions: Overflow cesspool,number, Alternative system: Name of Technology: Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) TWO(2)500 GALLON LEACH CHAMBERS,LEACHING IS DRY TOP OF LEACHING AND COVER 38"BELOW GRADE. CESSPOOLS: N/A (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(cesspool must be pumped as part of inspection) Comments:: (note condition of soil,signs of hydraulic failure,,level of ponding,condition of vegetation,etc.) PRIVY: N/A (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.) revised 9/2/98 9 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(contihued) Property Address: 345 ARROWHEAD DRIVE, HYANNIS Owner: CASH, ERNEST Date of Inspection: APRIL 17, 2000 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100'(locate where public water supply comes into house) �a 3 RV (Nov revised 9/2/98 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 345 ARROWHEAD DRIVE, HYANNIS Owner: CASH, ERNEST Date of Inspection: APRIL 17, 2000 NRCS Report name Soil Type Typical depth to groundwater USGS Date website visited Observation Wells checked Ground water depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to groundwater 22.9 Feet i Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site(Abutting property,observation hole,basement sump etc.) Determine it from local conditions X Check with local Board of health Check FEMA Maps Check pumping records Check local excavators,installers X Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(Must be completed) NOTE: BARNSTABLE HEALTH DEPARTMENT USGS&GIS. revised.9/2/98 11 TOWN OF BARNSTABLE LOCATION /l/P OtVV f9a DR SEWAGE # VILLGE ASSESSOR'S MAP & LOT a,S�Fc%s,QS { NAME Cz PHONE NO. A & B CANCO 775-6264 .SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO:OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER VVS P£cT/�i4- DATE DATE COMPLIANCSISSUED: VARIANCE GRANTED: Yes No • V' i W � a� e a LI TOWN OF BARNSTABLE LOCATI.ON 3111' Ai^Ou/h,dwl' A. SEWAGE # 344 VELL E 5C.w ASSESSOR'S MAP & LOT 270-0 G 9 INSTALLER'S NAME&PHONE NO. dal e,0 Qc llEa�6.O $ SEPTIC TANK CAPACITY /,t00 LEACHING FACILITY: (type) 2 .!SW G0144d, 2S" X /3 NO.OF BEDROOMS 3 BUILDER OR OWNER Myrure 7 PERMIT DATE: 7-2/- 377 COMPLIANCE DATE: 7, 3 9 7 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 Facility(If any wetlands exist within 3M feet of leaching�facility) Feet ,e Furnished by, � s o J- C L �- o& � - No. Fee -~ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYfcation for Mtt za[ *p5tem Conztructton i3ermit Application for a Permit to Construct(490rRepair( Upgrade-( )Abandon(.. ). O Complete System El Individual Components Location Address or Lot No. 3�j/j' �?re�nuiGi es��/ D�^ Owner's Name,Address and Tel.No. rf r/8— 912 li y Assessor's Map/Parcel Installer's Name,Address,and Tel.No. f'1—O 3 9 Designer's ame,Address and Tel.No. 1199—v Y49 ' JoscP/ U.� l3�paos Type of Building: Dwelling No.of Bedrooms _3 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 �fav1 Nature of Repairs or Alterations(Answer when applicable) 6'/Z !z"iY i.s 1 ra/!a f-1-55ROO` W,1`d., C'�i32?h a i' r vti " Date last inspected: t' 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 thip Board of Health. Signed d Date �—2/—97 Application Approved by Date 7 n 7 Application Disapproved for the following reasons Permit No. 7 1,�� Date Issued 2 �r7' .,:•..y,r.,. N ,'t" :_v-r" - F �., s. ...:a.+i,dr4r0a^r's+,t•;..+.+.,.,;i*7=W.+q(Y;M+-. tl�+'4ti.«.ai 73 -•• ., �,-r..cywr�r' j:rN �»��.- •.�. ;,1.{y�T� �. st*.�;, �" il•'t ^�.tye� �'A""�JY 1f�V tr .�' 0& Fee 2-3 b I •`'�`.� �© No. } _ - f Entered in computer: t _THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION - OWN OF BARNSTABLE., MASSACHUSETTS' 01pplication for Mig�l0' ai *pgtem Congtruction Permit Application for a Permit to Construct(40fRrepair( Upgrade(• )Abandon( ) O Complete System O Individual Components Location Address or Lot No. 3`15' Ar Owner's Name Address and Tel.No. '7 18 v/i 7 t FJ �oaN%S 1 Assessor's Map/Parcel y / Installer's Name,Address,and Tel.No. Lf 7.7-07 y9 Designer's ame,Address and Tel.No. J43,G,v4 V e 1Y4e`'OS / [!a Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder( ) Other _Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures A Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title X_ Size of Septic Tank Type of S.A.S. t ' Description oUSoil Nature of Repairs or Alterations(Answer wheriwapplicable) '�� ��u&,, r -ss, oa W, / O I L �" Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system M 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 thq Board of Health. Signed Date_yQ Application Approved by Date Application Disapproved for the following reasons- 0011 M Permit No. C1 7 — ?/_ / Date Issued ——————————————————————————————————————THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO C�RTIFY, that the On-site Sewage Disposal System Constructed ( La-Rrpaired ( )Upgraded( ) Abandoned( )by aIr at is has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No $ -,dated Installer Designer 7''' W The issuance of this permit shall not be construed as a guarantee that the syst will function as desi Date ��---s� �' Inspector r ---------------�70—0 G�----No. 97"' 366 Fee_ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Ditpogal *pgtem Congtruction Permit Permission is hereby granted to Construct( repair( )Upgrade( )Abandon System located at 241 f 9woldw 4lagoc,/ (Za►ii:5• 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 thiiss�pe/rmit. Date: 9 PP Y a 7 A rovedb l i NOTICE: This form iS to be used for the r-epgir of fliiev Septic Systerns only UP—J 1WCA,xJAUN t S1,,MtH ANb A�pLI�A�i it1N #OR A DISPOSAL y�KS CONSIMM11ON PERM I lfi iti fib S1dN b PLANsj 1, J& 9011,1 5 , hereby W ity that the tipplicotion fot disposal works construction permit signed by the dated 7 41— q7 , colicertiilig the properly located at 35'f ltteets all of the following ctilerin. 'here ere no ivetlnnds widdii 100 feet of the ptopomd septic gyglem 4P iere are ho private OIN Within ISO feet ot'the pttipbsed septic systerit 1 he obsetved'groundwatet table 1s IA feet of gtentet below the bottom of Ilhe leaching facility �drp Is no incte-As@ in no*tied/ot change ill Ilse pttlpowl here are n vntiAnce e i. o s r �t csted ot needed. . SIONE'D A IJA"ITI:: 71/, 97 LICI;NS> S 3M iC'8VS-I'FM INSTAt_,UR IN fllh f-oWN or, 13ARMS'I'AME NUMgritt 9Y (Attach A sketch plan ottht!ptoposed syMe'til.Also It(lie Ilcelised Itisinlletposesses A certified plot pldli, this plan should be submittedl. q:henllh roider:cert A4 B /9rrow�iC � or i --a Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection i Southeast Regional Office William F.Weld Governor Trudy Coxe Secretary,EOEA David B. Struhs Commissioner URGENT LEGAL MATTER: PROMPT ACTION NECESSARY D CERTIFIED MAIL: RETURN RECEIPT REQUESTED 0 May 13 , 1996 Margaret Cash RE: BAPII S:rAB-L- B_WSC ==-` 345 Arrowhead Drive �345r'A� rrowhead�Drv.e Hyannis, Massachusetts 02601 RTN: 4-12134 NOTICE OF RESPONSIBILITY M.G.L. c . 21E, 310 CMR 40 . 0000 On May 5, 1996 , at 1 : 00 p.m. , the Department of Environmental Protection (the "Department" ) received oral notification of a release and/or threat of release of oil and/or hazardous material at the above referenced property which requires one - or more response actions . While attempting to move a drum of waste oil, the drum slipped, causing a release of approximately 40 gallons of waste oil to the pavement and a nearby catch basin. The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. c .•21E, and the Massachusetts Contingency Plan (the "MCP" ) , 310 CMR 40 . 0000 , require- the performance of response actions to prevent harm to health, safety, public welfare and the environment which may result from this release and/or threat of release and govern the conduct of such i actions . The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at this property. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have the meaning ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise . The Department has reason to believe that the release and/or threat of release which has been reported is or may be a disposal site as defined ,by the M.C.P. The Department also has reason to believe that you (as used in this letter, "you" and "your" refers to Margaret Cash) are a Potentially Responsible Party (a "PRP" ) with liability under M.G.L. c . 21E §5, 'for response action costs . This liability is "strict" , meaning that it is not based on fault, but solely on your status as owner, operator, generator, 20 Riverside Drive • Lakeville,Massachusetts 02347 • FAX(508)947-6557 • Telephone (508) 946-2700 i _2_ transporter, disposer or other person specified in M.G.L: c . 21E §5 . This liability is also "joint and several" , meaning that you may be ' liable for all response action costs incurred at a disposal site regardless of the existence of any other liable parties . The Department encourages parties with liabilities under M.G.L. c . 21E to take prompt and appropriate actions in response to releases and threats of release of oil and/or hazardous materials . By taking prompt action, you may significantly lower your assessment and cleanup costs and/or avoid liability for costs incurred by the Department in taking such actions . You may also avoid the imposition of, the amount of or reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4 . 00 . Please refer to M.G.L. c . 21E for a complete description of potential liability. For your convenience, a summary of liability under M.G.L. c . 21E is attached to this notice . You should be aware that you may have claims. against third parties for damages, including claims for contribution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws which establish the time allowed for bringing litigation. The Department encourages you to take any action necessary to protect any such claims you may have against third parties . At the time of verbal . notification to the Department, the following response actions were approved as an Immediate Response Action (IRA) : • Removal of 2 cubic yards of contaminated sand. • Pump Storm Drain (< 2-55 gallon drums) . i ACTIONS REQUIRED Additional submittals are necessary with regard to this notification including, but not limited to, the filing of a written IRA Plan, IRA Completion Statement and/or an RAO statement . The MCP requires that a fee of $750 . 00 be submitted to the Department ' when an RAO statement is filed greater than 120 days from the date of initial notification. Specific approval is required from the Department for the implementation of all IRAs and Release Abatement Measures (RAMs) . Assessment activities, the construction of a fence and/or the posting of signs are actions that are exempt from this approval requirement . In addition to oral notification, 310 CMR 40 . 0333 requires . that a completed Release Notification Form (BWSC-103 , ' attached) be submitted to the Department within sixty (60) calendar days of May 5, 1996 . .r Ny -3- You must employ or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response actions at this site . You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals at (617) 556-1145 . Unless otherwise provided by the Department, potentially responsible parties ( "PRP' s" ) have one year from the initial date of notification to the Department of a release or threat of a release, pursuant to 310 CMR 40 . 0300 , or from the date the Department issues a Notice of Responsibility, whichever occurs earlier, to file with the Department one of . the following submittals : (1) a completed Tier Classification Submittal; (2) a Response Action Outcome Statement or, if applicable, (3) a Downgradient Property Status . The deadline for either of the first two submittals for this disposal site is May 5, 1997 . If required by the MCP, a completed Tier I Permit Application must also accompany a Tier Classification Submittal . This site shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c .21E and the MCP. If you have any questions relative to this notice, please contact Robert Kearns at the letterhead address or at (508) 946- 2865 . All future communications regarding this release must reference the following Release Tracking Number: 4-12134 . Very truly yours, Richard F. Packard, Chief Emergency Response / Release Notification Section P/RK/jt CERTIFIED MAIL #P606 845 338 RETURN RECEIPT REQUESTED Attachments : Release Notification Form; BWSC-103 and Instructions Summary of Liability under M.G.L. c . 21E cc : • Town of Barnstable Town Hall 367 Main Street Hyannis, MA 02601 ATTN: Warren J. Rutherford, Town Manager ,,tea -4- cc : Board of Health Town Hall 367 Main Street Hyannis, MA 02601 ATTN: Brian R. Grady,. R.S . , Chairman Fire -Department 94 High School Road Hyannis, MA 0260 ATTN: Chief Paul D. Chisholm . John Conathan 9 Parker Road Osterville, MA 02655 DEP - SERO ATTN: Andrea Papadopoulos, Deputy Regional Director - • ,111 1 \\ \ 11 1 11 1f1 1 1 1{ 11 �� °' SENDER:'•ao_ ■Complete items 1 and/or 2 for additional services. I also wish to receive the rn ■Complete items 3,4a,and 4b. following services(for an ■Print roc r name and address on the reverse of this form so that we can return this extra fee card ): j ■Attach this forth to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. � y ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2, ❑ Restricted Delivery t ■The Return Receipt will show to whom the article was delivered and the date .. delivered. Consult postmaster for fee. ° 0 3.Article Addressed to: 4a.Article Number _ d Ja (11s �� a•�f- La z 3q g s 9 goo °` Scl E / �1 ti 4b.Service Type �!U �OtJ�k D n a�'�k& ]�)�$wr Registered EU Certified °C cn W 19acker' �p.O� `l ❑ Express Mail ❑ Insured c ❑ Return Receipt for Merchandise ❑ COD r r,! 7.Date of Delive w Z (Q b a. 5.Received By:(Print Name) 8.Addressee's A�dres (Only if requested c W and fee is paid) r 6.Signature: iddre ee or Agent) r o X y PS Form 3811, December 1994 / Domestic Return Receipt L I ,WA UNITED STATES POSTAL SER p asp$,maid `= I • Print yo r n ;a ress, and ea_ oz�• Board of Health Town of Barnet" P.O.Box 534 Hyannis,Massachusetts 02601 I - I I I i I Z 348 6,59 800 . JrReceipt for — Certified Mail No Insurance Coverage Provided W:PS-FS ..o not use for International Mail (See Reverse) t treet d No. t ci r -- A P .,State an�ZIP Coe L f— t 1IR Go PostageGo $ r �� M Certified Fee O LL Special Deliv FeE021, as �l ;1?esgic e e Pe i i a ur tpt, o ;� to Wh Date DeW Return eyC' Showing o fqm D. an re TOTAL Post &Fees Postmark or Date i STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). m 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address In leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier(no extra chargel. 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return rn address of the article,date,detach and retain the receipt, and mail the article. r 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. O O 00 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY on the front of the article. 0 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If LL return receipt is requested,check the applicable blocks in item 1 of Form 3811. d 6. Save this receipt and present it if you make inquiry. 106603-93-13-0219 U� i Town of Barnstable Health Department 367 Main Street, Hyannis, MA 02601 Office 508-790-6265 Thomas A: McKean FAX 508-773-3344 Director of Public Health May 7, 1996 Ms. Margaret Cash c/o John Conathan II, Esquire 9 Parker Road Osterville, MA 02655 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE ORDINANCE ARTICLE XXXIX CONTROL OF TOXIC AND HAZARDOUS MATERIALS 4 The property owned by you located at 3445 Arrowhead Drive, Hyannis as inspected on May 5, 1996 and reinspected on May 6, 1996 by Thomas McKean, Health Agent for the Town of Barnstable because of a request from the Hyannis Fire Department, Lieutenant Pickering. The following violations of the Town of Barnstable Ordinance Article XXXIX were observed: { i 5-1 Storage Controls: One 55 gallon containing a small amount of waste oil residue i observed outdoors on the ground adjacent to the driveway. 9-Prohibitions: The driveway contained oil contaminated sand across a large area located downgradient from the waste oil barrel. You are directed to correct the above violations of section 5-1 and section 9 within forty-eight (48) hours of receipt of this notice by hiring a licensed Hazardous Waste Hauler to remove the waste oil container and sand/oil mixture from the driveway. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order will result in one of the penalties as described below: y . Any person who shall violate any section of this Ordinance for which penalty is not otherwise provided in any of the General Laws shall upon conviction be fined 300 dollars. Any person who shall fail to comply with any order issued pursuant to the sections of this Ordinance shall, upon conviction, be fined 300 dollars. Each day's failure to comply with an order shall constitute a separate violation. In the alternative to criminal prosecution, the Public Health Division may elect to utilize the non-criminal disposition procedure set forth in MGL c.40, s.21 d. Non-criminal ticket citation for any violation of any section of this Ordinance shall be in the amount of$75.00 for the first violation and $25.00 for each additional violation. Each day's failure to comply with an order shall constitute a separate violation. tts;�� . Further, the Health Department, after notice to and after a public hearing thereon, ntay suspend, revoke, or modify any license issued hereunder for cause shown. PER ORDER OF THE BOARD OF HEALTH r Thomas A. McKean Director of Public Health : ` '` - •, r . cc: Police Officer Greenwood Hyannis Fire Lieutenant Pickering ` (41. ,r z:t .; °• fYC ylt s� n•�x+l��., +r,�,�� lti�t;�: i .� �r•ty'�,x4:t1-fir a Y°v.ir�'+� ' Y f �' f ti, x' a��}e, F'���� oi F s t3 ''�yk FL h � r Jt r tom* { 1 yP Yi.µ1 i •i�i A 1 Y rfi �1..�f ,.. i..e ..h.V • '. to �. .�t YES.. •-tu�11• '.fi .�;r^J,:'r+ Lc f,,rt f �' 4,.C •. ., s ty A am8 K � 2��' z`.c.j�YL o �X• +'MJ7 mq,�Ht09� NOTICE_ TO-ABATE VIOLATIONS OF C re'^ , The property owned by.you located at 134 5 ArN-�*0-4 "-was inspected on M,--j S I q% -4W4 by ' Mac Health Agent for the Town of Barnstable because of a re-jue5k Wit. The following violations of the Town of Barnstable RIM Ordimmee pfdj,%p CQ- ��,,,� anv the S-itarr were observed: 1V'h OA B , J On Y c �Vex e� ��� o r� of d , ' ^ 1 You are directed to correct the`violation5of within 2k hours of receipt of this notice by �,��-5n t luez^seco\ ��s�o,s � W-jLr -4 rew��-� r 0 ( 'ce. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the,violations are corrected. Enclosed are citation numbers due to violations observed on PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health Town of Barnstable I