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HomeMy WebLinkAbout0390 BEARSE'S WAY - Health t 390 392 .Bearse's'Way y -- _ — — — — A = ,292 '033' , e ,y I p - r I, i I o I e o i o I i e i i I r it ii • o r� o Certified Mail#7012 1010 0000 2850 8630 jHE rati Town of Barnstable o� Regulatory Services BARNSfABL6, ' Richard Scali, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 24, 2014 Craig Cohnido PO Box 534 Marstons Mills, MA 02648 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II-MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION. The property owned by you located at 309 Bearses Way, Hyannis, was inspected on July 24, 2014 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a complaint received by the Town of Barnstable Health Division. The following violations of the State Sanitary Code were observed: �►-�. �'� 1 105 CMR 410.550 -Extermination of Insects, Rodents and Skunks. Infestation of bedbugs and cockroach's within said unit. You are directed to correct the violations listed above within twenty-four (24) hours of your receipt of this notice by exterminating bedbugs and cockroaches using a Massachusetts licensed exterminator. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER THE BOARD OF HEALTH I Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable QAOrder IetterslHousing violations\309 bearses way.doc Citizen Web Request Page 2 of 3 Request Work History: Internal Note History: Entered on 7/28/2014 3:23:29 PM System entry on 7/22/2014 12:20:29 PM: by O'Connell,Timothy Last modified on 7/29/2014 7:29:17 AM Assigned to O'Connell,Timothy On 7-24-14 did observe bedbugs and cock System entry on 8/13/2014 7:48:07 AM: roaches at said residence. Will prepare order letter. On same day talked with owner who stated he will Request Closed by oconnelt address situation. Also on 7-28-14 owner came into 200 main. He stated occupant not returning his calls. System.entry on 11/7/2014 10:51:11 AM: I then called occupant to inform her owner has setup an appointment for 7-30-14 for extermination. She Request Reopened by parvinl said she would be available. System entry on 11/7/2014 10:52:02 AM: Entered on 8/13/2014 7:48:07 AM by O'Connell,Timothy Request Closed by parvinl Unit has been exterminated. A follow up date has been scheduled for 9-5-14 Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) E IK hb� I 11 "Spell Check—] Spell Check •Add document or image link: Browse... ' * You can also type in a folder name to see everything in the folder Current Links: Time worked on request: 8.00 Response time: 2.00 *Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights, weekends, and holidays in response time for most departments. r Reopen Reopen and notify citizen JReopen Public Use: Printer Friendly Version http://issgl2/intemalwrs/WRequest.aspx?ID=50098 12/23/2014 TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date `( Time: In Out C Owner Tenant Address Yo Address 60 Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements r 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed ( ) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here . " TOWN OF BARNSTABLE �~=* BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION I` L Date% ' Time: In Out Owner a Tenant V. /, 30 . Address v Address �✓� �0 4�1 Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities i 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities ` 8. Ventilation 9. Installation.and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents _ u 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing r 18. Driveway Width 19. Number of Tenants Observed s PART II 37. Placarding of Condemned Dwelling; Removal of Occipans; Demolition 3 Number of Bedrooms Number of Vehicles Allowed ) Number of Persons Allowed (max) �"^~ i Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here i Fowler & Sons. Inc. Invoice Termite, Pest Control, and Turf Management 358 West Main Street DATE INVOICE NO. Hyannis, MA 02601 08/05/2014 496654 508-771-BUGS (2847) 508-778-TURF Service Date: 0810412014 BILL TO Address Serviced: CRAIG CONDINHO CRAIG CONDINHO PO BOX 534 390 BEARSES WAY MARSTONS MILLS, MA 02648 HYANNIS, MA 02601 TERMS: Net 30 Days DESCRIPTION AMOUNT Initial - Bed Bugs $900:00 Misc. - CREDIT CARD NUMBER IN THE OFFICE $0.00 Visa/MC/Disc - XXXX3216 ($900.00) TOTAL $0.00 tua o V. .. g C%4 .................................................. ....................... ....... .......... .................. ....................................... ............................................................................................................................................................................... Pl e R rn This '—ion With Your Payment O sa '10 From: CRAIG CONDINHO Invoice Number: 496654 PO BOX 534 Customer ID: 136319 MARSTONS MILLS, MA 02648 Prior Balance: $0.00 Invoice Total: $0.00 To: Fowler& Sons, Inc. Amount Due: $0.00 '358 West Main Street Hyannis, MA 02601 Payment Amount: Check Number: I `Please include the Invoice Number with your payment. SENDER: COMPLETi THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2;7and 3.Also complete "IT, lure item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse -ad essee so that we can return the card to you. B. Ived by(Printed Name) C. Dat o li ery ■ Attach this card to the back of the mailpiece, or on thefront if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? Yes If YES,enter delivery address below: No �nLf�Jl�iV� �+/l7rl�i . p o R 5 3 �f 3. sere Type BoCertIfied Mall ❑Mall ❑Registered ❑ alum Receipt for Merchandise e ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2 (rransfer frorh service label) 4 7 2 6 215 6 66 0 21 i10!41'1 614 2 9111 FS c orm.3811,February_2004 f Domestic Return Receipt i o2sss o2-M-i sao, UNITED STATES POSTAL SERVICE First-Class Mail'F Postage4'Fees Paid .r LISPS Permit No.G-10 I • Sender: Please print your name,..address, and ZIP+4 in this box • ti Town of Bamstable;. ,Health Division ` '200 Maiii'Street I Hyanni§,MA'02601•' I I I I I {{ ` ` l t1 it 9 y '► 111ttllf�i�t4lti'1�4tl1Elt'F�SI'1'll4i'15ii1:�t11't11��44Yt�lISS QQ Town of Barnstable Regulatory Services Barnstable 'THEE�� CF , `' do Thomas F. Geiler, Director n&MmAcaenr Public Health Division * BAR.SPABLE, r . 9 MAss. Thomas McKean, Director' ioo. 1639. 1 39. 200 Main Street Hyannis, MA 0.2601 Office: 508-862-4644 Fax: 508-790-6304' ,A4 January 2, 2009 I Marcos Vieira PO Box 534 Marstons Mills, Ma'02648 9 As of October 1�,.2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable . Health Division. According to our records, you own the rental property at 390/392.Bearse's Way, Hyannis. Enclosed is an application. Please use a separate application for each.rental.unit you own. Should you need more applications, they - are available' online at www.town.barnstable.ma.Lis. Go ito the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and.return them to the Health Division with the appropriate. 2008 ;fees included. This must be completed within (14) fourteen..days' of your receipt of ' this letter. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$1.00.• Each day of rion-compliance'is considered a separate offense. ' i Should you have any'questions, please feel fr.&e to call 508-.$62-4646. Thank you in advance for your cooperation. Timothy B. O'Connell, R.S. Health Inspector Health Division Direct #5087862-4646 . COMMONWEALTH OF MASSACHUSETTS s EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION M M ,a David B.Mason,R.S,Certified Title V Inspector,508-833-2177 I TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION I �2 Property Address: 390&392 Bearse's Way,Hyannis,MA Owner's:Marcus Vierra,C/O First Horizon Home Loans CD Owner's Address: P.O.Box 780969,Dallas,MA 75378 QZ Date of Inspection: November 6,2008 0 y` Name of Inspector: (please print)David B.Mason o co Company Name: N.A. o Mailing Address: 4 Glacier Path � East Sandwich,MA 02537 "' Telephone Number: 508-833-2177 co CZ) r CERTIFICATION STATEMENT m 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: X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: te: J 2008 The system inspector shall submit a copy of this spection report to the Approving Autho/ity(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. Notes and Comments: Tank should be pumped as a matter of maintenance. A riser over the septic outlet is required to be added to be within 6 inches of grade. The information as identified represents only the condition of the system on November 6,2008 at 7:30 AM. Increase in occupancy may result in failure. This is not a guarantee that the system will properly work. ****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. Title 5 Inspection Form 6/15/2000 page 1 l �� [ f Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 390&392 Bearse's Way,Hyannis,MA Owner's:Marcus Vierra,C/O First Horizon Home Loans Date of Inspection:November 6,2008 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _X 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: Parking area should be defined to prevent parking on septic tank and pump chamber. 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 replacemenfor repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: 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 obstruction is removed ND explain: ' OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A Title '; Tnenartinn Pr% m All V7000 2 Page 3 of 11 CERTIFICATION(continued) Property Address: 390&392 Bearse's Way,Hyannis,MA Owner's:Marcus Vierra,C/O First Horizon Home Loans Date of Inspection: November 6,2008 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. 1. 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 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 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 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: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Title C Tnenar6nn Fnrm Ail v,)nnn 3 Page 4 of 11 PART A CERTIFICATION(continued) Property Address: 390&392 Bearse's Way,Hyannis,MA Owner's:Marcus Vierra,C/O First Horizon Home Loans Date of Inspection: November 6,2008 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _NA_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool NA_ Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z day flow X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _ —X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. _X Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X 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 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 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.] _NO_(Yes/No)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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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. OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Tit1P C Tnenartinn Fnr All Vnnnn 4 Page 5 of 11 PART B CHECKLIST Property Address: 390&392 Bearse's Way,Hyannis,MA Owner's:Marcus Vierra,C/O First Horizon Home Loans Date of Inspection: November 6,2008 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No _X_ _ Pumping information was provided by the owner,occupant,or Board of Health _X Were any of the system components pumped out in the previous two weeks? _X _ Has the system received normal flows in the previous two week period? _X Have large volumes of water been introduced to the system recently or as part of this inspection? _X_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X _ Was the facility or dwelling inspected for signs of sewage back up ? _X _ Was the site inspected for signs of break out? _X _ Were all system components,excluding the SAS,located on site?(INCLUDING THE SAS) _X_ _ 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 ? _X _ 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: Yes no _X_ _ Existing information.For example,a plan at the Board of Health. _X_ 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(3)(b)] OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles G Tnenartinn Fnrm Oil,;i,7nnn 5 Page 6 of 11 PART C SYSTEM INFORMATION Property Address: 390&392 Bearse's Way,Hyannis,MA Owner's:Marcus Vierra,C/O First Horizon Home Loans Date of Inspection: November 6,2008 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 4 Number of bedrooms(actual):4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents:_0_ Does residence have a garbage grinder(yes or no): (Not Allowed) Is laundry on a separate sewage system(yes or no):NO[if yes separate inspection required] Laundry system inspected(yes or no):NA Seasonal use: (yes or no):unknown Water meter readings,if available(last 2 years usage(gpd)):2008;0 gpd, 2007;0 gpd. Sump pump(yes or no):NO Last date of occupancy: 2 Years COMMERCIAL/INDUSTRIAL Type of establishment:_Food Service Design flow(based on 310 CMR 15.203): 330 gpd Basis of design flow(seats/persons/sgft,etc.): Take out-No seating_ Grease trap present(yes or no):NO_ Industrial waste holding tank present(yes or no):NO i Non-sanitary waste discharged to the Title 5 system(yes or no):NO_ Water meter readings,if available: Last date of occupancy/use: Within 1 year OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Bamstable Board of Health Was system pumped as part of the inspection(yes or no):NO If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping:Maintenance pumping is required. 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) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed 4/18/02 Were sewage odors detected when arriving at the site(yes or no):NO OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Tit1P G TnenPrtinn Fnr A/1 S/ 000 6 Page 7 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 390&392 Bearse's Way,Hyannis,MA Owner's:Marcus Vierra,C/O First Horizon Home Loans Date of.Inspection: November 6,2008 BUILDING SEWER(locate on site plan) Depth below grade: Approx.24 Inches Materials of construction:_cast iron _X_40 PVC_other(explain): Distance from private water supply well or suction line: NA Comments(on condition of joints,venting,evidence of l- eakage,etc.): Appears in good condition. SEPTIC TANK: N.A.(locate on site plan) Depth below grade: 19 Inches Material of construction:_X_concrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Typical 1500 gal. Sludge depth: 4 inches Distance from top of sludge to bottom of outlet tee or baffle: 28inches Scum thickness: variable 0 inches to 6 inches Distance from top of scum to top of outlet tee or baffle: 0 inches Distance from bottom of scum to bottom of outlet tee or baffle:Not applicable no scum at outlet tee How were dimensions determined:actual measurements Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage, etc.)inlet tee is PVC.Outlet tee is PVC and appears in good condition. No evidence of leakage. Structure of tank appears adequate.Maintenance pumping is required. Riser within 6 inches of grade is required. GREASE TRAP: N.A. 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(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Titles G Tnenarrtinn Fnrm A11 Vnnnn 7 r Page 8 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 390&392 Bearse's Way,Hyannis,MA Owner's:Marcus Vierra,C/O First Horizon Home Loans Date of Inspection: November 6,2008 TIGHT or HOLDING TANK:—N.A.—(tank must be pumped 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(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): i DISTRIBUTION BOX: YES (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Level with outlet invert 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.): Dbox was not located due to faulty dimensions on Board of Health As Built card. I PUMP CHAMBER:_(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.): OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM T;f1P r%TncnPrtinn Fnrm Fl1 VInnn 8 Page 9 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 390&392 Bearse's Way,Hyannis,MA Owner's:Marcus Vierra,C/O First Horizon Home Loans Date of Inspection: November 6,2008 SOIL ABSORPTION SYSTEM(SAS):—X_(locate on site plan,excavation not required) If SAS not located explain why. Type leaching pits,number: _X_leaching chambers,number:_3_5'x8'precast with 4' stone around _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.): leaching is 37 inches below grade. Riser is not present.Chambers are an H2O rate pit. No indication of ponding nor increase growth of vegetation. Probing did not indicate damp soil. CESSPOOLS:_NA (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 or no): 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.): OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM T41P C Tnenvrtinn Fnrm 0;n si')nnn 9 I Page 10 of 11 PART C SYSTEM INFORMATION (continued) Property Address: 390&392 Bearse's Way,Hyannis,MA Owner's:Marcus Vierra,C/O First Horizon Home Loans Date of Inspection: November 6,2008 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. I REAR B A i F-10 a 0 O Septic Tank Al 28' B1 41' Leaching A2 29' B2 60' Title G Tnennrrtinn Fnrm All V7000 10 f � Y Page I 1 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 390&392 Bearse's Way,Hyannis,MA Owner's:Marcus Vierra,C/O First Horizon Home Loans Date of Inspection: November 6,2008 SITE EXAM Slope Surface water Check cellar (crawl space) Shallow wells Estimated depth to ground water_20 feet Please indicate(check)all methods used to determine the high ground water elevation.. _X_Obtained from system design plans on record-If checked,date of design plan reviewed: _X_Observed site(abutting property/observation hole within 150 feet of SAS) _X_Checked with local Board of Health-explain: Recent Test Holes, Existing engineer records with BOH _X_Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Utilized existing site design information on file with the Board of Health. Additionally,existing site and abutting site topography does not indicate ground water to be within 4 feet of bottom of leaching facility. Ground water approx. 20 feet below grade. Titles G 1nenartinn Fnrm Ail;i')nnn 11 T��OWN1 JF BARNST``AaaBLE J� LOCATION '� �i�l C'r�� SEWAGE It _ O O `ULAGE G`�^ S ASSESSOR'S MAP & LOT M tZ� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ,>Vy G"k L ` ) LEACHING FACILITY: (type) �� S© GG L- ei6 /a`'� XJ`y' `S_ NO. OF BEDROOMS ZW t - - BUILDER OR OWNER GV 1,0 Vt,, cr!'Gt PERMIT DATE: Q( J/D d COMPLIANCE DATE: Separation Distance Between the: Maaitnnnt Adjusted Groundwater Table to the Bottom of Leaching Facility '''�V� Feet " • Private Water Supply Welland Leaching Facility (If any,wells exist_;_ . an site or within 200 feet of leaching facility) :' /G'�-� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching faciLty) /d Feet Funtished by d""`�`✓� f_ '� r i . az � � GitcAOIA fX kt cvv"o ol9 A -ko - 6 A Az -510 No. �2 U � Q{��QnC ^e t r Fee ✓" / THE CO ON EALT OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0pprication for Miquar *pgtem Comaruttton Vermtt Application for a Permit to Construct( . )Repair(Upgrade( )Abandon( ) El Complete System ❑Individual Components ocation Address or Lot No. r-7 o _ (J� Owner's Name,Address and Tel.No. 391fC i r ) ^() / vc, '/ Ic.rcoo Vt-frrCrn. Assessor's Map/Parcel lJ —2, / Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 50d I CC- a A I 64 ctAAt-J\'\t-_ Met I f6i 7 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(JJ6 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 6 Grp, L Type of S.A.S. 3 / o c4 Description of Soil S'12 2 2CXA Nature of Repairs or Alterations(Answer when applicable) 307— FIB Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is d by this B azd Signed Date—WY/9- ' Application Approved by Date c Z Application Disapproved for the following reasons Permit No. R 00 a Date Issued d a QQ N .�* �Q 2—� 0 ��@ r QnG f�Q A t Fee ,- THE CO ONWEALTH OF MAS'SACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for �Diopooal bpztem Con!6truction Permit I Application for a Permit to Construct( )Repair(PUpgrade( )Abandon( ) El Complete System ❑Individual Components Location Address o Lot No. 7�0 _ 'T ( Owner's Name,Address and Tel.No. (3`rY(*�r�r"-r c�a N1�rCoj V t��CA. 1.Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. a2 �, S Ge��rC�-�l�1�-� !"a rc Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(4 Other Type of Building No.of Persons Showers( ) Cafeteria( ) ,. Other Fixtures 1 Design Flow gallons per day. Calculated daily flow 1 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /. 6 Gfe L Type of S.A.S. � 57/aG C4 1:01,ot- j Description of Soil �Gl� ( I 3 �C 4 k Nature of Repairs or Alterations(Answer when applicable) i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss d by this B and • Iealth. ) Signed Date W ,?/0A Application Approved by Date G 2 Application Disapproved for the following reasons Permit No. R 00� �� U � Date Issued a 2- -————————————————————————————————— —— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by (\A;GECo S \/its r6l at � � q 5 C. \! H has been cons cted in accordance with the provisions of Title 5 and the for Disposal System Construe •on Permit No. a"-/1/U dated f/2 Installer �CQ>B /\1 \^"1A_L ` Designer �S Gi Ca - The issuance o thisre-ut shall not be construed as a guarantee that the system will function esig ed. Date J 1i� Inspector G.;.� �✓_ 71, 6-' --------------------------------------- No. �C/U..2 �� _ Fee SZ)THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - B`A�RNSTABLE, MASSACHUSETTS,/ �. MiopOgar *potem C_ n!5trUCtiOtt P\rmit Permission is hereby gr ted to Construct( )Repair( upgrade( )Abandon( ) System locate( 0 - 3`7 /S e C"kCc� wG�/ 1'�iGt..n f C and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Co truction must be completed within three years of the date of t permit. Date. Approved by 1 a TOWN OF BARNSTABIl J, LOCATION J ( 0"' eS. SEWAGE # D O VILLAGE G`N-^ S ASSESSOR'S MAP & LOT INSTALLER'S AME&PHONE NO. SCC� SEPTIC.TANK CAPACITY LEACHING FACILITY: (type) �� S�C� ��,L C (siS 23 .�. NO:OF BEDROOMS BUILDER OR'OWNER A(&U S. ..-Vie-P G► / A PERMIT DATE: L /Dd COMPLIANCE DATE''.y�ld Separation Distance Between the: .:Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist � on site or within 200 feet of leaching facility) h Feet Edge:of Wetland and Leaching Facility(If any wetlands exist A/� within 300 feet of leaching facility) Feet _ Furnished by P AA0 A a A A, � I` 0 6 oko-w J� 8 Health Complaints 06-Feb-03 Time: 8:40:00 AM Date: 2/6/03 Complaint Number: 3916 Referred To: DAVID STANTON Taken By: KARYN DACE Complaint Type: CHAPTER II HOUSING Article X Detail: Housing Business Name: Number: 392 Street: Bearses Way Village: HyANNIS Assessors Map-Parcel: Actions Taken/Results: DS CALLED ELEANOR AUPPERLEE, AND BRIEFLY EXPLAINED REGULATION. THERE 1 Health Complaints 06-Feb-03 IS CURRENTLY HEAT AT THE LOCATION. DS MAILED OUT REGULATION.SO THEY HAVE A COPY. DS GAVE DIRECT PHONE LINE AND OFFICE LINE TO CALL IMMEDIATELY SHOULD THERE BE ANY FURTHER PROBLEMS IN THE FUTURE. HEAT IS ON NOW, SO NO ORDER LETTER MAILED. SHE IS ALSO AFFRAID OF INCREASED RENT. SHE IS TO CALL US IMMEDIATELY SHOULD SHE HAVE ANY HEATING PROBLEMS IN THE FUTURE. Investigation Date: 2/6/2003 Investigation Time: 2:30:00 PM 2 x ,x ACCSSCOVRSM f f MUST BE W 1THIN 9 MINIMUM,UM. L . VER V , 6 :OF FINISH GRADE T EL E T I Q!V S DES 3' MAXIMUM COVER N l GN CR l TER 1 A GENERAL NOTES : . < 99.2 INVERT AT BUILDING. FIRST 2 TO DESIGN FLOW. INVERT IN P 8. 8 BE LEVEL SEPTIC .TANK 4 .BEDROOMS AT !lO G.P.D. PER I. THIS PLAN IS FOR THE DES fGN AND CONSTRUCTION. MlN 2 -0F. PEASTONf 9 B R of INVERT OUT SEPTIC TANK. 8.55 ED QOM EQUALS 440 G.P.D. THE`SEWAGE DISPOSAL SYSTEM ONLY. V DIAM PLeC 3/4' 1 1/2 /A INVERT IN DIST.. BOX; 98.5 D 0 NO GARBAGE-GRINDER NDER 2. VERTICAL DATUM I S ASSUMED:' FOR BENCH M 9.2 � 2 o DOUBLE WASHED STONE JIJVERT OUT Dl ST. BQX. 98.33 BE C ARKS GAs �. i a SET. SEE SITE PLAN. BAFFLE «o «o I NVER T IN LEACH CHAMBER: 98.0 SEPTIC TANK REQUIRED: - 3 500 GAL LEACHING CHAMBER BOTTOM OF LEACH CHAMBER. 96.0 3 OUTLET S 440 G.P.D. X 200x 880 GAL. 3.. ALL CONSTRUCTION METHODS AND MATERIALS AND W/4 STONE AROUND « D BOX l2.8 X 33.5 X 2 ADJUSTED GROUND WATER. N/A I500 A SEPTIC TANK PROVIDED: 1500 GAL. MIN. MAINTENANCE OF THE SEPTIC SYSTEM SHALL" G L 5EP T/G TANK O$SERVED GROUND WATER: N/A CONFORM TO MASS. 'D.E.P. TITLE 5 AND LOCAL b' CRUSHED STONE OR BOTTOM OF TEST HOLE #I SO! BOARD COMPACTED BASF L ABSORPTION SYSTEM REQUIRED: B A D OF HEALTH REGULATIONS. i DESIGN PERC RATE ! 5 MIN/INCH p / c , SOIL TEXTURAL CLASS - I 4. ALL SEPTIC SYSTEM COMPONENTS PROF � L C� NOT ``T0 SCALE ENT LOCATED UNDER EFFLUENT LOADING RATE 0.74 GPD/SF - AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER E TER 440 THAN GPD / 0.74 GPD/SF S95 S.F. REQUIRED T 3 /N DEPTH SHALL BE CAPABLE OF W!TH- 5 STANDING _ P - G N 20 WHEEL LOADS, PROVIDED: 3 500 GAL LEACHING CHAMBERS ' t W/4 STONE AROUND. A-614 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR 614 S.F. x 0. 74 454 G.P.D. APPROVED EQUAL. 6 S r SEPTIC I C TANK:AND D BOX SHALL BE REINFORCED PRECAST O' C NCRETE AND WATERTIGHT. D BOX SHALL BE WATER TESTED TO CHECK FOR LEVEL N EL WHEN THERE S MORE THAN O _ T ONE OUTLET. - 7. BEFORE'CONSTRUCTION CAL - D l G- AF L S E . 1-888-DIG-SAF E.AND THE LOCAL WATER DEFT, 0 F R LOCATION OF UNDERGROUND UTILITIES, ti 8:,. EXISTING CESSPOOLS TO BE PUMPED DRY AND .P - >, .BACKFILLED« , 71. ` p C SP O ES OOL` . 9. ALL UNSUI TABLE MATERIAL A ,..., ! 4,8 HORIZONS) ' y _ \ ENCOUNTERED BELOW' THE 'INVERT OF \ .• < . THE LEACHING.. \ O ? 0 s O. f?0.9 \ , =FACILITY TO BE REMOVED FOR A S h � s D i TANCE:.OF 5 o lao.a o: s f; AROUND AN REPLACED D WITH SAND 1N ACCORDANCE WITH T!TLE.;S. LOT 54cl 01 .. :•.�. 'P _ o ,. a e 5 _ CONCRETE STEP ; .::. • i:• �,. ! k to/.? • m o 3-500 GALLON OF (r t OG 9 t LEACHING CHAMBERS p G . c+ IYIt :STONE AROUND - P i 2 c .. UP CESSPOOL I500 GALLON 9, SEPTIC AN \ TANK r ', ? .fl �• , GUY MIRE 0 , o f -4 0 P 5 y _ 3 ; i 0 C r n 5 C j • Y G r .; G N 3 9C� 392 84 f� S, S «s E WAY . IV1.4 'P 2 9 2 . PAR C L 30 I - e H Y G t _ 1 ' I F � .R P P, , J E .4 REG7 FOR,. =- 5,11010 71 . 1 7f 2 ....-. c M.4 S o � C,4 P � E CO/V.S T 2 /A r 7 G ✓ /V,E S T . C'E'/V TER V. �- F ; ,4G Sty � 2 O Al ". . : .. .. ,. . ... . -1 _ Jam! �! R Y i . , A ._. ":-6AVAR / ALACESR�QU IRED 923 Rsu ,t e , --: . , r _ .... r mo u h P 5 TITLE S,.,MAXIMUM FEASIBL COMP l NC 508 3g\ ,• :. � l 2 8132 . -_ SECTION 15.211. !1J `MINIMUM SETBACK DISTANCES E f 1 ry _ 508 432 533 3 f0 S REOU/RED,`..BETWEEN-THE SEPTIC ,TAN N P K A D THE PROPERTY LINE. ,,. ✓ , ARI NCf IS REOU � _ ESTED. 10 IS .REQUIR D B TW E E EEN THE <- ,: SA S AND THE PROPERTY LINE /S _ . . , G , 2 PROVIDED. AN 8 VARIANCE IS REQUESTED. - , ! O C. . .. 40 OB NO: 02 D09 FIELD.CFW/EEK CALC: SAHICFW CHECK. : CFW DRN. SA r , -