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0013 BIRCH STREET - Health
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V SEWAGE Vff G i?n 3 ASSEMOWS'MAP&LOT INS S8MC CAPACTI'Y 3 C LEAt:blriG�FACLIT`�.fty�}: ��{ar �� j size w �Lc 334'f NO.OFB&DROOMS ` BUILDEROR OWNER PER £1}A'I'E. i:OMgL tAN Separation ms-tance dwdeh the Maximum Ad�ustcl Groundwater Table Eo tlte`Bottom of .eaclieng Facility Feet l Private Water Supply Well aidLeactiino Facility (I`€any`wells exis4 ari site ut withitt.?t�feet;bf le hi!3g facility} Free Edge of Wztland end Leaching Faality(7f any wetlands exist v✓ithin 3fl{}€eee of techitig facitit }' C� / 'eel Furnished by R I/` n �i cr O n E F Commonwealth of Massachusetts Title 5 Official Inspection, Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14 page. City(rown 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 Mcelroy 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 Evaluation by the Local Approving Authority 1-14-14 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. 1 II t5ins-3113 Title 5 Official InspecUo or -.Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts ' mx Title 5 Official Inspection Fora Subsurface Sewage Disposal System iForm -Not for Voluntary Assessments 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14 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: System is in good working order with no sign of failure. 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 Forth:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14 page. City/Town 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. 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 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts ' Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14 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: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No Backupof sewage into facility or stem component due to overloaded or 9 y Y p ❑ ® 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 day flew t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts . = W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name „ information is required for every Hyannis MA 02601 1-14-14 page. Cityrrown , 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. A ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as describes 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 El ❑ 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. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Swage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14 page. City/Town State Zip Code Date of Inspection 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 Commonwealth of Massachusetts ' Title 5 Official Inspection Fora ' a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is H required for every y annis MA 02601 1-14-14 page. Cityfrown State Zip Code Date of Inspection D. System Information Description: 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: 12-2013Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) • r. ,.a 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-3/13 Title 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 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14 page. City/Town State Zip Code Date of Inspection D. System Information (cons.) 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 ❑ 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 - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1999 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): ,- Depth below grade: 12" at tank inlet 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: 4"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: yearn Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No j Dimensions: 1500 gal 10" Sludge depth: t5ins-3113 Tle 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14 page. City/Town State Zip Code Date of Inspection D. System Information (cant.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 22" Scum thickness 1" 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 15" 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 Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , G'M 13 Birch St - Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14. 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.): F / ` Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): 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 ❑ No t5ins-3/13 Title 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 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every —Hyannis annis MA 02601 1-14-14 page. City/Town State Zip Code Date of Inspection D. System Information (cone..) 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 bcx, etc.): Good condition with water at working level and no sign of back-up from chambers. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 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 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 3-cultec 330's ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/aftemative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of vegetation, etc.): Leach chambers in good condition with no sign of back-up into d-box or surrounding stone. 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-3f13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts w Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14 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.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts = W Title 5 Official Inspection Form a Subsurface.Sewage Disposal System Form -Not for Voluntary Assessments M 13 Birch St - Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis .. MA 02601 1-14-14 page. CitytTown 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 ji o o 23 q 1 e _�_ -• '• 5 4 � t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 12'+ 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: r ® Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database- explain: You must describe how you established the high ground water elevation: Original design plans show no groundwater at 12'. 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 W Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 13 Birch St Property Address Donna Marie Quinn Owner Owner's Name information is required for every Hyannis MA 02601 1-14-14 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked E Inspection Summary D (System Failure Criteria Applicable to All Systems) completed E System Information—Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 1 t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 t 61 TOWN OF BARNSTABLE i)C/ LOCATION /.Cz7Zr- , -:15;.2 SEWAGE# qq:3- VL LAGE 04,1,,l ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. ,� ��• C 5 5/�d�-svy y SEPTIC TANK CAPACITY LEACHING FACILPTY. (type) 2 c:All�&e«-r Z?Q (size) NO.OF BEDROOMS BUMPER OR OWNER >� PERK[UDATE ; COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist F on site'or within 200 feet of leaching facility) s Feet Edge.of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility). Feet Furnished by. �G 10 C. No. DIP— / �< �V � a Fee'5 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: • Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Mtgposml *pgtem Con5tructton 3permit Application for a Permit to Cons epair( )Upgrade( )Abandon( ) 0 Complete System ❑Individual Components Location Address or Lot No. ?q4 rC. S Y'4A1A.s r.C, Owner's Name,Address and Tel.No. Assessor's Map/Parcel / G�®�,�2 � ���� y ��e '`' !�. Installer's Name,Ad ss,and Tel.No. Designer's Name,Address an Tel.No. JC Type of Building: Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow tolAo gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. �,yQ Description of Soil Nature of Repairs or Alterations(Answer hen appl *ble ,�� C G 9 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 e 5 o vironme Code and not to place the system in operation until a Certifi- cate of Compliance has be ssued b his f t Sign Date Application Approved b Date A Application Disapprove for the following reasons Permit No. Date Issued 77" - F 0 l ,} �..a f - t. , • . .i�.' n ' .'.. -.. .vT-tea r... .ti nf,.... • ii'. , 9 THE COMMONWEALTH OF MASSACHUSETTS "` Entered in computer: Yes = PUBLIC HEALTH DIVISION TOMj} ,OF BARNSTABLE, MASSACHUSETTS 01ppfication for Migozal ip.5tem Qfongfruci06 Permit Application for a Permit to Cons epair( )Upgrade( )Abandon( ) Complete System El Individual Components Location Address or Lot No. f/A41.V r S Owner's Name,*dress and Tel.No. /� Assessor's Map/Parcel �0 /a G E a rS ¢; ��'�'� 1/ �—J're IV o Installerr''ss Name,A�ddoss,and Tel.No. Designer's Name,Address an Tel No.�/ .f IZS #{a�v_S41,Uc1, Qw�cv ��Au siv v C'1"t ► o K/ _E ,g - �`� Type of Building: Dwelling No.of Bedroo Lot Size sq.ft. Garbage Grinder +,.iOther Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow O gallons per day. Calculated daily flow gallons. „ Plan Date Number of sheets Revision Date y Title Size of Septic Tank /1 —/ © c A Type of S.A.S. _ Description of Soil Nature of Repairs or Alterations(Answer when appli ble) 4-t Date last inspected: k 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 T' le 5 of t vironme Code and not to place the system in operation until a Certifi- cate of Compliance has bee ' sued b s th. Sign d i Date ' Application Approved by Date Application Disapprove or the followin reasons Permit No. , Date Issued ---- --------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERT FY at the O -site eWage Disposal System Constructed( )Repaired(7O Upgraded( ) Abandoned( )by at rc L has been constructed i a cordance with the pro ' Ve 5 the fo Disposal Stistem Construction Permit No. dated Installer el Designer f R' The issuance of this jjr1nit(shra11 n vie construed as a guarantee that the s stem'm ill function as des gned. f Date I (�( 1 Inspector / ----------------------------------- No. / Fee,.�G`iC� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi5po5al *pgtem Contruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at i4/ i �c 1a t 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:Constvuc;tir must be completed within three years of the date of this pyorlit. Date: `j Approved by \� 116i99 NOTICE: This Form Is To Be Used For the Repay'r-Of"Failed Septic Systems Only. - CERTIFICATION OF SKETCH AiYD APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PER UT (WITHOUT DESIGNED PLANS) c I, A-) 4rtjo c,- hereby certify t at he application for disposal works construction permit signed by me dated ! concerninsz the property located atJ ( meets all of the following criteria: ,✓ • The failed system is connected to a residential dwelling only. There are no cornmercial or business uses associated with the dwelling. (/ • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 fert of the proposed septic system p/ • There are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change in use proposed V There are no variances requested or needed. The bottom of the proposed leaching facility will not be located less than five feet above the ma.dmum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor method when applicable] L�If the S.A.S. will be located with 250 fert of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(1.1) feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) "��' v B) G.W. Elevation _the NAA.Y. High G.W. Adjustment . _ '12, DIFrE.RENCE BETWEEN A and B oZ /? SIGs DATE: U (Sketch proposed plan of system on back]. q:health folder.c-t '- � f � ' Vim'_ _ I � �l � . � I � \ � p � � ® �rn I " J� 1 -\ I VVV v�� «. �/ ) ` f l T li i 1 i - $- ' u TOWN OF BARNSTABLEq, ,7 - LOCATION / SEWAGE# VILLAGE ..ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY A DD LEACHING FACILITY: (type) 3 �'�iC�r�1 ?20 (size) , ;. NO.OF BEDROOMS BUILDER OR OWNER >•� PERIVITTDATE: Ll�f COMPLIANCE DATE: Separation Distance Between the: } r ' � s � Maximum Adjuked Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and beaching Facility`(If any wells exist ' on site`or within 200 feet of leaching facility) Feet Yr R Edge;of Wetland and.Leaching Facility(If any wetlands exist within 300;feet.of leaching facility { ,) Feet g uqb— �4'' -Furmslied by s L f i 114 [ t �1 a J C1 ply O a p 9�' y V ©iLr :.--..Y-• .c ca .,� c -+�'� .-..-.c, ` .-, � -! �`�t3.. .".�..-..^*."'��'t _ �,l,.,y b..s4 1... ., .� T� •.�. .�.-,�.. '� z... - ��'v�".-� 'e• '�*c,�„".�„",�:e- ` `e�t�"�`,�*.,✓�w-r"}�.��"�' '1'.�„"6S'"L'".z''�'ia•-,�,<`�-�.5�� �' ,,� '�w.s:� ~ar���rtr '�' �.rM ...u�,�,,..'�"'�',,..��"�� ,y'-Y--ry--c"'�Z..,� O'Connell, Timothy From: Niemi, Maureen Sent: Thursday, April 26, 2012 4:34 PM To: Barrows, Debi; Engelsen, Edward; Shea, Sally Cc: Niemi, Maureen; O'Connell, Timothy; 'quinn@nantucket.net' Subject: Permit for Roof at 13 Birch Street, Hyannis, MA Parcel 309-103 Good evening, Please be advised that I have been contacted by the owner, Donna M. Quinn Hedges, regarding the property at 13 Birch Street, Hyannis, MA, Parcel id#309-103. Ms. Hedges is applying for a building permit to fix/replace the roof at this property address and is delinquent on real estate taxes; however, I have entered into a payment agreement with Ms. Hedges and I am authorizing the issuance of a permit. If you have any questions, please do not hesitate to contact me. Very truly yours, Maureen Maureen E.Niemi Town Collector Town of Barnstable P.O. Box 40 Hyannis, MA 02601-0040 Tel: 508-862-4055 Fax: 508-790-6310 Email: maureen.niemi@town.barnstable.ma.us 1 ♦ r SARNSfABLE. 6.19. Town of Barnstable Regulatory Services n Thomas F. Geiler, Director I d- Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 S(� Fax: 508-790-6304 April 12, 2012 Donna Quinn 5 Webster Road Nantucket, MA 02554 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE Il - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION. The property owned by you located at 13 Birch Street, Hyannis was inspected on April 9, 2012 by Timothy B. O'Connell R.S., Health Inspector for the Town of Barnstable in response to a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. The bulkhead was observed to be in disrepair which constitutes it neither weather proof nor rodent proof. 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements. Mold like growth staining on bathroom ceiling. Flooring within said bathroom is damaged and needs to be repaired. 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements. Windows within South Eastern bedroom are not weather proof. The caulking holding the window panes are in disrepair and needs repair or replacement. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by repairing or replacing bulkhead so it is watertight; by finding source of chronic dampness causing mold like growth and correcting it; by repairing floor within bathroom; by repairing or replacing windows within said bedroom so they exclude wind and rain. 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 could result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. P- ORDER O THE BOARD OF HEALTH as McKean, R.S. Director of Public Health Town of Barnstable CERTIFIED MAIL# 7006 0810 0000 3525 6627 Q:Health/Order letteis/Housing violations/13 birch street.doc i Lit>izen Web Request Page 1 of 3 kp � � .. MAS ..'"" O1fSd . 4a'a § a x m Logged .-....... - .. - .���u�.,t.•�Yi�in as_'_9 Citizen Request Management As: Monday,April92012 TO Route to Users Search Requests Create Requests Request Information Request ID: 37653 Created: 4/6/2012 1:14:21 PM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office Anonymous: No Request Category: Chapter II : Housing Substandard edit Routine work: No Estimate: No edit Date scheduled: edit Estimated 4/23/2012 Change Estimated Mar April 2012 May Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri I Sat (lj 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 11 2 1 3 4 5 Created By: Wadlington, Ellen Priority: Medium edit Health Office Citation Numbers: edit Requestor Information Requestor Request Parcel Number Unregistered rental - lots of Map 309 Block: 103 Lot: 000. problems with house and landlord has not completed work on house. Parcel Lookup Email: Edit Reauestor Information i Track Request Progress http://issgl2/intemalwrs/WRequest.aspx?ID=37653 4/9/2012 &itizen Web Request Page 2 of 3 Request Work History: Internal Note History: Entered on 4/6/2012 3:14:02 PM System entry on 4/6/2012 1:14:21 PM: by.O'Connell,Timothy Assigned to O'Connell,Timothy I have made an appointment for 4-9-12 @ 10:30am iodate delete Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) Spell Check Spel Check Add document or image link: r Browse _ *You can also type in a folder name to see everything in the folder Current Links: Time worked on request: 1.00 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)Save changes (.-J Check to notify town employee below to review this request. c; Save changes and notify Health Office L citizen* - .._ ......._ Crocker, Sharon �= r Close request Brief message to reviewer: C;Close request and notify citizen* *notify works if email address was given l Update ';Spell Check Public Use: Printer Friendly Version Internal Use: Printer Friendly Version http://issgl2/intemalwrs/WRequest.aspx?ID=37653 4/9/2012 Wealth Master Detail Page 1 of 1 1 ^.. r Logged In As: TOWN\oconnelt Health Master De1.Cal I Thursday,April 12 2012 Application Center Parcel Lookup Selection Items { Parcel Septic Perc Well Fuel Tank Parcel: 309-103 Location: 13 BIRCH STREET, HYANNIS Owner: QUINN, DONNA M i Business name: Business phone: 1 Rental property: r Deed restricted: r-J Number of bedrooms :I j Contaminant released: r Fuel storage tank permit: r Save Parcel Changes Return to Lookup Parcel Info Parcel ID: 309-103, Developer lot:LOT 39, Location: 13 BIRCH STREET Primary frontage:50 Secondary road: Secondary frontage: Village:HYANNIS Fire district:HYANNIS Town sewer exists at this address: No h Road index:0122 Asbuilt Septic Scan: 309103_1 Interactive map ^ Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:OUT Owner Info Owner: QUINN, DONNA M Co-Owner: Streetl:5 WEBSTER RD Street2: City:NANTUCKET State:MA Zip: 02554 Country: Deed date:2/4/2000 Deed reference:12816/261 Land Info Acres: 0.11 Use: Single Fam MDL-01 Zoning:RB Neighborhood: 0104 _Topography:Level Road:Paved Utilities:Septic,Gas,Public Water Location: Construction Info Building No ear Bull Gross Area Living Area Bedrooms Bathrooms 1 1955 1110 888 3 Bedrooms 1 Full Buildings value:$67,300.00 Extra features: $10,400.00 Land value: $60,800.00 http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=309103 4/12/2012 f FORM 30 CAW HOBBS 8 WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOA Rl�OF���H CITY TOWN EPARTMENT ADDRES TELEPHONE Address _ Occupant— _ Floor Apartment No. No. of Occupants No.of Habitable Rooms No.Sleeping Rooms _ No.dwelling or rooming units_ No.Stories Name and address of owner cl e arks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: I ILA Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den —Living Room Bedroom(1).. Bedroom 2 EA Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REP T IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJ INSPECTOR TITLE A.M. DATE Q TIME y ' y P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health,or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. =ailure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violaticn(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold,to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 41C.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in ease of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which:may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention-and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to imaintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain unco-rected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. "'`•�^`.,y„�'r`�-----•U„ y.,.. �'s..+�'i�,..�,�r:r.�T*:i;[�rro^y,t��h..�-.,--•"••a--...,u....,+�....-n.....�...r�..,!'t�Fi:ors.�.S.,M-,,,,,........„+'-r-t''R'R'-�--^.^......:r.--".- HAW HoeesaWnaaeNTM THE COMMONWEALTH OF MASSACHUSETTS FORM 30...C� BOA K CITY(TOWN �' W DEPARTMENT ADDRES Sr TELEPHONE Address Occupant Floor Apartment No. No.of Occupants No.of Habitable Rooms No.Sleeping Rooms _ No. dwelling or rooming units_ No.Stories — Name and address of owner SA N Remarks Reg. Vio. YARD Out Bld s.: Fences: / Garbage and Rubbish Containers.- Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: An n JJ Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: w Hall, Floor,Wall,Ceiling: i Hall Lighting: Hall Windows:, HEATING Chimneys: Central "❑ Y' ❑ N. .. _.._.E ui _ReI pair ._ . r TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: . AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom T r -s. • Pant " Den —Living Room A ') ( 9 . Bedroom 1 "' .a ,^ ( '� �•• W n i ( /fl.r Bedroom 2 C 1 71L-- Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties.- Kitchen Facilities Sink Stove 4 Bathing,Toilet Facil. Vent.,Plumb.,Sanit n.' Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJU INSPECTOR TITLE �i- ( � A.M. DATE "7 `" TIME ! C/ P.M. ?' A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or tathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health.