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HomeMy WebLinkAbout0047 CHERRY STREET - Health 47 CHERRY ST. ,HYANNIS 0 TOWN OF BARNSTABLE LOCATIONS � ���'�' �� 4y, SEWAGE VILLAGE�� ,W/ Jf ASSESSOR'S MAP&PARCEL' o Chi INSTALLERS NAME&PHONE NO. L71 L Ippe, E SEPTIC TANK CAPACITY LEACHING FACILITY:(type)-04'7016Vi:> 41' (size) -*'.1'oW0r t'Xoy- J NO. OF BEDROOMS S OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: �. Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) / Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY `o o W No. l9 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0[ppricatiou. for 30igozal i�pgtem Cott.5truction Permit Application for a Permit to Construct( ) Repair(,oO<Upgrade(Abandon( ) Complete System ❑Individual Components Location Address or Lot No. C o4. �►Vim` Owner's Name,Address,and Tel.No. Assessor's Map/Parcel J ' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 0-7 via , "��✓� ac'jr, 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(min.required) gpd Design flow provided gpd Plan Date ' `'G< Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Certificate of Compliance has been issued b this B d of Hea Si ned Date Application Approved by Date Application Disapproved by: Date for the-following reasons Permit No. (s)0 6. Date Issued .. ..•..`ya ir... .,.,. :"`,,,•`"-•:^v......-....as,Nr :ars^iw"'.E..:.�-*=,+*e,,,,a..+v ..�.w+^ ,� �.�• �..ri.��..t,.s.:.Y4,... .. .. .'...5. E .i No. l9 Fee iYe THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: s t . PUBLIC HEALTH DIVISION - TOWN OF BARNSTkBLE MMASSi4eHUSETTS 2pprication for Migo!gal *potemc Con!A ction Permit Application for a Permit to Construct O Repair(Upgrade(Abandon O Complete System ❑Individual Components t Location Address or Lot No. �1 y Owner's Name Address,and Tel.No. Assessor's Map/Parcel 9 ✓ 6�G G� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. s' Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building epr No.of Persons Showers( ) Cafeteria(' ) Other Fixtures - Design Flow(min.required) gpd Design flow provided gpd Plan Date d—r`06 Number of sheets Revision Date Size of Septic Tank Type of S.A.S. P Description of Soil 1 i Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: -it 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 Codeand not to place the system in operation until a Certificate of Compliance has been issued by this Boajrd of Heal Si ned Date '4 Application Approved by Date `,Application Disapproved by: Date for the following reasons 1 Permit No. 6 Date Issued jo THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE;MASSACHUSETTS Certificate of Compliance C? THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ") Upgraded ( ) Abandoned( )by "7-., —/ at Ci�G'r�/r J'.7— �� has been constructed in accordance (per with the provisions of Title 5 and the for Disposal System Construction Permit No. Dior,G --3,5 ( dated JD �b Installer 1 U Designer1� c.� #bedrooms Approved design flow U gpd The issuance of this permit shall not/b�e c n trued as a guarantee that the system will fu 'or as designed. Date �t?' Inspector `•-- �-"� --- - _ . No. / Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS =t!6po!5a1 *pgtem o 5truction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( )' Abandon ( ) System located at .� c �I(��y �1��/�{f✓/�'I and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Constructie must hie completed within three years of the date of thi.sm e nit? Date I Approved Town ®f Barnstable H� ®�ssae rOw Regulatory Services Thomas F.Geiler,Director snRivsrpBe. " a Public Health Division Thomas McKean,Director 200 Main.Street,Hyannis,MA 02601 Office:.508-86246444 Fax: 508-790-6304 Installer& Designer Certification Form Date: Designer: 0 Installer: Address: . 4 /v L L Address: � 0 (Ikl 07531On was issued a permit to install a (date) �( (installer) septic system at `C'� based on a design drawn by Q AA ,^,AA (aC ss) A V 10 `�• !v�s 6.1&1 • } dated �•- 3' — (designer) 1 certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater-am 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. l a er's Signature) 6V ER N NO. 1140 f, GISTE��® i ign es Signat�uro t (Affix Designer's Stamp Here) PLEASE RETURN TO BARNS LE PUBLIC HEALTH DIVISION. CERTMCATE OF COMPLIANCE HJ[I,L NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE $[ I2NSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 1 � Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATIO N TEST AND SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered plan signed by me dated �Jr Dio ,concerning the property located at 'y 1 meets all of the following criteria: • Two soil evaluations excavated for detailed examination(no hand augering)and two percolation tests shall be conducted. • This failed system is connected to a residential dwelling only. There are no commercial 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 is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation (using GIS informkfian) - B) G.W. Elevation +adjustment for high G.W. 110 = Zd DIFFERENCE BETWEEN A and B SIGNED : DATE: �i l NOTICE Based upon the above infoririation,.a repair permit will be issued for _ bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q;lSeptic\perccxzinp.d�c Ju .G zML4>t4n1. I - orh f 17 IC Y. trte tr7,T rfojf`4-M t/70 The plans and(specifications for every on-site system shall be prepared;as follows: (1) Every system shall be designed by a Massachusetts Registered Professional Engineer or a Massachusets Registered Sanitarian provided that such Sanitarian shall not design a system designed to,discharge morn than 2,000 gallons per day putstiant to 310 CMR 15.2033. Any other agent of the owner may prepare plans for the repair of a system designed to schatge not more than than 2,000 gallons per day pursuant to 310 CMR 15.203 provided ey am reviewed by a Massachusetts Registered Sanitarian and approved by the approving authority; } Every plan s lubmitwed for approval must be dated and bear the stamp and signature of the designer, (3) Every plan for a new system or plan for the upgrade or expansion of an existing system which requires a variance to a property line setback distance.-must.a6a refcrcr= a plan which bears the stamp and signature of a Massachusetts Licensed Land Surveyor in accordance with M.G.L.c. 112, li giD; (4) Every plan for a system shall be of suitable scale(one inch=40 feet or fewer for plot plans and one inch A 20 feet or fewer for details of system components) and shall include epiction of: (a) the legal boundaries of the facility to be served; (b) the holder and location of any easements appurtenant to or which could impact the . stem; (c) the location of the all dwellirtg(s)or buildings)existing and proposed on the facility and identlficadon of those to be served by the system: /`(d) • the"location of existing or proposed impervious areas, including driveways and V Ong areas: e) location and dimensions of the system(Including reserve area); (f) system design calculations,idcluding design daily sewage flow,septic rank capacity /(required_and provided); sail absorption system capacity (required aad'provided); and ✓ whether system,is designed for garbage grinder. t/ (g) North arrow and existing and proposed contours; (h) location a log of deep,observation hole tests including the date of tgst,existing /®grade elevations marked on each oast. and the naaws of the representadve of the V approving authority and soil evaluator; (i) location acid results of pcmolation tests including the date of test and the names of e representative of the approving authority and soil evaluator. name and certification number cf the Soil Evaluator of tecord; (k) location of every water supply,public and private, 1. within 400 feet of the proposed system location in the ease of surface water supplies and gravel;packed public water supply wells, 2. within 2S0 €eet of the proposed system location in the case;of tubular public water supply wells,and 3. within 150 feet of the.proposed system location in the case of private water supply'A"e1 'Ls: location of any suuefaace craters of the Commonwealth, rivers, bordering vegetated wetlands, salt marshes, inland or coastal banks, regulatory floodway, velocity, zone, surface water angel. .tributaries to smfam water supplies,certified vernal pools,private wafter supplies for suctiati lines, gravel packed or tubular public water supply wells,. subsurface drains,leaching catch basins.or dry wells: and the location of any,nitrogen �I sensitive aslocated. ed'in 310 CMR 15.215 within which portions ol'`the;propasetl trstem am m} location of water lines and other subsurface utilities on the facility;, n) observed and adjusted ground-water elevation in the vicinity f the system; o a comtglete pro6te of the system; (p) a note on the plan listing all variances to the provisions of 310 CMR 15.000:sought conjunction with the plan: (q) the bite and elevation of on boaelunark within 50 to:7,4 feet of the facility which is not abbject to diAccation or loss during construction on"the'facility; W when dosing is proposed.-complete,design and specification of the dosing system proposed including but not limited to doting chamber capacity(re4tAnd and_provided), pump curves and specifications,number 6f dosing cycles and depth per cycle; (s) when a Recirculating Sand Filter or equivalont alternative technology is requinu!or , •� roposed,a complem plan and specification:;for the system;including a hydraulic.profile; t a locus plan,to show the location of the faci&tyincludirig the nearest,existing street:: u the street umber and lot notmber,if any,of thelacility; and it �© THE COMMONWEALTH OF MASSACHUSETTS �����+///777�� BOARD OF HEALTH / 00 TOWN OF BARNSTABLE CITY/TOWN _HEALTH _ IR a \ DEPARTMENT ___.. 36Z-Main Street, Hyannis, MA 02601 ADDRESS T k,M S��V 775-1120 -- TELEPHON Address !t ` ,�7 ccupant Floor 17•-�'Z 1� 00 •Apartme t N ._ No. Occupant__ No. of.Habitable.Rooms�__ No. Sleeping Room�� No. dwelling or rooming units No. tt�orij�s Name and address of owner J�� ll � a2VI Remarks eg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish: Containers: Drainage Infestation Rais 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: PAI Dampness: N AL-' Stairs: _ _ Lighting: STRUCTURE INT.,: Hall, Stairway: "✓; m Obst'n.: Hall, Floor,Wall, Ceiling: w Hall Lighting: o Hall Windows: z HEATING_ Chimneys: z Central ❑ Y ❑ N Equip. Repair a W TYPE: Stacks, Flues,Vents: j a PLUMBING: Supply Line: ❑ MS ❑ ST ❑-P"--=. , Waste Line: U) H.W.Tank(s) Safet and Vents) o ELECTRICAL Panels, Meters, Cir.: _ ❑ 110 ❑ 220 Fusing, Grnd.: ' AMP: Gen. Cond. Distrib. Box: :0 Gen. Basement Wiring: DWELLING UNIT Ventil. Lgtng. Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen _ Bathroom Pantry Den Living Room Bedroom 1) Bedroom (2) Bedroom (3) Bedroom'(4) Hot Water Facil. Sup.Ten., Gas,Oil, Elect.:. _ `Stacks Flues V is Safeties: Kitchen Facilities Sink Stove 1 �� Bathing, Toilet Facil. Vent., Plumb., Sanit'n.: 1 Wash Basin, Shower or.Tu Infestation Rats Mice Roaches r h e o 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 PENALTIE OF PER'J,[) 6 v ` INSPECTOR TITLE` ' DATE --- TIME 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 these 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 410.000 through 410.499 state q re minimum quirements of fitness for human habitation, any violation has . . the potential to fall within this category in any given situation but may not do so in every-case and therefore cannot be included in this listing. Failure to include shall in noway be construed as.a determinatidn that other violations 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 the violation(g) pursuant to 410-CMR 410.830 through 410.833 nor shall it 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) Shut-off and/or failure to restore electricity or gas. (D) Failure to supply the electrical facilities required by 105 CMR 410.250(B), t 410.251(A), 4`10.253(A),. 410.253(B.) and the lighting in common 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 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 an object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450 and 410.451. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602 which results in any accumulation of garbage, 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 lead-based paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regualtions for Lead Poisoning Prevention and Control 105 CMR 460.000. (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 dafety. (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 facilities 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 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 wa'sAng dishes and kitchen utensils or lack of a stove and oven tor any:defect`that renders either operable. � -+ (2), .failure'.to•provide a washbasin.and a shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3) and 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, gas-fitting, 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. (N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A) through (M) shall be deemed to be a condition which .may endanger or materially impair the health- or4safety and well-being of an occupant upon�thelfailure of the owner to remedy said condition within the time so orderedxby the board of health. ,.Ji ,r .=n.. .<_... �=•��"sr,r...x,,.r tt.,.,;_„r ...,::.•�l�:y.-•'�. ...��..:�'.»..:�.:w: .iti..' �r+�.,=""'+'a•o_rw. .. - -. - , 4 THE COMMONWEALTH OF MASSACHUSETTS f BOARD OF _HEALTH CQ� J T©Wh OF BARNSTABLE CITY/TOWN --- _ W �•. — I o DEPARTMENT ,c ADDRESS Syb 775-1120 t'1 TELEPHONE 5 Address -- — lrR-;r =0 1 �,�4ll�W&cupant Floor_' - Apartment•No._ No . Occupants No. of,Habitable Rooms�__ No. Sleeping Rooms No. dwelling or rocming units -_ No. Stories � a _ n, Name and address of owner � Remarks Reg. vio. YARD Out Bld s.: Fences: Garbage and Rubbish: f .. 5.. ...^ '. Containers:` f _ 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: ! r`.y i� t.�•� v ,;Stairs: _ Lighting: STRUCTURE INT. _ Hall, Stairway: f ,;y ,r ► , <' c Obst'n.: Hall, Floor, Wall, Ceiling . ., Hall Lighting.- Hall Windows: 1 1. ( 1 z HEATING Chimneys: z Central ❑ Y ❑ N.. Equip. Repair Z._.... TYPE _ W .-_�. .s _.__ ,.•.- > -M�.Stacks-Flues-V n ��' -:,'e is . _;.;. Cr Q cr PLUMBING: Supply Line: - 3 ❑ MS ❑ ST ❑ P Waste Line: [ m H.W' Tank(s) Safety and Vent(s) ELECTRICAL Panels, Meters, Cir.: \ o ❑ 110 ❑ 220 Fusing, Grnd.: I ' AMP: Gen. Cond. Distrib. Box: cr 0 Gen. Basement Wiring:. LL DWELLING UNIT Ventil.: Lgtng. Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1) }, Bedroom (2) Bedroom (3)-. ar Bedroom (4) y. Hot Water Facil. Sup.Ten., Gas, Oil, Elect::. s° Stacks Flues Vents Safeties:_ Kitchen Facilities Sink Bathing, Toilet Facil. Vent., Plumb., Sanit ri: aA41 PM 'if� /if5 IV Basin, Shower or Tub: �1 !� Y� 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 PERJURY INSPECTOR f ° TITLE t' � 6_1 r/ A. DATE TIME a / 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 these 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 410.000 through 410.499 state minimum requirements of fitness for human habitation, any violation has the potential to fall within this category in any given situation but may not do so in every case and therefore cannot be included in this listing. Failure to include shall in no way be construed as.a determination that other violations 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 the violation(s) pursuant to 410 CMR 410.830 through 410.833 nor shall it 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) Shut-off and/or failure to restore electricity or gas. (D) Failure to supply the electrical facilities required by 105 CMR 410.250(B); 410.251(A), 410.253(A), 410.253(B) and the lighting in common area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. 4 (F) Failure to provide a toilet and maintain a sewage 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 an object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450 and 410.451. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602 which results in any accumulation of garbage, 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 lead-based paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regualtions for Lead Poisoning Prevention and Control 105 CMR 460.000. (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 dafety. (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 facilities 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 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 operable. (2) failure to provide. a washbasin and a shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3) and 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, gas-fitting, 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,'tcockroaches, insect infestations and other pests as required by 105 CMR 410.550. (N) Amy other violation of Chapter II not enumerated,in 105 CMR 410.750(A) through (M) shall be deemed to be a condition 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. TOWN'�OF BARNSTABLE >,BAR-W 414 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Photo 4 rrw' W- Sou2(2..- Address of Offender , 35! /Pea") MV/MB Reg.# Village/State/Zip Ce f)a�'•� Business Name pm, on19�, Business Address amotif 114 Signature of Enforcing Officdr Village/State/Zip Location of Offense y7 Enforcing Dept/Division Offense MU t s .a4xt -U a7. crrh � Facts 41 Z `1 a-vd - so v This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary, compliance. Subsequent violations will result in appropriate legal action by the Town. TOWNtbF BARNSTABLE BAR-W414 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Phi 1010 4 �ke Souza Address of Offender 311 ' ' , a-r-tis-Lbc? A&GO MV/MB Reg.# Village/State/Zip ((e I - r Business Name am, pm, on 19 Business Address /fir Signature of Enforcing Officdr Village/State/Zip Location of Offense ' r Enforcing Dept/Division Offense M)U11a"KCX I2�e �a: rt Facts l V4.a ' - �� o--1 -4 lei rj6- L-/ V d - So"Ne 41avi>7 Cd This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary. compliance. Subsequent violations will result in appropriate legal action by the Town. TOWN*bF BARNSTABLE BAR-W . 41 4 Ordinance or Regulation ` WARNING NOTICE Name of Offender/Manager �l r> .4 "k -t't ' -"OUZ '�; Address of Offender Wo k�„ -f�� �C c, MV/MB Reg.# Village/State/Zip {,} �• rare 141 41- S- � r Business Name am./pm) on 19. Business Address ' , ; . .- : . Signature of Enforcing Officer Village/State/Zip Location of Of fense a} ,,, Enforcing Dept/Division Offense 1Y .sf'-t' Facts lc fr 4111 -kk-W.f ire This"will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary . compliance. Subsequent violations will result in appropriate legal action by the Town. ASSESSORS MAP: TEST T HOLE LOGS c.sa E NOTES: _-- PARCEL: --1t �Q � —_____.._____________-.____._—.___FLOOD ZONE: ol_-_-. - / �,/C3C- _.__-- -_ - SOIL EVALUATOR: ��i J+ � � i WITNESS : Wvf 1) The installation shall comply with Title V and Town of Barnstable Board of C�'STU-tCS� REFERENCE:7�_.JA�� of DATE: V� �� — -- ----- --� Health Regulations. 6 I PERCOLAT I ON RATE: L 2. 41Q, 1 , 2 ..._.. -- -- - ) The installer shall verify the location of utilities, sewer inverts and septic it,, \ 0' components prior to installation and setting base elevations. TH- 1 TH-2 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. The first two feet out of the dbox to the leaching shall be level. All 2 f ri 9 4) This plan is not to be utilized for property line determination nor any other 10 b ` purpose-other than the proposed-system installation. 5) All septic components must meet Title V specifications. 1b4U IbftVl larr u* 6) Parking shall not be constructed over H10 septic components. LOCATION MAP&Ij;5) G,� (11�,, 7) The property is bounded by property corners and property lines. 8) The property-owner shall-review Aesign-considerations to approve-of total design flow and number of bedrooms to be considered for design. Receipt of payment for the plan and installation based on the plan shall be deemed W , gr approval of the design flow by the owner. �(f f ' S ip w�r,) ! V"90, 6*4D 9) The existing leaching or cesspools shall be pumped and filled with material ,�j0 G► (o per Title V abandonment procedures. Those within the proposed SAS shall be 5� �W removed along with contaminated soil and replaced with clean washed sand low - per Title V specs. _ 10)System components to be 10 feet from water line. Sewer lines crossing the C7- FLOW�QGV /� '� water line shall be sleeved with 4 inch SCH 40 PVC with ends outed if SEPTIC SYSTEM DESIGNapplicable. 11) If a garbage grinder exists it is to be removed and is the responsibility of the owner to ensure such. ESTlMATE� C - - _ 12)The installer is to take caution in excavation around the gas line if applicable. 3 BEDROOMS AT ��� GAL/DAY/BEDROOM -�� GAL/DAY SEPTIC TANK GAL/DAY x 2 DAYS - GAL al �iV �USE 1,WGALLON SEPTIC TANK 0 ! SOIL ABSORPTION SYSTEM }.;. SIDE AREA: Z - `-{- I X ZX 'O�7 f_ O 1 4 BOTTOM AREA: � X o � SEPTIC SYSTEM SECTION i / rQ d O f l b Ytt tAh4, MAY, O ' C r .�� 31G�1 GAL D A'56IL7 .O0 ✓I��� ' �{ �1 � � {�=I fog -91 SEPTIC TANK � ►t' - - � iN of4 f MDAV") ��/, Z7,/sTf irAp, S I TE AND SEWAGE PLAN CND LOCAT ION : � lAtV-I 1,4 I PREPARED FOR 1 t4 41130AIF �flm 1� 7777 P ` O _. SCALE: C � DAV I D B . MASON R,5 DATE: - --- DBC ENVIRONMEN AL DESIGNS EAST SANDWICH . MA DATE HEALTH AGENT ( 508 ) 833- 2177 W Z