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HomeMy WebLinkAbout0438 CRAIGVILLE BEACH ROAD - Health 438 CRAIGVILLE BEACH RD. HYANNIS A = 246 076 i i 7 1 EE 1 p 4 1� Q I 1 i Town of Barnstable Health Inspector j, OFZME r, Office Hours o Regulatory Services 8:30-9:30 y Thomas F. Geiler,Director 1:00-2:00 • auwsrABLE, "�: ,�� Public Health Division ATEo �s Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-63C AMNESTY PROGRAM APPLICANT- SEPTIC QUESTIONNAIRE 1. General Informati n: Size of Property: 0-s7 Address: j yi "aw Map ol?4 .Parcel&476 Name: Q/J "0J21i Phone #: 2a. How many bedrooms exist at your property now? ((J 2b. Are you planning to add any bedrooms? If yes, how many? 4 2c. How many bedrooms total are proposed at this property(including the amnesty unit)? 2d. Please include a copy of the floor plans for the entire property - showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label . each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or NO Ifttie dwelling is connected to•public sewer,slap questions##4,through#9,below ; 4. Location of dwelling is INSIDE or 0 TSIDE a Zone of Contribution to public supply wells? P 5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATERS 6. Is a disposal works construction permit on file? : YES . or NO { :� 6a. If yes, how many bedrooms were approved according to this permit? Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES nor NO v� Co .8. Is there an engineered septic system plan on file at the Health Division? -' YES --or =N0 9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or ENO --------------------------------------------------------------=-------------- ------- ------ CID FOR 4� FOR OFFICE USE ONLY The Public Health Division has no objection to_ bedrooms at this property. A"5 Special Conditions: . F-017 3 9'-bro S, L,, ^h_ � 7 Sine Date: b ,^ O;/heal th/wpfi les/amnestyapp l+ 031 i/2006 10:05 5084200318 CAPIZZI PAGE 02/07 14 o �DU 03/0iJ/2006 10: 05 5084200318 CAPIZZI PAGE 03/07 l , 71 _--- --- - .. . .. ___ __ .....�_....... _.. ----- ; I e 1 I i 7D y v r 03/01/2006 10:05 5084200318 CAPIZZI PAGE 05/07 i . � 4 i n e-�.2 03;01/2006 10:05 5084200318 CAPIZZI PAGE 06/07 LDIZ t i i __--- i 03001/2006 10:05 5084200318 CAPIZZI PAGE 07/07 Above-Grade Building Sketch OorroworlCileni,Copizzl,Thomals&Mory PropeAy Addrrss A90 Crolgvilie Boa6h Rood Stale Mn 2i�Co�e OZA72 pIY Wosl Hynnnispor� CounlY Bflrn able Lender First Horizon hlome Loan C2r7or+llon Olmnnslons erg Approxlmnto Q f]aln Bgdrnom Bedroom Bath Bedroom Both ogrh /� n I<Ilchan Living Room Bedroom Bedroom �J„[ !,rrvnnn Bedroom Bath Kitchen Bathe?� R. Living Room /✓ Bedroom 1 SKETCH CALCULATIONS A, Al:sa.0 X 8.0 a ,0 A2:05.0 n I0A= W40.0 UMI/1 td72.0 I A7:3G.0 x 20.0= 020.0 At Llnll9 - R7,R.0 Total Llvine Arnn Farm SKT,AriSKI—IOM Inl WlnOow;'a0pra1901 SOlrwnrd by a 11 mncla,Inc,—I-ppn•ALAMOOE Town of Barnstable Health Inspector pp�He rph Office Hours ti Regulatory Services 8:30—9:30 " Thomas F. Geiler,Director 1:00-2:00 j saaxsrwsLE, 7A 9 ,�� Public Health Division rFD �s Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-63C AMNESTY PROGRAM APPLICANT—' SEPTIC QUESTIONNAIRE 1. General Informati n: Size-of Property: �•�7 Address: Map o?7'(v .Parcel 0176 IF Name:--,/ e Q/f /t /2Zi , (J/: Phone #: 2a. How many bedrooms exist at your property now? ll/ 2b. Are you planning to add any bedrooms? /iD If yes, how many? D 2c. How many bedrooms total are proposed at this property (including the amnesty unit)? , 2d. Please include a copy of the floor plans for the entire property- showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label . each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or NO '�°�If��e dwelling is oonnectird�ta publtc�sewer jski '� eshxins° thrau h"#�9, Blow 4. Location of dwelling is INSIDE or 0 SIDE a Zone of Contribution to public supply wells? ` 5. Is the dwelling connected to an ONSITE WELL or to PUBLIC �WATER?_-- LI �, 6. Is a disposal works construction permit on file? YES .qr NO i 6a. If yes, how many bedrooms were approved according to this permit? edrooizs. 7. Were any building permits obtained for construction of additional bedrooms? 4z YES for 1Vt7 vy co OF) .8. Is there an engineered septic system plan on file at the Health Division? �E YES 'qr 51 0 9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or kV0 ----------------------------------------------------------------------------- I- rrr- FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at this property. Special Conditions: Signed: Date: O;/health/wpfiles/amnestyapp 03/01/2006 10:05 5084200318 CAPIZZI PAGE 02/07 _._. .... ....... 3 C�, .... . . ............. __--- 03/01/2006 10:05 5084200318 CAPIZZI FADE b3fb( i CIP - Q 1 __.. .. I .. . ....r -:.....-...._ -.. _-� ... - -:� _ - Igif Ui/Z19kib IU. too quo4zouilb lHt 144 1 r HqG CI4J CJ! IN r �_........__ :... - O ._........----------...... .., ..._ ... .. ...:. ..._. .... ...._..._........� _._. cam....._._._. � �--- r 03/01/2006 10: 05 5084200318 CAPIZZI PAGE 05/07 i i Q 03%01/2006 10: 05 5084200318 CAPIZZI PAGE 06/07 .... ..... . .......... \r �I ROOD 'i 031r01/2006 10: 05 5084200318 CAPIZZI PAGE 07/07 Above-Grade Building Sketch t OorrowaUCilenl. Coplzzl,Thonr;ls a Mnry Pra{1oriV Address 418 Crolgvillo Boaeh Road —glare Mn _ rip coq 02 ——- City osl W HynnnlsporI ^County Bflmsrahle Lender first Harl2on biome Loan Corporation plmnnsfons am ApproximAte a Ontn Bodmom Bedroom path Bedroom Oath earn 1 I<Ilchon Llving Room Bedroom Bedroom y„[ E.dh Kitchen Living Room AA SKETCH CALCULATIONS i Al A: ,O I At:54,0 x 8.0 a ' A2 t 05.0 x 10,0 u J040.0 Ax unit A 1672.0 i A3;3a.0 x 23,0= n20.0 A5 r Taint Llvina Aran 2300.0 Corm SK f,AGSKI—I OTAL fnr NN10ow;-appralanl SaIrwor0 by a la mOCio,inc,—1 dlpibALAMOUE Page 1 of 2 McKean, Thomas From: Jan Gonzales [824jan@gmail.com) Sent: Thursday, June 13, 2013 2:25 PM To: McKean, Thomas Subject: Re: I hope to have very specific information soon. Thanks for your response. On Thu, Jun 13, 2013 at 2:10 PM, McKean, Thomas <Thomas.McKeanka town.barnstable.ma.us> wrote: Sorry, I don't know- I don't believe so. I wasn't there at your unit when the individuals arrived this year. i Did you ask who those persons were and where they were from when they entered your unit? i -----Original Message----- From: Jan Gonzales [mailto:824jan@gmail.com] Sent: Thursday, June 13, 2013 2:02 PM To: McKean, Thomas Subject: Re: i f Mr. McKean, I While doing a bit of research, I came across an article in the Cape Cod Times in 2006 in which j` you were quoted "However, McKean acknowledged that in several instances inspectors examining other properties reported building code and zoning violations to other town regulatory departments. htip://www.capecodon_line.com/apps/pbcs.di.1/article? AID=/20061221 NEWS 0I/3 122199 82&cid=sitesearch Your email said "That inspection was not conducted by the Town of Barnstable Health j Division." i Were any of the "other town regulatory departments" involved in any of the other "inspections" ? Thanks, I Janice Gonzales Y On Tue, Jun 11, 2013 at 4:40 PM, McKean, Thomas <Thomas.McKean cr town.barnstable.ma.us>wrote: Good afternoon, 6/20/2013 Page 2 of 2 I received a copy of your e-mail addressed to George Heufelder, Director of Barnstable i County Health and Environmental Department. He forwarded the e-mail to me. Your e-mail expressed concerns about scheduling an appointment with Karen of my Office and the need for a housing inspection at your rental unit every year. Your rental unit has not been inspected by the Town of Barnstable Health Division since February 2012. These units are to be inspected and registered once each year. You indicated that some other agency recently conducted an inspection and took photographs. That inspection was not conducted by the Town of Barnstable Health Division. Please telephone 508 862 4644 to arrange an inspection appointment. Sincerely, Thomas McKean 6/20/2013 Page 1 of 1 McKean, Thomas From: Jan Gonzales [824jan@gmail.com] Sent: Thursday, June 13, 2013 2:02 PM To: McKean, Thomas Subject: Re: Mr..McKean, While doing a bit of research, I came across an article in the Cape Cod Times in 2006 in which you were quoted "However, McKean acknowledged that in several instances inspectors examining other properties reported building code and zoning violations to other town regulatory departments. http://www.capecodonline.com/apl)s/pbcs.dll/article? AID=/20061221/NEW S01/312219982&cid=sitesearch Your email said "That inspection was not conducted by the Town of Barnstable Health Division." Were any of the "other town regulatory departments" involved in any of the other "inspections" ? Thanks, Janice Gonzales On Tue, Jun 11, 2013 at 4:40 PM, McKean, Thomas <Thomas.McKeanna,town.barnstable.ma.us> wrote: Good afternoon, i I received a copy of your e-mail addressed to George Heufelder, Director of Barnstable County Health and Environmental Department. He forwarded the e-mail to me. Your e-mail expressed concerns about scheduling an appointment with Karen of my Office and the need for a housing inspection at your rental unit every year. Your rental unit has not been inspected by the Town of Barnstable Health Division since February 2012. These units are to be inspected and registered once each year. You indicated that some other agency recently conducted an inspection and took photographs. That inspection was not conducted by the Town of Barnstable Health Division. Please telephone 508 862 4644 to arrange an inspection appointment. Sincerely, Thomas McKean 6/20/2013 f Page 1 of 2 McKean, Thomas From: George Heufelder[gheufelder@barnstablecounty.org] Sent: Tuesday, June 11, 2013 2:09 PM To: McKean, Thomas Cc: 824jan@gmail.com Subject: FW: Rental Housing Inspection, 438 Craigville Beach Rd, #2, Hyannis Tom McKean, Director Barnstable Health Department Tom: I received this complaint today from the person indicated below. Since I don't have any inspector working in your area named Karen and doing housing inspections, I thought it may have been mistakenly addressed to me. Regards George Heufelder From: Jan Gonzales [mailto:824jan@gmail.com] Sent: Tuesday, June 11, 2013 1:55 PM To: George Heufelder Subject: Rental Housing Inspection, 438 Craigville Beach Rd, #2, Hyannis Dear Mr. Heufelder: I am writing to you because, as the tenant of the above referenced apartment, I am upset with Karen, your inspector. I spoke with Karen yesterday, and explained to her that my feet and legs were swollen and I was in pain. I asked her if we could do the inspection another time. She said yes, no problem, then promptly called my landlord saying that I was not responding to her. In the last several months, I have had several people "inspecting" the apartment, including a group of men who took pictures. I am not sure what the continual inspections are for, but each time someone has come, there have been no problems. I am a quiet 60 year old woman who tries to comply with all the rules, and my small home is clean, and pest free. Any maintenance issues are promptly addressed by the landlord, for which I am grateful. In my past, I was attacked in my home, and I suffer from PTSD and anxiety. It is difficult for me to allow any strangers into my home, but I have done so to comply with the rules. But because I am suffering from a medical problem right now which is making my feet and legs swell with pain,it is difficult for me to get around, and it makes me feel very vulnerable. My home is my safe place. I don't think I am being unreasonable in asking to postpone this inspection, and feel that I am being unjustly targeted. My apartment is a very small studio. It seems to me that the legions of inspectors, the ambulance and fire department personnel, or hospital personnel would have said something to me if there were concerns with my living conditions. On the contrary, they have remarked at "how cute" I have made my home. If I were able to afford to purchase my own home, this would not be happening, and that makes me even more upset. 6/20/2013 i Page 2 of 2 Please know that I will call and make arrangements for your inspection as soon as I am physically able to stand for an hour. Until then, while I am healing, please allow me my peace. Sincerely, Janice Gonzales 438 Craigville Beach Rd, #2 Hyannis, MA 02601 (508) 827-4134 824janggmail.com 6/20/2013 i TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date 12— Time: in Out Owner L L C--- Tenant Address Address 13 Com lianfie 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 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal3 -- 6 17. Temporary Housing 18. Driveway Width ( P tL- 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here c.. TOWN OF BARNSTABLEn :: ;..... LOCATION C�J/3 � /// & 44 � 4 ZOOO - Z 3 c� rcA �S �'/ SEWAGE # VILLAGE s% //r9 � ��� �'�f ASSESSOR'S MAP & LOT - (' INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ol- 02 C/�f�AEJzize) "Z NO.OF BEDROOMS .3 BUILDER OR OWNER PERMIT DATE: /o 0 COMPLIANCE DATE:aol 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 i s Z �z. �. a f TOWN OF BARNSTABLE LOCATION, ;� $ (` �QQ, d' ,,,�C ,� SEWAGE # �•3--L L� VILLAGE ASSESSOR'S MAP & LOTaULO7Z. INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY (o�c7Q LEACHING FACILITY:(type) (size) Cho a NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER all DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i I COMMONEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENviRoNm ENTAL PROTECTION ONE WINTER STREET, BOSTON KA 02108 (617) 292-5500 J Secretary r ARGEO PAUL CELLUCCI DAVID B. STRUHS Governor CommissionerSUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A QQ� CERTIFICATION L `� '`,ten, / Property Address: A, 3v � • Name of Owner 5114 `� rV`AO 1 k T� 60:5M Add of Owner:G 'G Date of Inspection: 3P � , _ 4.,4 It=v m ( ,�T Nae of Inspector:( ease nt) �. Atoq I am a DEP approved system inspector pursuant to Section 15.340 of Tide 5(310 CMR 15.000) Company Name: 1 Mailing Address: _ytL'F_ =*[Nz. Telephone Number: CERTIFICATION STATEMENT 1 certify that I have personally inspected the sewage disposal system at this address and that the information reported below i curate and complete as of the time of inspection. The inspection was performed based on my training and experience in the er function an maintenance of on-site sewage disposal systems. The system: Passes r, jr Conditionally Passes v /� � N Further Evaluation By the Local Approving Authority �r Falls s Si a •V v "� Date: 3 / Inspector g�, = - 1 The System Inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable, and the approving authority. NOTES AND COMMENTS 3/7C;C' /4415 revised 9/2/98 Page iorii A t! Pnnted an Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Owner: '[� (j�✓'T Date of Inspection: pO BUILDING SEWER: (Locate on site plan) M Depth below grade:lNi�ca.t Material of construct iron'_40 PVC_other (explain) Distance fro pjjvate water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage,etc.) SEPTIC TANK: ` (locate on site plan) rr 0o Q^ _ �t.a.{c �� �•O,� AL '�IT J Depth below grade: `J { ✓div v, Material of construction:_concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal, list age_ Wage confirme byCertificate of Compliance_ (Yes/No) D r / Dimensions: 8.5 i•�3 x 'b Sludge depth- Distance 1 Distance from top of slu�pe to bottom of outlet tee or baffle: Scum thickness:2_ Distance from top of scum to top of outlet tee or baffle: •�/ OVC� ?b tit"' P —TFF— Do a from bottom of scum to bolt m of outlet tee pr baffle:u How w dimensions were determined: Wl Comments: (recommendation for pumping, c on of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, str cturaFintegrity, evidence of leakage, et Yam{ ^ GREASE TRAP: (locate on site plan) rT Depth below grade:_ Material of construction:_concrete_metal,►Fiberglass _Polyethylene_other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) revised 9/2/98 Page 7ofII i TOWN OF BARNSTtABLE, }, LOCATIONSEWAGE #-2 000- 73 c� VILLAGE WL i 11Y,9 -✓al'3 /c,2 � ASSESSOR'S MAP& LOT �? -) INSTALLER'S NAME&PHONE NO. i36- SEPTIC TANK CAPACITY LEACHING FACILITY: (type) -,;L 00 L ize NO.OF BEDROOMS 3 i BUILDER OR OWNER PERMIT'DATE: //a .�d O COMPLIANCE:DATE: r - i I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet i 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 i1. W uj <1 �1 i z - — e�• bO r � ru N _ m •. �; �.. m ro I A u S m r M c ostage $ p �(��(\k6dified Fee p R Reciept Fee -0 Postmark(Endorsement Required) r� p � 2046 p Restricted Delivery Fee co (Endorsement Required) / —0 ` Total Postage&Fees $ USP`Zi Im ED Sent p N - ------------- ----------- Street t No.; ZY or PO Box No. 1�p � I t --------- City,State ZIP - ............�--y- Certified Mail Provides: n A mailing receipt (Maney)zoozeunp'ooeEuuodsd n A unique identifier for your mailpiece u A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. o Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. Town of Barnstable DAM Regulatory Services Thomas F. Geiler,Director Public Health Division �. A 4-1� Thomas McKean,Director j 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Thomas Capizzi Jr. March 13, 2006 Centerville LLC 1645 Newtown Road Cotuit, MA. 02635 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND ARTICLE 51 OF THE TOWN RENTAL ORDINANCE. The property owned by you located at 438 Craigville Beach Road, Hyannisport was inspected on February 25, 2006 by Donald Desmarais R.S.,Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. Linoleum peeling up in bathroom, holes in kitchen floor, hole in bedroom door, ceiling in bathroom not secure. 105 CMR 410.351 (A): Owner's Installation and Maintenance Responsibilities. The shower door in inoperative. The Mirror is off the wall above the bathroom sink. Drawer missing in kitchen cabinet below sink. 105 CMR 410.251 (A): Kitchen Lighting. The lighting fixture in the kitchen is inadequate. 105 CMR 410.551: Screens for Windows. Screen had large hole,in front window. 105.CMR 410.482 Smoke detectors. The smoke detector was inoperative and must be repaired immediately. 105 CMR 410.481 Posting of Name of Owner.—The owner must post their contact information. A notice of not less than 20 square inches in size, bearing his name, address and telephone number. You are directed to correct the smoke detector violation immediately. The remaining violations listed above must be corrected within thirty (30) days of your receipt of this notice Q:Health/Order letters/Housing violations/32 Fresh holes.doc f t 'i 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. PER ORDER OF THE AM OF HEALTH as McKe ,R.S. Director of Public Health Town of Barnstable Q:Health/Order letters/Housing violations/32 Fresh holes.doc SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. ature item 4 if Restricted Delivery is desired. i ❑Agent ■ Print your name and address on the.reverseW:q U� -- ❑Addressee so that we can return the card to you. B. Received by(Pfirked Name) C. ate of Deli e ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item ? rh Yes 1. Article Addressed to: - If YES,enter delivery address below: ❑ No g vmA� �7yf� :Jk , 3. Service Type 16415 ❑Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise l Insured MalK. ❑C.O.D. 4. Reilg6ed delivery?(Extra Fee) ❑Yes 2. Article Number I f (rransfer from service label). ( 7-0 0 3 16 8 0-':'.D 0i0 4 54S 8 3572 PS Form 3811,August 20011(( ( Domestic Return R 102595-0 -M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 p • Sender: Please print your name, address, and ZIP+4 in this box • a,V AI O4 200 n-,rA. � tea- Town of Barnstable Regulatory Services Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Thomas Capizzi Jr. March 13, 2006 Centerville LLC 1645 Newtown Road Cotuit, MA. 02635 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND ARTICLE 51 OF THE TOWN RENTAL ORDINANCE. The property owned by you located at 4� 38 Craigville Beach,R d,Hyann sport was inspected on February 25, 2006 by Donald Desmarais R.S., Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements. Linoleum peeling up in bathroom, holes in kitchen floor, hole in bedroom door, ceiling in bathroom not secure. 105 CMR 410.351 (A): Owner's Installation and Maintenance Responsibilities. The shower door in inoperative. The Mirror is off the wall above the bathroom sink. Drawer missing in kitchen cabinet below sink. 105 CMR 410.251 (A): Kitchen Lighting. The lighting fixture in the kitchen is inadequate. 105 CMR 410.551: Screens for Windows. Screen had large hole in front window. 105.CMR 410.482 Smoke detectors. The smoke detector was inoperative and must be repaired immediately. 105 CMR 410.481 Posting of Name of Owner.—The owner must post their contact information. A notice of not less than 20 square inches in size, bearing his name, address and telephone number. You are directed to correct the smoke detector violation immediately. The remaining violations listed above must be corrected within thirty (30) days of your receipt of this notice Q:Health/Order letters/Housing violations/32 Fresh holes.doe 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 o f ine o f$ 100.00 p er v iolation. E ach d ay's f ailure t o comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable I Q:Health/Order letters/Housing violations/32 Fresh holes.doc TOWN OF BARNST LE ill 16 A�W� C Z000-7_3 F LOCATTO?J��3 � CAA �S. v/ � SEWAGE # VJLLAGE ///,9 D1lal)s /,001 J ASSESSOR'S MAP.&LOT �D <F nn �L c /� �a av s 3 INSTALLER'S NAME&PHONE NO. �/ SEPTIC TANK CAPACITY `X 5. /© 0 d l I LEACHING FACILITY: (type) oZ oD C/1 15 I-"'AFAize) Z LXX /a X °Z NO. OF BEDROOMS 3 BUILDER OR OWNER PERMIT DATE: Z 62-.- a- ° 0 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 col✓N� i EQ> 1 � 13 — L) 39 B V 3q t - No.^ > �/� ! / 4 Fee THE COMMONWEALTH OF MASSACHUSETTS f gntered in computer: Y PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication pozaf *pztem Construction Permit Application for a Permit to Construct Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ?? / 2 Owner'4 Name,Ad wss and Tel.N . Assessor's Map/Parcel G -- a 7 6 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soils _ Nature of Repairs/or Alterations(Answer when applicable) 19 Sl 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 issued by thi Board ealt Signed41- Date Application Approved b Date Application Disapproved for the following reasons Permit No. ;;Fe619> '�-, Date Issued " ���"" No. d�/Q �7 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered_in computer: Y _PUBLIC HEALTH DIVISION..- TOWN OF BARNSTABLE, MASSACHUSETTS ZIpprication for -Miou al bpmem Construction PerMi .'` Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No., Owner's,Name,AdqFess and Tel. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. / Designer's Name,Address and Tel.No. � 2��/ lo .✓si" 7 7 S' 13G c 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 gallons per day. Calculated daily flow gallons. ' t Plan Date Number of sheets Revision Date Title i Size of Septic Tank Type of S.A.S. 1 F Description of Soil s " Nature of Repairs or Alterations(Answer when applicable) �G �1' Sd© 6;r,9 ///0 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 issued by this Boar�pf-Health-,- Signed '' � _ r Date Application Approved b -;r4 Date Application Disapproved for the following-reasons Permit No. [? Date Issued --------------------------------------- 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 'f' 4-1!71 at � 3 g C 'g 'S Ci/ �`' d ` �J�, ���'/�� Was been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Perm q0"! dated o,- ^~lg�, ' E.60 r Installer `> Designer17 r� The issuance of this permit sh1all/ o•be c/o strued''as a guarantee that the sy� I rte wiihff ctio asd��eslgne Date A C� / � J/ it Inspectori''® V ---------------------------------------- No. �, Fee ,,:' ,-THE C.OMMONWEALTH.OF-,MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS &!5pozaf 6potem QCon0ructton Permit Permission is hereby gr ted to Construct( )Repair( �Up rade( Abandon ) System located at 112 S- and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of thi -ermit. Date: /�' J Approved r / �j 'L'Z'Z4 � � 1 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PE. MIT (WITHOUT DESIGNED PLANS) I,L�/�Y�✓r /� 2G yAM��, ie e�ertify that the application for disposal works construction permit signed by me dated l-2 -D , concerning the property located at `f C�,g y v� //� —13Z.9 meets all of the following criteria: This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. X--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 feet of the proposed septic system There are no private wells within 150 feet of the proposed septic system Z- 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 not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] If the S.A.S.will be located with 250 feet of any vegetated wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) 5 B) G.W. Elevation +the MAX. High G.W. Adjustment. 3( bl'= r DIFFERENCE BETWEEN A and B SIGNED . DATE: � D —' [Please Sketch oposed plan of system on back]. NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:cert COIv1NIOI�WEALTH OF MASSACHUSETTS Q� EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS -. DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 ( MAR , (/00 Secretary ARGEO PAUL CELLUCCI ro E4TH�ppXTD B..STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A �� 22 �p CERTIFlCATION Property Address:- ;5,& V� Name of OwnqrDF ((( 1 Address of Owner: OL Date of Inspection: 3/ �> �v ID �^lW ` Name of Inspector: (Please rrt) I am a DEP approved s em inspector pursuant to Section 15.340 of True 5(310 CMR 15.000) Company Name:�JSc. �ieari� r�c. S � Mailing Address: 571 SE ZVEE' ZVI X 4,4 UW 1:: H Telephone Number: SOP3, - r• F CERTIRCATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewagp,,disposal systems. The system: _ Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature- _ l�`�-�-� Date: a �v The System Inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within thirty (30) days of completing this inspection. If the system'is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. NOTES AND COMMENTS -T a/77or-.!S k}�S 4&4012a-7TCdE�' 717� 7"r-746E- 'S�TCM BLS IwS�-r-�� IS r2 ►� Go�I�E� r L&4 revised 9/2/98 Pagel of11 • Printed on Recycled Paper i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Add.ess: 47v S G2�41C� � }C_+-) o,rner: ��vT - iM Date of Inspection: Z�/ 7> INSPECTION SUMMARY: Check A, B, C, o/ D: A. ;SYS ASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached)indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed / I I revised 9/2/98 Page 2of11 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 43e, oviner: oc-TRtE, Date of Inspection: 0/Trc%=> C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: �f +� Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER revised 9/2/98 Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner: t/��'e.�E• C Z> Date of Inspection: T00 D. SYSTEM FAILS: Yoq must indicate either "Yes" or "No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No / ackup of sewage into facility or system component due-to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. V 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 112 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). / Number of times pumped_. ✓ Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. +�+ Any portion of a cesspool or privy is within a Zone I of a public well. + Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacter'a, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: 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: The system serves a facility with a design flow of 10,000 gpd or greater(Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area=IWPA) or a mapped Zone 11 of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the!ocal regional office of the Department for further information. revised 9/2/98 Page 4ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: E� Q ►42a� Date of InsPeco«,: /c-} /da Check if the following have been done:You must indicate either "Yes" or "No" as to each of the following: Yes No _ Pumping information was provided by the owner, occupant, or Board of Health. _ None of the system components have been pumped for at least two weeks and-the system has been-receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. V _ The facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. Y _ All system components, excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. / The size and location of the Soil Absorption System on the site has been determined based on: Existing information. For example, Plan at B.O.H. Determined in the field (if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) 115.302(3)(b)J The facility owner (and occupants,if differeru from owner) were provided with information on the proper.maintanance-of SubSurface Disposal Systems. revised 9/2/98 Page 5of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 8 GIC�VILI,� -H �Ll� Owner: VE�'T o Nit C -R Date of Inspection: �l FLOW CONDITIONS RESIDENTIAL: Design flow: CA) g.p.d./bedroom. Number of bedrooms (design): Number of bedrooms (actual): Total DESIGN flow / Number of current resident / � "RabewL 4pic GC9,ktlP Hztpf—� Garbage grinder(yes or no): 011l... ll II Laundry (separate system) (yes or no):' O If yes, separate inspection required Laundry system inspected ( e or no) Seasonal use (yes or no): Water meter readings, if a ilable (last two year's usage(gpd): IC�� :Zy�g �(;'3i83� Sump Pump (yes or no): Last date of occupancy:_ �� COMMERCIAL/INDUSTRIAL: �� t Type of establishment: Design flow: gpd ( Based on 15.203) Basis of design flow Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECO S and source of'nf ma ion r lLl System pumped as part of inspection: (yes or no) (� D If yes, volume pumped: gallons Reason for pumping: �.. TYPE YSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records,if any) I/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXI TE E of all components, date installed fif known and source of information: `YeOreL> (QC.> -JZ Sewage odors detected when arriving at the site: (yes or no) revised 9/2/98 Page 6or11 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: Date of Inspection: BUILDING SEINER: (Locate on site plan) Depth below grade: Material of construction: cast iron✓ 40 PVC_other (explain) Distance fro ,Tj plivate water supply well or suction line Diameter_'`'r Commen (c ondition condition of joints, venting, evidence of leaks e etc. l� SEPTIC TANK:_ (locate on site plan) 1� Depth below grade: Material of construction:_concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal, list age_ .Is.age confirmed by Certificate of Compliance_ (Yes/No) Dimensions: Sludge depth: i� Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: tAN Distance from top of scum to top of outlet tee or baffle:_ ' (� Distance from bottom of scum to bottom of outlet tee or baffle:n1! How dimensions were determined:Acrbgi Comments: (recommendation (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert structure-integrity, evidence of leakage, etc.) bLV( ( tcd GREASE TRAP: (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_Fiberglass _Polyethylene_other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: �3g G ea�lI\Au-,E c*4 Owner: �'( � {l�1QQ, '� cjtp� Date of Inspection: TIGHT OR HOLDING TANK. flank must be pumped prior to, or at time of, inspection) (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_Fiberglass_Polyethylene_other(explain) Dimensions: - -- -- Capacity: gallons Design flow: gallons/day Alarm present Alarm level: Alarm in working order:Yes_ No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches,etc.) DISTRIBUTION BOX:_V (locate on site plan) � Depth of liquid level above outlet invert: 1E` 1C41—' LAL) I Comments: (n a)f Ievel a distribution is a ual, evidence of solids carryover, evidence of leakage into or out of box, etc.) -►�t�l - �O PUMP CHAMBER: X} (locate on site plan) 1 Pumps in working order: (Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) revised 9/2/98 Page 8orn SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 43e Owner: r7a. V, tMU L�sr►�. Date of Ins pec.—P 1 re SOIL ABSORPTION SYSTEM(SAS)-/ (locate on site plan, if possible;excavation not required, location may be approximated by non-intrusive methods) If not to aty ed, explai : Type: leaching pits, number: leaching chambers, number:_ leaching galleries, number:_ leaching trenches, number, length: leaching fields, number, dimensions: overflow cesspool, number:_ Alternative system: Name of Technology: Comments: (note c ndition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of ve gtation, etc.) L+ � I CESSPOOLS: (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) Comments: (note condition of-soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) revised 9/2/98 P2ge9Of11 r , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: Date of inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) revised 9/2/98 P2ge10Of11 • D SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: Date of Inspection: NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater_Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site (Abutting property, observation hole, basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators, installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) revised 9/2/98 Page 11of11 TABL TOWN OF B�AR�NS �f L06krION-41,509CX,416vli4 6eAcH .A,�-e SEWAGE # z3- (2Q VILLAGE y,g ,y,�/S ®.QT ASSESSOR'S MAP & LOT ),�c • a 7� � - I INSTALLER'S NAME & PHONE NO. . l�f Al AC ,014A'e -L 30'y_ SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 2. , e/'TS (size) 0 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER jh mac. h a DATE PERMIT ISSUED: �- "7-3 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 0�. � � � �� � �s i + � .; � � �� � s�; \ ,�1 ��i,� i i� . , -,� r �. � . .. Fizz...$.....3.0 ..0. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE, ppliration for Diripnial Works Toustrur#inn 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 438A Craigvilletaeach Road West Hyannisport ..............•----....---...................---------.•.....---------••-•----................... --•---------•-•-------•--•--•----••••-•••----.._.......-----•---._._..._......-----------•-----•- Location-Address or Lot No. Marie Costa ..........-•--•-•--•-------•--•--•--•-------------•---•-•--•--------•---......----------•--•------ -•--•-•-•------•-----------•-•.............•-••--............•--•-......-----------------......•-- Owner Address aJ.P.Macomber Jr . Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms------------------------------ - - .Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a, Other fixtures ........................................................ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width---------------- Diameter................ Depth................ x Disposal Trench--No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter..............--.... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) �_4 Percolation Test Results Performed by................................................................ ......... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit...--.-----_--..--_ Depth to ground water........................ G Test Pit No. 2...:............minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+ ------------------------------ •------------ •---.-... .----------------------..---•-.-------------------------- •-•------------ -------------------- ODescription of Soil-----------------------------------------------------•---•------•-•--------------------.--------•----•---•-•-•---•--•----•----••--•--•------•-••------......---•-_••--- x Sand & Gravel U ---------------------- ---- ----- ------------------------------------------ ----•------------------- ------------------------------------------------------------ --•-.......... .•-•--_.---- W ••-•....--•--------------• --•-----•---•-••-••••-•-•--•--••---------------------------••---•--•----- .................................................................................................. UNature of Repairs or Alterations—Answer when applicable..-.......Omit B e s s Install ....-15..0 1—distribution box... jallon_-_leach•__-0 ts______________ ----•--------------------------••--•..........-------•--..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compligice has beegpssued by the ar of health. Signed .... ..... / .... .�... 1.2.�.3�9.3...... Date Application Approved By ............ ---- --- - --=-� �..—.f..r... ................................ Irate Application Disapproved for the ollowing reasonf: . .. ................ .......................................................................... ...................... ....................... .. .............................................................. ..... . ......................-------------------------------------------------------------- --------. ------. .................. Date Permit No. ......_fC .... Issued Date ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fertifirate of Contylinure THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ).or Repaired ( XX ) P by .... Maco mber Jr. ............. ............ .........._........................ ....._------.......................................��� .. . ...... .................... ........ - ............................. - ........ ...... Insr.Jlrr 438A Craigvillebeach Road West Hyannisport . at .................... .... ................ .. .. ....... ......... ........ has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. -----... .. 1..�...._ dated _.._._.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 3.........q,- ................ - ......... Inspector .....' ... l - ---.....---- ._......................... ._... - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 30. ...00. .. �.. G�� FEE.-- •--... . .. • •... ..... Raposal Workii Tomitrudinn lermit J P.Macomber Jr. Permissionis hereby granted..........................................................---•-- ----------------•------------------------------------------••--............. to Const Nk ( � or, Re fir (XX) an Individual.Sewage Disposal System 313A Craig7illebeach Road West Hyan s niport. atNo.............................................................................................................._ _ __ Street as shown on the application for Disposal Works Construction Permit No. 17?KGd.._ Dated------ ----- �� ._ /...;���...._.... I y_a Board of Hcalth DATE.......... ..�a..-_9.�,?_�."--------------••-•------------•----... FORM 36508 HOBBS Q WARREN,INC.,PUBLISHERS No. 93..: 3000.� �.4. Fss.. ....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � TOWN OF BARNSTABLE Applfration fur Diripniul Works C omitrurtfnn "arAft Application is hereby made for a Permit to Construct ( ) or Rcpair .(XX) an Individual Sewage Disposal System at: 438A Craiqvillebeach Road West Hyannisport .........................---..............................................................------- -----•••••-----------------......------....----•-------------•----•-••-•----•----•---....----•-•-- Marie Costa Location-Address or Lot No. ___ o"" Address WJ.P.Macomber__J.r........................................................ -•-•------•--•-....------.........................-----.....•••.................................. Installer r Address Type of Building Size Lot............................Sq. feet �.. Dwelling— No, of Bedrooms--------------------------------------.-----Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures --------------------------------------------------------------------------------------- - ----------------------------------------------••••-•------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length________________ Width---------------- Diameter---.-------------Depth................ x Disposal Trench--No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------._----_-_.__ Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1--4 Percolation Test Results Performed by........ .....•---------•.....-•--•------...----•-..._..........---------• Date........................................ W Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ w Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W -•---•-----•------------------•--••---------••--•-••-•-•-•-.....-----•--..........------.............••-•••••--••-----•-••---------......••-•........_.._.... 0 Description of Soil........................................................................................................................................................................ Sand & Gravel V •--••----•-----••--•-------•...----•---•--...•-••--•-•---•-------•-----------------•--•.......-•------•••---------•--••-----------••------•--•-•••..._..--------•--------•-•---....-••-----....._-•---- W U Nature of Repairs or Alterations—Answer when applicable..........Omit cesspools . Install 1-1500 -------------------------- 1-d i str ibut ion_-box.__...2.-.1000.._ga_l lon.__leach.-p-i t s Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b en issued by the board of health. ....12/3/93 Signed . ... �.w/� .. ..... ............................... ....3/........-.:...... Due Application Approved By .............. r... .......� ,�..,, ............................................ ..... . J f..-...��3. Dace Application Disapproved for the ollowing reasons: .......................................................................... .. . ...................................... . .................................................................................................................. . . . ..... . -- . .................... . . ... ........................................ Permit No. ........>'c� —�/ ........................... Issued ---.......................... ........................ate Date _ s ;@ e• TOWN OF BARNSTABL LOCATION ,r,J 9 C,f SE WAGE # VILLAGE��� �S �7- ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. ig-t SEPTIC TANK CAPACITY /; j-, 8 LEACHING FACILITY:(type) 2. _ (size) ��d NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: t t DATE. COMPLIANCE ISSUED: c A VARIANCE GRANTED: Yes No n C n osc { �t I .b N . _ tTJS�p'1 II SE4� ttiA II NC 8 rc�wN OF BARNSTABLE { �,c:ATION, SEWAGE #_ --L / VILLAGE -1 ASSESSOR'S MAP & LOT � � 7 IN9TALL€1,4S NAME fa PHONE NO. P tb �r SEPTIC TANK CAPACITY 9 • V LEACHING FACILITY:(type) J (size) 1cG NO. OF BEDROOMS —PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: j 3.__ ° DATE COMPLIANCE ISSUED: . VARIANCE GRANTED: Yes . No � � 141 t i I 8 , TOWN OF BARNSTABLE � " L0i2AT ONE Y '� g C . SEWAGE # 2.3--661. VILLAGE_, 0&; ASSESSOR'S MAP LOT qg. 07Z INSTALLER'S NAME PHONE NO. , P At SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) F NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� . �T. .e i g 4.,.- ' j� t t f.�..._�_... - �- 4K J + t'� ., (� / /' / ,� i i 1 /� ��� ,� n,r- "� �. J r. _ _ ..-._._. No. ---•�!9/ /Fzz...$.._3 0..00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF YARMOUTH Barnstable Appliratiun fur 31isposal Murky Tonstrur#iun Frruti# Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: 438 Craigvillebeach Road West hyannisport . ... .Location•.Address.................................. ............................................ Lot No. .........•........_................._.. or Marie T. Costa ......................___........---------• ................................................ ..............•......................................................................... Owner Address W J. F.Macomber Jr . ,.a ......... ......... .....: .............. ...... ......... ............... Installer Address . Type of Buildin Size Lot............................Sq. feet U Dwelling lNo. of Bedrooms..........................................Expansion Attic (Nc) Garbage.Grinder ( N): Other—Type of Building ..Aang.............. No. of persons..........3................ Showers ( 1 ) — Cafeteria (0 ) P4 Other fixtures ...............•-••••-••••-••••••...._.._._.._...__............. 'r W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by----•.........................._......•-•---......._...................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ L� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •••...•..................•-------. ........:................_-_-................................................................. O Description of Soil.....§a n d & grave 1............................................. :.. W ......... ---•--•-•-- .-•...... .............. .....---------- ... ........ ------- ....-•-•-•-•-------••-•-••--•----........•-••••..........................................................................•-................._.............._..._........................---•--.......... U Nature of Repairs or Alterations—Answer when applicable.....4m U.... Q5 5.I?Q_p_1,_._.I,n s t a.l.I.... ....... gallon,,,tank 1=distr,i?�ution box 1-1000 gallon leach pit . ....... . . .. . ... . . .. . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT1.L 5 of the State Sanitary Code—The undersigned further agrees not to place the system in, operation until a Certificate of Compliance has been issued by the and of health.• Signed. .-. /� -- � 2s_... .. Q 12/3/93 iv -•------•- ------• Date ........... Application Approved By-••-------- ._..__ .t-r, ..................................... a...-.�G - '� Date Application Disapproved for the following reasons:..........................................................................................................--- ..............................................................................•••-•-------•--.........---...............-••------•-•--••••--.........................................._.......•--•••••-•- Date PermitNo... 3..:.. ........................... Issued-----...---•----...........:.............. ...... Date "'7-'rtir/'r.;•�t'••.,r'l,�rM"1,i'`4��., � � �%_'J!�'V /Vw� vi/* � i - ��`ti � +�'.F."+'�'vt'9J�ST^d'�'�'.�'{!���1�•. 4 a,a t,w G Ci (Q 30.00 No. ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 TOWN OF YARMOUTH Barnstable Appliration for Disposal Works Tonstrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair (X�) an Individual Sewage Disposal System at: 438 Craigvillebeach Road West Hyannisport . ................................................................ ...... •-----....•---•-----•••----..........---_____........_.....................--•- Location•Address or Lot No. Marie T. Costa ................................................. ..........................--------............................----............................... Owner Address a J.:.P.Macomber Jr......-••.... ..... - 1= -- - ........ ...-----•--• •. .. Installer i Address Type of Building Size Lot............................Sq. feet Dwelling X No. of Bedrooms..............2...................._......Expansion Attic (N9 Garbage Grinder ( iNN�j p, Other—Type of Building .-None______________ No. of persons.........a................ Showers ( 1 ) — Cafeteria (0 ) a" Other fixtures ...........................................--- -•---...--•--•-••-------------•------------•-•-------------•-------------.......-__.------•-••---...... WW Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width....................Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank '.� Percolation Test Results Performed by......................................................................... Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ----------- ................................•-----•----------........................---••-------............................................................ 0 Description of Soil.....Sand & qlaffel............................................ V ............ ............. ................................ ....--...--.._........---..--..-..---------..-.._..----•----.---• ......------... .......... W ...............................................••-------------•-----------------------•-•----....-•-----•-•---•------•-----------------•---...............•--• .--------•--•..........••••••........ UNature of Repairs or Alterations—Answer when applicable...._Om i.t..-c s s o 0 0 l_,--..I n s t a l -..1.-.10 0 4:...... gallon_ tank 1-distribution box _1•-1000 gallon leach p-it Agreement: I The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued-by the board of health. 12/3/93 Signed. ....... . . a-•• ... ................. ................................ Date ApplicationApproved By............ r.......... ....:.... .a.». ------------------------------------- .......'�?..... Date ...... Application Disapproved for the following reasons:................................................................................................... .................................................................•--............_...•.......-•------..............................• --........................................ . ...-•-----•--- Date Permit No....73......�;412.Z....... -. ..... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �. TOWN of YARMOUTH f�rrtif irtt�e of faum�littnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X))X by.J-..P•:Ma c ombe r....J r.:.... ..........••----......................Installer•-._..... .......................___-•---........................................................ .. .•Installer at...438 Craigvillebeach Road West Hyannisport : ...................•_ ........... .. .. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....... ........ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................. . . .......::... ........................... Inspector............, ..: ..............--•-•-•-•-•--•---..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q���Gl TOWN of YARMOUTH $ 30 00 No.. ! �... FEE.. .................. Disposal Works Tonstrurtion Permit Permission is hereby granted......,P.Macomber Jr. to Construct(( ) or Re air (X)9 an Individual Sewage Disposal System 438 Crai vilebeach Load West Hyannisprt at No.:.................... ........-.•-•..................................._......----..._......... . ............. Street r as shown on the application for Disposal Works Construction Permit No._;. . Dated....../A../a' .j........... ..................... !.......: ............................................... �y Board of Health DATE..........-. .-.1..��...... ................................ s 438 CRAICVILLE BEACH RD. REAR HOUSE 65'-0' tP-0' 2eee :54'-0' 1 ' BATH BATH `? 41 sq ft 41 sq ft m BATH BATH 50 sq ft 39 sq ft . BEDROOM 91 sq ft ❑ ® STUDIO/LIV. RM./ STUDIO/LIV. RM./ 4 KIT. /SLEEPING AREA KIT. /SLEEPING AREA o CLOSET CLOSET r STUDIO 332 sq ft 327 sq ft /LIV. RM./ KIT. / KITCHEN SLEEPING /LIV AREA RM. BEDROOM 273 sq ft 160 sq ft 94 sq ft i n waa ' wee i UNIT 4 UNIT 1 65'-0• UNIT 2 UNIT 3 LIVING AREA 1472 sq ft u k k — — — — — — — — — — — — — — — — — — — — — — — �_ _ — c r { i - - - - - - 1 —, — — r i f A • w 7 a i i �T 0 Q Lu Ut u to I _ I a � R,I y f. t Mllm t IF DECK o i � I • 2 4-9 1/2 1 z-0 (Open) 12-4 ' 8'9 1/2" 4, 9,�— ►gyp _ �_--- --- IV —3'-0 x4r-8" I - i 6'-0"x 6'-8"SD Y-6"x X-O" i- 6"x X-O' V-6" X-O' 1-41 - O A W O Ol cil t i I /I .......: 2-10 ao �' 1 O V co co — 00 N T �b/Shower i oj co IV UP 5 6e ke i w v� 10`-0" 5'-1 1/8" y1 x i ;cam -� j ! 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