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0062 DOLPHIN LANE - Health
62, Dolphin Lane, r} �. Hyannis A = 268 = 061 r - YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town [which.you must do by M.G.L.-it does not give you permission to operate.] You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. jr�45 A DATE:07 Fill in please: APPLICANT'S YOUR NAME/S: o �n cLb 9 s" s 3 p BUSINESS YOUR HOME ADDRESS:, G Z0 Z G . �. TELEPHONE # Home Telephone Number NAME OF CORPORATION. NAME OF NEW BUSINESS A cs . . �t_N.t t nS : . . TYPEbFw BUSINESS D 1: . IS THIS A HOME`OCCUPATION? YES NO ADDRESS OF BUSINESS Cl_ a�nh�s f3- MAP/PARCEL NUMBER �.(o a [Assessing) l7� o� l n the n regulations of the Tow of in compliance with a rules and When startinga w business re r several thins you must do in order to be e new bus ess e are e p g 9 Y Barnstable. This form is intended to assist you in obtaining the information-you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has been i9f9rmed of the p rr it requir ents that pertain to this type of busines MUST COMPLY WITH ALL ` A orized Signature** 'HAZARDOUS MATERIALS REGULATIONS. COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Date:/ y/epa/� TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS &I SiT&MVENTR: NAME OF BUSINESS: -t4 o �,z bg ��i t�fii tJ� �' { ) rdAf CO-R41 BUSINESS LOCATION:raj, INVENTORY MAILING ADDRESS: Imo-U g- TOTAL AM NT: TELEPHONE NUMBER: (5c�s) CONTACT PERSON: o e EMERGENCY CONTACT TELEPHONE NUMBER: -Z5--I MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATION Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND FIAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum y Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides; herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's CO Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel s Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS J@icant's Signature Staff's Initials No. 2!/0�=1 -3 0 Fce THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE} MASSACHUSETTS Application for Construction Permit Application for a Permit to CgTfft( )Repair(VUpgrade(* Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. �m �E Ownee ame,Address and Tel. l. vg �►a- As9 d�/� " ? 7�y � Asse sor's Map/Parcel , ?G ' d v ✓�*k�►!� V s�j 3 /B Installs .Name j ddrpss,aqd Tel.No. Designef's ame,Address a Tel.No. n ♦ SS-6ce F640�i.+ [7p`2 mar492 -ao t i 4ars, ,f/y o o< Xf Type of Building: Sod 7"7S —.3358 —5 Dwelling No.of Bedrooms 3 1 Lot Size l0 O sq. ft. Garbage Grinder( Other Type of Building eX•• No. of Persons 6�; Showers( ) Cafeteria( ) Other Fixtures Design Flow 3d gallons per day. Calculated daily flow 2-774Y L gallon/ie!�cy , Plan Date Number of sheets Revision Date Title✓u4 c CC @s Size of Septi Tank i'SGO eL Type of S.A.S. e C14- Description of Soil '� '� �^ ti ©r QM1 -9 (4 m r l e-o ,, 7 — / Y tM O h <. S./ Natu of Repairs o Alterations(Answer when applicable) ;�W Z>C S/ .� J Date last inspected: 6_Z_714O01 Agreement: The undersigned agrees to ens u to construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions Titl 5 of the Environmental ode and not to lace the system in operation until a Certifi- cate of Compliance has been is a by t pis Board of Health. c Signed Date CG Application Approved by Date � � Application Disapproved for the following reasons Permit No..�/ -3 Date Issued '7 /6 O THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( ) Repaired (KUpgraded (81-� Abandoned ( ) by at rat/'. has been constructed ' ac ordance with the provisions of Title 5 and the for Disposal Sys ern Construction Permit No. — b dated '�' �` Installer Designer a vest /p `k 7 / The issuance of this permit shall not be construed as a guarantee that the s m (I f s sign Date Inspector No. ��`�3 � ——---———— R . � —----. �C /�� --...:.-sZ,�•.^.-..—.,— � Fee THE COMMONWEALTH COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS wigofsaf �§pgtem Con.5trUction Permit Permission is hereby granted rtoC n truct( ) epair(Y)Upgrade({Abandon( ) System located atLii<.t 4s<� CAI 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 this permit. Date: Approved by +'n k No. -S Fee THE COMMO WEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN.OF BARNSTABLE, MASSACHUSETTS ZIppfication for Migonf 6pe;tem Congtruction Permit Application for a Permit to Construct( )Repair(Upgrade Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. 3 z�;,o`j Own ' ame,Address and T�el.,N (;Va r Assessor fs�Ma Qarcel 3 /� 5, iS 83 Installer's Name,Ad ss Tel.No. Designe 's ame,Address Tel.No. 117 02 do L �.5-',Gib i �+-. ?SF;.� 4�ts, ..>' j o o, r Type of Building: .508' 77.5 J358 --5lev //AA^^ Dwelling No.of Bedrooms 13 1 Lot Size /D O sq. ft. Garbage Grinder( X/61. Other Type of Building 10C.- No. of Persons Showers( ) Cafeteria( ) Other Fixtures 3 2-Design Flow 130 gallons per day. Calculated daily flow 77`// , 6 gallon/. a9!-"cy , Plan Date 2&o Number of sheets Revision Date Title✓ua i CC e S Size of Septi Tank /SGO g4_/ Type of S.A.S. 'T e Description of Soil ti ©r' Qpq- G at 46, WC2&_� e e� �' .7 7-5- Natu of Re irs o Alterations(Answer when appplicable) �-SZ v c? G,.� cue p�Z atki,k- i Date last inspected: 2 rle;yU/ Agreement: The undersigned agrees to en su a construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions Titl 5 of the Environmental ode and no ;tcplacet�hhesyste in operation until a Certifi- cate of Compliance has been is a by�tis Board of Health. c Signed Date C6 ?®U� Application Approved by Date Z Application Disapproved for the following reasons Permit No. -3 0 Date Issued ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (orUpgraded (SK Abandoned ( )by at l vt K� �• has been constructed ' /ac ordance with the provisions of Title 5 and the for Disposal Sys em Construction Permit No. 0 dated G Installer Designer Cl v ci1 /p / The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector - — No. /—5_3 3 7 Z/�)� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mie;poof 6pgtem Con.5truction Permit Permission is hereby granted to Con truct( ) epair(Y)Upgrade(eAAbandon( ) System located at 2- �Lii�.t 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 this permit. Date: Approved by EN y>OWNOF , ST'ABLE ;�: � }� f rl"' ' LOCATION a! 7 h/,y G A SEWAGE #. VILLAGEh�,t_a�; ,t4,- . P � LOT „ INSTALLER'S NAME&PHONE'NO, 13y\6340a SEPTIC TANK CAPACITY 1 � LEACHING FACILITY: (type) (s\ze). NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: I`� C'� C OMPLIANCE DATE Separation Distance Between"[he: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility' Feet f. Privaie;Water'Supply Well and t6aching'Facility (If any wells exisC' on site or within 200 feet of leaching facility). Feet -Edge of Wetland and Leaching Facility(If any wetlands:eztst within 3'00 feet of leactung facility) Feet Furnished eye ew , I .a i •i ei. Eb7 ti No. �C/!/�"-� a ,;%, Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplitation for Miopo.5al *pgtem Con.5truction Vermit Application for a Permit to Construct( )Repair(Upgrade(Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. .3 Z O � E ownef_J;ame,Address and Te�l.,Nq 2(� � / -71�iyme,OVit G'c.0 v! � V G//-<L' As se sor's Map/Parcel ✓ �7/_�J j //e AO 3 ig 'S'83 CJ7.y5/ W ..��i</ Installer's Name,Address,and Tel.No. Designe 's Xame,Address a Tel.No. n oe Type of Building: Dwelling No.of Bedrooms Lot Size /© O sq.ft. Garbage Grinder Other Type of Building No.of Persons ��_Showers( Cafeteria( ) Other Fixtures 3 Design Flow 63d gallons per day. Calculated daily flow f 2,7 A, `V!�! gallon/i&Ly , Plan Date 2c Number of sheets l Revision ate Title+�� f / �' CC @ s Size of Septi Tank Type of S.A.S. Description of Soil Rvw 4' a Iva A /�Natu of Repairs o_r Alterations(Answer when applicable) �� Date last inspected: ®/ Agreement: The undersigned agrees to en a construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions Titl 5 of the Environmenta ode and not to place the system in operation until a Certifi- cate of Compliance has been is e by is Board of Health. c Signed Date 7116AVal Application Approved by - Date 7 / Application Disapproved for the following reasons Permit No. ,� S 0 Date Issued -7 l6 2c��/- No. .« -=� Fee :.�` ..r ,•" 4 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE.,.MASSACHUSETTS 0[pplication for Migpogaf *pgtem Congtruction Permit Application for a Permit to Construct( )Repair(Upgrade(4/)Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Own err�s,Name,Address and Tel Nq /1�GY�4 6AS3.) 2-G t��f G�i.! W `yerKn�s G�S v vl ISGI ti IleL 0A/G CS ram' Ass e Cor, 1Ma Gazcel 3 �, ✓ ,�/_/1� �J �/ �' � 712 Z,3 A6 Installer's Name,Address,and Tel.No. Designe 's Name,Address and Tel.No. of Type of Building: Dwelling No.of Bedrooms Lot Size /OAX?0 sq. ft. Garbage Grinder(/-6, Other Type of Building C'S No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow � � gallons per day. Calculated daily flow 2-7 7-/ v / f gallon , Plan Date /3 2do / Number of sheets Revision Date Title/uG iC� - C/ _1,6G `G G>C� c @COC y k- �S y Size of Septic l.Suj Tank Ci' Type of S.A.S. T e c� 3 Description of Soil A p'"? 0 c Ah/C sc7cf /40cP l° / T44 C rit edC'IrJ!^Sn sa.h P► /'7 _� G3/cr /�BC�1'B 7r �—��) 1 Natu of Repairs or Alterations(Answer whenaPplicable) — S�a /n--,� Date last inspected: Agreement: The undersigned agrees to ensu"he construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Ti tl 5 of the Environmenta ode and not to place the system in operation until a Certifi- cate of Compliance has been issued by is Board of Health. c Signed Date 7116 Av U1 Application Approved by A ._;y: r_ _..::=Date Application Disapproved for the following reasons t Permit No. -ko/-S`3 Date Issued /6 O THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed.( )Repaired (0)'Upgraded(V-') Abandoned( )by at 3 Z Z>v l "J r;l A,�a,6zC ee 9�' 26; OGi has been constructed in[ accordance with the provisions of Title 5 and the for Disposal Sys em Construction Permit/No. — dated Installer Designer Z 79 The issuance of this_permit shall not be construed as a guarantee that the'system will func`oon ti designed. % j Date , 1 \ Inspector k No. Z/��� _ m�•«- .� Fee J�✓)'"'._ — . THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ligpo!W *pgtem Congtruction Permit - Permission is hereby granted to Construct( )-Repair( )Upgrade( Abandon( ) System located at 3 2 AV ti;.Iu ckE'- , r s/.4�fl n 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 this it. Date: " /�- ' � Approved �� r Health ComplaintsU.- 09-Aug-05 Time: 8:00:00 AM Date: 6/28/2005 Complaint Number: 18209 Referred To: DAVID STANTON Taken By: DAVID STANTON �� r Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: Business Name: Number: 62 Street: Dolphin Lane Village: HYANNIS Assessors Map_Parcel: 268-0 CO a Complaint Description: E-mail from TG to Building Dept. to inspect with Health Inspector. Cars out front, cars out back, trash all over the yard. Actions Taken/Results: DS WENT TO SAID LOCATION W\JF OF BUILDING. VIOLATIONS OBSERVED. WHEN DS GETS TIME, HE WILL SEND OUT AN ORDER LETTER. ORDER LETTER SENT. OWNER CAME INTO THE OFFICE I ON 7/21/05 AT 3:30 PM TO KNOW WHAT LIP 4� WAS NEEDED. JF AND RW OF BUILDING ALSO CAME OVER. WE EXPLAINED BEDROOMS IN BASEMENT AND KITCHEN IN BASEMENT NEED TO BE REMOVED. Investigation Date: 6/28/2005 Investigation Time: 9:45:00 AM A-X n A Url� Wf}TA-Nfl�� BOARD OF HEALTH BARNSTABLE,WEST HYANNISPORT,MASSACHUSETTS CERTIFICATE OF COMPLIANCE THIS IS TO CERTIFY, That the individual Sewage Disposal System repaired by Joseph P. Macomber& Sons at 62 Dolphin Lane,West Hyannisport, MA Barnstable Assessors Map #268/061 Barnstable Registry of Deeds Book 3732/ page 318, Dated 5/15/1983 Has been constructed in strict accordance with the provisions of Title 5 of the State Environmental Code in as described in the application for Disposal Works Construction f Permit No. 2001-530 dated July 16, 2001. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactory. DATE: September 17, 2001 Inspector: Norman Levin,P.E. #8791 N OF a oy g NORMAN U N No.8791 TER�� ENGINEER Registered Professional Engineers Stamp s— C , J 4w • P/��� � a06/ 'S34 Pe, ZD ' s d A5 q/1P7 NORM' 40 LEVI -+ N �. 2l S� o..879T. �FQISTER�9 ENGINEER �o• 3Z.o� ' � ., 1 GvcLis - LL �,a —- - Rud'o•�' - unniew rn C 3'° obe - 3 01 N -AS c -r�Home Q,O'.' ' Y 1 est Rd 3 r a. m Putter la 7 ;. o� -1_; N `I er La n '\r P a Adre Sande a ned SU,Pin rs t or�o St c na er T pia no 'a to Am 4 6,Shor er C�.led r 'hod-_ ;'t,3tifi�•hR m Srini ' e •M, .�t ' .i"�;+r d , ...:; P. -Z Ave a`,j, - d .�%'i L .x}u: .t , i s: :�.'t..s MILE i0 a each r o ' + z f 9 e Nd U % }, Q E' ��2 Snlit �C%n�F:* �3 j .y S Ky'I,L�ONETERsL,{�, Wes r a Ur a I HYANNISPORT 'r o Z O m Pi ➢ y. I CLUB A $t Hy nnis ' ` s` I ` Fes LOCUS PLAN I Scale: 1" = 1885' I _Sewage Calculations (less than 5 min./inch) 3 Bedrooms x 110 gallons/B.R=330 gallons/day , 330 gallons/day x 1/0.74=446 s.f. required Existing Leacbing pit(only 2' of sidewall used) Sidewall: 2' x(3.1416)x 5' x 2' depth= 62.83 s.f. Bottom: (3.1416) x 10 x10/4 = 78.54 s.f. Total Existing Pit = 141.37 s.f. } New Leaching Trench: 2' w x 2' eff. depth x 51' long=306 s.f. Total Existing Pit+New Leaching Trench=447 s.f. >446 s.f. O.K. l I GENERAL NOTES • This drawing has been designed in strict accordance with the The Commonwealth of Mass., Department of Environmental Code,Title 5. • See Plot Plan in Barnstable,Mass.,dated 6/28/'88 as prepared by Eagle Surveying&Eng., T-- _ to Caahnarri i..2nP- Hvannis.MA(508-778-4422) No. _ 3 7 Fee _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACH_U_$ETTS 4� 05al *F9tCM Con-gtructi � � hermit Permis 'on is-he v is-hereby granted to Cons ct( ) epair( )Upgrade( )A andon Sys m located at �-• � vt ,Kh �! and described in the above Application for Disposal System Construction t. The comply with Title 5 and the following local provisions or special conditions. recognizes his/her duty to Provided: Construction must be completed within three years of the date of this it. Date: /.-- ��� j� Approved MODIFICATIONS TO THE EXISTING SUBSURFACE SEWAGE DISPOSAL �. SYSTEM AT#32 DOLPHIN LANE, BARNSTABLE, MA FOR JASON & SHIRLEY BAKER 54 ANGUS WAY, CENTERVILLE, MA Drawn By: Norman Levin,P.E.#8791 25 Lexington Drive,Hyannis,MA 02601 Telephone: (508)778-5110 Dated: July13,2001 Scale: As Noted Sheet 1 of 1 ro ngt ! i LL �b —- - Rudd.1 a c m Nom un ew rn m S e La GestRd o obe G w le 'a '4 �y� t c w m Putter La Sandp er La in S c7 Pea .`Atlrena a nedy er T r pvJ f nor yy _ R S` 3 a m A_m $ `n Snor er Ct e� r Sh d = Simi D - cFtd MILE °i m Ave 9 a` °' $ 'tv;-fjeE q N U a Beach /l41 Smit e N = D /¢ yfG'abCy.Y.l.�.µti. `1j�s' f .3•' I Wes e a 7 - q, G W a 3 M o a I HYANNISPORT 'rm o w � CLUB f z m Pi v i ro Hy St f nniS Fes LOCUSPLAN Scale: 1" = 1885' 1 Sewage Calculations (less than 5 min./inch 3 Bedrooms x 110 gallons/B.R=330 gallons/day 330 gallons/day x 1/0.74=446 s.f. required Existing Leaching pit(only 2' of sidewall used) Sidewall: 2' x(3.1416)x 5' x 2' depth= 62.83 s.f. Bottom: (3.1416)x 10 x10/4 = 78.54 s.f. Total Existing Pit = 141.37 s.f. New Leaching Trench: 2'w x 2' eff. depth x 51' long=306 s.f. i Total Existing Pit+New Leaching Trench=447 s.f. >446 s.f. O.K. j GENERAL NOTES t • This drawing has been designed in strict accordance with the The Commonwealth of Mass., I Department of Environmental Code,Title 5. f • See Plot Plan in Barnstable,Mass.,dated 6/28/'88 as prepared by Eagle Surveying&Eng., j r..... to Caahnarri lane. Hvan.nis.MA(508478-4422) i No. J-7,/j-1/ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS �=Biw!gar bvztem Con.5truction Permit Permission is hereby granteed. toC n��ct( ) epair( )Upgrade( k-Abandon( ) System located at ice C t ...L ;do 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 this it. Date: Approved MODIFICATIONS TO THE EXISTING SUBSURFACE SEWAGE DISPOSAL SYSTEM AT# 32 DOLPHIN LANE, BARNSTABLE, MA a FOR JASON & SHIRLEY BAKER 54 ANGUS WAY, CENTERVILLE, MA Drawn By: Norman Levin,P.E.#8791 25 Lexington Drive,Hyannis,MA 02601 Telephone: (508)778-5110 i Dated: July13,2001 Scale: As Noted Sheet 1 of 1 ro r ngi � uQ� u i N IN t AV woo i Tanks Ce s - Leachfields Pumped & Instaaied 7 n� 775-3338 775-64 2 Norman I'leviri 25 Fsti.riatei 'Title fiaC- sef-ttiv f.h' !t� r(31�Y =i;!�.,c4���{ylr•; ^:,� t,hi.�hi.t=F:S � 1:W2;fJi'{S � c1�lF+I1lC:�•.. s ti.imate -. .. ..._ .._.._..._...... ple Y4 OZ--j.' Any, other work wil.1 be addi-t..io%nal a� a r l , 1 I 07/17/2001 11:58 508-778-6317 NOR LEVIN PAGE 01 ' r�OM ONWEAIT , N ,•....� � 'FMCUTIVE DEPARTANT OF fE ; F Ro AL PROT ( N Ike !r� OfFrC"f:OL INSpIE{�Y17(1Nd? y rL S ' ±i NOT FOR VOLU SfUB''U1l1:A�g" 'AG.E nispos V.AMCS,-sME;� ; ' - I�nl:lvl i PART A CERTIFICATION i rrope"y Addrti,: ntraer's Name: i 1 Owner's Address:., �..• � a Deft ntlMrlpettian:W`• w ti IVline of inypertnr:(pies print Company Name, Mdhg Address:.--.- Telephnsa Number,- C�nriF'IC'ATION S TATERtEIY 1" I Cettifti that i hatia rersnrtally inspt�ted the le-Age dis osal s i; `•.' " P ystesn M this addim tmd that tht in(+rtrieucxti repartcd i below is Me•accurate and complete a5 of the time orthe inspection. the 'i O(igva9 parforrnh9 bated or,M, ;s training and exper'ence in the prehter function end mvn►enancoofna site sew�p l systems f am a qFP approved sl•stent inspeetnr putsusut to Secetna iS.910 of Title (911i CN01 i, +isr the system: Y (attd"i0ow"IsRSSES L"Rather Fvalmoon by the l otyl4ffPI virlg Author`~ry f . f Fails i Inspector's Signature: DiitMt B 3��i+o! 44'J jhe 9ybiErri,nspe.:t:>:s•hall submit a c y of(his Inspection report rr the A Auidtgrity(l;ovu4 hfFienith ur iuu Veit y within 90 Na";ur'<ompltring this inspectiott Irthe system IS a shared s Ow a desivi fluty ur 10,W Sid or greeter the�dspertt+r Md the System owner shall submit the report to the,, ,� uai '• DEP.Thu on inert shM,±d be sent to the system o—or and copies sent o the bil �1416 licahlg,and tht ttpixwring yar, ttjlf7! Motae and C'nrttrnenis Td eb%CIPP4 0(t-0 f� ter. r Y 0 ' This report onit describes conditions it the omit of lnsiteetion it d under the CQAditinq�„f use at that air;i time.Thts Jnspeeoon dtws not addri%ii how file system will perform in the lietltettM tlrider the tame ov different candi Yana of use. •iJ• Er i Title 5 Irispettfen Form 6 i S/ry0U0 07/17/2091 11:58 508-778-6317 NORM LEVIN PAGE 02 1 ltrge 2 of t I i N ' OFFICt,ki,INSPECTION popA jq0T FM VOL ;k. SUBSURFACE SEWAGE DIWOBAL SYS MGM PUT A CER.JXPIC4,71M jFftperty Address: ti.7 . ant*or inspection_ 'NoWti"Snesmary: meek A.B,C,b ry p/A ett ta< .". D i A. Symosee parses: l have not found any informstion whitb indicate><that My of*e y faii l 15.301 Of in 310 CKIR 15.104 exist. Any criteria twt�� descrihed in I10 CmIt � �o►o�w' it A �i. .. . . System Condhinarlly Fowl. +,;�. F _..__._..........._._�. ............ _; C)rte or rnpre systetn cn rwttetits as described in the"C.amdhtitattal t• c 1het�. . need to bs ited."The syitcrn a�lpnn cdrnplet9tYn a the rep frae+s�t pr replaced or � *e 13narc r Heahh,wirl �. Answer yes no or nit datewmined(Y,N,Nn)in the ti me tbrtbe AblbrrleS r'join, • if"not dr(emlined'"petsrrte _Th4FScpric tank is tnata9 g d over 20 years eK the talk Meonnd,axhtbita substWill6l 111M trdon or exAluwja b or»ut)is siructutttTty +Matting tent is replaced whh a plyi.og septic$1k*ter atpPFffW lit 6e m will pug inspec6m if dw "A metal septic tans; t4;II pass inspection if it is aswu„mly sosmd~tine le l iiig that the L"k is It's than 20 ,. s Ccnsf cete of Complispprx �aid u teHlllbtbts, xy�� t?hservaticm sac"sewW backup or break an er�glh' is wooer level "bution box due to brgMms or allstmcted pipets)or due to a bmkea,settled or tatewett distribution box.S appr�val Of Board of Heahh); *W inspoctino if(wish �;�i)in rrlpfat;ed diOrbudon bats it leveled ar rep4eed g QW Tl1Q SyStt'CI rCQ011Cd 11058 inspection i f(with apprtwo of$9 Board of d times,.You due to bt�ina ar d pi*s.,).The symeem will 1, , "! br0kn pipe(s)IN reipluod + NO explain: 2 K: . . 07/17f2001 11:58 508-778-631_7 NORM LEVIN PAGE 03 Page 3 of i i OFFICIAL INSPEC TON FORM •NOT FOR VCfLi ` V AStiIrSSh+If1ElYES ` SC.tBSURRACF SEWAGE T>ttSP0SAL f;yjTEMjjqgptCION Ft)htM y PART A CERTMCATION(contintao(r te"PlErtyAddrmss: f .�. Owner, �•t� �. i Date at ltnitection r C. Vartbar :valuation is Required by the Board ofHealtb: p i C'onditionc exist which require further evaluation by the Board or erthr to tle.rer nit►e it'tim symen't i lei#i.ny,tc.,prated public health,safety or The enviramrnent. t. System will pass unless Board of Httdtb determines lit accardanot systeth is not runt'iltlaing in a manatr which will protect public C:E611t t3..103t i Xb)that the ty and the enviroaatiatlltt: CessfrOul or privy is within 50 fret of surface wafer •Y Cesspool or priory is within 50 fret ofa bordering vegetated waniamjtMr,ti atilt maz1h y i4p Leg. �• System will fall unless the Board of Health(and Publle'9 Ater Se a "stem 15 funetit;rrio9 In 6 ntanaer that protaeta the public�alth,r 1[aay}dttertpioea that tide a>l✓at��ativtrpannraG :.sN'�rent has a Septic tank and soil absorption system(SAS)att11 d*jA S is A ith$n I(,)O fret a1'a i su:face water supply or tribunary to a surfirca water supply, t 7•he system has a 5tptic tank and SAS and the SAS Is within w!z0ft t 08 INN %eater supply, f The.,y�stem has a ' 4lf septic tank and SAS SAS is within SO t!t�ttt Private.watcx supply weld. y( The s-,rt@rn has d iG r; _ - ripe tank seed SASalnd the 5A5 is less tltittt !QO private tivstc� s"pply wall" Mathud useel to determine ditkme St}}c<t:,r entree knead ar i "'This system pas ses if the well water analysis,performed at a I)TP lttbor4tt?r>, for chlifurm hActeria and '(3tile astganic compounds Indicates that the well is ip.3d, LLtlrlrl IYcrr+thatf tiacilKy and the ptecrnctr oF arrttrtasttia nid'og+en and nitrate n;trogen is equati to of Jess �fail pp,r,> pm�`rdtd that no rimer ..�s criteria Eire trt 1 ggtre�i. A co of the analysis must be attocisi dij I+n ill t p. F { 3 , .i ?( Other. 60?, ' I mY ' .,t • 3 07/17/2001 11:58 508-778-6317 NORM LEVIN PAGE 04 ":!fir• `t Past:4 of t l O F)F IC[AL INSPECTION FORM—NOT FOR VOLVAJOY A;m"MEMS SUBSURFACE SEWAC EDUNOM • r :. PAYN A IC ERM CAS'"[lnelwNwrtad> owner; - -fire, Dole of Inspection•�� sr .. �'/ �a D. System Failure C'ritaris applicable to all systemst � You get indicate"yes"or"no"to mach of the followving for Wnspactiaaa: Yes iVu Ba9:k,j;oS sewage into facility or system componeat dur to oven t:loWc(I SAS or Ceasp0?} F+ 1)ischarge ar ponofwg of effluent to the surface of the ground ar�irArm dur.to att ove-dotsded or �� Clogged SAS gr cesspool r_ ,_ Static liquid level in the distribution box above outlet invert due to tW 4vetrinaaed tar clogp?.ed SAS or rtess�+oc�l D �. L.iquid depth in s:esap<getl is lesc their 6"below invert or available fil Its than"i day flow s Rviuu4d pumping more than 4 times in the last year lMdue to or ebsuwted pifWl). of times purnped �..: At pirrtk%n of the SA; ,cesspool or privy is below high grntrtwd wr rvattcrr: Any por.ic�n Qf cosspo*t or privy is withio 100 fact of a surCsoc'+rao* 1) or tributary:te,a surfwe C&supply. Any poi ton of a ov apoot or privy is within a Zone 1 of g pubk rtrq� Any portion of a cesapr.*ol or privy is within SO fret of a privats ly welt An. r,r:)riiun tAa cesaporil or privy is less than 100 feat bul Sgreat r Net from a Private warn suppyy well with no acceptable water quality analysis. 11"Mis WYOWRIN PM if the well water as Is, jwrformed at a D"aerYlfletd laboratory,for coftem baetetrlai vefbN(a mtgao6c toaspewad+ f indieutt�that the well is fret from polirttlo t from that heft preseare of aramostra aitrvgen and altrsic eltroges Its equal to or kin thaw$N?PO, that no other failure t are triggered.A copy Of the malyllr most be sttilth0d 16 611 r �t/e1 (Yer,-No)The sytrtete Wk.t have determined that one or more of the lit ure criteria exist as [' 1 P —`T d=scrlbed in 310 MR 15.101,therefore the system fa 71s ils. e ay�i tweet should eantact the Heard Health to determine what will be neomsar'y to correct Me tlillttn, l' " L Lrrge��"1ltRtnS� I I t To be considered a largr,system tbt ttyttem mint serve a facility with a dera oft 9,00 gptl to ISOtbO yc awl, l You ntta.K iadicatc eiilkar"yes"or"no"to each ott6a( lldwioF The folltrwing criteria ripply to large systems in aNtitlon to die witeria abiwe) y" no _ -w the:system is within 400 feet of a surface drinking wataer supply !• d ...� __._ the>ti>tzrn is within 200 feet of a tributary to a surface drinking wltl*1061"y r the st stele; i_, tar"ated in a nitrogen sensitive area(Interim Wellhead PWJ 0*oti.Arcs 'WPAI of a ZOur t)of a public rraW Wupptyr will f.fyou have ans•4or-d";&*to any qutettlon Ut Seetietl►~the system is consides+fir't1.ldgttiticant threat,or answe.red , yes"in Sc.:lion D Anve the large system his fhilsd.The owner or opomtor QX Wisige s%,1VeM r.onsidered a significam thre tt i;nder Section F or failed under Section D shaU up the 4n at:n'Hamr.r. with I100A " ` 15.101.'The.°cs+c„rrarCr shcyutd contact the appropriate regional office oofIhtl LORMFUnent j_� 4 r 07/17/2001 11:52 508-778-6317 NORM LEVIN PAGE 05 ri3i, - S Post 5ofii • C4F1�1CI, I., INSPECTION FORM. NOT FOR VOLU "Y ASSES, 1VI�:"Y"Iti t` SI.`BSUIIRF'ACE SEWAGE DISPOSAL SYSTEM 'TI(.IN I~f)RM j PART CIECKUST 1lrrnl►erty Address'. o y. - f � ell: �(. We of Inspectinn; ' Check if the-follnwin g have been done Yotj must u4dicytr' es•'or,,no-tie to the ic,liuw � Year ry PuM .;n�infannation wits y p p _ ... ...... � i, pruvigrd D the t)wfler,occu ant,or Boa1� �&Grity; ' 4 / t Were ar. cfthc system ccarttponents pumped put in the previousrwolo ? r.Has thy:system received normal flews in the previous two week pt v Have Iarge vniutncrr OF wiliter been introduced to the system recently AAF ptEn of'this in.spectxon A Wrre is built plans of the systmcn ubtaincd and e:tarnince irthey availAhle note,eo N',,A) Was tble far.iiity or dwelling inspected for signs of sewage bstk up q y %/'EB the 0e inspected fur signs of break out^ r _✓f - -- W r- all s+.'Stem VN""ents, excluding the SAS,itfe ad on site? eP _ W(""":' :optic tank manholes Uncovered,opened..and the inlellio[ttli ttelttk jn.,n�-fc i for tttr C.Mdition a$fr haflltx O.tec%.material a(cunstruction,dimensions,depth of liquid,d e rod J h of Kum Irk Was rh firi! - eD� A1�ll upt _... .. _. its owner fend pc'ctipanis if IS•ant owner)pmvi wkh inforrrIJ6011 Un the WWI- nupinlerarc e o'sub-;urface sewage disposal Systems'! i The stu and 10011ftM Of Me,Soil Absorption System(SAS)on t sift a been deurmiinod based.on, Yee no F1Xistin-L'in1"orMAtif. (`ear 0=pir,a plan at the Board of Henhh. ✓ t?eterrroinrd irk the r*ld Cif an- of the l'ieitune 0 iteria nitsaed to Ps"C 16 111 11"Mc of diNwice is uttaccrptable,X x it)('M.lt 15.3020)(b)i 4n 4 ' Q r) .•E r E x'�iG 07/17/2001 11:58 502-773-6317 NORM LEVIN PAGE 06 Par 6ofII i OFFICIAL INSIFEC71ON FORM—NOT FOR VOL �al►�Iii>p� L'Ht.! 'AC"1':SWAGI; fiALYSY') Iwk At� PART C SYSUM ►Tiop Property Address .. � r 4t. ,i .ter r 4-f4 { Wir or Inspection: ii EDENT1AL ?Watrber of lsedsrrotms(deutlys): Nurnbcr of bediisrrn=*x*Ad): ' DESIGN flow based on 310 CKR 15 203(for example: 110 Qsd st N t Number of current residmts: Dm residenee have a garbs$@ Srindar(yc$or no): r 4 iaund.ry on a separate xvrep system(yes Or no)• _ [ii!'yas jtuPlstrar�uirr�ij _ Exundry system inspecdtd(yet or no): Sedrsonal use:(ycs or no): } Water meter readings, if av *bte(last 2 years usue(aw)): 3wW PMP(yes at no): AID i LAM date of occupancy I COMMERCIAUINDUSTRIIAL Type ofestabiishment: _ .. ign flow(based on',1(1 DWI Of design ftuw ChUse tnW Present(yes or no): �,, WhVttiai waste holding taalt p m;;Mt(yes or no):r I&M-san(tary wastr disch to the Title S 9 . � y'�(Nos or Leo): WSW meter readings, if avail": r Lon date of occupancy/use: Oy71�R(ckacribsi. .g� i GENERAL INZnOMATION Np�o_kping Records I SV�PfA�e of infomation: V Was system pumped as of dwa impectioe(yes or no): Ifyem.,volume ptlmprd ._. !Ions• How.ras p pd� mimp' Rams far _..._._ IV".OF SYSTEM __,,,peptic tank di9trib0oa bats soil absorpeian syglis m a V✓'gttr&oesspool 0vedow oe"0061 .* Privy Shared systcr❑(yes or no)(if yes,attach previous inspection records.if any) bmovative'Altemati+ve ttthoology. Attach a eopyofthe cutrentoperWotl tsltf4 atrusutae t-c►utralc!(t�l be ablabWJ from system owner} _. Tight tank Attach a copy of the bE'F approval —Other<dascribe) Approxirn4tt}c age 11ralI components, date installed(iflaztown)and waive of ; T� mere sewage Mors detectod wlst n arriving at djo site(y%or no). 6 fi?: 07/17/2001 11: 58 508-778-6317 NORM LEVIN PAGE 07 Page 7 of 11 } OFFICIAL INSPECTION FORM m-NOT FOR VOL IY ASSVSS NTS :SQ[rHSt1".ACE S VVAdCE DI5P09AL SYSTPNI "C 10N FORM PART C SYSTEM.WFORMATION(eaxAft* Property Addrrs►ez npl- Date of lasp►ection; l g t BVILDINC SEWER(110C a on site plan) w Depth Wow grdde /" �. 1Ndltcerials of 4Urt tnt�tion:_ cStst trron _✓4p PVC_other( lair): - Distance I*om privy�e hater ssprly wall or suction lint Cu mtlents(on rondition ofjoi nts, venting,evidence oflnaksge,qw'): SIPTIC TA'gk; _._(Iomte on site plan) DtbW below grade w /VC1Xe- 4-Z J-d° 41111 if�terial of umscrucnon: M_cons•rete _rrtaCat fiberglass _ i dt iorip' _Ather(E'*p lain) .M,_ B lftanlc is metal Ifir,sir: w Is age confy7ned by dt Cartificaue ofcoMplittncs ltpe nai (artailt r cupy:of olprtiticate) - �ltntnYitms: - Sbdge depth - flfstrnnce f1'om top of stodge it.)N)"orn off outlet ter or baffle: S m thickness mince from to of scum to top,of outlet too or befTle: _ l rnCe From bottom Of scum to bottotn of outlet tee or baffle: l Mew were dimensions dett+t'utined: __ Ctmtmttnu Con nU,p!nc reeoramendatiows. inter and outlet ter or haffk coodid' te.,Tst as related to outlet invert, rAdettee of leakage,etc.): �ii '4 i. GREASt TRAP: (losste on site plan) 4.q f I Y Dttpth below grade ! 1VIItet'td'tl Of Con9Miction' r� ttsl Corte Metal ,"fiberglass�polye+thy1m er {y���, 4 �Wt1 dlid:lCress � d• >t. tRfte frr+m tots,:yf we urn to top ofootint lee or baffle,_ DfittUce from bourrrn of scums to N*om of oc;lttet We of DIIee of`lut pumping: Nftmtents(on pumping raeommendadons,inlet and outlet tee or baffle conditinaq,. Urai ilttegtiry,liquid kmels as related to outlet invert,evidencr of leakage,etc.): r 1 , Ayagof)1 QEF?C�tA..I.. dNSMCI7ONFORM NOT— 1 .n � SU8SCi'KFACE SMAC.E FOR VOL : :- PART C SVSTE Mrl��t11' 4 . 1 -44 ��• 1MMte trt CpP-tctipa•.. � c T11GfiT or Not.DiNG T t k roust be P time al' *"Ca(e un site plan) WOW Mde. 1M erfst fcn 7-"� .lciiart. �ex►gcrrta AY ._�..,. y wtil�rl Flt)W'-----._ _--........._ )ani/da ._._......---•--•,.. Atssrn pra§Mt()es or 001 y A? ieveh. oil In vmrkwg order(yes or no):. E'NIO<t of last pumpeng. tartti(GX7n:fltian aim and float switch",etc.); NISM111UTEON* 8()x: (if pf atut must be aP@n@df(i�ocft on sios p#an) of liquid levrri akPuvo pNdal Cbtam". (note if box 9s 10*W lmd distrib'U pa 141*49c into or out of bojL,a¢.). +pwdaoq of 046 cauTyover,any eviaia■oa Of MW CHAMBER. Iawaee on,Site plan) P MPa art working order(yes at no): Atoms in Working order(yo#* ooj: C4nttrtervtg(401e condition oflMapchamber,cnnditiaa Of Pumps and spp tom+ etc.►; I� 1 t J 4 . r t „ _e rl. r ! .s V 1 ' A Pop q of 11 OFFIC I. L INSPECTION FORM NOT FOR VOLVNTAIRY SU8SI xt.FACT WKWAGE DI'g ISSAL SYSTFIVI I ION FORM, PART C SYSTEM INFORMATION(continued) Property AAddr"s.. � Q, Date of laspection: ! s.. S Ott,ARSORPI ION SYSnM(SA5);.Y ovate on site plan,txrryatiai'sht required-) If SAS nor located explain tr: r Type y leaching pits.number,r,f ,.. _leaching chambcrs, r ...�._leaching galleries,o a leaching trencheR,tntRrlltar,length: _. �p leaching fiolJ , nurnbet,dimension. _._..._ overflow vesspool,ararrplbser'....� irutovative,alternative onern 'rypenarne of terhnolo Comment!*(note:onditiun of sail,signs of hydraulic failure,level Ctpondiatg p salt,cunditiag1 of vc±gr-hatk-. CESSPOOLS: ((,es$ppol roust be pumped as part of inspe(aioe)(locate on wile planj l wrnt►et and configuration. Depth -top of 114111j to inl ittvtn:._-. 1tatltth of-"ids ta)er ,. Depth of scum layer ti DuMnsiOM Oft:esap*o1. r Matanrtis vt'tionsY'hat.tian: ,,, ; ( tradlicatiort of grtiatnvlwuttK 1l#1&o*(Yes or no): k Cwrmenls(note n.,rid Ii Ps011,signs of hydraulic failure,level of p,tmding.cRookin r,f cgeU►i,on,etc) ]PRIVY,•�„m(tocate can siliptiatt)A� Mmartals of coitstruci ir+n.. C.' -t.. Depth of soltda ..r. Contrrients(note cunif ition df ikyil, 5(if l+ydraulie failure,ltye orportdia'tg,caOmcrrt of'veetBlim,etc.): ; 4 107/17/2001 11:58 508-778-5317 NORM LEVIN PAGE 10 d'it •l 1; {c i t.d Pgge 10 of 1 I ;`, t. OFiF'IC'IAI, I?rISPFc Y ION FogM •NOT FOR VOA, � SUBSURFACE SEWAC;E,0LSpG tL SYSTEM Y xts6,�, � PAWF C S"IfaT J1MWAMNy�M■1 rrnperty Address; � p Owner. pd«8 0, r 11 Date of l '+ on: II. �4 1 r UMT°CFI OF SEWAGE DISF05AL SYSTEM S' Pro vide a sketch aithr sewage disposal y >: Pawls stem including ties to at lCut twa pit rcfrrrntc>aaaoutks cry �ch+t�s.Locale all"113 within 100 feet. Locate w �� 14W1f#dW&du!hudIdina ;k t • Y ; i �e I, xy� a �y J 17' e, i If f t i. 07/17/2001 li:58 508-778-5317 NORM LEVLN PAGE 11 Post IIofII OFFICIAL INSPECTION FARM -NOT FOR VOL I' ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM CTIONi FORM PART C '. SYSTEM INFORMATION(oonfimA a Prof►tt�address: __�� F, N �rOwner: Date of lasp e 46 n Y_ r Y' SM FXAM Sane Surface water #, Check cellar SwIllow wells rr} Owe _. Lvtimatrd depth to ground water f�feet P1epdicate(check)all"HdInds used to determine the high ground waWsh, rn e ( [Ained from system design plans on record-If checked,date ofdesipOkm revie red' awed situ(abutting propertylobscrvetion hole within 150 font afSA �u. j+' ni-cckad with local 80014 of Health-explain- Local excavators,inert ilerl..(attach dac"eluatinn) ACcossee� lj,"�ti!�rldll�Ie�Cx118r<in: •.:�'1, i, i YOU must descritfr how YOU 404blished the high ground water ekvatIo"! ._-• - .... ! iCr - t!t 1 rr, _ r J II ri r: Rl; f i 9 I t •' { : rr'" W �'l•�1L 5 � R `p5"40,� v� 78 97 .1 i b DECK LOT 32 0 � / �24. '4 44, 28'+ ,60"' m w / / J321)�62/ ( b rn / / , , , , , / / i6.0'' / / / / / / / 2,0'/ / / / ,2;0 31 + rn tv/ /26 5'/ ` ,Xl 00 S8p5p.pp,� 98 38- ► � LOT 31 - NOTE. PRE-EXISTING NON-CONFORMING RES.. ZONE- "RF-1" This MORTGAGE INSPECTION Plan Bank is For only FLOOD ZONE. "C" THE DISTANCES AND MEASUREMENTS ON THIS PLAN SHOULD BE VERIFIED BY AN INSTRUMENT SURVEY. TOWN: S REGISTRY OWNER: JAhFO9V BS_H_1RLE_Y_R--.I-- EARL BAKER DEED REF: 3 8 _ BUYER: -ABM A-& ffM,8L,1YATAAfABF, — _ DATE: �8/�OL_ _ _ _ PLAN REF: �9/11 — — SCALE:1"=__20__FT. I HEREBY CERTIFY TO M1V�]_Q1VF._CQRPZ-__________ _____THAT THE BUILDING M OI YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT ITS POSITION DOES ____ CONFORM 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE �y�46 TOWN OF ___BB1&LV-'TABLE--------------AND THAT INDUSTRY ROAD IT DOES_NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD p MARSTONS MILLS, MA 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED Q _W,9_? TEU 428-0055 i A unit -Panel 0001 0008 D lie FAX 420-5553 __ THIS PLAN NOT MADE FROM AN T SURVEY 31554 JF NOT TO BE USED FOR FENCES. BUILDING PERMITS. ETC. C Date cc p A 10 ms .°9� S. 7r) °c° vj a mm cc cc .C.0 a a. 00 LL.IL < < .in� '_ V9 i..16J Ox v v CL O- Ica rt iLc lhL _ < < CLCL L L EE Q� E Q 0 0 �e 382 Barnstable Rd., TJ Maxx Plaza n Hyannis, MA 02601 Ph. 508 n 790 n 8333 -Fax 508 n 790 n 8320 www.bluewaterprintanddesign.com ,5 1 s rh Certified Mail#7003 1680 0004 5458 2261 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 July 1, 2005 Fabio Watanabe 62 Dolphin Lane Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION, THE TOWN OF BARNSTABLE CODE CHAPTER 170, and CHAPTER 353. AND 310 CMR 15.000, STATE ENVIRONMENTAL CODE TITLE 5. The property owned by you located at 62 Dolphin Lane, Hyannis, was inspected on June 28, 2005 by David W. Stanton R.S., Health Inspector and Jack Fitzgerald, Building Inspector for the Town of Barnstable, because of a complaint. The following violation of the State Sanitary Code was observed: 105 CMR 410.450 Means of Egress. A bedroom was observed in the basement with no means of egress. The following violation of the Town of Barnstable Code was observed: 4353-1 Responsibilities of owners and occupants: Garbage and rubbish was observed on said property, including litter and bags of leaves. The following violations of the State Environmental Code were observed: 310 CMR 15.301: System Inspection. A Title V septic inspection report was not filed with the Town of Barnstable Health Department. According to the Assessors records, the property transferred to you on September 19, 2001. 310 CMR 15.352: Increases in Design Flow to a System. An increase in actual flow to the septic system occurred when the illegal basement bedrooms were added to said location. 310 CMR 15.214: Nitrogen Loading Limitations. You are located in a nitrogen sensitive area with more bedrooms than allowed. QAOrder letters/Housing violations/62 Dolphin Lane.doc y C1 You are directed to correct the violations listed above within thirty(30) days of your receipt of this notice by removing the illegal bedrooms installed in the basement of said location, filing the Title V inspection report for said location with the Town of Barnstable Health Department, and by removing all the rubbish and bags of leaves in the yard. 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 with the State Sanitary Code 11 and\or the Town of Barnstable Code will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Any violation of the State Environmental Code (310. CMR 15.000) shall be punishable by a fine of not more than twenty-five thousand dollars for each day that such violation occurs or continues, or,by imprisonment for not more than one year, or both such fine and imprisonment. PER ORDER F THE BOARD OF HEALTH omas A. McKean, R.S. Director of Public Health Town of Barnstable Q:\Order letters/Housing violations/62 Dolphin Lane.doc fU • I • • • • • ' ni cc ,n OFFICIAL USE �"l Postage $ , 3-7 Certified Fee o v E3 Return Reciept Fee Postmark I3 (Endorsement Required) Here O Restricted Delivery Fee (Endorsement Required) A r" Total Postage&.Fees $ t z ft'1 O Sent To ' i6 - - -- `' _ an'a---�------------------------------------- [� Street Apt No.; or PO Box No. OO - r---- Am City,State,ZIP+4 0.2- 601 Certified Mail Provides:a A mailing receipt (a-ea)aooe eunr•oorse uuozi Sd n A unique identifier for your mailpiece ,i' i o A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. o Certified Mail is not available for any class of international mail. e NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. c 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 USPS®postmark on your Certified Mail receipt is required. e 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". o 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. a � COMPLETE •N COMPLETE THIS SECTIONON• ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent X ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by( rinte�G='7 of eliv ry ■ Attach this card to the back of the mailpiece, or on the front if space permits. a A D. Is delivery address different from item 1? U Yes 1. Article Addressed to: I If YES,enter delivery address below: ❑No ����'a WaTG/►crbe l9 Do 1p►1ln I i fr M 0 U 3. Service Type ` 9 Certified Mail ®Express Mail ❑Registered 91 Return Receipt terh4erol ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7003 1680 0004 5458 2261 (transfer from service label) PS Form 3811,August 2001 0 Domestic Return Receipt 102595-02-M-1540 f , UNITED STATES POSTAL SERVICE I First-Class Mail I Postrge°&Fetp Paid USPS Permit No.G-10 I I • Sender: Please print your name, address,and ZIP+4 in this box • I I I Public Health Division I Town of Bamstable f 200 Main St. Hyannis, Massachusetts 02601 6 I I i i Health Complaints 25-Jul-05 Time: 8:00:00 AM Date: 6/28/2005 Complaint Number: 18209 Referred To: DAVID STANTON Taken By: DAVID STANTON Complaint Type: Article X Detail: Business Name: Number: 62 Street: Dolphin Lane Village: HYANNIS Assessors Map_Parcel: 268-061 Complaint Description: E-mail from TG to Building Dept. to inspect with Health Inspector. Cars out front, cars out back, trash all over the yard. Actions Taken/Results: DS WENT TO SAID LOCATION W\JF OF BUILDING. VIOLATIONS OBSERVED. WHEN DS GETS TIME, HE WILL SEND OUT AN ORDER LETTER. ORDER LETTER SENT. OWNER CAME INTO THE OFFICE ON 7/21/05 AT 3:30 PM TO KNOW WHAT WAS NEEDED. JF AND RW OF BUILDING ALSO CAME OVER. WE EXPLAINED BEDROOMS IN BASEMENT AND KITCHEN IN BASEMENT NEED TO BE REMOVED. Investigation Date: 6/28/2005 Investigation Time: 9:45:00 AM 1 Health Complaints 28-Jun-05 Time: 8:00:00 AM Date: 6/28/2005 Complaint Number: 18209 Referred To: DAVID STANTON Taken By: DAVID STANTON Complaint Type: Article X Detail: Business Name: Number: 62 Street: Dolphin Lane Village: HYANNIS Assessors Map_Parcel: 268-061 / l �p Complaint Description: E-mail from TG to Building Dept. to inspect with Health Inspector. Cars out front, cars out back, trash all over the yard. Actions Taken/Results: Investigation Date: Investigation Time: vp L� I 1 r �0-0 r Perry, Tom From: Geiler, Tom Sent: Monday, June 27, 2005 3:40 PM To: Perry, Tom Subject: Complaint Could you pair up a building and health inspector to look at this. Tom McKean is on vacation and will not return until Friday. Sgt Sweeney is on vacation so if there are Police issues you can let him know by email (sweeneys@barnstablepolice.com) . The house is at 62 Dolphin Lane W Hyannisport (off Old Town) The complaint states cars out front cars out back, trash all over the yard. i .. a"isAo-'a`}fH L= w ,s` � G✓'` d4 Home: Departments:Assessors Division: Property Assessment Search Results {illaab,,° b 62DOLP1111INN LANE Owner: �j Ire- WATANABE, FABIO A VIVIAN € roperty Sketch Legend f��►i•[585] I Map/Parcel/Parcel Extens 268 /061/ ` Mailing Address WATANABE, FABIO A&VIVIAN � r fryer %WATANABE, FABIO A €, 62 DOLPHIN LN R � j 0 HYANNIS, MA. 02601 2005 Assessed Values: Appraised Value Assessed Value Building Value: $ 112,800 $ 112,800 Extra Features: $2,400 $2,400 Outbuildings: $900 $900 Land Value: $ 128,100 $ 128,100 Interactive Property Map: ap requires Plug in: Totals:$244,200 $244,200 1 have visited the maps before First time users Show Me The Map Click Here April 2001 photos available , Sales History: Owner: Sale Date Book/Page: Sale Price: WATANABE, FABIO A 2/2/2004 18177/276 $100 WATANABE, FABIO A&VIVIAN 9/19/2001 14246/338 $173,500 BAKER,JASON B&SHIRLEY R 5/15/1983 3732/318 $62,500 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $44.32 Town Fire District Rates Other Rates $6.05 Barnstable-Residential $2.12 Land Bank 3%of Town' Barnstable-Commercial $2.80 Hyannis FD Tax(Residential) $371.18 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $ 1,477.41 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $ 1,892.91 Due to rounding differences these values may vary i ' Land and.Building Information Land Building Lot'Size(Acres) 0.23 Year Built 1962 Appraised Value $ 128,100 Living Area 1458 Assessed Value $128,100 Replacement Cost$ 139,235 Depreciation 19 Building Value 112,800 Construction Details Style Ranch Interior Floors Carpet Model Residential Interior Walls Drywall Grade Average Minus Heat Fuel Oil Stories 1 Story Heat Type Hot Water Exterior Walls Vinyl Siding AC Type None Roof Structure Gable/Hip Bedrooms 3 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 1 Bathroom Total Rooms 7 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,400 $2,400 SHED Shed 136 $900 $900 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRIN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) cu .CD u?�i V !t , t #� t a - .,77a ' k �.r k� h 4'� i a v 4 41� \ k •k'»^'f'' "',.t ^y ''r{ty ':}.,'cst+"s.'/^+Y� yt��,1�_ =4..»+.+- ,1+ �• � L 1* � 'j(� "f.• ,F �.m.. -�#,��Rr:- �,y� ��k�k' �l i_� a � ."..�^"•+1c�„'��TFY h i�Yrrr��� � �U ��. ik yl VtI aw ''Y i d.f t• iiC' y,.......u. f' !`4 '� 'a t,�--•-�, �',,,,e� `�'a��'1c�`"'l�/I��'d��.V��''':%"!!.1 j`�'� � & ,-�:t � I � r ' '.4 t• 1 � ,` ,:�}� tcr° t t••» , { .y t�I r','t-,['�•.y».�„L�.9 � .t h. �, a �F A 41 �p o / t w I • l LA .(y t' e �L �, 'r,�4e '�,. .�� ts't^_ t j i�,kl� J ..+t �•i�`F''s.f" AP, Jo J"r� ! 4+,�..'W �ti,+x»7F'ti ° r T^ \`," •-.'+ �r l`Jo `1 •^.;SV'�Y �{�.P' ��� •„+ra`C`(.Si'tt �,� '� y''-`' ;�.r'�-ia.. +ylt .-_r'_• - a,��ti may'jjji m.;v„ a�•,�tr. rA js oo IL Ali �..:< �~�F"'•'•!rQ'Y���.�:il� }'-����,g7�t xf 7�j•:. 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OC, D a .� m d P. t0 x)¢'$�3ro ,6•�,,.-0, .8'Y`6Z'.k,.SMILEi r.3 y N _ d �G�TGN Ave n BeachN c j Ot �ice/ c�G I!i } iY ;` o<�y t�yqe.s II U U R SmitsA Sw 7 F .. 5 ILOER�4 1 p Wes �e� a ? `Ich G �g M T n r a ' T a (n o 1 HYANNISPORT 'r CLUB /,714 c27� l: 3t Pi 'P. a y J I ,d S•�J '_�s� !F Hy nnis Fes LOCUS PLAN - l Scale: 1" = 1885' G� L= 30 92 Are'?- �o' .�� Sewage Calculations (less than 5 min./inch) ' 3 Bedrooms x 110 gallons/B.R=330 gallons/day 330 gallons/day x 1/0.74=446 s.f. required Existing Leaching pit(only 2' of sidewall used) ? '2 ��li�� Sidewall: 2' x O1416)x 5' x 2' depth= 62.83 s.f. ; Bottom: (3.1416 x 10 x10/4 = 78.54 s.f. lca`h'�r/r Total Existing Pit = 141.37 s.f. Nb T/�a� " New Leaching Trench: 2'w x 2' eff. depth x 51' long=306 s.f. E Total Existing Pit+New Leaching Trench=447 s.f. >446 s.f. O.K. GENERAL NOTES '� 20 This drawing has been designed in strict accordance with the The Commonwealth of Mass., Department of Environmental Code,Title 5. ` I !I • See Plot Plan in Barnstable,Mass.,dated 6/28/'88 as prepared by Eagle Surveying & Eng., Inc.,10 Seaboard Lane,Hyannis MA(5084784422) u �t j -3� �Z _ � � • Contractor shall contact the Design Engineer and The Barnstable B.O.H. prior to starting _ 1 i the installation to coordinate the required inspections. �` <382��s� —� • The installation shall be in strict accordance with Title 5. No changes will be allowed q .tv without written permission. No Garbage Disposal is allowed. Pipe connection at inlet&outlet of all components shall be made watertight. O i `" F� , • The Design Engineer,upon satisfactory completion shall certify,in writing to the Barnstable tB.O.H.that the Subsurface Sewage Disposal System has been constructed in strict accordance with the plan. He shall also prepare and submit an As-Built plan to the B.O.H. Bench Mark: (assumed 100.00)nail with flagging on window sill at rear of garage j gar' L 1 r System Profile (not to scale) �' �� —+ :M �✓C6o House 1500 Gal. Septic Tank Distr. Box(DB5) Existing Leaching Pit Leaching Trenches g,7i ' _ � Pipe inv. Id inv. out inv. in inv. out inv. in btm.elev. inv.@ start inv.@ end y 92.88 92.63 92.38 91.97 91.80 91.62 . 86.15 91.85 91.60 �� f�✓;j�, �rr,x�� ' MODIFICATIONS TO THE EXISTING SUBSURFACE SEWAGE DISPOSAL SYSTEM AT#32 DOLPHIN LANE, BARNSTABLE, MA FOR JASON & SHIRLEY BAKER 54 ANGUS WAY CENTERVILLE, MA I Drawn By: Norman Levin,P.E.#8791 25 Lexington Drive,Hyannis,MA 02601 Telephone: (508)778-5110 Dated: July13,2001 Scale: As Noted Sheet 1 of 1 ro ngr l aye; H