Loading...
HomeMy WebLinkAbout0038 FRESH HOLES ROAD - Health 38 - 40 FRESH HOLES ROAD, HYANNIS A= 292 015 f F a y V r oFtHe, Town of Barnstable - Regulatory Services Mass: Thomas Thomas F.BAMSMABLE Geiler,Director 16,39. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified Mail: 7006 0810 0000 3525 6573 Kent Haven March 16, 2012 41 Cleveland Way !. Buzzards Bay, MA 02532 EMERGENCY CONDEMNATION In accordance with M.G.L. c.111, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Humans. Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable on March 16, 2012 conducted an investigation of a dwelling unit located at 38 Fresh Holes Road Hyannis, MA. The owner's name of this dwelling unit is Kent O. Haven. The dwelling's last known occupant was Icasna Garats. Based on the results of that investigation, the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.831 (D), (E) the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include:. 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (C) - Failure to provide gas. 410.750 (P)—Garbage and filth throughout home observed from front step and from Barnstable Police Department Officer Testimony. 410.750 (H) - Front entry door is not protected against unlawful entry. Door has been kicked in and can not be locked t QAOrder Letters\Condemnations\38 fresh holes hyannis Based upon these findings any and all occupants are hereby ordered to vacate within (24)twenty-four hours and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated they may be forcibly removed by the local Board of Health(Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. You may request a hearing before the Board of Health if written petition requesting same is received within forty-eight (48) hours after the date the order is served. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from $104500. Each day's failure to comply with an order shall constitute a separate violation. Note: This is an important legal document. It may affect your rights. PER ORDER OF THE BOARD OF HEALTH I ecean, CHOIRS Director of Public Health Town of Barnstable Cc: Officer Danielle St. Peter, Town of Barnstable Police Department. ` Captain, William J. Rex, Hyannis Fire Department. y I Q:\Order Letters\Condemnations\38 fresh holes hyannis Heaftl Master Detail Page 1 of 1 �a.:�'.wrt A 4;�1r'�nr.�u�-, �• :. �� u�y p` .w� g�„eG'.: } Logged In As: TOWN\oconneit Health Master Detail Friday, March 16 2012 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 292-015 Location: 38 FRESH HOLES ROAD, HYANNIS Owner: HAVEN, KENT O Business name: Business phone: Rental property: r Deed restricted: r Number of bedrooms :I Contaminant released: r Fuel storage tank permit: Cl, 1 ��SavegParcel Changes _.p,�� � Return fo Lookup ���� ,Parcel Info Parcel ID: 292-015 Developer lot:LOT 12 Location:38 FRESH HOLES ROAD Primary frontage: 105 Secondary road: Secondary frontage: Village:HYANNIS Fire district:HYANNIS Town sewer exists at this address: No Road index:0576 Asbuilt Septic Scan: 292015_1 Interactive map Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:OUT Owner Info Owner: HAVEN, KENT 0 Co-Owner: Street1:41 CLEVELAND WAY Street2: City:BUZZARDS BAY State:MA Zip: 02532 Country: Deed date: 10/24/2008 Deed reference:C187229 Land Info Acres: 0.15 Use: Two Family Zoning:RB Neighborhood: 0104 Topography:Level Road:Paved Utilities:All Public,Gas Location: Construction Info Building No ear Built Gross Area Living Area Bedrooms Bathrooms 1 1945 1440 1440 14 Bedroom 2 Full Buildings value:xc92,700.00 Extra features: 00.00 Land value: A62,400.00 http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=292015 3/16/2012 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is Hyannis MA 02601 3-28-14 required for every H y � - page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information 1. Inspector: _. Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address i E. Falmouth MA 02536 Cityfrown State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of ` Title 5 (310 CMR 15.000).The system: ® Passes ;. ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation b the,Local Approving Authority i 3.28-14 Inspector's Signature ' Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 T tle 5 Official Inspection F bsurface Sewage Disposal System•Pa 1 of 17 Commonwealth of Massachusetts = Title 5 Official Inspection»Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 3-28-14 page. City/Town State Zip Code Date of Inspection B. Certification,(cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: System is in good working order with no sign of failure. B) System Conditionally Passes: ' r ❑ One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined,"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a'complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 f Commonwealth of Massachusetts _ f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is Hyannis MA 02601 3-28-14 required for every H y - page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) t ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms'are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled-or uneven distribution box. System will pass inspection if(with approval of Board of Health): T ❑ broken pipes) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed '' ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1:¢ System will pass`uriless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within'50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System`Form -Not for Voluntary Assessments M 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 3-28-14 ' page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 4 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. I ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: r , D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or - I ®. clogged SAS or cesspool i1 _ ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the.distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than%day'flow ' t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 f Commonwealth of Massachusetts f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 3-28-14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ft Yes . No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑' ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a'cesspool or privy'is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ , ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be f necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑, ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -'Not for Voluntary Assessments M 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 3-28-14 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ®' ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ' ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with 0 El information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ®' ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design); 4 - Number of bedrooms (actual): 4 t DESIGN flow based on 310 CMR 15.203'(for example: 110 gpd x#of bedrooms): 440 t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 6 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is ,. required for every Hyannis MA 02601 3-28-14 , page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): - Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 3-2014 Date Commercial/Industrial Flow Conditions: Type of Establishment: , .Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.). Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 3-28-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: i Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: . . gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank,distribution box, soil absorption system ❑ Single cesspool a ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins-3M 3 Title 5 Official Inspection form:Subsurface Sewage Disposal System-Page 8 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection -Form ! Subsurface Sewage Disposal System Form --Not for Voluntary Assessments M , 38-40 Fresh Holes Rd . Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 3-28-14- page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2002 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 42"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): Depth below grade: 36"feet Material of construction: ® concrete. ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gal Sludge depth: 12" t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts 4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt c@ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 3-28-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) = ' Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 4" Distance from top of scum to top of outlet tee or baffle 3" Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. Recommend pumping tank for maintenance and to remove heavy solids. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping-. Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 3-28-14 page. City/Town State Zip Code Date of Inspection , D. System Information (cont.) f Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.):' Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: . gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is Hyannis MA 02601 3-28-14 required for every H y ' page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must.be opened) (Iodate on site plan): 1 ' Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Good condition with water at working level and no sign of back-up from chambers. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located explain why: :P Y t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts , _ W Title 5 Official. Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt c@ Today Real Estate 1-800-966-2448) Owner Owner's Name information is Hyannis MA 02601 3-28-14 required for every y � page. Cityrrown - State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 4-500's ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number,.dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach chambers in good condition and holding 2"of water with stain line at 6" off bottom of chamber. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-3113 Title 5 Official Inspection Form:Subsurface SL age Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is H anniS MA 02601 3-28-14 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 I , Commonwealth of Massachusetts W Title 5 Official Inspection Form w Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 3-28-14 e. City/Town State Zip Code Date of Inspection page. P D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to 9 P Y 9 P Y 9 at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 4 LIP J+ 7 3 _ 1 j t5ins•3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Form -Not for Voluntary Assessments Subsurface Sewage Disposal System ry M 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 3-28-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: + ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells- Estimated depth to high ground water: 12 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database- explain: You must describe how you established the high ground water elevation: Original design plans show no groundwater at 12'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•W13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 �I • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 38-40 Fresh Holes Rd Property Address Bank Owned (Contact David Holt c@ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Hyannis MA 02601 3-28-14 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Commonwealth of Massachusetts W Title 5 official Inspection. Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30/2008 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When fillip out A. General Information Iforms on the - computer,use 1. Inspector: only the tab key ' to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name Q P.O.Box 763 Company Address Centerville Ma. 02632 �"0J1 City/Town State Zip Code (508)428-4028 S14454 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: Passes El Conditionally Passes El Fails mc') Needs Further Evaluation by the Local Approving Authority � c n � z �,,� 9/30/2008 t Insk ctor's Signature Date o Th system inspector shall submit a copy of this inspection report to the Approving Authority(Board � of ealth or DEP)within 30 days of completing this inspection. If the system is a shared system or N haja design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 2 f Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30/2008 every page. City/Town State Zip Code Date of inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The septic system is in porper working order at the present time. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30/2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes.(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N FIND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N FIND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 3 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30/2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No'.'to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to 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 ® 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 'h day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30i2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply_ well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve at facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the , questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection ❑ ❑ Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 5 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments °M 38-40 Fresh Holes Road Property Address .Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30/2008 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as.part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were:all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® E Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ Ei Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15'.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms(actual): . 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms).- 440 t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 6 Commonwealth of Massachusetts J Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30/2008 every page. City/Town State Zip Code Date of Inspection D. System Information f Description: The septic system consists of a 1500 gallon septic tank,Distribution box,and four 500 gallon Leaching Chambers. Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage,system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes .® No Water meter readings, if available(last 2 years usage (gpd)): Detail: #38 2006-2008:117,750/117gpd #40 2006-2008: 75,750/75gpd Sump pump? ❑ Yes ® No Last date of occupancy: 9/30/2008 Date Commercial/Industrial Flow Conditions: Type of Establishment: - Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 7 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . °M 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ . Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 8 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments ,M 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: System installed in 2002 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 2, - Depth below grade: feet Material of construction: / ❑ cast iron ®40 PVC ❑ other(explain): 101+ Distance from private water supply well or suction line. feet Comments (on condition of joints,venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the leaching chambers. Septic Tank (locate on site plan): Depth below grade: 2'Cover 1' below grade feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gallon Sludge depth: 8" l5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 9 L Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 38-40 Fresh Holes Road' Property Address Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) .. Distance from top of sludge to bottom of outlet tee or baffle 24" Scum thickness 14" 511 Distance from top of scum to top of outlet tee or baffle 3" Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Septic tank should be pumped.Pump septic tank every two years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears to be structurally sound. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 10 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: _ ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: _ gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage'Disposal System•Page 11 of 11 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert No Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Box is level.Box has two outlet laterals with equal distribution.No evidence of solids carryover.No evidence of leakage into or out of box. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 12 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner Owner's Name information is required for Hyannis Ma. 02601 9/30/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 4-500 gL LC ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Sandy dry soil.No signs of hydraulic failure.Leaching Chambers had 3"of water at time of inspection.No stain lines were observed above that level. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth.-top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 13 I Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments G M , 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner Owner's Name information is required for y H annis. Ma. 02601 9/30/2008 -.— every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments.(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 14 Map Page 1 of 2 Town of Barnstable Geographic Information System ii Parcel Viewer Custom Ma Abutters Map Size Zoom Out P jIn Cr ,I O . w rl o o b • it `"� r r r. t 20 Feet Set Scale 1" = 20 I Aerial Photos I MAP DISCLAIMER r'-...inht OnOP-I A T--of Ror—tohln AAG 411 rinht.roenn. httn:Hvrw�v.town.bamstable.ma.us/arciMS/aDDl eoapp/mai).asi)x?i)roi)ertyID=292015&map... 9/30/2008 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 38-40 Fresh Holes Road . Property.Address P Rogerio Pinherio Owner Owner's Name information is required for H annis Ma. 02601 9/30/2008 y every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of leaching 35' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local board of Health -explain: As Built Card ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin.92-000-01 plate#2 annual ranges of groundwater elevations. d , Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 16 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 38-40 Fresh Holes Road Property Address Rogerio Pinherio Owner- Owner's Name information is.required for H annis Ma. 02601 9/30/2008 y every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE . L-",h A ON 3,6,1 1D F.,-s i, /�1,,y Xb SEWAGE # VILLAGE , ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.Z'Z14lvf'.' I'aIAJ AW,1411) Or-""Ac + SEPTIC TANK CAPACITY LEACHING FACILITY: (type) Sre GAL (size) // -51 NO.OF BEDROOMS BUILDER O� l ela PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) �- Feet Furnished by DMW2 4 �, w.,�s a� aa� tea: � i � �' � � s � y w �u �i •r � why` � ,�� _ c �' n `Y � � 00 O � �� O � � a a 4 � � � � --- • yy ``.{i�'i ./4... 7:'n j' t t�... ,1 Fee�✓���� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for 30igpool bpgtem Con!gtrurtion Permit Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) ❑Complete System /Individual Components Location Address or Lot No. /• 67 Ymo �� �B �C Owner's Name,Address and Tel.No. Assessor's Map/Parcel l s Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 409/11 - Type of Building: Dwelling No.of Bedrooms Lot Size I nl3)-1 sq.ft. Garbage Grinder Other Type of Building lC No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow L gallons. Plan Date 4 Z Za Z Number of sheets Revision Date Title v 1,ve Size of Septic Tank ! 3770 Y'/_5t orki Type of S.A.S. —/ --ee Description of Soil DESIGNING ENGINEER MUST SUPERVISE Nature of Repairs or Alterations(Answer when applicable)INSTALLATION AND CERTIFY IN WRITING THE SYSTEM WAS INSTAI I ED IN STRICT ACCARDANCF TO PLAN. 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 th's o o ealt . Signed / Date y l Application ApprovedG Date ��✓�/ Application Disapproved for the following reasons 4 Gam'-"� Date Issued Permit No. r 4 ► ���✓� „� d,�i Fee .. + Entered in computer:-- THE COMMONWEALTH OF MASSACHUSETTS A Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 1. ZppYication for Migooar *p5tem (Cott.5truction Permit Application for a Permit to Construct struct( )Repair(V/)Upgrade( )Abandon( ) El Complete System R1 Individual Components I Location Address or Lot No.', Owner's!Name,Address and Tel.No. Asseksor''s Map/Parcel cf Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �T lof®vi COS c00we Cole ,-" , -771 M Type of Building: v ,r�� Dwelling No.of Bedrooms Lo Size sq.ft. Garbage Grinder f . Other Type of Building P& No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Z Z. Number of sheets / Revision Date © _ Title 1` `�P .S �S 1 G�/1IZ Size of Septic Tank / S`C�O� ZX/'.5�'I'o P Type of S.A.S. _ 41— Description of Soil ��l11��i^ , Nature of Repairs or Alterations(Answer when applicable) Date;last inspected: f � 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 Board of ealt . Signed ool Date Application Approved Date �✓.--/ ��3' p" Application Disapproved for the following reasons Permit No. 4 Date Issued ——————————————————•————————------------- THE COMMONWEALTH OF MASSACHUSETTS '�- BARNSTABLE, MASSACHUSETTS (Certificate of (Comp,f Ivice THIS IS TO CERTIFY,that t On ite Se ,age Disposal System Constructed( )Repaired( Upgraded( ) Abandoned( )by—,Sao �X �&,i , at �9 been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N ",lid /X' dated Installer Designer r The issuance tof this permit shall not be construed as a guarantee that the sys will function as( sin—ed. P Date t � Inspector " I-j_ _� Z✓l.- 1 f --------------------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Migonl 6potem (tonotruction Permit Permission is hereby granted to Construct( )Re air ✓)Upgrade( )Abandon( ) /' ✓`^�System located at r� � �IIL�S /W- �/.+s'.�d� p 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 • r{nit. Date: �-9' ""��+1 �'" Approved b4r' r o - r APR-26-02 09 :03 AM DOWN CAPE ENGINEERING 508 362 9880 P. 01 93f,main street rt 6a tel.(508)362-4541 ♦arrnouth port tax(508)362-9880 mass02675 down cape engineering structural design civil engineers& land surveyors Arne H.Ojala P.E.,P.L.S. Daniel A.0jala,P.L.S. land court Timothy H.Coved,PL.S. surveys April 26, 2002 Thomas McKean, R.S. site planning Barnstable Board of Health 367 Main Street sewage system Hyannis, MA 02601 designs Re: 38/40 Fresh Holes Road, Hyannis inspections Dear Tom: permts Down Cape Engineering, Inc. performed inspections of the newly constructed septic system at the above-referenced location. The septic system is hereby certified to be installed in substantial compliance with the approved plan. If you have any questions, please do not hesitate to call me. Yours truly, Arne H. Ojala, PE, PLS Down Cape Engineering, Inc. cc: Bortolotti Construction i Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,F-S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. April 18, 2002 Mr. Josie Geraldo 38 Fresh Holes Road Hyannis, MA 02601 v� -t arcs•�',�'� �v ' e� ��p.� Dear Mr. Geraldo, You are granted variances to construct an onsite sewage disposal system at 38 — 40 Fresh Holes Road, Hyannis. The variances granted are as follows: 310 CMR 15.211: The soil absorption system will be located two (2) feet away from the easterly property line, in lieu of the ten .(10) feet minimum setback required. 310 CMR 15.211: The soil absorption system will be located two and one-half (2..5) feet away from the northerly property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The soil absorption system will be located two and one-half (2.5) feet away from the southerly property line, in lieu of the ten (10) feet minimum setback required. The variances are granted with the following conditions: (1) No more than four (4) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The septic system shall be installed in strict accordance with the submitted engineered plans dated revised April 6, 2002. Q:Health/WP:Geraldo f f (3) The designing. engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted revised plans dated April 6, 2002. (4) The building must be connected to town sewer when/if it becomes available. These variances are granted because physical constraints at the site severely restrict the location of a soil .absorption system. The property consists of a two- family (duplex) building on a very small parcel of only 6,634 square feet. The Board is of the opinion that the proposed new septic system is designed to meet the maximum. feasible compliance standards contained within the State Environmental Code, Title V. . Sincerely yours, Susan G. Rask, R.S. Chairperson Cc: Robert Bortolotti Q:Health/WP:Geraldo i TOWN OF BARNSTABLE t LOCATION 314 ye F...s i A�Iv xb SEWAGE # VILLAGE .nris ASSESSOR'S MAP & LOT 00 INSTALLtR'S NAME&PHONE NO. 41V.' SEPTIC TANK CAPACITY LEACHING FACMrN: (type) G (size) NO. OF BEDROOMS y BUILDER O�i PERMITDATE: 41-/1-41A 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 Dar_�,.,h,y4 916o 3y , , 1 d/-„29' ® 00 A3-y7 6 Town of Barnstable of TFIE Regulatory Services Barnstable t Thomas F. Geiler, Director A®-AmericaCily Public Health Division 9 MASS. Thomas McKean, Director. �tx1� 1639. A`` 200 Main Street .or fD MA'1 Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified mail 7006 2150 0002 1041 7835 September 22, 2008 V � PO Box 2812 O1 RE: Assessors (292-15) As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 38 Fresh Holes Road, Hyannis. Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at www.town.barnstable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate 2008 fees included. Please contact me or the Division Assistant to schedule inspection of the property as soon as possible. If there are tenants presently occupying the property please provide the contact information being sure to include a daytime phone number for all tenants. For your use an occupant's permission form has been included to allow for inspections to be performed in the tenant's absence. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4644. Thank you in advance for your cooperation. Jaime A. Cabot Health Inspector Health Division Direct#508-862-4651 Z 203 498 93'd US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not usa for Int nation I Mail See reyerse OA to Stmet& um Fb",Mate,&ZIP Code Poste $ Certified Fee Spada]Delivery Fee Restricted Delivery Fee rn Return Receipt Showing to Whom&Date Delivered a Return Receipt Showing to Wham, Q Date,&Addressee's Address TOTAL Postage&Fees $ Postmark or Date , U rn o_ Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service a window or hand it to your rural carder(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m tc return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article Q RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ri 6. Save this receipt and present it if you make an inquiry. 102595-97-a-0145 d Town of Barnstable Regulatory Services Thomas F. Geiler, Director Public Health Division • MAMSTABLE. v� , 9. � Thomas McKean, Director 3 67 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6%;)A September 11, 2000 Robert D. &Terri B. Lippman c/o Jose Geraldo 38 Fresh Holles Road Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 38 Fresh Holes Road, Hyannis, was inspected on August 29, 2000 by Glen Harrington, R.S. Health Inspector for the Town of Barnstable,because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code II, Minimum Standards of Fitness for Human Habitation were observed: 410.100: Kitchen oven observed to be inperable. Gas odor was prevalent. 410.351: Kitchen sink waste line was observed leaking. 410.400: Ten occupants reportedly dwell in apartment. Square footage dictates only six occupants may dwell in unit. 410.550: Ants and silverfish were observed in kitchen area. A Massachusetts licensed exterminator must apply pesticides to abate insect infestation. 410.551: Two screens were missing from windows to kitchen area. You are directed to correct the violation of 410.100 within twenty-four (24) hours of receipt of this notice. You are also directed to correct the remaining above listed violations within thirty (30) days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However,these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than$500. Each separate day's failure to comply with an order shall constitute a separate violation. O jR OF THE BOARD OF HEALTH eanector of Public Health Enc. copy of gold inspection report lippman/wp/q/ls af,. CF SME 1p� BARNSTABLE » Town of Barnstable MASS. i639. A Board of Health ArEp�,� 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Brian R.Grady,R.S. 3� Te,(r P-C n 311('7 �j„ � o-z o o / NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00,STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 �}h If 14ja4i Ou,� The property owned by you located at 3�' ,was inspected on 416 2000 by Glen Harrington,R.S.Health Inspector for the Town of Barnstable,because of a complaint. The following violations of 105 CMR 410.00,State Sanitary Code II,Minimum Standards of Fitness for Human Habitation were observed: �a cA&.R 4110.� /O® +0 CG! ' oC4, y ro L4 00 dweff ►tilz.-r-160 You are directed to correct this violation of 410.40 within twenty-four(24)hours of receipt of this notice. You are also directed to correct the remaining above listed violations within seven(7)days of receipt of this notice. 40 b 1jA You may request a hearing if written petition requesting same is received by the Board of Health within seven(7)days after the date order is received. However,these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than$500. Each separate day's failure to comply with an order shall constitute a separate violation. Renting the above property with uncorrected violations is a violation of the State Sanitary Code and the Town of Barnstable Rental Ordinance,Article 51,section 6-2. PER ORDER OF THE BOARD OF HEALTH Thomas A.McKean Director of Public Health Enclosure Copy of Inspection Report I FORM 30 Caw HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH awls A-( k CITY/TOWN o DEPARTMENT 36 ? S� . '� -- -- ADDRESS g,- f/!41 TELEPHONE Address 3 f"v t ar'�" a `i _ ' Occupant 6k",.-O,I do Floor Apartment No. No.of Occupants_ cn) _ No.of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units_ No.Storied Name and address of owner— i►o;� a Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbis Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: V'u G�rrw C, ( iZ,, Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: rf �.a,�., )lea u I LuP 26kkl f 4.0 1( H.W.Tanks)8afety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen. Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Ovee.A L&zlf &0-3 Ode-0 eQLCCrlk v Mo Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: " i G, U4S Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIE F ERJU INSPECTO /1�/0TITLE 6 "� DATE Vz7 2-67V TIME L �' � P•M• < A.M. THE NEXT SCHEDULED REINSPECTION �� �eG ®/ P.M. ;4f sc'11%:r�4a � r '.•c +aa rro,r �s { rcn. ,s: 3 �?a't� 7Ev' °.Y' �v'''FY' +` 1t1 i�. r" .`' . 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201.or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or'safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust'or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide.a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE BOARD OF HEALTH NOTICE TO ABATE A NUISANCE As occupant of you are hereby notified to remedy the conditions named below within 24 hours of the service of this notice, according to Massachusetts General Laws,Chapter III,Section 123: %-�C. If at the expiration of time allowed these conditions have not been remedied, such further action will be taken as the law requires and a fine of s25.00 per day may be charged. Hazardous Waste $50.00 By Order of the Board of Health Inspector i �1 Health Complaints 29-Aug-00 Time: 9:15:50 AM Date: 8/29/00 Complaint Number: 2513 Referred To: GLEN HARRINGTON Taken By: THOMAS MCKEAN Complaint Type: CHAPTER II HOUSING Article X Detail: Business Name: Number: 22 -36 Street: Fresh Holes Road Village: HYANNIS Assessors Map_Parcel: Complaint Description: These buildings are not connected to town •�`� ' s o sewer and there are sewage odors due to / overcrowding of people. Unit 424 has eight (8) people living there and it's only a two bedroom �j�✓ unit with only one bathroom. Unit#26,laas six It/c) (6) people living there and it's only a two 117, bedroom unit with only one bathroom. Unit 28 has 6 to 10 people living there and it's only a two bedroom unit with only one bathroom. Unit 34 has 15 people living there and they throw trash outside instead of instead dumpster. Unit 36 has 13 people living there and it's only a two bedrooms. Unit 38 has 6 or 7 people and they wa l� _ . ►u^" wastewater and food pieces out the kitchen :j05� window. stated "I have lived here S - since 1992, drugs were prevalent at one time, 'poL � but now it has become 'little Brazil' around here." I used to have a garden here, now everytime I turn around,there is trash in my front yard from these people. Eric Weiner said to her"why don't you move?" Actions Taken/Results: Investigation Date: Investigation Time: 1 Health Complaints 29-Aug-00 2 105 CMR: DEPARTMENT OF PUBLIC HEALTH 410.400: Minimum Square Footage (A) Every dwelling unit shall contain at least 150 square feet of floor space for its first occupant, and at least 100 square feet of floor space for each additional occupant, the floor space to be calculated on the.basis of total habitable room area. (B) In a dwelling unit, every room occupied for sleeping purposes by one occupant shall contain at least 70 square feet of floor space; every room occupied for sleeping purposes by more than one occupant shall contain at least 50 square feet of floor space for each occupant. (C) In a rooming unit, every room occupied for sleeping purposes by one occupant shall contain at least 80 square feet of floor space; every room occupied for sleeping purposes by .more than one occupant shall contain at least 60 square feet for each occupant. 410.401: Ceiling Height (A) No room shall be considered habitable if more than 3/ of its floor area has a floor-to-ceiling height of less than seven feet. (B) In computing total floor area for the purpose of determining maximum permissible occupancy, that part of the floor area where the ceiling height is less than five feet shall not be considered. 410.402: Grade Level No room or area in a dwelling may be used for habitation if more than Si of its floor-to-ceiling height is below the average grade of the adjoining ground and is subject to chronic dampness. 410.430: Temporary Housing Allowed Only with Board of Health Permission No temporary housing may be used except with the written permission of the board of health. 410.431: Any Exceptions to Minimum Standards Must Be Specified All temporary housing shall be subject to the requirements of these minimum standards, except as the board of health may provide in its written permission. (See 105 CMR 410.840.) 410.450: Means of Egress Every dwelling unit, and rooming unit shall have as many means of exit as will allow for the safe passage of all people in accordance with 780 CMR 104.0, 105.1, and 805.0 of the Massachusetts State Building Code. 410.451: Egress Obstructions `Zz - z� 26 zr 7Y-16 :v w i. Health Complaints 01-Aug-00 Time: 1:35:00 PM Date: 7/31/00 Complaint Number: 2471 Referred To: GLEN HARRINGTON Taken By: GLEN HARRINGTON Complaint Type: CHAPTER II HOUSING Article X Detail: V_ U` Business Name: Number: 38 Street: HIRAMAR RD. Village: HYANNIS Assessors Map-Parcel: Complaint Description: COMPLAINANT STATED that occupants are throwing out sink water out their window. As many as 5-13 people reportedly live there. There are rats now too. Eric Winer confirmed to complainant that Jeff Lyon is renting rooms by the person on a weekly basis. Actions Taken/Results: Investigation Date: Investigation Time: 1 - � roa• a�Pa�ce�€r�#o u,_- ,� Td n,o ar s_t,Te _ �- FRESH HOLES ROAD Road rt or rdex num " 0576 c nam FRESH HOLES ROAD NE OFF BEARSES WAY vn- c ssre sw., rp fie I'd Cif Yllta�e i p 05 ,s, ,�29256"" "'� .; 5�;„�„ ,. LOST 83, . «,u� fl3'.. tVl�,.U�R„P,�Y,�RtO... RD , .,IJ��R�a= F2O-M". �,• L1.13ERT,A HgNI'.1 5�7'6 29 87 6to y ERJ,E y i o " 5 / 9215 L f L D ✓ A QN MARL 4 1=f 1I"I15'4 1 L'O 1; 8,;` -11111�R RC t7 �M1 t al .%:. .,- , 292�84 w. . „A 1%3° ;_ . LOT' LC uF„� ;.U3% UUItJE �HC�►IU C�)°A Rt�S�E.;„� , . ,�„ :. 7 . LOTW Q3: WI" � FOWARF}A�t�US Up WA T$ 5 f 1C�r t�IJ��F MITED BI BL LI T P fl WINERO1lAR /� 1 RU5T1= a 05 292 $©. "z ° 30, L, T 10 L� " 13 05 29?1�79 4 LOT 1 03 B1G tU d'I» 1T ®PATS R 05��6292015 //" 38 LQT 1 03: lPPM EI2 D i3 RR B 4; l Q t1 08 IVI I E L{1,F L F .;F& D 76MMRPM �L921 54; T 1 L 3` t fUl=.i 0 E �IEIA& i 0576 € 292„172,,, 62;�,- LOST 1°8 b3 BIG8LC1ElMIFE SfiP ; ti� y 1= Md Par el� 292015 r pqt: LOT 12 Lo Slze .15 r LIPPMAN,ROBERT D&TERRI'B mI StQC(as, 104 a %GERALDO,JOSE No Btdgs�' 1 A ea : 00001440 38 FRESH HOLES RD ear A ded 00 HYANNIS MA 02601 wpr aycc 00 0000 000 y,a Dee to 060196 ' Rye erence: C141002 y last a st LIPPMAN, ROBERT D&TERRI B geed MMY.�Y 0696 I�eed�Ref C141002 �� Yal es and 000020300 Bu�Itl g 000034900 x#ra Fea#ures. 0000000000 c' tiq 38 FRESH HOLES ROAD AaY nde 0576 Fr # 0105 i e ?�st HY Vim/ $ c 1 e , 0000 n#g 0000 Property Location: 38 FRESH HOLES RD HY MAP ID: 292/0151 Vision ID:22892 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 09/06/2000 • 7 S, 1,11%, RIM-MIMIO`W, A V'111111W Element ca. Ch. Description Commercial Data ements Ry�eype � 10 Family Duplex Element Cd. Ch. Description Vodel DI Residential Heat&AC 3rade C- C- Frame Type BAS (ju tones I Story I Baths/Plumbing Occupancy 0 Ceiling/Wall Rooms/Prtns Exterior Wall 1 14 Wood Shingle %Common Wall 2 all Height Roof Structure 3 able/Hip Roof Cover 03 Asph/F GIs/Cmp, 24 24 Interior Wall 1 05 Drywall 2 Element Code Uescription Pactor ✓ Interior Floor 1 14 Carpet Complex 2 Floor Adj Unit Location eating Fuel )3 as 60 Heating Type M of Air Number of Units AC Type )I one Number of Levels %Ownership Bedrooms M 4 Bedrooms Bathrooms 1 2 Bathrooms 0 Full Unadj.Base to '"ll Total Rooms 8 Rooms Size Adj.Factor 1.13194 Grade(Q)Index 0.93 ath Type Adj.Base Rate 50.53 Kitchen Style Bldg.Value New 72,763 Year Built 1945 Eff.Year Built 1970 Nm-d Physcl Dep 7 Funcnl Obsinc 0 Econ Obslnc 25 .......... riptir. pecl.Cond.Code Code I Descon FercenfgEe pecl Cond% 1040 1wo ramp 1uu Cond. 48 eprec.Bldg Value 34,900 N Code Description LIB Units Unit Price Yr. L)pMi Xouna Apr. Value 41-U_7 Go de Description Living Area UrossArea Eff.Area Unit Cost V ndeprec. Value BAS First Floor T,-4-411----rq-44U 1,44U 729763 I'M Property Loca"tfoin'38 FRESH HOLES RD HY MAP ID: 292/015/'// Vision ID:,22892 Other ID: Bldg#: 1 Card 1 of 1 Print Date:09/06/2000 i ,° texw,r, :' ., .. ¢ : r . ., Description Code " Appraised Value Assessea value %GERALDO,JOSE 801 8 FRESH HOLES RD SIDNTL 1040 34,900 349900 YANNIS,MA 02601 y Barnstable 2000,MA '�'�y � .. � +•� �6' e&r. ,t_ III ccoun an e. Tax Dist. 400 Land Ct# 17786-C er.Prop. #SR VISION Life Estate DL 1 LOT 12 Notes: DL2 CIS ID: T.ttj , _. 4. r`tea..:.. -. ..,,p .t�:._ _�':�- :..��,."x:,, �,�, r. Go de Assesseda ue Yr. Gode Assessed Value rr. Code Assesse a ue IPPMAN,ROBERT D&TERRI B C141002 06/15/1996 Q I 719000 T999 1040 , , AROFF,DAVID B C121359 08/15/1990 U I 100 B 1999 1040 349001998 1040 49,500 SSELTA,R TONY& C106902 06/15/1986 U I 460,000 N REILLY,DANIEL M TRS C103688 10/15/1985 U I 2,400,000 N ONES,ELIZABETH C C60213 Q 0 , ota: , ota: , ... ."'': ,1 ,'� ,,,. ,u � , •, '+. �, x' ' ,'ia„. �' 7i .�',,; .; ",r..i g., .. �' • i is signature ac nOW a geS a V1Slt y a ata O eCtOr Or SSCSSOr Year lypelvescription Amount o e Description Number Amount omm.Int. Appraised Bldg.Value(Card) 34,900 Appraised XF(B)Value(Bldg) 0 ota: Appraised OB(L)Value(Bldg) 0 sh `' .` Special Land Valueraised Land (Bldg) 20,300 9 � Total Appraised Card Value 55,200 Total Appraised Parcel Value 55,200 Valuation Method: Cost/Market Valuation Net TotalAppraised Parcel Value 5592OU k - ,4S i 1 ¢ .,, ., � ., ,.,�G �, � ..... .. ...__ . ., .. '±, ,, ,� ,.�, - . .,�.. . 13.„ems •�;' `• ,� �:�; , .,��:: Pe it ID Issue Date Iype Description Amount Insp.Date o Comp. Date Gomp. Comments Date ID Ca. Furposel./Cesult 1 r r �• E'. ors" i � �....:::...�.... '... •.`�:- ....,.....5.^ar .: `:^. ;; l .. 32. :' >.�:.t,. R;;.. LIU, use Coae Description zone rontage Depth Units Unit nce actor actor otes-Adj75pecialrtcing I. rat rice n a ue 1 1040 wo Family o es: , Total Card an nit arce ota an rea: T014 �}- R, b e. •S k F y � ;.` 4 4 r A • x � * f y �f ±-1.'�' ti r' . � -*' y#: n. _'�� s i` ♦ trr w a '�~ � Pit. � - _ s _x • - 'June 5, `1981 , Ale 'A Mr. .Grover Martin ; 3 .Hiramar Drive `•Hyannis, Ma HOARD-'O '' HEALTH HEARING 'CONCERNING" 1�xOLATxdNS, "STATB 'SANITARY A , �. CODE, CHAPTER ;II,•J4fNIMDM -STANDARDS POD` FITNESS FOR mm: 4; xABxTATId1�I AT- 38 ,P RESH.•HOLES 'ROAD;- I YANN315 ON;BEHALF,OF . .. ELIZABETH JONES'. TRUSTEE; QUAKER MIAGE ASSOCIATION 17 You,;'. ou are{,give.n ana.addit ona .ten days to_' expire,June 17, 1981 ; - .. to correct violations at 38 Fresh Holes ;Road; Hyann9.s: i You appeared at a hearing before us on June °3, 1981;. to re- quest additional .,tm'e. . A11 violations listed£ in,�tl e'arder �r`eceiptedd forryby you on, Alay 21, 1981',-must be completed,_by :you or, appropriate "legal • x n illYbe initiateactiowd j s � ,. PER O Or a'THE BOARD OF HEALTH s ; r E .. .. ,. Robert.L. Childs,: •Chairman.'' _ 41 y Ann Ja Baugh ' w ., BOARD;of -T0TtTN."OF `BARNSTA1dLE JMK/mm, +a 4• a ;I HETC TOWN OF BARNSTABLE OFFICE OF Ba$MA6EL BOARD OF HEALTH q YA8. p, pp 039. OM \gym 367 MAIN STREET `F SIA`!k. HYANNIS, MASS. 02601 May 19, 1981 Elizabeth C. Jones, Trustee Quaker Village Assn. c/o Dolben Inc. ,Agents 40 Court Street Boston, Ma. 02108 NOTICE TO. ABATE A VIOLATION .OF STATE ..SANITARY CODE CHAPTER II MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you at 38 Fresh Holes Road, Hyannis, was in- spected on May 14, 1981, •by Ronald Gifford, Health Inspector for the Town of Barnstable, because of a complaint by the tenant, Frank Allison. The following violations of State Sanitary Code, Chapter II, 105 CMR 410.000 were found: REGULATION 410. 351 (A) : Drip in hot water pipe under kitchen sink - constant drip at outside faucet by rear door. REGULATION 410. 500: Living room rug soaked with water. Cracked and broken window panes in front bedroom and kitchen. Stain along seam and center ceiling indicative of . water leaking in living room and master bedroom. Plywood base loose and nuts missing on attic stairs. Hole in kitchen wall where drain pipe from sink goes through wall (not sealed) Linoleum on kitchen floor torn in front of sink and missing by rear door. Torn screen in front bedroom window. You are directed to correct the above violations with ten (10) days of receipt of this notice. You may request a hearing before the Board of Health if written petition requesting same is received seven (7) days after the date order served. Non-compliance could result in a fine of up to $500. Each day' s failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH s n ohn M. Kelly Director of ublic Health JMK/mm cc: Mr. Grover Martin Mr. Frank Allison w , 1 I I ;BOARD OF HEALTH' Town of Barnstable 4 P.O. Box 534 Hyannis, Massachusetts 02601 This is an important legal document. It may affect your rights. You may obtain a translation of this form at the Town Office. ARTICLE II ` STATE SANITARY CODE Address: . . . . . . . . .cf. . . ./7R.�S/h . . . . . .1✓"f f S. . . . . L n. . . . .7.y.?4.n/.ry!S . . . . . . . No. Occupants . . . . . . . . . . . . ALL /Sd,A). . . . . . . . . . . Floor: . . . . . . . . Apt. No. . . . . . . . . Occupant: . . . . . .�?./9.�/.�. . . . . . . . . . . . . p. No. Dwelling Units: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No. Rooming Units: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No. Stories: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Basement: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type Structure: . . . . . . . . . . . . Frame: . . . . . . . . . . . . Brick: . . . . . . . . . . . . Semidetached: . . . . . . . . . . . . Detached: . .'. . . . . . . . . . No. of Habitable Rooms: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No. of Sleeping Rooms: . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . Owner: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . X-VIOLATIONS REGULATION LIVING ROOM YES NO 7.1(a) Is there sufficient natural light? 7.1(b) Are there two separate electrical outlets in good repair? 7.1(b) Is there one outlet and one light fixture in good repair? 8.1A,8.1B(e) Is there proper ventilation? 13.1A Are the windows in good repair, weathertight and fit for the use intended? 13.1 Are the walls in good repair and fit for the use intended? 13.1 Are the ceilings in good repair and fit for the use intended? v I �N c e L CAK / 13.1 Are the floors in good repair and fit for the use intended a2 v6_ u E-r I m c A e"It 14.5 Are the exterior openings screened? G,�o rL m e'R - -- REGULATION SLEEPING ROOM #1 (identify) 7.1(a) Is there sufficient natural light? 1 7.1(b) Are there two separate electrical outlets in good repair? 7.1(b) Is there one outlet and one light fixture in good repair? 8.1A,8.1B(e) Is there proper ventilation? 13.1A Are the windows in good repair, weathertight and fit for the use intended? , ✓ 13.1 Are the walls in good repair and fit for the use intended? 13.1 Are the ceilings in good repair and fit for the use intended? 13.1 Are the floors in good repair and fit for the use intended? 14.5 Are all exterior openings screened? < �^ 11 Is there adequate space for the number of occupants? REGULATION SLEEPING ROOM #2 (identify) /V"t'L' 7.1 (a) Is there sufficient natural light? 7.1 (b) Are there two separate electrical outlets in good repair? 7.1 (b) Is there one outlet and one light fixture in good repair? ' 8.1 A, 8.1 B(e) Is there proper ventilation? 13.1 A Are the windows in good repair, weathertight and fit for the use in nded? 13.1 Are the walls in good repair and fit for the use intended? _ 13.1 Are the ceilings in good repair and fit for the use intended el_� 13.1 Are the floors in good repair and fit for the use intended?/ 14.5 Are all exterior openings screened? ,� 09 11 Is there'adequate space for the number of occupants? 0 REGULATION BATHROOM 3.1A(a)3.1B(a) Is-toilet with seat available? 3.1A(b)3.113(b) Is washbasin available? 3.1A(c)3.18(c) Is shower or bathtub available? 3.1D 3.2 Are the facilities in a clean, smooth, impervious and sanitary condition? 4.1 (9.1 &9.2). Is cold water for facilities available (with sufficient quantity)? 5.1 (9.1 &9.2) Is hot water for facilities available (120 F- 140 F)? 9.1 &91 Are the facilities properly connected to drain line? 7.3&9.3 Is there at least one light fixture in good repair? 7.4.& 9.3 Is there an electrical outlet in good repair at washbasin? 13.1 & 13.1A Are the windows in good repair, weathertight and fit for the use intended? 13.1 Are the doors in good repair and fit for the use intended? 13.1 & 13.6 Are the walls in good repair and fit for the use intended? 13.1 & 13.6 Are the floors in good repair and fit for the use intended? 8.1A&8.1B . Is there proper ventilation? 13.6 Are the floors and walls of nonabsorbent material? 14.5 Are the exterior openings properly screened? X=VIOLATIONS REGULATION KITCHEN YES NO - 2.1 Is the room suitable? _ _2.1(a) Is the sink available and of sufficient size and capacity? 4.1(9.1 &9.2) Is cold water for the sink available (with sufficient quantity and pressure)? 5.1(9.1 &9.2) Is hot water for sink available (120 F- 140 F)? 9.1 &9.2 Is sink properly connected to drain lines? 2.1(b) Is there a working stove and oven? 9.3 Is the stove and oven properly connected and vented? 2.2 Are the facilities clean, smooth, impervious, nonabsorbent? v Q �! ,� M � p, ✓ 7.2(a) Is there one light fixture in good repair? 7.2(b) Are there two electrical outlets in good repair? 7.2(c) Are the windows(if kitchen exceeds 70 sq.ft.)equal to at least 10% of the fl Or area? 13.1 & 13.1A Are the windows in good repair, weathertight and fit for the use in ed? 14.5 Are the exterior openings properly screened? _ i,'t1 R yM 13.1 Are the doors in good repair and fit for the use intended? ✓V ." 13.1 Are the walls in good repair and fit for the use intend d? 13.1 Are the ceilings in good repair and fit for the use in nded? 13.1 Are the floors in good repair and fit for the use ' t nded? ✓p fi� A ,�0. 13.6 Is the floor impervious and easily cleanable? ram, * - ��� wf' � ✓ 2.1(c) Is there adequate space and facilities for installing of Refrigerator? 8.1A,8.1B(a) Is there sufficient ventilation? 9.3(a)9.3(b) Are all owner installed appliances properly installed? 9.4 Are all occupant installed appliances properly installed? REGULATIONS COMMON AREA AND EXITS 7.5 Are interior common areas properly illuminated at all times? 7.7 Are there operational and sufficient and properly located light switches and fixtures? 13.1A Are the windows in good repair, weathertight and fit for the use intended? 13.1 B Are the doors in good repair, weathertight and fit for the use intended? 14.5 Are all doors screened as required? 13.1 Are the ceilings in good repair and fit for the use intended? 13.1 Are the walls in good repair and fit for the use intended? 13.1 Are the floors in good repair and fit for the use intended? 15.8& 15.9 Are all common areas clean? 13.1 Are the stairways in good repair and fit for the use intended? 13.3& 13.4 Are handrails in good repair and fit for the use intended? 13.5 Are all required balusters or other devices in place? 18.4 Is every entry door of a dwelling unit fitted with a proper lock? 18.3 Does the main entry door of a dwelling close and lock automatically? 18.6 Is the building properly posted with the name of owner? 3.2 _ Are the common bathroom facilities clean? 12.1 & 12.2 Are there sufficient and properly maintained exits? REGULATIONS EXTERIOR Are light fixtures and switches properly located? 13.1 Is the chimney in good repair? 13.1 Are the porches in good repair? / i-.,,�: -f-, �, �,-' ran , - 13.1 Is the foundation in good repair? d T4� a-,,� %j 13.1 Are the stairs in good repair? _ 13.1 Are the structural elements in good repair? ,'AAAIIJJ ,,,�_ „„,Q- /,, A,R h/A 13.3, 13.4& 13.5 Are all required hand railings and balusters in place and in good repair? 13.4 Are there walls or protective railings as required? - 15.4 Is the storage of rubbish and garbage proper (occupants)? 15.3 Are there sufficient and properly located receptacles? 15.10 Are the private passageways or rights of way clean and sanitary? 13.1 Are the gutters and down spouts in good repair and fit for the use intended? REGULATIONS GENERAL 10.1 Are all required services available and working? 6.1 Are the heating facilities in good repair? 6.2 Is heat being supplied at proper temperatures. (68 F-78 F)? s 5.1 Are hot water heating facilities in good repair? 9.3(a) Are all required facilities properly installed and vented? 6.5 All space heaters in use meet the proper requirements? 7.9 Is there no temporary wiring in use? Location? 7.8 Is the electrical service safe and adequate? 14.1, 14.2& 14.3 The dwelling is free of insect rodent presence? 15.7 Is the dwelling nit maintained in a clean and sanitary condition by the occupants? REGULATION OTHER - _ - -w-; One or more of the violations checked above is a condition which may materially impair the health or safety and well-being of the occupant ash,determined by Regulation 29.2 of the code or the Authorized Inspector. A.M. INSPECTOR �,` TITLE 'AM. _ P.M. DATE Oder /%//Y�1/ TIME .411 . THE NEXT SCHEDULED REINSPECTION IS: DATE TIME O � . 94 tCQ Lam\ /////� . '////Y p ` (�, may/ ///////////// 1j clv bbo O '. r� ti ////// %/,•//// I p 10 ,p ti ti 'y N7;>�8�O 1, T O 4 _ O' 0 %?/;;1' ZONE. RB" This MORTGAGE INSPECTION Ban is For FLOOD ZONE. "C" I3an4: Use Only REGISTRY OWNER: ROBERT D c- -LERRI B LIPPi -4!v__ DEED REF:. _BUYER: -10SE—GMLLO- — DATE: 2Z7 — _ _ PLAN REF: LC. 17786C SN. 1 SGALE: 1" 20 I HEREBY CERTIFY TO FA�YfY� ICE �QI�TG®GE' a� q yANKEE SURVEY --THAT THE BUILDING SHOWNON THIS PLAN IS LOCATED ON THE GROUND AS �� PAUL ,,t. CONSULTANT` SHOWN AND THAT ITS POSITION DOES -_-__-- CONFORMi�! TO, THE ZONING 1.AW REQUIREMENT. OF THE gfiF-Rn I013 (Si'1'1`I; 1) 'OWN t)F F a.k'._A:37.:af3LF __-- ---.AND 'fF1A'i' t�1�.32c f INI: USTR� ' ROAD IT DOESz----�-0_T__ LII: WITHIN THE SPECIAL FLOOD >•fA'Z,ARD �'����fC�STF�``�e� MAR TONS MILU& MA 0�6-16 AREA AS SHOWN ON THE H.U.D. MAP DATED_f�..;1J. `�3_5-- �Sifl�`'-''`,� TEL: 428--0055 on . itv—Panne �~ ?50001 0005 C '�:^�utbo FAX: 420-5553 _ �'~ . _______ THIS PLAN NOT MADE FROM AN INSTRUMENT �07�.� JF P,AU_ A. MERITH£ PI e SURVEY, NOT TO BE USED FOR FENCES, ETC I 9 P 1 2, 'I �i � l p THE r. DATE: FEE: BA&NSrABLZ ' MASS. 9� 1619- ��� REC. BY �f039. N Town of Barnstable SCHED. DATE: Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R-S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORtM LOCATION Property Address:— a 1 51-� f�vL.E - lS Assessor's Map and Parcel Number: ?/ S Size of Lot: Wetlands Within 300 Ft. Yes Business Name: No_ Subdivision Name: APPLICANT'S NAME: /3ole-7V k-0 ��✓�7 �7 Phone -7'? �1j-�;:2 Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON ? 0�afr� Name: Zo gis C7 -e Name: l�622722 I-,T7-/ Go.��%.2Lt e--n J Address: ✓� !f f{y�ES 4� Address: �/g25/ /3 ,T�jiJ--�/i✓J S Phone: // Phone: 77 93 T`j VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 15.-/o S (at .����c c� -,,1 . t �: (Z�iOLLla7oG� l�SE7'Y3.4t�� Sit:S Tim t<i�s✓�e►I Cam' -rc iS�� NATURE OF WORK: House Addition u House Renovation ❑ Repair of Failed Septic System Checklist(to be completed by ojftce staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) i_ Four(4)copies of iabeied dimensional floor pians sucmitte-4(e.g.house plans or restaurant kitche.plW.$) _ Si-ned letter stating that the property owner authorize you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(same owner/leasee only],outside dining variance renewals(same owner/leasee only],and variances to repair failed sewage disposal systems (only if no expansion to the building proposed)) Variance request submitted at least 15 days prior to meeting date _ VARLA,NCE APPROVED Susan G.Rask.R.S:,Chairman NOT APPROVED "' Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL. Ralph A.Murphy,M.D. Q:/WP/VARI ZQ 9 �A F v -41N S a J ,Z:k fy Jop C4 \/]�' . x l� tel.(508)362-4541 ,939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineefing civil engineers& land surveyors structural design Arne H.Ojala P.E., P.L.S. Daniel A.Ojala,P.L.S. land court March 25, 2002 Timothy H.Covell, P.L.S. surveys Barnstable Board of Health site planning 367 Main Street Hyannis, MA 02601 sewage System Re: 38 - 40 Fresh Holes Road, Hyannis designs Dear Board Members: inspections The enclosed represents a variance filing for a septic upgrade from an existing failed older Title 5 septic system.. permits The following variances are requested under Maximum Feasible Compliance: 15.405 (la): reduction in setback, SAS to lot lines (10' to 2') and (lb)- reduction in setback, SAS to foundation(20' to 15'). No addition of habitable space is proposed. Due to extreme site constrictions,:variances are necessary for this 4 bedroom- system. Groundwater is not an issue here. We feel that by granting the variance, the.same degree of environmental protection. can be attained without the need for strict adherence to the Title 5 Regulations. Thank you forJyour°consideration. . Ve truly Arne H. Ojala, PE;PLS Down Cape Engineering, Inc: cc- Bortolotti Construction i tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass02675 down cope engineering civil engineers& land surveyors structural design Arne H.Ojala P.E., P.L.S. Daniel A.Ojala, P.L.S. Timothy H.Covell, P.L.S. land court surveys March 25, 2002 Jose Geraldo site planning 38 Fresh Holes Road Hyannis, MA 02601 sewage system designs Dear Mr. Geraldo: A public hearing has been scheduled for the Barnstable Board of inspections Health to take action on a request for a variance from a Barnstable Board of Health regulation for the proposed septic system at your home. The variances requested are as follows: permits Title 5, Maximum Feasible Compliance, 15.405 (la) : reduction in setback to property lines for leaching facility, 10' to 2' and (lb) : reduction in setback, leaching facility to foundation (20' to 151 ) Said hearing will be held in the Town Hall conference room, 367 Main Street, Hyannis ARril 16, 2002, at 7:00 pm. Please check with the Health Department to confirm date and time. Sincerely, Sarah B. Ojala Down Cape Engineering, Inc. cc: Abutters file Barnstable Board of Health ABUTTERS LIST FOR GERALDO MAP 292/15 MAP 292/179 ROBERT & TERRI LIPPMAN 65 WILANN ROAD MASHPEE, MA 02649 MAP 292/178 ERIC WINER BOX 566 HARWICHPORT, MA 02646 MAP 292/150 FRANCES BOLO 270 ASH STREET MANCHESTER, NH 03104 i I _E I d,.299 04,--01 '02 PH 12:-�3 I B:BORTOL,OTT I CON TRUOT I ON FAQ{:�'-, 428 9 '99 PAGE 1 r— _........-- -- -...� _... f l� BORTOLOTTI CONSTRUCTION INC. DRAINAGE LANE) DEVLL()P10rNT SEPTIC SYSTEMS April 1,2002 I I hereby authorize PosNn Cape Engineering,Inc. and it's representatives to represent me lit the 11mird of Hea.itlt meeting concer-ninr my property at.38 40 Fresh Holes Road.Hyannis,MA. Thank you, ,,\CCEPTANi Cr. „r`` 1 a aye Gcrnl�M1e� � i P.0, RC:'';: 704 + NAAKSTONS!MILi_S, NIASSACH'USFM D2(.48 • (508)771-9.399 • FAX i50H.) (I (Z' 00 Q) Nr lffiti' zr 3 N This MIORTGAGE, IN'SPEECTII FLOOD ZO.NE- "C T T, _.ff IL' RE(;',,"VP'i OWIN�.EP-c _9aB4MJ_' I DEED REF-, —BUYER: FLAN REF: __IeC�,17.. E-1 CERTIFY TQ --ti)? j 4C MA. YANKEE SURVE THAT THE 6UILDIN5 1,J1 k N'C 0 N S lS 7:,,0VJ'N QN, PLAN IS LOCATED ON; 7HE Cl f>,O'U N D AS �.:jjnWx pr,) THAT P(3-_-:'JTlnN DOFS '1-1 AT i-j- Uo F '4'ITHIN THE tiPCCIAL FI-000 FIA7AM)Af6 WN ON THE H.U.D. MA-0 D Of1) TE 426 2,50001 000 I FAX420-f)55'1 TRUME AN INS7 THIS PLAN140.1- MADE: FROM N T �4UPVM' NOT Tn RIF U'.c�Fn FOR F F.N C F 'T tr'j�l T'.I F Al_lV3d GH_t'AdVH E081CL,83S 71T:�T eZP3Z/TVtG 04/01/'2b?'2 1 E:12 5081?51803 HARVAPD P.EALT" PAGE 02 � �v rj_,�-- J..�� •�`� �� ,C)C�r,� y[.,c•r°u"•.,y'vL ,��.t.�,r J e.+ 1 r^ / r � L 1 � �• !�"t Imo' _"" , ! � / '� r USETTS _ .,.•c .wac a G \ IS J , T i,e7 .�•Ac fez 4 Nam( 23AC ee 2.65 ..pz. '� K .M°t .iT AC •Ac 9 �O b ry - 9 At �c T b' .,JC-s :c so } O r N cc 177 0 1,0• ',.0 1','� .soAC A 29 z1 17 e jail i`� .a4ni �P ` �9At .,`.•C a =k scs y„s AC 4 QOto -13gC 0 *so �� 'a f t r, 41 j llf js`� .io4a ,o �i:e J) b N: O • waY too ass r s ° � , a �y &. I.C. a po sJJ - fg laa -was oT 7l 1�4.2 ° o° 6� '1$4C .484C •I'q. 2 u 5 qC. esi 0- he�(< �f` Jr `b ��, rtPv Y w... leg :.Z iigC )0 • •�7 / 4, tie .yam .474C o A • o'1-tr S C. 1j 8 ¢ N SO J • s 4 167 69 294C 3 •y s� �) e4C I ; ?, 3 1e1 oae d10 68 .33� 2'4C 4a .3)4C �•'�e ae 3)4C 237 400 �IIZ 46 4C At 9J 6 36A6 •4qC ry tR $ �3 982J3 O Ake '�3 4CJ .74gC4 .?2qCAc 1 'aeA,c jot .4c4 c .334C 44 19 o� 6e .ism J'. 33 qC $ 39 10 .rJ1 0 <J, t S 0 e "°6 121 g'aas 1,s R 4C ?44C v •, .,y S o +s Sq 43 461 �P .29AC k ...4C 33 �n `.e .,s 12 - 6q 4C $ R f0� 124 J o 63 •2. a.g,_ uc q4C ,10 �� 204C it ...• .20AC • ♦Op 120 4C 17AC 8 33 =) /0 = 123 136�0 119 404C 334C •ia�a ° •194C. J64C .17AC .d .o .20 At 118 a •)a f 3 135 .1sAC 36 10 •>•ge .l 4C.. ¢3AC .27AC �r .334C a7a ^ . 134 11 u° 394C a . isan �d f04 N 127 .ZIAC 1 1 33 64 c 174c .174t 6/ 334C .44" 103 : 128 130 •394C IQ ,)1 Y .224C3 .16AC 131 132 i .. nh ^p aaa = .29AC .24AC .24AC` C 18 n0 4'�f 129 '� ► o II: 00 f J b 34C r 4 •age 6, .24AC �• .2: • ,e .,as •+aim ,b Aso 106 OF °s pATTom 0� Q .664C RAL ax " 67 • 113 114 Q 1 9AC a . 112 .,a. 3, ig4a • 110 11 ISAt 24AC _. 39 ti^ gVf w3 107 108� j09 T 5AC 1 TOWN OF BARNSTABLE LOCATION — c,4`j l�gg SEWAGE # VILLAGE.�LCc11171 ASSESSOR'S MAP & LOT G/6- Sp NAME & PHONE NOJUOt SEPTIC TANK CAPACITY /( U Z — LEACHING FACILITY:(type) l� s� ��l (size) NO. OF BEDROOMS '�Z PRIVATE WELL O PUBLIC WATE BUILDER OWNER lQ o �jG � DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No - P 1 v u�M, O Ql NM _r _ 1 'I'4?'VM OF BAMST*C reld MCp►'R'iON U. ) "VILL,�aGE h'h s 3 p, SFSS®Z'S 1VIAP Si I.AT__��__ � INSTA:4�LIt'S SIEF'1'LC TA,�MK CAP,A.C'l.1 Y . � I r�/ ryryg''����{r��++ yyyy pp yygg��7r�aV NO:Oki i±381).JMS: ,r. 13 1.xD IR OR CD1111Y it PERMIT.,l�l�'X"&: � .. _.. :. � CC4P1Lia)TJ51�lt�:I?d!►T�? ;.� � _; . . .. .._.. Sap�r�eaoaa T3(�;f,�a►oc:Tic�tvrceti tX�e ; Cru MsxitciumlcljustctJG�aulaclw�cet'l�bletotjjc,BottotnoilJcac.hingNar,ility 1 IrruVc;�JV�tcr Sul3 ty;V14RI wid U4chips Pacilaty w.mly,woi)S ox6t.. Awl ata'situ it*itbaai 2( sect gf'lazacEiiq► fa�cllity) F.clno,iy���/et aajd taaid lLcacitin�Pica ity(�f uny w+~tianci exact cc, ti'1itl��aa 3Q0&ez at �naiiing Pacslatyc ti u � ut9la Jl���„��--r•� as v w 1n c U Ti ,G TOWN OF BARNSTABLE LOCATION -FF— fif-d &A SEWAGE # 93- f VILLAGE '-i "''N[•S ASSESSOR'S MAP & LOT =- 14- 0/3- INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type))l', Y,S ���,/ (size) NO. OF BEDROOMS PRIVATE WELL OR P ii6:IC WATER- BUILDER O OWNE �,�fc1lD -� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes -No r C _ O T� i ,r No...g.�F!. �� !� Ftt$.... a............ ` G ALT �3 MONVi/ELTH OF MASSACHUSETTS BOARDatOF HEALTH —0 /5 TOWN OF BARNSTABLE Applirativit for Di ipwial Workii Cnomitrnrttnn ramit Application is hereby made for a Permit to Construct ( ) or Repair (< an Individual Sewage Disposal System at: 4/0 r,�a��o�t-:\ddrrs' Or Lot No. /��"V!D L ......................_................................------ L ................................---------. •--•-.-•------•---•---------•-•---••----...--------...........-------••---......-----......--...... Oi Own Address I n � ........... Installer Address UType of Building Size Lot............................Sq. feet ,., Dwelling— No. of Bedrooms------------------�-.___--_--.._ ----Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons.......--------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ............................ W Design Flow.............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity .gallons Length---------------- Width---------------- Diameter---------------- Depth................ Disposal Trench--No. ----------....... Width-----7.......... Total Length..c�...-... Total leaching area....................sq. ft. Seepage Pit No..-_._-:------_.... Diameter.................... Depth below inlet....��s... Total leaching area...................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.........._............................................................. Date........................................ ,.a Test Pit No. I................lninutes per inch Depth of Test Pit-----------------.._ Depth to ground water........................ Li, Test Pit No. 2................minutes per inch Depth of Test Pit.............,...... Depth to ground water........................ PG •-----------------------------------------------------------------••-------------------...-•-•......................----....-----------..........-----.....-- 0 Description of Soil........................................................................................................................................................................ x U ..................................................................................----................................................................................................................. W -----------------'-•------.....----.....-••--------------------•---------------------...------.......--------------------------- ---•------ ------........................................... UNature of ]Repairs or Alterations—Answer when applicable...�N.''' —..._l_ UO ._.3 ,C..� d � 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 'as en i s by t board of health. Signed . —.: ------ "' 1' ' -._.�.... .... to Application Approved By ....................:....... ... _... ......-' -- ---4........_..-' Application Disapproved for the following reasons: ------------------------------- .... ' ' ................................................' . .. '-"- '. ' .. ........... ............................................... ' ............----------------- ------...-------------------._....-------------- -----------------------------------_-- ........................................ Permit No. ... r to .,.r,�..�......r..3`. '................ Issued .-" -. ....:........ „�.. .�.. .:....�,''�.... Date FxB............................ [,:)t,.,�VTH=E—COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diri.puinl Worlai ( outitrnrtion 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair (kf an Individual Sewage Disposal System at: �� - y�---.... sue? .. ��� /y ,.i�v s...... --- ••. ........................................•. Location Addrrs Cor Lot No. Ij owners A/_dres G7/ ( l Ys�n e /1. ..�J------------ I­ / 1 Installer Type of Building Size Lot.......................... Sq. feet t-, Dwelling— No. of Bedrooms___________________ -------------.---._Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures --------------------------------------------------------------------------------------- ---------------------------------•------•-------•------••---- W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. Gd Septic Tank—Liquid capacity.OePPgalIons Length________________ Width.....---.------- Diameter................ Depth................ Disposal Trench--No. ----------1...._.. Width.....5?./........ Total Length... �,;;t....... 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........................................ 0 Test Pit No. 1................minutes per Inch Depth of Test Pit.................... Depth to ground water........................ �Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 -------•---------------------------•----•--•-------..........----•---.._.........----•-•-----••---..........----------------•-------•-------•--------....••-' ODescription of Soil..........................................................................................:............................................................................ U _...._..-----•------.....-•-•........................................................................ ..................•---------------•--•----•--•-------------•--•-----•---......---•••......-----••. W x •---••••....._...'---••--'------•••..........--•••- --------'-----------------------•••-•--------------------•------"•--'----'•-•---•----•••••••••• • •..... • . -••••-............----•---•--•- U Nature of Repairs or Alterations Answer when applicable---X! 7 -.--- ... 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 been issue byytthe board of health. Sined ------- �!..'�(--- ....1......../r.r �....1_.. cl g ,......,"! _�............. .... � d?are Application Approved By ......... .................. ..... ...............--k -- .......... V t���.. .. . Application Disapproved for the following reasons: .............................. ......................... .................................. . ........................ ............. ..................... . ' ' ................. ....... ........ ... ......................................................:....... ........................................ Permit No. /.. ........... .. Issued THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE OLIertifirate of (11onijiliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( .) by ................................................................. � ......... Inst ller at ...................................... �-�........ .. .-- -----. 1 5 >.�t.L C�S....... .......1 r .� ........... 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. DATE......_..... ..��.�_- ...--- .. . ........ Inspector . .... ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH : o TOWN OF BARNSTABLE FEE----.�..�'.... T7dC� _ Permissionis hereby granted............--- ............................... -_------------------- ........................ to Construct ( ) or Repair ) an Individual Sewage Disposal System at No. — •...1Q....--- S?`� L Fir /J---•----- � '�'� 'ICJ strcgt'� as shown on the application for Disposal Works Construction Permit"N11__.�1.� Dated.._...�'`9' - Board of Health DATE.....;............. --• . FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS i SYSTEM PROFILE TEST HOLE LOGS TOP FNDN. AT EL. 51.2' (NOT TO SCALE) , ACCESS COVER TO WITHIN 6- OF FIN. GRADE ARNE H. OJALA, PE AccEss COVER (WATERTIGHT) TO ENGINEER MINIMUM .75' OF V OVER P COVER O E RECAST WITHIN 6 OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 49 0 DAVID STANTON WITNESS; EL. 47.5' RUN PIPE LEVEL 2' DOUBLE WASHED PEASTDNE DATE. 3/20/02 "'" I / FOR FIRST 2' EXISTING 1500 L.--_ / 3' MAX. PERC. RATE = < 2 MIN/INCH GALLON SEPTIC 46.0't / 46.33` CLASS I SOILS P# 10202 sw N�aPM� Locus TANK (H- 10 > GAS " L� m00 000 © R --USE BAFFLE 45.77' �� 45.50 OOOO O OOOO �a 6' CRUSHED STONE OR MECHANICALO Cl O O O O C7 © �, 43.50' ELEV. COMPACTION. g5.221 C2]> 2' O O O O 0 O C3 C3 0 DEPTH OF FLOW = 4 ! ( 2 % SLOPE) « SLOPE> 3/4' TO 1 1/2' DOUBLE WASHED ST;JNE e TEE SIZES i FILL INLET DEPTH = 10" 14 30" LOCATION MAP NTS OUTLET DEPTH A FOUNDATION EXIST SEPTIC TANK 10' D' BOX 12' LEACHING LS -- ASSESSORS MAP 292 PARCEL 15 FACILITY 5 36" 7.5YR 3/1 B VARIANCE REQUESTED UNDER LS MAX. FEASIBLE COMPLIANCE .� 7.5YR 4/6 15.405: 66 4 1a: REDUCTION IN SETBACK TO LOT LINE FOR SAS (10' TO 2') [!R ENCHIMARK - TOP OF BARNSTABLE C OAD BOUND. EL. = 49.4 (ASSMD G.I.S.) 38.5 PERC M/COS WITH STONES 1149.4 2.5YR 4/8 + 4 .5 OH UTILS �ss \�`\�\ RE-USE EXIST. \\ SEPTIC TANK END UNIT TO BE H-20 LOADING (CONFIRM SUITABLE TEES AND ADD (VENT SYSTEM) 126" 38.5' \ GAS BAFFLE IF NECESSARY) NO WATER 4 \ �\ �\pA �•94' ENCOUNTERED N T ' \ \ D I / 7 ,`�CONC R/UR N PROVIDE MIN. 2' REMOVAL OF / \ UNSUITABLE SOIL AROUND SEPTIC DESIGN (GARBAGE DISPOSER IS NOT ALLOWED > 1. DATUM IS APPROX. MSL 6 , PERIMETER OF LEACHING 110 EXISTING C 5 FACILITY, DOWN TO SUITABLE DESIGN FLOW 4 BEDROOMS < GPD) = 440 GPD 2. MUNICIPAL WATER IS _ 48.3 SOIL LAYER, REPLACE WITH 1 440 - + a . L. . r a4,yTH t SE A.. ._.._ ,GPD DES GN FLOW 3,. MTNT'41"JM PIPE PITCH TO BE1/8 .._PFR_rOOT. i 5 .o /`G y_ _ CLEAN MED. SAND. .10 • + 49.7 _SEPTIC TANK: 440 GPD ( 2 ) = 880 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO -10_. NOTE: EXISTING SYSTEM 5. PIPE JOINTS TO BE MADE WATERTIGHT. & H-20* EXIST. DUPLEX 4 ' 49. + 4 N IS IN AREA OF USE A 1500 GALLON SEPTIC TANK EXIST TF ' 1.2' �� O so.o PROPOSED SYSTEM (EXIST) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. p ASPH 5 LEACHING= ENVIRONMENTAL CODE TITLE V. SIDE G� REMOVE ALL CONTAMINATED 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT WALK 50.2 20 SOILS WITHIN CONFINES OF SIDES 2(39 + 10.83) 2 (.74) = 147 v !�, (ON y LOT TO BE USED FOR ANY OTHER PURPOSE. - 1 39 x 10.83 (.74� = 312 SLAB) + 50.0 BOTTOM= 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4' PVC. aBL _ 44 + 4 / �?' - _ TOTAL- 621 S,F, 460 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT I' 5 .0 1 G INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED G Q USE (4) 500 GAL. LEACHING CHAMBERS (ACME OR 9 + 50.6 EQUAL) WITH 3' STONE AT SIDES AND 2.5' AT ENDS FROM BOARD OF HEALTH. PUMP & REMOVE EXIST. LEACH FACILITY / 50 z / / '9 -7 .2 * END UNIT TO BE H-20 50.53 50.2 N D / LOT 12 �/ TI TL E 5 SITE PLAN a s 50 / 6,634t SQ. FT. 100.0 PROPOSED SPOT ELEVATION OF 49. - �' 505 38 & 40 FRESH HOLES ROAD / C�E OF ,3 I0OX0 EXISTING SPOT ELEVATION IN THE TOWN OF; / AVE 1 ` 00 PROPOSED CONTOUR 0/ 53 94' `+ 50.5 ( HYANNIS) BARNSTABLE 100 EXISTING CONTOUR PREPARED FOR: gORTOLOTTI CONSTRUCTION/GERALDO i D 49.9 j 20 0 20 40 60 BOARD OF HEALTH APPROVED DATE ' MA SCALE: 1" = 20' DATE: MARCH R H 12, 2002 2 (WATERLINE) ERLINE) j off 508-3te-4541 fox SOB 362-9BBo j I down cape engineering, Inc, OF "'AS�� of CIVIL ENGINEERS AS A aE H. c I - LAND SURVEYORS No.is A- 3 02--049 939 ,Main st, yormouth, ma 02675 ARN � , rat DATE TOP FNDN. AT EL. 51.2' SYSTEM PROFILE TEST HOLE LOGS _ ACCESS COVER TO WITHIN 6 OF FIN. GRADE (NOT To SCALE) ACCESS COVER (WATERTIGHT) TO ENGINEER: ARNE H. OJALA, PE F MINIMUM .75' OF COVER OVER PRECAST /` WITHIN 6' OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 49 0' DAVID STANTON WITNESS: EL. 47.5' RUN PIPE LEVEL 2' DOUBLE WASHED PEASTON DATE: 3/20/02 'j R�IE q8 FOR FIRST 2• 3' MAX. PERC. RATE - < 2 MIN INCH Gl L/GALLON SEPTIC ! 46.0't 46.33' I 10202 �Pa TANK (H- 10 > CLASS SOILS P# �1 a�a LOCUS EXISTING 1500 S GAS R -U BA FL 45.77' 4 45.50' OOOO O ;OOOO 6' CRUSHED STONE OR MECHANICAL O m 0 C7 O 0 O C3 O ELEV. COMPACTION. (15.221 C2]) 2' 0 O 0 O O � O O O o 43.50' 0_ 49.0' DEPTH OF FLOW 4' (?-•r. SLOPE> < SLOPE) 3/4' TO 1 1/2' DOUBLE WASHED STONE J TEE SIZES, FILL INLET DEPTH = 10 j OUTLET DEPTH = 14" 130" A LOCATION MAP NTS LEACHING LS FOUNDATION- EXIST SEPTIC TANK 10' D' BOX 12' FACILITY 7.5YR 3/1 ASSESSORS MAP 292 PARCEL 15 - B VARIANCE REQUESTED UNDER LS MAX. FEASIBLE COMPLIANCE 7.5YR 4/6 15.405: 4 la: REDUCTION IN SETBACK TO LOT LINE FOR SAS (10' TO 2') BENCH MARK - TOP OF BARNSTABLE 38 5' C (lb): REDUCTION IN SETBACK, ROAD BOUND. EL. = 49.4 (ASSMD G.I.S.) PERC M/COS SAS TO FOUNDATION (20' TO + 49.4 WITH STONES 15') 0 49.4 2.5YR 4/8 4+ 4 .5 8 OH UTILS �8.8 \\��\ E-USE EXIST. \� EPTIC TANK END UNIT TO BE H-20 LOADING (C FIRM SUITABLE TEES AND ADD (VENT SYSTEM) 126" 38.5' \ GA BAFFLE IF NECESSARY) NO WATER 4 \ \\ �NIPA 94' ENCOUNTERED NOTES: 7 ��C N�RC� N PROVIDE MIN. 2' REMOVAL OF --- - ' \ UNSUITABLE SOIL AROUND S r ICE tco0j� •• .., NOT ./�LI• E�^, - - !a>rF�ROX. MSL � .6 SEPTIC Df._:IGN: ! .4r•�: __ D.�. ::.�C� ..:. .._..�. . Y _ ) L_�A'I'UM IS , \ \ _.. ,...: ;PcRIlu1ETER `OF i.EACHi vG 110 = 440 EXISTING Q 4 5 �Y FACILITY, DOWN TO SUITABLE DESIGN FLOW 4 BEDROOMS ( GPO) GPI) 2. MUNICIPAL WATER I� `� al i 98.$ SOIL LAYER. REPLACE WITH USE A 440 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8' PER TOOT, + a AN M SAND.G CLEAN ED. T s .o 1 /�` SEPTIC TANK: 440 GPD ( 2 ) 880 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H: 10 . + 49.7 NOTE: EXISTING SYSTEM - ---' 5. PIPE JOINTS TO BE MADE WATERTIGHT. & H-20* EXISI DUPLEX 4 49. �, IS IN AREA OF USE A 1500- GALLON SEPTIC TANK (EXIST) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. ASPH. TF 51.2' G �� 50.0 PROPOSED SYSTEM LEACHING- ENVIRONMENTAL CODE TITLE V. b SIDE- d REMOVE ALL CONTAMINATED J� WALKS 50.2 0 ILS WITHIN CONFINES OF SIDES, 2(39 + 10.83) 2 (.74) _ 147 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT I* 1 2• LO 39 x 10.83 (.74 = 312 TO BE USED FOR ANY OTHER PURPOSE. 8LC _ , + 0.0 BOTTOM: ) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4' PVC. A. a TOTAL: 621 S.F. 460 GpD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 5 .0 G Q USE (4) 500 GAL. LEACHING CHAMBERS (ACME OR INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. j •9 + 50.6 EQUAL) WITH 3' STONE AT SIDES AND 2.5' AT ENDS 10. PUMP & REMOVE EXIST. LEACH FACILITY G� 5� z 9 -7 .2 * END UNIT TO BE H-20 v r 5 ' LEGEND TITLE 5 SITE PLAN 20.2 LO 12 0 6 4 .8 y0 // 6,634t Q. FT. � co 100.0 PROPOSED SPOT ELEVATION p Z 9,, 49.2 0.0`' 4 e 50. 100x0 EXISTING SPOT ELEVATION `�� �• 40 FRESH HOLES ROAD GE IN TH TOWN OF: 4A 00 PROPOSED CONTOUR 50.5 ( HYANNIS) BARNSTABLE 100 EXISTING CONTOUR o, REPARED oR: BORTOLOTTI CONSTRUCTION/GERALDO 6+ 49.9 2 0 20 40 60 BOARD OF HEALTH APPROVED DATE MA SCALE: 1" = 20' DATE: MARCH 12, 2002 off 508-362-4541 fox M 362-9880 OF down cape engineering, inc. Of Mq�9 ARNE H. �Gv oc� ARNE �4 CIVIL ENGINEERS � OJAL chi Cl L -• LAND SURVEYORS ,o No. 2 � z • d; 02--049 939 Main st. yarMouth, ma 02675 OJAL i- ;;i , P.L.S. DATE SYSTEM PROFILE TEST HOLE LOGS TOP FNDN. AT EL. 51.2' (NOT TO SCALE) ACCESS COVER TO WITHIN 6 OF FIN. GRADE ACCESS COVER (WATERTIGHT> TO ENGINEER ARNE H. OJALA, PE f MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6' (IF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 49.0' WITNESS: DAVID STANTON 4+ EL. 47.5' RUN PIPE LEVEL 2' DOUBLE WASHED PEASTONE DATE: 3/20/02 8 Ll FOR FIRST 2' 3' MAX. PERC. RATE _ < 2 MIN/INCH EXISTING 1500 GALLON SEPTIC 46.0't 46.33' I 10202 s ��"�` TANK (H- 10 > GAS 0 Q O O CLASS SOILS P# N�a �ocuS R -U BAF L 45.77' �4..�.so 45.50' LO © 0 m ,3 � L7 0 0 0 0 0 1771 1-10 6' CRUSHED STONE OR MECHANICAL 0 0 0 0 ELEV.E PA N. (15.2 1 123) 2' D 0 0 0 0 DODO 43.50' f�' Q 49.0' CDM CTID 2 � DEPTH OF FLOW = 4 ( 2 Z SLOPE) <� SLOPE) 3/4' TO 1 1/2' DOUBLE WASHED STONE TEE SIZES: FILL INLET DEPTH = 10" OUTLET DEPTH 14" 30" LOCATION MAP NTS A FOUNDATION- EXIST SEPTIC TANK LEACHING LS 10' D' BOX 12' FACILITY 5' 36" 7.5YR 3/1 AS ESSORS MAP 292 PARCEL 15 B yARIANCE REQUESTED UNDER LS MAX. FEASIBLE COMPLIANCE 66" 7.5YR 4/6 5.405: 4 10: REDUCTION IN SETBACK TO • LOT LINE FOR SAS (10' TO 2') BENCH MARK - TOP OF BARNSTABLE 3$ 5' C ROAD BOUND. EL. 49.4 (ASSMD G.I.S.) PERC M/COS WITH STONES I 40 49.4 2.5YR 4/8 + 48.5 OH UTILS \���\ RE-USE EXIST. \� SEPTIC TANK END UNIT TO BE H-20 LOADING' (CONFIRM SUITABLE TEES AND ADD (VENT SYSTEM) 126" 38.5' 75 94/ GAS BAFFLE IF NECESSARY) NO WATER 4 . \ � �PA�ED p r ENCOUNTERED N \\CONS. CU N PROVIDE MIN. 2 REMOVAL OF 1 \ ` BUR{ 6 UNSUITABLE SOIL AROUND S-P�IC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED > 1. DATUM IS APPROX. MSL F'E4lMETER OF- LEAGHlNG , FACILITY, DOWN TO SUITABLE - - 4rJ XISTING _ D,:SI:�N FLOW: 4 BEDROOMS <i 0 GPD) - Gr111 B. MUNICTPi�L WATER Ic - "> 5 a/� 98.3 SOIL LAYER. REPLACE WITH U3E A 440 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO B 1/8' PER FOOT. + 4 � TH s .o / /G CLEAN MED. SAND. S,_PTIC TANK: 440 GPD ( 2 > 880 4. DESIGN LOADING FOR ALL 'IPRECAST UNITS TO BE AASHO H- 10 . I / � + 49.7 NOTE: EXISTING SYSTEM = - 5. PIPE JOINTS TO BE MADE WATERTIGHT. & H-�* w EXIST. DUPLEX 4 ' 49. IS IN AREA OF >E A 1500 GALLON SEPTIC TANK (EXIST) IN W TF • 51.2' �� O '� 50.0 PROPOSED SYSTEM 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. ASPH. G iG �r LEACHING: ENVIRONMENTAL CODE TITLE V. IN SIDE- f tl REMOVE ALL CONTAMINATED - /� WALKS 50.2 0 ® SOILS WITHIN CONFINES OF SIDES: 2(39 + 10.83) 2 (.74) 147 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT h TO BE USED FOR ANY OTH R PURPOSE. SLAB) ^ti as (ON / 2r LOT+ 50.0 BOTTOM: 39 x 10.83 (.74) = 312 8. PIPE FOR SEPTIC SYSTEM T❑ SCH. 40-4' PVC. ' + 4 . - I -- _50'G USE (4) 500 GAL. LEACHING CHAMBERS (ACME OR TJTAL: 621 S.F. 460 GPD 9. COMPONENTS NOT TO BE ACKFILLED OR CONCEALED WITHOUT 5 .o G = INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED e � FROM BOARD OF HEALTH. 3 co / .9 + 50.6 EI,UAL) WITH 3' STONE AT SIDES AND 2.5' AT ENDS 1 1 10. PUMP & REMOVE EXIST. LE CH FACILITY 1 �501 CU 9 2 * END UNIT TO BE H-20 2 / � 50j / 50.2 G ND 1 LOT 12 , 6 TITLE 5 , SITE PLAN 4 .8 5p // 6,634t SQ. FT. / C 100.0 PROPOSED SPOT ELEVATION OF Z 49.2� o.o" � , 1 so `' 10Ox0 EXISTING SPOT ELEVATION `�� 4 FIRE H HOLES ROAD fa'CE OF _ ArIN THE TOWN OF: S3'94 50.5 00 PROPOSED CONTOUR ( HYANNIS) BARNSTABLE 100 EXISTING CONTOUR PREPARED FOR: gORTOLO TI CONSTRUCTION/GERALDO + 49.9 20 0 20 40 60 BOARD OF HEALTH MA SCALE: 1" = 20' ,DATE; MARCH 12, 2002 APPROVED DATE - REV. 4/6/02 (WATERLINE) off 5W-362-4541 I fox We W-9m down cope engineering, inc. �-�� 0I MAS, of CIVIL ENGINEERS �� AHc�E ' � AR H M y LAND SURVEYORS No. y 939 main st. Y armouth, ma 02675 IS1 Trrnm 02-049 AR N Al DATE