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Home My WebLink About0058 FRESH HOLES ROAD - Health 58 60 FRESH HOLE RD. HYANNIS A. = 292 173 t I i e p TOWN Of BAR1115TABLE Lochlin oN. s sw�c VILLA Cep 96►n f j SSESSAn'S MA.t' Kt� INSTA.LLSil NARJi �I�?NE No s •tc�',a r�c:, c�Tx' 1.5 a T+F.A(."MG VACILITY" No.omisbp"obms�L, at;pctttottttaattoc;B�t��ze�a;cX�c IIWO4uiu..A usC d,Gkob►tc�wv�cst Tabibt s the,Bo tomofLga(<h't 44 Fu,lity .. ��.�--�-��F"�' m Poly t; ' t�► Sap�aly 14�I�icl t��r Saeta lxttc ttty f,3S:t �y iei4s cxis� Fool an e�tu ofvlthtoOQ feet of taacfi�� fstGility) -�-=- xluis;tylJet4attd attd.l.eacltlp�g IFacatl@y( uY w�tindti sxtsc �v#P.hiti�fla f `1es►�Rttrig Pizcslsry) �u�t��hut9 by � .. c -- b h� rN s _hi � y TOWN \\OF` BARNpSTABLE' LOCATION 5p)— (0 �Z 5� �}tl�s �c� SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S///&PHONE NO. ^ SEPTIC TANK CAPACITY 1500 .L 006 LEACHING FACILITY.(type)(—q*, , & n k S)t� (size) 35 i5k\ NO.OF BEDROO S OWNER �Q �t 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 4 6+ i1 J 0 N r N w S q s SE No. 20)+ v Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISidh -TOWN OF BARNSTABLE, MASSACHUSETTS application for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(�j� Abandon( ) ❑Complete System AIndividual Components• Location Address or Lot No. 58 W Frt4k Ht V ?A Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 2 qg jjg j"C1,.A0k1_t 4f Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. ��p n p s ylJfJ-;`� ��fq / Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building I 1A 0No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.req fired) AAD gpd Design flow provided 4 99 . gpd Plan Date Z Number of sheets R vision Date Title CA d Size of Septic Tank Kw ek- 1 Type of S.A.S. Description of S it Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Titl 5 th Enviro ntal Code and not to place the system in operation until a Certificate of Compliance has been issued by this B and f ealth. Sign Date Application Approved by W.� Date Application Disapproved by Date for the following reasons Permit No. ;2 a;t Date Issued f! jw .�ij .r .-�.tr•A , r.' '... .rt-, .�,.t`-,.1'..v.sr .- ....i..may,;!.. .- ..,,�^�`.,. .�?" r�..5.��'A`x..c�*>•. "�`^ .. 11- 3 No. 20 Fee I Entered in computer: '"�►i THE COMMONWEALTH OF MASSACHUSETTS a, k, Ye`r } PUBLIC HEALTH DIVSISI -TOWN OF BARNSTABLE, MASSACHUSETTS application for bisposat 60stem Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade(X Abandon( ) ❑Complete System AIndividual Component ' Location Address or Lot No. Owner's Name,Address,and Tel.No. g SF� D FMk MUJ kd :Assessor's Map/Parcel �� Farr►/ (� �' e� Installer's Name,Address,and Tel.No. C Designer's Name,Address,and Tel.No. i C tla "1 2�'I I R r o$- q --7 Type of Building: Dwelling No.of Bedrooms 4 Lot Size (99 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Uisign Flow(min.required) �L( gpd Design flow provided �� • gpd Plan/1 Date Z Number of sheets Revision Date , Title' 6f S � � �� / _ � CS �A�� Size of Septic Tank � j� {�I A(� Type of S.A.S. 2) p IL Description of Soil OMU �'. NaturepfuRepairs or Alterations(Answer when applicable) i:.. �, i Date last inspected: r Agreement: �. The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in Y accordance with the'provisions of Title 5 of the Enviro ental Code and not to place the system in operation until a Certificate of Compliance has been issued by this B and of 1lealth. 1-2 /2 Signe Date 1p Application Approved by Date pIr q . Application Disapproved•by Date for the following reasons• Permit No. NO Date Issued v d-_ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,,MASSACHUSETTS,,,,_ Certifirate of CoiripC ante THIS IS TO CE TIFY,that the On-site Sewage,Disposal system Constructed( ) Repaired( ) Upgraded Abandoned( )by at C- j�n rP , h l _!Z d has been constructed in accordance with the U sions of Title 5 and the for Disposal System Construction Permit No. )0o?(-,v4(f dated '�/t 7�� f Installer t%nY\S �A V1..b&_ Designer (A�j 1 #bedrooms Approved design flow �� W gpd`_ " r The issuance of this permit shall.not lie construed as a guarantee that the system will-filncfion�as des' ed. , ..� p Date � inspector ` No. ( z fa 'Fee JUG! THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS ; _j » • ' �'�` S Bisposal *pstem Construction i3Prrnit •Y_ Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon( ) System located at and as described in the above Application for Disposal System Construction;Permit. The applicant recognized his/her duty to comply with ' S Title 5 and the following local provisions or special conditions. ._ 7 a Provided:Construction(must Jbe completed withinythree years of the¢ate f thiisYpermit. h /� Date F t J d tr Approved by r .» Ap Town.of Barnstable Inspectional Services � , I Public;health Divil.i6h Thomal,sl McKean,Director 200 Main Street,A"Iftiis;MA►02601: Qffice::Son sb2=4b44 Fax. 5m,,! o-6364; Installer&Desianer.Certificadon FQrm Date .�'l. Zf Sewage Permit# �1,—�� Assessor's MaplParcel Z _1�� ]Designer Installer: AAddress.. �n, .Addriiw U Lgwas..issued.a permit to install a (date)' (installer) septic systerriat � l'", based an a design`dawn by (address) dated 2 (designer) I certify that the%sip#�c.sys#emlefer'ericed above was installi~d substantially according to the de°sin, which may.include miric�i approved changes such as,lateral relaGatian of the d�Mbut�on,box.andlor septic tank. =5tnp alit'of required),was inspected and:the soils were found satisfactory: I certify that the septic system referenced above was installed with rriajar chaxiges (ie; greater than I0' lateral relacatioirr of the SAS£Qr any vertkal,,relocation of any component of the septic system)but in accordance With, &Local:Regulatons I'Lan,revision or Gemfied as-built by designer to follow: Strip out(i 'fetluiirec}was inspected rid the soils; were:found satisfactory. I certify tht�#the system referenced above was constructed in canipl ance with the m ms;;of therllA a_proval'letters(if applzcabf (Inst er's:S nature} Ei Ab er s Srgnatur` , A ix e saeot�a� FLEA URETURN T BARIVS°TABL ..I'ITBLIC HEALTH.Div CERTIFICATE, OF C MPL""LANCE WILL NO . ,BE ISSUED U TIL .BOTH T IS: FORM AND 5, BUILT-CARD ARE- EIV CED BY THE BARN TABLE PUBLIC HEALTH DIVISION. THANK"'YOU. \1roaWep 12ALTHISEYJEF co6fiW\SEPTiGSQe09h*GetFiheation Fom Rev 1 1Wf bob Commonwealth of Massachusetts �� `"' Title 5 Official _Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 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. A. General Information �L �I � ? 1. Inspector: U�r Shawn Mcelroy Ch Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation the Local Approving Authority 11-17-14 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 Title 5 Official een Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: s ® 41 have not found any information which indicates that any of the failure criteria described F in,310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: System is in good working order with no sign of failure. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 i� Commonwealth of Massachusetts m W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments G M , 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes or"No"to each of the following for all inspections: Yes No ❑ ® 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 Y2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or,privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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 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 W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Form I; o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: Varies 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: 11-2014 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 8 Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is Hyannis MA 02601 11-17-14 required for every y 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: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts �u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 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: 2000 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: Z concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: J years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 1500 Gal Dimensions: 12' Sludge depth: t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. CitylTown 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 1" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts T Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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 I t5ins-3/13 a Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form :Not for Voluntary Assessments M °y 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 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 0 Comments note if box is level and distribution to outlets equal, an evidence of solids carryover, an ( q Y rY � Y evidence of leakage into or out of box, etc.): Good condition with water at working level and no sign of back-up from field. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 5-Infiltrators ❑ 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.): Infiltrator field in good working order with no sign of back-up in to d-box or surrounding stone. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—.top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City[Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids ,Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GM s 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately Gt 4611k - — 1 L4 e r .- a 'r i r t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 58-60 Fresh Holes Rd Property Address Murphy Realty Trust Owner Owner's Name information is required for every Hyannis MA 02601 11-17-14 page. City(rown 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 pFTHE Top, Town of Barnstable Regulatory Services BMWSTns[.e. v� 1Mass. ,�$ Thomas F. Geiler, Director moo" p'E°3�A 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 2933 August 1, 2007 Mr. Richard T Murphy Mr. Robert H. Murphy 122 East Chestnut Street East Bridgewater, MA 02333 EMERGENCY CONDEMNATION AND ORDER TO VACATE Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.l 11, 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, and David Stanton,R.S., Health Inspectors for the Town of Barnstable, on August 1, 2007, conducted an investigation of a dwelling unit located at 58 Fresh-Holes.Road,Hyannis. ,(A.K.A 60 Fresh Holes Road) The owner's name of this dwelling unit is Mr. Richard T. Murphy and Mr. Robert H. Murphy. The tenants name is Michelle Barrows. 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: QAOrder Letters\Condemnations\60 fresh holes hyannis.doc 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (I) Food present within kitchen area kept in unsanitary manner. Along with general filth throughout unit. Objectionable odors present inside dwelling unit along with mold 410.750 (L) Electrical outlets in bedroom with exposed wires and no faceplates. 410.750 (N)No operational smoke detector or carbon monoxide detector present. 410.750 (H) Front entry door is not protected against unlawful entry. Door has been removed from hinges. Based upon these findings any and all occupants are hereby ordered to vacate 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 she 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. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from$10-$500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied without the written approval of the Board of Health. Any person needing access to the inside of the dwelling must get permission from the Board of Health prior to entry. Note: This is an important legal document. It may affect your rights. PER ORDER OF BOARD OF HEALTH Th s A. McKean, CHOIRS Director of Public Health Town of Barnstable Cc: Michelle Barrows, Occupant Captain Farrenkopf, Hyannis Fire Department Chief Macdonald, Barnstable Police Department Mr. Tom Perry, Building Commissioner Robert Smith, Town Attorney QAOrder Letters\Condemnations\60 fresh holes hyannis.doc FORM30 C&W HOBBSS WARREN TM THE COMMONWEALTH OF MASSACHUSETTS rl BOARD OF H TH CITY TOWN W DEPARTMENT ADDRESS GSM SVByW 6 TEL Address T_l�,/JVI„� '''rf`I^''�J Occupant Floor ApartmenLNo. No.of Occupants No.of Habitable Rooms 5 No.Sleeping Rooms No.dwelling or rooming units o.StoXies y� Name and address of owner s j Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish p 7 50 Containers: (� Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof JJ Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: '7 57 d Obst'n.: ✓ Hall, Floor,Wall,Ceiling: Hall Lighting: L(( (.Al Hall Windows: NO C,- Q lv Sv (4 HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: 0 75C� � ❑ 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 Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: ' Infestation Rats, Mice, Roaches or Other:Egress Dual and Obst'n.- General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REP SIGNED AND CERTIFIED UNDER THE PAINS AN PENALTIES OF PERJUR " INSPECTOR TITLE DATE v^ I P� TIME IO ( r�HE NEXT SCHEDULED REINSPECTION 1 l/ A.M.Ap.M. - J 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 11, 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. H&W HOBBS3 WARRENTM THE COMMONWEALTH OF MASSACHUSETTS a Fo�Rnn 30C _ . BOARD OF HEA TH CITY OWN DEPARTMENT v iA- ADDRESS GSM Svey"0� 6 O 1 n TEL E Address Occupant Floor Apartmen No. . No. of Occupants No.of Habitable Rooms _ No.Sleeping Rooms No.dwelling or rooming units No.Stories -p Name and address of owner °-� L Remarks Reg. Vio. YARD Out Bld s.: Fences: L Garbage and Rubbish Containers: ' Draina e Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ElB ElF EJV Doors;yWindows: ! L— d►l0 ds (� 4f Roof IJ Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htStairway: : STRUCTURE INT. Hall, 756 l Obst'n.: Hall, Floor,Wall,Ceiling: l Hall Li htib '# l) 40 7 5v�N Hall Windows: NO C,• U LIIU SO Ca HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Su ply Line: ❑ MS LIST ❑ P Waste Line: H.W.Tanks Safety and Vent(s), ELECTRICAL Panels, Meters,Cir.: r+roX' - Cr7U 0 5C7 11110 ❑ 220 Fusing,Grnd.: AMP: Geri. Cond. Distrib°Box: 1 Gen'.-IMsement Wiring: ` f DWELLI'NG'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 Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: ....__.�_Wasb_Basin,.Shower or Tub: Infestation Rats, Mice, Roaches'or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION..WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANjT AS DETERMINED BY 105CMR 410.750 OF THE CODE .OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTIONAREPOIR- 1NED AND CERTIFIED UNDER THE ZPAINS AND PENALTIES OF PER INSPECTOR_ TITLE DATE y^ TIME D• � P. . {� (( A.M. THE NEXT SCHEDULED REINSPECTION < 1 P.M. I r 'a 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. O Y An 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. —i «,. FORM30'C&w HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HETH 'CITY/TOWN W y DEPARTMENT Ff,/t ,�.. d�,"`•�''"''� Vim''} °1"At• Ac f GSM SVBy`0W ADDRESS TELEPHONE Address � �y 7'-fir, ` Occupant— - Floor Apartment No. No.of Occupants No. of Habitable Rooms_No.Sleeping Rooms No. dwelling or rooming units No.Stories �' . . Name and address of owner '<. Remarks Reg. Vio. YARD Out Bld s.: Fences: ! �( Garbage and Rubbish . Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: 4 Roof i J Gutters, Drains: Walls: L Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: ' Li htin A j STRUCTURE INT. Hall,Stairway: WI '�$a Obst'n.: - Hall, Floor,Wall,Ceiling: i Hall Lighting: `a - i(} 7 5c�I'll Hall Windows: N 0 C z U L410 7 5C, (iU HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Sup ly Line: ❑ MS ❑ ST ❑ P Waste Line: ' H.W.Tanks Safety and Vents „ JL ELECTRICAL Panels, Meters,Cir.: !(y 750 . ❑ 110 ❑ 220 Fusin ,.Grnd.: AMP: Gen.C'ond. Distrib.'Box: Gen.Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks j 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 p Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: -- - - x_Wash Basin,-Shower or.Tub: Infestation Rats, Mice,'Roache's or Other: - E ress 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 REPO AT, IS SIGNED AND CERTIFIED UNDER THE PAINS AN PENALTIES OF PERJURY." INSPECTOR TITLE DATE d TIME A.M. THE NEXT SCHEDULED REI6PECTION ,t P.M. E 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 11, 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 Ieadbased 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. �i Town of Barnstable o� Regulatory Services BAMSCABM Thomas F. Geiler, Director MASS Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 1, 2007 Attn: Hyannis Fire On August 1, 2007, Health Inspectors Timothy B. O'Connell and David W. Stanton, RS, investigated a complaint at a rental property. In accordance with the State Sanitary Code, 105 CMR 410.482, the Health Department'is required to notify the Fire Department if there is a smoke detector violation, or possible smoke detector violation. The following property had possible smoke detector and CO detector violations: 58 Fresh Holes Road, Hyannis,Assessors Map-Parcel: (292-173): -Inoperable smoke detector present (no battery) -No CO detector ***Note: unit is currently unoccupied as it has been condemned by the Board of Health. Board of Health will not allow condemnation to be lifted until a working smoke detector and CO detector are present*** Timothy O'Connell-Health Inspector QAOrder letters\Housing violations\Rental ordinance\\Fire Violations\58 Fresh Holes TOWN OF BARNSTABLE . � t BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION r Q Date ! D m�� +_Owner 1 C ':J Tenant C' SUIJ-JA �l � Address Address ��sjq Compl!once Regulation# Remarks or 9 Yes No RecommeZattiio`ns 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water FacilitiesV . NO OT UA 6k o 6. Heating Facilities i, C.�.* � �N � -�'► 7. Lighting and Electrical Facilities p C,-r 8. Ventilation ci4 C.dc I� 9. Installation and Maintenance of Facilities WW !1V' " -VA 10. Curtailment of Service I� 11. Space and Use p ® d / t 12. Exits r (� I � 13. Installation and Maintenance of Structural 0 / Y t Elements 14. Insects and Rodents 1 15. Garbage and Rubbish Storage and Disposal (� / p01. 16. Sewage Disposal r—' 17. Temporary Housing PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition ;o Person(s) Interviewed + �1.! + Inspectors f t/ 0 If Public Building such as Store or Hotel/Motel specify here HOBBs&WARREN,INC. NOV 02 '01 12:01PM COMM MRSS-EXEC OFF COMM & DEV P.1 Commonwealth of Massachusetts DEPARTMENT OF HOUSING & COMMUNITY DEVELOPMENT Jane Swift, Govemor • Jam Wallis Gwnble,Director November.1,2001 TO 61 L.Vet 'b"q V'J" MR&,R•Realty 1 ust C/o Feeman Finance 40 Willard'Street .Quincy,MA 02169 Re: 60 Fresh Holes'Raad,Hyannis(Sullivan) To the.Owner or Property Manger: The above unit passed a DHCD health and safety inspection on October 30,2001. The Housing authority,by copy-of this letter,is instructed to stop withholding rent if they have begun doing so. Thank-you for your help with the MRVP inspection program. Please do not hesitate to call me with any giiestions,comments or suggestions. sincerely, Joseph A.Hart Inspection Coordinator DHCJ)Bureau of dousing Inspections 611-727-7130 x372 cc:,Robert Hooper,.Barnstable Housing Authority(by fax) Donna Miorandi,Barnstable Public Health Dept. (by fax) Eric Winer,Property Manager.(by fax) Tenant One Congrw Stre www.stato.M2.us/dhcd Boston;Muembusetts•021 I4.20I0 617.727.776S 1 6, ____ _ — _ �r TOWN OF BARNSTABL:E `C ' *� LOCATION 2a f 6 o ;zIP�jf/ o L6=S SEWAGE # (✓ VII L.AGE_ ASSESSOR'S MAP & LOT ll'IS`i'A.LLER'S NA_-ME&Pf-IONE NO. SEPTIC TANK CAPACI rY LEACHING FACILITY: (ty ) A TIP,*rgFAS (size) S d le-7 NO.OF I EDROOMS__ I,M .BUILDER OR OWNS. PERMPrDATE:_ � COMPLIANCE DATE: t . S:;paratnn Distance Between the: I Maximum Adjusted Groundwater Table and Bottom of L.eaciiing 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 s within 300 feet of leaching facility) Feet Fdrnished by � -�. � W � � ��i'�' Q` � �� s. i � .p '� �. c � �� , „�. ' ''``^ , � �� _� �� c I `' - .� ,` - i, ,� � a � - : i .. �. c< -� f � e ..,� + � , , . s, �. No. a.w-6 y !CJ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication.for �Diopogar *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( � omplete System ❑Individual Components Location Address or Lot No. '",7 — �%t/`C s Owner's Name,Address and Tel.No. Assessor's Map/Parcel <:�'Av 4A, �Ct�>- 't- 7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. QJV _4 Type of Building: Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow L X� gallons.. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. `t- Description of Soil &. Nature of Repairs or Alterations(Answer when applicable) /40 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 b Signed Date Application Approved by Date 7ff_ &I Application Disapproved for the following reasons Permit No. Date Issued r- . C- -. No. atop - �� C9 Fee .579:2 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS Zipplicatton for MigpozaY *pztem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. �`�°S Owner's Name,Address andTel.No. Assessor's Map/Parcel Gl Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures `i r, Design Flow L` AO gallons per day. Calculated daily flow Z% gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 c_ rave Type of S.A.S. 1 �e- Description of Soil el V-t_� Nature of Repairs or Alterations(Answer when applicable) Se oq%C- L V ew, w c t 'r Date last inspected: ¢, Agreement: y'.: The undersigned agrees to ensure the construction and maintenance of the afore described.on-site seswiige disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the syste .in opera ' until a Certifi- cate of Compliance has�bbe_n4ssued-by-this-Bo fi �Signed ViDat, Application Approved by - .13ate =11� � Application Disapproved for the following reasons 1 i 0 i Permit No. Date Issued { --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded((/`�_ Abandoned( )by + G-A Ce .5;,e"G at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.arv-p= jam dated 7 Installer Designer A r) ` The issuance of this pe s all n t e/construed as a guarantee that the ss�em-will function�as dened� Date Inspector T�r�. t { �v v L --------------------------------------- No. Fee�� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Iiopo0ar *pztem Construction Permit Permission is hereby granted to Construct )Repair( p`g'ra ( andon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date: / l — 6U Approved by �'1� • 1i6i99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH .kND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PEPN[IT fWITHOUT DESIGNED PLANS) hereby c---=y that the application for disposal works construction permit signed by me dated —7 L`�j concernins the property located at "458—(Q Fr-znsk 4j t meets all of the %4-L following criteria: Z. Tae failed system is conner ed to a residential dwelling only. T'nere are no commercial or business es associated with the dwelling. • /T'ne soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. r Iizere are no wetlands within 100 fee;of the proposed septic sysem /Tnere are no private wells within 1f0 fee;of the oroposed septic srrem • T'nere is no increase in Clow and/or change in use proposed 7 nere are no variances requested or ne`ded • i fie bottom of the proposed leacaing facility will not be located less than five fee;above the ma.dmum adjusted groundwater table elevadon_ [Adjust the Q*oundwater table using the F rimptor /me hod when applicable] if the S.A.S. will be Located with_50 fza;of an,r vegetated wetlands, the bottom of the proposed leac:ting facliry will not be Iccated less than fouree x.n (I,) fet, above the m murn adjusted Q*otutdwater cable e!cr/ation, Please complete the followiu- A) Too of Ground Surface =:elation(twin;GIS information) C � S) G.W. Elevation ZV6�-the A-�LK ,:.igh G.bV. Adjus-Lment D[F—E-it�iCE 3E 7NEENi a,and 3 C --V I . DA i c: [Sketch proposed plan of srskem on bac:cl. a::-=- h ioidc cart `\ �1 �' � eo 0 - �; �— TOWN OF BARNSTABLE i LOCATION f�o SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (ty (size) G x- NO.OF BEDROOMS— BUILDER OR OWNE PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leachng 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 F'drnished by 77 i s��p LO;-%'T ION SEWAGE PERMIT NO. V 'LLAGEI / . ' INST._A LLER'S NAME & ADDRESS r B U It D E - OR OWNER F, s , ® DATE PERMIT. ISSUED . s DATYE COMPLIANCE ISSUED:--.- z �. � � � � °�� , 1 ®� �� '�. . _ �� i. .,�� sa No........_�_.��..fP__..... _ FRs.' .. a.�.......... THEB® A ®®ALT BF Fu� A �Tu TS .........................................-OF.................... ------............... -......................................... Applira#ion for Uiipaiial Workii -Tomtrurtiin Vanfit Application is hereby made for a Permit to Construct ( ) or Repair (>* an Individual Sewage Disposal System at.- ............... ----•-------•----•-----•--••--------- -------------•------____.... - ----------------- - Locatio ddr s o Lot No.�� ... .s.. . ....._.:. Own t / ..................................... Address-----•----•-•••- -- -- -----••-------•••-••••-• Installer Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ............. No. of persons____________________________ Showers — Cafeteria Q' Other fixtures _______________________________ __ W Design Flow............................................gallons per person per day. Total daily flow...................................:........gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date---------------------------•---------- ,� Test Pit No. 1..............__minutes per inch Depth of Test Pit_--__-______________ Depth to ground water......................... (� Test Pit No. 2___.............minutes per inch Depth of Test Pit.................... Depth to ground water.-_-__--__________.____. _-__4-- --•-• ------------ O t- —c�—r—� Z....�-�._- - cr zc� Description of Soil-------- --------------------------------------------- -------------------------------------------------------------------------------- x � - W •--•---•---- --------------------------------------------------------------------------------------------------------------------- ------ .................................... U Nature £Repairs or Alterations—Ansvigr when applicable-= --. 77�_._-______________________________'`- _.____.__------------------------------------------------------------------------- Agreement: The undersigned agrees to install the afored ribed Individual S wage Disposal. System in accordance with the provisions of i p 5 of the State Sanitary de— The undersi -ther agrees not to place the system in operation until a Certificate of Compliance has ben 'ssued by e boar' health. igne __ >> 2".d ...... Date Application Approved BY - -•• -- -----� ---- ---- --••------...---•--------• ••-•- Date Application Disapproved for the following reasons______________�................................................. ______.___._.......................... ...........................................................-............................................................................ ------------•-•-•-------•---•--------------------------...---•-- Date PermitNo--------------------------------------------------------- Issued..... . .................................. Date No....... .............................. THECOMMONWEALTH F TS HEALTH EAR® r Applirtt#iun for whipu,sal Works Tonstrnrtiun throb# Application is hereby made for a Permit to Construct ( ) or Repair (><) an Individual Sewage Disposal System at- ..............: i! Locatio o c dd L -•---------------•---- _ .•_____________ ...1. ess _..-•-..-•-_-._..._-_... t Nrs Lo ..---.....•-----.•-- --•... .............................................. Installer Address d Type of Building "` Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ _Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria 0.' Other fixtures ------------------------------ • . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity_.______._-_gallons Length-------------- Width_______-------. Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------- --------- Diameter................... Depth below inlet.................... Total-leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............ A - O Description of Soil--•••--- " ".".--- r'-t. % V ... .................-•---•.............•--......-- ......-----•---------------------......---------•-•--------------------------------•--------................................................... W ....................................................................................................................................... .... -- A -- V Nature o Repa o. Alterations Answ r when applicable.ode-Ot.- -- .-•-''' --__l s _ r Agreement: The undersigned agrees to install the aforedyoAibqd Individual S age Disposal System in accordance with the provisions of f'1 T iT:/'lI5 of the State Sanitary Vde The undersi her agrees not to place the system in operation until a Certificate of Compliance has be n issued by e boar = health. ��. �� gned. -•-••• .....................•-•-••••.............................. --•-• ---•- -- -•-•-•- 1'��1.!!�- ate Application Approved By............. -- ------ =` � -- ----------------- ---=---�'-°-?-�-•-�..... -- Date Application Disapproved for the following reasons: =------1y--------------------------------------------------------------••------------------------------- •-•-••--••••-•••-•--••-•-•--••••.............•-••---••••••-••.....--•---------...._.......-•---••-•-...•.----•---•--••-•----••--------•••-•-••••-••-------•---•---•--•-•-•-•••--•-------•---•-----•----- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS { BOARD OF HEALTH i ..........4.64.4611A...........OF........... : e .....:.......................................... �rr�i�irtt�e of ��nrr THIS,,#5 T CE TIC That the Individual Sewage Disposal System constructed ( )''or Repaired by...... ........... � . + � n to ler r / - gfy has been installed in accordan, e with the'-provisions of T 5 of The to Sanitary Code as descr e in the r - application for Disposal Works Construction Permit No.. '----/ew............. da.ted.--...-_'�"_�_l1�"_ �......_...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF .HEALTH �d Q Eta....... .®F.............. ::.._ ��....:...... No.......... FEE...... ................ �i��rla�ttl ,. r ; �. n��rtun lernti� � � •- Permission is hereby,granted:_._._ to Construct/t) ) or Repair ( an Individual Sewage Isposalf Sy at No. cif•t,�t ` Cjj / GL"!'t�j?,t''f�............... ,/x Street as shown on the application for Disposal Works, nstruction Permit No.,t!-: . .-'?... Dated..................1�...................... • I Board of Healt DATE------. •:-............................................................... k a FORM 1255 HOBBS & WARREN, INC., PUBLISHERS GENERAL NOTES 1. Contractor is responsible for Digsafe notification, Verification of Utilities i t nd protection of all underground utilities and pipes. • 2.the septic tank anj distri ution box shall be set A level on 6' of 3/4 —1 1/2 stone. 3. Backfill should be clean sand or gravel with no F stones over 3" in size. »E 4. This system is subject to inspection during installation 25+ 10 , by Carmen E. Shay — Environmental Services. IV82D 74.63 _ 5. The contractor shall install this system in accordance Overhead �� -VENTwith Title V of the Massachusetts state code, the approved plan LFNE' ' Wires z -t4*TURM-• GA61 PIPE and Local Regulations. --`� 10 5' 6. If, during installation the contractor encounters any 0.5 soil conditions or site conditions that are different "--- -- from those shown on the soil log or in our design . ::.a.'..: 'r TEST HOLE #2\ `� j.` installation must halt & immediate notification be HI 1000 gal. ELEV.= 99.00 ``��} _ AR • • f made to Carmen E. Shay — Environmental Services. SEPTIC TANK 3' _; ;_;J-, ;• <. , :; :a t 7. No vehicle or heavy machinery shall drive over the FOR 2nd COMPARTMENT \ septic system unless noted as H-20 septic components. 8. Install Tuf—rite gas baffles or equals on all outlet tee ends. EEC, H099 0 1 ® 150E0 0001 17 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. SEPTIC TANK NATURAL GAS LINE 10. All solid piping, tees & fittings shall be 4" diameter 1h[\ Schedule 40 NSF PVC pipes with water tight joints. PROJECT BENCH MARK O �1 . 11. Municipal Water is Connected to ALL OF The Residence and Abutting TOP OF FOUNDATION #58 & #60 0 �� Properties Within 150 Feet. ELEV. = 100.00 (Assumed) EXISTING �� THE PROPERTY LINES ARE APPROXIMATE AND 4 BEDROOM � ' COMPILED FROM THE PLAN BY BEARSE & KELLOG RLS b QJ DUPLEX ELAND COURT PLAN_LC17786—C SHEET 2 kd CONCRETE SLAB FOUNDATION , DATED JANUARY 28, 1945 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN r IT SHOULD BE USED FOR NO PURPOSE OTHER THAN THE SEPTIC SYSTEM INSTALLATION. LOT #17 EXISTING LEACH PIT TO BE PUMPED OUT AND FILLED IN PLACE 6,278 Square Peet +/— ,�� _ NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE , FROM THE EXISTING CESSPOOL/LEACH PIT TO BE DISPOSED 81.80 OF AS PER BOARD OF HEALTH SPECIFICATIONS. p2Lr a N 89D 17' 00"W I. PLOT PLAN ASPHALT DRIVEWAY I ASPHALT PARKING OF PROPOSED SEPTIC SYSTEM UPGRADE r PREPARED FOR i CASTLE INVESTMENT GROUP , INC. IAT (40 FFOT RIGHT OF WAY) #58 & 60 FRESH HOLES ROAD ASSESSORS MAP 292 PARCEL 173 HYAN N I S MA o 00 0o J m� na TDBank' PREPARED BY: :_- m m Yo 9 W'� SHAY ENVIR0,1WENTAL SL'R VICESYD 1= Dominos Pizza Ti�kaow•0alivcry Cap (3 0 o Luz Church o Living Room m m Living Room 0 0 20 40 50 ( i P.O. BOX 1576 ' MASHPEE, MA 02649 4 BE HOUSE DUPLEX FLOOR SCHEMATIC r k, . I T��P TEL/FAX : 508-294-7498 (Description Provided By Owner) o SCALE: 1 =20 S 1"=20' DRAWN BY: CES DATE: JUNE 25, 2021 Fay •r PROJECT#58 FRESH FILENAME: 58 FRESH.dwg SHEET 1 OF 2 *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE (O Least 24 inches tall) SECTION A -A 10' min. from _ must be Schedule 40 PVC w Charcoal Odor Filter house to septic tank withiinnX6cover of GRADE / '? , PROFILE VIEW OF LEACHING SYSTEM r EXISTING Foundation SAS cover must be Septic tank covers must be Septic tank covers must be within 8" of GRADE y within 6 in. of finished grade within J. it ��{{ Rfinished mde Grade over Seplio Tonk- 95.08 Grade over 0-Box- 98.00 de over SAS - 98.a0 4•to f f/2'radiod A.0 stow q/Ile'- 'Ar rhm" peaftoo INSPECTION cover must be S ` 0'02 g",O 3 HOLE + within 8 in. of finished grade s=o.o1 07 (H-20) DIST. BOX TOP OF SAS 95.50 EXIST. PIPE 20 EXIST. 1,500 G 1s' S° 0.010• foot ` FROM FOUNDATION rn SEPTIC TANK NEW. 1,000 GAL �—+' ,N,.y,�, C3 C3 C3 00 C3 C3 co SEPTIC TANK v a t5' / '" 3 n s<2 ee A r > e 8. = 9. u H-10 a.ems. H-20 ui ''� o o °a"W sw.r.ewii, a., o 0 0 0 0 CONCRETE FULL FOUNDATIO m II II U s'8e1°" rn rn to o C3 , � ' m . g 29.s' 3 ID l� II II 34, 3.6' SYSTEM PROFILE " I► i ��. ri s OVMrD s.s ti ' Not to Scale 5 W Effecve Width Effec Iva Length n < < ' SOIL ABSORPTION SYSTEM <SAS) NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE 6 in.of 3/4"-1 1/2' a 500 - C H-20 LEACHING UNITS / WIGGINS PRECAST compacted atone I m° + Not to Scale Bottom of Test Hole 1 Elev.= 88.00 ALL OUTLET PIPES FROM THE 2-18• DIAM. ACCESS MANHOLES P E R C O L.AT I O N TEST. � nOUFO BOX RR AT LEAST BE 2 FT. • CONCRETE COVER ;. KNOCKOUTS Date of Percolation Test: y l MAY 1 2021 21't31 s s• OUTLET :5 '�.' 2 Test Performed B CARMEN E. SH_AY R,S. _ C.S.E.. ~� _ ----- — f FOR 2nd COMP_ART_M-ENT- - Y— — . - - -- - Results Witnessed By. DAVID STANTON�- BARNSTABLE BO r OUTLET* tr INLEr (H-20 LOADING) EXCAVATOR: SHAY ENVIRONMENTAL SERVICES :;a• 6 '_� _ Percolation Rate: Less Than 2 MPI ® 36 per Sieve Analysis OUT is 4' - SCH. 40 To 1.75' THE ACCESS COVERS FOR THE SEPTIC TANK, Test Hole I Test Hole PLAN SECTION - CROSS—SECTION JJ DISTRIBUTION BOX AND LEACHING COMPONENT NO. 1 NO. 2 SETDEEPER SH LL BE RAIED TO WITHIN B INCHES NIXED GRADE DEPTH SOILS ELEV. DEPTH SOILS ELEV. 3 HOLE H—10 DISTRIBUTION B 0 X STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE NOT TO SCALE 0 99.00 0 99.00 PLAN VIEW INSTALL TUF-TITE GAS BAFFLES OR EQUALS Sandy Sandy Loam Lmoo 3-24" REMOVABLE COVERS 10 YR 3/2 10 YR 3/2 0"- 6" An 98.50 0"- 6" 98.50 c e' a•min. clearance P LOT P LAN earance ^ + ' Loamy Sand Sand 8 13' INLET" %• min.T- 2• min. Inlet to outlet e.Mtn r ,a YR 6/6 ' ,a YR 6/6 0 F P R.0 P 0 S E D SEPTIC SYSTEM UPGRADE Lquld level °UST j t0"mh. F7 t� is ;IT 6"-36" 96. 6"- " Be 96.00 Med. Med. PREPARED FOR 4' min. and w/Fine I /W Fines a� Liquiduid depth 88.00 66.OD CASTLE INVESTMENT GROUP , INC . 1 2 2.5 Y 7/4 26 Y 7/4 ,a f . 36"-132" 0 l 36"-132" C, AT B'_D• : a,=1D• ` — ! #58 & 60 FRESH HOLES ROAD CROSS SECTION END—SECTION j ASSESSORS MAP 292 PARCEL 173 TYPICAL 1000 GALLON H-20 SEPTIC TANK HYAN N I S MA Design Calculations Number of Bedrooms: 4 Equivalent to 440 Gal./Day }� `� Garbage Grinder: No j P L PREPARED BY: tot Leaching Capacity Proposed: 440 Gal./Day Minimum (Min. Per Title V) �- • Septic Tank : - 2 Gal./Day = 880 USE EXIST. 1500 GAL. Septic Tank. 1 Perc Cl'1 R EN E. SHAY NEW pym'v n ,: ADD NEW 100000 GALLON TANK FOR 2nd COMPARTMENT (2 Family - 1I1 SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch Depth to Perc: 36" by Sieve Analysis o (:,ENVIRONMENTAL SERVICES Bottom Area: 0.74 N, /ai day/ q' ft.s x 426s ft. = 315.24 gallons/dayPerc Rate= 2 MPI �; g ft q' .Io ,� ��1 P . Sidewall Area: 0.74 gal./day/sq. . x 190 sq. ft. = 140.60 gallon/day t3 I Groundwater Not Observed .O BOX 1576No Observed ESHWT Providing: = 455.84 gallons/day �� 'MASHPEE MA 02649 ADJUSTED H2O Elev. = None ip� C � ' ' Use: (3) 500 H-10 CONCRETE CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, , ,. {- n'IT� ` TEL/FAX 508-294-7498 (5' W x 8.5' L) TO BE USED WITH 4' OF WASHED STONE ON THE SIDES AND S SCALE: N A SHEET 2 DRAWN BY: CES DATE: JUNE 25, 2021 3' OF WASHED STONE ON THE ENDS AND 2' STONE BETWEEN UNITS. PA FRESH FILENAME: 58 FRESH.dwg SHEET 2 OF 2