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HomeMy WebLinkAbout0025 GENERAL PATTON DRIVE - Health 25 General Patton Dr. Hyannis I ° 3 ° e f O 6 ij �: o Commonwealth of Massachusetts Title 5 Official Inspection Forme s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 25 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 9/9/07 required for State Zip Code Date of Inspection every page. City/Town Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: A. General Information When filling out , \ forms on the � y computer,use 1. Inspector: only the tab key \ to move your MICHAEL DEDECKO cursor-do not Name of Inspector use the return key. COMPASS REALTY DEV CORP Company Name ; an P.O. BOX 2384 r Company Address 14 MASHPEE MA 02649,.-, rM City/Town State *Zip Code 508-221-5003 -� Telephone Number License Number + D B. Certification I certify that I have personally inspected the sewage disposal system at this addres4 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 by the Local Approving Authority 9/9/07 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. 25 GENERAL PATTON•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form Not for Voluntary Assessments 25 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 9/9/07 required for State Zip Code Date of Inspection every page. Cityrrown 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: 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. Answer yes, no or not determined (Y, N, ND) in the ❑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. ND Explain: ❑ 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 ❑ obstruction is removed Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 25 GENERAL PATTON-08/06 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 25 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is MA 02601 9/9/07 required for HYANNIS State Zip Code Date of Inspection every page. City/Town B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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 ❑ obstruction is removed ND Explain: 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 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. 25 GENERAL PATTON•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 3 of 15 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 25 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 9/9107 required for State Zip Code Date of Inspection every page. City/Town B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 '/2 day flow Required pumping more than 4 times in the last year NOT due to clogged or El 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. Title 5 Official Inspection Form:Subsurface sewage Disposal System-Page 4 of 15 .25 GENERAL PATTON-08106 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 25 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 9/9/07 required for State Zip Code Date of Inspection every page. City/Town B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® 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 20009pd- 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 fail E] s. 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 El El 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 Y "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. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 25 GENERAL PATTON•08/06 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 25 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 9/9/07 required for State Zip Code Date of Inspection every page. City/Town 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? O ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® El available 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. ® El approximation 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)] 25 GENERAL PATTON•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 25 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 9/9/07 required for State Zip Code Date of Inspection every page. City/Town D. System Information Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 0 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. Seasonaluse? - ❑ Yes ® No N/A Water meter readings, if available(last 2 years usage(gpd)): Sump pump? ❑ Yes ® No N/A Last date of occupancy: 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: Last date of occupancy/use: Date Other(describe): Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 25 GENERAL PATTON-08/06 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 25 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 9/9/07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and.source of information: N/A Were sewage odors detected when arriving at the site? ❑ Yes ® No 25 GENERAL PATTON•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 25 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 9/9/07 required for State Zip Code Date of Inspection every page. Cityrrown D. System Information (cont.) Building Sewer(locate on site plan): 2' Depth below grade: feet Material of construction: ❑ cast iron ❑40 PVC ❑other(explain): Town water Distance from private water supply well or suction line: feet Comments (on condition of joints, venting,evidence of leakage, etc.): oints tight, yes vented, no sign of leakage. Septic Tank(locate on site plan): i Depth 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) ElYes El. No 1500 GAL Dimensions: - 3„ Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 31" 1" 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 14" MEASURED How were dimensions determined? Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 25 GENERAL PATTON•08106 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 25 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 9/9/07 required for State Zip Code Date of Inspection every page. Cityrrown 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.): NO NEED TO PUMP,TEES INTACT,STRUCTUALLY SOUND,LIQUID EQUAL WITH OUTLET INVERT,NO LEAKAGE Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass 'polyethylene ❑other(explain): Dimensions: a _ 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 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): 25 GENERAL PATTON•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' 25 GENERAL PATTON,DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 9/9/07 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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 Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert EQUAL WITH OUTLET INVERTS 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.): D-BOX IS LEVEL AND DISTRIBUTION EQUAL, YES SOLID CARRYOVER, NO LEAKAGE. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 25 GENERAL PATTON-08106 Title 5 Official Inspection Foam:Subsurface Sewage Disposal System-Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w 28 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is required for HYANNIS MA 02601 9/9/07 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: '® leaching trenches number, length: 1/60' ❑ 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.): SOIL SAND/GRAVEL,NO SIGNS HYDRAULIC FAILURE , PONDING DRY, NO DAMP SOIL, VEGETATION NORMAL. 25GENERAL•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 't 25 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 9/9/07 required for State Zip Code Date of Inspection every page. Cityrrown D. System Information (cont.) 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 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.): Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 25 GENERAL PATTON•08/06 p g Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments 25 GENERAL PATTON DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 9/9/07 required for State Zip Code Date of Inspection every page. Cityfrown D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. 3 �43 - i 4►3 _-7 1 25 GENERAL PATTON•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ' 25 GENERAL PATTON'DR Property Address C/O TODAY REAL ESTATE DAVID HOLT 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is HYANNIS MA 02601 9/9/07 required for State Zip Code Date of Inspection every page. City/Town D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells 33.36' Estimated depth to ground water: 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: BARNSTABLE GIS You must describe how you established the high ground water elevation: BARNSTABLE GIS 25 GENERAL PATTON-08106 Title 5 Official Inspection Form:Subsurface sewage Disposal System-Page 15 of 15 I Town of Barnstable 1HE TpjY Regulatory Services snxxsrnBt a Thomas F. Geiler,Director A,E039. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition, by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the "Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. L' TOWN OF BARNSTABLE LOCATION yJtwNk SEWAGE # VILLAGE a S Geric-Piq l PAAFJ i 606 ASSESSOR'S MAP &LOT0F4e--/3, INSTALLER'S NAME&PHONE NO. WE R66,ty SQL SEPTIC TANK CAPACITY ($C3 Q r i , LEACHING FACILITY: (type) IeA(.k fyZ& C - (size) N X2 60 NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: e COMPLIANCE DATE: 7 /0 ISeparation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facilityj Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by l - - COS O ASSESSOMAWNn� q, : PARCEL 10-* THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for DiwjipoiFal Eorkii Towitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (Al� an Individual Sewage Disposal System at: ,p ____________________________________ -Location-Address ' or Lot No. Owner Address • Installer Address Type of Building Size Lot............................Sq. feet .. Dwelling— No. of Bedrooms-__._._.__ ______________________._Expansion Attic ( ) Garbage Grinder (/7)6 Pk Other—Type of Building ............................ No. of persons______--4�t________---___ Showers (/ ) — Cafeteria ( ) 114 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I________________minutes per inch Depth of Test Pit-____.._____________ Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 9 •-••----••-------------------------••---•--•--•--•---------•---•-----••••••••••••••-•-••-••------•---•-------••---•••-•---••••••---•-•--•-•-•..._...---...... Description of Soil....... .��-�.•r1_ ........................................ U W G d _f-p l - ---"--- '--- ------ -------------- U Nature of Repairs or Alterations—Answer when applicable.__r�./°WI_!!.a._..04-tiX. z,0..._.SfP�!�___��vt/C IsJl. .... ._ ►' G_�S_ ..--=S-G,Of1.�._.__ 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 has been issued y the board of health. Signed " ,J t Dace _.......Application.Approved By ........ ----'-----__............ _.. .. .......................-----------......- ........................................ Dace Application Disapproved for the following reafonr- ---------------------------------------------------------------------------------------------------------------------------- -------- - - ----------------_--------------. ..._.........._.................._.._......----- -------------------------._------- --------------------------- PermitNo. .............................................. Issued _._..............._----.. Date t - + y -Z r� JL _. THE COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Mupa!3al Work.6 Tomitrurfinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ()(� an Individual Sewage Disposal System at: , �/�r2 / j Loration-Address ' or Lot No. sC . o . . - .. owner C Address W fA/.. _../ _�.- 1 5!>�?. �'•.° -fib x ' j f1: l 4�... 0 F./ ��'.�'��.�'l/r_��: --- Installer Address Q Type of Building Size Lot............................Sq. feet V Dwelling— No. of Bedrooms_ CZ ____--___---__Expansion Attic ( ) Garbage Grinder (/1)0 aOther—Type of Building ---------------------------- No. of persons--------5;�-........... Showers (/ ) — Cafeteria Otherfixtures --------------------------------------------------------------------------------------- ............................................................. Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width-----.---------- Diameter---.------------ Depth-----_______---- x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..--_---.-_-------- Diameter.................... Depth below inlet_--................. Total leaching area..................sq. ft. z Other Distribution box-,( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................•_. Date........................................ Test Pit'No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water--.-_._.-_----_-_--___ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_-.;--_-.-_--__---_----. -------------------------------------------------------------------------------•-----------.............------------------------•--•---•----..----•.......................................................... D Description of"soil.... f. . V .------------------------------•--------•••••--------------•------•----•-•------•-----••••-------------------•----------------------•---•------ x Esc)---5-----q-p- U Nature of Repairs or Alterations—Answer when applicable.., _�./�,AG -�lr!.-... r�?�1�_ . �.....:5,ewg. _._--T ', 'a- - -------- 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 issued y the board of health. Signed --------� ........... a`a — -------- ----------------------- Dare Application,Approved BY ------------------------------ / ----------------------.............. ----------------- Dare-------------- Application Disapproved for the following reasons- -------------------------------------------------------------------------------------------------------------------------------------- .... .. .. ..........................._ .. .. ...r..............._..- - ------................ -- - - ------------- Permir No. ---- .��:�----,� � Issued --------`��------ ` '� J� Dare o -- THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE Telrtifira#e of Tompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired b :..L`'. .b �/. . 0. '1 c..:. 5 �J G ------------------------------------------- -------- -----------_---------------------- Y . ,�• Installerat .. ...._(.'`..�°..�'7. .� ....j.........../. .1..�---f�1'2..........< ..... -------------- -------- �.l�l'i��----------- ------------------------------------------------ has been installed in accordance with the provisions of TITLE of The State Environmental Co "s described in the application for Disposal Works Construction Permit No. ... . . ated _.._ ... " .." THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM W,IL iFUNCTION SATISFACTORY. DMF THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ----� - �' TOWN OF BARNSTABLE No.. ...��....`........ FEE k_.!0 Mipuual orbL.� Tomitrudian Vrrntit Permission is hereby granted...k,1_-�,... 0_C�/f'7fc /-/...... ,.X/ .------: .yU/C 2�..-•------••................ to Construct ( ) or Repair (,Aj an Individual Sewage Disposal System : atNod .....cp.-e o-.-r.1;;... ........ ........12_.,,�----------------41/fU-IVII S................................................ Street as shown on the application for Disposal Works Construction Permit %...._ ............ --- -- ------ Board of Health DATE........ •-----•. ••---. --- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) I, hereby certify that the application for disposal works ' construction permit signed by me dated / , concerning the property located at meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED: DATE: —� LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. . . Si � ��� jai �.. �� � G�..�--�(� 1 I, �` � -�. � �� �J � �' TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �e 4D C9 V � S'r 3 V I s - .' , .ti � � 5 "�..R../"kn.^•�4�7,�-.++.r�,...,.+--.w;^-�` n'"'�T+"'.f'^tinf�..-'k�`7!*„"'r''"`r::�q,y+:.n..c«r-...�..+."a".w.r,y'•a„v,.�-.,�„s'b+r-.^..,+may,_«^�I"L..�'n,n."^'y�..s„=.r,...r...,.v�..'�e"tY-�Y".,:;r-A^5,.,z"'t•"'.� TOWN OF BARNSTABLE B -W3 Ordinance or Regulation WARNING NOTICE � tt Name of Offender/Manager 1r 4 jY ;° tt 0 ejol Address of Offender Pe, fv MV/MB Reg. Village/State/Zipis1N ^�'r1 1 t) r11 / f Business Name �t� am/pm on Business Address SiYgnature .of Enforcing Officer Village/State/Zip Location of Offense l �v^�/.,/ � j� . , p v ?`1if4,-14 ,r JEnfo"rcing inept/Division Offense T t)l AL,: tsrr1LP cep4-o l l rg tt 1, f V- J,IJs /.()a t / ` k- r Facts r' � 1�c .a �a(rrtIAo �! j � � /r�re/ , r ' ,F� "trk- ktt P/I-dpo/ a n I den ` /)ryo f u 4e,- r t IV/ � (iJP rf A4.'Jf rr,fr.Cfi -Jqf '/huf btl 0r �f�tk00/dooY This. will serve fonly as a warning.'At this time no legal action rhas been taken". It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are ,� �� -t attempts . to gain voluntary compliance. Subsequent violations will result in tk appropriate legal action by the Town. t�t� TOWN OF BARNSTABLE -W Ordinance or Regulation WARNING NOTICE Name of-Offender/Manager ix 'dr f "o Address of Offender MV/MB Reg.# Village/State/Zip # Business Name / " ¢ cj, am/pmi, on 1 .o r/20 V Business Address Signature of Enforcing Officer 3 Village/State/Zip Location of Offense ; ,� ;, ,,� ,. r�dt ' . 1 Enfotcing aDept/Division Offense r ✓' ywJsf ? /� ,.r '� Facts V '11) (r 1APr. >r . -n - ,=.r v n 1.1 t",n ✓A Fl ar t x,/ d� ,� E f t l»+� i, ft.�l�' 1 f r Jr t This will servelonly as a warning. `At this time no legal action has been taken'.;„ ?` It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances,. Rules and Regulations. Education efforts and warning notices are s ; attempt _=to' gain voluntary compliance. Subsequent violations will result .in appropriate legal action by the Town. �r j/�. Health Complaints 27-Apr-04 Time: 11:55:00 AM Date: 4/13/2004 Complaint Number: 17364 Referred To: DAVID STANTON Taken By: JOAN AGOSTINELLI Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 25 Street: GENERAL PATTON Village: HYANNIS Assessors Map_Parcel: Complaint Description: RATS IN RUBBISH - NEW TENANTS ARE JUST THROWING TRASH BAGS OUT THE DOOR ONTO THE PROPERTY. THEY ARE ALSO SELLING USED CARS FROM THIS PROPERTY. Actions Taken/Results: SEE COMPLAINT#17371. WARNING NOTICE BEING MAILED. DS DID A FOLLOW UP INSPECTION ON 04/27/2004 AND THE VIOLATION HAS BEEN CORRECTED. Investigation Date: 4/14/2004 Investigation Time: 4:25:00 PM I 1 Health Complaints 27-Apr-04 Time: 10:52:00 AM Date: 4/12/2004 Complaint Number: 17371 Referred To: DAVID STANTON Taken By: DENISE WITTER Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 25 Street: GENERAL PATTON Village: HYANNIS Assessors Map_Parcel: Complaint Description: CALLER SAID THE HOUSE HAS TRASH IN THE YARD. NEW OWNERS, AND THEY ARE JUST DUMPING TRASH IN YARD, NOT IN PROPER CONTAINERS. REALLY STARTING TO PILE UP. Actions Taken/Results: DS WENT TO SAID LOCATION. DS OBSERVED GARBAGE BAGS BEING PILE UP IN YARD WITHOUT BEING IN PROPER CONTAINERS. WARNING NOTICE BEING MAILED. DS DID A FOLLOW UP .r: INSPECTION ON 04/27/2004 AND THE VIOLATION HAS BEEN CORRECTED. Investigation Date: 4/14/2004 Investigation Time: 4:25:00 PM 1 r .a` V. . COivSIONWEALTH OF MASSACHUSETTS �^ EXEC'UTTIVE OFFICE OF ENVIR.ONI TT IEN7AL!AFFAIRS k DEP,6.RTMENT OF ENv'IROIvME. TAL PRO TEC'IIOt�i 2 5. TITLE: 5 OFFICIAL.It1ESPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT°i SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PA F A CERTIFICATION Property Address: 05 enet �q-�14y��r1% fie. -a`v��n`s ,m- Owner's:Name: Owner's Address: O 'gsn'4- 1" —0 77�� tt oa $ pZ�p,3 0 v, Date of Inspection: ;dame of Inspector: lease print) _MiAmed Company,dame: V c /Id/tbv yY-en fa( J+njee✓4t014S Mailing Address: _ G CD 6`4 Telephone Number: �Q 8 CERTIFI.CATIO!.N STATEMENT t cert:' that i have personally inspected the sewage disposal system at this address aad that the information -eported below is tote, accurate anc.cornplete ass of the time of the inspection., The inspection was performed batted o- my training and experience in:the proper>f ihction and namtenarice of on site sewage disposal systems.I a n.a l EP approved system irisptct)r pursuat;t to Section IS.34©ofTitle.5(310 CMR I5.0Q0). Tlhe system: Passes Conditionally Passes _ Needs Further Evaluation by the Local Approving Authority, Fails Inspector's Signatr�re: Date: �J D1 0� The systern inspector slzl1 submit a copy of this inspection report to the Approving Authority(Board of 1+.- pith or DEP) -,within 30 days of completing this inspection. if the s fstena it a.shared system or has a design flow of Ci-000 gpd or greater,the insae:ctor and the i:ystetn owner shaJ11 sub,.-nit the report to the appropriate regional oMet :rf the t7EP. The original should be seat.te the system owner and a)pies sent to the buyer, if applicable, and die approvin@. authority Notes and Comments ****This report only iescribes conditions at the time of inspection and under the conditions of use at that time. This inspection do-ts not address how the system will perform in the future under the same or+f fferete: conditions of use. i i.ie ` !as�ettion Fore+ 6f:5(20rJ0 page l Page 2 of I I OFFICIAL INSPECTION FORM—NOT FOR VULIINTARY ASSESS]~ .E�NTS SU IScURF4CE SEWAGE DISPOSAL SYSTTN-9-TNISFE A F_017'M PART A CERTMCATION (continued) Property Address: 'T\^ Owner: Date of Inspecti+sn' fa I Inspection Sum ins ry: Chea. A,B,C,D or E!ALWAYS complete all off� A. System Passes: I have not found any information which indicates tat any of tic failure criteria described i t :i0 CM k 330 or in 310 CMR 15.304 exist. Any failure criteia not evaluated are indicated below. Comments: s. B. system Con lit ionally Passes:' One or more system components as described in the"Conditional.Pass"se vn:need to be rel iace!or repaired.The system;upon completion of the replacement or repair;:as approv by the Board o;'F.et th, ,vili,�i Answer yes,no o.-not determined(Y,N,ND)in the for the fol ing statements. If"not detenni ted"plewe explain. The septic tank is metal and over 20 years olds or unsawtd,exhibits substantial infiltration or exfFttratior tar p - - _ ,-;, _ ;Liz e existing tank is re�1=:ced.with a complying sep °A metal septic tank will pass i:aspec:ion if it is s -= - i=+, :t•_� z n�, a:erti.;cab.-of i oMilig:nce indicating that the tank is less than 20 years old available. ND explain: Observation of sewage backu r break out. ittgft static ws:er Ievl in il_en ei�n ,c,x . ;f, �ken or obstructed Pipe(s)or due to a broke.;setilcd`or dtracsrs box_5-,stem will approval of.Board of Health): y pass tnspecttcat :'(,iLii — broker:pipe(s). abstraction is rem,sved i isinbU.L box-as leveled or teplaced' ND exphim -.. !_ The syste required purrpingmore thatt4 time::a.yrax due to broken or obsanctedpipe(s;). ;"t,. system wili Pass inspection (+vi;h approval of the.Board of Health): _broken pipe(s)are n:placed obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FOR.N1-NOT FOR V Dl.:di:4 I'ARY ASSESS'IY1.I NT s SUBSUFYACE SEWAGE DISPOSAL SYSTEM INSPECTTO N FORIN? PART A CERTIFICATION (continued) Property Address: 5- r a\emA :T6 ) — ki Owner: _ Cafy 1-4 Bate of Inspection: T_Q )Q..-I C. Further Evaluation is Required by the Board of Health: Conditions exist which require ft:rther evaluation by the Board of H.ealtah/irrder to determine'if thr. syst;-m is failing to protect pub is health,safety-or the environment. 1. System will pass unless Board of Health deter-niaaes is accorda ce with 310 CNIR I5.363(;.;(b'.-Aha:the system is not functioning in a manner which will 1:roteet pa' en- Cesspool Cesspool or privy is within 50 feet of a surface eater Cesspool or privy is within 50 feet of bordering ve etated wetland or a sail,marsh ' x, 2. System will fai. unless the Hoard of Health and F ublic Water Supplier.if any) Bete;mines Vaal the system is functioning in a manner that prate s the public health,safety and environment: _ The systerr has a septic',ank and s absorption.system(SAS)and the SAS is within 100 :`eet ; -a surface water.supply or tributary to a s ace water supply. _ The systerr has a septic tank d SAS and the SAS is within a lone i of a public water supply. — The system has a septic rank and SAS and the SAS is within 50 feet of a private water supply ;,.-U. _ Tne systetr has a septic e and SAS and the SAS ss less than 100 feet but 50 feel or mor-frc;;i a private water supply well". viethod used to.determine distance "This system Passes if well water analvs:s vva=l o=U0i= ,... bacteria and volatile o is c:ompvunds �. _ _ .:. , .� the presence of ammo 'a nitrogen and nizat$ j-,,,ng^ failure criteria are tr; erect. A copy of the analysis riust be attached to this form. 3. Other: 3 Page 4 of I 1 OFFICIAL INS12ECTIO� FORM——NOT FORV� k- v ���rl.� -44 , 7= 511DI)SURFACE SEdVA E I� I O .��:d ffi c: a t� ..a og�� � F -S PART A CERTIFICATION(continued) Property Address: o�� rK�.,\ C.`' b ate- .�� ✓ ✓�(. Owner: Cc�*�taY. _•_._ Mate of Inspea:ti,3n: D. System Failure Criteria asppl �,le You must indi=e-yes-or"no"to each of the following for all tncrar trn Yes No Ba-;icip of sewage into facil rti , ,< adVC[S.L Vi N _; V<2 Cfl Discharge or ponding oa`e,., clogged SAS or ces.�rc= Stittir,liquid levrl in the distrib€i� c .a;vatic+.!atvert - w o an V efl,adt ut si +�jgGU..1ff�i?P cesspool Liquid depth in cesspool is iess than o`be'u:V nvY�n Or=avky._ Required putnpirg i%li a`c i an s:ua7eS u3 the lBS year 3 c'uc Lu c FGg-z. - of itnes pumper An,,portion of the SAS, cess ! y +�-- An` portion of cesspool or pt14v 1c ;,V th4I 1100, feel �i s�[4Yid r water r water supply. 3`pt ,;�, tnouta:- :o a s;.r f•tc;r — �- Any Partion of a cesspool:.r pMv rh,, , _ -_ � Any p•�rtion of a t:esspoci or pr ,, _ _ '` ..�' """ An) Portion of a nt esspoO..Or r 1 , SUP 7ly well with rib accepp'o- . = - - - - perrormerl at a IE� V iniiicatesthat e1•= a u nitrogen and nitre-1.=�;a o _ are tr $� tggered. A copy of tree �9 a l R y N 3. (YeVN.o1 the.-systern:fa ls, l hgy� �ecy _ti desc gibed in 310 L<MR i 3 _ - -. ,-_.� the I -. Health to determir e whaC will.be necessal to c - - y orncct ttze aiiure. _va .'.. . ,�,aUzi ak- E barge SYsteios: To be consaderea a large system the system ant „te a gpd• oil, You must i,dicate either' s, s � (The followin `criF �+es .�r"no.,to each of the - enia apply to large systems in addition to the ab—a ve) Yes 110 the systen is Within:4(10 feet of.a suiflce dici the systetn is within 2G0 feet of a.-. F- .a.n dit$'n8 i cz Sll riip the system i.;located in a nitre® Zone lI ofa public watr-r s ply-weji �. ; , .� '=ro:ect.ur�.�.ea-;sti'F';1'•,)r a rnapre^ If you have answered"yes"to yes"in Section D a J Questiory i_n uat.rr•�_. rove h 1a, significant threat t =_ ,£ unc:er S tion E Or failed 15.304. 'i�te system ow;er should contact the as "",ai upgrayi _ ppraar;ate*egwria, office of'he Department. aait,e ,-h 10;-I�IIt Page 5ofll OFFICUL INSPECTION FORM—NO'(' FOR VOL.I..NI TARP ASSP:S&N•UP,N' 'a SUBSUIU ACE SEWAGE DISPOc 4:__ PART B CHECKLIST Property Address: r—^4f rc, C I 6AN .— Owner: Date of Inspection: a;.) 1 U l Check if the following have been done. You must andicate ;o c®c; ox toz iviicsiwin$: a� Yqs No )( _ Pumping information was provided by the owner,occupant,or Board of Health Y Were any of the system components pumped out ip the previous Has the sys-:era received;normal flows in the previous two week pefind Have large Volumes of water been introduced to the system recen ly or As gait of_hie ncvaw-4— ,( Were as built plans ofthe system obtained and exarnined% (I tllev were not '_� '"✓ _ Was the faciliy or dwelling inspected for signs of sewage back UP Was the site- utspecred fo-signs of break out? _ Were all system components,excluding dhe SA!', located on site? X _ Were the sepc:.c ra _ tank manholes uncover e+ �� to of.the baffles or tees,material of corstruction, dimensions, depth o:acuia; oeprft _: . _ Was the facili.y owner(and occupants:f different froth cnvme.' maintenance of subsur:ace sewage disposal sy siemS,? - The size and ioc:ation of the Soil Absorption System(SAS)on the site has been determined .Ir Yes no Existing information.For example, a plan at the Board of Healt,. Determined it the field(if any of the failure crit ma relate?to Pa--r is unacceptable) (31t'r,C:NIR 15.302(3)(b)) i 'r Page 6 of i l OFFICDLL INSPECTION FORM—NC 6-�� :� SUBSURFACE SEWAGE DISP€ m PART C SYSTEM INFOI3m�-§_- Property Addrew: Owner o d\ ti Date of Inspections: _F.. )FLa= RESIDENTIAL Number of bedrooms (ddesiqTOK DESIGN flow based on 31 - -- - - __— Number of current resident-- -� Does residence ha-e a gar`=-a g - '__ _---•,r Is laundry on a separate sc = Laundry system Seasonal use:(yes or Water meter readir: Sump pump(yes Last date of occupancy: • COMMERCIAL TIC DUS`f ,L Type of establ shn:ert: Design flow(5aseii or,3140 retry - Basis of destgr fIw Grease trap preses� Industrial waste n NOR-Sanitary W3$tt.d1SL Water meter read! a r --- _- _� Last datekof occip um"y�°. OTHER(descrt' GENERAL I. •O%MATION Pumping Records: Source of informal:) 'e Was system pum; s'- If yes,volume pu -- - Reason for pumpint. TYPE OF SYSTEM _�(S•eptie tank,&stiibution box, soill ab orpitL__ Singie.cesspeii _Overflow ces:pno} _Privy Shared sySterlt(;�'eS Or POl(if vP:, artach—pino"'25 _Innovative/Alternativ obtained from sys`.eri o.;r —Tight tank ---Attach a copy of the DEP ~ _' Other(describe;: Approximate age :)t all corn oeents,date installed(if imotwn)and 5vw � u� :;: :,..a,--'.• rs A/A Were sewage odo.s detected when arriving at the site ;yes or no}: — Page 7 of I I OFFICIAL DISPECTION FORINI—Nar FOR VOLUNTARY _kSSESSMEN- SUBSURJ--ACE SEW '- PAR` .� SYSTEM INFOWdcl,a �U 2 Property Address: Ktr6�e7 Owner: cv-V1, E 2 Date of inspection: BUILDLNG SEWER(locate on site plan) Depth below grade: Materials of construction: Distance from privale Comments(on conditi)n ofJoin E-v[!;fe7,7P nf SEPTIC TANK: (locate,on sitt.plan) Depth below made: Material cf constructicn: —M A.— other(explain) If tank is metal list age: Is age corf'Irm" certificate) Dimensions: 0 Sludge depth: Distance from top of Scam thickness: .3 Distance from tot., of Distance from bo"O How were dimen-sim; &A Comments(on.Purnpir!&:recor"imen as related to outlet immi—k cvidzin— GREASE TRAP: _.(locate on Sit'!:plar) Depth below grade: Material cf constnucticn.- concretc Dimensions-, Scorn thickness: Distance from top of Distance from botuam Date of last pump— Comments,(on pun,P—g -t as related to outlet inv,.- U-n---- 4lip —m- Page 9 of I I OFFICIAL '[?S"SPECTION FORM -NO'J' FOR VOA UNTAIURY ASS SU -SSURFACE SrI- PAR: SYSTEM WFORN"k Property-kddress: Owner: Date of Inspection: SOIL ABSORPTION SYSTEM k'SA 6--): If SAS not located exp..ahi why: Type leaching pits,nunibcr- leaching chamber, leaching galjerie�. leaching leaching fi.clu'S. overflow cesspe Innovwivellah-m- Comments(note condition of sn' -ns Af wj— ti etc.): r V CESSPOOLS: (cesspool must be pumped as csn, sim Number and configuration: Depth-top top of liquid to Depth of sohdr,lavtr' Depth of scum 12w—ei- Dimensions of Materials c.-f construct", Indication of Comments(note condi i�ni cJ PRIVY:_{locate on site plan) ez Materials of constructicn: Dimensions: _7 Depth of solids:—/ '/ Comments(note co-.j:, P 9 Page 8 of I I OFFICLU INSPECTION FORV-- SUBSURFACE SEWAGt RM SYSTEM INFORM- Property Address: Owner: - Date of inspection• TIGHT or HOIdDING TAINK: - t- Dept below graie: Material of cons,ru::tion: concrete Dimensions: -- Capacity: - Design Flow: .. Alarm present — Alarm level: -arm _ r sG Date of last pure;.:-! : Continents(conciwon DISTR7BLTTIO SOX; (if present mussit he opened;{("lo_-- -• - Depth of liquid Comments(note if tM - -_ leakage into or olt of box,etc.)- Pt3MP CHAM)E:E12: (lecatc of Pumps in workir;g order(yes fz#s , Alarms in worki—---"e Comrrrenu(note corn, LA or liwM t _ _- Page 10 of 11 OFFICULL.INSPECTION FORM--NOT FOR VOLUNTARY. -ASSESS1IENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM I - UX;3 - PART C SYSTEM INFORMATION(cantinued) Property Address: 0-2 5-Cs� yw�A D-\ / � V J— Owner. C—c> h O Date of Inspect:on: a SKETCH OF SEWAGE,DMPOSAL SYSTEM Provide a sketch of the sewage:disposal system including ties to at least two permanent reftren(e!arimarks Or benchmarks.L.oc:ate all wells withmi 100 feet.Locate where public water supply enters the builc.ing. 7l P7 1 U J V/7 l (f/� V (���i�%T" L f Page 11 of 11 OFFICIAL INiSPECTION FORM-NOT FOR VOLUNTARY ASSESSME:' TS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOWN4 PART C SYSTEM INFORJAATION(continued) Property Address: ftaeni�_�5 `� Owner: L o Date of Inspection: ~ SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water `ll�t feet tPlease indicate(check) all methods used to determine the high ground water elevation: Obtained from sy;.tem design plans on record-If checked,date of design±plan review,-.4, Observed site(abutting property/observation hole within 150 feet of SAS.i �— Checked with local Board of Health-explain: Checked with local excavators, installers-iw;-ch documented, DC Accessed USGS database-explain: You must describe h)w you established the high ground water elevation: s�s rn�ns � e eFG. �C> J { A:)/ /�Y October 27, 1995 Scott Colantonio 25 General Patton Drive 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 28 General Patton Drive, Hyannis was inspected on October 25,1995 by , Health Inspector for the Town of Barnstable because of a complaint. The following violations of the Town of Barnstable Rental Ordinance Article 51 and the Sanitary Code II were observed: y�ok ova C4�10.504D- Floor tile surfaces were peeling and worn and no longer nonabsorbent. 410.351: Electric outlet in kitchen next to stove was not functioning. d)o--e- 410.351: There was an exposed wire hanging from wall over kitchen stove. v0 v-L 410.351: The refrigerator had large amounts of water on bottom surface beneath �u vegetable crisper drawers. 41 10.501: Side entrance door was not weathertight. 0-r 4 0 500: A screw in the self closingdevice of the front storm door was not secure. wy'e The spring in the self closing device was not functioning, causing t e storm door to slam shut. �ow,, jl�0.500: Wallplaster was cracking near bottom of window facing street. doh 410.500: Bathroom wall near single was warped due to past water leak in shower/ tub plumbing. colanf/q 410.150(D): Wooden toilet seat did not have a smooth and impervious surface which makes it very difficult to keep clean. 410.500: Tile soap dish was starting to come unattached from tile wall in shower. 410.500: Carpeting in livingroom, hallway and bedroom is stained and worn. r a evw,ck� �� I e You are directed to correct the remaining above listed violations within seven ('n 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, this violation 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. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health cc: Housing Assistance Corporation colant/q aP October 27, 1995sd-n Scott Colantonio 25 General Patton Drive 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 28 General Patton Drive, Hyannis was inspected on October 25,1995 by , Health Inspector for the Town of Barnstable because of a complaint. The following violations of the Town of Barnstable Rental Ordinance Article 51 and the Sanitary Code II were observed: (OO ''410.504: Floor tile surfaces were peeling and worn and no longer nonabsorbent. I J I loraw L 410.351: Electric outlet in kitchen next to stove was not functioning. f '�-r�&'C410.351: There was an exposed wire hanging from wall over kitchen stove. Z 410.351: The refrigerator had large amounts of water on bottom surface beneath / vegetable crisper drawers. �t-U410.501: Side entrance door was not weathertight. i �A1'10.500: (A screw in he s�f�osmg�e c=o t e-€ro storm door was not secure The spring in the self closing device was not functioning, causing the storm dvLx 1 5// door to slam shut. r-410.500. Wallplaster was cracking near bottom of window facing street. 410.500: Bathroom wall near single was warped due to past water leak in shower/ tub plumbing. colant/q f^ I g� 410.150(D) Wooden toilet seat did not have a smooth and impervious surface which makes it very difficult to keep clean. fall 1¢� 410.500: Tile soap dish was starting to come unattached from tile wall in shower. 61' 4 0.500: Carpeting in livin room, hallway and bedroom is stained and worn. �Q �P g g Y �s vt�- l v You are directed to correct the remaining above listed violations within seven (7) 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,this violation 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. You are also subject to non criminal citations of$40.00 for the first violation and$15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health cc: Housing Assistance Corporation colantdq McKean Thomas From: McKean Thomas To: Jacobs Mary Cc: Geiler Tom Subject: RE: Complaint Date: Friday, October 27, 1995 11:41AM Health Inspector Christina Kuchinski responded to a complaint received on October 24th from the occupant, Roberta Mendes. Ms. Mendes complained about fumes which were coming from a furnace. On October 25, 1995,when Health Inspector Christina Kuchinski arrived,the oil company (Scudder and Taylor) had already arrived to clean-out the furnace. Then, Mrs. Mendes complained about several other minor housing code violations (side door not weather-tight, worn down linoleum floor in kitchen). Mrs. Kuchinski is currently working with the landlord to correct the { violations. Thus, the furnace is now operating properly without any fumes. The other minor housing code violations are to be corrected within three weeks. From: Jacobs Mary To: Geiler Tom s. Cc: Crossen Ralph; McKean Thomas Subject: Complaint Date: Friday, October 27, 1995 11:07AM Warren asked me to follow-up on the action/status of a complaint that had been made regarding a house at 28 General Patton Drive in Hyannis (building and health issues). Harold Tobey indicated that nothing had been done. Please let me know what inspections have taken place at this location and any action taken or scheduled to be taken. Thanks. Page 1 s McKean Thomas From: McKean Thomas To: Jacobs Mary Cc: Geiler Tom Subject: RE: 28 General Patton Drive/ UPDATE Date: Thursday, December 21, 1995 4:12PM As of December 18th, ten (10) out of the eleven health violations were corrected. The only violation that remains uncorrected is a two feet long crack in the wall plaster of a bedroom. This violation could not be corrected by the landlord before the ordered deadline because the occupant placed a large amount of furniture and household items in that bedroom blocking the wall that is cracked. This violation will be corrected this week according to the landlord, Scott Colantoni. From: McKean Thomas To: Jacobs Mary Cc: Geiler Tom Subject: RE: Complaint Date: Friday, October 27, 1995 11:41AM Health Inspector Christina Kuchinski responded to a complaint received on October 24th from the occupant, Roberta Mendes. Ms. Mendes complained about fumes which were coming from a furnace. On October 25, 1995, when Health Inspector Christina Kuchinski arrived,the oil company (Scudder and Taylor) had already arrived to clean-out the furnace. Then, Mrs. Mendes complained about several other minor housing code violations (side door not weather-tight, worn down linoleum floor in kitchen). Mrs. Kuchinski is currently working with the landlord to correct the violations. Thus, the furnace is now operating properly without any fumes. The other minor housing code violations are to be corrected within three weeks. From: Jacobs Mary To: Geiler Tom Cc: Crossen Ralph; McKean Thomas Subject: Complaint Date: Friday, October 27, 1995 11:07AM Warren asked me to follow-up on the action/status of a complaint that had been made regarding a house at 28 General Patton Drive in Hyannis (building and health issues). Harold Tobey indicated that nothing had been done. Please let me know what inspections have taken place at this location and any action taken or scheduled to be taken. Thanks. Page 1 � � � �� # �-=----: Q � � � - � ___- _ __ �' -�'��f - --__ .�� s�- . �/ ,3 ✓'� _ r NAME OF OFFENDER �D / © .BAR 4 4 710 TOWN{OF ADORES S�F OFFENDER6,�� � CITY.STATE,4740 IP CODE BARWSTABLE ,474 lri �. (o D l MV/MB REGISTRATION NUMBER OFFENSE ['"' (�' _ HAN 1A.1%.I.E. /0.7 {✓I •�' 7/t) 3V 7 - !"a �� l7�'GI..v"rI I.,+ •) � - O lIASS 8 16)q. �O LLI TIME AN A}�E OF VIOLATION � LO ION OF VIO}CATION - LU Z NOTICE OF (A.M.f P.M.)ON /AS 1sgS ..7 (.� 'Y +'..� rl L% SIGN AT E OE'ENFORC G PERSON _ ENFOR ING T. BADGE N0. VIOLATIONLU � � '`� OF TOWN 4 HEREBY ACKNOWLEDGE RECEIPT OF CITATION X CL ORDINANCE E Unable to obtain si ature o offender. a ,,5 ��- THE NONCRIMINAL FINE FOR THIS OFFENSE IS $1 Dv w J Date mailed w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION w(1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. C 121 If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA02630,Aft 21 D Noncriminal Hearings and enclose a copy ofthis citation for a hearing. 131 If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the 11 hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature f NAME Of OFFENDER -S^` ! 1 ao fir, Q BAR Q9 TOV*9F � ADDRESS QF'OF F IDEfl ^eV'V��T�f'(. (...P447 II��r;tr.r G� 1L�/, BARNSTABLE CITY,STATE ZIP COOE n, r Yh t o,) 601 �.ME► _ MV/MB REGISTRATION NUMBER • OFFENSE /�J/�✓ /''��.�//Jy ,] q�r /} y��/{/( (!/I.j/�jjJ�(��/ t- 'lf 11AH MASS. LJ � •i ' f(J/ ./ >1 �1r„�!�{! • Y� iR/I v d w TIME ND,DATE OAF VIOLATION - ' LOCATION &VIOLATION LU NOTICE OF vi- (A.M. P. J ON �, 5 1s9r" 7t�er / , j �w�e SIG NA 'ENFORCI G PERSON ENFOR G EPT. BADGE NO. LU VIOLATION .{' o OF TOWN HEREBY ACKNOWLEDGE RECEIPT OF CITATION XLU ORDINANCE 1] Unable to obtaj�Si nature o offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Date mailed 1 7 w w OR YOU HAVE THE FOLLOW AG ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w Cn REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,orb mailing a check,money order or postal note to Barnstable Clerk, a t P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter it a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, n / FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA02630,Att:21D Noncriminal Hearings and enclose a copy of this citation 3V for a hearing. �v (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDERS }-_ l -rdr,�o - BAR 4 4 7 0 8 ADDRESS OF. FEND R J T TOWNOF 6e,1-eerz/ -7�-�ror� BARNSTABLE CITY,ST TE ZIP CODS (�! s Jl �y ^r j O a.IKE rpy� r r� 1p MVIMB REGISTRATION NUMBER H� OFFENS ell P/ \ �pF � fop CL J � TIME AN OF VIOLATION /� LOCATION VIOLATION Z NOTICE OF 3 (A.M.ti�P.M�)ON Ja a3" 1s 9-r 7 ��/ �i�. w NBADGE NO. VIOLATION SIGNAT RCIN gPERSON 0 OF TOWN HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE ] Unable to obtain s n ender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS W Date mailed J `f i w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL - DISPOSITION WITH NO RESULTING CRIMINAL RECORD. N REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, LU before:The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. 121 If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAINST EET,BARNSTABLE,MA02630, tt:21D oncriminal Hearings and enclose a copy of this citation for a hearing. t3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER --�Got-�- C`�/ , �r►d BA R4 4 70 6 TOVIIN;OF a ADDR;i FOFFEND y _f e_a-al BARNSTABLE CITY,,ITTA ,, P C/ODEEE ` ©� IME Ip� b MV/MB REGISTRATION NUMBER OFFENSE• XAXPI.F..qq' 4�/�� �I�I�� ~ GJ�i C./YI. I c,✓ {,..e 7V i _ i'" ~ CL CD NOTICE OF TIME:DO• OF_VIOLATION /" LOCATION OF}tIOLATION ,(� { LLI Z c�3VV (A.M.v6.fvlvr40N Ej r 199 4-7 #� '�?1 ✓ / / �'T'7Di1 {(�'� Q VIOLATION SIG UAE 0 NFOflCIN PERSON ; �i/' EN C G DEPT / BADGE N0. rW �!� j i o I_ OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X Q ORDINANCE t Unable to obtain Sig atyre f offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S�- - ~ Date mailed D W9 w W OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION 11j You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. 12)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA02630,Att:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (31 If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature t4V � 1995 16 August g Scott Colantonio 25 General Patton Drive 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 27 General Patton Drive, Hyannis was inspected on June 13, 1995 by Christina Kuchinski, R.S. Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00 and the Town of Barnstable Rental Ordinance Article 51 were observed: 410.351: Bathroom tub water and shower control fixtures were broken. Water source to the shower head and tub could not be shut off without turningoff o water main for entire house. 24_10_-!52-- ­., Front entrance storm door was not equipped wit a screen and didot have*a self-closing device. -� ec'e � <j N 410.551: Small kitchen window was not equipped with a screen. V'O ��,Y'j ou,Ll 410.500: Middle and bottom hinge of mud room entrance door was not secured to U the prime door frame. 410.351: Sprayer mechanism for kitchen sink was missing. �Y\9-/410.500: Mudroom window was not secured in prime window frame. Window was held in by a piece of strapping. L4'10.602 Large piles of brush and up-rooted trees on the ground in the back yard. 410.705: Large dead tree partially uprooted and leaning toward house. This is a at)v- potential safety hazard to occupants of house and to the children playing in yard. You are directed to correct the violations listed above as 410.351 within twenty-four (24) hours of receipt of this notice by repairing the tub and shower control fixtures. You are directed to correct the listed violations within seven (7) 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, this violation 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. You are also subject to non criminal citations of$46.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health cc: Al Farren,tenant et August 16, 1995 1 Scott Colantonio 25 General Patton Drive Hyannis,MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410 00, STATE SANITARY CODE II MINIMUM STANDARDS OF FITNESS FOR HUMAN HABIT A I AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE.ARTICLE 51 The property owned by you located at 27 General Patton Drive, Hyannis was inspected on June 13, 1995 by Christina Kuchinski, R.S. Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00 and the Town of Barnstable Rental Ordinance Articl M were observed: 4 0 5 Bathroom tub water and shower control fixtures were broken. Water �l source to the shower head and tub could not be shut off without turning off water main for entire house. 410:352 Front entrance storm door was not equipped wit4 a screen and di ot have'a self-closing device. — L 1 � d �J� \{ 61_14&-a_tiv� G'act�' �(Z tiu ~ 5QT : Small kitchen window was not equipped with a screen. ooL(;) s ow"I - v-o 0 41 Middle and bottom hinge of mud room entrance door was not secur 0.50 ed to the prime door frame. Sprayer mechanism for kitchen sink was missing. �� .50 41 Mudroom window was not secured in prime window frame. Window was held in by a piece of strapping.., C41 . 2 Large piles of brush and up-rooted trees on the ground in the back yard. 4I0.705: Large dead tree partially uprooted and leaning toward house. This is a o� potential safety hazard to occupants of house and to the children playing in U yard. f You are directed to correct the violations listed above as 410.351 within twenty-four (24) hours of receipt of this notice by repairing the tub and shower control fixtures. You are directed to correct the listed violations within seven (7) 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, this violation 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. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH 5 s } Thomas A. McKean Director of Public Health cc: Al Farren,tenant