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0067 MARSTON AVENUE - Health
6 ' MARSTONS AVE., HYANNIS 1 9 6�TOWN OF BARNSTABLE ♦` LOC A71ON � �/I1r s'��+ � lz SEWAGE # 1->1C0 (f �- VILLAGE qA-1?4-$ASSESSOR'S MAP & LOT .INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY _,/pa0 LEACHING FACILITY: (type)�t`� 2 (size) NO. OF BEDROOMS 5 BUILDER OR OWNER j PERMIT DATE: f J 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 f ility) Feet Furnished by /1- --- I 0 s r J y, No. m - 6 1 � X1`11d,Il ✓C( `/ I al/I/5� Fee J � 1 " Entered in computer: _jZ E COMMONWEALTH OPMASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZI ppricatton for �Bi5po5af *pztemc Con5tructf on Permit Application for a Permit to Construct( ) Repair 1 " Upgrade( ) Abandon( ) ❑ Complete System Individual Components Location Address or Lot No. 6 J �'1�Ra /W /4 o-o— Owner's Name, /Address,and Tel.No. G M�� n P Tb:s"P-� CoI Y4 P. Assessor's Map/parcel agg ( 6l knvjfti AU-0— Installer's Name,Address,and Tel.No, Des' ner's Name,Address and Tel.N . C: r�.Q l r`� e lu" NA A A 111�t M mat P-t- oD�Gy L QaSe IA t j 1 -3k6 Type of Building: Dwelling No.of Bedrooms J2XV—47�✓k^'-A1 ize c2 sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.requir d) 3 U gpd Design flow provided gpd Plan Date o a 7 r Number of sheets Revision Date Title Size of Septic Tank y t lo,n / Type of S.A.S. JL!��C-� �:Lcx t/�x2 Description of Soil _.Daten 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 Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of a th. Signe Date 0 Application Approved by Date rWJ, Application Disapproved by: Date for the following reasons Permit No. damO/,Z Date Issued IeIO6 � ll � /n No. . �U G��C J(, �l� l� �r Fee `TiF`iEaC%OMMONWEALTH OF`MASSACHUS'ETTS Entered in computer: PUBLIC HEALTH' DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplicatiou for Mi5po5al *pgtem Cowgtructiou Permit Application for a Periiiit to Construct( ) Repair Upgrade( ) Abandon( ) ❑ Complete System Individual Components Location Address or Lot No. &i -) YatL.I !a A IJ A Owner's Name,Address,and Tel.No. Assessor's Map/parcel G.^-I ' a Og_f� TO'Gu �l� -e Installer's Name,Address,and Tel.No; Designer's Name,Address and Tet.N ltt b J 5 �C C M u ry (w�j Irp Iu h► �{Q A sl (1j s l C— -e. �• t). .e a a 6 Z-f LTa= P ckC-e C __1�6pj Type of Building: — ��pn Size� U� Dwelling No.of Bedrooms of —r- sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) U -gpd Design flow provided god Plan Date u a �s,/ ,% Number of sheets Revision Date ' Title Size of Septic Tank I,U-) „ / _Type of S.A.S.��r��s ',X Vk > l Description of Soil ) - / k 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 Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. / Signed /(\/ DateL U 6 Application Approved by _ Date Application Disapproved by: Date for the following reasons Permit No. 2 O U6 -�'l 2 Date Issued 1 l� 66 =- ' ------- -- ————— /------ THE COMMONWEALTH OF MASSACHUSETTS y-" BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site-Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by at has been constructed in accordance with the provisions Title 5 and the for Dispo al System Construction Permit No. � bU h U 1 � dated j //G Installer Designer #bedrooms- z Approved design flow 7(j gpd .. The issuance of this-oermit h 11 not be construed as a guarantee that the(stiemwi esigned. orDate - •�+., '�"� ———————————————————————————————————————————— No. nd �� �U l Fee /UU THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 1i.5po!5a1 *pgtem Construction Permit Permission is hereby granted to Construct ( ) Repair ( h) Upgrade ( ) Abandon ( ) System located at v -7 n., �3�,� A ll``�,a I and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Constru tion must be completed within three years of the date of this-permit. Date, l f 6 Approved by - T Town of Barnstable Regulatory Services Thomas F.Geiler,Director , MASS 1� Public Health Dh ision Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel ZAP �t Designer: (y( r- 14XV-✓Z!V to^. 1U, Installer: s Address: r! Pall` IZol It LH Address: JMa,3tvW XW11J -W Or4 , ' On /-'l�-� �G/�S was issued a permit to install a (date) (installer) septic system at Mo-d�v1,4 14ve-, g4� ,u,,;o based on a design drawn by (address) dated /°/i �/o.f (designery I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component F of the septic system) but in accordance with State &Local Regulations. Plan revision or ' certified as-built by designer to follow. GLEN ffilic 77_( nstaller's Signature) [ H y G�O J -AI az I fs ( esigner' Si fur ) (Affix Designer�s-Snp Here) P PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc 0 i���a �,� a,� i ice, i �� _. .- -,.�_��.��,=��.�� -.aC_ _��'--�� _.�- •y stir BIKE h Town of Barnstable es PQ Public Health Division =� Y S�P4cF 200 Main Street Hyannis, MA 02601 ® RiNce goWE5 02 1A $ 00.410 0004606238 F_EB06 2008 MAILED FROM ZIP CODE 02601 1st rc� O ► o o Z Ip FORM30 &w HOBBSBWARRENTM THE COMMONWEALTH OF MASSACHUSETTS BOARJQ OF HEA TH CITY/TOWN b D PARTME,NTt 1 Q N I WA Mlpt9 D RESS V GSM SyO�`0� Alt /� ELEPHONE Address (.!T �Y,5 +mOccupan kfa,(40 Floor Apartment No. b4s-e +t_0 'No. of Occupants - No.of Habitable Rooms No.Sleeping Rooms___ No. dwelling or rooming units No._jS-to,�ies _ - ' Name and address Dof owner o ► //►► 1 �� 1 t G+. M Y64-- f I Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish _ Containers: lliofdfltln5 Drainage Infestation Rats or other: ovyyypg ' STRUCTURE EXT. Steps,Stairs, Porches: ~- Dual Egress:and Obst'n.: -70-r CA LI ❑ B ❑ F ❑ M Doors,Windows: V Roof Gutters, Drains: Walls: ! *' Foundation: a s Chimney: BASEMENT, Gen.Sanitation: ; Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting- Hall Windows: HEATING Chimneys: Central_ .❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen. Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: j Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: I 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 INSPECTION4 RT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTI OF ERJU Y." INSPECTOR I\jvTITLE v r i DATE ' I TIME q'77U P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. 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 YY 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 no-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. r Town of Barnstable Health Inspector oF1HE t Office Hours o Regulatory Services 8:30—9:30 „ Thomas F.Geiler,Director 1:00—2:00 r r 9� r Public Health Division ArFD N1P�p Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: 64-1 Address: owl, Q. Map Parcel Name: �l (� eS�� Phone#: - 7 7 2a. How many bedrooms exist at your property now? 2b. Are you planning to add any bedrooms? r)D If yes, how many? 2c. How many bedrooms total are proposed at this property (including the amnesty unit)? 19 2d. Please include a copy of the floor plans for the entire property- showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or NO If the dwelling is connected to public sewer,skip questions#4 through#9 below. 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells?AP 5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER? 6. Is a disposal works construction permit on file? YES or NO 6a. If yes,how many bedrooms were approved according to this permit? Bedrooms. ' 7. Were any building permits obtained for construction of additional bedrooms? YES or NO 8. Is there an engineered septic system plan on file at the Health Division? YES or NO 9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO ---------------------------- ---------------------------------------------------------------------------- --- 057:... T The Public Health Division has no objection t bedrooms at this property. Special Conditions: Sign Date: Q;/health/wpfiles/amnestyapp C !C. 3 Voe P- °` 4 No. �l]., G =MONWEALTH �� ��� r 5 Fee 00 ! Entered in computer: O NF`f SSACHUSETTS PUBL C EALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes p itation for MigpO.5AY gpp5tem Con5truction permit Application for a%m it to Construct( ) Repair( Upgrade( ) Abandon( ) ❑ Complete System :Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. , GM lO3 p/-I Cvl iA,-•eJIA. Assessor's MapTarcel OCTa CT_iAf Installer's Name,Address,and Tel No, Desi ner's Name,A�ddf ess and Tet.Ng. ►`, (,�-P lu nJ !Y/4 A✓1 t rj., t w � ew m flf naVG L n02� 1 L - F6 Type of Building:Dwelling No.of Bedrooms 3 +'e c-A ize 2 1,, sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.requir d) 3�� gpd Design flow provided gpd Plan Date _L a 7 Number of sheets Revision Date Title Size of Septic Tank C _ �; ((1 o.n Type of S.A.S.�ti C.� Description of Soil �I� 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 Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of a th. Signed— Date LEZO Application Approved by Date Application Disapproved by: Date for the following reasons r Permit No. ?_oO6 Date Issued 1 TY06 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 at !l. has been constructed in accordance with the provisions Title 5 and the for Dispo al System Construction Permit No. �? DU 0) ;1 dated 4/ / f, /0 G Installer `� Designer, > #bedrooms z' Approved design flow 76 gpd The issuance of this pei7riit sh 11 not be construed as a guarantee that the$ stem wit c'Massigned. .Date � 1!9 Inspb tor No. 0 6 -U Fee U U THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 'i5poga1:,i§pgtem Con.5truction Permit Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( ) System located at / Ong,,.6- .j, n A t and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constru tion must be completed within three years of the date of this- eermit� a Date I �,,b Approved by jG��'W,%�i ✓ r No. Fee�v G fU ! 0.`� 1��.���S� . WOO COMMONWEALTH O S ACHUSETTS Entered in computer: sZ PUB I C EALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes P ication for Migpogal fpp5tem Cong;truction Permit Application for a it to Construct( ) Repair 9< Upgrade( ) Abandon( ) ❑ Complete System :Individual Components Location Address or Lot No. 4 0-0— Owner's Name,Address,and Tel.No. , G..��� pl-I C/ r4w-eJPA. Assessor's Map/Parcel a�'� A p g Installer's Name,Address,and Tel No, Desi ner's Name,Ad'aaj�ess and TeI.N . (awls C vs� ry i �� �,�-P w�� IqA A �I J� Type of Building: Dwelling No.of Bedrooms -J2 Qea f4�4 Size aI�_ sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.requir d) Qi gpd Design flow provided gpd Plan Date u 7 (1, Number of sheets Revision Date Title I Size of Septic Tank )c _ c�(l o,n Type of S.A.S. h C,t Description of Soil -I I 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 Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of re th. Signe Date U Application Approved by..._.j Date Application Disapproved by: Date for the following reasons Permit No. Q 06-0/. Date Issued lel 66 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 on f at 44 Q_ 1 has been constructed in accordance with the provisions Title 5 and the for Dispo al System Construction Permit No. �? bO h y I ;Z dated 1 It o G Installer_ Designer, #bedrooms Approved design flow M b gpd The issuance of this permit sh 11 not be construed as a guarantee that the stem wtMnesigned.Date �� Insph 2L - --------------- --------------------------- - -- No. ?COL-0 1 Fee l U U THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Migpogar �&pgtem Con,5truction Permit Permission is hereby granted to Construct ( ) Repair O Upgrade ( ) Abandon ( ) System located at Lf,7 ten„(4 ,n+ c � 4 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: Constru tion must be completed within three years of the date of th-is eMit� Pp Y 1 T Date I I�. (%b Approved b _� Message Page 1 of 1 McKean, Thomas From: McKean, Thomas Sent: Monday, February 25, 2008 9:38 AM To: Dillen, Elizabeth Subject: RE: 67 Marston Ave, Hyannisport and 245 Poponessett Rd, Cotuit 245 Popponesset- Please see e-mail from me dated February 12, 2008 indicating the system is undersized. No additional information received since then. 67 Marstons Ave- Received a three bedroom deed restriction by FAX and an copy of an e-mail from Joe Gianesin indicating he hired an engineer and an excavator, Ron's Excavating. He also submitted a copy of a bill from Ron's Excavating (requiring 10% down). We do not have an engineer's certification indicating the work was completed properly -see my e-mail regarding this dated February 15, 2008. No engineer's certification received since then. -----Original Message----- From: Dillen, Elizabeth Sent: Friday, February 22, 2008 4:40 PM To: McKean,Thomas Subject: 67 Marston Ave, Hyannisport and 245 Poponessett Rd, Cotuit Hi Tom - I am wondering whether there have been any developments with either the Gianesin (67 Marston Ave, Hyannisport) or Mathurin (245 Poponessett Rd, Cotuit) septic applications for the Accessory Apartment Program?They were both supposed to provide information to your office. Beth Diilen Sped al Projects coordkator Growth Management Department ,'own of Barnstable 367 MainStreet,Hyannis MA i'et 508.862.4683 Fax 508.862.4 782 2/25/2008 McKean, Thomas From: McKean, Thomas Sent: Friday, February 15, 2008 3:30 PM To: Dillen, Elizabeth Subject: 67 Marston Ave Hi Beth, We have the permit paperwork for the new septic system installed 11/18/06. The certificate of compliance was never issued because the applicant failed to submit an engineer's certification (from Glen Harrington IRS). Therefore, we have no objection to approving three bedrooms, with the condition the owner/applicant shall submit the engineer's certification in regards to the septic system installation. 1 Page! a, o:r1. Killen, Elizabeth (From; jgianesi@spfldcol.edu Sent: Tuesday, February 12,2006 4:05 PM To, Dillen, Elizabeth Subject: RE: 67 Marston Ave Beth: I have faxed to you the bill I received from Ron's Excavating Inc. in February or 2006. The tczImn also required me to have a deed restriction completed to limit the house to a total of three bedrooms with the current septic system. I talked with Ron's excavating and they assured me they sent the necessary paperwork into the town. I personally walked the deed restriction to "two different offices (Deed Registration in Barnstable and the Health Dept, in Hyannis on Decernbei 23rd, 2005. Those paper have also been faxed as I kept a copy of those. I do know that I p iald to have an engineer and the leach field replaced which is included in the bill from Ron's Excavating. Hope this is enough to fulfill the requirement. I would imagine the paperwork has not been f 1F--,.d or- misplaced in the health dept. I am out of the country for a week beginning Friday February !A15 through the 25th. Thanks for your assistance in this. )Ge Gianesin 2113iZ dl 92S 'ON iAvB 0[ SH , `",I. FEB-13-08 WED 05 :07 JOE&LINDA GIANESIN 19,-4881122 F), 1>:7, �Sgl�aoin�n H9a;rc ca!;73ig;�a I[tON'S EXCAVATMG,INC. to ef,LN1111t P.�0,BOX® 1*1�67� ry R i g�p ^� g� .tCI,S F LiYiy LRJr6 Ob��V9 I l..Y'1TIr f�//,�'.06t$ (508)477-0177 i DUE DATE 1 21 A2d;0iis losepb Oianesin��� �_��•� ._...,�____ .__ 197 Pine Grove j Amherst,MA 01002-2740 I - , A --T bud® :1• $11,520.00 l DATE + TRANSACTION AMOUNT i A1ACaX4,l--' 09/30/05-- - 1$aisr►ce forward i I i Marston Ave.,Hyannis- ! 10/20/05 PMT#101 - 10%down for Marstons Ave .1,280.00 02/07/06 INN#1953 12AO-00 ' I ' i II � I i i I i CURRENT DUE DAYS PAST 31-60 DAYs� ."� 6�-90 u✓A`�S _ ®VER 9Q bAY� Ba9t iDIJ�91' I:al.,,t�; ... ... . ...Dl) --PASI.DUE .. —e6 V F,.. .. -. PAST DUE 1 1,520.00 I 0.00 0.00 0.00 j — 0.00 1-1,320.1-Ci d 985 'ON iNV� 0l 8007 `!:I. 'a-a i rnstadbll,�bo �tHE ®� The Town ®f Barnstable KAM ' Growth Management Department 367 Main Street,Hyannis,MA 02601 Office: 508-862-4678 Pam'Daley ° Fax: 508-8624782 Interim Director _ FAX DATE: � D�(� 1 F, . TO: FAX: rn fs FROM: vk2�RWRve #PAGES: FIND l 'd 985 '0N - _=N5'8l 0l__800r F1=S�13�0� W9D 05 a07 JQE L I DA G AN.ESI 719 �$$1122 F'o E3mx DEED RESTRICTION in of 97 pine Street, Amherst, MA WHEREAS, Joseph and Linda � �(hereinafter are the owrfi.rz of 67 MarsYAvenue andue lb��g shown on a plated at n entitled referred to ag 57 MarsO."s n �, Hyannis MA, Pr®peEty of, et at, Joseph and Linda Subdivision of La Y Gianee,4 1Y recorded in Barnstable County Registry ®f Deeds in Plan Book WHEREAS, Joseph and Linda Gianesin as the owners agreed with the Town of Barnstable Board of Health to a restriction as t®the , number of bedrooms which can be included in any horse built on said lot as a Construction permit in compliance pre-condition to obtaining a di with 310 CNIR 1 b.000 Str9vsp®®aa°1ks I Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic systern in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authodking the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, NOW, THEREFORE, Joseph and Linda Gianesin does hereby place the follm4ing restriction on his above-referenced land in accordance vdith his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title; 1. 67 Marstons Avenue may have constructed upon the lot a house containing ��rr more than three (3 ) bedrooms. . Joseph and Linda Gianesin agrees that this shall be permanent deed rest6otion affecting 67 Marstons Avenue located on Hvannis, MA, and being shown on the plan re r�°ied in Plan Book X Page, For title of 67 Marstons Avenue see the following deed., Book 13670 Page 20. Or Land Court Certificate of Title Number ti 'd 98S 'ON Wd8l :O l 800L 'f; I. '0 ij FEB-13-08 WED 05 :08 JGE&LINDA GIANESIN 719 4881122 e� Exec ute as a sealed instrument 3D� day of ewe 0QS Z..s!i nature r'a signature Owner's signature COMMONWEALTH OF MASSACHUSE T'TS Joseph and Linda Gianesin, 2006 Then personally appeared the above-named known to me to be the person who executed the foregoing Instrument and acknowledged the same to be a free act and deed, before me, Notary Public My commission expires: ������° Notary Public CornMission�xpiri Cel:zaarq 26,20A� (date) kou bid M ,� .e�� +t A •-taifU,''�A 'r BARNSTABLE REGISTRY Q; DEEDS S 'd 98S '0N LOCATION SEWAGE'--S;P,'ERMIT NQ. VILLAGE- y �i r IN=STA LLER'S NAME i ADDRESS B U I L D E R OR OWNER DATE PERMIT ISSUED � . � DAT E COMPLIANCE ISSUED, - 1 `� -a ��, �1 � ,- �� �� 4� o(� '. ! � a •,'I � �° 1 I 1 i i (,� � �, �, �..-. , - . , z. ��/ Town of Barnstable BLE, 3- i6 9. OAitNSTA " Board of Health �O �0 ArEO MA't A. 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D.. FAX: 508-790-6304 Sumner Kaufman,MSPH Paul J.Canniff,D.M.D.. December 19, 2005 Mr. Glen Harrington, R.S. 9 Leda Rose Lane Marstons Mills, MA 02648 RE: 67 Marston Avenue, Hyannis _v _ A= 288-128 - Dear Mr. Harrington, You are granted conditional variances, on behalf of your client, Joseph and Linda Gianesin, to construct an onsite sewage disposal system at 67 Marstons Avenue, Marstons Mills. The variances granted are as follows: SECTION 360-1: The soil absorption system will be located 86 feet away from a bordering vegetated wetland, in lieu of the one-hundred (100) feet minimum separation distance required. SECTION 360-1: The soil absorption system will be located 77 feet away from an inland bank, in lieu of the one-hundred (100) feet minimum separation distance required. This variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. Q:\WPFILES\HarringtonGianesin2OO5.doc (3) The septic system plans shall be installed in substantial compliance with the engineered plans dated October 27, 2005. (4) The designing sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans dated October 27, 2005. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the close proximity of the wetlands. It is the opinion of this Board that the proposed new septic system is designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sin rely your , ayne . Miller, M.D. Chairma Q:\WPFILES\HarringtonGianesin2OO5.doc P�OFZHE 1p DATE: , DJ G� r + FEE: + BARNSTABLE, • MASS. 9� 1639• ,0� REC. BY Town of Barnstable SCHED. DATE: -65 Board of`Health 200 Main Street, Hyannis MA 02601 V. c 4 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: G '7 V14 a v-f¢�/o�, /�V$ L4 V _ , Assessor's Map and Parcel Number: Z }� - / Size of Lot: Z i✓, l�j� $ � ; Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: LA 6 0LvAye yn't Phone Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: 'S0 S s,o t1 lZ F It' Name: 67l Q v, E - T/CL Y'✓'i L+S Z6nn S• Address: 9 1 i'o/h e S7�f e: - 4W eIJ Address: WMjhv.-,'All) 1W Phone: Phone: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) C �`2G�1�11/1 S 0 I L ��riRI/� i� t! ej (f7�i�J `�'�iLEldr, S � i vI 1Alfv KV� d 141 lo C3Ni L. ow�di. b A,"k i in )e t, v 1 r,e /00 •E+, NATURE OF WORK: House Addition 0❑❑❑❑❑ House Renovation ❑ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local rsewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only], outside dining variance renewals [same owner/leasee only], and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne A.Miller,M.D.Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Susan G.Rask,R.S. Q:\HEALTH\Application Forms\VARIREQ.DOC ,,:SENDER:-COMPLETETHIS SECTION COMPLETE THIS SECTION ON DELIVFRY ■ Complete items 1,2,and 3.Also complete A.. Si 'fu item 4 if Restricted Delivery is desired. "Jim ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed N e) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or,on the front if space permits. D. I iv N address different from item-1? ❑Yes 1. Article Addressed to: If YES,ent r delivery address below: ❑No do rT � 7 `3'W—°er.v' ype �t p,{a V►t S/ Certified Mail ❑Express Mail ❑ egistered ❑Return Receipt for Merchandise / 13 Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number t i i ,. ,.. :s: i ;- : ; (transfer fromservicetabeo f'' {7`0 8 '18 03 004i!785311'4=4:7 1+4+i PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 p0 MA UNITED STATES POSTAL.SE �E P M °� id i i "L• PermitNU—G,40, • Sender: Please print your name,address, and ZIP+4 in this box • Glen E. Harrington R.S. 9 Leda Rose Lana Marstons Mills,MA 02648 iaaaaa�a�aitatalaaFitalaaat����t9at11aala11fIIIIJI11 III fill COMPLETESEN'DER: COMPLETE THIS SECTION • ON DELIVERY ^ ' ■ Complete items 1,2,and 3:Also complete A. Sig ature item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse 62rx-�❑Addressee so that we can return the card to you. Rec ve by(Printed Name) C. Date of Delivery I ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delive Miff m item 1? ❑Yes 1. Article Addressed to: if YE ,enter delivery a below: ❑No DEC 3. Service Certified 21L - pressIT Mail ' O ❑ egistered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article NumberTT �-"•�-__ '.( 114 .:.. 'Mb� 1820 }0O'd4"785'3t1423 ' 1 transfer from service laben PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail,. Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your-nar)le,address, and ZIP+4 in this box• I Glen E.Harrington R.S. 9 Leda Rose Lane Marstons Mills, NIA 02648 I I I I� :COMPLETE THIS SECTION ON 6ELIVERY ■ Complete items 1,2,and 3.Also complete Sign re item 4,if Restricted Delivery is desired. ❑8gqrft • Print your name and address on the reverse X ddressee so that we can return the card to you. Receive Tinted Name) ate of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. c s deli v cress different from item 12 ❑Yes 1. Article Addressed to: t If YES e d XIvery address below: ❑No 63 v. fie,� 5"b�Z► :�,� a°� i�'�S� b P. 3�Service T e � 01. M FS�v rCertified Mail ❑Express Mail Z Y ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra.Fee) ❑Yes �2. Article Numbers i ,i 1 ! ,� � ��;_; r , � •• r•i a�a a: ;r �.�I (Transfer from serv/ce/abei)l i j i '11 9 0'0 5 11,8 2 0 '0 0 0 4 7r8 5�3 Il;4 3 i t J PS Form 3811,February 2004 Domestic Return Receipt 102595-'02-M-1540 d ® {p{p UNITED STATES POSTAL.SERV)CE er` ' -F iis€wlass(Mail Postage&Fees Paid USPS 4- C Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • j i Glen E. Harrington R.S. 9 Leda Rose Lane Marstons Mills,MA 02648 L lilt ldi Ili It III fill illlt'lIIIIIIIIIitofIif III lift(lilt lllllll OFIME l Town of Barnstable P# 0 � Department of Regulatory Services•ArwsTeAer� () )36 � G, >A .� Public Health Division Date �prEo t639. �� 200 Main Street,Hyannis MA 02601 S d Z 00� Time IOIDO�/S'J Fee Pd. Date Scheduled ' Soil Suitability Assessment for Sewage-Di(sposal �• tAn, �• .re � , 4G-•)• Witnessed By: ba' Q Jj�DH, ;2 �. Performed By: ly� �7 l �' ni.a-£F i :r��L\.:�i,l`i17i7L'�'� i'i '�•a -'tc�, C ><~( t ,. ,;i> 74 .�.,.., ,.::.� p - a. i..:. .:�,5_;z4_..f�fF>!>r:G„1 nirN ._k3..._:� .C..�.. xt,P aa,r...:.e �:F us..... ...-?i Yi..._ 'k.. ., Location Address 6-7 M � �.vG�vt Owner's Name /' t,4 N,S IA &I y a.wLo Address 9r � ���� S7, IO4t� J T ti� /�� o�ooa- Assessor's Map/Parcel: /I� / Engineer's Name 6„ HP-^1 t o�j�o+, W Z• NEW CONSTRUCTION , REPAIR ✓ Telephone# S'D�� Y LO 'jyG 7- Land Use I-&j/4!!n t AP- Slopes(%) /40 �`r Surface Stones N&9 r Distances from: Open Water Body /0V Possible Wet Area ft Drinking Water Well --414—ft Drainage Way ':11 ,4 ft Property Line l d ft Other SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) Par ent-mat6ria6geologO) (9 114 W t '� ' nr Depth to Bedrock 30 t �" C Weeping from,pit Face 'V D Depth'to Groundwater: Standing Water in Hole: ti��- ''`> �:.`�' `y Estimated Seasonal Higli`r'oundwater y Der, HIGH WA' RLE s i d . ..,;V,S,,i�r,,u.u..wm L•.,Wukh..U, t..F,..iJ.3. ._ram ..t.i.. b..f.v..s'v. _ .0 .......T,. ...... b ....., �. Method Used: Depth Observed standing in obs.hole: in. _Depth to soil mottles: in. - - Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.,gG oundwater Level_ y =1. ,..a��'i,Lidk .. a fi .�t $aa ulNt R I Jr�,..._rr-- n � T: +i..u.�be,...m, <.0 wx„..ud...,w.. ,1a_.,,,,....,�:,,,...:._,,; i.,. Observation Time at 9" Hole#, Depth of Perc f G ` Time at 6" Start Pre-soak Time® .. .//./�` y & Time(9"-6") End Pre-soak - `\ _. V t,l} orb :,,- `• V V, Rate Min./Inch Site Suitability Assessment: Site Passed �� Site Failed: Additional Testing Needed(Y/1) Original: Public Health Division Observation Hole Data To Be Completed op Back---------- Q:HEALTH/WP/PERCFORM Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) `(USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,%Gravel /f L s t1 Y 21/2. �v u —t Zd C 2. � Z-S'y?/Y IN Woe Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,%Gravel b_ to L60- 60 ,a(6 �Q r2 -1lz �0- '7 10, r14 .mod Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,%Gravel h T. DepthSurface�in. Horizon �SDA) �unsell)�... �. Soil ngr �Structuret SDepth from Sod Horizon Sod Texture Soil Color Sod Oher( ) tones,Boulders. Consistenc %Gravel Flood Insurance Rate Map: Above 509 y!Ar flood boundary,No— Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material t' Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on i 6 t T q (date)I have passed the soil evaluator examination appr6Led by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature Date Q:HFALTH/W P/PERCFORM DEC-13-05 TUE 05 -43 JOE&LINDA GIANESIN 719 4881122 .,......... 01 Floor Plan for Property located at 67 Maarstons Ave. Hyannis, MA, TO Whom It may Concern: Please note that Mr. Glen Harrington is representing me for the purpose of obtaining permis'siOD to repair wy septic system located at the above address, if you have any questions regarding this,please feel free to contact we at(4I3) 549-3734. Sincerely A-O-J4oepnhR.VGianesin 91 P nr- sa. A 1 -er-, .y, o 1002 U � 'L►V ttoC� P-OO ► \ r P� .J & Re C Rotirm U �� C ,'�y �04►-v� - �j��rots�x C�'i � • ON ® Complete items 1,2,and 3.Also complete A ignature item 4 if Restricted Delivery is desired. X Agent ® Print your name and address on the reverse so that we can return the card to you. R ceived (Printed Name) C. Date of Delivery le Attach this card to the.back of the mailpiece, r— or on the front if space permits. Is delivery address different from item 1? ❑Yes 1.\\Article Addressed to: ` If YES,enter delivery address below: ❑No , 't \`i`AG� t G�rItS�Y1 NAA 0\dOz 3. Service Type � ®Certified Mail ®Express Mail ❑Registered ®Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number,r t i ;; II i7 D O 6 0 810 i 1 0 0 0 0 3 5 2 4 7 8 5a4 I rt (rmr;sfer;f W sen4w lets r r !3 6 r r a i e a F x e w x a x x t C, PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Clas al '1 3`n4 1-1 E t..D P�'1A � I aid • Sender:Please print:your name, address; ifnd 1P+4 in,this box• l�►�'� o\ �Sc-n 5 T�� I 7-k. I I t tttt t i rt t� .. .. (( ? �� I t{ F?Fi?S?tFlt?ii??3"FF�iFf??4 !???ktiF?i?t?Mil?t?F?:6tFtii t gtZ = I��- ��-'' = a ��� �- ���,� �— G�� i . . . , . � Certified Mail#7006 0810 0000 3524 7854 'WE Town of Barnstable Regulatory Services —v BARNSTABLE, MASS. Thomas F. Geiler,Director MAAA Public Health Division �- Thomas McKean,Director 0S 200 Main Street, Hyannis, MA 02601 / Office: 508-862-4644 Fax: 508-790-6304 December 28, 2006 Joseph& Linda Gianesin 97 Pine Street Amherst, MA 01002 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II— MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 67 Marston Avenue, Hyannis was inspected on December 21, 2006 by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town.of Barnstable Code. The following violation(s) of the State Sanitary Code were observed: 105 CMR 410.482—Smoke Detectors: Observed smoke detector in hallway that was inoperable. The following violation(s) of the Town of Barnstable Code were observed: There were no Town of Barnstable code violations. You are directed to correct the violations listed above within seven (7) days of your receipt of this notice by fixing or replacing inoperable smoke detector in hallway. *Note: Smoke detector does not have photo-electric indication. Hyannis Fire Department has been notified of this and may be in contact if found in violation. QAOrder letters\Housing violations\Rental ordinance\67 Marston Avenue.doc You may request a hearing before the Board of Health if written petition requesting same is received within tent (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF HE BOARD OF HEALTH mas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Cathy& Clodaldo Mateucci, Tenants Cc: Timothy O'Connell, Health Inspector QAOrder letters\Housing violations\Rental ordinance\67 Marston Avenue.doc Certified Mail#0000 0000 0000 0000 0000 THE r Town of Barnstable �nxNsrasLE. Regulatory Services XAM Thomas F. Geiler,Director Ar�a ,�b Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 + d !J�CG date 17 1�w p p addresM A o f eve , city!state,zip NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY CODE II - MINIMUM N IJ1VI STANDARDS OF FITNESS FOR HUMAN HABITATIO N AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 67 Vle,� U.<?, was inspected ,�, (Address) on i�-/1 / e 6 by j O , Health Inspector for the Town (date) (Inspector's name) of Barnstable, (Reason for inspection) The following violation(s) of the State Sanitary Code were observed: State code violation number-vi lation descri ion 105 CMR 410.q 0- 105 CMR 410. 105 CMR 410. - 105 CMR 410.' Q:\Order letters\Housing violations\Rental ordinance\template.doe 105 CMR 410. - The following violation(s) of the Town of Barnstable Code were observed: (Town code violation number-violation description) §170-_- §170-_- You are directed to correct the violations listed above within days (written#) (#) of your receipt of this notice by �- U T> You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation.. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: (Name,ten"owner,Fire, ., uilding Dept....) Cc: -rV .(Health inspector's name) (Generic codes located at QAOrder letters\Housing violations\Rental Ordinance\GENERIC CODES.DOC) QAOrder letters\Housing violations\Rental ordinance\template.doc FORM30 HAW HOBBS&WARREN'M THE COMMONWEALTH OF MASSACHUSETTS � ^ BOARD OF HEALTH CITY/TOWN 0 PARTMENT c A AA RE LSOg .77 ��TEELLEPHONE© Address V� _T Occupant ��""y � ? UC.G�O 1TiC.I. Floor— 11 -Apartment No. r/9� No.of Occupants_ __ No.of Habitable Rooms___*_3 No.Sleeping Rooms— No.dwelling or rooming units—N__9"_, No.S gries9` N Name and address of owner--� '"I°'"9-7 Remarks Reg. Vio. YARD Out Bld s.: Fences: b Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress: and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall;Stairwa _ IVN Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: 19 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 REPORT IS SIGNED AND CERTIFIED UNDER T E PAINS AND PENALTIES OF'PERJURY." INSPECTOR TITLE DATE ZJ-- (0 TIME P.M. �f A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shali be deemed conditions which may endanger or impair the heaith, 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 perso'i 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 cr gas. (D) Failure to provide the electrical facilities recuired 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). ( ) PY Y q (I) 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 c:orditions: (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, gasfittinc, 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. O CC.- FyT DCC�Qatl� _nA� Cc��S Parcel Detail Page 1 of 3 �E p aA 0/ rB1&Zl s"e €31 Att55t , Logged In As: Thursday,Parcel Detail y' Decemb� Parcel Lookup Parcel Info Parcel ID 1288-128 Developer Lot TOTS 1513 & 16A Location 167 MARSTON AVENUE x I Pri Frontage 1170 � f ----- ---- Sec Road Sec1 Frontage Village�HYANNIS Fire District.HYANNIS Sewer Acct Road Index r-69'87 Interactive y , Map I Owner Info Owner IGIANESIN, JOSEPH R & LINDA L — Co-owner j streets 97 PINE ST 5treet2 City=AMHERST State A zip 01002 Country Land Info Acres 0.47 use'Two Family I zoning i RFi rvgnbd,0107 Topography Level Road Paved Utilities Public Water Gas,Se tic Location (Construction Info Building 1 of 1 Year°19591 -_I Roof Gable/Hip �. Ext Wood Shin le Built- Struct`- p Wall g Effect Roof iAsph/F GIs/Cmp AC None Area 174 Cover Type F style Ranch I wall{Drywall Roomtl?3 Bedrooms T Model Residential_ Bath I Floor IntE Rooms 2 Full Heat Grade'Average Minus I ,Hot Water Total°6 Rooms Type Rooms i htt i p // ssgl/Intranet/propdata/ParcelDetail.aspx.ID-- 21877 12/21/2006 Parcel Detail Page 2 of 3 Fusp81-- -- Heat _ Found- stories 1 Story Fuel Gas ation Poured Conc. .... _... - ---- ......... L- Permit History _ Issue Date Purpose Permit# Amount Insp Date Comments Visit History_ Date Who Purpose 2/20/2002 12:00:00 AM Paul Talbot Meas/Listed 12/15/1988 12:00:00 AM ML Sales History Line Sale Date Owner Book/Page rnSale P 1 2/16/2001 GIANESIN, JOSEPH R & LINDA L 13570/028 2 4/15/1994 SINGLETON, JOHN E & DENISE 9166/212 3 5/15/1985 LAFRANCIS, TIMOTHY 4518/332 4 WARBURTON, WILLIAM & DIANE 3398/60 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcc 1 2006 $93,400 $21,700 $0 $201,000 ; 2 2005 $87,700 $18,600 $0 $143,500 3 2004 $71,000 $18,600 $0 $143,500 4 2003 $44,800 $18,600 $0 $72,300 5 2002 $44,100 $16,900 $0 $72,300 6 2001 $44,100 $16,900 $0 $72,300 7 2000 $40,400 $17,700 $0 $55,300 8 1999 $40,400 $17,700 $0 $55,300 9 1998 $40,400 $18,600 $0 $55,300 10 1997 $69,500 $0 $0 $55,300 ; 11 1996 $69,500 $0 $0 $55,300 12 1995 $69,500 $0 $0 $55,300 13 1994 $69,300 $0 $0 $49,800 ; 14 1993 $69,300 $0 $0 $49,800 http://issgl/intranet/propdata/ParcelDetail.aspx?ID=21877 12/21/2006 -41 Parcel Detail Page 3 of 3 15 1992 $78,800 $0 $0 $55,300 16 1991 $88,400 $0 $0 $51,700 17 1990 $88,400 $0 $0 $51,700 18 1989 $88,200 $0 $0 $51,700 19 1988 $50,700 $0 $0 $27,300 20 1987 $50,700 $0 $0 $27,300 21 1986 $50,700 $0 $0 $27,300 / Photos http://issgl/Intranet/propdata/ParcelDetail.aspx?ID=21877 12/21/2006 Town of Barnstable Regulatory Services BAPYS "M Thomas F. Geiler,Director 9$ �6 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 December 21, 2006 Attn: Hyannis Fire Health Inspector Timothy B. O'Connell conducted a rental inspection in accordance with Chapter 170 of the Town of Barnstable Code. 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\or CO detector) violation(s): 67 Marston Ave. Hyannis, Assessors Man-Parcel: (288-128): -Smoke detector not working. Timothy 'Connell-Health Inspector QAOrder letterMousing violations\Rental ordinanceUP'ire ViolationsTIRE TEMPLATE.doc � R i • � Cam. `7 � a��� �v �. CJ i -------- - - J c:�'t- ► r_]—---ram•- ------------ --- --- --- -------- ----- ` FORM30 C_ HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS L�NBOARD OF HEALTH CITY/TOWN t F r` a D PARTMENT 2 A/ �- 0 Is RESS tELEPHdNE �,, p Address-.�7- Ma (,5+ff'� Alt — Occupan I/��ari?, S��"� Floor Apartment No. b No.of Occup nts No.of Habitable Rooms—22�t No.Sleeping Rooms No. dwelling or rooming units No.Stories l Name and address of owner I. "L)O 7 Pil e5- of I Qt +. -ey + MAmbiwaz Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage to Infestation Rats or other: , STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: �. ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls.- Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 11220 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 INSPECTI EPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTI O RJ " INSPECTOR TITLE DATE TIME— _7U P•M• A.M. THE NEXT SCHEDULED REINSPECTION P.M. .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 founc 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 Preventior and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects-hat 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 tc 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 remair 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(Br. (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. uf -to Ll C> ° �TME The Town of Barnstable ♦ w * BARNSI'ABLE, + MA99.1639. Growth Management Department `0�' 367 Main Street, 3rd Floor Hyannis, MA 02601 Tel:508-862-4678 Fax:508-862-4782 January 7,2008 John C.KHm ri,Town Manager Janet Joakim,Town Council President Barnstable Town Hall 367 Main Street Hyannis,MA 02601 Re: Giovanni Gianesin, 67 Marston Ave,Hyannis - one bedroom accessory unit This letter is to inform you that the Accessory Affordable Apartment (Amnesty) Program has received a request for a project eligibility letter under the Community Development Block Grant (CDBG) Fund and under Article II of Chapter Nine of the Code of the Town of Barnstable and the criteria for the Local Chapter 40B Program. This office is reviewing the request. If the Town has any comments on the project, please forward them to me so that they can be addressed in the site approval letter. This letter gives you official notice of our receipt of the above application(s). We will issue a decision as to the acceptability of the sites and the consistency of this development within the guidelines of CDBG. inCO cerely, N abeth Dillen Special Projects Coordinator Growth Management Department X u N � cc: Legal Department Building Division Public Health Division BBC 20640 F='9207 1381 01-09-2006 & 02 2 42P DEED RESTRICTION WHEREAS, Joseph and Linda Gianesin of 97 Pine Street, Amherst, MA a ' 00 'Z— are the owners of 67 Marstons Avenue located at Hyannisport, ,MA (hereinafter referred to as 67 Marstons Avenue and being shown on a plan entitled "Subdivision of Land in Hyannis MA, Property of, et al, Joseph and Linda Gianesin duly recorded in Barnstable County Registry of Deeds in Plan Book Page Ci3 WHEREAS, Joseph and Linda Gianesin as the owners of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, NOW, THEREFORE, Joseph and Linda Gianesin does hereby place the following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. 67 Marstons Avenue may have constructed upon the lot a house containing no more than three (3 ) bedrooms. Joseph and Linda Gianesin agrees that this shall be permanent deed restriction affecting 67 Marstons Avenue located on Hvannis, MA, and being shown on the plan recorded in Plan Book `t Page cA3 For title of 67 Marstons Avenue see the following deed: Book 13570 Page 28. Or Land Court Certificate of Title Number I Executed as a sealed instrument J.3 day of Uec_ejLv-yV ���ns si nature , w is signature Owner's signature COMMONWEALTH OF MASSACHUSETTS Joseph and Linda Gianesin, 2005 Then personally appeared the above-named known to me to be the person who executed the foregoing instrument and acknowledged the sameto be a free act and deed, before me, Notary Public 3i'iE. Bcww.* My commission expires: notary Public ',.;y commission Expires February. 28.2008 (date) ............ Z. BARNSTABLE REGISTRY OF DEED$ L 0 C AT ION S E W A G E ;-PERMIT VILLA E_ rNSTA LLERIS NAME t ADDRESS 0 S U I i DE K 0R OWNER DATE PERMIT rSSNED DATE COMPLIANCE ISSUED I I SUBJECT TO APP?'M.M. OF gl WISTA'BLE. CT1SEr?V-AT'1?'1 No................�...... Fi@s........s .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �.OtvY►. ...............OF..... ....'!!s .i�..... App ira#ion for Uhipvii al Works Tonstrurtinn truth Application is hereby made for a Permit to Construct ( ) or Repair (*) an Individual Sewage Disposal System at: ...... ..lYl � _..Pu�A.Al �45........................ ns ......................................... Location- ss or Lot No. gt..Frqtan_c:t , ,I...-•---------------- ''� 1 .... uet �r,tom•...........--------......--- Own r Address Installer i Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.............Z...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons--...--..............--.---- Showers ( ) — Cafeteria ( ) Otherfixtures --------•---------------------------•----------------------• ----------••---------------------------------•-------...---------•-...--------------- W Design Flow......:.....................................gallons per person per day. Total daily flow............................................gallons. 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........................................ W Test Pit No. 1................minutes per inch Depth of Test Pit---.--..........--.. Depth to ground water------------------------ rX4 Test Pit No. 2................minutes per inch Depth-of Test Pit.............--..... Depth to ground water........................ P4 -•------------------------------• ------------ •-•---------•-.......-------------- ---------------------------------------------------------- 0 Description of Soil..............................................-------------•--....-----•------•-----------------------------•--------------•-•--...-----------------------•------.----- W U ..............................................-------------------------•--•---•--•----------•-----------...----------------•--=-•-----------------------•-............................................. W x - -... ------. ----- ----- U Nattn•e of Repairs or tAlterations—Anse when aapl'cable- n¢_ __ ________________.._-e_-usa..._Lo o q,........ 000 -------- -------------- -------- --•--••. Yr Agreemen The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITILP: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...:_.KoP?-r'Z _. 4 __4-ll'8.($.. at Application Approved By-------- •- -" �_..6.d'---------------------------------------------------------- ...... 1-. _.�'.z..r...... Date Application Disapproved for the following reasons-------------------------------------•------------------------------ .......................................... ---------------------------•-----....----•---•----•---------...---------------......................................................................................................................... Date- PermitNo......................................................... Issued•.. ................................................... Date No ................. THE COMMONWEALTH OF MASSACHUSETTS' BOARD OF HEALTH.................._OF.... I We........................................................... .t:��IR047,: Appliration for Disposal Works Tonotrurtion Vvrrmit Application is hereby made for a Permit to Construct or Repair (*) an Individual Sewage Disposal System at: ........................ .................................................................................................. Location-Add4ss or Lot No. ................................... .... ...... '(..... OwntTAddr;r -----------------*-------.......... ►...... .............................................................. --- AL...... Installer Addre ss U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..............:1...........................Expansion Attic Garbage Grinder 44 Other—Type of Building ............................ No. of persons.....................__._... Showers Cafeteria Other fixtures .............. ..................................... . .....................................I............................................................. Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width.___._........._ Diameter._._.........._. Depth........_....__. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter............___.___. Depth below inlet_........_.......... Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by------------------I...................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.__.....___._.......___. fT- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water____._......._......_... .. . ............................... ............................................................................................................................. 0 Description of Soil...........•....................................................................................................................... ...................................... ................................................................................................................................................................................. U ------------------- .............................................................................................................. I---------------------0----------------*-------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.__ ........................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in - .,-;operation until a Certificate of Compliance has been issued by the board of health. Signed.. .............. ...31_!t:A1fZ:-........... 7 Application Approved By....._ Date ................ --------------------- �e Application Disapproved for the following reasons:.............................................................................../ ................................. ...................................................... ............................................................................................................................................... Date PermitNo........................................................ Issued...................................................... Date C THE COMMONWEALTH OF MASSACHUSETTS V.,0 P, BOARD OF HEALTH ......................OF....ktnr, .................................................... (9rdifiratr of Tomptiaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by................. .................................................................................................................. Installer at....................b_.�.....lk&.,?� ......... ............................................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N1 ----------- dated_!.: /_,_;-fir",� .............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------- ...................... Inspector.....--.... --------------------------------------------------------------- --------------------- t . fi C,I!S THE COMMONWEALTH OF MASSACHUSETTS,.zZ.. IE 4. "Crs A�6 CX_5'�t?00L BOARD OF HEALTH ................OF...... ..................................C.j.... re, a ............0. Disposal Works Tonstritrtion Vprrmifep�c 1 ermission is hereby granted............C_AhN.W4t%I ----------------------------------------------------------------------------------------------------- to Construct,( or Repair an7Mlivid w ual Sewage Disposal System atNo........ .... .......................................... ................ Street ..... . as shown on the application for Disposal Works Construction Perinitg g..................IZZ54I./l. ...................... ........................... Board of Health DATE................ ................ ................................ FORM 1255 A. M. SULKIN, INC., 80S7Qq.W ve c6p rt { a �� � � �� �-�$ �P � ��� � � � � n � �� r i� � r � � � � � o � 'I CO\L%1O'N%VEALTH OF MASSACHL;SETTS J/y pZ _ EhECLTINrE OFFICE OF E.N-mO\'1IE\TAL AFFAIRS I F _ DEPARTMENT OF ENVIRONMENTAL PROTECTION OXE R'LNTER STREE'_. BOSTON 1L;0210t• r617j 29 -550v TRUDY COL' Secre:a_-. ARGEO PAUL CELLUCCi DAVID B STP.'-"??5 Governor Conmuss:one- SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTION FORM PART A CERT111FICATION P,*p"Address: 67 Marstons Ave. , NameofOwner, EI Jco Cingleton Address of Owner: Date oflnspeetigyannisport Name of Inspector: Please Print)Wm. E. Robinson S r. I am a DEP approved s ern inspector to Section 15_U0 of Title 5(310 CMR 15.000) Cemp~,yN,me: Wm. E . Robinson Seepptttic Service Msang address: PO Box 10 9. Centerville . MA Telephorw Number: CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true. accurate and complete as of the time of inspection. The inspection was performed based on my training and-experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: V Date: 0-.7/- The System Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty (30)days of completing this inspection. If the system is a shared system or has a design flow of 10.000 gpd or greater.the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer.if applicable. and the approving authority. NOTES AND COMMENTS revise0 Pnrlofll N C? -^-led o-Ren•ord Pam, t• t 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM NSPECTION FORM PART A CERTIFICATION(continued) ► NopertyAddress: 67 Marstons Ave. , Hyannisport Owner: Singleton Date of Inspection:16 3,,— N OSPEC71ON SUMMARY: Check(�A,-/B, C, of D: A. SYSTEM PASSES: /L 1 have not found any information which indicates that'any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: One Lor more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Indicate as.no, or not determined(Y. N, or ND). Describe basis of determination in all instances. H"not determined'.explain why not. The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection; or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration. or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if Iwith approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box islevelled or replaced The system required pumping more than four times a year due to broken or obstructed pipelsl. The system will pass inspection if Iwith approval of the Board of Health): broken pipe(s)are replaced obstruction is removed revised 9/2/56 Page 2of11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Icontinued) Property Address: 67 Marstons Ave. , Hyannisport owner: Singleton Date of Inspection:iQ--W. C -c 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 the public health, safety and the environment. 1), YSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES W ACCORDANCE WITH 310 CMR 15.303 f1)(b)THAT THE SYSTEM NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) S STEM WILL FAIL UNLESS THE BOARD OF HEALTH IAND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS NCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) THEP _"p°,'_Se,.. Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A 3 CERTIFICATION Icatfinued) Property Address: 67 Marstons Ave. , Hyannisport O1Nf1 : Singleton Date of hupeeborf: /d —3/_o ate' D. SYSTEM FAILS: You ust indicate either "Yes" or "No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility-or system component due to an overloaded orelogged 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 112 day flow. _ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If vie well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LA E SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: he following criteria apply to large systems in addition to the criteria above: he system serves a facility with a design flow of 10,000 gpd or greater(Large System) and the system is a significant threat to public h alth and safety and the environment because one or more of the following conditions exist: Yes N the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributaryto a surface drinking water supply 9 PP Y 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) The own r or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of he Department for further information. rev-sea 5%2,/5& Pagc4of11 it SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART 8 CHECKLIST Property Address: 67 Marstons Ave. , Hyannisport Owner: Singleton Date of Inspection: /G 3/`a a Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes , No —•b�/ Pumping information was provided by the owner, occupant, or Board of Health. _ None of the system components have been pumped for st least two weeks ant+the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. 7 _ As built plans have been obtained and examined. Note if they are not available with NIA. _ The facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: _ Existing information. For example, Plan at B.O.H. (/ _ Determined in the field (if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) 115.302(3)(b)) The facility owner (and occupants,if different from owner) were provided with information on the propermaintanawcii'-0f Subsurface Disposal Systems. rev__s a; PnRc 5 of 11 a . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION 'roperty Address: 67 Marstons Ave. , Hyannisport Owner: Singqleton Date of Inspectiorf: FLOW CONDITIONS RESIDENTIAL: Design flow:74 6 g.p.d./bedroom. Number of bedrooms (design): :? Number of bedrooms (actual): Total DESIGN flow -3 G 0 Number of current residents: Garbage grinder(yes or no):_ Laundry(separate system) lyes or no):/Ld; If yes, separate inspection required Laundry system inspected (yes or no) Seasonal use lyes or no):�o e Water meter readings, if available (last two year's usage Igpd): 1 999-00 1 7.�0 aa1 Sump Pump(yes or no):h-V��,9 _ 1 999-99 30 000 gaL. /Last date of occupancy:- COM ERCIALANDUSTRIAL: Type o establishment: Design f ow: god ( Based on 15.203) Basis of design flow Grease t ap present: (yes or no)_ Industria Waste Holding Tank present: (yes or no)_ Non-sani tary waste discharged to the Title 5 system: (yes or no)_ Water ter readings, if available: Last da of occupancy: OTHE :(Describe) Last of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: _ /S 9 9- System pumped as part of inspection: (yes or no)_L4 If yes, volume pumped: gallons Reason for pumping: TYPE OF STEM 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) VA Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed(if known) and source of information: Sewage odors detected when arriving at the site: (yes or no) U .revised 5-/2/9 Page 6(if II SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION lew"inued) 'ropertyAddress: (V& Marstons Ave. , Hyannisport Owner: singleton Date of Inspects : BUILX ING SEWER: ILocat on site plan) Depth elow grade:_ Materi I of construction:_cast iron_40 PVC_other(explain) Dista ce from private water supply well or suction line Diem ter Co ent (condition of joints, venting, evidence of leakage,-etc.) SEPTIC TANK:_ llocate on site plan) rs Depth below grade: Material of construction: ✓Eoncrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age_ (sage confirmed by Certificate of Compliance_(Yes/No) Dimensions: '� L Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle:_ r Scum thickness: /-;7- `` t Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom o outlet tee or baffle: How dimensions were determined: ;omments: (recommendation for pumping, condition of inlet and outlet teem baffles, depth of liquidjevel in relation to outlet invert, structural integrity, evidence of leakage, etc.) C ,.6 !. ) / �- h d /� lei:S GREAS TRAP: (locate n site plan) Depth be ow grade:_ Material f construction:_concrete_metal_Fiberglass _Polyethylene_other(explain) Dimensio s: Scum thic Hess: Distance f om top of scum to top of outlet tee or baffle: Distance om bottom of scum to bottom of outlet tee or baffle: Date of I t pumping: Comme ts: (recomme dation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence o leakage, etc.) revi—sed Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(con rrued) 'rop"Address: 67 Marstons Ave. , HVannisport Owner: Singleton Date of Inspection: 16 13?-6`d0-� OR HOLDING TANK: (Tank must be pumped prior to, or at time of, inspection) Iloc to on site plan) Dept below grade:_ Mater I of construction:_concrete_metal_Fiberglass_Polyethylene_other(explain) Dimen ions: Capaci y: gallons Design flow: gallons day Alarm resent Alarm eve]: Alarm in working order: Yes_ !No_ Date o previous pumping: Com nts: (cond tion of inlet tee, condition of alarm and float switches, etc.) DISTR UTION BOX:_ (locate n site plan) Depth of liquid level above outlet invert: Commen s: mote if I vel and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box. etc.) PUMP CHAMBER:_ (locate on site plan) Pumps in working order: (Yes or No) � Alarms in working order(Yes or No) � S Comments: (note condition of pump c amber, condition of pumps and appurtenances,etc.) b 4 e m� f� Y C.5e'.' /✓� revispeC 9/2 /9E Page 8ortl ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(coftmj6d) 'rop"Address: 67 Marstons' Ave. , Hyannisportt- Owner: Singleton Date of Inspection: .d 3 #,, &-C. SOIL ABSORPTION SYSTEM(SAS):_ (locate on site plan, if possible;excavation not required,location may be approximated by non-intrusive methodsl If not located, explain: Type: f leaching pits, number: leaching chambers, number:_ leaching galleries, number:_ leaching trenches, number, length: leaching fields, number, dimensions. overflow cesspool, number:_ Alternative system: Name of Technology: Comments: Inote condition of soil, signs of hydraulic failure, level of poilaging, damp so•, condition f vegetation, /d a-o �r4 31 o r� er 1 .- e /C�- � ,o�� CESSPOO (locate on si plan) Number and co figuration: Depth-top of liq 'd to inlet invert: Depth of solids I yer. )epth of scum la er: Dimensions of ces pool: Materials of construction: Indication of groundwater: inflow (c sspool must be pumped as part of inspection; Comments: (note condition of s 'I, signs of hydraulic failure, level of ponding. condition of vegetation, etc.) PRIVY:_ (locate on site plan) Materials of construction Depth of solids: Dimensions: Comments: (note condition of soil, si ns of hydraulic failure, level of ponding, condition of vegetation, etc.) --------------- PdP( 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Nap"Address: 67 Marstons Ave. r Hyannisport Jwner: singleton Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where publac water supply comes into house) �6 4 � ) izz 61 r3n,, 4 Yes:_sec Page 10 of 11 . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) rop"Addre": 67 Marstons Ave. , Hyannisport Owner: Singleton Date of hapect►on: NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Deep Groundwater depth: Shallow Moderate SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater //ZFeet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site (Abutting property. observation hole. basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps _Checked pumping records Checked local excavators.installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) VS'a - e, ,� a� s 59 J rev=se' 9/2/95 Page lloftl N51TE PLAN Design Calculdkos ° a N as- —" ,, Existin PROPas D sAs �4, Number of Bedrooms: 3 g SG SCALE: 1 =20 1-55'L X 4'W X 2,0' D o BENCH MARK ON CORNER OF CONCRETE leaching trench usin 4" dia. Garbage Grinder: NO, GRINLER NOT ALLOWED WITH THIS DESIGN o gg perforated/ed SCH 4/ PVC pipe �� Septic Tank Capacity Require 330 gpd X 200% = 660 gpd ecc smith ,'0 DECK ELEV.�t0o.00' ASSUMED and 3 4 tot t 2 crus a stone• Septic Tank Provided: 1,000 gallon EXISTING oad n 330 Gal. Da St. Ave. Leaching Capacity Required: / Y a � FLO e:NE Leaching Area Required: 33C Gal./(0.74 Gal./Sq.Ft.)=446 Sq.Ft. Proposed Leaching Area Prcvided: 55' X 4' X 2.0; = 456 SQ.FT. „ S ITE ve a,/� e Total Leaching Capacity. 3Y gpd > 330 gpd. req d. Hyannisport GENERAL NOTES `r e ` t. ADDI�Ess: 67 MARSTON AVEN IE Nantucket Sound ca"� •,✓ FLOOD ZONE B ap o °0a" 2. ASSESSORS NUMBER: 288-128 3. DEVELOPERS LOT: 15B & 16A 4. TOPOGRAPHIC INFORMATION WAS Ci1MPILED FROM AN LOCUS . o'':•:::;•: s' 0 ON THE GROUND INSTRUMENT SUR4"'Y. 5. TOWN WATER IS PROVIDED TO SITE k SURROUNDING PROPERTIES. SCALE: AS SHOWN :::::•°b`:; ::;`•:. 6. REFERENCE PLAN: PLAN BOOK 111 F :,E 93 WATER MAIN 7. RESOURCE AREAS WERE LOCATED BY G'I.EN E. HARRINGTON R.S.. AS SHOWN `: :: fy x Ps• 8. NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF SASS. 9. TOE SITE IS HLOCAALL BED WITHIN I ORMED WITHONEIN ZONE BC PER FIRM PANEL 250001-0006D, JULY 2, 1992. 9707' , T ° 10. THE REVIEW AND APPROVAL OF THIS DESIG"1 PLAN AND SEPTIC IN ARE LOTSA ¢n b �� ARE UNDER THE JURISDICTION OF THE BARNSTABLE CONSERVATION COMMISSION. tX L) "' ' 11, UNDERGROUND UTILITIES LOCATED PER DIGSAfE NOTIFICATION #20053809562. AREA — 21 ,400± SQ. . ::::_: :::a :.. B. \ CONSTRUCTION NOTES ���` :: :�:�: �:': �:::: ass• 1. Contractor is responsible for Digsafe notification ioaea and protection of all underground utilities and pipes. LAWN2. The septic tank pump 9pamber shall be set x level on 6 of 3N -11/2 stone, .cow- fiEw' 3. Backfill should be clean sand or gravel with no :f ANUVE', stones over 3" in size. ,a 4. This system is subject to inspection during installation EXISTING H-20 C BER ' .. . . � C by Glen E. Harrington, R.S. WITH C.I. FRAME & COVER GRADE GA'AM'srA9` ,��5 5. The contractor shall install this system in accordance a!` etc 9sis .�x.ey,-se?s �.�.1qi T/ F� /�/�, with Title V of the Massachusetts Environmental Code '4 and the Regulations of the Town of BARNSTABLE. ale 6. All existing inverts and site conditions shall be verified by contractor. 7. No vehicle or heavy machinery shall drive over the gsA FLOOD ZONE C septic system unless noted as H-20 septic components. Sf! A- A_ �- �s3 rF •• 8° Install gas baffle or equal on septic tank outlet tee end. d' PA1�10• W 9, DESIGNER AND BOARD OF HEALTH ARE TO INSPECT AND CERTIFY INSTALLATION. CONTRACTOR TO PROVIDE AT LEAST 24 HOURS NOTICE TO BOTH PARTIES. p Q�4 + tyro '10. Provide five foot removal and replacement of soil laterally around proposed SAS and vertically to on approx. depth of seven feet to encounter medium sand layer. R/ 11. Provide a two inch dia. SCH 40 PVC TEE at inlet to D-BOX on force main. sL 4y`�� 12, Provide 1 Acme Precast H-10 DB-5 distribution box or equal, �c LEGEND EXISTING 1Q®0 � � � � sy�� �I•74° � PERK TEST & SOIL EVALUATION 0 o H-10-10 SEPTIC TANK � � DATE OF PERC TEST & SOIL EVAL.: SEPT. 26, 2005 pd. TEST PERFORMED BY. GLEN E. HARRINGTON. R.S. EXISTING LEACH PIT ei' AP/a FLOOD ZONE B WITNESSED BY: DAVID STANTON, R.S. TO BE PUMPED & BACKFILLED / EXCAVATED BY: RON'S.EXCAVATING ak RQh PERK RATE: LESS THAN 2 MPI (UNABLE TO PRE-SOAK WITH 24 GALS. OF WATER IN C2) X 104.46 DENOTES EXISTING A_ SPOT GRADE ' � AL ,L AL Test Hole Test Hole -_--95 EXISTING CONTOUR C0�B�/� '1` No. 1 No. 2 DEEP TEST HOLE ROg� -4L AL DEPTH SOILS ELEV. DEPTHSOILS ELEV. APPROX. LOCATION �r na FILL -- ---- -- EXISTING WATER LINE ,I� 1 ' 1ow-92 IQ: F r i m ID t e r Calculations ,y MW I„nny awW Depth to water = 13' 26" iorns/e 4 6 " 10M/1 Index Well : MIW-29 APPROX. LOCATION Bwb Fluctuation Range: Zone B t U EXISTING GAS LINE «a,a �y sow Adjusted GW Level = 2.7' "y saw rorws s 84" "124" Use Adjusted GW ELEV. of 87.2' for design purposes. C2 �.siw0 241?/I 156-1 *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. EXCEPT THE 2" DIAM. SCH.40 FORCE MAIN NO GROUNDWATER ENCOUNTERED r *NOTE: INSTALL GAS BAFFLE OR EQUAL ON SEPTIC TANK OUTLET TEE. 5 HOLE EXlstin Grade Finished grade over systern=2% slope away cxs7:eox ice.r-i/e"-r/2" x;ma Existing Pump Chamber has „=9".4. doM *tons 4"dia. sal 4 min� Ana ` er Existing House One Septic tank cover must be 24" c.i. frame & cover to grade. I"for. 00.005 R 61we m96.5° PROPOSED SEPTIC SYSTEM UPGRADE First Floor elev.= 100.42' 6" below finished grade = ,73• PRE,ARM IM Fss"W4- Bottom of I 7g ss renc 73' RON'S EXCAVATING *; Existing/race F cr ,% LEACH TRENCH &V*PROVIDED(W min.ro'd,) AT _ a ELEV.=87.20' #67 MARSTON AVENUE L`01® .--' a d«,w:-W.a '�,; .a.came e, e"OF 314"-»/2°srar �GW Elev:=8�50' (Observed) BARNSTABLE (HYANNIS), MA EXISTING 1,000 GAL. - OF PREPARED BY: LU SEPTIC 1T0ANK a0 �� '�' GLEN E. HARRINGTON, R.S. W BOARD OF HEALTH VARIANCE n i5 aJ SECTION 360-1: A variance is requested to allow the proposed SAS to be installed E LE DA ROSE LANE y II 86 feet from a border of vegetated wetlond and 77 to on inland bank 8 1 Q r" MARSTONS MILLS MA 0�645 X " " " W > in lieu of the required distance of 100'. 7� 6 OF 3/4 -11/2 STONE a PUMP' o c CHAMBER NOTE: No variances are requested for the existing septic tank and pump chamber �<co TEL: 508--428--3862 I•"--r-•i ' SYSTEM PR®FfLF... as they were Installed under Disposal Construction Works Permit 86-223. cS' /SZE C� 62 __ �4NITAR FAX: 508--428-3862 6" OF 3/4"-11/2" STONY Not to Scale SCALE: 1 "=20' DRAWN BY: GEH OCT. 27, 2005 DATUM: ASSUMED FILE: GANGEM167MARSTON SHEET 1 OF 1