HomeMy WebLinkAbout0284 MEGAN ROAD - Health 284 Megan Road
A= 291 —274
Hyannis, MA
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ENVIRONMENTAL SERVICES
95 River Rd, Maftee, MA 02649 1 508-296-LEAD(5323)
LETTER OF FULL INITL&L LEAD INSPECTION COMPLIANCE
Lawrence&Christine Notarangelo
41 Edgewood Rd
Southborough,MA 01772
Dear Lawrence&Christine Notarangelo:
This letter is to certify that I inspected your property located at 284 Megan Rd,Unit NONE,and relevant interior and exterior
common areas, in the City/Town of Hyannis for dangerous levels of lead according to 105 CMR 460.730 of the Regulations for
Lead Poisoning Prevention and Control, and determined that there were no violations of the Lead Law,Massachusetts General
Laws,Chapter 111,section 197. The inspection was conducted on 07/20/15.
® I also certify that I observed no evidence or signs that unauthorized deleading activities may have occurred in this
unit or in its associated common areas.
Please be advised that Massachusetts law requires that only certain residential surfaces be free of lead paint. Thus, this letter
does not mean that your property contains no lead paint. The residential premises or dwelling unit and relevant common
areas.shall remain in compliance with the requirements of the Lead Laws referenced above only as long as there
continues to be no peeling, chipping or flaking lead paint or other accessible leaded materials, as long as coverings
and/or encapsulants forming an effective barrier over such paint or other leaded materials remain in place,and as long
as surfaces reversed to correct lead hazards remain reversed and securely in place. The law grants you a 30-day
maintenance period to repair deteriorated lead paint or detached coverings over such paint, and to clean up, during which time
this Letter remains valid. The initial inspection report indicates which surfaces, if any, contain a dangerous level of lead, as
well as those surfaces, if any,that were covered upon initial inspection.
The CLPPP authorized serial number for this Letter of Full Initial Lead Inspection Compliance is 45463985072115-284. This
number is tracked and unique to this address and unit.
DO NOT LOSE THESE DOCUMENTS. If the documents are lost you will be required to have additional private
inspector services that may cost you significant amounts of money. This Letter of Full Initial Lead Inspection Compliance
is only for the address and unit number noted above. If you change the street address, unit/apartment number or any other
identifying information pertaining to the residential premises referred to in this Letter of Full Initial Lead Inspection
Compliance, this Compliance Letter may be considered null and void by the Department of Public Health and/or a municipal
health office.
Do not alter this document in any way. Altering this document is fraudulent and may endanger the health and safety of a
child which may result in significant legal consequences. In addition to any potential civil liability which may arise as the
result of the alteration of this Letter of Compliance, the Massachusetts Department of Public Health's Childhood Lead
Poisoning Prevention program may seek criminal prosecution of any person who alters this document after it is originally
issued.
Sincerely,
Paula P i / 3985 07/21/15
Inspector, License# Date
I
Questions?Call the Department of Public Health at 1.800-532-9571.
DO NOT LOSE THESE DOCUMENTS
LOFIC-rev Ol/12
Page 1 of 1
TOWN OF BARNSTABLE
LOCATION SEWAGE
VILLAGE ASSESSOR'S MAP&PARCEL 42
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) C1 (size) A a lr—X.2 �
NO. OF BEDROOM � ������ •�e��'i��
OWNER C4 r A 1
PERMIT DATE: �o?�� -� COMPLIANCE DATE: O�,a
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY V J/'0" � �
JCi
Q w ® = '
No. �tf ,
l ` Fee L U
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS '
Ztpplitation for Disposal 6pstem Construction Permit
Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System Individual Components
Location Address or Lot No.2 6f'6::�4/✓ ooP,.0. Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.8. Garbage Grinder( )
Other Type of Building ' s No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) o;�- gpd Design flow provided � / gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic TankctJl/.1��/�"'C 10 047 �{'.�Type of S.A.S.
Description of Soil e,-e- �®
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 ealth.
Si Date �� �`�✓
Application Approved by Date Z" a 2 /.j
Application Disapproved by Date
for the following reasons
Permit No. Date Issued I )-—,)-2 —
No. Fee U(��
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
�` Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
application for Bisposal 6pstem Construction Permit i
a
i
Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System Wnodiidual Components
Location Address or Lot No.a 40-6:4/✓ aP4 Owner's Name,Address,and Tel.No.
Assessor'sMap/Parcel :7 ,67
C�'
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
Type of Building: h
Dwelling No.of Bedrooms [% Lot Size sq.ft. Garbage Grinder( ) +
Other Type of Building Q'E"J'- No.of Persons Showers( ) Cafeteria( )
Other Fixtures +�
Design Flow(min.required) ..+ gpd Design flow provided ZT,-0-9 gpd 1
Plan Date f �.�"��J Number of sheets ,/ Revision Date
Title _
Size of Septic Tank t`Jl/.1��`/• 'G� I o a0 (�i'(�'Type.of S.A S.
Description of Soil J_*3
y
Nature of Repairs or Alterations(Answer when applicable) 'OL
u,
r
t`.
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 ealth.
Signe Date
Application Approved by Date 1 2 r
Application Disapproved by Date
for the following reasons
Permit No. 20 Date Issued l ) — .�2 ._
---------------------------------------------------------------------------------------------------------------------------------------
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 0'4� X 4t0C T/dC P A C, s
/ at,;E O" 4-cee&ed;IA- A)T,d has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.2d j r dated .2 _ D a _
Installer(75�? ��iQ�O�LIC Designer�,•)'�i� .�/7J �/"� /�./�
#bedrooms o� Approved desig(pflow - gpd
The issuance of this permit shall not be construed as a guarantee that the system will,funchon/a designed.
Date '2 .2. Inspector
No. 7),(1 ��� �'� Fee I U�
THE COMMONWEALTH OF MASSACHUSETTS '
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstem (Construction Permit
Permission is hereby granted to Construct( ) Repair( /< Upgrade( ) Abandon( )
System located at .7.d05/ ,9y
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Constructio musre completed within three years of the date of this permit. /
Date r' a Z/ ( � Approved by 1
Dec 23 15 03:11 p Colleen Mason 508-833-2177 p.1
Town of Barnstable
`"Er. Regulatory Services
�� P o� Richard V.Scah,Interim Director
. %LE, � Public Health Division
19 %639.
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date: z- Z� Z0 Sewage Permiti ®/ Assessor's MaplParcelz4' 27
Designer: Installer: L�'l _
Address: �"'�1 Address: -l �
On LZ ILL.7 J ld� was issued a permit to install a
dat (installer)
septic system at 71 AELf based on a design drawn by
I' , (ya�ddress)
1C—
k7V 23 U���,IL dated l� ��[Z:O��7.
(designer)
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. Strip out (if required) was inspected and the soils
were found satisfactory.
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
of the septic system) but in accordance with State& Local Regulations. Plan revision or
certified as-built by designer to follow. Strip out(if required)was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constructed in co njiance with the terms
of the ILA approval letters (if applicable) � "�
DAV U i =
NIASON Ri
(Installer's Signature -4
��'!S T��pw
Nf T��,t'y,
(Designer ature) (Affix Desl �Tti.,—.,,�;m p Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BULLT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YO U.
QAScptieDesigaer Certification Form Rev 6-14-13.doc
ti
�V iE Town of Barnstable �1 q
Department of Regulatory Services
Publie Health Division mate 9 :
MABa.
�p 14 9. 200 Main Street,Hyannis MA 02601 "
• rfb tAA'i A } p.�a
- rM7-t
Date Scheduled ). _ Tune . f )���"Fee I'd.
Soil Suitability Assessment for Sawa e I�ispo,�al
Performed By:. Witnessed By: �.v
LOCATION& GENERAL IN.F'ORMATION �C
Location Address � i��- / �yy�� Owner's Name
/Xy Address
Assessor's Map/ParceLJ / / Engineer's Name
NEW CONSTRUCTION REPAIR Telephone# l
Land Use Slopes(%) Surface Stones ..
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands fn proximity to holes)
Parent material(geologic) Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: Weeping from Pit.Fnee
Estimated Seasonal High Groundwater -
DETERMINATION FOR SEASONAL-HIGH WATER'TABLE
--Method Used:
Depth Observed standing in obs.hole: In. Depth to sell tnUttlase jtt,
Depth to weeping from side of obs.hole: lIL Groundwater Adjustment ft.
Index Well# Reading Date: Index Well levol Adj.}hetor m As1j,dmundwuter Level
PERCOLATION T +'ST matt:
Observation I
Hole# _ Time at 9"
Depth of Pero . Time at G"
Start Pre-soak Time @ �A/1` _ Time(9"-6")
End Pre-soak
Rate Min./Inch .
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back---------
***If percolation test is to be conducted within 100' of wetland,you must first notify the.
Barnstable Conservation Division at least one(1) week prior to beginning.
Q:1SEPl'ICIPERCFORM.DOC
DEEP-OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Slucture,Stones;Boulders.
onsistency,%'Gravel)
/p Ale
DEEP OBSERVATION HOLE LOG ]Cfole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
onsisten % ra
DEEP OBSERVATION MOLE LOG Mole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Con i to c G
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture_ Soil Color soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders,
Consistency, Gravel)
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes
Within 500 year boundary No v, Yes. . .�
Within 100 year flood boundary No._ Yes
Depth of Naturally occurring Pervious Material
Does at least four feet of naturally occurring perv' aria exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pery ous material?
Certification
I certify that on 1 (date)I have passed the soil evaluator examination approved by the
Department of Environ ental Protection and that the above analysis was performed b me consistent with
the required training,exile s an eri c described in�10 CMR 15.017.
Signnmr Date V `
Q:\SEPT1C\PERCP0RM.D0C
No---_ 4a__. FnE..... ........
THE COMMONWEALTH OF MASSACHUSETTS
4r
BOAR® Q F HT A H
��....
aVpupfiration for-Dtspviial Vorks Tomitrurtion Vatuit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at:L, ` ?, 7
= -------------------------------------------------•--•--------------
Location- d r s or Lot No.
1� �- o J --------
wner V Address
--- -- •--•---•----•--------- --•---------••------------•-•••------------------•-----•----------•----••-•-••------•--•----••---
a
� Installer Address
Type of Building Size Lot_./4____�_,__2_7___Sq. feet
Dwelling—No. of Bedrooms__________._____________________Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons-.-_______-________--____-__ Showers ( ) — Cafeteria ( )
d Design F Other fixtures ------------•--•--•--•---------------------•----•-------------- --------•--------------------•---••--•-•-•-••--------- ---••-----•-•-•---•••--•••----
Desilow___ _ gallons per person per day. Total daily flow------------------------------------------__gallons.
W �
WSeptic Tank—__Liquid capacityy- allons Length................ Width---------------- Diameter................ Depth-------------
x Disposal Trench—No...... _f._____ idth________ ________ Total en th._ __ .__ _ Total leaching area.-_-__-_______-_____sq. ft.
Seepage Pit No r---- th b -- Total leaching area_-•-910 ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date--------------------------------------
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--.-_"-.---_-".__-__.._.
!s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_"___-.-___..____-_--._.
--------------------------------------------------------------------------------•----• ..................................................................--
0 Description of Soil---------- ----------•-••----------- -•-••-------••---•--•---•---------•••----•----•---------- ---------------------------------------------------------------------
x
U --------------------------------- --- ----- •-------------•- ------- -- • ----- --------------------------------------------------------------------
W
------------------ ------------ ------------------------------------ - ---------------------•--------------------------------------------------------------------------------------
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 Article XI of the State Sanitary Code— Tjhe undersigned f ther agrees not to place the system in
operation until a Certificate of Compliance has be i u y the bo Aoljt�h.sign -- ----- -- . �--�� --
- - ---------------- ------ -
�L. D
Application Approved By..,. --------- ---_ -�------- ��f
at
Application Disapproved for the following reasons:. --••--•----•-•--------- --------••------•-
--•••-••-•--•--•-•---•---------•------•--•-----------------------•--•-----•----••-•••••------•-----••--------------------•-•-•------------------•------•------..-•••------------•-•----------=-----•-
Date
PermitNo......................................................... Issued...................... .................................
Date
SepticTHE COMMONWEALTH OF MASSACHUSETTS
BOARD F H7 WAH
Application is-hereby made for a Permit to C Repair an Individual Sewage Disposal
System at: /
Of
--------------- ....... .......... ........... ............ --------------------- ...................................................f...... ----------------------------
Instal I er Address
it
-'---Liquid --,--�r Wetr..... -------- Depth b low inlet.................... Total leaching area-------------------sq. ft.
Z Other Distribution box Dosing tank
/ �� Teo 2................minutes per inch Depth of Test Pit.................... Depth toground water--------- |
] '
Description of S~il~— �
—..�����-�� -------------------------------------- ^ 1�. ' �
' -T-----'--------'—'---------------------'—'------
�aturcof |I�yar» or �lk�u600y--��am�r `�boo --_-_------_--------_---.-------_--
�
` --__-_—.'`---'—____--.---------_--_______-_—__'_—__--_---_—.—.----.—.--_---
�
`s^~""""`
u��a � ��D �� u��d�o�� Individual D�n�u S��m � a�o�a���� |
. . ' �
the provisions of Article XI of the State Sanitary Code—,'Ffhe undersi -ied;44?ther ag
operation until a �Certificate °"^^*'^^""= Ws not to place the system in
Date
19/Z----Jra/t
Date
Date""
..^�
,�~~COMMONWEALTH ~ ~.~S....~^. .~
| � � czO,~rnD; �
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ASSESSORS MAP : Za1
- TEST HOLE LOGS4-
PARCEL:
Z� I 1� G , - I) 'The installation shall eo,npl� tvilli Title V ul;"l "fuwu-of 1hnard of I
FLOOD ZONE O SOIL EVALUATOR:� V lvl /V I(ealih Regulations.
, — -- WITNESS : 2) The installer shall verify the location of utilities, sewer inverts and septic
--V�✓ - _ - �1 bZ� _ DATE: 1 components prior to installation and setting base elevations,
REFERENCE: Gpl��- � 1 p p g
7 Goy QQ PERCOLATION RATE: MIVj !J - 3) All gravity septic piping to be 4 inch Sell 40 PVC at 1/8 per Foot. The first
two feet out of the d-box to the icaching shall be level.
10. 4) This plan is not to be utilized for property line determination nor any other
_ ------ - -- TH- 1 TH-2
purpose other than the proposed system installation.
5) All septic components must meet Title V specifications.
6) Parking shall not be constructed over 1110 septic components.
b '�✓
7) The property is bounded by property corners and property lines.
8) The property owner shall review design considerations to approve of total
LOCATION MAP M design flow and number of bedrooms to be considered for design. Receipt
of payment for the plan and installation based on the plan shall be deemed
1
approval of the design flow h PP g Y the owner.
v _ 9) The existing leaching or cesspools shall be pumped and filled with material
per Title V abandonment procedures. Those within the proposed SAS shall
be removed along with contaminated soil and replaced with clean sand per
1 � g p
Lt�, Title V specs.
V 10)System components to be 10 feet from water line. Sewer lines crossing the
water line shall be sleeved with 4 inch SCI140 PVC with ends grouted if
applicable. The proposed SAS is being installed below the water service
line. The line is to be sleeved as aforementioned and maintained in place.
SEPT I C SYSTEM DES I G N 11) If a garbage grinder exists it is to be removed and is the responsibility of the
owner to ensure such.
FLOW ESTIMATE 12)The installer is to take caution in excavation around the gas line if such
exists.
2 BEDROOMS AT GAL/DAY/BEDROOM - GAL/DAY 13)Tile installer shall verify the location, quantity and elevation of the sewer
�-- lines exitinu the dwelling prior to the installation.
SEPT C TANK 14)This plan is representative only that a system can fit on a property meeting
t Title V requirements.
OGAL/DAY x 2 DAYS GAL
USE 'TOO GALLON SEPTIC TANK
l 47, �L�AABRPTION SYaSTTEEM W
q I q7 o DAVID �y
S I DE AREA: 1i� �2��3 - Z�j X2-x '67 = I , B. C.
\ BOTTOM AREA: )S �S 0 R - 2P-1 � MASON m
` v p�No.1066 0 �y
- gyp SEPTIC SYSTEM SECTION
r�.
op r Dguj
av, W 1
�► vwl_ ��w�
t Ftl.lP�l L
GAL
SEPTJX TANK �,,J15 �I
l 3�u_r'_l ,v*wyt+e�J Owt
OV
v9110
V too -zA
SITE AND SEWAGE PLAN
VANMW FnfION : muokvj ?-01A
PREPARED FOR : j L
M
SCALE: 1 Z
DAVID B . MASON R6 DATE.: � Z
K
DBC ENVIRONMEN AL DESIGNS
W DATE SANDWICH . MA
ATE HEALTH AGENT
( 508 ) 833- 2177