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HomeMy WebLinkAbout0022 OLD TOWN ROAD - Health 22 Old Town Rd. - Hyannis .- tit � `•.. A = 267 155 d s 0 ° ° � n � ° �r- s Q 9 • TOWN OF BARNSTABLE LOCATION L® Ll (ed SEWAGE# ..0 j, Q St VILLAGE A n h i-T ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. : 'f ke r SEPTIC TANK CAPACITY /o u LEACHING FACILITY:(type) ,2 4 0,e- NO. OF BEDROOMS .OWNER. /V/L 1` ,/✓!oc 1 s(f' PERMIT DATE: — 1/ COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility feet Private Water Supply Well and Leaching Facility(if any wells exist on site or Within 200 feet of leaching facility) feet Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BY o o, `�-v _� o � _ "Y o o � � � . � � � �. c,a 9-� �_ r � � � -.t G �. � � � 9 � E�, `^� �' � � � ., . L+ I � No. aQrr_ 657 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS TippIication for Misposal *pstrm Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ,/7 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel fo �- 15 ' I A0 n ` Installer's Name,Address,and Tel.No. "40 Designer's Name,Address,and Tel.No. Type of uil g: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 0 gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank �J�(� Type of S.A.S. Description of Soil r Ili Nature of Repairs or Alterations(Answer when applicable) /+^� Date last inspected: Agreement: The undersigned agrees to ensure the construction and ntenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental C and not to place the system in operation until a Certificate of Compliance has been issued by this BL Health. Signed Date Application Approved by Date 7-t 6 1 Application Disapproved by Date for the following reasons Permit No. �L — Date Issued__ �j— (�j'- No. dolt Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS es 01ppfication for Misposal,6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Aband6( ) ❑Complete System ❑Individual Components Location Address or Lot No. n / �, ( Owner's Name,Address,and Tel.No. Assessor's Map/Parcel I I e Installer's Name,Address,and Tel.No. rr/h Designer's Name,Address,and Tel.No. S Type o Z, g: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 gpd Design flow provided gpd Plan Date Number of sheets i Revision Date Title Size of Septic Tank Type of S.A.S. W o u i r k q Description of Soil i Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: L The undersigned agrees to ensure the construction and m i tenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental C d and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 3—�& Application Approved by Date Application Disapproved by Date for the following reasons s' Permit No. 26111 — 669 Date Issued 3�/ 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 "VAOLI 'a at A& has been constructed in accordance with the provisions of Title 5 and the for isposal System Construction Permit No. 9011 b Sa dated 3—1&— '1 Installer Designer #bedrooms Approved design flowA gpd The issuance of this permit shall not be construed as a guarantee that the system wil fun ioi designed. Date 3 l i i Inspector 1 ►�i. ----------------,-- ----------_------------------------------------------------ - -- No. d 51s v Fee CYO THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS misposal *ps7-wupgrade ttructlon Permit Permission is hereby granted to Construct( ) Repair( ( ) Abandon( ) System located at 7:19 old 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:Construction must be completed within three years of the date of this permit. Date — — Approved by . Tow n of Barnstable .&`KE r Regulatory Services ' � .. Thomas F. Geiler,Director • .BARNS`FABi�. • Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790 6304 Installer & Designer Certification Form Date: — Designer: C_::A� �(�014/ Installer: 6 i Address: 7:f> A-14 G•0, Address: t.y On ` o I Keqb as issued a permit to install a (date) (install r)X /septic system at 2 - Q ( � t '�""�5 based on a design drawn by (address) ,� Uc 0 �v_(4 'rt1 dated (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. b 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. ' ,IN Of A4,4Ss9C i DAVID y�N D. (Install s ignature) FLAHERTY, JR. N No. 1211 G/STV- SAAIITAR\Pa / (Designer's Si afore} (Affix Designer's Stamp ere) 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 Town of Barnstable P# Departinent of Regulatory Services Pub XAM lic Health Division :Z ,�- o h� 200 Main Street,Hyannis MA 02601 Date Date Scheduled Time—1'T� Fee Pd. V v U ' Soil Suitability Assessment or Sewage ge Disposal Performed By: Witnessed By: S n Location Address LOCATION& GENERAL INFORMAT Z2 DL(ITown Owner's Name VrA a Y7 � to Address Assessor's Map/Parcel: ' s�- Engineer's Name '� 1-r 5JC1 Z 9 s �C I lr dZS�3 NEW CONSTRUCTION REPAIR Telephone# 5,-e _ Q _ Land Use 2 S 3 �� U � 3G Slopes(%) Surface Stones /t)�" Distances from: Open Water Body�ft Possible Wet Area �C- J —ram ft Drinking Water We]iL A]f/3r/►,SJL Drainage Way--`7 ft Property Line �� 3(>� ft Other ft ►SKE'TCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In Proximi h 4 ty to Gies) lA r r T 1 I' ( , I u a v _ Parent material(geologic) Depth t0 Bedrock Depth to Groundwater. S ding Water in Hole: �// — - Weeping from Pit Face l Estimated Seasonal High Groundwater ? / 2/ V Method Used: DETERMINATION FOR SEASONAL HIGH WATER TABLE V Depth Observed standing in obs.hole: Depth to soil mottles: De o weeping from side of o s hole: in, Groundwater djustment Index Well# Reading Date: Inde Well le el Adj.factor A dJ.d►rundwater vel Observatio PERCOLATION TEST Date Z zz �i Thne �� Hole# Time at h" d+¢U Depth of Pero Time at 6" I i � 2 � Start Pre-soak Time @ /2 /U ` ✓ Time 9 •6 ) / End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) 4— 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:\SEPTICVERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture �G- 1 Surface(in.) Soil Color Soil Other (USDA) (Munselt) �A Mottling g (Structure,Stones;Boulders. _ o i ten:Y�vPn ,j 2 .S 2 �h ?' -' b �� o vd- ✓ DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Surface(in.) Soil Color Sail Oth r l (USDA) (Munselt) Mottling' (Structure,Stones,Boulders. • �� nsi en 96 vet • /0 /l4 DEEP OBSERVATION HOLE LOG Hole# . Depth ern Soil Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) (Munsell Other Mottling (Structure,Stones,Boulders. to c Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Slopes',Boulders, Cons -i ten ,t - • Flood Insurance Rate Man: / Above 500 year flood boundary No_ Yes Within 500 year boundary No Yeses Within 100 year flood boundary No. Yes , Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perv'o s material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pelvious material? 1 Certification I certify that on Yr7/ (date)I have passed the soil evaluator examination approved by the Department of Environmental Pro ection and that the above analysis was performed by me consistent with . the required trai ' p rtis a d e ce described in 310 CMR 15.017. Signature Date Q WEPTiC�PERCFORM.DOC Malkus, Karen From: Cabot, Jaime Sent: Tuesday, January 19, 2010 9:23 AM To: Malkus, Karen 11,—,7 c -J Subject: 22 Old Town Road, Hyannis Good Morning Karen, On Wednesday January 13, 2010, 1 delivered the order regarding the failed septic at that address. The occupant at the house was given the order and told me that he would give it too the owner. Claudinei E. De Oliveira. I asked for a telephone number and an address for Mr. De Oliveira and was given the following number (508)292-0506, no address was given. Observed at the premises were 5 five vehicles, as the property is a 3 bedroom only 4 cars are allowed per chapter 59, Town of Barnstable ordinances (overcrowding), the property may also be an unregistered rental. Please contact me on what enforcement activities should be proceeded with. Regards, Jaime Jaime Cabot, Health Inspector Health Division Town of Barnstable (508) 862-4651 1 r Town of Barnstable Barnstable Regulatory Services Department I-a,,,fticacm anatv�-rast;e. Ass yb Public Health Division Qp 39. 1e m 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO �1 1/11/2010 Claudinei Deoliveira 22 Old Town Road Hyannis,.MA 02601 FINAL ORDER ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at, 22 Old Town Road, Hyannis was last inspected on 10/17/2005,by Mark Polselli a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: "Hydraulic Failure" The deadline for repair 10 /17/07 f�e, The Department of the Board of Health, have not been informed that you have taken a `ceps o bring your failed system into compliance. Therefore, you are ordered toCn. or re ace the septic system within 60 days from the date you receive this notificatYou may request a hearing before the Board th, a written petition requesting a hearing on the matter, within seven(7) days after the day this order was received. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health D . CO .. • Ln ..D C, r OFFICIAL U . 4- , - • • ip &.. . r i Postage $ Ln ru Certified Fee N �01 Postmark 0 Return Receipt Fee JP Here O (Endorsement Required) O lj Restricted Delivery Fee O (Endorsement Required) UCJQ m rU Total Postage.&Fees �m CC) Sent To ----- - .li1fra -- ----zZ �u Kdud Street,Apt:No.; r, or PO Box No. S te," a�n W 1 A bz :,r rr. Certified Mail Provides: a A mailing receipt M o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: e Certified Mail may ONLY be combined with First-Class Maile or Priority Mail& o Certified Mail is not available for any class of international mail. o NO INSURANCE.COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. e For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". a If a postmark on the Certified Mail receipt is desired;please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7630-02-000.9047 S • � Barnstable �"we - --Town of Barnstable AMmmftaCft : . Regulatory. Services Department "s' Public Health Division 200 Main.Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F:Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO 1/11/2010 Claudinei Deoliveira 22 Old Town Road Hyannis, MA 02601 FINAL ORDER ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located.at, 22 Old Town Road, Hyannis was last inspected on 10/17/20059 by Mark Polselli a certified septic inspector for.the State of Massachusetts. The inspection of the septic system showed that the system "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: "Hydraulic Failure" The deadline for repair 10/17/07 has�pa :We, The Department of the Board of Health, have not been informed that you have taken any steps.to bring your failed system into compliance. Therefore, you are ordered to repair or replace the septic system within 60 days.from the date you receive this notification. You may request a hearing before the Board of Health, a written petition requesting a hearing on the matter, within seven(7) days after the day this order was received. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean; R.S., CHO Agent of the Board of Health r Town of Barnstable Barnstable Regulatory Services,Department 1 1 Public Health Division 200 Main Street, Hyannis MA 0260.1 2007 Oftice:. 508-862-4644 Thomas F.Geiler,Director 1 FAX: 508-790-6304 Thomas A.McKean,CHO os/lg�09 - Claudinei Deoliveira Q.`5i lver LeAk Lont Ya,r M"4011, nn/k FINAL ORDER ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at, 22 Old Town Road, Hyannis was last inspected on 10/17/2005, by Mark Polselli a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: "Hydraulic Failure" The deadline for repair 10/17/07 has P90 e, The Department of the Board of Health, have not been informed that you have taken any steps to bring your failed system .into compliance. Therefore, you are ordered to repair or replace the septic system`within 60 days from the date you receive this notification. You may request a hearing before-the Board of Health, a written petition requesting a hearing on the matter, within seven(7) days after the day this order was received. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Th c ean,&S., CHO Agent of the Board of Health F AFof-S Post� T""°� Town of Barnstable . Public Health Division 7 / PITNEY 80WE5 p200 Main Street : -0 2 1 A $ 05.320 { Hyannis, MA Q? 01 0004606238 MAR 16 2009 ?ice ' th 7 06 m 2150 0002 1041 8078 I MAILED FROM ZIP CODE 02601 r1 i I �,� 1.� 0,/ ems ' C l i. ,a G r 2 G V�.\ t Aqk � ��lo Date`..?�1 ?J J \\ V 3 L/CH UmSE 1 ET t I ��p DECIp�ENTgpDREs pair/h`.. C i/Y ,- _SSED A, B E ABLro S Route At, I Ck �1�Ny ,17 iT. COMPLETE •N COMPLETE THIS SECTIONON DELIVER a, I ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X ❑Agent I ■ Print your name and address on the reverse ❑Addressee 1 so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this c rd t the back of the mail piece, a o IP , or on the front if space permits. 1 1 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑ No • 1 I i � o o .UNttF� i I i N udil�ei �J Gla ira /J I ! r I('Wa PI ac e I } U 3 1 `� "I N I y/J IIy a(� I / ►V I 1 ��iCv D I oN W 3. Se ice Type N °D -Z. ` Certified Mail ❑Express Mail ID >❑ Registered ❑Return Receipt for Merchandise c n o I � y- �o I El Insured Mail ❑C.O.D. m co 0 m I 4. Restricted Delivery?(Extra Fee) ❑Yes � o o I I O2. Article Number o 7O06 2150 DOD2 1041 8078 o . (Transfer from service label) `l y 4 PS Form 3811,February 2004 Domestic Return Receipt 102e95-02-M-1540 I — I Stanton, David From: Stanton, David Sent: Friday, January 27, 2006 8:37 AM To: 'bzehnder@zehnderllc.com' Subject: 22 Old Town Road, Hyannis Good Morning Ben, I just wanted to follow up with you on the property of 22 Old Town Road, Hyannis, which is for sale by owner: Claudinei DeOliveira. They came in yesterday for a building permit to correct the illegal bedrooms and kitchen that were in the basement. At that time, it came to the owners attention that he had a failed septic system. According to the owner he knew nothing about it, so we are assuming the realtor must have paid and taken care of the septic inspection for the property. They may still transfer the property with a failed septic, however, most realtors, mortgage companies and potential buyers like it straightened out before the sale of the property. There is a deadline for the repair of the septic within 2 years of the failure date (10/17/2005) This deadline may be reduced drastically if it becomes a Public Health Hazard by breaking out at the surface of the ground, or backing up inside the house. Most mortgage companies (if applicable) typically require that an estimate be given for the cost of the replacement of the septic system, and the buyer places 1 & 1/2 times the estimated cost into escrow until the system is replaced and paid for. Thanks, David W. Stanton, RS Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 Direct phone: (508) 862-4647 Health Dept. phone: (508) 862-4644 Health Dept. fax(508) 790-6304 1 r - Stanton, David From: Benjamin Zehnder[BZehnder@zehnderllc.coml Sent: Friday, January 27, 2006 4:58 PM To: Stanton, David Subject: RE: 22 Old Town Road, Hyannis Great. Thanks for the information david. The owner and realtor are on notice, and so will a buyer when he/she reviews the report or checks with the BOH. Ben Benjamin E. Zehnder 56 Main Street; P.O. Box 2128 Orleans, MA 02653 (508) 255-7766 -tel (508) 255-6649 - fax bzehnder@zehnderllc.com This email message and any files transmitted with it contain PRIVILEGED AND CONFIDENTIAL INFORMATION and are intended only for the person(s) to whom this email message is addressed. As such, they are subject to attorney-client privilege and you are hereby notified that any dissemination or copying of this email is strictly prohibited. If you have received this email message in error, please notify the sender immediately by telephone or email and destroy the original message without making a copy. Thank you. From: Stanton, David [mailto:David.Stanton@town.barnstable.ma.us] Sent: Friday, January 27, 2006 8:37 AM To: Benjamin Zehnder Subject: 22 Old Town Road, Hyannis Good Morning Ben, I just wanted to follow up with you on the property of 22 Old Town Road, Hyannis, which is for sale by owner: Claudinei DeOliveira. They came in yesterday for a building permit to correct the illegal bedrooms and kitchen that were in the basement. At that time, it came to the owners attention that he had a failed septic system. According to the owner he knew nothing about it, so we are assuming the realtor must have paid and taken care of the septic inspection for the property. They may still transfer the property with a failed septic, however, most realtors, mortgage companies and potential buyers like it straightened out before the sale of the property. There is a deadline for the repair of the septic within 2 years of the failure date (10/17/2005) This deadline may be reduced drastically if it becomes a Public Health Hazard by breaking out at the surface of the ground, or backing up inside the house. Most mortgage companies(if applicable)typically require that an estimate be given for the cost of the replacement of the septic system, and the buyer places 1 & 1/2 times the estimated cost into escrow until the system is replaced and paid for. Thanks, David W. Stanton, RS Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 Direct phone: (508) 862-4647 Health Dept. phone: (508) 862-4644 Health Dept. fax (508) 790-6304 1/30/2006 p . a 3 . IM i 3. IE M Postage $ O C3 Certified Fee Z C3 Return Receipt Fee S� � ' OTHe M (Endorsement Required) \ O Re' Mcted Delivery Fee I ,,,p (Endorsement Required) r=1 ASPS r'-I Total Postage&Fees $ a L rl O Sent I Q O ✓[Q_�(_l c/" i � .( iLl 4. (t treat Apt No.' ^ D - ---- - orPO Box No.�� tom'A-TDL1J'y( �Q -- -- ------------- City,Stat.Z +4 J ,4 v�`� Certified Mail Provides: (as�anab)ZooZ eunf'ooee uuP�sd 0 A mailing receipt i a A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Maile or PriorityNaila. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Retum Receipt may be requested to provide proof of delivery.To obtain Return Receipt seance,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized a ent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery". , o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. r f COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION v TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A C-�Cu�cP-moo, / CERTIFICATION Property Address: 0/G / O w i i2 d G,1rr,r m/ Od 6 4 9 Owner's Name: 1-1 e ve-0 rc Owner's Address: c;t a p ^pWW AJ ,i, V4 oa.`y Date of Inspection: Name of Inspector: (lease print) a✓h� j/�G // Company Name: I— Mailing Address: O OX. EA y v'7 Q.L 6 Vl--, Telephone Number: 7 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 the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am.a DEP approved system inspector pursuant to Section 15.340 of Title 5(MO CMR 15.000). The system: Passes Conditio y Passes Further Evaluation by the Local Approving Authority Fails Inspector's Signature: G Date:--- /0- / 1 - p . The system inspector shall submit[copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector,and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments- ""This report only describes conditions at the time of inspection and under the conditions se at thaw' rM time.This inspection does not address how the system will perform in the future under the s or different conditions of use. C) crs Title 5 Inspection Form 6/15/2000 page 1 •- � r m Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner: �ll 2� �c1 Date of Inspection: /0 /l J Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A.,/System Passes: 41 I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B,/� S tem Conditionally Passes: ✓�7One or mores «ystem components as described in the Conditional Pass"section repaired.The system,upon completion of the replacement chop need to f replaced wor ill p ment or repair,as approved b the PP y Board of Heal will ass, �, P Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: r The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system'will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: ' Titlo incnartinn An.n,��i ai�nnn 2. - h Page 3 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ll CERTIFICATION(continued) Property Address: ot, 0zd. r W N _ Owner:_ 1 ye rc� Date of Inspection: C. Further Evaluation is Required by the Board of Health: 1— Conditions exist which require further evaluation by the Board of Health in orde is failing to protect public health,safety or the environment. r to determine if the system 1• System will pass unless Board of Health determines in accordance with 310 CMR 15303 1 b that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: ' _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria 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,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: ' Tiflu C fncnantinn Rnrm�ii cnnnn 3 Page 4 of 11 . OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 0/ T96vh 9,1 Owner: specti V 1 Date of Inon: /O D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for 211 inspections: • Ye"so backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ! Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or 1:logged SAS or cesspool _/ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or ' cesspool 5liquid depth in cesspool is less than 6"below invert or available volume is less than%2 day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number ref tunes pumped 1/_ tjny portion of the SAS,cesspool or privy is below high ground water elevation. •/Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _Amy portion of a cesspool or privy is within a Zone 1 of a public well. A, y portion of a cesspool or privy is within 50 feet of a private water supply well. _ Any_portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no Xthe tem is within 400 feet of a surface drinking water supply tem is within 200 feet of a tributary to a surface drinking water supply em is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped of a public water supply well If you have answered"yes" to any question in Section E the system is considered a significant threat, or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Titlo C incnontinn An�m 4/1 ci,)nnt► 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: Cl Oa G�{ v XXDate of Inspection: O !7 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No/- �I /'Pumping information was provided by the owner,occupant,.or Board of Health V Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recentlyor as ? part of this inspection . Were as built plans of the system obtained and examined?(If they were not available note as N/A) `" ,_ Was the facility or dwelling inspected for signs sewage ge back up? Was the site inspected for signs of break out? Were all s stem com ponents,mponents,excluding the SAS,located on site? Were the septic tank manholes uncovered,opened,and the interior of t he of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sltank ge and depth of scum insected for te co �tion veb— Was the facility owner(and occupants if different from owner)provided with information on maintenance of subsurface sewage disposal systems? the proper The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes nQ-// xisting information.For example,a plan at the Board of Health. C77 _ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CNM 15.302(3)(b)] Titlo f Tncnart;nn 17-4/1 S/7nn'n 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1. Q('/0 P'J Ghhl f 7"OrT, Owner: t Date of Inspection: 0 0, FL W CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): 3 DESIGN flow based on 310 CM] 15.203 (for example: 110 gpd x#of bedrooms): C� Number of current residents: Does residence have a garbage grinder(yes or no): /v'� Is laundry on a separate sewage system(yes or no):/1-V [if yes separate inspection required] Laundry system inspected(yes or no):, Seasonal use:(yes or no): /f'a Water meter readings,if available(last 2 years age(gpd)): Sump pump(yes or no): Last date of occupancy: COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to'the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL ORMATION Pumping Records y Source of information: Was system pumped as part of the inspection yes or no): If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYP F SYSTEM _Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy —Shared system(yes or no)(if yes, attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval —Other(describe): Approximate age of all components,mponents,date installed(if known)and source of information: T AA/ 041,04 Were sewage odors detected when arriving at the site(yes or no): Titlo C fncnortinn Fnrm�/)5/�Il/l!1 6 ' Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Q rOWh dj s 414 13- Od C Owner: 01I✓.Qci Date of Inspection: BUILDING SEWER(locate on site plan) Depth below grade: oZ/ ' Materials of construction:_ ast iron _40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: (locate 9 site plan) Depth below grade: �3 Material of construction:_ ncrete_metal_fiberglass polyethylene _other(explain) If tank is metal list age:_ Is age congrmed by a Certificate of Compliance(yes or no):—(attach a copy of certificate) Dimensions: x Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: n ii Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom�9utlet tee orb e: How were dimensions determined: /'o/Q R f Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as pglated to outlet invert,evidence of leakage,e ) /I /- tn vti r✓� ✓ 40 hPe -0 cif 14Ir 7/ /vh T H Gw a 7p .r f ! 0V t 0r/ GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): T tlo G fncnortinn Fn�m �n si�nnn 7 Page 8 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ll SYSTEM INFORMATION(continued) Property Address: d� old. rotvv1 0/1 Owner: 1 Date of Inspection: /� ��r^ TIGHT or HOLDING TANK: tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: i resent— f must be o ene( p p d)(kocate on site plan) Depth of liquid level above outlet invert: b4(0l-v`"G L--_ Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box, etc.): PUMP CHAMBER:Zoocate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Titlo Gnrm An cnnnn 8 • Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INNFORMATION(continued) Property Address: ©/ / 0(�✓ n Owner: (Ave. Date of Inspection: /O / SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:leaching chambers,numb_er: g galleries,number:_ �O i ✓ � leaching trenches,number, length: a' leaching fields,number,dimensions: overflow cesspool, number: innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): h- 5 ff- / S, hS-7S CESSPOOLS:Z�(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: /V (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): Title C rn—ar+inn Rnrm 4/1 VIAM 9 t Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner• Date of Inspection: 0 r, SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.Locate where public water supply enters the building. Gc � L4 39 Tifla G Inencrfinn Rnrm�ii:nnnn 10 L Page 11 of 11 , OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 0/c oci Owner: `vel Date of Inspection: SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water & feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must des 'be how yqA w estab 'shed the high ground water elevation: G� � l�l i r 14 p L.% ` T41. G Incn rf;^n I~nrm An VIAAA 11 •t� N 53� < A� t 1 v�YIrc a 4 tr��wf 11 � t s. #gip C0 70 f r f= fi d Ln yyh > cm x3 .3 cmy cu aff lip tea_ hum Sr'� s„k„ a o� f a .o s 1 ' r s ray' ' A r . 5 Y,f 1 F Ail 1� t A 2� yr. t1 l { 111 a +� H.oil �{ - > t ell _ - Ml Y 4c - a I - i i y ,� I man �ck I ` xc a . r v�4h6�waits. f 00 i .t. ti IJ+ !�I fi 4 s' �Y �5 _ a 'sx ' I E o f PIO ZZ } b ` 4 � + I r' _ Y A: IWO } k � IF F y a �I - I 3 pp i .III 11 t Lo q �� J/ r .+� r cu 1 r f j ' l I a i rt• F r��� �M i h� a � ,U �� a v e .q e �� ^4 N Efc _ rs ft ! �d 4 a d `I.i�r C a cm`t ■ � x �a r AFz z r� 1� LJ Y� Ll' `l c 4 �� S e� } d � r-,- 3�, >,....� `t 1�ai ✓, - �yr„ r N N v. w - . m 1 f AA E' e Mil F.f co co . a = r , 0 N �.F I CI `l Postage $ , 37 0 Certified Fee a. U I3 Return Reciept Fee Postmark (Endorsement Required) 75 Here 0 Restricted Delivery Fee c0 (Endorsement Required) r-9 Total Postage&Fees $ y,• q a m p Sent To / o C Uvc(rdter C Dea/�ve�'rq r' b°deet,Apt.NO.; / n 0 or PO Box No. ( /f,r kwti.��'.._.!__lh��.P.---.. ----- --------------------------------------------- ..... Cify,State,ZI 4 H� e A?.9 Oa 601 J)A f Certified Mail Provides:o A mailing receipt (BsiBAea)zooz aunr'ooe£Wood Sd a A unique identifier for your mailpiece 1, ' o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. e For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ti .�✓t El Addressee so that we can return the card to you. B. Received by(Printed Name) C. to f D 'livery ■ Attach this card to the back of the mailpiece, f/CRC or on the front if space permits. �/`< D. Is delivery address different from item 1? ❑Yes,1 1. Article Addressed to: r ' o, YES,enter delivery address below: ❑ No �J p� '4 / n J N N C JA VN I4Qr YQU�IUPf/G,. N n CM � � e M'T 09, 6 O �2 4,"Service Type } Yh n.►,'S OCtertified'Mail ❑ Express Mail ❑Registered a Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) 7003 1680 0004 5458 3381 PS Form 3811,August 2001 Domestic Return Receipt 1o25s5-o2-M�� UNITED STATES POSTAL SERVICE First-Class Mail I Postage&Fees Paid LISPS, Permit Ulo.G-10., • Sender: Please print your name, address, and ZIP+4 in this box • !I I Public Health Division Town of Bamstable I 200 Main St. Hyannis,Massachusetts 02601 Certified Mail#7003 1680 0004 5458 3381 Town of Barnstable Regulatory Services aysxatx; Thomas F. Geiler,Director MASS 161 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Claudinei E. Deoliveira August 22, 2005 41 Parkway Place Hyannis, MA 02601 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 22 Old Town Road, Hyannis, was inspected on August 18, 2005 by David W. Stanton R.S., Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.450: Means of Egress: Three illegal bedrooms were observed in the basement of said location. "Every dwelling unit, and rooming unit shall have as many means of exit as will allow for the safe passage of all people in accordance with 780 CMR 104.0, 105.1, and 805.0* of the Massachusetts State Building Code." *Note: the correct Massachusetts State Building Code references are 780 CMR 102, 103, and 1010. The following violation of the Town of Barnstable.Codification Rental Ordinance was observed: & 170-7 of the Town of Barnstable Code: Owner\Property Manager's name, address and telephone number were not posted. § 170-7 of the Town of Barnstable Code specifically reads as follows: An owner of a dwelling which is rented for residential use, who does not reside therein and who does not employ a manager or agent for such dwelling who resides therein, shall post and maintain or cause to be posted and maintained on the exterior of such dwelling within five feet of the main entrance or within five feet of the mailbox(es), at least four feet and not greater than six feet above ground level, a notice constructed of durable material, not less than 20 square inches in size, bearing his/her correct name, address and telephone number. If the owner is a realty trust or partnership, the name, address, and telephone number of the managing trustee or partner shall be posted. If the owner is a corporation, the name, address, and telephone number of the president of the corporation shall be posted. Where the owner employs a manager or agent who does not reside in such dwelling, such manager's or agent's name, address, and telephone number shall also be included in the notice. Q:Order letters/Housing violations/22 Old Town Road.doc - You are ordered to correct the violations listed above within thirty (30) days of your receipt of this notice by removing the bedrooms from the basement by removing all non-load bearing walls, by removing the beds and by properly posting the building as required above in the Town of Barnstable Code § 170-7. It is the owners' responsibility to obtain the proper building permits for such work. Persons are not authorized to live, sleep, cook, or eat within the basement of this dwelling. 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. PER ORDER. THE BOARD OF HEALTH c as A. McKean,R.S. Director of Public Health Town of Barnstable Q:Order letters/Housing violations/22 Old Town Road.doc ` ' �,� � -�-7 �_ .�� -� �� J --� ..i+ �� � p �-- 6� �� � .-� � � � l� �,� �-- � ' �-- � S -�-� � � � �r -.___ a c .'� �, �s' : �!� a 1 Health Complaints 29-Sep-05 Time: 4:09:00 AM Date: 7/12/2005 Complaint Number: 18246 Referred To: DAVID STANTON Taken By: JOAN AGOSTINELLI Complaint Type: CHAPTER II HOUSING Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 22 Street: OLD TOWN Village: HYANNIS Assessors Map_Parcel: — Complaint Description: At any given time there are 15 cars parked at this house. There are approximately 15 to 20 people living there. There was a delivery of 13 mattresses this week. There are trash violations and there are animals to pick the trash. Approximately every 6 months they have a dumpster come to pick trash. Actions Taken/Results: SAME OLD STORY. NO SPEAK ENGLISH. 9 VEHICLES PARKED IN THE BACKYARD. NEIGHBORS WANT BIRST TEAM, BUT I DON'T MAKE THAT CALL. NO FURTHER ACTION REQUIRED. ON 8/18/05, A BIRST TEAM WAS SET UP (TOM GEILER, TOM PERRY, ERIC H.-HYANNIS FIRE, AND SGT. SWEENEY.) THE INTERPRETER COULD NOT BE PRESENT. THERE WERE 3 BEDROOMS, A LIVING ROOM, BATHROOM, AND KITCHEN PRESENT IN THE BASEMENT. THERE WERE 3 BEDROOMS UPSTAIRS. OLD ORDER LETTER FROM BOH IN 1992 ALLOWED THEM TO KEEP ROOMS IN BASEMENT, BUT COULD NOT BE USED AS BEDROOMS. DS WILL CHECK WITH TM AS TO WHAT NEEDS TO BE DONE 1 "f Health Complaints 29-Sep-05 NOW AS THIS IS A PROBLEM AGAIN. LOCATED IN A ZONE II, MAXED OUT WITH 3 BEDROOMS (96-152) AN ORDER LETTER WILL BE SENT WHEN DS GETS TIME AND WHAT NEEDS TO BE DONE FROM TM. PHOTOS ON FILE. ORDER LETTER SENT. DS WENT BACK FOR A FOLLOW UP ON 9/29/05. NO ANSWER. THERE WAS A FOR SALE SIGN IN THE YARD BY PRIME REAL ESTATE, REALTOR CRISTIANE OLIVEIRA (774) 836-5890. DS CALLED AND LEFT A VOICE MAIL TO LET HER KNOW ABOUT THE VIOLATIONS AND WHAT NEEDS TO BE DONE PRIOR TO THE SALE OF THE PROPERTY. Investigation Date: 7/19/2005 Investigation Time: 2:00:00 PM 2 oFIME Town of Barnstable , ,STM Regulatory Services 9c� 16Jq Thomas F. Geiler,Director AIFD MA'S A Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 ,z : _ p DATE: 3 O S--- NUMBER OF PAGES TO FOLLOW: TO: IV FROlt jk)� PHONE: Cl 1 ,j',v PHONE: (508)862-4644 FAX PHO FAX PHONE: (508)790-6304 C29-) cc: WAR M� NOTES/COMMENTS: t [.e If 61 G I'd h- le ` t,t c i'Aet �7 S vyn j Ile/ 7� �1)'1 0 v C-) 6 QAFax Form.d6c P. 1 COMMUNICATION RESULT REPORT ( OCT. 3.2005 7:47AM ) TTI BARNSTABLE BOARD OF HEALTH FILE MODE OPTION ADDRESS (GROUP) RESULT PAGE ---------------------------------------------------------------------------------------------------- 194 MEMORY TX 915087750992 OK P. 3/3 ---------------------------------------------------------------------------------------------------- REASON FOR ERROR E-1) HANG UP OR LINE FAIL E-2) BUSY E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION Town of Barnstable Regulatory Services i M Thomas F.Gef1er,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA,02601 DATE: r N C MMER OF PAGES TO FOLLOW: r TO: FltO i vQ r ro o . 4�n PHONE: L-7 �! v PHONE: (508)962.4644 FAX PHO : $ 7 FAX PHONE: (508)790-6304 cc: !�4,' ''�Z a!t .n '•7�.!I•'M1 f L:� ."� c � s+ �� _ �.t 6 , i. � r w a •+,� �' tie .1 41' r,r z• r f 1`. :r • r � 4 A ° r � s 1 �r •Wr i1 i n llnk `{ +w� �,1 e- F ,t ��' ��AS�'�,C•'��"`r,•�y -- ,*a+nl i • 7 4 a j ' '' 1,• ' I .r .,vr' c r , — t P a.-. 1. 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'iiti�i tr'']d3�a '�a.�1R ,1A � �,.. �.. Health Complaints 06-Jul-05 Time: 11:15:00 AM Date: 7/5/2005 Complaint Number: 18225 Referred To: DAVID STANTON Taken By: JUDITH FLYNN Complaint Type: CHAPTER II HOUSING Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 22 Street: Old Town Road Village: HYANNIS Assessors Map_Parcel: Complaint Description: LARGE GROUP OF PEOPLE LIVING IN HOUSE -TRUCK LOAD OF MATTRESSES DELIVERED TO HOUSE -SEVERAL RESIDENTS OBSERVED URINATING IN BACK YARD -CALLER HAS LODGED COMPLAINTS IN PAST. Actions Taken/Results: DS WENT TO SAID LOCATION. NO CARS OUT FRONT. DS WENT OUT BACK WHERE HE SAW A GUY. THE GUY DIDN'T SPEAK ANY ENGLISH. HE POINTED AND WENT INSIDE. DS OBSERVED AN OPENED BULKHEAD, WITH DOOR, THAT APPEARED TO BE A FINISHED BASEMENT. THERE WERE TWO VEHICLES IN THE BACK YARD WITHOUT PLATES. THE GUY CAME BACK WITH A LADY, THAT DIDN'T SPEAK ENGLISH, JUST KEPT REPEATING "OH THANK YOU" I TOLD HER I WOULD RETURN WITH THE POLICIA AND THEY WOULD INTERPRET, SHE SAID "OH THANK YOU"A NEIGHBOR ACROSS THE STREET CAME OVER TO SEE IF I NEEDED HELP, AND I LET HIM KNOW WHAT I WAS DOING, HE DIDN'T THINK ANYONE SPOKE ENGLISH THERE. 1 Health Complaints 06-Jul-05 HE SAID A COP LIVES UP THE STREET. THERE ARE A LOT OF PEOPLE UPSET IN THE NEIGHBORHOOD AS IT IS GETTING OUT OF CONTROL. DS RECOMMENDS A BURST TEAM WITH AN INTERPRETER. PHOTOS ON FILE. Investigation Date: 7/5/2005 Investigation Time: 2:30:00 PM 2 + er : q o , -. q _ 440,. ,' + 'f .:� .#i.. '''Y` '.'a'^:'z A•4y�o.,A+ a." --•• 3'•.v ['S 2'�'.�.-...a. s,. '- `"G t,+w; - ~ ,., ti M : -"..ty. ....„'„>- - �.—�y�n +.�� " .. 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