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HomeMy WebLinkAbout0091 RUDDER ROAD - Health 491 Rudder Rd 247-1$3 Hyannis k 0 I I f I i i FEx... a THE COMMONWEALTH OF MASSACHUSETTS BOARD ,_OF HEALTH A ........ ..O F....... ...� ----------- Appliratiun for Disposal Works Tonstrnrtiun Prrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst at• s� •- = .� ......................................... o.-••----�-•----•-•f...y3------ -- -------- - - -- - - --Locate Addres or Lot No. ......... C . c wner Address Installer Address Q Type of Buildit��/ Size Lot.-�d.. -.Sq. feet U Dwelling L—No. of Bedrooms......... .. ....................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building •--------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) G I Other fixtures ...................................................... W Design Flow..................... " ------------gallons per person per day. Total daily flow.............. .....-.--gallons. WSeptic "Tank—Liquid capacity------------gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No..................... Width.......... Total n h.____- ___-_ &al leaching area......__.._..__-.__.sq. ft. Seepage Pit No..__ _ Diameter-- `Dei blow m e' _ .... tal leachin area.................s ft. 1 P g" q 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil----••----••.........4.. --------------------------------------------------------- w •-••-•----••-•---••------------•----•-•----•----•--••-•--- --•----•----•--•--.....---•---•••••}.... ...7. ---... UNature 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— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been Issued by the board of health. gI7� �..... .:.. Date Application Approved By.__c_ �(r_'/-_.-6,...,,1y��,r� G 1�1 ... Date Application Disapproved for the following reasons:................................• .------•--.-.-•---._.._...--.--------------.----------.--•--•--•-----••_--.-- --•----------••-•------••-------•-----•--•-•---•--•-•••---•......._..•-•••-•---•---•---•---•-•-•••-•-•---•--•----•••-•-•-••-•-•-------------•-----•-----•---...-•-•-•...•--•-•••-•-----•••-------_.----- Date PermitNo--------------------------------------------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH,- Cnlerttfirtttr of Tuntltttnrr -- �/7 / IS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by---- - --------------------- --------------------------------------------------------------------------------------- "...... Install at. ------ hasFeeinstalled in accordance with the provisions of Article of Th Sta e Sanitary Code asAescribe4 in the application for Disposal Works Construction Permit No...............4. _____ _______.._ dated-------- �..!�/_ 7 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UED AS A GUARANTEE THAT THE SYSTEM71. LF NCTIO SATISFACTORY. DATE---•- !Z ........................... Inspector--- - -•------•-•-••------ . ....... ............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD �F HEALTH , - A ..... .q�t rZ w�..........._..�F..C.. �. ................... �...,` No......................... FEE-,,,Z-•._ -..... Dingus 1 Works nstrurtiun Prrutit Permission is ereby granted.... . . ......... ... ._-4 ._.-................. . to Construc ,( or ,epair ( ) arr,Indiv�ltdti ewage I4isppsal System ! 'r •4.6_0II e Street I ;? 4, w as shown on the application for Disposal Works Construction Pe rid No.._._ __..._ D d.----1 _.... ,/_n�..:.1,,,;.... vB6"ard f ea th DATE---- < FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL 0 ......� ............OF..... ---------------------- -- \V Appliration for Disposal Marko Towilrnrtiun Vrrufit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: A• ;L, 1_0 l - .............. -•---•----•.............••-•••-••...-- LgQation-Address Lot No. .................................. _.._...... . ...-••---.. ---•----._............._._..._......----•-..... Owner A dress ..... ----•-•-•--...•-•-_.... • --•--._..----•••••--•----•----•-•............................................ ............. --•--••.._......•----...--- ---•••-----•---•-•..............-••--•............•-- Installer Address d Type of Building Size Lot....1_4,PA......_..Sq. feet Dwelling—No. of Bedrooms________ _______________________________Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building a 4,4=4 No. of ersoiis............................ Showers — Cafeteria d . / �fz.. a�'�6 s Other fixtures --- --------------------------------------------------- --------------------------------------------------------------------------•-------------- W Design Flow...................: ..............gallons per person per day. Total daily flow...............D----� ...:'-.gallons. W Septic Tank—Liquid capacity4t&--id---gallons Length----------_..... Width----.----- ----- Diameter---------------- Depth-------------- x Disposal Trench—No_ ____________________ Width___. . _ tal nth _._ otal leaching area--------------------sq. ft. Seepage Pit No..__./-_--_-__•__•• Diameter__ .............. Depth Blow inlet.................... Total leaching area_✓!re__f�_--sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY-------------------....................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.-.-_-.._--__-_-__----_ f� Test Pit No. 2................minutes per inch Depth of Test Pit-____-_-.-.___ ..__ Depth to ground water........................ •. - ---- ---- ------------------------ -- Description of Soil ---------------------------------------------- W UNature 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— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be . sued by the board&ofalth. �---------Si d�......... •.-•---•-•••-•.. ------- ---- 1Da e Application Approved By... - / ---------------------------------------- Date Application Disapproved for the following reasons-................................7-_------------...................................................... ..-•--•-•-•-••-------•••-••••-•-•----•--•--•-•-----•---•---•-•-•••--•----••-••••---•-....•••••••----•--•-----••-----•---•••-•-----•-•-•--•----•---------------•-•--•-•-----------••-•••---------•••-•••- _ Date Permit No.........ly` s s Issued. l 1 Dat NAME OF OFFENDER C.�,�,`L,,_.� /(` N yy✓ BAR 78763 TOWN OF ADDRESS OF OFFENDER BARNSTABLE CITY,STATE,ZIP CODE pf 1HE►qT, MVIMB REGISTRATION NUMBER �- � OFFENSE ' HAH\V7'AHLE, l iMASS. `eg' FAn :`.^$... 'I'}"._�,.r� i' f. i+.,K.t1 T" is}�. ✓�t"�'°'\��+`'- +G..._. d � � O •lED NUS� �. ,ti .mot c t ..+.� J ' -.Si,.a,,. 1.,�(.7�^,yry'+.., tf 1 ��fbt�v'(aw✓,.,'� t� "L�� �3 '1'. � ,� �'� W TIME AND DATE OF VIOLATION ¢ „ LOCATION OF VIOLATI0 2E NOTICE OF J " �;► (A.M.i . .)ON b��,e�'i �'; ,20 M� "' SIGNATURE OF ENFORCING PERSON /} ., (" ENFORCING DEPT. BADGE NO. W VIOLATION .��. i N. OF TOWN . - o I H�BY AC, OWLEDGE RECEIPT OF CITATION X a ORDINANCE © Unable to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S � J Date mailed F w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION 1 You ma elect to a the above fine,either b appearing in person between 8:30 A.M.and 4:00 P.M.,Mondaythrough Friday,legal holidays excepted, Q ` before:The Barnstable Clerk,200 Main Street,Hyannis,MA 0201,or by mailing a check,money order or posta note to Barnsable Clerk,P.O.Box 430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter'in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature TOWN OF BARNSTABLE BAR_W 0 3165 Ordinance or Regulation WARNING NOTICE .. , Name of Offender/Manager Ft2� Address of Offender MV/MB Reg.; ,, , . Y Village/State/Zip ( o;--60 I - r � Business Name N I• "a/pm, oni3— 201-4 .Business Address Signaturd4of Enforcing Officer Village/State/Zip Location of Offense Enforcing Dept/Division Offense �G'�'"`" Facts O�U ` M 'This will serve only as a warning. At%jthis time no legal action has been taken. It is the goal of Town agencies. to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W 3169 ` Ordinance or Regulations WARNING NOTICE .* S1 Name of Offender/Managers �r" � y Address of Offender oil MV/MB Reg.# Village/State/Zip ! A � r Business- Na-me tv A— A /pm; on, 3' "` 20 7� Business Address AM—+ � ��� 2 Signature4of Enforcing Officer Village/State/Zip Location of Offense Enforcing Dept/Division Offense,} t f Facts `x7 t ' -�+�^ - A)d A This will serve only as a warning. At\lthis time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W ' Ordinance or Regulation " WARNING NOTICE • ;;t �" Address of Offender MV/MB Reg.# f Village/State/Zip fit:? t Business Name Al � q• O ,/D/pm, on 3 4o� 20 Business Address Signature�.of Enforcing- Officer Village/State/Zip Location of Offense 1� ? Enforcing Dept/Division Offense Facts This Will serve only as a warning. AtAthlis time no legal action has been taken. It is the goal of Town agencies to lachieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PRO G. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. r oFTHE r Town of Barnstable Regulatory Services * BARNSfABLE, 9 MASS. i639. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601, Office: 508-862-4644 Fax: 508-790-6304 Date: June 6, 2017 Bar(s): 78763 Name of Offender: Chris Aldert Date(s) of Violation: March 13, 2017 Violation(s): Town of Barnstable Board Code § 54-4. To: Magistrates of Courts of Barnstable District Court. To whom it may concern: As of July 6, 2017.said offender is currently in compliance with Town of Barnstable Codes § 54-4. As a result the Town of Barnstable would like to dismiss above violations (bar#78763). Rqe11SubTB. O'Connell, RS Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 �sM r Town of Barnstable 11 ♦- WWSTABLE, Regulatory Services 9Qj 1639. `0� Ar�oµa�A Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 2.1, 2017 Janet Aldert 91 Rudder Road Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS, NUISANCE CONTROL REGULATION NO. 1 The property occupied by you located at 91'Rudder Road Hyannis, MA was visited on February 17 and 21, 2017 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following.violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building.and Premises Maintenance were observed: §54-3 Outdoor Storage These items consisted of but not limited to: kayak, lawnmower, trash barrel, ect. 454-5 Storage and Removal of Rubbish, Garbage and Refuse Numerous loose bags of garbage observed on.property; car batteries, tools, broken g g boards; car parts, gas cans, tree limbs and trash. You are directed to correct the violations within fifteen (15) days of receipt of this order letter by either removing said items from property our screening items from public view. 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 mas A. c.ean,R.S. Director of Public Health Town of Barnstable oF'"E'�wti Town of Barnstable. Y U.S.POSTAGE��PirNevaowes Public Health Division +rtyyR' + ���`;GO ' BAB"STAB"' ` 200 Main Street. r —MASS. ^y �arf679�"0� ;1 .. 22 _ '.. � r :� ZIP 02601 () Hyannis,MA 02601 $ 000.46 00003.36455 FE& 22. 201.7. cam; 5- l3- 7 5 net Aldert 91 Rudder Road , Hyannis, MA 02601 _ FO.Ft..WAR D TT ME EXP.,, R.T3U,. 'T1�.' S ►t9 .. 1 4614 HAVERFORD PL APT 1 � . �. . -•.., v v' TO ..Sr ai n.E c1 a . � llj I,iei I1toIll Jill 1I1e 1fl�1 1I I'll il9 Il,Ill da'111l11 1 Iii11.1 �'iF4E 1p,- Town of Barnstable MAn Regulatory Services Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 21, 2017 Janet Aldert 91 Rudder Road Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS, NUISANCE CONTROL REGULATION NO. 1 The property occupied by you located at 91 Rudder Road Hyannis, MA was visited on February 17 and 21, 2017 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building and Premises Maintenance were observed: 04-3 Outdoor Storage These items consisted of but not limited to: kayak, lawnmower, trash barrel, ect. 04-5 Storage and Removal of Rubbish, Garbage and Refuse Numerous loose bags of garbage observed on property; car batteries, tools, broken boards; car parts, gas cans, tree limbs and trash. You are directed to correct the violations within fifteen (15) days of receipt of this order letter by either removing said items from property our screening items from public view. 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 mas A. cKean, R.S. Director of Public Health Town of Barnstable U.S.POSTAGE>>PITNEY BOWES oF'"E rower Town of Barnstable Public Health Division BARNSTABI.E.-__ MASS. 200 Main Street : ZIP 02601 $ 006.560 ' � i679. 0�' � r• { 02 40 q � FD MPY Hyannis,MA 026�1 i 1 r•� 0000336455FEB. 22. 201.7. lilt _7015 1730 0001 4990 1192 Janet Aldert j 91 Rudder Road i � Hyannis, MA 02601 FORWARD TIME E®XP yRTN TO SEND ` A L gar K i p� . Sil;E T S III 461.4 HAVCRi iVRD '?L r'? l i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ONDELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse_ ❑Addressee i so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery I ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes i If YES,enter delivery address below: 0 No I I •:Janet Aldert j 'Rudder Road 3. Se ice Type w Hyannis, MA 02601 t Certified Mail® 0 Priority Mail Express- � ❑Registered O Return Receipt for Merchandise 0 Insured Mail ❑Collect on Delivery, 4. Restricted Delivery?(Extra Fee) ❑Yes I \ 2. Article Number \ i (transfer from service babe 7 15 1?3 0001 4990 1192 ' 1 1 ' V PS Forin.3811,July 2013' ` ' ' ` ` Domestic Return Receipt • ���ram, Town of Barnstable $"RMAS& Regulatory Services 1639• pfp ,�a Public Health Division Thomas McKean, Director , 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 21, 2017 Janet Aldert 91 Rudder Road Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS,NUISANCE CONTROL REGULATION NO. 1 The property occupied by you located at 91 Rudder Road Hyannis, MA was visited on February 17 and 21, 2017 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building and Premises Maintenance were observed: §54-3 Outdoor Storage These items consisted of but not limited to: kayak, lawnmower,trash barrel, ect. §54-5 Storage and.Removal of Rubbish, Garbage and Refuse Numerous loose bags of garbage observed on.property; car batteries, tools, broken boards; car parts, gas cans, tree limbs and trash. You are directed to correct the violations within fifteen (15) days of receipt of this order letter by either removing said items from property our screening items from public view. 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 ma A. cKean, R.S. Director of Public Health Town of Barnstable Citizen Web Request Page 1 of 3 lit y' * - e (. BZZ'T'Nt4LE. ` Citizen Request Management Thursday, February 162017 TOWN\OWN\oconnnnelt Route to Users Search Requests Create Requests hlDl 4 Request Information J Request ID: 58337 Created: 2/16/2017 8:16:00 AM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office Anonymous: Yes Request Category: Chapter 54-5 : Rubbish and Garbage edit Routine work: No Estimate: NO edit Date scheduled: edit Estimated 3/2/2017 Change Estimated Feb March 2017 Air Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 26 27 28 1 2 3 4 5 6 7 8 9 10 11 ( 12 13 14 15 16 17 18 `' 19 20 21 22 23 24 25 26 27 28 29 30 ,311 1 2 3 4 5 1 6 1 71 8 Created By: Sousa,Vanessa Priority: Medium edit Health Office Citation Numbers: edit Requestor Information Requestor Request DETAILS: LOCATION: 71 RUDDER ROAD Hyannis, Ma 02601 Request Parcel Map: �0�0'-0-`'-`-'� Block: 000 Lot: 000 Junk car Number -� —) - - - " in rear yard/front Parcel Lookup yard and driveway a Email: real mess- junk and trash spread1 �- around.This address is incorrect, Health http://issgl2/intemalwrs/WRequest.aspx?ID=58337 2/16/2017 TOWN OF BARNSTABLE i LOCATION �� ���`�/ SEWAGE # Af I VILLAGE hAwn,J D ASSESSOR'S Mpp LOTS �!d Lam See &v C,rn , INSTALLER'S NAME do PHONE NO. `779— a L SEPTIC TANK CAPACITY l b 6 LEACHING FACILITY: (type) fcl kG�'c lS 3 D k` x�- (size) NO.OF BEDROOMS .3 QQ BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: r—'2 �g Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i off. 6� �� � s � a -,'C' � - � � - � �. FeeL� C�(1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Migpo5at bpgtem COngtruction permit Application is hereby made for a Permit to Construct( )or Repair( Lo�at�On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.�No. TO lq,t C Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. J 4 Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow �� gallons per day. Calculated daily flow `3 gallons. Plan Date Number of sheets Revision Date Title Description of Soil l/li1 5 "`�� Nature of Repairs or Alterations(Ans er when applicable) a-i-fti 5_'V AA rU"Q o'r w D 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 n ,to place the system in operation until a Certifi- cate of Compliance has been issu + Signed Date Application Approved by Application Disapproved for the following reasons Permit No. Date Issued ...- - ••O ..°.-..y..+.. .� „."...rrr..r-.t..€.'.4..°.-. �- -..:.. ..-s+ .t,r! .. ... ... .. ..+.. -� �'. L -'y.w. r-x�... �-,+v. ,. . '.iF`t_.,r.S. Feeu� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTA BLE, MASSACHUSETTS 01pplication for Oigogal *p5telu Con$truction Permit Application is hereby made for a Permit to Construct( )or Repair(�On-site Sewage Disposal System at: Location Address or Lot No. = Owner's Name,Address and Tel.No. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: i Dwelling No.of Bedrooms r. 'Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( )' Other Fixtures,-�-�" Design Flow a11on per day. Calculated daily flow `373 gallons. Plan Date ` Number of sheets Revision Date Title Description of Soil z'-Q S ✓-1`'` ° Nature of Repairs or Alterations(Ans er when applicable) r^ +` \ - 7 ICJ 0 �t-ev�L�-e S to 4j�4d_ >,— 1000 S e/�j► ✓� 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 no to place the system in operation until a Certifi- cate of Compliance has been issu d He r Signed `• E Date Application Approved.by / V f Application Disapproved for the following,reasons . � w Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS r Certificate of Compliance - q THIS IS TO CE .FY, at the O - ' e Sew1wage Disposal System installed( )or repaired/replaced(--)--on � . _ / ` %1 by �.- b �-k..5 for S as has been constructed in acc rdance with the provisions of Title 5 and the for Disposal System Construction Permit No. ated � Use of this system is conditioned on compliance with the provisions se,,kiTh below:,/' �^ No. � � �� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS offal "Cem t ngtruction hermit Permission is hereby granted to 0 ✓ r_', to construct( )repair( an On-site Sewage System located at J 72 -a ti I'--.-f S ac � 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. All construction must be com�Ieted within two years of the date below.- 9 % Date: �� Approved hyf�r✓�' t�,----�1' CEItTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL NV01W CONS'i'llUGHON I'EItM1'l' (1V1'I'IIOU'I'DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated -7� , concerning the property located at /L � e> �� �7 �'^-�� meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There arc no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED DATE: -Z6 y LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER IAttach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. .,- _. _ ;� c o t� _..._—_. 3 d Health Complaints 09-Feb-01 Time: Date: Complaint Number: 2691 Referred To: Korin Scheible Taken By: BARBARA SULLIVAN Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Number: 91 Street: Rudder Road Village: HYANNIS Assessors Map_Parcel: Complaint Description: Oil baskets in yard filled with oil at both sides of the house. When it rains it spill over and this bordering on the watershed. Actions Taken/Results: Upon arrival, I noticed many oil containers and a pan that was being used to collect used motor oil as it drained from the car. This pan had a funnel shaped top that directed the oil into the pan below. This top was plugged With a stopper so the rain water was not overflowing the oil. I asked Mr. Chris Aldert, the son of the owner of the home, to dispose of the oil and empty oil quarts within 24 hours. He claimed that the oil was still on site because he did not know where to get rid of them. I told him to take the oil to the town dump or to return it to the place it was purchased. Investigation Date: 2/9/1901 Investigation Time: 11:40:00 PM i • 1 q- - 6 E - - - - - - - -- - -- ----- - -- - -- - - -- --- - i II � t } I � � 11 � � f � � � � � � tJ � � � � � � I � � t I y �i t ; ti � , } � � � � � � � � � � i � � i � � � � � � i t � i � � � f � }} yy tt� t + } I � � �~ r � � I q � � � � 4 t + � � i � � f i � � � � { � 4 I 4 � { � � I 1 � i � i �� � t q � � � j I � � q t t i I � � i ! 1 q � � � } I I fY I � � I i � I �` } � � I 1 � # i l � � 1 t � i + � a � ' . ` �+` � � � I � I � � . . � € � � I ` �� � � M _ �- - � # � i q �� � } J I � S � � � � ,,_. 'ti f � � I � � # � i ft j i � � � 1 I � � 4 { i j � ' i � � I � � f � I � I 1 � � � , � 1 � 1 � � � f TOWN OF BARNSTABLE T LOCATION �l SEWAGE# V VILLAGE, . ASSESSOR'S MAP & LOT ME INSTALLER'S NA &PHONE NO.`TJ r//G �• SEPTIC TANK CAPACITY- J�g� LEACHING FACILTFY: (type) Jl (size) NO.OF BEDROOMS ;! BUILDER OR OWNER PERMFFDATE: COMPLIANCE'DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) V Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 1 Till \ cc �/ \ i - - _ _ 5^ � �' �� S 1 ���.'`� � _ '� -)ra DATE: PROPERTY ADDRESS: ..91 Rudder Road RECEIVED i West Hyannisport, APR ? 5 1996 .Mass ; - HEALTH DEPT TOWN OF BARNSTAP On the above date, I inspected the septic system at the above address.. This system consists of the' following: 1 . 1-1o00 gallon septic tank. 2. 1-6•!x8i block cesspool... . • :,N5SCSSORSNIAPI� Based on my Insction, I certify the following conditions: PARCEL NO: :`e I 1 . Thia i.s a-title five septic.. sys:t-e!m=.;, .( 78 Code. 2. The i'septic.. system was .filled to capacity. 34 Pum ea+'�ank & cesspool. 4. The septic system is in failure. " '5 . The, septic system. must be. upgVaded. + �. I SIGNATURE: ' Name:_J_P.Rac'omber Jr._ -►— Company: J•P_Macoi4ber— &—Son- 'Inc . , r i j A d d r e s s:_$e�c-bb------:1---,-- Cent_ervill.e .Mas-s__0.2632, ` Phone: _SQ8. 7.5..3338------ THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY I i JOSEPH P. MACOMBER & SON,. INC. Tanks-Csupools-Leechflelds Pumped & Installed Town Sewer Connectlons P.O. Box 66' Centerville, MA 02632-0066 i 77.5.3338 7754412 U Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection William F.Weld Trudy Cox* Governor 8_r9(&q A gooGom Paul Celluccl David B.Strube * Corrvnl+alorwr ee SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Addrosa: Donna Thomas Address of Owner. Date of Inspect;on: 4/12/96 (If different) Nameoflnspector. Joseph P. Macomber Jr. Company Ns-ne,Address and Telephone Number. J.P.Macomber & Son Inc. Box 66 Centervil2e,Mass . 02632 CERTIFICATION STATEMENT 508-775-3338 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 Parses u �Needs Further Evaluation By the Local Approving Authority � ill' ti�� Inspector's Stgnatura: Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design Dow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional oMce of the Department of Environmental Protection. The original should be sent to the system owner and copier sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: AJ SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. El SYSTEM CONDITIONALLY PASSES: AlOne or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair,parses inspection. Indicate yes, no, or not determined(Y, N,or ND). Describe basis of determination in all instanom. If"not determined",explain.why not) The septic tank Is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration,-or tank failure is imminent. The system will parr inspection if the existing septic tank is replaced with a conforming septic tank as approved j by the Board of Health. (revised 11/03/95) 1 One Winter Street a Boston, Massachusetts 02108 a FAX(617) 556-1049 a Telephone (617)292-5500 �� Printed on R"kd Paper • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(oontinuod) Property Address: Donna Thomas Owner. 91 Rudder Road West Hyannisport,Mass. Date of Lupeotiow 4/1 2/96 BI SYSTEM CONDITIONALLY PASSES(continued) A'O&e— Sewage backup or breakout or hjb static water level observed in the distribution boat is due to broken or obstructed pips(s) or due to a broken,settlod or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed distribution boai is levelled or replaced 1�1 The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipes)are replaced obstruction is removed Cl FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: ` AJQ Conditions exist which require further evaluation by the Board of Health in order to determine it the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS•NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 60 foot of a surface water Cesspool or privy is.within 60 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: �Q The system has a septic taak•and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. AO The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The cysts=has a septic tank and soil absorption system and is within 60 foot of a private water supply well. / 0 The system has a septic tank and soil absorption system and is less than 100 feet but 60 feet or more from a private water NPPli'well,unless a well water analysis for ooliform 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 6 ppm. 3) OTHER (revised 11/03/95) S SUBSURFACE SEWAQE.DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(oontinuod) ProNrtyAddress: 91 Rudder Road West Hyannisport,Mass . owner. Donna Thomas • Date of Impootlon:4/12/96 • DI SYSTEM FAILS: • I have determined that the system violates on•or more of the following failure criteria as darned 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 na essaq to correct the failure"',, Backup of sewage into facility or system component dus to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the tround or surface waters due to an overloaded or clogged SAS or cesspool. 4W 60J(• Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool it less than 6"below invert or available volume is less than U2 day flow. Q1D Required pumping more than 4,tunes 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. d/D Any portion of a cesspool or privy is within a Zone I of a public well. Azy portion of a cesspool or privy is within 60 feet of a private water supply well. yQ Arty portion of a cesspool or privy is less than 100 feet but greater than 60 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: ,), The system servos a facility with a derign flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions.exist: L,9 the system Is within 400 feet of a surface drinking water supply Q� the rystem is within 200 foot of a tributary to a surface drinking water supply the rystem is located in a nitrogen sensitive area(Interim Wellhead Protection Area(IWPA)or a mapped Zone 11 of a public water supply well) The owner or operator of any such system sha.l bring the system and facility into hill compliance with the VVUndwater tMattaent propnm requirements of 314 CMR 5.00 and 6.00. Ploa:e consult the local regional office of the Department for Auther information.• (revised 11/03/95) 3 SUBSURFACE SEWAGE DISP09AL SYSTEM INSPECTION FORM PART B CHECKLIST e Property Address: 91 Rudder Road .West Hyanni sport,Mass. owner. Donna Thomas ° Data of Inspeotlon:4/12/96 • Chock if the following have been done: ,Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at lout two weeks and the system has boon receiving normal flow rates during that period. Large volumes of water have not boen introduced into the system recently or as part of this inspoction. 4ti built plans have been obtrined and examined. Note if they are not available with N/A. , The facility or dwelling wss inspected for signs of sewage back-up.. , The system does not receive non-sanitary or industrial waste flow ZThe site was inspected for signs of broakout. ZAU system components, �cluding 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. ZTh,s size and location of the Soil Absorption System on the site has been determined bawd on ccisting information or approximated by non-intruslve methods. , The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11/03/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 91 Rudder Road West Hyanni sport,Mass . Owner. Donna Thomas Date of Inspection:4/12/96. FLOW CONDITIONS RESIDENTIAL• )� + Design flow:eons jow v � • Number of bedrooms: Number of current reaidents442 Garbage grinder(yes.pr no):A—)b Laundry connected to system(yes or no)• Pam✓ Seasonal use(yes or no):.V6 Water mete 0 available• ,C— Last date of occupancy. COMMERCIALIINDUSTRI .1- Type of establishment: Design flow:/gallons/day Grease trap present: (yes or no)&B Industrial Waste Holding Tank present: (yes or uo)- Non•sanitary waste discharged to the Title 5 rystem: (yes or no)_&A Water meter readings, if available: A) - Last date of occ:upanry:-A2-17— OTHER: (Describe) Last date of occupancy: AVIY GENERAL INFORMATION PUMPING RECORDS and source of information: J % System pumped as part of inspection: (yes or no) , :i If yes,volume pumped: hoe ons Reason for pumping I d TYPE 9F SYSTEM Septic tank/dicbs��il abecrption system single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes, attach previous inspection records, if any) Other(explain) APPROXIMATE AGE of all components,date installed(if known)and source of information: Sewage odors detected when arriving at the site: (yes or no) (revised 11/03/95) 5 b . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) Property Adares 91 Rudder Road West Hyannisport,Mass . Owner. Donna Thomas Date of Inspection: 4/12/9 6 s • SEPTIQ TANK: 000 9,4J (locate on site plan) Depth below grade:,(ZCo=1Vt9 Material of construction _metal_FRF other explain) Dimensions•' � e Qj � r • Sludge depth: Distance from top of sludge to bottom of outlet tee or bAT9:Q— scum thickaesa:—O _ Distance from top of scum to top of outlet tee or baflle:,Y,�_ Distance from bottom of scum to bottom of outlet tee of baffle. Comments: (reoommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.)' The septic tank is- structurally sound and shows no signs of leakage. GREASE TRAP: (locate on site plan) Depth below grade:, Material of constructfo • i concrete_metal_FRP._other(explain) AW Dimensions: 04 scum thickness: ��.p Distance from top of scum to top of outlet tee or baMq: Distance from bottom of scum to bottom of outlet tee Vr bafIIej1#„ Comments: (recommendation for pumping,condition of inlet and qutlet tees or bafnes,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) N e Go vV1 yYl f?xT1'S. ,_„� �J (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) PtopertyAddress: 91 Rudder Road West Hyanni sport,Mass . Owner. Donna Thomas Date of Inspection:4/12/9 6 TIGHT OR HOLDING TANY-AbV(✓ ` (locate on site place) e Depth below grads: Material of construction:AAooncreto=natal FRP_other(e:p]ain) Dimensions'. Capacity: ns Design flow: Ilgallons/day Alarm level: Comments: (Condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BO&Ah"Ne- (locate on site plan) Depth of liquid level above outlet invert: Comments: (fie if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,eta) �.- must be installed liben the SygJayn is upgra e . PUMP CHAMBER 7� (locate on site plan) Pumps in working order:(yes or no)—d214- Comments: . (note oo n of pump chamber,condition cf pumps and appurtenances,etc.) (revised li/03/95) 7 V SUBSURFACE SEWAGE DI SPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) PropertyAdds•em 91 Rudder Road West •Hyannisport,Mass . Owner. Donna Thomas Date of Inspection: 4/1 2/9 6 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,if passible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: e Type: leachtag pits,number,Q- leachirg chambers,number: leaching galleries,number. leaching trenches,nunber,length: leaching fields,number,dimensions: overflow cesspool,number: Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetationAtc.) No Comments CESSPOOLS:Z (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: U)4-7.4' 6VKV /A/u�i^j' Depth of solids layer.L7 Depth of scum layer. Dimensions of cesspool: Materials of construction• e. Indication of groundwater:_4-hAlL n inflow(cesspool must be pumped as part of inspection) Loamy' sand to medium sand & gravel; Comments:(note condition of soil,s' of hydraulic failure,level of ponding,condition of vegetation, No signs of hydrau�lic failure ,No level of ponding, A � vegetation iing nnrral Water was over the inlet invert of the cesspool. PRIVY:AJe (locate on site plan) Materials of construction: AIA Dimensions: )Ur9 Depth of solids:,,-A)4 Comment;](note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) IV4 SUP C6MA AA@.A-r—k, (revised 11/03/95)- 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) Property Address: 91 Rudder Road West Hyannisport,Mass . Owner. Donna THomas Date of Inspeotion:4/1 2/9 6 SKETCH OF SEWAGE DISPOSAL SYSTEM: • , Inch,,'e ties to at least two permanent references landmarks or benchmarks locate all wells within 100' Hyannis Water Company 775-0063 a� • ire, h i DEPTH TO GROUNDWATER Depth to vvundwaterl 6'+ feet method of determination or approximation: Installed new across the street No water encountered at 121 Actual water table a (revised 11/03/95) 9 ,,.,%,i�U, or,n„„r, U,Jr 01%L, 7101rM 1110 VP,1.CiUN KUKM -..PART 1) - CERTIFICATION �....�..._r••.-::.__;;....---.r.—:•r.:—:--.--iv...�_._..;_.:.----......... ..--r,.tr�x---r.—r..r--smsr..-1m-�rsrr.-rs r.•-rr�-rt--rrr+rr-r..—rrr r. ;. —..A -TYPE OR PRINT CI.EARLY'- PROPERTY INSPECTED STREET ADDRESS _ 91 Rudder Road West Hyanni sport,Mass . ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAME T)nnns Thnmaa PART' D - CERTIFICATION NAME OF INSPECTOR Joseph.P.Macomber Jr. COMPANY NAME J.P.Macomber & Son Inc. COMPANY ADDRESS Box 66 de_nterville,Mass . 02632 Street Town or City State LIP COMPANY TELEPHONE ( ) FAX ( ) - �._.,�...==,=r� .� KO$._—._275 3338 508 790 1 578 CERTIFICATION STATEMENT I certify that I have ..personally inspected the sewage disposaj system at this address and that the information reported is true , accurate , and complete as of the time of :inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public healLh or Lhe. environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . XXX=XSys tem FAILED* The inspection which I 'have conducted has found that the system fails to protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and 'as specifically noted on PART C - FAILURE CRITERIA of this inspection form . ,r 1 Inspector Signatur - Date 4/12/96 One copy of this certification must be provided to the OWNER, the BUYER ( Where applicable ) and the IIOnnD OF )JEAL7'il. * If --the inspection FAILED, the owner or•1.operator shall upgrade the system within one year of the date of the inspection., unless allowed or required otherwise as provided in 310 CHR 15 . 305 . partd .doc Ln THE COMMONWEALTH OF MASSACIIUSETTS DEPARTMENT OF E ONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title 5 CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection. June 8. 1995 l Acting Director of the Vf on of Water Pollution Control