Loading...
HomeMy WebLinkAbout0118 SCUDDER AVENUE - Health �e a y r A =\289,0 5 ! < � ) , f ( \ a , ` � _ / cqs � . ! { . ; o f ƒ ` ; . . No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es ftpfication for Disposal 6pstem Construction 3dermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(X ❑Complete System ❑Individual Components Location Addressor Lot No. 1 1 g Sd0bPM AV* NY Owner's Name,,Address,and Tel.No. 0 amrjA s .7c;�7F w EgcR Assessor's Map/Parcel q g 9 Q S (IS 5e.0 AYE RVASUIS Installer's Name,Address,and Tel.No. 50JR—41)_Sg 77 Designer's Name,Address,and Tel.No. C�!p�c a s= EN�R,os S Lac 15A COW cU 45�t 1`1 Type of Building: 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) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) A l o k)ezaZc9Je-', 541tc, D&.4c Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued b Y this Boar f Health. P � Si d Date Application Approved by Date Application Disapproved by cr Date for the following reasons Permit No. (3 - 33 Date Issued Z' a No. G /� #' Fee , F A A H ETTS Entered in computer: f THE COMMONWEALTH O M SS C US . , es PUBLIC HEALTH DIVISION - TOWN.OF BARNSTABLE; MASSACHUSETTS , ZippYitation.for Disposal *pstem Constriction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(k ❑Complete System ❑Individual Components e' i Location Address or Lot No. I ($ SCv DDER /4V C— N y Owner's Name,Address,and Tel.No. n 0mAJA Ls lCGF W E3ER Assessor's Map/Parcel a g q e_U , _ t✓ 1 C Installer's Name,Address,and Tel. o. 508_4-j?-8877 Designer's Name,Address,and Tel.No. 1 Type of Building: 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) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title k4.-_ t Size of Septic Tank Type of S.A.S. Description of Soil _ Nature'of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of . 4 Compliance has been issued by this BoardAf Health. r �. . Sign d Date I AyApplication Approved by P DateVV , ' Application Disapproved by Date for the following reasons Permit No. 2� 933 Date Issued t --- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance —� S IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned by at )S7 D A U tj ju has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 013-.),-?-? dated 2 / r Installer -- t p ��( � Designer #bedrooms n//A Approved design-flow gpd The issuance of this permit shallb construld as,a-guarantee that the system will n do a'rs designed. # ( fDate ! Ins ector J Jed!/G��. V J ---------------------- ------------ No. ( , o Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(A) System located at 112 CT u )!&y2 Y4i)0( 3 ' 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. i 'i Provided:Construction /ust be completed within three years of the date of this permit. ,,nn Date I Approved by "ln � AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION J o SEWAGE# VILLA ASSESSOR'S MAP&LOT o "USr / INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ]�— EACHING FACILITY: (ty ) _ ��—�G. C V (size) c56 x/5, X NO,OF BEDROOMS BUILDER OR OWNER ! PERMITDATB: COMPLIANCE DATE: f/ 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 �oFT- . t . http://issgl2/intranet/propdata/prebuilt.aspx?mappar=289045&seq=1 6� �t FORM 30 C&W HOBBS&WARREN'M THE COMMONWEALTH,OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN = w �I.�ra,LZ1-4 W DEPARTMENT ADDR SS Svs ) 36z-y 4 q/-/ TELEPHONE Address l scu Opp /3 VF_ �lyAlaN.s Occupant_ �.v5 o LC��-n'S Floor L Apartment No. — No. of Occupants 1 No.of Habitable Rooms S No.Sleeping Rooms No.dwelling or rooming units No.Stories Z Name and address of owner 4 J C_�� �1 5 C_<,_Dp ea•- ANC• hl i- Remarks Reg. Vio. YARD Out Bld s.: Fences: Garba e and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: KI 0 10 L ATIo� Foundation: Chimney: S(4V A-T 7Ea f TIM BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING V, Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom(1). I'7 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Su as, Oil, Elect.: tars-,flues, nts,Safeties: Kitchen Facilities Sink jib Q Bathing,Toilet Facil Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation V Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted 1 NJ u t Locks on Doors: P Rrt,; ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPEC ION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES O PERJURY ' INSPECTOR A, TITLE DATE TIME 6 U (�// P•M• A.M. THE NEXT SCHEDULED REINSPECTION ' V P.M. f 4 k 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410:251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an.emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. UNITED STATES POSTAL SERVICE, First-Class Mail Postage&Fees,Paid LISPS Perm'it.No.G-10 I I •Sender: Please print your name, address,and'ZIP+4.1 n this box-0 i I Town of Barnstable Health Division 200 Main Street Hyannis,MA 02601 - I I �1}}yy j1 tt jj qqjj tt ii (( { yyyy 't 1l1111-1111111!!lylttliIII-111111I!11111!!!11!i111!!11!!!1!!lti, f1 SENDER: COMPLETE THIS SECT ION COMPLETE THIS SECTION ON DELIVERY ■ 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 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, I or on the front if space permits. I D. Is delivery address drfferent fro Y 1. Article Addressed to: If YES,enter delivery add w: \\ c�C JCS&•a.0 A�ern J t A 3. Service Type w n h S t�� 07 bo I NCertified Mail ❑Express Mail ❑-Registered lK Retum Receipt for Merchandise ❑Insured Mail ❑C.O.D. t 4. Restricted Delivery?(Ezra Fee) ❑Yes I 2. Article Number (ftnsfer f omservlce laW f I 7006 0 810='0 0'0 0'i 3 5 2`9 i9 a5 4 II PS Form 3811,February 2004 Domestic Return Receipt 0259e-02-M-1540 "i Certified Mail#7006 0810 0000 3524 9254 �ofs row Town of Barnstable Regulatory Services + 13AFLYSTABLE. \pc KASS•sbg9• Thomas F. Geiler, Director O ' �� ATF0MA�e� Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 4, 2007 Donna & Jeff Weber _ 118 Scudder Avenue - `® 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 118 Scudder Avenue Hyannis, was inspected on March 27, 2007 by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.503 —Protective Railings and Walls. Second floor balcony lacking guardrails and balusters. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by pulling appropriate building permits and installing a guard rail that is 36" in height and balusters that are no more then 41/2" apart. 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 i comply with an order shall constitute a separate violation. QAOrder letters\Housing violations\Rental ordinance\118 Scudder Avenue.doc iJ 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 P omas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Timothy O'Connell, Health Inspector QAOrder letters\Housing violations\Rental ordinance\118 Scudder Avenue.doc FORM30 F1hW HOBBSB WARREN'M THE COMMONWEALTH OF MASSACHUSETTS BOARD OF�HE�LTH d • CITY/TO _ W a c DEPARTMENT 'ADDRESS TELEPHONE Address g ------- __ Occupant— Floor—N�" Apartmerl No.—N�' _ No. of Occupants_/_✓ No.of Habitable Rooms S No.Sleeping Rooms No.dwelling or rooming units/ff/A- No.Stories_ —, Name and address of owner j- IRemarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: 1� � )��) Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N E ui . Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: 11110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors .Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: - S s,Flues,Ven eties: _ Kitchen Facilities i ve Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY." INSPECTORS TITLE DATE b TIME ' �� M• A.M. THE NEXT SCHEDULED REINSPECTION �� P.M. -4 t. . '�'.,�} ,.y ..^; � a.'t+• _ .,... ,� ""3 r,. «.�!�_�.._ ;:�. �i a.t.�„+�'i+•".wM' #.�:?°..+...„ - _ .K 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the heaith, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or.water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness.which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required-by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. i Y I ` r of f ` • -_-- \ Town of Barnstable "P Public Health Division BARNASSB,e . �°00 200 n et H annisMAe02601 I 7006 0810 0000 3525 3688 _ 00004606238 J U ��� MAILED FROM ZIPCODE 02601 opt 9'`p M1 �Q o �o Q �981 o rpF,�, Hya F e p G�c fro ,yo },� �-0 p SCE _� U .A .�+� flzAtel IA-os —A -f .s�� y -77 SENDER: COMPLETE THIS SECTIONCOMPLETE THIS SECTIONON DELIVERY - ■ Complete items 1,2,and 3.Also complete A Signature ! item 4 if Restricted Delivery is desired.. ❑Agent j X ❑Addressee i ■ Print your name and address on the reverse so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery l ■ Attach this card to the back of the mailpiece,, or on the front if space permits. D. Is delivery address different from item 1?,❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No 1 3. Service Type ❑Certified Mail ❑Express Mall ! inn�S V�1Ft- o ^1 J I for Merchandise / o�t0 I A—BIN istered ❑Return Receipt i ❑Insured Mail ❑C.O.D. \ \ 4. Restricted Delivery?(Extra Fee) ❑Yesat \ / 2. Article Number (liansfer from sendce 1abeq I 7 0 0 6 0 810 0000 3525 3688 , PS Form 3811,February 2004 Domestic Return Receipt tozsss oz-M-tsao f Town of Barnstable aawvs°rn>� r 63 ,0 Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,DMD Junichi Sawayanagi June 15, 2007 Donna & Jeff Weber 118 Scudder Avenue Hyannis, MA 02601 Dear Mr. and Mrs, Weber, During the public meeting held on May 22, 2007, the Board voted to deny your request for a continuance. Also, the Board voted unanimously to uphold the order from the Director of Public Health to correct violations at the property owned by you located at 118 Scudder Avenue Hyannis. Your property was inspected on March 27, 2007 by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violation of the State Sanitary Code were observed: 105 CMR 410.503 — No guardrails or balusters provided at the second floor balcony. You are directed to correct this violation listed above within thirty (30) days of your receipt of this notice by obtaining a building permit, by installing a guard rail that is 36" in height, and by installing balusters that are no more than 4 %" apart. Non-compliance with this order from the Board of Health may result in further legal action. PER ER OF HE BOARD OF HEALTH W yne iller,A.D., airman, BOARD F HEALTH TOWN F BARNSTABLE Cc: Timothy O'Connell, Health Inspector Q:\WPFILES\Weberl 18ScudderAve2007.doc tl Town of Barnstable ASS tt',0 Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,DMD Junicbi Sawayanagi June 15, 2007 Donna& Jeff Weber 118 Scudder Avenue Hyannis, MA 02601 Dear Mr. and Mrs, Weber, During the public meeting held on May 22, 2007, the Board voted to deny your request for a continuance. Also, the Board voted unanimously to uphold the order from the Director of Public Health to correct violations at the property owned by you located at 118 Scudder Avenue Hyannis. Your property was inspected on March 27, 2007 by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violation of the State Sanitary Code were observed: 105 CMR 410.503 — No guardrails or balusters provided at the second floor balcony. You are directed to correct this violation listed above within thirty (30) days of your receipt of this notice by obtaining a building permit,by installing a guard rail that is 36" in height, and by installing balusters that are no more than 4 %" apart. Non-compliance with this order from the Board of Health may result in further legal action. PER ER OF HE BOARD OF HEALTH W yne iller, D., Chairman, BOARD F HEALTH TOWN F BARNSTABLE Cc: Timothy O'Connell, Health Inspector Q:\WPFILES\Weber118ScudderAve2007.doc } j L: L i Certified Mail#7006 0810 0000 3524 9254 �oFIV*Tay Town of Barnstable Regulatory Services � IIARNSTAIILE, ' z y MASS. Thomas F. Geiler,Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 4, 2007 Donna & Jeff Weber 118 Scudder Avenue Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE 11 — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 118 Scudder Avenue Hyannis, was inspected on March 27, 2007 by Timothy O'Connell, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.503 —Protective Railings and Walls. Second floor balcony lacking guardrails and balusters. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by pulling appropriate building permits and installing a guard rail that is 36" in height and balusters that are no more then 4 !/2" apart. 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. QAOrder letters\ Iousing violations\Rental ordinance1118 Scudder Avenue.doc Documentation of Training to be an Authorized Owner/A ent And Intention to Comply with the Order to Correct (lease complete this form and mail it to the code inspector enforcing the case.His or her address is included in the Order to Correct the owner,or I,the (print ownees name) owner's agent (fill in one), (print agent's name) do attest to the fact that I have complied with the owner/agent deleading training prerequisites of 105 CMR 460.000,the Lead Poisoning Prevention Regulations,and passed an exam to qualify for and perform specific abatement and containment work.I further attest to the fact that I will complete the abatement and containment work that I will perform in compliance with 105 CMR 460.000,the Lead Poisoning Prevention Regulations,and within the deailines stipulated in the Order to-Correct Violation(s). Finally'l-atudihatl_will not exceedthe..=.pe of my Llow-risk authorl_zalioa../. crate Ask authorization (circle appropriate level of idhonzstionj. Signature of Owner or Agent dS''I 6 D Authorization Number (Address of unit where work will be perform ' Name of Code Enforcement Lead Inspector. bO n n.&, l'1 u an c� Q f c+S pi.�3 k.�.,, y" ! o v..�5-� a� h i.S n u,r�_br 15 2!?Doeumeotadoa to r[bra tnlalog all dmollon dogs•o ldk&ead.doe rov.1100 4— 0 /o Ddre??? Pe s "! it f Z0 'd 98LL 1LL809 AD0I0HIVd 'H.'0 '0 Wd 6121 AHI 90H-LZ-NW Lead Paint Inspections Fred Hemmita DPH License#12736 16 Quaker Road East Sandwich, MA 02537 Telephone (508) 888-8378 FAX (508) 888-8378 Toll Free—Massachusetts only 800-286-8378 Email: leadpaint@fredhemmila.com LETTER OF FULL DELEADING COMPLIANCE DATE: ►�R� 14V 1 A)1V b HA- 0 0 r t Dear CO Gc This letter is to certify that I re-inspected your property located at apartment no. , and relevant common areas, in the City or Town of for full deleading compliance on _JL' O , and on that date those surfaces cited in the initial inspection report of I 'U) � were found to be in full compliance with Massachusetts General Laws, Chapter 111, Section 197, and 105 CMR 460.000: Regulations for Lead Poisoning Prevention and Control. Dust samples were taken and found to be within acceptable limits. Massachusetts law does not require the abatement or containment of all residential lead paint. The residential premises or dwelling unit and relevant common areas shall remain in compliance only as long as there continues to be no peeling, chipping o� flaking lead paint or other accessible leaded materials, as long as coverings and/or encapsulants forming an effective barrier over such paint or other leaded materials remain in place, and as long as surfaces reversed to correct lead hazards remain reversed and securely in place. The law grants you a 30-day maintenance period to repair deteriorated lead paint or detached coverings over such paint, and to clean up,during which time this Letter remains valid. The reverse side of this letter indicates the authorized person(s)who performed deleading on the property and a general summary of the methods used. A complete reinspection report is attached to this letter, which specifies how and on what date each surface was brought into compliance. Do not lose these documents. To the best of my knowledge, the cost of the legally required deleading is $ Sin e--�ely, t spector I2736 DPH License Number Drier???Letter of Fall nrleodino i/nn ` � R itractor Lice>#:Dods: Scraping Demolition g Caustics Teat gun Replacement Liquid encapsulation Other in the following rooms: on the following typ components: r Finish Date: / / Cost: $ rator: — Lic#: >wner/agent: •VOtiitl/fi,r�, f- >r=�L- Auth. gods: Replacement r' aking intact (interior) aking intact (exterior) Covering `I iquid encapsulat in the following rooms: on the following types of components: {i,-p/{!/� at,P '> Finish Date:,3 /3 /GO_Cost: ——_ (Doesn't Include Owner's Laboi /agent: Authorization #: Ms. Covering; Liquid encaps ion ieboards Replacement(ONLY doors,cabinet d rs,shutters shelves, not affixed,drawers,windows on in the following rooms: on the follow' types of components: Finish Date:_/—/_ Cost: $ (Doesn't Include Owner's I ill Deleadino Cmmnlianrr .f Lead Inspection / Risk Assessment Report LEA I) PAINT INSPECTIONS BY FRED 111;1 N1ILA Page I Of Method Used: Lead Inspectot/Rink Assessor Lic.1112736 ❑Na2S Exp.Date 16 Qunker Road, East Sandwich, NIA 02537 ®X•Ray Fluorescence Telephone(508)888-8378 Model KMD Serial#rtFA St.# Address Apt. ❑ooU �a o�o��❑®a ®©a❑❑❑❑❑❑❑ ❑❑❑® City Zip Code oU ®W-1❑o❑❑❑❑❑❑❑❑❑❑ o2aaa Owner Name: lib� L. to E-8Oz- Single Family _ Owner Address: U' S cd 00 tom- AUCWO& Multi Family l / L5 , tlA- #Units Z Client Name (if different from owner): Condominium _ Client Address: Day Care _ Key: Inspection Deleadig other Comprehensive Inspection(Y/N) AIM AccessiblelMouthable CAP Capped CAP Capped Gov Covered Cov Covered DIP Dipped Comments: INT Intact ENC Encapsulated L Loose MI Made Intact &j r V 1 o L/f V 6 Al Mll Moveable/Impacted PRE Prepared A MET Metal REM Removed �( ��lT Z� �/L�o,�l�'1�� NA Not Accessible REP Replaced _7lG0A,i D NC No Coating REV Reversed NEG Negative SCR Scraped PCs Positive VR Vinyl Replacement VR Vinyl Replacement A of# C Floor# C 2 .........i......... ...... ....................................?...... .......................... ...... .........i................ ..... ....... ....... ....... . i .................. ................'.................. . ...... ..................!...... ................... ...... ... 11 1 . B SI ; D B ........ ... 1 L D ..........;.......:.........:..... ....-............................................... ... .. .. 1 ... .. ... .... ... .. ................... ... ... ... ... .. ... .. .. ... .... .. .. ° ... ... .. ........ ... ... .. ... ... ... ... ...... ...:... ...; _ :.......:........:.........:.................. K ................. ..... .... .. .. ... ... ... .. A(Street Side) A(Street Side) Pb(lead)equal to or greater than 1.0 mg/ctn' with x-ray fluorescence or positive with Na,S is Dangerous. Lead INSP. GATE RyorN) Hazards? Q ( Q 0 l5 [tedc riC J. 1 lernmlla a - Z/�4- 127:16 � Inspector (print) r ature Lic.# R.A. DATE Urgent Lead Hazards? IYorN) Risk Assessor(I)rint) Signature Lic.# 118 Scudder Lane, Hyannis 02601 January 4, 2005 LEAD INSPECTION/RISK ASSESSMENT HISTORY PAGE Page of 118 Scudder Lane, Hyannis 02601 Props January 4, 2005 y Zip INSPECTION ACTIVITY KEY EXAMPLE BOX 1.Re-Inspection S.Full Deleading Compliance 15.Maintained Interim Control 2.Re-Occupancy Re-Inspection 9.Post Compliance Assessment Determination 16.Restored Interim Control 1 Inspection Activity Number 3.Work In Progress 10.Maintained Compliance 4.Dust Taken 11.Restored Compliance p pass or Fail P=Pass 5.Dust Received 12.Interim Control 6.Soil Taken 13.Recertification of Interim Control F=Fail 7.Soil Received 14.Post Compliance Assessment of Interim Control EQ 4 (CZ r , Inspector Inspector 0 3 l' ;�,C e�131 1 q[6 I) L Lic 07 3 Lic# � =l�C ' �t PLi1Go' Inspector Inspector Lic# _ : C7M01 S Lic# Inspector Inspector Lic# Lic# Inspector Inspector F1Lic# Lic#L 11 Inspector Inspector Lic# Lic# Inspector Inspector Lic# Lic# Inspector Inspector Lic# Lic# DATES COMMENTS UTA RepHist,1/17/02 i Lead Paint Inspections Fred Hemmila 16 Quaker Road East Sandwich, MA 02537 Donna Miorandi Town Of Barnstable 367 Main Street Hyannis, MA 02601-3907 i y � r , JAN-27-2005 THU 12: 13 PH C, C, H, PATHOLOGY 5087717786 P. 01 Department of Public Health- Childhood Lead Poisoning Prevention Program Owner/Agent Deleading Notification Please complete all sections of this form clearly.Incomplete-or illegible forms will be returned. i � 731a Paint Inspector -✓L-d -mM.g License Inspection Date JA4 5� Property Owner 7 D n 06, r Property Owner's Address ig..C2 n 1,5 MA I Zip Code Q D 1 0.5 of 61 Authorized person performing work: b on 1241 ` , �U Lic#/Auth.# 0 371)0 0 Address of authorized person _-�&r b o Q. Zip Code Telephone Number 6LA=_2 ? D to 91 Address where the work will be done: a Building Name(if any) 'X Q— Floor Street Address Apt No. City Zip Code The property is a •!multi-family single family. Deleadin-g Method(s): o Making paint intact(high ❑ Dipping Applying vinyl siding on risk) Making paint intact exterior ❑ Demolition (moderate risk) ❑ Component removal (low o Scraping Liquid encapsulant risk components) t Component Covering o Other: removal/replacement ❑ Capping baseboards ,..',.,The work will begin on e/, and will finish by JL/��The work be done in the VI-am✓pm or"/ weekends. In Case of Emergency Contact 11 LA- -L Daytime Phone g 7:� ho7 d FD.3 Evening Phone 177 3?.1 1 L 13 The Property Owner must complete and sign the following information- 1 certify that only authorized persons who have complied with the training requirements of the Massachusetts Lead Poisoning Prevention and Control Regulations, 105 CMR 460.000,will conduct deleading work.I further certify that the authorized person(s) will not exceed the scope of his/her authority and will be performing only those activities circled above.All of the information contained in this document is true and correct to the best of my knowledge and belief. Date Signed it l.U, t The following people/agencies must be notified ten days before beginning work: 1. Occupants of the dwelling unit 2.All other occupants of the residential premises, if any WORK WAS DONE IN THE COM.MON AREAS. 3. Childhood Lead Poisoning.Prevention Program,DPH Fax(617)284-8436 56 Roland St.,Boston,MA 02129-1235 (,,/7- G D I-57 7-7 4. Asbestos and Lead Program,DLWD U .>q- 3 3 399 Washington St.,Boston,MA 02108 Fax(617)727-7568 6. Local Board of Health/Code Enforcement Agency *1f the home is on the State Register of Historic Places,call the MA Historical Commission at(617)727-8470. 47 Lead Inspection 1 Risk Assessment Report t Page Of LEAD PAINT )<NSPEC'I'IONS'IZY CRh,I) IIE1111<11LA Method Used: Lead)Inspector/Riak Assessor U0112736 ❑Na2S Exp.Date 16 Quaker Rond, Fast Sandwich, MA 02537 ®X•Ray Fluorescence "Telephone(508)888-8378 Model 111 t Serial# A St.# Address Apt. ❑❑o� 000®�o��❑®o��oa❑❑❑❑❑❑❑ ❑❑❑® City Zip Code 0®®®L❑®E❑❑❑❑❑❑❑❑❑❑ 0®®O(1 Owner Name: Single Family _ Owner Address: 1 1 T S Cd 0Q E7L V& Multi Family #Units Client Name (if different from owner): I Condominium _ Client Address: Day Care Key: Ins ection Deleadlny� Other Comprehensive Inspection(Y/N) AIM Accessible/Mouthable CAP Capped CAP Capped COV Covered COV Covered DIP Dipped Comments: INT Intact ENC Encapsulated L Loose MI Made Intact MII Moveable/Impacted PRE Prepared MET Metal REM Removed NA Not Accessible REP Replaced NC No Coating REV Reversed BW A) 0 NEG Negative" SCR Scraped N-7 11 -I� S% PCs Positive VR Vinyl Replacement VR Vinyl Replacement - 'f ��s k14- vZ66 i I Fl of# C Floor# C ..................`......... ...................... - .. g lv( .... ....... is .. ... .................:........ .............. .... C ................... ...... ........................y....... ... .. .. B 5 ... ... li .........`............... ..... ..: i ...........:.........:.... ...'.........':.......�...... .. ... ..'... .. .. •J .......... ........................... ............... .....�................... ...... { ; ........ .................:........ .................. i.... ...`... ........ ... .. ... ........ ............ ..... ... I Ka�(- Lj A(Street Side) A(Street Side) Pb(lead)equal to or greater tharia.6 mg/cm with x-ray fluorescence or positive with Na2S is Dangerous. INSP. DATE Lead Hazards? S d jj 101q10 ,5 (Y or N) hodoria.J. Flernrnlla A - Z`n t,�<. 12736 'inspector (print) t ature Lic.# r<. i .r t J R.A. DATE Urgent Lead Hazards? (YorN) Risk Assessor(print) Signature Lic.# 118 Scudder Lane, Hyannis 02601 January 4, 2005 j 7 4 LEAD INSPECTION 1 RISK ASSESSMENT HISTORY PAGE Page 3" of 118 Scudder Lane, Hyannis 02Ei01 Fro—pi January 4, 2005 y Zip INSPECTION ACTMTY KEY EXAMPLE BOX 1.Re-Inspection 8.Full Deleadirxl Compliance 15.Maintained Interim Control 2.Re-Occupancy Re-Inspection 9.Post Compliance Assessment Determination 16,Restored Interim Control 3.Work In Progress 10.Maintained Compliance 1 Inspection Activity Number 4.Dust Taken 11.Restored Compliance 5.Dust Received 12.Interim Control P Pass or Fail P=Pass 6.Soil Taken 13.Recertification of Interim Control F=Fail 7.Soil Received 14,Post Compliance Assessment of Interim Control Inspector Inspector Lic# I I I IT Lic# Inspector Inspector Lic# Lic# Inspector Inspector Lic#— Lic# Inspector Inspector Lic# Lic# Inspector Inspector Lic# Lic# Inspector Inspector Lic# Lic# Inspector Inspector Lic# Lic# DATES COMMENTS LVRA RepHist,1117/02 Page of (� EXPLANATION OF LEAD INSPECTION (RISK ASSESSMENT REPORT FORM COLUMNS This page provides general information needed to understand the lead inspection/risk assessment report. However,you should speak Ides with the inspector/risk assessor before you start to do any work on your home. SIDE Refers to A,B,C,or D side of the building or room. See the diagram on the cover sheet.The"A" side of the building or room is the side facing the street that gives the property its address(usually, it is the front of the building). Keeping your back to this street, from the"A" side move clockwise to the"B"side on your left,the"C" side opposite you,and the"E," side to the right. LOCATION/ Refers to the building component(s)being tested. Some surfaces may be made up of more than one part. For SURFACE example,"Baseboard"may refer to four separate pieces of wood(one on each wall),but is still considered one surface. LEAD The actual lead result. Each surface tested must have a result recorded in the"Lead" column. • A number shows that the surface was tested with an XRF analyzer. A number(or average number)equal to or greater than 1.0 mg/CM2 is a dangerous level of lead. • A"pos"or"neg"shows that the surface was tested with sodium sulfide."Pos" means that there is a dangerous level of lead. • "N/A" means that the inspector was not able to test the surface. Unless the owner can get a sample to test,the inspector must assume the surface contains lead and require it to be deleaded, if necessary. • "Metal" means that a metal surface was not tested and only needs to be intact. However, metal handrails,metal � window sills,and'metal railing caps,need to be deleaded if they are equal to or greater than 1.0 mg/cm ,"pos,' or is"N/A." TYPE OF Not all lead paint must be deleaded.This column tells you IF and WHY a surface needs deleading.The deleading HAZARD standards below may not apply for Interim Controls. Speak to your risk assessor for more information. • M/I"circled means that the surface is a moveable/impacted surface and must be deleaded in its entirety. • "A/M"circled means that the surface is"accessible mouthable" and must be deleaded to a minimum of five feet high, four inches in from the edge or corner. • "L"circled means that the surface is loose and must, at minimum, be made intact. • If more than one choice is circled,the rules for deleading may change depending upon what method of deleading you choose. 'Speak to the inspector for more information. • "N/A" means the inspector.was unable to determine if the surface was loose or intact.The person doing the deleading must check this surface and follow all the rules for deleading. Speak to the inspector for more information. • If nothing is circled or marked"N/A"then it is likely the surface does not need deleading. Speak to the inspector for more information. URG HAZ? This column is only compli:ted during a risk assessment. A risk assessment is an evaluation of a home's suitability for Interim Controls. Only a licensed risk assessor can do a risk assessment, not all inspectors are risk assessors. If"Y" is circled,then this surface is considered an"Urgent Lead Hazard" and some type of deleading work is required to qualify for Interim Control. IC DATE The date the licensed risk assessor determines the surface meets the standards for Interim Control. IC METH The deleading method or structural repair done to qualify the surface for Interim Control. Refer to the deleading codes key on the cover page. DELEAD The date that the lead inspector or risk assessor reinspects the surface and finds that it has been successfully deleaded DATE for full compliance. DELEAD The deleading method used to bring a surface into full compliance. Refer to deleading codes in the Key on the cover METH page of the inspection report. EXCLUDED The amount of loose paint on a surface as measured by the lead inspector. "N/A" means that the inspector was not SURFACES able to measure the loose paint,but has determined it is more than the cut-off for moderate risk making intact. Surfaces listed here can only be made intact by a licensed deleader. Note there are still other low and moderate-risk deleading activities,such as covering, that may be done by someone who is not a licensed deleader. SOIL TEST This information is found on the exterior pages. If your property receives certain federal funding,soil testing may be re soil, RESULTS required.There erred ation. Check with r the risk assessor to indicate your funding agency afor more nfor►nationry ults, method of remedlatlo , and the date of Privimn 1 0 7/31/02 f 118 Scudder Lane, Hyannis 02601 Page of January 4, 2005` Frederic J. Hemmila, Inspector#12736&Risk Assessor#F;A2736 ROOM SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEADJ DELEAD SIDE LOCATION! LEAD TYPE OF 1 URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH A 8 Door AIM L NIA Y C o Up Walls AIM N/A Y Door Casing AIM L NIA Y 1� A 8 Low Walls A L NIA Y Door Jamb AIM L NIA Y Threshold AIM L NIA Y A 8 Baseboards AIM L NIA Y A 8 D Window Sill L111 AIM NIA Y Win Apron 0eqAIM L NIA Y r n Chair Rail `• AIM L N/A Y 0 Win Casing AIM L NIA Y Radiator 2 AIM L NIA Y Header Slop MAAIM L NIA Y Int Stops Mll AIM L NIA Y Floor AIM L NIA Y Win Inl Sash .� M/l AIM JTA Y Ceiling AIM L N/A Y Exterior Sill M/l L IA Y Door AIM L NIA Y Part Bead M/l I I L IA Y C Door Casing Q.� AIM L NIA Y Blind Slop Mil I I L IA Y Door Jamb AIM L NIA Y Win Ext Sash L IA Y Threshold AIM L N/A Y Window Sill MII All vi L JIA Y Door ©� AIM L NIA Y Win Apron U AIM L NIA Y Door Casing A/M L NIA Y 2� Win Casing AIM L N/A Y, Door Jamb AIM L NIA Y Header Slop MII AIM L N/A Y Threshold AIM L NIA Y bd Stops M/1 AIM L N/A Y Door jlI AIM L NIA Y Win Inl Sash MII AIM L N/A Y Door Casing j AIM L N/A Y Exterior Sill MII AI L /A Y Door Jamb AIM L NIA Y Part Bead M/1 A/1v L IA Y Threshold AIM L NIA Y Blind Stop ±1111A ILYA Y Door AIM L NIA Y Win Exl Sash 0 Y Door Casing AIM L NIA Y Closet Door AIM L N/A Y Door Jamb AIM L NIA Y r Cl Casing �,O; AIM L NIA Y Threshold AIM L N/A Y V Closet Jamb A/IA L NIA Y Window Sill 1/1 AA NIA Y Closet Walls A/ L /A Y Win Apron �a. AIM L NIA Y Cl Baseboard AIM L N/A •Y Win Casing AIM L NIA Y Closet Pole AINI L N/A Y Header Slop MY[ AIM L N/A Y Closet Shell AIM L N/A Y lilt Stops Mll AIM L NIA Y Cl Supports AIM L N/A Y Win hit Sash '1 ll GMT)NIA I Y Closet Floor AIM L NIA Y Exterior Sill /I L IA Y Closet Ceiling 3� Y AIM L IA Part Bead M/I L IA Y Mantel Mll AIM L NIA Y Blind Slop +IIIJ l L /A Y Mantel Irim Mll AIM L NIA Y Win Ext Sash NIA Y Upper Irirn M/l AIM L NIA Y COMMENTS I STRUCTURAL DEFECTS: Ml1, AIM L NIA Y 51 uLV., h1/1 AIM L NIA Y MII AIM L N/A Y M/1 AIM L NIA Y EXCLUDED SURFACES: Surfaces listed in these boxes can be made intact only by a licensed deleader. SIDE LOCATION MEASURE:LOOSE PAINT IC IC SIDEJ LOCATION MEASURE:LOOSE PAINT IC IC (MORE THAN 288 SO.IN.) DATE METHOD (MORE THAN 288 SO.IN.) DATE METHOD I IM A P-M....... I/11101 I , 118 Scudder Lane, Hyannis 02601 Page 5 of ( January 4, 2005 Frederic J.Hemmila, Inspector#12736&Risk Assessor#RA2736 ROOM 9' SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATIONI JLEAD TYPE OF URG IC IC IDILEADI DELEAD SURFACE HAZARD HAZ? DATE METE DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH Door AIM L NIA Y -- C D Up Walls I IM N/A Y Door Casing AIM L NIA Y A B Low Walls ; AIM NIA Y Door Jamb AIM L NIA Y Threshold AIM L N/A Y A B Baseboards AIM L NIA Y Window Sill Ill AIM NIA Y A B Win Apron IM L NIA Y C D Chair Rail AIM L NIA Y p j Win Casing AIM L N/A Y Radiator AIM L N/A Y J Header Slop M/I AIM L NIA Y Int Stops 4 M/l AIM L N/A Y Floor �l AIM L NIA Y Win Int Sash M/I AIM L NIA Y Ceiling AIM L NIA Y Exterior Sill / L IA Y Door .� AIM L NIA Y Part Bead M/I L /A Y �7 Door Casing AIM L N/A Y Blind Stop M/I L /A Y (� Door Jamb AIM L NIA Y Win Exl Sash M/ L)N/A Y Threshold AIM L NIA Y Window Sill M/I AIM L NIA Y Door '� AIM L NIA Y Win Apron AIM L N/A Y Door Casing AIM L NIA Y Will Casing AIM L N/A Y Door Jamb AIM L NIA Y Header Stop M1I AIM L NIA Y Threshold AIM L N/A Y Int Stops MII AIM L NIA Y Door AIM L N/A Y Will Inl Sash M/I AIM L NIA Y Door Casing AIM L NIA Y Exterior Sill M11 AIM L NIA Y Door Jamb AIM L NIA Y Part Bead M/I AIM L N/A Y Threshold AIM L NIA Y Blind Stop M/1 AIM L N/A Y Door AAA L NIA Y Win Exl Sash M/I AIM L N/A Y Door Casing AIM L NIA Y Closet Door AIM L NIA Y Door Jamb AIM L NIA Y Cl Casing AIM L N/A Y Threshold AIM L NIA Y Close/Jamb AIM L NIA Y Window Sill N ll AIM NIA Y Closet Walls AIM L N/A Y Will ApronOA AIM L NIA Y Cl Baseboard AIM �JIA Y Win Casing AIM L NIA Y Closet Pole AIM Y NIA Y 1 I� Header Stop 0 MII AIM L NIA Y Closet Shelf AIM L NIA Y �•1 Int Slops MII AIM L NIA Y Cl Supports AIM L NIA Y Will Int Sash II AI NIA Y Closet Floor AIM L NIA Y Exterior Sill Mll NIA Y Closet Ceiling A/ L NIA Y Part Bead Mll L IA Y Manlel MII AIM L N/A Y Blind Slop I L IA Y Mantel trim Mll AIPA L N/A Y Win Ext Sash INIA Y Upper trim M/I AIM L N/A Y COMMENTS I STRUCTURAL DEFECTS: MII AIM L NIA Y Pall AIM L NIA Y M/I AIM L NIA Y MA AIM L N/A I Y EXCLUDED SURFACES: Surfaces listed in these boxes can be made intact only by a licensed deleader. SIDEJ LOCATION MEASURE:LOOSE PAINT IC IC SIDE LOCATION MEASURE:LOOSE PAINT IC IC (MORE THAN 288 SO.IN.) DATE METHOD (MORE THAN 288 SO.IN) DATE METHOD I vu A U,—I)....... i n 1im 118 Scudder Lane, Hyannis 02601 Page (P or January 4, 2005 Frederic J. Hemmila Spector#12736&Risk Assessor#RA2736 � ,� Ne ROOM '3 , e E. [d r- , SIDE LOCATION/ LOM TYPE OF URG IC IC DELEAD DELEAD SIDEJ LOCATION/ LEAD TYPE OF URG IC IC IDELEAO DELEAD SURFACE HAZARD HAZ? DATE METE DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH Door AIM L N/A Y C p Up Walls � AIM NIA Y Door Casing AIM L NIA Y A B Low Walls AIM NIA Y Door Jamb AIM L N/A Y Threshold AIM L NIA Y A `r Baseboards AIM L N/A Y Window Sill tvllI A/M—L' IA Y A B Will Apron AIM L NIA Y C n Chair Rail AIM L N/A Y Win Casing AIM L N/A Y Radiator AIM L N/A Y Header Stop M11 AIM L NIA Y Floor AIM L N/A Y Int Slops MII AIM L NIA Y Q� Win Int Sash M/I AIM L NIA Y Ceiling AIM L NIA Y Exterior Sill MII L IA Y Door AIM L NIA Y Part Bead MA L IA Y Door Casing AIM L NIA Y Blind Stop MII L IA Y Door Jamb AIM L NIA Y Win Exl Sash M/l L NIA Y Threshold A/tv1 L NIA Y n Window Sill /l A/M L A Y Door AIM L NIA Y tU� Win Apron 4:3, AIM L NIA Y Door Casing Altvt L NIA Y Will Casing Lf AIM L NIA Y Door Jamb AIM L N/A Y Q Header Slop ©. M/I AIM L NIA Y Threshold AIM L NIA Y r` Int Slops g 4 M/I AIM L N/A Y Door AIM L NIA Y Win Int Sash D' Mll AIM L NIA Y Door Casing AIM L NIA Y Exterior Sill .44 Al AIM () NIA Y Door Jamb A/M L N/A Y Part Bead M/t I AIM L IA Y . Threshold AIM L NIA Y Blind Stop 1 Mil AIM L /A Y Door AIM L N/A Y Will Ext Sash 4 M! AI NIA Y Door Casing AIM L NIA Y Closet Door AIM L NIA Y Door Jamb AIM L N/A Y Cl Casing AIM L NIA Y Threshold A/M L NIA Y Closet Jamb AIM L NIA Y Window Sill All AIM L IA Y Closet Walls AIM L N/A Y I'J Will Apron AIM L NIA Y Cl Baseboard AIM L NIA -Y try Win Casing AIM L NIA Y Closet Pole AIM L NIA Y L� Header Stop Ml AA/ NIA Y Closet Shelf AIM L NIA Y Int Stops NVI AIM L NIA Y Cl Supports AIM L NIA Y Will Int Sash M/I AIM L N/A Y Closet Floor AIM L NIA Y Exterior Sill 5 ll L IA Y Closet Ceiling AIM L NIA Y Part Bead M/1 L IA Y Mantel M/I A/fvt L N/A Y Blind Stop M/I L IA Y Mantel Irim M/1 AIM L NIA Y Win Ext Sash M NIA Y Upper trim M/I AIM L NIA Y COMMENTS I STRUCTURAL DEFECTS: MA AIM L NIA Y M/I AIM L N/A Y Pit/1 AIM L NIA Y M/I AIM L N/A Y EXCLUDED SURFACES: Surfaces listed in these boxes can be made intact only by a licensed deleader. SIDE LOCATION MEASURE:LOOSE PAINT IC IC SIDE LOCATION MEASURE:LOOSE PAINT IC IC (MORE THAN 288 SO.IN.) DATE METHOD (MORE THAN 288 SO.IN.) DATE METHOD 110Pn U.—D....... I/lllnl 118 Scudder Lane, Hyannis 02601 Page 7 or I January 4, 2005 Frederic J. He Tila, Inspector#12736&Ri Assessor#RA2736 ROOM Pry �� SIDE LOCATIONI LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH A 8 _ Door AIM L N/A Y C D Up Walls AIM L N/A Y Door Casing AIM L NIA Y Door Jamb AIM L NIA Y A D Low Walls AIM L NIA Y Threshold AIM L NIA Y A Baseboards AIM L NIA Y Window Sill t .1/l A/ NIA Y A 8 Will Apron AIM L NIA Y c n Chair Rail AIM L N/A Y Win Casing AIM L N/A Y Radiator AIM L N/A Y C Header Stop d M/I AIM L NIA Y Floor AIM L NIA Y nt Slops IvUI AIM L N/A Y � I Win Int Sash 0. M/I AIM IA Y Ceiling AIM L NIA Y Exterior Sill M/I L IA Y Door AIM L N/A Y Part Bead 1 MII I L IA Y Door Casing AIM L NIA Y Blind Slop a. MII I L flIA Y Door Jamb AIM L NIA Y Win Ext Sash MI NIA Y Threshold AIM L N/A Y Window Sill M/I AIM L NIA Y Door AIM L N/A Y Will Apron AIM L N/A Y Door Casing AIM L NIA Y Win Casing AIM L N/A Y Door Jamb AIM L NIA Y Header Stop M/I AIM L N/A Y Threshold AIM L NIA Y lilt Stops M11 AIM L NIA Y Door AIM L N/A Y Will In(Sash M/I AIM L NIA Y Door Casing AIM L N/A Y Exterior Sill MII AIM L N/A Y Door Jamb AIM L NIA Y Part Bead MII AIM L N/A Y Threshold AIM L N/A Y Blind Stop MII AIM L N/A Y Door AIM L NIA Y Will Ext Sash M/I AIM L N/A Y Door Casing j AIM L NIA Y Closet Door AIM L NIA Y Door Jamb AIM L NIA Y Cl Casing AIM L NIA Y Threshold4— AIM L NIA Y Closet Jarnb AIM L NIA Y Window Sill II A/M L /A Y Closet Walls AIM L NIA Y Will Apron AIM L NIA Y Cl Baseboard AIM L NIA -Y CWin Casing AIM L NIA Y Closet Pole AIPA L NIA Y Header Stop MII AIM L NIA Y Closet Shell AIM L NIA 1 ►� Inl Slops M/1 AIM L NIA Y CI Supports AIM L N/A Y l�f Win lilt Sash 0 M/I AIM L NIA Y lClosel Floor AIM L NIA Y Exterior Sill /l L IA Y Closet Ceiling AIM L NIA Y Part Bead M/I L IA Y Mantel M/I AIM L NIA Y Blind Slop M11 L IA Y Mantel trim M/I AIM L NIA Y Win Ext Sash au JIA Y Upper trim MII AIM L N/A Y COMMENTS 1 STRUCTURAL DEFECTS: M/I AIM L NIA Y M/I AIM L N/A Y Iv111, AIM L NIA Y M/I AIM L N/A Y EXCLUDED SURFACES. Surfaces listed in these boxes can be made intact only by a licensed deleader. SIDEJ LOCATION MEASURE:LOOSE PAINT IC IC SIDE LOCATION MEASURE:LOOSE PAINT IC IC (MORE THAN 288 SO.IN.) DATE METHOD (MORE THAN 288 SO.IN.) DATE 11ETHOD i 118 Scudder Lane, Hyannis 02601 Page C� of 0 January 4, 2005 Frederic J. Hemmila, Inspector#12736&Risk Assessor#F;A2736 ROOM Lf SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF I URG IC IC DELEADJ DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH Door AIM L N/A Y C p Up Walls l A/M N/A Y Door Casing AIM L N/A Y A © Low Walls AIM N/A Y Door Jamb AIM L N/A Y Threshold AIM L NIA Y A o Baseboards AIM L N/A Y Window Sit A Bl dll IA Y Cr Will Apron AIM L N/A Y C n lChair Rail AIM L N/A Y Win Casing AIM L N/A Y Radiator OILAIM L N/A Y Header Stop M/I AIM L NIA Y Floor AIM L NIA Y Inl Slops M/I AIM L N/A Y Win IM Sash 1 /1 IM L NIA Y Ceiling 0 AIM L NIA Y Exterior Si1I y M/I I L /A Y 4Door �.� AIM L N/A Y Part Bead M/I L lA Y Door Casing AIM L NIA Y Blind Stop y2 3 M/I L PIA Y Door Jamb AIM L N/A Y Win Ext Sash of I L N/A Y Threshold A/M L N/A Y Window Sill M/I AIM L N/A Y Door AIM L N/A Y Win Apron AIM L NIA Y Door Casing AIM L N/A Y Will Casing AIM L.NIA Y Door Jamb AIM L N/A Y Header Stop M/I AIM L N/A Y Threshold AIM L N/A Y lilt Stops M/I AIM L N/A Y Door AIM L NIA Y Will Int Sash M/I AIM L NIA Y Door Casing JI A/N1 L N/A Y Exterior Sill M/I AIM L NIA Y Door Jamb AIM L N/A Y Part Bead M/I AIM L N/A Y Threshold AIM L N/A Y Blind Stop M/l AIM L N/A Y Door A/M L N/A Y Will Ext Sash M/I AIM L N/A Y Door Casing AIM L NIA Y (� Closet Door AIM L NIA Y Door Jamb AIM L N/A Y 11l Cl Casing 71T AIM L N/A Y Threshold AIM L N/A Y Closet Jamb AIM L N/A Y Window Sill fl A/A4 N/A Y Closet Walls 0 1 AIM N/A Y 4✓ Will Apron 3 AIM L N/A Y ClCI Baseboard A/M L NIA Y Win Casing AIM L N/A Y Closet Pole AIM L NIA Y Header Stop M71 AIM L N/A Y Closet Shelf AIM L NIA Y lilt Slops NVI AIM L N/A Y CI Supports A/M L NIA Y Will Inl Sash M'I /M NIA Y Closet Floor AIM L NIA Y Ezlerior Sill ll L IA Y Closet Ceiling AIM L N/A Y Part Bead M,9 L IA Y Mantel M/I AIM L NIA Y Blind Slop M,1I L IA Y Mantel trim M/I AIM L N/A Y L�L— —— Win Exl Sash M, N1A Y Upper trim M/I AIM L N/A Y COMMENTS/STRUCTURAL DEFECTS: M11 AIM L N/A Y MII AIM L N/A Y M/I AIM L N/A Y I'All AIM L NIA Y EXCLUDED SURFACES: Surfaces lisl:ed in these boxes can be made intact only by a licensed deleader. SIDE LOCATION MEASURE:LOOSE PAINT IC IC SIDE LOCATION MEASURE:LOOSE PAINT IC IC (MORE THAN 288 SO.IN.) DATE METHOD (MORE THAN 288 SO.IN.) DATE METHOD I/ItA Ih-11....n. I/1"1/I0 118 Scudder Lane, Hyannis 02601 Page I off 1 January 4, 2005 Frederic J. Hem 'ta, Inspector#12736&Ri Assessor#RA2736 , -A Elk KITCHEN 0 F 2— SIDE LOCATION/ AD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH A 8 Door AIM L N/A Y C D Up Walls AIM N/A Y Door Casing AIM L N/A Y A e Low Walls 3 lA Y Door Jamb AIM L N/A Y Threshold AIM L N/A Y A B Baseboards L NIA Y A B Window Sill I A/M IA Y 14 Win Apron AIM L N/A Y C D Chair Rail , AIM L N/A Y Win Casing 04 AIM L N/A Y Radiator AIM L NIA Y Header Stop M/I AIM L N/A Y Floor AIM L N/A Y Int Stops M/I AIM L N/A Y Ceiling AIM L NIA Y Win Int Sash .Q lyfM 3 NIA Y Exterior Sill 11 L N/A Y Door AIM L N/A Y Part Bead M/1 L IA Y Door Casing AIM L N/A Y Blind Stop 0-1�Q MII I I L IA Y Door Jamb AIM L NIA Y Win Ext Sash Y.C4 1 N/A Y Threshold AIM L N/A Y Window Sill Z A/M NIA Y Door AIM L NIA Y Win Apron -0-4, AIM L NIA Y Door Casing AIM L N/A Y Win Casing ®. AIM L N/A Y Door Jamb AIM L N/A Y Header Slop . AIM L NIA Y Threshold AIM L NIA Y Int Stops D.q AIM L N/A Y Door AIM L N/A Y Win Int Sash , L N/A Y Door Casing AIM L NIA Y Exterior Sill AIM NIA Y Door Jamb AIM L N/A Y Part Bead AIM I L INIA Y Threshold A/M L N/A Y Blind Stop AIM L N/A Y Door . ' AIM L N/A Y Win Ext Sash 3.4 AIM NIA Y Door Casing AIM L N/A Y Up Cab Frame AIM L N/A Y Door Jamb AIM L NIA Y Cab Door AIM L NIA Y Threshold AIM L NIA Y Up Cab Walls AIM L N/A Y Window Sill @I A/M IA Y Up Cab Shlvs AIM L N/A Y 4 Win Apron AIM L NIA Y Supports � AIM L N/A Y Win Casing O; AIM L N/A Y Low Cab Fram AIM L N/A Y U Header Stop 0. M/I AIM L N/A Y Cab Door AIM L N/A Y Int Stops M/I AIM L N/A Y Low Cab Walls AIM L NIA Y Win Int Sash . 11 1 N/A Y Low Cab Shlvs AIM L NIA Y Exterior Sill 11 L N/A Y Supports AIM L N/A Y Part Bead .� M/I L NIA Y Drawers AIM L N/A Y Blind Stop MA L N/A Y JUIpper trim Mll AIM L N/A Y Win Ext Sash N/A YI I M/I AIM L NIA Y COMMENTS I STRUCTU AL DEFECTS: MA AIM L N/A Y ` M/I AIM L NIA Y fl Mll AIM L N/A Y MII AIM L N/A Y EXCLUDED SURFACES:Surfaces listed in these boxes can be made intact only by a licensed deleader. SIDE LOCATION MEASURE:LOOSE PAINT IC IC SIDE LOCATION MEASURE:LOOSE PAINT IC IC (MORE THAN 288 SQ.IN.) DATE METHOD (MORE THAN 288 SO.IN.) DATE METHOD I.1/RA RepKitchen, 1/17/02 f 118 Scudder Lane, Hyannis 02601 Page 0 of January 4, 2005 Frederic J.Hemmila, Inspe or#12736&Risk Asse or#RA2736 _ � ,/ • Ile�J�/ C SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATIONI LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE NIETH A B Door AIM L NIA Y C p Up Watts AIM L N/A Y Door Casing AIM L N/A Y A B Low Walls AIM L NIA Y Door Jamb AIM L N/A Y Threshold AIM L NIA Y A B Baseboards AIM L NIA Y A B Window Sill III AIM IA Y Will Apron A AIM L N/A Y n Chair Rail AIM L NIA Y Win Casing V AIM L N/A Y Radiator AIM L N/A Y Header Slop Mll AIM L NIA Y Floor AIM L NIA Y Int Slops 0 M/1 AIM L NIA Y � Win Int Sash P Mll AIM L NIA Y Ceiling AIM L NIA Y Exterior Sill Mll L IA Y Door AIM L N/A Y Part Bead kill I L IA Y Door Casing AIM L NIA Y Blind Stop Mll I L /A Y Door Jamb AIM L N/A Y Win Exl Sash MI tL,,4fA Y Threshold AIM L NIA Y Window Sill /1 AIM N/A Y Door AIM L NIA Y Win Apron - AIM L NIA Y Door Casing AIM L NIA Y Will Casing D AIM L NIA Y Door Jamb AIM L NIA Y Header Stop M/I AIM L NIA Y Threshold A/M L NIA Y Int Slops a M/I AIM L NIA Y Door AIM L N/A Y Will Int Sash MII IM L IA Y Door Casing AIM L N/A Y Exterior Sill M/I AIM L N/A Y Door Jamb AIM L N/A Y Part Bead ` Mll Al L IA Y Threshold AIM L N/A Y Blind Stop Mll Al L !A Y Door AIM L N/A Y Will Ext Sash I AIM L NIA Y Door Casing j I AIM L N/A Y Closet Door AIM L NIA Y Door Jamb AIM L NIA Y Cl Casing AIM L NIA Y Threshold AIM L N/A Y Closet Jamb AIM L NIA Y Window Sill r1II AIM L A Y Closet Walls AIM L N/A Y Win Apron AIM L NIA Y Cl Baseboard AIM L NIA -Y Will Casing AIM L NIA Y Closet Pole AIM L NIA Y Header Slop MII AIM L NIA Y Closet Shelf AIM L N/A Y Int Slops �. M/1 AIM L NIA Y Cl Supports AIM L N/A Y Win lilt Sash 0 A/M N/A Y Closet Floor AIM L NIA Y Exterior SillVIO/ AN/A Y Closet Ceiling AIM L N/A Y Part Bead Y MantelMll Alfv1 L NIA Y Blind Stop Y Mantel Irim M/I AIM L N/A Y Y Upper Irim MII AIM L N/A Y COMMENTS/STRUC M/I AIM L NIA Y Mll AIM L NIA Y M/I AIM L NIA Y 61/l AIM L NIA Y EXCLUDED SURFACES: Surfaces listed in these boxes can be made intact only by a licensed deleader. SIDE LOCATION MEASURE:LOOSE PAINT IC IC SIDEJ LOCATION MEASURE:LOOSE PAINT IC IC (MORE THAN 288 SO.IN.) DATE METHOD (MORE THAN 288 SO.IN.) DATE METHOD I Iit)A U.-D....... 11.11- r Arlrlrocc• G 118 Scudder Lane, Hyannis 02601 Page f of January 4, 2005 Frederic J. Hemmila, Inspector#12736&Risk Assessor#RA2736 BATHROOM SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH B Up Walls .Q I NIA Y n B Low Walls �d A/M L IA Y Low Cab Fram AIM L N/A Y a 6 Baseboards � AIM L N/A Y Low Cab Door AIM L N/A Y n a Chair Rail AIM L IA Y Low Cab Walls AIM L N/A Y Radiator G AIM L NIA Y Floor AIM L N/A Y Ceiling ( AIM L N/A Y Low Cab Shlvs AIM L NIA Y Door AIM L NIA Y Supports AIM L N/A Y Door Casing AIM L NIA Y Drawers AIM L N/A Y Door Jamb AIM L N/A Y Closet Door AIM L N/A Y Door AIM L N/A Y Closet Casing AIM L N/A Y Door Casing AIM L N/A Y Closet Jamb AIM L N/A Y Door Jamb AIM L N/A Y Closet Walls AIM L NIA Y Threshold 2, AIM L N/A Y Cl Baseboard AIM L N/A Y Door AIM L N/A Y Closet Pole AIM L NIA Y Door Casing AIM L NIA Y Closet Shelf A/M L N/A Y Door Jamb AIM L N/A Y Clos Supports A/M L N/A Y Threshold AIM L N/A Y Closet Floor AIM L N/A Y Window Sill 1 AIM � N/A Y Closet Ceiling AIM L N/A Y �JI Win Apron AIM L N/A Y Window Sill M/I AIM L N/A Y Win Casing AIM L N/A Y Win Apron AIM L N/A Y Header Stop Q� M/I AIM L N/A Y Win Casing AIM L NIA Y Int Stops M/I AIM L N/A Y Header Stop M/I AIM L N/A Y Win Int Sash Mlll A/M N/A Y Int Stops M/I AIM L N/A Y Exterior Sill M/I A/ L N/A Y Win Int Sash j M/I AIM L N/A Y Part Bead M/I AI L NIA Y Exterior Sill M/I.AIM L N/A Y Blind Stop M/I AI L /A Y Part Bead M/I AIM L NIA Y Win Ext Sash MI AIM NIA Y Blind Stop M/I AIM L N/A Y Up Cab Frame AIM L N/A Y Win Ext Sash M/I AIM L N/A Y Up Cab Door AIM L N/A Y M/I AIM L NA Y Up Cab Walls AIM L N/A Y M/I AIM L NA Y Up Cab Shlvs AIM L N/A Y Mil AIM L NA Y Supports 4 AIM L N/A Y VIA AIM L NA I Y COMMENTS I STRUCTURAL DEFECTS: COMMENTS/STRUCTURAL DEFECTS: EXCLUDED SURFACES: Surfaces listed in these boxes can be made intact only by a licensed deleader. SIDE LOCATION MEASURE:LOOSE PAINT IC 1 IC SIDE LOCATION MEASURE:LOOSE PAINT IC IC (MORE THAN 288 SQ.IN.) DATE METHOD (MORE THAN 288 SO.IN.) DATE METHOD IA/RA RcpRalh, 1/17/02 Address: 118 Scudder Lane, Hyannis 02601 Page f L of January 4, 2005 Frederic J. He I a, Inspector#12736&Risk A essor 11RA2736 HALLWAY / �"/"�_ -2 SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDEJ LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE ME':H DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH A B /t Door 6/4 CV I AIM L N/A Y C o JUP Walls I N N/A Y (J Door Casing AIM L N/A Y A B Low Walls FM) N/A Y Door Jamb AIM L N/A Y Threshold AIM L N/A Y A B Baseboards /M NIA Y A B Window Sill � M/I AIM L NIA Y Win Apron AIM L N/A Y C o Chair Rail AIM L N/A Y Win Casing AIM L N/A Y Radiator AIM L NIA Y Header Stop M/I AIM L N/A Y Floor D• AIM L N/A Y Int Stops M/I A/M L NIA Y Win Int Sash M/I AIM L NIA Y Ceiling AIM L NIA Y Exterior Sill Mll AIM L NIA Y Door A-.� AIM L N/A Y Part Bead M/I AIM L N/A Y V+ Door Casing (! AIM L N/A Y Blind Stop M/I AIM L NIA Y t t/ Door Jamb Q� AIM L N/A Y WinExtSash M/I AIM L N/A Y Threshold AIM L N/A Y Closet Door AIM L N/A Y Door AIM L N/A Y Cl Casing AIM L N/A Y Door Casing AIM L N/A Y Closet Jamb AIM L N/A Y Door Jamb ( AIM L N/A Y Closet Walls AIM L NIA Y Threshold AIM L N/A Y Cl Baseboard AIM L N/A Y Q� Door AIM L N/A Y Closet Pole . AIM L NIA Y �J Door Casing AIM L N/A Y Closet Shelf AIM L N/A Y Door Jamb 0 AIM L N/A Y Cl Supports AIM L N/A Y Threshold AIM L NIA Y lCloset Floor AIM L NIA Y GDoor Lr� AIM L N/A Y CI Ceiling AIM L N/A Y Door Casing AIM L N/A Y Closet Door AIM L N/A Y Door Jamb 0 AIM L NIA I Y Cl Casing AIM L N/A Y Threshold Q' AIM L NIA Y Closet Jamb AIM L NIA Y Door AIM L N/A Y Closet Walls AIM L NIA Y Door Casing AIM L N/A Y CI Baseboard AIM L N/A Y Door Jamb 6. ^ AIM L NIA Y Closet Pole AIM L NIA Y Threshold AIM L NIA Y Closet Shelf AIM L N/A Y Window Sill M/I AIM L N/A Y CI Supports AIM L N/A Y Win Apron AIM L NIA Y Closet Floor AIM L N/A Y Win Casing L N/A Y CI Ceiling AIM L NIA Y Header Stop M/I L N/A Y (� � J ®() M/I AIM L NIA Y Int Stops j M/I L N/A Y M/I AIM L NIA Y Win Int Sash M/1 L N/A Y M/I AIM L N/A Y Exterior Sill M/I AIM L N/A Y COMMENTS I STRUCTURAL DEFECTS: Part Bead M/I AIM L N/A Y SIG IijI0 TF: If 4 0 ZX IS SILT ptT Blind Stop MII AIM L NIA Y FXVfe2 S jUS ICIAJ O 4IJF'1 C Win Ext Sash M/I AIM L N/A Y 77fE-Y at U14/tW Irb OF 60VOW EXCLUDED SURFACES:Surfaces listed in these boxes can be made intact only by a licensed deleader. SIDE LOCATION MEASURE:LOOSE PAINT IC IC SIDE LOCATION MEASURE:LOOSE PAINT IC IC (MORE THAN 288 SQ.IN.) DATE METHOD (MORE THAN 288 SQ.IN.) DATE METHOD IJ/RA RenHall. 1/17/02 Ad�lrocc 118 Scudder Lane, Hyannis 02601 Page 1'� of I q January 4, 2005 Frederic J. HqFWila, Inpector#12736& 'sk Assessor IfRA2736 HALLWAY SIDE LOCO/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDEJ LOCATION/ I LEAD I TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH A B Door AIM L NIA Y C D lUp Walls AIM L NIA IY Door Casing AIM L N/A Y A B Low Walls AIM L N/A Y Door Jamb AIM L N/A Y Threshold AIM L N/A Y A B Baseboards AIM L NIA Y Window Sill M/I AIM L N/A Y A B Win Apron AIM L N/A Y C D Chair Rail AIM L N/A Y Win Casing AIM L N/A Y Radiator L AIM L NIA Y Header Stop M/I AIM L N/A Y Floor AIM L NIA Y Int Stops M/I AIM L N/A Y Win Int Sash M11 AIM L N/A Y Ceiling AIM L NIA Y Exterior Sill Mil AIM L NIA Y Door AIM L N/A Y _ Part Bead . M/I AIM L NIA Y Door Casing AIM L NIA Y Blind Stop M/I AIM L NIA Y VV4"' Door Jamb AIM L NIA Y Win Ext Sash Mil AIM L N/A Y Threshold AIM L NIA Y Closet Door AIM L N/A Y Doom! AIM L N/A Y Cl Casing AIM L NIA Y Door Casing 0 AIM L NIA Y Closet Jamb AIM L NIA Y Door Jamb 0 AIM L N/A Y Closet Walls AIM L NIA Y Threshold 0';. AIM L N/A Y Cl Baseboard AIM L NIA Y n Doo&I—M,M CLI AIM L N/A Y Closet Pole AIM L N/A Y 'J Door Casing AIM L NIA Y Closet Shelf AIM L N/A Y Door Jamb O AIM L N/A Y Cl Supports AIM L NIA Y Threshold 'r AIM L N/A Y Closet Floor AIM L NIA Y Door AIM L NIA Y CI Ceiling AIM L NIA Y Door Casing AIM L NIA Y Closet Door AIM L NIA Y Door Jamb AIM L N/A Y Cl Casing AIM L NIA Y Threshold AIM L NIA Y Closet Jamb AIM L N/A Y Door AIM L N/A Y Closet Walls AIM L NIA Y Door Casing j AIM L N/A Y Cl Baseboard AIM L N/A Y Door Jamb AIM L N/A Y Closet Pole AIM L N/A Y Threshold AIM L NIA Y Closet Shelf AIM L N/A Y Window Sill M/I AIM L N/A Y Cl Supports AIM L NIA Y Win Apron . AIM L NIA Y Closet Floor AIM L N/A Y Win Casing L NIA Y CI Ceiling AIM L NIA Y Header Stop M/I L N/A Y M/I AIM L NIA Y Int Stops M/I L NIA Y M/I AIM L NIA Y Win Int Sash M/I L N/A Y M/I AIM L N/A Y Exterior Sill M/I AIM L NIA Y COMMENTS I STRUCTURAL DEFECTS: Part Bead M11 AIM L NIA Y Blind Stop M/I AIM L NIA Y Win Ext Sash M/I AIM L N/A Y EXCLUDED SURFACES:Surfaces listed in these boxes can be made intact only by a licensed deleader. SIDEJ LOCATION MEASURE:LOOSE PAINT IC IC SIDE LOCATION MEASURE:LOOSE PAINT IC IC (MORE THAN 288 SO.IN.) DATE METHOD (MORE THAN 288 SQ.IN.) DATE METHOD URA Renl-lall 1/17/07, Address: Page of 118 Scudder (Lane, Hyannis 02601 January 4, 2005 Frederic J. Hemmila, Inspector#12736&Risk Assessor PRA2736 STAIRCASE SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDEJ LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH A p Up Walls AIM L N/A Y Closet Door j AIM L N/A Y A B Low Walls L NIA Y Cl Casing AIM L NIA Y A B Baseboards b. AIM L NIA Y Closet Jamb AIM L N/A Y A B Chair Rail AIM L N/A Y Closet Walls AIM L N/A Y Radiator AIM L N/A Y CI Baseboard AIM L N/A Y Floor Q/ AIM L NIA Y Closet Pole AIM L N/A Y Ceiling AIM L N/A Y Closet Shelf AIM L NIA Y Door I$0' AIM L N/A Y Cl Supports AIM L N/A Y Door Casing AIM L N/A Y Closet Floor AIM L N/A Y Door Jamb AIM L N/A Y Closet Ceiling AIM L N/A Y Threshold AIM L NIA Y Newel Post AIM L N/A Y Door v AIM L N/A Y Railing Cap Q. AIM L NIA Y Door Casing AIM L NIA Y Handrail AIM L NIA Y Door Jamb AIM L N/A Y Balusters AIM L NIA Y Threshold AIM L NIA Y Lower rail AIM L NIA Y �7 Door AIM L NIA Y Treads AIM L N/A Y t Door Casing V. AIM L NIA Y IRisers AIM L NIA Y Door Jamb 0. AIM L N/A Y Stringer AIM L N/A Y Threshold AIM L N/A Y Door AIM L N/A Y Door AIM L NIA Y Door Casing AIM L N/A Y Door Casing AIM L NIA Y Door Jamb AIM L NIA Y Door Jamb AIM L NIA Y Threshold AIM L NIA Y Threshold AIM L NIA Y Floor Casing AIM L N/A Y Door AIM L NIA Y C C44'r3 M/I AIM L N/A Y Door Casing AIM L N/A Y -- M/I AIM L N/A Y Door Jamb AIM L N/A Y � M/I AIM L N/A Y Threshold AIM L NIA Y M/I AIM L N/A Y Window Sill ll AIM /A Y M/I AIM L N/A Y Win Apron AIM L N/A Y M/I AIM L N/A Y Win Casing AIM L NIA Y M/I AIM L N/A Y Header Stop Mll AIM L NIA Y MA AIM L N/A Y Int Stops M/I AIM L NIA Y COMMENTS I STRUCTURAL DEFECTS: Win Int Sash M/I AIM L N/A Y Exterior Sill AI L N/A Y Part Bead 3 MII AI L kA A Y Blind Stop , M/I A/ L Y Win Ext Sash AI L NIA Y EXCLUDED SURFACES:Surfaces listed in these boxes can be made intact only by a licensed deleader. SIDE LOCATION MEASURE:LOOSE PAINT IC IC SIDE LOCATION MEASURE:LOOSE PAINT IC IC (MORE THAN 288 SQ.IN.) DATE METHOD (MORE THAN 288 SQ.IN.) DATE METHOD I.1/RA RcpSlair, 1/17/02 � X Address: Page of 118 Scudder Lane, Hyannis 02601 January 4, 2005 Frederic J. Hemmila, Inspector#12736&Risk Assessor A RA2736 JAA EXTERIOR-SIDE SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE MET-I DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH Siding AIM L NIA Y Window Sill AI L N/A Y Corner Board A/ L N/A Y Win Casing C� AI NIA Y Lower Trim AIM L N/A Y Window Sash AIM L NIA Y Upper Trim AI L IA Y /�„Window Sill /M NIA Y Win Above 5' Al /A Y Win Casing A LI N/A Y Porch Above 5' AIM N/A Y Window Sash AIM NIA Y Storm Door AIM L N/A Y Window Sill /M NIA Y Door AIM L N/A Y Win Casing AI NIA Y Door Casing AIM L N/A Y Win Sash AIM NIA Y Door Jamb AIM N/A Y /� Window Sill G' IM NIA Y Threshold AIM L NIA Y ff Win Casing AIML NIA Y Kickplate AIM L NIA Y Win Sash AIM L N/A Y Storm Door AIM L N/A Y �� �L M 'N/A Y Door AIM L N/A Y w:a(il3cldu 7 N/A Y Door Casing AIM L NIA Y I�h AIML NIA Y Door Jamb AIM L N/A Y Cellar Win Sill AIM L N/A Y Threshold AIM L N/A Y Cel Win Sash AIM L NIA Y Kickplate AIM L N/A Y Cel Win Frame AIM L N/A Y Door AIM L N/A .Y Foundation AIM L N/A Y Door Casing AIM L N/A Y Bulkhead ; AIM L N/A Y 14 Door Jamb AIM L NIA Y Fences AIM L NIA Y Threshold AIM L N/A Y Shutters .�. AIM L NIA Y Door AIM L NIA Y Newel post AIM L N/A Y Door Casing AIM L N/A Y Railing Cap AIM L NIA Y Door Jamb AIM L NIA Y Handrail AIM L NIA Y Threshold AIM L N/A Y Balusters AIM L N/A Y (d Window Sill , /M NIA Y Lower Rail AIM L NIA Y P —• U51 Win Casing AI L NIA Y Treads AIM L NIA Y Window Sash A/MIQ N/A Y Risers AIM L NIA Y Window Sill /M N/A Y Stringer AIM L N/A Y Win Casing AI L N/A Y Win Box AIM L N/A Y Window Sash AI L N/A Y i Supports AIM L NIA Y COMMENTS/STRUCTURAL DEFECTS: Downspouts AIM L NIA Y AIM L N/A Y AIM L NIA Y -4 I L AIM L N/A Y Excluded Surfaces: Surfaces listed in this box can be made Soil Test Results intact only by a licensed deleader (Must be less than 400 ppm for play area/1200 ppm for bare soil) SIDE LOCATION MEASURE:LOOSE PAINT IC IC LOCATION AREA MEASURIENIENT RESULT REMED REMED (MORE THAN 1440 SO.IN.) DATE METH (Square Feet) (PPM) DATE METH Play Area Bare soil Comments: Address: Page G P 6 of 118 Scudder Lane, Hyannis 02601 January 4, 2005 Frederic J. Hemmila, Inspector#12736&Risk Assessor#RA2736 J4 ILI M. L ti/ EXTERIOR-SIDE SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH Siding AIM L N/A Y Window Sill) AIM N/A Y Corner Boards "�� AIM ` N1A Y Win Casing 7 A—/M(L)N/A Y Lower Trim AIM L NIA Y Window Sash AIM L NIA Y Upper Trim A/ L N/A Y Window Sill y /M L IA Y Win Above 5' AI N/A Y 6 Win Casing �� Al NIA Y Porch Above 5' AIM L N/A Y Window Sash AIM N/A Y Storm Door AIM L N/A Y Window Sill IM L IA Y Door AIM L N/A Y Win Casing AIM L N/A Y Door Casing AIM L NIA Y Win Sash AIM N/A Y Door Jamb AIM L N/A Y Window Sill IM N/A Y Threshold AIM L N/A Y Win Casing ` :1 AIM NIA Y Kickplate AIM L N/A Y Win Sash AIM NIA Y Storm Door AIM L N/A Y (y;Ij.CI AIM /A Y Door AIM L NIA Y Itil�,CA,5iAX M^ NIA Y Door Casing AIM L N/A Y (�Ai s j AIM N/A Y Door Jamb j AIM L NIA Y Cellar Win Sill AIM L IA Y Threshold AIM L NIA Y Cel Win Sash AIM L NIA Y Kickplate AIM L N/A Y � Cel Win Fram A/ L IA Y Door AIM L NIA Y Foundation AIM L N/A Y Door Casing AIM L NIA Y Bulkhead AIM L N/A Y Door Jamb AIM L NIA Y Fences —; AIM L NIA Y Threshold AIM L NIA Y Shutters ! AIM L N/A Y Door AIM L NIA Y Newel post AIM L NIA Y Door Casing AIM L NIA Y Railing Cap AIM L NIA Y Door Jamb AIM L N/A Y Handrail AIM L NIA Y Threshold AIM L NIA Y Balusters AIM L NIA Y n_ Window Sill /M L IA Y Lower Rail AIM L N/A Y `CJ Win Casing AIM L NIA Y Treads AIM L N/A Y Y Window Sash AIM L NIA Y Risers AIM L N/A Y (d, Window Sill 2 j AIM NIA Y Stringer AIM L N/A Y IJ Win Casings AI L N/A Y Win Box AIM L N/A Y Window Sash Al L NIA Y Supports AIM L NIA Y COMMENTS I STRUCTURAL DEFECTS: Downspouts j AIM L N/A Y Al L NIA Y IM L N/A Y AIM L NIA Y Excluded Surfaces: Surfaces listed in this box can be made Soil Test Results intact only by a licensed deleader (Must be less than 400 ppm for play area 11200 ppm for bare soil) SIDE LOCATION MEASURE:LOOSE PAINT IC IC LOCATION ARI.:A MEASUREMENT RESULT REMED REMED (MORE THAN 1440 SO,IN.) DATE METH (Square Feet) (PPM) DATE METH Play Area Bare soil Comments: Address: Page C-7 of 118 Scudder Lane, Hyannis 02601 January 4, 2005 Frederic J. Hemmila, Inspector#12736&Risk Assessor#RA2736 Ct/ EXTERIOR-SIDE-Cl— SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEADI TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH Siding _ AIM L N/A Y WiVGGIndow Sill AIM L IA Y Corner Board � Al L IA Y Win Casing �C M IA Y CLower Trim AIM L N/A Y Window Sash AIM L N/A Y Upper Trim AI QNIA Y C Window Sill A/M• A Y Win Above 5' AI L N!A Y Win Casing r IM I /A Y Porch Above 5' AIM L NIA Y Window Sash A/PAt L IA Y Storm Door AIM L NIA Y Window Sill AIM L N/A Y Door ^1 AIM L N/A Y lWin Casing AIM L N/A Y Door Casing AIM L NIA Y Win Sash AIM L NIA Y Door Jamb AIM L N/A Y Window Sill AIM L N/A Y Threshold AIM L N/A Y Win Casing AIM L NIA Y Kickplate AIM L N/A Y Win Sash AIM L N/A Y Storm Door AIM L N/A Y / 11khedi) in Sill AIM /A Y Door • AIM L N/A Y (_. Win-Sash AIM NIA Y Door Casing AIM L N/A Y Frame AIM L lA Y Door Jamb AIM L N/A Y in Sill A M L NIA Y Threshold AIM L N/A Y Sash • AIM L NIA Y Kickplate AIM L NIA Y Frame AIM L N/A Y Door AIM L N/A Y ion AIM L NIA Y Door Casing AIM L N/A Y CI AIM L N/A Y Door Jamb AIM L NIA Y (� Fences AIM L N/A Y Threshold • A/M L N/A Y Shutters A/M L N/A Y Door AIM L N/A Y Newel post AIM L N/A Y Door Casing A/M L NIA Y Railing Cap AIM L N/A Y Door Jamb AIM L N/A Y Handrail AIM L N/A Y Threshold AIM L NIA Y Balusters AIM L NIA Y (1 Window Sill /M N/A Y Lower Rail • AIM L NIA Y �j Win Casing AI NIA Y Treads AIM L NIA Y Window Sash AI NIA Y Risers • AIM L N/A Y Window Sill A/M L /A Y Stringer AIM L NIA Y C Win Casing A! IA Y Win Box AIM L N/A Y Window Sash AI N/A Y Supports AIM L N/A Y COMMENTS I STRUCTURAL DEFECTS: Downspouts AIM L N/A Y N/A Y AIM L NIA Y AIM L N/A Y Excluded Surfaces: Surfaces listed in this box can be made Soil Test Results intact only by a licensed deleader (Must be less than 400 ppm for play area 11200 ppm for bare soil) SIDE LOCATION MEASURE:LOOSE PAINT IC IC LOCATION AREA MEASUREMENT RESULT REMED REMED (MORE THAN 1440 SO.IN.) DATE METH (Square Feet) (PPM) DATE METH Play Area Bare soil Comments: Address: ! Page of 118 Scudder Lane, Hyannis 02601 January 4, 2005 Frederic J. Hemmila Inspector#12736&Risk Assessor#iRA2736 M. EXTERIOR-SIDE SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC JDELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH Siding AIM L NIA Y gindill AIM L NIA Y Comer Boards A/ L IA Y ng , AIM N/A Y n Lower Trim AIM L N/A Y ash AIM L IA Y J Upper Trim A/ L N/A Y Sill AIM L NIA Y Win Above 5' AIM IA Y ng AIM L NIA Y Porch Above 5' AIM L NIA Y Sash AIM L NIA Y Storm Door AIM L NIA Y Sill AIM L NIA Y Door AIM L N/A Y ing AIM L NIA Y pDoor Casing �� I L NIA Y nash AIM L NIA Y Door Jamb A/ L N/A Y Window Sill AIM L N/A Y Threshold AIM L. N/A Y Win Casing AIM L N/A Y Kickplate AIM L N/A Y Win Sash AIM L NIA Y Storm Door AIM L N/A Y Cellar Win Sill AIM L NIA Y Door , AIM L NIA Y Cel Win Sash (� AIM L NIA Y Door Casing AIM L. N/A Y Cel Win Frame IM L NIA Y Door Jamb AIM L N/A Y (� Cellar Win Sill A M L NIA Y Threshold AIM L. N/A Y j/ Cal Win Sash AIM L NIA Y Kickplate AIM L NIA Y Cel Win Frame AIM NIA Y ZAV— Door AIM L NIA Y Foundation AIM L N/A Y Door Casing AIM L. N/A Y Bulkhead ; AIM L N/A Y Door Jamb AIM L NIA Y Fences AIM L NIA Y Threshold AIM L NIA Y Shutters ! AIM L NIA Y Door AIM L NIA Y Newel post AIM L N/A Y Door Casing AIM L NIA Y n Railing Cap C). AIM L NIA Y Door Jamb AIM L. NIA Y F' Handrail '—" AIM L NIA Y Threshold AIM L NIA Y Balusters ,p AIM L NIA Y Window Sill , Al L N/A Y Lower Rail e)� AIM L N/A Y ff II in Casing Al L NIA Y Treads AIM L N/A `Y M'Window Sash � AIM L NIA Y Risers �� AIM L NIA Y Window Sill AIM L NIA Y Stringer U AIM L NIA Y Win Casing AIM L NIA Y Win Box AIM L NIA Y Window Sash AIM L N/A Y Supports AIM L N/A Y COMMENTS I STRUCTURAL DEFECTS: Downspouts A/M L N/A Y AIM L NIA Y AIM L NIA Y AIM L N/A Y Excluded Surfaces: Surfaces listed in this box can be made Soil Test Results intact only by a licensed deleader (Must be less than 400 ppm for play area 11200 ppm for bare soil) SIDE LOCATION MEASURE:LOOSE PAINT IC IC LOCATION AREA M1:ASUREMEN F RESULT REMED REMED (MORE THAN 1440 SO.IN.) DATE METH (Square Feet) (PPM) DATE METH Play Area Bare soil Comments: Address: Page of 118 Scudder Lane, Hyannis 02601 January 4, 2005 Frederic J. Hemmila, Inspector#12736&Risk Assessor#F:A2736 � I(P—A I SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD A SURFACE HAZARD HAZ? DATE METH DATE METH C SURFACE HAZARD HAZ? DATE METH DATE METH Siding AIM L N/A Y Siding A/M L N/A Y A Comer Boards AIM L N/A Y C Corner Boards Jt.•' AIM L N/A Y Lower Trim AIM L N/A Y Lower Trim AIM L N/A Y VDoorCasing im Al L IA Y Upper Trim A/M L NIA Y AIM NIA Y Door A/M L NIA Y Aing AIM L N/A Y C Door Casing AIM L N/A Y b AIM L N/A Y Door Jamb A/M L N/A Y AIM L NIA Y Threshold AIM L N/A Y ill A/M L N/A Y Window Sill IM N/A Y Ang AIM L N/A Y C Win Casing IA Y �' / AIM L NIA Y Win Sash A/M L IA Y A Foundation ALL AIM L N/A Y C Foundation AIM COMMENTS I STRUCTURAL DEFECTS- COMMENTS I STRUCTURAL DEFECTS: EXCLUDED SURFACES: Surfaces listed in these boxes can be made intact only by a licensed deleader. SIDE LOCATION MEASURE:LOOSE PAINT IC IC SIDE LOCATION MEASURE:LOOSE PAINT IC IC A (MORE THAN 1440 SQ.IN.) DATE METHOD C (MORE THAN 1440 SO.IN.) DATE METHOD A C A C A j C SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD B SURFACE HAZARD HAZ? DATE METH DATE METH D SURFACE HAZARD HAZ? DATE METH DATE METH Siding A/M L N/A Y Siding AIM L N/A Y B Corner Boards AIM L N/A Y D Corner Boards AIM L IA Y Lower Trim AIM L N/A Y Lower Trim AIM L N/A I Y Upper Trim A/M L N/A Y I jUpperTrim AIM IA Y Door AIM L N/A Y Door /AIM L NIA Y B Door Casing AIM L N/A Y D Door Casing A/M L IA Y Door Jamb AIM L N/A Y Door Jamb AIM L N/A Y Threshold AIM L. N/A Y Threshold AIM L N/A Y Window Sill A/M L N/A Y Window Sill A/M L N/A Y B Win Casing AIM L N/A Y D Win Casings ', AIM L N/A Y t Win Sash AIM L N/A Y Win Sash GL AIM L N/A Y B Foundation AIM L N/A Y D Foundation AIM L N/A I Y COMMENTS I STRUCTURAL DEFECTS: COMMENTSI STRUCTURAL DEFECTS:. EXCLUDED SURFACES: Surfaces listed in these boxes can be made intact only by a licensed deleader. SIDE LOCATION MEASURE:LOOSE PAINT IC IC SIDE LOCATION MEASURE:LOOSE PAINT IC IC B (MORE THAN 1440 SO.IN.) DATE METHOD D (MORE THAN 1440 SO.IN.) DATE METHOD B D B D B D LI/RA RepGarage, I/17/02 Barnstable County Sheriff's Office r I hereby certify and return that on December 15, 2004 at 2:30 PM I served a true and attested copy of Order to Correct Violations, in hand to the within named Defendant, Donna Webber, at the last and usual abode to wit: 118 Scudder Avenue, Hyannis, MA 02601. Fee: $46.40 Brad Parker, Deputy Sheriff PO Box 614, Centerville, MA 02632 Town of Barnstable Regulatory Services Thomas F.Geiler,Director �snttivnat,�, rt Public Health Division A. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 ORDER TO CORRECT VIOLATIONS) DATE: 12/9/2004 Donna Webber 118 Scudder Ave. f Hyannis, MA 02601 Owner or agent of the property located at C-3 - �,i sue, -, 118 Scudder Ave. Hyannis, 02601: Be advised that an agent of the Board of Health has determined certain portions of this residential.-' , property to be in violation of the State Sanitary Code, 105 Code of Massachusetts Regulations ;.-, (CMR) 410.750(J). This violation also constitutes a violation of the Lead Law, Massachusetts General Laws (MGL), chapter 111, section 197, and the Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. If you already have a Letter of Compliance, contact this..,agency and the state Department of.Public Health Childhood Lead Poisoning Prevention Program(DPH/CLPPP), at 1 (800) 532-9571, immediately. Be prepared to forward your paperwork, including Letter of Compliance, and all lead inspection and reinspection reports to this agency and DPH/CLPPP. In most cases, the law gives you a 30- day maintenance period to repair violations after a Letter of Compliance exists, but if so, that time begins to run with your receipt of this Order. Conditions exist in this residence which may endanger and/or materially impair the health of the occupants of these premises. DECLARATION OF EMERGENCY The Director of the Massachusetts Department of Public Health Childhood Lead Poisoning Prevention Program and the Board of Health declare that the presence of this violation of the Lead Law and the Regulations for Lead Poisoning Prevention and Control constitutes an BHOTCDET.DOC 1/2000 emergency pursuant to the Lead Law, MGL chapter 111, section 198 and within the meaning of the Sanitary Code, 105 CMR 400.200(B). CORRECTION OF LEAD VIOLATION(S) The Lead Law, MGL c. 111, §§189A-199B, and the Department of Public Health's Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000, require the owner of a residential y premises or dwelling unit built before 1978 in which a child under the age of six lives have lead paint violations either abated and contained(referred to as "deleading") for full compliance or brought under interim control. If you are interested in interim control, then you must hire a licensed private risk assessor to perform a risk assessment and issue a lead inspection/risk assessment report before you proceed. If you are interested in deleading for full compliance, then you must hire a licensed private lead inspector to perform a lead inspection and issue a Lead Inspection Report before you proceed. The Lead Law,the Department of Labor and Workforce Development's Deleading Regulations, 454 CMR 22.00, as well as the Regulations for Lead Poisoning Prevention and Control require that residential deleading work be done by appropriately trained and authorized people. Any high-risk deleading activities—primarily stripping and scraping lead paint to bare substrate— must be performed by licensed deleading contractors. Moderate-risk deleading work—removing windows and all residential surfaces with the exception of walls and ceilings, as well as making intact small areas of deteriorated lead paint—may be performed by an owner or owner's agent after taking the course of instruction and meeting the requirements of 105 CMR 460.175, or licensed lead-safe renovation contractors. Low-risk deleading—mainly applying coverings, such as carpet, vinyl, Sheetrock, aluminum,plywood, Plexiglas and acrylic,to surfaces, applying encapsulants and removing doors—may be performed by owners and owners' agents who meet the requirements of 105 CMR 460.175. These rules on who is authorized to perform what kind of deleading work apply whether the work is being done for full compliance or for interim control. An owner or owner's agent may also make structural repairs, as defined in 105 CMR 460.020, and clean leaded dust, as may be required for interim control. ORDER You are hereby ordered to remedy all violations of MGL c. 111, §197 and 105 CMR 460.000, as identified by a licensed private lead inspector. If you wish to pursue interim control, you must remedy all urgent lead hazards identified by a licensed private risk assessor. Whether you pursue full compliance or interim control, you must correct the relevant violations in accordance with the following schedule: Within sixty(60) days of your receipt of this Order, you must provide to this agency a copy or copies of 1)the Lead Inspection/Risk Assessment report of the licensed private lead inspector or risk assessor, and 2) a signed contract or contracts with people authorized to perform the risk level or levels of deleading work involved(referred to as "authorized persons"). If you or your agent will be doing moderate-risk or low-risk deleading work, you must also provide within sixty(60) days a copy of your or your agent's certificate of BHOTCDET.DOC 1/2000 instruction. Any contract or contracts must specify, and if you or your agent will be performing work, then you or your agent must attest in writing,that the work will be completed according to the following schedule: (a) Within ninety (90) days of your receipt of this Order: Abatement of interior dwelling unit violations must be completed. In addition, any interior doors that were abated must be in place, any surface preparation necessary for encapsulation must be completed and any interior dwelling unit surfaces that contained loose lead-based paint at the initial inspection and were covered as a low-risk activity while still loose must be completely covered. Finally, any such work must be documented by a private lead inspector, or for interim control a private risk assessor,to have been satisfactorily completed within this timeline. (b) Within 120 days of your receipt of this Order: Any interior common area and exterior deleading work, and any remaining interior dwelling unit low-risk deleading work or interim control work must be completed. Any such work must be documented by a private lead inspector, or for interim control a private risk assessor, to have been satisfactorily completed within this timeline. Dust sample results and reinspection report(s) issued by the licensed private lead inspector or risk assessor must be submitted to this agency, along with the compliance document. Any contract with an authorized person must specify, and if you or your agent will be performing deleading work without a contract,you are responsible for making sure,that the unit meets acceptable lead dust levels under 105 CMR 460.170, as determined by the results of sampling done by the licensed private lead inspector or risk assessor. Should any of the dust samples fail to meet acceptable standards,the last authorized person who performed high- or moderate-risk work will be required to reclean the entire unit until all dust samples meet acceptable levels, unless dust samples fail three times, in which case a licensed deleader will be required to reclean the entire unit until all dust samples meet acceptable levels. In the event that no high- or moderate-risk deleading work occurred, the authorized person who performed low-risk deleading work will be required to reclean the entire unit until all dust samples meet acceptable levels, again, subject to the same condition stated above in the event dust samples fail three times. PROSECUTION AND CIVIL PUNITIVE DAMAGES Failure to comply with any of the deadlines set out above will require this agency to initiate criminal or civil proceedings against you within seven(7)business days. Compliance with this Order will be determined by this agency's receipt of the appropriate documents within the specified deadlines. The documents consist of the following: a) the initial Lead Inspection/Risk Assessment report of the licensed private lead inspector or risk assessor, and,if any deleading work is necessary, a copy or copies of a signed and dated contract or contracts with authorized persons; b) if you or your agent will be doing moderate- or low-risk deleading work, a copy of your or your agent's certificate of instruction, and if you or your agent will be doing such BHOTCDET.DOC 1/2000 work or structural repairs and lead-dust cleaning for interim control, a signed written statement attesting that the work will be completed in accordance with the required timelines; c) a Letter of Lead Paint(Re)occupancy(Re)inspection Certification issued by a licensed private lead inspector or risk assessor, in cases in high-or moderate-risk deleading work occurred,requiring occupants to be relocated from the unit for the duration of the work; d) copies of results of all dust samples taken by the licensed private lead inspector or risk assessor,and copies of all reinspection report(s) issued by a licensed private lead inspector or licensed private risk assessor; e) a Letter of Full Deleading Compliance issued by a licensed private lead inspector or a Letter of Interim Control issued by a licensed private risk assessor. In addition, you must make sure this agency receives a copy of the deleading notification(s) at least ten(10) days before the start of any deleading, no matter who is performing the work, whether it is for full compliance or interim control. The law provides penalties of up to $500 for each day of noncompliance. In addition,you may become liable for civil punitive damages equal to three times any actual damages for failure to comply with this order if a child becomes poisoned. CORRECTION OF VIOLATION BY CODE ENFORCEMENT AGENCY If within the time periods stipulated above this residential property is not brought into full compliance or interim control, this agency may contract with an authorized person or authorized persons to correct the violation(s) and obtain a Letter of Full Deleading Compliance or a Letter of Interim Control, and bill the owner, or initiate court action to reimburse itself. RIGHT TO A HEARING You may request a hearing pursuant to 105 CMR 460.900 of the Regulations for Lead Poisoning Prevention and Control, in conjunction with the procedures of 105 CMR 400.200(B),the Sanitary Code provision for hearings in emergency public health matters. As already noted,the aforementioned violation constitutes an emergency. (See"Declaration of Emergency" section.) As such, you may request a hearing only if you have complied with this Order. The hearing will be provided within ten days of your request. This agency shall issue a written decision within seven days after the hearing. n /V( Inspector Director Telephone'ro 0(J pC- Certified Mail No. BHOTCDET.DOC 1/2000 Town of Barnstable Regulatory Services Thomas F.Geiler,Director Public Health Division fptThomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 DATE: 12/9/2004 Donna Webber 118 Scudder Ave. Hyannis, MA. 02601 Dear Donna Webber : Donna Miorandi of the Barnstable Health Department did a lead paint determination of the home or apartment you own at 118 Scudder on 8/18/2004. This determination found lead paint in violation of the Lead Law, Massachusetts General Laws, chapter 111, section 197, and the Massachusetts Department of Public Health's (DPH's)Lead Poisoning Prevention and Control Regulations, 105 Code of Massachusetts Regulations (CMR)460.000. These laws require owners of homes or apartments built before 1978 to have lead paint violations deleaded for full compliance or brought under interim control when a child under six years old lives there. A private risk assessor has to do a risk assessment and give you a lead inspection/risk assessment report before you can go ahead with interim control. A private lead inspector has to do a lead inspection and give you a lead inspection report before you can go ahead with deleading for full compliance. If you already have a Letter of Compliance, contact this agency and the state Childhood Lead Poisoning Prevention Program, at 1 (800) 532-9571,immediately. ' The Order that comes with this letter has important information telling you: • what you have to do • what deadlines to meet • what documents you have to send to this agency • who can do the necessary work • what the penalties are for not meeting the Order's requirements. BHCOV.DOC 1/2000 Please call me at this office at 508-862-4639 as soon as possible to discuss this Order and how to meet it. To help you take the first step—getting a full inspection or risk assessment—a list of lead inspectors is enclosed. We recommend that you check references and check if the inspector is still licensed. You can check on the license by calling the state Department of Public Health's Childhood Lead Poisoning Prevention Program(CLPPP)before hiring an inspector. To get a list of risk assessors for interim control, call CLPPP's central office at 1-800-532-9571. You can also L get'two other helpful materials from CLPPP. One is a guide explaining all the choices for full compliance deleading and interim control. The other has places to call to get money to help with deleading. Again, you can get these by calling CLPPP at the number above. Requirements for Doing Deleading Work High-risk deleading: If you need to or choose to have high-risk deleading work done, such as having lead paint stripped or scraped, you have to hire a deleading contractor. A list of deleading contractors is also enclosed. Just as in the.case of inspectors,we recommend you check references and check if the deleader is still licensed. You can check on the license by calling the state Department of Labor and Workforce Development(DLWD) at 1-800-425-0004. Moderate-risk deleading: Before you or your agent can do moderate-risk deleading work, such as removing windows and woodwork,you have to take a course,pass it and get a certificate from CLPPP. These courses are given by a number of groups and organizations at various places, times and prices. To find out about when and where the courses are, call CLPPP at 1-800-532- 9571. Remember that you still have to meet the deadlines in the Order. If a course for owners to do moderate-risk deleading is not available at a convenient time or place for you to meet the deadlines of this Order, you won't be able to do moderate-risk deleading work yourself. You then have to use other methods to delead, or hire a licensed lead-safe renovation contractor. To get a list of these contractors, or to check their licenses, call DLWD at 1-800-425-0004. Low-risk deleading: Before you or your agent can do only low-risk deleading work, such as covering surfaces, you have to read the CLPPP low-risk booklet,take a self-corrected exam that you send in to CLPPP, and get a certificate from CLPPP. If you want to encapsulate,you have to first call CLPPP's encapsulant coordinator, who will go over,your inspection report with you and discuss surfaces that may be good for encapsulation. You have to read CLPPP's encapsulation booklet,take a self-corrected exam that you send in to CLPPP and get a certificate from CLPPP. To get a free copy of the low-risk booklet, or to speak to the CLPPP encapsulant coordinator, call CLPPP at 1-800-532-9571. Interim control work: If you or your agent will be doing other work for interim control, such as structural repairs and cleaning of leaded dust, you have to take safety steps and clean up in the way described in the CLPPP booklet for interim control. To get a copy of this interim control booklet, call CLPPP at the above number. Deleading work has to be carefully done to be safe. To protect the people who live in the home or apartment,you have to keep them out of the home or apartment, or area being worked on, in these ways: • All people and pets have to be temporarily moved from the home or apartment for the whole BHCOV.DOC 1/2000 time that high- or moderate-risk deleading work is taking place inside the home or apartment. You have to provide the residents with a reasonable alternative place to live for this period. People and pets who have been temporarily moved from their home or apartment can only come back after a licensed private lead inspector or licensed private risk assessor says it is safe for them to return. The inspector or risk assessor does this after reinspecting the home, including taking dust samples to assure that lead dust levels meet approved standards. This reinspection will be done at least three hours after deleading work is all done. • People and pets have to stay out of the work area while you or your agent does most low-risk deleading work or structural repairs or cleaning of lead dust. They also have to stay out of the THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m ^ E DATA 'work area while there's-any deleading work in common areas outside the home or apartment, as long as they have another regular way(not a fire escape)to go in and out of the building. In these cases,people and pets can use the area after cleanup following the end of the work in that area. • People and pets have to stay out of the home or apartment for the workday while you or your agent put coverings over a surface with peeling, chipping or cracking lead paint or plaster, or during applying of encapsulants with an airless sprayer. They also have to stay out for the day during deleading in common areas when they do not have another regular way(not a fire escape)to go in and out of the building. When people and pats are out of their home or apartment for the day, it means they can come back to the home or apartment after cleanup at the end of the workday, and don't have to be out overnight. All work for deleading and interim control has to be neatly and properly done, in a professional way, and the home or apartment has to be returned to a condition that meets the requirements of the State Sanitary Code. Deleaded surfaces can't be repainted until after they have passed reinspection by a licensed private lead ins a,* ssessor. You have to give writ+P- it violations to all other residents of the building. " - - - closed for that purpose. You also have t ��. report, and any r ', M x gad inspection/risk assessment olders of record. If you have questi , =k �` � ,ad Poisoning Prevention and Control Regulation .� - r� ffice (1-800-532-9571 or 617- 753-8400). If you h - id Workforce Development's 0004 or 617-727-193 (DLWD)Deleading N�` �� ti'�D central office (1-800-425- Remember to refer to s. - at you have to do. a V Insp6 t& Director Telephone:5O8-862-4644 BHCOV.DOC 1/2000 Town of Barnstable Department of Health,Safety,and Environmental Services Public Health Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Thomas A McKean,RS,CHO FAX: 508-775-3344 Director of Public Health LEAD DETERNIINATION REPORT FORM Date of Determination: 8/18/2004 Inspector: Donna Miorandi License#: 6051 Method Used: X Sodium Sulfide Expiration date: 10/8/2004 X-Ray Fluorescence Model: Serial#: Property Address:118 Scudder Ave. Apt.#2 Hyannis,MA Description of Property: Single family X Multi-family #units 2 Garage Fence Other structures Age of Property: X Pre-1978 Post-1978 Occupant:Elise Vanderschmidt Occupants under six year of age: Mathew(5) Occupant's Telephone: 508-778-1935 Property Owner(s): Donna Webber Owner's Address: 118 Scudder Ave.Hyannis,MA 02601 Owner's Telephone: 508-778-0687 Lead Hazards found? Yes X No An X-ray fluorescence reading equal to or greater than 1.0 mg/cm2 or a gray or black reaction to sodium sulfide indicates a dangerous level of lead and constitutes a positive determination. Deleading should not be undertaken based on this report.A licensed lead inspector must do a full inspection in order for you to qualify for a Compliance Letter.Deleading of lead painted surfaces must be performed by an appropriately authorized person,including a licensed deleading contractor,a licensed lead-safe renovator, and an owner/agent who is trained to perform specific work as required under the Lead Law. Contact the Childhood Lead Poisoning Prevention Program for additional information regarding deleading and training. Determination Report form without letterhead.doc rev 8/02 LOCATION SOURCE Pb 1. Child's bedroom Window parting bead/exterior sill area pos 2. Child's bedroom Window sill pos 3. Living room Window parting bead/exterior sill area 4. Kitchen Window parting bead/exterior sill area 2 x pos 5. Interior Flaking paint 6. Exterior Flaking paint 7. Exterior Cellar window units 8. Exterior Window sills below 5' 9. Exterior Main entry door casing 10. Interior Outside comer of baseboard 11. Kitchen or Bathroom Chair rail 12. Bathroom Window sill 13. Exterior Threshold 14. Interior hallway(common area) Stair tread or stringer 15. Interior hallway(common area) Balusters 16. Interior hallway(common area) Door casing pos 17. Porch Stair tread or riser 18. Porch Railing cap 19. Porch Balusters 20. Porch Support columns(<6" diameter or square) 21. Porch Staircase stringer 22. Exterior Bulkhead 23. Garage/Outbuilding Door casing br jamb 24. Interior Closet door or baseboard(uncapped) 25. Interior Cabinet door, shelf,or wall 26 Adult and child bedroom Window sill pos 27 Living room Sill Pos 28 Baseboard Hall Pos Determination Report form without letterhead rev 1/00 ' �pFSHE Tay, Town of Barnstable Regulatory Services BAMSrnat.E. v� 1MASS. g� Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 DISCLARv ER CONCERNING LEAD DETERMINATION REPORT The information contained in this report concerning the presence of lead paint does not constitute a comprehensive lead inspection. The surfaces tested represent only a portion of those surfaces that would be tested to determine whether the premises are in compliance with the Massachusetts Lead Poisoning Prevention Law(Massachusetts General Laws,chapter 111, sections 189A through 199B). Serious lead poisoning hazards are created when materials containing lead paint are disturbed, unless proper safety guidelines are followed. Therefore,Massachusetts's law requires that: A licensed deleader must do all high risk deleading, such as scraping or the use of caustics. Property owners, their unlicensed agents, and licensed lead-safe renovators may do some deleading activities without a deleader's license. Before they do so, though, owners, their agents, and lead-safe renovators must become trained and receive authorization to perform these activities. Owners and their agents should contact the Childhood Lead Poisoning Prevention Program for more information on the specific activities they may perform and on how to become trained and authorized to perform these deleading activities.Lead-safe renovators are licensed by the Department of Labor and Workforce Development and should contact them for training and authorization requirements. Letters of Full Compliance will be withheld if unauthorized deleading has occurred. Any renovating or rehabilitation of premises containing dangerous levels of lead paint must be done in compliance with the procedures set forth in the Deleading Regulations issued by the Department of Labor and Workforce Development (454 Code of Massachusetts Regulations 22.11), including sealing off the work area from adjacent areas,and performing a thorough clean- up Any deleading work done on the basis of this report will not qualify the property owner for a state income tax credit, nor will the cost of such deleading be reimbursable under any state loan or grant program. In order to qualify for such programs, the.premises must first be subject to a comprehensive lead paint inspection. If a child under six resides in this dwelling, the property owner may face criminal or civil liabilities unless all lead paint violations have been corrected. This lead report cannot assure that the property owner has met his or her obligations under the law. It is unlawful for rental property owners to use the presence of lead as the basis for discrimination against tenants or potential tenants with young children. Drive???Determination Disclaimer without letterhead.doc rev 1/00 The Commonwealth of Massachusetts r Executive Office of Health and Human Services Department of Public Health V Childhood Lead Poisoning Prevention Program ARGEO PAUL CELLUCCI 470 Atlantic Avenue, Second Floor GOVERNOR Boston, MA 02210-2208 LIEUTENANT GO ERNOR (617) 753-8400/ 800-532-9571 WILLIAM D.O'LEARY SECRETARY HOWARD K.KOH,MD,MPH COMMISSIONER RESIDENTIAL DELEADING ADVISORY The process of removing or covering lead paint hazards, commonly called deleading, can be dangerous if it is not done properly. That's why the Lead Law(Massachusetts General Laws chapter 111, sections 189A through 199B),the Regulations for Lead Poisoning Prevention and Control (105 Code of Massachusetts Regulations 460.000) and the Deleading Regulations (454 CMR 22.00)have rules for how deleading is done in homes and apartments. These rules say who can do the work, safety steps that have to be taken while the work is done,how to clean up after the work and how the work is finally approved. These rules are enforced by the Department of Public Health's Childhood Lead Poisoning Prevention Program(CLPPP),the Department of Labor and Workforce Development(DLWD) and local boards of health. Who can do deleading work Under these laws, only a licensed deleading contractor can do high-risk work, such as scraping or stripping lead paint,repairing more than a small amount of chipping or peeling lead paint so it can be repainted, and demolishing lead-painted building parts. Besides deleaders, property owners and their agents who take a one-day course can do moderate-risk deleading work, such as removing windows,woodwork, and just about any surface of a house, as well as repairing small amounts of chipping and peeling lead paint so it can be repainted. Lead-safe renovators trained and licensed by DLWD may also be hired to do moderate-risk deleading work. Finally, low-risk deleading work can be done by all the people who can do high-or moderate-risk deleading work, and also owners and their agents, including contractors, who just complete the CLPPP low-risk booklet(and/or encapsulant booklet). Low-risk deleading means covering surfaces, applying encapsulants, capping baseboards, removing doors, cabinet doors and shutters, and applying exterior siding. Property owners and their agents may also do structural repairs and lead-dust cleaning for interim control. Staying out of the home or parts of the home during deleading To protect the people who live in the home or apartment being deleaded,the law also has rules about malting sure they stay out of the home or apartment, or the area being worked on, in these ways: • All people and pets have to be temporarily moved from the home or apartment for the whole time that high- or moderate-risk deleading work is taking place inside the home or apartment. The owner has to provide residents with a reasonable alternative place to live for C:\WP50\LEAD1995\GENERAL\GENERAL.DOCADVISORY.DOC 1/2000 this time. Property owners and residents should refer to the CLPPP document,"Notice to 1 Property Owners and Tenants: Tenants' Rights, Responsibilities, and Remedies" for more information on alternative housing during deleading. • People and pets have to stay out of the work area while most low-risk deleading work, structural repairs or cleaning of lead dust, is taking place. They also have to stay out of the work area when deleading work of any kind is taking place in common areas outside the home or apartment, as long as they have another regular way(not a fire escape)to go in and out of the building. In these cases,people and pets can use the area once cleanup is completed after all the work in the area is done. • People and pets have to stay out of the home or-apartment for the day while coverings are put over a surface with peeling, chipping or cracking lead paint or plaster, and during applying of encapsulants with an airless sprayer. They also have to stay out for the day during deleading of common areas when they do not have another regular way(not a fire escape)to go in and out of the building. When people and pets are out of their home or apartment for the day, it means they can come back to the home or apartment after cleanup at the end of the workday, and don't have to be out overnight. It is very important that people whose home or apartment is being deleaded think carefully about what they will need during the time they are away from home, and take it with one can return t a home or apartment while deleading that requires them to be out i them.No 0 o p g q o s still taking place,,and has not been properly cleaned up. Property owners and residents must take deleading safety rules seriously and cooperate fully to make sure everyone is protected.No one should interfere with the work being done safely. Getting ready for deleading to begin People who live in a home or apartment in which any kind of deleading work is going to be taking place have to get written notice at least 10 days before the start of this work. This applies also to other residents of a building, if any deleading work will take place in common areas.Before deleading work begins, all household possessions of every type should be removed or stored in plastic bags in non-work areas. Closets and cabinets to be deleaded must be emptied. As a last resort,large furniture and belongings not removed from the work area should be put in plastic bags and left in the center of the room, where they will be covered with heavy plastic by the person doing the deleading.-The reason for this is to protect everything in the home or apartment from lead dust contamination. Belongings must also be protected before an owner or agent performs low-risk deleading work,or other work that may be required for interim control, but the precautions are not as extensive for this type of work. In general, it is recommended that furniture and belongings be moved outside the work area, or covered with thick plastic and sealed with duct tape,before low-risk deleading begins. Cleanup after deleading and returning home A final cleanup will be done at least two hours after all the interior high- or moderate-risk deleading work is done. This delay is to make sure that fine lead dust will settle out of the air and be removed in the final cleanup. People and pets who were temporarily moved to alternative housing can return only after a lead inspector or risk assessor says that the home is safe. The inspector decides this after doing a reoccupancy reinspection,which includes an analysis of lead dust levels within the home. Residents should leave a phone number where they can be reached C:\WPSO\LEAD1995\GENERAL\GENERAL.DOC\ADVISORY.DOC 1/2000 2 sp that the inspector or risk assessor can call them and let them know when it is safe to return home. If the property owner or agent is going to be doing low-risk deleading work or other work for interim control after the residents return home, they will be taking some safety steps for this, as described in the CLPPP low-risk booklet. They will also be doing a cleanup when they are done with the low-risk work. An inspector or risk assessor will return at the completion of all the work and do a reinspection to check the owner's or agent's work. Temporary ways to protect children from lead poisoning Children exposed to lead paint hazards are at risk of becoming lead poisoned. This disease can affect every part of a young child's developing body, and in particular, can seriously and permanently Burt the brain,kidneys and nervous system. Even at lower levels of exposure, lead can cause children to have learning and behavioral problems. The best and only permanent way to protect children from lead poisoning is deleading. But even before that process begins,there are some important steps that can be taken to protect young children from lead poisoning. Your lead inspector's or risk assessor's advice should be carefully followed because he or she knows your child's home. As part of their normal behavior,young children place things in their mouths, especially toys and their own fingers. If there are lead paint chips and dust in your home, they may be picked up by your child's fingers, as well as by toys,foods and pacifiers that fall on the floor, and end up in your child's mouth. It is especially important to wash your child's toys and to keep your child's hands clean, particularly,before meals and at bedtime. Areas of peeling or chipping lead paint and dust should be cleaned. Wet wiping with paper towels and a general household detergent is best. Do not use your household vacuum cleaner to clean up paint chips,because this will only send fine lead dust into the air. Windows, windowsills and the floors under windows in particular are often areas from which children can get exposed to lead. Sills should be cleaned regularly if paint dust or flakes collect there. If windows are in poor condition,the best thing to do may be to keep the lower sash closed and open only the upper sash for ventilation. (This also protects your child from accidentally falling from the window.) Contact paper may be applied to areas of peeling paint on windowsills,walls or other surfaces as a temporary measure. Sometimes furniture can be moved to block children from deteriorating paint or plaster. If deteriorating paint or plaster is in the child's bedroom,use another room as the child's room, if possible. Think of those parts of the home where your child spends most of his or her time, and try to keep them as clean as you can before your home is deleaded. Lead paint can also get into soil. If the outside of your home has chipping or peeling paint, do not let your child play in the soil closest to the house. Be careful to wipe your shoes off on a mat before walking into your house, so you don't track in soil from these areas. Follow the advice of your lead inspector or risk assessor about soil on the property. For more information about how the deleading process works, and how to protect your children from lead poisoning,call the toll-free CLPPP information line, at 1(800) 532-9571. C:\WP50\LEAD1995\GENERAL\GENERAL.DOCAADVISORY.DOC 1/2000 3 The Commonwealth of Massachusetts a Executive Office of Health and Human Services V sr Department of Public Health Childhood Lead Poisoning Prevention Program ARGEOPAULCELLUCCI 470 Atlantic Avenue, Second Floor GOVERNOR Boston, MA 02210-2208 JANESWIFf LIEUTENANT GOVERNOR (617) 753-8400/800-532-9571 WILUAM D.O'LEARY SECRETARY HOWARD K.KOH,MD,MPH COMMISSIONER NOTICE TO PROPERTY OWNERS AND TENANTS: TENANT'S RIGHTS AND RESPONSIBILITIES Violations Lead paint violations under the Lead Law and the state Sanitary Code have been found in the home or apartment listed in the attached documents. These violations may be a danger to the health of the people living in the home or apartment. Children younger than six years old are at the most risk of being lead poisoned. Lead can damage a child's growing brain and other parts of the body. Even small amounts of lead can harm a child. The owner of this home or apartment is responsible for removing or covering the lead violations. (This is called deleading.) Legal Rights and Responsibilities For these lead violations to be deleaded as quickly and safely as possible, it helps if both the owner and the tenant cooperate with each other. It is important that tenants and owners know their rights under state law. Because the laws are not simple,tenants may need to get legal help and/or legal advice before trying to use the rights found below. (1) Temporary Housing. (Massachusetts General Laws chapter 111, section 197) Tenants and their pets must be temporarily moved out of the home or apartment for the whole time that high-risk or moderate-risk deleading work is taking place inside the home or apartment. They cannot return until that work is done,the unit is cleaned up and a licensed lead inspector finds that the home or apartment is safe. The owner and tenants have to agree on a plan for temporary housing. If the tenants choose to move in with family or friends they do not have to pay rent to their landlord while they are out of their home. If they do not so choose,the owner finds the temporary housing and offers it to the tenant. The Law requires that owners pay any charges for the temporary housing the owner offers, and that tenants continue to pay their full normal rent during the time they live in the temporary housing. The temporary housing must be one that"does not cause undue economic or personal hardship to the tenant."If the temporary housing chosen by the owner would not cause a hardship, and the tenant still refuses to accept it,then the tenant has to find and arrange for his or her own temporary housing during deleading. In this case,the tenant doesn't have to pay rent for the days he or she is not at home,but has to pay the cost of the temporary housing he or she has C:\wP50\LEAD1995\GENERAL\GENERAL.DOC\CLPP95 1/2000 1 chosen. In this case, the owner has to pay the tenant any amount by which the cost of the temporary housing first chosen by the owner is more than the rent for that period.No matter where the tenant stays,the owner must pay reasonable moving costs. Tenants are advised to get legal help if they can not agree with the owner on a plan. (2) Protection from Retaliatory Rent Increase or Eviction. A property owner may not evict a tenant, or increase the rent or refuse to renew the lease of a tenant in retaliation(getting even)for the tenant reporting a suspected lead paint violation to a code-enforcement agency such as.the local board of health. If the rent is increased or the tenants are evicted or their lease is not renewed within six months after the tenants made the complaint, a court can automatically find that the owner took this action in retaliation unless the owner can show clear evidence that he or she had other reasons, unrelated to the tenants' complaint about violations. An eviction based on not paying the rent is not retaliatory. Property owners who are found to have threatened or taken actions against tenants for exercising rights under the Lead Law are liable for damages under M.G.L. c. 186, s. 18 and M.G.L. c. 93A. A tenant who believes that he or she has been retaliated against by the owner because of lead violations may also file a complaint with the Massachusetts Commission Against Discrimination. (3) Rent Withholding. (Massachusetts General Laws chapter 239, section 8A) Tenants have a basic obligation to pay rent for their home or apartment to the owner. But, if lead violations are not being deleaded tenants may have a right to hold back their rent payments. Tenants may take this step only if they were up to date in their rent at the time the owner was notified of the lead paint violations, and they did not begin withholding until this point. Owners have the right to go to court to evict tenants for not paying rent. To fully protect themselves against attempted evictions,tenants withholding rent for Lead Law violations may need to place withheld rent money in an escrow (separate savings) account, or may be ordered to do so by the court. If these conditions are met,tenants may not be evicted for not paying rent or for any other violation that is not the tenants' fault. Owners have the right to enter the tenants' home or apartment, if possible by appointment, but in any case in emergencies,to inspect for lead violations and to have them repaired. Tenants have a responsibility to cooperate with owners and allow all necessary access to their home or apartment for repairs. Tenants who do not cooperate with this right of entry may be subject to eviction. If rent was withheld, the court may order that all or part of the withheld rent be paid to the owner after the violations are deleaded. (4) Abatement of Rent or Damages. Even when the rent withholding statute does not apply, tenants may be able to have their rent reduced or get back rent they have already paid, if their home or apartment has Lead Law violations. The landlord always has a duty to provide housing that meets basic housing standards. A tenant can bring a court action for breach of this "implied warranty". (5) "Rent Receivership". (Massachusetts General Laws, chapter 111, sections 127C - 127J) This law allows tenants,the state Childhood Lead Poisoning Prevention Program or the local board of health to ask the court to find that Lead Law violations exist, and to allow C:\wP50\LEAD1995\GENERAL\GENERAL.DOC\CLPP95 W000 2 } rent to be paid into court rather than to the owner,to pay for necessary repairs. (6) Owner Liability: Compensatory and Punitive Damages. (Massachusetts General Laws chapter 111, section 199) The owner of a home or apartment built before 1978 is liable for damages to a child under age six who becomes lead poisoned as a result of the owner's failure to comply with the Lead Law and regulations. The owner of such home or apartment who is notified through an Order to Correct Violations or Order to Restore Interim Control Measures of lead violations, and who willfully fails to correct the violations, in accordance with the Lead Law and Regulations, is also subject to punitive damages, which are triple the actual damages found. The information presented above is only a summary of the law. Before you decide to withhold your rent or take any other legal action, it is advisable that you consult an attorney. If you can not afford to consult an attorney, you should contact the nearest Legal Services office. Repainting Violations of the Lead Law are also violations of the state Sanitary Code. Surfaces from which lead paint or other coatings have been removed have to be repainted under 105 CMR 410.021 of the state Sanitary Code. Deleaded surfaces have to be sealed and made easy to clean. Deleaded surfaces can only be repainted after the surfaces have been reinspected while bare and approved by a licensed lead inspector. Tenants may want to contact the owner if the required repainting is not done. If the owner does not respond, tenants should call the local board of health. C:\WP50\LEAD1995\GENERAL\GENERAL.DOC\CLPP95 1/2000 3 The Commonwealth of Massachusetts I Executive Office of Health and Human Services 1. Department of Public Health Childhood Lead Poisoning Prevention Program ARGEO PAUL CELLUCCI 470 Atlantic Avenue, Second Floor GOVERNOR Boston, MA 02210-2208 JANE SWIFT LIEUTENANT GOVERNOR (617) 753-84001800-532-9571 WILLIAM D.O'LEARY SECRETARY HOWARD K.KOH,MD,MPH COMMISSIONER NOTICE TO TENANTS OF LEAD PAINT HAZARDS Lead in violation of the Lead Law(Massachusetts General Laws, chapter 111, sections 189A-199B) and the state Department of Public Health's Regulations for Lead Poisoning Prevention and Control (105 Code of Massachusetts Regulations 460.000)have been found in apartment , in this building. Children exposed to lead hazards are at risk of becoming lead poisoned. This disease can affect all parts of a young child's developing body, and in particular, can seriously and permanently hurt the brain,kidneys and nervous system. Even at lower levels of exposure,lead can cause children to have learning and behavioral problems. If you have a child under six ears of age, it is important that the be regularly tested for Y Y g P Y g Y lead poisoning, as the law requires. If your child has not been.tested recently,you should ask your child's doctor or health care provider to test him or her. If you don't have a regular health care provider,you can call your local board of health, or the state Childhood Lead Poisoning Prevention Program(CLPPP), at 1-800-532-9571,to find out where you can get your child tested for lead for free. Lead poisoning can only be detected by such testing. Since lead violations have been found in an apartment in this building,it is quite possible that your unit may have lead violations too. If you have a child under six years of age, you should ask the owner of your building about having your apartment inspected for lead paint. You can call your local board of health to check for lead(ask for a lead determination),or call CLPPP at 1-800-532-9571 for further advice. It is against state law for property owners to discriminate against tenants with children because of lead paint hazards in their apartment. If deleading of apartment will also include deleading of common hallways, staircases and porches of your building,you will get a written notice 10 days before any deleading will begin. While the deleading is being done, everyone must keep out of the areas being worked on. You have to use another way to go in and out of your building during this time. If your apartment is on the same floor and is in the work area as a common area in which deleading is being done,the person or persons doing the deleading work will protect your apartment too. They will be temporarily covering your doorway with thick plastic sheeting and taping it down with masking tape, so that fine lead dust can't be blown in, around, or under your door. If they have not properly covered areas to protect them from lead dust and debris from the deleading work,tell the owner of your building or call the state Department of Labor and C:\JOANN5\GENERAL\GENERAL.DOC\NTT.DOC 1/2000 Workforce Development(DLWD) at 1-800-425-0004, or CLPPP at 1-800-532-9571. If you don't have an alternative way of getting in and out of your building, talk to the owner of your building, or the person or people doing the deleading, and coordinate the work. Check your windowsills and doorways for any visible dust after deleading. Lead dust can be cleaned up with paper towels and a mixture of regular household detergent and water. If you notice lead dust from deleading in your apartment,tell the person doing the deleading, and.the owner of your building. Deleading work that is done the right way should not result in lead contamination of your building. However, if you notice any lead paint dust or debris that has not been properly cleaned up at the end of the workday,tell the owner of your building. You can also call DLWD at 1-800- 425-0004 or CLPPP at 1-800-532-9571 or the local health department. C:\JOANN5\GENERAL\GENERAL.DOC\NTT.DOC 1/2000 Documentation of Training to be an Authorized Owner/Agent And Intention to Comply with the Order to Correct -Please complete this form and mail it to the code inspector enforcing the case.His or her address is included in the Order to Correct. I, the owner,or I,the (print owner's name) owners agent (fill in one), (print agent's name) do attest to the fact that I have complied with the.owner/agent deleading training prerequisites of 105 CMR 460.000,the Lead Poisoning Prevention Regulations,and passed an exam to qualify for and perform specific abatement and containment work.I further attest to the fact that I will complete the abatement and containment work that I will perform in compliance with 105 CMR 460.000,the Lead Poisoning Prevention Regulations, and within the deadlines stipulated in the Order to Correct Violation(s). Finally,I attest that I will not exceed the scope of my low-risk authorization/moderate risk authorization (circle appropriate level of authorization). Signature of Owner or Agent Authorization Number (Address of-unit where work will be performed) Name of Code Enforcement Lead Inspector: •Drive2T M Documentation to perform training all dmeHaes days so letterbead.doe rev.IM LICENSED MASTER LEAD INSPECTORS EASTERN MASSACHUSETTS 'SPECTOR LIC # COMPANY CITY PHONE iBERT, RON M1704 THE LEAD LAB INC BELMONT (617)489-5409 ATRICE, MICHAEL M1630 RELIABLE LEAD BEVERLY (508) 921-1915 ,ACKMAN, MEL M1377 MEL BLACKMAN LEAD STONEHAM (781) 6.65-3806 :RONE, RICHARD M2243 LEAD PAINT SERVICES MALDEN (781) 892-9727 ',SCHENEAUX, RAYMOND M1758 ALL STATE SERVICES DRACUT (978) 957-9309 THOMAS M1170 N" MORE-LEAD- -PAINT READ-ING (-17) 9 4 4-8 6 3 6 LSTMAN, JOHN M1184 ENVIRONMENTAL LEAD TAUNTON (800.) 788-6084 ?PLER, DAVID M1693 ENVIROSCIENCE BOSTON (617) 282-4675 CTZGERALD:, MARY M1598 FITZGERALD ASSOC MILTON (617) 698-2400 ZANKLIN, AMY M2171 AMY FR.ANKLIN NEW BEDFORD (508) 991-5778 !LLEOTA, GREG M1594 GALEOTA ASSOCIATES LITTLETON (978) 456-8518 CGGINS, THOMAS M1302 AULSON COMPANY METHUEN (978) 975-4500 kKAITIS, 'ANTHONY M2929 PANTHER WEYMOUTH (617) 472=4557 ANE, JOHN M3144 KANE HOME SHARON (617) 784-7049 ELLNER, GARY M1981 HARVARD WESTWOOD (800) 640-0404 AFRANCE, NEIL M1100 LEADSAFE TAUNTON (508) 669-5088 EBOW, FRED M1830 FSL ASSOCIATES INC BRIGHTON (617) 739-1930 EE, HARRRISON M3072. LEE ENVIRONMENTAL BOSTON (781) 356-7300 YNCH, 3RD, BERNARD M1149 MA HOME INS BUREAU MILTON (617) 698-7763 ARACIC, CHRISTOPHER M2006 ASAP LEAD PAINT DORCHESTER (617)288-8870 ARCIELLO, GARY M3169 137 BEACON ST LAWRENCE (978) 682-9967 ESTOR, KEVIN M1359 HOUSING CAMBRIDGE (617) 876-3333 ALM, DAVID M1661 25 HARDING RD LEXINGTON (781) 863-6158 ESCE, DONALD M1609 STAR ENVIROMENTAL MELROSE (617) 662-2220 ESCE, JOHN M1201 STAR ENTERPRISES MELROSE (617) 6.65-9555 ,OCHE, THOMAS M1676 YEE. CONSULTING WALTHAM (781),423-0050 PRINGER, HAROLD M3041 HYGENETICS DORCHESTER 1 171723-4664 EGA, STEPHEN M1878 16 WEST BOWERS ST LOWELL (617) 662-2328 ALSH, JAMES M1032 AMERICAN ENVIR NAHANT (617)598-1177 fALSH, •JOHN M1174 PLYMOUTH COUNTY MANOMET (800).735-6615 fEYDT, JAMES M1196 SOUTH SHORE LEAD EAST (617)337-5546 fEYDT, STEPHEN M1200 HYGENETICS BOSTON (617)723-4664 Page 1 MASTER .INSPECTORS -- EAST REGION 01/31/20 LICENSED LEAD INSPECTORS EASTERN MASSACHUSETTS SPECTOR LIC # COMPANY CITY PHONE RONE, RONALD I1680 BARONE HOME LEAD WATERTOWN (617) 984-1559 .SCOM, SCOTT I3244 177 OAK ST RANDOLPH (781) 963-0774 :GIN, OSCAR I1063 322 JEFFERSON AVE SALEM (978) 741-4063 FANO,. FRANCIS I3240 ATC ASSOCIATES• INC. WOBURN. (781) 932-9400 )EHM,. BERNARD 11790 CERTIFIED LEAD AILMNGTON (617) 643-3961 RtTR-, DAVI-D I-313-4 MINUTEMAN--,ENV IRON MEDWAY (-80 0) 5Z 3-5 3 2 3 fALEKI, NORMAN I2355 10 FIELD AVE BOX NANTUCKET (508)228-4115 :ANO, DIANE 13146 44 CHESTNUT ST WOBURN (781) 933-7732 ,ARK, SCOTT I3053 DIVERSIFIED NORWELL (781) 871-4900 )OK, STEPHEN 11189 IMPERIAL INSPECTION BRAINTREE (617) 843-1141 )RSETTI, ROBERT 12098 R. J. INSPECTIONS METHUEN (978) 681-8759 )STA, CARLOS 11165 F J STORCH BUILDING FALL RIVER (508) 675-8511 LOSS, DENI3I S 13372 69 LYNNWAY LYNN (617) 5 81-.6 6 8 2 1SCIA, ALLAN I3161 P.-O. BOX 468 LAWRENCE (978) 682-8948 ILY,- DENNIS I1908 N E LEAD PAINT LOWELL (978) 452-2223 SMARAIS, SUSAN 11896 SD LEAD INSPECTIONS LOWELL (978)458-3521 )HERTY, ALFRED I2706 -NORWOOD ASSOCIATES E WALPOLE (781) 769-1010 )LLARD, J. PAUL I1548 21 BLAISWOOD AVE MARLBORO (508)485-7285 )RSEY-O'NEAL, MAMIE I3326 27 BROOKLEDGE ST DORCHESTER (617)445-1178 )GE., BENNY I2110 B J EDGE ASSOCIATES BOSTON (617) 265-3572 �AHERTY, JOHN I1272 NORFOLK LEAD BRAINTREE (800)472-4353 :YNN, WILLIAM I1783 BILL'S LEAD PAINT SOUTH DENNIS (508) 398-3632 )LEY, ROBERT I3145 TRIDENT BURLINGTON (617) 938-4984 ZENCH, KEVIN I1547 K & B HOME WILMINGTON (018) 878-0156 7LLER, ANITA I2656 ALL STATE SERVICES DRACUT (978) 957-9309 kY, ALLEN I2647 ALLEN E GAY LEAD HOLLISTON (508)429-3044 %RRISON, GAIL I3001 ENSOL INC BILLERICA .(SG8) 670-0755 4RTIN, ROBERT 13045 24 KENT ST BROCKTON (508) 583-8893 EBERT, PAUL I1806 BRISTOL COUNTY WESTPORT (508) 636-8284 EBERT, . PHILIP 11808 BRISTOL COUNTY WESTPORT (508) 636-8284 EMMILA, FREDERIC 12736 LEAD PAINT SANDWICH (508) 888-8378 0LMES, -RICHA9D I1837 R P HOLMES. HAVER.HILL (978)372-3977 ORNE, DAVID . I3297 19 KANE STREET FAIRHAVEN (508) 993-6429 USTON, GERALD I2039 HUSTON LEAD CONSULT NEW BEDFORD (508) 997-0116 "LAMME, DONN I3325 LEVINE FRICKE RECON BRAINTREE (781) 356-730.0 AMY, RAYMOND 13312 119 FREEMONT STREET LOWELL (508)458-2552 OVEGROVE, VINCENT 11542 HOME FREE DEL EADING NEW BEDFORD (508) 994-9153 OVERING, DONALD I1026 ADVANTAGE- HOME INSP NEWTON (508).398-0861 At-I-SAAC► JOHN 12378 ASAP LEAD PAINT DORCMSTER (61712 8 8-8 8 7 0 ACLARY, RICHARD 11785 Al MIDDLEBORO LEAD MIDDLEBORO (508) 946-1957 ARCIELLO, WILLIAM 13103 137 BEACON ST LAWRENCE (978).682-9967 ARRIN, PATRICIA I1139 ENVIRONMENTAL LEAD LYNN . (781) 592-9602 =LELLAN, JOHN I3450 ATC ASSOCIATES WOBURN (781) 932-9400 ICDONOUGH, MARK I3179 MCDO14OUGH LEAD LAB DUNSTABLE (978) 649-9410 ICGARVEY, GLENN I2797 MARINE LUMBER CO NANTUCKET (508) 228-0900 {LIVER, JAMES I2040 SUBURBAN HOME WALTHAM (781) 899-1606 ICNAMARA, PAM 12276 BOX 67 ALLSTON (617) $58-1378 IELENDEZ, WILLIAM I2988 THE AULSON COMPANY •METHUEN (978) 975-4500 IONIZ, BILL I1947 FALL RIVER LEAD FALL RIVER (508) 675-5546 [IGRO, JOSEPH I2397 JAWS LEAD . REVERE (61.7) 284-7932 fUELL, PAUL I2271 NUELL & ASSOCIATES MARBLEHEAD (617) 639-0228 )age 1 LEAD INSPECTORS -- EAST REGION 01/31/20 SPECTOk LIC # COMPANY CITY PHONE NES, ERNEST I1249 ERN-WAY HOME WESTPORT (508) 675-7120 SON; NANCY . 11180 LEAD PAINT TESTING GLOUCESTER (978) 462-9351 TIZ, DAVID I1098 DAVI.D & SON HOME WEST LYNN (800) 640-2979 CHECO, LUIS I1610 CHILD SAFETY LEAD WESTPORT (508) 678-8944 RMIGIANI, RAYMOND 12741 D M J M BOSTON (617) 338-1494 NA-PETERSON, NORMA 13008 P. 0. BOX 411 LAWRENCE (978) 686-3696 ATINE, BRUCE 11047 BP HOME INSPECTION FRAMINGHAM (8`00) 273-9598 ,IA, FRANK I1985 198 VINE ST EVERETT (6:17) 387-0805 :SKO, ' JOHN I1128 J H R CONTRACTING NEWTON (6:17) 928-0578 `Z ZO_, S£AN 12-23 0 PANTHER M——INTRE=E #7-81) 84 9-7 313 )DRIGUES, ALINE 13378 FR.ANKLIN ANALYTICAL MARION (508.) 994-4361 'LANDER, PAUL I3363 LEVINE FRICKE RECON BRAINTREE (781) 356-7300 .OFIELD, .-BRUCE I2669 BARNES AND JARNIS BOSTON (617) 542-6521 :LENKOW, MARK 11277 ATC ASSOCIATES INC WOBURN (781) 932-9400 TERRY, EDWARD 12753 58 PLAIN RD WESTFORD (978) 692-1339 :EMIATKOSKI, RAYMOND I1885 LIBERTY WINDOW WAKEFIELD (781) 932-0066 ,YMAN, JOSEPH • I1430 GREATER BOSTON LEAD WATERTOWN (617) 924-8393 JLLIVAN, DEBORAH 12305 ABLE INSPECTIONS WEYMOUTH (617)335-4993 JLLIVAN, LORAN I2252 THE AULSON COMPANY METHUEN (978) 975-4500 CLAHUN, WUBISHET I3190 TW ENVIRONMENTAL BOSTON (617) 536-5607 )LOSKO, RAYMOND I1181 LEAD PAINT TESTING NEWBURYPORT (978)462-9351 3BSTER, JASON I3509 ENVIROSCIENCE BOSTON (617) 282-4675 .,YDT, MARGARET I1198 SOUTH SHORE LEAD WEYMOUTH (617) 337-5546 )R.K, PAUL I1493 18 NORTH AVE BROCKTON (508)584-6457 )UNG, JAMES 13236 LEVINE FRICKE RECON BRAINTREE (781)356-7300 )RZY, CHRIS 11708 A&A SERVICES SALEM (978) 741-0424 Page 2 LEAD INSPECTORS -- EAST REGION 01/31/20 ' LICENSED MASTER LEAD INSPECTORS WESTERN MASSACHUSETTS PECTOR LIC # COMPANY CITY PHONE FOUR, SCOTT M1143 LEAD TEST INC EASTHAMPTON (413)535-2262 ,LINS-CROCHIERE, ANN M2724 ACLIN INC WILBRAHAM (413) 596-5110 .EY, TIMOTHY M1208 ENVIRONMENTAL SPRINGFIELD (413) 733-5802 [GR.AS, PAUL M1250 18 PROCTOR ST WORCESTER (508) 852-4447 ITEMAGNI, JAMES M1431 J&M INSPECTION CHICOPEE (4.13,) 535-5002 ,�II�YG, oHN - -87 - --G, -INC WORCESTER (508�853-6754 QIMI, BEHZAD M1726 ATC ASSOCIATES INC SPRINGFIELD (413) 782-0258 ?age 1 .MASTER INSPECTORS -- WEST REGION 01/31/20 LICENSED LEAD INSPECTORS WESTERN MASSACHUSETTS SPECTOR LIC # COMPANY CITY PHONE RGESS, DAVID I1729 EMERALD LEAD TEST SPRINGFIELD (4.13) 736-LEAD MOSSE, RAYMOND I1254 HOMEINEX CORP CHARLTON (800) 256-5349 TALDO, JOSEPH I3147 CAT INSPECTIONS FITCHBURG (508) 345-7273 ULFIELD, CHRISTINE I1950 CAULFIELD LEAD LEOMINSTER (978) 534-4670 MEEK,, WAFTER 11155 65 MONTGOMERY AVE HOLYOKE' (413) 538-9377 CLIN$KI; -STEVE I317-1 #TC EAST.. . _. (413-)527-5052 .OHN, JEFFREY 11133 J M FROHN COMPANY MILFORD (5.08.) 478-4342 ,YNES, MARK I1969 ENVIRONMENTAL . AGAWAM (413) 789-3530 [GABONE, •ALBERT 12992 ENVIRONMENTAL PITTSFIELD (413) 499-6034 ►KAITIS, STEVEN 11651 EAST COAST DEAD BOYLSTON .(617) 984-5755 )HN50N, STEPHEN I3324 LEAD PAINT LUNENBURG (978) 582-8210 WUSS, LISA 12727 152 EAST CHESTNUT MONTAGUE (413) 367-0269 :BLANC, GERALD 13249 - 26 ALMONT AVE. APT. WORCESTER (508) 756-0452 WLEY, EILEEN I3305 292 COMMONWEALTH SPRINGFIELD (413) 736-5323 [LLER, PETER I2808 ENVIRONMENTAL TEST SPRINGFIELD (413) 733-.5802 [LLER, TERRY 12725 THE LEAD LAB PITTSFIELD (413)499-3015 ' )JICA, PRUDENCIO 11350 52 COUNTRY- CLUB WORCESTER (508) 854-1406 7RPHY, ROBERT I1245 ROBERT J MURPHY AUBURN (508) 756-4567 !LNSFORD, SR, CHARLES I1179 RANSFORD INSPECTION NORTH ADAMS (413) 663-6951 3T, JOHN I1142 ENVIRONMENT AGAW�IM (800) 526-1514 3ECRALLAH, NEIL I3170 919 SOUTHAMPTON WESTFIELD (413) 572-1332 Page 1 LEAD INSPECTORS -- WEST REGION 01/31/20 I ` LICENSED MASTER LEAD INSPECTORS OUTSIDE MASSACHUSETTS SPECTOR LIC # COMPANY CITY PHONE EUDEN, NEAL M1104 ENVIROSCIENCE NEWINGTON (860) 953-2700 Page 1 MASTER INSPECTORS. -- OUT OF STATE 01/31/20 LICENSED LEAD INSPECTORS OUTSIDE MASSACHUSETTS SPECTOR LIC # COMPANY CITY PHONE iHERTY, MICHAEL 13188 LFR EMERYVILLE (415)437-0403 =EN, RAY I1105. ENVIROSCIENCE NEWINGTON (860) 953-2700 ;LLER, RICHARD I2810 750 COLUMBUS AVE NEW YORK (718)274-5000 fCHARDI, NINA 12515 NORWICH HATFEILD (413) 247-3000 iWRENCE, KARL I3101 K L LEAD BLANFORD (413) 848-0942 �IDA, PAUL 11357 MAIDA_S-ERR DICES INC RL&ISTOW (8-o )-669-3809 ;VINS, TIMOTHY 13235 RESOURCE CONTROLS PAWTUCKET (401) 728-6860 JOZZO, ANTHONY 11971 AMC TECHNOLOGY INC STRATFORD (2.03) 377-6005 t. Page 1 LEAD INSPECTORS -- OUT OF STATE 01/31/20 PRIVATE RISK ASSESSORS Page 1 WESTERN MASSACHUSETTS INSPECTOR RA LIC# ADDRESS CITY PHONE LEY, TIMOTHY R1208 BOX 3152 SPRINGFIELD (413) 733-5802 gTEMAGNI, JAMES R1431 44 CHAPEL ST CHICOPEE (413) 535-5002 RGESS., DAVID R1729 411 BELMONT AVE SPRINGFIELD (413) 736-LEAD tHLF-i-ELD, CHRISTINE R1950243 LEGATE HILL RD LEOMFNSTER ( 7-8) 534-4670 LLIAMS, BRIAN R1958 ' 39 SPRUCE ST EAST (413) 525-1198 LLINS-CROCHIERE, ANN R2724 9 HAWTHORNE ROAD WILBRAHAM (413) 596-5110 LLING, JOHN R2787 29 WEST MOUNTAIN WORCESTER (508) 853-6754 ,LLER, PETER R2808 BOX 3152 SPRINGFIELD (413) 733-5802 ,/31/20 PRIVATE RISK ASSESSORS Page 1 EASTERN MASSACHUSETTS INSPECTOR RA LIC# ADDRESS CITY PHONE �LSH, JAMES R1032 P. 0. BOX 207 NAHANT (617) 598-1177 UMMCE, NEIL, R1100 306 WINTHROP ST TAUNPON (508) 669-5088 MRIN, PATRICIA R1139 66 LYNWOOD STREET LYNN (781) 592-9602 fNCH, 3RD, BERNARD R1149 BOX 364 21A HIGH ST MILTON (617) 698-7763 )WD, THOMAS R1170 P 0 BOX 207 READING (617) 944-8636 OLOSKO, RAYMOND R1181 189 MERRIMAC ST NEWBURYPORT (978)462-9351 ASTMAN, JOHN R1184 126 WINTHROP ST TAUNTON (800) 788.-6084 OOK, STEPHEN R1189 1074 LIBERTY ST BRAINTREE (617) 843-1141 EYDT, JAMES R1196 BOX 143 EAST (617) 337-5546 EYDT, MARGARET R1198 BOX 143 WEYMOUTH (617) 337-5546 SSTOR, KEVIN R1359. 130 BISHOP ALLEN DR CAMBRIDGE (617) 876-3333 lualmTY, JOHN R1272 12 JOHN PAUL CIRCLE BRAINTREE (800)472-4353 ►LACKMAN, MEL R1377 BOX 358 STONEHAM (781) 665-3806 'ITZGERALD, MARY R1598 11 HIGH STREET MILTON (617) 698-2400 3ARONE, RONALD R1680 139 MADISON AVE WATERTOWN (617) 984-1559 �LBERT, RON R1704 BOX 430 BELMONT (617) 489-5409 4ACLARY, RICHARD R1785 44 PEARL ST MIDDLEBORO (508) 946-1957 iOLMES, RICHARD R1837 200 FRANKLIN ST HAVERHILL (97.8) 372-3977 IEGA, STEPHEN R1878 16 WEST BOWERS ST LOWELL (617) 662-2328 t , INSPECTOR RA LIC# ADDRESS CITY PHONE HARRRISON R3072 866 HUNTINGTON BOSTON (781) 356-7300 LY, ,DENNIS R1908 BOX 2262 LOWELL (978) 452-2223 NIZ, BILL R1947 319 CAMBRIDGE .ST FALL RIVER (508) 675-5546 IVER, JAMES R2040 98 MILKER ST WALTHAM (781) 899-1606 ANKLIN, AMY R2171 97 COVE ST NEW BEDFORD (508) 991-5778 NAMARA, PAM R2276 BOX 67 ALLSTON (617) 558-1378 .CISAAC, JOHN R2378 432 SEAVER STREET DORCHESTER (611) 288-8870 'MMILA, FREDERIC R2736 16 QUAKER RD SANDWICH (508) 888-8378 ,KAITIS, ANTHONY R2929 102 TOWER AVENUE WEYMOUTH (617)472-4557 1itrARTMENT OF LABOR AND WORKFORCE DEVELOPMENT '` DMSION OF OCCUPATIONAL SAFETY LEAD AND ASBESTOS DIVISION 100 CAMBRIDGE STREET,ROOM 1107 BOSTON,MASSACHUSETTS 02202 617-727-7047/80Q-425-0004/FAX 617-727-7568 INFORMATIONAL BULLETIN CHECKLIST FOR SELECTING A DELEADER-CONTRACTOR a determination is made to delead your property,how do you determine whether a deleader-contractor is qualified to.safely perform t While there are many well-qualified,experienced and conscientious contractors performing this important and potentially hazardo her r e art.41 tuaately,contractors who_are;neith ex enced nor_capable of safes removing lead minimum,prospective contractors must be licensed by the Department of Labor and Workforce Development(DLWD). This liven -es that the contractor has attended an approved deleading training course and is routinely monitored by DLWD inspectors for safe wo ices. A license alone does not ensure the quality of work. When selecting a deleader-contractor,it is suggested that you get at least fo or five(5) estimates before you make your selection. The following checklist is offered as a guideline to consider when selecting actor. L . Contractor MUST submit evidence of licensure(i.e.a license issued by the DLWD with the contractor's photo, license number and expiration date on the front). _ 2. Contractor MUST submit evidence that thjob supervisor.and worker have attended a deleading training course. The supervisor should also produce a license issued by the DLWD. 3. Contractor MUST submit proof of a workers'compensation policy if he/she has employees. 4. Contractor MUST submit to the owner and tenants,a ten(10)day prior notification of deleading work. This notification should also be submitted to the local Board of.Health. You might want to verify this with the Department of Labor&Workforce Development and the Board of Health. 5. C.ontractor should submit a list of references of individuals who can attest to the quality of the contractor's work. 6. Contractor should submit a list of prior deleading contracts,including names,addresses and telephone numbers of building owners for whom the projects were performed. 7. Contractor should provide-a description of any deleading projects which have been prematurely terminated, including the circumstances surrounding termination. 8. Contractor should provide a list of any contractual penalties which the contractor has paid for breach of contract, such as ov_erruns:of completiontime of liquidated damaa4s. 9. Contractor should identify any citations levied against him/her or the property owners by whom he was contracted, for violations related to his deleading work,including the name or location of the project,the date(s),and how the allegations were resolved. 10. Contractor should submit a•description of all legal proceedings,lawsuits,or claims which have been filed or levied against the contractor or any of the contractor's past or present employees for deleading related activities. 11. The contractor's violatioihistorymd3icense.statusjm be.verified by calling the Department of Labor and Workforce Development 12. Check with your local Board of Health for information regarding the contractor you may select. 13. The homeowner should always have/demand a written contract with the deleader-contractor. Suggest payments made to the contractor be in three(3)installments. A. 1/3 as a down payment B. 1/3 when thejob is completed C. 1/3 after the owner receives the Letter of Compliance evised 12/15/190 Deleader Contractors C001662'°Exp. 7112/2000 DC001650 Exp. 513/2000 DC001653 Exp. 5117/2000 3HN E.BENJAMIN ODDIE C.JOHNSON JR. MIGUEL A.OCASIO 5 RUSTLEWOOD ROAD 19 ORMOND STREET 27 BEVEL STREET ZEST ROXBURY,MA 02132 MATTAPAN,MA 02126 LAWRENCE,MA 01841 17-327-7273 Has Employees No 617-599-7860 Has Employees No 978-687-0928 Has Employees No IC001595 Exp. 5/1012000 DC000775 Exp. 12/14/2000 DC000487 Exp. 10/2612000 DSTANTINOS KARAKOSTAS MAURO CICERONE GEORGE KOUTOULAS 9 ROCK IN_GHAM-A_VE__.—._--. __ _._.—.___. - - P..O_B.OX 321 --__ -- ._.._ _.-_-_--. -: 41 HOUGHTON-STREET - LALDEN,MA 02148 STONEHAM,MA 02180 LYNN,MA 01905- '81 322-84.08 Has Employees No 800-559-0868 Has Employees Yes 617-592-6391 Has Employees No )C001671 Exp, 1op_512000 DC000630 Ex . 10/2512000 DC001591 P Exp. 515/2000 'HRISTOPHER W.PATRIKAS DONALD W.FANSKA JOHN A.YOUNG L 15 LAWTON AVENUE 6 BLUEMER ROAD 115 CEDAR ST YNN,MA 01902 SOUTHAMPTON,MA 01073 HOLLISTON,MA 01746 181-581-2992 Has Employees No 413-635-3070 Has Employees Yes 781-446-9599 . Has Employees No )C001657 Exp. 612112000 DC001278 Exp. 5/10/2000 DC001667 Exp lonsrzaoo =DISON LUIZ BORGES LAWRENCE JOHN SHEA JR. KATHLEEN M.KIRK 32 GOLDSMITH AVENUE 52 THOMPSON STREET 116-PLEASANT STREET NEDFORD,MA 02155 SPRINGFIELD,MA 01109 NORTH ADAMS,MA 02127 181-396-7296 Has Employees No 41.3-733-3655 Has Employees No. 413-663-i328 Has Employees No DC001087 Exp, 6128/2000 DC001658 Exp. 7/2012000 'DC001307 Exp. 712812000 ` - FRANK CAMEROTA EUGENE R.BUTLER FRANK C.MURPRY 282 MAPLE STREET 441 MOHAWK TRAIL 9 ARCOLA,STREET EAST LONGMEADOW,MA 01028- SHELBURNE,MA 01310 JAMAICA PLAIN,MA 02120 . 413-525-8433 Has Employees No 413-625-2725 Has Employees No 617-427-0131 Has Employees No DC001673 Exp. 11111200b DC001664 Exp. 8111/2000 DC000781 Exp, &2312000 MICHAEL BLANCHARD TAPAN BHATTACHARJEE PETER J.HOUDE 44 L STREET 203 FERRY ST 78 HODGES STREET HULL,MA 02045 LAWRENCE,MA 01841 TAUNTON.MA 02780 781-925-0244 Has Employees No Has Employees No 508-823-8780 -Has Employees Yes DC001669 Exp. 10/25/2000 DC001674 Exp. 11/8/2000 `­DC001675 Exp. •12/912000 PAUL PLANTE JOHN L.MCNAIR GREG.ORY A.TOLAND 25 CHESTERFIELD AVENUE 30 ORCHARD STREET 736 EAST 2ND STREET' SPRINGFIELD,MA 01118 GLOUCESTER.MA 01930 SOUTH BOSTON.MA 02127 413-783-0837 Has Employees No 978-281-6569 Has Employees No . 617-269-0726. Has Employees No Page 1 oI .10. .QRIA JACQUEUNE JENKINS JEAN J..INNOCENT ADRIAN O.NOLAN ,CrITECH INSULATION& ACT LEAD ABATEMENT ACTIVE HOME IMPROVEMENTS )NTRACTING,INC. • 44 BROOKDALE ROAD 18 LYON STREET :POT$TREET,DELTA PARK STOUGHTON,MA 02072 DORCHESTER,MA 02124 iiCOPEE,MA 01013 781-297-7402 Has Employees No 617-288-2274 Has Employees No 3-592-5326 Has Employees No N01398 Exp. 41112000 DC001366 Exp. 5119/2000 DC001214 Exp. 8111612000 )NI M.BARBOZA FRANCIS LATHAM PATRICK DOWD )GREENE ENTERPRISES ADVANCED ABATEMENT'& AFFORDABLE CONSTRUCTION& I CLAPP STREET CONSTRUCTION SERV. DELEADING CO. DRCHESTER.MA 02125 51 STEARNS AVENUE 10 GRAY TERRACE 17 287-8551 Has Employees No LAWRENCE,MA 01-841-U060 BRAINTREE,MA 02184- 508-689-7878 Has Employees No .617-848-3029 Has Employees No C000301 Exp. 4120/2000 DC000183 Exp. 12116/1999 DC000670 Exp. 4121/2000 IICHAEL EARLS EDGAR R.CINTRON ALFREDO M.RESENDE IR SAFE.CONTRACTING CO., INC. ALEGRE CONSTRUCTION SPECIALISTS ALFREDO RESENDE LEAD CONTROL 5 COMMONWEALTH AVE. INC. ESPECIALIST TTLEBORO,MA 02703- P.O.BOX 6518 114 SOUTH STREET 08-222-4145 Has Employees Yes HOLYOKE,MA 01041-6518 NEW BEDFORD,MA 02740 413-533-9067 Has Employees Yes 508-991-8744 Has Employees No IC000322 Exp. 916/2000 DC001385 Exp. 711912000 DC001542 Exp. 417/2000 . WERT N.MADDEN PETER L4RKIN DAVID GRANT DAMON &L AMERICAN DELEADING,INC. ALL OUT•DELEADING ALL SAFE DELEADING 005 DORCHESTER AVENUE 15 ST.MARKS ROAD 502 OAK STREET.APT i )ORCHESTER,MA 02125 DORCHESTER,MA 02124 P.O.BOX 4131 47-287-9599 Has Employees Yes 617.436-2494 Has Employees No BROCKTON,MA 02403- 508-586-0143 Has Employees • Yes )C001027 Exp. 8/16/2000 DC001104 Exp. 11/312000 DC..000663..Exp;'611412000 IOHN J.MACCORKLE TERRANCE F.QUINN RONAIM A.PEIK 1LL TRADE CONTRACTING ALMAR BUILDING.B REMODELING CO. ;' ":ALPINE ENVIRONMENTALING. 12 FOREST STREET 64 PARTRIDGE WAY 21 PROGRESS AVE UNIT-1 AEDFORD,MA 02155-0000 HANSON,MA 02341 CHELMSFORD,MA 01824 517-391-6069 Has Employees No 781-447-2524 Has Employees Yes 978-250-2740 Has Employees . Yes l . DC001454 Exp. 8/912000 DC000706 Exp. 5124/2000 DC001006 Exp. 1012412000 PAUL W.FLANAGAN ROBERT A.ARDIZZONI JEROME W.V=A AMEX,INC. ARA CONSTRUCTION ARCHITECTURAL DELEADING,INC. 256 MARGINAL ST. 17 MC19RIDE ROAD 10.12 DELAWARE DRIVE,UNIT 8 EAST BOSTON,MA 02128-2800 WALES,MA 0108T SALEM.NH 03079-0000 617-569.5630 Has Employees No 413-245-9371 Has Employees No 603-890-3509 Has.Employees Yes DC001025 Exp. 11119/2600 DC000092 Exp. 3/1/2000 00000578 Exp..1212611999 RAYMOND J.BENSON ALAN P.AULSON RAYMOND J.AVOLA ATLANTIC HOME DELEADING 8,CONST. AULSON ROOFING INC. 'AVOLA CONTRACTING,-. CO.INC 49 OANTON DRIVE 799 SHIRL'EY STREET 32 TALL TIMBERS LANE METHUEN,MA 01844 P.O.BOX 401 P.O.BOX 1771 978-975-4500 Has Employees Yes WINTHROP.MA 02152 PLYMOUTH,'MA '02362_ 781446-5434 Has Employees No DC001533 Exp. S/2412000 DC001260 Exp. 12M212000 D9000061 Exp. 112012000 ANTHONY MENDES RONALD E.BARONE THOMAS SOLIMINE BAREWOOD DELEADING SARONE"S LEAD PAINT REMOVAL CO. BAY STATE CONTRACTING 18 SOMERSET PLACE• 139 MADISON AVENUE 422 SALEM STREET P.O.BOX 4991 WATERTOWN,'MA 02172- SUITE-159; - SROCKTON.MA 02403- 617-923-4731 Has Employees No MEDFOR.O.MA 02155 . - 508-580-3550 Has Employees No 781-98.8-2067 Has Employees No Page 3 o1 40 r )_HN C.H-AFFERTY JOAN E.COSTELLO JOHN F.COURTNEY ORNERSTONE ASSOCIATES INC. COSTELLO DISMANTLING CO.INC. COURTNEY LEAD PAINT REMOVAL .0.BOX 24's6 2 ROCKY GUTTER ROAD 215 POMEROY MEADOW ROAD 72 PLEASANT STREET MIDDLEBORO,MA 02346 SOUTHAMPTON,MA 01073 ROCKTON,MA 02405 508-946-0880 Has Employees Yes 413-527-8052 = Has:Employees 'No 08-587-3349 Has Employees Yes )C000217 Exp, 21412000 DC000470 Exp.-111912000 DC000493 Exp. 111312000 1ANUEL S.DASILVA LEROY SNODGRASS PASQUALE FREDA MSILVA DELEADING CONTRACTOR DEC-TAM CORP. DELEAD ALL 03 WALNUT STREET P.O.BOX 936 10 LOWELL JUNCTION ROAD 213 HARVARD STREET IROCKTON,MA 02401-0000 ANDOVER,MA 01810 CAMBRIDGE,MA .02139 - ;0&553-8485 Has-Employees; Yes 978470.2860 . Has,Employees Yes 617-491-41.62 Hals.Emplayees Yes )C000242 Exp, 4120/2000 DC001005 Exp, 112SI2000 DC001516 Exp. 513112000 IOHN C.HOMAN,JR DENHAM E.BARRETT JONATHAN PAUL LONGO )ELEADERS OF MA INC. DELEADING SYSTEMS&WINDOW REPL DESTINY HOMES,LLC . !31 KING STREET CID 36 SOUTH STREET_ . 4ANOVER,MA 02339 540 PARK STREET GRANBY,MA 01033 517-878-9591 Has Employees Yes DORCHESTER,MA 02124 413-467-2273 Has Employees No 617-281-2182 Has Employees No DC001646 Exp. 4112/2000 DC001597 Exp. 4/6/2000 DC001176 Exp, 4112/2000 RICHARD P.DRAGON RITA SCHULTZ NIALL T.MCGUIRE - DRAGON LEAD ABATEMENT E.D.P.ENVIROMENTAL SERVICES EAGLE ENVIRONMENTAL 19 LINDEN STREET 396 NORTH MAIN STREET CONTRACTORS SALEM,MA 01970 P.O.BOX 89 150 HAYDEN ROAD 978-745-0480 Has Employees No NORTH SALEM,NH 03073 GROTON,MA 01450- 603-894-5321 Has Employees .No 978-692-0002. Has Employees Yes DC001421 Exp. 612/12000 DC000599 Exp,. 6/2412000 DC000229 Exp -1M712000 STEVEN JAKAITIS EDWARD DONALD FISETTE CHARLES MINA$ALLF EAST COAST RESTORATION ED"S LEAD ABATEMENT SERVICE ENVIRONMENTAL-RESTORATION iNC 178 MAIN STREET 180 OAK STREET 16 HAZL DRIVE BOYLSTON.MA 01505 HOLYOKE,MA 01040 HAMPSTEAD,NH 03841 617-984-5755 Has Employees No 413-533-1149 Has Employees No 603-32MI01 Has Employees Yes DC000934 Exp. 7128/2000 DC000659 Exp. 812512000 DC000449 Exp.-1l1112000. JOSE L.ESCOBAR ROBERT MACLAURIN FRANCIS R.BUZDEREWICZ ESCOBAR SIDING ESSEX MANAGEMENT s, EXTERIOR CONTRACTORS CO.,INC. 53 HOWARD AVENUE 70 ESSEX STREET 132 BEACON STREET NEW SEDFORD,MA M745 HOLYOKE,MA. 01040 P.O.BOX Mo 508-9W1433 - Has Employees Yes 413-536-2109 Has Employees Yes CHELSEA,MA 02iso-OW6 617484.2591 : . Has Employees, Yes. 00000565 Exp, 4/1112000 DC001639 Exp. 218/2000 DC000227. .Exp:'1/2012000 FRED N.MENDELSON . CHERYL A.FLETCHER GEOFFREY A:NOIiIS F.M.ENTERPRISES FLETCH'S SANDBLASTING&PAINTING GEOFFREY A HOLLIS., 340 FERRY STREET 72 HUNTER DRIVE - MALDEN.MA 02148 EPPING,NH 03042 LOWELL,MA 01653 781-3974939 Has Employees No 603-895-9842 Has Employees No 508459-1312 . Has employees' No r . DC001494 Exp. 2/22/2000 DC001603 Exp. 4/26/2000 DC001324 GEORGE T.ABDOW ERNEST LAMAR JOHNSON 'PAUL GOGUEN GEORGE ABDOW ENTERPRISES GODS PROPERTIES GOGUEN ABATEMENT.'. 213 BROADWAY STREET 16 MONTMORENCI STREET 127 MECHANIC STREET f CHICOPEE,MA 01020- SPRINGFIELD,MA 01107 LEOMINSTER,Mi4' `0 453-00Q0 413-594-2616 Has Employees No 413-746-6119 Has Employees No 508-534-5294 Has Employees No Page 5 of 10 .,. . <,. , ' — —_�- —..�• •••---- cap. ucv1zvuu 1S4PH A..PREVITE ROBERT P.MALEY JAMES F.KELLY )SE,PH A.F!REVITE HOUSESMITH JOSEPH COHN&SON,INC KELLY ENVIRONMENTAL SUMMER ST(tEET 80 HAMILTON STREET 647 REVERE BEACH BLVD. )HAS$ET,MA 02025 NEW HAVEN,CT 06511 REVERE,MA .02151- 1-383-9723 Has Employees No 203-772-2420 Has Employees No 781-286-4207 Has Employees No '_001493 Exp. 1125/2000 DC001381 Exp. 2/1112000 DC001253 Exp. 7/22/2000 =V1N C. NETTO LEROY COHEN LEONARDO RABELLO =VIN C.NETTO CONSTRUCTION,INC. L&M DELEADING& CONSTRUCTION L.R.CONTRACTING SOUTHHAMPTON ROAD 82 NELSON STREET 9 PROSPECT STREET ESTHAMPTON,MA 01027- DORCHESTER,MA 0212.4 - ... W08llRN,MA fl1'8Q� 13-527-3166 Has Employees -No- 617-26-5-0609 Has Employees -No- — 7-81-932-5886 Has Employees Yes C000616 Exp. 71812000 DC001429 Exp. 2/1012000 DC001641 Exp. 3/112000 TEPHEN S.BARNATT KEVIN P.HANNON MICHAEL S.PERSSON EAD PAINT REMOVAL SYSTEMS LEAD-AWAY CONTRACTING LEAD-SAFE RENOVATORS .0'BOX 1228 41 BLUE HERON DRIVE 571 WEST UNION STREET, ENNISPORT,MA 02639 PLYMOUTH,MA 02360- EAST BRIDGEWATER,MA 02333-1727 D8-394-5495 Has Employees No 800-289-2371 Has Employees No 608-378-9322 Has Employees No IC000889 Exp. 6/24/2000 DC601654 Exp. 5119/2000 DC001655 Exp: 612212000 , EONCE J.MORENCY MILTON A-POUNCY . MICHAEL LAZOS EADBUSTERS OF NEW BEDFORD_ M&F PAINTING&DELEADING M+J PAINTING CO. 66-BROCK AVENUE SERVICES 5 BROOKS ST _ IEW SEDFQRO,MA 02744 P.O.BOX 182 r, MEDFORO,.MA 02155 . 08-994.2111 Has Employees No BOSTON,MA 02125 781-393-0709 Has-Employees ` No 617-288-0573 Has Employees No )C001356 .gip, 6/2312000 DC001630 Exp. 11/18/2000 w DC0.00976Exp,42dV1999, OHN VAtLLANCOURT. MICHAEL TONER WILUAM T.MAft}) A.K.J.CONSTRUCTION MARINE BIOLOGICAL LABORATORY "MARTIN&SON hUUTYIrARPENTRY I CRAVEN TERRACE 30 ALBATROSS STREET 1400 MORGAN:ROAD )ERRY,NH 03038-4409 WOODS HOLE,MA 02543 WEST SPRINGFIELD,MA 01104 03-425-2719 Has Employees. Yes 508-548-3705 Has Employees No 413-746-5338 Has Employees No )C001316 Exp. 1/4/2000 DC00.0795 Exp; 5/2012000 DC000015 Exp 10/4/2000 SAIAS A.MARTINS ROBERT E.TOMES ROBERT E.MCGARRY; MARTINS CONSTRUCTION AND MASSACHUSETTS LEAD SOLUTION MASTER MAINTENANCE,INC. DELEADING COMPANY P.O.BOX 1144 ' 4 INTERVALE ROAD 44 PTIILIP ROAD 267 PRAIRIE STREET ARLINGTON,MA 02174 LEXINGTON,MA 02173 CONCORD,MA 01742 �81.646.2627 Has Employees No 781-861-4050 Has Employees No '978-371-0717 Has Employees Yes DC001269 Exp, 519/2000 DC001399 Exp. 12/16H999 DC001122 Exp. ;12129I1999 .. EILEEN R.MCGARRY DONAL MC GRATH WILLIAM A.MCKEON MASTER MAINTENANCE,INC. MC GRATH CONSTRUCTION CO.INC. : MC KEON•.j1,UILDEI P.O.BOX 1144 30 ASHWORTH ROAD '" 44 BIGELOW STREET'} 267 PRAIRE STREET NORTH QUINCY,MA 02171.0000 PO.BOY, 116 CONCORD,MA 01742.. 617-770.9409 Has Employees Yes : NORTH BROOKFIELD;-MA 01535 . 800.464-0998 Has Employees No 800.867-8883 Has Employees No DC001498 Exp. 11114/2000 DC001586 Exp. 10/25/1000 DC001422 EsP; 21112000 JOEL E.MCBEE FRANCIS J.MCKENNA III. ANTHONY 8.MCKWNfE MCBEE DELEADER CONTRACTOR MCKENNA BROS. MCKINNIE DELEADING .24 WELLINGTON STREET 669 HANCOCK ST 148 YALE STREET :. . P.O.BOX 4362 QUINCY.MA 02170 SPRINGFIELD.MA 01109 BROCKTON.MA 02401-5034 617-472-0996 Has Employees No :413-737-9802 . Has Employees No 508-559-6098 Has Employees No Page 7 of 1D �: . 3BERT P.RIVET ROBERT E.BURKE JR. ROBERT J.MURPHY AR ASSMIATES,INC. ROBERT E.BURKE JR.CO. ROBERT J.MURPHY LEAD PAINT 17 CHURCI'I STREET 343 NEWPORT AVENUE SPECIALIST EW BEDFORD,MA 02745 QUINCY,MA 02170 14 WARWICK STREET )8-998-2473 Has Employees Yes 617-471-5323 Has Employees No AUBURN,MA 01501 508-756-4567 Has Employees No C001401 Exp. 612312000 DC000566 Exp, 7113/2000 DC000531 Exp. 511312000 3HN D.STOREY CLYDE H.ROGERS DAVID HEBERT .00KBRIDGE INC.DBA STOREY ROGERS CONSTRUCTION COMPANY ROLAND HEBERT,INC. CONSTRUCTION 539 MAIN STREET 595.GIFFORD ROAD `.0.BOX 876 WEST TOWNSEND,MA 01474 WESTPORT,MA 02790. IANSON,-MA 023414600 508-59745.0.9 Has,Employees No _ 508.636.8284 Has Employees Yes 17-447-0896 Has Employees Yes )C001634 Exp, 12/21/1999 DC000256 Exp, 31112000 DC001621• Exp, 10/412000 ,TEPHEN GERARD CAMPO JOHN RIGAUS TODD M.SCYOCURKA I&D GENERAL CONTRACTORS S.E.SULENSKI ROOFING&SIDING CO. SAFE ENVIROMENT OF AMERICA,INC :13 SCHOOL STREET INC. 100 MOODY STREET NOBURN,MA 01801 103 SOUTH STREET LUDLOW,MA 01056 181-938-4722 Has Employees No HOLYOKE,MA 01040 413-589-1882 Has Employees No 413-532-3630 Has Employees Yes 3C000906 Exp. 111412000 DC001614 Exp, 10125/Y000 DC001480 Exp- 91912000 CENNETH H.-MCCARTER GREGORY A:LINDSAY SCOTT W.AULSON SAFE HOME DELEAD&CONSTRUCTION SAFE WORKERS OF AMERICA,INC. SCOTT AULSON CONTRACTING& -0.,INC 100 MOODY STREET ABATEMENT 421R SOUTH MAIN STREET LUDLOW,MA 01066 41 PINE STREET BELLINGHAM,MA 02019 413-589-1882 Has Employees No PEABODY,MA 01960- 506-883-4056 ' Has Employees No 978-535-7350— Has Employees No DC001478 Exp, 2/26/2000 DC000630 Exp, 612TI2000 DC001635 Exp. 12/2111999 SCOTT A.KNIGHTLY CHARLES E.KELLEY KAREN K.BOUTHII3.ETTE SEACOAST DIVERSIFIED,INC. SERENITY LEAD REMOVAL SERVICE CONTRACTING INC. 23 HORNE STREET 606 EAST 3RD STREET 127 LIME ROCK ROAD DOVER,NH 03820 SOUTI4 BOSTON,MA 02127- SMITHFIELD,RI 02917 603-749-9274 Has Employees Yes 617-269-8337 Has Employees No 401-231-3060 Has Employees No DC000017 Exp. 12/26/2000 DC000017 Exp. 1212611999 DC001207 Exp. 21812000 GEORGE W.MCKIE JR. GEORGE W.MCKIE JR. EVERETT R.SHAW SERVICE PAINTING CO.INC. SERVICE PAINTING CO.INC. SHAW DELEADING 93 COLLINS STREET 93 COLLINS STREET 4 ERIK RD LYNN,MA 01902 LYNN,MA 01902 MEDFIELD,MA 02052 781-593-1552 Has Employees Yes 781-5934552 Has Employees Yes 508-359-2172 Has Employees No DC000696 Exp, 617/2000 DC001590 Exp. 612612000 DC000437 Exp. 311512000 GEORGE E.TANGUAY WESLEY J.MROCZKA MAURICE V.SPEAR JR SILTON GLASS CO. SOM CONSRUCTION ENTERPRISE SPEAR DELEADING SERVICES P.O.BOX 544 40 PLEASANT ST 224 EXCHANGE STREET FRAMINGHAM,MA 01701 WEBSTER,MA 01570 CHICOPEE.MA 508-872-1001 Has Employees Yes 508-949-6373 Has Employees No- 413-533-5000 Has Employees No DC001332 Exp. 3/3112000 DC001315 Exp. 111112000 DC001623 Exp, 1011812000 DAVID C.EASTMAN - JOHN H.GAUTHIER JR. LENG TY STRAIGHTLINE DELEADING SUNRISE ENVIRONMENTAL INC. SUPERIOR ENVIROMENTAL 124 DEAN ST 40 SUMNER STREET TECHNOLOGIES.INC. 29 WAREHAM STREET TAUNTON.MA 02780-MOO QUINCY,MA 02169 508.880.2487 Has Employees Yes 617-786-1210 Has Employees Yes BOSTON.MA 02118 617-426-7722 Has Employees No Page.9 of 10 r )CM00104. Exp. 3124/2000 DC001294 Exp. 61712000 DC001638 Exp,.211612000 -k 'tr iEORGE M.SWEET,III THEODORE F.CYCZ THOMAS P.HIGGINS + �. TWEET PAINT REMOVAL T.C.PAINTING CORP. THE AULSON CO.,INC 135 FRONT STREET 40 OLD STATE ROAD 49 L)ANTON DRIVE 1.0.BOX 408 P.O.BOX 185 METHUEN,M 01844 NEYMOUTH,MA 02188 SOUTH DEERFIELD,MA 01373 978-9754500 Has Employees No 181-335-1760 Has Employees No 413-665-4042 Has Employees Yes X001672 Exp. 1012SI2000 DC001390 ,Exp. 31712000 DC001527 .Exp. 12/912000 NARK W.MINGELS WAYNE BUTLER it WILLIAM TRACEY rHE HAMMER COMPANY THE WINDOW SPECIALISTS TRAC BUILDERS,INC. 37�4ME-STREU-------- - 22_IE$RASKA-STR7=EF 176444A1NFI_EtDP1KE 3ROCKTON, 02302 WORCESTER,MA 01604 JOHNSTON,RI 02919 508-584-5946 Has Employees No 508-791-5385 Has Employees No 401-943-3800 Has Employees No DC001593 Exp, 3124/2000 DC001551 Exp. =12000 DC001562 Exp. 1017=00 SCOTT C.AIKEY DEANNA VAN SCHAGEN GARFIELD W.JOSEPHS SR. UNLEADED PLUS VAN"S DELEADING VIABLE CONSTRUCTION `.'. 9LITTLE ALUM RD 77 BROWSTREET INCORPORATED BRIMFIELD,MA 01010 BRAINTREE,MA 02184- 30 ATHERTON STREET 413-245-6261 Has Employees No 617-843-6099 Has Employees No ROXBURY.MA 02119 617-983-1959 Has Employees Yes DC001118 Exp. 1212111999 DC001371 Exp, .b1112000 MOM Exp. 211612000,' SALVADOR J.VILLAR STEVEN J.MYSONA JAMES A.HUTZLER VILLAR,SALVADOR J. WOODS HOLE PANTING COMPANY YANKEE FIBER CONTROL INC. 80 LYNNE DRIVE 8 STRAWBERRY HILL ROAD 2.DEXTER ROAD '. •. ;.: `.:. :, . WEST SPRINGFIELD,MA 01009- P.O.BOX 481 EAST PROVIDENCE,RL,02914 413-733-1052 Has Employees No MODSHOLE,MA 02543- '"5800-T29-5559 ,1 Has Employees Yti s :p 505 -4809 Has Employees Yes r Page 10 of 10 I '.001612 Exp. 712A12000 DC001459 Exp. 311712000 DC000455 Exp. 812612000 1RIST J.STAMATOS SUSAN DELLAQUILA OBRIEN MILES 0.IYAMU w °TRO ENVIROMENTAL& MICHAEL J.GRESH PAINTING CO.,INC. MILES CONTRACTING COMPANY )NSTRUCTION,INC. 8 STOUGHTON ROAD 86 BRUNSWICK STREET 9 CENTRE STREET P.O.BOX 1014 •DORCHESTER,MA 02121 WAICA PLAIN,MA 02130 EAST WINDSOR,CT 06088- 617-436-4225 Has Employees No 7-983-9300 Has Employees No 860-65 -1910 Has Employees Yes C001663 Exp. 81312000 DC001435 Exp, 2/2412000 DC001584 Exp.. 31V2000 AVID W.CORREIRA ROBERT J.JOANETTE FRANK KASABIAN (ORGAN ENTERPRISES N.E.WINDOW,SIDING&REMODELING NATIONAL SERVICE CLEANING CORP. T�1=LORi9hSTREET 171AW-ST-STREET __ .. -.-- -- -- 49DANTOWDRWE - PRINGFIELD,MA 01109 MILFORD,MA 01757-0060 . METHUEN,MA 01844 13-737-6070 Has Employees No 800-696-7160 Has Employees No 800-248-0060 Has Employees No IC601216 Exp. 6/14/2000 DC001416 Fxp, 1111712000 DC000305 Exp. Z12512000 LARK J.HEFFRON STEPHEN BONINA SR. RIGOBERTO B.NINA IATIONAL SURFACE CLEANING,INC. NEW ENGLAND.WINDOWS,SIDING& NINAS PAINTING CO. 3 FERRY ROAD REMODELING P.O.BOX 26 IIETH:JEN,MA 01844 595 LOGES STREET. METHUEN,MA 01644 i78-886-7477 Has Employees Yes WOONSOCKET,RI 02895 50"85-6730 Has Employees No 978-779-0450 Has Employees No )CQ01578 Exp.-112512000— _.- .._. . _DC001433 ..Exp. 711212000 _._-._. __-. _ DC601607 Exp. 7/712000 )AULO J.OLIVEIRA CHRIS A.BERARDI MONY S.NONG 4ORTH AMERICAN ENViROMENTAL NORTH AMERICAN SITE DEVELOPERS NORTHEAST DELEADING iERVICES INC. 114 THORTON STREET 10 INDEPENDANCE AVE 218 LINCOLN STREET. REVERE,MA 02151 JUINCY,MA 02169 P.O.BOX 326 781-286-2168 Has Employees No 317-769-9446 Has Employees No ALLSTON,MA 62134 DC001438 Exp.. 7/2612000 DC000801 -Exp. 6124/2000 DC001391 Exp. 111812000 BRUCE F.TOLDA RONALD C.RHEAULT PEDRO A.BAEZ NORTHEAST PAINTING ASSOCIATES OXFORD DELEADING INC. P.B.REMODELING 881 NORTH KING STREET 5 WALCOTT STREET 565 RIVERSIDE ROAD NORTHAMPTON,MA 01060-0000 OXFORD,MA 01540 SPRINGFIELD.MA 01107- 413-586-5013 Has Employees No 508-98T-0042 Has Employees Yes 413-736-9918 Has Employees . No DC000021 Exp.. 116f2000 DC001205 Exp. 8112/2000 DC000028 Exp. 411412000 ANTHONY V.MCLAUGHLIN JR. ROGER'H.MATTHEWS Ill PETER F.RYAN SR. PAINT BY NUMBERS,INC. PARAGON ENVIROMENTAL _PETER RYAN DELEADING IES.1NU. . 34 R-HUDE STREET- P.O. _. P.O.BOX 128 38 MALLON ROAD QUINCY,MA 02169- NORTH EASTON.MA 02356 DORCHESTER,MA 02121- 617472-7919 Has Employees No $00-696-4858 Has-Employees Yes 617-288-9400 Has Employees Yes DC000925 Exp. 111312000 DC000445 Exp, 6117/2000 DC000253 Exp.--212212000 RICHARD E.CAPOLUPO GAB[ARMANY. KEVIN B.BROWN PRIME COATINGS,INC. PRIORITY SERVICES COMPANY QUALITY DELEADING&CONSTRUCTION 161 ELM STREET 40 MONTVALE STREET 25 MIDDLEBURY STREET SALISBURY,MA 01952 ROSLINDALE,MA. 02131 . LAWRENCE,MA 01841 - 978-465-2556 Has Employees Yes 617-325-46.50 Has Employees No 978-683-9581 Has Employees No DC001117 Exp. 12/312006 DC001677 Exp. 4/26/2.000 DC000007 Exp. 7126/2000 MICHAEL H.BEATRICE THOMAS E.PALMER RANDY G.WELLS RELIABLE BUILDING CONTRACTORS REMLAP LEAD PAINT REMOVAL RGW BRUSH 245 ELLIOT STREET 4203 40 ARMORY STREET 25 CHASE STREET P.O.BOX 5. SPRINGFIELD.MA 01105 METHUEN.MA 01841 BEVERLY.MA 01915 413-736-3287 Has Employees Yes 800-922-6866 Has Employees Yes 978-927-2828 Has Employees No Page 8 of 10 DC60372 Exp. 1.112912000 DC001445 Exp. 711912000 DC001649 Exp. 4126t2000 r t STEVEN E.LESAGE THOMAS E.HEFFERNAN GEORGE HALAMOUTIS GREYLOCK ENVIROMENTAL H&M GENERAL CONTRACTORS H&S HOME IMPROVEMENT 17 TURNERS AVENUE 9 SUMMER STREET 70 LONG POND ROAD ADAMS,MA 0122D BEVERLY,MA 01915- TYNGSBORO,MA 01879 413-743-7657 Has Employees Yes 978-922-3436 Has Employees Yes 978-649-6081 Has Employees No DC001642 Exp. 311T12000 DC001068 Exp. 61912000 DC001420 Exp- 4tiV2000 DANIEL R.HALLORAN JR. JOHN HOWARD HAMMOND,JR. MELFORD G.HARPER HALLORAN CONSTRUCTION CO. HAMMOND DELEADING&REMODELING HARPER S CONSTRUCTION 29.13-ELLEVUE STREET -_ STONEHAM,MA 02180 BERKLEY,MA 02779- DORCHESTER,MA .02125 781.279-4275 Has Employees No 508-821-7684 Has Employees Yes 617-287-2817 Has Employees No D0000519 Exp. 3/1012000 DC000711 Exp. 4126/2000 DC001133 Exp. 11R212000 ROBERT G.PECCI DAVID B.•GARVEY JOSE MARCIO VIEIRA HILLSIDE HOME IMPROVEMENT HOME&PROPERTY MAINTENANCE HOME DELEADING 16 SKYV400D DRIVE 357 GREENFIELD ROAD 49 MARSHALL STREET STONEEHAM,MA 02180 DEERFIELD,MA 01342 : . SOMERVILLE,MA 02145 617.438-3206 Has Employees No 413-773-5622 Has Employees No .617-628-4118 Has Employees No DC001081 -Exp,-Sn312000 DC001637 Exp, 1?12011"S DC001606-.Exp_-12t30t1999 VINCENT W.LOVEGROVE LAWRENCE T.PISAPIO DANIEL N.COMEAU HOME FREE DELEADtNG SERVICE HOMEOWNER HOMEOWNER 430 HAWTHORN STREET 118 NORFOLK STREET 64 BEACH STREET NEW BEDFORD,MA 02740 HOLLISTON,,MA 01746 HAVERHILL,MA 01832 508-9944153 Has Employees Yes 508-429-6611 Has Employees No 978-521-2598 'Has Employees No DC001636 Exp. 12/28/1999 DC001488 Exp- 1/1812000 DC001140 Exp, 1.21612000-• GEORGE W.PERRY HUGO S.BERNAL LUIS A.RIVERA HOMEOWNER HUGO BERNAL J&L HOME IMPROVEMENTS INC. 2 WILLOW CT 94 ACADEMY DRIVE P.O.BOX 2873 SAUGUS,MA 01906 LONGMEADOW MA 01106 SPRINGFIELD,MA 01101 781-233-0016 Has Employees No 413-567-1490 Has.Employees No 413-746-6029 Has Employees No DC001526 Exp. 3118/2000 DC001579 Exp. 1t11t2000 DC00164T Exp. 411312000 JESSE J.FARIA RUSSELL E GIBSON JOHN R.TIMMINS J.FARIA HOME IMP,AND DELEADING J.P.LEAD ABATEMENT J.R.TIMMINS CONTRACTING 380 NORTK IFRONT STREET 22 FOREST HILLS ST APT 1 6 GEORGE ROAD.. -NEW BEDFORD,a1A 02746 JAMAICA PLAIN,MA. 02130 . QUINCY,MA 02170-3709 508-990-0986 Has Employees No 617-522-2559 Has Employees No 617-984-2036 Has Employees No DC001514' Exp. 611 4120 0 0 DC001215 Exp. 412612000 DC000561 Exp. A1812660 JEFFREY W.BREWER' JOHN J.BROUILLETTE JOHN P.KOVACH JR. JEFFREY BREWER JJB PROPERTY MANAGEMENT JOHN KOVACH BUILDER 151 NORTH MAIN 251 PAWTUCKET BLVD. 135 CHIPPINGSTONIE ROAD TEMPLETON,MA 01468- TYNGSBORO,MA 01879 MARSTONS MILLS,MA 02648 508-632-61.29 Has Employees No 508-459.7880 Has Employees No 508-428-6139 Has Employees No DC000944 Exp. 12126t1999 DC000991 Exp. 1,213011999 DC003129 Exp. 10125/2000 JOHN J.MANZI,JR. JOHN PETER KOPACZEWSKI RICARDO A. REYES-PEPIN JOHN MANZI JR.PAINTING AND JOHN P.KOPACZEWSKI CONTRACTOR JOHN RICHARD LEAD.REMOVAL DELEADING 57 LONGVIEW DRIVE 25 WYOMING STREET .99 MISHAWUM RD DARTMOUTH,MA 02747 DORCHESTER.MA 02123-0000 WOBURN,MA 01801 508-9974721 Has Employees No 617442-6258 Has Employees No 781-938-8602 Has Employees No Page 6 of 10 c r :Ou0053 Exp. 112312000 DC000737 Exp. 11120/2000 DC000736 Exp. 1112812004 )BERT T.BEAUREGARD DONALD DWYER BRIAN D.ROCHELO „ :AUREGARD CONSTRUCTION CO.INC. BERKSHIRE HOME IMPROVEMENTS BERKSHIRE HOME IMPROVEMENTS 4 COUM Y STREET P.O.BOX 1558 P.O.BOX 1558 =W BEDFORD,MA 02740 74 ELMER AVE. PITTSFIELD,.MA 01201 )8.996-1205 Has Employees Yes PITTSFIELD,MA 01201 413-499-2410 Has Employees No 413-442-4227 Has Employees No C001668 Exp. 101712000 DC001539 Exp, 511812000 DC000271 Exp. 1013112000 DWARD.J.CHAGNOT DANA O.BENNETT JAMES F.BOSCO ESTECH INC.OF CONNECTICUT' BIMM LEAD REPLACEMENT CO. BOSCO"S BRUSH 5-PINN£Y-STREET-._ - 36 HAWTHQRRE—_STREET 64 CHERRY-ST-REET._ _.._- :LLINGTON,CT 06029 ROSLINDALE,MA 02131 P.O.BOX 6263 60-896-1000 Has Employees No 800-625-4405 Has Employees No CHELSEA,MA 02150 617-889-6360 Has Employees No )C001666 Exp. 91812000 DC000873 Exp. 411912000 DC001644 Exp. 312412000 IRADLEY.B.CHEW ANTONIO GOMES BRANDAO EDWIN ALICEA IRADLEY CHEW DELEADING CO. BRANDAO DELEADING CO. BRIGHTSTAR BUILDING SERVICES .9 BRIGHAM STREET 47 TONAWANDA STREET 94 THETFORD AVE 4EW BEDFORD,MA 02740 DORCHESTER,MA 02124- DORCHESTER,MA "02124 i08-997.2821 Has-Employees No 617-265-9858 Has Employees No 617-265-8401 Has Employees No 3CO00534 Exp, 4/22/2000 DC001048 Exp. 71271200Q DC000892 .Exp. 612312000 20BERT A.FERNAND.ES MICHAEL J.MOORE SCOTT M.BERUBE . . BRISTOL COUNTY LEAD REMOVAL BUILDING RENOVATION CONTRACTORS BUILTWRIGHT RESTORATION 118 LOCUST STREET P.O.B.OX 5942 10 SCHOOL SQUARE NEW BEDFORD,MA 02740 95 CENTRAL STREET WINCHENDON;MA 01475 508-999.6557 Has Employees No SPRINGFIELD,MA 01101- 978-297-4517 Has Employees No $00-2044854 Has Employees No DC001400 Exp. 311/2000 DC600050 Exp.-311712000 DC001201 Exp. 4126/2000 SAMUEL.CARDONA GLENN R.CABRAL ATTILIO CARDAROPOLI C&S BUILDERS&ABATEMENT CABRAL"S DELEADING CO. CARDAROPOLI DELEADING 36 MONTMORENCI ST 255 MERRIAM STREET CONTRACTOR SPRINGFIELD,MA. 01107 WESTON,MA 02193-1350 203 DICKINSON ST 413-746-2365 Has Employees No 617-893-2705 Has Employees No SPRINGFIELD,MA 01108 413-739-9753 Has Employees No DC000692 Exp. 1211611999 DC001665 Exp. 8131/2000 DC001652 Exp. 611012000 RICHARD D.ARENSTRUP KONRAD DZIERZYNSKI JOHN J.PALMER CASTLE POINTE ASSOC.INC. CD ENTERPRISES CHARTER ENVIROMENTAL,INC. SOX 2248 22 HURTLE AVENUE 85 CRESCENT AVENUE 156 MAIN STREET WEBSTER.MA 01570 CHELSEA,MA 02150 HYANNIS,MA 02601 508-795-0531 Has Employees No 617-889-2228 Has Employees No 508-776-3336 Has Employees No DC000908 Exp. 4128/2000 DC000778 Exp. 12/2611999 DC001645 Exp.�412412000 CRAIG O.CHENEVERT CHRISTIAN P.GOSEIL PHILIP L.CIRRONE CHENEVERT PAINTING 8 DELEADING, CHRIS"S REMODELING DELEADING CIRRONE CONTRACTING CRAIG 67 REVERE STREET 367 BISHOP ST 49 GROVE STREET-P.O.BOX 30 BRADFORD,MA 01835- P.O.BOX 719 UPTON.MA 01568 978-372-3907 Has Employees No NATIC.K,MA 01760 508-529.3769 Has Employees No 508-655-667.3 Has Employees No DC001055 Exp. 111812000 DC001436 Exp. 2122/2000 DC000574 lExp, 6130/2000 MARKS. BIANCO CHRISTOP.HER GAIESKI ERROL W.WALSHE CLEAN SURFACE DELEADING INC.' CODY CONSTRUCTION,INC COMMONWEALTH CONTRACTING 203 ESSEX STREET 26 LINWOOD PLACE • 46 CRESTHILL ROAD WEYMOUTH.MA .02188 AMESBURY,MA 01913-0000 BRIGHTON.MA 02135-1829 617-340-0816 Has Employees Yes 978-388.6516 Has Employees No 617-789-5427 Has Employees Yes Page 4 of 10 r ►CO 10405' Exp. 12/612000 DC00134.5 Exp. 4119t2000 DC001640 Exp. 2/2212000 '� w IARK-STEELE GERALD S.GAMBONE NACER EDDINE BELKADI 100 PARKER STREET 580 FOWLER ROAD 12 WOODLAND ST ;PRINGFIELD,MA 01129-1004 NORTHBRIDGE,MA 01534-0000 BELMONT,MA 02478 13-783-7138 Has Employees No 508-234-5663 Has Employees No 617-484-6999 Has Employees No )C001648 Exp. 4/2612000 DC001643 Exp. 411912000 DC000824 Exp. 31912000 mOMAS J.CAMPBELL MICHAEL A.SCUDERI ERNEST G.PECCI 323 WASHINGTON STREET 1482 LONGMEADOW ST 16 SKYWOOD DRIVE MELROSE,MA 02176 LONGMEADOW,MA 01106 STONEHAM.MA 02t80 Has Employees No 413-565-2523 Has Employees No 781-438-3206 Has Employees No DC000968 Exp. 1/2012000 DC000491 -Exp. 112712000 DCD00440 Exp. 11110/2000 AUDLEY H.JONES GARY P.O NEILL CHRISTOPHER ZORZY P.O.BOX 946 1 ST ENVIRONMENTAL DELEADERS OF A&A SERVICES DELEADING CO.,INC. FITCHBURG,MA 01420- AMERICA 115 NORTH STREET 508-691-2482 Has Employees No P.O,BOX 262-1 HUBBARDSTON.RD . SALEM„MA 01970 TEMPLETON,MA 01468 800-2,87.0426 Has Employees Yes 978-939-5107 Has Employees No DC000072 Exp. 4/612000 DC001581 Exp. 1/2012000 DC001379 Exp. 111812000 ALAN F.SABATINO RICHARD A.CIRONE ANTONIO DI GIOIA A&J SERVICES A A&K DELEADING CO.. A-DECO AND REMODELING 17 FATHERLAND DRIVE , 388 EASTERN AVE. 799 UNION STREET P.O.BOX 464 39 BELTRAN ST WEST SPRINGFIELD,MA 010894122 BYFIELD,MA 01922 MALDEN,MA 02148 413-746-8446 Has Employees No 978-465-4765 Has Employees Yes 781-324-3650 Has Employees No DC000345 Exp. 121161.1999 DC000988 Exp. 10/25/2000 DC000452 Exp. 1118120Q0 ROBERT A OUELLET GEORGE W.DUFFNEY ERIC B.JETER 'A.FRANCIS CONSTRUCTION A.C:FINE,INC. A.C.T.ABATEMENT CORP. 69 LINCOLN STREET 337 CENTRE STREET. 225 ERVING AVENUE . GARDNER,MA 01440 JAMAICA PLAIN,MA 02130 LAWRENCE,MA 01841 978-630-3442 Has Employees.. Yes 617-524-6833 Has Employees Yes 508-794-9530 Has Employees Yes DC001587 Exp. 617/2000 DC001007 Exp, 12/12/2000 DC001555 Exp.* *11412000 AUDLEY G.ALLEN ROGER A.LEMON.DE THOMAS J.CAULFIELD A.G.ALLEN DELEADING AAA ENVIRONMENTAL 8 GENERAL AAAA AFFORDABLE DORCHESTER .12 WARDMAN RD CONTRACTORS DELEADING ROXBURY,MA 02119 87 MAIN STREET 2 HARVEST TERRACE 617-442-0788 Has Employees No P.O.BOX 759 DORCHESTER.MA 02125- WILBRAHAM,MA 01095 617-282-1603 Has Employees No DC000602 Exp. 101412000 DC001605• Exp. 611012000 D-0000941 Exp. 1U1.812000 JAIME ROJAS MICHAEL J.CAZALE JOSEPH L.ROPER AAMCO BEST CONSTRUCTION AATLAS DELEADING ABATEMENT ETCETERA 102 BLOSSOM STREET 58 GOODWIN ROAD 63 CRAWFORO STREET P.O.BOX 505264 BOX 1153 DORCHESTER,MA 02121 CHELSEA,MA 02t50 PLYMOUTH.MA 02362 617-445-6198 . Has Employees Yes 617-560-59.32 Has Employees No 508=830-9379 Has Employees No DC001619 Exp. 8/30/2000 DC000391 Ezp. 1/20/2000 DC001651 Exp. 5116f2000 FRANK TILLI MANASSE REMY DALE A.SMITH *ABIDE.INC ACCESS LEAD REMOVAL 8 INSPECTION ACC.UTECH ENVIROMENTAL 8 GENERAL 44 HIGH PINE CIRCLE 148 CENTRAL AVENUE 117 PROSPECT STREET EAST LONGMEADOW,MA 01028 HYDE PARK,MA 02136-3147 NORWICH.CT 06360 413-525-0644 Has Employees No 617-364-011G Has Employees No 860-887-7915 Has Employees No Page 2 of 10 Page 2 for Selecting a Deleader-contractor Y 14. The written contract should be specific as to the start date and completion date. If the contractor exceeds the completion date,use a daily penalty clause from monies owed to the contractor(example: 213 or 1/3 of the job remaining,contractor is late on end date,S100.00 per day times the number of late days). S CHECKLIST SHOULD ONLY BE USED AS A GUIDELINE TO HELP IN THE .SELECTION OF -A LICENSE �I,IFIED DELE�4D -C �.'I'b t A BY NO A S III3L>I -SE TgED AS- -ONLY SE-'LECTION-PROLES A DELEADER-CONTRACTOR. fin you call the DLWD,specify which type of deleader-contractor you.need-Level I Deleader-contractor or Level H Deleade itractor. Here is'a quick explanation of the similarities and the differences between a licensed.level I deleader-contractor and eased level II deleader-contractor: 1. Both are certified to do dust generating surface preparation for encapsulation or covering. 2. A level II deleader-contractor has been trained,tested and certified for the use of encapsulants. a) I A level II deleader-contractor can do dust.generating surface preparation and apply encapsulanos without needing a reinspection of the surface preparation. 3. A level I deleader-contractor can-do-dust generating surface preparation and encapsulation work.provided that: a) the surface preparation is reinspected by a lead inspector before.applying encapsulants; b) the level I deleader-contractor acts as the homeowner's agent while applying the encapsulant (as an agent the deleader most read the encapsulant training handbook and take the encapsulant quiz provided through'the Childhood Lead Poisoning Prevention Program).'Phone CLPPP at 617-753-8400 or 800-532-9571 for encapsulant material.. ;all the Department of Labor and Workforce Development at 1-80042"004 to verify A deleader-contractor's licensed level(leve or level II),current license status and violation history. Barnstable County Sheriff's Office I hereby certify and return that on December 15, 2004 at 2:30 PM I served a true and attested copy of Order to Correct Violations, in hand to the within named Defendant, Donna Webber, at the last and usual abode to wit: 118 Scudder Avenue, Hyannis, MA 02601. Fee: $46.40 Brad Parker, Deputy Sheriff PO Box 614, Centerville, MA 02632 FRONTIERO LAW OFFICE, P.C. SALVATORE J.FRONTCERO,ESQ. 14 PLEASANT STREET GLOUCESTER,MA 01930 Telephone: (978)283-2850 Facsimile: (978)283-2950 Email: sal@frontierolaw.com September 22, 2004 Donald Desmarais Town of Barnstable Public Health Division 367 Main Street Hyannis, MA 02601 RE: 118 Scudder Avenue, Hyannis Dear Mr. Desmarais: This letter will follow up my phone conversation with you from a late August. As you may recall, your office inspected 118 Scudder Avenue:at the request of a tenant at the premises and found evidence of lead,paint, as well as chronic moisture and insect infestation. As a result, your office issued-repair'orders to the then owners,Alexander and Michael Delis. As you also may recall;all of this occurred shortly before a closing for the sale of•the property, which,ultimately occurred-on August.30,'2004. Iri our conversation, I indicated that the sellers would undertake the chronic moisture and infestation remediations, while the buyer was assuming responsibility for lead paint remediation. You indicated that it appeared as though the chronic moisture was caused by faulty flashing where the roof meets the siding and a faulty flashing or boot on the base of a metal vent pipe. Please be advised that both the infestation and moisture remediations have been completed. Accordingly, I enclose a raid receipt for Fowler& sons, Inc. Termite and Pest Control for wood roach extermination. I also enclose a bill from Barnstable Roofing& Siding, Inc. for roof repair services performed. As you can see,the roofing contractor replaced a pipe flange and inspected the flashing for leaks. I trust that these actions satisfy your office relative to these issues. If not, kindly contact me immediately. As to the lead paint remediation, I enclose a copy of an agreement signed by the buyers and sellers whereby the'buyers agree to undertake that work. For contact purposes, on information and-belief, the new owners; Donna and Jeff Weber, have mailing addresses at the subject premises and at'905 Twin Oaks Road',Newton-,,New Jersey-07860. I request that'you contact Hein directly regarding any"lead paint related issues: Thank you for'your cooperation in this matter. If you have any questions or concerns', do not r FRONTIERO LAW OFFICE. P.C. Donald Desmarais September 22, 2004 Page 2 hesitate to contact me. Also, kindly direct to my attention any and all official correspondence from your office that is otherwise intended for Alexander Delis and/or Michael Delis. Sincerely, Salvatore J. Frontiero cc: Alexander Delis Paul Tardif, Esq. f 09/18/2004 18:27 978-281-0643 ALEXANDER DELIS, ESQ PAGE 01 Barg Awe Roofing& Sidw&Inc Invoice po Box 692 '� Dote In,ro�ce West XyannhPoK MA 02672 19A 2004 6249 -- Phone, 08-�'18-2495 .___� 13HI To Ship To 118 Scudder Lane Hymds,MA 02601 { r P.O.No. roan$ --_ Prolod Upon Receipt __.Hyannis TL Rate Amount Installed 1 Pipe Flange � inspected Copper Step Flashing,Found To Be In i �C}ood Condition 158.E 150.O0 I I { � 1 i Thank You - Total $150.00 TIN# 16-1692146 PLEASE NOTE NEW TIN Formerly, Villani Construction Inc. I 'd t!:2� V10, 6t'd8S i08/31/2004 09:36 978-281-0643 ALEXANDER DELIS, ESQ PAGE 01 771-000S FOWLER h SONS INC. 240-®VGIS 2"7 TERMITE do PEST CONTROL 2847 Hyannb 350 Weat Main Street,Hyannis,MA 0U01 orkw= 771-S6-CenbMile Fowler& Sons Termite&Pest Control agrees to provide pest control service by application of proper control measures for the following named pests: Purchaser G��%r' �; Phone Mail Address 2' \ This service and treatment will be performed on the pre is as follows: For this service the customer promises to pay Fowler&Sons Termite&Pest Control the sum of$� _ payable when the service is rendered. If additional service is necessary for control of the above mentioned pests within r-"! days from date of the initial service,such service shall be performed at no additional cost.This agreement does not guarantee against present or future pest damage to building or contents or provide repairs or compensation therefor. Accepted in all its terms and conditions. Signature indicates receipt of Consumer Notification Information Sheet. Customer/ ner Signatur Date You may cancel this transaction, without penalty or obligation, within three business days from the above. F ler A sons Repres 91"iZ Service Date Service Technician I, f 08;Q1/2004 09:36 978-281-0643 ALEXANDER DELIS, ESQ PAGE 02 AUG-30-2604 01 :48 PM FRONTIERO .LAW OFFICE. PC 978 283 2950 P.01 AGMAMENJ RECTTALS WHEREAS,ALEXANDER E. DELIS and MICHAEL S.DELIS(hereinafter, "SELLER,")and DONNA WEBER and JEFFREY WEBBER(hereinafter"BUYER',have previously executed a purchase and sale agreement for the purchase and sale of 118 Scudder Avenue,Hyannis(Barnstable),Massachusetts("the premises')for three hundred thirty thousand dollars($330,000), and WHEREAS, in accordance with the purchase and sale agreement,the BUYER is otherwise accepting the premises in"as is"condition and have otherwise waived their rights to home inspection(s)and/or were satisfied with the results of any home inspection(s)conducted, and WHEREAS, subsequent to the signing of said purchase and sale agreement the Town of Barnstable Public Health Division inspected the premises at the request of the tenant therein and discovered the presence of lad paint in the rental unit of the premises,as well as evidence of insect infestation and dampness,and WHEREAS,the Barnstable Public Health Division ordered the SELLER to bring the premises in compliance with the lead paint law as set forth in Mass.Gen,Laws Chapter 111,§§ 189A-199B and the Department of Public Health regulations promulgated in accordance with said law and to immediately rcmodiate the insect and dampness problems,and WHEREAS,it is the SELLER's position that,vis a vis the SELLER and the BUYER,it is the BUYER's responsibility to bring the premises in such compliance and to undertake such remediation,and WHEREAS,the BUYER is willing to bring the premises in compliance with the lead paint law post closing at BUYER's sole cost and expense, but desires a concession in price due to the cost of compliance,and WHEREAS,the SELLER is willing to undertake remediation of the insect and dampness problems prior to closing or as soon as possible after closing at SELLER's sole cost and expense, and WHEREAS,despite the BUYER undertaking compliance with the lead paint law,the SELLER could face possible civil and criminal penalties for the BUYER's failure to bring the premises in compliance,and WHEREAS,the lender,WASHINGTON MUTUAL BANK,FA,and the lender's attomey, PAUL TARDIF, ESQ.are concerned about their respective liability going forward with the transaction due to the lead paint issues,and AED AED upa MSD Page 1 of 3 DW 116j. JW 0841/2004 09:36 978-281-0643 ALEXANDER DELIS, ESQ PAGE 03 • AUG-30-2004 01 : 19 PM FRONTIERO LAW OFFICE. PC 978 283 2950 P.03 WHEREAS,the BUYER and SELLER wish to proceed as scheduled with the closing of the premises on August 30,2004 at 2:00 P.M., IN CONSIDERATION OF THE PREMISES CONTAINED ABOVE,BUYER AND SELLER HEREBY COVENANT AND AGREE,AS FOLLOWS: I. The BUYER is hereby granted a five thousand five dollar(S5,000)concession in We price,thereby lowering the said sale price from$330,000 to$325,000. 2. SELLER shall immediately take any and all steps necessary to rectify the insect infestation and dampness violations at the premises as ordered by the Barnstable Public Health Division at SELLER's sole cost and expense. SELLER's obligations hereunder shall be satisfied by a written declaration by the Barnstable Public Health Division that said infestation and dampness problems have remedied/repaired to its satisfaction and . thereafter the SELLER's obligations to BUYER relative to said dampness and infestation. violations shall forever cease. 3. In consideration of such concession in price.BUYER shall undertake any and all steps necessary to obtain the requisite certificate of compliance with the lead paint law at BUYER's sole cost and expense and shall indemnify and hold harmless SELLER from any failure to obtain such certificate or failure to otherwise to bring said premises in compliance with the lead paint law. 4. In further consideration of such concession and for other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledge,and except as otherwise specifically set forth above.DONNA WEER and JEFFREY WEBER,for themselves and their predecessors,successors,and assigns,and agents,("Releasor") hereby irrevocably and unconditionally release,remise,forever discharge ALEXANDER E.DELIS, MICHAEL S. DELIS, WASHINGTON MUTUAL BANK,FA and PAUL TARDIF,ESQ.,and their predecessors,successors and assigns,insurers,employees, attorneys and agents of them,both present and former,BUT SPECIFICALLY EXCLUDING COTTON REAL ESTATE AND ITS AGENTS AND EMPLOYEES, ("Releasee")of and from any and all charges,torts,contracts,complaints,claims, liabilities,obligations,promises,agreements,causes of action,suits, damages,judgments, executions,rights,demands,costs, losses,debts,and expenses of any nature,whether known or unknown,either at law,in equity,or mixed,the Releasor had,has,claims to have,or may have in the future,including those existing but unknown,against Releasee, by reason of,on account of,or arising out of the PURCHASE AND SALE OF THE PREMISES AT 118 SCUDDER AVENUE,HYANNIS,MASSACHUSETTS,and ANY AND ALL ISSUES ASSOCIATED WITH CONDITION OF THE PREMISES,including but not limited to the failure of premises to comply with any federal,state or local law, code,rule or regulation including but not limited to building,zoning,health and safety codes,laws, rules and regulations. 5. In further consideration of such concession and for other good and valuable AED (D"D ups.MSD Page 2 of 3 W DW . L,/. JW 0$Y31/2004 09:36 978-281-0643 ALEXANDER DELIS, ESQ PAGE 04 <' AUG-30-2004 01 :19 PM FRONTIERO LAW OFFICE, PC 978 2a3 2950 P. 04 consideration,the receipt and sufficiency of which is hereby acknowledge, and except as otherwise specifically set forth above,DONNA WEBER and JEFFREY WEBER, for themselves and their predecessors,successors,and assigns,and agents,("Indemnitor") hereby irrevocably and unconditionally INDEMNIFY and HOLD HARMLESS ALEXANDER E.DELIS,MICHAEL S.DELIS, WASHINGTON MUTUAL BANK,FA and PAUL TARDIF,ESQ.,and their predecessors,successors and assigns,insurers, employees,attorneys and agents of them,both present and former, BUT SPECIFICALLY EXCLUDING COTTON REAL ESTATE AND ITS AGENTS AND EMPLOYEES, ("Indemnitee")of and from any and all charges,torts,contracts.complaints,claims, liabilities,obligations,promises,agreements,causes of action,suits,damages,judgments, executions,rights,demands,costs,losses,debts, and expenses of any nature that INDEMNITEE MAY INCUR TO ANY THIRD PARTY,whether known or unknown. either at law, in equity,or mixed,that any such third party had,has,claims to have,or may have in the fliture,including those existing but unknown,by reason of,on account of,or arising out of the PURCHASE AND SALE OF THE PREMISES AT 119 SCUDDER AVENUE,HYANNIS,MASSACHUSETTS and ANY AND ALL ISSUES ASSOCIATED WITH CONDITION OF THE PREMISES,including but not limited to the failure of premises to comply with any federal,state or local law,code,rule or regulation including but not limited to building,zoning,health and safety laws,codes, rules and regulations. b. Nothing in this agreement shall be construed to release Cotton Real Estate,its agents and employees from liability,it being the parties' intention that Cotton Real Estate,its agents and employees be excluded from any release of liability/indcmnification granted herein. 7. This agreement and the said purchase and Sale represent the entire agreement between the parries and supercede any and all prior agreements. 8. This agreement i sri've delivery of the deed. Signed as a seal ent is 30`" day of August 2004,prior to the closing on the said premises. , BELLE BUYERS: A E,TDELIS DONNA WEBER oau % ,V G• P.D_ 1$ LT.10*"ALEXANDER E. DELIS, JEF Under Power of Attorney for MICHAEL S.DELIS AED AED upa MSD Page 3 of 3 tY DW JW 07/27/2004 16:11 978-281-0643 ALEXANDER DELIS, ESQ PAGE 01 MICHA£L U£LIS Post Office BOX 2809 Phone:308.627.8054 Oak Bluffs, Fax:978.291.0643 Massachusetts 02557 FAX COVER SHEEr SEND TO: 8OARU OF REALM FROM: MIC#A£L IDEUS Basrnstable ATTENTION: JOAN OFFICE LOCATION: OFFICE DATE: DULY 27, 2004 LOCATION: FA 508.790.6304 PRONE NL�MB£R: NUINB£R: rot"patem, cover: 5 COMMEWS: Joan Thank you very much for speaking with me this afternoon. Here are the documents you requested. As I told you earlier,when the underground oil tank was removed at 118 Scudder Avenue there was an oil spill that was cleaned at the time. We need proof of this cleanup. The cleanup was supervised by Mason Environmental which has since gone out of business. Any documents you can provide me with would be very helpful. You can fax them to my brother's fax machine at 978.291.0643 or you can mail them to me. Let me know if there are any charges for this and I will forward that to you. Thank you again Michael Delis 07/27/2004 16:11 978-281-0643 ALEXANDER DELIS, ESQ PAGE 02 Date J1 +— Region Mitt Case: CLOSED PENDING 0; Case No.SE4 DEQE OIL AND F',ZARDOUS MATERIAL SPILLAELWE INCIDENT NOTIF'.I-ATION AND INSrECTIOP!_REPORT ,., / AMENDED ❑ 1. RESPONSE: INITIAL Ff LD ❑ + TELEPHONE tg FOLLOW-UP ❑ �1 E NOTIFICATION d 1MUNICIPALITY: — 4. . INCIDENT T P RIED: 3. APDRESSi �.� �� Dole, time AMMM 5. INCIDE 'CU M.. ------ - ----- Date time ' AM/Phi rcRSON WHO 1ST NOTIF D D �E: Name/Address - I-ZO& '-� ���'c ,f�f Tel. q �a 'b/et) 7. OIL OR H�Mor E AL .EASEjPa. ["fame7 {� CAS # b. Amount Reported': C. it of Oil i`r Q - — —:l PCB/PCB _ ppm Soil Contamination Y/N d. ource: ve icle fue drum takke?truck boat railroad tank/ehgine above ground tank blow ground tank transformer Pipe hose �at e. Samples Obtained: Ye o f. Drums Retained: Ye�'� a (i{�1ces,specify where sent) _'C g. Release Type: leak Overfill Rupture to Re oval ill Du ping t 8. BRIEF D .SCRIPTION OF INCIDENT- Aft At" AeA 07 - - _ 9. POTEF IA LLY.RESPONSIBLE PERSON IDENTIFIED BY DEQE: a. PRP notified Department Date: Time: b. Name/Address _ W Name/Address _ f r?el. # ,�� c. PRP received Notice of Responsibility. Date Time _ Field: Dade Time j Office: Date Time — d. Responsibility accepted and proper actions takers by responsible parson: a No e. Name of cleanup contractor hired person:by responsibleP 10. REGIONAL kESPONSE ACTIONS: a. State cleanup contractor: Service Category: SC SSC SSI HM b. Contractor arrived on-scene: Date Time AM/PM c. Further field response actions needed: Yes No (if yes,specify) r. d.. EnIforcernenf actions taken/recommended: Yes No (if yes,specify) e. Cost recovery recommended: Yes No Maybe 11. INTRA-AGENCY NOTIFICATION/REFERRAL: 10 a. Nome(s)of DEQE employee(s)notified: b. Case referred within DEQE to: 12. OTHER AGENCIES NOTIFIED BY DEQE OF SPILL/RPLEASE INCIDENT: Name: Date: CUIIIl1Ll! Name: bate: Report prepared by: Signature Trtl# / 10Cc riniirtnN. wHITFiRFfaONAL (�FFIfF YFIInW/ROST0W 01MV/Pr(W)NAI.OFEICE . 8/88 f ems".OF' Ur yftV FAixV .P T ► wxv NAME AND ADDRESS jAMFS G. GRANX CO, INC ,.. OF - APPROVED TANK YARD R, . AP ROVED TANK YARD NO. _ Ta k Y —. -j Z rd Ledger 502 CMR 3.03(4) bergQ� y� i I . under penalty of law I have personally examiner] the ursmsgrou d steel starage vexed to this •appsvved tank yard' by fiaa, cuporation or parbwxship � and accepted sere in conformance with Mas Fire loan 502 Q4t 3.00 Prwisions for Appao wing Wdesgru>nd Steel to�C�i�a�C swtlin4 yards A Validt Was iseued by LOCAL Bred of Fire Department FDIDi thi this yard. 7*ficial�a�ed tank yard awner or owners authorised _ s slawam TrnZ SIMM O This a of disposal nust be returned to the local head of the fire FAta to 0 Q9t :00. ZPCH 7LHR KXr HRVE A F43MUT OF DI,SPO6AL) FORM F.V. Y91 (rev. 9/88) ( ) tas.�Tis sun nw :21S Cl"= E© 39ad JS3 `SI-13Q Z�3QNdX3-1d 6V90-T8Z-8LG TT:9T b©BZILZIL© f Regulatory Services r a iARPF3FAHEE �' 9Q MASS. g Thomas F. Geiler,Director _vp .i639 �0 rFo 39 Public Health Division Thomas McKean,Director 200.Main Street, Hyannis,.MA 02601 Office:. 508-862-4644 Fax:. 508-790-6304 Mr. Sosas Delis Date: 3/17/03 118 Scudder Avenue Hyannis,Mass 02601 ORDER TO COMPLY WITH 310 CMR 15.00, THE. STATE.ENVIRONMENTAL. CODE, TITLE.5.. The septic system owned by you located at was inspected on, 2/19/03 by James D. Sears a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • System H is a single Cesspool You shall bring the septic system into compliance within two. (2) years of the date of discovery. Therefore, the. construction of replacement septic system component(s) must be completed on or before 2/19/05.. First, you must hire a professional engineer or registered sanitarian to submit a plan of proposed replacement septic system component(s). to. the. Town of Barnstable. Public Health Division Office (Regulatory Services, 200 Main Street,. Hyannis). that will bring the septic system into compliance with 310. CMR 15.00, The State. Environmental Code,. Title 5.. In the meantime, you shall ensure that no raw sewage discharges onto the surface of the ground or into any surface. waters. You must maintain the system by hiring a licensed septage hauler to.pump the septic.system whenever it is necessary. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean,R.S., C.H.O. Agent of the Board of Health CC: A&B.Canco. JAforml.doc 07/27/2804 16:11 978-281-0643 ALEXANDER DELIS, ESQ PAGE 05 HYANNIS I�IRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 RICHARD R. FARRENKOPF CHIEF Smoke Oeteetoed Save e,&,ed BUSINESS: 775-1300 EMERGENCY: 773.2323 November 20, 1989 Mr. Sossos Delis & the Estate of Emmanual Santos 93 Greenwood Ave. Hyannis MA 02601 f.. 4 Re; Under round Tank'.Remov l i91 9 a s At 1 1 8 Scud r. � . de Ave. and. 20, Sea St. t Dear Mr. Del,�s On Nc vember ,15; ;t989.Mason Associates' Inc. removed undergroupd taj)ks 1g08ted at the above mentioned properties. l was requestpo to the sit.e"to witness each tank removal. At", site I',,fpund ti:. indicat{ions of a release of product.=,As no fire hazard was present; at either1te, the drection,of the. clean=up of fort has, een turned o%r to the town of Barnstable8oard of Health and the Massachusetts Department of Enviornmenta.l Protection, If I can be"of any,, further ads ance to you please Lt. Dean L. Mel'ar s,d re Prevention Officer 1^:.-. Hyannis Fire Dep ment For; Richard R. Farrenkopfp'Chief Hyannis Fire Department CC. T. Mckean, Barnstable Board of Health HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD'EXTENSION HYANNIS, BASS. 02601 RICHARD R. FARRENKOPF `HOW Smoke Oeteetcred Save ,C'ived BUSINESS: 775-1300 EMERGENCY: 775-2323 PERMIT FOR; FOR REMOVAL AND TRANSPORTATION OF STORAGE TANKS FDID NUMBER : 01922 DATE OF APPLICATION : l/ /,) PROPERTY OCC PIED BY PHONE : LOCATION : PROPERTY OWNER g2j0_: 1`�.Q �,- PHONE TANKS TO BE REMOVED : ALL TANKS SHALL BY INE_RTED BY THE USE OF DRY ICE AT 1. 5lbs per 100 cal. QUANITY SIZE (GALLONS) FORME PRODUCT STORED 4— 0 PROJECT SUPERVISOR PHONE COMPANY NAME d �: ADDRESS:_ / - S EXCAVATION COMPANY ` -e_ PHONE ADDRESS: 'y DIG-SAFE NUMBER : S START DATE COMPANY REMOVI=SABLE P ODUCT FROM THE TANK(S) NAME /►` PHONE ADDRESS: COMPANY CLEANING THE TANK(S) AN �� p REMOVING THE HAZARDOUS WASTE NAME N�� �s".S 1 !�'/P-y �/�tI!'-� PHONE ADDRESS: D.E.Q.E. LICENSE NUMBER: EXPIRES : MANIFEST NUMBER: COMPANY TRANSPQ&TING THE , INK S) /00 NAME: �-Sh-z /f.1 PHON ztA- ADDRESS: N'IE TANKS SHALL BE ANSPORV D TO YARD NAME PHONE ADDRESS ,- -Cr MASS. FIRE M SHAL' S APPROVAL NUMBER DATE OF ISSUANCE : Z/-J]6f Lie HYANNIS FIRE DEPARTMENT USE ONLY DA OF EXPIRATION : HAZARD FOUND - SEE LEAK REPORT REMOVAL WITNESSED - NO HAZARD SIGNATURE OF APPLICANT = y. ! SIGNATURE OF HYANNIS F.D. OFFICIAL b© 3Jbd OS3 `SI-13Q ?13QNVX3-1V Eb90-T8Z-8L6 TT:9T VOOZILUIL© ram. � ,*THET TOWN OF BARNSTABLE ! OFFICE OF i MM&B�aa9TIL BOARD OF HEALTH � i639' 367 MAIN STREET HYANNIS, MASS. 02601 November 6 , 1989 Mr. Sossos Delis & Agatha & Santziliotis N G & E G 93 Greenwood Avenue Hyannis, MA 02601 FINAL NOTICE TO COMPLY WITH THE TOWN OF BARNSTABLE"S "HEALTH REGULATION REGARDING FUEL AND CHEMICAL STORAGE SYSTEMS" Dear Mr. Delis & Estate: You are hereby given final notice to remove the underground fuel storage tanks located on the property of 118 Scudder Avenue and 20 Sea Street, ' both in the village of Hyannis . It has been indicated that these tanks have been abandoned for a period over two years . According to the Town of Barnstable "Health Regulation Regarding Fuel and Chemical Storage Systems" effective December 17 , 1987 it is a violation to abandon for a period longer than twenty-four (24) months . You are directed to remove your underground tanks on or before November 17, 1989. You must first obtain a removal permit from the Hyannis Fire Department. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days of receipt of this notice . However, these violations must be corrected regardless of any request for a hearing. Non-compliance shall result in legal action through the courts which could further result in severe penalties of up to $500 . 00 per day for each violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health cc : Chief Richard Farrenkopf, Hyannis Fire Department ,*tHErO�y TOWN OF BARNSTABLE OFFICE OF HAAa9TSBLB ■nea BOARD OF HEALTH ypp i639. '03)rE MPV p. 367 MAIN STREET HYANNIS, MASS. 02601 September 26 , 1989 Mr . Sossos Delis 93 Greenwood Avenue Hyannis , MA 02601 Dear Mr . Delis : Our records indicate that you have three ( 3) abandoned underground #2 fuel oil tanks . Two of the tanks (a 200 and a 500 gallon) are located on the property of 118 Scudder Avenue, Hyannis listed as Assessor' s Map 289 and known as Parcel 45 . The third tank which is a 1000 gallon tank is located on the property of 20 Sea Street , Hyannis , listed on As,=_;esSor` s Map 308 and known as Parcel 121 . It, has been indicated that all three of these tanks have been abandoned for a period over two years . According to the Town of Barne*: table "Health Regulation Regarding Fuel And Chemical Storage Systems" effective December 17 , 1987 it is a violation to abandon for a period longer than twenty-four (24 ) months . "14c) tank may be abandoned in place . Any owner of a tank who has decided to abandon it and and any owner of a tank which has in .fact been out of service for a period of time constituting abandonment as defined in section 02 of this regulation, --ball lmxpediately obtain a permit from the head of the local fire department pursuant to M. G . L . c . 148, 8A arid , subject-, to the directions of the head of the local fire department. , shall have any product removed from the tank , all tank openings properly secured , and the tank removed from the ground" . You are directed to remove .your underground tanks on or t) fore October- 5, 1989. You must first obtain a removal pe,rnii t from the Hyannis Fire Department . I have enclosed tank removal information for you . If you have any questions please feel free to call me at 775-1120 , Extension 182 . PER ORDER OF THE BOARD OF HEALTH Thoi5,- s A . McKean Director of Public Health Enclosure : Tank Removal Information I h TOWN OF BARNSTABL.E / C4.ocGt �� � �•1'F�,'c, ram^ OFFICE OF �E BOARD OF HEALTH 55 367 MAIN STREET k• HYANNIS, MASS. 02601 1 r r f ptember 26 , 1989 (� fill Sossos Delis `. �3 (~xI•eenwood .Avenue 11yannis , MA 02601 Dear Mr . Delis : Our records indicate that ou have three (3 ) abandoned 1,11i lerground 42 fuel oil tallks . � of the tanks ( � '" ` � a 50() gallon) are located oil the property�f ;118 Scudder f Avenue, tyal"116 listed as Assessor' s Map (2_891 and known as 'arcs ��. 1e third tank which is a 1000 gallon tank is la1:c ecl oil the •opert.y of 2(1_Sea, Stre _ Hyannis , listed on Assessor' s I•lap 308 and ltnowu as a2 cel 121 .,, It has l,eell indicated that all three of these tanks have been abandoned :Cor a period over two years . According to the . '.I•c,wn >f Barnstable "Heall.h Regulation Regarding Fuel And Chemical Storage Sys t•ems•' effective December 17 , '•1987 it is a violation to abandon for a period longer than twenty-four ( 24) nioiiths . "}-lo t:atik may be abandoned in place . Any owner of a t:anlc who has decided -to abandon it and and any owner of i� a tank which has ill .fact been out of service for a period of tame constituting abandonment as defined ill section 02 of t:},i., I-Ogulation , :hall jjpA)eAj L� obtain a permit from the he•ail of the lo(,al f ire, . depar tment pursuant to M.G . L . c . 148 , s . 38A and , Fubject. to t-he directions of the head of the 1,cril fire department., F}izll have any product removed from t•11e talik , a l l tank openings properly secured , and the tank removed from t:he ground" . You are. cl.irect:ed to remove your underground tanks oil or 1.)(_fore. October. 5 , 1989 . You must first obtain a removal permit• from Ee Hyannis Fire Department . I have enclosed t�11>1. rc.lnoval information for YOU. If you have any questions please feel free to call me at 775-1120 , Extension 182 . PER ORDER OF THE BOARD OF HEALTH 'I'Ylouras A . McKean Director of Public Health Enclosure : Z'anlc Removal Information v r JN 4y Mason Associates Inc. Environmental Services P.O. Box 450 103 Barlows Landing Road Pocasset, MA 02559 (508) 564-6607 October 27, 1989 Mr . Sossos Delis 93 Greenwood Ave . Hyannis, Ma . 02601 RE: Phase I Environmental Site Assessment - with limited sampling, 20 Sea Street, Hyannis, Massachusetts Dear Mr . Delis : Pursuant to your request, a site assessment-with limited sampling of'- .the above referenced address was conducted . The purpose of the assessement was to make a determination as to whether there has been a release of oils or hazardous materials at the site per the described scope of work . Such a release might represent a liability to the property owner under Massachusetts Oil and Hazardous Materials Release Prevention ;,Response Act, Chapter 21E . of the Massachusetts General Law. Attached are the details of the Mason Associates, Inc. initial site assessment investigation . In summary no evidence of a release of oil or hazardous materials was found which exceeds the reportable quantity under Massachusetts General Laws, Chapter 21E and 310 CMR 40 Massachusetts Contingency Plan. If .there are any questions concerning the enclosed, please feel free to contact the undersigned . Very truly yours; Mason Associates, Inc . 1 T Brett T. Moscatiello President TOWINT OF BARNSTABLE LOCATION L S SEWAGE # t VILI—" w ASSESSOR'S MAP & LOT Z�� INSTALLER'S NAME&PHONE NO, d SEPTIC TANK CAPACITY LEACHING FACILITY: (ty ) �T v" (size) (5D-1C`is� NO.OF BEDROOMS BUILDER OR OWNER I { PERMITDATE: I COMPLIANCE DATE: CjV 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 4 Furnished by JC4 i -2C) I - ® 0, 0 91� ��?: J00, r No Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Z[PpYication for 30igponl Opgtem Con6truction 3permit Application for a Permit to Construct( . )Repair)Upgrade( )Abandon( ) `Complete System ❑Individual Components Location Address or Lot No. fig 5CUMee Avexw(5 Owner's Name,Address and Tel.No. ca,.tat S A�e..X�rN-o�e�i✓t.�t � Assessor's Map/Parcel 09 Q 9345 3 G c8Zt7v.TOpG� y}ve( Gvw Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 3 -53iO �1C�, �t e, F3ax G►;z'� �'• I�try�i ic+ Type of Building: Dwelling No.of Bedrooms Lot Size 4f toac)sq.ft. Garbage Grinder(� Other Type of Building D2ktYkcd QrIs 2No.of Persons Showers( ✓S Cafeteria Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date 10 Number of sheets Revision Date Title ---Q \D S Lj Size of Septic Tank N��W 1 So0 chcx\l6(1 Type of S.A.S. I�S X �Z� Ft P j ci3 Description of Soil _:PCLQr A-® Ocz-, Nature of Repairs or Alterations(Answer when applicable) �ed� Date last inspected: Agreement: The undersigned agrees to sure the construction and maintenance of the afore described on-site sewage disposal system in accordance with,the provision of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issu his Board alth., - Signed Date 444 G Application Approved by Date Application Disapproved for the following reason Permit No. Date Issued 0 a J •�;,.- „�.,, �- -.,�..,���r. � •gip ,,. �,� Fee k' >: THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes 41PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for 30igpool *pgtem Congtruction Permit Application for a Permit to Construct( )Repair < )Upgrade( )Abandon( ) Complete System ❑Individual Components f Location Address or Lot No. 5 V,:AAer- Avexve Owner's Name,Address and Tel.No. �trJNt S ` 2,XAN 0 � 17C.(.1 S Assessor's Map/Parcel 93 G c$r-)"oo cA f"Up c,�OCNI S f Installer's Name,Address,and Tel.No.. Designer's Name,Address and Tel.No. 5 ��.. ., ���t ocdc�r �O��S �':�C,_. �j 4•�d1 i �t��J 1 C�(►�str``t4� S UC S• i 5 310 SaCS. p, g6X `� �• �t M(j�1i7i Type of Building: .. - . ;t Dwelling No.of Bedrooms Lot Sizeµ o O sq.ft. Garbage Grinder(,4,/j4_ Other Type of Building t�kcrta( G'-m,tR No.of Persons Showers(✓) Cafeteria Other Fixtures Dsign Flow tid gallons per day. Calculated daily flow Sss gallons. PlarC41)ate /0/ a1- 104 1 - Number of sheets Revision Date Title' n C rF S0n 5 �.�c,$ 5Q,-'G.�� 7D I SQoso k S C-1,z N-1 Size of Septic Tank N eW 1500 GC7A)Q(1 Type of S.A.S I. X 5 a t i ('I a .,Description of�Sbil r -Vn p\CZ, Nature of Repairs or Alterations(Answer when applicable) < I Date last inspected: Agreement: The undersigned agrees torensure the construction and maintenance of the afore described on-site sewage disposal system .r in accordance with,the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Boar r' ealth. f Signed /f p Date Application Approved by Date Application Disapproved for the following reaso Permit No. Date Issued )o -) 9 01 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CE TIFY, that the On-site Sewage Disposal System Constructed ( )Repaired ( ) UpgradedO ) Abandoned( by AS at l� r? / has a constructed in accordance with the provisions of Title 5 and the for Disposal System Co struction Permit No. dated l o! :��0�J Installer Designer The issuance of this permit/shall not be construed as a guarantee that th ystem willolfunction as d i ed. Date )_ r�`-f Inspector I '11-N 0 1/ru _ No. -�\� -- — -- --- ---- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpogar *pgtem Congtruction Permit Permission is hereby granted to Constru t O A)Re air( )Upgrade O Abandon( ) System located at ��� L /.( � � Ph 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. fj Provided:Constructio9l�must e c leted within three years of the date of pe it! �O Date:_ fill L/� Approved b j — Q _ PP y. V l i TOWN OF BARNSTABLE LOCATION 4 SEWAGE # l�� VILLAGE ASSESSOR'S MAP & LOT r Y. �� INSTALLER'S NAME&PHONE N0= d SEPTIC TANK CAPACITY-- LEACHING FACILITY: (ty ) T��/ `�(� (size) NO.OF BEDROOMS BUILDER OR OWNER { PERMrrDATE: I ` COMPLIANCE DATE: l / Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet i Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet I` Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 5,Adi-if A-A f , G, Town of Barnstable 5 cFTHE ram, Regulatory Services Thomas F. Geiler, Director anxxsrneLe, 9�A M 9. ,0� 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: 11/01/04 Designer: Shay Environmental Services, Inc. .Installer:: Robert Septic Services. Address: P.O. Box 627 East Falmouth Address: 5 Trenton Street MA 02536 Yarmouth, MA On 10/25/04 Robert Septic Service was issued a permit to install a (date) (installer) septic system at 118 Scudder Avenue, Hyannis, MA based on a design drawn by (address) Shay Environmental Services, Inc. dated 10/25/04 (designer) XX I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system).but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. &01 MgSS9c nstalle nature o� . SHAY a' FG/STERN S \�\ (Designer's Signature) (Affix Design 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 LOCATION -SC`L,�t[7 FTXAVF SEWAGE # 30 VILLAGE # �K N ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. )SEPTIC TANK CAPACTrY f SF3�����, £ ;LEACHING FACILITY: (type) 01 (size) NO. OF BEDROOMS -T /aT ^^a�'ti^Pr G c w e� w�, J'1w LA'hij fQ cvPT + k�eteI BUILDER OR OWNER r.4/S ��;'lu Lip PERMITDATE: / '".3_rya2-- COMPLIANCE DATE: '3 " �1' Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet ' Private Water Supply Well and Leaching Facili•ty (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 r Z. ,A s� Q L a t N Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for Migogal *pgtem Construction Permit Application for a Permit to Constrict( )Repair( II-Ullp"grade( )Abandon( ) O Complete System L ndividual Components Location Address or of Nk�a Owner's Name,Address and Tel.Noy / 1f SCu��F� Alt! S C .S, S �/ � -15 Assessor's Map/Parcel 7 0 ys C Injefr'�©Name, ddress,and Tel.No. Designer's Name,Address and Tel.No. s00'-? 9 S-.2 d''a- W Ys1� Type of Building: Pa v S Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) OP C £ ^>V/y Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is d by this Board of Healt . Signed fr Date Application Approved by Date __?_U Application Disapproved for the ollowing reasons Permit No. 9 01J.?— 3 Date Issued t ` (�� O Fee Now THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Z�✓! Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2PPrtcation fo'r g og ip!5te ruction Vermtt `> Application for a Permit to Construct( ,)Repair( �rade( )Abandon( ) ❑Complete System AIndividual Components Location Address or Lot N Owner's Name,Address and Tel.No Assessor's Map/Parcel Inst lea's Name, ddress,and Tel.No. Designer's Name,Addres,and Tel.No. , eA4-00, '0*-)X/w ,T--- ;.4 Type of Building: N S; Dwelling No.of Bedrooms: Lot Size sq.ft. Garbage Grinder.( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date ` Number of sheets Revision Date Y Title Size of Septic Tank Type of S.A.S. Description of.Soil h Nature of Repairs or Alterations(Answer when applicable) £ Date last inspected: , Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the.Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss&d by,this Board of Health. Signed Date Application Approved by AV, Date Application Disapproved for;the ollowing reasons ,. Permit No. of yuo?— 3 8/ Date Issued ----,— -----�`----------------------------- . Uad 5` n 11A e ' THE COMMONWEALTH OF MASSACHUSETTS e ,r J BARNSTABLE, MASSACHUSETTS a Vier i „QP ,� �Pd 4-bv^ u s roKf VV 9��a �"''� �Certtftcate of Compliance 0 {r S ro M0 ��^ A F 1 e^ wti'� be THIS IS TO CX(d FY, that the On-site Sewage Disposal System Constructed( )Repaired( 4-}Upgraded( ) 5r,,jf� Abandoned( )by oVl1,114,, 3 T 4,w at Z02 f 0e ,Gp L /� has been constructed in accordance with the pr ' ions of Title 5 and the for Dis al System Construction Permit No. Ud?—19 dated q 3—y-2 Installer �"` Designer The iss a ce o thi permit shall not be construed as a guarantee that the syst will,f unction as d sig ed. Date 0 Inspector 1 � el f. a.._ _. No. .Z 0 Fee THE COMMONWEALTH OF-MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS &tpo.M1 *pgtem Con5tructton Vermtt Permission is hereby granted to Construct( )Repair(E''U grade )Abandon( ) System located at 7/7 s C�00 FK 14� ; and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following"local provisions or special conditions. Provided:Construction must be completed within three years of the date of this pe Date: 9-3"U.2 * Approved by elm 7`-==— i a TOWN OF BARNSTABLE L LOCATION Vr �'cv�° �.� ��G SEWAGE # J?? 90 VII LAGS �f ASSESSOR'S MAP & LOT o2 °I-O INSTALLER'S NAME&PHONE NO. .A ¢4 (. ��C O (' SEPTIC TANK CAPACrFY � P� £ �,�/A' of .v f F tS LEACHING FACILITY: (type) _ (size) ? o/a+ryr �ow r G t IA/ e wy'g NO.OF BEDROOMS '"f P / � J.ae S BUILDER OR OWNER QF PERMIT DATE: 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 i �YSri�,�'� 51 0 PJ t O / i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS + d DEPARTMENT OF ENVIRONMENTAL PROTECTION RECEIVED O,,M SVO /\ 350 MAIN STREET WEST YARMOUTH,MA NIAR 0 4. 2003 508-775-2800 TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION MAP 289 PAR 045 Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner's Name: DELIS,SOSAS Owner's Address: 93 GREENWOOD AVENUE HYANNIS,MA 02601 Date of Inspection FEBRUARY 14,2003 Name of Inspector:(please print) JAMES D.SEARS Company Name: A&B Canco Mailing Address: 350 Main Street West Yannouth,MA 02673 Telephone Number: 508-775-2800 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(310 CMR 15.000). The system: Passes '-\Conditionally Passes `./ Needs Further Evaluation by the Local Approving Authority Fails initInspector's Signature: Date:-fiThe system inspector shall suopy 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 tot he buyer,if applicable,and the approving authority. Notes and Comments REPORT 2 OF 2. SYSTEM II REAR BUILDING ON LOT NOT IN USE,BOARDED UP. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 1 4 , Page 2 of 1 l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: It 8 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: N/A I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CM 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: N/A _ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y.,N,ND)in the for the following statements. If"not determined" please explain. _ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with 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: _ 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: Title 5 Inspection Form 6/15/2000 2 :y Page 3 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION CONTINUED Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 C. Further Evaluation is Required by the Board of Health: ✓ ./ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety,or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or 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 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 detenmine 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: ONE PRE CAST PIT 90%FULL. SYSTEM IS FOR ONE BATH,KITCHEN AND WASHER. f A Title 5 Inspection Form 6/15/2000 3 Page 4 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 D. System Failure Criteria applicable to all systems: N/A You must indicate"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool N/A Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool 0 Q t e ✓ Liquid depth in pit is less thani°'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 of times pumped ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation N/A Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply N/A Any portion of a cesspool or privy is within a Zone 1 of a public well N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well N/A 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 or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) NOTE C (Yes/No)The system fails. I have detennined 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: N/A To be considered a large system the system must service 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 the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well. 1f 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 is failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Title 5 Inspection Form 6/15/2000 4 Page 5 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 Check if the following have been done. You must indicate"yes"or"no"as to each of the following Yes No ✓ Pumping infonnation was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the.previous two weeks.) ✓ Has the system received nonnal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or 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 of sewage back up? ✓ Was the site inspected for signs of break out? ✓ Were all system components,excluding the SAS,located on site? ✓ Were the manholes uncovered,opened,and the interior inspected for the condition of the tees, material of construction,dimensions,depth of liquid,depth of sludge and depth of scum. ✓ Was the facility owner(and occupants if different from owner)provided with infonnation on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)has been determined based on: Yes No ✓ Existing infonnation. For example,a plan at the Board of Health. ✓ Detennined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] Title 5 Inspection Form 6/15/2000 5 ' r Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms: 3 Number of current residents: 2 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): YES Seasonal use(yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): N/A Sump pump(yes or no) NO Last date of occupancy: PRESENT COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CM 15.203): Basis of design flow(seats/persons/sqft,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 INFORMATION Pumping Records Source of information: 2002 Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ,`Septic tank,distribution box,soil absorption system J Single pit /fOverflow 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 copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: UNKNOWN Were sewage odors detected when arriving at the site(yes or no): NO Title 5 Inspection Form 6/15/2000 6 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 BUILDING SEWER(locate on site plan): ./ Depth below grade: 12" Materials of construction: ✓ Cast iron k"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 onsite plan): N/A Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to the bottom of outlet tee or baffle: 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: How were dimensions detenroined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): GREASE TRAP(located on site plan) N/A 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.): Title 5 Inspection Form 6/15/2000 7 Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 TIGHT or HOLDING TANK: N/A (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 Alanm present(yes or no) Alarm level: Alanm in working order(yes or no): Date of last pumping Comments(condition of alann and float switches,etc.): DISTRIBUTION BOX: N/A (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 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: N/A (locate 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.): L Title 5 Inspection Form 6/15/2000 8 Page 9 of 1 I ' OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) "MAIN SINGLE PIT If SAS not located explain why: Type ✓ Pits,number: I leaching chambers,number: leaching galleries,number leaching trenches,number,length 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.) MAIN IS ONE 6'PRE CAST PIT. PIT IS P BELOW GRADE WITH COVER AT GRADE.PIT 1S 90%FULL. SYSTEM IS FOR ONE BATH,KITCHEN AND WASHER. LIQUID DEPTH 10"BELOW INLET LINE. CESSPOOLS: N/A (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: N/A (locate on site plan) Materials of Construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) ` Title 5 Inspection Form 6/15/2000 9 f r Page 9 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two pennanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. , i ' i 6 � � \1 r _ :, ;.' Title 5 Inspection Form 6/15/2000 10 r Page 1 1 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C " SYSTEM INFORMATION(continued) Property Address: 118 SCUDDER AVENUE HYANNIS, MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to no groundwater 12 feet Please indicate(check)all methods used to detennine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: ./ Observation 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 describe how you established the high ground water elevation: HAND DUG TEST HOLE 12'NO WATER. TEST HOLE 4'6"BELOW BOTTOM OF PIT. SYSTEM I. fJ° . 4 n Title 5 Inspection Form 6/15/2000 11 RECEIVED MAR 0 4 2003 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE HEALTH DEPT. EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION 0 0`� p1M Syev 350 MAIN STREET WEST YARMOUTH,MA O 508-775-2800 Cia TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION MAP 289 PAR 045 / Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner's Name: DELIS,SOSAS Owner's Address: 93 GREENWOOD AVENUE HYANNIS,MA 02601 Date of Inspection FEBRUARY 14,2003 Name of Inspector:(please print) JAMES D.SEARS Company Name: A& B Canco Mailing Address: 350 Main Street West Yarmouth,MA 02673 Telephone Number: 508-775-2800 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 perfonned based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent tot he buyer,if applicable,and the approving authority. Notes and Comments REPORT 1 OF 2—SYSTEM I. REAR BUILDING ON LOT NOT IN USE,BOARDED UP. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. * Title 5 Inspection Form 6/15/2000 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: .( I have not found any infonnation which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: N/A One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined" please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with 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: 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 3 ND explain: .Title 5 Inspection Form 6/15/2000 2 Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 C. Further Evaluation is Required by the Board of Health: N/A Conditions exist which require further evaluation by the Board of Health in order to detennine if the system is failing to protect public health,safety,or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or 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 I of 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 detennine 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: Title 5 Inspection Form 6/15/2000 3 Page 4 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 D. System Failure Criteria applicable to all systems: N/A You must indicate"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool N/A Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation J Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis performed at a DEP certified laboratory,for 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 or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) NO (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 detennine what will be necessary to correct the failure. E. Large Systems: N/A To be considered a large system the system must service 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 the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well. If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system is 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. x Title 5 Inspection Form 6/15/2000 4 Page 5 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 Check if the following have been done. You must indicate"yes"or"no"as to each of the following Yes No ✓ Pumping infonnation was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? J Has the system received nonnal flows in the previous two week period? J Have large volumes of water been introduced to the system recently or as part of this inspection? J Were as built plans of the system obtained and examined?(if they were not available note as N/A) J Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out? J Were all system components,excluding the SAS,located on site? J Were the manholes uncovered,opened,and the interior inspected for the condition of the tees, material of construction,dimensions,depth of liquid,depth of sludge and depth of scum. ✓ Was the facility owner(and occupants if different from owner)provided with infonnation on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)has been determined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. J Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] s Title 5 Inspection Form 6/15/2000 5 r Page 6 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms: 330 Number of current residents: 2 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): YES [if yes separate inspection required] Laundry system inspected(yes or no): YES—LAUNDRY GOES TO SYSTEM I Seasonal use(yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): N/A Sump pump(yes or no) NO Last date of occupancy: PRESENT COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CM 15.203): Basis of design flow(seats/persons/sqft,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 INFORMATION Pumping Records Source of information: 2002 Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Soil absorption system ✓ 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 copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: UNKNOWN h Were sewage odors detected when arriving at the site(yes or no): NO Title 5 Inspection Form 6/15/2000 6 i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 BUILDING SEWER(locate on site plan): ✓ Depth below grade: 6" Materials of construction: ✓ Cast iron _f 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 onsite plan): N/A Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to the bottom of outlet tee or baffle: 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: How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): GREASE TRAP(located on site plan) N/A 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.): Title 5 Inspection Form 6/15/2000 7 Page 8 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 TIGHT or HOLDING TANK: N/A (tank must be pumped at time of inspection)(]ocate 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 alann and float switches,etc.): DISTRIBUTION BOX: N/A (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 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.,): i PUMP CHAMBER: N/A (locate 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.): Title 5 Inspection Form 6/15/2000 8 t , Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ./ leaching pits,number: 1 leaching chambers,number: leaching galleries,number leaching trenches,number,length 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.) LEACHING IS ONE 6' PRE CAST PIT.PIT AND COVER 16"BELOW GRADE. 1 V2'WATER,STAIN LINE AT 20".NO SIGN OF OVERLOADING. MAIN CESSPOOL: ✓ (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: 1 Depth—top of liquid to inlet invert: 4"BELOW Depth of solids layer: 1" Depth of scum layer: 0" Dimensions of cesspool: 3 'h' DEEP Materials of construction: BLOCK Indication of groundwater inflow(yes or no): NO Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation etc.): MAIN POOL BLOCK,3 ''/z' DEEP WITH 18"CEMENT COVER AT GRADE.POOL AT WORKING LEVEL. INLET TEE,OUTLET TEE. PRIVY: N/A (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.) t Title 5 Inspection Form 6/15/2000 9 Page 9 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 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. F Title 5 Inspection Forni 6/15/2000 10 Page 9 of 1 I � OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 118 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS;SOSAS Date of Inspection: FEBRUARY 14,2003 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two pennanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 4 � _ 4,1 .T 7 ' ' Title 5 Inspection Form 6/15/2000 10 Page I I of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1 18 SCUDDER AVENUE HYANNIS,MA 02601 Owner: DELIS,SOSAS Date of Inspection: FEBRUARY 14,2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to no groundwater 12 feet Please indicate(check)all methods used to detennine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: V Observation 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 describe how you established the high ground water elevation: HAND DUG TEST HOLE, 12'NO WATER. TEST HOLE 4'6"BELOW BOTTOM OF PIT. SYSTEM I d,)r Title 5 Inspection Form 6/15/2000 11 r `. TYPICAL 1500 GALLON SEPTIC TANK ; T� NOTE: ALL PIPES ARE TO 8E a" SCHEDULE 40 P.V.C. VENT PIPE I Least 24 Inches tau) 3-24 DIAM. 4CCE55 MANHOLES NOT TO SCALE t0' min. from Schedule 40 PVC w/Charcoal Odor Filter r Ex sting Foundation 9 Y j- (H- 1 Q LOADING) I house to septic tank • 10' -6• T e• __ :• Finished rode over sstern= 100.00 to 99.00 I Septic tank covers must be .�-Su.m,?a I , T.O.F. elev. of finished grade �. 1. 100.00 within 6 fn 'x Grade over Septic Tank - 100.00 Grade awr C-Box - '00 00 ' /I\ °a ynY�A A r ; TOP 8 HOLE y.% 5�0.01 or creator (H-20) DIST. Box M{ET / ` / l / `O'�' Scam"erAve 10 4' Perforated P.V.C. Distribution Linea 2"-t/e•-1/z• woen.d Stone t' S �11= EXIST PIPE N NEW 1,500 GJA s- 0.0'0' per foot FROM FOUNDATION �� x SEpTC TAN 30, r Elev. = 96.2 ` THE ACCESS COVERS FOR THE SEPTIC TANK, 9► �''r "a„ `� w ^ TI 10 N 5' 3/4-tk• waened Ston• F f•� DISTRIBUTION BOX AND LEACHING COMPONENT t4 Bottom of Leach acilit Eiev.= 95.75 I SHA E RAISEp To wtrHlN 6" OF .;�- �r �, -T., �r-s FINISHED GRADE. ' � »,CONCRETE FULL FOUNDATION a, 1n LEACH FIELD STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITS GAS BAFFLES OR EQUALS SYSTEM PROFILE °�' 5' STRIPOUT ALL-AROUND 7.75' PROVIDED PLAN VIEW ON ALL OUTLET TEE ENDS 02004 Rind A4�MalvACeaVkmvV2W r T > �, Not to Scole -I j i - --_ - ABLE COVERS`I c _- - - _ - Bottom of Test Hole 1 Elev.- 88.00 S-2•' REMOvI NOTES - ----------- -------------- E ♦Obs. Groundwater - Test Hole 1 Elev= NONE OBSERVED - .•:• - - I e. GENERAL N RAL N S 6 Ir of 3/4•-• 1/2' ' + ? Contractor Is responsible for Digsafe notification C 3 min. dearonce compacted Stone e'min_r_ r mm. InLt to aatla 'r �j}P-"� ~• and protection of all underground utilities and pipes 1______ a mh. OUTLET p g p INLE1i .� -10. T� L'puk low,- IIUUII �•: � 2. The septic tank and distribution box shall be set J +•'^" ' level on 6" of 3/4"-1 1/2" stone. r6. s' -7- ss t 3. Backfill should be clean sand or gravel with no Ea U'-0 E in I stones over 3" in size. bs 4" I•`� 4. This system is subject to inspection during installation 1 n ( by Carmen E. Shay - Environmental Services, Inc. LEACH FIELD CROSS- SE TI N ,:,. , ; 5 The contractor shall install this system in accordance NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE s• _e• with Title V of the Massachusetts state code, the approved plan and Local Regulations. 3'-6" on center 4'-0" on center 4'-0" on center 1 S-6" Dr, center CROSS SECTION END-SECTIO'',� r, I 6. If, during Installation the contractor encounters any soil conditions or site conditions that are different "-1 8 I 2" I f • � from those shown on t soil log or In our deslg he g n - • - •• installation must halt & immediate notification be I as a on I 12"Mln. made to Carmen E. Shay - Environmental Services, Inc. l i 7. No vehicle or heavymachine shall drive over the 3/4"-1' Wcs ed Stone 6 Min rY PERCOLATIONTEST septic system unless noted as H-20 septic components. 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes. Date of Percolation Test: OCTOBER 21, 2004 10. All solid piping, tees & fittings shall be 4" diameter Test Performed By. CARMEN E. SHAY, R.S., C.S.E. Schedule 40 NSF PVC Sch. 40 - 4" perforated P.V.C. pipe) Results Witnessed By. WAIVER per BARNSTABLE BOH pipes with water tight joints. Excavator: Roberts Septic Service 11. Municipal Water ;s Connected to ALL OF The Residence and Abutting Percolation Rate: Less Than 2 min./inch ® 42" BELOW GRADE. Properties Within 150 Feet. I I �Ir Test Hole THE PROPERTY LINES ARE APPROXIMATE AND N0. 1 COMPILED FROM THE SURVEY PLAN GENERATED BY CHARLES SAVARY OF HYANNIS, MA, DATED 6/16/67 DEPTH SOILS ELEV. ENTITLED " PLAN OF LAND IN HYANNIS, 0 100. BARNSTABLE, MA", AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN Loamy Sand IT SHOULD BE USED FOR NO PURPOSE OTHER THAN 10 YR 3/2 THE SEPTIC SYSTEM INSTALLATION. p 0'Cb -8" Ap 99.331 Loamy San 10 YR 5/6 ! THERE ARE NO WETLANDS LOCATED WITHIN A 200' RADIUS OF THE SAS. 97.001 t I Mod Sand 25 Y 7/4 NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE t It x>'-1aa" C, 88.00 FROM THE EXISTING SEPTIC SYSTEM TO BE DISPOSED OF AS PER BOARD OF HEALTH SPECIFICATIONS. EXISTING CESSPOOLS TO BE PUMPED DRY & FILLED IN PLACE OR REMOVED TO FACILITATE INSTALATION OF NEW SAS IF REQUIRED. tl I ASSESSORS MAP - 289 PARCEL - 045 I tt Perc #1 I ZONING - RESIDENTIAL Depth to Perc: 42" to 60" I C Perc Ra`e=<2 min./inch Groundwater Not Observed BOTTOM OF TEST HOLE Elev. = 144" �p0, i � � THERE ARE NO WETLANDS LOCATED WITHIN A 200' RADIUS OF THE SAS. _ t p ADJUSTED H2O Elev. = No Adjustment Required. v t LOT # 109 I I ALL OUTLET PIPES FROM THE 41,600 Square Feet •r/- - �� I SET LLEEVVEL FOTION R ATLEAST X SHALL B22 FT 12• CONCRETE COVER L_E G E N D EXISTING GARAGE -�/ ; �,' / - I rKNOC OLITSnET r..a K..J.. 8X0 DENOTES PROPOSED 1s.s OUTLET i r"'I '1 I I2" NLET SPOT GRADE '-----"'40.5' � r' 6 6 2 x 104.46 DENOTES EXISTING SPOT GRADE ' TEST HOLE #�1 � i � PLAN-SECTION CROSS SECTION I PL PROPERTY LINE ELEV.= 100.00 1 ,' 4" PVC O 0' -- - _ -- -- --------------------" -- s0' _ VENT PEE �,� 3 HOLE H- ' 0 DISTRIBUTION BOX 97 PROPOSED CONTOUR ' - ---- NOT TO SCALE --- - 97- - - - - -97 EXISTING CONTOUR DEEP TEST HOLE & - Failed i PERCOLATION TEST LOCATION i Cesspool ' 41' DeslarI CaiCUlotlons /' \ ---- Number of Bedrooms. 5 Equivalent t 550 Gal./Da , PROJECT BENCH MARK I y FENCE DIRT i / TOP OF CEMENT PATIO Garbage Grinder: No t DRIVEWAY I ) Leaching Capacity Required:330 Gal./Day Minimum ( Title '✓ ) ELEV. 100.00 Assumed � 1500 GALLON r-- �- ,'� 9 I j ,' PRIVATE DRINKING WATER WE-L Septic Tank - 2 x 550 Gal./Day = 1100 USE NEW 1,500 GAL. Septic Tank. SEPTIC TANK j O , Failed �\ ,' SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch I Cesspool 1 i I Bottom Area: 0.74 gat/sq. ft. x 750 sq. ft. = 555 gallons R �V IS ! N S # i // S:dewall Area: NOT USED Providing: 555 gallons N0. DATE: T Cr FIN' !ON I I I 4. EXISTING 5 BEDROOM ' �J HOUSE �� �, � ' I i I O -- - I PROPOSED 1 _ -----------_- - '-�- - - - PREPARED FOR . I , SUBSURFACE SEWAGE DISPOSAL SYSTEM I �� OF _ t ALEXANDE DELIS # 118 SCUDDER AVENUE 102-- ------------ 370.00' _1_ ' t` ------------------------------------- -------- HYANNIS , MA ---------------------_________�---=----- -1 ,, ;� 93 GREENU�'OOD AVENUE -7 11 -- ' / / �� g10 b. M PREPARED BY: ------- HYANNIS, MA 02 601 Sr U UID ZD E'R A V.E N U�' �o� A M C�4 RJ117Y 17. ,S/HA Y 4o Fool RIGHT OF WAY) A ENVIRONMENTAL SERVICES, INC. P.O. BOX 627 /STE? EAST FALMOUTH, MA 02536 SANITAR\P, I TEL/FAX : 508-548-0796 SCALE: 1 "=20' DRAWN BY: CES DATE: fr, 2004 PROJECT#SD-590 FILENAME: SD59OPP.DWG SHEET 1 OF 1