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HomeMy WebLinkAbout0239 SCUDDER AVENUE - Health - 239 Scudder'Avenue ,:.. .. Hyannis` :r I iI l+ 1 i I I 4 'I 'I ff l TOWN OF BARNSTABLE LOCATION a39 SC v0� )`—t° SEWAGE # Vr%.LAGE Q41M/r ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACrN LEACHING FACELrrY: (type) Poo (size)_. NO.OF BEDROOMS /- Q PERMUDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet eaching fac' 'ty) Feet Furnished by .'�l't' � � a _ P�'P� o�s� �, N �J �r F Commonwealth of Massachusetts _ ., Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every HYANNIS MA 02601 AUGUST 28 2012 page. Citylrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms I I I on the computer, l A use only the tab 1. Inspector: key to move your cursor-do not MARK L WHITE use the return Name of Inspector key. NEIGHBORHOOD WASTE WATER � Company Name 350 RT 28 Company Address WEST YARMOUTH MA 02673 Cityrrown State Zip Code 508-775-2820 S113381 Telephone Number License Number B. Certification 1 certify that I have personally inspected the sewage disposal system at this address and thattthe 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 on7site sewage disposal systems. I am a DEP approved system inspector pursuant to'lSection 15.340_.of Title 5 (310 CMR 15.000).The system:FX-1 El El 1 Passes Conditionally Passes ' H�oFrrgs ��,,�� ❑ �� � ,... . •• c �� o?�' MARK '••ya' Needs Further Evaluation by the Local Approving Authority =o: I � =0' No.S13381 y a� % � O 4;0q. i'•.F t AUGUST28, 2012 �4i�r( RTIF��GgQAV� Inspector's Signature Date 111 rNb �;0 � 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 to the buyer, if applicable, and the approving authority. ****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. e/�3 I/to p t5ins•11/10 Title 5 Official LIP.urface Sewage Disposal System•{Page 1 of 20 i Commonwealth of Massachusetts W. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every HYANNIS MA 02601 AUGUST 28 2012 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ 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. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•11/10 Tale 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 20 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every page. HYANNIS MA 02601 AUGUST 28,2012 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below); ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 20 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every HYANNIS MA 02601 AUGUST 28 2012 page. City/Town State Zip Code Date of Inspection 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 a salt marsh B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than' 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent 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. t5ins•11/10 Tdle 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 20 Commonwealth of Massachusetts - Title 5 Official Inspection Form i; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every page. HYANNIS MA 02601 AUGUST 28,2012 Cityrrown State Zip Code Date of Inspection 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ M Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ 0 Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ❑x Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ❑x Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow B. Certification (cont.) Yes No Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ❑x Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ O Any portion of a cesspool or privy is within a Zone.1 of a public well. ❑ 2 Any portion of a cesspool or privy is within 50 feet of a private water supply well. t5ins•11/10 Tdle 5 official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 20 Commonwealth of Massachusetts - - Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every page. HYANNIS MA 02601 AUGUST 28,2012 Cityrrown State Zip Code Date of Inspection ❑ ❑x 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ❑x The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ❑x The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. 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 has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No ❑x ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ❑x Were any of the system components pumped out in.the previous two weeks? ❑ © Has the system received normal flows in the previous two week period? t5ins•11/10 Tale 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 20 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every page. HYANNIS MA 02601 AUGUST 28,2012 City/Town State Zip Code Date of Inspection ❑ ❑x Have large volumes of water been introduced to the system recently or as part of this inspection? 0 ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A)N/A MR ❑ Was the facility or dwelling inspected for signs of sewage back up? O ❑ Was the site inspected for signs of break out? ❑x ❑ Were all system components, excluding the SAS, located on site? ❑x ❑ Were the septic tank manholes uncovered, opened,,and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑x ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ❑x ❑ Existing information. For example, a plan at the Board of Health. ❑x ❑ 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(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): D. System Information l5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 20 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every page. HYANNIS MA 02601 AUGUST 28,2012 City/Town State Zip Code Date of Inspection Description: Number of current residents: 5 ❑x Yes ❑ Does residence have a garbage grinder? No Is laundry on a separate sewage system? [if yes separate inspection required]Is El No Laundry system inspected? ❑ Yes ❑ No Seasonal use? Yes El No Water meter readings, if available(last 2 years usage,(gpd)): 2011-53 CO. FT 2102-45 CU.FT t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page B of 20 i i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every page. HYANNIS MA 02601 AUGUST 28,2012 Cityfrown State Zip Code Date of Inspection Sump pump? . 0 Yes, ❑ No Last date of occupancy: CURRENT Date I Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow seats/ ersons/s .ft. etc.): Grease trap present? ❑ Yes ❑ � No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes, ❑ No Water meter,readings, if available: D. System Information (cont.) Last date of occupancy/use: CURRENT Date Other(describe'below): General Information Pumping Records: Source of information: TOWN..6/27/03 READY ROOTER Was system pumped as part of the inspection? ❑ Yes 0 No If yes, volume pumped: gallons t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page.9 of 20 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every page. HYANNIS MA 02601 AUGUST 28,2012 Cityrrown State Zip Code Date of Inspection How was quantity pumped determined? Reason for pumping: Type of System: ❑x Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 9/13/10 TOWN OF BARNSTABLE PERMIT Were sewage odors detected when arriving at the site? ❑ Yes ❑x No Building Sewer(locate on site plan): Depth below grade: 30 INCHES feet Material of construction: ❑cast iron ❑x 40 PVC ❑other(explain): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 20 Commonwealth of Massachusetts - - Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form-Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every page. HYANNIS MA 02601 AUGUST 28,2012 Cityrrown State Zip Code Date of Inspection Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): INSPECTED MAIN LINE WITH SEWER CAMERA, LINE IS CLEAR AND TEES ARE IN PLACE. JOINTS ARE ALL GOOD Septic Tank(locate on site plan): Depth below grade 20 INCHES feet Material of construction: ❑x concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) 1000 GALLON TANK IN GOOD SHAPE, RISERS ARE IN PLACE BRINGING COVERS TO WITHIN 6 INCHES OF GRADE ON BOTH If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: 2 INCHES D. System Information (cont.) t5ins-11l10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 20 Commonwealth of Massachusetts - ; Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every page. HYANNIS MA 02601 AUGUST 28,2012 Cityrrown State Zip Code Date of Inspection Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 2 INCHES 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? SLUDGE JUDGE AND TAPE Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.) INLET AND OUTLET TEES ARE IN PLACE AND TANK SHOWS NO SIGNS OF LEAKAGE AND LIQUID LEVEL IS AT APPROPRIATE LEVEL. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: - Scum thickness Distance from top of scum to top of outlet tee or baffle t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 20 Commonwealth of Massachusetts Title 5Di ficial Inspection Form -' i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every page. HYANNIS MA 02601 AUGUST 28,2012 Cityrrown State Zip Code Date of Inspection Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): i Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: t Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): i Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 20 Commonwealth of Massachusetts Title 5 Official Inspection. Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every page. HYANNIS MA 02601 AUGUST 28,2012 Cityrrown state Zip Code Date of Inspection i i "Attach copy of current pumping contract(required). Is copy attached? . ❑ Yes ❑ No D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert AT INVERT i ' 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.): DISTRIBUTION BOX IS IN GREAT SHAPE, NO.SIGNS OF DETERIORATION, INSPECTED INLET LINE AND OUTLET WITH SEWER CAMERA. BOTH ARE IN GOOD SHAPE AND NOT HOLDING LIQUID. Pump Chamber(locate on site plan): Pumps in working order: 0 Yes ❑ No Alarms in working order: ❑ Yes ❑ No t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 20 Commonwealth of Massachusetts Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every HYANNIS MA 02601 AUGUST 28 2012 page. Citylrown State Zip Code Date of Inspection Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: — ❑ leaching trenches number, length: x❑ leaching fields number, dimensions: 1-37.5'X 8.5' t5ins-11/10 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 20 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every HYANNIS MA 02601 AUGUST 28 2012 page. Cityrrown State Zip Code Date of Inspection ❑ 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.) 18 INFILTRATORS , FIELD IS 8.5'X 37.5'. Cesspools (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 ❑ No D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): There was no ponding but extreme evidence of hydraulic failure. , t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 20 Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every HYANNIS MA 02601 AUGUST 28 2012 page. Cityrrown State Zip Code Date of Inspection Privy (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.): t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 20 i X Commonwealth of Massachusetts Title 5 'Official . Inspection Fora s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every HYANNIS MA 02601 AUGUST 28 2012 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ❑ hand-sketch in the area below ❑x drawing attached separately i I i t5ins•11/10 Title 5 Official Inspection Fonn:Subsurface Sewage Disposal System•Page 18 of 20 � I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every page. HYANNIS MA 02601 AUGUST 28,2012 City5own State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑x Check Slope ❑x Surface water ❑x Check cellar Shallow wells Estimated depth to high ground water: 132" feet Please indicate all methods used to determine the high ground water elevation: Obtained from system design plans on record If checked, date of design plan reviewed: Date 0 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: NO GROUNDWATER WAS OBSERVED DURING A TEST HOLE PER PLAN DATED 08/31/10 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 19 of 20 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments WALTER SIKORA Property Address Owner 239 SCUDDER AVE information is Owner's Name required for every HYANNIS MA 02601 AUGUST 28 2012 page. Cityrrown State Zip Code Date of Inspection Before filing this Inspection Report, please see Report Completeness Checklist on next page. E. Report Completeness Checklist ❑x Inspection Summary: A, B, C, D, or E checked ❑x Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ❑x System Information—Estimated depth to high groundwater ❑x Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 20 of 20 7 A� 37 a A� S� 9 3 d f' �D rTS y r �f � 3 i ; http://town.bamstable.ma.us/Assessing/HMdisplay.asp?mappar=289082&seq=2 8/23/20 TOWN OF BARNSTABL =� fl RUG 1? PM 3 5 ' h C o,ZOO cn is Z Q x c 3 �: ,�� � I - W � � ►3 � J y � � is G4 v5 w o o W h o U � ( 0 3- c o ' 1. �� a d og is 55 1 ox C" H # pq O' o-. I DEEP:OB3ER' ROLI EQ'G' Holed# Dtth.fran Soll.Hotizon S6 Texhire Suifacc(fn:)' . (USDA)- (MunseU) MottUng '(Structure;Stones;.BQuWeia:. .r ILI z .. (, a M—C 5v 2:5 z Ci C Sa^`4 2, �oAs S 1 13... Y DES`03V�1 +O1tiT DOLEOG Hole#�1 Depth fmm.,, Soil Horizon' Soil Tincture . Soil Color Soil Other Surfacc(ro.)_,: .(USDA) (Mansell) Mottling (Structurn,'Stonea,Boulders. VIE ; Z, .. �� Sash ztr�( � - ct:mvc\ DEEP OBSERVATION HOLE LO.G Hole# Dtptuinm-, Soil Horizon Soil Texture Soil color- Soil OtherSurface(in.) (USDA) (Mansell) Mottling (Strucwre.Stones.Boulders. DEEP OBSERVATION HOLE'LOG Hole# 4 p�poJp SorHorizon Soil Texture Soil Color Soll Other Sndace'(ic.) (USDA) (Munn) Mottling (Swctumq sinos:o bulders. F_food°In �ncejRte Man: r py�r'dOod bounllary No a, 9l+itiila Sotly boundary No Yea. Wit{un 1 00 year flood boundary No Yes a Dea ofNaturally Otxurrt*�Pervious-materLal T3oes'at7N'fOtu fiat of nattlrall�+occttmng porvio intiterial.ezist=in all areas:observed thrpuglout the. arearoposed for the-'soil',absorpdon system? �S r. hot,vl►hat;i"s the_depth of netutally octWutng;pervio matel'w. e �o date I have assed the sptl evaluator examutadon approvelytite K ceictitltat on ) p rmed by na t:o tent with }e �y�orutleittal 'rotectlon and alit the above ysis was perfq 3 ._. "� ttf'se an�.elt n�tce:d'escrcbed in�10=C1v1R~iSO`��.'. thes,Feywt l trailung Date 'sIgiiaiilre _ Qa5�f1CtPBRCFORMDOC 11/04/2010 15:38 5oe4775313 ENGINEERING WORKS PAGE 01 i Town of Barnstable Re.platocy Services n mas F.Geller,Director j Paftblic Seafth Division Thomas MdCean,Dhmdor. I M MMa Street, Hyannis,MA OMI Oil= 508-562.4644 Fes: 308-T90�304 Date: 1► iQ Sewage Permit# Zo i4 37y Assessor's Map/ParM �Z Breuer lk Dow=CCaMMft 1orm Dedper: instbner: Address: YZ-' W. Cre a l al C<A Address: 2'7 i c-,k' M4 26`{y On 9 13 l\o CkkSe CS?L (_CAJft was issued a permit to WWI a ate fl er c systemat 254 Sc I` based on a design draws by (address) M L.F„1".A ;f dated crk I f, I certify'that the septic system referenced above was installed substantially according to the which may include minor approved changes such as lateral relocation ofthe distribudon box and/or; septic tank. Stripout (if required) was kopeeW and the soils were found satisfactory: i I l certify that the septic;system referenced above was installed with ma or changes (i.e. greater than 10, lateral relocation of the SAS or any vertical relocation ol�any component of the septic system)b d in accordance with State tit Local Regulations. Plan revision or certified as-built by designer to follow. Stripout(if required)was haapected sad the soils were found satisfactory! �}1 OF PETER T.� is Signature McENTEE y CIVIL „ ! 9 No.3e109 Q gnrt s Signature) i8 PIZAS& O ST P I q000ke option fbno doe I f I . J Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r• 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Import ant: When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name P.O.Box 763 Company Address Centerville Ma. 02632 City/Town State Zip Code (508)428-4028 S14454 Telephone Number License Number B. Certification 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 ® Fails ❑ Needs Further Evaluation by the Local Approving Authority LU 5/18/2010 E, Ibsp to s Sig-Rattire Date cY` �- the system inspector shall submit a copy of this inspection report to the Approving Authority(Board - - ©f Health or DEP)within 30 days of completing this inspection. If the system is a shared system or o� o Ilas,a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the LL- report to the appropriate regional office of the DEP. The original should be sent to the system owner o and;copies sent to the buyer, if applicable, and the approving authority. CD ""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. [A t in -09/08 Title 5 Official Inspection Form:Subsurface Sewage Di sal System-Pa e 1 of 17 S s p g y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) j Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: I ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: I I I B) System Conditionally Passes: ❑ 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. Check the box for"yes", "no'!or"not determined" (Y, N, ND)for the following statements. If"not determined,"'please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is.imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): I I l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 I Commonwealth of Massachusetts Title 5 Official' Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010. every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): I I ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): I 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 unIless 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 privyy is within 50 feet of a surface water i ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent 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: D) System Failure Criteria Applicable to All Systems: 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 ❑ ® 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 '/z day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. ❑ ® 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria.exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. 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 has failed. The-owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts _ Title 5 official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information 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 normal 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 septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or 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 information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ❑ ® 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(5)] D. System Information Residential Flow Conditions: 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts _ _ W Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 years usage d NA Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ® Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy'of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): 15ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts _ Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18"feet Material of construction: ® cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line. 10'+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the house vents. Septic Tank (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5. official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to 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 (locate on site plan): Depth below grade: feet 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: Date t5ins-09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (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(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): Sandy soil.Pit shows signs of hydraulic failure.Pit was dry at time of inspection.stain line was up to top of pit. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 1 Depth—top of liquid to inlet invert dry Depth of solids layer NA Depth of scum layer NA Dimensions of cesspool 6'x8' Materials of construction Concrete Block Indication of groundwater inflow ❑ Yes ® No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is Hyannis Ma. 02601 5/18/2010 required for y every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Cesspool shows signs of hydraulic failure.Stain line was over invert to leaching pit. Privy(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.): t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Jb le M _c - 3 cr cr 3 �f T1J I �� ■ A r+ a o cD D O n 'c rr u fi D D W- 1 D m ! lnee. aQ > 7 CD a p 0 � � N Commonwealth of Massachusetts Title 5 Official Inspection Form F Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 8'feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: As-Built ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USE D:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 -� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 239 Scudder Ave. Property Address Mary Jo Ashley Owner Owner's Name information is required for Hyannis Ma. 02601 5/18/2010 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Titie 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BAR /N,STABLE LOCATION a 3q �C�tAP t h I/ e • SEWAG I IO "37y VILLAGE__ ova AI A/ f �r ASSESS99 MAP& L011 O INSTALLER'S NAME&PHONE NO. y A N't ff C halC P -5'08 6-4 Y -OS/� SEPTIC TANK CAPACITY 1500 �al. LEACHING FACILITY: (type) �TA/F /T,e,TO r -TrtAF-Ch (size) 3 7. :5' X 8 -s NO.OF BEDROOMS 3 18 �� '1 Tr0►Ter5 �v o �cTc/Je BUILDER OR OWNER Jlr ROAJe�—'Q PERMITDATE: -r- 13 /d COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility A/A 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 fe t of leaching facili nm� N Feet Furnished by !L3-7 ea ,,q 1 l9d- 37 �31 rT� 1100, y �-r � 3 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTSYes I01ppiication for �Oigpoga[ bpgtem Congtruction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) L!a Complete System ❑Individual Components Location Address or Lot No. 2,31 SLul'"IL Pd" Owner's Name,Address,and Tel.No.K1419�IAUMIL S1iWA �iL� E(MA(C "• //�,�n n" Assessor's Map/Parcel '1 S t Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. vj6rl Type of Building: Dwelling No.of Bedrooms Lot Size Z Oe sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers(Z) Cafeteria rlq Other Fixtures Design Flow(min.r quired) 03a gpd Design Flow provided 3 3 O gpd Plan Date "46 I� Number of sheets Z Revision Date $)4 W([ Title Size of Septic Tank Type of S.A.S. Description of Soil S w>Y LA WdJD J Gow" Nature of Repairs or Alterations(Answer when applicable) Fvu- (Z-(qXA "�.M' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo rd of Health. Sig D Date �( Application Approved by 4 Date Application Disapproved by: Date for the following reasons Permit No. Date Issued No. C Fee _(Z THE COMMONWEALTH OF�11 IASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -.TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Migpogal 6pgtem Con!Wuction Permit r . Application for a Pert-it to Construct( ) Repair( ) Upgrade( )' Abandon( ) Complete System ❑Individual Components Location Address or Lot No. (,uPPa IL P4C Z�j� s Owner's Name,,Address,and Tel.No. W14UMlt s?.��tA , I ri 6 Lc rvAu (6)• �k11.kSot Assessor's Map/Parcel 4 ' 0:3 Installer's Name,Address,and Tel.No. Designer's Name;Address and Tel.No. ,jf,A CkN f, FS1fi S`rt 3l,� I V^%A (SoB, {' �1�+(,b'l�k:�3�N4 (AU12'1�S 30c' r iE ' Lt�►sS t-'s6L_'D RP, I Qftlr-5MAK, M A eta`1H Type of Building: _ r _ Dwelling No.of Bedrooms > Lot Size— Z CD� sq. ft. Garbage Grinder 0 ; Other Type of Building No.of Persons Showers( Z•) Cafeteria NC:) C Other Fixtures r Design Flo�Y(min.r quired) 379 gpd Design flow provided '3 3 V gpd Plan Date q�13 110 Number of sheets Z Revision Date 5 AwtE Title escI/ Size of Septic Tank (SOU Type of S.A.S. ription of Soil S A1vDY 'A S1AN� CsRA�/�- i Nature of Repairs or Alterations(Answer when applicable) 1= - RrepllgIMf,A/r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo rd of Health. Sig a Cy Date Application Approved by Date r Application Disapproved by: Date for the following reasons �. Permit No. Date Issued .300 % THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS r. Certificate of Compliance THIS IS,T RTl that thOri-site Sewa a Dirays m C nst cted a ai ed Q C� ( p ( ) Upgraded ( ) Abandoned( ,at' ihas heen constructed in a ordance with the provisio of Title 5,and e o Disposal System Construction Permit No. O e dated Installer Designer #bedrooms Approved design flow gpd The issuance of thi pe it shall not be construed as a guarantee that the system will on s esigned. Date L Inspector • No. O� � —=r��- )-_--——---————_—.————,�—_—__—.——_—.— J•,/��� a^.r'— Fee f�THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS Migogal *pgtem Congtruction Permit Permission.ins hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date Date f/u Approved by �` Barnstable Police Department - Page: 1 Incident Report r 05/14/2008 Incident # : 08-1231-OF Sd�v�Co2- `1& q Call # : 08-.16079 ✓ Date/Time Reported: 05/14/2008J0150 Report Date/Time: 05/14/2008 0701 Occurred Between: 02/01/2008 0001-05/14/2008 0230 Status: Incident Open Reporting Officer: PTL. STEPHEN ESTEY Signature: PHONESEX RACE AGE 508-332-2207 239 SCUDDER AVE HYANNIS MA 02601 BODY: NOT AVAIL. COMPLEXION: NOT AVAIL. 'PLACE OF BIRTH: NOT AVAIL. LICENSE NUMBER: MA 031544987 ETHNICITY: NOT HISPANIC [CONTACT INFORMATION] Home Phone (Primary) 508-332-2207 OFFENSE(S) ATTEMPTED TYPE LOCATION TYPE: Residence/Home/Apt./Condo Zone: HYA1 239 SCUDDER AVE HYANNIS MA 02601 1 ALL OTHER OFFENSES N Ordinance OCCURRED: 05/14/2008 0230 SUSPECTED OF USING: Not Applicable •N(S) PERSON TYPE SEX RACE AGE 508-280-6878 238 SCUDDER AVE HYANNIS MA 02601 EMPLOYER: BEST BUY CONTACT INFORMATION: Home Phone (Primary) 508-280-6878 • .• • PROPERTY 1 FBI Case Reporting Requirement None Barnstable Police Department Page: 1 NARRATIVE FOR PTL. STEPHEN O ESTEY Ref: 08-1231-OF • Entered: 05/14/2008 @ 0715 Entry ID: 175 Modified: 05/14/2008 @ 0807 Modified ID: 175 On 05/14/2008 at 0150 hrs I was dispatched to 239 Scudder ave for a dogs barking inside the house. When I arrived at 239 Scudder ave I was met by the reporting party Mr.John Grover who lives at 238 Scudder ave. Mr. Grover stated that the dogs have been barking for weeks and that no one has been at the residence for months. There was a White Lincoln Navigator mass reg 30mg40 in the drive way. The m/v was filled with garbage. The registered owner was a Mary jo Ashley- Gauthier of 239 Scudder ave. Dispatch called the number for Mrs. Gauthier that was in our system and left a message. I then looked in the front window were I could see two dogs inside the house. This was a fowl:smell coming from inside the house. Pd. Souve arrived on scene to assisting trying to see if there was anybody inside the house. We were able to locate a unsecured rear door. I the advised Sgt.Sonnabend of the situation. Sgt. Sonnabend then stated to check the interior of the house.Once inside we located the two dogs a mist filth.The house was in deplorable condition. The odor of urine and feces was unbearable.The dogs looked skinny and unfed.There was no food for the dogs. There was dog feces and urine all over the house. Sgt. Sonnabend arrived and requested photos and animal control to respond. Ptl. Corbett arrived on scene and photographed the interior of the house as well as the exterior. We were able to secure the two dogs for animal control.;Charlie Lewis arrived on scene and took control of the two dogs. The house at 239 Scudder ave in my opinion should be condemned it was in deplorable condition no human or animal could live in the residence. At 745 am I contacted the Health Dept in regards to 239 Scudder ave. Sgt. Clark advised that Mary jo Ashley- Gauthier called about her dogs she advised that she has not been at the residence since February. She told Sgt.!Clark that her daughters feed the dogs. Ptl.Stephen Estey °FINE,° Town of Barnstable Gam( Regulatory Services r • HAMSPABIA MAW Thomas F. Geiler,Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified Mail: 7006 2150 0002 1041 9648 June 02, 2008 Mary Jo Ashley 239 Scudder Ave Hyannis, MA 02601 EMERGENCY CONDEMNATION AND ORDER TO VACATE Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.111, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter H: Minimum Standards of Fitness for Human Habitation, David W. Stanton, R.S., Health Inspector for the Town of Barnstable, on May 14, 2008 received photos and a report of the conditions inside the dwelling unit of 239 Scudder Ave, Hyannis from Ptl. Estey, Barnstable PD. The owner's name of this dwelling unit is Mary Jo Ashley. Based on the results of that investigation,-the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.831 (D), the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include: 410. 750: Conditions Deemed to Endanzer or Impair Health or Safety 410.750 (1) Much accumulation of garbage, rubbish and filth including urine and fecal matter from the dogs. Objectionable odors present inside and outside of the dwelling unit. Q:\Order Letters\Condemnations\239 Scudder Ave.doc 410.750 (C) Failure to provide electricity. A door tag was present on the front door by NStar electric company. Based upon these findings any and all occupants are hereby ordered to vacate and the landlord/owner is ordered to secure the subject dwelling-within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated she may be forcibly removed by the local Board of Health (Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from $10-$500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied without the written approval of the Board of Health. Any person needing access to the inside of the dwelling must get permission from the Board of Health prior to entry. Note: This is an important legal document. It may affect your rights. PER ORDER OF THE B ARD OF HEALTH 1 .. cKean, CHOIRS Director of Public Health Town of Barnstable Cc: Captain Farrenkopf, Hyannis Fire Department Chief Macdonald, Barnstable Police Department Ptl. Estey, Barnstable Police Department Mr. Tom Perry, Building Commissioner Ruth Weil, Town Attorney QAOrder Letters\Condemnations\239 Scudder Ave.doc °FINE� Town of Barnstable Regulatory Services • eniuvsrne[.e, MASS. Thomas F. Geiler, Director 039.rED MA'S Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Court Report Bar(s): 69844, 69845, 69846, 69847, 69848, 69849, 69850 and 70303 Name of Offender(s): Randolph A. Gauthier, DOB 6/11/1966 and Mary Jo Ashley-Gauthier DOB 5/30/1962 Location of Violation: 239 Scudder Avenue, Hyannis Date(s) of Violation: 8/9/06, 8/11/06, 08/16/06, 8/17/06, 8/18/06, 8/21/06, 8/22/06 and 8/23/06 Violation(s): Town of Barnstable Code § 353-1- Responsibilities of Owners. Date of court report: 1/30/07 Facts: On August 1, 2006 the Town of Barnstable Health Division received a complaint regarding "Horrible odor coming from back yard of house. Smells like rotten garbage. There is a lot of garbage and junk in yard." Health Inspector David W. Stanton, RS investigated the complaint on August 2, 2006. Several bags of garbage were observed at said location. DS knocked on the door several times and finally a girl answered. She apologized for taking a while to answer the door and said she was sleeping because she was a counselor at a camp. David explained he was there on a complaint of garbage and that the garbage needed to be cleaned up. She stated that they are ordering a dumpster and it will be removed within a week. David told her if it was not removed within the week, they would be getting$100.00/day fines. On August 9, 2006 David returned to follow up on the complaint and observed that the garbage was still present. Subsequent follow up investigations continued to show that the garbage was not cleaned up and that the odors, maggots and flies were getting worse. Finally on August 24, 2006 David found the garbage had finally been cleaned up and David stopped issuing fines. Respectfully bmitted, David W. Stanton, RS Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 (508) 862-4644 Q:\Order letters\court letter\239 Scudder Avenue,Hyannis.doc oF1ME ro,,, Town of Barnstable Regulatory Services &AMSTABLEv Mass. Thomas F. Geiler, Director 039. �m A'E Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified Mail: 7006 2150 0002 1041 9648 June 02, 2008 Mary Jo Ashley 239 Scudder Ave M�9 Hyannis, MA 02601 EMERGENCY CONDEMNATION AND ORDER TO VACATE Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.111, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter H: Minimum Standards of Fitness for Human Habitation, David W. Stanton, R.S., Health Inspector for the Town of Barnstable, on May 14, 2008 received photos and a report of the conditions inside the dwelling unit of 239 Scudder Ave, Hyannis from Ptl. Estey, Barnstable PD. The owner's name of this dwelling unit is Mary Jo Ashley. Based on the results of that investigation, the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.831 (D), the Health Department.further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include: 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (1) Much accumulation of garbage, rubbish and filth including urine and fecal matter from the dogs. Objectionable odorspresent inside and outside of the dwelling unit. Q:\Order Letters\Condemnations\239 Scudder Ave.doc 410.750 (C) Failure to provide electricity. A door tag was present on the front door —by NStar electric company. Based upon these findings any and all occupants are hereby ordered to vacate and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated she may be forcibly removed by the local Board of Health(Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from $104500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied without the written approval of the Board of Health. Any person needing access to the inside of the dwelling must get permission from the Board of Health prior to entry. Note: This is an important legal document. It may affect your rights. PER ORDER OF THE B ARD OF HEALTH cKean, CHOIRS Director of Public Health Town of Barnstable Cc: Captain Farrenkopf, Hyannis Fire Department. Chief Macdonald, Barnstable Police Department Ptl. Estey, Barnstable Police Department. 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N4.. � :+ J �,.•_kiln x s a, MIMI ti ol S X. .yam ffN d � r + • w r �a M u+ asi4 4 �tFIX, 12 No ��y���•�g,i"�f�-'y-rFj�.� C'�f..1f� M � f�� � r�� i, '�'�• ���cs�.,�:►��.-` � 4y��L�F'fi�'f''"!\�t; Via{'.=� �S t �F- t ! CE t F� Y 1 s i i 1 } s _ V a ` fe . i°' Citizen Request Management - Internal Use Request ID: 20201 Created: 8/1/2006 9:55:28 AM Status: Closed Assigned To: Stanton, David Health Office p fi� Anonymous: No Category: Section 353-1 Garbage and Rubbish E.C. Date: 8/25/2006 Created By: Wadlington, Ellen Citations: Health Office f Time Worked: 6.25 Response Time: 1.00 d tea• -Email: K£f Request Location: 239 SCUDDER AVENUE Hyannis, Ma 02601 Parcel Number: Map: 289 Block: 082 Lot: 000 Request: Horrible odor coming from back yard of house. Smells like rotten garbage. There is a lot of garbage and junk in yard. Request Work History: Entered on 8/3/2006 10:45:41 AM by Stanton, David DS went to said location on 8/2/06. The front yard is overgrown, but that is not a Health Violation. DS knocked on the door several times, and finally a girl came to the door. She apologized because she was sleeping. She said they are ordering a dumpster and it will be removed within a week. DS told her if not, she would be issued $100.00\day fines. She said her family owned the house and that it was not a rental. Entered on 8/10/2006 10:40:02 AM by Stanton, David DS followed up on 8/9/06. No answer at front door. Several garbage bags still present in the backyard. DS will download photos and link below when he gets a chance. DS will mail a ticket and follow up again to ensure it is cleaned up. Entered on 8/10/2006 10:56:30 AM by Stanton, David Ticket mailed 8/10/06, Bar 69844. Entered on 8/11/2006 3:29:31 PM by Stanton, David DS followed up on 8/11/06 @ 2:20 PM. White Lincoln not there. No answer at front door. Garbage reeked so bad that DS began gagging. Photos on file. Another ticket will be issued. Entered on 8/14/2006 8:48:18 AM by Stanton, David On 8/14/06 DS mailed a ticket for violation on 8/11/06. Bar 69845. Entered on 8/16/2006 2:44:02 PM by Stanton, David Last modified on 1/30/2007 11:02:06 AM On 08/16/06 at 11:50 AM DS followed up. Garbage still present, with a strong odor and maggots. Photos linked below. White Lincoln not there, no answer at door. DS issued another ticket, bar 69846. DS also called the complainant to let them know of the status of the complaint and to see if they have noticed if anyone is still there as the White Lincoln has not been there recently. Entered on 8/18/2006 11:11:22 AM by Stanton, David On 8/17/06 @ 11:30 AM DS went back to said location. Garbage and odors still present. White Lincoln present. No answer at door. DS will issue ticket. Will now use the female owner of the property as DS located a DOB on her as she has a split last name it was not found the first time. DS also observed a female driving the white lincoln that has been present at said location. Entered on 8/18/2006 11:20:45 AM by Stanton, David On 8/18/06 DS mailed a ticket, Bar 69847 to Mary Jo Ashley-Gauthier for violation on 8/17/06. Entered on 8/18/2006 2:46:48 PM by Stanton, David Last modified on 8/21/2006 11:33:26 AM On 8/18/06 @ 1:35 PM DS stopped by said location again. Trash, terrible odors and maggots still present. Photos linked below. White Lincoln not there. DS issued another ticket to Mary Jo on 8/18/06, Bar 69848. Also, DS observed a woman wearing scrubs driving the White Lincoln Navigator on 8/18/06 @ 1:50 PM heading South West on Main Street Hyannis in front of the 200 Main Street Town Office building. Entered on 8/21/2006 11:33:27 AM by Stanton, David Last modified on 8/21/2006 11:33:43 AM On 8/18/06 @ 1:35 PM DS stopped by said location again. Trash, terrible odors and maggots still present. Photos linked below. White Lincoln not there. DS issued another ticket to Mary Jo on 8/18/06, Bar 69848. Also, DS observed a woman wearing scrubs driving the White Lincoln Navigator on 8/18/06 @ 1:50 PM heading South West on Main Street Hyannis in front of the 200 Main Street Town Office building. Entered on 8/21/2006 11:49:59 AM by Stanton, David Last modified on 8/21/2006 11:53:10 AM On 8/21/06 @ 10:40 AM DS went to said location. No answer after knocking on the front door. Could hear dogs barking. Trash and terrible odors still present. Photos linked below. DS did t y not walk up too close to the garbage this time as the odors were too strong,(possibly from the rain the day before) and DS did not want to get his clothes drenched or.bring home any germs or insects from the location. The White Lincoln was present. DS issued another ticket to Mary Jo on 8/21/06, Bar 69849. Entered on 8/22/2006 11:59:43 AM by Stanton, David On 8/22/06 @ 11:20 AM DS went to said location. No answer after knocking on the front door. AC is always running at the house. Trash and terrible odors still present. Photos linked below. DS did not walk up too close to the garbage as the odors were strong and DS did not want to bring home any germs or insects from the location. The White Lincoln was present. DS issued another ticket to Mary Jo on 8/22/06, Bar 69850. Entered on 8/23/2006 3:30:39 PM by Stanton, David On 8/23/06 @ 2:15 PM DS went to said location. No answer after knocking on the front door. AC was off. No dog barking. It appeared from a quick glance that the trash might have been cleaned up as two garbage bags closest to the street were gone (one on the front passenger side of the black car, and one at the read drivers side.) DS heard a noise out back, come to find out, it was a dog. The garbage bags behind the black car were still there. Photos linked below. DS posted a bright orange sticker on the front door to clean up all the garbage or $100.00/day tickets will be continued to be issued. The White Lincoln was present. DS to issue another ticket to Mary Jo. Entered on 8/24/2006 8:01:13 AM by Stanton, David On 8/24/06 DS mailed another ticket, Bar 70303 to Mary Jo for the violation on 8/23/06. Entered on 8/24/2006 3:31:12 PM by Stanton, David DS went to said location on 8/24/06. Finally, the trash has been cleaned up!!! Internal Note History: System entry on 8/1/2006 9:55:01 AM: Assigned to Stanton, David Entered on 8/3/2006 10:45:41 AM by Stanton, David White Lincoln Navigator in driveway, MA plates 30M G40. System entry on 8/3/2006 10:45:41 AM: Estimated completion changed from 8/3/2006 to 8,/9/2006 System entry on 8/3/2006 10:45:57 AM: I -Please Review- email sent to McKean,Thomas System entry on 8/9/2006 7:46:56 AM: Estimated completion changed from 8/9/2006 to 8/10/2006 Entered on 8/10/2006 10:40:02 AM by Stanton, David 8/9/06 1:45 PM. Same white Lincoln present in driveway. System entry on 8/10/2006 10:40:02 AM: -Please Review-email sent to McKean, Thomas System entry on 8/10/2006 10:47:02 AM: Estimated completion changed from 8/10/2006 to 8/11/2006 Entered on 8/10/2006 10:56:30 AM by Stanton, David Owner: Randolph A. Gauthier, DOB 6/11/1966. System entry on 8/10/2006 10:56:30 AM: -Please Review- email sent to McKean, Thomas System entry on 8/11/2006 8:01:22 AM: Estimated completion changed from 8/11/2006 to 8/14/2006 System entry on 8/11/2006 3:29:31 PM: -Please Review- email sent to McKean,Thomas System entry on 8/14/2006 7:50:41 AM: Estimated completion changed from 8/14/2006 to 8/15/2006 System entry on 8/14/2006 8:48:18 AM: -Please Review- email sent to McKean, Thomas System entry on 8/15/2006 1:23:06 PM: Estimated completion changed from 8/15/2006 to 8/16/2006 System entry on 8/16/2006 11:01:19 AM: Estimated completion changed from 8/16/2006 to 8/17/2006 System entry on 8/16/2006 2:44:02 PM: -Please Review- email sent to McKean, Thomas System entry on 8/17/2006 8:10:50 AM: Estimated completion changed from 8/17/2006 to 8/18/2006 Entered on 8/17/2006 8:36:38 AM by Stanton, David On 8/16/06 DS observed the White Lincoln with MA plates 30M G40 going down rt. 28 in Centerville, all the way to the Stop &Shop parking lot in Marstons Mills. A heavy set woman was driving the vehicle. Obviously the person is still around. Entered on 8/18/2006 11:12:30 AM by Stanton, David Last modified on 8/21/2006 11:51:32 AM DS located female owners name via voter registration using street address instead of name. Mary Jo Ashley-Gauthier, DOB 5/30/1962. Entered on 8/18/2006 11:15:37 AM by Stanton, David Mary Jo RN# 204176. System entry on 8/18/2006 11:20:45 AM: -Please Review- email sent to McKean, Thomas System entry on 8/1.8/2006 2:48:44 PM: -Please Review- email sent to McKean, Thomas System entry on 8/21/2006 8:36:15 AM: Estimated completion changed from 8/18/2006 to 8/22/2006 System entry on 8/21/2006 11:56:08 AM: -Please Review- email sent to McKean, Thomas System entry on 8/22/2006 11:59:53 AM: -Please Review- email sent to McKean, Thomas System entry on 8/23/2006 3:30:47 PM: -Please Review- email sent to McKean,Thomas System entry on 8/23/2006 3:30:5� Estimated completion changed from 8/22/2006 to 8/24/2006 System entry on 8/24/2006 7:59:46 AM: Estimated completion changed from 8/24/2006 to 8/25/2006 System entry on 8/24/2006 3:31:23 PM: Request Closed System entry on 8/24/2006 3:31:23 PM: -Please Review- email sent to McKean, Thomas System entry on 1/30/2007 11:01:38 AM: Request Reopened System entry on 1/30/2007 11:02:42 AM: Request Closed l I r NAME OF OFFENDER TOWN OF MA - RAR 7 0 3 0 3 ADDRIESS OF OFFENDER BARNSTABLE CITY.STATE.ZIP CODE �. 07�� 02601 dt MV/MB 1113GISTRATION NUMBER % IIAam-rAehs, % OFFE. woedl - baiw s ' 1 d'eSeA TIME AND DATE OF VI TION LOCATION OF VIOLATION NOTICE OF (A.M. .)ON ,20 Ott. v VIOLATION SIGNAT • N C GPERsoN EN CING BADGE No. � � � OF TOWN ,OERE Y ACKNOWLEDGE ECEIPT OF CITATION X ORDINANCE Unable to obtain s• nat r ffender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S �• OR Date mailed YOU HAVE THE FOLLOW NN.ALTE ATIVES WITH REGARD.TO DISPOSITION of THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL REG DISPOSITION WITH NO.RESULTING CRIMINAL RECORD. ULATION (1)You may elect to pay the above fine,either by appeariMngA In person beytween g&30 A.M.and 4:00 P.M.,Monday through Friday,legal twlidays excepted, ( Hyabefonnis MA 02601, ar260 Barnstable TWE 200 NainTY-ONE ONE(21 j DAYS OF THEDA or TE OF THIS NO�TICE.money.order or postal note to Barnstable Gerk P.O.Box 2430, i2)Ityou desire to contest this matter in a noncriminal procSoding,'You may do so by making written request to DISTRICT COURT DEPARTMENT FIRST 9A to STABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,AM 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation fora hearing. (3)If'you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the i hearing to be due,criminal complaint may be Issued against you. ❑,if HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ I Sinn6hlre I NAME OF OFFENDER RA R 69844 d TOWN OF ADDRESS OF OFFENDER +� A cle BARNSTABLE CITY,STATE,ZIP CODE t p�TNF r MV/MB REGISTRAl NOMMA •l`� O , • OFF 11ANN1'TA91.E. % _ +IAsa 1679• �0 c &C-1 TIME AND DATE OF VIOLATION AT N VIOL ON NOTICE OF ' (A.M./ P. J ON z 0 Cv �tn�e 4 VIOLATION SIGNAT ENFOR PERSON ENFOR DEPT. BADG 0joe'd OF TOWN HE EBY ACKNOWL_AEDD!GE RECEIPT OF CITATION X ORDINANCE Unable to obtain Sig atur of offender. �� Date mailed 0 THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ OR YOU HAVE THE FOLLOWIN ALl RNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. (1)You may elect to pay the above fine,ether by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyanriis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. j (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Sinnatllre i I II • NAME OF OFFENDER ;BAR 69845 TOWN OF ADDRESSOFOFFENDER ^BARNSTABLE CITY,STATE,ZIP CODE wcueo- Ave- A `p@IKErgr� MVIMB REGISTRATION NUMBER �p OFFEN HARNSMABLE. I �, f f A MASS �639• `0� (vole C , TIME AND DATE OF VIOLATION LO ATI N 0 IOLATTI NOTICE OF (A,M. ./ ON 1200 a VIOLATION SIGNAT FO IN PERSON ENFOR OEPT. BADGE N0. v OF TOWN REBY ACKNOWLEDGE RE EIPT OF CITATION X ORDINANCEKunable to obtain si a u o of nder. THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ 0d4 Date mailed OR YOU HAVE THE FOLLOWIN ALTER ATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BBA)RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. I (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. I ❑ THEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature .i NAME OFDFFENOERRAR � 6 9 846 IIllCC�1 � TOWN OF ADDRESS OF OFFENDER 3 BARNSTABLE CITY,STATE,ZIP CODE `0-* MV/MB REGISTRATION NUMBER HARNS q. C s \ 1 /�3-5-3-1 � � 'r r I rEOMrt° MVCIA Gi4C1 r M '17401 .Sp TIME AND DATE OF VIOLA - LOCATION OF WfLfN NOTICE OF . _ "((AI VI P.M.)ON 200 VIOLATION SIGN EN RCI two GPERSON ENFO INGDEPT BADGE NO. S t t OF TOWN I REBY ACKNOWLEDGE RECEIPT OF CITATION X ORDINANCE Unable to obtain s f e of offender. Date mailed THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ 0R YOU HA%E THE FOLLOW& G AL ERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, L before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST $BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ 1. Signature j 1 NAME OF OFFENDER jq 6 —TO ,, ]BAR 69847 TOWN +OF ADDRESS OF OFFENDER1:23 lei Sri BARNSTABLE CITY,STATE,ZIP CODE ® ^ O pf iHf�W,f, O)L MVIMB REGISTRA ON NUMM`BBER • OFFE RARN ABIJk. lIAeS �. �� at d seta �o d.�3tJ 1 i �plfa MP'� w ! d Obse f ve 'r1 IV"* W I TIME AND DATE OF VIOLA LOCATION OF VIOLATION NOTICE OF 0 .l P.M.)ON ,20Q S VIOLATION SIGN RE N CI G PERSON E RCING DEPT. BADGE NO. t6Z;� .,4 r OF TOWNSE—BY ACKNOWLEDGE RECEIPT OF CITATION X ORDINANCE g Unable to obtain I' m nat re of offender. i THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ OR Date mailed YOU HAVE THE FOLLO ING A TERNATIVES WITH REGARD TO DISPOSITION OF THISWATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. REGULATION ' (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M:,Monday through Friday,legal holidays excepted, I before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Bamstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OFTHIS NOTICE. ?)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ � Shoar,,.o . I F NAME OF OFFENDER A !BAR 69848 �U v TOWN OF ADDRESS OF OFFENDER At BARNSTABLE C CITY,STATE,ZIP CODE ` pf IHN rpy� MV/Mt REGISTRATION NUMBER- OFFEµ:. IIARMITABIJ 9 f11ASS, g. d le J • �f/ � �a � I � p�fD MPr 0 C � ' P� W P ®�/`i i TIME AND DATE OF VIO ION LO ION OF VIOLATION NOTICE OF ' (A,M.i(P Q ON t 20® r SIGNAT ENFOR N PERS ENjqRCING D PT. -A N0. I VIOLATION OF TOWN EBY ACKNOWLEDGE RECEIPT OF CITATION X : ORDINANCE Unable to obtain s' n ture o offender.90�,Alf THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ I D'® l Date mailed i OR YOU HAVE THE FOLLOWING ALTE ATIVES WITH REGARD TO DISPOSITION OF THIS MATER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL ' DISPOSITION WITH NO RESULTING CRIMINAL RECORD. REGULATION y p y y appearing p Y g y legal y (1)You may elect to a the above floe,either b a Baring in arson between 8:30 A.M.and 4:00 P.M.,Monday through Friday,I al holidays excepted, before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2 If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ L NAME OF OFFENDER —® ab BAR 6 9 6 4 9 TOWN OF ADDRESS OFOFFEN(IIER ' Y BARNSTABLE CITY,STATE,ZIP CODE pf tHE rq,- MV/Me 9EGISTRAMON NUMBER NWP O� OFFENSE P �rED MPS� TIME AND OA OF 0 TION LOCATION VIO ON o NOTICE OF ` . 0 .M I P.M.)ON �, 2 ' VIOLATION SIGN Ti ENFO N ERSON /Vj E RCING DEP. BADGE NO. ; r OF TOWN I HER BY ACKNOWLEDGE RECEIPT OF CITATION X ORDINANCE Unable to obtain s gnatur of,offender. /// THE NONCRIMINAL FINE FOR THIS OFFENSE IS 8 Date mailed OR YOU HAVE THE FOLLO NG ALT RNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL ' DISPOSITION WITH NO RESULTING CRIMINAL RECORD. REGULATION ' (1)You may elect ro pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. i (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. t ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature i I i NAME OF OFFENDER &va�' 9PBAR -69650 � ' TOWN OF ADDRESS OF OFFENDER j BARNSTABLE CITY,STATE,ZIP CODE �� IME r, MV/MB REGISTRATION NUMBER, JP O„ • OFF �//� � v I NAR\vTARLF,.>• ®I_e^ - ry /�(a y O ' r 9 NA58. 0 wat tED MPS W^Y7 & TIM A 4PT OF VIOL I LOC TION OF VIOLA ON NOTICE OF I P.M.)ON 20Q S v SIG UR NFO IN SON EN CING DE T. BADGE NO. VIOLATION r OF TOWN I HEMEBY ACKNOWLEDGE RECEIPT OF CITATION X gkl ORDINANCE Unable to obtain sipriaturl of offender.: THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ `Ud� Date mailed OR YOU HAVE THE FOLLOWING ALTE NATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. R EG U LAT 10 N (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, before:The Barnstable Clerk,200 Main Street.Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If;!you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,.MAIN STREET,BARNSTABLE,MA.02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If.you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. i ! 0I I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ .. Rinnntura _ i i I I I ; Citizen Request Management Request ID: 20201 Created: 8/1/2006 9:55:28 AM a y y Status: Closed Assigned To: Stanton, David Health Office > Anonymous: No Category: Section 353-1 Garbage d and Rubbish E.C. Date: 8/25/2006 Created By: Wadlington, Ellen Citations: Health Office Worked: 6.25 Response Time: 1.00 Request Location: 239 SCUDDER AVENUE Hyannis, Ma 02601 �. Parcel Number: Map: 289 Block: 082 Lot: 000 Request: Horrible odor corning from back yard of house. Smells like rotten garbage. There is a lot of garbage and junk in yard. Request Work History: Entered on 8/3/2006 10:45:41 AM DS went to said location on 8/2/06. The front yard is overgrown, but that is not a Health Violation. DS knocked on the door several times, and finally a girl came to the door. She apologized because she was sleeping. She said they are ordering a dumpster and it will be removed within a week. DS told her if not, she would be issued $100.00\day fines. She said her family owned the house and that it was not a rental. Entered on 8/10/2006 10:40:02 AM DS followed up on 8/9/06. No answer at front door. Several garbage bags still present in the backyard. DS will download photos and link below when he gets a chance. DS will mail a ticket and follow up again to ensure it is cleaned up. Entered on 8/10/2006 10:56:30 AM Ticket mailed 8/10/06, Bar 69844. Entered on 8/11/2006 3:29:31 PM DS followed up on 8/11/06 @ 2:20 PM. White Lincoln not there. No answer at front door. Garbage reeked so bad that DS began gagging. Photos on file. Another ticket will be issued. Entered on 8/14/2006 8:48:18 AM On 8/14/06 DS mailed a ticket for violation on 8/11/06. Bar 69845. Entered on 8/16/2006 2:44:02 PM Last modified on 1/30/2007 11:02:06 AM On 08/16/06 at 11:50 AM DS followed up. Garbage still present, with a strong odor and maggots. Photos linked below. White Lincoln not there, no answer at door. DS issued another ticket, bar 69846. DS also called the complainant to let them know of the status of the complaint and to see if they have noticed if anyone is still there as the White Lincoln has not been there recently. Entered on 8/18/2006 11:11:22 AM On 8/17/06 @ 11:30 AM DS went back to said location. Garbage and odors still present. White Lincoln present. No answer at door. DS will issue ticket. Will now use the female owner of the property as DS located a DOB on her as she has a split last name it was not found the first time. DS also observed a female driving the white lincoln that has been present at said location. Entered on 8/18/2006 11:20:45 AM On 8/18/06 DS mailed a ticket, Bar 69847 to Mary Jo Ashley-Gauthier for violation on 8/17/06. Entered on 8/18/2006 2:46:48 PM Last modified on 8/21/2006 11:33:26 AM On 8/18/06 @ 1:35 PM DS stopped by said location again. Trash, terrible odors and maggots still present. Photos linked below. White Lincoln not there. DS issued another ticket to Mary Jo on 8/18/06, Bar 69848. Also, DS observed a woman wearing scrubs driving the White Lincoln Navigator on 8/18/06 @ 1:50 PM heading South West on Main Street Hyannis in front of the 200 Main Street Town Office building. Entered on 8/21/2006 11:33:27 AM Last modified on 8/21/2006 11:33:43 AM On 8/18/06 @ 1:35 PM DS stopped by said location again. Trash, terrible odors and maggots still present. Photos linked below. White Lincoln not there. DS issued another ticket to Mary Jo on 8/18/06, Bar 69848. Also, DS observed a woman wearing scrubs driving the White Lincoln Navigator on 8/18/06 @ 1:50 PM heading South West on Main Street Hyannis in front of the 200 Main Street Town Office building. Entered on 8/21/2006 11:49:59 AM Last modified on 8/21/2006 11:53:10 AM On 8/21/06 @ 10:40 AM DS went to said location. No answer after knocking on the front door. Could hear dogs barking. Trash and terrible odors still present. Photos linked below. DS did not walk up too close to the garbage this time as the odors were too strong (possibly from the rain the day before) and DS did not want to get his clothes drenched or bring home any germs or insects from the location. The White Lincoln was present. DS issued another ticket to Mary Jo on 8/21/06, Bar 69849. Entered on 8/22/2006 11:59:43 AM On 8/22/06 @ 11:20 AM DS went to said location. No answer after knocking on the front door. AC is always running at the house. Trash and terrible odors still present. Photos linked below. DS did not walk up too close to the garbage as the odors were strong and DS did not want to bring home any germs or insects from the location. The White Lincoln was present. DS issued another ticket to Mary Jo on 8/22/06, Bar 69850. Entered on 8/23/2006 3:30:39 PM On 8/23/06 @ 2:15 PM DS went to said location. No answer after knocking on the front door. AC was off. No dog barking. It appeared from a quick glance that the trash might have been r cleaned up as two garbage bags closest to the street were gone (one on the front passenger side of the black car, and one at the read drivers side.) IDS heard a noise out back, come to find out, it was a dog. The garbage bags behind the black car were still there. Photos linked below. DS posted a bright orange sticker on the front door to clean up all the garbage or $100.00/day tickets will be continued to be issued. The White Lincoln was present. IDS to issue another ticket to Mary Jo. Entered on 8/24/2006 8:01:13 AM On 8/24/06 IDS mailed another ticket, Bar 70303 to Mary Jo for the violation on 8/23/06. Entered on 8/24/2006 3:31:12 PM IDS went to said location on 8/24/06. Finally, the trash has been cleaned up!!! 1 W1,111,111i y r �"v ;.: I Citation Information ..... v Offender Account #: 24626 'Offender: Gauthier Randolph & Mary Jo Ashley Contact: Address Ll: y% Address 1-2: 239 Scudder Av >r City,State,Zip: Hyannis, MA 02601 Memo: Randolph's dob: 6/11/1966; Mary Jo's dob: 5/30/1962 Violation / Warning m4 Citation #: 69844 Ordinance: Chapter 353: NUISANCES - I - Storage of Garbage and Refuse Legal Description: Responsibilities of owners and occupants. Offense: Garbage/rubbish in back yard Violation Date/Time: 8/9/2006 1345 Offense Location: 239 Scudder Av Offense Village: Hyannis Enf. Department: Public Health + Issued By: Stanton, David Badge #: Fine: 100 _........._ Balance Due: 0 Payment Disposition: Cleared Voided By: Court Hearing Date: Docket #: 0725 CR 000000 Hearing Disposition: Arraignment Date: Arraignment Disposition: Comments: Pf 117 Citation Information Offender Account #: 24626 Offender: Gauthier Randolph & Mary Jo Ashley Contact: Address Ll: Address 1-2: 239 Scudder Av 'll City,State,Zip: Hyannis, MA 02601 Memo: Randolph's dob: 1/11/1966; Mary Jo's dob: 5/30/1962 Violation / Warning Citation #: 69845 Ordinance: Chapter 353: NUISANCES - I - Storage of Garbage and Refuse Legal Description: Responsibilities of owners and occupants. Offense: . Garbage present with offensive odor Violation Date/Time: 8/11/2006 1420 Offense Location: 239 Scudder Av Offense Village: Hyannis Enf. Department: Public Health Issued By: Stanton, David Badge #: Fine: 100 Balance Due: 0 Payment Disposition: Cleared Voided By: Court Hearing Date: Docket #: 0725 CR 000000 Hearing Disposition: Arraignment Date: Arraignment Disposition: Comments: T3r vsSL riia� i1� �. DiEM yes _ Citation Information Offender Account #: 24626 Offender: Gauthier Randolph &Mary Jo Ashley Contact: Address Ll: Address L2: 239 Scudder Av ' City State Zi Hyannis, MA 02601 Memo: Randolph s dob: 6/11/1966; Mary Jos dob: 5/30/1962 Violation / Warning Citation #: 69846 Ordinance: Chapter 353: NUISANCES - I - Storage of Garbage and Refuse Legal Description: Responsibilities of owners and occupants. Offense: Garbage with magots present Violation Date/Time: 8/16/2006 1150 Offense Location: 239 Scudder Av Offense Village: Hyannis Enf. Department: Public Health Issued By: Stanton, David Badge #: Fine: 100 Balance Due: 0 Payment Disposition: Cleared Voided By: Court Hearing Date: Docket #: 0725 CR 000000 Hearing Disposition: Arraignment Date: Arraignment Disposition: Comments: ME, TO 1�y /ter /� � * S � xsl Z" Citation Information Offender Account #: 24626 y F Offender: Gauthier Randolph & Mary Jo Ashley Contact: Address L1: r y Address 1-2: 239 Scudder Av ' City,State,Zip: Hyannis, MA 02601 Memo: Randolph's dob: 6/11/1966; Mary Jo's dob: 5/30/1962 Violation / Warning Citation #: 69847 Ordinance: Chapter 353: NUISANCES - I - Storage of Garbage and Refuse Legal Description: Responsibilities of owners and occupants. Offense: Garbage with hdor and maggots Violation Date/Time: 8/17/2006 1130 Offense Location: 239 Scudder Av Offense Village: Hyannis Enf. Department: Public Health Issued By: Stanton, David Badge #: Fine: 100 Balance Due: 0 Payment Disposition: Cleared Voided By: Court Hearing Date: Docket #: 0725 CR 000000 Hearing Disposition: Arraignment Date: Arraignment Disposition: Comments: l e,. ,. 4 R;sq�y„�,.✓, wPs., ifs , ,.,. ,P ,i �?4, N�a Citation Information .L v n Offender a Account #: 24626 f. Offender: Gauthier Randolph & Mary Jo Ashley Contact: _.._-...._........._._.___...-....-....... _.__ Address L1: Address L2: ^239 Scudder Av City,State,Zip: Hyannis, MA 02601 Memo: Randolph's dob: 6/11/1966; Mary Jo's dob: 5/30/1962 Violation / Warning Citation #: 69848 Ordinance: Chapter 353: NUISANCES - I - Storage of Garbage and Refuse Legal Description: Responsibilities of owners and occupants. Offense: Garbage with odor and maggots Violation Date/Time: 8/18/2006 1335 Offense Location: 239 Scudder Av Offense Village: Hyannis Enf. Department: Public Health Issued By: Stanton, David Badge #: Fine: 100 Balance Due: _ 0 Payment Disposition: Cleared Voided By: Court Hearing Date: Docket #: 0725 CR 000000 Hearing Disposition: Arraignment Date: Arraignment Disposition: Comments: f s r PRO q;?g '�pf+=r„ .r�l „i,,.✓J„ &. fie r.s,,., ....» i � 3 Citation Information i �f is y Offender e � Account #: 24626 y Offender: Gauthier Randolph &Mary Jo Ashley Contact: Address Ll: ._........... .___._..._ yif , Address 1-2: 239 Scudder Av City,State,Zip: Hyannis, MA 02601 f j Memo: Randolph's dob: 6/11/1966; Mary Jo's dob: 5/30/1962 p4a. Violation / Warning Citation #: 69849 Ordinance: Chapter 353: NUISANCES - I - Storage of Garbage and Refuse Legal Description: Responsibilities of owners and occupants. Offense: Garbage and strong odor Violation Date/Time: 8/21/2006 1040 Offense Location: 239 Scudder Av Offense Village: Hyannis Enf. Department: Public Health Issued By: Stanton, David Badge #: Fine: 100 Balance Due: 0 Payment Disposition: Cleared Voided By: Court Hearing Date: Docket #: 0725 CR 000000 Hearing Disposition: Arraignment Date: Arraignment Disposition: Comments: f pow Citation Information „5f � {({ Offender YF Account #: 24626 Offender: Gauthier Randolph & Mary Jo Ashley 1,114 Contact: Address Ll: v=; Address L2: 239 Scudder Av City,State,Zip: Hyannis, MA 02601 r Memo: Randolph's dob: 6/11/1966; Mary Jo's dob: 5/30/1962 Violation / Warning Citation #: 69850 Ordinance: Chapter 353: NUISANCES - I - Storage of Garbage and Refuse Legal Description: Responsibilities of owners and occupants. Offense: Barbage and odor Violation Date/Time: 8/22/2006 1120 Offense Location: 239 Scudder Av Offense Village: Hyannis Enf. Department: Public Health Issued By: Stanton, David Badge #: Fine: 100 Balance Due: 0 Payment Disposition: Cleared Voided By: Court Hearing Date: Docket #: 0725 CR 000000 Hearing Disposition: Arraignment Date: Arraignment Disposition: Comments: F ' x ' Citation Information 5' ` Offender s Account #: 24626 y Offender: Gauthier Randolph & Mary Jo Ashley 5 Contact: Address L1: _ ........ - — __ _.-.._ Address 1-2: 239 Scudder Av City,State,Zip: Hyannis, MA 02601 Memo: Randolph's dob: 6/11/1966; Mary Jo's dob: 5/30/1962 Violation J Warning Citation #: 70303 Ordinance: Chapter 353: NUISANCES - I - Storage of Garbage and Refuse Legal Description: Responsibilities of owners and occupants. Offense: Garbage present Violation Date/Time: 8/23/2006 1415 Offense Location: 239 Scudder Av Offense Village: Hyannis Enf. Department: Public Health Issued By: Stanton, David Badge #: Fine: 100 Balance Due: 0 Payment Disposition: Cleared Voided By: Court Hearing Date: Docket #: 0725 CR 000000 Hearing Disposition: Arraignment Date: Arraignment Disposition: Comments: N , 3 . o rn G: Cri ESI►�NEY �1 > , O L I f3 i - P sr Ir f .I E - _ : - - a � a : r E - n I f : -1 -_ --------- IQ i : , a _ �7 a , • i , a _ : r ci v, a 1 : : ; , i _ Y - 1 ; i — i l ---- - - - - - -- -- __ o ! R+ : , f n I -- r- - - - -- ---- -- - --- - -- --- -- --- - - 1-- - t _ T w d S ITJ !n : 4.� ` `. LEGEND y Lr Arbor W N r EXISTING CONTOUR sylvan Dr -- 98-- qt x 100.98 EXISTING SPOT GRADE o �v, �OOa Rd W EXISTING WATER SERVICE a / Ja oo H.PV — OVERHEAD WIRES V `C a 98, TEST PIT Fernwood Ave. BENCHMARK �; Vood Ave. P _Catchb sin a p,new LOCUS a. K) BUJ LOT 13 ��'F�LF 98.58 s LOCUS MAP �`9� co NOT TO SCALE PN 289-0 ,� a. 0� /�� 0 12,900±SF ��� O cotchba ` ? G �S 9 0 , EXISTING DECK GENERAL NOTES: 2a 'g8 O BE RE 1: ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL �i rz x 98,40 EXISTING CESSPOOSL (approx.) BOARD OF HEALTH AND THE DESIGN ENGINEER. i TO BE PUMPED, FILLED W/ 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS �� • SAND AND ABANDONED OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE y LOCAL RULES AND REGULATIONS. i i 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR boa \�. �, TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE x 97.54 � .,y 99.33 EX/STING � DESI GN ENGINEER. HOUSE S239) �' 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING _ J � T.O.F.-1 OOf PROPOSED � � i� ` � :°'6 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN I I I I I I i ENGINEER BEFORE CONSTRUCTION CONTINUES. I �� 16 x32' i i �j,, DECKi��i�° �� ��� 95,58 ���` OF Mgss 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. o, EXIST. SEWER i S .�� �P qc 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF lNV=96.7fN35, o=� yGs THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF `� �i i ( �. y ROBB HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 98 7x x`�4'\vii x ,� ��<„� ^� No.Y35418 "' 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 00 /.�8,5 97&_./ TP-2 �� >Q y 6• ; 0 61 'O o 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. O g 1 / `FS G T �v 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS �9s st• --I�" �O y�� p� s/0 q AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE PROPOSED , Q<vi.y'�' DIRECTED BY THE APPROVING AUTHORITIES. 98_- _-- r SEPTIC ��i �?��� �i n 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 97.65 TANK i��� THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING OF CONSTRUCTION. ��� MASSq 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 9•, R2, �, 96.00 P �yG IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND PETER T. REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). McENTEE 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE CIVIL INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. x 95.51 No. 35109 13. ENGINEERING WORKS IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED 111 r r °pF G/SZE ��� SEPTIC SYSTEM COMPONENTS WHICH MAY EXIST ON THE PROPERTY. Benchmark ID PROPOSED SEPTIC SYSTEM UPGRADE PLAN Outside car. of Bulkhead EL.=99.46 (Assumed) �"� °I�� l 239 SCUDDER AVENUE, HYANNIS, MA Prepared for: Raney & Rimington, 239 Scudder Ave., Hyannis, MA 02601 OWNER OF RECORD Engineering by: Surveying by: SCALE DRAWN JOB. NO. 95.18 SIKIORA, WALTER & PAMELA M Engineering Works,Inc. EASTBOUND LAND SURVEYING, INC. 1 =20' P.T.M. 197-10 12 West Croasfield Road FLOOD PLAIN DESIGNATION 19 GLEN EAGLE CIRCLE Forestdale, MA 02644 P.O. Box 442 DATE CHECKED SHEET NO. NON HAZARD ATTLEBORO, MA 02703 Forestdale, MA 02644 9�8�10 P.T.M. 1 of 2 (508) 477-5313 508 477-4511 i I 9 . 1 NOTE: FINISH GRADESHALLLUNOT BE THE PROPOSED 3 FOR A DISTANCE OF 15' AROUND THE ° PERIMETER OF THE S.A.S. (3) 5" DIA.OUTLETS > SEPTIC -TANK PROPOSED D-BOX PROPOSED S.A.S. 15.5 � F 16 �2" INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT INSTALL INSPECTION PORT OVER END UNIT OUTLET AND SET TO 6" OF FINISH GRADE . COVER SET TO 6" OF GRADE ' " T.O.F.=100.0 �'• F.G;. EL: 96.33(MAX.) 12" EXISTING F.G. EL.=97.5t F.G. EL: 96.0t 15.5" `- i; 8" D f MAINTAIN 2% GRADE (MIN.) OVER S.A.S. 1 INSPECTION PORT 2" L = 20' L =24' L = 6'(MAX) EACH ROW H-10 LOADING ® S=1% (MIN.) ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC - 6" 34 10 1 14" 6" 11.3" TO INVERT D-BOX INV.=95.50 48" LIQUID - LEVEL INV.=93.40 ADD INV.=93.57 PROPOSED 3 ROWS OF 6 UNITS AT 6.25'/UNIT = 37.5' GAS BAFFLE INV.=92.94 ml • INV.=95.25 �� � SOIL ABSORPTION SYSTEM (PROFILE) f PROPOSED SEPTIC TANK ESTABLISH VEGETATIVE COVER -75"- BACKFILL WITH CLEAN NATIVE OR TIE IN TO EXISTING SEWER PERC SAND TO TOP OF CHAMBERS AT HOUSE, INV.=96.7f BREAKOUT=TOP TOP ELEV.=93.33 loam NOTES: INV. ELEV.=92.94 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=92.00- III III�IIIII�II INVERTS, PRIOR TO INSTALLATION. 76" - 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED EFFECTIVE WIDTH=8.5' PROFILE SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN EXISTING SUITABLE 310 CMR 15.221(2). MATERIAL 3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO GROUNDWATER, EL=85.0 z ER UNITS 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE SEPTIC SYSTEM PROFILE WITH NOUSE 3 SEPARATION EP RATIONWS OF ) BETWEEN EACH ROW &SNO STONE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. F 16" N.T.S. TYPICAL SECTION 11.2" Exisrinic SOIL LOG �- I HOUSE (#239) DATE: AUGUST 31, 2010 (REF#13,041) i- 34"--� B CKu E SOIL EVALUATOR: PETER McENTEE PE SECTION N CA WITNESS: DAVID STANTON R.S. DESIGN CRITERIA B HEALTH AGENT 16" HIGH CAPACITY (H-20) BIODIFFUSER UNIT 40.0' ELEV. TP 1 DEPTH ELEV. TP-2 DEPTH NUMBER OF BEDROOMS: 3 BEDROOMS 96.0 A 0 96.0 A 0 I- -- - --- SAND AM SANDY LOAM MODEL 16" HICAP SOIL-TEXTURAL-CLASS - CLASS---- -- - -- -------- _ - _--1OYR �4/2_______ 10YR 4/2 LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT - _-- - DESIGN PERCOLATION RATE: <2 MIN IN 95.5 4"- 95.5-- - -6-" - - TO-CHANGE-WIZHOUT_NOTICE, PRODUCT DETAIL MAY / EFFECTIVE-LENGTH- FLOW: 330 G.P.D. BSANDY'LOAM BSANDY LOAM DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE.-- - --- DESIGN FLOW: 330 G.P.D. P fig. �� 10YR15/4 10YR 5/4 SIDE WALL HEIGHT 11.2" P 93.5 30" 93.5 30" OVERALL HEIGHT 16" GARBAGE GRINDER: NO CA Cl Cl OVERALL WIDTH 34" 4640 TRUEMAN BLVD M-C SAND M-C SAND HILLIARD, OHIO 43026 LEACHING AREA REQUIRED: (330) = 445.9 S.F. 2.5Y,6/4 2.5Y 6/4 13.6 CF 74 20% GRAVEL 42" 20% GRAVEL CAPACITY (101.7 GAL) ADVANCED DFWNAGE SYSTEMS, INC. PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY 92.0 48" 92.0 48" PROPOSED D-BOX:: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED C2 I 54" C2 PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 3 ROWS OF 6- H- 0 AD B OD FUS R UNITS ------------------- LIND PERC 239 SCUDDER AVENUE, HYANNIS, MA �1M-C M-C SAND WAO S 0 8 ���� p r/�L/�"� i PROPOSED S.A.S. :u, 2.5Y!6/4 2.5Y 6/4 Prepared for: Raney & Rimington, 239 Scudder Ave., Hyannis, MA 02601 (HIGH CAPA I FILTRA ORS BE SU TUED) 5% GRAVEL 5% GRAVEL �-------------------�-� � Engineering by: Surveying by: SCALE DRAWN JOB. NO. BOTTOM AREA: (G NERAL U PROVAL FOR 70 F/LF OF UNIT) 37.5'--�i 85.0 132" 85.0 132" Engineering Works,Inc. EASTBOUND NTS P.T.M. 197-10 (BIODIFFUSERS) 18 ITS x 6.25 LF x 4.70 = 528.8 SF I 12 West Crossfield Road LAND SURVEYING, INC oPERC RATE <2 MIN IN. C" HORIZONS P.O. Box 442 DATE CHECKED SHEET NO. F,r 7A. .LAYOUT ( ) Forestdale, MA 02644 Forestdale, MA 02644 DESIGN FLOW PROVIDED: 0.74(528.8 S.F.) = 391.3 G.P.D. l(0 N0� GROUNDWATER ENCOUNTERED (508) 477-5313 508 477-4511 9/8/10 P.T.M. 2 Of 2 -a o t° /' j urn � -- I; LEGEND Arbor Wy N EXISTING CONTOUR Sylvan Dr of x 100.98 EXISTING SPOT GRADE P�� w,°d Rd W EXISTING WATER SERVICE m arc a / o OVERHEAD WIRES � �oJa o��o o 98, ; TEST PIT e`rnwood Ave. N34 BENCHMARK 4; Jcc sn Q pinewood Ave. ot i 0 � � � �� aa� LOCUS CD P c 'LV, e�z a. r J ' - o' LOT 13 ������ 98,58 o � LOCUS MAP I NOT TO SCALE PN 289-0 �9 �� a 0 0 0`� '� 0 12,900±SF cctchba in." �O O ��9 �S•• EXISTING DECK GENERAL NOTES:1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL {, x98,44 . ., %EM S OS (ap ox.) BOARD OF HEALTH AND THE DESIGN ENGINEER. IL D 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS Z DO �OCAL THE RULES AND IR�GULATIONS CODE, TITLE V, AND ANY APPLICABLE 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE x 97.54 P' 99 33 EXISTING` \� DESIGN ENGINEER. 'HOUSE Z39 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING Z ' - 9° FROM THOSE SHOWN HEREON SHALL`BE REPORTED TO THE DESIGN T.O.F.=100 OOt,), �� i ,, ).' ENGINEER BEFORE CONSTRUCTION CONTINUES. 16 x32' PtP OF MAS q 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. } I �C a �0 1 ' I DECK (7�p�) 95.58 s EXIST. SEWER—; i �� , �5 S y�F c 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF INV.=96.7f THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF ROBB 9875 ,��` ¢ Y 2, � �y �. HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. o SYKES x'' t3W''2 X20' �� X ,1 /�. <�� , �' No. 35418 "' 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. �� riL 98.5. 97,00 _ TP-2 �� > �i 16• o o i R' i O �o 0 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. TP-1 i� �O Fs�c/S SJ�J� 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE ° PROP OSEDQ�< i tij1 DIRECTED BY THE APPROVING AUTHORITIES. SEPTIC 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 98 97 65 TANK �5 ..f ^>/i THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING S , X OF A CONSTRUCTION. R92 29�2 96.00 P��� M SSgc�G 1 1• INERE THE AREAIRBEDNEATOH ANDTOFORS5'4LONRALILOVE SIDES OF THE ABLE A.S. OILS AND PETER T• REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). �. McENTEE _ 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE oeD CIVIL INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. .01 x 95,51 No. 35109 13. ENGINEERING WORKS IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED R£G/Si- �� SEPTIC SYSTEM COMPONENTS WHICH MAY EXIST ON THE PROPERTY. rl• p �FSS/0 Benchmark ��.�� PROPOSED SEPTIC SYSTEM UPGRADE PLAN Outside car. of Bulkhead EL.=99.46 (Assumed) �'��� �;` � 239 SCUDDER AVENUE, HYANNIS, MA Prepared for: Raney & Rimington, 239 Scudder Ave., Hyannis, MA 02601 Engineering by: Surveying by: SCALE DRAWN JOB. NO. 95,18 OWNER OF RECORD Engineering Works,Inc. EASTBOUND 1"=20' P.T.M. 197-10 SIKIORA, WALTER & PAMELA M LAND SURVEYING, INC. 19 GLEN F EAGLE CIRCLE West Crosstield Rood P.O. Box 442 DATE CHECKED SHEET 2 FLOOD PLAIN DESIGNATION orestdale, MA 02644 Forestdole, MA 02644 NON HAZARD ATTLEBORO, MA 02703 (508) 477-5313 (508) 477-451 t 9/8�10 P.T.M. 1 Of 2