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HomeMy WebLinkAbout0110 SKATING RINK ROAD - Health r - 110 Skating Rink Road Hyannis A = 291 171 t { i o � Ij a i TOWN Q4j BARNSILE LOCATION SEWAGE # i VILLAGE ASSE OR'S MAP & LOT — �" INSTALLER'S NAME&PHONE NO. P SEPTIC TANK CAPACITY r✓ �'' LEACHING FACIi.n Y: (type) ° � —(size) NO.OF BEDROOMS - BUILDER OR O R ®� PERMITDATE: 3 31 0L. COMPLIANCE DATE: �' I Separation Distance Betwee� Maximum Adjusted Groundwater Ta l.e to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist Feet within 300 feet of leaching facility) Furnished.by 1� o A _ .,4eN 20-01 13 : 62 BARNSTABLE HEALTH DEPT 50879063U4 t` sas-o� �C)TICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. P>✓RCO LATION TEST AND SOIL EVALUATION EXEMPTION FORM i4�iM� . SttHY hereby certify that the engineered plan signet by r~.e Ue;eC d concerning the property located at F4e �k, �n�S meets all of the —�--- —�— --r—�_ fcllowmg c;^,terra • This failed system-is connected to a residential dwelling only. There are no _ornrntrcia! or business uses associated with the dwelling, T? e soil is ciass: :ed as CLASS 1 and the percolation rase is less than or equal to 7i.nitts per inch. The applicant may use historical data to conclude this fact or may. _onduc:( )re't!rwcari tests at the site without a health agent present_ • There :s no increase to flow and/or change in use proposed • There ar.e no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than fourteen 'ee: aonve the maximum adjusted groundwater table elevation. (Adjust the T-nunc!water table using the Frimptor method when applicablel Please complete the following: Di Ground± Surface Elevation fusing GIS informauonl B; Elev3con _ adjustment for high G.W.Q.._.. _ ..-.. _�rFTR=itit F. BETWEEN a B S:(;'�FE D PATE: NOTICE 3asec i,on t;--e move r.formation, a reoair permit wil! be issued for ')edrooms T.aX lMu'r `gin :dt4-,ti anal bedrooms are authorized to [he future without en,tncerec ht_Ilh!r,:du pcIccam7 i Permit Number: Date: Completed by: HIGH GROUNDWATER LEVEL COMPUTATION Site Location: ( � fSa `�lSc �n y2d � �5 Lot No. o�� Owner: 7b�1 ©t�MNN A Address: f �n Contractor: &Q. •Address: Notes: STEP 1 Measure depth to water table tonearest 1/10 ft. .............................................................................. .Date Dt1p month/day ear STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: OAppropriate index well.................................................... C 0 Water-level range zone ..................................................... STEP 3 Using monthly report "Current Water Resources Conditions" ��• T determine current depth to water level for index well ........................... O mon /yea STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water level zone (STEP 2B) determine water-level adjustment ...................................•.•....... . oC STEP 5 Estimate depth to high water by subtracting the water• level adjustment (STEP 4) from measured depth to water level at site (STEP 1) ........ ....................... OZaZ�,2 f; Figure 13.—Reproduclble computation form, 15 TOWN BARNSr�LE 1/ LOCATION e (- ` SEWAGE #, VVLAGE ASSE OR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) NO.OF BEDROOMS - 3 BUILDER OR OWNFR PERMITDATE: 3 1 �t`� COMPLIANCE. DATE: Separation-Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) ' Feet Furnished by I o r No. FEE Board of Health, MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) RepaiXr Upgrade( ) Abandon( ) - -0 Complete System>(4ndividual Components Location AkA M Owner's Name hn ©s Map/Parcel# NO Address Lot# Telephone# Installer's Name Designer's Name Address ��-�- c3c,nrlo.�-1ti► Address Telephone# (Q _ •�^ 3tO Telephone# Type of Building $1 Q` Lot Size sq.ft. Dwelling No.of Bedrooms Garbage grinder,.4/A,- Other-Type of Building OC1.2 No.of persons ' Showers (1K!Cafeteria (91j Other Fixtures St f1 Lo Design Flow(min.required) gpd Calculated design flow Design flow provided 33 gpd Plan: Date W Ci O�A Number of sheets I Revision Date Title t1 Description of Soils) Soil Evaluator Form No. Name of Soil Evaluator ciccv O Snyate of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS � [ �� The undersigned agrees to instpllAhk above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not tc p ac the eMieration until a Certificate of Compliance has been issued by the Board of Health. Signed Date -t( Inspectio ./ �'•..y"�...�-.-'.:.ems..'.�,•t-•,`'^^,:rf�i"�7.:�"�.,•,,."�''ti"".^,a"�'�".^'�'"•.' -,air.+�«k5cr'�'tWw.n.�2".�i+"ti'�"y'rti�""".'..-:;:A.+.y�4 .••-•''�.�;,,P�,;�.r;�Te:��y,+�;.:e�+..^•w"�'t,,,,. No. l k COMMONWEALTH OF MASSACHUSETTS FEE Board of Health, MA. iv -FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT APPLICATION PPlicaNn for a Permit to Construct( Re axUPgrade( Abandon( ❑Complete SYstem -dividual Components Owner's Name ,Tth) 0, Map/Prcel# Address i Lot# 9 Telephone# Installer's Name -C Designer's Name Address`-5-7st—nAtmn St ,�yocvnw-k�, Mot- Address Y Telephone# (mac 1 �'�l d Telephone# _ 1. Type g Sa 1 *@�'146 G\ `�a , q T e of Building --may� � ` Lot Size _ s ft. Dwelling-No.of Bedrooms \ N 1C"fc'0 t� Garbage grinder WIA- Other-Type of Building N CGC",-Q No.of persons Showers Cafeteria (V Other Fixtures -C 3 C, q � U Design Flow (min.required) gpd Calculated design flow Q Design flow provided gpd •. Plan: Date 4 � Number of sheets 1 Revision Date Title t�. C�U ��'lJ ���c2/r, �D C C\°e Description of Soil(s)Soil Evaluator Form No. � Name of Soil Evaluator � CC(y� �nCWDate of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS: d The undersigned agrees to instAft above described Individual Sewage Disposal System in accordance with the provision's of TITLE 5 and further agrees to not to pllace4e sys)em in operation until a_ Certificate of Compliance has been issued by the Board of Health. Signed �r Date Inspectio No. �'7 '� 3 ' FEE ' C®MMONWEALT14 ®F MASSACHUSETTS Board of Health,-- . ejK)ST" •<Z' _ , MA. CERTIFICATE OF COMPLIANCE Description of Work: '&Individual Component(s) ❑Complete System The undersigned here ,y-Jrtify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded k,Abandoned ( ) by: �1 v��.�� S•e q- y c . 0 11 Iq t has been installed in accordance with the p'ovis ons of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. 1�,n Ll `,3U , dated �_1 o v/ Approved Design Flo . (gpd) Installer ,,�Q .� Designer: ( � I 4' Inspector: Huy. . `\` l.�?'�C r" i e.J.• Date: 1 l The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Now✓v,v/11— / FEE COMMONWEALTH OF MASSAC14USETTS Board of Health, �.�1� �TC � MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( '`)Upgrade( ) Abandon( ) an individual sewage disposal system at ✓ �.Ci��C` '� ��`( as described in the application for Disposal System Construction Permit No. }�,dated Provided: Construction shall be completed witrh'in three years of thel date of t t permisy,'AllYlocal co ditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Dat '2/g 11lY'Board of Health �� , " if It �. / t 11, Doce17092P505 06-23-2008 11 :31 BARNSTABLE LAND COURT REGISTRY COMMONWEALTH OF MASSACHUSETTS (SEAL) LAND COURT DEPARTMENT OF THE TRIAL COURT 08`MISIC`3742941 To: Samuel Baltar a/k/a Samuel Gonsalves Baltar I�uIIIIIIIIIIDiIIIINI�IIII�i�I�I�IUI�II�11NIlU1�II and to all persons entitled to the benefit of the Servicemembers Civil Relief Act. Countrywide Bank, FSB claiming to be the holder of Mortgage covering real property in Hyannis, numbered 110 Skating Rink, given by Samuel Baltar a/k/a Samuel Gonsalves Baltar to Mortgage Electronic Registration Systems, Inc. acting solely as nominee for Countrywide Bank, dated April 14, 2005, Registered at Barnstable County Registry District of the Land Court as Document Number 999001, and Noted on Certificate of Title Number 176420, and now held by the Plaintiff by assignment, has filed with said court a complaint for authority to foreclose said mortgage in the manner following: by entry and possession and exercise of power of sale. If you are entitled to the benefits of the Servicemembers Civil Relief Act and you object to such foreclosure you or your attorney should file a written appearance and answer in said court at Boston on or before JUL 2 8 2008 or you may be forever barred from claiming that such foreclosure is invalid under said act. Witness, KARYN F. SCHEIER Chief Justice of said Court on JUN 1 6 2008 Attest: .4 rRUE COPY ATTEST: -_ Deborah J. Patterson Inc Recorder 0"0843F RECORD BARNSTABLE REGISTRY OF DEEDS COMPLETE •N ' COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A :Si at re J ° item 4 if Restricted Delivery is desired. ,� ❑Agent s Print your name and address on the reverse fili�/ � ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery N Attach this card to the back of the mailpiece, or on the front if space permits. VPWt�V D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No I l 3. Se a Type 9arcertified Mail ❑B916s Mail ❑Registered ClAsturn Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?Pft Fee) ❑Yes 2. Article Number (Transfer from service labeq i 11117 0 0 6 i 0 810 �O40 0 0 352 5 3 2 9 9 (� PS Form 3811,February 2004 Domestic Return Receipt t o25ss-o2-M-154o I. I UNITED STATES.. �. �Sge��i Fees ai Pd 3 N� 8� R' t Sender: Please print your name, address, and ZIP+4 in this box • I Town of Barnstable O� Health Division 200 Main Street Hyannis,MA',02601 I I I i�ek}}}k3}ikl�k?9itkt=kktkl3}t[i}}k!-tilkkktkiltk}'iik�lEfkikt I I Certified Mail#7006 0810 00003525 3299 Er ,,o Town of Barnstable k Regulatory Services 11ARNSTAIS a 1�� Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 kv� December 14, 2007 Geraldo Frettas 2177 Service Road West Barnstable, MA 02668 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II —MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at1110 Skating Rink Road in Hyannis(was inspected on December 14, 2007 by Timothy O'Connell, Health Inspector for the.Town of Barnstable. This inspection was conducted on the basis of a complaint received by the Town of Barnstable. The following violations of the State Sanitary Code were observed: 105 CMR 410.482—Smoke Detectors. Missing smoke detector on first floor. 105 CMR 410.503 (B)—Protective Railings and Walls. Observed lack of wall or guardrail on open side of stairway leading to second floor. 105 CMR 410.351 - Owner's Installation and Maintenance Responsibilities. Observed toilet within basement not working properly. It does not flush and is backing up. Observed many electrical outlets not working. The following violations of the Town of Barnstable Code were observed: 170-4—Certificate of Registration. Property is not registered with Town of Barnstable Health Department. Q:\Order letters\Housing violations\110 skating rink.doc r 170-10—Carbon Monoxide Alarms. Observed that there are not Carbon Monoxide detectors within home. You are directed to correct the violations listed above within twenty-four(24) hours of your receipt of this notice by installing Carbon Monoxide Detectors and Smoke Detectors in accordance with 527 CMR of state fire codes. You are directed to correct the violations listed above within thirty-(30) days; by installing hand rail or baluster system on open wall side of stair case leading to second floor; by unclogging toilet so that it works as intended to; by fixing all electrical outlets so they are in working order and by registering rental property with Town of Barnstable by filling out application and submitting appropriate fee. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER O HE BOARD OF HEALTH �za. McKean,R.S., CHO Director of Public Health Town of Barnstable Cc: Timothy O'Connell, Health Inspector Cc: Dare Paige, Tenant Q:\Order letters\Housing violations\110 skating rink.doc FORM30 C&w HOBBs&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF TH ITY/TO � EP TMENT G1M Sy0"`ew ADDRESS TELEPHONE �l�lJ` Address i l b �� Occupant Floor Apartment No. No.of Occupants No.of Habitable Rooms No.Sleeping Rooms_ No.'dwelling or rooming units o.Stories Name and address of owner Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: z Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: 7 Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows-.-- Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: o Stairs: Lighting: l c�✓� STRUCTURE INT. Hall,Stairway: S Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: (Q 3 5/ AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom(1). Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: r Wash Basin,Shower or Tub.- Infestation Rats, Mice, Roaches or Other: ( ; Egress Dual and Obst'n: j General Building Posted Locks on Doors: ' ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPO T IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJU . v INSPECTOR TITLE _ DATE ' 1"1 TIME r .3 —Tc5 T) A.M. THE NEXT SCHEDULED REINSPECTION P.M. . . ` ' 410.750: Conditions Deemed to n'ger or Impair Health or Safety . . . The foUowingoond�ona.when�oundV�oxi�inmoidanh� pemiueu. oh�ibodeomedoond�ono which may endanger or impair the health, or safety and well-being of pombn or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential Vz endanger or materially impair the health or safety, and well-being of the �_. occupants orthe public. Because Chapter||. 105 CMR 410A0 through.41O.02Ostate minimum requirements offimooafor human habitation, any other violation has the potential 1ofall within this category in any given specific situation but may not d000 in every case and therefore is not included in this listing. Failure to include shall in noway be construed auadetermination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official 0z order repair or correction of such vio|nkion(o) pursuant to 1O5CIVIR41O.83O through 41O.833 nor shall failure Vo include affect the legal obligation of the person to whom the order in issued to comply with such order. V\> Failure to provide asupply of water sufficient in quantity, pressure and temperature, both hot and cold,to meet the ordinary needs of the occupant in accordance with 105SIVIR 410.180and 41O.18O for uperiod of24 hours orlonger. (B) Failure to provide heat as required by 105 CIVIR 410.201 or improper venting or use ofaspace heater orwater heater as prohibited by 105CIVIR41O.2OO(B) and 41U.2O2. (C) Shutoff and/or failure to restore electricity orgas. (D) Failure 10 provide the electrical facilities required by 1O5CIVIR41O25O<B>. 410251(A). 41O.253 and the lighting in com- mon areamquired by 105CIVIR410254. (E) Failure to provide asafe supply ofwater. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105CIVIR 41U]5O(A)(1)and 410.3UU. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage ortrash,which prevents egress in uaaaofan emergency 105 CIVIR 410.450. 410.451 and 410.452. � _ <M) F�|ure1000m�ywhh the security requirements of 105 SMR 410.480(D). . . (|) Failure Vr comply with any provisions of 105 CIVIR 410.000. 410.001 or41O.002which moults in any accumulation ofAm` ' bage, mbUioh,filth m other causes of sickness which may provide ufood source or harborage for mdenta, insects or other pests or otherwise contribute to accidents orto the creation or spread of disease. (J) The presence of|oudboaed paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105CIVIR400.000. (See M.G.Lo. 111 @@ 1SO through 10Qj (K) Roof,fnundation, or other structural defects that may expose the occupant or anyone else tofire, bumo, shock, accident or other dangers or impairment Vo health orsafety. (L) Failure to install e|ootrimd, plumbing, heating and gas-burning hmi|dieo in accordance with accepted p|umbing, heating, gas-fitting kd and�|oomwiring�and�doorfai|uvetomai� h maintain m re quired �dby1U5CR41O351 ond41O.352. so buVo'expnn. ethe 000upantorunyono else 1ofire, burno,ohook, accident o/other danger o/impairment to health or safety. ` ^ (M) Any defect in asbestos material used as insulation or covering on u pipe, boiler or furnace which may result in the e|oaoo of asbestos dust orwhich may result in the release of pmwdoped, crumbled o/pulverized asbestos material in violation of 105 CMR410.353. (N) Failure 1n provide a smoke detector required by 105CMR410.482. (0) Any of the following conditions which remain uncorrected fora period of five or more days following the notice Vror knowledge of the owner of said condition orconditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure 10 provide a washbasin and shower or bathtub uo required in 1O5CIVIR41O.15O(A)(2) and 41O.15O(A)(3)orany defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted p|umbing, heating, gasfitting, or electrical wiring standards that do not create on immediate hazard. (4) Failure to maintain aooho handrail or protective railing for every stairway, porch bo|oony, roof orsimilar place as required by 1O5CIVIR41O.5O3(A)and 41O.5O3(B). (5) Failure toeliminate mdonts, 000kmuohom, insect infestations and other pests as required by 105 CIVIR 410.550. (P) Any other violation of 105 CIVIR 410.000 not enumerated in 105 CIVIR 410750(A)thmugh <0>shall Ue deemed to be a con- dition whioh may endanger ormaterially impair the health or safety and woU'boing of an occupant upon the failure cdthe owner to remedy said condition withintho time 000rdered by the Board of Health. � ^. | i ".,..-........ .� �. i ,- f::.w.iWT� y m:».'r, ,,..,,.a,y .+.•.,.; F,ati.w:...w ..;t;r,, 2 Y ,..�. ,� .iyMry w.a . y:q.E:.*is� .. . ...!'+" f, FORM30 C&W Homs&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS BOARD OF,�E 7H ITY/TO a DEP a R•TMENT ADDRESS 4qM SvO y`oW n TELEPHONE P Y e- a�f Address f 5 Cam' ` Occupant_ f Floor Apartment No. No. of Occupants No:of Habitable Rooms No.Sleeping Rooms_ No.dwelling or rooming units �No�.�S�to_ries Name and address of owner -�""'`- 7 Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation. Chimney: BASEMENT Gen.Sanitation: 4. Dampness: .'. .� o � 00 ('10c,- tU Stairs: " ►-- ' Li htin 0 STRUCTURE INT. Hall,Stairway: {S 0 Obst'n.: Hall, Floor,-Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: - Central ❑ Y , ❑ N E ui . Repair, TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: —y ❑ MS ❑ ST ❑ P Waste Line: -- F�X--;) Tj K) 3 rj H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: I A A A ❑ 110 ❑ 220 Fusing,Grnd.: K t (0 35/ AMP: Gen.Cond. Distrib. Box: 17 Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom o Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks,-Flues,Vents,Safeties: Kitchen Facilities Sink Stove - Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other.- Egress '__;f11/ -7 ej h Duai,and Obst'n: fi ,.{J # General Buiidii `Posted -- i K^Y A 4 Locks`on Doors: l i ONE OR MORE OF THE VIOLATIONS CR'170,K'ED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE + OCCUPANT AS DETERMINED 113Y 105GMfl 4-1-0.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPO T IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY . z Y INSPECTOR TITLE _ ' DATE `'t TIME 'Y 'P:M. THE NEXT SCHEDULED REINSPECTION { `- /' P.M. �. _ ...,,�. r.�--+,.,.....i .,:.'a.w1=:�+t,,a,.v,y-r .. -.�- ,:a-�G+�r ?'r:'4-r*�^',.�x..ar..... �. ..s ,-. •�,,...r,,.. _ .. _ .p.. - ' �C".. w 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 41.0.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold,to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide.a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns,shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of 7 generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. i ,. Town of Barnstable Regulatory Services „ARN ,a > I Thomas F. Geiler, Director 9�arQ1, Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 December 14, 2007 Attn: Hyannis Fire Health Inspector Timothy B. O'Connell conducted a rental inspection in accordance with Chapter 170 of the Town of Barnstable Code. In accordance with the State Sanitary Code, 105 CMR 410.482, the Health Department is required to notify the Fire Department if there is a smoke detector violation, or possible smoke detector violation. The following property had possible smoke detector(and\or CO detector) violation(s): 110 Skating Rink Hyannis,Assessors Map-Parcel: (291-171): No CO Detector in home. Missing smoke detector on first floor. -2,1 �kv�k_ Timothy . O'Connell-Health Inspector Q:\Order letters\Housing violations\Rental ordinanceUire ViolationsTIRE TEMPLATE.doc Town of Barnstable °Ft"E'°"y Regulatory Services • � o Thomas F. Geiler, Director = BARNSTABLE, 9�A MASS.: � Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 4/01/04 Designer: Shay Environmental Services Installer: Roberts Septic Service Address: 34 Thatchers Lane Address: 5 Trenton Street East Falmouth, MA 02536 Yarmouth, MA On 3/30/04 Roberts Septic Service was issued a permit to install a (date) (installer) septic system at 110 Skating Rink Road, Hyannis based on a design drawn by (address) Shay Environmental Services dated 3/29/04 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. f (Installer'sSignature) � �iN aF UASo. �9a CARMEN SHAY I No. 1181 (Designer's Signature) (Affix si sT re) Sq � PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH MIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form y LOCATION SEWAGE PERMIT NO.: VILLAGE YJVAAl IL) k5 INSTALLER'S NAME & ADDRESS B U1'LDE R OR OWNER PRA 1pLo In!qLzz f AJ G DATE PERMIT ISSUED DATE COMPLIANCE ISSUED rill lop' c� THE COMMONWEALTH OF MASSACHUSETTS 0ARD7 H EA ---OF. Appliratiun -fur Bhipiial Worko Tonstrurtiun Vaniit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ' ' - a Lo ion- ss I /n /J D or L `eo. . ... Ow er - ` t r � Address Type of Building Size Lot----------------------------Sq. feet Dwelling�No. of Bedrooms_________ ...................-Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building _ No. of persons____________________________ Showers Cafeteria ( ) dOthe xtures ------------------------------------------------------ W Design Flow_________ _©___.___._.._.__._.._____._gallons per person per day. Total daily flow.......J ��_____-.__.___...___--.gallons. 9 Septic Tank AL Liquid capacity------------gallons Length................ Width................ Diameter__-__-_---____ Depth---------------- xDisposal Trench—No ____________________ Width-----------g,__ joal Length...._....__.__.___-_ Total leaching area--_.-._____..___..__sq. ft. Seepage Pit No._________j.._.._.. Diameter__/ ©_✓_ De below inlet_______ _ ....... ,Aof lealing area-----.------------sq. ft. Z Other Distribution box ( ) Dosing tank.( ) Oh- ,PC tl'a 7,)7� aPercolation Test Results Performed by----------------------------------------------------------- _._ Date---------------------------------------. Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to ground water-_--___--____-____-.___. GX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_-__________________--. <<--- u u_ r- ---- , -------------- O Description of Soil___'___ �______ _.__-._. x QV --------- -•---------- ......... ............ -------------------------• -- U ------------------------------ ------------- ----------------------------------- w UNature of Repairs or Alterations—Answer when applicable.-___________________________________________......._------------------------------------------- --------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has,b e issued by the board f health. gned 9 �� 76 ----- �Z� © Date Application Approved BY•-----------� - --- ._..._. �Y/ ---- -- -------------- Date Application `�" - 7-�------ + Date Application Disapproved for the following reasons:----------•________________•______________-•-••--•----•••--------------- _..__.__..------•-•---•---•------••--- --•-•------------------------------------------------------------------ ----------•-•----------------------•••-----•••----•--•--------.._.-•-•--•-----------------------•-.--..-------------------••-•-- Date PermitNo----------------------................................. Issued...................-----................................ Date ----------- ------ k;. No......................... ... ............r THE COMMONWEALTH OF MASSACHUSETTS BOARD /O-, H EA;-_ I rLj JJ'h...._OF........J.' ..�� . ..................... Appliration -for '%ipoottl 10orkii Tonitrnrtion Vantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........ ............................ -.4f46- a:tz,,�5a oe Loc on-Ar"ess or Lot N . w Own r �J f er Address UType of Building/ Size Lot____________________________Sq. feet Dwelling—/No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building No. of persons._--_____________________ Showers Cafeteria ( ) Q' Other_,L-,ctures ------------------------------ W Design Flow___.__.�.Q.........................gallons per person per day. Total daily flow.......^ p-_C7.._-_____-_-.-.-_-.__gallons. WSeptic Tcuik L Liquid capacity-----------_gallons Length---------------- Width-------- Diameter........-------- Depth-._---___------ x Disposal Trench—No. .................... Width------------ _ Tkt,� Length.................... Total leaching area--------------------sq. ft. Seepage Pit No...........t------- Diameter... �C'P I Depth' elow inlet.................... Total,leaching lrea......._-._--__--sq. ft. z Other Distribution box ( ) Dosing tank ( ) Oh- �c�� ' � 71 aPercolation Test Results Performed by------- -------------------•-•-•---------...........--------------------- Date-----------------------•-----------•--- . Test Pit No. I----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water__.___.__.__..__-...___- (� Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-_.------__-----_-__.-.. G --------- -' n ! Description of Soil---.- ---------------------------------------�� ��- f %-jv...__......_v��..�f V ----------------••---------•-------- - -•------ -•�-....-..���` =.....................................---.------------------------------------...-----•--------•-------------------- U Nature of Repairs or Alterations—Answer when applicable...---------------------------------------------------------------------------------------- ---. x Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation'until a Certificate of Compliance has e issued by the board-of health. . gned. j �•--- Cl a.. /I.G?n ,. 9:Vie"7� Application Approved By------------- -- - Gt. • =-= �l.I-�%� ,_ �' - � - G i Date .............. ----------------- ----------------- Date ,Application Disapproved for the following reasons------------------•------•-----------------------------------------------------------•--------------------------- ------------------------•----------------•------......--------•-•---•---------------•--•••-••------------ Date PermitNo......................................................... Issued......................................................... Date t THE COMMONWEALTH OF MASSACHUSETTS BOARD OFi HEALTH .. .................OF............��,.. ..''..✓'t�-(�-'(Gt✓......................_...... �. �rrtifiratr of �ontVli�tnrr TINS S TO &IFY,`;11 t the Individual Sewage Disposal System constructed ( �r Repaired ( ) by..-�C- f�l; �` -------------------------------------------------------------------------------------------•-••-- -e (� . taller at------- ............... ... •.Y__ --t-`---•---­K----- ---- -----------'-- U has been installed in accordance wi the provisions of Ar c e of The State Sanitary Code s described p _ S y C e a desc bed m the application for Disposal Works Construction Permit N .... ✓---_' G_ ------------- dated._.r _'2 74�............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT TIME SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS �� No......................... BOARD OF HEALT 5 .............OF......d'�✓•.- 'U ._•••-•- ----- FEE.- ---...-- %ripo�al Worka ton 'rtion rrntit Permission i reby granted U�y�t d =-"`,'`"-�-r---------------------------------------------------------------------------- to Const ct A or Re.ai =,( A an� - Individual S wage - sp6sal r ys{em r a - ---V . _ _ . . ...... _ ......... .... ---------------------------------- Street as shown on the application for Disposal Works Construction Permit. ed....................� .__._............ ------------"t/� ..._..._ ._-----------------GLti1--:y •-------------------------•-•----------- Board of Health / FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS L tl to I � zo I GX8 LEq C-M PIT W I'ST'OMe 13 , t I,oao GAS... V $fi.�r�C TAyK k 1 N i CER t tI=t E.t> PLOT PL&N �ytNa � L IY(ANNtS. MA,SS, h RICH G 1l a `SCfi L E i =4U' �A�lr 4 JI 74 SkXTEJR I NO.24048C� r L/\K 4�p ST L.0 C . W ©. 14 0,34 N I /cER rIFY 7hyi 7- 7-115 fOVNPATlG.^✓. b,',XT E R � NYE. 1NC, CONFCJ'eIL''5 TU 7'Alle REG!SSrEREO LANO SURVEYORS FR4.Nc-o -RF-,4,.trTY X-PAC_. re' No......��� ._.. F�s.�✓ THE BOAR COMMONWEALTH OF SALT ETTS OARD / . OF. ...... .... :. ...... .. ............................... AVV iration.-for Disposal Works Tonstrurtiuu Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal Syst at• .— 11 , �- 1---1•----- -k- Lo t n_ dd/re�ss A or Lot No. W Owne Address ---------------------------------------- Instal Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No..of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- -- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length--------_------ Width................ Diameter---------------- Depth ......... x Disposal Trench—No--------------------- Width.................... Total Length.................... Total leaching area---_-._---..--_.--sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area.......-----------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY.......................................................................... Date--------------------------------------- Test Pit No. I________________minutes per inch Depth of "Pest Pit-------------------- Depth to ground water....-----------.--.----. �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-...-.---------.----.--- iYi ---------------- •----------------------------• -•----•---------••----•-----•-------------• ...........................= .. -------------•--- .... ODescription of Soil------------------------------------------------•------•---------------------------------------------------------------------------------------------------------------- x W ------------- -------------------•-•------------.....---•--•-------.....••-••--•••-•-•-••-•-••••--•--------....•-- ---------- -- . ------------------------- -------- U Na re of Pepairs or Altera 'ons'— ns er when applicable...--- �" �d --_... - ----� - - - --------- ------- --•--•-------------•--------- ------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in ` operation until a Certificate of Compliance has b n issued b' the board he // _ {� Sig .... . �� =�/_ ' �'.._. .-L d..................2- Date Application Approved BY / • ------------------- �.� Date Application Disapproved for the following reasons---------------------------------------•----------------........................................................ •-•--•------.--_.-•-------------•-------------------•----•--•--------..-----'.--•-•-••--•••-------............._._.---•--•--.........-••-••----••---- ------------------------------------------------- Date PermitNo........................................................... Issued........................................................ Date No.......` .... Flas............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH 7.7 . .. ...._.OF. ....: .. � ? - ......................... Appliratioo -for Uiipooal Works Tomitrortion Vantit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: - �„ ---` ` Loc tion•Address n ) ` or Lot No. Owner ! Address - `----------- j P Instal r Address UType of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aq Other—Type of Building ____________________________ No. of persons.-____-_-----__-----.----_ Showers ( ) — Cafeteria ( ) a' Other fixtures W Design Flow--------------------------------------------gallons per person per day. Total daily flow----------------------------------------....gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width.--------------- Diameter_---....-..---__ Depth...---------.... x Disposal Trench—No..................... Width-------------------- Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit No.-__---_----__-.___ Diameter.................... Depth below inlet-------------------- Total leaching area..--______------_sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date-------•-----------------------•-•----- a Test Pit No. 1________________minutes per inch Depth of "Pest Pit-------------------- Depth to ground water........................ (14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...---------._-.---_.... 1 --•------------------------------------------------•---••---•-----•----------------------------•---•-•------------•------•-•------..-.---------------------- ODescription of Soil--------------------- .............................................................................--------------------------------------------------------------------- x V .................... ---------------------------------------------------------------------------------------------------•------------------------------------------------------------------------------- ----------------------- ----------------------------------------------------------------------------------------------------- � ------- U Nature of Repairs or Altera 'ons'— ns er when applicable....,�fPfr:_.�s._/' .�t .- ."".___ _ _1 .r _._..... - -------------------------•-- _:--. - - Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article LI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance hasbeen)issued by the board of health Sig X"� .. ,'__,,r.. ,. " �.�'`f r,-'-- //---- t'" --°=-/)..-. ' Date Application Approved BY - - -' 'a' ----7-L------------- Date Application Disapproved for the following reasons:-------•----------•-----------------••-•-------•--------.--._---•------------------•-•-------•------------------ .......... ........•---•-•.._.._.........-----------•-----------.---•-----•------•-------•-•...... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH �f (' .............O F............. t?. .........; ................. �rrtifir�tr of f�rrm�littnrr ' / THIS S TO C TIFY, 1 at the I dividual,- wage Disposal System constructed ( ) or Repaired (�) by....--� ' - ----------------------•------•----•-----•----•--••-•-----------------•--•--•-•------••-----••••--- Installer t at �`= _ rr`` �!�' �� - ---- --' 2 �2✓r P- %! •a1 �''.. f- �. .. has been installed in accorKnce with the provisions of Ar ^��XI of The State Sanit y Code as described in the application for Disposal Works Construction Permit No.'-------------- /.'j�-.__.._... dated../.U_'--S__"._74................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........./_d...... Inspector J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT . .. .........../......�Z. 1:..........OF.... %lH .............................. No.-----......................... ork CnooVU1611 rurtioVIZ mit Permission is hereby ranted---- ... _"--------e----------•- - e../- ------------•--•----------••--------------•------------- to Constru(t ) or Repair '�an In ividual Sewage Disposal stem oLat No." U<0. �:------- -- !`�.� =-----..- - �--- =--- :---------------------•--- reet -AY; as shown on the application for Disposal Works Construction P.r9t No._ _._ j,_._._ _-. Dated___ ............... / � .......•••.................... Board of Health DATE----�U-`--�---�---�__lo------------- li FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS SECTION A A i ,f 10' min. from *NOTE_ ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE O Least 24 Inches toll) ALL OUI ET PIPES FROM THE Ext:tlnp Foundation house to septic tank schedule 48 PVC w/charcoal Odor Filter ETP OF ADDITION TO LEACHING SYSTEM DISTRIBUTION Box SHALL BE 12" CONCREM COVER �/ a- TOP FS FT]JNDATTQN - ELEV. (GOOD tAsswm tank covers mustbe PROFILE yl 3' of 1/8' - 1/2' Washed Peaston SET LEVEL FOR AT ttAST 2 FT. y , � t t 3.or-^ t4 s F eK,c.ram L wMhin 6 �°� (rode over Septic Tank- 96.50 Gtode over D-Box- 96.00 PON �:over SAS- 96.00 3/4" to 1 1/2 W!»hed Crushed Stan _ KNDCSCDUUTS �' 2 j vi +Xns� j"" Sst.eoi 4'PVC(CAPPED)INSPECTION PORT lt)BE 5.5` ' 12' I'AET , n} ' (( r�,+att• ,•" ONVE INSTALLED AND To BE W1THW 6"OF GRADE OUl1 ET r 0.02 3 HOLE H-10 Top Load -Bev. -9125 \ J 1 DIST. BOX 3' Ma dmarn Cover EXIST 5-0.01 a Gr T of SAS-Bev. -92.75 Y ji N 10' ,. eater aP I -.:.- - -• .- - _�k- � t�'khr4?,vn( � �1IT8llkettly Ai111��M1f_, Exisr. r>PE 1,000 GAL s- 0.01• 15.5 per foot or greater I 4' - SCH. 40 T 1.75" ? crn4m,rtK!a FROM EXIST. FOUNDATION L,I SEPTIC TANK I n Ere LA i�. rC Ph 10• 0-Effective Depth Homer 5 M an H-10 .4 5 units a 6.25' = 3o PLAN SECTION CROSS-SECTION -`' �p ; `-�i""'jf = M O 3' 3 t � L CONCRETE FULL fDUfld1 0 0 N 04 fV D.83' (10 inches) 31.25' SYSTEM PROFILE 6 In.of 3/,-I/z" M 37.25' 3 HOLE H-10 DISTRIBUTION BOX ,�� s c compacted e i o o d [��; 0) Effective Length NOT TO SCALE - --Not to Scale - c a,a 4' -+j 4' SDIL ABSORPTION SYSTEM (SAS)c6 in.of 3/4"-1 1/2" NFILTATROR HIGH CAPACITY (H-10 LOADING)/ GEORGE ❑'BRIENGENERAS N TES .5' > I compacted stone Effective vldth OR EQUIVALENT) Not to Scale NOTE: ALL COMPONENTS MUST HAVE RISERS M WITHIN 6" BELOW GRADE o m ( 1. Contractor is responsible for bigsafe notification Bottom of Test Hole I Bev.-MOO NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18' /EFFECTIVE HEIGHT IS 10" and protection of all underground utilities and pipes. vObs. Groundwater - Test Hole 1 Elev.= NONE OBSERVED ; 2. The septic tank and distribution box shall be set level on 6 of 3/4"-1 1/2 stone. 3. Backfill should be clean sand or, gravel with no stones over 3" in size. 4. This system is subject to inspection during installation by Carmen E. Shay - Environmental Services, Inc. ' 5. The contractor shall Install this system in accordance PERCOLATION TEST with Title V of the Massachusetts state code, the approved plan and Local Regulations. Date of Percolation Test: `MARCH 25, 2004 6_ If, during installation the.contractor encounters any Test Performed By. CARMEN E. SHAY, R.S., C.S.E. soil conditions or site conditions,,that are different Results ,Witnessed By. WAIVER (per BARNSTABLE B.O.H.) LOT #10 from those shown on the soil`log or in our design Excavated By. SHAY ENVIRONMENTAL SERVICES, INC. installation must halt & immediate' notification be Percolation Rate: Less Than <2 MPI made to Carmen E. Shay Environmental Services, Inca LOT #1 1 7. No vehicle or heavy machinery shall drive over the septic system unless noted as H-20 septic components. �___-� 8. Install Tuf-Tito gas baffles ar equals on all outlet tee ends. Test Hole LOT #12 -L98� - - No. 1 �� � � OOr 1P 9. All Distribution Lines shall be 4" diameter Schedule, 40 NSF PVC pipes. • DEPTH SOILS. 1 ElEV_ / \ 26 10. All solid piping, tees & fittings shall be 4" diameter 96.00 96�-� S sod Schedule 40 NSF PVC pipes with water tight joints. O Sandy ����/ \\. . 1 1. Municipal Water is Connected to ALL OF The Residence and Abutting Loam / Properties Within 150 Feet. fo YR 3/2 , 109.89 THE PROPERTY LINES ARE APPROXIMATE AND 0"-6" A, 95.50 �\ Failed O COMPILED FROM THE SURVEY PLAN GENERATED BY i TEST HOLE #1! Leach �'t � LSmdoa y i ELEV.= 96.00 ` WHITNEY & BASSETT of HYANNIS, MA i 1 ENTITLED - ".PLAN OF LAND IN BARNSTABLE, MA 10 YR 5/6 5' 7•L5'� �\ �r co DATED JUNE 1946, PLAN #14034-H (sheet 2). 6'- 4s' Be 82.00 ( r AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN to Sand I ;,;i_. - ;t; - y9-6(i �� ko IT SHOULD BE USED FOR NO PURPOSE OTHER THAN THE SEPTIC SYSTEM INSTALLATION. 48"- 13200 . N. : , I t EXISTING LEACH PIT TO BE PUMPED OUT AND D-Box 4" PVC ` REMOVED TO FACILITATE INSTALLATION OF NEW SAS. O ; ent Pipe LOT #19 NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE 1 2 ' EXIST.-I000_gal. FROM THE EXISTING LEACH PIT TO BE DISPOSED PROJECT BENCH MARK ? Septic-Tank 1 OF AS PER BOARD OF HEALTH SPECIFICATIONS. FOUNDATION � _ ELEV. = 100.00 (Assumed i I DECK I 1 NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY 1 I ASSESSORS MAP 291, PARCEL 171 Der th to Perc: 48" to 66" l 4 !f 0 L P I I EG HOUSE 1 Perc Rate= Less Than 2 MPI LOT #3 ` "1� 1 1 Observed ESHWTO - NONE OBS.- 132" Assumed ` t96� EXISTING tI DENOTES PROPOSED ADJUSTED H2O Elev. = NONE'OBS. - 132" Assumed \ 3 BEDR00�1! 1ko 104�f 1 SPOT GRADE ;goCSP x 104.46 DENOTES EXISTING LOT #20 SPOT GRADE 13,103 Square Feet +/ PL PROPERTY LINE „ �1 PROPOSED CONTOUR to 1 v - - -- -97- EXISTING CONTOUR „ " 118.65 S5•, A' _ y DEEP TEST HOLE & ' A e2-15"DIAM. ACCESS MANHOLES i � o ;I { I S 79d 27 _ _ _ - PERCOLATION TEST LOCATION I _ I _ __ •---• 6 FOOT STOCKADE FENCE _ I I INLET \ atI PLOT. PLIAN _ r .f THE ACCESS COVERS FOR 11HE SEPTIC TAN((, DISTRIBUTION BOX AND LEACHING COMPONENT OF PROPOSED "SEPTIC SYSTEM UPGRADE r +�s �•J r_S •.r r^"-s SET DEEPER THAN 6 INCHES BELOW FINISHED •c=L ••? C._-:i +'- •a .,�.,, .i. GRADE SHALL BE RAISED To WnHIN 6'OF STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE PREPARED FOR PLAN-VIE �, ^ MIS. JOHN D. OS (-VAN .-VIEW INSTALL TUF-TITE.GAS BAFFLES OR EQUALS MOND '3-24'REMOVABLE COVERS AT # 110 SKATING RINK ROAD 3'min. INLET +r*L1 2' min 'Inbt to outlet { HI'mw OUTLET . 'H�AN N I S MA IC 1 -T eS IT Ca Q O , . .. 5 r � . • 5 Q .��l� E 4-0' mM PREPARED- BY• L. a• UWId a,Pm •, Number of Bsdriooms. 3 'Equivalent to 330 Gal: a 330 Gal. Do` MIr1. e'r Title C S 13t res 'n No - _ GHxba e'Gn der. `. ' . chin " aclt ro osed:. 330'Gol.' d .Minimum` MhL Per TitlNa ;", .. M Lea P N _ 9 �P Y P /dY ( �. oCARANY ., _. „; „�,, Septic Tank x,330 Gal. 660 USE fXt5T. :1 000 GAL tic Tank. , .< Sep y SeP 50 6 ENVIRONA(ENTAL .,SERVICES, INC. 4 - ,:, 0 ,. 20 40 10' -_ r' ton rote o mn. In __ _ (- ,,.: e' o' ". : , :. , " SOIL A9SORPTIONAREA, .Us1n cola I f <2 ch ca ., ,.,, ; Bottom Areo. -0.74" of s .;ft. x''-370 s ft. _ ..273.8'' allons CROSS SECTION END--SECTION om § / q , q g P.O.. BOX a �< o Sldewoll Area. . 0.74 ol. s ft. x 78 s ft. 58 gallons 9 ! q q 9 . , , ., f ,. ,EAST .FA�:MOUTFi ;.,. A 02 36 G F Providing: 331;80 gallons 1 � s FAX _ D8 . 54 07 6 TYPICAL _ 1000 GALLON SEPTIC TANK �' _ SCALE, .1 -20_ NOT TO, ALE Use. 5 INFILTRATOR HIGH CAPACITY H 10 UNITS HAVING A A.83 10 INCHES EFFECTIVE:DEPTH > sc - __ ... ... RAWN =BY � ES 4 DAT :MARCW 29 2004 r , D WITH.4.0 A ED STONE ON THE SIDES,'AND 3.5 OF WASHED ST NE ..' . USE OF W"SHO •, , :... ..,. ON : 1: DS. NO.STONf:' DER:TH EN UN f� .l . F '1 ROJ C Ff NAf�E.' SD546 P:DWG SWEET 0_ . . ~,. P E T SD546 EE n •