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Home My WebLink About0006 SUNSET TERRACE - Health -sunset 'P"errace > a H annis : ------- A 268,; 087 I i I Commonwealth of Massachusetts Title 5 Official Inspection s p n Form �C Im ,_ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Sunset Terrace Property Address — -- Arlette Noirclerc Owner Owner's Name — — information is required for Hyannisport MA every page. City/Town 9/21/2012 _ 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: A. General Information When filling out I forms the computer, r,use 1. Inspector: � I only the tab key to move your Wayne Archambeault cursor-do not use the return Name of Inspector key. Company Name ia6 PO Box 914 Company Address - Hyannis _MA xenon 02601 _ City/Town State Zip Code 508-775-1362 355 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 �✓ 9/21/2012 •I�tor's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent 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. t5ins•11/10 Title 5 Official Inspectio Form:Subsurface Sewage Disposal System•Page 1 of 17 L_ Commonwealth of Massachusetts Title 5 Official Inspection Form 1= _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;' —•� 6 Sunset Terrace Property Address Arlette Noirclerc Owner Owner's Name information is required for Hyannisport MA every page. Cityfrown s2 Date of I 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): t51ns•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Sunset Terrace Property Address Arlette Noirclerc Owner Owner's Name -- information is required for Hyannisport MA 9/21/2012 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): ❑ 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): 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 15ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Sunset Terrace___ Property Address — — - — Arlette Noirclerc Owner Owner's Name -- information is -- - required for Hyannisport MA every page. City/Town State ZipCodeate Date o2012 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 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. 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 Y2 day flow 15ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Sunset Terrace Property Address — Arlette Noirclerc Owner Owner's Name information is required for Hyannisport MA_ _ 9/21/2012 every page. Cityfrown 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 CM 15.304. The system owner should contact the appropriate regional office of the Department. l5ins•11/10 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a 6 Sunset Terrace Property Address - -- Arlette Noirclerc Owner Owner's Name information is required for Hyannisport MA 9/21/2012 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. t ® ❑ 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): 4 Number of bedrooms (actual): 4 -- DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts � ( Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments •, 6 Sunset Terrace Property Address _ Arlette Noirclerc Owner Owner's Name information is required for Hyannisport MA 9/21/2012 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 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 (gpd)): na Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 9/21/2012 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 i I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Sunset Terrace. Property Address Arlette Noirclerc _ Owner Owner's Name -- information is required for Hyannisport MA 9/21/2012 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: owner 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 El 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): t5ins-11PI0 Title 5 Official Inspection.Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts 111, Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments t 6 Sunset Terrace Property Address Arlette Noirclerc Owner Owner's Name information is required for Hyannisport MA 9/21/2012 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: installed 3/27/95 permit# 95-404 Were sewage odors detected when arriving at the site? ❑ Yes ® No I Building Sewer(locate on site plan): Depth below grade: 1.5' feet Material of construction: ❑ cast iron ® 40 PVC ❑ other('explain).- Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: 1 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: i 0.5'x5'x5' Sludge depth: 2" t5ins•11110 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 A •''` 6 Sunset Terrace Property Address — Arlette Noirclerc Owner Owner's Name - information is required for Hyannisport MA _ 9/21/2012_ 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 38 Scum thickness 2 . Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 12 How were dimensions determined? measuring rod Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): tank shows no signs of leakage tees and liquid level at proper heights I 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•11/10 Title 5 Official Inspection Form: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 " r 6 Sunset Terrace Property Address _ Arlette Noirclerc Owner Owner's Name — information is required for Hyanrtisport MA 9/21/2012 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 El 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 _ \ Commonwealth of Massachusetts _;; � Title 5 Official Inspection Fora I I;l Subsurface Sewage Disposal System Form - Not for Voluntary Assessments _ 6 Sunset Terrace _ Property Address -- — - Arlette Noirclerc Owner Owner's Name — information is required for Hyannisport MA 9/21/2012 every page. CityTrown 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 0 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.): box level and water tight 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.): I Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 15ins•11/10 Title 5 Official Inspection Form: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 "-/ 6 Sunset Terrace Property Address ----- Arlette Noirclerc _ Owner Owner's Name — — --- information is required for Nyannisport MA 9/21/2012 every page. City1rown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 5 infiltrators ❑ leaching galleries number: i ❑ leaching trenches number, length.- El leaching fields number, dimensions: El 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.): 5 infiltrators with four feet of stone liquid level in stone 11" below invert 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 t5ins•11/10 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 a 6 Sunset Terrace Property Address - Arlette Noirclerc Owner Owner's Name — - — information is required for Hyannisport MA 9/21/2012 every page. City/Town 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.): 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form 's I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments \.e 6 Sunset Terrace ` Property Address Arlette Noirclerc Owner Owner's Name — — information is required for Hyannisport MA ' 9/21/2012 every page. Cityfrown 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 ® drawing attached separately r ground surface 21 3- ' - ��- -- -•SAS',;<<�:i,;,�`-''ai?4:.,,<•::'..:.� ,;,,.:,.. ;., Foundation Septic Tank "D" Box e� Old Town Road S U N — Al S E T 1 T #78 E .R R Deck C E 26, 31' Septic Tank 1 S' ..p.. Box Garage SAS William E. Robinson, Jr.jLaca Figure 2 Septic Inspections d0n: 78 Old Town Road 43 Tomahawk Drive NYaltnisport, M. A. Centerville, MPt 02632 Date: June 13, 2001 Not to Scale Based on Visual observations I - I I Commonwealth of Massachusetts r Title 5 Official Inspection Form M Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 6 Sunset Terrace Property Address Arlette Noirclerc Owner Owner's Name information is required for Hyannisport MA 9/21/2012 every page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) I Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 12 —_ 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: ❑ Checked with local excavators, installers - (attach documentation) + ® Accessed USGS database-explain: banstable GIS maps You must describe how you established the high ground water elevation: ground water elevation 12' bottom of sas 5' seperation 7' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•t t/10 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 e 6 Sunset Terrace Property Address Arlette Noirclerc Owner Owner's Name information is required for Hyannisport _ MA 9/21/2012 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 15ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 � Puleo 51 Queen Anne Lane Cotuit, MA 02635 508-428-1304 March 18, 2003 Board of Health Town of Barnstable 367 Main Street Hyannis, MA 02601 Re: 6 Sunset Terrace/78 Old Town Road, Hyannis, MA Enclosed please find the report from Kevin Perry regarding trapping of skunks at the referenced address, dating from February 8, 2003. Mr. Perry has removed all skunks and is putting a barricade around the deck in question. We enclose his report for your information, as well as a copy of the check we have sent him Thank you. Sincerely, Vincent/Linda Puleo U.S.Postal Service CERTIFIED MAIL RECEIPT D. . Insurance Coverage Provided) S � . FF . .U 7 s' Postage $ Ir -0 7 42 Sy N Certified Fee M `.. Postmark , Retu'm Receipt Fee Here f , .. Ln (Endorsement Required) 0 x Z t3 Restricted Delivery Fee N t ? � rs(Endoement Required) i� y Total Postage 8 Fees $ I z 6GG .=r Sent o ` D �� ................ --- — — --- ------------------------------------ Street Apt No.; n r-1 or PO Box No. S� Qv e e,.l lTh 7 P a,e O _—____—._____---------- p .City,State,ZIPS4 �.�4,..�� M o�63S PS Form :rr January 2001 Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. ■Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it Aen making an inquiry. PS Form 3800,January 2001 (Reverse) 102595-M-01.2425 c� Puleo 51 Queen Anne Lane Cotuit, MA 02635 508-428-1304 Itpuleo@attbi.com March 18, 2003 Kevin Perry Perry Le Pews Wildlife Management Company P.O. Box 600 Mashpee, MA 02649 Dear Kevin: Thank you for your prompt attention to our skunk problem. We appreciate your very professional service. Enclosed is our check for the balance owed, as well as for the work we discussed regarding the fencing and the barrier around the deck. Sincerely, Linda Tetreault Puleo V'cc: Barnstable Board of Health KEVIN PERRY Perrg Le Pews Wildlife Management Company Certified By The American Humane Society Massachusetts State License, Perry Le Pews Humane Removals And Prevention: f P.O. Box 640 Phone; (508)477-4316 (5Q8,)4€0-&375 Post office Box 600 1-508-477-4316 Mashpee,MA 02649 - Mashpee, Ma 02649 Date: 2/8, Ranee: Linda Puieo Address: 6 old pound rd. Town: Centervill Mailing Address: Phone: 509-429-1304 Cust. Recieved: Cards: Brocher: Payment: C.O.D.: Cash: Check: Visa: Mastercard: Card#,: Exp. Date: Fr®bEem Type: 56;;€c>fcks under,�� inspection: 575.00/e1 Safe: Shrubs: ExtraWork: --Testing- �...�_�,.: �ee�€Size: H: L: 'trap Set Fee: -(,S275 pe'Wrap: Location: Le Ca S-. bunk: Raccoon: Squirrel: Opposum: Other: RQS: M: F: Young: Rehab: Located: Custom Caps: Measuremedts: Hlu 'ons: Sizes: n Attic Assesnnent: Attic Size: evee ent M: 3: 6: 15: 23: e Vent L: Le Vent XL: Louver Repair: Size: Dryer Vents: endow WeU: �® _ Wire �9�,•Measurement: Total: $350.00 71'o� < Dotes: Traping started 2/8/03,S, Skunks were traped at loction 6 Old Pound Rd. and removed. Between dates 2/8/03 and 3/12/03. Respectfully submitted,Kevin D.Ferry,Ferry Le Pews Wildlife. l SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sig at re item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. eceived b nnted Name) C. Da of elivery ■ Attach this card to the back of the mailpiece, ? or on the front if space permits.. U111vkEg�- D. Is delivery address different fr Ws item 17 s 1. Article Addressed to: If YES,enter delivery address below: ❑No (Y)r, Pv'e.v 3. Se ice Type ertified Mail ❑ Express Mail /❑ Registered . 03�heturn Receipt for Merchandise ❑ Insured Mail ❑C.O.D. -!� s 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number - ;;.;17001 1940 .000:5; 3769f t 6664,' � i (transfer froman sece labeQt�1�1 , 1:+ ,.R€ )1 +. r:c PS Form 3811,August 20'1 V Domestic Return Receipt ?;. 16 102595-02-M-1540 r i UNITED STATES POSTAL SERVICE,,- , _ First-Class Mail- Postage&Fees Paid -^ LISPS Permit No.G-10 J • Sender: Please print your name address, and ZIP+4 in this box • Town Of Bemldbts 200 Main BC Hy Mb,Measadwse!!a 02801 �tl. r °FtME A Town of Barnstable Regulatory Services * sARMA&9. Thomas F.Geiler,Director 1639. A Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 27, 2003 Mr. Vincent Puleo 51 Queen Anne lane Cotuit, MA 02635 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II,MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned and rented by you located at 78 Old Town Road(AKA 6 Sunset Terrace), Hyannis was inspected on 02/21/03 by David Stanton,R.S.,Health Inspector for the Town of Barnstable, because of a complaint. The following violation of 105 CMR 410.00, State Sanitary Code II,Minimum.Standards of Fitness for Human Habitation were observed: 410.550: Extermination of Insects,Rodents and skunks. Evidence of skunks at the property(outside and inside the house.) There were skunk odors present inside the dwelling, as well as tracks and a hole leading underneath the deck of the property. The code reads: "The owner of a dwelling containing two or more dwelling units shall maintain it and its premises free from all rodents, skunks, cockroaches and insect infestation and shall be responsible for exterminating them." You are directed to correct the violations of 410.550 on or before March 27,2003 by exterminating them. You may request a hearing if written petition requesting it, is received by the Board of Health within seven(7)days after the date order is received. However,these violations must be corrected regardless of any request for a hearing. PER ORDER O B ARD OF HEALTH Thomas A. McKean Director of Public Health Q:/health/orderletters/rodents/puleo.doc TOWN OF BARNSTABLE LOCATIOI�i"' SEWAGE # 4r— VILLAGE t)aT— ASSESSOR'S MAP & LOT V 9-04*7 INSTALLER'S NAME & PHONE NO.- SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) S(sz� NO. OF BEDROOMS PRIVATE WELL O IC WA�ER� BUILDER OR OWNER �'► ri-�'��Sy��'� DATE PERMIT ISSUED: � A!!< — DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r - t ..4z) o U N CA A THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphratiun for Di!i pwi tl Wurku Tunutrnr#tun Frrinit Application is hereby made for a Permit to Construct ( ) or Repair 1�4 an Individual Sewage Disposal System at ....................... .......... ................... .................................................................................................. Locatim -:\dlress o t No. .......:- .!.!!..�YCS.n - ------------------------------------ ---------------- �-...... -------- .................................. Owner A� Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms___________________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q, Other fixt s ------------------------------ W Design Flow.. ...................... gallons per person er day. Total daily flow.... .........................gallons. 1:4 Septic Tank V Liquid capacit,. `'l/gallons Length__ ---___ Width_ ------- Diameter_.......... Depth...._........... Disposal Trench—No'y `1 Width.._..----------- Total Length_ aU/_...... Total leaching area....................sq. ft. Seepage Pit.No.....__............... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date....------------------------------...... Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i, Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ P4 -----------------------------------------------------------------------------------------------•----........................................................ 0 Description of Soil........................................................................................................................................................................ x U -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- x ------ . - - ----------------------------------------------------------------------------- ..-- - - --------------------- - - ,n .----------- U Nature of Repairs or Alterations—Answer when applicable..,.--.��`......�� __ ;J - .............. ----------- �`- ,........... Agreemen . The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Com li n ' d o healt Signed ............. .. ` Dare ApplicationApproved By ..... ...... ..................................................................................... ..... Dace Application Disapproved for the following reasons: ........................................................................................................................................ ................................................................................................................................................................................................................ ........................................ ,. Da,e Permit No. ..............7.5.-...�...� . .L/..o... Issued ...........3 j...0, .T...5. .................. are j �„ tI THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apli iratinu for Di!ipwial Works Tomitrurtion Urrmi# Application is hereby made for a Permit to Construct ( ) or Repair t74 an Individual Sewage Disposal System at: .......................7. ..01 In-` U v v.l ---••---•----•----•--...... .................................................................................................. Location \ddress ` ort No. r..j. 1�,r^.......U.t~- . •..... ••---••---------1`'`�Gt Owncr Ad & Installer Address UType of Building Size Lot............................Sq. feet Dwelling—JNo. of Bedrooms-------- -----------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) QOther fixtures --------------------------------------------------------------- ---------------------- ------------------ ------------------------------------•-- w Design Flow........'r-...: ........... .......gallons per person per day. Total daily flow.... .........................gallons. WSeptic Tank� ttv�_ G�-Liquid capac .gallons Length----/_&?...... Width.(etf.__._... Diameter................ Depth................ x Disposal Trench—No�_T!�:_I�..t.� Width......�9__.......... Total Length_.. ....... Total leaching area....................sq. ft. 3 Seepage Pit No-____.__...-_--._.. Diameter.................... Depth below inlet-------............. Total leaching area.........-........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ----•...........................•....__......_._.............._.............---••----------•..--•-•-......................................................... 0 Description of Soil........................................................................................................................................................................ x U ....•-•-•••••-•-••-•----••••••••--••--•--•-•--•--•--•-•••-•-•---•-•-•-••---•---------••-•--•---••-••-•-•--------------•----••-••--•-----•••-•....-•----••-•--•-•---•----•-•••-••.....-------•-••--•••--- w U Nature of Repairs or Alterations—Answer when applicable_.`:_.c/ _`.=:T-IR- _..l. .L �_...4.! !..�.�f...:, 1................ Agreements I I The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance_has.been j ug -by-the board of health. Signed .............. ........... ...... ........ ............— Dare ...—.1. .....-......(. ...... Application Approved By ...... . ...................L .......................... .................... ...... "Application Disapproved for the following reasons: ........................................................................................................................................ ................................................................................... .......................................................................................................................... ........................................ Dare Permit No. ..............��.��.....-......... .................... Issued ................. ...��....-.r.�— aw THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certifirate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by ................................................./ ..N. " r:...lr:..r114. .... :.t. ; ...4..C_....................................................... �Insl:l er at ....................................... C.1..('1 ...l...t,:.�: ...kL<......IV.......... . . �� t vt r ................ ...... .... ............................. has been installed in accordance with the provisions of TITLE 5 of The State�Environmental Code as described in the application for Disposal Works Construction Permit No. ......... .......1/0..�r/.. dated .... ..�./�r...-./..5..:.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...... ..^ .. ..:....../..... ........................ Inspecto ....... r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C� _ TOWN OF BARNSTABLE L No...../--.-Gd..� /0 L/ FEE._. —�...... Rnpnnitl nrkn �nnn#ritrtinnrrnti# Permission is hereby granted � =�•' . ..u..�.�.l . to Construct ( ) or Repair ( ), an Individual Sewage Dispos System / Street C as shown on the application for Disposal Works Construction Permit o. Dated... ........ .' l-2.-:�'°_`� �� Board of Health DATE...------... „ •...... FORM 36508 MOBBS R WARREN.INC.,PUBLISHERS AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION 61 C)-3—p w ri JZ. SEWAGE #2 VILLAGE � ASSESSOR'S. MAP & INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY J j G"Ti LEACHING FACILITY:(type)_Qw(. (size) 36ze- �7 NO. OF BEDROOMS 4/ PRIVATE WELL O IC WATE BUILDER OR OWNER_ �(� i� t�'r �u�•:t ,L-,� . DATE PERMIT ISSUED: ,�' �� — L5-- DATE COMPLIANCE ISSUED,_ "' 7- VARIANCE GRANTED: Yes No C� 0 ac) b� http://issgl2/intranet/propdata/prebuilt.aspx?mappar=268087&seq=1 11/24/2014 MIT „N'0 LOCATION' SEWAGE PER V i'L L A.G E INSTALLER'S NAME i ADDRESS .✓�� '/J��,�.�r�Ll�s aid.-� S U-tL DE R F OR OWNER OfAU E PERMIT ISSUED DATE COMPLI- ANCE ISSUED ��, � f r �1v 6 i G i� i r :j u t i I- 9 J f THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 1 ..........�..O.LUI' ...........OF..... G�Y, � L� d ......................... Appliratiun for Ditipuutt1 Works Toustrnrtion ramit Appliption is herebx ryiade for a Permit to Construct ( ) or Re air (L)-an Individual Sewage Disposal Syst a �06�/ �.�e4--Tg•� + ....... .......` ... . .. �- - ....................... -••---......-•-............--•------fir ................................................ Locat' -Address 0 t Owner Address � ',..Y_?c�caa Y_ ............................................ ........................................... Installer Address Type of Building Size Lot.....................:.....Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers —.Cafeteria 44 Other fixtures ------------------------------•• . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic 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 b ._..........•......................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ P4 -------------------•-•- ...... O Description of Soil--------••----- L� x4 V .....--•--------•--•--•••--•------•-•--•---•---------------•---•......----••-•--------•---...----.........----•--•--------------•-----_... W ---•-•-•---•----------------•----•-------•---•------------------•------•--•----•--------------------------•-----•-• -------------------------------rp ---- -------_------ UNature of Repairs or Alterations—Answer.when applicable_._..... .= Q� ._4lZL./_...�J.�-................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TAITTLE 5 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 y tli. oar f health. v s� Signe ...................... Date Application Approved By............... :i .... ...................... ......�!l="j....------ Date Application Disapproved for the following reasons-----------------------•-----------------.._..---------...-----------------------•--.....---------.........-•-- ............•-•----------•--••--•....--•-------------•--------•---•--••--.....--•--•-•-•------------.....--------...........-•--•---••••------••---•---------••-------•----------------••--------------- Date Permit No......................................................... Issued-.................... ................................... Date i Fim............. . 4! THE COMMONWEALTH OF MASSACHUSETTS ,,. .� BOARD OF HEALTH �. ,r ..�1.C : ..........OF... ?°..: ,r .-....:...A:. .:.1.. .. .....................•-- Appliration for Disposal Works Tanst.rurtion rami# Application is hereby made for a Permit to Construct ( ) or Repair (-/..).-an Individual Sewage Disposal System at:� ........................- .# y. :; r:';x y :; `. :...-•••-•••........... .............•-•-------••.............•••-• ..........•-•-•-........................• FI- p Locatip»-Address�y� �t = l / or .......... . �- 7 t�Lot o. If•.- Ow�ner I Address , �. . ..r,.... rc.:l Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................. Showers ( ) --Cafeteria. ( ) P4 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. 3 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 Test Pit.................... Depth to ground water.---................ .. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+ --------------------------------------- ••----------------------:..........._......-------- --•--•---------------•------...._...._............--•-- Description of Soil - •. - ---------/_..._.... -••-----•--------•••••...••••-•• ---------------- ••••••-••--•......-••-••-----•--•••-.... x -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•--•-••.....-- U Nature of Repairs or Alterations—Answer when applicable......... ............................... r Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board/of health. Signed `�. L.._�.✓. ;- `s- /t`s� ?rI�(.�' E tom: '1 :..�.../_��_.._..... .. .. ._ l f� ..................... }� .. Date Application Approved BY t.. r/ - i/L+f ' Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ............................................=............................................................................................................................................................ Date PermitNo........................................................ Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .!f rs�." :�..........O F.... / ` ,`v' ."? ?-1 ............................. ;��, •.... .. , I Tntif iratr of Toutplianrae THISJ,,S TO CERTIFY, That the Individual Sewage-Disposal System constructed ( ) or Repaired (��) by ��..1�._.. '`rf ?•r"r-:_. e j �'--`�f°=� _. --------------------------•-------------------•--------------. .......•....---..•. tHr.:_ _ r v Ins aller �. f , 11 Ai at 1 . .: ` - has been installed in accordance with the provisions of TIT F j of The-State Sanitary Code as described in the application for Disposal Works Construction Permit No.... .------" L----N.ti ......... dated........................................... . - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO SyYR A G RANTEE THAT THE SYSTEM JL FU CTION SATISFACTORY. c/ DATE.....��..,.......��------------------••-----.....---.__.....------ Inspector...�%._... .----------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . t !.�� ✓.�..�........OF.......... w.. .>a� .. .. .......................... .._. .................... FEE... .................! Disposal Works T-Lonstru4ion Prrujit y - Permission is hereby granted.......... _... `-.....A.�./� f j_t �e`�:x� _-_ `__-�11 J . to Constr},>_c, ( �) or Repair.( �i} an-Individual Sewage Di po .......... .......... ............ Stree as shown on the application for Disposal Works Construction Pe t Noo.................j__. Da d-..----.....---.----..-.------.--.--,-.--- S 1 _ Boar o He / r alth DATE_.- '-••-•--•......................•••--•---- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS