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0073 SYLVAN DRIVE - Health
73�SyIVAb�Di%ve� P . Hyannis --- A '=-�280 z074 � o f� o i i I TOWN OF BARNSTABLE ACI LOCATION 7 3 S ` ��� SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. B�/��4 ���✓ 7���3�� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �/ i%'/!ra J0r1 (size) X96 L �`� 17 NO.OF BEDROOMS d _ BUILDER OR OWNER •[.bAAA lur/IA PERMTTDATE: 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 I� Furnished by 4 •� n r r/ it � • 1•' i V 00 �� � � COMMONWEALTH OF MASSACHUSETTS x EXECUTIVE OFFICE OF ENVIRONMENTAL.AF FAIRS a DEPARTMENT OF ENVIRONMENTAL M POTECT.IOON� PARCEL LOT . TITLE 5 OFFICIAL INSPECTION.FORM-NOT FOR VOLUNTARY:ASSESSMENTS, SUBSURFACE SEWAGE.DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 17 Owner's Name: R��+ lrl►' Owner's Address: ! �� �7 Date of Inspection: �Uw FF n 5 2003 Name of Inspector• (pleaseprint) 4-" ( k4 �!_E Company Nam Mailing Address: Telephone Number: 9- `7-71- CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and.complete as of the time of the inspection.The inspection was performed based on my. training and experience in the proper function and maintenance of on site sewage disposal systems: I.am a DEP approved system inspector pursuant^to Section 15.340 of Title 5(310 CMR 15.000). The system: V Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority: . Fails Ins p.ector'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 DER.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at-.the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different. conditions of use.. Title 5 Inspection Form 6/1.5/20.00 page I Page 2 of I] 1. OFFICIAL INSPECTION.FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM .130AA=` PART A CERTIFICATION (continued) Property Address: Owner: . r Date'of Inspection. Inspection Summary: Check A,B',CjD or E/ALWAYS complete all of Section D A. System Passes: -IL I have not found any information which indicates that any of the failure criteria described in 310 CMR 15:303 or in 3.10 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. Answer yes,no or not determined(Y.,N,ND)in the, for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank.(whether metal or not)is structurally unsound,exhibits substantial inf ltration or exfiltration or'tank failure is imminent:'System will.pass inspection if the existing tank,is:replaced wit}i 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. . ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe('s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): .broken pipe(s)are replaced obstruction is removed distribution box is.leveled or replaced ND explain:. The system required pumping more than-4 times a year due to broken or obstructed pipe(s).-The-system will pass inspection if'(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 i Page 3 of 11 OFFICIAL INSPECTION FORM -.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) n Property Address: ' Owner: Date of Ins.pectio : 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. I. 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 2. System will fail unless the Board of Health (and Public Water Supplier, if apy).,determines that th.c system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply: The system has a septic tank.and SAS and the SAS is within a Zone 1 of a public water.supply. The system has a septic tank and.SAS.and the SAS is within 50 feet.of a private water supply.well_ _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from.a. private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified.laboratory, for coliform bacteria and volatile organic compounds indicates that the well-is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that.no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: 3 i 1 Page-4 of 1 I OFFICIAL:INSPECTION FORM=:NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGEDISPOSAL SYSTEM INSPECTION FORK ,.PART A CERTIFICATION'(continued) Property Address: 4 Owner: Date of Inspecti D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections. Yes No 1 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 day flow Required pumping more than 4 times in-.the last year NOT due to clogged or obstrucEed pipe(s).Number ' / of times pumped V Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within I00!feet of.a surface-water supply or tributary to a surface water supply. _ Any portion of a cesspocl or.privy is within a.Zone 1 of apublic well. _ Any portion of a cesspocl or privy is within 50 feet of a.private water supply well. Any portion of a cesspocl or..privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP,certified laboratory;for coliform bacteria and volatile organic compounds indicates that the well is free.from pollution from that facility and the-,presence-of ammonia nitrogen and nitrate nitrogen.is equal to or less than 5 ppm, provided that no-other failure criteria j� are triggered. A copy-of the analysis must be attached to:this form.] A (Yes/No.)The system fails.1 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 whEt will be necessary to correct the failure. E.' Large Systems: To be:considered a large system the system must serve a:facilitywith a design flow of 10;000 gpd to 15-000 gPd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a.surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is.located in a nitrogen sensitive area(Interim Wellhead Protection Area-1WPA)or a mapped- Zone.II of a public water satpply well If you have answered"yes"to any question in Section E the system is considered'a.significant threat,or answered "yes"'in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR .15.304.The system owner should contact the appropriate regional office of the Department. •4 Page 5 of I I OFFICIAL INSPECTION•FORM=.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 92; Owner: Date of Inspect n: 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? _r 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? j� Was the site inspected for signs of breakout.? 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? _L.,�_ 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: � Yes . no ;�_ Existing information. For example, a plan.at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION-FORM-NOT.FOR-VOLUNTARY ASSESSMENTS SU,BSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM -PART C SYSTEM INFORMATION Property Address:. Owner: a Date of Inspection: : �U FLOW CONDITIONS RESIDENTIAL Number of bedrooms.(design):- Number of bedrooms(actual): DESIGN flow based on 310.CMR 15.203 (for example: 11.0 gpd x#of bedrooms):1 ' Number.bf current residents: - E Does residence have a garbage grinder(yes or no);4 Is laundry on a separate sewage system (yes or no)mm if yes separate inspection required] Laundry system inspected(yes or no): Seasonal.use:(yes or no)V-20- Water meter.readings; if av ilable(last 2 years usage(gpd)):®2— `43 3,� Sump pump(yes or noZ� Last date of occupancy:M% C, COMMERCIAL/INDUSTRIAY Type.of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/person s/N ft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present:(yes or no): Non-sanitary waste discharged to the Title 5 system (yes or no):_ Water meter,readings, if available: Last date of occupancy/use: i OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as apart of the i spection(yes.or no If yes, volume pumped:. gallons--How was quantity pumped determined? Reason'for pumping: TYPE OF SYSTEM Septic%tank, distribution box,.soil absorption system _Single cesspool Overflow cesspool _'Privy _Shared system.(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.-Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy-:of the DEP approval' Other'(describe): proximate age of all components, d to ins d(if know )and source of information: - ,O Were sewage odors-detected when-arriving at the site(yes or no): 6 , Page 7 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION'.FORM PART C SYSTEM.-INFORMATION(continued). Property Address: . Owner: Date of Inspection: J? BUILDING SEWER(locate on site planL/�& Depth,below grade: Materials of construction:_cast iron _40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: (locate on site plan). Depth below grade: bd Material of construction: zconcrete_metal_fiberglass_polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a coliy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee.or baffle: Z� Scum thickness: (f Distance from top of scum to top of outlet tee or baffle: Z Distance from bottom of scum to bottom f outlet tee or baffle:J How were dimensions.determined: Comments(on pumping recommendations, inlet and outlet tee-or baffle condition,structural integrity, liquid levels elated to outlet invert,evidence of lea e,etc.): GL v GREASE TRAE.,;,&(locate on site plan) Depth below grade:— Material of construction:_concrete_metal_fiberglass polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of.scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping:: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL.INSPECTION FORM—.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C , SYSTEM INFORMATION(continued) Property Address: iWonfA-1�1 VA Owner: — Date of Inspeeti v 7 62003 TIGHT or HOLDING TANK' (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of constfuction: concrete 7metal- fiberglass' Uolyethylene oth&(explain): Dimensions:_ Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): { DISTRIBUTION BOX: ✓ (if present muse be'opened.),(locate on site plan). Depth of liquid level above outlet invert: �out Comments(note if box is level and distributiqual,%any evidence of solids carryover,any evidence of kage into or oul of box etc.): PUMP CHAMBER:,JIL(locate on site plan) Pumps in working ccorder ��(yes or no): Y Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 .., i Page'9.of I OFFICIAL_INSPECTION.FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART'C . SYSTEM.INFORMATION(continued) Property Address: V23 &, j21V,4t - V,11 A I Owner: Date of Inspecti 3 SOIL ABSORPTIO SYSTEM (SAS): locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: �eaching galleries,number: leaching trenches, number, length: leaching.fields, number,.dimensions: overflow cesspool,number: innovative/alternative system. Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil,condition of vegetation,. CESSPOOLS:IA--(cesspool must.be pumped as part of inspection)(locate on site plan) Number and configuration: Depth'—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of.groundwater inflow(yes or no):*_ " ' 9 Comments(note condition of soil, signs of hydraulic failure;level of ponding, condition of vegetation,etc.): PRIVY: j' `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.): 9 Page 10 of 1 I OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL"SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) • k Property Address: Owner: Date of Inspecti. n: SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks,or., benchmarks. Locate all wells within 100 feet.Locate where`public water supply enters the building. I 41cl- �-- a j Ia d C��0' 3 17 I 4 J 10 . Page 11 of I 1 OFFICIAL INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART'C SYSTEM INFORMATION(continued) Property Address: e Owner: Date of Inspecti SITE EXAM Slope Surface water Check cellar Shallow wells Estimated.depth to ground water /_3 feet Please indicate(check).all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with.local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: 11 ' Permit Number: Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location:. 7 ��/1�2<1 Q�`r r - � /�YLI'/9�/-S Lot.No. Owner:_ / �,q(,1$ / G� L° Address: Contractor: ��4;✓��7 U/4�e �D�/� Address: y� ! �� Y� • Notes: /11�GI/^1J�©� /�� STEP 1 Measure depth to water table to nearest 1/10 ft. .............................................................................. .Date .l7 Oj month/day/Year STEP 2 Using Water-Level Range Zone and Index Well'Map locate site and determine: OA Appropriate index well................ ..m Zq OWater-level range zone ...................................................... G STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to 11� �� z water level-for index well ........................... month/year 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 26) determine water-level adjustment.................. �``3 :.............................................................. STEP 5 ., Estimate.depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water . levelat site (STEP 1) .:...................................:.......................................................................... .. Figure .13.--Reproducible computation form. 15 IN,. ,4ro 3 No. _ Fee ' � THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS - 0(pplication for Mzpoe;al *pmem Con!6truction permit Application for a Permit to Construct( )Repair(4')Upgrade( )Abandon( ) IJ Complete System El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel 73 Installer's Name,Address, /and Tel.Np. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder(11610 Other Type of Building 46l BwC4'No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 33,,!9 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 145®e 9Q 1L-'?r✓X Type of S.A.S. y�/�l� I '✓j`y �0� Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued this Bo of ealth. ! l Signed . Date Application Approved by Date Z- o Application Disapproved for the following reasoifs Permit No. Zo-dl- 660 Date Issued Z d --------------------------------------- ",�"` .. .i-A-r— , . ...,a`..r••T..�r�r... ....t.-... rn.. .vn..�... •, _, r r r., .,.-,,.n � .. -r�, .w.; 4 .... .. ,.�� _ -. _ _.. .. _�.. r.r.—.�,; a nJ No. W" Q(D = � .nt':a. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLEs MASSACHUSETTS ZIpplication for Mtopoogal *pgtem Construction Permit Application for a Pernut to Construct( )Repair(1�)Upgrade( )Abandon( ) l+,Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/PMap/Parcel73 5y/1a' f b� 'awn"'? Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7 7i Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(4�LU Other Type of Building ,S/ of Persons Showers( Cafeteria( ) Other Fixtures Design Flow )1e:2 gallons per day. Calculated daily flow J7JP� gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /s DD 9W/ Type of S.A.S. r+Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed 6k, Date Application Approved by Date Z o Application Disapproved for the following reason Permit No. 60 Date Issued z G -- -- --------------�—J-- , THE COMMONWEALTH OF MASSACHUSETTS Z$� BARNSTABLE, MASSACHUSETTS Certificate of Compliance ' THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( 4Upgraded( ) Abandoned( )by / OLD i Gdr.sT at ` vile All, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ZO'd I—6� V dated 2 ` - Installer Designer The issuance of this permit shall not be construed as a guarantee that the system,,will fun c 'on asI,designed. Date��p Inspector t�-C t 1.1 ram, Vl 19A )3 n ——————————————————————————————————————— No. zy?) I 0 .0 . -2 7y Fee ✓`��' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS Migpoa[ *pgtem Construction Permit Permission is hereby granted to Con truct( )Repair( ✓)]Upgrade( )Abandon( ) System located at `7.3 J`XIbOA and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constructio must be completed within three years of the date of this p Date: Z�j��/ Approved by NK 0�d NOTICE: This Form Is To Be'Used For the Repair Of wiled Septic Systems.Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERNUT(WIMOUT DESIGNED PLANS) bereb .certify that the a Gc y >> / Dp anoa IOi disposal wOilCs construction permit signed by me dated ZlO1O/ concerning the property located."at 73 ;5x1 ,,k1 meets all of the following c.iteria:. b� ae:ailed system is connected to.a rmd_ndal dwei?in;oniv_. There are no co=erc:al or btsia_= uses ssocated with the dw t ;ng. _ 1/ 7 ae soil is c:assifed as t?AZ-S I and the is ins titan or egt:ai :o : minutes oe: :nc:i /71here are no wetlands within 100 01me n,raDosed=tic:.stem 7-here are no .=,. a weir wi-,din.1:0 of the proposed se^nc L net e is no iac.--use in flow and/or.c an;e in use proxs.-a 4/ 7 ne:e re no varanczs-=uszd or ne e+ 1 ne bottom.of the proposed leaching:aciiry will not be locatcd less titan five;—"Love tne ma daimn adjusted„run oduater;able elevation. lAdjts the groundwater.table.using the::imptor method when aPodcable]. Y if.the S.,_S. will be located with 250 feet of any vegt:ated wetlands. the bottom of the�- proposed leaching faeiiiry will not be located less than"fourteen(14)fee,above the fna.•dmum adnsted groundwater table elevation, Please cpmplete the foilowine A) Top of Ground Suria==Ievation(using GIS information) 3 l 3) G.-W.IIevarion ' � 6 the MAX fit Z. 7 = l Z � 7 gh G.W.�Ad�ttsttncnt DTFERE14C BETWEEN A and B 2-2 y SIGNED : ' . DATE: � r [Sk=h PrOf?OSed PL=.of System on back]. - TOWN OF BARNST'ABLE jU LOCATION 7 3 .sy` U�'� A141 i SEWAGE VILLAGE /�Y���/J` ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. Bo/T��4 ���1✓7` 7J/'��1�� SEPTIC TANK CAPACITY /So0 Ctit LEACHING FACII.ITY:.(type) Lr1 h%'%lQ/'orJ k1/S104e(size) NO. OF BEDROOMS BUILDER OR OWNER'.' /1/1Gt PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility .. . Feet Private Water Supply-Well and Leaching.Facility :(1f anyi wells exist onw facility) Feet Edge of Wetland and.Leaching Facility (If any wetlands exist " I. within:300 feet of leaching facility) Feet ,Fe' Furnished by p t7i�lY. E U 1 I Aq-33 tp . 8, �8 s s 37' i -,Pky e�P - O�Qy�FtNET��`� The Town of Barnstable s Department of Health Safetyand Environmental Services . 33WSTAM . P � MM6 'oo'�OAIp9. Public Health Division 367 Main Street,Hyannis,MA 02601 Office 508-790-6265 Thomas A.McKean FAX 508-775-3344 Director of Public Health Mr. William Rounds 115 Broadway Taunton,Ma 02780 Dear Mr.Rounds: I have just spoken with Sean Turnbull and he informs me that you have knowledge of who the plumber and the professional cleaning company was for the problems that have existed at 73 Sylvan Drive, Hyannis. The tenants of the basement apartment have been in this office today stating that the problems have not been taken care of. I would like to verify with the people involved that these problems have been corrected. If you have this information would you please fax the info to me. Thanks for your attention to this matter. The fax for this office is 508-790-6304. Sincerely, o a Donna Z.Miorandi Health Inspector I Commonwealth of Massachusetts Executive Office of Environmental Affairs Dept. of Environmental Protection One winter Street' D.E.P. 'Titlee V Septic Boston,Ma. 02108 Joirab c_lnspector P.O. Box 2119 Teaticket—, : ---- 36 WILLIAM F.wELD Governor r A� ,� ARGEO PAUL CELLUCCI ��D� �'� 'e GovernorLt.Goveor SUBSURFACE SEWAGE DISPO&AL SYSTEM INSPECTION FORM ro ��� PART A `rs �� ? CERTIFICATION Property Address: 73 Sylvan Dr.Hyannis Address of Owner: p f Date of Inspection: 511/98 (If different) i Name of Inspector: John Oraci Turnbull:171 Rocky Meadow Sit.Middleboro a. I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) Company Name,Address and Telephone Number: CERTIFICATION STATEMENT I certify that I have personally Inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of Inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: x Passes This Inspection le based on criteria donned In Title V _ Condition I y SSCS code 310 CMR 16303.My findings are of how the system is performing at the time of the Inspection.My Inspection does _ Needs F t Evaluation By the Local Approving Authority not Imply any warranty or guarantee of the longevity of the Fails septic system and any of its components useful tire. Inspector's Signature: Date: 5l1/9s The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C,or D: A] SYSTEM PASSES: x I have not.found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired: The system,upon completion of the replacement or repair,passes inspection. Indicate yes,no,or not determined(Y. N,or ND). Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of — Co7hpliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection; or the septic tank,whether or not metal, is cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04Q7197) One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 • Telephone(617)2925500 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 73 sylvan Dr.Hyannis Owner: Turnbull:171 Rocky Meadow lit.Middleboro Ma. Date of Inspection:511198 _ Sewage backup or.breakout.or. hioh.static water level observed.in.the distribution box is due to a broken. or obstructed pipe(s)or due to broken,settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced —The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed 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 the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. — The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria•and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method usedto determine distance (approximation not valid) 3)Other I D] SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: _ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage in facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to nn overloaded or clogged cesspool. SAS is in hydraulic failure. (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 73 Sylvan or.Hyannis Owner: Turnbull:171 Rocky Meadow St Middleboro Ma. Date of Inspection:511199 D]SYSTEM FAILS(continued) Yes No 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner.or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. i r (revlaed04l17197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 73 sylvan Dr.Hyannis Owner: Turnbull:171 Rocky Meadow St.Middleboro Ma. Date of Inspection:911199 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: _t_ — Pumping information was requested of the owner,occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the and the system has been receiving normal — flow rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this inspection. x As built plans have been obtained and examined. Note if they are not available with N/A. x — The facility or dwelling was inspected for signs of sewage back-up. x — The system does not receive non-sanitary or industrial waste flow. -x— — The site was inspected for signs of breakout. x All system components,excluding the Soil Absorption System,have been located on the site. x The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum. x The size and location of the Soil Absorption System on the site has been determined based on — — The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. x Existing information. Ex. Plan at B.O.H. x Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is — — unacceptable)[15.302(3)(b)] (ravlesd 04117ST) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 73 sylvan Dr.Hyannis Owner: Turnbull:171 Rocky Meadow St.Middleboro Ma. Date of Inspection:911198 FLOW CONDITIONS RESIDENTIAL: Design flow: 0 g•p•d./bedroom for S.A.S. Number of bedrooms: 3 Number of current residents: 1 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings,if available:(last two(2)year usage(gpd): rda Sump Pump(yes or no): No Last date of occupancy: rda COMMERCIAL/INDUSTRIAL: \ Type of establishment: n1a Design flow:9 gallons/day Grease trap present:(yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no) No Water meter readings,if available: n(a Last date of occupancy: n1a OTHER:(Describe) rda Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of Information: rda System pumped as part of inspection:(yes or no)Yes If yes,volume pumped: 1250 gallons Reason for pumping: Maintenance TYPE OF SYSTEM Septic tank/distribution box/soil absorptions system x Single cesspool x Overflow cesspool Privy Shared system(yes or no) (If yes,attach previous inspection records,if any) I/A Technology etc.Copy of up to date contract? Other: APPROXIMATE AGE of all components,date Installed(if known)and source Information: 1961 Sewage odors detected when arriving at the site: (yes or no) No (revised 0071971 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) i Property Address: 73 sylvan Dr.Hyannis Owner: Turnbull:171 Rocky Meadow St.Middleboro Ma. Date of Inspection:511199 SEPTIC TANK:_ (locate on site plan) Depth below grade: rda Material of construction: concreate metal FRP Polyethylene_other(explaln) If tank is metal, list age n1a . Is age confirmed by Certificate of Compliance No (Yes/No) Dimensions: rda Sludge depth:rda Distance from top of sludge to bottom of outlet tee or baffle: rda Scum thickness:rda Distance from top of scum to top of outlet tee or baffle:rda Distance form bottom of scum to bottom of outlet tee or baffle:rda How dimensions were determined: rda Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) rda GREASE TRAP: (locate on site plan) Depth below grade: rda Material of construction: _concrete_metal_FRP_Polyethylene_other(explaln) Dimensions: rda Scum thickness:rda Distance from top of scum to top of outlet tee or baffle:rda Distance from bottom of scum to bottom of outlet tee or baffle:Na Date of last pumping* Comments: (recommendation for pumping,condition of Inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) Ma BUILDING SEWER: (Locate on site plan) Depth below grade: 2'6" Material of construction:_cast iron_40 PVC_other(explain) Distance from private water supply well or suction line?a— Diameter: Na Qmments: (conditions of joints,venting,evidence of leakage,etc.) ` (rev1aed0427197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 73 sylvan Dr.Hyannis Owner: Tumbull:171 Rocky Meadow 8L Middleboro Ma. Date of Inspection:511198 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: rda Material of construction:_concrete_metal_FRP_Polyethylene_other(explain) Dimensions: rda Capacity: rda gallons Design flow: rde allons/day Alarm level:_n<a Alarm in working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) We DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: nia Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box etc.) rda PUMP CHAMBER: (locate on site plan) Pumps in working order.(yes or no)No Alarms in working order(yes or no)vea Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) rda (revised 04121ST) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 73 sylvan Dr.Hyannis Owner: Turnbull:171 Rocky Meadow St.Middleboro Ma. Date of Inspection:511199 SOIL ABSORPTION SYSTEM(SAS):x (locate on site plan,if possible;excavation not required,but may be approximated by non-Intrusive methods) If not determined to be present,explain: rda Type: leaching pits,number: n1a leaching chambers,number:Na leaching galleries,number: r9a leaching trenches,number,length: ma leaching fields,number,dimensions:nla overflow cesspool,number:6'xs'block Alternate system: nre Name of Technology:_we Comments:(note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) Leach pit and all components are structurally sound end Nnctloning properly.System never had mom than 2.6'ofwater In It CESSPOOLS:x (locate on site plan) Number and configuration: one Depth-top of liquid to inlet invert: 6" Depth of solids layer: 7" Depth of scum layer: 2" Dimensions of cesspool: 614' Materials of construction: block Indication of groundwater: Na inflow(cesspool must be pumped as part of inspection) We Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Mein cesspool and all components are structurally sound.Recommend pumping system every one year for maintenance. PRIVY: (locate on site plan) Materials of construction: nra Dimensions: rva Depth of solids: Na Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) rde (revleed 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 73 Sylvan Or.Hyannis Turnbull:171 Rocky Meadow St Middleboro Ma. 511198 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) peck- O� OA g� a (revmid Wl OT) Pays ! of 10 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 73 Sylvan Dr.Hyannis Turnbull:171 Rocky Meadow St.Middleboro Ma. 5fif98 Depth of groundwater 12. Please indicate all the methods used to determine High Groundwater Elevation: Obtained from design plans on record. Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check.pumping records Check local excavators, installers x Use USGS Data, Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS Maps and chute i i (revised0027197) page IO 0[ 39 Town of Barnstable entwscesM ; Department of Health, Safety, and Environmental Services 6.1 A,• Public Health Division rFn rr►n� 367 Main Street, Hyannis MA 02601 FAX Date: Number of pages to fo low: i To: e " F 413: p D D&fio Phone: Phone: 508-790-6265 Fax phone: j Fax phone: 508-775-3344 CC: REMARKS: ❑ Urgent ❑ For your review ❑ Reply ASAP ❑ Please comment t ___._._. .......... --- — _ ____ 3 0/'* COMMONWEALTH OF MASSACHUSETTS DISTRICT COURT BARNSTABLE, ss . A TRUE COPY ATTE`' ) MYRON and DONNA TURNBULL, ) DEPUTY SHERIFF Plaintiffs, ) I VS . ) KATHERINE STUART and all other ) OCCUPANTS; ) Defendants . ) SUBPOENA o To: Donna Miorandi, Health Inspector Barnstable Board of Health 367 Main Street Hyannis, MA 02601 YOU ARE HEREBY COMMANDED in the name of the Commonwealth of Massachusetts to attend and give testimony before the Barnstable District Court within and for the Commonwealth of Massachusetts, on Thursday, March 12 , 1998 at 10 : 00 a.m. and from day to day thereafter until the above-named action is heard by said court . FAILURE BY ANY PERSON WITHOUT ADEQUATE EXCUSE TO OBEY A SUBPOENA SERVED UPON HIM MAY BE DEEMED A CONTEMPT OF THE COURT IN WHICH THE ACTION IS PENDING. Dated: March 5, 1998 Not ry Public : Joan M. Menard My Commission Expires : 7/3/98 ric- °, r Z 203 499 099 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See rev e 0 Stree u P ,StateA ZI e Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee N Return Receipt Showing to Whom&Date Delivered Q Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ M Postmark or Date 0 tL CL I Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post once service a window or hand it to your rural carrier(no extra charge). ai 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the a) cc return address of the article,date,detach,and retain the receipt,and mail the a7icle. 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the O + O addressee,endorse RESTRICTED DELIVERY on the front of the article. O ch 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti 6. Save this receipt and present it if you make an inquiry. 102595-97-8-0145 a y PAR ] Real Estate System - General Property Inquiry] Help [ ] Parcel Id: 289 074- - Account No: 194202 Parent : Location: 73 SYLVAN DRIVE HY Neighborhood: 55CC Fire Dist : HY Devel Lot : Lot Size : . 36 Acres Current Own: TURNBULL, MYRON A JR& DONNA State Class : 101 15 SUMMER STREET No. Bldgs : 1 Area: 1196 . Year Added: MIDDLEBORO MA 2346 Deed Date : 030194 Reference : C133182 January 1st : TURNBULL, MYRON A JR& DONNA Deed MMDD: 0394 Deed Ref : C133182 Comments : Values : Land: 34000 Buildings : 56100 Extra Features : Road System: 73 Index: : 1678 (SYLVAN DRIVE ) Frntg: 110 Index: _1440 (SCUDDER AVENUE ) Frntg: 100 Control Info: Last Auto Upd: 102895 Status : C Last TACS Update : 102495 Land .Reviewed By: Date : 0000 Bldgs Reviewed By: ML Date : 0688 Tax Title : Account : Taken: Account Status : Hold Status : Cancel [ ] Press XMT for more data Next screen [PAR ] Action [ ] Owners Name [ ] Road Index [ ] Road Name [ ] Parcel Number [289] [075] [ ] L ] [ ] C, FORM30 HOBBS&WARREN INC. ' ✓THE COMMONWEALTH OF MASSACHUSETTS ` r BOARD OF, HEALTH/ CITYROWN I ✓/ � J ro DEPARTMENT wM SV'y ' ADDRESS II TELEPHONE � � Addr s x 1cupan�,�� i,� �Ifloor l' Aartme NoHof Ocupant ' r No.of Habitable Rooms No.Sleeping Rooms , No.dwelling or rooming units N g•�. aes . / r m i,L� f' Name and address of owner nl l/ Remarks Reg. Vlo. YARD Out Bld s.: Fences: ti . Garbage and Rubbish Containers: Drainage I 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: 1 Dampness: ~' Stairs: Lighting: 0 d STRUCTURE INT. Hall,Stairway: Q�/ 1 Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: n Central ❑ Y ❑ N Equip. Repair \!(J /'.� /"t11 (��()/n ,/`� /(it)o f?� TYPE: Stacks,Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flue$, ents,,Safeties: i Kitchen Facilities Sink Stove j Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other, —Egress Dual and Obst'n: I f 1 K4 ',I ! 1 P _fo General Building Posted N t") /. kx/,`� ,nAl -J 16L)i� Locks on Doors: 1 1 ;/1`I- ( l.+ 1�-� l C 1 / 1✓ ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL—BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED,UNDER THE PAINS AND PENALTIES6F PERJURY." % + ry ,1 4 INSPECTOR J TITLE DATE TIME P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. 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 these 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 410.000 through 410.499 state minimum requirements of fitness for human habitation, any violation has the potential to fall within this category in any given situation but may not do so in every case and therefore cannot be included in this listing. Failure to include shall in no way be construed as.a determination that other violations 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 the violation(s) pursuant to 410 CMR 410.830 through 410.833 nor shall it 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 OIR 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. I (C) Shut-off and/or failure to restore electricity or gas. (D). Failure to supply the electrical facilities required by 105 CMR 410.250(B); 410.251(A), 410.253(A), 410.253(B) and the lighting in common area required by 105 CMR 410.254. '(8) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage 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 an object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450 and 410.451. (R) Failure to comply with the security requirements of 105 CMR 4110.480(D). (I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602 IVUch results in any accumulation of garbage, 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 lead-based paint on a dwelling or dwelling unit in ..viblation of the Massachusetts Department of Public Health Regualtions for Lead Poisoning Prevention and Control 105 CMR 460.000. (t) 'Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or iipeitftnt to health or dafety. (L) Failure to install electrical, plumbing, heating and gas-burning facilit4es in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilities as are required by 105 CMR 410.351 and 410.352 so as to expose the occupant of anyone else to fire, burns, shock, accident or other danger or impairment to.health or safety. (M) 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: (t) 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 operable. (2) failure to provide a washbasin and a shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3) and any defect which renders them inoperable. (3) any defect in the electrical, plumbing, or heating system which makes such system or any part thereof in violation of generally accepted plumbing heating,. gae-fitting, or electrical wiring standards that do not create an immediate hazard. (r) 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. (N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A) through (M) shall be deemed to be a condition 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. m SENDER: I also wish to receive the v ■Completa-items 1 and/or 2 for additional services. y ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): •s card to you. ■Attach r i this form to the front of the mailpiece,or on the back if space does not 1• ❑ Addressee's Address � m ■Wdte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N C ■The Return Receipt will show to whom the article was delivered and the date C delivered.' Consult postmaster for fee. d3.Article Addressed to: 4a.Article Number d �/J z, o d E G /6 4b.Service Type «' / ❑ Registered IS Certified AEYExpress Mail ❑ Insured oa ❑ Return Receipt for Merchandise ❑ COD I)Z2� 7.2ate of Delivery ✓ 7 p 5.Received By:(Print Name)- cj a +.. 8; ddressee's Address(Only if requested w fee is paid) t "6 signature Ss" t 0 a7 Ps Form 3811, Dece er 1994 102595-97-e-0179 Domestic Return Receipt J First-Class Mail UNITED STATES POSTAL'SERVICE!'f j: I Postage&Fees Paid USPS Permit No.G-10 • Print your name, address, and.ZIP Code in this box• _ I Public HeaNh Divislon Town of Barnstable , P.O.Box 534 Hyannis,Massachusetts 0301 Haar ous Materials Inventory Sheet Checklist g./ Date Physical Street Address-Check database to ensure it.exists orking Phone Number Actual Amounts-( ie. gas being used.to fuel machines, thinner to _dean brushes all count as hazardous materials-no blanks) _Storage Information location of storage, how long is.storage for? If none; note that. . y Disposal Information.-.where and who? If none; notethat.,. Appli.cant.Signature-understand what is listed and.noted �Staff Initial -.any.questions;-know who to.ask Vehicle.WashinglRinsing?. -.give a vehic.le.washing:po.licy and explain it: .. Attach the:Business Certificate-with your sign off and-comments "The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. TOWN OF BARNSTABLE Date: Y /(y TOXIC AND HAZARDOUS MATERIALS ON-SITE .. NAME OF BUSINESS: JP Kic,LA S( . C0yq q IA f . CLt�w Ncr BUSINESS LOCATION: S J\J 1 INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: n g CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: O _ MSDS ON SITE? TYPE OF BUSINESS: C_La INFORMATION/RECOMMENDATIONS: U Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corr ve , ❑ NEW ❑ USED Cesspool cleaners � � o Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) C Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides r ❑ NEW ❑ USED (insecticides, herbicides, rodenticid�es) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers \Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers L (including bleach) �� Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash - WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant' Sign Staff Initia YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: �`�" Fill in please: APPLICANT'S YOUR NAME/S IDA BUSINESS YOUR H ADDRES `�S ._ 7" - �' TELEPHONE # Home Telephone Number il iaL w -ma's NAME OF CORPORATION::' NAME OF NEW BUSINESS t ' =lU TYPE OF' USINESS IS.THIS.A`HOME OCCUPATION?; YE NO C �►�f/� 'aft �C- IIJIdV� .ADDRESS OF..BUSINESS "5 D 0 S MAP/PARCEL,.NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual ha inf r ed of the pe mitrequ'yements that pertain to this type of business. Authorize gnature** MUST�;OMPLY WITH ALL COMMENTS: 6h,r 73 VA-n: -F3 5 L*,j Dn , Vo &-vr cL— F Aba-a: 5-7wZ"eEL 3. CONSUMER AFFAIRS LICEN G UTHORITY) This individual hasaen in o m the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: 7/-31,� 9 -� M'' 1 ,_ Rf X1 . -4� Y,..: �.i� _..t_ YW,`I I-VU I g' Y - '/��/; .A,ram �y �!'�'z � ay �2 i �`! .�i� y ��1 �p � �� Y' �- rr �_.: .: � � .J� .. ,. r wa _ 7 9 ' . L ►� a # ...va.•i1f ti, • _.It`�f�i4t�ldlC�l��$��4f��dyal,I�C.��kYr/�.�/r,;, 7-GI AT. Y7 Q (. -.0 IL �! rl f DI 11alAc--177 7,� y . IYNJl r 's i ' e 73 .; �3 4' '�'. � F: L. � � t� "�" � y� �r 1 �� 73 J� �YA TS I s. .-• t. 1 3 x/A MRVP # Assessors office (1st Floor) Assessor's Map and Parcel # c Buildi ent ( th F1 o ) Zoning INSPECTION FEE RE—INSPECTION FEE $B.00 Request For A Housing Inspection For Certification Under the MA Rental Voucher Program Your NameIq'/LLL= Affiliation (Circle One) Owner Real Estate Agent Tenant Your Address Z ,q41/Z" Telephone Number (Day) �6_1�'Z7-2Z,g ir�Night) S Y 7 7 / L.0 0,F Address of Property Where Inspection is Requested Unit/Apt.# '7_3 L. 1//-I� ;D/Z / y c �7i'��v`✓ Name of Owner 7&4 G v" c'o Address 61-2 "y D/L,�e 70 .59�a Mailing Address (if different) Telephone Number (Day) (Night) Will there be any children under the age of six (6) who will be occupying the rental unit? (circle one) Yes Was the dwelling constructed prior to 1979? Yes No ------------------------------------------------------------ FOR OFFICE USE ONLY: Certification The dwelling, dwelling unit, or rooming unit located at was inspected on by Health Inspector for the Town of Barnstable and was fo nd to be in compliance with the provisions contained within 105 CMR 410.00, State Sanitary Code II: Minimum Standards of Fitness for Human Habitation. However, this certification does not include a determination as to whether this unit contains any lead paint because: under 760 CMR 49.02 Massachusetts Rental Voucher Program, a separate lead paint ,inspection must be conducted. Inspector's Signatur Date c{ MRVP #. ao e Assessorls office (1st Floor) Assessoris Map and Parcel # • S f "�. ` � a �+-v"',,_ ,go-, Bui1din(—, `a ment ( th Floo Zoning n �M INSPECTION FEE $ °00=U� � ud RE-INSPECTION FEE $15.00 Request For A Housing Inspection For Certification Under the MA Rental Voucher Program Your Name Affiliation (Circle One) Owner (Real �Esta�teAgent� Tenant Your Address 794 /4,4/n/ S % S � S Telephone Number (Day) Address of Property Where Inspection is Requested " r Unit/Apt. # SNI- y"q D/Z / v 67- , /��i9.v�✓� � Name of Owner 7E,�264. s Address 401,IJ6 y � 70 Sag/V 7`�/�-•✓. �"i ` Mailing Address (if different) Telephone Number (Day) (Night) Will there be any children under the age of six (6) who will be occupying the rental unit?-'(circle one) Yes Qo Was the dwelling constructed prior to 1979? Yes No j ------------------------------------------------------------ FOR OFFICE USE ONLY: Certification The dwelling, !.�dwelling unit, or \rooming unit located at X was inspected on /¢•. / by Health Inspector for the Town of Barnstable and was fo nd to be in compliance with the provisions contained within 105 CMR 410.00, State Sanitary Code II: Minimum Standards of Fitness for Human Habitation. However, this certification does not include a determination as 'to whether this unit contains any lead paint because under 760 CMR 49.02 Massachusetts Rental Voucher Program, a separate lead paint inspection must be conducted. Inspector's Signatur Date. i TOWN OF BG��ABLE ,• BOARD OF HEALTH ARTICLE 11:MINIMUM STANDARDS FOR HUMAN HABITATIO Date Owners Tenant � Q� Address Address Complionce Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities 1 �/PJ =rl 3. Bathroom Facilities 4. Water Supply l -Iry 5. Hot Water Facilities + ti �' `CY� 6. Heating Facilities �� , 7. Lighting and Electrical Facilities �J 8. Ventilation �L/ H 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use �fE- � `7 12. Exits 13. Installation and Maintenance of Structural 916 Cd Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing PART II 37. Plocarding of Condemned Dwelling; Removal of Occupants; Demolition i &- Person(s) Interviewe Inspec r If Public Building such as Store or Hotel/Motel specify here HOBBS$WARREN.INC. Mp ���, , 11t jyV ..7'� *1� Y W v ; - _ r 7i f TOWN OF BARNSTABLE .ABOARD OF HEALTH 3' ARTICLE 11:MINIMUM STANDARDS FOR HUMAN HABITATIOW Date ,.-0 7l Owner ` ..�'� Tenant Address t�A' 4 %~/ref`:2 « Lj ""� Address _;o 'Comp!once Rem6rk's or., Regulation# re Yes No Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply i . "Pro Iojwl .0-20— 6� 40 e 5. Hot Water Faciliti s � 1504 6. Heating Facilities r 7. Lighting and Electrical Facilities `. 8. Ventilation 4 ' 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use lev ' + 12. Exits A4' t` 13. Installation and Maintenance of Structural Elements ��► ,o.-yy 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal odae 16. Sewage Disposal 17. Temporary Housing " r � �;,a �'�IX ()'.�•. � �/.• S�y 'rP V�AY'~v�/_ y.A! � /"� "•/%�� 'f �*.,.y w•�g+^ 4 K . r .. .. PART 11l 37. Placarding of Condemned Dwelling; z Removal of Occupants; Demolition Person(s) Interviewed, nspec br t I+• �� tom. �: i -if Public Building such as Store or Hotel/Motel specify-here � G+". r'¢'*•.�n+'*R!,�y` ..-•f. f-'J^ .,.+..n"r � '6+rF+•,,.J�' 1i.�• HOBBB Q WARREN,INC. *} y„ i s+'-� , I•` -, 4 AQ M:J'.. f : . .,2•!l8'+c^.'<`: +7;. n. ' „e-' - ku,3s l ?� •'.r t Y b�• v, --++.f ;i' U t.r'1, a fi. tir+•�w� Iw TOWN OF BARNSTABLE ACI LOCATION 73 5y.' �✓ SEWAGE #. VILLAGE ASSESSOR'S MAP & LOT .• �^ ( INSTALLER'S NAME&PHONE NO.. 0 ._ SEPTIC TANK CAPACITY. -/So0 tad I LEACHING FACILITY:'(type) �/'L✓1 i/ //�Q�o�.f 'W�S/�AC'(size) A)t+J X L 4', %7 , .. NO. OF BEDROOMS BUILDER OR.OWNER manna lur/1II PERMITDATE: COMPLIANCE DATE: b d o Separation Distance B'elween the: t Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet d Private Water Supply Well•and Leachtng;:Faclity. (If any.wells exist w v on sile,or within 200 feet of leaching facility): Feet Edge of.Wetland and L-eaclung Facility(If.any we east s ; waw.h300..feet.of-leac4ing:facility). , .:. .. Feet Furnished by LS g` h ! 0 � • .7} - . 1 y ..- F7 TOWN OF F Ili. ,4y ' IBA /^ .31 ROAD 36AC• �' Q ',11 S-100N0 r 24 !t6� 24At _ 3 ,75jpC. Peas-e�.A' ,s�wp y O nw� isb .apPA , pP¢�• � bO 25 �4wA '-III r O .g BO 1!1 110 /41 • 34 'ws L.ANEfROST 3a,P s6® ® Q •LcO' .:��0 \ yl Q 19 tlAC jl.� •7 Mlix ia3 2t 40 41 b 2TAC•. . aiaec. wPc wawa 32Ac. ha A. IOo \T A-R 6 0 Ioo I00 e• A 4 w 260c• R t 4 22 a TO�' S2 70o Iao t13 b .32AC, 46 - 4 si .54AC' 4 3 ieor 50 49 #A 21 O 51 AIAC. b9 AC 47 x O./Il'. .It d Iti 1j�. � 34AC• 125 3 / / 4 pOEjN 55 ,50AC. /r0 54 .60AC. 100 1! .Ib W4 M 195 ss't 9 T L V A Io0 75 r I o0 9 a Ion y8 57 A.C.•3l •fto 1•IT�. 711 na L- \Z. '!2� 5q-Z 20 AC. 63AC- f/ - e— O ,L 9 $ o \ , O O 2 O •pe. s v a ,�� ► .e VACp .29 AC. O I PI"4at 3 \_ FROST LANE ••70 �11.L .., .1♦ D9 \� Iyo • SYpbIE'( o ab•D• 6o-A bi ►1, to ,16.x l� 8�.fb e, _ o O sl . . I ri sob IT 72 .27AC. AC n 2AC. Y AC- 63 DRIVE110 4i i o �O ©p L ra p .. 00 u .33wC - .33wC xx ?0 136 'E .21AC. .69 ,e OS, ' b2 1.a4Ad• .SOAC. c S QS .21 w° .37AC. `D• 0 � I a, 68 .524 I letr&L) ® 36.E >s 64 c. 4• 1-70 26AC. ' y W 1.0, e/of B , 1,po rL ,y 16Q o 65 ° D \\ 114 4 s.6.c. g .21 Ac.' .�6A J tC. .29e5 G ,0> ,,p LIIL 0 py"I r SIM0014" PowO 1 66 � 9 � OA e b 6 41 Ise• 8,t. yn� 3zAc-s 3O c. 3°P� 55 ` to w 176 t to a ,3awrr r• t td' ai FERNW ® ( ✓ � 775 a 70 °00 I \ sA��P��w� ,►>s Ilk ^ j.00 Ar— 117 ; ,y� b . �"�•� \ /py�0 b/� '"e5 N / 1So o "v' (L 2bb-20 105 3 \ y O `PA © 25 AC PPA RERE UNDER HE DIRECTION OF-THE i ol, BARWSTABLE.BOARD O�ASE9�OR8 � 2 .H.3. d AV4S AIRMAP INC.' Q :; 1 •� >, rr � MASSACHUSETT9 CONNECTICUT: ® C Ise ------ - _ ._4 f I ��o�^�'S �� �� � � 4 . Ear studs or other jewelry designed for earlobe piercing are not appropriate jewelry for other- body parts and must not be used by piercers . B. Hand Washing and General Health of Body Piercer - Before working on each patron, the body piercer shall : 1 . Inspect hands for small cuts and abrasions. 2 . Refrain from body piercing or handling equipment if they have open sores, weeping dermititis, or lesions on hands or arms until the condition has cleared. 3 . Refrain from body piercing until the condition has cleared, if they have a cold, flu or other communicable disease . 4 . Wash hands, wrists and up to elbow-with antibacterial solution. 5 . Dry hands thoroughly with single use disposable towel such as a paper towel or air dry under a heat" dryer. I 8 i 01/13/39 12:e4 RO_NDS & ARRUDA 15387906230 001 WILLIAM D. ROUNDS Attorney at Law 115 BROADWAY 111.(508)BW5444 TAUNTON,MASSACHUSETTS 02780 FAX:(508)822-3855 FACSIMILE TRANSMISSION COVER SHEET DATE: - 1 -") 1(C1 TIME: 0 FROM: � Lt-- I xQ.0 J' R�k K _.. OOMMENTS: This is a __a.. page facsimile transmission ( including cover page) - If transmission received .incomplete, please call (508) 880- 5444. NN.r NNNNN NNN NNNNN 1 NrNNNNNn.N NN N h N.Y.-•r hNNN M NNNNN N.YN NNN.YN NNNNN NNN•M.YhNMN The document( s) accompanying this fax transmission contain( s) information from the Law Office of William D. Rounds, which is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named on this transmission sheet . If you are not 'the intended recipient, you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this faxed information is strictly prohibited; and, that the documents should be returned to this firm immediately. In this regard, if you have received this fax in error, please notify us by telephone immediately so that we -can arrange for the return of the original documents to us at no cost to you. Thank you. NNN►N N�.NN N ti.0 NNNN. �.wrNwN NNNti r N�.N A.N N4s NNN4r NiY NN Nwr.YM NV NMNNNArN NN I•NNNNN NN 01/13/98 12:04 ROUNDS & ARRUDA i 15037906230 D02 WILLIAM D. ROUNDS Attorney at Law 115 BROADWAY TEL. (508)880-5444 TAUNTON, M.ASSACHUSETTS 02780 FAX:(508)822-3835 January 13 , 1998 Ms. Gloria M. Vreras Zoning Enforcement Jfficer The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street Hyannis, PEA 02601 YIA_E,AX TO 508-790-6230 Rom: 73 Sylvan Street, Hyannis, MA 289 074 Dear Me . 'Jrenas : ?lease be advised thac I represent Mr . Myron Turnuu;.l regarding the above-referenced property. My client has asked respond to your letter to him dated December 24, 1997 . This property was converted to two-family use by a tenant who had no authority to do so. This action was taken without my client ' s knowledge or, consent. It is Mr. Turnbull ' s intention to return this property to single-family use as soon as he is able to legally remove the new "tenants" from the property. A thirty-day Notice to Quit was served upon them on December 30, 1997 . I at-it presently having discussions with Attorney Richard Largay, who represents these "tenants" , and hope to settle this matter and get them to vacate the property without the need for litigation. However, Mr. Turnbull has authorized me to proceed w: th the legal eviction process immediately should we be unable to negotiate a reasonable settlement . It is not; clear to us why we would need to "apply for a building permit to restore the property to a single-family home" , as suggested in your letter. Would you please clarify this for. us? --hank you for your' courtesy. �ler ru re, William D. Rounds WDR:jmm i