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HomeMy WebLinkAbout1726 SANTUIT-NEWTOWN ROAD - Health 1726 SanGotult tiiit Newt®wn,Rd 4 r , DATE :10/4/02 PROPERTY AD DRESS : 1726_Newtown Road - ------------------ � / Cotuit,Mass. ------------------------ 02635 On the above date, I inspected the septic system at the a b o a-ad.dr-e.ss. This system, consists of the following: RECEIi/E® 1 . 6-6' X8 ' block cesspools OCT 1 0 2002 TOWN OF BARNSTABLE Based on my inspection, I certify the following Conditions: HEALTH DEPT., 2. This is not a title five septic system. �Z 3. This is sewage system. 4 . The sewage system is in proper working order at the present time. 5. Pumped main bathroom cesspool ( Rear ) Heavy solids layers' were present.Overflow cesspool is dry. 6 . Checked all of the cesspools. They are all st uctu a], y sound. SI G NATU R Name : J . P . Macomber Jr.. Company: Joseph _PJ_ Macomber _L Son , Inc . Address :_-BQ:i_ �_---- --- -- >; __Qu-te _Q-Z-632-0066 Phone : 5 0 8- 7 7 5- 3 3 3 8 ' ` THIS CERTIFICATION' DOES :'NOT CONSTITUTE 'A GUARANTY OR WARRANTY . . JOSEPH` P. MACOMBER & SON, INC..' Tan ks-Cesspools-Leachflelds. Pumped & installed Town Sewer Connections P.O. Box 66 Centerville, MA 02632-0066 775.3338 775.6412 COMMONWEALTH OF l iA SACHUSETTS r EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE S OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM t PART A CERTIFICATION Property Address:1 726 Newtown Road Cotuit,Mass. Owner's NameCblrl is Hamhl i n Owner's Address:Same ' Date of Inspection: 1 0 4 02 Name of Inspector: (please print) Joseph P. Macomber Jr. Company Name: J.P. Macomber & Sons Inc Mailing Address: Box 66 Cpn eryille Ma 02632 Telephone Number: 508-775-3338 CERTIFICATION STATEMENT I certif 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 tooSS ction 15.340 of Title 5 (310 CMR 15.000). The system: . t/ Passes Conditionally Passes ` Needs Further Evaluation by the Local Approving Authority F i l s Inspector's Signature: Date:` The system inspector sha mit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of c mpleting this inspection. if the system is a shared system or has a design now 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 authoriry. 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. N Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 1 I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address! 726 Newtown Road Co ui , ass, OwnerCharles Hamblin 4 Date of Inspection: 1 0 .4 02 Inspection Summary Check A,B,C,D or E/ALWAYS complete,all of Section D A. .Syst�a,,, - _Q I have not found any information which'indicates that any of the failure criteria described in 310 CMR F 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments; systemThe sewage is in proper working order at the present time- B. System Conditionally Passes: , _VP 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. �We,The se tic tanPstantial metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits su infiltration or exfil trapon 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.tnetal 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: W��e Observation of sewage backup or break out or high static water level in the iscribution bo ue to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with ' aIpproval of Board of Health):' r broken pipe(s) are replaced obstruction is removed. distribution box is leveled or replaced' ND explain: ,A The systern 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 Page 3 of ly , OFFICIAL INSPECTION FORM -NOT:FOR VOLUNTARY ASSESSMENTS , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ' CERTIFICATION(continued) „ Propert), Address:1.726 Newtown Road °j X Cotuit,Mass_ OwoerCharl'es Hamhl-i n Date of lospectioo; in 4 f Q2 R C. . Further.Evaluatio❑ is Required by the Board of Health Conditions exist.which require f inher evaluation'by the Board-of Healff7in order:to determine'if the system is failing to protect public health, safety or the environment. 1. Svstem.will`pass.unle'ss Board of Health`determioes;in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manper,which will protect public health,safety and the environment: 4 Cesspool or'privy is within 50 feet of a surface water Cesspool or privy is within 50.feet of a'bordering vegetated wetland br'a salt marsh r '. n u 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:: 10. The system has a septic tank and soil absorption"system (SAS)and the SAS is within 100 feet of a surface water supply or rributary to.a surface water supply: ; 4b The system has a^septic tankand SAS and the SAS is within a Zone I 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 tan}; and;SAS and the SAS.is less than 100 feet but' feet or moee.from-a private water supple well". Method used to determine distance "This system passes if the well,�vater analysis, perforined`at a DEP certified laboratory" for.coliform bacteria and volatile organic;compounds in that,the well is free from pollution from that facility and the presence of ammonia nirogen 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. ry s r 3. Other. <' This is a sewagessystem.The system consists of j 6-6 'X8 ' block cesspools . #1 &#2 cesspools in series handle the l- kitchen grey water and the washing marhinP' #1 rassppnl jhandles the bathroom downstairs . #4 Handles the bathroom and sink in the garage. #5 & #6 cesspools in series handle the main house bathroom. All are in proper working order at the r present.time. ' 3 Pane a of I I f OFFICIAL. INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Propem Address: 1726 Newtown Rnad CC-)t11i i:,_MaGS Owner: Charl ac Hamhlin Date of Inspection: 10,14,102 D. System Failure Criteria applicable to all systems: You must indicate "yes",or "no" to.each of the following for all inspections: Yes No = ackup of sewage into faciliry or system component due to overloaded or clogged SAS or cesspool 4 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 isrribuuon box bove outlet invert due to an overloaded or clogged SAS or /cesspool �/ iquid depth in cesspool'is less than 6" below invert or available volume is less than 1/7 day now " 777-- 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 suu•face water supply or tributary to a surface water supply. i/,Any portion of a cesspool or privy is within a Zone I of a public well. �Z ; portion of a cesspool or privy is within 50 feet of a private water supply well. y ponion of a cesspool or privy is less than 100 feet but greater than 50 feet [Tom a private water supply well with no acceptable water quality analysis. jTbis system passes if the well water analysis, periarmed 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.] (Yes.'No) The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303. therefore the system fails. The system owner should contact the Board of Health to 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 now 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 i i addition to the criteria above) • des V(he system is within 400 feet-of a surface drinking water supply system is within 200 feel of a tributary to e stu•face drink ingwater supply — the system is located to a nitrogen sensitive ara (Interim Wellhead Protection Area — IWPA) or a mapped Zone If of a public water supply well If you have answered "yes"'to any question in Section Ethe system is considered a significant threat, or answered "yes in Section D above the large system has failed. Tl.e owner or operator of any large system considered a significant threat under Section E or failed under Sectiot D shall upgrade the system in accordance with 3 10 CMR !5 304 The system owner should contact the appropriate regional office of the Department. 4 ?age 5 of i I OFFICIAL. INSPECTION FORMOO�TFOR TEM INSPECTION FORNINTS SUBSURFACE SEWAGE DISPOSAL PART B CHECKLIST Properry Address: 1 22_ NPt_f nc.in r?g�a ('p itii- Macgs Owner: Ch in .ar G Hamhl Date of lospectioo: 0 A 4-2 Check if the followin have been done You must indicate ' s" or"no" as to each of the following: Ycs o • _ _Y 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 (lows in the previous two week period? L ;/Have la.rgc volumes of water been introduced to the system recently or as pan 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'41cluding the SAS, located on site Were the se tic tank altholes,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 Yes no Existing information. For example;a plan at the Board of Health. y Determined in the field (if any or-the failure criteria related to Pan C is At issue approximation of distance �s unacceptable) (310 CMR 15.302(3)(b)) 1 5 Page 6 of 1 1 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1 726 Newtown' Road Cotuit,Mass. Owner: Charles Hamblin Date of Inspection: 10 4/0 2 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents: 1 Does residence have a garbage grinder(yes or no): ' Is laundry on a separate sewage system.( es or no)4V [if yes separate inspection required] Laundry system inspected(yes Seasonal use: (yes or no): A b Water meter readings, if available (last 2 years usage(gpd)):2 0 0 0—2 4, 000 gallons=6 5 7 6 GPD Sump pump(yes or no): 416 f 2001 —26, 000 gallons=71 . 24 GPD Last date of occupancy: p COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): etM Grease trap present(yes or no): Industrial waste holding tank present(yes or no):Ily Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: ,l Last date of occupancy/use: wig OTHER(describe): GENERAL INFORMATION Pumping Records , Source of information:. Pumped main cesspool at time of inspection. (rear) Was system pumped as part of the inspection,(yes or no): If yes, volume pumped: gallons-- How was quantity pumped determined? Reason for pumping:Pumped main cesspool for the main bathroom in the house.Haevy waste scum accumalation. . TY E OF SYSTEM Septic tank,distribution box,soil absorption system Single cesspool s+i Overflow cesspool � Privy -U6 Shared system(yes or no)(if yes,attach.previous inspection records;if any) VeInnovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank ,Gb Attach a copy of the DEP approval Other(describe): Appro imate age of all comp e ts, date installed (if known)and source of information: Were sewage odors detected when arriving at the site(yes or no): 40 Page 7 of 1 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1 726 Newtown Road Cotuit,Mass Owner: Charles Hamblin Date of Inspection: 1 0/4/0 2 BUILDING SEWER(locate on site plan) � �� 4" orangeberg pipe through Depth below grade: out the intire system. Materials of construction t iron eNO PVC /other(explain): Distance from private water supply well or suction line: id 7` Comments(on condition of joints, venting, evidence of leakage, etc.): Joints appear t-ight- mn P17i rient-a of lGiakage.The systems are vented through t e house vents. SEPTIC TANKA&t E(locate on site plan): Depth below grade: AM Material of construction: concreteit%it/,�metal,,4fiberglass�olyethylene ALNother(explain) If tank is metal list age: _ is age confirmed by a Certificate of Compliance (yes or no):jV/?(anach a copy of certificate) Dimensions: Nrr Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: . Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of.leakage, etc.): Septic tank is not present GREASE TRAP.[,�Zlocate on site plan) Depth below grade:OA J Material of construction/ concreterfi�metal�T/�fiberglass d//-polyethyleneXOother (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.): C;rPasP t-raj] is not—pressen1=s 7 Page 8 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURTACE SEWACE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:1 726 Newtown Road C-otui t.Ma ss Owner: Charles Hamoiln .Date of lospcctioo: TICHT or HOLDINC TANK4WJ&(tank myust be pumped at time of inspection)(locate on site plan) Depth below glade: A1W Material of construction: concrete AM mctal,±/,# fiberglass,&�t polyethylcne,l/d othcr(explain): Dimensions Capacity. gallons Desien Floes- gallons/day Alarm present (yes or no): Alarm level: �' _ Alarm in working order(yes or no): Date of last pumping: 44 Comments (condition of alarm and float switches, etc,): Tir;h;` ar holding tanks are not present. DISTRIBUTION BOX. (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): not present. PUMP CHANIBER!["(locate on site plan) Pumps to working order (yes or no) ' Alarms to working order (yes or no): Comments (note condition of pump chamber, condition of pumps and appunenances,'eIc.): dump chamber . is not present. 8 b s Page 9 of 1 I ^ OFFICIAL INSPECTION FORM =NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1 726 Newtown Road Cotuit,Mass. Owner: Charles Hamblin Date of Inspection: 1 0/4/0 2 SOIL ABSORPTION SYSTEM (SAS): (locate ou site plan, excavation not required) 6-6 ' X8 ' block cPssnocls If SAS not located explain why: Type VO leaching pits, number: �} .Ub leaching chambers, number: d AZ leaching galleries,number: Q ,06 leaching trenches,number, length: Z> leaching fields, number,dimensions: d f overflow cesspool,number: p� 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.): Loamy sand to medium- fine sand No signs of hydraulic failure n_r T nnrli nr qni 1 G arP HrY _yeq°p-Ati an i s nnrmal CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Ie "o c,rm Depth—top of liquid to inlet invi ft: OF.-,"X Depth of solids layer: Depth of scum laver: iJ—�J Dimensions of cesspool: �( Materials of construction: Bi'� Indication of groundwater inflow(yes or no):O Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition.of vegetation,etc.): Same as ahnvP PRIVY (locate on site plan) Materials of construction: Dimensions: Depth of solids: ilJ Comments (note condition of soil,-signs of hydraulic failure, level of ponding, condition of vegetation, etc.): ri Vy is not present 9 OFF ICLA fNSPCCTION„PORN(- NOT FOR VpL,VtYT SUBSURFACE SEwACE DI.SPpS,`,L SYSTEM INSpSCr,ONEFORh,! PART C } SYSTEM IN PC)RMATION (conllnvcoj '1 726 Newtown Road Cot ui ass. 0-0r1. arles Ham in 0I1r oI Inlpcci oo; 4 02 s��rcN Or SCWACC DISPO�, IL SYSTCM Ao oc r Itc,cn of ins ,c..I lc oirpo10 Iylicm Inclvdln` II<t to 11 Icui rwo ptrTriancnl rcfcrcncc t!/1Cmara, 100 !ram wncrr air( Ivpply cnlcrl Inc Dviloinl . t t 187 - ID p .� o or f3 A(il � ' il�c �� �n 10 -44/i�AR�t=L 21. Dj�CP 1 . 1 C.O. C.B. 4/ / 1' :f- YY / 0 YY / Y 0 � NO r/n /�-�PC�FSAs FM `y 1 CEC'/!� I G a o a sPE-E� • 187.4� K i- ' 1 9 y8 owN a F f3 q R sTA(31 C-7- n s �4(, i AQC&7jL z� P 3 . SR o 0, o �. 77 7-0 V✓� -lee4 A o ��P`SIA of Mgssgc or CHARLES y o SAVERY U RZ O T 1OLAA/' OX-L An/o No s�K {o� Al?-c.///T- 48A *Ae rA 43 L 4F v�,4ss Fo '=30' Cll- Ae4FJO 4 O eA 7114 oelAlE- tit AI "Il l .Page I I of I 1 ` OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 17 2 6 Newtown Road, C'.nttii t-Mass. Owoer:(+ arl Ac Hamblin Date of inspection: SITE EXAM Slope Surface water Check cellar Shallow wells - Estimated depth to ground water 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: eVA Observed site(abutting property bservation hole within 150 feet of SAS) iUb Checked with local Board of Health-explain: Checked with local excavators, installers- (attach documentation) —� Accessed USGS database-explain: http; //town,barns table.ma.us. You must describe how you established the high round water elevation: Used: Gahrety & Miller Model. 12/16/ 4 Ground water elevations above sea level. Used; USGS• Observation well data. June 1992 Used; USGS• Technical bulletin 92-000-1 Plate `#2 Annu.al ranges of grounff water elevations_ January_ 1992 un 6—Block cesspools. Groundwater t eet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method Therefore, the vertical separation distance between the bottom Of the leaching pit and the adjusted groundwater table is f� l feet. 11 I t y.�+n r+•-n:^r--rr' rrr.-m--r-, r-+r.rnr..r.r.::r.r Tr.*:+*r-1-�m m-1z.:**s-v�cr.rr—. .. a _ . 'I'UNtI OF Barnstable BOARD OF HEALTH SU[IS UR PAC F 9FWA(,E D,1 SPOSAL SYSTEM INSPECTION FORM PART D .- CERTI FI CATION •.•—•••.T••.'•..t—5.11:^.�.T1.T..-.Ti•n:1Tl T T m.Tl/a-.T-�-.r�•.1^{'i'*l�i Tnlvf—TT+c..a4 m^mTn'><TTR.T1 - - n*nn•++rrrr.rt�T-r-rrrTr.:—.rrrr•�. —. -TYPE OR PRINT CLEARLY- G PROPERTY INSPECTED Al STREET ADDRESS 1726 Newtown Road Cotuit,Mass. ASSESSORS MAP , BLOCK AND PARCEL # 46-21 OWNER' S NAME Charles Hamblin . PA1?7' D CERTIFICATION I NAME OF INSPECTOR Joseph P. Macomber Jr COMPANY NAME Joseph P. Macomber &-tOn._ Inc COMPANY ADDRESS Box 66 Centerville Mass 02632 Street Town. or C1ty 5tat1 CIP COMPANY TELEPHONE ( 508 ) 775-3338 FAX,: ( 508 )•790-1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposaj system at this address and that, the information reported is true , accurate , and omplete as of the time of ,.inspection . The inspection. was:: performed and any recommendations regarding u" grade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems , Check one ; �Syqteai PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public r health o the environment as defined in 310 CMR 15 , 303 , Any failure criteria not evaluated are as stated in the .FAILURE CRITERIA section of this form .- System FAILEll#, The inspection which I` have. con' --acted has found that the system fails to Protect the -Public he_iilth and the environment in accordance with Title 51 3.10 CMR, 15 , 303•, and as specifically noted on PART C - FAILURE CRITERIA of this inspection form ) Inspector Signature Date id"-yam. ne copy of this e ification must be provided to the OWNER, the BUYER ( where applicable and the DOARD OF HEAL'1'1I• * If " the inspection FAILED , the owner or"operator shall upgrade ' the eyetem within one year of the 'date of the inspection , unless allowed or required _ otherwise as provided in 3.10 CHR 15 . 305 , partd . doc 1� s 5 No. ( � — 1L4 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZippliLation for Zispo8al 6pBtrm Construction 3PPrmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑Individual Components Location Address or Lot No. T _ Owner's Name,Address,and Tel.No. Assessor'sMap/1'arcel /1£wTa,.)✓t ;s 31ir) —72 (D Si9✓►'TV� �FcJrt' �D Installer's Name,Address,and Tel.No. y ✓ Designer's Name,Address,and Tel.No. 1SW All TdAuc_ QAS7147f, 1�pe of Building: Dwelling No.of Bedrooms A Lot Size 7#4 DES sq.ft. Garbage Grinder( ) Other Type of Building (Z�S f�vt T- •r No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 13 i`►✓10 D n G FS sob Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar ealth. Signed t Date /lq Application Approved by Date ^/y Application Disapproved by Date for the following reasons Permit No. —1 Date Issued ~ L/ I • . - lL45 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 21ppYication for Nsposal *pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑Complete System ❑,Individual Components j Location Address or.Lot No. ('�Z 6 �An TJ T _ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel n£w-r `"J n g�.m M 6 [""r q✓YI�311''1 -7 Z 6 T Installer's Name,Address,and Tel.No. a Designer's Name,Address,and Tel.No. �U✓I SW ti rL£ L �av1 �� I Type of Building: ', Dwelling No.of Bedrooms Lot Size 8T#CAf5' _so!jft. Garbage Grinder( ) Other Type of Building No.of Persons `�, Showers( ) Cafeteria( ) Other Fixtures i Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title r. Size of Septic Tank Type of S.A.S. .� Description of Soil I i Nature of Repairs or Alterations(Answer when applicable) .I} 13 19✓10 O n C£S SPD t S Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar ealth. Signed Date C �y Application Approved by Date 5 6 Application Disapproved by Date for the following reasons Permit No. a I — 'L( Date Issued L( --' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned Nby at 4 — has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0 4—/L5 dated Installer / Designer #bedrooms / " Approved design flow gpd The issuance of thi7)� h 1/1 not be construed as a guarantee that the system will-• ctio esigned. Date / Inspecto(r -----------l------------------------------------ -- ------------------ No. O '�1' !�'' Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS ]Disposal 6pstem Construction Permit Permission is hereby granted to Construc ( ) R pair( ) Upgrade( ) Abandon System located at T co and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. _ 1 Provided:Construction must be completed within three years of the date of this permi� Date ��L( Approved by 361 / 87 CD O CIO • � rn Pik �. De,E P UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10}, -Sender Tlease print.yourname,address;and'ZfP+4"m-th-is`boz`• I I i iiiffillif�lii!{iiii'i#{iiii;i! �� j SENDER: • •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A S' t re I item 4 if'Restricted Delivery is desired. ❑Agent ■ Print your name and address orithe reverse S. ❑Addressee,., so that we can return the card to.you. g. eiv by(Printe Npp e) C. Date of Delivery I ■ Attach this card to the back.of the mailpiece, 0An C' or on.the front if space permits. D. Is delivery address different from item 1? -0 Yes 1, Article Addressed to: If YES,enter delivery address below: ❑ No _ I Charle 'Hamblin, Estate of { 1726 S, tint-Newtown Road f 3. Service Type Cotult,TMA' 02635 ❑Certified Mail ❑Express Mail .0 Registered E.Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) 1.Yes 2. Articl6'Number - (Transfer from service labeq f 7 012 �010 0000 2851 2736 PS.Form 3811.February 2004 Domestic Return Receipt '+02595-02-M4546 1 Postal CERTIFIED MAIL. RECEIPT m. (Domestic N For delivery information visit our website at Ymv.usps.coma 17 ,-� 0 . ,n CO Postage $ ru Certified Fee Vol O tmark E3 Return Receipt Fee e O (Endorsement Required) 0 Restricted Delivery Fee 14 O (Endorsement Required) p Total Postage&Fees $ rq �(111{1f n . c Charles Hamblin, Estate of r 1726 Santuit-Newtown Road Cotuit, MA 02635 Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. ■ Certified Mail is notravailable 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. C IMPORTANT:Save this receipt and present it when making an inquiry.-' PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 . F. opt , Town of Barnstable Barnstable HE Regulatory Services Department. MAM Public li Health Division 16.39. 2007 200 Main Street, Hyannis MA 02601 . Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 000.0 2851 2736 April 07, 2014 Charles Hamblin, Estate of 1726 Santuit-Newtown Road Cotuit, Ma 02635 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5. • The septic system located at 1726 Santuit-Newtown Road, MA,was last inspected on 3/28/2014 by Frank Nunes 111, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Fails"under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following; . Cesspool Ws 3 and 4 "Fail' under the guidelines. 0 These cesspools must be abandoned and the plumbing re-routed. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system with in the deadline period.will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH ean,R.S. CHO Agent of the Board of Health QASEPTICU.etters Septic Inspection Failures or Future Evahl726 Santuit-Newtown Rd Cotuit2014.doc . Parcel Detail ' http://issgl2/intranet/propdata/PareelDetail.aspx?ID=1243 ._.�f� r1 _ . n _ VAIt "ST 601 E, Logged In As: Pa I'CeI Detail Monday, April 7 2014 Parcel Lookup - Parcel Info Parcel Developer r'— ID 023-021 Lotf Pri f _ Location 117 S62 ANTUIT-NEWTOWN ROAD ( Frontage Sec Sect Road Frontage' Village jCOTUIT -� Fire District ICOTUIT Town sewer exists_ at this , Road r1425 � address INo Index 1 ! Interactive Map �! - Owner Info Owner HAMBLIN, CHARLES E , Co- Owner Streetl 11726 NEWTOWN ROAD Street2 - City JCOTUIT State lMA Zip J02635 Country Land Info ----�...-- _ .. -- - ..........-......... ............................... .................-..... .... _ Acres 11.84 J Use Single Fam MDL-01� Zoning RF � Nghbd 10105 Topography Level Road j,Paved _ Utilities Public Water,Gas,Septic Location y Construction Info Building 1 of 1 Year --- Roof - Ext r-- 1956 Gablep Wood Shingle Built Struct` Wall Living j 1452- I Roof AI" sph/F GIs/Cmp. None AC Area Cover Type' BUST Style Cape Cod , Int Drywall ^) Bed 2 Bedrooms ^� Wall Rooms " Int i Bath r —------ , s � Model Residential Car et 2 Full °� Floors P � Rooms i Grade Average Heat I.-.--Water)-`�� Total�5 Rooms Type Rooms Stories,1 Story Heat Oil I Foundn jConc. Block Fuel anon Gross http://issgl2/intranet/propdata/ParcelDetai1.aspx?ID=1243 4/7/2014 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 3/28/14 Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. A. General Information 1. Inspector: Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 City/Town State Zip Code 508.272.6433 Telephone 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 16.000).The system: ❑ Passes ® Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 3/28/14 Inspec s Signa ure 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 i the same or different conditions of use. d � I 1726 Santuit Newtown Rd•03108 Title 5 Official Inspection Fo u ace Sewage Disposal System•P ge 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1726 Santuit Newtown Rd Property Address Hamblin Owners Name Cotuit MA 02635 3/28/14 ` Cityrrown 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: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Pumping suggested every 3 yrs to prolong the life of the system 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 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. ND Explain: **This property has 2 overflow cesspool systems and 2 single cesspools. The single cesspools"Fail" due to regulation. Typically they are pumped and filled with clean sand. All plumbing to them should be rerouted or abandoned. The single cesspools are#3 and#4 as depicted on pg. 14. 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 r. pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ` ❑ obstruction is removed 1726 Santuit Newtown Rd•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts, u u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 3/28/14 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain: n/a ❑ 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: n/a 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 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. 1726 Santuit'Newtown Rd•03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1726 Santuit Newtown Rd Property Address Hamblin Owners Name Cotuit MA 02635 3/28/14 Citylrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: n/a 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 %day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: I ❑ ® 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. 1726 Santuit Newtown Rd•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °< 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 3/28/14 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ ® 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 ❑ Elthe system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 1726 Santuit Newtown Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 3/28/14 Cityrrown State Zip Code Date of fnspection 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: Z ❑ Existing information. For example, a plan at the Board of Health. ® El 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)] 1726 Santuit Newtown Rd-03/08 Title 5 Official Inspection Farts:Subsurface Sewage Disposal System-Page 6 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wMt 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 3/28/14 Cityrrown State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms(design): 3+ Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 220 Number of current residents: 1 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 Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 89 GPD 9 ( Y 9 (gP ))� Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: n/a 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: Last date of occupancy/use: pate Other(describe): n/a 1726 Santuit Newtown Rd-03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 3/28/14 City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Cesspool#5 pumped 2/21/14 per owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ® Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 1956 per age of home Were sewage odors detected when arriving at the site? ❑ Yes ® No 1726 Santuit Newtown Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , ' 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 . 3/28/14 City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 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.): cast to orangeberg Septic Tank(locate on site plan): Depth below grade: n/a feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? 1726 Santuit Newtown Rd-03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 3/28/14 Cityrrown 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.): Pumping suggested every 3 yrs to prolong the life of the system Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): n/a 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 Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): n/a Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below'grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): n/a 1726 Santuit Newtown Rd•03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 3/28/14 Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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.): n/a *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert n/a Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 1726 Santuit Newtown Rd•03/08 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 3/28/14 CityrFown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): n/a Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: leaching chambers number; ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 2 ❑ 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.): Overflow#2 as depicted on pg.14 is dry at this time, it is of typical 6'X6"block construction, cover raised to 12"of grade, no indication of backup. Over flow#6 has 6"of effluent at this time, is of typical 6'x6' block construction, cover raised to 18", no indication of backup 1726 Santuit Newtown Rd-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M . 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 3/28/14 City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 2 serving 2 separateoverflows as depicted Depth—top of liquid to inlet invert #1 3'and#5 1' Depth of solids layer #1 6", #5 1" Depth of scum layer #1 &#5 trace ,Dimensions of cesspool 6'x6' Materials of construction block Indication of groundwater inflow ❑ Yes ® No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Cesspools are functioning as holding tanks no indication of backup. Cesspool#1 demonstrates that it is leaching at this time. Cesspool#5 is not, but this is normal 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.): n/a 1726 Santuit Newtown Rd•03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 3/28/14 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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. O V E CZE9 v VtT to 01) L , a� L(TI 1726 Santuit Newtown Rd•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 { Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , ' 1726 Santuit Newtown Rd Property Address Hamblin Owner's Name Cotuit MA 02635 3/28/14 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground >20'water: 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: You must describe how you established the high ground water elevation: see above 1726 Santuit Newtown Rd•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 ,Town of Barnstable Barnstable Board of Health A..A,edcarftv I.* BABNSTABLE, y MASS. g 200 Main Street,Hyannis MA 02601 i6S9 ATED MAt A 2007 Office: 508-862-4644 Wayne Miller,M.D.- FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi October 26, 2007 Mr. Charles Hamblin 1726 Santuit-Newtown Road Cotuit, MA 02635 RE: 1726 Santuit-Newtown Road, Cotuit A='023-021 Dear Mr. Hamblin, The Board of Health has no objection to the acceptance of grass.and leaves at your, address at 1726 Santuit-Newtown Road, Cotuit. You are granted conditional approval. The approval is granted with the following conditions: 1) The owner/operator shall maintain the grass and Leave piles a minimum distance of fifty (50) feet away from any property lines. 2) The owner/operator shall take appropriate measures to prevent public health nuisances (i.e. odors) which may be caused by the grass.piles and leaves. r Sin rely yours ; yne iller, M.D. Chair an BOARD OF HEALTH TOWN OF BARNSTABLE Postal CERTIFIED MA LTM' RECEljpT D (Domestic Mail Only; Provided) N For delivery information visit our website at www.usps.bome OFFICIAL U =- ru Postage $co Certified Fee /J Postmark O Return Receipt Fee F• / Here p (Endorsement Required) / �1 Restricted Delivery Fee n4Ql ®tfv O (Endorsement Required) r1IW+ Q r—i Total Postage&Fees v.\ �y ti ' Street,Apt:700-- or PO Box No. ��----� ----------------`----------. ------------------ City;State,ZIP+4 �©/Tj PS Form :00 August 2006 See Reverse for Ins(ructions `�`4' Certified Mail Provides: ■ A mailing receipt ''" ■ A unique Identifier for your mailpiece ■ 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 38111 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°RestdctedDeHvety. • 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 when making an Inquiry: PS Fonn 3800,August 2006(Reverse)PSN 7530-02-000.9047 Postal CERTIFIED MAIL,. RECEJPT (Domestic Mail Only; rR ru For delivery1 I our websiteI 10 107 ru - Ul Postage $ ` CO . rR Certified Fee O Return Receipt Fee r+t Here d� O (Endorsement Required) ��` e Restricted Delivery Fee 0 O (Endorsement Required) Lr)rR Total Postage&Fees $ rU —0 Sent Trkj CAA or PO Box No. f f7�J' �Q �Q City State ZIP+4..L.l..Y. ..... ........Le+ '�.:...........�" Certified Mall Provides: • A mailing receipt A' ■ A unique identifier for your mailpiece • A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified'Mail may ONLY be combined with First-Class Mall®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 38.111*to the article and add applicable postage to cover the fee.Endorse mailplece Return Receipt Requested°.To receive a fee waiver for a duplicatwreturn,receipt,a LISPS®postmark on your Certified Mail receipt is required. '1 ;�- ■ 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 Mall receipt is desired,please present the afti- 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 when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047 Postal fll (DomesticOnly; . . Provided) ru NFor delivery info on . . e Er ru Ln Postage $ CCer. # Certified Fee f'�O Retum Receipt Fee 7 O (Endorsement Required) JC Restricted Delivery Fee(Endorsement Required)Ln H Totai Postage&Fees $ .V ru Sent To! V':: ..:.. . ufree�Apt o., � !� •• :....••---- N orPO Box No. Cty,State,ZIP+4 CL ,— -A _ a Chat 3S Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ 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. r' ■ NO.INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Retum Receipt may be requested to provide proof'of delivery.To obtain fletum 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 LISPS®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 when making an Inquiry. PS Form 3600,August 2006(Reverse)PSN 7530-02-000.9047 oFt�r� Town of Barnstabled1 Board of Health i 200 Main Street - Hyannis MA 02601 01 +` i63q. 10 �ATED MA'S A j? Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on AlqzA 2 c O the Petitioner(s), �h I �I _ regarding the property at /7o?;G "�/'c�.%�— l e.�/iWn 17, the petitioner(s)and the Board of Health agree that the Board of Health has until 9 , 0(767 (insert date)to act upon the Petitioners'completed application for a variance. In executing this Agreement, the Petitioner(s) hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. Petitioner(s): Signatu Board of Health: Petitioner(s)or PetftiodeCs Representative /1 Signature: Print: (i� &MAW Chairman Print: Wayne Miller, M.D. Date: —62--Z d - Date: Address of Petitioner(s)or Petitioner's Representative Town of Barnstable Board of Health Town Hall Public Health Division Office 200 Main Street, Hyannis, MA 02601 Phone: (508) 862-4644 Fax: (508) 790-6304 file q:extend.doc ti �rT March 20- 2007 Cotuit , Ma.. Dear Dr .. Miller, For the last fourty years I have been accepting grass clippings and leaves from friends to enrich the soil of a landfill project , the material used. for filling is not suitable to support vegetation without enhancement . Last -fall an agent from the Board of Health called my . attentiun to a town ordinance prohibiting accepting grass and leaves on my property. I do not allow this material to accumulate , it is tilled into the soil . I have had excellent results in past years growing grass et .,', I would to continue . Is there any way possible to do this leaglly? Yours Truely Charles E Hamblin Charles E Hamblin -._1.7.26-.Santui•t-Newtown Road 4Cotuit , Ma 02635 2525 Tel . ( 508) 428-2890 50 ZI , _ f DUMP ' NO-LEAVES NO-GRASS 71 WANTED r- CLEAN WN -_ -..� +,a� 'y .X"„ ._� f: S- •`. .-_.i.\K N`��5 "�a r- �`;�.'wy '� Rt✓-e��¢�C �~�'IF .�` •t tf al� �� '�'�-• ��.-_''-'^1'Y_``E�,}i. t ,gy p 4 9 } J `W17 +y :H. �''�'�' s 1M�'„•.»�r �'�'�it:'.rr at4�` -'+Py�`�_,�. ,.'"C.. _ _.�� _4 }..:r.! --.�, .�X= .gyp' }� - _. .. "� Y l a r; f��y a,• Y• .' ��+y.. +�.- %�..gill, �•.,>f',ti� W. i , sue.� �' �� �'I �, �' f� � � .t 4' � �� � � - �+.J.���'"��.1'��'.►- � r_ - - �"�-•�� rr,. - - + t ,�� 7 �++L' � '�f�� yV.{ ��',- },�i 1,'�.;. rn at'1 r�' �,:,� ! !' tj- . ks / u. t r';� 14 / e - �y w -} J u 1 - .R i�^ _ '� .@llr.�. i• ^,,'. r wes'�.'.ems e let &40 "t 1 A t! . ♦1 y l! w t I�- 1� � UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Charles E. Hamblin ! 1726 Sanhrit-Newtown Rd Cotuit,MA MC05-2526 ---—, 4 tii,I„111I ills sills III Illit„111111111111111111111 I SENDER: COMPLETE THIS SECTION COMPL,ETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3:Also complete A. Signature item 4 if Restricted Delivery is desired. 0 Agent X ■ Print your name and address on the reverse Addressee. so that we can return the card to you., B.,Received by(Printed Name) C. Date f Del' ery ■ Attach this cans to the back.of the mailpiece, 6 or on the front if space permits. D.is delivery address different from item 17 .❑ s Y 1'.. Article Addressed to: If YES,enter delivery address below: ❑ No �9 r 3. Service Type n ' ',-,7ertified Mail ❑ Express Mail ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. - l l 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Articl t frranI #7006 2150 00:07, 8542�`9208 }r� � , PS Form 3811,February 2004 Domestic Return Receipt 1.02595-02445401 UNITED STATEr,.R Z iL cS QE sw ;$8�' 3,, x.. P+�ra„ P:1/[� C° S7}ys.�{h�pl 23 APR per, X� 7 PM • Sender: Please print your name, address, and ZIP+4 in this box • Charles E. Hamblin 1726 Santuit-Newtown Rd CotW4 MA 02 63 5-2 52 6 Mill 111111i!`tS1Ji III 11'11lI11.11111 III 1111ii1 III 1111111111111 SENDER: cOMPLETE THIS SECTiON COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. ture item 4 if Restricted Delivery is desired. ❑Agent Sig ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B eceived"by(P'nt ame) C. Date.f De very ■ Attach this card to the back of the mailpiece, l/ t� or on the front if space permits.. !` D. Is delivery address different from it 1 ❑Y 1. Article Addressed to: + If YES,enter delivery address below: ❑No i 3. Serv'ce Type ertified Mail ❑Express Mail Registered ❑ReturnReceipt for Merchandise Insured Mail ❑C.O.D. 4. Restricted Deli4ery?(Extra Fee) ❑Yes 2: Article Num6ec J 70061 215,0,J0`001h8542 9239; PS Form 31311,February 2004 Domestic'Return:Receipt 102595-024--1540 I I UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Charles E.Hamblin 1726 Santuit-Newtown Rd. Cotuih MA 02635-252ti I ii�lttlttt�}��t!}}tt}tli�!!litllll�ffl }1tIF!!tt}l�ti�l4ltt��-� SENDER: COMPLETE THIS SECTION ■ Complete items 1,2,and 3.:Also complete A. Signature .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. g, eceived by(Printed Name) C.-D qt very • Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 11 ❑Yes 1. Articles Address to: if YES,enter delivery address below: ❑ No I 3. Service Type ertified Mail ❑Express Mail � ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes i 2. Article Number - - (Transfert, it 57006; 2s15O 'DOO1 8542{ 9192 i ti ti i PS Form 3' 1 1,F-ebruary 2604 Domestic Return Receipt, 102595-02-M-1540 J i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.0-10 • Sender: Please print your name, address, and ZIP+4 in this box• LL:17,226Santwt-NewtownRd. arles E. Hamblin 6otuit,MA 02635-2526 I .. . . . SENDER: rr .. ■ Complete items 1,2,and 3:Also complete els n ure item 4 if Restricted Delivery is desired. ❑Agent P Print,your name and address on the reverse �'� ❑Addressee. so that we can return the card to you.. eived by f P' ame) C. Dat of De ery ■ Attach this card to the back.of the mailpiece, i Y" or on the front if space permits. D.is delivery address different from item ❑Y 1,., Article Addressed to: If YES,enter.delivery address below: ❑No v r� >3. Se ' Type ertified Mail ❑Express Mail y ❑Registered ❑Return Receipt for Merchandise 000 VVVV ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2' A��7006 2150 0001 8542 9185 I PS Form 3811,February 2004 Domestic Return Receipt 1102595-02-M.`1540 A UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box• =Santuit-rjemown � � SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1.,2,and 3.Also complete A. Sig item 4 if Restricted Delivery is desired. ❑Agent ■ Print,your name and address on the.reverse ❑Addressee so that we can return the card to you. B. Rec y Pd ed Name) C. Dat of Del' e ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1 Yes 1. Article Addressed to: If YES,enter delivery.address below: ❑No 3. Service Type ❑Certified Mail ❑Express Mail ❑Registered, ❑Return Receipt,for Merchandise i� ❑Insured Mail p C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article NumHar_ �(rrani 7006 2150 0001 8542 9222. P' S.Form ,February 2004 Domestic-Return Receipt 1025M-027M-1540 CERUFleg "Charles E Hanibliit n� 1726 Satituit-Newtown Rd Cotuit MA 02635-2526 pOSTA.GE U•SpAID . a . • ,. • ."�-,�'� ! R� - -�---�.AMOUNT�_._, .� � ':`�� ,,,..p 7006 2150 0001 8542 9215 :UNITEOSTATS fk•—�— _-.�—. N_x.._X Z_. E..._ �_ _ r.``Y.`,_� � ``4�r,ff.;� a �.�`, . ` _ ___,r. ' ',, 00013�50 = rP �O 0000 02635N. efr . Richard` VanKJr =Newtown :oad1ti7. � SuftQx at .. 02 f7. ✓ tJJt�7 a, to ,�� .tip , e ,-,4'F �. Ra-rURN 7o %,eNDaR I>tu ,t: `Nra: �Z635... .'_� .., �._.._ UNCLAIMED Y � 1 F �� UNABL.0 To roRWARDGC: 026ZS252826 I���`� 2184—q7 alo-19-40 F At �� lil,,,,,I'1,Ii,,,,ll„I,1,,,I,I,),1►„l,l,ll„„1,i,11,>,,,lil � •� � � _ A���•Y I ' r =11: • - I I ■ Complete items 1 2,and 3.Also complete 7Rereived ❑Agent I I I item 4 if Restricted Delivery is desired. ' ■ Print.your name and address on the,reverse ❑Addressee I so that we can return the card to you. y(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? 0 YeS 1. Article Addressed to: If YES,enter delivery address below: ❑ No I I I I i1 [ 3. Service Type r7 �ertified Mail ❑Express Mail c L 0 U/� \v tG 0 Registered O Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yee I -> - -- - 2. ArticieNui 7006 2150. 0001 8542 9215 % I (Transfer fi 102595-02 M-1,540I PS.Form 3811,February 2004 Domestic-Return Receipt I I . .'�►e I 11 I- -TF—f-F T! t 1,if 11 t t April 19 2007 Cotuit, Ma. Dear neighbor, On Tuesday May 22nd I will appear before the Town of Barnstable Board of Health,in the hearing room of the Town Hall at three P.M. I am seeking relief from Chapter 353 of the town ordinances prohibiting accepting grass clippings and leaves onto my property. I need the grass and leaves to enhance the soil so I may produce a ground cover. For the last fourty years I have been using grass and leaves with excellent resultes. I would like to continue. This announcement was orded by the Board of Health for all of my abhtters Charles E. Hamblin 1726 Santuit-Newtown Road , Cotuit, M . t General Code E-Code Library 04/18/2007 10:23 AM Chapter 353: NUISANCES [HISTORY: Adopted by the Town of Barnstable Board of Health as indicated in article histories. Amendments noted where applicable.] ARTICLE I Storage of Garbage and Refuse [Adopted 5-21-1980; revised 8-24- 1999, effective 9-2-1999 (Section 1..00 of Part VII of the 1991 Codification as updated through 6-1-1996)] § 353-1. Responsibilities of owners and occupants. The occupant of any building used for business or habitation shall be responsible for maintaining in a clean and sanitary condition and free of garbage, rubbish, other filth or causes of sickness in that part of the building and outside area which he occupies or controls. The owner of any building, vacant or otherwise;:or parcel of land,shall,be responsible for.maintaining such, building,or-land,in.a,clean,and• sanitary condition, free from garbage, rubbish, or other refuse. § 353-2. Stoiage;of garbagetand•rubbish. Garbage, or mixed 'garbage and rubbish, shall be stored in watertight receptacles with tight fitting ,, material.Said`receptacles,;and covers shall be constructed of metal or other durable, ro den tproof.:, Sw; -' `�3 . a4 .i..'{r .�.r a.. v > �i-F')., �S� :5�.�•,` �r`� 'r�r., °.11,3��r V .:i , i�j 5�ey ',�2 353-3. Definitions. " As ;used, in,thin chapter,yrth, .following. terms shall haves the meanings indicated:,; s GARBAGE —,The animal; vegetable, or other organic waste.resulting from.the handling, preparing,'cooking, consumption. or cultivation of food, and containers and cans which have contained food unless such containers and cans have been cleaned or prepared for recycling. RUBBISH — Combustible or noncombustible waste materials, except garbage, including but not limited to such material as paper, rags„cartons, boxes, wood; bottles, plastic;.rubber, leather, tree branches, yard trimmings, gr�lipoings, tin cans, metals, mineral matter', glass, crockery, dust, and residue from the.burning of wood, coal, coke, and other combustible materials. § 353-4. Minimum setback to abutting property line. No person shall store any rubbish or garbage less than 10 feet away from an abutter's property line. Where. compliance;with,this.:provision is not possible due to existing,„physical:constraints of the property, the refuse:.container(s) shall be, set back away,from:the,propert y.line-to the maximum separation distance feasible. § 353-5. Screening of refuse storage areas in other than single-family dwellings. Storage of.refuse from commercial.buildings, lodging ,houses, :multiple-family;dwellings,. municipal buildings and other business establishments (excluding single-family,dwellings) shall be as,follgws: All outdoor rubbish and garbage storage areas shall be located in an area which is screened from the neighbor's view and,from public view. Said, screening may be in the form of fencing, evergreen trees or other plants capable of providing year-round screening, located around the refuse storage area in http://www,e-codes.generalcode.com/code boohframeset.asp7t=tc&p=2043%2D353%2Ehtm%23Section353%2D2%2E&cn=974&n'=[1][758][881][9731[974]'b ';,.;,Page_;1 of 2 t r I r 'Ski•.. 1 �y:�'` � - , •` yr, r i r ' _ V � .f r : �� -�,1 �• + 'yy�I � �' ..rt•a..s_.0 :+r` J`.; � 'y • � us. ��rz 44 � TOWNOF BARNSTABLE — UIa1D..KRGR_ NDµ FUEL ANDS CHEM I CAL STORAGE REGISTRATION OWNER AND INSTALL R'`fiIVF_ORMAT �ON ADDRESS: OWNER NAME: � P f �- A`J /N• VILLAGE: INSTALLATION DATE: BY:•---� �—{—=:/. o._ ��l . ADDRESS: ' C✓1 PH 0 �J�� RTi. NO. I TANK I�IVFORMATION_-- tt r P /V 6 ( -SRo A Q LOCATION OF TANK: CAPACITY TYPE AGE FUEL/CHEMICAL rlsg,'-J TESTING CERTIFICATION C ] PASS C ] FAIL DATE � [ LEAK DETECTION C�] CHECK IF N/A TYPE/BRAND ' { '1 . ZONE OF CONTRIBUTION I YES C ] NOf - DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED YES E ] NO DATE _�I\AN\`:;� L:UNSER4AiION EJ3 CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ ]E ]E ]E ] DATE PLEASE PROVIDE A SKETCH- SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD r� /// I �► KEEPING YOU ORGANIZED No. 10334 2.153L MADE IN USA GET ORGANIZED AT SMEAD,COM