HomeMy WebLinkAbout0005 SAVINELLI ROAD - Health (2) 5_Savi,nei :€ R:.oad
C'otuit
- - - --- - A- 024-155
Commonwealth of Massachusetts
Title 5 Official Inspection Form
<a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,-
:.:
5 Savinelli Road
Property Address
Michael Lima 10
Owner Owner's Name r
information is
required for every Cotuit ✓ Ma 02635 10/26/2018
page. City/Town State Zip Code Date of Inspection t4,�
�a
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important:When A. Inspector Information
filling out forms
on the computer, Sean M. Jones
use only the tab
key to move your Name of Inspector
cursor-do not S.M.Jones Title V Septic Inspection
use the return Company Name
key.
74 Beldan Lane
Company Address
Centerville Ma 02632
City/Town State Zip Code
508-658-3456, 774-248-4850 SI 4522
sean@smjonestitle5.com License Number
B. Certification
I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5
(310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address
listed above; the information reported below is true, accurate and complete as of the time of my
inspection; and the inspection was performed based on my training and experience in the proper function
and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined
that the system:
1. ® Passes
2. ❑ Conditionally Passes
3. ❑ Needs Further Evaluation by the Local Approving Authority
4. ❑ Fails
10/26/2018
Inspector'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 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 form should be sent to the system owner and copies sent to
the buyer, if applicable, and the approving authority.
Please note: 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.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18
Commonwealth of Massachusetts
b Title 5 Official Inspection Form
l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
.. 5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary
Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6.
1) System Passes:
® 1 have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
The dwelling located at 5 Savinelli Rd Cotuit is served by a Title V septic system consisting of a 1000
gallon septic tank, distribution box and 6 Infiltrators in a 40'x10'x2' trench. The system was found to
be in proper working condition at the time of inspection.
2) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N : ❑ ND (Explain below):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
I� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
0
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
2) System Conditionally Passes(cont.):
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
3) 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.
a. 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:
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
b. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The.system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well**.
Method used to determine distance:
**This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
c. Other:
4) 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
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 . 10/26/2018
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
4) System Failure Criteria Applicable to All Systems: (cont.)
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 'h day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply
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 2000 gpd-
10,000 gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CM 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.
5) 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 CA.
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
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
If you have answered "yes" to any question in Section C.5 the system is considered a significant
threat, or answered "yes"to any question in Section CA above the large system has failed. The
owner or operator of any large system considered a significant threat under Section C.5 or failed
under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner
should contact the appropriate regional office of the Department.
6. You must indicate"yes"or"no"for each of the following for all inspections:
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?
® El Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18
c Commonwealth of Massachusetts
Title 5 Official Inspection Form
IQ Subsurface Sewage Disposal System Form Not for Voluntary Assessments
9 p Y rY
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. Cityrrown State Zip Code Date of Inspection
D. System Information
1. Residential Flow Conditions:
Number of bedrooms(design): 4 Number of bedrooms(actual): 4
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 gpd
Description:
Number of current residents: 0
Does residence have a garbage grinder? ❑ Yes ® No
Does-residence have a water treatment unit? ❑ Yes ® No
If yes, discharges to:
Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonal use? ❑ Yes ® No
Water meter readings, if available (last 2 years usage(gpd)):
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: 8/2018
Date
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18
Commonwealth of Massachusetts
p Title 5 Official Inspection Form
o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
2. Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Water treatment unit present? ❑ Yes ❑ No
If yes, discharges to:
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: Date
Other(describe below):
3. Pumping Records:
Source of information:
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping:
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
u 5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
4. 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:
septic tank original 1984, s.a.s. installed 3/8/2000
Were sewage odors detected when arriving at the site? ❑ Yes ® No
5. Building Sewer(locate on site plan):
Depth below grade: 1.5
feet
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Joints ok, no leaks or blockages:Vented through roof
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
6. Septic Tank(locate on site plan):
Depth below grade: 1
feet
Material of construction:
® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 1000 gallons
Sludge depth:
6"
Distance from top of sludge to bottom of outlet tee or baffle
3'
Scum thickness
2"
511
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
11"
How were dimensions determined? opened covers and took
measurements
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tank does not need to be cleaned now but should be done soon and again every 2 years for proper
maintenance. Water level was even with outlet, tank was not leaking and was structurally sound.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
1' }e Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
7. Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping:
Date
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Capacity:
gallons
Design Flow: gallons per day
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18
Commonwealth of Massachusetts
, . Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�.. 5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
8. Tight or Holding Tank(cont.)
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date:of last pumping: Date
Comments (condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
9. Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert
0"
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Distribution box was video inspected and found in good condition with no rot. Water level was even
with outlet invert with no signs of past backup.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
r
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
r`
5 Savinelli Road
Property Address
Michael Lima
Owner Owners Name
information is required for every Cotuit Ma 02635 10/26/2018
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
10. Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
Alarms in working order: ❑ Yes ❑ No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order,system is a conditional pass.
11. Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
❑ leaching pits number:
® leaching chambers number: 6 Infiltrators
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
11. Soil Absorption System (SAS) (cont.)
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
s.a.s. consists of 6 Infiltrators in a 40'x10'x2'trench. Soil and stone was dry with no signs of past
saturation. No lush vegetation.
12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
13. 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.):
i
l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18
Commonwealth of Massachusetts
- Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
14. Sketch Of Sewage Disposal System:
Provide a view of the sewage disposal system, including ties to at least two permanent reference
landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters
the building. Check one of the boxes below:
® hand-sketch in the area below
❑ drawing attached separately
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t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18
Commonwealth of Massachusetts
p Title 5 Official Inspection Form
1- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
15. Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high ground water: 12'+feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design"plan reviewed: Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health -explain:
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Groundwater elevation was established by accessing Town of Barnstable groundwater contour maps.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
5 Savinelli Road
Property Address
Michael Lima
Owner Owner's Name
information is required for every Cotuit Ma 02635 10/26/2018
page. Cityrrown State Zip Code Date of Inspection
E. Report Completeness Checklist
Complete all applicable sections of this form inclusive of:
® A. Inspector Information: Complete all fields in this section.
® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked
® C. Inspection Summary:
1, 2, 3, or 5 completed as appropriate
4 (Failure Criteria) and 6 (Checklist) completed
® D. System Information:
For 8: Tight/Holding Tank—Pumping contract attached
For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached
For 15: Explanation of estimated depth to high groundwater included
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18
NAME OF
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OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a.
DISPOSITION WITH NO RESULTING CRIMINAL RECORD. LILI
REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w
before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check;money order or postal note to Barnstable-Clerk,P.O.Box 2430,
Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a
UNSTABLE
you_desire to contest this matter in a noncriminal proceeding,you may.do so by making written request to DISTRICT COURT DEPARTMENT,FIRST
If
DIVISION,COURT COMPOUND,MAIN STREET,yARNSYABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this
citation for a hearing.
(3)If you fail to pay the above offense or to request a healing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the
hearing to be due,criminal complaint may be issued against you.
❑ 1,HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$
Signature
` - .t ...�_. .. .r`.r-.,:,�.�....�,.-.r. .,+'�.-..•...-1':, ,....,C,ti ...�.xa sM1�..w!.w--. .e-.,.� .w.an.;P-+v+-n'.:�`.�. ..T. .:. � ..
TOWN OF BARNSTABLE J BAR-W 97
` Ordinance or Regulation °
WARNING NOTICE
Name of Offender/Manager 'act I E � '
Address of Offender �M Z4 MV/MB Reg.#
Village/State/Zip 01 16-.5
Business Name Al"w^~- o� am/(Pi on 204�
Business Address ''" Al �
4 Signature of Enforcing Officer
Village/State/Zip '
Location of Offense 5r'- �,, 4-A
�t Enforcing Dept/Division
Offense
Cast -
Facts 1 1A
This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town,
Ordinances, Rules and Regulations. Education efforts and warning notices are °
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action byvthe Town.
y WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
i
frl •
Ir-
For delivery information visit our website at vvww.usps.coata
1:1
rl
Postage $ MA 0
MO Certified Fee
C3 Postmark y
Return Receipt Fee Q
(Endorsement Required) = He 3
O Restricted Delivery Fee
a (Endorsement Required)
r9
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p Sent To LA J. �)4 L
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or-- Box N- J vim'
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C ,State, (T �� I j t
PS Form :rr June 2002See Reverse for Insiructions
Certified Mail Provides:■ A mailing receipt (esianay)zooz aun r'oose uuo.A Sd
■ 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 Maile.
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
Internet access.to delivery information is not available on mail
addressed to APOs and FPOs.
Town of Barnstable
OFZNE t
Regulatory Services Barn
c Thomas F. Geiler, Director M4mericacity
Public Health Division
snxxsrnsLe,
9 Mnss. Thomas McKean,Director Zoos
1639' a`� 200 Main Street
ArFD MA'S
Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
June 18, 2009
Angela J. Hall
1524 Santuit-Newtown Road
Marstons Mills, MA. 02648
RE: Assessors (map-parcel) 189-109
As of October 1, 2006 a new rental registration ordinance was put into affect requiring all
property owners of rental units to register their rental units with the Town of Barnstable Health
Division. According to our records, you own the rental property at 5 Savinelli Road, Cotuit
02635. Enclosed is an application. Please use a separate application for each rental unit you
own. Should you need more applications, they are available online at
www.town.barnstable.ma.us. Go to the Health Division page by looking in the Department
Menu. There is a link to the Rental Registration information on the Health Division page. You
may print out as many as you need, and return them to the Health Division with the appropriate
2009 fees included.
Please contact me or the Division Assistant to schedule inspection of the property as soon as
possible. If there are tenants presently occupying the property please provide the contact
information being sure to include a daytime phone number for all tenants. For your use an
occupant's permission form has been included to allow for inspections.to be performed in the
tenant's absence.
Failure to comply with this ordinance will result in the issuance of a non-criminal ticket
citation in the amount of$100. Each day of non-compliance is considered'a separate offense.
Should you have any questions, please feel. free to call 508-862-4072. Thank you in
advance for your cooperation.
Teresa Wright
Division Assistant
Health Division
Direct#508-862-4072 _
�- � oaS1f �Q o600 olgo �3��
r� lealth Master Detail Page 1 of 1
.. . Health Master
Logged In As: TOWN\wrightt Health Master Detail Thursday, Jur
Application Center Parcel,Lookup
Parcel Septic Perc Well Fuel Tank
Parcel: 024-1SS Location: S SAVINELLI ROAD, COTUIT Owner: HALL, ANGELA I
Business name;' _ Business phone:
Rental property: IJ� Deed restricted: ❑ Number of bedrooms :0
Contaminant released: Fuel storage tank permit:
I Save Parcel Changes �I f Return to Lookup _I
Parcel Info Parcel ID: 024-155 Developer lot: LOT 6
Location: 5 SAVINELLI ROAD Primary frontage: 105
Secondary road:SANTUIT-NEWTOWN ROAD Secondary frontage: 173
Village:COTUIT Fire district:COTUIT
Sewer acct: Road index: 1429
Asbuilt Septic Scan: 024155_1 Interactive map e.aavi
Town zone of contribution:WP (Wellhead Protection Overlay District) State zone of contribution:IN
Owner Info Owner: HALL, ANGELA J Co-Owner:
Streetl: 1524 SANTUIT-NEWTOWN RD Street2:
City: MARSTONS MILLS State: MA Zip: 02648 C
Deed date: 12/20/2006 Deed reference:21632/61
Land Info Acres: 0.48 Use: Single Fam MDL-01 Zoning: RF Neighborhood: C
Topography: Level Road: ,Paved
Utilities: Public Water,Gas,Septic Location:
Construction Info Building No ear Buil Effective Area Bedrooms Bathrooms
1 1984 1081 4 Bedroom Full
Buildings value:o160,800.00 Extra features: o3,300.00 Land value: 9146,700.00
http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=024155 6/18/2009
` Commonwealth of Massachusetts
Title 5 Official Ins 'p ection Form
Subsurface Sewage Disposal System,,Form - Not for Voluntary Assessments
1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for 9
every page. City/Town State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important:When filling out A. General Information '✓
forms the
computer,
r,use only the tab key 1. Inspector:
� � V
to move your Michael McDowell
cursor-do not Name of Inspector
use the return AUG-
key. The Building Inspector of America
Company Name
VQ 2 Brookside Circle LBy
Company Address
Wilbraham MA 01095
'Pd81 Cityrrown State Zip Code
800-626-4408 156
Telephone Number License Number
3 >
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 CM 15.000). The system:
® Passes "+ ❑ Conditionally Passes ❑ Fails
❑ Needs Further`Evaluation by the Local Approving Authority
i .
August 16, 2010
Inspector's Signature Michael McDowell MM1mjl Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP.The original should be sent to the system owner
and copies sent to the buyer, if applicable, and.the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time.This inspection does not address how the system will perform in the future'under
the same or different conditions of use.
Mrs•09/08 Title 5 Official Inspection Form:Subsurface Sewa Disposal/lysti ge 1 of 17
I
i
i �
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for g
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® 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:
HUD owned house. House is vacant and all utilities are off. Septic system has not been receiving
normal daily flows for an unknown length of time.
System Conditionally Passes: N/A
❑ One or more system components as described in the"Conditional Pass"section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health,will pass.
Check the box for"yes", "no"or"not determined"(Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is
structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System
will pass inspection if the existing tank is replaced with a complying septic tank as approved by the
Board of Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND (Explain below):
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
f
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for g
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes (cont.): NIA
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced - ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y . ❑ N ❑ ND (Explain below):
C) Further Evaluation is Required by the Board of Health: N/A`
❑ 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
t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for _ 9
every page. City1rown State Zip Code Date of Inspection .
B. Certification (cont.)
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment: N/A
❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well".
Method used to determine distance:
This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform
bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or
less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be
attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes" or"No"to each of the following for all inspections:
Yes No
® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® . Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ❑ N/A Liquid depth in cesspool is less than 6" below invert or available volume is less
than Y2 day flow
t5ins•09/08 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
wM 1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street;Suite 5,Merrimack, NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for 9
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ❑ N/A Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ❑ N/A Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ❑ N/A Any portion of a cesspool or privy is within 50 feet of a private water supply
well.
❑ ❑ N/A 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-
1 0,000g pd.
❑ ® 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. N/A
For large systems, you must indicate either"yes" or"no"to each of the following,in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection
Area—IWPA)or a mapped Zone II of a public water supply well
If you have answered "yes"to any question in Section E the system is considered a significant threat,
or answered"yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CM 15.304.The system owner should contact the appropriate
regional office of the Department.
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
- Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16 2010
required for 9
every page. Cityrrown State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no"as to each of the following:
Yes No
❑ ® Pumping information was provided by the owner,occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
❑ ® Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
❑ ❑ NIA Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS)on the site has
been determined based on:
❑ ® Existing information. For example; a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C.is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions:
Number of bedrooms(design): 4 Number of bedrooms (actual): 5
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 550 gpd
t5ins•09/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
,M ,•�'' 1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street,Suite 5, Merrimack, NH 03054
Owner Owner's Name
information is g
required for Cotuit MA 02635 August 16, 2010
every page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents:
0
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? N/A ❑ Yes ❑ No
Seasonaluse? ❑ Yes ® No
Water meter readings, if available last 2 ears usage d 203 gpd
9 ( Y 9 (gpd)):
Detail:
The water meter is read once a year. The meter has not been read yet for 2010. The total for 2008
and 2009 is 148,000. Divide that by 730 (2 years)and you get 203 gallons per day(gpd).
Sump pump? '❑ Yes ® No
Last date of occupancy: UnknownDate
Commercial/industrial Flow Conditions: N/A
Type of Establishment:
Design flow(based on 310 CMR 15.203):
Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054
Owner Owner's Name
information is Cotuit 'MA 02635 August 16, 2010
required for 9
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: None available at board of health
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):
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
,M ,•' 1524 Santuit Newtown Road/5 Savinelli Road
Property Address -
HUD/Cityside Management Corp. 22 Medallion Center Greely Street, Suite 5, Merrimack NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for g
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known)and source of information:
Septic system appears to be original with house(1985), based on materials used and their condition
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 14 inches
feet
Material of construction:
❑ cast iron ® 40 PVC ❑ other(explain):
Distance from private water supply well or suction line. 27 feet
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Building sewer exits rear foundation wall.
Septic Tank(locate on site plan):
Depth below grade: j 10 inches
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
10'Lx5'Wx5'D,
Dimensions: Approximately 1500 gallons
Sludge depth: 2 to 4 inches
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
.' 1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for _ 9
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle 26 inches
Scum thickness 1 to 2 inches
Distance from top of scum to top of outlet tee or baffle 6 inches
Distance from bottom of scum to bottom of outlet tee or baffle 19 inches
How were dimensions determined?
With a tape measure &pole.
Comments (on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Fluid level was correct, that is, equal with outlet invert. Septic tank appears sound and tees
functional. Pumping is recommended every 3 years.
Grease Trap(locate on site plan): N/A
Depth below grade:, feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
t5ins•09/08 Me 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
a Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
,M 1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for 9
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): N/A
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Capacity:
gallons
Design Flow: gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments(condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 17 .
P Ys • 9
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for 9
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened)(locate on site plan):
Depth of liquid level above outlet invert 0
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Fluid level was correct, that is, equal with outlet invert(1). Distribution box was level and appears
sound. There was no evidence of solids carryover. Top of distribution box is 30 inches below grade.
Pump Chamber(locate on site plan): N/A
Pumps in working order: ❑ Yes ❑ No
Alarms in working order: ❑ Yes ❑ No
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System (SAS)(locate on site plan, excavation not required):
If SAS not located, explain why:
"
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
, 1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for 9
every page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.) .
Type:
❑ leaching pits number:
❑ leaching chambers" number:
❑ leaching galleries number:
® leaching trenches number, length: 1 @ approx. 50'
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
There was no evidence of hydraulic failure. The house is vacant, all utilities are off. The septic
system has not been receiving normal daily flows for an unknown length of time.
Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): N/A
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer.
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 1524 Santuit Newtown Road/5 Savinelli Road
Property Address
H_UD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for 9
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan): N/A
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5 Merrimack, NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for 9
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
® hand-sketch in the area below Sketch is not to scale -
❑ drawing attached separately
=Inlet cover on septic tank
B=Outlet cover on septic tank
C=Distribution box
=22,8„
B=29'3"
C=67'6"
A=25 8
B=22'6"
C=42'11"
brX
S
d
3
d
' 5 5A� ed Ib
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
4�M , 1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for 9
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
❑ Surface water
® Check cellar
❑ Shallow wells
Estimated depth to high ground water: 6 plus feet
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:
Basement concrete slab floor is 6 feet below grade. There is no evidence of chronic water
penetration or sump pump pit in basement.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1524 Santuit Newtown Road/5 Savinelli Road
Property Address
HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054
Owner Owner's Name
information is Cotuit MA 02635 August 16, 2010
required for 9
every page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary:A, B, C, D, or E checked
® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed
® System Information—Estimated depth to high groundwater,
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
There is an injector lift pump in basement for basement kitchen and full bathroom. Suspect bedroom in
basement was constructed without a permit. It appears a lot of work was done in basement
approximately 7 years ago.
House is on a corner. House has a#5 on it. Unsure of address; either 1524 Santuit Newtown Road or
5 Savinelli Road. The board of health and water department has this house under 5 Savinelli.
The board of health was called to see if there were an records on file regarding this property and the
Y 9 9 P P Y Y.
have none. All they require is a$25.00 review fee to be submitted with report.
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
SHE rati Town of Barnstable
Regulatory Services
* •ARNSTABLE,
MASS. �* Thomas F. Geiler, Director
1639. �0
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: July 30, 2009
B,ar(s): 80327
Name of Offender: Angela J. Hall-D.O.B. 4=4-1985
Location of Violation: 5 Savagely Road, Cotuit
Date(s) of Violation: 7-2-09 }
Violation(s): Town of Barnstable Board Code § 353-1 Storage of garbage and rubbish,
responsibilities of occupants.
Facts: 5
On 6-18-09 the Health Division received a complaint regarding a trash problem. This consisted
of many bags of trash(approximately 20) not in proper receptacles as required by Town of
Barnstable Board Code § 353-1. On 6-23-09 Health Inspector Timothy B. O'Connell,'R.S.
observed bags of trash present at said property with house hold trash within it. On 6-26-09 Mr.
O'Connell revisited-property and talked with said offender about picking up bags of trash.
Offender agreed to pick it up trash by 6-29-09. On 7-1-09 Mr. O'Connell went to said property
and observed trash still in plastic bags in same location (side of home). At this time a written
warning was issued (BarW5977). Offender wa_s not home at this time but warning was attached
to front door. On 7-2-09 trash had been moved from side of yard.into a pick up truck parked in
drive way. This is still in violation due to trash was not,inatrodent proof, weather.proof
containers. At this time a$100 citation was mailed to said offender.
Respectfully Submitted, ]
1
Timothy B. O'Connell, RS
Health Inspector
Town of Barnstable
200 Main Street
Hyannis, MA 02601
(508):.862-4644
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' Health Master Detail Page 1 of 1
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° 11 ✓., ,. 6 �, ��
i._ogged In As, POWN\oconneit Health h Master Detail jur
Aoplicatiofi Cc,11":e< Rarcel L oKup Selection It6m'.s a
Parcel Septic Perc � eii Fuel Tank i
Parcel: 024-155 Location: 5 SAVINELLI ROAD, OOTU T Owner: HALL, A GELA 3
Business name: Business phone:
Rental property: Deed restricted: F Number of bedrooms : 0
Contaminant released: `` Fuel storage tank permit: `:
I
ave.-.-,,.,a rcel Changes 4x Returnto Lookup
t, �.,," ,. F, M W...,
P°arcel lnfo Parcel ID 024-155 Developer lot I..OT 6
Location:5 SAVINELLI ROAD Primary frontage: 105
Secondary road:SANTUIT-NEWTOWN ROAD Secondary frontage: 1.73
Village:COTUIT Fire district:COTUIT
Sewer acct: Road index: 1.420
Asbuilt Septic Scan: 024155 1 Interactive map
Town zone of contribution:WP (Wellhead Protection Overlay District) State zone of contribution:IN
Ovvner Info Owner: BALL, ANGELA.] Co-Owner:
Streetl: 1524 SANTUIT-NEWTOVhIN RD Street2:
City:MARST.ONS MILI...S State: MA Zip: 02648 C
Deed date: 1.2/20/2006 Deed"reference:2.1632/61.
Land Infer Acres: 0.48 Use: Single Fam MDL-01 Zoning:RF Neighborhood: C
Topography:Level Road:;Paved
Utilities:Public Water,Gas,Septic Location:
Construction Info Buddi ng :Oy'ear Eau't"ffecti�"c'A€ c•sbe droaini ]B th're1dms
1 1984 1081 Bedroomsl2 Full
Buildings value:x160,800.00 Extra features: r(3,300.00 Land value: 9146,700.00
http://issgl/intranet/healthMaster/HealthMasterDetail.aspx?ID=024155 6/30/2009
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Citizen Web Request Page 1 of 4
L.0g0jCd 1-AS: Thursday, ju
TOWN',oconneit Citizen Request Management
,_. . _d.
Request Information
Request ID: 25811 Created: 6/18/2009 11:10:10 AM
.................__ --------_____._.......
Status: Closed Assigned To: O'Connell,Timothy
Health Office
Chapter 170 : Housing Overcrowding
Chapter 17G Housing.Overcrowding
Anonymous: No Request Category: Night Only
General
Section 353-1.Garbage and. Rubbish
Routine work: No. Estimate: No
Date scheduled:
Estimated 7/2/2009 "Change Estimated :fur, July 2009 Aug
Completion te,
Date: Sun Mon TUe Wed Thu S ri Sat
v S 6 r £ i .
QQpp IV�
�v I 1.7 1.3 1.4 15 1.6 17 =8
9 20 21. 22 25 24 25
2 27 28 29 30 311 1
Created By: Wadlington, Ellen Priority: Medium
Health Office
Citation Numbers: BAR80327
BARW5977
equest®r Information
Requestor
http://issgl2/intemalwrs/WRequest.aspx?ID=25811 7/30/2009
f
Citizen Web Request Page 2 of 4
Request Parcel Number
There are lots of cars an people in Map: ,024 Block: 155 Lot: F
and out of this house all hours of
night; since moving in the trash has Parcel Lookup
been stored in trucks, on yard.and in
back yard. Lots of cars and
overcrowding. Have called Barnstable
Housing and Barnstable Police. Our
cars have been broken into and have
had a real flood of rats getting into
storage area for our garbage. Have
seen large rats in my yard in daylight.
When seen rats move to this house.
June 26, 2009 - Neighbor called back
to say trash is piled up beside house
now.
Email:
Track Request Progress
Request Work History: Internal Note History:
Entered on 6/23/2009 2:46:49 PM System entry on 6/18/2009. 11:10:10.AM:,
by O'Connell,Timothy Y
Assigned to O'Connell,.Timothy
On 6-23-09 went to.said property and knocked
on door did not get an answer. System.entry on 6/26/2009 10:30:18 AM:
Entered on 6/26/2009.2:51:16 PM -Please Review-email.sent to O'Connell
by O'Connell, Timothy Timothy
On 6-26-09 talked with owner who said trash will Entered on 6/30/2009 1:34:05 PM
be removed asap. I told her I need it removed by Crocker, Sharon
today. I said I will re-visit property on 6-29-09 if
trash still present I will issue,a $100 citation. Please call complaintant 6/30.
Entered on 6/30/2009 1:34:05 PM System entry'on 7/6/2009 4:13:21 PM:
by Crocker, Sharon
Request Closed by oconnelt
6/30 Caller said the owners are now putting trash
in an unsecured area outside since they were told to
remove trash. Rats are all around.
E Entered on 7/1/2009 3:13.38.PM
by O'Connell, Timothy.
On 7-1-09 went to said property trash still
present. I issued written warning.. Se above bar #. I
will issue ticket on 7-2-09 in A.M. if trash not picked
http://issgl2/intemalwrs/VVRequest.aspx?ID=25811 7/30/2009
f )
Citizen Web Request Page 3 of 4
1 -
l .
up.
Entered on 7/6/20
09 8:55:46 AM
by O'Connell,Timothy
On 7-2-09 DM observed trash still not in proper
receptacles.Ticket issued. See above for bar I
number.
f
Entered on 7/6/2009 4:13:21 PM
by O'Connell, Timothy �-
j
Trash has been picked up as of 7-6-09
Enter work progress: Enter internal note:
{Viewed by everybody) {Viewed internally orally)
15
bll�Cfiegol_ Spell Gheck
- r
-Add document or image link:
J
You can also type in a folder name to see everything in the foluer
Current Links:
Time worked on request: Response time: 12 00
�`Time entries are in hours.Examples of time entries: 1_25, 0,5, 0.75, 1., 3.5, 0.25, 0A0
Response time= Measured red from the creation date to Y,,)Ljr first actions on the request,
o not include nights, weekends, and holidays in response time for most departments.
C Reopen
i
i
0 Reopen and notify citizen
Reopen I
Public Use: Printer Friendly Version ;
http://issg12/internalwrs/WRequest.aspx?ID=25811 7/30/2009
Citizen Web Request Page 4 of 4
3 a
Internal Use: Printer Friendl Version
— io-
............._.........__....._------�._...__......._......_._.... _.._..._...._.._..............,_...._._........_...._..__.._._._...._,.:.....:..._...:—....:.._..._...._.__..__............__._...w.........__._.............._......._.--....._..._................._.......__............................__.............
http://issgl2/intemalwrs/WRequest.aspx?ID=25811 7/30/2009
i
Town of Barnstable
OFTHE r
Regulatory Services Barnstable
AN-America�City
Thomas F. Geiler,Director
Public Health Division
BARNSrAB
9 MASS. Thomas McKean, Director 2Qe7
1639. A10 200 Main Street
FD Mp`l
Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
CERTIFIED MAIL 70007 3020 0001 3429 8059
Angela J. Hall
1524 Santuit- Newtown Road
Marstons Mills, MA 02648
As of October 1, 2006 a new rental registration ordinance was put into affect requiring all
property owners of rental units to register their rental units with the Town of Barnstable Health
Division. According to our records, you own the rental property at, 5 Savinelli Rd. Marstons
Mills.
Enclosed is an application. Please use a separate application for each rental unit you
own. Should you need more applications, they are available online at
www.town.barnstable.ma.us. Go to the Health Division page by looking in the Department
Menu. There is a link to the Rental Registration information on the Health Division page. You
may print out as many as you need, and return them to the Health Division with the appropriate
2008 fees included.
Failure to comply with this ordinance will result in the issuance of a non-criminal ticket
citation in the amount of$100. Each day of non-compliance is considered a separate offense.
Should you have any questions, please feel free to call 508-862-4644. Thank you in
advance for your cooperation.
Jaime Cabot, R.S.
Health Inspector
Town of Barnstable
Health Division
Direct (508) 862-6451
TOWN OF BARNSTABLE BAR—W 1_71 115
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager
Address of Offender MV/MB Reg.#
Village/State/Zip
Business Name am/pm, on 20_
Business Address
Signature of Enforcing Officer
Village/State/Zip
Location of Offense
Enforcing Dept/Division
Offense
Facts
This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. V ��-
TOWN OF BARNSTABLE BAR-W
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager f 4 ,
Address of Offender - MV/MB Reg.#
Village/State/Zip
Business Name ; , :aim/pm, on : 1 - 20 o-,
Business Address " - f-7/
Signature of Enforcing Officer
r`
Village/State/Zip
Location of Offense
Enforcing Dept/Division
Offense
Facts
This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. u,
..... •.-.Y+'�'ar..lYi.^I. ti�T.n.�'L`-'srf^R"'.��:."'!n.w .�!"2.N!fV-"T+rfr"•�'s-L T..:;....- .I'1„Cf:.S ",.�,•�. ,��.....-..�,,- .Y.:._.,- :.y,,- --. ..
TOWN OF BARNSTABLE BAR-W
Ordinance or Regulation
WARNING NOTICE
Name of Of fender/Manager C {# L; i
Address of Offender MV/MB Reg.# """- �
Village/State/Zip r C.. r yr '� -� r Z -^ ---- —
Business Name 4\: :)o .aim/pm, on ,f C, 20 ,
Business Address
Signature of Enforcing Officer
Village/State/Zip L
Location of Offense c.. t t. % = .tl 7f/.
' Enforcing Dept/Division
Offense l '- .1 >'/ ✓ti.'";.� ! • . J '6z "`/
Facts L u ,c:..
/
This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
Barnstable Assessing Search Results Page 1 of 2
A g
r
New Interactive Maps >>
Owner: 2009 Assessed Values:
HALL, ANGELA J
5 SAVINELLI ROAD Appraised Value Assessed Value
Map/Parcel/Parcel Extension Building Value: $ 160,800 $ 160,800
024 / 155/ Extra Features: $ 3,300 $ 3,300
Outbuildings: $ 300 $ 300
Mailing Address Land Value: $ 146,700 $ 146,700
HALL, ANGELA J
Totals $ 311,100 $ 311,100
1524 SANTUIT-NEWTOWN Residential Exemption Received=
RD $100,964
MARSTONS MILLS, MA.
02648
2009 REAL EST ATE T ax Information: Tax Rates: (per S 1,000 of valuation)
Community Preservation Act Tax $ 43.50 Fire District Rates Town Residenti
Barnstable FD - All Classes $2.37 $6.90
C.O.M.M. - All Classes $1.08 Town Commeri
Cotuit FD Tax (Residential) $ 444.87 ' Cotuit FD - All Classes $1.43 $6.12
Hyannis - Residential $1.78
Town Tax (Residential) $ 1,449.94 Hyannis - Commercial $2.77
W Barnstable - All Classes $2.11
Community Pres
Total: $ 1,938.31
http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=024155 4/6/2009
Barnstable Assessing Search Results Page 2 of 2
Construction Details
Building
http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=024155 4/6/2009