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Home My WebLink About0707 MAIN STREET (OST.) - Health E -Main"Street ( ,.. Osterville p E A = 141 12 r I i i o CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route 28•Centerville, MA 02632-3117 1926 508-790-2375 x1 • FAX: 508-790-2385 Michael J.Winn,Chief Martin O'L.MacNeely, Fire Prevention Officer Byron L.Eldridge,Deputy Chief Michael G.Grossman,Fire Prevention Officer January 29, 2019 1406 Main Street LLC Attention Jeff Lindsey and Adam Hostetter 699 Main Street Osterville,MA 02655 Re: Harmon Painting 703 Main Street Osterville Dear Mr. Lindsey and Mr. Hostetter, On Friday January 25'h I performed a site visit to check progress inside the former Harmon Painting unit and was given access inside by Mr. Suonpera. While the debris, tarps, clutter have been removed, the hazardous and flammable product storage remains. The conditions found inside the unit represent a significant fire and life safety hazard due to excessive and unsafe ' storage of flammable and combustible products. Our attempts to have the tenant correct the situation failed and you as the property owner are now responsible for the cleanup. You are hereby ordered to immediately cleanup the contents in and around the unit to mitigate this hazard. You are ordered to hire a licensed environmental cleanup company,have all hazards identified, inventoried, and disposed of in a safe and proper manner within 21 days of this letter. Respe tfully, ti. Michael Grossman Fire Prevention Officer COMM Fire Department cc: Town_of Barnstable Board`of Healthl Town of Barnstable Building Department Massachusetts Department of Fire Services, Code Compliance "Commitment to Our Community' $ST. f CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT 1 DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES i926 1875 Route 28•Centerville, MA 02632-3117 508-790-2375 x1 - FAX: 508-790-2385 Michael J.Winn,Chief Martin O'L.MacNeely,Fire Prevention_officer Byron L.Eldridge,Deputy Chief Michael G.Grossman,Fire Preventiod Officer November 5, 2018 '1406 Main Street LLC Attention Jeff Lindsey and Adam Hostetter 699 Main Street Osterville,MA 02655 Re: Harmon Painting 703 Main Street Osterville Dear Mr. Lindsey and Mr. Hostetter: As you are aware we_have been-actively attempting to contact Mr. Harmon about the condition inside Harmon Punting at 703 Main St. Osterville and order the immediate cleanup of the unit. Our attempts to make contact with Mr. Harmon have been unsuccessful to date. The conditions found inside the unit represent a•significant fire and life safety hazard due to excessive and unsafe storage of flammable and combustible products, blocked paths, and poor housekeeping. As the owner of the property, you must begin making arrangements to hire a licensed environmental cleanup company'forthwith. An industrial hygienist is recommended as all hazards will need to be identified,inventoried, and disposed of in a safe and proper manner. Respect ll Michael W' Chief of Department cc: Town of Barnstable Board of Health Town of Barnstable Building Department Massachusetts Department of Fire Services, Code Compliance "Commitment to Our Community" 11/14/2018 Citizen Web Request THE 1 R r7— ..0 Y hthss, - Wednesday, November 14 2018 Citizen, Request Management� � Lo off Logged In As; miorandd Application Center Log off to Users Search Requests Create Requests Request Information 4 • Request ID: 59793 Created: 10/26/2018 0:48:03 AM Status: Assigned To Staff Assigned To: Miorandi, Donna Health Office Anonymous: No Request Category: Chapter 108 : Hazardous Materials edit Routine work: No Estimate: No edit Date scheduled: edit Estimated 11/9/2018 Change Estimated Oct November 2018 Dec Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 Created By: Miorandi, Donna Priority: High edit Health Office Citation Numbers: edit Re uestor Information Requestor Request Parcel Number Map: f 141 Block: 012 Lot: 012 COMM fire Department requesting an inspector at above address. State Fire . Marshall's Office also on way. Building Parcel Lookup marked as 703 Main St., Osterville Email: Edit Requestor Information http://itsqldb/Citizen RequestMRequest.aspx?ID=59793 V3 11/14/2018 Citizen Web Request Track Request Progress Request Work History: Internal Note History: Entered on 10/26/2018 4:14:29 PM System entry on 10/26/2018 9:48:03 by Miorandi, Donna AM: Last modified on 11/14/2018 8:02:27 AM Assigned to Bellaire, Dianna DZM investigated with Mike Grossman, of COMM Fire Dept. Also present were Robin anderson and Bob System entry on 10/26/2018 9:52:04 McKechnie along with Chief Winn of Comm Fire. Jordan ??? AM: (surname) of the state Fire Marshall's Office arrived on scene and property owner representative, Red Suonpera, Assigned to Miorandi, Donna was on site. There were many, many, 5 gallon sheet rock buckets of unknown fluid and rags, along with paint cans, some open, some closed, a propane space heater, a non- permitted spray booth was on site. Mark Harmon is the owner of the business at this location. The odor of paints and solvents was strong emanating from building as soon as door was opened. It looked like a hazardous hoarding site. Mark Harmon's vehicle outside was loaded with trash and toxic materials. There was also an old above ground grease interceptor that when opened was loaded with rags from business use. It was all agreed upon on site that they had to clean it up within 21 days or go to court. Harmon is under eviction orders to be out by Dec. 31, 2018. I anticipate communication from COMM Fire dept. and the State Fire Marshall's Office soon-a copy of their incident report. 11/14/2018 This is in the hands of the COMM Fire Dept. and the State fire Marshall's Office. DZM received a copy of the 11/5/18 letter addressed to owner Lindsey and Hostetter. DZM shall place in the street file. DZM also gave a copy to hazmat inspector, Tim Lavelle. update delete Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) i j .. ........................... ...._.........._. Spell Check Spell Check Add document or image link: Choose File No file chosen *You can also type in a folder name to see everything in the folder Current Links: http://itsq ld b/Citizen RequestMRequest.aspx?I D=59793 2/3 11/14/2018 Citizen Web Request Time worked on request:12.00 Response time: 10.50 11 *Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights, weekends, and holidays in response time for most departments. O Save changes O Check to notify town employee below to review this request. O Save Changes and notify Health office Citizen* ' Bellaire, Dianna V O Close request Brief message to reviewer: O Close request and notify ......_ ......_ _..__ ........ citizen* *notify works if email.address was.given - A Public Usen Printer Friendly Version Update Spell Check Internal Use: Printer Friendly Version h i I tt //ts db/CitizenRe uest/WRe uest.as x.ID 59793 P q, q q P , '3/3 f 1✓ ST CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route 28•Centerville, MA 02632-3117 ° 1926 508-790-2375 x1 • FAX: 508-790-2385 e Michael J.Winn,Chief Martin O'L.MacNeely,Fire Preventio&Ofricer Byron L.Eldridge,Deputy Chief Michael G.Grossman,Fire PreventioOfricer OS[ ?O7 + November 5, 2018 fjSa' 1406 Main Street LLC Attention Jeff Lindsey and Adam Hostetter 699 Main Street Osterville, MA 02655 Re: Harmon Painting 703 Main Street Osterville Dear Mr. Lindsey and Mr. Hostetter: As you are aware we have been actively attempting to contact Mr. Harmon about the condition inside Harmon Painting at 703 Main St. Osterville and order the immediate cleanup of the unit. Our attempts to make contact with Mr. Harmon have been unsuccessful to date. The conditions found inside the unit represent a significant fire and life safety hazard due to excessive and unsafe storage of flammable.and combustible products, blocked paths, and poor housekeeping. As the owner of the property, you must begin making arrangements to hire a licensed environmental cleanup company forthwith. An industrial hygienist is recommended as all hazards will need to be identified, inventoried, and disposed of in a safe and proper manner. Respect 11 1 t Michael Wi Chief of Department cc: Tow`ii of Barnstable Board of Health Town of Barnstable Building Department Massachusetts Department of Fire Services, Code Compliance "Commitment to Our Community" No. G` Lf Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zippfiratiou for bisposar 6pstem Construction VErtuit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Ad`drress gr Lot No.A� 707 ��, S 4- Owner's Name,Address,and Tel.No.� ey� Assessor's Map/Parcel ko,"+-u V,"�� Installer's Name,Address,and Tel.No. -716 6,57?'' Designer's Name,Address,and Tel.No. 01 w Type of Building: Dwelling No.of Bedrooms /' Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 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) e��t� `y/K o k S� K! 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 Board of Health. Signed Date �' ?�'�(7 Application Approved by _ Date �j"/ Application Disapproved by 1 Date for the following reasons Permit No. a�t7 Date Issued No. �` G _ r Fee �� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plitation for Disposal *pstem Construction Permit Application for a Permit.to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Addr 5s,Qr Lot No.765 7,1 ��,it 5 -�- Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 1 Installerr's Name,Address,and Tel.No.-SdV-/ -76 V 55-f7 Designer's Name,Address,and Tel.No. C)t ile6rt�J/!a �Gy.•J +ff /LN�� /��1 �t. Type of Building: Dwelling No.of Bedrooms !v Lot Size sq.,ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) A Other Fixtures _ I Design Flow(min.required) /V gpd Design flow provided A i gp 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) /`"�)PIC,«° �'1 A•1 - 7t; 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 Board of Health. Signed r „ � Date Application Approved by Date Application Disapproved by o-"$ Date 's for the following reasons Permit No. c;? *3 t Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS .g. _. - .,_. - ..,. . _.-_:------ (Certificate of Compliance THIS IS TO CERTIFY that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by �� ,M 0✓4 p e1'�rc1 "`✓� ��frr+.i at !oe? �-7 .4, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.a20 3'l lIdated Installer D t'/3 4 6 a �eL✓'U �" PJ'G r 1'Designer #bedrooms M It Approved design flow f/ gpd The issuance of this permit,shallpot be construed m a guarantee that the system wffiR�iill,f on,s,d s geed. f � Date I ( l Inspector ----- ------ ------------------------------------------------------------------------------------ ------- - ---- -- No. - �011 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at a 70 7 "41 a,1", 5 0,c f-C,!✓��/�C 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. Provided:Construction must be completed within three years of the date of this permit.--''"----' `n / Date i �� ( Approved by ^�~� COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 707 Main Street Osterville, MA 02655 Owner's Name: Andre Cartier Owner's Address: Date of Inspection: January 14, 2002 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford -Map: 141 Mailing Address:.' P.O. Box 49 Parcel: 12 Osterville,MA 02655-0049 Telephone Number: (508)862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs her Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: —January 14 2002 The system inspector shall subm 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. Notes and Commenis ****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 F conditions of use. Title 5 Inspection Form 6/15/2000 page 1 f� Page 2 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 707 Main Street , Osterville. MA Owner: Andre Cartier Date of Inspection: January 14, 2002 a 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: 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 ins pection ection 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: ' Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled.or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health):`. 4 broken pipe(s)are replaced obstruction is removed ND explain: 2 r Page 3 of 11 J OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 707 Main Street Osterville, MA Owner: Andre Cartier ` Date of Inspection: January 14, 2002 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 I of a public water supply. The system has aseptic tank and SAS and the SAS is within 50 feet of a private water supply,well. _ .The system has a septic tank and SAS'and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and' the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.-A copy of the analysis must be attached to this form. 3. Other: R 3 Page 4 of 11 ti OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 707 Main Street Osterville, MA Owner: Andre Cartier Date of Inspection: January 14, 2002 D. System Failure Criteria applicable to all systems: You must indicate either`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 r ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z 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 I 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 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.] No (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 System: To be considered a la a stem the stem must serve a fa cility with a design flow . !� system system ty gn ow of 10,000 gP d to 15,000 gpd• You must indicate either`yes":or"no"to each of the following:' (The following criteria apply to large systems in addition to the criteria above) - Yes No ; the system is within 400 feet of a surface drinking water supply the system is within.200,feet of a tributary to a surface drinking water supply _ the system is located in.a nitrogen sensitive area(Interim Wellhead Protection Area-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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR�VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART B t CHECKLIST Property Address: 707 Main Street Osterville, MA Owner: Andre Cartier Date of Inspection: January 14, 2002 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 mith information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No - ✓ _ Existing information. For example,a plan at the Board of Health. , ✓ Determined in the field.(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION. Property Address: _ 707 Main Street Osterville:MA Owner: Andre Cartier Date of Inspection: January 14, 2002 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 2 +metal buildings Number of bedrooms(actual):` 4(1 bedroom per unit) DESIGN flow based on 310 CMR 11.203 (for example: 110 gpd x#of bedrooms): 777 Number of current residents:• 1 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): Yes [if yes separate inspection required] Laundry system inspected(yes or no): No , Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): 2001 -359,000 gals.; 2000+321,000,gals. (total) Sump Pump(yes or no): . No - r Last date of occupancy: 1 unit occupied , COMMERCIALANDUSTRIAL Type of establishment: Contractor shop/metal building Design flow(based on 310 CMR 15.203): 132 gnd Basis of design flow(seats/persons/sgft,etc.): See design plans Grease trap present(yes or no): No Industrial waste holding tank present(yes or no) No Non-sanitary waste discharged to the Title 5 system(yes or no): No ` Water meter readings, if available: See above Last date of occupancy/use: Currently occupied - OTMR(describe): GENERAL INFORMATION o- Pumping Records Source of information: Pumped on Nov. 4195 per treatment plant Was system pumped as part of the inspection(yes or no): 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 techriology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: April 1993-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 707 Main Street Osterville, AM Owner: Andre Cartier Date of Inspection: January 14, 2002 BUILDING SEWER(locate on site plan) Depth below grade: , Materials of construction: _cast iron ✓ 40 PVC —other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): _ SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 12" - Material of construction: ✓ concrete metal '_fiberglass —polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 2-1000 gal. Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: ,. 31" 5 Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: 10"_ Distance from bottom of scum to bottom of outlet tee or baffle: 12" How were dimensions determined: Measuring stick Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Cement tees were present. The liquid level was even with the outlet invert There were no signs of leakage Covers were to grade. _ GREASE TRAP: None (locate on site plan) Depth below grade: ` Material of construction: concreie metal fiberglass _polyethylene _other (explain): - Dimensions: , Scum thickness: ' Distance from top of scum to top of outlet tee or baffle: , Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 r Page 8 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C • ° ..SYSTEM INFORMATION (continued) Property Address: 707 Main'Street Osterville, MA Owner: Andre Cartier Date of Inspection: January 14, 2002 TIGHT or HOLDING TANK: None (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: eallons Design Flow: eallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no)' Date of last pumping: Comments(condition of alarm and float switches,etc.): . DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even 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.): The D-box was level. There were no signs of solids or leakage Two tanks flow into one D-box. The cover was to grade PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): ; Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): F 8. Page 9 of 11 - OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) • Property Address: 707 Main Street Osterville, MA Owner: Andre Cartier Date of Inspection: January 14, 2002 - SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,'excavation not required) If SAS not located explain why: Y• . Type ✓ leaching pits,number:. 2- 6'x 6' pits- I with 4'stone(Per design plans) leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: Innovativelalternative system Typetname of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): Pit#4 had 2'of water on the bottom.•There were no signs offailure The bottom to grade was approximately 816". Pit#S had Y of water on the bottom. A toilet in an empty apartment was running unnecessary water usage The covers were to grade CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: - Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction; ` Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): „ PRIVY: None (locate on'site plan) } Materials of construction: Dimensions: Depth of solids: R Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 Page 10 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued)` Property Address: 707 Main Street Osterville« MA " Owner: Andre Cartier Date of Inspection: January 14, 2002 Map: 141 Parcel: 12 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. � aC Cq" Aa- d9 Qa- 3`l A S_ ,3)' y - 83- 10 Page 11 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 707 Main Street Osterville, MA Owner: Andre Cartier Date of Inspection: January 14, 2002 SITE EXAM Slope Surface water y Check cellar Shallow wells Estimated depth to ground water 184 . 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: 1993 Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours maps ` Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: The bottom of the leach pit to grade was approximately 8'6': A test hole was done when installed and no water was observed at 12'. Using the Barnstable topographic map and the Cape Cod Commission water contours map the maps were showing _approximately 18'+1-to ground water at this site. Using the Cape Cod Commission Technical Bulletin the high ground water adjustment for this site(Ml W 29, Zone B. 12101) was 4.2 a This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. 11 r TOWN OF BARNSTABLE LOCA'TI"ON �07 h'lAl�l 5T SEWAGE # t VILLAGE OSTeryl Ile_ ASSESSOR'S MAP & LOT 9/ IoZ INSTALLER'S NAME& PHONE NO. SEPTIC TANK CAPACITY a" low GA). LEACHING FACILITY: (type) ��e ^Co p�T size)'-`y S o' NO. OF BEDROOMS BUILDER OR OWNER CAie,r PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) I Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of 1 jaching facility) Feet ho^Furnished c Foie 3�as1 ' 3- I Bcclr000n 01 Q O�'�ict -7 o3 70S Ai. �� t 'Aa- aq a�- oaf3a- 3y A S_ 3 A3 43- . r _ TOWN F BARNSTABLE LOCATION7OZ SEWAGE # $ mL.AGE �`5� v/ f n ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 0 • {Ru►-PIJS ya a-sm" SEPTIC TANK CAPACITY 00/d A S LEACHING FACILITY: (type) A ZZ�h (size) 6-;�6" NO.OF BEDROOMS L BUILDER OR OWNER R M d AJN N PERMTTDATE: COMPLIANCE DATE: f� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by n � lj I �� j oy]j, o Z Ig' ST6,k�l P S iN K4a 3�� ' TOWN OF BARNSTABLE LOCATION 70 7 l;741�1.ST SEWAGE # 93 1& VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.. Gole-bov vv%.0uJ e HAS _ 6��O SEPTIC TANK CAPACITY(/ _�O)'a R'} T LEACHING FACILITY:(type) *z o , i yoo 69, 11,2 (size) /to B NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER j�jc'c.Da.ee f)2ry?c •yert/ DATE PERMIT ISSUED: /,9-3 ' i DATE COMPLIANCE ISSUED: y - /gg 3 VARIANCE GRANTED: Yes No �� ' rAll t� TiT44r- 3f 9&aN yb, A No.. - Fim......../ ... y ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. OF. ...'>tr. .l> laa� 4----------------------- Applir n for Bi-gVvii ai Works Towitrurtion Vatnit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: ---................ ---------••. ......------................... --------•---------------------.. ----------------------------------- Q- - - - ------------- Location-Address or Lot No. --...•--...1__4� � ... l�r.. .. �----------------------•----- -----------.. �7----411.-&-to-...�.f........-----------------------�------ ............................................... Owner Address a z_. ........ ..--••--•.......... la ✓ �`at 1/<..---•--•-••••----•--------------•-----------......------. Installer Address d Type of Building Size Lot---- �2, _ -------Sq. feet Dwelling—No. of Bedrooms..........-t wr-2.......................Expansion Attic (01L) Garbage Grinder Other—Type of Building Q _Wzrkskwp-No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................. Design Flow........................................:...gallons per person per day. Total daily flow...............................5a2?- .gallon s. 9 Septic Tank—Liquid ca.pacity.letDc�__gallons Length..: '-`... Width..A`_l94__ Diameter-............... Depth��- _�_.. Disposal Trench—No..................... Width............ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......Q_tW<_____. Diameter....14........... Depth below inlet.. c.�:2....... Total leaching area...` .....sq. ft. z Other Distribution box (X) Dosing tank (a) Percolation Test Results Performed by--- ..... ... Date... �1. 04 Test Pit No. 1......a......minutes per inch Depth of Test Pit....AAA"`____-- Depth to ground water_.___.p---- --.-. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground � _-_ p.. ------- P4 .........................---•-•-•----•---------•-----•-------------------------•-----•-•--•-•----......---•------------ . . ..Qp A,� n O Description of Soil..- -----4�U,_kt -- -.t!�. l9#--`--`--la-.�! �e...Ch9u�ti 5�!1.� ° V 2-4.-4g..j..11')wAt m..• a.__Sm -�rk�.% _....r1�a a �ae9L►teal .fix ..� ��... �a-YlY a P W =1 t t riui- ► ..r.J. 4.-1.4_T _t�29dejw A_.aAA---_-------------------- -------------------------- �.----_wl!.............-� . x+ No.30216 O U Nature of Repairs or Alterations—Answer when applicable.--------------------------------------------------------�-,q. .......... ti Agreement: The undersigned agrees to install the afo.edescribed Individual Sewage Disposal y acco ance witheww the provisions of :s t IL' 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the board f health. Signed_. . ��4• ••-•--•-• ... . ................................................ Z_. '7.: ....... Date Application Approved By---------�rz-"` . .....----•--------------•--.............------ --•------ Date Application Disapproved for the following reasons----------------•-------•-------•----------------------••---•----------------•-................................. ...........-............................•................................................................................................................................................................ Date Permit No.........7'3.:fj a_' ---------•------•-------. Issued....................................................... Dste No................-..I... Fxs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................0F.7t� ��z�+i`TN1 t,t.. .......................................... ................ Applirattion for Disposal Works Tonstrur#iun eranit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: _ ................__- ._. �.. 1 ra ..... --'......---•----....--•------.... ........................................-�- _. .--�=,=-r•---------•---------------------- Location-Address or Lot :�io. hccor ...l1a_rn►cti� j — --.... �07 . ---...--•................... ............................................... Owner L� .•.Address L>a -L;ri !...............t? ^y_ia .............. ©, /cl'Vi A_ -------•---•--•----- . ..--•-------f...............Sq. feet Installer Address Type of Building Size Lot-.-2 Z ------- Dwelling—No. of Bedrooms.........:TT ?.......................Expansion Attic wk,) Garbage Grinder (!a,) Other—Type of Building v rc t ltbrlrsho No. of persons ..............""""-" Showers. a YP g -�--•----•---------•----R' P ( ) — Cafeteria ( ) d Other fixtures W Design Flow............................................gallons per person per day. Total daily flow-"-------"-.--.-------.-""..--.�5?t...gallop s. WSeptic Tank—Liquid capacity.lf;0C)..gallons Length-"?':.�!"... Width._:........... Diameter.....- Depths.=.4........ x Disposal Trench—No..................... Width.................... Total Length..................". Total leaching area....................sq. ft. Seepage Pit No..... ------ Diameter....1A........... Depth below inlet.. � Total leaching area..`..... ?......sq. ft. Z Other Distribution box (x) Dosing tank a Percolation Test Results Performed by... ... .ova^....3 . r Date_3,1 L 7________________ Test Pit No. 1......�......minutes per inch Depth of Test Pit---.A!!........ Depth to ground wat fs, Test Pit No. 2................minutes per inch Depth of Test Pit............."-".... Depth to ground -� h4 i?ueie �o+ (o-Z i (� r1 . ...........' ® STEPHEN Description of Soil.... ------.,�..� '�.... 2 4�_•y?------•-------- G U ,Z4.'4`4" "174clivtrl• *' ttua. ur .. ..... j -. c cv�2{ �+tiG� �.............."---.... < ALLYN �. - -1! WMMI �tG" nj tfLnc.�Fs�nl..su+a--- ----------------------- & U Nature of Repairs or Alterations—Answer when applicable.-...-."-...".............."---".--..-.-.".."..-.-..----- --•-••-•••-•-•-••-••-----•-•••••------•---------•-•--------•--------••-•••-•----------------------•--••-•-------••••••--•-------•---••-- Agreement: �diG The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sys t in ' accordance with q Zz• Pf'' the provisions of TIT Li p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by by the bo/ard,of health. Signed = i. ' ----,, -------------------•-•------------•••----••-••----•-----••- d Date _ Application Approved By.......... .�-.r:...;"--..._ ' ... N Date ' Application Disapproved for the following reasons:....... �...............•---------------------•------------------------------------------------- s Date PermitNo.. =/... �-------------------•.... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS ,tom BOARD OF HEALTH ................/..r4.' .t::.t<.......0 F.......... .�:.- -..iY,• ........................................................ %antif irate of Toanpliaanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by '.^...�......:�`---•---------------=--1-.=' ..`.L-•-------------•---- •---------•--•----...---•-•---........--•-•---.....--•-----------•---.......---................ ' Installer { / 7 ..., .T .. has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No............. ......... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................ -' - 7- ................................ Inspector..----.........-------------- �_I)........................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..--.......`'...:�, . .....................................•••---....................... No......................... FEE........................ Disposal Works Tnnstrur#i.on erntit ..i,' Permission is hereby granted----•-------�---------------------;------•--•---------....------------------•=----------------------•-•----••-•-----...---.._..---...---.... to Construct ( ) or Repair ( x)`an Individual Sewage Disposal System at No - , ' ----------------------••--••----•---•--..........--------------""---------------------•----------•----------------------------•--.............. Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... •---....-•---•----------•--•-••--------------------------------"--------------•-•-----•--•---------••--- r"y Board of Health DATE.....................................'--....(................................. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS r TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: G, w• RA�1, of Mail To: BUSINESS LOCATION: 107 MAI't4 f le—, Board of Health Town of Barnstable MAILING ADDRESS: 7®. BOX (47.2- CSPP—K0 ct1e. f�lA P.O. Box 534 TELEPHONE NUMBER: �� - ��7�® Hyannis, MA 02601 CONTACT PERSON: 14n i f e'1T— EMERGENCY CONTACT TELEPHONE NUMBER: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling,, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel- _" Refrigerants ' ` Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business I COMMONWEALTH OF MASSACHUSETTS, " EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS J \' DEPARTMENT OF ENVIRONMENTAL PROTEM3 0DY N� ONE WINTER STREET BOSTON MA 02108 (617)292-5500 61 WILLIAM F.WELD tit DEC TRUDY CORE Governor 4 1 g g ARGEO PAUL CELLUCCI r 'Ov!�OFEDAVID B.STRUHS Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION ORM ' `1tommissioner PART A CERTIFICATION ti Property Address: 707Main Street, Osterville, AM Address of Owner: Date of Inspection: October 30, 1998 (If different) Name of Inspector: Gordon E. Bumpus I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: Gordon E. Bumyus Mailing Address: 215 Osterville-West Barnstable Rd., Osterville, MA Map: 141 Telephone Number: (508)428-5640 Parcel: 12 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: ✓ Passes Conditionally Passes , Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: Date: November4, 1998' The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: - A] SYSTEM PASSES: ✓ I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: s 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. Indicate yes, no, or not determined(Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why. _ The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached) indicating that the tank was installed within twenty(20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (ewvised 04/25/97) Page 1 of 10 DEP on the World Wide Web httpA*ww magnet.state ma us/dep Pnnted on Recycled Paper SUBS URFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) . Property Address: 707 Main Street, Osterville, AM Owner: T."Harmon, etc. Date of Inspection: October 30, 1998 B] SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed r uneven distribution box. The system will ass inspection if(with approval of the pipe(s)or due to a broken, settled o une e y p � Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THIN ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. _ The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER (revised 04/25/97) Page 2 of 10 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 707Main Street, Osterville, MA Owner: T. Harmon, etc. Date of Inspection: October 30, 1998 D] SYSTEM FAILS: You must indicate either "Yes"or "No as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped t Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. p Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach;copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply , the system is located in a nitrogen'sensitive area (Interim Wellhead Protection Area(IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. !revised 04/25/9 n Page 3 of 10 v , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 707Main Street, Osterville, MA Owner: T. Harmon, etc. Date of Inspection: October 30, 1998 Check if the following have been done: You must indicate either Yes or No as to each of the following: Yes No ✓ _ Pumping information was provided by the owner, occupant, and Board of Health. ✓ _ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. ✓ — As built plans have been obtained and examined. Note if they are not available with N/A. ✓ _ The facility or dwelling was inspected for signs of sewage back-up. ✓ — The system does not receive non-sanitary or industrial waste flow. ✓ _ The site was inspected for signs of breakout. ✓ _ All system components, excluding.the Soil Absorption System,have been located on the site. ✓ _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: _ The facility owner(and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. ✓ — Existing information. Ex. Plan at B.O.H. _ Determined in the field(if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) [15.302(3)(b)]. (revised 04/25/97) Page 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 707 Main Street, Osterville, MA Owner: T. Harmon, etc. Date of Inspection: October 30, 1998 FLOW CONDITIONS RESIDENTIAL: Design flow: n/a g.p.d./bedroom for S.A.S. Number of bedrooms: 4 Number of current residents: 4 - Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings,if available(last two(2)year usage(gpd): 1998(6 mos.)- 73.000 gals.:1997-122 000 gals 1996-116 000 gals Sump Pump(yes or no): No Last date of occupancy: Currently occupied. COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: gallons/day Grease trap present(yes or no): Industrial Waste Holding Tank present(yes or no): . Non-sanitary waste discharged to the Title 5 system(yes or no)s Water meter readings, if available: Last date of occupancy: , OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: ° Pumped on November 4. 1995-per treatment plant System pumped as part of inspection(yes or no): No If yes, volume pumped: gallons 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) I/A Technology etc.. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed(if known)and source of information: MApril 1993-per as built card Sewage odors detected when arriving at the site(yes or no): No (revised 04/25/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 707Main Street, Osterville, MA Owner: T. Harmon, etc. Date of Inspection: October 30, 1998 BUILDING SEWER: _ (Locate on site plan) Depth below grade: Material of construction: _cast iron 40 PVC other(explain) Distance from private water supply well or suction line Diameter ' Comments: (condition of joints, venting; evidence of leakage, etc.) SEPTIC TANK: Yes (2 septic tanks) (locate on site plan) Depth below grade: 12 Material of construction: ✓concrete _metal Fiberglass _Polyethylene _other(explain) If tank is metal, list age_ Is age confirmed by Certificate of Compliance_(Yes/No) e Dimensions: 2- 1000 gal. -8' X S' X 4'6" Sludge depth: I" Distance from top of sludge to bottom of outlet tee or baffle: 31" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 10" Distance from bottom of scum to bottom of outlet tee or baffle: 13" How dimensions were determined: Measuring stick Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) The baffles were present The liquid level was even with the outlet invert. There were no signs of leakage. Covers were to grade. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: concrete _metal _Fiberglass _Polyethylene _other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (revised 04125/97) Page 6 of 10 ✓ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 707Main Street, Osterville, MA Owner: T. Harmon, etc. Date of Inspection: October 30, 1998 TIGHT OR HOLDING TANK: None (Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade: Material of construction: concrete _metal Fiberglass _Polyethylene _other(explain) Dimensions: _ Capacity: gallons m Design flow: gallons/day Alarm level: Alarm in working order Yes; No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: Yes (locate on site plan) Depth of liquid level above outlet invert: 0"-Even Comments: (note if level and distribution is equal, evidence of solids carryover; evidence of leakage into or out of box, etc.) The box was level. There were no signs of solids or leakage. Two tanks flow into one D-box. The cover,was to grade. PUMP CHAMBER: None (locate on site plan) Pumps in working order(Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 04/25/97) Page 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 707Main Street, Osterville, MA Owner: T. Harmon, etc. Date of Inspection: October 30, 1998 SOIL ABSORPTION SYSTEM(SAS): Yes (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: 2-6'X 6' leaching chambers, number: leaching galleries, number: leaching trenches, number, length: leaching fields, munber, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) There were no signs of failure The system was in the parkinx lot Covers were to grade. CESSPOOLS: None (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(cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: None (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.) (revised 04/25/97) Page 8 of 10 - SUBSURFACE SEWAGE DISPOSAL 'SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION (continued) • Property Address: 707Main Street, Osterville, MA Owner: T. Hannon, etc. Irate of Inspection: October 30, 1998 SKETCH OF SEWAGE DISPOSAL SYSTEM: - Include ties to at least two permanent references landmarks or benchmarks.. Locate all wells within 100' (Locate where public water supply comes into house). S7Ze j4n,4 -W3 A-p, C A-3-C-� 39 . 36� (revised 04/25/97) Page 9 of 10 t ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 707Main Street, Osterville, MA Owner: 1 T. Harmon, etc. Date of Inspection: October 30, 1998. r ' Depth to Groundwater: feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions ✓ Check with local Board of Health Check FEMA Maps Check pumping records Check local excavators, installers ✓ Use USGS Data Describe in your own words how you established the High Groundwater Elevation. @Lust be completed) Using the Barnstable Water Table Contours map and topographic maps, the maps were showing 18'to water at this site. This report has been prepared and the system inspected and passed as of.October 30, 1998. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. (revised 04/25197) Page 10 of 10 Wk Daniel S. Greenbaum Commissioner �G�¢� Cuzli, -yG�� Jfamadwse&&OS847 . Gilbert T. )oly r � Regional Director July 23, 1991 Theodore S. Harmon, Inc. RE: BARNSTABLE--WSC/SA-4-0978 707 Main Street - Harmon Painting, Inc. , Osterville, Massachusetts 02655 707 Main Street, CONFIRMATORY MONITORING, M.G.L. , C. 21E and 310 CMR 40. 000 ATTENTION: Messrs. Jack & . Robert Harmon Gentlemen: On March 1, 1991, the Department of Environmental Protection, Bureau of Waste Site Cleanup (the "Department") received a report titled "Phase I - Limited Site Investigation" for Harmon Painting, Inc. , located at 707 Main Street in Osterville, Massachusetts (the "Site") The report, prepared by Saunders Associates dated March 1, 1991, was submitted in accordance with M.G.L. , C. 21E and 310 CMR 40. 000,. the Massachusetts Contingency Plan (the "MCP") The following is a summary of activities which took place at the Site. On May 19, 1988;1 the Department received a report titled 1121E Site Assessment" for the Site. The report was prepared by Saunders Associates on behalf of Carl F. Riedell; and is dated April 1988. The report indicates that volatile organic compounds (VOCs) are present in the soil and above Massachusetts standards in groundwater at the Site. The release of solvents and degreasers to the environment may have resulted via a discharge from a sink in the paint shop to an on-site septic system. Based upon this information, the Department . issued a Notice of Responsibility to you ("you" and "your" in this document refers to Theodore S. Harmon, Inc. ) on. September 25, 1990, informing you of your liability and requested that additional information be submitted for the classification of the Site. Pursuant to this request, the Department received a Phase I Limited Site Investigation Report, inclusive of a Preliminary Assessment Report and Interim Site Classification Form, for the Site. Original Printed on Recycled Paper .1 t -2 The Phase I Report indicates that low levels of VOCs are present in the groundwater at the Site. However, during the latest sampling round (1991) , the concentrations of VOCs in the groundwater are below Massachusetts Standards for drinking water with the exception of tetrachloroethylene ("PCE") , which revealed 18 parts per billion ("ppb") . Although there is currently no drinking water standard for PCE, the Massachusetts Guideline for PCE is 5 ppb. It was concluded that the decline in contaminant levels in the groundwater at the Site indicates that the source, which appears to be a sink discharging to an on-site septic system, is no longer active. To ensure this, the sink has been decommissioned. The report also concludes that the potential for direct contact with oil and hazardous materials at the Site, with the exception of normal work related exposure, is negligible and that there are no sensitive receptors in the area which would be adversely affected by the release due to the low levels of contaminants present. The Site is serviced by municipal water and there are no private wells in the vicinity of the Site. Based upon this information, the Department concurs with the consultant's conclusion and is of the opinion that no further remedial response action is necessary at this time. However, for confirmatory purposes, the Department is requiring that the three (3) on-site monitoring wells be sampled and tested for VOCs semi- annually for a period of one (1) year. After each set of samples, your consultant must submit to the Department the analytical results of the testing and recommendations for further remediation, if necessary. The first sampling report must be submitted to the Department in January of 1992 . Should the confirmatory monitoring not disclose any significant findings, the Department will consider publishing the site on the "Deleted" list as provided by. 310 CMR 40. 520(1) (d) (2) and, as defined by 310 CMR 40. 543 (3) (b) , with the determination that the location is a disposal site for which no further remedial response action will be necessary. The conclusions set forth in this document are based upon information submitted by Saunders Associates. If the Department determines that any material omissions or misstatements exist in that information, if new information becomes available or if conditions at the location change, the Department retains authority under M.G.L. , C. 21E and other laws to require remedial response actions. If you have any questions regarding this matter, please contact this office at the letterhead address or at (508) 946-2862 .- In any correspondence to this office, please refer to case number WSC/SA-4-0978. Very truly you s, seph F. Kowal, Chief K/CJD/bh Site Support Section • a -3- cc: DEP - BWSC - Boston Division of Response and Remediation DEP - DATA ENTRY - SERO Town of Barnstable 367 Main Street Hyannis, MA 02601 ATTN: Warren Rutherford '' Town,Manager Barnstable Health Department P.O. Box 534 Hyannis, MA 02601 ATTN: Thomas McKean, Hazardous Waste Coordinator Saunders Associates P.O. Box 2646 Vineyard Haven, MA 02568 ATTN: Craig E. Saunders, Hydrogeologist pQ�TYE T�` The Town of Barnstable 4 Health Department E DW7TAM 367 Main Street, Hyannis, MA 02601 � rua . q. \jb Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health DATE: TO: I P RE: RESPONSE TO YOUR REQUEST FOR SITE INFORMATION IN COMPLIANCE WITH MGL 21E The Health Department files .were searched for information regarding the property at listed as Parcel number on Assessor's map and adjacent properties listed in the application form submitted by you on The following items, if checked, apply to the property or adjacent properties: There are no records on file concerning underground fuel and chemical storage tanks found concerning this property or an of the adjacentproperties. P Y Y J i The attached underground fuel and chemical storage information concerns the tank(s) located at: No hazardous material releases were reported to the Health Department regarding the subject property or any of the adjacent properties: The attached . release information concerns the properties located at: h b - There is no as-built card record on file regarding the existing onsite sewage disposal system. The property is connected to Towh sewer. The attached onsite sewage disposal system information is enclosed. The Health Department has no record of the private water supply well location onsite, if there is a well onsite at this property. ' It is^ suggested you contact the appropriate Water Department to determine whether the building is connected to Town water. The Health Department records indicate there are private water supply wells at the following locations: Please forward me a copy of the 21E report after your completion of the report. My mailing address is: Barnstable Health Dept. P.O. Box 534 Hyannis, MA 02601 Sincerely Yours, Thomas A. McKean Director of Public Health f r Town of Barnstable Regulatory Services Thomas F. Geiler,Director * BUMMBLE, 9� '0 r Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 21E#: Fee: $40.00 APPLICATION FOR 21E Information Search Date: Name of Person Requesting Information: Engineering Firm: Address: Telephone#: Fax: Address of Site Location: Map and Parcel: Present Business Name: Groundwater Direction Flow: Specific Sites You Wish to Receive Information: Assessors Map and Parcel: Assessors Map and Parcel: Assessors Map and Parcel Assessors Map and Parcel: , 0 V 41 &vec�* le Wz;�-e Ofs c n&y��r 4&^& Daniel S. Greenbaum Commissioner _�/Ao , -�evt , ✓, 0-9847 Gilbert T. Joly Aomb Regional Director September 25, 1990 Theodore S. Harmon, Inc.. RE: BARNSTABLE--WSC/SA-4-0978 707 Main Street Harmon Painting, 707 Main Osterville, Massachusetts 02655 Street i NOTICE OF RESPONSIBILITY/REQUEST FOR PA/PHASE I REPORT, M.G.L. , C. 21E and 310 CMR 40. 000 ATTENTION: Messrs. Jack &Robert Harmon Gentlemen: The Department of Environmental Protection', Bureau of Waste Site Cleanup, (hereafter, the Department) has determined that Harmon Painting, located at 707 Main Street, Osterville, Massachusetts (hereafter, the site.) , is a confirmed disposal site within the meaning of .the Massachusetts Oil and Hazardous Material Release Prevention and Response Act (hereafter, M.G.L. , C. 21E) . The assessment and cleanup of disposal sites is governed by M.G.L. , C. 21E, and by 310 CMR 40. 000, The Massachusetts Contingency Plan (hereafter, the "MCP") . The Department is in receipt of a limited site investigation report that was prepared by Saunders Associates for the site and is dated April of 1988. The report indicates that volatile organic compounds (VOCs) are present in the soil and ground water at the site. It appears that a- release of solvents and degreasers via a sink in the paint shop on-site may be the source of the VOCs. Based upon the available information, the Department has reason to believe that you (referring to Theodore S. Harmon, Inc. ) , (as owners of the site, are a potentially responsible party. "PRP") with liability under M.G.L. , C. 21E, Section 5. Section 5 makes the following parties liable to the Commonwealth: current and past owners and operators of a site; any person who arranged for, or who transported hazardous materials to the site; any person who stored, disposed of or treated hazardous materials at the site; or any person who caused the release or threat of release of oil or hazardous materials. The nature of this liability is joint and several and without regard to fault. Original Printed on Recycled Paper - -2- The Department is authorized pursuant to M.G.L. , C. 21E, Sections 3A(j) and 4 to take such response actions at the site as it deems necessary should you fail to respond to these releases in an appropriate and timely manner. Any response actions taken by the Department will be dictated by the individual characteristics of the site and by the timetable set out in M.G.L. , C. 21E, Section 3A and the MCP. The Department encourages responsible parties to take response actions to assess and cleanup contamination at sites. By taking response actions, you can avoid liability for the Department's costs of having its contractor perform the work and recover up to three (3) times its cost from you. Regardless of who performs the necessary work at the site, you may be liable for all of - the Department's response -action costs. Response action, costs include the cost of direct hours for work performed by Department employees in overseeing or arranging for response actions, any expenses' incurred by the Department in support of those direct hours, as well as payments to the Department's contractors. For more detail, seethe cost recovery regulations at 310 CMR 40. 600 et sea. In addition to your liability for up to three (3) times the response action costs incurred by the Department, you may also be liable for damages for loss of natural resources and interest on the total outstanding liability at the rate of 12% compounded annually. To secure payment on this. debt, the Department may place a lien on all, of your property within the Commonwealth. To recover the debt, the Department may foreclose on the lien or the Attorney General may bring court action against you. a Therefore, the Department has determined that the following response actions must be taken at the site: 1. Provide the Department with a written response to this Notice within fourteen (14) days of receipt hereof indicating whether you intend to take the necessary response actions; 2. Contract with a consultant knowledgeable in the area of hydrogeological investigation and hazardous waste site assessment and remediation to conduct and submit to the Department within sixty (60) days of receipt hereof the following work representative of the present site conditions in accordance with the MCP: 1 a. Complete the Phase I - Limited Site Investigation as outlined in Section 40.543 of the MCP. The following items. under 310 CMR 40. 543 (2) must be further addressed: t r. i —3- (a) Location History. 3 . A description of types (including generic names, chemical names, . and trade - names, a if available) and quantities, of oil or hazardous materials used, treated, stored, disposed, or generated through past and i present uses of the location; .a 4. A history of all disposal methods for oil or hazardous materials at the location, including an identification of disposal areas and types and quantities of materials. disposed; 5. Locations , of storage tanks, outdoor "j storage areas, or other places where oil or hazardous materials were used, stored, treated, or disposed; r (b) Location Description. 1. Universal Transverse Mercator (UTM) coordinates and latitude and longitude of the site; .;a 'a 5. Placement of utility lines at and nearby the location including municipal water a supply .lines, private water supply lines, sewer lines, and other subsurface utilities; 6 (b) . Characterization of the potential for direct human contact with oil and hazardous materials at or from the location; b. Conduct sufficient Phase I investigative activities to complete the enclosed Preliminary Assessment Report - and Interim Disposal Site Classification Forms; and yC. Evaluate the need for a Short Term Measure (STM) as defined in . 40. 542 of the MCP and notify the Department immediately if an imminent hazard is found at the site. Submit a .proposal to .perform a STM if a STM is deemed necessary. This evaluation shall continue throughout.the assessment process for this site. In addition, a new round of sampling. must be performed for all on-site monitoring wells (refer to the Minimum Standards for If i -4- Analytical Data for Remedial Response Actions under M.G.L. , C. 21E, policy#WSC-89-004, copy enclosed) . Disposal sites that have been classified as non-priority and confirmed as such by the Department may be eligible for a waiver 'i of subsequent approvals (310 CMR 40.537) . For information about the waiver and for copies of the application form, please contact Tracy Roberts at this office or Mr. Dana Muldoon of the Department's MCP Waiver Prograi� located at One Winter Street, 5th Floor, Boston, Massachusetts, 02108, telephone (617) 292-5649 . If you have any questions regarding this matter, please contact Cathy Dors at . (508) 946-2867. In any correspondence to this office, please refer to case. number WSC/SA-4-0978. .i The Department looks forward to your cooperation in the assessment of the site. Very truly yours, Mirk J. Begle , Chief Site Remediation. Section B/CD/rr CERTIFIED MAIL #P707 028 844 RETURN RECEIPT REQUESTED w Enclosures l� Y cc: DEP - BWSC Boston DEP - DATA ENTRY - SERO DEP - RCRA - SERO » ATTN: Gerald Monte Barnstable Board of Health -� P.O. Box 534 Hyannis, MA 02601 J x ATTN: Tom McKean, Hazardous Waste Coordinator Town of Barnstable - 367 Main Street y Hyannis, MA 02601 ATTN: Warren Rutherford, Town Manager ti AIL:; � P 10/26/2018 �' ; Citizen Web Request 4 k s+ T 61%�XTOILLE, x¢ Citizen Request Management : r Request ID: 59793 Created: 10/26/2018 9:48:03 AM Status: Assigned To Staff Assigned To: Miorandi, Donna Health Office Anonymous: No Category: Chapter 108 : Hazardous Materials E.C. Date: 11/9/2018 Created By: Miorandi, Donna Citations: Health Office Time Worked: 0.00 Response Time: 0.00 Request Location: Harmon Painting 705 MAIN STREET(OST.) Osterville, Ma 02655 Parcel Number: Map: 141 Block: 012 Lot: 012 Request: COMM fire Department requesting an inspector at above address. State Fire Marshall's Office also on way. Building marked as 703 Main St., Osterville Request Work History: f http://itsqldb/CitizenRequest/WRequestPrintPub.aspx?ID=59793 1/1 10/26/2018 Citizen Web Request "*'n x. zi Friday, October 2.6 2018 Citizen ^er^ g � y Request ''� g. Management /� Application Center Logged In As: miorandd C i t�I ze 9 6 Re q u e s i. 9°1 a n a g e m e n t Logoff Route to Users .Search Requests Create Requests Changes saved Request Information Request ID: 59793 Created: 10/26/2018 9:48:03 AM Status: Assigned To Staff Assigned To: Bellaire, Dianna Health Office Anonymous: No Request Category: Chapter 108 : Hazardous Materials edit Routine work: No Estimate: No edit Date scheduled: edit Estimated 11/9/2018 Change Estimated Oct November 2018 Dec Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 t28 29 30 1 2 3 6 7 8 Created By: Miorandi, Donna Priority: High edit Health Office Citation Numbers: edit Requestor Information Requestor Request Parcel Number Map 141 Block: 012 Lot: 012 COMM fire Department requesting an inspector at above address. State Fire Marshall's Office also on way. Building Parcel Lookup marked as 703 Main St., Osterville Email: Edit Requestor Information http://itsgldb/CitizenRequest/WRequest.aspx?ID=59793 1/3 10/26/2018 Citizen Web Request f Track Request Progress Request Work History: Internal Note History: System entry on 10/26/2018 9:48:03 AM: Assigned to Bellaire, Dianna Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) t Spell Check SpeII Check. i ,Add document or image link: Choose File No file chosen * You can also type in a folder name to see everything in the folder ' Current Links: Time worked on request: 0.00 Response time: 0.00 *Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights, weekends, and holidays in response time for most departments. C�Save changes D Check to notify town employee below to review this request. O Save changes and notify — ealthti Office • citizen* �H •Close request Bellaire , Dianna � �_._ Brief message to reviewer: O Close request and notify citizen* *notify works if email address was given _ ..Update Spell Check Internal Use: Printer Friendly Version http://itsqldb/CitizenRequest/WRequest.aspx?ID=59793 2/3 10/26/2018 Citizen Web Request 1 http://itsqldb/CitizenRequest/WRequest.aspx?ID=59793 3/3