HomeMy WebLinkAbout0171 ABLE WAY - Health 171 Able Way
Marstons Mills _
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O'Connell, Timothy
From: McKean, Thomas
Sent: Thursday, March 10, 2022 10:28 AM
To: O'Connell,Timothy
Subject: RE:171 Able Way Marstons Mills/ Ursula Borror
Thank you
From: O'Connell, Timothy
Sent: Thursday, March 10, 2022 8:30 AM
To: McKean, Thomas
Subject: RE: 171 Able Way Marstons Mills/ Ursula Borror
This complaint came in on 6-25-20. 1 went out there multiple times without compliance. She was then brought in front
BOH. I then checked regularly thereafter and she was fine Approximately$1,000 over that time period. She had
arranged a payment plan with Robin Anderson until around 11-19-20 1 observed that debris had been removed and I
dropped the rest of the tickets due to compliance.
From: McKean,Thomas
Sent: Wednesday, March 09, 2022 4:47 PM
To: O'Connell,Timothy
Subject: 171 Able Way Marstons Mills/ Ursula Borror
Hi Tim
Please inspect this property for outdoor items-and provide an update.
Has it been cleaned up? Or has she placed piles of items onto the lawn again?
FYI -The last time this went before the Board of Health , the Board required regular(weekly) inspections and citations
issued to Ursula Borror when/if needed.
1
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Town of Barnsta e— �J
Board of Health
v�A M �E$, 200 Main Street,Hyannis MA 02601
ABED MA'S s
Office: 508-862-4644 John Norman
FAX: 508-790-6304 Donald A.Guadagnoli,M.D.
Alternate:F.P.(Thomas)Lee
CERTIFIED MAIL#7017 1000 0000 6763 4459
July 22, 2020
Ms. Ursula Borror
171 Able Way
Marstons Mills, MA 02648
SHOW-CAUSE HEARING ON TUESDAY,AUGUST 25, 2020 AT 3:00 PM.
Dear Ms. Borror:
You are scheduled to appear before the Board of Health, remotely, on Tuesday, August
25, 2020, to show cause why your property or dwelling should not be condemned due to
continued violation of Town of Barnstable Code § 54-3 (A) Outdoor Storage.
INSTRUCTIONS ON APPEARING REMOTELY ARE ATTACHED.
In accordance with the Governor's Order Assuring Continued Operation of Essential
Services in the Commonwealth, Closing Certain Workplaces, and Prohibiting Gatherings of
More Than 10 People issued on March 24, 2020, the August 25, 20202 public hearing of the
Board of Health shall be physically closed to the public to avoid group congregation.
CODE � 54-3(A) Outdoor Storage
The property at 171 Able Way, Marstons Mills has large amounts of belongings strewn
outside throughout said property. You are familiar with this code violation as you were
cited for the same violation at your property at 744 Old Falmouth Road, Marstons Mills and
which ultimately lead to that property being condemned. Attached are prior letters and
pictures dated January 30 and July 8, 2020 concerning 171 Able Way, Marstons Mills.
You will be given an opportunity to present witnesses, documentation, and any other
pertinent information to the Board of Health regarding why the property should not be
condemned or why daily, non-criminal ticket citations should not be issued to you.
PER ORDER OF THE BOARD OF HEALTH
McI ean, CHO
Agent of the Board of Health
Town of Barnstable
Attachments ;
Q:\Show Cause\171 Able Way Marstons Mills Show C Aug 25 2020.docx
Attachment# 1:
INSTRUCTIONS FOR REMOTE BOARD OF HEALTH MEETING ON AUGUST 25,2020
Notice of Recording: This meeting of the Board of Health will be recorded and transmitted by the
Information Technology Department of the Town of Barnstable on Channel 18. Under MGL Chapter 30A
Section 20, anyone else desiring to make such a recording or transmission must note the Chair.
Remote Participation Instructions
In accordance with the Governor's Order Assuring Continued Operation of Essential Services in the
Commonwealth, Closing Certain Workplaces, and Prohibiting Gathering of More Than 10 People issued
on March 24, 2020,the August 25th public meeting of the Board of Health shall be physically closed to
the public to avoid group congregation.
Alternative public access to this meeting shall be provided in the following manner:
1. The meeting will be televised via Channel 18 and may be accessed the Channel 18 website at
http://streaming85.townotbaNnstable.us/CablecastPublicSite/watch/1?channel=l
2. Real-time public comment con be addressed to the Board of Health utilizing the Zoom link or
telephone number and access code for remote access below.
Join Zoom Meeting: On—Line:
https:llzoom.uslil962 8077 0317
Meeting ID: 962-8077-0317
Or By Phone:
1-888-475-4499 US Toll free
Meeting ID: 962-8077-0317
3. Applicants,their representatives and individuals required or entitled to appear before the Board of
Health may appear remotely and are not permitted to be physically present at the meeting, and may
participate through the link or telephone number provided above. Documentary exhibits and/or
visual presentations should be submitted in advance of the meeting to
sharon.crocker@town.barnstable.ma.us, so that they may be displayed for remote public access
viewing.
Public comment is also welcome by emailing: sharon.crocker@town.barnstable.ma.us
Q:\Show Cause\l71 Able Way Marston;Mills Show C Aug 25 2020.docx
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Town of Barnstable
�oF�►+e roy� Inspectional Services Barnstable
MROMIC8011
• BARNSTABLE,
9 MASS. '
E639�p��� Health Inspector's Summary: '
171 Able Way, M rstons Mills
2007
Office: 508-862-4644 Fax: 508-790-6304
Bar(s): 83480, 81532
Name of Offender: Ursula Borror
Location of Violation: 171 Able Way, Marstons Mills, MA and 744 Old Falmouth Road
Date(s) of Violation: 171 Able Way, Marstons Mills has 3 complaints dating from 10-1-19 until
present day. 744 Old Falmouth Rd have 20 complaints from 11-15-08 until 1-30-20.
Violation(s): Town of Barnstable Code § 54-3(a) Outdoor Storage.
Facts: The owner of these two (2) properties listed above has been a chronic offender of many
trash violations, along with other housing issues for close to 12 years. See attached list of
complaints filed on these properties. The current situation located at 171 Able Way Marstons
Mills, MA shows a large amount of belonging's strewn throughout said property. See attached
pictures.
Ms. Borror has been issued multiple tickets along with an order letter to remove said items but
has failed to do so. She was issued a citation immediately for violations at 171 Able Way on July
8, 2020. This was due to the fact she is aware of Chapter#54 regulations from her past violations
at 744 Old Falmouth Road and The large amount of belongings that are in violation at the time of
the recent inspection. She was also mailed an order letter on that same day.
Furthermore, the person who has complained about 171 Able Way has stated through text and
voice messages that the items in question continue to arrive at this property daily. She feels the
citations that were issued recently are not bringing her into compliance and she should bey
brought in front of the Town of Barnstable Board of Health to answer why she continues to defy
the orders to clean these items
Respectfull ubmitted,
�
P-5
Timo y B. O'Connell, R.S.
Health Inspector
Town of Barnstable
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Town of Barnstable
MAHAS&WMLL�' Inspectional Services
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" Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
July 8, 2020
Ursula Borror
171 Able Way
Marstons Mills, MA 02648
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS.
The property owned by you located at 171 Able Way, Marston's Mills, MA was visited
on July 8, 2020 by Timothy B. O'Connell, R.S., Health Inspector for the Town of
Barnstable. This inspection was conducted in response to a complaint filed with the
Public Health Division.
The following violations of the Town of Barnstable Board of Health Regulations, Chapter
54 Building and Premises Maintenance were observed:
454-3 (A) Outdoor Storage
Multiple items are being stored outdoors on this property which are not screened from
public view and are not within an enclosed structure, as required by above ordinance.
These items include but are not limited to: Bags of garbage, scrap wood, building
materials, plastic containers, indoor furniture, and other sorted debris.
You are directed to correct the violations listed above within (15) days of your
receipt of this letter by removing said items from property or storing them in an
enclosed structure
You may request a hearing before the Board of Health if written petition requesting same
is received within 10 (10) days after the date the order is served Non-compliance will
result in a fine of$100.00 per violation. Each day's failure to comply with an order shall
constitute a separate violation. Should you have any questions regarding the above
violations, please contact the Town Health Division and ask to speak with the inspector
who performed the inspection.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S.
Director of Public Health
Town of Barnstable
Town of Barnstable
B' Inspectional Services
1639.
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Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
January 30, 2020
Ursula Borror
171 Able Way
Marstons Mills, MA 02648
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS.
The property owned by you located at 744 Old Falmouth Road, Marston's Mills, MA was
visited on January 30, 2020 by Timothy B. O'Connell, R.S.; Health Inspector for the
Town of Barnstable. This inspection was conducted in response to a complaint filed with
the Public Health Division.
The following violations of the Town of Barnstable Board of Health Regulations, Chapter
54 Building and Premises Maintenance were observed:
04-3 (A) Outdoor Storage
Multiple items are being stored outdoors on this property which are not screened from
public view and are not within an enclosed structure as required by above ordinance.
These items include but are not limited to: Bags of garbage, deteriorated card board
boxes, scrap wood and other sorted debris.
You are directed to correct the violations listed above within (15) days of your
receipt.of this letter by removing said items from property or storing them in an
enclosed structure
You may request a hearing before the Board of Health if written petition requesting same
is received within 10 (10) days after the date the order is served Non-compliance will
result in a fine of$100.00 per violation. Each day's failure to comply with an order shall
constitute a separate violation. Should you have any questions regarding the above
violations, please contact the Town Health Division and ask to speak with the inspector .
who performed the inspection.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S.
Director of Public Health
Town of Barnstable
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Request Department AssignedReque
Category Reguestor Date Request Text Location Time Priority
Health O'Connell, Chapter 54-5: Neighbor is furious 171 ABLE
70 ❑
806 Department Timothy Rubbish and Garbage 6/25/2020 that we ha WAY
Health Chapter 54-5: Neighbor reports more 171 ABLE
20591 Department Parziale,Jim Rubbish and Garbage Anonymous 4/21/2020 junk in WAY v(
Health Chapter 54-3:Outdoor Says the front yard is 171 ABLE
70277 Department Parziale,Jim Storage Anonymous 10/1/2019 ajunk WAY -11 ❑
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Request Department Assigned Category Reguestor Request Request Text Location Time Priority
Date
Chapter 54-5: 744 OLD
70441 Health O'Connell, THIS PROPERTY ROAD ,� El
Department Timothy Rubbish and 1/30/2020 IS A REPEAT ISSU FALMOUTH "/
Garbage ROAD
Barnstable 744/724 OLD
Health Miorandi, Chapter II:Housing Sgt.Kevin Tynan of
59426 Police 4/1712018 Barnstable FALMOUTH 13
Department Donna Substandard Department ROAD
Health Chapter II:Housing Barnstable Sgt.Kevin Tynan of 744/724 OLD
Barnstable
59425 Health Police 4/17/2018 FALMOUTH
Department Substandard Department ROAD
Chapter 54-5: Also see complaint# 744 OLD
Health
57889 Parziale,Jim Rubbish and 12/7/2016 FALMOUTH Q
Department Garbage 54014 date ROAD
Health O'Connell, Chapter II:HousingCalled to sayshe is 744 OLD
54014 Department Timothy Substandard r 9/10/2015 again hoa FALMOUTH
ROAD
https:Hitsgldb.town.bamstable.ma.us/CitizenRequest/Regs2.aspx 7/20/2020
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Search Requests Page 2 of 2
• � I
51072. Health Stanton, Chapter II:Housing 11/14/2014 Requestor reports 744 OLD
Department David Substandard that the own FALMOUTH
ROAD
Chapter 54-5: 744 OLD
Health Stanton, Requestor reports
51072 that the own Rubbish and / 11/14/2014 FALMOUTH
Department David Garbage ROAD
Conservation Stepanis, General information Tom Lynch called. 744 OLD
50801 Dept Fred requests Ursula Borror 10/8/2014 Said Ursula FALMOUTH V E)
ROAD
Conservation Land management r Ursula Rr+ryy��.of"-M2 OLD
50174 Dept Karle,Darcy issues Ursula Borror 7/29/2014 `724 Old'Falmo F UTH
OAD
Health Chapter II:Housing Caller said"house 744 OLD _
49871 Department Parziale,Jim Substandard 7/3/2014 has been co FALMOUTH of
ROAD
Health Chapter 54-3: Caller said"house 744 OLD
49871 Department Parziale,Jim Outdoor Storage 7/3/2014 has been co FALMOUTH
ROAD
345 Heap---- McKe�a �n I� Re orreports 280
partment T aherf'i s Gj 2/24✓ -rna there w MOUTH
ROAD
Health O'Connell, Chapter II:Housing Still living in house; 744 OLD
47957 Department Timothy Substandard 12/17/2013 car in FALMOUTH
ROAD
Health O'Connell, Cf apter II:Housing Alarm Report 744 OLD
FALM47634 Department Timothy Substandard 10/16/2013 COMM#13-03561. ROAD TH
ROAD
Health Chapter II:Housing Barnstable Once again,the 744 OLD
47161 Department Parziale,Jim Substandard Police Dept. 3/21/2013 neighbor's bro FALMOUTH t
ROAD
Heap- McK e, Cha 6: Chicken �ROA—D
445tJf� ,Department / 13 TH
rybeth les � ge are running� Cept rvationy ,^,,� — abller s 9 shing 104
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Health Chapter II:Housing Neighbor came in at 744 OLD
43257 Department Parziale,Jim Substandard 12/7/2012 10 PM from FALMOUTH ' El
ROAD
Health Section 353-1 Requestor reports 744 OLD
43131 Department Parziale,Jim Garbage and Rubbish 12/4/2012 that althoug FALMOUTH
ROAD
Health O'Connell, Chapter II:Housing Back in house.Call 744 OLD _
36460 1/23/2012 FALMOUTH /� Q
Department Timothy Substandard / from abov ROAD
Health Chapter II:Housing 1/11I2012 Requestor reports 744 OLD
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36419 Department Parziale,Jim Substandard FALMOUTH that the ent ROAD
11/18/2010 Health Section 353-1 Requestor is 744 OLD
32906 Parziale,Jim reporting that th FALMOUTH
Department Garbage and Rubbish ROAD
Health Chapter II:Housing COMM fire called 744 OLD1/20/2009 FALMOUTH °/
24138 Department Stanton,David Substandard at 9:50 AM on ROAD
744 OLD
Health Section 353-1 11/5/2008 Requestor reports FALMOUTH t� Q
23693 Cabot,Jaime ;fiat her nei
Department Garbage and Rubbish ROAD
https:Hitsgldb.town.bamstable.ma.us/CitizenRequest/Regs2.aspx 7/20/2020
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Town of Barnstable (0,_11
Board of Health
IMA Y f
9RM���$, 200 Main Street, Hyannis MA 02601
qjp s639. � �S o20
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Office: 508-862-4644 John Norman
FAX: 508-790-6304 Donald A.Guadagnoli,M.D.
Alternate:F.P.(Thomas)Lee
CERTIFIED MAIL# 7017 1000 0000 6763 4459
July 22, 2020
Ms. Ursula Borror
171 Able Way
Marstons Mills, MA 02648
SHOW-CAUSE HEARING ON TUESDAY,AUGUST 25, 2020 AT 3:00 PM.
Dear Ms. Borror:
You are scheduled to appear before the Board of Health, remotely, on Tuesday, August
25, 2020, to show cause why your property or dwelling should not be condemned due to
continued violation of Town of Barnstable Code § 54-3 (A) Outdoor Storage.
INSTRUCTIONS ON APPEARING REMOTELY ARE ATTACHED.
In accordance with the Governor's Order Assuring Continued Operation of Essential
Services in the Commonwealth, Closing Certain Workplaces, and Prohibiting Gatherings of
More Than 10 People issued on March 24, 2020, the August 25, 20202 public hearing of the
Board of Health shall be physically closed to the public to avoid group congregation.
CODE 54-3(A) Outdoor Storalze
The property at 171 Able Way, Marstons Mills has large amounts of belongings strewn
outside throughout said property. You are familiar with this code violation as you were
cited for the same violation at your property at 744 Old Falmouth Road, Marstons Mills and
which ultimately lead to that property being condemned. Attached are prior letters and
pictures dated January 30 and July 8, 2020 concerning 171 Able Way, Marstons Mills.
You will be given an opportunity to present witnesses, documentation, and any other
pertinent information to the Board of Health regarding why the property should not be
condemned or why daily, non-criminal ticket citations should not be issued to you.
PER ORDER OF THE BOARD OF HEALTH
�Mc n, CHO
Agent of the Board of Health
Town of Barnstable
Attachments
Q:\Show Cause\171 Able Way Marstons Mills Show C Aug 25 2020.docx
f
Attachment# l:
INSTRUCTIONS FOR REMOTE BOARD OF HEALTH MEETING ON AUGUST 25, 2020
Notice of Recording: This meeting of the Board of Health will be recorded and transmitted by the
Information Technology Department of the Town of Barnstable on Channel 18. Under MGL Chapter 30A
Section 20, anyone else desiring to make such a recording or transmission must note the Chair.
Remote Participation Instructions
In accordance with the Governor's Order Assuring Continued Operation of Essential Services in the
Commonwealth, Closing Certain Workplaces, and Prohibiting Gathering of More Than 10 People issued
on March 24, 2020, the August 25th public meeting of the Board of Health shall be physically closed to
the public to avoid group congregation.
Alternative public access to this meeting shall be provided in the following manner:
1. The meeting will be televised via Channel 18 and may be accessed the Channel 18 website at
hggllstreaminQ85.townolba.rnstable.us/CablecastPublicSite/watch/1?channel=1
2. Real-time public comment can be addressed to the Board of Health utilizing the Zoom link or
telephone number and access code for remote access below.
Join Zoom Meeting: On—Line.
hops://zoom.us&962 8077 0317
Meeting ID: 962-807 7-0317
Or By Phone:
1-888-475-4499 US Toll free
Meeting ID: 962-8077-0317
3. Applicants,their representatives and individuals required or entitled to appear before the Board of
Health may appear remotely and are not permitted to be physically present at the meeting, and may
participate through the link or telephone number provided above. Documentary exhibits and/or
visual presentations should be submitted in advance of the meeting,to
sharon.crocker@town.barnstable.ma.us, so that they may be displayed for remote public access
viewing.
Public comment is also welcome by emailing: sharon.crocker@town.barn stable.ma.us
Q:\Show Cause\17I Able Way Marstons Mills Show C Aug 252020.docx
o
Town of Barnstable
�F1ME rgt, Inspectional Services Barnstable
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MASS.
9�i0re1639. Health Inspector's Summary: m
171 Able Way, Marstons Mills 2007
Office: 508-862-4644 I Fax: 508-790-6304
Bar(s): 83480, 81532
Name of Offender: Ursula Borror
Location of Violation: 171 Able Way, Marstons Mills, MA and 744 Old Falmouth Road
Date(s) of Violation: 171 Able Way, Marstons Mills has 3 complaints dating from 10-1-19 until
present day. 744 Old Falmouth Rd have 20 complaints from 11-15-08 until 1-30-20.
Violation(s): Town of Barnstable Code § 54-3(a) Outdoor Storage.
Facts: The owner of these two (2) properties listed above has been a chronic offender of many
trash violations, along with other housing issues for close to 12 years. See attached list of
complaints filed on these properties. The current situation located at 171 Able Way Marstons
Mills, MA shows a large amount of belonging's strewn throughout said property. See attached
pictures.
Ms. Borror has been issued multiple tickets along with an order letter to remove said items but
has failed to do so. She was issued a citation immediately for violations at 171 Able Way on July
8, 2020. This was due to the fact she is aware of Chapter#54 regulations from her past violations
at 744 Old Falmouth Road and the large amount of belongings that are in violation at the time of
the recent inspection. She was also mailed an order letter on that same day.
Furthermore, the person who has complained about 171 Able Way has stated through text and
voice messages that the items in question continue to arrive at this property daily. She feels the
citations that were issued recently are not bringing her into compliance and she should be .o
brought in front of the Town of Barnstable Board of Health to answer why she continues to defy
the orders to clean these items
Respectfully- ubmitted,
r j..
Timothy B. O'Connell; R.S.
Health Inspector
Town of Barnstable z.
�tME
Town of Barnstable
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AS& ' Inspectional Services
039. Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
July 8, 2020
Ursula Borror
171 Able Way
Marstons Mills, MA,02648
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS.
The property owned by you located at 171 Able Way, Marston's Mills, MA was visited
on July 8, 2020 by Timothy B. O'Connell, R.S., Health Inspector for the Town of
Barnstable. This inspection was conducted in response to a complaint filed with the
Public Health Division.
The following violations of the Town of Barnstable Board of Health Regulations, Chapter
54 Building and Premises Maintenance were observed:
454-3 (A) Outdoor Storage
Multiple items are being stored outdoors on this property which are not screened from
public view and are not within an enclosed structure as required by above ordinance.
These items include but are not limited to: Bags of garbage, scrap wood, building
materials,plastic containers, indoor furniture, and other sorted debris.
You are directed to correct the violations listed above within (15) days of your
receipt of this letter by removing said items from property or storing them in an
enclosed structure
You may request a hearing before the Board of Health if written petition requesting same
is received within 10 (10) days after the date the order is served Non-compliance will
result in a fine of$100.00 per violation. Each day's failure to comply with an order shall
constitute a separate violation. Should you have any questions regarding the above
violations, please contact the Town Health Division and ask to speak with the inspector
who performed the inspection.
PER ORDER OF THE.BOARD OF HEALTH
Thomas A. McKean, R.,.
Director of Public Health
Town of Barnstable
f
' Town of Barnstable
'"'MAS& Inspectional Services
rF� '
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
January 30, 2020
Ursula Borror
171 Able Way
Marstons Mills, MA 02648
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS.
The property owned by you located at 744 Old Falmouth Road, Marston's Mills, MA was
visited on January 30, 2020 by Timothy B. O'Connell, R.S., Health Inspector for the
Town of Barnstable. This inspection was conducted in response to a complaint filed with
the Public Health Division.
The following violations of the Town of Barnstable Board of Health Regulations, Chapter
54 Building and Premises Maintenance were observed:
U4-3 (A) Outdoor Storage
Multiple items are being stored outdoors on this property which are not screened from
public view and are not within an enclosed structure as required by above ordinance.
These items include but are not limited to: Bags of garbage, deteriorated card board
boxes, scrap wood and other sorted debris.
You are directed to correct the violations listed above within (15) days of your
receipt of this letter by removing said items from property or storing them in an
enclosed structure
You may request a hearing before the Board of Health if written petition requesting same
is received within 10 (10) days after the date the order is served Non-compliance will
result in a fine of$100.00 per violation. Each day's failure to comply with an order shall
constitute a separate violation. Should you have any questions regarding the above
violations, please contact the Town Health Division and ask to speak with the inspector
who performed the inspection.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S.
Director of Public Health
Town of Barnstable
THE FOLLOWING
IS/ARE THE BEST
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Sea;ch,Requests Page 1 of 2
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Route to Users Search Requests Create Requests
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Search Request 1�-�7 I �� I
Search By Road Name v
Road Name: able way
Status: JAII Created
From , v .
To Jul 7v 20 v v 2020
No Date Range - Return All
Search List
Print List
Request Department Assigned Cateaory Request Reguestor Date Request Text Location Time Priority
Health O'Connell, Chap:er 54-5: Neighbor is furious 171 ABLE
70806 Department Timothy Rubbish and Garbage 6/25/2020 that we ha WAY
Health Chapter 54-5: Neighbor reports more 171 ABLE
70591 Department Parziale,Jim Rubbish and Garbage Anonymous 4/21/2020 junk in WAY
70277 Health Parziale,Jim Chapter 54-3:Outdoor Anonymous 10/1/2019 Says the front yard is 171 ABLE V 11
Department Storace a junk WAY
I
Search Requests Page 1 of 2
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Search Request 74q (��A �al�►t�r t
Search By Road Name V
Road Name: lold falmouth
Status: JAII Created IV
From, li 6� �
To Jul v 25 v 2020 v
No Date Range- Return All P
Search List
Print List
Request Department Assigned Category Reguestor Request Date Request Text Location Time Priority
Chapter 54-5: 744 OLD
Health O'Connell, THIS PROPERTY 4 El
70441 Department Timothy Rubbish and 1/30/2020 IS A REPEAT ISSU FALMOUTH ROAD
Garbage ROAD
Barnstable 744/724 OLD
Health Miorandi, Chapter II:Housing Sgt.Kevin Tynan of
59426 Police 4/17/2018 Barnstable FALMOUTH
Department Donna Substandard Department ROAD
Health Chapter II:Housing Barnstable Sgt.Kevin Tynan of 744/724 OLD
59425 Health Police 4/1 712 0 1 8 Barnstable FALMOUTH
Department Substandard Department ROAD
Health Chapter 54-5: Also see complaint# 744 OLD
57889 Parziale,Jim Rubbish and 12/7/2016 FALMOUTH e ' Q
Department 54014 date ROAD
Garbage
I Health O'Connell, Chapter II:Housing Called to say she is 744 OLD
r 9/10/2015
54014 Department Timothy Substandard ROAD again hoa FALMOUTH
ROAD
https://itsgldb.town.barnstable.ma.us/CitizenRequest/Regs2.aspx 7/20/2020
Search Requests Page 2 of 2
51072 Health Stanton, Chapter II:Housing 11/14/2014 Requestor reports 744 OLD
Department David Substandard that the own FALMOUTH
ROAD
Chapter 54-5: 744 OLD
Health Stanton, Requester reports f�
51072 Department David Rubbish and � 11/14/2014 that the own FALMOUTH El
Garbage ROAD
Conservation Stepanis, General information Tom Lynch called. 744 OLD
50801 Dept Fred requests Ursula Borror 10/8/2014 Said Ursula FALMOUTH .,
ROAD
Conservation Land management s Ursula Bnryyx�of'�2 OLD
50174 Dept Karle,Darcy issues Ursula Borror 7/29/2014 724 Old'Fal no F OADUTH
Health Chapter II:Housing Caller said"house 744 OLD _
49871 Department Parziale,Jim Substandard 7/3/2014 has been co FALMOUTH
ROAD
Health Chapter 54-3: Caller said"house 744 OLD
49871 Department Parziale,Jim Outdoor Storage 7/3/2014 has been co FALMOUTH
ROAD
Heap-----
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345 partment TMerfias G _ 2/2 14 at there MOUTH
ROAD
Health O'Connell, Chapter II:Housing Still living in house; 744 OLD
47957 Department Timothy Substandard 12/17/2013 car in FALMOUTH v
ROAD
Health O'Connell, Chapter II:Housing Alarm Report 744 OLD _
47634 Department Timothy Substandard 10/16/2013 COMM#13-03561. ROAD FALMOUTH - Q
ROAD
Health Chapter II:Housing Barnstable Once again,the 744 OLD
47161 Department Parziale,Jim Substandard Police Dept. 3/21/2013 neighbor's bro FALMOUTH w
ROAD
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445iTi�'Department rybeth les 13 ge are running ROAD MOUTH
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`Y139 ept e,Darcy and violations 8 b 9 FAL
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744 OLD
43257 Department Parziale,Jim Substandard 12/7/2012 10 PM from FALMOUTH zJ ❑
ROAD
Health Section 353-1 Requestor reports 744 OLD
43131 Department Parziale,Jim Garbage and Rubbish 12/4/2012 that althoug FALMOUTH _ ❑
ROAD
Health O'Connell, Chapter II:Housing Back in house.Call 744 OLD _
36460 1/23/2012 FALMOUTH
Department Timothy Substandard / from abov ROAD
Health Chapter II:Housing Requestor reports 744 OLD
36419 Department Parziale,Jim Substandard 1/11/2012 that the ent FALMOROADUTH
Requestor is 744 OLD
Health Section 353-1 11/18/2010 q FALMOUTH
32906 Department Parziale,Jim Garbage and Rubbish reporting that th ROAD
COMM fire called 744 OLD
Health Chapter II:Housing 1/20/2009 FALMOUTH of
24138 Department Stanton,David Substandard at 9:50 AM on
ROAD
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23693 Cabot,Jaime ;fiat her nei
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�YHKE r
Town of Barnstable
�°, Board of Health
anRMA&r. E,
MA 200 Main Street, Hyannis MA 02601
9 &S.
i63q• ��
prfD IUA�A
Office: 508-862-4644 John Norman
FAX: 508-790-6304 Donald A.Guadagnoli,M.D.
Alternate:F.P.(Thomas)tee
CERTIFIED MAIL#7017 1000 0000 6763 4459
July 22, 2020
Ms. Ursula Borror
171 Able Way
Marstons Mills, MA 02648
SHOW-CAUSE HEARING ON TUESDAY,AUGUST 25, 2020 AT 3:00 PM.
Dear Ms. Borror:
You are scheduled to appear before the Board of Health, remotely, on Tuesday, August
25, 2020, to show cause why your property or dwelling should not be condemned due to
continued violation of Town of Barnstable Code § 54-3 (A) Outdoor Storage.
INSTRUCTIONS ON APPEARING REMOTELY ARE ATTACHED.
In accordance with the Governor's Order Assuring Continued Operation of Essential
Services in the Commonwealth, Closing Certain Workplaces, and Prohibiting Gatherings of
More Than 10 People issued on March 24, 2020, the August 25, 20202 public hearing of the
Board of Health shall be physically closed to the public to avoid group congregation.
CODE >Z 54-3(A) Outdoor StorajZe
The property at 171 Able Way, Marstons Mills has large amounts of belongings strewn
outside throughout said property. You are familiar with this code violation as you were
cited for the same violation at your property at 744 Old Falmouth Road, Marstons Mills and
which ultimately lead to that property being condemned. Attached are prior letters and
pictures dated January 30 and July 8, 2020 concerning 171 Able Way, Marstons Mills.
You will be given an opportunity to present witnesses, documentation, and any other
pertinent information to the Board of Health regarding why the property should not be
condemned or why daily, non-criminal ticket citations should not be issued to you.
PER ORDER OF THE BOARD OF HEALTH
�Mc n, CHO
Agent of the Board of Health
Town of Barnstable
Attachments
Q:\Show Cause\171 Able Way Marstons Mills Show C Aug 25 2020.docx
Attachment# 1:
INSTRUCTIONS FOR REMOTE BOARD OF HEALTH MEETING ON AUGUST 25, 2020
Notice of Recording: This meeting of the Board of Health will be recorded and transmitted by the
Information Technology Department of the Town of Barnstable on Channel 18. Under MGL Chapter 30A
Section 20, anyone else desiring to make such a recording or transmission must notify the Chair.
Remote Participation Instructions
In accordance with the Governor's Order Assuring Continued Operation of Essential Services in the
Commonwealth, Closing Certain Workplaces, and Prohibiting Gathering of More Than 10 People issued
on March 24, 2020, the August 25th public meeting of the Board of Health shall be physically closed to
the public to avoid group congregation.
Alternative public access to this meeting shall be provided in the following manner:
1. The meeting will be televised via Channel 18 and maybe accessed the Channel 18 webs ite at
http:llstreaming85.townolbar.-7stable.us/CablecastPublicSite/watch/1?channel=I
2. Real-time public comment can be addressed to the Board of Health utilizing the Zoom link or
telephone number and access.code for remote access below.
Join Zoom Meeting: On —Line:
https:llzoom.usli1962 8077 0317
Meeting ID: 962-80 77-03 17
Or By Phone:
1-888-475-4499 US Toll free
Meeting ID: 962-8077-0317
3. Applicants,their representatives and individuals required or entitled to appear before the Board of
Health may appear remotely and are not permitted to be physically present at the meeting, and may
participate through the link or telephone number provided above. Documentary exhibits and/or
visual presentations should be submitted in advance of the meeting to
sharon.crocker@town.bamstable.ma.us, so that they may be displayed for remote public access
viewing.
Public comment is also welcome by emailing: sharon.crocker@town.bamstable.ma.us
Q:\Show Cause\]71 Able Way Marstom Mills Show C Aug 25 2020.docx
Town of Barnstable
OF THE Tp� Inspectional Services Barnstable
.� O,^
N-AmWcaCitV
yQ MASS.
vArF039. Health Inspector's Summary: m
171 Able Way, Marstons Mills 2007
Office: 508-862-4644 I Fax: 508-790-6304
Bar(s): 83480, 81532
Name of Offender: Ursula Borror
Location of Violation: 171 Able Way, Marstons Mills, MA and 744 Old Falmouth Road
Date(s) of Violation: 171 Able Way, Marstons Mills has 3 complaints dating from 10-1-19 until
present day. 744 Old Falmouth Rd have 20 complaints from 11-15-08 until 1-30-20.
Violation(s): Town of Barnstable Code § 54-3(a) Outdoor Storage.
Facts: The owner of these two (2) properties listed above has been a chronic offender of many
trash violations, along with other housing issues for close to 12 years. See attached list of
complaints filed on these properties. The current situation located at 171 Able Way Marstons
Mills, MA shows a large amount of belonging's strewn throughout said property. See attached
pictures.
Ms. Borror has been issued multiple tickets along with an order letter to remove said items but
has failed to do so. She was issued a citation immediately for violations at 171 Able Way on July
8, 2020. This was due to the fact she is aware of Chapter#54 regulations from her past violations
at 744 Old Falmouth Road and the large amount of belongings that are in.violation at the time of
the recent inspection. She was also mailed an order letter on that same day.
Furthermore, the person who has complained about 171 Able Way has stated through text and
voice messages that the items in question continue to arrive at this property daily. She feels the
citations that were issued recently are not bringing her into compliance and she should be -,,
brought in front of the Town of Barnstable Board of Health to answer why she continues to defy
the orders to clean these items
Respectfully, ubmitted,
s r r
Timo4y B. O'Connell, R.S.
Health Inspector
Town of Barnstable
I -
OptHE
Town of Barnstable
KAS&g Inspectional Services
p 16;9. ♦Q'
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
July 8, 2020
Ursula Borror
171 Able Way
Marstons Mills, MA 02648
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS.
The property owned by you located at 171 Able Way, Marston's Mills, MA was visited
on July 8, 2020 by Timothy B. O'Connell, R.S., Health Inspector for the Town of
Barnstable. This inspection was conducted in response to a complaint filed with the
Public Health Division.
The following violations of the Town of Barnstable Board of Health Regulations, Chapter
54 Building and Premises Maintenance were observed:
454-3 (A) Outdoor Storage
Multiple items are being stored outdoors on this property which are not screened from
public view and are not within an enclosed structure as required by above ordinance.
These items include but are not limited to: Bags of garbage, scrap wood, building
materials,plastic containers, indoor furniture, and other sorted debris.
You are directed to correct the violations listed above within (15) days of your
receipt of this letter by removing said items from property or storing them in an
enclosed structure
You may request a hearing before the Board of Health if written petition requesting same
is received within 10 (10) days after the date the order is served Non-compliance will
result in a fine of$100.00 per violation. Each day's failure to comply with an order shall
constitute a separate violation. Should you have any questions regarding the above
violations, please contact the Town Health Division and ask to speak with the inspector
who performed the inspection.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S.
Director of Public Health
Town of Barnstable
if
y/
Town of Barnstable
E"`MAS&M ' Inspectional Services
039.
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
January 30, 2020
Ursula Borror
171 Able Way
Marstons Mills, MA 02648
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS.
The property owned by you located at 744 Old Falmouth Road, Marston's Mills, MA was
visited on January 30, 2020 by Timothy B. O'Connell, R.S., Health Inspector for the
Town of Barnstable. This inspection was conducted in response to a complaint filed with
the Public Health Division.
The following violations of the Town of Barnstable Board of Health Regulations, Chapter
54 Building and Premises Maintenance were observed:
�54-3 (A) Outdoor Storage
Multiple items are being stored outdoors on this property which are not screened from
public view and are not within an enclosed structure as required by above ordinance.
These items include but are not limited to: Bags of garbage, deteriorated card board
boxes, scrap wood and other sorted debris.
You are directed to correct the violations listed above within (15) days of your
receipt of this letter by removing said items from property or storing them in an
enclosed structure
You may request a hearing before the Board of Health if written petition requesting same
is received within 10 (10) days after the date the order is served Non-compliance will
result in a fine of$100.00 per violation. Each day's failure to comply with an order shall
constitute a separate violation. Should you have any questions regarding the above
violations, please contact the Town Health Division and ask to speak with the inspector
who performed the inspection.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S.
Director of Public Health
Town of Barnstable
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
M A
L
DATA
SENDER:
. . CO(IPLETE THIS SECTION ON DELIVERY
MP�IETE THIS SECTION
J • Complete ,and 3. Agent
a.
• print yourfie rmi address on the reverse ❑Addressee
so f11at'We calm rn the Card t0 you. B. Recelved by(P E-2
.Date of Delivery
■ Attach this - •o the back of the mRailpiece, o
or on the front N space permits. iP$v�A Gr./?oj2 -7-2
1. Arnde Addressed to: D.Is delivery address different.from item 1? O Yes
If YES,enter&Wary address below. E3 No
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3. Service Type ❑Priority Mae E>
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9590 9402 5357 9189 1905 24 O Certified Ma�'mid Drttivery ❑M t0f
❑Colect on Davey
2.•Artirla Ni rrrdrar lrmnsfer&mn c -k-lahoa O Collect on Delivery Restrkted Delhrery 00 �'~
?015 1730 0001 4990 0027 heurod AAA N Restricted Davey Rea4kted Davey
Fig Forrn 3811,July 2015 PSN 7530-02-000-90M -TV Domestic ReturnRecelpt ;
- - ---- MAMEDDFID� U R s r.')0 r r 2 BAR 8 3 4 80---
tOWN CIF ADDRESS of I b I W h
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TIME AND DATE OF VIOLAI LOC OF
NOTICE OF ' vo ( .M. P.M.)ON { ! ,20 v TqN A' I t- W �•. ` Uj
QQ
SIGNATURE_ENFOR w MR) OEPT. BADGE N0. W
VIOLATION f e�'�� ''� 1,/ Tn
OF TOWN
I H BY ACKNOWLEDGE RECEIPT OF CITATION X g
ORDINANCE IffUnable to obtain signature of offender.
Date maned ' �iS - �.d THE NONCRIMINAL FINE FOR THIS OFFENSE IS I d
OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL d
REGULATION OLSPOSITIDN WITH NO 1ESOLTING CRIMINAL RECORD.
aarlrqoneyrdarPOW"to W
t6ebre.:7M 9arnemble OW to y OW bov t�Se fine &W MA in PV,an b�eytwweaeB L30dA.M..and 4,00 P.M.. �pR r� ep�d
Hyarodt MA 0280t,WRHIN TWENTY-0NE(21 DAYSSudahtDWftdftmaftIna —.1. raO�FSCEpDAoTuE OF THIS NOT�IyCgEnn o ItIonr � �CNnit P.O.Box?4.90, CL
WABLE DIVISION,COURT COAAPOUND,MAIN STREET,BARN�A9LE MA 02dS0,Attu 216 N p1m W►1�grN�rd e�ndoa a��d�
for a tlsarblg.
(3)N You tell to pay Elie 00"Oft" to MVW a headnp wRhin 21 days,or N you Ise fib the No6ft Or tD pay arty BIN debnNned at Ili
heartrq to be dw,criminal complaint may be Issued agalrlu you. '..
❑ 1 HEREBY ELECT the first option above,confess to the offense char 34
Ded,and enclose pay amount oft
niyA .�
signature '
MASIEDFO ..__ ------- ----- � «-- BAR 81522
OF OFiBtDER n
TOWN OF
:�
MRNS I ABLE pT1',STATE.ZIP CODE / ; u fJ
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101119 IiEgSTRATiON 19JMBS
eAawnAarx. OFFENSE t '•I- -7 N l i>tr'l T�� �,�• _+;. }.. .+.�(: l�
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TdE AN p DATE VIOLATIO)t:, % -1 + 1OC11TM OF VIDLAT?
NOTICE OF X_('(j. ( .M P.M.)ON f'twLxa 20 v '7
OF ENFORC)N6 PERSON 4,.C�•' f EIR)RCe1I r�"�` BADGE N0. rn
VIOLATION L---�kr c
OF TOWN I H EBY ACKNOWLEDGE RECEIPT OF CITATION X
4
ORDINANCE LJ Unable to obtain signature of off- 57ender. THE NONCRIMINAL FINE FOR THIS 0 NSE IS $ r ~
Date(nailed '� 1l'
OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION p)OR oFnoN(2)WILL OPERATE AS A FINAL LU
n,eemrrmw Wrtw Nn Mill TINE.CRIMINAL RECORD.
r
Search Requests Page 1 of 2
t i .I. Ffc• }. af9 .
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Monday, July 20 2020 Application Center
Logged In As: oconnelt Citizen Request Management Loaoff
Route to Users Search Requests Create Requests
Search Request
Search 8y Road Name
Road Name: jable way
Status: 1All Created IVI
From Fes" 7
To Jul v 23 v 2026 v
No Date Range - Return All
Search List
Print List
Request Department Assigned Category Requester Request Date Request Text Location Time Priority
70806 Health O'Connell, Chapter 54-5: 6/25/2020 Neighbor is furious 171 ABLE v
Department Timothy Rubbish and Garbage that we ha WAY
Health Chapter 54-5: Neighbor reports more 171 ABLE
70591 Department Parziale,Jim Rubbish and Garbage Anonymous 4/21/2020 junk in WAY 4
Health Chapter 54-3:Outdoor Says the front yard is 171 ABLE
70277 Department Parziale,Jim Storage Anonymous 10/1/2019 ajunk WAY
r
Search Requests Page 1 of 2
le' 1!Lti . .,e
Monday,July 20 2020 Application Center
Logged In As: oconnelt Citizen Request Management Logoff
Route to Users search Requests Create Requests
Search Request 74q OLA Fal�+tor�ft
Search By Road Name
Road Name: lold falmouth
Status: IAII Created LJ
From 6
To Jul 7 20 7V 2020 7
No Date Range- Return All S
Search List
Print List
Request Department Assigned Category Reguestor Request Date Request Text Location Time Priority
Chapter 54-5: 744 OLD
Health O'Connell, THIS PROPERTY
70441 Department Timothy ROADRubbish and 1/30/2020 IS A REPEAT ISSU FALMOUTH
Garbage ROAD
Barnstable 744/724 OLD
Health Miorandi, Chapter II:Housing Sgt.Kevin Tynan of
59426 Department Donna Substandard Police 4/17/2D18 Department ROAD Barnstable ROAD FALMOUTH
Health Chapter II:Housing Barnstable Sgt.Kevin Tynan of 744/724 OLD
59425 Department Health Substandard Police 4/1 712 0 1 8 Barnstable FALMOUTH
Department ROAD
Chapter 54-5: 744 OLD
57889 Health Parziale,Jim Rubbish and 12/7/2016 54014 date Also see complaint# FALMOUTH ill/ ElDepartment Garbage ROAD
Health O'Connell, Chapter II:Housing Called to say she is 744 OLD
54014 Department Timothy Substandard + 9/10/2015 again hoa FALMOUTH 4'
El
ROAD
Q( � 1 J
https://itsgldb.town.barnstable.ma.us/CitizenRequest/Regs2.aspx 7/20/2020
Search Requests Page 2 of 2
51072 Health Stanton, Chapter II:Housing 11/14/2014 Requestor reports 744 OLD Q
Department David Substandard that the own FALMOUTH
ROAD
Chapter 54-5: 744 OLD
Health Stanton, Requester reports 51072 Department David Rubbish and / 11/14/2014 that the own FALMOUTH a
Garbage ROAD
Conservation Stepanis, General information Tom Lynch called. 744 OLD
50801 Dept Fred requests Ursula Borror 10/8/2014 Said Ursula FALMOUTH
ROAD
Conservation Land management rr Ursula Bn�r .c��f' - M2 OLD
50174 Dept Karle,Darcy issues Ursula Borror 7/29/2014 724 Old'Falmo F UTH 0
OAD
Health Chapter II:Housing Caller said"house 744 OLD _
49871 Department Parziale,Jim Substandard 7/3/2014 has been co FALMOUTH
ROAD
Health Chapter 54-3: Caller said"house 744 OLD
49871 Department Parziale,Jim Outdoor Storage 7/3l2014 has been co FALMOUTHEl
ROAD
Heap---
McKea�� Rector reports 280
345 partment Theffias G 2/24✓� attiS QLkyf
there w E—AfM—OUTH
ROAD
Health O'Connell, Chapter II:Housing Still living in house; 744 OLD
47957 Department Timothy Substandard 12/17/2013 car in FALMOUTH
ROAD
Health O'Connell, Chapter II:Housing Alarm Report 744 OLD
47634 Department Timothy Substandard 10/16/2013 COMM#13-03561. FALMOUTH f Q
ROAD
Health Chapter II:Housing Barnstable Once again,the 744 OLD
47161 Department Parziale,Jim Sutstandard Police Dept. 3/21/2013 neighbor's bro FALMOUTH :; El
ROAD
Hea McK e, Cha, 6: Chicken 7�O�
44JU� partment rybeth les 3TH
ge are running R
Cop rvation a A^ /Callers 9 shing 1040 OLD ❑
39 e t e,Darc �rvc`and violation 9/,22 L &b FAL
AtRQ D
Health Chapter II:Housing Neighbor came in at 744 OLD ❑
43257 Department Parziale,Jim Substandard 12/7/2012 10 PM from FALMOUTH
ROAD
Health Section 353-1 Requestor reports 744 OLD
43131 Department Parziale,Jim Garbage and Rubbish 1 2/412 0 1 2 that althoug FALMOUTH ;J Q
BOAD
Health O'Connell, Chapter II:Housing Back in house.Call 744 OLD FALMO _
36460 Department Timothy Substandard / 1l23/2012 from abov ROAD
UTH
Health Chapter II:Housing Requestor reports 744 OLD
Parziale
36419 Department ,Jim Sutstandard 1/11/2012 that the ent ROAD FALMOUTH -
Requestor uestor is 744 OLD
Health Section 353-1 11/18/2010 FALMOUTH w
32906 Department Parziale,Jim Garbage and Rubbish reporting that th
ROAD
COMM fire called 744 OLD
Health Chapter II:Housing 1/20/2009 FALMOUTH
24138 Department Stanton,David Substandard at 9:50 AM on
ROAD
Requestor reports 744 OLD
Health Section 353-1 !1/5/2008 p FALMOUTH Q
23693 Cabot,Jaime ;fiat her nei
Department Cartage and Rubbish ROAD
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https:Hitsgldb.town.barnstable.ma.us/CitizenRequest/Regs2.aspx 7/20/2020
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Commonwealth of Massachusetts
01 l& 13
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments :
I>
171 Able Way
Property Address F«�
Welch
Owner Owner's Name n
information is arstons Mills ✓ MA 02648 5-18-18 required for M
every page. City/Town State Zip Code Date of Inspection "4
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important: A. General Information I31
When filling out c� # Li
forms on the
onlycomp the tab key uter,use 1. Inspector:
to move your DOUGLAS A BROWN
cursor-do not use the return Name of Inspector
key. D.A.BROWN INC
Company Name
P.O. BOX 145
Company Address
CENTERVILLE MA 02632
City/Town State Zip Code
508-420-4534 S14297
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection. The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 15.340 of
Title 5(310 CMR 15.000).The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority
�Z"
5-18-18
Inspect69 Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time.This inspection does not address how the system will perform in the future under
the same or different conditions of use.
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
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:
System appears to be:from 1993 per as-built. Cesspool is still active along with a tank, d-box , and
leach pit. The d-box was replaced. This report can not predict the future performance under the same
or increased usage. This report is not to be used for bedroom count determination.
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 Healti, 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-3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 17
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M , 171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes(cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
every page. Citylrown State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fall unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well**.
Method used to determine distance:
**This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes" or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than '/z day flow
t5ins•3/13 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
M 171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area—IWPA)or a mapped Zone 11 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.
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection
spect on Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
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?
® ❑ 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): 3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
t5ins•3/13 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
G M , 171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18718
every page. Cityrrown State Zip Code Date of Inspection
D. System Information
Description:
according to the as-built card this system consists of a 1000 gallon septic tank, d-box, leach pit, and
cesspool.
Number of current residents: 1
Does residence have a garbage grinder? ❑ Yes ❑ No
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
Well water. this system is not designed for use with a garbage disposal.
Sump pump? ❑ Yes ❑ No
Last date of occupancy: currently
occupied
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
iL
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M s 171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: currently occupied
Date
Other(describe below):
General Information
Pumping Records:
Source of information:
Debarros septic
Was system pumped as part of the inspection? ® Yes ❑ No
If yes, volume pumped: 1000gallons
How was quantity pumped determined? tank truck
Reason for pumping:
maintenance
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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
;M 171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information: .
Cesspool original. Tank ,d-box, and pit 1993 per as-built.
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: feet
Material of construction:
❑ cast iron ❑ 40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
Septic Tank(locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal list age:ge: years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions:
1000 per as-built
Sludge depth: light
t5ins-3/13 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
s 171 Able Way
Property Address
Welch
Owner Owner's Name
information is Marstons Mills MA 02648 5-18-18
required for
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
Scum thickness 0
Distance from top I scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
How were dimensions determined?
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tank was pumped at time of inspection for maintenance. A new outlet tee was installed also.
Grease Trap(locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17
I,
r
Commonwealth of Massachusetts
w Title 5 Official Inspection Form
_ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
171 Able Way
Property Address
Welch
Owner Owners Name
information is required for Marstons Mills MA 02648 5-18-18
every page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
every page. Cityrrown 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.):
A new d-box was installed at time of this inspection.
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
Alarms in working order: ❑ Yes ❑ No*
Comments(note ccndition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•3/13 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
M 171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
® leaching pits number: 1
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
Pit was dry with no signs of failure at time of this inspection.
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins•3/13 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
171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 or 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
;M 171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
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
® drawing attached separately
t5ins-3/13 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
171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
® Surface water
® Check cellar
® Shallow wells
Estimated depth to high ground water: greater than 5
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:
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
r -
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 171 Able Way
Property Address
Welch
Owner Owner's Name
information is required for Marstons Mills MA 02648 5-18-18
every page. Cityrrown 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
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
Assessing As-Built Cards Page 1 of 2
J 7/ TOWN OF BARNSTABLE
LOCATION. L `k f��t\ U6-1 SEWAGE #
VILLAGE YA,a i�S ASSESSOR'S MAP& LOTOY6 +0-1a
INSTALLER'S NAME& PHONE NOCOM L, \ .��rt cf4y_ Y77-e3l19
SEPTIC TANK CAPACITY 1011 Q
LEACHING FACILITY:(tnm � . ; (size) j 0 eo Q jL v
No.OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: r a ! —
VARIANCE GRANTED: Yes. No
1
4001
c
rs' •
http://www.townofbamstable.us/P.ssessing/HMdisplay.asp?mappar=046113&seq=1 6/11/2018
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ZippliLation for Bisposal *pstrm Construction 3permit
Application for a Permit to Construct( ) Repair(,<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Loc/tp* n0Adddress or Lot No. / 1 WG y Owner's Name,Address,and Tel.No.
Assessor's 1Glaapp/P�ar el �i��
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
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) �A— gpd Design flow provided y 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) 9 rek.,l M�/✓�
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
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. 01 O 1 '1 5 Date Issued
No. Fee /
THE COMMONWEALTH OF MASSACHUSETTS Entered in compute
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Ofpplicatlon for Misposal 6pstettt Construction Permit
Application for a Permit to Construct( ) Repair(i/il"Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location,Address or Lot No. / ! ���� �� Owner's Name,Address,and Tel.No.
AA
Assessor's` SMap/Parcel 1)�C� ,(�,6 •• �� 3 41ek
" Installer's Name,Address,and Tel.No. ta(0.-7/S S Designer's Name,Address,and Tel.No.
�lcs Atic
Type of Building:
Dwelling No.of Bedrooms Al Lot Size sq.ft. Garbage Grinder( )
Other Type of Building. No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) iv gpd Design flow provided A/ gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
g'
i
Nature of Repairs or Alterations(Answer when applicable) r' lC,l M?.Iyk
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 %� C Date
K Application Approved by �✓ � L> Date -/t-/
Application Disapproved by a Date
for the following reasons
G
Permit No. .2 6 p " rJ Date Issued---------------
----
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired,(l/) Upgraded( )
A'
Abandoned(
)tby` 1 ,�-,� �� r.l� A 1 �r'� ,_1 �1�!V C
at ` 7( i�1 t br /\���rG je l�/<<� has been constructed in accordance (/ -
with the provisions of Title 5 and the for Disposal System Construction Permit No.d 019-/ -I dated 5' f(-f—l6
Installer I/ Designer
#bedrooms {V Approved design flow A/! gpd
The issuance of this permit shall not be cc nstrue&as a guarantee that the system will
function, as e\s g�ed.
Date / }�"1 � '' Inspector '�1. k X
- - - _- --.__-_)_�----.---__ -_' _-:--.:_ --- -------- -- -- --- -
No. �a ( `"1 _S Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUS TTS
MIsposal bpstem Construction Permit
Permission is hereby granted to Construct( ) Repair( ti)� Upgrade( ) `` Abandon( )
System located at 1-7 1 A 1A. W(> M & (�; nr ,
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 complete within three years of the date of this permit. � �'OLO
Date
���� � Approved by
No.... YFEB So o--D
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTHCMIZtb APPRpyEo
TOWN OF BARNSTABLE
Appliratiou for Diripooal Work,i TonfitrurtionDUO
Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Dispogarl�, hnww y
I System at:
�...t. ...__ ......................................
--------------------------- -....
Locatin t-Address l or-Ipt
( � � ` ll
.1^ i r --t� / J-
• -•--- _. . ---
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling— No. of Bedrooms.-.-__---.�
-----------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
04 Other fixtures ......................................................
d -------------------------------------• -•--_-----
W Design Flow............................................gallons per person per day. Total daily flow..--......_-_._--___...-....__-_.-_-____--..gallons.
WSeptic Tank—Liquid capacity------------gallons Length................ Width-----------..... Diameter---............. Depth................
x Disposal Trench—No. .................... Width................._.. Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No--------._ --------- Diameter..--..-_----------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
1,4 Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit-................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
Wp ...U....-.-.-......•-----•-• ---... . .._.......
{
� . �0 Description of Soil........ Q•
U Nature of Repairs or Alterations—Answer when applicable------------
. ............. j....................
Agreement.
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Envirarimental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Co 1' ce as beeq' sued "thebo of health.
Slgned ..._
\ 3
Dare
Application Approved By ........... ....�.. ....... t..`a?..- 3--......
....---------...................................... Dace
Application Disapproved for the following reasons: ........................................ .. ............................................... .. ..... . ...
....
............. . ............................................................................ .. .... . .............. ............................................--.... ........................ .......Dare
Permit No. ...... 3..........7- ,- ................... Issued ...........I....... ......................
Dace
..�,,,,y...—,...,�...r^-i.�/'r`.^r-::r�..�-..,_..✓.^..---.r�,.+r��.�'".'.-.•..i ..i.,�"r✓..'^tif�.v'�r��+�n�,r.r+"^+.-`ii.�r'^�s'°„�:.:..�.,,, _. s �:. "\+ i..,.-N"^�w..,,;r .�a.r- ,,._�:v,.ter`�
:
Fin,..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE _
Appliration for Diripooul Works Touritrnrtion r mit
Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal
System at:
..::.\..............•--I.`. ...........H...........-------------------------- -------------- ...................1------.....--..---------------------......----....----------------------------
�� ... -:\ddress I � . .. `_ _ ( o. Lo,t Nu
`l \O�rncr / � Avd�ress\.,(\,�,
� Installer Address
UType of Building Size Lot............................Sq. feet
�. Dwelling— No. of Bedrooms----------______-----------______________-Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures .....................................................................................................................................................
WDesign Flow............................................gallons per person per day. Total daily flow.................:__...__.__...__............gallons.
W . Septic Tank—Liquid capacity............gallons Length---------------- Width----------------- Diameter.--_-.---.-_-_ Depth................
x Disposal Trench--No. .................... Width,.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter......__............ Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
1.4 Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
......__...k.__ .._ . f......._.
Description of Soil.......... •----------------- a '-- n
"
......................................•- ..._... • . ......_....V ........... -------••--------
W
x ................................................................ -••-•-----------------•-•-------••--••--••---•-------------------•-•-••••-••-----------•••-•---•••-•-••.......------•............---•-
V Nature of Repairs or Alterations—Answer when applicable _. .`........._._ �'._ �....................
.......................................................... ---•-......... .........)..••• . f.................................................................
Agreement.
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Cc n Iia ce as been issssu�edA,by, the bo rd of health. q
Sign(d\., \.........................................................._..... .... o I
........
Dace
ApplicationApproved By ........... ...... .......`�.. �..�....,a -.. - ....._.........-....-.--:.................................. l...... .?..- .3..........
�. Dace
Application Disapproved for the following reasons: .. ..... ..... ........ .... ...................... ....................................................
.. ................................................. ............................ t-..-..a.-?..- - .......
qq Dace
Permit No. .......,/.. 3........... ........................ Issued ..........)...^...1-1-.1. .......-
Dace
..�.-..����.,`.��.�.._.:�:,a.,.:�z.-�-�.s.r��s..._.- ,.�,s -
r ._.rya�..�;-�s�,::_.-�+�_.R,o>'.�_.-a-�.:�s:���.._ ..._ .. - �.J.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(fertifiratie of QTomplianre
THIS IS TO CERTIFY, That the 1pdividual Sewage Disposal System constructed ( ) or Repaired
c
Ely ..........�....-..-.rt --............... ..............--- ....fie...-�1.a `�`-' � -5 ....
�. ° Inctallcr '
at ............... �.. - ..-.. �t r� 1-.. .._......_1.� ._.. - ..... � - l ..S-..... .. .......... . ................
has been installed in accordance with the provision'_df TITLE 5 of The State Environmental 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.....t......_._,.�.)..-.._...--�.'l...............-----------..-_..........._ Inspector ..--.... -�,....�y. .7-.--- .-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
93_ y�-__ TOWN OF BARNSTABLE
No.• ...-.-- FEE........'.............
Diopo,ottl orko Tonotrnrtion Permit
Permission is hereby granted._. " r = 1' U -------.Ike ............... 5-------------•------
to Construct ( ) or Repair �an Individual Sewage Disposal System
--------------
3 street ''JJ
as shown on the application for Disposal Works Construction Permit No._ ..-_7.. Dated... . .....:...I.. ............
..........................r• � ------------------------------------------•------•-------
V Board of Health
DATE.....I...................... J.. •............... --••-•---•------•-
FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS
TOWN OF BARNSTABLE
LOCATION SEWAGE #
VILLAGE tM° O 's ASSESSOR'S MAP & LOTOA p ��
INSTALLER'S NAME & PHONE NOC v- L w \\x- Y77,>o3gg
SEPTIC TANK CAPACITY loco S
LEACHING FACILITY:(type) -+ • i `C (size) (D ®O 6ct )Joly.
NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No t��
tics
4, P,��-
LOCATION � t SEWAGE PERMIT NO.
1 �s
VILLAGE
INS.TA LLER'S NAME & ADDRESS
B UfLDE R OR OWNER
DATE PERMIT ISSUED dl _ / el-
.OAT E COMPLIANCE ISSUED
r
,.
�;?
..ems-,�
No........... THE COMMONWEALTH OF MASSACHUSETTS Finc Z ..............
BOARD PF HEALTH '
- ---------------------_--......................
Apphration -for Uiiipaoal lVarkii Tanstrurtion Punift
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System t:
.. .............. )
.......... A .j
Address
...... ............ . . W................ ..................A-..7...... ..............
0
A 's ......... -----------
Address Lot N
ZZ It Z
.......... ............................... ..................................... ......... .I ......1V4...k6k
*n,,r Address C_04 ..... ................4
...................... .......... .... .....k1_1........g.....I......!�.................... ... . .. ..... ...I........ ......................
Installer Address
Type of Building Size Lot..?.Pj.PA�--------Sq. feet
Dwelling—No. of Bedrooms............... ..........................Expansion Attic Garbage Grinder (410
Other—Type of Building ------------------------_- No. of persons.---____--__-___-_-____--__- Showers Cafeteria
P4 Other fixtures -----------------------------------
------------------------------------------- ......................................................................
Design Flow---------------Ork......................gallons per person per day. Total daily flow.................. .........................gallons.
P4 Septic Tunk—Liquid capacity./�P�.gallons Length................ Width...__........_. Diameter__----_-:.----_ Depth-.-.-------.---.
x Disposal Trench—No. Width-------------------- Total Length........___.....__.. Total leaching area--------------------sq. ft.
Seepage Pit No./Affior�wi-a-m-;-ter-------------------- Depth bel;)nlet------------------- Total leaching area------------------sq. ft.
)
Other Distribution box ( ) Dosing tank ( - 4_11 Z -- /A—16 --7�
Percolation Test Results Performed by.......................................................................... Date----------------------------------------
Test Pit No. I----------------minutes per inch Depth of Test Pit.................._. Depth to ground water_----------- ----------
G4 Test Pit No. 2................minutes per inch Depth of Test Pit.--_---_--_-___-__-_ Depth to ground water------------------------
---------------------41..............
...... ... __>------------ ---- -------------------------
0 Description of Soil ---------&,./4
---------- V.
7:
U ........
----------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------
U Nature of Repairs or Alterations—Answer when applicable................_........................................................ -------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been iss ed by -t-h e boardlth,
Signed ----- --3�.
Date
Application Approved By------- -- .... ... ..... --------------------- ------------- 7-- ----
;4Z Date
Application Disapproved for the following reasons:................................................................................................................
.....................................................................................................................................------------------------------------------------------------------
Date
PermitNo......................................................... Issued........................................................
Date
—---------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 9F HEALTH
.. ...................................................
AVViiration 11ir Ii,4pu,itti Works Tontrnrtion Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage.Disposal r
Sys'
t
. �Dma0
L at on Address' or Lot o.54 n,/J
....
ner �y n "(,•,.,•'.,Address
lcYG/1 = --- ------ LY" "�C........ iC/�
� Installer Address
UType of Building Size Lot.2o{.000----------Sq. feet
Dwelling—No. of Bedrooms-_._.Z..................................Expansion Attic ( ) Garbage Grinder A01)
-1 Other—Type of Building ____________________________ No. of persons_. -_-__--__--_-____-____.__ Showers ( ) — Cafeteria ( )
a' Other fixtures
W Design Flow------------- .......................gallons per person per day. Total daily flow--------------------------------------------gallons.
9 Septic Tank—Liquid capacity./AP D.gallons Length---------------- Width-......... .... Diameter_-._-_---..._--_ Depth.__._--_-.._---.
xDisposal Trench—No__ ______�j___ _____ Width...._............... Total Length_-_.___-__-_.._-_-.- Total leaching area--------------------sq. ft.
Seepage Pit NoI& �_� Diameter____________________ Depth below inlet.................... Total leaching area_____..___._____sq. fl.
z Other Distribution bofx ( ) Dosing tank
~' Percolation Test Results Performed b ......................................... Date--..•-_.---______--__.__-.__--_---._.
Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water...___.--___.-_-.-..._-
(� Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water----------------
H_ {1
,!
O Descri tion of Soil . �� �^�/± ,.. � ` -
UNature.of Repairs or Alterations—Answer when applicable..------------------------------------------___-...____---_-__--.-.....__..._.._---_--..-_----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code- The undersigned further agrees not to place the system in
operation until a Certificate of Compliance.has been is ued by the W of health.
Signed-----••• -1�-� � l 7�
t Date,
Application Approved BY--- - +%' ..................... .'Y1.�__'/-`I- .7---7
Date
Application Disapproved for blze following reasons-----------------------------------------------------------------------------------•----------••-----------------
•--•--•----•.......................••--•----••---•- ------------•--......--------•------------------------•----•-........__..........-••---•••••-----------------------------.------..-------------
Date
PermitNo------------------------------------- •-•••••--•-_.:_.. Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............. OF..
�rrtif irate of 0.11mViittnrr
T , IS T CE I F , That the Individual Sewage Disposal System constructed or P.epaired ( )
bY� ------------- ---- -- ----•-•-------------
Installer
at- '� 4•--
has been installed in accordance with the provisio s of :�rtic XI of he State Sanita 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............... .......'�.k..----2.,2.......................... Inspector--- a�.
THE COMMONWEALTH OF MASSACHUSETTS
s BOARD O�F �EALTH ,
................................OF .. --..... .....I........ ,.`:.........
0... •••... FEE.--
Dirip>a.6al ark T�antrnrtinn rrmit
Permission s reby granted----- s... - ---- ----------------------------------------- ............................................................
to C truct (.0 ,or it an Individual S e DisutAl System
atN ............. ,----- --- • ----------- ------------------•-•-
Street j
as shown on the application for D osal Works Construction
Per :,. 0........
.._....� ....
- • - Board ofHealth
DATE.................
------------------------------------------------
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
BOARD OF HEALTH
u(o !) � TOWN OF BARNSTABLE
Applicat ion, for Ve1C Construct ion permit
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (v)an individual Well at:
—------—---------- ----
Loca! Address Assessors Map and Parcel
----- -------------- ---------
Owner Xddress
D --
�et.�n e t o G o•
-Sl- G� /J ,-� - - = 1c ex 76 o - ------------ - - - -
Installer — Driller T Address
Type of Building S
Dwelling-----44 e-------------------------------------------------------- r � xG�� ��.••��G
Other - Type of Building ----------- No. of Persons—
Type
of Well— �/---- —-------------- — -------
Purpose ---- -- —- - -- - ---
- Capacity
of Well
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until
�aCerrttificat f Compliance has been issued by the Board of Health.
ne Si d "1✓-pry-✓ _— -- -- - -- —-- - - p 1'�/ _r ----g date
Application Approved By— --------- - -- ---- —- —— --- —
date
Application Disapproved for the following reasons-.-------------—---—-----------—----------
-----------—-- - -- - ----_--- — ---— - - -- ---- - - - - --�^-]----- -
= date
Permit No. ----"-" ' � - Issued--�- /- ��--------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
(Certificate ®f Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired
bY--------—-----_ _D�A .S'e lt-.L ---i� /w� - -- - -
Installer
at— —a——Cc 13 G P— 4 1— ---�'�`S Tos --------M `— /C-------------------- ------—-------—--------—------------------------
has been installed in accordance wd the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit N� -' - ated,,-- �--
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE- ---- --—— -- —-- - ------- Inspector------------------------------------------------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Application4brVell Conotruct ion Permit
Application is hereby made for a permit to Construct ( ), Alter'( );poi Repair(v)an individual'Well"a`f:`
Address Assessors Map and Parcel
- -
----------------------------------------------------
Owner ddress
DA ScoNnr we // o. ox 7G o
Installer Driller f (3 Address
Type of Building
Dwelling "`'
Other - Type of Building No. of Persons---------------------------------------------
Type of Well- �---- -;--- - -=----- Capacity--------------------- - - - - - --— ---
Purpose of Well
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to 1
place the well in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed— -- -- - -- - --- =---------- -- /
date
Application Approved By-
"-�_. .date
Application Disapproved for the following reasons:-------------------,-=-----------------
---------------=-------------
�. .. - .. ., eawr^s�"=.s+..w�r.....,._ �ar t-:.:..e:,�...i`,p�•��r.#, `�w'yr�d a�,.,_.., _i4+c.3.S-'.� `Fs�,:yK.� �w :-� E..:.:_ _.a -t�.iv F... _........- ., �.. ^S
6 date
Permit No. --- -- r --------.----. Issued - `^/ �/_-- — -
• date.
BOARD OF HEALTH
TOW-N OF BARNSTABLE ;
Certificate ®f Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( � '
bY- _:�c G.� �l ,� l� Ai yX - -- --------— - --—- - -- -- --
Installer
K r i
;@ 1t Cc_`/ c J G)� M Tv =�--— ` ----------------------------- -- -- ——-
- ,
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit N�'l� r` r✓ `- ated '' -��
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM-WILL FUNCTION SATISFACTORY.
DATE------------------- ------------ ---- Inspector-----------------------------------------
-- - --- ,
BOARD OF HEALTH
TOWN OF BARNSTABLE
well �on�truct ion�errrYit
No. -------- - Fee------------- -
Permission is hereby granted- -=-5 'v�' e /_____
to Construct ( ), Alter ( ), or Repair an Individual Well at:No. ------------------1 -a=--CI /a __ u —M o r" J'n•ems M l/
/S
Street
(( as shown on
the a�plicat' p for a Well Construction Permit
`t! No. - ! - /- ----- — -- - Dated / -- - --------------
Board of Health
DATE-5F__4�_' 7—------- -
ENVIROTECH LABORATORIES, INC.
MA Cert. No.: M-MA 063
449 Rte. 130 • Sandwich, MA 02563
(508)888-6460 • 1-800-339-6460
FAX(508)888-6446
CLIENT: Peter Welch LOCATION: 172 Able Way
ADDRESS: Marstons Mills, MA
02648
SAMPLE DATE: 9-12-95
COLLECTED BY: DA Scannell DATE RECEIVED: 9-12-95
TIME: 11:00AM LAB I.D. #: E9-127
JOB TYPE: New Well SAMPLE I.D. #: DAS 52
WELL SPECS.: 53' to water
73'
RESULTS OF ANALYSIS:
Parameters Units Recommended Limit Result
Coliform bacteria/100ml (MF Method) 0 0
PH pH units 6.0-8.5 5.68
Conductance umhos/cm 500 115
Sodium mg/L 28.0 14.1
Nitrate-N mg/L 10.0 5.32
Iron mg/L 0.3 0.08
Manganese mg/L 0.05 0.013
COMMENTS: Low pH indicates high corrosive characteristics.
Yes No WATER IS SUITABLE FOR DRINKING URPOSES F , PARAMETERS TESTED.
xxx
_ Date l r
Ronald J. S ari —
Laboratory irector
IT s Less Than
•
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4
ffc 71h
5d of�
/ .96. 87
a
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� �X�Gr •ll''T`7
d
i -
PLAH OF LAND
i(d
.4j- s MASS.
- OWNED BY
OF A4gstp. f, �N OF 4S
FRANK �N ,f 4 FRANK f.to FRANK CONERY 5 TRENTOM ST.
CaNLRY CONERY j HYANNIS, MASS. 0? !
.Na 6232 O too. 6573 4 µ REGISTUREO ENGW4EtR a LAND s oft
L�kd StlR Po�s('i$T�Nfa ' � /
SC�NAI SCALE f IN ,�fJF-r.
V/'?7
,H,sw. •....r+�...�.....,w�...,» ..w..w+....,+.w�,..ww.......ww.+•+-„"'^.w*.rw++w�a..ow ...,w.+,+..........kl."..:5�(:Hrsr� ..-/1^.:....+•.....+.t,..•"w++...•—•.,..-•...�...-..`�?°.rGy`�«aw...r...�...�+..�.�. "�. ..•�_ •�_-...._