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HomeMy WebLinkAbout0330 OLDE HOMESTEAD DRIVE - Health 15 � ��IN- pol Doi r �I Surn AOty ,c� UPC 10271 No.. H163Y HASTINGS. MN a fi / r 7�� .5"0o TOW/N�OF BARNSTABLE LOCATION 3 3 y (J' �" i'(r�/l�I� SEWAGE# VILLAGE Al&,,S It" 04 �1S AS /ESSO�' &PARE ' 00 I-61"( INSTALLER'S NAME&PHONE NO. V i/ 1 J � LAz SEPTIC TANK CAPACITY 2-.O e) LEACHING FACILITY.(type) (y -Sb cb r 41 G C. �i"arSA(&ize) S 9 V /3 NO.OF BEDROOMS 7 PERMIT DATE: //' G /y COMPLIANCE DATE: t[ J- a_u * y Separation Distance Between the: Maximum Adjusted Groundwater Table to-the Bottom of Leaching Facility . Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching f ty) Feet Edge of Wetland and,Leaching Facili f y wet ds exi within , 300 feet o ac ty) Feet FURNISHED BY f t .4330 L5 63 f. 43 sc a3 �1 x. a sir 65 C � 4 y No Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION a TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9pplitation for 33ispoSal *pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(11.�Abandon( ) 134omplete System ❑Individual Components Location Address or Lot No,?D 0 TO Owner's Name,Address,and Tel.No. ?2� ��l $*"i � (,d I Assessor's Map/Parcel � _ OL VL S r`e 1 I lyv� 24q.S Installer's Name,Address,and Tel.No. Designer's Name,Address,aiV Tel.No. 5 ; .C_ a V In,e S 'D165C_01 Mo �1 eevl cv _ Type of Building: �prtS Dwelling No.of Bedrooms Lot Size � � �-o sq.ft. Garbage Grinder( ) Other Type of Building Q � No.of Persons 71— Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided �- ��ric�� ',th1-)gpd Plan Date Q16 I Number�of sheets I ( Revision Date Title SI'1 9 LVk p 3P 6 e Vl�soleS^ , Size of Septic Tank w6t) Type of S.A.S. ZO KAA Description of Soil r ass Nature of Repairs or Alterations(Answer when applicable) Date last inspected: �G 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 EnvironmepJ41 Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o a h. Signed Date (� Application Approved by Date Application Disapproved by Date for the following reasons Permit No.� �� ��� Date Issued (o N , . t No. a..3 ' Fee i . r THE COMMONWEALTH OFM�4SSACHUSETTS Entered"in computer: _ 4 PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE MASSACHUSETTS '. Yes application for loisoo8a.k6p5lf tonBtrurt on Permit Applrc-ation for a Permit to Construct( ) Repair( ) Upgrade( Aban Co[ mplete System 0 Individual Components 17��-- Location Address or Lot Novo p e- 11 omet-kod Q✓• Owner's Name,Address,and Tel.No. s � S'. l", (,U Assessor's Ma /Parcel maf5+� '_7 ' L p -6 _ o v� S e- �v� + rvtfl 4 S Installer's Name,Address,and Tel.No. Designer's Name,Address,an�Tel.No. � � r S x�' � C ✓?`i .5 5 0 _ _ n� o.;.l nit t,n ' PPV Yr.. , t T. _ Type of Building: iG�sS f S/�++15,026 ` Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other . Type of Building ( + ` ;,�� No.of Persons Zi Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �. gpd Design flow provided _�7 oe s-"--n t_/JwJgpd Plan Date G tT 99G�r � JE Number of sheets I Revision Date Title G p IQ1 I / � fib Size of Septic Tank �bh�. Type of S.A.S. Description of Soil r y Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: 1 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 ofAlVafth. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ��" �, Date Issued -. v ---------------------- ---------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS . 4 Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) p'bandoned( )by at 43 h �e- �a M P 4f_ 0 r �,� • has been constructed in accordance with the provisions of Title 5 and the for Disposal System.Construction Permit No) dated + c) E Installer rr�<�i ��f t 5(01 Designer IVUY, rr .n� t PC V+ �^P r #bedrooms :7 Approved design flow , -7-712 gpd The issuance of t is permit shall not be construed as a guarantee that the system will n tior�i�as designed. Date 7 (I Inspector d Q No. ` /�1' / Fee 1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS ,1 Misposal 6pstem Construction ermlt Permission is hereby granted to Construct(V Repair( ) Upgrade( Abandon( ) System located at 23 D LkW 5­11,1 rL �A 4,A-1 ..v-, r l 26 4 3 and as desc_ibed in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and he following local provisions or special conditions. Provided:Construction must be compl ted within three years of the date of this permit. Date /t1> Approved by Town of Barnstable �SNE 1 do Inspectional Services BMWSTABM Public Health Division 9 ���MAM Thomas McKean, Director 1639. jF 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit#> -dcl, Assessor's Map\Parcel Designer: ��"" Installer: � g WN t:N( �N_ W MU4 , INC, G>OVON I 4 Address: LLS Vfl� &A Address: On XX 1 was issued a permit to install a (date) V I (instal er) septic system at 3X 0L t MOM DP4 K gS ►u(ILdbased on a design drawn by (address) lkla A. 04MA E.FW dated17:12UZp (desig er) y I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in c ance with the terms of the AA roval s if applicable) j,�of MgSS9�y CIVIL (' tal is Signa re) No.46502 Pq',S�G/STER�G��Q SfONAL (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. AtoaldeptAHEALTMS EWER connecASEPTICOesignerCertifiication Form Rev 8-14-13.DOC O I AR - SECOND FLOOR r •P I J r.,. FIRST FLOOR EXISTING HOME PLAN SCALE:114'S1' O.h Dse Re elan Norm MODIFICATIONS SPIEGE GIAMMARCO RESIDENCE SCALE;114"' combination oesign _..... EXISTING HOME S MODIFICATIONS O..emn pwmwo. EXERCISE ROOM 14'9 x 19'0 343/4 - {I I I I T-2%- SY3" I I I I I 5'-7%" 35'-0'—_ 30'-3" 11'-" Doan 6•-]li. �I Dole peml dRorlalon Name SPIEGELJGIAMMARCO RESIDENCE Wmbination Design e`Ox""'4"" BASEMENT PLAN a� SCALE:318ae1' _ BASEMENT PLAN ❑Eaiata.a ❑Daaa.plaa�brOSOSIM20 ®rmna.al� wi ❑N.Duin ❑aumwon I I I I BEDROOM 02 12'-1 SS.S'x 12, 2xasD 2'B' I I I 2'.1^ 32z80 GUEST BATHROOM 6 3'-0" 0 OPEN TO BEIOW 6'-2"R.O. 3'-3• 32xeD O OPEN T BElO — O 27 BEDROOM p3 I 31.5'x 12' R Dap Do olReNapn Name 1 — -- — � i SPIEGELIGIAMMARCO RESIDENCE T uoaa.ea,x.aDWae ` -- — --- Combination Design © 4 3 2 G ��� LOFT PLAN LOFT LEVEL pexmNa��n�eaa.Pp� SCALE:31Ba=1' ®ProPwei Obwe�+i 0 ❑�.eam ❑m.mmiee 4'4" 12'-0" 9'-0' E%I6T.nElO5i0NE m i � RETAINING WAIL 1 NEW FIE103TONE gETAINING WALL d'1]l, 11 II BEDROOM#1 14'0 x 19'0 ----agEANiAS aM I II 1� it ]-0" IlO --------------- 11 O II I I PP R I I °W I I _ _ I 10'-3y4" 30-9' I SINN g'g.I O I ec I I 3' 3.40, I 30xa0 1 1- I I g•,�• � (2y2" IT 30.a0 I I 3-2, 11 1'-6" RAI6ED NEARTN(18°H.) 2'-0"'4 N.A d1i, d' 10'-6"� 64 12'-0• 6'-1�2 E,Y22° 1'-0" I Re Oete °aeW ReMebn Name lr-3�/2" I Ir-0^ 1r-o° 1r-0° 1 12•-P/2• SoPIEEGEL/GIIAMMARCO RESIDENCE © O ® O ^ O Copbinatlon[>esign (L) _ FIRST FLOOR PLAN FIRST FLOOR PLAN " ❑ENaNIMI ❑ConGp p SCALE:318'=1' ®�weAl❑Aggronl ❑MBNlg ❑kuttllNon ENYIROTECH LABORATORIES, INC MA CERT. NO.:M-MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name Sullivan,Mike Location 3`30 Olde Homestead Ln Address 26 Shortbeach Rd, Maistons,Mills Centerville, MA 02632 Sample Date 07/17/06 Collected By Mike Sullivan Sample Time Sample Type Existing well Date Received o7/17/o6 Lab Order Number Dw-2oo6-2941 Well Specs Analysis Requested Units Recommended Limits Analysis Result 113fethod ate Analyze Analyzed By Total Conform /100m1 0 0 9222 B 7/17/2006 RS pH pH units 6.5.8.5 5.88 4500-H-B 7/17/2006 LL. Specific Conductance umhostcm Soo 98 120.1 7/17/2006 LL Nitrile-N mg/L 1.00 <0.004 300.0 7/17/2006 LL Nitrate-N mg/L 10.0 0.76 300.0 7/17/2006 LL Sodium mg/L 20:0 12.6 200.7 7/18/2006 MC Total Iron mgtL 0.3 0.2 200.7 7/18/2006 MC Manganese mg/L 0.05 0.012 200.7 7/1812005 MC Comments: Low H indicates h" corrosive characteristics. p � Water meets EPA standards and is suitable for drinking for parameters tested. Date , 9 Rona J. Saari Laboratory Director . BRL=Below Reportable Limits Page 1 of 1 *See Attached TOWN OF BARNSTABLE LOCATION �l4�P /!/� SEWAGE # A114 VILLAGE 1��//��� ASSESSOR'S MAP& LOT ud !%� IN 14ffpg AME&PHONE NO. '_S J — Sa — t ZW SEPTIC TANK CAPACITY vv ct�s d /g 6'O d LEACHING FACILITY: (type) 8 , S� (size) NO.OF BEDROOMS 4-1 ,A/ BUILDER OR OWNER `�'�R4472— S CrZ > i PERMTTDATE: ti/4 - DATE: 30—'0401 Separation.Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 16 Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) �OZT�� ¢ Feet Edge of Wetland and Leaching Facility(If any w t ds��st within 300 feet of leaching facility) Ta 1/Z Feet Furnished by SZV� 5174 130adeV--t 24-2' LAP4-a (fan. 9-o 6.,a'6* ,11 i `,, , eor6� i �� tom� �c.v �� ►oz Cow S45 e�,l 104 #33c ii� ��,41at ee Town of Barnstable P to 10 THE Tph tip Department of Regulatory Services rr'� aAMsrAaLF. : Public Health Division.. Date y MAS& 1639. 200 Main Street,Hyannis MA 02601 prf0 MPS Date Scheduled / Time Fee Pd._ ! J Soil Suitability Assessment for Sewage Di osal Performed By: 5fz:( b 4 A. t��o,� ��t , Witnessed By: LOCATION & GENERAL INFORMATION Location Address 330 ' jn-toa%cs#.z&&q Owner's Name Rota Mc4tonn4L Marrfy.,s 61011s t, �iYt SaQ llicw /�� Address Assessor's Map/Parcel: M y4f/Pe I 9—O4/ �f J, 9� Engineer's Name,5 ,✓Alq /f. NEW CONSTRUCTION X REPAIR Telephone# Sv4) cuc and Use Re_-kk eon i4k Slopes(%) O —/0 % Surface Stones kjonA Distauces from: Open Water Body .I 10� t it Possible Wet Area I I b t 1t Drinking Water Well ft Drainage Way It Property Line It Other ft 9 t r t ��,��, - •• fit, `• ,� . .•_+,�'.i _ �, • • gyp•�'�" • •, ! Nr `� \ `�. ` `_-• ---�,,,�.��•��Jam,...•-�"'^ „�,\ / dry r• �` r• tia: r� C/.� l."`- �'�_�^^-.. � ,� •G_ _ice 40 9Z=z 10 oil Parent material(geologic) c-tat Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face_ 7 e- Estimated Seasonal High Groundwater C= to DETERMINATION FOR SEASONAL HIGH WATER TABLES Method Used; Depth Observed standing in obs.hole: in. Depth to soil mottles: i . Depth to weeping from side of obs.hole: in, Groundwater Adjustment to Index Well# Reading Date: Index Well level Adj.factor Adj.Groundw. Level— ZI PERCOLATION TEST Date OG Time, P'Moor Observation p� Hole Time at 9" Depth of Perc -70.1 406 k Time at 6". Start Pre-soak Time a 11 t 1 Z 1 J:n Time(9"-6') End Pre-soak �1;�. IZ',cre �vt�461t Jv 9oo.IG Rare MinAnch 2 wt, tH. 2►new hG� Site Suitability Assessment: Site Passed k Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole.Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to_beginning. Q:HEALTH/W P/PERCFORM �� (AAar?OOro-010/ DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling. (Stricture,Stones,Boulders. Consistency,%Gravel) /�/'— 30� 1� �a..�y I..oavH 10 `I►t S//o /32" C2. vsvl � G�ov�A 10 DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. T Consistency.°°Gravel) IZ14—Z$�� �. �aQ L-oaw% /D y2 S�S `L y� C/ 5i/ . S..,oO /o qR G b DEEP OBSERVATION HOLE LOG Hole# 3 Depth f?om Soil Horizon .Soil Texture Soil Color Soil Other Sinface(in.) (USDA) (Munsell) Mottling (Structure,Stones,.Boulders. Consistency.° Gravel) 12q Z'y 5aKck-.4 yly Z 7 JJd lclollr Orb . DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. consistency,%Gravel) d-/N // / !r_ 2dIt /} Sta►.olY t. 'xM l0 y►2 3�Z 3y"- 132u C 6e0.v»r ,Sn.ro� I6 9R° ��y Flood Insurance Rate Man: Above.500 year flood boundary No Yes to/ Within 500 year boundary No ✓ Yes Within 100 year flood boundary No✓ Yes Depth of Naturally Occurring Pervious material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? As If not,what is the depth of naturally occurring pervious material? Certification I certify that on -_ApjL1 1g4�i5 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017, Date IO I0 p Signature Q:HEA.LTH/WP/PERCFO.RM r .. . ........._........__....._.................. N Town of Barnstable ra 41HETpw do Department of Regulatory Services �� 5 /� a,,arvsuat.t;= Public Health Division.. Date 1 163y�� 200 Main Street,Hyannis MA 02601 ry l eel. Date Scheduled / Time Fee Pd.� 1�t Soil Suitability Assessment for Sewage Disposal Q �6A t� i Witnessed Perfvmted By: `J}aPttd..�A. wtt( P^. Y: C— LOCATION&GENERAL INFORMATION ' Location Address 33a ptcp� }-tc...etfcs.9 ?�r...e Dwner'SName Put? rAcdo,tna Mor r fyy�. YYl i)1S #/f Scc eh-w i4-- G� !r Address tlsb�r�i/fie Assessor's Map/parcel: M Y41/Pe l 9-00./ c6 b 9P Engineer's Name Sl A44 d. NCW CONSTRUCTION _ REPAIR Telephone 9 Sbk 7 •7 50 Z e LandUse'Yle��%Jcti+iat Slopes(%) O -10Z Surface Stolle$ P10't Distances front: Open Water Body Ito t ft Possible Wet Area 110•, ft Drinking Water Well ft Drainage Way ft Property Line tt Other ft 4 �. Parent material(geologic)-j16 etaJ o�}wasLt Depth to Bedrock {p-v'/' Depth to Groundwater:Standing Water in Hole: Weeping from Pit Pace �t2- Estimated Seasaml High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLEt2'l Method Used: Y Depth Observed standing in obs..holm in. Depth to soil mottles: V - Depth to wceping from side ofobs.holey in. Groundwater Adjustment 1LG a Indcx Well N Reading Date: index Well level Adj.factor Adj.Ground%. Level PERCOLATION TEST Date 9 tx Timc/t•AA-,U Observation Sr+ Holes! � _�. Time at 9" ............ ...... ...i..... ........ Depth of Perc -'76" 4,0° Time at V . Start Pre-sonk Time @ 11:17- jj;$3_ Time(9"-G") End Pre-sunk. IqI L2 12'.cro >veynbtt.6 5ook Rate MinAnch L HN IH. Z HtN twGt Site Suitability Assessment; Site Passed k Site Failed: Additional Testing Needed(Y/N) , Original:Public Health Division Observation Hole Data To Be Completed on Back—• --- ***If percolation test is to be conducted within 100'of)Yetland;you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:HEALTH/WPmcRCFORM y. DEEP.OBSERVATION HOLE LOG Hole# 6— Depth from Sol]Horizon Soil Texture Soil Color Sell Other Surfnea(in.) (USDA) (Munselq Mottling. (Structure,Stoncs,Boulders. ° Gravel) o-1y4 A Yt23/9 1 :V So dy L eaw to`IrC r�(o 5o sow. IU°vR 416 it v 15n �� 10 QP. 3/3 NO rxa/pr ob5, DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil , Other Surface(in.) (USDA) (Munscll) Mottling (Structure,Stones,Boulders. Consistency, Gravel) ah `/�fi^/32u Ci SiYf it JS /0 y k 3/3 — NI cvelri aGs, DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soii Torture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. % 01- 12'r Ap ScAa t-onw. 16 q Mh 1711=2Nr'. 'a S1AKc4.4 Loam 10yl2 y/y — 24"-.H2'r tr/ Sri Sa.t /a Yam'SlG -" 11 , v C .. Chveh9z.t� m- 10 vte 7/4 Nd wcl« ob6. DEEP'OBSERVATION HOLE LOG Hole# FDepth Soil Horimn Sall Texture Soil ColorSoil Other ) (USDA) (Munselq Mottling (Structure,Stoner,Boulders. e °'1Z0�r /} Soroty t.oarh loyt2 3�Z 20"-3H° Sa,d 4,osx,n 3y'- /3Z" C off o4.r,.r 5r�.ro! /d YK 2/ry — No w4k-- abs. Flood Insurance Rate Mau: Above 500 year flood boundary No_ Yes✓ Within 500 year boundary No✓ Yes,_ Within too year flood boundary No✓ Yes_ Deuth cl a urn v ccurr n yt6usMateriai - Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Its If not,what is the depth of naturally occurring pervious material? Certification I certify that on ! rnl i�i95_(date)1 have passed the soil evaluator examinadon approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 13,017. . Signature pate I0 !0 0 i Q:HEALTWWP/PERCFORM ,per -\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 4S70: r Iff/«5 �7C.I Owner's Name: �!O �- #l2 p Owner's Address: Esc Z/t 01 e4 c�/ S,)V" Z Ovc &/49 r dG9 //, o325¢ Date of Inspection: Name of Itespeetor: (p� �rf� , Company Name: Lam= Mailing Address: l Z Telephone Number, ��s �� ��� S CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information'repo led below is true,accurate and complete as of the time of the inspection.The inspection was performed based.;n my- training and experience in the proper function and maintenance of on site sewage disposal systems. I am '.'DEP:_;, t ' r-- approved system inspector pursuant7-e on 15.340 of Title 5(310 CMR 15.000). The system: r s asses Conditionally Passes Needs F er Evaluation by the Local Approving Authority Is Inspector's Signature: Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ��+/,�2 zr5/�,�jj�TJp/t�/�(/� ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 f Page 2 of 11 OFFICIAL INSPECTION FORM—.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A / CE�RTIFICATION (continued) Property Address: �55D Owner fZ Date of Inspection: 5— 3 0., 0,6 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D � yste -Passes: I have not found an information which indicates that an of the failure criteria described in Y Y 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. - - Comments: - /y/n B. Sy ern.Conditionally Passes: One or re system components as described in the"Conditional Pass"section need to be replaced or repaired.The syste n completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined N,ND)in the for the following statements.If"not determined"please explain. The septic tank is metal and over 20 old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltra' n or tank failure is imminent. System will pass inspection if the existing tank.is replaced with a complying septic tank pproved by the Board of Health. *A metal septic tank will pass inspection if it.is structurall ound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level i e distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.System ' pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The syste will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 6W 014 Q 41- J N S ',A Owner: 11 C- Date of Inspection: S-30- b 1' C. Further Evaluation is Required by the Board of Health: Co ditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to otect public health,safety or the environment. 1. System wi ass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not nctioning in a manner which will protect public health,safety and the environment: - - _ Cesspool or pr is within 50 feet of a surface water -- _ Cesspool or pri is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board o ealth(and Public Water Supplier,if any)determines that the system is functioning in a manner that p tects the public health,safety and environment: _ The system has aseptic tank and soil sorption system(SAS)and the SAS is within 100 feet of a surface water supply of tributary to a surface ater supply. — The system has a septic tank and SAS and SAS is within a Zone 1 of a public water supply. The system has a.septic tank and SAS and the S S is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS i less than 100 feet but 50 feet or more from a private water supply well".Method used to determine dis ce "This system passes if the well water analysis,performed at a EP certified laboratory,for coliform bacteria and volatile organic'compounds indicates that the well is ee from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to o ess than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached this form. 3. Other: 3 Page 4 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) l Property Address: � ^1P S Ut5 Owner: Date of Inspection: 6-- W-db 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 1�Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool tl�,t/ Static liquid level in the.distribution box above outlet invert due to an overloaded or clogged SAS or /cesspool ]� Required lquid depth in cesspool is less than 6"below invert or available volume is less than 'hday flow pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS„cesspool or privy is below high ground water elevation. -,-'-Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _✓Any portion of a cesspool or privy is within a Zone I of a public well. ✓Any portion of a cesspool or privy is within 50 feet of a private water supply well. _✓Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered..A.copy of the analysis must be attached to this form.] /Vo_(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. / E. Large Systems: To be . sidered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate ' er"yes"or"no"to each of the following: (The following criteria ap to large systems in addition to the criteria above) yes no the system is within 400 feet of a s e drinking water supply _. the system is within 200 feet of a tributary to a s ce drinking water supply the system is located in a nitrogen sensitive area(Interim We ad Protection Area-IWPA)or a mapped Zone II of a public water supply well a If you have answered"yes"to any question in Section E the system is considered a signi i t threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system sidered a significant threat under Section E or failed under Section D shall upgrade the system in accordance wi 10 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 30 zo end r9 S L LL� Owner• ki)442-0 6A Date of Inspection: ' 3 D—v Check if the following have been done.You must indicate`des"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 ? ff' the system received normal flows in the previous two week period? u' h4ave large volumes of water been introduced to the system recently or as art of this inspection g Y Y P P �g- {/Were as built plans of the system obtained and examined?(If they were not available note as N/A) 7- Was the facility or dwelling inspected for signs of sewage back up i ✓/ Was the site inspected for signs of break out? ✓ — Were all system components,excluding the SAS,located on site C�55QtxJ f Were the septic tank4manholes uncovered,opened,and the interior of the tank inspected for the condition f th o�—/e baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? VJ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no & Existing information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)) (Ze�le//tz J) 5 I Page 6 of 1 1 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 23 (LCS Owner: CA p aW_11j Q_ Date of Inspection: ' go- D 1p FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 4--4-0 Number of current residents: 4 . r Does residence have a garbage grinder(yes or no): /U Is laundry on a separate sewage system(yes or no):9-0 [if yes separate inspection required) Laundry system inspected(yet or no):RA- Seasonal use:(yes or no): NO Water meter readings,if avaailp ble(last 2 years usage(gpd)): c J- Sump pump(yes or no):SUP Last date of occupancy: ILQpldl� N COIVI CIA UJINDUSTRIAL 4 Type )f estabri ent. Design flow(bas 10 CMR 15.203): gpd Basis ofdesigi flow(seats ons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(ye no):_ Non-sanitary waste discharged to the Title 5 sy (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER.(describe): \ GENERAL INFORMATION Pumping Records ( I Source of information: A)O kA�' All-a- \ PU{vt Was system pumped as part of the inspectio es r no): o J n If yes, volume pumped: 5_00 alto -How was quantity pumped dete ined? L VD t 135 Uru(J1�tJ UIGEC Reason for pumping: VVid� TYPE OF SYSTEM _Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval Other(describe): (I_jo Uv c� I.3 �C/ �'lCG ��S> App ximate a e of all corn onents date installed if kno and source of' formation: �LL/tl— �Rc4 ( — SS�3Sv2�`lCvrz Were sewage odors detected when arriving at the site(yes or no): -Ale, 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: N� Owner: to YL Date of Inspection. S�30-nb BUILDING SEWER(locate on site plan) Depth below grade: 22 Materials of construction: 7cZast iron V 40 PVC_other exj�,lJain): Distance from private water supply well or suction line: L-JR- o✓t Comments(on condition of joints, ven tng, evidence of leakage,etc.): J ¢E,�..f +i scq,4) pvc SEFTW TA.tNK:_(locate on site plan) -5ee C.2t5 pouf Depth,belo de: Material.of cods ction:_concrete metal_fiberglass polyethylene _other(explain _ _ If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of o&i tl t tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or ba Distance from bottom of scum to bottom of outlet tee or e: Flow were dimensions determined: Cozwnents(on pumping recommendations,inlet and outlet tee orb e condition,structural integrity,liquid levels as related to outlet invert,evidence of.leakage,etc.): A1IA- G EASE TRAP:_(locate on site plan) Depth below e:_ Material of constructs • concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or e: Distance from bottom of scum to bottom of outlet tee o ffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or ba ndition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 330 0/4 Owner: a7L Date of Inspection: TIGHT or OLDING TANK: (tank must be pumped at time of inspect ion)(locate on site plan) Depth below grade: Material of construction: co et` metal fiberglass polyethylene other(explain): Dimensions: Capzcity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level:_ Alarm in working order(yes or no):._ �\ Date of last pumping:.�� Corn-nents(condition of alarm and float switches,etc.): N/*IDISTRIBUTIO (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets eq evidence of solids carryover,any evidence of leakage into or out of box,etc.): Al PUMP CABER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and app rtenances,etc.): 8 Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SY'ST"E"MI INFORMATION(continued) Property Address: 330 OPc� - 40+ems+�ee�� _Q_ ✓Vl�azhlf ►v1tuS Owner: Date of Inspection: V SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) #'SAS ft located e lain sty: Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: / �t,Aeaching trenches,number, length: d''�L leaching fields,mu-nber,dimensions: ��xee cesspool,number:. inn ovativefalternative system Typelname of technology:_ Comments(note condition of soil,signs of hydraulic failure,level ofponding,damp soil, condition of vegetation, etc.): � �! ��' �� Ct' � � � �•f�/� �D1� G.�L Ile CESSPOOLS: (cesspool must be pumped as art of inspection)(locate on site plan) 0, Number and configuration: �/�' S rP�T �y �vd�L¢ .�,G A Dept; -top of liquid to inlet invert: 3- 7 - 7`0 !'G!f / /zV ,./I cX,q v Depth of solids layer: / 4`� /• �'�e% -P�271`��¢`�v, L �,� Depth of scum layer: ,%� / // Sz•e, 6,dJ�T ¢7. Dimensions of cesspool: �T e� Materials of construction: Uh,ti Gr2yC C �r- Indication of groundwater inflow(yes or no): Comments(note condition of soi ,s' ns f hydraulic failure lev I of pondi ,condition of vegetation,etc.): G�OS/ hS cal! U� .� �1i1,c!�,,� /NJ��'J �C. cl✓�Jbl �J /%kIz o n', ele(W/14- PRIV'�locate on site plan) Materials of construction:_ ­_. Dimensions: �\ Depth of solids: Comments(note condition of soil,signs of hydraulic-falture, level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 5V OI J 40Mestz—,k`D(L1 ✓Vl Owner: n,"c2. Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building. Tt-, l — N i N � „ ' \ Na qY�CSC.4) sup ;.r/r If/= z3,o A 4-6 2 pv ii L C _ App��rt��� 4-r7 "App �v� -2 a' ��' 4,7�RoFar,�va� �e.l( -t-0 C�sS��o tv2'Qd .Q � 5 � Wa l +C, d bd szd7 // 10 /� f Page I I of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 330 t GYYI�Stea c+ �--,"42ik 3 c us Owner: "y-n-e.✓ Date of Inspection: ,S -30-06 SITE EXAM Slope I l- ­Lo— Surface water /Ill U&JIL, �-)Jn ✓ q_s, v U S6 S -P Check cellar c2 vim( Shallow wells — d�p-g(p dvc J-� 14-`1 t2v- v — C()iJt_4 �e ��IJL t Ser/✓t �- (6& 7 5-Cf Estimated depth to ground wat^r..; feet Please indicate(check)all methods used to determine the high ground water elevation: Qbtained from system design plans on record-If checked, date of design pl F reviewed: Qbserved site(abutting property/ob ) ✓� /'�'y!�Lf�"'�ZC'C' / -e �c�� —Checked with local Board of health-explain: 40 (� /Iu,��cl�/i� P✓Q —_,Checked with local excavators,installers-(attach documentation) Accessed USES database-expiain: You must describe ho y u estab •sh�i the hi round water elevation: S�Wd- ` �o� rhCct S dYe c / �� �o Sri _ � .e v ems:U S/l�Gd� mi}-✓�r`I �3f�.S� � ?"y /7!5119mz a �O d v� a G�L u '' S Z •� SZ• `UpJ � U•�vB v of COMPLETECOMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A Sign ure item 4 if Restricted Delivery is desired. _�❑Agent A. ■ Print your name and address on the reverse Ad e so that we can return the card to you. B. R eived by(Printed Name) C. D to of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. F i 04 !��11�o Y�Q 3 ���� D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No 3. SServico-Type UrGertified Mail ❑ Express Mail ❑ Registered 19Aeturn Receipt for Merchandise 111 ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) , r . d�(/ 7t/ j PS Form 3811,'Aug6st 2001 Domestic Return Receipt 102595-01-M-2509 I f UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS ;l Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • 8oe�td a? Ta�an CQ r 200 mdn BIL Hyanfd% W I U.S. Postal Service CERTIFIED MAIL RECEIPT me(Dostic Mail Only• No Insurance Coverage Provided) - Certified Fee Return Race or PO ox No. P ;"3800rJanu6ry 2001 See R-erse�f:jru s I stction - - s Certified Mail Provides: m A mailing receipt ,m A unique identifier for your mailpiece m A signature upon delivery o A record of delivery kept by the Postal Service for two years 'Important Reminders: m Cepified Mail may ONLY be combined.with First-Class Mail or Priority Mail. p Certified Mail is not available for any class of int ernational;41'a il:. m NO INSURANCE COVERAGE IS PROVIDEDtw'ith Certified�'Mail. For aluables,please consider Insured or Registeied4Mail. r E.� . � a or an additional fee,a Return Receipt may;be'requested to.p(ovide proof of delivery.To obtain Return Receipt service,please complete ash attach a Return Receipt(PS Form 3811)to the article and add applicable postage to�cover the fee.Endorse mailpiece"Return Receipt Requested' To receive a fee;waiver for -'a duplicate return receipt,a LISPS postmark on your Certified Mail receipt is required. m For an additional fee, delivery may be restricted'to-the addressee or addressee's authorized agent.Adve the clerk or mark the mailpiece with the endorsement"Restricted Deliver;'. o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for ph;tmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,January 2001 (Reverse) 102595-M-01-2425 I r . �Ft r Town of Barnstable Regulatory Services i*1 f sMMAM. Thomas F.Geiler,Director p 13 9. 10� lEn Mo+°' Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 15, 2002 Mr. James Knierium 621 Lumbert Mill Road Centerville,MA 02632 ORDER TO ABATE VIOLATION OF THE TOWN OF BARNSTABLE STABLE REGULATION Dear Mr. Knierium: This order letter is being written as a result of a complaint placed to this department on March 8,2002. An on-site visit to the property located at 330 Olde Homestead Drive, Marston Mills was performed on March 12, 2002 by Donna Z. Miorandi, R.S., Health Inspector for the Town of Barnstable . / The Town of Barnstable has a Stable Regulation which requires you to register and have your stable inspected by this department. You are hereby ordered to register your stable within five (5) days of receipt of this letter and to call this office to arrange for an inspection. Enclosed is a copy of the stable regulation and an application. You may request a hearing before the Board of Health if written petition requesting same is received within seven(7) days after the date the order is received. This letter which is signed by the agent of the Board of Health, Thomas McKean, shall constitute as an order of the Board of Health. Failure to comply with an order of the Board of Health will result in the penalties described in the Town of Barnstable Stable Regulations. PER ORDER OfflIg BOARD OF HEALTH T omas A. McKean,R.S. C.H.O. Health Agent d;` --r i� �"t'. �� IY �Z /� w (� p �o 9 1 ��-�' Y" NAME OF OFFENDER,..�gr 4 ,r , J A(E j A1'�'�j/"'""1 jk BAR .1397 TOWN OF ADDflESSOFO�,FEND€fl ���//�1j'(`1jPPP�/faC�w 9TI5G11// l(��s//� /Lr� rrr• /J71! BARNSTABLE CITY,rSTATE,,!Zd)P_ BODET�` G. k INE Ip STRATION NUMBER r� ti IE BARNSTABLE.16S9 `o$ OFFEN...-+-! /1/ I f /4L. t+, / 'i....f1..r �. l / �. )..J !fM CL MASS, C W , iAt it R)4fl�/O / FAR-r_ ! -" 1 ILIJ > TIME AND D TE F/lV��OL.A.,,,TION ) eOCATION OF IOL ,[� LU Z NOTICE OF 'r (A nfi'Y, P.M.)ON ( / .� ,��'; +7��� VIOLATION SIGNATURE OF ENFORCING PERSON ENNFgWrr(_ ^ � Jr BADGE�JO �� N Ij ll//!! ly1��l/ Il,lj p OF TOWN .I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X r a ORDINANCE ®Unable to obtain sig ature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S wool ~ Date mailed ���'� - w UJI OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION a III You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (21 If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MAO2630,Att:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. Ih (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the L hearing to be due,criminal complaint may be issued against you. r ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDEfl +"""�� �J,/��/ L,--t j � " `�'"� /��� DAD f,� (��/� TOWN OF ADDRESS OF FEN; hl\ /J /L✓Ij1))o ;T D„n .iSf./�1r U BARNSTABLE CITY,STATECC//Z//IPy/,C LLD.•''~[��'``//��y1/„ dr114*TqM, 777 ►IJ�,,,iii/ MV/MB REGISTRATION NUMBER , OFFENSE{ 'iA.r �C �C.,.. / `✓ 7 �, (� �.X I Y!_� *c,.. VCL IIARINsTAPLE.. //�/�.+/ LJ LU TIME AND DAT'OF.VIOLATION eL,pCA�T ON OF VIOL TiON W ��' Z 'jNOTICE OF /. '�t. ��A P j'�oN tm: _ � 1., � _ � Q SIGNAIVREOF`ENFORCING,PERSON 0 .ENFORCING EPT. �/ BADG E W�. VIOLATION t� '� r� dYL:/71 OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X ORDINANCE Unable to obtain sign u e of,offendu �"�r't Date mailed +�� THE NONCRIMINAL FINE FOR THIS OFFENSE IS S, ,a / LU LU OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. Lu REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Town Clerk,367 Main Street,Hyannis, MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (21 If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MAO2630,Aft:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. 131 If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature Health Complaints 09-Apr-03 Time: 10:00:00 AM Date: 3/8/2002 Complaint Number: 3302 Referred To: DONNA MIORANDI Taken By: DONNA MIORANDI Complaint Type: GENERAL Article X Detail: Business Name: Number: 330 Street: Olde Homestead Drive Village: MARSTONS MILLS Assessors Map_Parcel: Complainant's Name: Anonymous on Voice Mail Address: Telephone Number: Complaint Description: Anonymous voice mail call regarding a farm that is somewhere off Newtown Road, run by a James Canarium (?) and is burying pigs and cows left and right and is not giving them any water. Actions Taken/Results: DZM inspected on 3/12/02. Owner is James Knierium. He is leasing the land from a Mrs. Warner. The actual address of the complaint is 330 Olde Homestead Drive, Marstons Mills. Mr. Knierium's phone number is 420-9748 and resides at 621 Lumbert Mill Road, Centerville. A letter is being sent on 3/15/02. As a result of not complying with the order letter sent on 3/15/2002 ordering Mr. Kneiriem to register his stable tickets were issued, Nov. 21 &22, 2002. Then on November 25, 2002 inspectors Donna Miorandi and David McKearney went to the site to investigate and -perform a barn inspection. Mr. Kneiriem was with an assistant at the time processing turkeys outside. He was not receptive at all but upon stating that we were going to call Mr. Cahill of the State Food & Drug he allowed us to proceed to do our inspection. Mr. Kneiriem said that if we wanted to call Councillor Carl Reidell or Roy Richardson we 1 f c?' I Health Complaints 09-Apr-03 could because some of the turkeys were for them for Thanksgiving. That had no bearing on the matter. Mr. Kneiriem had a couple of horses and stated he was getting rid of them so he therefore would not need a stable permit- that he was a farm. We proceeded to inform him that as appointed Animal Inspectors for the Town of Barnstable we must keep yearly track of all livestock and report that to the state. To this date (4/9/2003) Mr. Kneiriem has not applied or paid for a stable permit and has not notified us of the status of the horses. Investigation Date: 3/15/2002 Investigation Time: 12:00:00 PM 2 Health Complaints 04-Apr-03 Time: 10:00:00 AM Date: 3/8/2002 Complaint Number: 3302 Referred To: DONNA MIORANDI Taken By: DONNA MIORANDI Complaint Type: GENERAL Article X Detail: Business Name: Number: 330 Street: Olde Homestead Drive Village: MARSTONS MILLS Assessors Map_Parcel: Complainant's Name: Anonymous on Voice Mail Address: Telephone Number: Complaint Description: Anonymous voice mail call regarding a farm that is somewhere off Newtown Road, run by a James Canarium (?) and is burying pigs and cows left and right and is not giving them any water. �Z Actions Taken/Results: DZM inspected on 3/12/02. Owner is James Knierium. He is leasing the land from a Mrs. Warner. The actual address of the complaint is 330 Olde Homestead Drive, Marstons Mills. Mr. Knierium's phone nuymber is 420-9748 and resides at 621 Lumbert Mill Road, Centerville. A letter is being sent on 3/15/02. Investigation Date: 3/15/2002 Investigation Time: 12:00:00 PM 1 ALL SHALL TE SYSTEM PROFILE MAR EDS WITHC MAGNETIC TTAPE OR BE LEGEND PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. SYSTEM DESIGN. � o ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE GARBAGE DISPOSER IS NOT ALLOWED 3 99 - EXISTING CONTOUR Z R"ems Rd TOP FOUND. EL. 62.1 FILTER FABRIC OVER STONE X 99•1 EXIST. SPOT ELEV. \ 55.0 2% SLOPE REQUIRED OVER SYSTEM 53.0 - MINIMUM .75' OF COVER OVER PRECAST DESIGN FLOW: 7 BEDROOMS @ 110 GPD = 770 GPD .o -[99�- PROPOSED CONTOUR NOTE: 2" MIN. WALL USE A 770 GPD DESIGN FLOW PRECAST H-20 THICKNESS REQUIRED BLOCKS OR RISERS (TYP.) PRECAST RISERS Long (98.4 PROPOSED SPOT EL. ,4.. 2'0 4°OSCH40 PVC MORTAR ALL H-20 PIPES LEVEL 1ST 2' COMPONENTS SEPTIC TANK: 770 GPD (2) = 1540 and ,.: s" MIN. SUMP 4' (TYp) INV'S EL. 51.0 4' TH 1 12" MIN. INT. DIM. ENDS SIDES - °�.°..°��°. °' ,�• � �°°°° USE A 2000 GAL. H 0 SEPTIC TANK TEST HOLE �53. 10^ 14" °°°o°°°o °o°o°o°o° MIN. 52.34' 2000 GAL H-10 TEE DOO p� ®®®� ��OO -�0�� °o°o°o° otde Homesteo TEE 52 09 > o 0 0 0 > o 0 0 0 2% SLOPE OF GROUND SEPTIC TANK o 0 0 0 0 0 °OOO°OOO ®®®®®®®®��� ®®®®®®®®®®® '°O°O°O°O LEACHING' 4' LIQ. LEVEL 00°0°000°0°0, WATERTEHT D'BOX o 11°o°o°o°0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ;°o°o°o°o ACME OR EQUAL GAS BAFFLE ..: �_o�o�o 0 0_ FOR LEVELNESS N >00000000° ° ®®®��00��®� ®OO®OO OO��0�O oogooaoo = akeb urluTY POLE 511.42' S1.25' ° ° SIDES: 2 (59 + 12.83) 2 (.74) 212 GPD w ° ° 4 BOTTOM 59 x 12.83 (.74) = 560 GPD �oo� FIRE HYDRANT 0o°000000000°o°oo0o0o0o0o0o0o0o0000000000oo0u Q �L ti *THE INSTALLER SHALL VERIFY THE o�o�r m ������0�o�o�o���������������o�0 ? H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. TOTAL: 1044 S.F. 772 GPD No {e�shed NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. (6) UNITS REQUIRED Wo LOCATIONS OF ALL UTILITIES AND ALL ,,:ALL AROUND PRECAST STRUCTURES BUILDING SEWER OUTLETS AND �_ 6" CRUSHED STONE OR MECHANICAL' OVERALL DIMENSIONS TO OUTSIDE OF STONE: 59.00, X 12.83' PU( ELEVATIONS PRIOR TO INSTALLING ANY COMPACTION. (15.221 [2]) o USE (6) 500 GAL. H-20 LEACHING CHAMBERS , PORTION OF SEPTIC SYSTEM Li (ACME OR EQUAL) WITH 4' STONE ALL AROUND Pond P� ( 2.5% SLOPE) ( 1 % SLOPE) DB-6 ( 1 % SLOPE) LOCUS MAP �.r H-20 LEACHING �. FOUNDATION- 50 SEPTIC TANK 67 D BOX 25 FACILITY 44.0' MUDDY PorvD SCALE 1 =2000 f ASSESSORS MAP 44 PARCEL 9-1 o\ \ •.� � CRANBERRY BOG \ \ .\ -..._... _ NO / ZONING SUMMARY \ \ ZONING DISTRICT: RF DISTRICT �� ` / 1 ° MIN. LOT SIZE 87,120 S.F. I _ 0 4 /: Q MIN. LOT FRONTAGE 150' Q a MIN. FRONT SETBACK 30 0' OFF B OG50� MIN. SIDE SETBACK 15' 50 2 �O --..... 4a �x�ti1ATE MIN. REAR SETBACK 15' MAX. BUILDING HEIGHT 30' OR 2.5' STORIES s� 48 PROPOSED GRADE PLANE=57.1' S82 00' " �• PROPOSED BUILDING HEIGHT 22.5' 52 48---�-� ONLY 47.2% OF THE PROPOSED FOUNDATION IS --� 100% EXPOSED <2.5 STORIES q8 �... 4g �' BVW 8. CD B SITE IS LOCATED WITHIN THE RESOURCE 0 -G'- " ` X x "� I PROTECTION OVERLAY DISTRICT o --- ��/ s-._....�.....�...�.:. s� x x x N 4 s� CH�K " I SITE IS LOCATED WITHIN THE WELLHEAD 8 o Sg COOP x '\ `BVW 7., PROTECTION OVERLAY DISTRICT N •. SITE IS LOCATED WITHIN ESTUARINE 66 cn CORRAL T 5 R OF UNSUITABLE SOIL REQUIRED �••• x I WATERSHEDS FOR POPPONESSET BAY, THREE ND PE 1 TER OF LEACHING FACILITY, BENCHMARK: I �... OWN TO SUITA E SOIL LAYER. REPLACE SURVEY NAIL I i BAYS, RUSHY MARSH, AND CENTERVILLE RIVER ITH CLEAN ME ND, TO MEET =52.8' NAVD88 s X x00 0 h� SPECIFICATIONS OF CMR 15.255(3) PROPOSED X x I x ` B%AW 6.. `68 62 RETAINING POSED x--- I '�o, CROCKER POND 64 S8 WALLS P WORK AKA NOTES 79.1 \�' p p0 s6 52 HOMESTEAD FARM - _ (DESIGN BY Ua %:% G , LINE so S° 1i [5 ] �Zr MUDDY POND iJoTU� ,� 6.5 ACRESt �,� o I OTHERS) � � 1. DATUM IS NAVD 88 . R s Ii h PRO SE.Q .` L 2. MUNICIPAL WATER IS `AVAILABLE 166 `. 4 7538 `gh�\ [56 RO 4 ED \ REAfAINING ' WALL ` \ B o 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. A 0 I 1 y N S8Y'26'27"E s IsSJ s (DESIGN M TH4 ( • s 35' �,� N OTHE �p 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS \ f 3 ° `6 " yc �� TO BE AASHO H-2Q (H-10 TANK) ss GREENHOUSE CLEA i °j ��` O \ \ 5. PIPE JOINTS TO BE MADE WATERTIGHT. �' �Z 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 58 56 %; \ B 4.. 310 CMR 15.000 (TITLE 5.) \ 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO Q \ ° 60 ' I BE USED FOR LOT LINE STAKING OR ANY OTHER 60 - `- 3HO -� PURPOSE. - - � � � i 0 wEc �R 3�p _ 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 3H0 i0 62 H� _ 3Hp�� HO - _ 60 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED \ \ I EXISTIN 8-`S �'X I B WITHOUT INSPECTION BY BOARD OF HEALTH AND D IN 5 • O VW 3 PERMISSION OBTAINED FROM BOARD .OF HEALTH. !�� \ \ \ 66 GRAVEL OF = 1 p ./ I 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DRIVE 56 DIGSAFE (1-888-344-7233) AND VERIFYING THE 66 I LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES TEST HOLE LOGS ' 54 ° 66 h +t PRIOR TO COMMENCEMENT OF WORK. � � \ � \ ¢ TH1 b STEPHEN A. WILSON, P.E. _ _ i // I EXISTING 1� �jh •27,30E 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED BENEATH AND 5' AROUND THE PROPOSED 52 /� �" ' LEACHING FACILITY. ENGINEER. • � � \ / l � / BARN j OWET5' WITNESS: DONALD DESMARAIS / , J W 1 ���' evw 1" 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND DATE: 9/25/2006 SS9s �� �� �� .35� Z - > S',,I W 4 REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. PERC. RATE < 2 MIN/INCH 36, F �2 �-�54 58 N so 2 I P 11440 56 :�. IS 3 SOILS so 1 CLASS # �o 2 �� s6 64 62 Q sA I T O D OF ELEV. ELEV. ELEV. ELEV. 6a 6 �° "� 2j f, `1/" ' `�' S 5' 6 64 68 �\\� �s / 66 o» `�" 52 0„ 52' 0 55 0» �� 2 68 .�y �...,� #330 OLD Hr"MESTEAD_ 5 p . A A A �1� MARS SL SL SL FILL 14 10YR 3/4 12" 10YR 3/3 12" 1OYR 3/3 " so 14 � � PREPARED FOR B B B A 6� \ SL SL SL SL N8 2'3 �o 10YR 5/6 10YR 5/5 10YR 4/4 10YR 3/2 GN 38. ���ZNOFUq q� o �zNOF�A J"AN ' PIE " L 30'> 49.5' 28" 49.7' 24" 53 20" 53.3' ^� \ Ss ti DANIELA. cs C1 C1 B S �^ DAAIEL �� OJALA �N DATE. APRIL 30, 2019 C1 SILTY SAND SILTY SAND SILTY SAND SL >>2 OJALA CIVIL DATE. AUGUST 19, 2019 (FOOTPRINT) 8.9 E �,^ �7 �No.4os80P -Jo '?NG/465o�0 ��� DATE. OCTOBER 28, 2019 (DB-6) 48" 10YR 6/6 48' 48" 10YR 6/6 48, 42" 10YR 5/6 51.5' 34" 10YR 5/4 52.2' l9�OSURNEy�� �SS�ONAL ENG\� DATE: MARCH 16, 2020 (GRADING) DATE: APRIL 2, 2020 (GRADING CALCS) "oF"'Assq� oFMAs DATE: NOVEMBER 2, 2020 (5' REMOVAL, H- 10 TANK) �a Y ��H S �o DANIEL ��� �� 9�y Scale: 1"= 40' C2 C2 C2 C A.OJALA N Sow DOJALA PERC o rn o, 40980 IL N CIVIL 02 0 20 40 60 80 100 FEET - - o.465 o �' N � off 508 362 4541 MS MS (�NFess�°yn� �o �Fo fax 508-362-9880 MS MS asuavE �STE downca e.com O i �SSIONAL E� h c i 10YR 3/3 1 OYR 3/3 „ 10YR 7/6 10YR 7/4 'I -' ® /� CQ�►N engineering', /nc. r 132 41 132 41 132 44 132 44 �. civil engineers land suave ors NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED y DATE DANIEL A. OJALA, P.E., P.L.S. 909 Main Street ( Rte 5A) YARMOUTHPORT MA 02675 __-