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1251 RACE LANE - Health
1251,,Race•Lane;Marstons Mills f .\ 40A=6 4 �-5- _. F -Z`' 203 498 752 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to fj 1 ^ �d Street&JaZ!7r �QCe Post Office,Sta &ZIP C Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered o, Return Receipt Showing to Whom, Q Date,&Addressee's Address QTOTAL Postage&Fees $ th Postmark or Date E 0 LL rn a Stick postage stamps to article to cover First-Class postage,certified mall fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service„ window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach,and retain the receipt,and mail the article. 1 Lo 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the _ gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this -€ receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti 6. Save this receipt and present it if you make an inquiry. 102595-97-B-0145 d m SENDERS I also wish to receive the ;o �Completa`�;ams 1 and/or 2 for additional services. ■Complete items 3,4a,and 4b. • following services(for an ■Print your name and address on the reverse e4 this form so that we can return this extra fee): card to you. a; ■Atttracc f this form to,the front of the mailpieoe,or on the back if space does not 1. ❑ Addressee's Address ■permit. Receipt Re uested'on the mail piece below the article number. as m ar a p' 2. ❑ Restricted Delivery N -C ■The Return Receipt will show to whom the article was delivered and the date .. C delivered. Consult postmaster for fee. ° o 3.Article Addressed to: 4a.Article Number d E 4b.Service Type 0 0 ❑ Registered Certified c /Z �/ q ❑ Express Mail ❑ Insured c Q020'796P ❑ Return Receipt for Merchandise ❑ COD I Q 7.Date of Delivery a°. ZRec Bj,� rint Na ) 8.Addressee's Address(Onl)if requested W and fee is paid).ae. esse no ~ yl ` Rr �€,961, P Form_38 _bJUer 4 102595-97-8-0179 Domestic Return Receipt ( J . i Now LNITED STATES POSTAL SERVICE ;SOT ~( - rFirst-Class Milli= ITED STATES POSTAL &Fees Paid- P,r .usesw-� w =. ro. ,:Permit No.G=10 • Print your nam`,aQtdr�ssnd ZIP Cc .e-i�fhis boxy 1 Board of Health Town of Bamst" P.O.Box 534 02601 Hyannis,MassachuWts ���ttttt�t�t��t:��ttttttlllltttrlr�ttt#ltt�tt�tr��tt.ftt�stitl� TOWN O ARNSTABLE �< LOCATION A 2.,�1 Qa-e-e_ LA SEWAGE # 'V 96 VILLAGE M�s,M"',% Mks ASSESSOR'S MAP &LOT 66 Y-00 S- INSTALLER'S NAME&PHONE NO. P 41Le-X C'er s a '7 7/ -y 1 z k- SEPTIC TANK CAPACITY . 5v o LEACHING FACILITY: (type) �1 yze.vim �. (size) Y X;LD )e 64 L- NO.OFBEDROOMS BUILDER OB�V NG�ER1 � �t r. L.a1z_L. r� p PERMTTDA� -�L-/► --9rr COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist /��J Feet within 300`e�et of eaching facility) Furnished by \�o I � - 00 2 4 _ f r- No.---2�Z Fee BOARD OF HEALTH TOWN OF BARNSTABLE Application for Vell (Con5trurtionpermit Application is hereb made fo a permit to Construct (Alter ( ), or R air ( )an individual Well at: L 'ion — Address Assessors Map and Parcel Ow er Address - -1 ------------ - >_max _�__�'-- Installer — Driller Addre� Type of Building Dwelling _—__—_— Other - Type of Building—=-- ------ No. of Persons----------------__----______ Type of Well �y',a/- 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 place the well in operation until erti icate o p ' ce has been issued by the Board of Health. Signed — date > Application Approved By 134� 1 date Application Disapproved for the following reasons: -------- --- ----------- —_ Permit No. W2��?=�— —_ — Issued ---`- U _ 2 date date BOARD OF HEALTH TOWN OF BARNSTABLE (C ertif irate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed Altered ( ), or Repaired ( ) by---- -- --------- ---------_—\------------------ Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Wellfrotection Regulation as described in the application for Well Construction Permit No.629?` (RDated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL NCTION SATISFACTORY. DATE ( �� Inspector-------------- -_ No.---------------- Fee------------------- BOARD OF HEALTH TOWN OF BARNSTABLE 0(pptication-forlVell Con5truct ion Permit Application is hereby made f99r a permit to Construct (� p Alter ( ), or Repair ( )an individual Well at: A�LLs -- �� L ation — Address Assessors Map and Parcel 0 ner ;. :Address. Installer.— Driller Addres -- Type of Building Dwelling ___-- Other - Type of Building----------- 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 A to place the well in operation until a-� erttii icate .of o prance has been issued by the Board of Health. %mil � 0-� 2 Signed� - ------- c date Application Approved By e ` I-q_Jb 2 ✓ date Application Disapproved for the following reasons: ---------- -------- - date Permit No. �2 yy? ' �-- -- — Issued ���U 2 date BOARD OF HEALTH TOWN OF BARNSTABLE (ertifirate & (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed, Altered ( ), or Repaired ( ) by--- taller' ------------- ------ ---- at 12 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 No W-2C-0?- I Dated --� 2 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL/UNCTION SATISFACTORY. DATE— 3(� U2 Inspector-------------- -- ----- BOARD OF HEALTH TOWN OF BARNSTABLE ]Dell Con0ruct ion Permit No" —� Fee-</ --- Permission is hereby granted to Construct,( ), Alter ( ), or Repair ( ) an Individual Well at: No. 2 S L c, .t l-�- p .t. k-1 t 1 t S11 __ __— —--- ----- ---------------- - street as shovyn on the application for a Well Construction Permit / J No._ 1..�Z C�_�2 - �p Dated -- 7 C)/C,2=------------------- DATE— yl-q) U --- Board of Health yS- N.. 4-- Fee—-1---------------- BOARD OF HEALTH TOWN OF BARNSTABLE lication for �truction ��� ,�o ion Akrrnit Application is hereby made for a permit to Construct (✓S, Alters(/ ), or Repair ( )an individual Well at: Location — Address — Assessors Map and Parcel /SALC Z--'__M,,-S Gw A Owner Address Installer — Driller _ --- Address Type of Building Dwelling --- --- -----— Other - Type of Building--- ------- No. of Persons- ------------------ Type of Well Y — 1 - 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 place the well in operation until a Certificate Af Compliance has been issued by the Board of Health. ' o / a Signed � — �L�7 a t � ��"� �- Application Approved By — ---- 6 ------- date Application Disapproved for the following reasons: --------- - ---—-- _-- _--------------date --- Permit No. In/ C'0- 3 — Issued -- -- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, T ash e Individual Well Constructed (PI, Altered (— ), or Repaired b ( ) - Y S Installer 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 No.W �_ -°L—Dated—`aA/4i4--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--- --- Inspector------ - - ---__----------- Fee-- ----- ---- BOARD OF HEALTH TOWN OF BARNSTABLE 0pplicat ion-for lVell (Con5tructionPermit Application is hereby made for a permit to Construct (✓), Alter ( ), or Repair ( )an individual Well at: l Location — Address Assessors and Parcel Owner / Address �14 SC�rv�� tt e /)�r ! °, /CDx �/(�o �.,cu,{k� _ ,-ua , WG yS Installer — Driller Address Type of Building Dwelling -___- Other - Type of Building-=- - --- No. of Persons------ -________-_ Type of Well_I/ --- Capacity--—---- --- Purpose of Well-_ D`"-4— 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 a Certificate of fCompliance has been issued by the Board of Health. Signed-" �u G�97/Ud------ to Application Approved By-�r w- ---- 6hdo date Application Disapproved for the following reasons: ----------- _____ _ -_ - ------------------date ---- Permit No. W a GOP-- 39 — Issued ---- -- - -------- date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of (Compliance THIS IS TO CERTIFY, the Individual Well Constructed (,"), Altered ( ), or Repaired ( ) b �qq SS�4" / Installer at 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 No.U-`2!Zg-, 73 _-Dated 4 1/�----- 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 Ivell Conoruct ion Permit No.,°`�C�l U o;x 39 Fee- Permission is hereby granted 4 A to Construct (v), Alter ( ), or Repair ( ) an Individual Well at: No. — /J S a c /'v ---------- -------------------- - ----------------- Street as shown on the application for a Well Construction Permit No.- w-�Uo,?- 3 Dated- -------------------- c 0 Board of Health DATE ___ _� •TO ALIGN w MTe�DL d DCeT CORI'I!R AeOIC }■y� s q II a }OfQ` r L h DECK 'NI nANOGANr pecrtlNG' .. ��}{ ANDeRe0/ ANDIRI[N ANe.. AMOCRSDI AN L)I � s�arzlaT . ..(�(Y.. Ia•-r - 11•-a• NOTn -ro-vnf .�•I,r .- � .. . 7(� it NlARTI CN ZY r AaON F D'A• 201L i 77 tt II.CONTRACTOR rRIOR TO I •2e- +y11FATI AIR a-rnAn1 M II MASTER BEDRM. 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I r 1 b Y {JI rt �J 41}"y r I a ,I a e�:naNil,u r+et.l ARt►aft hJu�tnAtNt►im/D.et �3 1 W TVQ..TINJCTUNA►i tNa N"'t,"d FM/CM/DA ►OOrINO..AND.INNIIM6 er onloet S t I I f`oo� AC TT�r11tt111��tro.Mn vtN�Iy,,ALL m1mNa�Js IwP'o.tD eafltrlDNt/NION To ANd oliNf.e - .. � ��j�7 I �CCF�TIIUCTIONrkND ro MAN!'IL4DNdT1DND.ANCIDIt•AfLIYDTTIlNTD.ro roNd A.IT �,^ .f '! �.Y. M.V�lN M nD[IPt A tO1RtTCD MIOJ[Cr M[OMILI ■ ��' './+Ru+nou�'AM�mN�MUM..rANwNw etr roNTw m.NA DrATeNrtDl"M INO r~m LOM!AriD ►�L.CA.y fQN�CODe!/PeDmANCnl, . _ _ .. � � �• A Td-.'A j 2-►.T.2.1016L,tl Aew! Ai L J. ' I •C 't;'�jl�I ONEPIC.R�6.TTp. C ncaAvIHnTlM onN 8R.C tl y ,224.247 DEEPN .d ' FIELD LOCATEHoff Q�iqy NAurlwco aLAB _ _ 1Ypq 9f fa 6y7■1 rpa 6ry c ► L J L J' .2 AOPVE L J L J Lnj - L [ Ed-1 } T-YYMALL AND0l6C1. v- --------------------- --24m plop s 'q0 N MRE MTmOIWMG�E%NTING 6EMI ABOVEGT►.!O.CNNO+ NE.M ID LL ToAnaD'p.4" L.u.Lr eaWr91 oN ® I r CaC eun ONADD N ' ' C014AClD 6ANODelp CPC.IT6. ZTA1N.-IJ L J I IXI6nNG CMILMAL IY Dclp LTG. I _ 1 8tlas �6'•i� OH r ADD NCH 6 1/Y V.cc CLEMCC 60�-O-ACr9O 6AN �INe eRAI.e.6iAce 1 L JDROIr� LyJ .n 11 1 g �TgitDtBee �;��• MLLED LALLr coLIATN ON I IX16 l..J I� . i ADD Nd 60'aD01U' DR,"+GROUT DpICL6 1 TJ'OC i D Me-CONE.^0. • DRILL.GROUT L J I't«eL6• 6 IrJ•MA wic,nuJa---/ • � 6 y9��Opdglv§f s� i 6eaxc.W DRE roR i .n D�Meu c ADDMa,�,7 4 I 1 .e dat.1f59F7�7m I A 1 I NEW 6TOO, i DILL.�GR01/T DEEP CPC.LTG. I 1 ' plop MALL 21' IX16TN6 C1!MALL r-_______ d CPC.MALL ON I I (FIELp IOf�TE) •2• N'N+•OrlNIN6_ DRILL 6 GROUT NtilO'ME,CONE.IT6. I 1 L Y DOMp•E•12'OC r . ' r ------ cGNTRAc1Pl To Ague 1 A I 1IDOriCt!• jIMQMDATMI 10 W I I T NT 6N MOOR TO _ �l __________________ _ ____ L------___-_--___----____ __-J •e'4 O.C. • . e'.b'NIGI CONE.HALL ON I I f- OR0 MALL Ie• 1------r-------------____________ ` . ' NTq'OCCp CONE,I�G. . 1MDCl rARALLl1 MALL6 M FOUNDATION PLAN w .T.OW NOr OF NEW DAMFRA"S G '6CALE•I/+'•I'-O' TO KR•MR[R ar NEW rp1:MALIA TO . CMYT p MCM IMIe.IlD GRADe. V N / tlOTE, PR IIIG6 AS eNPa ARE/Pl'R1L6TMnVE kopR oel6 6TRU4TVRAL ENGINEERMG Fq rgMDATIW IOOTDC6'AND FMMI/IG 6Y O/11ER6. A CpftR..GTOR'I6 TO ercE VDIIFr Yi meT1q y'6.►NOr06W C011pTONe M00R TO AND OMMO CdeTIWCTgN AND TO MAREZA14&qM6 AND/OR Ap•A16T'tOR6'TO MORR AB'T 1- ►M ZTER6 AND MINIMUM 6TANDARD6 6ET IplTN M IN 61ATE 6NLDIN0 COOS.AND L.1 Iy 1 I S I l.F ' !)y • �/1 '\ - .. .4� f ►ROGRESSES TO r"Of FOR A CO"IILR[p rR01ECT M COnR1AMCe MTN Dl6NiN d Ir! l cnit``��i(� 1 1 71v 11 ArruCxLE ro.m CGoee/anpNANcn. DEC.17. 1997 10:25AM P 1 FROM : SYKES & COLE PHONE NO. 508 775 5682 SYKES AND COLE ATTOaNLYS As Law ago Soya STR= POST 07Fr=BOX 11368 BYANNIS.MASSAORVSP'S 08601 DAV2D$gvCg cpr.E TE[.EPRON$face)775-9147 OF COUNSEL JosEPlI V.MAUUGA F"`SXH" (We)Ina-aessa Psx�M SYRES FAX TRANSMITTAL COVER SHEET Date: 17 December 1997 PLEASE DELIVER THE FOLLOWING PAGES TO: ADDRESSEE: Mr. Thomas A. McKean, R.S. C.H.O. COMPANY: Town of Barnstable, Public Health Division FAX NUMBER: 508 790-6304 THIS FAX IS BEING SENT BY: NAME: DAVID B. COLE, ESQ. 508 775-9147 Telephone Number NUMBER OF PAGES (including cover sheet) 1 COMMENTS: Cameron Property at 1251 Race Lane, Marstons Mills: With respect to your letter of December 2, 1997, please be ad- vised that Ruth Cameron is deceased and the premises at 1251 Race Lane is currently unoccupied and on the market for sale. The Executor of the estate in selling the property intends to place on the buyer the burden of upgrading the septic system to Title V standard. The information contained in this facsimile message is ATTORNEY- PRIVILEGED and CONFIDENTIAL INFORMATION intended only for the use of the individual or entity named as addressee above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copy of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by collect call. Return the original message to us at the above address by United States mail, and we will immediately remit the reimbursment of postage. of TNe Town of Barnstable 0 Department of Health, Safety, and Environmental Services ,grAB Public Health Division AM ,' �� 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A. McKean, RS, CHO FAX: 508-790-6304 Director of Public Health Cameron December 2, 1997 1251 Race Lane Marstons Mills, MA 02648 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 1251 Race Lane, Marstons Mills was inspected on November 7, 1997, by John Graci, a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • The "overflow" component was " structurally unsound." You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within(14) fourteen days of receipt of this notice. You are also directed to bring the septic system into compliance within thirty(30) days of receipt of this order letter. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH omas A. McKean, R.S., C.H.O. Agent of the Board of Health q\health\dbfiles\title5i.doc Town of Barnstable • Department of Health, Safety, and Environmental Services �'"MAM Public Health Division FoA 367 Main Street, Hyannis MA 02601 i Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health TO: l 2ra 1. ace LaW— DATE: I `1 Agairs6 s ffi U . a"r ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at was inspected on by , a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 15.00) due to the following: r You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. You are also directed to bring the septic system into compliance within( y (30 da__o£� receipt of this order letter. `- �' You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health q%Wm fi1wUWeste« F Conunonwealth of Massachusetts Executive Office of Envirolunental Affairs Dept. of Environmental Protection One winter Street,Boston,Ma. 02108 John Septeptii D.E.P. Title V Sc Inspector kip P.O. BOX 2119 Teaticket, MA 02536 WILLIAM F.WELD (508)564-6813 Governor 0�� OD� ARGEO PAUL CELLUCCI 0g®' g Ae Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM CERTIFICATION QD A, k4e1 j'k4n � Property Address: 1251 Race Lane Marstons Mills Address of Owner: r r0{yN `7 8 Date of Inspection: 11f7197 (If different) Name of Inspector: John Graci Cameron QyO�NgTgB` I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) T F Company Name,Address and Telephone Number: °9CUP CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _ Passes Thls Inspection Is based on criteria dented In Title V _ Conditionals ye5 a code 310CMR16.303.My findings are of how the system Is performing atthe time of the Inspection.My Inspection does _ Needs Furt er aluation By the Local Approving Authority not Imply any warranty or guarantee of the longevity of the X Fells septic system and any of its components useful lire. Inspector's Signature: Date: 1V1o197 G The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B,C,or D: A] SYSTEM PASSES: _I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: _One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. Indicate yes,no,or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Co7hpliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection,or the septic tank,whether or not metal, is cracked,structurally unsound, shows substantial infiltration or exfiltration,or tank system will ass inspection if the existing septic tank is replaced with a conforming septic tank failure is imminent.They p p 9 p as approved by the Board of Health. _ (revised ORM97) One Winter Street • Boston,Massachusetts 02108 s FAX(617)556-1049 a Telephone(617)292-5500 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 1251 Race Lane Marstons Mills Owner: Cameron Date of Inspection:11r7197 _ Sew.aae backup or.breakout or high static water level observed.in.the distribution box is due to a broken. or obstructed pipe(s)or due to broken,settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced _The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM 15 FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method usedto determine distance (approximation not valid) 3)Other D) SYSTEM FAILS: You must indicate elther"Yes"or"No"as to each of the following: x I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No — Backup of sewage in facility or system component due to an overloaded or clogged SAS or cesspool. x` Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged cesspool. SAS is in hydraulic failure. pelted 0427J97) N SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1251 Race Lane Marstons Mills Owner: Cameron Date of Inspection:W7197 D]SYSTEM FAILS(continued) Yes No x Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. x Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. x Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped x Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. —x. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. x Any portion of a cesspool or privy is within a Zone 1 of a public well. —x_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. x Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No x the system is within 400 feet of a surface drinking water supply x the system is within 200.feet of a tributary to a surface drinking water supply _ x the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area(IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. I (revised 04127)87) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 1251 Race Lane Marstons Mills Owner: Cameron Date of Inspection:11n197 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: _c_ — Pumping information was requested of the owner,occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the and the system has been receiving normal — flow rates during that period. Large volumes of water have not been Introduced into the system recently or as part of this inspection. x As built plans have been obtained and examined. Note if they are not available with N/A. x The facility or dwelling was inspected for signs of sewage back-up. x — The system does not receive non-sanitary or industrial waste flow. __ — The site was inspected for signs of breakout. x All system components, excluding the Soil Absorption System,have been located on the site. x The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum. x The size and location of the Soil Absorption System on the site has been determined based on — — The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. x — Existing information. Ex. Plan at B.O.H. x Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is — — unacceptable)[15.302(3)(b)] (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1251 Race Lane Marston Mills Owner: Cameron Date of Inspection:11f7f97 FLOW CONDITIONS RESIDENTIAL: d./bedroom for S.A.S. Design flow: 110 g•p• Number of bedrooms: 3 Number of current residents: 0 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): Ne last two 2 year usage d Water meter readings,if available:( ( )y g (gp ), nfa Sump Pump(yes or no): No Last date of occupancy: au9.41997 COMMERCIAL/INDUSTRIAL: Type of establishment: n1a Design flow:0 gallons/day Grease trap present:(yes or no) No Industrial Waste Holding Tank present:(yes or no) l o Non-sanitary waste discharged to the Title 5 system:(yes or no) No Water meter readings,if available: We Last date of occupancy: nfe OTHER:(Describe) Ne Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System has not been pumped In the last year. System pumped as part of inspection:(yes or no)No If yes,volume pumped:o gallons Reason for pumping: nfa TYPE OF SYSTEM Septic tank/distribution box/soil absorptions system x Single cesspool x Overflow cesspool Privy Shared system(yes or no).( if yes,attach previous inspection records,if any) I/A Technology etc.Copy of up to date contract? Other: APPROXIMATE AGE of all components,date Installed(if known)and source information: 1514 Sewage odors detected when arriving at the site:(yes or no) No (rsvlsed 04127M7) I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1251 Race lane Marstons Mills Owner: Cameron Date of Inspection:1111177197 SEPTIC TANK:_ (locate on site plan) Depth below grade: rda Material of construction:x concreate_metal_FRP_Polyethylene_other(explain) If tank is metal, list age o . Is age confirmed by Certificate of Compliance No (Yes/No) Dimensions: rda Sludge depth:rda Distance from top of sludge to bottom of outlet tee or baffle: Na Scum thickness:rda Distance from top of scum to top of outlet tee or baffle:rda Distance form bottom of scum to bottom of outlet tee or baffle:rya How dimensions were determined: Measured Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage, etc.) nfa GREASE TRAP:_ (locate on site plan) Depth below grade: rda Material of construction: _concrete_metal_FRP_Polyethylene_other(explain) Dimensions: rda Scum thickness:rda Distance from top of scum to top of outlet tee or baffle:rda Distance from bottom of scum to bottom of outlet tee or baffle: rJa Date of last pumping;da Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage, etc.) nfa BUILDING SEWER: (Locate on site plan) Depth below grade: 2' Material of construction:_cast iron_40 PVC_other(explain) Distance from private water supply well or suction lineSowrt Diameter: 4"_ Qmments: (conditions of joints,venting,evidence of leakage,etc.) (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1251 Race lane Marstons Mills Owner Cameron Date of Inspection:11r7rs7 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: rda Material of construction:_concrete_metal_FRP_Polyethylene_other(explain) Dimensions: rda Capacity: rda gallons Design flow: nra gallons/day Alarm level:_nra Alarm in working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) rda DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: Na Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box etc.) rda PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)No Alarms in working order(yes or no)ve: Comments: (note condition of pump chamber, condition of pumps and appurtenances,etc.) rda (revised 04117)97) I� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1251 Race Lane Marstons Mills Owner: Cameron Date of Inspection:11f7197 SOIL ABSORPTION SYSTEM(SAS):x (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: rva Type: leaching pits,number: rya leaching chambers,number:nra leaching galleries, number: Na leaching trenches,number,length: nla leaching fields,number,dimensions:nla overflow cesspool,number:21W 3"deep Alternate system: nfa Name of Technology:_rva Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) The overflow Is structurally unsound. CESSPOOLS:X (locate on site plan) Number and configuration: one Depth-top of liquid to inlet invert: empty Depth of solids layer. u Depth of scum layer: o Dimensions of cesspool: 6'X6' Materials of construction: rook Indication of groundwater: none inflow(cesspool must be pumped as part of inspection) nla Comments: (note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation, etc.) System falls,It Is structurally unsound. PRIVY:_ (locate on site plan) Materials of construction: rda Dimensions: rva Depth of solids: rda Comments:(note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,etc.) nre (revlsed O 27)87) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 1251 Race Lane Maretons Mills Cameron 11r7197 SKETCH OF SEWAGE DISPOSAL.SYSTEM: include ties to at least twa permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) � L i rIv (revleed0 W197) Page ! of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 1251 Race Lane Marstons Mills Cameron t t(7r97 Depth of groundwater 12, Please indicate all the methods used to determine High Groundwater Elevation'. Obtained from design plans on record. Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check pumping records Check local excavators, installers x Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS Maps and charts (revisedOU27197) page 10 of 10 i No. 90 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Migogal *p5tem Construction permit Application for a Permit to Construct('4epair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No._ QVner's Name,Address and Tel.No. Assessor's Map/Parcel. 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 gallons per day. Calculated daily flow gallons. 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) ?aeu \ems 1.11 l E J-00 sz _ A `Le v,6 4 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 Certifi- cate of Compliance has been issued by this Board f Health. Signed Date &7)11116, Application Approved by Date Application Disapproved for the Mlowinpreasons Permit No. Date Issued Vol � ©0 = No. �f✓ Fee — THE COMMONWEALTH OF 'MASSACHUSETTS Entered in computer: V Yes PUBLIC HEALTH DIVISION - TOWOF BARNSTABLES MASSACHUSETTS Application for �Digaal *pgtem Construction permit Application for a Permit to Construct( 'PRepair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Addr ss r Lot N -\ I. is Name,Address and Tel.No. Assessor's Map/Parcel 1� r Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. c�LQyeo-j-_%C 'X:wC-- Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Buildings- No. of Persons Showers( ) Cafeteria( ) Other Fixtures ' Design Flowl gallons.per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil i Nature of Repairs or Alterations(Answer when applicable) k f oa,S Date last.inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate.of Compliance has been issued by is Boar pf alth`. Signed �� - Date 17JI RI 9 6' Application Approved by - U ,, r-Date' - - - Application Disapproved for the Hlowinog reasons Permit No. Date Issued - -_ ---------------------------------------- -� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ? Certificate of Compliance t` THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(Repaired ( ) Upgraded( ) Abandoned )by k4,e14-e 6 p., at (2- Ce_ 4�,g_ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer �_ (P Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Cy ri Inspector - — !Q I ©—————=——————————————————————— p .+ Fee THE COMMONWEALTH &MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 'Wi5poat *pgtem�,.-Con�ttuction Permit Permission is hereby granted to Construct( Repair(�)Upgrade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this ermit. Date: �rX — i�— t0 Approved by I 1019/97 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATIO OR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) hereby certify that the application for disposal works construction permit signed by me dated concerning the property located at l � @� �°�'^�- t ''' � meets all of the following criteria: There are no wetlands located within 10o feet of the proposed leaching facility There are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change in use proposed e There are no variances requested or needed. If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will M be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) B)Observed Groundwater Table Elevation(according to Health Division well map) SIGNED: e•-� �1 \"�"s" DATE: ZA l l LICENSED SEFTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER (Attach a sketch plan of the proposed system.Also if the licensed Installer posesses a certified plot plan, this plan should be submitted]. q:health folder:cert L Ec- �2Ac� O i { 00 e►_ TOWN OF BARNSTABLE �. LOCATION 1 Zsl ZMA e- SEWAGE # i VILLAGE_ Ma ASSESSOR'S MAP & LOT Od S/-Ot} INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) size � a(size) ?�ZDXG NO.OF BEDROOMS BUILDER OAR c h ALe t er— PERMITDATE: 0.—/► --9Ff COMPLIANCE DATE: :l - d Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist. on site or within 200 feet of leaching facility) V— Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 eet of eaching facility) Feet Furnished by N TOWN OF BARNSTABLE LOCATION 1 Zsl e_ I SEWAGE # _ `9� 90 VIY:LAGE ASSESSOR'S MAP& LOTSI5/-Oo r INSTALLER'S NAME&PHONE NO. (14r s r 77 SEPTIC TANK CAPACITY I . sa a LEACHING FACILITY: l` (size'* &LD )e Ga L NO.OF BEDROOMS t BE ELDER O R +- PERMITDATE: !L-/t --9ff COMPLIANCE DATE: Separation Distance.Between the: ti - Maziatum Adjusted Groundwater Table and Bottom of Leaching Facility Feet ` Priv,.a....t:e Water Supply Well and Leaching Facili ty (If any wells exist 'Oq site or within.200 feet of leaching facility) Z V-- Feet i` Edge of Wetland and Leaching Facility(If any wetlands exist -ivithin 300 et lac hing facility) �,3 � Feet Furnished by 1 v -� O O h , F r . r-1 I019N7 �"c z. Y NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION MIT (WITHOUT DISPOSAL WORKS CONSTRUCTION PER ENGINEERED PLANS) hereby certify that the application for disposal works construction permit signed by me dated concerning the property located at l'Z-S\ �� ��"��- (�b.,r,co� V4 meets all of the following criteria: There are no wetlands located within 100 feet of the proposed leaching facility There are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change in use proposed • There are no variances requested or needed. If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will riot be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) B)Observed Groundwater Table Elevation(according to Health Division well map) �T DATE: ZA t SIGNED: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed Installer posesses a certified plot plan, this plan should be submitted]. q:health folder:cert TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# Health Division 9 Date Issued Conservation Division 6-T I +te-y" Oil Fee Tax Collect AAA C\ SEPTIC SYSTEM MUST BE Treasure IPJSTQLLED IN COMPUANCE Planning Dept. WITH TITLE S ENVIRONMENTAL CODE AN Date Definitive Plan Approved by Planning Board /� 'fC��"d�! RECaULATIONS 'k-Historic-OKH Preservation/Hyannis ' Project Street Address —z- 6-1 Rfic&_ ZAI 6� , 6A , Village/n I n t• M L LtS Owner NI1VNR- 61 el 9 G'S Address /S 4 -6A/LA/• �•f� Telephone 4/ Permit Request �Q��'r"L d// Square feet: 1 st floor:existing DJ proposed 2nd floor:existing 1 proposed Total new Estimated Project Cost`/ 0 oning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Ek" Two Family Multi-Family(#units) Age of Existing Structure y� Historic House: ❑Yes iB416 On Old King's Highway: ❑Yes alTo"" Basement Type: ga<ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) COY" Basement Unfinished Area(s�q.ft) n Z Number of Baths: Full:existing � new Z- `1-t)Half:existing ) new Number of Bedrooms: existing new _3 TO 0%4ee— Ek57-622 Total Room Count(not including baths):existing new First Floor Room Count .� Heat Type and Fuel: ®'Gas ❑Oil ❑ Electric ❑Other Central Air: 81es ❑No Fireplaces: Existing _I New Existing wood/coal stove: ❑Yes ®-ale Detached garage:misting ❑new sizeezWpPool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes E'IVo If yes,site plan review# t Current Use S�ItJ4[/�e I�Af�'Ll e—V Proposed Use ��I e- � IIJ BUILDER INFORMATION // Name ,l� n I _ i..� ,� Tpl nl;onC Number 412 - — Addd�ress�//�G�}Q`�� 0�1/ L ty License# Home Improvement Contractor# 11 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 1Y UDATE Town of Barnstable Department of Health, Safety, and Environmental Services RAxtverA= + Public Health Division ' i 5 9. 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A. McKean, RS, CHO FAX: 508-790-6304 Director of Public Health Cameron December 2, 1997 1251 Race Lane Marstons Mills, MA 02648 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 1251 Race Lane, Marstons Mills was inspected on November 7, 1997, by John Graci, a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • The "overflow" component was " structurally unsound." You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. You are also directed to bring the septic system into compliance within thirty(30) days of receipt of this order letter. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH omas A. McKean, R.S., C.H.O. Agent of the Board of Health q\hea1th\dbfi1es\tit1e5i.doc