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HomeMy WebLinkAbout0025 RIVER ROAD - Health 25 River Road Marstons Mills , - -- - - - - --- - - - A = 078 002 j a I ' 1 i i No. 0 t7 ( Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS RppYitation for Misposal to (Lon uttion Permit Application for a Permit to Construct( ) Repair( ) Upgrade(rrAbandon(V Complete System ❑Individual Components Location Address or Lot No. q- a NOmM-nnAA r s Name,Address,and Tel.No. �vxs' ,,s M S(D�I►��o2d Assessor's Map/Parcel Kks . f.- Installer's Name,Address,and Tel.No. C0�� P Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo of Heal Signed Date Application Approved by Date ` Application Disapproved by Date for the following reasons Permit No. � 2 Date Issued No. v! t7 ...Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: L� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plicatlon for Disposal j9ermit Application for a Permit to Construct( ) Repair( ) Upgrade 4)rAbad on(� Complete System ❑Individual Components Location Address or Lot No. Is* `Own r s Name,Address,and Tel.No. �d� 1 Mws-� ,5 Kqs ,Mt.- 7�o►���t C.cvc, �t- tS �evo ��.l�ai pee. - Assessor's Map/Parcel � `� Installer's Name,Address,and Tel.No. ►r d, Designer's Name,Address,and Tel.No. U N(I A- Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets i Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) E Date last inspected- Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 9 to Application Approved by v "y f! . la ? Date j {r f Application Disapproved by ,. +, Date for the following reasons Permit No. Date Issued - ----- ---------------_- ----- ,,,,THE COMMONWEA`LTH OF MASSACHUSETTS BA_R�NS TABft-,t� iXS SAC HU SE TT S Certificafe of Compliance THIS IS'TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded Abandoned, by at~"`' r) ,I/*!syi 4j^ A A has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �(��,� dated Installer Designer #bedrooms Approved design flow gpd IV ' The issuance of this-permit shall not be construed as a guarantee that the system will function a&designed. Date -71it'l�l Inspector (�, l�l,t✓. ,,�'t n i,� ----------------------------------------.--------------------------------- ;------------------------------------------------------------ No. Fee P T THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNS,TABLE,MASSACHUSETTS Disposal *pstem Construction 3wermit Permission is hereby granted to Construct( ),�} Repair( .. ); Upttgra&( ) Abandon System located at and as described in the above Application for Disposal'System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. ,x Provided:Construction must be completed within three years of the date of this permit. Date "',711 Of. Approved by r-� / 4i^ Town of Barnstable Barnstable Regulatory Services Department 9EAMST" Public Health Division 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX• Gl1R-7on-Rind Th-- A M,TCPPn run CERTIFIED MAIL# 7014 1200 0001 0358 3797 April 6, 2015 Daniel P Levesque 15 Pequot Road Mashpee, MA 02649 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 25 River Road,Marstons Mills,MA, was last inspected on r 6/18/2007,by Jason Burnie, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally Passes" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: �— It was observed that one of the sewer lines was not connected to the system. • This line must be connected and the cesspool abandoned (pumped and filled in) in order to receive a passing inspection report. You are ordered to repair the septic system within thirty (30) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BO OF HEALTH ean, R.S., CHO Agent of the Board of Health QASEPTIC\Conditionally Passes Ltr\25 River Rd MM Apr 2015.doc Town of Barnstable Barn Regulatory Services Department A `""M Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director PAY- SnR-7Qn-F1nA Th--A NA,y an run CERTIFIED MAIL# 7014 1200 0001 0358 3797 April 6, 2015 Daniel P Levesque 15 Pequot Road Mashpee, MA 02649 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 25 River Road,Marstons Mills,MA, was last inspected on 6/18/2007, by Jason Burnie, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally Passes" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: �— • It was observed that one of the sewer lines was not connected to the system. • This line must be connected and the cesspool abandoned (pumped and filled in) in order to receive a passing inspection report. You are ordered to repair the septic system within thirty (30) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER.ORDER OF THE BO OF HEALTH CUlrf o �� ean, R.S., CHO I $ '01 b Agent of the Board of Health 1 I QASEPTIC\Conditionally Passes Ltr\25 River Rd MM Apr 2015.doc Sep-20-01 13: 52 BARNSTABLE HEALTH DEPT 5087906304 P • 02 S12.S/01 (NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. _ PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, CAQ,,MG4hereby certify chat the engineered plan signed by me datedf_, concerning the property located at ZS T 'MCC§�k-J)M meets all of the • following criteria- • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classiEed as.CLASS I and the percolation rate is less than or equal to j rrunutes per inch. The applicant may ruse historical data to conclude this factor may conduct preliminary tests at the site without a health agent present. • T here is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than Fourteen ;14) feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Frirnptor method when applicable)' Please complete the following: P.l Top of Ground Surface Elevation (using GIS information} B) &W levat,ori r �djusiment for;ni;n G.W. •V - 2• DTFERREICF EETWEEiv d B SiG,.\FED DATE: �I 1 NOTICE Based upon the above .nformation, a repair permit will be issued for bedroors 1 maxirr,umr No acdiu:anal bedrooms are authorized to t`-t: future without engineered septic system plans. _ — i C:tic_lih tridcr perccsmp ' FORM 11 - SOIL EVALUATOR FORN Page 1 of No.: Date: 9/17/01 COMMONWEALTH OF MASSACHUSETTS Sandwich , Massachusetts Performed By: Carmen E. Shay Date: 9/17/01 Witnessed By: Waiver— Per Barnstable BOH Location Address or #25 River Road, Owners Name: For Ms.Laura Doddard Marestons Mill,MA Address: P.O. Box 642,Marstons Mill,MA Lot# Map 78 Lot 002 New Construction : Repair : X Telephone Number: 508-477-0894 OFFICE REVIEW: Published Soil Survey Available: No ❑ Yes ❑ Year Published: Publication Scale: Soil Map Unit: Drainage Class: Soil Limitations: Surficial Geologic Report Available: No❑ Yes❑ Year Published: Publication Scale: Geologic Material: (Map Unit): Landform: Glacial Outwash Flood Insurance Rate Map: Above 500 Year Flood Boundary: No ❑ Yes Eil Within 500 Year Flood Boundary: No a Yes ❑ Within 100 Year Flood Boundary: No ❑ Yes ❑ Wetland Area: None Observed National Wetland Inventory Map (map Unit): Wetlands Consercancy Program Map (map unit): Current Water Resource Conditions (USGS): Month Range: Above Normal El Normal [7 Below Normal ❑ Other References Reviewed: USGS Topographic Map DEP APPROVED ' FORM 12/7/95 FORM 11 — SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No.: #25 River Road, Marstons Mill, MA On -Site Review Deep Hole Number: #1 Date: 9/17/01 Time: 9:00 PM Weather: Sunny, Warm, 750F Location (identify on site plan): Refer to Sketch Landform: Outwash Plane Position on Landscape (sketch on back): Refer to Sketch Distances From: Open Water Body N/A feet Drainage Way N/A feet Possible Wet Area N/A feet Property Line 25' feet Drinking Water Well N/A feet Other N/A feet DEEP OBSERVATION HOLE LOG Depth From Soil Soil Soil Soil Other Surface Horizon Texture Color Mottling Structure, Stones, (inches) (USDA) (Munsel) Boulders, Consistency, % Gravel 0" — 4" Gravel None Gravel & Dense Grade Driveway Friable 4" — 10" BW Sandy 10 YR 5/6 None <5% Gravel Loam 10" — 168" C1 Sand 2.5 Y 7/4 None Med-Coarse Sand, 5% gravel/cobbles, Loose Parent Material (Geologic): Glacial Outwash Depth to Bedrock: N/A Depth to Groundwater: Standing Water in the Hole: None Weeping From Face: N/A Estimated Seasonal High Water Table 168"Assumed DEP APPROVED FORM 12/7/95 FORM .11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No.: #25 River Road, Marstons Mill, MA Determination of Seasonal High Water Table Method Used: ❑ Depth observed standing in Observation Hole: inches ❑ Depth weeping from side of Observation Hole: 168" inches assumed ❑ Depth to Soil Mottles: inches ❑ Groundwater Adjustment: None feet Index Well Number: Reading Date: Index Well Level: Adjustment Factor: Adjusted Groundwater Level: N/A DEPTH OF NATURALLY OCCURING 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: Yes CERTIFICATION: I Certify That on September 17, 2000, (date), I have passed the soil evaluators 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. Signature: Date: I I q 6 l FORM 12 - PERCOLATION TEST Location Address or Lot No.: #25 River Road, MA COMMONWEALTH OF MASSACHUSETTS Marstons Mill , Massachusetts Percolation Test Date: 11/16/00 Time: 9:45 AM Observation Hole #: #1 #2 Depth of Perc 36"-54" Start Pre-soak 9:45 End Pre-soak 9:51 Time at 12" Will Not Hold 24 Gallon Presoak Same Time at 9 Time at 6" Time (9-6") Rate Min./Inch < 2MP1 Assumed @ 54 " Same * Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Performed By: Carmen E. Shay Witnessed By: Waiver per BOH Comments: Would Not Hold 24 Gallon Presoak - <2 MPI Assumed (aD 36" Site Passed X Site Failed DEP APPROVED FORM 12/7/95 SKETCH OF PERC TEST & DEEP HOLE LOCATION Property Address: #25 River Road Barnstable,MA Owner: For Laura Goddard Date of Perc Test: 9/17/01 #25C #25A&25 B 20' 2 BR Apt. 4 BR House 20' Test Hole #1 45' RIVER ROAD CARMEN E. SHAY (508)-548-0796 ENVIRONMENTAL SERVICES,INC. 34 Thatchers Lane,East Falmouth,MA 02536 December 17, 2001 RE: Certification of Title V Septic System Installation: Residential Property—25 River Road, Marston's Mill,MA Dear Sir or Madam: On December_, 2001, Roger Roberts, Inc. was issued a permit to install a Title V Septic System at 25 River Road, Marstons Mill, MA, based on a design drawn by Shay Environmental Services, Inc, dated, September 18, 2001. I Certify That The Septic System Referenced Was Installed Substantially According to the Plan I Certify That the References Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans will Follow. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at (508)-548-0796. Sincerely, CARMEN E. SHAY ENVIRONMENTAL SERVICES,INC. OF 1v;p " N z E. SHAY ' No. 1181 0 Carmen E. Shay, R.S., C.S.E. Director of Environmental Servic No. �(1 3 `;,.� 1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓� Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYttatton for �Digooaf *pztem Con5tructton Vermtt Application for a Permit to Construct( . )Repair( �,4pgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Z 5 -91 V e-r I?Oack Owner's�vacme,Address d Tel.No. 1Aofs-tan- k4iIIs ("i- Ddd6L.f1C_ Assessor's Map/Parcel 0-1 S —00 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ;553 babe►--}5 . 6L V4 c h car men ska. w a 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 G gallons per day. Calculated daily flow 6 ID 0 gallons. Plan Date Is8 Number of sheets I Revision Date Title rb 0 S U b SU u- ,' D ,1 Soh t Size of Septic Tank Type of S.A.S. Description of Soil 1� Nature of Repairs or Alterations(Answer when applicable) y D C.GC.F`___ Date last inspected: DESIGNING ENGINEER MUST SUPERVISE Agreement: INSTALLATION AND CERTIFY IN WRITING The undersigned agrees to ensure the construction and maintenanceR tMR T s dN L'1 D ftfao system in accordance with the provisions of Title 5 of the Environmental Code an 'cPLin operation until a Certifi- cate of Compliance has been issue this Board of H Signed � _ Date l Z- 11—O/ Application Approved by Date Application Disapproved for the following reasons Permit No. 10D j 3 4 Date Issued 1/ f/ •.-+.r•.�-r v •�.�..- 4_ tom[ 5 " K .. � Fee 4 d 771- THE COMMONWEALTH OF MASSACHUSETTS Entered in,computer: Yes ✓I/ ..� ..�_... _ PUBLIC-HEALTH DIVISION -TOWN"OF BARNSTABLE, MASSACHUSETTS Ak � ,pricartion for �Digpoga[ *p5tem Construction Permit y;:4. Application for a Permit to Construct( )Repair( VUpgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 7,6 JP V t y r Poc,A Owner's amed A ddress�`'d Tel.No. M Qf 5-byls Assessor's Map/Parcel ti j C7""'1$ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. be v-4 in �GiP of ShAy W Gt YIY�ULI i Ni-A OZ 1P 7 3 W Type of Building: "A Dwelling No.of Bedrooms (a - Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) 'Other Fixtures - Design Flow L to 0 gallons per day. Calculated daily flow (1)o gallons. Plan Date IS a Number of sheets Revision Date Title rpa)2o5Pd SVbsyr G(-Q. Size of Septic Tank Type A.A.S. Description of Soil; 0(i! /91&4--- r, ` Nature of Repairs or Alterations(Answer when applicable) fA b Date last inspected: V 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 systemIM operation until a Certifi- cate of Compliance has been issue this Poard of HeWth. Signed Or/� f Date /�- �/ O Application Approved by n Irl W � Date �� ^►/- U/ Application Disapproved for the following reasons Per init No. Z(�U l 0 3 Date Issued a l G ------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (tompliance THIS IS TO CERTIFY, th t the On-s' a Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at o2 Jf 1/p. Q MIA S fV11 S E0 S has been constructed in accordance with the provSi_on of Title 5 the for Disposal System Construction Permit No.20o/-6 3 dated 1-2/ -Q f Installer JW1 f(PJ�Wl/b Designer S e The issuance of this permit shall not be construed as a guarantee that the sy tem will function as designed. Date Inspector /fir V/ No. q Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH CIS-VISION - BARNSTABLE., MASSACHUSETTS i5 ova[ bpztent on!5truction Permit Permission is hereby granted to onstruct( )Repair l� )Upgrade( )Abando. ( ) System located at C Jr �✓LT V P4Q 6y I21Y 5127 5 �S 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 permit. Date: I Approved by �j 1A).'At TOWN OF BARNSTABLE � LOCATION SEWAGE # 2t) VILLAGE cAl i ASSESSOR'S MAP & LOT U 7 k--U0 Z INSTALLER'S NAME&PHONE NO. z c, SEPTIC TANK CAPACITY �} o LEACHING FACILITY: (type) ® -4n size ` NO. OF BEDROOMS i BUILDER OR OWNER i PERMITDATE: 1411COMPLIANCE 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 within 300 feet of leaching facility) Feet Furnished by I . f. L �7-yw FEE �1 Board of Health, �Bae'nSkANe , MA. APPLICATION FOP, ➢ IS POSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) RepairKUpgrade( ) Abandon( ) -XComplete System ❑Individual Components Location 'LS 12%wsst Ropb mpesw MillOwner's Name Map/Parcel# . 0 Q 2 Address _b- 42 Lot# 0021 Telephone# Installer's Name &VAPt eck Designer's Name Address \ Qnw`g MA Address -riw LA. _ C A LMmM4 Telephone# 506 -BEIR,-O&G Telephone# S08 -S -b-+(402536 Type of Building 'fcO�l (?� Lot Size sq.ft. Dwelling-No.of Bedrooms 60 C��X Garbage grinder RIA Other-Type of Building �^sC3si Ate, No.of persons Showers (Cafeteria (✓J� Other Fixtures 9o►�VPt-mr T-r— _ I tn) ad! m-? Design Flow (min.re uired) �-��—gpd Calculated design flow_QQ0 Design flow provided e0k"gpd Plan: Date Number of sheets Revision_Date 1 �+ Title ,\ ��o Red subsec-q- ccaci? c�2lskbe4 Description of Soil(s) Sa 1 1 Soil Evaluator Form No. 1.� a 1�7 L Name of Soil Evaluator( t4A�Date of Evaluation t DESCRIPTION OF REPAIRS OR ALTERATIONS Q�O-oA 0 ` The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date 6 [zo' d No. \" OZ11 FEE Board of Health, �� C � MA. CERTIFICATE O COMP IANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired,Upgraded ( ),Abandoned ( ) by: at has been installed in�accordance with the pr visio s of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No.o'U �, dated 2 Approved Design Flow.. (gpd) Installer Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. � FEE COMMONWEALTH OF MASSAC14USETTS Board of Health,7t 1) �-Il MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct(,,) RepairX Upgrade( ) Abandon( ) an it,# 'd`ual sewage disposal system t-• at ' -i � t as described in the application for Disposal System Construction Permit No.` � dated of 2( 1 Provided: Construction shall be completed within three years of the date of this p rmit. All local conditions must be met. . �.. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health VOW 'FEE TJ Board of Health, �t CCc-iS-�CX\—A2 MA. APPLICATION FOP, DISPOSAL SYNEM CONSTRUCTION PERMIT ✓ y � Application for a Permit to Construct( ) Repair'Upgrade( ) Abandon( XComplete System ❑Individual Components Location .57Zw6Q `�p 11 fl MAkSWOwner's Name rAddress p/Parcel# r. Q� Q 2 'Address : �C"C) �, � c e t# f - dU Telephone# _ stallers Name C Designer's Name 2b�P1 ENT qL Sri. �.. r/ Address � t FRfMOJTH 'lt lephone# — Telephone# Qs - t!� 02�536 Type of Building �- 1(\�2{ i�1� i Lot Size sq.ft. t �fl �( ) / rinder Dwelling-No.of Bedrooms i Garba e g g 4 Other-Type of Building A nA. No.of persons Showers (✓Cafeteria (p< Other Fixtures ipt�1A"CL�2Y f iT r"le A s f lJ j 1 4 A winsY Design Flow(min.required) e2n gpd Calculated design flow (0too— Design flow provided e0k, .,gpd Plan: Date Number of sheets (a ' y �, ( Revision Date' Title %\? O b C�2 s t� Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator®P�CL.W1 Et,� SY1PlDate of Evaluation (� DESCRIPTION OF REPAIRS OR ALTERATIONS C�,oA n� p o,,n The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. ` Signed Date 1t v. i. No. L � FEE Board of Health, MA. CERTIFICATE OF COMPLIANCE aw, Description of Work: ❑Individual Component(s) ❑Corpple[e System , Z The undersigned hefeby certify that the Sewage Disposal, sbem; Constructed ( ),Repaired ,Upgraded O klJ4. o`ned ( ) by: at 4. _ ✓ t" ry, - . has been installed accordance with the provisi ns of 310 CMR 15.00 (Title 5) and the a roved design plans/as- t«plan,s;,r.�14rig to A� application No._; ' dated. �f Approved Design Flow- n gPd� `` Installer �c6? � Designer: Inspector: Date: The issuance of this permit shall not be construed.as.a guarantee that th�,system will function as designed. � �� r `0-- No,.- .`/•>. _ _. FEE , ' Board of Iealth, _ Q-�J���G� MA. DISPOSAL. SYSTEM CONSTRUCTION PERMIT Permission is hereby,granted to;yConstr;�t(�pair )�'Upgrade( ) •Abandon( )ant i� dnal sewage disposal system at c, Q\VLC2 r�. l`x�S i��� i as descxibe'd in the application for Disposal System Construction Permit No. 't, dated 2( l Provided: Construction shall be completed'within three years of the date of this permit. Alld'ocal conditions must be met.' Form 1255 Rev.5/96 A.M\Sulkin Co:Boston,MA Dater Z/ U Board of Health A� W TOWN OF BARNSTABLE �U LOCATION SEWAGE # 2 b v 1 -& 3 7 VILLAGE e ASSESSOR'S MAP & LOT Q2 =C INSTALLER'S NAME&PHONE NO. �►c7 SEPTIC TANK CAPACITY LEACHING FACILITY: (type)" ' �� (size) ` NO.OF BEDROOMS__ BUILDER OR OWNER PERMITDATE: Z l COMPLIANCE DATE: f 2111LO 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 within 300 feet of leaching facility) Feet Furnished by ► !0,11 ` Alt, 0 o � { Vol n - 77 COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A.S' Item 4 if Restricted Delivery is desired. / O Agent. ■ Print your name and address on the reverse X ❑ ddre ee so that we can return the card to you. B. �qdved .Printed N ,e) 7Datf D every ■ Attach this card to the.back of the mailpiece, h �r or on the front if space permits. - D. I diflere from item ❑ es 1. Article Addressed to: -�IftY e e v address below: No JUL s Ms. Kathy Stun 1g I 145 Old Main Road 3. Service,ype Falmouth, MA 02556 0 �' • all Express Mail ' O Reb m Receipt tot Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes .2. Article Numberr'`' i (riansfgr from service labeQ, . ' `7005t'1Z60 i'0000 i0141 3516 i PS Form 3811,February 2004 Domestic Return Receipt" 102595-02-M-1IW UNITED STATES POSTAL SERVICE First-Cla, M.✓,, Postage&Fees Paid LISPS Permit No.G=10 • Sender: Please print:your name, address; and ZIP+4 in,this box• I I I PUBLIC HEALTH DEPARTMENT TOWN OF BARNSTABLE 200 MAIN STREET HYANNIS, MA 02601 I I . I a Town of Barnstable Regulatory Services Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 16, 2007 - Ms Kathy Stigberg 145 Old Main Road Falmouth, MA 02556 ORDER TO COMPLY WITH STATE ENVIROMENTAL CODE, TITLE 5 The septic system located at 25 River Road, Marstons Mills,MA was last inspected on June 18`h, 2007,by Jason Burnie, a certified inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Conditionally Passed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: It was observed that one of the sewer lines was not connected to the system. This line must be connected and the cesspool must be abandoned (pumped and filled) in order to receive a passing inspection report. You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder, please feel free to contact the Barnstable Health Department. BARNSTABLE HE TH DEPARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health 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: 25 River Rd.Marstons Mills Ma.02648 Owners Name: Kathy Stigberg Owners Address: 145 Old Main Rd.Falmouth Ma.02556 Date of Inspection: 5/26/2007 '` �pZJ` ) CD Name of Inspector(please print)Sean M.Jones < PO Company Name:S.M.Jones Title V Septic Inspection �%. `'j Mailing Address:74 Beldan Ln. X -a Centerville Ma.02632 zr U" Telephone Number:508-778-4597 e co r— CERTIFICATION STATEMENT CD m I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: k Passes r v X Conditionally Passes Needs further evaluation by the Local Approving Authority Fails Inspectors Signature Date: S � 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: In 2001 a new septic system consisting of a 1500 gallon tank, d-box and leach field was installed to replace cesspools on the other side of dwelling. It was observed that one of the sewer lines was not connected to the new system. This line must be connected and the cesspool must be abandoned(pumped and filled) in order to receive a passing inspection report. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(cownqum) Property Address: 25 River Rd.Marstons Mills Ma.02648 Owner:Kathy Stigberg Date of Inspection: 5/26/2007 Inspection Summary:Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes:N/A _I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B.System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or Repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the_for the following statements.If"not determined"please Explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally Unsound,exhibits substantial infiltration or exfiltration or the tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it structurally sound,not leaking and if a Certificate of Compliance Indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or Obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with Approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(S).The system will Pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 25 River Rd.Marstons Mills Ma.02648 Owner:Kathy Stigberg Date of Inspection: 5/26/2007 C.Further Evaluation is required by the Board of Health:N/A Conditions exist which require further evaluation by the Board of Health in order to determine if the system Is failing to protect public health,safety or the environment. 1.System will pass unless Board of health determines in accordance with 310CMR 15.303(1)(b)that the System functioning in a manner that protects the public health,safety and the environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a Surface water supplyor tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a Private water supply well**.Method used to determine distance **This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform Bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other Failure criteria are triggered.A copy of the analysis must be attached to this form. 3.Other: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 25 River Rd.Marstons Mills Ma.02648 Owner:Kathy Stigberg Date of Inspection: 5/26/2007 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No X Backup of sewage into facility or system component due to 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 SAS or cesspool. 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 '/2 day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of cesspool or privy is within Zone 1 of a public well. X Any portion of cesspool or privy is within 50 feet of a private water supply well. X Any portion of 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 pp,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] X (Yes/No)The system fails.I have determined that one or more of the above 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:N/A To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you answered"yes"to any question in section E the system is considered a significant threat,or answered "yes"in section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under section D shall upgrade the system in accordance with 310 CM15.304.The system owner should contact the appropriate regional office of the Department. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 25 River Rd.Marston Mills Ma.02648 Owner:Kathy Stigberg Date of Inspection: 5/26/2007 Check if the following have been done.You must indicate"yes"or"no"as to each of the followine: Yes No X Pumping information was provided by the owner,occupant,or Board of Health X Were any of system components pumped out in the previous two weeks? X_ Has the system received normal flows in the previous two week period? X Were as built plans of the system obtained and examined?(If they were not available note as N/A) X_ _ Was the facility or dwelling inspected for signs of sewage back up? X_ _ Was the site inspected for signs of break out? X_ _ Were all system components,excluding SAS,located on site? _X_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tee,material of construction,dimension,depth of liquid,depth of sludge and depth of scum? _X _ 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 X _ Existing information.For example,a plan at the Board of Health. _X_ _ Determined in the field(if any of the failure criteria related to Part Cis at issue approximation of distance Is unacceptable)[310 CMR 15.302(3)(b)] OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 25 River Rd.Marstons Mills Ma.02648 Owner:Kathy Stigberg Date of Inspection: 5/26/2007 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):_6_ Number of bedrooms(actual):_6_ DESIGN flow based on 310 CMR 15.203 (for example): 110 gpd x#of bedrooms):660 GPD Number of current residents:-0— Does residence have a garbage grinder(yes or no): no Is laundry on a separate sewage system(yes or no):_no [if yes separate report required] Laundry system inspected(yes or no):_n/a Seasonal use:(yes or no)no Water meter readings,if available(last 2 years usage(gpd): Sump pump(yes or no): no Last date of occupancy/use: 2/2007 COMMERCIAL/INDUSTRIAL:N/A Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/user OTHER(describe): GENERAL INFORMATION Pumping records Source of information: Was system pumped as part of the inspection(yes or no): no If yes,volume pumped: gallons--How was this quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be Obtained from the system owner) Tight tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information:2001 Town records Were sewerage odors detected when arriving at the site(yes or no) no OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 25 River Rd.Marston Mills Ma.02648 Owner:Kathy Stigberg Date of Inspection: 5/26/2007 BUILDING SEWER(locate on site plan) Depth below grade: 18" Materials of construction:_X_cast iron_X 40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): Joints were in good condition,no sign of leakage. SEPTIC TANK: X (locate on site plan) Depth below grade:_6" Material of construction:_X_concrete metal fiberglasspolyethylene 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: 1500 Gallon Sludge depth: 24 Distance from top of sludge to bottom of outlet tee or baffle: 1.5` Scum thickness: 8" Distance from top of scum to top of outlet tee or baflle:_4" Distance from bottom of scum to bottom of outlet tee or baffle: 5" How were dimensions determined:Opened covers and took measurements Comments(on pumping recommendation,inlet and outlet tee or baffle condition,structural integrity,liquid levels As related to outlet invert,evidence of leakage,etc.): Septic Tank needs to be cleaned and should be cleaned every 2 years to maintain the systems useful life.Inlet and outlet tees intact and in good condition. Tank covers raised to grade with steel covers. GREASE TRAP: N/A (locate on site plan) Depth below grade: Material of construction: concrete metal fibergiass___polyethylene other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendation,inlet and outlet tee or baffle condition,structural integrity,liquid levels As related to outlet invert,evidence of leakage,etc.): r OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 25 River Rd.Marstons Mills Ma.02648 Owner:Kathy Stigberg Date of Inspection: 5/26/2007 TIGHT or HOLDING TANK: N/A (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass___polyethylene other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: X_(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0" Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of Leakage into or out of box,etc.): Box was level and in good condition.Flow to all outlets was equal.Box was not leaking PUMP CHAMBER: N/A (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 25 River Rd.Marstons Mills Ma.02648 Owner:Kathy Stigberg Date of Inspection: 5/26/2007 SOIL ABSORPTION SYSTEM(SAS)_X (locate on site plan,excavation not required) If SAS not located explain why: Type Leaching pits.Number: Leaching chambers,number: Leaching galleries,number: Leaching trenches,number,length: _X_leaching fields,number,dimensions: 1 --30`X30` overflow cesspool,number: innovative/alternitave system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): Soil was dry,no signs of hydraulic failure. CESSPOOLS: N/A (cesspools must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: N/A (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 25 River Rd.Marstons Mills Ma.02648 Owner:Kathy Stigberg Date of Inspection: 5/26/2007 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 5+ feet Please indicate(check)methods used to determine the high ground water elevation: _X_Obtained from system design plans on record-If checked,date of design plan reviewed: 9/18/2001 Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Groundwater was determined by accessing design plan on file at Town of Barnstable Board of Health. I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 25 River Rd.Marstons Mills Ma.02648 Owner:Kathy Stigberg Date of Inspection: 5/26/2007 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent referencelandmarks or Benchmarks.Locate all wells within 100 feet.Locate where water supply enters the building B A TANK A-1=2S B-1=17 Ar2=29`6" E�-2=1'8 4' D-Box A-3=34V B-3=2S RWR ROAD Barnstable Town of Barnstable ` Regulatory Services Department * B NSTABLE, a` MASS, Public Health Division °rrn a+nr�a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO a CERTTIFIED MAIL 7007 3020 0001 3429 8882 May 6, 2009 Daniel P. Levesque 15 Pequot Road Mashpee, MA 02649-2346 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 25 River Rd., Marstons Mills,was inspected On May 4, 2009 by Jaime Cabot, R.S. Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a housing complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements: Evidence of chronic dampness, staining was observed along the sides of the block walls in the basement. Insect damaged was observed on the floor joists. Bedroom floor has gaps that that would allow for the passage of insects. Peeling paint was observed on bedroom ceiling 105 CMR 410.480 (B)—Locks: Bulkhead has deteriorated and can not be secured. 105 CMR 410.482—Smoke Detectors and Carbon Monoxide Alarms: No smoke detector provided for down stairs bedroom and smoke detector on second floor not working properly. 105CMR 410.550 (B) -Extermination of Insects, Rodents and Skunks: Evidence of Rodent activity was observed in basement. 105 CMR 410.503 (A) - Protective Railings and Walls: No railing on cellar.stairs. The following violations of the Town of Barnstable code were observed: 170-4—Certificate of Registration. Rental property is not registered with Town of Barnstable Health Department. You are directed to correct the violations listed above within twenty-four (24) hours of your receipt of this notice by installing smoke detectors in accordance with Mass Fire Codes. You are directed to repair the following violations within thirty (30) days of your receipt of this notice by eliminating the source of chronic dampness in the dwelling. In addition repair the deteriorating bulkhead, repair the gaps in the flooring by caulking or other means, install a railing for the cellar stairs and monitor for pest '. activity in the dwelling. You are directed to have the damaged floor joists inspected by a competent authority and to register the rental properties with the Town of Barnstable Health Department within thirty (30) days of your receipt of this notice. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations,please contact the Town Health Division and a speak with the inspector who performed the inspection. + R F THE OARD OF HEALTH o s cKean, R.S., CHO Director of Public Health Town of Barnstable `w i FORM30 C&W HOBBS&WARREN'" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . CITY/TOW N W F DEPARTMENT ADDRESS TELEPHONE AddressZS �y_¢_YZ��• I AAR--S W-5"—IL-L—S, Occupant_L,&� ,'i Floor '- Apartment No. "- No.of Occupants_ No. of Habitable Rooms No.Sleeping Rooms No. dwelling or rooming units�— No.Stories 7 �j Name and address of owner -t_1k1_LJl�s fit• �1_00�N=_per 41 11 S Nooks Remarks Reg. Vio. YARD Out Bld s.: Fences.- Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Y2 oL-e_ Nq ,ate Roof 05 Z aZ-,L Z-,3 C\--S" Gutters, Drains: C N 1+v C S f_C.o Walls: v 0 6- R o �� �r I£,/L I� Foundation: »1 r-- cR ao Q .(L, Chimney: Y)O,�-1 N C io C�13 BASEMENT Gen. Sanitation: 7V �0�-Cr- or- - S � Dampness: n���raGtg. -[e LOOR- i&-r� Stairs: A k Lp Lighting: STRUCTURE INT. . Hall,Stairway: •t. ►1 "J'. Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Ck Hall Windows: HEATING Chimneys: gT4)n.-K /fie tZ /Lv elz_ Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST'- ❑ P Waste Line: H.W.Tanks Safety and Vents A/0 -rfc-:-to 0 ELECTRICAL Panels, Meters,Cir.: 2 y2v v% b E, �p 2 Ow tiS Z ❑ 110 ❑ 220 Fusing,Grnd.: "'CPS YLL ri-V-) all O-V^ -�C AMP: Gen. Cond. Distrib. Box: v S '�rz_ 5►�-,Gen. Basement Basement Wirin ey v(L�.ti 2eJ �n DWELLING UNIT Ventil. L to Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom(1). -lf_ Bedroom 2 Bedroom 3 iC�c� S Bedroom 4) 0C)At Hot Water Facil. Sup.Ten., Gas, Oil, Elect.: _ Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink ` i a- &IN P5 L, Stove a (Z,)D Bathing,Toilet Facil. Vent., Plumb., Sanit'n.: 1-7 -' Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Oth r: \j) 0 C _L U r _ Egress - Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES F PERJURY." INSPECTOR 2 x� TITLE �-�,�A�-'�N _�Sl�I L�o� A DATE TIME— A.M. THE NEXT SCHEDULED REINSPECTION PEA P.M. aGry T JEF TE ILIL LI,. it MASTER BATHROOM C— oo ONL(I s WALK-IN CLOSET�il 11 lilt it till HIM HIM It 0M.STER G BEDROOM U." I ti fI Will Hill Hill ill 11 lilt NOOK NOOK NOOK I 1 I 1 1 L I N C O L N 25 REVER ROAD Project Number Architects LLC MAESTIN MILLS, MA Droving Scale -'- SKA i�rami vew,�sireei,wire m3 D.—By NM1'�ch=s�e�/.w aim FM;.n;m; Sketch Title: SECOND FLOOR PLAN GMc SKA-3 ��. Date Issued Refer to: 10/10/14 DN DINING ROOM mO NEW CABINETS 00 NEW RANGE RANGE OO _ BATHROOM NEWDOUBLE SINK i' REF NEW DISHWASHER CL ET S Vvtt UP LIVING ROOM BEDROOM CLO T CLOSET BEDROOM FAMILY ROOM CLOSET ENTRY 1 FIRST FLOOR PLAN Al.l SCALE:1/4"=V-0" e ct Number ' l I N C O l N 25 REVER ROAD Project Architects LLC MAESTIN MILLS, MA Drowinq Scale A _ 1/8"=r-0" S „ rwn 5ve=t,Suite lC3 ,J KA WNchener nu,01890 r R8 Je 5 Sketch Title: FIRST FLOOR PLAN Drown By r Z';mos GMc Dale Issued KA-2 Refer to: 10/10/14 °FsKKE r°�ti _ Town of Barnstable Barnstable RY Regulatory Services Department 1�;�ac j • nAw4s-TABLE, 639. Public Health Division c� i659. ♦e m ArfD MAI A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTTIFIED MAIL 7007 3020 0001 3429 8363 Daniel P. Levesque July22, 2009 15 Pequot Road ' Mashpee, MA 02649-2346 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. _ The property owned by you located at 25 River Rd., Marstons Mills, was inspected On July 22, 2009 by Jaime Cabot;R.S. Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a housing complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements: Evidence of chronic dampness, water in dwelling following rain events. 105 CMR 410.480 (B)—Locks: Bulkhead has deteriorated and can not be secured. 105 CMR 410.401-Ceiling Height: Ceilings in bedroom are only 6'4"; ceiling in living room is only 6'8" 105 CMR 410.503 (A) - Protective Railings and Walls: No railing.on cellar stairs. The following violations of the Town of Barnstable code were observed: 1§ 70-4—Certificate of Registration. Rental property is not registered with Town of Barnstable Health Department. You are directed to repair the following violations within thirty (30) days of your receipt of this notice by eliminating the source of chronic dampness in the dwelling, by correcting ceiling height from 6'4" and 6'8" to proper height of seven feet (7') In addition repair the deteriorating bulkhead and install a railing for the cellar stairs. You are directed to register the rental properties with the Town of Barnstable Health Department within thirty (30) days of your receipt of this notice. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any-questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable i, �ppSHF t � Town of Barnstable Barnstable Regulatory Services Department Aa-AmericaC"fir RARNSCAULE, "A;S. Public Health Division �p i639. �� rwAs A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTTIFiED MAIL 7007 3020 0001 3429 8882 May 6, 2009 Daniel P. Levesque - 15 Pequot Road Mashpee, MA 02:649-2346 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 25 River Rd., Marstons Mills,,was inspected On May 4, 2009 by Jaime Cabot, R.S. Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a housing complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements: Evidence of chronic dampness, staining was observed along the sides of the block walls in the basement. Insect damaged was observed on the floor joists. Bedroom floor has gaps that that would allow for the passage of insects. Peeling paint was observed on bedroom ceiling 105 CMR 410.480 (B)—Locks: Bulkhead has deteriorated and can not be secured. 105 CMR 410.482 —Smoke Detectors and Carbon Monoxide Alarms: No smoke detector provided for down stairs bedroom and smoke detector on second floor not working properly. 105CMR 410.550 (B) -Extermination of Insects, Rodents and Skunks: Evidence of Rodent activity was observed in basement. 105 CMR 410.503 (A) - Protective Railings and Walls: No railing on cellar stairs. The following violations of the Town of Barnstable code were observed: 1§ 70-4 —Certificate of Registration. Rental property is not registered with Town of Barnstable Health Department. 'I_ You are directed to correct the violations listed above within twenty-four (24) hours of your receipt of this notice by installing smoke detectors in accordance with Mass Fire Codes. You are directed to repair the following violations within thirty (30) days of your receipt of this notice by eliminating the source of chronic dampness in the dwelling. In addition repair the deteriorating bulkhead, repair the gaps in the flooring by caulking or other means, install a railing for the cellar stairs and monitor for pest :activity in the dwelling. You are directed to have the damaged floor joists inspected by a competent authority and to register the rental properties with the Town of Barnstable Health Department within thirty (30) days of your receipt of this notice. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable f Town of Barnstable P�'t41E r Regulatory Services �sbEnalttarai Thomas F. Geiler,Director +.V lt.AS6. �=°3� Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 7, 2009 Attn: COMM Fire Health Inspector Jaime Cabot, R. S. conducted a housing inspection in response to a complaint. In accordance with the State Sanitary Code, 105 CMR 410.482, the Health Department is required to notify the Fire Department if there is a smoke detector violation, or possible smoke detector violation. The following property had possible smoke detector(and\or CO detector) violation(s): 25 A-1 River Rd. Marstons Mills,Assessors Map-Parcel: (78/002): No smoke detectors provided for down stairs bedroom, smoke detector on second floor not working properly. Ve Cabot, R.S.-Health Inspector QAOrder IetterMousing violations\Rental ordinanceUire ViolationsTIRE TEMPLATE.doc Town of Barnstable Barnstable Regulatory Services Department �'"'�'ca�rfy§" BARNSCABLE, "" �639. Division Public Health Epp �� I. rf0 MAI a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTTIFIED MAIL 7007 3020 0001 3429 8363 Daniel P. Levesque July22, 2009 15 Pequot Road Mashpee, MA 02649-2346 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 25 River Rd., Marstons Mills, was inspected On July 22, 2009 by Jaime Cabot, R.S. Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a housing complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.500— Owner's Responsibility to Maintain Structural Elements: Evidence of chronic dampness, water in dwelling following rain events. 105 CMR 410.480 (B) —Locks: Bulkhead has deteriorated and can not be secured. 105 CMR 410.401-Ceiling Height: Ceilings in bedroom are only 6'4"; ceiling in living room is only 6'8" 105 CMR 410.503 (A) - Protective Railings and Walls: No railing on cellar stairs. The following violations of the Town of Barnstable code were observed: 170-4— Certificate of Registration. Rental property is not registered with Town of Barnstable Health Department. You are directed to repair the following violations within thirty (30) days of your receipt of this notice by eliminating the source of chronic dampness in the dwelling, by correcting ceiling height from 6'4" and 618" to proper height of seven feet (7') In addition repair the deteriorating bulkhead and install a railing for the cellar stairs. You are directed to register the rental properties with the Town of Barnstable Health Department within thirty (30) days of your receipt of this notice. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure.to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations,please contact the Town Health Division and a k to speak with the inspector who performed the inspection. PhR HE BOARD OF HEALTH c ean, R.S., C Director of Public Health Town of Barnstable FORM30 Caw HOBBSBWARRENTnn THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY/TOWN VA DEPARTMENT 0 ton '`CIA S"( r-I MA ADDRESS ex; Uz4e TELEPHONE Address V*4AlL&Zo U M Ui_ ---Occupant Floor Apartment UQ. .i No. of Occupants No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units No.Stories °Z_ 0QNr�� /� me and address of owner O 1�t o'.S �0O 1. Cry ��1�SQ V f£ - 1 A .AC_ IELO N Remarks Reg. Vio. YARD Out Bld s.: Fences: I QV0-[ e. Garbage and Rubbish A >E A OZ�dIC( Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation.- Chimney: BASEMENT Gen.Sanitation: L-i k-tEe— Dam ness: - o Q- / .gDo Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceilin t Ll t ,1-I 14D1 Hall Lighting: Hall Windows: (5to YLO0 HEATING Chimneys: 614 L 6.9 LA\j Central ❑ Y ❑ N Equip. Repair "'CCU TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: j H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. Lgtng.. Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room i Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub.- Infestation Rats, Mice, Roaches or er: Egress Dual and Obst'n: Jj o General Building Posted fz E I 9< A Z t. Locks on Doors: L-N., DWI ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES PERJURY." INSPECTOR TITLE DATE TIME rp A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. T 7- (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and'cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of a�emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on,a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105.CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. w HOBBS&WARREN TM THE COMMONWEALTH OF MASSACHUSETTS FORM 30 Ca BOARD OF HEALTH /a�v U S`� CITY/TOWN a DEPARTMENT 2ac> mAw Stl V�-1 4 ADD ESS 665) ar.z- zir.(414 TELEPHONE AddressZ�,_.m¢Yr "-0• 1`�IAR�Stc,�S�11L_LS Occupant_ <_A&,-, WE-Q6- Floor Apartment No. "' No. of Occupants No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units Z No.Stories 2 �j Name and address of owner ,� OVA-5 `#.1-0�--- -�i�t d-�- L-FV �E- 4A-\ C�1(Z p(�t W p. �>�. S Remarks Reg. Vio. YARD Out Bld s.: Fences: /V Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: t"e �- n -S Root tZ t:S Gutters, Drains: CA, S C S CC,.>{z.¢ n l Walls: Pjo 0 p FI 94rL 1 u T-,,& Foundation: \j-1 ,jC_IZ. 1- c4a_a Q �CG Chimney: DO, t.�S& E ,., C f- Ir1 oo BASEMENT Gen.Sanitation: V t 0IE+,-C-6 Or- 7 .,5 c Dampness: 4,- NkC'S.-ft �Cr✓ WoR- iS'ZS D 00 Stairs: L-oca Lighting: STRUCTURE INT. Hall,Stairway: •L�k►.t , j L`�L Obst'n.: Hall, Floor,Wall,Ceiling: SnA ,r Hall Lighting: Hall Windows: HEATING Chimneys: l/a1►',�, to !0 �'S Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent s /l/C? S k--7,0 0_7c:-to 0_ ELECTRICAL Panels, Meters,Cir.: 212-v" b c yq V-©c- !� ❑ 110 ❑ 220 Fusin ,Grnd.: ^CAA a-L ?71Q_­V) AMP: Gen. Cond. Distrib. Box: V S��i2_ �►� Gen. Basement Wiring: ey v fL�•• 2eJ ��c DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 . 215A- 2 S E -tIG LC I r C Bedroom 2 /z4 q -►_ 2� - iz Bedroom 3 %Uv S Bedroom 4 `5" c7 c�vt. Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink w6o 7 k_2,.,&2-.PS t Stove U 2.0 !,NJ "L" Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: o Wash Basin, Shower or Tub: AS. 1, FJE-tit�L Infestation Rats, Mice, Roaches or Oth r: F_\al 1)P C C) lbf_wrr Egress Dual and Obst'n: ` I- c Q_tS 1. <_�PA C, j 0 r / fg� General BuildingPosted -To O T� "� Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES F PERJURY." INSPECTOR TITLE QA4-'iH IEc.'fDe- A41. DATE Sj6q TIME Z: IS A.M. THE NEXT SCHEDULED REINSPECTION r e,4 P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary' needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L..c. 11.1 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. TIC SYSTEM P F F SEP RQ ICE OProvide Vend For SYSTEMField PLAN OF SEPTICx .1.0 min. Soh. 40 w/Charooal Filter insert) " ¢, Existing House Lae to aep{ ank r�,� SCALE: 1 =20 �o. r of Faa,datian Ebe - 1oo.aa Finished rade over R2% a a,qc S.pfaa talc oo.we must b. Finished gradeover system- 94 5O op , f ,tthrn e in. vt tknteh.a grad. 9 item lope y / Fbdeh Code a 90.00 arod.ov.r a.poo Tank-ETe.-94.60 5' CIS S ao2 DIST. Box s-.aoe � coNCRM Mat •Poke. d P.v a. 2"»t/ar-1/Y wadled 3ter" FOUNAATET! Lave! for 2' r � � � `V NEV SEVERFi e F � t,500 GAL >Y S. 1//tr FW root a s 4- ttme .d st Fedi tr�-aa.ao m SEPTIC TANK n 3 FULL H-20 ' LEACH FIELD A ' f,�a £ 8 iruof 3/4•-1 1/2 Bottom of Test Hole 1 EleKreD.50 FIELD STONE ��d . os a SYSTEM PROFILE MAIN HOUSE (a#1� t W D.H. FN D 27 S ao,npocted etwo � obe.a,caneeoter-Qvmr tw not ab..,ved. ,� S 85d 21 29 Not to Scats USE REMOMA_GUM ZMEL FILTER e• OF 3/4"-11/2' STONE j 9 #A-1800A AS SEPTIC TANK OUTLET TIME s 28.56' MAP 0 78 LOT #0 02 � e1STALL s�T LEG�TANK�, FOR ZA'3EI.FR.Ti:Ft 6�. 6qd• 9�� 69 *NOTE: ALL PLUMBING INSIDE HOUSE WiLL HAVE TO BE COMBINED IN THE BASEMENT y 77.995 S.F. +/— TOTAL *NOTE. ALL PIPES ARE TO BE 4• SCHEDULE to P.V.C. TO FACILITATE EXIT WiTH ONLY ONE OUTLET PIPE FROM BASEMENT. 1 THIS WILL REQUIRE A LICENSED PLUMBER & PLUMBING PERMIT. 44.000 S.F. +,/— UPLAND (� PLUMBING IN GARAGE APT. TO BE RE-ROUTED AS SHOWN ALSO. ffrr Existing House �h,,so,to ieetpfic�ank rV s i N Top of Foundation EWY. - 100. tank offt must ra edtldn 8 M, o! fMNehed grads aM(� y �Finleh atvde - 9450 over Sptla rank— EkM•• 94.50 S-O"Per�ai center s'-0" on center 3'-0' on center t� , 0 pyj Z O S- M02 2• i/8' 1/2' ( ical - 5 PIPES TOT IL) Q Fad FULL - - :::::...:... ...........•...................... NEW PmE 14' $ 1,500 GAL washed Stone 03 J, ---J 2• Frtat FwNnAr>� 1 H-20K in 3/4"-1�" Washed Stone .T CONCRETE Full F�x�a�TKx� O0 Kof 3/4'11/2• SYSTEM PROFILE GARAGE APT. um( 2) £ ER Not to Scale WC OM IBOOA SEPTIC TAW OUTLET TEE. Sch. 40 - 4" perforated P.V.C. pipe POND i Ay INSTALL sppoRT LEa�TANx e LEACH FIELD CROSS—SECTION 1a o CalculationPERCOLATION TEST s/ ��gn Date of Percolation Test: SEPTEMBER 17, � NOTE: 2001 /6 g0 THE PROPERTY LINES E APPROXIMATE AND Test Performed By. CARMEN E. SHAY C.S E. Number of Bedrooms: 6 Equivalent to 660 Gal./Doy(per Town of Barnstable & TAR V) Results Witnessed By. Waiver Form ARE COMPILED FROM A SURVEYED PLAN BY Percolation Rate: <2 min./inch Garbage Grinder. No ENTITLED "PLOT PLAN LAND IN MARSTON MILLS, MA (BOOK 335 PAGE 33) CLASS 1 SOIL TYPE o. o. Leaching Capacity Required: 660 Got./Day Minimum ( Title V �/ Septic Tank : - 2 x 660 Gal./Day = 1320 USE 1, DATED - MAY 24, 197T BY R.J. OHEARN, INC. (Dennis, MAC - ---Test Hole' 500 GAL.. Septic Tank. y y * I / / / / / SOiL ABSORPTION AREA: Using percolation rate of <2 min./inch AND IS NOT INTENDED 3 BE A SURVEY PLOT PLAN Bottom Area: 0.74 gal/sq. ft. x 900 sq. ft. = 666 gallons 17 SHOULD BE USED F R NO PURPOSE OTHER THAN NO. 1 Sidewali Area: NOT USED THE SEPTIC SYSTEM IN_ ALLAMON. DEPTH SOILS ELEV. 96 Providing: - 666 gallons 0 -- 94.50 D,, y I 4.25 FAILED // / ° pit / � - SANDY LOAM � GENERAL NOTES 751 Mod sandBe I 25 Y 7/4 1..Contractor is responsible for Digsafe notification 24'- 1es C so.5o J and protection of oil underground utilities and pipes. f R• v / / / / / / / 2. The septic tank a 1 distid uJion box shall be set Cum I lbSIROU"Boa�1 AU.BE V zoo / level on 8' of 3f4 -1 1p2 stone: SET LEVELFaR AT LEAST z rt. iz• CONCRETE COVER to , •a'd�. /. / % / // ! / 3. Backfili should"be clean sand or gravel with no i 3, - O / / stones over 3 in size. e - s• Duller ,,., .. ' E / �, KNOCKOUTS ` " O / / / ! J 4. This stem is subject to Inspection during installation r � �� t tP / E. SHAY - Environmental a J ' by CARMEN I a m I I _ Cu n�T , XI TIN { _ ,E' S G _ , e c . o _ar I s#a h _ .m in a t:a dance___v__ _ - 5 Th c •s 1 n t .. c _ . __ __ ha vim# __ ef+ 3 art r +c . � ri � with ,e itx v c, nt; Massachusetts state code,e the roved {an � / # i �. ad approved P c8 l I 2 / 3 CAR GARA ., <: � BBDROOY dPT. and Local Regulations. Sa• f25 C CONCRETE SLAB / at 6. If, during installation the contractorencounters any 1.7r J ,� soil condi#iorra or site conditions that are different PLAN—SECTiO CROSS SECTIQN { FOUNDATION from those shown on the soil log or in our design I / / / _/ installation must halt & immediate notification be 6 HOLE H—20 DISTRIBUTION BOX Perc #t / made to CARMEN E. SHAY - Environmental Perc Rate=<2 min. nch BENCH MARK NOT T'0 SCALE /i TOP OF FOUNDATION 7. No vehicle or heavy machinery shall drive over the GW NOTObserved / septic system unless noted as. H-20 septic components. GW Adj. - None Required . �EV. = 100.00 ASSUMED — — f 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. 1 Sao GALLON / FAILED SEPTIC TANK DBOX 9. Ali Distribution Unes shall be 4' diameter Schedule 40 NSF PVC pipes. CESSPOOL H-20 \ 10. All solid piping, tees & fittings shall be 4' diameter H-20 ` , // // // / J! a 30 Schedule 40 NSF PVC pipes with water tight joints. — �°'' 11. Municipal Water is Available 1500 GALLON H 20 SEPTIC TANK �? NOT TO SCALE NOTE: 3-24•JAM. ACCESS MANHOLES SEPTIC TANK SHALL BE FACTORY CONSTRUCTED OF SOUPS CV Q EXISTING CESSPOOLS TO BE PUMPED DRY & f0 • ARABLE WA1F"GHT MATERIAL AS PER TITLE V CODE 15.225. 12k FILLED iN PLACE WITH CLEAN FILL MATERIAL. CENTER ACCESS COVER OF SEPTIC TANK TO BE $© / IRON P i PP EV } c RAISED WITHE THE APPROPRIATEGRADES RISER TO 141. FN D/ t/� ra a" OF THE EX7STiNG GRADE AS PER TITLE V. >�RFT THE ACCESS COVERS FOR THE SEPTIC TANK, t DtSTRiBUTION BOX AND LEACHING COMPONENT ( ►: GRADE SHALL BE RAISED TO WITHIN 12 OF E G E �r SET DEEPER THAN 1 FOOT BELOW FINIVED / y \ ., i'�•a r,;+?s-k —•;Y:••s^*-: +.-�' FINISHED GRADE. a 6 / / ��s ` STEEL REINF(MED PRECAST CONCRETE INSTALL TUF-711E GA5 BAFFLES OR EQUALS DENOTES PROPOSED ON ALL OUTLET TEE ENDS SPOT GRADE PLAN VIE cts °sPool / DENOTES EXISTING FAt i 104X46 EXISTING } / '� '� SPOT GRADE /-3-24•RE�VIABLE covf7ts� / / / // i 4 BBDR00J! HOUSE J Mob pL _ DESIGNING ENGINEER MUST SUPERVIS PROPERTY LINE �k�.wa"a. >r .Orr #26 A & 26 B J rtler r m �+t to« r INSTALLATION AND CERTIFY IN WRITIN OLD FP a� / i z OUTLET THE SYSTEM WAS INSTALLED IN STRIC \` J " PROPOSED CONTOUR s,_7, �•, _ " s-r ACCORDANCE TO PLAN. FND & RE ,aQ, .o R .' / 4 VENT PIPF / // 1:Q,, ''• NF�J / SCH. 40 PV 97 EXISTING CONTOUR i *19, DEEP TEST HOLE & � i / / xist. Stone PERCOLATION TEST LOCATION -e- 9� Retaining Wail _ - STOCKADE FENCE CROSS SECTION END--SjECTiON FAILED CESSPOOL PROPOSEDREVISIONS �� PREPARED FO R . °No & RIDGE �'�, 3 ,/ SUBSURFACE SEWAGE DISPOSAL SYSTEM Locus MAP // / DATE: DEFINITION of — �, 25 RIVER ROAD <a,,�rrg ti� lot MS . LAURA (GODDARD MARSTON MILLS, MA P .O. BOX 642, PREPARED BY: Ci, A STT `o Prr. STONFN POST / ��w of��tis qc �s� <Q� // MARSTON MILLS, MA 02648 LA E s CARHEN E. SHAY E. E7V VIR01VffE1VTAL SERVICES, INC. �/ / N . 34 THATCHERS .LANE 0 20 40 50 °� / STEa EAST FALMOUTH, MA 02536 2 � S l7ARIP� TEL/FAX 508-548-0796 SCALE: 1"=20' SCALE: 1 "=20' DRAWN BY: CES DATE: SEPT 18, 2001 PROJECT SD-259 D259PP Fi ENAM : . W L E S D G :SHEET 1 0F 1