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HomeMy WebLinkAbout0065 SHERYLE'S WAY - Health 65 SHERYLE'S WAY, MARSTON MILLS A = a a COMPLETE • ■ Complete items 1,2,and 3. A. Si ature ■ Print your name and address on the reverse ❑Agent so that we can return the card to you. ❑Addressee M ■ Attach this card to the back of the mailpiece, B• Received by(Printed Name) C. D e of. elivery or on the front if space permits. - ;z 1. Article Addressed to: f'E; D. Is delivery address different from item 19 ❑Ye If YES,enter delivery addre s below: ❑No 'P 10 LA)- rlA ` 6)L("5 3. Service Type ❑Priority Mail Express@ Il I'III'I I'll I'I l I I l i i�l II IIIII I'I ll I ll ll l�l l ❑Adult Signature ❑Registered Mail 4❑ ult Signature Restricted Delivery ❑Reg Restricted Mail Restricted Certified Mail® Delivery ' 9590 9403 0922 5223 8278 61 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise -r]Collect on Delivery Restricted Delivery ❑Signature Confirmation*M j 1 ' ' i t t !1 Insured Mail ❑Signature Confirmation 7 014 �,2 p 0 0 0 01i 0 3 5 8 3 7 0 4 ' 7 Insured Mail Restricted Delivery(over$500) Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 �(,6 Domestic Return Receipt 4 US A 'C ' - First-Class Mail Postage&Fees Paid USPS Permit No—G-10 959❑ 9403 0922 5223 8278 61 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service__ : Town of Barnstable Health Division 200 Main Street Hyannis,MA 02601 I ,,I '� U S. Postal Seruice,M 44, CERTIFIED MAILTM RECEI07.1' (Domestic Maill nly;No Insurance�Coverage Provided) y ' IE6�,dilivery,inforrnation—,visit ou�bwebsite:at OFFICIAL USE _. M Postage C3 Certified Fee Return Receipt Fee ti' r3 (Endorsement Required) PS For 800 August 2006 � y 7—SeerA verse for Instructions Certified Mail Provides: a A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mails or Priority Mail®. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n For an additional fee,a Retum Receipt may be requested to provide proof of, delivery.To obtain'$&um Receipt service,please complete and attach a Return Receipt(P,S F.otm 3811)to the article and add applicable postage to cover the fee.En, #e mailpiece"Return Receipt Requested".To receive a fee waiver for, a duplidate return receipt,a USPS®postmark on your Certified Mail receipt is required. e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiege with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. a IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 oFT"E'q+ti Town of Barnstable'Public Health Division U.S.POSTAGE>>PiTNEveowes Pfu CPS � ., e ' B"""ST"B`e. NASS. p' 200 Main Street .. ' N '16 Y aa39• 0 'en MA+A' Hyannis,MA 026013 L �a ZIP 02601 02 41N $ 000.48' ,�. 0000336455 JAN. 12. 2016 Drew Benoit, 65 Sheryle's Way Marstons ' Mills, Ma�02648' 4 a.4..E,.f .. .. ''kl+.a"l 1 i N i.11 L 6151.1 00 0 /1 /16 e� a v a�a' a-v .xa..i� H.0 -I AIL `IZ E CE.P TACL E . N 1J:NA TO FORWARD ri "'' SC 02'60,1400:2,00 *'1:02.2- 023.. --.12 44 1 1 II: li lili 1.1'llfllL. il11 `. 1.1 illl 11 i I! Ilil! I 1 i a / I of S 4 ilk .•OF ENVELOPE*0 THE PLARIGHT .- FOLD AT DOTTED LIN .+R#r pof`;E'�wti Town of Barnstable T�' U.S.POSTAGE>)PITNEveO Public Health Division � . ,•.� WES ."""sT"B`E.0• 200 Main Street + �- � � f Hyannis,MA 02601 ZIP 02601 02 4VY p06.73 s -000336455JAN. 12. 2016 7014 1200 0001 0358 3643 I yfiDrew,Benoit> } { 65� Sheryle's Way. ' s �FMarstons Mills, Ma.02648' fitot1c - ldz.xfE` 815 F`E _T s001f1s/� cENDER I NOT DELIVERAB:L.E AS A:DDRES,SED UNABLE TO FORWARD 1.. EEC: 02 iEi 014 0 0 2 9 0 *0 2 6 9-01 z 7 0-'12 a 4'1 � \. 4 � � (ttl1111till111111itJillIlyllIJ]JlJJ_II11111111'111,1111:- z w+�at%+ - T 4r. SENDER: COMPLETE'THIS SECTION 1 COMPLETE THIS SECTION ON DELIVERY q Complete items 1,2,and 3. A. Signature - ■ Print your name and address on the reverse 0 Agent X .1 so that we can return the card to you. ❑Addressee I ■ Attach this card to the back of the mailpiece, B. Received by(Printed blame) C. Date of Delivery I or on the front if space permits. 1. Article Addressed to:--_�,� _—- - -- D. Is delive El different from item 1? Yes i If YES, me address below: p No I Drew Benoit I � I r 65 Sheryle's Way i I z fi arstons Mills, Ma 02648 3.' Service Type ❑Priority Mail Express® Mail-II I IIII'I I'll I'I l I I I l l Il II Illll I'I'll I I II I I III ❑Adult Signature ❑Registered 0 Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mail® Delivery I 1 9590 9403 0922 5223 8279 08 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise �2 4chrla Ni:rr,nar_[Trane/Ar frnm_ccn.;cn_r�hnn— -0 Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM D Insured Mail. ❑Signature Confirmation J 7 014 12 D O 0001 0358 3643 b Insured Mail Restricted Delivery Restricted Delivery (over$500) a PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ' _" �3 _ _ Town of Barnstable B,RNST^B Regulatory Services MASS, �ArfO 39. Public Health Division Thomas McKean, Director 200 Main Street; Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 January 11, 2016 Drew Benoit 65 Sheryle's Way Marstons Mills, Ma 02648 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS, NUISANCE CONTROL REGULATION NO. 1 The property occupied by you located at 65 Sheryle's Way Marstons Mills, MA was visited on December 29, 2015 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building and Premises Maintenance.were-observed: $54-3 (A) Outdoor Storage Multiple items are being stored outdoors on this property, which are not screened from public view as designated by said ordinance. These items include: gas cans, tools, engine parts, card board boxes, propane containers, plastic drums, bags of concrete, coolers, tackle boxes and other assorted debris. You are directed to correct the violations within seven (7) days of receipt of this order letter by screening said items from public view. Please find enclosed in this letter a copy of Chapter 54. You may request a hearing before the Board of Health if written petition requesting same is received within five (5) 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 as A. McKean, R.S. Director of Public Health Town of Barnstable 2016-028 ORDER AMENDING CODE OF THE TOWN OF BARNSTABLE GENERAL ORDINANCES BY ADDING CHAPTER 54 BUILDING AND PREMISES MAINTENANCE INTRO 09/17/15, 10/01/15 Upon a motion duly made and seconded it was ORDERED: That the General Ordinances of the Code of the Town of Barnstable be amended by deleting the existing Chapter 54, and by substituting in its place the following Chapter 54 Building and Premises Maintenance and by amending Chapter 1, Article I, Noncriminal Enforcement of Violations. SECTION 1: by adding the following Chapter 54. "Chapter 54. Building and Premises Maintenance" § 54-1. Purpose and intent. The purpose and intent of this chapter is to eliminate nuisances in the Town. Nuisances such as trash, debris and stagnant pools of water cause and contribute to blight within neighborhoods and commercial areas and impair the health, safety and general welfare of the inhabitants of the Town. 54-2. Applicability; compliance with other.regulations:.. Every owner shall maintain premises in compliance with this chapter and with applicable provisions of the sanitary and building codes (hereinafter"code") and regulations. Every occupant shall comply with the provisions of§ 54-513. § 54-3. Outdoor storage. A. Indoor items, such as furniture, appliances, plumbing fixtures and bedding, shall be kept within enclosed structures after seven (7) calendar days; all other=persor_.ali�pr_operty,� shall`be--kept within-enclosed-structur_es-orascr_eerie_d from-publiczvie_wsafter_- een-(05)-- calendar--days tln no case shall property covered by this subsection be stored outdoors for a cumulative total of more than forty-five (45) calendar days in any calendar year. B. Functional outdoor items, such as fixtures, landscape elements, outdoor furniture, outdoor appliances, children's play structures, firewood, compost materials, construction materials, while construction is ongoing, proceeding in good faith and in a timely manner and commenced under a valid b_qH _mg-permit-if-required, boats and inventory, (where such outdoor storage of inventory is in compliance with zoning), shall not.be subject to the requirements of this section. C. Motor vehicles, boats and trailers shall be kept in compliance with Chapter 228, Vehicles, Storage of. 4 54-4. Stagnant water. Water shall not be permitted to continuously stagnate outside of any building or structure for more than 10 days except under natural conditions. Nothing in this chapter shall operate as a waiver or exception to any other law, rule or regulation for the storage or handling of water. 54-5. Storage and removal of rubbish, garbage and refuse. A. Owners' responsibilities. MThe owner of any building, structure or premises shall be responsible for receptacles with tight-fitting lids to be used for the proper storage of rubbish, garbage and/or other refuse. The owner shall be responsible for disposal of rubbish, garbage and/or other refuse at a permitted transfer station or facility unless contracted for by the tenant. The owner of any dwelling that contains three or more units, and the owner of any dwelling which contains one or two units that are rented or leased for a period of six months or less, shall be responsible for the final collection and disposal of rubbish, garbage and other refuse at a permitted transfer station or facility. B. Occupants' responsibilities. MThe occupants of any building, structure or premises shall be responsible for the proper storage of rubbish, garbage and other refuse within receptacles with tight-fitting covers. Said occupants shall also ensure that all tight-fitting covers are kept so that all rubbish, garbage and other refuse that is stored outside a building or structure is properly covered. Said occupants shall be responsible for the proper use and cleaning of the receptacles and keeping the premises free of rubbish, garbage and other refuse. (2)Unless a written lease agreement specifies otherwise, the occupant(s) of any dwelling that contains one or two units and that is rented or leased for any period greater than six months shall be responsible for the collection and ultimate disposal of rubbish, garbage and other refuse at a permitted transfer station or facility. C. Screening Requirements for Receptacles. All outdoor rubbish and garbage storage areas shall be located in an area which is screened from public view. Said screening may be in the form of fencing, evergreen trees or other plants capable of providing year-round screening, located around the refuse storage area in such a manner to block the view of the rubbish and garbage storage area from the neighbors and from other persons passing-by, provided that receptacles may be placed in the open near a street within 24 hours of scheduled collection and disposal by a contractor as provided in this chapter and returned to a screened location within 24 hours thereafter Receptacles shall be located in such a manner that no objectionable odors enter any other building, structure or premises and so as to provide maximum screening from the street, § 54-6. Definitions. As used in this chapter, the following terms shall have the meanings indicated: OCCUPANT Any person who alone or severally with others rents or leases premises, or resides overnight other than as a guest. OWNER Any person who alone or severally with others has legal title to buildings, structures or vacant land, or to land with buildings or structures thereon, or to any dwelling or rooming unit, mortgagee in possession, or agent, trustee or person appointed by a court. § 54-7. Enforcement: removal or abatement of nuisance. A. The Director of the Health Department or her or,his designee is hereby designated as the enforcing authority for this chapter. B. The enforcing authority shall notify the owner and occupant, in writing, of any alleged violation or violations of this chapter and order the owner or occupant to remove or abate the nuisance by a date certain not more than 10 days after service of notice of the violation(s); provided, however, that if the violation is determined to be such that the public heaith and safety will be jeopardized by that delay, the enforcing authority may order the abatement or removal of the nuisance in a shorter time as public health and safety may in her or his judgment require. The order shall be in writing and may be served personally on the owner, occupant or his authorized agent. If the violation is not removed or abated after notice, the enforcing authority may commence enforcement action through noncriminal, criminal or civil proceedings, and no action shall preclude any other enforcement action or actions. Each day of continued violation may be deemed a separate offense. C. In addition to any penalties or enforcement actions hereunder, after final determination of three or more violations within a twelve-month period an enforcing authority,may notify a violator, in writing, that the enforcing authority may elect:to bill the violator for the costs incurred by the Town for response to each subsequent violation not abated or ordered without abatement as provided herein. Such bill(s) shall be due and payable in full by the violator within 30 days of submission and, if unpaid thereafter, shall be subject to a municipal charges lien as provided in MGL c. 40, § 58. 54-8. Interpretation of provisions; severability; period of effect. A. The provisions of this chapter are in addition to and not in lieu of any other chapter, rule or regulation of the Town of Barnstable and any board, commission or officer. Compliance with this chapter shall not thereby constitute compliance with any other chapter, rule or regulation, and violation of this chapter does not thereby preclude violation of any other chapter, rule or regulation. B. If any provision of this chapter is declared invalid, it shall not thereby invalidate any other provision. SECTION 2: by amending section 1-3, Schedule of Fines, of Article I, Noncriminal Enforcement of Violations, of Chapter 1, General Provisions, of the General Ordinances by adding after"Ch. 51, Numbering of Buildings $50" the following in the respective columns: "Ch. 54 Building and Premises Maintenance $100 " in the respective columns. VOTE: PASSES 13 YES Town of Barnstable S. Regulatory Services t6 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 January 11, 2016 Drew Benoit 65 Sheryle's Way Marstons Mills, Ma 02648 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS,NUISANCE CONTROL REGULATION NO. 1 The property occupied by you located at 65 Sheryle's Way Marstons Mills, MA was visited on December 29, 2015 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building and Premises Maintenance were observed: &54-3 (A). Outdoor Storage Multiple items are being stored outdoors on this property which are not screened from public view as designated by said ordinance. These items include: gas cans, tools, engine parts, card board boxes, propane containers, plastic drum , bags of co crete, OA4 coolers; tackle boxes and other assorted debris. You are directed to correct the violations within seven (7) days of receipt of this order letter by screening said items from public view. Please find enclosed in this letter a copy of Chapter 54. You may request a hearing before the Board of Health if written petition requesting same is received within five (5) 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 VuE�as A. McKean, R.S. Director of Public Health Town of Barnstable .: �: NMI .... COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAI AFFAIRS John Graci DEPARTMENT OF ENVIRONMENTAL PROTECTION DEP Title V Septic Inspector ONE WINTER STREET BOSTON MA 02108(617)292-3500 P.O.Box 2119 TeaTicket,Ma. (508)564-6813 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 65 SHERYLE'S WAY MARSTONS MILLS MAP 045 PAR 051 Name of Owner EMILOS RIGAS Address of Owner: SAME ey a p Date of Inspection: 9/16199 Name of Inspector:(Please Print)JOHN GRACI OCT 4 1999 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: n/a � Mailing Address: n/a Telephone Number: n/a L 9 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: X Passes The inpection is based on criteria defined in Title V Conditionally Pass code 310 CMR 15.303.My findings are of how the system is Needs Further Ev nation By the Local Approving Authority performing at the time of the inspection.My Inspection does Fails not imply any warranty or guarantee of the longgevity of the septic system and any of its components useful life. Inspector's Signature: Date:10/1/99 The System Inspector shall#thesystem a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection.I 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. NOTES AND COMMENTS THE SYSTEM PASSES TITLE V INSPECTION. RECOMMEND PUMPING THE SYSTEM'S EbERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. revised 9/2/98 Page 1 of 11 • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 66 SHERYLE'S WAY MARSTONS MILLS MAP 046 PAR 061 Owner: EMILOS RIGAS Date of Inspection:9/16/99 . INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. COMMENTS: System passes Title V inspection B. SYSTEM CONDITIONALLY PASSES: Wa One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not. n1a The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. n1a Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box.The system will pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced Will 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 revised 9/2/98 Page 2 of 11 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 66 SHERYLE'S WAY MARSTONS MILLS MAP 046 PAR 061 Owner: EMILOS RIGAS Date of Inspection:9/16/99 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 IN ACCORDANCE WITH 310 CMR 16.303(1)(b)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 surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND 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 supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well, _ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,Method used to determine distance nLa_(approximation not valid). 3) OTHER Wa revised 9/2/98 Page 3 of 11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 65 SHERYLE'S WAY MARSTONS MILLS MAP 045 PAR 061 Owner: EMILOS RIGAS Date of Inspection:9116/99 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: I have determined that one or more of the following failure conditions exist as described 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 X Backup of sewage into 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 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 1/2 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 Wa. 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 I 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 ompounds, ammonia nitrogen and nitrate nitrogen. X The liquid level in the SAS is over the invert pipe,is in Hydraulic Failure. E. LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: The following criteria apply to large systems in addition to the criteria above: 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 upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 66 SHERYLE'S WAY MARSTONS MILLS MAP 046 PAR 061 Owner: EMILOS RIGAS Date of Inspection:9/16199 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. X None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period.Large volumes of water have not been introduced into the system recently or as part of this inspection. 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. X 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.The size and location of the Soil Absorption System on the site has been determined based on: X Existing information,For example,Plan at B4O,H, X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) [1 5.302(3)(b)] X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. revised 912198 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 66 SHERYLE'S WAY MARSTONS MILLS MAP 046 PAR 061 Owner: EMILOS RIGAS Date of Inspection:9/16/99 FLOW CONDITIONS RESIDENTIAL: Design flow:J-IQ g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual):l Total DESIGN flow: = Number of current residents:4 Garbage grinder(yes or no):NQ Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no):M Seasonal use(yes or no):M Water meter readings,if available(last two year's usage(gpd): nLa Sump Pump(yes or no): NQ Last date of occupancy: nLa COMMERCIALINDUSTRIAL Type of establishment: Wa Design flow: Wa gpd(Based on 15.203) Basis of design flow: nta Grease trap present:(yes or no):M Industrial Waste Holding Tank present:(yes or no): NQ Non-sanitary waste discharged to the Title 5 system:(yes or no):NQ Water meter readings.if available:Wa Last date of occupancy: Wa OTHER: (Describe) nLa Last date of occupancy: WA GENERAL INFORMATION PUMPING RECORDS and source of information: Dta System pumped as part of inspection:(yes or no):NO If yes,volume pumped nLa- gallons Reason for pumping: n& TYPE OF SYSTEM X Septic tankidistribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes.attach previous inspection records,if any) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other: Wa APPROXIMATE AGE of all components,date installed(if known)and source of information: 1994 PERMIT 94-266 Sewage odors detected when arriving at the site:(yes or no): NQ revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 65 SHERYLE'S WAY MARSTONS MILLS MAP 046 PAR 061 Owner: EMILOS RIGAS Date of Inspection:9/16/99 BUILDING SEWER: (Locate on site plan) Depth below grade: 2'E Material of construction:_ cast iron X 40 PVC _ other(explain) Distance from private water supply well or suction line: TOWN Diameter: nla Comments: (condition of joints,venting,evidence of leakage,etc.) n/a SEPTIC TANK: X (locate on site plan) Depth below grade: Material of construction:X concrete_ metal_ Fiberglass _ Polyethylene _ other(explain) nLa If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): MQ Wa Dimensions: L 10'6"H 57'W 5'8" Sludge depth: L" Distance from top of sludge to bottom of outlet tee or baffle: 3E Scum thickness:2 Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: AE 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.) SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING EVERY TWO YEARS FOR MAINTENANCE, GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete_ metal_ Fiberglass _ Polyethylene_other(explain) Wa Dimensions: nLa Scum thickness: Wa Distance from top of scum to top of outlet tee or baffle:17La Distance from bottom of scum to bottom of outlet tee or baffle n& Date of last pumping: n& 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.) Wa revised 9/2/98 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 66 SHERYLE'S WAY MARSTONS MILLS MAP 046 PAR 061 Owner: EMILOS RIGAS Date of Inspection:9/16/99 TIGHT OR HOLDING TANK: NQ (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: nta Material of construction:_ concrete_ metal_ Fiberglass _Polyethylene_ other(explain) nLa Dimensions: nLa Capacity: Wa gallons Design flow: nta gallons/day Alarm present: NQ Alarm level:j2ta- Alarm in working order:Yes_No_ NQ Date of previous pumping: nLa Comments: (condition of inlet tee,condition of alarm and float switches,etc.) Wa DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert:LIQUID LEVEL WITH BOTTOM OF PIPE Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) DISTRIBUTION BOX IS STRUCTURALLY SOUND PUMP CHAMBER: NO (locate on site plan) Pumps in working order:(Yes or No): NO Alarms in working order(Yes or No): MO Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) nLa revised 9/2/98 Page 8 of 11 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 65 SHERYLE'S WAY MARSTONS MILLS MAP 046 PAR 051 Owner: EMILOS RIGAS Date of Inspection:9/16/99 SOIL ABSORPTION SYSTEM(SAS): $ (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: n1a Type. leaching pits,number: 600 GALLON LEACH PIT W/4'STONE leaching chambers,number: ji/a leaching galleries,number: -nLa leaching trenches,number,length: Wa leaching fields,number,dimensions: n& overflow cesspool,number: n& Alternative system: Wa Name of Technology: -La Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PIT APPEARS TO BE FUNCTIONING PROPERLY,SYSTEM SHOWS NO SIGNS OF FAILURE. CESSPOOLS: _ (locate on site plan) Number and configuration: Wa Depth-top of liquid to inlet invert: n& Depth of solids layer: n& Depth of scum layer. n& Dimensions of cesspool: n& Materials of construction: n& Indication of groundwater: n& inflow(cesspool must be pumped as part of inspection)n& Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) nla PRIVY: _ (locate on site plan) Materials of construction:n& Dimensions:Wa Depth of solids: Wa Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Wa revised 9/2198 Page 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 65 SHERYLE'S WAY MARSTONS MILLS MAP 046 PAR 061 Owner: EMILOS RIGAS Date of Inspection:9/16199 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) n/a IA 4 4435 c n A a'I bb A.c 54 �� 31 revised 9/2/98 Page 10 of 11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 65 SHERYLE'S WAY MARSTONS MILLS MAP 046 PAR 061 Owner: EMILOS RIGAS Date of Inspection:9/16199 NRCS Report name: nLa Soil Type: nLa Typical depth to groundwater: nLa USGS Date website visited: nLa Observation Wells checked: NQ Groundwater depth:Shallow _ Moderate _ Deep _ SITE EXAM _ Slope _ Surface water _ Check Cellar _ Shallow wells Estimated Depth to Groundwater 12 Feet Please indicate all the methods used to determine High Groundwater Elevation: _ Obtained from Design Plans on record _ Observed Site(Abutting property,observation hole,basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps _ Checked pumping records _ Checked local excavators,installers X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS revised 9/2/98 Page 11 of 11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) //ri,perty Address: 65 SHERYLE'S WAY MARSTONS MILLS MAP 045 PAR 051 Owner: EMILOS RIGAS Date of Inspection:9/16/99 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) n/a 4 4A31 0C A 4 bb AC �4 0 ` DO 38L �� 31 I i revised 9/2198 Page 10 of 11 V T WN OF BARNSTABLE LOCATION Lo? v Shovi.�s c��i� SEWAGE # ?'-1"266 VILLAGE �6�t t�L©s� �il�S � �— ASSESSOR'S MAP & LOTS s INSTALLER'S NAME & PHONE NO. JOAh a1 SEPTIC TANK CAPACITY /S®O LEACHING FACILITYAtype) GOO wlAl' s ue® (size) If— <NO. OF BEDROOMS 3. PRIVATE WELL OR PUBLIC WATER BUILDER OR;OWNER DATE PERMIT ISSUED: ' DATE4 COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No _.�;. �� ,. 6,. r �.-..i- 9 i L 11""'e ro Y� k�.{. .�.xPu'. � �" � ...� •a i. .. - •� Fps........ . r.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphratiou fur Diupu!3ttl Warlm Tomitrnr#inn 1hrmi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal ,ystem at i ocati n-:\ddress or Lot No. ------•----- --------------------------------------•----------•---•---•-•-------•-•------..........---.....--- O vn r Address a ---•------------• .P.� --- �---------------------------------- -------------------------------------- Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------- _ --- _ Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Buildi 'No. of persons-------41................... Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- - - Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. W - WSeptic Tank—Liquid capa6ty/,W0..gallons Length...... Width____ -... Diameter---------------- Depth................ x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water--.------..-___---_-__-- (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ -----------------------------------------------------------•---...----------------------------••---•......................................................... 0 Description of Soil..................................................................... ------------------...-----...---------------------•------------------------------------------••--- x W ----------------------------------------------------------------------------------------- -----------------------------------------------------........................................................ U Nature of Repairs or Alterations—Answer when applicable.... .................................. --------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance s en issued by the boar of health. signed ...........:..C/t �. ...9.`�.� Dace Application Approved By ........ �Jollowzng ----. �5�`'' -Date Application Disapproved for th reafonf- ------------------------------ - ---------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ---------------------------------------- Date Permit No. .............../....'... -fv. --- Issued Date No..1... Fizic ....�1�r.;> THE COMMONWEALTH OF MASSACHUSETTS P BOARD OF HEALTH V TOWN OF BARNSTABLE Appliratiou for Di-ripoottl Worko Tonotrnr#inn rPrntit Application is hereby made for a Permit io Construct ( ) or Repair ( ) an Individual Sewage Disposal ys�em at ..............-- ......-- -•- Locati n-Address or Lot No. tilL l f15. 5--•--•-••---•-•----•-•-----•-•-'------------•-- ------•-----•---•-------------------•-•-------•-----•---...'•-•----..........-•--•---•--.......... W Own r Address Installer Address UType of Building Size Lot............................Sq. feet t., Dwelling— No. of Bedrooms.__.... ................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type of Building of persons......... ................. Showers ( ) — Cafeteria ( ) 04 d Other fixtures --------------------------------------------------------------------------------------- ---------•----•-----'-------------•-----•-----••••--•-•--•... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity/M.0-gallons Length.-_�"______ Width------- .._. Diameter_............. Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0-4 W Percolation Test Results Performed by......................................................................... Date........................................ a Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ....•----•-------------------•----------•••--•.......----•-'---•-••••----'-'-'-•-----....•-•-•-----...-•----'•----••-'•••••--•......-•---•••................ 0 Description of Soil...............................................-------••-•---------------------------------------------------------------------------------------------................ W U •••-•---.....•-••---•---••••-••----•--------•'--•-•••-'--•-•---•---•-••••-•-•••---•---•-••--•----------•••------------------------•--...'----------•-•--•-••'-------••-••............--•-•-•----••---- W -• -----------------------------------------------------------------------------------------------------------------------------------------------------------------•------------••••••........--••••-- U Nature of Repairs or Alterations—Answer when a plicable____________________________------..--.._,. ---------------------------------'----------••--•-•-----••'--------•-. -��-.��_.. � �` rG' .%t.�,Pf;� 1 ..../-----------------•................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance s h6en issued by the boar, of health. Signed ............... ". .6 7-y Date Application Approved BY --------- ^-tJ---- .. �--j-------------------------------------------------------------------- Date Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------------------------- .............. ....................................------------------------------------------------------------------------------------------------------------------- ..............-------------------------- Dare PermitNo. ------ L..-- ..�.lr�. ....................... Issued .............................................................. . Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C'Ier#ifira e of (110rayliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ............. if 4 .� .�..---------------_---------- ........... - ... . ... .............................. ...... / Insraller � atTIJ ---------_------------------------------------------------------------ has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ._ _......�f......._)-.-�7�-------- dated ......._..._........._...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........ .._""r' ' 't.--- ........ _.. -- ------- Inspector F.. .... -'THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t TOWN OF BARNSTABLE No.. .. ....... ..�1 ...... FEE....�d�....... Ropfial Workii Tonotrnrtion rrntit Permissionis hereby granted---------------------------------=-----------------------------------------------•-------------------------- ................................ to Construct ( or Repair ) an Individual Sewage Disposal System at No.. aT_ ... .!� /2f✓ �? -----•-------.....%�! '.-_-r 1�.t.L s ...................................... pp U as shown on the application for Disposal Works Construction Perm' NoL./-= �.. Dated........................................... .` �� Board of Health 7 DATE..-----•--�.---�------------;- ----- FORM 36508 HOBBS R WARREN.INC..PUBLISHERS PROFILE OF PROPOSED SEWAGE SYSTEM TOP FOUND EL. NOT TO SCALE DESIGN DATA: �J e STRUCTURE DESIGN FLOW 3 r \\o tiPD wtc+a '7\s�osF1� = 33o c;PD MAX. 1' COVER MIN. 1' COVER INV. EL. SEPTIC TANK 330 x Z.o (440 \5C�a S4ML• T�N� 1900 GALLON TANK INV. EL. p, t INV. EL. j t W/4' LIQUID LEVEL ' , . c l 6 x 4' e • LEACHING FACILITY a c( LEACHING PIT Q ° - ZZT x x 4 x �•5 = '5- i ;>D skrE: � DIST/BOX INV. EL. „ � � L Z / � STONE rr (•,zl x \,a = i�3 c�PD (�on•l r W 6" SUMP 3 .t�� W/c 2 ALL AROUND r _ INV. EL. 40, 1 INV. EL 40.1 To - c s a u 1 4' EFF/DEPTH ° ! il ,RL- F+-0. 4c�1� hS? T Q 1Z C1PD 7• 0 , IZ— 9' = 31'Z Gp- 1N R 7 syzyi S DESIGN STRUCTURES TO BE SET ON A LEVEL BASE ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE ALL PIPES SHALL BE SLOPED 1/4" PER FOOT EXCEPT FIRST TWO FEET OUT OF DIST/BOX }U/P E�.zz•e WHICH SHALL BE LEVEL NOTE: 1 AT TIME OF INSTALLATION PROBE SOILS DOWN TO ELEVATION 27.0', IF INCONSISTENT ALL MATERIALS AND CONSTRUCTION METHODS SHALL CONFORM WITH MASS. TITLE V SOILS ARE FOUND CONTACT S. DOYLE AND ASSOCIATES 508/540-2534 BEFORE ENVIRONMENTAL CODE. to SYSTEM INSTALLATION. sR it 0. 1 So / IQ C/BASIN RIM/EL 47.76 (1 SHERYLS WAY BM HYD/SPIN. n - . �\ EL. 50.0' k b U/P .z \ \ T/H 2 SL4F'c_ GaMP. i•'sNiw \ �. " \ tijFj PROPOSED -A V /Zs3•H x 150 = Zz, "R�cZ• 4��. �4. o e� DWELLING MUNICIPAL WATER LINE 3 100x 8 \ RESERVE AZ 3Z \ - _ o >A SOIL OBSERVATION DATA: 3c e \ TEST DATE ENGINEER To\ r► E• l tytyvEtzS - r�slL�y 3e- t - " T -. r B.O.H. AGENT MR• y v�a111(� _ _ - 3(< f� r ,s EXCAVATOR - LOT 5 � PERC/RATE 55,400 sq..ft. - TEST NO. --k2-- '1-1 1 iz EST. GROUND WATER TAKEN FROM I-ol BARNSTABLE - YARMOUTH MAP as ,._ �. g� PROPOS'ED SITE PLAN ° M Y. ,-�4 MARSTONS MILLS BARNSTABLE MASS. t- 44.0 45.p DEPICTING Ng6g ti KtEv. MEN° LOT '5 SHERYLS WAY staN� AA•0 p SCALE: 1" = 40' MAY 16, 1994 o - a c o E 3 6L. 35.0 S. DOYLE AND ASSOCIATES 42 No U RY HZo No k-kz.0 HATCHVILLE - FALMOUTH MA. O 536NE 508/540-2534