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0800 WAKEBY ROAD - Health
800 WAKEBY R16CE d -m Tc,J1 S ; w it 1 i f t 4 � . 'i �. ��°�'� ��G �l� �i �- � soo wAxEBY RPCt d - -YYl A�'�•.,t n 5 .� r] i A, •A� l { f I 11 i� I III it it No: 4210 1/3 YEL ESS LTE 1 W THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA �w e� e e XY VGA s �� �k f VAell f . I _ TOWN OF BARNSTABLE V LOCATION AeY) Lc�4Ay �dC SEWAGE# VILLAGE 1 ASSESSOR'S-MAP&LOT l INSTALLER'S NAME&PHONE NO. Dom!? I SEPTIC TANK CAPACITY LEACHING FACILITY.(type) (size) NO.OF BEDROOMS BUILDER OR OWNER M!\(L hlla n L PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility NZA 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 l U)e.l l Boo 36 135' /ytQin �tffj�oo� i (`1 / Ovcr��o � Citizen Web Request Page 1 of 2 ` — 77-77,7777 4i 2, t `t 6sTABLE, Citizen Request Management - Internal Use Request ID: 36630 Created: 2/29/2012 2:48:28 PM Status: Closed Assigned To: Martin,Cynthia Health Office Anonymous: Yes Category: Chapter 108 Hazardous Materials E.C. Date: 3/14/2012 Created By: Crocker, Sharon Citations: Health Office Time Worked: 2.50 Response Time: 4.50 •Requestor Details: Email: Request Location: 800 WAKEBY ROAD Marstons Mills, Ma 02648 Parcel Number: Map: 012 Block: 002 Lot: 000 Request: Caller said the property smells like gasoline.The caller believes they are smashing up junk cars and are concerned of any oil or gasoline leaking into ground.There is a rope across the dirt driveway. Request Work History: Internal Note History: Entered on 2/29/2012 2:48:28 PM by Crocker, Sharon They did not have house#. Described as on Wakeby, pass Special K Kennel on rt,then pass next house (on rt=grey),then next driveway is it, with rope across it and jersey barriers in back. System entry on 2/29/2012 2:48:28 PM: Assigned to Crocker, Sharon System entry on 2/29/2012 3:03:36 PM: Assigned to Martin, Cynthia http://issgl2/intemalwrs/WRequestPrint.aspx?ID=36630 3/8/2012 Citizen Web Request Page 2 of 2 Entered on 3/6/2012 4:11:07 PM by Martin, Cynthia A site visit was performed on March 1. There was no gasoline odor detected at the site, nor was there any gasoline storage on site. However,the property owner,Tirell Pina,was found to be operating a scrap metal recycling business. This property is in the ZOC and this activity is prohibited by zoning. Additionally,there is no record of a business certificate. No further action required regarding the original odor complaint. The concern over the zoning issue was forwarded to Tom McKean for advisement. System entry on 3/6/2012 4:11:07 PM: Request Closed by martinc http://issgl2/intemalwrs/WRequestPrint.aspx?ID=36630 3/8/2012 U.S. P0,stal Service,. __ MAILT. RECEIPT cO (Domestic Mail Only,,No Insurance Coverage Provided) f1J CO I y ri � A . o Postage $1-9 ru Certified Fee /tp l�� � s ark p Return Receipt Fee / O (Endorsement Required) C3 Restricted Delivery Fee O (Endorsement Required) p� .� s � Total Postage&Fees $ fU 4� Sent 12IRh-.... E3 or p0 Box Wo.�J(P I- L6— S V U AC 0/L "-,"-"""•----""""---•-"""""".------"-""".."................................. City,t9tate,21P+4 Lw . """"""""" �I ZV i✓, i4A4 /L,t PS Form :0. 2006 See Reverse to r Instructions Certified Mail Provides: f� - e 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 Mail®or Priority Malle. e 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 Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-elivery". ' ■ 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. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 SECTIONSENDER: COMPLETE THIS • ON DELIVERY • Complete items 1,2,and 3.Also complete SignatZW, item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the.reverse X ❑Addressee so that we can return the card to you. B. Received bpf franted Name) C. Date f Dery ■ Attach this card to the back of the mailpiece, ` G`� or on the front If space permits. v D. Is delivery d nos different from item 17 Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No ! to kn W1 t_�,S i T� 3. Service Type I w,(�.�— Certified Mail ❑Express Mail ❑hegistered. ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Art(cleNumber (rrdnsfer from service. 4j �i7OD6i215A; OO'O2�i1�41k 7828 �Ij PS Form 3811,February 2004 Domestic Return Receipt 102595-02W-1540 UNITED STATES Pst � I • Sender: Please print your name, address, and ZIP+4 in this box • d I I I T Nvn of Barnstable Fi alth Division 0 Main Street CL- H %gnis, MA 02601 %.d C. I Spp Jyga2py.) j] 7 j )+ J} J{ s t ' _.+ Nl1tlsi1[11111101.111111tl#i1111.f11ALI11.111114111111fillIII ,vie r���� i ��� qy� - a�gy �---�-�J�U'� p -,,, /L .V/"VI U��I.J. �i / / -----� L �y, 7� � G� ( ������ r:�...,l dC :l UJ dVI f J � �2 � u,� .�. r----P P s��-� �ll�.�._.__� �s _ - � _ �___ __�_.w __ o� el lL kJ �s ,a Town of Barnstable Barnstable Regulatory Services Department m�ft ricac4 nARNSTA©LE. "ASS 167q. Public Health Division �p �0 alF0 MPI Al 200 Main Street, Hyannis MA 02601 2007 Office: 50&862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 i 1 ey n — zThomas A.McKean,CHO V L I/3 CERTIFIED MAIL 7006 2150 0002 1041 7828 September 22, 2008 Jaimea and Tirell Pina 296 Lakeshore Drive Marstons Mills, Ma 02648 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 properly owned by you located at 800 Wakeby Road, Marstons Mills was inspected — on September 12,2008 by Jaime Cabot, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of a rental inspection. The following violations of the State Sanitary Code were observed: 1.05 CMR 410.552—Screens for Doors: No storm/screen doors provided for family room or for walkout basement doors. 105 CMR 410.280- Natural and Mechanical Ventilation: No Fan was provided for the downstairs bathroom. 105 CMR 410.351- Owners Installation and Maintenance Responsibilities: Downstairs Bathroom sink needs to be installed and sheetrock, ceiling need to be finished and downspouts need to be connected to gutters. 105 CMR 410.450-Means of Egress: Basement Bedroom lacks proper egress. 105 CMR 410.300 and 310 CMR 15.00: There were a total of four(4) bedrooms observed in the dwelling. However the existing septic system was not designed for four bedrooms. It was designed for three bedrooms. L You are ordered to correct the violations listed above within thirty (30) days of your receipt of this notice by correcting the above violations and pulling any required building permits to restore the property to a three bedroom home. You are ordered to remove a bedroom by opening the door-way entrance to the basement room lacking proper egress to a minimum of five feet wide opening. This will bring the total bedroom count down from four (4) to the appropriate Three (3). 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. a R OF T E BOARD OF HEALTH McKean, R.S., CHO Director of Public Health Town of Barnstable cc: Health Inspector i I � wail l�a�a ycu cv�ec� qZo 52�3 "I �7aW11QA ��q 45 . 2151 Health Master Detail Page 1 of 1 �a�� f �t�r- �a � Logged In As: TOWN\cabotj Health 1, _,_...� I Master Detail Thursday, Septem Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 012-002 Location: 800 WAKEBY ROAD, MARSTONS MILLS Owner: PINA, JAMIEA &TIRELL J Business name: _ j Business phone: Rental property: F Deed restricted: F Number of bedrooms :J V; Contaminant released: F Fuel storage tank permit: r Save Parcel Changes Return to Lookup Parcel Info Parcel ID: 012-002 Developer lot: Location:800 WAKEBY ROAD Primary frontage: 150 Secondary road: Secondary frontage: Village: MARSTONS MILLS Fire district:C-O-MM Sewer acct: Road index: 1773 Interactive map - Town zone of contribution:GP (Groundwater Protection Overlay District) State zone of contribution:IN Owner Info Owner: PINA, JAMIEA &TIRELL J Co-Owner: Street1:296 LAKESHORE DR Street2: City: MARSTONS MILLS State: MA Zip: 02648 Deed date: 10/18/2007 Deed reference: 22411/226 Land Info Acres: 0.86 Use: Single Fam MDL-01 Zoning: RF Neighborhood: Topography: Rolling Road: Paved Utilities:,Gas,Septic Location: Construction Info Building No ear Built Effective reaBedrooms. Bathrooms 1 1969 1210 2 Bedrooms 1 Full Buildings value:$117,900.00 Extra le tures: $0.0 Land value: $166,900.00 http://issql/intranet/healthMaster/HealthMasterDetail.aspx?ID=012002 9/4/2008 d � &W HOBBSBWARREN'" THE COMMONWEALTH OF MASSACHUSETTS FORM 30 C BOARD OF HEALTH P i2,.4 s--(N g t--f. CITY/TOW N W U gA b DEPARTMENT ADDRESS L (^SP 0 ` ��� LA�,M 0 `f �l TELEPHONE O�WAV-k �ko uo0c �� �. Address_ �l �����Occupant .�� Floor Apartment No. o. of Occupant No.of Habitable Rooms—Cp No.Sleeping Rooms No.dwelling or rooming units_ No.Stories � a Name and address of owner _T VZV-Ck- �3A iE P► �t tA N I,k41L s k4o kLt- v i— KN A.SA,0 6i t-k"'L ..S PAN 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: ,f If/14 tv rr l3 Roof ID Gutters, Drains.- Walls: NJ, 0 G-co i'LM 007 IL Foundation: A. M k L_ -o Chimney: o t-i lti v— b v-t oZ: qL0 9'L BASEMENT Gen.Sanitation: Dampness: 6L 0 152C-0Nr3 �SR Stairs: bA rM E C,Vwl LO Li htin :r) STRUCTURE INT. Hall,Stairway: Obst'n.: Gi.- N a 2 Hall, Floor,Wall,Ceiling: p-T VA ioo Hall Lighting: S ,�Atel tQ 6cl-L i.i Hall Windows: F2 E1 HEATING Chimneys: G -,®�.J Central ❑ N Equip. Repair G° %J S-L N`v_�. 16 A-C c 0 280 TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST P Waste Line: 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. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 , Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Su it Elect.: Stacks, Flues-Vents,Safeti : Kitchen Facilities Sink Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted 'C c9 �. 1P GS"[f- 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 PENALTIE F PERJUR ." INSPECTOR p, G` TITLE I&L_:- S._rQJC Tp AL A. DATE l ' 2' U 0 (9� TIME /o U O PM ' "— A.M. THE NEXT SCHEDULED REINSPECTION P.M. A 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. r (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. 1 (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. 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. r { ` CERTIFICATE OF ANALYSIS page: 1 Barnstable County Health Laboratory Report Dated: 11/30/2005 Report Prepared For: Order No.: G0533837 Jamiea Pina 296 Lake Shore Drive Marstons Mills, MA 02648 Laboratory ID#: 0533837-01 Description: Water-Drinking Water Sample#: 33837 Sampling Location 800T Wakeby Rd.Marstons MIN,MA Collected: 11/29/2005 �___ - Collected by: T&J Pina Map 012 Parcel 002 Received: 11/29/2005 Routine ITEM RESULT UNITS RL MCL Method# Tested LAB: Inorganics Nitrate as Nitrogen 0.70 mg/L 0.10 10 EPA 300.0 11/29/2005 LAB: Metals Copper 0.39 mg/L 0.10 1.3 SM 311113 11/30/2005 Iron BRI. mg/L 0.10 0.3 SM 311113 11/30/2005 Sodium 55 mg/L 1.0 20 SM 311113 11/30/2005 LAB: Microbiology Total Coliform Absent P/A 0 0 309 11/29/2005 LAB: Physical Chemistry Conductance 420 umobs/cm 1.0 EPA 120.1 11/29/2005 pH 5.8 pH-units 0 EPA 150.1 11/Z2005 Sodium level is above the maximum contaminant level Those on a low sodium diet may wtsh'to consulf'a p 4 an. Approved By: �. F DirectN? 77 N v i'Yi rn RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 i COMMONWEALTH OF MASSACHUSETTS z F ExECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS a DEPARTMENT OF ENVIRONMENTAL PROTECTION 350 MAIN STREET WEST YARMOUTH.MA r 508-775-2800 CIA_ TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM FORM. PART A c�.�-✓g.3 q�/ CERTIFICATION / D Property Address: 800 WAKEBY ROAD MARSTONS MILLS.MA 02648 Ovmer's Name: PATRICIA GIFFORD TRUST Owner's Address: PO BOX 462 COTUIT,MA 02635 Date of Inspection NOVEMBER 14-2005 Name of Inspector:(please print) JEFFREY D.CANNON Company Name: A&B Canco Mailing Address: 350 Main Street West Yarmouth.MA 02673 Telephone Number: 508-775-2800 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the,inforQ fion cn reported below is true.accurate and complete as of the time of the inspection. The inspectio;was ' performed based on my training and experience in the proper function and maintenance of on site seNfAe disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 e itle 5 (3AO ; CMR 15.000). The system: t X Passes ^ Conditionallv Passes Needs Further Evaluation b_ the Local Approving Author ty cv rC° v -- Fails C:) ' Inspector's Signature: �����` Date: NOVEMBER 29. 2005 The system inspector shall subnut a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing ties 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 tot he buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 1 , r Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: NOVEMBER 14,2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X _ I have not found any information which indicates that any of the failure criteria described in 310 CUR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: N/A _ 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 followir:g statements. If"not determined" please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. 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 broker._,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: ,I a. . Tide 5 Inspection Form 6/15/2000 2 f s Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: NOVEMBER 14,2005 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 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or 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,safety and environment: The system has aseptic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance This system passes if the well water analysis,performed at a DEP certified laboratory,for 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: Title 5 Inspection Form 6/15`2000 3 r Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: NOVEMBER 14,2005 D. System Failure Criteria applicable to all systems: N/A 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 Aurface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due'Lo an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z 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 N/A 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 a cesspool or.privy is within a Zone 1 of a public:well X Any portion of a cesspool or privy is within 50 feet of a private water supply well X Any portion of a-cesspool or privy is less than 100 feet but greaten 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 or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) NO (Yes/No)The system fails. I have detennined that one or more:of the above failure criteria exist as described in 310 CN4R 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary correct the failure. E. Large Systems: N/A To be considered a large system the system must service 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: (The following criteria apply to large systems in addition to the criteria above) _ 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 locatd in a.nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply well. If you have answered"yes"to any question in Section E the system is considered significant threat,or answered ``yes''in Section D above the large system is 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 CUR 15.304. The system owner should contact the:appropriate regional office of the Department. Page 5 of 11 ; Title 5 Inspection Form 6/15 ?000 4 f OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 _ Owner: PATRICIA GIFFORD TRUST Date of Inspection: NOVEMBER 14,2005 Check if the following have been done. You must indicate"yes" or"no"as to each of the following Yes No X Pumping information was provided by the owner,occupant,o;.Board of Health X Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? N/A 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 tip? X Was the site inspected for signs of break out? X Were all system components,excluding the SAS,located on site? N/A Were the septic tank manholes uncovered,opened,and the inteiior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum 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)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 C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3xb)] Title 5 Inspection Form 6/15/2'000 5 i Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: NOVEMBER 14,2005 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms: 220 Number of current residents: _ 1 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): YES Seasonal use(yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): N/A Sump pump(yes or no) NO Last date of occupancy: 1.0-26-00 COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): 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/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: N/A Was system pumped as part of the inspection(yes or no): YES If yes,volume pumped: 800 gallons—How was quantity pumped determined? Reason for pumping: INSPECTION TYPE OF SYSTEM Septic tank,distribution box,soil absorption system X Single cesspool X Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) hmovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank Attach copy of the DEP approval Other(describe): Approximate age of all components;date installed(if known)and source of information: UNKNOWN Were sewage odors detected when arriving at the site(yes or no): NO Title 5 Inspection Form 6/15/2000 6 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICLA GIFFORD TRUST Date of Inspection: NOVEMBER 14,2005 BUILDING SEWER(locate on site plan): X Depth below grade.: 25" Materials of construction: X Cast iron X 40 PVC _ other(explain) Distance from private water supply well or suction line: 135 Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK(locate onsite plan): N/A Depth below grade: Material of construction: concrete metal fiberglass polyethylene _ other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to the bottom of outlet tee or baffle: 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: How were dimensions detennined-_ Comments(on pumping recominemlations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): GREASE TRAP(located on site plan) N/A Depth below grade: Material of construction: concrete metal fiberglass _ polyethylene other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural-integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 1 Title 5 Inspection Form 6/15/2000 7 i Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: NOVEMBER 14,2005 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: N/A, (if present must be opened)(locate on site plan) Depth of liquid level,above outlet.invert: Comments(note if box is level:and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.,): PUMP CHAMBER: N/A (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Continents(note condition of pump chamber,condition of pumps and appurtenances,etc.): Tide 5 Inspection Form 6/15/2000 8 I Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: NOVEMBER 14,2005 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 leaching fields,number,dimensions: X overflow cesspool,number: 1 innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,dame soil,condition of vegetation,etc.) EVERYTHING LOOKED GOOD CESSPOOLS: X (cesspool must be pumped as part of inspectionXIocate on site plan) Number and configuration: 2 Depth—top of liquid to inlet invert: 6" Depth of solids layer: F, Depth of scum layer: 4" Dimensions of cesspool: 8X6 Materials of construction: BLOCK Indication of groundwater inflow(yes or no): NO Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation etc.): SITE LOOKED OKAY,2ND CESSPOOL DRY—4"LINE LEADING OUT OF 2ND CESSPOOL. COULD NOT LOCATE 3 CESSPOOL. PRIVY: N/A (locate on site plan) Materials of Construction: _ Dimensions: Depth of solids: Conunents(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) c Title 5 Inspection Fonn 6/15/2000 9 I Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD'CRUST Date of Inspection: NOVEMBER 14.2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system includm2 ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. '3S J�n (00' T� t �o� Tille 5 Insl)cClirnl (-on11611512000 Il) Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: NOVI;MBER 14.2005 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to groundwater 28+- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observation site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation X Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED USGS AND LOCAL TOPO MAP AT BARNSTABLE BOARD OF HEALTH TO DETERMINE WATER ELEVATION. �I Title 5 Inspection Fonn 6/15/2000 11 Health Complaints 30-Oct-01 Time: 9:12:00 AM Date: 10/22/01 Complaint Number: 3134 Referred To: LEE MCCONNELL Taken By: THOMAS MCKEAN Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 3134 Street: 800 WAKEBY RD Village: MARSTONS MILLS Assessors Map-Parcel: Complaint Description: Complainant smelled an oily odor when he took a handful from the sand pile of sand at 810 Wakeby Road.. He also saw a cesspool dumped there. This sand pile is only 5 to 10 feet away from his onsite well. Actions Taken/Results: TM immediately reported this to DEP, leaving a voice mail message on the machine of Allen Himberger(508 946-2853). TM also left a Construction dumps septic systems components there. Lee, could you go to this site and take a photograph of the cesspool on the sandpile? 10/22/2001 DAVE AND LM INVESTIGATED 810 WAKEBY RD, M. MILLS AT 3:OOPM. PHOTOS WERE TAKEN ON A CINDER BLOCK WHICH COULD POSSIBLY BE PART OF AN OLD CESSPIT. A SAMPLE OF SAND WAS COLLECTED. IF THIS PILE OF SAND IS CONTAMINATED IT IS APPROXIMATELY 10' FROM THE COMPLAINTANTS WELL. 10/29/2001 Sean 1 s As Health Complaints 30-Oct-01 O'Brien and LM collected water samples from Michael Manes well. Water will be tested for VOC's as well as reg. analyses. Photos were collected of construction and demolition piles in Sand &Gravel pit. Investigation Date: 10/22/01 Investigation Time: 3:00:00 PM I 2 :o CERTIFICATE OF . ANALYSIS Page: 9 _ Barnstable County Health Laboratory �cr�u5'F= Report Prepared For: Report Dated: 11/20/2001 800 Wakeby Rd. Order Number: G0112307' Michael Maynes Marstons Mills, MA 02648 Laboratory ID#: 0112307-01 Description: Water-Drinking Water Sample#: 800 Wakeby Samoline Location: 800 Wakeby Rd.,Marstons Millss Collected 10/29/2001 Collected by: Sean O'Brien Received 10/30/2001 EPA 524.2- Volatile Organics by GC/MS ITEM t 'RESULT UNITS MDL MCL Method# Tested LAB: GUMS 1,1,1,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 11/05/2001 1,1,1-Trichloroethane 13RL ug/L 0.5 200 EPA 524.2. 11/05/2001 1,1,2,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 11/05/2001 1,1,2-Trichloroethane BRL ug/L 0.5 5.0 EPA 524.2 11/05/2001 ,-, J. 1,1'=Dichloroethane BRL' ug/L- 0;5, EPA 524.2 11/05/2001 s 1;1=D><c) loroethene BRIT u oa g/L;` 7.0 EPA.524.2. 1,1/05/2001. 1,1 D><chfo'ropr"o'pene` BRI; ug/L: 0:5, EPA 524.2 11/05/200.1. 1,2',3-Trichlorobenzene BRL ug/L' 0.5 EPA 524.2 11/05/2001, 1,2,3-Trichloropropane BRL ug/L 0.5 EPA 524.2 11/05/2001 1,2,4-Trichlorobenzene BRL ug/L 0.5 70 EPA 524.2 11/05/2001 1,2,4-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 11/05/2001 1,2-Dibromo-3-chloropropa BRL ug/L 0.5 EPA 524.2 11/05/2001 1,2-Dibromoethane(EDB) BRL ug/L 0.5 EPA 524.2 11/05/2001 1,2-Dichlorobenzene BRL ug/L 0.5 600 EPA 524.2 1 U05/2001 1,2-Dichloroethane BRL ug/L 0.5 5.0 EPA 524.2 11/05/2001 1,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 11/05/2001 1,3,5-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 11/05/2001 . 1,3-Dichlorobenzene BRL ug/L 0.5 EPA 524.2 11/05/2001 1,3-Dichloropropane BRL ug/L 0.5 EPA 524.2 11/05/2001 1,4-Dichlorobenzene J BRL ug/L 0.5 5.0 EPA 524.2 11/05/2001 2,2-Dichl6ropropane -BRL ug/L 0,5 EPA 524.2 11/05/2001 2-Chlorotoluene BRL ug/L ,oa EPA 524:2 11/OS/200.1 } 4-Chlorotoluene BRL uglL 0.5 EPA 524:2 l i/OS/2001 . /05/ Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 s ' Page: 2 CERTIFICATE. OF .ANALYSIS Barnstable County Health Laboratory Report Prepared For: Report Dated: 11/20/2001 800 Wakeby Rd. Order Number: G0112307 ` Michael Maynes I Marstons Mills, MA 02648 Laboratory 11D#: 0112307-01 Descriution: Water-Drinking Water Sample#: 800 Wakeby Samaline Location: 800 Wakeby Rd.,Marstons Millss Collected 10/29/2001 Collected by: Sean O'Brien Received 10/30/2001 Benzene BRL ug/L 0.5 5.0 EPA 524.2 11/05/2001 Bromobenzene BRL ug/L 0.5 EPA 524.2 11/05/2001 Bromochloromethane BRL ug/L 0.5 EPA 524.2 11/05/2001 Bromodichloromethane BRL ug/L 0.5 EPA 524.2 11/05/2001 Bromoform BRL. ug/L, 0.5 EPA 524.2 11/05/2001 Bromomethane BRL ug/L 0.5 EPA 524.2 11/05/2001 Carbon tetrachloride BRL ug/L 0.5 5.0 EPA 524.2 11/05/2001 Chlorobenzene BRL ug/L 0.5 100 EPA 524.2 11/05/2001 Chloroethane BRL ug/L 0.5 EPA 524.2 11/05/2001 Chloroform 1.0. ug/L 0.5 EPA 524.2 11/05/2001 Chloromethane BRL ug/L 0.5 EPA 524.2 11/05/2001 cis-1,2-Dichloroethene BRL ug/L 0.5 70 EPA 524.2 11/05/2001 cis-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 11/05/2001 Dibromochloromethane BRL ug/L 0.5 EPA 524.2 11/05/2001 Dibromomethane BRL ug/L 0.5 EPA 524.2 11/05/2001 Dichlorodifluoromethane BRL ug/L 0.5 EPA 524.2 11/05/2001 Ethylbenzene BRL ugJL 0.5 700 EPA 524.2 11/05/2001 Hexachlorobutadiene BRL ug/L. 0.5 EPA 524.2 11/05/2001 Isopropylbenzene BRL ug/L 0.5 EPA 524.2 11/05/2001 Methyl-tert-butyl ether BRL ug/L 2.0 EPA 524.2 11/05/2001 Methylene chloride BRL ug/L 0.5 5.0 EPA 524.2 11/05/2001 n-Butylbenzene BRL ug/L 0.51 EPA 524.2 11/05/2001 n-Propylbenzene BRL ug/L 0.5 EPA 524.2 11/05/2001 Naphthalene BRL ug/L 0.5 EPA 524.2 11/05/2001 p-Isopropyltoluene BRL ug/L 0.5 EPA 524.2 11/05/2001 sec-Butylbenzene BRL ug/L 0.5 EPA 524.2 11/05/2001 Styrene BRL ug/L, 0.5 100 EPA 524.2 11/05/2001 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page: 3 CERTIFICATE OF ANALYSIS r Barnstable County Health Laboratory Report Prepared For: Report Dated: 11/20/2001 800 Wakeby Rd. Order Number: G0112307 ' Michael Maynes Marston Mills, MA 02648 Laboratory ID#: 0112307-01 Descriotion: Water-Drinking Water Sample#: 800 Wakeby Samaling Location: 800 Wakeby Rd.,Marstons Millss Collected 10/29/2001 Collected by: Sean O'Brien Received 10/30/2001 tert-Butylbenzene BRL ug/L 0.5 EPA 524.2 11/05/2001 Tetrachloroethene BRL ug/L 0.5 5.0- EPA 524.2 11/05/2001 Toluene BRL ug/L 0.5 1000 EPA 524.2 11/05/2001 Total xylenes BRL ug/L. 0.5 10000 EPA 524.2 11/05/2001 trans-1,2-Dichloroethene BRL ug/L 0.5 100 EPA 524.2 11/05/2001 trans-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 11/05/2001 Trichloroethene BRL ug/L 0.5 5.0 EPA 524.2 11/05/2001 Trichlorofluoromethane BRL ug/L 0.5 EPA 5241 11/05/2001 Vinyl chloride BRL ug/L. 0.5 2.0 EPA 524.2 11/05/2001 Approved (Lab Director) l/�2o�z�l Superior Court.House, PO.Box 427, Barnstable, MA.02630 Ph: 508-375-6605 Barnstable County Department of Superior Court House Health and the Environment P. 0. Box 427 Barnstable, MA 02630 i (508) 375-6605;6612 CHAIN OF CUSTODY CLIENT NAME: ��� s ADDRESS: PROJECT NAME: PROJECT NUMBER: PROJECT SITE: _ SAMPLER: DATE/ SAMPLE SAMPLE NO. OF ANALYSES COMMENTS TIME: NUMBER LOCATION SAMPLES REQUIRED RELII,tUISHED BY: DATE/TIME: RECEIVED BY: DATE/TIME: j 10 -30-O f F'-Zj T `} 3 j rid ? J R LINGUISHED BY: DATE/TIME: RECEIVED BY-:,," DATE/TIME: C Health Complaints 23-Oct-01 I Time: 9:12:00 AM Date: 10/22/01 Complaint Number: 3134 Referred To: LEE MCCONNELL Taken By: THOMAS MCKEAN Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 3134 Street: 800 WAKEBY RD Village: MARSTONS MILLS Assessors Map-Parcel: Complaint Description: Complainant smelled an oily odor when he took a handful from the sand pile of sand at 810 Wakeby Road. He also saw a cesspool dumped there. This sand pile is only 5 to 10 feet away from his onsite well. Actions Taken/Results: TM immediately reported this to DEP, leaving a Construction dumps septic systems components there. Lee, could you go to this site and take a photograph of the cesspool on the sandpile? 10/22/2001 DAVE AND LM INVESTIGATED 810 WAKEBY RD, M. MILLS AT 3:OOPM. PHOTOS WERE TAKEN ON A CINDER BLOCK WHICH COULD POSSIBLY BE PART OF AN OLD CESSPIT. A SAMPLE OF SAND WAS COLLECTED. IF THIS PILE OF SAND IS CONTAMINATED IT IS APPROXIMATELY 10' FROM THE COMPLAINTANTS WELL. 1 Health Complaints 23-Oct-01 Investigation Date: 10/22/01 Investigation Time: 3:00:00 PM 2 ' ,ham C r !f "' �• J. 0331aU3 �'OL. t?t0lr�aa L r a � ,.s 37 x �o Wc� V, 1 U;J 5 tl 'tl L:A N O 1 far 1 4it �'s..� ► .� ♦mow��t a = s Koo Ih 46 r P0LASP,010 04 L� azA it.'j'v s JW ,41 �l r. ,44. 7 i. � 3 150 6 - . �'ULAROIDO 0 - 3 _ _ bb W C�1�,e4�v� i {, i a I t 1� Ir► Lfl� COMMONWEALTH OF MASSACHUSE`I`TS z EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS r n DEPARTMENT OF ENVIRONMENTAL PR.OTECI'ION 350 MAIN STRi FT WIEST YARMOUITI,MA �►c�vra 509-775-2900 r NOV TITLE 5 �� OFFICIAL, INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMRN,TS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 800 WAKE13Y ROAD MAP:STONS MILLS,MA 02648 Owners Name: IWIRIC[A(31FF0IZll TRUST Oixim's Address: PO I30X 462 CURAT,MA 02635 Dale of Inspection OCPOHUIZ 26,2000 Name of hrspcclor:(please print) .IEFFRL,Y D.CANNON Company Name: A&B Canco Mailing Address: 350 Main Street West YanuouQi,MA 02673 _ Telephone Number: 508-775-2800 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 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: X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails inspector's Signature: M Date: OCTOBER 29, 2000 The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of i-leallh 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 tot he buyer, if applicable,and the approving authority. Notes and Continents ****This report.only describes conditions at the time of inspection and wider the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 t v Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: OCTOBER 26,2000 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X 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: N/A 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 tank failure is imminent. System will pass inspection if the existing tank is replaced with complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. 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: Title 5 Inspection Form 6/15/2000 2 i Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CON HUED) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: OCTOBER 26,2000 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 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or 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,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "" This system passes if the well water analysis,performed at a DEP certified laboratory,for 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: Title 5 Inspection Form 6/15/2000 3 i Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: OCTOBER 26,2000 D. System Failure Criteria applicable to all systems: N/A 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''/,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 N/A 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 a cesspool or privy is within a Zone 1 of a public well X Any portion of a cesspool or privy is within 50 feet of a private water supply well X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (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 or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) NO (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: N/A To be considered a large system the system must service 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: (The following criteria apply to large systems in addition to the criteria above) 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 H of a public water supply well. If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system is failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Page 5 of 11 Title 5 Inspection Form 6/15/2000 4 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: OCTOBER 26.2000 Check if the following have been done. You must indicate"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 Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? N/A 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 the SAS,located on site? N/A Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum 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)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 C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3xb)] Title 5 Inspection Form 6/15/2000 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: OCTOBER 26,2000 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CUR 15.203(for example: 110 gpd x#of bedrooms: 220 Number of current residents: 1 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): YES Seasonal use(yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): N/A Sump pump(yes or no) NO Last date of occupancy: 10-26-00 C OMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): 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/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: N/A Was system pumped as part of the inspection(yes or no): YES If yes,volume pumped: 800 gallons—How was quantity pumped determined? Reason for pumping: INSPECTION TYPE OF SYSTEM Septic tank,distribution box,soil absorption system X Single cesspool X Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank Attach copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: UNKNOWN Were sewage odors detected when arriving at the site(yes or no): NO Title 5 Inspection Form 6/15/2000 6 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 800 NVAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: OCTOBER 26,2000 BUILDING SEWER(locate on site plan): X Depth below grade: 25" Materials of construction: X Cast iron X 40 PVC _ other(explain) Distance from private water supply well or suction line: 135 Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK(locate onsite plan): N/A Depth below grade: Material of construction: concrete metal fiberglass polyethylene _ other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to the bottom of outlet tee or baffle: 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: How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): GREASE TRAP(located on site plan) N/A Depth below grade: Material of construction: concrete metal fiberglass _ polyethylene other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Title 5 Inspection Form 6/15/2000 7 Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: OCTOBER 26,2000 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: N/A (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.,): 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.): Title 5 Inspection Form 6/15/2000 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 800 VIAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: OCTOBER 26,2000 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 leaching fields,number, dimensions: X overflow cesspool,number: 1 innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) EVERYTHING LOOKED GOOD CESSPOOLS: X (cesspool must be pumped as part of inspectionXlocate on site plan) Number and configuration: 2 Depth—top of liquid to inlet invert: 6" Depth of solids layer: 1" Depth of scum layer: 4" Dimensions of cesspool: 8X6 Materials of construction: BLOCK Indication of groundwater inflow(yes or no): NO Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation etc.): SITE LOOKED OKAY 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.) Title 5 Inspection Form 6/15/2000 9 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Properly Address: 800 WAKFBY ROAD MARS'I'ONS MILLS,MA 02648 Owner: PA'IR[CtA GIPPORD-tRUS'l' Date of Inspection: OUI-OB R 26,2000 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including lies to at least two permanent relerence landmarks or benchmarks. [,ovate all wells within 100 feet. Locate where public water supply enters the building. We�( 13 s a f J� ice 7� (00' Titic 5 Inspection Form 6/15/2000 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 800 WAKEBY ROAD MARSTONS MILLS,MA 02648 Owner: PATRICIA GIFFORD TRUST Date of Inspection: OCTOBER 26,2000 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to groundwater 28+- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observation site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation X Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED USGS AND LOCAL-TOPO MAP AT BARNSTABLE BOARD OF HEALTH TO DETERMINE WATER ELEVATION. Title 5 Inspection Form 6/1.5/2000 11 l The Commonwealth of Massachusetts A TRUE COPY ATTEST BARNSTABLE ......................................................... ... ss. To ......JERRY-. DUN INGDEPIM�M-iF�CTOR ................................................ ........................ FOR THE TOWW OF BARNSTABLE ............................................................................................................................................................................. .............................................................................................:.............................................................. greetings. You are hereby commanded, in the name of The Commonwealth of Massachusetts, to appear before the SUPERIOR Court ......................... .......................................................................... holden at BARNSTABLE . within and for the county of.BARNSTABLE ........................... ............................................. twenty-seventh April................................................. at on the .................................................................................. day of.. ............ 9:30 fore ......................... o'clock in the .......................................... noon, and from day to day thereafter, until the action hereinafter named is heard by said Court, to give evidence of what you know relating to an action civil .... then and there to be heard and tried between GIFFORD BROTHERS. SAND & GRAVEL ....... Plaintiff and BOARD OF APPEALS OF' THE TOWN OF BARNSTABLE Defendant , and you are further required to bring with.you ..any and...all. . ...records. .. ...of permits. . . ..and/or..................................... . . . . ........... ... . . ... ..... ........... filings issued to or pertaining to the subject property which you may have in your ............................................................................................................................................................................. file or possession. ............................................................................................................................................................................. .............................................................................................................................................................................. ........................:............................................................................................................................................:....... .............................................................................................................................................................................. .............:............................................................................................................................................................... Hereof fail not, as you will answer your default under the pains and penalties in the law in that behalf made and provided. Dated at..........Sandwich ................................ the 15 day o Aril A.D. 19..99.... ....... ................................................. Notary Public-7u �, FORM 22 LAWYERS STATIONERY CO.,INC. BOSTON,MA 04wo,k .4p. ^I 05 Health Complaints 27-Apr-99 Time: 10:30:00 AM Date: 7/17/98 Complaint Number: 1442 Referred To: GLEN HARRINGTON Taken By: LS Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: GIFFORD Number: 800 Street: WAKEBY ROAD Village: MARSTONS MILLS Assessors Map_Parcel: Complaint Description: SHE IS CALLING ABOUT DIESEL TRUCKS BEING USED AT THE GIFFORD PROPERTY ALL DAY LONG EVEN AFTER THEY HAVE A CEASE AND DESIST ORDER FROM THE ZONING BOARD. SHE AND HER NEIGHBORS ARE FEELING ILL- HEADACHES AND NAUSEA FROM THE FUMES FROM HIS EXCAVATION. SHE SAID THIS GOES ON ALL DAY. Actions Taken/Results: Investigation Date: Investigation Time: 1 Health Complaints 27-Apr-99 Time:. 5/4/98 Date: 5/1/98 Complaint Number: 1311 Referred To: GLEN HARRINGTON Taken By: THOMAS MCKEAN Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Gifford's Sand Pit Number: 720 Street: Wakeby Road Village: MARSTONS MILLS Assessors Map_Parcel: Complaint Description: She saw an oil truck dumping oil into Gifford's Sand Pit this morning (reported by Chief John Farrington, C-O-MM Fire District). Actions Taken/Results: Chief Mossley followed up with a visit to Mrs. Burkenshaw and the site. I spoke with him and he said that he spoke with the Manager of the site. The Manager said that the fuel truck did come and make a delivery. The truck came to fill the heavy machinery at the pit/stump dump. The heavy machinery was full so they filled a mobile tenporary tank on a pick-up truck. Chief Mossley said he found no evidence of problems at the entire site. He said that I did not have to follow up with a visit. I did speak with Mrs. Burkenshaw to get her story. The notes are in the folder. Investigation Date: 5/4/98 Investigation Time: 11:30:00 AM 1 --- - Health Complaints 27-Apr-99 Time: 9:00:00 AM Date: 4/28/98 Complaint Number: 1306 Referred To: EDWARD BARRY Taken By: DPW DENISE Complaint Type: GENERAL Article X Detail: Business Name: GIFFORDS JUNK YARD Number: Street: WAKEBY RD Village: MARSTONS MILLS Assessors Map_Parcel: Complaint Description: SSHE SAID THAT THE YARD IS CLOSED AND THEY ARE HAULING MATERIAL OUT OF THIS SITE Actions Taken/Results: SPOKE TO PATRICIA GIFFORD AT HER HOME ON WAKEBY RD,M.MILLS . SHE WAS OF THE UNDERSTANDING THET THE ENTIRE GIFFORD JUNK YARD WAS CLOSED BY ORDER OF THE TOWN. SHE SAID THAT THEY ,CHRIS KEYES, AND OTHERS (KARL LAMPI, JAMES AALTO,SCOTT FRANK AND ETC ARE STILL HAULING MATERIAL IN AND OUT OF THE FACILITY. I TOLD HER THAT IS A LEGAL QUESTION NOW . PATRICIA HAS CHARLES SABATT,25 MID-TECH DRIVE,W. YAR. 775- 3433 AS HER LEGAL COUNSEL ALL COMPLAINTS FOR THIS PROPERTY HAVE TO BE REFERRED TO THE TOWN MANAGER ALL COMPLAINT FOR THIS PROPERTY Investigation Date: 4/28/98 Investigation Time: 4:50:00 PM 1 Health Complaints 27-Apr-99 Time: 11:20:00 AM Date: 9/18/97 Complaint Number: 1030 Referred To: EDWARD BARRY Taken By: I.s. Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: Business Name: Number: 810 Street: WAKEBY ROAD Village: MARSTONS MILLS Assessors Map_Parcel: Complaint Description: CHRIS KEYES CO-OWNER OF THIS PROPERTY IS HAVING TAR AND HORSE MANURE DUMPED ON THE PROPERTY LINE. IT HAS A BAD ODOR. Actions Taken/Results: TALKED TO CHRIS KUHN OF GIFFORD BROTHERS INC ABOUT THE COMPLAINT . HE HAS HORSES AT HIS HOUSE IN SANDWICH AND BRINGS OVER THE MANURE AND MIXES IT WITH LOAM TO USE IN HIS LANDSCAPING BUSINESS. I FIND NO PROBLEM WITH THIS. ANOTHER FORM OF RECYCLING. THE TAR WAS STOCKPILED BY LYNCH WHO WAS THE CONTRACTOR FOR THE UPGRADE OF NEWTOWN RD,COTUIT.LYNCH HAS SINCE REMOVED ALL THE TAR BACK TO FALMOUTH FOR RECYCLING. THE GIFFORD SAND PIT AND THE CAR SALVAGE AREA ARE BEING SLOWLY CLEANED UP. DEP IS INVOLVED WITH CLEAN-UP . Investigation Date: 9/19/97 Investigation Time: 11:00:00 AM 1 Health Complaints 27-Apr-99 Time: Date: 5/30/97 Complaint Number: 827 Referred To: JEROME DUNNING Taken By: L.S. Complaint Type: CHAPTER II HOUSING Article X Detail: Business Name: Number: 810 Street: WAKEBY ROAD Village: MARSTONS MILLS Assessors Map_Parcel: Complaint Description: Actions Taken/Results: HCUSE TRAILER WITH NO WATER OR SEWAGE AND LIGHTS ARE ON. Investigation Date: Investigation Time: 1 Health Complaints 27-Apr-99 Time: 12:40:00 PM Date: 5/12/97 Complaint Number: 794 Referred To: EDWARD BARRY Taken By: Sheryl Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: Business Name: Giffords Auto Salvage Number: Street: Wakeby Rd. Village: MARSTONS MILLS Assessors Map_Parcel: Telephone Number: Complaint Description: They are dumping road debri at the sand pit area. Actions Taken/Results: Investigation Date: 5/12/97 Investigation Time: 12:30:00 PM 1 Health Complaints 27-Apr-99 Time: 11:05:00 AM Date: 5/7/97 Complaint Number: 782 Referred To: THOMAS MCKEAN Taken By: THOMAS MCKEAN Complaint Type: Noise/Dust/Stumps Article X Detail: Business Name: Number: 810 Street: Wakeby Road Village: MARSTONS MILLS Assessors Map_Parcel: Complaint Description: She stated Mr. Keyes brought-in a port-a- poddie at the sand pit/junk yard. They also brought-in loam/stumps/brush at the sand pit. Actions Taken/Results: TM went to the site at 4:00 p.m. on 5/8/97. TM observed a man operating a large front-end loader. I introduced myself then asked him what he is doing. He stated his name was He stated he was moving the loam into the road to "dry it out". Later a "tub grinder"will be brought-in to grind up the branches, logs, and stumps, explained. TM observed several piles of logs and stumps on the property. A few moments later, a man in a light blue pick-up truck arrived from the junk yard section of the property. handed the man my business card. The man then asked if he could help me. I informed him who I was and explained I received a complaint regarding stumps and brush. He stated his name was He explained to me that the trees are cut down from off-site "jobs",then brought-in to this property. He then showed me a pile of dark loam, the final product. He explained to me that he will hire accompany 1 Health Complaints 27-Apr-99 Investigation Date: 5/8/97 Investigation Time: 4:00:00 PM 2 Health Complaints 27-Apr-99 Time: 9:00:00 AM Date: 4/24/97 Complaint Number: 764 Referred To: EDWARD BARRY Taken By: EDWARD BARRY Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: Business Name: Giffords Auto Salvage Number: Street: Wakeby Rd. Village: MARSTONS MILLS Assessors Map_Parcel: Complainant' Complaint Description: Burke Brothers dumping brush in the general area of the sandpit. Probably authorized by Mr. Keyes. Actions Taken/Results: Inspected the area by the sandpit and there looks like brush dumpen on the left hand side just before you reach the sand pit. No one was around and did not see any moving vehicles in the area. Will send out a certified letter to Mr. Keyes. Investigation Date: 4/24/97 Investigation Time: 1:00:00 PM 1 r Health Complaints 27-Apr-99 Time: 12:05:00 PM Date: 11/13/96 Complaint Number: 549 Referred To: EDWARD BARRY Taken By: EDWARD BARRY YP Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH P Article X Detail: UNSANITARY CONDITIONS Business Name: Gifford Salvage Yard Number: 800 . Street: Wakeby Rd., M>Mills Village: MARSTONS MILLS Assessors Map_Parcel: 013-052 Complaint Description: Clearing of land around the Gifford Sand Pit infringes upon the buffer zone between the sand pit and the abutting residences.This in the eyes of the complaintent present a safety problem for his family. Actions Taken/Results: Building dept has been out on the same complaint and the buffer zone was bein depleated by land clearence. The person utilizing the sand pit said he will erect a fence in the buffer zone. Investigation Date: Investigation Time: 1 Health Complaints 27-Apr-99 Time: 1:50:00 PM Date: 11/7/96 Complaint Number: 523 Referred To: EDWARD BARRY Taken By: BARBARA SULLIVAN Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: ILLEGAL OPERATIONS Business Name: Gifford Salvage Yard Number: 810 Street: Wakeby Rd. Village: MARSTONS MILLS Assessors Map_Parcel: 013-052 Complaint Description: Burying brush„diesel fuel in sandpit Actions Taken/Results: not there so I spoke to his brother Costos.He said they were burying brush with a bobcat down on thr left towards the sandpit.Also they were storing diesel fuel in an old coca cola truck on the left towards the sandpit.Talked to site .He and another man were repairing a bobcat which had been out of commission for two days. They said they were using the bob- cat to level out the long driveway from Wakeby Rd and the sand pit.No evidence of brush being covered at designated site. Inspection of Coca Cola truck showed it to be used for storage of auto parts and calcium chloride.Noted no violations in progress. Investigation Date: Investigation Time: 1 Health Complaints 27-Apr-99 Time: 8:15:00 AM Date: 10/28/96 Complaint Number: 501 Referred To: EDWARD BARRY Taken By: DONNA MIORANDI Complaint Type: GENERAL Article X Detail: Business Name: Gifford's sand pit Number: Street: Wakeby Road Village: MARSTONS MILLS Assessors Map_Parcel: Complainant's Name: Anonymous Address: Telephone Number: Complaint Description: Woman called stating that Mr. Keyes is dumping brush along with pig and horse manure. Actions Taken/Results: Investigation Date: Investigation Time: 1 Health Complaints 27-Apr-99 Time: 3:30:00 PM Date: 9/23/96 Complaint Number: 454 Referred To: JEROME DUNNING Taken By: L.S. Complaint Type: GENERAL Article X Detail: Business Name: GIFFORD'S GARAGE Number: Street: WAKEBY ROAD Village: MARSTONS MILLS Assessors Map_Parcel: Complaint Description: THIS AREA IS A JUNKYARD AND A DEEP HOLE WAS DUG. IT SOUNDS LIKE THINGS ARE BEING BURIED IN IT. COMPLAINANT THINKS IT SHOULD BE CHECKED. HE WASN'T SURE WHAT THE NUMBER OF THE RESIDENCE WAS, BUT IT IS LOCATED A FEW HUNDRED YARDS TO THE RIGHT BEYOND SPECIAL K KENNELS. Actions Taken/Results: Investigation Date: Investigation Time: 1 Pipe()of,I I OFFICIA I, INSPIECTION FORM—NO'll"IFOR N/01AINTARV ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART SYSTEM INFORMATION(conlinix(l)' Properl.l.Address: 900 WAl'.<I;IJY ROAD MAP MA RS'I ONS M I LIS,MA 0264 9 PARCEL Dale of Inspedioll: OCT013FIZ 26,iiii—)()------ LOT SKEA'(7111 OF SUMACE DISPOSAL SVS'1'1,',Ni ho vide a skc(ch ofilic sewage dill-.oral SN-sleill illdildillp lies In al Icast 1\\O petnrmrnl lel6clice landmoik.or bellullinalks. Locale all wells widlill 100 1i.d. Locale where public."falcislipplY clilos the building. we �' Uz7 �/ II �j c f Tille .5 Illspeclioll form 6/1 i/2000 10 C(1MP4JANCE: CLASS ` 6Iarine,Gas Stations,Repa .r TOWN OF BARNSTABt�� Zr, Printers BOARD OF HEALTH .. OZnsatisfactory- Vsatisfactory 3. Auto Body Shops 4. Manufacturers (see"Orders' ) � 5 Retail Stores COMPANY 6.- Fuel Suppliers _ r ADDRESS t ` v_____.,� Class: 7. Miscellaneous Z"7y1� QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS rt�, ; ;�i � 4 Case INtsUr Drums ' OUC AbdveTanks UndetgLouad Tanks N a e � Fuels:. -- Gasoline, Jet Fuel (A) Diesel, Kerosene, 02 (B) Heavy Oils: waste motor oil (C) = new motor oil. . .. (C) transmission/hydraulic Synthetic Organics: f degreasers Miscellaneous: DISPOSAL RECLAM,A`f•ION REW RKS: 1. Sanitary Sewage 2. Water Supply - O Town Sewer Public ';1e_._� x On-site Q Private .A_ 3. ,Indoor Floor Drains: YES _ NO p Holding tank: MDC r _ O Catch basin/Dry well E _�.... -_ .•..- ----•-•...w.-..-- --- On-site system 4. Outdoor Surface drains:lES NO Q al Holdin&- tank: MUC 1 -, ,� •ram O. Catch basin/Dry well U OOn-site system Licensed? Waste Transporter. _ } Wa et i nAti on StIl •Product-. , Name a of Hauler_ ._UP q. l,, ,��' t/.� t r1 f� --•�� :t ,r_- ,�J f :t �(f. .,,��^� s v4.t.�, hl -Person(s) Int.erview6d Inspector Uate r, . t TOWN OF BARNSTABLE 'I ;2� BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FI RM ADDRESS :: W8n Major types of materials: 1) 2) 3) 4) /��/.r/ES 5) 6) i I. Description of material (s) use: II. Storage (denote product by number listed above) _ A. Containers metal glass paper plastic cans,bottlesJarsArl drums,barrels f _ aboveground tanks 10 underground tanks X/0 bags,boxes 4/0 open,loose,uncovered A/d inadequate labelling B. Storage Facility Vor.# Remarks/Recommendations 1. Indoor - a) separatt, contained roomil p b) stored in general work area L `:, i) inadequate ventilation _ ii) floor drains iii) inadequate fire protection 2. Outdoor -. - a) uncovered, exposed to weather b) pervious 'surface/catch basins III. Disposal - A. Reclamation/Recycling unit _ B. On-site disposal 1. Town. sewer 2. Regular septic system 5 . 3. Separate holding tank C. Off-site disposal 1. hauled by own .firm 4� 2, hired hauler a) name of hauler b) address or disposal site Person(s) Interviewed ` . _ — Inspector - - - - - - - - - Date - - - - - - - - - .FILE #::MIP 20 37., , CENSUS TRACT # CL I ENT.; Dunning xirrane L.I,.P DEED BOOK 9325 PAGE 271 ' OWNER;:Patriaza Gifford, Trustee N BOOK PAGE LOT-7 A P CAN ; Michael Ma ne & Barbara Mayne .:. ; ASSESSORS PLAN 12 PLOT 2 MORTGAGE I NSPEC •TI ON PLAN of LAND LOCATED AT 800 WAKEBY ROAD „ BARNSTABLE, MASSACHUSETTS SCALE : ]. ; 60' NovEMBER 21, 2000 (>A 140 AC_- 2 50.00' .sJ"d OL ` -80Q i Pr 7 .•...,,;. l>R,vt . 15 c•bd' WAY,1: ROA D I CERTIFY TO DUNNING & KIRRANE, L. L, P . J !. MOUTH SAVINGS BANK, AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO ,VIS.ILE ENCROACHMENTS OR EASEMENTS EXCEP AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISIONI THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL APPLICABLE ON I NG BY'LAWS WITH RESPECT TO HORIZONTAL wo��a�P IMENSIONAL REQUIREMENTS1 ETH R. `L'> ERREIRA` HE DWELLING SHOWN HERE DOES NOT 'FALL WITHIN o. 21,716. SPECIAL FLOOD HAZARD ZONE AS DELINEATED .•ON � R MAP OF COMMUNITY #250001--0015C DATED /19/85 BY THE F. I .A. '►*,' .:� OTE; LOT CONFIGURATIO TAKEN FROM ASSESSORS APS OF RECORDI.AND IS CONFIGURATION y4,,,,..,,,.1,,. CCURATE 1 a Kenneth It. rerreira HE EXACT LOCATION OF. THE BUILDING SHOWN -CAN = ° . Lngine4ritlg,Inc. OT' BE DETERMINED WITHOUT AN ACCURATE "% 11.0.Nix 190.3 INSTRUMENT SURVEY, 1MgIn.1.�9 Now Bedford,MA02741-1903 a Trl:5nn 91n•nn2n'A '1'ax:508 992-3374I GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, Information, and belief'as.the .•• result of a mortgage plot plap tape survey. inspection made to the normal standard of,care of registered land.' , surveyors practicing In Massachusetts. (2) Declarations are made' to the above named client only as of this date. (3) This plan was not -made for recording purposes, for use in preparing deed descriptions or for con- . structions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may