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HomeMy WebLinkAbout0034 PARKER ROAD - Health 34--Parker Avemmue LWWesit' Barnstable A = 197-00 I ra COMMONWEALTH OF MASSACHUSETTS Z EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS Y a DEPARTMENT OF ENVIRONMENTAL PROTECTION p y�. �qM J0 350 MAIN STREET WEST YARMOUTH,MA 508-775-2800 TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 34 PARKER ROAD WEST BARNSTABLE,MA 02668 `� n Owner's Name: JOANNE NEUWIRTH Owner's Address: 54 BUNDY LANE STORRS,CT. 06268 Date of Inspection JUN F:8,2005 Name of Inspector:(please prin ) RICHARD K.CANNON Company Name: A&U Canco 3 Mailing Address: 350 Main Street CS _ Wes:Yarmouth,MA 02673 " _ Telephone Number: 508 775-2800 c3 - t -g CERTIFICATION STATEMENT v s- I certify that I have personally inspected the sewage disposal system at this address and that the info `t'on reported below is true,accurate and coml;lete as of the time of the inspection. The inspection was performed ed on myyx cn training and experience in the proper function and maintenance of on site sewage disposal systems. IomaDEP. approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: c -- r- Passes — m Conditionally Passes Needs Further Evaluation by the Local Approving Authority �. Fails P Inspector's Signature: _ Date: W° l�►'°a�c�g� The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared sysMn 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 tle system owner and copies sent tot he buyer,if applicable,and the approving authority. Notes and Comments S1N•3LE CESSPOOL WHICH IS CONDITION FOR FAILURE. CESSPOOL IS IN WORKING CONDITION. W ELL IS 68 FT FROM CESSPOOL. ****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 Fonn 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: 34 PARKER ROAD WEST BARNSTABLE,MA 02668 Owner: JOANNE NEUWIRTH Date of Inspection: DUNE 8,2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CNM 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y.N,ND)in the_ND_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: A&B CANCO WAS REQUESTED TO PRODUCE AN ASBUILT CARD FOR CESSPOOL LOC. THERE WAS NO PROBLEM WITH CESSPOOL OPERATION. A&B CANCO WAS THEN ASKED TO PRODUCE A COMPLETE INSPECTION. Title 5 Inspection Form 6/15/2000 2 Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 34 PARKER ROAD WEST BARNSTABLE,MA 02668 Owner: JOANNE NEUWIRTH Date of Inspection: DUNE 8,2005 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 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: SINGLE CESSPOOL. Title 5 Inspection Form 6/15/2000 3 f - a Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 34 PARKER ROAD WEST BARNSTABLE,MA.02668 Owner: JOANNE NEUWIRTH Date of Inspection: JUNE 8,2005 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool �— Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation �— Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well Any portion of a cesspool or privy is within 50 feet of a private water supply well Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CUR 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. Title 5 Inspection Form 6/15/2000 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 34 PARKER ROAD WEST BARNSTABLE,MA 02668 Owner: JOANNE NEUWIRTH . Date of Inspection: JUKE 8, 2005 Check if the following have been done. You must indicate"yes" or"no"as to each of the following Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out? ✓ Were all system components,including the SAS,located on site? ✓ Were the 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 ✓ 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 ✓ Existing information. For example,a plan at the Board of Health. ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CUR 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: 34 PARKER ROAD WEST BARNSTABLE,MA 02668 Owner: JOANNE NEUWIRTH Date of Inspection: JUNE 8,2005 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CNvIR 15.203(for example: 110 gpd x#of bedrooms: 220 Number of current residents: 2 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): N/A Seasonal use(yes or no): YES Water meter readings,if available(last 2 years usage(gpd)): WELL WATER Sump pump(yes or no) NO Last date of occupancy: N/A COMMERCIAL/INDUSTRIAL—N/A Type of establishment: Design flow(based on 310 CMR 15.203): Basis of design flow(seats/personsisgft,etc.): Grease trap present(yes or no): Industrial waste holding ta&-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: OWNER Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: 0 gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from 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: 1930—OWNER RECORDS 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: 34 PARKER ROAD WEST BARNSTABLE,MA 02668 Owner: JOANNE NFUWIRTH Date of Inspection: DUNE 8, 2005 BUILDING SEWER(locate on site plan): N/A Depth below grade: Materials of construction: Cast iron _ 40 PVC _ other(explain) Distance from private water supply well or suction line: 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 ( p ) 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: 34 PARKER ROAD WEST BARNSTABLE,MA 02668 Owner: JOANNE NEUWIRTH Date of Inspection: DUNE 8,2005 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): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Title 5 Inspection Form 6/13/2000 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: 34 PARKER ROAD WEST BARNSTABLE,MA 02668 Owner: JOANNE NEUWIRTH Date of Inspection: DUNE 8,2005 SOIL ABSORPTION SYSTEM(SAS): N/A (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: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,eta) CESSPOOLS: YES (cesspool must be pumped as part of inspectionXlocate on site plan) Number and configuration: ONE Depth—top of liquid to inlet invert: T—6" Depth of solids layer: 6" Depth of scum layer: V Dimensions of cesspool: 8'X 6'WIDE Materials of construction: CEMENT BLOCKS Indication of groundwater inflow(yes or no): NO Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation etc.): NONE 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 6/15J2000 9 Page 10 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 34 PARKER ROAD WEST BARNSTABLE,MA 02668 Owner: JOANNE NEUWIRTH Date of Inspection: JUNE 8, 2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch:)f the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Address: 311 / PA4It52 13Agfu 5 Owner: A16-V W iRth hs Installer: A ,' /3 G'A/V C°, Installation Date: AS-BUILT DESIG N BELOW REAR Y,Fb` Cess�c 1 Town of%10 Health Department i Title 5 Inspection Form 6/15/2000 10 r Page 1.1 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 34 PARKER ROAD WEST BARNSTABLE,MA 02668 Owner: JOANNE NEUWIRTH Date of Inspection: JUNE 8,2005 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to groundwater 25 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: .7— Checked with local excavators,installers-(attach documentation Accessed USGS database-explain: You must describe how you established the high ground water elevation: TEST HOLE ON SITE 8'BELOW CESSPOOL BOTTOM. TOTAL DEPTH 16' NO WATER. Title 5 Inspection Form 6/15/2000 11 OFtNE l0� DATE FEE: * BARNSPABLE, MASS. i639• ` REC. BY Town of Barnstable S CFIED. DATE: Board of Health 200 Main Street,Hyannis MA 02601 j Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION ,` -,�/� Property Address: J 4 I `�`�r �/1 W p 1W S 1 �"r3 4 MAI , Assessor's Map and Parcel Number: 7 Size of Lot: Z, 14C124 Wetlands Within 300 Ft. Yes Business Name: N (A No SubdivisionAName: APPLICANT'S NAME: A i Kc K W C 9()JV Phone J U b Z' 7 6 Y 7 Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON � Name:c�1y Nk)11J 1 M1 Name: _ Yk 1 K� P.�G 1 Q j Address: 6 Ufv)9 V �� 0 09%U Address: �— q Q f Phone: �l C_ ��_1-? 2) 1 / �(7 Phone% VARIANCE FROM�/REGULATION'(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 0 W V,cg a t ue.Sh -1,o re NATURE OF WORK: House Addition ❑❑❑❑❑❑ House Renovation ❑ Repair of Failed Septic System ❑ Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans"submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) R, , _ Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only], outside dining variance renewals [same owner/leasee only], and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) G Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne A.Miller,M.D.Chairman NOT'APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Susan G.Rask,R.S. Q:\HEALTH\Application Forms\VARIREQ.DOCW,, , , it f +'. i �'� l � I t �O G Q cJ� ��� -� �� © i �� . �p �`, j � i I i (a � '�. �1 Q y r �\ . E Town of Barnstable • �ARNS'['A16i.E. • Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. July 14, 2005 Mr. Mike Kingston P.O. Box 516 West Barnstable, MA RE:; 34 Parker Road,'West Barnstable: A=11197=003 Dear Mr. Kingston, You are granted a variance on behalf of your client, Joan Neuwirth, to re-construct a barn at 34 Parker Road,West Barnstable, without first replacing the single cesspool. The variance granted is as follows: 360-9 and 360-11,Town of Barnstable Code: The existing septic system consists. of one cesspool. This system will not be upgraded as a condition of the building permit as required by the section. This variance is granted with the following condition: • The barn, and/or any portion of the barn, shall not be finished into habitable space. The existing onsite well is only 68 feet away from the cesspool. It is recommended that the onsite well should be tested annually to ensure the water is safe to consume by the residents. The existing barn is in desperate need of major repairs or total replacement. The proposed replacement barn will not be connected to the cesspool and will not contain any finished rooms. The applicant testified that the barn will be used for storage. This variance is granted because it is the opinion of this Board that the cesspool and the environment will not be impacted by the proposed use of the-replacement barn. Sincer yours, , Wane Yjiler, M.D. chairmzV KingstonSingle Cesspool FROM :WESTBARNSTABLEBUILDERS FAX NO. :5083627645 Jun. 15 2005 08:23AM P1 West Barnstable Builders, Ine. P.O.Bar 526 • West Barnstable, MA 02668-1124 (508) 362-7647 6-15-05 ( 3/ Z 7GY! FAX TRANSMITTAL TO: Dave Stanton , Barnstable Board of Health FROM: Mike Kingston /' SlvZ • �o`/ RE: 34 Parker Rd. , West- Barnstable, MA CC: Owner: Joan Neuwirth Dave , I reply to your call yesterday , this is to formally verify that we did cancel our hearing of yesterday, due to the lack of a septic system evaluation report for this property. The report, by Canco, is now in hand, and will be given to the Board of Health today. We also want to verify that we are now on the agenda for the new Board meeting, July 12th? T you very much, Mk 4Kin ton , agent fo can Neuwirth Page. CERTIFICATE OF -ANALYSIS a v. 3yss� '` Barnstable County Health Laboratory Report Dated: 8/25/2006 Report Prepared For: Order No.: G0637900 M. Joan Neuwirth 54 Bundy Lane Storrs, CT 06268 Laboratory ID#: 0637900-01 Description: Water-D�rinkking Water Sample#: Sampling Location 34 PaF -rkcr-Road•W-est B��rnstable,MA Collected: 8/23/2006 Collected by: M.J.N. Map 197 Parcel 003 Received: 8/23/2006 Routine ITEM RESULT UNITS RL MCL Method# Tested LAB: Inorganics Nitrate as Nitrogen 2.0 mg/L 0.10 10 EPA 300.0 8/23/2006 LAB: .Metals Copper 0.18 mg/L 0.10 1.3 SM 3111 B 8/24/2006 Iron 1.4 mg/L 0.10 0.3 SM 311113 8/24/2006 Sodium 47 mg/L 1.0 20 SM 3111 B 8/24/2006 LAB: (Microbiology , 1 Total Coliform Absent P/A 0 0 309 r ,4 ;8/23/2006' LAB: Physical Chemistry i v= Conductance 380 umohs/cm 2.0 EPA 12011 '` -8/23/2006 pH _ 6.2 —_ pH-units-- 0 --_ EPA 150.1 8/23/2006' Sodium level is above the maximum contaminant level. Those on a low sodium diet may wish to consult a physician. The water may present aesthetic problems(taste,odor,staining)due to Iron Approved By•.-- --- ----- -- (L hector) «.. RL = Repo_ting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 } Page 4 of 4 IX. E Proposed Temporary Food Establishments at Special Events: # A. , Jaci Barton, Barnstable Land Trust's "Gifts By the Sea"- 239 Eel River Road;Osterville, seafood kabobs 1 salads, raw bar, chowder, cakes, and f p desserts are proposed. . B. Lindsey Counsell, Three Bays Preservation, Lobster Dinner-August 6, 2005, little necks, oysters, shrimp, clam chowder, lobster, steamers, mussels, ` linguica, sausage, and potatoes are proposed. C. Jack Finelli- Cape Cod Mall Summer Carnival- July 8th through the 17t., 180 Falmouth Road, Hyannis, fried dough, soda, coffee, French fries, hot dogs, hamburgers,sausage, carmel apples, popcorn, and soft serve ice-cream proposed. s s D. Bill Bussiere., Cape Cod Baseball League Allstar Game—July 30th at McKeon Baseball Field, chicken fingers, ribs, burgers, hot dogs, chicken sandwiches, onions, and wings proposed. E. Karen Lee- - Farmer's Market, Wednesday mornings from June 22"d until end of September at 540 Main Street Hyannis, at rear of building, whole fruits, whole vegetables, eggs, baked gods, jams, jellies, bread, honey, proposed. (Relish, hot sauce, spice rubs, and marinade are no longer proposed to be rved). rJ,M �k i Y'f cG�erf X. Variance Requests/ New Construction: / �� - Mike Kingston- 34 Parker Road, West Barnstable requests permission to �' rebuild an old barn, single cesspool. 3 61 76 Y t` f j XI. and A. David Faherty- James Stephen Resort Village, 102 lyannough Road, Y 0 Hyannis jt y j[ B. Alan Chan- Best Value Inny 206 Main Street, Hyannis 1 XII.. Subdivision: jl Jeffrey Pepi and Kempton Nickerson- Modification Plan of Lots located at Jennifer Lane XIII. Old Business/ New Business '. A. Roz Gruber- Status of occupancy at Rainbow Motel, septic system repair I B. ''Phil Boudreau regarding sewer availability at 396 North Street Hyannis. 1 C. Elizabeth Haskell — Contract position at County Health Department, EDS and IDEP planning. J_:. 4 F I � I a . Page 1 of 4 i f { Town 'of Barnstable f : 16 Board of Health i 200-Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. BOARD OF HEALTH MEETING AGENDA Tuesday, June 14, 2005 at 7:00 PM Town Hall s Second Floor Conference Room i 367 Main Street, Hyannis, MA I. Massage License Applicants: A. Linda Lee Preston -Proposes to practice massage at Barnstable Family t Chiropractic, B. Colleen Robertson — Proposes to practice massage at the Cape Codder Resort and Spa. I l C. Aline T. Banville - p g Proposes to p practice massage at Osterville Fitness and p Wellness Center D. Erin Louise Brown-Cohan Proposes to practice massage at Vista Del Mar t Spa E. Abigail Hayes — Proposes to practice massage at the Cape Codder Resort and 'Spa, Route 132 Hyannis ' f e L ,l II. Variance Request/ Massage: I� { ' Yong Sheng Li, Revival Body Work- Requests a variance to employ two unlicensed persons to give back and shoulder massages at the Cape Cod Mall ` from a push-cart, customers remain fully clothed. I III. Continued Items from Previous'Meeting: A. Lynn Whiting Hamlyn representing John Greene- 269 South Main Street, Centerville, 28,749 square feet parcel, vacant lot, proposal to construct a new two bedroom dwelling, five variances requested regarding distances to wetland and property line. ; I I S I r � 4 Page 2 of 4 B. Carmen Shay R.S. representing'Mary Shubel— 11 Nyes Point Way,, Centerville, 21,819 square feet lot, existing three bedroom dwelling,four =` variances requested to repair failed system. C. David Coughanowr, R.S. representing Thomas and Cynthia Furey 10 ' Wayside Lane , West Barnstable, 56,013 square feet property, existing T dwelling, private well setback variances requested. D. Jesse Caprio representing David Hubbell - 22 Third Avenue, Osterville, 4,000 square feet parcel, proposed additions to home, leaching facility would be located three inches from new crawl space foundation, septic tank would be located one foot away from new foundation. # E. Kieran Healy representing David M. Ross-#0 Water Hole Lane, 21,819 square feet parcel, vacant lot, proposed four bedroom dwelling, three t variances requested in regards,to setback to wetlands. IV. Hearing: Dair Galo—500 Huckins Neck Road, Centerville, regarding the number of bedrooms observed recently. i V. Replacements of FailedSeptic Systems ("Emergency Repairs"): A. Peter McEntee, P.E. representing Amy Killoran- 34 Pond Street, Centerville, I 0.23 acre, four variances needed to replace failed system. f 1 B. Carmen Shay representing Dwight Giddings- 30 and 32 Fresh Holes Road, j Hyannis, 5,180 square feet parcel, eight variances needed to replace failed septic system. VI. Proposed Repairs/Replacements of Failed Septic Systems: A. Ronald Cadillac representing John and Margaret Whyte— 10 Boxwood Drive, i West Barnstable, 15,500 square feet parcel, three variances requested requested to replace failed system. t - € - Ladd Road Centerville B. � 3 Ronald Cadillac representing Sarah Hardy 90 , 31,800 square feet parcel, four variances requested to replace failed system. C.' Priscilla Jones- 240 Church Street, West Barnstable, pump chamber proposed 65 feet away from a wetland. D.� 0 Edward Pesce representing Kerry McNamara- 18 Bay Lane, Centerville, 1.61 acre parcel, proposed replacement of a faded cesspool. E. ,.Arlene Wilson representing Dewey and Margaret Awad- 980 Main Street, Cotuit, 0.47 acre parcel, proposed repair of a failed septic system. S L i 3}# f � x � Page 3 of 4 F. Peter Sullivan representing Martha Kelly— 93 Pheasant Way, Centerville, 0.42 acre parcel, proposed replacement of leaching facility. VII. , Six or More Bedrooms } t A. Peter Sullivan representing William and Paula O'Keefe 118 Windswept .,E r Way, Osterville, 112,820 square feet parcel, proposal to add three bedrooms to .r four existing bedrooms for a total of seven bedrooms. B. Thomas_DeMayo=..149 Olde Jail Lane, Barnstable, 1.93 acre parcel. C. Giovana Odao representing Hermes Santa Rosa- 27 George Street, Hyannis, 0.27 acre parcel, proposed increase from three bedrooms to six bedrooms. r a ' D. Josue De Souza — 127 Bristol Avenue, Hyannis, 0.27-acre parcel, proposed € increase from four bedrooms to six bedrooms (two bedrooms in basement), f septic system evaluated by Peter Sullivan, P.E. Vill. Food Establishments; Variance Requests ' A. Lynn-Whiting Hamlyn representing Osterville Fish Too- 275 Millway Road, Barnstable, requests a-variance from Section 322-4, Toilet facilities, proposal to utilize 32 seats without providing separate male and female restrooms. B. Susan Gincauskis- The Dog Shack, 569 Main Street, Hyannis, requests permission to add pizza to the menu, existing BIG DIPPER grease recovery device maintained onsite. C. Mark H. Boudreau representing Susan Taylor, Women's Workout Company- Attucks Lane, Hyannis, preparation of protein shakes and juice drinks, without a double-bay or triple-bay sink provided. i D. Patrick Butler representing Chrisco Realty, LLC- Dunkin Donuts , 156 lyanough Road, variance requested from Section 322-4, Toilet Facilities, proposal to construct one restroom, no seating for patrons proposed. r E. Tracy Anderson, the Wine List-65 Independence Drive, Hyannis, requests a variance from Federal Food Code, 4-501.112, mechanical dishwasher � e } sanitizing temperature. J 3 { F. David Salvage- Coldstone�Creamery, Festival Mall, lyannough Road s Hyannis, requests variance from requirement for an exterior grease trap i i - lyf.SiDarnstable Builders, Inc. P.O. Box 516 • West Barnstable, MA 02668-1124 (508) 362-7647 July 5 , 2005 Board of Health Town of Barnstable RE: Joan Neuwirth , Owner ` 34 Parker Road West Barnstable , MA Request for Variance from Regulation Section 360-11 and B.O. H. regulation enforcement during building permit process ENCL : Septic Inspection Report of property by A & B Canco To Whom It May Concern: My name is Mark Kingston .• I am the co-owner of West Barnstable Builders , and I am here representing Joan Neuwirth , owner of the property @ 34 Parker Road in West Barnstable . On December 8th , 2004, we received approval from the Old King ' s Highway Historic Committee to rebuild an old barn on the property, Specifically, we were approved to completely demo the existing wood frame structure down to .the existing three-sided stone foundation , and then to rebuild the structure as a reproduction of the existing building : same door & window layout , same roof pitch , siding and roofing , etc . The Historic Committee ' s approval was unanimous : they were very receptive to the idea of .restoring this barn , given that it is presently dilapidated and in very poor shape . In addition , we met with Building Inspector Paul Romer, on January 18th , 2005, on the property. He- made a visual inspection of the existing structure and did verify that the existing stone foundation would be suitable for the new structure . In applying for the Building Permit for this project:, we were denied a sign-off by the Board of Health due to the fact that the existing septic system does not meet current Title V criteria for. a .residential septic system. f We respectfully re a variance p y request q e in order to obtain a signoff from the Board of Health for the reconstruction of this barn, for the following reasons : [1 ] The structure presently does not have a connection to the septic system, has never had a connection, and no such connection would be made in the future . In other words , it always has been a barn , and no change of use will occur. [ 2] Our permit request for the barn i.s limited to the reconstruction of the wood frame building . No finish work of any kind will be requested , nor will it occur in the future . [3] None of the work involved in the demolition and re- construction will have any impact on the existing septic system. The barn is approximately 100 ' +/- from the existing house , and 11 11 55 ' +/- away from the septic system. No excavation is necessitated by the barn reconstruction beyond its existing footprint . In closing , we would also like to add that the Barnstable Conservation Commission has signed-off on this permit request on May 12th , 2005 . Mrs . Neuwirth and family have owned this property, and paid taxes on this property for many years , as she will attest . They have never attempted to circumvent any zoning regulation] or ordinance . We .hope that the Board will see fit to: grant this variance under the circumstances , especially in light of the fact that the existing system is , to quote the Canco inspector, is in "very good shape" , and. that the work which we intend will have absolutely no impact , one way or the other, on the functioning of the existing septic system. Sincerely Mark Kingston Co-Owner , West Barnstable Builders