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0019 MOCKINGBIRD LANE - Health
s ,i g mockingbird#L�Avl' Marstons Mills A="014 - 026 �I Ai n Its�^P��`�e ._.C��IiCP^'.G>r�✓/� tiid' � �-,Lem ofq- oa. Commonwealth of Massachusetts 0)0e }n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information is Marstons Mills MA 02648 February 5, 2020 required for every — ry page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. Inspector Information 6( r f�-f 3�-3 filling out forms on the computer, use only the tab Patrick T. Sullivan key to move your Name of Inspector cursor-do not Ready Rooter Excavating use the return Company Name key. Box 89 Co � Company Address Forestdale MA 02644 ILA Cityf town State Zip Code 508-509-0802 S112843 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails February 10, 2020 _ Inspec o s Signature Date 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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. J Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 �l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments l� 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information is required for every Marstons Mills MA 02648 February 5, 2020 page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® 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: 2) System Conditionally Passes: ❑ one or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon corn letion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determi ed" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 ye s old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltratio or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is repla d with a complying septic tank as approved by the Board of Health. ' A metal septic tank will pass ins ection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the t k is less than 20 years old is available. ❑ Y ❑ N ND (Explain below): t5 nsp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts �. p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information is required for every Marstons Mills MA 02648 February 5, 2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out r high static water level in the distribution box due to broken or obstructed pipe(s)or due to roken, settled or uneven distribution box. System will pass inspection if(with approval of Boar of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is level d or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y.,. ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): i 3 Further Evaluation is Required b the�Board of Health: q Y ❑ Conditions exist which require fu er evaluation by the Board of Health in order to determine if the system is failing to protect p blic health, safety or the environment. a. System will pass unless oard of Health determines in accordance with 310 CMR 15.303(1)(b)that the syst is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information is Marstons Mills MA 02648 February 5, 2020 required for every rY page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bord ng vegetated wetland or a salt marsh b. System will fail unless the Board of Heal t (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: i" ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributa to a surface water supply. ❑ The system has aseptic tank and SA and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and S Sand the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and AS and the SAS is less than 100 feet but 50 feet or more from a private water supply we **. Method used to determine distance- This system passes if the well wa r analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent d the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided th t no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No El ® 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I'- Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information is required for every Marstons Mills MA 02648 February 5, 2020 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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 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 water supply 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] The system is a cesspool serving a facility with a design flow of 2000 gpd- ❑ ® 10,000 gpd. ❑ ® 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. > Yes No / ❑ ❑ the system is within 4 0 feet of a surface drinking water supply ❑ ❑ the system is withi 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is to ted in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) a mapped Zone II of a public water supply well 1:5 nsp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry owner owner's Name information is Marstons Mills MA 02648 February 5, 2020 required for every ry page. CitylTown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes"or"no"for each of the following for all inspections: 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, excluding the SAS, located on site? ® ❑ 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? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ 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 CMR 15.302(5)] t5insp.doc•rev.7/2612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information is Marstons Mills MA 02648 February 5, 2020 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 348 GPD Description: 0 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry.system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2018= 350 GPD 9 ( Y 9 (9P )) 2019= 175 GPD Detail: Sump pump? ❑ Yes ® No Summer 2019 Last date of occupancy: Date t5insp.doc-rev.7/26/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . �P 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information is Marstons Mills MA 02648 February 5 2020 required for every ry page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.)' Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to.- Industrial waste holding tank presen . ❑ Yes ❑ No Non-sanitary waste discharged to a Title 5 system? ❑ Yes ❑ No Water meter readings, if availa e: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: New system 2017 Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Site tube on truck Reason for pumping: Heavy solids and Maintanence t5iisp.doc•rev.712 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner owner's Name information is Marstons Mills MA 02648 February 5, 2020 required for every ry page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. 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/Altemative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: System installed August 28 2017. Certificate of Compliance on file at Health Dept. Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): grade: Depth below 1.5 p g I feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 official inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts i Title 5 Official Inspection Form t Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name requir required is Marstons Mills MA 02648 February 5, 2020 required for every ry page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 8" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10.5' x 5.5'x 5' 1500 gallons 6" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 27" Scum thickness 2'at inlet, 6" at outlet Distance from top of scum to top of outlet tee or baffle 6 1. Distance from bottom of scum to bottom of outlet tee or baffle 9 How were dimensions determined? Dip tube and tape measure Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet and outlet tees in place. Liquid level at outlet invert. Tank pumped and cleaned by Ready Rooter, Inc after inspection Recommend maintenance pumping every two years. t:insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information is Marstons Mills MA 02648 February 5, 2020 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fi erglass ❑ polyethylene ❑ other(explain): Dimensions: m Scu thickness Distance from top of scum to t/ofutlete or baffle Distance from bottom of scum outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be purr ped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: 7 gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts �- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owners Name information is Marstons Mills MA 02648 February 5, 2020 required for every rY page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: /es, etc.): rm in working order: ❑ Yes ❑ No Date of last pumping: e Comments (condition of alarm and float swit *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): One inlet, two outlets. Speed levelers in place. H-10 d-box 3.5' below grade with riser within 6"of grade. No high water staining over outlet inverts. Light solids carryover not affecting system operation at time of inspection. I t5insp.doc-rev.7/262018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 L Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information is required for every Marstons Mills MA 02648 February 5, 2020 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump c/ber, ondition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 2-500 gal w/4' stone. ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/2812018 Title 5 official Inspection Form:Subsurface Sewage Disposal system-Page 13 of 18 cry Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information ldfn is Marstons Mills MA 02648 February 5, 2020 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Chamber located and inspected with camera. Unit 3.8' below grade. No vent found. 1+"standing liquid at time of inspection. High water staining 1.5+-' below invert. Clean stone visible in sidewall. No sign of past hydraulic failure. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer i Depth of scum layer Dimensions of cesspool / Materials of construction / 1 Indication of groundwater infl w ❑ Yes ❑ No Comments (note condition f soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5 nsp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information is Marstons Mills MA 02648 February 5, 2020 required for every rY gage. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of draulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts �- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information is Marstons Mills MA 02648 February 5, 2020 ,required for every ry page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately F1 T i j J I I � I Q � 0 0 i 0 ` t5insp.doc•rev.7262018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 l Commonwealth of Massachusetts �- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owners Name information is Marstons Mills MA 02648 February 5, 2020 required for every rY page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: '5 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 08/11/2017 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain.- Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: maps.massgis.state.ma.us/oliver.ph You must describe how you established the high ground water elevation: Test hole in 2017 found no ground water at 138" (elv= 90.3). Base of units at elv= 96 per engineered plans. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5in5p.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 19 Mockingbird Lane Property Address Frederick Barry Owner Owner's Name information is rY Marstons Mills MA 02648 February 5 2020 required for every , page. CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included I t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Foam:Subsurface Sewage Disposal System•Page 18 of 18 I C� ,�ATOWN OF BARNSTABLE LOCATION l ` /+" OC-1QV-'1/���ltRl L -1 SEWAGE# cPO/s7'0qN10 VILLAGE r'lS/t ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. ( _/�/OW (�OQ ���►t G SEPTIC TANK CAPACITY LEACHING FACILITY: t ) (type)��"��Ys (size NO.OF BEDROOMS BUILDER OR OWNER l PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: r Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leac ' facility) Feet Furnished by �. �� -5,:p7 41 4y j9 7*.aV No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes fitation for Mis oral stem Construction Permit Application for a Permit to Construct( ) Repair'(g/�Upjrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.I f�oClic ��i /�- Owner's Name,Address,and Tel.No.�JPY t'<S o� lee Assessor's Map/Parcel Installer's Name,Address,and Tel.No Designer's Name,Address,and Tel. ��9irlPQO�� l�aa ,3.!CJ LL. SBA 7f9^ c 4 s a� T 7—S9/3 Type of Building: Dwelling No.of Bedrooms �Z Lot Size 1,7,4-" sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date ��/4 ;2- Number of sheets 2 Revision Date Title Size of Septic Tank //B©o Type of S.A.S. 2Z X Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued this Board of Health. / i d Date �` 3 Application Approved by Date Application Disapproved b Date fir the following reasons Permit No. Date Issued No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0(pplication for -isposal *pstem Construction permit Application for a Permit to Construct( ) Rp_&'( Urirade�( ) Abandon( ) ❑Complete System ❑Individual Components 4 Location Address or Lot No./f_-,r-clop usvner's Name,Address,and Tel.No.,F Assessor's Map/Parcel D O - r / a - Installer's Name,Address,and Tel. Designer's Name,Address,and Tel.Xo.�.yirr �'� Type of Building: Dwelling No.of Bedrooms Lot Size /,7t" sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ' 7,? Q gpd Design flow provided ..:7e%p 7'' gpd Plan Date xz�ZZ y Number of sheets Revision Date Title i��� r�� r/`�•ri� S�s���r v ���� Size of Septic Tank /�o o Type of S.A.S. Description of Soil I Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: 'i The undersigned agrees to ensure the constructn and maintenance of the afore described on-site sewage disposal system in i accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued this Board of Health. { i \ed _ _/ Date �� Application Approved by Date Application Disapproved b Date for the following reasons i Permit No. 60Date Issued i ---------------------- ------------ ----------------------------- -------•------- --- - ----------------------------------- ' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS i (Certificate of Compliance THIS IS TO CE�RT-IFFY,that the On-site Sewage Disposal system Constructed( ) Repaired(c/) Upgraded( ) Abandoned( )by 'o�.e at ,� q _.��n�/,,' ����,.� / , has been cons cted' cco e --T. with the provisions of Title 5 and the for Disposal System Construction Permit No. a Installer ,��r__j- _� Designer #bedrooms ./ Approved design flow gpd The issuance of this permits ll not be construed as a guarantee that the system (wi11 funct�ita�fle 'gned. Date Inspector Inspector ---------------------- --�-- ------------------------ ------------------------ -----------------------------------l� -- --- No. e Fee-- f— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction 3permit � Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at �j and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constructio mustl c plet d within three years of the date of this permit. Date ! Approved by r Town of Barnstable °Ft ,° Regulatory Services Richard V. Scali,Interim Director * BAMSrasi.E, MASS. Public Health Division 039. '°rForna�s Thomas McKean,Director 200 Main.Street,Hyannis,MA02601 Office: 50&862-4644 Fax: 508-790-6304 t Installer & Designer Certification Form - Date: 1 10� Sewage Permit#„70/7—?�'�' Assessor's MaplParcel C71 y O'" t Designer: �Ii�',>7ee�Tin� Wo r-4s , (n r,. . Installer: ccl c i Address: !Z W, C ebs�,e (J f24 Address: 3.5-0 A .Sf' i s{-�t��Q tM�A o Z��t w �/. arrk o,r�� MA_ 626( q On _ C►IeC cj jy+:� s%rS.was issued a permit to install a (date) M (installer) A� septic system at .I s I'bC- s o.. 6:rd 6, I"In 1` �"�-11S based on a:design drawn by. 'Ft;l er %. M LG-,i+-ce 1i L (address) w6Au Al C { dated 8�11 11? I Zug 1 V7 (designer) I certify that the, septic system referenced above was installed substantially according to the design, which may include minor approved changes!such.as Lateral relocation of the distribution box and/or septic ,tank. Strip out (if required) was inspected and the soils were found satisfactory. t L I certify that the septic system referenced above was installed with major changes (i.e. greater than. ,1.0' lateral relocation,of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations. Plan'revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory.. I certify that the system referenced above was constructe nce with the terms of the IAA approval letters(if applicable) - �►OF / PETER T. a CIVIL (Installer's Signature) s109 '. 1STER �,� IOMUAL (Designer's Signature) (Affix D�signer tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT .BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designer Certification Form Rev 8-14-13.doc Town of Barnstable P# / 5 Department of Regulatory Services (� 11 Public Health Division a M ', Date -7 �A tal9 ♦e�, 200 Main Street,Hyannis MA 02601 P • lf0 h1A'�� F I. Date Scheduled Time `` Fee Pd. A I ® I r Spoil Suitability Assessment for S e Disposal Performed By: 1-CA-4— Witnessed By: <— LOCATION & GENERAL INFORMATION Location Address K,0 C A�� C��.'i ✓L,�1/01 �.� Owner's Name Fr_ i Z 2.(� K (� 1"lCi f5 +1311,X Address K-7'.5- )Z Assessor's Map/Parcel: o( o`Z, Engincer's Name NII CONSTR)UC�TION r REPAIR :� / Telephone# -07 7 3 -7, —7 6 Land Use w_ ��-t'��(` f�7�+A� Slopes(40)_( Z Surface Stones/v O/d^� Distances from: Open Water Body A//0— ft Possible Wet Area-Aiki—I ft Drinking Water Well'?r-S�ft Drainage Way_ ft Property Line ZY t`',t Other ft SKETCH:(Street name,dim:nsions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes) 1 � o Ma ' Parent material(geologic) Depth to Bedrock all0_ T Depth to Groundwater: Standing Water in Hole: AJIA _ Weeping from Pit Face Estimated Seasonal High Groundwater f � DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: _in, Depth to Sall maftleq: �� in. Depth to wt;ep?ng.t'rom silt>of nhs.hole..: lndez V;°ell# *ading Date: - index Well 1e'v i r� AdJ,i actar �; Adj.Groundwater live(ti Observation PERCOLATION TEST bate Time •�� 2 Hole# Time at h" _ Depth of Perc ! _ ' l Time at V - Start Pre-soak Time @ _ _ q r, p Time(9"-V) _ ^� End Pre-soak Rate Min./Inch. _t Site Suitability Assessment: Site Passt:d Site Failed:, Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to the conducted within 100' of wetland,you must first notify the, Barnstable Conservation Division at least one (1) week prior to beginning. Q:\S EPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG '[10le# / Depth from Soil Horizon Soil Texture Soil Color Soil I Other Surface(in.) (USDA) (Munsell) Mott)ing (Structure,Stones,Boulders. s Consistencv.% Gravel)— c; uM-C �►. 2 ts,-c Ercl a ' ' qo -1✓� C z 54�� 2,SY '44 , DEEP OBSERVATION HOLE LOG 11ole# .� Depth from Soil Horizon Soil Texture ' Soil Color' Soil Other Surface(in.) ; t (USDA) (Munsell) Mottling (Structure,Stones,Boulders. _ Consistency %Gravel) DEEP OBSERVATION HOLE LOG. Hide# Depth from. Sail Horizon Soil Texture Sail Color Soil' Other " Surface(in.) (USDA) _ ._ (Munsell) Motl9ing (Structure,Stones,Boulders. 4 — Consistency,%Gravel).-- DEEP OBSERVATION HOLE LOG Role# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. —Consist _n y,qb Gravel)___! Flood Insurance Rate Map: . --,Above 500 year.flood boundary No Ye Within 500 year boundary No_X1 Yes Within 100 year flood boundary No Yes Depth of'Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? Certification g I certify that on . 1 (date)I have passed the soil evaluator examination approved by the: Department of Environmental Protection and that the above analysis was p;-.rformed by me consistent with the required train' expertise and experience described in 310 CMR 15.0,K7. Signature_ ( � Date_ [, . ( 17 Q:�S EFTICIPERCFORM.DOC r Town of Barnstable ZHE Tp� Regulatory Services OF xs �v` o Thomas F. Geiler, Director " Public Health Division SARNSTABLE, 9 MASS. g Thomas McKean, Director Cb iGg9, ,�� ' Y}t17 prE1 39.(A 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 4, 2008 Fred Barry 60 Adams St STE 201 Milton, MA 02186 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 19 Mockingbird Lane, Marstons Mills Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at www.town.barnstable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate 2008 fees included. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4644. Thank you in advance for your cooper o . Timothy B. Connell Health Inspector Health Division Direct#508-862-4646 FORM30 Caw HOBBSBWARREN M THE COMMONWEALTH OF MASSACHUSETTS B?ARD OF HEALTH �nts e CIT�Tftk, W o DEPARTMENT MA 021601 'o / ADDRESS Q,M SyBy`0W ;2_ e .j T EPHO E (/r/ Address M04 6r�r�iC Z�1e'. Py• A44/5 Occupant-de CA �49fskllel' Floor Apar ent No. No.of Occupants No. of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units_ No.Stories j Name and address of owner Fr�e en'ck ,6,�A,.,-,A &t-o-J 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: Roof Gutters, Drains: p $ DrtSfAt, Walls: Foundation: Chimney: BASEMENT Gen,Sanitation: J, P S s,"'15�'"`� Dampness:�, i Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall, eilin : Hall Li htin Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: r .Q Pc, A ce.. H.W.Tanks Sa t and Vent s ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Venlil. 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. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Buildin Posted vil S•' 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 INSPEC ON RE ORT IS R SIGNED AND CERTIFIED UNDER THE PAINS AND "PENAL IES �ERJU . INSPECTOR 0` � TITLE G Ur DATE TIME p THE NEXT SCHEDULED REINSPECTION CQAfi1ei" I P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 41C.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 requited by 105 CM-R 410.254. : 1' (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 41,0 300. 1 ' F a. (G) Failure to provide adequate'exifs,`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 41,0;600, 410.601 or 410.602 which results in any,:a cumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage ffor o enfs, 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`acilties 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. - - IME Town of Barnstable; Pces POSTq� Public Health Division; 200� Main Street I ? ,fin/'.yam i'IINEV 6UWE5 ° Hyannis, MA 02601 ®® $ 05.320 02 1A 7006 2150 0002 1041 8955 0004606238 J ODE 200 02601 MAILED FROM ZIP CODE 4N I NSXZE 0:22 aD S L c RETURN TO SENDER NOT DELIVERABLE AS ADDRESSED UNADLE TO ® W F' � ARD ac: O.',601400.200 *0969--033.24-OS.-07 1111111111„4 lit III p SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY I ■ Complete items 1,2,and 3..Also complete A. Signature item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you.. B. Received by(Printed Name) C. Date of Delivery I ■ Attach this card to the back of the mailpiece, } or on the front if space permits. I D. Is delivery address different from item 1? ❑Yes I I 1. Article Addressed to: dress below: ❑No 1� If YES enter delivery ad . ry I � I } I 3. Se a Type Certified Mail ❑ ress Mail ❑Registered eturn Receipt for Merchandise 6 ❑Insured Mail ❑C.O.D. ri 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number I 4 7006 2150 0002 1041 8955 kk I (1-mnsfer from service label) J i i i I PS Form 3811, February 2004 Domestic Return Receipt 102595 o2-M-15401 r Town of Barnstable �oFT r ti Regulatory Services F a m—abIa e Thomas F. Geiler, Director �e Public Health Division * BAMSTABLE, v MASS. $ Thomas McKean,Director 1639. 1 3�s 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 4, 2008 Fred Barry 60 Adams St STE 201 Milton, MA 02186 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental 'units with the Town of Barnstable Health Division. According to our records, you own the rental property at 19 Mockingbird Lane, Marstons Mills Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at www.town..barnstable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out.as.many as you need, and return them to the Health Division with the appropriate 2008 fees included. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4644. Thank you in advance for your cooper o . Timothy B. Connell Health Inspector . Health Division., .,. Direct #5.08 862 .4646 .,,'Y. �. .7.... ,,�.�.i A .. _.. ( J�' �.; f , .J, �;•lt 3 t! il: S `.t" � . r L FOR MAIL-IN REQUESTS Please mail the completed application form to the address below. Also, please include the required fee amount (see fees at bottom of this page). Make check payable to: Town of Barnstable. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 To get a rental registration application form, click here. To be able to access this form, your computer must have Acrobat Reader. Most computers have Acrobat Reader, and it will usually activate itself automatically. If your computer does not have Acrobat Reader, you can download a copy of it by going to the Adobe website. FEES Fee: $90.00 Per Unit plus $25 for each additional rental unit on the same property, with the same owner For further assistance on any item above, call (508) 862-4644 f Certified Mail#7005 1160 0000 0191 2052 Town of Barnstable Regulatory Services RAM M Thomas F. Geiler, Director MA °>. A' Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Mr. Frederick G. Barry Jr. June 15, 2006 372 Granite Ave. Milton, MA 02186 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. The property owned by you located at 19 Mockingbird Lane, Marston Mills, was inspected on June 9, 2006 by David W. Stanton R.S., Health Inspector for the Town of Barnstable because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.351: Owner's installation and Maintenance Responsibilities: Two kitchen light fixtures are inoperable. 105 CMR 410.351: Owner's installation and Maintenance Responsibilities: A pipe is leaking in the crawl space. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: The kitchen window is inoperable. 105 C MR 410.500: Owner's R esponsibility t o M aintain S tructural E lements: T he side entrance door is bent and not weathertight. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: Two bedroom doors and the bathroom door need to be properly repaired or replaced. Taping over the holes and painting it is not a proper repair. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: The wall\floor junction behind the toilet is damaged and moldy. 105 CMR 410.551: Screens for windows: Several windows observed without screens. 105 CMR 410.500: O wner's Responsibility to Maintain Structural Elements: The drain pipe hole in the wall needs to be repaired. Duct tape over a hole is not a proper repair. 105 CMR 410.500: Posting of Name of Owner: Contact info of owner not posted. QA Order letters\Housing violations\19 Mockingbird Lane#2.doc I r The following violation of the Town of Barnstable Code was observed: 4 353-1 of the Town of Barnstable Code: Responsibilities of owners and occupants: Rubbish(old moldy furniture, etc)present in the crawl space and attic of said dwelling. You are directed to correct all the violations o t e listed above within thirty (30) days of your receipt of this notice, by repairing\replacing the inoperable light fixtures in the kitchen, by repairing the leaking pipe in the crawl space, by repairing the kitchen window so it operates properly, by repairing\replacing the side entrance door, by repairing\replacing the bedroom and bathroom door holes, by repairing the wall at the floor junction behind the toilet, by installing screens in all the windows, by properly sealing off the hole around the kitchen drain pipe, by posting the owners name per 105 CMR 410.500, and by removing all the rubbish left behind by the previous tenants in the attic and crawlspace. 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. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable QA Order letters\Housing violations\19 Mockingbird Lane#2.doc e Cali gy�p°� ,�% �y � IV! Citizen Request Management Request ID: 20015 Created: 6/5/2006 3:58:56 PM Status: Assigned To Staff Assigned To: Stanton, David Health Office Anonymous: No Category: Chapter II : Housing Substandard ."eris x E.C. Date: 8/2/2006 Created By: Wadlington, Ellen Health Office Time Worked: 2.75 Response Time: 2.00 Requestor Details: Email: Request Location: 19 MOCKINGBIRD LANE Marston Mills, Ma 02648 Parcel Number: Map: 014 Block: 026 Lot: 00-01 Request: Please call if you need her at the site at least a day in advance so she can get off work. Complaint: unsanitary living conditions; doors removed from bathrooms and bedrooms; leaks and mold in bathroom and crawl area; attic and crawl space has old furniture that is wet and has mold; has contacted Landlord but has had no response from him other than he would get to these projects in the spring. •Request Work History: Entered on 6/6/2006 1:26:17 PM DS CALLED COMPLAINANT. DS SCHEDULED AN APPOINTMENT WITH HER FOR FRIDAY JUNE 9, AT APPROXIMATELY 2:00 PM. Entered on 6/23/2006 9:38:19 AM DS consulted TM as Mr. Barry did not sign the green card certified, it was a "Patrico Pett" that signed it, and the last time he was in violation for this same dwelling, he said he never received the order letter, because he didn't sign the green card, it must have been his staff. Mr. Barry contacted TM and requested a hearing before the Board, so DS pushed out the completion date to the next hearing of July 18th. Entered on 7/18/2006 9:02:38 AM DS pushed the completion date out to August 2nd, because the next BOH hearing was moved r� i to August 1st. Internal Note History: Entered on 6/5/2006 3:58:36 PM Please call Ms. Aarstiller at 508-525-2554 a day before so she can schedule herself to be off work and be at the house when you go. System entry on 6/6/2006 1:26:29 PM: Estimated completion changed from 6/7/2006 to 6/12/2006 System entry on 6/12/2006 7:42:57 AM: Estimated completion changed from 6/12/2006 to 6/13/2006 System entry on 6/13/2006 7:42:12 AM: Estimated completion changed from 6/13/2006 to 6/14/2006 System entry on 6/14/2006 7:46:38 AM: Estimated completion changed from 6/14/2006 to 6/15/2006 .__...._... System entry on 6/16/2006 7:58:36 AM: Estimated completion changed from 6/15/2006 to 6/19/2006 System entry on 6/19/2006 7:48:40 AM: Estimated completion changed from 6/19/2006 to 6/23/2006 System entry on 6/23/2006 9:09:21 AM: Estimated completion changed from 7/19/2006 to 7/18/2006 System entry on 6/23/2006 9:09:22 AM: Estimated completion changed from 6/23/2006 to 7/19/2006 System entry on 6/23/2006 9:39:22 AM: -Please Review- email sent to McKean, Thomas System entry on 7/18/2006 9:00:34 AM: Estimated completion changed from 7/18/2006 to 7/19/2006 System entry on 7/18/2006 9:02:38 AM: Estimated completion changed from 7/19/2006 to 8/2/2006 System entry on 7/18/2006 9:18:39 AM: -Please Review- email sent to McKean, Thomas , r Town of Barnstable Regulatory Services * BARNSTABLL Thomas F. Geiler, Director MAS& Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Mr. Frederick G. Barry Jr. August 4, 2006 372 Granite Ave. Milton, MA 02186 ***Update: On 8/3/06, Health Inspector David W. Stanton, RS met with the owner of the property, Mr. Frederick Barry and conducted a re-inspection of the property. All of the violations listed below have been corrected; with the exception that just one window is currently missing a screen, but has been ordered by the landlord and will be installed as soon as it arrives. There is still some personal property located in the attic of said dwelling, which has been moved and has more space available just around the opening area to the attic, however, the attic space is not part of the lease agreement and is therefore not a violation. Si erely David W. Stanton, RS Health Inspector (Previous order from June 15, 2006) 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. The property owned by you located at 19 Mockingbird Lane, Marston Mills, was inspected on June 9, 2006 by David W. Stanton R.S., Health Inspector for the Town of Barnstable because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.351: Owner's installation and Maintenance Responsibilities: Two kitchen light fixtures are inoperable. 105 CMR 410.351: Owner's installation and Maintenance Responsibilities: A pipe is leaking in the crawl space. QA Order lettersUHousing violations\19 Mockingbird Lane#3.doc 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: The kitchen window is inoperable. 105 C MR 410.500: Owner's R es onsibilit t o M aintain S tructural E lements: T he side P Y entrance door is bent and not weathertig ht. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: Two bedroom doors and the bathroom door need to be properly repaired or replaced. Taping over the holes and painting it is not a proper repair. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: The wall\floor junction behind the toilet is damaged and moldy. 105 CMR 410.551: Screens for windows: Several windows observed without screens. 105 CMR 410.500: O wner's Responsibility to Maintain Structural Elements: The drain pipe hole in the wall needs to be repaired. Duct tape over a hole is not a proper repair. 105 CMR 410.500: Posting of Name of Owner: Contact info of owner not posted. The following violation of the Town of Barnstable Code was observed: 353-1 of the Town of Barnstable Code: Responsibilities of owners and occupants: Rubbish (old moldy furniture, etc) present in the crawl space and attic of said dwelling from previous tenant. You are directed to correct all of the violations listed above within thirty (30) days of your receipt of this notice, by repairing\replacing the inoperable light fixtures in the kitchen, by repairing the leaking pipe in the crawl space, by repairing the kitchen window so it operates properly, by repairing\replacing the side entrance door, by repairing\replacing the bedroom and bathroom door holes, by repairing the wall at the floor junction behind the toilet, by installing screens in all the windows, by properly sealing off the hole around the kitchen drain pipe, by posting the owners name per 105 CMR 410.500, and by removing all the rubbish left behind by the previous tenants in the attic and crawlspace. 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 days failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable I QA Order letters\Housing violations\19 Mockingbird Lane#3.doc f FREDERICK G. BARRY, JR. ,� COUNSELLORS AT LAW MW - 60 ADAMS STREET,SUITE#201 D. MILTON,MASSACHUSETTS 02186 ha�� TELEPHONE(617)698-3770 EREDERICK G.BARRY,JR. PAX(617)698-6513 eye IS S ate (r� OF COUNSEL E-Mail:fgbarry@aol.com PAUL J.KENNEALLY OFFICE MANAGER MERRI M.McNEIL Time, 19; '%006 Town of Barnstable Public Health Division 20.0 Main Street Hyannis, MA 02601 Re: Notice of violations...19 Mockingbird Lane, Marstons Mills To Whom It May Concern: I hereby request a hearing regarding the above at your earliest convenience. Very truly yours, Frederl Barry Jr. sq. Certified Mail#7005 1160 0000 0191 2052 I Town of Barnstable Regulatory Services x Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Mr.Frederick G. Barry Jr. June 15, 2006 372 Granite Ave. Milton,MA 02186 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE I_I - MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION, AND THE TOWN OF BARNSTABLE CODE. The property owned by you located at 19 Mockingbird Lane, Marston Mills, was inspected on June 9, 2006 by David W. Stanton R.S., Health Inspector for the Town of Barnstable because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.351: Owner's installation and Maintenance Responsibilities: Two kitchen light fixtures are inoperable. 105 CMR 410.351: Owner's installation and Maintenance Responsibilities: A pipe is leaking in the crawl space. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: The kitchen window is inoperable. 105 C MR 410.500: Owner's R esponsibility t o M aintain S tructural E lements: T he side entrance door is bent and not weathertight. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: Two bedroom doors and the bathroom door need to be properly repaired or replaced. Taping over the holes and painting it is not a proper repair. 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: The wall\floor junction behind the toilet is damaged and moldy. 105 CMR 410.551: Screens for windows: Several windows observed without screens. 105 CMR 410.500: O wner's Responsibility to Maintain Structural Elements: The drain pipe hole in the wall needs to be repaired. Duct tape over a hole is not a proper repair. f Owner: Contact info of owner not posted. 105 CMR 410.500: Posting of Name o C QA Order letterMousing violations\19 Mockingbird Lane#2.doc I j_ The following violati onthe Town of Barnstable Code was observed: 4 353-1 of the Town of Barnstable Code: Responsibilities of owners and occupants: Rubbish(old moldy furniture, etc) present in the crawl space and attic of said dwelling. You are directed to correct all.of the violations listed above within thirty (30) days of your receipt of this notice, by repairing\replacing the inoperable light fixtures in the kitchen, by repairing the leaking pipe in the crawl space, by repairing the kitchen window so it operates properly, by repairing\replacing the side entrance door, by repairing\replacing the bedroom and bathroom door holes, by repairing the wall at the floor junction behind the toilet, by installing screens in all the windows, by properly sealing off the hole around the kitchen drain pipe, by posting the owners name per 105 CMR 410.500, and by removing all the rubbish left behind by the previous tenants in the attic and crawlspace. 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 days failure to comply with an order shall constitute a separate violation. iPER ORDER OF TH OARD OF HEALTH omas A. cKean,R.S. Director of Public Health Town of Barnstable QA Order letterMousing violations\19 Mockingbird Lane#2.doc I ?�i � SP.,,1c�-' of r^�,l'►'I FREDERICK G. BARRY, JR. COUNSELLORS AT LAW 60 ADAMS STREET,SUITE#201 --posftD. MILTON,MASSACHUSETTS 02186 TELEPHONE(617)698-3770 /xt^ OF COUNSEL FREDERICK G.BARRY,JR: FAX(617)698-6513 _ Q',GQ TS S�.te E-Mail:fgbarry@aol.com PAUL J.KENNEALLY OFFICE MANAGER MERRI M.McNEIL Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Re: Notice ofviolations...19 Mockingbird Lane, Marstons Mills To Whom It May Concern: I hereby request a hearing regarding the above at your earliest convenience. Very truly yours, Freden Barry Jr. sq. 1 � - J F k ' Y 4. a 't }r ��� ..,� n� d�, z r } ill , t ,,, ^ a r f - ;r� is «1• _ � 14 a NF, 'ki.^p � ;�. 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Sp 'SIRIN UO�Sjolk '2rU. i ^x a � ,xs� v`"., _- - � -' d-=�5�+'4'� ���iil� �•� r T. k-- f +A� Sa •pa6ewep si ley} 6uir woonpe •slliw uolsieVN `aue-1 pjig6uiMoow 6� L - - - r Health Complaints 09-Jun-06 Time: 1:25:00 AM Date: 5/16/2005 Complaint Number: 18109 Referred To: DONNA MIORANDI Taken By: SHARON CROCKER Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 19 Street: MOCKINGBIRD Village: MARSTONS MILLS Assessors Map_Parcel: Complaint Description: HOUSE HAS ALWAYS HAD TRASH OUTSIDE FOR LAST 20 YRS. OWNER IS IN CONN. AND RENTS OUT. NOW TENANTS APPARENTLY LEFT AND HAVE LEFT ALL TYPES OF TRASH INSIDE AND OUT. QUESTION EXISTS IF HOUSE IS EVEN SAFE. MAIN BEAMS INSIDE ARE ROTTEN. Actions Taken/Results: DZM investigated and took pictures. House is definitely abandoned and not secure. There is much trash and debris on the property. A certified letter is going out to homeowner in Milton, MA hopefully today. DZM placed a Condemnation on the front door of the dwelling. Certified letter went out and received on 5/20/2005. 05/23/2005-DZM followed up and nothing has changed. Shall give owner until 5/27/2005 to clean up before issuing tickets only due to the fact that DZM can't re- inspect until that date due to the fact it is too busy. 05/27/2005-Roll off on property but no garbage or anything has been picked up. The smell has worsened since the rains and now the sun has come out-it stinks. DZM took pictures and spoke to officer McGuire next 1 f Health Complaints 09-Jun-06 door. DZM found an oil bill on the ground but no oil fill on the house. DZM shall further investigate. 06/03/2005-No real changes except now there is stuff on the lawn for free. DZM took pictures and spoke to Mr. Barry who said it is going to be cleaned up on the weekend. Mr. Barry's d.o.b. Is 05/14/1942. 06/06/2005-DZM investigated and it is all contained in a large roll-off dumpster. Took pictures. No need for further tickets. Investigation Date: 5/17/2005 Investigation Time: 2 NA F IlER Go r Q(-ele YAR 69177 t TOWN OF All D IRA r BARNSTABLE CITY, f t, IM■Y �1HE 1p� MV/MB REGISTRATION NUMBER MV, O 0 �G.yC�[ ,✓^��. I1AR11ASS. .F:.A y / _may /y � Cuj L n�fe lAP�p L l 7 TIME AND T OF VIOLATION LOC. ION 0 V L 10 ,�r 'y' Z LLJ NOTICE OF �'0 war./ P.M.)O ,I� { - ,201 /lY MIDI# SIGN A RE aF ENFORCI PE ON d EN IN .,1 ,A ,.�11 B GE w VIOLATION _ .�� f�/Jt�,,ix,{� (/f]�,�� C„ OF TOWN r o I HEREBY ACKNOWLEDGE OF CITATION X a ORDINANCE �4Unable to obtain signature of offender. ]� ~ r THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ t Date mailed w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL Lou- DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, � Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature r Barnstable Assessing Search Results Page 1 of 2 Home: Departments:Assessors Division: Property Assessment Search Results 19 CK N I LANE 0 COV, ,4J4� Owner: BARRY, FREDERICK G JR& Property Sketch Legend c Map/Parcel/Parcel Extension 014 /026/ S� Mailing Address BARRY, FREDERICK G JR& BARRY,JANICE P 372 GRANITE AVE MILTON, MA.02186 2005 Assessed Values. Appraised Value Assessed Value Building Value: $88,600 $88,600 Extra Features: $0 $0 Outbuildings: $0 $0 Land Value: $ 142,800 $ 142,800 Interactive Property Map: ap requires Plug in: 40o Totals:$231,400 $231,400 I have visited the maps before ' x:�.: .. Show Me The Mao April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: BARRY, FREDERICK G JR& 10/15/1982 3578/185 $46,900 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $42 Town Fire District Rates Other I $6.05 Barnstable-Residential $2.12 Land B. Barnstable-Commercial $2.80 C.O.M.M. FD Tax(Residential) $233.71 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $ 1,399.97 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $ 1,675.68• Due to rounding differences these values may vary http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing... 5/17/2005 i~t ti o ®° Ir fu CO ,n O -F 3.a U C I A £3€aax U S Ln Postage $ 0 Certified Fee , 4O r ��� Rqy o Retum Reciept Fee �1 t Postmark j (Endorsement Required) "/J ( Hue O Restricted Delivery Fee co (Endorsement Required) Total Postage&Fees $ o tTO� p ------ o All B - -- . N rest,Apt No.; or PO Box No. .X City State ZI 001/ �)ZM Certified Mail Provides: (asianay)Zopaaunr'oo8t �odsd o A mailing receipt o A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important itemfndera. o Certifill Mail may ONLY be combined with First-Class Maile or Priority Mali®. o Certified Mail Is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return 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. o 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"Restrictedelivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. Certified Mail#7003 1680 0004 5458 2490 Town of Barnstable Regulatory Services . Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200.Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 18, 2005 Mr. Frederick G. Barry, Jr. &Ms. Janice P. Barry 372 Granite Avenue P.O. Box 267 Milton, MA 02186 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 RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 19 Mockingbird Lane, Marstons Mills, was inspected on May 17, 2005 by Donna Z. Miorandi, RS, Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.602: Maintenance of Areas Free from Garbage and Rubbish Much garbage and rubbish on the property. Items include household garbage, many toys, old bikes, wood, old TV, old furniture and old lawnmowers. Windows have been left open to the outside elements and it appears that the tenants have abandoned the property and left much debris inside. The dwelling is not secure and therefore placed a CONDEMNATION NOTICE on the front door of the dwelling. You are directed to correct all of the above violations within forty-eight hours of receipt of this notice. Q:Health/Order letters/Housing violations/19 Mockingbird Lane.doc I t TOWN OF BARNSTABLE RENTAL ORDINANCE. ARTICLE 51: The following violation of the Town of Barnstable ordinance was observed: Section 4-4: Owner's name, address and telephone number not posted. Section 4-4 of the Town Rental Ordinance specifically reads as follows: An owner of a dwelling which is rented for residential use,who does not reside therein and who does not employ a manager or agent for such dwelling who resides therein, shall post and maintain or cause to be posted and maintained on the exterior of such dwelling within five (5) feet of the main entrance or within five (5) feet of the mailbox(es), at least four(4) feet and not greater than six (6) feet above ground level, a notice constructed of durable material, not less than twenty square inches in size,bearing his/her correct name, address and telephone number. If the owner is a realty trust or partnership, the name, address, and telephone number of the managing trustee or partner shall be posted. If the owner is a corporation,the name, address, and telephone number of the president of the corporation shall be posted. Where the owner employs a manager or agent who does not reside in such dwelling, such manager or agent's name, address, and telephone number shall also be included in the notice. You are directed to correct the violation of Section 4-4 listed above within Seven (7)Days of your receipt of this notice, by posting the property correctly. 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 could result in a fine of up to $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Poma RA. McKean, R.S. Director of Public Health Town of Barnstable Q:Health/Order letters/Housing violations/19 Mockingbird Lane.doc SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. S' F 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 by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to:. If YES,enter delivery address below: ❑ No ��sa�Atil� �o 3. Service Type ❑Certified Mail ❑ Express Mail IPo(/t, ❑ Registered ❑ Return Receipt for Merchandise i 0 to ❑ Insured Mail ❑ C.O.D. ip 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (transfer from se beq `A-W 70�3 .1�6 0.` 0004'' 5458 2490 PS Form 3811,Au % �Q Domestic Return Receipt 102595.02-M-1540 v UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • 1-00 o� BA001MI-16 , 46A D�5PI� A"N 0�_00 IV HIVAN16,5 MA i Certified Mail#7003 1680 0004 5458 2490 Town of Barnstable Regulatory Services . Thomas F. Geiler,Director 'WAsa `e Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 18, 2005 Mr. Frederick G. Barry, Jr. &Ms. Janice P. Barry 372 Granite Avenue P.O. Box 267 Milton, MA 02186 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 RENTAL ORDINANCE.ARTICLE 51 The property owned by you located at 19 Mockingbird Lane, Marstons Mills, was inspected on May 17, 2005 by Donna Z. Miorandi, RS, Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the State Sanitary Code were observed: 105 CMR 410.602: Maintenance of Areas Free from Garbage and Rubbish Much garbage and rubbish on the property. Items include household garbage, many toys, old bikes, wood, old TV, old furniture and old lawnmowers. Windows have been left open to the outside elements and it appears that the tenants have abandoned the property and left much debris inside. The dwelling is not secure and therefore placed a CONDEMNATION NOTICE on the front door of the dwelling. You are directed to correct all of the above violations within forty-eight hours of receiut of this notice. Q:Health/Order letters/Housing violations/19 Mockingbird Lane.doc r l TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51: The following violation of the Town of Barnstable ordinance was observed: Section 4-4: Owner's name, address and telephone number not posted. Section 4-4 of the Town Rental Ordinance specifically reads as follows: An owner of a dwelling which is rented for residential use,who does not reside therein and who does not employ a manager or agent for such dwelling who resides therein, shall post and maintain or cause to be posted and maintained on the exterior of such dwelling within five (5) feet of the main entrance or within five (5) feet of the mailbox(es), at least four(4) feet and not greater than six (6) feet above ground level, a notice constructed of durable material, not less than twenty square inches in size,bearing his/her correct name, address and telephone number. If the owner is a realty trust or partnership,the name, address, and telephone number of the managing trustee or partner shall be posted. If the owner is a corporation,the name, address, and telephone number of the president of the corporation shall be posted. Where the owner employs a manager or agent who does not reside in such dwelling, such manager or agent's name, address, and telephone number shall also be included in the notice. You are directed to correct the violation of Section 4-4 listed above within Seven (7) Days of your receipt of this notice, by posting the property correctly. 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 could result in a fine of up to $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH PomaRN. McKean, R.S. Director of Public Health Town of Barnstable Q:Health/Order letters/Housing violations/19 Mockingbird Lane.doc f . , p Tows of Barnstable ,Regulatory, S De iervices partment, ! ✓� M►+•A ., .. ;. :_ _ i�,; � vs.. ;st; ;. Public.Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO July 21, 2005 Mr. Frederick Barry Jr., Esq. Counsellors at Law 60 Adams Street, Suite#201 Milton, MA 021.86 RE: 19 Mockingbird Lane! Dear Mr. Barry; 1 am`in receipt of your letter dated July .12, 2005. I understand that the tenants created the m{ess,:and you took action-to clean-up the property; " Iiowever,'there`was a delay on you.part iri takh g`action'to remove the refuse and debris. You received the certified order letter on May 20, 2005 ordering you to remove the debris within 48 hours. However, seven days later, on May 27, 2005, the refuse and debris remained onsite. In addition, we dial not receive any communications from you at that time, indicating that you were taking action to clean-up the property. Thus,the non- criminal ticket citation was issued on May 27, 2005. I continue to back the decision made by our health inspector to issue the citation. You did have the option of contesting the ticket by making a request to the District C ou Department, First Barnstable Division, as clearly described at the bottom portion of the citation. If you should have any questions,please feel fee to contact me at 508 862-4644. 4Sincerely mas A. McKean - Y C:) ci7 FREDERICK G.BARRY,JR. COUNSELLORS AT LAW a °��A O- 60'ADAMSSTREET, SUITE#201 pP; 1� MILTON,MASSACHUSETTS 02186 Town of Barnstable Consumer Affairs Division 200 Main Street, Hyannis, MA 02601 stiF t t r s j i s ... _ .» ._... s..... ...i...... ......i...Ss.is:...tt?3i.ii:iif i.............. _ /� nS ,�:�. �� //� i � -_- i _ - -- __ _ � ,'_` T I ..� �!/ �� .w �\ FREDERICK G. BARRY, JR. COUNSELLORS AT LAW 60 ADAMS STREET,SUITE#201 MILTON,MASSACHUSETTS 02186 TELEPHONE(617)698-3770 FREDERICK G.BARRY,JR. FAX(617)698-6513 E-Mail:fgbarry@aol.com OF COUNSEL PAULJ.KENNEALLY OFFICEMANAGER JUL 'n MERRI M.McNEIL 5 LU05 TOWN Of B.ARNSTABLE 0MN&WL ICENSE/P„RIVQRD-V10! July 12, 2005 Town of Barnstable Consumer Affairs Division 200 Main Street, Hyannis,MA 02601 Re: 19 Mockingbird Lane, Marstons Mills, MA To Whom It May Concern: When I first got this bill I spoke to someone in you office regarding the inappropriateness of this bill. The mess at the above address was created by a tenant who had lived there for about 12 years. They came to me through Section 8, and they lived like goats. As soon as they left I hired a dumpster and cleaned the property up. It took me a couple of weeks and it cost me over$1,000.00. I am sure that by now you have seen the results of my efforts. I was told that prior to fining me I had received written notice to get in touch with your office. I never received that notice. I was told that someone In my office signed for it,but there are only two people, and neither recalls signing for anything. In any event I didn't receive it. The property was left in a mess and I cleaned it up immediately. The fine therefore is unfair. Please consider waiving it. Very truly yours, rede ck G. arry Jr. Esq. Town of Barnstable BABNSPABM + Regulatory Services v� MASS.3 : �0� Thomas F. Geiler, Director ArFD MA'S A Consumer Affairs Division 200 Main Street, Hyannis MA 02601 Tel:508-862-4668 Fax:508-778-2412 Barry Frederick G., Jr. Notice Date: 06/29/2005 500 Harland Street BAR No: 69177 Milton Ma 02186 Fine: 100.00 Balance Due: 100.00 Please return this section with your payment SECOND NOTICE Be advised that full payment has not been received for the fine issued against you on 05/27/2005 for a violation of the Town of Barnstable Ordinance or Regulation as described below: Violation of: Chapte.r353: NUISANCES- Article I Storage of Garbage and Refuse(1) Responsibilities of owners and occupants ._' t's.i! i!-_r(. ... ': .. - - •.'r . .. _ r i -r , . ,r .. _ ice:' ., i_� ,:L,u -. .�.,_! Bar No: Violation Date: Enforcing:Department:,:.: Location of Offense: 69177 05/27/2005 Public Health . 19 Mocking Bird Lane Marstons Mills Fine: Payments: Balance Due: 100.00 0.00 100.00 You are hereby notified that if you fail to pay the fine, in full, within 10 days from the date of this notice,that a CRIMINAL COMPLAINT may be issued against you. Fines r'nay be paid by appearing in person between 8:30 AM acid 4:00 riV1, Monday through Friday, except legal holidays, before : The Barnstable Clerk 200 Main Street, Hyannis, MA 02601 OR by mailing a check, money order, or postal note payable to: Barnstable Clerk Box- 2430 _ .... ,c 43U t;:: ,;�: nic;is.l�,•t:r f st. l_,;A-)LHyannis;,,,MA-•02601 ,-,,-•", _ v This,will operate as a final disposition of the matter with no resulting criminal record. oc.,fr:: srs . `.� .,il,�b�.,.7:. a 'r�g,t,ltSl�R'�I,s ram.C? >��..�It:l�r i -:i.4, ....... . '•;_E i.J.. .. `a, .,:J .�` i Health Complaints 19-Jul-05 Time: 1:25:00 AM Date: 5/16/2005 .Complaint Number: 18109 Referred To: DONNA MIORANDI Taken By: SHARON CROCKER Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 19 Street: MOCKINGBIRD Village: MARSTONS MILLS Assessors Map_Parcel: Complaint Description: HOUSE HAS ALWAYS HAD TRASH OUTSIDE FOR LAST 20 YRS. OWNER IS IN CONN. AND RENTS OUT. NOW TENANTS APPARENTLY LEFT AND HAVE LEFT ALL TYPES OF TRASH INSIDE AND OUT. QUESTION EXISTS IF HOUSE IS EVEN SAFE. MAIN BEAMS INSIDE ARE ROTTEN. Actions Taken/Results: DZM investigated and took pictures. House is definitely abandoned and not secure. There is much trash and debris on the property. A certified letter is going out to homeowner in Milton, MA hopefully today. DZM placed a Condemnation on the front door of the dwelling. Certified letter went out and received on 5/20/2005. 05/23/2005-DZM followed up and nothing has changed. Shall give owner until 5/27/2005 to clean up before issuing tickets only due to the fact that DZM can't re- inspect until that date due to the fact it is too busy. 05/27/2005-Roll off on property but no garbage or anything has been picked up. The smell has worsened since the rains and now the sun has come out-it stinks. DZM took pictures and spoke to officer McGuire next 1 i r. Health Complaints 19-Jul-05 door. DZM found an oil bill on the ground but no oil fill on the house. DZM shall further investigate. 06/03/2005-No real changes except now there is stuff on the lawn for free. DZM took pictures and spoke to Mr. Barry who said it is going to be cleaned up on the weekend. Mr. Barry's d.o.b. Is 05/14/1942. 06/06/2005-DZM investigated and it is all contained in a large roll-off dumpster. Took pictures. No need for further tickets. Investigation Date: 5/17/2005 Investigation Time: 2 Miorandi, Donna From: Crocker, Sharon Sent: Monday, November 07, 2005 11:53 AM To: Miorandi, Donna Subject: Phone Call- IMPORTANT- READ Steve McQuire, policeman who spoke to you about Mockingbird Rd., 508-367-9444. He did not give me the house number because'he did not want to make an issue of it. He DOES NOT WANT YOU TO GO OVER THERE. Please give him a call. They have picked up trash for the moment and he does not feel it's safe for you to go there at this time. Thank you. I 1 i Health Complaints 08-Jun-05 Time: 1:25:00 AM Date: 5/16/2005 Complaint Number: 18109 Referred To: DONNA MIORANDI Taken By: SHARON CROCKER Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 19 Street: MOCKING BIRD Village: MARSTONS MILLS Assessors Map_Parcel: . Complaint Description: HOUSE HAS ALWAYS HAD TRASH OUTSIDE FOR LAST 20 YRS. OWNER IS IN CONN. AND RENTS OUT. NOW TENANTS APPARENTLY LEFT AND HAVE LEFT ALL TYPES OF TRASH INSIDE AND OUT. QUESTION EXISTS IF HOUSE IS EVEN SAFE. MAIN BEAMS INSIDE ARE ROTTEN. Actions Taken/Results: DZM investigated and took pictures. House is definitely abandoned and not secure. There is much trash and debris on the property. A certified letter is going out to homeowner in Milton, MA hopefully today. DZM placed a Condemnation on the front door of the dwelling. Certified letter went out and received on 5/20/2005. 05/23/2005-DZM followed up and nothing has changed. Shall give owner until 5/27/2005 to clean up before issuing tickets only due to the fact that DZM can't re- inspect until that date due to the fact it is too busy. 05/27/2005-Roll off on property but no garbage or anything has been picked up. The smell has worsened since the rains and now the sun has come out-it stinks. DZM took pictures and spoke to officer McGuire next 1 Health Complaints 08-Jun-05 door. DZM found an oil bill on the ground but no oil fill on the house. DZM shall further Investigate. 06/03/2005-No real changes except now there is stuff on the lawn for free. DZM took pictures and spoke to Mr. Barry who said it is going to be cleaned up on the weekend. Mr. Barry's d.o.b. Is 05/14/1942. 06/06/2005-DZM investigated and it is all contained in a large roll-off dumpster. Took pictures. No need for further tickets. Investigation Date: 5/17/2005 Investigation Time: 2 9 r, w AA r £ . A� n ' k . • f %`. �?Y. r � � ;. Ens a � .� � � .. 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"'- t ,� '- ' Via,r � � ; f Page 1 of 2 Lomba, Lois From: Markwell, Gareth Sent: Thursday, May 26, 2005 8:23 AM To: Miranda, Heide; Carolyn Ahern; Whelan, Angela; Agostinelli, Joan; Anthony, David; Baker, Ruthanne; Bennett Barbara; Bookbinder, Claudette; Childs, Barbara; Crocker, Sharon; Cunningham, Tammy; DeGroot, Elyse; Doiron, Ann; Engdahl, Carol; Evans, Brenda; Fowler, Sheila; Fulco, Lucia; Garfield, Samantha; Grande, Jacquelyne; Griffen, Claire; Johansen, Nancy; Jones, Sheila; Kennedy, Sue; Lavoie, Debbie; Lomba, Lois; McPhee, Maureen; Nichols, Elizabeth; Peterson, Lisa; Ross, Bonny; Rylander, Brett; Schaffer, Susan; Scroggins, Laura; Smith, Florence; Soldatov, Katarina; St.Peter, Janis; Streebel, Jason; Wheelden, Linda Cc: Markwell, Gareth Subject: Payroll update We have had a small update to the Time&Attendance process. You can now print from the main batch screen with the option to suppress all zero hour entries. This will be of benefit to those who use the"auto-load"and "daily grid"entry options. See below: 1) From batch screen, select print or print preview icon 2) Define report options as bell,,,.. 6/7/2005 LOCATIOW � � - � SE � AGE PERMIT GO• VILLAGE INSTA LLEWS WAVE 6 ADDAESS Q U-I�LL DE Q OR OV93 ER @`"� ��r,�Pl fir,��� 1.� ��E S �pA➢�a 7 WE tr-Ir"l ) IAAn av - DA T E PERMIT ISSN E D 17 Z, DAT E COMPl1AWCE ISSUED r _ y a3.� . e3. �I MG CK193� NO...G.C. :...J�..S�� FEs..... ... . THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........... $. N.........OF........ Appltration for Disposal Works Ton,struettnn rrmt Application is hereby made for a Permit to Construct (pi)►or Repair ( ) an Individual e System at: o� ROSEERT yN ................ .l�t!L�.$/_t a ... !`� •...: ,.... 4077 . GORDON Locatio -Address orLpt ®� D I! No. f� .. ° �1 tip ............ ,e el ...... o,�.,�nl, ..- - ,�t�nc.._�— ..-----••.. 4 Owner Address ag:... �5`�-----•---.....----•--••----............................... .................!/l7/7, 4?. `�®............ *� . Installer Address d Type of Building Size Lot.Z-0_1>.._......... q. feet Dwelling—No. of Bedrooms..............3.........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ...#N?46. No. of persons......... ............... Showers ( ) — Cafeteria ( ) Otherfixtures .--------......-•---•-••------••-•-•--•--•-••................•-----•----... W Design Flow.............................. ...... per person per day. Total dam flow......... _3.-k..................__gallons. R4 Septic Tar_k—Liquid'capacity Me.gallons Length..... Width...:----..... Diameter_''....._. Depth_.y.-•-...... Disposal Trench—No..................... Width..............._.. Total Length__.............r....Total leaching area....................sq. ft. Seepage Pit No.........I........ Diameter....14........... Depth below inlet........ .......... Total leaching area..7.4!...sq. ft. Z Other Distribution box ( ) DosiA�X_'IPW k ( ) $-' Percolation Test Results Performed by .. ..... Date...� 1:1............. 14 Test Pit No. 1..4.::?;!t..minutes per inch Depth of Test Pit----I.Z...... Depth to ground water.. —Jar/ fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ aif V.................................. . Description.of Soil --z< ./�f .. '.JG �7t .... ---,( -_ �' !-•--?®-- /aLS U ................•••...•----•--•---•••--•--..........---••-•----••-•••--•---.........•••••--••-•••-•--••---•------•-•--.......-•-•--•---•-•---•---••------......------------......---•-•....--•........... UW --•-----•-•-------------••-•••-•-•--•-•--•---•••-•-------•-•---•••••---•-••-•--•-•••---•-•------....--•-••-•-•--•-•••••••-•----•---•--•-••--•--•-•-••••--•-•--•--------••-••......•-•••---------••-••... Nature of Repairs or Alterations—Answer when applicable................................................................................................ ......................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLi, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 'ss-iied by the boar o health. Signed �� . -•---•-•••--•.......... �f.. .�... � .]Sate Application Approved BY - • ---------•-- -� ' Date Application Disapproved for the following reasons:............................................................................................................... ..................•------••-••---•••--•---•--•-•-••---•-----....--•------•-••••----•--•.._......---•............--••--••-----••--••----•------••....--•-----...---•--•---•-•••---•----••-----•----••-••-- Date PermitNo......................................................... Issued_....................... ................................ Date w N y` No.- - ---- Fss..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Q f+v ...........OF.....B., F�9..4!rA. u-E. ...................................... ApplirFafion for Dispose al Worko Tonstrnr#ion rrmit Application is hereby made for a Permit to Construct (� or Repair ( ) an Individual Se System at: RIM ------------ .-- Locati -Address or Lot No. .x�.l .._.. ?!!l ° ... .... 1/ .G,........... - -HARR{SOrt .... --...... Owner Address � Installer Address 0 � Type of Building Size LotZI--L-_.. U Dwelling—No. of Bedrooms............. .Expansion Attic ( ) Garbage Grin er ) �+ Other—T e of Building JV0 v-.*..�'No. of persons........4................ Showers — Cafeteria Q' Other fixtures .............. --•----------------------- ----------------------------•---•----•-------�...........-------.--•-•- •-•--- W Design Flow..............................s��gallons per person er�lay. Total daily flow........ _ .__.... __..__.____.gallons. WSeptic Tank—Liquid'capacity/Pj®-gallons Length...... Width........... Diameter................ Depth.f.-...... x Disposal Trench—No..................... Width.. ................ Total Length..............t-----Total leaching area....................sq. ft. Seepage Pit No........./......... Diameter...`-/........... Depth below inlet......S......... Total leaching area.2-4.1.....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by !da ( .�5 e�^/ i�(G...( iZr¢C Date... 'ZO`��`lr............. Test Pit No. 1.:!!�..Z:.minutes per inch Depth of Test Pit....'�....... Depth to ground water...&Ad Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ oGx r•- ---------------------------------------•------7. ...... ...U--------------------•----•-------------- ........... .......... . _x -----•-------- ------------------------•-•---.....-------•---------•---------------------------•-------•--------•--------.....------ .....-•----•------------------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -•--------------------------•----•--•-----------------......-------------•----..._.....-•---.......---------•----------------------••------•-•--------------•--------•---....-------•-•----------•---•• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT12 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board health. Signed..- Application Approved By... ------ !��/------ ate Application Disapproved for the following reasons:................................................................................................................ --•-----------------------------------------•------•-----•---•-•-•--•---....-----•-----...........-•-•--.-----•--...--------••-•----------•----------------------------------••----------------------•-- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................I.........OF..................................................................................... Tn#ifiratr of TampliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) . by••---•-• ------�/ - .....--• ................ installer -•---.....--•........................................................d_...............•-- ------------- has been installed in accordance with the pr isions of TITLF, j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...4g-_ .y.. _ .-G� .... dated.......... ..................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.DATE............................. ���..------••---••-•----• Inspector.......&lu............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................::...............O F..................................................................................... a.., No .,.,.. "... FEE..3S.............. �i��o��a1 or�� Cnon��rnr#uan .anti# Permission is hereby granted........ •-----------------•----------------------------••----..............---.............. a 'Disposal Systemto Construct Repair an �ndid ;� , ------- ...... ............................................... Str et as shown on the application for Disposal corks Construction Permit No..................... Dated........................................... DATE.-,.......................... ) , Bar e FORM 1255 HOBBS & WARREN. INC., PUBLISHERS w ——98—— EXISTING CONTOUR o� ,Z. x 100.98 EXISTING SPOT GRADE ReE� RIDGE OG ��Asa Meigs Rd N CLUB —W EXISTING WATER SVC. —6.H:it' OVERHEAD WIRES ® cad �p a 'o TEST PIT �ea,5 r o�0.6 WO'dRd �b BENCHMARK ao oo� o we 5 >a LEGEND °� �a m w°a .s 0 W�9e C Q0 Long \ 0a Mockingbird Ln Pond `� LOCUS =0 LOCUS LOT 79 NOT TO SCALE x 101,2 LOT 80 LOT 81 0i S 61'53'27" W o 102.05 125.00' { I k LOT 83 20,135 ±SF 101.97 PARCEL ID: 014-026 M x ��\ LOT 84 x 102.3 x 10L58 12.8'--1 —_-- 24' ` ro I_:' O o:l LOT 82 TP-2 J T I. EXISTING LEACH PITS Eo I :N�N 1T0 BE PUMPED, FILLED W/ GF p/c. D:� x 101,66 AND & ABANDONED. cCNG I,'i .Sn"� EXISTING SEPTIC TANK : TP-1 TP-1 � Td�BE PUMPED, RUPTURED, LLED WITH SAND AND ABANDO Z w 101.73 x O 1.01 x 101.50 — N O I 1 0 � � O O ") 1 0 N 101.89 x 101,86 \` x 101, 1 102.11 -T0-2-,0-4- PROPOSED S PTIC TANK 102-— --_ 101.70 BENCHMARK CORNER/BOTT. STEP 1 EXISTING 101,65 EL.=102.23 I `102,23r"; 1 HOUSE(#232) ) 1 1 T.O.F.=103.2t 102.1 x \ �Ir. 6 100,99 -1 10,21 3: 102,03 �p \ \ W J,y 101.51 0 CL / \ 10lA6 / 100.77 x _ 55.09' L_70.24 — — R20.00' ° • 1 0,36 N 61'S3'27" E FENCE ----180 ------------ 99.83 EDGE OF PAVEMENT 99.85 99.87 100.08 99,76 99.65 MOCKINGBIRD L A ND' � o f MAssgcti o PETER T. G✓ PROPOSED SEPTIC SYSTEM UPGRADE PLAN McENTEE PLAN REVISION - 8/24/17 o CIVIL 1) INSTALL NEW SEPTIC TANK 19 MOCKINGBIRD LANE, MARSTONS MILLS, MA No. 35109 Prepared for: Cape Cod Septic Services, 350 Main St, W. Yarmouth, MA 02673 £G/STE��� ��' OWNER OF RECORD 9�FSS Engineering by: SCALE DRAWN JOB. NO. BARRY, FREDERICK G JR BARRY, JANICE P Engineering Works, Inc. 1."=20' P.T.M. 228-17 135 ROUTE 6A 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET N0. SANDWICH, MA 02563 (508) 477-5313 8/11/17 P.T.M. 1 Of 2 .k NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=98.5 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=103.2t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=102.5t F.G. EL.=101.8t F.G. EL.=102.3t �F.G. EL.=101.6t MAINTAIN 2% SLOPE OVER S.A.S. L = 20' L = 23' ® S=1% (tvIN.) L = 5' 4"SCH40 FVC ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 2' LAYER OF 1/8' TO 1/2' 6" DOUBLE WASHED STONE 1o"I s as $ as (OR APPROVED FILTER FABRIC) 14" aaa aaa aaaaaaa INV.=100.15 48" LIQUID aaaaaaa --3/4' TO 1-1/2' DOUBLE LEVEL WASHED STONE ADD INV.=98.67 PROPOSED 4' 5.2' 4' cas D-BOX INV.=98.50 INV.=99.90 EFFECTIVE WIDTH = 12.8' 3 OUTLETS INV.=98.00 PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN CONNECT TO EXISTING SEWER AT HOUSE AT, OR ABOVE, INV.=100.35 H-10 RATED NOTES: TOP CONC. ELEV.=98.80t BREAKOUT ELEV.=98.50 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & INV. ELEV.=98.00 aaaa Ease a INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. aaaaaaaaaaa aaaaaaaaaaa 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE BOTTOM ELEV.=96.00 TO GRADE ON A MECHANICALLY CCMPACTED 6" CRUSHED 4' 2 x 8.5' = 17.0' 4' STONE BASE, AS SPECIFIED 310 CMR 15.405(2). 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. PERVIOUS MATERIAL 4 GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' (MIN.) ABOVE G.W. ) LEACHING SYSTEM SECTION AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. BOTTOM OF TEST PIT, EL.=90.3 SEPTIC SYSTEM PROFILE SOIL LOG DATE: AUGUST 11, 2017 (REF#15,453) SOIL EVALUATOR: PETER MCENTEE PE(SE#1542) WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT ELEv. TP-1 DEPTH ELEV. TP-2 DEPTH GENERAL NOTES: 101.9 A 0" 101.8 A 0" SANDY LOAM SANDY LOAM 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 101.4 10YR 4/2 6" 101.1 10YR 4/2 7" BOARD OF HEALTH AND THE DESIGN ENGINEER. B B 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SANDY LOAM SANDY LOAM OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 10YR 5/6 1OYR 5/8 LOCAL RULES AND REGULATIONS. 98.4 42" 98.5 C1 40" 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR Cl PERC TO-INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE M-C SAND -M-C SAND 36"/54" DESIGN ENGINEER. 2.5Y 6/4 2.5Y 6/4 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING >20% GRAVEL >20% GRAVEL FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 94 4 go" 94.3 90" ENGINEER BEFORE CONSTRUCTION CONTINUES. C2 C2 5. ALL ELEVATIONS BASED ON AN ASSIGNED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF MED. SAND MED. SAND THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 2.5Y 6/6 2.5Y 6/6 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 90.4 138" 90.3 138" 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. PERC RATE <2 MIN/IN. "Cl & C2" HORIZONSNO GROUNDWATER ENCOUNTERED 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED U'ON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING f--12.8'--I CONSTRUCTION. r��� 24.7' 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). M l 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE O LO W INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL (n�04 13. THIS PLAN IS TO BE USED FOR S=PTIC SYSTEM PURPOSES ONLY AND = D LO Q NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 0 12.5' I in 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC M LL SYSTEM COMPONENTS NOT SHOWN ON THE PLAN DI _r O DESIGN CRITERIA M z NUMBER OF BEDROOMS: 2 BEDROOMS -I SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) I ro DESIGN PERCOLATION RATE: <2 MIN/IN DAILY FLOW: 220 GPD DESIGN FLOW: 330 GPD GARBAGE GRINDER: NO-not allowed with design LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF ISTING 74 GPD/SF USE(#232) SEPTIC LAYOUT PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY 77EX , PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 19 MOCKINGBIRD LANE, MARSTONS MILLS, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: Cape Cod Septic Services, 350 Main St, W. Yarmouth, MA 02673 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. Engineering Works, Inc. N.T.S. P.T.M. 228-17 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 8/11/17 P.T.M. 2 Of 2 y M w j f k � 2z�tf�.:1 Y'•. 4 4 t k} 'k F f: r yA// a "" +r!4 •,i f(�4,+Erg .(,. 3f t. " V yy SOtL LOG NOTES ,' ,✓-.of Al ^ ( f "�".� ��(�. �, I. SEWAGE FLOW 2. LEACHING AREA r rU3 • _� __._� rt. : SEPTIC TANK s 4: ALL WORK MUST COMPLY WITH MASS.ENVIRONMENTAL CODE-TITLE 5 AND TOWN BOARD OF HEALTH REGULATIONS. 9 � 5. BRICK TANK,DIST. BOX a PIT COVERS TO WITHIN 12" 4•J ?ti?s`. OF GRADE cU ti 6. THERE ARE NO WELLS WITHIN 100 OF THIS PIT. ?.---THERE-fla-M-6f.*ACC-L--E-ACf*NG-WI?+[tti-100 -TH&S GORIaC1P1 r H N' es 1 f' :a 4 tL PERC RATE - < rr+ rr• a- zr,'„ ' SAL DATE -. 7- -call ? 5 7;, �•� FINISH 1c�. Gp GRADE 3 ` t ;p !' �r ,' Pll�ir tat ,3��--'� t'_. `I`." t!a. PIPE. " �t' -5' + i- • ,Zu-(i }j I/2z�WAStl O '? # :o jPITCH I/ /fi T'AilN.w4' (�-r- =-=;r- 2 _ F�- PIF�EnE H. . iPEA87ONE s+ j t I PITCH 1/8/FT. IMIN! - PITCH T.kith y ,' �r A� af.9Q , tt1 3/4 -I t/2 WASHED � '" ° i} , � a STONE FREE OF CI. TEE DISC: BOX FINE5,DUST,IRON ,k _j NO.OUTLETS= _, , l FOUNDATION SEPTIC . TANK s OR BLOCK PRECAST PIT �� T h" LENGTH = ', WIDTH _. LEACHING PIS' SEWERAGE SYSTEM PROFILE (NOT TO SCALE) WATER TABLE HARRISON �CALI� r,� 17 //''�� ®i f% 2 SEWERAGE �- PLOT PLA WITH AT �� ENGINEERING $DATE � SYSTEM FLINT LOCKE DRIVE ? ' 'y Z PL.YMOUTH4 MASS. OP360 PitC7J. 4 - FOR.. r