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HomeMy WebLinkAbout0135 BEECH LEAF ISLAND ROAD - Health 135 BEECH LEAF ISLAND RD., CENTERVILLE 1 / _47 rrr J�QEGVCiFD�G �� UPC '12534 o w� No. 2� 153LOR HASTINGS. &M r °ft"ET°� The Town of Barnstable s s Department of Health, Safety and Environmental Services . BeaasT,M P Y M"a o 9 k•�� Public Health Division 367 Main Street,Hyannis,MA 02601 Office 508-790-6265 Thomas A.McKean FAX 508-775-3344 Director of Public Health January 28, 2000 RE: 135 Beach Leaf Island Road, Centerville The existing septic system has sufficient capacity for four (4) bedrooms maximum. However., the attached floor plan shows five (5) bedrooms. Therefore, a revised floor plan is needed showing the "office room" location and a deed restriction shall be recorded that restricts the property to four (4) bedrooms maximum. 00 FLOORPLAN r` Borrower:Ti;;o;y Hertick File No.: 99120036 Property Address:135 Reach Leaf Island Road Case No.: City:Centerville a State:MA Zip:02632 Lender:Capg Cod Bank d Trust Co. 24' 12' 12' 16, 44' 24' Porch 19 18' 6' Laund 6' 16' bath Half Bat Dining Kitchen 2 4 Be$M4 Livi4 Roo 20' Dining Room Den Closet Closet 4 6 6' Foyer 6, 6' . 1 18' i 14' 14' 10, First Floor Not to Scale i { 44' �droaim Bath ]Bedroom ' 26' 26' bedroom 44' Second Floor Not to Scale 1292 Route 28 Unit 4,South Yarmouth,MA 508-39"101 Fax 508-760-8149 60'd M9 OZ9 909 'ON XNd 1 10800 Wd 9521 f1H,l 00-LZ-NVf An Copil 20868.res RESTRICTION WHEREAS, ROBERT J. RICE and JULIA B. RICE, both of 135 Beech Leaf Island Road, Centerville, Massachusetts, are the owners of the real estate located at 135 Beech Leaf Island Road, Centerville, Massachusetts (hereinafter referred to as "Premises"), shown as Lot 4, Land Court Plan 41630-A. WHEREAS, Robert J. Rice and Julia B. Rice, as the owners of the premises, have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be maintained in the residence on the premises as a precondition to approval by the Town of Barnstable Board of Health of the existing septic system at the premises, which system was originally designed and permitted for a 3-bedroom residence, with a garbage disposal, but which currently meets or exceeds design criteria for a 4- bedroom residence, without a garbage disposal; and WHEREAS,the Town of Barnstable Board of Health, as a precondition to approving the existing septic system for a 4-bedroom residence requires that the agreement for the restriction on the number of bedrooms in the dwelling located on the premises be recorded with the Barnstable County Registry of Deeds. NOW,THEREFORE,Robert J.Rice and Julia B.Rice,do hereby place the following restriction on the premises in accordance with their agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. The dwelling on the premises is restricted to no more than four (4) bedrooms (the office/den on the second floor is not considered a bedroom); 20868.res This restriction shall not prohibit the expansion of the septic system on the premises to accommodate a five (5) or more bedroom residence if the system, as designed and/or upgraded, conforms with the provisions of the State Environmental Code, Title 5 and the Town of Barnstable Board of Health regulations. In such event, or at such time that the premises are either served by Town sewer or a dwelling with more than four bedrooms is allowed as of right, this restriction shall become null and void. For title, see Certificate of Title No. 146,175. Executed as a sealed instrument this day of February, 2000. Robert J. Rice Julia B. Rice FORM OF RESTRICTION APPROVED: ,F 20868.res COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. February , 2000 Then personally appeared the above named Robert J. Rice and Julia B. Rice and acknowledged the foregoing instrument to be their free act and deed, before me Notary public My commission expires: _ _ _.. _C_� ___ _- - - t ���_';� • �� � i r �/,,/� t (�l�� .i � + i + F J �. Yr � t, ALBERT J. SCHULZ 20868tm.ltr ATTORNEY AT LAW WILLIAM CHARLES PLACE 7 PARKER ROAD OSTERVILLE, MASSACHUSETTS 02655-2034 TELEPHONE(508)428-0950 FACSIMILE(508)420-1536 January 28, 2000 Thomas McKeon Board of Health Town of Barnstable 367 Main Street Hyannis, MA 02601 Re: 135 Beach Leaf Island Road, Centerville Dear Mr. McKeon: I represent the prospective purchasers of the above captioned real estate, which is scheduled to close on Monday, January 31, 2000. On December 9, 2000,the septic system was inspected by Joseph P. Macomber. I enclose a copy of that report. Mr. Macomber reports that the system"Conditionally Passes" due to the fact that although the system if functioning properly, it was designed for a 3 bedroom home,while the residence contains 4 bedrooms. I have shown Mr. Macomber's report to Peter Sullivan of Sullivan Engineering, who is of the opinion that the present system is adequate for a 4 bedroom home with no garbage grinder: Mr. Sullivan bases his opinion on 310 CMR 15.002 (definition of"bedroom") and 310 CMR 15.301(5). Despite Mr. Sullivan's opinion, Mr. Macomber will not pass the system without written approval from your office. Permit No. 91-352 was issued for a 3 bedroom residence. According to the design data filed by Mr. Sullivan in 1986,the design flow was 539 GPDI The system was installed in 1993 and a Certificate of Compliance was issued on October 1, 1993. I enclose a copy of the floor plan recently prepared by the bank appraiser. This floor plan indicates that there are nine (9) rooms in the house. Thus, under 310 CMR 15.002,the number of bedrooms are calculated to be 4 (total number of rooms (9), divided by 2 and rounded down to the next lowest whole number=4). Therefore, since the design flow is 539 GPD,the system is adequate. In addition, under 310 CMR 15.301 (5) no upgrade is necessary because "the system was designed to accept design flows resulting from the change in.use"... , i.e. from 3 to 4 bedrooms. If you concur with Mr. Sullivan's analysis, I would appreciate your directing a letter to This design flow assumed a garbage grinder,but one was never installed.See Macomber's inspection report. r �y 20868tmAtr Mr. Macomber so that he can re-issue an inspection report that provides that the system"passes. If you have any questions or need additional information, please call me. Sincerely, Albert J. Schuh AJS/mm cc: Christopher D. Welch, Esq. r f DAT _12/9/99 _ PROPERTY ADDRESS: 135. Beech Leaf Island Roa 4a � --Centerville .Mass _______ �; 9 Ox 02632 s W. e . ------ y1 On the above date, I Inspected the septic system at the above ad ess. This system consists of the following: 1 . 1-1500 gallon septic tank pd� 2 . 1-Distribution box. tAaeXej 3. 1-1000 gallon pre cast leaching pit . Based on my Inspection, I certify the following conditions: 4 . This is a title five septic system. ( 78 Code ) 5 The septic system is in operating order at the present time. Waste water is 18" below the invert pipe to the leaching pit . 6. Waste water has never been y higher than it is tire` now. Normally a four bedroom haouse has two G leaching pits . SIGNATURE: f1 All— N a m e: ------- Company: Joseeh_P_ Macomber & Son, Inc . Address:—Box 66 ----------- --CentervilleL- Ma_-02632-0066 Phone: 508 775_3338_ THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY rwa worm J6SEPH P. MAMBER & SON, INC. Tan COks•Cesspools•Leachf lelds Pumped & Installed Town Sewer Connections P.O. Box 66 Centerville, MA 02632.0066 775.3338 775.6412 I a f DATE: 12/9/99 --_ PROPERTY ADDRESS: 13S_ Beech—Leaf—Island Road —_ Centerville_Mass . ______ 02632 ------------------------ On the above date, I Inspected the septic system at the above address. This system consists of the following: 1 . 1-1500 gallon septic tank 2 . 1—Distribution box . 3. 1-1000 gallon pre cast leaching pit . Based on my Inspection, I certify the following conditions: 4. This is a title five septic system. ( 78 Code ) 5 . The septic system is in operating order at the present time. Waste water is 18" below the invert pipe to the leaching pit . 6. Waste water has never been y higher than it is now. Normally a four bedroom haouse has two leaching pits. SIGNATURE:1 - Name:_,L L,_K§.gsakQ_r_jt' ------ Company: Jose.2h_P. Macomber_& Son, Inc . Address:— Box 66 ------------------- __Centerville L Ma _02632-0066 Phone: 508 775_3338_ THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tanks-Cesspools-Leachfields Pumped & Installed Town Sewer Connections P.O. Box 66 Centerville, MA 02632-0066 775.3338 775-6412 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 TRUDY COX Secretar ARGEO PAUL CELLUCCI DAVID B. STRUH Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTION FORM Commissioae PART A CERTIFICATION P,opertyAddress.135 Beech Leal Island Roa4lmeofo„, w Julie Rice Centerville ,Mass. 02632 Address of owner: Date of ir-pecton: 12/9/9 9 Name of Inspector:(Please Print) Joseph P.Macomber J r . 1 am s DEP approved system inspector pursuant to Section 16.340 of Title 6(310 CMR 15.000) company Name: J.P.Macomber & Son Inc . Mating Address: Box 66 C e n v i 1 1 ,MM ash_0 2 6 3 2 Teleptwne Number: CERTIFICATION STATEMENT 1 certify that I have personally inspected the sewage disposal system at this address and that the Information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Conditionally Passes I-pr —Tr _ Needs Further Evaluation By the Local Approving Authority _ Fails, Inspectors Signature: r�! %���by�'K� i Date: �� The System Inspect shall submit a copy of this Inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection. If the system Is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department otftvirotlmetttal Protection. The original should'be.sent to-dw system owner and copies sent to the buyer,if applicable, and the approving authority. . NOTES AND COMMENTS revised 9/2/98 Page Iof11 n i�Printed on Recycled Paper , r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:135 Beech Leaf Island Road Centerville ,Mass . Owner: Julie Rice Data of Inspection: 12/9/9 9 INSPECTION SUMMARY: check A, AA,,' B, C, oI A A. SYSTEM PASSES: ALI have not found any information which indicates that any of the failure conditions described in 310 CMR 16.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: Present system is designed for a-!.three bedroom home Fniir bedroom home ron§ists; of 1-1500 tank 2Cd t1A.x8 1999 gallon precast leaching pits . B. SYSTEM CONDITIONALLY PASSES: _ One or more system components as described in the "Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Indicate yes, no, or not determined(Y, N,or ND). Describe basis of determination in all Instances. If "not determined",explain why not. The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was Installed within twenty(20)years prior to the date of the inspection; or the septic tank, whether or not metal,is cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. f116 Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced A)D - The system required pumpittg-rnore than fourlimes a yeardue to broken or obstructed pipe(s). The system willpess-- inspection if(with approval of the Board of Health): - -- broken pipe(s)are replaced obstruction is removed revised 9/2/98 Page 2of11 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) PropertyAddress:135 Beech Leaf Island Road Centerville ,Mass . Owrw: Julie Rice Date of Inspection: 1 2/9/9 9 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system Is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES W ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH.YALL.PRQTECT THE PUBLIC HEALTH.AND SAFETY AND THE EUMOMMENT: A*? Cesspool or privy is within 50 feet'Of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: N8 The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. O The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds Indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid).- 3) OTHER +/ revised 9/2 Page3of11 /98 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 135 Beech Leaf Island Road Centerville ,Mass . Owner: Julie Rice Date of Inspection: 12/9/9 9 D. SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No y Backup of.sewage into fecilityer-s"tem component-clue Ko an overloaded orcbggedSAS<oncesspoot. =�•- -�•s= Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in theudiistr*ution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in aseepeol is less than 6" below invert or available volume is less than 1/2 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 Soil Absorption System,cesspool or privy is below the high groundwater elevation. - Any portion of a 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 I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for »coliform bacteria,volatile organic-compounds, ammonia nitrogen and nitrate nitrogen. - E. LARGE SYSTEM FAILS: You must indicate either"Yes" or"No" to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No , the system is within 400 feet of a surface drinking water supply the system-is-wvitWo 200 feetof••e-tributer"oaeurfaoo4r4*Avwatw.-supply•••• - - -- _ the system is located in a nitrogen sensitive area(interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further inforination. revised 9/2/98 Page 4of11 j SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST PropertyAddress: 135 Beech Leaf Island Road Centerville ,Mass . Owner: Julie Rice Data Of I"sPection:12/9/9 9 Check if the following have been done:You must indicate either"Yes" or"No" as to each of the following: Yes N� Pumping information was provided by the owner, occupant, or Board of Health. None of the system sompoaants.hamaAwan pumpedthwatJeast two aweelmand,the-system hasAmeaasceiaingmemalAow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. 1 All system components,p eluding the Soil Absorption System,have been located on the site. _ The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum. The size and location of the Soil Absorption System orrthe site has been determined based on: Existing information. For example, Plan at B.O.H. Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) / [15.302(3)(b)] 4 _ _ The facility owner(and.ocrypants.Jf diffareW fronuowner),ware prxwidad.wilh iafouaatioann thA ornpar ranintanauG ^f Subsurface Disposal Systems. i t f I evised 9/2/98 Page 5of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 135 Beech Leaf Island Road Centerville ,Mass . Owner: Julie Rice Dace of Inspection: 12/9/9 9 FLOW CONDITIONS RESIDENTIAL: Design flow: lit) g.p.d./bedroom. Number of bedrooms(de ign : Number of bedrooms(actual): Total DESIGN flow Number of current residents: Garbage grinder(yes or no): Laundry(separate system) �( s 06):_: If yes, separateJnspection.required Laundry system inspected (q or no) Seasonal use(yes or no):� Water meter readings,if available(last two year's usage(gpd): ` Sump Pump(yes or no): �,y� RIF- 1 IODO _ '�� Last date of occupancy: 7`7 COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: -41,daad ( Based on 15.203) Basis of design flow Grease trap present:(yes or no)-411 Industrial Waste Holding Tank present:(yes or no) V Non-sanitary waste discharged to the Title 5 system:(yes or no) j Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING ECORDS nd s urce f info mation: System pumped as part of inspection: (y s or no) if yes,volume pumped: gallons Reason for pumping: TYPE O AYSTEM (/ 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) AD I/A Technology etc.Attach copy of up to dato operation and maintenance contract Tight Tank �I� Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed{if known)-and source of4nformation: -• `__ ! Sewage odors detected when arriving at the site: (yes or no)/o t revised 9/2/98 Page 6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 135 Beech Leaf IslQnd Road Centerville ,Mass . Owner: Julie Rice Date of Inspection: 12/9/9 9 BUILDING SEWER: (Locate on site plan) Depth below grade: Material of construction:_cast iron/40 PVC—other(explain) Distance frovivate water supply well or suction line 11� Diameter 9— Comments:(condition of joints, venting,evidence of leakage,-etc.) — —- Joi.Ats appear tight No ev; dpnr.P of 1aaknge —A;st-a " is SEPTIC TANK: ' (locate on site plan) r7 Depth below grader Material of construction: —/Concretek)AmetalilFibergla3s,�(APolyethylonsoffother(explainI If tank is metal,list age 22Js.aga confirmed by Certificate of CompliancSAM (Yes/No) Dimen3ions:—AlyR7 /JG /✓/Y Sludge depth:_ Distance from top of sludge to bottom of outlet tee wrtaffle:� —' Scum thickness: Distance from top of scum to top of outlet tee or baffle://� Distance from bottom of scum to bottom of outlet t or baffle:_�� How dimensions were determined: 'f1 Comments: (recommendation for pumping, condition of inlet and outlet tees or-baffles, depth of liquid level in relation to outlet invert, structural-integrity, evidence of leakage,etc.) — niiflpt tees are Liquid depth at the out is fifty GREASE TRAP: (locate on site plan) Depth below grade:A1Q Material of construction concrete4i�netaVkFiberglassN�PolyethyleneMbther(explain) AM Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: ,/ Distance from bottom of scu to bottom of outlet tee or baffle:./ Date of last pumping: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) Grease trap is not nrPGPnt _ revised 9/2/98 Page 7of11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(conthwed) Property Address: 135 Beech Leaf Island Road Centerville ,Mass . Owner: Julie Rice Data of hupection: 1 2/9/9 9 TIGHT OR HOLDING TANK:/I�eVtr{Tank must be pumped prior to, or at time of, inspection) (locate on site plan) Depth below grade: /1l� Material of construction.-AOconcrete I!PnetaLc//Fiberglasadi}Polyethylenea/ other(exptain) Dimensions: Capacity: 07 gallons Design flow:—gallons/day Alarm present All# Alarm level: A,)jd Alarm in working order:Ye34//4 Noi1 Date of previous pumping: Will Comments: (condition of inlet tee,condition of alarm and float switches,etc.) Tight or hn1 di ng tank- are Trot—pg@S6'ilt DISTRIBUTION BOX:_,L/ (locate on site plan) Depth of liquid level above outlet invert:_ Comments: (note-if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box, etc.) — -— istri ution box has one lateral :No evidence of solids carry nvPr _ N O evidpncp o f 1 P a k a O P i n t o—o-T—o 13 t—E7_f t-j;i-®b•A•x - PUMP CHAMBER:Adlt (locate on site plan) Pumps in working order:(Yes or No)_.,d24 Alarms in working order(Yes or No) Al/11 Comments: (note condition of pump chamber,condition of pumps and,appunenances,etc.) Pump chamber is not nrPsent _ revised 9/2/98 Page 8of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 135 Beech Leaf Island Road Centerville ,Mass . Owner. Julie Rice Date of Inspection: 12/9/9 9 SOIL ABSORPTION SYSTEM(SAS):A (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits,number: leaching chambers,number:0 leaching galleries,number: 'r leaching trenches,number,length: leaching fields,number,dimension overflow cesspool,number: C! Alternative system: Name of Technology: Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.) Loamy sand to medi nm fi nP sand No signs o fig--lzydi-aul is CESSPOOLS:,, cif/e (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensiohs of cesspool: Materials of construction: Indication of groundwater: _ A111 inflow (cesspool must be pumped as part of inspection) Cesspools are not present Comments: (note condition of soil,signs of hydraulic failure,-level of.pending,-condition of vegetation, etc.) •... esspoo s are not present . PRIVY: (locate on site plan) Materjals of construction: ALO Dimensions: 'fly Depth of solids: Comments: (note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation;etc.) Privy is not present revised 9/2/98 Page 9of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 135 Beech Leaf Island Road Centerville ,Mass . Owner: Julie Rice Date of Inspection: 12/9/9 9 SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) �N, i ► I � N, i? , a' revised 9/2/98 Page 10of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 135 Beech Leaf Island Road Centerville ,Mass . Owner: Julie Rice Date of Inspection: 12/9/9 9 NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep _ SITE EXAM Slope Surface water Check Cellar Shallow wells / Estimated Depth to Groundwater%+r Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record j/Observed.Site(Abutting property, bservation hole,basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps �hecked pumping records Checked local excavators,installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) Used water contours map . Gahrety & Miller Model 12/16/94 revised 9/2/98 Page 11of11 •rrnr+re—nrrs�-rr-zrnrmr•nfrrm.rtrerrrr..rr.•n+!fv.rfvsrrenern mrn�rsns�rantse+ T'ee`Ts-tr�.lrrsr—...tr.r—••� TOWN OF Barnstable BOARD OF HEALTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION 1 'T!•i^T••. ::f-S.T17^.�TTt.TSTS11'!!.'Tlt T1Pi6S'.iTfT"{:TS'I1'7CCR�fiMAT�TRR.CVI.�iti'}MRfa747Qr7 �.., .:.TPtT•T•1f_... -TYPE OR PRINT CI.EARLY- PROPERTY INSPECTED STREET ADDRESS 135 Beech Leaf Island Road Centerville,Mass . ' ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAME Julie Rice PART D - CERTIFICATION I NAME OF INSPECTOR Joseph P.Macomber Jr . COMPANY NAME J.P.Macomber & Solt `Inc . COMPANY ADDRESS Box 66 Centerville ,Mass . 02632_ Street Town or C1ty state LIP COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX (508 1 790 -1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate, and omplete as of the time of ,inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent witli my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one: System PASSED eatd,/ The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public hea1Lh or Lhe environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have con acted has found that the system fails to Protect the public health and the environment in accordance with Title 6 , 3.10 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature Date Qne copy of tl;is ce tification must be provided to the OWNER theBUYER here appl iaable ) and the IIOARD OF HEALZ'II. * If the inspection FAILED, the owner or"',operator shall u d within one year of the date of the inspection, unless allowed ort required he m otherwise as provided in 3,10 CHR 16 . 305 . partd.doc ��. «.(��• SIC w V _ j1f 3r THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. , Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection. June 8, 1995 Acting Director of the P •Ion of Water Pollution Control t TOWN OF BARN S T AB E g f _uC ATION / - SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. n SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �/`�� � � (size) N0.OF BEDROOMS �--� BUILDER OR OWNER G z 51 PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland aneLeac g Facility any wetl s exist within 300 feet fa Feet Furnished b I 1 T OY WILLIAMS SEPTIC INSPECTIONS f Certified by MA Department'of Environmental Protection) (508) 385-1300 r j ` -19 Hummel Drive* South Dennis,MA 02660 f I I �I COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS ?• ' DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 ' j• i j I I WILLIAM F.WELD TRUDY COXE Govcmor I I Sccretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Lt.Goyemor I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner,, .l PART A I t I i i CERTIFICATION Property Address; I I Address of Owner: Date of inspection; 9' f (If different) Na of Inspector. T M'O y W 1 1 ll i d m s j 3 S «< -cl4 T J� •f /��t ; I am f DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) i I Company Name: Troy .Wi 11 iams Septic Inspections ` Mailing Address: 19 Hummel Drivp - South Dpnnis , MA 02660 Telephone Number: 5 08T3 8 5-13 0 0 CERTIFICATION STATEMENT j i I'certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection: The inspection was performed based on my training and experience in the proper function and maintenance of on-site,sewage disposal systems. The system:. i I I Passes "• Conditionally Passes• Needs Further Evaluation By the Local.Approving Authority _ Fair- Inspector's Signature:. w D te: f G 1 7 The System Inspector shall submit a copy of this inspection report to the Approv Authority within third 0)days of completing this i inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, a inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: AI SYSTEM PASSES: ! I I I I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.3031. ': 1 Any failure criteria not evaluated are indicated below. u COMMENTS: C BI SYSTEM CONDITIONALLY PASSES: � l. One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon f f ) i completion of the replacement or repair, as approved by the Board of Health,will pass. Indicate yes,no,or not determined (Y,N,or ND). Describe basis of determination in all instances. If"not determined",explain why not' _ The septic tank is metal,unless the owner"Or operator has provided the system inspector with a copy of a Certificate°of,14 .'i r + t 1� Compliance (attached) indicating that the tank was installed within twenty(20)years prior to the date of the inspection,or ? 1A1yt ;i I. 1 the septic tank,whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltratton,or,tanktt r 4t1 1.1 ' failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic'tank ;r, as approved by the Board of Health. 1 ! r ' (revised 04/25/97) Pays 1.0f 10 11 p ncc M rim Uh bl IAFAe U uA A f fF...... .._u-- g t ti SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) : 13,5 �, le- IG .� led Property Address: �S Owner: Date of Inspection: °I �l6 �ti7 � �' • . BJ SYSTEM CONDITIONALLY PASSES (continued) A1/4 Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed I distribution box is levelled or replaced a _ The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with'approval of the Board of Health): i broken pipe(s) are replaced obstruction is removed J Cl FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: A//,, Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL'PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT. Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system'has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or. less than 5 ppm. Method used to determine distance (approximation not valid). { 3) OTHER i i i 4 t ' I 1 ' (revised 04/25/97) : Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A /CERTIFICATION (continued) Property Address: ;I 3 S v,2 t e- C cti T Owner: /14 o N f Date of Inspection: � /� 6 /y -7 D] SYSTEM FAILS: You must indicate ei,,,er "Yes" or "No" as to each of the following: I have'determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. j Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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 I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: A1//J You must indicate either "Yes" or:'No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area - IWPA) or a mappedZone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/97) page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: _ 13 s 13« 1: I - � ems.Ic-h �2d . I ' Owner: Date)of Inspection: /✓i / Check if the following have been done: You must indicate either "Yes" or"No" as to each of the following: Ye No Pumping information was provided by the owner, occupant, or Board of Health. i I _ None'of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates. during that period. Large volumes of water have not been introduced into the system recently or / as part of this inspection. V ' _ As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected .for signs of sewage back-up. _ The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. V _ All system components, excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was'inspected for condition of baffles or tees, material-of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: The facility owner(and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. i f Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) [15.302(3)(b)) i � I I ! i i (revised 04/25/97) ; Page 4 of 10 I I 1 � _ t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C / SYSTEM INFORMATION I Property Address: Owner: AEI i 1 Date,of Inspection: I , FLOW CONDITIONS RESIDENTIAL: Design flow: qY6 g.p.d./bedroom for S.A.S. Number of bedrooms: a Number of current residents: � Garbage grinder (yes or no): N Laundry connected to system (yes or no): `YE 5 j Seasonal use(yes or no): Nv ' Water meter readings, if available (last two (2) year usage (gpd): � mow //• ems Sump Pump (yes or no): n161 Last date of occupancy: (J L 1_ 1�40 1 G 1) COMMERCIAUINDUSTRIAL• Type of establishment: Design flow: aalIons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or-no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if.available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: nj _ V U /P u M �O a�. a 'L. y 4���G. � L�r+y�c���� ystem pumped as part of inspection: (yes or no) A/v If yes, volume pumped: gallons Reason for pumping: TYPE 9F SYSTEM _�_ Septic tank/distribution box/soil absorption system Single cesspool i Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other i 6 APPROXIMATE AGE of all cgmponents, date installed (if known) and source of information:_ S �/{ r✓t %3 Gv- ca. S I Sewage odors detected when arriving at the site: (yes or no) (revised 04/25/97) t Page 5 of 10 X SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C J SYSTEM INFORMATION (continued) y Property Address: I� �UC.c-�� /Gu�` %S �c�h J /ec Owner:• /41 16 'h �d Date of Inspection: . g /ram /y7 BUILDING SEWER: (Locate!on site plan) Depth below grade: Material of construction: cast iron 40 PVC _other (explain) Distance from private water supply well or suction line Diameter' Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK: -Z (locate on site plan) Depth below grade: r Material of construction: concrete _metal _Fiberglass _Polyethylene —other(explain) If tank is metal, list age _ Is age confirmed by Certificate of Compliance _(Yes/No) is'X Dimensions: X 11 6 O 0 C.,//D �► Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: ;2 Scum thickness: A: c, e-✓ G if Distance from top of scum to to?of outlet tee or baffle: Distance from bottom'of scum to bottom of outlet tee or baffle: �6 How dimensions were determined: /pro h c Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, d pth of liquid level in relation to outlet invert, structural inte rity, evidence of leakage, etc.) c-A.- o U 4 1G c _ I N , 'i- / "- 1 GREASE TRAP: (locate on site plan) Depth below grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene —other(explain) Dimensions: Scum thickness: - 1 Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (revised 04/25/97) Page 6 of 10 Il l G is l—777 I ( I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM { PART C j SYSTEM INFORMATION (continued) Property Address: Ctwrier: v✓� Q Date of Inspection: I TIGHT OR HOLDING TANK:/"/ (Tank must be pumped prior to, or at time, of inspection)' (locate on site plan) Depth below grade: Material of construction: concrete _metal _Fiberglass _Polyethylene _other(explain) . Dimensions:_ Capacity: gallons Design flow: gallons/day Alarm level: Alarm in working order_Yes; _ No Date of previous pumping: Comments: (condition of inlet tee;.condition of alarm and float switches, etc.) DISTRIBUTION BOX:- (locate on site plan) Depth of liquid level above outlet invert:' <-�e,/ Comments: i (note if level and distribution_ is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) i I PUMP CHAMBER: ��• (locate on site plan) I � Pumps in working order: (Yes or No) Alarms in working order(Yes or No) Comments: I (note condition of pump cumber, condition of pumps and appurtenances, etc.) I I , • A : (revised 04/25/97) Page 7 of 10 ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM i PART C j SYSTEM INFORMATION (continued) ! Property Address '/ 3 S ea-C_�• fl ees 7`_ Owner, ✓'C!v H �-. Date of Inspection: 6 /y � SOIL ABSORPTION'SYSTfM (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) j If not determined to be present, explain: Type: leaching pits, number: Ok,. T �` b 1-[C_L Jam•7` leaching chambers, number:_ leaching galleries, number: . leaching trenches, number,length: i leaching fields, number, dimensions: overflow cesspool, number; r j; Alternative•system: i Name of Technology: L l • Comments: ( to condition of"soil,si s of hydraulic failure, level of ponding, condition of vegetation, etc.) S Q. S h CESSPOOLS: : AY (locate on site plan) l ti f i Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater. �. I inflow(cesspool must be pumped as part of inspection) { I Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: (locate on site'plan) Materials of construction: Dimensions: s j Depth of solids: Comments: t t (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 04/25/97) Page a of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C f° { I; i I SYSTEM INFORMATION (continued) Prof er L� iy Address: A3.S lew Owner; Date of Inspection: I� ' i SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) ` t I IS GL • ) i I- i F 1 Ile ✓ `' dX 4 i (revised 04/25/97) Page 9 of 10 j. i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM i PART C SYSTEM INFORMATION (continued) f l j Property Address: 13S ;;,�G ew Owner: i M 16 h Date of Inspection: I Depth to Groundwater Feet adjusted high groundwater level Ple8e.'indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site (Abutting property, observation hole, basement sump etc.) I Determine it from local conditions Check with local Board of health i • , Check FEMA Maps Check pumping'records Check local excavators, installers Use USGS Data I j f 1 Describe in your own words how you established the High Groundwater Elevation. ()Must be completed) f fah e d IAL Gl t✓ t / l7 (e, 1., Sal '9 r I' •' I • 1 I i 1 (revised 04/25/97) Peg* 10 of 10 ) f E c I i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ! !l i I PART C I i, SYSTEM INFORMATION (continued) I ? �? / �—�''` Property Address# �✓-S V G�e le., f _L$ Owner: Date of Inspection: Depih to'Grouindwate� I"1'Feet adjusted high groundwater level I Jyp I � Pleaselindicate all the methods used to determine High Groundwater Elevation: j ,i Obtained from Design Plans on record Observation of Si{e (Abutting property, observation hole, basement sump etc.) i Determine it from lo'cal'conditions i I ! Check with local'Board:of health Check FEMA 'Maps I Check um in '.rl cords P P• g 1 Check local excavators, installers Use USGS Data ' Describe in your own words how you established the High Groundwater Elevation. (Must be completed) j i ugh CA4.. t•✓ t .�C / t7 G/ CU 4.� S c7 Xr, 1-11,:h19 dj f w A q a. c-✓c.w w ti._ s o._ i �,Sp c '�r., , I I ! . ., i I ' I \ i. ' I i r , � t (reviaard 0{%25/97) Page 10 of 10 jV } � I �".'��. The Town of Barnstable { i Department of Health, Safety and Environmental Services . Public Health Division 367 Main Street,Hyannis,MA 02601 Office 508-790-6265 Thomas A.McKean FAX 508-775-3344 Director of Public Health January 28, 2000 RE: 135 Beach Leaf Island Road, Centerville The existing septic system has sufficient capacity for four(4) bedrooms maximum. However, the attached floor plan shows five (5) bedrooms. Therefore, a revised floor plan is needed showing the "office room" location and a deed restriction shall be recorded that restricts the property to four(4) bedrooms maximum. °FTOh�, Town of Barnstable Department of Health, Safety, and Environmental Services BARNSMLZ �,•��' Public Health Division 367 Main Street, Hyannis MA 02601 FAX Date: , Number of pages to follow: y� Ar To: From: Phone: Phone: 508-862-4644 Fax phone(fflf) /.5 3 Fax phone: 508-790-6304 CC: REMARKS: ❑ Urgent ❑ For your review ❑ Reply ASAP ❑ Please comment F�" r6 Wi Y�8 .-3q73 THE T The Town of Barnstable 1nbq,4 1 INAWSTAM Department of Health, Safety and Environmental Services MAQ4 ,L6.39. 9 Public Health Division 367 Main Street,Hyannis,MA 02601 Office 508-790-6265 Thomas A.McKean FAX 508-775-3344 Director of Public Health SC4 f'd-i Cteg)�- -ex�i�'�'►;� �p�G S�S�� ev�� ` IV- Ive- ne-J AQ y1 t .-o (` Fro f. f C G / TOWN OF BARNSTABLE LOCATION L. L` ! z9 S�ecl, �Prc} SIA'j 4-4-SEWAGE # 9 '-.3s-z VILLAGE CEAT �f IG.LL� ASSESSOR'S MAP & LOT/�"�� INSTALLER'S NAME & PHONE NO. ���. ��ti S t p l l -271_ 161- SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �i c,�-. Q, X �( (size) 1,000 NO. OF BEDROOMS `� i PRIVATE WELL O PUBLIC WATEp� BUILDER OR OWNER - 5, 07�� �().ti' L o, 7 71-0- DATE PERMIT ISSUED: `�" ��s. 02, DATE COLIPLIANCE ISSUED: —A G 9.,? VARIANCE GRANTED: Yes No �onrf e2 F �{r:r� G- Q �r THE COM ONWEALTH OF MASSACHUSETTS ��` � �' v.c BOARD OF HEALTH l✓� . �.�.a..::;VATiON mo t . . COM-MISSIO4 Appliration for Dispaii al Workg Tomitrn.rtiun Frrutit I1� pplication is hereby made for a Permit to Construct (K) or Repair ( ) an Individual Sewage Disposal System at _. ---.....----�-b-......�9 -.-cation-Address or t No. G .e............................................. .Add � + I1.�.� -.....-•---• Installer Address _22 U Type of Building � ��` Size Lot.53,04g....Sq.Afe/�et Dwelling—No. of Bedrooms._.....................................Expansion Attic lK Garbage Grinder l 8 5 Other—T e of Building __---- No. of persons............................ Showers — Cafeteria QOther fixtures........................... . W Design Flow........ ------------gallons per person per day. Total d�ily fow_._._' .............................gallon i r4 Septic Tank—Liquid capacityl�gallons Length.._ _.�.. Width f TL8... Diameter................ Depth`B__. W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......A............ Diameter...._.kj......... Depth below inlet._5j.e ....... Total leaching area.3QZ....sq. ft. Z Other Distribution box (*5 Dosi tank q) 1� , L Percolation Test Results Performed by •X3 - __ \_______________F..............__._..._._ Date..- \--_�� . ��-......... aTest Pit No. I..L-Z-.....minutes per inch Depth of Test Pit_._.k .......... Depth to ground water-_�.................. Test Pit No. 2................minutes per inch Depth of Test Pit...._............... Depth to ground water........................ P4 .......9..._•.................... _ .. _.. ...................._.......... ........................................................... .. O Description of Soil.... ( _e ._.. f??.slY --Ski _ -_-. _SAs1Q........... �. � x c, W ••••-•-•---•----------••---•---•-•-•----•-••••-••••-------------------•-•---••----•----••-••-•••-•••-••----•-••-------•-•-••----•-••••--•••••••••--•--••--••••-•---••----•---•...---••-•-••--•-•-•-••--- UNature 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 TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance h been issued b of health. Signed......•••• e� ''v Date Application Approved By..... "� �1 C � / ........ / Date Application Disapproved for the following reasons:.......................................................................=....................................... ...............................•---••••••---•••-----•-•••••-..... _ ............••....•.•-•-•------••-••••--•••••-•--•••••--••--•••-••--•--•••.. ;;...ti--•--• -••••--•-••- Date Permit No.. ... . _ �i r�— Issued_.................. --- ........ ---•- l Date................................ 1 � , _Wn's _gip f• ` ��'" N . --« F �f THE COMMtbtNWEA TH OF MASSACHUSETTS _ BOARD O,Ff H ESA �..CJ........ .------....OF.... tZ.►u.j 1.c.......................•. Appliratiun for lliupu,sFal Workii Tonutrurtiun Vamit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ...... - ....._. �� •-_-•----....«1 ......................._-••_...-----•------ -------------------------------------------------- L ... L cation-Address q r ' or It No. rr �� �+ `/C Z 1C 1 �'G I.�tAddie� l V,le .....- ... 00, Installer Address U Type of Building Size Lot._ 3,L 9� ...Sq. feet .., Dwelling—No. of Bedrooms...... ...................................Expansion Attic (�o) Garbage Grinder (*5 aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ----------------------------------------------------------•---------•-•--•----•-•--•-•--•-••----. a----------•-------------------------- W Design Flow....... `��.= _ ��_._.._...._gallons per person per day. Total daily flow-_•_.--1;. ......................... lonsy r _ W Septic Tank—Liquid capacity.O SWkallons Length_._. . Width-:...--6._ Diameter•_-"_" ... Depth.. ._ �.. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. � Seepage Pit No._______�........... . Diameter......�/I ...... De th below inlet-_'-?)...J_.._... Total leaching area...`? ...sq. ft. z Other Distribution box (� `� Dosigg,,tank ( �J },LX� -Z- � 1t �r.�C,- y a Percolation Test Results Performed by.-._:.____•-�.....`..I._.......................................... Date._. ._..�_ i ._..___._.. Test Pit No. 1...L..�i-.-.....minutes per inch Depth of Test Pit---- ......... Depth to ground water.._�................. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -•-•---•--•-.......•••••-•••--•------------••••-•-------------------••--•------..._--•---•-- O Description of Soil. i) --= --- ..=•v!�w�. .._....V4,��.?.... . : .? 1�i17�� kt= IVL-:�•_•`�-1(� irJ,Sr x •--•--•-----••_..... -------------••-----•---__•---- V ............................................--------•--------•-•----•------------•------------•-------...-•---------•-_------------••-------•--••--•-------••----•--•..._._ W --------------------------------------------•--------------------------------------------------------------------------------------------------------------•-----------------------•-•-------- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ---------------------------------------------------•------------------------------------------•---------•----•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...................................................................................... .......................... ��— ^--- - Date Application Approved BY-------------- . 0--•` '......-"" f 1 ii :,..._ _ �" .� �, Date Application Disapproved for the following reasons----------------------------------------------------------••---•-•--•----------• --•-----•----•-------••-_•---- .. ....... ....... .... ... ..... .........•-----------_--••------_--•-•------...--'-----------------•-----•---------------------------•-•- Date PermitNo..: ..... - -•---- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH s �[st�.n............0F............. .. ... ................................. Trrfifiratr of f ompliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (X) or Repaired ( ) by ._..... .44W.......................................................................................................................................... Installer �, n at------------------- e,,T.......... _----A-e-e..4.14 `�� Ct - .�---•--9 �.��--���c•------............. has been installed in accordance with the provisions of 'I,E 5 of The State Sanitary Code as des ribed in the application for Disposal Works Construction Permit No.___. _ __-__..L?............ dated......... .............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUA ANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......._.. Q-- �..-...! J Inspector.- .-,1. ------------------------------------ ---------) COMMONWEALTH OF MASSACHUSETTS -7 V- BOARD OF HEALTH � -" ................oF.. ....... :- :.........:........................ �i��usaal Turku �unu#riun rraati� Permission is hereby granted.............k. - :d1 ....... _.- -------------------------------------------------------------------------------------------- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No......... .....76-.?--•---....•a u. 3.---•- Street q as shown on the application for Disposal Works Construction No..&D.'._J,[,_/_ Dated..._.'� l• ...... . `..l L'"""�.•"Lib•./ l : ��_. / i ' Board of Health DATE. ----�<_... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS ' BAXTER & NYE, INC. Professional Land Surveyors and Civil Engineers 812 Main Street •Osterville, Massachusetts 02655 Tel. (508) 428=9131 FAX(508),428-3750 WILLIAM C.NYE, P.L.S. -President PETER SULLIVAN, P.E.-Vice President-Engineering RICHARD A. BAXTER, P.L.S.-Vice President October 5 , 1993 Mr . Jerry. Dunning Board of Health Town of Barnstable P. O. Sox 534 Hyannis , Ma 02601 Re: Lot 28 Beech Leaf Island , Cent Map 187 Parcel 63-1 Dear Jerry: At the request of Peter Brown of James Drisco11 Excavating , Baxter & Nye Inc . made an i-nspection on Oct . 1 , 1993, of the septic. system installed on Lot 28 . Based on this inspection the septic system has been installed in accordance with the Board of Health Plan dated Feb 13 , 1986 for Beech Leaf. .Island Inc . and the present health regulations ., Very truly yours,. . , er & N e In eter ullivan , P. E. Vice President cc : Bayside Building .Co. P S: s 1 0�'� 9`•'� g PETER SULLIVAN ry% : No. 20733 y AAO •Q�, Y,4� .�` '1i'Y•^�ryr..r MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS I AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS 3. No. ....._.__. �...100 .. THE COMMONWEALTH OF MASSACHUSETTS SU13JECT TO APPPOV, lL 0 BOARD OF HEALTH 'BARNSTAB« C"INSERVATI ON Applir-Fation for Bispoii al Works Tonstrurtinn rranit Application is hereby made for a Permit to Construct ()Q or Repair ( ) an Individual Sewage Disposal System at: 9 ••--- ----------••---• --- Address - or Lot No L . �- ............. ..._ ---------------------------------------- --- c�.M �_rar. r - �t.� s ............... 'ner n ` . // ddre - ss ----------------- -------•- ------------------•----- ----SAT---...---- j--��d►...1��?...t�r�4��------1rt..-•------•---- Installer Address _ Type of Building Size Lot.:33.6A2__..Sq. feet Dwelling—No. of Bedrooms_...__3.................................Expansion Attic (t jlj Garbage Grinder Z 65 aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures o w Design Flow.... i-. i . ..gallons per person per day. Total daily flow---'Q1��...........................gallons. WSeptic Tank—Liquid capacity! gallons LengthA 0.'_(P.. Width.46— __.__ Diameter................ Depth..`—.......... x Disposal Trench—No. .................... Width.................... Total Length..................... Total leaching area....................sq. ft. Seepage Pit No.___--_-___:1........ Diameter.....1-1......... Depth below inlet_....'3_.�._.._.. Total leaching area....i�.0b...sq. ft. Z Other Distribution box (�fts Dosin tank (� 1.4 Percolation Test Results Performed by__DA.K:C_c.__ C�-----•.-----_._. Date.._.i��t.�.�-��.••..-_.. 1.4 Test Pit No. 1---42..___minutes per inch Depth of Test Pit,..kO.......... Depth to ground water.................... (�I Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------- --- .... D Description of Soil•.0- Z.. . . -- L1850.l.L,, 2 -• --....A!-�......... U .....•-••-•-•••••-•••••.....-••••••••-•-----•••--....••••-•••••••-••-•-•••••----••••--•-••...-•-•--•••-••...-••--•---••••--••••-----••-•-••---•-••---••---•••-•-••••-•••••--•--•••••..............••--••. w U. Nature of Repairs or Alterations—Answer when applicable..... + ....................� � �il � -••. . ---------------- - Agreement: ��cST IS _1 71» r zc,��D �•,t «< �� v 4�t A v The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 of health. •--------------------------•---••-----------•--••--•••.•••- D e Application Approved BY .......................•------....._---•--.....----••-•- f 2 Date Application Disapproved for the following reasons:-•-----•--------••-------------------------------•------------•-----------------•----------------------......... -----•---••-•---------------•---•--------.....------------------------------------...----•-••-••---...•---••••............•--••-......--............................................................. Date Permit No...........`S7 --•--- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH n�...............oF...... c1 ......................... 1 rtifiratt of f ourpliaanrr T IS, 0 CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by........... l at .. �.. -` nstalT / ------+.-Q V� L�--------_----------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------ ..... dated � � -�'_-_---•----_-.---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH c ! ............:oF..... flr'�...� :.- .................... No.. ..... ... FE ............. ����rns 1 .�rk� C�1an�frnr#Uan Trani# Permissionis hereby granted........•--. -------------------------------•-•--------........................................................ to Construcl or Repair ( ) an Individu l Sew Dispo al S st nn :. at No. v�...y�••---- : lam....._._._._ �. s3� Street as shown on the application for Disposal Works Construction Permit N � Z—� Dated--' /9A�Ai?lr-.------------- ••••.........-• -•---• ..................................... DATE Board of Health _._...._..,. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS J THE COMMONWEALTH OF MASSACHUSETTS — BOARD OF HEALTH T Appliraatinn for Disposal Works Tonstrnr#ion rjernfit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal �Iystem at: .LG_... .1 ...IS..........>> `.........-'t`.....�-......(.tc ...---•------...........o:.....2:.L�.. ------•------- Loc tion-/A' ddress // ••--• -••-- •••-- ••••-•• !� Owner K _ 1 -+:• � Address W ----��....� x. .. '_Vic_....................................................... ....`� Installer Address Type of Building Size Lot.. ...-.__ A -___Sq. feet Dwelling—No. of Bedrooms........•-.................................Expansion Attic (J�)) Garbage Grinder �a5 aOther—Type of Building ............................ No. of persons............................ Showers Q' Other fixtures ..__ 3_.__... ( ) — Cafeteria ( ) d --------------------------------------------•---------------------------------- ---------------------•------.... ------------------- Desi n Flow....`�5.._s fir-' °` W g __.:.::..........gallons per person per day. Total daily flow.._.`.�'C).5............................gallons. WSeptic Tank—Liquid ca.pacity.�.`�AX allons Length._1(_�.:_6�.,. Width..!H-c.i".. Diameter._.......... Depth...,-'�`t. x Disposal Trench—No..................... Width.................... Total Length.......:..........._ Total leaching area.........:..........sq. ft. Seepage Pit No.___.___.__.)........ Diameter......)_-------- Depth below inlet.... ....•. Total leaching area.... ...sq. ft. z Other Distribution box (" Dosin&tank / Percolation Test Results Performed by... t k_ s _� t.1 `/L%._`_: ................ Date_.__\_.k/ � Test Pit No. I___- ___minutes per inch Depth of Test Pit....1_i�:).......... Depth to ground water----- ............... fX Test Pit No. 2................minutes per inch Depth.of Test Pit.................... Depth to ground water........................ --- •----- --•------••------------------- .----.----__-------------------••---•-------------- --------- !- . O Description of Soil--- --`_c. A, , 3 . ` il_�`?X�...�� U '•-...--------------------- ---------------- •----------------------------------------------------------------- ----------------------------------------------------------- -•------------------------------- W U Nature of Repairs or Alterations Answer when applicable..... �s-itq�a..--- �-#IIGi/v�^s� ,/� '- 3`' 7 1N--�Q 1 T/-U6 Agreement: T- /" rr / !U ,;.y1 c c E3 110 f tJ�� � /A�-c DRes�F��� ,.a 4:k A►l 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 of health. 77 '., Date Application Approved By....•................ ` Y�11� ��i?.cf rr.. ___._-M _ �..... Application Disapproved for the following reasons:-------•------••---------------•-------------------------------------------------••-•......................--- .....-----•-•---•-••...........••---------••---•-•••-•-•--••••-•--••--••-•--•-••••-------------•---•......---•-••---•-••-••....--•••-•••-•-•-•---•••••-----•-•-•••••----••--------••-•--•••••----•.....-- Date Permit'No.------•.-71E:_�`_G '�. _,._...------•--•-------------•--• ..Issued--•-----.._..-----....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -,.,.^........................OF....., , C9ertif iraa t a ie T,HI-SKIS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by '' c:;V_�------------•--•-•----------••-•-----------------------•------•----------......----•----------------..---•--------------------------------- Installer has been installed in accordance with the provisions of TIT 5 o he State Sanitaryoeas escribed in the application for Disposal Works Construction Permit No....... `:;�a_—` -.>'�.... datedi�s------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GVRAN/TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH BiipoBaal Workii Tannstrnriion amit Permission is hereby ranted.....- --•-- '` -------•--------------------------------------------------• to Construct ( ) or Repair ( ) an" Individual Sea ge Disposal System - (' reet '`C� ` - as shown on the application for Disposal Works Construction Permit No Dated.-:. ;Z?p,f% ............. . Board o DATE f Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS i : Is . . � . ..... TPWL ••>I// ,� � ,cif r Ps ,. • �' �. 1.. . �. ..' `�u . . _. Tom\:•, /� / ovs C1J ,moo .,r ; 1. L IQ 53 ad g sr= Tb7`.4L_ `SH of MAss9 .�1 PETER cy� j • , � �'�3 � SULLIVAN NO.29733 NA It -144 ' s•r>< ;h1�. °` F` a I�o•3. r`� :� lu,/ 15rw I° . . ' on/q + y FUCHARO ."J 'SJPsSO1l.. 'Q A. r-•4 15j• INV: �aC� � I � 2. �, ESAXTER H. > SA11O f No.zaoaa 'TA14Z. WASrW Gaevei �fi° �F°� . e•. ... . . . �_._ :•_.�.,. ..J • � „".,� ,.. . ,pop N�� .._ ... rsfiay�,�Rgt,,' Prr STb a sc: _ ' MOD. �; Rpm. 5�R�tG, ;� � 1 ;. �t.• �,g In LAal-�b PoSAL' ;t F,9 `moo w.rJae-� .- l SIC pli kz"l I t. fir:: z sic 24s �its, � 'a ' A NyJe�� Sv. r� cyo2b x. l%0 'i 1 �i 'T'OT�?L: a :'I 141y; S'3� 'ST �I(AA44 -rCrA G Y f -- - ,r.ry TOWN OF BARNSTABLE LOCATION L 6 � Led 4ASEWAGE # >� VILLAGE L'e- 1`1C-� ASSESSOR'S MAP & LOT/ "",�� INSTALLER'S NAME & PHONE NO. ���• D61(6t! 771- /0 -1 0 SEPTIC TANK CAPACITY_ LEACHING FACILITY:(type) �eAoL, 4�T 6x 8 (size) �r000 ,,.160 NO. OF BEDROOMS 1 PRIVATE WELL O PUBLIC WATEP. BUILDER OR OWNER F74 Q4 PJv.. ,�1 Go, 0 9`1 , DATE PERMIT ISSUED: 2- DATE COLiPLIANCE ISSUED: VARIANCE GRANTED: Yes No l_ 1y cs- 310 CNIR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.301: continued a nominee trust situation,whoever has authority to add a new beneficiary is responsible for the inspection. An inspection conducted up to three years before the time of transfer may _ be used if the inspection report is accompanied by system pumping records demonstrating that the system has been pumped at least once a year during that time. (4) Exclusions. Inspection of a system is not required at the time of transfer of title of the facility served by the system in the following circumstances: (a) a certificate of compliance for the system has been issued by the approving authority within two years prior to the time of transfer;or (b) the owner of the facility or the person acquiring title has signed an enforceable agreement with the approving authority to upgrade the system or to connect the facility to a sanitary sewer or a shared system within the next two years following the transfer of title, provided that such agreement has been disclosed to and is binding on the subsequent owner(s);or (c) the facility is subject to a comprehensive local plan of on-site septic system inspection approved in writing by the Department and administered by a local or regional governmental entity, and the system has been inspected at the most recent time required by the plan. A comprehensive local plan may prioritize systems to be inspected on the basis of proximity to water resources, soil or geological conditions, age or size of systems, history of performance,.frequency of pumping or other routine maintenance activity,or other relevant factors, and may establish different schedules and frequency of inspection on the basis of such criteria, provided that all systems are inspected at least once every seven years by a System Inspector approved by the Department. (5) A system shall be inspected upon any change in use or expansion of use of the facility �`L+,,p G �J served, for which change or expansion a building permit or occupancy permit from the local 1 C. k4L building inspector is required. Unless the system is a cesspool, failing as set forth in 310 CMR •J ��" 15.303 and 15.304(1), or a significant threat to public health, safety and the environment as set 1 _ forth in 310 C.MR 15.304(2),.upgrade of the system is not required if the system was designed I-' to accept design flows resulting from the change in use or expansion of use. Upgrades to accept 1� increases in actual or design flow to any cesspool or to any other system above the existing ` approved capacity shall be in accordance with 310 CMR 15.352. Whenever an addition to an existing structure which changes the footprint of a building with no increase in design now is proposed, the system inspection shall be an assessment to determine the location of all system components, including the reserve area, in order to ensure that the proposed construction will not be placed upon any of the system components. If official records are available to make a determination regarding location of system components, an inspection is not required for footprint changes. (6) Systems with a design flow of 10,000 gallons per day or more at full build out shall be inspected by December 1, 1996 in accordance with the provisions of 310 CMR 15.006 (transition rules) and the applicable provisions of 310 CMR 15.300 through 15.354. Such systems shall be reinspected at least once every three years thereafter. (7) Shared systems shall be inspected annually. - (8) When a facility is divided or the ownership of two or more facilities is combined as specified in 310 CMR 15.010(2) or (3), all systems serving the facility or facilities shall be inspected. (9) All systems shall be inspected when the owner or operator thereof is ordered to do so by the local approving authority,the Department or court. (10) The results of any inspections)required by 310 CMR 15.301 shall be:submitted to the approving authority on a System Inspection Form approved by the Department within 30 days of the inspection by the approved System Inspector, provided that this sentence shall not be construed to require the owner of a system or a System Inspector to submit to the approving authority the results of a voluntary assessment of the condition of a system that is not performed to comply with a requirement of 310 CMR 15.301. Any system determined to require upgrade 11/3/95 310 CMR-546 i 15.002: continued Acre-a unit of land measure equal to 40.000 square feet which is considered a b:.ilding acre in accordance with standard real estate practices. Agency- an agency, department, board, commission or authority of the Commonwealth or of the federal government and any authority of any political subdivision which is specifically created as an authority under special or general law. The term shall not include housing authorities permitted pursuant to M.G.L.c. 40A. Alternative Systems-Systems designed to provide or enhance on-site sewage disposal which either do not contain all of the components of an on-site disposal system constructed accordance with 310 CMR 15.100 through 15.293 or which contain components in additi in to those specified in 310 CMR 15.100 through 15.293 and which are proposed to the local approving authority and/or the Department for remedial, pilot, provisional, or general use approval pursuant to 310 CMR 15.280 through 15.289. Ayyroving Authority - A local approving authority as defined in 310 CMR 15.002; or the Department, with regard to systems owned or operated by an agency of the Commonwealth or of the federal government,or on a case-by-case basis as determined by the Department to be necessary io carry out the purposes of 310 CMR 15.000. ASTM- The American Society of Testing and Materials. Bank (Coastal) - The seaward face or side of any elevated landform, other than a coastal dune,which lies at the landward edge of a coastal beach,land subject to tidal action,or other wetland as defined in M.G.L. c. 131, § 40 and 310 CMR 10.30(2). Bank (Inland) - A portion of the land surface which normally abuts and confines a water body as defined in M.G.L. c. 131, § 40 and 310 CMR 10.54(2). Barrier Beach-A narrow low-lying strip of land generally consisting of coastal beaches and coastal dunes extending roughly parallel to the trend of the coast, separated from the mainland by a narrow body of fresh,brackish,or saline water or a marsh system,as defined in M.G.L.c. 131, § 40 and 310 CMR 10.29(2). Bedrock- Solid rock exposed at the surface or overlain by unconsolidated gravel, sand, silt and/or clay. Bedrock includes weathered or saprolitic components thereof. Bedrock types are defined and most of their areal extent are described in the 'Bedrock Geologic Map of Massachusetts"published by the Department of Public Works (1983). Bedroom- A room providing privacy, intended primarily for sleeping and consisting of all of the following: (a) floor space of no less than 70 square feet: (b) for new construction, a ceiling height of no less than T ; (c) for existing houses and for mobile homes, a ceiling height of no less than TO"; (d) an electrical service and ventilation; and (e) at least one window. Living rooms,dining rooms,kitchens,halls,bathrooms,unfinished cellars and unheated storage areas over garages are not considered bedrooms. Single family dwellings shall be presumed to have at least three bedrooms. Where the total number of rooms for single family dwellings exceeds eight,not including bathrooms,hallways,unfinished cellars and unheated storage areas, the number'of bedrooms presumed shall be calculated by dividing the total number of rooms by two then rounding down to the next lowest whole number. The applicant may design a system using design flows for a smaller number of bedrooms than are presumed in this definition by granting to the approving authority a deed restriction limiting the number of bedrooms to the smaller number. Biological Mat - A layer composed of microorganisms and organic material located below a soil absorption system which forms on the infiltrative surface of soil and which provides biological treatment of septic tank effluent. 3/24195 (Effective 3/31/95) 310 CMR - 482 .i 14 op 1 pe • - �o i WAMF / 'Llc� .��Co S ETZIA, p St= �tiP�SH OF � 9 • �. . ' . . .D ��° PETER yN SULLIVAN U No. 29733 ;1:9 ��• FG IS r ;.; p.: /t j1p .r9► �i — ..s�SrrM r i R r 1-7 G�II s Igo%3, :, IIJt/. OA +- MCHA.RD - lu�l �' .j� I�IST�: . povCpp� S��soiL A, a',. R vJ ( �' �3AX7ER AG. ¢��z. SAr4 (Vo.24048 4 W .r •.4 EL= i �• ��,� �` :,. . C/ JA 1p i N p ;. ot3sozvEi? C--l_=5.'s Ili I /70GQ��r. :. ! • , WAThIL 1 ClIFA ' t lt � 't4 SQo T 3• t .. .. : : . . ' 1�� FL�4:3x1�o�:��:• ��'��� • � C•�lJ'T'�1Z`/ILL�- /V��1�. o _ A - J'� l ''(' R-fJ Fa Z�.v- di Strt— TeWW,at tr A i7+l _ 5: t3 S:Gt�A � ' 5AXT z j4. W yam• I W� .t.._.......+r:.s...�.... � +f v�W oaf 1. civ►L t �'. .. : - ,;. t : • •••� NHS 'i'dtAC :'UC1�lls1�'- :'S � !.F'p dS"( tz�/1!_c_C• AAASS • ii •.' �. .�'•t �• .._ i' ' . . .�j . . ••.. :.; i i ' :• �� a a, ` • _411 _ t f L, ; 4 : i I 14 TPWYL 1♦ / / Prop (o t IF , Afz _ _. _ - --- - --- -- --- 17 -it OF ST Fr 1 , PETER cy� SU!LIVAN + No. 29733 a' _ uS QN At t � tn All N�5 OF _ ! L 04iA •!- gF D . r. i 15vv S��soi�. A. �is v i � BAXTER •5 ls•31 AL. a.�lL s,a�i� No.2aoa�'0 s 'TANK, ; Waa ��� A.: i w o ,: pit SmNs}� ' .4 , ` '' - � { � �• �g � dal � •i : .._ _ _ ' �' . �• �+ .G • *�' � � Mrs. / PLO ai ,i' i• �T35&favE? C-L=5.3 q� WA-MRit 1n s� �aM; , FLOT. ?'—AO ©T= • L nib. �Sl .64_ FZ.oy�9:3x.Ilvi.�50: o� - _. . 77 Sp MAL E 5 .U �. � STr ' 5AXTGZ tJycs tiJc �;�385GT�4 �a • _ : . � fuels : 1 i _ :` ( jC :�•.D.. +} 1 `6r :. .4 GIVI(„�'�.• l=N(o{hIZS ...... . . . : 'rvr tlsl •=' :S'3g !„ a sT tzvtc MA41S TaTAL