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HomeMy WebLinkAbout0866 BUMPS RIVER ROAD - Health 866 BUMPS RIVER RD., CENTERVILLE A=167-010 it lIp � N 17634 oP2,� -1 R `�► KASTINOS.UN 1G7 b 10 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Di.5pogar *potent Conotructiou i3ermit Application for a Permit to Construct( )Repair( pj<pgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No866 3,m f j 2 Owner's Name,Address and �Tel.No. Assessor's Map/Parcel CFI Y E NN Div �­��pyvv��. , Installer's Name,Address,and Tel.lyo. Designer's Name,Address and Tel.No. Type of Building: Dwelling A,' No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 7!a 37 Jar K F(u�► r�����c�2.j— ova 1 '` of lJ `S i�11C �;r�� c.,o` /� `S' �,t _'jo12 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 Certifi- cate of Compliance has been issue by this and �e�tf Signed � ,, Date FZ h•Q /9,99 Application Approved by Date _ E t Y f''/ Application Disapproved for the olio mg reasons - Permit No. q Date Issued TOWN OF BARNSTABLE Q LOCATION SEWAGE # VII.LAGE NTr2v, 1�� ASSESSOR'S MAP & LOT.16 INSTALLER'S NAME&PHONE NO.'S , h4ex,\\ SEPTIC TANK CAPACITY S O O C.A`, / r r LEACHING FACILITY: (type) (size)3( x ES NO. OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: 7f-m-)Li - l of LC COMPLIANCE DATE: t i Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 leaching facility) Feet Furnished by �i � c-, 1i^© a y' t� No. Fee _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Digaal *pgtem Construction Permit Application for a Permit to Construct( )Repair( /,�rlpgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No 866 3v f 2i vr2 jFp Owner's Name,Address and Tel.No. Uv rIY7. /'non Ir C_ KiN, { 'n Y1(k , Assessor's Map/ParcelC }9!/ ,p Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling s-' No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures t Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of-sheets Revision Date Title r f Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)L/► /p S% Z r,< 3 7L , e _5 ,/ S 'G'lC _ l 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 Certifi- cate of Compliance has been issue by this Z11ardof Signed . Date f%6•o? Application Approved by444 Date Application Disapproved for the ollo ing reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired (�Upgraded( ) Abandoned( )by /w"([! rc„� `, �. at 366 Z/hn f - rr,T has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. - dated Installer Designer /AA The issuance of this permit sha not be construed as a guarantee that the sys e - 'n function as designed. Date �, r��/1 a Inspector �J / n1 ------------ No. 77 �® Fee 15 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mig;poga[ *p-5tem Construction Permit Permission is hereby granted t Construc/�( )Re air(�Upgrade( )Abandon( ) System located at 866 KC n r !c t,�d A cr-.q tl and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: — 1 9 Approved by �� 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. O CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, 2r,,ce I'7&cr-J1`s% , hereby certify that the application for disposal works construction permit signed by me dated , concerning the property located at N6 23.,-,. u �P Vc R,,I- C tiT meets all of the following criteria: • The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] • If the S.A.S.will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: 4 A) Top of Ground Surface Elevation(using GIS information) a ,0 B) G.W.Elevation 7+the MAX.High G.W. Adjustment _ A6,6 DIFFERENCE BETWEEN A and B SIGNED :ZMC DATE: [Sketch proposed plan of system on back]. q:health folder:cert � t _► � � +"Y .. > Q'.,. �- a - f �/ STt1✓�C. 3a �w�,��x e ;.:�So o Sc�l;Tc��.� .�, ,.T .. ��� `k �' t I I �-i} ai 7 �rJ . _� � �] i `-' i �— � � �� �' TOWN OF BARNSTABLE � LOCATION 88 b 'EU QCWIR t v cr Y bf SEWAGE # -! 3 VILLAGE �(��1Zv.11 a 'a��. ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO.' . SEPTIC TANK CAPAC= S O G Ak, r LEACHING FACII.rh(: (type) Fk�a w l i c,s C. s (size)3(a Y NO. OF BEDROOMS 3 BUILDER OR OWNER De^ PERMITDATE: �7F_SQ Li ' l f j�COMPLIANCE DATE: r Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 leaching_facility) Feet Furnished by f' .00 31 � �r�cT oZ Q rSTr a - r 1444 ,� - _.<-- c—tee=_ �-- -+-'=. ___ ...- -^-:-. �—ti=a`.r.__._.�.. •_ _.: �.- -v't�� '�� - �.a_._n9e..a.. �, ��+. .may— 'z^'a - '--'�-j --ter �i�•-��..at- - D _ - Y D P 7rt Ent ctor - erttne BYAO - pup WAGErD15POSAL SYSTEM INSPECTION FORM a 'y PART A T CERTIFICATION Property Address� 866 BUMbs Rlver R&Centerville v Date.of lnspectioniaol17lss. ,: Address of Owner. Name of Inspector John Grata;: (If different) ' Estate of eatelta:Executrix Rosemary Lacey 201-Hampstead St'Metheun Ma.01844 Company Name,Address and Teiephone Number j: CERTIFICATION.STATEMENT, ,- I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as.of the-time of inspection. The inspection was performed_basetl on my training and experiencein`,the proper function and maintenance of on-site sewage disposal systems.:The system: X Passes Conditionally Passes _ Needs Further valuation By the Local Approving'Authoriiy' Fails Inspector's Signature: Date: 10117196 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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 of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority, IN SUMMARY: Check A, B,C, or D: / a A].SYSTEM PASSES: C , i 4 X I have not found any information.which indicates that the system:violates any of the failure criteria �1 7.1 ,defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: r One or more system components need to be replaced or repaired. The system,upon completion ' R of the replacement or repair, passes inspection. , �= 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, 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 co by the Board of Health. nforming septic tank as approved YreYised 11t45195} tom`---.. r ,One Winter Street . Boston Massachusetts 02108 . r FAX(617)556 1049 .pTeieph46ne(617)292-5500 ' ;* ✓'v"� ��s� .�i �--:4 ..wy� - .2"' r :r 1 ..7{, ,��� � � r 3 „.:`tea "}4'��.�'=, �L-i =-n ,�r�.-i� Y�,+�tsr% e �" t Pr ), f s k '$ Sy' -8 ,- -{ 1 y.; t t':t; _ •� d '� '�+,9> c. FF t ti{3}.f I �� r d .e�+ Yf.`- .. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 866 Bumbs River Rd.Centerville Owner: Estate ofBotello:ExecutrixRosemaryLacey201HampsteadSt MetheunMa 01844 Date of Inspection:10117196 _ Sewage backup or breakout or high static water level observed in the distribution box is 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 rerrioved distribution box is leveled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced- . obstruction is removed 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 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 PROTECT.THE.PUBLIC HEALTH AND SAFETY AND THE `.,The system has a septic tank and soil absorption system'and'is within 100 feet to a . surface of water supply or tributary to a surface water supply, . The system has'a septic tank and soil absorption system and is within a Zone 1 of a`.publ'ic water supply well. . The system has a septic tank.and soil absorption system and is within 50 feet of a private water supply well T The system has aseptic tank.and soil absorption'system and is less than 100 feet but 50 feet or more from.a private,, P `water supply well,unless a.weil water analysis for colifcrm bacteria volatile organic compounds indicates that the well is ' free from`pollution.for that facility te nitrogen is equal or less than S ppm and the presence of ammonia nitrogen and nitra 3) OTHER DI SYSTEM FAILS. Ks n3sa06hfifi Ilretoirr—TJae a - - - _. __. contacted`to determine wLO"'% iow-rtecessary to come a=ai ure ;— � '-„ _ Backup ofsewage°in facility or system component due to an overloaded o[clogged SAS ar Y'�.�•--e-- '� .� -`-5�,4�is��:}y�r9vri�a�Ge.�'�--x `�•��-�._.��,�.-.�- s-.. � ..�.,�..�_...� .�., :.� "`�_'� y f. .:.gym °M.,4. .ate .a..., 'S:.a.. t ^a`'_ � �` t-• ,:�..=�:#''- -.` _� � �- � . '�.-��.,..e._,.F...:s,,.� :,�'.''.��--�.'�'=" �-^^''--•�""T"._-'� �.. .".a--/'.r;w .�-r.�7-.--.� ��s�r.u�z�—..ice a- -� �._ '�� _ f "a '_ E-SEYYAGEDISP�SAL S`LSTEM INSFfCTION-'PORM v _PropertyAddres§. 8666umbsRiver Rd.Centerville: -- - Owner:: _ - - 844 Estate of Batello Executrix Rosemary Lacey 2D1 Hampstead St Met 11 Ma 01 __ - - __ -«=�ii.= �� s.�-n'zT>�.-.ram �-�� -ar`_"'•'�'c� _ Static;liquid.level`inthe- Is ri u ort' ox-above -.facto arrovertoaded_or-efegge °I'- — Liquid tlepth in cesspool is less than 6'below invert-or-available'volume Is less.than-i.l2-daK;flow Required pumping.more than 4 times in the last year.NOT due to clogged or obstructed.pipe(s). Numbers of times pumped Any portion of the:Soil Absorption System,-cesspool.or privy Is below the hi gh groundwater elevaUori Any portion of a cesspool or privy is within 100 feet of a surface water`supply or tributary to a surface water supply. t. Any portion of.a cesspool or.privyis:within a Zone 1.of a public well Any portion of a cesspool or privy is within 50 feet of a private water supply well Any portion of a cesspool or privy is less than 100-feet but greater than 50 feet from a private water supply well with no } acceptable water quality analysis. 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. 3 E] LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the.criteria: 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: the system is within 400 feet of a surface drinking water.supply the system is within 200 feet.of a tributary to a surface drinking water supply . the system is located in a nitrogen sensitive,area(Interim Wellhead Protection Area (IWPA)or a mapped Zone al 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 11/15195) NA QF - _ SUbSU RfACE SEWA:G DISROSAL SYSTEW INSPECTION FQRIN _ - - -. - — Property Address. 965 Btxnbs River Rd Centerville = r,01Yg8r� Estate orsote8o-Executrix RosemarjcLacey_2o1 Hampstead St.Metheun Ma 01844 - �I��feat-'f� - r X Pumping information was requested of the owner,occupant, and Board of Health. X None of the system components have been pumped for at least two weeks and the 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. - GaAs built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. x All system components, excluding the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees,material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 1111SM) 4 Y- SU$=SIJRfA_CE SEWAGE DISPOSAL SYSTEM INSPECTION FORM vPropaRyAddress 866BumbsRlverRd Centervfffe:; Y _ OW n8F_ Estate of Botelio Executrix Rosemary.Lacey 2a1 Hampstead;SL Metheun Ma 01U.4 — { Date-of-Ins ection 10/17196 Desigrnflow.a_gallons a � r._. _ -- - - - -Number of---bedroorhs 3- - - - - klm 8f O CUrren: - - _ Garbage grinder(yes or no). - _ '`f aumd y-connected.to-system(yes-or-no):Yes__._ Seasonal use(yes or no No _ Water meter readings,.if available: nla _ Last date of occupancy;n/a yCOMMERCIAL/INDUSTRIAL -' Type of establishment: n1a Design flow:0 gallons/day Grease trap present: (yes or no) No Industrial Waste Holding Tank present:(yes orno)'Nu' Non-sanitary waste discharged to the Title S system;.(yes or no) No Water meter readings,:if available` Na Last date of occupancy: nta OTHER: (Describe) rUa - Last date of occupancy: :. GENERAL INFORMATION tf: PUMPING RECORDS,and source of information. System has not been pumped in the last two years : System pumped.as part of inspection: (yes or no)No If yes,volume pumped: 9 gallons Reason for pumping, n1a TYPE OF SYSTEM Septic tank/distribution box/soil absorptions system X Single cesspool X Overflow cesspool Privy Shared system(yes,or no) ( if yes, attach previous inspection records,if any) Other(explain) APPROXIMATE AGE of all components,date installed(if known)and source information: 1960's Sewage odors detected when arriving at the site:.(ye s or no) No (revised 11115195) 5 ,r � -,�'.ri-� "-y;�-._ "'�.��+"�" - .."� _ �+?.�._ �_^ems-"a-x-•� _� '�.:.s ' -a" •ems. _-__ �.:_ — - F _ - - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM � .-Property Addfe s 866_BumbS RlgerRt>:Centerville-_ "" - Ov�Frt> h Estate af.goteUo_ExP!IttiiRnserr�a►7�Lacey201 Hampstead SL Metheun mas 01844 - Da �lrrsp�cttg�t,_401t+1f9e✓- - s --- - . - _.-.�-g:..a.- Sludge depth:Na - - -- - - - - Distance from top of sludge to'bottom of outlet-.tee or baffle n1a 4 Scum thickness:rda - Distance from top of.scum to top of outlet tee or baffle:rda Distance form'bottom of.scum to bottom'Of outlet tee or baffle:n!a 4 , -- Comments:. .._. _ .. :..; - _._ _ ---. _ - •;. '. ,. (recommendation for pumping, condition-of inlet and outlet tees or baffles,depth.of liquid level in relation to outlet invert structural integnty evidence of leakage,etc.) ` Na GREASE TRAP. (locate on site plan) . Depth below grade: rda Material of construction: concrete metal_FRP_other(explain) Dimensions: rda Scum thickness:n1a Distance from top of scum to top of outlet tee or baffle:rda Distance from bottom of scum to bottom of outlet tee or baffle: n1a 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.) Na (revised 1.11151§5). 6 OWN NU, - _•+���``"� �`�-�."���.- '� -._....,-� .�:�-�-- w..�-��_;,.� --� ,: 4- --�-.� -mac �''3"y�,7",�-w�,,,,-,-z'--'c' m-'�"'•-�r�w -�-�--- "' '�TM'T�� ��1:,�.�. ,-rsrti�z"" ��;`3..ao.. -' � "�_-�-�y. - co-,_. � '.t•�'4 „Y---`�.�.... r - 4v s _ Pro�ert�Address 8668umbsRlverRd Centecvtlle n]�rrlec EStete e�o�ExectirtrtxR�}r sem ry ace 'b��am�sYea SCMetfle�urA I1484 — - -- -�—.,� —�� �— -'�.•a�''-tom_- �� �-'sk�_r---' �' ��—�--'�_",-� --¢'���.._ locate on site Ian —Depth below grade _ Material of_consfr`ildf n_concrete mefaf=FRP �othe�Cexpta n) Dimensions: n!a _ Cality:. nia: gallons.. Design flow:,►Va gallons/day. £` Alarm:level: nfa ' Comments: ' (condition of:inlet tee,'condition of alarm and.float switches etc.) . . -. . y4 nta DISTRIBUTION BOX:.: (locate on site plan) - Depth of liquid level'above outlet invert: nla Comments: i (note if level and distribution is equal, evidence of solids carryover,evidence of leakage.into or out of box etc.) Na PUMP CHAMBER: (locate on site plan) Pumps in working order:( yes or no) Comments: -(note condition of pump chamber,condition of pumps and appurtenances. etc.) nla (revised 1.1115195). wk { 777 ^f s n 4.a"_.,t�TSCr'+��`3« +a- .a".k�-r--•C.-su+. .,,�- wss�+^�•7�"v-.. ,.� .�.�. 3 - ..c. � �3i�.'te -.:�-s .'...--�"s'�" ��>��.. �}.r--.,'s°.��,t`��.-�..T a.+.-er- ,t .�.-'�`3�s,�`.-{.. __R��.`�.-ua-at-.�. .�-�`-'.!" '-'�_°_""'-,-•_`_ '�� �'�' ��'' `--.-�,:s.._-�`-'ate..-.•t ��- ��'rSS�-86ffB�tnli'�1/8T'R�:�"ip •.. --.' ."t,jla�t0�'Ut..1f15c 8C'64 1...1 0+ yc '-' '..r o a--- - '�- ='. '.,�, a.-- `-...... ` {- :;:���` x� ,'r. -•.a„"-fir._ ,y�,', - �-�`. ... __ Kam.^ <.- "��--_•.�"'�"��' '` "�' — .�.,-�—`_�= ^'�i v.-_ �-_ ��.�-"����a-� a�•=- .�: _'=S�.' "'"x-. .�.� =.mow`- � __'�".'"__..`.��,�,�...---":'.�.-'^2` •-w... � '�..:-. ..c,,_._.. _ '. �" y"'�.s,'a""�.. --�, If�o�eteratned tp[esert exfaCatfi - �' � ter '— — ,,.,,,..ram_ .-' � - �, - 'a ;'3.�� --#•g-'.a•_—�.-:T� a`:k.- �j.+-F- r' `:•-r .�. °�_ ''�'K'�7Y'"< . - =�°'_ v ter'-`���� w'.�..y>`L..n.s`.�. �,. i -g ��4 f —tt,�`+m-�.,�`.,..�-�.s., ••'�,;� .-�•':�'1YTT�:�'.��.�i�-G"^'-.['_Y �a•�1..�.��r�'3.� �'z•�.' "= T•' '' k�Cs'.;.+^.'.S w-_.h i.s 4'.iS .�� a' "^,..,.�-..��i a��-�`Y�� .Y'... v I F leaching pits=number - leaching chambers, number:2nla _ leaching galleries, number:'n1a leaching;trenches„hum ber, length. n1a ",leaching fields,number, dimensions n1a "$ overflov+`cesspool, number'6'x6' pd Comments (note condition of soil,signs of hydraulic failure,level of;ponding;condition of vegetation, etc) The overFlow is structurally sound.The has never been more than 1'of water In it.It is functloning property.... CESSPOOLS X -(locate on site plan). Number.and configuration: one Depth-top of liquid to inlet.invert: emtpy. ' Depth of solids layer. ` nla 1` Depth of scum layer`. n1a Dimensions of cesspool: 6*x6 Materials of construction: block Indication of groundwater, none inflow(cesspool must be pumped as part of inspection) n1a Comments:(note condition of soil, signs of hydraulic failure,:level of ponding, condition of vegetation,etc) Main cesspool and all components are structurally sound Recommend pumping system every one to two years for maintenance.' PRIVY: ( on locate site plan) Materials of construction: n1a Dimensions: n1a Depth of solids: n1a Comments:(note condition.of soil, signs of hydraulic'failure, level of ponding,;condition of vegetation, etc.) PrivyComments (revised 11115195) -;"ai -- .+c,e, r M"#E"".,.as*^y+ ;->4. h� s,,�1".h9�•'^, , s� � . m - �-i r- �� a .pw"3^.-Fa i,. '� Y h X'- :s�.� 'ia7se�'i- sigL�---a-Lxx..Gra�-a[��a t��..a�ir�,'fi:z:- -���•..—,�.a.a�r�:,�,,.a.,,,�r+,�a'z%,,**�i �`-' - - s06SUR>FACE SE DISPOS -L SYSTEM INSPEGTION`FO.RM - a SYSTEM:INFORMATION(continued) �• - -. rape A, s 6 u�m a Ovvrrer� Estate of Botello Exec Mx Rosemary Lacey 201 Hampstead St Metheun Ma 01844 - Date,of.Ins pectiort'_1o117196: 1S.EZCH:=o�s.EwaCE.Djp^O � YSrFM_ . ,. J°Y .1:G�e. iy, 4'• 'iY+L ltih'% fi+3,^df+'k* AC �JA%..+ ..c.,> —t .. %S- 4+ include ties to at teas two permanent references landmarks or benchmarks x g locateall ellswitk4ib90 : s :-- .•. e. x - x CO( �To DEPTH TO GROUNDWATER Depth to groundwater:12 feet . method of determination or approximation: 120"no water .(revised 1 111 5/951 ,- •�