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0171 CONNERS ROAD - Health
171 Conners Road Centerville FIR .� A = 251 037 J//UZ�[l(Gm UPC 10259 No. H163OR NIY rw lair" Miorandi, Donna From: Santos, Glen Sent: Friday, September 04, 2009 10:29 AM To: Miorandi, Donna Subject: RE: Hazardous Waste Collection Importance: High Yes they can, be sure that it is in a good container, that doesn't leak!! -----Original Message----- From: Miorandi, Donna Sent: Friday,September 04, 2009 9:31 AM To: Santos,Glen Subject: Hazardous Waste Collection Good Morning Glen: Can a resident of the town bring speedi-dry to the collection that has been used to absorb spilled gasoline? Thanks! Donna Miorandi 1 III -cc- i�D� ti - I I ,� ,; � � t. -� 1. --ter —�� � �, _ � �1 r � / ,. � r � � � � � .. 1 � � �'4 `�� [`t. III �' y, i ', - /' � k .. � ,. �: yf 1 t' �• '�'� s. .,_ +.. I - � ., I � - - --- � o } * 4 -}tic - {," .�. ":,,s. • ��`^ � `��� t- a �'.r'+M►' �dr,r�'.ft f '�� 4 .,K,1 v j4� jt p' � �s � z v r��.�;`* r>Y��. �� ._ ,x�. ' . ❑ •'4- „7 'a�L `GWrM£ �,. 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Y,4w`r7,�e'.�..?G.`.:�+14"up.��r.+�4�i��.r ���f"i:•�n§Kt`�y,�*s,++��.�3? - ..#.__ Barnstable Assessing Search Results Page 1 of 2 MIR, : W, Home: Departments:Assessors Division: Property Assessment Search Results New Search !;New Interactive Maps >> Owner: 2009 Assessed Values: STONE, LARS E&COLEEN E 171 CONNERS ROAD Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $205,800 $205,800 251 /037/ Extra Features: $2,400 $2,400 Outbuildings: $0 $0 Mailing Address Land Value: $328,500 $328,500 STONE, LARS E&COLEEN E Totals $536,700 $536,700 171 CONNERS RD Residential Exemption Received=$100,964 CENTERVILLE, MA. 02632 2009 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $90.20 Fire District Rates Town Ri Barnstable FD-All Classes $2.37 $6.90 C.O.M.M. -All Classes $1.08 Town Ci C.O.M.M. FD Tax(Residential) $579.64 Cotuit FD-All Classes $1.43 $6.12 Hyannis-Residential $1.78 Town Tax(Residential) $3,006.58 Hyannis-Commercial $2.77 W Barnstable-All Classes $2.11 Commur Total: $3,676.42 Construction Details Building Property Sketch ASBUILT Property Sketch Legend Building value $205,800 Interior Floors Hardwood Style Ranch Interior Walls Drywall Model Residential Heat Fuel Gas Grade Average Heat Type Hot Water q � e e http://www.town.bamstable.ma.us/assessing/2009/displaypiarcelO9map ..mappar=251037 9/11/2009 Barnstable Assessing Search Results Page 2 of 2 Stories 1 Story AC Type None Exterior Walls Wood Shingle Bedrooms 4 Bedrooms Roof Structure Gable/Hip Bathrooms 3 Full Roof Cover Wood Shingle living area 2620 Replacement Cost $257311 Year Built 1945 Depreciation 20 Total Rooms Land CODE 1010 ! Lot Size(Acres) 1.59 Appraised Value $328,500 AsBuilt Card N/A Assessed Value $328,500 lView Interactive Maps > Sales History: Owner: Sale Date Book/Page: Sale Price: STONE, LARS E&COLEEN E Feb 21 2006 12:OOAM 20753/270 $0 STONE, LARS E Jul 212003 12:OOAM 17299/240 $355,000 HALLETT, RUTH F Oct 15 1993 12:OOAM P1145EP1 $ 100 HALLETT,JAMES 1490/1 $0 HALLETT,JAMES 9205/272 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL Fireplace 1 $2,400 $2,400 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area(Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=251037 9/11/2009 Map Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer I Custom MapIF Abutters Map Size zoom outm NJ I I h1l NJr, "" 7PG Map: 251 a r�� g NOWa c_ 25101v Pd Location: 0128 251035 � y 251013 #125 25104§ M Owner: 0 1�Ytr {t i9150 ?510t .„r 070140 5� I $= ............_W.__._............. _. #1$00 2510313 080 I Location In #145 Map &Parce 251t3f 251040 251057002 Location w 0170 103 9100 Acreage 339 ',;i � 25.1057001 . (CUCretlt OLV 251001003 #106#174 Mailing Addi i 251002 251059002 231027 #15 "s;Appr aise:d 1 #10g ?51001001 Extra Featur ,ati "#190 Out Building 251059 Land Buildings 1o25_ 102$ 2510 001 Total Apprai 89 #99 ?51001002 #2355�, 'Assessed 251,003 �251157 #204 � �a V Extra Featur ` 251f5$ ?3 5 48# 261060001 Out Building s 17 et 251a11 #� #$2 " ,_' 21165 #24o Land ° Buildings w: Total Assess Set Scale 1° = 179 Photos � I MAP DISCLAIMER Copyright 2005-2009 Town of Barnstable,MA All rights reserved.Send questions or comm( BarnstableMA v1.2.3435 [Production] http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=25103 7&map... 9/11/2009 TOWN OF BARNSTABLE LOCATION LZ CA 1) SEWAGE # VILLAGE C&OULE940 f IVY ASSESSOR'S MAP& LOT 03 INSTALLER'S NAME&PHONE NO.(20bi S- &rJ SGJZi+ C 50F 7 7 S-77 Z4 SEPTIC.TANK CAPACITY S c LEACHING FACILr Y: (type)3 t7_L) l S (size) 0 it 3 YXZ NO.OF BEDROOMS BUILDER OR OWNER_,I�A I�E PERMITDATE: -Z f e 3 COMPLIANCE DATE: -7 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 A-> J f No. 0`OU 3 —" 6 Fee 50 e i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pphratton for Mtgaar *pztem uCongtruction Vermtt Application for a Permit to Construct( )Repair( x)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 171, ('�on9rs Rd Centerville Ruth Hallett AsItof s I��p azce Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. W.E. Robinson Septic Service C.R. Short P.O. Box 1089 Centerville P.O. Box 1034 S. Dennis Type of Building: I ,I Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( n9) 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 o�)tg�airs or AlterationsAnswer when applicable) fill and remove old cesspool ins al new Title system o plans o or1 -977 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 issued by this B do Health. Sign Date Application Approved by Date G Application Disapproved for the following reasons Permit No. -00 3 - b Date Issued g O 3 la74 i!-.e No. ��, �� # Fee 5 0_ — * Entered in computer: �> THE COMMONWEALTH OF MASSACHUSETTS - Yes 4 . PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for Mi!5pool 6peum Construction Permit Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. As1e71,s omirs Rd Centerville Ruth Hallett Z �`- � Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. W.E. Robinson Septic Service C.R. Short P.O. Box 1089 Centerville P.O. Box 1034 S. Dennis Type of Building: A(J'1' Dwelling No.of Bedrooms 4 Lot Size 5 sq.ft. Garbage Grinder( nq 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 00,10 Revision Date Title Size of Septic Tank !. Type of S.A.S. Description of Soil S I Nature of airs or ons((Answer when a plicab1e) fill and remove old cesspool instaf� new` ' e;, 5 system o plans of CIR. Snort - + 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 issued by this�Bd oHealth. Sign d Date Application Approved by Date U 3 Application Disapproved for the following reasons Permit No. d—UG 3 { Date Issued g 0 3 _ ... --------------- ———------————--- — ---—----- Hallett 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.E. Robinson Septic Service x at 171 Conners Rd Centerville has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. —OG 3- 299 dated ?ly r I v 3 Installer Designer .►, The issuanc of his ermit shall not be construed as a guarantee that the syste rll as a d. Date Inspector No. c3�cco -a R9 Fee 5 0 Hallett THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS wiopoaf *p6tem Con.5truction Permit Permission is hereby granted to Construct( )Repair(x )Upgrade( )Abandon( ) System located at 171 Connors Rd Centerville 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:CoZ/0 uction must be completed within three years of the date�i' Date._ � 3 Approved by TOWN OF BARNSTABLE LOCATION ! 7% 606t":, R%.off F> SEWAGE # 2063�a�Q VILLAGE 06NfLs t k-VF- ASSESSOR'S MAP & LOT Z51-03 INSTALLER'S NAME&PHONE NO. R0hirS13'o--J .SF`J+IC `7UY 775-'777.0 SEPTIC TANK CAPACITY S c),c LEACHING FACILITY: (type)3 L7�SG (,�S - (size) l 3-1( Z NO.OF BEDROOMS q BUILDER OR OWNER PERMTTDATE: 1 t� COMPLIANCE DATE:- A 103 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 %�c �/ � i Id w�' �� 0 � try ' � '3°I � J .. t 1 l � r(`` rr,, � Y' V V =-c FAILED INSPEC V1014 DATE: 7/17/02 PROPERTY ADDRESS: ----1 71- Conners Road------ ___ Cen���y�,lle,_ Niay_Q2E�32 On the above date, I inspected the septic system at the above 1VED This system consists of the following: 1 . 1-5 ' X6 ' block cesspool . JUL 2 5 2002 TOWN OF BARNSTABLE HEALTH DEPT. Based on my inspection, I certify the following conditions: 2 . This is not a title five septic system. 3 . This is a sewage system. The cesspool is 50 years old . Blocks are punky . ( soft ) 4 , System is not large enough to handle a three bedroom home . 5 . A new title five septic system needs to be installed . 6 . The present sewage system is in failure . SIGNATUR Name:- J .-P. -Macomber-jr. -- -- ------- ------- Corr}pany:Josegh P,_ Macomber & Son, Inc . Address: sox 66 -------------------- Cenarv_ille1a-_Q2632-0066 Phone:--508-775-3338 ------------------- THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tan ks-Cesspools-Leachfields Pumped & Installed Town Sewer Connections P.O. Box 66 Centerville, MA 02.632-0066 775-3338 775-6412 COMMONWEALTH OF MASSACHUSETTS = EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION, Property Address: 171 Conners Road Centerville., Ma_ 02632 Owner's Name: Ruth Ha 1 1 Pt-t Owner's Address: 7 j 1 7 j 02 Date bf Inspection: 4J9 Flain r e e ars ie ass , =0 Name of Inspector: (please print) Joseph P. Macomber Jr. Company Name: Joseph P Mac'ombf—�r & Son, Inc. Mailing Address: Rnx 66 r'an1-L-'vill a' naa 02632-0066 Telephone Number508-775-3338 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 the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP Opproved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: Passes Conditionally Passes ,Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: A d. ate: The system inspector shall su it a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different .conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of I 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 171 Conners Road Centerville, Ma 02632 Owner: Ruth Hallett Date of Inspection: 7/1 7/02 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: a A31 I have not found any information which indicates that any of the failure criteria described in 310 CMR C 15.303 or in 310 MR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: - The sewage system is in failure . Structurally the blocks are unk so t is Block ces large enough to handle a three bedroom ome . H new Li re- system needs to be installed . B. System Conditionally Passes: _,Vo One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y,N,ND) in the for the following statements. If"not determined" please explain. w septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the exist4 g tank is replaced with a complying septic tank as approved by the Board of Health. 'A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: 1Vff&Lf Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed ND explain: 2 Page 3 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Propertrn Address: 171 Conners Road CPntervillP Ma _ E632 Owner: Rath Hallett' Date of Inspection: 711 1 7/02 C. Further Evaluation is Required by the Board of Health: VO Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. I. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(l)(b) that the system is not functioning in a manner wbich will protect public health, safety and the environment: A16 Cesspool or privy is within 50 feet of a surface water Cesspool or privy is witbin 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, safety and environment: to 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. Nd The system has a septic tank and SAS and the SAS is within a Zone I of a public water supple. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well djl The system has a septic tank and SAS and the SAS is less than 100 feet but t or more from a private yNater supple well". Method used to determine distance _-2 "This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that faciliry and r- the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are rriggered. A copy of the analysis must be anached to this form. 3. 1her: This is a sewage system . The system consists of one 5 ' X6 ' block cesspool .The blocks are punky . Soft Me- single cesspool . is nat large enough to handle a three home . A new title five septic system needs to be installed . 3 Page : of I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 171 Cr)nnerg Road reni-a-W-ilia, . 02632 Owocr: n„th Hallett Dart of lospcciion: 7 r, 7 92 D System Failure Criteria applicable to all systems: You must undicate "yes" or "no" to each of the following for all inspections: Yes ?�oJ _ ek ackup of sewage into faciliry or system component due to overloaded or elogeed SAS or cesspool ischarge or pondusg of cFnveni to the surface of the ground or surface waters due to an overloadee or clogged SAS or cesspool Stauc liquid level to the dismbutton box above outlet inven due to an overloaded or clogged SAS or cesspool Liquid depth in ccsspool is Icss than 6" below invert or available volume is less than ''A day now Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbcr / of times pumped tom. i/ Any ponion of the SAS, cesspool or privy is below high ground water elevation. Any ponion of cesspool or privy is within 100 feet of a surface water supply or Tributary to a surface water supply _ Any ponion of a cesspool or privy is within a Zone I of a public well. y pomon of a cesspool or privy is within 50 feet of a private water supply well. vsy ponion of a cesspool or privy is less than 100 feet but greater than 50 feet.brom a private water supply well with no acceptable water quality analysis. ITbis system passes If the well water analysis, pert,rmcd at a DEP cenlficd laboratory, for coliform bacteria and volatile organic compounds indicates that the well is fret from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A cop) of the analysis must be attached to this form.) X a� tYcil.No) The system (ails. I hays determined that one or more of the above failure criteria exist as dtscribed in ;10 CMR 15 )0). therefore the system fails. The system owner should contact Inc BO!,- Health to determine what will be necessary to correct the failure E Large Systems: To oc considered a large system the system must serve a facility with a design now of 10,000 gpd to I S,000. gPo. You must irsdicatc cithcr 'yes" or "no" to each of the following: ,??,e following criteria apply to large systems In addition to the criteria above) cs no _ thc system is within 400 feet of a surface drinking water supply the ystcm is within 200 feet of a tributary to a surface drinking water supply the system is located bri a niao en sensitive area Interim Wellhead Protection Area - IWPA or a mappcc Zone 11 of a public water supply well f you rave answered "yes" to any question in Section E the system is considered a significant threat, or answered cs" in Section D above the large system has failed. The owner or operator of any large system considered a s:en:Ficant tivcat under Section E or failed under Section D shall upgrade the system in accordance with ) 10 CMR i�- The system owner should contact the appropriate regional office of the Deparrment. 4 Page 5 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 1 71 C'nnnPrc Rnar1 r'Ant.Prvi11e, Ma. 02632 Owner: Rilth Hallett Date of Inspection: 7/1 7/02 Check if the following have been done. You must indicate `yes"or"no" as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health Were any of the system components pumped out in the previous two weeks Has the system received normal flows in the previous two week period ? Have large volumes of water been introduced to the system recently or as part of this inspection ? Were as built plans of the system obtained and examined? (If they were not available note as /A) Was the faciliry or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out ? Were all system components,.excluding the SAS, located on site ? / ,1/6 Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum ? Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System (SAS) on the site has been determined based om Yes no� J l4 Existing information. For example, a plan at the Board of Health. —Z Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) (310 CMR 15.302(3)(b)) 5 Page 6 of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 171 CcsnnPrs Road C'Pntarvi 1 1 p , Ma. 02632 Owner: R„th ua 1 1 Put Date of Inspection: 7 f 1 7 f 02 FLOW CONDITIONS RESIDENTIAL Number of bedrooms (design): i5� Number of bedrooms (actual): ✓� DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x q of bedrooms): -3 � Number of current residents: t Does residence have a garbage grinder (yes or no): Is laundry on a separate sewage systemm�es or no):.�'.(if yes separate inspection required) Laundry system inspected (yes or no): f Seasonal use: (yes or no):' S Water meter readings, ifavailable (last 2 years usage (gpd)): 2000-26 , 000 gallons=71 . 24 GPD Sump pump(yes or no): *4DS 2001=28 , 000 gallons=76 . 72 GPD Last date of occupancy: Seasonal useage COMM ERCIAL/WDUSTRIAL Type of establishment: Design now(based on 310 CMR 15.203): gpd Basis of design now(seats/persons/sgft,etc.): V Grease trap present(yes or no): Industrial waste holding tank present (yes or no): Non-sanitary waste discharged to the Title 5 system (yes or no):" Water meter readings, if available: Last date of occupancy/use: OTHER(describe): �l¢ GENERAL INFORMATION Pumping Records Source of information: e �/�� Was system pumped as pan of the inspection (yes or no):4�p If yes, volume pumped: gallons -- How was quantity pumped determined? lvl�* Reason for pumping: y/$ TYPE OF SYSTEM 4dSeptic tank, distribution box, soil absorption system —L Single cesspool Overflow cesspool Privy OShared system (yes or no)(if yes, attach previous inspection records, if any) �lnnovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) Tight tank /Attach a copy of the DEP approval 4VOther(describe): ��►'� Approximate e of l com onents, date irptaAed (if known) and source of information: Were sewage odors detected when arriving at the site (yes or no): 1150 6 i Page 7 of 1 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 171 Conners Road CPntRrvillP, Ma. 02632 Owner: B>>th I3a1 1 Put Date of inspection: 7.11 7/02 BUILDING SEWER (locate on site plan) N Depth below grade: • t Materials of construction: _cast iron A60 PVC%other(explain): Distance from private water supply well or suction line:t ?I— Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight . No evidence of leakage . System is vented through the house vents . SEPTIC TANK(&Zi(locate on site plan) Depth below grade: �J� Material of construction:concrete/&metal4?j fiberglassAolyethylene 4&4other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance (yes or no)�(attach a copy of certificate) Dimensions: Im Sludge depth: 11114 Distance from top of sludge to bortom of outlet tee or baffle: AM Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bonom of scum to bottom of outlet tee or baffle: How were dimensions determined: 16�� Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Septic tank is not present . GREASE TRAP4,cWAlocate on site plan) Depth below grade:Z Material of constructionAconcrete f�tmetal,(4 fiberglass /Apolyethylene�(/%tother (explain): AJA Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: _ y � Distance from bottom of scum to bottom of outlet tee or baffle: _ Date of last pumping: X114 Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease trap is not present . 7 Page 8 of 1 I OFF1CIAl. INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 171 Conners Road renter�-1 1 P,Ma. 02632 Owner: Ruth Hallett Date of Inspection: 7 j 1 7 j 02 TIGHT or HOLDING TAN}C, E!(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: k�� Material of consrructt� "concrete �metal,?dfiberglass y_polyethyleneo430 other(explain): Dimensions Capacity: _gallons Desien floes: gallons/day Alarm present (yes or no): Alarm level: AR Alarm in working order(yes or no): Date of last pumping: Comments (condition of alarm and float switches, etc.): Tight or holding tanks are not present DISTRIBUTION BOY (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box was not present . PUMP CHAMBEFW{ (locate on site plan) Pumps in working order(yes or no): L& Alarms in working order(yes or no): Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Pump chamber is not present . 8 Is- Page 9 of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 171 Conners Road Centprvill � Ma. 02632 Owner: Rut h Hallett Date of Inspection: 7 11 7102 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, excavation not required) 1-5 ' X6 ' bloc cesspool If SAS not located explain why: Located ; See page 10 Tv pe , d leaching pits, number: t� leaching chambers, number:a leaching galleries, number: leaching Trenches, number, length: _D leaching fields, number, dimensions: overflow cesspool, number: 01) 1 }—.? innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetanor., etc.): Loamy sand to medium fine sand .No signs of hydraulic failure or ponding . Soils are dry , egeta 1 ion is n punky . A new title five septic system needs to be i Single ces ool is not large enough for a three bedroom home . CESSPOOLS: — (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth — top of liquid tot inven: Depth of solids layer: Depth of scum laver: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no):AIP Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Same as above PRIVY,(�,e,e.�Jocate on site plan) Materials of construction: NA Dimensions: NA Depth of solids. Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy is not present . 9 Pagr 10 0( 11 • OFFICLAL rNSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM I'NFOR1vLATION (continvcd) Pfoperr) A00(CH: 171 Conners Road —r'enteruj I I Q1 Ma. 02632 Rttth Hallett rJttc o1 Intpcctloo: 7/1 7/02 SKrTCH OF SEWACE DISPOSAL SYSTEM p10,i0e i txnch o(chc tcwc lc diipoicl tyttcm inclvd(ng llcl to it Icut rwo permancni rcrcrcncc land,/nuxf Ocncr,/nvkl ,odic ill -clli .+ithin 100 rcct. Locm whcre pvblic walcr tvpply cntcrt the bviloinb. l"1 1 C ow�rs �c�ad Ca^4-cr v r c� to V Page I I of 1 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 171 Conners Road C Pnt-Pryi l l e f Ma. 02632 Owner: Rnfh Hallett Date of Inspection: SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained from system design plans on record - If checked,date of design plan reviewed: _ Observed site (abutting property/observation hole within 150 feet of SAS) _Checked with local Board of Health-explain: _Checked with local excavators, installers- (attach documentation) YES Accessed USGS database-explain: http/town . barnstab1e .ma . us . You must describe how you established the high ground water elevation: Used ; Gahrety & Miller Mod-el . 12/15/94 Ground elevations above sea level Used ; USGS ; Observation well data , June 1992 Used ; USCg ; Tarhnirnl hu11Pt; n Q2-0Q0-1 Plate #2 Annual ranges of ground U'a t A"D rU ra rT5 lU�Q^.ram j A n n a r y 1 999 Leaching Pit t -cc( i Groundwater:" Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method Therefore, the vertical separation distance between the bottom Of the leaching pit and the adjusted groundwater table is feet. 11 � rrn r+^-nim-•rrrn-mr•nrrrrr-+.r..*e*r.rs-r:-.�.-+��r:+n--srnm m-,�u*+rR+s*n•s .rmrr-r-�—+-..-. ,- TOWN OF Barnstable WARD OF HEALTH T -- -^SUOSI)ftFACR SEWAGE I)I fO8AL ,SYYSTFM INN3PFCTION FORM - PART D •- CUTIFICATIUN -TYPO OR PRINT CLEARLI'- PROPERTY INSPECTED STREET ADDRESS 171 Conners Road Centerville ,Mass . ASSESSORS MAP , BLOCK AND PARCEL # 251 /037 OWNER' s NAME Ruth Hallett PART D - CERTIFICATION I NAME OF INSPECTOR Joseph P.Macomber Jr . COMPANY NAME J. P.Macomber & Son Ind'.` " COMPANY ADDRESS Box 66 Centerville ,Mass . 02632 Street Town or City State lPP COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX (508 ) 790 _ 1578 R CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this nddress 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 with my training and experience in the proper function and maintenance of on- site sewage disposal systems , Check one ; System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form , _.1-1--System FAILED# The inspection which I have conaacted has found that the system fails to protect the E-)iiblic health and the environment in accordance with Title 5 , 3.10 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form , "e Inspector Signature i Date Xcopy of this c rt.ification must be provided to the OWNER, the BUYER re applicable ) and the 130ARD OF 11RAL'I'11, * If the inspection FAILED , the owner or"'oporator shall upgrade ' tt�1e ayetem within one year of the date of the inspection , unless allowed or required otherwise as provided in 3.10 CHR 16 . 305 , partd .doc 11¢0 lay is r - I 8 m I �N I r I. 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MT © § _SV G_QO M0 _ ----- 0 cT mnj m K m 'D I f Zin s x _ 9'24 ,a! I o I m v V-7i m cm °Z DUST. 00 ow m0�00 0 xo II i-- ---- -_o- - 1 f Z� �0 yco IO2(n II 2 L�• 75-4 :0 --1 o Zm 4 Z O ID Dx M. Cc,EwsT. ; 1Z O 19) Q mx -- -- -- �— ON © ST. W m�r1 m X EwsT. �71 ® m L�c O i 0 V)N EAST. X-A-4 _ W �r� o-zs5zmam # I 0 00 4 ; mmomm °o 'Im ma �o�Dmo£o� I � mowm� �� EAST. E%IST. �p ONma=y ntOTmc�n m iA�PW=ZaYpgp ' ;zosloo � 3 Hmgm=l1T= sea: it-iv: o t�asnN°� (�asnNOj o D NEW ADDITION FOR: DESIGNED/DRAWN BY: O Co —� D COTUIT BAY DESIGN z .z COLLEEN & LARS STONE 4s BREWSTER ROAD 0) I 171 CONNERS ROAD CENTERVILLE (508)P274 11 6 26�9 °' � MA U P O Vcry O m hl T C �➢r (ADOMON) i ra ¢n° O ' C �g 1 W S"' m g S C 0 ° n�Z r y ° OT ' a rya o DO v 4 m �(Zn r 19 O - A z (AYR.) 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CO'TUIT BAY DESIGN z Iw m 11 r— S STONE 43 BREWSTER ROAD z r� z o m C 0 LLE E N & LAR MASHPEE, MA. 02649 171 CONNERS ROAD CENTERVILLE, MA (508) 274-1166 BENCHMARK SOIL TEST TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR DATE OF SOIL TEST V20103_ _ _ 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE 4" PVC PIPE ELEV. 100.00_ 10 FT. MINIMUM CLEAN SAND PAINTED FLAT DARK SOIL TEST DONE BY CRA1G R_ SHORT. P.E� (ASSUMED) CONCRETE GREEN C OR B�ROWN ER WITNESSED BY WYI ( , LOAM AND SEED OBSERVATION HOLE 1 ELEV.=__93.77 COVERS 4" SCHEDULE 40 PVC PIPE IS REQUIRED PERCOLATION RATE _< �?Y MIN./INCH AT _96_144 INCHES -�-- MIN. PITCH 1/8" PER FT. c 2" LAYER OF \ WAS NED STONE EXISTING LEGEND:T ELEVATION ppxp DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 10' MAX. 4" CAST IRON PIPE X 95.00 MAX. 0.50 MIN. EXISTING CONTOUR ----00---- (OR EQUAL) MINIMUM � � FINAL SPOT ELEVATION .� 880 FU PITCH 1/4" PER FT. \ Z FINAL CONTOUR 0 ZABEL FILTER c0 SOIL TEST LOCATION 0 \ UTILITY POLE FLOW LINE i ui 1 89.52 °' 40 MIL TOWN WATER -W W • ELEV. 90.00_ 10" C7 ❑ 71773 O ❑ ❑ ❑ ❑ ❑ VINYL LINER i 72 A LOAMY SAND 10YR3 1 NO PLUMBING -TMIN. 20" ° ° 4 ° ° GAS LINEG®� I TO BE RAISED ELEV. _ _89.25 LEVEL ° ° ❑ ❑ ❑ ❑ p ❑ ❑ ❑ ❑ ❑ ❑ ° C.O. AND RE-PIPED BY 6" SUMP 89.00 CLEAN OUT LICENSED PLUMBER ELEV. _ _89.50_ GAS ELEV. _ _89.1 ELEV. _ _ _ ° ° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ° 2' ° CESSPOOL C.P. 0 LOAMY SAND ' 10YR3 6 NO AS NEEDED BAFFLE DISTRIBUTION ° ° ELEV. _ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ° ° ° 86.77 LI UID OUTLET BOX 88.7Z_ ° °o ° ° ° ELEV. _ ______ TEEOF TH (TO BE PLACED ON FIRM BASE) TO BE WATER TESTED I 3-500 GALLON DRYWEL LS WITH 144` C COARSE SANG 10YR6 6 NO 4 FEET 14 INCHES STONE iN AN 5 FEET 19 INCHES 1500 GALLON IF MORE THAN ONE OUTLET 6 FEET 24 INCHES 13' X 33.5' X 2'TRENCH FORMATION WELL N A NO WATER ENCOUNTERED 4T __L�_ ELEV. 7 FEET 29 INCHES (TO BE PLACED ON FIRM BASE) - 5' ZONE N/A_ 8 FEET 34 INCHES SEPTIC TANK 3/4" To 1 1/2" CLEAN SOIL ABSORPTION INDEX DOUBLE WASHED STONE `n ADJUS DESIGN CALCULATIONS FREE OF FINES & SILT SYSTEM SAS NUMBER OF BEDROOMS 4 _ USGS PROBABLE WATER TABLE ELEV. = N/A__ GARBAGE DISPOSAL UNIT NO. NOT_AL_LOWED SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / / ) ELEV. = _x!A_ TOTAL ESTIMATED FLOW NOT TO SCALE BOTTOM OF TEST HOLE ELEV. = ( 110 Gd1L./8R./0AY X _4._ SR.) GAL./DAY REQUIRED SEPTIC TANK CAPACITY GAL. ACTUAL SIZE OF SEPTIC TANK GAL. SOIL CLASSIFICATION TITLE-5 & BOH VARIANCES REQUIRED: DESIGN PERCOLATION RATE <_,'�_ MIN./IN. f 98.10 97.94 EFFLUENT LOADING RATE _V_ GAL./DAY/S.F. LEACHING AREA _4�!_ SO. FT. 7.89 SECTICN 15.221 ALLOWS ONLY 3' OF COVER OVER S.A.S COMPONENTS (13'x33.5')+(76'x2') 9&94 A, 2.48' VARIANCE REQUIRED LEACHING CAPACITY (AREA X RATE _ s _ GAL./DAY . 98•79 97 352 X 0.74 8.00• RESERVE LEACHING CAPACITY _NLA_ GAL./DAY ' 9&68 NOTES: THE PROPOSED SEPTIC SYSTEM IS FOR AN EMERGENCY 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. REPAIR TO A FAILED SYSTEM. LOT LINES SHOWN ARE TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. BASED ON GIS PLAN. HOWEVER, A PERIMETER SURVEY 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO BY A REGISTERED LAND SURVEYOR IS STRONGLY WITHIN 6" OF FINISHED GRADE. ADVISED AND CRAIG R. SHORT, P,E, DOES NOT ASSUME ANY LIABILITY FOR THE ACCURACY OF THE PROPERTY 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN BIT PARKING AREA LINES SHOWN HEREON. 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 71 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR 99 99.29 IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE. I ��99 27 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER \ IMMEDIATELY. ZONE _-- --- O \ x 94.06 8. PARCEL IS IN FLOOD Y PARCEL _- -37 - 59 9. LOT IS SHOWN ON ASSESSORS MAP Zs1 AS 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER, AND -ti 499.50 FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM. AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3) qL99.40 .54 - 94.11 (LE. TITLE 5) IF ENCOUNTERED BELOW S.A.S. PIPE INVERT. I 11. EXISTING SEPTIC SYSTEM TO BE PUMPED AND FILLED WITH SAND I 47 OR REMOVED 2 94.21 12. NOTE S.A.S. IS BELOW PARTIAL CELLAR FLOOR. 32 .� Y 93.99 90.10 APPROVED: BOARD OF HEALTH ,4171 CONNORS RD. EXISTING I v DWELLING 92 89 DATE AGENT 9e.04 8.�4 5 9 i �l PROPOSED SEPTIC DESIGN PORCH p tij P� FOR i C197.50 97.N 100.00 zom J�� RUTH HALLETT 93.35 D.B. EQ 93.34 . 87.35 z 171 C O NNO RS ROAD 97.36 T SC3' BARNSTABLE CENTERVILLE , MASS 9 no I '-- -�- . 93. ��, j S.,4.'s''�-�r SORT P.E. X96.23 En r - 79. ��P CRAIG WESTERN ROAD -� 508- P. 0. SOX 1044 I s �tvk OF < 398-8311 SOUTH DENNIS, MASS. 02660 x 9&20 0 VERDI G CRAIG ' 14 SEE NOTE j $ SHORT �� � 02 DATE �-� fW $ s w JULY 7, 2003 SCALE 1 20' a6 CIVIL t cIr I NM 27483 8k '�l ��CI N�� c REV. JOB N0. 1 -977 82 I - ' e9.03 �° LOCATION MAP I REV, SHEET 1 OF 1 01-0977 Hallett.dwg C''2003 CRAIG R. SHORT, P.E.