HomeMy WebLinkAbout1136 CRAIGVILLE BEACH ROAD - Health 1136 Craigville Beach Rd., Centerville
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sue, Commonwealth of Massachusetts 07 0&-- 008
- 1p Title 5 Official Inspection Form
1. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
V 1136 Craigville Beach Road _
Property Address
Gary Shechtman
Owner Owner's Name
information is Centerville � MA 02648 8-17 20
required for every
page. City/Town State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms-may not be altered in any
way. Please see completeness checklist at the end of the form.
'A DE Ah``���uumrwrp I
Important:When A. Inspector Information �/ ,y� ;� 04
filling out forms _
on the computer,
James D.Sears =�: JAMES N
use only the tab _ _ __..__. _ :m
key to move your Name of Inspector ' .SEARS
C15 _
cursor-do not *? ,�
Jim The Inspector Man, Inc. �p
use the return Company Name ��•"�,��gRTIFI
key. 6
P.O.Box 784 _
reb Company Address
West Yarmouth _ _MA 02673
City/Town State Zip Code
508-364-4398 _ S1623
Telephone Number License Number
B. Certification
I certify that: 1 am a DEP approved system inspector in full compliance with Section 15.340 of Title 5
(310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address
listed above; the information reported below is true, accurate and complete as of the time of my
inspection; and the inspection was performed based on my training and experience in the proper function
and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined
that the system:
1. ® Passes
2. ❑ Conditionally Passes
3. ❑ Needs Further Evaluation by the Local Approving Authority
4. ❑ Fails
��- � �'_ �___ - 8-17-20
pector's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority (Board
of Health or DEP) within 30 days of completing this inspection. If the system has a design flow of
10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate
regional office of the DEP. The original form should be sent to the system owner and copies sent to
the buyer, if applicable, and the approving authority.
Please note: This report only describes conditions at the time of inspection and under the
conditions of use at that time. This inspection does not address how the system will perform
in the future under the same or different conditions of use.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18
Commonwealth of Massachusetts
--, Title 5 Official Inspection Form
I; Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
< � 1136 Craigville Beach Road
Property Address
Gary Shechtman
Owner Owner's Name
information is Centerville MA 02648 8-17 20
required for every _ —.__ ___—
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary
Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6.
1) System Passes:
® 1 have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
H-20 5000 Gal Tight Tank._ _
2) System Conditionally Passes:
❑ One or more system components as described in the "Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with 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.
❑ Y ❑ N ❑ ND (Explain below):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18
' t
Commonwealth of Massachusetts
,/� Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road
Property Address
Gary Shechtman
Owner Owner's Name i
information is Centerville MA 02648 8-17 20
required for every .-- _.
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
2) System Conditionally Passes (cont.):
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
❑ Observation of sewage backup or break out 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 ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed - ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
3) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
a. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road
Property Address
Gary Shechtm_an
Owner Owner's Name
information is Centerville MA 02648 8-17 20
required for every � _ _-
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
b. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well".
Method used to determine distance:
*' This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
c. Other:
4) System Failure Criteria Applicable to All Systems:
You must indicate "Yes" or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
i
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road
Property Address
Gary Shechtman
Owner Owner's Name
information is Centerville MA 02648 8-17 20
required for every — — _._ _
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
4) System Failure Criteria Applicable to All Systems: (cont.)
Yes No
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than '/z day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply
well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified -
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd-
10,000 gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
5) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the
questions in Section C.4.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area— IWPA) or a mapped Zone 11 of a public water supply well
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18
Commonwealth of Massachusetts
,@ Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road
Property Address
— _—- -
Gary Shechtman
Owner
Owner's Name
information is required for every __Centerville MA 02648 8-17 20
.�_ _.—
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
If you have answered "yes"to any question in Section C.5 the system is considered a significant
threat, or answered "yes" to any question in Section CA above the large system has failed. The
owner or operator of any large system considered a significant threat under Section C.5 or failed
under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner
should contact the appropriate regional office of the Department.
6. You must indicate "yes" or"no"for each of the following for all inspections:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
❑ ® Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 16
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
c � 1136 Crai ville Beach Road
Property Address
Gary Shechtman
Owner -
Owner's Name
information is Centerville MA_ 02648 8-17 20
required for every _ _ _—__.—
page. CityrTown State Zip Code Date of Inspection
D. System Information
1. Residential Flow Conditions:
Number of bedrooms (design): —3 -- Number of bedrooms (actual): — 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
Description:
Number of current residents: NA
Does residence have a garbage grinder? ❑ Yes ® No
Does residence have a water treatment unit? ❑ Yes ® No
If yes, discharges to: —
Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonaluse? ® Yes ❑ No
Water meter readings, if available last 2 ears usage d NA
g ( Y 9 (gP ))�
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: Present
Date
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18
c � Commonwealth of Massachusetts
{ Title 5 Official Inspection Form
1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road
Property Address
_Gary Shechtman
Owner Owner's Name
information is Centerville MA 02648 8-17 20
required for every -- -- --- ----- --- -
page. Cltylrown State Zip Code Date of Inspection
D. System Information (cont.)
2. Commercial/Industrial Flow Conditions:
Type of Establishment: -- -
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.): ------
Grease trap present? ❑ Yes ❑ No
Water treatment unit present? ❑ Yes ❑ No
If yes, discharges to: ---
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
Last date of occupancy/use: Date
Other(describe below):
3. Pumping Records:
Source of information: July 2020
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined? -- -
Reason for pumping: —
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road
Property Address
Gary Shechtman
Owner Owner's Name
information is Centerville MA 02648 8-17 20
required for every _._ —__
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
4. Type of System:
❑ Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner) and a copy of latest
inspection of the I/A system by system operator under contract
® Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components, date installed (if known) and source of information:
2002 Permit#2002 - 085.
Were sewage odors detected when arriving at the site? ❑ Yes ® No
5. Building Sewer(locate on site plan):
2'
Depth below grade: feet
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain): - --
Distance from private water supply well or suction line: feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Pipeing is 4" PVC SCH -40.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road
Property Address
Gary Shechtman
Owner Owner's Name
information is Centerville MA 02648 8-17 20
required for every _. _-_......___._.
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
6. Septic Tank (locate on site plan):
Depth below grade: feet —
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions: ---------- -
Sludge depth: —
Distance from top of sludge to bottom of outlet tee or baffle -
Scum thickness -
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle —
How were dimensions determined? — — ----
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road
Property Address
Gary Shechtman
Owner Owner's Name
information is MA 02648 8-17 20 Centerville required for every _ _ _
page, City/Town State Zip Code Date of Inspection
D. System Information (cont.)
7. Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain):
Dimensions:
Scum thickness -
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle -
Date of last pumping: Date
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
8. Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan):
15"
Depth below grade: ------------
Material of construction:
® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Capacity: 5000 Gal. H-20 Precast
gallons
Design Flow: 330
gallons per day
t5imp.doc,rev.1126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18
i
cam, Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Crai villg a Beach Road
Property Address
Gary Shechtman
Owner Owner's Name
information is Centerville MA 02648 8-17 20
required for every __. __..
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
8. Tight or Holding Tank(cont.)
Alarm present: ® Yes ❑ No
2/3 Capacily
Alarm level: -- Alarm in working order: ® Yes ❑ No
Date of last pumping: July 2020 _
Date
Comments (condition of alarm and float switches, etc.):
5000 Gal. H-20 Precast Tank at 15" below grade w/2' steel cover at grade. Alarm working. Level in
tank 4" below float. Walls are clean and solid. No current pumping contract. Call when needed.
' Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ® No
9. Distribution Box (if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert No Box
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.):
t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
< ! 1136 Craigville Beach Road
Property Address
Gary Shechtman
Owner Owner's Name
information is Centerville MA 02648 8-17 20
required for every --. _- ---.-.. — ---
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
10. Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
Alarms in working order: ❑ Yes ❑ No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass.
11. Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
❑ leaching pits number: --
❑ leaching chambers number: ---
❑ leaching galleries number: -
❑ leaching trenches number, length: —
❑ leaching fields number, dimensions:
❑ overflow cesspool number.-
❑ innovative/alternative system
Type/name of technology: -- -
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18
c Commonwealth of Massachusetts
Title 5 Official Inspection Form
le Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road
Property Address
Gary Shechtman
--------_..----_._-_-----------
Owner Owner's Name
information is Centerville MA 02648 8-17 20
required for every ----- __._. ---_--_----_---* --
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
11. Soil Absorption System (SAS) (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration -
Depth —top of liquid to inlet invert
Depth of solids layer -- -
Depth of scum layer
Dimensions of cesspool ---
Materials of construction —
Indication of groundwater inflow ❑ Yes ❑ No
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
b Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road
Property Address
Gary Shechtman
Owner Owner's Name
information is Centerville MA 02648 8-17 20
required for every __. _.
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
13. Privy (locate on site plan):
Materials of construction: —
Dimensions ----
Depth of solids - -------—
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18
Commonwealth of Massachusetts
__ =, Title 5 Official Inspection Form
'I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Crai ville Beach Road
Property Address
Gary Shechtman
Owner Owner's Name
information is Centerville MA.. 02648 8-17 20
requiredforevery - _---_. ...-- -. _ ----..__.._.._
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.}
Sketch of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties
to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.
Locate where public water supply enters the building.
18
\ \ \ \ \ \ \ \ \ \ \ \ \ \ \
\ \ \ \ \ \ \ \ \ \ \ \ \
14 \/\/♦/\/\/\/\/\/
CA Cover . -Water
@ grade Service
Crai Ville Bea h g c Road
k
I
s
a
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
li Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road
Property Address
Gary Shechtman
Owner Owner's Name
information is Centerville MA 02648 8_17 20
required for every ----- ---- --- ------
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
15. Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high round water: NA Tight Tank
g feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health - explain:
❑ Checked with local excavators, installers- (attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18
c Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road
Property Address
Gary Shechtman
Owner Owner's Name
information is Centerville MA 02648 8-17 2
required for every -_
page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
Complete all applicable sections of this form inclusive of:
® A. Inspector Information: Complete all fields in this section.
® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked
® C. Inspection Summary:
1, 2, 3, or 5 completed as appropriate
4 (Failure Criteria) and 6 (Checklist) completed
® D. System Information:
For 8: Tight/Holding Tank—Pumping contract attached
For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached
For 15: Explanation of estimated depth to high groundwater included
t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 18 of 18
APR.28.2008 11:24AM BARNSTABLE BOARD OF HEALTH N0.144 P.li3
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
!r
DEPARTMENT OF ENVIRONMENTAL PROTECTION
SOSTEGIONAL OFFICE
RECEIVED
JANESWIFT NOV 0 s
BOB
Governor 2009 DURAND
Secretary
TOWN OF BARNSMBLE LAURPN A.LISS
HEALTH DEPT. Commiseloner
October 31,2001
Fulvio Fierimonte (COPDY RE: BARNSTABLE--Subsurface Sewage
16 Arundel!'ermce Disposai-Approval of Tight Tanis for 1136
Newton,Massachusetts 02458 Craigyille Beach Road
Transmittal No.W024257
Dear Mr.Fierimonte:
The Southeast Regional Office of the Department of Environmental Protection has received
and completed its review of the above referenced application for approval of a tight tank pursuant to
Title 5 of the State Environmental Code, 310 CMR 15.260,to serve an existing 3 bedroom dwelling
at the above-referenced address.
Accompanying the application was a plan titled:
"PROPOSED SEPTIC SYSTEM DESIGN
FOR
FULVIO FIERIMONTE
LOT 13
1136 CRAIGVILLE BEACH ROAD
CRAIG R. SHORT,P.E.
P.O. BOX 1044,235 GREAT WESTERN ROAD
SOUTH DENNIS,MASS,
DATE: 6/26/00 SCALE: 1"-20'
LAST REVISED; 3/12/01"
Based on its review of the application and accompanying plans, the Department recognizes
that a sewer connection is not feasible and that there is no other feasible alternative for the disposal
of sanitary sewage in accordance with 310 CMR 15.000.
The Department finds that the application and plans am in compliance with 310 CMR
15.000,and, accordingly, hereby anyram your request pursuant to 310 CMR 15.260, Tight Tanks,
subject to the following provisions. Failure to comply with these provisions may result in revocation
of this approval.
1. Prior to installation of the tight tank,the owner shall obtain a disposal system construction
permit from the Barnstable Board of Health.
20 Riverside Drive•Lakeville,Maseacbusette 02347 4 FAX(508)947.6557•Telephone(609)946.2700
This information ii available in alternate format by calling out ADA Coordinator at(617)57"m.
DEP on the Wam Me Web: hhp:lAv%v maaneLala{e.ma.ueldep
Printed an Recycled Paper
I
APR.28.2006 11:24RM BARNSTABLE BOARD OF HEALTH NO.144 P.2/3
2
2. This approval is limited to the storage of sanitary waste at a design flow of 330 gallons per
day, Any increase in flow or change of use will require-a new approval,
3. The owner shall allow representatives of the Department and the local Board of Health access
to inspect the facility during construction in order to assess compliance with the plans as
approved by the Department. It is the applicant's responsibility to ensure that the approved
plans are available at the site during construction,
4. No tight tank shall be utilized until the owner has submitted to the Department and the Board
of Health written certification by a Massachusetts Registered Professional Engineer or
Registered Sanitarian that the tight tank has been constructed and installed in accordance
with the approved plans.
5. The owner shall provide the Barnstable Board of Health with a copy of an executed two-year
service contract with a septage hauler licensed to operate in that community,which identifies
the disposal locations) of the tight tank contents. Failure of the owner to properly maintain
the tight tank and keep it from overflowing shall constitute grounds for revocation of this
approval.
6. ' Within 30 days of a sewer becoming available to the facility,the owner shall connect the
facility served by the tight tank to the sewer and shall abandon the tight tank in accordance
with 310 CMR 15.354.
7. Prior to installation of the tight tank,the owner shall record a copy of this approval letter in
the ohain of title to the property served by the tight tank and shall submit to the Department
the book and page number and the date of such recording.
8. An operation and maintenance plan,acceptable to the local Board of Health, shall be
implemented which requires monitoring of the system at a minimum frequency of once every
three months during periods Which the property is occupied to ensure proper operation and
maintenance.
9. All notices and information required pursuant to this approval letter shall be sent to the
Department at the following address:
Department of Environmental Protection
20 Riverside Drive
Lakeville,Massachusetts 02347
10. The owner shall submit to the Barnstable Board of Health copies of pumping records within
14 days of each pumping date.
Please note that the conditions, outlined above,do not supersede any conditions imposed by
the Barnstable Board of Health. The above conditions supplement any other conditions imposed by
the Barnstable Board of Health.
Should you have any questions regarding this matter,please contact Christos Dimisioris at
(508)946-2736.
Sincerely,
Brian A.Dudley
Bureau of Resource Protection
D/CDfbh
. POR.28.200B 11:25AM BARNSTRBLE BORRD OF HEALTH NO.144 P.3i3
3
cc: Bamstablc Board of Health
P.O.Box 534
Hyannis,MA 02601
Craig Short,P.B.
P.O.Box 1044
South Dennis,MA 02660
DEP Watershed Permitting Program,Title S Section,Boston
Gary L. Shechtman j
197 1"Avenue
Needham, MA 02494
November 17,2014
Thomas McKean, R.S., CHO
Town of Barnstable Health Division
200 Main Street
Hyannis, MA 02601
RE: Tight tank located at 1136 Craigville Beach Road, Centerville, Massachusetts
Dear Mr. McKean:
I have enclosed herewith a copy of the relevant septic pumping invoice from October 31,
._,2014. :Our tank is pumped regularly by LeBoeuf Septic, on at least 5 occasions this 2014
calendar year.
Please do not hesitate to call me with any questions.
Very truly yours,
/ary Shechtman
/gls
Enclosure
L
1�d CC *�51�
Commonwealth of Massachusetts1�
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owners Name
information is required for 167 Lovells Lane, Marstons Mills MA 02648 April 28, 2008
every page. City/town State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way.
Important:When filling out A. General Information
forms on the
computer,use 1. Inspector:
only the tab key
to move your Patrick M. O'Connell
cursor-do not use the return Name of Inspector
key. Septic Inspection Services Co.
Company Name
189 Cammett Road
Company Address
Marstons Mills MA 02648
City/Town State Zip Code
508-428-1779
Telephone Number License Number
B. Certification
I certify that l.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 approved system inspector pursuant to Section 15.340 of
Title 5(310 CMR 15.000). The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority
i I AA n)"�
April 28, 2008
Inspector's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority (Board
of Health or DEP)within 30 days of completing this inspection. If the system 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.
****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.
08-95 HSBC.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for.Voluntary Assessments
1136 Craigville Beach Road, Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owner's Name
information is P required for 167 Lovells Lane, Marstons Mills MA 02648 April 28, 2008
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (Cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
Tite tank is structurally sound, alarm is functioning and properly set.
B) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass"section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not
determined," please explain.
❑ The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is
structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent.
System will pass inspection if the existing tank is replaced with 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:
❑ 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
08-95 HSBC.doc•08/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road, Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owner's Name
information is 167 Lovells Lane, Marstons Mills MA 02648 April 28, 2008
required for P
every page. Cityfrown State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes (cont.):
❑ 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:
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or 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:
❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
08-95 HSBC.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 15
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road, Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owner's Name
information is 167 Lovells Lane, Marstons Mills MA 02648 April 28 2008
required for P
every page. Citylrown State Zip Code Date of Inspection
B. Certification (cont.)
C) Further Evaluation is Required by the Board of Health (cont.):
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well**.
Method used to determine distance:
**This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform
bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or
less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be
attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate "Yes" or"No" to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than_day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
08-95 HSBC.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road, Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owner's Name
information is 167 Lovells Lane, Marstons Mills MA 02648 April 28, 2008
required for p
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
D) System Failure Criteria Applicable to All Systems (cont):
Yes No
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply
well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory, for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area—IWPA) or a mapped Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,
or answered "yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
08-95 HSBC.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of t5
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
1136 Craigville Beach Road Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owners Name
information is required for 167 Lovells Lane, Marstons Mills MA 02648 April 28, 2008
every page. Cityr town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no"as to each of the following:
Yes No
❑ ® Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
❑ ® Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS)on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
08-95 HSBC.doc-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
w 1136 Craigville Beach Road, Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owner's Name
information is 167 Lovells Lane, Marstons Mills MA 02648 April 28, 2008
required for p
every page. Cityfrown State Zip Code Date of Inspection
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): 3 Number of bedrooms (actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
Number of current residents: 0
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ❑ Yes ❑ No
Seasonaluse? ® Yes ❑ No
Water meter readings, if available(last 2 years usage (gpd)):
Sump pump? ❑ Yes ® No
Last date of occupancy: 6 Months prior toinspection.
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203):
Gallons per day(gpd)
Basis of design flow (seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
Last date of occupancy/use: Date
Other(describe):
08-95 HSSC.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owner's Name
information is 167 Lovells Lane, Marstons Mills MA 02648 Aril 28, 2008
required for p
every page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
General Information
Pumping Records:
Source of information: Unknown
Was system pumped as part of the inspection? ® Yes ❑ No
If yes, volume pumped: 2000
gallons
How was quantity pumped determined? Measured
Reason for pumping: Tight Tank inspection.
Type of System:
❑ Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to be obtained from system owner)
® Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components, date installed (if known) and source of information:
Were sewage odors detected when arriving at the site? ❑ Yes ® No
08-95 HSBC.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 o1 15
Commonwealth of Massachusetts
= Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road, Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owner's Name
information is 167 Lovells Lane, Marstons Mills MA 02648 April 28, 2008
required for P
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Building Sewer(locate on site plan):
Depth below grade: 1
feet
Material of construction:
❑cast iron 0 40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Septic Tank(locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
---------------------------------------------------------------------------------------------------------------------------
Dimensions:
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
How were dimensions determined?
08-95 HSBC.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road, Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owner's Name
information is 167 Lovells Lane, Marstons Mills MA 02648 Aril 28, 2008
required for p
every page. Cityr town State Zip Code Date of Inspection
D. System Information (cont.)
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 (locate on site plan):
Depth below grade: feet
Material of construction:
❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
1'
Material of construction:
® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
08-95 HSBC.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15
` Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road, Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owner's Name
information is 167 Lovells Lane, Marstons Mills MA 02648 April 28, 2008
required for P
every page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Tight or Holding Tank (cont.)
Dimensions:
Capacity: 5000 Gal.
gallons
Design Flow: 330gallons per day
Alarm present: ® Yes ❑ No
Alarm level: 2/3 capacity Alarm in working order: ® Yes ❑ No
Date of last pumping: Unknown
Date
Comments (condition of alarm and float switches, etc.):
Alarm float is properly positioned and functioning.
"Attach copy of current pumping contract(required). Is copy attached? ® Yes ❑ No
Distribution Box (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.):
PumpChamber locate on site plan):
( P )
Pumps in working order: ❑ Yes ❑ No
Alarms in working order: ❑ Yes ❑ No
08-95 HSBC.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road, Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owner's Name
information is 167 Lovells Lane, Marstons Mills MA 02648 April 28, 2008
required for p
every page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
❑ leaching pits number:
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
08-95 HSBC.doc•011106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
`( 1136 Craigville Beach Road, Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owners Name
information is required for 167 Lovells Lane, Marstons Mills MA 02648 April 28, 2008
every page. Cltyrrown State Zip Code Date of Inspection
D. System Information (cont.)
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
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
Depth of solids
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
08-95 HSBC.doc-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road, Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owner's Name
information is 167 Lovells Lane, Marstons Mills MA 02648 April 28, 2008
required for _
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties
to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.
Locate where public water supply enters the building.
/ ♦ J J / / / J J
18
14
♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ • • ♦ ♦ ♦ ♦ ♦
♦ . . • , ♦ ,
Water
C/I Cover Service
@ grade
Craigville Beach Road
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1136 Craigville Beach Road, Centerville
Property Address
HSBC Mortgage Co. C/O Jack Creaven
Owner Owner's Name
information is 167 Lovells Lane, Marstons Mills MA 02648 April 28, 2008
required for p
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
® Surface water
® Check cellar
® Shallow wells
Estimated depth to ground water: N/A Tight Tank
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health -explain:
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
08-95 HSBC.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 15 of 15
I _ .
r
APR.28.2ooe 11:24AM BARNSTABLE BOARD OF HEALTH NO. 144 P.1/3
COMMONWEALTH OF MASSACHUSETTS
� k
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
r SO GIONAL OFFICE
RECEIVED
JANB SWIFT
Governor NOV 0 6 2001 BOB DURAND
Secretary
TOWN OF BARNSTABLE LAUREN A.LISS
HEALTH DEPT.
Commissioner
(Co
October 31,2001
v
Fulvio Fierimonte RE: BARNSTABLE--Subsurface Sewage
16 Arundel Terrace Disposai-Approval of Tight Tank for 1136
Newton,Massachusetts 02458 Craigville Beach Road
Transmittal No.W024257
Dear Mr. Fierimonte:
The Southeast Regional Office of the Department of Environmental Protection has received
and completed its review of the above referenced application for approval of a tight tank pursuant to
Title 5 of the State Environmental Code, 310 CMR 15.260, to serve an existing 3 bedroom dwelling
at the above-referenced address.
Accompanying the application was a plan titled: .
"PROPOSED SEPTIC SYSTEM DESIGN
FOR
FULVIO FIERIMONTE
LOT 13
1136 CRAIGVILLE BEACH ROAD
CRAIG R. SHORT,P.E.
P.O. BOX 1044,235 GREAT WESTERN ROAD
SOUTH DENNIS,MASS.
DATE: 6/26/00 SCALE: 1"=20'
LAST REVISED: 3/12/01"
J
Based on its review of the application and accompanying plans, the Department recognizes
that a sewer connection is not feasible and that there is no other feasible alternative for the disposal
of sanitary sewage in accordance with 31'0'CMR 15.000.
The Department finds that the application and plans am in compliance with 310 CMR
15.000, and, accordingly, hereby anDrove® your request pursuant to 310 CMR 15.260,Tight Tanks,
subject to the following provisions. Failure to comply with these provisions may result in revocation
of this approval.
1. Prior to installation of the tight tank,the owner shall obtain a disposal system construction
permit from the Bamstablo Board of Health.
20 Riverside Drive•Lakeville,Massachusetts 023471 FAX(508)947-6557•Telephone(508)946-2700
This information to available in alternate format by calling our ADA Coordinator at(617)574-6972.
DEP on the Wodd Me Web: hhp:lhvww,meaneLelate.ma.ueldep
Printed on Recycled Paper
APR.28.2008 11:24AM BARNSTABLE BOARD OF HEALTH NO. 144 P.2i3
2
2. This approval is limited to the storage of sanitary waste at a design flow of 330 gallons per
day. Any increase in flow or change of use will require-a new approval,
3. The owner shall allow representatives of the Department and the local Board of Health access
to inspect the facility during construction in order to assess compliance with the plans as
approved by the Department. It is the applicant's responsibility to ensure that the approved
plans are available at the site during construction.
4. No tight tank shall be utilized until the owner has submitted to the Department and the Board
of Health written certification by a Massachusetts Registered Professional Engineer or
Registered Sanitarian that the tight tank has been constructed and installed in accordance
with the approved plans.
5. The owner shall provide the Barnstable Board of Health with a copy of an executed two-year
service contract with a septage hauler licensed to operate in that community,which identifies
the disposal location(s) of the tight tank contents. Failure of the owner to properly maintain
the tight tank and keep it from overflowing shall constitute grounds for revocation of this
approval.
6. ' Within 30 days of a sewer becoming available to the facility,the owner shall connect the
facility served by the tight tank to the sewer and shall abandon the tight tank in accordance
with 310 CMR 1 S.3 54.
7. Prior to installation of the tight tank,the owner shall record a copy of this approval letter in
the chain of title to the property served by the tight tank and shall submit to the Department
the book and page number and the date of such recording.
8. An operation and maintenance plan,acceptable to the local Board of Health, shall be
implemented which requires monitoring of the system at a minimum frequency of once every
three months during periods which the property is occupied to ensure proper operation and
maintenance.
9. All notices and information required pursuant to this approval letter shall be sent to the
Department at the following address;
Department of Environmental Protection
20 Riverside Drive
Lakeville,Massachusetts 02347
10. The owner shall submit to the Barnstable Board of Health copies of pumping records within
14 days of each pumping date.
Please note that the conditions, outlined above,do not supersede any conditions imposed by
the Barnstable Board of Health. The above conditions supplement any other conditions imposed by
the Barnstable Board of Health.
Should you have any questions regarding this matter, please contact Christos Dimisioris at
(508)946-2736.
Sincerely,
I
Brian A.Dudley
Bureau of Resource Protection
D/CD/bh
r
APR.28.2008 11:25AM BARNSTABLE BOARD OF HEALTH NO.144 P.3i3
3
cc: Bamstable Board of Health
P.O.Box 534
Hyannis,MA 02601
Craig Short, P.E.
P.O.Box 1044
South Dennis,MA 02660
DEP Watershed Permitting Program, Title 5 Section, Boston
f
r Town of Barnstable
�p tHE
Regulatory Services
BARNSTABLE, Thomas F. Geiler,Director
�^ Mb3 i . ,�$
pTE6 9 A Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
REGARDING SEPTIC INSPECTIONS BY PRIVATE CONTRACTORS
DISCLAIMER
This septic system inspection report was completed by a private inspector who is certified by
the State of Massachusetts, Department of Environmental Protection.
Although the Town of Barnstable Health Division received the original or copy of the report;
this Division does not warranty the functionality of the septic system in the future nor does
this Division agree with any technical observations and interpretations contained within this
report.
In addition, by receiving this report the Town of Barnstable Health Division does not
automatically approve the number of bedrooms listed within this report. The actual number
of bedrooms approved at a particular property would be listed on the "Disposal Works
Construction Permit".
If you should have any questions regarding this report, please contact the certified Septic
System Inspector who conducted the inspection.
QASEP"TIC\Disclaimer Private Septic Inspections.DOC
f
Health Master Detail Page 1 of 1
w
Health Master
Logged In As: TOWN\malkusk Health Master Detail Monday,October 25 2010
Application Center Parcel Lookup Selection Items
Parcel Septic Perc Well Fuel Tank
Parcel: 206-088 Location:'1136 CRAIGVILLE BEACH ROAD, CENTERVILLE Owner: SHECHTMAN,GARY L&CHRISTINE M&
Business name: Business phone:
Rental property: r Deed restricted: F Number of bedrooms : 3
Contaminant released: F Fuel storage tank permit: r
Save Parcel Changes I Return to Lookup
Parcel Info Parcel ID: 206-088 Developer lot:LOT L-3
Location:1136 CRAIGVILLE BEACH ROAD Primary frontage:125
Secondary road: Secondary frontage:
Village:CENTERVILLE Fire district:C-O-MM
Sewer acct: Road index:0369
Asbuilt Septic Scan: 206088_1 Interactive map:
Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:OUT
Owner Info Owner: SHECHTMAN, GARY L&CHRISTINE M & Co-owner:SAWYER, PAUL G &SUSAN 3
Streetl:352 NEWBURY STREET Street2:
City:BOSTON State:MA Zip: 02115 Country:
Deed date:4/30/2008 Deed reference:C185805
Land Info Acres: 0.20 Use: Single Fam MDL-01 Zoning:RD-1 Neighborhood: 0112
Topography:Level Road:Paved
Utilities:Public Water,Gas,Septic Location:Excel View,Waterfront
Construction Info Building No Year Built Gross Area Living Area Bedrooms Bathrooms
1 1943 1270 1016 13 Bedroom 1 Full + 1H
Buildings value:$89,900.00 Extra features: $1,300.00 Land value: $376,500.00
http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=206088 10/25/2010
AsBuilt Page 1 of 1
�F
TOWN OF BARN TABLE
LOCATION //�U NX SEWAGE#
VILLAGE V
WT,etAt ASSESSOR' MAP&PARCEL
INR'S NAME&PHONE NO. c�Rr,�I� u h2i) L
SEPTIC TANK CAPACITY 5000f
LEACHING FACILITY:(type) 171,4 (size)
NO.OF BEDROOMS
.OWNER
PERMIT DATE: COIaH'449U DATEC-
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
18
14
Water
C/l Cover Service
@ grade
Craigville Beach Road
http://issgl2/intranet/propdata/prebuilt.aspx?mappar=206088&seq=1 10/25/2010
eo
II. Variance Request:
A. Arne Ojala,.P.E., P.L.S., Down Cape Engineering representing Fred
Tonsberg, 2 Short Beach Road, Centerville, 12,630 square feet lot, existing 2-
bedroom proposed to be razed and rebuilt as 2-bedroom, numerous
variances requested.
Arnie Ojala proposes a Fast System to cut down on nitrates. The system has not failed.
Conservation has approved their plan. Using the Fast System, it will improve 5.8 parts
per million for nitrogen.
Ile
MLMcKean said the staff comments originally thought this may be the proper location j Deleted:Tom
for a tight tank as in the property across the street. Upon further examination,
comparing the two properties,jhis system would be located,39 feet away from a Deleted:T
coastal bank and even further from wetland,whereas the property with the tight tank Deleted:is
located across the street is closer in proximity to the wetlands (20 feet), Deleted:system across the system
Arnie Ojala said the owner had not been interested in the house design on the old plan is only 20 feet from wetland.¶
a few years ago. The reason of locating the system so close to house and increasing
the number of variances is that the current system is partially in the right of way of the
town property/road. This plan keeps it on the lot.
Dr. Miller has already spoken to Brian Dudley on this property and Brian has said the
DEP would not approve a tight tank here. Sue Rask said there is not an increase in
flow and the proposed plan greatly improves the current situation by having five feet
above ground water instead of the two feet currently.
The Board feels a different system would be better and recommends. a recirculating
sand filter system, and allows an increased pressure distribution on the leaching field.
Also suggests: 1)a two-bedroom Deed Restriction, 2) Monitoring Plan quarterly for the
first year, then biannually after that.
Upon a motion duly made by Dr. Canniff, seconded by Sue Rask, the Board voted to
continue until February 14, 2007. (Unanimously voted in favor.)
r
r
1
C c < < �—
Page 1 off Deleted:s
Town of Barnstable
�oF IME
�P p Board of Health _
200 Main Street,Hyannis MA 02601
M63
ASS.
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul J.Canniff,D.M.D.
Susan G.Rask,R.S.
MINUTES OF BOARD OF HEALTH MEETING
Wednesday, January 17, 2007 at 3:00 PM
Town Hall, Hearing Room ��1
367 Main Street, Hyannis, MA � �J
UYl
I. Hearing: 1
A. Kathy Posner requesting hearing regarding too many bedrooms at 22 Marion
Way, Osterville �� h (
The attorney had a death in the family and said they would not be able to be here. , Deleted:The
_.._
Upon the motion by Ms..Rask, seconded by Dr. Canniff, the Board voted to move this Deleted:Sue
to a show cause hearinq at the,next meeting scheduled to be on February 14, _ Deleted:S
2007. (Unanimously voted in favor.) The decision will go forward at that time Deleted:C
regardless of any reasons. Deleted:H
B. Charles M. Sabatt, representing Victor Skende and Beverly Skende, 77 South Deleted:Show Cause Hearing
Street, Apartments 1-4, Hyannis, - regarding various housing violations
observed.
Mr. McKean said the inspector had noted various issues which involved smoke Deleted:Thomas
detectors, outlets, and peeling/cracked paint and covering the four units. There is also
an issue with the size of the parking area.
Charles Sabatt, Attorney, said they are addressing the heating issue and the parking
issue, the client has or is in the process of correcting the other issues. The heating
issue pertains to two of the three units. The units are directly in front of Nantucket
Steamship Authority. The apartments have been in existence since 1940's. Each unit
is approx. 400-500 square feet.,Mr__McKean inputted that he and the inspector Deleted:¶
discussed the issue of heating_If all of the habitable rooms are receiving sufficient
heat of 68 degrees Fahrenheit; Mr. McKean stated this would not qualify as a violation. Deleted:and the fact that
Deleted:units receive proper heat
In regards to parking, Mr. Sabatt said he agrees with Mr. McKean,there is no appeal Deleted:they decided this did
process and no grandfather clauses. He also said the property is adjacent to Deleted:Tom
steamship authority and the neighborhood is full of parking. This is not a residential T
area. He suggests that we are the enforcing division so we may have the option to
deem it as not a violation.
Page 2 of*4 Deleted:s
J
The only way to adjust the 9jdinance is through_the Town Council_reviewing and fine_ l Deleted:o
tuning the wording or through a legal challenge at least in a way to have areas
determined as not applicable. Mr. Sabatt said you can't have any ordinance that...
Dr. Miller suggests a continuance, allowing the Board to speak to a town attorney and
town council members.
Upon a motion duly made by Sue Rask, seconded by Dr. Canniff, the Board voted to
continue until February 14, 2007 meeting. (Unanimously voted in favor.)
II. Variance Request:
A. Arne Ojala, P.E., P.L.S., Down Cape Engineering representing Fred
Tonsberg, 2 Short Beach Road, Centerville, 12,630 square feet lot, existing 2-
bedroom proposed to be razed and rebuilt as 2-bedroom, numerous
variances requested.
Arnie Ojala proposes a Fast System to cut down on nitrates. The system has not failed.
Conservation has approved_ their plan. Using the Fast System, it will improve 5.8 parts
per million for nitrogen.
Mr. McKean said the staff comments originally thought this may be the proper location Deleted:Tom
for a tight tank as in the property across the street. Upon further examination,
comparing the two properties,this_system would be located,39 feet away from a �eieted:T
coastal bank and even further from wetland, whereas the property with the tight tank Deleted:This
located across the street is closer in proximity to the wetlands (20 feet).. Heisted:is
\Ar. (?jaIa_said the-owner had not been_interested in the_house_design on the_old_plan a_ . Deleted:system across the system
few years ago. The reason of locating the system so close to house and increasing the is only 20 feet from
wetland.¶
number of variances is that the current system is partially in the right of way of the town Deleted:Arnie
property/road. This plan keeps it on the lot.
Dr. Miller has already spoken to Brian Dudley on this property and Brian has said the
DEP would not approve a tight tank here. Sue Rask said there is not an increase in
flow and the proposed plan greatly improves the current situation by having five feet
above ground water instead of the two feet currently.
The Board feels a different system would be better and recommends. a recirculating
sand filter system, and allows an increased pressure distribution on the leaching field.
Also suggests: 1)a two-bedroom Deed Restriction, 2) Monitoring Plan quarterly for the
first year, then biannually after that.
Upon a motion duly made by Dr. Canniff, seconded by Sue Rask, the Board voted to
continue until February 14, 2007. (Unanimously voted in favor.)
B. Arnie Ojala, P.E., P.L.S., Down Cape Engineering representing Trisko Family
Trust, 270 Sandy Neck, Barnstable, 10,890 square feet parcel, variance to
replace cesspool type structure with a leaching pit, composting toilets
proposed.
n
Page 3 of$ Deleted:s
Arnie Ojala presented the use of a composting toilet and reminded the Board there is no
electricity for a pump, etc. They are approximately 3 feet from ground water elevation.
It has always been used as a three-bedroom cottage and would like to remain as such.
Mr. McKean stated_the composting toilet should be approved.__The staff did question___ Deleted:feels
-- - -
whether the back building is actually a cottage and not a workshop as recorded. Mr.
Ojala said they have a toilet there now, they are using a composting toilet. He thinks its
probably been 10 years since it was put in. It has a bin under it, it not the standard
compost toilet that would be approved.
The Board spoke of a site visit by Mr. McKealtor his staff and take pictures and/or Deleted:Tom
measurements because they do not allow the Sandy Neck cottages to increase in the
number of bedrooms and they don't want the workshop to become a cottage. Mr. Ojala
said he is willing to go with them. The owners are interested to do the work as early in
spring as possible. The Board will take into account how it has been used historically
and understands the height of ceilings will not meet seven feet.
The neighbor at Sandy Neck spoke that the property was used as a home for a family of
five with three bedrooms upstairs and approximately six feet eaves.
Upon a motion duly made by Dr. Canniff, seconded by Sue Rask, the Board voted to
approve a continuance until February 14, 2007. (Unanimously voted in favor.)
C. Kieran Healy of BSC Group, Inc. representing Trustee David Ross of 0
Water Hole Lane, W. Barnstable, 149,675 sq. ft. lot, Section 360-1, SAS
proposed to be located 65 feet setback to wetlands, well testing information
received.
Kieran Healy summarized the history. The number of bedrooms has been reduced to Deleted:hose
three,. He said the Conservation has approved the plan. There is a reserve area in-
Deleted:now
_-_ -
between the trenches of the septic area. Deleted:a _
-The Board reviewed the well report and the report says its fine. The Board is interested Deleted: bedroom house
in the 75 feet setback for new construction. The foundation is set on sono tubes. The
Board they are not comfortable approving a three bedroom with less than 75 feet. The
Board said they are more comfortable with the original plan of three bedrooms with the
80 feet setback even though it would be closer to a vernal pool. It would be required to
go to DEP for approval. Sue Rask said the plan needs to be updated to say certified
vernal pool, and new plans will be needed and seeing 75 feet setback in both directions.
Dr. Miller said Mr. Healy will have to _rove the direction of the water. Deleted:Kieran
- --- - -- -------- ------- -- _... .----- ----- ------ ----
Patty Kellogg addressed that the.land was originally a cranberry bog and she is pleased
the Board is viewing the property carefully.
Upon a motion duly made by Dr. Canniff, seconded by Dr. Miller, The Board voted to
approve a continuance until February 14, 2007. (Unanimously voted in favor: 2 votes in
favor, 1 abstained ,Sue Rask.)
Page 4 Off Deleted:5
D. Matthew Eddy, P.E., Baxter Nye Engineering&Surveying representing
Shane Pacheco- 1799 Service Road, West Barnstable, 3 acre lot, new
construction, proposed two dwellings and a barn, variance requested in
regards to separation distance between proposed SAS and neighbor's private
well.
Deferred to February 14, 2007 meeting as notice must be given to abutters.
E. David & Linda Bennett, 71 Gosnold Street, Hyannis, variance requested from
105 CMR 410.401, request to maintain existing floor-to-ceiling height, less
than seven (7)feet throughout entire dwelling.
Mir McKean said the health inspector found multiple rooms with low ceilings. The owner Deleted:Tom
informed him that the cost to raise the ceilings was estimated at-$25,000 or more. Deleted:W
Deleted:ould result in
David Bennett stated that he has been renting it for 26 years. It was built in
approximately 1930's. Dr. Miller read a letter into the record for Irene Aylmer supporting
the owners as a beautiful rental and kept affordable to meet the demands of housing.
Upon a motion duly made by Dr. Canniff, seconded by Sue Rask, the Board voted to
approve the variance as the structure was preexisting, built in the 1920-1930's, and the
extensive constructural modifications would be at great cost. (Unanimously voted in
favor.)
F. David Crispin, P.E., P.L.S., BSC Group representing Dr. Nathan Rudman, 40
Waterman Farm Road, Centerville, 18.2 acre lot, new construction, six
bedrooms proposed, multiple variances requested in regards to setbacks to
wetlands and coastal bank.
Deferred to the March 21st meeting to properly notice abutters. Sue Rask
recommended a site visit.
G. John Churchill, JC Engineering representing Cape Property Realty Trust, 265
Sea View Avenue, Osterville, 39,640 sq. ft. lot—Proposed repair of existing
septic system, two variances requested, setbacks to property line.
Mike Mentol, JC Engineering, presented the seven-bedroom house. Mr. McKean said
the staff supports approval once the proper stamp is put on the plan
Upon a motion duly made by Sue Rask, seconded by Dr. Canniff, the Board voted to
approve with the following conditions: 1)a revised plan will be submitted with the
proper engineer's stamp, and 2)a seven-bedroom Deed Restriction must be recorded
at the Registry of Deeds. (Unanimously voted in favor.)
H. Catherine Morey, Coastal Engineering Company, representing Silvia & Silvia,
116 Scudder Avenue, Barnstable, 1.3 acre lot- Proposed house addition, five
variances requested.
No. ' ^ W Fee /
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
01ppricattoil for igpoeal 6pztem Construction Permit
Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components
Location Address or Lot No. L.3 Owner's Nan)e,Ad�dWs and Tel.No.
i'l 3Co Cam- v,ll-. -1,
Assessor's Map/Parcel —, 89
Installer's Name,Address,and Tel.No. �(�� C Designer's Name,Address and Tel.tom. C
�o�e,✓ Fj WC.,-X C.o 3� Craj� 1 o Z7- l%,;1_35 .r C��eon-(.�rr(ea.n rc1
FF
Nov
Type of Building:
Dwelling No.of Bedrooms Lot Size 360 0 sq.ft. Garbage Grinder( )
Other Type of Building boo-rw_ No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow i&5::,, gallons per day. Calculated daily flow gallons.
Plan Date Q=II Cn umber of sheets Revision Date
Title
Size of Septic Tank ,a I�,::t hl Type of S.A.S. �—
Description of Soil / tkv !—,e
Qj
Nature of Repairs orAlterati ns(Answer wheq applicable)
Ua—* O-4-`'Yl ( 1P, C l
alLi-
Date last inspected:
Agreement: V
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 Board of Health. 2 ( � (�0-k�,Nc
Signed Date
Application Approved by ` Date �2
Application Disapproved for the following reasons
Permit No. p., e —?M-s Date Issued
Fee
�-" THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:-
�• Yes
HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpplicat o!"W igpooal 60!6tem Conotruction Permit
vtt Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components !.
Location Address or Lot No. L5 j Owner's Narge,Add ss and Tel.No.
1 3<o G-a.9 V,ktt �, .e h r G �„I v�
Assessor's Map/Parcel.
_ CS
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.1 �
C.� �nG CV.U �v4- t'a35 Gv« -(.c � r► ►rl
✓t'�'1 t.�.�lC�l""1. � �c�- �-7G�..�..,f-(,"'1C/�..r.rii f+ �J�leC�
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size 3lcQ 'sgrft: T, Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures Tiah-V -C
Design Flow ((,,1 k gallons per day. Calculated daily flow gallons.
Plan Date .I !e U.L V c-Vt 3 • umber of sheets 3-- Revision Date
r
Title
Size`of,Septic Tank I CR h+— Type of S.A.S. 1
r Description of Soil
,� 't 1
Nature of Repairs or Alterations(Answer whe applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Board of Health. (2
Signed r L-k.A Date
Application Approved by Date C�ZW
Application Disapproved for the following reasons
r
Permit No. `��`�`UPS Date Issued _ C�
—f-------------------- ----;------------
THE COMMONWEALTH OF MASSACHUS.E, ,
BARNSTABLE,�MASSACHUSETTSS"
Certificate of Compliance
I' THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(V)Re ired Upgraded
( )
Abandoned( )by
at C VA 1(A.V1(l 0 L1! Pkj has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 5 dated /V 2.
Installer Designer
The issuance f th's permit shall not beconstrued as a guarantee that the sys will nction ass designed.
Date !//U Inspector h.. -tt w
i
---------------------------------------
No. ~ V��� Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
Mi5pogar *pgtem Construction Permit
Permission is hereby ranted to Construct( Repair( )Upgrade( )Abandon( )�
System located at �y�G 0 k?, 11 AA111( G C2,,Q G-C� rZ► l), �4 VI
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 perr it.
Date: `/ �, /�J -- Approved by /\ _k 0" `L1� �4
i
TOWN OF BARNSTABLE
LOCATION ��6'6— (r��� �+�` cd SEWAGE # a DOa—UB�
VILLAGE r,ASSESSOR'S MAP &LOT
INSTALLER'S NAME&PHONE NO.
S TANK CAPACITY 7
i�
LEACHING FACILITY: (type) (size) A) _
NO.OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: 0 IA COMPLNCE DATE: oto t
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 feet of leaching facility) Feet
Furnished by ✓ `�
m
ti -
0 e h
J
h
1
$g
I !L' RR2
d
I � .GJtro� NaEl�'� 97>iit9/b'a'J. U4
e
TOWN OF BARNSTABLE
�F THE p�
OFFICE OF
eAMgTABLF : BOARD OF HEALTH
y MAO& p
pp 0, g. 367 MAIN STREET
n MaY ` HYANNIS,MASS.02601
Craig Short, P.E. February 14, 2001
P. O. Box 1044
South Dennis, MA 02660
RE: 1136 Craigville Beach Road, Centerville
Dear Mr. Short:
The Board of Health has no objections to your proposal to install a 5,000 gallon tight tank at 1136
Craigville Beach Road, Centerville, Massachusetts.
However, the approval is granted with the following conditions:
(1) The designing engineer shall provide floor plans of the existing dwelling which shows
actual dimensions of every room in the dwelling.
(2) The dwelling is limited to the number of bedrooms which exist at the property currently.
(3) The applicant shall record a properly worded deed restriction at the Barnstable County
Registry of Deeds, which limits the number of bedrooms at this property to the number,
which currently exist verified by the designing engineer.
(4) The dwelling shall be utilized on a seasonal basis only.
(5) The dwelling shall be connected to public sewer when/if available.
Your request for multiple variances to install an onsite sewage disposal system at 1136 Craigville
Beach Road, Centerville is not granted. The variances are denied because the proposed soil
absorption system would be only twenty (20) feet away from wetlands, which is significantly less
than 100 feet setback required. Also, the applicant did not propose to install an innovative
/alternative enhanced treatment system at this site because the dwelling will be used seasonally.
In addition, this area is on the target fist for sewering sometime in the future. Based upon this
information, a tight tank appears to be the best option for this site at this time.
Sincerely yours,
Susan G. Rask, R.S.
Chairman
Board of Health
Town of Barnstable
SGR/bcs
craigvle
= r
Town of Barnstable
• Department of Health, Safety, and Environmental Services
�wsrns�,
;9. ��� Public Health Division
367 Main Street, Hyannis MA 02601
Office: 508-862-4644 Thomas A.McKean
FAX: 508-790-6304 Director of Public Health
TO: JOANN & FULIVIO FIERMONTE
16 ARUNDEL TERRACE DATE: JAN. 20, 2000
NEWTON, MA. 02458
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE,
TITLE 5.
The septic system owned by you located at 1136 CRAIGVILLE BEACH RD. was inspected on
08/18/95 by ARLENE M.WILSON a Massachusetts licensed septic inspector.
The inspection of your septic system showed that your system has failed under the guidelines of 1995
TITLE 5 (310 CMR 15.00) due to the following:
PORTION OF THE CESSPOOL IS BELOW THE HIGH GROUND WATER ELEVATION
AND CESSPOOL IS WITHIN 50 FEET OF A SURFACE WATER
w
The above noted system has been in a failed state for more than two years according to our records.
You are directed to hire a licensed professional engineer (PE)to design a system that will bring the septic
system in compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within fourteen
(14) days of your receipt of this letter.
You are also directed to hire a licensed septic system installer to install the system components within
thirty (30) days of your receipt of this order.
You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic
system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in
to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to any court of
competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
Town of Barnstable
l
� ,. Town of Barnstable
L►RrMAISIL ,
Department of Health, Safety, and Environmental Services
MASS.
i639. Public Health Division
A�� �j
367 Main Street, Hyannis MA 02601
Office: 508-862 4644 Thomas A.McKean
FAX: 508-790-6304 Director of Public Health
TO: JOANN & FULIVIO FIERMONTE
16 ARUNDEL TERRACE DATE: JAN. 20, 2000
NEWTON,MA. 02458
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE,
TITLE 5.
The septic system owned by you located at 1136 CRAIGVILLE BEACH RD. was inspected on
08/18/95 by ARLENE M. WILSON a Massachusetts licensed septic inspector.
The inspection of your septic system showed that your system has failed under the guidelines of 1995
TITLE 5 (310 CMR 15.00) due to the following:
PORTION OF THE CESSPOOL IS BELOW THE HIGH GROUND WATER ELEVATION
AND CESSPOOL IS WITHIN 50 FEET OF A SURFACE WATER
The above noted system has been in a failed state for more than two years according to our records.
You are directed to hire a licensed professional engineer (PE) to design a system that will bring the septic
system in compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within fourteen
(14) days of your receipt of this letter.
You are also directed to hire a licensed septic system installer to install the system components within
thirty (30) days of your receipt of this order.
You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic
system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in
to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to any court of
rf competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH -
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
Town of Barnstable
ai SENDER: I also wish to receive the
:o ■Complete item"s 1 and/or 2 for additional services.
■Complete items 3,4a,and 4b. following services(for an
a0i ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. ai
■permit.
Aettramc i this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address Z
$ ■Write'Retum Receipt Requested'on the mailpiece below the article number_. 2, 3'RRestricted Delivery y
■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee.
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PXProj 3811, December 1 M : , .; ;i 102595-97-B-0179 Domestic Return Receipt
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UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-14
• Print your name, address, and ZIP Code in this box•
Public Health Oiv�sl0>ll j
Town of Bamstabt614
P 0.Box 534
Hyannis, Massachusetts 02601 �
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1. If you want this receipt postmarked, stick the gummed stub to the right of the return
address leaving the receipt attached, and present the article at a post office service Z'
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2. If you do not want this receipt postmarked,stick the gummed stub to the right of the 'm
return address of the article,date,detach,and retain the receipt,and mail the article.
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3. If you want a return receipt,write the certified mail number and your name and address °'
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RETURN RECEIPT REQUESTED adjacent to the number. Q
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receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ``0L+
6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 a
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A.M.Wilson Associates Inc.
October 27, 1995
Tom McKeon, Agent
Board of Health
Town of Barnstable
P.O. Box 534
Hyannis, MA 02601
RE: Order to Comply with 310 CMR 15
1136—CraigviTle Beach Rd. , Centerville
(Our File No. 20775.0)
Dear Mr. McKeon:
This is to inform you that A. M. Wilson Associates, Inc.
represents Mr. and Mrs. Fulvio Fierimonte, prospective buyers of
land at 1136 Craigville Beach Rd. , Centerville presently owned by
Dr. Sergio Arambulo. This letter is intended to respond to your
order.to Dr. Arambulo of 9/27/95.
As I mentioned to you when we spoke by telephone shortly after you
issued your Order, the Arambulo residence has been and should my
clients acquire it, will continue to be primarily used as a
vacation home: primary occupancy being during the summer season
with occasional weekend or holiday use at other times of the
year. Consequently, for the next six or seven months, the
residence will be occupied very intermittently, if at all.
The cesspool was pumped as part of our inspection protocol.
Considering the very limited use the site has had since that time,
I believe it should not be necessary to pump the cesspool again at
this time.
This site is very restrained in terms of wetland and topographic
issues. My professional opinion is that a tight tank is the only
rational solution. However, until the real estate transfer is
complete, we cannot begin design and permitting. Nor does it seem
reasonable for either party to retain a contractor until design
and permitting are complete. Since the house is predominantly
vacant and the .system has been pumped, I believe there to be no
existing public health emergency which would require work to be
completed in some very short time span.
911 Main Street 508 428 1450
Osterville, MA 02655 FAX 4201856
The parties are aware of the need to replace the existing
cesspool. As soon as the real estate transfer occurs, we will be
in touch to set up a schedule for design and permitting.
Conversely, as we represent the proposed buyer, should the
transaction fall through, we will also let you know so that you
can complete negotiations for system replacement with Dr. Arambulo
or whomever he may retain to assist him.
Thank you for your cooperation and assistance.
Yours,
A. M. WILSON ASSOCIATES, INC.
Arlene M. Wilson
Principal Environmental Planner
cc: Fulvio Fierimonte
Sergio Arambulo
Diane Kelley
1095aw39/csp
TOWN OF Barnstable WARD OF HEALTH
SUBSURFACE, SEWAGE DISPOSAL SYSTEM INSPECTION FORM CATION
-TYPE OR PRINT CLEARLY-
PROPERTY INSPECTED
1136 Craigville Beach Road
STREET ADDRESS
ASSESSORS MAP, BLOCK AND PARCEL # 206/88 'rV\
Sergio M. Arambulo, M.D. & Josefina F. Pij�*>�Zambulo, M.D./
OWNER' s NAME -- NZ IL,
PART D - CERTIFICATION
NAME OF INSPECTOR John Beckwith and Arlene Wilson
COMPANY NAME A. M. Wilson Associates, Inc.-
911 Main Street Osterville MA 02655
COMPANY ADDRESS Street Town or city stato LIP
COMPANY TELEPHONE ( 508 ) 428 -1450 FAX (508 1 420 - 1856
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposil system at
this address and that the information reported is true , accurate, and
complete 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.
X System FAILED* Under Aggpt -11995 Code Revisions
The inspection which I have conducted has found that the system fails ta
protect the public health and the environment in accordance with Title
5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE
CRITERIA of this inspection form.
A. M. Wilson Associates, Inc.
' ��_ Date 8/18/95
Inspector Signature
Arlene M. /Vilson
One copy of this certification must be provided to the .OWNER, the BUYER
( where applicable) and the BOARD OF HEALTH.
It the inspection FAILED, the owner or.,!.o.pe,rator shall upgrade ' the system
within one year of the date of the inspection, unless allowed or required
otherwise as provided in 310 CMR 15 . 305 . partd.doc
j SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION .FORM
' Addre'ss of property 1136 Craigville Beach Rd. , Centerville
Owner's name Sergio M. Arambulo, M.D. & Josefina F. Pilpil-Arambulo, M.D.
Date of Inspection 8/10/95 and 8/17/95
PART A
CHECKLIST
' Check if the following have been done:
_X Pumping information was requested of the owner, occupant, and Board of
' Health. & pumping contractor.
X had
None of the system components haxpe been pumped for at least two veeks
' 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.
X
As built plans have been obtained and examined. Note if they are not
available with N/A. (See attached)
X The facility or dwelling was inspected for signs of sewage back-up.
X The site was inspected for signs of breakout. None found
X All system components, excluding the SAS, have been located on the
site-2
' 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 constructigjn, dimensions, depth of. liquid, depth of
' sludge, depth of scum.
X
The size and location of, the SAS on the site has been determined based
on existing information or approximated by non-intrusive methods.
tX The facility owner (and occupants, if different from owner) were
provided with information on the proper maintenance •of SSDS.
1 Building is only occupied intermittently. The system was pumped in the
' presence of an inspector on 8/17/95.
2 The system consists only of an SAS (cesspool) .
. 3 There is no septic tank. Scum and sludge layers in the cesspool were noted.
' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
SYSTEM INFORMATION
FLOW CONDITIONS
' If residential
3 number of bedrooms
' _ number of current residents varies
170 garbage grinder, yes or no*
laundry connected to system, yes or no
=es seasonal use, yes or no
' If nonresidential ca
lculated flow:
N/A
' Water meter readings, if available:
Not obtained
current
Last date of occupancy
' GENERAL INFORMATION
Pumping records and source of information: Fro
see attached m Town and Joseph Macomber
'
Yes System pumped as part of inspection, yes or no
if yes, volume pumped
Reason for pumping:
To check for invert location and
Type. of system
None Septic tank/distribution box/soil absorption system
X Single cesspool
None Overflow cesspool
NO 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. Sour
information: Estimated age +50 yrs. ce of
No Sewage odors detected when arriving at the site
yes or no
9
t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
SYSTEM INFORMATION continued
' SEPTIC TANK• None Present
(locate on site plan)
' depth below grade:
material of construction: concrete metal FRP other(explain)
1
dimensions:
' sludge depth
distance from top of sludge to bottom of outlet tee or baffle
scum thickness
' distance from top of scum to top of outlet tee or baffle
distance from bottom of scum to bottom of outlet tee or baffle
Comments:
F, (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, recommendations for repairs, etc. )
DISTRIBUTION BOX: None Present
(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, recommendation. for repairs, etc.)
PUMP CHAMBER: None Present
(locate on site plan)
pumps in working order, yes or no
' Comments:
(note condition of pump chamber, condition of pumps and appurtenances, .
recommendations for maintenance or repairs,etc. )
1C
' SUBSURFACE SEWAGE DISPOSAL SYSTEM INS
PECTION FORK
PART B
' SYSTEM INFORMATION. continued
SOIL ABSORPTION SYSTEM (SAS) :
(locate on site plan, if possible; excavation not required, but may be
' approximated by non-intrusive methods).
If not determined to be present, explain:
' TYPe•
leaching pits and number
leaching chambers and number
' leaching galleries and number
leaching trenches, number, length
leaching fields, number, dimensions
overflow cesspool, number
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding,
' condition of vegetation, recommendations for maintenance .or repairs,etc. )
CESSPOOLS (locate on site plan) : See attached plan
number and configuration 1 - as shown
' depth-top of liquid to inlet invert invert was sU1Lj11L=.Lr,=U
depth of solids layer indeterminate
depth of scum layer
' dimensions of cesspool + x x 2
materials of construction Concrete block
indication of groundwater
inflow (cesspool must be pumped as .' Groundwater +18" above bottom_part of inspection) —
Comments:
' (note condition of soil, signs of hydraulic failure, level of ponding,
condition of vegetation, reco end bons for m i tena ce r re airs,etc.)
One wall of cesspool partially co�apsed; invert pipe broken ao wal? facep
' PRIVY:
(locate on site plan)
' materials of construction
dimensions
depth of solids
' 'Comments:
(note condition of soil, signs of hydraulic failure, level of ponding, __
condition of vegetation,. recommendations for maintenance or repairs,etc. ) .
11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION •FORM
PART B
' SYSTEM INFORMATION continued
SKETCH OF SEWAGE L:SPOSAL SYSTEM:
' include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100 '
see attached plan
I
DEPTH TO GROUNDWATER
' depth to groundwater Bottom*of cesspool 0.42-' NGVD
High groundwater estimated 2.43 NGVD
' observed groundwater +1.92 NGVD
method of determination or approximation: —
Fii hwater estimated water in adjacent tidal river by awry-ey
10 95. Observed groundwater by survey point of inflow ohG TPd after pliMping
rl
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
FAILURE CRITERIA
' Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of
determination_ in all instances. If "not determined", explain why not)
' N Backup of sewage into facility?
N Discharge or ponding of effluent to the surface. of the ground or
surface waters?
N/A
Static liquid level in the distribution box above outlet invert?
No Liquid depth in cesspool <6" below invert or available volume< 1/2 da
flow?
No
Required pumping 4 times ore more
of n the last yyear?
number of times pumped pumping in 1994
' N/A
Septic tank is metal? cracked? structurally unsound? substantial
infiltration? substantial exfiltration? tank failure imminent?
Is any portion of the SAS, cesspool or privy:
YES below the high groundwater elevation?
YES
within 50 feet of a surface water?
No within 100 feet of a surface water supply or tributary to a surface
water supply?
NO
within a Zone I of .a public well?
' Yes
within 50 feet of a bordering vegetated wetland 'or salt marsh-
(cesspools and privies only, not the SAS) ?
NO within 50 feet of a private water supply well?
NO less than 100 feet but greater than 50 feet from a g private water
' supply .well with no acceptable water quality analysis? If the well
has been analyzed to be acceptable, attach copy of well water ana"
. for coliform bacteria, volatile organic compounds, ammonia nitrog..._
Y and nitrate nitrogen.
Pumping Records for 1136 Craigville Beach Road:
pumped 8/19/81
' pumped 8/04/82
pumped 5/22/84
pumped 6/04/86
pumped 6/29/86
' *pumped 9/19/86 - overflow
pumped 7/09/87
pumped 7/05/88
' pumped 7/05/89
"pumped 7/06/89 - nonscheduled maintenance
pumped 7/27/92
1
' * - from Town records
- all others from records of private contractor
i
Record of i Reference Guide
Septic • •
j i Date Work Done Contractor
Septic systems are individual wastewater treatment systems that use the soil to treat small waste- I
water flows,usually from individual homes. They are typically used in rural or large lot settings where 1 impractical. YOUR
centralized wastewater treatment is im p r
There are many types of septic systems in use today. While all septic systems are individually
designed for each site, most septic systems are based on the same principles. SEPTIC
A Conventional SYSTEM
Septic System
for Homeowners
k,
For More Information
A videotape version of this brochure,also
__—_-- entitled "Your Septic System: A Guide for
---- Homeowners,"is available through the EPA
_ Small Flows Clearinghouse.Call 1-800-624-
8301.
0 o For more information about maintenance
or inspection of your septic system, contact
your local board of health or the Department
of Environmental Protection:
Central Regional Office:
(508) 792-7650
Northeast Regional Office:
617 932-7600
A septic system consists of a septic After the partially treated wastewater.
( )
tank, a distribution box and a drainfield, all leaves the tank, it flows into a distribution I Southeast Regional Office
connected by pipes, called conveyance fines. box, which separates this flow evenly into a (508) 946-2700
network of drainfield trenches. Drainage Western Regional Office:
Your septic system treats your household holes at the bottom of each line allow the was-
wastewaterby temporarily holding it in the septic tewater to drain into gravel trenches for tempo- (413) 784-1100
tank where heavy solids and lighter scum are. vary storage. This effluent then slowly seeps Boston Office:
allowed to separate from the wastewater. This into the subsurface soil where it is further (617) 292-5673
separation process is known as primary treat- treated and purified(secondary treatment). Published 1990 by the Northern Virginia Planning District
ment. The solids stored in the tank are decom- A properly functioning septic system does not commission with assistance from Virginia water Control Board,
posed by bacteria and later removed,along with pollute the groundwater. National Small Flows Clearinghouse,
Health Departments, Reprinted and the Northern Virginia '
of
the lighter scum, by a professional-Septic tank p g uset by the Division E Water
Pollution Control oithe Massachusetts Department ofnviron- COMMONWEALTH OF MASSACHUSETTS
pumper. mental Protection. us—ION DEPARTMENT OF ENVIRONMENTAL PROTECTION
.. .. .. ,.. ., Printed on Recycled Paper
i
Caring for Your Septic System Tips to Avoid Trouble
The accumulated solids in the bottom of • be very expensive to repair,
the septic tank should be pumped out every DO have your tank pumped out and DON'T allow anyone to drive or park
and,put thousands of water supply users system inspected eve 3 to 5 ears b over any part of the system. The area
three to five years to prolong the life of your y P every y y
at risk if you live in a public water supply a licensed septic contractor listed in the over the drainfield should be left undis-
system. Septic systems must be main- watershed and fail to maintain your sys- p ( turbed with only a mowed grass cover.
tained regularly to stay working. tem. yellow pages). Roots from nearby trees or shrubs may
Neglect or abuse of your septic system Be alert to these warning signs of a failing • DO keep a record of pumping, inspec- clog and damage your drain lines.
can cause it to fail. Failing septic systems system:
can lions, and other maintenance. Use the
• sewage surfacing over the drainfield back page of this brochure to record DON'T make or allow repairs to your
• cause a serious health threat to your (especially after storms), maintenance dates. septic system without obtaining the re-
family and neighbors, sewage back-ups in the house, quired health department permit. Use
professional licensed septic contractors
• degrade the environment, especially • lush, green growth over the drainfield, a DO practice water conservation. Re- when needed.
lakes, streams and groundwater, pair dripping faucets and leaking toilets,
• slow draining toilets or drains, run washing machines and dishwashers
• reduce the value of your property, • sewage odors. only when full, avoid long showers, and DON'T use commercial septic tank
use water-saving features in faucets, additives. These products usually do not
shower heads and toilets. help and some may hurt your system in
the long run.
• DO learn the location of your septic
system and drainfield. Keep a sketch of DON'T use your toilet as a trash can
..._.. . . .. . . ►e..LL.r_". _ _ ,__ it handy for service visits. If your system by dumping nondegradables down your
:.....:.
Gispecylon:(?uinP:ou111:gtts.:.::...::.• :.. :".:;::' :: ::::;';;::.::::'•'.:::•'::
has a flow diversion valve,learn its Iota- toilet or drains. Also, don't poison your
lion, and turn it once a year. Flow septic system and the groundwater by
diverters can add many years to the life pouring harmful chemicals down the
TBe of your system. drain. They can kill the beneficial bacte-
ria that treat your wastewater. Keep the
,'1;-A_ Outlet Treated Wastewater
Wl
Inlet:Sewage following materials out of your septic
Enters tram House Goes toand Drain
n Field
Box • DO divert roof drains and surface water
and Draln Field system:
from driveways and hillsides away from
Wastewater r the septic system. Keep sump pumps
and house footing drains away from the
pz septic system as well.
se, disposab
Slud o
• DO take leftover hazardous household lasflCS, etC.
chemicals to your approved hazardous P
waste collection center for disposal: Use gasoline, o , ,
bleach, disinfectants, and drain and toi- thinner, peS
let bowl cleaners sparingly and in actor-
dance with product labels.
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Return Receipt Showing t
Date,and Addressee's Ad ress C 0
TOTAL Postage ..,
&Fees
Postmark or Date
STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front).
m
1. If you want this receipt postmarked,stick the gummed stub to the right of the return address In
leaving the receipt attached and present the article at a post office service window or hand it to i
your rural carrier(no extra charge). `v
Q
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return
address of the article,date,detach and retain the receipt,and mail the article. rn
L
3. If you want a return receipt,write the certified mail number and your name and address on a 2
return receipt card,Form 3811,and attach it to the front of the article by means of the gummed 0
ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT
REQUESTED adjacent to the number. O
4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, co
endorse RESTRICTED DELIVERY on the front of the article. E
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5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If Ll-
return receipt is requested,check the applicable blocks in item 1 of Form 3811. d
6. Save this receipt and present it if you make inquiry. 105603-93-B-0216
SENDER: r
v ■Complete items 1 and/or 2 for additional services. I also wish to receive the
rn ■Complete items 3,4a,and 4b. following services(for an
■Pr ndt 1 ourr name and address on the reverse of this form so that we can return this extra fee):
■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
permit.
y ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery W
r ■The Return Receipt will show to whom the article was delivered and the date .,
c delivered. Consult postmaster for fee. °
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0 3.Article Addressed to: 4a.Article Number w
4b.Service yp
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7.Date of Delivery
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p 5.Received By:(Print Name) 8.Addressee's Address(Only if requested
W and fee is paid) r
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6.Signs e: dressee or Age t)
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PS Form 3811, December 1994 Domestic Return Receipt �!
UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid
USPS..
Permit`No.G-10- •;`•.
• Print your name, address, and ZIP Code in this box •
Health Oepai 'Not
Town of Bamslablg
P0.Box534 {
Hyannis,Massachuseits OM01
Fax(508)775-3344
Phone(508)790-6265
Town of Barnstable
v►RxgteeIA Department of Health, Safety, and Environmental Services
MAW Public Health Division
t63q.
& 367 Main Street, Hyannis MA 02601
Office: 508-790-6265 Thomas A.McKean
FAX: 508-775-3344 Director of Public Health
September 27, 1995
Sergios M. Arambulo
8 French Drive
Bedford, N.H. 03102
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL
CODE, TITLE 5.
The septic system owned by you located at 113(Craigville Beach Road, Centerville was
inspected on August 17, 1995 by John Beckwith a Massachusetts licensed septic
inspector.
The inspection of your septic system showed that your system has failed under the
guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Portion of cesspool located below the high ground water elevation
• Cesspool within 50 feet of a surface water
You are directed to hire a licensed professional engineer (PE) to design a system that will
bring the septic system in compliance with 310 CMR 15.00, The State Environmental
Code, Title 5 within twenty-one (21) days of your receipt of this letter.
You are also directed to hire a licensed septic system installer to install the system
components within forty-five (45) days of your receipt of this order.
You are further directed to maintain the system by hiring a licensed septage hauler to
pump the septic system to prevent discharge of sewage or effluent into the buildings, onto
the surface of the ground, or in to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to
any court of competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BO OF HEALTH
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
J S- 9WfZ
[Installer letter] sl
TO: I
v i / �j�A say h t-G 0 (Date)
!--r,.�«r c,�i 9 -r�V—F
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL
CODE, TITLE 5. C1_0 ,,11-1-Z",'_4 4�
The septic system owned by you located at �� �� � L �� T62-1`4Lwas f-f
inspected on 8 � ' ��bY �`�'�' /���1� a Mas chusetts licensed septic
inspector.
The inspection of your septic system showed that your system has failed under the
guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
3 a4t� L %fit isZi _�C
You are directed to hire a licensed Town of Barnstable septic system installer to submit a
sketch diagram of a proposed system to the Town of Barnstable Health Division Office
(Town Hall, 367 main Street, Hyannis) that will bring the septic system into compliance
with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of
receipt of this notice.
You are also directed to bring the septic system into compliance within thirty (30) days of
receipt of this order letter.
You are further directed to maintain the system by hiring a licensed septage hauler to
pump the septic system to prevent discharge of sewage or effluent into the buildings, onto
the surface of the ground, or in to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to
any court of competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
Town of Barnstable
PAR Real Estate System General Property inqoiry Help
Parcel Id! 206 088- - Account No: 124299 Parent;.'
Lorati tin: 1136 CRAIGW BCH Neighborhoods 35WC Fire Dist: MJ
Devel Lots Lot Size! . 20 Acres
Ciwrent Owo! ARAMBULO, SERGIO M -Z4 State Classu 101
ARAMBULO, JOSEFINA F PILPIL No. BldgsN I Area: 1016
8 FRENCH DRIVE Year AddeW
BEDFORD 1\1 H 10 2
.Deed Date: 120186 Reference! C10950-S.-
january ist: ARAMBULO, SERGIO 1-1 Deed MMDD: 1286 Deed Refs 0109596
Comments.,
Values: Land, 60000 Buildingso 45900 Extra Featurew
Road Systems 1136 Index! 369 (CRAIGVILLE BEACH RD ) Frntgg 125
indexg ) Frntgs
Control Info! Last Auto Upd; 050695 Status: C Last TACS Update! 081887
Land Reviewed ByN Dateu 0000 Bldgs Reviewed By2 Date: 000)
Tax Titles Accounts Takens Account Status: Hold Statuss
Cancel
Press XMT for more data
Next screen PAR Action
Owners Name
Road index Road Name
Parcel Number 206 08'''?
Postal
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m For delivery information visit our website at www.usps.come
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Certified Mail Provides:
s A mailing receipt
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valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS S'orm23811)toAh,6 article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
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required.
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cle at the post office.for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. ure
item 4 if Restricted Delivery is desired. ❑Agent
■ Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Received y(Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? El Yes
I. Article Addressed to: If YES,enter delivery address below: ❑No
CrQY andchr sh'e
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❑Registered ❑Return Receipt for Merchandise
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t m 3�T1,July 2013 Domestic Return Receipt
UNITED STAT ,SERVICE First-Class'Mail
Postage&Fees Paid
s �. USPS I
Permit No.G-10
o Sender: Plee print your name,address, and ZIP+4®in this box•
Town of Barnstable
Health Division
200 Main Street
Hyanni M, A 02601 I
-I
1
jNMET
Town of Barnstable Barnstable
Regulatory Services Department edcaC j
'o MRNSTABLE. +
9 "9. ,,�' Public Health Division
A 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
Gary and Christine Shechtman 11/10/14
197 1st Ave
Needham, MA 02494
According to our records, the tight tank owned by you located at 1136 Craigville Beach
Road, has not been monitored and/or pumped as required by the Massachusetts
Department of Environmental Protection. Therefore, you are ordered to hire a licensed
septage hauler to have the tank pumped on, or before December 30, 2014.
If your tank was already pumped sometime within the past three months, please submit a
copy of the receipt for the pumping.
Please submit a copy of the pumping record(s) to this Office at mailing address: Town of
Barnstable Health Division, 200 Main Street, Hyannis, MA 02601.
Failure to comply with an order of the Board of Health may result in the issuance of
$100.00 non-criminal ticket citations. Tickets may be issued daily until the violations are
corrected.
You may request a hearing before the Board of Health, if written petition requesting same
is received by the Board within seven days of the date of your receipt of this letter.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
Postal
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(Domestic Mail Only;
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.a I OFFICIAL
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PS Forin 3800,August 2006 S ee Reverse for Instructions
Certified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®.
• Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
• If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking, If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7630-02-000.9047
SENDER:'COMPLETE THIS SECTIONI • ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signatu
item 4 if Restricted Delivery is desired. ❑Agent
■ Print your name-and address on the reverse X ❑Addressee
so that we can return the card to you. eceived by(Printed Name) C. Date of Delivery
■ Attach this card to,the back of the mailpiece,-
or on the front if space permits.
D. Is delivery address differenYfro ?1N13 Yes
1. Article Addressed to: \N
If YES,enter d I've address b le�c w: �No
3. ice Type ,�:�.%`..•r
SefvCertified Mall 101 Expressl0ai it
❑Registered ❑Return Receipt for Merchandise
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4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number e q i +,x ; e Lm�
(Transfer from service�atieq "�� I 7 d0 8 3 2 3'0 0 db 2 J 5117"8 63 Y4 8 7j 11
i PS Form 3811,February 2004 Domestic Return Receipt 1o2595mU-M-1540
'UNITED STATES POSTAL' c€ S/K '.`Y as
^�y
• Sender:,,Please print your name, address, and ZIP+4 in this boxLU
•
_.
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Town of Barnstable I
n.
� yJ Health Division
a 1200 Maio Sheet
ws_ �NH;yannis. MA 02601
'-'„: il�!!lti.Ili{ii!{�JifiJlllilIti�)I?!t��3ltii.11E��t?111lt{!�.Ffel
IME Town of Barnstable Barnstable
.�. ; Regulatory Services Department v
/axNsrABM I
" . ,� Public Health Division
�fD"A0�A 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F,Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
Gary and Christine Shechtman 11/08/10
352 Newbury Street
Boston, MA 02115
According to our records, the tight tank owned by you located at 1136 Craigville Beach
Road, has not been monitored and/or pumped every three months as required by the
Massachusetts Department of Environmental Protection. Therefore, you are ordered to
hire a licensed septage hauler to have the tank pumped on, or before November 15, 2010.
After that date, the tank shall be pumped once every three months.
If your tank was already pumped sometime within the past three months, please submit a
copy of the receipt for the pumping.
Please submit a copy of the pumping record(s) to this Office at mailing address: Town of
Barnstable Health Division, 200 Main Street, Hyannis, MA 02601.
Failure to comply with an order of the Board of Health may result in the issuance of
$100.00 non-criminal ticket citations. Tickets may be issued daily until the violations are
corrected.
You may request a hearing before the Board of Health, if written petition requesting same
is received by the Board within seven days of the date of your receipt of this letter.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
COMMONWEALTH OF MASSACHUSETTS
z
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
SO REGIONAL OFFICE
OEM SJOv
RECEIVED
JANE SWIFT
Governor NOV O 6 2001 BOB DURAND
Secretary
TOWN OF BARNSTABLE
HEALTH DEPT. LAUREN A.LISS
Commissioner
C00" P October 31, 2001
Fulvio Fierimonte RE: BARNSTABLE--Subsurface Sewage
16 Arundel Terrace Disposai-Approval of Tight Tank for 1136
Newton, Massachusetts 02458 Craigville Beach Road
Transmittal No. W024257
Dear Mr. Fierimonte:
The Southeast Regional Office of the Department of Environmental Protection has received
and completed its review of the above referenced application for approval of a tight tank pursuant to
Title 5 of the State Environmental Code, 310 CMR 15.260, to serve an existing 3 bedroom dwelling
at the above-referenced address.
Accompanying the application was a plan titled:
"PROPOSED SEPTIC SYSTEM DESIGN
FOR
FULVIO FIERIMONTE
LOT 13
1136 CRAIGVILLE BEACH ROAD
CRAIG R. SHORT,P.E.
P.O. BOX 1044, 235 GREAT WESTERN ROAD
SOUTH DENNIS,MASS.
DATE: 6/26/00 SCALE: 1"=20'
LAST REVISED: 3/12/01"
J
Based on its review of the application and accompanying plans, the Department recognizes
that a sewer connection is not feasible and that there is no other feasible alternative for the disposal
of sanitary sewage in accordance with 310 CMR 15.000.
l
The Department finds that the application and plans are in compliance with 310 CMR
15.000, and, accordingly, hereby approves your request pursuant to 310 CMR 15.260, Tight Tanks,
subject to the following provisions. Failure to comply with these provisions may result in revocation
of this approval.
1. Prior to installation of the tight tank,the owner shall obtain a disposal system construction
permit from the Barnstable Board of Health.
20 Riverside Drive•Lakeville,Massachusetts 02347• FAX(508)947-6557•Telephone(508)946-2700
This information is available in alternate format by calling our ADA Coordinator at(617)574-6872.
DEP on the World Wide Web: http://www.magnet.state.ma.us/dep
�«�Printed on Recycled Paper
, r
2. ,This approval is limited to the storage of sanitary waste at a design flow of 330 gallons per
day. Any increase in flow or change of use will require a new approval.
3. The owner shall allow representatives of the Department and the local Board of Health access
to inspect the facility during construction in order to assess compliance with the plans as.
approved by the Department. It is the applicant's responsibility to ensure that the approved
plans are available at the site during construction.
4. No tight tank shall be utilized until the owner has submitted to the Department and.the Board
of Health written certification by a Massachusetts Registered Professional Engineer or
Registered Sanitarian that the tight tank has been constructed and installed in accordance
with the approved plans.
5. The owner shall provide the Barnstable Board of Health with a copy of an executed two-year
service contract with a septage hauler licensed to operate in that community, which identifies
the disposal location(s) of the tight tank contents. Failure of the owner to properly maintain
the tight tank and keep it from overflowing shall constitute grounds for revocation of this
approval.
6. Within 30 days of a sewer becoming available to the facility,the owner shall connect the
facility served by the tight tank to the sewer and shall abandon the tight tank in accordance
with 310 CMR 15.354.
7. Prior to installation of the tight tank,the owner shall record a copy of this approval letter in
the chain of title to the property served by the.tight tank and shall submit to the Department
the book and page number and the date of such recording.
8. An operation and maintenance plan, acceptable to the local Board of Health, shall be
implemented which requires monitoring of the system at a minimum frequency of once every
three months during periods which the property is occupied to ensure proper operation and
maintenance.
- 9. All notices and information required pursuant to this approval letter shall be sent to the
Department at the following address:
Department of Environmental Protection
20 Riverside Drive
Lakeville,Massachusetts 02347
10. The owner shall submit to the Barnstable Board of Health copies of pumping records within
14 days of each pumping date.
Please note that the conditions, outlined above, do not supersede any conditions imposed by
the Barnstable Board of Health. The above conditions supplement any other conditions imposed by
the Barnstable Board of Health.
Should you have any questions regarding this matter, please contact Christos Dimisioris at
(508) 946-2736.
Sincerely,
Brian A. Dudley
Bureau of Resource Protection
D/CD/bh
3 _.
cc: Barnstable Board of Health
P.O. Box 534
Hyannis,MA 02601
Craig Short, P.E.
P.O. Box 1044
South Dennis,MA 02660
DEP Watershed Permitting Program, Title 5 Section, Boston
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TOWN OF BARNS TABLE
Sullivan Engineering Inc.
7 Parker Road '
Box 659 MA 02655 2045 APR 26 PSI 106
Peter Sullivan PE Mass Registration No. 29733
e-mail psullpe@aol.com 4- ��f�ics��428-3115
phone 508-428-3344
MEMO TRANSMITTAL FORM
DATE: April 25 , 2005
TO: Board of Health
FROM: Sullivan Engineering Inc.
RE: 1199 Craigville Beach Road, Centerville
Attached is a green card that we received in today's mail. The hearing for
the project was on April 19, 2005. Would you please file this in the
appropriate file. Thank you.
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A Si to
item 4 if Restricted Delivery is desired. ❑
■ Print your name and address on the reverse Addressee
so that we can return the card to you. B iv d by ri ted ame) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.# 6 /f
D. Is delivery address different from item 1? ❑Yes
1.. Article Addressed to: If YES,enter delivery address below: ❑No
3.jrvice Type
CertifiedMail ❑Express Mail
Registered ❑Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted D=livery?(Extra Fee) _. _ ❑Yes
2. Article Number ;0
(Transfer from service iabe#
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
I
• Sender: Please print your name, address, and ZIP+4 in this box•
I
I
I
SULLIVAN ENGINEERING INC.
P.O. BOX 659
OSTERVILLE, MA. 02655
I
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It
CRAIG R. SHORT, P. E.
235 Great Western Road
P.O. Box 1044 Telephone(508)398-8311
South Dennis, MA 02660 Fax (508)398-3063
PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR
SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING.DESIGNS
TO: Thomas McKean
Health Director
Barnstable Board of Health
200 Main Street
Hyannis,MA 02601
RE: CERTIFICATION OF SUBSURFACE SEWAGE DISPOSAL SYSTEM
LOCATION OF SYSTEM: 1136 Craigville Beach Road,Centerville(Barnstable)
CLIENT: Fulvio Fierimonte 7IN11 - E�PLAN DATE: 06/26/00 last revised 03/12/01
FILE#: 1-864 r ��,
DATE(S)OF/TYPE OF INSPECTIONS:
03/20/02 Inspect Tight Tank&Photograph
03/28/02 Measure for As-Built
05/30/02 Inspect Alarms
I, Craig-R.Short, Civil Engineer, duly. licensed as such in the Commonwealth of Massachusetts, do
hereby certify that this firm has visually inspected the constructed subsurface sewage disposal system
shown on the referenced approved plan, and further certify that the system, as constructed and shown
on the attached As-Built, generally conforms within acceptable tolerance to the regulations, as varied,
set forth in 310 CMR 15.000 and the Town of Barnstable Board of Health Regulations.
Co 2s� a Z
Craig R. Sho ,P.E.,Engineer Da e
cc: File 1-864
Client Fulvio Fierimonte
Contractor Robert Our, Inc.
Barnstable Conservation Commission
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Box i oa SHOFM.P.E. �pd�� ®
souTH DENNIS,MA 02660 SHORT � LOCUS: !f v G (Zf�/is V/L EAt ti
Professional Civil Engineer-Soil Evaluator 31 CIVIL T E
Licensed Construction Supervisor•Septic Inspector No 27485 1 OWN:
Septic -Site -Piers-Structures-House'Designs ��RFGlS�ti`y r" 1t)AKT-. 14/310
Office:(508)398-8311 �Fax:(508)398-3063 /3 iP
0 ilt•:1•:1' / UI' /
Town of Barnstable Geographic Information System
Parcel Viewer Custom Map Abutters Map Size Zoom Out In
.w R hey +( JPG Map: 206 P
r 2608501 0Ew'08T Location: 1136 CRAU
Owner: FIERIMONT
206aS ,< y Location Information
...� Map & Parcel 20,
w ., Location 11:
Acreage 0.:
ors
Current Owner
2 ft- Mailing Address FIE
SU
206044� _ _
#2 �q� 20608�3 206136 Appraised value ( �'
Zo6043Nn. fyr111 Extra Features $0
16` Out Buildings $0
6091 Land $2,
26 #111r
! 206049 ,. Buildings $8
Total Appraised $3
X
Aq
E, ss� alue { Y 2
205t4 1125` "' Extra Features $0
b
#k 2S ' Out Buildings $0
,,
#`23Ty, 206025 v # 11g0 Land
Buildings $2
r #1.2T ui ings $8,
Total Assessed $3'
Set Scale 1" 105 I Sept 2001 Coastal
Copyright 2006 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS
BarnstableMA v0.2.9 [Production]
CRAIG R. SHORT, P. E.
235 Great Western Road
P.O. Box 1044 Telephone(508)398-8311
South Dennis, MA 02660 Fax (508)398-3063
PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR
SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING DESIGNS
February 16,2001a�CDO
Thomas McKean A VA
Health Director
Barnstable Board of Health
367 Main Street ,�
Hyannis, MA 02(601
RE: 1136 Craigville Beach Road, Centerville,MA
for Fulvio Fierimonte
CRSPE file#1-864
Dear Tom:
Enclosed herewith is a plan of the existing house at the referenced site.
This plan was prepared to scale,per the Board of Health's request on February 6, 2001. As you can see,
all 3 of the bedrooms are large enough in area to qualify as legal bedrooms.
If you have any questions,please contact me.
Sincerely,
Craig R. Short, P.E.
Enc. '
CC: Fulvio Fierimonte
f
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f
CRAIG R. SHORT, P. E.
235 Great Western Road
P.O. Box 1044 Telephone(508)398-8311
South Dennis; MA 02660 Fax (508)398-3063
PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR
. SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING DESIGNS
NOTIFICATION TO ABUTTERS OF:
Applicant: Fulvio Fierimonte Certified Mail
16 Arundel Terrace Return Receipt Requested
Newton, MA 02458
Re: Septic System Upgrade @ 11�36 Craigville Beach Road,,Cen` teiw lle,MA
Dear Abutter,
Please be advised that an application for variances from the Regulations of the Massachusetts Department
of Environmental Protection,Title 5, and/or.the Town of Barnstable Regulations for Subsurface Disposal
of Sewage,has been submitted to the Barnstable Health Department for approval. The following
variances are requested:
Title 5 Regulation and Barnstable Board of Health Regulations
O
TITLE 5 VARIANCES REQUIRED
SECTION 15:211 (1)Minimum Setback Distances
1. Septic Tank from Property Line; 10 Required—A F Variance Requested
2. Septic Tank from Cellar Wall; 10' Required—A 5' Variance Requested
3. Pump Chamber from Cellar Wall; 10' Required—A 2.2' Variance Requested
4. Soil Absorption System from Property Line; 10'Required—A 5' Variance Requested
5. Soil Absorption System from Crawl Space; 10' Required—A 4' Variance Requested
6. Soil Absorption System from Wetland; 50'Required—A 30' Variance Requested
7. SECTION 15:248(1)Reserve S.A.S. Area Required-No Reserve S.A.S. Area Available
8. SECTION 15:255(2)(9)Construction in Fill Requires Distance From Edge of S.A.S. to
Breakout Barrier Wall Should be at least 10' —An 8' Variance Requeste -
BARNSTABLE BOARD OF HEALTH VARIANCES REQUIRED REC I�/E®
Minimum Distance of Septic System from Wetland is 100'
9. A 7 F Variance Requested for Septic Tank JAN-
10. A 70' Variance Requested for Pump Chamber
11. An 80' Variance Requested for Soil Absorption System TOWN of BAkw,I HdLE
HEALTH 2E
The application and plans are available for review at the Barnstable Health Department, 367 Main Street,
Hyannis, MA 02601, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A
Tentative hearing date is scheduled for Tuesday, February 6,2001 beginning at 7:00 PM. Please call
Barnstable Health Department to confirm(508-790-6265)
Sincerely,
Cr�
Craig R. hort, P.E. V/T-O/
Cc: File
Barnstable Board of Health
Abutters
CRAIG R. SHORT, P. E.
235 Great Western Road
P.O. Box 1044 Telephone(508)398-8311
South Dennis,MA 02660 Fax (508)398-3063
PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR
SEPTIC SYSTEM DESIGNS,COASTAL&BUILDING DESIGNS
4
NOTIFICATION TO ABUTTERS OF:
Applicant: Fulvio Fierimonte Certified Mail
16 Arundel Terrace Return Receipt Requested
Newton,MA 02458
Re: Septic System Upgrade @ 1136 Craigville Beach Road,Centerville,MA
Dear Abutter,
Please be advised that an application for variances from the Regulations of the Massachusetts Department
of Environmental Protection,Title 5, and/or the Town of Barnstable Regulations for Subsurface Disposal
of Sewage,has been submitted to the Barnstable Health Department for approval. The following
variances are requested:
Title 5 Regulation and Barnstable Board of Health Regulations
TITLE 5 VARIANCES REQUIRED
SECTION 15:211 (1)Minimum Setback Distances
1. Septic Tank from Property Line; 10 Required—A F Variance Requested
2. Septic Tank from Cellar Wall; 10'Required—A 5' Variance Requested
3. Pump Chamber from Cellar Wall; 10' Required—A 2.2' Variance Requested
4. Soil Absorption System from Property Line; 10' Required—A 5' Variance Requested
5. Soil Absorption System from Crawl Space; 10' Required—A 4' Variance Requested.
6. Soil Absorption System from Wetland; 50' Required—A 30' Variance Requested
7. SECTION 15:248(1)Reserve S.A.S. Area Required—No Reserve S.A.S. Area Available
8. SECTION 15:255(2)(9)Construction in Fill Requires Distance From Edge of S:A.S. to
Breakout Barrier Wall Should be at least 10'—An 8' Variance Requested -
BARNSTABLE BOARD OF HEALTH VARIANCES REQUIRED
Minimum Distance of Septic System from Wetland is 100'
9. A 71' Variance Requested for Septic Tank
10. A 70' Variance Requested for.Pump Chamber
11. An 80' Variance Requested for Soil Absorption System
The application and plans are available for review at the Barnstable Health Department, 367 Main Street,
Hyannis, MA 02601, Monday through Friday (excluding holidays) from 8:30 am. to 4:30 p.m. A
Tentative hearing date is scheduled for Tuesday,February 6,2001 beginning at 7:00 PM. Please call
Barnstable Health Department to confirm(508-790-6265)
Sincerely,
v
Craig R. hort,P.E. �� D
Cc: File
Barnstable Board of Health
Abutters
CRAIG R. SHORT, P. E.
235 Great Western Road
P.O. Box 1044 Telephone(508)398-8311
South Dennis, MA 02660 Fax (508)398-3063
PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR
SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING DESIGNS
NOTIFICATION TO ABUTTERS OF:
Applicant Fulvio Fierimonte Certified Mail
16 Arundel Terrace Return Receipt Requested
Newton,MA 02458
Re: Septic System Upgrade @ 1136 Craigville Beach Road,Centerville,MA
Dear Abutter,
Please be advised that an application for variances from the Regulations of the Massachusetts Department
of Environmental Protection,Title 5, and/or the Town of Barnstable Regulations for Subsurface Disposal
of Sewage,has been submitted to the Barnstable Health Department for approval. The following
variances are requested:
Title 5 Regulation and Barnstable Board of Health Regulations
TITLE 5 VARIANCES REQUIRED
SECTION 15:211 (1)Minimum Setback Distances
1. Septic Tank from Property Line; 10 Required—A 1' Variance Requested
2. Septic Tank from Cellar Wall; 10' Required—A 5' Variance Requested
3. Pump Chamber from Cellar Wall; 10'Required—A 2.2' Variance Requested
4. Soil Absorption System from Property Line; 10' Required—A 5' Variance Requested
5. Soil Absorption System from Crawl Space; 1.0' Required—A 4' Variance Requested
6. Soil Absorption System from Wetland; 50'Required—A 30' Variance Requested
7. SECTION 15:248(1)Reserve S.A.S. Area Required—No Reserve S.A.S. Area Available
8. SECTION 15:255(2)(9)Construction in Fill Requires Distance From Edge of S.A.S.to
Breakout Barrier Wall Should be at least 10'—An 8' Variance Requested -
BARNSTABLE BOARD OF HEALTH VARIANCES REQUIRED
Minimum Distance of Septic System from Wetland is 100'
9. A 71' Variance Requested for Septic Tank
10. A 70' Variance Requested for Pump Chamber
11. An 80' Variance Requested for Soil Absorption System
The application and plans are available for review at the Barnstable Health Department, 367 Main Street,
Hyannis, MA 02601, Monday through Friday (excluding holidays) from 8:30 am. to 4:30 p.m. A
Tentative hearing date is scheduled for Tuesday, February 6,2001 beginning at 7:00 PM. Please call
Barnstable Health Department to confirm(508-790-6265)
Sincerely,
Craig R.1 hort,P.E.
Cc: File
Barnstable Board of Health
Abutters
CRAIG R. SHORT, P. E.
235 Great Western Road
P.O. Box 1044 Telephone(508)398-8311
South Dennis,MA 02660 Fax (508)398-3063
PROFESSIONAL CIVIL ENGINEER,SOIL EVALUATOR,SEPTIC INSPECTOR
SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING DESIGNS
NOTIFICATION TO ABUTTERS OF:
Applicant Fulvio Fierimonte Certified Mail
16 Arundel Terrace Return Receipt Requested
Newton,MA 02458
Re: Septic System Upgrade @ 1136 Craigville Beach Road,Centerville,MA
Dear Abutter,
Please be advised.that an application for variances from the Regulations of the Massachusetts Department
of Environmental Protection,Title 5, and/or the Town of Barnstable Regulations for Subsurface Disposal
of Sewage,has been submitted to the Barnstable Health Department for approval. The following
variances are requested:
Title 5 Regulation and Barnstable Board of Health Regulations
TITLE 5 VARIANCES REQUIRED
SECTION 15:211 (1)Minimum Setback Distances
1. Septic Tank from Property Line; 10 Required—A 1' Variance Requested
2. Septic Tank from Cellar Wall; 10' Required—A 5' Variance Requested
3. Pump Chamber from Cellar Wall; 10'Required—A 2.2' Variance Requested
4. Soil Absorption System from Property Line; 10' Required—A 5' Variance Requested
5. Soil Absorption System from Crawl Space; 10'Required—A 4' Variance Requested
6. Soil Absorption System from Wetland; 50' Required—A 30' Variance Requested
7. SECTION 15:248(1)Reserve S.A.S. Area Required—No Reserve S.A.S. Area Available
8. SECTION 15:255(2)(9)Construction in Fill Requires Distance From Edge of S.A.S. to
Breakout Barrier Wall Should be at least 10'—An 8' Variance Requested -
BARNSTABLE BOARD OF HEALTH VARIANCES REQUIRED
Minimum Distance of Septic System from Wetland is 100'
9. A 71' Variance Requested for Septic Tank
10. A 70' Variance Requested for Pump Chamber
11. An 80' Variance Requested for Soil Absorption System
The application and plans are available for review at the Barnstable Health Department, 367 Main Street,
Hyannis, MA 02601, Monday through Friday (excluding holidays) from 8:30 am. to 4:30 p.m. A
Tentative hearing date is scheduled for Tuesday, February 6,2001 beginning at 7:00 PM. Please call
Barnstable Health Department to confirm(508-790-6265)
Sincerely,
Craig R.thort P.E. ���(�0 t
Cc: File
Barnstable Board of Health
Abutters
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CRAIG R. SHORT, P. E.
235 Great Western Road
P.O. Box 1044 Telephone(508)398-8311
South Dennis,MA 02660 Fax (508)398-3063
PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR
SEPTIC SYSTEM DESIGNS,COASTAL&BUILDING DESIGNS
NOTIFICATION TO ABUTTERS OF:
Applicant: Fulvio Fiermonte Certified Mail
16 Arundell Terrace Return Receipt Requested
Newton,MA 02458
Re: Septic System Upgrade @ 1136 Craigville Beach Road,Centerville,MA.
Dear Abutter,
Please be advised that an application for variances from the Regulations of the Massachusetts
Department of Environmental Protection,Title 5, and/or the Town of Barnstable Regulations for
Subsurface Disposal of Sewage,has been submitted to the Barnstable Health Department for
approval. The following variances are requested:
Tide 5 Regulation and Barnstable Board of Health Regulations
Section 15.260 -Tight Tank Use
Request approval to replace a failed on-site Septic System with a
Tight Tank, since there is no other feasible alternative
The application and plans are available for review at the Barnstable Health Department, 367.Main
Street, Hyannis, MA 02601, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30
p.m. A Tentative hearing date is scheduled for Tuesday, February 6, 2001 beginning at 7:00
PM. Please call Barnstable Health Department to confirm(508-790-6265)
Sincerely,
Craig R. Short,P.E: Al(w
Cc: File
Barnstable Board of Health
Abutters
x
, ap1"E 74 DATE:
yo. FEE:
+ iARN31ABL&
MA93
9� s639. REC. BY
Town of Barnstable
SC=ATE:
Board of Health . (S�Caan
Office: 508-862-4644 Rask,R.S. n-
FAX: 508-790-6304 Sumner K ban,AS.P !(�(
Ralph A.Murphy,M.D.
VARIA1NCE REQUEST FORM
LOCATION 1136 Craigville Beach Road, Centerville, MA
Property Address:
Assessor's Map and Parcel Number: 206/88 Size of Lot: 8,600 sq. ft.
Wetlands Within 300 Ft. Yes XX Subdivision Name:
No
Business Name:
PROPERTY OWNER'S NAME CONTACT PERSON
Name: Fulvio Fierimonte Name: Craig R. 'Short, P.E.
16 Arundel-. Terrace P: 0. Box 1044
Address: Newton, MA 02458 Address: South Dennis, MA 02660
Phone: 617—9 64—8 83 7 Phone: 5 0 8—3 9 8—8 311
VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed)
PT.FASF SEE ATTACHFD Site Limitations
SHF.FT
Checklist(to be completed by office staff-person receiving variance request application)
Four(4)copies of engineered plan submitted(e.g. septic system plans)
Four(4)copies of floor plan submitted(e.g.house plans or restaurant kitchen plans)
� Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting
date at applicant's expense(for Title V and/or local sewage regulation variances only)
ti Full menu submitted(for grease trap variance requests only)
TVariance request application fee collected(no fee for lifeguard toodificarion renewals.grease trap Varian"renewals(same ownerneas«only),outside
/ dining varian"renewals(same owner/leas«only1,and variances to repair failed sewage disposal systems(only if no expansion to the building proposed))
✓/ Variance request submitted at least 15 days prior to meeting date
-------------------
VARIANCE APPROVED Susan G. Rask,R.S., Chairman
NOT APPROVED Sumner Kaufman, M.S.P.H.
REASON FOR DISAPPROVAL Ralph A.Murphy, M.D.
Q:/wp/vaiuREQ
PROPERTY LOCATION: 1136 Craigville Beach Road, Centerville, MA
PROPERTY OWNER: Fulvio Fierimonte
16 Arundel Terrace
Newton, MA 02458
617-964-8837 .
TITLE 5 AND BARNSTABLE BOARD OF HEALTH VARIANCES
TITLE 5.VARIANCES REQUIRED
SECTION 15:211(1)MINIMUM SETBACK DISTANCES:
1. SEPTIC TANK FROM PROPERTY LINE; 10' REQUIRED
A I'VARIANCE REQUESTED
2. SEPTIC TANK FROM CELLAR WALL; 10' REQUIRED
A 5' VARIANCE REQUESTED
3. PUMP CHAMBER FROM CELLAR WALL; 10' REQUIRED
A 2.2' VARIANCE REQUESTED
4 SOIL ABSORPTION SYSTEM FROM PROPERTY LINE; 10' REQUIRED
A 5' VARIANCE REQUESTED
5. SOIL ABSORPTION SYSTEM FROM CRAWL SPACE; 10' REQUIRED
A 4' VARIANCE REQUESTED
6. SOIL ABSORPTION SYSTEM FROM WETLAND; 50' REQU RED
A 30' VARIANCE REQUESTED
7. SECTION 15:248(1) RESERVE S.A.S. AREA REQUIRED
NO RESERVE S.A.S. AREA AVAILABLE
8. SECTION 15:255(2) (9) CONSTRUCTION IN FILL REQUIRES
DISTANCE FROM EDGE OF S.A.S. TO BREAKOUT BARRIER WALL
SHOULD BE AT LEAST 10'
A 8' VARIANCE REQUESTED
BARNSTABLE BOARD OF HEALTH VARIANCES REQUIRED
MINIMUM DISTANCE OF SEPTIC SYSTEM FROM WETLAND IS 100'
9. A 7l' VARIANCE REQUESTED FOR SEPTIC TANK
10. A 70' VARIANCE REQUESTED FOR PUMP CHAMBER
11. A 80' VARIANCE REQUESTED FOR SOIL ABSORPTION SYSTEM
CRAIG R. SHORT, P. E.
235 Great Western Road
P.O. Box 1044 Telephone(508)398-8311
South Dennis, MA 02660 Fax (508)398-3063
PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR
SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING DESIGNS
NOTIFICATION TO ABUTTERS OF:
l: r..,_,: 17: _ Certined ManA�� �.44�. fill V1V 1lel-IMV111Ci
16 Arundel Terrace Return Receipt Requested
Newton,MA 02458 -
Re: Septic System Upgrade @ 1136 Craigville Beach Road,Centerville,MA
Dear Abutter,
Please be advised that an application for variances from the Regulations of the Massachusetts Department
of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for Subsurface Disposal
of Sewage, has been submitted to the Barnstable Health Department for approval. The following
variances are requested:
Title 5 Regulation and Barnstable Board of Health Regulations
TITLE 5 VARIANCES REQUIRED
SECTION 15:211 (1)Minimum Setback Distances
1. Septic Tank from Property Line; 10 Required—A F Variance Requested
2. Septic Tank from Cellar Wall; 10' Required—A 5' Variance Requested
3. Pump Chamber from Cellar Wall; 10' Required—A 2.2' Variance-Requested
4. Soil Absorption System from Property Line; 10' Required—A 5' Variance Requested
5. Soil Absorption System from Crawl Space; 10' Required—A 4' Variance Requested
6. Soil Absorption System from Wetland; 50' Required—A 30' Variance Requested
7. SECTION 15:248 (1)Reserve S.A.S. Area Required—No Reserve S.A.S. Area Available
8. SECTION 15:255(2) (9)Construction in Fill Requires Distance From Edge of S.A.S. to
Breakout Barrier Wall.Should be at least 10' —An 8' Variance Requested
BARNSTABLE BOARD OF HEALTH VARIANCES REQUIRED
Minimum Distance of Septic System from Wetland is 100'
9. A 71' Variance Requested for Septic Tank
10. A 70' Variance Requested for Pump Chamber
11. An 80' Variance Requested for Soil Absorption System
The application and plans are available for review at the Barnstable Health Department, 367 Main Street,
Hyannis, MA 02601, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A
Tentative hearing date is scheduled for Tuesday,January 16, 2001 beginning at 7:00 PM. Please call
Barnstable Health Department to confirm(508-790-6265)
Sincerely,
Craig R. Short, P.E.
Cc: File
Barnstable Board of Health
Abutters
ABUTTERS of Fulvio Fierimonte
1136 Craigville Beach Road
Centerville, MA
File# 1-864
Fulvio&Joann Fierimonte AM 206/88
16 Arundel Terrace 1136 Craigville Beach Road
Newton, MA 02458
Frederick W. Tonsberg
Roberta J. Tonsberg AM 206/44
376 Canton Street 8 Short Beach Road
Westwood, MA 02090
Dorothy P. Bryson AM 206/49
11 Acorn Drive 1127 Craigville Beach Road
Auburndale, MA 02166
Anthony J. Balsamo
Mary E. Balsamo AM 206/87
110 Kensington Drive 1160 Craigville Beach Road
Canton, MA 02021
Barnstable Conservation Found., Inc. AM 206/89
P. O. Box 224 1122 Craigville Beach Road
Cotuit, MA 02635
Therese M. Mulrenin Trs.
Tfiird Cape Realty Trust AM 206/136
P. O. Box 696 1112 Craigville Beach Road
Centerville, MA 02632
AW 206
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MAP 206 PARCEL 88
3
*NOTE Planimetriq topography,and **NOTE The parcel lines are only graphic representations DATA SOURCES: Planimetria(man-made features)were interpreted from 1995 aerial photographs by The lames
vegetation were mapped to meet National of property boundaries They are not true locations and W.Sewall Company. Topography and vegetation were interpreted horn 1989 aerial photographs by GEOD
Map Accuracy Standards at a scale af do rat represent actual relationships to physical objects Corporation. Planimetdcr topography,and vegetation were mapped to meet National Map Accuracy Standards
1"=100'. on the map. at a scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessors tax maps
...\giW1\bam\dgn\m2O6p88.dgn May.01,2000 14:16:37
e
DFtHE 1Qr,_ DATE:
C�
FEE:
+ 1ARNS!'ABLE. +
MAM
9� 059• ,0� REC. BY
Town of Barnstable
SCHED. DATE:
Board of Health
367 Main Street, Hyannis MA 02601 .1
Office:.508-862-4644 Susan G.AEaS2
FAX: 508-790-6304 �r
Sumner Kaufman,M.S�H.2600 14'
Ralph A.Murphy,-M.D. z
XSZE
VARIANCE REQUEST FORM
LOCATION
Property Address:
1136 Craigville Beach Road, Centerville, MA
- '
Assessor's Map and Parcel Number: - 206/88 Size of Lot: . 8,600 s g. f t.
Wetlands Within 300 Ft. Yes XX Subdivision Name:
No
Business Name:
PROPERTY OWNER'S NAME CONTACT PERSON
Name: Fulvio Fierimonte Name: Craig R- Short, P-E_
16 Arundel Terrace P. 0. Box 1044
Address: Newton, MA 02458 Address: South Dennis, MA 02660
Phone: 617-964-8837 Phone:
— —
VARIANCE FROM REGULATION(List Reg.) REASON FOR-VARIANCE(May attach if more space needed)
Title 5 Section 15- 260 Request Approval tn P1 ;minrnte a faileri
Tight Tank on—site Septic System. since this is the
most feasible alternative
Checklist(to be completed by office staff-person receiving variance request application)
,/ Four(4)copies of engineered plan submitted(e.g. septic system plans)
Four(4)copies of floor plan submitted(e.g.house plans or restaurant kitchen plans)
Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting
date at applicant's expense(for Title V and/or local sewage regulation variances only)
Full menu submitted(for grease trap variance requests only)
Nlp( Variance request application fee collected(..fee for lifeguard modification renewals,grease trap variance renewals(same owner/leasee only),outside
dining variance renewals(same owner/lessee only),and variances to repair failed sewage disposal systems[only if no expansion to the building proposedj)
Variance request submitted at least 15 days prior to meeting date
VARIANCE APPROVED Susan G. Rask,R.S.,Chairman
NOT APPROVED Sumner Kaufman,M.S.P.H.
REASON FOR DISAPPROVAL Ralph A.Murphy,M.D.
4:/wP/VARIREQ
CRAIG R. SHORT, P. E.
235 Great Western Road
P.O. Box 1044 Telephone(508)398-8311
South Dennis, MA 02660 Fax (508)398-3063
PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR
SEPTIC SYSTEM DESIGNS,COASTAL&BUILDING DESIGNS
NOTIFICATION TO ABUTTERS OF:
Applicant: Fulvio Fierimonte Certified Mail
16 Arundel Terrace Return Receipt Requested
Newton, MA 02458
Re: Septic System Upgrade @ 1136 Craigville Beach Road,Centerville,MA
Dear Abutter,
Please be advised that an application for variances from the Regulations of the Massachusetts
Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for
Subsurface Disposal of Sewage,has been submitted to the Barnstable Health Department for
approval. The following variances are requested:
Tide 5 Regulation and Barnstable Board of Health Regulations
Section 15.260 -Tight Tank Use
Request approval to replace a failed on-site Septic System with a
Tight Tank, since this is the most feasible alternative
The application and plans are available for review at the Barnstable Health Department, 367 Main
Street, Hyannis, MA 02601, Monday through Friday (excluding holidays) from 8:30 am. to 4:30
p.m. A Tentative hearing date is scheduled for Tuesday, January 16, 2001 beginning at 7:00
PM. Please call Barnstable Health Department to confirm(508-790-6265)
Sincerely,
Craig R. Short, P.E.
Cc: File
Barnstable Board of Health
Abutters
A}L TTERS of Fulvio Fierimonte
1136 Craigville Beach Road
Centerville, MA
File# 1-864
Fulvio&Joann Fierimonte AM 206/88
16 Arundel Terrace 1136 Craigville Beach Road
Newton, MA 02458
Frederick W. Tonsberg
Roberta J. Tonsberg AM 206/44
376 Canton Street 8 Short Beach Road
Westwood, MA 02090
Dorothy P. Bryson AM 206/49
11 Acorn Drive 1127 Craigville Beach Road
Auburndale, MA 02166
Anthony J. Balsamo
Mary E. Balsamo AM 206/87
110 Kensington Drive 1160 Craigville Beach Road
Canton,MA 02021
Barnstable Conservation Found., Inc.
P. O. Box 224 AM 206/89
Cotuit, MA 02635 1122 Craigville Beach Road
Therese M. Mulrenin Trs.
Third Cape Realty Trust AM 206/136
P. O. Box 696 1112 Craigville Beach Road
Centerville, MA 02632
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*NOTE Manimeft topography,and **NOTE:The parcel lines are only graphic representations .DATA SOURCES: PlanimeMcs(man-mde features)were interpreted from 1995 aerial photographs by The James
vegetation were mapped to meot National of property boundaries They are not two locations,and W.Sewoll Company. Topography and vegetation were interpreted from 1989 aerial photographs by GEOD
Map Accuracy Standards at a scale of do not represent actual relationships to physical objects Corporation. Manimetrics,topography,and Vegetation were mapped to meet National Map Accuracy Standards
on the map. at a scale of 1°=100'. Parcel lines wow digit¢ed from 2000 Town of Bamstable Assessor's tax maps
...\gisxt1\bam\dgn\m206p88.dgn May.01,2000 14:16:37
j► ot214E DATE
FEE:
• IARNSCABLE.
MA &
REC. BY
Town of Barnstable
S CIiED. DATE:
Board of Health
367 Main Street, Hyannis MA 02601
Office:. 508-862-4644 Susan G.Rask,R.S. -
FAX: 508-190-6304 Sumner Kau ,
Ralph A. v,
,,
VARIANCE REQUEST FORM fyj J� 1P0
LOCATION0 1
1136 Craigville Beach Road, Centerville, MA ����• �O(�
Property Address: ?° i,
Assessor's Map and Parcel Number: 206/88 Size of Lot: 8,600 s g, f t.
Wetlands Within 300 Ft. Yes XX Subdivision Name:
No
Business Name:
PROPERTY OWNER'S NAME CONTACT PERSON
Name: Fulvio Fierimonte Name: Craig R. Short, P.E.
16 Arundel Terrace P. 0. Box 1044
Address: Newton, MA 02458 Address: South Dennis , MA 02660
Phone: 617-964-8837 Phone: 508-398-8311
VARIANCE FROM REGULATION(List Res.) REASON FOR VARIANCE(May attach if more space needed)
Title 5 Section 15! 960 RP g„psf Approval to al iminate a fai1P1L—
Ti2ht Tank on—site Septic System, since this is the
most feasible alternative
��r
be completed by office staff-person receiving variance request application)
(4)copies of engineered plan submitted(e.g. septic system plans)
Four(4)copies of floor plan submitted(e.g.house plans or restaurant kitchen plans)
Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting
date at applicant's expense(for Title V and/or local sewage regulation variances only)
Full menu submitted(for grease trap variance requests only)
Variance request application fee collected(no fee for lifeguard modification renewals.grease trap variance renewals[same ownerneasee only),outside
dining variance renewals(same owner/lessee only),and variances to repair failed sewage disposal systems(only if no c pansion to the building proposed))
Variance request submitted at least 15 days prior to meeting date
VARIANCE APPROVED Susan G. Rask, R.S., Chairman
NOT APPROVED Sumner Kaufman, M.S.P.H.
REASON FOR DISAPPROVAL Ralph A. Murphy, M.D.
Q:/WP/VARIREQ
I
CRAIG R. SHORT, P. E.
k'
235 Great Western Road
P.O. Box 1044 Telephone(508)398-8311
South Dennis, MA 02660 Fax (508)398-3063
PROFESSIONAL CIVIL ENGINEER, SOIL EVALUATOR, SEPTIC INSPECTOR
SEPTIC SYSTEM DESIGNS, COASTAL&BUILDING DESIGNS
NOTiFif A TioN Tn A RTTTTF.R C f1Ti-
Applicant: Fulvio Fierimonte Certified Mail
16 Arundel Terrace Return Receipt Requested
Newton, MA 02458
Re: Septic System Upgrade @ 1136 Craigville Beach Road,Centerville,MA
Dear Abutter,
Please be advised that an application for variances from the Regulations of the Massachusetts
Department of Environmental Protection, Title 5, and/or the Town of Barnstable Regulations for
Subsurface Disposal of Sewage,has been submitted to the Barnstable Health Department for
approval. The following variances are requested:
Title 5 Regulation and Barnstable Board of Health Regulations
Section 15.260 -Tight Tank Use
Request approval to replace a failed on-site Septic System with a
Tight Tank, since this is the most feasible alternative
The application and plans are available for review at the Barnstable Health Department, 367 Main
Street, Hyannis, MA 02601, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30
p.m. A Tentative hearing date is scheduled for Tuesday, January 16, 2001 beginning at 7:00
PM. Please call Barnstable Health Department to confirm(508-790-6265)
Sincerely,
Craig R. Short, P.E.
Cc: File
Barnstable Board of Health
Abutters
MBUTTERS of Fulvio Fierimonte
1136 Craigville Beach Road
Centerville, MA
File 4 1-864
Fulvio&Joann Fierimonte
16 Arundel Terrace AM 206/88
Newton, MA 02458 1136 Craigville Beach Road
Frederick W. Tonsberg
Roberta J. Tonsberg AM 206/44
376 Canton Street 8 Short Beach Road
Westwood, MA 02090
Dorothy P. Bryson AM 206/49
11 Acorn Drive 1127 Craigville Beach Road
Auburndale, MA 02166
Anthony J. Balsamo
Mary E. Balsamo AM 206/87
110 Kensington Drive 1160 Craigville Beach Road
Canton, MA 02021
Barnstable Conservation Found., Inc. AM 206/89
P. O. Box 224 1122 Craigville Beach Road
Cotuit, MA 02635
Therese M. Mulrenin Trs.
Third Cape Realty Trust AM 206/136
P. O. Box 696 1112 Craigville Beach Road
Centerville, MA 02632
85-2 Aurioa ' \
MAP206 I -
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$47
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4 NAP10gq6 1,3
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SCALE: 1 MAP 206"=150' PARCEL 88 w = - E
S
*NOTE Planimotriq topography,and **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetics(man-made features)were interpreted from 1995 aerial photographs by The lames
vegetation were mopped to meet National of properly boundaries They are not true loco ioA and W.Sewall Company. Topography and vegetation were interpreted from 1989 aerial photographs by GEOD
Map Accuracy Standards at a scale of do not represent actual relationships to physical objects Corporation. Planimehiq topography,and vegetation were mapped to meet National Map Accuracy Standards
1"=100'_ on the map. at a scale of 1"=I W. Parcel lines were digh:ed from 2000 Town of Barnstable Assesw(s tax maps .
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55 Bodlck Bead Hyannis. h4A 0265701
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INVOICE
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BALANCES OVER 30 DAYS SUBJEG'r TO A?
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-
CRAIG R. SHORT, RE,
235 Great Western Road
P.O.Box 1044
South Dennis,MA 02660
ABUTTERS of Fulvio Fierimonte
1136 Craigville Beach Road
Centerville, MA
A bb o File# 1-86r
UNITED STATES POSTAL SERVICE First Class Mail
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Postage&Fees Paid
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❑Print your name and address on the reverse of this form so that we can return this dj
card to you. 1. ❑Addressee's Address
` ❑Attach this form to the front of the mailpiece,or on the back if space does not
permit. 2• ❑ Restricted Delivery d
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PS Form 811,December 1994 102595-99-8-0223 Domestic Return Receipt
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
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- 10'MINIPAUNI '
IININIUM TANK,CAPACITY 200' GAL
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ANID DUELLi-.., WE10HT OF TIGHT TANK. .
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. .:' I. ALL WORKNIANSHIP AND NIA"I LRi.,r1.L SH ilLL LiJIdFU12R1 1� , Li.I l-.TITLE 5 AND T <E TOWI� '., ' .
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kl
. RULES AND REGULATIONS FOR DISPOSAL OI• SEWAGE.
,
. , 000 GAL. . O _ ALL MANHOLE COVERS SHALL BE 24 HDt,I BROUGHT la' I I•l.'I"HE ulLkllL".. I
` - 3 EXISTING AND FINALGRADES SHALL RENl.�IN ESSEty Ix_.LI. , I HE SANIF
T1HT TANS ,
I EXIS I WG CESSPOOL SH LI tat: PUMPED AND FILLED 1N t�!t Fi S ND C)Et KLf.ivA ED
1.ow r-„' afic•r� 5, HOLUWG 1'r1Nh SHALL BE ASPf 1.�1T COhTEI� .aND Ii��' a ;iIL. FOLY Al-I'A"HED TO`I H.. .
L
SYSTI bETAIL ; � ..
C OUTSIDE., 0R. R, Z P.x 7"7;Le-4 T,c,La ,t3 y .y.vu:�-,4 c r-c,Ze'r
lY =
'1' _ . , 6. HOLDING TANK SHALL BE CA ABLE OF WITHSTA.NDIN� - I!-220 LOADING
IP1L j� NO SCAL E
1 r 7. THE ALARM SWITCH SH L BE'CONNECfED TO BELL AND LIG ALA RM LO :A E 'v'
L<I,- `V . N��r yr AL HT 1 cD 1� ,.
. HE RESIDENC .
EB8 77D.AL ,. E
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ALL c GNTENTS 4F:THE'HOLllii TANK. SHALL IsE IiLNI j� LD 1 A LIwLNSEt�
0(�!7
. . - a,., SEPTIC TREATMENT FACILITY FOR DISPOSAL,. , : .
. 9 PUNIPING CO R MUST BE �ININ ,a
_ _ _ NTRACTO B LICENSED BY T}iIr Tc. � .
,v�%- - 10, APPROVAL REQUIRED FOR MISCELLANIrOUS DISPOSAL. , IGH i I'ANK.)INSTEAD :.
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\ rt OF AN ON SITE SUBSURFACE DISPOSAL SYSTEM I.'`�.. ,.
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BENCHMARK 4` SCHEDULE 40 PVC PIPE
TOP OF FOUNDATION 20 FT. MINIMUM MIN. PITCH 1/8" PER FT. CLEAN SAND SOIL TEST
ELEV. 2" LAYER OF DATE OF SOIL TEST _ MAY 4, 1995
ELEV. a 6.24 10 FT. MINIMUM 2" PRESSURE PIPE 10.9 �1/8" TO 1/2" SOIL TEST DONE BY R. 1MLCOX
(NGVD) 150 PSI MINIMUM WASHED STONE VENT WITNESSED BY - E. BARRY
COVERS 1 MANHOLE OBSERVATION HOLE 1 ELEV.= 5.1
-`- OBSERVATION HOLE 2 ELEV.= 5.1
Z 1 CU. FT. OF PERCOLATION RATE < 2 MIN./INCH AT 30" INCHES PERCOLATION RATE < 2 MIN'./INCH AT 25' INCHES
EL _ CONCRETE
3.7 ANCHOR
DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER
o,
4' CAST IRON PIPE 0-6' A SANDY LOAM 10YR4/1 0-6" A SANDY LOAM 10YR4/1
(OR EQUAL MINIMUM 6"-16" E MEDIUM SAND 10YR7/1 V-23" B LOAMY SAND 10YR6/4
PITCH 1/4 PER FT. LE- • • 1Z" a 4 6"-72 C FINE SAND 10YR6/4 3"-90 C FINE SAND 10YR6/3
6' SUMP • a • ELEV. _
ELEV. = 10.7
VE
LINE
ELEV. = 4•4 DISTRIBUTION ELEV• = 12'X 32 X 1 TRENCH F�ORMA11UN > WELL M1W 29
19 3/HOLE BOX 1
0'4 SOIL ABSORPTION �' ZONE
9.1
ELEV. = 4.25 TO BE WATER TESTED
4•0 IF MORE THAN ONE OUTLETSYSTEM (SAS) ADJUST 2.3
CHECK 3/4" TO 1 1/2'
VALVE WASHED STONE
(TO BE PLACED ON FIRM BASE) BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV. - 4.4
1 500 GALLON PUMP OBSERVED WATER TABLE ( 5/ 4 /95 ) ELEV. 2.1 {'
.PUMP CHAMBER CALCULATIONS
ENCOUNTERED AT 36 ELEV. s ?•1 WATER ENCOUNTERED AT 36" ELEV. = 2.1
SEPTIC TANK . CHAMBER
ELEV. AT INVERT INLET 3.7 REQUIRED FLOW PER CYCLE .25 X 330 82.5 GAL/CYCLE
ELEV. AT ALARM ON 1.00 VOLUME PER CYCLE --B2.5- GAL/CYCLE / 7.48 GAL/CU. FT. = 11.03 CU. FT./CYCLE
ELEV. AT PUMP ON 0.65 VOLUME OF WATER IN PI°E 3.14 X 0.00694 X t0 FT. _ •22 CU. FT. DESIGN CALCULATIONS
ELEV. AT PUMP OFF 0.33 TOTAL MINIMUM VOLUME PER CYCLE 11.25 CU. FT.
SEWAGE DISPOSAL SYSTEM PROFILE BOTTOM OF INSIDE PUMP CHAMBER -0,5 DISCHARGE 11.25 CU. FT. / 34.67 CU:FT./FT. = 0.32 FT. (1000 G.S.T:) NUMBER OF BEDROOMS
NOT TO SCALE BOTTOM OF OUTSIDE PUMP CHAMBER -0.8 STORAGE CAPACITY (-,U. 0 GAL/DAY / 7.48 GAL/CU. FT. / 3 ,67 CU.FT./FT. - 1.27 FT.) GARBAGE DISPOSAL UNIT NO
TOTAL ESTIMATED FLOW
LEGEND: ( 110 GAL/BR./DAY X 3 BR.) 30 GAL/DAY
REQUIRED SEPTIC TANK CAPACITY 660 GAL
EXISTING SPOT ELEVATION 00,0 ACTUAL SIZE OF SEPTIC TANK 15W GAL !
? EXISTING CONTOUR ----00---- SOIL CLASSIFlCA71ON I
18. ELASTOMERIC SEALS ARE TG BE USED ON THE INLETS AND FINAL SPOT ELEVATION M-0-761 DESIGN PERCOLATION RATE < 5 MIN./IN.
OUTLETS OF THE SEP11C TAl`K AND PUMP CHAMBER FINAL CONTOUR- EFFLUENT LOADING RATE 0.74 GAL/DAY/S.F.
19• VARIANCES TO TITLE 5 AND THE TOWN OF BARNSTABLE SOIL TEST LOCATION LEACHING AREA 472 SQ. FT.
RULES AND REGULATIONS GCVERNING THE DISPOSAL OF SEWAGE: OLE (12X32)+(44X2) I
TITLE 5 VARIANCES REQUIRED TOWN WA W W- LEACHING CAPACITY (AREA X RATE) 349.2 GAL/DAY
r SECTION 15:211(])MINIMUM SETBACK DISTANCES: CATCH BASIN `®7 472 X 0.74
1. SEPTIC TANK FROM PROPERTY IANF; I0• REQUIRED GAS LINE RESERVE LEACHING CAPACITY NONE GAL/DAY
A I'VARIANCE REQUESTED I
2. SEPTIC TANK FROM CELLAR WALL; 1W REQUIRED j
A 5'VARIANCE REQUESTED NOTES:
3. PUMP CHAMBER FROM CELLAR WALL; 10' REQUIRED I. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P.
A 2.2'VARIANCE REQUESTED TITLE 5 AND THE TOWN OF BARNSTAI3LE RULES AND j
4 SOIL ABSORPTIO SYSTEM FROM PROPERTY L[NE; IU'REQUIRED REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
A 5'VARIANCE REQUESTED 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
r 5. SOIL ABSORPTION STEM FROM CRAWL SPACE; 10'REQUIRED WITHIN 6" OF FINISHED GRADE.
A 4'VARIANCE R QUESTED 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF I
SOIL ABSORPTION SYSTEM FROM�JETLAN'D;50'REQUIRED WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN i
h A 3W VARIANCE R . UESTED 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE 1
7. ECTION 15:248(1) RES RVE S.A.S.'AREA REQUIRED USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS.
NO RESERVE S.A.S. A A AVAF,ABLE 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL
K. SE TION 15:255(2)(9) CO STRUCTIOd IN FILL REQUIRES BE MORTARED IN PLACE-
DIST NCE FROM EDGE O'F .A.S TO. RF-AKUUT BARRIER WALL 5• NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH
SHOU DBE AT LEAST 10'
C E N T E R VI LLE I Y L R DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT 15 TO
A 'VARIANCE REQUE'TED OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
T1DAL 6. UTILITIES SHOWN ARE APPRO)OWATE ONLY, EXCAVATION CONTRACTOR
EBB FLO D BARNSTAB .E BOARD OF HEA Tit VARIANCES REQUIRED ELEV - 11 7 IS TO CALL 'DIG-SAFE' AT 1-800-322-4844 AT LEAST 72 HOURS
MINIMUM STANCE OF SEPTIC SYSTE,1 FROM WETLAND IS too' PRIOR TO COUMENCING WORK ON SITE = -
9. A 71'VA IANCEREQUESTE FOR ScPTIC TANK 2-#5 RJ?AR ALL AROUND = ='j 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS
,, .,�
i, 10. A 70'VA IANCEREQUESTE FOR RUMP CHAMBER SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE.
11. A 80' VA LANCE REQUESTE FOR SDIL ABSORPTION SYSTEM ELEV. = 11.0 8, PARCEL IS IN FLOOD ZONE A10{EL11) 8c 8
9. LOT IS SHOWN ON ASSESSORS MAP 206 AS PARCEL 88
\ STEEL STRENGTH 3 10. PUMP AND ALARM ARE TO BE ON SEPERATE CIRCUITS.
_ Fy=60,000 PSI j 3 REBAR O 8" O.C. 11. ALARM IS TO BE BOTH AUDIO AND VISUAL
CONCRETE STRENGTH 3 6' 12. SEPTIC TANK AND PUMP CHAMBER ARE TO BE ASPHALT COATED
Fc=3,000 PSI INSIDE FACE IS TO BE AND HAVE 6 ML POLY ATTACHED.
ASPHALT COATED AND 13. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER AND FOR
\ \ - D\� ELEV. = 5.5 MIN. HAVE 6 ML. POLY ATTACHED A MINIMUM OF 5' AROUND LEACHING FACILITY AND BE REPLACED WITH
MATERIAL AS SPECIFIED IN 310 CMR 15.255: 3
G SOIL PUMP •� ` CLEAN BACKFlLL 14. WATER SERVICE IS TO BE RELOCATED AS SHOWN HERON.
\ 4t TEST # CHAMBER B,9 1 - 33" 15. EXISTING CESSPOOL IS TO BE PUMPED AND REMOVED.
TEST 24,s,3, j \ + 3 REBAR O 8" O.C. 16. ALL DISTURBED AREAS ARE TO BE REVEGETATED.
# 3 REBAR 4'9" LONG 17. SEPTIC TANK AND PUMP CHAMBER ARE TO BE 1.1-20 LOADING TO
,y O 18" O.C. PREVENT BOUYANCY.
T6 4 _T
�,A600 S. F� . 12" APPROVED: BOARD OF HEALTH
\ 0 < OX 'P- 'L� \ \ ELEV. = 2.5 "
O F
DATE AGENT
65 PROPOSED SEPfiIC DESIGN
/ l Q�4-� FOR
66 N ,z Q 'L
o,o° a ar x - �, �. - FULVI O F I ERI MONTE
PROJECT LOCATION T
1500 GALLON / % LOT L3
SEPTIC TANK P,� , 1136 CRAIGVILLE BEACH ROAD
ti / - i
CESSPOOL
01 locus CRAIG R. SHORT P.E.
/ PROFESSIONAL MNEER
Rl vER 508- P.O. BOX 1044 235 GREAT WESTERN ROAD
398-8311 SOUTH DENNIS,MASS. 02660
A,� ', ' t^. 1,- c�' $ 1,r} DATE � fb7SCALE
SNO R? r�% ,� - NAHT vC Ic FT SO V S 1tHVT3ED JOB NO.
\ c! 'CIVIL cn'
\ `lGF "C/S I n`` ;
�' LOCATION MAP xsvlsED
r\ ' _ SHEET /OF
0 1999 C.R SHQRT,'P:$.