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Home My WebLink About0118 GOFF TERRACE - Health 118 Goff Terrace, Centerville F A = 170 245 RECYC(FO�°a VOy UPC 12534 ' NOTI XOR HASTINGS. UN See � Isa Fit 4 U,djr i NO mom c � } � w Citizen Request Management - Internal Use Request ID: 21645 Created: 3/3/2008 9:58:44 AM Stanton, David Status: Closed Assigned To: Health Office Anonymous: Yes Category: Chapter 376 : Stables E.C. Date: 3/5/2008 Created By: Stanton, David Citations: Health Office K � Time Worked: 3.00 Response Time: 0.10 4 / Requestor Details: Email: Request Location: Stable, Lapier 220 NYE ROAD Centerville, Ma 02632 Parcel Number: Map: 147 Block: 102 Lot: 000 Request: COMM fire called DS on 3/1/2008. They received a call from Kai Raiskil of 7 Truman Lane, W. Yarmouth (774) 836-2674. He wants to know what is required to bury a dead horse in Town. Request Work History: Entered on 3/3/2008 10:06:09 AM by Stanton, David Last modified on 3/3/2008 10:41:25 AM DS called Kai to find out what the story was. He boards a horse at the Goff terrace stable. The horse was old (22 years old) and had problems. Marina Cesar(Vet)had done a visit on 2/29/08. She did a rectal exam and discovered a blockage. Vet euthanized the horse on 2/29/08. The horse owner has called around to various people to find out what to do with the horse and if it can be buried. DS called DZM to see if she knew the answer. DS and DZM made several phone calls. DS paged Mike Cahill and Dr. Lorraine O'Connor a couple of times and only heard back from Dr. O'Connor. She stated it is up to the local board of health.There are no State regulations. DS brought up the anthrax that they spoke about at the last training and she said it should not be a concern if the vet discovered blockage and the age of the horse. Charlie Lewis said they used to bury them, but not sure these days. He said to have them call Angle view pet cemetery. Owner said he did, they wanted $500, which he did not have. DEP said no regulations either,just not in wetlands or groundwater. It was determined groundwater should be ok as they do not have mounded septics there. They dug down 8' and buried the horse to get the minimum 34 of cover and keep away from groundwater. Location is on the attached link below. GPS coordinates are 70 deg 22' 17" W and 41 deg 39' 45" N. No further action required at this time. Internal Note History: System entry on 3/3/2008 9:58:44 AM: Assigned to Stanton, David System entry on 3/3/2008 10:44:12 AM: Request Closed by stantond rr ,,ea ,% �1^",+y'-yq'F"�ivts .. �... "'rS ..,, iFa.�ry,' J♦ ;ti:i: 4 t spot ' �,1 .1 �� t 1� � — �� f� �... .t � aqs '♦i ,.1�—� d"u. ` � .f�. i~ J J �'� ,.a,, ta4�"'p�dSS+�. y:,:a - xc"7'� �.r',��a�R. f"a' 't�.t�` ,_r,s�+�•�ta �. „„_� e,.- ,t' _ .�. T�„ �;�` ^du 2_'i.. '�, 2 v"'�4.+a.' :! _ a'r� i �.s V S .�y. 1 1 ■ m!"".L tea.. _ e � ;�• ,,, .,, .. � 1 r. ., �' i "'� .:�' + 1 �r•3.' ;,e .. 9 �� -:"'3 � ��_ { ; y,«v oaf. � '' 1 t• Y`T#' v . 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A� a ` .gg`.� ;_ "'Fr�.,,J_,;�,...eti r•r; aJ'• 1 • ■ .t,eti _ yA i `' •..e :'y, r iY yr fit, .'lam ,�, : g _..�� N - r:n:i • "'T''.�r. ilk"•'�y +�,z,•7 ''��Jr�y,.,ipry t`�. y�" ■- .. y'# j •,e bcn�� ttYr� .. ' L .a> "-' ,♦°�„& 'i, Fyi .'. fF`:,S te'�t�.�f1„ 1" ,�k-.:lj.' - - ^Q� - •d• ' ,N'+",v`.♦ u. p SPILLANE & SPILLANE ILLP ATTORNEYS AT LAW f•. 23 INSTrruTE ROAD WORCESTER MASSACHUSETTS 01609 JOHN W. Spni ANE TEim HONE(508)756-4342 JOHN J. Ste*T A NE FACSIMII E(508)'752=234.4 JOSEPH W. SP111 nNE wwwspn-u4ELAwcoM MATMEW T.SPZLA E February 16,2005 Town of Barnstable Board of Health Wayne Miller,MD,Chairman 200 Main Street Hyannis,MA 02601 Regarding:Title V/ 118 Goff Terrace Centerville,Mr. &Mrs. Steven and Bonnie Lee Lapier Dear Mr.Miller: I am pleased to report my clients'successful compliance with conditions imposed in correspondence from the Board dated October 25,2004.Pursuant to that correspondence,the Board required the Lapiers to commission a septic system inspection by a DEP certified inspector to verify the proper functioning of their on-site disposal system. The correspondence further stated that a"shortened report or letter may be used for this purpose". Enclosed for your records please find the original correspondence dated January 15,2005 from Capewide Enterprises,LLC.This correspondence states that an informative septic inspection was conducted on the premises on January 5, 2005,and that such system is in compliance with Title V standards. If this letter is in any way deficient in properly answering the Board's concerns,please contact me immediately so that I may rectify such deficiency. On beh of my clients,I thank you and the Board for your assistance and attention. yours, M',tthe`. Sane,Esquire MTS enclosure Capewidel ENTERPRISES, LLC P.O. Box 763 Centerville, MA 02632 January 15th-2.005 To Whom It May Concern: Capewide Enterprises,LLC conducted an informative septic inspection at 118 Goff Terrace in Centerville, Massachusetts on Wednesday January 51h 2005 At this time the septic system is in good operating order and would be in compliance with Title V standards. Phone:508.428.4028 E-Fax:208.330.1380 Rich@CapewideEnterprises.com Joao@CapewideEnterprises.com www.CapewideEnterprises.com Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MS Wayne Miller,M.D. October 25, 2004 Mr. Matthew Spillane, Esquire Spillane & Spillane LLP Attorneys at Law 23 Institute Road Worcester, MA 01609 Dear Mr. Spillane, The order from the Health Agent dated April 28, 2004 to repair the failed septic system at 118 Goff Terrace Centerville is lifted. You are granted permission, on behalf of your clients Steven and Bonnie Lapier,to maintain the use of the existing septic system with the following conditions: 1) The septic tank shall be pumped by a licensed septage hauler once every two years. 2) The septic system shall be inspected by a DEP certified system inspector within six months. A copy of the inspection report shall be submitted to the Board within seven months of this date. It is important to focus the inspection on the component(s)which failed during the previous inspection. A shortened report form or letter may be used for this purpose. The septic system originally failed during an inspection conducted by John Graci on September 25, 1998. The soil absorption system was in hydraulic failure according to- Mr. Graci's report. However on July 14, 1998, a representative from the Joseph P. Macomber and Son, Inc,reported that the water level in the soil absorption system was 49 inches below the invert pipe. He also indicated"clean dry stone was observed above the stain line showing through the holes in leaching pit." Also according to Attorney Spillane, system has been meticulously maintained. For example the system was pumped on 12/2/98, 10/13/00, 11/20/01, and on 9/24/03. At no time has the Lapiers or the Town received any complaints about the system. Also no complaints of odors were ever received. Q:WP/OrderLiftedSepticUpgrade r-� Based upon the information presented,the Board is of the opinion that it is unlikely that this particular septic system will present a source of pollution or present a public health nuisance to the occupants or to the neighbors in the near future. Therefore,the order dated April 28, 2004 is lifted. If, in the future,the owners do decide to replace the failed septic component, financial assistance is available through the Town's homeowner septic loan program, administered by Mr. Kendall Ayers. His telephone number is (508) 375-6610. Since ly yours W e ille , D., Chairman ard Bo Health Q:WP/OrderLiftedSepticUpgrade Postal Ir CERTIFIED MAIL RECEIPT m (Domestic ru IED _o Postage $ Z` C3 Certified Fee O 9 �oA7 UUGG Return Receipt Fee , Here O (Endorsement Required) 1 e C3 Restricted Delivery Fee O (Endorsement Required) (JS�7CJ C3f� Total Postage&Fees $ 1 6 Z rij Sent To i -- -- - - — -- o _Street,Apt.____ ____No_____' Steven D. & Bonnie Lee Lapier C .; or PO Box No. P.O.BOX 727 City state,ZIP+ate Centerville, Ma. 02632 Certified Mail Provides: o A mailing receipt n A unique identifier for your mailpiece o A signature upon delivery o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811?to the article and add applicable postage to cover the fee.Endorse mailpiece to Receipt Requested".To receive a fee waiver for, a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. n 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". o If,a postmark on the Certified Mail receipt is desired,please present the arti-cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. j IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,April 2002(Reverse) 102595-02-M-1133 COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature 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 by(Printe Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits.' -er D. Is delivery add res differ t`-*7m item 17 ❑Yes 1. Article Addressed to: If YES,enter delive ad 9ress bel ❑No Steven D. & Bonnie Lee Lapier z( `� I P.O.Box 727 Centerville, Ma. 02632 3. Service Type ; ❑Certified Mail ®'Ezpress0 r4Restricted Registered ❑Return Receipt for Merchandise Insured Mail ❑C.O.D. Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service iabeq F7. 7002 10 0 0 .D 0.0 4 6683 2539 PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-154 M UNITED STATES POSTAL SERVI�€ j ) .9 ,First-Glass Mail— -6stage' Fees Paid ,'!u �`'�s Permit No.G-10 a. o • Sender: Please p t you rhn e, address;-and ZIP+44n this box - Public Health Division Town Of Barnstable 200 Main Street Hyannis,Massachusetts 02601 tililFii�i�llf�il�li!!!il�li�2flil4flilfi!!ililfl}f!ill4!l�Sif� I i >r E Torti Town of Barnstable Regulatory Services - * BMW.SrABLE, * Thomas F. Geiler,Director v Mass. g i639• ,� Public Health Division prE p �A Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Steven D. &Bonnie Lee Lapier Date: 4/28/04 P.O. Box 727 Centerville, Ma. 02632 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 118 Goff Terrace, Centerville, was inspected on, 10/1/98 by John Graci, 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: SAS was in hydraulic failure. Our records show that the system has been in a failed state for more than two years. You are ordered to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacement septic system component(s). This plan is to be submitted to the Town of Barnstable Public Health Division Office (Regulatory Services, 200 Main Street,Hyannis),within (90) days receipt of this letter. The plan will bring the septic system into compliance with 310 CMR 15.00,The State Environmental Code, Title V. You are also ordered to upgrade or replace the septic system within six months (180) days of your receipt of this letter. 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. You have the option of requesting an adjudicatory hearing pursuant to 310 CMR 15.422 Failure to comply with this order will automatically result in a public hearing scheduled before the Board of Health. PER O O THE BOARD OF HEALTH 4- homas A. McKean, R. Agent of the Board of Health CC: Board of Health J Akiled_speticJetters L) Septic inspection information 10/1/1 W 1118lGoff Terrace Centerville ttect« John Graci FF ..:::::::sue„ ��.;. 9/25/1998 ..................................... ta�iliEi SAS was in hydraulic failure. �0 0 , a f SPIELLAXE & SPILLANE LLP ATTORNEYS AT LAW 20 INSTrrTTTE ROAD WORCESTER MASSACIMSETTS 01609 JoHN W SPCA-im TELEPHONE(508)756-4042 JOHN J. SPIL-kNE FAcsIMII E(508)752-2044 JOSEPH W.SPni-ANE WWW.SPMLANELAW.COM MATTHEW T. SPILT=ANF September 23,2004 Town of Barnstable Public Health Division Thomas McKean,Director 200 Main Street Hyannis,MA 02601 Regarding: Non-Compliance with Title V/ 118 Goff Terrace Centerville Dear Mr.McKean: Please be advised that this office represents Mr. &Mrs. Steven and Bonnie Lee Lapier,the record owners of 118 Goff Terrace, Centerville.This letter responds to an order of enforcement from your office that was received by the Lapiers on April 28,2004. This order stated that John Graci,a Massachusetts licensed septic inspector,had performed a septic inspection on the property on October 1, 1998. Graci's inspection concluded that the"SAS was in hydraulic failure",and failed the system. Pursuant to our July 9,2004 conversation relating to this matter,I am respectfully requesting that the Lapier's be placed on the agenda of the October meeting of the Board of Health in order to seek relief from the April 28, 2004 order of enforcement.The basis for the requested relief follows. At the time of Mr. Graci's inspection,Mr.Lapier was coping with a new diagnosis of cancer. Obviously, his diagnosis put the couple's immediate future"in flux,and selling the family home was contemplated. In assessing whether or not to sell the family home,the Lapiers engaged Mr. Graci as part of their due diligence in making this important decision. Although this was truly a voluntary assessment,Mr. Graci's inspection was forwarded to the local regulatory authority as if there was a sale contemplated. Regardless. the Lapiers never solicited or received any offers on the property.Ultimately, the Lapiers chose to stay put, and continue to reside full time on the property. The Lapiers understand that pursuant to 310 CMR 15.301(10),voluntary testing by an owner is not generally subject to upgrade deadlines for completion when there has been no conveyance of the property. The upgrade rule is softened to protect homeowners that genuinely wish to determine the proper functioning of their systems without fear of subsequently being ordered to upgrade. I am pleased to report that since Mr. Graci's report the Lapiers have been meticulous in maintaining their existing system. Records from Joseph P Macomber&Sons,Inc.,demonstrate that the Lapiers have had their system pumped on 12/2/98, 10/13/00, 11/20/01,9/24/03.1 I am further pleased to report that at no time have the Lapiers or the Town received any complaints concerning the system. Additionally, no odors are emitted from the system. In support of the proposition that the Lapiers have made a serious effort to maintain their system, I submit a letter from Robert Paolini,of Joseph P. Macomber& Son, Inc.,which indicates his July 14, 2004 observations of the system. Exhibit 2. ' Records from the Barnstable Sewage Treatment plant demonstrate that Macomber pumped such system on three of the four cited occasions. See Exhibit 1.Macomber confirmed via telephone that such system was also pumped on 9/24/03. The Lapiers will confirm this pumping record. September 23,2004 Thomas McKean Page 2 The Lapiers would be amenable to making an enforceable commitment to continue to have the system pumped annually. They are cognizant that if circumstances change and timely maintenance is no longer a viable option to prevent a health hazard that the Town may be forced to order immediate action.Until then, in light of the totality of the circumstances, I respectfully request that the Board grant the requested relief that the order of enforcement be lifted. Enclosed please four complete copies of this letter,per the instructions of your staff, so that ample copies may be provided for members of the Board prior to its October meeting. If this letter is in any way deficient in properly requesting to be placed on the agenda,please contact me immediately so that I may rectify such deficiency. Thank you for your attention to this matter. V y yours, t e,}� T. Spillane,Esquire NITS 1� enclosures Hse 9 Street -- Village Prop Owner Date Healer Source r 59 GofrTerrace Centerville Adler 2/2712001 Wall Septic 71 Goff Terrace Centerville Mach.RoboU ion/1998 Abco Septic ,. 76 Goff Terrace Centerville Masson 4/6/1998 A&B Cando 96 Goff Terrace Centerville i Lacey 1 t/20/1998 Borwlotti Septic 96 GofrTerrace Centerville Gourousis 327/1999 A&B Canto Cesspool 110 Goff Terrace Centerville Cowie 5/192001 Macomber Septic 118 Goff Terrace CentervilleJApler122/1998 Macomber Septic - 118 Goff Terrace Centerville Lapier 10/13/2000 Macomber Septic 118 Goff Terrace Centerville Copier 1120/2001 Macomber 119 Goff Terrace Centerville Murray,Gene 9/17/1999 A&B Caaeo Septic septic 22 Goldenrod Lane Centerville Kelley,Joseph 1/13/1998 A&B Canco 22 Goldenrod Lane Centerville Kelley,Joseph Jr. 5/14/1999 A&B Cane Septic 22 Goldenrod lane Centerville Kelley 3/2812000 A&B Ca nco Septic 22 Goldenrod Lane Centerville Kelley 3/30/2000 A&B Cando septicf" 22 Goldenrod Lane Centerville Kelly 3/I/2001 A&B Caaoo =C Septic 22 Goldenrod Lane Centerville Kelley 2f7/2002 A&B Cando Septic 22 Goldenrod Lane Centerville Kelley 2/11/2002 A&B Cando Septic 10 Goose Point Road Centerville Lancaster 10/10/2000 Ace Septic 20 Goose Point Road Centerville Itutkin 5/22/1998 Robinson septic 23 Goose Point Road Centerville Karkos 1/2/1998 Robinson 23 Goose Point Road Centerville Karkos 1/4/1999 Robinson ` c 23 Goose Point Road CentervilleSeptic Karkos 3/15/2002 Robinson Leach Pit � 28 Goose Point Road Centerville Abonen 3/132002 Macomber Septic c 33 Goose Point Road Centerville Colegrove 10/13/2000 Macomber Septic � 33 Goose Point Road Centerville Colegrove 4/272002 Macomber Septic r 40 Goose Point Road Centerville Salter,Isabelle 5/30/2000 Ellis septic r 40 Goose Point Road Centerville Salter 10/1 1/2000 Macomber Septic 52 Goose Point Road Centerville Dietel 9/14/1999 Macomber Septic 64 Goose Point Road Centerville. Ayotte 5/26/1999 Ace 64 Goose Point Road Centerville Ayotte 6127/2000 Ace Septic eptic 76 Goose Point Read Centerville Peirson 3/23/2002 Macomber Septic 95 Goose Point Road Centerville Richards 4/11/1998 Robinson Septic 188 r bbbbel�bb000L1 JOSEPH P. MACOMBER &SON INC. P.O.BOX Ad CUMIMUL MA 0MUM 77"138 77S4412 7o whom it my eonee4n, On ;uly 14, 2004 I RoIeat Paolini pe4,e04med one 4eptie evaluation at 118 Cyoll 7e44ace, Cenie4ville, Ma. Upon locating S. A. S. 1-1000 gallon leaching pit. I 014e4ved the wa4te watea level at 49' le.low, the invent pipe in the leaching pit. I al4o o14e4ved stain line at 401 le.lor., the invg4t pipe in tho Pe4ehinq pit.. A.Kot)e the et.ain .e...ine oQe,,Weer/ c.Pean d,ty -stone .showing t_hzou,gh the hole., in leaehiny pit. 7he_4e a4e eondit.in,n..s .I 09.604ved at the time o{ evaluation and doe.e not con4t.itut..e a quaAanty 04 L)annanty. Al � .. -�. Sincez.ely,�J / t � bbbbbb✓�bbbbb F'. d1 Town of Barnstable ,� k)A ley � Regulatory Services � t; , ,��•A o, • � � = Thomas F.Geller,Director MAW toy Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-962.4644 Fax; 508-790-6304 Steven D. & Bonnie Lee Lapier Date: 4/28104 P.O. Box 727 Centerville,Ma. 02632 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE J.ITLE V.. The septic system owned by you located at 118 Goff Terrace, Centerville, was inspected on, 10/1/98 by John Graci,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: SAS was in hydraulic failure. Our records show that the system has been in a failed state for more than two years. You are ordered to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacement septic system component(s). This plan is to be submitted to the Town of Barnstable Public Health Division Office(Regulatory Services,200 Main Street,Hyannis), within (90) days receipt of this letter. The plan will bring the septic system into compliance with 310 CMR l 5.00,The State Environmental Code, Title V. You are also ordered to upgrade or replace the septic system within six months (180) days of your receipt of this letter. Any person-aggrieved by any order issued by the local approval authority-may appeal :o any court of competent jurisdiction as provided for by the laws of the Commonwealth. You have the option of requesting an adjudicatory hearing pursuant to 310 CMR 15.422 Failure to comply with this order will automatically result in a public hearing scheduled before the Board of Health. PER O O THE BOARD OF HEALTH omas A. cKean,R. ., Agent of the Board of Health CC: Board of Health i Fuse 0 Street -- Village Prop Owner Date Hauler Snores IC 59 Goff Terrace r Centerville Adler 2/27/2001 Wall 7l Got1<Terrace Septic m Centerville Mach,Roberts I OnI1998 Abco 76 Goff Terrace Centerville Masson 4/6/l998 Septic N m 96 GoffTerrace A&B CandoCenterville m Lacey 11/20/1998 Bortolotti a 96 Goff Terrace CeaterviUe Septic Gourousis 327/1999 A&B Casco cesspoolm 110 Goff Terrace Center%ille Cowie 5/I92001 118 GOITTerrace Macomber Septic U Centerville .440iff 12/2/1998 P 118 Goff Terrace Macomber Septic . Cenoerville Lapier 10/l32000 Macomber T 118 Goff'Terrace Septic 3 Centerville Lapier 1120/2001 Macomber 119 Goff Terrace Centerville _ Septic Murray,G� 9/17/1999 A&B Caned Septic 22 Goldenrod Lane Centerville Kelle y,Joseph 1/13/1998 A&B Casco 22 Goldenrod Lane Centerville Kelley,Joseph Jr. 5/14/1999 A&B Caned 22 Goldenrod Lane Centerville Kelley Septic 22 Goldenrod Lane Centerville 3/282000 A&B Casco � Kelley 3/30/2000 A&B Casco Septic �22 Goldenrod Lane Centerville Kelly 3/1/2001 A&B Cam 22 Goldenrod Lane Centerville Septic Kelley 2!l2002 A&B Casco f—a 22 Goldenrod Lane Septic Centerville - Kelley 2/11/2002 A&B Canon Septic 10 Goose Point Road Centerville Lancaster 10/1 0/2000 Ace Septic 20 Goose Point Road Centerville Jankin 5122/1998 23 Goose Point Road Robinson Centerville Karkos 1/2/1998 Robinson 23 Goose Point Road Centerville Karkos • 1/4/1999 Robinson a 23 Goose Point Road Centerville �� 3/I5/2002 Robinson Leach Pit Q 28 Goose Point Road Centerville Ahonen Q 3/132002 : Macomber 33 Goose Point Road Q Centerville Colegrove 10/13/2000 Macomber Septic33 Goose Point Road Centerville Colegrove 4/272002 Macomber 40 Goose Point Road Septic 6 Centerville Saltier,Isabelle 5/30/2000 Euis �c Q 40 Goose Point Read Centerville Scher 52 Goose Point Road 10/11/2000 Macomber Septic Centerville Dietel 9/14/1998 Macomber 64 Goose Point Road Centerville. c '�f'9D� 52611999 Ace 64 Goose Point]toad Centerville Septic Ayotte 6/27/2000 Ace S 76 Goose Point Road CenoervilIe Septic Peirson 3/23/2002 Macomber 95 Goose Point Road Centerville Septic Richards 4/11/1998 Robinson ¢ Septic U. 188 J(UL-27-2004 02 :09 PM / / 000000000000 P. 01 rx�►ISIf 2 .OSEPH P. MACOMBER &SON, INC. P.O.Box ed CENUIMUE.MA OM24M 77s%"" 7IS4412 7o whom it my concean, 0n ;uiy 14, 2004 I Rola4t Paolini pea,l02med one 4eptie evaluation at 118 rloee 7e44ace, Cente4vitte, Ma. Upon locating S. A. S. 1-1000 gallon leaching pit. I o&4e4ved the wa4te wate4 level at 491 getow the invent pipe in the teachiny pit. I al4o 09he4ved 4tain line at 401 Refor.) the inve.2t pipe in the P.eeching pit. A.Kove the 'Stain line oQeenved c.Pean dAy Atone hh.ord-ing th4ough the hole., in teaching /1it.. 7he_ee_ a49 cond.i.tion..4 .I 09402verL at the time of evaivat.ion and doee not. eon4titute a guaaaniy na watiaan.ty. r7 Sincezety,�J I/ ,� JUL-06-2004 01 :55 PM �J�f�LC i} 000000000000 P. 01 Town of Barnstable 4)A ley Regulatory Services t; a • ! Thomas F.Geller,Director es¢ �•� Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Steven D. &Bonnie Lee Lapier Date:4/28/04 P.O. Box 727 Centerville,Ma.02632 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V.. The septic system owned by you located at 11.8 Goff Terrace, Centerville, was inspected on, 10/1/98 by John Grraci, 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: SAS was in hydraulic failure. Our records show that the system has been in a failed state for more than two years. You are ordered to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacement septic system component(s). This plan is to be submitted to the Town of Barnstable Public Health Division Office(Regulatory Services,200 Main Street,.Hyannis), within (90) days receipt of this letter. The plan will bring the septic system into compliance with 310 CMR 15.00,The State Environmental Code, Title V. You are also ordered to upgrade or replace the septic system within six months (190) days of your receipt of this letter. Any persor+-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. You have the option of requesting an adjudieatory hearing pursuant to 310 CMR 15.422 Failure to comply with this order will automatically result in a public hearing scheduled before the Board of Health. PER O O THE BOARD C HEALTH s, omas A. cKcan, R. Agent of the Board of Health CC: Board of Health Commonwealth of Massachusetts Executive Office of Environmental Affairs Dept. of Environmental Protection soon Graci One winter Street,BcxltCYN Ma.02108 D.L.P.Title V Septic Inspector P.U. Box 2119 Teaticket,MA 02536 WILLIAM F.WELD (508)564.6813 Governor r 1 ARGEO PAUL CELLUCCI y�` O Lt.Governor SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A. r CERTIFICATION �� 1 �J Property Address: 11e GOFF TERRACE CENTERVILLE MAP 170 PAR 24S LOT sAddress of Owner: Date of Inspection: W29fSY (if different) Name o1 Inspector: JOHN 4RACI aTLW tAPIER I am a DEp approved system inspector pursuant to Section 16.340 of Title%(310 CMR 16.000) Company Name.Address and Telephone Number: CERTIFICATION STATEMENT I certify that I have personally Inspected the sewage disposal system at this address and that the information reported below is true.accurate and complete as of the time of inspection, The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system. _ Passes This WARICOW Itboad6ft9r ►rd64M9I+TMV _ ConditionavyPasses eodailo Itthlft*Of1MMkrotafdhewMMb00 wAbnwnO�!M�ens el ea fnrpaelbn.MN e�enWeen aen Needs u er Evaluation By the Local Approving Authority noth"Ovenywwenyaauruena.eTtn•u�ns.�aoTe+e Wk MMm ww"df Ib CgMW"nb m ut Ilk x Fail$ Inspector's Signature: Date: alalea The System Inspector sh 1 submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. If the system Is s shared system or has a design flow of 10,000 gpd or greeter,the in6pectfor and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer.If applicable and the approving authority. INSPECTION SUMMARY: Check A,it,C.or D, AJ SYSTEM PASSES: I have not found any Information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303, Any failure criteria not evaluated are Indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: _One or more system components need to be replaced or repaired. The system,upon complabon of the replacement or repair,passes inspection. Indicate yes,no,or not determined(Y,N,or NO). Describe basis of determination In all Instances. If "not determined',explain why not. The septic tank is metal,unless the owner or operator hall provided the System Inspector with a Copy of a Certificate Of CoMpllance(attached)Indicating that the tank was installed within twenty(20)years prior to the date of the Inspection;or the septic tank,whether or not metal,S decked,Structurally unsound,shows substantial infiltration of extilhation,or tank fetlure IS Imminent.The system will pass Inspection It the existing septlC tank IS replaced with a Conforming Septic:tank as approved by the Board of Health. p•ra•aaGls7i One Winter Street a Boston,Massachusetts 02108 a PAX(617)556-1049 a Telephona(617)262-6500 SUBSURFACE SlWAOE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 119 90"TQNACE CENTERYI7LLLLE MAP 170 PAR 240 LOT 32 Owner: ITIm LM211I Date of Inspection:0125/9111 _ Sews=backup or.breskout.or htoh static water level observed.ln.the distribution box is due to a broken. or obstructed pips(s)or due to broken,settled or.uneven-distribution box.The system wlti page inspection if (with approval of the Board of Health).Describe Observatlona: broken pipes)are replaced obstruction is removed distribution box Is leveled or replaced _The system required pumping more then four times a year due to broken or obstructed pipe($). The system will pass inspection If(with approval of the Board of Health): broken pipe(s)are replaced obstruction Is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health In order to determine it the System Is falling to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy Is within 50 feet of a bordering vegetated wetland or a asit marsh. Z) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE.PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and Is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. -- The system has a septic tank and soil absorption"am and the SAS Is less than 100 feet but 60 feet or more from a private water supply well,unless a well water analysis for col form bacteria and volatile organic compounds indicates that the well Is free from pollution from that facility and the prosense of ammonia nitrogen and nitrate nitrogen Is equal to or lose than 6 ppm. Method used to determine distance (approxlmanon not valid) S)Other Oj SYSTEM FAILS: You must Indicate either"Yea"or"No"as to each of the following: x I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination Is identified below. The Board of Health should be contacted to determine whst will be necessary to correct the failure. Yes No X_ Backup of sewage in facility or system component due to an overloaded or clogged SAS or cesspool. X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged cesspool SA8 Is In hydraulic failure. tr•W4.4ouirarl SUBSURFACE SEWAGE DISPOSAL 4YOTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 11a OOP TERRACE CENTERVILLE MW 170/AR US LOT 32 owner: STMLAP= Data of Inspection:males 0]SYSTEM FAILS(continued) Yes No Static liquid level In the distribution box above outlet Invert due to an overloaded or clogged GAS or cesspool. z Liquid depth In cesspool is less then 6"below Invert or available volume is lose then 1/2 day flow. x Required pumping more than 4 times In the last year hM due to clogged or obstructed pipe(e). — Numbers Of times pumped z Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. —w Any portion of a cesspool or privy Is within 100 feet of a surface water supply or tributary to a surface water supply. x Any portion of a cesspool or privy is within a Zone 1 of a public well. __X Any portion of a cesspool or privy is within 50 feet of a private water supply well, x Any portion of a cesspool or privy Is less than 100 fast but greater then 50 fact from a private water supply well with no acceptable water quality analysis, It the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonls nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must Indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the'system Is a significant threat to public health and safely and the environment because one or more of the following conditions exist: Yea No A. the system Is within 400 feet of a surface drinking water supply x the system Is within 200 feet of a tributary to a surface drinking water supply x the system Is located in a nitrogen sensitive area(interim Wellhead Protection Area(IWPA)or a mopped Zone It of a public water supply well) The owner or operator of any such system shall bring the system and facility Into full compliance with the groundwater treatment program requirements of 314 CMR 0.00 and 0.00. Please consult the local regional office of the Department for further Information. h�n..dousra7i SUBSURFACE 8EWA0E DISPOSAL SYSTEM INSPECTION FORM PART 9 CNECLIST Property Address: 1119 GOFF TE MCE CENTtifMM.1111 MAP 170 PAR 246 LOT 32 Owner: aTSVELAPHR Date of Inspection:Unitas Check if the following have been done.YOU must Indicate either°Yea"or"No"as to each of the following: _x_ — Pumping Information was requested of the owner,occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the and the system has been receiving normal flow rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this Inspection. x _ As built plans have been Obtained and examined. Note If they ere not available with N/A. x _ The facility or dwelling was Inspected for signs of sewage back-up. x — The system does not receive non-sanitary or industrial waste flow. _X— — The site was Inspected for slams of breakout. x All system components,excluding the Soil Absorption System,have been located on the site. x The septic tank manholes were uncovered,opened,and the Interior of the septic tank was Inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum. x The size and location of the Soil Absorption System on the site has been determined based on The facility owner(and occupants,If different from owner)were provided with Information on the proper maintenance of Su"urface Disposal Systems. x Existing Information.Ex.Plan at B.O.H. x Determined In the field(If any failure criteria rotated to Part C Is at issue,approximation of dance Is unacceptable)115.302(3)(b)j (nrlod6�f17gf) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Its WFF TERRACE CENTERYILLEMAP 11e PAR 240 LOT 22 Owner: STMLAPIER Date of Inspection:W25iss PLOW CONDITIONS REIIDENT1AI Design flow. = Q•p.d./bedroom for S.A.S. Number of bedrooms:2 Number of current residents:? Garbage grinder(yes or no): No laundry connected to system(yes or no): Yes Seasonal use(yes or no): N Water meter readings.if evallable:(last two(2)year usage(gpd): rn Sump Pump(yes or no):- Last date of occupancy:n1a C OM M ERCIALA N OU STR IAL: Type of establishment:NO Design flow:a gallons/day Grease trap present:(yes or no) Ni Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no)N` Water meter readings.if available: We Last date of occupancy. fw% OTHER:(Describe) rds Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: rA System pumped as part of Inspection:(yes or no)N_ If yes,volume pumped:a gallons Reason for pumping:.m TYPE OF SYSTEM x Septic tank/distribution box/tall absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) (If yes.attach previous inspection records,It any) I/A Technology etc.Copy of up to date contract? Other: APPROXIMATE AGE of all components,date Installed(If known)and source Information: 1", Sewage odors detected when arriving at the site:(yes or no) No h,�Ind ON7A71 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: tta GOPP TERRACE C11114TERVILLE MAP 176 PAR 240 LOT 37 Owner: aTMUWBMR Date of Inspection:141111101 SEPTIC TANK: x_ (locate on site plan) Depth below grade:It' Material of constructlon:,_concreate_mstsl_FRP Polyethylene_Wer(explaln) If tank Is metal,list age_g . Is age confirmed by Certifk:ate of Compliance N9 (YeWNo) Dimensions:La'a"we'rW4'10' Sludge depth:I' Distance from top of sludge to bottom of outlet toe or baffle:ire Scum thickness:it Distance from top of scum to top of outlet tee or baffle:4" Distance form bottom of scum to bottom of outlet tee or baffle:4" How dimensions were dowmined: MGAsuRao Comments: (recorntnendatlon for pumping,condition of Inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) SIRTIC TANK ANDALLCOWONWISAi SMUCnlw.LYS"D.REcaUaMlmywu1M0IVVMNNowAWTNWMApyA*ftV4%yT"YEAne. GREASE TRAP:_ (locate on site plan) Depth below grade:nh Material of construction: _concrete_metal_FRP_Polyethylene_othegexplaln) Dimensions:rA Scum thickness:rA Distance from top of scum to top of outlet too or befne:No Distance from bottom of scum to bottom of outlet tee or baffle:nA Date of last pumping;„. Comments: (recommendation for pumping,condition of Inlet and outlet tees or baffles,depth of liquid level In relation to outlet invert,structural Integrity. evidence of leakage,etc.) FA BUILDING SEWER: (Locate on on plan) Depth below grade: s° Material of Construction:^cast Iron x 40 PVC_other(explain) Distance from private water supply well or auction llne1w D►ametsr:_n._ %MM411119;(tonddions of Joints�venting,evidence of leakage,etc.). v.Yu.aoasrAa) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: tts 0011 TEXPACI!C!NTEAvILLZ MV 170 PAR I"LOT 77 Owner: GTE"L wn Date of Inspection:ellilea TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade:_ Material of construction:_cOncrete_rnotel_FRP_Polyethylene—other(explain) Dimensions: ^s Capacity: nY Gallons Design flow: rA allone/da qqIerm level:.sl�_ Amin working order? ^Y68_No Date of previous pumping, Comments: (condition of Inlet tee,condition of alarm and float switches,etc.) na DIeTR)AUTION BOX: _ (locate on site plan) Depth of liquid level above outlet Invert:uQuyLr4Lw"ovErtllFs. Comments: (note If level and distribution is equal,evidence of solids carryover,evidence of leakage Into or out of box etc.) D4kxt9nvcwWlyg9wW PUMP CHAMBER: (locate on site plan) Pumps In working order(yes or no)No Alarms in working order(yes or Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) rra (aru.aOYJ)!Br) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) III DOFF TERRACE CENTERVILLE NW 170 PAR 213 LOT 32. ETEVE LAIR tram Depth of groundwater 2 Please Indicate all the methods used to determine High Groundwater Elevation: �. Obtained from design plans on record. Observation of Site(Abutting property,observation hole,basement sump etc.) Determine It from local conditions ` Check with local Board of Health Check FEMA Maps Check pumping records Check local excavators,Inewile►s x Use USGS Data Describe In your own words how you established the High Groundwater Elevation.(MUST be Completed) ue0e wire AND CHAIrre SUBSURFACE SEWAGE 01SPOSAi SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontlntled) '118 DOFF TiMACS CQRZIMLLII MAP IN PAR 245 LOT 22 STSIA LAPIER easlp SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPCCTION FORM PART C SYSTEM INFORMATION(continued) Property Address; 11aGOFF TERRACE CENTEIRMLa MAP 170 PAR 346 LOT 32 Owner: aTMLAP= Date of Inspection:LTM, T104T OR HOLDING TANK:_ (locate on tilts plan) Depth below grsda:N_ Material of constnrcton:_concreta_metal_f RP_Polyethylene—other(explain) Dimensions, nb Capacity: N► gallons Design flow:�Na auonsldey Al%rm jevel:,and aaIIII In working order?_,Yee_No Lets o previous pumping: Comments: (condition of inlet toe,condition of alarm and float switches,etc.) mh DISTRIBUTION BOX:It (locate on site plan) Depth of liquid level above cuast Invert LIM LEV6wMOVi -- Comments: (note If level and dIstrlbuuon is equal,evidence of solids carryover,evidence ofleskage Into or out of box etc.) Dasx Ir mnYYyseums PUMP CHAMBER:_ (locate on title pan) Pumps in working order.(yes or Ito)me Alarms In.working order(yea or no) rw Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) n2 (NvNW ela7Np SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(Continued) 116 QQVF TERRACE CENTEAVILLE MAP 170 PAR 246 LOT 22 aTEVE LAPetll. 21261es SKETCH OF SEWAGE DISPOSAL SYSTEM: Include flee to at least two permanent references, landmarks or benchmarks locate all wells vAthin 100'(Locate where public water supply comes Into house) oAA L sg ILI p.vl..aoecrloq sale 1) of Is f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 118 COFF T~Cti CWTiNVLLE MV 170 PAR 246 LOT 32 Owner: aTEVELAPIER Date of Inspection:Musa TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade:Na Material of construction:_concrete_,metal_FRP_POlyethylene_other(explain), Dimensions: M Capsclty: ros geltons Design flow:rw�pagons/day Alarm level: Alarm In working order?_Yes_No Date of previous pump n9: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) rys DISTRIBUTION BOX:X (locate on site plan) Depth of liquid level above outlet invert: lIQUlOLPA1.WAS OVER PIPS Comments: (note It level end distribution Is equal,evidence of s01106 earryover,evidence of leakage Into or out of box etc.) Dior Is auucmefty sound PUMP CHAMBER: (locate on site plan) Pumps In working order:(yes or no)No Alarm@ In working order(yes or no)_yve Comments: (note condition of pump chamber,eondltlon of pumps and appurtenances.etc.) nti Irwu•doerzrrrrl SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(contlnued) Property Address: 1Te COFF TGWACi C6WTiRV"§INAP 170 PAR I46 LOT 71 Owner: YTS11CLAPIGR Date of Inspection:111101111 SOIL ABSORPTION SYSTEM(SAS):x (locate on Site plan,If possible;excavation not requlred,but may be approximated by non-intrusive methods) If not determined to be present,explain: rue Type: leaching pits,number: I=QALLON LEACH PIT leaching chambers,number:; leaching galleries,number:f" leaching trenches,number,length: Na leaching fields,number,dimensions:r" overflow cesspool,number:Mi Alternate system: nr. Name of Technology: Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) THE LIQUID"W NV THE LEACH PIT WA90VEA WVFAT,PR 19 PAST THE EFFEC"A O1Pn4OP LEACHM,9YVnM PAL9. CEBSPOOLS:_ (locate on site plan) Number and configuration: rva Depth-top of liquid to inlet invert: rOa Depth of solids layer: fk+ Depth of scum layer: rA Dimensions of cesspool: PA Materials of construction: Na Indication of groundwater: Wo inflow(cesspool must be pumped as part of Inspection) rt. Comments:(note condition of colt,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) m PRIVY:_ (locate On site plan) Materials of construction: d• Dimensions: Wa Depth of solids: N9 --Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) rra (nvtud 007197) r (�TOWN OF BARNSTABLEA 1 LOCKAON ��1 �'CQ f- SEJ�O # VILLAGE U ASSESSOR'S MAP & LOT �3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY r oob LEACHING FACILITY: (type) r?Q1' 1 4-' (size) /oD C7 NO.OF BEDROOMS ?— BUILDER OR OWNERT PERMTTDATE: COMPLIANCE DATE: 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 � � � eV 9 ° THE t Town of Barnstable °* Regulatory Services BARNSTABLE, * Thomas '1 o as F. Gei er,Director 9 MASS. 1639• �� Public Health Division j A Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Steven D. &Bonnie Lee Lapier Date: September 21, 2004 P.O. Box 727 Centerville, Ma. 02632 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. Several months have passed by since you have been ordered to repair your "failed" septic system located at 118 Goff Terrace, Centerville You are reminded that you are ordered to hire a professional engineer to design a replacement septic system and to hire a licensed septic installer to replace the system on or before November 1, 2004. You may request a hearing before the Board of Health if petition requesting same is received within ten days. Non-compliance may result in a non-criminal ticket citation of 100 dollars. Each day's failure to comply with an order of the Health Agent shall constitute as a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health CC: Board of Health Ino_engineer_plan Septic Inspection Information ..Data F ft':rate:: .......: 4/30/2004 !lssstrf�ap , ':'cal::: P.:. r 245 lE?ti 170 j �us ss i e.6 118 d e o e ce lil#age Centerville Irscar John Graci « 9::st tt 5tatu. Inspee,tE#afe 9/25/1998 .............: IF —� ........................ ........................ trziir►; SAS was in hydraulic failure. Reminder letter request for engineering .........:.:............. plan sent 9/21/04 'P..rrt.tr .............. f!f4ftia#t4tfI1 4/29/2004i ".Istalr f � 0 teplrMa Edlk@ tt4t 11/1/2004 r Health Complaints 29-Dec-00 Time: 11:00:00 AM Date: 12/29/00 Complaint Number: 2649 Referred To: GLEN HARRINGTON Taken By: K.S. Complaint Type: GENERAL Article X Detail: UNSANITARY CONDITIONS 1 IV Commonwealth of Massachusetts Executive Office of Enviromnental Affairs Dept. of Environmental Protection One winter Street Boston Ma. 02108 Jolm Grad ' D.E.P. Title V Septic Inspector P.O. Box 2119 " n Teaticket, MA 02536 WILLIAM F.WELD FAILED IX"_ td (508)564-6813 Governor ARGEO PAUL CELLUCCI 0- Lt.Governor 43 SUBSURFACE SEW GE DISPOSAL SYSTEM INSPECTION FOR -PART,,A sc� 41^ CERTIFICATION - Fop to tT 0 118 GOFF TERRACE CENT t3VILLE MAP_1Z0-P-AR-245 LOT-32,d e" of Owner. ti2oT Property Address. dr ss Date of Inspection: 9/25/98 (if different) GO y 9, f s Name of Inspector: JOHN GRACI STE/VE LAPIER lT OF�,P� `9O� I am a DEP approved system inspector pursuant to 5ecf 5.340 of Title%(34'0 CMR 15.000) F Company Name,Address and Telephone Number: CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _ Passes This Inspection Is based on criteria dented In Title V Conditional Passes code 310CMR16.303.My findings are of how the system is y performing at the time of the inspection.My inspection does _ Needs u her Evaluation By the Local Approving Authority not Imply any warranty or guarantee of the longevity of the X Falls septic system and any of Its components useful life. Inspector's Signature: Date: 9128198 The System Inspector sit i1su?bmit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C,or D: A] SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. Indicate yes,no, or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Colhpliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection; or the septic tank,whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04117)97) One Winter Street . Boston,Massachusetts 02108 a FAX(617)556-1049 • Telephone(617)292-5500 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 119 GOFF TERRACE CENTERVILLE MAP 17a PAR 245 LOT 32 Owner: STEVELAPIER Date of Inspection:9125f98 — Sewage backup or.breakout.or high static water level observed.in.the distribution box is due to a broken. or obstructed pipe(s)or due to broken,settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced —The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: — The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. — The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. — The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. — The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid) 3)Other D] SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: x I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No _X_ Backup of sewage in facility or system component due to an overloaded or clogged SAS or cesspool. x_ Discharge or ponding of effluent to the surface of the ground or surface waters due to en overloaded or Clogged cesspool. x_ — SAS is in hydraulic failure. (revised 04l2T19Ti SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 118 GOFF TERRACE CENTERVILLE MAP 170 PAR 245 LOT 32 Owner: STEVELAPIER Date of Inspection:9/25199 D]SYSTEM FAILS(continued) Yes No X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 112 day flow. X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). — Numbers of times pumped x Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. —X. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. —X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No x the system is within 400 feet of a surface drinking water supply x the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area(IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04127)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 118 GOFF TERRACE CENTERVILLE MAP 170 PAR 245 LOT 32 Owner: STEVELAPIER Date of Inspection:9125199 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: _c_ — Pumping information was requested of the owner,occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the and the system has been receiving normal — flow rates during that period. Large volumes of water have not been introduced Into the system recently or as part of this inspection. x _ As built plans have been obtained and examined. Note if they are not available with N/A. x — The facility or dwelling was inspected for signs of sewage back-up. x — The system does not receive non-sanitary or industrial waste flow. _X— — The site was inspected for signs of breakout. x All system components,excluding the Soil Absorption System, have been located on the site. x The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected — — for condition of baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge,depth of scum. x _ The size and location of the Soil Absorption System on the site has been determined based on The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. x Existing information. Ex. Plan at B.O.H. x Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is unacceptable)[15.302(3)(b)j (revised 04127)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 118 GOFF TERRACE CENTERVILLE MAP 170 PAR 245 LOT 32 Owner: STEVELAPIER Date of Inspection:9/25199 FLOW CONDITIONS RESIDENTIAL: Design flow: 220 g.p.d./bedroom for S.A.S. Number of bedrooms: 2 Number of current residents: 2 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings, if available:(last two(2)year usage(gpd): We Sump Pump(yes or no): No Last date of occupancy: nIa COMMERCIAL/INDUSTRIAL: Type of establishment: Na Design flow:0 gallons/day Grease trap present: (yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no) No Water meter readings, if available: nra Last date of occupancy: nla OTHER:(Describe) rda Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: Na System pumped as part of inspection: (yes or no)No If yes,volume pumped:0 gallons Reason for pumping: rda TYPE OF SYSTEM x Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) ( if yes, attach previous inspection records, if any) I/A Technology etc.Copy of up to date contract? Other: APPROXIMATE AGE of all components, date Installed(if known)and source Information: 1981 Sewage odors detected when arriving at the site: (yes or no) No (revised 0427)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 118 GOFF TERRACE CENTERVILLE MAP 170 PAR 245 LOT 32 Owner: STEVELAPIER Date of Inspection:9125199 SEPTIC TANK: X (locate on site plan) Depth below grade: 2' Material of construction: concreate metal FRP Polyethylene_other(explain) If tank is metal, list age nla . Is age confirmed by Certificate of Compliance No (Yes/No) Dimensions: Le'6--W5-e--W4-1O' Sludge depth:V Distance from top of sludge to bottom of outlet tee or baffle: 22" Scum thickness:16" Distance from top of scum to top of outlet tee or baffle:4" Distance form bottom of scum to bottom of outlet tee or baffle:4" How dimensions were determined: MEASURED Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING SYSTEM NOW AND THEM MAINTAINED EVERY TWO YEARS. GREASE TRAP: (locate on site plan) Depth below grade: rda Material of construction: concrete metal FRP Polyethylene_other(explain) Dimensions: rda Scum thickness:rva Distance from top of scum to top of outlet tee or baffle.n!a Distance from bottom of scum to bottom of outlet tee or baffle: We Date of last pumping;,ra Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) rda BUILDING SEWER: (Locate on site plan) Depth below grade: 2-6" Material of construction:_cast iron x 40 PVC_other(explain) Distance from private water supply well or suction line!00+ Diameter. nIa_ Qmments: (conditions of joints,venting,evidence of leakage, etc.) (revised 042797) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 118 GOFF TERRACE CENTERVILLE MAP 170 PAR 245 LOT 32 Owner: STEVELAPIER Date of Inspection:9125198 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: Na Material of construction:_concrete_metal_FRP_Polyethylene—other(explain) Dimensions: We Capacity: Na gallons Design flow: Na gallons/day Alarm level:-Na Alarm in working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) Na DISTRIBUTION BOX: x (locate on site plan) Depth of liquid level above outlet invert: LIQUID LEVEL WAS OVER PIPE. Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box etc.) D$ox Is structurally sound PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)No Alarms in working order(yes or no)_Ye: Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) Na Ireyleed 0427197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 118 GOFF TERRACE CENTERVILLE MAP 170 PAR 245 LOT 32 Owner: STEVELAPIER Date of Inspection:9125198 SOIL ABSORPTION SYSTEM (SAS):x (locate on site plan, if possible;excavation not required, but may be approximated by non-intrusive methods) If not determined to be present,explain: rJa Type: leaching pits, number: 1000 GALLON LEACH PIT leaching chambers, number:rue leaching galleries,number: r9a leaching trenches, number,length: n1a leaching fields, number, dimensions:rva overflow cesspool, number:n1a Alternate system: nra Name of Technology:_nra Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) THE LIQUID LEVEL IN THE LEACH PIT WAS OVER INVERT,PIT IS PAST THE EFFECTIVE DEPTH OF LEACHING,SYSTEM FAILS. CESSPOOLS:_ (locate on site plan) Number and configuration: �a Depth-top of liquid to inlet invert: ^fa Depth of solids layer: rda Depth of scum layer: Na Dimensions of cesspool: n1a Materials of construction: We Indication of groundwater: n1a inflow(cesspool must be pumped as part of inspection) rda Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) Ma PRIVY:_ (locate on site plan) Materials of construction: Na Dimensions: Na Depth of solids: rya Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) Na (revised 04127)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 118 GOFF TERRACE CENTERVILLE MAP 170 PAR 245 LOT 32 STEVE LAPIER 9125198 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) AA (revisedW27197) Page f of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 118 GOFF TERRACE CENTERVILLE MAP 170 PAR 245 LOT 32 STEVE LAPIER 9125198 Depth of groundwater 12 Please indicate all the methods used to determine High Groundwater Elevation: Obtained from design plans on record. Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check pumping records Check local excavators, installers x Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS MAPS AND CHARTS 4 (revmed04n7197) page 10 at 10 LOCATION SEWAGE PERMIT NO. old /V ye /Z-D VILLAGE *f//d GoFF �c�`22Ac�' INSTALLER'S NAME i _ ADDRESS � �_y�,��11y�d Sf �� R i l.�'i•1`�a/_1.1�'!. /� BUILDER OR OWNER r� DATE PERMIT ISSUED I lD/rs;� _ DAT E COMPLIANCE ISSUED /� —� .—T. ', l� � •j �� " � J J � 1 y ` �t_� �i n� ��b / C� / �r4/ �� . i !� r�,l `� a & � ,� ................._ THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH o.. ...... .............oF..:.. ' RkI.Q� 53_ .................................. Appliratiou for Disposal i9orkii Tonotrurtion ; rrutit Application is hereby made for a Permit to Construct (Y-) or Repair ( ) an Individual Sewage Disposal System at: //8 6_0,e: ' re-&2. c 'vl4zb' Y.t.t..a ....�F `lam. ........•.. ...............L� -.... :, �............................... .:....... .--. Location-Address r or Lot No. Owner Address Installer Address Type of Building Size Lot.il:& Z-�'-...Sq. feet Dwelling—No. of Bedrooms.._.3................................Expansion Attic Garbftge ` der ( ) pa., Other—Type of Building ............................ No. of persons............._.............. Showers ( ) — Cafeteria ( ) G4 Other fixtures -----------------------•--•••--•-------•-••••- W Design Flow......t.1:0............................gallons per person per day. Total daily flow.____.....__._..... ��'---------------- Ions. WSeptic Tank—Liquid eapacityl!0.00.gallons Length-___•-�____._ Width...'...._... Diameter................ Depth.. .�....__. x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No.......�............ Diameter.......e........ Depth below inlet.._.......... Total leaching area... ft. Z Other Distribution box (>() Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1>2........minutes per inch Depth of Test Pit.......V7....... Depth to ground water-_�b 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P+ •-•----••-•-••••------•-•-•.............•....---•••......•--••••-•..._._..--•••--•-•-•••-••••-•••••-•-•-•••••••-•-.............----•---•--•.....--•....----- O Description of Soil................................... ......... ....... ----- �--------------- W U ---------------------------- ------------------- ---------------------------------- .---------------------------------------------------------------------------------- ---------------- --------------- W UNature of Repairs or Alterations—Answer when applicable............................................................................................... -•------•••-•-•.....---•--•---••----•-•--•----•••-----......-•----•-----••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL%. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has pbe5A issued by the boa d of ` '.... halt e - 1 S - - ..... Application Approved By. --•- -- ------------------•-- Application /l a L UZ'D�aa tt_eec � Disapproved for the following reasons----------------------------------•--------------------------•-------------------------------------•---•-•-.._.._ ..........................................•----------------...------------------.....------.....------------•-•-•----•----•--•-•-•--••--•-•••----•-------•••••--•-•------••-----•---•----------••------- Date PermitNo......................................................... Issued_....................................................... Date ti THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................ .. ...................OF..... r.G .°.►.5. . .��.t ------.........--------............ ApplirFa#ion for Elispoa al Works Tonstrur#inn rrnti# Application is hereby made for a Permit to Construct (9) or Repair ( ) an Individual Sewage Disposal System at: 1,,18 6-o/' 7?-&W, c L ....... .................................. G32 Location-Address or Lot N�o. ...................... -... --------------------- iQ�4ne Address W C/ Installer Address _ Type of Building Size Lot_!!_3._:K 5__..Sq. feet U Dwelling No. of Bedrooms..... -Ex ansidn Attic CGa der aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ................................ . W Design Flow.......kA d............................gallons per person per day. Total daily flow.............3_ a..............._gallons. Septic Tank—Liquid capacity 1 O P.gallons Length____.`9..__.•_. Width...5_�...... Diameter................ Depth•...•......_. W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..._...V........... Diameter.......8........ Depth below inlet.•............ Total leachinglarea_..�PL.sq. ft. Z Other Distribution box (>() Dosing tank ( ) 1-4 Percolation Test Results Performed by___________________________ _______________________________ ------ Date..__._....._...._.__..._....._......._.. Test Pit No. 1�z--__-____minutes per inch Depth of Test Pit-------�L..... Depth to ground water..)A�4t Wa.-,1< Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .........................= ..•••-•-----------------------------------------------------------------•---------•-------------------------- ---- O Description of Soil............................................ '� --------��-d.�`}. ......... ••-•Cam' U ........................................................•••-----.........-----•---•--•--=......-•-------•••--••-•--•................................-----•---•••••-•----•----•--•---•---•-••-••--•••••- W UNature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------------••-•----••-••--••---•--••--•••-•---••-•••-••••-•-•••---•-••--..........-•--•••-•--•-•--------•-------•--•--•---•--•-•••••--•••---•-••••••-•••••••-••--•---•-••---.........-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:ITLi; 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beelA issued by the boa d of.healt , ate ApplicationApproved By------------------------------------------------------------ ..... --------- ----- .......... Date Application Disapproved for the following reasons------------------•-------------•-----------------------•-----------------------•--------------------------..__.. ------------- - Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD _Q� HEALTH ..........................................O F..................................................................................... IvErrtifiratr of Toutplitanrr THIS- haLlbe In iv dual Sewage Disposal System constructed or Repaired ( ) by.......... -..... .... .................................... In err /•--�. _at. -----------------•-----.....V,.V�.... --------'__'_--• ---- has been installed in accordance with the provisions of Tg�__7 65The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated-........................_...................... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................ � � ........................................ Inspector.- 'A.6:-------------------------------------•----------........--•-- THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH � �No......................... FEE.__ . ............. DW11114 nr l�n r � err Permissiorg.is'hereby granted .................................................................. ----••••-•--•--••-•--••..........---•••..............----•.••... to ��o ryt ( r ( an Indio a�� e i sal Sy`tem at .......................�s(---......-----.._......... r "P., !! .................................................................. Street as shown on the application for Disposal Works Constructio rmit No_____________ ___�_ ated.......................................... ---- - ------------••----••••----•-•--•.....•--•••..._......__....._ Board of Health DATE ---------•---f�j��b -------•-••-•----------------- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ( � r SREET t CLrI ! . . DATE Q�l. . .? ��• • 7 J T @ �x�. ./— ,, t J ADDRESS AR® OF HEAUTH . . .. . . . . . .. . .. . . .. ENGINEER tXCAVATOR .'LOCUS 33, 5 _ BEDROOMS .•.... .... EXPANSO0N ATTIC..: t e • • ♦.• • • • • •• TOWN V'JATER•.X••e. PRIVATE WELL .ASS ESSORS . MAP. •..... •••••PARCEL. ••.••• GARBAGE DISP®SAL • S KETCH y Nr [ U/v Pam.!'7 O Nr�L•J' il,. g , 4 t 1 s •;r�4�ta i tiµrd,�` .`igi � t�- t ti 4 � y 44, ` I 3s , . s r / (CST 3Z-� v. PE-RC. RATE �`�®�� { PERC r •— EIeEV DROP_'. MIN. SEC. ELEl. ....... DROP i�IN SEC i /.. t• r s 11 tl •• �tt tB 1 t. 1 t s t i S �Prh Gc � - 1 ® I t . 1 — 260 8B is , at Sr r af' �tg 4t8 of p 1 I It of go t 6 - 7tt 6t� 7�, ,g (IrZ 7+ to 7P tt �tu- go y 0 1® to � qu 10 te® 1 1� � t 11 —12 I2 .."', CATER ENCOUNTERED WATER ENCOUNTERED. x SECT ION - SEWAGE -SEPTIC TANK - - "D" BOX - - LEACH t}`}� TOP OF FDN (M$L)$ 2"OF x T O �,� Lam, 'I �j -va L i WASHED STONE O IN- OUT• IN- SEPTIC t9_ T7 TANK 'da j F.- ELEV. ELEV. ELEV. ELEV.ELEV. ELEV. �j� "¢ / �, NOTE: C"EC%< '1�1 1={LL.O -47 4ZoR OOpl%q-Wf)'t 0164 OF Ve'•. I WASHED STONE J �r A TEST HOLE LOG TEST BY 1 GL ¢ (Oc, N . 'TEST DATE .�17 1.5f/77 WITNESS DESIGN � —BEDROOM HOUSE gA �t T.H. 1 T.N. # 2 ` — aG ELEV.4"?>J& 14 ELEV. NO r � t DISPOSER DISPOSER i PERC RATE �,�-__IVIIN/IN. _. . . FLOW RATE 3 C7tGAL./oav ) 33i_ _.-._ .`� z4., `�: •> SEPTIC TANK 3O (!•51= -d _ . L- -' J REO'D SEPTIC TANK SIZE /GOB _. ~_ �. y -Z C2 3 Ac)z,E-z-,) LEACH FACILITY SIDE WALL �`��5 �'. _�_..I ` 1 �3I GAD. - o BOTTOM _5!Q . G I D TOTAL c-Al r'9. �44t-� 35, 1c3 USE. _ J--)LEACHING w0__(__2______WATER ENCOUNTERED Gfj ACT ` NOTES: (UNLESS OTHERWISE+ NOTED-)` ,, �,� 1. DATUM(MSL)+TAKEN FROM 1y_ _h�h .,_`. __QUADRANGLE MAP 2.MUNICIPAL WATER-- --...... ......-_,_AVAILABLE 3. PIPE PITCH: 114"PER FOOT —� qq 4. DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO S.MIN,GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. ¢ '.alyl� a ' DISTANCE AS CERTIFIED \ 6. PIPE JOINTS SHALL BE MADE WATER.TIGHT 04 7 � � 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. TICi• '�' I HEREBY CERTIFY THAT THE BUILDING d ARNE r �, SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 "` tI SHOWN ON THIS PLAN IS LOCATED ON THE EON&THAT ITT- ,I�' c C)jA:A �.r'y LOCUS: CJ—= 6�_��= GROUND AS SHOWN HER Ky *2v"s4B . t,;A r' CONFORM TO THE ZONING BY LAWS OF THE PL- SS F, fir' TOWN OF _— Q �_ss_ �?r�'►1� O EN LE WHEN CONSTRUCTED. DATE YAK SU� � REF:BE t}�C L(�T�Z IOL A Ily '(�iL� �1 down cabe engineering PREPARED FOR: � CdL Lk CIVIL ENGINEERS ,,_ _.— LANDSURVEYORS " BOARD OF HEALTH REG. LAND SURVEYOR ^'_- CONTOU•RS (EXISTING)--------- APPROVED .DATE ..._ MA SCALE 1 ZC1 t (PROPOSED)—O--U—O--O— _ Yarmouth&Orleans,MA DATE