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0163 LAKE ELIZABETH DRIVE - Health
163 Lake Elizabeth ®rive Centerville P A = 226 071 TROY WILLIAMS SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection (508) 385-1300 19 Hummel Drive South Dennis, MA 02660 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS 10 DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Propert% Address: RECEIVED 163 Lake Elizabeth Drive Centerville,MA Owner's Name: Marion Barksdale N0U 2 6 2003 Owner's Address: 163 Lake Elizabeth Drive Centerville,MA 02532 _ TOWN OF BARNSTABLE Date of Inspection:. November 24,2003 1 HEALS"H DEPT. Name of Inspector, - Troy M.Williams Company Name:. Troy Williams Septic Inspections 2 2 Mailing Address: 19'Hummel Drive MAP Telephone Number: South Dennis,MA 02t6O PARG (508)385-1300 LOT STATEMENT I certify that 1 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. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: _S Date: I i /zy / ct 3 The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of I lealth or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments Although system meets the minimum requirements set forth by the Massachusetts Department of Environmental Protection,certification Is not to be construed as a guarantee of future working condition of system,piping or components. This Inspection represents the conditions of the system on the Date of Inspection noted above. ••••This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I aF It Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 163 Lake Elizabeth Drive Owner: Centerville,MA Date of Inspection: Marion Barksdale November 24,2003 Inspection Summary: Check A,B,C,D or E/A WAY :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: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be re aced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of ealth,will pass. Answer yes. no or not determined(Y,N,ND)in the for the following statements. If' of determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whet r metal or not)is structurally unsound,exhibits substantial infiltration or exfrltration or tank failure is im nent. Svstem will pass inspection if the existing tank is replaced with a complying septic tank as approved by th oard of Health. 'A metal septic tank will pass inspection if it is structurally sound,n eaking 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 igh static water level in the distribution box due to broken or obstructed pipes)or due to a broken,settled or ven distribution box.System will pass inspection if(with approval of Board of Health): brok pipes)are replaced o ctlon is removed istribution box is leveled or replaced ND explain: The system rgg4ired pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if.(Wjth approval of the Board of Health): broken pipe(s)are replaced . obstruction is removed ND explain: 2 �. i Page 3 of l 1 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A► CERTIFICATION(continued) Property Address: Owner: 163 Lake Elizabeth Drive Date of Inspection: Centerville,MA Marion Barksdale C. Further Evaluation is�equ�re'd 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. I. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(l)(P that the system is not functioning in a manner which will protect public health,safety and the envi nment: _ 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 ma 2. System will tail unless the Board of Health(and Public Water upplier,if any)determines that the system is functioning in a manner that protects the public heal ,safety and environment: _ The system has a septic.tank and soil absorptions em(SAS)and the SAS is within 100 feet of a surface .cater supple or tributary to a surface water ply. The system has a septic tank and SAS the SAS is within a Zone 1 of a public water supply. — The system has a septic tank and AS and the SAS is within 50 feet of a private water supply well. _ The system has a septic to and SAS and the SAS is less than 100 feet but 50 feet or more frorti a private water supply well" ethod used to determine distance **This system passe the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and vol 'e organic compounds indicates that the well is free from pollution from that facility and the presence ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure cr' ria are triggered.A copy of the analysis must be attach,;„d to this form. 3. Other: 3 ll i'. i Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PART A CERTIFICATION(continued) Property Address: 163 Lake Elizabeth Drive Centerville,MA Owner: Marion Barksdale Date of Inspection: November 24,2003 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 — N iA 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 V_Udue to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. _ .&A Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ j''4 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. v,v 14 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 collform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen Is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.) i1lu (Yes/No)The system Ill.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. Lame Systems: To be considered a large system the system must serve a facility with a desi flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteri ove) yes no _ — the system is within 400 feet of a surface drinkin Ater supply _ the system is within 200 feet of a tribu o a surface drinking water supply the system is located in a nitroge nsitive arcs(interim Wellhead Protection Area—1 WPA)or a mapped Zone 11 of a public water sup well If yoV bt}vk ogwcred"yes"to question in Section E the system is considered a significant threat,or answered "yeg". t!Sfft190 P O, .Qyg th ge;y 0M h failed The o,sh p system considered a a}S wpfr qr operator of any largy slga C"I3t oar er;thaU d contacthaer� th ocriat io�al offtceetheyste a cordance with 310 CMR f,pp p. , r..s.,0041 o, .. P.p nt..nt. R. 4 i Page S of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 163 Lake Elizabeth Drive Owner: Centerville,MA Date of Inspection: Marion Barksdale November 24,2003 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No — f' ;:;ping information was provided by the owner, occupant,or Board of I leald) ✓ Were any of the system components pumped out in the previous two weeks ,L — 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 f the o 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 &6m 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: Yes no _ 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(3)(b)] S i Page 6 of l l OFFICIAL.INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOW$YSTEM INSPECTION FORM FART O SYSTEM INFORMATION Property Address: 163 Lake Elizabeth Drive Owner Centerville,MA Date of inspection: Marion Barksdale November 24,2WROW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Nurnber of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 11Q gpd x k of bedrooms): 33o Number of current residents: t Does residence have a garbage grinder(yes or no): A o Is laundn on a separate sewage system(yes or no):,.�o [if yes separate inspection required) Laundry system inspected(yes or no):Lv/�a Seasonal use:(yes or no): Ato Water meter readings,if available(last 2 yearsltsage(gpd)): Sump pump(yes or no): ,vo Last date of occupancy: a_, �,A . COMM ERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system es or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: L.A 6 //z/oi, 7//?%q�' ,6 /iy / jz f e to /t3 �o Was system pumped as part of the inspection(yes or no): .vo � If yes,volume pumped: gallons--Now was quantity pumped determined? Reason for pumping: TYPE OF$Y$TEM Septic IN distribution bo.N,soil absorption system Single cesspool —Overflow cesspool —privy —Shared system(yes or no)(if yes,attach previous inspection records,if any) 4149votiWAltmotive technology.Attach a copy of the current operation and maintenance contract(to be obtained frptlt system owner) _Tight tank _Attach a copy of the DEP approval _Othec(describe)•. ADRroxltnatS ple of ali components.date installed(if known)and source of information: WqV§;wage Qdor§datpGted when afrlving at the Site(yes or no): No Page 7 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 163 Lake Elizabeth Drive Owner: Centerville,MA Date of Inspection: Marion Barksdale November 24,2003 BUILDING SEWER(locate on site plan) Depth below grade: + Materials of construction:,cast iron ✓40 PVC_other(explain): Distance front pri%ate water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): 4NJ AuJ ,a L� 4✓ )L 11 S Its L61�.]r� ' SEPTIC TANK: ✓ (locate on site plan) Depth below grade: Material of construction: ✓concrete_metal fiberglass polyethylene _other(explain) If tank is metal list age:— Is age confirmed by a Certificate of,Compliance(yes or no):_(attach a copy of certificate) Dimensions: S 'X 9 'k 6 ' / Go Sludge depth: y', 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: __6 Distance from bottom of scum to bottom of outlet tee or baffle: i 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.): 1 ./4-.t-.r c h A I0V C. AD"U �-L-r tc (r./C-v _Y� W c✓ h _oV:..�✓ /`�O L.✓I L•1 LPL d /- tN y�4 S�. O✓.... 4 A..1 1 4 In/tom S d GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polye lene_other (explain): Dimensions: Scutttt thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to boX* t baffle: Q4e of last pyopinf: Co tints(90 pump�g recommendlet tee or baffle condition,structural integrity,liquid levels as rGlt)ted t9 S1ipw t,evidence o 4 7 i Page 8 of I 1 OFFICIAL.INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 163 Lake Elizabeth Drive Owner: Centerville,MA Date of Inspection: Marion Barksdale November 24,2003 TIGHT or HOLDING TANK: (tank must be pumped at time of ins p ron)(locate on site plan) Depth below grade:. Material of construction: concrete metal fiberglas lyethylene other(explain): Dimensions: Capacity: gallons Design Flo►►: gallons/day Alarm present(yes-or no): Alarm level: Alarm in workm er(yes or no): Date of last pumping: Comments(condition of alarm an oat switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan)( t 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.): I. y 06±11 F_ �_i n... _ i _t'�'4y.2 1� M�0 4 $rcc P t ws✓ f� 9"l t o-( �:t+rcbv h'-)- - c.r/ f-1, /- .: SA L-.'� W k..,i/, w�.s -ra.rl.. wws PUMP CHAMBER: (locate on site plan) ' wo�y+ �' Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of ps and appurtenances,etc.): dK._ 7 y Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 163 Lake Elizabeth Drive Owner: Centerville,MA Date of Inspection: Marion Barksdale November 24,2003 SOIL ABSORPTION SYSTEM(SAS):_y"� (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: J- J z >< 37 'x C' 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, etch.): t Tb it,s r i J all-A d r 7 ✓r..i I',c +c—a�r ar a�oo6! l�.� ,e l- i CESSPOOLS: (cesspool must be pumped as part of inspection)(1 to on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum la\er: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or n Comments(note condition of soil,sign f 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 hydraul ilure,level of ponding,condition of vegetation,etc.): 4; 9 Page 10 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 163 Lake Elizabeth Drive Centerville,MA Owner: Marion Barksdale Date of Inspection: November 24,2003 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. I 3 - - - j 31.'K/�c" y I M 4,µ /9L 6, 0 Page I I of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 163 Lake Elizabeth Drive Owner: Centerville,MA Date of inspection: Marion Barksdale SITE EXAM November 24,2003 Slope ✓ Surface water ✓ Check cellar ✓ Shallow wells Estimated depth to ground water 8.o' feet --- Adjusted high ground water elevation Y. 7' feet Please indicate(check)all methods used to determine the high ground eater elevation: Obtained from system design plans on record- If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of I Iealth-explain: Checked with local excavators, installers-(attach documentation -3z—Accessed USGS database-explain: A4;,�, J You must describe how you established the high ground water elevation: c,.a,. 144uL. I � 3r This report has been prepared and the system inspected as of the date of Insp ection. This report is not a - warranty or guarantee that the system will function properly in the future. There hays been no warranties or guarantees,either expressed,written or Implied,relating to the system,the Inspection and/or this report. 11 Permit Number: Date: H /2Y /03 Completed by: l.). HIGH GRO UND-WATER LEVEL COMPUTATION Site Location: 3 k` 1 i z �� {-t i7r Lot No. Owner: Address: Contractor: Address: Notes: i STEP 1 Measure depth to water table tonearest 1/10 ft. .............................................................................. .Date 11 zy /03 8 .0 month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: OAppropriate index well.................................................... ATV-A) © Water-level range zone ..................................................... STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to water level for index well ........................... /0103 ' 0 month/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) determine water-level adjustment 3. 3 STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ............................................................................................................. y< 7 Figure 13.—Reproducible computation form. 15 TOWN OF BARNSTABLE �ftHE TD OFFICE OF DA"STAn i BOARD OF HEALTH MMR moo 039. 367 MAIN STREET am HYANNIS, MASS.02601 February 26, 1993 Marion H. Barksdale 163 Lake Elizabeth Drive Craigville, MA 02636 Dear Ms. Barksdale: You are granted permission to install a replacement on-site sewage disposal system at 163 Lake Elizabeth Drive, Craigville with the following conditions: ( 1) The proposed septic system plan shall be revised to show a leaching facility which is no greater than twelve feet wide. Also, an additional distribution pipe shall be shown and installed to accommodate the extension in length of the leaching facility. (2) The system shall be installed within ninety (90) days , of receipt of this letter. The permission is granted because the proposed on-site sewage disposal system will not require any variances from any State or Board of Health Regulations. Also, the existing system consists of two (2) cesspools. One of the cesspools is located less than four (4) feet above the groundwater table. The replacement septic system may alleviate this potential source of pollution to the groundwater and to the pond. Sincerely yours, usan G. a k, R.S. Chairman Board of Health Town of Barnstable SGR/bcs ` -TAMK I?OO q 4�, "-10 CO IID ~Tec A m . . i or Gem r ��4� i 4 t \ a1 a o wS�L►o� Z x�� - �`0�.��c�ra�„ �o dot --- • j i ti E i N ' I � r l� I Jr� CC U`iV` • P ^� Flor255 768 576 Receipt for Certified Mail No Insurance Coverage Provided UMTED STATES Do not use for international Mail RDSTAL SERVICE (See Reverse) Ten-to MR. & MRS. P.D. BARKSDALE Street and No. 163 LAKE ELIZABETH DR. P.O.,State and ZIP Code . CRAIGVILLE, MA 02636 Postage $ 2.29 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing p� to Whom&Date Delivered y Return Receipt Showing to Whom, C Date,and Addressee's Address a 7 TOTAL Postage C; &Fees 2.2 9 C Postmark or Date 00 cr)i 12/7/92 E `o U- a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). ar 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 window or hand it to i your rural carrier(ro extra charge). 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 3. If you want a return receipt,write the certified mail number and your name and address on a c return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. O O 00 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY on the front of the article. E 5. Enter fees fat ?he services reqnested in the appropriate spaces on the front of this receipt.If ti returi receipt is requested, check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. *U.S.GPO:1991-302-*5 ° a ,f P• 0 SENDER: y • Complete items 1 and/or 2 for additional services. I also wish to receive the • Complete items 3,and 4a&b. following services (for an extra d • Print your name and address on the reverse of this form so that we can feel: > 41 return this card to you. N • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address (j does not permit. + t • Write"Return Receipt Requested"on the mailpiece below the article number. 2 ElRestricted Delivery G " The Return Receipt will show to whom the article was delivered and the date v c delivered. Consult postmaster for fee. y ( � 5 Article Addressed to: 4a. Article Number c Md MR. & MRS. P.D. BARKSDALE P255 768 576 163 LAKE ELIZABETH DR. 4b. Service Type c El Registered El Insured o CRAIGVILLE, MA 02636 cl ® Certified ❑ COD W ❑ Express Mail ❑ Return Receipt for C Merchandise 7. Date of Delivery a ._ N `Z d 0 5:,Signaturej(Addressee)p' 8. Addressee's Ad, ress(Only if requested Y and fee is paid) 6. Signature (Agent)MCC `- 0 a: 0'PS Form 47811, December 1991 *U.S.GPO:1992-323.402 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE Official Business PENALTY FOR PRIVATE � USE TO AVOID PAYMENT AIL OF POSTAGE,$300 I I I Print your name, address and ZIP Code here HEALTH DEPT. P.O. BOX 534 HYANNIS, MA 02601 pE� 11Lg2 The Town of Barnstable `2' ►dC �t 0 t•`'� �`� Health Department Ke9r'�5 i )JE77T11JL 9 367 Main Street, Hyannis, MA 02601 Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health December 7, 1992 Mr. and Mrs. P.D. Barksdale 163 Lake Elizabeth Drive Craigville, MA 02636 Dear Mr. and Mrs. Barksdale: The Health Department records indicate that your onsite sewage disposal system does not meet the State Environmental Code, Title V. Also, a Red Lily Pond Diagnostic Feasability Study conducted during June of 1988, indicates bacterial contamination of the surface water quality in the area downgradient of your onsite sewage disposal system. You are directed to upgrade your onsite sewage disposal system to meet the requirements of the State Environmental Code, Title V within sixty (60) days of receipt of this letter. You may request a hearing before the Board of Health if written petition requesting same is received by the Board within seven (7) days. Failure to comply with an order of the Board of Health may result in a fine of up to $500.00 per day. This letter, when signed by the Director of Public Health constitutes an order of the Board of Health. You may call Stephen Seymour (790-6310) , the Project Engineer of the Red Lily Pond Project, to make arrangements with him for connection into the cluster system. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health x -73- � s l 6-1 1_2y the septic sources also solution. From the standpoint of nutrient loading, appear to be substantial contributors to nutrient inputs to the pond, particularly Lake Elizabeth. the eastern mosquito ditch, while it may occasionally Interestingly, _ carry bacterial contamination from nearby homes , maintains a low content during nonstorm conditions. However, during storm c nditPond. Total becomes one of the primary sources of nutrients to Red Lily phosphorus inputs have averaged below 4 }�g/1 (PPb) during the first half of the study. During storm flow analyses and the latter summer erthi period, substantially exceed el the phosphorus content of discharges to sizable levels. At low ecipitates out in flow conditions , phosphorus pr ellow-orange floc. During high flow periods and reducing conditions , a y the largest point the phosphorus is transported into Red Lily Pond, creating loading source to the pond. ' 1 The ditch in also appears to be a source of acidity to thelake. Earl y in the year, following the low PH observed fommer�ands fall mseasons . become less acid during the summer pond had continually i f 7 In-lake Studies: Septic Leachate and MacrophYton Surveys ve had a chronic Both Red Lily Pond and the Lake Elizabeth basin ha , oliform and fecal coliform proble m with bacterial contamination. Total c e frequently exceeded 1000 and 200 counts per 100 ml , bacterial counts have waters respectively, the limit for body contact for recreational (Class B) 984 the Barnstable Health Department notified several t (WPC, 1982). In 1984, wit homeowner s and establishments to bring septic systems into compliance actions current Title V Sanitary Code requirements. The fi5oinb the le oRed Lily Pond has been a substantial reduction in bacteriaallcontamination continued high ¢ . basin. Unfortunately, the levels of bacterial summer 1985. ri in Lake Elizabeth and required warnings against bathing during g � -74- In an effort to identifythe source of septic impacts , both bacterial r and nutrient, a five-fold program was conducted which included: ' 1) A septic leachate survey 2) Bacterial testing on a grid pattern 3) A sanitary survey and selected dye tests on individual homes 4) Well point sampling of shoreline groundwater 5) Runoff sampling The approach has been successful in identifying the existing locations of malfunctioning septic systems and their impacts on the lake basins. Three types of on-site sewage failure have occurred in the pond area: a) random periodic breakdowns in ancient plumbing, b) hydraulic backups from. excessive water flow into cesspools placed on severe slope regions , and c) failure of the soil adsorption process to remove phosphorus due to excessive density of nutrient loading. The first two types of failure reveal themselves in indicator bacterial levels in surface waters. The concentration of bacteria at the monthly monitored stations in the basins are shown in Figure 31. The bacterial levels were clearly related to the heavy seasonal occupancy of the Craigville area. From June through August, total coliform bacteria levels exceeded recreational limits of 1000 counts per 100 ml (dashed line) -at the outflow. The highest levels were observed in Lake Elizabeth at the central station. A slower, later rise appeared in the upper basin of Red Lily Pond during the month of August. In several instances , residential development has resulted in septic installations in the flood zones of the abandoned bog region. The late rise in bacterial content probably reflects a combination of lag time of the similar seasonal overloading of the leaching facilities of septic installations on the bog fringe draining into the bog channels and the heavier fall rainfall , inducing an inundation of portions of some leaching fields. a` Figure 32 presents a graphical shading of the surface waters of the pond, showing bacterial levels during late summer. . A channel of elevated levels extends from the mosquito ditch outflow through both basins. Shoreline gv IC�� I � ' rr.c....a.•n K� ro•• t — iJ ` .f S. � w or<s.a r<�——_!t 1�— —— 100 , t � ! r. / 1 ! Z of1. i Y (140 r O wL.�.... wn • .w.a rarr..• i 2.200 —� 330 {"��/5 PROBABLE 1 1 ti 2,200 SOURCE REGION x 1 \ FOR BACTERIAL 24 DITCH SOURCE CONTAMINATIO REGION \\ 0 10 J24 >24 000 \ / APPRM SCALES 1 0' 200 400' •YIiiY.r.uJJJ \ 4400 ri.. (700 4. — 8 1 1 € .. N Figure 31. Bacterial contamination 0!\ -30 ) of surface water r f 311 quality. 0 A. M.-r• r' river �ur.r�r��1 y—w�w_ � i w , 1 ! 1 1 ° 1 i 1 o,�..•a.+rr r -76- H• z G, J F* Ee i D C� Well point samples - Plume 1 gcati on showing 6 / relative intensity Mosquito ditch plume flowing / i through pond basins A • if O Figure 32. Septic leachate survey, August s 12-15 , 1935. Shading indicates bacterial levels. I gp 1Cr. -77- rises can be ,found at the northwestern ditch (likely single source) , to below the Craigville Inn (runoff source) , to a broad region of runoff entering the western and northwestern shorelines of Lake Elizabeth. Bacterial testing of the street runoff from the residential homes of the region reveal very high bacterial levels consistent with malfunctioning septic installations. Groundwater samples were taken along the shoreline and analyzed for phosphorus and nitrogen content. Each sample was obtained by a .62 inch stainless steel well point sampler, with the screen positioned from 1 to 2 feet below static water levels. Three volumes (3 liters) were pulled through the sampler and silt trap before the fourth liter was filtered through a 100 micron glass-fiber filter. This sample was then transported to a certified laboratory for analysis of total phosphorus and total nitrogen. Stations BC and F were found to co to in exceptionally hi h concentrati.ons of phosphorus , n 9 exceeding surface water concentrations by a factor of 10 to 20. Previous groundwater sampling along the western shoreline of Lake Elizabeth showed a similar high level of phosphorus and ammonia-nitrogen (IEP, 1979) . The western shoreline of Lake Elizabeth. (Stations A, B, and C) and northwestern shoreline of the middle basin of Red Lily Pond (Station F) _ show considerable leaching of phosphorus which coincides with previously i documented submerged and floating aquatic weed growth and with recent rapid - regrowth of submerged aquatic growth, particularly Naiad (Najas flexilus) and the emergent yellow water lily (Nuphar sp.). The areas of the shoreline ,F near B, C, and F appear to serve as groundwater inflows of phosphorus-rich leachate originating from groundwater inputs cf subsurface on-site waste disposal systems. Of significance , the major source of inflow from the Craigville Inn (near F) has been relocated to the Craigville Green. Despite this, the infiltration of phosphorus from the previous groundwater discharge continues into the pond. Generally nitrogen is quite mobile in the nitrate form, but phosphorus is more readily adsorbed and normally does not move for long distances (greater than 300 feet) , Along these shoreline regions, the normal excellent capacity for phosphorus removal by the Hinkley sandy soils �. has substantially deteriorated. g� i C�. _78_ I Table 10. Results of groundwater sampling following septic leachate survey, November, 1985 , on Red Lily Pond/Lake Elizabeth, Barnstable , MA. Total Kjeld.ahl Total Phosphate Bacteria Sample Nitrogen as P Total Fecal Location -Matrix mg/1 mg/1 Col iform/100 ml i Station A groundwater 0.29 0.092 Station B groundwater 1.58 0.144 Station C groundwater 1.10 0.110 Station F groundwater 1.73 0.233 Station H groundwater 0.06 0.049 Station I groundwater 0.21 0.020 Station J groundwater 0.64 0.046 Runoff on surface water 0.59 0.140 >24,000 > 24,000 Causeway Mosquito surface water 0.46 0.042 330 78 Ditch Runoff #1 surface water > 24,000 230 - -j 0 g s v 1C�.� -79- On-site Wastewater Disposal Practices The immediate watershed region of Lake Elizabeth/Red Lily Pond has experienced chronic difficulties with on-site septic systems. Part of the difficulty is due to old systems which are inadequate to handle hydraulic loadings from conversion of summer cottages to homes and then to year-round residences. The older systems consist primarily of cesspools with only isolated residents having recently installed septic tanks. Secondarily, the steep slope along the west side of the lake makes setback compliance with the Title 5 environmental code unachievable due to small lot size. The extent of the chronic problems have been evident in septic hauling records, on-site surveys, and local dye testing. , Previous records were obtained for the number of. septic loads , by 1 street locations, processed by the Barnstable Water pollution- Control Division at the pretreatment facility for the area surrounding Red Lily Pond in Craigville (Department of Public Works, Water Pollution Control Division).. This report covered a period from September, 1975 through March, 1979. Lake Elizabeth Drive, Old Craigville Road, Cranberry Lane, and Clifton Lane drain into Red Lily Pond. Each load approximates 1300 gallons of septic waste. Northwest and east of the pond A of loads % 8 7 a Clifton Lane 17 14 Elliott Road 3 3 Harbor Hills Road 20 Lake Elizabeth Drive 24 2 2 Mizzentop Lane 36 30 Old Craigville Road 2 2 Soundville Road 10 8 Strawberry Hill Road Sub-Total 102 Southwest and east of the pond 3 3 , Centerville Avenue 2 2 Cranberry Lane 2 2 .` Laurell Avenue 1 1 Marie Avenue 9 B Summerbelle Avenue Total 119 UV �'.tc ..0 A sanitary survey was conducted by the Department of Health of the Town of Barnstable during 1983. The results of the survey of 45 homes abutting Red Lily Pond revealed the following: 1. Almost all systems were cess pools (one exception) . 2. Eighty-six percent (39) of the sytems were less than 100 feet from the shoreline. 3. Twenty out of the 45 systems had no on-site expansion area. 4. Forty percent (18) could not meet distance to groundwater requirements. Action by the Department of Health resulted in the upgrading of the Craigville Inn, Trade Winds Motel , and up to eight private systems through tie-ins with the Craigville Inn cluster system or cesspool replacement. At least two residents have initiated action on their own to provide septic tanks to their existing systems. These actions, while a valuable contribution to improving the water quality of the pond, have not proved sufficient to reduce bacterial levels to acceptable recreational levels. A dye testing program was initiated during July, 1986, in selected residential homes along Lake Elizabeth Drive. Confidentiality agreements were signed prior to testing. The tests confirmed that no apparent leaks exist in the Craigville Inn collection system. However, leakage did occur from old piping in one residence on Lake Elizabeth. The steep slope along Lake Elizabeth Drive often showed seepage flows crossing the roadway during peak occupancy and following storm periods. Samples from the rivulets revealed high coliform counts consistent with sewage leakage. A separate inventory of lawn areas was performed for the watershed region. With the exception of isolated lawn regions to the southwest of Lake Elizabeth and a new house east of the causeway, lawn areas were relatively sparse near the immediate lake region. At greater distances from the pond, along Old Craigville Road, Clifton Lane, and Harbor Hills Road, high maintenance lawns were commonly observed. g s �- Al 6 to e"p.,4 ,, Y i 1 1 lgg2 1 l l Cam✓ ZZ �-�� �C Gz� 271, C�..�/.�� ✓chi�-�- �� D Ec 1 1 992 l l Cam✓ -c�lr�-�� �c�i� �/ CJ/99�f ���.-��.CG� 1 CK( 11' 1 19�2 `�`: ��g it►ICEPt 77 tc 1 Cam✓ -c�-�-� � >� � %9 9 � i 1 Fss/.�.'. THE COMMONWEALTH OF MASSACHUSETTS 8orn,Q[eble A"OVEO Conse BOARD OF HEALTH "' 0" arpr1ert TOWN OF BARNSTABLE Appliration for Diripwial lVAr1w C ontitrurtion Vamit Dato Application is hereby made for a Permit to (:onstruct ( ) or Repair ( L-Kan Individual Sewage Disposal System at ....••• •-•-------------•---------------••----•--•---•--------•••----••------•-•......••-•...... ---- at' n- or t No. Oa ncr ` Addres a -----_-----------------_ -na-- _... ---•--...��.....���� ...... Add ess Type of Building `� Size Lot............................Sq. feet .a Dwelling—No. of Bedrooms.__-_----.6_________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------------------------....----------.....--------------- ---------•-•---------------------------------............--•- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length________________ Width................ Diameter................ Depth................ x Disposal Trench--No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........................ ................................................. Date...------------...........-----......... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ------------------------------•----•---•-...._.......--------------•-----------......----._.............----------•----•••••-•-••-•--................••..---. 0 Description of Soil........................................................................................................................................................................ x U ---••----•......................•------•--••---•-------------------------------------------------------------------------•-------------------------.................................................... W -----------------------------------------------------------------------------------------•----------------------•--------..._.__...------------ U t f Repair or Alterations—Answer when ap livable._.. . .. ..................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Com ianc hA�ssuedy the board of health. Signe ...... �..a7.. .. ...... Da Application Approved By .............C� v....... ... � .... ....... '.�.. ......................................................................... - t}ate ... Application Disapproved for the following reasons: ...... . .................................................................... .................................................. .................... . ................................ . . . . .:... . .................................................................................... . ........................................ PermitNo. ----------- -- /- g................... Issued ......................................................... .... Dare �I/.i»"v�.Y td�.R'w:7`'�i'11t11+UI(✓./X..4..r�:v��•iw.�.lY�..�.n....;�:wr'...w�nv.�.�''t14.—w.,a�.rV-.✓1+.:.--�^v�jrr�..n...I'..Ai.vYt .`��..^ti:�.l.'ti.X"..'iJ'�°+Y"'Y!"^.w..k"`.J`y'i.+"`G::'. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun fur 1)i!7,Vuuu1 Work.. Towitrnrtiun Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( tan Individual Sewage Disposal System at .----- .....--•....................... L ;it'.n- \{9r• or Lot No. L -.--------_------ --------------------------- --r c��� ------ h ------. ... Owner �M_ Addres V . �----_--------_-------- ��� � 1 ►Uy��`�`(1 c)--( �� �e�U ... Installer Address Type of Building Size Lot............................Sq. feet i. Dwelling—No. of Bedrooms----------K.5_---------------------_-----Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _________________________- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures -------------------------------------------------- ------------------------------------ ------------------••••---••••••-----......-•--••........••••- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capa6ty............gallons Length________________ Width................ Diameter-_._.-__-.___.__ Depth................ x Disposal Trench--No. .................... Width.................... .Fotal Length.................... Total leaching area....................sq. ft. Seepage Pit No--------.-_--_--.-- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) ►." Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 93� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 -------------------------------- •--••---------------------- .... .......... ....-------------- .... •--................. .......... .......... .----------- *......... 0 Description of Soil........................................................................................................................................................................ W V ...............••-•----•-••-------•••.......----•••-•---•-•••-•-•-••--••--....------••-•--•....•----------•--•--•-------•-•-------•-•-•-•.............................................................. ---•----------------------------------------------•-.--------•--------•--------------.-•-•-----------------•-----------------...-----••--•----- x �� { U N ture of Repair or Alterations—Answer when ap licable_..�A- .. _ I Z.................... ........... .�.............. �_ .•------. C � S �A--- 1 st ..._..� -X. 3�7 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of CoP'anc -b-e,e 'ssued by the board of health. SigneApplication Approved By .......... ''`�'�`''��........................................................................ Date 1 Application Disapproved for the following reasons: . ........................................................................................ . ........... .... ..... .. ...... ... . ................................................................. ......................... ,� Dare PermitNo. ..3--------- - ------------------ Issued ............................................... .............. Dare _---_____--_—..______________._--_--._—.____—_________ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�elrtifirate of C�ompliarue CIS IS TO,CF-R IFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( I/) by ... :� . P10.... .......... ......... ............ .. ....... .................. . ......_..... I at .........�.G3._.._[�..�-fir .... w\---' - hhe applicationas been for in D scpcosdaal Werkswith Const provisions on PermitTITLE 5 ofr The State Environ�atedal Code as described in THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. t� DATE _....._._......c.. _.. ..... -"• �..._............ - ............ Inspector - .-- _...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE- ............ �i�� • 1 >qr- un.�tr�rtiun �rrntit Permission is hereby granted•--- ---,. ----.•-•-----•-----...... to Construct ) r Repair (�. an IncFrv'��luuall Sewage disposal System at No......� n�� - �. ^t�r . ........... Street o as shown on the application for Disposal Works Construction Permit No �-�j Dated.......................................... ...........................---.................... q ` Board of Health DATE......... 1� � lj FORM 36506 HOBBS✓!<WARREN.INC..PUBLISHERS � TOWN OF BARNSTABLE LOCATION ��� ���-ZL.(� dZ�V SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME 6z PHONE N05j K\( SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size)3-7 W J 2— NO. OF BEDROOMS_ PRIVATE WEL UBLIC WATL OR ER BUILDER OR OWNER ft)R4-0\Q5 N\u_X DATE PERMIT ISSUED: ki"5 -9 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r O ri Ci I. 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