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Home My WebLink About0137 LONG BEACH ROAD - Health 137 LONG BEACH ROAD, CENTERVILLE A=205 021 DATE : 5118�98 PROPERTY ADDRESS: 137 Lon t each Road Centerville,Mass. ------------------------ 02632 ------------------------ On the above date, I inspected the septic system at the above address. This system consists of the following: 1 .3 'x6 ' block cesspool. 2 . 1 -leaching trench. 15 ' long and 4 ' wide. Based on my inspection, I certify the following conditions: 3 . This is not a title five septic system. 4 . This is a sewage system. 5 . The sewage system is presently dry. 6 The sewage system is in proper working order at the present time. 7 . System is 33 ' from the sea wall and 62 ' from the ocean. 8 . No water encountered at 5 ' below leaching areas. SIGNATURPI - --- -- 1 Name: J . P. Macomber Jr. ---------------------- Company:Jostah _p,_ M,,jcomlj2er Son, Inc. A d d re s s : Bq: ------------- . v_i�l�,_Ma�_n632-0066 �9�- 64n'a� � rod �� O Phone : 508- 775_ 3338 �� Foyg9 19 THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR now • COS P. MACOMBER & SON INC. anks Cesspools Leachflelds Pumped & Installed Town Sewer Connections 66 Centerville, MA 02632-0066 775.3338 775-6412 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET. BOSTON. b1A 02108 617.292.5500 WILLI.\\1 F WELD TRL'D1 CO\T Goscmor SC:rCLir) ARGEO PALL CELLLICCI DAVID B STRLHS Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissionc! PART A CERTIFICATION Property Address: 137 Longbeach Road Cent ervi11eAddress of owner: CamBRIDge Trust Co. Date of Inspection: 5/1 1 /98 Mass. (If different) 1336 Mass. Ave. Name of Inspector: ,7nSPnh p Mar•nmber Jr. Cambridge,Mass.02138 I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: J.P.Macomber & Son Inc. Mailing Address: BOX 66 Centerville,Mass _ 02632 Telephone Number: _908_77r;_'13'j8 CERTIFICATION STATEMENT I cenity that I have personally inspected the sewage disposal system at this address and that the information reponed 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 Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: /&�L r a Dater The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (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 repon 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: AI SYSTEM PASSES: _14 have not found any information which indicates that the system violates any f the failure criteria as defined in 310 CMR 15 303 Any failure criteria not evaluated are indicated below. COMMENTS: 4,7- 1G �'S L S' Ff )t�a/ .¢T .42Er^apsf M. BI SYSTEM CONDITIONALLY PASSES: —Q One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not ik�C The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (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 04/25/97) Page 1 of 10 DEP on the World Wide Web: http:/nvww.magnet state.ma usroep Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR.I� PART A CERTIFICATION (continued) P,opcti) Address: 137 Longbeach Road Centerville,Mass. O-ner Cambridge Trust Company o+te of Inipeet.on: 5/11 /98 B) SYSTEM CONDITIONALLY PASSES tcon(rnued) V— Sewage backup or breakout or high static water level observed in the distribution box is cue :)ro',e- pipes) or due to a broken, sealed or uneven distribution box. The system will pass inspect w •^ --- Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced ILO The system required pumping more than Four times a year due to broken or obstt�cied b•G1 s T-e s.s e- .nspecs,on it (with approval ol'the Board of Health) broken pipets) are replaced obstruction is removeo n FURTHER F-VALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which redurre Iurther evaluation by the Board of Health in order to dele—ne :f :ne, >.,.. puolrc health, safety and the environment. u SYSTEM WILL PASS UNLESS BOARD OF HEALTH DE-TERMINES THAT THE SYSTEM IS NOT FUNCT:ONINC WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: .b6 Cesspool or pr is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a wit marsh 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPR,AT; THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAF--1 A", ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is w.th,n 100 're� tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone , o- :.D .: _.. The system has a septic tank and soil absorption system and the SAS is —1h,n 50 fee: of a The system has a septic tank and soil absorption system and the SAS is less than 100 fee: o private water supply well, unless a well water analysis for col,Iorm bacteria and vola:Je or3a the well is it" from pollution from that facility and the presence of ammonia nitrogen anc ;:e ; less than 5 ppm Method used to determine distance (approximation not vat J) OTHER System consists of 1 -3 'x6 ' block Cesspool with a d 'x1 5 1 Pac-hi nq trannh C,:,SS,p 69j and leaehing area —are—33 -- - f=m Rom Laall—and -62 to the Ceean. fqu Wcjtu.L ellcuuIlterHa 5 ' below the leaching trench. .r.�s..a 0�/lf/!11 Y•q• 1 of 1p SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address:137 Longbeach Road Centerville,Mass. Owner: Cambridge Trust Company Date of Inspection: 5/1 1 /9 8 D) SYSTEM FAILS: You must indicate ei:r,er "Yes" or"No" as to each of the following: Al 0 1 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, Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool, Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped-&—. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. .!G Any portion of a cesspool or privy is within a Zone 1 of a public well. Y Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. 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 above: 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 V/f the system is within 400 feet of a surface drinking water supply IV$ the system is within 200 feet of a tributary to a surface drinking water supply IVYI 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 01/7S/97) Page 3 o1 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 137 Longbeach Road Centerville,Mass. Owner: Cambridge Trust Company Date of Inspection: 5/1 1 /9 8 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No, Pumping information was provided by the owner, occupant, or Board of Health. 2 None of the system components have been pumped for at least two weeks 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. As built plans have been obtained and examined. Note if they are not available with N/A. lC _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for 'Isigns of breakout, _ All system components,a�cluding the Soil Absorption System, have been located on the site. N0Vrl 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. / —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 System. Existing information. Ex. Plan at B.O.H. Z _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) (revised 04/25/97) Pegs 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 137 Longbeach Road Centerville,Mass. Owner: Cambridge Trust Company Date of Inspection: 5/1 1 /98 FLOW CONDITIONS RESIDENTIAL: Design floM,.I O g.p d./bedroom for S.A.S. 'umber of bedrooms:_ Number of current residents A-)VIP, Carbage gander (yes or no).ZT1 Laundry connected to sy t m (yes or no)./ Seasonal use (yes or no). [t Water meter readings, if available (last two (2) year usage (gpd): /`�T�i �l � � �� dd 5 =57'" Sump Pump (yes or no): Last date of occupanc�,.&Vle COMMERCIAUINDUSTRIAL• Type of establishment: Design flow: AW allons/day Crease trap present: (yes or no)&,4 industrial Waste Holding Tank present: (yes or no)z// Non•sanrtar� waste discharged to the Title S system: (yes or no) Water meter readings, if available.AM ADO Last date of occupancy: AM OTHER: ;Descnbet AJI/ji, Last dale or occupancy A k? GENERAL INFORMATION PUMPING RECORDS and s,Q ce o information: f•�-r>r�t�� (`�� ,�� >A�t°✓ty`�' O�,S/`— .�—y'e��ss System pumped as pan of inspection: (yes or no) ki If yes. volume pumped: itJ/f gallons Reason for pumping TYPE OF SYSTEM V6 Septic tank/distribution box/soil absorption system ✓ Single cesspool OverfIow e 1 A el, i� TPiLXi� ��)tJS°� Privy -dAiO Shared system (yes or no) (if yes, anach previous inspection records, if any) I/A Technoloey etc. Copy of up to date contract? Other PPROX MATE AGE of all components dat installed (if known) and source of information: Sewage odors detected when arriving at the site: (yes or no)A.:,b Ir•vs••d 0�/73/57) U•y• 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:1 37 Longbeach Road Centerville,Mass. owner: Cambridge Trust Company Date of Inspection: 5/11 /98 BUILDING SEWER: .:ocate on site plan) Depth below grade. 4� material of c struction: cast iron 40 PVC other (explain) D stance from private w D'ameter Vater supply well or suction line Comments. (condition of Ioints, venting, evide'nSe of leakage, fa 4� 1-i' 7 tGI1 z."s -,A,) r�o SEPTIC TAN'K:41!�41&. Jocate on site plant Depth below grade,-VA .material.of construclton t✓�concreteb'j_metaI;C4 FiberglassA/�Polyethylene.tlNother(explain) u tank is metal. list age&A Is age confirmed by Ceni(,cate of Compliance&A/ (Yes/No) D'mens.ons 'V14 Sluoge depth. Distance from top of sludge to bonom of outlet tee or baffle: 1V� Scum thickness AIR D,stance from top of scum to top of outlet tee or baffle: D-stance from bonom of scum to bonom of outlet tee or baffle: "I4 r'ioK dimensions were determined: Comments irecommendat,on 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.) GREASE TRAP:/1Zd1,1.e— doc.ale on site plan) Depth below grade xater,al of con struaionrv�/concrete/g�metal4L?FiberglassWt 9PolyethyleneA°` iher(explain) 4"li Dimensjons:_�J/� Scum thickness: .tJJ Distance from top of scum to top of outlet tee or baffler Distance from bonom of scum to bosom of outlet tee or baffle:A� Date of last pumping: , Comments: trecommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, struciura, ,ntegrtry, evidence of leakage, etc.) n (r.vi..d 04/25/97) P4y. 6 of 10 Ub SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 137 Longbeach Road Centerville,Mass . Owner: Cambridge Trust Company Date of Inspection: 5/1 1 /98 TIGHT OR HOLDING TANKdA /G(Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade:Ally Material of construct ion:,UAconcrete4!, metaltL f FiberglassjkllPoI yet hyleneolaother(explain) J)lt A Dimensions: Capacity: gallons Design flow: 7 gallons/day Alarm level: Alarm in working order Yes;A%/!t No Date of previous pumping: V# Comments: (condition of inlet tee, condition of alarm and float switches, etc.) 12T ZEE DISTRIBUTION BOX-A491r, (locate on site plan) Depth of liquid level above outlet invert: Vj4- Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) PUMP CHAMBER:6z&V-- (locate on site plan) Pumps in working order: (Yes or No)A,111 Alarms in working order (Yes or No)-Z z Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 04/25/97) Pega 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 137 Longbeach Road Centerville,Mass. Owner: Cambridge Trust Company Date of Inspection: 5/1 1 /9 8 SOIL ABSORPTION SYSTEM (SAS):.MXX (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:0 leaching chambers, number:_ leaching galleries, number:( _ leaching trenches, number,length:1 —4 x1 5 ' leaching fields, number, dimensions: 0 overflow cesspool, number: 0 Alternative system: N/A Name of Technology: C apter1 1 Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Sand;No signs of hydraulic failure nr T riding Vegetation i.s norma l CESSPOOLS: XXXX (locate on site plan) Number and configuration:_= i<� Depth-top of liquid to inlet invert: DRY Depth of solids layer: DRY Depth of scum layer:_ nRY Dimensions of cesspool: 3 1 X& i ` Materials of construction:_Catte relee block Indication of groundwater: inflow (cesspool mu e p fiped as pan of inspection) he system is dry. System has had very little use fnr i-ha pact two years. Note the water useage Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) -Same as above PRIVY: None (locate on site plan) Materials of construction: N/A Dimensions: N/A Depth of solids: N/A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Privy is not present. (revised 04/25/97) Page 8 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Properly Address: 137 Longbeach Road Centerville,Mass . Owner: Cambridge Trust Company Date of Inspection: 5/11 /98 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) 1 7 X e.4 w.a« 6" Q (rw1��C G�/75/97) ?&g• 9 of 10 SUBSURFACE SEWAGE DISP•. t. SYSTEM INSPECTION FORM I C SYSTEM INFOI. . !ION (continued) Property Address: 137 Longbeach Road Centerville,Mass. Owner: Cambridge Trust Company Date of Inspection: 5/1 1 /98 Depth to Groundwater Feet Please indicate all the methods used to determine High Groundwater ElL.ation: Obtained from Design Plans on record Observation of Site (Abutting property observation hole, basemtn+'s,mp etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps � C eck pumping records / Check local excavators, installers Use USGS Data Describe in your own words how you established the High Grounc►wa,zrElevation. (Must be completed) Used water contours map. Gahrety & Miller Model 12/16/94 No water encountered at 5 ' below the leaching trench. Bottom of leaching trench is 28" below grade. No water encountered at 7 ' 4" (revised 04/25/97) Pic. .jDof 10 TOWN OF Barnstable BOARD OF HEALTH SUIlSUIIFACF SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D .- CERTIFICATION `� �•••Tt'1^T••.•::S�l.IIT.^.�TT1.T nT1'ft.TJITTT.4T5/ffT'R1T.r�.S•I rRtiTRllRftvl-TmffSWf�iSAlCr7 lnTI1TSTTATTi4+1T►.RnT.•.Tsr r'T'T�-1••�..^ -TYPE OR PRINT CI.CARLY- PROPERTY INSPECTED STREET ADDRESS 137 Longbeach Road Centerville,Mass . ' ASSESSORS MAP, BLOCK AND PARCEL # �7, c�7 O OWNER' s NAME Cambridge• Trust Company PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber. & Soh` Inc. COMPANY ADDRESS Box 66 Centerville,Mass. 02632 . Street Town, or CSty State LIP COMPANY TELEPHONE ( 508) 775 - 3338 FAX ( 508 1 790 - 1 578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of ,inspection . The inspection .was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one: XXX Sys teui PASSED The inspection i4hich I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 16 . 303 , Any faililre criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have con icted has found that the system fails to protect the public health and the environment in accordance with Title 5 , 310 CMR 15 - 303, and as specifically noted on PART C - FAILURE CRITERIA of this inspection form , Inspector Signature Date 5/18/98 One copy of this c rt.ification must be provided to the OWNER, the BUYER ( where applicable ) and the T30ARD OF 11RAL1.11. * If the inspection FAILED, the owner or•"'operator shall upgrade ' aYate within one year of the date of the inspection , unless allowed orthe requiredm otherwise as provided in 3,10 CHR 15 , 305 , partd ,doc w r ti -� �1 THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE S SYSTEM INSPECTOR as provided in 310 CMR 15 .340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection. tune R. 199S Acting Dirccuor of the 1 ion uC Water Pollution Control TOWN OF OF BARNSTABLE LOCATION l luew� ° p SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY f LEACHING FACILITY: (type)4 �X ll�� °'.�'f.`, (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 etlands exist within 300 Zfet of. ac ' facility) Feet �� . Furnished • a r �