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Home My WebLink About0301 PINE STREET (HY - Health (3) W�1301 Pine Street Centerville A= 228-046-001 oPendafloYr a nsome 4210113 0RA 10% P4 i o TOWN OF BARNSTABLE LOCATION 201 i�41/5 .SA SEWAGE# 5?0/0 VILLAGE-G�Nt -+Y/� ASSESSOR'S MAP&PARCEL 2aY (, INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY. (type) (size) /0- tS K r_?, NO.OF BEDROOMS S® OWNER "2 ,4 PERMIT DATE: COMPLIANCE DATE: a 0 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 r 0 4 � Q W 0 No. D �. 4 Fee V o TAE COAMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppliLatlon for Misposal 6pstria Construction i3Prmit Application for a Permit to Construct( ) Repair( ) Upgrade(XI Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot Nob '�,n,S� _C� r�`r� Owner's Name ddress,and Tel.No. i •h�- . ° CA) 106 P.O. a 4 Assessor's Map/Parcel d (m m Caw i Installer's Name,Address,and Tel.No. Designer s Name,Address,and Tel.No.;fBS-3W O 8- 7 3 Type of Building: _ Dwelling No.of Bedrooms L Lot Size �� sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) S30 gpd Design flow provided �S'8 gpd Plan Date C?t''i ll oao 1 Number of sheets Revision Date 'Title 1 rim14 &.0 4 a L Size of Septic Tank IS C30 nk F{-IG> Type of S.A.S. °� e kao 30SU 14',itaLc t kn is Description of Soil � oop ,r� Jo7, Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro ntal ode and not to place the system in operation until a Certificate of Compliance has been issued by this Board of h. Signed Date /0 /--10� Application Approved by Date Application Disapproved by Date for the following reasons fD Permit No. Date Issued No. i �v4 Fee \LJ1 t TF°rE'CO MONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2ppl catiouJor 3318tJosat *ps;tem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) ❑Complete System ❑Individual Components w_...- Location Address or Lot No. /f Owner's Name,Address,and Tel.No. 7 ,.�oI �neSf-n e <, � hF . /v PO IQr� Po.63 a er Assessor's Map/Parcel G _ I-A� .,, 446 e Installer's Name,Address,and Tel.No. � Designer s Name,Address,and Tel.No. �r /a/�+ Cari5�rrx�,vr� xrc .0 C).8alc 'x`/ fir► � �ri�ineerrr'r rc S 3 U f1 /. C- Type of Building: ) r r Dwelling No.of Bedrooms Lot Size (® ';�q J ; sq.ft. Garbage Grinder( ) Other Type of Building 'X No.-of Persons Showers( ) Cafeteria( ) Other Fixtures �"' ��,• A Design Flow(min.required) � (� � gpd Design flow provided 158. gpd Plan Date cyr f she`'ets Revision Date Title -Zl i 4E o l ' ! tp ��vv `` Size of Septic Tank (SUpG,rQ ( `Ipl Type of S.A.S. `� _ l � �riS4t i n4;Jrts� (rtr�vT r Description of Soil �' ? Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro eritaf Qode and not to place the system in operation until until a Certificate'of ._ _ ,( Compliance has been issued by this Board of Heal Signed Date /O/f X-%<V Application Approved by Date Application Disapproved by - Date for the following reasons r�y / ) Permit No. r-- Date Issued C/ .------------------------------------ - - - -------- ------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifirate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded(✓) Abandoned( /)�by n r U r, ` �,rc��tc k �,n -Z�, at 3o I (;r,, Sf. (7,F n rl)_!h�, has been constructed in accordance with the provisions of Title 5 and the for tDisposal System Construction Permit No. ated Installer i!��,( ,�r,tti �i,,,(Z:�,,,,.� i-e Designer #bedrooms Approved design flow gpd The issuance of this pe Tit shall not be construed as a guarantee that the system wi� fun io s desig i ed. ��JJ Date Inspector h I - - - -------------------------------------------------------------- - -- =-- _: �f� 1 No. Fee '-�%�` 'THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS i Misposal .6pstem Conetructlon Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(✓5 Abandon( ) System located at (2!; 4,a.,C111'1 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. 1 Provided:Con truti n m be completed within three years of the date of this permitDate Approved by / fs z 51 2 83,_ 51. . t t i 52.84 EXI: rw\ TOP 53 z 3.58 I PROVIDE C.O. 81 P 9 i 54 C LARGE 54.14 SPRUCES N 12" DECID. TREE N CP 7 co z 54.77 I 55 z 55.06 6. �o' 55.70 1H 4 .. - z 5. 2 55.91 - ' z 55.20 i z 55.55 PROP.VENT WITH CHARCOAL FILTER o_ CONMACTOR AND PLACEMENT By WITH HOMEOWNER n COMLTATION) + LOT 1 60,791t S.F. 55.78 i BENCHMARK USE CONC.BOUND AT ELEV. 55.fr i 47.( i h aY - P - NOV-05-2010 10:19 From:BORTOLOTTI CONST 5084289399 To:15087906304 P.1/1 FROM :down cape engirmar.ng Inc FAX NO. :15083625880 Nov. 05 2010 10:OBAM P1 r jjjj _'•y-•1 �, + RcgWatory I 14 1tA. yyYY Thu-mot F. Q afldr,lAln cefr�ro>t� 'yH7AR{�,17 ThomatrPdX�Kntnin,�Dirreteb 2EyD.Naln Strom,Hyamiq,AAA 02609 Dinfit pacer&i Mligmer f.aer. Mon Form ',1LDmL-: �/ I Smage Permit# 1 ,!(�— � AKxt*or'ti i hip kPal'ced ` ]f�c aaImt r: yb l /1 aj ,a. .l.Ae .ri Els4mller: d1 d Y �j „ p �.G/'14 (/ V A�flrUrs: A I V _ ddlram: IJ }(, MT palb�6� �ix/a wvr�,��f' ,r, cv� ' �>u r was i38ua;rd Ei pctalit to in1,t►s.11.s. (d Jai r') . 3ept;c gyAtern It 301_ !✓Le. :! (/. _ hvmd on.a dosigp drom by 1 CL W FR9) c4wrt Y tlutl l]:tt:wplio systeili,referertcell above wm imWiled sulift irally moordine,to the demp, which may include rnbio.r approved chungos such to Word mJocatiou of the dimibutl a)box�o,djox septi.r.t3y1:, T CCTIVY' PNlt the SepT C SySteM MforajUiul 4hnve WAS 1mmUe-A Will tuajor ubLaigem (i.e., grc:Ktv.r Mat LO' Mnal rcehAM401t Of the.R A,y ox au'y vertimil relumaiiou of my uoml'ollen1 of tbc,s;pTic sptrxtl)bur ixi.owurd=e with StFft LOOki kc±8'u111(i01.,, Plan revise on or L'earLt I -17tuiL by clxsiis'rI�'to ftilinw. ^ DANiM,A CIALA (fnN' t91ar's 4iE,rl�tnro) # civil. r NQ,4flf�l7� t �. �r• �, tw %b eSiall er'a niF;Rt:biTC �{A f(1;t 1)eS.i�i�rr'�5t�r�p l�wt') %ulW2AW WII.r,YfjT 1 R VIIATRM T `i c,AU IEMS MUM ANi) rA:�'I:M LT CARD AAI, •�+d.��'?P f i rm PA xsrAAR PVELTC MALMIMUMN.11 ice 1L C�-iical�,'^epdc/17caiKaar I;rrtil'u�liva�'urm 3-rs-Qi.dca Barnstable Assessing Search Results http://www.town.bamstable.ma.us/assessing/2010/displayparcel IOm... ti i, 0 Replacement Cost $216,603 Year Built 1870 Depreciation 20 Total Rooms 7 Rooms Land Gross Area sq/ft 3,393 AsBuilt Card N/A CODE 1010 Lot Size(Acres) 1.41 Appraised Value $173,900 View Interactive Maps >> Assessed Value $173,900 BER Sales History: Owner: Sale Date Book/Page: Sale Price: COGGESHALL,DWIGHT E Oct 30 2008 12:OOAM 23242/204 $0 COGGESHALL,DWIGHT E&MARION I Aug 6 1957 12:OOAM 980/146 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $3,300 $3,300 SHED Shed 336 $4,700 $4,700 Property Sketch Legend BAS First Floor,Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) 2 of 2 10/12/2010 10:04 AM Barnstable Assessing Search Results http://www.town.barnstable.ma.us/assessing/2010/displayparcel 10m... Est �•�;. Home:Departments:Assessors Division:Property Assessment Search Results New Search � � h New Interactive Maps» 7 � k Owner: 2010 Assessed Values BROOKE,MICHAEL& TARA 301 PINE STREET 2010 Appraised Value 2010 Assessed Value Past Comparisons Map/Parcel/Parcel $173,300 $173,300 Year Total Assessed Extension Building Value: Value 228 /046/001 Extra Features: $3,300 $3,300 2009-$396,900 Outbuildings: $4,700 $4,700 2008-$411,500 Mailing Address Land Value: $173,900 $173,900 2007-$410,700 BROOKE,MICHAEL& 2006-$402,900 TARA 2010 Totals $355,200 $355,200 301 PINE STREET Residential Exemption Received=$92,000 CENTERVILLE,MA, 02632 2010 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $61.35 Fire District Rates Town Residential Barnstable FD-All Classes $2.43 $7.77 C.O.M.M.-Al Classes $1.26 Town Commercial C.O.M.M.FD Tax(Residential) $447.55 Cotuit FD-Al Classes $1.56 $6.87 Hyannis-Residential $1.82 Town Tax(Residential) $2,045.06 Hyannis-Commercial $2.88 W Barnstable-All Classes $2.28 Community Preservation Act 3%of Town Ta) Total: $2,553.96 Property Sketch Legend Construction Details Building Property Sketch & ASBUILT Cards Building value $173,300 Interior Floors Carpet Style Colonial Interior Walls Drywall Model Residential Heat Fuel Oil Grade Average Heat Type Hot Water Lof tories 2 Stories AC Type None xterior Walls Wood Shingle Bedrooms 4 Bedrooms oof Structure Gable/Hip Bathrooms 1 Full+1 H oof Cover Asph/F GIs/Cmp Living Area sq/ft 2,016 10/12/2010 10:04 AM Town of Barnstable Pit- 1306 ,KE t t` 1Departrricut of Regulatory Services s Dxtu+E AIS .-Pla�&�c Health �1«��<v�1>1 'Date ` x679�163 ' 200 Main Street,Hyanuis MA 02601 �AP6D �p Date Scheduled Tilne & Fee Pd. t\ + Soil Suitability Assessmentfor SeWa •e 11 isposal Performed By: NOCR A, Witnessed By: G+✓� LOCATION &-IGE1'ERAJL �O][ MATION Location Address 7� / D� �fi Owner's Name /t�0✓ � Address / Assessor's Map/Parcel: o7pp ^ Engineer's Namc�V 0 v) e NEW CONSTRUCTION REPAIR Telephone lI. -___ X_ Land Use / t3"'" c Slopes(%) �'' Surface Stones Distances from: Open Water Body R Possible Wet Area ,.- ft Drinking Water Well �— ft Drainage Way ft Property Line 142_ l�l ft Other + SKETCH, (Street came•,dimensions of lot,exact locations of test holes Sr perc tests,locate wetlands'In proxinuty to holes) r �� 5r 0 171 _ LAU y �I�ro ° - -- - REE D V " '�""�; ' t �$ J4 ` I4-7-kri Parent material(geologic)_ we, Depth tU Be(b•oek, Depth to Groundwater: Standing Water in Hole: Weepilrg from Pit pitce •� wor Estimated Seasonal High Groundwater DE,TIERNUNATION FOR SEASONAL HIGH WATER TABLE Method Used: ^j �� Depth Observed standing in obs.hole: ��d In. Depth to soil Inottlt^3: Depth to weeping from side of obs.hole. -- v III, �,Groundwater Adjustment fr. Index Well i# Reading Date: Index Well IeYnl _ , Adj,factor A41.Groundwater Level PE RCOLATION T14CS 1C Date Observation Holc# Time at 9" Depth of Perc ✓"� (2' 1 4 Time at 6" • f O �AA 11 Statt Pre-soak Time @ �`� ` I0 Time(9"-6") /)'w End Pre-soak `O V zz- Rate Min./Inch 2. ; . 1 - \ Site Suitability Assessment: Site Passed_4 Sitjq-Failed: Additional Testing Needed(YIN). Original: Public Health Division Observation Hole Data To Be Completed on Back------- ***It percolation test is to be conducted tiwitiain 100' Of Weiland, YOU 111USi first Uotify the Barnstable Conservation Division at least one (1) wee➢c prior to Ibegi n➢.➢ug. Qns ePTIC\PERCFORM.DOC P + Y,®G Depth from Soil} S Iorizon' I oil Texture Surface(in.) Soil Color IOL Soil Other(USDA). (Mansell) Mottlin • g (Structure,Stones;Boulders, ® Con istenc—�, i •�' � � % ravel 3 r M&G 7 D SEEP 013SERVATION HOLE LOG epth from Soil Horizon Hole # Surface(in.) Soil Texture Soil Color ( _ r Soil (USDA) her (Munsell) Mottling (Structure,Stones,Boulders. �. Consis ene . %Gravel to 6—M 1®IE EP OBSERVATION I-IOLE Depth from Soil Horizon I'®G hole#_ Surface(in.,) Soil Texture Soil Color — �- ) SoilOther (USDA) (Munsell) Mottling (Structure.Stones,Boulders. Consiste��r�rayell y VvltiJ � F DE EP OBSERVATION TION HOLE LOG i IIo➢�# Depth from Soil Horizon � Surface(in) Soil Texture Soil Color (USDA) ,. (Mansell) �' �Mottlln Soll Oth r g (Structure,Stones;Boulders, Consi ten &t7rav� l—L a.4 9i ,fit�G S �7� j - - U- `� ��' Flood Insurance Rate Maw Above 500 year flood boundary No Yes Within 500 year boundary No ivy Yes. Within 100 year flood boundary No tl--./ yes Depth o_ f Naturally 0ccb¢rrin Perrvious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? E t /� If not, what is the depth of naturally occurring pervtous malarial?,_ r�9,_ Ce>rti�cation _ , I certifythat on fi,� `-' • � v • (date)I have passed the soil evaluator examination approved by the Department of Environmental.Protection and that theJabove analNsis was performed by me consistent with Hip-require trainin , expertise and experience described in �10 CMR 15,017. .. , Signature \ Date —=--�� J • Q:\S.EETFCU'ERCFO RM.DOC °@ Sty T°� Town of Barnstable Barnstable Board of Health 1��c 1 EARNS-rAQLE. • V MA,%. 200 Main Street, Hyannis MA 02601 prfD MAt s 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 JunichiSawayanagi Paul Canniff,D.M.D. September 10, 2010 Ms. Margaret Grant Steele Associates Real Estate PO Box 899 East Dennis, MA 02641 RE: 301 Pine Street, Centerville A = 238-046-001 Dear Ms. Grant: You are granted a septic deadline extension on behalf of your client, Pauline Porkka, to replace or upgrade a single cesspool system located at 301 Pine Street, Centerville. This extension is granted until December 1, 2010. This extension is granted because the house is for sale and is vacant. Also, it is a financial hardship to the owner to replace the septic system at this time. Due to the above reasons, the Board is granting this extension. Sincer ly yours, W 6yn,eiller, M.D., Chairman BoHealth Q:\WPFILES\SepticDeadlineExt 301 Pine St Cent Aug20IO.doc t CX / e a/mIlI Z )i j STEELE ASSOCIATES �� REAL ESTATE Office (508) 385-7311 Fax (508) 385-7314 June 14,2010 V"sit us at ...www.stecierealt.g.com Attn: Tom Mckean, My name is Margaret Grant and I am a real estate agent at Steele Associates in East Dennis. I have a client , Pauline Porkka who recently had a septic inspection and it Failed. She then received a letter from your offices stating that she had 60 days to Repair or replace the system. I called your office and they asked me to write a letter To your attention-stating the reason we will need an extension. This property is for Sale and because of financial hardship they will not be able to pay for the replacement Of a new septic system. The new buyer will have to take care of that. The home is Now vacant so noone will be using it at all. Please contact me with any questions at 508-776-8711 or work 508-385-7311. Thank you for your time, Margaret Grant Steele Associates 1 r .� ar) , F 1372 Route 134, P.O. Box 899, East Dennis, Massachusetts 02641 1 Town of Barnstable Barnstable Regulatory Services Department 1ea Cft RA RNs rA Bt.E. S Public Health Division p,FD ,�a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 V 'v I Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 70081830000205008925 5/18/2010 Polly Parker 301 Pine Street Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located 301 Pine Street, Centerville MA was last inspected on May 10, 2010, by Troy Williams, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: 0 Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool. • Liquid depth in cesspool is less than 6"below invert or available volume is than the '/2 day flow. You are ordered to repair or replace the septic system within Sixty(60) days from the. date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement actio PER O F TH BOARD OF HEALTH s McKean, R.S., CHO Agent of the Board of Health Sep 08 10 03: 23p Mark Grant 508 385 2311 p. 2 From the Once of 'C STANDARD FORM Steele Associates Real Estate PURCHASE AND SALE AGREEMENT 1372 Route 134,P.O.Box 899 East Dennis,;VIA 02641 508-385-7311 508-385-7314(Fax) This day of 20 1. PARTIES Dwight E. Coggeshall by Pauline Porkka under DPA AND MAILING hereinafter called the SELLER agrees to SELL and Michael Brooke and Tara Brooke of 7 Stevens Street, ADDRESSES Apt.E,Hyannis,MA 02601 hereinafter called the BUYER or PURCHASER,agrees to BUY, (fill in) upon the terms hereinafter set forth,the following described premises: 2. DESCRIPTION The Land and Improvements thereon commonly known as 301 Pine Street,Centerville, Massachusetts (fill in and include and further described at the Barnstable County Registry of Deeds. Book 980,Page 146,Assessors Map title reference) 228/046!001. 3. BUILDINGS, Included in the sale as part of said premises are the buildings,structures,and improvements now STRUCTURES, thereon,and the fixtures and used in connection therewith including,if any, all IMPROVEMENTS, wall-to-wall carpeting,drapery rods,automatic garage door openers,venetian blinds,window shades, FIXTURES screens,screen doors,storm windows and doors,awnings,shw.ters,furnaces,heaters,heating equipment, stoves,ranges,oil and gas burners and fixtures appurtenant thereto,hot water heaters,plumbing and 6611 in or delete) bathroom fixtures,garbage disposers,electric and other lighting fixtures,mantels,outside television antennas,fences,gates,trees,shrubs,plants,and,^"4r V=P1111 T T,'refrigerators,air conditioning equipment,ventilators,dishwashers,microwaves,washing machines and dryers;ead 4. TITLE DEED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER,or to the (fill in) nominee designated by the BUYER by written notice to the SELLER at least seven days before the deed is `Include here by specific to be delivered as herein provided,and said deed shall convey a good and clear record and marketable reference any restric- title thereto,free from encumbrances,except lions,easements, rights (a) Provisions of existing building and zoning laws; and obligations in party (b)Existing rights and obligations in party walls which are not the subject of written agreement; walls not included in (b), (c) Such taxes for the then current year as are not due and payable on the date of the delivery of leases, municipal and such deed,- other liens,other encum- (d) Any liens for municipal betterments assessed after the date of this agreement; brances,and make pro- (e) Easements,restrictions and reservations of record,if any,so long as the same do not prohibit or vision to protect materially interfere with the current use of said premises; SELLER against BUYERS *(f) breach of SELLER's covenants in leases, where necessary. 5. PLANS If said deed refers to a plan necessary to be recorded therewith the SELLER shal l deliver such plan with the deed in form adequate for recording or registration. 6. REGISTERED In addition to the foregoing,if the title to said premises is registered,said deed shall be in form sufficient TITLE to entitle the BUYER to a Certificate of Title of said premises,and the SELLER shall deliver with said deed all instruments,if any,necessary to enable the BUYER to obtain such Certificate of Title. 7. PURCHASE PRICE The agreed purchase price for said premises is: (fill in),-space is Two Hundred Fifty Thousand and 00/100($250,000.00)dollars,of which allowed to write $ 19,500.00 have been paid as a deposit this day and out the amounts $ 500.00 were paid as deposit with Offer to Purchase dated 08/20/2010 and if desired $ 230,000.00 are to be paid at the time of delivery of the deed in cash,or by certified, cashier's,treasurer's or bank check(s)or a MA attorney's IOLTA account check. $ 250,000.00 TOTAL Sep 08 10 03: 23p Mark Grant 508 385 2311 p. 3 8. TIME FOR PER- Such deed is to be delivered at Eleven(11:00)o'clock A.M. on the Seventeenth(17=h)day of September. FORMANCE; 2010 at the Barnstable County Registry of Deeds,unless otherwise agreed upon in writing. DELIVERY OF It is agreed that time is of the essence of this agreement. DEED 9. POSSESSION AND Full possession of said premises free of all tenants and occupants,except as herein provided,is to be CONDITION OF delivered at the time of the delivery of the deed,said premises to be then(a)in the same condition as they PREMISE. now are,reasonable use and wear thereof excepted,and(b)not in violation of said building and zoning (attach a list of laws,and(c)in compliance with provisions of any instrument referred to in clause 4 hereof. The BUYER exceptions,if arty) shall be entitled personally to inspect said premises prior to closing in order to determine whether the condition thereof complies with the terms of this clause. 10.EXTENSION TO If the SELLER shall be unable to give title or to make conveyance,or to deliver possession of premises, PERFECT TITLE all as herein stipulated,or if at the time of the delivery of the deed the premises do not conform with the OR MAKE provisions hereof, the SELLER sl-all use reasonable efforts to remove any defects in title,or to deliver PREMISES possession as provided herein,or to make the said premises conform to the provisions hereof,as the case CONFORM may be,in which event (Change period of the time for performance hereof shall be extended for a period time if desired.) of thirty days.Reasonable efforts shall not require SELLER to spend more than$1,000.00 hereunder. 11.FAILURE TO If at the expiration of the extended time the SELLER shall have failed so to remove any defects in title, PERFECT TITLE deliver possession,or make the premises conform,as the case may be,all as herein agreed,or if at any OR MAKE time during the period of this agreement or any extensions thereof,the holder of a mortgage on said PREMISES premises shall refuse to permit the insurance proceeds,if any,to be used for such purposes,then any CONFORM,etc. payments made under this agreement shall be forthwith refunded and all other obligations of the parties hereto shall cease and this agreement shall be void without recourse to the parties hereto. 12.BLYER's The BUYER shall have the election,at either the original or any extended t;me for performance,to accept ELECTION TO such title as the SELLER can deliver to the said premises in their then condition and to pay therefore the ACCEPT TITLE purchase price without deduction,in which case the SELLER shall convey such title,except that in the event of such conveyance in accord with the provisions of this clause,if the said premises shall have been damaged by fire or casualty insured against,then the SELLER shall,unless We SELLER has previously restored the premises to their former condition,either (a) pay over or assign to the BUYER on delivery of the deed,all amounts recovered or recoverable on account of such insurance,less any amounts reasonably expended by the SELLER for any partial restoration,or (b) if a holder of a mortgage on said premises shall not permit the insurance proceeds or a part thereof to be used to restore the said premises to their former condition or to be so paid over or assigned,give to the BUYER a credit against the purchase price,on delivery of the deed,equal to said amounts so recovered or recoverable and retained by the holder of the said mortgage less any amounts reasonably expended by the SELLER for any partial restoration. 13.ACCEPTANCE The acceptance and recording of a deed by the BUYER or his nominee as the case may be,shall be deemed OF DEED to be a full performance and discharge of every agreement and obligation herein contained or expressed, except such as are,by the terms hereof;to be performed after the delivery of said deed. 14.USE OF MONEY To enable the SELLER to make conveyance as herein provided,the SELLER may,at the time of delivery TO CLEAR TITLE of the deed,use the purchase money or any portion thereof to clear the title of any or all encumbrances or interests,provided that all instruments so procured are recorded in accordance with customary conveyancing practice. 15.INSURANCE Until the delivery of the deed,the SELLER shall maintain insurance on said premises as follows: *Insert amount T}pe of Insurance Antounr of Coverage (list additional types of insurance (a) Fire and Extended Coverage *$ As Presently Exists amotrats as agreed) (b) Sep 08 10 03: 24p Mark Grant 508 385 2311 p. 4 16.ADJUSTMENTS C'_'_'__ted=_=t_,merfgage_-_t____t,water use charges,operating expenses(if any)according to (list operating ex- the schedule attached hereto or set forth below,and taxes for the then current fiscal year,shall be appor- penses, if any, or tioned and fuel value shall be adjusted,as of the day of performance of this agreement and the net amount attach schedule) thereof shall be added to or deducted from,as the case may be,the purchase price payable by the BUYER at the time of delivery of the deed. 17.ADJUSTMENT If the amount of said taxes is not known at the time of the delivery of the deed,they shall be apportioned OF UNASSESSED on the basis of the taxes assessed for the preceding fiscal year,with a reapportionment as soon as the new AND tax rate and valuation can be ascertained;and,if the taxes which are to be apportioned shall thereafter be ABATED TAXES reduced by abatement,the amount of such abatement,less the reasonable cost of obtaining the same,shall be apportioned between the parties,provided that neither party shall be obligated to institute or prosecute proceedings for an abatement unless herein otherwise agreed. 18.BROKER's FEE A Broker's fee for professional services of$12,500.00 is due from the SELLER to Steele Associates Real 611 in amount/name) Estate who shall then pay$6,250.0 to Today Real Estate,Inc.,the Broker(s)herein,upon passing of title. 19.BROKER(S) The Broker(s)named herein Steele Associates Real Estate and Today Real Estate,Inc. (7111 in name) warrant(s)that the Broker(s)is(are)duly licensed as such by the Commonwealth of Massachusetts. 20.DEPOSIT All deposits made hereunder shall be held in escrow by Steele Associates Real Estate as escrow (fill in name) agent subject to the terms of this agreement and shall be duly accounted for at the time for performance of this agreement. In the event of any disagreement between the parties,the escrow agent shall retain all deposits made under this Agreement pending instructions mutually given by SELLER and BUYER or a court of competent jurisdiction. 21.BUYER's If the BUYER fails to fulfill the BUYER's agreements herein,all deposits made hereunder by the BUYER DEFAULT; shall be retained by the SELLER as liquidated damages and this shall be the SELLER'S sole remedy at DAMAGES law and in equity. 22.RELEASE BY HUS- The SELLER's spouse hereby agrees to join in said deed and to release and convey al] statutory and other BAND OR WIFE rights and interests in said premises_ 23.BROKER AS The Broker(s)named herein joins)in this agreement and become(s)a party hereto,insofar as any provi- PARTY sions of this agreement expressly apply to the Broker(s),and to any amendments or modifications of such provisions to which the Broker(s)agree(s)in writing. 24.LIABILITY OF If the SELLER or BUYER executes this agreement in a representative or fiduciary capacity,only the prin- TRUSTEE, cipal or the estate represented shall be bound,and neither the SELLER or BUYER so executing,nor any SHAREHOLDER, shareholder or beneficiary of any trust,shall be personally liable for any obligation,express or implied, BENEFICIARY,etc. hereunder. 25.WARRANTIES& The BUYER acknowledges that the BUYER has not been influenced to enter into this transaction nor has REPRESEN- he relied upon any warranties or representations not set forth or incorporated in this agreement or TATIONS previously made in writing,except for the following additional warranties and representations,if any, (fill in or state none) made by the SELLER or the Broker(s): *NONE-Property sold as is without warranties and representations of any kind.* 26.MORTGAGE CONTINGENCY CLAUSE (omit if not pro- Cas i O avidedforff to Purchase) ER b a c o c a Sep 08 10 03: 24p Mark Grant 508 385 2311 p. 5 30 27.CONSTRUCTION This instrument,executed in multiple counterparts,is to be construed as a Massachusetts contract,is to OF AGREEMENT take effect as a sealed instrument,sets forth the entire contract between the parties,is binding upon and inures to the benefit of the parties hereto and their respective heirs,devisees,executors,administrators, successors and assigns,and may be cancelled,modified or amended only by a written instrument executed by both the SELLER and the BUYER. If two or more persons are named herein as BUYER their obliga- tions hereunder shall be joint and several: The captions and marginal notes are used only as a matter of convenience and are not to be considered a part of this agreement or to be used in determining the intent of the parties to it. 28.LEAD PAINT The parties acknowledge that,under Massachusetts law,whenever a child or children under six years of LAW age resides in any residential premises in which any paint,plaster or other accessible material contains dangerous levels of lead,the owner of said premises must remove or cover said paint,plaster or other material so as to make it inaccessible to children under six years of age. 29.SMOKEICARBON The SELLER shall,at the lime of the delivery of the deed,deliver a certificate from the fire department of DETECTORS the city or town in which said premises are located stating that said premises have been equipped with approved smoke and carbon monoxide detectors in conformity with applicable law.This applies to residential properties only. C!!"! LLER The parties hereto understand the septic system for premises requires an grade. SELLER hereby rees to obtain a Proposal for such work prior to Closing. The funds for rd workshall be escrowed ual to one and a half times the cost of completing said work and held by R's attorney. The agrees to attempt to get town approval for a five(5)bedroom septic in the front and right side yard if possible;however,in the event the town denies such,BUYER agrees to accept four(4)bedroom septic per listing sheet.Further,should locating system in front and/or right side yard require additional expenses over and above installing system where it is currently located,BUYERS agree to be responsible for such additional cost which shall not be included in the escrow. Septic installation shall include loam and seed with a total cost not to exceed$16,050.00 and a Certificate of Compliance shall be received by BUYERS prior to release of escrow funds to SELLER;and, b)See Rider A attached hereto and made a part hereof. 31.CONTINGENCY Failure ofBUYER(s)to notify the SELLER(s)in writing in regard to above contingencies as aforesaid NOTIFICATION shall be deemed a waiver of these contingencies. FOR RESIDENTIAL PROPERTY CONSTRUCTED PRIOR TO 1978,BUYER MUST ALSO HAVE SIGNED LEAD P.AIVT"PROPERTY TRANSFER NOTIFICATION CERTIFICATION" NOTICE: This is a legal document that creates binding obligations. The parties herein have been advised to consult legal counsel of their choice prior to signing. z � /r , SELLER SELLER L Dwight E.Cogg all O/ C by Pauline Porkka under DPA BU E V i ael roo 9UVV;t - T roo ce Today Re Estate,Inc. - Broker(s) - Steele Associates Real Estate Sep 08 10 03: 24p Mark Grant 508 385 2311 p. 6 RIDER"A" SELLER: DWIGHT E.COGGESHALL BUYER: MICHAEL BROOKE AND TARA BROOKE PROPERTY: 301 PINE STREET,CENTERVILLE,MA 1. NOTICE: All notices required or permitted to be given hereunder shall be in writing and delivered by hand or mailed postage prepaid,by registered or certified mail,by facsimile with proof of transmission addressed to the stated respective representative,or by electronic mail In the case of Seller to: Rebecca C. Richardson, Esq. Wynn&Wynn P.C. 300 Barnstable Road Hyannis,IAA 02601 Tel: 508-775-3665 In case of Buyer to: Bryan W.Reardon,Esquire Dubin&Reardon 1645 Route 28 Centerville, MA 02632 Tel: (508)771-0330 Fax: (508) 778-7624 email: breardorn(t;dubinreardon.corn or in the case of either party to such other addresses as shall be designated by written notice given in such manner to the other party. Mailed notice shall be deemed given upon deposit in the United States Postal Service so long as notice is faxed to the representative stated above, or sent by electronic email, or if given by hand, at the time of delivery or receipt . Each party hereby appoints their respective representative as stated above to be their lawful attorney-in-fact for the purposes of the execution of extensions to time limitations set forth in this Agreement. 2. TAXPAYER CERTIFICATION NUMBER: At the time of the delivery of the Seller's deed, the Seller shall execute and deliver to the Buyer and any title insurance company insuring title to the premises (for the Buyer or for any lender granting mortgage financing to the Buyer with respect to the premises) either(i)affidavits setting forth that the Seller is not a foreign person or foreign corporation and providing the Seller's United States Taxpayer Identification Number, or(ii)such other documentation as is required by Section 1445 of the Internal Revenue Code and any regulations promulgated thereunder that would exempt the Seller and/or exempt the sale of the premises from the provisions of said Section 1445. The Seller agrees to execute and deliver to the Buyer's attorney a certification,signed under the penalties of perjury, of the Seller's taxpayer identification number and of the Seller's present and/or future mailing address. 3. TITLE REOUIREIVENTS: Notwithstanding anything herein contained,the premises shall not be considered to be in compliance with the provisions of this Agreement with respect to the title unless: a. no building, structure,improvement, property, way, or prescriptive rights or easements; belonging to any other person or entity,encroaches upon or under the premises from other premises., Sep 08 10 03: 25p , Mark Grant 508 385 2311 p. 7 b. all structures and improvements on the premises and all means of access to said premises shall be wholly within the lot lines of said premises and shall not encroach upon or under any property not within said lot lines; c. title to the premises is insurable for the benefit of the Buyer,by a title insurance company,in a fee owner's policy of title insurance at normal premium rates, using the American Land Title Association form currently in use,subject only to the printed exceptions to title normally included on the '`jacket"to such form or policy and such other exceptions permitted under Paragraph 4 hereof,, d. the premises shall abut and have legal access to a public way or way or ways over which the Seller shall have an expressly granted right of way to a public way, which right shall be transferable to the Buyer and included in the deed to be delivered hereunder. 4. TITLE INSURANCE: At the time of the delivery of the Seller's deed,the Seller shall execute and deliver affidavits and indemnification forms regarding the following: mechanic's liens, materialman's liens, and parties in possession sufficient to eliminate any title insurance exceptions for these matters. The Seller will execute a survey affidavit as is commonly accepted by any title insurance company providing title insurance with respect to the premises and any affidavits and certificates as are customarily required by a lender granting mortgage financing to the Buyer with respect to mortgage loans for transactions of this type. The Buyer or the Buyer's lender will provide said affidavits, indemnifications and certificates. 5. DELIVERY OF THE PREMISES:At the time of closing SELLER shall deliver the premises to BUYER in broom clean condition with all rubbish,debris,or other items of personal property not otherwise conveyed or remaining at the Premises, removed by SELLER. SELLER shall also deliver to BUYER all keys to the premises and any warranties for appliances, fixtures or improvements. BUYER shall be allowed to inspect the premises immediately prior to the closing to confirm that the premises comply with this paragraph and Paragraph 9 of this Agreement. 6. ACCESS TO PREMISES: Upon reasonable notice to SELLER or the broker(which need not be in writing) and in the presence of Seller or Seller's representative; the BUYER and/or the BUYER's designees, agents and representatives,shall have the right to enter upon the Premises from time to time and make such investigations,surveys,tests, examinations and the like as the BUYER deems necessary or appropriate in connection with the performance of this Agreement. BUYER shall indemnify and hold SELLER harmless for all liability arising out of such entry upon the Premises. 7. FACSIMILE: This Agreement may be executed in multiple counterparts, and may initially be executed by facsimile or electronic (scan and email) signature with an original signature to follow,and as so executed shall constitute one document. 8. REPRESENTATIONS OF SELLER: SELLER represents to BUYER that,to the best of SELLER's knowledge,information and belief, and without undertaking an actual investigation; (a)there are no underground fuel storage tanks on the Premises; (b)there is no asbestos present on the Premises, (c) there is no litigation or proceedings, pending or threatened,against or relating to the Premises; (d)there, are not now, and will not be, any outstanding agreements with any party pursuant to which any parties Sep 08 10 03: 25p Mark Grant 508 385 2311 p. 8 have or could acquire an interest in the Premises(other than outstanding mortgages), including any tenancy and occupancy agreements which affect the Premises and which will survive the closing; and (e)the Premises and the present uses on the Premises are not in violation of applicable zoning, building and subdivision laws and regulations.The representations by Seller in this paragraph shall survive the delivery and recording of the deed. Seller further represents that Seller is not the petitioner in any bankruptcy proceeding,presently or in the past. 9. Seller hereby authorizes conveyancing attorney to obtain payoff information,from Seller's mortgage(s) or other security holder(s)listed below and in connection therewith hereby authorizes any equity mortgage lender(revolving line of credit)to freeze the equity account. The Seller hereby authorizes the mortgagee(s),upon receipt of the payoff funds, to close the account and forward a discharge of the mortgage in accordance with the instructions provided with the payoff check. MORTGAGE(S) 15T MORTGAGE 2ND NORTGAGE Name of Institution: Address: Account Number: Telephone Number: Seller ' Seller Dwight E. Coggeshall by Pauline Porkka-- B r Buyer ha 9firooke Tara Brooke Sep 08 10 03: 23p Mark Grant 508 385 2311 p. 1 of tKE►�. Town of Barnstable Barnstable Regulatory Services Department AA-AmeicaCft 539.ss. Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 70081830000205008925 5/18/2010 D Polly Parker G 4 301 Pine Street Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located 301 Pine Street, Centerville MA was last inspected on May 10, 2010, by Troy Williams, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool. • Liquid depth in cesspool is less than 6"below invert or available volume is han the t/2 day flow. You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement actin dPER F TH BOARD OF HEALTH cKean, R.S., CHO Agent of the Board of Health Commonwealth of Massachusetts Title 5 Official Inspection Form _ s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 301 Pine Street Property Address Polly Parker Owner Owner's Name information is Centerville MA , 02632 May 10, 2010 _ required for Y 'every page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out A. General Information I 1'I forms on the computer,use 1. Inspector: only the tab key to move your Patrick M. O'Connell cursor-do not Name of Inspector use the return key. Septic Inspection Services Co. Company Name t� 189 Cammett Road Company Address Marstons Mllls MA 02648 'nD1 City/Town State Zip Code 508.428:1779 SI 12855 Telephone Number License Number B. Certification certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The:inspection was performed based on my training and experience in the proper function and maintenance of on syto sewage disposal systems. I am a DEP approved system inspector pursuant tq'.Section 45:340 ofI Title 5 (310 CMR 15.000).The system: `` ` ` ❑ Passes ❑ Conditionally Passes ® Fans ❑ Needs Further Evaluation by the Local Approving Authority r l —IILA n)01_�,j May 10, 2010 In ector's Signa u Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. 5/1 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Se ge Disposal System•Page 1 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 301 Pine Street Property Address Polly Parker Owner Owner's Name information is Centerville MA 02632 May 10, 2010 required for Y every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑. I have riot 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 replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiitration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•09/08 Title 5 Official Inspection form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts L Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 301 Pine Street Property Address Polly Parker Owner Owner's Name information is Centerville MA 02632 May 10, 2010 required for Y every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass.inspection if(with approval of Board of Heaith): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: I ❑ 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 301 Pine Street Property Address Polly Parker Owner Owner's Name information is Centerville MA 02632 May 10, 2010 required for Y every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: "*This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or ® ❑ clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet'invert due to an overloaded or clogged SAS or cesspool ® ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than_day flow t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 301 Pine Street Property Address Poles Parker Owner Owner's Name information is Y required for Centerville MA 02632 May 10, 2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ E Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ®. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 16,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 5•'" 301 Pine Street Property Address Polly Parker Owner Owner's Name information is Centerville MA 02632 May 10, 2010 required for Y every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No 0 ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ❑ ® Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): Unknown Number of bedrooms(actual): 5 DESIGN flow based on 310,CMR 15.203 (for example: 110 gpd x#of bedrooms): N/A t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 301 Pine Street Property Address Polly Parker Owner Owner's Name information is Centerville MA 02632 May 10, 2010 required for Y every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: No design standards for cesspools. Number of current residents: ' 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage 108,000 gal. _ 9 ( Y 9 (gpd)): 147 gpd. Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Currentlyoccupied. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Fora' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 301 Pine Street Property Address Polly Parker Owner Owner's Name information is y required for Centerville MA 02632 May 10 2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumped three years ago. Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ® Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form ` Subsurface Sewage Disposal System Form -Not for Voluntary Assessments I M 301 Pine Street Property Address Polly Parker Owner Owner's Name information is y required for Centerville MA 02632 May 10, 2010 every page. CityrFown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Unknown Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 301 Pine Street Property Address t Polly Parker Owner Owner's Name information is required for Centerville MA 02632 May 10, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 301 Pine Street Property Address Polly Parker Owner Owner's Name information is required for Centerville MA 02632 May 10, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: - Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins r 09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 301 Pine Street Property Address Polly Parker Owner Owner's Name information is y required for Centerville MA 02632 May 10, 2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): 1 Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 301 Pine Street Property Address Polly Parker Owner Owner's Name information is Y required for Centerville MA 02632 May 10, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 1 ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Two cesspools seem to share one common overflow pit. Pit has a definite stain line 4-5" below inlet pipes. Town of Barnstable standards require 31"of effective leaching to comply with their 24 hour storage requirements. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Three Depth—top of liquid to inlet invert Two are full to top Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Block Indication of groundwater inflow ❑ Yes ® No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 301 Pine Street Property Address,, Polly Parker Owner Owner's Name information is y required for Centerville MA 02632 May 10 2010 every page. CityrFown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): One is a single cesspool which automatally fails per town standards. Two share a common overflow pit in hydraulic failure. One was empty with solids on top of inlet pipes and other was full to top. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 301 Pine Street Property Address Polly Parker Owner Owner's Name information is Centerville MA 02632 May 10, 2010 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately \ \ \ r r r r r r 4 4 \ r \ \ r 4 4 4 4 v r \'4 \ \ ♦ J / f f I 4 \ \ \ 4 \ \ \ \ ♦ \ \ \ \ \ \ \ \ \ \ \ ♦ \ \ \ f f / f J J / / f ! ! f f f . . A B 1 38 42 2 at grade 3 32 61 S 49 57 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,." 301 Pine Street Property Address Polly Parker Owner Owner's Name information is required for Centerville MA 02632 May 10, 2010 every page. City[Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: N/Afeet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: . Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments IS c M 301 Pine Street c Property Address Polly Parker Owner Owner's Name information is y required for Centerville MA 02632 May 10, 2010 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 L SYSTEM PROFILE ALL SYSTEM COMPONEMAGNETICNTS BE MARKEDTAPE OR Ph1 s PROVIDE WATERTIGHT MIN. 20" DIAM. (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. Rte. 28 CO 0 ACCESS COVERS TO WITHIN 6" OF FIN. GRADE \ TOP FOUND. EL. 53.3' PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE 53.6' MINIMUM .75'�OFCOLVEROV�EECAST 2% SLOPE REQUIRED VER SYSTEM CO shoo/ Q ( c 8" MIN DIAM. ocU I I Jc COVER 4"bSCH40 PVC o. PIPES LEVEL 1ST 2' 2" DOUB�F WASHED PEASTONE S' *51.9' OR GEOT TILE FABRIC n a 49.8 o\AJ��e *51.9' 50.75' TOE 1500 GAL H-10 JTEEiSEPTIC TANK50.50 >1c "o 0 0 0 0 0 "o` o0 51 .5 4' LIQ. LEVEL GAS BAFFLE o o°o°o°o°o°o° °o 0 49.3 1 ' Odd ACME OR EQUAL ° °o°000°o°o°o o`; 49.49' 49.32' 2' ° o00 0 0 0 47.31 ' 6" MIN. SUMP 0 0 0 0 0 0 0 0 0 o c 0 0 0 0 0 0 0 0 0 0 0 0 12" MIN. INT. DIM. H-20 3050 INFILTRATORS 0 0 0 0 0 0 0 0 0 0 o c 0 o a 0 a o a a o a a-8- 6 CRUSHED 3 4" TO 1 1 2" DOUBLE WASHED STONE ~ a >o ey*THE INSTALLER SHALL VERIFY THE 1�i= COMPACTION. (102210[2]jECHANICAL / / LOCATIONS OF ALL UTILITIES AND ALL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 53.7' X 10.25' BUILDING SEWER OUTLETS AND 4.61 ' LOCUS MAP ELEVATIONS PRIOR TO INSTALLING ANY 27'f PORTION OF SEPTIC SYSTEM ( 2 % SLOPE) ( 1 % SLOPE) ( 1 % SLOPE) NOT TO SCALE FOUNDATION- 37' SEPTIC TANK 101 ' D' BOX 3' LEACHING ASSESSORS MAP 228 PARCEL 46-1 (LONGEST RUN) BOTTOM TH-2 42.7' NO GROUNDWATER FOUND G-W ESTIMATED AT EL. 20't TEST HOLE LOGS AS PER TOWN MAP ENGINEER: DANIEL A. OJALA, PE, SE WITNESS: DAVID W. STANTON, RS DATE: 9/27/10 PERC. RATE _ < 2 MIN/INCH SYSTEM DESIGN: CLASS I SOILS P# 13067 GARBAGE DISPOSER IS NOT ALLOWED ELEV. ELEV. 4 Q 4 DESIGN FLOW: 5 BEDROOMS ® 110 GPD = 550 GPD „ 3 p 54.7 p" 54.7' p" 55.0' p" � 55 1' VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE - IMMEDIATELY GRANTED BY THE BOARD OF HEALTH AGENT OR USE A 550 GPD DESIGN FLOW AP Ap Ap Ap BY HEALTH INSPECTOR LS LS LS LS PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED SEPTIC TANK: 550 GPD (2) = 1100 8" 1OYR 3/2 8" 1OYR 3/2 8„ 8 1OYR 3/2 1OYR 3/2 BY THE BOARD OF HEALTH REVISED DURING A PUBLIC " HEARING HELD ON AUG. 4, 2009 USE (1) H-10 1500 GAL. SEPTIC TANK B B B B 3) FAILED SYSTEMS ONLY : SOIL ABSORPTION SYSTEM LEACHING: LS LS LS LS INSTALLATIONS PROPOSED MORE THAN THREE FEET BELOW GRADE WITH PROPER VENTING (PIPED TO THE ATMOSPHERE) SIDES: 2 (53.7 + 10.25) 1.85 (.74) = 175 GPD 36" 1 OYR 6/6 51 7' 36„ 1 OYR 6/6 51 7' 36" 1 OYR 6/6 52 p, 36„ 1 OYR 6/6 52 0' AND WITH H-20 LOADING, BUT IN NO CASE SHALL THE SAS BE LOCATED MORE THAN SIX FEET BELOW GRADE. BOTTOM 53.7 x 10.25 (.74) = 407 GPD TOTAL: 786 S.F. 582 GPD C C PERC PERC C C USE (7) H-20 3050 INFILTRATORS WITH M/CS M/CS M/CS M/CS 2' STONE AT ENDS AND 3' AT SIDES 2.5Y 7/4 2.5Y 7/4 2.5Y 7/4 2.5Y 7/4 TR. SILT TR. SILT TR. SILT TR. SILT MA 132" 43.7' 144" 42.7' 144" 43.0' 144" 43.1 APPROVED DATE BOARD OF HEALTH NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED =12 -83 Srp�~_E REST •51. _ •5L2 _ "5 AS S") EWgIK 1 � _ 50 ' S8 •50.73 APO J�. PAVED 52.84 / DRIVE EXISTING DWELLING s TOP FNDN = 53.3' DR � ss � ' 3.60 NOTES LA . • 3,58 53 5 PAT10 N .,6 PROVIDE GO. a 3.39 1. DATUM IS APPROX. NGVD P.81 .s3.s1 9 000 as 2. MUNICIPAL WATER IS EXISTING 54 C 75 LARGE 54.14 SPRUCES Y DECID. TREE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. ^v N 6 sa SHED 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS TO BE AASHO H-10 54.40 5. PIPE JOINTS TO BE MADE WATERTIGHT. 7 ^-N r.-'-enR BENCH PAD EL 53.9 TOP CF 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 1 CONCRETE PA 310 CMR 15.000 (TITLE 5.) °' •sa 77 TN 1 N r 5a.72 4.98 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO �rH s S5. BE USED FOR LOT LINE STAKING OR ANY OTHER 55 by ss.1s PURPOSE. x 55.06 55.53 6. 0' � •55.09 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 55.70 TH 4 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 5. 2 -55.70 WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. 55.91 'I •55.20 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES ss ss 5� PRIOR TO COMMENCEMENT OF WORK. PROP. VENTv c�+WRcaA� +� 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE � WO �Fl EMBI 56.3a REMOVED 5' BENEATH AND AROUND THE PROPOSED CONSULTATKIN) �0, � '' LOT 1 60,791t S.F. LEACHING FACILITY. 12. EXISTING LEACHING FACILITIES SHALL BE PUMPED AND 55.78 REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. BENCHMARK: USE CONC. BOl1N0 AT ELEV. S5 r 47.05' h I TITLE 5 S O F 301 PINE STREET N CENTERVILLE PREPARED FOR BORTOLOTTI CONSTRUCTION/PORKKA OCTOBER 6, 2010 Scale: 1"= 30' OF MASS � jH OF MA SS9 DANIELA. y�N ��° DANIEL cm 0 15 30 45 60 75 FEET �V -4 o OJALA No.CIVIL � No..40980 �0, S off 508-362-4541 FG/'T� O fax 508-362-9880 �S/ONAL qN SURVEv O f downcope.com wo wn cope engin ee ring, inc. DANIEL DANII--A. r �� ,�. �� civil engineers OSA.�A OJALA 1 land sur ve ors CIVIL ��; 1 No'40980 1 ,Its IN .46;02 l4 � \ / 939 Main Street ( R to 5A) YARMOUTHPORT MA 02675 DATE DANIEL A. OJ/\LA, P.E., P.L.S. 10-207