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Home My WebLink About0716 SOUTH MAIN STREET - Health 16 South Main Street —` Centerville F A = 186 083 i UPC 10259 No.H_3OR NAITING& YN v Massachusetts Department of Environmental Protection Provided by DEP Bu'reau of Resource Protection -Wetlands CEP F,le number WPA Form 3 — Notice of Intent Document Transaction Number Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Barnstable Cityrrown Important: A. General Information When filling out forms on the computer, use 1. Project Location (Note: electronic filers will click on button for GIS locator): only`the tab key to move your 18 Bay Lane Centerville 02632 cursor-do not a.Street Address b.City/Town c.Zip Code use the return key. Latitude and Longitude: d.Latitude e.Longitude Map#186, Parcel#82 _ f.Assessors Map/Plat Number g. Parcel/Lot Number 2. Applicant: Kerry McNamara a.First Name b. Last Name c.Company Note: P.O. Box 1144 Before d.Mailing Address completing this Osterville MA 02655 form consult e.City/rown f.State g.Zip Code your local Conservation 508428-0503 Commission h.Phone Number i.Fax Number j.Email address regarding any . municipal bylaw 3. Property owner(if different from applicant): ❑ .Check if more than one owner or ordinance. a.First Name b a 1V 1�cy\ c.Company - a e D)l d.Mailing Address \. r: SFp tAUG 5 MIN e.City/Town fib, ,Yf.State g.Zi h.Phone Number Fax Nu j.Email address, BARNSTABLE CONSERVATION 4. Representative (if any): ��1L101 S 81-9 Pesce Engineering &Associates a.Firm Edward Pesce P. E. b.Contact Person First Name c.Contact Person Last Name - 451 Raymond Road d.Mailing Address Plymouth MA 02360 ` e.City/Town f.State g.Zip Code 508-743-9206 508-743-0211 epesce@adelphia.net h.Phone Number i.Fax Number j.Email address 5. Total WPA Fee Paid (from NOI Wetland Fee Transmittal Form): $500.00 $237.50 $262.50 a.Total Fee Paid b.State Fee Paid c.Citylrown Fee Paid 6. General Project Description: This project involves the construction of a new single family home, which will be connected to an existing Title 5 septic system. The existing garage/dwelling on the property will remain for a use as a garage and for storage. wpaform3.doc-rev.4/12/06 Page 1 of 7 I �t T Town of Barnstable / Regulatory Services BAMSTABLB. Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 19, 2012 Bank of NY Mellon 7105 Corporate Drive Plano, TX 75024 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 716 South Main Street, Centerville, MA, was inspected on March 14, 2012 by Jim Parziale, Health Inspector for the Town of Barnstable. This inspection was conducted in accordance with the 2006 Barnstable rental registration ordinance requiring yearly inspections of all rental properties. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements Water staining was observed on kitchen ceiling. Exterior siding of dwelling is deteriorating with sections missing You are directed to correct the State Sanitary Code violations listed above within thirty (30) days of your receipt of this notice by repairing water stained areas and eliminating source chronic dampness causing said water staining and repairing exterior siding. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cape Cod and Islands Property Management A Full Service Company (506)428.0503 �nxCs�ac3, �{zs1q�9 TOMCqY l v, �r `atcvM a4 h9 r" Do )9 &" ( J vi-eASe- -rtsp'O �AD weev Le e,� �� 40 . i Town of Barnstable �t Regulatory Services lAIRMAN , Thomas F. Geiler;Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-63 , MrXerry M. McNamara eel" � P. 0. Box 1144 695 Bay Lane Centerville,MA 02632 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 716 South Main Street, Centerville,was inspected on,May 5 b 2002 by Joseph Macumber, Jr., a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed,that your system had"FAILED"under guidelines of 1995 STITLE 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. Our records show that the system has been in a"failed" state for more than two years. You are ordered to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacement septic system component(s). This plan is to be submitted to the Town of Barnstable Public Health Division Office(Regulatory Services, 200 Main Street, Hyannis),within (90) days receipt of this letter. The plan will bring the septic system into compliance with 310 CMR 15.00,The State Environmental Code,Title V. You are also ordered to upgrade or replace the septic system within six months (180) days of your receipt of this letter. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth, You have the option of requesting an adjudicatory hearing pursuant to 310 CMR 15.422, Failure to comply with this order will automatically result in a public hearing scheduled before the Board o ealth. F T BOARD OF HEALTH 'Thomas:A.McKean,R.S.,C.H.O. Agent of the Board of Health a.-/ , ro34- / 0770u At, Ca moo iCi ;L005 r SENDER: COMPLETE THIS SECTION COMPLETE THIS SE . . DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signatur item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Recei y(Printed Name) C. Date f elivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 41 I D. Is delivery address different from item 1. Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No I ( n 11�� I ehnt D It1- hfCAJamQ rc(., I •0 Ox /j y C/ 3. Service Type ❑Certified Mail ❑Express Mail C e R L e p�-I A,i+c {NET ❑ Registered ❑ Return Receipt for Merchandise a,4301- ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) I PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 I UNITED STATES POSTAL SERVICE First-Class Mail.__ t _°" "Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print yourEname'address;-and ZIP.+4 in this-box#*-- I I PUBLIC HEALTH DIVISION TOWN OF B ARNSTABLE 200 MAIN STREET HYAI`4'NIS, MASSACHUSETTS 02601 I I 111lIJI„II.,, I1J„III„ 11, 1,111,,,lil1,1 I I f Town of Barnstable oFt�ram, P� o Regulatory Services SrnB Thomas F. Geiler,Director DAM9�A MASS. ••� Public Health Division lED MA'S a Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-7900-6304 Mr Kerry M. McNamara P. O. Box 1144 695 Bay Lane Centerville, MA 02632 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 716 South Main Street, Centerville, was inspected on, May 5ch 2002 by Joseph Macumber, Jr., a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system had"FAILED"under guidelines of 1995 STITLE 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. Our records show that the system has been in a"failed" state for more than two years. You are ordered to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacement septic system component(s). This plan is to be submitted to the Town of Barnstable Public Health Division Office (Regulatory Services, 200 Main Street, Hyannis),within(90) days receipt of this letter. The plan will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title V. You are also ordered to upgrade or replace the septic system within six months (180) days of your receipt of this letter. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth, You have the option of requesting an adjudicatory hearing pursuant to 310 CMR 15.422. Failure to comply with this order will automatically result in a public hearing scheduled before the Board 2T . alth. =, F BOARD OF HEALTH Thomas A. McKean, R.S.,C.H.O. Agent of the Board of Health Town of Barnstable Regulatory Services Thomas F.Geiler,Director • BAWMAUM MAWPublic Health Division 039. � Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Sewage Permit# W61�-3q I Assessor's Map\ParceA6 2 Designer:' nJQ, , �' Installer: A S Address: y�l y �,� . Address: P.O. On A. iAKnb (�JS �was issued a permit to install a (date) (installer) septic system at MkAJ gT, used on a design drawn by (address) SCJ die_+ASg',, dated � ,s' (designer) I I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or - '-� -- certified as-built by designer to follow. N OF Mgss9c Ivy moo`' EDWARD L. tiN PESCE m (InsTallers Signature) 0 CIVIL No.32001 9 O Q 900 F�/STEPS AL es E�G es�ner ature (Affix Desigrl8l"'''9 Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Healdi/Septic/Designer Certification Form 3-26-04.doc COMPLETE TIUSSECTION ON DELIVERY SENDER:COMPLETE THIS SECTION Ak ■ Complete items 1,2,and 3.Also complete A. Sign item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse Addressee so that we can return the card to you. B. Receiv d by(Printed Name) C..D to of jelivery ■ Attach this card to the back of the mailpiece, r ,� �(, or on the front if space permits. D. Is delivery address different from item 1? ❑ es 1. Article Addressed to: If YES,enter delivery address below: ❑No bOtjq' Ct5 J. Ph-pro %e' OaLYsr 3. Service Type �t2 hV�,c r i/, ❑Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) PS Form 3811,February 2004 Domestio Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVI�C�Fv.:. Cj '-first-Glass'iff'- -Postage&°Fels Paid 1' USPS {` Permit No.G-10 • Sender: Please print y�P f true, address, and ZIP+4 in this box • I PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE j 200 MAIN STREET HYANNIS, MASSACHUSETTS 02601 I I I j I 7ove. 1i1 ►� t�t�lt, tt►<<��►tl►t„Ittt+�lt"„�t,tll��dlt��fsi�l�l m o C3 .. pF cr 0 F F I C I A L U .1 . Postage $ � C3 Certified Fee O U f PQstmark� �y 0 Retum Receipt Fee here (Endorsement Required) O Restricted Delivery Fee p (Endorsement Required) Total Postage&Fees $ 3• 6 USA V'I M 799TO oaaha _. t �'n........................................ r\ Streat,Apt NO.; or PO Box No. C%ty State,ZIP+4 0St A-k e X f 14 o Certified Mail Provides: ■ A mailing receipt (asianay)zooe eunr'000c wjod Sd ■ A unique identifier for your mailpiece f� ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. a Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. Town of Barnstable EVE Tp� Regulatory Services snxrsrnet E Thomas F. Geiler,Director 3 s6;q �a Public Health Division . �0 ArfO MA'S A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Mr Douglas J Ahern P O Box 1144 Osterville, MA 02655 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 716 South Main Street, Centerville,was inspected on, May 5th 2002,by Joseph Macumber, Jr., a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system had"FAILED"under guidelines of 1995 STITLE 5 (310 CMR 15.00) DUE TO THE FOLLOWING: Backup of sewage into facility or system component due to overloaded or clogged SAS and or cesspool. Our records show that the system has been in a"failed" state for more than two years. You are ordered to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacement septic system components(s). This plan is to be submitted to the Town of Barnstable Public Health Division Office(Regulatory Services, 200 Main Street, Hyannis), within 90 days receipt of this letter. The plan will bring the septic stem ( ) Y p P g p Y into compliance with 310 CMR 15.00, The State Environmental Code, Title V. Your are also ordered to upgrade or replace the septic system with six months (180) days of your receipt of this letter. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth, You have the option of requesting an adjudicatory hearing pursuant to 310 CMR 15.422. Failure to comply with this order will automatically result in a public hearing scheduled before the Board of Health. PER ORDER OF T E BOARD OF HEALTH Oas PAMcKea�n, R.S., C.H.O. Agent of the Board of Health ) Postal CERTIFIED MAILTm' RECEIPT n-� rp (Domestic Mail Only;'No Insurance Coverage Provided) ru For delivery informatiorivisit our website at www.usps.conno co Ln Postage ,$ 3°, VA A0 � 2(>' a Certified Fee Q �/ O! O rt Postma ReturnReciept Fee �/ " (Endorsement Required) /i 7S i S � wew b i i cO Restricted Delivery Fee � (Endorsement Required) Total Postage&Fees s p� us 'Im o se t To M - xerr,V.�9... .m----U a ma rc�. Sheet Apt No. or PO Box No. �� City,State.Z ------------------------------------ ------------------ .... e 60te1-11.44 9.- PS Form June 2002everse for Instructions, Certified Mail Provides:■ A mailing receipt (asiana dd)aooa eunr'oo9c imod Sd ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail®or Priorit ail& ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt seance,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"RestrictedUefivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking: If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not.available on mail addressed to APOs and FPOs. 2do5 ygr Town of Barnstable rerm �1 x �FTNE Tp� 1� WOS Regulatory Services BAMSTABLE ; Thomas F. Geiler, Director y MASS. g 039• A Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Mr Kerry M. McNamara ��/� P. O. Box 1144 695 Bay Lane Centerville, MA 02632 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 716 South Main Street, Centerville, was inspected on, May 5ch 2002 by Joseph Macumber, Jr., a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system had"FAILED"under guidelines of 1995 STITLE 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. Our records show that the system has been in a"failed" state for more than two years. You are ordered to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacement septic system component(s). This plan is to be submitted to the Town of Barnstable Public Health Division Office (Regulatory Services, 200 Main Street, Hyannis), within(90) days receipt of this letter. The plan will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title V. You are also ordered to upgrade or replace the septic system within six months (180) days of your receipt of this letter. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth, You have the option of requesting an adjudicatory hearing pursuant to 310 CMR 15.422. Failure to comply with this order will automatically result in a public hearing scheduled before the Board of ealth. A T BOARD OF HEALTH Thomas A. McKean,R.S.,C.H.O. Agent of the Board of Health TOWN OF BARNSTABLE l LOCATION 71K So Nat SEWAGE # X005 VILLAGE ASSESSOR'S MAP & LOT) INSTALLER'S NAME&PHONE NO. LIA yjy.e SEPTIC TANK CAPACITY Sco LEACHING FACILITY: (type) 14 (size) R 3 NO. OF BEDROOMS f BUILDER OR OWNER b P -.) h H a IIG D n/1 O y 10 PERMITDATE: ' ' COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin2 facili ) - ® Feet Furnished by A 37 R�. o 6 TOWN OF BARNSTABLE LOCATION ffl& SOuZI 6' az ��t� SEWAGE # VILLAGE �� ASSESSOR'S MAP & LOT INSTA-LLER'S NAME&PHONE NO. IV 'SEPTIC TANK CAPACITY LEACHING FACILITY: (type) _ (size) NO. OF BEDROOMS BUE69BR OR OWNER PERMITDATE: �AFOMPLIANCE DATE: Separation Distance Between the: 4® a0 Maximum Adjusted Groundwater T .,6 the Bottom of Leaching Facility Feet Private Water Supply Well and LkAing Facility (If any wells exist on site or within 2W feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by .y � TOWN OF BARN, LOCATION X2&� / �j U HSEWAGE #TON VrLLAGE ASSESSES.MAP & LOT INSrTALLER'S NAME & PHONEYNO. .1!S SEPTIC TANK CAPACITY! - ✓ i�f�lil+.'�� ;i� ;tom LEACHING FACILITY: (type) 1� �� ! NO. OF BEDROOMS L-7 BUILDER OR OWNER, A �- PERMIT DATE 1a,u� y"A �O MP`LIANC�iE ... DATE: Separation Distance.Betw,een-the Maximum Adjusted Ground .'ater Table l thOmte, eachinL,Facility Feet 4 .�� Private Water Supply Wel ancitLeaclung FaciLi.t (�rf any wells exist on site or within 200 feet of leachingfiacr ty) Feet f iC° .' /r� N� well sexist Edge of Wetland and Leaching FaciLtj�,(If,� i fz+- W�Jf Feet Xwithin 300 fee f 1 hin Ufa Ili,ty� Furri�/hed by ` e��e Gt ��S�n No. 96 � Fee . THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS t -3* 01pplication for Miopoml pztem Conotruction Permit Application for a Permit to Construct( )Repair( )Upgrade( Abandon( ) [Complete System O Individual Components Location Address or Lot No. I �. �/t'. Owner's Name,�pAdddressd�Tel N�� Assessor's Map/Parcel �A $ 6 is-K/OVK �6 � P4.9& In taller's N ! ss,and Ye Nc; - , 6W Designer's Name,Address and Tel.No. Ae �, !I "20b Type of Building: C.� S6- 2q • Q�G Dwelling No. of Bedrooms / Lot Size H�sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures [� /l Design Flow /—i'j�h n gallons per day. Calculated daily flow 7 Zygallons. Plan Date Number of sheets Z Revision Date Title Size of Septic Tank /� Type of S.A.S. Description of Soil APPA(N. .31)G &LF A+ MQAT aCN.1-S 0 An�l�2(.cryl Nature of Repairs or Alterations(Answer when applicable) AV /Ali w -1k1 `Q ODate last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is d by th' oar of Health. p Signed P D (� Application Approved by & Date j Application Disapproved or the following reason Permit No. cz I I Date Issued � THE CO M6NWEALTH�OF MASSACH S Entered in computer: '. Yes r ' f PUBLIC,HEALTH DIVISION - TOWN OF BARNSTAgLE., MASSAC:HUSETTS ricatiou f'0 -Mioppol *pgtem Conotruchon permit k 1. Application fora Permit to Construct(' )Reptr( ' Upgrade( Abandon( ) ❑ omplete System ❑Individual Components Location Address or Lot No. ST. �� 83 Ower' ame,A 1 G�� V�E �NA �Z _b °uG4 Ase`sor's Map/Parcel 15t 1 L062TY &Are A6, Installer's N Ad '°ss, Te°C_yNo. , fr De igner's Name,Address and Tel.No. E fi ymoMro P610 IPA o2 66 Type of Building: n S 2 3- �G Dwelling No.of Bedrooms Lot Size 9�J sq.ft. Garbage Grinder( #O)U f Other _y Type of Building No.of Persons Showers( ) Cafeteria( ) " Other Fixtures Design Flow / gallons per day. Calc lated daily flow 1 (J gallons. Plan Date /V 0 S Neu }ber of sheets,, Revision Date ZZ ' p 'Title 1EPTTZ Size of Septic Tan//k� 5 n / Type of S.A.S. Description of Soil /`'�P�. -3�� A`�� l�(�A'��'/ 1S Qy I • ure of R pairs or Alterations(Answer'when applicable S 1� '-S�l4rv�0y(1/�y� Ti�MC w SOU VMA11<1 D &AL �° G-1 A ''D'ate'last inspected: T U Z- i Agreement:The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system 1 in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Boar_o, Health. f Signed r'i 1 I �' ` _ l r' OI /� c r') Dat 1 Application Approved by _ �l/ ✓ r �r� r < Date Application Disapproved;for the following reasons a .. Permit No. r Date Issued - THE COMMONWEALTH OF MASSA,CHUSETTS �- BARNSTABLE, MASSACHUSETTS A Certificate of Comprianc'e THIS IS TO CER TIFY, that tle O,-site Sewage Disposal System Constructed ) Repaired ( 'Upgraded( ) Abandon jd 4 )b �� at / / 9L1 rI 14 . as a constructed iq accoi4 nce with the provis ons of Title 5 and the for Disposal System Construction Permit No. '"' ` ated . Installer _4s1'j'j Is Designer - -" The-issuanee of this per;."--..all j�ootf be construed as a guarantee that the sys�e�r�il� r as designed.`i� Date Inspector c ----'-- No. & C/`/ -------------------------Fee_ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migozal bpeUm_ Con!�truction Permit Permission is hereby granted t9�Cons t( )Repair(/�Upgrade( r)Abandon 4 ) System located at 7 /�' n r cS?-.. X/ 1 'e and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provide(P Constructi n'mJust a completed within three years of the dale of this p t Date: / �� Approved`b3, 3�?sl6s_..__. i�. 4L-wen.,e.e ® ® :iOW gF BARNSIABLE 2005 MAR -8 PM y: 22 March 7, 2005 www cottonrexom D��+iS10N Thomas A. McKean, RS, CHO Director of Public Health Town of Barnstable 200 Main Street Hyannis, MA 02601 Dear Director McKean: I was forwarded a copy of the enclosed letter from your department.dated March 1, 2005 directed to the current owner, the daughter of Althea A. Eddy, for property located at 716 South Main Street, Centerville, Massachusetts shown on Map 186 as Parcel 083, containing .47 acres. There is contiguous property consisting of a four car carriage house with apartment above shown as Parcel 082 on the same map containing 1.61 acres. The owners are asking for release from the order to begin'work designing and installing a new septic system on this property. The property is currently on the market for sale and has been for upward of nine months. Both dwellings are currently uninhabited and in fact the carriage house has no heat; heat and water are turned off at the main house. The sellers have no intention of inhabiting the property until a buyer agrees to purchase the property and undertake the significant amount of renovation that is required to make both dwellings habitable. The concern of the owners that if they install a new septic system now it could possibly wind up in a location not appropriate for a new buyer who may want to add on to or otherwise modify the main dwelling. I'm happy to make an appointment to show you the property f;)7�*!fand. Please feel free to call me with any questions. My direct dial number is 508-957-5500 and my cell phone is 508-776- 0009. Again, the seller/owner is looking for release from this directive with the understanding that a new buyer would be responsible for designing and installing two new septic systems. Sincerely, ' - ac Co JC/ bl n,losure v 851 MAIN STREET OSTERVILLE, MA 02655 508.428.9115 FAX 508-420.3161 248 STEVENS STREET HYANNIS, MA 02601 508-775-0900 FAX 508-775.9222 homes@cottonre.com �P�O�tHE rpjy�O Town of Barnstable Regulatory Services sAMSTABLE. * Thomas F. Geiler,Director 9 MASS. g 16,39. ,e Public Health Division ArED MA'S A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Althea A Eddy March 1, 2005 1521 Liberty Lake Rd. Red House,Va. 23963 NON_COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 716 South Main St. Centerville was inspected on, 5/3/2002 by Joseph Macomber Jr. a Massachusetts licensed septic inspector. The inspection,of your septic:.system.showed that your.system has failed under the guidelines of 1995 TITLE 5.(310 CMR 15.00) due to the following: Backup _!sewage into facility:or_system component.due,to.-.overloaded or clogged SAS.-or cesspool: Our.records show-that the,system has been in a failed state for more than two years. : You;..are. ordered to:hire=a professional engineer or,registered sanitarian to:prepare a plan of. proposed replacement :septic system. component(s).:;This (plan~is to be submitted to, .the:.Town of Barnstable Public Health Division Office (Regulatory Services, 200 Main Street,Hyannis),within (90) days receipt of this letter. The plan will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title V. You are a lso o rdered t o u pgrade o r r eplace t he s eptic s ystem w ithin s ix months (180) days o f y our receipt of this letter. Any person aggrieved by any order issued by the local approval authority may appeal to any c ourt o f competent jurisdiction as provided for by the laws of the Commonwealth. You have the option of requesting an adjudicatory hearing pursuant to 310 CMR 15.422 Failure to comply with this order will automatically result in a public hearing scheduled before the Board of Health. T BOARD OF HEALTH Thomas A. McKean,R.S., Agent of the Board of Health CC: Board of Health k/failed_septic_letters FAILED INSPECTION DATE. 5/3/02 ----- .j - PROPERTY ADDRESS: 716 South Main Street ----------------------- Centerville , Mass . ------------------------ ------------------------ On the above date, I Inspected the septic system at the above address. This system consists of the following: MAP Q 1 . 1-1000 gallon holding tank . PARCEL ' ®� 2 . 10 ' X12 ' leaching area . LOT Based on my inspection, I certify the following conditions: 3 . This is not a title five septic system. 4 . Age of system uknown . Before 1960 5 . The la-e.ching field is in hydraulic failure . 6 . The existing system was filled to capacity . 7 . Pumped system at time of inspection . 8 . A new Title five septic system needs to be ins alled . -9 . Water table at rear of house is less than 2 ' SIGNATURE: , Name:-7 Macomber r.--_ —. Company : Joseph_P_ Macomber_& Son , Inc . Address: Box 66 --Centerville , Ma_-02632-0066 Phone: 508-775-3338 --------------------- THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY Wra JOSEPH P. MACOMBER & SON, INC. Tanks Cesspools Leachflelds Pumped & Installed Town Sewer Connections P.O. Box 66 Centerville, MA 02632 0066 775.3338 775.6412 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ]ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: Kimberly Eddy 716 South Main treat Owner's Name: Centerville .Mass . Owner's Address: 191 Dwellay Straal- PPmhraka � Macc _ n93c;Q Date of Inspection:5/3/0 2 Name of Inspector: (please print) Joseph P. Macomber Jr . Company Name: J. P .Macomber & Son Inc . Mailing Address: Box 66 CentPrvilla, Mnss 02632 Telephone Number:508-775-3338 3 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes _ Conditionally Passes /Needs Further Evaluation by the Local Approving Authority!s Fa i Inspector's Signature: Date: — The system inspector shal 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 authorit},. Notes and Comments """This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of I 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A 5✓A CERTIFICATION (continued) Property Address: 716 Main Street en ervi e , ass . Owner: Kimberly Eddy Date of Inspection: 5/3/02 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: 00 1 have not found any info ' n 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: The septic system is in failure . A new septic system needs to ha installed - Probably in frowfyal ;�, South Main street side . B. System Conditionally Passes: IfIb One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y,N,ND) in the for the following statements. If"not determined" please explain. ,U6 The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. 'A metal sepric tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: d/ lltbservation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: ILIP The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 f Page 3 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 716 South Main Street Centerville ,Mass . Owner: Kimberly Eddy Date of Inspection: 5/3/0 2 C. Further Evaluation is Required by the Board of Health: _4) Conditions exist which require funher 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: V Cesspool or privy is within 50 feet of a surface water Vt Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health,safety and environment: VO 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. le"o The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. J,V The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. A The system has a septic tank and SAS and the SAS is less than 1 0 feet bu 0 feet or more from a private �Nater supply well'•. Method used to determine distance "This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of I I 'OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 716 South Main Street Centerville , Mass . Owner:Kirnberiy Eddy Date of inspection: 5/3/02 D. System Failure Criteria applicable to all systems: You must indicate "yes" or"no" to each of the following for all inspections: Yes No _ Backuo of sewaee into facility or system component due to overloaded or clo eed 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 _f dve� Static liquid level in the91t tion bo above outlet invert due to an overloaded or clogged SAS or cesspool ,�,,q / X0 �,'��'lo, squid depth in;crss94e+is less than 6"below invert or available volume is less than 'h day now Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped L. _ y 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 I of a public well. :z�ny 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 qualiry analysis. (This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates thatYhe well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A cop)• of the analysis must be attached to this form.) (Yes'No)The system fails, I have determined that one or more of the above failure criteria exist as described in 310 CMR 15 303. therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either yes"or"no" to each of the following: (The following criteria apply to large systems in addition to the criteria above) .es no/ 1 the system is within 400 feet of a surface drinking water supply 1/e system is within 200 feet of a tributary to a surface drinking water supply T _ _ the system is located in a nitrogen sensitive area (interim Wellhead Protection Area— IWPA)or a mapped Zone 11 of a public water supply well 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. 4 Page 5 of 1 I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 716 Main Street Centerville ,Mass . Owner: Kimberly Eddy Date of Inspection: 5/3/0 2 Check if the following have been done. You must indicate`yes"or"no" as to each of the following: Yes No 7Pumping information was provided by the owner, occupant, or Board of Health ere 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 /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,icluding 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 ? _4, 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: Yes no Existing information. For example, a plan at the Board of Health. L� Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) (310 CMR 15.302(3)(b)] 5 Page 6 of 1 I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 716 South Main Street Centerville ,Mass . Owner:Kimberly Eddy Date of Inspection: 5/3/0 2 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):� Number of bedrooms(actual);s DESIGN flow based on 310 CMR 15.203 (for example: 1 10 gpd x # of bedrooms): J� Number of current residents: 0 Does residence have a garbage grinder(yes or no): 00 Is laundry on a separate sewage system yes or no): 410 [if yes separate inspection required] Laundry system inspected(yes or no): $ Seasonal use: (yes or no): ' Water meter readings, if available (last 2 years usage (gpd)):2 0 00—8 , 000 gallons=21 . 92 GPD Sump pump(yes orno): 2001-16 , 000 gallons=43 . 84 GPD Last date of occupancy: COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): _ �i¢ gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):AZY Industrial waste holding tank present (yes or no): Non-sanitary waste discharged to the Title 5 system (yes or no):140 Water meter readings, if available: Last date of occupancy/use: .424. OTHER(describe): GENERAL INFORMATION Pumping Records Source of information. Was system pumped as pan of the inspection (yes or no): If yes, volume pumped:/4 gallons -- How was uantity pumped determined? Reason for pumping: /d C TYPE OF SYSTEM Septic tank, TM�h�rtion F�nx, soil absorption system Single cesspool �U Overflow cesspool Privy 4'_,Shared system(yes or no)(if yes,attach previous inspection records, if any) ;�� Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank /(1�Attach a copy of the DEP approval /4]00ther(describe): Approxima�f'oZL8c1te f al omponents _4 ate installed (if known)and source of information: Were sewage odors detected when arriving at the site(yes or no):-e�? 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 716 South Main Street Centerville ,Mass . Owner: Kimberly Eddy Date of Inspection: 5/3/0 2 BUILDING SEWER (locate on site plan) Depth below grade: Materials of construction: cast iron 4140 PVC Zother(explain): - J� Distance from private water supply well or suction l ine;,V l'- Comments (on condition ofjoints, venting, evidence of leakage, etc.): Joints appear tight . No Pvi dpnrP of 1 PnknaP -5-3j-st,-m is vented through the house vent . SEPTIC TANK: (locate on site plan)74_14;� Depth below grade: Material of construction: _k!�concrete jmetaWd fiberglass 4Uc)polyethylene �other(explain) &d 1 f tank is metal list age:A d is age confirmed by a Certificate of Compliance (yes or no):40(attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: _ I Distance from top of scum to top of outlet tee or baffle: Q Distance from bottom of scum to bo !!,orn, of o tlet tee or baffle: C How were dimensions determined ��5� Comments(on pumping recommendations, inlet and outlet tee or baffle condition, srructural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Once new System i s installed ThP tastk should bepumped Avery 2-3 years Inlet & nutlet tgg,c! ase in place..The rank Js structurally sound and shows no evidence of leakage . GREASE TRA Alocate on site plan) Depth below grade:Abo Material of constructionil�concrete,�metay�fiberglassti/polyethylenesother (explain): w 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:1t�w 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 is not present 7 Page 8 of I 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 716 South Main Street Centerville .Mass . Owner.Kimberly Eddy Date of Inspection: 5/3/D 2 TIGHT or HOLDING TANKe&1,(tank must be pumped at time of inspect ion)(locate on site plan) Depth below grade: -1//2 Material of construction:,4�1 concrete�metal,4!fiberglass&L,4 polyethylene,&�Lother(explain): Dimensions: AJA Capacity: gallons Design flo'A /L' gallons/day Alarm present (yes or no): Alarm level: A,�V Alarm in working order(yes or no):,k Date of last pumping: 41,4 Comments (condition of alarm and float switches, etc.): Tight or holding tanks are not present DISTRIBUTION BOX,( .5 (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: .40 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.): Distribution box is not present PUMP CHAMBER4I&A�L(locate on site plan) Pumps in working order(yes or no): L&4 Alarms in working order(yes or no): Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Pump chamber is not present s I 8 t— Page 9 of I 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 716 South Main Street e n t e r v i e , ass . Owner: Kimber y E y Date of Inspection:5 3 0 2 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan,excavation not required) 10 ' X12 ' Leaching field . Field is in hydraulic failure . A new septic system needs to be pumped . If SAS not located explain why: Located : See page 10 Type _,Vp leaching pits, number:G_ .()D leaching chambers, number: 0 L leaching galleries, number: ,J& leaching trenches,number, length: U leaching fields,number, dimensions/d'I5C�,7 overflow cesspool, number: innovative/alternative system Type/name of technology-rye/, /Yeo Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Loamy sand to medium sand .Leaching ares is in hydraulic failure .Leaching area completely saturated . Soiis are wet . Vegetation lush & green . A new septic system needs to be installed . CESSPOOLS(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Q Depth—top of liquid to inlet invert: Depth of solids layer: >(/ Depth of scum laver: Dimensions of cesspool: Materials of construction: AM Indication of groundwater inflow(yes or no): 10 Comments (note condition of soil, si ns of hydraulic failure, level of ponding,condition of vegetation, etc.): Cesspools are not present . PRIVYt,61��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.): Privy iS not present - 9 pagc 10 or I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART C SYSTEM INFORMATION (continucd) Properry nddress: 716 South Main Street entervi e , ass . Owocr: _Kimberly Eddy Ds tc of lnspcctioo: 5/3/02 SKETCH OF SEWAGE DISPOSAL SYSTEM P7oridc a sketch or the sewage disposal system including tics to at least two permanent reference landmarks or Denc"LiXi. Lome all wells within 100 (cm Lomc whcrc public wtter supply enters the building. �►L (> Cad, haStn s 10 r Pale I 1 of 1 I 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 716 South Main Street entervi e , ass . Owner: Kimberly Eddy Date of Inspection: 2 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate (check)all methods used to determine the high ground water elevation: Obtained from system design plans on record - If checked, date of design plan reviewed: ObservYwith locao=aro 2alth-explain: bservation hole within 150 feet of SAS) �C eck 40 Checked with local excavators, installers- attach documentation) Accessed USGS database-explain: , You must describe how you established the high ground water elevation: Tup of Ground Leaching field 'eet r� Groundwater: Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method Therefore, the eS i al separation distance between the bottom of the leachingTtFand the adjusted,,��,,rroundwater to l feet. i S 16�j i,J f�dJ,dSfi.�h iZ it " r ' rrrnr+r.-ntT'i*-•rrrnrmr•nmrrs•�rn rt+•rrrm:•n++•.r�n:�+�-rnmermly na�+-renrrn ��r,..--.r-. Barnstable � TOWN OF BOARD OF HEALTH I SUBSURFACE SF.NACE DISPOSAL SYSTEM INSPECTION FORM - PART D.- CERTIFICATION •••T!•1�T•••••t—�.1 t).��•'rl n T.'lll'n.•1!I TIT S-C'lI TTIT'r—!.'I n11'TR!t iTRr1 T'101T1�Rf7tTf tilt �..,I -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRES$ 716 South Main Street Centerville , Mass . ' ASSESSORS MAP , BLOCK AND PARCEL # 186/083 OWNER' s NAME Kimberly Eddy PART D - CERTIFICATION NAME OF INSPECTOR Joseph P .Macomber Jr . COMPANY NAME J . P . Macomber & Son Inc -r COMPANY ADDRESS Box 66 Centerville , Mass . 02632 Street Town or City State LIP COMPANY TELEPHONE (508 ) 775 _ 3338 FAX ( 508 ) 790 - 1578 R CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposaj system at this address and that the information reported is true', accurate , and omplete 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 . • n i Illi,ll Check one ; Systeci PASSED , The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 16 , 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* \ The inspection which I have con 'Ucted has found that the system fails to Protect the i)ublic health and the environment in accordance with Title 5 , 3.10 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form , Inspector Signature Dat- copy of this rt1fication must be provided to the OWNER, the BUYER One where applicable ) and the BOARD OF HEAL7'1I, * ayete It the inspection FAILED , th"e owner or ��operator shall u within one year of the date of the inspection , unless allowweddorthe requiredm otherwise as provided in 3.10 ChIR 15 . 305 , partd . doc CENTER VILLE OF syE SB/DH `�� EOWARU L. G \ \ PESCE \ \ CIVIL No.32801 \ PROP. ROAD 1500 GAL i �' LOCUS TANK / BE REMO vT` 9 f EACH ROAD / --- PROP. B 10 O GAL ��° - OS 'PUMP r \ L ' CHAMBER - p/T E a1i � I w � w Off , � / w 1 a-r--- 'i• US MAP , 71 ' LCR DISK LOCUS 1 T.O.F. EL!=9.5' ASSESSORS MAP 86 PARCEL 83 (G.I.S. i) PLAN RE 312177 / j , ;► %'BENCHMARK DEED REF 3083/129 EXISTII►�G,�� \ ?O ��.fs, ;TOP OF CATCH ZONING. "RD-1" / 7TANK L \ r W WN h•9 fNC BASIN ELEV. — GROUNDWATER PROTECTION 18 R OVERLAY DISTRICT "AP" (TO BE REMO VE)7,� \ ENE 8. O (G.I.S.+) , W % FLOOD ZONE. "A-10" (BFE=11.0) 18 o f , - _ZF C4 is w - 0 o \ ; SEPTIC REPAIR PLAN DRAIN I f = • +� WETLAND .\ ,�N; ¢ f �4�i LOCATED' AT I c� f ;; f AIN STREET : ,_- 716 SOUTH M I NOTE- " � � f I \ l ` J CROSSING OF NEW ' CENTER VILLE; MA. PRESSURE FORCE MAIN BRUSH ' I 4�, PREPARED FOR. I SHALL BE LOCATED 18" } ��•, I �3' DIANA MCDONO UGH MIN. BELO W THE EXISTING ,.�V r-- ♦ •• ; / I WATER MAIN IrIq W �(r) VEW SCALE- I" =30' / s\ BRUSH i JUNE 8, 2005 AM 186 PAR— 83 REV- JUNE 22, 2005 AREA=19, 773-i IS.F !� �• �� REV OF A14S.S i n - / ;l 1' o �� "T�aF,cs • REV.• STEPHEN J. OY PESCE ENGINEERING & ASSOCIATES C 451 RAYMOND ROAD - - � \ PLYMOUTH, MA 02360 IOC,, i O s sup �, EPESCE@ADELPHIA.NET PH.(508)743-9206 SHEET I OF 2 J 538948 GM M1. ALARM AND CONTROL PANEL 7V BE INSTALLED INS,DE BUILDING SILL ELEV.= 9.5' ALARM M BE ON SE.ARATE CIRCUIT FROM PUMP 7vwN ELECTRICAL PEI�IT AND INSPECTION REQUIRED f -90' MIN. F 10' MIN. ALL CONCRETE COVERS AUX77UCAL BOX CONCRETE 2 8A-YE 11 " 2" PRESSURE LINE 1/B"-1�2" SLOPE 7b DRAIN COVER 4" SCHEDULE BA4K 7b PC MIN. PITCH 118 PER FT. PERFORATED PIPE double WASHED S70NE MAXi i i . NCH 80 PVC , , , , , , , , / , EL=8.65 MIN. a 4" CAST IRON PIPE EL,=4.30' e"MAX . . . i i i / SY' . . . i �W (OR EQUAL, MINIMUM "j 9 PI7CH 114 PER FT. CLEAN SAND 1 _ �'_ MIN. S=0.005 EL=7.9' { �o (EXIST. HOUSE) -- I 1 to�A' LINE L.=_7_4' h Z Cy INVERT U MIN. 14" !/4"BLMM?BOLE . 0 0 0 0 00 Coco o °° o EL.= 4.83_ INVERT uRv ON EL.=3 5 LEVEL ° •, 0 3/�4" 7TJ 1-7�2"0°0 0 0 0° C 6 9, =B O ' ° 0 0 ° ° DOUBLE WASHED S7tINE °o°� ° V -- — O� ELFRZ .=4.45' PUMP ON IZ EL. ::: ;!,!;" _ Q a O INVERT INVERT PUVP Osr B" CH6L^K VALVE EL.=7 8 �•,,, , :;CLEAN SAND FILL ,... . ..... :.i 4_70' 'P" DISTRIBUTION -z z5 DER 310 CMR 1...255;s.......;; ; NEW 1500 GAL. (70 BE PLACED ON FIRM BASE) �, ,� ,,,,•• ,•,,.......... ""'"""""""' •,,,•••,• 1 000 18'x 35' LEACHING FIELD i SEPTIC TANK __ BOX WITH T 5.o' _ ___GALLONS 7�J BE WATER TESTED PUMP STA TION IF MORE THAN ONE OUTLET STRIPOUT AREA SOIL ABSORPTION WATERPROOF AT FACTORY PLACE ON 6" S719NE SYSTEM (SAS) HIGH GROUND WATER EL= 1.9' ADJUSTED 716 SOUTH MAIN STREET zDELLER "WASTEMATE" � PROFILE OF SUBMEASABLE MODEL M282 1/2 HP PUMP INDEX WELL M.I. W.-29, ZONE A, GW ADJ.=0.5' SEWAGE DISPOSAL SYSTEM EL._,.21' OBSERVED GROUND WATER EL= 1. 4 NOT TO SCALE ' OBSERVATION HOLE 1 it PERCOLATION. RATE c2__ MIN. INCH DEPTH HORM TEXTURE COLOR MOTTI ELEV. DATE OF SOIL TESTS 5112105 GENERAL NOTES 0-17" A SANDY LOAM 5.79' WITNESSED BY. DONALD DESNARIS SOIL TEST DONE BY EDWARD PE4CE PE 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 17-30" B LOAMY SAND IOYR 516 / 4.71' TITLE 5 AND THE TOWN OF _ BARNSTA61.E _ RULES AND 070" REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 30"-120 C MEDIUM SAND 0YR 518 L-_F.79' = 1.1w 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO f _ WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" GROUND WATER ENCOUNTERED ® 70" 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF PERC TEST PERFORMED AT 48" DEPTH WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN DESIGN CA L C ULA TIO US." 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL NUMBER OF BEDROOMS . . . . . . . . BE MORTERED IN PLACE. GARBAGE DISPOSAL . . . . . . . . . NO 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH TOTAL ESTIMATED FLOW DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. ( _ 110 _GAL./BR./DAY x _ 4 _ BR.) 440 GAL/DA Y 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR REQUIRED SEPTIC TANK CAPACITY 1500 GAL IS TO CALL 'DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS ' PRIOR TO COMMENCING WORK ON SITE. 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS INSTALL 18' x 35' LEACHING FIELD ( WITH CRUSHED STONE) SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. 8) PARCEL IS IN FLOOD ZONE---A-10 ___. SOIL CLASSIFICATION . . . . . . . . I 9) LOT IS SHOWN ON ASSESSORS MAP _18B AS PARCEL _83 __. DESIGN PERCOLATION RATE . . . . . LAB TEST MIN/IN 10) NO PRIVATE WATER SUPPLY WELL EXISTS WITHIN 150' OF SAS EFFLUENT LOADING RATE . . . . . . . 74 GAL/DA Y/S.F. 11) PUMP AND REMOVE EXISTING CESSPOOLS TOTAL LEACHING CAPACITY 466.20 GAL/DA Y 12) PUMP ELECTRICAL PANEL TO BE ON SEPARATE CIRCUIT. 13) THE FORCE MAIN SHALL BE CONSTRUCTED TO DRAIN BACK TO PUMP CHAMBER BOTTOM AREA: (18'X 35)(. 74)=466.20 GALIDA Y 14) THE ALARM SHALL CONSIST OF A RED LIGHT WITH AUDIBLE BELL { SIDE WALL AREA: N/A 15 AT ALL BENDS ON FORCE MAIN, 1 CF MIN.OF CONCRETE THRUST BLOCKING IS REQUIRED. REV DUNE 5 2005 ) � SHEET 2 OF 2 JUNE 8, 2005 J# 538948 ` I CENTERVILLE LEGEND: SHEDS TO # LIGHT POLE X„A,yo� BE REMOVED. ® CATCH BASIN PRO,, °Z TEST HOLE — I O MANHOLE —W— WATER SERVICE —GAS— GAS SERVICE UTILITY POLE LOCUS ELEC.— ELECTRIC SERVICE RpAD Ln D O / alr Ab Z o ''L rrn ` LOCUS MAP �9jOgj'J!r PLAN REF: 312/77 ax gee pu ez �L g TITLE REF: 20071/251 LC!B?PAN SY-1 �\ $f - ASSESSORS MAP: 186 PARCEL 082 0�� y FLOOD ZONE: "A-10" (BFE=11.0) OOI _ �a* I 1 / j GROUNDWATER �PROT. OVERLAY DIST. AP' ZONING: S SETBACKS: 130'FRONT 10'SIDES & REAR AL sae• � a+ccb• t as Ar as Q PLAN TO ACCOMPANY TOWN OF BARNSTABLE T 20' mft O NOTICE OF INTENT "VEGETATED WETLAND" / ` o \ // LOCATED AT: VOL COMPENSATORY 1%0 � \ \ i STORAGE AND 18 BAY LANE � F REPLICATION AREA CEN TER VI LLE, MA. PROPOSED - a SPLIT RA/L PREPARED FOR APPLICANT: FENCE �_ i a EDWAAD L. �G o \\ // o PESCE a /45 o , Civil -� KERRY M . McNAMARA MASSACHUSETTS COALITION OF CONSERVATION �` . ` 4 / / Q J�� NO.32001 COMMISION WETLAND SEED MIX TO EXTEND THE c Q /� Q�ram. %% 4 � � �•'a r / j �p 9Fp EO �4 BORDERING VEGETATED WETLAND AND WILDLIFE HABITAT WITHIN THE UPLAND TO BE EXCAVATED y L ro ♦ % ( O L � AS COMPENSATORY STORAGE FOR STORMWATER � ♦ �\ �. TOWN OF BARNSTABLE ' ! ': =_=_ � i SCALE: 1"=40' R � o d "VEGETATED WETLAND" ` q��R• ` _ �E 1 i , �""C/ AREA TO BE ALTERED . 163f S.F. o° . ,�'A Ga REV: 08/23/06 . E �, w 5.. ENGINEERING GRAPHIC SCALE �g r ,// REV: 09/22/06 &ASSOCIATES 40 0 20 40 So 160 \W ( 0 REV: 10/08/06 �R , Edward L Pesce,'P_F. 7�,/ n 451 RAYMOND RD e` PLYMOUTH, MA 02360 :r�. REV: 12/11 /06 ' epesce0comcast.net Phone:508-743-9206 ( IN FEET ) z_ �� BENC" REV: .07/24/07 cel1:508-333-7630 FAX:508-743-0211 1 inch = 40 ft. %,�' TOP OF CATCH BASIN ELEV.=B.9 (G.LS.fj REV: 08/10/07 SHEET 1 OF 2 J#1074G