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HomeMy WebLinkAbout0081 THREAD NEEDLE LANE - Health 81 Thread Needle Lane Centerville A=210 079 008 S M E A DR No. H163OR UPC 10259 smead.com • Made in USA �J 2 � =Lys _vim � Q� a s � TOWN OF BARNSTABLE LOCATION SEWAGE# ZO%5- 03y �',LLAGE Cc.nAcr u ►1 L ASSESSOR'S MAP&PARCEL Z10 I y79 INSTALLER'S NAME&PHONE NO. JG B EXC(3,.VmJ,o/\ 4'J') - 0653 SEPTIC TANK CAPACITY /SOO LEACHING FACILITY: (type) peril� p;pc- (size) IS x 140 x L NO. OF BEDROOMS �} OWNER.PERMIT DATE: 2- 20 - /S COMPLIANCE DATE: t, q11, / 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 AN- i9 �4z• zo GZ•37 G A3• ZG`3" S R EA R i33' 4s Ay By yy A5 yz, 5 • � G AG' 1,s 6 NO. G 03 THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH To\,v n OF n�q 4d 1 b APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components $1 Thread N eery le, Lan , Centerville) f�aV Sean Hu t.}}ne.r `1 i c,, anon81 Thre.�arl NPedlc, ne,,Cen-��xvillP.� 4/Parcel# Address 508•a'14- o oa 4 Lot Telephon # f3 13 FXcay ion Tnc . UH Associates Installer's Name Designer's N e 14 TerAbtrrq Lpne 4 Fores}dale, 32o Co+�i+ Rr� 4 dwich Sa- j- 07109 �08 S33ddreo04 i Telephone# Telephone# Type of Building: Res i d en+I q I Lot Size Sq.feet Dwelling—No.of Bedrooms 4 Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) 446_gpd Calculated design flow �l y gpd Design flow provided 4y gpd Plan: Date 1 i-1 I I` Number of sheets _1 Revision Date —` Title Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and fu er agrees n la ystem i Aeration until a Certificate of Compliance has been issued by the Board of Health. Si glued Date ^� Inspections FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 (93 ' p No. / THE COMMONWEALT>WOF�MASSACHUSETTS FEE I Q\, — µ•me .. , BOARD O riEALTH OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permitto Construct ( ) Repair ( ) Upgrade ( j Abandon ( ) ❑Complete System ❑Individual Components 81 Threcd Nadic, Lam , Ceniervlllc-� Mnyq Tenn & One r ation Owner's Name rl �� r�-'70 1-nnc-SCMerville, Ma /Parcel# Address 503-'�14 0014 Lot# Telephone# ( EXCt�\iciio1 ,Tnc,. A3566nteS Installer's Name Designer's Name f4 t �IrLc ; Fnres}�Iralc 3Z� Cof�lt CZrI , rlrlWll �i Ter� I Address' Address 50b-- 4-77- 0-1(-(6 5o� 3; 3- 00tit .. ` Telephone# Telephone# Type of Building: Lot Size Sq.feet Dwelling—No.of Bedrooms Garbage Grinder Other—Type of Building No.of persons Showers ( ), Cafeteria �y 4 Other fixtures Design Flow(min.required)gpd Calculated design flow gpd Design flow provided Hq 0 gpd Plan: Date 7 /4 14 Number of sheets . Revision Date Title Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS , n The undersigned agrees to install f4 above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and fu er agrees n plo- ystem in perotion until a Certificate of Compliance has been issued by the Board of Health. Signed Date 2 r,2�0 : 1 Inspections FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No.c3bl �— � y THE COMMONWEALTH OF MASSACHUSETTS FEE �l'�"(JYr�-��__�• 'b BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: N at 81 ( I has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. O 3� dated a - 2 G— ► 5 Approved Design Flow t (gpd) Installer e Designer: Inspector : > Date Ll I Q, The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No. C7 0 THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( � ) Repai ( ✓)✓U ade ( ) Abandon ( ) an individual sewage disposal system at 7 } ✓ �� G� / as described in the application for Disposal System Construction Permit No. _6 3 t dated Z U Provided: Construction shall be completed within three years of the date of this-perm-if—All los 1 conditions must be mete Date 4:� G Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 / FORM 1255 (REV 5/96) H&W HOBBS&WARREN'm PUBLISHERS- BOSTON i Town of Barnstable Regulatory Services Thomas F.Geller,Director w Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-9624644 Fax: 508-790-6304 Installer&Designer Certification Form Date: `f".Z¢'/ Sewage Permit# 20/4;"—3 S Assessor's Map\Parcel2/lD 7? Designer: Installer: Installer: gliQ7T0li! Address: 3 ��s,,,��� Address: r� T'gr as z3 on z-.�o —6 =L->y Aa�rBl�was issued a permit to install a (date) (miler) septic system at e % hyi d el �� based on a design drawn by (address)Te1 .C... t1,00l , 5 dated r' / (diner) ✓ 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 distnhon box and/or septic tank. -j�— 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. �t1tOF�ss4 . AW {CX..7(5� m (Installer's Si e) VON NONE #1068.Q d S,�G7STEP� (� 01N1TAaOP . (Designer's Signature) (Affix Designer's Stamp Here) ELSAN RKUM TO &A_RNU_A" UDUC HEALTH D ON. CERTMUCATE Of CO NOT 0E MLMD UNTIL no= IM RM BUILT CARDARE RECEIVED BY TDE BARNUABLE PURL HEALTH DIVLSION. THAW YOU. Q:HeatdVSepddDesigw C ftfication Rum 3-26-04.doc pf a 5-144 d�/ �' �o 'kiff-av ka). AarH /W cwo '0 101/4 MY* 4 PW Ad CoyyPCAf% I i i I. o i { I n r 8FIE4@ Tp� Barnstable Town of Barnstable r� adcaC i MAS& Board of Health 639� 1�� Ar fA 5 200 Main Street, Hyannis MA 0.2601 2007 Office: 508-8624644 Wayne Miller,M.D. FAX: 508-790-6304' Paul Canniff,D.M.D. Junichi Sawayanagi November 24, 2014 Mary Jean Huettner 76 Whites Point Brandon, VT 05733 Dear Ms. Huettner, During the public meeting held on November 18, 2014, you acknowledged that you have not repaired the failed septic system at the property owned by you located at 81 Threadneedle Lane, Centerville, MA."The system failed an inspection more than eight years ago. The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. On July 6, 2006 you were ordered to repair the system within two years before July 6, 2008. You failed to comply with the order. Then on October 2, 2013, you were ordered to repair the system within ninety (90) days on or before January 2, 2014. You again failed to comply with an order of the Board of Health. At the Board of Health meeting held on February 11, 2014, the Board voted unanimously to issue you orders with specific timelines and deadlines. You failed to comply with the options provided. Months later,you informed us by letter dated May 19, 2014, that you had cancelled your contract with Jeffrey Wall of Wall Septic of Harwich and had a working contract with Amy L. Von Hone, R.S. of VH Associates, Septic System Designs of Cotuit MA. To date the system has not been repaired. You are ordered to replace the failed onsite sewage disposal system components on or before February 28, 2015. Failure to upgrade or replace the septic system before this deadline date will result in the revocation of your rental registration certificate for this property. In the meantime, a temporary rental registration certificate will be issued to you which will expire on February 28, 2015. PER O ER O H BOARD OF HEALTH Wayne Mil�r, M.D., Chairman BOARD O HEALTH Q:\WPFILES\HuettnerBOHOrderFailedSystem2014.doc . OIL % P// lu�vr U✓2� -----Original Message----- From: Amy von Hone [mailto:vhassociates@comcast.net] ��s- Sent: Wednesday, Februa 9:3 To: Stanton, David C�Subject: RE: 8 hread needle 1 A/ 3 w{Zs —bpl� Hi Dave- A quick update for you on this project: B & B Excavation has been awarded the contract for the septic installation. The owner has been re-approved for the County Septic Loan and the balance of my services is being paid through the loan program. B & B will be filing for a permit soon (I am dropping off the plans and paperwork for the Title 5 application to Becky Gilfoy tomorrow). I am also including a copy of the email, where we had discussed the requested variance, being ok'd by Tom to be approved over the counter vs. a formal BOH hearing. Because of your more detailed knowledge of this project, B & B will probably request to have you walk this through the approval process with them. Thanks for your help —there seems to be a light at the end of the tunnel for everyone involved?!? Let me know if I have forgotten anything once the paperwork gets to your office. Amy vhassociates(aD-comcast.net G,d Sad�?e �l�I0 EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES 2/11/2014: 7. /� — I. Septic Deadline Extension Letter from Mary Jean Huettner, owners 81 Thread Needle Lane,, 1�M- Centerville, requesting extension. C Mr. McKean stated the inspector on the septic report noted that it failed due to the adjustment to groundwater figures. The report said the groundwater was observed below the bottom of the leaching pit and with the USGS calculation adjustment, it brought the measurement up above the pit. Jeffrey Wall, Wall Septic of Harwich, was present. Jeffrey said the owners were going through a divorce in 2006 and they were not offered a voluntary inspection (a noh*-reporting one). Ms. Huettner continues to own the property. Jeffrey said the groundwater adjustment of 7.1 in the report is very large. The report is unclear how to read the inspector's numbers for interpretation. It's unclear whether it's elevation, or 7.1 below the surface, etc. Mr. Wall said the correct way to read the report is unclear and Mr. Wall believes there may be an error in the reading to groundwater. Upon a motion duly made by Dr. Miller, seconded by Mr. Sawayanagi, the Board voted to grant a suspension of any further enforcement until the validity of the 2006 inspection report is resolved either by (1) a restatement by the original inspector or (2) by a current inspection which shows it is in compliance. This is to be done within 90 days. (Unanimously, voted in favor.) EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES 6/25/2014: A. Update: Huettner, 81 Thread Needle Lane, Centerville-failed septic Ms. Huettner sent the Board a letter stating she is now working with VH Associates. Mr. McKean said the percolation test was done on 6/6/14. However, no permit has been taken as this time. The Board stated they require the system be replaced by August 2014 meeting. EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES 11/18/2014: II. Hearing: A. Mary Jean Huettner, owner— 81 Thread Needle Lane, Centerville —failed to repair septic system. QAMINUTES\EXCERPT OF MINUTES\Excerpt BOH MULTIPLE 81 Thread Needle 2014.doc y i Mary Jean (MJ) Huettner was present. MJ pressed to receive a copy of the original order. She said she was never informed and only learned of it recently. In the file, the original certified letter dated 2006 showed the certified notice was signed by Mary Jean at the time. She explained she had not recalled receiving the order to repair as she would have liked to split the cost with her then-husband before they split. The 2013 letters which had stated deadlines (letters in March, October, and a letter requesting her to come before the Board in November 2013.) were also mentioned. The Board noted that she had a contractor represent her at the Board meeting in November 2013 and does not understand why the work for this failed system has not been completed. The leaching pit is below high ground water level. Ms. Huettner will have to replace the leaching pit with an SAS. An engineer can tell her if the septic tank could be salvaged. She gave Mr. McKean a copy of new septic plan (estimated cost from one contractor was $18K). Engineered plans were done July 2014. She said the engineer put it out for three bids and Mary Jean only heard back from one. Currently, MJ rents the house to a friend and MJ also shares the house during the summer months as she is a teacher and comes down June-August. She has now registered it as a rental. The Board informed her that the rental will have to move as of February 28, if the new system is not installed. Upon a motion duly made by Dr. Miller, seconded by Dr. Canniff, the Board voted to grant an extension until February 28, 2014 and rental permit will only be renewed until 2/28/15 (pro-rate) until the septic is installed. (Unanimously, voted in favor.) QAMINUTES\EXCERPT OF MINUTES\Excerpt BOH MULTIPLE 81 Thread Needle 2014.doc Town of Barnstable Barn Regulatory Services Department -11 fARN3PA$LE, � I ' Public Health Division 200 Main Street, Hyannis MA 02601 200� Office: 508-862-4644, Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7012 01010 0000 2851 3931 November 05, 2014 Mary Jean Huettner 76 Whites Point Brandon, VT 05733 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, November 18, 2014 at 3:00 pm in the Town Hall,Hearing Room, 2nd Floor at 367 Main Street,Hyannis, MA due to your failure to repair or replace the septic system which failed inspection on 6/08/2006 septic system at 81 Threadneedle Lane, Centerville, MA. The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. On July 6, 2006 you were ordered to upgrade this system within two years before July 6, 2008. You failed to comply. Then on October 2, 2013, you were ordered to upgrade the system within ninety (90) days on or before January 2, 2014, you again failed to comply with an order of the Board of Health. The Town of Barnstable's Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the deadline established by both the Town of Barnstable and the State of Massachusetts. At the Board of Health meeting held on February 11, 2014,the Board voted unanimously to issue you orders with specific timelines and deadlines as detailed in the attached letter addressed to you dated March 10, 2014. You were ordered to have the system inspected within sixty (60) or in the alternative have the system repaired/replaced within ninety (90) days. You failed to take action in this regard. You informed us by letter, dated May 19, 2014,that you had cancelled your contract with Jeffrey Wall, (Wall Septic of Harwich) and had a working contract with Amy L. von Hone, R.S. of VH associates, Septic System Designs of Cotuit MA. Q:\SEPTIC\BOARD\81 Threadneedle Ln Cent Nov 2014.doc You informed us by letter, dated May 19, 2014,that you had cancelled your contract with Jeffrey Wall, (Wall Septic of Harwich) and had a working contract with Amy L. von Hone, R.S. of VH associates, Septic System Designs of Cotuit MA. However, as of this date,November 4, 2014, there has been no evidence of any work having been done. .I must remind you that any person who shall fail to comply shall be fined not less than $100.00 nor more than $500.00. Each day's failure to comply with an order shall constitute a separate violation. You will be given the opportunity to testify, present witnesses, documentary evidence and, other official information regarding this case PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health J I Q:\SEPTIC\BOARD\81 Threadneedle Ln Cent Nov 2014.doe SENDER:COMPLETE THIS SECTION 7: COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1.,.2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑.Agent • Print your name.and address on.the reverse x so that we can return tbb pard to you. Addressee ■ Attach this card to the`86'ck bf the mailpiece, B Re ed b (Pnented.Name) C.`D to of�jqljvery or on the front.if space permits, � � 1, Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enterdelivery address below; ❑No Nary Jean Huettner 76 Whites Point Brandon, VT 05733 " ": 3. service Type CQ Certified Mail ❑Express Mail ❑Registered ❑Return Recefptfor MerchandiseO Insured Mall :❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number, (Transfer from seNi-ce label) f I t ; ; —` — -.- 7012 �,010 0000 2851 3931 Ps Form 3811 Februa 200d `N Domestic Return Receipt +02595-02-M-1540 9 UNITED STATES P e&Fees Paid Usp • Sender: Please print your name, address, and ZIP+4 in this box Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 r1111 Jill 111,111l1li,�►fliilllti�j�iF Crocker, Sharon �o �` /,-�16 From: Crocker, Sharon Sent: Thursday,August 14, 2014 11:17 AM To: Flynn, Judith; Mal kus,Karen Subject: Septic Failure'81 Thread Needle Re: Failed septic which BOH extended deadline to Aug 2014: 1 called Mary Jean Huettner, owner, today. She said "everyone says going to sewer w/in 2 yrs so not reasonable to do both and she"doesn't have the money to fix it. I explained steps necessary,ie, Get Timeline for Sewer(if true)from Town Eng.,and request.BOH hearing for variance. to do minimal repair and I informed her that the County has loans avail. She will send BOH fetter asap. (She gives me the impression she'll try to drag out more. Sharon 00; C�� Flynn, Judith From: Crocker, Sharon Sent: Thursday, August 14, 2014 11:17 AM To: Flynn, Judith; Malkus, Karen Subject: Septic Failure-81 Thread Needle Re: Failed septic which BOH extended deadline to Aug 2014: 1 called Mary Jean Huettner, owner, today. She said "everyone says going to sewer w/in 2 yrs so not reasonable to do both and she"doesn't have the money to fix it. I explained steps necessary,ie, Get Timeline for Sewer(if true)from Town Eng.,and request.BOH hearing for variance. to do minimal repair and I informed her that the County has loans avail. She will send BOH letter asap. (She gives me the impression she'll try to drag out more. Sharon 1 I Amy von Hone From: Stanton, David <David.Stanton@town.barnstable.ma.us> Sent: Monday,July 7, 2014 4:03 PM To: Amy von Hone Subject: RE:variance question Hi Amy, I asked.Tom',he originally said it would have to go to the Board, however, after reading the e-mail to him,ihe4said."it-can-be�an-over the°counter approval as the system is in failure because the., cesspool,is'fulI and:the p.ipe,cannotrbe!seen-and-there is-a-chance:it may not need the:variance-as , weoneeaheppipe,elevation isactually located:- Thanks, Dave -----Original Message----- From: Amy von Hone [mailto:vhassociates0comcast.net l Sent: Sunday, July 06, 2014 7:17 PM To: Stanton, David Subject: variance question Hi Dave- I am attaching a plan for your quick review as it relates to the tank and pump chamber invert elevations versus the Barnstable GIS Lake Wequaquet groundwater elevation. The pump chamber inlet invert is 8.5"above the adjusted groundwater instead of the required 12". I have listed it as a variance, although the 15. 227(5) does state you can vary down to 11"("no less than 1"above adjusted water'. I am hoping this is an over the counter approval?? (The inverts may be higher than designed —the problem I have is the sewer exits below the slab walkout foundation, everything inside the foundation is located behind an enclosed wall, and the pipe is buried at least 2'-3'below grade and was inaccessible during my field work. The first cesspool was full so we couldn't see the pipe coming into it, but we did get the measurement of the water level. Once the installation starts and we can dig up the pipe without worrying about collapsing the cesspool, the inverts may actually meet the 12"code requirement.) Your input is appreciated. Thanks, Amy Amy L. von Hone, R.S. Registered Sanitarian VH Associates SEPTIC SYSTEM DESIGNS 320 Cotuit Road Sandwich, MA 02563 (o) 508.833.0041 1 At May 2014 meeting, BOH asked for update at the Jun 2014 BOH meeting On Agenda—February 2014 BOH I. Septic Deadline Extension Letter from Mary Jean Huettner, owner- 81 Thread Needle Lane, Centerville, requesting extension. Mr. McKean stated the inspector on the septic report noted that it failed due to the adjustment to groundwater figures. The report said the groundwater was observed below the bottom of the leaching pit and with the USGS calculation adjustment, it brought the measurement up above the pit. Jeffrey Wall, Wall Septic of Harwich, was present. Jeffrey said the owners were going through a divorce in 2006 and they were not offered a voluntary inspection (a non-reporting one). Ms. Huettner continues to own the property. Jeffrey said the groundwater adjustment of 7.1 in the report is very large. The report is unclear how to read the inspector's numbers for interpretation. It's unclear whether it's elevation, or 7.1 below the surface, etc. Mr. Wall said the correct way to read the report is unclear and Mr. Wall believes there may be an error in the reading to groundwater. Upon a motion duly made by Dr. Miller, seconded by Mr. Sawayanagi, the Board voted to grant a suspension of any further enforcement until the validity of the 2006 inspection report is resolved either by (1) a restatement by the original inspector or (2) by a current inspection which shows it is in compliance. This is to be done within 90 days. (Unanimously, voted in favor.) Per Comments in Health Parrcel DB: Under septic inspection: F SAS is below High ground water level. (9/13-this inspection originally came in back in 2006 and a failure letter was sent out. It did not get saved into this database, and did not get followed up on unfortunately.slc Letter Dtd 9/16/13 TM had second notice sent w/ 90D deadline-slc. >> Owner as of 2/2014: Mary Jean Huettner, 76 Whites Point, Brandon, VT 05733 cell 508-737-7216.She requested extension - BOH Feb2014Perc Test 6/6/2014 -Hired engineer VH Assoc,508-833-0041 Sandwich, paid deposit.Perc Test 6/60 r If not completed: BOH: Aug 19, 2014 EXCERPT FROM THE BOARD OF HEALTH MEETING RESULTS ON 6/25/2014: A. Update: Huettner, 81 Thread Needle Lane, Centerville-failed septic Action to be Taken at August 2014 Meeting. The percolation test was done 6/6/14. However, no permit has been taken as this time. The Board requires the system be replaced by August 2014 meeting or the owner/owner's representative must attend the meeting. I/YOC) PJOAW N S TSd j ,� q� �vne� /t►�- . -�i�- Gam- � AL pe Crocker, Sharon From: Parziale, Jim Sent: Friday, September 13, 2013 8:41 AM To: Crocker, Sharon Sharon, 81 Thread Needle Lane, Centerville needs to be ordered in front of the board for a show cause hearing. I spoke with owner and confirmed that nothing has been done. I believe that title V inspection was done when they tried to sell the house during a divorce. I think there is still time to get her on the october agenda. Thanks Jim 117 17 1 e0 90 t� v 4' L ) sus 1 Flynn, Judith From: Crocker, Sharon Sent: Thursday, May 29, 2014 4:51 PM To: Malkus, Karen; Flynn, Judith Subject: 81 Threadneedlle FYI, ' '�o let you know that the owner sent a letter to BOH re: septic repair for BOH meeting Jun 10, 2014. She is from VT and-can't make meeting. Sent status. For all I know right at this moment, you may have been the one who gave me letter for BOH. Too much going on. - Sharon 1 w Svc', u _ �3 nat.d'n L.om o- Cen A -.o-- © w ; 4 VP), jp s,,— N 6 - • azzL4 � a e.e., q c�c,�er� Cv a Q-0 nA�-Cact w� d,4w rk-a M (2-, -w NO V41A vv-icku.1� UA La2i2jQ�..fie. �� 3 � ( r _ t �M fG'�y J` • l • associates Professional Services Agreement Prepared for: Mary Jean Huettner Date: April 21, 2014 81 Thread Needle Lane Centerville,MA 02632 Scope of Services: Engineered Site and Sewage Plan for 81 Thread Needle Lane, Centerville,MA The outline of services is as follows: 1. Schedule and perform percolation test and soil analysis (backhoe fee and Town perc. fee included). You/your representative will be notified of the date and time prior to the scheduled event. Any holes dugg for the soil analysis will be backfilled upon completion, however, re-establishment of existing landscaping is not included. VH Associates is not responsible for any damages incurred to the existm�septic system or other structures onsite as a result of the necessary field work,however, all precautions will be taken to avoid undue disturbances. 2. Develop working plan and septic system design in conjunction with a topographic property survey, provide Registered Sanitarian Stamp and Registered Land Surveyor Stamp. An adequate number of plans required by the Barnstable Health Department for the septic installation permit to be provided. Provide Certification of Septic Installation, upon completion. Standard field work required for certification is included. Any additional site visits or paperwork required for system certification,by no fault of the design sanitarian,will be billed out at$I00.00/hour. 3. Solicit proposals from a minimum of three (3) septic contractors once the septic plan is completed. Names of contractors to be provided by VH Associates to client/representative. Provide consultation and guidance, as needed,to aid in the selection of the winning bid by the client. 4. Prepare appropriate application/paperwork as required by the Barnstable Board of Health for review and approval if any variance requests are needed for septic installation. An additional fee of $350.00 will be charged for Item 4 if variance approvals are required. You will be notified prior to commencement of Item 4 if variances are required. (Permit Fees, Advertising Fees, and Abutter Notifications are not included. Attendance at one hearing, if required, is included. Any additional hearings or site visits required by the Board of Health or Agent will be billed out at $100.00/hour). Fee: The fee for the work outlined in Items 1, 2 and 3 above is $ 1,700.00 (Seventeen Hundred Dollars). (A plication and permitting fees for septic installation are NOT included and are usually addressed by the septic installer). Amy L.von Hone,R C.tf.D, Registered Sanitarian.Certified Health Officer.DEP Certified Soil Evalua for 308.333.004L 320 COWit Road ,Sand`dch, MA 02563 .vhassociates@comcast.net ,,tom Professional Services Agreement 81 Thread Needle Lane— Page 2 Retainer/Terms: A deposit of$ 850.00 made out to VH Associates is required for commencement of scope of services. The remaining balance is due upon the forwarding of the items specified in line item #2. This fee does not include any possible expenses incurred due to unknown site restrictions or board hearings required to obtain approval of the plan. All other work required above and beyond the previous outline of services will be billed out at $100.00 per hour. If revisions of the engineered plans are required prior to acceptance by the Barnstable Health Department, other than revisions requested by the client, there will be no extra charge for my personal time. A finance charge of 1.5% per month, 18% per year will be added to any unpaid balance 30.days from the date of billing. Termination: This agreement may be terminated by either party upon five days written notice in the event of persistent failures of performance of material terms and conditions of the Agreement by the other party through no fault of the terminating party. VH Associates shall then be paid for the services completed up to the time of the termination date based upon the above described fee. Ownership of Documents: All documents, including original drawings, estimates, specifications, field notes and data are and shall remain the sole and exclusive property of VH Associates as instruments of service. This Agreement is null and void unless executed by the Client and returned to VH Associates along with the required retainer within 30 days. CLIENT: VH ASSOCIATES: Amv L. von Hone,R.S. BY: ? BY: J —' DATE: j// 1 �J DATE:�ARri121, 2014 Billing Address: 33 Email Address: Yyn, \Y\V�e-�'m GL I Cam' (if preferred metho of contact) Phone Number: 5 Og—13-1— �a 1 �P home- ��c�a - a 13 -363 Please sign and return one copy of page 2 along with the requested retainer in addition to the Floor Plan Sketch attached to indicate your agreement with the terms of the above proposal. Please be advised that the time frame for the work requested is approximately 4 - 6 weeks upon receipt of the retainer. Amy L.von Hone,R.s.,C.H.O. Registered Sanitarian.Certified Health Officer.DEP Certified Soil Evaluator 508.833.0041.320 Cotuit Road.Sandwich, MA 02563 .vhassociates@comcast.net VH associaates PROPERTY SURVEY AND FLOOR PLAN SKETCH Address: 2CdP�v/ale 11114 Da�3Z- Please fill out this form to provide us with the required information for the design of your new septic system. Return this form with the retainer. Total#Rooms ✓Year Round _Seasonal 0 Bedrooms Family Room/Den Ziving Rm _Dining Room jSA ' Bathrooms V Washer M1J0 Garbage Disposal own Water Priv.Well CELLAR: Full Cellar _Crawl Space _Slab WELLS: _Main Water Source _Irrigation Only(show well location) Please use the space below to provide us with a rough sketch of the existing floor plan(all floors with habitable space). This information is needed for the engineering design and may be required by the Health Department. ------------- F (L »o,f F2S..:.1 uo, ;:SiC`e it:i8ni..,r�.,n.��rii '2i �' .DrF'.:^ill'C•�Soil E 332 0„c 4 Rfra Sand, irn,iviA 027,,63 Town of BAmstable. P# °tom Department oLRealgatory Services 8 Public Heal6 Division Date KAM 200 Main Street Hyannis MA 02601 ' p 1 �® Fee Pd. Date Scheduled �Ian'r ,..� Time Soil,Suitability Assessment for Sew a Di os Performed Sy. Wit enessed By. LOCATION&GENERXL INFORMATION Location Address /� i Owner's Name (rkP e vlle, �T Address �r /t'f J ,ml e AH 2- ' Asaessor'a MaplPy�tce3: ��`Q 71 En�neer's I amay0 1.AS AS NSW CONS` H1,tn N REPAIR I Telephone* k—.2-7*—6 7 i Land Use Slopes(%') I ® �v Surface Stones ® Distances from: Open Watt Body ft Possible We i Areas�--��"yy'r ft 'Drinking Water Well = ft Drainage Way ft Property une 7y ft - Other ft 81- ETCH:abeet nam dimensiods'of lot,exact locations of tot holes& tests,locate wetlands in prwdtnity to holes) 7f 73i TO i "_g Parent material(gecllogic) "/ Depth to Bedrock Depth to Oroundwakdr: Standing Water in Hole:' r I Weeping from Pit Net Estimated Seasonal tjigh C,ronndwater � - D FO SE O�T LTGH WATERTALE Method Used: G � ��✓ Depth GIbpwied standing' obs.hole: Ia. Depth to sail ntoto In, Depth iwexp g I U OMUndWhtCr altMent E• r/ m from side oEobs.hole: _� � �. Index Well# Reading Datt; Index Well levoll„a._._.... •f11CtOr A�.tDr�piand!�ntl�alvel. PERCOLATION TEST . Drtd#4& T4W Observation �,. . I Tune at 9" Hole# Depth of Pere .--.-.---- Start Pre-soak TiTne.0 End Pro-soak Rate M•mAnch Site Failed; Additional Testing Needed(YIN) Site Suitability Asstgsment: Site Passed . Original.•:Public Het<ith Division Observation Hole Data To Be Completed on Back------ ***If percola 'Qn test is to be conducted within 100'of wetland,•Yon> t first notify the Barnstable Ci¢servation Division at least one(1)week prior to begin g DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil • Other Surface(in.) (USDA) (MUM11) Moltliag (SUMMT,SWnes,Boult w. Consistency.%Gravel) Z k aw. 1po WV P/ DEEP.OBSERVATIONHQLE LOG Hole#. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) y +� 474 V/0 fl® DEEP OBSERVATION HOLE LOG Hole# Depth from' Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones.Boulders. Consistency, 0MV20- lood Insurance hate Mau: Above 500 year flood boundary No— Yes Within 500 year boundary No C11111 Yes Within 100 year flood boundary No Yes Depth of Naturally Occurrine Pervious Material Does at least four feet of eattuaUy occurring pervious material exist•in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pe 'ous material? ,._._. Certification , I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required traini .expertise and ex 'ence described in 3.10 CMR 15.017. Signature �°L� Date �® Town ®f Barnstable • anxtvsrnaa� Barnstable MAS& Board ®f Health �rfa � 200 Main Street, Hyannis MA 02601 I efica I.F 2007 Office: 508-862-4644 r' FAX: 508-790-6304 May 14,2014 Mary Jean Huettner 76 Whites Point Brandon, VT 05733 7-4 °RE: '81 Thread Needle.Lane, Centerville , Dear Ms. Huettner, At the Board of Health meeting held on February 11, 2014, the Board voted unanimously to issue you orders with specific timelines and deadlines as detailed in the attached letter addressed to you dated March 10, 2014. However, the Board has not received a response from you. Please provide us with an update as to what actions you have taken in regards to the failed septic system at 81 Thread Needle Lane, Centerville. Sincerely, Thomas McKean, C.H.O. Agent Q:1 WPFILES\I IuettnerDeadi ines20I 4.doc KE �4oFsra,� 9rown ®f Barnstable (: BA MASS LE, Board ®f ealth Barnstable � MASS. �Q i639• �� 200 Main Street, Hyannis MA 02601 efica JF 2007 Office: 508-862-4644 FAX: 508-790-6304 March 10,2014 Mary Jean Huettner 76 Whites Point Brandon,VT 05733 Dear Ms. Huettner, The Board of Health members received your letter dated January 17,2014 regarding your septic system located at 81 Thread Needle Lane, Centerville,Massachusetts. You informed us that you were unaware of the outcome during the 2006 inspection due to several issues. According to the multiple page inspection report completed by Mark Polselli a certified septic system inspector, of Enviro-tech Company,Eastham,Massachusetts,it was determined that your septic system "failed"a septic system inspection on June 8,2006. However,this finding was disputed by Mr. Jeff Wall, who attended a public meeting before the Board of Health on February 11,2014. During the meeting Mr. Wall indicated that he disputed the finding and the methodology for determining the failure in the report, specifically the method for determining the high groundwater table adjustment. At the conclusion of the hearing,the Board of Health issued the following orders: The Health Division shall suspend enforcement of the order for 90 days. No further enforcement action shall be taken by the Health Division during the period of February 12,2014 through May 12, 2014. - The septic system at 81 Thread Needle Lane shall be inspected within 60 days, on or before April 12, 2014. The owner shall hire a MA DEP certified septic system inspector who shall conduct a full septic system inspection,complete the required sixteen page inspection report, and submit the full report to the Health Division Office. In the alternative,if the owner does not wish to have the septic system inspected,she/he has the option to have the system repaired/replaced within 90 days. - The rental property located at 81 Thread Needle Lane, Centerville,shall be registered with the Health Division as required by the Town of Barnstable Code,Chapter 170. The owner shall complete a rental property registration form(available at www.town.barnstable.ma.us)and remit the required annual fee of$90.00. Annual inspections will be conducted to ensure compliance with the State Sanitary Code,Article II and Town of Barnstable Rental Ordinance,Chapter 170. PER ORDER OF THE BOARD OF HEALTH i Wayne Miller,M.D, Chairman Q:\WPFILES\WallHuettner2Ol4Decision.doc Town of Barnstable •wttrrsra�ate Barnstable KAS& Board of Health s639. b�Vr ea► 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 FAX: 508-790-6304 March 10,2014 Mary Jean Huettner 76 Whites Point Brandon,VT 05733 Dear Ms. Huettner, The Board of Health members received your letter dated January 17,2014 regarding your septic system located at 81 Thread Needle Lane, Centerville, Massachusetts. You informed us that you were unaware of the outcome during the 2006 inspection due to several issues.' According to the multiple page inspection report completed by Mark Polselli a certified septic system inspector, of Enviro-tech Company,Eastham,Massachusetts, it was determined that your septic system "failed"a septic system inspection on June 8,2006. However,this finding was disputed by Mr. Jeff Wall, who attended a public meeting before the Board of Health on February 11,2014. During the meeting Mr. Wall indicated that he disputed the finding and the methodology for determining the failure in the report, specifically the method for determining the high groundwater table adjustment. At the conclusion of the hearing,the Board of Health issued the following orders: - The Health Division shall suspend enforcement of the order for 90 days. No further enforcement action shall be taken by the Health Division during the period of February 12,2014 through May 12, 2014. The septic system at 81 Thread Needle Lane shall be inspected within 60 days, on or before April 12, 2014. The owner shall hire a MA DEP certified septic system inspector who shall conduct a full septic system inspection, complete the required sixteen page inspection report, and submit the full report to the Health Division Office. In the alternative, if the owner does not wish to have the septic system inspected,she/he has the option to have the system repaired/replaced within 90 days. The rental property located at 81 Thread Needle Lane, Centerville, shall be registered with the Health Division as required by the Town of Barnstable Code, Chapter 170. The owner shall complete a rental property registration form(available at www.town.bamstable.ma.us)and remit the required annual fee of$90.00. Annual inspections will be conducted to ensure compliance with the State Sanitary Code,Article II and Town of Barnstable Rental Ordinance,Chapter 170. PER/) ER OF T E OARD OF HEALTH 1 yne iller,M. , Chairman QAWPFILES\WaIlHuettner2014Decis ion.doc t�r Town of Barnstable Barnstable Board of Health 9� MASS a`°� 200 Main Street, Hyannis MA 02601 2007 fD MAC Office: 508-8624644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi BOARD OF HEALTH MEETING AGENDA Tuesday, February 11, 2014 at 3:00 PM Town Hall, Hearing Room, 2ND Floor 367 Main Street, Hyannis, MA I. Septic Deadline Extension Letter from Mary Jean Huettner, owner— 81 Thread Needle Lane, Centerville, requesting extension. II. Septic Variance (Cont): A. Matthew Eddy and John Lavelle, Baxter Nye Engineering, representing Peter Bilodeau, owner— 29 Hathaway Road, Osterville, Map/Parcel 114- 036, approximately 0.70 acre parcel, proposed Singulair Denitrifying System, existing 3 bedroom home, requesting to construct a 4 bedroom home, one variance requested (continued from December and January). 111. Septic Variance (New): A. Peter McEntee, Engineering Works, representing Bill and Maxine Schortman, owner— 846 & 848 Craigville Beach Road, Centerville, Map/Parcel 226-175, 6,600 sq.ft. parcel, multiple variances requested. IV. Informal Discussion: Matthew Eddy, Baxter Nye Engineering, representing Cummaquid Golf Club, owner— 35 Marston Lane, Barnstable, Map/Parcel 350-001, 110.3 acres, discuss use of Presby SAS I/A System. V. Septic Installer (New): Freeman Boynton, Jr., of D.uxbury, MA VI. Food — Temporary Event: th Kathy Andrews,and Raquel Rodriguez representing 14, Annual Multicultural Festival of Cape Cod (first year with food vendors), to be held at Cape Cod Community College, 2240 lyannough Road, West Barnstable, on Saturday, March 1, 2014. VII. Old / New Business: l A. Follow up status: Vista de Mare Diner, 430 Main St. Hyannis — status of grease trap installation. Page 1 of 1 BOH 2/11/14 i Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home Help Parcel Viewer F Custom Map b,-er,7 Map Size ■ Zoom Out p p p p p d®In m map layers on/off by ® s a ry `I �%i � ® �B=LPG se selecting check boxes below .............. .. Town Boundaries :..t — iiiiii iiiii:iiiiiii::::...: :ire.C...........�........................ '':;3i ': ..X.... Names r, Ro ad N a .......... _ ..... ,..,........r.. ..;.,:.i:::::::::::::. _I voter Precincts ::5:::::::::::::::::::::::::::.::'::::::::::::::::::"::>d 'ter d 0 t_ ❑ Map&Parcel Numbers ............... ` �rJ.'�:: r ! ......... F' ' J s- ❑ Parcels ............... 1 1 ....... c:::::::::::::::::: ...............,........ ......... :::..... .. E FEMA 3Floo Zones((Curren t Maps) ............... Not for official Flood hazard determination. ............... •:::a :.::::...........................+......................... .......... -r •-••• - %• -- AE 100 rFlood :......... ................... ...:.:::::::: EEiEiiEiEEi:::i:::i6...... AO(10Oyrflood) e. :3TjS5::::: :........... tt ""••"' "t• •- -- -• 0 VE(10O yr Flood w/wave action) .............. ............ ........ i1 si;iiii3ii iii:::ii;:::i.....:::::::::�:::::::::.."::::::iiiiiii:ii`:::.i::::::i::. .: :?1:::::::::• .. X500(500 Yr flood) rii(;t<:iii .. F_..i-iiiiii:is i:..c..-:..::.. ............................................ .........":::::::::,.:.r.: FEMA PreliminaryMay 2013 Zones s ubject to change).....:...... ...........„' ❑ . . ir ' Expected Adoption Summer 2014 i3:: 0 ::: :3:3�:::: :::7 y .: '::4:::::• t.: :: ::: ... AE-100 year Flood ...y.....� .............tiiiiiiiiiiii:::: .. I '•"""'•""""'f:::: Q AO-100 year flood 13 VE-Velocity Zone .... �.... r.....�... ...... :: :[:Lt::::::::::::1:::::•.:•-..:y;i iii iiiiiitiiiitiii t::iiii iii:iii:ii iiii:i::;:........ �- �-���- ����� � ��� � � � � �����... 0.2%Annual Chance Flood Open Water Set Scale 1"= 7B I Aerial PhOt05 I MAP DISCLAIMER Copyright 2005-2010 Town of Bamstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v1.2.5122[Production] http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=210079 2/5/2014 January 17, 2014 Re: Order to Comply with State Environmental Code, Title 5 Property located at�8jjhredd'NeedleI9ne Centerville,—MA 02632;1 i Mr. Thomas A. McKean, CHO Dear Mr. McKean, . I am writing in response to your department's Notice of October 2, 2013. Please be advised that in early December, 2013,. 1 contracted with Wall Septic Services to investigate the situation in order to determine a course of action. Mr.Jeff Wall and I have been in ongoing contact as he works toward a solution. He has informed me that he has been in contact with your office via phone.-Please note that I have every intent of resolving this issue in a timely manner that meets your department's Regulations. Please be informed that although the Notice states that it was delivered via "Certified Mail", that was not the case. On the front on the envelope is written "by hand",,and apparently the letter was left in the mailbox. My tenant kindly forwarded the letter to me, as I reside in Vermont, my point being that I did not receive the Notice until well after its marked date, so please forgive my slowed response time. Again, I want you to know that it is my intention to comply with all Town of Barnstable Regulations in a timely manner and to the best of my ability. Naturally, my goal is to be as economical as possible, as I am a single mother raising two sons on my own, so finances are tight. The reason that I was unaware of the outcome during the 2006 inspection was because the property was put up for sale due to divorce, my ex-husband was handling this situation, and he did not tell me about it. Eventually, since we were unable to sell the property, I agreed to.take over the debt/ownership of the property in hopes that over time the market conditions would turn around. I have recently7turned-to renting the propertyin orderer to_hang.,onto-it? I sincerely appreciate your patience and cooperation in this matter, 'Mary Jean Huettner 76 Whites Point Brandon, VT 05733 Home: 802-273-3632 Cell: 508-737-7216 Crocker, Sharon To: Flynn, Judith; Malkus, Karen Subject: Failed septic-81 Thread Needle Ln, Cent FYI, As you will recall, M.J. Hettner, owner, lives in Vermont. She sent a letter to the Board to update. I'll leave a copy in your boxes. 1 rz�11 -9 9-eA\ of c Cem�-e -Q--_ oad i -�)SOA_ )7)C- kC-)CZ, cz I A C-Lt2' 7 3 associates Professional Services Agreement Prepared for: Mary Jean Huettner Date: April 21, 2014 81 Thread Needle Lane Centerville,MA 02632 Scope of Services: Engineered Site and Sewage Plan for 81 Thread Needle Lane, Centerville,MA The outline of services is as follows: 1. Schedule and perform percolation test and soil analysis (backhoe fee and Town perc. fee included). You/your representative will be notified of the date and time prior to the scheduled event. Any. holes dug for the soil analysis will be backfilled upon completion, however, re-establishment of existing landscaping is not included. VH Associates is not responsible for any damages incurred to the existing septic system or other structures onsite as a result of the necessary field work,however, all precautions will be taken to avoid undue disturbances. 2. Develop working plan and septic system design in conjunction`with a topographic property survey, provide Registered Sanitarian Stamp and Registered Land Surveyor Stamp. An adequate number of plans required by the Barnstable Health Department for the septic installation permit to be provided. Provide Certification of Septic Installation, upon completion. Standard field work required for certification is included. Any additional site visits or paperwork required for system certification,by no fault of the design sanitarian,will be billed out at$100.00/hour. 3. Solicit proposals from a minimum of three (3) septic contractors once the septic plan is completed. Names of contractors to be provided by VH Associates to client/representative. Provide consultation and guidance, as needed,to aid in the selection of the winning bid by the client. 4. Prepare appropriate application/paperwork as required by the Barnstable Board of Health for review and approval if any variance requests are needed for septic installation. An additional fee of $350:00 will be charged for Item 4 if variance approvals are required. You will be notified prior to commencement of Item 4 if variances are required. (Permit Fees, Advertising Fees, and Abutter Notifications are not included. Attendance at one hearing, if required, is included. Any additional hearings or site visits required by the Board of Health or Agent will be billed out at $100.00/hour). Fee: The fee for the work outlined in Items 1, 2 and 3 above is $ 1,700.00 (Seventeen Hundred Dollars). (Application and permitting fees for septic installation are NOT included and are usually addressed by the septic installer). Rniy L.von Hone, R c.N.o. Regisfered Sanitarian.Certified Health Officer.DEP Certified Soil E�°alu tar SOS.833.0041.320 COTWit Road ,Sandwich, MIA 02563 .vhassociates@comcast.net � Professional Services Agreement 81 Thread Needle Lane— Page 2 Retainer/Terms: A deposit of$ 850.00 made out to VH Associates is required for commencement of scope of services. The remaining balance is due upon the forwarding of the items specified in line item #2. This fee does not include any possible expenses incurred due to unknown site restrictions or board hearings required to obtain approval of.the plan. All other work required above and beyond the previous outline of services will be billed out at $100.00 per hour. If revisions of the engineered plans are required prior to acceptance by the Barnstable Health Department, other than revisions requested by the client, there will be no extra charge for my personal time. A finance charge of 1.5% per month, 18% per year will be added to any unpaid balance 30.days from the date of billing. Termination: This agreement may be terminated by either party upon five days written notice in the event of persistent failures of performance of material terms and conditions of the Agreement by the other party through no fault of the terminating party. VH Associates shall then be paid for the services completed up to the time of the termination date based upon the above described fee. Ownership of Documents: All documents, including original drawings, estimates, specifications, field notes and data are and shall remain the sole and exclusive property of VH Associates as instruments of service. This Agreement is null and void unless executed by the Client and returned to VH Associates along with the required retainer within 30 days. CLIENT: VH ASSOCIATES: Amv L. von Hone,R.S. BY: 7 BY: DATE: j//� �/ DATE: Apri121, 2014 Billing Address: 1(.,P Y�n GLOng �33 Email Address: Vh' ly\ (if preferred metho of contact) Phone Number: 3 3�3 a--� Please sign and return one copy of page 2 along with the requested retainer in addition to the Floor Plan Sketch attached to indicate your agreement with the terms of the above proposal. Please be advised that the time frame for the work requested is approximately 4 - 6 weeks upon receipt of the retainer. Amy L.von Hone,,R.s.,C.H.O. Registered Sanitariari.Certified Health Officer.DEP Certified Soil Evaluator 508.833.0041.320 Cotuit Road .Sandwich, MA 02563 .vhassociates@comcast.net .x...W......,.�,.M._....,....._.,�.�._....�._..,..__..,��. — associates RON PROPERTY SURVEY AND FLOOR PLAN SKETCH Address: 2CA YI ��/l/e 144 oa63y Please fill out this form to provide us with the required information for the design of your new septic system. Return this form with the retainer. Total#Rooms ✓Year Round _Seasonal #Bedrooms Family Room/Den Ziving Rm _Dining Room �J x j 1 n Bathrooms V Washer f4D Garbage Disposal Mown Water _Priv.Well CELLAR: Full Cellar _Crawl Space _Slab WELLS: _Main Water Source _Irrigation Only(show well location) Please use the space below to provide us with a rough sketch of the eidsting floor plan(all floors with habitable space). This information is needed for the engineering design and may be required by the Health Department. ov l Y1 �4.Q Q`( ------------ N� L 40 L� oDo ' . lei 1 Hone.Fi c..L.��.i• 508.533.3.004-.. 3320 i-DOWil Road.Sandv�ich, A'p 02363.1'f1uSSOCIJi�S':'�Ci.)i1CcS .tT i S `J �SHf tp�4 Town of Barnstable Barnstable Regulatory Services Department i 1 + BARNSCABLE, ' I 94,A sb 9• A10� Public Health Division TfD MPI 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 #7012 1010 0000 2851 0824 October 2, 2013 Mary Jean Huettner 81 Thread Needle Lane Centerville, MA 02632 SECOND NOTICE . ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 81 Thread Needle Lane, Centerville, MA was last inspected on 6/8/06 by Mark Polselli, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that the system "Failed" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • SAS is below high ground water elevation You are ordered to repair or replace the septic system within ninety (90) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. 6_ PER ORDER OF THE OARD OF HEALTH Thomas McKean, R.S. CHO . Agent of the Board of Health TM/sc Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\81 Thread Needle Rd Cent2nd No2013.doc u Town of Barnstable Barnstable Regulatory Services Department NI-Amed`aCft ^ $ Public Health Division �FD N4A't aim 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 #7012 1010 0000 2851 0718 September 16, 2013 Mary Jean Huettner 81 Thread Needle Lane Centerville, MA 02632 SECOND NOTICE ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 81 Thread Needle Lane, Centerville, MA was last inspected on 6/8/06 by Mark Polselli, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that the system "Failed" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • SAS is below high ground water elevation You are ordered to repair or replace the septic system within ninety (90) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH s �cKeanR.S. O Agent of the Board of Health TM/sc Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\81 Thread Needle Rd Cent2nd No2013.doc Postal CERTIFIED MAII-7,4j, �. (DomesticOnly,No lnsui�nce Coverage Provided) ro O For delivery information visit our'website at vmw.usps.come rl OFFICIAL u7 c0 Postage $ ru O Certified Fee / O Postmark ReturnReceipt Fee t tere O (Endorsement Required) N Restricted Delivery Fee S O p (Endorsement Required) w ti O Total Postage&Fees / 0 R1 N Mary Jean Huettner 81 Thread Needle Lane Centerville, MA 02632 Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. ■ 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 maybe 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 USPS®postmark on your Certified Mail receipt is required. s 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. PS Form 3800,August 2006(Reverse)PSN 7530-02.000-9047 t • • •N 'COMPLETE THIS SECTIONON DELIVERY Complete items 1,2, and 3.Also complete A. Signature r- Item 4 if Restricted Delivery is desired. ❑Agent Print your name and address on the reverse X ❑Addressee M so that we can return the card to you. B, Received by(Printed Name) C. Date of Delivery"7 .Attach this card to the back of the mail iece, or on the front if space permits. p D. Is delivery address different from item 1? ❑Yes ! 1 Article Addressed to: If YES,enter delivery address below: ❑ No Mary Jean'Huettner 81 Thread Needle Lane 3. Service Type Centervallei MA .02632 ❑Certified Mail ❑Express Mail ❑ Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C:O.D. ! 4.1 Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7 012 1010 0 0 0 0 2851 0 8 2 4 C (Transfer from service label). I_PS Form 3811._February 2004____ Domestic Return Receipt 102595-02-M-1540 J lFEC�l1l�¢IISl�1.{1tf3111t11lflt'PlllFlllllitll�lCi'Iiflll�IttEl�ti Gbat�t�}";6�7_'3i.4^�%','� s y 'z'g7"..ZG—£ZTZO-69SQ4 00Zeetl-c33Z®G,3SS2'dGGV TV 3,78VS31AI -120 ION ���- ... ...... ?l3Qr,135 o—L Nsn-Las G ;u6u V VJ `all!naatuaC aue-1 alpaaN peaay-L 1.8 aau}tanH ueer luen I' ~� h290 2592 0000 OTOT 2'C0t'_ Ii f £LOZ ZO 100t?Zb£9£6000 0�d'900 $ MI ZZ ssdW 609Z0 dIZ _ 109Z0VW'Stuue,CH © +�. ' rlorsI Sa el[ O uM d3,ae ^ S3MO8 A3Nlld<<30V-LSQd'S'rl r r , $3 oL • i - 'ti. `� _.r �_� /� . . . . �,� �j r� \ �' ,,� <, �! '� /' \ / \� i �_^_ i � .E - � t_ .l1 _._ ._ . . i • Town of Barnstable Barnstable Regulatory Services Department + IARNSfABLE, Public Health Division t639' �0 ATfDMAtp 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2851 0824 October 2, 2013 Mary Jean Huettner 81 Thread Needle Lane Centerville, MA 02632 SECOND NOTICE ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 81 Thread Needle Lane, Centerville, MA was last inspected on 6/8/06 by Mark Polselli, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that the system "Failed" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • SAS is below high ground water elevation You are ordered to repair or replace the septic system within ninety (90) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE OARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health TM/sc Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\81 Thread Needle Rd Cent2nd No2013.doc Parcel Detail http://issg12/intranet/propdata/ParcelDetaii.aspx?ID=15059 0777�i o AN � . Logged In As: Parcel Detail Monday, September 23 2013 Parcel Lookup Parcel Info Parcel 210-079 - ( Developer.LOT 8 I ID Lot Location 81 THREAD NEEDLE LANE I Pri 1133 I Frontage Sec r _ ___ _�_ ..______ -- Sec Road i I Frontage -- Village CENTERVILLE__� Fire- District C-O-MM I Town sewer exists at this Road address No ..__..____. Index 1715 Asbuilt Septic Scan: Interactive Ltfo--,210079 1 Map Owner Info Co- Owner iHUETTNER, MARY JEAN r--'— I Owner f I Streetl i81 THREAD NEEDLE LANE — — I Street2 City;CENTERVILLE I StateFM—Al Zip 102632 Country Land Info Acres j0.47T _A Use ISingle Fam MDL-01 ) Zoning IRD-1 I Nghbd 10106 Topography jLevel _— I Road Paved I Utilities!Public Water,Gas,Septic I Location I _ I Construction Info Building 1 of 1 Beat C 968 _ I S RU°t Gable/Hip I wall BriExt ck Veneer Living2116 -- ^ -_____I Roof�Asph/F GIs/Cmp AC None Area Cover _ Typewore_ Bed ust y t ans Style rColonial I Wall Drywall �I Rooms 14 Bedrooms iu° ial 14. t Int �� � Bath Model Residential �I Floor lHardwood I Rooms 12 Full+2H ) 4 2 4 g� a � �� Heat Total i Grade!Average Plus Type Hot Water _ I Rooms 8 Rooms 2,, � . Heat -.�-..___._.__ Found- Stories lL Stories _ Fuel Gas I ation(Typ ci al I Gross http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15059 9/23/2013 Town of Barnstable Barn Regulatory Services Department ;edraC 1 M^M r Public Health Division I ib39' s 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 #7012 1010 0000 2851 0718 September 16, 2013 Mary Jean Huettner 81 Thread Needle Lane Centerville, MA 02632 SECOND NOTICE ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 81 Thread Needle Lane, Centerville, MA was last inspected on 6/8/06 by Mark Polselli, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that the system "Failed" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • SAS is below high ground water elevation You are ordered to repair or replace the septic system within ninety (90) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH s cKean, R.S. CH0 Agent of the Board of Health TM/sc Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\81 Thread Needle Rd Cent2nd No2013.doc Postal (Domestic r` e r I OFFICIAL Ln CO Postage $ o CHere NN I S I Certified Fee ,kl Return Receipt Fee "0 O (Endorsement Required)p Restricted DeliveryFee0 (EndorsementRequred) Z413O Total Postage&Fees $ / --- - — .i _.. ru a N Mary Jean Huettner 81 Thread Needle Lane Centerville, MA 02632 Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ 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 Mail®. ■ 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 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. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 • L I c, Town of Barnstable Barnstable SHF Tp�y Regulatory Services Department AMmedcaCIW 11 ` 4AS& Public Health Division a�� ' �tfp� 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 #7012 1010 0000 2851 0718 September 16, 2013 Mary Jean Huettner 81 Thread Needle Lane Centerville, MA 02632 SECOND NOTICE ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE TITLE 5 • The septic system located at 81 Thread Needle Lane, Centerville, MA was last inspected on 6/8106 by Mark Polselli, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that the system "Failed" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • SAS is below high ground water elevation You are ordered to repair or replace the septic system within ninety (90) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH �scK�ean, R.S. CHO Agent of the Board of Health TMlsc i Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\81 Thread Needle Rd Cent2nd No2013.doc I • • �'COMPLETE.THIS SECTION ON DELIVERY IN Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent . Print your name and address on the reverse X ❑Addressee r so that we can return the card to you.. B. Received by(Printed Name) C. Date of Delivery ; ■ Attach this card to the back of the.mailpiece, I or on the front if space permits. i 1 Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below" ❑ No ! I � Mary Jean Huettner 81 Thread Needle Lane 3. Service Type ! Centerville, MA 02632 ❑Certified Mail ❑Express Mail ! ❑ Registered ❑Return Receipt for Merchandise 1 ! ❑Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number t' (Transfer from service]label) -- ?012 1010 0000 2851 0 718 ^ PS.Form 3811. Febru_ary 2004 Domestic Return Receipt 102595-02-M-1540•I IIIE'Il.IfII['��'r{ilieiji4Fii �''{ lli li►{i3 {�el'Illltiii `ilE{i z00 Irv) �09ze . 17ts -L`C -6i79S0 9 E 0 e0zeetrTOSZ*i-3 S faNVMNO;� -01 3'1EVNn OSSSS�JaOV SV BISVSSAI-130 10N Q} 1�1 7 tt nt 7 C rf� Al 1i E'I�w tl1 ZE980 dW' `ell!A..ratuaC al alpaaN peaaui 1,9 aau}tanH l i(aen f !- 9 2.0 '15.92 0000 OTOT 2'10L - £LOZ L6 'd3S17Zb£8£t000 " siuuei o*dN1O31> 0 ��900 I$ I,09Z 3 dIZ i09Z0 dv�` H s0 Ssew 122IIS UTW OOZ 3�evtsNnve ®� alge;suaell3 umojL S3M08 A3N11d<<30VLSOd-s-n :I 1 ,f i 1 i COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete Items 1,2,and&Also complete A. Signature item 4 if Restricted Delivery is desired. / ❑Agent ■ Print your name and address on the reverse X th : ❑Addressee so that,we can return e rd-to you. I B. Re ved by(Punted Namur C. Date of Delive ■ Attach this card to the bad of tTie mailpiece, Delivery } or on the front'ifspace permits. /'►a � % D. Is deli ddress different from Rem 1? ❑Yes 1. Article Addressed to: If YES, er delivery address below: ..13 No asP <4 3. Service Type {i /10 Certified Mail , O Express Mail 1 064 1 p. ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ('ransfer�from service IabeQ ' G_V t //� Lj /33 i✓� ;��S a r i"i4 x x�:� Ra .€�l•[ foi;�t i xi i�. R 4« PS Form 3811,February 2004 Domestic Retum.Receipt 102595 oz-M-154o C 9 UNITED STAT Ep4A SY te.a"UL*GM pf"etl • Sender: Please print your name, address, and:ZIP+4 in this bo' PUBLIC HEALTH DIVISION CP TOWN OF BARNSTABLE 200 MAIN STREET 1 i HYANNIS,MASSACHUSETTS 02601. llttlti�t�l�1!!l�ltl.d'Dii�;i:llii�tttlil3'lgtl`t(�7lllifl7ltll�.ti .i`'f ; y, n,� http://www.whitepages.com/search/F indNearby?utf8=%E2%9C%93&street=8l+Thread+Needle+Lane&where=Centerville... WhitePages • Address 181 Thread Needle Lane • City, State or ZIP Centerville, MA i Submit Query Back81 Thread Needle Ln Claim & Edit 1, Suzanne S Selinger » 2. Sarah Platt » 3. Marvin R Platt » 4. 3 more people at this address, see all in map » 5. �81 Thread Needle Ln,, Centerville, MA 37 Neighbors 1. James D Preston » 2. Constance D Preston » 3. 65 Thread Needle Ln Centerville, MA 1. Frederick P Brouwer II » 2. Abby Brouwer » 3. Joan A Brouwer » 4. 2 more people at this address, see all in map » 5. 30 Willow Run Dr Centerville, MA 1. Norma H Atkinson » 2. Michael E Eckman » 3. JR Eckman » 4. 50 Willow Run Dr Centerville, MA Loading... View more on WhitePages Neighbors » , Get more information on the people in this neighborhood. View more neighbors » 1. Janice M Bianchi » 2. See contact information » 3. 88 Thread Needle Ln Centerville, MA 1. Irena Z Zinov » 10/9/2013 13(62 P/to Ad/v 9- : nn: gvte—k� 1ME Town of Barnstable F Tp� do Regulatory Services BASrnB Thomas F. Geiler,Director 9� 0MAS 39. Public Health Division ATED MA'S A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 6, 2006 Ms Mary Jean Turner 81 Thread Needle Lane Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 81 Thread Needle Lane, Centerville, MA,was last inspected on June 8th, 2006 by, Mark Polselli, certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system has "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: SAS is below high ground water elevation. You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HE TH DEPARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health COMMONWEALTH OF MASSACHUS ETTS W EXECUTIVE OFFICE OF EN-TIRONi1EN-TAL AFFAIRS W DEPARTMENT OF ENVIRONMENTAL ,PROTECTION ° �9 Go f 52 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSITENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: '691 T hregvtd eeGllQ L y Ge� rvi' e /Ll' Od 6 3a Owner's Name: eg,2 77,rne - Owner's Address: -�I Pam%�rend 4Yee d/e- L a/ Date of Inspection: Name of Inspector:(please print) G k4- ��� Company Name: yviO - �G//- Mailing Address: Ife pX ld- �Aw, �4 4d64(,t, � Telephone Number tX t'- c�Cl- CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the in Trmation'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 Clot-1 lot 15.000). The system. Passes Conditionally Passes Further Evaluation by the Local approving Authority Fails Inspector's Signature: Date. 6400LO7 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 I om'gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional off-ice of he DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the annrovin� authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that rime. 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 06/15/2000 page I Page 2 of l 1 OFFICIAL INSPECTION FORNI—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM NSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: Date of Inspection: Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: 1/ I have not found any information which indicates that an of the 1�.303 or in 310 C.-MR 15.304 exist.Any failure criteria not evaluated are aindica indicated below. ilure criteria d scnbed in 310 CIIR Comments: B. System Conditionally Passes: V One or more system components as described in the"Conditional Pass"section need to be replaced 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,N-D)in the 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 exfiltradon 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. NTID explain: 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 Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pine(s). 1 ne system w 11 pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: �j reo d /LP2Cle- 1-41- Gem ter., Od 63a Owner: r!�v v�C✓ Date of Inspection: 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 C_-NM 15.303(1)(b) that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if 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 coliforin 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 analyc;c must be attached to this fo m 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSNfENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: h` Oa G 3 Owner ( vol Date of Inspection: G zfz,9 D. System Failure Criteria applicable to all systems: You must indicate "yes"or"no"to each of the following for alt inspections: Yes No 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 fpsspool _ ✓ Lip�id depth in cesspool is less than 6"below invert or available volume is less than`/z day flow ,-,Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).`umber of times pumped 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. A portion of a cesspool or privy is within a Zone 1 of a public well. t�xiyportion 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 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.] (Yes/Nio)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) Xnthe 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 :he system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—FW-PA) 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 ves" in Section D above the large system has failed.The owner or operator of any large system cosicered a significant threat under Section E or failed under Section D shall upgrade the system in accordance rwith 310 Cti 15.304.The system owner should contact the appropriate regional office of the Department. 4 page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUiV-T-ARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B / �/ CHECKLIST Property Address: 1 / ►'i rer^c! L �► �, 47,4oa 3� Owner: T—G+✓A-P;-- Date of Inspection: Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes . o provided b the owner,occupant or Board of Health / Pum mg informanon was pro y P _ Were any of the system components pumped out in the previous two weeks? v Has the system received normal flows in the previous two week period? _ t, 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 ✓ 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 C."�Was the facility owner(and occupants if different from owner)provided with information on the proper _ rnaintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes to/' xisting information.For example, a plan at the Board of Health. Dete.;nined it,the field(if any of the failure criteria related to Part C is at issue apnroxirnation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSi NTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner:- Date of Inspection: FLOW CONDITIONS RESIDENTIAL 3 Number of bedrooms(design): Number of bedrooms(actual): -712 DESIGN flow based on 310 CNIR 15.203 (for example: 110 gpd x*of bedrooms): Number of current residents: / _ Does residence have a garbage grinder(yes or no):yd Is laundry on a separate sewage system(yes or no):�/ if yes separate inspection required] Laundry system inspected( es r no):.. Seasonal use: (yes or no): Water meter readings, if available(last 2 years usage(gpd)): Sump pump(yes or no): Last date of occupancy: iGn7� C O'iNLMERCIAL/Lr_:3STRI.AL Type of establishment: Design flow(based on 310 CVIR 15.203): gpd Basis of design flow (seats/persons/sgf(etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):— Non-sanitary waste discharged to the Title 5 system(yes or no):— Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: a Was system pumped as part of the inspection(yes or no);" 1f yes, volume-pumped: gallons--blow was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _Septic cessp istribution box, soil absorption system _S e ool _Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _innovative/Altemative technology.Attach a copy of the current operation and tnairtenarce contract(to be obtained from system owner) —Tight tank _Attach a copy of the DEP approval (describe): Other(desc ,: Approximate age of all components,date installed(if known)and source information ©✓r S� ✓e a V'ere sewage odors detected when arriving at the site(yes or no): 10P 6 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLL--iN-T_4RY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORINIATION(continued) Property Address: n r-e.d C P ✓ '1 Pj Owner: / 14✓4-e✓ Date of Inspection: BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction:_ ast iron 0 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:— locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal list age: _ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Sludge depth: 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: 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: Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrry, liquid levels as related to outlet invert, evidence of leakage,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ,q SYSTEM INFORMATION(continued) Property Address: C,--4 owner: 7—ti rri.g i/ Date of Inspection: rw TIGHT or HOLDING TANK: /V�(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/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): 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 carry-over, any evidence of leakage into or out of box,etc.): PUMP CHAMBER: /( !locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): L p age 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) property Address: The--J I—,V Qv� rir /l/I!� OoZ6 p-svner: TcnrK pate of Inspection: SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: leaching pits, number:_ (,� a'5.7to„ke-- leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number, dimensions: overflow cesspool, number: innovative/aitemative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil, condition of vegetation, etc.): � CESSPOOLS: (cesspoo must be pump as part of inspection)(locate on site plan) Number and configuration:! — Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: a X f, (a x S hQ tit /J�e— �As aterials of construction: Iradication of groundwater inflow(yes or no): A0 Comments (note condition of soil, signs of hydrauli failure,level ofoondi)ijcon(iti,�Liuofv�getation,etc.): PRIVY: (locate on site plan) vlaterials of construction: Dimensions: Depth of solids: Comments (note condition of soil, signs of hydraulic failure, level ofponding, condition of�.:egetaron, etc.): 7 ;d. ; 9 pag; 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORINIATION(continued) Property Address: / ',Iead 1��ec-jk L l yi' e1 doh-7.L Owner: Date of Inspection: O 6 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Loc to all wells within 100 feet. Locate where public water supply enters the building. 9,4 1 O � 3 93- L Page of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSNIE`TS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: Ti en�ii/ Date of Inspection: SITE EX,kM Slope Surface water Check cellar _ Shallow wells � Q J O Estimated depth to ground water A9,12feet \ �k r0 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: served site(abutting property/observation hole f of SAS) Checked with local Board of Health-explain: 025 Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the hi h ground water elevation: �4to ® o-te:: �, 9,3 ' o-- r—� j , Jc cJ9 .9 9.3 ��. r C_ c0 vI All FLOOR PLANS Location: 81 Thread Needle Lane, Centerville Owner: Mary Jean Huettner F Den Garage Bat � Kitchen/ Dining Room 1 st Floor Bedroom Bath Bedroom 4 1 edroom Bedroom 3 Bath 2 2nd Floor Family Storage/ Room Utilities Sink Ba[Utilities Slider Storage/ Basement AsBuilt Page 1 of 1 L O C A T ION$/ SEWAGE PERMIT NO. VILLA6E INSTALLER'S NAME i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED F-0. http://issgl2/intranet/propdata/prebuilt.aspx?mappar=210079&seq=1 2/5/2014 4% Nol' FEz THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........OF.......Ra C........................ Apphration for Uhiplaiial luorkii Tomitrudion rumit Application is hereby made for a Permit to Construct or Repair ( A-)-an Individual Sewage Disposal System at:-. ... .................. ................................................................................................... ocali Idy 0 0. .... . .......nh... . ......................... ........... Ifnk2lV22�........................................ Owner ess----4_201�L.t .......... ..................................... Installer Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons.....................__.__.. Showers Cafeteria ( ) Otherfixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter._._____.._..... Depth.............__. Disposal Trench—No..................... Width.........._.._...... Total Length_................... Total leaching area....................sq. f t. Seepage Pit No..................... Diameter.._................. Depth below inlet.............._..... Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutesperinch Depth of Test Pit.................... Depth to ground water.._.............._...__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.._......_.........____. 7---r--------------4-- -----------"---------- 0 Description of Soil............... ............................................................................................. x U ......................................................................................................................................................................................................... ------------------------------------------------------------------------------------------------------------------ ')I------/--------- ----------------------------------*--------txj Nature of Repairs or Alterations—Answer when applicable._-_____ ....... ---------------- ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of-T':'L- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een issued by-the board of` f health. Sign ...... . ..... NN Ijjao ,J, ApplicationApprove ................................................................................. ... YIKJ........... Date Approve ee Application Disa r d f the following reasons:................................................................................................................ ................................ .................................................................................................................................................................... Date PermitNo. -.-E_7 ................................. Issued....................................................... Date No.. �. Fzs...........: ..�'% THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----......I �l °: ....OF....... _..✓..`. .: . x ..f- <. <....................... Alip tration for BiiVoiittl Works Tontrnr#ion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( !)-'an Individual Sewage Disposal System at # �° �, lr ... —/_ as :: { t` t f..................................... ............. .... --- --- ...........-•----•---------•-•-••......... y F Location''_kAdrgss a Fr e r or Lot No .... _!j.1. 5%.a°.?_ d�s:.d,t....... .... �r ... .."......................... .............5 ....... '.!' !............................................ Owner aAddress��'...1...:..........s!L_3....i.. ..F= r..11;i.�..c.S, ......•......1. Installer Address dType of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers — Cafeteria Otherfixtures .......... •----•-------------------------------------------------•----.......-------•------••----•-----.......----...........-•---•-•.._........._... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY.......................................................................... Date................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil................= I t. -'•'-•- - - - - - - - W UNature of Repairs or Alterations—Answer when applicable..._..._.:p_... ` %<'_"`!...= ................. ....--•...............••-••••••••--•...................................._••••--•....................••••-••••..-•---•----....•••-•-•-•-•-••••--•----••••••••••-••••••••••••••••-•••••••........-----..•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI I : 5 of the State Sanitary Code_,— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health \ I Si ned. r y f^ �1'V i rt + S k{, ftt7 g r s. --.. ._�.....t__ ....., l._....... µ Date Application Approved ABy . .._....... ;.....-••----•-•-•--- •---•-- �f�Date Application Disappr efollowing reasons--------------------------•--•---....------------•---------------------------•--•-------------•-••----•••..------ i ....................................' '._.. ...___.................._.....--........................--.._._....------..................................__........._.............�--.._...._._.......... Date �- S?'0................................. Issued..-•----................................. Permit No................•-----. ------ Date Qf� ��/hGflLt a THE COMMONWEALTH OF MASSACHUSETTS j BOARD OF HEALTH �.. r s"o '........................ o2 ��j........... Trrtif iratr of (SvmVftZtnrr r THIS�IS,.TO CERTIFY, That the Individual—Sewage Disposal System constructed ( ) or Repaired ( 4+- by............ .. ............•--• e •.......................•-•----.•... tAnstaller ............................................................� •---•---------- .......---••--- -----------•----••......•--•-•.... .... .... ..-•--••-- has been installed,in accordance with the provisions of T `;-EE. '`f The State Sanitary C da s d cribed in the application for Disposal Works Construction Permit No-------_........______ � _ ----- dated_.- . . /... -•--••... THE ISSUA E THIS CERTIFICATE SHALT. NOT BE C S E® WA UARANTEE THAT THE SYSTEM WI.L U IQN SATISFACTORY. DATE ..•; Insp or.. .. It ............................. THE COMMONWEALTH OF MASSACHUSETTS r_ BOARD OF HEALTH ........... .....OF.......... ................... No....... . �/.'r.� 7r'� l FEE .....:� ......... �io�ro�tt� �rk� �vrn��nrtion rruti� ----. Permission is hereby granted......... ............... {�� t � '" ._.? .. � '� � t �' �.... .............. to Construct ( ),aor Repair ( -aYI Indwidual Sewage Disposal System '" x at No..... Y l Y- • • ••••- Street as shown on the application for Disposal Works Construction Permit No....... KI..f.'?mated.._.._. ., .. ! ...•.....,,• ------------•----•------•----•-•-------------•-•-------------------•-•--•--.....-•-...........•---....._ Board of Health DATE................................,.. .............................................. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 00 CAT ION SEWAGE PERMIT NO. VILLAGE INST�A`L�LER'S NAME i ADDRESS G U I L D E R OR OWNER to :r DATE PERMIT ISSUED DATE COMPLIANCE ISSUED tisr � � s ' ±t a 1 t� M 91 or jw.( ' . 51� Locus THREAD Lake uet °� c GENERAL NOTES: / We rk2�2 N EEC LE �I � 5 � of \� N Edge 1fO P 1. VERTICAL DATUM: BARNSTABLE GIS e �2' Pavement O�o� Zp1 I�. MUNICIPAL WATER _ IS_- AVAILABLE. a Nee �o�o �3 - �y� 57.42'30" E �-_ ��5 3. SCf�EDULE 40 PVC PIPE TO BE USED THROUGHOUT C�Qo A-7g 73, \QI 2 EM UNLESS OTHERWISE NOTED. _ ... _ reat rsh ���� 52.54' ���� R =39s:.66 K?- °* ALL PRECAST UNITS TO CONFORM TO Road �. S�. ,�t� AASHTO: --- �l i 5• PIPE PITCH-1 4" PER FOOT UNLESS OTHERWISE NOTED. Route 28 west Mai '3 4 6. ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE LOCUS MAP N.T.S. WITH MA ENtiiR. CODE (TITLE 5) AND LOCAL S�' REGULATIONS. 7 ASSESSOR'S MAP: 210 CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PARCEL: 79 20o5's PRIOR TO CONSTRUCTION. REFERENCE: PL. BK 191 PG. 47 1�0o�ce� � ���� � ��f�5 �� � LEGEND FLOOD ZONE: X Town of Barnstable P �_ ss�- PROPOSED CONTOUR #25001 CO561 J (7/16/14) — L rk NOTE: Contractor to conduct #81 1 — tk ss PROPOSED SPOT GRADE T4 TOF-45.14(Barn. GIS) ' p1 water test, prior to setting x 40 i EXISTING CONTOUR V. p5 septic tanks at time of (Slab/Walkout in Rear) at• P� ' installation to insure all water 30,23. EXISTING SPOT GRADE fixtures are connected to new a) TEST PIT * septic n stem. Contact Design � ii Location of Sewer Line(s) _ v p y g m 1� below Slab Floor and behind . I �� Sanitarian if additional sewer ® EXISTING WATER SERVICE N2. L�: lines located.enclosed wall. Exact location i ' I unknown. Orangeburg pipe, if � �� I Qe ,OJe : encountered, to be replaced. lY i . P`0. Invert Elevation approximate i 9F ,yA flF I per Cesspool elevation. m: LJ �y O __ C21 o AMY L. = TERRY G� sz� c Gaol , 10 R? ----� S- VON HONE ANN a, a5 :: I al C° o � o WARNER N c2 ° G -W No, 1068 No, 38721 Z 32'�a 48 36 0 3� 21 �2�-, -,Cc) `� L0 �FGISTER�4 A?'�� 9EGl F � ) 9 01;, o ��' �ti0 st «°I c� IT R R ss/p S Maximum Feasible Compliance: o RI ° 89' Title 5 Section 15.227(5): con " 70' e - Tank Outlet and Pump fin' �5l eserve Area shown for NOTE: This plan is to be used for septic Chamber Inlet inverts less thanes �� ^;`b' '�� �- size requirements only. system purposes only and is not to be 12" to Adjusted Barnstable GIS Remove and replace in considered a property line survey: High Groundwater. Lowest invert 0 1 5 3 o ��2 0 0\\ primary area. is 8.4" above Adjusted `t o 7 Groundwater (33" above Frimpter (3 3�3�pP� o�t� �2 Co 81 THREAD NEEDLE LN, CENTERVILLE, MA adjustment). �F �' 3g• V H PREPARED associates FOR: 18' Mary Jean Huettner 15' _--- _ nj SEPTIC SYSTEM OESIONS k 38,7ax 320 Cotuit Road 76 Whites Point MA BENCHMARK: 398g OTE: Removal of unsuitable soils (Fill, A, 8) may Sandwich,(0)508.833 02563 .0041 Brandon, VT 05733 be required 5' beyond edge of leach fief . Replace C 508.274.0074 Basketball Court orange paint 26' 4� ( ) 9 p with.clean fill, as needed. _. � EL. 38.55 { Barnstable GIS) < __ Fence N, Surveying by- Chain �Q. 122.46 Link (�0 Terry A. Warner. P.L.S. oad N 6o•2T5O" W 22 R026 DATE REVISED SCALE SHEET # '— Harwich, MA 02645 (508) 432-8309 0 7/0 4/14 1 " = 20' 1 of 2 f( r Provide Riser over Pump to NOTE: All components to be marked with NOTE: A minimum of 9" of fill T.O.F. (Full) final grade. (Cover to be magnetic tape or similar prior to final cover. required over leach field. Breakout EL.45,14 watertight and secured.) elevation 40.75 to be maintained F.G. EL: 40.0-45.0t Maintain Min. 2% slope over leach with 40 ml. polyvinyl barrier: Top Existing F.G. EL: 39.5t F.G. EL:39.0± F.G. EL: 42.Of facility to prevent ponding F.G. EL:41.5t EL. 41.0, Bottom EL. Existing Main Line :4 Instal /covers o , and LIFT CHAIN uick Below Slab Floor outle to wi in 6" of fi I gra a n n e c t Min. 2 1/8" - 1/2" Washed St ne or Geotextile Fabric and Behind A CHECK VALVE- Sanitary 3/4" - 1 1/2" Washed Stone Inspection Port within 3" to grade Enclosed Wall L=20'(Acces .Cover min. 20" m. p Code) & to 4" SCH 40 P ' L= 3' Voly Tee L=10' EL. 36.0± e Minimum 2' Separation F, 4" SCH 40 P, 2" PRE URE iE:T 4" SCH 40 PVC ��Q�-005 % slo e Breakout/Top EL:40.75 0S=1% 1%MIN 1 0•1 ®S=1 67 EL.40.3 Connect ends with solid *Contractor to >a• >o• r"WEEP HOLE 6 ALARM @S=0.8%(0.5%MIN) PVC pipe or cap confirm location and EL. 35.55 24• puMp ON EL. 40.67 EL, 40.5 5 16" Eff. De th elevation of all sewer EL. 35.8 J Install Gas Baffle EL.35.5 >s• EL. 40.42 Use 40'L x 15'W x 6"D Leach Field BottomEL. 39.8 lines exitinghouse and Effluent Filter purer OFF EL. 38.0 PROPOSED DB-5 prior to construction. 12• H-10 DISTRIBUTION BOX 4 a 4" Sch. 40 PVC Perforated 5' EL. 31.22 EL. 30.92 Laterals spaced 3' apart with (Install PVC Inlet & Outlet Tees) Watertest for levelness if Double Washed Stone PROPOSED 1500 GALLON PROPOSED 1000 GALLON more than one outlet H-10 MONO SEPTIC TANK H-10 MONO PUMP CHAMBER EL.34.8 Groundwater Adjustment C SOIL LOG WITH MYERS SRM4 0.4 HP or SEPTI WATERPROOF/WATERTIGHT WATERPROOF/WATERTIGHT for Lake Wequaquet SYSTEM PROFILE DESIGN CRITERIA LIBERTY 250 SERIES 0.3HP SOIL EVALUATOR: AMY VON HONE, R.S. S.E. #2517 PUMP OR EQUAL N.T.S. ; Number of Bedrooms: Existing 4 Bedrooms INSPECTOR: DONNA MIORANDI, R.S., BOH DATE: JUNE 6, 2014 10:00 AM Soil PERCOLATION RATE: <2 MIN/INCH IN C1 (LOAMY SAND) I Design�Percolation Rate: <2 min/Inch PERMIT #: 314387 BUOYANCY CALCULATIONSIi TH - 1 TH - 2 Daily Flow: 110 G.P.D./ Bedroom x 4 =440 Design Flow: G.P.D. EL. 39.0 EL. 39.0 H-10 1500 .GAL Septic Tank 11,833 LBS. 440 G.P.D. (Min. Required) 32" Soil Cover : (2.7' x 10.17' x 6.1' x 110 LB/CU. FT. ) 18,424.9 LBS. Garbage Grinder: Fill Fill TOTAL Septic Tank and Soil Cover: 30,257.9 LI S. Not Allowed 30" 36.5 7" 38.42 11 Leaching Area Required: ' x 6.1' x 62.4 LB./ qy. FT. ). (440)/0.74 = 594.59 S.F. Sandy Loam Sandy Loam TOTAL Water Weight: 13,858.5 LBS. < 30,257.9 LBS. ok Septic Tank Required: 38 2 10YR3/t 10YR2 I 440 G.P.D. x 200% = 880 G.P.D 40" 35.67 10" / .17 H-10 1000 GAL Pump Chamber 9,200 LBS. B 31" Soil Cover (2.6' x 8.25' x 5.42' x 110 LB/CU. FT. )I12,788.5 LBS. Minimum 1500 Gallon (Proposed) Sandy Loam San y Loam Minimum 1000 Gallon Pump Chamber 10YR5/8 10YR4/6 37.42 TOTAL Pump Chamber and Soil Cover: 21,988.5ILBS. 48" 35.0 1g" Use Leach Field Configuration: 40' L x 15' W x 6" D C1 Perc C1 Water Weight: ([34.8-30.92] x 8.25' x 5.42' x 62.4 LB./ CU. FT. ). 4 - 4" Sch. 40 Perforated PVC Laterals set 3' apart Loamy Sand @ Loamy Sand TOTAL Water Weight: 10,825.03 LBS. < 21,988.5 LBS. ok 2.5Y6/3 43" Bota m 2.5Y5/6 Sidewall Area: Not Allowed Bottom Area: 40' x 15' = 600 S.F. 50" d'. Wate 34.8 50" Ad' Water 34.8 72" 33.0 Total Area Provided: 600 S.F. C2 Medium Fine Sand PUMP /ALARM NOTES Design Flow Provided:0.74(600.0 S.F.)= 444.0 G.P.D. 2.5Y6 X. 110 29.83 110" 29 83 1. Alarm to be on separate circuit from pump. C2 120"rMe d. 2. Control panel for pump/alarm to be located inside 81 THREAD NEEDLE LN, CENTERVILLE, MA Coarse Sand dwelling. Alarm to be audio/visual. 2.5Y 5 2 29 0 114" 29.5 3. ALARM: EL. 33.25 (24" from the bottom) PREPARED PUMP ON: EL. 32.75 (18" from the bottom) V H FOR: <9" ® 9:27 minutes (Presoak) PUMP OFF: EL. 32.25 (12" from the bottom) 'associates PERC RATE: <2 MIN/IN. ( C1 Horizon) 4. Septic tank and pump chamber to be waterproof. EPnc SYSTEM DESIGNS Mary Jean Huettner 5. Pump to be capable of 50 GPM with 8.33' TDH. sandwich,MA 02563 76 Whites Point • Groundwater Adjustment: Use BOH Policy Barnstable GIS (0)508.833.0041 Brandon, VT 05733 Elevation 34.8 Lake Wequaquet (c)508.274.0074 I, Amy L. von Hone, R.S., hereby certify that I am currently approved by the DEP NOTE: Minimum 48 hours notice required t Surveying by: pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above Design Sanitarian for final inspections. Terry A. Warner.P.L.S. analysis has been performed by me consistent with the requirements of 310 CMR 22 Long Road DATE REVISED SCALE SHEET 15.017. 1 further certify that I have successfully passed the Soil Evaluator's Exam Harwich, MA 02645 #. on November, 1994. (508) 432-8309 0 7/0 4/14 1 " = 2 0' 2 of 2 LOGU S, THREAD ZOO _. ; a�i // /��/,�.� EAD I GENERAL NOTES: �Weaquet� Zro2 NEEDLE � \ n - --E--'-g of �21� Pavement �P ~LANE 1. VERTICAL DATUM: BARNSTABLE GIS / f �� 2��IV� - ---- _ _ e_ _ p�2 MUNICIPAL WATER � AVAILABLE. a Nee ,� o f �z �3• y� -�`"'--- �r--- �2 �g013. SCHEDULE 40 PVC PIPE TO BE USED THROUGHOUT S 57'42'30" E rr :"`.--.?---_ .. I?, c� '( o t ` : :•A.-79 Q 'L EM UNLESS OTHERWISE NOTED. reot e� 52.54' OF R'=3 9 6. -# ALL PRECAST UNITS TO CONFORM TO rsh Rood r\�� �,\ IS��3�� :,: s s' ��� AASHTO: --- _ _ 5• PIPE PITCH-1/4" PER FOOT UNLESS OTHERWISE NOTED. Route 28 west 6. AL'L—CON_STRUCTION DETAILS TO BE IN CONFORMANCE O D�5 ; •..:,' ! WITH MA ENVi-R. CODE (TITLE 5) AND LOCAL LOCUS MAP N.T.S. I �p� �. Dc A� �� •,.J��.;.`, ... `� ! REGULATIONS. ASSESSOR'S MAP: 210 i O'�h� Pc1o ��_ i! 7- CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION. PARCEL. 79 I 2 0 2 �9 5 -�.�2 . ti LEGEND REFERENCE: PL. BK 191 PG. 47 009 cep ���`' � ` `:.:. IN tk FLOOD ZONE: X Town of Barnstable i �1� . ?0 �� ss--�- PROPOSED CONTOUR #25001 CO561 J (7/16/14) #81 i — I � NOTE: Contractor to conduct ss PROPOSED SPOT GRADE ! water test, prior to setting O I ) �� TOF=45.14(Barn. GIS) I J x 40 EXISTING CONTOUR I p5 ! ! septic tanks at time of ! (Slab/Walkout in Rear) ' Goy Q� ' ) !! installation to insure all water 30.23. EXISTING SPOT GRADE I j ! fixtures are connected to new ,p I Ic� I F m ! ! TEST PIT Location of Sewer Line(s) O ! I septic system. Contact Design LL_ below Slab Floor and behinds C�' !! Sanitarian if additional sewer ® EXISTING WATER SERVICE I N?- enclosed wall Exact location tLJ ! lines located. I I =---�-�__ unknown. Orangeburg pipe, if ' ) �� I ! +�' �! WG J'C' - encountered,; to be replaced. _ r ! P`p Invert Elevation approximate 8 Y� 2 I OF M9 f a pF yq f per Cesspool elevation. mz p�'3 X, AMY L. ��, ?� TERRY dG � o� VON HONE ANNa) v oy oWARNERa� Fa0 ! .. O� _ i. -p !Ic N y o No. 1068 No. 38721 M ;� !! 32'�;. 48 36 �6", 21' + fo5 ,�, �F61STE��� Z ! l 0 3°1 43� �2• C/SiE v i 0'' k ��• �%O 4 ° Maximum Feasible Compliance: gg' Title 5 Section 15.227(5): j,_$�70' t�� \DSO r ti //�/ aJ ss RV `7 I,` ! I - Tank Outlet and Pump ' rr, ,�� -r�5 eserve Area ,shown for NOTE. This plan is to be used for septic Chamber Inlet inverts less than � s size requirements only. system purposes only and is not to be 12 to Adjusted Barnstable GIS ! o I ! ! Remove and replace in considered a property line survey. High Groundwater. Lowest invert o 1 5 3:9 ; .2 oX\ r primary area. is 8.4" above Adjusted `tj o 1$ Gooy- ; �� r Groundwater (33" above Frimptel I\ �,$ g � oPt� i 2 E �r �5 81 THREAD NEEDLE LN, CENTERVILLE, MA adjustment). 3F�' o 3$�` V PREPARED associates FOR: 18' °` Mar Jean Huettner �15' r:.l 3a• I SEPTIC SYSTEM DES Y ! I 320 Cotuit Road 76 Whites Point 39 38:7 X I Sandwich, MA 02563 BENCHMARK: 88 OTE: Removal of unsuitable soils (Fill, A,t8) may (0)508.833.0041 Brandon, VT 05733 be required 5' beyond edge of leach fieI�_✓Replace (C)508.274.0074 Basketball Court orange paint 26 ` ,'with clean fill, as needed. 4u EL. 38.55 ( Barnstable GIS) \� Q2 -`---- pie �1 Surveying by: Chain p0. 122.46' Link ~ p�0> Fence 1ti Terry A. Warner.P.L.S Q?! rw Long Road DATE REVISED SCALE r�EET # — N SO'27'S0" W Harwich. MA o2r�as ___ k (508) +32-8309 0 7/0 4/14 1 " = 20' of 2 Provide Riser over Pump to 1 NOTE: All components to be marked "with NOTE: A minimum of 9" of fill T.O.F. (Full) final grade. (Cover to be 1 magnetic tape or similar prior to final cover. required over leach field. Breakout EL.45.14 watertight and secured.) l elevation 40.75 to be maintained F.G. EL: 40.0-45.0± Maintain Min. 2% slope over leach with 40 ml. polyvinyl barrier: Top ,--'-ExistingF.G. -EL: 39.5t F.G. EL:39.0± F.G. EL: 42.Of facility to prevent ponding F.G. EL:41.5f EL. 41.0, Bottom EL. 37.0. ExistingMain Line •• uick Below lab Floor . Instal /covers o and LIFT CHAIN + outle ..to wi in 6" of fi I gra• onnect Min. 2" 1/8" 1/2" Washed St ne or Geotextile Fabric and Behind '( p ) CHECK VALVE Sanitary 3/4" - 1 1/2" Washed Stone - Inspection Port within 3" to grade Enclosed Wall L=20 Acces .Cover min. 20" m. Code & to . ::: 4 SCH 40 P _ L= 3 VOW ,R Tee L=10' EL. 36.0t �_19 19'MI 4" SCH 40 P. I 0.005 % sloe Breakout/Top EL:40.75 io• 2" PRE URE 4 SCH 40 PVC EL.40.3 Connect ends with solid *Contractor to ia• CADS=1.6 ° io• ALARM 4"WEEP HOLE + s OS=0.8%(0.5%.MIN) PVC pipe or cap confirm location and EL. 35.55 24• PUMP DN 6" Eff. De th elevation of all sewer EL. 35.8 Install Gas Baffle EL. 40.67 EL. 40.5 lines exiting house and Effluent Filter � EL.35.5 le• � EL. 38.0 EL. 40.42 Use 401 x 15 W x 6 D Leach Field Bottom EL. 39.8 prior to construction. � .• 12• PUMP OFF PROPOSED DB-5 4 - 4" Sch. 40 PVC Perforated 5' EL. 31.22 H-10 DISTRIBUTION BOX Laterals spaced 3' apart with (Install PVC Inlet & Outlet Tees) EL. 30.92 Watertestlfor levelness if Double Washed Stone PROPOSED 1500 GALLON PROPOSED 1000 GALLON more than one outlet H-10 MONO SEPTIC TANK H-10 MONO PUMP CHAMBER EL.34.8 Groundwater Adjustment SOIL LOG WATERPROOF/WATERTIGHT WATERPROOF/WATERTIGHT for Lake Wequaquet WITH MYERS SRM4 0.4 HP or SEPTIC SYSTEM PROFILE DESIGN CRITERIA LIBERTY 250 SERIES 0.3HP SOIL EVALUATOR: AMY VON HONE, R.S. S.E. #2517 PUMP OR EQUAL N.T.S. INSPECTOR: DONNA MIORANDI, R.S., BOH Number of Bedrooms: Existing 4 Bedrooms DATE: JUNE 6, 2014 10:00 AM Soil Type: Class I PERCOLATION RATE: <2 MIN/INCH IN C1 (LOAMY SAND) Design Percolation Rate: <2 min/Inch PERMIT #: 314387 BUOYANCY CALCULATIONS TH - 1 TH - 2 Daily Flow: 110 G.P.D./ Bedroom x 4 =440 Design Flow: G.P.D. EL. 39.0 EL. 39.0 H-10 1500 GAL Septic Tank : 11,833 LBS. 440 G.P.D. (Min. Required) 32" Soil Cover : (2.7' x 10.17' x 6.1' x 110 LB/CU. FT. ) 18,424.9 LBS. Garbage Grinder: 30" Fill 36.5 7" Fill 38.42 TOTAL Septic Tank and Soil Cover: 30,257.9 LBS. Leaching Area Required: Not Allowed A A Water Weight: ([34.8-31.22] x 10.17' x 6.1' x 62.4 LB./ CU. FT. ). (440)/0.74 = 594.59 S.F. Sandy Loam Sandy Loam TOTAL Water Weight: 13,858.5 LBS. < 30,257.9 LBS. ok Septic Tank Required: 10YR3/1 10YR2/2 3817 440 G.P.D. x 200% = 880 G.P.D 40" 35.67 10" H-10 1000 GAL Pump Chamber : 9,200 LBS. B B Minimum 1500 Gallon (Proposed) Sandy Loam Sandy Loam 31 Soil Cover : (2.6 x 8.25 x 5.42 x 110 LB/CU. FT. ) 12,788.5 LBS. Minimum 1000 Gallon Pump Chamber 10YR5/8 10YR4/6 TOTAL Pump Chamber and Soil Cover: 21,988.5 LBS. 48" 35.0 1g" 37.42 Use Leach Field Configuration: 40' L x 15' W x 6" D C1 Perc C1 Water Weight: ([34.8-30.92] x 8.25' x 5.42' x 62.4 LB./ CU. FT. ). 4 - 4" Sch. 40 Perforated PVC Laterals set 3' apart Loamy Sand ® Loamy Sand TOTAL Water Weight: 10,825.03 LBS. < 21,988.5 LBS. ok 2.5Y6/3 43' Bot m 2.5Y5/6 I Sidewall Area: Not Allowed Bottom Area: 40' x 15' = 600 S.F. 50" 34.8 50" 34.8 72" 33.0 C2 PUMP /ALARM NOTES Total Area Provided: 600 S.F. Medium Fine Sand Design Flow Provided:0.74(600.0 S.F.)= 444.0 G.P.D. 2.5Y6 6 110" 2g•83 110" 29 83 1. Alarm to be on separate circuit from pump. C2 2. Control panel for pump/alarm to be located inside 81 THREAD NEEDLE LN, CENTERVILLE, MA Med. Coarse Sand dwelling. Alarm to be audio/visual. rV H 120" 2.5Y5 2 129.0 114" 29.5 3. ALARM: EL. 33.25 (24" from tl`e bottom) PREPARED PUMP ON: EL. 32.75 (18" from the bottom) FOR: <9" ® 9:27 minutes (Presoak) PUMP OFF: EL. 32.25 (12" from the bottom) associates f EPnc SYSTEM DESIGNS Mary Jean H u e t t n e r PERC RATE: <2 MIN/IN. ( C1 Horizon) 4. Septic tank and pump chamber- to beI waterproof. 5. Pumpto be able of 50 GPM with 8.33' TDH. 32o cotuit Road 76 Whites Point capable � Sandwich, MA 02563 Groundwater Adjustment: Use BOH Policy Barnstable GIS (0)508.833.0041 Brandon, VT 05733 (c)sos.274.0074 Elevation 34.8 Lake Wequaquet I, Amy L. von Hone, R.S., hereby certify that I am currently approved by the DEP NOTE: Minimum 48 hours notice required to Surveying by: pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above Design Sanitarian for final inspe4ctions. Terry A. Warner.P.L.S. analysis has been performed by me consistent with the requirements of 310 CMR I. 22 Long Road DATE REVISED SCALE SHEET 15.017. 1 further certify that I have successfully passed the Soil Evaluator's Exam Harwich, 32 8309 #• on November, 1994. �508� ,32-830`' 07/04/14 1 " = 20' 2 of 2