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Home My WebLink About0018 CANDLEWICK LANE - Health j 18 CANDLEWICK-LANE 111YANNIS A =. 268,'239. i 54 1 9 TOWN>OF BARNSTABLE LOCATION �i0 �/�� SEWAGE # VILLAGE / 0OX'O, ASSESSOR'S MAP& I bT INSTALLER'S NAME&PHONE NO. SEPTIC.TANK CAPACITY ® LEACHING FACILITY: (type) '�� Jy (size) NO. OF.BEDROOMS BUILDER OR OWNER A PERMITDATE: COMPLIANCE DATE: SeparationDistance Between the: Maximum Adjuiied Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or,:ithin 200 feet of leaching facility) Feet Edge of Weiland and Leaching Facility (if any wetlands exist within 300 feet of I taching fa ' 'ty L��( Feet Furnished by _ -,- - � -o `' �_ Qr � �� S � � � � � � � \� v 3 1 � DATE: _6/5/98 PROPERTY ADDRESS: 18 Candlewick Lane Hyannis,Mass. '02601 On the above date, I Inspected the septic system at the above address. This system consists of the following: 1 . 1 -1000 gallon septic tank. 2 . 1 -1000 gallon precast leaching pit packed in stone. Based "bn my Inaction, I certify the following conditions: 3 . This is a title Five Septic Systeiri.� J -78 Code ' ) 4 . The septic system is. in proper working order at the present time. . 5 . The septic tank did not have to be pumped. 6 . The leaching pit is dry. 81GNATURFF: A ' Name: J. P.Racomber Jn.. i Company: • P_Macorober & Son- *Inc . Address:_-Be�c_b6_-___-3___ _ /. A' •� Centerville .Mass : 0.2.632 � Phone:---5Q8�JJ5�.3338------ 1 ;, 9e�� da 6 43 THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tanks-Cesspools-Leachflelds Pumped L Instslled Town Sewer Connections P.O. Box 66' Centerville, MA 02632-0066 775-3338 775-6412 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292.5500 WILLIANI F.WELD TRUDY COX Govcmor Sccrctar ARGEO PAUL CELLUCCI DAVID B.STRUH Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissions PART A CERTIFICATION Property Address:( 8 Candlewick Lane Hyannis,MassOddress of Owner: Date of Inspection: 6/5/9 8 (If different) Name of Inspector:,TmGPph P Marnmber Jr. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: J.P.Macomber & Son Inc. Mailing Address: BOX 66 Centervi 1 1 P,Mass _ 09632 Telephone Number: 5O-77 S_'2 Z Z Q CERTIFICATION STATEMENT I certify that) have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-s'ite�sewage disposal systems. The system: I/ Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: Date: J. The System Inspecto all submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: AI SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: BI SYSTEM CONDITIONALLY PASSES: dD) One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes,no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. xAe The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or p the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Pago 1 of 10 DEP on the Worid Wide Web: http:Nwww.magnet.state.ma.uydep Printed on Recycied Paper SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 18 Candlewick Lane Hyannis,Mass . 02601 Owner: Norman Fontaine Date of Inspection: 6/5/9 8 81 SYSTEM CONDITIONALLY PASSES (continued) �0 Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Val Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: 422 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 APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: ,JQ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply.. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the prece of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance 4/ _(approximation not valid). 3) OTHER (revised 04/25/97) Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 18 Candlewick Lane Hyannis,Mass. 02601 Owner: Norman Fontaine Date of Inspection: 6/5/9 8 D) SYSTEM FAILS: You must indicate el;<.er "Yes" or"No" as to each of the following: _LOOQ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The bans for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No ./ Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. !/ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. _A,/DttJe Static liquid level in he4triqutin box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cessfreal•is less than 6" below invert or available volume is less than 1/2 day flow. _ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped�. 41 Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. ZAny portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than SO feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: AZG . The system serves a facility with'a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No , the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area • IWPA) or a mapped Zone 11 of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/17) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 18 Candlewick Lane Hyannis,Mass. 02601 Owner: Norman Fontaine Date of Inspection: 6/5/9 8 Check if the following have been done: You must indicate either "Yes" or"No" as to each of the following: Yes No i Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. 'Ll As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. YThe system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. _ All system components, +Ocluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. —The size and location of the Soil Absorption System on the site has been determined based on: The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) (revised 04/25/97) Pegs 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION' FORM PART C SYSTEM INFORMATION Property Address: 18 Candlewick Lane Hyannis,Mass. 02601 Owner: Norman Fontaine Date of Inspection: 6/5/98 FLOW CONDITIONS RESIDENTIAL: Design floN. �3. lz ./bedroom for S.A.S. Number of bedrooms: Number of current residents: Carbage grinder ryes or no). Laundry connected to system (yes or no).A n /,p /D has 60 go11�Jj jar Iva r" Seasonal use (yes or no).�S rri9�p�� l7 I / /!twpJ Water meter readings, if available (last two (2) year usage lgpol: lT .T_� , �•73 Sump Pump (yes or no): 10.1 Last date of occupancy, COMMERCIAUINDUSTRIAL• Type of establishment: Design flow:__ j Rallons/day Grease trap present: (yes or no)&14 industrial Waste Holding Tank present: (yes or no) —I* Non sanitary waste discharged to the Title 5 system: (yes or no) Water meter readings, if available. A>/ Last date of occupancy OTHER: ;Describe) Last date of occupancy: h GENERAL INFORMATION PUMPING RECORDS and so rce f in format ton: System pumped as pan of inspection: (yes or noYzb If yes, volume pumped: -0/f gallons Reason for pumping - TYPE OF SYSTEM _Septic tank/di6iF but em bootitsoil absorption system _AM Single cesspool A2,d Overflow cesspool i Q Privy —00 Shared system (yes or no) (if yes, attach previous inspection records, if any) I/A Technology,..Stc. Copy of up to date contraaf Chher APPROXIMATE AGE of all components, date installed (if known) and source of information: Sewage odors detected when arriving at the site: (yes or no) " Dk lr•�:••d 0�/15/57) P•9• 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address- 18 Candlewick Lane Hyannis,Mass. 02601 Owner: Norman Fontaine Date of Inspection: 6/5/9 8 BUILDING SEWER: (Locate on site plan) Depth below grader Material of construction: _cast iron ✓ 00 PVC_other (explain) Distance fromdprivate water supply well or suction lineA9r7L' Diameter _ Comments: (condition of joints, venting, evidence of leakage, etc.) i _ Tne system is vented through the house vent SEPTIC TANK:��Q fiJ � (locate on site plan) A' Depth.below grader Material of construction: ncrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age,&, Is age confirmed by Certificate of Compliance,/ (Yes/No) Dimensions: (v t%D Sludge depth: �Jl Distance from togof sludge to bottom of outlet tee or baffle: Scum thickness:�.j,�� Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom f outlet tee or baffler How dimensions were determined: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) Pump the tank every 2-3 years• In1_Pt & nut 1 pt tees are in place: Liquid level at the nutlpt invert i --, fifty c-)np i nc-hpg• Thp tank i q ct-riici-ii2'allyL-=1,nd @nd shAim6 Rg4 GREASE TRAP%&&Ze (locate-on site plan) Depth below grade:.�� Material of constructionAZconcreteA/metald/,4FiberglasVe Polyethylene 1�dother(explain) IM Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle:-AIA Distance from bottom of scum to bottom of outlet tee or baffle:-A?& Date of last pumping: AZL Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (revised 04/25/97) Peso 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 18 Candlewick Lane Hyannis,Mass. 02601 Owner: Norman Fontaine Date of Inspection: 6/5/98 SOIL ABSORPTION SYSTEM (SAS):z approximated b non-intrusive methods ' n n required, but may be a ) (locate on site plan, if possible; excavation of equ y pp y If not determined to be present, explain: Type: leaching pits, number: leaching chambers, number: leaching galleries, number: T leaching trenches, number,length: V leaching fields, number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydrauli failure, level of pondin , condition of vegetation, etc.) Loamy sand to medium fine sand. No signs of hydraulic failure or ponaing.Aii vegetation is normai. The leaching pit is presently dry CESSPOOLS: ljbve (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: AN_ Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) . Cesspools are not t,resent.. Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Cesspools are not present. PRIVY:A� J (locate on site plan) Materials of construction: A410- Dimensions: Depth of solids:�� Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Privies are not present. (revised 04/1S/97) Psgs 9 of 10 SUBSURFACE SEYVAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Propeny Address: 18 Candlewick Lane Hyannis,Mass. 02601 Owner: Norman Fontaine Date of Inspection: 6/5/98 SKETCH Of SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) 51uLrohg t 1M al p-rv-� g! I C (rwi��d G�/ls/77) P&q• 9 of 10 SUBSURFACE SEWAGE DISP. t. SYSTEM INSPECTION FORM t C SYSTEM INFOI: 'iON (continued) Property Address: 18 Candlewick Lane Hyannis,Mass. 02601 Owner: Norman Fontaine Date of inspection:6/5/98 Depth to Croundwater Feet Please indicate all the methods used to determine High CroundwatV EIL:ation: Obtained from Design Plans on record a bservation of Site (A uning propi bservation hole, basemeN'sjmp etc.) _ZDetermine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records _zcheck local excavators, installers Use USGS Data. Describe in your own words how you established the High GrounclwaverElevation. Must be completed) Used Water Contours Map. Gahrety & Miller Model ' 12/16/94 ' r {.>•nrnr+.'-rtlrr*-T'-•rn-mr•wmr'sTrrt ren..srarrt.••rtrar�trr*errtm m-rt,is++a�rr�rss+ .. .� rm+�-•ram�x�:..�..r•-� TOWN OF Barnstable ilOARD OF HEALTH SUDSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION F^•T!•1^T'•. :'t—T.Ill.^.nrnTT1.•.f.'1Rt T1r.4iTf7T•R1T.r—.{•1�ITt'i ilR'RI-1'PIITAVI.IlR1YARR[TRTi�7 R1Ii 1{TeiTRY[iPt -TYPO OR PRINT CI.EARLY- PROPERTY INSPECTED STREET ADDRESS 18 Candlewick Lane Hyannis,Mass. G2601 ASSESSORS MAP, BLOCK AND PARCEL # _ G� OWNER' s NAME Norman Fontaine PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber. & Sofi`'tnc. COMPANY ADDRESS Box 66 Centerville,Mass. 02632 Street Town or Clty Stat• LIP COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX ( 790 ) 1578 CERTIFICATION STATEMENT I certifythat I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of .inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintellance of on- site sewage disposal systems . Check one : Systetri PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have con tcted has found that the system fails to Protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303, and as specifically noted on PART C - FAILURE CRITERIA of this inspectio f rm . Z Inspector Signature Date One copy of this certification must be provided to the OWNER, the BUYER ( where applicable ) and the 130ARD OF IIEALI13I. * If the inspection FAILED, the owner or"'operator shall u pgrae within o'ne year of tlie date of the inspection, unless alloweddorthe requiredm otherwise as provided in 3.10 CHR 16 . 306 . partd .doc i c7 i— ,S� r W y THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE S SYSTEM INSPECTOR as provided in 310 CMR 15 .340 and Section 13 of Chapter 21 A of the General Laws. Issued by The Department of Environmental Protection. lunc H. I99S Acting Dircctc>r of die L) iuti of Water Yullution Control