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Home My WebLink About0320 CASTLEWOOD CIRCLE - Health 320 CASTLEWOOD CIRCLE, HYANNIS A= F i` i I TOWN OF BARNSTABLE LOCATION 320 065TLC-!��n GIP-, .SEWAGE # 9Z- 156 VILLAGE HV4tjlj l.s ASSESSOR'S MAP & LOT 276 - 033 INSTALLER'S NAME & PHONE NO. A,16LC- 4-k(2 o. :3857-9467 SEPTIC TANK CAPACITY 100 O 61 COX/ 57 .> LEACHING FACILITY:(type) LE/�}CJ-/ j�`�' (Size) �(�3�L is a'U6 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER P084./G BUILDER OR OWNER Z-I IUZ>ft 5 0 UI-0 Z> DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 9z VARIANCE GRANTED: Yes No OS ' S , Vie C0.%Z10X%%TALTH OF MASSACHI;SETTS � n EXECUTAIE OFFICE OF D,%'VIROXAMXTAL AFF.AJRS _ 'DEPARTMENT OF ENVIRONMENTAL PROTECTION ON RI�"TER STR_�'.BOSTO\MA 0210i i6I7i 292•ailn, TRIM COL Seae;Z-, ARGEO PAIL CELLLCCi D 171D B STP_-uc Governor Commss:oae- SUBSURFACE SEWAGE DISPOSAL SYSTEM MSPECT1pN FORM � _ PART'A CERTIF7CATM PrapertyAddress: 320 Castlewood Circl N of Dw m Katherine Trainor Date of i Oeetion: Y �H annis � aOf aMAe`' 291 r•arri agP Tanpf Barnstable rw Nae af tea:(Please Prim)Weil. E. Robinson Sr. 1 am a DEP approved s inspector m Sec*m 15.340 of Title 51310 CMR 15.000► C_*_yName: Wm. E . Robinson Vptic .Service MaSingAddress: PO Box 10 9. -Centerville , MA Telephone Number: �R 7 7 fi CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true. accurate and complete as of the time of inspection. The inspection was performed based on my training and-experience in the proper function and maintenance of on-site se ge disposal systems. The system: Passes Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: l tDin: ✓ The System inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty 130)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. NOTES AND COMMENTS 0 5/2/9_ Pape 1 of ll w Z: -•-tee o-Reo-cwd Paw, r SUBSURFACE SEWAGE DEPOSAL SYSTEM INSPECTION FORM PART A CEt71RCATtiON feontirarad) NopeityAddress: 320 Castlewood Circle, Hyannis Daft at�on: Trainor NSPECTION SUMMARY: Check B, C, or A A , SYSTEM PASSES: !/ 1 have not found any information which indicates that'any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. YSTEM CONDITIONALLY PASSES: One or more system components as described in the 'Conditional Pass"section need to be replaced or repaired. The system.upon completion of the replacement or repair.as approved by the Board of Health.will pass. Indicate s.no, or not determined(Y. N. or NO). Describe basis of determination in all instances. N"not determned'.explain why not. The septic tank is metal.unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance lattached)indicating that the tank was installed within twenty 120)years prior to the date of the inspection: or the septic tank,whether or not metal,is cracked.structurally unsound.shows substantial infiltration or exfiltration. or tank failure is imminent. The system will pass inspection If the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipets) or due to.a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipets)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 pipets). The system will pass inspection if Iwith'approval of the Board of Health): broken pipets)are replaced obstruction is removed i ) _e�•isec 9;2!9� Pale 2 of I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Iconenued) Prop"Address: 320 Castlewood Circle, Hyannis Owner: Trainor 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 the public health.safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) YSTEM WILL FAIL UNLESS THE BOARD OF HEALTH IAND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS NCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 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 eoliform 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. Method used to determine distance (approximation not valid). 3 OTHER e' Page 3 of 11. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Icontin+ed) Property Address: 320 Castlewood Circle, Hyannis Owner: Trainor Date of Insps cItiG D. SYSTEM FAILS: You ust indicate either "Yes" or "No" to each of the following: 1 have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure Yes No Backup of sewage into facility or system component due to an overloaded orelogged SAS or cesspool. _ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6" below invert or available volume is less than 112 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absorption System. cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 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 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds. ammonia nitrogen and nitrate nitrogen. E. RGE SYSTEM FAILS: You ust indicate either "Yes or "No' to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10.000 gpd or greater(Large System) and the system is a significant threat to public health and safety end 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 II of a public water supply well) The o ner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office f the Department for further information. PaRr.8ofII suesuRFACE SEIIVAGE DISPOSAL SYSTEM/HSPECTION FORM PART B CHECKLIST ftopertyAddress: 320 Castlewood Circle, Hyannis Owner: Trainor Date of Inspection: Check if the following have been done: You must indicate either 'Yes" or-No" as to each of the following: Yes No Pumping information was provided by the owner. occupant, or Board of Health. _ None of the system components have been pumped for at least two weeks an&the system has been receiving 91mmal flo,* rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined.. Note if they are not available with NlA. _ The facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. All system components. excluding 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: _ Existing information. For example. Plan at B.O.N. _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) 115.302(3)(b)) _ The facility owner land occupants,if different from owner) were provided with information on the proper maintenancs of SubSurface Disposal Systems_ Pagrsoru SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ` PART C SYSTEM INFORMATION kop"Add.ess: 32o Castlewood Circle, Hyannis Owner: Trainor Date of Inspection: FLOW CONDITIONS RESIDENTIAL- Design flow: /d g.p.d./bedroom. Number of bedrooms Idesign): Number of bedrooms lactual):,.Z Total DESIGN flow J llo Number of current residents Garbage grinder lyes or no): p Laundry(separate system) lyes or no),dd; If yes,separate inspection required Laundry system inspected (yes or no! Seasonal use (yes or no):-14-1/4 Water meter readings, if available (last two year's usage Igpd): 1 9 9 9-2 0 0 0 31 , 500 gal. Sump Pump Eyes or no!: A,0 1998-1999 29, 2bUga . Last date of occupancy- CO ERCIALIINDUSTRIAL: Type o establishment: Design low: god f Based on 15.203) Basis of design flow Grease rap present: lyes or no)_ Indust'al Waste Holding Tank present: (yes or no) Non•s nitary waste discharged to the Title 5 system: (yes or no)_ Wate meter readings.if available: Last ate of occupancy: OTH :'(Describe! Last to of occupancy: GENERAL INFORMATION PUMPING RECORDS and��/�eof information: System pumped as part of inspection: (yes or no)-& If yes. volume pumped: gallons Reason for pumping TYPE O YSTEM Septic tank%distribution boxisoil absorption system Single cesspool Overflow cesspool Pnvy Shared system Ives or no) (if yes, attach previous inspection records.if any) VA Technologv etc. Anach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other p q APPROXIMATE AGE of all components, date installed(if known)and source of information: Sewage odors detected when arriving at the site: (yes or no) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Ices klowd) -rope Address: 320 Castlewood Circle, Hyannis owner: Trainor Date of Inspection: 1/-16—O YjJ BU G SEWER:sit M,cat on e plan) Depth low grade:_ Material of construction:_cast iron_40 PVC_other(explain) Distant from private water supply well or suction line Diamet r , Com nts: (condition of joints, venting. evidence of leakage etc.) SEPTIC TANK:_ (locate on site plan) Depth below grader Material of construction: onc►ete_metal_Fiberglass _Polyethylene_otherleaplain) If tank is metal,list age_ Is age confirmed by Certificate of Compliance_ (Yes/No) . // Dimensions: [� (� p Sludge depth:Y— Distance from top of sludge to bottom of outlet tee or baffle: L/ S Scum thickness: /—.?—� r Distance from top of scum to top of outlet tee or baffle: 9' 1 Distance from bottom of scum to bottom,/of outlet tee or baffle J How dimensions were determined: 19 f�Cw Td # 'AL .:omments: (recommendation for pumping, condition of inlet and outlet tees or baffles. depth of liquid level in relation to outlet nvert, structural integrity. evidence of leakage. etc.) /bYa—e) J GR SE TRAP: (locate on site plan) Depth be ow grade:_ Material f construction:_concrete_metal_Fiberglass _Polyethylene_otherlexplain) Dimensio s: Scum thic Hess. Distance rom top of scum to top of outlet tee or baffle: Distance rom bottom of scum to bottom of outlet tee or baffle: Date of 1 st pumping: Comme s: (recom endation for pumping, condition of inlet and outlet tees or baffles. depth of liquid level in relation to outlet invert, structural integrity, evident of leakage, etc.) L. 7c Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Ieentirmad) broper:yAddress: 320 Castlewood Circle, Hyannis Owner: Trainor Date of Inspection: TV'HT OR HOLDING TANK: (Tank must be pumped prior to, or at time of, inspection) lioc to on site plan) Dept below grade:_ Mate ial of construction:_concrete_metal_Fiberglass_Polyethylene other(explain) Dimen ions: Capac y: gallons Desig flow gallons 1day Alarm wesent, Alarm evel: Alarm in working order: Yes_ No_ Date f previous pumping: Cam ents: Icon tion of inlet tee, condition of alarm and float switches,etc.) DISTRIBUTION BOX: (locate on site plan; Depth of liquid level above outlet invert: Comments: Inote if level and distribution is equal. eviden of solids carryover, evidence of leakage into or out of box, etc.) PUMP C AMBER:_ (locate o site plan! Pumps in orking order: (Yes or No) Alarms in orking order (Yes or No) Comments Inote cond tron of pump chamber. condition of pumps and appurtenances. etc.) Page a or 11 i SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Ieondnu*d) YopertyAddress: 320 Castlewood Circle, Hyannis Owner: Trainor Date of Inspeebon:l/_I G SOIL ABSORPTION SYSTEM ISAS):_✓ (locate on site plan, if possible:excavation not required.location 0 o may be approximated Pp mated by non intrusive methods I If not located, explain: Type. leaching pits, number:. leaching chambers, number:_ leaching galleries.number:_ leaching trenches. number, length: leaching fields, number, dimensions: overflow cesspool, number:_ Alternative system: Name of Technology: Comments: (note condition ofsoil, signs of hydraulic failure, level of ponding. damp soil, condition of vegetation, etc.l J, CES OOLs:_ (locate n site plan; Number nd configuration. Depth-top of liquid to inlet invert: Depth of s lids layer: )epth of s um layer: Dimensions of cesspool. Materials of construction Indication of grounowater. infl %% (cesspool must be pumped as pan of inspection; Comments (note condrt n of soil, signs of hydraulic failure, level of pondmg. condition of vegetation, etc.) PRIVY: (locate site plan) Material of construction Death of olids: Dimensions: Comments: (note cond lion of soil, signs of hydraulic failure. level of pondmg, condition of vegetation, etc.) Pagc 9 of l l SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPEGTION FORM PART C SYSTEM WFORMATION Icaetmwd) ''rop"Address: 320 Castlewood Circle, Hyannis Jwnef: Trainor Jeee of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) W � G )L A i 16� ® fib 10 -= • _s : ,' P.Kc 10 or 11 SUBSURFACE SEWAGE DISPOSAI SYSTEM NSPECTION FORM PART C SYSTEM NFORMATION leanatuedl ropertyAddress: 230 Castlewood Circle, Hyannis owner: Trainor Date of llnspeeeon: NRCS Report name Soil Type_ Typical depth to groundwater uSGS Date website visited Observation Wells checked Deep Groundwater depth: Shallow Moderate SITE EXAM Slope Surface water .=s Check Cellar Shallow wells Estimated Depth to Groundwater 6 Feet Please indicate all the methods used to determine High Groundwater Elevation: -Obtained from Design Plans on record Observed Site lAbutting property.observation hole. basement sump etc.) Determined from local conditions ✓/Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators. installers Used USGS Data Describe how you established the High Groundwater Elevation. IMust be completed) =SE:. Paccllorll