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Home My WebLink About0038 LEONARD ROAD - Health e 38,tapt) Leonard Drive , Hyannis F C r N a { 1 A Certified Mail#7006 0810 0000 3525 0199 aY� r Town of Barnstable Regulatory Services 4 DARNSTABM = Thomas F. Geiler,Director MASS T�Da'�r Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 6, 2007 Alberto Tiebel 38 Leonard Road Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 310 CMR: 15.000 THE STATE ENVIRONMENTAL CODE TITLE V: MINIMUM REOUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE. The property owned by you located at 38 Leonard Road, Hyannis was inspected on June 9, 2007 because of a complaint. The following is a violation of the State Environmental Code: 310 CMR 15.214: Nitrogen Loading Limitations: 6 "bedrooms" were observed at said location, which is located within a Zone 2, Wellhead Protection Area with less than one acre of land. You are directed to correct the violation listed above within Fourteen (14) days of your receipt of this notice by pulling a building permit to eliminate the illegal bedroom in the basement so that a total of only five bedrooms are present at said location. The.Town of Barnstable Health Department has a policy to eliminate the privacy of being considered a bedroom by installing a minimum five (5) foot cased opening with no doors, and no beds\ people sleeping are allowed in the room. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation and\or a criminal complaint being filed against you in Barnstable District.Court. Each days failure to comply with an order shall constitute a separate viola io . P RDE HE B ARD OF HEALTH omas A. McKean, R.S. (2 3(6-7 �Y Director of Public Health - �Jo pq ass KSrr�%n �j.+sQrv�t�l�' !'votM , p✓%(U��/ ��' QAor er letters\housing violadons\38 Leonard.doc v jt.1 11"d - f C-°. OA �+ TOWN OF BARNSTABLE LOCATION 3 LC—oA)Q Q qbPM) SEWAGE # Q05-333 VILLAG ASSESSOR'S MAP do LOTe;Z668—1 6 INSTALLER'S NAME&PHONE NO. A i LL(A fAa l ►LA Jeft CO. 1,36 41V R SEPTIC TANK CAPACITY t ' �� +a� r kT, l uOC?G#A+�• "" N LEACHR,TG FACILITY: (type) 5000(A 6Ni4PV1W6(size) 13'XYlt NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: 745"® COMPLIANCE DATE: Separation Distance Between the: ,..; .Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /1 'Feet Pnva[e Water Supply Well and Leaching Facility (If any wells exist ion site or within 200 feet of leaching facility) /� Feet Edge:of Wetland and Leaching Facility(If any wetlands exist within 300 feet of le hi ng facility) , Feet Furnished by zy�� I ► �" .t b x gay t MNO-L Al tr► o. D rjFee THE COMMONWEALTH OF MASSACHUSETTS Entered in comput PUBLIC HEALTH DIVISION -TOWN OF BARNOTABLk., MASSACHUSETTS ZIpprication for Diopont *p5tem Con!5truction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No.39 kana rd Rm i—i4iannis Owner's Name,Address and Tel.No.VSe Assessors Map/Parcel 01(03-0110 38 u0mi-d Road � ,fanyli5 b Installer's Name,Address,and Tel.No. ` ,.�. Designer's Name,Address and Tel.No. i/1;c7�iS d�u i CO rrt pa.P:c , /A/e—_ 176W AI C4PE- &At6 inr eERi44 33 y kl/t; s R1'( 5�$��`)4-3�4 `931q /ZrC (P A- I'I� �5d8�3��-45q Type of B ding: Dwelling No.of Bedrooms 6Lot Size ild6dsq.ft. Garbage Grinder( ) Other Type of Building SF No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow . f'o— gallons per day. Calculated daily flow gallons. Plan Date `7////G 5 Number of sheets i Revision Date At l.4 Title ! l'Ik Plan I_Qr- 38 L2C rAr O-d ' j- JO YD6, M.4 Size of Septic Tank oX I IQC{ UType of S.A.S. Description of Soil X2 Q aSR_ &R_ Q t W.-'1 p Nature of Repairs.or Alterations(Answer when applicable)_O�f tu'— AA�& &Lg� Date last inspected: /J/,q Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the E ental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Signed Date 1 Application Approved by Date / -5 Application Disapproved for the following reasons Permit No. 26u!S & 93 Date Issued i- —————————————————— nnM N o. js r Fee F L.(11 Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS LYes PUBLIC WEALTH DIVISION - TOWN OF BARN TABLES MASSACHUSETTS ZippYication for Mioozal *pzff -Conotruction Permit Application for a Permit to Construct( )Repair X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. O 'QoviQXC� Fm4'Ajann i5 Owner's Name,Address and Tel.No. „E"(r1kjAf_6 4- f?4A INE+Is£ LSatr) '7115-1219 Assessor'sMap/Parcel 9(09'0110 .38ttonard Road Wvrwi5 Installer's Name Address,and Tel.No. M �/�lr'c-., ,� Designer's Name,Address and Tel.No. i//iRn73 j ui!a(.ir�q G'ana/4anJc , /A/t Nwn/ce#pr &Aj6invmei) 30�hh„k0.st'O�h Nl� Csa8�3�y-3c�44 9rou�eh�cv�, MA ag(ol5 ��3�'Z"'�sl Type of Building: Dwelling No.of Bedrooms s Lot Size 1030 sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures { Design Flow .� �' gallons per day. Calculated daily flow gallons. Plan Date"_7///ld 5 Number of sheets 1 Revision Date Al,'A Title l i Ar V_ 5 S i-k. F l a rl .O r' �.3 2 on C "!� 0 �`{CtYi r11�✓r f� Size of Septic Tank o2X 110CI p Type of S.A.S. i Description of Soil O W(.S e s._-,e_. a_t�&Cw _ ,w Nature of Repairs or Alterations(Answer when applicable) ON(1 JLfL ��fit: LLI '.I/"l kCl Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the E�_v,.irn enta�ol Code-and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo so�Hf` e' k�r. Signed / -' F Date I•,.�A 1 ` Application Approved by 9 Date Application Disapproved for the following reasons �r Permit No. e2000S .-3 33 - f Date Issued -7 \5 l - THE COMMONWEALTH OF MASSACHUSETTS`_ ' BARNSTABLE, MASSACHUSETTS Certificate of Compliance ~ THIS IS TO CERTIFY:that the.On-site Sewage Disposal System Constructed( )Repaired ` Upgraded( ) Abandoned( )by at 0 L..V-0. has been constructedy in accordance with the provisions okTitl _ ie 5 and the for Disposal System Construction Permit No. /r dated, I N Installer -J) �t��^ <f Designer *Z, 0_ 17, The issuance of this pe. �shall n t be construed as a guarantee tha the syste i un tion as designed. Date ' �!r 1 Inspector- �i .-� 1 ------------ No Fee THE COMMONWEALTH OF MASSACHUSETTS } PUBLIC HEALTH DIVISION_- BARNSTABLE, MASSACHUSETTS Migo$al *p5tem Con$truction Permit Permission is hereby grant Construct( ) e air( Upgrade( )Abandon( ) System located at I ,vh (4t pp , _ and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. - Date: ( Approved by �!�'�"�' ... i _ File tttatttGer 050609-9 UNREGISTERED LAND Attolwe-: RESIDENTIAL TITLE& ESCROW Deed Book 2646 Parke 106 Lender: Platt Book 182 Pate 121 Lots 9 Owner; EDWARD&RITA MELISE REGISTERED LAND Rem: Book Sheet Lot(s): Date: 6/17/2005 Certi tcote o f Title Assessor's that) 268 Blk: Lot 16 Cettstas Tract MOR TGA GE INSPECTION PLAN Scale: 1"=30' 38 LEONARD ROAD, HYANNI.S, MA N/F Merchant � 115.42' Lot #9 11, 730 s. Deck J DD p O O O 0� o #38 2 Stry. CAJ 0 a t IN Q5 100.00, LEONARD ROAD CERTIFICATION I CERTIFY TO THE ABOVE ATTORNEY,BANK AND THEIR TITLE INSURANCE COMPANY THAT THE MAIN BUILDING,FOUNDATION OR DWELLING WAS IN COMPLIANCE WITH THE LOCAL ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED(WITH RESPECT TO STRUCTURAL SETBACK REQUIREMENTS ONLY)OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS.GENERAL LAW TITLE VII,CHAPTER 40A,SECTION 7. FLOOD DETERMINATION BY SCALE,THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY #250001 0008 D AS ZONE C DATED 7/2/1992 BY THE NATIONAL FLOOD INSURANCE PROGRAM. . . µ 0s:'�4s q�y s CORNEUUS G N J. R+ ° � x Olde Stone Land Survey Co., Inc. c KELLY 470 County Street 9No.136740 �� ® ® Taunton, MA 02730- lq�QSURv�voQ . Tel (S®®) 993-3302ag , Fax: (300) 993-3304 utd PLEASE NOTE: This inspection is not the result of an instrument survey.The structures as shown are approximate only. An instrument survey would be required for an accurate determination of building locations,encroachments,property line dimensions,fences and lot configuration and may reflect different information than shown here. The land as shown is based on client furnished information only or assessor's map& occupation and may be subject to further out-sales,takings,easements and rights of way. No responsibility is extended to the landowner or surveyor,or occupant. This is merely a mortgage inspection and is not be be recorded. 1 JUL-27-2005 08 : 16 AM DOWN CAPE ENGINEERING 508 362 9880JWILL 01 r 1AM.; LLTt� PAGE 9i tqj) Town of BarnstableRegulato�' Services ThomasF-Geller,Director rubric Health DIvisfo n -`� T10mas McKean,Director ZOO Main street,RyagAis,MA 0260-1 `462-46d4 E�ex: 508-79t}d304 11 r ��$�er Cerdlic d -W&IAO_. Installer: I CZ ---_. Address: •idatc' �,� ��,�Jbl�Q e„a�._�wxs issued errnit to ' (tastallcr) P mata,l a SIMI at based Oil a design dra . by t 1 ` eel dated .ertify that: the septic systern referenced above was installed elib4tan'tially accordingto <- clesi�,n, which may include minor a roved changes��ribuhorl box ancilar septic tank. >a a such as lateral relocation Oftile r�,ruly the'! the Septic system rei'&xenced above w as 9'r ater than, l()' lateral relocationt of the SAS or taa,Y vsti:ally relocation ofUr ch s tic e� J at'iges (i.e. :.'17ified�eS-bullttb dq�it in accotdaaco with State &Local Regu'ations. p��mpo.n o�. Y gner to fol o u vision or ESN OF �� .,. er awe ARNE Hsi° OJALA CIVIL cn No. 30792 P, F�C'ISTER' ;;pY:er7A .@fit s F� is p ere ft' :Uesi:tm c4mEc Kim Form i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION RECEIVED FAILED INSPECTION 1 2005 APR 2 TOWN OF BARNSTABLE TITLE 5 HEALTH DEPT. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 38 Leonard Road(Main House) _Hyannis. MA 02601 Owner's Name: Rita&Edward Meuse Owner's Address: AP Date of Inspection: March 30, 206 J ^�AI RCEl.. o Name of Inspector: (Please Print) James M. Ford Company Name: James M.Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 V1 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority ✓ Fails Inspector's Signature: Date: April3. 2005 The system inspector shall sub t a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 1 a Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 38 Leonard Road(Main House) _Hyannis AM Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)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 exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal 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. ND 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 pipe(s). The system will pass.mspection if( pp with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 �S Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 38 Leonard Road(Main House) Hyannis. MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 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 CAM 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 4 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 38 Leonard Road(Main House) Hyannis, MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z 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 SAS,cesspool or privy is below high ground water elevation. _ ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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 (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what.will be necessary to correct the failure. E. Large System: 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) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 i. Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 38 Leonard Road(Main House) Hyannis, MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ _ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ _ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ _ Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS,located on site? ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes No ✓ _ Existing information. For example,a plan at the Board of Health. ✓ Detennined in the field(if any of the failure criteria related to Part C is at,issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 i Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 38 Leonard Road(Main House) Hyannis. MA Owner: Rita&Edward Meuse Date of Inspection: March 30. 2005 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 2 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): Yes Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,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: Pumped in 1982-per owner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ' Tight Tank Attach.a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Date of installation unknown Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 38 Leonard Road(Main House) Hyannis, MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron 40 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: 6" 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: 1000 Qal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 6" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Connnents(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Cement tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage GREASE TRAP: None (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 integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 38 Leonard Road(Main House) Hyannis. MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 TIGHT or HOLDING TANK: None (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: None (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: None (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.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 38 Leonard Road(Main House) Hyannis. MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1 leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Conunents(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): The leach nit was under water. Water was backing up into the pipe The pit was in hydraulic failure CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: -Depth to of liquid to inlet invert: p p q Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: .Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 38 Leonard Road(Main House) Hyannis, MA Owner: Rita&Edward Meuse. Date of Inspection: March 30, 2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. I as a� J A� a .13 as 3 33 a3 p a 8 a o a 3 I B II 0 a 3a YI 10 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 38 Leonard Road(Main House) Hyannis MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 22 +/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours snaps Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic maps and water contours map the maps were showing approximately 22'+1-to ground water at this site. This report has been prepared and the system inspected and failed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees,either expressed, written or implied, relating to the system,the inspection and/or this report. 11 TOWN OF BARNSTA'BILE eafict Nol "Roc RptJ SEWAGE # L�JCATION J - VILLAGE h%ean/!1 5 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) C1 (size) NO.OF BEDROOMS _RUIALPER4 R OWNER or- PERMITDATE: �LIANCE DATE: Separation Distance Between the: .%PQ� Maximum Adjusted Groundwater Table to fhe 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 A - TOWN OF BARNSTABLE r. LOCATION 4 e onar d "?i omd C rna SEWAGE # VILLAG ASSESSOR'S MAP& LOT O/ . mimes m Ford SEPTIC TANK CAPACITY LEACHING FACILITY: (type) A 4, (size) NO.OF BEDROOMS 13 B4MJD9R-QR OWNER PERMITDATE: `COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater"(kble to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) , Feet Furnished by r COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION REC FAILED INSPECTION APR 12 2005 TOWN OF BARNST,ABLE TITLE 5 HEALTH E)EpT. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 38 Leonard Road(Apartment) Hyannis, MA 02601 / D Owner's Name: Rita&Edward Meuse fl(J Owner's Address: Date of Inspection: March 30, 2005 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford _•CSC --- Mailing Address: P.O.Box 49 .� Osterville.MA 02655-0049 Telephone Number: (508)862-9400 t CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs 7ther Evaluation by the Local Approving Authority ✓ Fails Inspector's. Signature: Date: April3, 2005 The system inspector shall sub it 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 of40,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions.at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 38 Leonard Road L&arbnent)_ Hyannis, AM Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)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 exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal 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. ND 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 pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 r Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 38 Leonard Road(Apartment) Hyannis. MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 38 Leonard Road(AparUnent) Hyannis. MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No i Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z 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 SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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 (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: 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) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 r Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 38 Leonard Road(Apartment) Hyannis. MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ _ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _. ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS,located on site? ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ _ Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 38 Leonard Road Lnartmend Hyannis. MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 Number of current residents: 0 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): epd Basis of design flow(seats/persons/sqft,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: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Date of installation unknown Were sewage odors detected when arriving at the site(yes or no): No 6 I Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 38 Leonard Road(Apartment) Hyannis. MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron 40 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: 18" 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: 1000 Qal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 6" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Cement tees were present. The liquid level was even with the outlet invert. There did not appear to be any si nos ofleakage. GREASE TRAP: None (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 integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 38 Leonard Road(Aparbnent) Hyannis. MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 TIGHT or HOLDING TANK: None (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: None (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: None (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.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 38 Leonard Road(Apartment) Hyannis. MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: I -6'x 6'(1000 gal.) leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Commments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.): The leach pit had 6"ofliauid on the bottom. The scuns line was up to the bottom of the pipe The nit showed signs ofpast failure CESSPOOLS: None (cesspool must be pumped 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: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY.ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C .SYSTEM INFORMATION(continued) Property Address: 38 Leonard Road(Apartment) Hyannis. AM Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. as ab A ALk _ a .13 as a Ar.. ' 3 33 a3 p a g t B a 3a yl I 10 ,, Page I I of I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 38 Leonard Road(Apartment) Hyannis, MA Owner: Rita&Edward Meuse Date of Inspection: March 30, 2005 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 22 +/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from'system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours taps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic snaps and water contours snap, the snaps were showing approximately 22'+/-to ground water at this site. I I This report has been prepared and the system inspected and failed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed,written or implied,relating to the system,the inspection and/or this report. f 11 TOP FNDN. AT EL. 43.3' SYST j' PROFILE 77 ACCESS COVER TO WITHIN 6" OF FIN. GRADE 0T TO SCALE) I SEPTIC TANK 2 MINIMUM .75' OF COVER OVER PRECAST ACC�S COVER (WATERTIGHT) TO INVERT OUT EL. WITHINS" OF FIN. GRADE 2% SLOPE REQUIRED i 39.9' ' SEPTIC TANK 1 RUN'IPE LEVEL 2" DOUBLE WAS INVERT OUT EL. FOR FIkT.2' 39.75' • PROPOSED 1000 39.13' GALLON SEPTIC 38 88' TANK (H- 10 ) BAFFLE 38.76' = o0 Ll38 .5 a a o a ( 1 % SLOPE) 38.40'i 0 0 0 0 �-6" CRUSHED STONE OR MECHANICAL � m M. 0 COMPACTION. (15.221 [2]) ocQ o 1 � � DEPTH OF FLOW = 4 0025 0 2 TEE SIZES: ( SLOPE) (-.1-7- SLOPE) 3/4" TO 1 1/2" D, 1 INLET DEPTH 10/, OUTLET DEPTH - 14" ' 1 FOUNDATION EXIST. SEPTIC TANK 62' PROP 1000 FOUNDATION EXIST. SEPTIC TANK GAL. SEPTIC 12' D' BOX 8' TANK *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF REMOVE ANY CONTAMINATED SOIL WITHIN 5' SEPTIC SYSTEM OF NEW LEACHING FACILITY +42.34 N PROP. 1000 GAL SEPTIC TANK ) 42.3 +38.50 41 \40 -}39.26 W 1• O, l�s y . 1r EXIST. SS 2TH O + 1.3 +39.25 J 55 0.87 / .42 / k 1 A +41.90 OO' ; 4 1 r� 41.56 ' V V 41, 6 -I-41.41 } 1.36 0.00 1' 42.13 3.17 0i.56 2.84 d 43 51 / 43. i -J-43 4 EXISTING 72 �, + E IST. ST 10 0 .11 b2 DWELLING r TF=43.3' 3.02 BENCHMARK 43.15 COR CONC. BULKHEAI 43.32 qj ELEV = 42.4' ' OH WIRES 3.07 42.40 43 % +42.13 43.46 , /` 42.89 42.88 � +43.10 4 .65 2 2�v *42`9 70D, GUY _ , 3 WIRE 4/C --4-g`28 LOT 9 O A/ 11,730 SFt +42.55 /�O 1 '9� 42 LR Z0� +42.34 +41.84 05- 175 TEST HOLE LOGS PROVIDE INSPECTION PORT WITHIN LISA LYONS, RS s" of FINISH GRADE ENGINEER: -- 43.0' WITNESS: D. DESMARAIS, RS 7/8/05 I DATE: PERC. RATE _ < 2 MIN/INCH WSJ' Focus h9.2' CLASS I SOILS P 11041 oy` r°�t•�o W 7 m � 4' AROUND 1� ELEV. opt 42.6' 36.40' A " ENE LS Z Sl ; 11" 10YR 3/2 B LOCATION MAP NTS LS 5:8, 32„ 1OYR 4/6 39 9' ASSESSORS MAP 268 PARCEL 16 LEACHING FACT LITY PERC C 30.6' MED/COS 2.5Y 6/6 144" 30.6' NGWE NOTES: APPROX. NGVD ' SEPTIC_ DESIGN,_ (GARBAGE.DISPOSER IS NOT ALLOWED _j._ DATUM_ IS - DESIGN FLOW: 5_ BEDROOMS ( 110 GPL�) = 550 GPD 2. MUNICIPAL WATER IS EXISTINGi _,..USE A 550 GPD DESIGN FLOW � 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. SEPTIC TANK: 550 GPD ( 2 ) = 1100 4. DESIGN LOADING FOR"ALL 'PRECASI UN175 'IO tit AAbMC) H 5. PIPE JOINTS TO BE MADE WATERTIGHT. RE—USE EXISTING 1000 GAL SEPTIC TANKS AND ,ADD A 1000 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. GALLON SEPTIC TANK '.. ENVIRONMENTAL CODE TITLE V. LEACHING: 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NO 2(42 + 12.83) 2 (.74) = 162 TO BE USED FOR ANY OTHER PURPOSE. SIDES: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 42 x 12.83 (.74) = 398 BOTTOM: ' , 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED TOTAL: 757 S.F. 560 GPD FROM BOARD OF HEALTH. USE (4) 500 GAL. LEACHING CHAMBERS (ACME OR 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC S` EQUAL) WITH 4' STONE ALL AROUND LEGEND TI TLE . SITE PLAN 100.0 PROPOSED SPOT ELEVATION OF ! I 100x0 EXISTING SPOT ELEVATION 38 LEONARD ROAD IN THE TOWN OF: 100 PROPOSED CONTOUR ( HYANN18) B A R N S TA B LE 100 EXISTING CONTOUR PREPARED FOR: ED WARD & R I TA M EU SE 20 0 20 40 60 BOARD OF HEALTH APPROVED DATE MA SCALE: 1" = 20' DATE: JULY 11, 2005 off 508-362-4541 fmc 508 362-9080 OF MSS �0"OF MgSS ARNE down cape engineering, inc. o�° AQALA N� o�° H. �t� CIVIL N u OJALA v+ CIVIL ENGINEERS , No, 30792 No,26 LAND SURVEYORS . Is NG\�,`` 9 p 939 main st. yarmouth, ma 02675 ARNE H. OJALA, .. P.L.S. DATE 1- 1 J--- I i ' _ I i 1 if Al 1 I-' - -��-- -__;-f--�-- ,�-l-i-1 -(--�-�-{-► -'- •--I-�-i-= -�--�---'-- -�-1---�!--�-- i-i_ _L�- _jam=� _��= L_ --- i] iv TI__L t� 1 I I I J I t -1 _ � I Ak I I . ' 111 , I I I ' I 1 I �- I _ _ 4 - • 17. I LI I . raI i I fI WMEL - i if 17- - t�'-1--'1- ;• --�I_Z-1i-,- ��-F _-- --- 1_ j -!�, _� { I I ,_i-�_I_�. I_:_ i .- '_I ' � - '_ - ' ,- � _ _._— _ -(-v�'�._-1�-,�_�l -I—,�. 1--�-�i---, � ��— 1. h t ��— i� 1 -� I -`-t- t - - f •---, _ �. twf �.. _ } 1 � -4 _ + -, ,tr �tI—f _,.r�l ; '1 � I I I •'_ � i 1 � I I I i I+I I , 1 I � I 1 1 I I I _ _. Fj- �- TOP FNDN. AT EL. 43.3' SYSTYM PROFILE TEST HOLE LOGS ACCESS COVER TO WITHIN 6" OF FIN. GRADE OT TO SCALE) ROVIDE INSPECTION PORT WITHIN ACCES COVER (WATERTIGHT) TO LISA LYONS, RS '` Y 6" of Flr,isH GRADE ENGINEER: SEPTIC TANK 2 MINIMUM .75' OF COVER OVER PRECAST WITHINS� OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM D. DESMARAIS, RS ? INVERT OUT EL. 39.9' 43.0' WITNESS: 2" DOUBLE WASHED PEASTONE i O SEPTIC TANK 1L RUN'IPE BEVEL // 4 i DATE: 7/8/05 INVERT OUT EL. FOR FIkT. 39.75' s PROPOSED 1000 < 2 MIN/INCH \�s`y LOCUS PERC. RATE ., r GALLON SEPTIC 38.88' \ L11 39.13' �-� 39.2' I 11041 �� °`�►,� .: .. TANK (H- 10 ) GAS , ._ . _ CLASS SOILS P# Q w ' 38.59 3 BAFFLE 38.76 000o I� 0 0 rl r .r..� [� m 38.40',71 0 'E] E] C3 ,0 0 'C] I� ', Q � � i 4 AROUND 1 ELEV. N ( 1 % SLOPE) � 0.0 CJ L CT �Ir » �6" CRUSHED STONE OR MECHANICAL U O 42.6 w COMPACTION. (15.221 2 00 L� \0 d CF C� bo 36.40' A ]) �$g 2 DEPTH OF FLOW = 4 ( 1 % SLOPE) ( 1 % SLOPE) 1/2n DOUBLE W" LS Z { TEE stzEs: 3/4 TO 1 � _ ^. ,ENE INLET DEPTH = 10" .;SHED Sli. 11» 10YR 3/2 „ F OUTLET DEPTH = 14 B LOCATION MAP NTS 1 LS FOUNDATION EXIST. SEPTIC TANK 62' PROP 1000 10YR 4/6 ASSESSORS MAP 268 PARCEL 16 FOUNDATION EXIST. GAL. SEPTIC 12 D' BOX 5.8' 32" 39.9' I SEPTIC TANK LEACHING O 8 TANK 21 FACILITY } PERC *THE INSTALLER SHALL VERIFY THE y a LOCATIONS OF ALL UTILITIES AND ALL MED/COS BUILDING SEWER OUTLETS AND ELEVATIONS 30.6' PRIOR TO INSTALLING ANY PORTION OF REMOVE ANY CONTAMINATED SOIL WITHIN 5' SEPTIC SYSTEM of NEW LEACHING FACIUTY 1 2.5Y 6/6 j +42.34 I A PROP. 1000 GAL N i 144" 30.6' SEPTIC TANK 3� 42.3 +38.50 NGWE NOTES: 4 1 4p +39.26 w r LP. l�s � NOT ALLOWED 1. DATUM 1S APPROX. NGVD ' 0� SEPTIC DESIGN;- (GARBAGE DISPOSER IS ' ) _.. EXISTINGt; EXIST. S 1.92 i DESIGN FLOW: `5_ BEDROOMS 110 GGP ,?) 550 GPD 2. MUNICIPAL WATER IS ( , Q o 550 - USE A GPD DESIGN FLOW 3. MINIMUM . PIPE PITCH TO BE;,1 8 PER FOOT. N / i r; O + 1.3 +39.25 SEPTIC TANK: 550 GPD ( 2 1100- 4. I N ADIN FOR ALL _FSRECA�1 lU ill i S i 0 BE AbHC �1- ss o.87 -") 5. PIPE JOINTS' TO BE MADE WATERTIGHT. .4 RE--USE EXISTING 1000 GAL SEPTIC TANKS" AND ,ADD A 1000 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. +41.90 GALLON SEPTIC TANK ENVIRONMENTAL CODE TITLE V. v 410.0o.56 LEACHING: 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT + 1.3641 41. 6 +41.41 2(42 + 12.83 2 74 = 162 TO BE USED FOR ANY OTHER PURPOSE. o� o U, SIDES. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 0 i _ 1• ,� 42.13 BOTTOM: 42 x 12.83 (.74) - 398 _ , 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT I 3.17 oJ.56 757 560 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 2- 2.84 TOTAL: S.F. GPD FROM BOARD OF HEALTH. I 3.51 USE (4) 500 GAL. LEACHING CHAMBERS (ACME OR j 43, ' �'�., + 1.21 o rL 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYSTEM `` -43 4 EXISTING 72 EXIST. ST 1� li EQUAL) WITH 4 STONE ALL AROUND DWEWNG / TF=43.3' 3.02 BENCHMARK COR CONC. BULKHEAD LEGEND 15 43, 43.3'2 ,.� ELEV = 42.4' TI TL E 5,,k`SI TE 4PL AN / 3,05 42.40 100.0 PROPOSED SPOT ELEVATION OF OH WIRES / bt +42.13 +62.88 38 LEONARD ROAD ` 100x0 EXISTING SPOT ELEVATION i IN THE TOWN -OF: ,�r 43.46 , �/ 42.88 100 PROPOSED CONTOUR +43.10 _- 589 2 (HYANNI ) BARNSTABLE a2.49 p 1pp 100 EXISTING CONTOUR PREPARED FOR: EDWARD BC RITA MEUSE GUY ` i p 3,z WIRE LF .``4-42.28 LOT 9 "• O/V 11,730 SFt ,1R� 20 0 20 40 60 +42.55 RO� 8 2. O 42 L R 20 +42.34 BOARD OF HEALTH MA APPROVED DATE SCALE: 1" 20' DATE: JULY 11, 2005 ' `*41.84 a off 508-362-4541 fax 508 362-9880 �5,1N OF p fgss9 N OF 4f4ss9 C ti ARNE C °G own Cape engineering', inc. oho AOJALA � ono H CIVIL OJALA cd CIVIL ENGINEERS Nay 30792 � No.26 LAND SURVEYORS s o/s � 71111O6 939 main st. yarmouth, ma 02675 O5- � 75 ARNE H. OJALA, ., P.L.S. DATE 3 j