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HomeMy WebLinkAbout0012 OAK DRIVE - Health 12 OAK DRIVE Hyannis A = 266 - 012 j, TOWN OF BARNSTABLE LOCATION )=Z O h SEWAGE# P-0(3 - L!13 VILLAGEW Ry a c5r A- ASSESSOR'S MAP&PARCEL 966—cj i Z INSTALLER'S NAME&PHONE NO--D-,,,(4s SEPTIC TANK CAPACITY Y 8-O b LEACHING FACILITY.(type) 5QCX4,Jk i chc, doC6 (size) A.wk�� HE- ,Side NO.OF BEDROOMS OWNER Farjcltir,,r PERMIT DATE: 10 L2 COMPLIANCE DATE: I nTT73 Separation Distance Between the: Nome ejeojw4-efed Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility dui%pj` ?cfc 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 / . 9 � � 00 E No. 2-0 13 Fee — THE COMMONWEALTH OF MASSACHUSETTS Entered in compu er: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE; MASSACHUSETTS application for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(✓Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No.49 OA 4 lP9 1.1/C Owner's Name,Address,and Tel.No. A)rc,-N1e ice+- Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. W514s © -Yo® - 7f5'7 �'•� 1nrCpo'T tr�iC SbP-ti'?7-S-3i Type of Building: Dwelling No.of Bedrooms 3 Lot Size E3 ((p® sq.ft. Garbage Grinder( ) Other Type of Building hdkxy-�T- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 C7 gpd Design flow provided gpd Plan Date 10 1`3 11 2 Number of sheets Revision Date Title Size of Septic Tank 1 5-00 Type of S.A.S. SOO �a// C�cvu�Plf ff Description of Soil 1d s F,I ` S7'c7 q ct 1`oN 7 /c — 1 0( — .1 OC7 di /�G�/ ellc, .lf' 2'6'S Nature of Repairs or Alterations(Answer when applicable) 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Date ��1 — Application Approved by 6. Date C T Application Disapproved by Date for the following reasons Permit No. n ( 3 �� 3 Date Issued (U ..e' No. .D, — .. Fee' / V ',j-� � _ , THE COMMONWEALTH OF_MASSACHUSETTS Entered-in computer: Yes PUBLIC HEALTH DIVISION-,TOWN OF BARNSTABLE, MASSACHUSETTS ftplication for Disposal 6pstrm Construction Permit Application for a Permit to Construct( ) Repair(✓Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No./,2 0,4 K 7R 1 t/C Owner's Name,/Address,and Tel.No. Assessor's Map/Parcel 7-&G Installer's Name,Address,and Tel.No. y Designer's Name,Address,and/Tel.No. d�,I4sA AQW,4 Tn)- SO --100 . 715 16� lNr lop" r u✓!! Sd8'�/77-53/ Type of Building: Dwelling. No.of Bedrooms 3 Lot Size F3 1(& sq.ft. Garbage Grinder( ) Other Type of Building htw5tro No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 "3 0 gpd Design flow provided 3 "4j© gpd Plan Date 10 g !1 2 Number of sheets Revision Date -Title / S of Septic Tank 1 T-00 Type of S.A.S. S-oc �'jIt'-V Ch1,,-w ers Descr-iption.of_Soil.. N S F G Z < SUb .G a/loN TWv/r - Z2" /30< cy Nature of Repairs or Alterations(Answer when applicable) 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 Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. 4 Si e t Date Application Approved by Date 0 Application Disapproved by _ Date for the following reasons Permit No. )- o o — Date Issued T U 0 L/ / ------ ----------------------------------------------------------------------- ------------------------------------------------' -H 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 4c% A 1 i r o c ep ry 1 iv c at I a OA k ��`��J..�i� 'Ong e+ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. p t' ' ! ated U .? Installer a . e,eft T-�((,w .! „/ Designer Iev y./, #bedrooms Approved desig n gpd The issuance of thi permit shall not be construed as a guarantee that the system willtion as designed. Date D j Inspector �. p No. o I✓ t13 Fee U� ' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstent construction Permit Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at 12 C>A Y `17-9 l V r W F ST 14 YANN 1 S Qcb%--),T and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction m 't be completed within three years of the date of this permit. Date (f a3 Approved by f:)&P�J 10/30/2013 11:19 5084775313 ENGINEERING WORKS PAGE 01 'own of Barnstable Regulatory Services g Richard V, Scali, Imtterim Director RUNSTABIA s MAA& Public Health Division r Thomas McKean, Director 200 Main Street,Hyantlis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: to Sewage Permit# Assessor's Map\Parael b �'�1��f w+-ems J�' Resigner; Installer: � Address: 12. W. crds e 1GE '(fit - -- Address: /n Q, Y36A l Y S On l3 �' Q- d3ez�v401 was issued a permit to install a (installer) septic system at l Z Dolt Z>n kI LA- 14y Owt-based on a design drawn by (address) dated l0 I1 (designer) I certify that the septic system. referenced above was installed substantially according to . the design, wh ch may include minor approved changes such as lateral relocation of the distribution 'pox and/or septic tank. Strip out ff required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or azy vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above Was constmeted in comph th the terms of the I1A approval letters (if applicable) jH pp PETER T. WENTEE (L�staller`s Signature) CIVIL9 f >ro,30408 ,¢ IFIrMAI esigner's Signature) ix Designer's ) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF CONTLIANCIC N LL NQT BE LSSU�D UNTIL BOTH PHIS FOR1Y! A1VD—AS- BUILT CARD ARE II tNSTABLE PUBLIC EEALTH DIVISION. Tam YOU. Q:Isepticoesigner Certification Farm Rcv 8-14-13.doc I Town o'B,ar>4 t ble r# Department of Regulatory`Services u F : Public Health D><v>lson 200'Main Stteet,Hyannis:MA 02601 „a e , r 4 DAte.Scheduled Time Fee Pd. Soil Suitabli Assessment or Se., Des a �' fP Performed B � i,� 'C 1-2.Q y Witnessed By: ® J LOCATION&;:GENERAL;INFQRMATION J Location Address 2 ��ti( �cc t/� wner's NameDQU�` v 0 . fli �� Add {� ress �5C1"ly Assessor's.-Map/Parcel: ®� Engineer's Name INEW CONSTRUCTION REPAIR Telephone# Sd Y—737 Land Use' IC�eJ(�V`a��``�� Slopes(90) Surface Stones Distances from: Open Water Body 2-�p ft Possible Wet Area °��"�—ft Drinking WaterW611 -Z41t Drainage Way C ft Property Line IQ^ ft Other ft SKETCH:'(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands-fn.proxiWty ro'holes) ® s� Parent material(geologic) Depth to BedrockAJ Depth to Groundwater. Standing Water in Hole:_ (/ Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used pth !)b^e7 -- g --- In, 'Depth to son,'nottles' In ��ata.:drr.- trr;.ey.li;;l:.r ,. Depth to weeping from side of obs.hole: in, Groundwater Ad,)u9tntept fr: Index.Well:# Reading Date: Index Well level: �..,, Adj'factor Ac({ dtnutidwaterlevrl,,® PERCOLATION TEST Date . - Observation {{ Hole# I �_ Time at 91, Depth of:Perc` Time nt 6" 2Ll cj h'IJh start Pre-soak lime @ L. i ,^'+ ' Time(9"-6") End Pre-soak Rate MinAncfi Site Suitability Assessment: Site Passed D� Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be.conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\S8PT1C\P8RCFORM.DOC DEEP.OBSERVATION HOLE L•OG Depth from Soil Horizon Soil Texture. . Soil Color, Soil Otter Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders., -7777 if DE1✓P OBSERVATION HOLE YOG Hole# 2 Deptti'from: Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones::Boulders. • DEEP OBSERVATION HOLE`LOG Hole# Depth from. Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stoaes,:Boulders. J DEEP OBSERVATION HOLE LOG Hole# Depl ..in Soil Horizon. Soil Texture Soil.Color Soil Other Surface'(in:) (USDA) (Munsell) Mottling (Structure,Stones;'Bouldars. 6 �5 to CIS - _ _ Flaod4ltisuranee Rate Man: Above 500 ear'flood°bound No- Yes. Y. �Y.,, Wttliio S00 Yea'boundary No Yes 77. Within 100 year flood boundary No Yes___ Dertth of NaturaHy Occurrine Pervious Nlaterit�fi Doesyat leastfour feet of naturally occurring pervio inttertul'exist in all areas:observed throughout, area proposed for the:soil absorp gon system? �- Ifnot >what sthe depth:of naturally occurring pervious material ; Cert__^_Icati°n �, I certffy that_on I: jLhave passed the soil evaluator examination approved bythe Department of Environmental Protection and that the above analysis was performed by me consistent with. .' theegwred trains expertise and experience desenbed'in` lU CIvIR 15:017:1 Signature Date Q FORM.DOC 3 table t�r Town of Barnstable Bars Board of Health BARNSTABLE. ' 9 HAS& 200 Main Street, Hyannis MA 02601 1639 Aim 2007 fD MA't Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul Canniff,D.M.D. June 28, 2013 Mr. Douglas Farquhar and Ann T. Franklin 1601 Olney Sandy Spring Road Sandy Spring MD, 20860 RE 12 Oak Drive; Hyannis Dear Mr. Farquhar and Ms. Franklin, At the June 18, 2013 public meeting of the Board of Health, the Board voted unanimously to grant you an extension to replace the structurally failed cesspools located at 12 Oak Drive, Hyannis. This extension is granted for six months, until December 31, 2013. The new owners of the property are planning to upgrade/replace the septic system while constructing a new addition to the home within the next few months. This extension is granted because you placed two large one-inch thick plywood boards over the tops of the cesspools and enclosed the areas with four feet tall fencing to prevent any persons from walking over the top of the cesspools in the meantime, as documented in your letter dated May 30, 2013. [NOTE: Photographs were provided to the Board showing your yard with the plywood fenced enclosures surrounding the cesspools.} Please continue to maintain the fencing and plywood in place until such time the septic system is upgraded and replaced with a compliant Title 5 system. Since yours, ayn iller, M.D., Chairm Board f Health Q:\WPFILES\Extensionl2OalcDrive2Ol3.doc Douglas B. Farquhar and Ann T. Franklin 1601 Olney Sandy Spring Road Sandy Spring, MD 20860 ATTN: Thomas A. McKean, CHO May 30, 2013 Town of Barnstable/Regulatory Services Department Public Health Division 200 Main Street Hyannis, MA 02601 Dear Mr. McKean, I am writing in follow up to our meeting earlier last week regarding our failed septic system at 12 Oak Drive, West Hyannisport,MA. As requested by the board, we immediately secured our septic area by placing two large one-inch thick plywood boards over the top.and enclosing in a 4- foot fence. We took these steps following consultation with the engineer who tested our system. We emailed photos of the fenced area to your office the next day. We would like to point out further that the septic area is located in the far right side of our property, and not in a traffic area to gain access to thel cottage. We have a fence in our front yard, as well as on the right side of the septic area and the backyard. We live on,,a dead-end street with three other houses. All our neighbors are older and there are no young children residing on our street. We have notified our.neighbors of the reason for fencing. We are writing to request an extension of the replacement deadline. Our 12 Oak Drive property is for sale and we fully intend repairing or replacing the system prior to the sale--- once we know whether the buyer wants to size the system for 2 ,3 ,4, or 5 bedrooms. The use of the property has always been seasonal We voluntarily had inspector Doug Brown check the system as we prepared to list the property. Our property is listed with Jeanne Walsh of Kinlin Grover Real Estate in Osterville, MA. At , least one interested party had discussed making renovations to the cottage and had sought input on the location of the septic prior to it being replaced. We believe placement of the system will be of interest to any potential buyer, and that they may want to expand the size',of the system. We would greatly appreciate an extension to the time of sale to repair or replace the system, which we hope shall be in the next few months with the improving real estate.market. Please advise what further steps we may need to take in seeking such an extension. I can be reached at my Maryland home at 301-774-0084 or by email at TerryatCedars(a),aol.com. Your consideration is appreciated. Terry Franklin Douglas Farquhar. Page 1 of 1 Crocker, Sharon From: terryatcedars@aol.com . ' Sent: Thursday, May 23,2013 5:17 PM To: Crocker, Sharon. Cc: DFarquhar@hpm.com Subject: Farquhar property 12 Oak Drive Hello Ms. Crocker, Just wanted to inform the Board of Health office that we have secured with fencing and 3/4 inch plywood.overtop the two cesspool areas as requested by the BOH at its last meeting. We met with the engineer who tested our system on Monday and he indicated where we should place the fencing. The fencing was placed yesterday, May 22. As discussed yesterday,we will be seeking an extension until time of sale at the BOH June 18th meeting. We will be sending a letter(through your office)to the committee members in the next few days underlining our steps taken to date to secure the area and our intention to replace at time of sale. As noted in the engineer's report, of which we had a voluntary inspection with no issues driving that request except for in preparation of placing on the market, the cesspools were dry and no concerns over groundwater. Thank you and Mr. McKean for your assistance. Please see attached photos. I should note that the cesspool area is located to the far right of our cottage, with no foot traffic in that area of yard. Entrance to house is on opposite end of the yard. Further, beyond the fenced area along our abutting sideyard is a waist high metal fence between us and our neighbor. We have our yard fenced in front and in the back. We have no children on our dead-end street of just three cottages. Neighbors are all elderly, with no children in the neighborhood. We have informed our neighbors of the reasons for fencing. Thanks Terry Franklin 6/10/2013 r. • t�t� *� �� �.�, Sf, _ #, � G�^q1 ter_ --,fi 9�N, •�fC r � f 9 �{ i ' t { r a rAF•. �r '� � � � a •Y3 J r �r Al rot 7gy}La4 — }^ ,��i+r �t �k• ' �aa. .`i as, f Y �M err•^ r� rJ 't�•� � 5 f G.a �+� f 1 4 "- or f •, i i + ' —- --:• U .11AOr kj r� Aff • 7 tiJ jj Y ! i .` �� �� . . Douglas B. Farquhar and Ann T. Franklin J \ 1601 Olney Sandy Spring Road Sandy Spring, MD 20860 ATTN: Thomas A. McKean, CHO April 6, 2013 Town of Barnstable/Regulatory Services Department Public Health Division 200 Main Street Hyannis, MA 02601_ Dear Mr. McKean, I am writing in response to the recent inspection of our septic system at 12 Oak Drive, West. Hyannisport, MA, and a notice from your office delivered April 4th by certified mail to our Maryland home, informing us that our system failed due to a structural issue and needs to be replaced or repaired within 60 days. Upon receipt of this notice, I immediately contacted your office and spoke with Sharon Crocker. This letter is a follow up to that conversation. I spoke with Ms. Crocker after leaving a message on your voicemail. I am writing to request an extension of the replacement deadline.Our 12 Oak Drive property is for sale and we have all intentions of the system being repaired or replaced prior to the sale. With the exception of a nephew, who stays in the cottage one night a week, there is no one residing at the property. The property has always been seasonal. We voluntarily had inspector Doug Brown check the system as we prepared to list the property: Our property is listed with Jeanne Walsh of Kinlin Grover Real Estate in Osterville, MA. At least one interested parry had discussed making renovations to the cottage and had sought input on the location of the septic prior to it being replaced. We believe placement of the system will be of interest to any potential buyer, and that they may want to expand the size of the system. We would greatly appreciate an extension to the time of sale to repair or replace the system, which we hope shall be in the next few months with the improving real estate market. Please advise what further steps we may need to take in seeking such an extension. I can be reached at my Maryland home at 301-774-0084 or by email at TerryatCedarsgaol.com. Your consideration is appreciated. Terry Franklin Douglas Farquhar Town of Barnstable Barnstable �IKE Regulatory Services Department AlAnteftaCily • `A M^ `� Public Health Division Ep�A 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2850 7558 March 28, 2013 Douglas B Farquhar n 1601 Olney-Sandy Spring Road Sandy Spring, MD 20860 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 12 Oak Drive, Hyannis, MA was last inspected on 3/01/2013, by Douglas A. Brown, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • Structural Failure. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\12 Oak Dr HY 2013.doc i Town of Barnstable Barnstable Board of Health ;e18C j vna MASS. 6LE,o! 200 Main Street, Hyannis MA 02601 M O �m �A i639. Awe 2007 rf0 AC OFFICE: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi ACKNOWLEDGEMENT OF RECEIPT: April 16, 2013 , e;e We:have received your submission to the (Board of Weafik Re: 12 Oa Drive, Nest Barnstable — asking for an Extension in the deaddline for repair of a failed septic system. Thankyou. Your.item will be heard at the Board of Health Meeting on the: Date of: Tuesday, May 14, 2013 You, or a representative for you, is expected to be present to answer questions the Board may have. Meeting Location: Town Hall, 367 Main St, Hyannis Hearing Room, Second Floor Time. . 3:00—6:00 P.M. Approximately three days prior to meeting, an agenda will be sent out to you— once it is available. It will also be available on line at the town website: www.town.barnstable.ma.us Go to ..."Boards & Committees > Board of Health - or- Go to Official Agendas QAAGENDAS BOH\let Receipt of BOH Submission 2013.doc �f f I Crocker, Sharon From: Crocker, Sharon Sent: Friday, April 05, 2013 1:5 To: Crocker, Sh Subject: Failed Se is- 12 Oak Dr, Hy "TJ�` System consists of 2 cesspools in series that are not structurally sound. 3/13 Letter sent 60 Day repair req.from 4/5/13. FYI 4/5/13 Owner, Ann Franklin, called (301-774-0084)and said they will be sending a request for a deadline extension to the BOH. They are selling house on 12 Oak Drive, Hyannis. The owners live off Cape. They believe whomever buys the house may want to add-on to the house so they can have a view of the water. If they add-on, they will have to relocate the septic. So owners want to hold off replacing until they have contract with new buyer. ` The owners anticipate very minimal use of the septic before selling the house (no buyer at this time). They had recently bought a house in Centerville to use as their second home. Unfortunately the pipes birst during the last storm and they now have to make extensive repairs. They only plan to be staying there a few nights a month until the other house is repaired. A5 W171 � -- i L s� • e i qa�� t f IS I M_co MD 'n f ,r Ln Lrl co Postage $ ni C3 Certified Fee Hitt Postmark O Return Receipt Fee a (Endorsement Required) Here/ C3 Restricted Delivery Fee C3 (Endorsement Required) p Total Postage&Fees ru rq c3 Douglas B Farquhar 1601 Olney-Sandy Spring Road Sandy Spring, MD 20860 Certified Mail Provides: n A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Pastal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. e Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". e If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 SECTIONJ;SENDER:�COMPLETE THIS SECTION COMPLETE,THIS ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signatur item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse t s' ❑Addressee so that we can return the card to you. g, rved b `(Printed Name) C,Date of Delivery o Attach this card to the back of the mailpiece, � b ( ''d L�,to of or on the front if space permits. 6 I D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Douglas'B Farquhar '1601 Olney-Sandy Spring Road, 3. Service Type ❑Certified Mail ❑Express Mail Sandy Spring, MD 20860 ❑Registered ❑Return Receipt forMerchA ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes2.`Article Number 1 t(Transfer from service/abet) 70lB 1010 10'00 0 28 50 7558 PS Form 3811,February 2004 `'-',_ Domestic Return Receipt 102,1 1� UNITED STATES POSTAL SERVICE � First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 4=11�}�illf�i#f��111Eiii�13��}12i1�1ti 33�1�13l.1IIil3ll�fll�i}ti}l � i Town of Barnstable Barnstable Regulatory Services Department dnCft . `'�` �` Public Health Division ( �• foy►�� 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2850 7558 April 1, 2013 Douglas B. Farquhar 1601 Olney-Sandy Spring Sandy Spring, MD 20860 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 12 Oak Drive, Hyannis. MA was last inspected on 3/01//2013 by Douglas A. Brown, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the i guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • Structural Failure You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF T BOARD OF HEALTH as McKean, R.S. CHO Agent of the Board of Health Q:\Letters Septic Inspection Failures or Future Eval\12 Oak Dr Apr 2013 r r Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19112 797 THE ro,�• l �r Logged In As: Parcel Detail Wednesday,March 27 2013 Parcel Lookup Parcel Info Parcel ID 1266-012 _ l Developer LOT 122 1 Lot Location 112 OAK DRIVE l Pri FrontageSec 105 l Sec Road u— l Frontage l village FHYANNIS Fire District IHYANNIS _ �l Town sewer exists at this address NO ( Road Index ' �. Interactive Map a i s Owner Info Owner FFARQUHAR, DOUGLAS B& ( Co-Owner.FFRANKLIN,ANN T l Streetl F1601 OLNEY-SANDY SPRING RDl street2 � l city SANDY SPRING State'MD Zip 120860 Country Land Info Acres 10.19 use Single Fam MDL-01 l zoning RB J Nghbd 0110 Topography Levu--el -- l Road Paved ptic,Gas,Public Water l Location Utilities l Construction Info Building 1 of 1 Bear11930 , Roof Gable/Hip l Ex Wood Shingle Built 1 Struct Walll I Living Roof, AC C— Area 1380 l CoverlAsph/F GIs/Cmp l Type(None Int Bed Style Ranch �) Wall Drywall Rooms 13 Bedroomsjwl l � Model Residential IntHardwood Bath1 Full+ 1H � ' � Floor Rooms _ __ a!+s'°t£z�K tom,": .• Grade Average Type,Hot Air Rooms - Heat Found Stories 1 Story OI� ITyplcal Fuel E ation Gross 11443 l Area._... Permit History ............. _.. .......... 1 http://issgl2/intran et/prop data/ParceIDetai1.aspx?ID=19112 3/27/2013 (� v �.� Sc�.-�ed �„-� 1 � , /� Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. City/Town. State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end.of the form. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your DOUGLAS A BROWN .T'51,01 cursor-do not Name of Inspector use the return key. DOUGLAS A BROWN INC Company Name P.O. BOX 145 Company Address (( CENTERVILLE MA 02632 Cityrrown State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification 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 onAte sewage disposal systems. I am a•DEP approved system inspector pursuant'�1; ection `-8.340 Title 5(310 CMR 15.000).The system: !! ❑ Passes ❑ Conditionally Passes ® Fails — , ❑ Needs Further Evaluation by the Local Approving Authority y k� r�ro 3/1/13 InipectAK Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 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. ****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. t5ins•11/10 Title 5 Dffciat In ect Form:Subsurface Sewage Disposal System•Page 1 of 17 .f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,M s. 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is HYANNIS MA 02601 3/1/13 required for every page. Cityrrown State Zip Code Date of Inspection. B. Certification (cont.) 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. 4 Check the box for"yes", "no"or"not determined" (Y, N, ND)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. ❑ Y ❑ N ❑ ND (Explain below): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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 ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box.is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): 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 t5ins•11/10 Title 5 Official Inspection Form-Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM s 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) 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 fecal coliform bacteria indicates absent 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: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No El ® 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 Y day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °M 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 fecal coliform bacteria indicates absent andthe 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 and chain of custody must be attached to this form.] ❑ Z The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. 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. t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 12 OAK DRIVE Property Address FARQUHAR Owner Owners Name information is required for HYANNIS MA 02601 3/1/13 every page. Cityrrown State Zip Code Date of Inspection C. Checklist 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) 0rovided 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: ❑ ® Existing information. For example, a plan at the Board of Health. ® El. 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(5)] D. System Information Residential Flow Conditions: 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: SYSTEM CONSISTS OF 2 CESSPOOLS IN SERIES THAT ARE NOT STRUCURALLY SOUND Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ❑ No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available(last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: SEASONAL Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per Y(9Pd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® 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 T ❑ 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)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ` ❑ Other(describe): t5ins-11M0 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w„ s 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA .02601 3/1/13 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: APPEAR TO BE ORIGINAL Were sewage odors detected when arriving at the site? ❑ Yes El No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on.site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age:. years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is HYANNIS MA 02601 3/1/13 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap(locate on site plan): Depth below grade: feet 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: Date t5ins•11110 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 17 • _ Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: . Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): i Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection form:Subsurface Sewage Disposal System-Page 11 of 17 I • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert NA 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(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts v - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 2 IN SERIES ❑ innovative/alternative system Type/name of technology: .Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): CESSPOOLS WERE EMPTY BUT FOUND TO BE IN POOR CONDITION WITH ORENGEBURG PIPING AND DETERIORATING BLOCKS Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 2 IN SERIES Depth—top,of liquid to inlet invert 6FT Depth of solids layer DRY Depth of scum layer DRY Dimensions of cesspool 5X6 Materials of construction BLOCK Indication of groundwater inflow ❑ Yes ® No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM , 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. City/Town State Zip Code Date of Inspection D. System Informatiom(cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): POOLS WERE DRY BUT IN POOR SHAPE AT TIME OF INSPECTION BLOCKS WERE MISSING Privy(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.): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 5 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. City/Town. State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: GREATER THAN 11 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: INSTALLED SEPTIC NEXT DOOR NO G.W WAS ENCOUNTERED DURING PERC Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts mx Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments '< 12 OAK DRIVE Property Address FARQUHAR Owner Owner's Name information is required for HYANNIS MA 02601 3/1/13 every page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater Z Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 f�. LEGEND N OD °v o oreY • ' • - 98 -= EXISTING CONTOUR _ +' x 100.98 EXISTING SPOT GRADE ��. l g •6 PROPOSED SPOT GRADE croigville Beach Road W EXISTING WATER SERVICE ' G EXISTING GAS SERVICE d Hyann+s Port N -6.H-W- OVERHEAD WIRES 7 D a Golf Gub vt �n cP TEST PIT < Ma le °street v 53. U! � 6'. BENCHMARK 0)31, 3 N MI Pine Street PROPOSED S.A.S. S.A.S.LAYOUT -- - Forest Street LOCUS fence Oak or 1 1.54� 91,16 99.0 Ocean St + ed9e 61 lawn ' 90,87 SHED • . . LOCUS MAP INSTALL 90.47_ NOT TO SCALE /i x 90.83 CLEANOUT L06� x 90,82 x 0 8 0 PROPOSED SEPTIC TANK 91,15 SEWER INV.=89.tt 5' 10+ 1500 GALLON CAPACITY H CRAWL SPACE k 9 07 GENERAL NOTES: a. 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 1EXISTING `D /� BOARD OF HEALTH AND THE DESIGN ENGINEER. x9 .18 HOUSE (#I2) o _ 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE_REQUIREMENTS T.O.F=91.15-± CRAWL SPACE /� OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE c / o FULL Craw/ FL.EL.=89.1t �9.p' o. EXISTING CESSPOOL LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: �. TO BE PUMPED, FILLED WITH 6 CELLAR / 89,6 o SAND AND ABANDONED. -310 CMR 15.405(1)(b): ENTRY r '80 1) A 5 vsrionce, septic tank to cellar wall, for a 5' setback. 090.19 x i j x 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR o TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH.AND THE 90�07 x - � 3 i� z�x 8' ,68 DESIGN ENGINEER. 90.14 89 79 ' r 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING PROPOSED S.A.S. FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN L TS 122 & 123 :' •;: ` '" ENGINEER BEFORE CONSTRUCTION CONTINUES. MB U 266-0� 2 f I' O •;?� 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 89,26 ; .. 89 89,44 $160 S.F.t �' '6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF x G TPA• :li +, 8 •91 Yf? �3`' '' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF - 89,17 x TP-1 2 ` •-1 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 3 J = EXISTING CESSPOOL FLAGRO �'':. y 88.88 o J 3 TP BE REMOVED 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 88,69 105.0' x 88.84 (SEE NOTE,1-1) 8. THERE, ARE NO WELLS WITHIN 150' OF THE PROPOSED. S.A.S. `., 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 88,44 DR1VEYAY fence CB AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 88.53 DIRECTED BY THE APPROVING AUTHORITIES. 88,13 88,62 ESPONSIBILITY OF THE CONTRACTOR TO VERIFY x 88,46 10. IT SHALL BE THE R F ALL UNDERGROUND UTILITIES PRIOR TO BEGINNING THE LOCATION0 E , 88,40 PK SET 88,08 88.14 edge 'of CONSTRUCTION. 88.27 mood �-'----�t 88.15 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS O /l Tj D jVT 88 23 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND .fj tl 1 L1 � ; , T REPLACE WITH CLEAN .SAND AS SPECIFIED IN 310 CMR 255(3). �� of MASsq�ti k PETER T. SEPTIC SYSTEM UPGRADE PLAN o G� PROPOSED McENTEE 0 0.00 12 OAK DRIVE, WEST HYANNISPORT, MA o CIVIL UP BENCHMARK P.O. ox 145 i MA 02632 35109 MAGNETIC NAIL SET Prepared for: D.A. Brown, Inc., 0 , Centerville, o �EGISZER� S`� EL.=88.27 (Assumed) OWNER OF RECORD SCALE DRAWN JOB. No. O FARQUHAR,�- DOUGLAS B & Engineering by: f QUHIN, DO T Engineering Works, Inc. 1"=20' P.T.M. 219-13 1601 OLNEY-SANDY SPRING RD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. �(.Z�� SANDY SPRING, MD 20860 (508) 477-5313 10/3/12 P.T.M. 1 Of 2 NOTE: FINISH GRADE SHALL NOTBE PROPOSED 5 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BQX PROPOSED S.A.S. '(3) 5" DIA.OUTLETS INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROVIDE TWO ACCESS MANHOLES TO WITHIN 3" T.O.F. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE OF FINISH GRADE FOR INSPECTION PURPOSES 15.5 1—� 2" EXISTING F.G. EL.=89.5f v ;• ...;. .... F.G. EL.=90.5t F.G. EL.=89.5t �INTAIN 2% GRADE (MIN.) OVER S.A.S. ti ',.. L21' � ' L = 37' Lm 11' =. 6U_ � 8 If ® S=1% (MIN.) ® S=1% (MIN.) © S=1% (MIN.) !. 4"SCH40 PVC 4"SCH40 PVC 4'•SCH40 PVC " •'•P 10 1 B9 6B 2,e ., 14" g• eea$ae® H—10 LOADING INV.=88.50Ir 48" LIQUID INV.=88:25 LEVEL 5.2' 4' • 4 �€ - OX INV. 86.67 _ D B INV.-86.50 GAS BAFFLE' EFFECTIVE WIDTHC= 13.2' PROPOSED D-BOX N.T.S. INV.=86.00 PROPOSED SEPTIC TANK Z-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN - a CONTRACTOR SHALL CONNECT TO EXISTING H-10 RATED 3" LAYER OF 1/8" TO 1/2" SUITABLE 4" C.I. OR SCH 40 PVC SEWER DOUBLE WASHED STONE AT, OR ABOVE, INV. EL.=89.10 P (OR APPROVED FILTER FABRIC) r TOP CONIC. ELEV.=86.8t BREAKOUT ELEV.=86.50 CEE ®E3 Ea 0 E3®E@ � NOTES: ea®a „ INV. ELEV.=86.00 Woo= ®®®®E3 ® E3 E3®® 33 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE 0000 ®a®®® INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=84.00 N > E ®®®® ® ® ®® Ea E3 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL8.5' �' 4' Z_ L® TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING VARIES-REFER TO SKETCH 6" CRUSHED STONE BASE, AS SPECIFIED IN 310 PERVIOUS MATERIAL CMR 15.221(2), 5' MIN. SEPARATION TO G.W. LEACHING SYSTEM f>SECTION 102" 3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO G.W., TP-1, EL.=79.0 — 3/4" TO 1-1/2" DOUBLE § WASHED STONE 4) CONTRACTOR SHALL INSTALL A GAS BAFFLE ON ` THE OUTLET TEE. SEPTIC SYSTEM PROFILE . k 4" KNOCKOUT 20" DIA. COVER 8.5' - SOIL EVALUATION_ ' Date: September 24, 2013, 11:00 am (P#14138) 4" KNOCKOUT � 4" KNOCKOUT 62" DESIGN CRITERIA 3,3' 13 2'--1 Performed by: Peter T. McEntee SE#1542 . —, Witnessed by: Donna Miorandi R.S. - Health Agent NUMBER OF BEDROOMS: 3 BEDROOMS I� SOIL TEXTURAL CLASS: CLASS 1 I TEST PIT 1 (EL.=89.0) 4" KNOCKOUT N BOTT. AREA DEPTH HORIZON TEXTURE COLOR DESIGN PERCOLATION RATE: <2 MIN/IN �`i I = 330 SF 0"-8" A LOAMY SAND 10YR 4/2 ' $"-31" B LOAMY.SAND 10YR 5/8 DAILY FLOW: 330 GPD 1 1 31"-120" C F-M SAND 2.5Y 6/6 NO GROUNDWATER ENCOUNTERED, PERC 36"/48", < 2 MIN/INCH DESIGN FLOW: 330 GPD TEST PIT 2 (EL.=89.2)• e , 500 GALLON CAPACITY, H-10 LOADING GARBAGE GRINDER: NO PERIMETER=76.4' DEPTH HORIZON TEXTURE COLOR , PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY 0"-7" A LOAMY SAND 10YR 4/2 SAS DIMENSIONS 7 -30" B LOAMY SAND 10YR 5/8 CHAMBERS LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 30"-120" C F'-M SAND 2.5Y 6/6 SK ETCH NO GROUNDWATER ENCOUNTERED N.r.s. i .74 GPD SF - / TEST PIT 3 (EL.=89.3) r USE 2-500 GALLON LEACHING CHAMBERS IN SERIES DEPTH HORIZON TEXTURE COLOR 0" 8- ' A LOAMY SAND 10YR 4/2 PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY 4' DOUBLE WASHED STONE—ALL SIDES 8"-36" B LOAMY SAND 10YR 5/8 36"=120" C F.-M SAND 2.5Y 6�6 12 OAK DRIVE, WEST HYANNISPORT, MA NO GROUNDWATER ENCOUNTERED, PERC 38"/50', < 2 MIN/INCH SIDEWALL AREA: 76.4'(PERIMETER LENGTH) x 2'(EFF. DEPTH) = 152.8 SF TEST PIT 4 (EL.=89.2) k' Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA. 02632 BOTTOM AREA: 403.8 SF(BOTTOM AREA) = 330.0 SF DEPTH HORIZON TEXTURE COLOR 0"-8" A LOAMY SAND 10YR 4/2 Engineering by: SCALE DRAWN JOB. N0. TOTAL AREA:..............................................:..................................... 482.8 SF 0„-8" B LOAMY SAND 10YR 4/2 NTS P.T.M. 219-13 8"-34"0" C AM SAND 10YR 5/8 Engineering Works, Inc. NO GROUNDWATER ENCOUNTERED 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(482.8 SF) = 357.3 GPD (508) 477-5313 10/3/12 P.T.M. 2 Of 2