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Home My WebLink About0260 OAKLAND ROAD - Health 260OAKLAND ROAD, HYANNIS A= 271 087 oo I i I I TOWN OF BARNSTABLE LOCATION QUA SEWAGE# VILLAGE A ASSESSOR'S MAP&PARCEL INSTALLER NAME&PHONE NO. e,� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility Feet FURNISHED-1S r�r� cop RaA3T 331 33{ G `` Of _ Page: 1 4 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Prepared For Report Dated: 11/7/2003 Schirch,Timothy&Eileen Order Number: G0323328 Eileen Schirch 260 Oakland Rd. Hyannis, MA 02601 Laboratory ID#: 0323328-01 Description: Water-Drinking Water Sample#: 23328 Sampling Location: 260 Oakland Rd.,Hyannis Collected 10/24/2003 Zollected by: E.Schirch Received 10/24/2003 Test Parameters ITEM RESULT UNITS MCL Method# Tested LAB: Metals Hardness 22.1 mg/L as CaCO SM 2340B 11/7/2003 Routine ITEM RESULT UNITS MCL Method# Tested e ' LAB: IC Lab Nitrates 0.4 mg/L 10 SM4500-NO3 {r,:;;; _'JQ/24/2003 -N - { ` Copper <0,1 mg/L 1.3 SM 3111B 110/27/2003 Iron <0,1 mg/L 0.3 SM 311113 10/27/2003 .Sodium � 24 M1 mg/L 20 SM 3111E 10/27/2003 LAB: Microbiology Total Coliform Absent P/A Absent 309 10/24/2003 LAB: Physical Chemistry Conductance 148 umohs/cm EPA 120.1 10/24/2003 pH 7,6 pH-units EPA 150.1 10/24/2003 Not` •Sodium level above the.average. Those on low sodium diet may wish to contact physician. i Approved By: Director),;;, _ Superior Court House, PO..Box 427, Barnstable, MA 02630 Ph: 508-375-6605 BORTOLOTTI ,�ONSTRUCTION INC. JBIIBB:O.R ACE ' B`ExJ1C3E DIRPOSALI SYSTEM INSPECTION YO" AdidreXs.,ofproperty: �fQeL �SP. - Ouner�is name !Date" oi47Cnspeetion ;,. P]lRT ;A CHECKLIST Check the foll.owi.ng :have been done: �f Pump _ng information` was requested of the owner, occupant , and Board Health _atone of the: system ;components have been pumped for at least two wec and the systeao 'has 'beerr:'receiving .normal flaw rates during that period:`, I:a-rge :volumes or ,wa,6ii -have:'not been introduced into the system .rscsntly;' or•`;as ''phrt ot.'.this' .i:ns.pection. �J As =built pl-ans have, been obtained and ,exam'ined . Note if they are available `."i`th NyA. _ he facility or dwelling was inspected. f.or .signs of sewage back-up . he ttlte vas inspected for signs' of 'breakout. A-11 syste.m .domponents, excluding the SAS , have been located on thE> The septictank manholes were uncovered', opened , and the interior- _ . ht a.eptic ,tank was: inspec:ted ..for. condition of baffles or tees , t,eria'1 of constru ct ion, d. men's_fons; depth of liquid , depth of ludgQ, depth:= of scum. The size and •location 'of' the SAS .on the site has been determined oTi ex 'StI71 - n`tn rt i' n _. 1 1 _� b<� i --r•m n r- r..._v a.' -,J L. . �1lLL l'S Cad U llt:/y / rr y lil—;iu5lve methods . The facility- owner . (and occupants, if. different from owner' were provided ~with.information on the proper maintenance of SS Ds . i r SUBSURFACE SEWAGE DISPOSAL..SYSTEM INSPECTION FORM PART B SYS.TEM .INPORHATION FLOW CONDITIONS If residential number. of bedrooms number of current residents garbage grinder, .yes :or no laundry connected. to system, yes or no d40 seasonal use; yes or .no If nonresidential, calculated flow: Water meter readings, if available: Last;'date . of :occupancy' GENERAL INFORMATION Pumping records and ,source of information: ,'System pumped as part of inspection, yes or no if yes, volume pumped' Reason for pumping; Type o,f` system -- Se.pt+c .rk/distr°ibution box gl ce s /soil absorption system : spool Overflow .cesspool Privy Shared, systea► (yes or no) (if yes; attach previous inspection records, if any) . Other ` (explain) �P.�Sd/ Approximate .age of all components. Date installed, if known . Source of ififormation: �� Sewage odors detected when arriving at the site, yes or no SOBSORFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART - B . SYSTEM INFORMATION continued SEPTIC-:TANK: : (locate 'on;:sate"`plan)" :depth:::b"elow:;grade material 01 construction: concrete metal FRP other(explain) dimensions,* sludge depth distance ;;from: top. .of .sludge to bottom of outlet tee or baffle scum .thickness distance from top: of scum to top of outlet tee or baffle , distance :from bottom. of `scum to bottom of outlet tee or baffle Comments (recommendation for pumping, condition of inlet and outlet tees or baffles , depth .of hiqu d leve1 relation to outlet invert, structural integrity , evidence.=of heakage, , re.commendations for repairs , etc. ) DISTRIBUTION BOX ` '(locate :on a'ite plan) depth o"f "liquid" level, above outlet invert Comments: (`note; if.`'level' and distribution is equal., evidence of solids carryover, evidence` of' leakage '-intro or :out of ".box, recommendation for repairs, etc_ ) PUMP- CHAMBER: (locate on :.Site .plan) pumps':'.in working order, yes.-or no Comments,* . (note.. condition of. pump chamber, condition of pumps and appurtenances, reCOmniendations. for maintenance or repairs, etc. ) . t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION PORN PART B SYSTEM INFORMATION continued SOIL:ABSORPTION SYSTEM (SAS,) : _ (loca.te on; site plan, ;i`f. possible; excavation not required, but may be approximated'- by non-intrusive methods) If not determined to 'be present, explain: Type leaching -pits-, and number / - /000 qc %/O0— leaching chambers. and number. leaching ;galleries and number _ leaching trenches, number, length. leaching '0e' lds,> .number, dimensions overflow cesspool, number Comments: (note condition of soil, signs of hydraulic failure, level of ponding , condition: of;ve eta..tion; . recommendations for m�9aintenance or repairs , etc . ) CESSPOOLS (;locate on .site plan) : number and ton figuration - OG,��C' �� depth-top :of `:;liquid ..to inlet: invert - ` depth o! aol_ids .layer: depth,..:`of"--scum ayer. __...-. dimensions of cesspool: :materials``ot; construction --- indication of;=groundwater inflow (;cesspool` must.; be pumPed as part;"o.e. ie spe-q-i o el Comments: (note condition of soil, signs of hydraulic failure, level of ponding , c nditi n of ve eta ion, recommendations for maintenance or rep ai s, etcj 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; recommendations for maintenance or repairs , etc . ) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B _ SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include. .ties to at least two permanent references landmarks or benchmarks locate all . .wells .within 100 ' I ` Py P,J, DEPTH TO GROUNDWATER 20 depth to groundwater method of determination or approximation: U 1c CC-S- V✓L4 ��J1�L�1 A `� --t2�c j lJ --- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Ind-icate 'yes, .no, . or. not .determined (Y, N, or ND) . Describe basis of ,4eterminat-ion.*An 'alT,- instances— If "not determined" , explain why not) Backup'.of-:sewage. into facility? /X Discharge or ponding of effluent to the .surface of the ground or surface waters? i /� ' Stati'c..liquid level in the distribution box above outlet invert? Liquid .depth in cesspool <611 below invert or available volume< 1/2 da,. flow? . /Y Required pumping .A .times or more in the last year? number of times pumped Septic.. -tank. is .metal'. cracked? structurally unsound? substantial infiltration?' substantial .exfiltration? tank failure imminent? is any portion. of the SAS, cesspool or privy: /1r below theehigh ,groundwater elevation? . within. 50 feet of a surface water? �? within . 100 feet of a surface .water supply or tributary to a surface water supply? within a Zone I of a public well? within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, ngtgthe SAS) ? within 50 feet. of a private water, supply well? less .than 100 feet but. greater than 50 feet from a private water supply .well with no acceptable water quality analysis? If the well has;been' analyzed to be acceptable, attach copy of well water analys for coliform. bacteria, volatile organic compounds, ammonia nitrogen and nitrate--nitrogen. SUBSURFACE SEWAGE DISPOSAL. SYSTEH INSPECTION FORM PART D CERTIFICATION . � 'lGc _ ?dame of Inspector.a � Company 'Named -' Company,.Address -71 �—�vs � 02C�c7�� m - . 3lp ''.�.Qertificatioh Statement I certify.':that :I have personally inspected the sewage disposal system at this .address and :that the information reported is true, accurate and complete:.' as`.of: .:the :time..of : inspection. The inspection was performed and any.: recomm end ations . regarding _ upgrade, maintenance and repair are consistent :with my. training: and experience in the proper function and manitenance::of on-site sewage disposal systems. Check .one• have -not found any information which indicates that the system fails to''adequately .protect public health or the environment as defined in 310 CMR .15..303 . Any failure criteria not evaluated are as stated in. the FAILURE CRITERIA section of this form. I. have :determined '-that _the system fails to protect public health an: the environment as defined in 310 CMR 15. 303 . The basis for this determ.ination' is provided in the ,FAILURE CRITERIA section of this form. Inspector' s ,'Signature. Date .Original to'system, owner l Copies to Buyer` (if applicable) Approving authority