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Home My WebLink About0091 OAKVIEW TERRACE - Health 91 OAKVIEW TVR- RACE, HY ANNIS i A= 268 290 e i 0 L;OCA'TION SEWAGE PERMIT NO. VILLAGE INSTALLER'S AME i ADDRESS _ :Kaw'-& o (A Cco as BUILDER OR OWN R R/,coGZon, l,. DATE PERMIlr ISSUED DATE COMPLIANCE ISSUED lzzea _ _ _ __ _ � ' � �'� r '� a � � I� �. .� , , � ; L I '�}'a No.........f .7.. Fss.. ........... . THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH 1- -.1 ............OF...... 1 -. ..' — Appliration for Dhiposal Works Tomitrnrtion Famit Application is hereby made for a Permit to Construct K) or Repair ( ) an Individual Sewage Disposal System at: • Locatio - ddress or let o. y �wner...Lii_` 6� Address 'W1 ...... •... ...._ ---•-•--... •^•_��(r+.vu ao=]a':....... ..............................•----.........._....._.............................................. Ins-talle...r Address Po/ �� Type of Building ,� Size Lot__/__Y;___________ _ ____Sq. feet g— Expansion' lttic ( ) Garbage Grinder Dwelling No. of Bedrooms_______________________________________ — aOther—Type of Building ____________________________ No. of persons........._______............ Showers / ) — Cafeteria ( ) a Other fixtures . ------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter________________ Depth................ x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area___...________.__/sq. ft. Z Other Distribution box ( ) Dosing t nk a Percolation Test Results Performed by:..... ZCz�..... �_.... V1VJ —I..... Date._ ,.a Test Pit No. 1. __ _minutes per inch Depth of Test Pit____________________ Depth to ground water........................ (i Test Pit No. 2.......:E!—_minutes per inch Depth of Test Pit____________________ Depth to ground water........................ a ..................... ..... . ........... ------- asr� -.�Description of Soil..... w UNature of Repairs or Alterations—Answer when applicable............................................................................................... --- ----------•--------••------•--•--•••--•--.....------.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I'U 5 of the State Sanitary Code—,The undersigned further agrees not to place the system in operation until a Certificate of Compliance has,been issuea boar ealth.•4 M Sine _ � � / g l -------------- ---------- _. Date Application Approved By.....~...._i_ - •�/J�-'}`''�-� �/ ' . --� -.. Date — Application Disapproved for the following reasons:........................•-••----•---------------------•---•---------- ......................................... ......................................................................................................................................................................................................... Date PermitNo.......................................................... Issued................................................77- Date No.- -•- _ ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT ��- •' .. ---...--oF. Appliration for Uhip sal Mirka Tumitrttrtion throat Application is hereby made for a Permit to Construct (.o<) or Repair ( ) an Individual Sewage Disposal System at• , C.' , '.l�t. tt� t '... . . ........................... Locatio dresskyl .. .. J.? or I�t / Owner iol Address ....... .......................................................................................................................... W i Installer� Address V Type of Building Size feet Dwelling—No. of Bedrooms................................. Expansion ttic ( ) Garbage Grinder ( ) , Other—Type of Building ............................ No. of perso.................r........... Showers ) — Cafeteria ( ) a dOther fixtures ------------------------------------------------•-------•--••-•••-......-••••--•--•-•-- ............................................................ Design Flow............................................gallons per person per day. Total daily flow.......:................................_...gallons. W N. WSeptic Tank—Liquid capacity....:.......gallons Length---------------- Width---------------- Diameter________________ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.....................sq. ft. Seepage Pit*No..................... Diameter.................... Depth below inlet.•_...........•..... Total leaching area_..............._sq. ft. Z Other Distrilution`box ( ) Dosing t nk ( . ) ! � W Percolation Test Results Performed by.._._._ � _1 .... U � ___ Date_. ........................... a Test Pit.No 1 _minutes per inch DTtli`of Test Pit.................... Depth to ground water----------------------- Gi, Test Pit No. 2.._.._.. ---_n nutes per inch Depth of Test Pit-_______•--______--- Depth to ground water.___•................... ------- -------•--- �.-- - t -- :. O Description of Soil..... . �,.�� / 't..W:. .ee �{ p 1 _._."' —' * ° VNature of Repairs or Alterations—Answer when applicable._._...............................................................:............................ -------------------------- -------- •------ •.................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sign ..------ -•----------------••-•-•-----------••---...__ ....... �ejaw�i /' Date /? � Application Approved By................................................................. / -••--••-----...•--•-- •---•--•••••-------------••--•......---- Date Application Disapproved for the following reasons:......................................................................... ...................................... Date PermitNo............`......................................................... Issued............................................... -•--•• Date a THE COMMONWEALTH OF MASSACHUSETTS ----"" BOAR OF HEALTH .U'.t . .- ..........O F........:. .1Gl.b. ....r.....:.............. Trr ifiratr of f ompliana T I O TIFY Tat the Individual Sewage Disposal System constructed k) or Repaired ( ) by ...... - - ................-- -e....... --------------------------- --...------ ----- ----------- ...................---------- ;..... .... at 7 Zip has been installed in accordance with the provisions of T ` State Sanitar C c11. as d b e application for Disposal Works Construction Permit No.: _. -- --`C' ` ' -- --------------- dated---- -------- -----------a='�------------------• THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .......................C :2,.)?,l /.... Inspector... = �c r = - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH" w 3T No......................... FEE..................--•--- 2 Permission is hereby granted......A-IiIQ� =......... ._.i K ._:.................................. to Constr ct or Repair ( ) AD.-Individual Sewage Disposal ystem �}' at No. �f ��! t. d '_. 1 I r e........ �lt -a�l�jf/ -•.'.__.'! Street as shown on the application for Disposal Works Construction P it N Dated. . Board of H t DATE ---•--•----•--------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS y' '�- ) o t F 0 Im_v'!F_t.:l TER ffli 41, t r -; •-� i'J a�� a 1. tea• `k t,� y t l �� ,q �� /'' - �1�•hF Y '+G'••'.a4�t• � M1 bfi -' I U O /aU 1ij/rF` - r4 �'x �e •�✓�;i t r , y i'��f'a'a �.0 r/7 t✓^ Cl .1/"�/<\F ... * � fi�i z } It t oh, 29Z 1F �/x. V n '" ; +'.,• ry �'r' + OF 37 22162. ` . . LEGEND ` EXISTING SPOT ELEVATION 0x0 CERTIFIED PLOT PLANr EXISTING CONTOUR --- ® TBra - - - ��d �«�: FINISHED SPOT ELEVATION O L_o r t FINISHED .CONTOUR O fN ` ! APPROVED BOARD OF HEALTH � O kJ V L - Y ` ®ATE AGENT SCALE' I " �+ Cl` DATES" el- Co. CLIENTCf ,,.r«.r I CERTIFY THAT THE PR®POs "' EGISTERE REGISTERED JOB NO. P0�,4 '7 BUILDING SHOWN ON TH19 PLAN CIVIL LAND `� -� CONFORMS TO THE ZONIN® LAft"' E INEER SURVEYOR DR.BY OF ®ARNST ®LSE , ASS 33 NO. MAIN ST. 712 MAIN ST. CH. DY= ' SO. YARMOUTH, MASS. HYANNIS, MASS. SHEETS OF %' DATE REG. LAND _ SURdEYOA'` , :of - F7 _A- � Low A* 7 --7— so-PE r AFA CN/*Ycv: R1 7 .1449L NOR r6V A A 7RA 14 AV., swAl 1 49A, &jpovavrPR- .64,v AFx n W. r. NZ4VY CA S7 RYio"- co p �Jq- Z &E V S F0 come AMPM ICOM AP7 /P /)v DR/veW av co K',T'4F Cl.,FAN -TAVO BAC-Ae,=11-1- liopino LEVEL. a 2 LAYER X3 OF ar"4 PZ /600 OAL. WASHED 57VIV.- t"J'v.PIreN D157- 0 0 0 0 rA MK 0 V-0,Paw fpr. BOX 00 0 0 00 97 v 0, wA5N.=,p s7wNE 0 CIO PRECAST SEDGE 0 a 0 0 0 0 P 6, jp v oo 4 a 0 P170R EQLIIV- DID INVERT AT AVVILDIA16 97 0 F7.7 /0 -EE-7;-WVL-A TJ lbV,) SCJm'rZC 7.4,VK VMY4Z-r SEPTIC 7*AN.A< S PT E GROVAID P k 4NLFr 49J57RIA117101V BOX SlEc r1oAt 0 JIM, 6 F7 TZAVAaE 01,SP&SAJ- TION IJVLE-r LrACRINCe A-17- 'Fr A L 5ACH11vCw -001'r clv-vlojv A 3 JTCA&E !14 .40r. D,FS16x CM/'rZ-R 1A f6momyslot4 0 F7* 5011L, Locv r,4lq45A45Ar,p15P0-SAJ-UN-Or— SDAL 7'ZSr 3 3 - STA/ sol'L r-ESTOZ, - 7-07AL JP40*V . So// TEY5 .0 1 ... rdp- Soll- 7-E.S-r AtUMAER aF 4-MCNINca P/rs—/ PA'r& I o — qEsuirs ShOZ A,-AC-WJ'JV* PeR PISWN RArZr# '%?JA41lt4CH AL-MCOL,4 O aor,rom"s4CN1Af&POR ;rlaov RAro Z a'b- G SLA3 PoNcot.001 TOTAL IZACHINeF ARRA P 77 Fr La4ewmS AREA ::R/ 'CIO/ZPo ,,-/ C-A) 49- .'j-0 OF 4 , A <� -ROBI�RT- UNIKI N. PREP, WeW 'Oov art la� -:5 Uf OVA' Mv - �'-,r......-ran- .:.o>.�r `"4`'�,`r." "'!1"9'N"r'!'ti.F!�/'t�n{•.S'w'�'°a,re°'..S? �'."y^'+F'";,° -,r rm.T"4!4'^+'k.n,+i.;{�ieR++^w.^-r...• ..� rw.*a;' .rr:.-4�gFi.::, TOWN• OF BARNSTABLE BAR-Wtt 34 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager 1r c ; , , � _,,.�A,, Address of Offender_ Orn tr` „'A � t, MV/MB Reg.# Village/State/Zip 00"1 e'"8 MA O D 4 0 1 s r" �: Ii S p i 20 ti t Business Name r am# -m- on "; �t"/r1 sj y f Business Address Si�gnature .of Enforcing Officer Village/State/Zip Location of Offense r` Enforcing /Dept/Division Offense � . F r& 1 Ql U AA' 'o . tu'l, IboAtr (0.,4n+l �C4* �� 111! -r(kA t`•C1t� Facts. i'"X.Cil Vd/�u� 7 f` ,.,� 1�r.Thr""X � cu+,. J• ,r t #k:V.^Rf A�+:t,� ""7 �t+�i./a�' t'1f" j" ia�r ,.t �a,. r. S S c.Pie. f!n b� .res This willrserve only as a warning. At this time nonlegal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning. notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-.OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. .-. ._ --r-r ... -.� q. Ty ...ate -.`,.' -«��.-•••v�nr..7?+.-.,f"^'"^rifpE�"_.:..-�, ,T''="`,� ,y-*`:'?""f"�"-.�-^.'Ty'�' r *� -:1, x ^; ,_'+,� ��. i TOWN OF 'BARNSTABLE aA _WIM) 3354 . s .�s ;Ordinance or Regulation WARNING NOTICE d i"y i Address of Offender 'Ti �,t_ `,. r l rrr.� r^ MV/MB Reg.# k Village/State/Zip "T'le .�:�. � F d (, f Business Name on I 20 rt r am/a'P 1_ �� ` Business Address Signature of Enforcing Officer Village/State/Zip Location of Offense � .: r « rFr- r Poe'a1a f t,,'Y .s^ EnforcingtDept/Division Offense s 4 �� +� `-f #" , ? , gin,. gV,11 �r j f 6�a �f ial fl&:fl •.R"� �f1 S.!✓'.F"'f} taa ft: t W-� � ��1� 1✓.,:,II A-.r s. r Facts f �, j fill This will -serve only as a warning. At this time no`' legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. ' Subsequent violations will result in appropriate legal action ,by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. Health Complaints 02-Aug-04 Time: 9:03:00 AM Date: 7/19/2004 Complaint Number: 17573 Referred To: DAVID STANTON Taken By: DENISE WITTER Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 91 Street: Oakview Terrace Village: HYANNIS Assessors Map_Parcel: Complainant's Name: i Address, Telephone Number:fi_ Complaint Description: Caller said there is trash at this house. The trash is beer cans, bottles, foam, and is occupied by renters. Caller said it is a trailer load of trash--could fit in a 6 by 6 room and the occupents keep adding to it. The trash is behind the house. Actions Taken/Results: DS WENT TO SAID LOCATION, NO ONE ANSWERED THE DOOR. THERE WAS A PILE OF RUBBISH ON THE RIGHT HAND SIDE OF THE HOUSE. PHOTOS ON FILE. WARNING NOTICE ISSUED. DS CONDUCTED A FOLLOW UP INSPECTION ON 7/30/04, THE RUBBISH HAS ALL BEEN CLEANED UP, NO FURTHER ACTION REQUIRED. Investigation Date: 7/19/2004 Investigation Time: 11:35:00 AM 1 Oft , ', , r � ylj 09 JFW Y m k f .� �`�•. � •�� _ � 1, f3-' � �� + � Y�. , A�- � � a �t '■■)a • `� 1T Y � � Y fit:. ,, �.�n f1' , ► poi,\� 1 jr i ell IL 416 .00 IV— lol ra, yr? ,� �k°�.. ,� 'r(i �"�' �,t+�• ,,Y � � j1f1 �� i, � 1 + � PMy�,„ � r• +� t f i� t: ter✓ *V e, r� '�' ram+ � � r�,�, r �� \ �i f ry �' + � ,�� d`'� ��y�'�S' 3 '`''.. �',,�•l�pd y- +, ��, �; !��iY;l;l• �F- 1',.i �) fir,"Ye,, myfif r't,,. �• j �K.'S�+� a ! � �' b '� '� 4ti � � •.;; t try •4, •+"1 � m .� °,. ,` � „max' r _9 r�M� �!' ,,yy � � m •'+}' "M`°�' 9 . 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U k �� i+�f+.#}5.+"V>1. a =�st �i t� } CS`�'' '��-.��^+r9 �.• _. � y .l j I• ` r et / TOWN OF BARNSTABLE �'°� °` Lv T?ON. '? ,4&V 6d) AeO,*C e SEWAGE # VILI-AGE ASSESSOR'S MAP & LOT 5 NAME—PHONE NO.,T Mdeo:n k f go ey SEPTIC TANK CAPACITY d �% F� LEACHING FACILITY: (type) � (size) NO.OF BEDROOMS 'ArdMOEROROWNER oeusiu PDATE: 9 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 el Edge of Wetland d Leaching acili If any wetlands exist within 300 fee of leaching aci ' Feet Furnishedi. ' s 1 .rA 6 °ram . -wee`•, � -ly' s � I D DATE: _ 9/1 6/96 PROPEkTy, 'ADDRESS: '91 Oakview Terrace ® Hyannis SEP ? 4 1996 HEALTH DEPT. Mass . 02 601 70d Gf BARldS'fA�E -- , On the above date, I Inspected the septic system at the above address. This system consists of the following: 1 . 1-1.000 gallon tank . 2. 1 -1000 gallon precast leach pit. 3 . 1 -Distribution box. Based bn my InR:wction, I certify the following conditions: 1 . This is a title five septic` 'system. ,( 78 Code ) 2.. The septic system is 'in proper working order at the present time. 3 . No repairs needed at the present time. 81GNATURF: Name:_J_P Macomber Jr___�___' Company:_J. P.Macomber & Son-_Iric .. Address:_-Bex_bb-�e ,e �k ��¢.,.Mass . 02632 Centqrvill,e LMass__02632 ,. Phone:--- THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. �. Tanks- eupools-Leachflelds Pump®d & Installed Town Sewer Connections P.O. Box W Centerville, MA 02632-0066 773-3338 77"412 K F ;ommonweafth of Massachusetts I�- executive Office of Environmental Affairs lk epartment of r t-'-�'wironntental Protection lhilll::rn i.� .su Trudy Coxe Governor 8--tarY Argeo Paul Celluccl David B.Struhs LL Govemw co mdulomr • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION PropertyAddresa: 91 Oakview Terrace Hyannis ,Mass . Addreasoiowner. 37 Rutledge Avenue Date of Inspection: 9/16/96 (If different) Springfield,Mass.. Name of Inspector. Joseph P.Macomber Jr`. ,.W 01105 Company Name,Address and Telephone Number. J.P.Macomber & Son Inc. Box 66 Centerville:-;:.Mass . 02632 508-775-3338 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-sits ZPasses ewage disposal systems. The system: _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails Q /_..l� Inspector's SIgnature: 1 �l�L�s Data G' l" Z The System Inspector submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared systeza or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A,B, C,or D: Al SYSTEM PASSES: - i have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CUR 15.303. Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: 4,�Q One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. Indicate y ,or not determined(Y,N,or ND). Describe basis of determination in all instances. If"not determined",explain why not) The septic tank is metal,cra:ked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is immin at. The system will pass inspection if the existing septic tank is replaced with a ponforming septic tank as approved by the Board of Health. (revised 11/03/95) 1 One Winter Street • Boston,Massachusetts 02108 a FAX(617)SWIG49 a Telephone(617)292-SSW ��Printed on.Regckd Pape Y Y J V SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) PropertyAddr®r.,g 91 Oakview Terrace Hyannis ,Mass . 02601 Owner. Dean Hightower Date of Inspection: 9/16/9 6 B)SYSTEM CONDITIONALLY PASSES (continued) B[ Sewage backup or breakout or hoh static water level observed in the distr1ution boa is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution boa. The system will pass inspection if(with approval of the Board of Health): broken pipe(&)are replaced obstruction is removed distribution box is levelled or replaced &L'b The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH;- Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: a Cesspool or privy is within 50 feet of a surface water A�0 Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and aoil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. to The system has a septic tank and&oil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and aoil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and aoil absorption system and is leas than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. 3) OTHEjt (revised 11/03/95) 2 0 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) PropertyAddreas: 91 Oakview Terrace Hyannis ,Mass . 02601 Owner. Dean Hightower Data of Inspection: 9/16/96 DI SYSTEM FAILS: • X 10 I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. ND Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in a distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. �lt ,oVV Liquid depth in oee•povi•is less than 6"below invert or available volume is less than 1/2 day flow. tip Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped VG01 Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. 4,16 Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. '416 Any portion of a cesspool or privy is within a Zone I of a public well. A,'O Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply l/J the system is within 200 feet of a tributary to a surface drinking water supply A)IQ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area(IVWPA)or a mapped Zone 13 of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.. (revised.11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST PropertyAddreas: 91 Oakview Terrace Hyannis ,Mass . 02601 Owner. Dean Hightower Date of Inspootion: 9/16/9 6 ° Check if the following have been done: Pumping information was requested of the owner,occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. !' As built plans have been obtained and examined. Note if they are not available with N/A. _The facility or dwelling was inspected for signs of sewage back-up. zThe system does not receive non-sanitary or industrial waste flow The site was inspected for signs of breakout. , AU system components,`including the Soil Absorption System, have been located on the site. , The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. , The size and location of the Soil Absorption System on the site has been determined based on existing information or app ted by non-intrusive methods. The facility owner(and occupants, if different from owner) were provided with information on the proper P P Pe maintenance of Sub- i Surface Disposal System. (revised 11/03/95) 4 f � SUIISURFAC SZf VALE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Prop,-iyAddi1;,,: 91 Oakview Terrace Hyannis ,Mass . 02601 Ow•ncr. Dean Hightower Date of 1nsl:outiur:: 9/16/96 FLOW CONDITIONS RFS I D ENTIAI. Design flow: ns`,""- NTTumbor of bodroonis: Number of current residents: Garbage grinder(yw or no):�!3 Laundry coanoctod to rystGm (yw or no): Seasonal use (yes or Water meter readings, if av4'able:- 4_--q " _ f4492 iVzx, c Last date of occupancy:-Z/ ) COMMERCIAL/INDUSTRIAL• Type of establishment: ,/a Design flow:&[' -gallons/day Grease trap present: (yes or no)l?/4 Industrial Waste Holding Tank present: (yes or no)C-6 Non•sanitary wasto di.charged to the Title 5 syct<r:i: tyea or no) AA Water meter readings, if available: AP Last data of occupancy:_V/4 OTIIE L- (Describe) AM, Last date of occupaucy: _ - ----- GL:NERAL, INFOILUATION vY! PUhiPIN RECORDS and ao of informal ior,: =�� m%�� 9' so-e =, J System p •ped as part of inspection: (ye or uo) 24116 Lf yes, volume purupc-d: .leil a lctw Reason for purnpu.b. TYPE 0 SYSTEM Septic tu�', di�tribution bosJsoil alwirpt.ion uyRcam Single ct::pG l _) Overflow co;apool Ald Privy Zlt') Shared rystem (yes or no) (if yew, attach previous unspection records, if any) 1 Other(espkin) APPROXIMATE AGE of all components, date L)nailo (if'known) and source of information: Sowage odors dotected when arriving at the site: tyea or no) (revised 11/03/95) 5 I L' Property Address: 91 Oakview Terrace Hyannis ,Mass . 02601 Owner: Dean Hightower Date of Inspection:9/16/96 SEPTIC TANK.,WCso'?t>dO411)' (locate on site plan) y Depth below grade. material of construction: concrete —metal _fRr' Dimensions:_ - Sludge depth: y�c, r( s dge to bottom of ou!!et tetr or Distance from top!o�f Scum thickness:_ � - Distance from top of scum to top of ou!iet tee or ba'fl.- Distance from bottom of scum to bottom of outlet Ice ar Comments: (recommendation for pumping, condition of inlet inj oulfci !:es c( baffle depth of liquid IP.vel in relation to outlet invert, structural trity, evidence of leakage, etc.) _Pump tank_every_.2-3 ars ; Inlet & out let tees'-are : . in place :Liquid to--.-.outlet invert. is 1 '!;N o evidence, o lea a e No re airs needed a•�he present time . GREASE -;ivAi'. A,QVe, (locate on site pian) Depth below grade:,4)H material of constnlriion;,Jl Q�'.:: "e _rneia Dimensions: Scum thickness: _ Dlslance f:om C( �( D!ilance fro." Con-iments: (recommendation for pumping, cor di ^n. of inlc; 1 uafres, depth of liquid level in relation to outlet invert, structural integr.I evidence of I l:age, r w (revised 8/15/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) PropertyAddr.,= 91 Oakview Terrace Hyannis Mass . 02601 Owner. Dean Hightower Data of Iuzycctior:9/16/96 TIGHT OR HOLDING TANK: (locate on site plan) e Depth below grade:,A Material of construction:ddoncrete_metal__FRP_other(explain) Dimensions: VA _ Capacity: V _ vallons Design flow: ons/day Alarm level: A,)* Comments: (condition o et toe, conditi4n.of and flout switches, etc.) DISTRIBUTION BOX;, (locate on site plaz) Depth of liqui"' .. i,vert: ,•_ Comments: (note if level tuid 0' ;;ual, evidence of solids carryover, evidence of leakage into or out of box,etc.) No evidence of solids terry over; One distribution line leaving _fie—b.ox..;No evide.nce of leakage in nr mitt, of the box. No rP=airs needed —a — he present tam--- PUMP CIL. (lw> t.e on Fiw , Pumps in working o.do. .'y,a or no) /L1/�- Comments: (note condition of pump charnher, conditio of pumps d appurtenances, etc.) (reviscc! '' 7 • I -p :u3UIiFACE SEWAGE DISPOSAL SYSTEM INSPECTION k'l IL4 PART C SYSTEM INFORMATION (oontinuod) 91 Oakview Terrace Hyannis ,Mass . 02601 , owner. Dean Hightower Date of 9/16/9 6 ff SOIL ABSORPTION SYSTEM (SAS):, Z (locate on site plan,if possible;excavation not required, but may be approximated by non-intrusive methods) • If not determined to be present,explain' Type: leaching pits,number: leaching chambers,number. leaching galleries,number: leaching trenchos,number,length:T_ leaching fields, number, ions--_U overflow cesapool, number: Comments: (note condition of soil, signs of hydraulic failure, level of pending, condition of vegetation,etc.) Na cianG of 'hydrau1i (, fa; 1urP or nonding; Al1 v .getation is normal. Cam$£ t_77II hPl n�a era �a ('n�rar cl�nil] _hP rai eacl t.n [ri t.hj n 3tt of ora.(IP. CESSPOOLS: Yf,� (locate on site plan) Number and configuration:_ ICA Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of ccsry>vl: r MaWrials of construction:__ Indication of groundwater: ? inflow(cesspool must be pumped as part of inspection) AA Comraen (DRte o ndi�f s il, signs of hydraulic fail level of ponding, condition of vegetation,etc.) ir? PRIVYt (locate on site plan) Materials of oo n: /f�J9' Dimensions:— Al/� Depth of solids: Comments:(note condition of soil,signs of hydraulic failure, level of pending,condition of vegetation,etc.) r (revised 11/03/95)• 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION ,FORM . PART 8 SYSTEM INFORMATION continued SKETCH OF SEWAGE LTSPOSAL SYSTEM: include ties to at least two permanent references .landmarks. or be locate all wells within 1001_ Hyannis Water Company t 775=0063 AL • w d. ,�, -�j-- DEPTH TO GROUNDWATER --- -- -- . � depth to groundwater m.4:kod of determin ion or a P roximat on ��A 1 T d se ti sstelri at Oai�vew Terrace 1'1-/23/92 No water :Trn, �,Si A-- ------�----- . 92 _573 W .. ..-THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT ' Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection. June 8, 1995 Acting Director of the ' ion of Water Pollution Control TOWN OF Barnstable BOARD OF HEALTH 1 SUBSURFACE SEWAGE; DISPOSAL SYSTEM INSPECTION FORM - PART D .- CE11TIFICATION 1 ' , yM ._. �-..—..._r.....,...—_.::a...__.r.—:.r.::-:--r.—rr..__-,.—..•--:.---......... ...--r,.e.--r.^^rsz,^r.--r._:._rtr.._�-Z-�-rxrr.-x-rrrr.r.re._.rr�rr-r..—rrr r. -. A -TYPE OR PRINT CI.EARLY- PROPERTY INSPECTED STREET ADDRESS 91 Oakview Terrace Hyannis ,Mass . 02601 ASSESSORS MAP , BLOCK AND PARCEL # OWNER' s NAME J.P.Macomber & Son Inc. Dean Hightower 1'AR1' D - CE1?7'IFICA7'101V Y NAME OF INSPECTOR Joseph P. Macomber Jr. . COMPANY NAME J.P.Macomber & Son Inc.' - COMPANY ADDRESS Box 66 Centerville ,Mass . 02632 Street Town or City St&t• LIP COMPANY TELEPHONE ( 508 ) 775 3338 FAX (508 1 790 - 1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposa'1 system at this address and that the information reported is true , accurate , and complete as of the time of -inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems , Check one : XXXXXXXXXXSystem PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or, the environment as defined in 310 CH'R 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* The inspection which I have conducted has found that the system fails to protect the public health and the environment in accordance with Title 5 , 3.10 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form , Inspector Signature I Z'I�wl Date 9/16/96 One copy of this ert.ification must be provided to the OWNER, the BUYER ( where applicable ) and the I30AIZD OF IIEALI'1I, * If the inspection FAILED, the owner or" operator shall upgrade the system within one year of the date of Lhe inspection , unless allowed or required otherwise as provided in 11.0 CMM 16 . 305 ,