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Home My WebLink About0014 REDWOOD LANE EXT. - Health 14 Redwood Lane Hyannis P A = 288 086 i 0 TOWN OF BAMSTABLE ��J LOCATION 14 Redwood Lane EXT SEWAGE # 4/8/0 3 VILLAGE Hvannis,Mass. ASSESSOR'S MAP & LOT 288-086 INSTALLER'S NAME & PHONE NO. J.-P.Macomber Jr. SEPTIC TANK CAPACITY clone 3-6 'X8 ' block cesspools. LEACHING FACILITY: (type) (size) 3000 gallons NO. OF BEDROOMS 4 BUILDER OR OWNER Ri shard Guild TNSPECTION PERMIT DATE: COMPLIANCE DATE: 4/8/0 3 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 leachin faci ) Feet Furnished by CV i i RECEIVE® OATE : 4/8/03 APR 2 7 2003 PROPERTY ADDRESS:_1_4_ Redwood Lane EXT TOWN OF BARNSTABLE '------ HEALTH DEPT. HyannisLMass._______--- 02601 ------------------------ On the above date, I inspected the septic system at the above address, Tnis system consists of the following: 1 . 3-6 'X8 ' block cesspools. 2. The cesspools are in series. Based on my inspection, I certify the following conditions: 3 . This is not a title five septic System. 4 . This is a sewage system. 5 . The sewage system is in proper working order at the present time. 6 . Pumped main cesspool. No signs of water intrusion. 7. Cesspools are presently structurally sound. 8. The third cesspool is presently dry. SIGNATUR Name : _ J—._ P . _M'acomber Jr . -- — ------- -- --——— Corripany :jgZgP-h •per- M-�ggmtt c 8_ Son, Inc. A0OresS :__@Qx _68------------ ---cejue::YLLLe,_ Na-_Q.2-632- 0066 Pnone : —_508- 775_ 3338 ________ THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC, Tanks-Cesspools Pumped & Installed Town Sewer Connections P.0 Box 66 Centerville. MA 02632 0066 775.3338 775.6412 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION y V TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 14 Redwood Lane Ext. _Hyannis,Mass. Owner's Name:Estate Of Carolyn Guild Owner's Address: Richard Guild 25 Bourne Hay Road Date of Inspection: 4 8 0 3 Name of Inspector: (please print) Joseph P.Macomber Jr. Company Name:J.P.Macomber & Son Inc Mailing Address:Box 66 Centerville,Mass. 02632 Telephone Number: 5 0 8—7 7 5—3 3 3 8 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: >/N Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails /Inspector's Signature: ' 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. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 1 I j OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 14 Redwood Lane Ext. Hyannis,Mass. Owner: Estate of Zaro S1 'I Ft Id Date of lnspectioo: 8 03 Inspection Summary; Cbeck A,B,C,D or E/ALWAYS-complete all of Section D System sses; �®r e not found any informa�ny hich indicates that any of the failure criteria described in 310 CMR 15.331 I exist. ailure criteria not evaluated are indicated below. Comments: system is in proper working order at the B. System Conditionally Passes: W6 One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health, will pass. Answer yes, no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. ALI& °-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 existiAg tank is replaced with a complying septic tank as approved by the Board of Health. 'A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obswcted pipe(s)or due to a broken, scaled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipc(s)arc replaced obstruction is removed distribution box is leveled or replaced ND explain: �y 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 pipes)are replaced obstruction is removed ND explain: 2 Page 3 of I I �r OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL. SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Properr) Address: 14 Redwood Eahe Ext-_ OwocrEstate O Caro yn Guild Date of lospcctioo: 4/8/03 C. Further Evaluatioo is Required by the Board of Health: .V 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 orihe environment. I. S.stem .+ill pass unless Board of Health determines In accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a msooer which will protect public bealtb,safety an.d the envirooment: /,�Li Cesspool or privy is within 50 feel of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 01 SN stem will fail unless the Board of Health (and Public Water Supplier, If any) determines that the s,,stcm is functioning in a manner that protects the public health, safety and environment: /1/d The system has a septic sank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or Tributary to a surface water supply. 4)0 The system has a septic tank and SAS and the SAS is within a Zone I ore public water supply NO The system has a septic tank and SAS and the SAS is within 50 feet ore private water supply well • Q The system has a septic tank and SAS and the SAS is less than 100 feet but 5 feet or more from a private hater supple well Method used to determine distance � •'This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that (aciliry and the presence of ammonia nitrogen and nirrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are Triggered. A copy of the analysis must be anaehed to this form. 0301h .T three h ' XR ' h1 nr-k nPRG nn1 c Th,e e_QQSpnnl a agg ill tiGi iAB. ThP ma n nPSspnnl acts a8 a Septic te@_ak RQJ i d3 eRP PARial,R&d in the first cesspool. The effluent passes to the two overflow cesspools. The cesspools are structurally sound at this time. 3 Page 4 of I 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 14 Redwood Lane Ext. Hyannis,Mass , Owner: FstatP Of Carolyn Guild Date of Inspection: 4/R /fl l D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool . ....... 0, 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 'h day flow Required pumping more.than 4 tiWs in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped j IMA;, d.,J4, 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 ater supply. y portion of a cesspool or privy is within a Zone 1 of a public well. y portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303. therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no 1_ 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 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 14 Redwood Lane EXT Hyannis,Mass . Owner-Estate Of Carolyn Guild Date of Inspection: 4/8/0 3 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 J/Has the system received normal flows in the previous two week period? 1/ 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 a C/A) 411_ 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,eluding 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 ? _z/_ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no� � e" Existing information.For example, a plan at the Board of Health. — Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)) 5 Page 6 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:1 4 Redwood Lane H_yannis,Mass. Owner: Estate Of Carolyn Guild Date of Inspection: 4/8/0 3 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):--14-1 Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x# of bedrooms): -0k) Number of current residents: 0 _ Does residence have a garbage grinder(yes or no): 41�6 Is laundry on a separate sewage system(yes or no);� [if yes separate inspection required] Laundry system inspected(yes or no): �*J$ Seasonal use: (yes or no):ova Water meter readings, if available(last 2 years usage(gpd))2.0 01 —0 2=2 2 , 5 0 0 gallons=61 . 65 GPD Sump pump(yes or no)-A�z5 2002-03=95, 250 gallons=260 . 96 GPD Last date of occupancy:ZW , 0�1 COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): �gp Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):, 14 Industrial waste holding tank present(yes or no):,4�* Non-sanitary waste discharged to the Title 5 system(yes or no): 0,'9 Water meter readings, if available: 4141 Last date of occupancy/use: OTHER(describe): Q'f� Pumping Records GENERAL INFORMATION Source of information: None available Was system pumped as part of the inspection(yes or no): S If yes, volume pumped: Oft gallons-- How was quantity pumped determined? Reason for pumping:_/*-4vv 9!zvoi ,� I;• S y�S �d�Ph� �r s�rJT TYPE OF SYSTEM eptic tank,distribution box,soil absorption system '5ingle cesspool Overflow cesspool S C� ti�Privy Shared system(yes or no)(if yes,attach previous inspection records, if any) �JU Innovative/Altemative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Lb Tight tank - Attach a copy of the DEP approval ,!��Other(describe): �l/9 Approxjmate age of all components,date installed (if known)and source of information: Were sewage odors detected when arriving at the site(yes or no):/t) 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 14 Redwood Lane EXT H annis Mass. Owner: Estate or Caroiyn ui d Date of Inspection: BUILDING SEWER(locate on site plan) Depth below grade: 4" orangeberg pipe through Materials of construction: cast iron �40 PVC_✓other(explain)put the system. Distance from private water supply well or suction line: /'/- Comments(on condition of joints, venting,evidence of leakage, etc.): JnintG a naar tight-No PyidPnra of 1 akage The system is vented through the house vents. SEPTIC TAN}(atf 2(locate on site plan) Depth below grade: NA Material of construction,aconcreteittmetalAA,_fiberglass g!_polyethylene /UAother(explain) A If tank is metal list age:gZA Is age confirmed by a Certificate of Compliance(yes or no):,12(attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: A.;,4 _ Scum thickness:IV Distance from top of scum to top of outlet tee or baffle: 4/0 Distance from bottom of scum to bottom of outlet tee or baffle:��2 How were dimensions determined: 't,o Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.):_ SPntic tank is not present The main cesspool should be pumped every -9-v7,-;;rc, Thi a ePGcnnr)l ;Arts as a septic tank, Contains solids in place - and allows the effluentto pass over to the two overflow cesspools . GREASE TRAPyi. -"locate on site plan) Depth below grade: Material of construction�,aconcrete/LAmetal.Ofiberglass�olyethyleney'�r other (explain): A)A Dimensions: 6-14 Scum thickness:l— Distance from top of scum to top of outlet tee or baffle:— Distance from bottom of scum to bottom of outlet tee or baffle:_Qf� Date of last pumping:" Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): !`_roR.as trap is ant preSPnt 7 Page 8 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 14 Redwood Lane EXT yannis, ass . Owner: Estate Of Carolyn Guild Date of Inspection: 4 8 0 3 TIGHT or HOLDING TANK4&—/e'(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: A66 Material of construction: kd concrete Ametal 41,4 fiberglass V,, polyethylene 4N other(explain): A,1,4 Dimensions: ,llf Capacity: 40 gallons Design Flow: /(,,4 gallons/day Alarm present(yes or no): 4 Alarm level: -AJ-4 Alarm in working order(yes or no): AW Date of last pumping:_ f)�9 Comments(condition of alarm and float switches, etc.): Tight or holding tanks are not present. DISTRIBUTION BOX xi (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): Di ctri hnti can hox i s no preSPnt PUMP CHAMBER4". (locate on site plan) Pumps in working order(yes or no): R Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Pump rhamher is not present f 8 Page 9 of 1 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 14 Redwood Lane EXT Hyannis,Mass. Owner:Estate Of Carolyn Guild Date of Inspection: 4 8 0 3 SOIL ABSORPTION SYSTEM (SAS): Y (locate on site plan,excavation not required) 3-6 ' Xi3 ' Block cesspools. Cesspools are in series. If SAS not located explain why: T,c)ral-c-c3_ RPP page 10 Type &V leaching pits. number: b leaching chambers,number:L Vleaching galleries,number: D leaching trenches,number, length: /V leaching fields,number,dimensions: Q -1verflow cesspool, number: innovative/alternative system Type/name of technology: r -�"� Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Loamy sand to medium fine sand.No signs of hydraulic failure or pondina. Soils are dry.Ve etatiori is normal-Third overflow cesspool is dry at the present time. Pum ped main cesspool at time of inspection. CESSPOOLS: /(cesspool must b I um",antection)(locate on site plan) Number and configuration: // Depth-top of liquid to inlet invert: 1-Y �?,r Depth of solids layer:-;9L/ X"' 711111R, Jn9c,p A-�-- Depth of scum layer: X Dimensions of cesspool ` >� Materials of construction: Pl��je Indication of groundwater inflow(yes or no): D Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): SamP a 4 a hnva PRIV1i444lL(locate on site plan) Materials of construction: Dimensions: lj Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy is not present 9 Page 10 of 11 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 14 Redwood Lane EXT Hyannis,Mass . Owner: Estate Of Carolyn Guild Date of Inspection: 47-8—/'s3 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public.water supply enters the building. x ooMpab h� 1' � I I 10 Page 11 of 11 OFFICIAL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 14 Redwood Lane Ext Hyannis,Mass. Owner: Richard Guild Date of Inspection: SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: 1 ,t140 Obtained from system desi Tans on record-If checked,date of design plan reviewed: tI.41 A: bserved site(abuttuz roperty bservation hole within 150 feet of SAS) ':Checce�wtt ocal Board of Health-explain: Checked with local abase- xpl installels-(a a dgcum�tation) J -Accessed USGS database-ex lain: ��r�,� You must describe how you established the high ground water elevation: Used:Gahretv & Miller Model 12/16/ 4 C,raund wafer elpvatinn ahnva Spa Ielrel. Used:USGS- Obserya-tion welI data June 1992 Used:USGS: Technical bulletin 92-000-1 Plate #2 Annual ranges of ground water e) _y f i ons_ 7an Lary 1992 roun Leaching Pit :5? ;eet Groundwater: Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method Therefore, the vertical separation distance between the bottom , of the leaching pit and the adjusted groundwater table is feet. I 11 1 `` .nn'-r•—nr�r-r•.— r'+�:am•nmrn•-n..+a�nr.rr r.�.++��r.n.n.n r�rw,s+n��wt+ .ter+-T��--T-_. 'I OWN OF Barnstable BOARD OF HEALTH j SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS 1.4 Redwood Lane EXT Hyannis,Mass. ASSESSORS MAP, BLOCK AND PARCEL # 288-086 OWNER' s NAME Richard Gutdd PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber .Jr. COMPANY NAME J P Macomber & Son Ind'.` COMPANY ADDRESS Box 66 Centerville Mass. 02632 Street Town or City State-,I P COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX ( 508 ) 790 -1 578 R CERTIrICATION STATEMENT I certify that I have personally inspected the sewage disposal system nt this address and that the information reported is true , accurate , and omplete 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 : System: 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 CMR 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 con Voted 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 r , l - S Date j 3X6 copy of this certification must be provided to the OWNER, the BUYER Where applicable ) and the BOARD OF HEAL711. * If the inspection FAILED, the owner, ors"operator shall u within one year of the date of the inspection, unless allowed aortrequiredm otherwise as provided in 3.10 CMR 16 . 306 . partd .doc