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HomeMy WebLinkAbout0103 SAINT CATHERINE AVE - Health 103 St. Catharines Ave Hyannis A = 291 — 067 4 0 Commonwealth of Massachusetts 1 low Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M s 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every Hyannis Ma 02601 2/6/2014 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:When filling out forms A. General Information , on the computer, use only the tab 1. Inspector: key to move your cursor-do not Sean M. Jones use the return Name of Inspector key. S.M.Jones Title V Septic Inspection !ey Company Name 74 Beldan Ln. Centerville Ma 02632 City/Town State Zip Code 774-248-4850 smjonestitle5@gmaii.com SI4522 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 on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 16.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 2/6/2014 Inspector's Signature r 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•3l13 Title 5 Official Inspecti o :Subsurface Sewage Disposal ystem•Page 1 of 17 4 r Commonwealth of Massachusetts Title 5 Official Inspection Form, Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every Hyannis Ma 02601 2/6/2014 page. Citylrown 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: The dwelling located at 103 Saint Catherine Ave Hyannis is served by a Title V septic system consisting of a 1500 gallon septic tank, distribution box and 2 500 gallon precast leach chambers. The system was found to be in proper working condition at the time of inspection. 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. 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every Hyannis Ma 02601 2/6/2014 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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): t 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 3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every Hyannis Ma 02601 2/6/2014 page. Cityrrown 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: i • 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 ❑ ® 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 Y2 day flow t5ins•3113 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 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is H required for every annis Ma 02601 2/6/2014 y 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. ❑ g 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 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 and chain of custody must be attached to this form.] ❑ ® 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 15,000 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every yH annis Ma 02601 2/6/2014 page. City/Town 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 ❑ 0 Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ 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(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 r DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330.04 gpd provided t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Alm. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every Hyannis Ma 02601 2/6/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: 20.12= 2700cf= 55 gpd 2013= 3300 cf=68 gpd Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) 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-3113 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 M 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every Hyannis Ma 02601 2/6/2014 page. Cityrrown 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 ❑ 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): I t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every Hyannis Ma 02601 2/6/2014 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: system installed 7/1/2008 per town records Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 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.): Joint were ok, no leaks, vented through the roof Septic Tank(locate on site plan): Depth below grade' 1.5 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: 1500 gallons Sludge depth: 9" � t5ins-3/13 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 ,M 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every Hyannis annis Ma 02601 2/6/2014 page. Citylrown 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 3" Scum thickness Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 10" How were dimensions determined? opened covers, took measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank needs to be cleaned now for routine maintenance and again every 2 years to prolong the lifespan of the system. Inlet and outlet tees intact, water level was even with outlet invert, tank was not leaking and was structurally sound. Inlet cover is on a riser. 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name informrequired is Hyannis Ma 02601 2/6/2014 required for every y page. City/Town 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): 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is Hyannis Ma 02601 2/6/2014 required for every y page. Citylrown 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 0" 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.): Distribution box was in good condition, no rot, water level was even with outlet invert with no sign of past hydraulic overloading. 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.): " If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every Hyannis Ma 02601 2/6/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 2x500 gals ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ 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.): s.a.s. was located but not excavated Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert, Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every Hyannis Ma 02601 2/6/2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form j 1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 103 Saint Catherines Ave. Property Address David Mittelman Owner Owners Name information is required for every Hyannis Ma 02601 2/6/2014 page. Cityrrown 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 V/_J V 1 14 Li r3 eJ k t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 L . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every Hyannis Ma 02601 2/6/2014 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: 12'+ 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: 6/5/2008 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: Groundwater elevation was determined by accessing design plan on file at Town of Barnstable health dept. Plan dated 6/5/2008 indicates no groundwater encountered at 138"and system is designed to have a seperation of 5'+ between bottom of s.a.s. and adjusted groundwater elevation Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 103 Saint Catherines Ave. Property Address David Mittelman Owner Owner's Name information is required for every Hyannis Ma 02601 2/6/2014 page. Cityrrown 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 ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1.,2,and 3.Also complete A. S' nature item 4 if Restricted Delivery is desired. gent ■ Print your name and address on the reverse Addressee so that we can return the card to you. B�/. R�aje�iveyd, b P ted Na a jb.�a't el' e Y Attach this card to the back of the mailpiece, IKN- ( y ��C.'/ / or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 11. Article Addressed to: If YES,enter delivery address below: ❑ No y• � I John J. Foley ','C/O Kathleen Ciulla 41 B Forest Street e arr, � 3. Service Type Melrose, MA 02176 , Certified Mail El Express Mail fj—Registered jo Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. V 4. Restricted Delivery?(Extra Fee) ❑Yes 2:Article Number (Transfer from service labeq ;7 0'0 6* 0 81;0.;0 00 0 3 5 2 5' 6-2 4 5 , ' V PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 Q 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 • drams r ` „ � s Town of Barnstable I U8 Health Division 200 Main Street Hyannis,MA 02601 I 1 , 111 I I I I I S i it I!I I III I III ij B ill-IH i fii Ili)I I I!I ill i i i}-'1 it 111l i1 �� �3 �2� II �'` �.�c �— �5 � `� oFtMET�,,, Town of Barnstable ,; Regulatory Services BAMRUBLE, ` l v MARS Thomas F. Geiler, Director 1639 ♦0 ��i t �+A Public Health Division N Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified Mail: 7006 0810 0000 3525 6245 June 21, 2011 John J. Foley C/O Kathleen Ciulla 41 B Forest Street Melrose, MA 02176 EMERGENCY CONDEMNATION AND ORDER TO VACATE Finding of Unfitness for Human Habitation and Determination of Immediate Danger - In accordance with M.G.L. c.111, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter L General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human, Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable, on June 21, 2011 conducted an investigation of a dwelling unit located Z103 Sairit Catherine Avenue, Hyannis. The owner's name of this dwelling unit is Mr. John Foley. The occupants name is John Foley Based on the results of that investigation, the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.831 (D),the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include: QAOrder Letters\Condemnations\103 saint catherines ave.doc 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (I) Food present with maggots and mold on it. Objectionable odors present inside dwelling unit. 410.750 (N)No operational smoke detector or carbon monoxide detector present. „ 410.750 (P)Animal feces and human feces imbedded into carpet and other flooring throughout dwelling unit; trash and garbage were observed throughout dwelling unit. Based upon these findings any and all occupants are hereby ordered to vacate and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated she may be forcibly removed by the local Board of Health Massachusetts General Laws C. 127B or local police authorities at ( ), Y request of the Board of Health. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from $100-$500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this unit may not be occupied until above violations are corrected and re-inspected by said Health Inspector. Note: This is an important legal document. It may affect your rights. PER ORDER OF T BOARD OF HEALTH Thomas A. McKean, CHOIRS Director of Public Health Town of Barnstable QAOrder Letters\Condemnations\103 saint catherines ave.doc Hed*h Master Detail Page 1 of 1 F , w f // Logged In As: TOWN\oconnelt Health Master Detail Tuesday,Jur Application Center Parcel Lookup Selection Items Parcel I Septic Perc Well Fuel Tank Parcel: 291-067 Location: 103 SAINT CATHERINE AVE, HYANNIS Owner: FOLEY, 3OHN 3 Business name: Business phone: --.— Rental property: C Deed restricted: E_J Number of bedrooms : Oa Contaminant released: (J Fuel storage tank permit: Save Parcel Changes ; Return to Lookup17 .� Parcel Info Parcel ID: 291-067 Developer lot: LOT 8 (BLOCK 2) Location: 103 SAINT CATHERINE AVE Primary frontage: 120 Secondary road: Secondary frontage: Village: HYANNIS Fire district: HYANNIS Sewer acct: Road index: 1405 Asbuilt Septic Scan: 291067_1 Interactive map a ,r Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:OUT Owner Info Owner: FOLEY, JOHN J Co-Owner:C/O KATHLEEN CIU Streetl:41B FOREST STREET Street2: City:MELROSE State: MA Zip: 02176 Cc Deed date: 12/02/2004 Deed reference:C175227 Land Info Acres: 0.33 Use: Single Fam MDL-01 Zoning: RB Neighborhood: 0 Topography: Level Road: Paved Utilities: Septic,Gas,Public Water Location: Construction Info Building NoYear Buil Gross Area Living Area Bedrooms Bathrooms 1 1967 1992 1006 2 Bed rooms Full + 1H Buildings value: tt 104,100.00 Extra features: zt3,100.00 Land value: )x68,100.00 http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=291067 6/21/2011 TOWN OF BARNSTABLE LOCATION lP 3 t;7' c'A 7W A-/Xl SEWAGE# VILLAGE VA ffA ASSESSOR'S MAP&PARCELP�_l t G INSTALLER'S NAME&PHONE NO. 7 ? SEPTIC TANK CAPACITY LEA CHING FA CILITY: (type)' -- �- (size) a"�f NO.OF BEDROOMS .i ;J OWNER ici ® t` PERMIT DATE' (G COMPLIANCE DATE: /,> Separation Dista i nce 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 L aching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BY Wc� > y � K r ®✓l � I � 1 - r � v _1 TOWN OF BARNSTABLE I.o AT o vl ro3 5?; GAf� e,F E® INSPEC 'L0 VILLAGE ASSESSOR'S MAP & LOT C L06-7 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY t.�-Ss GO ' 4- SI�1 CL GO LEACHING FACILITY: (type) CWa a l (size) NO.OF BEDROOMS C BUILDER OR OWNER J C��''� PQ L PERMTTDATE: 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 Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachi g facility) J Feet Furnished by �i►.SOGfit t o� �U/G A � i a� 3d +s tp`; No. ZO 6 6, Z 1/6 +� i Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Z[pplication for Otgoal 1?Pp!6tem Con0truction Vermtt Application for a Permit to Construct( ) Repair)(41 Upgrade( ) Abandon( ) ❑ Complete SytsstQtemT❑Individual Components ALocation Address or Lot No. — Owner's Name,Add r s, Tel. o.'l I' Assessor's Map/Parcel �1 �� toQS sl--. In taIIer's Vi ,wg yy e,Address,and Ted.No --n v "� "' ner's N e Address and Tel.No.W 311 Li0 O ©9 1) � U� Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Caf/eteria( ) Other Fixtures Design Flow(min.required) J d gpd Design flow provided ,�� (5'7 gpd Plan Date U^'E�, ZU O�j Number of sheets Z Revision Date Title (�.�aG� ��'S.po"4L. S'T STf— l4ti Size of Septic Tank /r I Type of S.A.S. Description of Soil -S i✓ �'�I�, Nature of Repairs or Alterations Answer whe applicable CL �.� kL S 3 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 Environmen I Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of ealt Signed � Date Application Approved by Date —lU—08 Application Disapproved by: Date for the following reasons Permit No. Date Issued 0,5 No. Z'7t0 a�' gip' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: U Yes PUBLIC HEALTH DIVISION.- TOWN OF BARNSTABLE, MASSACHUSETTS � applicafton for Mfs'poga1 *v�tem Con truction erruit Application for a Permit to Construct(i) Repair( Upgrade O Abandon O ❑ Complete System ❑Individual Components Location Add ss or Lot No. sad Tel.Nw me o. i - Assessor'sMap/Parcel af)` /�-� to, Si-- T' Q50 ,6 p y Installer's Name,Address,and Tel.No.S���7 V De 'gner's Name,Address and Tel.No. - n O t- Rob k S� �`G ���—e_ct�. o trx t©�0 . ��- 1A -C, Cj,/v(-)P 0;"\ . . t ic. Type of Building: Dwelling No.of Bedrooms Lot Size y` 'sq. ft. Garbage Grinder Other Type of Building No.of Persons R Showers( ) Cafeteria( ) Other Fixtures tl! 1 J s•' �' r Design Flow(,min.required) 350 gpd Design flow provided .�C� (�y gpd Plan Date cJ Vim'- ZC) f)' Number of sheets '� Revision Date Title "5 YD;S 06 A S TIs-A �?l4►J Size of Septic Tank Type of S.A.S. 2' SU O 1,/4 y 11-9C�g S10.,, Description of Soil L%C- Nature of Repairs or Alterations(Answer when app]icabl)- 0, -ne 5- 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 Sig �16�d ned Date s �+ Application Approved by ScJ Date Application Disapproved by: Date t for the following reasons Permit No. Za�fi' 2�(.. Date Issued C. /t7 24t? THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS C) Certificate of Compliance 1 THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (�) Upgraded ( ) Abandoned( )by l fv\ E T-\V� �+ at O 3 -7, l E-,AV!: Tom.. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. Zoo6- 2 41& dated Z pp 5 Installer Designer T #bedrooms Approved design flow Z eZ gpd The issuance of this permiittssh�,11 n!o`f be construed as a guarantee that the system 'i I�u ction as designe`d� � /j� CED Date " / / ' N'(.1' Inspector �/j i /(') -- - --- - _ -- l � —————————— / ——————————————————— _== ­=7——_———_— effN No. �C�US� LIl'j Feey ICQ ' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS ley Ik5pozaz *p5tem Construction Verniit Permission is hereby granted to Construct ( ) Repair (�() Upgrade ( ) Abandon ) System located at wtr7) �(�'� y°\..X.J 11 (u �Arl .v,ram.\ S and as described in the above Application fbr.Disposal System Construction Permit.The,applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Cons ction must be completed within three years of the date of this pe t. Date �o /U ZO Approved by C � . Town of Barnstable Regulatory Ser-maces Thomas F.t�+fer,Director BARINSTASM sic �+ lubffc Health DivWom Thomas McKean,Director 200 Main Street,Ryauni%CIA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: �'/^ Sewage Permit*01 7 r�� L Ass�sur's 1'�iap 'Brrsi � Designer: Installer: V Vim b Address: �1:�-�J�'� �/� Address: CL 4n6s issued a pewit to install a Y' . (date) (installer) septic system at C1 ,-e- based an a design drawn by (address) = T_.a-\ dated (designer) -T d I certify that the..septic system referenced above was installed substantially according to the-design, which may.include minor approved changes such as lateral relocation of the distribution box and/or septic tarty. ' v I certify that the septic system refere s ed dove was installed with ma}or changes,(i.e. greater than 10'lateral relocation of"SAS or any vertical relocation of any component of the septic system)-but in accordance with State&Local Regulations- Plan re=ision or certified as-built by designer to follow- D. (Instalier's Signature) z, yCOUGHAN01lV 'No 1093 a YY; 0/ST9e—� FYy r SgNITARkPa a (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RI~;TURN Ta;,. B4RI STABLE PUBLIC HF-ALTH DIVISIO-N. CERTMCATE• OF r1 t' COMPLIANCE WILL N6T..BE"ISSUED TIN-M BOTH THIS FORM APED -AS-BUILT CARD.ARE RECEIVED BY THE.BARITSTABLE PUBLIC BMALTH ID_7VIRON. TILA NK YOU. J Q:Health/Se tic/Designer Cerdfic.adon For.-n3-2 `-doc 2u�$-24(a op� Town of Barnstable P# J �y� '� Department of Regulatory Services . RAMU.,,B o Public Health Division _ Date at � MASS. -_ 163 200 Main Street,Hyannis MA 02601 1 Date.Scheduled Time Fee Pd. Soil Suitability Assessment for Sewta e Disposal, ¢ Performed By: Witnessed By: •4'0i'c74t -, . LOCATION&GENERAL INFORMA ION Location Address j©3 ,-,r Cqt h er t h e /1�,.e Owner's Name 7�! - /`F Address Po al�1 We�, 7 "Ice P, e('(, Assessor's Map/Parcel: ] Engineer's Name NEW CONSTRUCTION REPAIR V Telephone# S d D 30 06q4, . Land Use [Z�S 1 wP h T� I Slopes(%) Surface Stones no �-- I Distances from: Open Water Body-Vw ft Possible Wet Area t oo f ft Drinking Water Well 26G'f ft 1 Drainage Way1;0'f- ft Property Line o ft Other ft i - SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) J < W GROUNDWATER ADJUSTMENT 1 j � EXISTING GROUNDWATER LEVEL o f BASED ON TOWN OF BARNSTABLE GIS DEPARTMENT RECORDS. ' INDICATED GW ,23.00 ? INDEX WELL A1W-230 ® ® ZONE D READING DATE,MAY 2008 READING 22.6 Tul ,. , ADJUSTMENT 2.8 ADJUSTED GW 25.8 Parent material(geologic) i I Cl , �0 4 7 Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face IA n h Estimated Seasonal High Groundwater DETERMNATION FOR SEASONAL HIGH WATER TABLE Method Used: Scee GI qV(0 Depth Observed standing in obs.hole: ___ in, Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj,factor Adj.Groundwater Level PERCOLATION TEST ]Hate egl+dogs Time P_!inn Observation wly Hole# Time at 9" Depth of Perc �' t h Time at 6" y Start Pre-soak Time @ W 07 _ 'time(9"-6") End Pre-soak I'Q;I S Rate MinJlnch 2 P 1 Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) 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:\SEPTIC\PERCFORM.DOC SOIL - TEST - LO-G -- _ -- - -- - DATE OF TEST: I JUNE 4. 2008' APPROVED SOIL EVALUATOR: DAVID_D. COUGHANOWR. #461 WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. PERC NUMBER: — 12227 r I TEST _ 1 - PIT 1 OT MATERIAL: PROGLACU ENCOUNTERED PARENT OUTWASH _ f PERC AT 66 In - 2 MIN/INCH IN C SOILS ELEVATION - DEPTH , SOIL USDA SOIL. SOIL COLOR SOIL OTHER 45.85 (INCHES) HORIZON TEXTURE (MUNSELL MOTTLING - I 0-8 Ap LOAMY SAND 10 YR 2/2 NONE FRIABLE 43.18 8-32 B_ _ LOAMY SAND_ 10 YR 4/6 NONE LOOSE 32-132 C MEDUIM SAND *- 10 YR 5/4 NONE LOOSE 34.85 - T E S T P I T 2�s PAARENOTUNDW MATERIAL:E PROGLAC AL OUTWASH -- - 2 MIN/INCH IN-C SOILS - ELEVATION DEPTH SOIL USDA SOIL SOIL' COLOR SOIL OTHER 45.50 (INCHES) HORIZON TEXTURE (MUNSELL MOTTLING 0-6 Ap LOAMY ,SAND 10 YR 3/2 NONE FRIABLE 43.00 6-30 _B LOAMY SAND 10 YR 4/6 NONE LOOSE 30-138 C" "" MEDUIM SAND j% �_- 10 YR 6/4 NONE LOOSE 4 34.00 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) a a re DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders, Cos' tn I EZ: Flood Insurance Rate May: / Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pery ous material exist in all areas observed throughout the area proposed for the soil absorption system? �S If not,what is the depth of naturally occurring pervious material? ._.__.�.�. Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent ith - �ytN OF Mgssq the required training,expertise and��experience described in 310 CMR 15.017. e Imo, J�Ke 4,ZDOg . DAVID o Signature Date D. COUGHANOWC 00 C/CE•NSEO Q Q:\S.EVnMERCFORM.DOC /�=VAL�P�O !i i Town of Barnstable Regulatory Services Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-8624644 Fax: 508-790-6304 July 16, 2007 Mr. John Foley 103 Saint Catherine Avenue Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIROMENTAL CODE, TITLE 5 ( The septic system located at 103 Saint Catherine Avenue, Hyannis,MA,was last inspected on September 151h, 2004,by James M Ford, a certified inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: A Single cesspool automatically fails in the Town of Barnstable Our records indicate that the necessary repairs and upgrades were not done in the two(2) years given you at the time of the Health Departments order, (September 181h,2004). You were asked to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacements of septic system component(s). This plan was to be submitted to the Town of Barnstable Public Health Division Office (regulatory Services)within ninety(90) days of receipt of that letter. If you can provide a compliance certificate showing that this work was done; so that we may update our records we would be grateful; if not you have 60 days from the date of this letter 7/16/07 to bring the system into compliance. y, .r o-;7)L.0 7/,/0�' j Any person who shall fail to comply shall be fined not less than $10.00 nor more than $500.00. Each day's failure to comply with an order shall constitute a separate violation. BARNSTABLE HEALTH D PARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health SECTION,SENDER: COMPLETE,�THIS ■ Complete items 1,2,and 3.Also complete A. Signature Item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Mdressee so that we can return the card to.you. B.9ceivecl by(Prtn Name),4 C. at f Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from Item 1? Yes A 1. Article Addressed to: If YES,enter delivery address below, No John Foley �. 103 St. Catherine Avenue 3. Service Type c 7 ❑Certified Mail �Express Mail Hyannis, MA 02601 ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes eE��z .:>�� /fir K — 2. Article Nunes t �' '°* i' ='U �'� mensfer from 78tit31 : .r, PS Form 3811,February 2004 Domestic Return Receipt u0259"2-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail - Postage.&Fees Paid LISPS Permit No.G-10 •,Sender: Please print your name, address, and ZIP+4 in this box• PUBLIC HEALTH DEPARTMENT TOWN OF BARNSTABLE r 200 MAIN STREET HYANNIS, MA 02601 47 U.S. Postal ServiceTM _ERTIFIED MAILTM RECEIPT (Dy±mestic,Mail1Only;No Insurance Coveragrovided) I of,delivery,information vvisit Wur website;at www.usps.com� a FICIAL US ' . �Wiff, PS Form 3800,June L002 See,Reverse for,lnstructions Certified Mail Provides:a A mailing receipt (a—ad)ZooZ ounr'009e-O:d Sd a A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: z o Certified Mail may ONLY be combined with First-Class Maile or Pr~,rity Maile. o 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 { required.to return receipt,a USPS®postmark on your Certified Mail receipt is a 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". a 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. Internet access to delivery information is not available on mail addressed to APOs and FPOs. . n Town of Barnstable Regulatory Services Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 16, 2007 Mr. John Foley 103 Saint Catherine Avenue Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIROMENTAL CODE, TITLE 5 The septic system located at 103 Saint Catherine Avenue,Hyannis,MA,was last inspected on September 15th, 2004, by James M Ford, a certified inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: A Single cesspool automatically fails in the Town of Barnstable Our records indicate that the necessary repairs and upgrades were not done in the two(2)years given you at the time of the Health Departments order, (September 181h,2004). You were asked to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacements of septic system component(s). This plan was to be submitted to the Town of Barnstable Public Health Division Office(regulatory Services)within ninety (90) days of receipt of that letter. If you can provide a compliance certificate showing that this work was done; so that we may update our records we would be grateful; if not you have 60 days from the date of this letter 7/16/07 to bring the system into compliance. .i Any person who shall fail to comply shall be fined not less than $10.00 nor more than $500.00. Each day's failure to comply with an order shall constitute a separate violation. BARNSTABLE HEALTH D PARTMENT Thomas A. McKean, R.S., C.H.O. • Agent of the Board of Health COMMONWEALTH OF MASSACHUSETTS t = EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION �AAP FAILED INSPECTION FARM LOT a TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 103 St. Catherine Avenue Hyannis, MA 02601 Owner's Name: John Folev Owner's Address: 87 Norwell Ruud Wakefield, MA 01880 Date of Inspection: September 15, 2004 Name of Inspector: (Please Print) James M. Ford 7 Company Name: James M. Ford Mailing Address: P.O. Box 49 Osterville, MA 02655-0049 Telephone Number: (508) 862-9400 c -�f �:_ Ev r<cs CERTIFICATION STATEMENT - I certify that I have personally inspected the sewage disposal system at this address and that the int ation eported below is true,accurate and complete as of the time of the inspection. The inspection was performe based o-1r' - y > training and experience in the proper function and maintenance of on site sewage disposal systems. 1 am a,D-EP r- approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The syste 1-9 Passes Conditionally Passes Ne s Further Evaluation by the Local Approving Authority ✓ Fa' Inspector's Signature: Date: September 18, 2004 The system inspector sh\subt 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/I5/2000 page I Page 2 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 103 St. Catherine Avenue Hyannis, MA Owner: John Foley Date of Inspection: September 15 2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the "Conditional Pass section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes, no or not determined(Y,N,ND) in the for the following statements. If"not determined", please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 f Page 3 of 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 103 St. Catherine Avenue Hyannis, MA Owner: John Folev Date of Inspection: September 15, 2004 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water — Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 103 St. Catherine Avenue Hyannis, MA Owner: _John Foley Date of Inspection: September 15, 2004 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool. ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone I 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. IThis 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 forma NOTE:Single cesspools automatically fail in the Town of Barnstable. Yes (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area- IWPA)or a mapped Zone 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 CM 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: 103 St. Catherine Avenue Hyannis, MA Owner: John Foley Date of Inspection.: September 15, 2004 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period ? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection ? ✓ Were as built plans of the system obtained and examined ?(If they were not available note as N/A) ✓ _ Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS, located on site? ✓ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,.material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems ? The-size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes No ✓ _ Existing information. For example,a plan at the Board of Health. Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 103 Sr. Catherine Avenue Hyannis, MA Owner: John Foley Date of Inspection: September 15, 2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x# of bedrooms): 220 Number of current residents: 0 Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system (yes or no): nla [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CM 15.203): apd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection{yes or no): No If yes, volume pumped: _gallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box, soil absorption system ✓ Single cesspool ✓ Overflow cesspool Privy Shared system (yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Age unknown-original system Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: l03 St. Catherine Avenue Hyannis, MA Owner: John Foley Date of Inspection: Seplember 15, 2004 BUILDING SEWER (locate on site plan) Depth below grade: Materials of construction: _cast iron 40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition ofjoints, venting, evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Cesspool acting as a septic tank Depth below grade: 12" Material of construction: _concrete _metal _fiberglass _polyethylene ✓ other(explain) Cesspool block If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: S'W x 7'T x 8'bottom to grade Sludge depth: 12" Distance from top of sludge to bottom of outlet tee or baffle: -- Scum thickness: 4'" 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: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): The cesspool had approximately S'of liquid on the bottom The cover was 12"below grade A cast iron tee was present GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 103 St. Catherine Avenue Hyannis, MA Owner: John Foley Date of Inspection: September 15, 2004 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: None (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 103 St. Catherine Avenue Hyannis, MA Owner: John Foley Date of Inspection: September 15, 2004 SOIL ABSORPTION SYSTEM (SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits, number: leaching chambers, number: leaching galleries, number: leaching trenches, number, length: leaching fields, number, dimensions: ✓ overflow cesspool, number: / 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.): The overflow cesspool was 5'W x 7'T x 9'bottom to grade and was dry. The scum line was approximately 3'up from the bottom The cover was 16"below grade. CESSPOOLS: ✓ (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: l -single Depth -top of liquid to inlet invert: -- Depth of solids layer: 6" Depth of scum layer: -- Dimensions of cesspool: 5'W x 7'T x 9'bottom to grade Materials of construction: Cesspool block Indication of groundwater inflow(yes or no): None Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): The cesspool was dry. The cover was 20"below grade. A single cesspool automatically fails in the Town of Barnstable PRIVY: None (locate on site plan) \ Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 f Page 10 of 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: I03'St. Catherine Avenue Hyannis, MA Owner: John Foley Date of Inspection: September 15, 2004 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. S� C M A Q � Q a 40 6 a 3-7 a 1 10 ~ Page 11 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) I� Property Address: 103 St. Catherine Avenue Hyannis, MA Owner: John Foley Date of Inspection: September 15, 2004 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 25 +/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record- If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic maps and water contours map the maps were showing approximately 25'+/- to ground water at this site. This report has been prepared and the system inspected and failed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. II r CONTOURS _ , m BENCH MARK EXISTING - - - - - - - 50 M.aRr,�LICE m GARBAGE GRINDER 4� PAINT SPOT ON MINIMAL GRADING PROPOSED Locus� SANE N GEORGE 7C 46 ♦ CONCRETE PATIO 2 STREET 'I IS NOT ALLOWED ♦ � I WITH THIS DESIGN. / ELEVATION = 47.07 i AVENUE LL ♦ BRISTOL r 00 45 \ BARNSTABLE GIS DATUM v z zz� m J ♦♦ I, oQJ m / I ♦ N OWE `` N ��m w CDHYANNIS. MA 4 ♦♦ I�a�� LOCUS MAP u� / / �\ ♦♦� NOT TO SCALE W> �} d. ::::::::::::: J �—1 J— _ ;:;:a:x;:;;;; w / m Z ::;:;:;:;:;r;:•: B W O V U'" ;:xa:;;:a;r;:: Off• / Of ?. LEGEND W Wj +� :i"a ;:i±` m w 3 45 L✓ 24-o t \\ \♦♦ 0 IZDo� ,,:,:: (r W° j \ 0 J w° J z } w OD �w% / PA VED DRI VEWA Y ♦♦ LLJ • \ SEPTIC GALLON o Q N< <W = W W Z 4J N� gym/ 1 �_♦ 47 SEPTIC TANK wL~i U3 j o °= tim/ j i Jw W} U _j Ln 0C? '/ �� EXISTING o <� m X Z Q N <z 1a-o / / CESSPOOL • >W w Z cn —� CD ° / a v UTILITY POLE J U O< _ to w C�O�1s-D/ CLEAN W Z wu w n _>? ?' co rP-2 OUT / TEST PIT D-BOX ❑ O0 Z J :.,,,:,:, / rP-1 / DECIDUOUS CONIFEROUS Zof CD / o / TREE qOp TREE LLJ lu LLO J X m +1 deb 12-M I2-P Z M Iq �N / e �� \��O ` � �O X / -NUMBER REFERS TO DIAMETER IN OTES TYPE. LL I W Z W wLL L❑LJ _O�_ JeF� Q /�\ V nay O-OAKINCHES METTER MAPLED PNPINE C-CEDAR UI— U z0 / I W WAll Z Z / w 1e ce �� b \ w�T a-LL X O I F(D 'Q / �/ H OF 1y zo A A� �jH OF sOz w , ♦♦ �/ o`' DAVID tiG o�' DAVIL) u F-lvM Q >� 7 Q o D - o D. 7� L>iJ Z p Z= 46 \~ �6b 15-0 CLEAN N f / O o COUGHANOWR �' " COUGHANOWR `" J � Wt e ♦ 4 w No. 1093 Lu W Z., \ /�1 ��c/STE��O s0�`�-ENS�,\pQ- �� ; O3 m ♦♦ O LOT 8 m SA R�PN E� P�, Jx DIS T�1 NCES \ l eLu W r AREA = 14400 sf+- �Jine 5, 2(�l> 6 cn ee♦♦ / V W TO SYSTEM COMPONENTS Q W v ALL DISTANCES ARE IN DECIMAL �� \ / ®_ Tee SEWAGE DISPOSAL SYSTEM PLAN w w m z z FEET NOT IN FEET AND INCHES. ♦♦� }p / �� /y H Z _j m 0 x Y '�♦ �� 16-o / -TO SERVE EXISTING DWELLING ♦ EST. KATHLEEN M. CIIJLLA ' X << W J 1 10.2 38.6 1 \ / OWNERS OF RECORD LL_ o 0 CD m L < 2 17.9 4B.6 � ♦♦ p� 0 Z Ir LL � (3 � 3 35.6 5�.2 \ / / \ 103 SAINT CATHERINE AVE (�/ O 11, m (1) �— 4 24.7 51.1 ♦♦ ry e m L 5 22.1 30.5 Y ��® 1995 �' HYANNIS. MA W l "� ON PROPERTY ADDRESS z m ID Ln 5 / ANGLE CIRCLE ASSESSORS MAP 29I PARCEL 67 3 FLAN 43 TRI SANDWICH MA 02563 LAND COURT PLAN 14 m 3 4-H 0 m t 506 364-0694 DATE: JUNE 5. 2006 p 11 m Z m Z In `' ;KCAL E: l in f't J = 20 ,roe &E T E-2 9 3 3 PAGE I OF 2 VERSION: A � � � � r� mm 3 X w m w o 4 o1 NOT TO 20 0 20 40 THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED SCALE SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM 2 0 10 20 DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER I SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR: SOIL TEST , LOG DESIGN 'CALCULATIONS DATE OF TEST: JUNE 4. 2008 APPROVED SOIL EVALUATOR: DAVID D. COUGHANOWR. #461 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPO WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS PERC NUMBER: 12227 INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) TEST PIT 1 NO GROUNDWATER ENCOUNTERED DISTRIBUTION BOX: USE 3 OUTLET D-BOX. PARENT MATERIAL: PROGLACIAL OUTWASH SOIL ABSORBTION SYSTEM: A 24 Ft x 12.5 Ft x 2 Ft LEACHING GALLERY CAN LEACH PERC AT 66 In - 2 MIN/INCH IN C SOILS Abot = ( 24 x 12.5 ) = 300 of Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sF ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER Atot = 446 of 45.85 (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING Vt 0.74 x 446 = 330.04 GPD 0-8 Ap LOAMY SAND 10 YR 2/2 NONE FRIABLE USE A 24 Ft x 12.5 Ft x 2 ft GALLERY. Vt = 330.04 GPD > 330 GPD REOUIRED 43.18 8-32 B LOAMY SAND 10 YR 4/6 NONE LOOSE 34.85 32-132 1 C MEDUIM SAND 10 YR 5/4 1 NONE ILOOSE L EA CHING GA L L ER Y 1500 GALLON SEPTIC TANK TEST PIT 2 NO GROUNDWATER ENCOUNTERED DIMENSIONS AND DETAIL NOT TO PARENT MATERIAL: PROGLACIAL OUTWASH USE SHOREY PRECAST 500 GALLON NOT TO USE SHOREY ST-1500-H-10 SCALE 2 MIN/INCH IN C SOILS LEACHING DRYWELL (H-10 LOADING) SCALE ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER CONSTRUCTION DETAIL I In (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING 45.50 DRYWELL UNIT STON TAPER 0-6 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE 24.0 Ft 43.00 6-30 B LOAMY SAND 10 YR 4/6 NONE LOOSE O 30-138 C MEDUIM SAND 10 YR 6/4 NONE LOOSE W �' 5 Ft- 34.00 m 4. 0 6 In m III GROUNDWATER ADJUSTMENT 10 EXISTING GROUNDWATER LEVEL 3.5 ft 8.5 ft 8.5 ft 3.5 Ft !r, BASED ON TOWN OF BARNSTABLE 24.0 Ft GIS DEPARTMENT RECORDS. ' INLET CENTER OUTLET INDICATED,GW. 23.00 END COVER END INDEX' WELL . AI.W-230 500 GALLON DRYWELL Z;DNE DIMENSIONS AND DETAIL 3 IN DROP READING DATE MAY 2008 -READING '22`.6 —FLOW LINE USE H-10 UNIT FROM 10 in - 14 TO :`ADJUSTMENT 2.8 INSTALL ONE INSPECTION BUILDING 'ADJUSTED GW 25.8 RISER TO WITHIN THREE in >'. D-BOX INCHES OF FINAL GRADE 48 in AND INDICATE LOCATION LIQUID GAS ON AS-BUILT PLAN LEVEL BAFFLE 0 33 NOTES , In CROSS SECTION VIEW oo��oo��oo� �OpO 000000000 00 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK- 2) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL 1�21r, STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS CROSS SECTION VIEW OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 2 in PEASTONE 2 to PEASTONE SEWAGE DISPOSAL SYSTEM PLAN 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES I -TO SERVE EXISTING DWELLING BEFORE EXCAVATING FOR SYSTEM. o 0 28 �ECTIVE 314 3,4�, TO ZEF �, TO 26 K A T H L E E N M. C I lJ L L A 5) EXISTING CESSPOOLS TO BE PUMPED. COLLAPSED. AND FILLED. In -v21„GRAVE- DEPTH 1-I1�,�RAVEL in 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON, FINES AND DUST IN PLACE. 103 SAINT CATHERINE AVENUE HYANNIS, MA Z) E.CO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES 46 in 56 In 46 in ECO-TECH ENVIRONMENTAL _ 'AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. 150 in 8) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE 43 TRIANGLE CIRCLE SANDWICH MA 02563 PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. FABRIC IN PLACE OF THE 2 im PEASTONE LAYER SPECIFIED. ETE-29331 JUNE 5. 2006 1 212