HomeMy WebLinkAbout0025 LEWIS POND ROAD - Health 25 LEWIS POND RD, COTUIT I
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- Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
.�' 25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Na
information is Cotuit Ma 02635 8/29/20
required for every
page. Citylrown 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. Inspector Information S1 .1 fga'(
on the computer, Michael DiBuono
use only the tab
key to move your Name of Inspector ,
cursor-do not DiBuono Sewer And Drain
use the return Company Name -
key.
35 Content Ln
Company Address
Cotuit Ma 02635
City/Town State Zip Code
ton 508-364-9587 S113522 ,.
Telephone Number License Number
B. Certification i
I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5
(310 CMR 15.600); 1 have personally inspected the sewage disposal system at the property address
listed above; the information reported below is true, accurate and complete as of the time of my
inspection; and the inspection was performed based on my training and experience in the proper function
and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined
that the system:
1. ® Passes
2. ❑ Conditionally Passes
3. ❑ Needs Further Evaluation by the Local Approving Authority
4. ❑ Fails
9/1/20
Inspector's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority (Board
of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to
the buyer, if applicable, and the approving authority.
Please note: 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.
t5insp.doc-rev.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18
Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is required for every Cotuit Ma 02635 ti 8/29/20
page. City/Town State - Zip Code Date of Inspection
C. Inspection Summary
Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6.
1) 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:
System is functioning as designed with no sign of failure
2) 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 andif is Certificate of
Compliance indicating that the tank is less than 20 years old is available. '
❑ Y ❑ N ❑ ND (Explain below):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form ,
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29/20
page. Citylrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
2) System Conditionally Passes(cont.):
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
❑ 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):
3 Further Evaluation is Required b the Board of Health:
h:
❑ 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.
a. 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:
t5insp.doc-rev.7/26/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18
i
Commonwealth of Massachusetts
MIWTitle 5 Official Inspection Form +
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
O 25 Lewis Pond rd
Property Address '
LOWE, DOLORES K
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29/20
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
❑ 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
b. 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. I
❑ 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:
c. Other:
4) System Failure Criteria Applicable to All Systems:
You must indicate"Yes" or Ohio'!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
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System-Form-Not for Voluntary Assessments
25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29/20
page. City/Town State Zip Code Date.of Inspection
C. Inspection Summary .(cont.)
4) System Failure Criteria Applicable to All Systems: (cont.)
Yes No
❑ ® 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 '/2 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 1 of a public water supply
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 2000 gpd-
10,000 gpd.
The system fails. 1 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.
5) '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 CA.
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
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18
I
Commonwealth of Massachusetts
Title 5 Official Inspection Form
L' Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
25 Lewis Pond rd z
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29/20
page. City/Town State Zip Code Date of Inspection
C. Inspection Summary (cont.)
If you have answered"yes" to any question in Section C.5 the system is considered a significant
threat, or answered"yes"to any question in Section CA above the large system has failed. The
owner or operator of any large system considered a significant threat under Section C.5 or failed
under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner
should contact the appropriate regional'office of the Department.
6. You must indicate"yes" or"no"for each of the following for all inspections:
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:
® ❑ 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
El ® approximation of distance is unacceptable) [310 CMR 15.302(5)]
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29/20
page. City/Town State Zip Code Date of Inspection
D. System Information
1. Residential Flow Conditions: r
Number of bedrooms(design): 3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203(for example: 110 god x#of bedrooms): 330
Description:
tr
Number of current residents: Vacant
Does residence have a garbage grinder?' ❑ Yes ® No
Does residence have a water treatment unit? ❑ Yes ® No
If yes, discharges to:
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 ears usage (god)): 278 GPD
9 ( Y 9
Detail:
Sump pump? ❑ Yes ® No
t
Last date of occupancy: Date
I
t5insp.doc•rev.7/26/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
,. 25 Lewis Pond rd
Property Address
LOWE, DOLORES K `
Owner Owner's Name
information is required for every Cotuit Ma 02635 . 8/29/20
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
2. 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
Water treatment unit present? e ❑ Yes ❑. No
If yes, discharges to:
Industrial waste holding tank present?, ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ -Yes ❑ No
,
Water meter readings, if available:
Last date of occupancy/use: Date
Other(describe below):
3. Pumping Records:
Source of information: Not provided
Was system pumped as part of the inspection? a ❑ Yes ® No
If yes, volume pumped:
1 gallons
How was quantity pumped determined?
I Reason for pumping.
t5insp.doc•rev.7/26/2018 Title'5 Official Inspection forth:Subsurface Sewage Disposal System•Page 8 of 18
c Commonwealth of Massachusetts
F Title 5 Official Inspection. Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29/20
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
4. Type of System: t
® 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):
Approximate age of all components, date installed (if known)and source of information:
Installed 2012
Were sewage odors detected when arriving at the site? ❑ Yes ❑ No
5. Building Sewer(locate on site plan):
1.5
Depth below grade: r feet
Material of construction:
® cast iron ®40 PVC ❑other(explain):
Distance from private water supply well or suction line: Jeet
Comments(on condition of joints, venting, evidence of leakage, etc.):
t.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18
Commonwealth of Massachusetts
IF Title 5 Official Inspection Form
Subs Di m Form-N m Subsurface Sewage Disposal System o of for Voluntary Assessments
25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is Cotuit Ma 02635 $/29/20
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
6. Septic Tank(locate on site plan):
Depth below grade: 1
feet
Material of construction: ,
® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain)
1500
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑' No
Dimensions: 1500
Sludge depth: - 3
.
Distance from top of sludge to,bottom of outlet tee*or baffle 24
311 - e
Scum thickness
. ,
Distance from top of scum to top of outlet tee or baffle 411
Distance from bottom of scum to bottom of outlet tee or baffle
30-1
How were dimensions determined? Tape Measure/Data On File
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
F
t5ins .doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18
P P 9 P Y 8
c Commonwealth of Massachusetts
Title 5 Official Inspection Form _
h Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
25 Lewis Pond rd
Property Address
LOWE, DOLORES K '
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29/20
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
7. Grease Trap(locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑fiberglass. ❑ polyethylene ❑other(explain):
Dimensions: 1500
Scum thickness 21
Distance from top of scum to top of outlet tee or baffle
10"
Distance from bottom of scum to bottom of outlet tee or baffle
10"
Date of last pumping: ' Date
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Home has had little use
1
t-
8. 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
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18
Commonwealth of Massachusetts
F Title 5 official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is Cotuit Ma 02635 8/29/20
required for every
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
8. Tight or Holding Tank(cont.)
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
9. Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert Level and at normal level
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.);
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage.Disposal System•Page 12 of 18
Commonwealth of Massachusetts
x Title 5 Official Inspection Forme
1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
°y 25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29120
page. City/Town State Zip Code. Date of Inspection
D. System Information (cont.)
10. 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.):
k
* If pumps or alarms are not in working order, system is a conditional pass.
11. Soil Absorption System(SAS) (locate on site plan, excavation.not required):
If SAS not located, explain why:
Type
❑ M leaching pits number:
❑ leaching chambers number:
® leaching galleries number: 4
leaching trenches number, length.
leaching fields number, dimensions: ~
❑ overflow cesspool number:-
❑ innovative/alternative system
Type/name of technology:
t5insp.doc•rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18
f
Commonwealth of Massachusetts
Title 5 Official Inspection Form, r
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29/20
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
11. Soil Absorption System (SAS) (cont.)
Comments (note condition of soil,signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
Chambers are dry
12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
A
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction .
Indication of groundwater inflow ❑ Yes ❑ No
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:SubsurfaceS ewa a Disposal System-Page 14 of 18
c Commonwealth of Massachusetts
F Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
25 Lewis Pond rd ,
Property Address
LOWE, DOLORES K "
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29/20,
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
13. 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,
h etc.):
r
t5insp.doc•rev.7/26/2018 Idle 5 Official Inspection Forth:Subsurface Sewage Disposal System"Page 15 of 18
Commonwealth of Massachusetts >
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29/20
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
14. 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
' t
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18
f Assessing As-Built Cards https://www.townotbamstable.us/Departments/Assessing/Property_...
TOWN OF BARNSTABLE
LOCATION _X!�_ -+S. tl' ot. ?N SEWAGE# oti01 iS3�.
VILLAGE � {-LI l ASSESSOR'S MAP&PARCEL a0-I
INSTALLER'S NAME&PHONE NO. RTL G I, "7-J 1-6t YET
SEPTIC TANK CAPACITY-A 5nz AA 411e
LEACHING FACILITY:(type)- tc1,C_W-- (size) T-3 4 K t64CK I$i
NO.OF BEDROOMS --L * 345p
OWNER z
PERMIT DATE: ��• -I5 COMPLIANCE DATE: 1 7.
Separation Distance Between%a:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility _Feat
Private Water Supply Well and Leaching Facility Of any wells exist on
site or within 200 feet of leaching facility) �Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) T ��Feet
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
F Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29/20
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.) .
15. Site Exam:.: �
❑ Check Slope -
❑ Surface water
❑ Check cellar -
❑ Shallow wells
Estimated depth to high ground water: 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: 6/22/12
Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health -explain:
uk
❑ Checked with'local excavators, installers-(attach documentation)
❑ Accessed'USGS database-explain:
You must describe how you established the high ground water elevation:
Test Hole Data on file
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18
cam, Commonwealth of Massachusetts
�U4 Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
25 Lewis Pond rd
Property Address
LOWE, DOLORES K
Owner Owner's Name
information is required for every Cotuit Ma 02635 8/29/20
page. Citylrown State Zip Code Date of Inspection
E. Report Completeness Checklist
3
Complete all applicable sections of this form inclusive of:
❑ A. Inspector Information: Complete all fields in this section.
❑ B. Certification: Signed & Dated and 1, 2, 3, or 4 checked
❑ C. Inspection Summary:
1, 2, 3, or 5 completed as appropriate
4 (Failure Criteria) and 6 (Checklist)completed
❑ D. System Information:
For 8: Tight/Holding Tank—Pumping contract attached
For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached
For 15: Explanation of estimated depth to high groundwater included
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18
Citizen Web Request Page 1 of 3
,/1 TWE 4 _
a MS,
Logged In As: Citizen Request Management Tuesday,November 15 2016
TOWN\oconnelt
Route to Users Search Re0Ue5tS Create ReQUests
Request Information
Request ID: 57680 Created: 11/2/2016 4:00:38 PM
Status: Assigned To Staff Assigned To: O'Connell,Timothy
Health Office
Anonymous: No _ Request Category: Chapter 54-5 : Rubbish and
Garbage edit
Routine work: No Estimate: No edit
Date scheduled: edit
Estimated 11/17/2016 Change Estimated Oct November 2016 Dec
Completion Completion Date: —
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Created By: Soto, Kathryn Priority: Medium edit
Health Office
Citation Numbers: edit
Requestor Information
Requestor
Request Parcel Block: Lot:
See forwarded email Number
from town manager and
town council Parcel Lookup
Email:
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http://issgl2/internalwrs/WRequest.aspx?ID=57680 11/15/2016
Citizen Web Request Page 2 of 3
Entered on 11/4/2016 4:06:42 PM System entry on 11/2/2016 4:00:38 PM:
by O'Connell,Timothy
Last modified on 11/4/2016 4:07:24 PM Assigned to O'Connell,Timothy
On 11-3-16 went to said location and knocked System entry on 11/4/2016 4:05:36 PM:
on door.I did not receive an answer.I observed a
boat and a shed type structure in driveway.Also on -Please Review-email sent to Scali, Richard
left side of driveway was a snow blower,lawn _
mower,propane tanks and a cooler.Which were System entry on 11/4/2016 4:10:12 PM:
covered by a tarp and are considered functioning
out door items as stated by chapter 54.There was -Please Review-email sent to McKean,
not any trash observed at property or wild turkeys. Thomas
uodate delete
Entered on 11/8/2016 7:59:13 AM '
by O'Connell,Timothy
I visited 25 Lewis Pond Road this morning.
While at said property I did speak with the
occupant and explained the nature of this
complaint. He stated that he has bird feeders on
this property to feed song birds and alike. Not
Turkeys.I did observe multiple bird feeders on the
property. He did state that once and a while
Turkeys do show up at this property and eat this
bird seed that has fallen out of bird feeders,as they
do at multiple properties in surrounding area.On
this same day on the way to this inspection I saw a
flock of Turkey's on a property a couple of doors
away from 25 Lewis Pond Road. He stated they-do
not put out special food for these Turkey's.I told
him he is not to feed Turkey's and he agreed.I also
asked him to clean up/organize left side of driveway
which had a variety of functional outdoor items and
were screened from public view. He agreed to do
so even though they were in compliance:I will go
back to property tomorrow to check on this matter.
I also called owner to make her aware that she has
not registered this property for this year. She stated
she is in Florida and will need a couple of days to
mail in application. I told her I will give her until
next Friday to register property or she will be fined.
She agreed.
update delete
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http://issgl2/intemalwrs/WRequest.aspx?ID=57680 11/15/2016
O'Connell, Timothy
From: McKean, Thomas
Sent: Wednesday, November 02, 2016 5:08 PM
To: O'Connell, Timothy
Subject: FW: 25 Lewis Pond Road Property
"Hi Jessica,
I am reaching out again about 25 Lewis Pond Road which is right next to my property at 7 Lewis Pond
Rd. This is a rental property which is owned by Dolores Lowe a Cotuit resident 508-420-5747. The problem
has been growing exponentially . The feeding of turkeys and other wild life attracts rodents and predators. The
yard has turned into a hoarders with a tent full and over flowing with junk.
For all of these reasons and of course my property value I am concerned about this situation. Is there any action
that can be done to make the owner accountable?
Thank you in advance for any help you can provide.
Michelle Long
508-904-9799"
.i
I
Section 122. Page 1 of 2
General Lauds VLaws/GeneralLaws) » Part I VLaws/GeneralLaUws/Part!)
Title XVI (/Laws/GeneralLaws/Part!/TitleXVl)
Chapter ill (/Laws/GeneralLaws/Part!/TitleXVl/Chaptersss)»
SECTION 122
Section 122: Regulations relative to nuisances; examinations
Section 122.The board of health shall examine into all nuisances, sources of filth and causes of
sickness within its town, or on board of vessels Within the harbor of such town, which may, in its
opinion, be injurious to the public health, shall destroy, remove or prevent the same as the case
may require, and shall make regulations for the public health and safety relative thereto and to
articles capable of containing or conveying infection or contagion or of creating sickness brought
into or conveyed from the town or into or from any vessel.Whoever violates any such regulation
shall forfeit not more than one thousand dollars.
https:Hmalegislature.gov/Laws/GeneralLaws/PartI/TitleXV I/Chapter l l l/Section 122 11/4/2016.
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VILLAGE CO-_CuL_1 i ASSESSOR'S MAP&,PARCEL INSTALLER'S NAME&PHONE NO. C• "Z"t t- '
SEPTIC TANK CAPACITY ��q�j 4cdd— 41/y
LEACHING FACILITY:(type)-7:-
/,2�1•cC�$ (size) . ki.
NO.OF BEDROOMS
OWNER
PERMIT DATE: ��• 1 -`�_ COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 4— Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) . Feet
FURNISHED BY ,/ �r. �yrieir.•�Kr
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No. \ Fee
"THE C64MONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
RppliLation for Vsposal *pstem Construction Permit
Application for a Permit to Construct( ) Repair W Upgrade( ) Abandon( ) ❑Complete System [obi Individual Components
Location Address or Lot No.aSkaw�s Owner's Name,Address,and Tel.No. 5 09'Va0~;j�9V,*
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Assessor's Map/Parcel IS 62G 3
Installer's Name,Address and Tel No. �.509- Yd8- O 9ol6- Designer's Name,Address,and Tel.No. sob-3� SISS//
6,4-1o`tT 010VN�z�c,�-Ioil ys ir�ts� Pi ao�vn C649Z��r',ve-rc`o? 939 M0_P'n 5i-•
Type of Building:
Dwelling No.of Bedrooms Lot Size 6* sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) p; 6 gpd Design flow provided 3 V1" 3 gpd
Plan Date �Q.y _3 �� o[��� Number of sheets p Revision Date
Title /�' c °�C6Ct��v, S ZBc a Its (1U �1 e t ✓17
Size of Septic Tank I Z>QO qaA Type of S.A.S. _30•L/A 10,a5
Description of Soil '56
Nature of Repairs or Alterations(Answer when applicable)
3�so -A "��� (2�I
.s 4_r:,n92 SUCJZU hndf_ �
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 Environme o and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Healt
Signed Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. a f 't / Date Issued S (q- ��
No. i 4 Fee
THE CO MO;NWEALTH OF MA SAPMUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
2ppritation for DispaW-t&pstem Construction 3Permit
Application for a Permit to Construct( ) Repair*�Upgrade( ) Abandon( ) ❑Complete System ®Individual Components
Location Address or Lot No. �!C} Owner',s Name,Address,and Tel.No. -5 v� yaU- >S'7u0
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Assessor's Map/Parcel GAD /$ Cyr, ,'
Installer's Name,Address?and Tel No. 508 ��1$ �fSo2G Designer's Name,Address,and Tel.No. S0$-3��-V51VI
(�jc�r{-ca��- i eonS-tf"vCr +O�'1 ys.Lrracx5'�;y Ro� �ocon Ccc .c r�eerc`j '39 /Oct 1',�
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Type of Building: Q
Dwelling No.of Bedrooms IZ9 Lot Size l_sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) c?0�1 C) gpd Design flow provided ,3 W. 3 gpd
Plan Date TVIA L4 3, �a{n� Number of sheets ��} p Revision Date
pa
Title -j; n S cs 1' n S �Bis liC e1,,i-Ur
Size of Septic Tank ( `>GC9 9�Q (} U Type of S.A.S. ,16-L/X IU,XS
Description of Soil o5n 0 i01jP 42
Nature of Repairs or Alterations(Answer when applicable) It)
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3GSv -Al Kc_ O)_0 I S
,: -
Date last inspected:'
` Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-s to sewage disposal system in
accordance with the provisions of Title 5 of the Enviroftmental'Co'Pand not to place the system in operation until a Certificate of
/`
Compliance has been issued by this Board of Health
Signed Date
Application Approved by Date (3—
Application Disapproved by Date
for the following reasons
Permit No. C;�U Date Issued S^ - f'''
---------------------------------- - _--_ -:_ - __ - _ . _ -- _------- ------- ------- -_ ---------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliante
THIS IS TO CERTIFY,that the On-site Se/(wage Disposal system Constructed( ) Repaired(� Upgraded( )
Abandoned
f
at o7� or ) P- has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer �y�,li, �o�g��y i�� Designer C aryl ALE �<-
#bedrooms Approved design
flow �j�j (~� gpd
The issuance of this permi�_ts
all of be co strued as a guarantee that the sysjjtefn will fun�C ion signed.
"Date �- � Inspebtor
----------------------------- ----- ------ ------- ------------ -----•-------- " -- ------- -------------------------`-- -------------
No. go (27i I �"� Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction 3permlt
Permission is hereby granted to Construct( ) Repair(� Upgrade( )/ Abandon( )
System located at �2S Le bi ) S PpoA RA
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit--�—/! 0 - '�✓
I ��
Date � Approved by \.. ,.
JUN-25-2012 14:11 From:80RTOLOTTI CONST 5084289399 To:15087906304 P.1/1
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200 Main Street,F-lyanuis MA 02601
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LO CA TION & GE NTIL I7[+O][�I�/.i A TdON
Location Address l * P PAOwner's Name LD�e—
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Depth to Groundwater. Standing Wafer in 1-Iole: Weeplltg I'ronl Pit pP(om
Estimated Sw9onal High Oioundwater DE TERIMNA TION FOR SEASONAL >E][l[GH WATER TABLE
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Depth Observed standing in obs.hole: /T. N WC In, Depth to soli muttkm: lu,
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Above 500 year hood boundary No Yes t
Within 500 year boundary No
Within 100 year flood boundary No V
D@ tVu OK NIttwnlraally Occurring Egtvious Material
Does at least four feet of naturally occurring pervious mater!a! exist in all argils observed tlu'aughout the
area proposed for the soil absdrption system? le
]fF not, What is the depth of naturally occurring he v!ous mai'ol'iw
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Department of Environmental.Protection and that the above analysis was performed by me consistent with
fire require expertise and experience described in �10 CA/M 15.017,
Signature 1,
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UNITED STATE$aPQ .
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• Sender: Please print your name, address, and ZIP+4 in this box •
D"N
Town of Barnstable.._.
Health Division
200 Main Street
Hyannis,MA 02601
c 0 0 2
SENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY
i
■ 'Complete items 1,2,and 3.Also complete.-. « oA. Signatu
item 4 if Restricted Delivery is desired.,,.,,. '`' ' ❑Agent
■ Print Your name and address on the reverse `' Addressee
` so that we can return the card to you. BBB���ttteceived by(Print ame) C. Oat f Del' ery
■ Attach this card to the back of the mailpiece, .M1l 1
or on the front if space permits. ,�,
D. Is delivery address different from item 1. ❑Y s
1. Article Addressed to: If YES,enter delivery address below: ❑ No
• � • /�a� 1'1 °10
3. Service Type
to 3 0 Certified Mail ❑ Express Mail
t ❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number I
(Transfer from service label) 4 •7,0 05. 116 0 .0000 ;0191;;2 6 01,
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540
Certified Mail#7005 1160 0000 0191 2601
�FSHE TQ� Town of Barnstable
Regulatory Services
� t3AFLYS'FABLE,
9 rA Thomas F. Geiler, Director
OpArFDM Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
May 21, 2007
Dolores Lowe
P.O. Box 1790
Cotuit, MA 02635
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY
CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION
AND THE TOWN OF BARNSTABLE CODE CHAPTER 170.
The property owned by you located at 25A Lewis Pond Road Cotuit, was inspected
on May 20, 2007 by Meredith Morgan,Health Inspector for the Town of Barnstable.
This inspection was conducted on the basis of the rental registration in accordance with
Chapter 170 of the Town of Barnstable Code..
The following violations of the Town of Barnstable Code were observed:
1§ 70-10—Smoke Detectors and Carbon Monoxide Alarms. No smoke detector
provided in basement; inoperable smoke detectors on lst floor.
You are directed to correct the violations listed above within twenty-four (24) hours
of your receipt of this notice by providing smoke detector for basement and by
repairing or replacing inoperable smoke detectors.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten (10) days after the date the order is served.
Non-compliance will result in a fine of $100.00 per violation. Each day's failure to
comply with an order shall constitute a separate violation.,
QAOrder letters\Housing violations\Rental ordinance\25A Lewis Pond Road.doc
Should you have any questions regarding the above violations, please contact the Town
Health Division and ask to speak with the inspector who performed the inspection.
PER ORDER OF HE B ARD OF HEALTH
Thomas A. McKean, R.S., CHO
Director of Public Health
Town of Barnstable
Cc: Meredith Morgan, Health Inspector
Charles Wilkenson, Tenant
QAOrder letters\Housing violations\Rental ordinance\25A Lewis Pond Road.doc
FORM 30 C&W HOBBSB WARREN TM THE COMMONWEALTH OF MASSACHUSETTS
BO , D OF HEALTH
CITY/TOWN
= W ` ,�•
a nn\\ A T ENTt
AjRE6S b9 %:R 7�-
TELEPHONE
Address__ / 3 ��(/!��_ Occupa illa"
Floor Apart e t No. No. of Occu is
No. of Habitable Rooms No.Sleeping Rooms
No.dwelling or rooming unit No.Stories
Name and address of owner r 2U
Remarks Reg. Vio.
YARD Out Bld s.: Fences:
Garbage and Rubbish
Containers:
Drainage
Infestation Rats or other:
STRUCTURE EXT. Steps,Stairs, Porches:
Dual Egress:and Obst'n.:
❑ B ❑ F ❑ M Doors,Windows:
Roof
Gutters, Drains:
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Li htin :
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling: NJ
Hall Lighting:
Hall Windows: per/
HEATING Chimneys: J
Central ❑ Y ❑ N Equip. Repair
TYPE: Stacks, Flues,Vents:
PLUMBING: Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
—Pantry
Den
—Living Room
Bedroom 1
Bedroom 2
— - Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.:
Stacks, Flues Vents,Safeties:
Kitchen Facilities Sink
Stove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub.-
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR.(See Over)
"THIS IN TIO EPO T Ip SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTI S P R
INSPECTOR TITLE
DATE TIME •M•
A.M.
THE NEXT SCHEDULED REINSPECTION i_ff) P.M.
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or
impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those
items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the
occupants or the public. Because Chapter ll, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for
human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so
in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that
other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local
health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.630 through 410.833 nor shall failure to
include affect the legal obligation of the person to whom the order is issued to comply with such order.
(A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary
needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer.
(B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as
prohibited by 105 CMR 410.200(B)and 410.202.
(C) Shutoff and/or failure to restore electricity or gas.
(D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com-
mon area required by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR
410.150(A)(1)and 410.300.
(G) Failure_to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object,
including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452.
(H) Failure to comply with the security requirements of 105 CMR 410.480(D).
(1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar-
bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests
or otherwise contribute to accidents or to the creation or spread of disease.
(J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public
Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.)
(K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or
other dangers or impairment to health or safety.
(L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating,
gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352,
so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety.
(M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release
of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105
CMR 410.353.
(N) Failure to provide a smoke detector required by 105 CMR 410.482.
(0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or
knowledge of the owner of said condition or conditions:
(1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either inoperable.
(2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any
defect which renders them inoperable.
(3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of
generally"accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard.
(4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as
required by 105 CMR 410.503(A)and 410.503(B).
(5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550.
(P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con-
dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner
to remedy said condition within the time so ordered by the Board of Health.
a
r
Parcel Detail Page 1 of 3
N J4 TtI
-
f 'C4
3 4
Logged In As: Parcel Detail Friday, Mi
Parcel Lookup
Parcellnfo
Parcel ID 020-018 Developer PARCEL A
Lot
Location 25 LEWIS POND ROAD Pri Frontage 80
Sec
Sec Road
- Frontage
Village COTUIT Fire District[COTUIT
Sewer Acct Road Index 10888
c:
Interactive �-Z
Map
- Owner Info
owner LOWE, DOLORES K Co-owner
Streetl P 0 BOX 1790 Street2 I
city COTUIT _ state rm-Tj Zip FO-2635- �j country
- Land Info
Acres 0.16 Use.Singes le Fam MDL-01 Zoning RF Nghbd r0108
Topography ,Level _ - _ �I Road Paved
Utilities Public Water,Gas,Septic Location '
- Construction Info
Building 1 of 1 r RoofJJ
illt 1945 -- Stud Ext
Built Gable/Hip -:I wan FCI bard -------�
Effect - Roof - AC
676 1 Asp GIs/Cmp� None
Area - --- — — - — Cover -- --- - Type -------
Style Ranch Int Plastered Bed
Wall Rooms Bedroom
t1 Bedroom -�
--
Model Residential 1 Int 1 Bath n1 Full
- Fl oor __ _ - --- _._, Rooms
Heat ' Total F:"=
Grade 'Below Average :I Type IHot Air _� Rooms i3 Rooms
-
http://issql/intranet/propdata/ParcelDetail.aspx?ID=845 5/18/2007
Parcel Detail Page 2 of 3
jB
ti
r.7.
: ` Found-
Stories 1 Story HeatGas Typical
--- Fuel -- ation
Permit History
Issue Date Purpose I Permit# Amount I Insp Date Comments
Visit History
Date Who Purpose
3/6/2007 12:00:00 AM Sheila Fowler In Office Review
3/7/2005 12:00:00 AM Paul Talbot Meas/Est
9/10/2002 12:00:00 AM Paul Talbot Meas/Listed
6/3/1999 12:00:00 AM Frederick Stepanis Meas/Listed
- Sales History
Line Sale Date Owner Book/Page Sale P
1 6/21/2001 LOWE, DOLORES K 13960/293
2 2/3/1999 LOWE, KING F& DELORES K TRS 12041/039
3 10/27/1998 LOWE, KING F & DOLORES K 11791/094 ;
4 2/15/1982 NAILOR, DAVID A 3430/62
- Assessment History
Save# Year Building Value XF Value OB Value Land Value Total Parc(
1 2007 $52,400 $0 $600 $208,300
2 2006 $50,000 $0 $600 $192,300
3 2005 $50,300 $0 $0 $170,700
4 2004 $42,100 $0 $0 $123,700
5 2003 $35,200 $0 $0 $61,700
6 2002 $35,200 $0 $0 $61,700
7 2001 $64,700 $0 $0 $73,500
8 2000 $57,700 $0 $0 $44,400
9 1999 $45,600 $0 $0 $44,500
10 1998 $45,600 $0 $0 $44,500
11 1997 $33,500 $0 $0 $44,400
12 1996 $33,500 $0 $0 $44,400
http://issql/intranet/propdata/ParcelDetail.aspx?ID=845 5/18/2007
Parcel Detail Page 3 of 3
T3 1995 $33,500 $0 $0 $44,400
14 1994 $37,800 $0 $0 $49,900
15 1993 $37,800 $0 $0 $49,900
16 1992 $43,000 $0 $0 $55,400
17 1991 $46,800 $0 $0 $59,100
18 1990 $46,800 $0 $0 $59,100
19 1989 $46,800 $0 $0 $59,100
20 1988 $43,700 $0 $0 $33,200
21 1987 $43,700 $0 $0 $33,200
22 1986 $43,700 $0 $0 $33,200
Photos
http://issql/intranet/propdata/PareelDetail.aspx?ID=845 5/18/2007
f
Town of Barnstable
�OpTHE Taw
y�P Regulatory Services
+ BARNS-TABLE, • Thomas F. Geiler,Director
y MASS.
i639. Public Health Division
prfb MA1 R
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
May 21, 2007
Attn: Cotuit Fire
Health Inspector Meredith E. Morgan conducted a rental inspection in accordance with
Chapter 170 of the Town of Barnstable Code. In accordance with the State Sanitary
Code, 105 CMR 410.482, the Health Department is required to notify the Fire
Department if there is a smoke detector violation, or possible smoke detector violation.
The following property had possible smoke detector(and\or CO detector) violation(s):
25A Lewis Pond Rd. Assessors Map-Parcel: (020-018):
Smoke detector lacking in basement and not operable on first floor.
Meredith E. Morgan-Health Inspector
QAOrder letters\Housing violations\Rental ordinance\\Fire Violations\FIRE TEMPLATE.doc
TOWN OF BARNSTABLE
LOCATION L�, � y � SEWAGE # 9
VILLAGE �� '� � ASSESSOR'S MAP & LOT02 0
J. gMIG MEDEIROS 4- o`''
"':INSTALLER'S..,NAME & PHONE NO , . 78 LINDEN
n{ HYANNIS, MA 02601
SEPTIC TANK'CAPACITY
LEACHING FACILITY:(type . wj>`_?��(size)
s ,
NO. OF* BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDE �7it OWNERS z.r �W j�I/.t�
DATE PERMIT ISSUED.
M�4 �.y .r •r x' / f
AT COMPLIANCE ISSUED.yq
VARIANCE GRANTED: YeS'u No ,s_
t
r k
� � 1
o
3} 0
(V
No
THE COMMONWEALTH OF MASSACHUSETTS �Q3�
BOAR® OF HEALTHCb
°p AR 3 ,1 199';
ApptirFatiou for Disposal Workii Tomitrartio rr�t
Application is hereby made for a Permit to Construct ( ) or Repair (--�'an Indl C1 Se isposal
System at:� �-�
........._ - .------ -------
c • Address o Lot N.
..... ......... s" - --------------
Ow et �>
Installer..... ..... ............................ ...... Zs;;5..... ... Ado s
TyperB4uildin Size t----------------------------Sq. feet
aDwelling—No. of Bedrooms__.................................Expansion Attic ( ) Garbage Grinder ( )
p4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a Other fixtures ................................. .
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
GG Septic Tank—Liquid"capacity............gallons Length................ Width---------------- Diameter_______.________ Depth................
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by------. ---•-•••.................••--••-••-------•-------------------..... Date........................................
Test Pit No. 1________________minutes per inch Depth of Test Pit____________________ Depth to ground water_-_____-___________._---
G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------..................
W --------- -----------•---------------------•••••-•-••••--•--------•-•-•---------------------------...........•---------------------------.-----
0 Description of Soil............---- --•--•----- - -------------•--------------•-----•-•-----------------------------------------------------------------------•---------•------
U ----------------------------------------------------•- --- --------....•---•-•----•-------------------•--------•-------•---------••-----------------------•---------•-------------•------...
__________________________________________________________________________________________________________________ _______
U N ure of Repairs or Alterations—Answer wh n app icable.____ ._ _ .... � __
� -�` a =`
g ement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with R
TTnlx-�
the provisions of �.-I s: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee issue by the board of health.
Signed..... .. �J .... /
Application Approved B ____.__"__._ `°" �✓------ --------- --•--•��-- ----•--------
Date
Application Disapproved for the following reasons: ---------------------•--------------------------------•----------------
-•..................••-----•-•--------......._..--------•---...=•-------•••-•--••..........-----------..._.__-•-----------------•-•------••----•---._..........----•-•--------•-_._...-•---------•------
Da
Permit No._.4'._._........ --------if------------- Issued.. `✓... ___E`_'__
----------
DatL
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
I M A�C(, I
"J L
DATA
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
--.._ --_..... ................. ............--......'`-----------•-•-•---------•--......._...--•---•.
Appliratiott for Disposal Works Tnnstrnrtinn Vrrnti#
Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal
System at:�,,.✓'�
Location-Address "" v /--or Lot No.
• •-• -
r - Owner I Address.
l ess/
Installer Addr
as \ �� -
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
0.1 Other fixtures ---------------------------------------------------•••---••••.
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed bY.......................................................................... Date......................................1.4
..
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.......................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water____-__--__---_--______-
----"^'------- -----•------•--------------------•------••---•------•-•---..........--------...---------•---•--......---....-----------........•..---------
ODescription of Soil............ ------------•--...----•------------------------------------------------------------..............................................
--••••••-•-•••--•••----•--•---•---•••----•------•--•••-------------••-••---•-••-••••••--•-•....•-•----••----•---•-••••-••-•-•......-•---•--•---•-••••---•-..........................................
UW ••--••••--•------------ ---------------------------------------------------------- ............................................==--•••=..........•-•-••......•_•---'•-.....-'"- `......--- ---
Nature of Repairs or Alterations—Answer when applicable..._ /�._z_�.'."__ '' __A__./:.._.._.A./ 4-
••---------------------------- •••-• -•-•- �.......---- ...
---------------
Agreement; f
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
12T+�1-^
the provisions of T T 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health. �
Signed.... I I/ ��_:._:_ +'" � . � �'s.�r. 3/3 o/:
----•------------•-•---•---------•----------•------- ------- -
�-��' Date _
Application Approved BY== ti1.R'. ,rr '"' '"". ...
a� Date
Application Disapproved for the following reasons:.. -------------------------------•------------------------------------------_••----
-----••-•-•-••••--•-••-••-----•-•--•--•••-•-••-•---•-••--•-..............................................................-••---••--------••----••--•-•••-•--•--•-•-.......---•-•--•-•-••-•••-•--.......
Date
Permit No --. G Wit'....--- �-�---� .-----..... Issued.----= :::I....---f -'=---��------�,.,.-'=----------
THE COMMONWEALTH OF MASSACHUSETTS
BOARDD OF HEALTH
...............................................................
Cwrrtif irab of TuntpliFanre
THIS IS TO-,CERTIFY; That the Individual Sewage Disposal System constructed ( ) or Repaired (�)
by ......- • M •---•-------------------------•-- ...... ...--•---•-•--------••--------•-
(
at........ u "�` •
---------- -- /�---•.. ---•-----•=="�'�----"Z-------l
,. ="`
has been installed in accordance with the provisions of TITLE 5 of The StaterSanitary Code as described in the
application for Disposal Works Construction Permit Z ell dated. �- '
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.............................•....-----•-•---•.......--•---•-••••---•••••-_..... Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
/G> ..,� ,,-•-..irn.........,O F Lr .,_ Tf a'V
N .:1 • -•---_.....r am f� (J FEE.
Disposal,Works Tonn#rndion firrmit
, .
Permission is hereby granted.,:_.. -'=-=----•---••-:--..:..-�---'�==`'�'....................._........................................................
to Construct ( ) or Repair (,� )an Individual.` Sewage Disposal System A
at No. ......................(/1 )- C�til _ _ . - AA,4 ti r 1
.................•......:--....___-......._..........._.__._.._......................;.. -
as shown on the application for Disposal Works Construction ro�.���'��' Dated"_
+ Board of health J
t
DATE.... •-V ----------------
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
L 0 T ION SEWAGE PERMIT NO.
VILLAGE
INSTA LLER'S NAME i ADDRESS
I CRAIG MEDEIROS �5jo
me ing Tulldo ing
2P OWNER Hyannis, Mass. 775-0828
�9P7
DATE PEWNIIT ISSUED
DATE COMPLIANCE ISSUED
-�- i 1pf�
T
/// " \. ;
LO�f-� TION SEWAGE PERMIT M0.
'- _ tj
VILLAGE
IMSTA LLER'S NAME a ADDRESS
I CRAIG ME®EIROS f%cool
Tmcking V TalldoKing
wi OWNER Hyonnls, Mass. 775-0828
DATE PE IT ISSUED
DAT E COMPLIANCE ISSUED
i
Ono
a
A avS
V.
'01
rs _
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
j...�..°^�.n...............OF....../.........fl..........
Appliration for Diipuiittl Work,i Tonstrurtivit unfit
Application is hereby made for a Permit to Construct ( ) or Repair (rXan Individual Sewage Disposal
System at
Locati n-Address or LoF Npr--1
....................... /-1/:.P.....!e....................-....................
Owner �- :a - d
� ! hA
'� s..�
_....... ....... �..aW :
A. e -•..... ... ...........:..... /�f L6r?
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—Type T e of Building ............... No. of ersons........_._......._.._...... Showers
P., YP g ------------- P ( ) — Cafeteria ( )
a' Other fixtures ..................................
d ............... ... ----------
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No-------------I-------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
1' Percolation Test Results Performed by,......................................................................... Date...................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-------------------------------•---•----•--•----.....-----------•---...-•-•-----•---•--•----•--...........-•-•--........---------•-•...._----•-----...-----
ODescription of Soil -.. .. •-•.................•----------•------------•----•••--••------•-----...---------••--------•-------------.....----•------
U ...............•----•--•--------------•--.....-•••�...�.
W
U Nature of p ' s or Alterati s—Answer when applicable__....�ti___ ____ ___________________________��
-------------------------•---.....----._.................--------------------••-----•-----•••......-- • ......................... ........
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been iss by the board of health.
Signed---- ---............ ..................................................... ...� ..... ..........•---
Dat
Application Approved By------ �ffollowing
.......... •. ................ .........•-•.........---•-•-•-•---- .........0 . ...............
....-------•--•-••--•--•----------------------•••---••----...•---•-•-•---.........------........._...---•---•-•-••-----•-----•--••-•-•-•----•------•-••- .............................................
Permit No....... Date
................ Issued...----
Date
No ..........._....... FEB..............................
' THE COMMONWEALTH OF MASSACHUSETTS
1
BOARD OF HEALTH
......._:.`' ''...� . ....--..OF...... .
Applirtttinn for Diipniial Varkii Cnnnitrnrtiinn Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair (tan Individual Sewage Disposal
System at ..-.:
.... CI.."o �... l�...�
Locati n W-Address or Lot N9* t /
.................................. .
i .. a.t<... ..............•-•--........_.....:..... ......... ...'. — /1.(... 61 :0�.-f1
'. Owner� ,. Ad •�
P Installer s
Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther
—Type of Building --.... No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures .......................................................................................................................................................
w Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench— No.i...................Width__.............._... Total Length.................... Total leaching area...................asq. ft.
11,
Seepage Pit No..................... Diameter............---..... Depth below inlet._......__.......... Total leaching area..... '-'sq. ft.
z Other Distribution box Dosing tank r
( ) ( ) { r
a Percolation Test Results Performed by.......................................................................... Date.---•--------------------------
•--------
Test Pit No. 1................minutes per inch Depth of Test Pit.--............. Depth to ground water......................--
114 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 ......••-- ..... .......--••-•••--••----•••..........:..................
O Description of Soil......................
.......................................
.............-.................................................................................................................................................. •-
Nature of Re a i s or Alterati ' s—Answer when a licable----••e2r� see � ._
U P PP
....--------•-••-•-•••••-••..............
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE; 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
open ation until a Certificate of Compliance has been issuedby the board of health.
y,
•' y
v
Sig
si�
Application Approved By--••••C I ....-•••••••-••...................
v
Date
Application Disapproved for t following reasons:--•••••••----••••••••••••-•.....•-••-•-••••-••••••••-•......-••••-......--••-••.................................
•--•-•----•----------------------------•-........-•---•-----•-•--•-•-----••-•--------.......:------•-•--••--•------......•-•••••••-•-•••--••••----••••••••--••......•••=•--•---••••••-•....••••.....---
PermitNo........... S-r.............. -----•-------• Issued....-----•-•----........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
4
��.....: -� BOARD OF HEALTH
................................O F.. ........:.... ...............................................................
Trrtif iratr of Tantliliatta
TH S IS, CERTIFY, T at the Indivi 1—Sewage Disposal System constructed ( ) or Repaired (�)
by.... ! . -.. -- --•-•--_- _________---•---------•-------------•-----___--•---•--• --__- , ___-
--....... .....-••---- .. --------------- •-•---•------------..' ti-,---•------ -___________---
has been installed in accordance with the provisions of TITLF$�Qf.5l�Aate Sanitary Code e�,�i the
application for Disposal Works Construction Permit No................................... .... dated-.-..----_.-.-.-.... .-..... -.__.._.-...._.._
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UED AS A GUARANTEE THAT THE
SYSTEM WILL FUN9TION SATISFACTORY.
DATE................... ./.f.....-•-...... Inspector.............. -. .. ......-
THE COMMONWEALTH OF MASSACHUSETTS '
_ BOARD OF HEALTH
'"'.........OF.... -vs,, t�...............................
No........................:'' FEE........................
�i��n��t1 nrk� �nn�trnrtinn �erntit
Permissionis hereby granted -------------------------•----••••-••••-•-•---••-•••-•-•-•--••-•••-••••-•••--••••••........_......._..............---......
to Construcr�Rrgpair ( ndividu l =age Lisp s S
at ..i
Street �' � 1I_ `-� •
as shown on the application for Disposal Works Construction Permit No._f_..... .�_ Dated................ . ........:.�. _..-.
...-•-•---------•-........_ � ..............................................................
r Board of Health
DATE .... 1. ._............................................
FORM 1255 A. M. LKIN• INC.. BOSTON --
NOTES
LL
SYSTEM PROFILE AMARK D WITH SYSTEM CMAGNETICTTAPE OR S SHALL BE moo.
PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE)
COMPARABLE MEA14S FOR FUTURE LOCATION. 1. DATUM IS APPROX. NGVD
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING
\ TOP FOUND. EL. 39.76' PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. o�
f35.0 MINIMUM .75' OF COVER OVER PRECAST . 2% SLOPE REQUIRED OVER SYSTEM a
f34.5 4. DESIGN LOADING FOR ALL PROPOSED PRECAST �'� Locus
PRECAST H-10 UNITS TO BE AASHO H-19 o a
RISERS (TYP.)
2'o 4"OSCH40 PVC °
'. PROP. TEE PIPES LEVEL 1ST 2' n 5. PIPE JOINTS TO BE MADE WATERTIGHT. a
2" DOUBII WASHED PEASTONE
;� (UNKNOWN SEWER - r�
Exlr LOCATIONS) OR GEOT LE FABRIC 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE 011d 4
10" 1500 GAL H-10 14" 32.0 WITH.310 CMR 15.000 (TITLE 5.) School
f '33.0' TEE SEPTIC TANK TEE \32.759' o00_.000000. 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND
GAS BAFFLE% 0 31.5' NOT TO BE USED FOR LOT LINE STAKING OR ANY
OTHER PURPOSE. COtult
: 31.68' 31.51' 2•
"` •'s'` ` 6" MIN. SUMP I.P.9 29.5' 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC, Bay
12" MIN. INT. DIM. H-20 3050 INFILTRATORS She// B/Uff
9. COMPONENTS NOT TO BE BACKFILLED OR
3 4 TO 1 1 2 DOUBLE WASHED STONE CONCEALED WITHOUT INSPECTION BY BOARD OF o, f
NOTE: INVERTS INTO CESSPOOL ® 34.5' & 34.3' 6" CRUSHED STONE OR MECHANICAL / / HEALTH AND PERMISSION OBTAINED FROM BOARD e�� p
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL COMPACTION. (15.221 [2]) OF HEALTH.
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS g 7 OVERALL DIMENSIONS TO OUTSIDE OF STON€: 30.4' X 10.25' ,
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM ( % SLOPE) ( 1 % SLOPE) 5.7 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP
LEACHING CALLING DIGSAFE (1-888-344-7233) AND
FOUNDATION- 20' SEPTIC TANK 1 1 D' BOX 3' VERIFYING THE LOCATION OF ALL UNDERGROUND & NOT TO SCALE
O MIN. 2% SLOPE FACILITY OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF
WORK.
NO GROUNDWATER FOUND 23.8
BOTTOM TH-1 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 20 PARCEL 18
VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE SHALL BE REMOVED 5' BENEATH AND AROUND THE
IMMEDIATELY GRANTED BY THE BOARD OF HEALTH AGENT OR PROPOSED LEACHING FACILITY.
BY HEALTH INSPECTOR .34 12. EXISTING LEACHING FACILITY SHALL BE PUMPED
PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED AND REMOVED OR PUMPED AND FILLED WITH CLEAN
BY THE BOARD OF HEALTH REVISED DURING A PUBLIC SAND.
HEARING HELD ON AUG. 4, 2009
co
2) FAILED SYSTEMS ONLY : SEPTIC SYSTEM COMPONENT TO SYSTEM DESIGN.
FOUNDATION SETBACK, IF AN IMPERVIOUS LINER IS DESIGNED
AND INSTALLED (10' OR GREATER ALLOWED). �� ` ` o
ROAD
GARBAGE DISPOSER IS NOT ALLOWED
LEWIS POND,
a _ 2
_ EPFL- -"- ate- If`- - �r 4 DESIGN FLOW: 2 BEDROOMS ® 110 GPD =220 GPD
AVED
3 .12 "
(EXISTING 2 BEDROOM)
x W
PARCEL A ��.2 NOTE: BUILDING SEWER
6,966 SFf I 38.4 LOCATIONS UNKNOWN (THERE SEPTIC TANK: 220 GPD (2) = 440
�C 0138.46 i ARE 2 SEWER LINES INTO USE A 1500 GAL. SEPTIC TANK
39.64 39 49 EXISTING CESSPOOL)
. ,Z� 1 DIRT '�38. 0
PORC 39.43 /.l91 �. _.. .
LEACHING:
3 I '�j�
x3 84 E O FND '. 0 38. 1 1 SIDES: 2(30.4 +10.25) 1.85 (.74) = 111.3 GPD
ELEC 1 BOTTOM 30.4 x 10.25 (.74) = 230 GPD
METER
� .CRAWL 3g ���
TEST HOLE LOGS SPACE 3811
TOP FNDN �" -*3 .67 TOTAL: 461 S.F. 341.3 GPD
PROVIDE 20' OF 40 MIL LINER EL=39.76' x 3 . P
AT 5' OFF SAS IN AREA arex� 0D CAUTION: GAS LINE IN AREA USE (4) H-20 3050 INFILTRATORS,
ENGINEER: DANIEL A, OJALA, PE. SE#1805 SHOWN. TOP AT EL. 32.0', 38 _ '�" 36
BOTTOM AT EL. 28't x 37.66 X H �� x 35.67 36.48 OF PROPOSED SYSTEM WITH 1' STONE AT ENDS AND 3' AT SIDES
'
WITNESS: DON DESMARAIS, RS
DATE: 4-20-2012 �� 7.12 3 x 36. O�
INVS ® CPOOL �s 1 Of Of BENCHMARK: CORNER
PERC. RATE _ < 2 MIN/INCH ELs. = 34.5' & 34.3' o BULKHEAD AT EL. 37.8
CLASS I SOILS P# 13610
15 34.
ELEV. ELEV. NOTE: WATERLINE �s 9� s \,�33 MA
1 z LOCATION PER PLAN, 36 L 33, APPROVED DATE BOARD OF HEALTH
0" 33.8' 0" 34.3' PREPARED BY 34.78 36.86'
CAPESURV, D.
SS 2/28/00
10YR 3/2 10YR 3/2 �3.95 31.75 CONC. x 31.56 TITLE 5 SITE PLAN
6" 33.3' 6" 32.8' 3 r1, COVER OF
B B
x 32.80 3 EXISTING
25 LEWIS POND ROAD
LS LS 32 3 '47 DWELLING - 30.68
G DWELLING
7.5YR 7/6 7.5YR 7/6 x .5 ETER M E 29.94
COTUIT MAR25" 31.7 26 32.1 SHED
X 31.11--`31 I30.62 PREPARED FOR
C c BORTOLOTTI CONSTRUCTION/LOWE
PERC
MAY 3, 2012
M/CS M/CS
2.5Y 8/2 2.5Y 8/2 �S�OFMq off 508-362-4541
Sq
o 'DANI c� I fax 508-362-9880
o OJALA A.L D downcape.com
A ANIEL �+
CIVIL C3 OJALA dowa cape e# blee-Ping iac.
120 No. No,40980 f
23.8 120
„ 24.3' �°FS`� �STE��q� 1,��F s%° o� civil engineers
Scale: 1 = 20 j SION C1. g - land surveyors
NO GROUNDWATER ENCOUNTERED 939 Main Street ( Rte 6A)
o 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675
DCE # >2-08 > .