HomeMy WebLinkAbout0032 MAIN STREET (COTUIT) - Health 3Lan et
3
1 .
I
i
Town of Barnstable Barnstable
°6T Regulatory Services Department �`�.1
= BARN EM • I
Public Health Division
039.
QED"AA'�a 200 Main Street, Hyannis MA 02601 zoos
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7015 1730 0001 4988 0350
May 22, 2018
HALL, DARLENE
67 CUL DE SAC WAY
EAST PROVIDENCE, RI 02915
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 32 Main Street, Cotuit, MA was last inspected on
5/05/2014 by James Ford, a certified septic inspector for the State of Massachusetts.
The inspection of the septic system showed that the system "Fails" under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Single cesspools.
You were originally ordered to repair or replace the septic system before February 29,
2017; however,this system was not repaired or replaced as ordered. A second notice was
sent out to repair or replace the septic system before May 10, 2018.
You are ordered to repair or replace the system within 6 months from receiving this
notification.
Failure to repair/replace the septic system within 6 months will result in scheduling this
issue before the Board of Health at a public meeting.
PER ORDER OF THE BOARD OF HEALTH
T o e n, R.S.
Agent of the Board of Health
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\32 Main St Cotuit Third Notice
BOH.doc
_�_ 6A
/J`—J?-0 6or� ,L l/
oFT�r�
Town of Barnstable P#
Department of Regulatory Services
BARNSTABLE, : Public Health Division Date
y MASS.
w
�p rasa• �e� 200 Main Street,Hyannis MA 02601
/ ♦ ��
Date Scheduled,
Time Fee Pd._ T hQ�6y CXD
�k
Soil Suitability Assessment,for SMeDisposal
�Performed By: N � � Witnessed By
--T 0,CATI0N &_GE—NWRAL-IN F0—P,JdAAIIOl`�T
Location Address �a � Owner's Name PO—
Address
r j'-( b
Co�u�'�
Address
Assessor's Map/Parcel: OC� Engineer's Name 0 W V1_ e
NEW CONSSTTRRUCTION REPAIR �Telephone# 6 0, J�Gjo1— !F
Land Use - �( �:4 g „�� a • Slopes(%) ���/ °�� Surface Stones Q
Distances from: Open Water Body T ft Possible Wet Area ft Drinking Water Well Z5 ft
Drainage Way vv ft Property Line ,5 ft Other /' ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
hA
Z-
Parent material(geologic) Rid t Depth to Bedrock—!
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face
_Estimated.Season to._ a1 FIigh Cnound��a,.,r.
DETERMINATION FOR SEASONAL HIGH WATER TABLET
Method Used:
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 Date Time
Observation
Hole# Time at 9"
Depth of Perc Time at 6"
Start Pre-soak Time @ Time(9"-6")
End Pre-soak
✓�-
_ - Rate Min./Inch
�P¢ / - -
Site Suitability Assessment: Site Passed- Site Failed: Additional Testing Needed(Y/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
DEEP OBSERVATION HOLE LOG Hole#_�
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consisten %Gravel
40
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- 16834
�4 zz b Ls ►oy)-S/Y
Cl Aie.$ 16Y 8 q��
i
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravely
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Stricture,Stones,Boulders.
Consistency.%Gravel)
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes v
Within 500 year boundary NoV�Yes
_
Within 100 year flood boundary No v Yes
Depth of Naturally Occurrinjz Pervious Material
Does at least four feet of naturally occurring pervious 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 Envir &mental Protection and that the above analysis was performed by me consistent with
the required training,expertise and experience described in 310 CMR 15.017.
Signature Date ofiq
Q:\SEPTIC\PERCFORM.DOC
�C0 •. memalb
IoOFFICIAL �_-
0' Certified Mail Fee
Er
Extra Services&Fees(check box,add fee as appropriate)
❑Return Receipt(hardoopy) $
C3 ❑Retum Receipt(electronic) $ Postmark
El Certified Mail Restricted Delivery $ `Vere (�f
3 ❑Adult Signature Required $
[]Adult Signature Restricted Delivery$ \a
tZ;l Postage 10 9 Z g
m
rya Total Postage and Fees
sent To HALL, DARLENE�
S�ieefai 67 CUL DE SAC WAY
c.iy sra EAST PROVIDENCE, RI 62915
m1mMir-r-mr.r.r.y.
Certified Mail service provides the following benefits:
■A receipt(this portion of the Certified Mail label)_ for an electronic return receipt,see a retail
■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
■Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
■A record of delivery(including the recipients retail associate. 1
signature)that is retained by the Postal Service— Restricted delivery service,which provides F-
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent
important Reminders: Adult signature service,which requires the
•You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mai®®,First-Class Package Service®, available at retail).
or Priority Mail service. Adult signature restricted delivery service,which
•Certified Mail service is notavailable for requires the signee to be at least 21 years of age,
International mail. and provides delivery to the addressee specified
■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retai).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
■For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for
the following services; postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply F�
You can request a hardcepy return receipt or an appropriate postage,and deposit the mailpiece.i j
electronic version.For a hardcopy return receipt, -+-- t
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailpiece;' IMPORTANT:Save this receipt for your records.
PS Form 3800,April 2ois(Reverse)PSN 7530-02-001- 7
ETE THIS
SECTION ON DEL,
in Complete items 1,2,and 3. .k f Sign re
❑Agent
e Print,your name and address on the reverse'..* �-�` '`� i � 9
so that we can return the card to you. f , ❑Addressee
10 Attach this card to the back of the mailpiece,' Byl eceived by(Printed Name) C: Date of Delivery
or-on the front if space permits.
1. Article Addressed to: D. Is delivery address different from Rem 17 ❑Yes
If YES.enter delivery address below: p No
'HALL RLENE `
h {G7 CU ,.DE SAC WAY '
',EAST.PROVIDENCE, RI 02915
3..Service Type ❑Pho'*Mail Express®
II I IIIIII IIII III(III I II I I I I I i I II I II II I I I III q Adult Signature ❑Registered Mail R
Adult Signature Restricted Delivery ❑Registered Mail.Restricted
Certified mail roe Delivery
9590 9402 2480 6306 7524 49 ❑Certified Mail Restricted Delivery Return Receipt;for
❑Collect on Delivery Merchandise
2._Alticle Number/Transfer frnm_enn' i Y n — r?-c .r-iDelivery Restricted Delivery O Signature ConfirmationTM
: , ; {1 ail El Signature Confirmation
7 015`•17 3 0 110111 14990 15 81 ill Restricted Delivery Restricted Delivery
over
P,:. Form 3811.,.July 2015 PSN 7530-02-000=9053 Domestic Return Receipt
First-Class Mail
Postage&Fees Paid.
USPS
Permit No.G-10
9590 9402 2480 6306 7524 49
United States •Sender:Please print your name;address,and ZIP+4®in this box*
Postal.Service
d
Town of Barnstable
�r Health Division
200 Main Street
Hyannis,MA. 02601
i
�lrlitjrr'its:Iil{il'rJ'III'�l''i�'ifs}'i.Itill' ji��li��rrit�rrrf!
m v
Town of Barnstable Barnstable
°� Regulatory Services DepartmentBARNSTAB
KAM
` ,16,59. Public Health Division
200 Main Street, Hyannis MA 02601 200�
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7015 1730 0001 4990 1581
May 10, 2017 - SECOND NOTICE
HALL, DARLENE
67 CUL DE SAC WAY
EAST PROVIDENCE, RI 02915
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5
The septic system located at 32 Main Street, Cotuit, MA was last inspected on
5/05/2014 by James Ford, a certified septic inspector for the State of Massachusetts.
The inspection of the septic system showed that the system "Fails" under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Single cesspools.
You are ordered to repair or replace the septic system within one (1) year from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE OARD OF HEALTH
Thomas McKean, R.S. CHO
Agent of the Board of Health
_ a
Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\32 Main St Cotuit Second
Notice:doe
a
TOWN OF BARNSTABLE
LOCATION kJ�-1�', SEWAGE#
VILLAGE tJ—IT- ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. J G t.
SEPTIC TANK CAPACITY I otL
LEACHING FACILITY:(type) (size) 14 93 KJ-e
NO.OF BEDROOMS
OWNER .1V—L
PERMIT DATE: I-"'-- 1-1 9 COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility .� Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) N Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) f Feet
FURNISHED BY Osier' L li�c L:rJ�/y.yvr/K-P
Rorie v
00
to�b
4
No. Fee l
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Rppfitation for Misposal 6pstetn Construction 3pQrmit
Application for a Permit to Construct( ) Repair(&4 Upgrade( --j".bandon( ) Complete System ❑Individual Components
r
Location Address or Lot No. a M� s� CV TV 11� Owner's Name,Address,and Tel No.S/6/-�137- yO 5•
Assessor's Map/Parcel
Installer's Name Address,and Te.No.,jos-Y,2$-�-.(p Designer's Name,Address,and Tel.No.So6-3(„�� `- qW1
'ply 1,.Z-oG- o ,t�,Xe�l� `p 2Z 931i 1Val*
Type of Building:
DwellingNo.of Bedrooms Lot Size �-
.SO sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min. 'required) 33 U gpd Design flow provided 3 L gpd
Plan Date (spy,a5,'9 O 12� Number of sheets / Revision Date
Title 1: 04
Size of Septic Tank . �J`���2 911,0 Type of S.A.S.Q5 LK IQ, 'Y
Description of Soil S¢._
Nature of Repairs or Alterations(Answer when applicable)
I
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 Environment ode not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed r Date g
Application Approved by Date /"2
Application Disapproved by Date
for the following reasons
Permit No. 3 Date Issued �� ��
1►
No. /.' r .. Fee !
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.
Yes
PUBLIC HEALTH DIVISION --TOWN OF BARNSTABLE, MASSACHUSETTS
01pplitatlon for Misposal'*pBtrm Construction Vertu t ;,
Application for a Permit to Construct( ) Repair Upgrde:( bandon( ) Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address94A-14-Hai" ,and Tel��jor%I 5"3 VO FS•
Assessor's Map/Parcel ,2,3 ,h i��i 4a ,2- ,AT- Q a 9/6
Installer's Name,Address,and Tel.No.jU's-Yl s-&ja1((4p Designer's Name,'Address,and,Tel.No-5-08
�t'�o{c� <���'�,��"fc..K.�••tUl'�,,-�a�c, • ftci' 25
Type of Building
Dwelling No.of Bedrooms 3 ` X Lot Size /8,So7 sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 33 0 gpd Design flow provided 3 / gpd
Plan Date(�tttJ , a ,c 4 4 P� Number of sheets / Revision Date r
Title T''�e_ !`a ^'5d—n �3"1(aA, ct 3O AA 5Yce i 6&U t� . m1
Size of Septic Tank / 3 Uoq Q v IL7 Type of S.A.S.aS L K la." ) f.-0-,a-U & -�Ltx 22
Description of Soil. ".('_ (r.e,Xj
v
7
Nature of Repairs or Alterations(Answer when applicable)
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,Cbde and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed n : D'"aT.� `��
Application Approved by Date / 2 ;Z. -
Application Disapproved by �'� ��» �""-D to�for the following reasons - • """'" "' '
Permit No. ? U f� 3 Date Issued
-
r THE COMMONWEALTH OF MASSACHUSETTS
-BARNSTABLE,MASSACHUSETTS-`
Certificate of Compliance.
THIS IS TO CERTIFY;-that th'O/yn-site Sewage
f(Disposal system Constructed( ) Repaired(. Upgraded( )
Abandoned,{( )by 1 CA, a_f c
_ - at � 1(E l�Y7 <2n+t," I has-been constructed in accordance
with the,provisions of Title 5 and the for Disposal System Construction Permit No.)O ` L dated 3 7
Installer 13Dr-6' 4 '.)n4 jX J((wN Z--e-• Designer (%Za �`_rrx�t.n'1,<a�z�Al
#bedrooms A 3 Approved,design flo gpd,
The issuance of this permit shall not be[construed as a guarantee that the s m will�ction�� d\ igned. f
Date i �1 Inspector
.t
- . - _- - - - _- - -- -- ---- - - - - -- -- ---- -- --- ---------- ----
No Fee
2� t Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS
Disposal *psteln Construction 3permit
Permission is hereby granted to Construct( ) Repair K Upgrade( ) Abandon( )
System located at mewl^, S4
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:Constructio must be completed within three years.,of the date of this permit.
J
Date 2- ^'? _ / ,- ` ~ _ i Approved by ^:�
Town of Barnstable
VE
P o Regulatory Services
Thomas F. Geiler,Director
�: saxt�sxe�t rr,
Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,IOTA.02,601
Office: 508-862-4644 Fax: 508-790-6304 .
Installer&Designer Certification Form
Date: 1 28 ( Sewage Permit# U�' Assessor's MaplPareel 23 3
Designer: DOW�P L6 K=w6 Installer. 1�2d�-j`�L-OTTI cONMlJOR
Address:
�.�� MklN ��rzdr �A1 Aaiolr°ess: . 45 tWhOM pD. PD�oX 70�-
j
On / /"�� go�; , ,r - �J�'C a. ivas issued a permit to install a
� � �
(date) (insta.11ex)
septic system at_32 MA rN ST . COT121r based on a design drawn by
(address
i
DANIEL A- OJAIP, Fe , dated OG 2_15, ZO f 5 .
(designe )
VI 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 tank
i
I certify that the septic system referenced above was installed with major changes (i.e. I
greater than 10' lateral relocation of the SAS or any vertical relocation of any component I
of the septic system)but in accordance with State&Local Regulations. Plan revision or
terrified as-buipy designer to follow.
DfiMELA. ��• I
(Installer'sSignature) so OJALA
Cl)5, " CIVIL
No.46502
S T ER
. � � ( •28•-?.c�l� ��SroNa� tip=
(Designer's Signature) (Affix Designer's Stamp Here)
]PLEASE RETURN TO BARNSTABLJE PUBLIC HEALTH DMSION CERTIFICATE OF
COWLL4NCJE WILL NOT BE ISSUED UNTIL BOTH THIS (FORM AND AS BUILT CARD ARE
RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU i
. I
Q:Health/Septic/Desiper Certification Form 3-26-04.doc
i
��zTati Town of Barnstable
Regulatory Services
* BAR vsrAB[S
KAM Public Health Division
°rfp 59. Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
March 4, 2019
TO WHOM IT MAY CONCERN:
This is to document that the property owner at 32 Main Street, Cotuit, upgraded
their septic system from a single cesspool to a fully compliant Title V system
which is designed for three bedrooms. The septic permit#2018-382 was
completed on January 28, 2019.
If you have any questions, you may contact the Health Division at 508-862-4644.
Sincerely,
Sharon Crocker
Adminstrative Assistant
Keeper of the Records
Public Health Division
Town of Barnstable
ru
m I Own
m
r"' Certified Mail Fee
ru
nJ $ / lyl Ji
Extra Services&Fees(check box,add fee as appropriate) l' '
rl ❑Return Receipt(hardcopy) $
C ❑Return Receipt(electronic) $ I f tJ Postrttal'R�
p ❑Certified Mail Restricted Delivery $ t ( UO Here
O ❑Adult Signature Required $ Ij i.
❑Adult Signature Restdcted Delivery$
N Postage
Ln $
r.1 Total Postage and Fees
tom) $ 3 -
r-a Darlene Hall
N 67 Cul De Sac Way
East Providence, RI 02915
I
l
Certified Mail service provides the following benefits:
■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
■A unique identifier for your mailpiece. y ,associate for assistance.To receive a duplicate
■Electronic verification of delivery or attempted Yetum receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
■A record of delivery(including the recipients retail associate.
signature)that is retained by the Po*I Service- Restricted delivery service,which provides
for a specified period. r delivery to the addressee specified by name,or
to the addressee's authorized agent
Important Reminders. Adult signature service,which requires the
■You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. Adult signature restricted delivery service,which
■Certified Mail service is notavailable for requires the signee to be at least 21 years of age
international mail t and provides delivery to the addressee specified
■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service:However,the purchase (not available at retail).
of Certified Mail service_does not change the ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,R should bear a,
certain Priority Mail items. USPS postmark If you would like a postmark on
■For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for
the following services: postmarking.If you don't need a postmark on this
Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. '
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return_
Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
PS Forth 3800,Apol 2015(Reverse)PSN 7530.02-000.9047
SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY
■ Complete items 1,2,and 3. ;A nature
■ Print your name and address on the reverse ❑Agent
so that we can return the card to you. ❑Addressee]
■ Attach this card to the back of the mailpiece, B eived by(Printed am�8 C. Date of Deliver,
or on the front if space permits. Q
1. Article Addressed to: D. Is delivery addre di -rent .dem 0 Yes
If YES,enter defio addres-'below: N No
Darlene Hail N o
67 CULDe Sac Way
N
East'Provldence, RI 02915
s� e
3. Service Type 0 Priority Mail Expresso
II I IIIII�'ll I'I I I I I I IIIII IIIII II I I�I'IIII I ❑Adult Signature ❑Registered Mail R
❑Adult Signature Restricted Delivery ❑Registered Mail Restricted
❑Certified Mail®. Delivery
9590 9403 0923 5223 2894 60 ❑Certified Mail Restricted Delivery ❑Return Receipt for
❑Collect on Delivery Merchandise
❑Collect on Delivery Restricted Delivery ❑Signature Confirmation"
_2..Article Number(transfer from service label) ❑Signature confirmation
I -j �-! red Mail r Restricted Delivery
7 015 15 2'0 0 0 01 2 2 3 .3 210 ared Mail Restricted Delivery
�'er$500)
PS Form 3811,July 2015 P8N 7530-02-000-9053 Domestic Return Receipt"
USp ;:x First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
9590 9403 0923 5223 2894 60
United States •Sender:Please print your name,address,and ZIP+4®in this box*
Postal Service
�—
� Town of Barnstable
Public Health Division
200 Main Street
Hyannis, HA 02601
.a
_;
Town of Barnstable Barnstable
Regulatory Services Department
,� • MASS Public Health Division
i639'�1�
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard V.Scali,Director.
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7015 1520 0001 2273 3210
February 29, 2016
Darlene Hall
67 Cul De Sac Way
East Providence, RI 02915
The septic system located at 32 Main Street, Cotuit, MA was last inspected on
. 5/05/2014 by James Ford, a certified septic inspector for-the State of Massachusetts.
p p
The inspection of the septic system showed that the system"Failed" under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Single cesspools automatically fail in the Town of Barnstable.
You are ordered to repair or replace the septic system within one (1)year from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
cKean, R.S. C
Agent of the Board of Health
QASEPTIC\Letters Septic Inspection Failures or Future EAW Main St Cot Jun 2014.doc
Town of Barnstable
Barnstable
t�
Regulatory Services Department
KAS&'E ' Public Health Division D
i639.
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard V. Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL # 7015 1520 0000 1971 7118
November 30, 2015
Laurie Mullen, Trustee
Smith Family Investment Trust
PO Box 1375
Cotuit, MA 02635
The septic system located at 32 Main Street, Cotuit,MA was last inspected on
5/05/2014 by James Ford, a certified septic inspector for the State of Massachusetts.
The inspection of the septic system showed that the system "Failed" under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Single cesspools automatically'fail'in the Town of Barnstable.
You are ordered to repair or replace the septic system within one (1)year from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
ean, R.S. CHO
Agent of the Board of Health
Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\32 Main St Cot Jun 2014.doc
L
r
Parcel Detail Page 1 of 4
' I
t
IHE V
a`8AttN%;TABLE
Logged In As: Pa rice I Detail Thursday,February 25 2016
Parcel Lookup F
Parcel Info
�_ . ...�...,... I Developer
Parcel ID;023-003 Lot
Location 32 MAIN STREET(COTUIT) Pri Frontage
Sec Road I Sec Frontage I
Village jCOTUIT � Fire DistrictCOTUIT
Town sewer exists at this address)NO— Road Index i 51
n
Interactive
I
Maps 3 0
a
Owner
owner 1HALL,.DARLENE Co-owner
streetl 67 CUL DE SAC WAY Street2 � o .W �I
City WXST PROVIDENCE—' State RI Zip,02915� Country
Land Info_
Acres $ j use Single Fam MDL-01 I Zoning IRF I Nghbd 01 66
Topography`Level _ f Road Paved
utilities;Public Water,Gas,Septic Location WI
Construction Info
Building 1 of 1
Year 1-1 Roof Ext".
Built 41920, _ 'struct iGable/Hip I wall Mnyl Siding rt �
Living r1486 RoofiAs h/F GIs/Cmp'I AC Central/Half_ I for
Area' cover p Type
Style 1C onventional I"t tPlastered � Bed Bedrooms :sas us 5''
--� Wall Rooms ..a.' R t ASI
�'8 a
Model l esidential t I Floor Carpet Rooms 2 Full-0 Half a sAs
Grade Average Plus ( Heat I'Hot Air .� Total 6 Roo i;
Type` Rooms
Heat t Found-("' �`
Stories 1.4 �.. ..( Fuel IGaS ation#BrICk WaIIS '
Gross F300
Area
PermltHistory
Issue Date Purpose Permit€ Amount Insp Date Comments
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=1224 2/25/2016
oFT"E:owti Town of Barnstable S�P��' T9
p
Public Health Division I � V
-�,®J�
200 Main Street t z e
MASS.
94`rfD MP� 00 PaTNEY BOWES
Hyannis,MA 02601 I
_. 02 1 P $ 006.735
0000873431 NOV 30 2015
6 MAILED FROM ZIP CODE 02601
7015 1520 0000 1971 7118
Laurie Mullen,Trustee
Smith Family Investment Trust
PO Box 1375NzxXr1H, '.0153. >Fe, ;a
Cotuit, MA 02 RETURN TO SENDER
NOT DF.L.IV.ER.AB] E .AS .ADDRE.S.SE:D
UNABLE TO FORWARD
B.C; 1a260:3 40'0200 *03f'.9—DZS:Z£-3:1 —43
02603:@400_Z isa,a llla11111ia'jii��iaajili,lirilaall.aii11°sil i:a:s,e{1i11iai'{�s„ I..
SECTIONEN DER---60MP'LETETHISSEqT16 COMPLETE THIS ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
I item 4 if Restricted Delivery is desired. ❑Agent
® Print your name and address on the reverse X ❑Addressee
I so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
I ® 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
1. Article Addressed to: If YES,enter delivery address below: ❑No
I
Victoria L. Zeglen
178 Sandalwood Rive
I - � I
I COtuitMA 02635
3. Service Type
❑Certified Mail ❑Express Mail
f k ❑Registered ❑Return Receipt for Merchandise \
�— ❑ Insured Mail ❑C.O.D.
/ I 4. Restricted Delivery?(Extra Fee) ❑Yes I
2 Article Number
(Transfer from service fabeO 7 015 1520 0000 1971 7118 �*-
PS Form.3811,February 2004 Domestic Return Receipt 102595 02-M-1sa0
I�
Town of Barnstable BarnstableRegulatory Services Department , AlAmakaW
KAM Public Health Division I
i .19. , b
2007
200 Main Street, Hyannis MA 02601
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7015 1520 0000 1971 7118
November 30, 2015
Laurie Mullen, Trustee
Smith Family Investment Trust
PO Box 1375
Cotuit, MA 02635
•
The septic system located at 32 Main Street, Cotuit,MA was last inspected on
5/05/2014 by James Ford, a certified septic inspector for the State of Massachusetts.
The inspection of the septic system showed that the system"Failed"under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Single cesspools automatically fail'in the Town of Barnstable.
You are ordered to repair or replace the septic system within one (1)year from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will.result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
ean,R.S. CHO
Agent of the Board of Health
QASEPTIC\Letters Septic Inspection Failures or Future Evl\32 Main St Cot Jun 2014.doc
i
1
Town of Barnstable Barnstable
AFMMMCN
Regulatory Services Department
MAS& Public Health Division I '•
639
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL#7015 1520 0000 1971 7118
November 30, 2015
Laurie Mullen, Trustee
Smith Family Investment Trust
PO Box 1375
Cotuit, MA 02635
The septic system located at 32 Main Street, Cotuit,MA was last inspected on
I� 5/05/2014 by James Ford, a certified septic inspector for the State of Massachusetts.
The inspection of the septic system showed that the system"Failed" under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00)due to the following:
• Single cesspools automatically fail'in the Town of Barnstable.
You are ordered to repair or replace the septic system within one ( year from the date o�
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
ean,R.S. CHO
Agent of the Board of Health
Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\32 Main St Cot Jun 2014.doc
Town of Barnstable 0. . blarn
Regulatory Services Department
MASS
Public Health Division Q D
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7014 1200 0001 0358 5951
October 28 2015
Laurie Mullen, Trustee
Smith Family Investment Trust
PO Box 1375
Cotuit, MA 02635
The septic system located at 32 Main Street, Cotuit, MA was last inspected on
5/05/2014 by James Ford, a certified septic inspector for the State of Massachusetts.
The inspection of the septic system showed that the system"Failed" under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Single cesspools automatically fail in the Town of Barnstable.
You are ordered to repair or replace the septic system within two (2)years from the date
you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH J
cKean,R.S. CHO
Agent of the Board of Health
Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\32 Main St Cot Jun 2014.doc
, Flynn, Judith
From: Crocker, Sharon
• Sent: Tuesday, September 22, 2015 12:59 PM
To: Flynn,Judith
Subject: 32 Main St, Cot
Assessor's said new owner 7/22/15=
ADDRESS: Laurie Mullen, Trustee
Smith Family Investment Trust
PO Box 1375
Cotuit, MA 02635
Please send certified And Regular mail to address above.
Thanks .
1
- i
Barnstable
Town ®f Barnstable �
Regulatory.Services Department
BAJWST"MAMM ' Public Health Division
° 200 Main Street, Hyannis MA 02601 2007
SECOND NOTICE
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7012 1010 0000 2851 3986
Dec 4, 2014
Mae M Smith
PO Box 1375
Cotuit, MA 02635
The septic system located at 32 Main Street, Cotuit, MA was last inspected on
5/05/2014 by James Ford, a certified septic inspector for the State of Massachusetts.
The inspection of the septic system showed that the system "Failed" under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
0 Single cesspools automatically fail in the Town of Barnstable.
You are ordered to repair or replace the septic system within sixty (60) days from the
date you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF T BOARD OF HEALTH
Thomas McKean, R.S. CHO
Agent of the Board of Health
I
Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\32 Main St Cot Jun 2014.doc
iJ!
Town of Barnstable Barnstable
Regulatory Services Department 1
a &ARNSTABM ' Public Health Division Q D
639.� ♦�
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL # 7012 1010 0000 2851 3597 A �
June 10, 2014, 2014
Mae M Smith ,
PO Box 1375
Cotuit, MA 02635
The septic system located at 32 Main Street, Cotuit, MA was last inspected on
5/05/2014 by James Ford, a certified septic inspector for the State of Massachusetts.
The inspection of the septic system showed that the system "Failed" under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Single cesspools automatically fail in the Town of Barnstable.
You are ordered to repair or replace the septic system within sixty (60) days from the
date you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE OARD OF HEALTH
Thomas McKean, R.S. CHO
Agent of the Board of Health
Q:\SEPTIC\Sample Failure Ltr\32 Main St Cot Jun 2014.doc
OF
b,v Coo
)ia.A41 soavita- r
0-.
Ln
ra
Ln
CO Postage $ !/ T
ru
Certified Fee
O
v t� Postmark
O Return Receipt Fee Here
p (Endorsement Required)
Restricted Delivery Fee
O (Endorsement Required) Up
p Total Postage&Fees
ra
ru
N Mae M Smith
PO Box 1375
Cotuit, MA 02635
I
Certified Mail Provides:
o A mailing receipt f Z
o A unique identifier for your mailpiece
o A record of delivery kept by the Postal Service for two years
Important Reminders:
o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®.
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
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
e 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".
n 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.
PS Forth 3800,August 2006(Reverse)PSN 7530-02-000-9047
r
i
Town of Barnstable Barnstable
Regulatory Services Department.
# 'ARNST MPublic Health Division I
ib39. 1�
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7012 1010 0000 2851 3597
June 10, 2014, 2014
Mae M Smith
PO Box 1375
Cotuit, MA 02635
The septic system located at 32 Main Street, Coturt; MA was last inspected on
• 5/05/2014 by James Ford, a certified septic inspector for the State of Massachusetts.
The inspection of the septic system showed that the system "Failed under the guidelines
of the 1995 TITLE'5 (310 CMR 15.00) due to the following:
• Single cesspools automatically fail in the Town of Barnstable.
You are ordered to repair or replace the septic system within sixty (60) days from the
date you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE OARD OF HEALTH
Thomas McKean, R.S. CHO
Agent of the Board of Health
QASEPTIC\Sample Failure Ltrl32 Main St Cot Jun 2014.doc
Parcel Detail http://issg12/intranet/propdata/ParceIDetail.aspx?ID=1'224
),
Logged In As: Parcel Detail Wednesday, June 4
2014
Parcel Lookup
Parcel Info
Parcel Developer
ID 023-003 Lott
Location[32 MAIN STREET(COTUIT) Frontage'70
Sec l _ _. _.___ _._ _ Sect---
Road' Frontage'
Village COTUIT _..� Fire iCOTUIT
District
Town sewer exists at this Road ir0951
address iNo �� Index
Interactive ,
Map
�,s w
b,
Owner Info
Owner!SMITH, MAE M ! Co-
Owner
Streetl APO BOX 1375 .__ _ ____ l Street2 F—
City,COTUIT State MA Zip[02635 ] Country'-
Land Info
Acres 10.38 1 Use Single Fam MDL-01 Zoning[RF� j Nghbd[0106 1
Topography{Levu Immm Road;Paved
Utilities Public Water,Gas,Septic Location 1 —
Construction Info
Building 1 of 1
Year f- I Roof able/Hi � Ext inyl Sid
Built 11920 Struct Wall ing
Living 11486 Roof Asph/F GIs/Cmp AC Central/Half �A:,'
Area Cover Type 'p
Style iConventional Wall Plastered Room Bed 3 Bedrooms
Model Residential Int(Carpet _ Bath I2 Full ) ,
Floor Rooms � �
Total
Grade Average Plus Type FHot Air Rooms f 6 Rooms gj,
� T
Stories 4 ) Heat Gas Found-FBnck Walls F° 2
Fuel --- ation'
Gross
http://issgl2/intranet/propdata/ParceiDetaii.aspx?ID=1224 6/4/2014
t
i
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal?System Form -Not for Voluntary Assessments
32 Main Street F
Property Address jt
Estate of John Smith t•
Owner Owner's Name
information is required for every Cotuit MA 02635 5/5/14
page. City/Town f 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 A. General Information
filling out forms 6515
on the computer,use only the tab 1. Inspector:
key to move your
cursor-do not James Ford
use the return Name of Inspector
Y
k t:
r� Company Name t' '
P.O. Box 49
Company Address
Osterville MA 02655
City/Town State Zip Code
508-862-9400 S12482
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 15.000).The system:
❑ Passes ❑ Conditionally Passes ® Fails
❑ Needs Furthe valuatiori:by the Local Approving Authority
r
5/8/14
Inspe is Signature Date
The y tem inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Hea th or DEP)within 30-�-ays of completing this inspection. If the system is a shared system or
has a design flow of 10,000 ppd or greater, the inspector and the system owner shall submit the
report to the appropriate regi,;nal 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.
� tit ii
15ins•3/13 Title 5 Official Inspect#VISubsurface Sewage Disposal System•Page 1 of 17
I' ,
Commonwealth of Massachusetts
Title 5 Official. Inspection Form
Subsurface Sewage Disposal',System Form -Not for Voluntary Assessments
wM 32 Main Street
Property Address
Estate of John Smith
Owner Owner's Name
information is
required for every Cotuit MA 02635 5/5/14
page. CityfTown 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:
t. .
❑ I have not found any inf6rmation which indicates that any of the failure criteria described
in 310 CMR 15.303 or ij,a:310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
I '
Comments:
**House has 2 single cessp`pols. Single cesspools are not allowed in the town of Barnstable
i•
i .
I ,
' t
• S
B) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass" section need to be
replaced or repaired.Tha;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 ank 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 iihe tank is less than 20 years old is available.
t '
❑ Y ❑ N ❑ ND (Explain below):
l..:t
1. -.
y
l5ins•3/13 I, Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17
k..
k
i,
i;
i
Commonwealth of Massachusetts
Title 5 Officiar�I'�nspection Form
Subsurface Sewage DisposafSystem Form - Not for Voluntary Assessments
�M 32 Main Street
Property Address
Estate of John Smith
Owner Owner's Name
information is
required for every Cotuit MA 02635 5/5/14
page. City/Town State Zip Code Date of Inspection
B. Certification (cost.);;!
❑ 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 ppipe(s)or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
I.
❑ broken pipes) re replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box.1. leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
1,
it
❑ The system required purnping 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)ate replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
i
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 enviror iment:
❑ 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
j'
Commonwealth of Ma
ssc�usetts
Title 5 Officia[Inspection Form
Subsurface Sewage Disposal 1�ystem Form -Not for Voluntary Assessments
32 Main Street
Property Address
Estate of John Smith
Owner Owner's Name
information is ?' '
required for every Cotuit MA 02635 5/5/14
page. Cltyrrown 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 s li- is 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 p nitrogen and nitrate nitrogen '
to r g g n Is equal
o 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:
: s
S 6.
f�
D) System Failure Criteria ApPljcable to All Systems:
You must indicate"Yes" oq "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
Dischar e r
El ® g, o ponding of effluent to the surface of the ground or surface waters
due to`an overloaded or clogged SAS or cesspool
❑ 0 Static lggid level in the distribution box above outlet invert due to an overloaded
or clorg4d SAS or cesspool
❑ ® Liquid t'epth in cesspool is less than 6" below invert or available volume is less
than-Y2,day flow -
t5ins•3l13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
f1
9
Commonwealth of Massachusetts
Title 5 Official' Inspection Form
9 _ I.t
Subsurface Sewage Disposal ystem Form -Not for Voluntary Assessments
°M 32 Main Street
Property Address
Estate of John Smith f<'
Owner Owner's Name Ir:.
information is s
required for every Cotuit MA 02635 5/5/14
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
is
d
Yes No q; ,
❑ ® Requi�e0 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 pq.gion of cesspool or privy is within 100 feet of a surface water supply or
tributary.to a surface water supply.
❑ ® Any pcllrtion 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 port'ion,of a cesspool or privy is less than 100 feet but greater than 50 feet
from ai private water supply well with no acceptable water quality analysis. [This
systerat passes if the well water analysis, performed at a DEP certified i
laboratory,for fecal coliform bacteria
r
rY indicates absent and the presence
of ami'. onia 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 cF ain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,00000d.
® ❑ The system fails. I have determined that one or more of the above failure
criteria;e Gist 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 co6si'dered 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 mus(in'dicate 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
A.
a
❑ ❑ the sy4pm, 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—,IWI PA)or a mapped Zone II of a public water supply well
1. r
If you have answered"yes"#P any question in Section E the system is considered a significant threat,
or answered "yes" in Section,; 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 31 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
15ins•3l13 it ` Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
1
r
i!
Commonwealth of M asschusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal'System Form -Not for Voluntary Assessments
°M 32 Main Street
Property Address
Estate of John Smith '
Owner Owner's Name
information is
required for every Cotuit MA 02635 5/5/14
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 i
l:.
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
i;.
❑ ® Were a�y,of the system components pumped out in the previous two weeks?
❑ ® Has thesystem 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 ins6e6tion?
❑ ® 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 thq',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
informa�6ri 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:
,1 f
® El Existing,.information. For example, a plan at the Board of Health.
® ElDetermidned 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
i.:
e '
Residential Flow Conditions:
Number of bedrooms desin n/a Number of bedrooms (actual):
3
( 9#.) : ( )
DESIGN flow based on 310:�'MR 15.203(for example: 110 gpd x#of bedrooms): n/a
r'
1
i
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal,System•Page 6 of 17
i .
Y .
Commonwealth of MassoMusetts
Title 5 Officiallnspection Form
Subsurface Sewage Disposal,System Form-Not for Voluntary Assessments
°M 32 Main Street i
Property Address
Estate of John Smith _
Owner Owner's Name
information is
required for every Cotuit MA 02635 5/5/14
page. City/Town State Zip Code
Date of Inspection
D. System Informatiop
Description:
3.
Number of current residents` 0
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system?(Include laundry system inspection
information in this report.) III, , ❑ Yes ® No
Laundry system inspected?
is El Yes ® No
Seasonal use? 'z
❑ Yes ® No
Water meter readings, if available(last 2 years usage(gpd)):
Detail:
water was shutoff
ti
Sump pump? ,
r, ❑ Yes ® No
Last date of occupancy: �� ; unknown
a; Date
I
Commercial/Industrial Flow Conditions:
Type of Establishment: !i
i'
Design flow(based on-310 C,M,R 15.203):
Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present?
❑ Yes ❑ No
I :
Industrial waste holding tank1present?
x ❑ Yes ❑ No
Non-sanitary waste discharged,to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if ava table:
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17
1
r I
j
Commonwealth of Massachusetts
Title 5 Official inspection Form
Subsurface Sewage DisposalzSystem Form - Not for Voluntary Assessments
w 32 Main Street
Property Address
Estate of John Smith
Owner Owner's Name
information is
required for every Cotuit r r MA 02635 5/5/14
page. City/Town State Zip Code Date of Inspection
D. System Informatiolh (cont.)
Last date of occupancy/usei''
Date
Other(describe below):
`V
i
General Information
Pumping Records:
Source of information: unavailable
Was system pumped as pari 0f the inspection? El 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
i
® 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(desc €be): ,
Y
l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
I'
Commonwealth of Masschusetts 1
Title 5 Official inspection Form
Subsurface Sewage Disposal';System Form -Not for Voluntary Assessments
1
32 Main Street
Property Address ,
Estate of John Smith
Owner Owner's Name
information is
required for every Cotuit MA 02635 5/5/14
page. City/Town State Zip Code Date of Inspection
D. System Informatioi''(cont.)
I
Approximate age of all comoents, date installed (if known)and source of information:
installed on 1955 ? looks Ci!e original cesspools
Were sewage odors detectet when arriving at the site? El Yes ® No
Building Sewer locate on e'lte plan):
i
Depth below grade: r t
feet
Material of construction: i
❑ cast iron ® 40 PVC ❑ other(explain):
r
Distance from private water supply well o�suction line:
feet
i
Comments (on condition of joints, venting, evidence of leakage, etc.):
I
pvc in the basement then goes to orangeburg pipe
i;
Septic Tank(locate on site 016n):
Depth below grade:
y
feet
Material of construction:
i
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene
El other(explain)
If tank is metal, list age:
years
Is age confirmed by a Certifiate of Compliance? attach a co of certificate
p, ( PY ) El Yes ❑ No
Dimensions:
Sludge depth:
!Sins•3/13 ; i Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17
i' ..
Commonwealth of Massachusetts
Title 5 Officia Anspection Form
e
Subsurface Sewage Disposali�Sotem Form- Not for Voluntary Assessments
i�
`M ,•'•y 32 Main Street
Property Address
Estate of John Smith
Owner Owner's Name
information is
required for every Cotuit ;;, ' MA 02635 5/5/14
page. CltylTown I State Zip Code Date of Inspection
D. System Informatio (cont.) �
Septic Tank(cont.)
Distance from top of sludge jol;bottom of outlet tee or baffle
t
Scum thickness ?' '
Distance from top of scum'ta,t top of outlet tee or baffle
Distance from bottom of SCUP.to bottom of outlet tee or baffle
How were dimensions determined?
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
t.
St
s :
k
Grease Trap (locate on site plan):
Depth below grade:
: feet
Material of construction:
❑ concrete ❑ metpi ❑fiberglass ❑ polyethylene
El other(explain):
N/a
4`
Dimensions: E
Scum thickness r
Distance from top of scum tG 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
F
1.
Commonwealth of MasOdhusetts
C.o
W Title 5 Official '• H a ;�lnspection Form
Subsurface Sewage DisposalSystem Form -Not for Voluntary Assessments
°M 32 Main Street
Property Address
i'
Estate of John Smith
Owner Owner's Name
information is
required for every Cotuit MA 02635 5/5/14
page. City/Town _ State Zip Code Date of Inspection
D. System Information '(cont.)
i.,
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
1`
fi. e
q
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
3;
❑ concrete ❑ metal' El fiberglass ❑ polyethylene
❑ other(explain):
N/a
t'
i�
Dimensions:
Capacity:
gallons
Design Flow:
gallons per day
Alarm present: El Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping:
Date
Comments (condition of alargi and float switches, etc.):
c
1
"Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
(Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17
Commonwealth of Massachusetts
H Title 5 Official! `Inspection Form
Subsurface Sewage DisposaFSystem Form - Not for Voluntary Assessments
�M
32 Main Street
Property Address
Estate of John Smith
Owner Owner's Name
information is
required for every Cotuit MA 02635 5/5/14
page. Cltyfrown State Zip Code Date of Inspection
D. System Informatio;O,(cont.)
Distribution Box(if present,must be opened)(locate on site plan):
Depth of liquid level above outlet invert
Comments (note if box is level land distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out,of box, etc.):
i
r. •
Pump Chamber(locate on site plan):
Pumps in working order: El Yes ❑ No
Alarms in working order: �� ❑ Yes ❑ No"
1
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):
V.
If SAS not located, explain vey:
it
t5ins•3l13 4 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17
;t
t •
Commonwealth of Massachusetts
Title 5 Official .inspection Form
Subsurface Sewage Disposallf System Form-Not for Voluntary Assessments
°� ,•`' 32 Main Street
Property Address o
Estate of John Smith
Owner Owner's Name
information is
required for every Cotuit MA 02635 5/5/14
page. Cityrrown State Zip Code Date of Inspection
D. System Informatiph;(cont.)
Type:
❑ leaching pits€. number.
�i
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
i. .
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.): :
Cesspools (cesspool must 6e'pumped as part of inspection)(locate on site plan):
Number and configuration 2 -single cesspools
Depth—top of liquid to inlet invert -
Depth of solids layer -
Depth of scum layer -
Dimensions of cesspool '` 5'wx5'tx9'bt
Materials of construction cesspool block
Indication of groundwater inatow ❑ Yes ® No
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
I n
I;
Commonwealth of Massachusetts
Title 5 Official inspection Form
Subsurface Sewage Disposal,System Form -Not for Voluntary Assessments
,M 32 Main Street
Property Address
Estate of John Smith
Owner Owner's Name
information is
required for every Cotuit a i. MA 02635 5/5/14
page. CitylTown State Zip Code Date of Inspection
D. System Informatiol! (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Both cesspools were dry. One,is in the front yard and one in the backyard
4;
Privy(locate on site plan).
f
Materials of construction:
Dimensions
Depth of solids
i,
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
N/a
o ;
i'
r,
I'
l
1
S;
uu:
Y
t
t5ins•3/13 t Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
f
i
l
i
Commonwealth of Massachusetts
Title 5 OfficialInspection Form
Subsurface Sewage Disposaht,System Form -Not for Voluntary Assessments
_
32 Main Street
Property Address
Estate of John Smith
Owner Owner's Name
information is
required for every Cotuit MA 02635 5/5/14
page. City/Town State Zip Code Date of Inspection
D. System Informatioh l(cont.)
Sketch Of Sewage Disposal"System: Provide a view of the sewage disposal system, including ties to
at least two permanent referk.
ence 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
To
S.
r�6AT
SIAl3A(,k
39
fi
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
i,
n
•
Commonwealth of Massachusetts
Title 5 Official- Inspection Form
Subsur
face Sewage Disposal'S s 9 ,System Form Not for Voluntar
y Assessments
32 Main Street
Property Address ;.
Estate of John Smith '
Owner Owner's Name P; '
information is
required for every Cotuit MA 02635 5/5/14
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: 25
feet
Please indicate all methods ttsed to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date;of design plan reviewed:
Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
® Checked with local Board of Health -explain:
Using topo and viater contours maps
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you"established the high ground water elevation:
see above
i
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
f
Commonwealth of Massgghusetts
• v Title 5 Official Inspection Form
Subsurface Sewage Disposali,$ystem Form - Not for Voluntary Assessments
�M 32 Main Street
Property Address
Estate of John Smith
Owner Owner's Name
information is required for every Cotuit MA 02635 5/5/14
page. City/Town ,:. State Zip Code Date of Inspection
E. Report Completen.6 is,Checklist
® Inspection Summary:A B, C, D, or E checked
® Inspection Summary D.(,System Failure Criteria Applicable to All Systems)completed
® System Information— E's'timated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
` 1
irr•;
is
I n,„ •
t'
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
i
Town ®f Barnstable Barn
Regulatory Services Department AganwWacq
* swteivsres[.E,
Public Health Division
200 Main Street, Hyannis MA 0260.1 2007
SECOND NOTICE
Office: 508-862-4644 > Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,e,50
CERTIFIED MAIL# 7012 1010 0000 2851 3986
Cy—
Mae M Smith
PO Box 13
Cotuit, MA 02635
• The septic system located at 32 Main Street, Cotuit, MA was last inspected on
5/05/2014 by James Ford, a certified septic inspector for the State of Massachusetts.
The inspection of the septic system showed that the system"Failed" under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
'• Single cesspools automatically fail in the Town of Barnstable.
You are ordered to repair or replace the septic system within sixty (60) days from the
date you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF T BOARD OF HEALTH
Thomas McKean, R.S. CHO ,
Agent of the Board of Health
•
QASEPTICVLetters Septic Inspection Failures or Future Evl\32 Main St Cot Jun 2014.doc
ALL
TE
SHALL
SYSTEM PROFILE MARK DS WITHCMAGNETICTTAPE OR BE NOTES
.
(NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION p
PROVIDE MIN. 20" DIAM. WATERTIGHT 1. DATUM IS NAVD 88
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE
2. MUNICIPAL WATER IS EXISTING
\ TOP FOUND. EL. 62.8' FILTER FABRIC OVER STONE �rte
59.2' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 59.4' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. � � gob oUte Za
NOTE: 2" MIN. WALL 4. DESIGN LOADING FOR ALL PROPOSED PRECAST Pond R
PRECAST H-10 THICKNESS REQUIRED BLOCKS OR UNITS TO BE AASHO H-]Q n Locus
RISERS (TYP.) PRECAST RISERS
. 2'0 58.3 4"OSCH40 PVC MORTAR ALL H-10 n �o
*59.0 f 0 6" MIN, SUMP PIPES LEVEL 1ST 2' COMPONENTS 5. PIPE JOINTS TO BE MADE WATERTIGHT.
12" MIN. INT. DIM. 4 (TYP.) \/'S EL 55.6 4
ENDS SIDES 56.43 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE
10" 1500 GAL H-10 14" Po�o�o�o °" .. °° .• ° o°°a°°o°`
\*58.��± O 57.2' TEE SEPTIC TANK TEE 56.95' ° ° ° ° AR11
°o°o°o° WITH 310 CMR 15.000 (TITLE 5.)
00°0°0°0°0°o WATERTEST D'BOX 0000 ���0�00�� � ���DD��O 0� 000�o�0 0 0 0 0 ° ' ° ° °°° 0 °°°°°°°° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND
� � NOT TO BE USED FOR LOT LINE STAKING OR ANY
GAS BAFFLE ::; ° °o ° ° ° FOR LEVELNESS �i ;°o°o°o°o ;°o°o°o°o O O o^o o_ � ,
4' LIQ. LEVEL (ACME OR EQUAL) '' S5.87' 55.7'
° 53.6 OTHER PURPOSE.
' 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
J0O°000°0°000°Oo0�0�0°O�ODO�O�O�ODO�O�O°O°ODt
°00000oo�O�O,°o°o^00000000000,°0�0,°O°O°nO°0Oo0o0° � LH-1D 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL.
3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN.
(2) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR
ALL AROUND PRECAST STRUCTURES
6" CRUSHED STONE OR MECHANICAL CONCEALED WITHOUT INSPECTION BOARD OF
OVERALL DIMENSIONS TO OUTSIDE -OF STONE: 25.00' X 12.83' HEALTH AND PERMISSION OBTAINED
FROM BOARD
COMPACTION. (15.221 [21) OF HEALTH.
10. CONTRACTOR SHALL BE RESPONSIBLE FOR
CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP
VERIFYING THE LOCATION OF ALL UNDERGROUND &
( 8'6% SLOPE) 2 2.5 % SLOPE 1 48.6' BOTTOM TH-1 OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF SCALE 1"=2000't
O ( ) ( % SLOPE) NO GROUNDWATER FOUND WORK.
21 '
FOUNDATION -C SEPTIC TANK 4' D' BOX 12' LEACHING 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL ASSESSORS MAP 23 PARCEL 3
FACILITY BE REMOVED BENEATH AND 5' AROUND THE
24' PROPOSED LEACHING FACILITY. LOCUS IS WITHIN FEMA FLOOD ZONE X
( 5.0% SLOPE) O3 *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL 12. EXISTING LEACHING FACILITY SHALL BE PUMPED (AREA OF MINIMAL FLOOD HAZARD) AS
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS AND REMOVED OR PUMPED AND FILLED WITH CLEAN SHOWN ON COMMUNITY PANEL #25001CO539J
LEGEND PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM SAND. DATED 7/16/2014
99- EXISTING CONTOUR
X 99•1 EXIST. SPOT ELEV.
-[991- PROPOSED CONTOUR _
198.41 PROPOSED SPOT EL. s
s
TH1
TEST HOLE �S>
YYY
SLOPE OF GROUND SYSTEM DESIGN:
C-Q) UTILITY POLE a
sd N1 S1 '
1aO 52 GARBAGE DISPOSER IS NOT ALLOWED
FIRE HYDRANT g
5 - DESIGN' FLOW: 3 BEDROOMS �; 110 GPD = 330 GPD
NOTE NOT ALL SYMBOLS MAY APPEAR IN DRAWING �` 1 LOT AREA \ -
59 �/ 18,507t SF \ USE A 330 GPD DESIGN FLOW
*PLUMBING TO B RE-ROUTED TO L
Z\ t
INSTALLER To L SEPTIC TANK: 330 GPD (2) = 660
TEST HOLE LOGS IN PO I ASIBI PRIOR TO
INSTALLING ANY PORTION OF SEPTIC ��' �.. � USE A 1500 GAL. SEPTIC TANK
SYSTEM �9' - INV. 4" NE
58.4t S
ENGINEER: CRAIG J. FERRARI, SE #13871 IDS- 3 C/o - LEACHING:
ul Ih`' SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD
DONALD DESMARAIS, RS
WITNESS: 5�1°5� � �3•� � BOTTOM 25 x 12.83 (.74) = 237 GPD
10 19 18
DATE: / / HE _ " EXISTING
INV. 4 TOTAL: 472 S.F. 349 GPD
PERC. RATE _ < 2 MIN/INCH 59.4t DWELLING C/o 0
TO = 62.8 DECK
29 6 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL)
CLASS 1 SOILS P# 15797 INV. 2" 2
- 59.0t WITH 4' STONE ALL AROUND
ELEV. ELEV. o / TH2 TH1
0» 4 59.6' 0,, 59.7'
A /-w�_W o� N� °2� 59
FILL LS 69 9.0 MA
18" 14" 10YR 4/2 APPROVED DATE BOARD OF HEALTH
C1 B U6o 60 00 TITLE 5 SITE PLAN
FSL LS PAVED OF
2.5Y 5/4 22" 10YR 5/6 57 g' o DRIVE 32 MAIN STREET
36" 56.6' C 1 �� o c�
o, BENCHMARK: COTUIT, MA
FSL TOP OF BOTTOM
C2 \ i STEP60.5' PREPARED FOR
38" 2.5Y 5/4 56.5' - o� f�7 NAVD88
PERC M/CS BORTOLOTTI CONSTRUCTION
C2
-60 o n �` jN�F^��q ��ttA of MSS DATE: OCTOBER 25, 2018
10YR 7 4 M/CS ? o DANIEL s
/ fir/ J A.
10YR 7 4 G� °� DANIEL A. c�G -
/ 0 OJALA a off 508-362-4541
j Na098 o ( I fax 508 362-9880
;i. q o.40980� CIVIL �
No,46502 downcap/�e.com
FESS\° ° PF��/ R�° down cape 07 ineeriLg, Inc.
132" 48.6' 132" 48.7' 9n,�suR�Ey �Ssfor�at. E \�
civil engineers
NO GROUNDWATER ENCOUNTERED Scale: 1"= 20' 0-,us-ve3 �� land surveyors
939 Main Street ( R to 6A)
0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675
LICE # > 8-3 / 8 18-378 BORTO-HALL.DWG
JOB NO.=34399 E0301