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Home My WebLink About1611 MAIN STREET (COTUIT) - Health ! 1-611 MAIN STREET, COTUIT A= 017005 I __ CERTIFICATE OF ANALYSIS of •�; Page: 1 i0 ME ,� Barnstable County Health Laboratory \9ss�CFI�1S�',Jr- Report Prepared For: Report Dated: 9/24/2007 Carl A. Grassetti Order No.: G0743490 P O Box 1310 Cotuit, MA 02635 Laboratory ID l#: 0743490-01 Description: Water-Drinking Water Sample it: Sampling Location -1611 Main St.Cotuit,MAC _ Collected: 9/19/2007 Collected by: C.A.Grassett I Map 017 Parcel 005 Received: 9/19/2007 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 9/19/2007 Copper 0.52 mg/L 0.10 1.3 SM 3111B 9/20/2007 Iron 0.20 mg/L 0.10 0.3 SM 3111B 9/20/2007 Sodium 12 mg/L 1.0 20 SM 3111B 9/20/2007 Total Coliform Absent P/A 0 0 SM9223 9/19/2007 Conductance 83 umohs/cm 2.0 EPA 120.1 9/19/2007 pH 5.8 pH-units 0 SM 4500 H-B 9/19/2007 Water sample.meets the recommended limits for drinking water of all.1he above tested parameters.? Approved By: ?(LabTDitor) CD a. t .. • f'J 1'"" t'*'t ND=None De€ected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 065 t- Commonwealth of Massachusetts c�F _ Executive Office of Environmental Affairs �E�VEO DEC 5 Department of �F 1 19 Environmental �- Protection William F.Weld Caoonnor Trudy Coxe 5 Seerotary.EOEA David B. Struhs Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 1611 Main Street, Cotuit, MA Address of Owner: P 0 Box 1310, Cotuit, MA 02635 Date of Inspection: December 12, 1995 (If different) Name of Inspector: John P. Slavinsky Company Name, Address and Telephone Number: Cape & Islands Engineering 133 Falmouth Road, Suite 2E CERTIFICATION STATEMENT Mashpee, MA 02649 (508) 477-7272 1 certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _✓ Passes _ Conditionally Passes _ Needs Further Evaluation.By the Local Approving Authority _ Fails Inspector's Signature: Date: DEC. /Z, /9 9 6— The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A] SYSTEM PASSES: . ✓ 1 have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 5.303. Any failure criteria not.evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or !epair, passes inspection. Indicate yes, no, or not determined (Y, N, or ND). `Describe basis of determination in all instances. If"not determined", explain why not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tz:nk as approved by the Board of Health. (revised 8/15/95) One Winter Street • Boston,Massachusetts 02108 • FAX(617)SWI049 • Telephone(617)242-5500 iJ Pnnted on Recvckd Paper 7" SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: `1611 Main Street, Cotuit, MA Owner: Carl Grassetti Date of Inspection: B] SYSTEM CONDITIONALLY PASSES (continued) _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: d ..:L.:_ 1CC f-, to _ j ..C.".�� :;.,.•n• c.rnnl., C'•.{4...•,.+• to , I llr • •t- IiG1 O >C V.L ic�.n auv w , �uJvf/uUn s��lteiii Giw I$ � ...�. ...,, � .. ...• •_. _••fir./ •••_••• surface water supply. The systen, has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic !2nk Znd soil absorption system and is within 50 feet of a private water supply well. _ The system ha; a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. DJ SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. (revised 8/15/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1611 Main Street, Cotuit, MA Owner: Carl Grassetti Date of Inspection: D] SYSTEM FAILS (continued): 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 1/2 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Inierim Wei lhead Protection Area (lWt'A) or a mapped Lcne II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 1611 Main Street, Cotuit, MA Owner: Carl Grassetti Date of Inspection: Check if the following have been done: ✓Pumping information was requested of the owner, occupant, and Board of Health. and the tem has been receiving nrmal flow .--"None of the system components have been pumhave not pumped ed been introduced ent or at least two sthe systemsrece recently or as part of this f spection. rates during that period. Large volumes of water �[As built plans have been obtained and examined. Note if they are not available with N/A. .-*'The facility or dwelling was inspected for signs of sewage back-up. ✓The system does not receive non-sanitary or industrial waste flow _✓The site was inspected for signs of breakout. _✓AII system components, excluding the Soil Absorption System, have been located on the site. /The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. ,/The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. ✓The facility o\%ner land occupants, if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. 4 (revised 8/15/95) r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1611 Main Street Owner: Carl Grassetti Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow: 3.30 gallons Number of bedrooms: 3 Number of current residents:3 Garbage grinder (yes or no): Laundry connected to system (yes or no):Yt 9 Seasonal use (yes or no):/V G Water meter readings, if available: Last date of occupancy: 0CCup/6A COMMERCIAUINDUSTRIAL: Type of establishment: Design flow: gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last'date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: o CO u6R- System pumped as part of inspection: (yes or no) IVO If yes, volume pumped gallons Reason for pumpirir: TYPE SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other(explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: �v YiPS• f�3' Z0/L7— ?L.,q N) Sewage odors detected when arriving at the site: (yes or no) &0 (revised 8/15/95) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1611 Main Street, Cotuit, MA Owner: Carl Grassetti Date of Inspection: SEPTIC TANK: (locate on site plan) .r Depth below grade: /40 Material of construction: ✓concrete _metal _FRP —other(explain) Dimensions: /Z K G �6 x G aEsn Slodge depth: 4 Distance from top of sludge to bottom of outlet tee or baffle: 2�G Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: 4 " Distance from bottom of scum to bottom of outlet tee or baffle:14 Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) V LL C O"POA.J6 NTS /N .-5x C64.L-E,v i Ca AJ-D.1 7/O A/ GREASE TRAP:_ (locate on site plan) Depth.below grade: Material of construction: _concrete _metal _FRP —other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Dictance from bottom o, r,im v, notton, of owle, tee Or Dalllt' Comments: (recommendation for.pumping, condition_of inlet and cutlet lees or baffles, depth cf liquid level in relation to outlet invelz, structural integrity, evidence of leakage, etc.) (revised 8/15/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1611 Main Street, Cotuit, MA Owner: Carl Grassetti Date of Inspection: TIGHT OR HOLDING TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete_metal _FRP_other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert:_ a Comments: mote if level and distribution is eyuai, evidence of solidi carryover, evidence of leakage into or out of box, etc.) 6kC,6446-IJT 00Na/7/0N PUMP CHAMBER:_ (locate on site plan) Pumps in working order.(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 8/15/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1611 Main Street, Cotuit, MA Owner: Carl Grassetti Date of Inspection: / SOIL ABSORPTION SYSTEM (SAS):✓ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: , leaching trenches, number,length: 2 3:5" leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) No 5VIZ>ENcE W14 0-4ee CESSPOOLS: _ (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of pondi:;g, condition of vegetatic etc.) PRIVY:_ (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 8/15/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1611 Main Street, Cotuit, MA Owner: Carl Grassetti Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' 30 ! 1 h ^rt j 31 k DEPTH TO GROUNDWATER Depth to groundwater: /0 feet method of determination or approximation: /NFo��A%JD/� (revised 8/16/95) 9 L - RUSHY MARSH PRIVATE WELLS c"t NAME ADDRESS MAP/PARCEL Grassetti 1611 Main St. ee4- 017-005 Wesson (E.d Edwards) 1541 Main Sty C0-— 017-007 Wesson Big House irrigation 1524 Main St. C-r- 017-014 Cottages - Jennifer Reilly 54 Lowell Rd. C p' 016-031 i I' i I 5 wpfiles\arob\corres\2011 3/15/2011 T � WIN OF BARNSTABLE LOCATION 6/01:L—SEIWAGEd - # i VILLAGE ASSESSOR'S MAP 6� LOT 01 74 INSTALLER'S NAME & PHONE NO. LJ SEPTIC TANK CAPACITY--, , LEACHING FACILITYAtype (size) NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC W TERAf �` A BUILDER OR OWNER ;. DATE PERMIT ISSUED: /�� V " r 8 DATE COMPLIANCE ISSUED:' '? 2 VARIANCE*GRANTED: Yes~ No r � � � �� 1 �,, o �� i 1 _ a -; I `� a THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TownOF.............Barnstable-- -------•...................•••..........._......•- Appliratiou for Di-qVuiiai Warks Tonstrudiou jkrmft Application is hereby made for a Permit to Cor�,struct ( X) or Repair ( ) an Individual Sewage Disposal System at: /a' M41A/ S7 ,P WO�edrd (Cotuit) Paicel #5 • .......... ..............•........_..............................- .............. ..- .........._.. Location-Address or Lot No. Jessica_R=t1'P 108 School_ St. Cotuit _ - .... .._.._...... ---------- Owner � Owner _0 Address W /! (� a . },/I.tXy��kh'1-- ..... ...... 6---� l'.1.... . 6..��i.---- ..... � Installerdress ............ feet Dwelling—No. of Bedrooms......_3..................................Expansion Attic ( ) Garbage Grinder`-tx ) Other—Type e of Building ............... No. of ersons.....................__.___. Showers — Cafeteria f-4 yP g ------------- P ( ) ( ) a Other fixtures ----------------------- -----------------------------------•--- Design Flow......55................. gallons per person per day. Total daily flow.......495..............................gallons. Gd Septic Tank—Liquid capacity .1tallons Length________ ______ Width._.._. ...... Diameter---------------- Depth_ 411 ---. --------- Disposal Trench—No. Width_....24��..._..: Total Length._�Q�_:......._.. Total leaching area.._288-_--_____sq. ft. Seepage r Pit box (x t No..................... Diameter.--Dosing tank Depth th below inlet.................... Total leaching area..................sq. ft. Z Other '-' Percolation Test Results Performed byEllis...&.-T-ul n,••Inc___________________________ Date....May_.7......1-9$6_____.... Test Pit No. 1................minutes per inch Depth of Test Pit 126:�.._..._. Depth to ground water i2611 (i Test Pit No. 2..._!_'l_'....minutes per inch Depth of est Pit.....96.......... Depth t r._.7211.............. `N �S 0 Description of Soil...Medium Sand .................... ..... FRED e. U ---.....••••-••----•--•-••-•---•---•-----•-------•--•--••-•••-•-••---------------•-•---------•.._............_......-••••-••-•-....•••• ... W -••-------------------------------------------•--••••-•••----------•----......-•••••......••----•••--•-•--•----•---••--•-------••-•--••-•••-• . c.....•�_. -----------•------ U Nature of Repairs or Alterations—Answer when appli e....................................... Ao S Q ' .... .. •• ----•--•-------•--•-••------•-----•.............•••---------....--•----------------------•--------•-••------•-•-••----------•-•-...••••- Agreement: �6N4' The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of IT- . of the State Sanitary Code— The undersigned further agrees not to the system in _ operation until a Certificate of Compliance has been iss ed by the board of 1 ned. --• ••. .......... /_J 4 7..---- 1 Date ApplicationApproved By............ ...•.• -e...... ..... ---• .• --•-......... .................... ............................. Date Application Disapproved fort ollowing reasons .......................................................................................... ................. -----------------------------------------•--......---......_...._....------------------••--•---...................--•--------•------.._...---•......-----•------------••-••--•...-•••--•------•-•---- Date PermitNo.......---•----•. ----------------•--._.... Issued...................-.____............................... Date f ` 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................Town.............OF................. arnstable.............................................. Appliratiun for Disposal Works Tonutrurtiun itamit Application is hereby made for a Permit to Construct ( g) or Repair ( ) an Individual Sewage Disposal System at: Il .••Wood..R...o..a.. oad Cotuit) ......_........ •....................•-•-••-•--------•.............................. Parcel #...------. .'' Location-Address J� ca 108 C 1 St0 Cotu t. j r ................................................ ........::r.- - ' �i.... .. Owner %V %/ G ddress %� /� ('! .................................................. ...................................... zt Installer Address U Type of Building Size Lot..._43174 Sq. feet Dwelling—No. of Bedrooms........ ..................................Expansion Attic ( ) Garbage Grinder (x ) '4 Other—T e of Buildi 1 No. of persons............................ Showers a Other—Type g -•----•-•------------------- P ( ) -- Cafeteria ( ) � O 5er fixtures 0QQ, •--••--••---•--------• - 495 W Design Flow............................................gallons per person per day. Total daily flow..._._......................................gallons. 9 Septic Tank—Liquid ca.pacity..1500 gallons �Length_1 '-6" Width.:.'..-�"... Diameter................ De th5 -4" Disposal Trench—No......?............. Width...24-._......... Total Length.....Kg.......... Total leaching area..28 ...........sq. ft. > Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (x ) Dosing tank ( ) 0-4 Percolation Test Results Performed by-.-Ellis & Thulin, Inc: Date..May 7, 1986 a -- ...........-- Test Pit No. I................minutes per inch Depth of Test Pit 126'.1........._ Depth to ground water....12A"........... f14 Test Pit No. 2....�1.._...minutes per inch Depth of Test Pit...96............ Depth to r......�211........... ry 1H OF O Description of Soil......Medium...Sand 3. FRE® . U ----•-•-----•-••----------•-----------------------------------•----•-----•-......•-•--•---------.........._--•-•-•---.........._--•--- ® -=- -• --• . W .......................................................................................................................................... .. Y� 0 O_y .................. U Nature of Repairs or Alterations—Answer when applicable....................................... .9 9fr . . . . 1ST Agreement: flss!ONAL t The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code—The undersig>lj f th agrees not�`"u/ e e s em in operation until a Certificate of-comp i ce ha een issu by the board h Date ApplicationApproved By-•-•.. .................................. .................................................... Date Application Disapproved for the following reasons__________________________-----•----•---•.............•----............................... - .....__..._._ � ----------------------------------•-------•-----...----------..............-----•-•--•----.........--------•-------------•-••-•-•........--••--------••-•-----------•-•-.....-•--••--.......----...----- Date Permit No.----- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........._ ..........................OF .............. ....................:.. ..... �� tnrtifirttte � an r THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------.------•------------- Installer has been led in I-ilikordand WIvl le r f The State Sanitary Code as described in the application for Disposal Works Construction Permit No------- .?- -- r,__q . dated_............................................. T` CON THE ISSUANCE OF THIS CERTIFICATE SHALL 0 BE STRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. _ DATE....................... .'.. .. -�g-- ......................... Inspector...................... -..i... ......................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .... .......OF............ E�v ''� FEE........ S _ q Disposal orb Tunstrurtiun an it � Permissionis hereby granted............................................................................................................................................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No.................. -' v �}" V� .. Street as show for Disposal Works Constr OB..,d /......-••-----•••---•-...•...-•-- -.....-----•......•------•--.....---•-•-- _of Health DATE................................................................................ I FORM 1255 HOBBS & WARREN, INC., PUBLISHERS .^ l