HomeMy WebLinkAbout0025 OXFORD DRIVE - Health 25 Oxford Drive _---
Cotuit P
A 021 046
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Bellaire, Dianna
From:McKenzie, Marybeth
Sent:Tuesday, April 23, 2024 9:30 AM
To:Bellaire, Dianna
Subject:FW: Septic Inquiry - 25 Oxford Drive, Cotuit, MA 02635
HI Dianna- I tried to make a folder and put it in Laserfiche, but it didn’t work. Would you mind attaching it to it. Thank
you. It can be labeled Bedroom count increase 4/23/24. Thank you.
From: McKenzie, Marybeth
Sent: Tuesday, April 23, 2024 9:06 AM
To: 'ED FITZGERALD' <topfitz@msn.com>
Cc: Gabriella Fitzgerald <gabriella.fitzgerald@verizon.net>
Subject: RE: Septic Inquiry - 25 Oxford Drive, Cotuit, MA 02635
Hello Mr. Fitzgerald,
Your septic permit #79-657 is approved for 2 bedrooms, but the system was designed with a total flow 548 GPD. The
property is on 28,240 st and is in the estuaries zone so you would be allowed to increase to 3 bedrooms max. Please let
me know if you have any other questions.
Regards,
Marybeth McKenzie R.S.
2
From: ED FITZGERALD <topfitz@msn.com>
Sent: Monday, April 22, 2024 10:33 AM
To: McKenzie, Marybeth <Marybeth.McKenzie@town.barnstable.ma.us>
Cc: Gabriella Fitzgerald <gabriella.fitzgerald@verizon.net>
Subject: Septic Inquiry - 25 Oxford Drive, Cotuit, MA 02635
Importance: High
Good Morning Ms. McKenzie -
Background:
We have lived at 25 Oxford Drive since we bought the home in early 2017. We had been planning to retire there
but unfortunately our life situation has changed. We are starting to get the home ready to sell, and when I
contacted the Title V inspector about getting it inspected, I found that I had been misled about the system and its
3
capacity & throughput. The real estate listing in 2017 stated that it was qualified for 3 bedrooms although the
home was laid out as a two-bedroom. Further, I was given a 'partial' Title V report which stated all was
satisfactory. The pages showing the system size and capacity were left out. Contemplating lawsuit but questioning
the likely success.
Activity since then:
The windows and doors were getting old and leaky so I contracted to have all new windows, doors, and a slider put
in, as well as new cedar shingles on the front. The contractor who did that removed one of the two front doors of
the home and an old bay window and replaced them with 2 new large Anderson windows, and partitioned off the
old living room to be set up as a bedroom. All is to fire code. Picture of before and after shown here:
Situation: I would like to replace the existing septic system to be one meeting all the requirements for a 3-
bedroom home. I have researched Deed Restrictions, The Barnstable GIS mapping software showing restricted
zones and water protection areas, The Water Protection Overlay maps, etc, and I believe I can legally and safely
replace the septic to a larger system with your OK. My septic system is in the front yard which is spacious and has
no obstructions:
4
Our home is at one of the higher points within the village of Cotuit and was the tenth green (after a long uphill
shot) at the King's Grant golf club when it existed:
5
I would like to speak as soon as possible about getting your approval to proceed so that I can get a suitable licensed
contractor to follow up with Septic Permitting & Construction and then get the home reclassified with the building
department and the Registry of Deeds.
Thank you very much for your consideration. I can meet you on site if needed, or speak by phone.
Thanks,
Ed & Gabriella
Ed Fitzgerald
25 Oxford Drive
Cotuit, MA 01635
Cell: (617) 699-7707
Email: TopFitz@MSN.com
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'Pill Title 5 Official �Inspectiori Form =
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Subsurface Sewage Disposal System Form.-Not for,Voluntary Assessments.:- •J _ .
25 Oxford Dr
Property Address .-, W '
Stuart McGuirk rQ
Owner Owner's Name
information is
required for every Cotuit MA 02635 2-3-17 6 .
page. City/Town State Zip Code Date of Inspection^ -
Inspection results must be submitted on this form. Inspection forms may not be altered in'anIt.
way. Please see completeness checklist at the end of the form.
A. General Information 7(,
1. —Inspector: . + r
Shawn Mcelroy
Name of Inspector
Upper Cape Septic Services
Company Name
_P.O. Box 73
Company Address
E. Falmouth MA 02536
City/Town State Zip Code
1-508-495-0905 S13971
Telephone Number License Number
f
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:
K ® Passes .-, t ❑ Conditionally Passes . ❑ Fails
❑ Needs Further Evaluation Local Approving Authority,,
2-3-17. !
Inspector's Signature - Date
The system inspector shall submit a copy of this inspection report to the Approving Authority (Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time.This inspection does not address how the system will perform in the future under
the same or different conditions of use.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17
S
Commonwealth of Massachusetts 1
r t Title 5 Official Inspection Form
�-I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
25 Oxford Dr
- s
Property Address
Stuart McGuirk
Owner Owner's Name
information is
required for every Cotuit MA 02635 2-3-17
page.' City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes: '
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are
indicated below.
Comments:
System is in good working order with no sign of failure.
B) System Conditionally Passes:
❑ One or more system components as described in the "Conditional Pass"section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health,will pass.
Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND (Explain below):
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17
I
Commonwealth of Massachusetts
:a=1 Title 5 Official Inspection Ford}
qSubsurface Sewage Disposal System Form..Not for Voluntary Assessments: • + ..
25 Oxford Dr
Property Address
Stuart McGuirk
Owner Owner's Name
information is required for every COtuit MA 02635 2-3-17 t,y
page. City/Town State 'Zip Code Date of Inspection
B. Certification (cont.) } k -
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired. "
B) System Conditionally Passes (cont.): �.�.,,:,,a , �, . � •; �+
❑ Observation of sewage backup or break out'or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled or uneven.distribution box. System will
pass inspection if(with approval of Board of Health):
` ❑ ` broken pipe(s) are replaced "' ❑ Y �❑ N ❑.ND (Explain below):
'' ' ' ❑ obst ruction pis removed'' ' ' '
❑"�Y' ��❑ N ❑"ND (Explain below):
• j-td .'0 pk r t•.
❑ distribution box is leveled or replaced' ''❑ Y ❑ N ❑ ND (Explain below):
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❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
C), Further Evaluation,is,Required by the Board of Health:-t
❑ 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,
f" safety and the'environment: ,
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
�=I r Title 5 Official Inspection Form '
;['�-i Subsurface Sewage Disposal System form -Not for Voluntary Assessments
HEW
Jp!, 25 Oxford Dr
Property Address
Stuart McGuirk
Owner Owner's Name
information is required for every Cotuit MA 02635 2-3-17
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply._
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well**.
Method used to determine distance:
**This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must
be attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate "Yes" or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool t
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than day flow
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
f
Commonwealth of Massachusetts 1
f Title 5 Official Inspection Form
ri, ICI Subsurface Sewage Disposal:System Form -Not for Voluntary Assessments v,
25 Oxford Dr
t J"
Property Address
Stuart McGuirk
Owner Owner's Name
information is required for every Cotuit ,' . MA 02635 2-3-17
,,..
page. City/Town ., State Zip Code Date of Inspection
B. Certification (cont.) -,
Yes -No
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped: °
❑ Zr Any portion of the SAS,,cesspool:or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy,is within 100 feet of a surface water supply or
tributay to a surface water supply.
❑ •: ® . Any portion of a cesspool or privy:is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
;system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
:,of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form:]
The system is a cesspool serving a facility with a design flow of 2000gpd-
The,system fails. I'have'determi66dthat one or more of the above failure
® ` criteria exist as described in 310 CMR 15.303,therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary,to correct the failure
E) Large Systems: To be considered a large system the system must serve a facility with a
` design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or t'no"to each of the following, in addition to the
questions inrSection D. _ _ _ .. ;, f L
Yes No
❑ ❑ the system is within 400 feet of'a surface drinking water supply
❑ ❑ the system is within 200 feet of-a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area (Interim Wellhead Protection
❑`' Area"— IWPA) or a mapped Zone II of a`puk iic water'supply'well
If-you have answered "yes"to an question in Section E the system is considered a significant
Y Y Y q Y threat,
or answered "yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
Ju_�_f�!✓ 25 Oxford Dr
Property Address
Stuart McGuirk
Owner Owner's Name
information is Cotuit MA 02635 2-3-17
required for every '
page. Cityfrown 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
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
❑ ® Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
❑ ® Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
D. System Information 0 t
Residential Flow Conditions:
Number of bedrooms (design): 2 Number of bedrooms (actual): 2
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):
220
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
I
Commonwealth of Massachusetts .-
laz Title 5 Official Inspection Form
' Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments. .'
a�
25 Oxford Dr ,
Property Address _
Stuart McGuirk
Owner Owner's Name
information is
required for every Cotuit r "` MA 02635 2-3-17
page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 0
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? (Include laundry system inspection - El Yes ® No
information in this report.)
Laundry system inspected?e M. >• t. ❑ Yes ® No
Seasonal use? ,, , ,t ja , ❑ Yes ® No
Water meter readings, if available last 2 years usage ,. _. , Well
Detail
Sump pump?,., 1.. ,�, ,t ;,i. ❑ Yes ® No
Last date of occupancy: ,; Last year
Date
Commercial/Industrial Flow Conditions: r .,i ,•. ��,
Type of Establishment:
r ;. . ' rDesign flow(based,on-310 CMR 15.203):
Gallons per day(gpd)
it Basis,,of-design-flow(seats/persons/sq.ft., etc.)::
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
;W 21 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
25 Oxford Dr
1
Property Address
Stuart McGuirk
Owner Owner's Name
information is required for every Cotuit MA 02635 2-3-17
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: Owner--pumped 2013
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping: Maintenance
Type of System:
® Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract (to be obtained from system owner) and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank.Attach a copy of the DEP approval.
❑ Other(describe):
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
i
Commonwealth of Massachusetts T,:
al Title 5 Official Inspection Form
Ir
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments + -
25 Oxford Dr
Property Address
Stuart McGuirk .1 r
Owner Owner's Name
information is required for every COtUIt MA 02635 2-3-17 �• F .
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
1979
Were sewage odors detected when arriving at thesite? ❑ Yes ® No
Building Sewer(locate on site plan):
30"
Depth below grade: • •. feet '
Material of construction:
® cast iron ® 40 PVC .
other(explain):
Distance from private water supply well or suction line: , + feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Good condition.
Septic Tank(locate on site plan):
Depth below grade: t r
24"
-feet
Material of construction:
® concrete ❑ metal ❑ fiberglass .❑ polyethylene, >, ' ❑ other(explain)
If tank is metal,list age: years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) :Y'. ❑ Yes ❑ No
Dimensions:
1500 gal
Sludge depth:
12"
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
W. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
25 Oxford Dr
Property Address
Stuart McGuirk
Owner Owner's Name
information is required for every Cotuit MA 02635 2-3-17
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle
20"
Scum thickness 0
Distance from top of scum to top of outlet tee or baffle
6"
Distance from bottom of scum to'bottom of outlet tee or baffle
16"
How were dimensions determined? Tape
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tank is in good condition with baffles installed and no sign of leakage.
Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17
Commonwealth of Massachusetts
:a=1 Title 5 Official Inspection Forma
,.-'A Subsurface Sewage Disposal System Form Not for•Voluntary Assessments,
F�7 •
�j
25 Oxford Dr
Property Address
Stuart McGuirk ,r
Owner Owner's Name
information is a
required for every Cotuit MA 02635 2-3-17
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage,etc.):
a r r {.
r
Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
` Dimensions:
Capacity:
gallons
Design Flow: gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping:
Date I
Comments (condition of alarm and float-switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Fora
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
J,!% 25 Oxford Dr
Property Address
Stuart McGuirk
Owner Owner's Name
information is required for every Cotuit MA 02635 2-3-17
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert 0
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Good condition with water at working level and no sign of back-up from pit.
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
Alarms in working order: ❑ Yes ❑ No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17
f
Commonwealth of Massachusetts A E . r. :-.•'
as s� Title 5 Official Inspection. Fdhiv
-+ X Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �.
25 Oxford Dr :� .. a. e:"
Property Address
Stuart McGuirk rr
Owner Owner's Name '
information is required for every Cotuit '''r MA 02635 2-3-17 1
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Type:
® leaching pits number: 1-1000 gal
❑ leaching chambers number:
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields -number, dimensions:.'
❑ p overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments (note condition of soil;signs'of hydraulic failure, level of ponding;-damp soil, condition of
vegetation, etc.):
Leach pit in good condition and emtpy at inspection with stain line at 16" below inlet invert.
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
Commonwealth of Massachusetts
^77 Title 5 Official Inspection Form
•a=1 st+�
i.
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
25 Oxford Dr
Property Address
Stuart McGuirk
Owner Owner's Name
information is required for every Cotuit MA 02635 2-3-17
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy (locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17
f
'
Commonwealth of Massachusetts :
:a=1 Title 5 Official Inspection Form"
-
Subsurface Sewage Disposal System Form=Not for Voluntary Assessments o t
25 Oxford Dr
t J"
Property Address "
Stuart McGuirk
Owner Owner's Name
information is ;
required for every Cotuit MA 02635 2-3-17
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.) -
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal.system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
® hand-sketch in the area below
❑ drawing attached separately
Fr .10
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ii L e. E c
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02,
IT
A-3 -. 4111 8-3 �i-31
r
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts
I,= l Title 5 Official Inspection Form
�, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
25 Oxford Dr
t J"
Property Address
Stuart McGuirk
Owner Owner's Name
information is required for every Cotuit MA 02635 2-3-17
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: 20'
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: Date
® Observed site (abutting property/observation hole within 150 feet of SAS)
® Checked with local Board of Health -explain:
® Checked with local excavators, installers- (attach documentation)
® Accessed USGS database - explain:
You must describe how you established the high ground water elevation:
USGS and town maps show groundwater at greater than 20'.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
I
:' Commonwealth of Massachusetts
:a=1 Title 5 Official Inspection Form
:�I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
A '! 25 Oxford Dr
t J'
Property Address
Stuart McGuirk
Owner
Owner's
ne s Name
information is required for every Cotuit MA 02635 2-3-17
page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary: A, B, C, D, or E checked
® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed
® System Information—Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17
COMMONWEALTH OF MASSACHUSETTS.
r EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
MAP
PARCEh ��.. ..
LOT
TITLE 5
OFFICIAL INSPECTION.FORM"—NOT FOR VOLUNTARY:ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
I CERTIFICATION
Property Address:
D .
Owner's Name:
Owner's.Address: 10
A 51 U RECEIVED
Date of Inspection: _
Name of Inspector• please.print . fro ' AUG
4 2003
Company Name:
Mailing Address: 10 . V TOWN OF BARN$TNBLE
>i 4 GO _V� HEALTH DEPT.
Telephone Number: wO
CERTIFICATION STATEMENT
I certify that I.have personally inspected the sewage disposal system at this address and that the information reported'
below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my
- training and experience in the'proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector.pursuant to Section 15.340 of Title.5(310 CMR 15.000). The system:
V Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority :
Fails
Inspector's Signature: r ` Date: 6
The system inspector shall submit a copy of this inspection report to the Approving.Authority(Board of Health or
DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow,of 10,000
gpd or greater,the inspector.and the system owner shall,submit the report to the appropriate regional office.of the'
DEP..The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving
authority.
Notes and Comments
}` ****This report only describes conditions at:.the time,of inspection and under the conditions of use.at that
time. This inspection does not address how the system will perform in the future under the same or different.
conditions of use. -
Title 5 Inspection Form 6/1.5/20.00 page 1
Page 2 of 11
ly
OFFICIAL INSPECTION FORM-NOT FOR.VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
{ ° CERTIFICATION (continued)
Property•Address: w
Owner:
Date of Inspection:
Inspection Summary: Check A,B;C.;D or E/ALWAYS complete all of Section D
lystem Passes:
I have not found any information which indicates that any of the failure criteria described in 310 CMR,,
15.303 or in,310 CMR 15.304'exist.'Any failure criteria not'evaluated are indicated below.
Comments:
B. System Conditionally Passes: .
One or more system components as described in the"Conditional Pass"section.need to be replaced or
repaired.The system, upon completion of the replacement or repair;as approved by the Board of Health,will pass.
Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please
explain.
The septic tank is metal and over 20 years old* or the septic tank(whether metal or'not)'is structurally
unsound, exhibits substantial infiltration or exfiltration or.tank failure is imminent.System will pass inspection if the
existing tank is replaced with a.complying septic tank as approved by the Board of Health.
*A metal.septic tank will pass inspection if it is structurally sound;not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage.backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with
approval of Board of Health):
broken pipe(s)are-replaced
obstruction is removed
,distribution box is leveled or replaced
ND explain:
The system required:pumping.more than`4 times a year due to broken or obstructed pipe(s).The system will
pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
2
Page 3 of.11
OFFICIAL INSPECTION FORM-.NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE.SEWAGE.DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address- .
Owner /'t
Date of Inspection:
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:CMR15,303(1)(b)that the.
system is not functioning in a manner which will protect public health,safety and the environment:
_ Cesspool or privy is within 50 feet of a surface.water,
_ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health (and Public Water,Supplier,if any).,determines that the
system is functioning in a manner that protects the public health,safety.and environment:
The system has a septictank.and soil absorption system(SAS)and the SAS is within 100 feet of
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 aseptic 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 colifonn
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and.
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no.other
failure criteria are triggered.A copy of the analysis must be attached to this form.
3. Other:
3
Page 4 of 11
OFFICIAL INSPECTION FORM=NOT;FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address:
Owner:
Date of Inspection:
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the.following for all inspections:
Yes Nq�.
_ VV Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
_ Discharge or ponding of effluent to the surface of the ground.or surface waters due to an overloaded or
J clogged SAS or cesspool
i/ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
_ Liquid depth in cesspool is less than 6"below invert or available volume is less than'/z day flow
Required.pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number '
f of times pumped
_ Any portion of the SAS,cesspool or privy is below high ground water.elevation.
_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
Any portion of a cesspool or privy is within a Zone 1 of a:public well.
_ Any portion of a cesspool or privy is within 50 feet of a.private water supply well.
Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet.from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility-and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,.provided that no other failure criteria
are triggered. A copy of`the analysis must be attached to this form.]
(Yes/No)The system fails.I have determined that.one or more of the above failure criteria exist as
described in 310 CMR 15.303,therefore the system fails. The systern owner,should contact the Board of
Health to determine what will be necessary to corred the failure.
E. Large Systems:
To be considered a large system the system must serve a facility with a design flow of 100.0 gpd-to 15,000
gPd•
.:You-must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes no
— the system is within 400 feet of a surface drinking water supply
— the system is within 200 feet of a tributary to a surface drinking water supply
_ the system is located in.a nitrogen sensitive area(Interim Wellhead Protection Area—I WPA)or a mapped
Zone II of a public water supply well
If you have answered"yes"to any questibn in Section E the system is considered a significant threat,or answered
"yes" in Section D above the large system*has failed.The owner_or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304. The system owner should contact the appropriate regional office of the Department.
4
f
Page 5"of 1.1
OFFICIAL INSPECTION FO
RM--.NOT FOR VOLUNTARY.ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: ell Qdh 2d ZZLW
Owner: AL
Date of Inspection: Cj
Check if the following have been done. You must indicate,`.`yes"or"no"as to each of the following:
Yes No
_ Pumping.information.was provided by the owner,occupant;or,Board of Health
l,/ Were.any of the system components pumped out in the previous two weeks
Has the system received normal flows in the previous two week period?
— �Have large.volumes of water been.introduced to.the system recently bras part of this inspection?
Were.as built plans of the system obtained and examined?(If they were not available note as N/A)
Was the facility or dwelling inspected for signs of sewage back up
_ Was the site inspected for signs of breakout
Were a1C 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.o.f sludge and depth of scum?.
Was the facility owner(and occupants if different from owner)provided with information on the proper
maintenance-of subsurface sewage disposal systems?.
The size and location'of:the Soil-Absorption System(SAS)on the site has been determined based on:
Yes no
Existing information,For example,a plan.at the Board of Health.
- /._ Determined in the field(if any of the failure criteria related'to Part C is at issue approximation of distance
is unacceptable) [310 CMR 15.302(3)(b)]
5
Page 6 of I 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address:
Owner
Date of Inspection:
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): Number of bedrooms(actual):
DESIGN`flow based on 31 O.CMR 15.203(for example: 1`1.0 gpd x#of bedrooms):_�f
Number of current residents
Does residence have:a garbage grinder
.(yes or no):
Is laundry on a separate sewage system es or no [if yes separate inspection required]
Laundry system inspected(yes or no)
Seasonal use:(yes or no):
Water meterreadings, it available(last 2 years usage(gpd)): ®1 /71,000 QZ -fF-�OeO
Sump pump(yes or no • �'. ����.�
Last date of occupancy:\ e
COMMERCIAL/INDUSTRIAL,/.CO—
Type of establishment:
Desigr. flow(based on'310 CMR 15.203): gpd
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or-no):_
Industrial waste holding tank present(yes or no):_
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings, if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information:
Was system pumped as part of the i spection(yes or )
Ifyes,volume pumped: gallons--How was quadtitymped determined.
Reason for purtiping:
TYP OF SYSTEM
_.✓Septic tank,distribution box,soil absorption system
Single cesspool
_Overflow cesspool
_.Privy
_Shared system(yes or no)(if yes,attach previous inspection records,if any)
Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
—Tight tank _Attach a copy'of the DEP approval
_.Other(describe):
roxim ace of all corpponents, date installed(if known an ource of information:
y
Were sewage odors detected when arriving at the site(yes or no)��� "
6
t
Page 7 of I I
OFFICIAL INSPECTION FORM.—NOT FOR VOLUNTARY.ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART. C
SYSTEM.INFORMATION(continued)'
Property Address: " e
Owner:
Date of Inspection.
BUILDING SEWER(locate on site plan)
Depth below grade:
Materials of construction:_cast iron 46 PVC other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints, venting,evidence of leakage;etc.):
i
SEPTIC TANK:Zoocate on site plan)
Depth below grade:
Material of construction: ✓oncrete - metal fiberglass_polyethylene
_other(explain) — _
If tank is metal list age:_ Is age confirmed by.a Certificate of Compliance(yes or no):_(attach a copy of
certificate)
Dimensions:. IO i.S 'X 6'X
Sludge depth: e--X` 1�
Distance from top of sludge to bottom of outlet tee or baffle; �y
Scum thickness:
Distance from top of scum.to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee�or baffle: _
How were dimensions determinedriK �y ,��LQfl1��{/I /j
Comments(on pumping recomme dations, nlet and outlet tee or baffle condition, structural integrity, liquid levels ,
related to outlet invert, ev'd nce of leakage, c.):
,r
GREASE TRA IY&Iocate•on site plan) `
Depth below grade:
Material of construction:_concrete metal_fiberglass_polyethylene_other.
(explain):
Dimensions: .
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping-.
Comments(on pumping'recommendations, inlet and outlet tee or baffle condition;structural integrity, liquid levels.
as related to outlet invert,evidence of leakage,etc.):
7
Page 8 of l]
OFFICIAL INSPECTION FORM=NOT FOR.VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM`INFORMATION(continued)
Property Address:
Owner: C
Date of Inspection:
TIGHT or HOLDING TANK(tank must be pumped at time of inspection)(locate op.site plan)
Depth below grade:
Material of construction: concrete metal fiberglass__polyethylene -other(explain):
Dimensions:'
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: Alarm in working order.(yes*or no):
Date of last pumping:
Comments('condition of alarm and float switches,etc.):
DISTRIBUTION BOX: !f (if present must be opened)(locate on site plan)
O'
Depth of liquid level above outlet inverte:2 "
:
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of
IJZ*age into or out of box, c.):
PUMP CHAMBER: (locate on site plan)
Pumps in working order(yes or no):
Alarms'in working order(yes or tio):
Comments(note condition of pump chamber,condition of pumps and.appurtenances,etc.):
8 '
Page 9 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 0 d,�P.
Owner:
e
Date of Inspection: . /�5
SOIL ABSORPTION SYSTEM.(SAS): t/'(locate on site plan,excavation not required)
If SAS not located explain vyhy:
TYPe ,
_.
leaching pits;number:
leaching chambers,number:
leaching galleries,number:
leaching trenches,number, length:.
leachinCr
g fields,number,dimensions:
overflow cesspool,number:
_innovative/altemative system^ Type/name,oftechnology:
Comments(note condition of soil,signs of hydraulic failure, level of ponding damp soil,condition of vegetation,
tci):
l< iiAl
52
CESSPOOLS• t- (cesspool must be pumped as part of ins ection)(locate on site
plan)
Number and configuration:
Depth'—top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool;
Materials of construction:
Indication of.groundwater inflow(yes or no)::
Comments(note condition of soil,signs of hydraulic failure,level of ponding;condition of vegetation,etc.):
PRIVYIXk(locate on site plan)
Materials of construction:.
Dimensions: .
Depth of solids:
Comments(note condition of soil,signs of hydraulic failure;level of ponding condition of vegetation; etc.):
9
Page 10 of 11
OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:
A
Owner:
Date of Inspection:
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within 100 feet.Locate where'public water supply enters the building.
scd
+ ti
�}3
/LI I
10
Page 11 of I 1 .
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM
PART C
SYSTEM INFORMATION(continued)-
Property Address: .T
Owner:
Date of Inspection:
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water / feet
Please indicate(check)all methods used to determine the high.ground water elevation:
Obtained from system design,plans on record-If checked,date of design;plan reviewed:
Observed site(abutting property/observation hole.within 150 feet of SAS)
Checked with local Board of Health-explain:
Checked with.local excavators,.installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
'roe
®
I1
Permit Number;. Date:
Completed by-
HIGH GROUND-WATER LEVEL COMPUTATION
Site Location: f� VJ/ + �� (s�� Lot No.
Owner: ddress
Cpntractor: G? S Address: .J �
' Notes: �� ✓�l�'�c�����/91�.
STEP 1 Measure depth to water table
to nearest 1/10 t. ..: ......... ........: .... ................ .... .Date
month/day/Year
STEP 2 Using Water-Level Range Zone
and andex Wel'I•Map locate.
site Index
determine:
OAppropriate index well.: .....:.. ......... �........... 7 .
OI3 Water-level range zone . .............................
S T EP. 3 Using monthly. report,"Current
Water Resources Conditions"
determine current depth o a�
water level
sor index well ... :.....
month/year
STEP 4 Using Table of Water-level ,adjustments;
.or index well (STEP 2A); current depth
to water.level for index.well (STEP 3).,
'and Water-lever zone (STEP 23)
determine water-level adjustment.. ! 1 .�
'STEP 5 -Estimate depth to hi.gh'water
by subracting the water-
'ievel adjustment (STEP 4).
i from"measured depth to water
levelat site (STEP 1) ......... ......... ............:.......•._....:.............................. ........................:..
Figure 11--Reproducible conput2Lion form:
� 15
� i
4 Its � •
I
Si
E
1 rig
y
i §
1
'ITS
COMMONWEALTH OF MASSACHUSE
j� EXECUTIVE OFFICEOF ENVIRONMENTAL AFFAIRS
F
d DEPARTMENT OF ENVIRONMENTAL P
20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508- 4COTPY.
o,
e
� sve
ARGEO PAUL CELLUCCI BOB DURAND
Governor Secretary
JANE SWIFT LAUREN A.LISS
Lieutenant Governor Commissioner
April 4,2000 .
Mr. Kenneth H. Molloy, P.E. RE: MASHPEE--BWSC/SMP
Cotuit Waders 106 Falmouth Road
225 Oxford Drive RTN 4-11904
Cotuit, Massachusetts 02635
Dear Mr.Molloy:
The Massachusetts Department of Environmental Protection, Bureau of Waste Site Cleanup
(the Department), recently received your report relative to -the groundwater contaminant plume
migrating from the former Augat facility in Mashpee, Massachusetts. The Department shares your
concerns relative to groundwater contamination and appreciates the efforts of the Cotuit Waders
and other similar groups have taken to ensure that these environmental issues are adequately
addressed.
It is not uncommon to detect low concentrations of contaminants in surface water when the
groundwater is discharging to a surface water body, as it is in this case. The concentrations of
tetrachloroethene (PCE) and trichloroethene (TCE) detected in surface water samples QRl and -
QR1N/QR2, collected on July 2; 1999, July 30, 1999, September 30, 1999, and October 29, 1999,
are all well'below the freshwater..and marine Clean Water Act Aquatic Water Quality Criteria
(AWQC) standards for,surface water. These standard values are 5,280 µg/t for freshwater acute,,
840 µg/l for freshwater chronic,,10,200 µg/l for marine acute, and 450 µg/l for marine chronic.
Considerable work has been done to delineate the extent of the plume at this site,-including
potential impacts to surface water and sediments in Shoestring Bay and further north along Quaker
Run, especially in the area where higher concentrations of PCE and TCE within the plume(near the
irrigation pond and AW-68) have been detected. Surface water testing in this area indicates no
significant changes in contaminant concentrations since first detection and no exceedances of
AWQC standards. Extensive testing of both cranberry bog soils and cranberry fruit has also been
conducted with no PCE or TCE detected in either soils or fruit.
This information is available in alternate format by calling our ADA Coordinator at(617)574-6872.
DEP on the World Wide Web: http://www.magnet.state.ma.us/dep
Z� Printed on Recycled Paper
Mashpee-BWSC/SMP RTN 4-11904 Page 2 of 3
The Department recognizes that dilution and volatilization occur when groundwater
contaminated with volatile organic compounds (VOCs) discharges.into a surface water body. In
ontamm g p (V ) g y
some cases, chlorinated solvents (such as PCE and TCE) will sorb onto, and biodegrade, in the
organic muck on the bottom surface of the surface water body. This dilution, volatilization and
biodegradation significantly reduce the concentration of the VOCs in the groundwater. In fact,
recent changes to the Massachusetts Contingency Plan (MCP) require that surface water and
sediment in a surface water body need only be analyzed for VOCs if Non-Aqueous phase liquid
(NAPL)is present within 200 feet of the surface water body [see 310 CMR 40.0904(2)(c)J.
Therefore, since Quaker Run is within the boundaries of the disposal site (as defined in the
MCP) and groundwater is discharging to the surface water, it is not surprising that low
concentrations. of VOCs have been detected in the surface water. However, because the
concentration of VOCs in the groundwater are. considered low, and NAPL is not present, the
discharge of the contaminated groundwater does not represent a substantial hazard to ecological
receptors.
Recently, the Department sent out a letter approving a long-term monitoring plan for the
contaminant plume to maintain the Class C Response Action Outcome. Any significant changes in
the configuration of contaminant concentrations in the groundwater would require additional work
to be done to ensure that no substantial hazard remains At the site. In addition, last month Thomas
and Betts submitted a Class A-1 Response Action Outcome (Class A-1 RAO-P) for the
northernmost portion of the site. The Class A-1 RAO-P was submitted because contamination on
the northernmost portion of the site has been reduced to background (no VOCs are in the
groundwater at the former Augat property). The letter indicates that Thomas and Betts anticipates
submitting additional RAO-Ps as treatment and natural processes reduce VOC concentrations
farther to the south. In addition, in a December 22, 1999 letter to the Department, Thomas and
Betts indicates that a groundwater recovery and treatment system to remediate the lower(southern)
portion of the plume is currently being planned for the area along Quinaquisset Avenue.
In summary, conditions at the site do not present a substantial hazard to health, safety,
public welfare and the environment. Thomas and Betts is continuing to do what is necessary to
maintain a condition of no substantial hazard at the site and continues to move the site toward a
permanent solution.
If you have any questions, please contact Mark Wood at (508) 946-2874 or at the above
letterhead address.
Sincerely,
d
O erard M. R. Martin, Chief
Site Management&Permits Section
NAMW\rr
T
Mashpee-BWSC/SMP RTN 4-11904 Page 3 of 3
CERTIFIED MAIL NO. Z 333 585 529
RETURN RECEIPT REQUESTED
cc: Mashpee Board of Health Department'of Public Health, -'
16 Great Neck Road North Environmental Health Assessment
Mashpee,MA 02649 250 Washington St., 7'Floor
ATTN: Mr. Elias McQuaid, Chairperson Boston,MA 02108
Mashpee Board of Selectmen Barnstable County Health Department
Post Office Box 1108 Superior Court House
16 Great Neck Road North Barnstable,MA 02630
Mashpee,MA 02649 ATTN: Mr. Stetson Hall,Director
ATTN:Mr. Ken Marsters, Chairperson
Barnstable Land°Trust
Barnstable Board of Health 1 Winter Street
P.O. Box 534 Hyannis,MA-02601
Hyannis,MA 02601 ATTN: Ms. Jacki Barton
ATTN: Dr.Dale Saad
UMASS'Center for Marine
Barnstable Board of Selectmen Science and Technology
Town Hall 706 Rodney French Boulevard
367 Main Street New Bedford,MA 02744-1221
Hyannis,MA 02601 ATTN: Mr. Brian L. Howes,.
Senior Fellow
Thomas and Betts Corporation
452 John Dietsch Boulevard Mashpee Environmental Coalition
P.O.Box 2510 P.O.Box 274
N.Attleboro,MA 02063 Mashpee,MA 02649
ATTN: Mr. William Frigon ATTN: Mr. Charles Costello
GZA GeoEnvironmental,Inc. Mashpee Public Library
140 Broadway P.O. Box 657
Providence,RI 02903 Mashpee,MA 02649
ATTN: Mr. Michael Powers,LSP ATTN: Augat Information Repository
Willowbend Development Corporation SCC Coalition
130 Willowbend Drive c/o Mr. Christopher Tufts
Mashpee,MA 02649 76 Sampson Mill Road
ATTN:Mr. Bruce Besse,Jr.,V.P. Mashpee,MA 02649
CCotuit-Santuit Civic Association DEP- SERO
Post Office Box 121 ATTN: Millie Garcia-Surette,DRD
Cotuit,MA 92635 Data Entry
ATTN: Ms.Peggy McGarrahan
0CATI SEWAGE PERMIT NO.
VILLAGE
INSTA LLER'S NAME i ADDRESS +
JOHN A.MLTO 'BACKHOE SERVICE
ti a
I' west Barnstable, Mac-S.
BUILDER �" 0 OWNER
Ike CAc
'�iAjf. PERMIT ISSUED
DATE COMPLIANCE ISSUED
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No.....6)
1�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
---�-OWA..................OF fw ,tv
Appliratiou for Uiipngal Workfi C omtrurfiun 1hrutit
Application is hereby made for a Permit to Construct ( ' or Repair ( ) an Individual Sewage Disposal
System at:
.....-- - .........COWIT............................(...or.......(
Loca- AddAr yss L —or Lot No.
Owner' Address
a ............................................. ...... ............ -------•••-•---------•--------...............................-----............................----
Installer Address d
d Type of Building Size Lot____� t. Sq. feet
U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ----------------------------
-------.................----.....
W Design Flow..............0`;.G......_........_ ..gallons per person per day. Total daily flow......................... ............gallons.
04 Septic Tank—Liquid capacity .gallons Length-_ib?�. �- Width__- Diameter................ Depth 5':&_._..
Disposal Trench—Nq. .................... Width.._............._.. Total Length.................... g q..__..... Total leaching area____________________s ft.
Seepage Pit No --------- ---__eiameter-_/.WO......... Depth below inlet......., .`..... Total leaching area.... (_�.sq. ft.
z Other Distribution box ( Dosin tank ( ) �tfft._:�__A
�n (}4Percolation Test Results Performed by- ' V` "� g- Date„-a Test Pit No. 1.._�._...minutes per inch Depthof Te ..... Depth to ground water_--__:�____--__-.-
-
GTq Test Pit No. 2----- .___minutes per inch - Depth of Test Pit........1-4—.... Depth to ground water------------------------
a ----•-------••---•--•--•---•--•------•-•---••-•-•-•---•-•--...---•----••--•---------------------------------------•.........................................
0 Description of Soil............... ,........
c2V--------•-- l a ---------------------
W
UNature of Repairs or Alterations—Answer when applicable._______________________________________________________________________________________________
-----•......•------•---------•-•••-•••--•-----------------------------••--••••........------ ----------------------------------------------------------------------------------•--------.......
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of,L I i y g g p . y
of the State Sanitary Code— The undersigned further agrees not to lace the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed.------ .......... .
Date
q
lApplication Approved By------... .� .. :.......... .. ---------••--•---•-•---
^ _ f
Date
Application Disapproved for the following reasons-.............................----------------------------------•-•••----------•----•----•----•---••-----------
................................................. ------------•---•--•--•----------------....-----------•------------------------•---•--•----•-•-•---------------------•----•----------••---•--...--•---
Date
Permit No.......................................................... Issued_....
� ...
Date
No... ! Fps... . ................
- •r
THE COMMONWEALTH OF MASSACHUSETTS `
BOARD OF HEALTH
i.k d. _....O F� !t?,:.:1 y� ` C ..........................
Appliration for Uiipatia1 Vorkfi Tnntrnrfilin Prrmi#
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at:
..................--C:..�.�::.�` . ............................ ----... +� -----------------...-------..=-�� ....... ... ......-
Locatio -Address or Lot No.
Owner Address
...............................•-•---•!�:i:...._ .. .......................................--------•---•••
Installer Address !
� Type of Building Size Lot___�Q.�.�__ _D.S q. feet
�-, Dwelling—No. of Bedrooms...................______.___.___._...Expansion Attic ( ) Garbage Grinder ( ie
Other—Type e of Building No. of persons............................ Showers
YP g ---•--•--•----------••------ P ( ) Cafeteria ( )
Other fixtures ..................................
W
Design Flow.............. ....................gallons per person per day. Total daily flow..................3-, ------------gallons.
WSeptic Tank—Liquid capacitygallons Length_ t"`t:r<'_a. Width_- ;-: '.' . Diameter________________ Deptll`"�-8.....
x Disposal Trench—No. .......... ..... Width...._--------------- Total Length..............._.... Total leaching area-----__.............sq. ft.
Seepage Pit No.......... ......... iameter._0..._..... Depth below inlet.......(P........ Total leaching area.....--1'K-�.sq. ft.
z Other Distribution box ( Dosing tank ( ) +
'-' Percolation Test Results Performed by. " ' I •. +;t ._�:.. _: �� .. Date........- .._. ......
W
a Test Pit No. I..........minutes per inch Depth of Test Pit------U ....... Depth to ground water--------� _____________
Test Pit No. 2....."'1.,__._minutes per inch,,. Depth of ,Test Pit.......1 .... Depth to ground water........ "...........
-•-------------------------•--•-----------------•-•-----......_..............-••-•-.....••---•-•-•••--•--•-•-•..........
ODescription of Soil----•-. -•-- -------------...........................................................................
x �"4 )i
W
UNature of Repairs or Alterations—Answer when.:applicable....__..........................................................................................
----------------------------•---•--•--------------------------------------------=--- _.......................................................... ....................................................
Agreement:
The undersigned agrees to install the aforede scribed Individual Sewage Disposal System in accordance with
the provisions of ii:..:
p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
S
Stgned.. •---•-. • •-•-•••-••••--••••---••-----•-•-•---•-•-••......-••-••---•-•-•----.
Date
Application Approved B ...j. V w- 7
Date
Application Disapproved for the following reasons--------------------------------------------------------------------------------------------------------••.......
---------------------------------•-•--------•----------------•---•-----•----------------....------------.-------------------------------------------------------------------------------------------•---
Date
PermitNo........................................................ Issued-----•---------------------=......•......,.---._...---
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALT,
.. ................OF....... ! + ...? �' ...................
%-Crtlfiratr of To
T S I TO C IF (,$at the Individual Sewage Disposal System constructed ( or Repa' ed ( )
by .... '
at d C L/s�) d� ...............has bee installed in accordance wi the provisions of TI j f The State Sanitary Code as described in the
` application for Disposal Works Construction Permit No. ____ _______ ........ da.ted_./O_`S " __7p'_...............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. f-
DATE................................................................................ Inspector................... ...........................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
9 j �y ....... f � ..............OF._�'�` sin`-. ................................. ,D o .
No........ ..............
FEE. ..............
Permission isr hereby granted .....-'----------•--•--•------------------------------------------•-• . . ...... ...............
to Const ct ( ;/) Rep ' ( n Individual ge Disp S ey
w Street
as shown on the application for Disp 'sal Forks Construction Permi ............... d..rQ_.'W�°''-.7�c'•._._._.._.
` ------.....- -----------------
�I g Board of ealth
DATE............................................ •
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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