HomeMy WebLinkAbout0363 CASTLEWOOD CIRCLE - Health 363 CASTLEWOOD , HYANNIS
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TOWN OF BARNSTABLE
LOCATION CG-A SEWAGE #
VILLAGE ASSESSOR'S M_+A�P & LOT 6275 Loq I
' �1AME&PHONE NO. (a e � �, r
SEPTIC TANK CAPACITY
LEACHING FACIL=: (type) (� 1;��` (size) y
NO. OF BEDROOMS (�
V ^��CaL
BUILDER OR OWNER
PERMIT DATE: DATE: Pl i Q
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) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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Certified maii:.7014 1200 0001 0358 3490
Town of Barnstable
Regulatory Services
y MnAS& Richard Scali, Director
i639' �0
'FoamA Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
September 25, 2015
Mr. Richard L Deberandinis
363 Castlewood Circle
Hyannis, MA 02601
NOTICE OF VIOLATIONS OF 310 CMR: 15.000 THE STATE
ENVIRONMENTAL CODE TITLE V: MINIMUM REQUIREMENTS FOR THE
SUBSURFACE DISPOSAL OF SANITARY SEWAGE.
On September 24, 2015, Health Inspector David W. Stanton, RS, investigated a
complaint that pvc sewer pipes were in the backyard discharging greywater. As you
stated, it is only greywater (from the shower and\or laundry, no toilets...) that you had
piped out into your outdoor rinsing station, however greywater must be discharged into a
septic system. Should your septic system go into failure and cause ponding\breakout
onto the ground surface, you will need to have it pumped out immediately and install a
new septic system within 60 days.
(1) You are directed to keep all plumbing waste including greywater connected to the
on-site sewage disposal system.
(2) Should the septic system go into failure and cause ponding\breakout onto the
ground surface you must install a new septic system with permits within 60 days.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten (10) days after the date the order is served.
Non-compliance will result in the issuance of a non-criminal ticket citation of $100.
Each day's failure to comply with an order shall constitute a separate violation.
Enclosed please find a community septic management loan application as a courtesy,
there is no obligation or recommendation to use this, it is for your information purpose.
PER 9RVER OFTHE BOARD OF HEALTH r
Tho as A. McKean, CHO, RS
Director of Public Health
QAOrder letters\Septic\363 Castlewood,Hyannis.doc
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COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIF::a
DEPARTMENT OF ENVIRONMENTAL PR.OTEC7:'I0 l'1
TdTI.,IE S
OFFICIAL CNSPECTION FORAM a NOT FOR VOLUNTARY ASSESSMEN'i"S
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
FART A
CERTIFICATION
Property Address: It W C
o '�9
—
Owner's Name: � P
Owner's Address:_� l 4101 rep
+S ba.63V.L
Date of Inspection: ► a' o o °fig �.>
Nance of Inspector:(please print W-� �E.1����
company Name: r j%r"
Mailing Address
Telephone Number: 6 9 -1a 2: 74 U$
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the inforrt ILCOr rep rwd
below is true,accurate e.nd complete as of the time of the inspection.The inspection was performed based C1 it my
training and experience in the proper function and maintenance of on site sewage disposal systems.I am a 0EP
approved system inspector pursuant to Section 15.340 of Title 3(310 CMR 15.000). The system:
Passes
Conditionally Passes
Needs.Further Evaluation by the Local Approving Authority
Fails
Inspector's Signature: r �, Date:
The system inspector stia11 submit a copy of this inspection report to the Approving Authority(Board cf lie: ltb or
DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 0,000
pd or greater,the insptctor and the system owner shall submit the report to the appropriate regional office of thy.
DEP.The original show A be sot to the system owner and copies sent to the buyer,if applicable,and ttie,aplroving
authority.
Notes and Continents
""This report only c escrlbes conditions at the time of inspection and under the conditions of meat hat
time.This inspection does not address how the system will performs in the future under the same itr di:fere4t
conditions of use.
Title 5 Inspection Form 6/15/2000 page 1
Page 2 of 11
OFFICIAL INSPECTION FORM—NOT VOIk 1iMZIlN Aity-ASSESSI�ia;,Nlrs
SUIISURFACE SEWAGE DISPOSAL SYSTEM INSPECTION>s,01311
PART A
CERTIFICATION(cotatinsw)
Prop"Addr*u:
Owner: _
Inspection Sumeary. Check AAC,D or E/ALRUS co"kee all stems p ,
A. System Passes:
AI he me not ibund Any information which indicates that any of the failure criteria described is.3 I 1:1 CMFt
1 S.3 3 or in 310 CM1k 15.304 exist.Any bilure critNU not evaluated are indicated below.
Comments:
a System ConcUtionally Passes:
One or more system components as describe the"Conditional pass"section need to be re pi;iced of
repaired.The systi:m,Upon completion of the rep eat or repair,as approved by the Board of licili;h,will pass.
Answer yes,no or not determined(Y,N,ND) the for the following statements. If"not detv7nin::d"please:
explain.
The septic teak is metal and ov 20 years old'or the septic tank(whether metal or not)is smilic:: rally
unsound,exhibits;substantial infiltra' a or exfaltration or tank l;rihrre is imminent System will pass in: pectiai�If the
existing tank is rep!aced with a lying sepdc tank m approved by the Board of Health.
•A rneul septic tank will pass ' ction if it is structurally sound,not leaking and Yes Certificase of,Gimptiwrce
indicating that the tank is less 20 yean old is available.
ND explalat:
Observa"i.of backup or break ateoelug%swic water level in the distribution bon duty to.bmkxn.or
obstructed pipes)i:ir d to a broken.settled or atffm distribaaion box.System will peas isapeoti4w;if i with
approval of Board(:f th):
broken pgm(s)are aphod
obstruction is retaaoved
dlstribntion box is Wwab cd or replaced
ND explain:
The system required pumping more thm4 times a.yew due to broken or obstriseted pipe(s).The systerr.µ ill.
pan inspection if(vith approval of the Board of No&M):
broken pipe(e)are replaced
obstruction is removed
ND explain:
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Page 3ofII
OFFICIAL]3gSPECTION FORM-NOT FOR VOLUNTARY ASSESSMLNI1
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Addre es• 3 cacLi L-r WQJ1Cd'
Owner:
Date of Iaspeeti n:_,(/
C. Further Evaluatkn is Required by the Board of Health:
Conditions exisc.which require Rtrther evaluation by the Board of Health in order to determine ifthe cynem
is failing to protect public health,safety or the environment.
1. System will pwis unless Board of Health determines in accordance with 3 1&303(:1)(b) that t',he
system is not!functioning Ina manner which will protect public health afety and the environ10,1i1ntz
Cesspool or privy is within 50 feet of a surface vigor
Cesspool or privy is within SO feet of*bordering vegetated tland or a salt marsh
2. System will fait unless the Board of Health( d Public Water Supplier,if any)determines tits-ithie
system is functioninj in a manner that pro. a public health,safety and environment:
_ The system.teas a septic tank and so' absorption system(SAS)and the SAS is within 100 feet a!`a
surface water,supply or tributary to a ace water supply.
The system has a septic tank d SAS and the SAS is within a Zone I of a public water supply.
_ The system has a septic and SAS and the SAS is within 50 feet of a private water supply
The system.has a se p c tank and SAS and the SAS is less than 100 feet but 50 feet or more fear a
private water supply we '.Method used to detetmLme distance _
"This system pass if the well water analysis,performed at a DEP certified laboratory,for col.i.forz:
bacteria and vola-d organic compounds indicates that the well is free from pollution&am that tacil'r:lp sail
the presence of. monia nitrogen and nitrate nitrogen is equal to or less than S ppm, provided t.-iat m: other
failure criteria ,.triggered. A copy of the analysis must be attached to this form.
3. Other:
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Page 4 of 11
OFFICh IIVSPECPION FORM—14O' FCM V012M AULSS IVI;;,NT:5
SUBSURFACE SEWAGE DISPOSAL SYSTEM fl Y7Ol PDJR.lit
PART A
CERTIFICATION(eoniftw )
Property Addrow'. Z43 CAff7Yvw-gok
Owner. ors
Date of In s:
D. System Fafira.re Criteria aped able to all systaoss:.
You So indkwe W or"no"to each of the following for&inspections:
Yes No
A.b Baclag)of sewage into facility or system component due to overloaded or clogged SAS x ixsspo<d
�Disebsrge or pondiag of effluent to the surface of the ground or surface waters due to in c ijerloacwc,.or
clogged SAS or cesspool
Static,liquid level in the distribution box above outlet invert due to an overloaded or c:lagpid SA!;c.r
cesspool
Liquid depth In cesspool is less than 6"below invert or available volume is less than%dies!,flow
Required pumping more than 4 tunes in the last year D=due to clogged or obstrucud;plpe(s)..Nu,Ynber
of tinues pumped
_ Any pc►rtion of the SAS,cesspool or privy is below high ground water elevation.
AQ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributer,/t«: a surftce�
water;supply.
Arty portion of a cesspool or privy is within a Zone I of a public well,
Any portion of a cesspool or privy is within$0 feet of a private water supply well.
Any p.retion of a cesspool or privy is less than 100 feet but greater than 30 feet from a.pr.iv,Ite wat-sr
supply well with no acceptable water quality analysis. IThis system passes if the well wai.tr annalysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic:climpouads
Indicates that the well b free from pollution f mi that Facility and the presence of amisooia
nitrogen and nitrate nitrogen is equal to or less than S ppm,provided that so other fan Jame elrlt,rri s
are triggered.A copy of the analysis must be attached to this form.i
/4X (Yes/No)The system faill.I have determined chat one or more of the above failure criteria oxi t as
described in 310 CNM 15.303,therefore the system fail&Sate symm owner sftottld,ctimse::tine lh:a nd-of
Realt to determine what will be necessary to connect the hilure.
L Large Systasis:
To be considered,t large system the system m ve a facility with a design Sow of 10,000 gliaf o 15,014)
gpd.
You must indicate i titer"yet"or"ao",to of the following:
(The following criteria apply to large: in additioa to the rrisie is above)
Yes no
_ the system is within feet of a suefisoe Making water supply
the systein is in 300 feet of a trey to a strhm drb*ing water supply
the systet located in a nitrogen sensitive area(T"im Wellhead Protection Area—1VJPA)or a m,ipped
/Zona public water supply well
If you hasd"yes"to any question in Section E the system is considered s signifcant threat oc'answe!,%*d
"yes" insbove the large system has failed.T3ie owner or operator of any large system ccm:6d,:red a
significant threat utider Section E or failed under Section D&hail upgrade the system in accordance:mind 310 C MR
15.304. The system owner should contact the appropriate regional office of the Department. f
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Page 5 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSM]EXIIS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECHLIST
Property Address:
Owner: fS
Date of In' on:_�S
Check if the following ;save been done. You must indicate`'yes"or"no"as to each of the following:
Yes
No ,
JCPumping ini'ormation was provided by the owner,occupant,or Board of Health
d( Were any 0-the system components pumped out in the previous two weeks?
Has the system received normal flows in the previous two week period?
r Have large volumes of water been introduced to the system recently or as part of this inspection '!
.Aj Were as built plans of the system obtained and examined?(If they were not available note oz lqj,:k)
Was the fac:iility or dwelling inspected for signs of sewage back up
_ Was the sins inspected for signs of break out?
_ Were ail system components,excluding the SAS,located on site?
Were the s4ptic tank manholes uncovered,opened,and the interior of the tank inspected for tl-.ie,:onditi:tn
of the baffles or tees,material of construction,dissensions,depth of liquid,depth of sludge and depth.:if tact.,n?
Was the facility owner(and occupants if different from owner)provided with information on the proper
maintenance of subsurIce sewage disposal systems?
The size and;.ovation of the Soil Absorption Systam(SAS)on the site has been determined base,1 on.
Yes no
Existing infwmatjon. 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 approximac.or.,a i•distanu:
is unacceptable)(310 C1 M 15.302(3)(b))
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Page 6 of 1 l
OFFICIAL INSPECTION FORM-NOTFOR VOLUNTART AWESS 1ENIT%
SUBSURFACE SEWAGE DISPOSAL SEEM INSPECTION F01 M
PART C
SYSTEM INFORMATION
Property Aeldnes• to ooc�, +fie
Owner:
Date of Inspeeti6®: 10-140
FLOW CONDITIONS
RESMENTIAI
Number of bedst ems(desip):_ Ntmaiber of WWroo=(actual): 02--
DESIGN flow bud on 310 CM 15.2M(for example: 110 gpd x#of bedrooms): 33Z)
Number of cum2t maidem: 0_
Does residence t ave a garbage grinder(yes or no):
Is laundry on a spa its sewage system(yes or no):-Alp(ifYes separate inspection required)
Laundry system aspeeted(yes or no):&d2
Seasonal use:(yts or no):�Q r�11 ,,f
Water meta real ings,if available(I=2 years usage Wxo): O Jt, 1 �
Sump pump(yes or no):" `
Last date of Well pancy:-tQ_
COMMERCLUANDUSTRIAL
Type of establishment: _
Design flow(bas,ed on 310 Clot 15.203):
Basis of design flow(seats/persons/sgft et
Grease trap prese:tt(yes or no):o
Industrial waste holding tank ea or no):
Non*sanitary waste discharged t e Title 5 system(yes or no):_Wma teeter read;ngs,if avai e
Last date of occupancy/use•
OTHER(descrih:):
Pump3ag Record,► GENERAL INFORMATION _
Source of information: 7
Was sYft=PumpDd as part of the inspeetion(Yes or no):-A/O
If yes,volume purliped:.�aallons--How was gua�ty pumper desertaiaed?
Reason for pumpn,.g .
TYPE OF SYSTI.M
Septic nnk diiatibution box,soil absotpd= ynen.
Single cesspool
Overflow cesspool
Privy
Shared system Jes or no)(if yes,attach previo�
Inriovative/Alternative technology.Attac$=copy �r��''f'�')
obtained from systoe133 owner)) oPWtoon and maimmance crnitnt:j:(to be
Tight tank _--Attach a copy of the DEP approval
Other(describall:
w Approximate age Of s11 components,date installed(if known)and source of information:
6
Were sewage odors e!etected when arriving at the site(yes or no):oVo
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Page 7of11
OFFICIAL IIVSPECTION FORM—NOT FOR VOLUNTARY ASSESSlV.[E:N C;'i
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORM kTION(continued)
Property Address: 3t4- bjgnj C=i rrl e
Owner.Date of Inspec 'o®:_2 00
BUILDING SEWER(locate on site plan)
Depth below grade: .�:l 0
Materials of construction: &cast iron _40 PVC_other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints,ventin&evidence of leakage,etc.):
SEPTIC'TANK: V (tocate on site plan)
Depth below grade: I fla
Material of construction:-,concrete metal_fiberglass,_polyethylene
�other(explain)__
If tank is metal list age: is age confirmed by a Certificate of Compliance(yes or no):_(attach a copli of
certificate)
Dimensions: Woo 5s°e,
Sludge depth: a to
Distance from top of s:uodge to bottom of outlet tee or baffle: gig
Scumthickness:
Distance from top of strum to top of outlet tee or baffle: lL N
Distance from bottom.31,scum to bottom of outlet tee or e:
How were dimensions determined:
Comments(on pumpir:g recommendations, inlet attd outlet tee or baffle condition,structural integrity,liqui i levelsas related to outlet invert, evidence of-leakage,etc.): CA.K `
LVI
GREASE TRAP:-(locate on site plan)
Depth below grade:-,
Material of construction:_,concrete_metal fiberglass ethylene other
(explain):
Dimensions:
Scum thickness:
Distance from top of SCUM to top of outlet cutlet to or baffle:
56tltti to bottom ------
Date of last pumping:_ ions,inlet and outlet to,or baffle condition,structural in«�Tr•u�+"�"`•`''
Comments(on pumPin3 recomm
ce of leakage,etc•):
as related to outlet invert,evi
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.Pap S of 1 I
OFFICIU►L INSPECTION FORM—NOT MK VOLUNTARY ASSESSIKI:NTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION Y131111
PART C
SYSTEM INFORMATION(candoeted)
Property Addrean 1-e 3*-ftt C i vti(p
Owner.
Date of Ina an: 00
TIGHT or HOLDING TANK: (tank must be at t=of on)tloeeile ott site PIL(I
Depth below Mule:
Material of construction: concrete wsSberglaw e�olyethylene other(expla:ll):
Dimensions:
hy. _
Design Flow: VAl&m*
londday
Alarm present(yeti or
Alarm level kins order(yes or no)-
Date of last pumpia;:comments(condition oat switches,etc.):
DISTRIBUTI014 SOX:_L(if present must be opened)(locate on site plan)
Depth of liquid le:+iel above outlet invert: a VeV1
Comments(note i:f box is level and distribution to outlets equal,any evidence of solids carryover, an, evid:enire of
leakage into or out o$,box,ere.): `t
IkL 1 - 1-1
b t e uc
PUMP CHAMBIER: (locate on site plan)
Pumps in working;order(Yeas or on):
Alarms in workin;;order(yes or
comments(note :oaditioa of p p chamber,eaterffi6aat of ptimpa adappeaftaasues,exe.):
112
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Page 9 of I t
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSA9E.N•',.1; ,
SUBSURFACE SEWAGE DISPOSAL, SYSTEM INSPECTION FORM:
PART C .
SYSTEM INFORMATION(continued)
Property Address:_ I!
Owner: _
Date of tat a:N,il 7
SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required)
If SAS not located exp.Lin why:
Type
leacbiag.pits,number:
leaching chambers,nun r.
leaching galleries number
leaching trenches, number, length:
leaching fields,number,dimensions:
overflow cesspoo:.,number .
inn.ovativi/attemative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure,level of ponding, damp soil, condition of vi:Sz-141 ion,
'k 0 6
- tro eK, b o`i'-'6 Al ,
CESSPOOLS: (cesspool must be pumped as part of ituspectionxlocate 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 construetio»:
Indication of gtoteadwate- ' w(yes or no):
Comments(note eonditi eof soil,sips of hydraulic failure,level of ponding,condition of vegetation,
PRIVY: ()ocate on site plan)
Materials of eonsttvetior.:
Dimensions:
Depth of solids:
Comments(note conditie of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.)-.
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Page 10 of 11
OFFICIAL INSPECTION FORM--NOT WM VbLUNTARVASB MI;IENJ'S
SUBSURFACE SEWAGE DISPOSAL.S ;N5pj,=0V F+C)l tM
PART"C
SYSTEM INFORMATION'4 )
Property Addnm:
ow�ser:��sQr�
Dote of Inspeetiba:
SKETCR OF SLWAGE DISPOSAL SYSTItM
Provide a sketch of the sewage disposal system inclu,iing ties to at least two permanent re&mme in,b aaeks of
benchmarks.Locate ail welts within 100 feet.Locate where public water supply etisers the bWWigg.
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Matt Mwr4w. �..o.._Dole:�,_�.....
ow"Olow boo: ..
HUM GMOVWW&T011 LIVIL OOl P TATION
OwarN.I: 2�Qlrl Ad!►N1: ems.�....�.�.,.
Mit 1
fa mosom 1/10�t. ............................»., _....,................. ...............
i Mimi WNV-Lft*Aalvo sons • '
and Index WON up IalMaas
® wow-low we am .....................................................
ISTilt i Uwe@ f"WONIV vo/Nt-IWM t
WSW InwwN OMINtwne o
+M aprevestnf�>w �
mw Mw1 ow Inalapi wrtq..................... ... dO a15,7 •�l
%r WAN 1400 O'=A).sm" m depthIS woo love fw Index WN 4mo
I
mod wownlaawM aft WIP n) ' �......
In.,►A,N,. + ............................... .. ...........................................................
IMP i a bvo toNo water
sI►awlwrwuu,,a.saw.
*am WAM,fw dwo to wal+wr
Iw.1 a aNt� p F1.e
IOTir t ............................................................................................................ ,
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Page 11 of 11
OFFICIAL:INSPECTION FORM-NOT FOR VOLUNTARY ASSESSN.MN''CS,
SUBSU11FACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(condwi ed)
Pro <
��Address:_ �2,0o C,rJ-e
v\�
Owner:
Date of Inspectme:_. 11 s b D
SUE EXAM
Slope
Surfue water
Check Geller
Shallow wells Estimated depth to Smind water M. P fat
Please indicate(check)all methods used to determine the hi', ground water elevation:
Obtained ftm system design plans on record-If checked,date of design plan reviewed:
Observed site(abutting property/observation hole within ISO feet of SAS)
Checked with lo:ai Board of Health-explain:
Checked with lo:al excavators, installers-(attach documentation)
Accessed USGS database-explain: ����C„�+S W
You must describe how you established the high ground water elevation:
o
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