HomeMy WebLinkAbout0081 BLANID ROAD - Health 81 Blanid Road
Osterville P
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_ rh 50.00
No. U��� �, aA Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
�= PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE. MASSACHUSETTS
ftplication for Mie;po al 6potem Conotruction Permit
x
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components
Location Address or Lot No. 81 B 1 a n i d Rd Owner's Name,Address and Tel.No.
Osterville Mary Anne Grafton Rodgers
Assessor's Marc
10-45
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No.
W.E. Robinson Septic Eco Tech
P.O. Box 1089 43 Triangle Circle
P.
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(nc)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil sand
Nature of Repairs or Alterations(Answer when applicable) install Title 5 Septic System
to plans of Eco Tech ETE-1326
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Bo of HealdA
Signed Date I!�-y�tG p�
Application Approved by 1w_ Date i-2-Q#-f.2
Application Disapproved for the following reasons
Permit No. a U B:2- , )�i Date Issued
b
U01- yp� `. \�► t�' Fee 50.00
No. /
. , THE COMMONWEALTH OF MASSACHUSETTS \� Entered in computer:
(kst t Yes
'gip PUBLIC HEALTH DIVISION,-TOWN_OF;BARNSTABLEs MASSACHUSETTS
application for ig o�aY �p tem ton itructton Permit
X ,
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Co•mplete System ❑Individual Components
Location Address or Lot No. 81 Blanid Rd Owner's Name,Address and Tel.No.
Osterville Mary Anne Grafton Rodgers
Assessor's Ma /Parcel
14p0-4 5
_ Installer's Name,Address,and Tel.No. 7 7 5—83 7 6 1 Designer's Name,Address and Tel.No.
W.E. Robinson Septic i. Eco Tech
P.O. Box 1089 43 Triangle Circle
1i ,n i
Type of Building: l
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(nc)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow,. gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date.
Title
=. Size of Septic Tank Type of S.A.S.
Description of Soil sand ;
Nature of Repairs or Alterations(Answer when applicable) install T®itle 5 Septic System `
to plans of- Eco Tech ETE-13,26
Date last inspected:
Agreement:
-The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Boar.dV Health.
. Signed Date
Application Approved by Date
,..
Application Disapproved for the following reasons
Permit No. c2 1�0?- Date Issued ) ,�
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Grafton Rodgers
Certificate of (Compliance X
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( )
Abandoned( W`.E. Robinson Septic Service
81 b�anicl Ra OS ery a '.� �-has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. aa�"S�17 dated 12L� //1:
Installer Designer
The issuance of this ernii shall not be construed as a guarantee that the syste wi u t'o i d.
fix Date 9 D 5 Inspecto
,
50.00
No. rc
Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS
lwigogal *p! tem, ciClongtruction Permit
Permission is hereby graaydBt lanid struct
)ReOst(er Xyip lee( )Abandon( )
System located at
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this pe 't:• ,
' , � r
Date: I ' V / 2 Approved by u,
f`� �1
r �
1 TOWN OF.BARNSTABLE
} LOCATION I I I►'a ry t 7 i'�tq T� SEWAGE # ;;L a0 a-S qS
VILLAG ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.-90 kWSOY,1 56o h'C, 7 75- F7-2
SEPTIC TANK CAPACITY l SOO
LEACHING FACILITY: (type) C-- t 'a&i-ck (size) Z
NO.OF BEDROOMS
BUILDER OR OWNER- ll iyw- t�ri2 W t- -Olv b�17(J�Gf2 S
PERMIT DATE: COMPLIANCE DATE: 3
I
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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US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail(Sep revers127,
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Postage
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
LO
Return Receipt Showing to
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Q Date,&Addressee's Address
0 TOTAL Postage&Fees
th Postmark or Date
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Stick postage stamps to article to cover First-Class postage,certified mail fee,and
charges for any selected optional services(See front).
1. If you want this receipt postmarked,stick the gummed stub to the right of the return
i address leaving the receipt attached, and present the article at a post office service
window or hand it to your rural carrier(no extra charge).
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the 14
i i return address of the article,date,detach,and retain the receipt,and mail the article. tY�-
LO
3. If you want a return receipt,write the certified mail number and your name and address rn
on a return receipt card,Form 3811,and attach it to the front of the article by means of the
gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article Q
RETURN RECEIPT REQUESTED adjacent to the number. Q
4. If you want delivery restricted to the addressee, or to an authorized agent of the 0
addressee,endorse RESTRICTED DELIVERY on the front of the article. M
5. Enter fees for the services requested in the appropriate spaces on the front of this
receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. o
u-
6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 a
.� Town of Barnstable
ILAR s ABM
Department of Health, Safety, and Environmental Services
.
MA
�i639. Public Health Division
A��
Fp--- 367 Main Street, Hyannis MA 02601
Office: 508-862-4644 Thomas A McKean,RS,CHO
FAX: 508-790-6304 Director of Public Health
TO: MARY ANNE GRAFTON-RODGERS DATE: JAN. 20, 2000
81 BLANID ROAD
OSTERVILLE, MA. 02655
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE,
TITLE 5.
The septic system owned by you located at 81 BLANID ROAD was inspected on 07/01/97 by
JOSEPH MACOMBER a Massachusetts licensed septic inspector.
The inspection of your septic system showed that your system has failed under the guidelines of
1995 TITLE 5 (310 CMR 15.00) due to the following:
SEWAGE SYSTEM IN FAILURE. WATER LEVEL IN OVERFLOW CESSPOOL IS
WITHIN 7 INCHES OF THE ARCH BLOCKS.
The above system, according to our records has been in a failed state for more than two years.
Therefore, you are directed to hire a licensed Town of Barnstable septic system installer to sketch
a proposed system that will bring the septic system into compliance with 310 CMR 15.00, The
State Environmental Code, Title 5 within(14)fourteen days of receipt of this notice.
The septic system must be brought into compliance within (30) thirty days of your receipt of this
directive.
You are also directed to maintain the system by hiring a licensed septage hauler to pump the septic
system to prevent discharge of sewage or effluent into buildings, onto the surface of the ground, or
into surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to any court
of competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
Town of Barnstable
gd¢dfh�f 1eAtides2y.dne
d SENDER: I also wish to receive the
o ■Complete items 1 and/or 2 for additional services.
■Complete items 3,4a,and 4b. following services(for an
d ■Print your name and address on the reverse of this form so that we can return this extra fee)'
card to you. d
■Attach this forth to the front of the mallpiece,or on the back if space does not 1. ❑ Addressee's Address
permit. d
m ■Write'Retum Receipt Requested'on the mailplece below the article number. 2. ❑ Restricted Delivery to
t ■The Return Receipt will show to whom the article was delivered and the date «
delivered. Consult postmaster for fee. °
0^ 3.Article Addressed to: 4a.Article Number
C5e- `
c �� v'r7t✓ 4b.Service Type d
❑ Registered Certified of
N fff/// � ❑ impress Mail ❑ Insured
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C 7.Date eliv °
5 5.Received By:(Print Name)r 8.Addresseets Address(Only if requested c
W and fee is paid) t
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e -1. ��tt �Ei tt tt i�t tttl
' '' PS Form 38 1;11Yedember1994 1 i i ;1 i 102595-97-B-0179 Domestic Return Receipt
UNITED STATES POSTAL SERVICE ��',` H FjLst_Class Mail r
0 Postage&Fees Paio
cz) .e_.q,,,_. UPS
Perrnit�fd. 0
o Print your n , �ddr s 'and ZIP Code in.this-box a. -
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Public Health Divistol� u,.
sown of Bamstable
P0. Box 534
Hyannis,Massachusetts 0260l
t�{!F'.F'F�t�FiiFF11l4S!l3illfftFFllllSl�IlFiiilF��iFiFliFFE:II
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�` ' ►. Town of Barnstable
Department of Health, Safety, and Environmental Services
3 9. Public Health Division
367 Main Street,_Hyannis MA 02601
Office: 508-862-4644 j-- Thomas A.McKean,RS,CHO
FAX: 508-790-6304 Director of Public Health
TO: MARY ANNE GRAFTON-RODGERS DATE: JAN. 20, 2000
81 BLANID ROAD
OSTERVILLE, MA. 02655
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE,
TITLE 5.
The septic system owned by you located at 81 BLANID ROAD was inspected on 07/01/97 by
JOSEPH MACOMBER a Massachusetts licensed septic inspector.
The inspection of your septic system showed that your system has failed under the guidelines of
1995 TITLE 5 (310 CMR 15.00) due to the following: ,
SEWAGE SYSTEM IN FAILURE. WATER LEVEL IN OVERFLOW CESSPOOL IS
WITHIN 7 INCHES OF THE ARCH BLOCKS.
The above system, according to our records has been in a failed state for more than two years:
Therefore, you are directed to hire a licensed Town of Barnstable septic system installer to sketch
a proposed:system that will bring the septic system into compliance with 310 CMR 15.00, The
State Environmental Code, Title 5 within(14)fourteen days of receipt of this notice.
The septic system must be brought into compliance within (30) thirty days of your receipt of this
directive.
You are also directed to maintain the system by hiring a licensed septage hauler to pump the septic
system to prevent discharge of sewage or effluent into buildings, onto the surface of the ground, or
into surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to any court
of competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., C.H.O. .o.=. y S TAM
Agent of the Board of Health
Town of Barnstable 11v�' !S t N L► �M'+T'S
(;Wth tuawuu2y.a& a to T1V GH O'S \.4j 0
Asp
S vWZ ao-6&
M.A.Grafton Rodgers i
81 Blanid Road
Oderville, MA 02655
508-428-2698 � S a
6 March 1998
Mr. Thomas McKeon
Health Officer , F ►, ;
Town of Barnstable
387 Main Street -_ -
Hyannis,MA 02601
Re: Septic system at 81 Blanid Road, Osterville
Dear Mr. McKeon,
With regard to the recent certified letter I received from you concerning my septic
system; I had this system checked on the advice of my real estate agent as I was
considering putting my home on the market for sale and I felt that this was the
responsible thing to do at this time.
I question the findings in the report that I received from Mr. Joseph Macomber
for this inspection. .
The original tank uncovered by his employee was put in place in approx. 1959-
1960 when the house was first constructed; a secondary tank was put in 1970 when we
added to the house for my access and to the best of my recollection this was a 1,000 tank.
This was checked through Mr. John Kelly in 1976 when I reconstructed the kitchen with
no problems what-so-ever. It was checked into again in 1982-3 when I did further
improvements,again with no question.
Since 1983 to 1993 there were just my Mother and I residing in the home and
since her death to present it has just been me in residence.
I would like to request a hearing because of my own questions and some general
questions regarding the report that was submitted by Mr. Macomber.
Sincerely,
Mary Anne Grafton-Rodgers
Page 5
Town of Barnstable
.�• Department of Health, Safety, and Environmental Services
a"M'. Public Health Division
P.O. Box 534, Hyannis MA 02601
Office: 508-790-6265 Thomas A McKean,RS,CHO
FAX: 508-790-6304 Director of Public Health
February 17,1998
Mrs.Mary Anne Grafton-Rogers
81 Blandid Road
Osterville,MA
ORDER TO COMPLY WITH 310 CMR 15.00,THE STATE ENVIRONMENTAL CODE,TITLE
5.
The septic system owned by you located at 81 Blandid Road,Osterville was inspected on July 7,1997 by
Joseph P.Macomber,Jr.a Massachusetts licensed septic inspector.
The inspection of your septic system showed that your system has failed under the guidelines of 1995
TITLE 5(310 CMR 15.00)due to the following:
• "Main cesspool was operating at overflow capacity..."
The wastewater level in the overflow cesspool was within 7"of the arch blocks."
You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram
of a proposed system to the Town of Barnstable Health Division Office(Town Hall, 367 Main Street,
Hyannis)that will bring the septic system into compliance with 310 CMR 15.00,The State Environmental
Code,Title 5 within thirty(30)days of receipt of this notice.
You are also directed to bring the septic system into compliance within sixty(60)days of receipt of this
order letter.
You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic
system to prevent discharge of sewage or effluent into the buildings,onto the surface of the ground,or in
to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to any court of
competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH
1� C.H.O.
Agent of the Board of Health
q\health\dbfiles\itle5i.doc
6--ry
MA.Grafton-Rodgers
81 Blanid Road
Oxterville, MA 02655
508-428-2698 s„a
6 March 1998 -
Mr. Thomas McKeon
Health Officer
Town of Barnstable
387 Main Street
Hyannis,MA 02601
Re: Septic system at 81 Blanid'Road,Osterville
Dear Mr. McKeon,
With regard to the recent certified letter I received from you concerning my septic
system; I had this system checked on the advice of my real estate agent as I was
.considering putting my home on the market for sale and I felt that this was the
responsible thing to do at this time.
I question the findings in the report that I received from Mr. Joseph Macomber
for this inspection.
The original tank uncovered by his employee was put in place in approx. 1959-
1960 when the house was first constructed; a secondary tank was put in 1970 when we
added to the house for my access and to the best of my recollection this was a 1,000 tank.
This was checked through Mr. John Kelly in 1976 when I reconstructed the kitchen with
no problems what-so-ever. It was checked into again in 1982-3 when.I did further
improvements, again with no question.
Since 1983 to 1993 there were just my Mother and I residing in the home and
since her death to present it has just been me in residence.
I would like to request a hearing because of my own questions and some general
questions regarding the report that was submitted by Mr. Macomber.
Sincerely,
Mary Anne Grafton-Rodgers
A'
Page 5
Z 203 498 582
Postal Service
Receipt for Certified Mail
'No Insurance Coverage Provided.
Do not use for International Mail See reverse
Sent to yA //// ,,
��[ �/til/W k —
Street& umb �, D p n Q 4
P Office,StateyZIP
Postage �/ $
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing to
Whom&Date Delivered
n Return Receipt Showing to Whom,
Q Date,&Addressee's Address
0 TOTAL Postage&Fees $
ch Postmark or Date
a
i
Stick postage stamps to article to cover First-Class postage,certified mall fee,and
charges for any selected optional services(See front).
1. If you want this receipt postmarked,stick the gummed stub to the right of the return
address leaving the receipt attached, and present the article at a post office service
window or hand it to your rural carrier(no extra charge). ai
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q)
return address of the article,date,detach,and retain the receipt,and mail the article.
rn
� 3. If you want a return receipt,write the certified mail number and your name and address �
! on a return receipt card,Form 3811,and attach it to the front of the article by means of the =
gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a
RETURN RECEIPT REQUESTED adjacent to the number. Q ,
4. If you want delivery restricted to the addressee, or to an authorized agent of the 0 '
I addressee,endorse RESTRICTED DELIVERY on the front of the article. M,
f 5. Enter fees for the services requested in the appropriate spaces on the front of this E
receipt. If return receipt is requested,check the applicable blocks in item 1 of dorm 3811. ti
6. Save this receipt and present it if you make an inquiry. 102595-97-a-01a5 d
:2 0 Complete SENDER: ' t and/or 2 for additional services. I aIS�WISh to t�Ceive e
0wComplete items 3,aa,and 4b. following services(for n -"
a ■Print.vour name and address on the reverse of this form so that we can return this
cardb you. extr fee) F.6 {.v ai
■Attach this forth to the front of the mailpiece,or on the back if space does not 1. ❑.Addressee's Address °.
permit.
. y
■Write'Retum Receipt Requested'on Re uested on the mail piece below the article number.
d a 4 a 2. ❑'Restricted Delivery rn
._. ■The Returfi Receipt will show to whom the article was delivered and the date a
delivered. Consult postmaster for fee.
v 3.Article Addressed to: p 4a.Article Number�p ® d
IL
1 /Ze 771 (�,,qQ,/( C
IL � � '""a 4b.Service Type •«'r
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02 6S—S ' ❑ Return Reoei9t for Merchandise ❑ COD
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� and fee is paid) t
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PS Form 3811, December 1994 102595-97-B-0179 Domestic Return Receipt
eft t f tt t r f t t_t!. J
d' • Mti -� First-Mass Mail
UNITED STATES POSTAL SERVIC .``) O� Postage&FeeS Paid
M USPS ' P
Permit Mo.G-10
® Print your name;*dress, and ZIP Code in this box m
Public Health Division
Town of Barnstable
PO Box 534
Hyannis, MassachLsetts 02601
Fax(508) 775-3344
Phone (508) 7P,"-r965
111,,113111M111.1,„ IIII,,,,I,i1,:11„1„1I,111,11it„1,11
Town of Barnstable
Department of Health, Safety, and Environmental Services
'"RMAS& Public Health Division
079.
01 P.O. Box 534, Hyannis MA 02601
. S
Office: 508-790 6265 Thomas A.McKean,RS,CHO
FAX: 508-790-6304 Director of Public Health
February 17,1998
Mrs.Mary Anne Grafton-Rogers
81 Blandid Road
Osterville,MA
ORDER TO COMPLY WITH 310 CMR 15.00,THE STATE ENVIRONMENTAL CODE,TITLE
5.
The septic system owned by you located at 81 Blandid Road,Osterville was inspected on July 7,1997 by
Joseph P.Macomber,Jr. a Massachusetts licensed septic inspector.
The inspection of your septic system showed that your system has failed under the guidelines of 1995
TITLE 5 (310 CMR 15.00)due to the following:
a "Main cesspool was operating at overflow capacity..."
The wastewater level in the overflow cesspool was within 7"of the arch blocks."
You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram
of a proposed system to the Town of Barnstable Health Division Office(Town Hall, 367 Main Street,
Hyannis)that will bring the septic system into compliance with 310 CMR 15.00,The State Environmental
Code,Title 5 within thirty(30)days of receipt of this notice.
You are also directed to bring the septic system into compliance within sixty(60)days of receipt of this
order letter.
You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic
system to prevent discharge-of sewage or effluent into the buildings,onto the surface of the ground,or in
to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to any court of
competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH
�a S. C.H.O.
Agent of the Board of Health
q\health\dbfiles\title5i.doc
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M.A.Grafton Rodgers
81 Blanid Road Q M
OxteMlle, MA 02655 0' "�
508-428-2698 °b �„a
6 March 1998
Mr. Thomas McKeon
Health Officer "
Town of Barnstable
387 Main Street
Hyannis,MA 02601
Re: Septic system at 81 Blanid Road,Osterville
Dear Mr. McKeon,
With regard to the recent certified letter I received from you concerning my septic
system; I had this system checked on the advice of my real estate agent as I was
considering putting my home on the market for sale and I felt that this was the
responsible thing to do at this time.
I question the findings in the report that I received from Mr. Joseph Macomber
for this inspection.
i� The original tank uncovered by his employee was put in place in approx. 1959-
1960 when the house was first constructed; a secondary tank was port in 1970 when we
added to the house for my access and to the best of my recollection this was a 1,000 tank.
This was checked through Mr. John Kelly in 1976 when I reconstructed the kitchen with
no problems what-so-ever. It was checked into again in 1982-3 when I did further
improvements,again with no question.
Since 1983 to 1993 there were just my Mother and I residing in the home and
since her death to present it has just been me in residence.
I would like to request a hearing because of my own questions and some general
questions regarding the report that was submitted by Mr. Macomber.
Sincerely,
Mary Anne Grafton-Rodgers
i
Page 5
TOWN O BARNSTABLE
/( s
LOCATION P/ / ' / SEWAGE
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
I.
t
.s
' DATE:
P R PERTY ADDRESS: •�81 Blanid Road
��. 0 a - -
Osterville ,Mass .
02655
On the above date, I Inspected the septic system at the above address.
This system consists of the following:
1 . '2-6 'x8 ' block cesspools .
Based on my In800ctlon, I certify the following conditions:
1 . This is not a title five septic"= ssytem.
2 . The sewage system is in failure?
3 . Water level in the overflow cesspool is with in
7" of the arch blocks .
4. The system must be upgraded to a title five
septic system. ( 95 Code )'
- 51GNATUR!7, :
Name : J . P . Macomber Jr..
-------,---------------
Com pany:_J . P_Macoulber &_ Son-_Inc ,. ,
Address:_-B��c-b6------3----.--
__Cen tervi 1 Le AUj_,'_02b32
Phone:___508.�Z7_5-3338_______ - I
THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY
JOSEPH P, MACOMBER. & SON, INC.
TankPC+s.sp"Is,Leschflelds
Pump+d & InsU116-d
Town Sewer Connections
P.O. Box 66 ' Centerville, MA 02632.0066
775.33U 775-6412
C-
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
_ DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE HINTER STREET, BOSTON, MA 02108 617.292.5500
WILLIASt F ELD TRUDY COX
SC:rCL%r\
Govcmor
ARGEO PAUL CELLLICCI DAVID B STRL'HS
Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioncr
PART A
CERTIFICATION
Property Address: Address of Owner:
Date of Inspection: (If different)
Name of Inspector: Joseph P. Macomber Jr.
am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000)
Company Name: Joseph P. Macomber & Son. Inc .
Mailing Address: o1�x eenntery8111�Ma . 02632-0066
Telephone Number:
CERTIFICATION STATEMENT
I cenify 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
yeeds Further Evaluation By the Local Approving Authority
/Fails
Inspector's Signature: Date:
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:
U� I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303,
Any failure criteria not evaluated are indicated below.
COMMENTS:
BI SYSTEM CONDITIONALLY PASSES:
100 One or more system components as described in the "Conditional Pass" section need to be replaced cr repaired. The system, upon
completion of the replacement or repair, as approved by the Board of Health, will pass.
Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why not
,,e JThe septic tank'is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of
Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection, or
the septic tank, whether or not metal, is 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 tank
as approved by the Board of Health.
(revised 04/25/97) Page 1 of 10
DEP on the World Wide Web: http:1twww.mapnet.state.ma.usroep
Printed on Recycied Paper
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 81 Blanid Road, Osterville, Ma. 02655
Owner: Mary Ann Grafton—Rogers
Date of Inspection: 7/1 /9 7
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). Describe observations:
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:
,?,JO 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:
fly 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 PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE
ENVIRONMENT:
! The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or
tributary to a surface water supply.
The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well.
The system has a septic tank and soil absorption system and the SAS 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. Method used to determine distance—�_(approximation not valid).
3) OTHER
(revised 04/25/97) Day• 2 of 10
J
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 81 Blanid Road, Osterville, Ma. 02655
Owner: Mary Ann Grafton-Rogers
Date of Inspection: 7/1 /9 7
D) SYSTEM FAILS:
Y must indicate ei;-.er "Yes" or "No" as to each of the following:
Q$ ave 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.
Yes No „
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.
,j_104)tL,, Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
_V Liquid depth in cesspool is less than 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.
Y 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.
El LARGE SYSTEM FAILS:
You must indicate either "Yes" or "No" as to each of the following:
The following criteria apply to large systems in addition to the criteria above:
The system serves a facility with a design flow of 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:
Yes No
/,�4 the system is within 400 feet of a surface drinking water supply
A_Iff the system is within 200 feet of a tributary to a surface drinking water supply
ILU the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area IWPA) or a mapped Zone II of a
public water supply well)
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.
(revioad 04/25/97) Page 3 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 81 Blanid Road, Osterville, Ma. 02655
Owner: Mary Ann Grafton-Rogers
Date of Inspection: 7/1 /9 7
Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following:
Yes N
Pumping information was provided by the owner, occupant, or Board of Health.
None of the system components have been pumped for at least two weeks and'the system has been receiving normal
flow rates during that period. Large volumes of water have not been introduced into the system recently or
as part of this inspection.
,rll� 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.
All system componentS,4uding the Soil Absorption System, have been located on the site.
1041"?_ 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:
The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of
Sub-Surface Disposal System.
Existing information. Ex. Plan at B.O.H.
Determined in the field (if any of the failure criteria related to Pan C is at issue, approximation of distance is
unacceptable) (15.302(3)(b)J
(revised 04/25/97) Peg* 4 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 81 Blanid Road, Osterville, Ma. 02655
Owner: Mary Ann Grafton-Rogers
Date of Inspection: 7/1 /9 7
FLOW CONDITIONS
RESIDENTIAL:
LL�� aa
Design p.p./bedroom for S.A.S.
Number of bedrooms:
number of current residents:
Garbage grinder (yes or no):_)&':;
Laundry connected to system (yes or no): �
Seasonal use (yes or no)::0
Water meter readings, if available (last two (2) year usage (gpd): /�6 7✓'� ,,lf _` s `�1�i��/�
Sump Pump (yes or no): � f��� 941y
Last date of occupancy,: -7 7
COMMERCIAUINDUSTRIAL:
Type of establishment: 444
Design flow: A W Rallons/day
Grease trap present: (yes or no)&19-
industrial waste Holding Tank present: (yes or no)X,—*
,Non-sanitary waste discharged to the Title 5 system: (yes or no) 4
Water meter readings, if available: x14
IC
Last date of V/10
OTHER: (Describe) P4
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of i f rmation:
7- 11,01A"9k
System pumped as pan of inspection: (yes or no)_1!6
If yes, volume pumped: 4.104 gallons
Reason for pumping:
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)
I/A Technology etc. Copy of up to date contract?
Other
APPROXIMATE AGE of all components, date installed (if known) and source of information:
Sewage odors detected when arriving at the site: (yes or no) �
(revised 01/25/97) Page S of 10
L_
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 81 Blanid Road, Osterville, Ma. 02655
Owner: Mary Ann Grafton—Rogers
Date of Inspection: 7/1 /9 7�
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:0
leaching galleries, number:'
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
Alternative system: ti
Name of Technology: t>A3.
Comments:
(n condition of soil, signs of hydraulic fail re, le I of onding, co ition of vegg��cation, etc.
e.tJ
I o-'e �
CESSPOOLS: _
(locate on site plan)
Number and configuration: .14 J ��.-.
Depth-top of liquid to inle i`len:- oUal-�s�.+e� �`r�qT W/5111l�,y � p� �1� ,q b&"ez
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool: 71
Materials of construction:
Indication of groundwater: AlO el / }
inflow (cesspool m st be pumped as part of inspection)
Comments:
(not condition of oil, igns of�ydraulic failur , level of pondin condition of vegetati n, etc.)
1�
7'i � 1�� . �,4r1 As A,��► ,
PRIVY: J
(locate on site plan)
Materials of construction: A4 Dimensions: AJ/
Depth of solids: A/14'
Comments:
(noM condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
l I V IS AD T a2f�92A)T-
(revlo*d 04/25/97) Page B of 10
l
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 81 Blanid Road, Osterville, Ma. 02655
Owner: Mary Ann Grafton—Rogers
Date of Inspection: 1 9 7
BUILDING SEWER:
(Locate on site plan)
t) I
Depth below grade:
Material of constructio : _ cast iron _ 40 PVC _ other (explain)
Distance from ri ate water supply well or suction line lellf_
Diameter
omfnents: (condition of j ints, venting,,evidence of I akag , etc.
n
SEPTIC TANK/ .(fC�.
(locate on site plan)
Depth below grade:
material of construction: — oncrete4AMetal iberglass4/&Polyethylene jbther(explain)
If tank is metal, list age -Is age confirmed by Certificate of Compliance 4� (Yes/No)
Dimensions: AM
Sludge depth:_
Distance from top of sludge to bonom of outlet tee or baffle:AJA
Scum thickness. A
Distance from top of scum to top of outlet tee or baffle:_A�19
Distance from bottom of scum to bonom of outlet tee or baffle:
How dimensions were determined: /JJ109
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.)
0,00 1(2, 7-191VAI >S 1W 7-
GREASE TRAP:A"Iry
(locate on site plan) d
Depth below grade:/'/
Material of construction/ concrete4b6,etaW Fiberglass VA PolyethylenW/Jother(explain)
Dimensions: .4111
Scum thickness: 4111
Distance from top of scum to top of outlet tee or baffle:IV
Distance from bottom of scum to bonom of outlet tee or baffler
Date of last pumping:
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.)
707"
(revi&ed 04/25/97) Pag• 6 of 10
i
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 81 Blanid Road, Osterville, Ma. 02655
Owner: Mary Ann Grafton—Rogers
Date of Inspection: 7/1 /9 7
TIGHT OR HOLDING TANK�C�(Tank must be pumped prior to, or at time, of inspection)
(locate on site plan)
Depth below grade4lf/
Material of con struction:IVAoncrete,(/ rnetal Vf?Fiberglass f/,4Polyethylene 1Uother(explain)
Dimensions: A-)/V
Capacity: A1,4 gallons
Design flow: gallons/day
Alarm level:__Alarm in working order .vAYes;Vg No
Date of previous pumping: _AA
Comments.
(condition of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX;d,,�;Ve
(locate on site plan)
Depth of liquid level above outlet inven:A[,4
Comments:
(note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.)
PUMP CHAMBER:AbVO
(locate on site plan) C
Pumps in working order: (Yes or No)
Alarms in working order (Yes or No)
Comments:
(note condition of pump chamber, condition of pumps and appurtenances etc.)
1�L1 i ri/!1 Y
(revised 04/25/97) ?&go 7 of 10
L
SUBSURFACE SEv\'AGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Properly address: 81 Blanid Road, Osterville, Ma. 02655
Owner: Mary Ann Grafton-Rogers
Date of Inspection: 7/1 /9 7
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100' (Locate where public water supply comes into house)
o4H.
U noL
o
\'P la
(r.vla.0 01/25/97) Pag• 9 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 81 Blanid Road, Osterville, Ma. 02655
Owner: Mary Ann Grafton-Rogers
Date of Inspection: 7/1 /97
Depth to Groundwater/Z-Feet
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans on record
i
Observation of Site (Abuning property, observation hole, basement sump etc.)
Determine it from local conditions
Check with local Board of health
Check FEMA Maps
_Check pumping records
heck local excavators, installers
Use USGS Data
Describe in your own words how, you established the High Groundwater Elevation. (Must be completed)
J. P.Macomber & Son Inc . Installed new septic system at
# 58 Blanid Road permit# 85-335
66 Blanid Road permit# 86-602 No water encountered at 121
(revised 04/25/97) Page 10 of 10
r
r
(.....• r. .. rr—T� '...-my n m rs-..n'.++.m n•.�,+-.�.r:..r-m..++nm•as f.s�r+v.:m 'm+,--v+*ry'-r.-.--r-�-�—•— -. ._
TOWN OF RarnGtal-hl P BOARD OF HEALTH
SUIISURFACF SNA(;E DISPOSAL SYSTEM 1N31'FCTION FORM - PART D CFwrlFI CAT]O"+
`� �' �.1l.-�T.T.!T•.I:TTT.STfT.1T1•.�•.7-'.IRTttf1!�-Tw+!'tw� PY R..tI'�`.'!r+'rT4-''rr+r++r -r•r.-• r-.� _
—TYPE OR PRINT CLEARLY—
PROPERTY INSPECTED
STREET ADDRESS81 Blanid Road, Osterville, Ma. 02655
ASSESSORS MAP , DLOCK AND PARCEL #
OWNER ' S NAME Mary Ann Grafton-Rogers
PART D - CERTIFICATION � +
NAME OF INSPECTOR Joseph P. Macomber Jr .
COMPANY NAHE Joseph P. Macomber & 'ion , Inc .
COMPANY ADDRESS Box 66 Centerville , Ma . 02632-0066
5 t r e v t Town or City Stat• t;?
COMPANY TELEPHONE (508 ) 775 -3338 FAX ( 508 ) 790 -1578
CERTIFICATION STATEMCNT
I certify that I have personally inspected the sewage disposal system n :
this nddress and that the information reported is true , accurate , and
complete as of the time of .-inspection . The inspection was performed and any
recommendations regarding upgrade , maintenance , and repair are consistent
with my training and experience in the proper function and maintenance or on-
site sewage disposal systems ,
Check one :
i System PASSED
i
j The inspection 1lhich I have conducted has not found any information
which indicates that the system fails to adequately protect public
healLh or the environment as defined in 310 CMR 15 , 303 , Any failure
c iteria not evaluated are as stated in the FAILURE CRITERIA section o °
his form .
System FAILED* \
The inspection which I have con Licted has found that the system fails to
Protect the 'public health and the environment in accordance with Title
5 , 110 CMR 15 . 303 , and as specifically noted on PART C - FAILURE
CRITERIA of this inspection form .
Inspector Signature Date
ne copy of this rtIfication must be provided to the OWNER , the DUYER
(where aPplicable ) and the DOARD OF HIrAL'11I .
• IC the inspection FAILED , the owner or "o' perator ahalI upgrado the eyoteT
� , r•hin one year of the dnte of the inspection , unless allowed or require
otherwise as provided in 310 CPIR 16 , 305 ,
partd . C!Q'.
w
cn av
�s
Sbj1f 3r71
THE COMMONWEALTH OF MASSACHUSETTS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BE IT KNOWN THAT
Joseph P. Macomber, Jr.
Has satisfied the Department's qualifications as required and is hereby
authorized to use the title
CERTIFIED TITLE 5 SYSTEM INSPECTOR
as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the
General Laws. Issued by The Department of Environmental Protection_
June 8, 1995
Acting Director of the ion of Water Pollution Control
TOWN OF BARNSTABLE k
LOCATION '9 1 M✓a ry t 7 LIL H 77 SEWAGE # 2 00 2 -S`l l
VILLAG ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY ) Soo
LEACHING FACILITY: (type) I C-A C k f a&1,*J Ck (size) LWZ7( (00
NO. OF.BEDROOMS a
BUILDER OR OWNER INWL- '6jP-44 �QN OPO QCG-JfZS
PERMIT DATE: 1T O COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
�.
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FAX p , ( D . RUURNE0_
PHONE®MOBILE p7� �'�� „� YOUR CALL:
AREA CODE NUMBER EXTENSION
- P GCSE CAtL
MESSAGE
WILL CALL
AGAIN
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WANTST£l
ICN" SEE YOU
SIGNE•O S. FORM 4003
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Town of Barnstable
Department of Health, Safety, and Environmental Services
+ HARN9TA IM
MAC Public Health Division
t6s9. �
,�TFOA 367 Main Street, Hyannis MA 02601
Office: 508-790-6265 Thomas A.McKean,RS,CHO
FAX: 508-790-6304 Director of Public Health
TO: ac'i;, r— d2v�jS
f2 , ra DATE: � 36i1�'7
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL
CODE, TITLE 5.
The septic system owned by you located at ���Jtd dz was
inspected on �7 M 2 by-� ,P.d., A 4(a-41- , a Massachusetts licensed
septic inspector. J
The inspection of your septic system showed that your system has failed under the
gedelines of 1995 TITLE 5 (310 CMR 15.00) due to the follo ing:
zr7 at-'D .
You are directed to hire a licensed Town of Barnstable septic system installer to submit a
sketch diagram of a proposed system to the Town of Barnstable Health Division Office
(Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance
with 310 CMR 15.00, The State Environmental Code, Title 5 within ( �s of
receipt of this notice. 6�o/
sc��
You are also directed to bring the septic system into compliance within t ' 4s of
receipt of this order letter.
You are further directed to maintain the system by hiring a licensed septage hauler to
pump the septic system to prevent discharge of sewage or effluent into the buildings, onto
the surface of the ground, or in to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to
any court of competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
gVuelthWbNe�titldi.da
PAR Real Estate 41stem - General Property Inquiry Help
Parcel Id" 140 045- - Account No: 74537 Parent:
Location: 81 BLANID RD OSTERVILLE Neighborhood: 27BC Fire Dist: CO
Devel Lot: 17 Lot Size: . 32 Acres
Current Own: GRAFTON-RODGERS, MARY ANNE State Class: 101
MARY R GRAFTON y No. Bldgs'. I Area: 2952
81 BLANID RD Year Added".
OSTERVILLE MA 2655
Deed Date: Reference, 2.287/271
January 1st: GRAFTON-RODGERS, MARY ANNE Deed MMDD." 0000 Deed Ref: 2287/271
Comments:
Values: Land: 79100 Buildings: 14:3500 E>.-.tra Features". 700
Road System." 81 Index". 1:32 (BLANID STREET ) Frntg: 150
Index: ) Frntg:
Control Info: Last Auto Upd.' 122395 Status-' C Last TACS Update'. 122095
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Parcel Number, 140 o46
FLOW, PROFILE
TOP OF FOUNDATION RAISE COVERS TO WITHIN
6 in OF FINAL GRADE —VENT
EL - 37.20 & 36.30 PPE ,
3 /D-BOX
3- DROPL f 2- LAYER OF 1/8-
tl. FLOW LINE TO 1/2_ STONE
10" = 14'
48 OAS_ 3/4' TO 1 1/ - STONE
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BAFFLE 6 in PIrCH LAES Ar.005 nir► BOTTOM OF
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31.75 SOS ABSORPTION
STON
BASES LEACHINGSYSTEM
30.80 30.63 6 in STONE BASE FIELD 5.00 ft +
1500 GALLON 30.50
SEPTIC TANK 28.36 ° ESTIMATED
SEASONAL HIOH
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� DATE OF TEST: DE 9. 2002
SOIL. TEST L O G
SOIL EVALUATOR: DAVID D. COUGHANOWR. RS DESIGN CALCULATIONS
WITNESSED REQUIREMENT WAIVED
NO GROUNDWATE
TEST PIT I - PARENT MATE IAL: EPROGLACIALDOUTWASH DESIGN FLOW: 3 BEDROOMS X 110 GPD 330 GPD
PERC AT 60 in : 2 MIN/INCH IN C SOILS
',EPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS
ELEVATION DEPTH SOL USDA SOL SOL COLOR SOL OTHER INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED)
INCHES) HORIZON TEXTURE (MUNSELL) MOTTLNG
34.40 DISTRIBUTION BOX: USE 3 OUTLET D-BOX,
0-9 Ap LOAMY SAND 10 YR 3/3 NONE FRIABLE
9-42 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE SOIL ABSORBTION SYSTEM: A 27 ft x 4 ft x 2 ft LEACHING TRENCH CAN LEACH
30.90 Aboi - ( 27 x 4 ) - 108 sf
42-136 C MEDIUM SAND 2.5 Y 6/3 NONE LOOSE A s d w - ( 27 + 27 + 4 + 4 _) x 2 - 12 2 s f
23.07 Atot - 230 sf
BARNSTABLE GIS DEPARTMENT RECORDS INDICATE GROUND-WATER V1 0.74 x 230 - 171.68 GPD
TO BE AT ELEVATION 2.00 MSL
USE TWO 27 ft x 4 ft x 2 ft TRENCHES. Vt - 353.36 GPD > 330 GPD REQUIRED
GROUNDWATER
ADJUSTMENT
GROUNDWATER 2.00
INDEX WELL: MIW-29
ZONE: A
READING: NOV 2002
LEVEL: 9.2
ADJUSTMENT: 2.3 f t
ADJUSTED GW: 4.30
NOTES
1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN
2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM.
3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS
OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15)
4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES
BEFORE EXCAVATING FOR SYSTEM.
5) EXISTING CESSPOOLS TO BE PUMPED. COLLAPSED. AND FILLED. OR REMOVED
6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE
7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN
8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES SEWAGE DISPOSAL SYSTEM PLAN
AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK
9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT -TO SERVE EXISTING DWELLING
PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM.
10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. MARY ANNE GRAFTON RODGERS
II) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL
STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH 81 BLANID ROAD OSTERVILLE. MA
SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING
ECO-TECH ENVIRONMENTAL
- 43 TRIANGLE CIRCLE SANDWICH MA 02563
ETE-1326 I DEC 20. 2002 2/2