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HomeMy WebLinkAbout0911 MAIN STREET (OST.) - Health 911 Main,Street,- Osterville A - 117—'196 VL►nl� � No. 4210 1/3 BGR Go w 10% , k ~ � � � V �� ��-- � �� � �ti�� � �� , �: : f � _ � . rn D Aru • °' F F , '• oL. C3 Postage $ E3 Certified Fee C3 ` Z C3 Return Receipt Fee •,�O zQ� Postmark (Endorsement Required) ere C3 Restricted Delivery Fee r•� ,\ � (Endorsement Required) — rq Total Postage&Fees u7 C3Sent To n (� - N -- . or City/B 4i ^••• C UoZ�S ENDEWCOMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY y N Complete Items 1 2,and 3 Also complete7'A. ig at reItern 4-if Restricteti.Delivery Is desired. Agent® Pririt your,name artd'addressonthe reverse ' ' ' '' ' ❑'Addressee y so that we can retti'm the card to',you s ° ,g: Received by` nnted Name)' C. at of Delivery a,Attach this card to the back of the.marlpiece a ° or on the front'if space permrts: D Is dellvery'addreas different from item 1? `❑Yes' 1. Article Addressed to "If YES enter.delivery address below: •❑No Ms Janet C. Feeney, z Rebbeca A. PierceBeauville Trust I 5 911 Main Street 3. Service Type Osterville, MA 0265 5 ❑Certified Mail ' ❑;6 rgss Mail ❑Registered �❑Retunn Reoeipt for Merchandise F q Insured Mail: ❑C O.D: t s 4. Restricted Delivery?(Extra Fee)., ❑Yes .,. r 2.. Artfcie'Numtier 700 . 1.160 0000 0191 2724 € (Transfer from service laben. '. ..- ;� _ � ' PS Form 381.1.;February 2004 r Domestic Return Receipt +=' ` ` '102595-02-M-1540{ Town of Barnstable r GFtHE 1p�,_ '{o Regulatory Services Thomas F. Geiler,Director 1,639..A••� Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644. Fax:. 508-790-6304 January 10 2007 Ms Janet C C. Feeney c/o Rebbeca A. Pierce Beauville Trust 911 Main Street Osterville, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 911 Main Street, Osterville, MA was last inspected November 29ththth 2006 by Patrick T. Sullivan, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system"Fails"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: System is in hydraulic failure You have 2,years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HEALTH EPARTMENT Thomas A. McKean,R.S., C.H.O. Agent of the Board of Health COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION V TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 911 Main Street Osterville Owner's Name: Beauville Trust Owner's Address: r Date of Inspection: 11/29/2006 Name of Inspector: (please print) Patrick T. Sullivan Company Name: Ready Rooter Mailing Address: P.O.Box 371 Sandwich,MA 02563 Telephone Number: (508)888-6055 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: O Passes n Conditionally Passes O Needs Further Evaluation by the Local Authority =Fails Inspector's Signature: Date: o �( 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 inspee-tion�a i� under the conditions of use at that time.This inspection does not address how the system,?, ilt perform in the_future under the same or different conditions of use. r Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENT_ S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 911 Main Street Osterville Owner: Beauville Trust Date of Inspection: 11/29/2006 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 /indicated described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluelow. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"secti n need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved the Board of Health,will pass. Answer yes,no or not determined (Y,N,ND)in the for the followin statements.If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tafik(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank faily>a is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approve by the Board of Health. *A metal septic tank will pass inspection if it is structurally so d,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. Y , ND explain: i Observation of sewage backup or break out orpigh 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): brokep pipes)are replaced obstruction is removed dis ibution box is leveled or replaced ND explain: The system required pumping in re than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of th Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: r Page 3 of 11 OFFICIAL INSPECTION FORMNOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 911 Main Street Osterville Owner: Beauville Trust r Date of Inspection: 11/29/2006 C. Further Evaluation is Required by the Board of Health: Conditions exist which require fin th/bordering n by th oard of Health in order to determine if the system is failing to protect public health,safety or ent. 1. System will pass unless Board of r mes in accordance with'310 CMR 15.303(1)(b)that the system is not functioning in a man ill protect public health,safety and the environment:. _Cesspool or privy is within 50 fface water _Cesspool or privy is within 50 fdering 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, afety and environment: _The system has a septic tank and soil absorption syste SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supp[ly�f 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 an/anaerf the S S is within 50 feet of a private water supply well. _The system has a septic tank an the AS is less than 100 feet but 50 feet or more from a private water supply well*'"'. Methoet rmine distance "This system passes if the well wats performed at a DEP certified laboratory,for coliform bacteria and volatile organic compoundsthat the well is free from pollution from that facility and the presence of ammonia nitrogen and nigen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of t must be attached to this form. 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 911 Main Street Osterville Owner: Beauville Trust Date of Inspection: 11/29/2006 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 and overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than '/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 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 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.) �(CS (Yes/No)The system fails. I have determined that one or more of the above 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 acility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the f lowing: (The following criteria apply to large systems in ad ' ion to the criteria above) yes no the system is within 400 feet of a sure drinking water supply i the system is with/ineet of a ibutary to a surface drinking water supply the system is locaitr en sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a publi ly well If you have answered"yes" estion in Section E the system is considered a significant threat,or answered "yes"in Section D above thystem has failed.The owner or operator of any large system considered a significant threat under Sec failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner ntact the appropriate regional office of the Department. f Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 911 Main Street Osterville Owner: Beauville Trust Date of Inspection: 11/29/2006 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 than 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)] I f Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 911 Main Street Osterville Owner: Beauville Trust Date of Inspection: 11/29/2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents: Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(yes or no):_[if yes separate inspection required] Laundry system inspected(yes or no):_ Seasonal use:(yes or no): Water meter readings,if available(last 2 years usage(gpd)): Sump Pump(yes or no): Last date of occupancy: COMMERCIALANDUSTRIAL Type of establishment: 420 )- 6�u ---X"7v C Design flow(based on 310 CMR 15 gpd Basis of design flow(seats/persons/sq.ft.etc.); . . , Grease trap present(yes or no):tZn Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no);ar-' Water meter readings,if available: aexoz{ = IS6 G•P:fl, �o ae--:3-a- Last date of occupancy/use:G OTHER(describe): GENERAL INFORMATION Pumping Records ' Source of information: N-jRts ,y,-ec o,,O r, Was system pumped as part of the inspection(yes or no):L:!) If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ' _ZSeptic 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): Approximate age of all components,date installed(if known)and source of information: K' �bt4 QZ ..;� --�'a.mow k1t►C l. Were sewage odors detected when arriving at the site(yes or no):.ti�j r Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 911 Main Street Osterville Owner: Beauville Trust Date of Inspection: 11/29/2006 BUILDING SEWER(locate on site plan) Depth below grade: 3� — Materials of construction: cast iron_40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: locate on site plan) Depth below grade: \=� Material of construction:_zconcrete 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: \a-S X6 r k S�` s�� l k+- a © .�, ; Sludge depth: 1 Cam" Distance from the top of sludge to bottom of outlet tee or baffle: p" Scum thickness: ...c $ -a'T o �'- Distance from top of scum to top of outlet tee or baffle: 3 " Distance from bottom of scum to bottom of outlet tee or.baffle: `$ How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): �a�..�. y��c�-Q� i� �� o���-s—� CAs�, `�r®� ;✓..<`� v� zS?, �C V C, GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete metal berglass__Polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet to or baffle: Distance from bottom of scum to bottom o outlet tee or baffle: Date of last pumping: Comments(on pumping recommendati0 s, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of akage,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 911 Main Street Osterville Owner: Beauville Trust Date of Inspection: 11/29/2006 TIGHT or HOLDING TANK: (tank must be mped at time of inspection)(locate on site plan) Depth below grade: ` Material of construction:_concrete_meta fiberglass_polyethylene_other(explain): Dimensions: Capacity: gallo Design Flow: gal ns/day Alarm present(yes or no): Alarm level: Alarm in rking order(yes or no): Date of last pumping: Comments(condition of al and float switches,etc.): DISTRIBUTION BOX:�(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: " Comments(not if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): - - �r �— Zchk c� cgc��.!"�c��� - �- L�0A- •Iv� PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no):T Comments(note condition of pump chamber/ondition of pumps and appurtenances,etc.): r Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C SYSTEM INFORMATION(continued) Property Address: 911 Main Street Osterville Owner: Beauville Trust Date of Inspection: 11/29/2.006 SOIL ABSORPTION SYSTEM(SAS): locate on site plan,excavation not required) If SAS not located explain why: Type t leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: 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.): �e-�-v' �.3 ' v.=; •ems -Lon ��L CESSPOOLS: (cesspool must be pumped as part 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(=srof no): Comments(note condition of soil, 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 o ydraulic failure,level of ponding,condition of vegetation,etc.): r . . Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 911 Main Street Osterville Owner: Beauville Trust Date of Inspection: 11/29/2006 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. ,.Z 1. O 0 I 04 I Page 11 of 11 - OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 911 Main Street Osterville Owner: Beauville Trust Date of Inspection: 11/29/2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water } 5 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 the local Board of Health-explain: Checked with local excavators, installers-(attach documentation) _�ccessed USGS database-explain: Ste+t`�b e'r-^ t.-D 5 p. GQ•v�„ You must describe how you established the high ground water elevation: r -3Ase, eC-'S ! �� TOWN OF BARNSTABLE 'L OCATION / 6�1/la.., 57 SEWAGE# dU6" ;�y VILLAGE �Sf7•r��I[� ASSESSOR'S MAP&PARCEL G INSTALLERS NAME&PHONE NO. �v1ns. .��1�� . Selo-hi Sep i cE IpT 77g877,6 SEPTIC TANK CAPACITY /Sba Halo POO LEACI4 NG FACILITY:(type) a X Sb6 b ry L e l(S (size) dYA 1a.5*'X ol NO.OF BEDROOMS _ OWNER ��vyclle �s�s PERMIT DATE:_ 1 JP C) COMPLIANCE DATE: Aka//®G Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching FacilityS 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 7bQ (013 De.31f— QC-.A �� t3o�r\�►^; 1 I�NI� r B-a: 31 r SA5 CD3 43-3. 3 ' j4�,, _ e1 0 0 0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppricatiou for Mtgoal 6p.5temc Courtructtou Vertuit Application for a Permit to Construct( ) Repair()o Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 4 2 0-5 5 6 6 911 Main St, Osterville Beauville Trust Assessor'sMap/Parcel 117/196 911 Main St, Osterville Installer's Name,Address,and Tel.No. 7 7 5-8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4-0 8 9 4 Wm E Robinson Sr Septic Eco-Tech PO Box 1089 Centerville 1 43 Triangle Cir, Sandwich Type of Building: Dwelling - No.of Bedrooms Lot Size sq.ft. Garbage Grinder (nq Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided and Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Int-a 11 a n e;g T 1 t lE 5 1 e system to the plans of Eco-Tech.. #ETE-2513, 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 Certificate of Compliance has been issued by this Board of eal . A p Sipwclke Date Application Approved by Date !A- �D .'Application.Disapproved:by: Date for-the following reasons Permit No. P4,00(4 Date Issued �!a - :._n r.��,.�'� .Y 1,r,.... ti w 1' •'r,. F- •. :-- �..� ,,rse.... �. � ..r,ar.:r„ Y � - /��., C�/L/ # No. (O J% Fz f� .4� 4 F,1,0 0 00 �` �""` Entered in computer: .THE COMMONWEALTH OF MASSACHUSETTS Yes .� PUBLIC HEALTN'DIVISIAN -,,TjOWN OF BARNSTABLE, MASSACHUSETTS - ZippYicatioi� for Migpo.5a[ *p5tem Con-.5truction Permit 1 Application for a Permit to Construct(' ) Repair(K) Upgrade O Abandon O ❑ Complete System ❑Individual Components r o Location Address or Lot No. - Owner's Name,Address,and Tel.No.4 2 0-5 5 6 6 911 Gain St, Osterville Beauville- Trust Assessor'sMap/Parcel 117/196 911 Main St, Osterville Installer's Name,Address,and Tel.No. 7 7 5-8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4-0 8 9 4 Wm E Robinson Sr Septic Eco—Tech PO Box 1089 Centerville 1 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder (no) Other -Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided ` gpd Plan Date Number of sheets Revision Date Title 'p Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Tnat:%11 a na11 {try; t 1 r, 1 n-In ark, ,, system to the plans of Eco-Tech #ETE-2513 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 Certificate of Compliance has been issued by this Board of e A.Sit Date " —6 Application Approved by\ i Date Application Disapproved by: Date for the following reasons Iiermit No. __q,00(0 Date Issued o� /a� 4� THE COMMONWEALTH OF MASSACHUSETTS .Beauville Trust BARNSTABLE,MASSACHUSETTS Certificated Compliance THIS IS TO CERTIFY that the On-site Sewage Disposal System Constructed ( ) Repaired :( ) . Upgraded ( ) > g P Y P Pg ` Abandoned( )by Wm E Robinson Sr Septic at 911 Main Street, Osterville has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. -)CY0&_, - 54 A-/ dated Installer 7J 1 tom+ Designer , #bedrooms Q Q Approved design-flow �� � [) gpd -�1_\ The issuance of this permit shall not be construed guarantee that the system will function`. s d•"ne�d. Date / f �,' / /s, inspector t �,71T td. _ No. I C�p �>5 41 46100 00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Beauville Trust Digogal �&p5tem Con!5truction Permit Permission is hereby granted to Construct ( ) Repair ( X ) Upgrade '( ) Abandon ( ) System located at 911 Main Street. Osterville 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 ust be completed within three years of the dat of this pet�nit. Date /d �c, Approved by 1 i Town of Barnstable OF THE Tp� o Regulatory Services Thomas F. Geiler, Director BAR STABLE, t639.39MASS Public Health Division ��� . pTFDN1°�� Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer &.Designer Certification Form Date: /y"o� Sewage Permit#�C. Assessor's Map\Parcel 117/1 96 Designer: Eco—Tech Installer: Wm E Robinson Sr Septic Address: 43 Triangle Circle Address: PO Box 1089 . Sandwich Centerville On 1 L-Zl.-6(0 Wm E Robinson Sr Sept*,qs issued a permit to install a (date) (installer) septic system at 911 Main St, Osterville based on a design drawn by (address) Eco—Tech dated 1 2 4106 (designer) L I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component i� of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. o� DAVID yGm 1 D. �+ (Installer's Signature) ;tJUGhANOWR No. 1093 'STE� SAIVITAR\Pa (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED tiNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BA.RNSTABLE PUBLIC HEALTH DIVISION. THANK YOU Q: Health/Septic/Designer Certification Form 3-26-04.doc TOWN .OF_B,ARNSTABLE ►.JCATION /I A�yt, `y�t�-4� SEWAGE # VII,LAGE ASSESSOR'S MAP & LOT /7- 12& amT.• r �r. a ni*n* wr(1 7 SEPTIC TANK CAPACITY IN LEACHING FACILITY: (type) ` (size) NO.OF BEDROOMS BUILDER OR OWNER e' PERMITDATE: COMPLIANCE DATE: Separation Distance Between e:� 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 g U vVn 01 �DarnstcanDle P# 1) 5 �CD Witte Department of Regulatory Services ttta�►� : Public Health Division Date �p t63A 200 Main Street,Hyannis MA 02601 �n rdu+a Date Scheduled / Time t / Fee Pd. Soil Suitability Assessment for Sewage Dis al Performed By:E.1 kV,l Q v C6 0G O I N V I R L-SC- Witnessed By: - LOCATION&GENERAL INFORMATION Location Address "OM Owner's Name - - - -- - - —JANe--V f=ee 0'�-� O S Te l C Le , w1 A Address _ kte'Re l m A T,,, WlA •o26�- Assessor's Map/Parcel: ] I vv me � +" Engineer's Na _ _ - A . �tuAi�,f,6 NEW CONSTRUCnON PAIR_RE Telephone# $'O { Land Use ?, i jefiql /OW ce _Slopes(3b) Vl Surface Stones h 42 Distances from: Open Water Body l 0 D t ft Possible Wet Area. L y V� ft Drinking Water Well L b o+ g . 1 i a Drainage Way I 0 t _$ Property Line 6 0 4 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) _ fi _ z ; - �� GROUNDWATER ADJUSTMENT EXISTING GROUNDWATER LEVEL �I BASED ON TOWN OF BARNSTABLE GIS DEPARTMENT_RECOR-9S-- -- M �® '���_—�--J M INDICATED GW 4.00 N �w --1 INDEX WELL MIW-29 !. �r� ZONE C " READING DATE NOVEMBER. 2006 -- —---- '"�' - READING 6.5 ADJUSTMENT 3.7 ADJUSTED GW 7.7 t Parent material(geologic) r� QLI G I `�"' Depth to Bedrock ' Depth to Groundwater: Standing Water in Hole: n�fh e Weeping from Pit Face Estimated Seasonal High Groundwater ��� �J Ott P U Id�J DETERMINATION FOR SEASONAL HIGH WATER TABLE `- Method Used: 50F Ol b oY P Depth Observed standing in ohs.hole: In. Depth to soil mottles: in. Depth to weeping from side of obs.hole: In. ©mundwater Adjustment ft. Index Well'# Reading Date: Index Well level,R� Adl.factor, , Adj.(Iroundwater level R,a PERCOLATION TEST 10(- Observation Hole# Time at 9" Depth of Pero 1 i Time at 6" y Start Pre-soak Time @ 0 'Time(9"-6") y _ End Pre-soak P° RateMin✓Inch .� Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(Y/N) 1V Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100'of wetland,you must first notify the, Barnstable Conservation Division at least one (1) week prior to beginning. Q:ISEPTICIPERCFORM.DOC SOIL TEST LO-G DATE OF TEST: JUNE 15, 2006 SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. WITNESSED BY: DONALD DESMARAIS, HEALTH DEPT. NO TEST PIT I PAARENOTUMAATERIIARL:ENCOUNT PROGLACIAL RED OUTWASH +- PERC AT 72 in : 2 MIN/INCH IN C SOILS ELEVATION = 39.45 DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER Y (INCHES) HORIZON ;TEXTURE-- (MUNSELL) MOTTLING 39.45 0-36 MIXED - FILL 36.45 36-120 C MEDIUM TO 10 YR 6/4 NONE LOOSE COARSE SAND 29.45 NO GR TEST PIT 2 PAARENOTUNDWATEMAATERIIAL:EPROGLACIRALD OUTWASH ELEVATION = 3B.90 +- PERC AT 'XX to : 2 ,MIN/INCH IN C SOILS DEPTH SOIL USDA SOIL SOIL COLOR SOIL _. OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 36.90 0-50 MIXED FILL--._ 34.73 50-132 C MEDIUM TO 10 YR 6/3 NONE LOOSE COARSE SAND 27.9m DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones:Boulders, onsi t Flood Insurance Rate Mao: Above 500 year flood boundary No— Yes Within 500 year boundary No ✓ Yes Within 100 year flood boundary No Z Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? ,.. Certification I certi that on N)Cu lcl� date I have evaluator examination approved b the fy S -(date) passed the soil evalu pp y Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 10 CMR 15.017. Signature LS L Date Dec lS ZOOC f � PIERCE COTE A D V E R T I S I N G June 4 1997 Ms.Donna Morandi Town of Barnstable Board of Health 367 Main Street Hyannis,MA 02601 Re: 911 Main Street, Osterville Dear Ms.Morandi: This letter is confirmation of our conversation of June 3, 1997,in response to your notice dated May 6, 1997. As discussed, Rebecca Pierce purchased the building, and during the transition of ownership, the electricity was shut off in a portion of the building. As soon as Ms. Pierce took title to the building, she notified COMElectric, and the situation was immediately remedied. Furthermore, when Ms. Pierce took over ownership of the building, the trash was taken away and this continues to be sdone on a weekly basis. The rotted boards on the outside deck are in the process of being replaced. The water-damaged ceiling tiles inside were replaced last week. The septic system has been pumped, and this has eliminated the odor problem in the first floor bathroom. Therefore,each violation noted has been corrected, and everything at 911 Main Street should be within code. If you have further questions,please feel free to contact me at 420-5566. Sincerel ormne L. King 7 PARKER ROAD, OSTERNILLE, MA 02655 TELEPHONE 508/420-5566 e FAX 508/420-3314 y / Y r../ VORM30 HOBBS&WARREN,INC. THE COMMONWEALTH OF MASSACHUSETTS / � /B OA 0 DQF 1 I lV sLi� CITyAbWN to i u L • b O Eft M ) G,M 5 By`eWM,4 A TELEPHONE— Address / r� ' Sto .V9�/0upan G� UA • is J f l floor Apartment No. No.of Occupants T Qo No.of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units No.Stor' nI/ (halo Name and address of owner I¢/^' /C/1kMD CST6�VU� Remarks Reg. Vio. YARD Out Bld s.: Fences: o 0 0 �55 Garbage and Rubbish / LIP /A(SAF6E_- Containers: A/ Drainage Infestation Rats or other: „ STRUCTURE EXT. Steps,Stairs, Porches: S/ Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: -BI Gen.Sanitation: Dam ness: ) V° Stairs: l Lighting: ' STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceili : I ' �� Hall Lighting: ( �j Hall Windows: ' \ HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent s /I/ ELECTRICAL Panels, Meters,Cir.: ri ❑ 110 ❑ 220 Fusing,Grnd.: LU AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 , o p Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: NO NO Stacks, Flues,Vents,Safeties: Wrl (a M j P Kitchen Facilities Sink Stove r Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: /�/_ j- , , --j . Wash Basin,Shower or Tub: ('� `/ /�1/ j� l' Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n- ® ,� General Bulldin Posted ` ( q �` ' Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPOao IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES'OF PERJURY. 0 INSPECTORT)-Mi TITLE WPM. DATE �( / TIME Il / l A.M. THE NEXT SCHEDULED REINSPECTION P.M. c M r � 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a'person or persons occupying the premises. This listing is composed of these items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.000 through 410.499 state minimum requirements of fitness for human habitation, any violation has the potential to fall within this category in any given situation but may not do so in every case and therefore cannot be included in this listing. Failure to include shall in no way be construed as,a determination that other violations may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of the violation(s) pursuant to 410 CMR 410.830 through 410.833. nor shall it affect the legal obligation of the person to whom the order is issued to comply with such order. (A)-.s Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shut-off and/or failure to restore electricity or gas. (D). . Failure to supply the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253(A), 410.253(B) and the lighting in common area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage system in operable condition as required by 105 CMR 410.150(A)(1) and 410.300. "(G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by an object, including garbage or trash, " Which prevents egress in case of an emergency 105 CMR 410.450 and 410.451. (11) Failure to comply with the security requirements of 105 CMR 4110.480(D). (I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602 'Ohich results in any accumulation of garbage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects .or other pests or otherwise contribute to accidents or to the creation or -:_spread of disease. (J) The presence of lead-based paint on a dwelling or dwelling unit in .violation of the Massachusetts Department of Public Health Regualtions for Lead Poisoning Prevention and Control 105 CMR 460.000. =(H) Roof, foundation, or other structural defects that may expose the oceepant or anyone else to fire, burns, shock, accident or other dangers or iiOd t'ftnt to health =or dafety. fL) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilities as are required by 105 CMR 410.351 and 410.352 so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment `to:health or safety. Q0 Any of the following conditions which remain uncorrected for a period of five or more days following- the notice to or knowledge of the owner of said condition or conditions: (t) ' lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either operable. (2) failure to provide a washbasin and a shower or bathtub as required in 105 CMR 410.150(A)(2) and 410.150(A)(3) and any defect which renders them inoperable. (3) any defect in the electrical, plumbing, or heating system which makes such system or any part thereof in violation of generally accepted plumbing heating,, gae-fitting, or electrical wiring standards that do not create an immediate hazard. failure to maintain a safe handrail or .protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A) and 410.503(B). (5) failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (N) Amy other violation of Chapter II not enumerated in 105 CMR 410.750(A) -through (M) shall be deemed to be a condition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the board of health. r UNITED STATES POSTAL SERVIC MT4 rst-Gla ail �O ---_.,Postage&gees ,aid C c _ USPS•.. _ �,• P t Permit-No.G-10,. • Print your�ar?llb,°addr` s;and ZIP Code in this box• r ``' Public HeaHh Division Town of Barnstable PD• Box 534 Hyannis,Massachuse ffs 02601 i i it I d SENDER: o ■Complete items 1 and/or 2 for additional services. I also wish to receive the w ■Complete items 3,4a,and 4b., following services(for an H ■Print your name and address on the reverse of this form so that we can return this extra fee): I card to you. ai I j ■Attach this form to the front of the mailpiece,or on the back if space does not ❑ Addressee's Address u d permit. I. y ■Write°Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery CO) ■The Return Receipt will show to whom the article was delivered and the date .. delivered. Consult postmaster for fee. o °1 -aa� 3.Article Addr ed to: 4a.Article Number E 4 .Service Type i u ❑ Registered Q1 Certified cc rn U) ❑ Express Mail ❑ Insured y ¢ �j ❑ Return Receipt for Merchandise ❑ COD 7.Date of Delive ;3d � D 5.Received By:(Print Name) 8.Address 's Ad ess(Only if requested and fee is paid) = 11 g 6.Signat re- d iessee or Agent) �N — PS Wm 3814, December 1994 Domestic Return Receipt �. `P 319 578 885 us Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not jUse f r International Mail See reverse en Street& Po te,& IP Postage Certified Fee Special Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address CDTOTAL Postage&Fees $ Postmark or Date Li 07 a Stick postage stamps to article to cover First-Class postage,certified mall fee,and G charges for any selected optional services(See front). I f1.If you want this receipt postmarked,sack the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service tlt 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 Q) return address of the article,date,detach,and retain the receipt,and mail the article. I 3. If you want a return receipt,write the certified mail number and your name and address rnrn 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 4 RETURN RECEIPT REQUESTED adjacent to the number. a 4. H you want delivery restricted to the addressee, or to an authorized agent of the C 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. �f 6. Save this receipt and present it if you make an inquiry. a I . s �4 1 M ` a SECTION . DELIVER a Complete items 1,2,and 3.Also complete, _ A. Signat e item 4 if Restricted Delivery is desired. X !' ❑Agent a Print your name and address on the reverse. 0 Addressee so that we can return the card to you.Y B. Received by(Printed Name) C. Date of Delivery ® Attach this card to the back of the mailpiece, s or on the front if space permits: -D.'Is delivery address different ❑Yes 1. Article Addressed to:,, A l If YES,enter delivery a ss W" C No .�. gOSTo/y +�.T ...e ) 4 - �� 3. Service Type �^ f I(Certified Math 13 [3Registered ❑RetMA?c Merchandise:4 O ZJ D� r ❑Insured Mail ❑Collect on Delivery. 4. Restricted Delivery?(Extra Fee), ❑Yes 2. Article Number 7 014 1200 0001 0 3 5 8 ;010 9.. ransfer from service labe (r �1 a PS Form 3811,July 2013 Domestic Return Receipt 3 • • COMPLETE THIS SECTIONON DELIVERY! a Complete items 1,2,and 3.Also complete A. Si Pre ' item 4 if Restricted Delivery is desired. ern ' A Print your name and address on the reverse 'Q Addressee t so that we can return the card to you. g ry d by(p• fed Name) e (�livery a Attach this card to the back of the mailpiece, A �jt%l or on the front if space permits. address different from item 1?tElYes - 1. Article Addressed to: delivery address below: ❑No- ` } J r; 7D. u O s' ® +x ai EX reSs_ F �Q 1 ied Mail ❑PriorityM. I ..p � & ❑Registered ❑Return Receipt for Merchandise+ ❑Insured Mail E3 Collect on Delivery 4. Restricted Delivery?.(Extra Fee) ❑Yes 2. Article Number 7012 �010 0000 2851 3450 - y (Transfer from service labeQ PS Form 3811,'July 2013 Domestic Return Receipt -., Town of Barnstable Regulatory Services + BARNSPABLB. M'-9& Richard Scali, Director 039. Public Health. Division Thomas McKean,.Director ' 200 Main.Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 October 9, 2014 Lenore Lynch 911 Main Street Osterville, MA 02655 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION, THE STATE ENVIRONMENTAL CODE, TITLE 5. The property occupied by you located at 911 Main Street (basement apartment), Osterville, MA was inspected on October 9, 2014 by Jim Parziale, R.S., Health Inspector for.the Town of Barnstable. This inspection was conducted in response toa complaint filed with the Town of Barnstable Public Health Division: The following violations of the State Sanitary Code were observed: 105 CMR 410.450 —Means of Egress: Two rooms in basement area, being used for sleeping, lack proper secondary egress. - r You are directed to correct the violations listed above within twenty four (24) hours of your receipt of this notice. 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. However, these violations must be corrected within twenty four hours regardless of any request for a hearing. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to' comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER F THE BOARD OF HEALTH C��McKean, R.S., CHO Director of Public Health Town of Barnstable �l 9 T Teti Town of Barnstable Regulatory Services snRtvsrABL& 9� `��' Richard Scali, Director_ �f1639. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 October 9, 2014 George K Regan 106 Union Wharf Boston, MA 02109 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION, THE STATE ENVIRONMENTAL CODE, TITLE 5. The property owned by you located at 911 Main Street, Osterville, MA was inspected on October 9, 2014 by Jim Parziale, R.S., Health Inspector for the Town of Barnstable.. This inspection was conducted in response to a complaint filed with the Town of Barnstable Public Health Division. The following violations of the State Sanitary Code were observed: 105 CMR 410.450—Means of Egress: Two rooms in basement area, being used for sleeping,lack proper secondary egress. *Property is limited to first floor office area and second floor one (1)`bedroom apartment per septic permit#2006-5.44: You are directed to correct the violations listed above within twenty four (24) hours of your receipt of this notice. 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. . However, these ; violations must be corrected within twenty four hours regardless of any request for a hearing. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation, r Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH ' �omas . McKean, R.S., CHO Director of Public Health Town of Barnstable TOWN OF BARNSTABLE LOCATION Q� r(V�,,d;,v�, ", SEWAGE# . VILLAGE ®s��1v'�l\�, ASSESSOR'S MAP&PARCEL (�''( INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY 15'©rJ LEACHING FACILITY:(type) L<,e-� (size) NO.OF BEDROOMS 4 OWNER PERMIT DATE: 0 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 \s O :01 II SOIL TEST LOG _ DESIGN CALCULATIONS I DESIGN FLOW: ONE 1 BEDROOM APARTMENT X 110 GPD = 110 GPD t DATE OF TEST: ._ JUNE 15. 2006 2 FLOORS OFFICE SPACE x 1123 sF PER FLOOR = 2246 sF SOIL EVALUATOR: DAVID D. COUGHANOWR. R.S. 2246 sF x 75 GPD PER 1000 sF= 168.5 GPD WITNESSED BY: DONALD DESMARAI.S. HEALTH DEPT. i USE 200 GPD - MINIMUM FOR OFFICE BUILDING TOTAL DESIGN FLOW = 110 GPD + 200 GPD = 310 GPD NO GROUNDWATER ENCOUNTERED SEPTIC TANK: 310 GPD X 2 DAYS = 620 GALLONS TEST PIT I PARENT MATERIAL: PROGLACIAL OUTWASH USE EXISTING 1500 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL ELEVATION = 39.45 PERC AT 72 in : 2 MIN/INCH IN C SOILS CONDITION. IF NOT. INSTALL NEW H-20 1500 GALLON SEPTIC TANK PER TITLE 5. DISTRIBUTION BOX: USE 3 OUTLET H-20 D-BOX. SOIL ABSORBTION SYSTEM: A 24 F t x 12.5 Ft x 2 Ft LEACHING GALLERY CAN LEACH DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER Abot = ( 24 x 12.5 l = 300 sF (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sF 39.45 Atot. = 446 sF 0-36 MIXED Vt 0.74 x 446 = 330.04 GPD FILL USE A 24 Ft x 12.5 Ft x 2 Ft GALLERY. Vt = 330.04 GPD > 310 GPD REOUIRED 36.45 36-120 C MEDIUM TO 10 YR 6/4 NONE LOOSE COARSE SAND L EA CHID)G GALLERY SCALE 29.45 USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL (H-20 LOADING) NO GROUNDWATER ENCOUNTERED TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH CONSTRUCTION DETAIL 500 GALLON DRYWELL ELEVATION = 36.90 +- PERC AT XX in 2 MIN/INCH IN C SOILS DIMENSIONS AND DETAIL DRYWELL UNIT., STON USE H-20 UNIT INSTALL ONE H-20 DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER RATED CONCRETE 24.0 f t7 O RISER WITH CAST (INCHES) HORIZON TEXTURE (MUNSELLI MOTTLING IRON COVER TO 38.90 mm GRADE. m 0-50 FILL° m u� cv Q N 0 36 34.73 50-132 C MEDIUM TO 10 YR 6/3 NONE LOOSE m 000� o OO�p In oC::D 00u OOOp 27:90 COARSE SAND e.5 Ft e.5 Ft s �t a0000000aaoo 0 24.0 Ft G)� 102 In CROSS SECTION VIEW 2 Ift!r PEASTONE 2 In PEASTONE INSTALLER MAY OPT TO USE AN APPROVED NOTES GEOTEXTILE OF T FABRIC IN O PLACE OF THE 2 In 24 In PEASTONE SPECIFIED. 28EFFECTIVE 3/4 In TO 26 InDEPTH I-1/2 In GRAVEL In 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN. 2) ALL LINES .TO BE SCH 40 PVC AND PITCH AT 1/6 INCH PER FOOT MINIMUM. 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS 46 In 58 In 46 In OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 150 In 41 INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND REMOVED. I 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND,DUSTIN. PLACE. .' .,)tr (j f��� Z) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0" BEFORE PITCHING:DOWN. , GROUNDWATER ADJUSTMENT SEWAGE DISPOSAL SYSTEM PLAN I ^ / `� 1c 1. 6) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF+-•LOW�FLOWI',.F;IXaTURES EXISTING GROUNDWATER LEVEL -TO SERVE EXISTING DWELLING AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK! f::::1i' .<. q / BASED ON TOWN OF BARNSTABLE GIS DEPARTMENT RECORDS. BEAIJVILLE TRUST . 9) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTINGWORK�l INDICATED GW 4.00 INDEX WELL M1W-29 911 MAIN STREET OSTERVILLE. MA 10) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE 'ON -'A .LEVEL ZONE C STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH READING DATE NOVEMBER. 2006 EEO ENVIRONMENTAL SIX INCHES OF CRUSHED STONE HAS BEEN PLACED- TO MINIMIZE. UNEVEN. SETTLING. READING 8.5 11) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED, ADJUSTMENT 3.7 43 TRIANGLE CIRCLE SANDWICH MA 02563 FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED. WITH. GAS BAFFLE. ADJUSTED GW Z.Z . '' _ ETE-2513 DECEMBER 15, 2006 2/2 { r - Z NOTE NOTE CONTOURS 550� PJE ` o PUMP EXISTING SEPTIC TANK AND LEACH PIT. THE FOLLOWING ACCESS COVERS WILL EXISTING - - - - - - - 50 ego REMOVE EXISTING LEACH PIT AND ALL BE BROUGHT TO FINAL GRADE USING N a � MINIMAL GRADING PROPOSE ' wa CONTAMINATED SOILS. REPLACE REMOVED RISERS CAPABLE OF WITHSTANDING 2 o° MATERIAL WITH CLEAN MEDIUM SAND PER TITLE 5. H-20 VEHICULAR LOADING AND FITTED 3 Locus zw omw WITH CAST IRON COVERS: DISTRIBUTION o�� a wa J� + m BOX AND ONE DRYWELL UNIT. F J� T srREE7- 11 mocn m DI S T/� NCES ' BAY STREE A w o� TO LEACHING GALLERY l}I,2 OSTERVILLE. MA CO ALL DISTANCES ARE IN DECIMAL I _w FEET NOT IN FEET AND INCHES. O C U S M P ❑JQ L �z0 CC----] 2 A NOT TO SCALE e ��� 3 w°Z < o A Bm r O ry a <m CD 1 29.3 23.5 I e Ui O �'J Z w 3 35.2 46.8 1 B I v W= co Lu G I j ►--� � 3 , 4 39.7 35.6 4 44 W +, w? w �W� U � > o � 42 W e U 0q<XILO W w ~ N 40 'z�� o o m —i CD oLE.�CHING Gf�LLERY pRIv wPwww 24 ft x12.5 ft x 2 ft 39� \ �W m USE H-20 UNITS �/ QIJE / '' ` �� 3Cn EGEND p U Ul 5T Z �I zl = �w N� \� EXISTING H-20 U Iw 3 0� 0 m I '�l�' LOT 2� GGAS SEPTIC TANK A L mm N X AREA = 0 �L U W I m 07 117 �/ N 5536 sF +-� \ -� cwn wZ I T_ m o FNO k I/NE H-28 D-BOX ❑ z z ch ZT \\�� SOP 0A11 123 s� GP � \ TEST PIT OU w -A 1 \ L Z E W ww O E 44 p w W J wrcc)cn \ O Z O ft p,R �� EXISTING o n;\ a2 LEACH PIT O o a �� 42 WQ o e\\7 TP-2 5TONe� p�REP �� UTILITY POLE 8 cn w \ K1 cr < \ �� P PR 40 TREE J I 0 EO -NUMBER REFERS TO U) �� �� g90 DIAMETER IN INCHES. N Q+1 Z m 39 TP-1 /� LETTER DENOTES TYPE. *18-p 1 (p b m �i O-OAK M-MAPLE P-PINE W J m w VENT \ J PIPE \_�A.00 { BENCH MARK e SEWAGE DISPOSAL SYSTEM PLAN z H w w CV z V TOP OF CONC BOUND ��® ��� -TO SERVE EXISTING DWELLING I z - = 0 Z ELEVATION = 40.73 0 J Cn� J < USGS DATUM ASSUMED EST. BEAUVILLE TRUST 3 Q Q REBECCA A. PIERCE. TRUSTEE CD I O 0 m z d OWNERS OF RECORD _OF L� w �—, U �(H Mq Z o �� m (� �� ssq �HOFMgs (� 1995 �� 911 MAIN STREET O c � s n m c FLAN �o DAVID y�N o�'� DAVID °yam �� �� OSTERVILLE. MA e I m N o D. R`, PROPERTY ADDRESS Z + X W , COUGHANOWR N D. N R LIJ m CI) UGHANOWR� SCALE: 1 1n = 20 f t No. 1093 CO 43 TRIANGLE CIRCLE ASSESSORS MAP 117 PARCEL 196 O E 0 � 0 SANDWICH MA 02563 PLAN BOOK 371 PAGE 46 z 20 0 20 40 �GISTE - SOCENS E� p¢ o " z N SgNITAR�PN FVALUP� 508 364-0894 DATE: DECEMBER 15. 2006 O W X w w 0 10 20 ^ / �/_ JOB #E T E-2 513 PAGE 1 OF 2 VERSION: I- w ot,,,�►CU (- C. THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED / SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM DEPICTED HERE`1�C�CeVYlloor �� "/�0(' PLACEMENT OF FOROADDITIONS. SHOEDS, FENCES OR SCHANGESOWIMMIING POOLS. OWD PROPERTY ING '� NER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. f