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Home My WebLink About0043 OAKDALE PATH - Health (2) 43 Oakdale Path, Osterville A= 072 - 017 i 9 --r- TOWN OF BARNSTABLE LOCATION SEWA # li, a .-). 017 VILLAGE .Q AS: ES S MAP & LOT 771S,Pgr-;P .S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ;&1 2 (size) NO.OF BEDRO MS BUILDER CROWNE�L�'. 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 rp f • TOWN OF BARNSTABBLE p, LOCh.TION � SEWAGE # VILLAG :r&(Z iA r�_ ASSESSOR'S MAP & LOT -/7 INSTALLER'S NAME & PHONE NO. T6;cf- SEPTIC TANK CAPACITY 9f7ft 091 Kj 5K%54 lw LEACHING FACILITY:(type) �� 5 �'�?` l t(size) 0�lkioe c� NO. OF BEDROOMS PRIVATE WELL R PUBLIC WATE313 BUILDER OR OWNER �� DATE PERMIT ISSUED: DATE . COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r } sTo N E al leap 12 d 70 o/ 4d 907 aA6',193 ,-ti BORTOLOT7'1 CONSTRUCTION,`INC. . roWN�f 8 765 WAKEBY ROAD,MARSTONS MILLS,MA'0264 �` y6it do PSTABLF ' 508-771-9399 508429-8926 FAX: 508428-9399 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FO PART A CERTIFICATION a Property Address: Date of Inspection: / Inspector's Name: Oyiner's Name and Address CERTIFICATION STATEMENT: I certify that I have personally inspected the sewage disposal system at this address and that the informa- tion reported below is true,accurate and complete as of the time of inspection. The inspection was per- formed based on my training and experience in the proper,function and mnintenance of on-site sewage disposal stems. The System: V Passes n ii 1 - Co d t onal Passes Y Needs Further:Eval, 'on By I Aproving Authority Fails Inspector's Signature: Date The System Inspector shall submit a copy of this inspection report to the Approving authority within thir- ty(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: A)SY M PASSES: SV 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. B)SYSTEM CONDITIONALLY PASSES; One or more system components need to be replaced or repaired. the system,upon comple- tion of the replacement or repair,passes inspection. Indicate yes;nor,or not determined(Y,N,OR ND), Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal,cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is inuninent. The system will pass inspection if the existing sep- tic tank is replaced with a conforming septic tank as approved by The Board of Health. Sewage backkup 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): l - 1 - I :'W{:,: +`• SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ,. PART A .,, CERTIFICATION (continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is levelled or replaced The System required pumping more than four times a year due to broken or obstructed pipe(s). The.system will pass inspection if(with approval of The Board of Health): Broken pipe(s)are replaced Obstruction is removed C)FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by The Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1)SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 Feet of a surface water Cesspool or privy is within 50 Feet of a bordering vegetated wetland or a salt marsh. 2)SYSTEM WILL FAIL.UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTION- ING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE w ENVIRONMENT: The system has a septic tank and soil absorption system and-is within 100 Feet to a surface water supply or tributary to a surface water supply. N, The system has a septic tank and soil absorption system and is with a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 Feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 Feet but 50 Feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D)SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of efluent to the surface of the ground or.surface waters due to an overloaded or clogged SAS or cesspool. e.: ,r, .-.- .; •-� • .Static liquid level�in the distribution box above outlet invert due to amoverloaded or clog ed,SAS or Liquid depth'in"cesspool is less.than 6"below invert}oravailable,volume is less than 1/2 day'flow. to Requiredpumping more than 4 times in the last year NOT due to clogged ed or obstructed pipe(s). Number of times pumped r SUBSURFACE SEWAGE DISPOSAL''SYSTEM.'INSP:ECTION FORM PART A CERTIFICATION (continued) Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater- elevation. Any portion of a cesspool or privy is within 100 Feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 Feet of a private water supply well. Any portion of a cesspool or privy is less than 100 Feet but greater than 50 Feet from.a private water supply well with no acceptable water quality analysis. If the well has been analyzed q to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E)LARGE SYSTEM FAILS: The following criteria apply to a large system in addition to the criteria above: - The design flow of a system is 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the enviroiiment because one or.more of the following conditions exist: ` The system is within 400 Feet of a surface drinking water supply. The system4&within100 Feet,of a tributary, to a surface drinking water.supply The system is located in.a nitrogen sensitive area Interinn Wellhead Protection Area '�&'_(IWPA)or,a"mapped Zone It 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,informatiun. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B Y CHECKLIST Check if the following have been done: __J,,�Purnping information was requested of the owner,occupant,and Board of Health. ` None of the system components have been pumind for atleast 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: V'As-built plans have been obtained and examined. Note if they are not available with N/A. he facility or dwelling was inspected for signs oC sewage back-up." y iThe system does not receive non-sanitary or industrial waste,flow.,, The site was inspected for signs of breakout. n I systemcomponents,-excluding the Soil Absorption System, have been located on site. e septic tank manholes were uncovered,opened,and the anterior"of the septic tank was in- ' /The spected for.condition of battles or teesmateril of consti iiclioni,dimensions,depth of liquid, depth of sludge,depthof scum.size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. -3- 151t �44'y�T 74 SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM ,. _SUBSURFACE PART•li CHECKLIST(continued) t/ The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL}: Design Flow:4qkQ allons Number of Bedrooms: (o Number of Current Residents: Garbage Grinder:_ Laundry Connected"ro System:6/�d Seasonal Use: Ql,2G WateuMeter Readings,if av table: Last Date of Occupancy 67 COM_M .R AL.IINDUST IAi w Type of Establishment:• !' Design Flow: _ _ gallons/day_Grease Trap Present: (yes or no) Induitrial Waste Holding Tank Present: Non-Sanitary Waste Discharged To The Title V System: Water Meter Readings, If Available: Last Date of Occupancy: OTHER: Describe) Last Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System Pumped as part of inspection:_ If yes,volu a pumped: gallons Reason for pumping: TYPE OF SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(If yes,attach previous inspection records, if any) Other(explain): AP O TE AGE of all components,date installed(if known)and.source of information: M• Sewage odors detected when arriving at the site: -AA) -4- . { SUBSURFAGESEWAGE DISPOSAL SYSTEM INSPECTION FORM ` PART C GENERAL INFORMATION (continued) SEPTIC TANK: Depth below grade: Material of Construction:o ncrete metal FRP_Other (explain) Dimisions: ,b'X(o'.f'c5 Sludge Depth: c2 _Scum Thicl ness: din, Distance from top of sludge to Bottom of outlet tee or baffle:_' 3� Distance from bottom of scum to bottom of outlet tee or baffle:._ . .r/�s>e Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid 19yel in tion to et invert,structural integrity,evidence of leakage,etc.) o' Vj AZh -44M6_�/,_ '( a GREASE TRAP: A)O Depth Below Grade: Material of Construction:_concrete_metal FRP Other (explain) Dimensions: Scum Thickness: Distance from top of scum to top of outlet tee or baffle: " y " Comments: (recommendation for pumping;condition of inlet-and-outlet tees-or baffles,depth of liquid - level'in`relation'to outlet invert,structural integnty,evidence`of leakage,etc:)., - TIGHT OR HOLDING TANK:�Q Depth Below Grade: Material of Construction: concrete metal - FRP_Other(explain) Dimensions: Capacity: gallons Design Flow: Rallons/day Alarm Level: ► Comments: (condition of inlet_tee,condition of alarm,and float switches,etc.) DISTRIBUTION BOX: ✓ . Depth of liquid level above outlet invert: Comments: (note if 1 1 and dis tribution is of solids carryover,eviden a of leakage into. o out of box,etc.) .t n�lr-- PUMPCHAMB c r c ,- �> r ,�► -Pump is in-working order: "_._ _.-- _ ► �� t `_..`i "Comments: (note condition of pump chamber,condition of punips and appurtenances,etc.) a �Z A f t 11 ' SUBSURFACE'SEWAGE DISPOSAL'SYSTEM°INSPECTION FORM PART C ' SYSTEM INFORMATION (continued) SOIL ABSORPTION SYSTEM(SAS):_IZ (Locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: Type: Leaching pits,number: Leaching chambers, number: Leaching gaileries,number: 3 Leaching trenches,number, length: Leaching fields,number,dimensions: Overflow cesspool,number: Comments: (note condition of soil,f igns of hydraulic failuo level of ponding,c dition of vege tion, etc.) CESSPOOLS: —AA—)d Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of Cesspool: Materials of construction: Indication of groundwater: Inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soilk,signs of hydraulic failure, level of ponding,condition of vegetation, etc.) PRIVY:,1 od Materials of construction: Dimensions: Depth of Solids: Comments: (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.) -6 SUBSURFACE SEWAGE�UISPOSAL S.YS'I N,M INSPECTION FORM .rnx'r c G. k µ-� SYSTEM INFORMATION (continued) ` SKETCH OF SEWAGE DISPOSAL SYSTEM Include ties to atleast two permanent references, landmarks or benchmarks. Locate all wells within 100 Feet., ., '. • # r I :U i" 10 ay3bs°# tt+ ." x: .:4"it'7 6bff a�'criu"t ;.r 7.1 - k' q g a .1Y•.4R kt�,$ '.Y w3.'•f4 iLi dl• �� .... .`5'f�s+�$i'��'.,�1 d�`Y,•.+� } . y DEPTH TO GROUNDWATER: Depth to groundwater: �Jr .Feet Meth of Determination or Approxim 'on: � p + 7_ e, r NOTE: ° a 1.) The property line information shown was compiled from ZONE: M ` I � "0 available record information. RD-1 2.) The topographic information was obtained from an on Area (min. 87,120 SF(RPOD) the ground survey performed on or between Feb. Z 2017 Frontsge (min) 20' and Feb. 15, 2017. Width (min) 125' 3.) The datum used is an assumed datum based on TOB Setbacks: CO90a 3 F GIs. Front 30' {.LLvo c?'nw iT c; Side 15' ' `b Rear 15' k� FLOOD ZONE: " X(Min. Flood Hazard) Community Panel No. #250001 0016 D July 2, 1992 n/f Location Map: LCB Peter C. Hunter 1"=2,000t' fnd. ) 1 ASSESSORS REF.: SB4'43' 10 E ,' r Cb/dh 10200 _-- , Map 072 Parcels 017 OVERLAY DISTRICT. � AP - Aquifer Protection District _15Netbock ' C.) h rip/ \ b/dh i Wooded Areq l^ tnd- Town Zoning Setback Llyd Spindl m ��_12-� f \� Lot Area lev. 14.93 387ds c o 39f- a � J\ J n/f Oyster Harbors Club Inc. / }------� � I � Light I \l �cl o l ' Lawn.Pole (� _ / -i� •_ __r._ _y�.. -_- . �- ^AID-� ., l ! • — - - .. '15-•� Paved �IW Garage i \ Drive w L- 0.2' 'Light o / 6.5' W Pole p I .� 1143 !^ I 2X Sty w/f A O \ L�wn •• l I Dwelling =m \ / Sill G \ / 17.38\ Z co. \ �•' Ugh t n, Pole Y ' /r � I• , ZN \, � N / Lawn ` -- S �p / / Property line _- ! \� j /Pet Record Plon / Wooded Area o 'Wooded Areo I t�j�/ roperty line ` ✓ 5e// gl A Holding LCB `q�k Linda A. David &Michael Fay Trs. LC `� �`� �� o� �� `� �. / Oakdale Path Lot 95 Realty Trust finI .00 LCB fnd. 777LE: PREPARED FOR: PREPARED BY: Site Plan m Proposed Porch Hope Igleheart Tr. Engineering& At 1210 Harbor Court U ivan Consulting,inc. 43 Oakdale Hollywood FL 33019 (508)4283344 • P.O.Box 659• 7 Parker Road,Osterville,MA 02655 Bamstab/e (osterville) Mass. secl@sullivanengln.com •www.sullivanengin.com 20 0 10 20 40 60 Draft: CTR Field: CTR/WHK DATE: November 5,2019 SCALE: 1 a_201 Review: CTR/JOD Calc: CTR Proj. # 370001 Proj # Igleheort