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HomeMy WebLinkAbout0100 OAKDALE PATH - Health r . 100 OAIKDALE PATH, OSTERVILLE A= 072 026 J I ' Town of Barnstable Regulatory Services Thomas F. Geiler,Director Public Health Division srnst.E; * Thomas McKean,Director Mass g 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: health(a,town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 February 22, 2006 Mr. Richard Callahan 345 Seaspray Ave. Palm Beach,FL 33480 Dear Mr. Callahan, Recently a letter has been released to homeowners and commercial business owners regarding the removal of Underground Storage Tanks (UST). When removals, abandonment, and testing of the tanks have occurred, our electronic files are updated. We have found that many files have not been correctly updated and/or the proper notification was not received by our Department. The tank we inquired about is listed on Parcel 026 on Assessor's Map 072 and is registered with the Health Department as tank tag#209. The location is,100 Oakdale Path, Osterville,MA.{The Town of Barnstable,Health Department,has completed the research on your parcel and concluded that the Underground Storage Tank of Fuel Oil was properly removed in July of 1995. We received copies of the UST removal application and permit form from the Fire Department that states the removal was completed by Shoreline Tank Service. This information will be placed in your street file and the electronic files will be updated correctly. We.thank you for your cooperation in this matter and if you have any questions about this topic or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, o�asA. cKean,ZRS,CHO Director of Public Health FORd! F.P. 292 9NO) Department of Public Safety Division of Fire Prevention and Regulation jl P4 CATM MA PERNT, AND PERNT, FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD FDID1 .01920 permit f Date July 6 1995 . Osterville(Town of Barnstable) C4ty,Town or District C . 82 5 . 4 0 M . G . L, - DIG SAFE NUMBER Fee Paid:$ 10.00 2 /� `� 952499869 -rqpt6 l� -(,6 art date A/i 5-/9S In accordance with the provisions of Chapter 148 , Sec. 38A, M.G.L. , 527 CMR 9 . oo application is hereby made by: Shoreline Tank Service Street Address & City or Tow 87 Pond St. , Osterville, MA Signature of appliean Applicants name printed: For permission to remove and transport one underground storage tank from. Owner: Richard Flood Street Address - 100 Oaknal P Parh, 02tor-vll-I AMA' Firm transporting waste: Cyn Oil State Lic. 17 MA-40 Hazardous waste manifest R E.P•A• R Approved tank yard: Mid City Sc map 1'288-9- Tank yard Address: Westport, MA Type of inert gas: UL tank Tank capacity: 500 gallon Substance 1 ast stared: #2 fuel Date of issue: July 6, 19 95 Date of expiration: 19 Signature/Title of Officer granting permit. Fire Prevention Office KEEP ORIGINAL AS .APPLICATION AND ISSUE DUPLICATE AS PERMIT S •P �- Town of Barnstable nod Map/Parcel 072026 Hea lth Departm ne t�Heggipp altwuy em yg ap'l,Parcel 072026r �sMa � �� 6y� Tank Nbr 01 `1 - Nbr , 00209 installed 01/01/1971 , Location B ' s i' g y f *Test Notdicaton bate"p( Statuswr Date sm ka Removal Notification�Date�� r,� i �� 08/14/1991 a Test 1 Abandon � � 1 r ' Removal y 07/06/1995 7 .➢s 8 a➢ t 3 _ yy� .� A��'" �.BFk y �' A� ti� '.. y� Fuel Stofed Fuel Storage Reason H � a Capacity Construction d ' �y� Leak Detections Cathodic Detect#ion StorageTankinfo Additional Details #6173699527 removed COMM NO Add C�4nge C tit " uc '_ r .. < -aa� '4 Town of Barnstable B"R"ASS,� ' Board of Health EI763 9. a � P.O. Box 534; Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Ralph A.Murphy,M.D. Sumner Kaufman,M.S.P.H. To: CALLAHAN,RICHARD P&CYNTHIA Date Monday,March 05,2001 345 SEASPRAY AVE. PALM BEACH FL 33480 RE: Underground Storage Tank at 100 OAKDALE PATH �65�re6U�11e Map Parcel: 072026 Tank NO: 01 Tag NO: 00209 Our records indicate that your underground fuel(or chemical)storage tank is over 30 years old,and has not been removed as required by section 03: subsection 2 of the Town of Barnstable Health Regulation regarding fuel and chemical storage systems. You are directed to remove this tank sixty(60)days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90)days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A.McKean,RS,CHO Health Agent Z _ p Fee-<---��-`- BOARD OF HEALTH TOWN OF BARNSTABLE 01ppCication-*rVell Cootruct ion Permit Application is hereby made for a permit to Construct ( +,I-, Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel ----------- Owner Address no 1111 o X QG 0 M-0.t 4�— ---" �(-�- Installer — Driller Address Type of Building Dwelling-------------------------------------------------------------- Other - Type of Building ----------- No. of Persons--------------------------------------_-------- - Type of Well—` �� ;'--` I' ---- - - ---- Capacity--------------------- — - — - - --— --— t�i� G��-- a` I Purpose of Well---------=---------`------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificat .of mpliance has been issued by the Board of Health. Signed �i r date Application Approved B --- - --- --- -- -_-______-_-- f---- - -------- date Application Disapproved for the following reasons:--------------------------—--------------------------- ---------------------------- --- --------------------------------------------------------- --------------------- date PermitNo. ---—----- ---- -—---- - Issued------------------------------------------------------------------ date BOARD OF HEALTH TOWN OF BARNSTABLE �Certifitate ®f �Com�riance THIS IS TO CERTIFY, That the Individual Well Constructed ( ✓f, Altered ( ), or Repaired ( ) D A Sea"" G( ------------------------------ - --------------------------------------------------------------- Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ----------------------Dated------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- —— -- ------- ----- Inspector--- - -------------------------—--- - --— ic!. J'^til r ,•r+l rrwr..,�•r rvy�•_""`r."� a..r... ..�.,,y-.rsJ`'!r�'`it�swvr'^ ..Str`�'.*.,,n'V".V.��: rp'lr.�1..e'.R..v,8".A-_4'4 I No.------------------- 10 f� Fee--------------------- BOARD fOF AEEALTH i T OW N OF . B)Aj�RN S TAB L E Z1 Cicatiot�,�'or�eCY ortgtruttio�t ertnit p V Application is,hereby made for I permit to Construct ( Alter ( ), or Repair{ )an individual Well at: —--------------------- . Location Address a ��j F yyAssessors Map and Parcel f --------- ---------------------' ------------------ I ------------- --------- .-------------------'---------------- Owner Address p Installer-,Driller Address Type of Building Dwelling-------------------------------- -------------------------- Other - Type of Building ---- No. of Persons----- ------------------------- Type o -----_______ T f Well Ca acit ------—-- ---P Y--- = - —= -- — Purpose of Well { Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificat .of ompliance has been issued by the Board of Health. Signed- ti—'�..° e — date A ---- '. Application Ap roved -�- -- - - ( — -- -,-fir'--------------- date . Application Disapproved for the following reasons:------ --- --- ----— - --i— —: — --------- —- ---------------- ------ --------- date Permit No. ------_—__ -------------- Issued--- -- - - - ---= --- — --- - date' i BOARD OF .HEALTH TOWN OF BARNSTABLE C ertlf icate ®f Compliance i THIS IS TO CERTIFY, That the Individual Well Constructed ( Altered ( ),.or Repaired ( ) bY---------------- -- - - — ---- ---------- -- ---— ---—- /P — -- / OG /� /J ! Installer / - t at------------------ U has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the�application-for Well Construction Permit No. -------------------------Dated----------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILUFUNCTION SATISFACTORY. DATE.--------------- - — - = — - ----- = Inspector— ---------- ------- ----------------------------------------------- BOARD OF HEALTH ... TOWN OF BARNSTABLE r Well CongtructionAertnt --- - ----- Fee------ __�� Permission is hereby granted__ 13 A _--_✓ . -- ----- ---_- ---------------- ---- - -—--- — to Construct ( vJ, Alter.( ), or Repair ( ) an Individual Well at: f No. - - - - ---- —-- -'--- - -------------------------------------------------------------- street as shown on the application for a Well Construction Permit ` , - --- - -- — - Dated---: -- Board of Health DATE----- : — �� ��� `9 ©� ��r,J �� V� w - r. � 3 �. l f i Iu1cI+eN - EXStSfINL� � I (3Arrl �CSTIiVb _ _ I t icy / 13 U l'Zb�L°'ML I -- I T aLT12o�N \p 10 ��`l=�'�-33'�•�33--�--F-S'S"—�.;_�-Jr�l�— (,'H �-�--G�—�-r51 ; 'f(o �'S (a pol C2dtle&,QQ_ �'r1t�a1=1RN o.�STi2}wndraS woTLa�2 PL W vF rt£W ADD17104 11 i. � -,rOT���C� - FIR LH l Ell. -: CR��Rrf�M1 - o�ISTLIZ ��prZS r4q-i ✓lid -� fzoNT cooiZ • i� i L l M-1 -- FT T 17, Y: — ' N - ---_ LL-— i T I i i i C4LLANR4 - ONsILv-A4AUl-LS 00 ° 1 eAZ -N£,J $oon16 - � I Za Wtar��+ <ysisr�NCj } i I ;GOOF fLA Fi L Ltk'4 0-T— L ay CEiur16, 7atir (,obi }i\� T2wSItJ � C£drGt � . / slvA Psor! IJT Slo a1`' ,. ��yr/u„�u wqf� ��YAu SOiS� AUrt''1ct �4� i I I I V 7,locICIN� ( �s bfru:��r 1AFR�S \ 5£LoND 'ftpoK `~:il.uUl�'��•• U2 iilli D4�^� �CN'R.L[(� StC,�tD FLwiL i- GALIReArI -oYS1FJL8n2bo�ts TumIWc) awes +-ecvr- ;"I csri.N L w-E17- boRk D LAc,S 31 4 ' 51 Psprl IVT31� � a SILL'fIL DDwn(S �° C 3 510- 3EaL ALL 3o stT` j I I I l y I IV / Al4R�C� 7! � I L�µvo LI vC LOAD I II is I I II I I I I I ,1 t.'ro tS 3 O A Li UL Dtan II I I I I I� I i� q I iI II I1( oN�zlv�£ aLr I �.+.wawi [ —'i"6� IC Nh I 4 I- C�LIAL- TIJwh4 RING �pMIO SHANK /VPiIS i ' I I' � I n 1 � I I 1 I i I I ll I I II 6 FrKf vnOuMT NgNte� 1il �X T&ICCi Y�}kcCH Lv 56TINE7 I I rd.�J'DriT'or{ I 1 I � ._ yt 1- - I I i I —-—'— I IoZA' YooTlrlc, ------- -- - --jJ — --- ----- ------------ � �N iHICKv)WLL 2Sari�6 CPrIC D.nllj TD",rc ti Fvi1STINC� str &F4K CI4L�gIlptin� tS`15lrcrZ F}Mllbrl (IUNDArIpN F2ST FuxnL Gflrt1�11fdt{ i CRU.AHP.N -oV STt2 i�A+t�«5 00 Lf.FT S�Dc �XslSh�� I CauAgAN Wteows a au `r(`�CiµT SIDS l -Tb Af S � a Sa iLj� FtAtTL�L pRF-'t' ��FFz,�S r �aX�I Wa.!-STv.•DJ ; bJ �30r f Fi31`11'�� CAttP4{Anl -aySSi:2 HA�2a,�ts Car AWAY TOWN OF BARNSTABLE yam, Lr;)CATION VILLAGE e—rel ASSESSOR'S MAP &LOT NAME&PHONE NO.'4-T. a--M SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) .�'Jk�0 NO.OF BEDROOMS BUILDER OR OWNER sUZ&0; *e- ATE: OMPLIANCE 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 f leaching ci ' Feet Furnished b , 1 / 4�►u TOWN OF BARNSTABLE LOCATION SEWAGE # °°" 7? VILLAGE D ✓V 6 ASSESSOR'S MAP �-& LOT V 72 r' INSTALLER'S NAME&PHONE NO. ,% SEPTIC TANK CAPACITY _I 06 LEACHING FACILITY: (type) 33® Ck&!a4-,S (size) '7 `1X 0—t � NO.OF BEDROOMS BUILDER OR OWNER L.oOmiey— PERMTTDATE: e- — g"a 94 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 LL 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 � _ _ _ � o .� � . � �`"}. No. �h Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Miq opal * 5tem Con5tructiott permit Application is hereby made for a Permit to Construct( )or Repair%v an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. l� OAKD446 P 7 Installer's Name,Address,and Tel.No. Designer's Name:Address and Tel.No. cW 1 Sr_ B4X7 LW— e .1/y9' /4r— Type of Building: Dwelling No. of Bedrooms Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow . '$41" �i�6NS@IJ gallons per day. Calculated daily flow S'So gallons. Plan Date 06 1, /¢96 Number of sheets ? Revision Date Title Ci 6-1) PnT /�c� oYs /fgsA• Se.oc�/'��o ,Fib lam'/Sio�S /vim Description of Soil O!o' ,4 siwoy /7 F lv y�� /;-ZG'B l� Nature of Repairs or Alterations(Answer when applicable) sys7z-rn /So0 4.—W4b 6--wit T.N to 1Wr1 u_ asr--atw ffZa 330,r,&."Z&;Ar �•u iz >ed' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of t Environmen Code aon , 'btt to place the system in operation until a Certifi- cate of Compliance has been issu d H ' lth. S' Date Application Approved by Application Disapproved for th follow[ g reasons 7 Permit No. y,�o 3 Date Issued . .,- it Fee - No. t=THE COMMONWEALTH OF MASSACHUSETTS - .-PUBLIC HEALTHSDIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS` ` .;[ppYicatio.ri for'Mi!6pogar pgtent Con!9truction Permit 'Application is hereby made for a Permit to Construct(. )or Repair( an On-site Sewage Disposal System at: b Location Address or Lot No,. • 4 Owner's Name,Address and Tel.No. D S 7 t/A✓L �S Installer's Name,Address and Tel.No. Designer's Name,Address and Tel.No. e AIYC' / Type of Building: Dwelling.: No.of Bedrooms 5 Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures �5 Design Flow .55 lP��PEnsru� gallons per day. Calculated daily flow gallons. Plan Date Number ofsheets 7— Revision Date Title 0,ys7 L fl ngoor� /V4%1• -ywer 0g�Y/Qvj✓S /A/G Description of Soil 0'/O"4 SAN-oq 44M /D 7,110 • �O r/ j.L n � � ? Nature of Repairs or Alterations(Answer when-applicable) cc �/3,��roo,� ergs-/u'L /5r 0 7,4 NK, �Wl At/. P.Sr-apt 11Z0 iiW.cc. G e�c r�� �o c�✓a�„ t� %`�"°�a�a�i ZX1y$LE ti//1S/✓ED`STD�t/s 81aaS' tv/�4 ✓ANT /�lP>r Date last inspected: Agreement: znanc9elthe The undersigned agrees to ensure the construction and maint afore described on-site sewage disposal system in accordance with the provisions of Title 5 of thp Environmen Code and• of to place the system in operation until a Certifi- Cate of Compliance has been issue d o He lth. S fY Date Application Approved by Application Disapproved for th followt g reasons y � Permit No.+ Date Issued F kTHE"COMMONWEALTH OFWASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE- MASSACHUSETTS 1 t - Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System insta d( )or�repaired/replaced(y)oil by CV4 C - for �V1 SZ t1A as I a P " r has been constructed in accordance r r- with the provisions of Title 5 and the for Disposal System Construction Permit No dated ,. Use f this system is conditioned on compliance with the provisions set forth below: : No. Fee t�C� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1=i!5po!6a1 &p.5tem Construction Permit Permission is hereby granted to &I — C 0 .g to construct( )repair(�ej an On-site Sewage System locate at O and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to 1 comply with Title 5 and the following local provisions or special conditions. All construction must be completed within two years of the date below. Date: 1 �Gl Approved by DESI&+4 VATA �IIETcT 1 of 2 ,51WGL..E FAMIL`{ 5 PIDRaVK PL.A I..t. ON 'BAUL u4rLE�' �o GA=3A`C PA1Ly Flow = 5 x lto ='%0(,Pp Lo'f rJe�(sT�z» Lallo��Icxx.5 SwnG 'rANL - 55o r(?O4: 11iDO6PD # tors ©A V-nALF- P,A*9 , OVSTEM 4A►ZZOrzs U IC 00 GAL. -W'Z0 a'I've- PIPrr Lr.4 41w& 5Y6rr-A N OW Cv CuLTEG + 33pc A++�BE S1¢S�pUt L -- N1-!2 4T�u c.�,-noN Aaz6A 2F� D. �,x L I19 SSo GPD 4 o'M- -5 =�4a SF �g- XPP UG�.TtoN AtZ6A y>a5lb N PLQI 51tEtiSIQ(L 1LtaeA= rho x�x2�z�.sF ,I V1�1�(/ — EI-{�Ih!'" GEIAM8Ee5 'to-rroM AX 1 1-2 = 5w 10%. AMA■ -1 s2 Tf orL Fiwr�l 4ea��. PE2.40LATIOW ¢?ATE OF �y�N CF a�� �a� CuLT� 10 SULLIVAN a a a � � �ursv� ►�+K° •` �! 330 ° 9 ANC R�►„a -� NO.VILE .. � I,-- 52.,_.—� �Q0%-SEGT1vN D F Cj4AMT?yFsZ- �. A-MrTAL 'FrZAMr-- � tout-rzs F�=z��9 gQxz&Pr rb r=14*14 A Sa�,laf z Z(o- o, SAS La>wl 1 Q I IN IOU ILL C• E tdaw,.l awn I Wal CHAti+M-V5 1 � 4-i riev El Ssw 13 1 6 S�AIE`�S� TAW- t, N2� spy � I �lE1�OP417 p�4Ft� i RG"D IJ o u�ar� Lc�G4T 101�1 a(gTt Z. nn�s p tom AvG G,19q(, PQo�s� ,SGAL� ��r= � �f4UL ir,19GC. I . L=r-V Tj.I T "E Ata►T-Io 5ttvtiuN PLA►,l EI�� 4=50W CeMplyS v rrU TIDE -UMU a A!W I0O C)AtGr)A.Iz 'PA'rg d;m"wK. DF T W G- ID KIN OF MAP - Z- PAS_ `Z6 "BAZW-Tol?2LZ ,4',-* IS tlr-Lc ATED wITUIN A SPGeJ AL FLVVD 44A7AZJ:;, ZONE. BA)t T li NyM 1 NG LAW-11 SL)IzveyorL— OST$eVII.L.C► M,dfs, owsers MOM W ILDI b" -c904aL.p NOT' b rL a�,V G4NT: 04M Tb MSTAL LJd&y PRO'p6 -r4.y LtWff4. 4 I S(cN S l u G . L_ r �visio�ls IuG. Mtn 001 30 -Zfl MAP IS 7L � ASC-%ED Am4 G I D L MAP -77- N /1,40G4P ! -� Pu- Z� t9, ? 7a� phi y A N �- i • C -t$¢� lot, Tj 38 r z ° --�•� � :z•y� � P_��� � ��3.5� L*N \ 9•Z � 1 I 19'' V L 1. iL- F,Y. 1 k h jv.e. ,�•4 � q 1 D At.�' \ l�• �aa � n•e �N OF k QCKVv ~PETfP F F e9 .BARER...' �• S41L'.Qe.'AP�+ Y-. s 6 Sm M f MAI fCfitiEd DATE: , 6/20/96 r JUL 1996 PROPS : t'Y ADDRESS: 1.00 Oakdale Path > f (P Osterville , Mass 02655 9 On the above date, I Inspected the septic system at the above address. This system consists of the following: 1 . 1 -1000 gallon leaching pit. 2. 1 -61x1O1 block cesspool. 3 . Garage has 1-41x41 cesspool. Based on my Ins.nection, I certify the following conditions: 1 . This is not a title five septic system. 2. This is a sewage system. 3. The sewage system is in proper working order at the present time . 4. No repairs needed at the present time. SIGNATURE: Name: J . P . Macom .)Qar Company: J-- P . Macoi�ber & Son' Inc . P Y�— ----- ------------- Address:_ Pb-------I------ _-Centerville , Mass.-02632 Phone:---SQ8 �Z75�-3338-------- THIS CrRTIFICAr'7N DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tanks-Cestpoolt-Leachfleld: . Pumpad 4 Initslled Town Sewer Connection: P.O. Box 66 Ct2nterville, MA 02632-0066 775-3338 775-6412 commonwealth of Massachusetts Executive office of Environmental Affairs Department of Environmental Protection WUliam F.Weld Trudy Coxe Arrw Paul calluccl David B.Struhs LL Gavmor Camilsalorwr • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION PropertyAdd--- Path Osterville Mass JQO Qa dale Address of Owner. Date of Inspection: //12 96 (If different) Nameofluspeotor.Joseph P. Macomber Jr, Company Name,Address and Telephone Number. J.P.Macomber & Son Inc. Box 66 Centerville ,Mass . 02632 508-775-3338 CERTIFICATION STATEMENT I certify that I have personally iaspocted 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: .�L. Passes _ Conditionally Passes Approving Authority _ Needs Further Evaluation By the Local App uig y Fails Inspoetor's SiguatumC7/ �.ty / � � Date: �_;14q �V The System Inspoctor shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspoction. If the system is a sharod 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 oMce of the Department of Environmental Protoction. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMhL4RY: Check A, B, C, or D: Al SYSTEM PASSES: c a e/ I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CUR 15.303. Any failure criteria not evaluated are indicatod below. BJ SYSTEM CONDITIONALLY PASSES: One or more system components nood to be replaced or repaired. The system, upon completion of the replacement or repair,passes inspection. Indicate yos, no, or not determined(Y, N, or ND). Describe basis of determination in all instances. If'not determined', explain why not) 4,12,P_. The septic tank is metal, 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 yonformiag septic tank as approved by the Board of Health. (revised 11/03/95) 1 One Winter Street 0 Boston, Massachusetts 021M 0 FAX(617) $56-1049 • Telephone (617)292.5500 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (oontinued) PropertyAddreaw 100 Mdal Path Osterville ,Mass . Owner. Jacque yn loo Date of Inspection: 6/12/9 6 B)SYSTEM CONDITIONALLY PASSES(continued) �i Sewage backup or breakout or huh static water level observed in the distribution bout 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): broken pipe(&)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: 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 FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE 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. The system has a septic tank and&oil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and&oil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and&oil 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 that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. .i 3) 7"1-1000 gallon leaching pit; Has '1-6'x10 ' block cesspool, used as a overflow; 1 -41x4' block off the garage. (revised 11/03/95) 2 CERTIFICATION (continued) PropertyAddreas: 100 Oakdale Path Osterville,Mass. owner. g�49zNyn Flood Date of Inspection: l D) SYSTEM FAILS: • A15 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. 4d Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Ab Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Abplt= Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 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 I�Q Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Ab 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. A�b 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. E) LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design now 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: L!9- the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply A))9 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.. ati (revised 11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST PropertyAddresAOO Oakdale Path Osterville ,Mass . Owner. Jacquelyn Flood Date of Inspeotiondo/12 9 6 Check if theZ�=Uping wing have been done: . information was requested of the owner,occupant,and Board of Health. 2'e4 P� 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. AS As built plans have been obtained and examined. Note if they are not available with N/A. ,ZThe facility or dwelling was inspected for signs of sewage back-up. ,,, The system does not receive non-sanitary or industrial waste flow ZThe site was inspected for signs of breakout. All system components,4uding the Soil Absorption System,have been located on the site. 4�Qo(��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. ZThe site and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. - The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub. Surface Disposal System. d� (revised 11/03/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 100 Oakdale Path Osterville ,Mass . Owner. Jacquelyn Flood Date of Inspection: 6/1 z/9 6 FLOW CONDITIONS RESIDENTIAL: / Design flow: ns lier-41aY , Number of bedrooms: Number of current residentsiu4e- Garbage grinder(yes or no):, Laundry connected to system(yes or no): Seasonal use(yes or no):, Water metpr readingo,if available: S �y `. yA7� '.�If I� y O�• .y S 1'� Last date of occupancy: COMMERCIAL NDUSTRIAU Type of establishment: Design flow:- dJA gallons/day Grease trap present:(yes or no) 1' Industrial Waste Holding Tank present: (yes or no)�/4 Non-sanitary waste discharged to the Title 5 system: (yes or no)A!f 7 Water meter readings,if available: eh Last date of occupancy: OTHER(Describe)_ AA Last date of occupancy: �,rp GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as part of ins ion: (yes or no)d& If yes,volume pumped: ons Reason for pumping: TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single ap IAe.w4 R r Overflovricesspool Privy Shared system(yes or no (if7es, ttach previ inspects n Poo if any _. Other plain) 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 11/03/95) 6 100 Oakdale Path "Oyster Harbors" O sterville Massachusetts ® Taking advantage of sununer ocean breezes from atop a knoll, this elegant Oyster Harbors home is only a few feet to unsurpassed golfing. w Taxes: $6,399 Acreage: 1.10 Assessinent: $501,500 Pric *%04 1MW Sununaiy: Total Rooms- 12; 4 Bedrooms, 3 Baths, 1 Staff Bedroom, 1 Staff Bath LIVING ROOM: (15'f x 17'6"f) KITCHEN: (7'9"f x 8'2"t) Vinyl Stairs to second floor; wood floors; three floor, restaurant style Vulcan gas stove wwindows (12 over 12) facing front and with griddle and storage, large venting three facing back; black painted brick system; Kitchenaide dishwasher; prepa- fireplace with flush hearth with decora- ration counter with steel two cabinets ® tive wood mantel and surround, storage above and cabinets and drawers below cubby to right of fireplace, door to hall- with a formica top; GE refrigerator, way, doorway leading to back entry with three windows, painted steel cabinets, basement access. formica counter tops, steel cabinets be- low; extra large double porcelain sink, DINING ROOM: (11'1"± x 14'f) tile half wall and backsplash with wall- Wood floor,two windows at front, two paper above, door to side entry. 5' x windows to Sun Room (all 12 over 12), 5'5" Breakfast Nook with window. wainscotting, wallpaper above, ceiling moulding, chandelier, door to Pantry FIRST FLOOR HALLWAY: Off and entry to Living Room, door to Living Room, wood floor, window to Screened Porch. front entry to Bedrooms #1 & 2 and Bath#1. SCREENED PORCH: ® (10'2"f x 26'6"±) Door to rear entry BEDROOM 91: (10'2"t x 13'±) Two hall, door to Dining Room; brick floor, windows (12 over 12) to side and front, wood ceiling, two lights, screened door wood floor, ceiling moulding, single to back yard. closet. PANTRY: (4'11"f x 5'f) Broom BATH 91: Full bath with half tiled closet, three large glass front painted walls, carpeted floor, single freestand- wood cabinets, formica counter with ing sink, porcelain tub, medicine cabi- wood drawers and cabinets below, vinyl net with lights on either side. 'v floor, door to Porch and Kitchen. ® BEDROOM #2: (10'2"± x 12'±) Two SIDE ENTRY: Entry between garage windows (12 over 12) to side and back, and house, brick step up to door, entry wood floor, large closet with window, to Kitchen and servant's quarters. ceiling Cofton REAL ESTATE 851 Main Street, Osterville, MA 02655 Phone(508)428-9115 Fax(508)420-3161 • �I 100 Oakdale Path,"Oyster Harbors", Osterville,Massachusetts Staff/Guest Area TELEPHONE ROOM: (5'6"t x 6'f) Small room off Hallway, wood floor, doorway to B + OM #3: (8'1"f x 8'1"f) Off side en- storage area. indows, wood floor, sink with n in room, separate bath, large REAR FOYER: Small entry way from Sun closet. Room to Basement and Living Room wood floor, one window. BATH #2: Attached to Bedroom#3. Water closet and small porcelain tub/shower, half tile BASEMENT/UTILITIES: Entrance off rear wall, single window. Foyer, small Cape Cod basement, oil tank, FHA heat by oil, 80 gallon electric water Second Floor heater, fuse box, town water,private septic. UPPER LANDING: Wood floor, two win- EXTERIOR: Painted shingle sidewalls, as- dows, ceiling moulding, linen wallpaper, wood phalt roof, black window shutters, wood gut- stairway with wood banister and painted wood teas, bluestone walkway to front door. Lots of balusters, entry to Bedroom 94 and Hallway. mature trees and rhododendrons, trellis separa- tion to rear yard, short white picket fence in BEDROOM#4: (11'6"± x 23'6"±) Four rear yard with plantings around. Storage and windows in narrow dormers, two windows fac- wood shed. ing front, two windows facing back (12 over 12), wood floor, two single closets, entry to GARAGE: Oversized one car garage with Bath#3. electric door, two windows, laundry area in rear with set tub, Hotpoint electric dryer and BATH#3: Private bath to Bedroom 44, car- washer, wood floor. Crushed gravel circular peted floor, full tiled walls, linen closet, twin driveway framed by cobblestones. freestanding sinks with medicine chests above, large shower, small window to side yard. - AGE: 1932f SQUARE FOOTAGE: 2,653f* HALLWAY: Large linen closet with shelves (*according to Town of Barnstable Assessor's records) and attic access, door to Bedroom#5, Sitting TAX MAP: 72 PARCEL: 26 Room and Craft Room. BEDROOM 45• (12'4"± x 14'2"t) Wood All information contained herein is obtained front the owner and is assumed to be correct. All measurements are approxi- floor, two windows facing back, large walk-in mate and along with the information contained herein, it is be- closet With shelves and rods, double doors to lieved to be accurate but is not warranted. All brokers•/salespersons represent the seller, not the buyer in Sitting Room. the marketing, ne otiation and sale of property, unless other- wise disclosed. however, the broker salesperson has an ethi- cal and le gal obligation to show honesty and fairness to the SITTING ROOM: (6'8"± x 11'2"f) Wood buyer in a<sl transactions. floor, sloped ceilings on either side, triple win- dows to side yard, door to hallway. BATH #4: Full bath off Hallway, half tile walls, porcelain freestanding sink, window to front, medicine chest, carpeted with vinyl un- der. 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION (continued) f� opertyAddress: 100 Oakdale Path 6sterville,Mas$. ner: Jacquelyn Flood to of Inspection: 6/12/96 PTIC TANK:Jede_ sate on site plan) r pth below grade:,_A 4 aterial of construction:M9 concrete _metal _FRP._other(explain) AM mensions:_ dge depth: AM stance from top of sludge to bottom of outlet tee or baffle:_fiA um thickness:— V14 stance from top of scum to top of outlet tee or baffle: 104 stance from bottom of scum to bottom of outlet tee or baffle._.AA mments: commendation for pumping, condition of inlet and gutlet tees or baffles. depth of liquid level in relation to outlet invert, structural -,rity, evidence of leakage, etc.) .� S EASE TRAP. /AV- cate on site plan) pth below grade:;4l 0 aterial of constn,nion,{,U¢.oncrete _metal FRP _other(explain) - -� � - mensions• All? um thickness: fI stance from top w'r scum to top of outlet tee or bahle:_A/j stance from bottom of �rum in bonnm of outlet fee"or baf le:_J & i mments: commendation for pumping, condil-ri of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural tegrity, evidence of leakage, etU �. evised 9/15/951 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (oontinued) Property Address: 100 Oakdale Path Osterville ,Mass Owner. Jacquelyn Flood Date of Inspeotion.6/12/9 6 TIGHT OR HOLDING TANK_NGW1f: (locate on site plan) • Depth below grade:, Material of construction:Alncrete_metal_FRP other(explain) - Dimensions: AM Capacity: A4 gallons Design flow: Aj, gallons/day Alarm level:,_ Comments: (condition of inlet tee,condition of alarm and float switches, etc.)�+ DISTRIBUTION BOX:_&�X� (locate on site plan) Depth of liquid level above outlet invert:_ Comments: (note if le l and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box,etc.) �Il� n»t»2EoDT S PUMP CHAMBER:_&&Z1e, (locate on site plan) Pumps in workingfrder:(yes or no) Comments: (note ndi ' n of pump chamber, condition of pumps and appurtenances, etc.) (revised 11/03/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) Propertynddress: 100 Oakdale Path Osterville,Mass. Owner. Jacquelyn Flood Date of Inspection: 6/12/9 6 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 leaching galleries,number. leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Comments: (note condition of soil a' of c f 'ure 1 e of condition of ve tatio etc.) Sand & ravel•No 'signs off` iydrau� c Taffture;No level of ponding; All veireta ion is normal. CESSPOOLS: (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: LAO Depth of solids layer. Depth of scum layer. Dimensions of cesspool:h'41,0X Materials of construction: C Indication of groundwater: AbzlC ��y inflow(cesspool must be pumped as part of inspection) Comments:(note oondition of soil,signs of hydraulic failure, vpl of ,condition of ve do etcJ Send & gravel;Ho signs of,.: hydraulic f allure or F nC 1%`g. Tjege+.A+.1 nn i a normal. PRIVY: . (locate on site plan) Materials of co Dimensions: Depth of solids Comments: (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.) (revised 11/03/95)' 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) Property Address: 100 Oakdale Path Osterville ,Mass . Owner. Jacquelyn Flood Date of Inspection: 6/12/9 6 SKETCH OF SEWAGE DISPOSAL SYSTEM: • include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' Centerville Osterville Marstons Mills Water Company 428-6691 i� 12 ti � r � I i I DEPTH TO GROUNDWATER Depth to groundwater. 1 6 1 + feet method of determination or approximation: 101 cesspool dry no signs of water intrusion. T,Pach;na pit also dry. water intrusion. (revised 11/03/95) 9 I. J N !} V ty N ;,0 ` ,111�^ 32•I 5n• I.L1ntl !• t 1 z PC- 0^cGPC PY rt: JJ r00 y t4 / ti r t ��• / 26 l I O A C. s bledf / 1i Y 0 S d ,► y 3.57AC-9 —� C IAL r •t ,1� 1 /� � ti . . � III 21 I.Ionc. 0 E . ,�� ,� 3 C. N•+ onloc �Lss�i I o ' to R ;z O .1IAG \ a r1 An JA zo z 1. 4 pc. 1.0 14C. J u a to ��L N 1.2/i tlPLMID 1.94•AC.-I orAL 11t N, •�� M t)O 7Q(i 17 ,c o !S I Lc r .90AC. 4C crl+� ut 1.19 t 0 1.01 AC. T. L v l 1 I,00AC o C'•LJe Q I 1.57 VPI.ANU I.00AC L'lunc TOTn1 IU ! lJ 1r tCY VpV• U 4nr ' I.00AG n_•� n\ 1 1.7i:VPLhNU 1 IM•� � \ ;Il SCALE I", 100• to 1 n.it•u.l�'tt ' 0• ;b tro a !o" 1�3 wa e00'tot i M ak V )� r 1 �. 1 i ' THE COA 4MONWEALTH OF MASSACHHUSE ,S DEPARTMENT OF ENVIRONMENTAL PROTEC I01 BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is h -eby authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15 .340 and Section 13 of Chapter 21A. the General Laws. Issued by The Department of Environ�.:-ie 1 1 Prc: Lion. June 8, 1995 Aging Director of the PSI, of WaterI='c. . )n Coati TOWN OF Barnstable Y-^BOA110 OF ii:' , 3F,WAGE DISPOSAL SYSTEM INSI'EC,10N FORM ' .- 'terra.—nn•rnr.-z-r.�.r-...�._....._.r-,.-.. _. . -TYPE OR PRINT CI,EARLY- PROPERT'Y INSPECTED STREET ADDRESS 100 Oakdale Path Osterville ,Mass . ASSESSORS MAP , BLOCK AND PARCEL # (�~ �,Ip OWNER' s NAME Jacquelyn Flood PART D - CERTIFICATION r NAME OF INSPECTOR Joseph P. Macomber Jr. COMPANY NAME Macomber & Son Inc. COMPANY ADDRESS Box 6_6_Centerville ,Mass . 02632 Street Town or City COMPANY TELEPHONE ( 508 775 3338 FAX ( 508 ) 790 -- 1578 tat• LIP CERTIFICATION STATEMENT - s I certify that I have personally inspected the sewage disposaj system at this address and that the information reported is true , accurate , and complete as of the ti.rne of :inspection . The inspection was peri.ormed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems , Check one : XXXXXXXXXXSystc►n PASSED The inspection which I have conducted has not found any inforrnatior► "'hich indicates that the system fails to adequately protect public health or- the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . Sys tenj FAILED* The inSpectio.n which I have conducted has found that the system fails to protect the ' ptiblic health and the environment in accordance with 'Title 5 , 3.10 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspect.GL' Signature Date 6/20/96 Ono copy of this certification must be - where applicable ) and the 130ARD of IIZAL1 provided t0 the OWNER, the BUYL1z * If the inspection FAILED, th'e owner or.1.operator ni r.,ll u within one year of the date of the inspection , uni allogeddorthe esv edu ,l , :_.,; otherwise as provici:_<., ; ;, 10 CMR 15 . 305 . hartd .rT r,n TOWN OF BARNSTABLE I �/� UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS (' ASSESSORS MAP NO: PARCEL NO. IA ADDRESS.' tcc 6m ALC _h VILLAGE: 011 fj NAME!__ L4 40 e� r:U C �w'. ld ►"G'S P ,fJ t�• CONTACT PERSON ' PHONE NUMBER t LOCATION OF TANKS: a CAPACITY: TYPE OF FUEL. AGE: TYPE: LEAK OR CHEMICAL: DETECTION SYSTEM! . DATE OF PURCHASE OF EACH: 1. ` ,�' 2. 3. 4. 5. _ DATE OF FIRE DEPARTMENT PERMIT: ` TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS "PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. ..� �� "��N