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0097 ROBBINS STREET - Health
97 Robbins Street Osterville j - A= 14'°2 - l0i' i A t Town of Barnstable :I E Tpk P� do Regulatory Services • BARNSTABLE. Thomas F. Geiler,Director 9�A MASS. ••� Public Health Division TED NIA Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304, May 2 2007 Ms Barbara Scanlan 97 Robbins St. Osterville,MA 02655 ORDER TO COMPLY.WITH STATE ENVIRONMENTAL CODE,TITLE 5. The septic system located at 97 Robbins Street,Osterville,MA was last inspected on April 18th 2007,by Robert Paolini; a certified septic inspector for the State of Massachusetts.. The inspection of the septic system showed that the.system"Failed"under the guidelines of 1995 TITLE 5 (310.CMR 15.00) due to the following: System shows signs of hydraulic failure. You have 60 days 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 HE DEPARTMENT Thomas A.McKean,R.S., C.H.O.. Agent of the Board of Health - t ' r n i " Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 97 Robbins St. Property Address Barbara Scanlan Owner Owner's Name information is required for Osterville Ma. 02655 4/18/2007 every page. City/Town State Zip Code Date of Inspection. Inspection results must be submitted on this form. Inspection forms may not be altered in any way, Important` A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC Company Name P.O.Box 763 i Company Address Centerville Ma. 02632 City/Town State Zip Code (508)428-4028 Telephone Number License Number B. Certification 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 Hof Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Falls ' ❑ Needs Further valuatio a Local Approving Authority 4/18/2007 Inspector's Signature Date 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. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 97 robbins st.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 I ` Commonwealth of Massachusetts - . Title 5 -Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments.. 97 Robbins St. Property Address Barbara Scanlan Owner Owner's Name information is required for Osterville Ma. 02655 4/18/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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 of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes, no or not determined (Y, N, ND)in the ❑for the following statements. If"not determined,"please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as. approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high 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): ❑ broken pipe(s)are replaced ❑ obstruction is removed 97 robbins at.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 ` Commonwealth of Massachusetts E ` W Title 5 Official Inspection FormT Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 97 Robbins St. Property Address Barbara Scanlan Owner Owner's Name information is Osterville Ma. 02655 4/18/2007 required for every page. City/Town. State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.):'. distribution box is leveled or replaced` ND Explain: ❑ The system required pumping more than 4 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 k ND Explain 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 public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a'surface water. ❑ Cesspool or privy is within 50 feet of a'borderi•ng vegetated wetland or a salt marsh k 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, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ . 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 and SAS and the SAS'i's within-50 feet of a private water supply well. 97 robbins st.•08/06 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 ` Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 97 Robbins St. Property Address Barbara Scanlan Owner Owner's Name information is required for Osterville Ma. 02655 4/18/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: " This system passes if the well water analysis, performed at DEP certified laboratory,for coliform bacteria indicates absent 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. 3. Other: 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 ® . ElDischarge 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 an overloaded or clogged SAS or cesspool ® ElLiquid depth in cesspool is less than 6 below invert or available volume is less than Y2 day flow ❑ ® Required pumping more thanA 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. 97 robbins st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w ' 97 Robbins St. Property Address Barbara Scanlan Owner Owner's Name information is required for Osterville Ma. .02655 4/18/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ 0 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ' ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure 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 facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems,you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ 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 ❑ ❑ 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 If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 97 robbins st.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 97 Robbins St. Property Address Barbara Scanlan Owner Owner's Name information is required for Osterville Ma. 02655 4/18/2007 every page. City/Town State Zip Code Date of Inspection C. Checklist 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? Z ❑ Has the system received normal flows in the previous two week period? 11 ® Have large volumes of water been introduced to the system recently or as part of this inspection? El ® 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 from 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: ❑ ® Existing information. For example,a plan at the Board of Health. ® El 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(5)] 97 robbins st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 97 Robbins St. Property Address Barbara Scanlan Owner Owner's Name information is required for Osterville Ma. 02655 4/18/2007 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2005:50'000 g ( y g (gP ))' 2006:65'000 Sump pump? ❑ Yes ® No Last date of occupancy: unknown Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft.,etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): 97 robbins st.•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 t Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 97 Robbins St. Property Address " Barbara Scanlan Owner Owner's Name information is required for Osterville Ma. 02655 4/18/2007 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: J.P.Macomber Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: pumped both pools system full 2/24/2007.Pumping records attached. Type of System: ❑ Septic tank,distribution box,soil absorption system ® Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system(yes or no)(if yes, attach previous inspection records, if any) El maintenance 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: 1966 Were sewage odors detected when arriving at the site?• ❑ Yes ® No N , 97 robbins st.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 97 Robbins St. Property Address Barbara Scanlan Owner Owner's Name information is Osterville Ma. 02655 4/18/2007 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): 1 Depth below grade: feet Material of construction: ❑cast iron ❑40 PVC orangeberg pipe ®other(explain): .-. Distance from private water supply well or suction line: feet feet Comments (on condition of joints,venting,evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: feet. Material of construction: ❑ concrete ❑metal ❑fiberglass ` ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No .------------------------------------------------------------------------------------------------------------------------- Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? 97 robbins at.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 97 Robbins St. Property Address Barbara Scanlan Owner Owner's Name information is required for Osterville Ma: 02655 4/18/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle . Distance from bottom of scum to bottom of outlet tee or-baffle- Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑concrete ❑metal ❑fiberglass ❑ polyethylene ❑other(explain): 97 robbins st.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 97 Robbins St. Property Address Barbara Scanlan Owner Owner's Name information is required for Osterville Ma. 02655 4/18/2007 every page. CityrFown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches,etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover,any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 97 robbins st.•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 15 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 97 Robbins St. Property Address Barbara Scanlan Owner Owner's Name information is Osterville Ma. 02655 4/18/2007 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances,etc.): Soil Absorption System'(SAS)(locate on site plan, excavation not required): If SAS not located,explain why: Type: ❑ 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.): 97 robbins st.•08/06 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 97 Robbins St. Property Address Barbara Scanlan Owner Owner's Name information is required for Osterville Ma. 02655 ' 4/18/2007 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): - Number and configuration 1 main and 1 overflow Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool 6 x8 Materials of construction concrete block Indication of groundwater inflow ❑ Yes ® No Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): Sandy soil.Shows signs of hydraulic failure.System need to be upgraded to Title Five. Privy(locate on site plan):' Materials of construction: Dimensions ' Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): 97 robbins st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Forma Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 97 Robbins St. Property Address w Barbara Scanlan Owner Owner's Name information is required for Osterville 1 `Ma. 02655 4/18/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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. i i 1 " L 97 robbins sl.•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 - Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 97 Robbins St. Property Address ' Barbara Scanlan Owner Owner's Name information is required for Osterville Ma. 02655 4/18/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) r Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to ground water: 30' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ® Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Used:Gaherty&Miller Model 12/16/94 ground water elevations.Used:USGS Observation well data June 1992.Used:Technical Bulletin 92-000-01 Plate#2 annual ranges of ground water elevations. 97 robbins st.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 i Macomber Customer History-Screen 4/18/2007 Customer number 4455 CompanyName ....................... ...................:......,.......................................... tT � St�p3t, Customer Name lo.seph...S.c.ad.al.'1................................................................................ 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I Certified Mail Provides: a A mailing receipt (eweney)eooe eunr'oo8£wjod Sd o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. c Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ® For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ® For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. • COMPLETE THIS S ECTIONON. ■ Complete items 1,2,and 3.Also complete a Signature item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse �d�.❑Addressee so that we can return the card to you. B. Received by(P nted Name) C. D e of elivery Is Attach this card to the back of the mailpiece, ��n ,` IG or on the front If space permits. 9 V D. Is delivery address different from Item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Ms B'arbara'Seanlan 97 RobbinsStreet Centerville-;,'MA 02655 s. Type p cerrttifeed Mail ❑Express mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. to 4. Restricted Delivery?(Extra Fee) ❑Yes 2. ArticleNumberr 7005 1160 0000 0190 8857 (rransfer from service label) PS Form 3811,February 2004 l Domestic Return Receipt 1o2sss-o2-M-1s4o UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender. Please print your name, address,and ZIP+4 in this box• PUBLIC HEALTH DEPARTMENT TOWN OF BARNSTABLE 200 MAIN STREET HYANNIS, NIA 02601 TOWN OF BARNSTABLE f LOC-ATIO7 7 I?a b4/;Lf ,SSA• SEWAGE # 00 —�G VII LAGE Of�.,y, #e ASSESSOR'S /-0 P MAP & LOT � INSTALLER'S NAME&PHONE NO.,,lx7Sm SEPTIC TANK CAPACITY 40 LEACHING FACILITY: (type) jri-Oh� (size) h2�— 3� o NO. OF BEDROOMS 3 BUILDER OR OWNER e f J 4- PERMITDATE: / 1/942: 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 b qa R� F IR a q `,\ w�-h. yda I. ,JI Kq No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes pplication for 3Di9;po9;a1 bpgtem Co 7co ruction Vermtt Application for a Permit to Construct( ) Repair( ) Upgrade( ) A ndon( ) mplete System❑Individual Components Location Address or Lot No.a� ��� � �—. w er's Name,Address,and Tel.No. D Y ✓�� Ica �� `� r/� �Assessor's'Map/Parcel ®"u�/r V�,�'u, � Installer's Name,Address,and Tel.No. —7 7—1 _63 Designer's Name,Address and Tel.No. Type of Building: ] Dwelling No.of Bedrooms d Lot Size a ✓ sq. ft. Garbage Grinder ( ) 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 Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 t ' Board of He Sign Date 2- �l Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued . No:. �.,.•; ^e—a? Fee i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21ppYicatiou for Oizpogar *p!5tem Con0tructidn Permit Application for a Permit to Construct Repair O Upgrade O A ndon O M/Com lete System.p Individual Components Location Address or Lot No. w eyr�s/Nya�me,Address;and Tel.No. " Assessor's Map/Parcel �"�-L.. 'O Oft r V j I it I Imo!✓�✓t 1Q/ l 1 �Q��y1"j ' Installer's Name,Address,and Tel.No. 9 Designer's Name,Address and Tel.No. Jr�s� R- S vv z � n ` » Type of Building: Dwelling No.of Bedrooms ✓ Lot Size ► sq. ft. Garbage Grinder ( ) P .f Other Type of Building r15. No..of Persons Showers Cafeteria( ) Other Fixtures Design.Flow(min.required) gpd Desigltaflow provided gpd Plan Date Number of sheets Revision Date ~ Title Size of"Septic Tank i, r i ? i Type of S.A.S. Vf Description of Soil 6� 5. A �^{ E Nature of Repa is or Alterations(Answer when applicable)# M. M t 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 ;w Compliance has been issued by this Board of He i Sign'lA Date — Application Approved by Date Application Disapproved' / / Date for the following reasons PermitNo. �' Date Issued ;,. F' ' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by 7.J f, S&VN 'S vV Z C, — at '� � 4 h S-�- has begn r o s ruc a in ac. ordance with the P stem Construction Permit No. dated P Y provisions of Title 5 and the for Disposal S Installert,�. ��/Z Designer �, (�t f i ,, v #bedrooms Approved de 'grNflow gpd The issuance of this permit sha not con rued s a guarantee that the system i f fuAction as desig ed�' (3 () Ins ector / �vf ;l vColo/ Date '� p ———— ------ ---- — -- -- No. —— / — � .— ——�--————— Fee_j�'l��—'�` E COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Digozat * :item Con!5truction Permit Permission is hereby granted to Construct ( ) �,,LRepair ( ) Upgrade ( ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be comp eted w'thin three years of the date of this pe Date Approved by Town of Barnstable P��FTMElpk,O Regulatory Services Thomas F. Geiler, Director * it STABLE, « MASS. �0g Public Health Division Thomas McKean;Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Z6 Off' Sewage Permit# 0'20 7—//o 9 Assessor's Map\Parcel Designer: L,`� S U L L_ \V A Installer: S fay Za— Address: u 1-Lk v Ni j 1,_q Address: -2'7 e! /y 2- 1 1ZZ1 `Z C(L On Z ,9 T f�� ,� . �24-- s issued a permit to install a (date) (installer) septic system at '? 7 based on a design drawn by (address) dated �— (designer) I certify that the septic referenc ed above was installed substantially according to the design, which may include minor appro ved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. 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 of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) was inspected and the soils -were-found satisfactory. yG(P a SLl; ,vAN a e)staller s 1 atur -� (Designer's Signature) (Affix DesigrT tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS ,FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 03-09-06.doc No. 7 ^� Fee $ 5 0.0 0 :.+ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for Zigooal bpgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) X319omplete System .O Individual Components Location Address or Lot No.97 Robbins Street Owner's Name,Address and Tel.No. Joseph Scanlon Osterville,Mass.02655 97 Robbins Street Assessor's Map/Parcel / �/ /D r O s t e ry i l l a,M a s s.0 2 6 5 5 Installer's Name,Address,and Tel.No`5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. .P.Macomber & Son Inc Box 66 Centerville,Mass.02632 ox 66 Centerville,Mass.02632 Type of Building: Dwelling XX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Loamy sand to medium fine sand. Nature of Repairs or Alterations(Answer when applicable)Om i t t i n q r rz c s one i s I n s t a 1ling ! —1 5 0 0 gallon tank, 1 —Distribution box and two 506 gallon leaching chambers packed in 4 ' of 11" stone. 25 'X13 'X2 ' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is ued b B d ealth. Signe Date6 2 8 01 Application Approved bkor Date �' G Application Disapprovethe following reasons Permit No. 2A-0 L—y 7 Date Issued 7' U THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )RepairedY(XX)Upgraded( ) Abandoned( )by J P Macomber & Son Inc at 97 Robbins Street lsteryille,maigs. has been constructe in acgordance II with the provisions of Title 5 and the for Disposal System Construction Permit No. r—q 7L dated-1/7-1/0/ Installer J-P-Ma comber & Son Inc- Designer J.P.Macomber & Son Inc The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector '& e No. Fee:. r Entered in computer: '� � .,, ,� /• - ,.i, THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION -Tqy it OF BARNSTABLE., MASSACHUSETTS 0[ppYication for �Digooal bpttem Con.5truction Permit Applic tion fora Permit to Construct( )Repair( )Upgrade( )Abandon( ) YMNomplete System ❑Individual Components Location Address or Lot No.9 7 Robbins $treat,_.- , Joseph Scanlon Owner's Name,Addres's and Tel.No. P Osterville,Mass.02655 97 Robbins Street Assessor'sMap/Parcel ; r OStery tlle,Mass.02655 Installer's Name,Address,and Tel.Nos.0 8—7 7 5-3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—7 7 5—3 3 3 8 J.P.Mabomber & Son Inc. J.P.Macomber & Son Inc Box 66< Centerville,Mass.02632, ox 66 CEnterville,Mass.02632 Type of Building. Dwelling XX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other' Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date SL Title 'A'Pf Size of Septic Tank Type of S.A.S. Description of Soil Loamv sand to ned i rn f i na sand Nature of Repairs or Alterations(Answer when applicable)Omitting ce s s noo l G_ T n G i-a l l i n rs 1-1 5 0 gallon tank, l-Distribution box and two 500 clallon leaching J y chambers packed in 4 ' of 1�" stone. 251X13 'X2 ' Date last inspected: y Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iud b tB d ealth. Signe Date 6/2 8/01 Application Approved by Date Application Disapprove for the following reasons z Permit No. 2zj-V I - y 7 3 Date Issued ` U -. --------- ----------------------- ———— f THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance 7, THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repairedy(XX)Upgraded( ) Abandoned( )by J.P.Macomber & Son Inc.- at 97 Robbins Street v has been constructed in accordance With the provisions of Title 5 and the for Disposal System Construction Permit No.7'� "1 7 dated - Z 1 Q/ i J.P.! acomber & Son lnc. Installer J.P.Maeom`ber_ & Scan Tnc_ Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. �o �� �173 �`12 Fee 50.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 1=igogal *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(XX)Abandon( ) System located at 97 Robbins Street Ostervil le,Mass. F and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this p t. �- Date: __ 612, / l Approved by � 0 _ 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, Joseph P.Macomber Jr. hereby certify that the application for disposal works construction•permit signed by me dated 6/28/01 concerning the property located at 97 Robbins Street. Ostery lle,Mass. meets all of the following criteria: • The failed system is connected to a residential dwelling only. There are no cortirnercial or business " uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • There are no wetlands within 100 feet of the proposed sepdc system • There are no private wells within 150 feet of the proposed septic system • There is no increase.in flow and/or change in use proposed.; • There are no variances requested or needed. • The bottom of the proposed leaching facility will not located less than five feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimp(or method when applicable) ' • If the S.A.S. will be located with 250 feet of any vegetated wetlands„the bottom of the proposed Leaching facility will n9s be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Suiface Elevation(using GIs information) B) G.W. Elevation +the MAX. High G.W. Adjustment. DIFFERENCE BETWEEN A and H SIGNED : DAB; 6/2 8/01�oc (Ske c roposed plan of system on back). Q:hWth rolde cat 2-500 gallon leaching chambers packed in 4 ' of 112" stone. 25 ' X13 ' X2 ' 1 -Distribution box [Olt 1 -1500 gallon tank f e r. r '.Town of Barnstable r# q00 . Department of Regulatory Services 4 Public Health Division Date-.. Musa 63q.a1� 200 Main Street,Hyannis_MA 02601 Date Scheduled 6 `-- 1,111101) ime Fee Pd:' Soil Suita 4,*0 Assessment for Sewage'Disposal CC it � � Performed By J��i�\WC�dI T -�C.' WitnessedBy�bnac" ')d.ko�'��v1C:�t LOCA bN.& GENERAL INFORMATION Aw Location Address Owner's Name C >7t'T�Ulll:� /1V- DZCnS��i 17 Address ;pJs rauS sT. Assessor's Map/Parcel: t9p Z /-0 Engineer's Name �vl�/l1�/a}1✓�/�/�/�✓ NEW CONSTRUCITON REPAIR Telephone#_ :> `7 2 Land Use. iG�. c�� .� Slopes(96) O as /e = Surface Stones IUi?n Distances from: Open Water Body., ` ft Possible Wet Area (�ft Drinking water Well X '� ft Drainage Way Sb6 '- ft Property Line _ft Other /U ft TCH:(Street name,dimensions o lot,exact locations of test holes&pare tests,locate wetlands fn proximity to holes) P 7 M /elm. /e 7 c a G: 1. Xp� ..0ca - < m Parent material(geo Depth to Bedrock Obrw Depth to Groundwater.Standing Water in Weeping from Pit Face Estimated Seasonal High Groundwater v,Z' �FL 4 l��r- T.�•�. Ccta .Ctc-4 er (r c p� 'ra Cn DETERMINATION FOR SEASONAL HIGH WATER TABLE ,hkaNE�-S" � Method Used: � . Depth Observed standing in_obs.hole: In. Depth to soil mottled: In- Depth to weeping from side of obs:hole: In, Groundwater Adjustment Index Well# Reading Date: • Index Well level.-:__.._....`Adj.&Ctor Adj.©roundwnte�)Il vel,,,,. Q0 PERCOLATION TEST . Date u 7cttna.L� ,� Observation r- - Hole# I Time lit 9" lo'.'z3-3r t1'y2 chi, 'i Depth of Pero Tune at Start Pre-soak Time End Pre-soak Rate MinAch Site Suitability AssessmentSite Passed ✓ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be.Completed on Back----- ' c� ***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:\SEPTlWERCFORM.DOC ' f DEEP.OB$ERVATION HOLE LOG Hole# Depth from Soil Horizon 11, Soil Texture .Sdil Color Soil Other Surface(in.) (; (USDA). (Munsell) Mottling (Structure,Stones;Boulders. F2 Cis`/ W ii DEEP OBOERVATION HOLE LOG Hole# Z— Depth from. Soil Horizon Soil Texture Soil Color Soil Other Surface(in,) ' (USDA) (Munsell) Mottling, (Structure,Stones,Boulders. Consistem ,r 3--t1 ON Z .3t_ s(:) i toy s�8 ' Sa -cis \N DEEP OB§ERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consiste . is-z�`r ci LI i rZ� ) L DEEP OBSERVATION HOLE LOG Hole# ._ Depth from Soil Horizon Soil Texture Soil Color Solt Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o b w y Z` yZ- So` i `7 L 1 17 _L.2` C Flood Insurance Rate Map" Above 500 year flood boundary No— Yes. Within 500 year boundary No:::L, Yes Within 100 year flood boundary No Yes f M Depth of Naturally Occurring Pervious Material t least four feet of natural! occurring pervious material exist in all areas observed throughout the �. Does a Y . . p area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious matorial't ...�. Certification � i I certify that on �f1� (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training ex rose and,experience described in 10 ClV1R 15.017. 1. Signature Date , Q-.\BEr ICiiPBRCFORM.DOC SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON. ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery,is desired. ent ■ Print your name and address on the reverse ddressee so that we can return the card to you. B. Received by(Printed Name) CF Date of Delivery p Attach this card to the back of the mailpiece, U or on the front if space permits. D. Is delivery address different from item ? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No -M.Barbara Scalan I 97"Robbins Street I Ost:eiville, MA 02655 3. Service Type ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. M 4. Restricted Delivery?(Extra Fee) 0 Yes 2.•Article Number i ia i i (rar,srer from se,►�de reneq 7 0,D 5 i 116',0 0 0 �; 7,91 3592 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 I' ,sir i ,�. . i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid - usps Permit No.G-10 • Sender: Please print,your name, address, and ZIP+4 in this box,• I I � I 1 PUBLIC: HEALTH DEPARTMENT � I I TOWN OF BARNSTABLE 1 200 MAIN STREET HYANNIS, NIA 02601 I I LO.,:C-A,V10N S E W A G E PERMIT NO. VI-tLACE INSTALLER'S NAME A ADDRESS d U 1� L DER 0R 0W N ER DA, T E P E R M I T I S S U E D DATE COMPLIANCE ISSUED 0 Q C� a (� e � r a ' • Er . Ln Er . OFFICIAL 0 Postage $ o Certified Fee Maas M,q 'x C3 O O Return Receipt ,Receipt Fee �/ Here �6> (Endorsement Required) 9� � I/ O Re clad Delivery Fee JUL ] o O —D (Endorsement Required) ` O 2Q07 rl Total Postage&Fees u-1 0 sent o s 3i eet Apt.No.; - ------ -------------------------- or A Tn.->ff- Ciry,State,ZIP+4 ---- ----- --- �a�s 5 Certified Mail Provides: A mailing receipt asianay)ZOOZeunf 008Ewio�Sd e a A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: rs Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. o Certified Mail is not available for any class of international mail. ® NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. e For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available an mail addressed to APOs and FPOs. Town of Barnstable : OF tHE Tp� Regulatory Services Thomas F. Geiler,Director BARNSPABLE, 9wp b . •�� Public Health Division rFD MA'S A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 FINAL ORDER July 18, 2007 Ms Barbara Scanlan 97 Robbins Street Psterville, MA 02655 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 97 Robins Street,Osterville,MA was last inspected on April 8th, 2007,by Robert Paolini, a certified septic inspector for the State of Massachusetts-, The inspection of the septic system showed that the system"Failed"under the guidelines of 1995 TITLE 5 ( 310 CMR 15.00) due to the following: System shows signs of hydraulic failure You were given 60 days from the date of the system failure (May 2°d, 2007) to bring the system into compliance. Any person who shall fail to comply shall be fined not less than #10.00 nor more than $500.00. Each day's failure to comply with an order shall constitute a separate violation. You may request a hearing before the board of health, a written petition requesting a hearing on the matter,within seven(7) days after the day this order was served. BARNSTABLE HE . T DEPARTMENT ho as A. Mc ean, R.S., C.H.O. Agent of the Board of Health r Town of Barnstable � OF SHE Tp� o Regulatory Services snxrvsrnBt a Thomas F. Geiler, Director 9$A MASS. •�� Public Health Division lFD MA'S A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 FINAL ORDER July 18, 2007 Mr. Adam Hostetter 770A Main Street Osterville, MA 02655 Re: 981 Main Street, Osterville, MA 02655 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 981 Main (rear) Street, Osterville, MA was last inspected on November 1st,2001 by James M. Ford, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 ( 310 CMR 15.00) due to the following: "Single cesspools automatically fail in the Town of Barnstable." Our records indicate that the necessary repairs and upgrades were not done in the two (2) years given you at the time of the Health Departments order, (March 1, 2005). You were asked to hire a professional engineer or registered sanitarian to prepare a plan of proposed replacements of septic system component(s). This plan was to be submitted to the Town of Barnstable Public Health Division Office(Regulatory Services) within (90) days of receipt of that letter. If you can provide a compliance certificate showing that this work was done; so that we may update our records we would be grateful; if not, you have 60 days from the date of this letter(5/16/07) to bring the system into compliance. Any person who shall fail to comply shall be fined not less than $10.00 nor more than $500.00. Each day's failure to comply with an order shall constitute a separate violation. You may request a hearing before the board of health, a written petition, requesting a hearing on the matter, must be submitted within seven (7) days after the day this order was served. If there are any questions about this matter,please feel free to contact the Barnstable Health Department. BARNSTABLE HEALTH DEPARTMENT Ck� T as A. McKean,R.S., C.H.O. Agent of the Board of Health Town of Barnstable 4 F SHE Regulatory Services :nxxsrnsLa Thomas F. Geiler,Director 9`oA 63 •�� Public Health Division TFD MA'S A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office:. 508-862-4644 Fax: 508-790-6304 FINAL ORDER July 18, 2007 David Holt Today Real Estate 1533 Falmouth Road Centerville, MA 02655 Re: 82 Woodland Ave. ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 82 Woodland Ave,Hyannis,MA was last inspected on April 3rd, 2007,by Michael DeDecko, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Back up of sewage into facility or system component due to overloaded or clogged SAS or cesspool. System is going into hydraulic failure. You were given 60 days from the date of the system failure April 3rd, 2007, to bring the system into compliance. Any person who shall fail to comply shall be fined not less than $10.00 nor more than $500.00. Each day's failure to comply with an order shall constitute a separate violation. You may request a hearing before the Board of Health, a written petition requesting a hearing on the matter,within seven (7) days after the day this order was served. BARNSTABLE HEALTH DEPARTMENT om A. McKean, R.S., C.H.O. Agent of the Board of Health 167 zD Zs'r' ply ; nl� vrrr -E , aj7.e , 7H`r T z 7,rc��/ v r FILL JCf/.--r�N �7 (s�-7 1°Ye �z Y7,3 ` 7 a ` � IL Z, 1411 P PiIV- 7D . 5 r - y E. s 77c S ST�t�/ _Tb 1 _. __ . G y9A� ��4c_c-Un_ �4r/c� o� p / -01-I y p"(>eA soy L- >=vAL-L1ATOR -- /� �✓ �t�c'-fie. , -��. /Y U 2 t/Z t-i �Lf D Ls 4 I � N ��- �1 ._ ?htlnNCI� _ \ I' �(Jl(/ ' \ 'PL=PrIa OF INLET t E/EBELOW FLOW PEPTI-1 OF PERC T.N. 1 - I a ' �9 1-INE IOr M'It 1. GGPTH OF Ol1T'LE'f T_EE �L2-" ELGV. 44�3j'. W r P I!t C3ELOVV rtO;w LINE 14 "wIIN.WITH - C)EPT11 OF pavtc. GA-S BAFFLE_. ELEV. 43.5 I I / ?- _ -z� PET 97_ T3n�� sr. 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