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HomeMy WebLinkAbout0107 ROBBINS STREET - Health ) -7 ' T ee+ Iy�- Il d Town ofBarnstable Barnstable THE t°�y " Regulatory Services Department + iAnNSCABLE, • I Ass. Public Health Division t6gq• �� PIED Mai 200 Main Street, Hyannis MA 02601 zoos Office: 508-8624644 Thomas F.Geiler,Director FAX: '508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2850 9293 June 12, 2013 Mr. & Mrs. William L Carlton 107 Robbins Street Osterville, MA 02655-1737 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 107 Robbins Street, Osterville, MA was last inspected on 5/24/2013 by Ricky Wright, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: Two cesspools are completely full-and the.third has water level at 18" below invert, with signs of staining and solids over inlet pipe. You are.ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH 9omasMcKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\10,TRobbins St Ost June 2013.doc s Parcel Detail http://issgl2/intranet/propdata/ParcelDet4il.aspx?ID=9220 LL rEo ton4 a. " l :lG'% (sF.�(ilrLr ��Ci' a, E Logged In As: Parcel Detail- Tuesday,June 11 2013 Parcel Lookup Parcel Info Parcel ID 142-117 I Developer LOT 6 l Lot Location.107 ROBBINS STREET ) Pri Frontage'100 l Sec l Sec Road Frontage village OSTERVILLE l Fire District C-O-MM l Town sewer exists at this address No l Road Index;1377 Asbuilt Septic Scan: Interactive 1421171 Map 'I r Owner Info owner CARLTON,WILLIAM L&ADRIENNE A l co-owner y Streeti 107 ROBBINS STREET l Street2' _ ( i— City OSTERVILLE State MA Zip,02655-173 Country • Land Info Acres 0.35 Use.SingleFam MDL-01 l Zoning RC Nghbd,0109 Topography;Level ~ _w Y ^� —� l Road Paved _l utilities Septic,Gas,PubliC Water l Location . Construction Info Building 1 of 1 Year`1971 I Roof;Gable/Hip T waxt ll Wood Shingle Built _!Struct Living;2312 _J oveRoof----Asph/F GIs/Crop AC None T Area Cover Type � Intl -- Bed y 9 ' Style Drywall Rooms:5Bedrooms Wall, Model;Residential Floor!Carpet Rooms 13 Full+Bat 1 H g tt - Heat; .._._.__... Total Grade,Average Plus T _Hot Water 8 Rooms_J � ype Rooms, Heat Found'. Stories`1.8 Fuel i0il ationTypical Gross=5321i Area' Permit History http://issgl2/intranet/propdata/ParceiDetail.aspx?1D=9220 6/11/2013 9 'Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 107 Robbins St a Property Address Adrienne Carlton Owner Owner's Name information is required for every Osterville Ma. 02655 5/24/13 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. Please see completeness checklist at the end of the form. Important:when filling out forms A. General Information I on the computer, use only the tab 1. Inspector: , key to move your cursor-do not Ricky Wright use the return Name of Inspector key. B & B Excavation,lnc. reb Company Name 14 Teaberry Lane Company Address Forestdale MA 02644 City/Town State Zip Code 508-477-0653 S14595 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 " aintenge o site sewage disposal systems. I am a DEP approved system inspector pursu4rito Sectioq 15. 0 of Title 5(310 CMR 15.000). The system: r.p .._� -.n ❑ Passes ❑ Conditionally Passes M" ails 100 ❑ Needs Further Evaluation by.the Local Approving Authority 3 U _J 5/24/13 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. t5ins•11/10 Title 5 Official Inspection Form:Su u ce Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name information is required for every Osterville Ma. 02655 5/24/13 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. Check the box for"yes", "no"or"not determined"(Y, N, ND)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. ❑ Y El N ❑ ND(Explain below): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 'Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name information is required for every Osterville Ma. 02655 5/24/13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑.Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): Z 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 bordering vegetated wetland or a salt marsh t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 107 Robbins St ` GM . Property Address Adrienne Carlton Owner Owner's Name information is required for every Osterville Ma. . 02655 5/24/13 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 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 is within 50 feet of a private water supply well. ❑ 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 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 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 El ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts M r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name information is Osterville Ma. 02655 5/24/13 required for every - page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation. El ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is 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. [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 El ❑ 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 CM 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 • Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name information is Osterville Ma. 02655 6/24/13 required for 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? ® ❑ Has the system received normal flows in the previous two week period? El ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑. Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different 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. ❑ Z 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)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 5 Number of bedrooms(actual): 5 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 550 t5ins-11110 Title 5 Offidal Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name information is required for every Osterville Ma. 02655 5/24/13 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 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 Seasonal use? ❑ Yes ® No Water meter readin s, if available last 2 ears usage n/a 9 ( Y 9 (gPd))� Detail: , Sump pump? ❑ Yes ® No Last date of occupancy: current 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: l5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name inquired for. is Osterville Ma. 02655 5/24/13 required for.every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information:. Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ® Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form Not for Voluntary Assessments M 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name information is required for every Osterville Ma. 02655 5/24/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: original to dwelling Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 18" Depth below grade: feet Material of construction: - t ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: >20 feet Comments (on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appeared to be in working order no sign of leakage or blockage. 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: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name ' required for is Osterville Ma. 02655 5/24/13 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) 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? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): n/a Grease Traplocate on site plan): ( p ) Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain): Dimensions: Scum thickness r 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 f Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name information is required for every Osterville Ma. 02655 5/24/13 page. Cityfrown 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.): 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): 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 107 Robbins St Property Address Adrienne Carleton Owner Owner's Name information is required for every Osterville Ma. 02655 5/24/13 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan):, Depth of liquid level above outlet invert 0 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.): n/a Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 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: t5ins•11/10 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 it __ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for,Voluntary Assessments M 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name information is Osterville Ma. 02655 5/24/13 required for every , _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 3 ❑ 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.): At time of inspection two cesspool are completely full and the third ones water level is 18" below invert, with sign of staining and.solids over inlet pipe. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration 3 connected together Depth—top of liquid to inlet invert first two equal third 18" 611 Depth of solids layer 4„ Depth of scum layer Dimensions of cesspool 6x6/6x6/4x6 Materials of construction block Indication of groundwater inflow ❑ Yes ® No t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name information is Osterville Ma. 02655 5/24/13 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): see coments under leaching 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.): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 f Commonwealth of.Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name information is required for every Ostervilie Ma. 02655 5/24/13 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately � Y 3S � t C -33 -;4— (3 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 15 of 17 Il • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM s•°`V 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name information is Osterville Ma. 02655 5/24/13_ required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells 1 Estimated depth to high ground water: 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: rear of dwelling drops off Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 107 Robbins St Property Address Adrienne Carlton Owner Owner's Name information is required for every Osterville Ma. 02655 5/24/13 page. Cityrrown State Zip Code Date of Inspection. E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 1 AsBuilt Page 1 of 2 TOWN OF F�B��--ARNSTABLE LOCATION "SEWAGE#1 VILLAGE ��/ // s1���� ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPA= le LEACHING FACILITY:(type) (size)' NO.OF BEDROOMS b BUILDER OR OWNER PERmrrDATE: 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 Ley�hing Facility(If any we ds exist within fee `f lyf[c ' ility) Feet Furnished b .RX.P 8X� p 0 Y/ VJ /D 7 Ro6b�.vs C3%� http://issgl2/intranet/propdata/prebuilt.aspx?mappar=1421,17&seq=l 12/6/2016 S QU t � aver" J^Cot rS 5 r �m a. rnu Er Ln co Postage $ ru Certified Fee C3 PSPSO"')� O Retum Receipt FeeO (Endorsement Required)Restricted Delivery Fee O (Endorsement Required)a O Total Postage&Fees $ rI.j r=1 � Mr. & Mrs. William L Carlto 107 Robbins Street Osterville, MA 02655-1737 ' r Certified Mail Provides: e A mailing receipt o A unique identifier for your mailpiece n A record of delivery kept by the Postal Service idir two years Important Reminders: p 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. n NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o 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.. o 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. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 t ■ Complete items 1,2,and 3.Also complete A Si r item 4 if Restricted Delivery is desired. X ❑ gent N Print your name and address on the reverse a Addressee I so that we can return the card to you. B.,Received (Printed Name) C. Date of Delivery I '■ Attach this card to the back of the mailpiece, I or on the front if space permits., D. Is . i . ddress different from item 1?-❑Ye's 1. Article Addressed to: ter very address below: ❑No M.r. & Mrs. William L Carlton j=J 'I `0'Robbins Street( sterville, MA 02655-173 ice T 7 q 1 ❑.Express Mail ' ❑ egis Bred 0 Return Receipt for Merchandise iVf - ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number {1 t I I 1 t I 3 r 3 (riansfer from service labeo 7 012 1010 0 0 0 0 2 8 5 0 9 2 9 3 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540. UNITED STATES POSTAL SERVICE First-Class Mail Po§.tage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Town of Barnstable, Public Health Division _'ry 03 200 Main Street 110 Hyannis, MA 02601 ' � t 3 � �:�?ItI ?'iF?.Eixs}is'!?I�?I.iI ii' Ifll(ISl1�illlli�l:'till??I l� Town of Barnstable Barnstable " Regulatory Services Department AIMMMCM ' " ` ' Public Health Division Q D t639' 1 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard V.Scalli irector FAX: 508-790-6304 Thomas A. ean,CHO CERTIFIED MAIL # 7030 0001 4990 4933 July 7 2016 Mrs Adrienne A. Carlton �` C 107 Robbins Street Osterville, MA 02655-1737 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, September 13 2016 at 3pm in the Town Hall, Hearing Room, 2nd Floor at 367 Main Street, Hyannis MA due to your failure to repair or replace the septic system which failed inspection on 10/30/2011 (cottage septic system at 107 Robbins street, Osterville, MA. The State Environmental Code Title V requires all failed septic systems to be repaired or replac3ed within two years. The Town of Barnstable Board of Health has more stringent deadlines.dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the- established deadline. YoWrequested a hearing, and at the October 8, 2013 meeting the Board of Health granted an extension of six (6) months to bring the septic into compliance. On SeOptember,9, 2014 Board meeting, the Board granted another sic (6) month extension until January 31, 2015, because the system was hot overflowing or backing up and you were the only occupant in the house. You stated you were in the process of selling your house On February 4, 2015 you sent us a report and confirmed that you would pump whenever needed. At this, time, we need an update from you on the status of your septic system. Q\SEPTIC\Letters Septic Inspection Failures or Future Evl 107 Robbins St Ost Jul,2 16.d c ,r � i ][We also would like to know whether the septic has been pumped and confirmation that there is still only one occupant. i This item will be on the September 13, 2016 Board of Health agenda. We will need your response as soon as possible and, you are welcome to attend the meeting on this matter. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health Ltr not sent....Talked to Adrienne on phone...Hse now bank owned...Vacant. Will fax this information to Health. Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Robbins St Ost JuL 2016.doc 1 Town of Barnstable Barnstable P� ti At AmMcaeily a Board of Health 1 BARNSTABLE: * . ZMASS. 200 Main Street, Hyannis MA 02601 m 163q• �� prF0 MAI a• 2007 Office:.508-8624644 Wayne Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul Canniff,D.M.D. October. 11, 2013 Ms. Adrienne Carlton 107 Robbins Street Osterville, MA RE: 107 Robbins Street, Osterville A= 142-117 Dear Ms. Carlton, At the October 8, 2013 public meeting of the Board of Health,the Board voted unanimously to grant you an extension to replace or upgrade the hydraulically failed septic system owned by you located at 107 Robbins Street, Osterville. This extension is granted for six months. Therefore, the system shall be repaired on or before April 8, 2015. This extension is granted with the following condition: e The system shall be pumped when or if needed to prevent any sewage from overflowing onto the ground or backing-up into the home. This extension is granted because you indicated in your letter that the septic system is not presently overflowing or backing-up. You are the only occupant in the house and you are currently trying to sell your home. The Board is of the opinion that the septic system should not pose a threat to public.health or to the environment during this short time period if the system is,pumped when/if needed. Sincerelyyours; 1, Wayne Iv�Tiller, M.D., Chairman Board df Health Q:\WPFILES\107 Robbins&Ost Carlton2013.doc I 107 Robbins Street Osterville, MA 02655 July 18, 2013 Public Health Division Town of Barnstable 200 Main Street Hyannis, MA 02601 To Whom it May Concern I called last week regarding a letter I received from the Board of Health ordering me to replace or repair the septic system at my residence, 107 Robbins Street, within sixty days of the date of the letter. 1 explained my situation and she suggested I explain my situation in writing. The system was only inspected because I am trying to sell the house; it is not giving me any.problems nor is their leakage. I am the only occupant of the.house. .On a more personal note, in addition,to trying to sell the house l am separated and going through a divorce. I have started getting pricing and the prices range to-no estimate until an architect reviews and the town completes their-prerequisites,those.prices range from $2,000-$6,000; to a new system,$ 10-15,000; a sum I cannot afford at the moment. I am asking for an extension (if allowed) or another option until I can replace the system and/or sell the house. Thank you for your consideration. Sin erelyIVI Adrienne A. Carlton Town of Barnstable Barnstabie ���THE T��� �-dmerieacety _, Bard of Health YXAS& �` 200.Main Street, Hyannis MA 02601 m �'rfo►9A a`� 2007 OFFICE: 508-962-4644 Wayne Miller,M.D. - FAX: 508-790-6304 Paul Canniff,D.M.D. 3unichiSawayanagi Adrienne Carlton, 107 Robbins Street,;Osterville, MA :02655 ACKNOWLEDGEMENT OF RECEIPT: September 27, 2013 We have received your submission to the Board of Meakh. Vie: 107 bobbins Street, OsterviCCe - asking for an Extension On 1Deadline for Septic Repair. j Thankyou. Your item will be heard.at the Board of Health Meeting on the: Date of: Tuesday, October 8, 2013 You, or a representative for you, is expected to be present to answer questions the Board may have. Meeting Location: Town Hall, 367 Main St, Hyannis Hearing Room, Second Floor i Time: 3:00-6:00 P.M. Approximately three days prior to meeting, an agenda will be sent.out to you— once it is available. It will also be available on line at the town website: www.to wn.b arm table.n7 a.us Go to ..."Boards & Committees > Board of Health - or - Go to Official Agendas I Q:VAGENDAS BOhRlet Receipt of BOH Submission Oct 2013.doc i I i ilia Town of Barnstable P# ' F Departitnent of Regtilatory Services MAMr� Public Health Division Date" r'e7P 200 Main Street,Hyannis MA 02601 rill MAl�' S Date Scheduled Time Fee Pd. Soil Suitability Assess ent for Sewa e D* osal Performed-By:.'' D43 ' Witnessed By: Location Address,/0 LOCATION& GENERAL�'pRMA.TION '� �'O(��lj,.L(' rf`J' Owner's Nome �',�ivy O Address �'��yCr . Assessor's Map/Parcel: �yo //� Engineer's fyl/�c1'O En 's Name /« NEW CONSTRUCT_ION � .REPAIR- 1� Telephone It `�6% ' Land Use-- / Slopes(96) Surface Sto�as Distances from: Open Water Body R _Possible WetArea r ft Drinking Water Well . ft Dralhago Way ft Property Line ft Other ft k ITCH:(Street name,dimensions of lot,exact locations of test holes&pore tests,locate wetlands in proximity to holes) LTr V— I Parent material(geologic) Depth to Bedrock 3 Depth to Groundwater. Standing Water in Hole:,- Weeping ll'orrt Pit Fnoe Estimated Seasonal High Oroundwater Method Used: DETERMINATION FOR SEASONAL•HI0I1 WATER TABLE Depth Observed standing in obs.hole: Dc{�th to weeping from side of obs.hole: In, Depol to evil mottled: Ill, GroundwaterAdjultment fg. Index Well 1t Reading Date Index Well ICvel �r .r._.._ Act,factor�_ Adj.Groundwater Level Observation PERCOLATION TEST Hole# tl Time at 91, Depth of Pero Time at G" Start Pro-soak Time @ f ^ Time(9"-611) End Pro-soak .0< Aft RateMin./luch -e 7_41 Site Sultability Assessment: Site Passe' Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observdion Hole Data To Be Completed on Back ***Yf 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:1S EPTIC\PERCPORM.DOC DEEP.OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stoned;Boulders. r si to cy,%'Orayell t r/7 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Solt Texture Soil Color Soil Other. Surface(in.) (USDA) (Murtsell) Mottling (Structure,Stones,Boulders. Consistency.%(Ia DEEP OBSERVATION HOLE LOG Hole# Depth from Sol Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Muusell) Mottling (Structure,Stones,Boulders. Consistancv.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other r Surface(in.)" (US DA) (Munsell) Mottling (Structure,S(opes;Boulders, Consistency. i Flood Insurance Bate Man: ItZ Above 500 year flood boundary No_ Yes 'Within 500 year boundary No / eq Within 100 year flood boundary No.-,— Yes Depth of Naturallly Occurring Pervious Material Does at least four feat of naturally occurring pery atorial oxist in all areas observed thrpughout the area proposed for the soil absorption system? If not,what is the dep of-haturally occurring per ous materlal'i _ ._.Y Certifiication 1'cerdfy that on q (date)I have passed the soil evaluator examination approved by the Department of Bnvir nmental Protection and that the above analysis was performed by me consistent with . the re ' ining, o ' perience described in 10 CMR 15.017. Signatur Datt 1 Z Q.\S EPTl0PERCPORM.DOC s /4(f� a Poll UuJnS 0;(/U/2016 2J: 1 f FAA �I w iruu i July 13,2016, Town of Barnstable Board of Health Attention: Judith Re: 107 Robbins Street This will summarize our phone conversation of last week. I have not lived at 107 Robbins Street since November 2015. The keys were received by the bank on 2/16/16;the electricity.has been turned off; and the water turned off inside the house, To my knowledge,the house is unoccupied: In my divorce hearing, Mr.Carlton's attorney indicated he and Mr.Carlton were attempting a short sale. I have made my attorney aware of your call amd she passed this information on to Mr.Carlton's attorney as.well. Sincerely, Adrienne A.FI linger 1 1 f . e Town of Barnstable Barnstable Regulatory Services Department - "�� ' Public Health Division Q D 1639. 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 -Richard V.Scallie,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7030 0001 4990 4933 July 7, 2016 Mrs Adrienne A. Carlton 107 Robbins Street Osterville, MA 02655-1737 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, September 13 2016 at 3pm in the Town Hall, Hearing Room, 2nd Floor at 367 Main Street,'Hyannis MA due to your failure to repair or replace.the septic system which failed inspection on 10/30/2011 (cottage septic system at 107 Robbins street, Osterville, MA: The State Environmental Code Title V requires all failed septic,systems to be repaired or replac3ed within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline.. You requested a hearing, and at the October 8, 2013 meeting the Board of Health granted an extension of six (6) months to bring the septic into compliance. On SeOptember 9, 2014 Board meeting, the Board granted another sic (6) month extension until January 31, 2015, because the system was hot overflowing or backing up and you were the only occupant in the house. You stated you were in the process of selling your house On February 4, 2015 you sent us a report and confirmed.that you would pump ' whenever needed. ' At this, time, we need an update from you on the status of your septic system. Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Robbins Si Ost JuL 2016.doc ][We also would like to know whether the septic has been pumped and confirmation that there is still only one occupant. This item will be on the September 13, 2016 Board of Health agenda. We will need your response as soon as possible and, you are welcome to attend the meeting on this matter. You will be given the opportunity to testify, present witnesses, documentary h evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF-HEALTH PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of.Health Ltr not sent...Talked to Adrienne on phone...Hse now bank owned...Vacant. Will fax this information to Health. Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Robbins St Ost JuL 2016.doc SOT 3 Crocker, Sharon From: Crocker, Sharon �� }� Sent: Tuesday,July 05, 2016 8:28 PM To: Flynn, Judith Subject: FW: Failed Septic - 107 Robbins.St, Ost . Certified' of course. ` r Thanks 0'� From: Crocker, Sharon Sent: Tuesday, July 05, 2016 8:28 PM To: Flynn, Judith Cc: Crocker, Sharon Subject: Failed Septic - 107 Robbins St, Ost Judith, You need to get a letter out to the owner, Ms.Adrienne Carlton. Her extension deadline ran out over a year ago. Need to get letter out and require her to,come for a Hearing to the Board of Health on September13, 2016 if the repair has not been completed by then. Thank you. Sharon 1 . Town of Barnstable � � I �rnstable E t rp `• S `..s_--�aHlmericaciro Board of Health I saxi STAULF- AS& nLnss. 200 Main Street, Hyannis MA 02601 •a 2007 S Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul Canniff,D.M.D. October 30, 2014 Ms. Adrienne Carlton 107 Robbins Street Osterville, MA RE , 107 Robbins Street,'Osterv>llet �, A,- 142 117 x. .� Dear Ms. Carlton, At the October 14, 2014 public meeting of the Board of Health, the-Board voted unanimously to grant you an extension to replace or upgrade the hydraulically failed septic system owned by you located at 107 Robbins Street, Osterville. This extension is granted for an additional 90 days. Therefore, the system shall be repaired on or before January 31, 2015. This extension is granted with the following condition: • The system shall be pumped when or if needed to prevent any sewage from overflowing onto the ground or backing-up into the home. This extension is granted because you indicated in your letter that the septic system is not presently overflowing or backing-up. You are the only occupant in the house. At this time, you stated you are currently awaiting notification from the bank in regards to a modification to your mortgage loan. The Board is of the opinion that the septic system should not pose a threat to public health or to the environment during this short time . period if the system is pumped when/if needed. Since 11 yours, 1 ayntoHealth r, M.D., Chairman Board Q:\WPFILES\Carlton2014.doc 1: Robbins Street Osterville, MA 02655 February 4,-2015 Public Health Division Town of Barnstable 200 Main Street Hyannis, MA 02601 To Whom it May Concern, • Regarding my septic system, 'I seem to be in the same predicament although I think I have taken a couple'of steps forward. I have completed my 90 day trial period from the bank (that ended in December), but they have not sent final papers. The is a second mortgage on the property, which they are now seeking to modify. I do not know.if l am going to be able to assume both mortgages or if I will have to short sale the property. If the former I would apply for a betterment, if the latter the septic would be part of the short,sale. I would definitely pump the system if there were a need, but there:`isn't any leakage or problems., I continue to be the only occupant of the house and still proceeding with a divorce which makes the modifications more important and complicated: As soon as I hear from the banks, I will notify you. Thank you, again, for your consideration. Sincerely, L:. IJf�J�'VYLL/. 1 'Adrienne A. Carlton 61. L i r 1 wn of Barnstable Barnstable Regulatory Services Department AffAmebaCR r r D r " `% '639. Public Health Division ♦� 200 Main Street, Hyannis MA 02601 200� Office: 508-862-4644 Richard V.Scallie,Director FAX: 508-790-6304 Second Notice Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2851 4112 July 9, 2014 107 Robbins Street Osterville, MA 02655-1737 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 'The septic system located at 107 Robbins Street, Osterville, MA was last - inspected on 5/24/2013 by Ricky Wright, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to,the following: • Two cesspools are completely full and the third has water level at 18" below invert, with signs of staining and solids over inlet pipe. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification, Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Ltr re'cvd 2/6/2015 Giving status on septic system Thomas McKean, R:S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Robbins St Ost June 2013.doc :4 Town of Barnstable . Barnstable Regulatory Services Department i MAM 639 ♦0 . Public Health Division I 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V. Scallie,Director FAX: 508-790-6304 Second Notice Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2851 4112 `_ July 9, 2014 Mr. & Mrs. William L Carlton 107 Robbins Street Osterville, MA 02655-1737 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 107 Robbins Street, Osterville, MA was last inspected on 5/24/2013 by Ricky Wright, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of.the 1995 TITLE 5 (310 CMR 15.00) due to the following:. • Two cesspools are completely full and the third has water level at 18" below invert, with signs of staining and solids over inlet pipe. You are ordered to repair or replace the septic system within sixty (60.) days from the date you receive this notification. Failure to,repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH homas McKean,_R:S..CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Robbins St Ost June 2013.doc v ®http;jjissgl2jintranetjhealthMasterjHealthMasterDetail,aspx?ID=142117 �� 4? � a Live Search I�L' I 1 ' — _ 1y Application Center(3) W Application Center(2) http--www.town.barnstable,,. Application Center ®Suggested Sites • , Web Slice Gallery JFavorites a i� parcel Lookup l,�Health Master Detail X Ifs Health Master .-. b _ Detail 2014 Application Center ParcgL� o a -a• Srrptiie fr�C7 - ,-' - Parcel: I412-I17 Location: 1017 RQ)BBINS SIIREET, QSTERVILLE Owner: C,ARLI"mN,,WILLIAM L&ADRIENNE/A Septic 1 Nevv Septic... Permit number: �I hermit type: Setect type IF Complete system: r' Issue date : Complete date Septic tank size: �P Type/Size of SAS: Installer: Select Installer ��C= v. Card on file: r I/A service type: Select service IF Innovative/Alternative Technology type: Select IA type Variance date . I Abandon compete date : � Abandon permit number: P _ Re air deadline date . 1131�t��1�; � ;,'M Repair notification date : U1212013 � Keyword: Comments: 11NREGISTERED_SH©RELINEREPu9'VL_COMM FD_DZtticl'. 7 �; ; [}elete Septic _ Inspection 6/5 /2013 Inspection 4'/13/ 99 NeLv Inspect;ion... Number Inspection Date Inspector _ Result - .W 79t)3 61512013 Wright Ricky LT F(Fail) (` The following condition(s) are occurring: i discharge or ponding of effluent to the surface of the ground ra pumping more than 4 times during the bast year NOT due to clogged or obstrueted pipe ri backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool ri static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool 03 any portion of the SAS, cesspool, or privy below high groundwater elevation r,any portion of the cesspool within a Zone 1 tor a public well r: any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis .zoo. i Received Date Comments , , 7- 1 HealthMasterDetail.aspx?ID=142117 Local intranet ° Sta ,: Master Detail-Wi �w�. Computer at : HEALTH899JF User name : FLYNNJ Operating Svstem : Windows NT (5.1) 07/13/2016 23: 17 FAX �j001/001 w. July 13,2016 Town of Barnstable Board of Health Attention: Judith Re:107 Robbins Street This will summarize our phone conversation of last week. I have not lived at 107 Robbins Street since November 2015. The keys were received by Oe bank on 2/15/16;the electricity has been turned off; and the water turned off inside the house, To my knowledge,the house is unoccupied. In my divorce hearing,Mr.Carlton's attorney!indicated he and Mr.Carlton were attempting a short sale. I have made my attorney aware of your call amd she passed this information on to Mr.Carlton's attorney as well. Sincerely,. Adrienne 6inger 07/13/2016 23: 17 FAX IFj VV IIVV I I July 13,2016 Town of Barnstable Board of Health Attention: Judith Re: 107 Robbins Street This will summarize our phone conversation of last week. I have not lived at 107 Robbins Street since November 2015.. The keys were received by the bank on 1/16/16;the electricity has been turned off; and the water turned off inside the house. To my knowledge,the house is unoccupied. In my divorce hearing,Mr.Carlton's attorney indicated he and Mr.Carlton were attempting a short sale. I have made my attorney aware of your call amd she passed this information onto Mr.Carlton's attorney as well. Sincerely, f ' Adrienne A.H Y- inger 1 Town of Barnstable Barnstable Regulatory Services Department ;fta I MAM BARNSTAB Public Health Division D 163y ♦� 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scallie,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7030 0001 4990 4933 July 7, 2016 Mrs Adrienne A. Carlton 107 Robbins Street Osterville, MA 02655-1737 F YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, September 13 2016 at 3pm in the Town Hall, Hearing Room, 2nd Floor at 367 Main Street, Hyannis MA due to your failure to repair'or replace the septic system which failed inspection on 10/30/2011 (cottage septic system at 107 Robbins street, Osterville, MA. The State Environmental Code.Title V requires all failed septic systems to a be repaired or replac3ed within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You requested a hearing, and at the October 8, 2013 meeting the Board of Health granted an extension of six (6) months to bring the septic into compliance. On SeOptember 9, 2014 Board meeting, the Board granted another sic (6) month extension until January 31, 2015, because the system was hot overflowing or backing up and'you were the only occupant in the house. You stated you were in the process of selling your house On February 4, 2015 you sent us a report and confirmed that you would pump whenever needed. At this,-time, we need an update from you on the status of your septic system. Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Robbins St Ost JuL 2016.doc c ][We also would like to know whether the septic has been pumped and confirmation that there is still only one occupant. This item will be on the September 13, 2016 Board of Health agenda. We will need your response as soon as possible and, you are.welcome to attend the meeting on this matter. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH PER ORDER OF THE BOARD OF HEALTH o as McKean, R.S. C Agent of the Board of Health J Q:\SEPTIC\Letters Septic Inspection Failures or Future EAU07 Robbins St Ost JuL 2016.doe Town of Barnstable Barnstable Regulatory Services Department :BAMSTABM � Public Health Division 200 Main Street, Hyannis MA 02601 200� Office: 508-862-4644 Richard V.Scallie,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7030 0001 4990 4933 July 7, 2016 Mrs Adrienne A. Carlton 107 Robbins Street Osterville, MA 02655-1737 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, September 13 2016 at 3pm in the Town Hall, Hearing Room, 2nd Floor at 367 Main Street, Hyannis MA due to your,failure to repair or replace the septic system which failed inspection on 1 0/3 012 0 1 1 (cottage septic system at 107 Robbins street, Osterville, MA. The State Environmental Code Title V requires all failed septic systems to a be repaired or replac3ed within two years. The Town,of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You requested a hearing, and at the October 8, 2013 meeting the Board of Health granted an extension of six (6) months to bring the septic into compliance. On SeOptember 9, 2014 Board meeting, the Board granted another sic (6) month extension until January 31, 2015, because the system was hot overflowing or backing up and you were the only occupant.in the house. .You stated you were in ` the process of selling your house On February 4, 2015 you sent us a report and confirmed that you would pump whenever needed. At this, time, we need an update from you on the status of your septic system. Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Robbins St Ost JuL 2016.doc I i ][We also would like to know whether the septic has been pumped and confirmation that there is still only one occupant. This item will be on the September 13, 2016 Board of Health agenda. We will need your response as soon as possible and, you are welcome to attend the meeting on this matter. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information.regarding this case. PER ORDER OF THE BOARD OF HEALTH PER ORDER OF THE BOARD OF HEALTH o as McKean, R.S. C Agent of the Board of Health I Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Robbins St Ost Jul,2016.doc Town of.Barnstable. Barnstable Regulatory Services Department ""' `ft MANMBp 639. `� Public Health Division Q p1� 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V. Scallie,Director FAX: 508-790-6304 Thomas A.McKean,CHO, CERTIFIED MAIL # 7030 0001 4990 4933 . July 7, 2016 { -Mrs Adrienne A. Carlton 107 Robbins Street Osterville, MA 02655-1737 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, September 13 2016 at 3pm in the Town Hall, Hearing Room, 2nd Floor'at 367 Main Street, Hyannis MA due to your failure to repair or replace the septic system which failed inspection on 10/30/2011 (cottage septic system at 107 Robbins street, Osterville,-MA. The State Environmental Code Title V requires all failed septic systems to be repaired or replac3ed within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You requested a hearing, and at the October 8, 2013 meeting-the Board of Health granted an extension of six (6) months to bring the septic into compliance. On SeOptember 9, 2014 Board meeting, the Board granted another sic (6) month extension until January 31, 2015, because the system was hot overflowing or backing up and you were the only occupant in the house. You stated you were in the process of selling your house On February 4, 2015 you sent us a report and confirmed that you would pump whenever needed. At this, time, we need an update from you on the status of your septic system. Q:\SEPTIC\Letters Septic;Inspection Failures or Future Evl\107 Robbins St Ost JuL 2016.doc I- ` ][We also would like to know whether the septic has been pumped and confirmation that there is still only one occupant. This item will be on the September 13, 2016 Board of Health agenda. We will need your response as soon as possible and, you are welcome to attend the meeting on this matter. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health Ltr not sent...Talked to Adrienne on phone...Hse now bank owned...Vacant. Will fax this information to Health. Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Robbins St Ost JuL 2016.doc Town. of Barnstable Barnstable Re ulato Services Department ' =g ry, � � MASS .BARNSTABMPublic Health Division , � ap�m 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7030 0001 4990 4933 July 7, 2019 „ Mrs. Adrienne A. Carlton 107 Robbins Street Osterville, MA 02655 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, September 13, 2016 at 3pm in the Town Hall, Hearing Room, 2na Floor at 367 Main Street, Hyannis, MA due to your failure to repair or replace the septic system which failed inspection on/10/30/2011(cottage septic system) at 107 Robbins Street, Osterville. The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has_been in failure beyond the established deadline. You requested a hearing and at the October 8, 2013 meeting the Board of Health granted an extension of six (6) months to bring the septic into compliance. On September 9, 2014 we received a report from you regarding the status of the system; and,the status of a loan application. At the Oct 14, 2014 Board meeting, the Board granted another six.(6) month extension until January.31, 2015, because the system was not overflowing or backing up and you were the only occupant in the house. You stated you were in the process of selling your house. On February,4, 2015 you sent us a report and confirmed that you would pump whenever . needed. Q:\SEPTIC\BOARD\107 Robbins St Ost Jul 2016.doc t On February6 2015 we received a report from you regarding the status of the system p Y g g Y repairs; an extension was granted until/4/17/2015. On 7/8/2015, a second notice was sent. At this, time, we need an update from you on the status of your septic and the sale of the house. We also would like to know whether the septic has been pumped and confirmation that there is still only one occupant. This item will be on the September 13, 2016 Board of Health agenda. We will need your response as soon as possible and, you are welcomed to attend the meeting on this matter. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\B0ARD\107 Robbins St Ost Jul 2016.doc Town of Barnstable"' Barnstable Regulatory Regulato' ry Services Department ""nmft Cft + 1ARNWABLE • O D Yb, 639. Public Health Division 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7030 0001 4990 4933 July 7, 2019 Mrs. Adrienne A. Carlton 107 Robbins Street Osterville, MA 02655 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, September 13, 2016 at 3pm in the Town Hall, Hearing Room, 2nd Floor at 367 Main Street, Hyannis, MA due to your failure to repair or replace the septic system which failed inspection on/10/30/2011(cottage septic system) at 107 Robbins Street, Osterville. The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You requested a hearing and at the October 8, 2013 meeting the Board of Health granted an extension of six (6) months to bring the septic into compliance. On September 9, 2014 we received a report from you regarding the status of the system; and,the status of a loan application. At the Oct 14, 2014 Board meeting,the Board granted another six (6)month•extension until January 31, 2015, because the system was not overflowing or backing up and you were the only occupant in the house. You stated you were in,the process of selling your house. On February 4, 2015 you sent us a report and confirmed that you would pump whenever - needed. Q:\SEPTIC\BOARD\107 Robbins St Ost Jul 2016.doc On February 6, 2015 we received a report from you regarding the status of the system repairs; an extension was granted until/4/17/2015. On 7/8/2015, a second notice was sent. At this, time, we need an update from you on the status of your septic and the sale of the house. We also would like to know whether the septic has been pumped and confirmation that there is still only one occupant. This item will be on the September 13, 2016 Board of Health agenda. We will need,your response as soon as possible and, you are welcomed to attend the meeting on this matter. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\B0ARD\107 Robbins St Ost Jul 2016.doc Town of Barnstable Barnstable Regulatory Services De artmefit 639.MAM Public Health Division 2007 200 Main Street, Hyannis MA 02601 •t . Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7030 0001 4990 4933 July 7, 2019 ' Mrs. Adrienne A. Carlton 107 Robbins Street Osterville, MA 02655 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, September 13, 2016 at 3pm in the Town Hall, Hearing Room, 2nd Floor at 367 Main Street, Hyannis, MA due to your failure to repair or replace the septic system which failed inspection on/10/30/2011(cottage septic system) at 107 Robbins Street, Osterville. The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You requested.a hearing and at the October 8, 2013 meeting the Board of Health granted an extension of six (6) months to bring the septic into compliance. On September 9,2014 we received a report from you regarding the status of the system; and, the status of a loan application. At the Oct 14, 2014.13oard meeting, the Board granted another six (6)month extension until January 31, 2015, because the system was not overflowing or backing up and you were the only occupant in the house. You stated you were in the process of selling your house. On February 4, 2015 you sent us a report and confirmed that you would pump whenever needed. QASEPTIC\B0ARD\107 Robbins St Ost Jul 2016.doc On February 6, 2015 we received a report from you regarding the status of the system repairs; an extension was granted until/4/17/2015. On 7/8/2015,a second notice was sent. At this, time, we need an update from you on the status of your septic and the sale of the house. We also would like to know whether the septic has been pumped and confirmation that there is still only one occupant. This item will be on the September 13, 2016 Board of Health agenda. We will need your response as soon as possible and, you are welcomed to attend the meeting on this matter. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health i QASEPTICTOARM107 Robbins St Ost Jul 2016.doc F Town of Barnstable Barnstable Re ulatorY Services Department 1" p"" ac " p � MASS. Ate ' Public Health Division p'FOA"� 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7030 0001 4990 4933 July 7, 2019 y Mrs. Adrienne A. Carlton .107 Robbins Street Osterville, MA 02655 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, September 13, 2016 at 3pm in the Town Hall,Hearing Room, 2nd Floor at 367 Main Street, Hyannis, MA due to your failure to repair or.replace the septic system which failed inspection on/10/30/2011(cottage septic system) at 107 Robbins Street, Osterville. The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case,the septic system has been in failure beyond the established deadline. You requested a hearing and at the October 8, 2013 meeting the Board of Health granted an extension of six (6)months to bring the septic into compliance. On September 9, 2014 we received a report from you regarding the status of the system; and, the status of a loan application. At-the Oct 14, 2014 Board meeting, the Board granted another six (6) month extension until January 31, 2015, because the system was not overflowing or backing up and you . were the only occupant in the house. You stated you were in the process of selling your house. On February 4, 2015 you sent us a report and confirmed that you would pump whenever needed. Q:\SEPTIC\B0ARD\107 Robbins St Ost Jul 2016.doc On February 6, 2015 we received a report from you regarding the status of the system repairs; an extension was granted until/4/17/2015. On 7/8/2015, a second notice was sent. At this, time, we need an update from you on the status of your septic and the sale of the house. We also would like to know whether the septic has been pumped and confirmation that there is still only one occupant. This item will be on the September 13, 2016 Board of Health agenda. We will need your response as soon as possible and, you are welcomed to attend the meeting on this matter. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\B0ARD\107 Robbins St Ost Jul 2016.doc ,,Town of Barnstable Barnstable Regulatory Services DepartmentMAM • s�uvsresie, • - . O D 1 Public Health Division � Zoos 200 Main Street,'Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7030 0001 4990 4933 July 7, 2019 Mrs. Adrienne A. Carlton 107 Robbins Street Osterville, MA 02655 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, September 13, 2016 at 3pm in the Town Hall, Hearing Room, 2nd Floor at 367 Main Street, Hyannis, MA due to your failure to repair or replace the septic system which failed inspection on/10/30/201 l(cottage septic system) at 107 Robbins Street, Osterville. - The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of.failure identified. In this case,the septic system has been in failure beyond the established deadline. You requested a hearing and at the October 8, 2013 meeting the Board of Health granted an extension of six (6) months to bring the septic into compliance. On September 9, 2014 we received a report from you regarding the status of the system; and, the status of a loan application. At the Oct 14, 2014 Board meeting, the Board granted another six (6) month extension until January 31, 2015, because the system was not overflowing or backing up and you were the only occupant in the house. You stated you were in the process of selling your house. On February 6, 2015 we received a report from you regarding the status of the system repairs; an extension was granted until/4/17/2015. On 7/8/2015, a second notice was sent. QASEPTIC\BOARD\107 Robbins St Ost Jul 2016.doc r . On February 4, 2015 you sent us a report and confirmed that you would pump whenever needed. At this, time, we need an update from you on the status of your septic and the sale of the house. We also would like to know whether the septic has been pumped and confirmation that there is still only one occupant. This item will be on the September 13, 2016 Board of Health agenda. ,We will need your response as soon as possible and, you are welcomed to attend the meeting on this matter. You will be given the opportunity to testify,present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health QASEPTIC\BOARM107 Robbins St Ost Jul 2016.doc Town of Barnstable Barn Regulatory Services Department { Public Health Division Do i639 A1� 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scallie,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7030 0001 4990 4933 July 7, 2016 Mrs Adrienne A. Carlton 107 Robbins Street Osterville, MA 02655*1737 • YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, September 13 2016 at 3pm in the Town Hall, Hearing Room, 2nd Floor at 367 Main Street, Hyannis MA due to your failure to repair or replace the septic system which failed inspection on 10/30/2011 (cottage septic system at 107 Robbins street, Osterville, MA. The State Environmental Code Title V requires all failed septic systems to ,-' be repaired or replac3ed within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You requested a hearing, and at the October 8, 2013 meeting the Board of Health granted an extension of six (6) months to bring the septic into compliance. On SeOptember 9, 2014 Board meeting, the Board granted another sic (6) month extension until January 31, 2015, because the system was hot overflowing or backing up and you were the only occupant in the house. You stated you were in' the process of selling your house On February 4, 2015 you sent us a report and confirmed that you would pump whenever needed. At this, time, we need an update from you on the status of your septic system. Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Robbins St Ost JuL 2016.doc Town of Barnstable Barn Regulatory Services Department j DAA MAB r 16.59• Public Health Division D Aim 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scallie,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7030 0001 4990 4933 July 7, 2016 Mrs Adrienne A. Carlton 107 Robbins Street Osterville, MA 02655-1737 • YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD on Tuesday, September 13 2016 at 3pm in the Town Hall, Hearing Room, 2nd Floor at 367 Main Street, Hyannis MA due to your failure to repair or replace the septic system which failed inspection on 10/30/2011 (cottage septic system at 107 Robbins street, Osterville, MA. The State Environmental Code Title V requires all failed septic systems to be repaired or replac3ed within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You requested a hearing, and at the October 8, 2013 meeting the Board of Health granted an extension of six (6) months to bring the septic into compliance. On SeOptember 9, 2014 Board meeting, the Board granted another sic (6) month extension until January 31, 2015, because the system was hot overflowing or backing up and you were the only occupant in the house.. You stated you were in the process of selling your house On February 4, 2015 you sent us a report and confirmed that you would pump, whenever needed. At this, time, we need an update from you on the status of your septic system. QASEPTIC\Letters Septic Inspection Failures or Future Ev11107 Robbins St Ost JuL 2016.doc • ][We also would like to know whether the septic has been pumped and confirmation that there is still only one occupant. This item will be on the September 13, 2016 Board of Health agenda. We will need your response as soon as possible and, you are welcome to attend the meeting on this matter. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH PER ORDER OF THE BOARD OF HEALTH as McKean, R.S. C Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Robbins St Ost Jul,2016.doe r ����� � � ' � y � f i- �` .. _ �--p�' c-- � .. Y � � � � � �� �� � �� s , . ��� . �o�-� , . I � - * ' • � � 7 . .. _ I �` • � l ,. .. `Y t ][We also would like to know whether the septic has been pumped and confirmation that there is still only one occupant. This item will be on the September 13, 2016 Board of Health agenda. We will need your response as soon as possible and, you are welcome to attend the meeting on this matter. You will be given the opportunity to testify, present witnesses, documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH PER ORDER OF THE BOARD OF HEALTH o as McKean, R.S. C Agent of the Board of Health 0 Q:\SEPTIC\Letters Septic Inspection Failures or Future Evl\107 Robbins St Ost Jul,2016.doc Health Master Detail Page 1 of 1 Logged in As: TOWN\I'yr)N - Health Master Detail Tuesday,December 12015 .. Application Center Parcel Lookup Selection Items Reports Parcel Septic. Perc Well Fuel Tank Parcel: 142-117 Location: 107 ROBBINS STREET,OSTERVILLE Owner:CARLTON,WILLIAM L&ADRIENNE A 1. - Septic 1 New Septic Permit number: Permit type: Select type T Complete system: ❑ Issue date ; ! Complete date Septic tank size: E: � Type/Size of SAS: Installer: Select Installer Y Card on file: I/A service type: Select service v Innovative/Alternative Technology type: Select IA type v Variance date Abandon complete date : - —i )h Abandon permit number: Repair deadline date : 1/31/2015 Repair notification date : 6/12/2013 Keyword: --� ��` Comments: JUNREGISTERED.SHORELINE REMVL.COMM FD.DZM. Delet$eptic � Inspection 6/5/2013 Inspection 4/13/1448 New Inspection _._ _., .._.,................__._ . Number Inspection Date Inspector Result 7903 �� 6/5/2013 Wright,Ricky L. �! F(Fail) The following condition(s)are occurring: ❑ discharge,or ponding of effluent to the surface of the ground ❑ pumping more than 4 times during the last year NOT due to clogged or obstructed pipe ❑ backup of sewage into facility or system component 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 ❑ any portion of the SAS,cesspool,or privy below high groundwater elevation ❑ any portion of the cesspool within a Zoned to a,public well ❑ any portion of a cesspool within 50.feet of a private water supply well with no acceptable water quality analysis Received Date Comments ' k - - I Perc Test - 6/6/13 Liquid depth incesspoo? s less "`,.Delete-lnspectlOnd, than 6 bc10 nvert or avai.Iable volume is Less than 1/2 day flow On BOH agenda 10/08/13 s1r.. 7mf 1t z ar ng 6/5/2013 �fr� ��76/Inr 4�Re eived`1t r regardinq„StnLus of septic: s tuai ion extens on'grartedluntil°'9/li/14:jr nf M1 ttr 2nd"extension requested gr nted (1/31/2013)jmf,7 4 V �� TSa e"Sep ict Changes Return fo l kup http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=i42117 w 12/l/2015, y 107 Robbins Street ` Osterville, MA 02655 September-8, 2014 a Public Health Division Town of Barnstable 200 Main Street Hyannis, MA 02601 To Whom it May Concern, I have received the "Order to Comply with State Environmental Code,Title 5" dated July 9 asking me to repair or replace the system at my home. lam in the process of modifying my mortgage..I have been notified by the bank that my request is under review. Once the modification is complete,l plan to apply. for a loan through Barnstable County to address the betterment. The system is not giving me any problems nor is their.leakage.-I am still the only occupant of the house. I am still in the divorce process,thus a primary reason for needing the loan modification' and not moving forward on replacing the septic. I am asking fora sixty day extension at which time I will know if I will be able to stay in the house and then apply for the loan immediately. if required, I will have it pumped if that might suffice temporarily as I understand that cost would be about$400. Thank you, again,for your consideration. Sincerely, :w•�.E is i �r - Adrie ne A. Carlton ! NO ZM1 CN r i I Town of Barnstable Barnstable pp SHE Taw Board of Healthc ft BARNSTABLE, � MAM $ 200 Main Street, Hyannis MA 02601 M 2007 �ATfD AI A, Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul Canniff,D.M.D. October 30, 2014 Ms. Adrienne Carlton 107 Robbins Street Osterville, MA RE: 107 Robbins Street;-.Osterville ,__.A= 1427017 Dear Ms. Carlton, At the October 14, 2014 public meeting of the Board of Health, the Board voted unanimously to grant you an extension to replace or upgrade the hydraulically failed septic system owned by you located at 107 Robbins Street, Osterville. This extension is granted for an additional 90 days. Therefore, the system shall be repaired on or before January 31, 2015. This extension is granted with the following condition: • The system shall be pumped when or if needed to prevent any sewage from overflowing onto the ground or backing-up into the home. This extension is granted because you indicated in your letter that the septic system is not presently overflowing or backing-up. You are the only occupant in the house. At this time, you stated you are currently awaiting notification from the bank in regards to a modification to your mortgage loan. The Board is of the opinion that the septic system should not pose a threat to public health or to the environment during this short time period if the system is pumped when/if needed. Sincerely yours, Wayne Miller, M.D., Chairman Board of Health Q:\WPFILES\Carlton20l4.doc h y \ • © FF. / F.3.. fU • - . I.. - i..... I.. ... • ... I . FFI( ,I A L U 8E � Postage $ P��IS A4 O ru 1 Certified Fee a. C3 r Postmark Q C3 Return Receipt FeeJULuL—Here .t,} — p (Endorsement Required) _ 2019 O Restricted Delivery Fee O (Endorsement Required) '� US PS � Total Postage&Fees � �• ru Sent To 0 Sfreet,APa Mr. & Mrs. William L. Carlton rys ?. 107 Robbins Street Osterville; MA 02665-1737 Certified Mail Provides: -a A mailing receipt a A unique identifier for your mailpiece a A record of delivery kept by thip Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Meile. o 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. a 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. 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". 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:- PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 000 ■ Complete items 1,2,and 3.Also complete A. Si at item 4 if Restricted Delivery is desired. X IV�OAddressee ent ® Print your name and address on the reverse . so that we can return the card to you. B. Rec i d y Printed Name) C., ate of Delivery • Attach this card to the back of the mailpiece,- I or on the front if space permits. I 1, Article Addressed to: D. Is delivery address different from item 14 ❑Yes I If YES,enter delivery address below;, 13 No II 1 Mr. & Mrs. William L. Carlton 107 Robbins Street 3. Service Type Oste.rville, MA 02665-1737 ❑Certified Mall 0 Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. t I! 4. Restricted Delivery?(Extra Fee) ❑Yes 2..Article Number. i ►i i; i i t f i I i i ''�.! ' ' f= `? t 9 I i (transfer from service label) 7 012 1 n o, 0 0 0 0 8 5`]; 4112 � I PS Form 3811.February 2004 Domestic Return Receipt y 102595-02-M-1540 L rs�r-,ti�'t-.^^.�r^e^ '��1^r• s. ^t s .>_ M UNITED STATE h'o T�L SEWR "' .q JUL pp�� `,� ma�yq. a. a e s P- 1. AI • Sender: Please print your name'address, and ZIP+4 in this box • ; mI Aown of Barnstable ublic Health Division I d Main street -- nis, MA 02601 I I i Town of Barnstable Barnstable Regulatory Services Department d ' "' tMAM 39. 'p' Public Health DivisionRNSTAB I 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644' Richard V. Scallie,Director FAX: 508-790-6304 _ Second Notice Thomas A.McKean,CHO CERTIFIED MAIL#7012 1010 0000 2851 4112 July 9, 2014 Mr. & Mrs. William L Carlton 107 Robbins Street Osterville, MA 02655-1737 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at'107 Robbins Street, Osterville, MA was last inspected on 5/24/2013 by Ricky Wright; a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: ' Two cesspools are completely full and the third has water level at 18" below invert, with signs.of staining and solids over inlet pipe. You are ordered to repair or replace the septic system within sixty (60) days. from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH homas McKean, R.S. CHO Agent of the Board of Health Q:\SEP.TIC\Letters Septic Inspection Failures or Future Evl\107 Robbins St Ost June 2013.doc n . Town of Barnstable Barnstable �ppTHE Tp�y Regulatory Services Department �' 1 �# BARNSTAQLE, • public Health -Division . MASS. - - i679• �� ArE0 MAt�' 200 Main Street, Hyannis MA 02601 200� Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012 1010 0000 2850 9293 June 12, 2013 Mr. & Mrs. William L Carlton 107 Robbins Street Osterville, MA 02655-1737 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 107 Robbins Street, Osterville, MA was last inspected on 5/24/2013 by Ricky Wright, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following:. • Two cesspools are completely full and the third has water level at 18" below invert, with signs of staining and solids over inlet pipe. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. 0 y r PER ORDER OF THE BOARD OF HEALTH omas McKean, R.S. CHO r� -- -� Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\107 Robbins St Ost June 2013.doc https:Htools.usps.com/go/TrackConfirrnAction.action?tRef=fullpage&tLc=1&text28777=&tLabels=70121010000028509293 English Customer USPS Mobile Register/Sign In �jService /^ uspsear . Search USPS.com or Track Packac Quick Tools Track Ship a Package Send Mail Manage Your Mail Shop Business Solutions Enter up to 10 Tracking A Find Find USPS Locations Buy Stamps sco p o TM t Customer Service) Cal ul T ra e k i n g Have questions?We're here to help. Loo c , Hold Mal Change of Address Tracking Number:701 21 01 0 000 028 5 0�929 Requested label is archived. . i Restore Archived Details> Product & Tracking Information Available Actions Postal Product: Features: Certified Mail- 71 June 18,2013,9:31 Delivered OSTERVILLE,MA 02655 r am Track Another Package What's your tracking(or receipt)number? Track It �. LEGAL ON USPS.COM ON ABOUT.USPS.COM OTHER USPS SITES Privacy Policy> Government Services, About USPS Home) Business Customer Gateway) Terms of Use, Buy Stamps&Shop) Newsroom> Postal Inspectors> FOIA) Print a Label with Postage, USPS Service Alerts) Inspector General> No FEAR Act EEO Data, Customer Service) Forms&Publications) Postal Explorer, Delivering Solutions to the Last Mile> Careers> Site Index) ^ r OUSPSCOW ! CopyrighrJ 2014 USPS.All Rights Reserved. https://tools.usps.com/go/TrackConfirrnAction.action?tRef=fullpage&tLc=1&text28777=&tL.abe1s=7012101000... 4/1/2014 er - -\ COMMONWEALTH OF 1\11ASSACHUSETTS -EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET. BOSTON. h1A 02108 617.292•S500 'AILLIANI F WELD Go%cmor ARGEO PAUL CELLUCCI f"' DA1"- Li Go\cmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSP;CTIONJORM PART A A CERTIFICATION 107 Robbins Street Osterville Address of O ''.,ner: Property Address: i, f,9 4/1 3/98 Mass. (If different "%' r Date of Inspection: orgBlF 98 ' Name of Inspector:,Tosseph P_Macomber Jr. �• e? I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (A 15.000) Company Name: J.P.Macomber & Son Iric. ., Mailing Address: BOX 66 Centerville,Mass. 02632 Telephone Number: S(1R_775_ -431 8 CERTIFICATION STATEMENT I cenif that I have personally inspected the sewage disposal system at this address and that the information reported Belo- s :r,,e jc and complete as of the time of inspection. The inspection was performed based on my training and experience in the proyr _r maintenance of on-site sewage disposal systems. The system: _Zpasses.x _ Conditionally Passes _ Needs further Evaluation By the Local Approving Authority Fails e Inspector's Signature: 1L. / Date:I The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of cor^pie:­3 I-) inspection If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system ow-.-�er ua I S. the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent !o -ne s,s:e.— and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: YSTEM,;PASSE$i', t I°have not found any information which indicates'thatthe system.violates any of the failure criteria as deigned ir. 31C .• Any failure criteria not evaluated are indicated below. COMMENTS:' B) SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repairec. _ne s: completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined'. �j1r/L The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Ce- : czt:. Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date o, :.r•r the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial n1,11,,I,o, or e,;w,a: c.r failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforrmng c as approved by the Board of Health. (r.vi..d 04/25/97) Y.y. 1 of 10 DEP on the Wono vvioe Web: rinp./rwww magnet state ma usvoep Printed on RecyUeo Paper r, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Propeny Address: 1 07 Robbins Street Osterville,Mass. 0^ner: M.A. Kelleher Date of Inspection: 4/1 3/98 B) SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is cue or0�e • C C pipets) or due to a broken, sealed or uneven distribution box. The system v;III pass inspection f (wan a. Board of Health). Describe observations: broken pipe($) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times ayear due to broken or obstructed p,pe s The srste^ .nspeciron if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed Q FURTHER EVALUATION IS REQUIRED BY THE BOARD Of HEALTH: A, Conditions exist which require funher evaluation by the Board of Health in order to determine if !ne >-er, public health, safety and the environment. t) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING 11 xk '- WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: 'IL(,N Cesspool or pry is within SO feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh :) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE? T=� '•i`. THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY ANC) TH. ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 fee. e a s_^aC-e tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a 9 The system has a septic tank and soil absorption system and the SAS is within 50 feet of a - : to —el s-- The system has a septic tank and soil absorption system and the SAS is less than 100 feet ou: 5D feet or private water supply well, unless a well water analysis for coliform bacteria and volatile org3',C co •.c r the well is fret from pollution from that facility and the presence of ammonia nitrogen ant r_va:e r.: ctr- less than 5 ppm. Method used to determine distance Aj/Z (approximation not vat.1 3) OTHER ,/ -� `X �r t -- - .¢ --- - tr.�l..d 0./15/771 i.q• 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR.10 PART A CERTIFICATION (continued) Property Address: 107 Robbins Street Osterville,Mass. Owner: M.A. Kelleher Date of Inspection: 4/1 3/98 D) SYSTEM FAILS: You must indicate ewer "Yes" or "No" as to each of the following: �d I have determined that the system violates one or more.of the following failure criteria as defined in 310 C.»R 15.303 The bans for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correc. the failure. Yes N1' / Backup of sewage Into facility or system component due to an overloaded or clogged SAS or cesspool V Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS o, cesspool. Static liquid level in the distribution box above outlet inven due to an overloaded or clogged S.qS or cesspoo' Liquid depth in cesspool is less than 6" below invert or available volume is less than 112 day floe. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s) Number of times pumped 6— Any ponion of the Soil Absorption System,cesspool or privy is below the high groundwater elevat,on. Any ponion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a sun ace water supp:. Any portion of a cesspool or privy is within a Zone I of a public well. Any ponion of a cesspool or privy is within 50 feet of a private water supply well. Any ponion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply weli w,Ih no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis ;or coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.. E) LARGE SYSTEM FAILS: You must indicate either "Yes" or "No—as to each of the following: The following criteria apply to large systems in addition to the criteria above: .(1r) The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant Inreat (o public health and safety and the environment because one or more of the following conditions exist: Yes No .fJr 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 1[[ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area • IWPA) or a mapped Zone it o; 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 proe am requirements. of 314 CMR 5.00 and 6.00, Please consult the local regional office of the Department for further information (raviaad 04/25/97) Page 3 of 10 L v SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Properly Address: 107 Robbins Street Osterville,Mass. Owner: M.A. Kelleher Date of Inspection:4/13/98 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes N� Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving norm.a'. flow rates during that period. Large volumes of water have not been introduced into the system recent'ii� as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. _ All system components,&Iuding the Soil.Absorption System;-have been located on the site. _i1JG� The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for cond,;,o•n o- baffles or ;_es, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum — The size and ioca:ion of the Soil Absorption System on the site has been determined based on The faclhty owner (and occupants, if djfferent from owner) were provided with information on the proper maintenance o Sub-Surace Disposal System. Existing information. Ex- Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Pan C is at issue, approximation of distance is t unacceptable) (15.302(3)(b)) (r.virriiid 04/25/97) P&g• 4 of 10 - i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 107 Robbins Street Osterville,Mass. Owner: M.A. KeLLEHER Date of Inspection:4/1 3/98 FLOW CONDITIONS RESIDENTIAL „ Design flow:�_g.p.d./bedroom for S.A.S. Number of bedrooms: 1 Number of current residents: Garbage grinder ryes or no):_ Laundry connected to systyn (yes or no) �i Jg& 6ojvoC1 Seasonal use (yes or no) -5 /�/; /I � 131,001 Water meter readings, if available (last two f2) year usage lgpdt: �99��19J�bb Sump Pump (yes or no):41ic) Last date of occupancy f, k COMMERCIAUINDUSTRIAL• Type of establishment Design flow: V,4 Rallons/day Grease trap present: (yes or no)WL� Industrial Waste Holding Tank present: (yes or no),Z)I* Non-sanitary waste discharged to the Title S system: (yes or no)A Water meter readings, if available Last date of occupancy:�j� OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and sciurce of information: System pumped as pan of inspection (yes or no) E If yes, volume pumped: 0 allons /� ) Reason for pumping: IJKV4 y 4 3 �� ',t �+ d t'� /CSC L°1%Gd�O�y[G� f�sC cj- TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspools Overflow cesspool y/) Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) /( - I/A Techno ogy etc. Copy of up to date contract? Other tirJ� AP, , OXIMATE AGE of II components, date installed (if known) and source of information: f�66d E' iJlli i' Z// Sewage odors detected when arriving at the site: (yes or no) (revL•d 04/25/97) F.g. 5 of 10 IA SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Propertv Address:1 07 Robbins Street Osterville,Mass. Owner: M.A. Kelleher Date of Inspection: 4/1 3/98 BUILDING SEWER: !Loca(e on site plan) Depth below grader Material of construction: !/cast i qn _ 40 PVC_ other (explain) 2� t 'yt Distance fro;,,private water s up'plyf well or suction line Diameter �— Comments: (condition of joints, vend g, evidence of lea age, etc.i — < , SEPTIC TANK;/ -)C (locate on site plan) Depth below grade:z�? Material of construction:v.4concrete-1-*tnetaIA14FiberglassnV�P Polyethylene 4;29other(explain) If tank is meta, list age A//' Is age confirmed by Certificate of Compliance A�/A(Yes)No) Dimensions: '4' Sludge depth: & Distance from top of sludge to bonom of outlet tee or baffle:_ Scum thickness: 4,1,4 Distance from top of scum to top of outlet tee or baffle: /V,4 Distance from bottom of scum to bonom of outlet tee'or baffle: 444 How dimensions were determined: lcJ/ Comments lrecommendanon for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) GREASE TRAP: (locate on site plan) Depth below grade:.:.. f Material of con structionoi�XconcretecAmetaWi�iberglassllJ/JPolyethylene4A/ other(expla n) Dimensions: Scum thickness: 41 Distance from top of scum to top of outlet tee or baffle:�x Distance from bottom of scum to bosom of outlet tee or baffle: .41,14 Date of last pumping: --f� Comments (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet inven, structural integrity, evidence of leakage, etc.) Iz.vi..d 0�/75/97) Pag• 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR,Ns PART C SYSTEM INFORMATION (continued) Properly Address: 107 Robbins Street Osterville;Mass. Owner: M.A.Kelleher Date of Inspection 4/1 3/98 SOIL ABSORPTION SYSTEM (SAS):2 ;locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive metnods) if not determined to be present, explain: Type leaching pits, number. leaching chambers, number: leaching galleries, number: leaching trenches, number,length: leaching Gelds, number, dimensions: - overflow cesspool, number._ Alternative system: Name of Technology: PASd Comments. (note condition of soil, $Ig f hydraulic failure, level of ponding, condition of vegetation etc.) T CESSPOOLS: -- (locate on site plan) Number and configuration.- Depth-(op of liquid to inlet invert: �r Depth of solids layer ` Depth of scum layer: Dimensions of cesspool b' Materials of construction: .t: /r indication of groundwater: - " inflow (c.espool must be pumped as pan of inspect1on)� � �C' � Comments: ' (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY:jb( (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.) tr•vl•.d 0�/15/9�) ➢.9. 6 of 10 - ' SUBSURFACE SEWAGE DISPOSA('SYSTEm INSPECTION FOR" PART C SYSTEM INFORMATION (continued' Properl> Address:107 Robbins Street Osterville,Mass. ^"e' M.A. Kelleher Date ci inspection: 4/13/98 TICHI OR HOLDING TANK:L2d,<&Tank must be pumped priut to, or at time. of nspec,ioni (Ioed:e c., we plan) Dep;n rIO grade ALI Md:e"Zi o' Con slruclton:,V/ Concrele,(Amelal, Flberglasl,�Polyethylene e.,4other(ezpla,n) D,mens,ons 1194 Cacac 71, gallons , Design ' i � gallo Aldan e•el /r Alarm in -oking ; Order2� �'eS,q//�Nv - Dare 0 p'e—ovs-pump'ng C Omm2^-:e tconc,t:c1 of -nle( tee, condition of alarm and Float sw-Iches, etc ) DISTRiE jTIO.v BOX4hty- JOca:e s :e plan) 'tee::' ._ 0 level above outlet nvert • �Or""'r s - Ino;e Ie.e, and distribution Is equal• evidence of solids carryover, evidence of leakage Into Or out Of box, e.c +Sl�+r__GITiie r iy( 742 A.1,17 --- PU"7 C.-+AMBER: y� — Uoca:c c, s,:e plan) ,.O"-ng order: (Yes or NO)dI/� Alarms ..Orking order (Yes or Not Comr*,e^:s 'note :Orc :.On Of pump chamber, condition of pumps and appunenances. etc.) tr..;..c :v25W) - ➢.g. l of 30 i SUBSURFACE SEWAGE DISPOSAL SYSTE,NA INSPECTION FOR. + PART C SYSTfrs INFORMADON (continued) Proper) %.co,ess: 107 Robbins Street Osterville,Mass . D»nel M.' A. Kellaher Date of i"•sPection: 4/1 3/98 SKE'TCH OF SEWAGE DISPOSAL SYSTEM: ties to at least rwo permanent references landmarks or benchmarks loca:e all wells within 100' (Locate where public water supply comes into house) Iivy 4 of 01 ` r nv J r\ . �.\f 1 li•v:••b :•/:9Lf11 ➢.9. 9 of 10 • SUBSURFACE SEWACE DISP SYSTE•ti1 INSPECTIO•ti FORS+ SYSTEM INFOI �' (cont;nved) Proptr• A--rts) 107 Robbins Street Osterville,Mass.- O-ne, M.A. Kelleher De;e ct irsprcto":4/13/98 De:;r. :c C•ouncwater /h Feet ~tease _sale all the methods used to determine High Croundwa:(Y Eip.a:,dn: C--:ainK from Design Plans on record �C str a!�on.of Site.(Abuning:property. observation hole. baserne rr s.mo etc.) D e:e'm�ne I from local Conditions C-tc. —:n local Board of healtn %.A Map) p:^-o,ng records total eaca�ators. n$tallels e -SCS Data :):r own words how You established the H,gh Croun:kwj cr:.'e,at•cn roust be comp!e:ec Used water contours map. Gahrety & Miller Model 12/16/94 it•...._ :�::)/971 P.c.. ��.. :B a ..�-..--r,.r-+r -r-.—nf.r..n.r...r..r.:•.�--+ar:-rr.—�r�ri: +v-c-wee rxr. _ .. ... ... _ a-r•.z+�--_T—r..-rrr---•- _. TOWN OF Barnstable BOARD OF HEALTH SUIISURFACF 9FWA(;F DISPOSAL SYSThM INSPECTION FORM - PART D - CER'rIFICATION -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS ,107 Robbins Street Osterville,Mass . ASSESSORS MAP , BLOCK AND PARCEL # 142-117 OWNER' s NAME M.A. Kelle- her PART' D - CERTIFICATION NAME OF INSPECTOR Joseph P.MAcolnber Jr. COMPANY NAME J.P.Macomber & Sort-Tnc. COMPANY ADDRESS Box 66 Centerville,Mass. 02632 Street Town or City 5tat0 t I P CO3HPANY TELEPHONE ( 508 ) 775 - 3338 FAX (508 1 790 - 1578 CERTIFICATION STATEMENT I certify that I _have personally inspected the sewage disposal system i this address and that the information reported is true , accurate , and complete as of the time of ..inspection., The inspection was performed and any recoinnendations regarding upgrade , maintenance , and repair are consistent With my training and experience in the proper function and maintenance .oC on site . sewage disposal systems, Check one : t wy:b System YPASSED The inspection which I have conducted has not found any information which 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 . System FAILED* The inspection which I have conducted has found that the system fnils' tc Protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature J - Date One copy of this c61;�ification must be provided to the OWNER, the BUYER ( where applicable ) sand the DOARD OF HEAL'I'11. If the inspection FAILED, the owner or" 'p* erator shall upgrade the sya.ten wii:hin one }year of the date of the inspection , unless allowed or required otherwise as provided in 310 CMR 16 . 305 , partd . doc w L s Y b v THE` COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in.310 CMR 15 .340 and Section 13 of Chapter 21 A of the General Laws. Issued by The Department of Environmental Protection. June 8, 1995 Acting Director of the ion of Water Pollution Control D w Parcel Detail Page 1 of 4 9 ' s Oot Logged In As: Pa I'CeI Detail Monday,July 11 2016 Parcel Lookup - Parcel Info - ,---------- — - — Parcel ID 142-117 I Develope LOT 6 Location 107'R06BINS ST— ET f Pri Frontage 100 f Sec Road ( Sec Frontage I Village Osterville „Fire District C-O-MM I Town sewer exists at this address No I Road Index 1377 I Asbuilt Septic Scan: Interactive 142117_1 Map f rs}r w- Owner Info owner CARLTON,WILLIAM L&ADRIENNE A I Co-owner I Streeti 107 ROBBINS STREET Streetz city FOSTERVILLE ( State FMA I zip 02655-173 Country F Land Info Acres FO 35 use Single Fam MDL-01 ( zoning [RCtl~ I Nghbd 0109 I Topography FLevel I Road Paved Utilities ISeptiC,Gas,Public Water Location i- Construction Info. -- --- ------ .- — Building 1 of 1. Year 1971 Roof Ga�ble/Hi �"•"• Ext Built,l Structt p I wall Wood Shingle Living r2312 I Roof Ash/F GIs/Cm Al None ° Area Cover F p p I Type Z WDK`1,' Style Colonial wali Drywall I Beds—Bedrooms _ Io 4` z — Rooms Model Residential Int(�Carpet Batn 3 Fu11-1 Halms f Apr,. Floorv^� � I Rooms # SW 2 >14 T[ls Heat Total N 4 RAS Grade. Average Plus Hot Water I 8 Rooms FOP a BMT 4': Type Rooms 14 Heat Stories 18 I Fuel OII :I F ation'�-'�/pICaI �28 Gross 5326 Area Permit History Issue Date Purpose Permit# Amount Insp Date Comments I • `a http://issgl2/intranet/propdata/ParcelDe'tail.aspx?ID=9220 7/11/2016 . Parcel Detail Page 2 of 4 Visit History Date Who Purpose 2/1/2013 12:00:00 AM Pamela Taylor Change of Address 1/16/2013 12:00:00 AM Geraldine Clark In Office Review 5/29/2007 12:00:00 AM Paul Talbot Cyclical Inspection 11/23/1999 12:00:00 AM Donna Dacey Meas/Listed-Interior Access 1/15/1994 12:00:00 AM IME Meas/Est Sales History Line Sale Date Owner Book/Page Sale Price 1 6/1/1998 CARLTON,WILLIAM L&ADRIENNE A C148750 $292,500 2 11/5/1985 KELLEHER,MAUREEN A #D378851 $0 3 3/19/1971 KELLEHER,ROBERT F&MAUREEN A C50819 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value. Total Parcel Value 1 2016 $184,600 $55,500 $2,300 $250,100 $492,500 2 2015 $195,200 $57,400 $3,100 $242,400 $498,100 3 2014 $195,200 $57,400 $3,200 $242,400 $498,200 4 2013 $195,200 $57,400 $3,300 $242,400 $498,300 5 2012 $207,600 $54,400 $2,600 $242,400 $507,000 6 2011 $238,500 $13,800 $1,000 $242,400 $495,700 7 2010 $238,900 $13,800 $1,400 $247,600 $501,700 8 2009 $267,700 $12,800 $700 $312,700 $593,900 9 2008 $275,100 $12,800 $700 $311,000 $599,600 11 2007 $300,900 $12,800 $700 $311,000 $625,400 12 2006 $276,000 $12,800 $700 $299,600 $589,100 13 2005 $247,600 $12,600 $700 $271,500 $532,400 14 2004 $209,000 $12,600 $700 $373,300 $595,600 15 2003 $177,200 $12,600 $700 $110,400 $300.900 16 2002 $177,200 $12,600 $700 $110,400 $300,900 17 2001 $177,200 $12,800 $700 $110,400 $301,100 18 2000 $142,700 $11,900 $400 $47,500 $202,500 19 1999 $142,700 $11,900 $400 $47,500 $202,500 20 1998 $142,700 $11,900 $400 $47,500 $202,500 21 1997 $181,600 $0 $0 $47,500 $230,400 22 1996 $181,600 $0 $0 $47,500 $230,400 23 1995 $181,600 $0 $0 $47,500 $230,400 24 1994 $143,200 $0 1 $0 $45,800 $189,000 25 1993 $143,200 $0 $0 $45,800 $189,000 26 1992 $162,900 $0 $0 .$50,900 $213,800 27 1991 $172,200 $0 $0 $88,300 $260,500 28 1990 $172,200 $0 $0 $88,300 $260,500 29 1989 $172,200 $0 $0 $88,300 $260,500 30 1988 $118,100 $0 $0 $38,400 $156,500 31 1987 $118,100 $0 $0 $38,400 $156,500 32 1 1986 1 $118,100 $0 $0 $38,400 $156,500 Photos II http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=9220 7/11/2016 TOWN OF BARNSTABLE 4 LOCATION /V� i � ,/� ��_ �i SEWAGE # VILLAGE 42 lam/..�Z/k ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK GAPACTTY LEACHING FACILITY: (type) (size) L�X✓ NO. OF BEDROOMS am ,,y BUILDER OR OWNER ZX19 PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet i Private Water Supply Well and Leaching Facility (If any wells exist f. on site or within 200 feet of leaching facility) Feet Edge of Wetland and Le Ching Facili (ff any wetl ds existwithin 300 fee f 1 ili y ty Feet Furnished b ' o q S ti l I�9 7Z TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION TION MAP NO. It 0 PARCEL NO. _.4 -7 VILLAGE: , .ADDRESS OF TANK: A� . Ntjmkoe'r* 'MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : ef v jj r- QbWNER NAME: PHONE: BY: T NSTALLER ADDRESS: CERT.NO. *TANK LOCATION: .t-G.J., (6ffoCRX== YANK LOCATION WITH MMSMKCT TO PUIL.01NO) CAPACITY/Ml , TYPE 'OF TANK, AGE /% YRSK'FUEL)/CHEM I CAL -7- TESTING CERTIFICATION PASS FAIL --,DATE t LEAK DETECTION CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION YES C NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED C q' YES C I NO DATE CONSERVATION CHECK IF N/A DATE BOARD _OFHEALTH TAG NO. C J DATE r. /7 PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON. THE' BACK OF THIS CARD �FtHEpp� TOWN OF BARNSTABL.E OFFICE OF �AaasTABTIn BOARD OF HEALTH o�A�D MAY 367 MAIN STREET HYANNIS, MASS. 02601 I O J , 1989 I Dear / Enclosed is brass valve tag #_.�.�_ Please attach to the fill pipe of your underground tank . You must do the following as indicated: ---- Remove your tank. I have enclosed information for you regarding tank removal . l Have your tank tested starting i 1 �__ . You must test during the loth, 13th, 15th, 17th and 19th,� y_e rand annually thereafter. Removal in the year I have enclosed information regarding tank testing . ** In order to have your tank tested you must first contact an engineering company (see attached) -to have a monitoring well _installed.. Once the monitoring well has been Installed you can then call 362-2511, rx E. 334 'and ask for Charlotte Stiefel or George Heufelder at the Barnstable County Health Department, to have your tank tested via the Soil Vapor Analysis Test. Currently, the test is clone free of charge under the auspices of an EPA grant. Due to the unknown age of your tank we must presume it is twenty (20) years of age. You must have it tested every year and remove it by the year 1993 . To have it tested please follow the procedure as indicated above from the ** (asterisk) on. If you have any questions please feel free to call me at 775- 1120, Extension 183 . Thank you, Donna Hiorandi Health Inspe ctor I