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HomeMy WebLinkAbout0087 SCUDDER ROAD - Health 37 SCtiDDERROAD, OSTERVILLE A 140 017 aFz�E r� Town of Barnstable Barnstable a� Regulatory Services Department Afi-knmtnCky 1* AARNSTASLE, a 3q Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 a Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO . 97 June 3, 2009 Matt Andrews 286 High St. Topsfield, MA 01983 Dear Mr. Andrews, Thank you for your response to the Board of Health Order Letter dated May 15, 2009. As we had discussed on the telephone your home has a septic system capacity for 4 four (4)Bedrooms based on Massachusetts State Sanitary Code title V; 310CMR 15.000. and the Town of Barnstable permit#2007-288. The completion of the area above the garage as a bedroom would put you in violation of Title V and 105CMR 410.310 unless you were to remove a bedroom in another area of the house by combining two Bedrooms into one Bedroom by installing at a minimum a five foot cased opening between the rooms and applying for permits to do the work. The building permit application dated June 2, 2008 contains a comment by a Health Inspector that at the completion of the project the total number of bedrooms would be four(4). "Your compliance with"the above requirements will become necessary at the completion }.of the Bedroom area above the garage.As you have made a good faith effort to comply with the Board of Health Order by contacting me; at this time no additional action is needed by you until you complete the unfinished portion of your project. Please contact me if I can be of any additional assistance with this matter " Sincerely, 8 Jaime ot. R.S. Health nspector Town of Barnstable ti;V afIRE Town of Barnstable Barnstable Regulatory Services Department 4 ` 11AR.NSTASLE, MASS. i gym` Public Health Division rFo rna�°r m 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 FAX: 508-790-6304 Thomas F.Geiler,Director t Thomas A.McKean,CHO CERTTIFIED MAIL 7007 3020 0001 3429$134 May 15, 2009 Matt and Judy Andrews 286 High St. Topsfield; MA-01983 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 87 Scudder Rd., Osterville, was inspected on May 15, 2009 by Jaime Cabot, R.S. Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.300 & 310 CMR 15.00—Title V. Septic system (permit#2007-288) capacity is only for 4 bedrooms; 5 bedrooms observed. J You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by removing the 5th bedroom by combining two downstairs l rooms into one room and applying for building permits to do the work as per building permit application # 200802277. You may request a hearing before the Board of Health if written petition requesting same is.received within ten(10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division an a to speak with the inspector who performed the inspection. PE ORD R O H BOARD OF HEALTH Th c e O Director of Public Health Town of Barnstable 02/28/1994 02:26 508-790-1578 J.P.MACOMEER $ 50N PAGE 03 Town of Barnstable Regulatory Services f l Thomas F.Geiler,Director Public Health Division Thomas McXein)Director 2,00 Main Street,Hyannis,MA 02601 Office: 508862-4644 Fax: 508.79U304 Installer&Designer Certification Form Date; 7-17- o-7 Designer: S�- ifneeV:,�, inc,. Installer: C euce_ Evnier :0e.s ' Address: 28.54 Cranloerr, Address: 0. 130,), � T wert,nom riA 02s38 t6v�1� / 7(A On - 3 Zoo i + "Tt� /6--S was issued a permit to install a (inst - septic system at 87 5Cvd d Q t o Q J based on a design drawn by >, (address) �C- Cns;�eertr�5 1 `n� dated e. z1 , 200 7 (designer) X11certify that the septic system referenced above was installed substantially according to the desiga, which may include minor approved changes such as lateral relocation of the distribution box aadlor septic tank. ; I certify that the septic system referenced above was bastallcd with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any companant of the septic systeM)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. JOHN L. A` CHURCHILL eI'9 1e) CIVIL N 41807 arguer s rgnature (A D igaer s S p ere) PL SE RETURN TO Al V.R ABLE.PXlB3 e AFL D SYON. CER D"1CATE C4 CL L NOT BE IS§= UNTILp::_-AS. B RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. 'WIN YK U. Q:Ho9tb/SeptrJDesiper CaMoation Poem t TOWN OF BARNSTABLE ,LOCATION [r7 Sc-c, -doje, 2d SEWAGE# VILLAGE OS+-ek u 1 ASSESSOR'S�MAP&PARCEL / INSTALLERS NAME&PHONE NO. Co",e k-i .(0Lf �h} (ray ya SEPTIC TANK CAPACITY l U k� a y I LEACHING FACILITY:(type) �,�� s-oo L - 1*2U(size) 1I X 33 . NO.OF BEDROOMS q OWNER tQ 1 \t PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility vv U t:.Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) - Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY i o 113 1 `f 13 a�.s �g 37. 0 c3S' Pry 3f . v 3(o �7, o ,�? -S,o BI S-.7.4, TOWN.OF BARNSTABLE LOCAa6N S � `�"�� SEWAGE VILLAGE V S � ' �-� ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY Sao a o I S . LEACHING FACILITY: (type) (size) NO.OF BEDROOMS Y BUILDER OR OWNER PERMITDATE`. COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by a b /,Z-7 9 ar , GAS SpJv� No. i 9 Fee 1_�Jv THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Rpplication for ;ioponl bymem Construction Permit Application for a Permit to Construct( , )Repair( L4upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot NJ $? SG�cI�Q e /1 � Owner's Name,Address and Tel.No. ,,// oscE2v��le F 2 sc�dd �✓ Assessor's Map/Parcel qO l `� Installer's Name,Address,and Tel.No. e4 64 Designers Name,Address and Tel.No. Pe�v, ' E'2 �P xs J•C• ��r��.:�� A 0.13,x 7G �a`6'- �? zs Sye-rA. yerly 474 o2e 3 O�'t 7 ©htc Type of Building: Dwelling No.of Bedrooms _ Lot Size 7-�-1-sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures,,4rr,, Design Flow gc) gallons per day. Calculated daily flow L4 5Z • 1 gallons. Plan Date (o-Z1—ZoO) Number of sheets Revision Date Title �i l St✓., .. Size of Septic Tank 16700 G a 1 Type of S.A.S. �3 5 oc) Q WL. L L - Description of Soil lk2,- Nature of Repairs or Alterations(Answer when applicable) A 3W ( S?» P?4 121741L Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with,the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed Date -7 Application Approved by Date Application Disapproved for the following reaso s Permit No. "" Date Issued tI ��� r+= • , Fee THE C4MMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE, MASSACHUSETTS TfppYication for Mfgpogar *pgterit-Congtruct on 3pernrit ' Application for a Permit to Construct( )Repair(Apgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot I1) 'al Sc.,jclj e , Owner's Name,Address and Tel.No. ��'��� t2�e✓a Assessor'sMap/Parcel 45�C/ZV�\1e SG�rlt�e.✓ �,�G( ' '40 V/ O2-6.5J Installer's Name,Address,and Tel.No.G9r1Pe, r,�a Fy?/C���XS Designer's Name,Address and Tel.No. 5 c �—yt�;� �;_1 �0.f3on 7r.� l �jG., 73 0�1� ZSSycia•�yeriy r1.��,y Type of Building: ' L 1- Dwelling No.of Bedrooms Lot Size _sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) ° Other Fixtures Design.Flow 4 4o gallons per day. Calculated daily flow L4 J Z 1 -gallons. Plan Date �'Z ^�-2-c>CF1 Number of sheets 1 Revision Date Title Sup, Size of Septic Tank I SOO 4"i i Type of S.A.S. �-3 o�9 WL �. L ' Description of Soil `hf-Q �Q k_1A_ Nature of Repairs or Alterations(Answer when applicable) Od ( S7;�o G,n-1 1Y "(3 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed rn 0 /1 ( Date- 3 ' 2°0-) Application Approved by � _>I/ \ Date Application Disapprove for he following reasons r `J Permit No. //� � Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS I Certificate of Compliance / THIS IS TO CERTIFY,that the On-si Sewage Disposal System Constructed( )Repairedl(.f )Upgraded( ) Abandoned( )bA �.f�� �- L at 5(. _✓r.11 rt- W.�l ha bqeqn constructed in accordance with the provisions of Title 5 ands,he for Disposal System Construction Permit N i dated Installer CA-0e,�,)*A_, �-e!D/t•>t i L(_�, Designer M i The issuance of this permi 11 t l�e c�strued as a guarantee that the sys m 1i1�1 .nct n as desi one,. Date �� I01 Inspector yNo. � Fee P L/ P THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS i Migpogal *pgtent Congtruction �M.erntit" I irmission is hereby granted to onstrt c�t( )Repair Upgrade( )Abandon( ) System located at 7 5,,4�✓ and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions.-.Provided: Cons Construct'on lust/be completed within three years of the date of this prm't. Date:' /`3 A roved b "/A"CS - �___�¢'� PP Y ,� , � sit TOWN OF BARNSTABLE ' 2� LOCATION �7 S�� SEWAGE# �Cr�'' - VILLAGE oS u 1 L l.Q _ASSESSOR'S�MAP&PARCEL INSTALLERS NAME&PHONE NO._�'an e.+_.J f 041 �r^� �a8 yU� SEPTIC TANK CAPACITY i So U « a v LEACHING FACILITY:(type) Z� S OO aU(size) t 3 X 3 o S NO.OF BEDROOMS OWNER W l �� `�•�I z PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ✓V Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY i - I �9/ t5,.0 (0 3 Say 31.3 �y 37. c? t3S' FrtP 38 . 0 0 A ' /j, � y� TROY WILLIAMS SEPTIC INSPECTIONS m �' Certified I y MA Department of Environmental Protection 01 508 5-1300 19 Hummel Drive .998 South Dennis,MA 02660 Nti COMMONWEALTH OF MASSACHUSETTS '' pEXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIR S DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET. BOSTON, MA 02109 617-292.5500 WILLIAM V WELD TRUDY CO7 E Governor Secrctary ARGEO PAUL CELLUCCI DAVID B.STRUHS Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner PART A CERTIFICATION Property Address: 87 Sc'''d d&, l-c1•' USfe.. v, ls't Address of Owner: . m Date of Inspection: /0 I /� (If differenU Name of Inspector: Troy Williams $1•ZC 1 am a DEP approved srem inspector pursuant to Section 1S.340 of Title S(310 CMR 1S.000) Kerry Lh . Company Name: TrOY .Williams Septic Inspections C� Mailing Address: 19 HUmmpl DriyPa South DPnniS, MA 02660 `C�wy Nsc� Telephone Number: (508) 385-1300 2 O s CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection: The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system_: Passes _ Conditionally Passes t ^ _ Needs Further Evaluation By the Local Approving Authority ` _ Fails Inspector's Signature!" ;A.., Date: /0 42 7/S 8 The System Inspector shall submit a copy of this inspection report to the Approving Authority,within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable, and the approving authority. INSPECTION SUMMARY: Check A, 8, C, or Di AI SYSTEM PASSES: " I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: BI SYSTEM CONDITIONALLY PASSES: A///4 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. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If'not determined',explain why not. The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached) indicating that the tank was installed within twenty(20)years prior to the date of the inspection; or the septic tank,whether or not metal, is cracked, structurally unsound, shows substantial infiltration or enfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. Ir•v1 ud 0./15/f7) '" fay• 1 or 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A 87 Scudder Road,Osterville,MA CERTIFICATION (continued) Property Address: Peter Minshall Owner: October 27, 1998 Date of Inspection: Bj SYSTEM CONDITIONALLY PASSES (continued) /V�1j Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipets) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipets) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS.UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within SO feet of a surface water Cesspool or privy is within SO feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAY THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or 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 public water supply well. The system has a septic tank and soil absorption system and the SAS is within SO feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but SO feet or more from a private water supply well, unless a well water analysis for coli(orm bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than S ppm. Method used to determine distance (approximation not valid). 3) OTHER SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 87 Scudder Road,Osterville,MA ' Owner: Peter Minshall Date of Inspection: October 27, 1998 DJ SYSTEM FAILS: All'? You must indicate er,,.er "Yes" or"No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.301 The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessa r"to correct the failure. Yes No Backup of sewage into facility nor system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. _ Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. _ Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,'attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: N/4 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: The system serves a facility with a design flow of 10,000 gpd'or greater (Large System)and the system is a significant,threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. Ir"vr""d 0�/75/971 -- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST 87 Scudder Road,Osterville,MA Property Address: Peter Minshall Owner: October 27, 1998 Date of Inspection: Check if the following have been done: You must indicate either "Yes"or"No"as to each of the following: Yes No ._ 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 normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ �✓�4 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. .1L _ The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. Y _ All system components, excluding the Soil Absorption System, have been located on the site. AZA The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material-of construction, dimensions, depth of liquid,depth of sludge, depth of scum. _The size and location of the Soil Absorption System on the site has been determined based on: The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal.System. oVZ4 Existing information. Ex. Plan at B.O.H. Y _ Determined in the field(if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) 115.302(3)(b)J (rwised 04/2S/971 ' J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION'FORM PART C SYSTEM INFORMATION 87 Scudder Road,OstemUe,MA Property Address:, Peter Minshall Owner: Date of Inspection: October 27, 1998 RESIDENTIAL: FLOW CONDITIONS Design(low: N0 .p.d./bedroom for S.A.S. Number of bedrooms:_ Number of current residents: D Garbage grinder(yes or no):�VO Laundry connected to system (yes or no): 5 t Seasonal use (yes or no): Nv Water meter readings, if available (last two(2)year usage (gpd): _97 = 53,00v rya//v- �(, 3a/,oDU a Sump Pump(yes or no): No y Last date of occupancy:�(_C pp# L COMMERCIAUINDUSTRIAL- Al/I Type of establishment: Design flow:_$allons/day Grease trap present: (yes or no) Industrial Waste Holding Tank present: (yes orno)_ Non-sanitary waste discharged to the Title 5 system: (yes or no) Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: /l . ��7c✓ 4o vf.,�. u��H t✓. System pumped as p n of inspection: (yes or no)_,o(O If yes, volume pumped: eallons Reason for pumping: TYPE OF SYSTEM ' Septic tank/distribution box/soil absorption system Single cesspool ZOverflow cesspool Privy Shared system (yes or no) (if yes,attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed(if known)and source of information: C.-�<,nv c 1 S �r� D..c ui►,�,if U✓_9 h a f a . �a II GI( T c c S .v 1 7 Sewage odors detected when arriving at the site: (yes or no) /V6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 87 Scudder Road,OSterville,MA Owner: Peter Minshall Date of Inspection: October 27, 1998 BUILDING SEWER: A114 (Locate on site plan) Depth below grade: Material of construction: _cast iron 40 PVC_other (explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK:—A/h (locate on site plan) Depth below grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene --other(explain) If tank is metal, list age_ Is age confirmed by Certificate of Compliance _(Yes/No) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How dimensions were determined: Comments: (recommendation 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: N�i9 (locate on site plan) Depth below grade: Material of construction: _concrete_metal _Fiberglass _Polyethylene —other(explain) . Dimensions: Scum thickness: Distance from top of scum to top of outlet tee'or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: " (recommendation 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.) (r. i..d 04/25/97) _ _ l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 87 Scudder Road,OsteMlle,MA Property Address: Peter Mirtshall Owner: October 27, 1998 Date of Inspection: TIGHT OR HOLDING TANK:(Tank must be pumped prior to,or 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/day Alarm level: Alarm in working order_Yes;_ No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:ff/� (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) - PUMP CHAMBER:,-I /,g (locate on site plan) Pumps in working order: (Yes or No) Alamo in working order(Yes or,No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 87 Scudder Road,OStervine,MA Owner: Peter Minshall Date of Inspection:October 27, 1998 SOIL ABSORPTION SYSTEM(SAS):Z (locate on site plan, if possible; excavation not required, but may be approximated by non intrusive methods) If not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number,dimensions: overflow cesspool, number: b vt t 6 'X S' o✓e✓�'/o w c e-.>s Leo 1. Alternative system: Name of Technology: Comments: (note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc I U1., C-C-S S 00 ) 1.✓0.s t//.y r /.N tt.t1 Ot, l..i t uk cA. ,3 S rti o ac' /.j <. 7CL St L r/�.r t ).' 4V OJ e.✓f'%oW �.c._s S�/uJ CESSPOOLS:�[ (locate on site plan) Number and configuration:O h t w.: r, c_+ Depth-top of liquid to inlet invert: S. S ' Depth of solids layer: 9 Depth of scum layer: Ala/V F_ Dimensions of cesspool: 'd c s)7. X S " a. Materials of construction: Gc-c 1,00 a ) 6/a c h Indication of groundwater: /16;v r- inflow(cesspool must be pumped as part of inspection) 00 c or '/-n/c,s✓ ;-e Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) r+ (ow e1 tt t) �. . L1 st.�+. r 0 C , n b u/ •/O„ .J�+.C YN A y b-a- /Orp A- /-o G 1" c-/✓L�./7 C+�r�v( �,p D S S. �� C..�.:cA. r ✓e- S i.q It t u( fi rr, �f s�: W% h o Abe ✓���'j,oe ?�✓r, d( [� PRIVY: 'f�a fi '�"•h,t. �o S rt.� S o ("l.�cs✓ 1 (locate on site plan) j /�''cj�� y- •+ >' ,Nsp�` 4; Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc) (—i..d 04 2s 7� /9 ) .. P.q. a of 10 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 87 Scudder Road,OsteMlle,MA Owner: Peter Minshall Date of Inspection: October 27, 1998 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public.water supply comes into house) ~/AVM tit 4 In 001 GVar,�o w cc-s tpu n I Atu6 414.)vrf, c ss/"flls. ►", h,:n:»..,», s�.,rF�� , s�f by S/uI �p eCIn: ,, "'-a A'1J iS ati aCLViwfL r<<a.� a� csyS/Oc;. -�+r►�C GF :L fV40 �1` S �agpe-��'uti �S No /f� A C' ✓�ri..� }cG Or O!r c.CSS/0c7I !; p'/b'G S� or Tv�vrA- 1.40,- V'.r ca .X4�o«.j (revised-04/25/97) v.... • �� �e SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 87 Scudder Road,Os Mile,MA Property Address: Peter Minshall Owner: Date of Inspection: October 27, 1998 Depth to Groundwater Feet adjusted high groundwater level Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records / Check local excavators, installers V Use USGS Data Describe in your own words how you established the High Groundwater Elevation. Must be completed) 14 C) C.e #0tS � LCs s�u✓ t' ram ` iti . C TOWN OF BARNSTABLE LOCATION_ S � c�-+` SEWAGE # VILLAGEV Ste,. j'�—' ASSESSOR'S MAP &LOT s INSTALLER'S NAME&.PHONE NO. : SEPTIC TANK CAPACITY l a'S a® 9 S LEACHING FACILITY: (type) y (size) . NO.OF BEDROOMS t_l BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by l.J . C s !6 12 7 I Y r- 7k Y 1 _j 7'-G" r ca Vn.}c es d d d � �� u ca cow�`n6Qa 0\ Q atq°`° °6a q pm 5° f c Q i tl' p f @p r _ r � 0 �y O ^A L � Rh L 71 0 - O O RR L L+ L r P.T./ xm n7 -�OeLW F .L , . S i L r I o o n . a " t I' Rndu-canes TWY 4 7 • •I I , - � I YIN NGI LIYINGf Pi4MLYF-POM f - hndar.an� Y 4 r a-%(4"mfl) • °.'2'-f O'., I%'-6" ...I LU } p t 'I : :..-'-._�_......:.:..:lie'ieiieeieiiiE:iC:-'_:::::::::�:::::�:::::_'_-�':.':-:-...: _ - p w I I _ it II I Q Is ............. ..-• .I .i..-..i : solid baar'n ---�------4x4+o •. r q - - ? I li I .... I I .r-._..._-... II 4xa+o.ofdbaa ' .: I - PFO . - - I N/reo r paam AbaV�'•• �— i I r a P4 2'- r 7 G lB"x 4'-4 /B" 3'- LFOI r x i .................. -------------- 0 UP _ ...- , 4Halfmow -_ --.............. 2 ! r!B x 4 4 7!B $ m0.--... . ._---_............................. Y as+aal bspm . _________ I S y.Man now cacondflaor mac+a.- I : bad-oom KaomPla+ad.awc+nq ;�:V: ___ I am _ :cY° -up B baba wall�ara+o baramovad +o craa+a ona larva bad-oom. ❑ � �m � 0 � A, FIIP_r fILooF_pLhN H;?�w is2 o o � �'sLJp%q�q \ UP a s so g c N Y«4l N S Wr . r./TF'exm r7cala: r/A"- r'-O" �'os eat eJ.11 TP-r vec.W @ c J mgo66� Na+a. n m s 6 ° g'J J < `o !.II Ma�uraman+<t4-1111;an�ar,,4 ppp�m i-8 5 �°-" y%'s'� ba.-No varrFiad by 4anarwl Gan+ra�+ar p 1a j i m5 0� rjj yf 9 a++ims of son>.+rr 4 w, jQ� J ytr 6 L Z Q r i.1in,wAl. S K >i.oL oL\1 0 a 0 0 N°vr w.11- \ � DRA WING TYPE: a n Fisk Floor I'IAA% d` d` Nu SHEET NUMBER: A'-B r/2" r%'-% r/2" n 0 fj �IEp�Po a,.R.l•. m CnocEC^na.°„ J «DO Oa0 r/E" 20'-9 f/P" ll � �c�00dMEn�• V' ov or ��• ORm am a cm 4 e� a em o 0 L � o • �' � pl r --�-� S o� ----- --------- --------- ------ w Q C w FU71](Z��aPF fP�G J F-UTUF.� w r s f B "� -... J' -i �S Mdcrsnm Tw9oae, -...}. .:......a.-... I CaJ I „ 5 ----------------- — a---- --------- p e. � —_eai:+y lino — $ � -�.W o 3.. I —, ,Q . O, d 1 � ' O i o _ O O u 3 O A <,CeVNb F-LOGar—FLAN 9 a: 0_ �1 J g 21u6` Jn ear I - 8=- a r a s e,i.nnq w.n. i 5 z t11 m o ° cs pa a��Eda 4 iL�L�� p AllMs�uramsn4,4Pim^n. +° o ° W tl tl 0 0` s bs.i+a varifi°d by Ganar„I Gan+rpc+or U ar ��d J +ims°F c—+rua+'°n �a o io b DRA MINE TYPE: w-e" b e�leLondPloorFlRn SHEET NUMBER: f - - ------------- ---------- --------- TOF =32.2'± FINISH GRADE OVER D-Box= 29.3' FINISH GRADE OVER CHAMBERS= 28.8'+- - 29.3'± REMOVABLE COVER TO SLOPE @ 2% MIN. OVER SYSTEM 3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE GENERAL NOTES 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OVER TANK EL.= WITHIN 6"OF GRADE 4"SCHEDULE 40 PVC MIN SLOPE 1% ACCESS BOX WITH COVER TO GRADE 2"OF 1/8"TO 1/2" DOUBLE WASHED STONE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE FINISHED GRADE 30.0' + 5' DIA. OUTLET(S) (SEE GENERAL NOTE#22) ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. @ FOUNDATION = 3.1 0'± 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD 20"MIN.ACCESS COVER PROVIDE RISER OVER ALLPLACE RISERS ON TYPICAL) 12"MIN. OF HEALTH AND THE DESIGN ENGINEER. (3 PICAL) OUTLE + INLET TO WITHIN 6" 36"MAX. 12 MIN. TOP OF SAS= 26.33' CHAMBERS WITH INLET 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL OF GRADE 36"MAX. 25.50' 12" MIN. PIPES TO 6"OF FINISHED PROPOSED 4" PROPOSED 36"MAX. BREAKOUT EL 26.00' GRADE BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. SCHEDULE 40 PVC 4"SCH 40 PVC 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN 2' DROP MIN. PROVIDE WATERTIGHT ELEVATION =26.00' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. 6' 3" JOINTS (TYP.) 4- 3" DROP MAX. 3" 9" MIN.SLOPE @ 1% UNLESS A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. FROM AND THE TOP OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 101, SEPTIC TANK 4' PVC OUT To 0 coo- 0 29.0' ± 14" 6.75' LEACHING FACILITY <Z> C 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 0o� C: o = 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 12" 0 MIN. 2' coo CD 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO 26.00' 25.83' = n-7 n7n OUTLET TEE CDC:> CDCD BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR 27.00' 48" 00 > 6"CRUSHED STONE INSPECTION. SYSTEM IS NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH AND DESIGN ENGINEER. �--22"ZABEL FILTER OVER MECHANICALLY 00 C>-_ L. MODEL#A1801-4x22 COMPACTED BASE i .44.0' 8 13.4' 8.5' so 4.0' 4.0' - ELEVATIONS BASED ON APPROXIMATE M.S.L. OF 30.00' ESTABLISHED ON A 5 OUTLET DISTRIBUTION BOX 33.50' so - - 4.9' NAIL SET IN A TREE, AS SHOWN ON PLAN. 6" CRUSHED STONE TO BE INSTALLED ON A LEVEL STABLE I (TYP.) 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION OVER MECHANICALLY < 18.17' 12.9' - BASE. FIRST TWO FEET OF OUTLET 23.50' GROUNDWATER ELEV.= THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE COMPACTED BASE C, PIPES TO BE LAID LEVEL. PROPOSED 1500 GALLON CONCRETE SEPTIC TANK 5' MIN. AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY CROSS SECTION VIEW 3 - 500 GAL. CHAMBERS DISCREPANCIES TO THE DESIGN ENGINEER. LENGTH 10' 6" WIDTH 5' 8" DEPTH 5' 8" (DIMENSIONS PER 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE WIGGIN PRECAST CHAMBER DETAILS CHAMBER END VIEW SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE STRUCTURES SHALL BE MADE WATERTIGHT. *CONTRACTOR TO VI-RIFY NOT TO SCALE CORP., POCASETT, MA) NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ------------------ ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH SWING-TIES DETERMINATION FROM APPROPRIATE AUTHORITY. TEST PIT DATA 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS DESCRIPTION HC1 HC2 LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE 14.8' 22.0' • INSPECTOR: Donna Miorandi SEPTIC COVER IN (1) i THEY SHALL WITHSTAND H-20 LOADING. EVALUATOR: Michael Pimentel, E.I.T. 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND SEPTIC COVER OUT(2) 23.5' 26.6' a DATE: 6/21/07 FINES. LEACHING CORNER(3) 30.4' 32.2' TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND 63.9' • • ELEV TOP 29.00' UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING CORNER(4) 61.5' goal LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN LEACHING CORNER(5) 65.7' 67.1' • ELEV WATER= <18.17' COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN a ACCORDANCE WITH 310 CMR 15.255(3). LEACHING CORNER(6) 34.0" 41.8' • • PERC RATE <2 Min./In. 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN MAP 140 SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. W DISTRIBUTION BOX(7) 37.8' 37.3' a DEPTH OF PERC 36"-54" PARCEL18 • 16. PROPOSED PROJECT IS LOCATED WITHIN: TEXTURAL CLASS: 1 ASSESSORS MAP 140 PARCEL 17 • 7. 0 29.00' 17. OWNER OF RECORD: WILLIAM & KATHLEEN M. FITZGERALD t MAP 116 Fill ADDRESS: 33 FR. CARNEY DRIVE IL M I LTON, MA 02186 PARCEL54 00 7" 28.42' N85022'10"E #0 $ 0 • 0 M # FEMA FLOOD ZONE C --'155.00' AS SHOWN ON COMMUNITY PANEL# 2500010016 D B Loamy Sand ic 6 0/ • PLAN REFERENCE: e 1 18. 1 OYR 5/6 1. PLAN BOOK 104, PAGE 69 DRIVEWAY i 19. DEED REFERENCE: 7 1. BOOK 12277, PAGE 176 e 36" 26.00' 20. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. Sa Perc I % jut 54' 24.50' 21. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY GARAGEx ____ ❑/H/W -� U) 1-19 Medium- FOR SEPTIC SYSTEM INSTALLATION. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. C) Coarse Sand IC seo C 2.5Y 6/6 22. A 4"PERFORATED SCH.40, PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A STAIRS In Loose DEPTH OF THE BOTTOM OF THE SAS AND EXTEND To WITHIN 3"OF FINISH GRADE. A 1?0 m rn REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. PROPOSED 1500 GALLON STOOP No Mottling, SEPTIC TANK 0C 0 LOCUS PLAN Weeping, or Standing Water Observed > 130" 18.17' r-n I � \ _ o I 0 SCALE: 1"= 1000' PROPOSED DISTRIBUTION BOX \ �`,No - LSA PROPOSED 3 - 500 GALLON TEST PIT DATA LEGEND LEACHING CHAMBERS PO CH W Vi W DESIGN DATA MAP 116 #87 W W INSPECTOR: Donna Miorandi C) EXISTING EVALUATOR: Michael Pimentel, E.I.T. x 50.0 EXISTING SPOT GRADE PARCE L 55 7 4-BEDROOM NUMBER OF BEDROOMS 4 .P. (D DWELLING DATE: 6/21/07 50 EXISTING CONTOUR cn C' HC2 DESIGN FLOW 110 GAUDAY/BEDROOM --i TOF 32.2'± rn o Ln MAP 140 GRAVELa TEST PIT#: 2 PROPOSED CONTOUR G) TOTAL DESIGN FLOW 440 GAUDAY ---- --- PARCEL 17 PARKING M 880 GAUDAY ELEV TOP 29.30' O/H/W - O/H/W - 0 DESIGN FLOW X 200 % EXISTING OVERHEAD WIRES 14,280 S.F. AREA In _0 ELEV WATER= <18.47' -X-X-X-X-X- EXISTING FENCE C/o >< USE PROPOSED 1500 GALLON SEPTIC TANK m PERC RATEHC1 W W EXISTING WATERLINE z DEPTH OF PERC (7) (3) (2) 3.4! TEST PIT LOCATION INSTALL THREE (3) 500-GALLON CHAMBERS TEXTURAL CLASS: 1 LSA PROPOSED 1500 GALLON SEPTIC TANK (4) ------- If SIDEWALL CAPACITY ON 29.30' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE (LENGTH +WIDTH)(2 SIDES)(EFF. HEIGHT)(.74 GPD/SQ.FT.)=GPD Fill = = "� \ (33.5'+ 12.9')(2)(2')(.74 GAUSQ.FT.)= 137.3 GAL. LEACHING/DAY 7' 28.71' 0 PROPOSED DISTRIBUTION BOX O 0 J BOTTOM CAPACITY PROPOSED 500 GALLON LEACHING CHAMBER ­TP1 29.30` CID (LENGTH)(WIDTH)(.74 GPD/SQ.FT.) = GPD (33.5')(12.9')(.74 GAUSQ.FT.) 319.8 GAL. LEACHING/DAY 1 OYR 5/6 B Loamy Sand 29,00' 10.01 33.5 (6) TOTALS: TOTAL LEACHING AREA 617.7 SQ.FT. REV. DATE BY DESCRIPTION x-X- 36" 26.30' TOTAL LEACHING CAPACITY 457.1 GPD O.W X PROPOSED SEPTIC SYSTEM UPGRADE S8502Z PREPARED FOR: I Medium um- CAPEWIDE ENTERPRISES Coarse and C 2.5Y 6/6 LOCATED AT \-EXISTING CESSPOOL TO BE PUMPED AND MAP 140 Loose Benchmark FILLED WITH CLEAN, COARSE SAND PARCEL16 87 SCUDDER ROAD MAP 116 Nail in Tree EXISTING CESSPOOL TO BE FILLED WITH Weepi Non g, or S Mottling,tanding OSTERVILLE, MA 02655 PARCEL56 Elev. =30.00' CLEAN, COARSE SAND Water Observed Approx. M.S.L. 130" 18.47, RESERVED FOR BOARD OF HEALTH USE SCALE: 1 INCH = 10 FT. DATE: JUNE 21, 2007 0 5 10 20 40 FEET CHURCHILL PREPARED BY: A. N 418 IL07 JC ENGINEERING, INC. 2854 CRANBERRY HIGHWAY NOTE: MAGNETIC MARKING TAPE SHALL BE SITE PLAN- EAST WAREHAM, MA 02538 PLACED ALONG THE TOP EDGE OF ALL SEPTIC 508.273.0377 SCALE: 1 10' SYSTEM COMPONENTS Drawn By: BSM Designed By:BSM Checked By: JLC JOB No. 1234