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0047 SECOND AVENUE - Health
47 SECOND AVE Osterville, MA 02655 4 dZ-;�4 Parcel Detail Page I of 4 ..__.,.. "��.�...,�.�.._-,.#''-1.:.-�,,.a.r• .... - ... ,t,. Longed In As: Parcel Detail Tuesday,July 2 2019 Parcel Lookup Parcel Info Parcel ID 116-064 � � Developer LOT 19 Lot Location 47 SECOND AVENUE I Pri Frontage 142 Sec Road Sec I Frontage Village Osterville Fire District C-O-MM Town sewer exists at this address NO Road Index 1463 I Asbuilt Septic Scan: ; 116064 1 Interactive = Map I� 116064 2l Owner Info owner tWASS,JENNIFER M � �� Co-owner Streetl PO BOX 179 I Street2 City ;OSTERVILLE ( State MA zip�02655 1 Country D Land Info Acres 0 Mul.68 Use ti'Hses M R DL-01 I zoning C 7 ( Nghbd 0112 Topography Level I Road[Paved I d. Utilities,Septic,Gas,Public Water I Location oLl Construction Info S Building 1 of 2 Year 1960 Roof Gable/Hip I Ext 'Wood Shingle Built Struct- Wall Living 1374_� Roof Asps " h�F GIs,'p I Type FN-one -I , Area� cover I! gqg Int Bed Style Cape Cod ( Drywall I 4 Bedrooms ) € Wall Roomskx POP - Int _ Bath 1Q Model Residential I Hardwood I .Full-O Half sas Floor Rooms. �� "9 BM' Grade Average_ y_�_e_ _ Heat lHot Air Total 6 Rooms Type G Rooms "" ..�".� Heat oA «_" _."°'_ Found a 14 Stories 1 1/2 Stories I Fuel leas I anon Conc. Block �I { oP x� $14. Gross 2762 Area Building 2 of 2 Year Roof Ext Built 1900 �I Struct Gable,+Hlp �i wall Wood Shingle http://issgl2/intranet/propdata/Pa,rcelDetail.aspx.ID 6639 7/2/2019 Parcel Detail Page 2 of 4 Living 632 "" Roof'As h/F GIs/Cm AC None Area Cover p p Type Be Style ottage � wall D -ry all N I Rooms C FBedroom ) , ;, PTO° 6 Model Residential Int Carpet Bath 0 Full-1 Half - ��. Flcor RoomsON rr. Grade Below Average I Heat Hot Air I Total 4 Rooms I. y fi Type Roomss� ..� Heat Found- Stories 1 Story I Fuel :Gas ation rBlk/Pour Ftgs I 4 'GAR k' s ; _Gross .05�1112 v.. I ' Area Permit History Issue Date Purpose Permit# Amount Insp DateComments 12/21/2005 Remodel 89217 $13,824 3/20/2006 12:00:00 AM Visit History Date Who Purpose 12/6/2017 12:00:00 AM Keith,Markowski Cycl Insp Comp 4/19/2017 12:00:00 AM Keith Markowski Bldg Permit Completed 3/27/2014 12:00:00 AM Jeff Rudziak In Office Review 5/5/2010 12:00:00 AM Michele Arigo Change of Address 10/26/2006 12:00:00 AM Paul Talbot Cyclical Inspection 9/24/2003 12:00:00 AM Paul Talbot Meas/Est 5/9/2001 12:00:00 AM SM Meas/Listed-Interior Access Sales History LLine Sale Date Owner Book/Page Sale Price 1 5/2/2001 WASS, JENNIFER M 13791/311 $0 2 11/15/1.993 WASS, JUDITH, MELANIE&JENNIFER 8907/300 $100 3 4/15/1993 WASS,JUDITH A 8530/195 $1 4 5/14/1963 WASS,JOHN M &JUDITH A 1201/103 $0 Assessment History __ _____._ .__ ----__ Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2019 $165,500 $31,300 $0 $478,100 $674,900 2 2018 $150,900 $31,700 $300 $455,300 $638,200 3 2017 $143,300 $32,300 $300 $455,300 $631,200 4 2016 $143,300 $32,300 $300 $444,600 $620,500 5 2015 $162,900 $34,600 $300 $450,900 $648,700 6 2014 $159,300 $33,500 $200 $450,900 $643,900 7 2013 $159,300 $33,500 $300 $450,900 $644,000 8 2012 $158,100 $32,700 $200 $391,600 $582,600 9 2011 $187,000 $3,400 $0 $391,600 $582,000 10 2010 $189,400 $3,400 $0 $391,600 $584,400 11 2009 $192,600 $2,500 $0 $462,400 $657,500 12 2008 $201,600 $2,500 $0 $482,000 $686,100 14 2007 $222,400 $2,500 $0 $482,000 $706,900 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6639 7/2/2019 Parcel Detail Page 3 of 4 { 15 2006 $191,800 $2,500 $0 $459,500 $663,800 16 2005 $176,700 $2,400 $0 $313,000 $492,100 i 17 2004 $141,600 $2,400 $0 $313,000 $457,000 18 2003 $120,500 $2,400 $0 $201,600 $324,500 19 2002 $120,500 $2,400 $0 $201,600 $324,500 20 2001 $117,700 $2,600 $0 $201,600 $321,900 21 2000 $78,800 $2,000 $0 $109,600 $190,400 22 1999 $78,800 $2,000 $0 $109,700 $190,500 23 1998 $78,800 $2,000 $0 $109,700 $190,500 24 1997 $73,800 $0 $0 $101,200 $175,000 25 1996 $73,800 $0 $0 $101,200 $175,000 26 1995 $73;800 $0 $0 $101,200 $175,000 27 1994 $82,000 $0 $0 $75,900 $157,900 28 1993 $82,000 $0 $0 $75,900 $157,900 29 1992 $93,460 $0 $0 $34,300 $177,700 30 1991 $106,800 $0 $0 $101,200 $208,000 31 1990 $106,800 $0 $0 $101,200 $208,000 32 1989 $106,800 $0 $0 $101,200 $208,000 33 1988 $110,200 $0 $0 $83,000 $193,200 j 34 1987 $110,200 $0 $0 $83,000 $193,200 x- 35 1986 $110,200 $0 $0 $83,000 $193,200 Photos r ri r: { 6 ' „ k http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6639 7/2/2019 Parcel Detail Page 4 of 4 I • ' l �. 4 } .,� to �.�,�"' r _ � �^�. '. Ou x F.++. x•. v`i �i" �-�' """,�7y'� � .,.. `ice r x� q aY ]( i }yyN Ysat y f h tp://issgl2/'intranet/propdata/ParcelDetail.aspx?ID=6639 7/2/2019 TO uF BARNST ppLE -LOCATION LOCATION (�Yad SEWAGE # c VILLAGE ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE; COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by L<> LJ ( \ OIL dad 00 QYI 67 ; . i LOCATf01� � SEWAGE PERMIT N0, LAJ VILLAGE INSTA VLER'S NAME i ADDRESS e U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED 70Y \� -v �p � r TOWN OF BARNSTABLE LC/—ATION �/� SfCi021101)9t"K- . SEWAGE #o06S—,�a VILLAGE ©���t� ,<<ta , ASSESSOR'S MAP & LOT INSTALLER'S NAME& PHONE NO. SEPTIC TANK CAPACITY 1S Gg(C,)-1 7F01IJOIJ e 1 Pvr COTTR�� LEACHING FACILITY: (type) M0 `CbKrnkv"- (size) $C 5 X 0 3r NO. OF BEDROOMS U BUILDER OR OWNER PERMIT DATE:, 1 a-1 Z—Q S COMPLIANCE DATE: — Z&2 Separation Distance Between the: Maxianum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet', Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by j a 3 YV4 A S,�11 No. �� � � Fee �'^ THt COMMONWEALTH OF MASSAC Entered in computer: 1/ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIppYtcatton for Diqual *, p5tem Cori!krurtton Verna Application for a Permit to Construct( ) Repair( ) Upgrade()d Abandon( ) ,�Complete System ❑Individual Components Location Address or Lot No. T 7 p cl A Owner's Name,Address,and Tel.No. Assessor's Map/parcel S O Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. " vS,�..�rhCQ..o r ll'VO ZIoS� '} G FsO,�I Ii J g Type of Building(� d ill� � r Dwellin No.of Bedroo IU —dZ C��t+g� Lot Size O —1 sq.ft. Garbage Grinder (N Q Other Type of Building v No.of Persons 3 Showers( ) Cafeteria( ) Other Fixtures r (_Design Flow(min.required) Coo gpd Design flow provided P (.0 C1 gpd Plan Date k)U U 1 S Z0 O S Number of sheets I Revision Date a Title Size of Septic Tank c=, ��H A Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 11poad , 92 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 C de Ad not to place the system in operation until a Certificate of Compliance has been issued by this 5Wd of He ,50_MI'1 ign Date Application Yk1rovJd by V Date F Application Disapproved by: Date for the following reasons Permit No. `_uo 6 Date Issued rya D� No. �00�' 10_ Fee , s" t Entered in computer: (� ti Akl'H ICOMMONWEALTH OF MASSAC :lTS�E-TTe p 1 s V PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIpplicatioti for,Ziopont *p.5tem Con.5truction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(�+ Abandon( Complete System ❑Individual Components Location Address or Lot No. T 7 a Owner's Name,Address,and Tel.No. y� / Assessor's Map/Parcel No r'P r vU?rj Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. H- Type of Buildin Dwelling A g( �BVedroogs3 r0/ — 2 rv6 Lot Size 3 Q i'7 0 cj sq.ft. Garbage Grinder (A)a Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow min.required) gpd Design flow provided `P (D U gpd Plan Date U U I S 2 U O S Number-.of sheets � � ? Revision Date jl Title Size of Septic Tank Description of Soil ! �/ a Nature of Repairs or Alterations(Answer when applicable) ,i J �L� r, i 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 fo'place the system irroperation until a Certificate of Compliance has been issued by this Board of Health. ��` r ` 1{r"AfTSi ne i _ /I�Gc 1 ! ` Date p c, i 'C Jr/ Application Approved by _ A/ Date !:?. /3k" ' Application Disapproved by: Date for the following reasons Permit No. ,?UUs;:- b Date Issued 12 / - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance !r THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded Abandoned( )by, f n at u 7 }flip 0 Cie 4 J_le has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. aw S-- L 20 dated i �r Installer Designer #bedrooms r/7 Approved design flow ( / gpd The issuance of his permit shall not -7be/construed as.a guarantee that the system/will f\t�•'o(n (�'desi�ned. Date / /Cj'7 Inspector 1r�.1\la►J s -------------------------------------------- No. - O Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 1is5po!6ar ,*, V!Wm Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade Abandon ( ) System located at �[A ",..114 / 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. IiProvided: Consftruct on must be completed within°three years of the date of tl�it?;p rmi . p f Date 211 U Approved by )M6 (I`lis No. r Fee r� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for �Dis;po!gar 6p! tem Cowaructiou. Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 4 MA A V E 'O CeNddress,and Tel.No. Assessor's Map/Parcel r (A" //6 eGY :t ga 8-(/o Installer's Name,Address,and Tel No. 55;,T Desig 's d ess and T .No. �. y• _6 /� «h�U:l-6, es �fG� Type of Building:Dwelling No.of Bedrooms sb Lot Size 3(3 tl D �tG sq. Garbage Grinder Other Type of Building No �of�Pe \ons Showers( ) C eteria( ) Other Fixtures Design Flow(min.required) � gpd esign flow p ovided 1< �. ��/ gpd Plan Date /��- /8 _qc� Number o shee R vision Date, Title Size of Septic Tank c _ /25-00 C a Type of S.A.S. Description of Soil As IA17 Nature of Repairs or Alterations(Answer when appli ble) I f F/`/ ['eSs �,. C5 Date last inspected: Agreement: The undersigned agr es to ensure the construe ion and maintenance of the afore described on-site sewage disposal system in accordance with the provisio of Title 5 of the Envi onmental Code and not to place the system in operation until a Certificate of Compliance has been issued by his oard of HeaIt Sig Date ! ' o�bC1 Application Approved,by A Date Application Disapproved by: Date for the following reasons Permit No. " Date Issued ` THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (I/r Upgraded ( ) Abandoned( )by Sf•fO P_C( ,nL Cc, n-X at L{ e C O 6 yz� Pt ✓L Q c!e� e ha o ructed a ordance with the provisions of Title 5 and the1 for Disposal System Construction Permit No. � dated Installer Designer ILIA( #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector �.-,_ b-�-..�-•flti�,.cidV.'- 'a -..';,r,.r'.'SSR^�w-�t*-n.+i _.,"�^-'"-.r.�r.a�•^t....'"°„•"--'°wx'x` . No.s Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: - PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for Migo!6AY *pgtem Construction permit Application for a Permit to Construct O Repair Upgrade( ) Abandon( j ❑Complete System ❑Individual Components Location Address or Lot-No.4 S(r�or1l� R c ner ddress,and Tel.No. Assessor's Map/Parceltr! / 'rJ�•y� Installer's Name,Address,and!Tel.No. J ,rS 3� De sig er's'� a d8�ss and Al.No. �rvice I SkC` `,/" Type of Building: p Dwelling No.of Bedrooms Lot Size 3Q �O 1 sq.ft. Garbage Grinder Other Type of Building No' of Pb sons Showers( ) C„feferia( ) Other Fixtures Design Flow(min.required) ` , gpd Design flow<<rovided � �`� �! d , / gP Plan Date k0U• /8 a COS Number she s W ,r Revision Dat Title 1+. Size of Septic Tank o[ - //SC�d (�A lo ! Type of S.A.S. -T'(5 G(3/ C ,F1l tj "P.�'~•`` Description of Soil AS ' r` /A/) Nature of Repairs or Alterations(Answer when appli able) M,�f ///f/:l"d`(S f�.t16 (ess�00/5, ,� 17 `/„5 Do�+B/ Sep%c�ta��S 1S 1 e � �� 5' S oC�l. k e �'� R t5.5�x i3�rick✓ Date last inspected: Agreement: The undersigned agrees to ensure the construotion and maintenance of the afore described on-site sewage disposal system in accordance with the provision s of Title 5 of the EnTonmental Code and not to place the system in operation until a Certificate of Compliance has been issued b this oard of ealtlt.- Signe (� A A Date �trr! = t2,o, aco , \ Application Approved by �/ �t _. Date :: . .Y . Application Disapproved by: � \ / J Date for the following reasons r ` Permit No. ,/f Date Issued ------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS QCertifirate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired Upgraded ( ) ` Abandoned( )by SttO 2 e��,�.�_ G ns�• at 4 P1 S e-Cc7,y,, RvC,. Q �ZK-c-n, l e h 7 c 7 tructed'n accordance with theprovisions of Title 5 and the for Disposal System Construction Permit No.?) dated .. Installer l�l`vC� \ lC.lr'.� <<kcr Designer �J�e�,SU&(` q� #bedrooms Approved design flow k7kp B gpd I•�. The issuance of this permit shall not be construed as a guarantee that the system will function as d igned. t j f Date l�r. / �1-77 c^- ,'J Inspector . -,A ---No. 17r_/lY�� ——————————————————————— Fee THE COMMONWEALTH OF MASSACHUSETTS i PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS `. xigpo5al *pOtem Construction Vermit ` Permission is hereby granted to Construct ( ) Repair (� Upgrade ( ) Abandon ( ) System located at �( � s ecn vw and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction dust be ompleted within three years of the date of t i permit Date / Approved by / �f Town of Ba>rnstable Regulatory Services - _ Thomas F.Geiler,Director PublicHeidth Di ,vision Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:508-862-4644 Fax:508-790-6304 Installer&Designer Certification Form Date.L a��Sewage Permit#��S 6a Assessor's MaplParcel 1/L— 06 Y Designer: S C" Agif Installer: cvC e .natAA�stcr Address: a 8 Lc 2 lam, C i Address: t �Q� S . 05 C V On la- t3-OS ruse �`1c.��,�k.s�`<< was issued a permit to install a (date) (installer) septic system at 1 SeCO,r,a PNe- O�ccv�l�C based on a design drawn by (address) dated //oV, /E1300S. (desi I certify that the septic system referenced above was installed substantially according to the design,which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e.greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations.Plan revision or certified as-built by designer to follow. (Installer's Signature) o�� r7SON _ -- - HALL` No.527 Q r B esignee s Signature) (Affix Design e) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION.CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.THANK YOU. Q:HedWeptidDesiper Certification Form 3-26.04.doc UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box• PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE 200 MAIN STREET HYANNIS, MASSACHUSETTS. 02601 I I I I €€ gg iijj ff}j jj ti 33 f i k SENDER: COMPLETE THI�SE;C;ITOk COMPLETE THIS SECTION ON DELIVEf?Y ■ Complete items 1,2,and 3.Also complete A. Signa item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ddressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, w � or on the front if space permits. D. Is delivery address different from Rem 19 es 1. Article Addressed to: If YES,enter delivery address below: ❑No Ms Jennifer Wass �. 47 Second Avenue ®sterville,MA. 02655 3. Service Type ❑Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service labeo 7000 i b°7 o O a j3 f6-(i o d/8 P— PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 I I ru l7 a F I C O Postage $ oEr- uT Certified Fee 43 rk Return Receipt Fee 4 Hi M (Endorsement Required) C3 Restricted Delivery Fee C3 (Endorsement Required) M Total Postage&Fees .0 Sent To ----- --------J-e n .--�'e-�'----�`----`---5 -------------------- O Street,Ap.No.;or PO Box No. - 9 ----, �=C_o_nc ---- -------------------------- p City,Stat ZlP ---�-- r- e r t/,-I-z C. )V)4 0-2 ds-- :�I oil Certified Mail Provides: o A mailing receipt a A unique identifier for your mailpiece IN A signature upon delivery 13 A record of delivery kept by the Postal Service for two years Important Reminders: n Certified Mail may ONLY be combined with First-Class Mail or Priority,Mail. c Certified Mail is not available for any class of international mail. o 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 USPS 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". n 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,May 2000(Reverse) 102595-99-M-2087 °F THE Tpw ti Town of Barnstable BMMSTABM * Regulatory Services 9 MASIS. g �,, 16g9. Thomas F. Geiler,Director rFD MA'S A ' Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 19, 2005 Ms Jennifer Wass 47 Second Avenue Osterville,MA 02655 NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V. The septic system owned by you located at 47 Second Ave, Osterville,MA was inspected on June 15t', Robert A. Paolini, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system has "Failed"under guidelines of 1995 TITLE 5 (310 CMR 15.00)DUE TO THE FOLLOWING: This i not a Title Five Septic Syste it is a sewage system. System is in hydraulic failure. Both cesspool& leaching pit were full at time of inspection You have two years from the date of the system inspection to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HE TH DEPARTMENT DATE 7/15/05 PROPERTY ADDRESS 47 Second Ave Nab" 02655 On the above date, the septic system at the address above was Inspected. This system consists of the following: , 1., 1-6X8 ceh-312oo e 2., 1-1000 gait eoa ieach.ing it.+ erti t Based on inspection, I certify the following conditions: 1 7h.iz .iz not a 7-itie Five Septic zybtem .it .is a zewage System .ins .in hydaauiic �a.iivae Both ce6zpooi & 1e h.ing jz^ t we':e J �uii at time o� .inspect.ion.' � -� 2: CO SIGNATUR - �_ =' m Name: Robert A. Paolini Company: Joseph P Macomber & Son Inc . Address: P. 0. Box 66 Centerville, Mass 02632 Phone: 508-775-3338 or 508-775-6412 C P. MACOMBER & SON, INC.an ks-Cesspools-LeachfieldsPumped & InstalledTown Sewer Connections 66 Centerville, 64 026.32-0066 775-3338 775-6412 • COMMONWEALTH OF MASSACH(JSETTS EXECUTM OFFICE OF ENVIRONMENTAL AFFAIR NT OF ENVIRONMENTAL PROTECTION DEPARTME i TITLE 5 OFFICIAL INSPECTION FORM—1�'I�OT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PARTA CERTIFICATION 44 Property Address: 4 7 Second A v e � ezv� �e aenn�.�e2 lJah�s E `'' Owners Naroe• Owner's Address, a m e s y c:D t Date of Inspection: 7 /2o�e2 1 Name of Inspector:(please print) -- —i---- an Name: o.m�e2 . -a' . Company S:on Inc. MailingAddress: ra,,b,.02632 — Cer� eay.c e, r N)Telephone Number:Number: 5 0 8 7 7 5=3 3 3 8 — rn / CERTIFICATION STATEMENT sewage disposal system,at this address and that the.information reported I certify that I have personally inspected the S. n my 's true accurate and complete as of the time of the inspecti on s to sewage di posal systems I am a based oDEP below t training and experience in the proper function and maintenance of r • approved system inspector pursuant tea Section.13:340 of Title 5(310 CMR 15:000). The system: PP Passes- Conditionally Passes the Local Approving.Authority i nb r Evaluat o y Needs Furthe Date: Inspector's Signature: (Board of Health or of this inspection report to the.Approsing Authority(B The system inspector shall)submit a copy stem or has a design flow of.I0,000 DEP)within 30 days of completing this inspection.If the system.is.a.shared sy. ro riate regional office of the d or greater,the inspector and the system eownerasubmit d pies sent ort to the apyto o the buyer)if pplicable,and the approving gP. DEP.The original should be sent to the system authority. Notes and Comments conditions at the t the system will perfo ime of inspection and under theconditions same or different • ****This report only describes c rm in the future under time.This inspection does not address how Y conditions of use. Rnrm 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION,FORM—NOT:FORNOEITNTA-RY' ASSESSMENTS SUBSUPJACE SEWAGE DISPOSAL SYSTEM INSPECTYON.FOR3C�l. PARTt A CERTIFICATION(continued) Property Address: 47 Second A v e • � eay.i.�2e owner: I e n n.i 7 — Date of.Inspection: 5/0 5 Inspection SgM wary: iChle& ;gJPCM or.E•/ 1�' i A-`complete-a11 of section;D A. System Passes: n o y e�_'I have not found any,information whicl indreates`t'hat any of the failure criteria described in 310 CMR 1L..or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: septic z ,6tPam -iz .in d iia-e B. System Conditionally Passes: n o' One or more system components•as described in the"Conditional:Pase.!sections need to be replaced Or repaired.The system,upon completion of the replacement or repair,as approved by the Board pf Health,will pass. Answer yes,no or not.determined(Y,N,ND)in-the for the following statements.If"not determined"please explah no. The septic tank is.metal-and.over,20 years old*or the septic-tank. metai.or nat)is tracturally unsound,exhibits substantial!infiltraOlDn or exfiltration.or•tank•failure is iae is System will pass inspcction•ifthe existing tank is replaced with'a complying,septicfankas-Approved by.the`Boasd of.Health. •A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: n o 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,sculed•or uneven distribution box.System will pass insp4ction_if(with approval of Board of Health): • �, broken.pipe(s).are replaced. . obstrhddon IS removed' - distribilfibn box b leveled'er-replaced ND explain: n o 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): ,� w hl' broken pipc(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY PEC SSESSM F gE TS SUBSURFACE SEWAGE DISPOSAL SYSTEM IN PART A CERTIFICATION(continued) Property Address: 47 Second R v e Owner:. aenn Ida.6,s Date of Inspection: C. Further Evaluation is Required by the Board of Health: 1 . no 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 blc health,safety and the environment. system system is not functioning in a manner which will p P no Cesspool or privy is within 50 feet of a surface water no Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh pier any)deter 2. S stem will fail unless the Board of Health(and Public Watersafety fe pland�environmenm�nes that the system system is functioning in a manner that protects the public health, septic tank and soil absorption system(SAS)and the SAS is no The system has a within 100 feet.of a surface water supply or tributary to a surface water supply. n o The system has a septic tank and SAS and the`SAS is within a Zone 1 of a public wateraupply. n o The system has a septic tank and.SAS and the SAS is within 50 feet of a private water supply well. n o The system has a septic tank and SAS and the SAS is.less thane�0 z ua t t 50 feet or more front 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 coli€orm is fre from polution fro that facity and bacteria and volatile organic compounds indicate en is a ual the Wellto orele than Slppm,provided that no other the presence of ammonia nitrogen and nitrate nitrogen 9 failure criteria are triggered.A copy of the analysis must be.attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL-INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE.DISPOSAL SYSTEM:INSPECTION FORM !1j` PARY A CERTIFICATION(continued) Property Address: 47 Second R u e Uate2v�.1?.�e. Owner•Judy 0a,3.s Date of Inspection: 7/7 5/0 5 D. System Failure Criteria applicable to all systems:. You must indicate"yes"or"no". to each of the following for all inspections: Yes No _ . X Backup of sewage into facility or.system-component due to overloaded.or clogged SAS.or cesspool Discharge.orponding of effluent to the surface of the ground or,surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due.to an overloaded or clogged SAS or cesspool X _ Liquid depth in cesspool is less than.6"below invert or available volume is less than'/2.day flow _ X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation. _ X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply: _ X Any portion.of a cesspool or privy is within a Zone 1.of a public well. X Any portion of a cesspool or privy is within.50 feet of a private water supply well. _ X 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 coliform bacteria and volatile organic compounds indicates.that the well is free from:pollution from:that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] y eh(Yes/No)The system fails.I have determined that one or moreof 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 151000. gpd• You must indicate either"yes"or"no"to.each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply X the system is within 206 feet of a tributary to a surface drinking water supply the:system is located in a nitrogen sensitive area(interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant.threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 r Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SIBSURFACESEWAGE DISPOSAL`SYSTEM INSPECTION FORM PART B CIIECIMIST Property Address:4 7 S e co n d Av e b e2UL e Owner:aenn i�e2 Date of InspectionF-7/1 5V 0 5 Check if the following have been done You trust indicate"yes"'or"no"as�to each.of the following: Yes X _ Pumping information was pro vided'by the owner,occupant,or Board.of Health X Were any of the system components pumped out in the previous two weeks? X — Has the system received normal flows in the previous two week period? — X Have large volumes of water been introduced to the system recently or as part of th�inspection? N Were as built plans of-he system'obtained and examined?Of they were not available�bote as N/A) X. - Was the facility or-dwelling inspected for signs of sewage back up? X Was the site inspected for signs of break out? X Were all system components,ekeluding the SAS,located on site.? X _ 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,dimgnsions,depth of liquid,depth of sludge and depth of scum? X _ Was the facility owner(and occupants if different from owner)provided with information on theproper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on site.has been detemtirted based on: Yes no X Fxisting information.For example,a plan at the Board of.piealth. X _ Determined in the field(if any of the failure criteria related to Part C is-at issue approxinmdonof distance . is unacceptable).[310 CMR 15.302(3)(b)) ; page 6of11 4FFTC. AFL.) SPTCTj0N;�'�}gtM�_N0T FOR VF?I.LYN'£ARCTI,ON FORM � � SMU-IMACE;SMAGE DISM,A.GSRT..AY$"K iNSP SYSTEM. R1�T . N Address: 4 7 Second — property eay.c e Owner�enni�on lJu'�ss Date of Inspection: 7/1 5 i 0 5 — c FLOW CONDITIONS RESIDENTIAL 4• Number of bedropstts(design):.,, 3 Number of bedrooms.{actual)' ��0, DESI09-110w based on•310 CI915. 03(for eXariiple:'l Igpd z.#bfbedrooms); Number of current residents: .:d r es br no 17oeste5idence have a garbage grin (y es or.rio n o if es s ante inspection required] Is IMndry.on a separate sewage.system(y ) —. E• .Y . Laundry system inspected(yes or no): n o , es orno)no 20-03=10 ;•000Gl.[7=284. 93 Se sonalustt(y 2004=81, OODga22on�rj%/0=221. 91 Water meter readings,if available(last 2 years usage(gpd)): Sump pump(Yes or no):o o Last date of occupancy: R a e Z e n.t COMMERCIWUSTRIVNfi . Type of estal:� on•316 CIVIIt ): Design flow u 15.203 gpd. Basis.of*Wflow(seats/persons/sgft,gte.):, Grease trap resent(yes or no): Industrial waste holding tank present•(yes or no):_ Non-sanitary waste discharged to the Title 5 system•(yes or no): Water.meter readings,if available: Last date of occupancy/use: ' OT"ER-(desgit e):. GpENERAL INFQ `PION Pumping Recprds NA- Source of information: Was system pumped as Part of the inspection(y quantity or no)' uantity pumped determined? If yes,volume pumped:gallons How was Reason for•p..umping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system • . 7—Single cesspool Z.Overflow cejsapobl —Privy _ •(yes or no)(if yes,attach previous inspection records,if airy) ance contract(to be _Innovative/Alternaiive.tec}inology.Attach a copy of the current operation and mainten Shared system obtained from system owner) , Attach a.copyof the DEP.approval _Tight tank — . Other(describe): al)components,date installed(if known)and source of information: Approximate age'of 26 yealc•s Were sewage odors detected when arriving at the site(yes or no):a o Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 7 Second ave .s eay.i2 Pe Owner:aenn:i.1fea 0a-3.3 Date of Inspection: 7/1 5/0 5 BUILDING SEWER(locate on site plan) Depth below grade: 18 n Materials of construction: cast iron X 40 PVC X other(explain): c.Pa y t i.Pe & 1' ' ht' weight Distance from private water supply well or suction line: 2 0 f�e e t Comments(on condition of joints,venting,evidence of leakage,etc.): Ci�,sfomvented t fzn o u h h o u.s e Vent .in.tzs a i �oR�ea2 tighttightno .Pn oknyo i SEPTIC TANKlzo(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 a Certificate of Compliance(yes or no):_.(attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined:Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liq uid.levels as related to outlet invert,evidence of.leakage,etc.): Septic .tank iz not aezent GREASE TRAP: n glocate 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 putnping:. Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): ltea &ap .ih no 7 Page 8 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS ,�SVIXF A.CE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:4 7 Second Ave b e2U.G i-Q i Owner,. enn i e2 Date of I Apection: 1 /•0 5 ` r TIGHT or FOLDING TAM{; no (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/day Alarm present (yes or no): Alarm level: Alarm'in working order(yes or no): Date of last pumping: Comments(condition of alarm and float-switches,etc.): 7iC/h.l` o2 ho.edia.g Lank.A n!!v not r n�oanf DISTRIBUTION BOX: no (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box, etc.): PUMP CHAMBER: no (locate on.sife.plan) Pumps in working order(yes or.no): Alarms in working order(yes or no): Comments(notc condition of pump chamber,condition of pumps and appurtenances,etc.): %u 8 Page 9 of 11 OFFICiAL.INSPECTION FORM—'NOT FOR VOLUNTARY.ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 47 Second 4 v e Oetegv.iiiz Ownenlenn.i,leg Vazz Date of Inspection: 7/15/0 5 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why.: Located .aee page 10., Type X leaching pits,number: 1 leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovative/altemative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): Loamy .to medium sand., So.iez age damn., Vegetation .i.6 nogmai CESSPOOLS:ye's (cesspool must be pumped as part of inspection)(locate on site.plan) Number and configuration: I-6 X 8 . Depth-top of liquid to inlet invert: o veg .iia.2et Depth of solids layer: 5" Depth of scum layer: 3" Dimensions of cesspool: 6 X 8 Materials of construction: canc,2ete Indication of groundwater inflow(yes`.or no): no Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): Vegetation nogma e -66.i.2,6 age dam,2 PRIVY: n° (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.): l g.ivy .i,6 not 12ge6ent :9 Page 10 Of 11 SPF10 F}N'F'4Rmj*NO'.•��''VOL'; NT—A�t''S�:ASSESSM EN.. O�'F� iAL EQSAL----'SYSTEM-`INSPEOTION�F(lrM SUSMAE SEWAGE �IS PART C SY.STEM�i O `TI.O1�1(Ontintted)' Property Addres'qv 4 7 Second v e. owner, a e n n c e 2 a-3 Date of Inspection: w KETCH OF SEWAG�•DISPOSAL. SYSTEM ente building. � sewage disposal system includin&ties to at Least two pirinanelit m fefer��Qe l9udnnarlcs or provide a sketch of theg b�c�ks.Locate all wells within 100 feet.Locate whare public'w�ter supp y �17 o.4AZ . ATo N • 10 _ Page 11 of 11 OFFICIAL INSPECTION•FORM—NOT FOR VOLUNTARN ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPE PART C SYSTEM INFORMATION(continued) PropertyAddress:4.7 Second Ave e Owner: aenn i�en a�� Date of Inspection:_1 7 5 05 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground waterT!5 feet Please indicate(check)all methods used to determine the high ground water elevation. -NO Obtained from system design plans on record-If checked,date of design plan reviewed: �e�s Observed site(abutting property/observation hole within 150,feet of SAS) h: Checked with local Board of Health-explain: no . Checked:with local excavators,installers-(attach documentation) Accessed USGSdatabase=explain!ti/2 down.,&aans.ta8..2e.-ma.-us �—.. You must describe how you established the high ground water elevation: 11.sed : Cape Cod Comm.izion. 1datea 7ak.oe Cohtouaz And l uEl2ze Glatea Su��2y Ve$.8 head aoieciio•n azeaz ma Se t 1995 Uaten nesouacez o•.14iee cane cod eommiZtOn.l Top of Urourfc[_ Leaching i1 Pit " • Beet Groundwater( Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method Therefore,the vertical separation distance between the bottom of the leaching pit and the adjusted groundwater table is feet: 11 MMM v•nnnrn.—n rr+�'+'T'mrn.rrnsn+ ^n.*rarrr*rarrir'*w+•�+ R^+ss►r.y�nranw•m. _ TOWN OF 2a?ni c PART D - CERTIFICATION ���F - — i30A�D OF IIEALTiI SUBSURFACE SEWAGE I)ISPOSAL SYSTEM INSPECTION long go is CERTIFICATION -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED ' STREET ADDRESS 47 :Second A ASSESSORS MAP, DLOSK AND PARCEL # aenn.i&2.. Uazz OWNER' S NAME PART D - .CERTX FX CATION . NAME OF INSPECTOR Rogent Pao ti-ni COMPANY NAME o�seph z -�•' (7acomle . Son Inc Box 6 6 ' ' Cent eay.ijjz ( ahh' 02632 COMPANY ADDRESS scrQo Town or City. - state LIP t COMPANY TELEPHONE ( 508 Y. 7.5 " 3338 FAX ( 508. 1790 1.578 ww m CERTIFICATION STATEMENT I •certify that I have personal°lY .inspected ..the sewage did at this address and that the information reported .is true,. omplete as of the time o;-f .inspeection.• The inspection was performed and any recommendations regarding upgrade, .ma-intenancel and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems • Check one: Systelri PASSED The inspection which I have conducted has..•n.ot found any information which indicates t}Iat the system fails to adequately proteet .public - health or l;tie env irofimelit as defined in 310 CMR. 15, 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. XXXXSystem FAILED* The inspection which I have co.n 'ted has 'found that the system fails to lic health and the environment in accordance with Title protect the pub cifically noted on P 5 , 310 CMR 15 . 303, and as speART C FAILURE CRITERIA of this inspection form. • - �.' � .�I ram/ . Inspector Signa\tur .� ne copy of this certi f i.cat4o Rnust -•enprovided Ito the .OWNER, the BUYER where appll.cable ) and the ,I,h. ' rade' the eyetem. * If the inspection FAILED., the owner• .ox 9parator a al3. . upg within o•ne Year of the elate of the inspection, unless. allowed or requ.i;re.d - .,. -0 .Nrnvi ded in 3A0 CMR 16 , 306 . . .... 4- A. .ar-.. ' TOWN OF BARNSTABLE LO ATION �EC�n�/ 47�e- SEWAGE #C�06S VILLAGE ��bets 1 E ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. // /��C; �� �� 5-5J� SEPTIC TANK CAPACITY /DX 9A 7k�l yr c ar CD�HCa' LEACHING FACILITY: (type) USX- 6,e1ChKMkn Ca� (size) Sb r of Q 3� NO. OF BEDROOMS U BUILDER+OR O!WNE_R ��p�►►� �'�I�AS PERMIT DATE: I a —13F COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (if any wells exist on site or.within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by — � t l7° u) -r- W V � t t DIN 0 w 43 oo..........._ THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH Town . ..OF.............Barnstable .......... Appliration for Disposal Workii (foustrnrtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: ......Second Ave..,..-0steryill....-e. MA...-026j5 .................-•--•-........--•-••......•• - .......•- Location-Address or Lot No. John Wassq Converse St.,�_-Longmeadow, -MA 01106 ................•-- ---..............------....-•-•-----...... ...: .......... Owner Address W A & B Cesspool Service 128 Bishops nn_ Terrace, Hyais,...MA.....02601..... a Installer Address Type of Building Size Lot... ......... .........Sq. feet i a Dwelling—No. of Bedrooms..........3...............................Expansi n Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P., Other fixtures ------------------------------------•-----•--- . ---------•----------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter----------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date................................... .... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ODescription of Soil..................................................................................-----------------•-------------------------•---------------•---------.......--•------ x - �., x -•--------------------•-----------------------------------------......--•---•----------•......--------------------------•••-----•------•-•----------------------------------------------.....-_••----. U Nature of Repairs or Alterations—Answer when applicable_..Instal lati-an...of.-a--1,D00...gall on--pre--cast stone packed.leach.-pit...(averfLQw.)._...................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T ITI..L 5 of the State Sanitary Code—The undersigned furthellagrees not to place the system in operation until a Certificate of Compliance has been i ue I by th o ealth. Signed Date / Application Approved BY.............. `r� ./ ..... . ....... ................ -7/161-�------ �i���/C�� Date Application Disapproved for the following reasons:-----•----------------•-------------------------------------....----•---•-•-•---------------------•-......••••-- ------•-•-•........................................•---------...-•--••--•--------------...---•----------........__...---••-------------------------------------•----•----------------------------------- Date Permit No......................81- -----•-_. Issued-------•--7116181. Date -b. ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................... .fin...------...OF............:Barnstable..------------------......................-•---.... ApplirFation for Dhip sal Works Tonotrurtinn rrnti# Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: Second Ave.-�_._Odterville. 11TA..._0261 ---......... ........_... ..... . .................•........--------.........--------------•--•-------------•--.................--•- John Glass Location-Address or Lot No. ..._ 39 Converse St....Longmeadow. I-gA 01106 ...................... .-- --- -•--- -�_.... rcss a A &.B Cesspool Service 128 Pishops Terrace,ddHyannis: MA 02'01 Installer Address d Type of Building Size Lot... ........ ........Sq. feet Dwelling—No. of Bedrooms........... .......................__.._...Expansign Attic ( ) Garbage Grinder ( ) p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------------------------- . ---------------------------------------------------------- .-.-.-----------•----- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity......_.....gallons Length---------------- Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length...._............... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ...................S ............................................................................................................................... Descriptionof Soil........................................................................................................................................................................ x w x ---------------------------•-------------•-•----•--••--•••-•-----•-------•---•-••••---.....-------------•-------•---------•--._....-------------•---------------------------- ----------------•-------. U Nature.of Repairs or Alterations—Answer when applicable..._Imstall t1on..Gf_.s.__l,_OAQ._ 11on._pmo Gast stone pi a-lea�n._�tt (Mrag)..---------------•--••-----------------------------------•--------------•--••••-------------------------------------------------•----•- . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1E 5 of the State Sanitary Code— The undersigned further,agrees not to place the system in operation until a Certificate of Compliance has been issued by theo f'd of health. Signed-- ---- � ���:r� _.:. _:!�..�=r..__:..t�-f ----?,�16��?1...... / r• ate Application Approved By------------- ••C�!-- . -- ---------........------------ ..................216181...... Date Application Disapproved for the following reasons:.............................................................................................................. --------------------------------------------------------------------------•------...-------•---------------------...----•-------•----------------------------•-----------•---------------------••••..--- Date 81- 7 16/81 PermitNo......................................................... Issued............ .................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................Town........OF......... .................................................. �rr�ifirtt�le ,af �nrnt�rli�nrr THIS IS TO CERTIFY, That Individual Sewage Di osal S stem constru•ted ( ) or Repaired (X ) A & B Cesspool Service,That Bishops Terrace, iyannis, MA 02601 by-- ------------ - - - -- ---------------------------.--.------------------------•-•-- Sec and Ave., Osterville, -John rr7ass Installer at........ •----------•----------------------•--•---••----••--.........--•-------•-. --------- has been installed in accordance with the provisions of TITJF# 5 of The State Sanitary Code,�s described in the application for Disposal Works Construction Permit No------------ _ ........ dated....._ .. /81 THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........7A6/81....................................................... Inspector............. ....................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 3 .....................Town.. O F...........Barnstable 81- q .... .......... ........ 5.00 No.................. v .. ._,...w FEE................. r . .._. �. Disposal Work.5 Tnnitrudilan ramit Permission is hereby granted....A a B Cesspool Service. 128 Bishops Terrace, -Hyannis. 02601 to Construct ( ) or Repair ( X) an Individual SSewage Disposal System at No.....Second Way, 10sterville, M.. 0.. 55 - Wass -- -- ----•-------------.-----------------••-------------•----••-•--••-----------------------.....------....__....•..... Street as shown on the application for Disposal Works Construction Permit N - >,.... Dated..............7�16/81 0131` ---------------------------------------- 7/16/81 ar of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS • p 'G�7/✓ e� � n�GF ts��'//� •�� t•+/nJ.�B� o� T /,�/l��i�.✓;�o�_� P�GF' /3S i�r✓,�s - �a �' A�� FA�'E�.l�Rt� �T7/fF_ . i%� G�✓T//gam �s�d? Y� �� a� ) � t= 3 � (=£ fin �l �c9 ,QVENUE - L� •�..,&I !=f�'n,���✓f�%%o•,�r cv E c. c�.o► � ` � a � E ` \ �'' %p o�ca /✓o iF_.r : ALl �x inlG Ctr��ls�C��r �G�s of �a�;:�_� PJryJs��c� rgn�G fi G'ND v/,7-H /C Z \ iw�/c,r�:�'� �' ,c� G �-✓�� /.J Co�:n l c a, F r�f7 i.5 E.rs o � ` � \•,� •.� ��� � �3 $1�2i✓ Ste' .S'� 41,o Lk DEEP 0BSEP VA TIN HOLE LOG �� / ram, o _�y : 9•✓ay�/� /oy,�. �� T�a� =�� ,�/�F Ax i \ 7, % L?�or-I-%✓rs -�9 L9-a��..I�nic� 10�'�'Gly ,'oo �'J.�J:,-.1' ° r F-7-��- r•✓✓�L ��` �L' „�••;�� „ 8 �©�;+)�/a.t'.�r,lr /��r2 �v�8 --- -S9 t ', If , G'aT.rJ T�//. - . ,�-•�,�- ; -;z ' ,;. .i �` J--- ""'.� ; /Fv.—cl►?�' L3GY4•�'7 �'.` G,, 1 t oI I , CSr-4:::O ` �� !, 1� itI T a TOP OF FOUNOA'(101�1���0� s{ Lo« ^J J oa 1 ° l 1 i� r / /f��_ CONCREic COVERS .d,rE , �R�I�F \ �p'' e ` / , sG-F/ 4 CAST IRON i i•✓✓ .��.2�,27 .tee' �-.,-•--;-, .. . , �:i OR SCHEDULE 40 _ o cC�'S.S`?` j — �" - / X�� dG�GAL ' pc o \, Z?i r7/C �E'e ' *�' P.V.C,PIPE MIN. r= 4 SCHEDULE 40 P.V.C. (ONLY) 9,'A11N . LEACHING TRENCH (/)REQ. „ I \ cfF c / ' PIPE 1,11t�. n „ 36 MAX. t ,Eq �f/Lz:8p cr2L � /ri PITCH 1/4' PER.FT „ I/8 - 1/2 WASHED STOIE�P PITCH I/qPER.F1��L� S ( � Q CA �•, !�,,ii7-Z� a i t , .v._:. ,,n>3� • n '. t t!kJ> EI.e-$; 7.. IfIVEP.T, ! INVERT C1 CI��-:I,1 •,Ci%Q ,t��C7�Cl., SEPTIC TANK / DIST. ZVERT :Qi'c ,ram,t�,a t Ct'• .ias i.1bP 24' c gaX X INVE _ ELzr?:d.. J EL....... O ►4�, 1 0� tii EL SAS' ...�.SQ0.. GA INVERT BOX .�._ INVERT ,Precast 500Gai.Leach Go ! - i�� 6,.Cr7U5HED STONE ELe_5._o L6TREQ. Chamber �WASHED STONE 4o%/vaa ' / ' �` I °� /F7/✓.� �. S •'��Qd d'e� add —'Ca/� �� �''�' p PROFI LE OF j ,� �,.� %�.�GJ S w _ o GROUND WATER TABLE �C a•,- . • ��� SOIL_ LOG ` SEWAGE DISPOSAL. SYSTEM TYPICAL -CROSS SECTION NO SCALE LEACHING TRENCH . GATE i ► , TEST HOLE I TEST HOLE 2 F�id NO SCA�c } / ` :.... �.�-�✓�. — ELEV. eZ- .. .. ELEV. �9:Viz... DESIGN DATA "/8 .�_I a , �y - WASHED '36"MAX. _• .,. ;, ,., ;. o`Cr�n"'' 3,/ p !IU!dSER S=OROOh1S ��, 57014E _ /G3,97 3" CE „/�.a•✓.� '[�My�r.�✓� Q',✓�cE-�i'8�?�s� Ca�i� �3cz �i� vv� -TO L ESTIh1AicD fLOW .ji.j�. GALLONS/DAY • '^' •:ram• .=�- _ sit z9'' t . 30 2z•3Z i/� c �l,3n.?M- 9 *7c l Ct•p%,�•� 4 oo� SOTTO!,{ LE4Ch LNG AREA :a�,. SOFT,/TRENCH ''-�0 Q; ,r ,� •Zz \ .�Q j >C/Z B33 -1098.�• 3 t1,t� 24 l� ( S DE LEACHING AREA ZS3.3 SQ,FT./TRENCH '►'�j,kj;b•', i �,S rSa,5 /6&0 Y-/L,�3 �CZ -Z-?3.33 , F d o . GARBAG" I P F c D S OSA L ... . . . ...(50 /o AREA INCR_ASE) !8o©.� �',,' „io �G .�c�.,i� i TOTAL LCHING AREA 4!a,�t SQ.FT. I PERCOLATION RATE LCACHIIdG AREA PER PERCOLATION RATE t� f S o F f'164, ;, • � JO/�// � .7�: Iola '/,oy --� /S►y �L/3,yo /SO �L/ I GROUND WATER hSLE _ _ _Z.3d APPROVED .. . . . . . . . . .. ... BOARD OF HEALTH SITE PLAN SECOND A VENUE9 OS TE P VILL E'' MA !'�4,,WATER ENCOUNTERED DATE .... . .. . . ... . ... . . ..... . . . . . . . . �,p�.jH OF Mq S Q ` WITNESSED BY AGENT OR IUSPECTOR �oa S FOR G3C!�.� !�f,/l.Z�4 ,eM'4 BOARD OF HEALTH . . . . . . . . . . . . . . . . . . � N ✓C( A44 i�'.t . . ENGINEER . . . . . . . . . . . Q J UDI T H WA S S . . : . . . . . . .. . . . . . . . . .. .. . . . .. . . . . . . . REDSPN��PQ; a PETITIONER J•��1;✓, fs•. . '.. . ..• fVAL�dP�� a e •.. — t.:,". s5 f.. . ..-.l N:.: 9..'.b...,�4� �..\..,.AM".'�•.fi"-s... .•<.. �lr... '�,}7.-QMK.y!.-.•t.1.. > - ,,, ,..,L.-y:_-�... .+r•"..�Y.'a""77�It+1+r,re.f..._fAY ., s",.ae. . ,, :, .k... .,.. .. /4 ..:. .-1,.. .. jt1.-..,. .�3' « :-. .. -, a _fr ,'M,r.. :RY"1%a. � ... p 'K•S' ' "� ']/,�,�r -- $ `" f Y.K. Xxd.'h'.z�.:R�• - \ + �fv i. + *31 �'' f01 ,+L" i.f"• .w'�_' i Y 1. y, k 0 I � 1�L�1 i✓�Gk n/C F 6�frJ �� w.J/u �oT'° ,,,/ ?�� o PAS /3S ft.✓ts �� -o "t-c'CA V EN UE lip x/'Si G L� JF�_r pip ID Co . SECOND �f ,�,/ f/� _- — -lI� _�. �G.a 4' ,��/cz �C.G. -� �-✓,�-f��-t'�.,/.� � h� AC 1 ��' _ \ �_�� / �NG 4,i� 'C i �..1 C�;7 n e-= %� f �fl/S E13 /O /,✓/ E�G C Z ?��" / ,,/) /q3 ` Ia�GL✓f i) C�o.�o_ o� a.oa ��9' F�oo:) �. ►-� �.C� t=�✓o, L / /� � jig nEEP OBSFP VIA TION HOLE LOG �f-o I - ,„ ,q r�✓v r'/ •''/ /oy�'s/� 70.E a< •�� ,�/� � \ /O \ \`� • � Z r.9S ,� � ���� ,.r�.�a is R,�' �/-v — �y��l ����.n,.�, i Age✓�� �6 d �F-- nx p � ' � � ' 1 / ,r � I 1 � �`. /.✓✓ ��<C,<i../„� I .�G�S.a/ i = �•s!�: �o _/j.�'' C /�fr�i c�i✓l /p�!�(�j — G��/�F4ofI�' �s. J•. ,'- ,J q TOP OF FUDNUnilurl�.Cr�f�_.j - , . ,,.•.. T- -- _ coNCR=Tc COVENS ,,., . , .. ,, _ - o 4 CAST IRON 9' � Q�� cC �S. S r GAL �G � �- G /J zy 27' ? \ '', OR SCHEDULE 40 _ `•� n_t 4"SCHEDULE 40 PV.C. (ONLY) ^ ' h11N . LEACHI NG TRENCH (/)REO. � / X � SOS I n , ro �/rj' F'� PVr,. PIPE MIN. _ -tom-- PIPE- MIN. „ 36f' MAX. PITCH 1/4"PER.FT 1 I/8 - I/2 WASHED STO •�rS „ ` PITCH I/4 PER.Ft. •�,,.a••r. -c.>.•- . ,• r sv� .r , -- . r,C] EL�S!Z7 SEPIIC T!1(VK I►'vER�, DISr INVERT q�%Q'piC]� L7,'CR1�,L�iaC1,'L`,1;. 24„ ,fox ,; -� ELF -�. . EL3 ,cam r,j�;Cj-ci,;o 'd-•� gyp% f2o�8f / x INV�_ri� �.SO.C�.. GAL. IN\/cF.T' BOX �_ ` ELF,-,� � ,Precast 500GaI.Leach 3/4"-II/2 -J EL�4?.S� f�REQ. Chamber w�WASHED STONE _ 6 CRUSHED ONE , H- 79G ' err j / ; o°e �j �' - -- �'v'�nl_ r ,� I Z.S =- •- ,o/ .S S PROFI LE 0� _� _ /✓n GROUND WATER TABLE �c SEWAGE DISPOSAL SYSTEM TYPICAL CROSS SECTION v - ,Y NO SCALE LEACHING TRENCH . DATE'.Uj � ��J . TIME .,�':.«:.1� NO SCALE , TEST HO_E I TEST HOLE 2 _ �iLd - �/ t ELEV. � :l'.�V . . . . ELEV. 11LSIGI� DATA ., - /� _ «/S ,'�'-" 11:i"✓JY -r i �, rlU!,1?E=1 3�� JChtS G. . . . . .. WASHED 3s"MAX. may/ STONE 2„ OTAL ESTIMATFED FLOW ��P�, GALLONS/DAY 8" le /.�J y �. •. - %0'�1., 4" BOTTOM L�4ChING AREA ����.. SO.FT./T'nENCN 24" � 51UE LEACHING AREA , ,�S SQ,FT./TRENCH c�. � _o,-' ��`o•-�- G-hr -"z, a � xZ —153.33 I R� GARBAGE DISPOSAL . . . ^ . ..(50% AREA INCREASE) - K TOTAL LEACHING AREA . .��/: ��-.: SO.FI`. �cJ�aGf � _ �o ' � No✓���.� �8 �ooS � � �..�,�� ��,o�>zss.s? - yo/,�/, PERCOLATION RATE . . . . ... . . /^ /P=R.INCH LEACHING AREA PER PERCOLATION RATE WaZOSQ.FT/C-�7f r c`L 2i a ar /y�jL /3•y4 ' /50„ �� /L. SZ GROUND WATER TA3LE T P L A ! V b-�-9 4 /r SECC N[) AVENUE OSTERVILLE, M `r APPROVED . BOARD Or" HEALTH S/ E °) ..NQ. ,WATER ENCOUNTERED DATE ' p �OF YY ITN N ES S ED DY . AGENT OR INSPECTOR Of FOP [� $IA���HF9 / J \ BOARD Or HEALTH EDVMA E. -, 9 r{i T r�Q'j .�.� /�IL•[ !�t ENGINE=R m LLB J UD I T H WA S S No. 28100 H PETITIONER �Jd�� Yl���f� 5��� fVALUP�Q �L LAp�S i -----