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Home My WebLink About0186 WIANNO AVENUE - Health IC WI - rV,�• ANNO AVENUE OSTEIZVILLE A= 140 145 i1`C EARNSTAB LE LOCATION f&�i rt n n.o SEWAGE # 9 VILLAGE s Ui ASSESSOR'S MAP& LOT/e4'' 46 INSTALLER'S NAME&PHONE NO.1.? mornmbee qX104 S®v) SEPTIC TANK CAPACITY LEACHING FACILITY: (type) MbojMg ,5 (size) NO.OF BEDROOMS �� BUILDER OR OWNERii? r� � /ter PERMPTDATE: y 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)All Feet h Furnished by -� V � {� �.- p � �, `i \�� , �� . � � � ., 1 • J • TOWN OF BARNSTABLE LOCATION % d1 VILLAGE /1 --� ASSESS R'S MAP &LOT NAME&PHONE NO.L01 1414e4*1 Z®: SEPTIC TANK CAPAC= LEACHING FACILITY: (type) (size) NO.OF BEDROOMS F BUELDER OR OWNER 'T RERM=ATE: �� 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 exis x. within 300 fe t of leachi faci ' Feet Furnished by �_ � O� � --� _ -= � —' -- ® -� �`s Ij No. Fee $ 40.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(ppYtcatton for Mi!5pogal *pgtem Congtructton Permit Application is hereby made for a Permit to Construct( )or Repair(XX)an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No.61 7-3 4 5—9 0 0 0 186 Wianno Ave Osterville,Mass . Ralph Rivkind 02655 Boston,Mass . 02111 Installer's Name,Address,and Tel.No. 5 0 8-'77 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Centerville,Mass . 02632 Box 66 Centerville,Mass . 02632 Type of Building: Dwelling X No.of Bedrooms $ Garbage Grinder qqo) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures t Design Flow R R n gallons per day. Calculated daily flow g,, n gallons. Plan Date Number of sheets Revision Date Title Description of Soil Nature of Repairs or Alterations(Answer when applicable)am it CIARF I Install 1-2 00 gallon septic tank, l-Distribution 6x,8- ec argers . two rows „$8tx111x21 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 iss d by this B ar a th. Signe o Date 8/26/96 Application Approved b6,.- - — Application Disapproved for the following reasons Date Issued Permit No. � 4� ? sk 'No 1! ' n� Fee $ 40.00 THE COMMONWEALTH OF MASSACHUSETTS li PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS Zipprication for Miqu al 6pgtem Cougtructiou Permit Application is hereby made for a Permit to Construct( )or Repair 4XX)an On-site Sewage Disposal System at: t,Location Address or Lot No. Owner's Name,Address and Tel.No.617--3 y 5-9000 186 Wianno Ave Osterville,Mass. Ralph Ri;vkind 02655 Boston,Mass. 02111 Installer's Name,Address,and Tel.No. 508-775— 538 De'signer'sName,Address andTel:'No.508-775-3338 .J.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Genterville,Mass. 02632 Box 66 Centerville,Mass. 02632 Type of Building: Dwelling X No.of Bedrooms 8. Garbage Grinder 00) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures " d Design Flow 880 gallons per day. Calculated daily flow �n gallons. Plan Date Number of sheets Revision Date Title Description of Soil Nature of Repairs or Alterations(Answer when applicable) - Install 1-2 00 gallon septic tank, -Distribution 6x,8 ec irgers. two rows Q8 t x11 1 x2 t Date`last inspected: Agreem nt: 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 issu'd by this B ar/d�f alth. Signed �. fZ1 Date 8/26/96 Application Approved b Application Disapproved for the following reasons /J Permit No. �'' 7' r Date Issued - ------------ —»�.--------------_.®�-�--- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS d Certificate of QCompliance 'THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaceZZU)on byJ,P.Macomber & Son Inc. - - for Ralph mind as 18 Wianno Ave Osterville Mass. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Z r7- Use of this system is conditioned on compliance with the provisions setfo#h below: No. t(^ Fee 40.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Miqu ar bpdem Con5tructiou Permit ` Permission is hereby granted to `J.P.Macomber & Son Inc. to construct( )repair,(X)o an On-site Sewage System located at 186 LATi p-n-,o Ayo Osterville Mass. " 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. All construction must be completed within two years of the date below. Dater /1 G ' Approved CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL I T DESIGNE D PLANS WORKS CONSTRUCTION PERMIT (WITHOUT ) y' f r � I, Joseph P Ma,,,b r-J, hereby certify that the application for disposal works construction permit signed by me dated 8/2-7/A , concerning the property located at 186 Wianno Ave Osb erville.Mass meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells N.vithin 150 feet of the proposed septic system • The observed groundwater table is ,4 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNS DATE: 8/27/96 LICE S. SEPTIC SYST �EM INSTALLER IN HE TO\YN OF BARNSTABLE NUMBER [Attach a sketch plan of the popow d system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. TOWN OF BARNSTABLE LOCATION: 186 Wianno Ave Osterville MASEWAGE# VILLAGE 0 s t e rv-il1g.,Mass-_ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. T,P_Ma r.nml�ar Pr Snn Tn r._ SEPTIC TANK CAPACITY 2 5 00 LEACHING FACILITY: (type) 8-330 Rechargers (size)m eel s NO.OF BEDROOMS 8 BUILDER OR OWNERl�hv � PERMITDATE: 8� 27/96 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 206 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If anywetlands exist within 300 feet;rIs Kaci lity) Feet Furnished by ��(( 8-330 Rechargers 2-Rows of 4 2500 gallon S ptic tank._ i 186 Wianno Ave Osterville,Mass wrw VIA iaw t �r� `1w •. �,t -�_ i i j \l`-� �\ �I II i \��, 'SL�� - � ��' �I U� i ��, �c �� --� r F ! � �: ... r � �% 1 .:�� ,� - .• �. � '�� + A, � .� �. �, .. r.g L .:_ �� 1 � � �� I .� d v ? "s i � _ _�_. TOWN OF BARNSTABLE LOCATION 186 Wianno Ave. Osterviile MASEWAGE # VILLAGE_nStervi11g,Xas ASSESSOR'S MAP& LOT INSTALLER'S DAME&PHONE NO. �T P_Mn r nmher R. Snn- Tn n_ SEPTIC TANK CAPACITY 2 5 00 LEACHING FACILITY: (type) 8-330 Reehargers (size)�6/2/11 1 NO.OF BEDROOMS 8 BUILDER OR OWNER Ralph- -vie PERMITDATE: 8� 27,/o6 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 Leaehing Facility(If an etlands exist within 300 feet ly acility) Feet Furnished by �( r 8-330 Rechargers 2-Rows of 4 2500 gallon Septic tank. i i 186 Wianno Ave Osterville,Mass ! Goldman Great Pond Center Environmental 15 Pacella Park Drive 617-961-1200 G8C Consultants,Inc. Randolph,MA 02368-1755 Fax 617-961-6546 IIIIIIIIIIIIIIIIIIIIIII I I I �, April 9, 1996 Warren Rutherford - Town Manag er Town of Barnstable 367 Main Street Barnstable, MA 02601 Re.: Response Action Outcome Statement Residential Property y 186 Wianno Ave. Osterville, Massachusetts MDEP Release Tracking No. 4-11934 Dear Mr. Rutherford: On behalf of the Estate of Robert Hall; Goldman Environmental Consultants, Inc. (GEC) is notifying you, in accordance with 310 CMR 40.1403 (3)(f) of the submittal of a Response Action Outcome Statement to the. Massachusetts Department of Environmental Protection (MDEP) for the above- referenced site. Consistent with the MCP, GEC has determined that a condition of No Significant Risk exists at the site and that no further actions response i p tons are required. A copy of the complete submittal is available to the Town at MDEP's office in Lakeville. Should you have any questions regarding this matter, please do not hesitate to contact Samuel W. Butcher of GEC at (617) 961-1200. Respectfully submitted, Goldman Environmental Consultants, Inc. Ga W. Siegel, E., L.S.P Vice President, Environmental Engineering - c. Atty. Ralph Rivkind, Hinkley, Allen and Snyder NO '996 4�kN, 5 DATE:._ 6/.12:/96 PROPERTY e "'; °°"�":'• 1.36 ianno Ave Osterv-ille,Mass - 55 s On the above date, I Inspected the septic system at the above address. This system consists of the following: 1 . 4-cesspools , 3-field- stone cesspools . 1930 1940 era _ I-Block cesspool. Fifty era Based bn m Ins. 4z y �ctlon, I certify the following conditions: � 1 . This is not 'a title five septic, system./ •!�� •r 2. The sewage system is completely engulfed in roots .-, TAG � 9 • 3 . Sewage system is in failure . ntE 4. Should be upgraded to a title five septic system. : ` xc+ 996Q � N .f 5IGNATURr— Name:_J_P Macomber Jr- Company: yJ. P.Macomber & Son-_Inc . Address: Centerville ,Mass_ _02632 Phone:---6Q87-5a.3338------- THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. v Tanks-Cesspools-Leachflelds . Pumped & Installed Town Sewer Connectlons P.O. Box 66' Centerville, MA 02632-0066 775-3338 775-6412 U Commonwealth of Massachusetts ,(If Executive Office of Environmental Affairs Department of Environmental Protection William F.Weld Trudy Coxe abcr•tarY Go^nw( David 8.Struhs Argao Paul C•lluccl cc„u,J�aJon.r LL Gowrnor 0 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property,&lore,,; Estate Of Robert Hall Address of owner. Hinckley Allen & Snyder Dat.o of Inspoction:6/12/96 (If different) 1 Financial Place Center Nameoflnspootor.Joseph P.Macomber Jr. Boston,Mass . 02111-2625 Company Name,Address and Telephone Number. J.P.Macomber & Son Inc. Box 66 Centerville ,Mass . 02632 508-775-3338 CERTIFICATION STATEMENT ge disposal system at thin address and that the information reported below is true,accurate I certify that I have personally inspected the sewa 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-sits,swage disposal systems. The system: _ Passes Conditionally Passes sods Further Evaluation By the Local Approving Authority Inapeetot's Slynatturo: Date: The System Inspoctor shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the rystem is a sharod system or has a design flow of 10,000 gpd or greater, the inspoctor 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, B, C,or D: A) SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CDR 15.303. Any failure criteria not evaluated are indicated below. BJ SYSTEM CONDITIONALLY PASSES: 4& One or more system components hood to be replaced or repairod. The system, upon completion of the replacement or repair,passes inspectioa. Indicate yos, no,or not determined(Y, N, or ND). Descrioe basis of determination in all instances. If*not determined",explain why not) NO.BLe; The septic tank is metal, cre.:kad, structurally unsound, shows substantial infiltration or exfiltration,.or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a ponforming septic tank as approved by the Board of Health. (revised 11/03/95) 1 One Winter Street 0 Boston, Massachusers 02108 • FAX(617) 556-1049 • Telephone (617)292.5500 SUBSURFACE SEWAGE:DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Prop AyAddre.. 186 Wianno Ave Osterville,Mass . Owner. Estate Of Robert Hall Date of Inspection: 6/1 2/9 6 Bl SYSTEM CONDITIONALLY PASSES(continued) .L.le' Sewage backup or breakout or boh 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): broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed Cl FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Al 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: A/D Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER.IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: �b The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 60 feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. S) OTHER 3- Fieldstone cesspools and one concrete block cesspool. All no ' s on part C Paragraph 2 (revised 11/03/95) 2 CERTIFICATION (continued) Property Add resa: 186 Wianno Avenue Osterville ,Mass . Owner. Estate Of Robert Hall Date of Inspection: 6/12/9 6 D) SYSTEM FAILS: • I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. ,a Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. dv^ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. 4LAVt� Static liquid level in the diatribution box above outlet invert due to an overloaded or clogged SAS or cesspool. &tJ 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. AQ Any portion of a cesspool or privy is within a Zone I of a public well. bb Any portion of a cesspool or privy is within 50 feet of a private water supply well. dZD 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: The following criteria apply to large systems in addition to the criteria above: AID 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: ALA the gygtem is within 400 feet of a surface drinking water supply athe system is within 200 feet of a tributary to a surface drinking water supply �knn 1/r the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area(IWPA)or a mapped Zone H 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 6.00 and 6.00. Please consult the local regional office of the Department for Auther information.. System is in failure. Reason for failure is that the system is engulfed in roots and is inadequate to handle (revised 11/03/95) a eight bedroom house.Farts of the system are over sixty years old. Newest part of system is at least forty years old. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 186 Wianno Ave Osterville,Mass . Owner. Estate Of Robert Hall Date of InspeotIon: 6/12/9 6 Check if the fo wing have been done: ping information was requested of the owner,occupant,and Board of Health. 7None of the m components have been um for at least two weeks and the m has been receiving normal flow rates � Po pumped � �8 during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. &RAs 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. fLThe system does not receive non-sanitary or industrial waste flow 2Th"site was inspected for signs of breakout. ,/All system components,e�eicluding the Soil Absorption System, have been located on the site. Abd/!/UMe septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of banes or tees,material of construction, dimensions, depth of liquid,depth of sludge,depth of scum. 271,size and location of the Soil Absorption System on the site has been determined based on existing information or ap ronmated by non-intrusive methods. he facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub. Surface Disposal System. (revised 11/03/95) 4 Date of Inspection: 6 2 9 6 FLOW CONDITIONS RESIDENTIAL•. J Design flow ns '� / • Number of bedroom,: Ir Number of current residents Garbage grinder(yes or no)• , Laundry connected to sy m(yw or no):��! (`, �> Seasonal use(yes or norj I—1 Water meter readings,if available: v `S J' yv10�u T S qq = D 444 eAft, Last date of occupancy:f COMMERCIAL/INDUSTRIAL, Type of establishment: Ot Design f low: &j j j as/day Grease trap present: (yes or ao)ia Industrial Waste Holding Tank present: (yes or no), . /� Non-sanitary waste discharged to the Title 5 system: (yes or no)1�R Water meter readings,if available: AJ!4 Aj Last date of occupancy: Al 91 r OTHER(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as part of inspection: (yes or no),) y-4 O�V- Lf yes,volume pumped: llons Reason for pumping: TYPE OF SYSTEM d Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy L—Shared system(yes or no) (if yes, attach previous inspection records, if any) Other(explain) APPROXIMATE AGE of all components,date installed(if known)and source of information: lJ ��/ Sewage odors detected,when arriving at the site: (yes or no) (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C- SYSTEM INFORMATION (continued) Property Address: 186 Wianno Ave Osterville,Mass . Owner: Estate Of Robert Hall Date of Inspection6/12/96 SEPTIC TANK:A4VV_'1 (locate on site plan) Depth below grade: AM Material of construction:concrete _metal _FRP —Other(explain) Dimensions:_ .z Sludge depth: Distance from top of Mudge to bottom of outlet tee or baffle:,A)_4 Scum thickness:_ AW Distance from top of scum to top of outlet tee or baffle:_ Distance from bottom of scum to bottom of outlet tee or baffle.. Alt) Comments: (recommendation for pumping, condition of inlet and outlet tees or baffle, depth of liquid IPvel in relation to outlet invert, structural inte rity, idence of leaks e, etc.) GREASE TRAP. d)OV, (locate on site pian) Depth below grade:;AJ9 Material of consm.lriion-�W oncrete _metal _FRP —other(explain) Dimensions* _ Scum thickness: Distance from top ui scum to top of outlet tee or baffle:_ Distance from bottom n( crum t- honam of outlet tee or ba(tle _At Comments: (recommendation for pumping, condih-n of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evi nce of leakage, etc i �v /�Ijs'JP,rJYs . (revised 6/15/95) 6 SYSTEM INFORMATION (oontinued) 186 Wianno Ave Osterville Mass . 0 Property Address. � Owner. Estate Of Robert Hall Date of Inspection:6/12/9 6 TIGHT OR HOLDING TANKA JA/ '_ (locate on site plan) Depth below grade:A14 Material of construction:—AAconcrete_metal_FRP—other(explain) - Dimensions: JVl Capacity: AAA gallons Design flow: dL_gallons/day Alarm level: AID Comments: (condition of inlet tee, condition of alarm and float switches, etc.) A'�B ce A A4 t-'VT'� DISTRIBUTION BOX:A,' e (locate on site plan) Depth of liquid level above outlet invert: eQ Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) PUMP CHAMBER:41 "Q„ (locate on site plan) Pumps in working order:(yes or no)W4 Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) �ri COMA}ff�.�Tr9 (revised 11/03/95) 7 SYSTEM_INFORMATION (oontinued) PropertyAddr.s. 186 Wianno Ave Osterville,Mass . owner. Estate Of Robert Hall Date of Inspootiou: 6/12/96 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) • If not determined to be present, explain: Type. leaching pits,number; leaching chambers, number leaching galleries,number: leaching trenches,number,length: _ leaching fields,number,dime] ions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding,condition of ve tation,steJ Medium sand to fine and. No signs of hydraulic failure or ponding; All vegetation is normal. ys em must be replaced with a tizie rive a_anti_r._ Present system is engulfed with roots. System. is inalequate to handle a eight bedroom house. CESSPOOM:z (locate on site plan) ,J Number and configuration:`'� Depth-top of liquid to inlet invert: Depth of solids layer: fjwy Depth of scum layer: Dimensions ofcesspool:c s �+ •�T G�`z f� Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.) Same as above PRIVY: (locate on site plan) Materials of construction: Dimensions / 9 Depth of solids:_AA Comments:(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.) AID (revised 11/03/95) g SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) Property Address: 186 Wianno Ave Osterville ,Mass. Owner. Estate Of Robert Hall Date of Inspection:6/12/9 6 SIWMH OF SEWAGE DISPOSAL SYSTEM: • `':% :� '''i�� '1`:' include ties to at least two permanent references landmarks or benchmarks locate all wells within 100, Centerville Osterville Mar.stons Mills Water Company 428-6691 i DEPTH TO GROUNDWATER Depth to groundwater. 6' +feet method of determination or a proximation: Installed several systems in area. No water countered at 1 _ - - Ave - rvi e - (revised 11/03/95) 9 if ' � l r y T11ECOMMONWEALTH OF, MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15 .340 and Section 13 of Chapter 2 1 A of General Laws. Issued by The Department of Environmental Protec ..i.. .A. r— June 8, 1995 Acting Director of the `ion of Water Pollution Control .l MOWN OF Barnstable BOARD OF HEALTH • SUBSURFACE 9FHAGF DISPOSAL SYSTEM INSPECTION FORM - PART D .- -.__ F..._,.._,....-'.,---.::--•.,---,.r—,•-:,-:----,-.----„—,.,—:.---'-�- CFK'f I FI CA'f I ON ' T�'T�''z•r:r-_�nsra-rts:r.rtcrr=srrs.T._sm+Li-as-nr.•rerrr..oi�rsr.+rr+-.•rrrr•r.-�.._..�-TYPE OR PRINT CI.EARLY- PROPERTY INSPECTED STREET ADDRESS 186 Wianno Ave Osterville ,Mass . ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAME Estate Of-Robert Hall _ — PAR7' D - CER7'IrrcA7'1QN -r NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME COMPANY ADDRESS Box 66 Centerville Mass . 02632 Street, Town or city COMPANY TELEPHONE ( 508 ) 775 - 3338 State LIP __ FAX ( _ 08 1 790 1578 CERTIFICATION STATEMENT 4 I certify that I havepersonally inspected the sewage disposaj system a this address and that the information reported is true , accurate, and t complete as of the time of :inspection , The inspection was ardin u performed and any recommendations re g g pgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems , Check one : System PASSED Tile inspection which I have conducted has not found any information which indicates that the system fails to adequately Ilealtll or' the environment 3 as defined in 310 CMR 15 , protect public 03 . Any criteria not evaluated are as stated in the FAILURE this form .. section of XXXXXXXSystem FAILED* The inspection which I have conducted has found that the system fails to protect the •publis healt11 and the environment in accordance with Title 5 , 3.10 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form , 'r Inspector Signatur ,, Date 6/18/96 One copy of this certification must be ( where applicable ) and the BOARD OF 11RALTOVided to the OWNER, the BUYER * If the inspection FAILED, the owner or""operator shall upgrade within one year of the date of the inspection, unless allowedorthequiredm otherwise as provided in 310 CMR 15 , 305 . partd-doc • DATE• _ 6/12./96 _ PROPERTY ADDRESS: 1.86 Wfanno Ave Osterv-ille ,Mass 02655 On the above date, I Inspected the septic system at the above address. This system consists of the following: 1 .' 4-cesspools , 3-field stone cesspools . 1930 1940 era I-Block cesspool. Fifty era Based on my InR:*ctlon, I certify the following conditions: 1 . This is not 'a title five septic system. 2. The sewage system is completely engulfed in roots . • 3. Sewage system is in failure. 4. Should be upgraded to a title five septic system. SIGNATURE: Name: J. P .Macomber Jr., i Company: J• P_Macomber & Son-_Inc . Address:_ Cente�rvill,e LMass__0.2.632 t.. Phone:__-548 .J7-SR3338------- -• 1 THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. iMACOM ER & SON, INC. Tanks•CessPools-Leachflelds Pumped & InsUlled Town Sewer Connoctlons P.O. Box 66' Centerville, MA 02632-0066 77.5-3338 77"412