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Home My WebLink About0147 CHIPPINGSTONE ROAD - Health 147 Chippingstone Road,�Marstons Mills A= r i Page: 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Dated: 10/4/2005 Report Prepared For: Order No.: G0533297 Richard Bennett 147 Chippingstone Road Marstons Mills, MA 02648 Laboratory ID#: 0533297-01 Description: Water-Drin~king Water Sample#: 33297 Sampling Location 147 Chippingstone Rd._Marstons Mills,MA Collected: 10/3/2005 Collected by: P.Nelson Lot 50 Received: 10/3/2005 Test Parameters ITEM RESULT UNITS RL MCL Method# Tested LAB: Microbiology Total Col iform Absent P/A 0 0 309 10/3/2005 Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By: ( Director) RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 ASSESSOR'S MAP NO. PARCEL L0CAT10N �� SEWAGE PERMIT NO. s-rd'-,-c ROAD ,JILLAGE 41NSTA LLL .ER'S MAMA i ADDRESS e U I L D E R OR OWNER DATE PERMIT IS UED _��,�� DATE COMPLIANCE ISSUED ,� f3ACK- IA I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH !l ..TQ.W.N................oF.BAR.NSFA.L.LE------..............__._...-----A&P 6a7 �` �I __ Appliratiou for Dio oottl Workii Tontrnr#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: - 1.. T, 0.......N.1. ..N �`�QN. .. D:...... ...1�1.r1..��-----------------------------•-----....---..._.........._.. 4 p f I� 4 9 i . L. J_,..f`�1A.i. 1.... �=...K`/.AN N_O Mer n_ Installer Address QType of Building Size Lot____________________ _____Sq. feet U. Dwelling—No. of Bedrooms___._.-�_._________ -Expansion Attic 40 Garbage Grinder (p 04'4 Other—Type of Building .j,:......... No. of persons____________________________ Showers — Cafeteria a Other fixtures -----------------•-----•-•--•-••--•-•••......__--••- - W Design Flow______________________ ____t� Septic per perso er ay. Total it ow___. Ions. g WSeptic Tank—Liquid capacity allons Length 4�... Width._ : _ Diameter________________ Depth_ ____._.. x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.__i VYV Diameter....12.......... Depth below inlet.................... Total leaching area.;2GP.J..sq. ft. Z Other Distribution box ( ) Dosing JAW.61 tank0-4 /� QPercolation Test Results Performed by.. � .N.. _________________________ Date_` -v ......... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ L% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P: .................................................................... 0 Description of Soil............... ." ..... ..............................................................................................x �.. C`i,...._. .,. . w -----------------------------------------------Co._ -- i ................................................. ...__ UNature of Repairs-or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed. Individual Sewage Disposal System in accordance with the provisions of TITLL 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 the boa o healt . SigC��.£�.��_�-.... ... ------- /Dat ......... ApplicationApproved By.................................................................................................. Date Application Disapproved for the following reasons:.............................................................................................................. - ----------------------- •----------------- ------------------------------------------- •------- ••-•-------- -------- •-••••••-•••-----•--------•----•------------------------------------------------------- Date PermitNo......................................................... Issued....................................................... Date .............. FEz............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...TQ'.VV ...........0 F A R,MS.FA.F)L(=................................ Appliration for Dhipoiial Workii Tonstrurtion rantic Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: . ....... ............................................................... Location-Address. r LojNo--- ► .......................ma�................................L2 ....... iv a , ....6 . . ........1A.............. 0 Address.... ....... ............ ....... EZATA............................L Z........................... ........ V I--- ........L...EA! -Ir H Installer Address Type of Building 7 Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.n-........;...............................Ex ansion Attic (11t)) Garbage Grinder Other—Type of Building .... ............ No. of persons__.._....._.__.________.__.. Showers Cafeteria Other fixtures -------------------------------- --------------------------------------------------------------------------------------------------------------------- Design Flow........................ t11................gallons per person perday. Total daily_flow__:.�_I---------------------- i�� " ..........gallons. - - W /CJ� Septic Tank—Liquid capacitv, Qjallons Length...... Width..-:j'.:.*...'._ Diameter................ DepthZ-1........... Z Disposal Trench—No. .................... Width_..._...._......__._ Total Length...._.__.______._.__ Total leaching area....................sq. f t. - , - '7' > Seepage Pit ---- Diameter....Z�2�......... Depth below inlet____________________ Total leaching area...--c-L.......sq. f t. Z Other Distribution box Dosing tank Percolation Test Results Performed by..._ .. .... .......... ......................... Da1eA____KF. ...................... Test Pit No. I................minutesperinch Depth of Test Pit._..____..._..._..__ Depth to ground water_........__._..._....__. Test Pit No. 2................minutes per inch Depth of Test Pit...____.___________. Depth to ground water...__.___.._....__...__. ts+ ---------- ( - 11 _,"--' **--------------------"----------*----------*-------------------------*---------------------- 0 Description of Soil...............U-)....... ............. .................................................................................. ................................................. .. .......... ................................................................................................ U 7 W ..................(!!�� 11).Jyj.....� A[\ Z _---_----------------------- ---- - •i •........................................................................ U Nature of Repairs or Alterations—Answer when applicable---------------------.......................................................................... ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T LZ 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 the boaf'd_0'f IiealtK. ned.. ......y.. ... ......... ............ Application 1�Approved By......................Sig_.7............................................................ -"-\0. !L.../Dat ................... ....... ............ ............ Date Application Disapproved for the following reasons:.................................................................... ......................................... ........................................................................................................................................................................................................ Date PermitNo......................................................... IssuedL....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........OF..........(-i .. .. ..... W..................... (9rdifiratr of Toutplitturr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by....._..... ............................................................ .............0 C'e V*I- ............................................................................................. Installer - at...........Lo I'A - M L I ................................. ......................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as descrlbed-in the application for Disposal Works Construction Permit No.........<26...... dated_...........-f .1.1- <26........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSSIR---U__ED AS A GUARA TEE�'H'AT THE A SYSTEM WILL FUNCTION S�LTI�FACTORY. ,'k- ' ' /.......... I'(5r ,.,DATE.....................4 I'a Inspector... ................. ----------------------------- --------------- THq COMMONWEALTH OF MASSACHUSETTS Piko'JI10C Viet BOARD OF HEALTH t,';>I SIA NVe-S t 0 T-S 'Fri Rj -T",C-- t1i A ................ ............. ............. .................... No.-.. F...... IV hlvofial� orkii Tonatrurtion Vrrmit So V go ermission 'is herev zrqne lebty....A... 0-,...R............................................................................................to Construct or Repair an Individual Sewage Disposal System at No. L�!i........-,PCs-_-------C_H're ----_------- .jk! -------R'.b.............. Street as shown on the application for Disposal Works Construction Permit No.__.T"..__3.7tated.......... .......... ....................................... _ -------------------------------------- DATE................... V 4) ealth ............................................. 1255 A. M.FORM S 'IN. INC., BOSTON • TOP OF FOUNDATION CONCRETE COVER •,• CONCRETE COVERS 4"CAST IRON 12"MAX. � r E�-a 9X0 OR SCHEDULE 40 12"MAX. ' P.V.C. PIPE 4 SCHEDULE 40 P.V.C.(ONLY) ' PITCH 1/4"PER.FT. PIPE- MIN. LEACH PITCH 1/4"PER.FT. PIT•e PRECAST o,e INVyERT �c /y a LEACHING •. SEPTIC TANK INVERT INVER — ! . e•� PIT OR � ELdSX.b, DIST.. S . a INVERT BOX EL'�` .... ' : ,>_ ':' EQUIV. �. .... GAL. INVE T • EL.�Sir ... 11jj EZ., INVERT ww O: :;�. 3/4��T0II/: ,'• EL?.3A. :.' t,�`� WASHED ? W .''� STONE —►1�--6'DIA. —+-� t •. . . �-- 12, DIA, y PROFI LE OF NO GROUND WATER TABLE SEWAGE DISPOSAL , SYSTEM . NO SCALE �- 6 3 L LOG WITNESSED BY : DATE .11. ..... TIME.. . . . ... . . BOARD OF HEALTH TEST HOLE 'I TEST EL-EV. ELEV,HOLE 2 (JP?ERCApE•ElVGl ENGINEER ..�: .. P.O. BOX 16�R'NG o E; SANDINIC . . . 362H6 a N7 DATA : NUMBER OF BEDROOMS S u TOTAL ESTIMATED FLOW . 3 , GALLONS/DAY BOTTOM LEACHING AREA �� , . 'SO.FT. /PIT SIDE LEACHING AREA . . . .��. . . . SQ.FT./ PIT GARBAGE DISPOSAL . . . .. . . .(50% AREA INCREASE) TOTAL LEACHING AREA .a�.3. . . . SQ.FT 17CO SPAT E(. /SX) PERCOLATION RATE'�-�- , ,/, , , , , MIN/INCH LEACHING AREA PER PERCOLATION RATE .. . . ... SQ.FT. 0—WATER ENCOUNTERED NUMBER OF LEACHING PITS . .0A1, • , • , , • , , APPROVED BOARD OF HEALTH R ` 3�' ' +�5� ! : . " �13 pU I3o7—/pp 1 DATE.-/ �/l� _ . . . . . . . . � AGENT"OR INSPECTOR a►�+ OF M.4 r f 's ' o amnl4e,�Ox,�Zr xilq r. D/ GEY Node s . . . . . . . . �� / 9F�lSTE�' � PETITIONER r Upper Cape Engineering P.O. BOX 616, EAST SANDWICH, MASSACHUSETTS 02537 (617)362-6281 July 2, 1986 Board of Health Town of Barnstable 397 Main St . Hyannis Dear Sir ; An inspection of Lot 50 Chippingstone rd, Marston Mills was done on June 30 , 1986 and found to be installed per plan , with a septic to well off set of 152 feet . i i Y/bi J n Jac o i - I SIX - _ Commonwealth of.Massachusetts _ - - John Grad Executtve Office of ErMrom-entai Affdrs D.E.P. Title V Septic Inspector �epartrnent of P.O. Box 2119 MA 02536 - -Environmental Protection Teaticket, (508) 564-6813 SUBSURFACE SEWAGE DISPOSAL SYSTEM-INSPECTION FORM PART A-. CERTIFICATION - Property Address: 147Lhipping Ston,Rd.Marston Mills - Address of Owner: Date of Inspection:8191 (if different) Name of Inspector:John Gracl karvonen:Box 416 Monument Beach Ma:02553 Company Name,-Address and Telephone Number: - 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: X Passes _ Conditionally Passes _ Needs Fu rpler.Evaluation By the Local Approving Authority Fails Inspector's Signature: fA Date: 819196 The System Inspector shall submit a copy of-his inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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, B,C, or D: A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. 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, cracked,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 conforming septic tank as-approved by the Board of Health. (revised 11115195) One Winter Street • Boston,Massachusetts 02108 • FAX(61 T)556-1049 • Telephone(617)292-5500 1 L qj� �+�•i :.e¢. su.w 'X h N'*;111 �� `''f Y r�+��''FF-S'+G,�4e."EX`wR. '4 Fi '✓3. ' — �� ,�., a•,��N,��3�->, �,"�' � ,rC,.-may a' a — SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A - - CERTIFICATION (continued) _ Property Address:-147 Chipping Stone Rd.Marston Mills - Owner: karvonen:Box 416 Monument Beach Ma.02553 Date of Inspection:$19196 - _ Sewage backup or breakout or high'static water level observed in the distribution box is 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 leveled 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 pipes)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 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: The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and is within 50 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 volatile organic compounds indicates that the well is free from pollution for that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm. 3) OTHER 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. _ Backup of sewage in facility or 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 cesspool. h _ SAS is in hydraulic failure. r (revised 11/15195) 2 " -.. __SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 147 Chipping Stone Rd.Marston Mills - Owner: karvonen:Box-416 Monument Beach Ma.02553 Date of Inspection:919196 - _ y D] SYSTEM FAILS(continued) - Static liquid level in the distribution box above outlet invert due town 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). Numbers of times pumped _ _ I 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 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. 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. E] LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria: _ 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: 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. (revised 11115195) 3 SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM PART B -CHECLIST Property Address: 147 Chipping Stone Rd:Marston Mills - Owner: karvonen:Box 416-Monument Beach Ma-02553 _ Date of Inspection:819196 - Check if the following have been done: , - X Pumping information was requested-of the owner,occupant, and Board of Health. - X None of-the system components have been pumped for at least two weeks and the and the system has been receiving normal- - - flow rates during that period. Large volumes of water have riot been introduced into the system recently or as part of this inspection. NaAs built plans have been obtained and examined. Note if they are not available with N/A. - X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive nor-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components, excluding the Soil Absorption System,have been located on the site. X 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. X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11115195) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. -PART C - -SYSTEM INFORMATION Marston Property Address: 147 chi ping tone Rd ment-Beacih ls Ma.02553 karOwner: Date of Inspection:819196 FLOW CONDITIONS RESIDENTIAL: - - Design flow: 220_gallons Number of bedrooms: 2 Number-of current residents: 2 Garbage-grinder(yes or no): N_° Yes Laundry connected to system(yes or no Seasonal use(yes or no): No Water meter readings, if available: Na Last date of occupancy: n1a — COMMERCIAL/INDUSTRIAL: Type of establishment:_ Design flow:a gallonslday Grease trap present:(yes or no) No Industrial Waste Holding.Tank present: (yes or no) No Non-sanitary waste discharged to the Title 5 system: (yes or no) N_u Water meter readings,if.available: Na . Last date of occupancy: Na OTHER: (Describe) Na Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System last pumped three years a o System pumped as part of inspection: (yes or no)Yes If yes,volume pumped: 1500 gallons Reason for pumping: Maintenance TYPE OF SYSTEM X Septic tank/distribution box/soil absorptions system _Single cesspool Overflow cesspool - _Privy _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 information: 198- Sewage odors detected when arriving at the site:(yes or no)VA (revised 11115195) 5 -.i �. � -w � ac`. .rt�s ,_4 ..._.__ ,..........,,�}9: s"�.� y� `'� fir'#a�'.'-r .r'`i .s�fi 'e. f}. `R � � °"�•". "„�......_ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART C SYSTEM INFORMATION(continued) Property Address: 147 Chipping Stone Rd.MarstO Ills Owner: karvonen:Box 416 Monument Beach Ma.02553 Date of Inspection:-819196 SEPTIC TANK: X -(locate on site plan) Depth below grade: 1' - - Material of construction:X concreate_metal_FRP_other(explain) _ Dimensions: L 8'6"95'7"W 4'10• i Sludge depth:1° Distance from top of sludge to bottom of outlet tee or baffle: 15 I Scum thickness:$' _ Distance from top of scum to top of outlet tee or baffle:6' Distance form bottom of scum to bottom of outlet tee or baffle: 10• 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.) Septic tank and all components are structurally sound.Recommend pumping system every year for maintenance. GREASE TRAP: (locate on site plan) Depth below grade: nla Material of construction: _concrete_metal_FRP_other(explain) Dimensions: n1a Scum thickness:n1a - Distance from top of scum to top of outlet tee or baffle:n1a Distance from bottom of scum to bottom of outlet tee or baffle: nla Comments: condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, (recommendation for pumping, evidence of leakage,etc.) nla (revised 11115195) 6 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C - - — SYSTEM-1-NFORMATIO."contlnued) -Property Address: 147 Chipping Stone Rd.Marston Mills Owner _ karvonen:Box 416 Monument Beach Ma.02553- Date of Inspection:a19196 TIGHT OR HOLDING TANK: _ (locate on site-plan) -Depth below grade: nla Material of construction:_concrete_metal FRP_,other(explain) - Dimensions: n1a Capacity: n/a gallons Design flow: n1a gallons/day Alarm level: nla Comments: (condition of inlet tee, condition of alarm and float switches, etc.) n1a f DISTRIBUTION BOX: X (locate on site plan) t Depth of liquid level above outlet invert: liquid level with bottom of pipe. Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box etc.) D-box is structurally sound. PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)_ Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) nli I (revised 11115195) 7 z `. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART C _ SYSTEM INFORMATION(continued) Property Address:_. 147 chipping Stone Rd.Marston Mills Owner: karvonen:Box 416 Monument Beach Ma.02553 Date of Inspection:819196 i SOIL ABSORPTION SYSTEM (SAS)`.x (Iocate_on site plan,if possible; excavation not required,but may approximated by non-intrusive methods) If not determined to be present, explain: _ Na Type: leaching pits, number: 1,0oo gallon leach pit - leaching chambers,number:nfa leaching galleries, number: rda leaching trenches,number, length: Na leaching fields,number, dimensions:nfa. overflow cesspool, number:nfa ion etc. on ditio n of vegetation, ) failure level of onding, c 9 Comments:(note condition of soil, signs:of hydraulic P s signs of being 314 full.Pit is structural sound.Recommend pumping system eve ry year formaintenance. The leach pit show g 9 IY p P g y N y i CESSPOOLS: (locate on site plan) Number and configuration: nfa Depth-top of liquid to inlet invert: nfa Depth of solids layer: nfa Depth of scum layer: n/a Dimensions of cesspool: nfa Materials of construction: nfa Indication of groundwater: n1a inflow(cesspool must be pumped as part of inspection) nfa Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) nla PRIVY:_ (locate on site plan) Materials of construction: nfa Dimensions: nfa Depth of solids: nfa Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PrivyComments (revised 11115195) i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART C SYSTEM INFORMATION(continued),-- - Property Address: 147 Chipping Stone Rd.Marston Mills Owner: karvonen:Box 416 Monument Beach Ma.02553 Date of Inspection:819196_ _SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all-wells within-100' IA— q.A 3S` 58 OD DEPTH TO GROUNDWATER Depth to groundwater:12 feet method of determination or approximation: USGS Maps and Charts (revised 11115/95) 9 ��,.'s a>.+.a -r.'+3',R-d..�c rk ^'�'�* .'� "'• .�._,.h'�., l�.�rtfi�k�C atw;?^w'�` ,xrY.,.r. �f v.' '" ,: q __ _ CERTIFICATE OF ANALYSIS Page. Barnsta le County Health Laboratory Report Dated: 9/27/2005 Report Prepared For: Order No.: G0533204 Richard Bennett I�� REGE��'Y F I� 147 Chippingstone Road Marstons Mills, MA 02648 SEP 2 9 2005 LE Laboratory ID TO#: 0533204-01 Desc t HEALTH DEPT. a er-Druildng Water Sample#: 33204 Sampling Location: 147 Chippingstone Rd.Marstons Mills,MA Collected: 9/22/2005 Collected by: R.Bennett Lot 50 Received: 9/22/2005 Routine ITEM RESULT UNITS RL MCL Method# Tested LAB. Inorganics Nitrate as Nitrogen 3.8 mg/L 0.10 10 EPA300.0 9/22/2005 LAB. Metals Copper BRL mg/L 0.10 1.3 SM 311113 9/27/2005 Iron BRL mg/L 0.10 0.3 SM 3111B 9/27/2005 Sodium 17 mg/L 1.0 20 SM 3111B 9/27/2005 LAB. Microbiology Total Coliform Present P/A 0 0 309 9/22/2005 LAB. Physical Chemistry Conductance 200 umohs/cm 1.0 EPA 120.1 9/22/2005 pH 7.2 pH-units 0 EPA 150.1 9/22/2005 Recommended maximum contamination level exceeded due to Coliform Bacteria. Retesting is recommended. \ \ Approved By: ( b irector) �rY 27 / � _ E RL Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 A v AC- Al - CH z9 �L 6 / yc l_PR G SOAP a 1 y�y3.9�iY✓ d y . JL Y7 y fir SlZ1.S2 - b t,6� � 3 F PA Ve,,4feAlr 3 - - . . .. fo Z 52, , l " m /,3 T 'Al cp HD US AE0 o Q , c o : - 1 0 - , . s , '. D D LOT / DT z i _ y w Mf'Lf. o3GZ 9- 31 8. 6 oz q,� rL 3 t.tars, /1o.7oa�F s •Lf . t I x P,LAA/ OF ,LOTS .SD e Sz i 1 " I �//UG S TD�tI R . 0 HIP E P _ ' his TA3L6, M MA . E AREP . . . E P E CAPE, AI IAl E NG s U P R E G RI JOHN OR . r WWNYYY HOHES SCALE TE _ � I A $ , p� z: Al 'r g nt , . A �S : u'. J.. e i yi. , + w r, x > c c.. r