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0056 FOXGLOVE ROAD - Health
(5-- 6 Foxglove Road L�arj,lonsmills 130-027 1 I� s I� { i I Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10003 �v� .r,u a IIra1s� y Parcel Detail Tuesday, October 23 2012 ' Parcel Lookup Parcel Info er Parcel ID 149-130-027 I Develop LotLOT 29 Location 56 FOXGLOVE ROAD I Pri Frontage 118 Sec Sec Road I Frontage village MARSTONS MILLS I Fire District C-O-MM Town sewer exists at this address No I Road Index 0568 Asbuilt Septic Scan: 149130027_1 Interactive Map 149130027_2 Owner Info Owner ACKLEY, HELEN E I Co-owner %MCNALLY, LYNNE A Streets 86 MADISON STREET I Street2 City DEDHAM I State MA I zip 02026-3318 Country Land Info Acres 0.43 Use Single Fam MDL-01 I zoning SPLIT Nghbd 0105 Topography Level Road Paved utilities Public Water,Gas,Septic I Location (. Construction Info Budding 1 of 1 Year Roof Ext 1981 I Gable/Hip I Wood Shingle Built Struct Wall Living Roof AC AS. 18 EP 24 1862 Asph/F GIs/Cmp I None Area Cover Type Mr. �21 3 style Ranch wall Drywall Be Rooms 4 Bedrooms I ;� 2 Int Bath Model Residential ( Floor Carpet Rooms 2 Full ( 14 3 in Grade Average ( Heat Hot Air I Total 8 Rooms 11 1 Type Rooms o3 GAR F01P' 49 Stories 1 Story Typical I Heat Gas Found- T ical - Fuel ation t' r 1a e Gross 4307 Area Permit History http://issgl2/intranet/propdata/ParceiDetaii.aspx?ID=10003 10/23/2012 y / Town of Barnstable P aY L Department of Regulatory Services tta q5L Public Health Division Date 4ffi 700 Main Street.Hyannis MA 02601 Mla Date Scheduled &) CD Time Fee Pd. �D Soil rS suitability Assessment for Sewage Disposal Performed By. J. G. {.L{fi JQMS—� t _UA,�A.� � Witnessed By: LOC`JION&GENERAL ORMATION Location Address �'� ��'F p\a:7 a hm" ees Name M �� H Li a-n J �r6 �/ gyp- � d . C-4 Address `�lo r6r, f Assessor s Map/Parcel: P4c) _ i 3 C7 /0 — Engineer's Name 1a— NEW CONSTRUCTION REPAIR N Telephone# 7-4 —1 O h Land Use sk"- L:•J''''��—�{{{{ Slopes(%)uY 11 Surface Stones no n e Distances from: Open Water Body v�_ft Possible Wet Area�tlLft thinking Water Well R Drainage Way n j��I_ ft Property Line '`�ft Other Rl5b �dp—443� SI(ETCH:(Sweet name dimensions oot exact locations of test holes&pe rc tests,locate wetlands in proximity to holes) Aes Tit 115E - I v C! 8 Parent material(geologic) Depth to Bedrocl Depth to Groundwater:Standing Water in Hole: `p Weeping from Pit Face Estimated Seasonal High Groundwater 1 5 e DETERMINATION FOR SEASONAL HIGH WATER TABLE. Method Used: Depth Observed standing in obs.hole in. Depth to soil mottles: in. -Depth to weeping from side of obs.hole: in. Groundwater Adjustment R - Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level ` .. ERCOLATION TEST Date tG J-Time Observation Z Hole# Time at Sr O f - 3.t, S , Depth of Perc (�t 4 Time at G' - Start Presoak Time l0:"L.j4.y, (fj : i,.-07 'rime(9"-6^) QHN Find Pr oak Ic7 9Z 1 G R -CAULEY � H Rate MinAnch M 5101 Site Suitability Assessment Site Passed Site Failed: Additional Testing Needed-(Y/N) Original:Public Health Division Observation Hole Data To Be Completed on Back ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q.�SEP'nC%PERCFORM.DOCLOU . f DEEROBSERVATION HOLE LOG Hole# .a Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(w) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,4'Gravel) Lawn tz- U- tc Xr C, j L DEEP OBSERVATION HOLE LOG: Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure Stones,Boulders. Consistency°/Gravel) �3 3io�- W Gp i►'tt- 0't- O4. 21 IA1.10 i ' DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Muaselq Mottling (Struchue,Stones,Boulders. onsistencv Gravel) DEEP OBSERVATION HOLE LOG Hole.# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency%Graven Flood Insurance Rate Mao: Above 500 year flood boundary No_ Yes Within 500 year boundary No ✓ Yes Within 100 year flood boundary No Yes Depth of Naturally Occurrine Pervious Material Does at least four feet of naturally occurring pervious m�t�ria]exist in all areas observed throughout the area proposed for the soil absorption system? l/ If not,what is the depth of naturally occurring pervious material? Certification I certify that on(D 11'6 (date)I have passed the soil evaluator examination approved by the Department of Envi ental Protection and that the above analysis was performed by me consistent with the required training, ise and ex pe nce described in 310 CMR 15.017. Signature Date Q:\SEPnC\PERCFORM.DOC la �Er -- OFFICIAL USE 0 Ln Postage $ a ru Certified Fee , Postmark i p Return Receipt Fee Here C3 (Endorsement Required) 1 0 Restricted Delivery Fee -.7 0 (Endorsement Required) ` C co Total Postage&Fees is n rZI Sent To cc V Sliest,Apt No:j ( ,---------�-/--- a I orPO Box No. •��`' I�VC `F�DLC j` City,Stat, P+4 Certified Mail Provides: T- o A mailing receipt R s A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. o 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. s 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. - ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry.,, PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 Town of Barnstable Barnstable Regulatory Services Department j zdcaC j fARNSPABM 9 ,m� Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Certified Mail # 70081830000205009601 October 3, 2012 Ray Campanini 56 Foxglove Road Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 56 Foxglove Lane, Marstons Mills, A was last inspected on 08/08/2012, by Shawn McElroy, a certified tic inspecto or the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Backup of Sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Static Liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within 60 days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE OARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health ` / v Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 56 Foxglove Rd Property Address Ray Campanini Owner Owfmvlj N e information is "Ii jMA 02632 8-8-12required for every - page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information 1. Inspector: Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name 29 Atwater Dr Company Address h E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority 8-8-12 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. - ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. � 1 t5ins•11/10 Tide 5 Official 11nspeVnFor.Tn:Subsurface Sewage Disposal System-Page 1 of 17 • ' Y ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 56 Foxglove Rd - Property Address " Ray Campanini Owner Owner's Name information is Centerville MA 02632 - 8-8-12n ln3D required for every page. City/Town State Zip Code Date of inspection B-Certification (cont.). Inspection Summary: Check •A,B,C,D or I /always complete all of Section D • A) System Passes: ' ❑ I have not found any information which'indicates that any of the failure criteria described in 310 CMR 15.303 o`r in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: ,W s 'B) System Conditionally Passes: ❑ one or more system components as described in the "Conditional Pass"section need to be replaced or repaired.;The system,.upon completion of the replacement or repair, as approved by the Board of Health,will-pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than.20 years old is available. , R Y ❑ N, ❑,ND (Explain below): t5ins•11110 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 f Commonwealth of Massachusetts m F Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Foxglove Rd Property Address Ray Campanini Owner Owner's Name information is Centerville MA 02632 8-8-12 required for every •• ' page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System'Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced. ❑ •Y ❑ N ❑ ND (Explain below): El The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ 'Y ❑ N - ❑ ND (Explain below): 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 t the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 4 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage.Disposal System Form -Not for Voluntary Assessments' a< 56 Foxglove Rd Property Address Ray Campanini Owner Owner's Name information is Centerville MA 02632 8-8-12 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ` ❑ The system has•a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. i ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water Supply ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if thewell water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, providedthat no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each`of the following for all inspections: Yes z . No ® ElBackup of sewage into facility or system component due to overloaded or clogged SAS or cesspool 0 ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ElStatic liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in�cesspool is less than 6" below invert or available volume is less than Y2 day flow" t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts . L Title 5 Official Inspection Form ` o Subsurface Sewage Disposal System.Form -Not for Voluntary Assessments 56 Foxglove Rd Property Address Ray Campanini Owner Owner's Name information is • Centerville MA 02632 8-8-12 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® v -Any portion of the SAS, cesspool or privy is below high ground water elevation. f. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. El ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This w system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence f of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] The system is a cesspool serving a facility with a design flow of 2000gpd- 0 , ® 10,000gpd. ® The system fails. I have determined that one or more of the above failure Criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ' ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply the,system is located in a nitrogen sensitive area (Interim Wellhead Protection ET ❑ Area- IWPA) or a mapped Zone 11 of a public water supply well r 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. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface.Sewage Disposal System Form -Not for Voluntary Assessments 4M , 56 Foxglove Rd - Property Address Ray Campanini Owner Owner's Name information is required for every Centerville MA 02632 8-8-12 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate "yes" or"no" as to each of the following: is Yes No 5 �❑ ® Pumping information was provided by the owner, occupant, or Board of Health ' ❑ ' ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined? (If they were not ''" w ® °❑ available note as N/A) ` • ❑,', ; Was the facility.or dwelling inspected for signs of sewage back up? y : ® } ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ®' ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? Was the facility.owner(and occupants if different from owner) provided with ® ❑ information-on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan atthe Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System.Information , • Residential Flow Conditions: t,�• . Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203;(for example: 110 gpd x#of bedrooms): 440 t5ins-11/10 p`•a Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 I• ` - Commonwealth of Massachusetts Title 5 Official Inspection Fora - S u bsurface_Sewage Disposal System Form -Not for Voluntary Assessments 56 Foxglove Rd Property Address Ray Campanini Owner Owner's Name information is required for every Centerville MA 02632 8-8-12 page. CityTown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundryon a separate sewage system? if es separate i e a ens inspection required] Yes No P 9 Y [ Y P P q l ❑ Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail Sum pump? p p p El Yes ® No Last date of occupancy: 7-2012Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): canons per day Y(gPd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form , Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Foxglove Rd Property Address Ray Campanini Owner Owner's Name information is required for every Centerville MA 02632 8-8-12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records:, , Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was YP pumped um ed determined? q Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): a ; t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Foxglove Rd Property Address Ray Campanini Owner` Owner's Name information is required for every Centerville MA 02632 8-8-12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1995 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 26„feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): 18" Depth below grade: feet Material of construction: - ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) I If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal Sludge depth: 12" t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Foxglove Rd Property Address Ray Campanini Owner Owner's Name information is Centerville MA 02632 8-8-12 required for every ' page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 2011 Scum thickness x 11 Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 1611 How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with water at working level. The concrete outlet tee has fallen off. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•11/10+ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Foxglove Rd Property Address Ray Campanini Owner Owner's Name information is required for every Centerville MA 02632 8-8-12 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal . ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: n gallons per day Alarm present: ❑ Yes ❑ No Alarm level.' Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): , *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Forl m "s Subsurface Sewage Disposal System.Form -Not for Voluntary Assessments 56 Foxglove Rd Property Address Ray Campanini Owner Owner's Name ` information is required for every Centerville" MA 02632 8-8-12 page. City/Town State Zip'Code Date of Inspection D. System Information (cont.) . Distribution Box(if presentmust be opened) (locate on.site�plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Good condition with stain lines above inlet invert. PumpChamber locate on site plan): ( p ) Pumps in working order: ❑ Yes ' ❑ No Alarms in working order: .. ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11/10 j Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Foxglove Rd r Property Address Ray Campanini Owner Owner's Name information is required for every Centerville MA 02632 8-8-12 page. City/Town - State Zip Code Date of Inspection D. System Information (cont.) f : . Type: ® leaching pits number: 1-1000 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number,.dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit was empty at inspection with visible stain lines above inlet invert. R Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration w Depth—top of liquid to inlet invert r ° Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Foxglove Rd Property Address Ray Campanini Owner Owner's Name information is required for every Centerville MA 02632 8-8-12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): ` Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): r - t5ins• 1/10 .. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts ' : l Title 5 Official. Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Foxglove Rd Property Address ` Ray Campanini Owner Owner's Name information is required for every Centerville, MA 02632 8-8-12 page. City/Town . . State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately r a a c 001 a �r C t , t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form , Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Foxglove Rd Property Address Ray Campanini Owner Owner's Name information is required for every Centerville MA 02632 8-8-12 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope i ❑1 Surface water", ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date - Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database- explain: You must describe how you established the high ground water elevation: i USGS and town maps show groundwater at greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-11/10 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M • 56 Foxglove Rd Property Address Ray Campanini _ Owner Owner's Name information is required for every Centerville MA 02632 .' 8-8-12 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file a fw t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 r � v. ; Town of Barnstable Y+ U.S.POSTAGE>>PITNEY BOWES Public Health Division r (( ® BARNSTABLE. • ti �� ��O MASS. 200 Main Street �.. �e lEorAa°. Hyannis,MA 02601 ZIP 02601 $ 005.150 :. . . � t. 0001361475 0CT. 16. 2012. 7006 0810 0000�3524. 7274 - Cn Ray Campanini 56 Foxglove Road QC=1a m;H Centerville, MA 02632 RETURN T-10 SENDER ATTEMPTED - NOT KNOWN F TO 'FORWARD SC" 02 _b034lIDUZto0 .`,ZLb64-ij.,J3t)4-1.-4-2Z � I n� o 1 n'Clatnl ti...ii i.iii...ii. i k I SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature I item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery I ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes 6 If YES,enter delivery address below: ❑ No f -- - i �•II i 1 i Ray Campanini i 56 Foxglove Road s. Service Type Centerville, MA 02632 ❑Certified Mail ❑Express Mail l i' ❑Registered ❑Return Receipt for Merchandise ! \ - ❑Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑ 2. Article Number (rransfer from`seryice'label) 7 0 0 6 0 810 0000 35214 7 ?4 i PS Form 3811 February2004 Domestic Return Receipt102595-02-M-1540; / j �. • ru Lni n I M Postage $ �� �'V 1 0 Certified Fee ` t f� 0 Return Receipt Fee (Endorsement Required) 1 J, -.•lam �V �`f�. E3 Restricted Delive_ry Fee VVVVV�� r-1 (Endorsement Required) 03 - o Total Postage&Fees. $ �3 —13 O � Ray Campanini 56 Foxglove Road Centerville, MA 02632 Certified'Mail Provides: (as�enad)zOpZ eunr'OOBE w,o3 sd ® A mailing receipt o A unique identifier for your malipiece 111 A record of delivery kept by the Postal Service for two years Important Reminders: to CertVied Mail may ONLY be combined with First-Class Mail®or Priority Mail®. '0 Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. +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. 10 For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery".` a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail t receipt is not needed,detach and affix label with postage and mail. t�- IMPORTANT:save this receipt and present it when making an-inquiry.' Internet access to delivery information is not available on-mail .3 addressed to RPOs and FPOs: oFt� Town of Barnstable Barn Regulatory Services Department >j'W"a� , ; � Public Health Division 6 200 Main Street, Hyannis MA 02601 2°07 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL # 7006 0810 0000 3524 7274 October 3, 2012 Ray Campanini 56 Foxglove Road Centerville, MA 02632 The septic system located at 56 Foxglove Road, Centerville, MA was last inspected on 9/22//2012 by James D. Sears, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • Septic system is in hydraulic failure You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF E BOARD OF HEALTH as McKean, R.S. Agent of the Board of Health I Documentl I k - TOWN OF BARNSTABLE LOCATION SEWAGE# c-� VILLAGE MAS4ESSOR'S MAP&PARCEL��., INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY t LEACHING FACILITY: (type) C;:)L ,\ (size) NO.OF BEDROOMSc� ,�_ OWNER PERMIT DATE: COMPLIANCE DATE:00, 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 �� ,•C����. A, P �'. r-❑C7 ❑❑❑F ❑❑❑ ❑❑ ❑❑❑❑❑ o❑ ❑❑a TOWN OF BARNSTABLE LocknoN e__ SEWAGE VILLAGE e �°' SESSOR'S MAP&LOT M INSTALLEXS NAME&PHONE NO. SEPTIC TAN CAPACITY LEACHING FA.CILfl' - (ham) 1�.--� (size) —/'o Oro'ga NO,OF'BEDROOMS._ bt ILDER OR OWNER. rERM1T®ATE:___, :CC➢WLJANC.E DATE: Separation Distance Between the; Maximum Adjuswd,Groundwater Table to the Bottom of Leaching Pacility Feel Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of teaching facility) Fact Edge of Wedand and Leaching Facility(if any wetlands exist within 300 feet of to ing faciir'(/G Fr-n f 0 C 0 .O �_�_ �o ` ► -C 31 ' ^� �d, ao' .t 35 49 s� z�f LL- a� V TOWN OF BARNSTABLE LC'CATION p-� SEWAGE # i VILLAGE 000vt.eA0.7 ASSESSOR'S MAP&LOT 29 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /47" ZD d LEACHING FACILITY: (type) (size) NO.OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) i Feet Furnished by 6. ,A °&.4cf a) dI 31 ��. J 3 b No. Z— :3 Y Fee�/5-0` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF'BARNSTABLE, MASSACHUSETTS Yes ftPliLation for Misposaf 6potem Construction Permit Application for a Permit to Construct( Repair Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components L� .Location Address or Lot No. �� �� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. De_Jysigne 's Name,jkddress,and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size `eSy --Sq.ft. Garbage Grinder( ) Other Type of Building^� No.of Persons Showers Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided Zk,- gpd Plan Date lO Number of sheets Revision Date Title r N— Size of Septic Tank Type of S.A.S. -e Description of Soil Nature of Repairs or Alterations(Answer when applicable) ®�^� Date last inspected: SSZ!1.� Agreement: �7 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 Certificate of Compliance has been issued by this Board eatn.,�„+, S' d Date Application Approved by _ Date Application Disapproved Date for the following reasons Permit No.li��-- vt Z — 3)v, Date Issued l6�`/�ZQ r Z � l No. �/ Fee ��a THE COMMONWEALTH OFMASSACHUSETTS Entered in computer: Yes j/ PUBLIC HEALTH DIVISION -TOWN OFjBARNSTABLE, MASSACHUSETTS �. 2pplication for Vsposal *pstem Construction Permit .. -,. ! Application for a Permit to Construct�) Repair' Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. as � Q Owne s Name,Address,and Tel.No. 0t (.0 Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Design ',s Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers()r,) Cafeteria( ) Other Fixtures Design Flow(min.required) ' gpd Design flow provided ZSM- gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. [ u�[, �7 Description of Soil f�Q �� . S;� Nature of Repairs or Alterations(Answer when applicable)" Date last inspected: `c 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 oEnvironmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this%oard eat S' `d�� Date _ Application Approved by Date Application Disapproved b (/' Date for the following reasons Permit No. i 2 ' 31 Date Issued --------------------------------------------------------------------------------------------------------------------------------------- TH F COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(x) Repaired Upgraded( ) Abandoned( )by at 15& F-0 X r LO\/E 9---�, /"I AP-514NS M I LLS has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. _OI-1'3S S dated /0 '1IZO(2_ Installer Designer #bedrooms 3 Approved design flow 3 3� gpd The issuance of this permit shall not be construed as a guarantee that the system will�, deDate �- Inspector /�.. ...� --------------------------------------------------------------------------- ----------------------------------------------------------- No.00�'Z_ I Fe� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit Permission is hereby granted to Construct( Repair( ) Upgrade( ) Abandon( ) System located at L Fyxc,",f-, 93) p�d4-fZS�ry5 /l/� LLS and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date o l 9 l Z t7)-L Approved by v � Town of Barnstable Regulatory Services Thomas F. Geiler,Director '^' . ' Public Health Division 659%, Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: ' Sewage Permit# 201 ZH-310 Assessor's Map/Parcel Installer&Designer Certification Form Designer: J a Installer: Address: C) PBX Address: On 9 20i v Lvolla c. was issued a permit to install a (date) (installer). septic system at e 4--a based on a design drawn by 9 (address) J• I�t _C tic, dated ( �}- 02, 2012 (designer) 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. Stripout (if required) was inspected and the soils were found satisfactory. 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 des' er to follow. Stripout (if requir9,e was inspected and the soils / w f and is cto OF � JOHN yc�; LANDERS-CAULE'( (In ller s Signature - CIVIL � No.35101 9fC1S1ER��a�� Ul)csigner's Signatur (A i F� \ m Here � .. P ) PLEAS RETURN TO ARNSTABLE 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. gAoffice formsWesignercertification form.doc UMUD —0 � r. CO In 0 Postage Er \tS u7 Certified Fee Z. =p JH k Return Receipt Fee nl (Endorsement Required)'� Restricted Delivery FeeO (Endorsement Required) p Total Postage&Fees $ f ° N Sent To Frederick G & Helen E A ey ckl a Q Street;Ai 56 Foxglove Road o �I sta1 Centerville, MA 02632 I Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece o A signature upon delivery o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fdr valuables,please consider Insured or Registered Mail. n 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". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,May 2000(Reverse) 102595-99-M-2037 Town of Barnstable ' F1ME rp� ° do Regulatory Services STABLE Thomas F. Geiler,Director 9q, ' � Public Health Division AIED�A°�A Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Frederick G. & Helen Ackley Date: 8/10/02 56 Foxglove Road Centerville, Ma 02632 FINAL NOTICE ORDER TO COMPLY WITH 310 CMR 15.00,THE STATE ENVIRONMENTAL CODE,TITLE 5.,_. Our records indicate the septic system owned by you located at 56 Foxglove Rd. Centerville,Ma was inspected on 5/31/95,by James D. Sears a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00)due to the following: Leaching pit was full of wastewater. According to Title V, the owner had two (2) years to repair or replace the system. More than two years has past since the date of this inspection. You were previously notified of the failed septic system. However, the system has not been repaired as required as of this date. Therefore, you are directed to hire a licensed professional engineer (PE) or Register Sanitarian (RC) to design a system that will bring the septic system in compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within twenty-one (21) days of your receipt of this letter. You are also directed to hire a licensed septic system installer to install the system components within forty-five (45) days of your receipt of this order. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. Failure to comply to this order of the Board of Health, may result in court action against you the owner of this property PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable Town of Barnstable Assessors Division Page 1 of 3 - ,x. *a 1 7 - _ `0 xtie555r . 00 � a Your Location : Home : Town Departments : Administrative Services :Assessors Division : Property Results <<Back-Forward>> Thursday, May 30, 2002 Assessors Division- Property Results Data is based on Fiscal Year 2002 Assessor's. Fiscal Year 2002 Assessed Values database and is provided' for information Tax Information purposes only. Sales History Land and Building Description Construction Details «Search Again Out Buildings & Extra Features Building Sketch 56 FOXGLOVE ROAD Map/Parcel/Parcel Extension: Mailing Address: 149/130/027 ACKLEY, FREDERICK G & Owner of Record: ACKLEY, HELEN E ACKLEY, FREDERICK G & 56 FOX GLOVE RD, Property Location: CENTERVILLE, MA 02632 56 FOXGLOVE ROAD Parcel ID: 149130027. � le� ,Mai 1. � N Co P1 T F'l)�1., ® � �A�- 'Wh Fiscal Year 2002 Assessed Values AToD Appraised Value Assessed Value Building Value: $ 136,400 $ 136,400 Extra Features: $2,600 $2,600 Outbuildings: $0 $0 Land Value: $46,900 $46,900 Totals: $ 185,900 $ 185,900 Tax Information ^Top Town Tax $ 1,721.43 Tax Rates (per$1,000 of valuation) C.O.M.M. FD Tax $256.54 Town 9.26 Fire District Rates Land Bank Tax $51.64 Barnstable 2.61 C.O.M.M 1.38 Cotuit 1.69 Total: $2,029.61 Hyannis 2.54 W. Barn. 1.54 v http://www.town.bamstable.ma.us/Come.../resultsk02.asp?MAPPAR=149130027&B1=Submi 5/30/02 Town of Barnstable Assessors Division Page 2 of 3 -Total does not include special assessments- utner Kates Land Bank 3% of Town Tax Due to rounding differences these values are approximate. Sales History ^Top Owner: Sale Date: Book/Page: Sale Price: ACKLEY, FREDERICK G & 5/15/1982 3486/266 $81,800 Land and Building Description ^Top Land Building. Lot Size(Acres): 0.43 Year Built: 1981 Appraised Value:$46,900 Living Area: 1862 Assessed Value: $46,900 Replacement Cost:.$ 146,638 Depreciation: 12 Building Value: $ 136,400 Construction Details T ^ op Style: Ranch Interior Walls: Drywall Model: Residential Interior Floors: CarpetHardwood Grade: Average Grade Heat Fuel: Gas Stories: 1 Story Heat Type: Hot Air Exterior Walls Wood ShingleClapboard AC Type: None Roof Structure: Gable/Hip Bedrooms: 4 Bedrooms Roof Cover: Asph/F GIs/Cmp Bathrooms: 2 Bathrooms Total Rooms: 8 Rooms Outbuildings& Extra Features ^Top Code Description Units/SQ FT Appraised Value Assessed Value FPL1 Fireplace 1 $2,600 $2,600 Building Sketch ^Top fr 1'1 4 x Aj r ,< AP http://www.town.bamstable.ma.us/Come.../resultsk02.asp?N APPAR=149130027&B1=Submi 5/30/02 Town of Barnstable Assessors Division Page 3 of 3 t Map Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area (Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area (Finished) UST Utility Area (Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Uni FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfi FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) Back-Forward Home Departments 1.Town Information I Contact Town Hall Website Developed and Maintained internally by the Town of Barnstable Information Systems Department Town Hall-367 Main Street- Hyannis,MA-02601.-508-862-4000 DISCLAIMER: Although we strive to provide accurate.information,we are only human. Please consult directly with the appropriate department if there is a question of accuracy. Copyright 20010 Town of Barnstable. All Rights Reserved. http://www.town.bamstable.ma.us/Come.../resultsk02.asp?MAPPAR=149130027&B1=Submi 5/30/02 z. Septic Inspection Information Data Entry Date j 12/1/g7 Septic Inspect NoJ Assessors Map: 149 Pareel 130027 Lotr Business number: 56I Address Fox love Road villase: Centerville Inspector: ,lames D, Sears Inspect date] 5/31/95L Sy,.'stem Statu F Comment. pit is full with wastewater. Permit# ,R ara Date:' Notification Date: 9/28/95 Eng/Installer; Installer Repair Deadline Date: 10/28/95 Z 273 502 583 .US Postal Service Receipt for Certified.Mail No Insurance Coverage Provided. Do not use for International Mail S e reverse tto Stree er Po i e,&ZIP od Postage Certified Fee Special Delivery.Fee Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ Postmark or Date € LL U) Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service .. window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. cc a 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a i RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. �`8L 6. Save this receipt and present it if you make an inquiry. 102595-99-M-007gf d Town of Barnstable Department of Health, Safety, and Environmental Services KAM Public Health Division 367 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health TO: FREDERICK& HELEN ACKLEY DATE: JAN. 20, 2000 56 FOX GLOVE RD. CENTERVILLE, MA. 02632 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 56 FOX GLOVE RD. was inspected on 05/31/95 by JAMES SEARS a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: PIT IS FULL (to the cover) WITH WASTEWATER The above system, according to our records has been in a failed state for more than two years. Therefore, you are directed to hire a licensed Town of Barnstable septic system installer to sketch a proposed system that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within(14)fourteen days of receipt of this notice. The septic system must be brought into compliance within (30) thirty days of your receipt of this directive. You are also directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into buildings, onto the surface of the ground, or into surface waters. Any person aggrieved.by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable q:halN�iileVitle52y.dat a► SENDER: I also wish to receive the ■complete items 1 and/or 2 for additional services., ■Complete items 3,4a,and 4b. following services(for an r) ■Print your name and address on the reverse_of'thig form so that we can return this extra fee): card to you. n v ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address Z permit. d ■Wnte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery W « ■The Return Receipt will show to whom the article was delivered and the date a = delivered. Consult postmaster for fee. 0 v 3.Article Addressed to: 4a.Article Number d 4) ���'—O��•�/1���� 4b.Service Type ❑ Registered Certified CD ❑ Express Mail ❑ Insured w ¢ ❑ Return Receipt for Merchandise ❑ COD aJ 7.Date of Delivery z p 5.Received By:(Print Name) 8.Addressee's Address(Only if requested c and fee is paid) t 6 i I i it o iiiil-3 Tj It+! � �. b.{ i 'elSi ,i I{si tittilt( . tits t � t +' .t irtt tl ilti tt it1{{ - 'PS t Receipt UNITED STATES POSTAL SERVICE First-Class Mail Qo, Mq O Restaige&Fees Paid USP C P M Permit No.G-10 O Print your name,�iddMss,and ZIP Code in this box o 2G0 Public Health DIViS1011 T own of Bamstabie ' p 0. Box 534 Hyannis,Massachusetts 02601 I I -' .. l7, � o-ao �, , , �m .ern , Actions Taken/Results: EFB ON SITE .DIESEL FUEL SPILL FROM A DELIVERY TRUCKS FUEL TANK SOMETIME DURING THE NIGHT OF JAN 31,2000 AND THE EARLY AM OF FEB 1, 2000. THE SPILL WAS NOTED'BY ONE OF THE. MAINTENANCE CREW AT ABOUT 9:30 AM OF FEB. 1, 2000. THE SPILL WAS NOTED AS' LARGE SPOTS ON THE ENTRANCE OF THE WEST SIDE OF THE CANDLE COMPANY'S PARKING LOT.THERE WERE HEAVIER CONCENTRATIONS OF FUEL ON THE ASPHALT DRIVE WERE THE TRUCK STOOD FORA WHILE TO BACK UP TO THE LOADING AREA WHICH IS LOCATED TO THE SOUTH OF THE NEW ADDITION OF THE CANDLE COMPANY.AT THE POINT OF _ UNLOADING OR LOADING THERE WAS A FUEL DEPOSIT ADEQUATE FOR THE FUEL TO ACCUMULATE AND FLOW ACCROSS THE ASPHALT. SOME OF THE FUEL ENTERED THE CATCH BASIN IN THE AREA. THE MAINTENACE STAFF SPREAD SAND 6 ' 0 .. 5' u" xl -nl IMMY PARCEL FOR TESTING 'n .8'000561 000000 WBC ia. OT 29 ol ,CKLEY,FREDERICK G& M. ,CKLEY,HELEN E .........11 .8i )o 6 FOX GLOVE RD MA 026K 00-000 ENTERVILLE 248� 3486 266 ................ ....... .......... .�M. 1 .......... ACKLEY,FREDERICK G& /266 M.1-21 M ggiiiigg" 0000000000 JOIN ................ wa: .................. .... R 0118 :OXGLOVE ROAD 0565 ............ Jnassigned Road Name ................ .................... ........ ........ . .......... Ml�affl M. !t n• "a SENDER: I also wish to receive the 'y • Complete items 1 and/or 2 for additional services. y Complete items 3,and 4a&b. following services (for an extra m U • Print your name and address on the reverse of this form so that we can feel: return this card to you. L N Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address does not permit. .. t • Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery a • The Return Receipt will show to whom the article was delivered and the date m 0cdelivered. Consult postmaster for fee. '3. Article Addressed to: 4a. Article Number cc N 3 4b. Service Type � 0 ❑ Registered ❑ Insured Certified ❑ COD c W 0������ El Express Mail El Return Receipt for 3 cc �/l/ Merchandise CJ 7. D e © eliver 4. a o 17 5. atur Address a 8. A d ssee's dr ss(Only if requested c aner fee isLU p dl H t 6. Signature (Agent) ~ 0 PS Form 3811, December 1991 *U.S.GPO:1993-152a14 ,DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE Official Business PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE,$300 Print your name, address and ZIP Code here odf P.0. Fax, M3344 Y~ Z 3H8 636 - 017 Receipt for Certified Mail No Insurance Coverage Provided � Do not use for International Mail MAL Sr.TES MIST.L sewice (See R verse) O'i Sent to o) t Stre t and No. toea � P.O., to an e O 00 Post e M E Certified Fee O Special Delivery Fee _fn ca IFR_@Stri¢ted CD.e.liveyyFf�e rReturnrReceipt(Showing to Whom&Date De Return Receipt oV� ' Date,and Add �' A ; TOTAL Posta e Q &Fees r t J oc— Postmark or 3i7GJ•'. STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). a 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address 12 leaving the receipt,n e attached and present the article at a post office service window or hand it to carrr your rural ier Ixtra charge). Q . .. 2. If you do no�nt this receipt postmarked,stick the gummed stub to the right of the return Cl) address of the article,date,detach and retain the receipt,and mail the article. <; _ 3.IIf you want a retu neceip,write the certified mail number and your name and address on a 2 return receipt card,Form.+381 11,and attach it to the front of the article by means of the gummed ends if space;pennits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adj'aceti the number. 0 CD 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, , M endorse RESTRICTED DELIVERY on the front of the article. •€ 0 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If LLreturn receipt is requested,check the applicable blocks in item 1 of Form 3811. _ n. 6. Save this receipt and present it if you make inquiry. 105e03-ea-B-m_1e • t Town of Barnstable = Department of Health, Safety, and Environmental Services S "Sr- '' 6WOV� r '" 14 Public Health Division 367 Main Street, Hyannis MA 02601 Office: 508-790.6265 Thomas A.McKean FAX: 508-775-33,M Director of Public HeaHb 9/27/95 Fred Ackley 56 Foxglove Road Centerville, MA 02632 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 56"Fox Glove Road, Centervill we as inspected on May 31, 1995 by James Sears a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Pit is full (to the cover)with wastewater You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. You are also directed to bring the septic system into compliance within thirty (30) days of receipt of this order letter. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health f [Installer letter] Sl TO: t� � �� (Date) ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. ` The septic system owned by you located at�' )4' y was inspected on L-!-—Y a Massachusetts a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00)due to the following: G c i f You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. You are also directed to bring the septic system into compliance within thirty (30) days of receipt of this order letter. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C:H.O. Agent of the Board of Health Town of Barnstable Z 2�SS i - ��" C6RL- '� SEA._ •• ._ HEALTH UEH I. SEPTIC PUMPING AND INSTALLATION 350 Main St. W. Yarmouth, MA 4§a OFV&WMLE Healing&Plumbing,Fire Sprinklers SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property MAP# �,,� Owner's name F4 f� C CV-7—' Date of Inspection A 'r1-£ Y PAR# PART A I L-9 130 oil CHECKLIST Check if the- following have been done: Y Pumping information was requested of the owner , occupant, and, Boird of Health. None of the system components have been pumped for at least two wee'4s and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. V As built plans have been obtained and examined. Note if they are not available with N/A VI/ The facility or dwelling was inspected for signs of sewage back-up. The site was inspected for signs of breakout. ; All system components, excluding the SAS, have been...located`on the site. i/ The septic tank manholes were uncovered, opened, and the interior of: the septic tank was inspected for condition of baffles or tees material of construction, dimensions , depth of liquid, depth of sludge, depth of scum. The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. f The facility owner (and occupants , if different from owner) were provided with information ,on the proper maintenance of SSDS.. AUC 3 1 1995 law t i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM >: PART B SYSTEM INFORMATION FLOW CONDITIONS Xf residential number of bedrooms number of current residents garbage grinder, yes or laundry connected to system, es or no seasonal use, yes or no If nonresidential , calculated flow, Water meter readings, if available: Last date of occupancy l GENERAL INFORMATION Pumping records and source of information: it 1y4- 57oe System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping: O v7" ,Z £7 2 FO 5' .S v,L/b AT Typ!e-,Qf system o' Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) ( if yes , attach previous inspection' records, if any) Other (explain) Approximate age of all components . Date installed, if known. Source of information: 94,PA S0lfb OF ffF1;i-T# Sewage odors detected when arriving at the site, yes or 60) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B Yf.S SYSTEM INFORMATION continued SEPTIC TANK: (locate on site plan) depth below grade: 1 � material of construction: V-1concrete metal FRP other(explain) dimensions: sludge depth (� distance from top of sludge to bottom of outlet tee or baffle !� scum thickness T' distance from top of scum to top of outlet tee or baffle distance from bottom of scum to bottom of outlet tee or baffle 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, recommendations for repairs, etc. ) !Nl£T '1fz — 60-)£7- kC _ 50,41b /,1 arIi�1T a Td1` 50P1,b dr /ti ,)f',- DISTRIBUTION BOX: y,d.S (locate on site plan) ._ depth of liquid level above outlet invert Comments: (note if level and distribution is equal , evidence of solids carryover, . evidence of leakage into or out of box, recommendation for repairs, etc. ) PUMP CHAMBER: (locate on site plan) pumps in working order, yes or no Comments: (note condition of pump chamber, of pumps and appurtenances , recommendations for maintenance or repairs , etc. ) ' j SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART' B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS).: �5 (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 1. < leaching pits and number 194- leaching chambers and number Teaching galleries and number leaching trenches , number, length leaching fields , number , dimensions overflow cesspool , number Cokbent s: �Mq econdition of soil , signs of hydraulic failure, 'level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc. ) 00.,r yes �rF� L �o coVf2 /V /VZ CESSPOOLS (locate on site plan) : number and configuration depth-top of liquid to inlet invert depth of solids layer dimensions of cesspool materials of construction — indication of groundwater — inflow (cesspool must be pumped as part of inspection) Commentc: --- 0s3^':e condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs , etc. ) PRIVY: V£ (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, recommendations for maintenance or repairs , etc. ) t_ rj SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' F't'd'v i I Q DEPTH TO GROUNDWATER depth to groundwater L method of determination of approximation: /IM G�q�n y3T i:"3 _S'arvtc£ Pc,ev,i gi y�S u li /a ql �i= C'f';? f rt,1 c r Cavn A.(/A,vi SURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances . If "not determined" , explain why not 11 Backup of sewage into facility? Al Discharge or ponding of effluent to the surface of the ground or surface waters? 1 Static liquid level in the distribution box above outlet invert? R t 7- Liquid depth in eee}paol <6" below invert or available volume< 1/2 da flow? Al Required. pumping 4 times or more in the last year? number of times pumped Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS , cesspool or privy: Pf below the high groundwater elevation? _b, within 50 feet of a surface water? N within 100 feet of a. surface water supply or tributary to a surface water supply? N within a Zone I of a public well? %✓ .within 50 feet of a private water supply well? less than 100 feet but greater the 50 feet from a private water suppl 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}. Al 0Tt Ac /�y5 H9� Sv2i� - - SURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART D CERTIFICATION Name of Inspector e9 � S5 �"`� Company Name A & B Canco Company Address 350 Main Street , West Yarmouth MA 02673 Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade , maintenance and repair are consistent with my training and experience in the proper function and maintenance of on-site sewage disposal systems . Check one: I have not found any information which indicates that the system fail to adequately protect public health or the environment as defined in 310" CMR 15 .303. Any failure criteria not evaluated are as stated in the •FAILURE CRITERIA section of this form. I have determined that the system fails to protect public health and the environment as defined in 310 CMR 15 . 303. Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. NOTE; A. & B Canco has had no control over the use and/or routine maintenance of the septic system. Circumstances such as a recent pumping will significantly alter evaluation results . No guarantee or warranty is hereby given, express or implied, as t`o the evaluation. THE ISSUANCE OF THIS INSPECTION FORM SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY If you have any questions , please call me at 508-775-2800 between 8. 30 am and 4130 pm, Monday through Friday. r i:.zdector 's Signatureirn ,� Date S-3/'�'-� Original to system owner Copies to: -puyer- ( if applicable) "'Approving authority PAR Re- al 'Gerie...ral. Pr•oiperty F"V ".7 A c o t..t n Mtj I I aj ent".1 d 1.41* O(Z. -J, L a t i(.-)n F C)X GLOVE RD CENI-FERVIL.LE N c.-..?J.g h I:) h rl 1- it D e-..v e 1 1.-ot. :2,:- L. t i z A c km "Y F'RE_TiE*R'l'C,;',:' 9 t a t C"L C 0 w n ACK-.C. A 1,1-:.*.L.-F-.Y 11 E L E 1\1 E 40 B*1,J g 5 6-2 Ct 51. FC)X CHLOVE RD Ye c-.x- d,..:i e(J C�E 1"TTFERN I UL E C-1 A 2 2 f)e.,e,,d Date: Re-,!fer,er**,(,.::C:' 4::3 6: t.",6 AC1"L V, t- d Refl G Je- ! 6 V a I t.1 Land 7 0 f E-3(_k i I c:I r- g i:."r :1.1.7 1 C)0 E::-;:'t r�-,t a t t re s R -2 ti:)ad Syste-,un: Indc F56.8 0 (JXGL.(:)V'r,'.*:: A R Ll Frr-i g' 11 .1 rl d e>., (",lUtn Updt' C 1 otst TAC'E", 1: )1, Land Reviewed 13'yt: 0000 Bldgs* R%, vievii-ec-.1 i t T a Pic f.--oj_An't. StatL.kiE,'.-;: 1-11C)1.Cl S'.1 t C?t t U S Caricel Friess XMT fair, more data I N e:::-:-t screen PAR c t i C.)n OV41-IC21"IE. R o a(J I n di E,, Road 1:3t- I at r C C,.I 1\1 t..t rr!b e r SEPTIC PUMPING AND INSTALLATION 350 Main St. • W. Yarmouth, MA 02673 • 775-2800 Heating&Plumbing,Fire Sprinklers October 19, 1995 0� IPfci� Town of Barnstable n c' Public Health Division 1g �. 367 Main Street �t Hyannis, MA 02601 n, Re: 56 Foxglove Road, Centerville Dear Tom McKean, On October 6, 1995, I spoke with you via telephone regarding the above property owned by Fred Ackley. At the time this inspection was performed at 56 Foxglove Road, I located and dug up and opened the tank, both covers.,. distribution box and leach pit. I showed Mr. Ackley that the system was full and reccommended that it be pump which he agreed for us to do. Also, I explained to him the reasons that it was a failed system. In conclusion, I did not tell him that he had a working system. Sincerely, James Sears Septic Inspector What the State Chan ed: .The following revisions to the Title 5 septic •In condominiums,each septic system'will':be -� system regulations, announced.by Lt.Gov. Paul inspected no more than once every three:years;`. j Cellucci on Aug. 2, will take effect immediately : regardless of the number of units bought and (In some.cases, local boards of health have sold. : imposed.stricter standards): In condominiums, the size of septic systems` ' -Communities may adopt their.own overall .:will be determined by.the.number.of bedrooms` inspection schedules, in addition.to the state. specified in the master deed. requirement that septic.systems be:.inspected No inspection is required if property is betnY when a property is bein sold. : p P y g P p y g . transferred between spouses, mortgaged, or refi .. Homeowners now have two years.to repair a nanced: failed system, rather than the previous.one year. • Inspection rules in cases of inheritance; Local boards of health,in requiring repair or bankruptcy and foreclosure have been stream- replacement of systems, must consider"not only lined. physical possibility as dictated by the conditions • In an area where sewers will be.built within _. of the'site; but also the economic feasibility of two years, no inspection is requi.red..'If sewers the upgrade costs,". will be built within five years,:an -inspection,.is : +'Fof systems that pass inspection, the results still..required but :repairs may be.deferred.of'the inspection remain in force for two years Communities may obtain further extensions (and three:years if the system has'been pumped. from.the state if sewers will be under:construc- annually)`;rather than the previous nine months; .. tion but not completed within five years..: Homeowners may have voluntary inspec tions performed, without the:resulGbein to ort- Soil evaluators will not be required for sys ed to the local board of health. g P tem design until Jan.1, 1996. • Inspections of "large" systems (10,000 gal- Homeowners will be given more-choices,'of . Ions a day or more) that serve business facilities fill to use when repairing leach fields 'will not begin until Jan: 1, 1996. • Four.. pump-outs a year`will be allowed Septic-systems within,50 feet of a surface before a system fails on "pump=out" cnterta non-drinking water source:no longer automati- a1.lone: = 1 cally fail' Previously announced changes to Title,5 and Cesspools within 50 feet of a surface non- Programs to.assist homeowners include: j drinking water source no'longer automatically • Creation of a "conditional pass", .category, .1 fail,but are still subject to ollution checks b Which allows a system with minor problems td°:'i J P. loeal'officials: ' ' y "pass".inspection,.Which-.allows a property sale • Septic systems within 100 feet of drinking " to go forward,pending repairs .� water.supplies no longer automatically fail, but 'Amending the.pluinbing.code to allow;com are still subject to_pollution checks by,local offi- Posting toilets. cials. • Hiring of additional staff-by the Department Cesspools.within .100 feet of drinking water of Environmental Protection. supplies must be replaced. Assignment of Department of Any system built within the past two years Environmental Protection staffers to,work (including those built, repaired or upgraded local boards of health on difficult cases, ., t _ before March.3], 1995) and approved by the • Establishment of a toll-free"Title 5'Hot=' local board of health is exempt from,inspection. Line;" 1-.800-266=1.122. n, OCTOBER 26 , 1995 ' OCT FREDERICK G ACKLEY ,. 1995 HELEN E ACKLEY �I 56 FOXGLOVE ROAD CENTERVILLE MA 02632 RE: MORTGAGE NO . 1455831 DEAR MR & MRS ACKLEY : I WOULD LIKE TO TAKE THIS OPPORTUNITY TO RESPOND TO YOUR CONCERNS PERTAINING TO YOUR MORTGAGE WITH NORTHEAST SAVINGS . OUR UNDERWRITING DEPARTMENT DID NOT REQUIRE A SEPTICINSPECTION AT CLOSING BEACUSE THIS WAS A REFINANCE. IF YOU HAVE ANY QUESTIONS OR NEED FURTHER ASSISTANCE , PLEASE FEEL FREE TO CONTACT ME AT 1-800-437-8100 . S N ERELY , IANA LINDSAY CUSTOMER SERVICE DEPARTMEy MORTGAGE SERVICING P. O . BOX 5004 HARTFORD , CT 06102- 5004 L,OCAT' ION - SEWAGE PERMIT NO. VILLAGE oft. C - f-e---a- INSTA LLER'S NAME i ADDRESS y.l 5,4I4 fc, e— r R mpty, BUILDER OR OWNER rel v '4 pgq DATE PERMIT ISSUED o DATE COMPLIANCE ISSUED : . �� I � 3i c � t 1' ,s NO FEE...... .:..©......... a O THE-COMMONWEALTH OF MASSACHUSETTS BOAR_ ® OF HEALTH I/ ApPrFation for Disposal Works Tnnitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S stem at .......... .............................................•-----...---•----------........-•••-...-.----........ 9 Location- ss or Lot No. J N!IN�Fi I�1-:---..... �' ..---- .... -- .......�1�Q.ac....?._2,0....... eW—MXS±. L --- Owner Address lt------------------------------------------------- ----------------------------------------------------------------------------------•-------------.. Installer Address Type of Building Size Lot... .......Sq. feet Dwelling—No. of Bedrooms............ .............................Expansion Attic ( ) Garbage Grinder (Ake Other—Type of Building ............... No. of ersons......................_.__.. Showers — Cafeteria a YP g ------------- P ( ) ( ) Q' Other fixtures .................................. W Design Flow............�,5�.......... ...........gallons per person per day. Total daily flow..........33 q...................._.gallons. WSeptic Tank—Liquid capacity`00A---gallons Length.0._6. _.._..1._..=.. Width. .._ Diameter................ Depth... G..... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......I............ Diameter.._.............. Depth below inlet.................... Total leaching area... o------sq. ft. Z Other Distribution box (� Dosing tank ( ) ''' Percolation Test Results Performed by...... .C..... . . .....�.�.._ ........ Date_.._.` _r9/ ............... Test Pit No. 1...... .......minutes per inch Depth of Test Pit.....13........ Depth to ground water...0V0Z.-A.'_V (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ....................... ..........f................_.................................................................T...... O Description of Soil......Q_"_z .._..�s2Jol --- ---�CO�4 ?11....__2'_���� ... XI�--SYV�_.E.. i2±4VE - - ---- .--------------------------- ._.............................................................................................. w 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 iITI, . 5 of the State Sanitary Code— The undersigne further agrees not to place the system in operation until a Certificate of Compliance has b issu by the boar 1 alth. ..._..... .... •. --- Application Approved BY �.:�1'' .�/.� . ..................... g d ...-...:-----•-- D ate Application Disapproved for the following reasons:------•-------••------------•---------------------------------------------------••--......................... ................................................................•-----------.........._...-----....... ............................. Date PermitNo....................................................... Issued_....................................................... Date Fm3.....,.1 THE,- OMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................... --------.........OF....................................... Appliration for Dispu-attl Works Tnntrurtinn tIrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ? . " ......_562..... .......... r?tar .......... .................................................................................................. � • Location ess .,.,� or :t211 f?m1A:{ . .... AAA ' •..--------- t rro_ G`T �?"t . .. :.._ -• - Owner Address W ........... ,.�,. ..... 9 : ----------------- ----------------------------- ----------------------------------------------------------------------------- ......... Installer Address U Type of Building Size Lot... 17:YZ3........Sq. feet Dwelling—No. of Bedrooms............. .............................Expansion Attic ( ) Garbage Grinder ` 4 Other—Type e Other yp of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria44 ( ) d Other fixtures . W Design Flow..........._ .......................gallons per person per day. Total daily flow......... ' .......................gal�ns. WSeptic Tank—Liquid capac>tyl g ___.gallons Length �6�-_.. Width. ?. .__. Diameter..._.`...._..... Depth..17__._I___.�.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area............._...._.sq. ft. Seepage Pit No.......I------------ Diameter...6.............. Depth below inlet....I................ Total leaching area.. ......sq. ft. Z Other Distribution box (je . Dosing tank ( ) '-' Percolation Test Results Performed by..__. 4-....:&). ___.__:..A....S�q! ';5........ �•Imleo - Date. Test Pit No. I.....;.......minutes per inch Depth of Test Pit____ ........ Depth to ground water..QVIZ...11:' (Z4 Test Pit No. 2..........:......minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil...... " .......tr).A . .� $Cr r #i> J & t f ar a 11 �^ W 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 TITs2 5 of the State Sanitary Code - The undersigne further agrees not to place the system in operation until a Certificate of Compliance has be iss by the board o wealth. f Signed.... ....... .. .... ................................................ '......#Z:P.............. Application Approved BY x r f... .. . . :. ....................... Date Application Disapproved for the following reasons:.............................................................................................................. -•-•---•----------------•••-----•....•-•-•----•---•---•--•--••••--•-••••--••--••----•••--.••••• -•--••-•---•----- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL Q-�.r :...........OF...... .....:.. ..:.:.......... ...................................... CUrdifiratr of Tnntpliatta eT CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by_..THIS...S...................CER ► I taller has been installed ip accordance with the rovisions of 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit o. ,,t�` ............. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHOOT OT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION S TISFACTORY. DATE . �, �r.•4....------•--•-------- Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF. HEALTH ... .. O.. .. f{ FEE....130 ............. Disposal Workii T. ns#r inn rrntit Permission is hereby granted........3 ' 41,1el......... ,sus ------•---......--•-------------- •-•-•---....----............---•-- to Constru or R,,��ePPair ( ) an ndivid al Sewage Dis osal System at No... .. 7..6.....----- ...... ' �.... -•--•- Street as shown on the application for Disposal Works Construction Permit No..................... Dat d.........:................................ Boa of ealth DATE............................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS �yt7u^"" i � I St+�1G t_c-. �ni�n t try! - 3 Fst✓vt�ooM ; 1?,`l t_�-! PLO\Aj _ 110 -4 �c��r-tc `c-�tIC = 33a.. 15c e • 4�?S;6.f?D. `� �. . '' t .03� -- • USA- t oOd 6AL.. - L0076 loco f AtI.L. . . 61CP ►� N � ; ., Z7CyCIVALLI ArzE.e. 1��� SF. �sx � z7 Z9 � 1�-,•0 �>r �' 'Z.�.� + �"1S G.P.D. � ;-:. , C/43� 2� a TCTAC_ I�.CSIGtJ = 42S G.RiD. " 1111V�J.IAJ(, --o-r'.o L Lys�.�..� r-I.r�v r = 33D Po,. C' r�A AL WILLIAW al Pin ll�i34 1 j 4 i Tbr rVD 6-7 0 Iuv.•55.I vewr>I 4'po� Iw. G. L. 5B•S ; -box Cb,L Segnc to IINV. u dj (UOp $8.0 twv. IiN �,l1L. 1 5f�•2 14 Lc:►::H i ',ii Ao I! wsuEv I • J _ C- T - Lt t4T11.:14:. Tr -IAT' 5"oww PLA►�i R�1=`cZc►.1Gt t ►-�c.1�'c_LEI G� LPt_�!s :rt -ram` ,1 vE.LI ice ,•..�:1-.!'t' OF 'T "(F-- c,t,v�.t` 1�lChtPL�. ��1� ►L C JCL Zr-- SILt�Z:D 1�IJG �UZ�J`YuiZS '. -i-a,(- t-?r._n:ti.t 1 s_d�-� t:'. .•;::�� t--: ,o.a1 �o�-rce�t�u:_ c� MA,SS. �� 1;G�-' J.t.�i_:.t.i'i iUl.�J1_•1' jl.i�. C1_�...�e'=S-�, WI.D A.NPP1_tlliA.l.1T �t;(T i::t:_ U'.,l':i::? icy t';�:.:t't_":,.'. .;C: t..c�.t- i_t►��•� -- .� �..�,1•dp�„�^'! 3":; t'�' ..�� !► f'j r • �' ranberry ,� 't ' "US noy' , yr a .� v0 / , �•r jol . fj�, \\f !r(9s LOT 28 a •f \\ Op LOCUS MAP+• W lo > 4. OBS NATION ORT rorO � \ �1 �'°O cj• tK \\ � . LOT 30 �\ :LOT 2919,421.7 S.F� tK NOTES: �s0 t JGNN yGJ, N E CFULEY ., SITE PLAN i a v L o. 5101 PREPARED FOR.v' ' THE EXISTING SEPTIC SYSTEM COMPONENTS p�. -� o INI SHALL BE REMOVED AND DISPOSED OF AT �aF G1 T R� RAYMOND CAMPAN A SUITABLE LANDFILL of 56 FOXGLOVE ROAD THE EXISTING SEPTIC SYSTEM COMPONENTS 6tk BARNSTABLE, MA WERE PLOTTED AS SHOWN ON A TIE CARD PREPARED ON 5/31/95. J. E. LANDERS—CAULEY, P. E. tk CIVIL ENVIRONMENTAL ENGINEERING NO KNOWN WELLS EXIST WITHIN 150' OF PROPOSED S.A.S.. oti� P.O. sox 08) WEST 7733 TH, MA 02574 0 10' 20' 30' 40' 508 540 — 7733 ph. 508 540 — 3344 fax NO KNOWN WETLANDS EXIST WITHIN 150' OF PROPOSED S.A.S.. ASS.#149-130-27 DATE: 10102112 SCALE: 1" 20' 20'SCALE: 1" = DRAWN BY. JDR JOB NO. 2188 SHEET: 1 OF 2 USE RISERS TO BRING COVERS USE RISERS TO BRING COVER F.F. ELEV.=103_37 TO WITHIN .B6 OF FINISHED GRADE TO WITHIN 6" OF FINISHED GRADE INSTALL OBSERVATION' PORTS ACCORDING TO THE TOWN OF BARNSTABLE STANDARDS 20'min. 6" MIIN. SUHA� (3" TO FINISHED GRADE) ELEV.= 101_2 101.0 MIN. COVER SHALL 4" CAST IRON OR CONCRETE COVERS A WATER TIGHT SEAL ELEV.= 101_0 SCHEDULE 40 P.V.C. g„ MIN. 4" DIA SCHEDULE 40 PLASTIC PIPE 4" CAST IRON OR SCHEDULE 40 P.V.C. DIST.=17.7' 4" CAST IRON OR O.005 A SLP.=0.12 SCHEDULE 40 P.V.C. SLP.=_ 12"min. * — — INVERT DIST.=12.9' CONCRETE COVER DIST.=9.6 ACCORDING TO THE MANUFACTURER, ELEV.= 100.87 98 75 FLOW LINE — SLP.=0._02_ BOTTOM AREA + SIDEWALL AREA = 4. 72 SF/LF ---- ELEV.= 10" MIN. 19" INVERT LEV.= 98_07 p *INVERT ELEVATIONS SHALL THE LENGTH OF ELEV•=98-50 98.24UP x, FIELD VERIFIED PRIOR TO DETOUTLET ERMUMD BY THE LENGTH OFELEV.= ELEV.=98_02 LIQum DEPTH OF LIQUID OUTLET TEE DISTRIBUTION BOX THE PLACEMENT OF ANY THE TANK USED. DEPTH BELOW FLOW LINE SEPTIC SYSTEM (SEE CHART AT RIGHT) 4 FEET........14 INCHES IF MORE THAN 4' OF COVER. A ELEV.=97_35 COMPONENTS. 5 FEET.......19 INCHES USE H-20 LOADING FEET........24 INCHES TO BE WET TESTED IF 24 " SEE 330 CMR MORE THAN ONE OUTLET 1500 GALLON SEPTIC TAN QUICK 4 STANDARD INFILTRATORS 48 x34 x12 6 2, TO BE PLACED ON 15.227 (6) . 4 ROWS OF 6 INFILTRATORS WITH 6" OF STONE OR TO BE PLACED ON 16" ENDCAPS ON EACH END— — — — — — — — — — — — t MECHANICALLY COMPACTED SOIL. 6" OF STONE OR — — MECHANICALLY COMPACTED SOIL. BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV =91.2__ USE A TANK WITH THREE COVERS. **26.66 x 4 x 4.72 = 503.34 SOIL TEST DONE BY: J.E. LANDERS—CAULEY P.E.USE H-20 LOADING 503.34 x .74 = 372.47 GPD IF MORE THAN 4 OF COVER. WITNESSED BY: D. DESMARAIS R.S_ ________ PERCOLATION RATE: _5---MIN/INCH P# 13751 TEST HOLE 1 DATE: 10109/-12_ ELEV._LO1.2_-- PROFILE OF DEPTH HORIZON TEXTURE COLOR MOTT. OTHER 34" SEWAGE DISPOSAL SYSTEM 11.32 NOT TO SCALE 0 —12 O A LOAM SECTION A-A I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT 12"-30" B LOAMY SAN 10YR 5/6 TO 310 CMR 15.017 TO CONDUCT SOIL EVALUATIONS AND THAT THE ANALYSIS GIVEN HAS BEEN PERFORMED GENERAL NOTES: BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE DESCRIBED IN 310 CMR 15.017. I FURTHER CERTIFY THAT THE RESULTS OF 1. THIS PLAN IS FOR THE REPAIR OF AN EXISTING SEWAGE DISPOSAL SYSTEM. 30"-84" Cl INE SAND 10YR 6/4 MY SOIL EVALUATION, AS INDICATED ON THE ATTACHED 2. PLAN REFERENCE Bk 326 Pg 29 LOT 29 BARNSTABLE REG. OF DEEDS. SOIL EVALUATION FORM, ARE ACCURATE AND IN ACCORDANCE WITH 310 CMR 15.000 THROUGH 15.017. 3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. DESIGN DATA: 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 84"-120" C2 —C SAND lOYR 5/4 NO H2O TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS ENC'D FOR THE SUBSURFACE DISPOSAL OF SEWAGE. H ON R OF BEDROOMS -3_(TBR�--_ 5 TEST HOLE 2 DATE: L0�0�12— ELEV._10-12—_ AV - ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN R ; DISPOSAL �191�IE_(4�_____ 12" OF THE FINISHED GRADE. Off' :s DEPTH HORIZON TEXTURE COLOR M �.� 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE OTT ETIMATED FLOW ,34_____ GPD SAME, UNLESS NOTED BY FINAL CONTOURS. 0"-12" /0 A LOAM '✓`� ) 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE N .(510, . GAL./BR./DAY X 3____ BR. OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR ( " WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING 11TANK CAPACITYQQ�AL__ SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING 12"-36" B LOAMY SAND 10YR 5/6 AREAS UNLESS NOTED. ACHING AREA REQUIREMENTS 8. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL SIDEWALL AREA **___ GAL./S.F. BE MORTARED IN PLACE. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH 36"-86" Cl INE SAND 10YR 6/4 36 RC AT BOTTOM AREA _;'____ GAL./S.F. DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPIATE AUTHORITY. LEACHING CAP.(BOT. & SIDEWALL)_372.47 GAL. 10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. ;° 86"-120" C2 —C SAND 10YR 5/4 NO H2O RESERVE LEACHING CAPACITY _372_47 _ GAL. ENC'D . .AF'F'LICANT: RAYMOND- CAMPANINI DATE: 10/02/12 SHEET 2 OF 2 JOB # 2188