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Home My WebLink About0332 OLD MILL ROAD - Health 332 OLD MILL MARSTONS MILLS A= 046 081 i 'I TO F PARNSTABLE LOCATION ` ``\ SEWAGE # VILLAGE iA �iql� ASSESSOR'S MAP-& LO (6-L 1y INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY (� LEACHING FACILITY: (ty V � (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE �TE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching`facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by G(0414 AA - 3Y 6CY7 S—IN Commonwealth of Massachusetts Executive Office of Envirommental Affairs Dept. of Environmental Protection .Titl One winter Street'Boston,Ma. 02108 Septic D.E.P. Titlee V S Seeptic Inspector k!r P.O. Box 2119 Teaticket, MA 02536 WILLIAM F.WELD (508)564-6813 Governor t ARGEO PAUL CELLUCCI Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 332 Old Mill Rd.Marstons Mills Map 046 Par 081 Lot 149 Address of Owner: Date of Inspection: 8/12198 (If different) Name of Inspector: John Graci Flaherty:P.O.Box 804 Mashpee 02649 I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) Company Name,Address and Telephone Number: CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: x Passes This Inspection Is based on criteria defined In Title V _ Conditions SSCs code 310 CMR 16.303.My findings are of how the system Is performing atthe time of the Inspection.My Inspection does _ Needs F th Evaluation By the Local Approving Authority not Imply anywarranty or guarantee of the longevity of the FailIbmit septic system and any of its components useful life. Inspector's Signature: Date: 8124199 The System Inspector shall a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. If the system is a shared system or has a design flow of 10,000 gild or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving autho[ity,, e 9 INSPECTION SUMMARY: R, RECE�VEO Q Check A. B, C,or D: AUG 1 1098 A] SYSTEM PASSES: TOWN OFBARNSTAgLE x I have not found any information which indicates that the system violates any of the failure criteria It HEALTH DEPT. 4 defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: ' ,B) SYSTEM CONDITIONALLY PASSES: _One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. Indicate yes, no. or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Co7hpliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection; or the septic tank,whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 007:197) One Winter Street • Boston,Massachusetts 02100 • FAX(617)556-1049 • Telephone(617)292-5500. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 332 Old Mill Rd.Marstons Mills Map 045 Par 081 Lot 149 Owner: Flaherty:P.O.Box 804 Mashpee 02649 Date of Inspection:9112198 _ Sewaae backup or.breakout or hi4h static water level obser.ved.in.the distribution box is due to a broken, cr obstructed pipe(s)or due to broken,settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. ATER SUPPLIER,IF APPROPRIATE) 2) THAT THE WILL EIMtIS FUNCTIONING IN AOF HEALTH (AND PUBLICMANNER THAT PROTECT THEPUBLIC HEALTH AND SAFETY A MINES AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. _ The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method usedto determine distance (approximation not valid) 3),Other D) SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: _ i have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No _ Backup of sewage in facility or system component due to an overloaded or clogged SAS or cesspool. _ Discharge or ponding of effluent to the surface of the ground or surface waters due town overloaded or clogged cesspool. SAS is in hydraulic failure. (revlsed 04R7197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Add ress: 332 Old Mill Rd.Marstons Mills Map 040 Par 081 Lot 149 Owner: Flaherty:P.O.Box 804 Mashpee 02649 Date of Inspection:8112199 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following.- _x_ — Pumping information was requested of the owner, occupant,and Board of Health. x — None of the system components have been pumped for at least two weeks and the and the system has been receiving normal flow rates during that period. Large volumes of water have not been Introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with NIA. x _ The facility or dwelling was inspected for signs of sewage back-up. x — The system does not receive non-sanitary or industrial waste flow. —x— — The site was inspected for signs of breakout. x — All system components, excluding the Soil Absorption System, have been located on the site. x The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected — — for condition of baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge,depth of scum. x — The size and location of the Soil Absorption System on the site has been determined based on The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. x Existing information. Ex. Plan at B.O.H. x Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is unacceptable)[15.302(3)(b)] I (revised 0477)97) f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 332 Old Mill Rd.Marstons Mills Map 045 Par081 Lot 149 Owner: Flaherty:P.O,Box 804 Mashpee 02649 Oate of Inspection:8/12198 FLOW CONDITIONS RESIDENTIAL: d/bedroom for S.A.S. Design flow: 330 g p Number of bedrooms: 3 Number of current residents: e Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings. if available:(last two(2)year usage(gpd). nla Sump Pump(yes or no): No Last date of occupancy: one week COMMERCIAL/INDUSTRIAL: Type of establishment: n1a Desicn flow:0 gallons/day Grease trap present: (yes or no) No Industrial Waste Holding Tank present: (yes or no) No Non-sanitary waste discharged to the Title 5 system: (yes or no) No Water meter readings.if available: nra Last date of occupancy: nra OTHER:(Describe) nla Last cate of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: nla System pumped as part of inspection: (yes or no)No If yes,volume pumped:0 gallons Reason for pumping: nla TYPE OF SYSTEM x Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) ( if yes, attach previous inspection records, if any) I/A Technology etc.Copy of up to date contract? Other: APPROXIMATE AGE of all components, date installed(If known)and source Information: 1970 Sewage odors detected when arriving at the site: (yes or'no) No peylsed 04P-71971 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 332 Old Miil Rd.Marsions Mills Map 046 Par081 Lot 149 Owner: Flaherty:P.O.Box 804 Mashpee 02649 Date of Inspection:8112198 SEPTIC TANK: x (locate on site plan) Depth below grade: e" Material of construction:x concreate_metal_FRP_Polyethylene other(explain) If tank-is metal; list age Na . Is age confirmed by Certificate of Coinpliance No (Yes/No) Dimensions: t.e•s"1157"w4.10" Sludge depth:6" Distance from top of sludge to bottom of outlet tee or baffle: 24" Scum thickness:3" Distarce from top of scum to top of outlet tee or baffle:6" Distance form bottom of scum to bottom of outlet tee or baffle: 15" How d mensions were determined: measured Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage, etc.) Septic tank end all components are structurally sound and functloning properly.Recommend pumping every two years. GREASE TRAP:_ (locate on site plan) Depth below grade: nra Material of construction: _concrete_metal_FRP_Polyethylene_other(explain) Dimensions: rva Scum thickness:nra Distance from top of scum to top of outlet tee or baffle:nla Distance from bottom of scum to bottom of outlet tee or baffle: nla Date of last pumpingn'l- Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) nia BUILDING SEWER: (Locate on site plan) Depth below grade_14• Material of construction:_cast iron x 40 PVC_other(explain) Distance from private water supply well or suction linetown Dia meter: 4" Qmments: (conditions of joints,venting,evidence of leakage, etc.) (revlsed 04127197) I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 332 Old Mill Rd.Marstons Mills Map 046 Par 081 Lot 149 Owner: Flaherty:P.O.Box 804 Mashpee 02649 Date-of Inspection:8112198 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: rda Material of construction:_concrete_metal_FRP_Polyethylene—other(explain) Dimersions: nra Capacity: nla gallons Design flow: nla gallons/day Alarm level:_nra Alarm In working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) rya DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: nla Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box etc.) rVa i PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)No Alarms in working order(yes or no)_ve: Comments: (note ccndition of pump chamber, condition of pumps and appurtenances, etc.) rVa (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 332 Old Mill Rd.Marstons Mills Map 046 Par 081 Lot 149 Owner: Flaherty:P.O.Box 804 Mashpee 02649 Date of Inspection:8112198 SOIL ABSORPTION SYSTEM (SAS):x (locate on site plan, if possible;excavation not required, but may be approximated by non-intrusive methods) If not determined to be present,explain: rlla Type: leaching pits. number: one 1000 gallon leach pit leaching chambers, number:We leaching galleries, number: rJa leaching trenches, number,length: n1a leaching fields, number, dimensions:nla overflow cesspool, number:nia Alternate system: n1a Nalne of Technology:_rva Comments: (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) Leach Fit and all components are structurally sound and functioning properly.System has been 314 full,syatem Is currently 112 full. CESSPOOLS:_ (locate on site plan) Number and configuration: rda Depth-top of liquid to inlet invert: rda Depth of solids layer: rila Depth of scum layer: rUa Dimensions of cesspool: n1a Materials of construction: Na Indication of groundwater: nla inflow(cesspool must be pumped as part of inspection) n1a Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) n1a PRIVY:_ (locate on site plan) Materials of construction: Na Dimensions: rda Depth of solids: rya Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) roa (revised 04127197) l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 332 Old Mill Rd.Marstons Mills Map 046 Par 081 Lot 149 Flaherty:P.O.Box 804 Mashpee 02649 8112198 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) C NCI. OL A-C 3`� C4 aY C6 �b rc 51 �C (rwlatdOU27.97) Page ! of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 332 Old Mill Rd.Marstons Mills Map 048 Par 081 Lot 149 Flaherty:P.O.Box 804 Mashpee 02649 8112198 Depth of groundwater 12 Please indicate all the methods used to determine High Groundwater Elevation: Obtained from design plans on record. Observation of Site(Abutting property,observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check pumping records ` Check local excavators, installers x Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS Maps and Charts c 1 (revisedo4)27197) rape 10 of 10