HomeMy WebLinkAbout0083 WHEELER ROAD - Health 83 WHEELER Rl oa d
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UNITED STATES POSTAL SERVICE cp 11 Mq p -.-
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Public Healtb Derision
Town of Bamstab
PO Box 534
Hyannis,Massachusetts 02601
Fax(508)175-3344
Phone(508)790-6265
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UNITED STATES POSTAL SERVICE ��� MQ p e
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P4bilc Health Division
Town of Bamstable
PO Box 534
Hyannis,Massachusetts 02601
Fax(508)775-3344
Phone(508)790-6265
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' Town of Barnstable
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i' i BARN3fABI.E, •
9�A �0� Department of Health, Safety, and Environmental.Services
" Public Health Division
P.O. Box 534, Hyannis MA 02601
Office: 508-790-6265 Thomas A McKean,RS,CHO
FAX: 508-790-6304 Director of Public Health
August 27, 1998
Mr. Wrightsman Stanley
83 Wheeler Rd.
Marstons Mills, MA 02648
NOTICE TO ABATE VIOLATIONS OF THE TOWN OF BARNSTABLE
REGULATION REGARDING FUEL AND CHEMICAL STORAGE SYSTEMS
Our records indicate that you have an old underground fuel oil tank located at 83 Wheeler Rd.,
Marstons Mills, MA . This tank is listed on Parcel 082 on Assessor's Map 020 and registered as
tank tag#32.
This tank is located in a critical zone of contribution to our public drinking supply wells and is 20
years old or older. You must have your underground tank removed within 30 days from the
receipt of this order letter.
For the removal of the tank you must first obtain a removal permit from the Fire Department. I
have enclosed tank removal information for you. Upon removal of your tank, please return valve
tag# 32 to the Health Department.
You may request a hearing before the Board of Health if written petition requesting same is
received within seven (7) days of receipt of this notice.
Sincerely yours,
Tho s A. McKean
Director of Public Health
Enclosure: Tank Removal Information
02-09-1999 09:18RM CENT OST FIREDEPT 5087902385 P.02
Make application to local Fire Department Fire Department retains original application and issues duplicate as Permit. 0Y2_ —0 2,o
ay
APPLICATION and PERMIT Fee: sio-00
for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions
of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by:
•
Tank Owner Name(please print) _ Wrightsman X
9hlle ent g r perms
Address 83 Wheeler Road Marstons Mills MA 02648
Street Gry Stare Z'p
Company Name F.nvi rn—Safe Co. or Individual
Print Print
Address P.O. Box 810 Sandwich MA 02537 Address
Prier PMl
Signature(if applying fcr permit) Signature (if applying for permit)
FCI Certified Other `!F�-IFCI Certified = L S P# `. Other
, .
Tank Location R1 Uhppl Hr Rnart Mars tons Mills
$1e91 ACdrP:d g,;y
Tank Capacity(gallons) 1000 Substance Last Stored #2 fuel
Tank Dimensions(diameter x length) 4' x 11'
Remarks:
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Firm transporting waste Bnviro-Safe State Lic. # 329 MA n
Hazardous waste manifes T E.P.A.# MAD985269323
Approved tank disposal yard Turner Salvage Tank yard# 002
Type of inert gas Tank yard address 235 Commercial St. , Lynn MA
City or Town _ id4 s t;aas Nil I s FDID# 01920 Permit#
Date of issue Fphrnar; 1999 Date of expiration
Dig safe approval number. _1999060I351 Dig Sate Toll i=ree Tel. Number-800-322-4844
Signature/Title of Officer granting permit
After removal(s)send Form PP-29OR signed by Local Fire Dept.to UST Regulatory Compliance Unit, One Ashburton Place,
Room 1310, Boston, MA C2108-1618.
FD.'k'A7 l.erilGi OlORI
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COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON, MA 02108 617-292-5500
a
WILLIAM.F.WELD va O Stan Wr lght sman TRUDY COXE
Governor Secretary
ARGEO PAUL CELLUCCI AVID B.STRUHS
Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM i Commissioner
PART A
CERTIFICATION A �®
Property Address:83 Wheeler d., MarstRn 21 �15 Address of Owner: ` RECEIVEO
Date of Inspection: /�- (If different) l DEC 9 1998 rl
Name of Inspector: WM E Robinson Sr
1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15 000) TP AI OF BFR''r'"a
Company Name: WM E Robinson Septic Service
Mailing Address: PO Box 1089 , Centcm-rvi 1 1 e MA02632
Telephone Numberti 5 Q 8 7 7 5_R 7 7 F r "
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 sew a disposal systems. The system:
Passes
Conditionally Passes
Needs Further Evaluation By the Local Approving Authority
_ Fails
Inspector's Signature: 10t, _ Date: 1 —�" 9
The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (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 Department of Environmental Protection. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
INSPECTION SUMMARY: Check A, B, C, Or D:
A] SYSTE ASSES:
I have not found any information which indicates that the system violates any of the failure criteria as defined in 31.0 CMR 15.303.
Any failure criteria not evaluated are indicated below.
COMMENTS:
B] SYS M CONDITIONALLY PASSES:
One or more system components as described in the "Conditional Pass" section need to be replaced or repaired The system, upon
ompletion of the replacement or repair, as approved by the Board of Health, will pass.
Indicate es, 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
Compliance (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 04/25/97) Page 1 of 20
DEP on the World Wide Web: http:/Iwww.magnet.state.ma.us/dep
t*j Printed on Recycied Paper
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 83 Wheeler Rd., Marstons Mills , MA 02648
Owner: Stan Wr ight sman
Date of Inspection: /A- C�—g
B) SYSTEM CONDITIONALLY PASSES (continued)
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the
Board of Health). Describe observations:
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
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) FURT ER 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
HICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
2) S TEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT
T SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE
EN IRONMENT:
The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or
tributary to a surface water supply.
The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption system and the SAS 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 presence of ammonia nitrogen and nitrate nitrogen is equal to or
less than 5 ppm. Method used to determine distance (approximation not valid).
3) O HER
(revised 04/25/97) Page 2 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 83 Wheeler Rd., Marstons Mills , MA 02648
Owner: Stan Wr ight sman
Date of Inspection:
D] YSTEM FAILS:
You m t indicate ei; ,er "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
or this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct
t e failure.
Yes N
Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or
cesspool.
Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow.
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped _.
Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
Any portion of a cesspool or privy is within a Zone I of a public well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E] LARGE YSTEM FAILS:
You must dicate either "Yes" or "No"-as to each of the following:
e following criteria apply to large systems in addition to the criteria above:
he system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to
ublic health and safety and the environment because one or more of the following conditions exist:
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 Area- IWPA) or a mapped Zone II of a
public water supply well)
The owne or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program
requirem nts of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
(revised 04/25/97) Page 3 of 10
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 83 Wheeler Rd., Marstons Mills , MA 02648
Owner: Stan Wr ight sman
Date of Inspection: J X— 41—9
Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following:
Y� No
Pumping information was provided by the owner, occupant, or Board of Health.
_ None of the system components have been pumped for at least two weeks 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 N/A.
_ The facility or dwelling was inspected for signs of sewage back-up.
_ The system does not receive non-sanitary or industrial waste flow.
_ The site was inspected for signs of breakout.
_ All system components, excluding the Soil Absorption System, have been located on the site.
_ 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 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 System.
✓ _ Existing information. Ex. Plan at B.O.H.
1/ Determined in the field if an of the failure criteria related to Part C is at issue approximation of distance is
_ Y PP
unacceptable) [15.302(3)(b)]
(revised 04/25/97) page 4 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 83 Wheeler Rd., Mar-stons Mills , MA .02648
Owner: Stan Wr ight sman
Date of Inspection:
BU ING SEWER:
(Local on site plan)
r
Depth low grade:
Materia of construction: _cast iron _40 PVC_other (explain)
Distan from private water supply well or suction line
Diam er
Comm nts: (condition of joints, venting, evidence of leakage, etc.)
SEPTIC TANK:
(locate on site plan)
Depth below grade: 1'�--
Material of construction: oncrete _metal _Fiberglass _Polyethylene _other(explain)
If tank is metal, list age _ Is age confirmed by Certificate of Compliance _(Yes/No)
Dimensions:
Sludge depth:_
Distance from top of sludge to bottom of outlet tee or baffler
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: ),'Z
How dimensions were determined: d P45-— -P
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquidNag
I in relation to outlet invert, structural
integrity, evidence of le age, etc.) S®-O 1� 7 S Imo- e
6d S i
GREASE T
(locate on site plan)
Depth below rade:
Material of c struction: _concrete _metal _Fiberglass _Polyethylene _other(explain)
Dimension
Scum thi ness:
Distance fr top of scum to top of outlet tee or baffle:
Distance fro bottom of scum to bottom of outlet tee or baffle:
Date of last p mping:
Comments:
(recommendati for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity, eviden a of leakage, etc.)
(revised 04/25/97) Page 6 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 83 Wheeler Rd., Marston•s MIlls,, MA 02648 r
Owner: Stan Wr ight sman
Date of Inspection: l 2.
FLOW CONDITIONS
RESIDENTIAL:
Design flow: 6 6 0 ¢.p.d./bedroom for S.A.S.
Number of bedrooms:
Number of current residents:-
Garbage grinder (yes or no): �
Laundry connected to system (yes or no):.L/--,-3
Seasonal use (yes or no): A. p Well
Water meter readings, if available (last two (2) year usage (gpd):
Sump Pump (yes or no):h-0
Last date of n - — C
occupa c}.��-t l �i D
CO MERCIAUINDUSTRIAL•
Type f establishment:
Des" flow: gallons/day
Grease trap present: (yes or no)_
Industri I Waste Holding Tank present: (yes or no)_
Non-sa itary waste discharged to the Title 5 system: (yes or no)_
Water eter readings, if available:
Last da e of occupancy:
OTH (Describe)
Last d e of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information:
/q C7 d ,
System pumped as part of inspection: (yes or no)_
If yes, volume pumped: gallons
Reason for pumping:
TYPE OF STEM
✓✓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)
I/A Technology etc. Copy of up to date contract?
Other
APPROXIMATE AGE of all components, date installed (if known) and source of information: l 9 7
Sewage odors detected when arriving at the site: (yes or no) %�O
(revised 04/25/97) Page 5 of 10
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 83 Wheeler Rd.,: Marstons MIlls', MA 02648
Owner: Stan Wr ight sman
Date of Inspection:
SOIL ABSORPTION SYSTEM (SAS):
(locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods)
If not determined to be present, explain:
Type:
leaching pits, number:,
leaching chambers, number:_
leaching galleries, number:
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
Alternative system:
j Name of Technology:
Comments:
(note condition of soil, signs of hydraulic failure, level of onding, condition of vegetatio etc.)
,-I— j 6 f L r� ,mac a n �< <6w
CESS OLS: _
(locate n site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth ofi.olids layer:
Depth of cum layer:
Dimensio of cesspool:
Materials o construction:
Indication , f groundwater:
inf w (cesspool must be pumped as part of inspection)
Comments:
(note conditi of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
PRIVY:_
(locate on site pl )
Materials of constr ction: Dimensions:
Depth of solids:
Comments:
(note condition o soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc)
(revised 04/25/97) Page 8 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 83 Wheeler Rd., Marstons Mills , MA 0.2648
Owner: Stan Wr ight sman
Date of Inspection:
TIGH R HOLDING TANK: (Tank must be pumped prior to, or at time; of inspection)
(locate o site plan)
Depth bel w grade:
Material of construction: _concrete _metal _Fiberglass _Polyethylene —other(explain)
Dimensions:
Capacity: gallons
Design flow: gallons/day
Alarm level: Alarm in working order_Yes; _ No
Date of previ s pumping:
Comments:
(condition of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX:t/
(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, etc.)
PUMP CHAMBER:
(locate on site plan)
Pumps in working or er. (Yes or No)
Alarms in working der (Yes or No)
Comments:
(note condition of pu p chamber, condition of pumps and appurtenances, etc.)
(revised 04/25/97) Page 7 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
s PART C
SYSTEM INFORMATION (continued)
Propert Add Main
Wheeler .Rd., Marstons Mills , MA 02648
owner:'
��an Wr`ght san
Date of Inspection:
Y
Depth to Groundwater Q Feet
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans on record
V/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
Use USGS Data
Describe in your own words how you established the High Groundwater Elevation. (Must be completed)
(revised 04/2S/97) Page 10 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 83 Wheeler Rd., Marstons Mills , MA 02648
Owner: Stan Wr ight sman
Date of Inspection:
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.itjlto house)
cry
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3t 166-0 l
(revised 04/25/97) Page 9 of 10
_ _ V
TOWN OF BARNSTABLE
LOCATION to&EF1,Fx n0 SEWAGE #
k/�✓lST�J1 Gl,��tt� O�Z-OZV
VILLAGE
ASSESSOR'S -MAP & LOT
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY 1-t-420 61J4-
LEACHING FACILITY:(type) S LXB 6-nr (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATERIPV s
BUILDER OR OWNER fnoy 6012-S9v7-
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED_
VARIANCE GRANTED: Yes No
fit//J6L 6� )2y ` R
.�01
W �
351, O K
TOWN Or BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS �o ��� lAG
ASSESSORS MAP NO. ®� PARCEL NO. tvT 10
,WDRESS; lee I V-., VILLAGEi McrSfU�15 P'I� 11 �jaSS
NAME
CONTACT PERSON PHONE NUMBER CJ U
r
ROGATION OF TANKS: APACITY: ..TYPE OF FUEL. AGE: TYPE: LEAK
OR CHEMICAL: DETECTION
SYSTEM!
ti
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DATE OF PURCHASE OF. 'EACH: 1. 1-2y-7 2. 3. 4. 5. _
DATE.OF° FIRE DEPARTMENT PERMIT: ►TP YL. �� P
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING TIIE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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