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HomeMy WebLinkAbout0140 WILLIMANTIC DRIVE - Health 140 W1111mantic Drip"e Mai ston T'1:11S -- -- _ - - - A= 102 — 179 I TOWN OF BARNSTABLE r LOCATION � o �'`�L'�/ ���/�' !./iiiy SEWAGE# VILLAGE�'i/Q�!'/"��J'f�/I SSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: e �'G`�c/�/.ir F�-� (typ ) 9 O (size) NO.OF BEDROOMS OWNER PERMIT DATE: c3' COMPLIANCE DATE: 00 —O 5P 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 leachingfacility)tY) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY t)>,W , Ga A-1 - 36 / g , Q -;LP 0% ( I � ® III /ss�l-- III s �E eX,, J'A,-AO TOWN OF BARNSTABLE LOCATION SEWAGE# VILLAGE`d�'i/ I���'%�1/! ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. % SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) S-� O'X-is NO. OF BEDROOMS r OWNER T�"� ��1� �'r✓ ,�— PERMIT DATE: 9 COMPLIANCE DATE: 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 i 0 c� U W s` 4, V1 ` 06 rtrtNo. _ • Fee V� e THE COMMONWEALTH OF`ivi-As5-►CHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppYfcation for 30t5pont *potem Cow6truction 3permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) >Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. p Assessor's Map/Parcel liO m ``�� 'e`r95' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. _2.:t Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date 5"—��® � Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issu -this o, f Health. Signed Date Application Approved by 4 6t Date -t1 Application Disapproved for the ollowing reasons Permit No. ''" Date Issued e- -o No. Fee / 6 b WEALTH OF°ivi�►Sv ►CHUSETTS Entered in computer: THE{COMMON i t rr- Yes y- PUBLIC HEALTH DIVISION -TOWN'OF BARNSTABLE3 MhSSA,CHUSETTS - ZIpprtcatton for Dte;poal bpotem Congtruttton Permit Application for a Permit to Construct( )Repair(SO Upgrade( )Abandon( ) komplete System O Individual Components Location Address or Lot No. Owner's Name,Address and TeL.No� ^,.F Assessor's Map/Parcel �Zeldals'^6�►j �i6� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. / �Tinj LG�'�►E`�f %7G�,.3 cf 677�, O�'1'�.D �/J�.���'.�J': � cP 3-1. ��77 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building ' No.of Persons Showers,( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow � gallons. Plan Date — © 9 Number of sheets i' r Revision Date Title Size of Septic Tank ��d gc- Type of S.A.S. /`�� Y V0 1i`e r/ ° ! Description of Soil i Nature`of Repairs or Alterations(Answer when applicable) s ADate last inspected:.t Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issu �y this oard of Health. g Si ned V � Date C/ _ _ Application A proved b' `x ,x=, r Date PP Y.. P_ _ Application Disapproved for the following reasons j Permit No. D QQ Date Issued in -7 —Ol. -! k. ——---——-----—— ------------ ——— --- - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed Repaired Upgraded g P Y ( ) ( ) ( Abandoned( )by P P� ) at h�GG//t�if A'l/C .®�- .1yy•low, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No' rJ'�,—/7� dated &-16 VG Installer ���7 1 �o . Designer ��U i eo!e �' 'er. The issuance of t s permit shall not be construed as a guarantee that the system will function as designe,. C Date l 1, Inspector A V IA I- J - — -- /_---------------------------- - No. r Cl / 1 Fee UU— a , THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE3 MASSACHUSETTS t$ o$aY� * !Aetn Conotructton Permit Permission is hereby granted to Construct( Repair( )Upgrade( )Abandon( ) System located at ��G' �'�G�/�i0!✓a"iG .®oZ• /77./r7.# r and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date o s pe iK Date: //G/0 1 Approved by 4e1 r July 8, 2009 Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable 200 Main St. Hyannis, MA 02601 In RE: Notice to Abate Violations of 015 CMR 410.00,State Sanitary Code II Dear Sir; I am in receipt of the above notice of violation regarding my property at 140 Willimantic Dr., Marstons Mills, a copy of which is attached to this letter. Please be advised that it is my wish to petition the Board of Health at their next regularly . scheduled meeting to grant a variance for relief from this requirement. Please advise me of the date and time of this meeting so I can arrange for me or a representative to be present. If you wish to reach me by phone,you may do so at (585) 259-0080. Regards, �:D w-E A ...� Cp C Francis Wurzburg 986 West Ave. Brockport, NY 14420 --- I 1 ' r i T Town of Barnstable Barnstable Regulatory Services Department a 'erisacff„ IIARNS-TABLE. • r '63 ,0� Public Health Division Arf°"`ASA 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 7007 3020 0001 3429 8257 July 2, 2009 � Francis L. Wurzburg 986 West Ave. Brockport, NY 14420 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000 STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located atl40 Willimantic Drive, Marstons Mills was inspected on May 18, 2009 by Jaime Cabot, R. S. Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.401 —Ceiling Height. Ceiling height on second floor was observed at 6'6", Seven feet is the required ceiling height. You are directed to correct the violations listed above within thirty days of your receipt of this notice by seeking a variance from the Board of Health; seeking relief from the minimum ceiling height requirement. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. MERTORMEWOVi THE BOARD OF HEALTH �OCKean, Director of Public Health Town of Barnstable r y COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION 4 f David B.Mason,R.S,Certified Title V Inspector,508-833-2177 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 140 Willimantic,Marstons Mills,MA Owner's Name: Frncis Wuzburg - Owner's Address:986 West Ave,Brockport,NY 14420a'= Date of Inspection: December 27,2008 ins Name of Inspector: (please print)David B.Mason ' Company Name:_N.A. ' Mailing Address:4 Glacier Path c,7 East Sandwich,MA 02537 Telephone Number: 508-833-2177 C n 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 the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving uthor'ty X ails Inspector's Signatur . Date: 1 2 Z`1 Z0u 6 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. Notes and Comments:Tank should be pumped as a matter of maintenance. The information as identified represents only the condition of the system on December 27,2008 at 10:00 AM. ****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. OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM s Page 2 of 11 PART A CERTIFICATION (continued) Property Address: 140 Willimantic,Marstons Mills,MA Owner's Name: Frncis Wuzburg Date of Inspection:December 27,2008 Inspection Summary: Check A,B,C,D or E/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 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: Parking area should be defined to prevent parking on septic tank and pump chamber. 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. Answer yes,no or not determined(Y,N,ND)in the 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: 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 obstruction is removed ND explain: OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM I Page 3 of 11 PART A CERTIFICATION(continued) Property Address: 140 Willimantic,Marstons Mills,MA Owner's Name: Frncis Wuzburg Date of Inspection:December 27,2008 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 public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 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 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. 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 the well water analysis,performed at a DEP certified laboratory, 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,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM I o Page 4 fll PART A CERTIFICATION(continued) Property Address: 140 Willimantic,Marstons Mills,MA Owner's Name: Frncis Wuzburg Date of Inspection: December 27,2008 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No X_ _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X— 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 _ NA_ Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z day flow —X— Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _ _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. —X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ —X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X 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 system passes if the well water analysis, performed at a DEP certified laboratory,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,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] _YES_(Yes/No)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• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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 11 of a public water supply well 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. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM f. Page 5 of 11 PART B CHECKLIST Property Address: 140 Willimantic,Marstons Mills,MA Owner's Name: Frncis Wuzburg Date of Inspection: December 27,2008 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No X_ _ Pumping information was provided by the owner,occupant,or Board of Health X 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 X Have large volumes of water been introduced to the system recently or as part of this inspection? X Were as built plans of the system obtained and examined?(If they were not available note as N/A) X Was the facility or dwelling inspected for signs of sewage back up 9. X Was the site inspected for signs of break out? Were all system components,excluding the SAS, located on site'?(INCLUDING THE SAS) 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: Yes no _X_ _ Existing information.For example,a plan at the Board of Health. _X_ 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(3)(b)] OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS Page 6 of 11 PART C SYSTEM INFORMATION Property Address: 140 Willimantic,Marstons Mills,MA Owner's Name: Frncis Wuzburg Date of Inspection: December 27,2008 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):4_ Number of bedrooms(actual):4 DESIGN flow based on 310 CUR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: Does residence have a garbage grinder(yes or no):NO(Not Allowed) Is laundry on a separate sewage system (yes or no):NO [if yes separate inspection required] Laundry system inspected(yes or no):NA Seasonal use: (yes or no):NO Water meter readings,if available(last 2 years usage(gpd)):2007;23000gpd 2008;29,000gpd Sump pump(yes or no):NO Last date of occupancy:Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:Board of Health Was system pumped as part of the inspection(yes or no):NO If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping:Maintenance pumping of septic tank is required. TYPE OF SYSTEM _X_ 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) _Tight tank _Attach a copy of the DEP approval Other(describe):With pump chamber Approximate age of all components,date installed(if known)and source of information: [9 e Were sewage odors detected when arriving at the site(yes or no):NO OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Page 7 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 140 Willimantic,Marstons Mills,MA Owner's Name: Frncis Wuzburg Date of Inspection: December 27,2008 BUILDING SEWER(locate on site plan) Depth below grade: Approx.30 Inches Materials of construction:_cast iron _X_40 PVC_other(explain): Distance from private water supply well or suction line:_NA Comments(on condition of joints,venting,evidence of leakage,etc.): Appears in good condition. SEPTIC TANK: N.A.(locate on site plan) Depth below grade: 10 Inches Material of construction:_X_concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Typical 1000 gal. Sludge depth: 4 inches Distance from top of sludge to bottom of outlet tee or baffle: 28inches Scum thickness:variable 0 inches to 6 inches Distance from top of scum to top of outlet tee or baffle: 0 inches Distance from bottom of scum to bottom of outlet tee or baffle:Not applicable no scum at outlet tee How were dimensions determined:actual measurements Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.)inlet tee is PVC.Outlet tee is PVC and appears in good condition. No evidence of leakage. No outlet tee in place. Effluent 2 inches over top of outlet pipe. Maintenance pumping is required. GREASE TRAP: N.A. Depth below grade: 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM i Page 8 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 140 Willimantic,Marstons Mills,MA Owner's Name: Frncis Wuaburg Date of Inspection: December 27,2008 TIGHT or HOLDING TANK: N.A._(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: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX:_Unknown_(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert:Level with outlet invert 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.): No information on file regarding system. Effluent 2 inches over septic tank outlet pipe. PUMP CHAMBER:_(locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances;etc.): OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Page 9-of 11 PART C SYSTEM INFORMATION(continued) Property Address: 140 Willimantic,Marstons Mills,MA Owner's Name: Frncis Wuzburg Date of Inspection: December 27,2008 SOIL ABSORPTION SYSTEM(SAS):_X_(locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: _leaching galleries,number: _ leaching trenches,number,length: —X_leaching fields,number,dimensions_Unknown 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.): leaching is 24 inches below grade. Probing indicates saturated soil conditions. CESSPOOLS: NA_(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: N.A._(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.): OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM r Page 10 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 140 Willimantic,Marstons Mills,MA Owner's Name: Frncis Wuzburg Date of Inspection: December 27,2008 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. F1w-1 REAR 24' OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Page 11 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 140 Willimantic,Marstons Mills,MA Owner's Name: Frncis Wuzburg Date of Inspection: December 27,2008 SITE EXAM Slope Surface water Check cellar (crawl space) Shallow wells Estimated depth to ground water_10_feet Please indicate(check)all methods used to determine the high ground water elevation: X Obtained from system design plans on record-If checked,date of design plan reviewed: _X_Observed site(abutting property/observation hole within 150 feet of SAS) _X_Checked with local Board of Health-explain:Recent Test Holes Existing engineer records with BOH X Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Utilized existing site design information on file with the Board of Health. Ground water approx.at elevation 44. Ground water well: SDW 253 Zone: B Water Level: 50.3 Adjustment:4.5" EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES 9/08/09: VI. Hearing — Housing: Francis Wurzburg-"140 Willimantic Drive,-Marstons°Mills-,ceiling height. Bill Silver, Kinlin Grover realtor, represented the owner, Francis "Ted" Wurzburg, who is out of town. The septic is adequate and working. It is not possible to get the ceilings higher. Mr. McKean recommends granting the ceiling height variance for 66". Upon a motion duly made by Mr. Sawayanagi,. seconded by Ms. Rask, the Board voted to approve the ceiling height of the house. (Unanimously, voted in favor.) r Cabot. Jaime To: McKean, Thomas Subject: RE: 140 Willimantic Drive Tom , Here is the information you were looking for regarding 140 Willimantic Drive, Marston Mills -The property was built in 1966 -The building department has no re-.ords on the property other than an electrical permit. Per Paul Roma, " In the absence of records it is assumed that the building was constructed according to the accepted standards of the time". It is safe to assume that the second floor bedrooms are Legal as they comply with the requirements for egress, privacy, minimum size and natural light. - a certificate of compliance has been issued for a four bedroom design flow septic system (2009-176), Designed by David Mason, R.S. and installed by Jim Leboeuf. Jaime Cabot, Health Inspector Health Division Town of Barnstable (508)862-4651 -----Original Message----- From: McKean,Thomas Sent: Monday,August 03,2009 10:21 AM To: Cabot,Jaime Subject: 140 Willimantic Drive Jaime, The Board of Health hearing is tomorrow. Please provide me with the following information: - How old is the building? - Are the second floor rooms legal? - Is the septic system large enough? - Is there a building permit approved for bedrooms on the second floor? Please advise. 1 A oF� Town of Barnstable P# 50, Department of Regulatory Services n ,UMSTABLX : Public Health Division Date C/ >A. �iOrFD MAt�,� 200 Main Street,Hyannis MA 02601 ho . Date Scheduled Time Fee Pd. Soil Suitability Ass ssment for Sewage Disposal Performed By: Witnessed By: / 10 � �N 7f, RAL INFORMATION c� Location Address' `Z v �I Owner's Name F f,�/� /��J� 0 M /a' - -fiz Address ✓'`r�'I��/ V ,I��'111 �ZQ Assessor's Map/Parcel: ."� 7 Engineer's Name NEW CONSTR CTION REPAIR `� Tel phone# Land Use 1 ►�V Slopes(�o D Surface Stones ` Distances from: Open Water Body I OD Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) �v 1 "`� ` Depth to Bedrock co Depth to Groundwater. Standing Water in Hole: -73`( Weeping from Pit Face e`'t Estimated Seasonal High Groundwater DE m ION FOR SEASONAL HIGH WATER TABLE Method Used: l/ Depth Observed standing in obs.hole: _ in. Depth to Soil mottles: in. Depth to weeping from side of obs.hole- in, Groundwater Ad ultment €t. Index Wellw Reading Dade Index Well leve Adi,thetor Adj.Groundwater level GV [PERCOLATION TEST bete Thne. Observation Hole# _ 9 Time at 4" I Depth of Perc Time at 6" Start Pre-soak Time @ `I• 'rime(9"-6") End Pre-soak ►'� I , Rate Min./Inch I 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:\SEPTI0PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. 111 / - o istenc % ravel �� 1w r 743 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten % ravel r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling E(Structure,Stones,Boulders. Consistency.%Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Consi ten Flood Insurance Rate Man: Above 500 year flood boundary No Z Ye.Z Within 500 year boundary No= Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervio atonal exist in all area's observed throughout the area proposed for the soil absorption system? If not,what is the depth f aturally occurring pery ous material? Certification I certify that on (� (date)I have passed the soil evaluator'examination approved by the Department of Environinental Protection and that the above analysis was performed by me consistent with . the required training,experti and er ence 1.5 cribed in 310 CMR .017. Signature Date#Z, Z j Q\\ EPTIC%PERCFORM.DOC 1_r CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTFtICTE'; 17 1875 ROUTE 28 � r CENTERVILLE, MA 02632 (509)790-2380IFAX#(508)790-2385 if OIL/HAZARDOUS MATERIAL RELEASE FORM F.A.#_._ —j`� LOCATION: ADDRESS OF RELEASE: 4 { ( A ' i��E 6Qr� 59F 1�1 4 r!'��Jr f C 1 1��'7 �1 •7 ' !�'IT`IT r� -' { DATE OF RELEASE: 6Ls:r ! ( PRODUCT RELEASED: ESTIMATED QUANTITY: r c CORRECTIVE ACTION TAKEN BY RES O SIBLE PARTY: )^ _ NOTIFICATIONS: FIRE DEPARTMENT: YES( ,-)''NO( j DATE:_,Z_-�7�y c_— TIME: � r NATIONAL RESPONSE CENTER YES( ) NO(J.,-DATE:�TIME: DEPT. OF ENVIRONMENTAL PROTECTION YES( ),NO( ) DATE: TIME OIL SPILL COORDINATOR: YES( ) NO( ),, DATE� : : TOWN BOARD OF HEALTH: YES( 4),,NO( ) DATE: r' / . TIME:- r'4 TOWN HARBORMASTER: YES( } NO(,),.-- DATE:-7 TIME: OTHER AGENCIES: COMMENTS: r , i REPORTED BY: `�; 1 (� �d� �'=,I.- �. DATE: :zl WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH C-0-MM FORM#58 , i ASSESSORS MAP : ioZ TEST HOLE LOGS NOTES: _. PARCEL: � SOIL EVALUATOR : I �1 + ''1�t C� C7� FLOOD ZONE: A 65"1— C,fC 1�L. _Y 1) The installation shall comply with Title V and Town of Barnstable Board of __.._ WITNESS : Ul 4.11� 1o00'r-•� -# _ Health Regulations. / REFERENCE: �� .L7 �C /g�y� w/� Z DATE: 1 7 - - - - -- 7 � -- 2) The installer shall verify the location of utilities, sewer inverts and septic PERCOLATION RATE: 2 11�, I components prior to installation and setting base elevations. �� �/ (!j1..��.�. ,� �j l► 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8"per foot. The first TH- 1 /yWf jZ� TH-2 two feet out of the d-box to the leaching shall be level. WIL LIMA N TIC ��L 4) This plan is not to be utilized for property line determination nor any other �1 purpose other than the proposed system installation. �RI VE ��,, 5 ,� - 5) All septic components must meet Title V specifications. MENr 10 AW I - �b 3 1 6) Parking shall not be constructed over H10 septic components. OF PAVE ' l7 _ IV � 7) The property is bounded by property corners and property lines. LOCAT I 0 MAP E°GE 8 The property owner shall review design considerations to approve of total . - ya LLt� vfl(�l b� Y� l0 1��5 f t� ) P p Y g PP design flow and number of bedrooms to be considered for design. Receipt �� .2,1- of payment for the plan and installation based on the plan shall be deemed 1 _ �� / �l approval of the design flow by the owner. �D eccoc(z,5 Pit�1� FiL,4, / �, W ((� fj� ) �7 L /��► 9) The existing leaching or cesspools shall be pumped and filled with material l 1� a 69)W p�2 \ - �-1 h �u ' % '�, per Title V abandonment procedures. Those within the proposed SAS shall _ ..__.--- _ - I be removed along with contaminated soil and replaced with clean sand per Title V specs. 0/ Y�J / Z .' ---�% 10)System components to be 10 feet from water line. Sewer lines crossing the 2e/e CVE� Y ORIV WA � � 3_, water line shall be sleeved with 4 inch SCH 40 PVC with ends grouted if S E F'.TIC SYSTEM DESIGN applicable. The proposed SAS is being installed below the water service Z 2 + ' line. The line is to be sleeved as aforementioned and maintained in place. 11) If a garbage grinder exists it is to be removed and is the responsibility of the / k W o l '� FLOW EST I MATE owner to ensure such. 12)The installer is to e caution in excavation around the gas line. Q °W 1 i ` �3EDROOMS AT I GAL/DAY/BEDROOM - GAL/DAY 13)The installer shall verify the location, quantity and elevation of the sewer lines exiting the dwelling prior to the installation. GAL/DAY x 2 DAYS -OM GAL 100 Ft FROM POND m U3 � GALLON SEPT IC TANK i�1 o� l ' . _ r�- �► � 2-N�1 SOIL ABSORPT ION a SYSTEM / /�j,j �/� Z sc�l 40 �vG, to/ Not U176 W16H I m ' � I C�Iac SIDE AREA: y ��� L8L�o i0 1�_ BOTTOM AREA: — z ' LIW( �_"1•r� �D_t� G-,- v_r twt :=yC[Y�t i \ �, 4x \ ► EPT I C. SYSTEM SECT I ON ►�;rs . _ �- y�urr 0J TP I I fro II �19.gz any 61Z 6, 3 p ., 5S Z1 11v _ mall o ca tj �. D BOX �i--I-/c�Pv V►•�1��5H��S mu�_!� g � 5� Tl ��� SEPT I C TANK L�Y�� ,` J3� L4, T 4 MIL POLY t� - III=III=III= EGEv � ------ ------ ��+�""-"�-"-.+��� 6o fl V�T�9 ASPHALTIC ? X - 0 IoZ,_ _ c 5� SEALING —_ ,_ �6� 1 _ . _. o D/lVID SITE AND SEWAGE PLAN EGEV _ -II- Zo LOCATION : # D4ILL' IMAKIII& W ��. ,. M lq1i5101�-15. Il.l,`,� K1 12 PREPARED FOR : —a�►� - �au� �, T�1L ELEV o PROPOSED CONCRETE RETAINING WALL O O , —_.. T SCALE: ) ` REINFORCING STEEL: \ �xl r�(� DAV I D B . MASON 12N5 DATE: I Zti 00M Q : #5 ® 18" 0/c ® : #4 ® 18" O/C O : 6 ea #5 40 : #5 ® 12- o/c �Wtr,�V► � _ DBC ENV I RONMENYAL DESIGNS W ------ -----—._._ _ EAST SANDWICH . MA _----- --------- DATE HEALTH AGENT W _ ( 508 ) 833- 2177 Z w 15 2009 q MV15