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Home My WebLink About0056 HARRISON ROAD - Health (3) 56 HARRISON ROAD Centerville a = I Town of Barnstable $ Board of Health MAM200 Main Street, Hyannis MA 02601039. MIS. Office 508-862-4644 John Norman,Chairrman FAX: 508-790-6304 Donald A.Guadagnoli,M.D. F.P.(Thomas)Lee,P.E. Daniel Luczkow,M.D.Alt. March 8, 2022 Mr. Asa Mintz AJM Site Design, LLC 4 Crestview Drive East Falmouth MA 02537 RE. . 56;H;arrison Road;`Centery .ille: �. A 229 075 Dear Mr. Mintz, You are granted variances on behalf of your client, Barbara Brooksbank, to install a replacement septic tank at 56 Harrison Road, Centerville. The following variances are granted: 310 CMR 15.211 (1):. To install a septic tank only 1.1 feet away from the property line, in lieu of the minimum ten (10) feet separation distance required. 310 CMR 15.211 (1):. To install a septic tank only 3.9 feet away from the water line, in lieu of the minimum ten (10) feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install a septic tank 61.6 feet away from a bordering vegetated wetland, in lieu of the 100 feet minimum separation distance required. These variances are granted with the following condition: • When public sewer becomes available (in approximately two years), this property shall be connected to public sewer. During the real estate transfer transaction, it was discovered the existing septic tank was located beneath the driveway and was not constructed of heavy duty (H20) loading, requiring its replacement. The above variances were granted because the physical constraints at this site severely restrict the replacement of the septic tank due to the narrow shape of the front of the lot and its close proximity to wetlands. Si re , j; 4AAg��' — uZL n Norman, Chairman Q:\WPFILES\Mintz 56 Harrison RoadCenterviIle Variances May 2021.docx I DATE: Oki Q" $95.00 FEE*: A// A- �A ��' Town of Barnstable REC.BY: j �6yg�' Board of Health SCHED.DATE: 200 Main Street,Hyannis MA 02601 Office: 508-8624644 r - i John T.Norman t FAX: 508-790.6304 fY j l44emZ;°e—,/� �` tL/��,�n Donald Guadagnoli,M.D. � Paul J.Canniff,D.M.D. F.P.(Thomas)Lee,Alternate VARIANCE REQUEST FORM LOCATION Property Address: 56 Harrison Road,Centerville Assessor's Map and Parcel Number: 229/75 Size of Lot: 8,341 s.f. Wetlands Within 300 Ft. X Business Name: NA Subdivision Name: NA APPLICANT'S NAME: Barbara Booksbank Phone (617) 755-1867 Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Barbara Booksbank Name: Asa Mintz,AJM Site Design LLC Address: 50 Lindberg Ave.,Holyoke,MA 01040 Address: 4 Crestview Drive,East Sandwich MA 02537 Phone: (617) 755-1867 Phone: (508) 400-2365 EMAIL: amintzQa aimsitedesi ng llc.com VARIANCE FROM REGULATION(Incl.Reg.code a) REASON FOR VARIANCE(May attach separate sheet if more space needed) See Attached See Attached NATURE OF WORK: House Addition 13 House Renovation Ll Repair of Failed Septic System Checklist (to be completed by of ce staff-person receiving variance request application) Please submit first four on list as 5 collated packets. X A. Five(5)copies of the completed variance request form NA B. Five(5)copies of MA DEP approval letters for Innovative/Alternative septic system(when proposing an i/A system or secondary treatment unit(S.T.U.). X C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: healthntown.bam stable.ma.us *(Pool Plan-5 hard copies) X D.Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. X A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. X Signed letter stating that the property or business owner authorized you to represent him/her for this request X Applicant must notify abutters by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only). NA Full menu-Five(5)copies of full menu submitted(for grease trap variance requests only), X Fee Submitted*$95.00 for the following variances: 1)New construction, 2)Septic repairs with increase in flows,and 3)New owner/new lessee applying for food, pool or body art variances. Exemptions from Variance Fee: 1)Septic repair without an increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). X Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED John T.Norman NOT APPROVED Donald A.Guadagnoli,M.D. REASON FOR DISAPPROVAL Paul J.Cannif,,D.M.D. Q:\Application Forms\VARIREQ Rev Jan 1-2020.docx r REQUESTED VARIANCES / 310 CMR 15.211(1)-Minimum Setback Distance-Minimum setback distance from tank to property line shall be 10 feet. The tank is ./ located tl.1'f feet from the property line. A variance of f8.9 feet is requested. 310 CMR 15.211(1)-Minimum Setback Distance-Minimum setback distance from tank to a water supply line shall be 10 feet. The tank is located f3.9't feet from the water service. A variance of f6.1 feet is requested. BARNSTABLE REGS.360-1-Unless otherwise specified by the Board of Health all sewage disposal system components shall be not less than 100-feet from any bordering vegetated wetlands. The proposed septic tank is located 61.6'f from a bvw. A variance of 38.4'f is requested. REASON FOR VARIANCE The subject property is going through a real estate transfer. During the septic inspection the leach field was found to be in working order and passed inspection,however the existing 1,000 gallon tank located under the driveway was not of H2O strength. The existing tank is proposed to be replaced with a new 1,500 gallon tank and the old tank removed. This is a very small lot with limited space in the front yard between utilities,property lines and the 50-foot buffer to Long Pond. There is no other space available on this lot to install a new tank. Sewer systems are proposed in this area within the next couple years and this property should be connected as soon as possible. a BATH 11.5' x 7.5' -17' X 11' KITCHEN LIVING/DINING ENT BATH 9.5' x 13.5 BEDROOM 13.25' x 16' LIVING ROOM 12.5' x 15.5' BEDROOM i 9.5' x 16 BEDROOM 4 CRESTVIEW DRIVE F0 xo FL 0 OR PLAN EAST SANDWICH,MA 02537 PHONE:(508)400-2365 LOCAT/ON.' 56 HARRISON ROAD SITE DESIGN, LLC CENTERVILLE, MA 02632 Residential Site Design and Permitting SCALE' 1" = 10' 4 CRESTVIEW DRIVE EAST SANDWICH,MA 02537 PHONE:(508)400-2365 SITE DESIGN, LLC� Residential.Site Design and Pennitti.ng A,7M April 5, 2021 Thomas McKean Town of Barnstable Health Division 200 Main Street Hyannis, MA 02601 RE: 56 Harrison Road, Centerville Septic Tank and Distribution Box Replacement Dear Mr. McKean, On behalf of Barbara Brooksbank, I am submitting, for your review and distribution, an applica- tion package for a public hearing in front of the Board of Health for the installation of a new sep- tic tank and distribution box at the referenced address. As this is a small lot in a sensitive area, variances will be required for the proposed work. I have attached with this filing the required information outlined in the variance request form. If you should have any questions, comments or need any additional information please do not hesi- tate to contact me at (508)400-2365. Sincerely, Asa Mintz, P.E. AIM Site Design LLC cc: Barbara Brooksbank 4 CR:kSTVIEW DRIVE -H A7rM EAST SANDWICH,.NIA 02537 PHONE:(508)400-2365 SITE DESIGN, LLC Residential Site Design and.Permitting Ct_,1 May 17, 2021 Thomas McKean Town of Barnstable Health Division 200 Main Street Hyannis, MA 02601 RE: 56 Harrison Road, Centerville Certified Mailings Dear Mr. McKean, For your records, I have attached the green cards fro the certified mailings for the referenced project. If you should have any questions, comments or need any additional information please do not hesitate to contact me at (508) 400-2365. Sincerely, Asa Mintz, P.E. AJM'Site Design LLC . cc: Barbara Brooksbank March 15,2021 Town of Barnstable Board of Health 200 Main Street Hyannis,MA 02601 RE: 56 Harrison Road,Centerville Proposed New Tank Installation To whom it may concern, AJM Site Design,LLC has been authorized as my representative for the Board of Health filing for the reference address. If you should have any questions or need any additional information please feel free to contact me at(617)755-1867. Sincerely, Barbara Brookbanks 56 Harrison Road,Centerville cc: AJM Site Design,LLC I r PUBLIC HEARING NOTICE Date: April 6,2021 CERTIFIED MAIL RETURN RECEIPT REQUESTED RE: 56 Harrison Road Centerville (Map 229/Parcel 75) No. street Village Dear Abutter: A public hearing has been scheduled for the review of plans by the Barnstable Board of Health on an application for variances from the regulations of the Mass. Department of Environmental Protection, Title 5, for Subsurface Disposal of Sewage. The following variances are requested: List all Variances from State and Town Codes TITLE 5,SEC.#: DESCRIPTION OF VARIANCE(S): _310 CMR 15.21 1 (1) Minimum Setback Distance-Minimum setback distance from tank to property line shall be 10 feet. The tank is located±L 1'f feet from the property he. A variance of f8.9 feet is requested. 310 CMR 15.211(1) Minimum Setback Distance-Minimum setback distance from tank to a water supply line shall be 10 feet. The tank is located f3.9'f feet from the water service. A variance of t6.1 feet is requested. LOCAL REGULATIONS BARNSTABLE REGS.360.1 Unless otherwise specified by the Board of Health all sewage disposal system components shall be not less than 100-feet from any bordering vegetated wetlands. The proposed septic tank is located 61.6'1 from a bvw. A variance of 38.4't is requested. Said hearing will be held via zoom remote meeting,on April 27.2021 at 3:00 p.m. A link can be found on the Town of Barnstable Board of Health Website or by contacting the Barnstable Health Division at (508)862-4644 The application and plans are available for review by contacting the Barnstable Health Division, 200 Main Street, Barnstable MA 02601 Monday through Friday(excluding holidays)from 8:30 a.m.to 4:30 p.m. Sincerely, Board of Health Title V Septic Variance Abutter Map for Subject Parcel 229075 Town of Barnstable Direct abutters(no set distance)and the properties located across the street. GIS Unit gis@towu.bainstable.ma.us I -- - — Legend tT — i__ ❑ Subject Parcel __-- �_ ------_— t Abutters ---- �- ❑ -?Parcels �,.�------~ .----__-T- - Town Boundary — ` 0 Railroad Tracks �I " Buildings 229083 229 0 Approx.Buildi 0 Buildings I III .29079 Painted Lines t"229078 $ `��., � Parking Lots 11 s Paved Unpaved Ii Driveways 229082 n Paved Unpaved l 129084 I Roads --- 13 Paved Road 229.08 5 . ` i 29081 i` Un a,ed Road I � 229077 � F j<� 2 ,;� � p 2R2901: ®Bridge 086 I 1 �'""^� G Paved Median 229080 Streams Marsh 229076 2�29071 13 Water Bodies 1 This map is for illustration r *' purposes only.It is not adequate for legal boundary determination or regulatory interpretation.This map does not represent an on-the-ground survey.It may be generalect 229075 `.._..� current con may s,and may current conditions,and may contain cartographic errors or omissions. ^-- 2�2907b4 Parcel lines shown on this map are (� only graphic representations of `2�29073 x2.2072 Assessor's tax parcels.They are 9 not true property boundaries and LongPond do not represent accurate g relationships physical objects on the map such as building locations. Long Pond O 0 50 ioo ft. 1 inch=approx. too ft. Printed on:3/11/2021 Board of Health Title V Septic Variance Abutter List for Subject Parcel 229075 Direct abutters(no set distance)and the properties located across the street. Parcel ID Owner 1 Owner 2 Address Line 1 Address Line 2 City State Zip 229074 BARTLETT,DONALD H&SANDRA 144 PROSPECT ST LODI NJ 07644 229075 BROOKSBANK,JOSEPH H& 5o LINDBERG AVE HOLYOKE MA 01040 BARBARA M 229076 HOWARD,DONNA L 6o HARRISON ROAD CENTERVILLE MA 02632 229o84 WHITEMAN,NANCY 416 W GRIFFITH STREET LOUISVILLE CO 80027 Page i of i Total Number of Abutters:4 Report Generated On: 3/11/20213:57 PM This list by itself does NOT constitute a"Certified List of Abutters"and is provided only as an aid to the determination of abutters. If a Certified Abutter List is required,you must contact the Assessing Division to have this list certified. Town of Barnstable (_ BARNSTA13M � Assessing Division FK i6 ,�0� 367 Main Street,Hyannis MA 02601 '°fin Na+ www.townofbarnstable.us Office: 508-862-4022 Edward F O'Neil,MAA FAY: 508-862-4722 Director of Assessing ABUTTERS LIST CERTIFICATION DATE: March 17, 2021 RE: Abutters List For Parcel(s) : 229-075 As requested, I hereby certify the names and addresses as submitted on the attached sheet(s) as required under Chapter 40A, Section 11 of the Massachusetts General Laws for the above referenced parcels as they appear on the most recent tax list with mailing addresses supplied. -J Board of Assessors, Town of Barnstable Town of Barnstable Inspectional Services Department MASS. sARMA BLF- ' Public Health Division 1639.ram" 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 7824 July 30, 2020 BROOKSBANK, JOSEPH H & BARBARA M 50 LINDBERG AVE HOLYOKE, MA 01040 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 56 Harrison Road, Centerville, MA was inspected on 07/10/2020 by Douglas A Brown, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally Passes" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • H-10 is under the driveway, roots in the pipe. It is recommended having the roots removed. • You may apply for an extension from the Board of Health near the deadline as Town Sewer will be available. You are ordered to repair or replace the septic system within two (2) years 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 O THE BOARD OF HEALTH s McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\56 Harrison Road Centerville.doc Town of Barnstable eA MASS. LI *639. ,�� Inspectional Services Department Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool ❑ A portion of the SAS, cesspool, or privy is below the high groundwater elevation ❑ A portion of the cesspool is located within a Zone 1 to a public well ❑ A portion of the cesspool is located within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool /Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) QT&ER ,(o J✓`�Qf �� J��w e /� ✓ Repair deadline: c f ,^ -PAC ✓r �u ' fvV" / , A e u v` -�" d e-Ai e A)' Tv wi Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc r Commonwealth of Massachusetts l� Title 5 Official Inspection Form (/ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4' 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name / required for Centerville ✓ Ma 02632 7-10-2020 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. Important:When filling out A. Inspector Information Sbg kq&9;�_ forms orgy the computer, use Douglas A Brown only the tab key Name of Inspector to move your D.A.Brown Inc cursor-do not Company Name use the return key. P.o Box 145 Company Address r� Centerville Ma 02632 City/Town State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5(310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ® Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails r - 0-2020 c or' nature 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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments L � 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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): ❑ 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): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts �. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �n V 56 Harrison Rd Property Address Brooksbank inform Owneration is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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): ❑ 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): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts �. IF Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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 fecal coliform bacteria indicates absent 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. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to 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 t5insp.doc•rev 7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments v / 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable,to All Systems: (cont.) Yes No ❑ ® 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 '/z 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 SAS, cesspool or privy is below high ground water elevation. ❑ ® 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 water supply 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. [This system passes if the well 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, 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 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM 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. 5) 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 CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 I Commonwealth of Massachusetts l9 Title 5 Official Inspection Form I' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes" to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ❑ ® 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 available note as N/A) ® ❑ Was the facility or,dwelling inspected for signs of sewage back up? ® ❑ 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 at the 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form j Subsurface Sewage Disposal System Form - Not for Voluntary Assessments v 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 Description: a septic tank and what appeared to be a trench was located with a camera in outlet line Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ❑ No Does residence have a water treatment unit? ❑ Yes ❑ No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): Detail: water is off at time of inspection and house is vacant Sump pump? ❑ Yes ❑ No Last date of occupancy: Date t5insp.doc-rev_7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts �P Title 5 Official Inspection Form J° Subsurface Sewage Disposal System Form - Not for Voluntary Assessments / 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 I Commonwealth of Massachusetts �d Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Harrison Rd Property Address owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. 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): no d box located Approximate age of all components, date installed (if known) and source of information: appear to be original Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 I Commonwealth of Massachusetts Title 5 Official. Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 2 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: under driveway could not check size Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? 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 appears to be H-10 and under paved driveway with only one access cover tank is corroded and shows exposed aggregate. t5insp.doc•rep.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. 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: gallons per day t5insp.doc•rev.7/2 61201 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 II Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) 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 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above 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 d-box found t5insp.doc•rep.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 • sue. Comm onwealth of Massachusetts l Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 P Y ry 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632. 7-10-2020 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No" Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: a camera was put into the outlet pipe and perforated pipe with heavy root infiltration was viewed until camera could not go any further due to roots. Picture attached. Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: unknown ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev 7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Commonwealth of Massachusetts e io Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f; 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): extremely heavy root blockage in what i am asuming is a trench configuration. 12. Cesspools (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 ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts 1p Title 5 Official Inspection Form 11.� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 14. 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 El 6 -A 'S cif Qqo,� 1 c �c N c �w�. � s c � �v� &)C)+- )_0 ( [CM W�4af- 1: (000 se_r" Atso 'S (its C� Cts c t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments _4 L 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 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: there is high ground water in this area the house is extremly close to long pond and the herring run Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 f Commonwealth of Massachusetts �. IP Title 5 Official Inspection Form I� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 56 Harrison Rd Property Address Owner Brooksbank information is Owner's Name required for Centerville Ma 02632 7-10-2020 every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 it q .k1 q "Y� 1_ # 4 l�fi ✓L. 4 Q oz�z 60 IN r r 1 1000 Rallon septic tag . - t , . AN - 1, 2 ' X 20 ' leachf ield aJ e p t 1 C _ V y S t e Tll is _1/�.�. J��. - o d w ok. t.. �. 3. ALA tpry lat time . - .Septic tank sh_oul . h p r+ - .w."''O K ; 6 -w .c-..- .•a >.r J+..... -F., .r.z1 n.. ....irs t_ "v ��'...F �.. �� y_ r - 5 Harri-s.on =Road' Centerville �_ �_��._��,..F-��= J ..-�.�..� n.+rYr•i+ *f�Y�r Y fw.S r,. • Yyrr. .t^` - �.P`'wfe. 4 V �l\ ..ov E To 83 It "ONI NO • wr n w "A _ ♦ t w � - n F _ x _ ... .. _ ., ._,.- �es....,t...a.,r„!ca•ro tit >cr.a^� 'a��-t!� •r h_+-�+'.-�, x.�.- ..,�#..-.. ...;.� ,•a..w.• - _: . .. -. „y.t<...,r� .....,,,�.,�<r*.-.,.-�•�Y,�».��-�3- Bret - _ z ' v • �• • .'gym + 9t Ct w...1� ,i� ` � + r-�I, ./" .� t y, •<.1 t.Y sy.rA't:...� °:..J ''F.4i.A-# i .w,a,.n.+e••,.+.. 7r { -n r.c- <.•et �. �.0 . w. M� .� F •.,,......'/'. ..� - i arw.t n".F?'c.4w.T••l, `Wr" _ a. `3rf��i-''awJ..wa.l: •- s_ -� • . ,o. x`. , t' • s _ =K;[.�r�.�.-.-.«�E�n rCa.._w � s'r� 3 a �.�. -..- f , Town:of Barnstable • RARNSf UM MA� Inspectional Services Department Public Health Division d ; 200 Main Street, Hyannis MA 02601 r Office: 508-862-4644 1 U FAX: 508-790-6304 2 W hll J e n�e Thomas A. McKean,CHO 11 A�jI S I(, eb 6, 2007 l v. 4/ 6/19 Vi1��r a I� 2 C S DEADLINES TO REPAIR FAILED SYST l S ! (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool ❑ A portion of tho SAS, cesspool, or privy is below the high groundwater elevation ❑ A portion of the cesspool is located within a Zone 1 to a public well ❑ A portion of the cesspool is located within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: 0ASEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required 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. Important:When A. Inspector Information 6� on the computer, Brett Hickey use only the tab y key to move your Name of Inspector cursor-do not B&B Excavation use the return Company Name key. 374 Route 130 Company Address Sandwich Ma 02563 City/Town State Zip Code (508)477-0653 S113747 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above;the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑Q Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails Brett Hicke Digitally signed by Brett Hickey Y %'Date:2021.01.1412:05:28-05'00, 1-6-21 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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: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. t5lnsp.doc rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 y o Commonwealth of Massachusetts ........... Title 5 Official Inspection Form - a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t f/, 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every St page. City/Town ate Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3,or 5 and all of 4 and 6. 1), 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: Upon inspection a septic tank, d-box and leach field were located. The septic tank is H-10 rated and is under a driveway. The pipe between the dwelling and tank is in poor condition and in need of replacement. The d-box and SAS were video inspected and found to be in working order. 2) 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. ❑■ Y ❑ N ❑ ND (Explain below): Tank is H-10 rated and under a driveway. The Pipe from the dwelling to the tank is in poor condition and in need of replacement. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form !, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 req,jired for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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): ❑ 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): 3) 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. a. 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: t5insp.cloc•rev.7/26/2018 Tile 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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 fecal coliform bacteria indicates absent 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. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No El El clogged of sewage into facility or system component due to 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 t5insp.doc•rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 f � Commonwealth of Massachusetts - : Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments c I� 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every St page. City/Town ate Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ 0 Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ 0 Liquid depth in cesspool is less than 6"below invert or available volume is less than Yz day flow ❑ Q Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ El Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ O 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 water supply well. ❑ El Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ El 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ❑ The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ E] 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. 5) 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 CA. 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 t51nsp.doc-rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town Satet Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat,or answered"yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade t pg ade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes"or"no"for each of the following for all inspections: Yes No ❑ M Pumping information was provided by the owner, occupant, or Board of Health ❑ El Were any of the system components pumped out in the previous two weeks? ❑ El Has the system received normal flows in the previous two week period? ❑ a 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 available note as N/A) ❑ 0 Was the facility or dwelling inspected for signs of sewage back up? El ❑ Was the site inspected for signs of break out? El ❑ Were all system components, excluding the SAS, located on site? El ❑ 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? j ❑ El 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: El ❑ Existing information. For example,a plan at the Board of Health. ❑ 0 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: No design plans 2Number of bedrooms (design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): NA Description: No design plans or permits available at local Board of Health. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes 0 No Does residence have a water treatment unit? ❑ Yes Q No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes RI No information in this report.). Laundry system inspected? ❑ Yes 0 No Seasonaluse? ❑ Yes [E No Water meter readings, if available(last 2 years usage(gpd)): Detail: Property vacant Sump pump? ❑ Yes ❑ME No Last date of occupancy: unknownDate t5lnsp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth f Ma ssachusetts assachusetts - Title'5 Official a Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t 56 Harrison Road Property Address Randy Gillet Owner Owners Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town State Zip Cade Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: NA Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: date of last pump is unknown Was system pumped as part of the inspection? ❑ Yes M No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: II t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Harrison Road Property Address Randy GiUet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: El Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overnow 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): Approximate age of all components,date installed (if known)and source of information: unknown due to lack of record Were sewage odors detected when arriving at the site? ❑ Yes ❑■ No 5. Building Sewer(locate on site plan): 3811 Depth below grade: feet Material of construction: ❑■ cast iron El40 PVC Elother(explain): Orangeburg Distance from private water supply well or suction line: Town waterfeet Comments (on condition of joints, venting, evidence of leakage, etc.): The pipe connecting the dwelling to the tank is in poor condition and has root infiltration. Pipe is in need of replacement. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts -=-- Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments - 56 Harrison Road Property Address Randy Gillet Owner Owners Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): i Depth below rade: 31" 9 feet Material of construction: ❑■ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 1 Dimensions: 000gallons 311 Sludge depth: 3311 Distance from top of sludge to bottom of outlet tee or baffle On Scum thickness NS Distance from top of scum to top of outlet tee or baffle NS Distance from bottom of scum to bottom of outlet tee or baffle measured How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The H-10 1000 gallon septic tank is in working order but is located in the driveway. Owner / Realtor are discussing options to fix with with Board of Health agents. t5insp.doc-rev.7/26/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments c J 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town . State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: NAfeet 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: NA Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 co attached? Yes No PY ❑ ❑ 9. Distribution Box(if present must be opened)(locate on site plan): OilDepth of liquid level above 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.): The d-box was in working order at the time of inspection. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 i Commonwealth of Massachusetts �y Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Harrison Road �y Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): NA * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS)(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: _ 12'X20' Q leaching fields number, dimensions: ❑ overflow cesspool number: - ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System(SAS)(cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The SAS was in working order at the time of inspection. Field was video inspected and showed no evidence of past backup. 12. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): NA 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 ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 14 of 18 r Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 6-r;P. =/I 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: NA Dimensions Depth of solids Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 15insp.doc•rev.7/26/2018 TiBe 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form r i0 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. 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 Front A i Al-26`6"` B1'-26' \.J / A2.27`6" B2--2W t5insp.doc•rev.7/2 612 0 1 8 Tide 5 official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 f Commonwealth of Massachusetts --_ Title 5 Official Inspection Form ~ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , � 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑■ Check Slope ❑■ Surface water ❑■ Check cellar ❑■ Shallow wells Estimated depth to high ground water: see belowfeet 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 El 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: The pond elevation behind dwelling was shot and transfered to location of SAS. The pond is 66" below the bottom of SAS elevation. The follow adjustment was applied: Well: MIW 29, Zone:D, Reading 9.2 (12/2020)ADJUSTMENT 4.7'. The bottom of SAS in 1' above adjusted GW. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts ------------- - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Harrison Road Property Address Randy Gillet Owner Owner's Name information is Centerville Ma 02632 1-6-21 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ❑■ A. Inspector Information: Complete all fields in this section. ❑■ B. Certification: Signed&Dated and 1, 2, 3, or 4 checked ❑■ C. Inspection Summary: 1, 2, 3,or 5 completed as appropriate 4(Failure Criteria)and 6(Checklist)completed �■ D. System Information: For 8:Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t 1 t5insp.doc-;rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 McKenzie, Marybeth From: McKean, Thomas Sent: Thursday,July 09, 2020 2:15 PM To: McKenzie, Marybeth Subject: RE: 56 Harrison Rd., Centerville Conditional pass Must_connect to public sewer when it becomes available. From: McKenzie, Marybeth Sent: Thursday, July 09, 2020 2:07 PM To: McKean,Thomas Subject: 56 Harrison Rd., Centerville Hi, Elaine called me and she is planning on purchasing this house, but she knows it won't pass the Title V inspection because some components are under the driveway.There is a letter in the folder from you stating that you are ok with this prope,.rty not replacing the components to be h-20 Because sewer will be available in 2-3 years. Her question is how should the Title V inspector write the report?Should he makes a note of what I just said in the report so that the property can get a passing Title V. report for the sale? Hope that makes sense.Thanks- Mb Marybeth McKenzie R.S. Health Inspector Town cf Barnstable (S08)8,52-4644 i i Stanton, David From: McKean, Thomas Sent: Monday, July 06, 2020 8:51 AM To: Stanton, David Subject: RE: 56 Harrison Road Centerville Will you let her know please? P.S. I don't know how many years until public sewer becomes available there- but I would not object to a request for a future extension after the two year period . From: Stanton, David Sent: Monday, July 06, 2020 8:43 AM To: McKean, Thomas Subject: RE: 56 Harrison Road Centerville Ok, sounds good. Did you let her know or do you want me to let her know? Thanks, Dave From: ,McKean, Thomas Sent: Monday, July 06, 2020 8:37 AM To: Stanton, David Subject: RE: 56 Harrison Road Centerville Hi David I have no objections to allowing the continued use the system untiltipublic sewer becomes available. From: Stanton, David Sent: Monday, July 06, 2020 8:10 AM To: McKean, Thomas Subject: FW: 56 Harrison Road Centerville Tom, this was in my outbox, looks like it never went out on Wednesday Not sure if you reviewed\responded to this yet, it looks like Griffin sent it to you and then she sent it to me afterwards. Just don't want to answer her or if I do, make sure we give her the same answer. If you would like me to respond to her, let me know and I will do it sometime next week when I am back. Have a great 0'! Thanks, Dave From: Amanda Kundel [mailto:akundel@kinlingrover.com] Sent: Wednesday, July 01, 2020 1:24 PM To: Stanton, David Subject: Frvd: 56 Harrison Road Centerville 1 David, I hope all is well! Would you please read below and comment on this. Your help would be much appreciated! Thank you, Amanda Kundel ---------- Forwarded message --------- From: Beaudoin, Griffin <Philip.Beaudoingtown.barnstable.ma.us> Date: Wed, Jul 1, 2020 at 12:08 PM Subject: RE: 56 Harrison Road Centerville To: Amanda Kundel <akundelgkinlingrover.com> CC: McKean, Thomas <Thomas.McKeangtown.barnstable.ma.us> Hello Amanda, You should coordinate with the Health Dept relative to this as they have jurisdiction over septic system approvals. Thank you, Griffin Griffin Beaudoin, P.E. Town Engineer Barnstable Department of Public Works 382 Falmouth Road - Hyannis, MA 02601 P: 508-7S0-6400—C: 774-487-9663 griffin.beaudoin@town.barnstable.ma.us From: Amanda Kundel [mailto:akundel@kinlingrover.com1 Sent: Tuesday, June 30, 2020 4:47 PM To: Beaudoin, Griffin Subject: 56 Harrison Road Centerville z II Good afternoon. I have this property listed for sale. The owner is an elderly woman who lives out of town. We have run into an issue with the septic/sewer, and I am hoping you can help. A voluntary inspection of the septic was done before it went on the market, and it was found to be in working order (please see attached letter from Doug Brown). However, it is under the driveway and not designed to be driven on top of. The dilemma (you may recall our conversation or have spoken to other parties about this) is that we understand Town Sewer may be available soon, and so I am hesitant to have the seller or buyer pay for an upgrade to the septic system. It is my understanding that you are being encouraged to work with owners/buyers in this situation and am wondering if you would be able to provide a letter stating that the property could be used/purchased with the existing septic system until such time as Town sewer is made available. If this is not an option, I will advise the current owner to pay to engineer and/or install a new system. The cost is approximately $5k I am told. The system itself may be $25k or more, and if it is designed as a raised system this might eliminate any parking. It has been a catch 22 with this sale.....to find a buyer who will take on the risk or spend the $5k to find out the details of a new system. Please let me know your thoughts. I am available to discuss anytime. Your help is appreciated. Thank you, Amanda Swift Kundel Kinlin Grover Real Estate P.O. Box 156 3221 Main Street Barnstable, MA 02630 508-360-7364 Mobile 508-362-9C01 Fax 3 f Licensed in Massachusetts Broker#009521133 Kinlin Grover Real Estate Like us on Facebook• Follow us on Instagram,Twitter&Linkedin •Watch KGTV on YouTube! View our Listings at www.KinlinGrover.com CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! Amanda Swift Kundel Kinlin Grover Real Estate P.O. Box 156 3221 Main Street Barnstable, MA 02630 508-360-7364 Mobile 508-362-9001 Fax Licensed in Massachusetts Broker#009521133 ii a ... https://Ww .paperturn-view.com/t'he-randall-family-of-companies/kinlin-grover-homes-spring 2020?pid=OTE91448&v=1.207 4 Kinlin Grover Real Estate Like us on Facebook• Follow us on Instagram,Twitter&Linkedin •Watch KGTV on YouTube! View our Listings at www.KinlinGrover.com CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! 5 1 Crocker, Sharon From: McKean, Thomas Sent: Monday,June 01, 2020 10:46 AM To: James Monteforte; Crocker, Sharon Subject: Re: 56 Harrison Rd Centerville It will not be available to the property within two years, according to the Town Engineer. The current project schedule envisions completion of construction in the Spring of 2023. From: James Monteforte Sent: Monday, June 1, 2020 10:23 AM To: Crocker, Sharon Cc: McKean, Thomas Subject: Re: 56 Harrison Rd Centerville I just called the Sewer Department and they ARE planning on bringing town sewer to the street. It is still in the planning stages but it should be there in about 2 years. On Mon, Jun 1, 2020 at 10:02 AM Crocker, Sharon<Sharon.Crocker@town.barnstable.ma.us> wrote: Tom, I j James Montefonte, 508-648-2015 (Email: jamesnfreitasrealty.com) is looking into the above mentioned property to purchase. We do not have a septic permit in file, nor a septic inspection. James is aware of a recent inspection of property which will show some of the system underneath the driveway. Installer mentioned it will be available for sewer connection soon. s James is asking for a letter from us stating a new owner may continue using it with component under driveway until sewer is available. x Please let him know whether this is possible. Thank you. 1 r Sharon Crocker Office Manager Town of Barnstable—Health 508-862-4739 The information contained in this electronic transmission("e-mail"),including any attachment(the"Information"),may be confidential or otherwise exempt from disclosure.It is for the addressee only.This Information may be privileged and confidential work-product or a privileged and confidential communication.The Information may also be deliberative and pre-decisional in nature.As such,it is for maternal use only.The Information may not be disclosed without the prior written consent of the Director of Public Health and/or the Town Attorney's Office of the Town of Barnstable. If you have received this e-mail by mistake,please notify the sender and delete it from your system. Please do not copy or forward it.Thank you for your cooperation. James Monteforte Realtor/Owner Freitas Realty Group, Inc Office: 1 Locust St, Falmouth, MA 02540 Mailing: P.O Box 496 Mashpee, MA 02649 508.457.0202 Office 508.648.2015 Mobile 866.825.2963 Fax ames(a7freitasrealty.com CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address andknow the content is safe!' 2 f Crocker, Sharon From: Beaudoin, Griffin Sent: Monday, June 01, 2020 10:45 AM To: McKean, Thomas Cc: Crocker, Sharon Subject: RE: 56 Harrison Road When I spoke to him I indicated my recollection was 2 and a half years (I didn't have the schedule in front of me at the time). But yes, roughly 3 years. Griffin Beaudoin, P.E. Town Engineer Barnstable Department of Public Works 382 Falmouth Road - Hyannis, MA 02601 P: 508-790-6400—C: 774-487-9663 griffin.beaudoin@town.barnstable.ma us From: McKean, Thomas Sent: Monday, June 01, 2020 10:42 AM To: Beaudoin, Griffin Cc: Crocker, Sharon Subject: Re: 56 Harrison Road Thank you Griffin That will be in three years (not two years which the gentleman indicated in his email). From: Beaudoin, Griffin Sent: Monday, June 1, 2020 10:25 AM To: McKean, Thomas Subject: 56 Harrison Road Hi Tom, I hope all is well. I received a call this morning from a gentleman at 56 Harrison Road inquiring about sewer availability. This property will be served by the Route 28 East Sewer Expansion project which we currently are in the process of selecting a design consultant for. The current project schedule envisions completion of construction in the Spring of 2023. Thanks, Griffin Griffin Beaudoin, P.E. Town Engineer Barnstable Department of Public Works 382 Falmouth Road - Hyannis, MA 02601 P:508-790-6400—C: 774-487-9663 RISERS ON OUTLET TO BE SITE INFORMATION RISERS ON INLET TO BROUGHT TO GRADE WITH BOLTED RISERS ON D-BOX TO BE BE BROUGHT TO CAST IRON RING AND COVER BROUGHT TO GRADE WITH LOCKING •` 4 ? WITHIN 6" OF GRADE CAST IRON RING AND COVER ADDRESS: 56 HARRISON ROAD �y`� 9" MIN. COVER ASSESSORS MAP/PARCEL: 229/75 36" MAX. COVER PROPOSED DISTRIBUTION DEED BOOK/PG 7879/290 Box (H20) 18' OF 4" SCH 40 W14' DESIGN CALCULATIONS ROUTE 28 PVC, S=0.010 MIN. PROPOSED 1,500 GALLON EXISTING PIPE IN STONE LEACHFIELD' REINFORCED CONCRETE (TO REMAIN) Af4ly SEPTIC TANK (H20) D�SIGN FLOW O� INV.=EXISTING 10" (WATERPROOFED) ----------------�\� INV.=99.43 14" 110 GALLONS/DAY/BEDROOM X 3 BEDROOMS = 330 GALLONS/DAY LATCH EX. LONG TANK CAPACITY POND TEE WITH GAS BAFFLE LEVEL STABLE BASE 200% DAILY FLOW = 660 GALLONS; USE 1,500 GALLON TANK (� LOCUS (CENTERED IN TANK OPENING) CONSISTING OF 6" CRUSHED STONE GENERAL RAL NOTES: SCALE 1"=1000' 1. THE SUBJECT (PROPERTY IS WITHIN THE LIMITS OF "OTHER FLOOD ZONE" AS SHOWN ON LEVEL STABLE BASE \ = CONSISTING OF 6" 1� PROPOSED PANEL NO. 25001 CO562J, EFFECTIVE DATE JULY 16, 2014. CRUSHED STONE SEPTIC TANK EL=94.68 2. VERTICAL DATUM IS ASSUMED / I \ I I /+ I t I+ ' I I I ! 1 I• \ \ ----106---------- 3 3. ALL WORK SHALL CONFORM TO THE TOWN OF BARNSTABLE AND THE COMMONWEALTH OF MASSACHUSETTS CONSTRUCTION STANDARDS AND REGULATIONS. \ ! I I I I I I I ! 1 \ SILTATIW,BARRIER --------- III I I I I \ \ (SEE`�DETAIL) -105 N F "� 4. ALL UTILITIES SHOWN ON THIS PLAN ARE APPROXIMATE ONLY AND SHALL BE FIELD / �� / TO�� VERIFIED. DIGSAFE AND LOCAL UTILITY COMPANIES SHALL BE CONTACTED PRIOR TO DONNA L. HOWARD � I 11/ J I � i �•I I � I i � ''� ��----104---- � �� ANY EXCAVATION OCCURRING. . EXISTING INVERT ELEVATIONS SHALL BE FIELD VERIFIED Z` 60 HARRISON ROAD \ ' PRIOR TO INSTALLING ANY PROPOSED COMPONENTS 1 1 ! J I I l I �fAF/ CEL 22V - � { I y B4 I Fk� -�03` \ \� 7os� °� 5. THE CONTRACTOR SHALL NOTIFY THE DESIGN ENGINEER 2 DAYS PRIOR TO BEGINNING II' y I --ST G .��/ �s, '+' INSTALLATION OF THE SYSTEM TO ALLOW FOR SCHEDULING OF INSPECTIONS Syeb _ _ 7 `8 6. EXISTING CONDITIONS SURVEY PERFORMED BY PAUL E. SWEETSER, P.L.S., JULY 2020 EXIS G r/ os � s nnrc co c DP ` 96. < �� `"�Y G - r 'v BUOYANCY CALCULATIONS s as•5s'1�i " 1os. ... � 51 I - j(1• / ' 0�r, WATER OBSERVED ® 104" (EL 93.83) ON SZ21/20 ADJUSTMENT=5.5' (MIW 29) TO EL=99.33 j III /l l I I I I I I I G ( —O �\ ��\ EXI ING 1,000 GALLON ✓ TOWN WITNESS: DON DEMSARAIS v (T K I TO BE REMOVED) C \ \ J 1,500 GALLON SEPTIC TANK (H-20) <\ J� ~ Y // �( APPROXIMATE LOCATION OF VOLUME OF TANK IN WATER = 11.0' X 6.0' X 4.65' = 306.9 C.F. W EXISTING 12'X20' LEACH - n / FIELD (TO REMAIN) 306.9 C.F. X 62.4 LBS/C.F. - 19,150 LBS UPLIFT w // / .� I ` I CO om TH \ `\\ / WEIGHT OF EMPTY SEPTIC TANK = 23,000 LBS DOWNFORCE \ / Pf OPOSED DISTRIBUTION BOX (H20) / I I I \ \ I Q �, (MATCH EXISTING INVERT ELEVATIONS) 2' HIGH SILT \ \ \ L `�. FENCE FABRIC 1" x 1" x 3' OAK STAKE �� I \ � � PROPOSED 1>500/GALLON TANK y� I ) �l j �T \ RUBBER BOOTS N INLET AND HAYBALES PLACED ALONG DOWN I�'- B3�I \ 1 OUTLET (H2O- ATERPROOFED) SIDE OF SILT FENCE FOR SUPPORT J ( TOAN MA \ F� 1" x 1" x 3' OAK STAKE OF FOL. /!�� 4" SCH 40 PV SEWER LINE TO O DNOgT�R00,(, BE SLEEVED WITH 6 PIPE A s. GROUND LINE i ! (� WHERE SHO -ENDS TO BE 3.01' ! <� \\ \ FG \� SEALED ° N C 5� y �c CB/DH ,cv 50' BUFFER TO ORDERING VEGETATED RF I �R� 6» EMBED HAYBALE MIN. OF 4" (FND) ! \ \ y--J r��" 62 I\ \ \ \\� ��\ \� WETLAND AND OP OF INLAND BANK �F TONAL�aG INTO SOIL 1 I SILTATI N BARRIER EXISTII4C BR�EE \ \\ (SEE ETAIL) O-� RIVE ,,\ ` \ IA OF HAYBALE AND PAUL SIL T FENCE DETAIL \ � �� TS NOT TO SCALE TOP OF INLAND BANK CD \ 1 I I I ! \\ '^ \ \`� \ to y l,�N p sua� '� 4 CRESTVIEW DRIVE 1OQ, ? 1 � EAST SANDWICH,MA 02537 J Vi o I 2 PHONE:(508)400-2365 I \99�',� \ o y 3�IF� Q�� LEGEND SITE DESIGN LLC s \ \ '98` 1 2 ` [L y h� PROPERTY LINE Residential Site Design and Permitting \ 104 EXISTING CONTOUR \ EDGE OF BORDERING �9)` \ \ A4 I VEGETATED WETLAND 96, \ \ C 104 PROPOSED CONTOUR LOWIOW..• UTILITIES 56 HARRISON ROAD \ Bl I �_ / \\ \\ , \ \ O -t3HP EXISTING OVERHEAD CENTERVILLE, MA 02632 1 A3 �'� \ A2 \ �\ �� W EXISTING WATER SERVICE y CUE7vT BARABARA BROOKSBANK N/F G EXISTING GAS SERVICE 50 LINDBERG AVENUE I `------- Al � DONALD & SANDRA BARTLETT 52 HARRISON ROAD 99.76 X EXISTING SPOT ELEVATION HOLYOKE, MA 01040 ' I \ \ MAP/PARCEL 229/74 UP-0- EXISTING UTILITY POLE DPAWAV MILL- I` SEPTIC TANK REPLACEMENT PLAN -—--_-- REQUESTED BOARD OF HEALTH VARIANCES 310 CMR 15.211 (1) - MINIMUM SETBACK DISTANCE - MINIMUM SETBACK DISTANCE FROM 1 10 3/25/2021 _1 of —1 — — TANK TO PROPERTY LINE SHALL BE 10 FEET. TANK IS LOCATED t1.1't FEET FROM THE PROPERTY LINE. A VARIANCE OF t8.9 FEET IS REQUESTED. Y EDGE OF WATER REVISIONS (LONG POND) 310 CMR 15.211 (1) - MINIMUM SETBACK DISTANCE - MINIMUM SETBACK DISTANCE FROM \ TANK TO A WATER SUPPLY LINE SHALL BE 10 FEET. TANK IS LOCATED t3.9'f N0. DATE DESCRIPTION \ r FEET FROM THE WATER SERVICE. A VARIANCE OF t6.1 FEET IS REQUESTED. 1 4/3/2021 REVISED TO SHOW 3 BEDROOMS, ADDED VARIANCE TO BVW BENCHMARK BARNSTABLE REGS. 360-1 - UNLESS OTHERWISE SPECIFIED BY THE BOARD OF HEALTH ALL SEWAGE DISPOSAL LONG POND TOP OF FOUNDATION ELEV.=102.77 SYSTEM COMPONENTS SHALL BE NOT LESS THAN 100-FEET FROM ANY BORDERING (ASSUMED) VEGETATED WETLANDS. THE PROPOSED SEPTIC TANK IS LOCATED 61.6'f FROM A BVW. LIMIT OF 16.5' EASEMENT A VARIANCE OF 38.4't IS REQUESTED.