HomeMy WebLinkAbout2009 Jan 30 to Feb 09 - Correspondence and Notes Re: PKM Inspection Report,
02/09/2886 12:56 5683856383 PKM CONTRACTORS INC PAGE 01
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02104l2008 15:56 5863656363 PKM CONTRACTORS INC PAGE 01
FA3� COVER SHEET
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. K . M . CONTR,A, CTORS , � NC .
313 HOKUM ROGK ROAb P.O.BOX 775 EAST DENNIS, MA 02641
Phone: 508-385-5993 Fax: 508•385-6383
Deliver To: Bruce Murphy
Firm: Yarmouth Health �epartment
Faz Number: 508-760-3472
Number of pages including this page:
From:
DatelTime: 2/3/2009 3:55
Comments: The following are the hruo amended pages that you requested for the T-5
inspection report for 85 North Main Street. Any further issues please give me a call.
Jan
�
02/B4/2086 15:58 5063856363 PKM CONTRACTORS INC PAGE 03
i
/
'� � Commonwealth of Massaohusetbs
Title 5 Official Inspection Form
SubauA'ace Sewa�s Dlsposal System�om�-Not fw Voluntary Asaessments
85 Piorth Mein Street •
vm�,eAY MEises .
FonG�eau
�� Ownsrs Mgma
I���'�' Yarmouth MA 02684 1/30/2008
req�xee�for evary . .
�Bs. �Y/«^ Slale 21p Code 08Eb of Inepeetlon
D. System Information (cont.)
Sketch Of Sewege Disposal System: Provide a sketeh of the sewage disposal system Irlcluding ties
to at least two pennanent ref�e�ence la�marics or benchmarks. Locate all wells within 100 feet
Locate where pubiic water supply enters the building.
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62/04/2008 15:58 5083656383 PKM CONTRACTDRS INC PAGE 02
� Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurtace Sevwage pisPo�al System Form-Not Tor Voluntary Assessments
85 North Main ��et
Property AdWesa �—
Fonfieau �i�^—
Owner pwner's Name
InPoimBtioni6 —~ . �----
reamred ror every 1'armouth � 026� � --—
vage. Chylrown �� — 1J30R009
ZIp Gode � date of InepeQlon�
D. System Information (cont.j
Ce�P��s(cesspool must be pumped as part of inspection) (�ocate on site plan):
Number and configura�ion 1-bee hive
— ----
Depth–top of liquid to inlet invert 4'6"
Depth of sWids layer �.�., �
Dep�h �f scum layer minimai `��
Dimensions of cesspoo� 9'to�g� below inlet
Materials of construction block � `
Indication of groundu�ter inflow
❑ Yes � No
Commertts(note condihon of soil, signs of hydraulic failure, level of ponding, �ndiqon of vegetation,
etc.):
18"of fluid in cesspool at qme of inspectio�, g�in iines indicate Ilquid level at some previous time
was within 1'of inlet invert. as noted 12_47 9atlons removed from cessDool b R. Our in 1895�_
PnYY(�ocate on site planj:
Materiats of constroction:
��—
oime�sions ��
Depth of solids z 4
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
�`_�--------"
T.5%N�'tll Men.p3�pg
Tpk 5 ONIdBI l^p�aeMa'i FOIm;BllQnlifeC!$pwe8^blePaBI5Y.ry9rti•Pp917 n175
� � � Commonwealth of Massachusetis ��"� r' �'��� �{,�ca5*
� � � �' ��(�L�GL��MI��
Title 5 Official Inspection F„�� `�. '�
�ry;� �,� F�$ D:j 2U09
Subsurtace Sewage Dlsposal System Form-Not for Vol s§esa ents
85 North Main Street "
`''� HEALTH DEPT.
Property Addresc
Fonfieau
Owner Owners Name
�0�0��10�1° YarmouM MA 02664 1/30/2009
P�irod kr every Clry/Town State Lp Cotle Date M Inapeabn
Inepection results must be submitted on this fortn. InspecNon forma may not be altered In any
way.
'"'"°'�"kN110" A. General Information
fOnng out romn
on Me oomputer,
ice io m�y�our �• Inspector. ��/ �
a,raor•aa na Patrlck McDowell �I —1
use the retum Name of lirepedor � �
�� PKM Contractors, Inc.
� Compeny Name � -
P.O. Box775 � UJ 4
Compeny Atldroas
� East Dennis � � 02841
CRy/Town � � I ZIp Code
508-385-5893 � E 1�
Tekphona Number ��
B. Certification ��� �r"- ���" ���`t"�'`
l ,� a,�nv`�� �'�WY 1
1 ce�t'rfy that I have personally insG (��'u N ��- � d�w..�'�'� IS and that the
information reported below is true, ��� 1 _ .,,��e ot me inspection. The inspection
was pertortned based on my trafnl ._.,..e m the proper function and maintenance of on site
sewage disposal systems.l am a LeP approved system inspector pursuant to Sectlon 15.340 ot
Title 5(310 CMR 15.000�.The system:
� Pasaes ❑ Con itio Ily Passes ❑ Fails
Needs rth r Evaluati e Lo ro ing AuthorKy
�. � a o
I apector'sSlgnaWre Date
Tha syatem inspector shall submit a copy o this inspection report to the Approving Authorfty(Board
of Health or DEP)within 30 days of completing this inspection. If the sys�m is a ehared system or
has a design flow of 10,000 gpd or greater,the Inspector and the system owner shall submft the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
*•'•This repork only describes condRtons atlhe tlme of inspecdon aod under the condlGons of use
at that tlme.Thia inapectlon do�not address how the system will perFortn in the future under
the same or dliferent condldons of use.
T5 e6 NOM MLIn.03NB Tltle S 011ldal InapeWM Fam:9�aur(xe 8ewap�OhpWM SyWnl•Paps t ot 76
� Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurtace Sewage Disposal System Form-Not for Voluntary Assessments
85 North Main Street
Property Address
Fontneau
Owner pwner's Name
infortnationis Yarmouth MA 02664 1/30/2009
requiretl for every
paye. Cky/Town . State Zip Code Date of InspeGion
D. System Information (cont.)
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration 1-bee hive
Depth—top of liquid to inlet invert 4'6"
Depth of solids layer 1-2��
Depth of scum layer minimal
Dimensions of cesspool 9'total, 6' below inlet
Materials of construction block
Indication of groundwater inflow ❑ Yes � No
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
� etc.):
''� 18"of fluid in cesspool at time of inspection.
� ���
5 V
Privy (locate on site plan):
Materials of construction:
Dimensions
Depth af solids
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
TS 85 No�th Mein•03N6 Title 5 Olficial Inspectlon Fam:Subw�fece �
Sewepe Uiapossl5ystem•Page 73 of 75 .
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
15303: continued
2. there is a diuhazge of efflurnt directly or indirectly ro the su6acc of the ground -
through ponding,surface broakout or damp soils above the disposal area or[o a surface
water of the Commonwealth;
. 3. the static liquid level in the distribudon box is above the levd of the outlet invert;
4. the liquid depth in a cesspool is less than six inches from the inlet pipe inver��ihe
remaining available volume widun a cesspool above the liquid depth is less than Th of
3'��a �'-�t'u`'� one day's design flow;
� 5. the septic tank or cesspool requires pumping more than four umes a year;
� 2 =�� 6. the septic tank and/m t6e tight tank is made of inetal,unless the owner or operator
has provided Ihe System Inspec[or with a copy of a Certificate of Compiiance indicating
'(e (' �1� that the tank was instalied within the 20 year period prior to Ihe date of[he inspecuon;
J or the septic tank and/or Ihe[ight tank is cracked or is otherwise sweturally unsound,
indicating that substantial infilVation or ex;iltrapon is ocwcring or is imminent; �
yt,G� tn �.�y„� 7. a cesspool,priry or any po�tion of[he soil absotp[ion system extends below the high
groundwamr elevation;
(b) Criteeia applicable to cesspools and privies:
` � {��,. � `-�f,,,�.�.e[. 1. A cesspool or privy is located:
C , a. within 100 fcet of a su6ace water supply or tributary to a surface water supply;
r b. within a Zone I of a public well;
[_ �,y, �-�[1�A"'r � a�"� c. within 50 feet of a pnvare water supply well; .
� d. less Ihan ]00 feet but 50 feet or more from a private water supply well,unless a -
wetl wa[er analysis,conducted at a laboratory that is certified by the Department for
. the parameren analyzed,indicares an absence of fecal coliform bacteria,the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than five ppm. The
laborarory's sampling protocols shall be followed and i[s chain of custody fortns shal l
be signed and completed. If water well analysis is conducted,the System Inspector �
shall attach a copy of the chai�of custody forms and the laborarory results to the
- System Inspecuon Form. �
� 2. Evaluation of cesspools and privies near warer resources: � -
A cesspool or privy is failing to protect public health and safety, welfare and the
environment if any portion of it is within any of the dimensional critetia below and the
local Approving Authority in its professional judgment detemrines the system is not
funetioning in a manner to pro[ect the public health and safety, welfare and the
environment. -
a. within 50 feet of a sufface water;
b. wi[hin 50 feet of a bordering vegetated wedand or a salt marsh.
In making a de[amination pursuant to 310 CMR'15303(1)(b),Ihe locat Approving _
' Authoriry shall consider.
I. [he condi[ion,dasign,and trea[ment provided by the exisung system;
2. the vertical separation of the existing soil absocption system from groundwater, '
� 3. the horizontal separation of the existing soil absocption system from the warer body:
4. the soil characteristics of the site;and
• 5. the condition of the warerbody or wetland,including any sensitive use areas such as ��
� beaches or shellfish beds. ���'f�`�
(c) Evaluation of systems with septic tanks and soil absorption systems near drinking water
supplies:
If anypottion of the soil absoeption system is within any of the dimensional criteria listed
fn 310 CMR 15.303(1)(c),unless[Be local Approving Authority in its professional judgtnent,
. with ihe concunence of the public water supplier, if any, determines the sysrem is
� functioning in a mannerto protect the public health and safety,welfare and the environment.
I. within 100 feet of a sudace water supply or tributary to a surface water supply;
2. within a Zone I of a public well;
3. within 50 fee[of a private water supply well;
4. less than 100 fee[but 50 feet or more from a privare water supply well,unless a well
warer analysis, wnducted at a laboratory that is certified by the Department for the
pazameters analyzed,indicates an absence of fecal colifortn bacteria,and the presence of
ammonia nivogen and nitrate nitrogen is equal to or less than 5 ppm. The laboratory's �
sampling protxols shall be followed and its chain of custody foims shall be signed and
completed. If water well analysis is conducted,the System Inspector shall attach a copy
of the chain of cusrody forms and the laboratory results to the System Inspection Fortn.
In making a detertnination pursuant to 310 CMR 15303Q)(c), the local Approving
Authoriry shall consider:
4/21/06 310 CMR-554 =.
,
� Commonwealth of Massachusetts
Title 5 Official Inspection Form
SubsurFace Sewage Disposal System Form - Not for Voluntary Assessments
85 North Main Street
Property Address
� Fontneau
i Owner Owner's Name
i information is Yarmouth MA 02664 1/30/200�j
�. req ered for every C��� State Zip Code Date of Inspection
P9
I
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties
to at least lwo permanent reference landmarks or benchmarks. Locate all wells within 100 feet.
Locate where public water supply enters the building.
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