HomeMy WebLinkAbout2015 Mar 27-30 - Message, Notes, Emails, Assessor's Info, Title 5 Inspection Pages- IMPORTANT MESSAGE
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FAX Area Code Number Extension
MOBILE
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Telephoned
Returned Your call
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Will call again
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MADE IN U.S.A.
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Murphy Bruce
From: Murphy, Bruce
Sent: Monday, March 30, 2015 9:52 AM
To: 'Stephen Tripp'
Cc: Zurowick, Matt
Subject: RE: &4 Ellis Circle SeptiG Floor Plan-3 Bedrooms
HI
Floor plan looks fine. After review of fill, I will consider house 3 bedrooms and have the assessors make the change from
2 to 3 bedrooms. Please let the owners know of this change. Do you have an email for the owners, as I will need
confirmation they are aware of the change.
Thanks
Bruce G Murphy
Director of Health
Town of Yarmouth
Registered Sanitarian
Certified Health Officer
Master's Degree Public Health
From: Stephen Tripp [mailto strippCaexitcaperealtv com]
Sent: Monday, March 30, 2015 8:42 AM
To: Murphy, Bruce
Subject: 84 Ellis Circle Septic/ Floor Plan
Hi Bruce
We spoke on Friday about about 84 Ellis cirlce in Yannouth Port . The septic passed as title 5 compliant but its
stated in the report that the septic was originally a 2bedroom design. I am just tryang to find out if the house is
renovated if the septic will srill be compliant . Attached is a drawing of the current floor plan.
Thank you
steve
Steve Tripp. Relator
Exit Cape Realty
4527 Falmouth RD
Cotuit, MA 02365
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� ,� con,morn�re, of Masaa�nuset� �- - - ---
Title 5 Official Inspection Form ( APR � 1 Z014
sunwrface sewags asr,os,�grs�.,n Fam-Na�or vaur�ry n�seas�,�s !
`---'-----'----�..�—.,
84 Ellis Cirde, Yarmouth Port(aka 6 Mal�s Drive&6 EII�Cirele) M 141 P 13
aops�ty nda�.0
�� Gertrude DuBois Go John DuBois ��}�;3���
infonnatlon ic OwnsYa Nems . . C;._. �r w:� �+ ��
rpw�ed tor wery 6 Ellis Cinde.Yemquth Port MA 02675 Apri11,2014
a9°� �YR°`�^ State Zip Code Wte of ImpeGbn
Inspsetion results must be submiaed on this form. I�pection torms may not be alterod in any
way.Please see completieness chscklist at fhe end of fhe form.
fi,�,,�� A. General Information
0o nb campwer,
use ony the tab 1. InspBCtor.
key to move your
aiwr•do na Troy Vlnliems
��°�m Name of Itspector
�Y•
� Troy Williams Septic Inspections
�/{�� �� Comnam Nams .
-� 19 Hummel DrNe
� �o�wa�r�aams
� South Dennie NW 02660
c,xrRow� s�m za coae
(508)385-1300 SI682
TekpAons Nunber I.ice�rea Nunber
B. Certification
I certify that I have personally inapected the aewage disposal sysEem at this address ar�d that fhe
information repoRed below is true, accurate and canplete as of the time of tl�e inspecdon.The inspection
was peifortned based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. 1�n a DEP approved system Inspector purswnt to Section 15.310 of
Tkle 5(310 CMR 15.000�.The system:
� Pasaes ❑ Conditionally Passes ❑ Fails
❑ Needs Furfher Evaluation by ihe Local Approving Authority
� � /„�,���,.,,,� April 1, 2074
kupeetofa S DaOe
The system inspector shaU submk a copy of fhis inspection repoR to tlie Approving Authorily(Board
of Health w DEP)wNhin 30 days of compieting this inspection. If the system�a shared system w
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to tlie appropriate regional oifioe of the DEP.The original should be sent bo the system oNmer
and copies sent to the buyer, if applicable,and the approving auCwriry.
""This report only describu wndkio�at fhe dme of inspocUon and under tl�e conditlons oi use
at ffiat tlme.This fnspectlon doaa not address how the system vrill perform in the fiRure under
the sams or dMereM conditlons of use.
t5m.•ans rw s awr vup.ceon r�airc s�a«.ro s...a�vo.i ev�•�Yy+
��3�^:,.�'�:. '���
� Commonwealth of Massachusetta
Title 5 Official Inspection Form
Subsurfaee S�wage Dhposal System Form-Not Tor Voluntary Assessments
84 Ellis CirGe Yarmouth Port(aka 8 Mattis Drive 8 6 Ellis Citole) M-141 P-13
Properry ndarcsa
Gertrude DuBois Go John DuBois
Owner OwneYs Name —.
"�Of�°60°�S 6 Ellis CirGe,Yarmoufh Port MA 02675 April 1,2014
required for evey
Pe9e. CIhlTawn State Z3P Codo DaOe M Irropedbn
C. Checklist
Check if the following have been done.You must indicate`yes'or'no'as to each of the tollowing:
Yes No
� ❑ Pumping information was provided by the owner,oa:upaM,or Board of Health
❑ � Were any of the system compor�rds pumped out in the previous Mro weeks?
❑ � Has the system reeeived normal flows in the prcvious two week period?
� � Have large volumea of vvater bee�introduoed�the system reoently or as part of
this inspeation?
� � Were as built plans of the system obtained and examined?(H they were not
available note as WA) ,
� ❑ Was the faGlity w dwelling inspecled for sgns of sewage bac�c up?
� ❑ Was the site inspected for sipns of break out?
� ❑ were au systern components,exaudf�me sns,�oc�d o�siteea
� ❑ Were the septic tank manholes uncovered,opened,and Me irderior of tlie tank
inspected for the conditfon of fhe baftles or tees, material of construction,
dimensions,depth of Iqufd, depth of sludge and depth of scum?
� � Was the tacAity owner(and occuparKs if different from owner)providad witfi
information on the proper mairHenaoce of subsurface sewage disposal sysEems?
The size and loeatlon of the Soll Absoeptlon System(SAS)on the site has
been d�ertnirred based on:
� ❑ Exisfing informadon. For example, a plan ffi the Boerd of H�Ith.
� � Determined in the field('rf any of the failure crtteria relaEed to Part C is at issue
approximation of distanoe is unacceptable)[310 CMR 15.302(5)]
D. System Information
RssiderMlal Flow Conditions:
Number of bedrooms(design): 2 Number of bedrooms(acriial): 3
DESIGN flow based on 310 CMR 15.203(for example: 11 D gpd x#of bedrooms): ��9�
� � � �sm..ana � . rm.sonern�.wmrmmeme.utie.s.w.p.urparaywm•°�
��_�;.
����t��
—
' .� commo�w..nn of Musaanusa�
Title 5 Off'icial Inspection Form
subswf.c.swiraa.ntspopl syaam F«m-rrot ror vo�ur�ry nssessm«,Is
84 ENis Cide,YartnouM Port(aka B AAapie Drive&8 Ellis Cirde) M-141 P-13
PiopMY Ileersn
Gertrude DuBois do.bhn DuBois
� Owrors Nr�r
��y 6__Ellis Cincb.Yamioulh Port AAA p2675 April 1.2014
w0e. C�rtaw+ St�e zip coes Dne a�mp�ctlon .
D. System Infortnation (cont.)
Type:
� leaching pits number: � -4��"�
3'of slone
❑ I�ching chambers number: H-20 9rade
❑ I�hing galleries number:
❑ I�ching trenches number, I�gth:
❑ leaching fields number,dimensions:
❑ rnrorilow oesspool number:
❑ innovativdaRemative cystem
Typelname of technob9Y
Co�(note condifion of soil.signs of hydrauNc failurc, bvel of ponding,damp soil,corMition of
ve9efatio�.etc.):
Leach pit was found dry with a visible sfain W�e approx.2'bebw Inlet inv�t. No evidenoe of hydraulic
failure�problems in tl�e past were found at the time of inspection.
C�P��(�P��must be pumped as part of insPection)(bcate on site pan):
Number and configuration Drywell
DepU�—toP afi liquid to inlet invert WA
Depth of soYds layer WA
Depth of scum layer NlA
Dime�ions ot cesspool
WA
Msmrials of consWction sheel drum(no aooess)
Indication M groundwate�intbw ❑ Yes � No
is..ana rr.samr�.o.anor�t�e.a+.o.e...s�+W�a.�•rvuan �
S���r�F����
� � commo�M►e.nn of Massa�nwat�
Title 5 Oificial Inspection Form
Subwrfaes S�wap�DlsposN Sysbm Form-Not fo►VoWMary Asae�rt�r�ts
84 Ellis Circle YartnouM PoR(ake B Matl�Dmre 8 6 Ellis Cinde) M-141 P-13
ProPab n�
Gertrude DuBois Go John DuBois
� Owrors Wme
��` 8 ENiB Cirde,Yertnouth Port AAA 02675 April 1,2014
��q..�T0f°Y°0' c�yrt,wn syam �,cros ow a i�
D. System Information (cont.)
SkeOdi Of Sewage Disposal System: Provide a view of the sewage disposal system,induding ties to
at least two p8nneneM reTerence 18ndmerk8 or ber�chmerks. Loeate all wNls wRhm 100 feet. Locate
where public waler suppy enters the building.Chedc one of the boxes bel�r:
� harx�sketch in the aree below
❑ drawing�separat�b
i
a� a - - �°'_�" — - -�
�
�
3
. . ,.,
p,�,,i�
S Q
�4 � = 33 '�" � ► c 1 $
,
,.-,
38 ' L � lg�
3 -� `ly' 3 = Z3'
N ,- s� �,�� � � �
r , Z��t, 5- 3� '
ISYs•9f13 . TW�BpW�4�Fmrt&O��bBw�p�����@j`°'
it V
� Commom�walth of Massachusetls
Titie 5 Official Inspec#ion Form
Subsurfac�8wrp�Di�posal Sy�bm Foem-Not for Volunfery A�r�aMs
84 Ellis CirGe,YartnaM Port(aka 8 Maqis�ive&8 EINs Cirde) M-741 P-13
�DsKfr naarou
Gertrude DuBois Go John DuBois
�b� Owners Nems
�MO�°��` 8 Epis Circle.Yarmouth Port MA 02675 Aprf11.2074
���� Clly/fown St� $Cotle DNs of Irrpadian
D. System Information (cont.)
sn.�:
� cneck sbpe
❑ surraoe water
� Chedc cellar
❑ Shalbw wells
Estima�d depth to high ground water. 11.a+
fset
Please indicate all methods used to detxmine the high ground wrater elevatbn:
❑ Obtained from syatem design p�ns on record
If cheeked,date of design plan revievved: �
� Observed site(abuttlng property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Heallh-explain:
❑ cnecked with local excavators, ir�llers-(atfech dxumentation)
� Accessed USGS datab�e-explain:
SDW 252 Zone A 47.2' 1.3'adi�rrt
You mwt describe how you esTadished fhe high ground water ebvation:
Hand augered 3.3'below bottom of leaching with no w�fourM at a depih of 10.0'.Groundvrater
adjustrnent at Uie time of inspection was 1.T. BW6om d batthing at B.T was found not t�be IocaEed
in the high groundwater elevation at tl�e time of inspectfon.
Betore Aling this Impection Rport,pNap sw Repoet Compl�bnep CMcl�at on nezt papa.
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