HomeMy WebLinkAboutInspection Report 1996 � ���I��' ������ � �
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° � Commonweofth of Massachusetts
, ~, � Executive Office of Environmentol Affoirs SEP 0 5 1996
.,
' Depa�tment of � HEALTH DEPT.
� � En��ron�nental Protect�on
WlNiam F.WNd Tn�dy Cox�
oo..nar �+�+ry i
elrp�o P�ul Glluoei D�vld d.8truhs
LL Oo�+nwr . �»�
BUS9URFACE BEWAGFE DISP08AL BYSTEM INSPECTION FORM
/� �i • PART A ,
�/f'�$ 'y/'QrC2'/�'�'.Z CERTIFICATION
r,n��waa�..: 3 y Co�o nWoOq� Sf� �q vnp�t��,��Address of O�vner. �btkf�2 Df �rv MC.Kt'Pc�PS
Date of In�psolion: F�S r a I9�• (If diKerent) G'e�� mA 1�-r�ed�s a�'�A
N�me ot In,�pector. �OE MARTIN$ t �y
Compaay Name,Addrese and Telephone Number. ACCU SEPCHECK `���� ��'Cr���'�"'��
17 NORTHSIDE DR. �� M yr f'� ��� ,
S.DENNIS, MA 02660 `/ � �y��
CEA7'[FICATION 3TATEMENT r�(✓Y4L01/1(��0��
I certify tbat I have personally inspected the�ewage dispoaal�e����ddre.aa aad that the inform[tion reported belo is tnu,accnraLe
aad oomplete u of the time of iaspection. The inapection was performed based on my training and experience in the proper fuaction aad
maintenaace of on-site sewage disposa]ryrtema. The rystem:
Pasaea
_ Conditionally Passes
A q4ds Further Evaluatioa By the Local Approving Authority
�*
Inspector'a�. . � � „�� � Date: 6 /� �/�/
/
The 3y�tem Inspeetor• submit s oopy of thii iaspection report to the Approving Authority within thirty(30)day�of oompleting this
jII�plQ.iOL• It t�l!rytt�lIIi L a�haTEd fy�tEIIi�T L8t 9 d�l1�flow Of 10,000 gpd or greaur,the inspector aad the system owaer shall submit tse
rcport to the Appropriste reponal offia of the Department of Environmental Protection.
The original should be sent to the�ystem owner and copies sent to the buyer, if applicable and the apptoving authority.
II�tSPECTION BUMMARY: •
Check A, B, C,or D: '
Al SY9TEM PASSE9:
I�re aat found an,y iaformation whieD indicates that the system violaw�ny of the fai}ure criuria as defined ia 330 CMR 15.303.
My Lilure criteria aat evah�ated are iadicated below. ,
BT �'I'EM CONDITIONALLY PA89E5:
OaR or more�ystem eomponeat�n�ed to be rtplsoed or reWired• The aystem,upoa completioa of the repLcemeat or repair,paaes
�
Iadicate�s,ao�or not determined(Y�N,or ND)••De�cribe Danis of determinatioa in all iastanoes. If"not�termined"�esplain why aot)
� Th��ptic tank ir metal,cr�cked, stivcturally u:uound,aho.vs rubrtantial iafiltratioa os e:8ltration,•or tank failure i�
�+*+**�*+�nt. The system will pass inipectioa if the ezisting�eptic tank is replaced with s yrontormiug aeptic taak as approvad
by the Boatd of Health.
(revised 11/03/95) 1
pM W�ntK StrNt • Boston,Maasachus�tts 02108 • FAX(61�556-/M9 • TNsphon�(61'�292•SS00
� Pnnitd on Recytkd Paper
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• SLTBSURFACE BEWA(iE DI9P03AL'$YSTEM IN3PECTION FORM '
. . PART A
' . CERTIFICAT'ION(oontinued)
34 Cottonwood St . , Yarmouthport
Propercywda� Estate of Harry Makredes :
owner. 8/3/96
Date of ln�pectioa:
BJ 9Y3TEM CONDITIONALLY PA99F�9 (contiaued) ��
_ Sew�ag�e backup or brsakout or bi�h statie wat�r kwl oberved in the distr'bution boa u dw to brolo�a or o6+truct�d pips(�>
or due to a brokea,�ettled or unevrn dirtn'butioa b�. The rystem will pan iarpsction if(with approval of the Board of
x.atch):
broken pipe(�)ars r�pLced �
obatructioa i�rtmavd
distribution bo�is IsveDed or repLced
_ ���m�lw�P�P�i more than four kimes a pear dw to broken or obstructed pipe(�). Tls�qstem will par
inspection if(with approval of the Board of Health):
b=+oken pipe(s)are replaced
obrtruetion u removed
C] FURTHER EVALUATION I9 REQUIRED BY THE BOARD OF HEAI.TH: '
Conditiona ezist which trquire further evaluation by the Board of Health in order to detera�ine if the rystem is failing to protect the I
public health,safety and the eavironment.
1) 9YSTEM WILL PA99 UNI.F•93 SOARD OF HEALTH DETERMINE9 TBAT THE 9YSTEM I9 NOT FUNCTIO1vINfi IN A
MANNER WH1CH WILL PROTECT THE PUBLIC REALTH AND 9AFETY AND THE ENVIAONMEN'I:
_ Cesspool or privy is within 50 feet of e�urface water '
� C�apool or privy is within 50 fcet of a bordering vegetated wetland or a salt marah.
Z) SY3TEM WILL FAIL LTNLE38 THE BOARD OF HEAI.TH (AND PUBL[C WATER SUPPLIER.IF APPROPRIATE)
DETF.RMINES THAT THE 3Y3TEM IS FUNCTIOIIII�G IN A MANNER THAT PROTECT THE PUBLIC HEALTS AND
9AFETY AND THE ENYIAONMEN7�
_ T'he system has s aeptic tat►Ic aad wil abaorption system and 'v within 100 feet to a surtace water supply or tributary to a
surface avater aupply.
_ The�yystem ha�a�eptic tank aad aoil aborption system and is within a Zoae I of a public water�uppty well.
_ The rystem hes a reptic taak aad soil abwrption rystem aad is within 50 feet of a private water supp2y wrll.
_ The rystem ha�a septic tank aad wil abrorptioa syrtem and is leas than 100 fert but 50 feet o:more from a private water
NPPh'we11,unla�+a well.vater waly�is for coliform D�cteria�ad volatile or�anic eompouads iadicatM tbat t6e weil is frse
from pollution from that facility and the preaeace of ammonia nitro�en aad nitrate nitrogea is paal to or 1a�thaa 5 ppm.
3) OTHER
{revised 11/03/95) �
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, ' ' . 9UBSURFACE 9EWAdE DISP09AL 9Y3TEM IN9PECTION FORM
'� PART A
CERTTF7CATION(oontlnued)
�opercywad,�.s: 34 Cottonwood St . , Yarmouthport
��r Estate of Harry Makredes
D.te ot Inrpeotton: g/3/9 6
�� '� �
D� BY8T6M FAIIB: ��____:-�"� ,
I ba�e d�termined tbat tbe'stem violates one or more of the following failurr criteria u deSned in 310 CMR 15.303. Tbe beri�for
thi+determiaatioa i�identi5ed below. The Board of Hsalth�hould be contact�d to det.ermiae what wiU bt nroWary to aorr�set tbe
faihire.
V Backup of�ewage iato faeility or ryrt�em oomponent due to aa overlo�ded or cloQged 3A9 or 1.
�P�
_ Discbarg�e or poading of emuent to the rurface of the ground or aurfacx watera due to an overload�d or clogged 3AS or
ca�rpool.
_ 3tatic 2iquid level ia ihe distribution boz above outlet invert due w au overloaded or dogged 3AS or cxupool.
_ Liquid depth in cesapool is lese than 6"below iavert or available volume is leu than 1/2 day llow. °
_ Required pumping more than 4 timea in the]ast qeaz NOT due to clogged or obstnicted pipc(�).
Number of tunes pumped
_ Any portion of the Soil Abaorption System, ceaspool or privy is below the high groundwater elevation.
_ Atsy portioa of a cuapoo]or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
_ Any portion of a oeaspool or privy ii within a Zone I of a public well.
! Aay portioa of a oe+spool or privy is within 50 feet of a private water supply well:
_ Any portion of a ossspool or privy is less than 100!cet but greeter than b0 feet from a private water tuppty wrell�vith no
aoceptable water quality aaalyris. If the well ha�been analyzed to be aocsptable,attseh copy of well water analysis for
ooliform bacteria,volatile or�gaiuc compounda,ammoaia nitrogen and nitrate nitrogen.
E) LAR(3E 3Y9TEM FAiIS: /��
The follo�ving criteria app2y to�atge ryrtetas in addition to the criuria above:
Tbe rystem�erva�a facilit�with a design flow of 30,000�pd or grsster(Lrge 9ystem)aad the rystem is a sigaificaat tLreat W public
Leakh and safety aad t�e mvi�nment because one or more of the followiag coaditions e:ist:
_ the a�stem i�withia 400 feet of a surface drinlrit�g water supply
_ tbt rrbem i�witbia 200 feet of a tributary to�surface driuldng water suPP�Y
,_,. tbe rystem i�loc+t�d ia a aitrogen�enaitive area(Iaterim Wellhead Protection Me�(IWPA)or a mapped ZonR II of a publie
wnter�nPP29 well)
The owaer or operator of aay�ueh aystem ahall bring the rystem aad fecility into 11�ll oomplianoe with tbe pouadwater ts�atmeat Program
, requirement�of 314 CMR 5.00 and 6.00. Plea�e eonsult the local regional o!!ice of the Departmeat for flsrther iaformatioa.
<revised 11/03/95) 9
�- SUB9URFACE 3EWAG�E DI9P09AL SY3TEM INSPECTION FORM
PART 8
CHECKLI9T
���h�d� 34 Cottonwood St . , Yarmouthport
o"'a"r Estate of Harry Makredes
Date ot Inrp�otion: g/3/9 6
Chec�if the folbwinQ have bssa done:
�Pumpiag informatioa was reque�ted of the owaer,oxupaat,aad Board of Health.
� V Noae of the�ystem oomponenta have been pumped for�t least two wceks � ,
wlumes of Water have na n introduoed ' the ry�t�em recently or w of this iaspection.
�S�/5 � � �vs not b�P•� vse� r�f�n�on Gt �'�Irv/or ,�o.tit.
_ti built plaas Lave been obtained aad�samined. Note if they are not available witb N/A
(/ Th�facility or dwelliag was inspected for oigns of�ewage baek-up.
�The rystem doa not receive non-sanitary or iadustrial�vaste llow
�The siu was inspected for�igns of breakout.
✓ All ryst�em compoaent�, , have been located on the�ite.
V Tlte�eptic tank manholes were uacrn+ered,opened, and the interior of the septic taak�vas ia+pected for coadition of bafllea or
tee�,material of construction, dimensionr,depth of liquid,depth of�ludge, depth of�cutu.
�Tha aise aad location of the Soil Aborption Syrtem an the�ite hes been determined b�+�d oa ezisting iaformation or
approzimated by aon-intrwive methods.
=The facility ownes(and oavpanta, if diS'erent from owner)were provided with iaforwation on the proper mainteaancx of 3ub-
3urface Di�posal 3ystem.
(revised 11/03/95) 4 �
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� BUB9URFACE SEWACiE DI3POSAL SY9TEM IN9PECTlON FORM '
. . � PART C
' SY37'F.M INFORMATION
,
�e�op°'t�'wdd`"°'°' 34 Cottonwood St . , Yarmouthport
o.vner. Estate of Harry Makredes
Daee of lnipeotion: g�3/9 6
Ft,ow corrni�oNs
x�etn$►v�ru►L , '
n«iQn flo..: �3 0 �allan,
Number of b�dtooau: �
Number of atrr�at r�sidenta�
Garba�e�iadeT(7e�or ao):�o �/'P�. '
Luadry ooaa�ct�d to qstem(�or ao):
�..o�„�c,..���:� . _ 6�' oa� Q/Io�c
Water r if vaiLble: " — �� �0/%S � � ^'� �"� J '
�
Lest date of occupaacy:�i� :
COMMERCUL/INDUSTRIAL• ��
Type of astablishment: '
D�sign flow:__,gallons/daq
Grease tr�p prwcnt: (,yes or no)_ '
Iadiutrial Waste Holding Taak prerent: (yes or no)_
No�-sanitary .vast�e d,iscbarged to the�tle 5 system: V+er or nol_ ,:
Waier meter readings, if available: '
Lart date ot octvpancy:
O'1'flER: (De+cribe)
L�t date of oocupaney:
QENERAL INFORMAT'ION
P[JMPIN� �ORpS ats��of intornia�n• �p�rs. /» O� �/! �� 2� 9 � �j r1/�Od S ,
3ysum pumped as�part of uupection: (yes or noJ O �
It qes,wlume pumped: /V/� eallons
Re�soa for P�P�& ��
�F 6YSTEM ,
S�ptic taak/distr�ution bo:hoil ab�orption system
,_„� Sic�arrpool
Ove�ow owpool
Priv�
Bbarsd�Ram(rss or ao) (if�es,attacb previovs inspeetion records, if at�y)
Otber(�pLinl
A! RO TE A(iE of all oompoaeats,dste iastalled(if 1a►owu)and wurce of information: .`J. _����e
-���;L� //) /977• SovrcG yRvrr�Ovfli Q',SStSS/%�1g.
� ) V
Sewase odon detected whea arriviag at the site: (ye�or no)/V�
trevised ii/03/95> 6
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• gUBSURFACE 3EWA(iE DISP09AL 9Y9TEM IN9PECTION FORM
, PART C
9Y9TEM INFORMATION(oontinued) '
pro�r�ywda,�.� 34 Cottonwood St . , Yarmouthport ;
o.oner. Estate of Harry Makredes . ,
Date of Inspeotion: $/3/9 6
BF.PTIC TANK:V .
(3ocats on sit�pLa)
//
Depth bebw�e:$ �� _
Maurial of oonstruetion: �'conerete_metal_FRP_other(aplain)
Dimensions:
♦ / , .
s���: Z3��
Ilistance from top of�ludge Lo bottom of wtlet cee or baffle:
3c.�um thicl►aess: �� /�
Distana fr�om top of sc�m to top oi outlet tee or ballle'� /�/e
Di+tance from bottom ot�eum to bottom of outlet tee or bame:
Cammeats:
(reoommendation for pum ' condition of' et d outlet tees r baflles, depth of liquid level in releti n w outlet invert, st grsLy,
' ence of leakage,Ctc•1 S !/l1 . �QCO�MAMe�X
/r! /t P
r � a :
, � rs r c .�r�xo, :
o�,sE�:_ /y/S'` /'-t�/Q� �n/�f �ovrr• e�o l ace ,b� ��r�e�tar.
ct�c�oa.;� P�►
ne�eb�ioW�ae:
Matkrisl of coastructioa: _concrete_metal_FRP_other(esplain) .
I}imensions:
3cum*�rk*+wu:
Distance from top of�eum to top of wtlet tee or baNe:
Distance from bo2tom of�uu w bottom of wtlet tee or bafTle:
Comments.
(recommendation for pumging, conditioa of inlet and outlet tees or befIIes,depth of liquid lrvel ia relatioa to outlet iavert,sUvcturat inte�t'ity,
evidence of leaka�c, etc.)
(revised 11/03/95) 8 .
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, SUBSURFACE SEWA(iE DI9P09AL 8Y9TEM IN8PSC7'ION F'ORM
, � PART C
• SY'3TF•M INFORMA't'ION(oontinued) '
pe,,pe,.tyAddre.,: 34 Cottonwood St . , Yarmouthport
o..ner. Estate of Harry P�Iakredes '
DaRa of Insp�otloo: 8/3/9 6
TIdHT OA HOLDIN(i TANK:_ '
(lopat�oa site pLn)
Dtpth b�1o�'ir+ds: - ,
Matarial of ocnrtruction:_oonctete_metal_FRP_otber(espL+in) ,
Dim�nsioas:
Gpaeity: aallona
Iksign flow: Rallona/dey
Alarm lev�el:
Gamments:
(eoadition of ialet tee,coadition of alarm and float�witcbes,rtcJ
DI3TRIBUTION BOX: ✓
(i4cate oa�ite plan)
Depth of liquid level above outlet iavert: Q�
p��lef/�iv��t�
Commeata: �Q
(n if level aad distributioa ia equal,evide ce of wli carryo� ,e.wide of lealrage iato or t of ba�,etc.)� /��X �'S �V'e��
Ced S so s ct �i' � K +
� S U �. S �t ve � o�e ,
a .
PUMP CHAMBER_
(locate on rite plaa)
pumps in worldn�os�r:(yes or no) .
Commentr
(not�aonditioa of pump cbamber,ooaditioa of pump�and appurtenanas,�tc•)
(revised 11/03/95) �
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. ; 8U89URFACE BEWA(iE DISP09AL 9Y8TEM IN9PECTION FORM
' ;e � PART C
• 9Y3TEM INFOAMATION(oontinued)
Propertywaare.c 34 Cottonwood St . , Yarmout.hport
�°r Estat.e of Harry Makredes
Date ot Inspsotion: g�3/9 6 •
SOIL AB80RPTION 8Y81TL1N (8A9r�
(locat+��sit�pLa, it poaabl�;�anvatioa not trquir�d,but ma�bs approzimrted by non-intrusive m�ihods) .
It aat dsterminrd to D�prweat,acpl+�in.
�°� ' ��`qmPf��'/���sh�,�e � � '.s-fa�re
Laching pi4,numbe::� (/
1�chin�ebamberr,number:_ CQ j��Q�' f 5 p'��� �j�9�OI.J 9 ra�
��8 6+�rias, number.
' leachiag tr�nches, number,length:
leaching fields, number,dimensioas:
overIIow ce�spool, number:
Commeatr (aote caadition of soil,s' o hy�ulic failure, level f ponding, ndition of vegetatioa,etc.) �, Q� 'PQ C�
O / G' � S i�c.r Sd,vl�G r �t C '
o P i o� . Y 1 �� .
< < Ol� Or l t y . . S�1�Q See t c�' a� /r1,v • � . � ��
�p '� p• x s �.�.� q o� rr�n -e cove rs���
c poot,s: �.� oF �e�'Keil so!%�ls i��i�: /vo solyd$ on f�p o�f+�tcG►�vi f�o,p�,
c�u on.�u p�� ,�y�si�le LPar,l�, ��� f�� a�ac��" fi� rn�nh�/e cave,- apP���� CI{ah ,
Numberandooafiguration: 7�L�sC obspr�ufioxs �na�ico�� 1/�Q'��je.
Depth-top of liquid to ialet iavert:
Depth of wlidr layer: /� C"/�Sd✓P� $�f.s�� h�s �a� a,
Ikpth of scum layer. �d/AN�I� �l�2�'�Ou 4��CS) ��—5G)yt� fpo��f`s) ,
Dimensions of ceupool: /� h s�� 0 r� sL s,[ylGl �$i ���f�V��tQ
Materials of canstnution: �n I ''' '
IndicatioA of g:ouadwakr: �/Sh S 07� f s• J
iafloa(os�rpool must be pumped as part of inspection)
Cosameat�: (note conditioa of wil,�igru of hydraulie failure, level of ponding, coaditiott of vegrtation, etcJ
PRIVY:
Uocate on site plaa) •
Mxterials of oonsa'uetion: Dimsaaiear
D�pt6 of wlidr
Commeat�:(aot�oondition of wi1.si�tu of hydrauli�c taiture,Lvel of pondivg,oandition of ve�etation,atc.)
(revised 11/03/95) 8 .
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$IR_�PEEDY_ORLERNS TEL No .5082400884 Jul 30 ,96 12 �D3 No .011 P .�1�01 ,'
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''� '-.� � .x .�, t.�4�:i i�1T�.,,i�. r..,. _{i. — HEALTH f�EP
� nwrTwcaLr.�s 1'+•)• hc'��`• .
�L"�h��`+� �"i •
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� � S�rYc sYs� ��ri�
(�� 1�3T ffi P�1LLY 0�'i���
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],. L►OCA'1'ION OF IN3PLCTI�N; � �
2. �+1 ASaT+SSOFt'S MJ4P � � '
C 7���
3. DA'�E �IOLiSE WRS �}=LT: NO �
4. . WGLL 013 PRt7Fk'�TY. IidCL[�3xNG IRRTGATIOia WELLS? Y�s _,_,.� —�-- i
{Si1bW L�1�'��3 O�i BLt�TIC Ii�ISP'�"rT� �M'�
� �1(?�. �P
5. QWN�t'5 t3Pd� 1�1D ApDR�3s o Q � , � ��'�
V��t -��"� _
6. SUYER'S NF�.��E AND A�' .
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7, OT4iER TNFQ�7�TT.C�i ��� ��, , �
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��7��� ���, 2�� !
TF►p Eieal�h U�par�ment �wi11 �roviae: 4 `
tic in9 histc�y; . �� . �l��`'� ,
1. Last Eau�C (�4? y��'s aE e�p 1�� � '�P'r'x ,
st�nn location "1yS�8UTt.T" cat�, if on g��e; �� f�i�it (�ij f�tt�'� �
g, S�ic sy �R il�'�
;�. tic �lystem c�ascrsptia��iica�ias�: ��iS �4� /�'����
4. Co�t c�t 5eptio Dis� � � � .� C 1 .
5. Percolation car�r if on Eile (uaw £,�s�essfile�e �9 )� � +
6. Review of ert�ineere� s�p�t,x� plan, �' � �
� � i,ol a�s�ss ot�cs � �►�. °�' s��
�
7L�+1�►7I� Ri�'�p�(,*T�'p!i �t 11� "11.g-�1ILT" [AC�JITI�1 G� sukF'[.� sY T�
t�i 00l��
SB�T� �
�►'C.�i [t7'P Nt��t■ i�1' AI"`�D E� Pi.� �1 '� � p� 0� 1� � PCl�1
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� � [I� �� � � �
�IC���1t�1A�� � Hg pB"�►�i�q NS '1�B CJ�'E OOD C�SSI�1� 3���8�8•)
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�MAFiTN�g .�--�-
� O[' BTATE C�RTIF'IF.i3 SEPTIC It+�SP�'1�� .
�►DD�ES��
' $.D�NNiS,N1�'► 0�10
'1'SLPt�NE NUL��R'
�'� ��ryed���
FILXNG � �` $
10.00 I�AlA �� . �� �'��•r
U�/21/95 Revis2�
JUL-�1-9E WED 1� :50 RM P. �3
�. '. .
�t�"���: � ttorwrood �tree
L �Q�r � f1�AFt�►�H4�a�
L-A= 21'
septic � ,A R,�= 16'
tank �
L-B - �B'
R-� = 25'.
d-Dox a
L-�C = 31'
R-C r 3U'
Eeach � )�
.�
JUL-31-96 WED 10 :5@ AM P. O�
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ID: 16179
N#AP: 84
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