HomeMy WebLinkAboutInspection Report 2000 Apr 17 l J ' +
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0(/� � � � `'� 1146 ROL'TE 28 SOUTH YARMOUTH MASSACHUSF,TTS 02664-4451
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�, �raqp0pAT1o�e�� Telephonc (508) 398-2231, F,xt 241 — Fax(508) 398-2365
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BOARD OF HEALTH
Apri124, 2000
Veronica Mirra
8 Hastings Avenue
-.-- West Yarmotrth MA 02673- _ _
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RE: Subsurface Sewage Disposal System Inspection Report, ��������'�
Dear Ms. Mi�rra:
This departmerrt is in receipt of a subsurface sewage disposal system inspection report regarding the
above referenced property conducted by James Ford on April 17, 2000 and received by this office
on Apri120, 2000.
The report states that a garbage disposal is within the kitchen. Although the septic system was passed
by the inspector,the system was not designed nor permitted to handle the use of a garbage disposal.
In order to maintain the use of the disposal, the system must be designed and constructed to
accommodate the flow from the garbage disposal. This is a requirement of the state Title V sanitary
code. If you do not want to continue the use of the garbage disposal, you will need to have the
disposal removed and provide a copy of the receipt for the removal to this office.
Thank you for your cooperation in this matter. If you have any questions, please contact me at the
Health Department by telephoning(508)398-2231, e�rt. 241, on Monday through Friday from 9:00
to 11:00AM.
Sincerely, �n �/ � �1Q��,�t-�'U`Q� ���
Y b ,1`�
ruce G. Murphy, MPH
!��'�'`',,i���Q!�vu!�.�
Director of Health ��-� � �,��-' `�"_ /y�,,��.�
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M AY 0 1 2000 '
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Commornvealth of Massachusetts � � � � � � � �
Executive Office of Emironmental Affairs APR 2 0 2000
Department of Emrironmental Protection
One wjncer Sa� Boswn rtA oz�os (6tn 292-s5oo HEALTH DF�T.
TRUDY COXE
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ARGEO PAUL CELLUCCI � DAVID B.STRUHS
Governor Commissianer
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION
Property Address: 8 Hasting Avenue, West Yarmadh,MA Name of Owner: Verauca Mirra
Address of Owner: Same
Date of Inspection: April 17, 2(XJO
Name of Inspector: (Please Print) James M.Ford
I am a DEP approved system inspector pnrsuant to Section 15.340 of 1Ytle 5(310 CMR 15.000)
Company Name: James M. Fo�rl
Mailing Address: P.O. Box 49. Ostervillt.MA 02655-0049 Map: 57
Telephone Number: (548)862-9400 Parcck 66
CERTIFICATION STATEMENT
I certify tfiat I have PersonatlY inspected the sevwage disposal syst�em at this address and d�t the information reported below is true,accurate
and co�lete as of the time of inspection. The inspecrion was performed based on my training and experience in the proper function and
mainten�ance of on-site sewage disposal systems. The system
,/., , � . n _
Conditioffilly Passes
Needs FuNier Evaluation the I.ocal APProving Aud�oritY
's
Iospector's Signatare: Date: A»ri118, 20d0
The S�stem Inspector shall sulntrit of this inspeCstion r�eport to t�e A�pprovin8 A�►thority(Board of Health or DE�within thirty(30)days
of completing this in�pection. ff the system is a shan�d system or has a design flow of 10,000 gpd or greater,the in4pactor azd die system ovvner
shall submit the report to die appropriate regio�l office of the Deparm�ent of Emiromnernal Protecd�. 'I7�original shoutd be sern to the
system owner and copies sent to die buyer,if applicable,and tfie appnoving audiority.
NOTFS AND CONflvIENTS
revised 9/2/98 r�lo�ll
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 8 Hasting Avenue, West Yarneotdh,MA
Owner: Veronica Mirra
Date of Inspection: April 17, 2000
C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
Condi6ons exist which require fiud�er evaluation by the Board of Health in order to determi�if the system is failing to protect the
public health,safety and the emironmern.
1) SYSTEM WII,L PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)@)
THAT THE SYSTEM IS NOT FUNCTIONIIVG IN A MANNER WffiCH WII.L PROTECT THE PUBLIC HEALTH AND
SAFETY AND THE ENVIRONMENT:
_ Cesspool or privy is within 50 feet of a surface water
_ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
2) SYSTEM WII.L FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMII�TES
THAT THE SYSTEM IS FUNCTIONIIVG IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND
THE ENVIRONMEIVT:
_ The system has a se�ic tantt and soil absorption system(SA�j and the SAS is within l00 fee#'to a surface water supply or
tributary to a surface water st�pply.
_ The system has a septic tank and soil absorption system and the SAS is within a Zone 1 of a public water supply well.
_ The system has a septic tank and soil absoiptian system affi the SAS is within 50 feet of a private water supply well.
_ The system has a se�rtic tadc and soil absorption system and the SAS is less than 100 feet but 50 fcet or more from a
private water supply w�ell,unless a vweli water analysis for coliform bacteria atxi volatile organic comPounds indicates that the
well is firee from pollution from that facility and the presence of ammonia nitrogen and nitzate nitrogen is equal to or less
than 5 ppm Method vsed to detemrine distance (apprn�matfion not vali�.
3) OTHER
revised 9/2/98 �3ofu
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 8 Hasting Avenue, West Yanrordh,MA
Owner: Yeronica Mirra
Date of Inspection: April 17, 2000
Check if the following have been done: You�st indicate either"Yes"or"No"as to each of the following:
Yes No
✓ _ Pumping information was provided by the owner,occuparn,or Board of Health.
✓ _ None of the system co�erns have been puII�pad for at least two weeks and the system has been r�eiving nom�al flow
rates during that period. Large volumes of water have not been i�oduced irno t�system recernly or as part of this
inspecdon.
✓ _ As built plans�ve been obrainad anci exarmned. Note if diey are nar available wiW N/A.
✓ _ The facility or dwelling was inspected for signs of sewage back up.
✓ _ The syst�m cbes not receive non-sanitary or industrial waste flow.
✓ _ The site was inspected for sigas of breakout.
✓ _ All system components,excluding the Soil Absorption S�stem,ha�e baen located on d�e site.
✓ _ The septic tank manholes vwere u�overed,opened,and ti�e irnerior of the septic tank was inspec�ted for conditions of baftles
or tces,material of constniction,dimensions,depth of liquid,depth of siudge,depth of scum. _ _
'I9�e size and locati�of the Soil Absorption System on tt�site has been determined based on:
✓ _ Existing informatian. F�example,Plan at B.O.H. . .
✓ _ Determined in the field(if atry of the failure criteria related to Part C is at issue,approximation of dis�is unaccxceprable)
[15302(3)(b)].
✓ _ The facility owner(and occupants,if differern from owner)were provided with infor�tion on the proper maintenance of
SubSurfaoe Disposal Syste�.
revised 9/2/98 �esafii
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 8 Hasting Avenue, West Yarinouth, MA
Owner: Veronica Mirra _
Date of Inspection: April 17, 20i0i0
BUII,DING SEWER:
(I.ocate on site plan) •
Depth below grade:
Material of construction: cast iron 40 PVC other(explain)
Distance from private water supply well or sucrion line
Diameter
Comments: (condition of joirns,ve�ing,evi�e�e of leakage,etc.)
5EPTIC TANK: ✓ . :
(locate on site plan) _ _
I�pth below grade: 12"
Material of c�nstrnctioa ✓concrete _metal _Fiberglass _Polyethylene other(explain)
If tank is metal, list age_ Is age confirmed by Certificate of Co�lia�e_(Yes/No)
Dimensions: IU00�2a1.
Sludge depth: I"
Distance from top of siudge to bottom of outlet tee or baffle: 30"
Scum thickness: 1"
Distance from top of scum to top of artlet tee or baftle: 8" _ �
Distance from bottom of scum to bottom of oudet tee or baffle: IS"
How dimensions were detetmined: Measurin�stick .
Cc�mments:
(recomooendation for pu�ing,co�idon of inlet and outlet tees or baffles,depth of liquid level in relarion to outlet invert,structural imegrity,
evid�ence of leakage,etc.) The baftles weere nresent. The liauid level wns even with the outlet imert. T7e�scum mrd solids were mini�l.
GREASE TRAP: None
(locate on site plan)
Depth below grade:
Material of oot�hixxion: concrete _metal �berglass _Polyethyleae oti�er(exglain)
Dimensioas:
Sca�m thickaess:
Distanoe from top of scum to top of outlex tee or baffle:
Distance from b�tom of scaun to botWm of�tlet tee or baffle:
Date of last piu�ing:
Comments:
(recommendation for pumpu�g,condidon of inlet and aidet tces or baffles,depth of liquid level in relation to outlet invert,structural i�egrity,
evidence of leakage,etc.)
revised 9/2/98 Pa�e�ofii
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATiON (continued)
Property Address: 8 Hasting Avenue, West Yarmouth,MA
Owner: Veronica Mirra
Date of Inspection: Apri117, 2(IOiO
SOIL ABSORPTION SYSTEM(SAS): ✓
(locate on site plan,if possible;excavation mt required, location may be approximatsd by non-intrusive methods)
If not located,explain:
TYPe:
leaching pits,number: 1-6'x 6'
leaching chambers,number.
leaching galleries,number:
leaching ttenches,number,length:
leaching fields,number,dimensions:
overflow cesspool,number:
Alternative system:
Name of Technology:
Conmients:
(note condition of soil,signs of hydraulic failure, level of ponding,dac�soil,condition of vegetation,etc.)
The nit had 3'of xater on the b�tom. There were no siQns of failrve. The bott�n to�rade was 8'6".
CESSPOOLS: Nate
(locate on site plan)
Ntunber and oonfiguration:
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensi�s of cesspooL•
Materials of co�strlxxion:
Indication of groundwater:
inflow(cesspool must be pun�ad as part of inspection).
Commetrts: (note condition of soil,sigvs of hydraulic failure,level of ponding,condition of vegetation,exc.)
PRIVY: None
(locate on site plan)
Materials of const�vction: Dimensions:
Depth of solids:
Comments:
(note oondition of soil,signs of hydraulic failure, level of ponding,condition of vegetarion,etc.)
revised 9/2/98 r�9o�ii
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM Il�iI�'ORMATION (continued)
Property Address: 8 Hasting Avenue, West Yarneouth, MA
Owner: Veronica Mirra
Date of Inspection: April 17, 2000
NR(:.S Report name
Soil Type
Typica�de.prh to groucxtwater
USGS Date website visited
Observation Wells checked
Groundwater depth:Shallow Moderate Deep
S1TE EXAM Slope
Stu�face water
Check Celtar
Shallow wells
Estimated Depth to GrouMwater 30+/- Feet
Piease indicate all the irethods used W determine High Gro�uidwater Elevation:
_ Obtai�d fiom I�siga Plans on record
_ Observed Site(Abutting property,observation hole,basemern sump etc.)
✓ Detemu�d from local condirions
Checked with local Board of Health
_ Che�ked FEMA Maps
_ Checked PumFing records
_ Check local excavators,installers
✓ Used USGS Data
Describe how yai established die H'igh Groundwater Elevation. ( Iust be completsd)
Using the t�ographic and x�nter comours maps, the maps were showing approximately 30' +/-to groundwnter at this
site. Using the Cape Cod Co�m►rission Techmcal Bulletin, the high growrdw+ater adjustment for this site(A1 W 230,
Zone B, 3/00)x�rrs 2.7'.
This report has been prepared mrd the system inspected m1d passed as of the date of inspedion. This repon is not a wYerranry
or guarantee that the system will func7ion properly in the fulure. There have been no warranties or guarantees, either expressed,
written or i�lied, relating to the system, the inspecti�mrd/or this report.
revised 9/2/98 ��ii�u