HomeMy WebLinkAboutInspection Report 2006 Mar 31 =f. ;
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TROY WIi.LIAMS APR 0 � 200� � � S L
SEPTIC INSPECTIONS
Certified by MA Department of Environmentai Protection (508� 385-1300
19 Hummel Drive
South Dennis, MA 02660
� CUMMONWEALI'H OF MASSACHUSETI'S
, EXECtITIVF, OFFICE OF ENVIRONMENTAL AFFAIRS
� o DEPARTMEN'I' Or FNVIRONMENTAL PROTF,CTION ,
"TI'TLE 5
OF'F1C1AL INSPEC"TION FORM — NOT FnR VOLUNTARY ASSESSMENTS '
SU[3SURFACE SEWAGE llISP05AL SYS7'F.M FORM .
PA RT A
CER"I'iFICA'I'ION
Pro�,crt� nddress: 249StationAvenue
South Yarmouth,MA
O�ner's Namc: Dr. SylvesterMaloney
Owner's Addres,: 249 Station Avenue
South Yarmouth,MA 02673
Date oi Inspection: , March 31,2006 �
Name of Inspector. Troy M.Williams �
Company Name: `�-
Troy Williams Septic Inspections
Mailing Address: 19 Hummel Drive
Telephonc Number: South Dennis,MA 02660
(508)385-1300
CERTIFICATION S'fATEMEnT�r
I cenify that 1 have personally inspected the sewage disposal systern at this address and that the informalion reported
below 'ts true, accurate and complete as of the time of the inspection. The ins�ection �+�as rerfonned b�sed on my
training and experience in the proper function and maintcnance of on site sewage disposal systems. 1 am a DEP
apprq�ed s�'stem inspector pursuant to Seclion 15.340��f Title 5(310 CMR 15.000). The s��slcm•
( onditic�nall�. >a e�
f ss _
Needs f urthcr [:valuauon b} thc Local n��proving Authori��
Fails
lnspector's Signat�re: �1,�, 2���,.��,��„i�_ Date: � /3t•,Co b
The system inspector shall wbmit a copy of this inspection report to the Approving Authority(E3oard of{lealth or
DEP)within 30 days of complcting this inspection. If the system is a shared system or has a design flow o( 10,000 ,
gpd or greater, tt�e inspector and the system owner sh�ll submit the report to th� appropriate regional ofTice of the
DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving
authorit�•.
Notes and Commcr�ts
Alfhough sysfem meets the minimum requirements set forfh by the Massachusetts Department of
Environmental Protection,certification is not to be construed as a guarantee of future working condition
of system,pip(ng or components. This inspection represents the conditions of the sysiem on the DaTe of
Inspection noted above.
"•""This report only describes conditions at the time of inspeetion and under !he conditions of use al that
time. l his inspection does not address how the system will per[orm in the luture under the same ur different
conditions of use.
Title S Inspection Form 6/1S/2000 pace 1 of II
i i
L'abn 2�f 11 '
nY�I�IClAL INSI'�:C'�'YC)ly l+Of2M - Nn'I' I�Qr2 'VUX�UN`I AY2Y ASSI�SSMrN`C'S .
� SU13SUr2t��ACt� SC'WA�I� p�S�'OS�Y. S'YS`1'!�M INSI'CCTYnN Y�ORM �
I'A C�`I' A
C��12��Xrrc�`1'YON (con�im►ed)
Y�l'0[)Cfly AlJlii'L'SS; 249 Station Avenue
South Yarmouth,MA
Dr. Sylvester maloney
nrvncr: March 31,2006
1�:►te of luspccliou:
Inspeclion S�u►uu:u-y: Checic A>�3,(�,M)or�/AI.WAYS compleie:►ll oC Sec�ion p
A. Systcni 1'asscs:
� I l�ave nol found a»y infonnation which inclicales Ih�t any of tl�e failure crileria described in 3 i 0 CMR
15.303 or in 310 CM2 15.304 exisc. Auy failure c�:ite,ia n��t evalualecl are indicated below.
Conu►►cuts:
l3. Syslc�n Condiliuually 1':isses:
One or n�ore systeni con�ponents as descri�ed in tl�e"Couditiqn��l !'ass"seclion need to be r laced or
repaired."1'he systeni, upon c�mpletior►of tl►e replac�nie�►t or repair,as apprc�vec!Uy ttie poard� eatUi, wiil pass.
Answer yes, no or u�t deteriuiue�J(Y,N,ND)in llie ti�r the followinb stalemen�s. 1 not dete,mined"please
explain.
Tl�e se��tic [ank is metal aue!over 20 years oIQ* �n• �he seplic t��ik(wl►el r melai or not) is sG�ucturaUy
unsoun�l,exhiUits subslantial iufiltra�ion or ex�il�ration or tank Failure is in� iner►l. System wiU pass inspection if Ihe
exisling tauk is replaceci with a eomplying seplic t�►uk as approved Uy il� caurd�f 1(ealth.
*A melal seplic tank will pass inspection if il is struct►u�aUy soun�i, n eaking und il'a Cer�iCca�e of Compliance
indic�linb Ihat llie lank is less tl�an 2(l years otd is availuble.
ND explain:
Observation of sewabe l�ack►►p or break oul o� �igl►static w�ter level in�l�e distributi�n box due Io Uroken or
oUstn►cte�!pipe(s)or due lo a broken,set�led or u ven clistriUution box. Syslen�wili pass inspection if(with
aPProval of Do�4-d of Yleallb):
br�kei ipe(s)are replaced
oU� uclion is removed
striUulion bUx is level�d or�eplaced
ND explain:
1'he system re ' ��I�u�uping more lpan 9 ►inias a yeur due !�Urokzn or uUs�i-uctecl pipe(s).The system will
pass insNection if( ' �approval of the 13oar�l of lleatth):
broken pipe(s)are repinced
obstrucliun is removed
INP explain:
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n1�1+ICr��.t� INSI'Y�C'Y'�QN r()y21y1 - Nn`r' C+'�Y2 V�LCINTAI2Y ASSCSSMCNTS
SU13Sr1R1+ACY: S�;WACC ArSI'OSAX,S'YS`I'�.M YNSI'�C'�'YON I+OY2M
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CI+�2`1'I���CA'1'��N(cuntinued}
249 Station Avenue
l'rupe��ly Address: South Yarmouth,MA
Dr.Sylvester maloney
nwnci: March 31,2006
1)atc�iC Inspcclioiu _
C. I+u�-tl►cr l:valu:►tion is licquircd by ll�c 13o:►cd of llcalllu .
Conditions exis! w!►ich require lurll►er evuluatiai Uy the 13oard of Ilealtl►in order to delermine if Ihe system
is fi►ilinb to protect public healtl►,sufety or tl►e environment.
1. Sysleii►wiU pass unless livard uf 11ealU��Ietern►iues in uccordai►ce wilti 310 CMIZ 15.303(1) tl�al tlie
syste�u is n�t funcliuning in a rnauner wliicl►will p►•olcct public Lealtl►,safety and lhe env' oument:
___ Cesspnol or privy is witl►in SO leet of a surfuce water
_ Cess����l or privy is witl►in 50 feel of a borderinb vebelaled welland�r a salt m
2. Systew wili fuil uulcss U►e�3o.u-�I uC C[ealtl�(aud X'ui►lic Watcr upplicr, if any) �elermiues ll�at U►e
system is funciiuning iu r yi�anner Il►at prulecls Ilic puUlic '►eal ,safely and envir�nn�eiil:
"l�lie syslem l+as u septic tank and soil absorption s •em(SAS)a,�d tlia SAS is wilhin l00 feel of a
surlace waler supply or lributary to a surtace wal�r s ply.
� `1'lie systeni lias a seplic tunk and SAS ar lhe SAS is within a Lone 1 of a public water suppiy.
--- "1'h�systen�l�as a septic tank �nd ' S�nd tl►a SAS is within 50 Icei of a priv:►te waier supply welL
'Ciie sysleru 1►as a seplic tun and SAS uiul tl�e SAS is less than I(lU leet but 50 feet or more frorn a
private water suppty well**. ellio�l use�l l��ieterminc:disiance
**'I'his system p��sses � ll�e wel! waler analysis,perf��rrned at a C)EI'cerlified IaUo�atory, for coliform
bacteria ai�d votat� orbunic con�pouuds indicates that llie well is fiee fi�om pollulion fiom tliat facility and
Il�e preser►ce o m�»�niu nilrogen anc!njtrate nitrogen Is equal to or less lhan S ppm,provi�led Ihat no olher
luilure cril u are lribgerecj. A copy of tlie analysis must be atlacUed lo ll►is forni.
3. O�1►cr:
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�'AR`�' A
Cr:�2'C'rrXCA`I'I�N(continued)
249 Station Avenue •
South Yarmouth,MA
l'ru��crty Ad�lress: Dr. Sylvester maloney
March 31,2006
n1V11L'1:
1):►le uf luspecliu�u
p. Syslcn► !:�ilurc Crilcri:► applicaUlc to all syslcu►s:
YOl! I►IUSI lIlLIICiIIL'"yes..or"no" lo eacl�.of 11►e followinb lor:►II ii�speclions: . � .
Yes No
_ � 13��ckup oFsewabe into laciliry or syslem componenl c�ue to overloadce!or cingbed SAS or cesspool
__ � Discl�ar6e or pnnding of elfluenl t�tI�C surt�►ce of lhe bround or surface waters due to an overloaded or
ctogged SAS or cesspool '
__ ✓ S�atic liquid level in the�iistribulion I�ox above ou�tet invert d�ie to an overloaded or clogged SAS or
cesspool
✓ C_ii�uid depllr in cesspoot is lesy thar►6"below invert or avail;�ble volume is less than %day flow .
_ � Itequired pumpinb mor� Il�an 4 limes iu the lusl year Nn`I'due to cingged or obstn�cted pipe(s).Number
of tintes ptuuped
_ ✓ Any�»riion�f�I�C SAS, cessp�ol�r privy is beluw liigi�gruund waler elevution.
_ ✓ Any portior�of cesspool or privy is will►in 100 fcet�f a stuf�ce waler supply or tributary to a surface
waler supply.
_ ✓ Auy portion of a cess��ool or privy is wilhin a `Lone 1 of a public welL
J Any�x�rliun of a cesspoul or privy is witliin Sp (eet of a private water supply welL
_ � A�iy purtion of u cesspo�l or privy is less ll�un ]00 l�el bul grealer than SO lee! fi�om a priva[e waler
supply well wil!►nc�acceptaUle waler c{uality aaulysis. �'l�l�is systciu passes if lbe wcll walcr analysis,
pe.rlurmed al � l)N X'eer�jlie�l IaburulurY,for coNfur�u bacteri.► :ir►�l v�l:�tile urbanie eu�npoi�nds
�„���;►��s �i►�� u►�W��i;s r,-��c������y,uii�,i�u,� ir��»ti�:�i r.►cility and tl�e��r�sencc of ammuaia
uilrugei�:iu�l niUale nilruge�►is cqua� tu ur Icss Il►an 5��pm,�ruvided (hat nu ull�er 1'ufluE'e crlteria �
:u�c lri6f;cred. A c�►py ut'llie au;►lysls ipus� bc:�llacl�cd lu Iliis I'orn►.)
/�D (Yes/No)'l�IIL'SyS(L'ltl I:IIIS. I I1AVC CI�ICCRlI11eLI lIlill 011�O!'11101'C OI`II10 abcwe fuihu�e criteria exist as
descriUec� in 3l0 CMR 15.3�3, lherefure tlie system fuils.`1'I�e system owner s!►oul�i contact tl�e 13oard of
ITealtli tu deterruiue what wilt Ue necessary�o correc� llia fuil►ire.
�,. �.urge Syslcu�s:
�'a be consi�lerc� a la�be sys�en�tl►e systen►n►us4 serve a (acilitY witl► :►il� ibu Qow uf 7 U,OQO 6pel to 15,OOQ
6P��
You must in�iicate eithe�-"yes"or"no"to eacl►c�f tl►e f�Unwinb:
(`I'l�e f�ll�wing critcria upply t��lurbe syslCrns in aeldili��n Io U►�crite�� aUovc)
yes no
_ _ ihe system is wjthin 400 feel of a surface drinkin� ater supply
_ _ the sys�eni is within 200 feet uf a tri�u�ary t a surface drinking water supply
_ _ ll�e syste�t�!s locate�l in a nitrobz►►sei tive aiea(lnterim Wellliead Prolection Area—XWI'A)�r a mapped
Zone IT of a Qublic water sup�ly w
(�you�►ave atrswerec�"yes"to any c�ue 1oq i4i S�c�i�q 1:the syslen�is consiclececi a significant!bt'eaC,o�answered
"yes"in Seclioq�dbove tl�e�urbe s4e�n��as ��jlec�.`�'�►e owne}�p�r o�e��C4f ot�any lar�e systern cqnside�ed�
sib��iC�caat Ihre�t►jn�ler Sec{1411 Qs X�14ec��►pc1e�S�ctlQll P s1��14 N��1'ad�Il�e syslem!�►accardar►ce wi{Il 31p CMR
�5.3Qq.Tl�e system�wner sli Id GQnla�l(be app�o�rlatC fe�i4��1 Qf�1ce p�'lt►e pepa�lm�t►t•
4
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Y'AR'f 13
CYII:ClCI_,IS'I'
249 Station Avenue
�'roperty Address: South Yarmouth,MA
Dr. Sylvester maloney
Ow�►ci: March 31,2006
1)ulc�►f lnspccliu�u _
Check if tl�e fuUowiug huve been done. You uuist iudicale"yes"or"no"as lo eaeh of the fc�llowing:
Ycs No
-� —_ Ptllll�lllb It1lOflllilU011 WaS�IIOVII�CC�I)y UIB OWIICC,occup�nt, or 13o;�rd of llealth '
_ � Were any�1'�he system c��n�ponents pumped oul in lhe pr�vio►►s two weeks?
� _ t las the syslem receive�l i�ormal Ilows in tl�e previous lwo week perioe�?
�/ li�ive laigc vulun�es c�f water been intro�luced lo Il�e sysfei►i recenlly or as part of this inspection'>
✓ -- Were as t�uill plans of ll�e sys�eiu oU1;►ine�!au�l examined?(If tl�ey were not availaUle note as N/A)
� -- Was lhe tacilily or dwelliiib insrecled fi�r si�;ns�f sewage back up?
,/ __ Wus tl�e site inspecled fi�r sibns of break �ut?
� _ Wcre all syslem cuniponenls,excluding ll�e SAS, I��cated on site?
;/ Were tl�e septic lauk maulioles u►�covered,opened, and lhe interic�r nf tlie tank inspected for d�e conditi�n
of tl�e baftles or tees, II1�11C1'IiII Of COIISII'UCUI)Il,di�ueusions,�leplh of liquid, depth of sludge and cicpd►of scum?
� _ Was ll�e facilily owner(aud occupants if�Jilierenl liom��wner)provid�d with infonualion on llie proper
I11AllIlClli111CB Ot SUt)Sl1llace sewabe disposal systen►s'?
Tl�e size au�i 1�►catiu�►ut llie Soil Absorptiuu Syster��(SAS)on tl►e site has been delermined basecl on:
YeS IlU
�[ _ Existing iufonnalion. l�or exan�ple,a pl�►r►al Ilie [3oard of l leul�li. •
� _ Deterrni�►ec�in tl►e field(if any of the failure erileria related l0 1'art C is al issue aPproximaliop of distance
is unacceptable)[310 CMIt !5.302(3)(U)�
S
� * Puge 6 of 11
()1�1�YC1Al, 1NS1'�+C`i'��N Y�nRIV[- N()`!' ��012 VO�.CJN`l'�1Y2Y ASS�SSMCNTS
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1'A�2�' C`
s'1ls`Y'1.M �NX�Q121y1A'1'CON
249 Station Avenue
I'roperty Ad�lress: South Yarmouth,MA
Dr.Sylvester maloney
nwuer: March 31,2006
palc of Inspeclioii:
1�1.()1�C:ONI)1'l'ynlVS
� Y21�S1p1�N't'IAY.� � � �
Nun�Uer oF be�Jroon�s(desibn): Nuinber of bedrooms ' •tual):
ULSIGN tlow bascd on 310 CMR 15.203(for example: 1 bpd x ti cif bedrooms):
Nun�ber uf curret►t resi�leuls:
poes residei�c�luive u gurUage brin�ler(yes or no): _ .
ls laundry ou a separale sewabe sysleu�(yes a- __ [if yes separale inspection requiredj i
Laundry sys�em inspected(Yes or no):_
Seasonal use:(yes�r n�):_ _
Waler incler reu�liubs, tf availublc:(la� years usabe�BP�t)): ----- --
Suiup pun�p(yes or no): --
l.ast�late of uccupuucy: ---- —
COMMI:YiC1A1_/YNpUS'1'12rAC. � � � � � ��
7'ype of es�al�lisl�menl:_D��•��/- v�S�-r'�t
Design tli�w(buse�l on 3l0 CMIt 15.2Q3): y0� gpd
13asis uf�lesibi� Il��w(seats/persons/sqtt,elc.): a ��,�.r. k' .Z�+J�.A��n,x. •
Grease lr��p present(yes or i�o):�
lndustria!wasle l�ulilinb lank present(yes or no):�
Non-s�nitary waste discl►arged�o Il�e`fitle 5 syslem(yes or n�):�
Wa1er meter reacliubs, if available: v S"= 21 q �of o��,,,,,� UyZ �,i y��,,,,�_c�ON 5.
T.ast�tate of occupancyh►se: _p�,,�;,.,,. . ,
n�YYY�!.�Z�LICSCIIUC�:
Gl:N1�ItAY.YN1�()1tMA'�'IqN
!'umpiug Records
SOIICCC Of II►t01'lllil�l011:1�✓w.�y�.Jt Ci�1!�f Il ��jY p<.i (?�1�.. � .� .
Was sys�ein pu,nped as purt of tl�e iuspecuon yes or nci):�o
!f yes, volume pumpeci: _gallous -- 11vw was c�uanlity pun�pecl deter►uined:>
Reason for pumping: _
`�"�l�'�O1+SYS'�'�:M
�Septic Iank,�ie4�i++1i�-H+�»c,soil�►bsorplia�systen►
_Sinble cesspoot
Overtlow cesspool
I'rivy
Sl�arecJ syslem(yes or no)(iF yes;altacl►previ�us ins��ection records, if any)
Innovalive/Allernalive teclu�ology. Atlacl►a copy c�f tl►e current oNerution and rr�ainlenance contract(to be
�btainec� ti�om systei�t owner) .
_Ti6hl tank _Altacli a copy of Ilie DLl'a�provut
_�tl►er(describe):
Ap��roximate age oFall componenls,ilale ins�alle�!(j�'knowq)an�1 source of inf'�►��nation:
����r �.r ;� !� f�-�.r e...s- b�,!F.
V�JeFe sewa�;e oc�o�s cJe�ected wJ�e�►ar��jvin���l,�}e sj�e(Yes o�no): nl�
,
6
� � Page 7 of 1 1
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SYS`�'X�M XN�ORMt�T�ON(cou�inued)
249 Station Avenue
1'ruperty Address: South Yarmouth,MA
Dr. Sylvester ma�oney
Owuer: March 31,2006
1)atc uf Inspecliou: _
13CJ1L1)(NG SL.WI�Ii(locate on site plan)
Deptl�Uelow brade: f `` f
Materials of consU�uction: a/ cast ira� �40�'VC ✓o11►er(explain): U✓�o.-.�� �,,,–�
Dislance hom private water suppiy well or suction line: �i/�
Comments(on con�lition nf joints, venting, evidence oF leaka};e,etc.):
���5� ....1 �: r..s c�aa.J� ',�W �.u/ Clt4.� ncn �r 1/J•= G-'�1�`DF.
SLX'TIC'1'ANIC:�(locate on site plan)
DepU►betow grade: �_�
MiIICI'11I Ot COIISIflICU011: �COIlC1�ClC_I11L'l'J�_IIVCfb'Iass_polyethylei►e
oll►er(explain)_ —
If tank is n�etal list nbe:_ Cs age confirrued by n Certifica�e of Compliunc�(yes or no):_(aUach a copy of
certiticate)
Dimensions: 6 '�lu.r '.r G • [.Svo��r..,,,
Sludge deptl�: `' -------
Dis�ance fiom top vf sluclge to botic�m��Fo►►Uet lee or b:�111e: _.� `�`�
Scum tl�ickness: tia�,� _ --
Distance tian Iup�f scum to top�f oullet tee or bafilc:�,•�
Distance fiom boUuri�of scun�to boltom o��u�let lee or haffle: /�j��
UOW WCI'C�+tIl1Cl1StO11S(JCICI'111U1CLJ: _ PW 6�-.. ------
Comnients(on��umping rccon�n►en�l�itiuns, inie�au�l ouUet lee�r bsiflle c�n�litiun,st,uctw��l intebrity, lic�uid levels
as/relatec� to outlet iuverl,�videncc:�f leakage,etc.):
� ✓��-�-�(5� /.J c.✓c �J.o../< <.�_..S��:Z .t-✓� c�s.r.c...� .i .�__� (4.['�Cn g,-C. G v c�L.✓ti c.._�-�c
--7- i
[Nv-S �J..i.t _ _
G[Z�:AS�`C�A�'t_.�locate or�sile pinn)
pept!►below�;rad�:_
Matetial of construction: concrC�e^metal fiUerblass_pol �ylene_oll�er
(explain): — —
C�imeusi�ns:
Scum lhickness:
Distauce fi�n►tqp af scum to lop of ouUet tee c�r Uaffle:
pislauce fi�om bottom of scum to bottom of outlet !ee Uaffle: '
Date of lasl pumpiug:
Con�ments(on p►uupin6 reco�unien�lalious, ini ane►outlet tee or Uafile condition,structural inlegrify, liquid levels
as related to outlet inver[,evi�ience of leak• ,etc.): .
7
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SXS'1'[�•11'� YNX+OIZMA`X`XQN(cor,�inuecJ)
249 Station Avenue
!'ruperly Address: South Yarmouth,MA
U`yi��r; Dr. Sylvester maloney
March 31,2006
1)ulc�►f luspccliun: ,
'►'rGti"1'or�1O1.N)1NG`I'ANK: (tank must p�pumpecl at time of inspe on)(locate ou site plun)
Depth bel�w grade:
Malerial nf ca►slniction: _concrele meta�__fiber6lass polyethylene otl�er(explain):
Din�ensions:
Capacity: ball�ns
Design Y�low: gallons/day
Alarm present(yes c�r no):
Alarni level: Alarni in workiug uriler s or no):
Dalz of last pumpinb:
Coninients{conditiou of alarrn aud ll�at s ilcl�es,ctc.):
I�1S'1'12r�IU'I'1nN �1nX:�(q(if present must be ope��ed)(l�cate on site plan)
Dept!►of liqui�l level above ou11�C inverl:
Comments(nole if Uox is level und disfriUulion to oullets equal,any evi�lence of solicls carryover, any evidence of
leakage inlo or ou1 of U��x,etc.):
�to r�-���— �'✓"a ��s< <., ¢--•
�'C11V11'CKYAlV1131:R: (locate on site plan)
Pumps in workinb order(ycs or no):
Alarn�s in workinb order(Yes�r uo):
Coinmepts(nole condition o��pump cl�amber,coy tion of pumps and appiirtenances,etc.):
8
PagC 9 of I 1 �
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�'AY2`�' C
S�IS`�'�M XNr+'U1t1V1�TY�N(continued)
249 Station Avenue
Properly Address: South Yarmouth,MA
Dr.Sylvester maloney _
ntivuci: March 31,�006
l)atc of lus��eclion: � �
Snrl.A13SOliP'I'1ON SYS'i'�lV� (SAS): ✓ (�ucale on silc plau,excuYullai►nuN rec�uircd)
If SAS not (ocate�!explain w!►y:
l�Yp� � �
�leacliiub pits, nuniUer: � - � �?c G �l_.c.w.�L, ����- w� �'l. 2`5!-c�t
leacl�iub cliambers, nun�Uer:_
leai:l�ing gallcries, numbei:
� JCilCI11116(ICIICIICS, uuruber, lenbll►: - -- � � .
leactiiub t►elds, nun�ber, �1in►eusions: _ .
overfl�w cesspool, nurnbe�:
innovative/alternalive syslem Type/n�une uf technoluby: —_--
Comn�enls(no�C coiicliCioi�uf se�il,sigris of 1►ydruulic li►ilurG, Icvel of pondiub,damp soil,condilion of vebetalia�,
etc.):
SU. I W4-� (+-h _ �t[._. "�.. /'�� } wa-�� �p�/w�./� W1�'—c"i�"'��w IG✓+� ��A�S. ���� �c-�n�./
,ti �t�a-- {.y\.�,�/w; n u.. V,i /����2 l+- s�.`� �.�'^.s-�3'�9'�� �� 6.v���./ ;�. �..�%h�� .�n
/�j.�/• .�-t h:t,� J � h�s�s�+.,ti/l t c, lu i�✓cr.a .�✓ yovo 61 c i-w.� . L� � '�,,,_/,��.S��- W w.. �j✓..a( .�./L..� .
��,�..t, al N�.1-a /C /h S�O-c'-'�7 D[� b�.r�" ,f�7 y��.+� ✓•�S�-� �M-a,r.� Nt-.�'l . w�✓�h .S �'�ti�o�.✓.i( . S-c./� ..
Cl?SS1'nOI.S: (cesspoo) n►ust be pumpe�l as part of�nspectia�) cale c�n site plan) ) / �� �/ �°'�
. . . . /� J/�T4 4.� I_�.) ���1
N�������L� 1������.����I�����l���V{�. �N� /1' 1 � s 6y _i(� �t�.a.c.H y L� ��./�.✓I'�ilh/-a�A
1)eplli-lop uf li��uid lo inicl inveil: ----- _ G�' �4vr�.,,� �
7 �� /ht +/lNy'.e. wvr�t;
pe��tl�of s�lids layer: _ ��k �j
`'f'f�.ai, s a�! 7: Y
I�c;ptl►of scum layer. / �' S, /tw�.�:h b�—
pimensioi�s uf cesspooL- Sy S'`-�.a 5
Maleriul�of cous�ructiou:
►i�dicatioq ofbi�ounciwaler iutlow(yes or n .
Con�rnents(nole c�nciilic»�nk�soil.sibns hydruulic luilure, Ievel ofpon�ling, condition oFve6etafion,ete.):
PI21VY: (locate on sile plan)
Materiuls of co��slruction:
llin�ensious:
� prn��►orsoi;as: � � � � �
Con►n�ents(noti:condil'lou of soil,signs ol'l�yc ulic tuilure, leve)of ponding,eondition of ve6etation,etc.): '
,
' 9
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rAri�� c
SYS'!'1:lY� IN�n12MA`�'ION(cnntinued)
249 Station Avenue
South Yarmouth,MA '
1',-uperty A�l�lress: Dr. Sylvester maloney
March 31,2006
Orvnei:
Uatc uf Ins��cctioiu
stc�'i'crt o��s��wac�: l�Ysr�osAi.sYsr�M
1'rovide a s}:etch of ll�e�ewabe disposal syslem inctucliug ties t�at least two permanenf relerence landmarks or
Uencl��narks. T_ocatG all wells wi�l►in 1�0 feel. 1_ocate where puUlic waler supply enlers tl�e Uuilding.
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OI+t�IC1Al.. KNSI'1?C'i'I()N 1'U12NI - N()'1' 1�012 'vOY,UN`i'Al2Y ASS1�SSNlLN`!'S
SUI3Sl1�2�+'ACr� S�'VYAG1� q�SY'nS�.K� SYS`l'rM YNSI'LCTrON 1+n12M
1'AYZT C
SYS'�'CM YNYiOR1V(ATYnN (con�i��ued)
249 Station Avenue �
1'roper•ty A�Idress: South Yarmouth,MA
Dr. Sylvester maloney
��W����'� March 31,2006
D:�tc ol`luspccliuu: _.
sY'r�: t�xa�vr � � � � �
Slope
Surlace water
Check cellai ✓
SIIiIIIOW WCIIS
Lstirnale�l depth to bround wute:r � 3 �"�(eet
1'lease indicate(checkj all melho�ls used to�ietermine tl►e liibl►grouncl w�ter elevatia�:
Ubtained tioro syslerii desibn pldns on recc�rd- If cliecke�l,date of desibn plan reviewed:
�OI)SCI VCLI S1IC�aUutli�ib(�rc�perly/observalia�li�le will�in 1 Sl)leel oI�SAS)
Cl�eckecl with local l2nar�l oF l leattl►-explain: _ _
Cliecked witl► t�cal excuvalors, inst.►Uers-(uttacl►documenW�ion)
_�ACCCSSClJ USGS llatab�rsC-explain: �W z�_C.-o�v� (3 _�-I .'�jr ' Y'
You iuust describe li�w yuu establislie�l �he liibli broun�! w:�l�r elev:�lion:
--t_[r�`-/''7[�--�-���--.�-�.tQ �'' .�.I ` 6.c����� a� �u-.�G,'� �.1 i _
1..�:L �'W }`\i�/�n�{� ��-.V� � ���i.�_/9 6�n G�.�+-�., h/6- �, . 9 � /�7�.n J/-
t t�..��,:,���,�.�SL�`�` �-��,•��—.�., ¢- � �_Lv�f� : � �� �4
����,� 1.�,..�4, --- -
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