HomeMy WebLinkAboutInspection Report 1997 Sep 10t i'���' P T9�;,;� .
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� C0�4�90����ALTH OF MASS.�CHt SETTS WEALTH DEPT.
� ; E?�ECt'TIVE OFFICE OF E'�VIRO'�'�4E�TAL AFF.4I
""' DEPART�IEIT OF E1�'IRO�'�1E\TAL PROTECTIO�
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��W O,E �W'1�TER STREET. BOSTO�. Tt.� 0=1C�S 6I'•:9:-�:Oi�
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"VVILLIA�'F W:ELD ��\ � , ' TRl'Dl�CO?�
Go�•ernc• (� Se:Tetan
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ARGEO PAUL CELLI'CCl D.4�'ID B STRL'KS
' Lt.Govemor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPFRION fORM Commissiorrcr
M�� �jU PART A
A _� ��� CERTIFIGTIOh
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Property Address: ����-3�� � S -�U..--avlJ� Address of Owner: ��Q,k,S N�,Esi��
Date of Inspection: )�7��j'� (If difrerent) �S y���,,�, � -
Name of Inspector: ` / f ��o �*
I am a DEP approved system inspect� pursuant to Section 15.340 of Title 3 (310 CMR�000�� ��..�,1�
Company Name:f}/�a"�,'c E� r�'r+�.a �p.��-.e�_�
Mailing Address: �p �o� 3�pt,f . H,qs� po r.�/�v Q��9,
Telephone Number: _�j'G��.��— /(,�,� Zp
CERTIFIUTIO�' STATEME\T
I cer,�ry thac I ha�e personall� �r.speaed the se�age d�sposal system a� th�s address and tha; the �nro�mat�on reported belo� is true. accura�e
and comolete as o�the t�me of �n�pec�o^.. The �nspea�on K•as pertormed basec on m� trammg ano expenence �n the proper funcuon and
ma�ntenance oi on-sne se�age d�sposa� �ystem� Tne cv�tem�
� Passes
_ Cone�c�o�aii� Passes
� _ tieec= Furtne• E�•a!uaron S� the LOc�I Approv��g Authpni)
Fa.��
Inspector's Signature:, Date: l �7 �
The S�•s:em Insceao• sha�' subm�; a cop� ot this inSpecl�on report to the Approving �uthorih• within th�rty (301 days oi complet�ng th�s
inspea�or. li the s�•stem is a sha�ed svstem o� ha> a des�gn floN• oi 10,000 god or greater, the mspeaor and the system owner shall submit
the repo^� to the appropnate ree�orai ori�ce of the Department or Em-ironmental Protect�or.. The ong:na! should be sent ro the svscem owner
and cop�es sent to tne buve•, ii appl�cable, and tne approvmg authorin
I►�SPECTIOti SUMMARY: Check A, B, C, O� D:
AJ SYSTEM PASSES:
,�, I have not found any informat�on which mdicates that the system vio(ates any ot the failure criteria as defined in 310 C�vtR 15.303.
Any failure cnteria no: evalu ted are m�cated below.
COMMENTS: '�
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Bj SYSTEM CONDITIONALLY PASSES:
One or more system components as described in the 'Conditional Pass" section need to be replaced or repaired. The system, upon
completion of the replacement or repair, as approved by the Board of Health, will pass.
�nd�cate yes, no, or not determined (Y, h, or ND�. Describe basis of det�rmination in atl instances. If"not determined^, explain why not.
_ The sepc�c tank is metal, unless the owner or operator has provided the system �nspeaor with a copy of a Cenificate of
Comp(�ance �attachedi md�canng that the tank was installed within twenty (20i years prior t�the date of the inspect�on; or
the sept�c tank, �n�hether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltrat�on, or tank
fa�lure is �mmment. The system will pass inspection if the existing septic tank is replaced with a confortning septic tank
as appr��� by the Board of Healch.
lr�.•:��d 0�/25/97) Yay� 1 of 30
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a...�.....:.. ;. , : ,, PART A '
CERTIFICATION (continued) � �
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Property Address `
Ow�ner. •
Date of Inspedion:
B] SYSTEM CONDITIONALLY PASSES tcontm.��d '
_, Sew�age back�p or breakouc or high static water leve! observed in the distrib tion box is due to broken or obstructed ,
p�pets) or due to a broken, Settled or uneven distribution box. The system ill pass inspection if Iwith approvaf oi the
Board of Healthi. Describe observations:
broken p�pets)are replaced .
obstruct�on is removed ' '
d�stribution box is levelled or rcplaced
_ The system requ�reo pumpmg more than four times a year due to oken or Obstructed pipe(sl. The system v.•ill pass
mspea�on ir tN•�tfi aaproval of the Board of Health):
broken p�peisr are replacec
o�struct�on �s removed � ,
C) fURTHER EVALUATIO� IS REQUIRED BY THE BOARD Of HEALTH:
Cond�t�ons ex�st wh�ch requ�re iurther evaluat�on by the Board f Health in order to determine if the system is fa�l�ng to protect the
publ�c heahh, saren and the ern•�ronment. / ,
� 1) SYSTEM WILL PASS l!NLE55 BOARD OF HEALTH DFfERMINES THAT THE SYSTEM IS NOT FUNRIONIt�G IN A MUNhER
� ., WHICH Wlll PROTECT THE PUBUC HEALTH AND S FTY AND THE ENVIRONMFNT:
_ Cesspool or pr��� is w�thin SO ieet or a surfa e water '
_ Cesspoo� o� pr�„ is N ithm 50 teet ot a bor e�mg vegetated wetland or a salt marsh.
21 SYSTEM 1h'ILL FAII U►�LE55 THE BOARD OF H LTH (AND PUBUC WATER SUPPUER, IF APPROPRIATt� DEfERMIhES THAT
THE SYSTEM IS FUNCTIOtiI�G Ih A MANNE THAT PROTERS THE PUBLIC HEALTH AND SAfEIY ANO THE
ENVIRONMEtiT:
The svstem has a sept�c tan{� and il absorpt�on system (SASI and the SAS is within 100 feet to a s�rFace vvater supply o�
tnbucan� to a surrace water suppl . `
7he svstem has a sepnc tan�: an soil absorpuon system and the SAS is within a Zone I of a public water supdy welL
The system has a sept�c tank a d soil absorption system and the SAS is within SO feet of a private warer suppty welL ,
The system has a sep��c tank nd so�l absorpt�on system and the SNS is less than 100 feet but 50 feet or more from a i
pnvate water supph• well, u fess a well water analysis for coliform bactena and volatile o►ganic compounds ind�caces that
the well is free rrom pollut' n from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equa!to or �
less than 5 ppm. Meth used to decermine distance tapproximation not vali�.
3) OTHER �
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Sl,'BSURFACE SEK'AGE DISPOSAL 5157EM INSPECTIO� FORtit
PART A
CERTIFICATIO�v (continuedJ
Propem Address: 1�b ��3 � �
Owner: ���
Date of inspection� '
�lwL��
D) SYSTEM FAilS:
You must ind�cace e�ther "t'es" or "�o' as to each of the follo►+•mg
� I have de�erm�ned chat the system v�olaces one or more of the followmg failure cnter as defined in 310 CMR 15.303. Tne oas�s
I , for this determmat�on is identii�ed belo�•. The Board of Health should b� contaa to determme what will be necessan• to corren
the failure. , '
Yes No
_ _ Backyp o�se�age mto facil�t�- or system component due to an overl ded or clogged S�S or cesspool.
_ _ Discharge or pondmg or effluent to the surface of the ground or rface waters due to an overloaded or�logged $AS or
cesspool '
_ _ S,a;�c !�o��c le�•ei m the d�s;r�b:,c�on boa abore outlet �nvert ue to �n overloaded or clogged Sq5 0� cesspoo,.
_ _ l�qu�d depth �n cess�ool �s less than 6" befow invert or a ilable volume is iess than t/2 da�� rlo�•.
_ _ Reou��ee pumping more than 4 times in the last yea► T due to clogged or obstruaea pipe s .
tiumber o�t�mes pumped_
_ _ An� port�o.^. o`the So�� Absor�c�on System, cesspo or pnv�� is btlow the h�gh grouno�•a!e� eie�•at�or
, _ _ Am po�:on o�a cesspool or priv� i5 v.ithm 100 t of a surtace water supplv or t�ibuta� to a surrace v.ater suppl�.
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_� _ An� po^,ior oi a ce:spoo' or prnti• is N ithin a onel or a publ�c well.
_ _ An� pe^:�c- c�a cesspoo! o� prn1• ic N•ithin ' feet of a privaie water suppl� wel;
_ _ Am po��or a a cesspool pr pr��y �s less t n 100 feet but greater than 50 ieet from a pr�vate water supph- well with no
acce�;able Nate• qual�n anai�•s�s. li tne w II has been analyzed to be acceptabfe, attach cop� oi well water analvs�s for
col�iorrr. ba�e��a vo!a;�le organ�c compo nds, ammonia nitrogen and nitrate n�troger,. �
E] URGE SYSTEM FAllS:
tiou musc md�cate e�:he• "Yes' o� "�o" as to each oi the ollowing:
Tne ro!�oK:r,g c��;e��� ap��� to �arg? systems i aod�t�on to the criteria above:
The system sen•es a racilm N-�th a design fl • oi 10,000 gpd or greater ILarge System; and the svstem is a signif�cant threat to
, publ�c hea!th and saiec� and the env�ronm t because one or more of the following condit�ons ex�sc:
Yes No
' _ _ the system is withm 400 feet f a surface drinking water supply
_, _ the system �s withm 200 f t of a tributary to a surface drinking water supply
_ _ the svstem is located in nitrogen sensitive are3 (Interim Wellhead ProteCtion Area -IWPI�) pr a mapped Zone II of a
publ�c water supply we )
The owner or operator of an� such syste�n shall bring the system and facility into full compliance with the groundwater treatment program
requ�rements of 31a Cti1R 5.00 and 6.00. Please consult the local regional off�ce of the Department for further iniormation.
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Sl,'BSl1RFACE SEWAGE Dt5PO5Al SYSTEM INSPECTIO!v FORM
PART B �
CHECKUST
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Property Address: �� P� 3 -
Owner.�U��1� �
Date of inspection:�t�0���
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Check if the foliow�ng have been done: You must indicate either "Yes" or"No"as to each of the following: a
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Yes �+o �
� _ Pumpmg information �n�as provided by the owner, occupant, ot Board of Health.
_ � t�one of the system components have been pumped for at least two weeks and the syscem has been receiving normal '
flow rates dur�ng that per�od. Large volumes of water have not been introduced mto the system recentl� or
as part oi th�s ��speR�on
_ � As bu��: p�a�s ha�•e beer. o�;a:ned and exa^���ned. hote if they are not available with N;A
_ � The iac:��� or d�+ellmg �.as mspeaed fo� signs o�sewage back-up.
7� _ The s�•stem does not rece�.e non-sanitan• or industnal waste (low.
�( _ The s�te �.as �nspeaed iot s�gns �� breakout
y�
� _ AII ��sterr co�ponenis, ezClud�ne the So�: ADsorpUon System, have been located on the sne. �
, �•, _ The sepc�c tank manho�e� �ere unco.•ered. ope�ed. and me intenor of the septic tank was mspeaed ior cond�t�on oi '
bariies or tees. mater�a' o' cons;rua�o�. d�mens�ons, deptn of liquid, depth oi sludge, depth o�scum.
The s�ze a�d �oca��on o*the So�' �.bsorpt�on Svstem on the site has been determined based on
� _ The iac�I�i� o�.ne� �ano occupants. �i d�neren: trom o�•�en were provided with mtormauon on the proper ma�ntenance of
Sub�Suriace D�sposal Svscem.
_ NI(� Ex�sc�rg �nio�mat�on Ea Plan at B.O H.
"t"
X _ De�erm�nec �� tne field .r am oi the fa�lure cr�cer�a rela[ed to Part C is at �ssue, dpproximatio� oi distance is
� � unaccea'•ab�e (��.302�.3�:b'?
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� SUBSURFACE SE1ti'AGE DISPOSAL SYSTEh1 ItiSPECTlO'� FOR`t
PART C
• SYSTEM INfORwtATiOti
Propert� Address: �� �R.,3
Owner.'1+�V��p111� �
Oate of Inspection: 9�1d'�i� ' .
fIOW CONDITIO!�5
itESIDE►�TIAI:
� �es�gn tlo� �3 v e p.d.,�bedroorr io� S.A�S
� Number of beflrooms O'�j .
. Number o�current residents Ol
Garbage g�,�der> `` `
� Laundry cor•�ec�� em 3'or no'„f�
Seasonal use iyes or no�:� � p�
VYater meter readmgs, if a�•a�iable (last two i2 year usaee lgpdi:L1,�� t�� ��� � „— ��j3
Sump Pump tves or noi,'�f�
Las; da;e o`occupann 5�����5,
COniMERC14L'1!�Dl'STRIAL•
Type of establ�shmen;
Des�gn fio�. _ga!�onytla� �
Grease trap present ives or no
Ind�s;r�a! �laste Hoidmg 7ani; presen; ��•es or no
'�on-san�tan �aste d�scna�gec co tne T�;�e 5 svs�em ;res o� no
1�ater me�er reao�ng� ii a�a�fabie
, las:pa;e o; o .,.,�a^c. •
OTHER: .�escr�be
last oare o1 occ�ca�c.
GE�ERAL INFORMATIO!�
PUMPItiG RECORDS and source oT �niorma;�or.
S��vr� iM��_ ol tio �Lo�C
S�stem pumpec as par, o� mspeC,ion. ;ves or o�1Q
li yes, vo�ume pumped _ ¢allons
Reason ior pumpin�
TYPF OF SYSTEM
Sep��c tank,�d�str�bu��on box,%so�l absorpt�on system
. � S�ngie cesspool
Overflow cesspool
Pri��,
, Shared system (yes or nol (if yes, attach previous inspection records, if any)
UA Technologv etc. Copy of up to date contrect?
Other
APPROXIMATE AGE of all componen[s, date installed (if known) and source of information: __I.�I �r'/ TaJ S�k (I��
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Sewage odors detected when arr�ving at the srte. iyes or no1�
t:.��..a 04/2S/9�)
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Sl,BSURFACE SE�4AGE DISPOSAL SYSTEM INSPEC710!� FORM j
PART C � '
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SYSTE�►1 I�FORh1ATiOti (continued)
PropertyAddress: (f�j '�+e,j _ •
Ovvner. �V�2Qfh�
Date of Inspection: ��l O r�� _ �
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BUIIDING SEWER:
Ilocate on site planl
.
Depch befow grade.
Material of construa�on: _cast iron _40 P`'C _ocher �explain`
D�stance from pnvate water supply well or sua�on I�-� _,_,�_.
� O�ameter '
Commenu: (cond�t�on of�oinu, vennng, evioence oi leakage, etc.)
SEPTIC TA�iK:_
Uocate on s�te plan
Depch beloN g►ade ' '
ntater�al ot construa�o.^. _concre;e _me;a _F�oe�g�as� _Polvet lene _otheriexpla�n
If can� �s me;ai, I�s: age _ �s age cor.i�rmec o� Ce^:��ca:e oi Co pi�a�ce _(�'es�'�o
� Dimensior.s
. Sludge depth�_ . '
D�siance irom top o� siudee to bo:,o-� o�ou?�e: tee o• bz��e
Stum th�Cicness�,_
D�stance from top o, scum to top o' outle;tee o� ba��e
Distance iro�n bottorn o� scu^�� to bo-o�^ o�o�tie; tee e• aT,e
Now dimens�ons �ere dece�m�nec
Comments
trecommendat�on ior pump�ng �condrt�o� o� m�e; a d o:,:te� tees o� baffles, depth of liquid level in relat�on to outlet i�ruert, structura
inlegncy, e.•idence of leakage. e:c.! �
GREASE TRAP:
llocate on s�re plan;
DeRth below grade. .
Mater�al of[onstruct�on: _co�c�e[e � ecal _f�berglass _Polyethylene _other(exptain)
Dimensions: � '
Scum th�ckness:__ � �
D�stance irom top of scum to top oi�utlet tee or baffle.
Distance from bonom o(scum to bottom of outlet tee or bafiie:
Date of lut pumpmg � •
Comments: i./ �
trecommendat�on fo� pumping,; conditio� of inlet and outlet tees or baffles. depth of liquid level in relation to out�et i�aaert, structurel
tintegnt�•, ev�dente oi leakagefletc.;
,I Pag• 6 of 10
(z�vi��d 0�/35:9%)
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S1165URFACf SEK'AGE DISPOSAI SYSTEM INSPECTIO'� FOR,'vl
PART C
SYSTEtvt 1►vFORMATIO'�' (continuedJ
� Propert� Address: �
� OM ner. _
Date of Inspection:
� TIGHT OR HOLDI�vG TAWK: ?ank must be pumped prior to, or at tim , of Inspect�on�
i (locate on site pian, •
� Depth below grade — — —
Matenal of construct�on. concrete metal fiberglass _Polyethylene other(explain)
D�mensions
Capac�r� �alions
Des�g^ flo� gal�ons•oa.
Alarm leve� A�a�m �n „ork�ng orde�_ Yes; _ no
Date ot pre�•�ous pump�ng
Comments
(tondmon o� �nie! tee. co�d�t�or. o• a!arrn a�d floac sw�tches, etc.i
DISTRIBUTIOti BOX:
iioca�e on s�te p a^
Dep�h o' I�cu�c le�e' aoo•:e out�e: �me�
�Om�e.^,(c.
�note �� le�•e! a�d d�sr�b�;�on �s eoua'. e�•�ce�ce o�soi�d carryo.-er, ev�dence oi leakage �nto or out of boz, etc.i
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PUMP CHAMBER:
(locate on s�te plan
Pumps m working order: (Yes or ho'
Alarms in working order (les or No
, Comments:
(note cond�tion of pump chamber, cond�tion pumps and appuRenances, etc.)
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SUBSURFACE SEV1'AGE DISPOSAL SYSTEM INSPECTIOh FORM �
PART C '
SYSTEM IWFORMATIO!� (continued) ' �
Propert� Address: t� �3 �
Owner:��y ,
Date of Inspectiori:�(���`
SOIL ABSORPTION SYSTEM (SAS):� _
(locate on s�te,plan, �i possible, exca�ac�on not requ�red, but may be approximated by non-intrusive methods�
H not determined to be present, expla�m ,
I
4
TypE:
leaching pits, number.
(eaching chambers, number:�
(eathing galleries, number.
leaching trenches. number,tength:
leach�ng i�eios, number, o�^+e�s�ons
ove�i!ow• cesspool, num�er
Alternahve srstem
hame ot Technoiog�
Comments.
inor? cond�tion o`so��, s�gr.s o� hydra�lic ta�l�re, levei of pondmg. condiuon of vegetaUon, etc.�
CESSPOOLS: ,� ;
Ilocate on s��e plan
number and coni�g;,ra'�o^ o� ' �7W'1J�
Depth-top o1 I�qu�d to mlec mver, y� - 3'�'� Z"5�
Depth or sol�ds laye• '� \ •�L'' �Z"�,
Depth oi scum layer.� �-[7" Z- b''
D�mensions of cesspooi �s \-b�1z�'' 2� �ex1
Matenals of construa�on ���.-,c�y? El�at,l( .
Ind�cauon of groundNate• Iur�
mflow icesspoo� must be pumpeC as par, o� mspect�on� IJc�
f
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Comments: �
(note condition of soil, signs o/hydraulic fa�lure, level f�on in ondition of veg tation, etc.) , ti '
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PRIVY: IlI(�
qocate on site plan) ,
Materials of tonstruCtion: Dimensions:
Depth of solids:
Comments:
fnote condition ot soil, s�gns of hydraul�c failure, level of pond�ng, condition of vegetation, etc.)
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SUBSURFACE SEINAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM I'�fOR!�tATlO!� (continuedi
Propert� Address: \u �3 '
Owner. (J���Q��
Date oi Inspection: ��`01��
SKETCH OF SEWAGE DISPOSAL SYSTEM:
- inciude t�es to at least trvo permanent rererences landmarks or benchmarks
locate ali wells w�thm t00' (Locate where publ�c water supply comes into house)
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(z�vli�� 0�'25!S"1 Pag� 9 of 10
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIOh FORM '
� PART C �
;
SYSTEM INFORMATION (continued) � j
Propert� Address: �7� P��-3
Owner. µ�N,Q�'�� '
Date of Inspectioni i,�o
�� �4� _
Depth to GroundM•ate��fee; . i
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Please mdicate all the methods used to determine H�gh Ground�ater Elevation:
1
Obca�ned irom Des�gn Plans on record �
Observat�on o�S�ce cAbun�ng propert�, obsen•ac�on hole, basement sump etc.)
Determme it from local cond�t�ons
Cnec� �+�th loca' Bca�c o• �ea';r
Chec:. FE!��A n�aps
Cneck pump�ng recoros
Chec�. loca� e�ca�ato�s ��s;a'lers
, � lse ;.5�5 Da'�
Desc�ibe �n vo��_o�+�: �••o��s ro�.+ �o., es:abLshec t�e '��g!^ Grouno�ater Elevat�on. IMust be completed
v.s.�ti� s��.��, , ,;��,���,� �,�.S�;y���S , ���. ��2_ �� � ly
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lz�v���3 Q�:25'9'. P�q� 10 of 10 I
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�� :� : o TOWN O �F YARMOUTH
� :-_, � 11-�6 KOliTE 2t3 SOUTfI YAK��fOL'TH MASSACHUSETTS 0266�-�4�1 �
�MATTACMEES
''"`�Aao..�co��'��' Telephone(�08) 398-�231. Est. 241 — Fas(�08) 3�8-?36�
B O A R D O F H E A L T H
i December 4, 1997
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� Charles Murphy
� 15 Moore Road
� Wayland, MA 01778
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Re: 18 Paz Three Drive
Garbage Grinder Removal
Deaz Mr. Murphy,
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This department is in receipt of a subsurface sewage disposal inspection report on the above noted
property,conducted on September 10, 1 Q97 by Michael DeDecko, and received by this department
on October 8, 1997.
The report states that a gazbage grinder is within the kitchen. The septic system was not designed
or pernutted to handle a garbage grinder. Therefore, the gazbage grinder must be removed, as your
septic system is not designed to handle the stress from a gazbage grinder.
It is necessary for this deparimern to receive notification when the gazbage grinder has been removed.
If you should have any questions or comments relative to this ma.tter,please contact me at the Health
Departnlent. I can be reached by calling(508) 398-2231, ext. 241, Monday through Friday, during
office hours, from 9:00-11:00 a.m.
Sincerely,
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� Bruce G. Murphy
Director of Health
BGM/tlj
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