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HomeMy WebLinkAboutInspection Report 2017 Jul 26 - Late; Invalid Murphy, Bruce From: Murphy, Bruce Sent: Wednesday, February 28, 2018 4:07 PM To: 'Michael Cuff Subject: RE: 46 Antlers Rd., S. Yarmouth Hi I have placed a call to T5 Inspector and he is calling me as I am typing. As the report was not submitted with 30 days,the cesspools must be respected. Mike stated he would inspect, but is not available next week, it will be the week after. Any questions, give me a call. Bruce G. Murphy Director of Health Town of Yarmouth Registered Sanitarian Certified Health Officer Master's Degree Public Health From: Michael Cuff[mailto:mcuffmaritime.edu] Sent: Tuesday, February 27, 2018 11:39 AM To: Murphy, Bruce Subject: 46 Antlers Rd., S. Yarmouth Good Morning, I received a letter from you late last week indicating that your office had not received the Title V inspection report for 46 Antlers road, a property we recently purchased. I am at a loss as to why the inspector would not have submitted the report. In any case, I have attached a copy of the report. Please let me know if you need additional information. Thank you for your time. Michael Cuff Sent from Mail for Windows 10 1 RECEWED Title Commonwealth of Massachusetts FEB 2 8 2018 �' 1 I l5 ial Inspection Form HEALTH DEPT Subsurface Sewage Disposal System Form -Not for Voluntary Assessments e. *.t,,,„-L-7,;0447 46 Antler Road Property Address AssnciAtca SCActtint1P, t t(" Owner Owner's Name Information is required for every South Yarmouth MA 02664 07/28/17 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way.Please see completeness checklist at the end of the form. important:When _e rt t 3ftft, r t..,.s�. �.� / Ring out forms . .. n 3e. _.. .... 1.1 vt on the computer, use only the tab 1. Inspector; 1 l - key to move your a.J a re cursor-do not Mike Hudson use the return Name of Inspector { ,,. • Septic-wiz Environmental Services — a- ' Company Name 44 Tall Pines Dr fo Company Address ___ ----- Yarmouth Port MA 02675 CityrTown State Zip Code 508-367-5669 DEP SI#f 4254 B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: WI Passes [] Conditionally Passes E3 Fails Ll Nee. urther Evatuati._ oy the Local Approving •. e- _de 04/04/17 I •sector's Signature Date 1 he system inspector shall submit a copy of thi -ction report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or 'nus a oesign'finow of 1t),OOti gpo or greater,the inspector and the system owner visit staomirtne report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official inspection Form'Subsurtace Sewage Disposal System•Page 1 of 17 Jj Commonwealth of Massachusetts =fl Title 5 Official Inspection Form 114 1111Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Antler Road Property Address AAAnniAta Srtliitinns. t I C Owner Owner's Name Information is required for every South Yarmouth MA 02664 07/26/17 page. CIty/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary:Check A,B,C,D or E/always complete all of Section D HrWrStem'* ►:® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: (2)independent cesspools. (1)6!x6! and(1),4'x6', both dry at time of inspection. B) System Conditionally Passes: One or more system components as =-scrtoeri m'me`t,;ontxmona 'r;ass"Semon neeo to ae replaced or repaired.The system, f•on completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or of determined"(Y, N. ND)for the following statements. If"not determined,"please explain. The septic tank is metal an• over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substa 'al infiltration or exfiltration or tank failure is imminent.System will pass inspection rr me existin« rant is repraceo wrttt a complying septic tans as approveo try me t oara of Health. *A metal septic nk will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance i '. eating that the tank is less than 20 years old is available. Y ❑ N ❑ ND(Explain below): Commonwealth of Massachusetts 49 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Antler Road Property Address Associatt?Sotifficirts,t: 'C Owner Owner's Name informations South Yarmouth MA 02664 07/26/17 required for every page. City/Town State Zip Code Date of In-..ction B. Certification (cont.) El Pump Chamber pumps/alarms not operational System will pass wit, Board of Health approval if pumps/alarms are repaired. `+uT' estel.`1.rr{'J'tei'iree si[iry'4-assesi,t f'it.'. 0 Observation of sewage backup or break out or high static eater level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settl-• or uneven distribution box.System will pass inspection if(with approval of Board of Health): O broken pipe(s)are replaced VY ❑ N ❑ ND(Explain below): L.J. t tiVCutQ„ r •r t_t Si( t _t r',Ir u Fvio(cApaatet is O distribution box is leveled or repla«-• ❑ Y ❑ N 0 ND(Explain below): ❑ The system required pumpin. more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection {with approval of the Board of Health): El broken pipe(s)ar= replaced 0 Y 0 N 0 ND(Explain below): • obstruction is r- oved Y 0 N 0 ND(Explain below): C) Further Eval :tion is Required by the Board of Health: ❑ Conditions e st which require further evaluation by the Board of Health in order to determine if the system i. failing to protect public health,safety or the environment. . ;&yetern'Win pass ' arra tai rico rin teetternienes arcxwriterett witrt 15.303(1)(b)that the system is not functioning in a manner which will protect public health, 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 apHz 701 Q_1`_ni_...5...ty,.V,._"3414 5' =aDn.?3 '' Commonwealth of Massachusetts t Title 5 Official Inspection Form tik= Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Antler Road Property Address A9 0e atrk. cthtuictn t E C Owner Owner's Name information is South Yarmouth MA 02664 07/26/17 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fall unless the Board of Health(and Pu c Water Supplier,if any) determines that the system is functioning in a mann= that protects the public health, Q The system has a septic tank and soil absorpti'.n system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to surface water supply. ❑ The system has a septic tank and SAS an. the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SA and the SAS is within 50 feet of a private water supply well, fl The system has a seotic tank arid S° .ftc4 the SAS is less thati 100 feet but 51?feet or more from a private water supply we *. Method used to determine distanc i*This system passes if the well 4 er analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates abse and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided at no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: 0) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all Inspections: Yes 'No Q CBackup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ CDischarge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ 11 Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Lioutd death in cesspool is less than 6'below invert or available volume is less than ' day flow t5ins•3t13 Title 5 Moat Inspeceon Form:Subsurface SewageDisposalSystem•Page 4 of 17 Commonwealth of Massachusetts * ' l Title 5 Official Inspection Form t Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Antler Road Property Address Associlale Soktfinm,E G Owner Owners Name information is required for every South Yarmouth MA 02664 07/26/17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ilerruired r urnOThr,more then 4 times the last,year NOT duo to clogged or obstructed pipe(s). Number of times pumped. ❑ ►� Any portion of the SAS, cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. El ►:1 Any portion of a cesspool or privy is within a Zone 1 of a public well flier pue..7o`r 0s se esstuo0 fX p ,vy a61 waet4i 5Ze ietip FJV ti `iven,& i k4 f3ri. ❑ 1Zt Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.[This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis ....,1 H f ...1. .: ,n 7e.e .. ..-Js.+,17& ;t ;::;74:-.1.;..rr ,..„aka-^:.arx�•s�-rs•srr,",x.tom' r3,t�' The system is a cesspool serving a facility with a design flow of 2000gpd- O el 10i000gpd. MThe system kill.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails,The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large sys -m the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems,you must indicate eith- yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ice " sr 42": .,. � �=� 0 0 the cyst: is within 200 feet of a tributary to a surface drinking water supply ❑ the s .tem is located in a nitrogen sensitive area(Interim Wellhead Protection Are- —IWPA)or a mapped Zone Il of a public water supply well if you have answered" =s"to any question in Section E the system is considered a significant threat, or answered"yes" in ection D above the large system has failed.The owner or operator of any large ssy 2t.7-, rtxataaC, cEexi�d(r %,k##wxn�t r�c.rt �C`r_Mir.f�C',ne{nAc+rk e,v9ekra Q1A1.4 intn tt vv tt #Mata system in accord- ce with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department turfs.3113 title 5 Official Inspection Form:Subsurface Sewage Disposed System•Peps Sof 17 Commonwealth of Massachusetts 'l Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments „ , 46 Antler Road Property Address Associate Sootuiticirrg,t (7*. Owner OwnerOwner's Name Information is rewired South Yarmouth MA 02664 07/26117 ra page. for every... City/Town State Zip Code Bate of Inspection C. Checklist indicate"yes"or"no"as to each of the following; been done. You must i Check if the followinghaveY Yea No ❑ _ Pumping information was provided by the owner,occupant, or Board of Health [] 2 Were any of the system components pumped out in the previous two weeks? I ❑ Has the system received normal flows in the previous two week period? ,•—, Have large volumes of water beer introduced to the system recently or as part of this inspection? © Were as built plans of the system obtained and examined?(If they were not 12 available note as N/A) h1 ❑ Was the facility or dwelling inspected for signs of sewage back up? ►� _ El Was the site inspected for signs of break out? Z n c..;.igc„ti v .i,�vc, Fib, 3Y<: r.,,ry'a'rss mow, is::ciaz ,", s' rar u 33 0 Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ►� ❑ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS}on the site has been determined based on; ►tel 0 Existing information. For example,a plan at the Board of Health. ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)) D_ S S"tgln infror»at o» Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440 GPD 6..3/13 Tile.5 Official inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts '1 ;17Title 5 Official Inspection Form iir y Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 46 Antler Road Property Address Ascv1t Sottttt«ns, t Owner Owner's Mame information is South Yarmouth MA 02664 07/26/17 required for every page. Cit y/Town State Zip Code Date of Inspection D. System Information Description: 3 Bedroom ranch and 1 bedroom attached apartment vacant Number of current residents: Does residence have a garbage grinder? 0 Yes ►e No Is laundry on a separate sewage system?(Include laundry system inspection —❑ Yes Pe o information in this report.) Laundry system inspected? ❑ Yes .w No Seasonal use? CS Yes 0 No 2015- 111 GPD Water meter readings, if available (last 2 years usage(gpd)): 2016-87 GRI? Detail: Sump pump? 0 Yes Eg No unknown Last date of occupancy: Date Comrnerclai/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.2' ): Gallons per day(gpd) Basis of design flow(seats/perso - sq.ft., etc.): Grease trap present? 0 Yes ❑ No Industrial waste holding t. k present? 0 Yes 0 No Non-sanitary waste •' charged to the Title 5 system? ❑ Yes 0 No Water meter rea-'ngs, if available: Sans•3/13 Tide 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts �=* - Title 5 Official Inspection Form . }mow Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ...7; 46 Antler Road Property Address Associate Sollitioos, t-CC Owner Owner's Name information is South Yarmouth MA 02664 07/26/17 required for every page, City/Town State Zip Code Date of inspection D. System Information (cont.) Last date of occupancy/use: Date user c t nem}: • Pumping Records: YD Transfer station Source of information: Was system pumped as part of the inspection? 0 Yes No N/A s, :+:w gallons How was quantity pumped determined? N/A N/A Reason for pumping: Type of System: gi Single cesspool Overflow cesspool 0 Privy ry ;u+ s .,. 3 d'!, Jrw,.,/ .+,, .•"' „ .s...a+ .+d,f1"^" ".t 'f:a,,j," rii-'.° rr�r a,.�.�,+.e',va�:,+.V,yy—.v_...�=+... Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract Tight tank.Attach a copy of the DEP approval r`OV,rar rriaenrikaaE rte,. thins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 8 or 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ►i § Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .r. 46 Antler Road Property Address Associate `otkticAns,-LLG Owner Owners Name information is South Yarmouth MA 02664 07/26/17 page. GI required for every City/Town State Zip Code Date of inspection D. System Information (cont.) Approximate age of all components, date installed(if known)and source of information: Estimated 50 vests a)d 3it)s Were sewage odors detected when arriving at the site? 0 Yes ID No Building Sewer(locate on site plan): (1) 1'6"(2)2' Depth below grade: feat Material of construction: 0 cast iron 0 40 PVC /4 other(explain): N/A Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): vented thru roof, no leaks Septic Tank(locate on plan): Depth below grade: feet ►:t concrete 0 metal 0 fib= !lass 0 polyethylene ❑ other(explain) NIA If tank is metal, list age: years Is age confirmed by a C- ificate of Compliance?(attach a copy of certificate) 0 Yes ►' No Dimensions: Sludge depth: t5ins•3f13 Title 5 Metal Inspection Form Subsurface Sawage Disposal System•Page g of 17 Commonwealth of Massachusetts � T* Title 5 Official inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Antler Road Property Address Associate So utiom ,LLC Owner Owner's Name information is South Yarmouth MA 02664 07/26/17 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) aftierme' ° o;trottje=to tv6ttcrrn cE Vaal r testa= Scum thickness Distance from top of scum to top of outlet tee or •:ffle et tee or baffle ' bottom ofa Distance from. .bottom of scum to t*W sG, rn r$IIOrrs few e Comments(on pumping recommends'ons, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet inve , evidence of leakage, etc.): Grease Trap(locate on site plan): ep h oeow 9C1ace: feet Material of construction: 0 concrete 0 metal 0 fib-rglass 0 polyethylene 0 other(explain): Scum thickness Distance from top of scum to top ®f outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date tens'3113 The 5 Office!Inspection Form:Subsurface Sewage Disposal System.Page 10 or t7 Commonwealth of Massachusetts 1 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Antler Road Property Address Associate Soiaions, LLC Owner Owners Name information is required for every South Yarmouth MA 02664 07/26117 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): Tight or Holding Tank(tank must be pumped at . e of inspection) (locate on site plan): atpc t t7e,ow grave' Material of construction: concrete 0 metal 0 fiberglass 0 polyethylene ❑other(explain): Capacity: gallons Design Flow: gallons per day Alarm present: 0 Yes 0 No '.rte,, No Date of last pumpin•: Date Comments(cons' 'on of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? 0 Yes 0 No 15,ns-3r b C?oce..ks '.°i trrt Si4s:R B.$Owe ganga`S.S1V'-"erlka C' Commonwealth of Massachusetts -__ t Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments -4 fi 46 Antler Road Property Address Associate Sotvtior s,C.4.0 Owner Owner's Name information is South Yarmouth MA 02664 07/26/17 requiredforevery page. City/Town State Zip Code Date of Inspection D. System information (cont.) Distribution Box(if present must be opened) (locate on site F an): 3epEn ,eves ease thitiet'tmert Comments(note if box is level and distribution to outl. equal,any evidence of solids carryover,any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site p,-n); `Pe.on kiii`i i 6:1Pt'yY ee 1,to Alarms in working order: 0 Yes 0 No* Comments(note condition sf pump chamber,condition of pumps and appurtenances, etc.): If pumps or al- s are not in working order, system is a conditional pass. Soil Absorpti,n System (SAS)(locate on site plan,excavation not required): -pew arcsitti,,expaiN*PIT. 45,x-31',3 Tt'e•5c tmtomcstcom StkilueSe66 SaWaSe 4'S5V'u S,seat ''ac.,04 ce'7 Commonwealth of Massachusetts ,/ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Antler Road Property Address Associate of fio s,t-tC Owner Owner's Name information is South Yarmouth MA' 02664 y07/26/17 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: reeterffC r i 'KO leaching chambers umber: 0 leaching galleries number: ❑ leaching trenches number, length: ❑ overflow cesspool number: innovative/alternative -ystem Type/name of t. nology: Comments{note t:ondtt4of b `,signs of bydrauiic failure,levet of ponding,dame soil,condition of vegetation, etc.): Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): (2)6'x8'and 4'x6' Number and configuration Depth top of liquid to inlet invert dry 96 and 48,sandy bottom none present Depth of scum layer 6'x8'and 4'x6' Dimensions of cesspool concrete block Materials of construction d SD tens•3/13 Tine 5 tial Inspection Farm Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form tel_ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Antler Road Property Address Assoc to Solvt ors,LLC Owner Owner's Name required for every information is South Yarmouth MA 026£4 07/26/17 required Y Cif frown State Zip Code Date of inspection page. D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, lev of ponding,condition of vegetation, etc:): Privy(locate on site plan): 1aiierieas cars,*crrr: Dimensions Depth of solids Comments(note condition of soil, -igns of hydraulic failure, level of ponding,condition of vegetation, etc.): t5ins•3/13 Title 5 Official inspection Form:Subsurface Sewage Disposal System•:Page 14 of 17 Commonwealth of Massachusetts =* = Title 5 Official Inspection Form ; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Antler Road Property Address Associate.Sttutka ..LLC Owner Owners Name information is South Yarmouth MA 02664 07/26/17 required for every page. Cityflown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water suooly enters the building Check one of the boxes 0 hand-sketch in the area below k. drawing attached separately ! - ,Sins•3/13 Title 5 Mame Inwecton Farm Subsurface Sewage Disposal System Page 15 or 17 Commonwealth of Massachusetts a * , ,. Title 5 Official Inspection Form is_ 0,0 Subsurface Sewage Disposal System Form •Not for Voluntary Assessments t i- „:s 46 Antler Road Property Address Assockete SotN.ittxts,LtC Owner Owner's Name information is required for every South Yarmouth MA 02664 07/26/17 page, City/Town State Zip Code Date of Inspection D. System information (cont.) Site Exam: 1 4 Surface water /4 ►1 Check cellar )Z Shallow wellsi1 e::St�e 'eo oepc zo'76f�'r`i`:Cs€'o iTo ii :6 � fe12set Please indicate all methods used to determine the high ground water elevation: 0, Obtained from system design plans on record i If checked, date of design plan reviewed: Date i El Checked with local Board of Health -explain: [] Checked with local excavators, installers-(attach documentation) ♦Yom'+:S .:,' k n Reviewed USGS water resource and topographic maps You must describe how you established the high ground water elevation: Reviewed USGS topo an water resource maps. GW 12'below grade plus. SAS not to be found in high groundwater. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•3/13 Idle 5 Official.Inspection Form Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts 1 °G Title 5 Official Inspection Form 1_ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GE 46 Antler Road Property Address Associate.Sotutiom,LIG Owner Owners Name information is South Yarmouth MA 02664 07/26/17 required far every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ►e1 Inspection Summary:A, B,C, 0, or E checked respecion Setrnmary isn'ieart,treo0faeria4ippircao4etio tri"%reterffbycei ►Z1 System Information-Estimated depth to high groundwater ►I Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file tine•3113 711e 5 Official h speceon Form:Subsurface Sewage Disposal System•Page 17 of 17 { U1 n U1, ed w (4 y .-, rti U ry 0 x p Q n_ x- w tri o X t� 3). 3> 3 r0 I i t0 W W �7 t)1 N • ; -- TOWN OF YARMOUTH !`w„ 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 ‘,c MATTACM££5 % 'F"o641ut60�',% Telephone (508, 398-2231, Ext. 1241 -- Fax(508) 760-3472 BOARD OF HEALTH February 21,2018 Michael Cuff 46 Antlers Road South Yarmouth MA 02664 RE: 46 Antlers Road Sale of Property Dear Mr. Cuff While examining the recent real estate transfers in Yarmouth, it was determined that this department has not received a subsurface sewage disposal system inspection report in conjunction with the sale of the property. An inspection of the septic system for real there are veryfew Title 5 code and isare requirement under the state's estate transfer q exemptions from this requirement. As you are now the owner of record, it has become your responsibility to have the inspection done unless the property qualifies for one of these exemptions: 1. There was a replacement of the septic system for which an installation permit was issued and the certificate of compliance for the completion of the work is still in effect. Certificates are valid for 2 years. 2. The property was a transfer between spouses, parents to children or between siblings. Would you please contact this office upon receipt of this letter to advise us if the real estate transfer meets any of the exemptions or if you will need to have the inspection done. We would be happy to answer any questions regarding the inspection. You can reach the office at the telephone number printed above on Monday through Friday from 8:30 AM to 4:30 PM. Sincerely, Bruce G Murphy, MPH Health Director BGM/mar cc: File ,. YARMOUTH WATER DIVISION 99 BUCK ISLAND ROAD WEST YARMOUTH, MA 02673 RECEIVED PH.:508.771.7921 FAX:508771-7998 Service Transfer Form FEB 1 2017 TOWN OF YARMOUTH TOWN COLLECTOR Service/ Account Na.: 02004305 Date of Final Bill Reading: 2/7/1.8. TO THE TOWN OF YARMOUTH WATER DIVISION: I hereby assume ownership of the property identified as; House / Unit # 46 Street: ANTLERS RD SY Formerly Owned By: MICHAEL SHEEHAN New Owner: I, MICHAEL CUFF agree to comply with all Federal, State and Local Laws, and the rules and regulations which pertain to the use of the Public Water Supply. Chapter 225-18 of the Town of Yarmouth Code/ Water Division Rules and Regulations states: The property owner shall be responsible for the payment of all water bills. When a property which uses municipal water is sold, it is the responsibility of the new property owner to complete a service transfer form. Failure to complete the water service transfer form will not relieve the new property owner of the responsibility for payment of all and current or outstanding water bills. Water service transfer forms are available at the Water Department office and Town Collector's office. Date of Property Transfer: /()O/S'. C'c L)3 Signed by: (New Owner) Billing Address: 46 ANTLERS RD SOUTH YARMOUTH MA 02664 Phone N umber: :.... __ Day/Eve: �/r .. ._�...�a., ., .�....__ E-mail: ._ .. (P:)Forms folder-water service transfer