HomeMy WebLinkAboutTitle5pt1Aug 13 09 09:47p Ellis Brothers 508-362-6266 p.t
vvr.l.t rt tarrrrltata trt faEr_c.;rf,aadtl,]u
-f!!lg 5 OfiEciat tnspeotion Fomauborirce serr4o rrspo.e syrn t_, _C;il;il_"*rr"^
258 ord Main Solrur uAftog.rt,AffG3s
saflftrl Tllld 69.Ornarrfidoob
,.q'Gr, berlry!a9..
Grnq,r tarrne ,ta t2fi1
Soulh Yarmomicrllf i LAa!--04604
4co(b 07t16/2O09
Od..a
bort t
lMEri trn! ol,llfqrr on ,l.qrprraa, t-ont tE E bt
lo norilE yq,dfIr-(bfitr-Acttrn
hiy.
A.@neral I
1. IrEp€ctor:
Reid C. EIrs
NdDg of l'lrpeqlo'
EIIb Brothent
CofiFry Lanl€B
nfiormatio
CorlsL Co-
n
-E <oCqtrprttAddess
F_]I Ya]mouth Port
Co4roEl MA 02675sr.Zp Cods
T€lo torc l{urrb.r 891xl,,lt{
B. GertilTcation
truf,ffi"H,ffi ffiffi #ffT "' tr'F t{,*" atd rt* oG*ns perbmpd trsert on mv rraitro -ti *lLI'ffi::'-T-T: a El6irBpectbn. Thc irsrectiorr*qgpglffiffi#"ffi
tr Passes {*^nr*o
E XeoAs fumr Endustim !y tDa Locd Appmvtu Aulhofity
fuJ-
E pars
7* = €,-SIgnaltrr
'$This r€port orry descrrbeg cqrditionsat that tfune. This ,nrpectirn does al t* tinc orf inapecto,l d under trre caiditions ot uacrFt ddross l|oi,o+srstcm sill pcrform in the firfuie
D*
uodaIllrc sarp or difrrGntcolt(E*,ns ofuss-
lI. rclfiraFc.qr Foo!:albo,fEr6i.r.Dlpqt q,tfn. E a,d t,
lnspac0a, Gsrtlr ,rrct D.3ub-t. pr;GiffiffiH#ffi ffi,."*.,r8 nor re cbild in ary
El.., Ei!6
Aug 13 09 09:47p Ellis Bmthers 508-362€266 p.3
a,,ffiffiIl.r lnip""tion FoIm
suBrGrc. s€lraSp Dicp@l SrtED i""t - lft f Wurbry /CssessneoB
256 old i,lein Souttl MA
PropodY Mdreas MA 02s61$rrti TnEf,P.O.tsox
O[ttr
ltfdttl'ab.r I
r4t!dtqot;1tWA
OfiErt Name da66,t
4Coe
6noog
Sornh YaIIrnulh
Cry/foutr
B.@rtification (cont.)
indi(Aod Dclon .
ComrEflB:
Bt Sysirm Condifionttrlt Pas€s:
t{A
Sriit IE d ln6p.ddl
lnspdion $mtnaf crled( AB,G'Dor etry .1@ c ds€c{ion D
A) sld",t'as66: ,//"
fl r have ndtwtd 8ny lnformation rt'ildt lndcates ftd 'Iy dtho fdul€ cdtGtie dGc'lb€d
" ila; ffifri.#06,; U' j.i6"4fr.15.n,{ qil nni a['a ..ttgta mt cvalualGd at
/ * n ,rn " *oomP'(srs 6 dssctEt intE'cfitrttlotd Past' sedion necd lo be
r€deod or rEtrdr€{L l* "ldilffiE"plt'fi'utre nOacT tetr u'l€per' 6 ap'oYcd br
rf* ao-O ot n.aff,. wt'I Psss'
ch*rgE bo(tu 'rEd, 1D' s'not deto.rtil.rl€{r (Y, N,l'D)forslo uh/tqg std€mefils' r'not
detEflrlined,' Ce86e exdeil
Tlr soElictank b metal and (,'sr 20 yeeG ff or tle sedc ttttl -({'ftdEs
rndsl or noD istrffiffiffif;sffi:ffi*ilirgoerd of HEEI.
. A n,**r secr:,,*'.il ry H:Hfi,i*ffilffiffi and if a cstitrG& 0f
cornpllsoce indcdhg 0dtre ta
[Y nN UuoGrdanoeto'tD:
6&r. Drtl
Ta.5 crldcrl+.*n Fqlrr ga'(!rta $'at E p€l $!n' a!t'd
Aus 13 09 09r7p Ellis Brothers
&-\\^rr araara, !t glEaal t i,t tdlEquf [tllllr1tli
p.4
Jitle 5 Official tnspection Form8uD6.r6or sdagl IIspG.t syth io- - ra t, Vj"ra;;"*r.,*
256 Ok Main soar8tPEp.rty MA
Santuit Trusl P-O.Bq 69zsag€moreo!lifrmjqla]
rD$lEd tbraqy PiF
itA 0256"torvtEtllfie
MA 0r2t64 07fi m09
B-(6nt)4?e tletc ot,lrspedbr
B) Syabrn Con.litiort.lt/ pcses (conl):
tr
dstihdho bqb brrqed or rEdeced tl.Y trN flro.*qtam
E observabn of sewag, badr+ of br€d( out or tigh.stetc rsaler hd in the dtstrih.fon box ctrcro ffi6n or o&rucred nrr{s) or oug 6 !-h#;;'iffi ffi"ro oiseih.don boc Sygern witpsss trspoaian if 1w.rr arroyst of Bgau diGt:,;-- - -' -"
bmksn plpo(s) sre roplaced
oMttcdon ts.emored
E wo Gxdein oerar4:
El rro1ed*r boton):
trY Drv
flY Dx
Elon4,s fitr'A
fAL
L
Th3 sydefit ll'guirld F n]ins InorG tian 4 tm3s a y,a_due io Dloken s r*lstn cEt ilp{s). ThesyEem nfl pa-E inspoctftln f Oru, ppru,re Atu d&;-##;tr boken pipeG) a'r lcptaa€d Dy EN f] ro €,ehin bolorr):tr otctuctbn is ,emovsd trY EN E lD Gxptein berow):
tr
D.a*
I Furtts Enaledon b eqrnua 6y rtp Board
E oondilioflE sdd dJcrl .rquire fulfter e\atuaumrrEqdemrsfrflftEbprdecf pufic hedft,An orderto #eflfn€ I
d l{c.tt l i,l accot&nc! rri{h Br0 CURmtllrlfuttich urt precf pubf,c h.alh,
,. S:}tste'l) Bill pa53 rr*ss Bortr
I SJOg(tXb) drrt OE sysren -rs uasansty rtd Arc Grwirurfrcfil:
tr
D
cesspot or pivy b witrft 50 ft€a o, 8
Casryool o. privy is lxillin 9O fA ol a
r,rater
t€g€ialed $rEfiand or e san mard,rtE.6a
ILsciG rrFdd Arl|i$tdhcQr{roBo.a, Wr. Fbr 3.t,7
508-3626266
Souft Yarmolrh..qr-
7
envioomenL
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Aug 13 09 09:48p Ellis Brothsrs 508362-6266 p,5
l^,r,lirtIwE ttt t (, it Frrauf tuDt llJS
Title 5 Official lnspection FormauDsurfacc smo. Ofapca Sfiear fonn - tUot fr ffot ntary Ass€€ss.nls
256 old Main Soufr MAPr+erry Addre.s
S€rld P.O-Ba(.MAOzfi1tuq
htum.tlon tsEqliEl tE.rlry Pacq
Onl€ t i{!nE
Sodh Yalmolllh l,A 02664 oilt16tm9ryfortSlel€4c*Dee of lEpGc8ooB. Gertification (cort.)
e Systen pa iaf llnt3s tE Bo.rd of (ad Pubfc lvdGr s.rpl.r, if .ty)
a rianner tlrat prollds dl€ grblic hedst
tr The syuern has a saFic laal and absopprio qlsbm (sA9aldthesAsiswithh10O feet of a $rfece vster srrdy or lo a s.nfrce xder glpply.U The qrstorn lr8I sDpft iad -d ai(,ttE sAs b rflfth a zooe i da pl&ac riatFstpCy.tr Thc sprn h6 a sedictanr rd
stPCY rrrdl.
E no syoem fras E se6c lar* aE SAS ad
mora tronr a pdvaie rxater a{ldy wc,ff".
l4edtod used to Mte.koace:
- Thb qdein passes tr Ore h.Bt u.deranatFis,eaa oEP @tiifE/,laboldory, tucohfiibec'terte hdi:aaes M a tthc presence of mitogDn arxl nkatc r&og€n B €quga lD orhss thar 5 pm, p(ottred
afladred to ttjs brm.
that no dher f€*re alp t*Igler€d. A copy cf tic aoalyss ErEt bo
3. Oth€r--
Yes
E
tr
tr
D
Back p of sctnege tulto fsifity d sustem drponeot dtt to overloqdsd orclogged sAs a cessod
DlEdralge fi po.r.rng of efrued to rhe surf e of tha gmum or srrf@ wsteG
lro-.lo_ao qrerb{ed or ctoggat SAS or **p*l -*-'-"*'"
Steuc Iquitl lercl in tlro <fistrihfin bq rbot,c'ouu6t irwst due to an orrerbd6dor doggEd SAS r cesspoot
dstertrirEa 0lat 0ta strilr! is
saGty 4lld cnvfrontrerf,
erdllho S1AS as u, hh 50 fed d a prinatc ratsr
SAS b tsss SEn 100 lbet hrf 50 H or
No
{,
v ljquid d@r in cesspod b ,ess fiet 6' De,ow inyerl tr avdatde vokme ls hss
Ein.&a
lhan"lA @yflol
IL 56- Itga rsrrS'&trS.-f. Daro.rslh. fte.{.a17
D) Syfrr Fdlrlr6 Crlbri. Appticttc to Att syEt ms:
You mu3t it(Ic.b ryos', o, !llo. to ercfi of ttc blbf,irtg nor g! fnepccrions:
Aug '1J w Uv:4lrp Ellts Brothars 50&3626266 p.6
uommonweafin ot MaasacnusetE
Title 5 Official Inspection FormsuLs.rf.oe Scarage Di5p6al SldEtr fonn _
^lot
tr Votrnlsy Assessrne[ts
2s6OHltainsb€d, sodrr r,AP,e.rty Ad4.16
Sentuit Trust, P.O.BG 692,SaqsnorE . MA (12561OrrEr-rrmdoa BEqtufr.lrrt Et
oltds l,lame
Sorrlh Yam(I.frl MA 01265..07t16D@ESraa4p@Ctyfid.n
B. Gertification (cont )
For lago srdems, you rrrd ardiade e herqlEstofis h ssdim D.
Y€rs No
O tr the sltstern is rifin /firotrtrlhegm ie nritffn 20{t
&s *Cern b locded in
R4tiEd pt,rTilq more |tlen 4 tirFs in fE H year X?fdue to ctoggd oroD.trrcted dpa{s). l\trtrbef ottrres pumFd:
fur, portbt d the SAS. cesspool Or piry b bdow high gro.,rd Etcr elevatd,.gIII.T^t=g 5 p'lvy ic hdiln r0o ft 6t of a snface ra!8r srpay dlnolllq' X, a srrtiroeratc|.srppty-
fuy podioo of a esspool or p.iv!' ls uAit a Zm6 t o, a p|rbfic rdf-
Any portm of a cptscrd r pdw is wthin SO f€€t of a pdrrete ryatar sllpgly uiell
0alc of lnsp€don
q'rD'(o eaclr offfE,uouirE in addifon b tre
of a 3lrfEe (thldng $ratGr sspty
o, a tsutay to a snfee ddnkirfg rater g&ply
E'
tr o nlrogen sensitirE ar?a onefin WHtred prffijanArB - FA)0.Zoro l:of a pnfic r&erslpfly rrc[
f llDU fts\re {Hercd .!Es. to ary ques{on in E lte q/slom b conC(&rEd a signifcant threataarwEd F in Se{fiqt O aboyc lie q,strlBA.d. Theorrrqor opf,doro/tany talgEsystom consirered a *Jlificant fl,e6t under E r raied under s€crion D upgrdo tlresy$6m ir accordance wtUr 3tO Clln t srrdlsysfem w|er sfiqrE cofltact the aryoFid(e
lalbr.6@
,€ofonal ofic6 ofthe D€partnerL
s.304. Tha
rlt 5oioa,h.r..&o F6jQ,El,,t6.i-a. DLp_l *rstl. F{! S Cr?
Yes tto/trdlD d/Dil7
u d/trd7
Dd
tr/tr/TIE sfrsEr' frts. I ha\re detedrf rEd tfiat one or rror€ of fr6 obo\,s fdhJBcdteria e(is( as described h 3iO 15.303, thel€fo(E the sFtqr fais. TheststErn qrEf shorld of llsa,th to Germine IlEt wifi be,Ea6sary !o curecl the
dte aystam mr.3d serrr a taEff,qi witr r
.s-\uottrnonwBalln oT uasll.Enusgtrs
508.362{266 p.7
Title 5 Official lnspection FormSqtqrEca Scrrdgt Oispcat Syslarr F;rlll - Nol ftr Voftfitafy AssefsflEr.fs
256 otd Main South Yamrouh,MAProF ty Ad&es6
santuit Tn st P.O.Bu Saoamo,E MA 02561OrmctItnra(hB iEl!$llEd batryF!F.
OYwwt l*rc
South Ysrnonlh @rc46ca;-Oq/r{r stdr oTtlvNs
G. Checklist O*r o{lo€Idbn
MA
YG *./tr d/ol{
d D.
D{,
E{*/o
EtDtro
dD
lnformation
C
D- Sysbm
{
{?tr
,/*Re6ider lal Fbry Conditirrns:
l{rmDor of betkocns (d*{p):MnDoer of bcdoqrE (actrd):
qample: 110 gpd x # of Hrodrs):DESIGN flow Dassd o0 3rO cIrR 152qt
IG 5 Oitiit lrrFdlo ForEll Srra. tu!. tEFt *n . p{. 6 d, ,7
Aug 13 09 09:49p Ellis Brothars
chcck rf the fonryirg have t,u', done- yo, must indirial' ,os or ,,0- a3 to osoh of rfie rbflowi,.gE
Pumrftg lfomdiro E proyirsdr by the ou,rEr, ocql0ali, or Board of Hea[h
fr€rE Iny of ffE sydeflr @mporEflls Frflpeat oll h the pevbus trro [b€ks?
Has ete qgem rccdrod rund aors in the prwious tvo wce* perioda
Fl{v! lsrgE r,oluflres of wabr Deen lfto(lrced to ffre systan ocet@ q as p-t dOtr @ection?
IE,E :: t i_l l"t_of tle qlsEm otEi.Ed aid eE,incd? (f they $rere notawi,aus nde:]s IvA)
Uilas 0r fadily ordrefrg inspeed fuf Slg.r3 of sffiO6 back up?
UIES fh. ste inspecbd 6. silts of br€ak ottt?
ytlbG a[ rysbm @rpon€Itts,;{*,,
",. *, tocated on sits?
VUtse fie sedi: fent m'lrlobs lrlEov€red, op€ned, d lte interim of lfE tanlt&spectod for rhe @,ffiirn of ure bdbsoldr.'rniiEilr #Jiti*.r,,(trnstsbrE. .teput of rqrff, degrl, *strOgE anO'i-fr';;;.H'"ffi{4f#,ffiffi3ffiS,,*TtE siD and roc.tiqr ortne sct Aacorpao, Crs*rrr-iG&l-#?r," .ne rrobeen dc{snincd based on:
Edslifl0 ffitnfm. For 6Dde, a dm at ttp Boed d lGdtL
De*ermined in rlrctrerd (t any of & t*rre Eribrb rdded tD part c b d isareaprordna{hr of ,rs'rnoe h uracce@bb) tSf 0 dR-15.30r(6j -