HomeMy WebLinkAbout2015 Mar 30 - Emails, Floor Plan, Inspection Pages, Assessor's Info - Change from 2 to 3 Bedrooms Murphy, Bruce
From: Murphy, Bruce
Sent: Monday, March 30,2015 9:52 AM
To: 'Stephen Tripp'
Cc: Zurowick, Matt
Subject: RE: 84 Ellis Circle SeptiG Floor Plan-3 Bedrooms
HI
Floor plan looks fine. After review of fill, I will consider house 3 bedrooms and have the assessors make the change from
2 to 3 bedrooms. Please let the owners know of this change. Do you have an email for the owners, as I N�ill need
confirmation they are aware of the change.
Thanks
Bruce G. Murphy
Director of Health
Town of Yarmouth
Registered Sanitarian
Certified Health Officer
Master's Degree Public Health
From: Stephen Tripp [mailto:stripp�exitcapereal .com]
Sent: Monday, March 30, 2015 8:42 AM
To: Murphy, Bruce
Subject: 84 Ellis Circle Septic/ Floor Plan
Hi Bruce
We spoke on Friday about about 84 Ellis cirlce in Yarmouth Port . The septic passed as 6tle 5 compliant but its
stated in the report that the septic was originally a 2bedroom design. I am just trying to find out if the house is
renovated if the sepric will still be compliant . Attached is a drawing of the cucrent floor plan.
Thank you
steve
Steve Tripp. Relator
Exit Cape Realty
4527 Falmouth RD
Cotuit, MA 02365
i08-776-=318
Str��c�cxilcaperea(h.com
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Title 5 Official Inspection Form i
� APR 7 1 2014
Subsurface gwv�s pi�p��gys�p�-Not for VoluMary Assessments _
-� -
`--�=-------'�-�.�
84 Eliis Cirde. Yemwuth Port(aka B MaQis Drive&B Ellis Circle ) M 141 P 13
aroaeny ndd�
GertrtWe DuBois Go John DuBois (�-�;3�{�b�
Ownsr OwnsYs Name
Ifl(OIIIIi6011 it . .: r_. �.�L evb7 '�.J� :-�'
0
��w„y 6��Cirde.Yamwu(h pprt MA 02675 April 1.2014
� srns Lv code oec�a i�«x;o„
�napection resulls must be submifbsd on this form. Inapection torms may not be altered in any
waY.PNase see complebsnas chacklist at fAe end of the form.
�,"�„��,,,"�°" A. General Information
on the compu�r,
we ony me teb 1. InSpedw:
key b move your
�0f"d0"0� Troy Wlliam5
use fhe reWm Name of I r
�y. �.vsao
� TroY Williams Septic Inspecfions
�/fir II Cwn�paevNeme �
�� 19 Hummel Drive
� cw�ve�rnaa�.s
^� Soufh Dennis MA 02660
Cnyitam �aee an cooe
(508)385-1300 SI882
Telephcns Nunber Lioense Number
B. Cer 'dficatlon
I certify that I have peraonally inapecEed the sewage disposal system at tlNs address and ihat fhe
infamation reported beipw is true,accurete and complete as of the time of the inspedion.The inspection
was perfortned based pn my training and experience in tt�e proper function and maintenance of on site
sewage disposal systems. I am a DEP approved systsm inspector pursuant to Section 15.300 of
TMIe 5(310 CMR 15.00U).The system:
� Passes ❑ Conditionally Passes ❑ Fails
❑ Needs FuMer Evaluetion by the Local Approving Aufhority
i�s�euor! s S�asp���t��–D�sr••.• �I 1,2014
The system inspector shall submit a copy of this inspection report to the Approving quMqrity(gpa�y
of Health or DEP)within 30 days of canpleting this inspection. If the system�a shared system or
has a design flow of 10,000 gpd or gr�6er,the inspector and the system owner shall submit fhe
report to the appropriate reganal oifioe of the DEP.The original should be sent to the sys6em avmer
and copies sent to the buyer, iF applicable, and the apprnving aulhority.
""This repwt ony dascribes conditio�u at fhs tfnw of i�pectlon and u�er the conditlons of use
at that time.Thfs Inspecdon doss not addrass how the sysbm rWll psrform in the future under
the same or diNereM eondNbna of use.
t5iro.9II� TpM 5 pkiY Iniw�Fmrt&iwlflw B�wY����'Paps 1 d 17
� Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurfau S�wags Disposal System Form-Not for VoluMary Ass�ments
84 Ellis Circle Yartnouth Port( aka B Mattis Drive 8 8 Ellis Cincle) M-141 P- 13
Property Addreri
Gertrude DuBois Go John DuBois
Owner Owners Name
"rcOf`�'60°� 6 Ellis Cirde Yarmouth Port MA 02675 Aqi11,2014
requiretl for every CkyRown State X�P Codo D�e oi Impedbn
De9�
C. Checklist
Check if the following have been done.You must indicate`yes°or"no'as to each of the following:
Yes No
� ❑ Pumping infortnation was provided by the owner,occupaM,or Board of Health
❑ � Were any of the system crornponents pumped out in the prevaus Mro vveel�?
❑ � Has the system reeeived nortnal flows in the previous Mro week period?
� � Have large volumes of water been intoduced�the system reeently or as part of
this inspec6on?
� � Were as buitt pla�s of the system obtained and examined?(If they were not
available note�N/A)
� ❑ Was the facility w dwelling inspected for sig�of sewage back up?
� ❑ Was the site inspecEed for signs of Meak ouY?
� ❑ Were all system oomponents, exGuding tlie SAS, bcated on site?
� ❑ Were the septtc tank manholee uncovered,opened,and the irKerior of ihe Cank
inspected fw the eondidon of the baffles or tees, material of consVuc6on,
dimensions,depfh of liquid,depth of shidge and depth of acum?
� � Was the fac:ilily owner(and oxuparrts if dif(erent from owner)provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and IxaUon of tl�e Soil Absorptlon System(SAS)on the site h�
been detertnirred based on:
� ❑ Existing informadon. For example, a plan at die Board of H�Ith.
� � Detertnined in the field(if any of fhe failure criteria related to Part C fs at issue
approximation of distanoe is unaa�ptable)[310 CMR 15.302(5jj
D. System Information
ResideMial Flow Conditiw�s:
Number of bedrooms(design): Z Number of bedrooms(actuaq: 3
DESIGN flow based on 310 CMR 15203(for example: 110 gpd x#of bedrooms): ��g�
� � a..•ana . �
ne.s a�er�y.aem ra�s�en.ao.s.wro.�+�•P.a.e an
-
�, cw�mornreann of N�a�nwe�s
Title 5 Official Inspection Form
subsurrae.S�wa�DNpotN Syshm F«m.Not sor vaur�ry nssessmerMs
84 EII�Cirde,YamrouUi Port(eka 8 Mattis Drive&6 Elks Cirde 1 M-141 P-13
PropatY Aatlww
Certr�We DuBois do J�n DuBois
�N11°� Owests N�ms
���y B EI�CinGe.Yartnouth Port MA 02675 Apri11.2014
wca �oxn+ snm z�p coas oaro a xrwmon
D. System Information (coM.)
Type:
� bad�ing pits number: � -4���""�
3'of SEone
❑ I�chirg chambeis number: ��g��
❑ I�d�ing gallaries number.
❑ I�ching trend�es number,kngth:
❑ lead�ing fields number, d'unensione:
❑ rn�erNo�w oesspool number.
❑ innovaUvelaltemative sysbem
Typalnart�e of techndogy:
CortrneMs(note caMition d sal�si�s of hydraulic failuro� kvel of pondin9.damP soil,condition of
vepetation.etc.):
L�ch pit w�found dry wifh a visib�sfafn line apprott.2'bebw Inlet imr�t. No evidenoe oT hydreuHc
fa9ure or Problems in the Past were found at the time of inspection.
CessPooM(cesspool mu�be pumped as part of insPection)(bcate on si6e plan):
Number arW eonfigura6on Drywell
Depih—top of Ipuid to inlet invert WA
Deptlt of solids layer WIA
Depfh of scum layer N!A
oimensions of cesspool
wa
AAateriala of cor�sWcda� steel drum(no acoess)
Indication of groundwater inflow ❑ Yes � No
re�..ana . rn.sa�owY.o.rm�r�e�e..e�o.e...a.aw+or+•�•Pv+aan . �
� commo�w..Nh of��assaan�
Title 5 Official Inspection Form
Subsurtaee S�w�p�Dlsposai syabm Foem-Not for vowMary AsaessmeMs
84 Edis Cirde,Yarmoulh Port(ake 6 Mattie Drive 8 B Ellie Circ.le) M- 147 P-13
PropeKy Add�m
Gertrude DuBas Go John DUBois
a^� dn�s N�me
��` 6 ENiB C'uGB.YarmouC�POrt MA 02675 April 1,2014
rov�a ra.�«y
�os. c�rawn suo. zq coas oa�s a inPsaw��
D. Systern Information (cont.)
Sketch OF Sawage Disposal System: Provide a vie�w of the sew�e disposal sys6em. induding ties to
at I�st two pertnaneM reference lendmarks or benchmarks. Loeate all wMls wiThin 100 faet Locate
where public water supply enters the building. Check one of the boxes bebw:
� hand-skeh;h in the ar�below
❑ drawin9 a�se�ratey
�
a�w a - - �'o•-N, — - -'
O
�
3
. - ,.,.
�^t�'N
S yO.
� , _ 33 ��„ � , _ ts '
,.- 38 � '- " re r
3 -� yy' 3 ' �3
`1 -- s`� �G'�
`� � `
rr z�,`, S= 3� '
i3Y�•9H9 TYY S Oleo�l Y4�Fmn:B�bllo 6w1p�Oi�a�A'�b�P•AW/5aF 17 . .
� CommornNealth of Massachwatls
Title 5 Official Inspe�#ion �orm
Subsurtap Swr�Dbposal Sysbem Foem-Not fa Volu�ry Asss�s
84 Ellis CirGe,Yermouth Port(eka 8 Mattls Dtive&6 EINs Cirob) M-141 P-13
arooeny naa�ess
G�trude DuBois c/o John DuBoia
Owner Owners Neme
�����` 8 Ellis Circle.Yarmouth Port MA 02875 Apri11,2014
�epuhed M erery
page. CMy/ravn SU17 �p COtle DMs dlrop�Cd011
D. System Information (cont.)
sn.�:
� cnedcswpe
❑ surtaoe water
� Chedc cellar
❑ Shalbw wells
Estimated depth to high ground water: 11.a+
test
Please indiqte all methods used to deEermine tl�e high ground water elevation:
❑ Obtained from system design p�ns on recond
If checked,date of design plan reviewed: �
� Observed site(abuttin9 ProPeKY/observatbn tale wiMiin 150 fe�of SAS)
❑ Checked with local Boerd of Heallh-e�lain:
❑ cnedcea with �oca�e�evatwa. insmners-(a�Ch d«a„rneMation)
� Acceseed USGS dafabase-explain:
SDW 252 Zone A 47.2' 1.3'adiwUr�ent
You must desaibe how you established the high ground water elevation:
Hand augered 3.3'below boftom of I�ching wiM�no waEer found at a depih of 10.0'.G�oundwater
adjustrneM at the time of inspectlon was 1.T. Botbom of leatshing at B.T was found not to bs IocaEed
in the high groundwater elevation at tt�e time of inspection
Betore flling tlds Inspection Report,P�����ckRat on mxt papa.
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