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HomeMy WebLinkAbout1230 CRAIGVILLE BEACH ROAD - Health 1230 Craigvllle Beach Road Centerville A = 206 - 110 ., dank. UPC 12534 .2153LOP A r COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF E,NVIRONMENTALAFFAIRS ' DEPARTMENT OF ENVIRONMENTAL PROTECTGI,O'N23 ,rr, TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 1230 Craivville Beach Road Centerville, MA 02632 Owner's Name: Bill Driscoll Owner's Address: 1244 Via Mil Cumbres V�-�'cJ1aro Solana Beach, CA 92075 Date of Inspection: September 2. 2605 Name of Inspector: (Please Print) Janes M. Ford Company Name: James M.Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508)862-9400 CERTIFICATION STATEMENT 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: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: September 10, 2005 The system inspector shall sub it acopy of this inspection 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 has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the 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. Notes and Comments ****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. Title 5 Inspection Form 6/15/2000 page I Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1230 Crai zville Beach Road Centerville, MA Owner: Bill Driscoll Date of Inspection: September 2. 2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ 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: B. 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. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1230 Craigville Beach Road Centerville, MA Owner: Bill Driscoll Date of Inspection: September 2, 2005 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CM 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 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning-in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance **This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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 must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1230 Craigville Beach Road Centerville, MA Owner: Bill Driscoll Date of Inspection: September 2, 2005 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than 'h day flow ✓ Required pumping more than 4 times in the last year NOT due 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. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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 must be attached to this form.] No (Yes/No)The system fails. I have detennined 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 System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 1230 Craikville Beach Road Centerville, MA Owner: Bill Driscoll Date of Inspection: September 2, 2005 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ _ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ _ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been 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 available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS,located on site? ✓ _ 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: Yes No ✓ _ 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(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1230 Craieville Beach Road Centerville, MA Owner: Bill Driscoll Date of Inspection: September 2, 2005 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: n/a Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): Yes Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Summer rental COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of infonnation: Septic tank was pumped a ter the inspection for maintenance Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Installed on 918189-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1230 Craigville Beach Road Centerville, MA Owner: Bill Driscoll Date of Inspection: September 2, 2005 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 12" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirtned by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 8" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: IV How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage. The tank was pumped after the inspection for maintenance. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1230 Craigville Beach Road Centerville, MA Owner: Bill Driscoll Date of Inspection: September 2, 2005 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alann level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Corn ments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The D-box was level. No solids were present. PUMP CHAMBER: ✓ (locate on site plan) Pumps in working order(yes or no): Yes Alarms in working order(yes or no) Yes Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 1 cycled the pump and it was in working order. The liquid level was normal. 8 Page 9 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1230 CraiQville Beach Road Centerville, MA Owner: Bill Driscoll Date of Inspection: September 2, 2005 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number,length: ✓ leaching fields,number,dimensions: I -24'x 14'-per as built card overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): The leach field was a mounded system. 1 duz down in the stone and the stone was clean. There did not appear to be any si ns of failure. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 ti Page 10 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1230 CraiQville Beach Road Centerville,MA Owner: Bill Driscoll Date of Inspection: September 2, 2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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 supply enters the building. A g Fromm a i i 41d ay 3 a- 3o ayb 3 ya 33 10 d Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1230 Craipville Beach Road Centerville, MA Owner: Bill Driscoll Date of Inspection: September 2, 2005 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: ✓ Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: The SAS was in a raised mound approximately 3'hizher than the driveway. The system was within 300'of a tidal bay and no _high Around water adjustment needs to be taken. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied,relating to the system, the inspection and/or this report. t 11 TOWN OFBARNSTABLE LOCATION «�G CfAlrVt((k 844L. 0SEWAGE # VILLAGE Gfyi I LA.- ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO._ II SEPTIC TANK CAPACITY T.,k taw C, 7a-" LEACHING FACILITY: (type) RGI .1 (size) c1�/ x l y NO. OF BEDROOMS 3 ) BUILDER OR OWNER "br1.SGDI! PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin facility) J Feet Furnished by l/1 SRI !0 ) FD/C a I L3 1 410 ay 3 30 aye 3 9 33 L C/ T TOWN OF BARNSTABLE A C, LOCATION . ..130 8£IRI-11 AY SEWAGE VILLAGE ASSESSOR'S MAP & LOT ) U INSTALLER'S NAME 6z PHONE NO. Ky-,Xi - Ca NM co J3ac SEPTIC TANK CAPACITY i LEACHING FACILITY:(type) (-t (size) a 4 Tll NO. OF BEDROOMS PRIVATE WELL PUBLIC WATER e� BUILDER OR OWNERL— DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 0-0 LNi 4 ayb,► 33� No..r :.. FE$.... .. ... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ....----.fit W.................OF..... - Appliration for Disposal Works Tonstrnrtinn Vvrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ,*4? an Individual Sewage Disposal System` at: ..4�}a� idw......... �S��-�.....-•----•-•.............. �'230 °�'� V' .- - ...... --•---•........................... ................... Location-Address or Lot No. `C ---••--•------------------------------------•----•-••-•--------•---...-••-----••--..._............ .......---......--•-•------•--•---....------•---..........------••-----•--•-.....------......._ Owner Address W .-- ...c` .`...........>�J�....................................................... � C F w`ZrCap 1��. . Installer Address UType of Building Size Lot............................Sq. feet --� Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ............... No. of persons............................ Showers Cafeteria Other fixtures ..................................................YP g •-------•---- --- ( ) — ( ) W Design Flow............................................gallons per person per day. Total daily flow-------.....................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by -----------------------•---------------------------------- Date Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ lr4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ------••--••-•-•----•-•--•••---•••-•-----•-••-••--•----•-•--•--•-•-•-•••---••-•...-••----•--......-•......................................................... ODescription of Soil....................................................,...........................---------------------------------------------------------------- ................. W U w x •-•-•-••••-•-------------- ------------------------------------------------- ----------•-••-••--•••---------•-••-------------•------•••••---------•••......-••••-•-•••-••-•••... V Nature of Re airs or Alterations—Answer when applicable._! �M—--------lY_4��_____._.._A' c LOB '�• t__9. ObiJ�� d ! `"} c , ---------------------------------------------------- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLi� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has lZeen issued by the board ol health. g Signed--••--•• ----- •.:.... •• ........ . ...... { Application Approved B Date Application Disapproved for the following reasons:--------•-------------------------------------------------------------------------------------------------••---- ---••-•--......•-•••-----•----•--------•...•--••---•••--•-----••-•••--•--.....•••-•--••--••--•----•----•---••-•••--•--••---------•-•----•-••---•••--------••---•-••--------•--•------••----•------------ Date PermitNo........ .................... Issued--•------------•---------------•--••••....----•---••--. Date ti ' t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :DW.d.7.................OF....`off uJS i��S3l �• Appliration for 14spuoal Works TonstWurtiun thrutit Application is hereby made for a Permit to Construct ( ) or Repair (). an Individual Sewage Disposal Syste at: w, ..�. ................ .............................. ...._..........------......----.....-- ----•---------- ........... Location-Address or Lot No. ........---•--•-------.........................•--•--...............__........................... ..-•--•-----•----------•---------•----........-------•--------.................................... Owner --\ Address 9. Installer Address { UType of Building Size Lot............................Sq. feet Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ----------------------------------•---- . W Design Flow............................................gallons per person per day. Total daily flow..........................................:_gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter................ Depth.._.......``.._. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area............... ...sq. ft. Seepage Pit No.___-..-_---______ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------_................. P4 •-•••-••--•------••---------•-••--•--•••--•-•••--••--•-•-•-•--•-------------••-......•--•----------•................................. -------------------- •••- 0 Description of Soil........................................................................................................................................................................ x U •------••••-•••------•------•••----•-•-....-•---••-------•-------••---•-•------•---•••-••......-•-••-•-••-•--------••-------••••--•---•----•----•-•-••••-------•---••-----------•--•--•-••-----------••- W - - -------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable._! �. - -'""` tug - •{ _____ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI..i� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has teen issued by the board of health. Signed c.� �I .�r.-a.._)yr A.,4•-- Da e------- Date Application Approved B rame ._? ---- --------------------•------------------ `'� PP PP Yam- -- Date Application Disapproved for the following reasons:...........................................................................---•--------------------•-•------•-- .......-•-----------------------------------•------•------------------------------------.•...-------------••--•-----•-•-••-•--••----•--••--•••-•--•••----------------.................................. Date PermitNo.------. .1....... = ..................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ►�+^ .....................OF...��e..�' .`'`.�.S: ........................................... Trrtifiratr of Tampliaita THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repair b •_•-•.4 5'- ------------ -----------••--- •- -------- -• ............----- ------------------ �._U 4,' iit i v I,nsta at....................................................................................----- ' ---------------•-- r` •`L,......__ -----------•----.._..--•--••---_•---- has been installed in accordance with the provisions of 7.'1" 1'c 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------- ........ dated................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO TRU ® S A GUARANTEE THAT THE SYSTEM WILL FUNCTIOlmATIS TIMRY. p/ DATE.................................. ..--------------- Inspector..... ......... -• ........... •----•.......................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH W.ita..................0 F...� *.�(.. �16 L '� �e,, .. �i��ru �il urk� �un��riun rrnti� Permission is hereby granted.......... :. �`' 4..... 1 .._ ..._ Y!� - to Construct ( ) or Repair�. ) ah Individual Sewage Dip sal System at No....L�. O•••--.....t `fit r'fifc��S•----•... 46s�' ( Street CC� as shown on the application for Disposal Works Construction Permit No!le'_.�<<'.--�. Dated.......................................... `�-� DATE................................................................................ Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1-7 ypF 7HE p�� TOWN OF BARNSTABLE 4rP y0 e c� OFFICE OF ne$a9TsaLa BOARD OF HEALTH Mee. ��O 639• 367 .MAIN STREET MF�M HYANNIS, MASS. 02601 June 20i 1989 Thomas and Stella Driscoll 150 Arthur Street Framingham, MA 01710 Dear Mr. and Mrs. Driscoll: You are granted approval to install the proposed onsite sewage disposal system as designed per site and septic system plan dated October 14, 1989 revised May 19, 1989, stamped by Peter Sullivan, designing engineer for Baxter & Nye, Inc. The onsite sewage system may be installed at 1230 Craigville Beach Road, Centerville, Ma., with the following conditions: (1) The existing cesspool must be pumped, disconnected, and filled with clean granular f ill.. (2) The designing engineer must be on site and.supervise construction of the septic system and must certify in writing that his design has been strictly adhered to. (3) The septic system shall be pumped every three (3) years and written certification submitted by a licensed septage hauler. (4) The dwelling cannot be utilized as a lodging house, motel, inn, or any other similar establishment. This approval is granted in addition to the variance from Regulation 15.02 (17) and 15.03 (7) of 310 CMR 15.00, Title 5, of the State Environmental Code, granted on June 4, 1981. A monitoring well was installed and monitored by Peter Sullivan, the designing engineer, for over a 7 month period from December 7, 1988 to May 15, 1989. The system will be placed at least four (4) feet above the maximum observed groundwater elevation. The upgrading of this system may alleviate a source of pollution of the existing cesspool. In addition, the dwelling will only be occupied by two persons. A bathroom will be added for the convenience of Mr. Driscoll because of a medical condition. S cerely yours]W7 Q ames H. Cro ker, r. oard of Health Town of Barnstable JC/bs , BAXTER & NYE; INC. Projessijnal Land Surveyors and Civil Engineers 812 Main Street / Osterville, Massachusetts 02G55 / Tel. (508) 428-9131 WIL.LIAM C. NYE,PLS. - President RICHARD A. BAXTER,PLS - Vice President PETER SULLIVAN,P.E.- Vice President-Engineering September 15 , 1989 Town of Barnstable Board of Health P .O . Box 534 Hyannis , MA 02601 Re William Driscoll 1230 Craigville Beach Road Septic System Repair Dear Board : As per the conditions set forth in your permit , I have provided construction inspection services for the repair and upgrade' of Mr . Driscoll ' s septic system. The system has been installed as per the approved plan . I trust that this meets your present needs . If you have any questions , please do not hesitate to call . Very truly yours , Peter Sullivan , P. E. Baxter & Nye, Inc . P S/f m j OF CC : Mr . tam. Driscoll PIJER t$, SULLIVAN r NO. 291-33 a y��` !•' '`�..,T-,,,sue;•sy. h. MEMIIERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING AIASSACIIITSET7,S ASSOCIATION OF LAND SURVEYORS AND CIVIL,ENGINEERS w/17Erz A�A►i ,. �y -p ..�„ wIT k SFf-LE rJ'CHEDULE4'0 ,�'( �' FARM t'.b �.Ltr\�t''t"1 aE`7 f�•� +• ```y�,,.,r�----•, � � �•� � ,t., .�.d / I - .. M 'I�VJ Lt.�Itl� \ r •� � N }y Y 1^.•s.r F YV�- VI; � r"}t � V ' °• x r j Y"r► ��TT�M _�� GENERAL NOTES FOR PUMP SYSTEM ),`� '' O�' `yy k 1 '. �9�CJ i� M1i�T r„` FL CaCJ e 1"�++'1 °i � 'I 4�..: ` { �' � A) PROPOSED SYSTEM/HEAD CURVE HAS THE FOLLOWING CHARACTERISTICS: �.�.`'i�'.�.."`�..� "" � .3 � �ht.�f��.. Y�:.s?���t.��'t'�� " 1' , ,.x � 9 ° t"�'�w•l :� u'}.'•.�fa+.��-, C� iti1 •-- ±,-.- r. J�� Q (GPM) ��;., ' x„ ., _._ �_ - I M1'4 \ � �y''� C 1�!t tiles �� ,[F�,� o . . TO ii -'50�L �s � � rods 1 � _ _^ !w t_ 6A1 �: }�"i �� �vr'AL1. GKtiT a No .�- r"�C. s } tla� BOO �"" LaPt -€ �><tV 7 u '` ., LOft- r. 10 -- 30 L N1 ^. 20 SC,�LE 1" - ZOop 4_4 . .�.. •1Q p«r� sue '/' ,� �: , ;'�" �_ `c ! as �'� � CAi a-c . INN EL G* t . ___.,9 ' - ,. 40 �� k USG C,+UAv "Ap F1YAroN1 50 ,•. . _ - __o a tom+, B) THE SEWAGE PUMP INSTALLED SHALL MEET THE FOLLOWING REQUIREMENTS. � / ". •��T��C i tr .r f 1. HAVE A CHARACTERISTIC CURVE WHICH PASSES THROUGH THE SYSTEM/HLAD � M Mar � "•' �+, , ,• ` � ���' "' EI.. 3•� CURVE AT ANY POINT BETWEEN t 0 GPM TO 50 GPM. T- 2. BE NON-CNERIU4DING ALONG THE ENTIRE PUMP CURVE. , 1 '. , .. ���,�_„,� 1r��1�•1..tr 1L L.2 �tJl C t 1 3. BE SINGLE PHASE, 115 VAC. L Z• 4. START AND STOP AT THE ELEVATIONS SHOWN ON THE DRAWING. A / 5. THE PUMP AND MOTOR ARE TO BE BUILT BY THE PUMP MANUFACTURER. THE � 12i�!"�V� � ri ! ,> .M r• t ,.. ., 5���-�L. Ti��.St�• A�.f ��.�1 � C L�.,�!*.� t�,'�•N1a�'✓'�. I!�t �T 11.I G 'T r^ COMMON SHAFT WILL BE STAINLESS STEEL DESIGNED FOR EXTREMELY r '" / + C + L C Yc 11,.��� 5 r`5011-- LL"'S`V CT•I�c LF, (11'�,9 t .. � DIFFICULT SEWAGE PUMPING SERVICE. NO SUCTION SCREEN OR GUARD IS t-1 i..Lt `tt Ac L �Ot2 1'C�' Arl{�t1�.�� BBC wA'T1 ;�' •Gc��r17 '� REQUIRED. �••�,_,,..Wr�.•.:,�,�,rJ'°'*..,, 6. THE MOMR SHALL BE COMPLETELY OIL FILLED AND OVER LOAD PROTECTED. �^� _ CO '� #*�'L�• LPTL1 OIR, 'TO 1 MaSTALLATIW4 SINGLE PHASE MOTOR SHALL BE OF THE PERMANENT SPLIT CAPACITOR •tom �„1'��..�../LAr I o eP¢ 'R�r �„ DESIGN THRUST BEARING SHALL BE OF THE BALL TYPE AND RADIAL BEARING SHALL BE SLEEVE TYPE WITH PERMANENT' LUBRICATION. } 7. PUMP SHALL HAVE A MECHANICAL SEAL RUNNING IN OIL-FILLED CHAMBER PLUS AN EXCLUSION LIP SEAL IN FRONT OF MECHANICAL SEAL IMPELLER SHALL BE TWO VANED CAST IRON WITH PRESSURE VANES ON BACK SIDE. U-T o t wW I-L-tG N6„t �1 M 12" TK!Ltt _ ,„ ... w j IMPELLERS SHALL PASS 1 1/2 INCH SPHERICAL SOLIDS. ��- .,„ /� K € 8. PUMP DISCHARGE SHALL BE 2 INCHES. PUMP SHALL HAVE A SUITABLE _ yam. `"'` �"" """ "" -^" """'" � (._, a••�' a --� �f S+7 A I L .,i•j HANDLE OR RING FOR EASE OF INSTALLATION OR REMOVAL. PUMP SHALL e L F CST�I CGA L ✓ , W-.--•�. ^-- ,-. ..�,......-.ri .,.-...... .....,,,, J� ,... . HAVE THREE EQUALLY SPACED LEGS, INTERNALLY THREADED TO RECEIVED .- •••---�--•..--- ® ,/ / d 3/4" DIAMETER PIPE, GIVING FLEXIBILITY IN LOCATING PUMP ABOVE !! BOTTOM OF BASIN. PUMP SUPPLIED WITH 5" LEGS AS STANDARD. i C) CONTROL PANEL ' 1. FURNISH AND INSTALL AN AU OMATIC LIWID LEVEL CONTROL IN �x,����� ��+��L I�� � � •������� �j a I COMBINATION WITH A SIMPLEX PANEL COMPLETE WITH PROPERLY SIZED T�A`I - RC�'>€'(a V P r ,4. CIRCUIT BREAKER WITH HANDLE INTERLOCK TO DOOR, HAND OFF AUTOMATIC SWITCH FOR PUMP, MAGNETIC CONTACTOR, DOOR MOUNTED 7 ^rye •,�� ��WQ L1 FrTU�1TC.41/�1 i�t RESET, ALL PROPERLY HOUSED IN A NEMA 1 ENCLOSURE, MERCURY FLOOD LEVEL CONTROL WITH UNBREAKABLE STEEL SHELL MERCURY SWITCH IN . t. GT�Z1 G ;l �^= 1 i..�: �1 �` HIGH �:!�IAtT POLYURETHANE FOAM. ALA xZM 5�'h I_L „« aL:�' .t�t� F'�z.dM L/CQbT I1�Uh� Ft A!'�tF�. . GCS/ v-` -- 2. FURNISH AND INSTALL ONE HIGH WATER ALARM TO PROVIDE BOTH AUDIBLE _ _ J AND VISUAL ALARM. ALARM SILENCER BUTTON IS PROVIDED TO SILENCE: PUMP E.LerTI�tiG THE AUDIBLE ALARM, AND VISUAL ALARM REMAINS LIGHTED UNTIL WATER _ ---�1,./-•' '''..-�,... /1.�t_• --'�___..-•..__._�___._�_____.-r_,n.�_._ ,�L�-,i(_,._�-�.., { LEVEL RECEDES. 14 \g f ' • ,, .,,Li yl l • .-. . Y�I `- ;�i.r.'�'. .� Z�•N3'� P2EG�S'r' SZ4SEY�. �y _- _ej ' k (]( • '� i LJ�7� S � 1 V t 1 AS Fu 1<-N P --.- �i i • �;�, GIB A M � �� . ILAW ALARM ON ' r 1R.v A Yc. r _€ tow ; 5 i "ji 1 N$T/o+L� RE S '� A TR,f,UC H E5 AT SAME- T M'E P 1Q'�' .� C'� ` -• -- .. q�� ! � ^5 l'rl1 MAR*v TR.>E.>JG � RLMOvk=- ALL uwj'BQ v �u�;. �3 t •- Plum 1p 0 1; `� .. 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'p'-/ I IJ 1 )"�:.' .'{.,,r.�"' nti71r {•(`rk,' \ \'� :�. tl ..�f ` ,`►tw.- .�h� ,..:.;�7• ;.. ;:.� V. } '�. ..J ;IS ;..... ° "�.'�..t ..$ :: $'.«;+w; '�+•.,1.'`�' �%� L L ��T 4 L == E L • 0 011--1 4 . 1 S'• $7 ixo _ -' f-.s I ,d S t � �, Z' w r n�. k I' ��=-ti=-�C.`r'��l'r.= '�=:=.`�''�' , 9 • L_rU g y 1 L �`�"'�:::�' I L ;>�� � � 1 .^� , 3 t _:.1�7�.w.fi �.L .. 2. 5 i v�,S x 1 k 4 � I~F = J�►_ ""��-• � •- ��-���a � �, F�r�M A M " '', '' �,.�.s .�~I!"•A�'L.' p �..�.. S O S sf- i�irr At r , yh ;. r,.:T�1 % 'tea r i ru ry 4' `,; �r t ALL UNDERGROUND UTILITIES SHOW-1 WERE COMP/LED ACCORDING TO AVAILABLE- • . x� RECORD PLANS FROM THE VARIOUs UTILITY COMPANIES AND PUBLIC AGENCIES -^� ,�r l° �.7 Z 30 ,,�,,)En � AND ARE APPROXIMATE ONLY. ACTL:AL LOCATIONS MUST BE DETERMINED /N THE S,�,a �� 1 "��•.,t-- �r FIELD, THI CJ `,>G �Y � I� /�� r'.,"r = t ._'� 1 ;` a,... ? +._._...,,� /IJi,a . L.,...f4.� L.. L ,.. ` BEFORE EXCAVATING, BLASTING, INSTALLING, SACKFILLING, GRADING, PAVEMENT -- RESTORATION OR REPAIRING ALL UTILITY COMPANIES, PUBLIC AND PRIVATE . � •�-�' _, •...,..,..•. „� - .�. � �! �`~ � /` }'� 1 t"' O `�--�„�'^ � MUST BE CONTACTED, INCLUDING T.YOSE IN CONTROL OF UTILIT/ES NOT SHOWN y ON THIS PLAN SEE CHAPTER 370, ACTS OF 1963, MASS. WE ASSUME NO . -" 1D J .t ` t,i " i+ •. t- C •Iti tt "s/,' " ter' v +` ; .,• RESPONSASILITY FOR DAMAGES 111CURRED AS A RESULT OF UTILITIES " t'.. LL,)(i'I-� 1)• A, `��', ' I Tfe Y 1 '1"✓ �--';t {r 7 r-- »^ --- OMITTED OR INACCURATELY SHOW7/. •�•���L g-`-� } ,(� ���� ���Cj J�y� �,/��,,,�„� �e; ~i=�}�4} � _; _ ► � BEFORE PLANNING FUTURE CONNECTIONS, THE APPROPRIATE UTILITY COMPANY f L.} T"� ENGINEERING DEPT. MUST BE CONSUL TED. 2 - S�(:T 10 i,\1 1,5.C7�.x �-7� i Q =. 4 �a +'`t k��. .• + , THE CONTRACTOR MUST NOTIFY UTILITY COMPANIES 72 HOURS IN ADVANCE l�.L�V 1'� ..N1�e.l�'�j"�j j. .t.%'•<.: "i'r JTO'•' • 1�4 i+ ..t.. 1;`> r" t"J t"i:� .- �: . ?'� " OF CONSTRUE. 70N. THIS MAYBE D01/E BY CONTACTING THE DIG-SAFE CENTER (/-800-322-48441