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Home My WebLink About0023 PINEY POINT DRIVE - Health 23 Piney Point Drive Centerville A = 228 154 P Slll h UPC 12534 No.2_ "ttsr�,r HASTINGS,MN TOWN OF BARNSTABLE LLOCATIONo� � � `��A �✓c SEWAGE # VrLLAGE CQn.�cryAA ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. �� f"� crv`\•C- T7"7�'-�� SEPTIC TANK CAPACITY /Mo G-c,L P GCS < LEACHING FACILITY:,(type) 3 f f O%-J d c`M S size) (il U f-4 cN lt/:e NO. OF BEDROOMS C9 BUILDER OR OWNER be es— A ,,,/ PERMTTDATE: '3 I lO I o1.7 COMPLIANCE DATE: Separation Distance Between the: No-* L Maximum Adjusted Groundwater Table and Bottom of Leaching Pacility T U Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) A je Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet f leaching fac' ' 61 Feet Furnished by Mv)< J-) A Pko-A-5.aO a D COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL —ROB -� MAR 55 2002 TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 23 Piney Point Drive Centerville, MA 02632 Owner's Name: Sigurd Wathne Owner's Address: Same Date of Inspection: March 8, 2002 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O. Box 49 Map.228 Osterville,MA 02655-0049 Parcel: 154 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 Nee s her Evaluation by the Local Approving Authority Fail Inspector's Signature: Date: March 10, 2002 The system inspector shall sub ' a copy of this ins ection 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 1 Page 2 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 23 Piny Point Drive Centerville, MA Owner: Sigurd Wathne Date of Inspection: March 8, 2002 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 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 23 Piney Point Drive Centerville, AM Owner: Sigurd Wathne Date of Inspection: March 8, 2002 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 CMR 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 1 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: 23 Piny Point Drive Centerville, MA Owner: Sigurd Wathne Date of Inspection: March 8, 2002 D. System Failure Criteria applicable to all systems: You mast 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 ''/z 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 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 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-1WPA)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 I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 23 Piney Point Drive Centerville, MA Owner: Sigurd Wathne Date of Inspection: March 8, 2002 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 I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 23 Piney Point Drive Centerville, AM Owner: Sigurd Wathne Date of Inspection: March 8, 2002 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: 1 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): 2001-29,000 gals.; 2000-37,000 gals. Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,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 information: Pumped in May 2000-per treatment plant 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: Mar. 13, 1997-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 i . Page 7 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 23 Piny Point Drive Centerville, MA Owner: Sigurd Wathne Date of Inspection: March 8, 2002 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: To grade Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1500 gal. Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 10" Distance from bottom of scum to bottom of outlet tee or baffle: 13" 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 were no signs of leakage. 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 i 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 23 Piney Point Drive Centerville, MA Owner: Sigurd Wathne Date of Inspection: March 8, 2002 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): Alarm 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 Comments(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. There were no signs of leakage or solids. The D-box was clean. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 23 Piney Point Drive Centerville, MA Owner: Sigurd Wathne Date of Inspection: March 8, 2002 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 3 flow diffusors with 4'stone-per design plans leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: 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.): I dug down in the stone beside the flow diffusors, and the stone was clean. There were no signs offailure. The bottom to grade was approximately 4. 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 Page 10 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 23 Piny Point Drive Centerville, AM Owner: Sigurd Wathne Date of Inspection: March 8, 2002 Map:228 Parcel: 154 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. Fidn"T" Q 1 cAi Po,ra `A yl C' 3 3 1 Aa - yo ' y rya - a� a3- ay ' revised 9/2/98 Page to of II 10 I Page 11 of I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) ' Property Address: 23 Piney Point Drive Centerville, MA Owner: Sigurd Wathne Date of Inspection: March 8, 2002 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: 3197 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 bottom of the flow diffusors to grade was approximately 4. Using the desi rt plans on file, no water was observed at 10'6" below grade when the system was installed. 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. 11 No. jw — /3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for Migool &pgtem Congtruction Permit Application for a Permit to Construct( )Repair(i/)Upgrade( )Abandon( ) 11 Complete System ❑Individual Components Location Address or Lot No. 02 f ^� Owner's Na e,Address and Tel.No. Assessor's Map/Parcel ` " — Ck 1 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder A Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ?_Wall Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss a by this Bo d of He th. Signed Date b v 6 Application Approved by Date c) Application Disapproved for the ollow g reasons Permit No. aznp ca Date Issued No. Feed THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for Zigpogar *pgtem Congtruction Permit Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a3 ', Own s N Address and Tel.No. Assessor's Map/Parcel C�� v<<V ye�� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(M Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) S4agp�,l C- L ��nCi '�W w✓ i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-, cate of Compliance has been iss e i by this Bo d of He h. j Signed - Dates r /d b Application Approved by lDate &,-- I e- - c� Application Disapproved for the follow g reasons Permit No. a- Date Issued ; -------------------------------------`THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS,TO CEI IFY that the On-site Sewage Disposal System Constructed( )Repaired(L/<Upgraded( ) Abandoned( )by Cl (J' f at t n 2v Or. has been constructed in accordance with the provisions of Title and the for Disposal System Construction Permit No. .1-"-2.?_3 dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date 14, • AA n Inspector s dL -----rI—p--------------------------------- No. G9* -• !.3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS lwigogaf 6pgtem: Congtruction Permit Permission is hereby gra ted to Construct( )Re? r(LXUpgrade( )Abandon System located at �J t^-�-) and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: - Approved by Al i C2 ter c G f� l Betty Ayella 1101 W Joppa Rd Towson MD 21204 04,THE T DATE: 16 .17. G q O t FEE: • BARNSTABLE. 9 Mns . REC. BY �ArfD MA'S A,0 Town of Barnstable SCHED. DATE: Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. \ VARIANCE REQUEST FORM . 3LJ v�� LOCATION n 1 Property Address`. --2 3 1i net4 �d;�� _ r\V e T: 1999 f afa Assessor's Map and Parcel Number: �, �f Size of Lot: 'oFaT Wetlands_Within 300 Ft. Yes Stt t r=,-;' - / No Business Name: ✓APPLICANT CONTACT PERSON Name: /3E IkPW41EW Gt/IL /1/ Name: Address: //Of dt/, ` OI 3R AD - Address: /76 i 0 cv--ONj M 2>, A/o,L O 5/ Phone: F-;�f Phone: 5e- . 7 1' /oZ,F FAX: r FAX: OF 7?W 00MM 9V 6d VARIANCE FROM REGULATION(List Res.) REASON FOR VARIANCE(May attach if more space needed) T =G i 2C' Ake _ . S: ir�q J �� 'pn 1 .,T,4�a{i�n T S ►c�u.Ja V-ii1q Iica4ion �iti=4 s Q r'CbM c opt c\ 6e- c IDAst as a "I��rt7 0 i., 1 Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor pla fl Applicant understands that the abutters must be notified by certified mail at least tend Ito meei_ � date at applicant's expense(for Title V and/or local sewage regulation variances o Full menu submitted(for'grease trap variances only) B�f�rp� AA rp Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance naw Is[sa /r0�w1nnejer/lease �i�t�ide dining variance renewals[same owner/lessee only],and variances to repair failed sewage disposal systems[only if no expansion to U ing lop eAl) / Variance request submitted at least 15 days prior to meeting date 1 \ ,qO�f��VARI,,Ass NC'1✓APPROVED Susan G. Ras Ik^S., Chair to�4�T, g NOT}4�POOVED Sumner Kau fm ,.vl.S.P.H. REASON FOR DISAPPROVAL Ralph A. Murphy�tr Q/W.P/VARIREQ it TNETO TOWN OF BARNSTABLE � �F •�P`' wo OFFICE OF EAMSTAM ; BOARD OF HEALTH MASS. 90p 039. �0�9 367 MAIN STREET c�aY HYANNIS,MASS.02601 December 30, 1999 Joanne Murphy 176 Bay Lane Centerville, MA 02632 RE: 23 Piney Point Drive, Centerville Dear Ms. Murphy: You are granted a variance to utilize the existing onsite sewage disposal system at 23 Piney Point Drive, Centerville. The variance granted is as follows: • Part Vill, SECTION 10.00: To utilize an existing soil absorption system for a three bedroom dwelling although the system has insufficient capacity of only 317 gallons per day calculated according to the local Board of Health Regulation. This variance is granted with the following condition: • No more than three (3) bedrooms are authorized at this property. The existing "living room/bed room" in the basement is considered a bedroom. Dens, study rooms, finished attics, sleeping lofts, and similar-type rooms are considered bedrooms according to the Massachusetts Department of Environmental Protection. murphy2 This variance is granted because the existing onsite sewage disposal system meets all of the provisions of the State Environmental Code, Title V. The designing engineer calculated that the existing soil absorption system does have sufficient capacity (349 gallons per day) for a three bedroom dwelling, when Title V sewage flow calculations are used. Sincerely yours, Susan G. R , R.S. Chairperson Board of Health Town of Barnstable SGR/bcs murphy2 r - 9 3 j i• I f THIS IS THE PROPERTY UNE AND PROBABLY THE EDGE OF A WATER LINE AT THE TIME OF SUMMON. IN MARCH 1954. 1 77B-5 PROP. 2x18' e 30. k EDGE OF WATER LINE AS B-4 gyp. MEASURED ON 4-24-07 / / B r FLOODI o NK' LONG POND FLOOD ZONE B. ?Z z l OD-BOX �O h / EX. gas,• DWELLING LF 0 / REMOVE Ex ?s.}s• Ti CARP b v / TIB-1 areALE AND SILT FENCE �•\ ,'� EROSON BARRIER • o �. �w sd MAP 228, PARCEL 154 #23 PINEY POINT DR. CENTERWLLE, MA �l PLAA 1 CERTIFY i HAVE BEEN SURVEY. / DATE REVISIONS INITIAL ROBB SM 1 3/ Rick Aye& a �orggG E ul C3y' No. L l 1 / / 1/ t(r ` FlI� L�L J'wl'4/` ✓G - Fee o- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. 0 Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for 3Dfoponl *pgtem Con.5truction Permit Application for a Permit to Construct( )Repair(✓ )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 1 (,-t go Owner's Name,Address and Tel.No. Assessor's Map/Parcel ` �, Aa _ _/13 U 1 s b aiao Installer's Name,Address,and Tel.No. .t 7 Designer's Name,Ad e s and Tel.No. ac c>k\ Pcc�-k c U n Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ft) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank AS-66 &C%L AUA!✓, Type of S.A.S. \QW Description of Soil Nature of Repairs or Alterations(Answer when applicable) =`ke Cti^` Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iasued by this Bo o e lth. f Signed /�-�� I: �/�, �� Date —?//0!1 7 r Application Approved by Date A Application Disapproved for th ollowi g reasons Permit No. 917 g Date Issued THE COMMONWEALTH OF MASSACHUSETTS Entered'in computer: PUBLIC HEALTH DIVISION;°- TOWN OF BARNSTABLE., MASSACHUSETTS es 0[pplication -for Mi!5poml *p.5tem Con!gtructiou.Permit Application for a Permit to Construct( )Repair(✓)Upgradel( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. �� Coo`^-k ��— Owner's Name,Address and Tel.No. Assessor's Map/Parcel SZJ Installer's Name,Address,and Tel.No. 'Designer's Name,Add s and Tel.No. V ak( 1pcc^-A Rd V t� 7 Type of Building: Dwelling No. of Bedrooms _ Lot Size sq. ft. Garbage Grinder(NO) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date i Title ' Size of Septic Tank 0CS-6d (Tq r -t'Crm�: Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ,ee- P C,^ ' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code abd;not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo Signed ),, '� -� Date , &117 Application Approved by Date Application Disapproved for-.th ollowi reasons Permit No..,7 �� Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS r Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired ( Upgraded ( ) Abandoned( )by -jC k-\ M S aAA at 7T�t..A . �y 4 nA_ _hag been constructed in accordance with the provisio�itle 5 and the for Disposal System Construction Permit No. dated Installer— �_��ic6 cz,e 17,C) Designer The issuance of this permit sAl not be construed as a guarantee that the syste will function as designed. Date Z - Inspector ——————————————————————————————————————— No. / — '/7 Fee t � THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpos;al *pztem Conztruction hermit Permission is hereby granted to Construct( )Repair( KUpgrade( )Abandon( ) System located at a-? P-%�r-,N%nA aJ and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit.7 7 Date:�_ I -1 Ti / 7 Approved by�� 46, r ; ----- + dN p p r +fit I t i � ` J t rrit,� t ,z c 11i FF } w !' n �v i 1 TOWN OF BARNSTABLE LOCATION Z 3 /iwE� �irir ,�lZ/!/E SEWAGE # VILLAGE�E,77F2 ASSESSOR'S MAP & LOT,?,2,2j0 /SS- INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY e,5S ,00ale SOd G,ql, LEACHING FACILITY:(type) P/ % (size) /00 O CqL. �c},gl lG NO. OF BEDROOMS1PRIVATE WELL OR PUBLIC WATER GygrE�t BUILDER OR OWNER Uc./.yE2 (!/.LG�9•� G�L CEsyiE DATE PERMIT ISSUED: `t /6 0 . DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No L:o�36 601 co �'esr P661 ,2 3 2 X 4 TRUSS MEMBERS, END 1/2"-PLYWOOD GUSSETS ay TRUSS (TYPICAL ALL TRUSSES) ONLY xF 12 END TRUSSES ROOF SHEATHING TRUSS END WALL �.FLASHING ,mr� 10 PITCH 01 ONLY SOFFIT VENT SHINGLE „ 4s 48 r .4e 3 19 3/4' 2 X 4 t «s ;u. SUBFASCIA $k "4 - 3/4"CHORD2"SLOT IN m 76- D z, SIDING 0 68"SHOE` ROOF �F------92"CHORD "" ._. rT 1X FASCIA y` � SHEATHING TRUSS ,, —.-96"SHOE—�- - DETAIL I DETAIL DETAIL3 .--120"CHORD -- ,�- so' r 3 TRUSSES 24"O.C..POSITION OVER REAR WALL STUDSi -; DETAIL ." h 1-1/4 CHORD Y _ 1/2"-PLYWOOD A� RQOF SHEATHING d H- X i SbFI61�`DS. .. : c r� fir" ;r � ,� y t�� }..�Nt•� „ `f.r � � :' � - �' �L h ,F1F 'Y'3'iig, 'f• , N'. :� .J : tr. mm _. .!I'yss` {`k'4F T� _ u '- . ,A �:'',�A. •Y 1-T, �'sh� Y .fit^ k . r i - bd�?- t �.'Bn52,�?ettc'+� tr�x.,r^," H,,H�:. �-s1.2��a� `6 '*�2a'S�• R�l.'0'� ' k3 t�•"}4 'CIS b r - !t+AAA 14 - hx4''�k 'may?,, x 8d sW je `gin F' rs. ,w trncx r?'eor:. 1 X 6 T&G CEDAR SIDING 34-1/2 X 74"DOOR M FLOOR PLAN DOUBLE 2 X 6 HEADER WITH �x � GABLE , a .0 SIDING 1/2' PLYWOOD SPACER •� TRUSS - 2 X 4 PLATE 85` ' ��"` —~'1 * /2„ SHOE AND STUD23 33-3/4" 82-1l4" 24" 22" TOP PLATE :5 56-5/8" 2 X 4s 64" RAD. SIDINGk „ 2 X 4 21-1/4" 67-1/2" 24' 24" DETAILS. , PRESSURE- _.... . ;. TREATED 2 X 4 21-1/4" 1/2' PLATE BLOCKING 117-1/2" 117 /2" PLYWOOD WIND BRACING LEFT WALL FRONT WALL REAR WALL 2 X 4 STUDS CL _w I —113" e 24' 33-3/4" 82-1/4" / 25-1/4" 25-1/4" 25-1/4" 22" 24" \� 21-1/4" / 67" 34 X 72" 24-T/4" 24-1/4" 21-1/4" ��` /! 14Q" 113" 140" • rr�tryr. W lar3o �� ICY-I 1_1y1IJC. 2001t.r_ r5r, ( 2 Ewer•.&.R . 3� - � 3 a 3 5-�a Fk�.Sr. ` ----r-- 'y CC v sr. �� X r[ ! 3 �--I Fie ISI" Jt ( i 3 eirrH41 �I /_mac�_ Pi-,IGK FXIbIr. .Pl"Sox - ---�--- 1 ' X i } 1 @ 3 NEW re Fv`a L �5L "� FLOOR. rXl,y T. E .� T. ET72�wt V .r i y II T c P AX 1 Z J i i ci �x 1 aro I i3 I u �uT ��y5.tT�c.h-7'� .1. �I f r I r � 1 . 3(y'L.U.G•. -} � .a � ! p If f _ G2A'u I 15P`AcE - ;I yusr c-A-/' ! i v aY�- y4 �a o !.nA� can � ea Lb_ I 3-G 1 1 1 1 3 t it VI —� �Y 7 3167 I I p ° • ,b 1 3 ax._/�a. ��R7 � � ,� 1 . �=o" ( IT 3%a" GO�VC. GOtuMnly ( /c.L,F� /f 1 . 7Dp-...,�p.'�.:x 3Q!`._X/17'_'_GONl.. ><1 i7 ••` •. '� y r it • 11 - l l 8 _..._ FLOO/t /01-,4nI — �c.,<I-L•E` � y�i� '.may. j�> &i- o 3 GENERAL NOTES : ACCESS COVERS MUST BE WITHIN INVERT ELEVATIONS : DESIGN CR I TER I A : 6' OF FINISH GRADE 9' MINIMUM. INVERT AT BUILDING: 97. 55 DESIGN FLOW: TITLE 5 I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION 99.55 3' MAXIMUM COVER OF THE SEWAGE DISPOSAL SYSTEM ONLY. FIRST 2 ' TO INVERT IN SEPTIC TANK: 96. 85 _3 BEDROOMS MIN AT 110 G. P. D. PF BE LEVEL -MIN 2" OF PEASTONE INVERT OUT SEPTIC TANK: 96.6 BEDROOM EQUALS 330 G. P. D. 2. ALL CONSTRUCTION METHODS AND MATERIALS AND /` 4' PVC INVERT IN DIST. BOX: 96. 52 MAINTENANCE OF THE SEPTIC SYSTEM SHALL SCHEDULE 40 :-r-- 3/4" - I l/2' Dla. INVERT OUT DIST. BOX: 96. 35 NO GARBAGE GRINDER CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL T 97.55 � `r 96.6 96.0 95.0 WASHED STONE BOARD OF HEALTH REGULATIONS. �: ass % 96.3 INVERT IN LEACH CHAMBER: 96. 0 96.85 RAFFLE 96.52 3-4'X 8' FLOWD I FFUSORS SEPTIC TANK REQUIRED: J. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER o 5 OUTLET W/4 ' STONE AROUND. 12'x 32 ' BOTTOM OF LEACH CHAMBER: 95. 0 � Io� MIN. D-Box - -G. P. D. X 200x - 660 GAL . AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER 1500 GAL ADJUSTED GROUND WA TER: N/A SEPTIC TANK PROVIDED: 1500 GAL . THAN 3' IN DEPTH SHALL BE CAPABLE OF WITH- SEPTIC TANK V6' CRUSHED STONE BASE OBSERVED GROUND WATER: N/A STANDING H-20 WHEEL LOADS. BOTTOM OF TEST HOLE: 88. 8 SOIL ABSORPTION SYSTEM REQUIRED: 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR PROF I L E : NOT TO SCALE DESIGN PERC RATE -(5M/N/INCH APPROVED EQUAL. SOIL TEXTURAL CLASS - -1 5. BEFORE CONSTRUCTION CALL "DIG-SAFE'. SOIL TEST PI T DA TA EFFLUENT LOADING RATE - 0. 74 GPD/SF 1-800-322-4844 AND THE LOCAL WATER DEPT. INDICATES _� INDICATES -3-GP -�-S. F. FOR LOCATION OF UNDERGROUND UTILITIES. PERCOLATION = OBSERVED ,I TEST GROUNDWA TER PROVIDED: 3-4 'x 8 ' FLOWD/FFUSORS 6. VERTICAL DATUM 1S: ASSUMED / o TP• I W/4 ' STONE AROUND. A-472 S, F. �l 99.3 7. FOR BENCH MARKS SET. SEE SITE PLAN. /l I) tiy \ GRWDELL N/A �� l 8. EXISTING CESSPOOL TO BE PUMPED DRY AND l HORIZON TEXTURE COLOR OTHER DESIGN FLOW: TOWN OF ABLE REGS BACKFILLED. / �� \�?s�`p. ��`��2 0. LOAMY IOYR 99.3 2 BEDROOMS AT L IO G. P. D. PER A BEDROOM EQUALS _G. P. D. 9. EXISTING OUTLET TO BE RA/SED 18' TO MEET h ') I // / x T SAND 3/2 � THE DESIGN INVERT. / // /� 99\` p LOAMY IOYR EFFLUENT LOADING RATE - Q, 7 GPD/SF ...............SAND............4/6....................... 97.3 220 GPD / 0. 75 GPD/SF - 294 S. F. �� Fy C / MEDIUM IOYR GRAVEL _ // / I/ cEssroa O�' �, j SAND 6/6 PROVIDED: 3-4 'x 8 ' FL OWD I FFUSORS VARIANCES REQUIRED : % '� l l/ 07.79 48- W// W/4 ' STONE AROUND, AA- l 3 'x 33 '-429 S TOWN OF BARNSTABLE HEALTH REGULATION I. l3 100' IS REQUIRED BETWEEN THE WATERCOURSE (POND) O �.�° 7 ll // l�lN OAK ` Q'r a� AND THE SAS. 61 't IS PROPOSED. A 40" VARIANCE � / 3p�� " 1500 aat / l S REQUESTED. �� / // I o �� sErTlc TANK ' CATCH BASIN D-BOX - R/M-97.07 NO TITLE 5 VARIANCES ARE REQUIRED. r ' V 0 N OAK i oR�� ' ;0A1 141N OAK I26' NO WATER 88.8 l8/N o ti� i ;/l °7'17 DATE: FEBRUARY l I . 1997 1`' S TEPHEN HAA S .�(0' / TEST BY: /OA 2 ?o WITNESSED BY: JERRY DUNNING / 4f 16!/V / PERC RATE: MIN/INCH �./ / � � ff ✓ � / 98.94 90.9 S METER ` /0 +99.7 % 9� 8M. B�B/ ISX FN 3 FLOWD/FFUSOR / M/4' STONE AROUND E L•100. 3 90.8 // /j/%//,§� '104 _ / 7 �O cB/DH FND SEP T / C S YS TEM DES / ( • / + ______� f 2 3 R / /VE' Y P O / /V T O R / VE . "A P .2.2S . RA R CE-L'- S ,4 R /VS TA SL E < CE/ / TERV / LLE > � Nsos° /o• h�l�� PREPARED FOR ROUTE 28 •s ti BETTY ,q E�_ A coNe ro �;o�'�, / / O / W . .JOPPA RD . TOWSO/V . MLA 21204 N0 ��,� � '. . .- .. . . , r A.' SCAL E / 20 MARCH -S / 99i" -.} EA GL �' ..SuR VIE-YI NG' a E'NG' I I NG L OCU / W"mtG `tYfT. 2f f3 c92 3 .R Q u t e 614 ),--cz r m 0 u t hjv 0 Z. t MA 0 2 c 7 5 7l i � 5 3j � 500& 4 32 - 5333 SM. 80#A/dX FAD - Locus ItrIAP '�0� 57 JOB No: 97-209 FIELD:CFW/EEK CAL 5AH/TAW CHECK: CF;t ORN: sAH