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HomeMy WebLinkAbout0353 RIVERVIEW LANE - Health L353 RIVERVIEW LANE, CENTERVILLE A= 228195.001 No. N HASTINGS,MN -35", L o �-s L/O he-f LOCATION SEWAGE '"P EjR.M IT N0. VILLAGE / 1p INSTA LLER'S N ME i ADDRESS Y� OR DATE PERMIT ISSUED DATE COMPLIANCE ISSUED )1-4 _ II i V4yl all w Fx No. a..... .....�. THE COMMONWEALTH OF MASSACHUSETTS BOAR® O{ F HEALTH .v ----------------OF.......f!.✓... 1 /'•........ ....... Appliratilan for UtopmFal Works Tomitrurtion ramit Application is hereby made for a Permit to Construct X or Repair ( ) an Individual Sewage Disposal System at. 2� r 411frPe�, 6* E 6�1 1 6 ................_. ....... .. . ...................................... ..........._.........___� ----- -------•-------------------- .._...... � Lo:ation-Add Lot N A Owner r Address ---- Installer Address d Type of Build'' Size Lot_._.___!_ ......-•-Sq. feet aDwelling—No. of Bedrooms.......-��-------------_---_--_-------Expansion Attic (� Garbage Grinder ( ) p4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtu cs .........................-•-••---••-•......--•--••---•- W Design Flow.............5 5........................gallons per persong day. Total Pily flow.........-0.3---0................... Ions. WSeptic Tank—Liquid capacity_ -U_gallons Length.. _. Width__.......v._ Diameter................ Depth "?.. x Disposal Trench—N9- area....................sq. Diameter.... __..._. Depth below inlet.__._...._._ Total leaching area..AC.}.__-sq. ft. Z Other Distribution box Dosin tank Percolation Test Resu1 Performed by... _..r+�l_ ...._:0 .0-4 ����.6 Date_-�.°:�`'t'."_9.�....'p.� ,4 Test Pit No. 1.__ Z-minutes per inch Depth of Test PiLJ_..__..V;L..... Depth to ground water.. V_:!!�Y"_... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---•----------------------------------------- - . .. ... l 1 Description of Soil.-...... r ---••---. -- �, /�- V �-�-9--- ' V _---------•------------------- ---- ---------- •-------- ------------------------------------------------------------------------------------------------------------- -------•----•------------ W VNature of Repairs or Alterations—Answer when applicable................................................................................................ •---------------------.................................................................................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL 12 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issu the M�k ned �_ .•---•---•-------------•---•--•-----•--•----•---•--. ---- -------- --------- Application Approve Y• ---. .................. •-----------------•-------- Date Application Disapprov,, f he f ollowin reasons------------------------------------------•-------------•----------------- ------- ...............•-•----------•-----•--------•--.._..-•-•------------••-•----------•-•---•-----...__..............-------•------------------------------•--------------------------•-•--••------- Date PermitNo......................................................... Issued_..................•---- --------... � Date..................• No... ....... Fmc............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....OF......1,56et)51?07��'C ..................................................... Appliration for Disposal Works Tonotrurtion lirrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at V ............. ......og.l..�..... . ............... ....... .............. .I al_-,�1..2....W........./..Z.._..C...4.�........................... LocationAdd....... Owner............. .................................... ........................................ . .......................................... Installer Address Type of Building, Size Lot............................Sq. feet U _;1' Dwelling—No. of Bedrooms........... .............................Expansion Attic Garbage Grinder 04 Other—Type of Building ............................ No. of persons.....__.............._...... Showers Cafeteria Other fixtures Design Flow.......... �'---------------------gallons per person pier day. Total daily flow___--_ .....................gallons. 9 Septic Tank—Liquid capacity?'=Q...gallons Lengthj.�(------ Widthy=/o---- Diameter_______________ Dept�/. x Disposal Trench—No..................... Width...i................ Total Length.................... Total leaching area...................sq. f t. Seepage Pit No-------/------------ Diameter_:__. -----__-_-_- Depth below inlet.....6.-......... Total leaching areaZ,�......sq. ft. Z Other Distribution boxes" Dosig tank ( )Percolation Test Res is Performed by../4 - Date 4- 4 Test Pit No. 17--2L.-minutes per inch Depth of Test 16----- ....... Depth to ground waterot...., 44 Test Pit No. 2................minutes per inch Depth of Test Pit___........._....... Depth toground water_._....____.........___. .............................................................................................�0............ ----------I------------------------ ---------- 0 Description of Soil-0....:=,,;2.......... .... ..... t- - �4 . i�'�..... '5. .. .....L........ U ....................................................................................................................J./------- --------------­-­------­------------------------------------------- ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ......................................................................................................................................................I—............................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLEj 5 of the State Sanitary Cod /-2 The undersigned further agrees not to place the system in 0''0 �s operation until a Certificate of Compliance.has Sanitary ss y the b d of health. . d t gnedZak............................ ............... .. ......... . to ................... ................................/.................................. Application APo '00V ...............Date Application DisapprovO f iIhe followinj reasons:................................................................................................................ ...................................J .......................................................................................................................................I.......I--------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O/f HEALTH ......... ..........OF........... ....................... HJS�IS TO C ERTIFY (Intifiratr wumatta of pli T Vror , That the Individual Sewage Disposal System constructed ( Repaired by........AM-4-0 5.M. ............................................................................................................................................... ,�mstaller at.......9.3-T.3.....(2j. . ... .................................................................................. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Coje'as d96"c"ribed in the application for Disposal Works Construction Permit ................ dated- X ' — /--o-------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED As A GUAR NTEE THAT THE SYSTEM WILL/FUN OION SATISFACTORY. DATE. ............................................... Inspector_ --------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD JDF HEALTH ......7YA................OF........P111q ..................................... FEE........................ Disposal Works Tonstrurtion Uprrutit Permissionis hereby granted.............................................................................................................................................. to Construct ( Iylovr, ze,pair an Individual Sewage Dispos%, ystern. at No..... -------- i... "'t------------------I----------------I-------------------*------*------------- Street as shown on the application for Disposal Works Construction Permit N.. .. ................ Dated.......................................... ............................ ..................... DATE-----------------------------------------•-------•---••-••---••......-•..------ Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON Stu64-r-- FXMtL_Y �laL FLovv ►ICv3�-3'= � 2�3� G•P�? SEPTIC, TArJJK = 330x15o% = 14 / 7r G•P Qi I I v5E- ►000 GA►-. r I ; I { v5E Ivoo 6AL . Q 9Z•9 9Z S I' , C 5Po5 A� S%Dr-MALL AZZ-a. = 1 Jo S.F t50 375 G.Pc f N 1 1 IT goTTOA AREA= 1 5 r•- i ' .¢ -TOTAL- oE.51C.N = .¢25 G•� Pa if i�52. l NET 9Z -ToTA%- pA►L-Y t�f� 9 9 i PCZCOL-AT►ot4 RATE - I'lIN ZMIN o�.l_E55 /B� �Z S 2co F Mq DAVID gCyG 4L►r Fil�;}tA�SDTHULIN A. Gv, C. '.X fL FZ v�i v No. 29976 y.' x 2 1 o. G" I �is-Ti II ;ar Sf/(NAl �1..('`�' 99•D ---► /ov.8 ; r�sgY' ToP FNu = 1-040 Ll T F-- P ZQ(o s�1. [[ r�Y�y INV. 92 i �- toou W�• s~ll., A1ST. INd. Gnu. �iCP'��L Z� IOvo INS/, 0uX 91•6 TANK � tEAcu . PIT INY. INY �l WITu r q/Z Ql•� a Sphhs. 670NE 13G CE2TIFICP PL07 PLAN I PRoPIL� , L o C 4-T 1 o N �; L L N p• .�C A L E �j CA L C— o U�J - I os cs t� I ;I'' p P,r l R E P S 2E N C E G E.RT►F Y 'T N AT "f N rc �Z-u N S uo wN 1 40 -t X .I..,. I; �.{E.REO1�1 GOMPI..`{5 Y�ITN'CHE SIPEL_1t-1� j�� a . A► P 56-T5ACK 26RU►R.EMENT� F 'C1�� I 7pwN oF• ��2tJ�A�t.�3 ANC tS tJ�' I��, � I-1 i�AGv �.:�s'. :°t,`. � l-oGp.TE D -W ITNIW TQ A ����51u f�v 6Yoe5 I) R.EG -Tu15 PL6,KI 15 N OrT• an5c n ob tJ oSTE2vIl t� - MASS I� 1W.51-9-UtAaNT SJQ.ve`( -THE o1-FSET5 Suou►, a kC>_T ICE v5E0-co APPLICAr-IT I MUNSELL ASSOCIATES I ffig& HOME INSPECTION SERVICES ^'� 3179 MAIN STREET(RT. 6A) P.O. BOX 431 BAR'NSTABLE, MASSACHUSETTS 02630 (508)362-4043 FAX(508)362-2992 ©� s SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property; 353 Riverview Lane Centerville, MA Owner' s Name : Mr. Paul Graff Date of Inspection: April 20, 1995 PART A CHECKLIST Check if the following have been done : X Information was requested of the owner, .occupant, and Board of Health. X None of the system -components ha.-1re been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. Property has been vacant fo'r the last year. X As built plans have been obtained and examined. Note- if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The site was inspected for signs of breakout . X All system components, excluding the SAS, have been located on the site . X The septic tank manholes were uncovered, op'e'ried, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. X The size and location of the SAS on the site has been determined based on the existing information or approx- imated by non-intrusive methods . X The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. Page 1 s SUBSURFACE SEWAGE DISPOSAL SYSTEM INNSPE'CTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS If residential : 3 number of bedrooms 0 number of current residents NO garbage grinder, yes or no YES laundry connected to system, yes or no YES seasonal use, yes or no If nonresidential, calculated flow: N/A Water meter readings, if available :, 0 Gallons last 12 months JUNE OF 1994 Last date of occupancy GENERAL INFORMATION Pumping records and source of information: OWNER AND TOWN N system pumped as part of inspection, ye's or no If yes, volume pumped_ Gallons- 0-Reason for pumping: Type of System X 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) Other (Explain) Approximate age of all components. Date installed, if known. Source of information: JULY 1984 FROM AS BUILT PLAN NO Sewage odors detected when arriving at site, yes or no Page 2 SUB'SUR.FACE SEWAGE DISPOSAL INSPECTION F`O'RM' PART B SYSTEM INFORMATION continued SEPTIC TANK: YES (locate on site plan) depth below grade : 20-25 INCHES material of construction: concrete_X metal - '` FRP other (explain) dimensions : L=8 ' 6" W.=4 ' 10" D= 5 ' 7" 12" Sludge depth 54" distance from top of sludge to bottom of outlet tee or baffle 0" scum thickness . 911 distance from top of scum to top of outl"e't 'tee or baffle distance from bottom of scum to bottom of outlet tee or baffle Comments : HOUSE HAS BEEN EMPTY FOR ABOUT ONE YEAR (recommendation for pumping, condition of inlet and dutlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc. ) I RECOMMEND' THAT EXTENSIONS BE INSTALLED ONTHE SEPTIC TANK AND THE SAS PIT TO BRING THE COVERS TO 6" TO 12" TO GRADE. DISTRIBUTION BOX: CONCRETE (locate on site plan) 0" -depth of liquid level above outlet invert Comments : (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc . ) NONE PUMP CHAMBER: N/A (locate on site plan) N/A pumps in working order, yes or no Comments : (note condition of pump chamber, condition of pumps and appurte- nances, recommendations for maintenance or repair's, etc . ) Page 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) : 1000 GALLON CONCRETE PIT (locate on site plan, if possible, excavation not required, but may be approximated by non-intrusive methods) If not' determined to be present, explain: Type leaching pits and number ONE 1000 GALLON ,PIT leaching chambers and number leaching galleries and number leaching trenches, number, dimensions overflow cesspool, number comments : (note conditions of .soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc. ) INSTALL EXTENSIONS ON THE INSPECTION PORT TO BRING TO 6 : TO GRADE CESSPOOLS (locate on site plan) : N/A 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 (cesspool must be pumped' as part of inspection) Comments : (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc. ) Privy: (locate on site plan) materials ofr,Q;nstruction N/A ' dimerA ons': depth of solids Comments : (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc . ) Page 4 SUB SURFACE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION cont nVe'd SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or ,.Y... benchmarks, to"ca•te all wells within 100 ' /f� as ��• ° � DEPTH OF GROUNDWATER NOT ENCOUNTERED AT 12 FEET depth to groundVa't'e`r method of determination or approximation: PERCOLATION TEST DATED 1/24/84 OBSERVATION PIT Page 5 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y,N, or ND) . Describe ,basis :-'.:' " of determination in all instances . If "no't determined" , explain why not) N Backup of sewage into facility? N Discharge or ponding of effluent to the surface of the ground or surface waters? N Static liquid level in the distribution box above the outlet invert? N Liquid .depth in cesspool <6" below invert or available volurne< 1/2 day flow? N Required pumping 4 times or more in the last year? number of times pumped 0 N Septic tank is metal? cracked? structurally un's'ound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS, cesspool or privy: N below the high groundwater elevation? N within 50 feet of a surface water? N within 100 feet of a surface water supply or 'tributary to a surface water supply? N within a Zone l of a public well? N within 50 fe"et of a bordering vegeta'te`d Wetland or salt marsh (cesspools and privies only, , not the SAS) ? N within 50 feet of a private water supply well? ,N-less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysis for colifor'm bacteria, volatile organic compounds, ammonia nitro'ge'n and nitrate nitrogen. Page 6 i MUNSELL ASSOCIATES HOME INSPECTION SERVICES .Y. 3179 MAIN STREET(RT.6A) P.O. BOX 431 WRNSTABLE, MASSACHUSETTS 02630 . (508)3624043 FAX(508)362-2992 SU'RSURFACE SEWAGE DISPOSAL SYSTEM IN''SP`E&ION FORM PART D CERTIFICATION Name of Inspector: David P. Munsell' Company Name : Munsell Associates Company Address: 3179 Main Street Barnstable, MA 02630 Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspe'dtion. The inspection was performed and any recomm'end'atidn`s regarding up- grade, maintenance and repair are consistent with my training and experience in the proper function and maintenance of on-site .sewage disposal systems . Check one : X I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. I have determined that the system fails to protect public health and the environment as defined in 310 CMR 15 . 303 . The basis for this determination is provided in the FAILURE CRITERIA section of this form. Inspector' s signature Date : April 26, 1995 Original to system owner: Yes Copies to: Buyer (if applicable) Approving authority Barnstable Health Department Page 7 P��FINETp�♦ TOWN OF BARNSTABLE OFFICE OF s B�STAMi BOARD OF HEALTH N"a 1639. `em 367 MAIN STREET BY Al k' HYANNIS, MASS.02601 June 13 , 1990 Mr. Paul E. Graff 38 Red Stone Drive Simsbury, MA 06070 NOTICE TO ABATE VIOLATIONS OF . 310 CMR 15- 00, THE SATE ENVIRONMENTAL CODE TITLE Y- MINA REQUIREMENTS F_Q8 THE SUBSURFACE DISPOSAL U SANITARY SEWAGE. The property owned by you located at !35-3 R-iverv-iew Lane; Center=v ile,w-as> inspected on Friday, June=8"�199- b=y Donrn, M1o_r-andi ; Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 310 CMR 15 . 00 , State Environmental Code Title V, were observed: Evidence of imminent failure of your Title V septic system because of the slow flushing of water from the toilets and daily entrance of black mold and spores into the toilet water indicating failure of the system . You are directed -to hire a licensed septage hauler to pump and inspect the septic system within 48 (forty-eight) hours of receipt of this letter. You are also directed to provide proof of pumping to the Health Department after the work is completed. Pumping your system now may save you expensive repairs and or replacement of your septic, system. The property is in a low lying area in the vicinity of the herring run and the tenants state that it has not been pumped during their time of occupancy. It is recommended that you pump every two to three years . You may request a hearing if written petition requesting same is received by the Board of Health within seven (7 ) days after the date order is received . However, these violations must be corrected regardless of any request for a hearing . Please be advised that failure to comply with an order could result in a fine of not more than $500 . Each separate day s failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH �haA. McKean Director of Public Health