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HomeMy WebLinkAbout0072 THREE PONDS DRIVE - Health 72 Three Ponds Drive Centerville A = 173 070 llll ® =J �yZ UPC 10259 No. H1630R NASTINOS, MN Commonwealth of Massachusetts � r irTitle 5 Official Inspection Form �� a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is Centerville MA 02632 Jul 1, 2011 required for every Y page. Citylrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, I �✓' use only the tab 1. Inspector: key to move your cursor-do not David B. Mason use the return Name of Inspector key. v—� Company Name 4 Glacier Path Company Address East Sandwich MA 02537 Citylrown State . Zip Code 508-367-1617 S1287 Telephone Number License Number B. Certification 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.,)am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Inspector's Signature Date The system inspector shall submit a copy 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. ****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. t5ins•11/10 Title 5 Official Inspection Form:Subsurface S age Disposal System•P ge 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments. 72 Three Ponds Drive,Centerville Property Address Albert Silva Owner Owner's Name information is y Centerville MA 02632 Jul 1 2011 required for every , page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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 describe_d in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Maintenance pumping is recommended. The results and observations of this inspection are only valid for July 1, 2011 at 1 PM. Use of the system or continued operation of the system cannot be predicted and there is no guarantee of the continued operation of the system. 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. Check the box for"yes", "no" or"not determined" (Y, N, ND)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. ❑ Y ❑ N ❑ ND (Explain below): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is Y Centerville MA 02632 Jul 1 2011 required for every , page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ 'distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is Centerville MA 02632 Jul 1 2011 required for every Y page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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 fecal coliform bacteria indicates absent 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: D) System Failure Criteria Applicable to All Systems: You must indicate"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 %day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 72 Three Ponds Drive Centerville Property Address Albert Silva Owner Owner's Name information is Y Centerville MA 02632 Jul 1 2011 required for every , page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a.facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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 Systems: To be considered a large system the system must serve a facility with a design flow of 10,000'gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. 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. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM , 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is Y Centerville MA 02632 Jul 1 2011 required for every , page. City/Town State Zip Code Date of Inspection C. Checklist 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: ❑ ® 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(5)] D. System Information Residential Flow Conditions: - 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 t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is y Centerville MA 02632 Jul 1 required for every , 2011 page. Cityfrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Yes Detail: 2009; 67,000 gallons and 2010; 116,000 gallons Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is Y Centerville MA 02632 Jul 1 2011 required for every , page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Town of Barnstable Source of information: Was system pumped as part of the inspection? ❑ Yes ® 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) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts w . Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 72 Three Ponds Drive, Centerville M i Property Address Albert Silva Owner Owner's Name information is Centerville MA 02632 Jul 1 2011 required for every Y page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: February 13, 2002 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: approx. 49 inches feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: Not Applicable feet Comments (on condition of joints,venting, evidence of leakage, etc.): No issues noted. Septic Tank(locate on site plan): Depth below grade: 37 inches feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene '❑ other(explain) Recommended maintenance pumping. Tank is 37 inches below grade and there is a riser within 3 inches of grade. If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Typical 1000 gallon tank I Sludge depth: 4 inches t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is Centerville MA 02632 Jul 1 2011 required for every Y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 34 inches Scum thickness 3 inches. Distance from top of scum to top of outlet tee or baffle 3 inches Distance from bottom of scum to bottom of outlet tee or baffle 11 inches How were dimensions determined? Scour 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.): Tank appears in adequate condition. Tank is 37 inches below grade and the riser is within 3 inches of grade. Grease Trap (locate on site plan): Depth below grade: feet 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: Date t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M e 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is Centerville MA 02632 Jul 1 201.1 required for every Y page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(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 per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No, Date of last pumping: Date Comments-(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is Centerville MA 02632 July 1 2011 required for every , page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Level With Outlet Invert 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.): Dbox appears level. No indication of solids carryover. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: SAS is approx. 30 inches below grade. No riser exists. SAS has received minimal flow indicated by clean sand in system. Existing leach pit still connected which appears to be receiving majority of flow. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M ,a' 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is y Centerville MA 02632 Jul 1 2011 required for every , page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ® leaching chambers number: ❑ 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.): Signs of hydraulic failure in pit with approx. 5 feet of effluent in pit at time of inspection, but leaching chamber is dry. Cesspools (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 I Dimensions of cesspool f Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is y Centerville MA 02632 Jul 1 2011 required for every , page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (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.): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is Y Centerville MA 02632 Jul 1 2011 required for every , page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts H W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is Y Centerville MA 02632 Jul 1 2011 required for every , page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 25 feet below system feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked,date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® 'Checked with local Board of Health -explain: Groundwater Contour Map ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Use of Town of Barnstable Groundwater Contour Map. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 72 Three Ponds Drive, Centerville Property Address Albert Silva Owner Owner's Name information is y Centerville MA 02632 Jul 1 2011 required for every , page. Cityrrown State Zip Code Date.of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of.17 i No. 200�2 Fee 50 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1/?✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for Bigpoof *pgtem Construction Permit Application for a Permit to Construct( )Repair(/4'grade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. v.6, ,0d%P1z, Owner's Name,Address and Tel.No. Assessor's Map/Parcel /, t ef` Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. � �J)7 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date /.Z .D 60�— Number of sheets Revision Date Title Size of Septic Tank Jam t9�. Type of S.A.S. Zr_"�fd X7:PT v- Description of Soil ��F'(��7,;7 ~`� <4►1 4 0/,- Nature of Repairs or Alterations(Answer when applicable) 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 issued this Board2LI alth. Signed Date Application Approved by IN 40 Date Application Disapproved for the following reasons Permit No. )-Ov)-036 Date Issued D a 7-77 . ....... Fee VN 10.— e '5_0 rnputpr: -jCOMMONWFEALKOF Entered in co TH"E MA Y PUBLIC HEALTH Am es QF MASSACHUSETTS,oBARNSTABLE., MASSACHUS S licati lon for; i oloat Opdem Con.5truction Permit Ztpp " 3Dgp ;'�Abandon( C1 Complete System El Individual Components Application for a Permit to Construct Repair era! Owner's Name,Address and Tel.No. Location Address or Lot No. It Assessor's MapT4rcel Installer's Name,Address,and Tel.No. f Designer's Name,Address and Tel.No. epjol -,217 7 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers Cafeteria( Other Fixtures Design Flow gallons per day. Calculated daily flow 3 JTdZ gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank ---Type of S.A.S. e J,**4 Description of Son Nature,of Repairs or Alterations(Answer when applicable) D-ate 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 t Certifi- -a c e of Compliance has been issued this Board oLHealth. Signed -Date Application Approve'd by Date k/--).q—c) Application Disapproved for the following reasons Permit No. uo o Date Issued ------------------------ --------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed Repaired-( Upgradedik) Abandoned( )by S/^ at �.L _vw,- ,,O,,Opee-er ^, .0 elAr C e/_,y7 has been constru ed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. .26V-2- 0 daied 122 r Installer Designer The issuance of this permit shall not be construed as a guarantee that the s t uf nctionas designed. Date 1 Inspector q1- --------------------------------------- N.. 0 Fee J� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS '711h5pozal *P!6tem Con.5truction Permit Permission is hereby granted to Construct Repair Upgrade 4�J_)Abandon System located at 7-Z -Q,0P - e 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:Constructi n must be completed within three years of the date of t i ermit. Date: ZO 2 Approved by i I �W TOWN OF BARNSTABLE LOCATION ' SEWAGE # o�oo� VILLAGE' ASSESSOR'S MAP & LOT,/7,? INSTALLER'S NAME& PHONE NO. SEPTIC TANK CAPACITY -"*'000 �9�1 c�X�J'7'�r✓` ieA®i p c e LEACHING FACILITY: (type)�`�i1G�Y�"� t"2t�� i'�P (size) �.,r„r9 ,�iJ a o 9,040 P.Z S,00 NO. OF BEDROOMS BUILDER OR OWN R PERMITDATE: 9 as COMPLIANCE DATE: a-13 -0 Z 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 leaching facility) Feet Furnished by C/ 0 AC 37 C dx AC 9 P i L;P _ TOWN OF BARNSTABLE LOCATION SEWAGE # V,T�LAGE ASSESSOR'S MAP & LOTIf7l 79 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY "0" d-4 LEACHING FACILITY: (type)�d'.tcti'" f�Ez'd/°�°�r (size)�,�X��aco7�sr�•r`p�iJ NO. OF BEDROOMS a!'O 9 �u�"d BUILDER OR OWNER �P�L�i�, vl���T ��� ���• PERMITDATE: .2 9—�� 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 leaching facility) O Feet Furnished by ze;e C/ �y 0 �lpCi S A AC 10 Q � 37 c col r } :: : _ _ Flea.... . .....�... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H ALTH .. oF....C . _..... 1- --•------------------------------------ Appliration for Disposit.1 Works (nnntrnrtiun Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ( )) an Individual,Sewage Disposal Syst at. C � �Location.Qdder� � or_.........Lot No. ......... — - - lop ............................ ............................. .............................................. / O ner Address aat5n__..._ T�,c� -- ----------------------------- -- ---------------------------- ----------------------------•----- Install Address dType of Building Size Lot_, .. , ----Sq. feet U Dwelling—No. of Bedrooms........%.................................Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ..------•----•----••------------ . W Design Flow............%'g__S.....................gallons per person per day. Total daily flow------—5- C5_......................_gallons. WSeptic Tank—Liquid capacity.,G500gallons Length...../....... Width._.................... Diameter................ Depth................ x Disposal Trench—No..................... Width-------- Total Length-----8.......... Total leaching area__...A_�L..sq. ft. Seepage Pit No..................... Diameter..._................ Depth below inlet.................... Total leaching area____ s . ft. Z Other Distribution box (� Dosing to .( ) 1 /J`�7 Percolation Test Results Performed by.. � ePt�l'. ........ Date.-- ------ ►-1 a Test Pit No. 1._�,l?___minutes per inch Depth o Test Pit................ Depth to ground .............. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ............;......../ --........i.- . . •-- ---•...... _ rRlerZ---- ✓ .S.e2�_ ----------- �----�_ .. .. °Description of Soil.......0.----- ....--•...... - r��Y• .__----- x -------------- ----------------------------------------------------------------------------------•----------------------------------------------------------------•------------------------------------ U Nature 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 iITIM, 5 of the State Sanitary Code—Ihe undersigned f er grees not to place the system in Imo— operation until a Certificate of Compliance has been i ed y board I Signed ...---......_ .....•. P O� / Date Application Approved BY }'1� -=�---- ........................................ I' O Date Application Disapproved for the Of, reasons:------•-------------------------------------------------------------------------------------------------------_ .............................................•--•------------•------•--•---•---------------•---...------.---------------•---•----•----•------•�---------------------------------------------------------- Permit No.........Z?_3 Iss ued ssed._''.____ —� • -- ------•-- ---Date................ Date Y C f V U I3o'. �'� � FEs..... �� ............. 4•= THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H A TH ...................OF ....................................................... Ampliration for Bh4paii al Workii Tonitrurtion amit 3 r Applicatiorvis hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal systemat M ..e -------------- --------Gam.. '?.L.. ` ----------------------------------- ... • •Location- or Lot No. ....... ......_.... ddr s ----•--•-•------------------ f O ner Address a - ------------------------------------ ------------------------------------------ ----------------------------------.--- Instal Address VVVVV " Type of Building Size Lot..,2z+6.3_1....Sq. feet U Dwelling—No. of Bedrooms___...26-t................... .. .Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................. . W Design Flow............IK._'a..................gallons per person per day. Total daily flow........ .......................gallons. W Septic Tank—Liquid capacity�0-1-10.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 (11� Dosing to ( ) o '"' Percolation Test Results Performed !111fe `Ity ........ Date..... ....... Test Pit No. L.1140...minutes per inch Depth of Test Pit----------------- Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pa -...................................... .. ............. -- D Description of Soil ..-------("� �_ SQA-�-------------`�'. �,r /--- °�"`-----._ - x --- . rJ ------------------ •---------------- -------------- •-------------------------------------------------------- •-------------------------------------------------- ------•---------------•----------------- W --••••---------------------------------------------------•-•. ------ ------------•----•----•---•-----•---------------------------••---------------•-------•••----------•----•••......--.............. UNature 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 TIT 1.s^. 5 of the State Sanitary Code—_The undersigned f .er rees not to place the system in operation until a Certificate of Compliance has been i ed / oard G� f Signed...... ... :........................ ..•------•----------------------- ................................ Date Application Approved By...........I. --•----------------- ----------------- Date Application Disapproved for the following reasons-------------------------•------------------------------------------------------------------••---•.........••---- ..----••--•••-•--------------••--•----•••-•-.._......__._._....--•--•-•.......--•....._......---•----•---'------•-----••-•---•----•-----•---------•-•----•-•-----•-•-----••-----•...-•--•------•......••. Date _ PermitNo.......... -----------------------------•--- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAI,.T� ........... ................OF.......�, !der..5.......................................................... Trrtifiratr of Tootph anrr THI TO CER�T�FY That the Individual Sewage Disposal System constructed ( or Repaired ( } by - ...1-'3------- !... ... ........... ...... ---------------- A..............................•................................. f taller / / I. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----------:W--------------------- dated-.... _. ..q. ..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....:...,r�? ,/. y : ................................ Inspector...... THE COMMONWEALTH OF MASSACHUSETTS ° BOARD OF 'HEALT ............. t�.........:.OF.......... .....................................................................No.._..._...:,..:�.�--� FEE........................ I Rupoutal Workg Tonuirudion rrntit Permission is hereby granted....r.._..� 4.1'4.-•--....... � � ---------•-•-•---------------------------- •--............--•---....... to Construct'( ) or Repair ( ) an Individual Sewage Disposal System at No /'&O A �`--- " ' ..........C'-t''1r_1.`C:hV/.z:&r_................................. f Street. R as shown on the application for Disposal Works Construction Permit No*. Dated-----.��,� ��............. ....................•....._............................................................................. /. Board of Health DATE............. 1'----------- -•----------- \, FORM 1255 HOBBS & WARREN, INC., PUBLISHERS, Y,.�, Jxy t II,, � 4 . 1 { / Z �i g{ - S.F. 60 k I s 1 1 �� i ���,tN OF'h�q,� ROBERT (00To GqL. `Q P fn \ SF /C .: �& :� , ' � - a � �ir.✓K �d' N .i c� BUNIKIS , r> ,on %o No.22162 p .. IbTEP4 eA 5 78 v,SS I/ -r 1'i'• . ff t LEGEND ti , ' .EX'ISTING 'SPOT ELE VAT.IO'N , 0,0 " CERTIFIED PLOT PLAN. .`' LF NG xCONTOUR — 0 _/Z_Tti°,�F non1 .s: �•��y�c. ED SPOT__ EL FVATd� 0-N r �`;l ry Ci�7-VED BOARD ' OF HEALTHIM SCALE I 4D DATE 97EZ,�­�' 'wA-GE'NT , "F L�R _qGE ENGINEERING CO. ING� CERTIFY P � � CLIENT ..LE63EL - - -- I Y THAT 'THE �PROPOSED ''; f ' fA EGISTERE REGISTERED JOB NO. 7-7-00 t_ BUILDING SHOWN ON THIS PLAN u CIVIL, LAND DR. �`?_ CONFORMS TO THE ZONING .;LAMS der °fNGINEERS� SURVEYOR OF BARNSTA L MASS. 1 MAIN ST' 712 MAIN`jST CH. BY: R, PA. SQ YARMOUTH; MASS. L HYANNIS, MASS. Z I .,. SHEET. OF DA E R G. LAND . SURVEYOR, /VO_TE :' /F E/TiWER Ts�E,SEp7�/C TAN/ OR L.E�ICHJ/�l .P/T .4RE_ MC-)RE T.NAN_. /2EELOIv /40 FT /i6IV5 f� 2�"O/.�IIll ?e� G'C.�iyC"�t't T� COMER _ •+JJ�$L �� ,�ROil� T 7-0 ':VITA 0E.(-14IV EXTRA ® CONC Y 'E' 4 /ery/A/. P/TCi� J1EAVy,CAST bV01V C�OVE/P SH�4GL !3E USE.C� II I F//V ,OR/VE,tvA Y CAYE/FS FT. o. 2 /►9 M _ Cr RA co VER CLEAN SAND � . - `, L/QUID LEVEL i I a LAYER /ROM P%E Q o c o 0A/ D o o © m a •® o o . o o '® s:;I %4 PAR f WASHED 572JNE SEPTIC 7A' A/K '� Q T � e �� o o afie m o m a I ; ®oo,t o q 314 - �2 e o ► a o pEPTi1 ° ® ° ® e o WA5HED STONE �., v 1 1 ® 0 0 3 ® ° I I , r v� c I000 0 0 ooeo p om` PRECA5T5E.EPA6E a j" o Iom m ® ossa ® ; o P17OREQL//V. /MVL'RT EL EVAT/oN s �Pe07P.6 /MXERT AT 641/4DIA16 INLET' JWP7/C 7,"4HK ? FT i_ _Lp FT. O/.4/d/. C SEE TABULAT/'ON> DU?LET SEPT'/C 7-.4/V/. � ' FT." say FT SEC7�/O/V OF CROUNO 1 ,47-ER TABLE OUTLETD/STR/®U7"/®iV BOX /NL.ET LEACHI/VG f'/T -?P'O FT •>���� A-A6a ,09704SAL S✓57EM 'TA®!ULAT!®N LEACHiNC- /T' 0/I►9EN5/0/V A—3 FT. x,i.��IG/v" G'RITE�19�1 DIA' ;5ISAe a G FT. IV44W5ER•OF 4&E®D'04/?S Z DIA1461V5/,0IV C. FT. GAR6AGE®/5P05AL UM/T SO/Z- LOG TO7'A[ MFTlAlA7"EO FLOA-V 2 z� G.�G.�oA1+ SO I L TEST A/ SO/L TEST'#2 5®0/1 TEST /VUMBEiP aF LEACNINGe P/7'S �ELEK FOP �-Et-Fd! ,DATE OF- SOIL TEST y�/r�-7 S/OE L,—AGH/IVG PEAt P/T SC,.. FT r--� y _ r es�� ,• T c Lt/ITA. 'cc n My S®TTOM tF.f�L.N�/vcr ��� rir �. Fi: c-OA*os t �_ =&`NCOLA7'IO/v R,47.0 D^7//V /NCH TOTAL LE4CH1WCr AREA Z& 6 ,SQ FT 5-t tr3 sv,,L _ . FFRC0 A7'/®N RA' w A2 a'1/N.�INeH RESER�EGEA�'/4I!/VG AREA 2-b 6 SQ FT . Or ROBPERT 2AI/C-G. - C4rl/T�� Vl L•-L-2E g { cat 13UNIKIS 1 r No.22162 w^ , { w E® F6tsYE� E!$l+f� IVAER/AIG CC,INC. tr T 7/2 MA/i'V ST. 3 /JA,/YJA/N ST. pNAL�l� 3 6&0V oV4P' Y Ar&R FNC®UNTZL);rZ HYANw/s, _A7A5s. .S�J-•Y.a�MotJT�i,„nIss.f.s 1.TER A7''ELEfI , r _ F114E 1p� DATE: ti * FEE: + BARNSTABLE, 9 MASS. g �A 1639• REC. BY Town of Barnstable SCHED. DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufrnan,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: -7 Assessor's Map and Parcel Number: �?�� Size of Lot:� Wetlands Within 300 Ft. Yes V Business Name: No Subdivision Name: APPLICANT'S NAME: Phone Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT— PERSON Name: )F--r Sa VG? Name: r ova 5e L L Address: 1 Y1� Pi�4—s 1 Address: Phone: Phone: --7-7CO -OeS 6 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 'D C r �PNC'�re_ s(�(se. i-, "1ev r NATURE OF WORK: House Addition El❑❑❑❑❑ House Renovation ❑ Repair of Failed Septic System 13 Checklist(to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. Q:\HEALTH\WPFILES\VARIREQ.DOC David B. Mason, R.S. DBC Environmental Designs January 4,2002 Ms.Lee McConnell Barnstable Board of Health Barnstable, MA Re' 72 Three Pond Drive,Centerville, MA Dear Ms. McConnell, This office discussed with you as you may recall the issue of upgrading the overflowing failed pit at the site referenced above. The dwelling is an existing three-bedroom home. To reiterate the issue,the site is set on a steep grade with the abutting wetlands down gradient of the existing septic system and dwelling. There are tight utility restrictions in the location of the front yard.The steep grading in the front yard needs to be extensively altered. The front yard grading would need to be dropped approximately 5 feet to install a compliant system. Additionally,there is breakout potential of a septic system designed under the 1995 Title V requirements due to the steep nature of the slope. The existing leach pit and that which would replace it would be 100 feet from the abutting wetland. Any other type of system would not meet the criteria. This office requests with approval of the property owner,to utilize the existing leach pit and remove the existing stone and contaminated soil and replace with clean sand per title V specifications and"re-stone"the pit with 3 feet of stone around the leach pit. The septic repair is requested per the title V requirements of"Maximum Feasible Compliance". Please call this office with any questions. Sincerely, w 1 David B. Mason, R.S. Massachusetts DEP State Certified Soil Evaluator 4 Glacier Path, East Sandwich, MA 02537 508-833-2177 C�` � 16 3 1 V./ /6P5" TITLE V CALCULATION CHART (1995 Code) COMPONENT 3 BEDROOMS 4 BEDROOMS1 5 BEDROOMS 6 BEDROOMS Min.. Required area for<5 mpi soil (1995 Code) 446 sq. ft. 595 sq. ft. 743 sq. ft. 892 sq. ft. SEPTIC TANK MH Gallons 1500 Galloi s. 1500 Gallons 1500 Gallons DISTRIBUTION BOX Distribution Box Distribution Box Distribution Box Distribution Box. SOIL ABSORPTION SYSTEM: Cultec Recharger 330's 4 (334 GPD) 6 (471 GPD) 8 (606 GPD) 9 (674 GPD) (NOTE:5 are not enough- INOTE:7 are not enough- Cultec Recharger 330's(with 2'stone surrounding SAS) 34 x 8.3 x 2 provides only 401 GPD) provides only 538 GPDI 71.5 X 8.3 x2 49x8.3x2 64x8.3x2 Cultec Recharger 33D's(with 3'stone surrounding SAS) 3 (332 GPDI) 5 (490 GPD) (NOTE:4 are 6 (569 GPD) 8 (728 GI'D) 28.5 x 10.3 x 2 not enough-provides only 411 51 x 10.3 x 2 60x 10.3x2 GP DI 43.5 x 10.3 x 2 High Capacity Infiltrators 4 (394 GPD) 6(461 GPD) 7(598 GPD) 8(667 GPD) H.C.Infiltrators(with 4'stone on sides,3'stone on ends and 14 inches underneath) 33 x 10.8 x 2 39.25 x 10.8 x 2 52 x 10.8 x 2 58 x 10.8 x 2 [NOTE: 4'stone is not recommendeed,more innitrator units are recommended) Infiltrator 3050's 5(331 GPD) 7(448 GPD) [NOTE: 6 . 9(557 GPD) [NOTE:8 11 (665 GPD)[NOTE: 10 Infiltrators 3050's(with 2 ft.stone.surrounding SAS) are not enough,only 399 are not enough,only'515 are not enough,only 631 34'x 8.2 x 2 GPD capacity] GPD capacity] GPD capacity] 47x8.2x2 59x8.2x2 71x8.2x2 Infiltrators 3050's(with 3 ft.stone surrounding SAS) 4(345 GPD) 6(445 GI'D) 7 (550GPD) 10 (660GPD) 30x10.2x2 39.5x10.2x2 49.5x10.2x2 60x10.2x2 Infiltrators 3050's(with 4 ft.stone surrounding S.A.S.) 3(335 GPD) 1 5 (443 GPD) 6 (551 GPD) 8 (665 GPD) [NOTE: 4'stone is not recommended,more infiltrator units 25 x 12.2 x 2 34 x 12.2 x 2 43 x 12.2 x 2 52.5 x 12.2 x 2 are recommended) 500 Gallon Chambers 4 (395 GPD) 5 (477 GPD) 6 (560 GPD) 8 (724 GPD) 500 Gallon Chambers/Drywells(with 2'Stone) 31 x 9.1 x 2 46.5 x 9.1 x 2 55 x 9.1 x 2 72 x 9.1 x 2 500 Gallon Chambers/Drywells(with 3'stone on sides&ends) 3 (384 GPDI) 4 (477 GPD) 5 (874 GPD) 6(669 GPD) 31.5x11.1x2 40x11.1x2 48.5x11.1x2 57x11.1x2 500 Gallon Chambers/Drywells(with 4.'stone on sides&ends) 2(355 GPD) 3(462 GPD). 4 (570 GPD) 5(677 GPD) (NOTE: 4'stone is NOT RECOMMENDED,more chambers are recommendedl 25 x 13.1 x 2 33.5 x 13.1-s 2 42 a 13.1 a 2 50.5 x 13.1 x 2 Flow Diffusors(with 2'stone surrounding SAS and 12"deep 4(343 GPD) 6 (485'GPD) 7 (556 GPD) 9 (698 GPD) stone on bottom) 36x8x2 52x8x2 60x8x2 76x8x2 Flow Diffusors(with 3'stone surrounding SAS and 12"deep 3 (340 GPD) 5 (506 GPD) 6(589 GPD) 7 (671 GPD) stone on bottom) 30 x 10 x 2 46 x 10 x 2 54 x 10 x 2 62 x 10 x 2 Leaching Trench 60' X 4' X 2' or(2) 80' X 4' X 2' or(2) (2)48' X 4' X 2' or (2) 57' X 4' X 2' or 30' X4' X2' 40' X4' X2' (4)24' X4' X2' (4) 28' X4' X2' Leaching Field j 446 S.F. (330GPD) 595 S.F. 743 S.F. 892 S.F. ALL MINIMUM S.A.S.SIZE REQUIREMENTS LISTED ABOVE ARE BASED UPON THREE ASSUMPTIONS (1) No garbage grinder,(2)Class I Soil(0.74 GPD/S.F.),(3)No wetlands within 250 feet of S.A.S.and groundwater is greater than 14' below SAS 1:CHARTITV " .10 C ��O � SEWAGE PERMIT N0. -23 VILLAGE INSTA LLER'S NAME i ADDRESS kol Lan. BUILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED ,. f O l Town of Barnstable Assessors Division Page 1 of 3 IN L 40 dam. U�� A ��Y�r�'� /O l.+x' %�'r_ SI'i/V��y�� af' k f/✓� ply: G4T,. � ? �. .,. . o o � W.'.... w:._w ...�...w�...,✓,,.sib Your Location : Home : Town Departments : Administrative Services : Assessors Division More About «Back-Forward>> Friday,January Search Website �` Assessors Division- More About Town De•artments *All Departments Data is based on Fiscal Year 2002 Assessor's database and is provided for infc *Town Council purposes only. *Town Manager *Administrative Services 72 THREE PONDS DRIVE *Regulatory Services Map/Parcel/Parcel Extension: Mailing Address: *Community Services 173/070/ SILVA,ALBERT L TR •Public Works Owner of Record: %SILVA,ALBERT L JR&WALTER J *Police Department SILVA,ALBERT L TR P 0 BOX 471 Property Location: CENTERVILLE, MA 02632 Town Information 72 THREE PONDS DRIVE Parcel ID:173070 *All Information *Agendas *Annual Report *Committees •Employment Fiscal Year 2002 Assessed Values •FAQ's Appraised Value Assessed Value •Forms and Applications Building Value: $ 104,200 $ 104,200 *Hearing Schedules +News/Press Links Extra Features: $2,600 $2,600 *Operating Budget Outbuildings: $0 $0 *Ordinances +Property Assessments Land Value: $49,400 $49,400 *Regulations Totals: $ 156,200 $ 156,200 *Town Charter *Town Calendar •Town Maps Town Newsletter Receive Town Updates Sales History By E-mail Owner: Sale Date: Book/Page: Sale F Click Here To Join SILVA, ALBERT L SR 5/15/1989 6740/058 $80,0 Contact Town Hall LEBLANC, RICHARD F 6/15/1983 3778/237 $ 89,9 Town Hall FRIEL, 6/15/1981 $65,0 367 Main Street SILVA,ALBERT L TR 1/29/1998 11194/ 109 $ 1 Hyannis, MA 02601 SILVA,ALBERT L JR&WALTER J 1/2/2001 13463/337 $ 100 Phone 508-862-4000 E-mail Contact Town Hall Land and Building Description Land Building Lot Size(Acres): Year Built: http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_Services/Finan... 1/11/2002 Town of Barnstable Assessors Division Page 2 of 3 0.52 1979 Appraised Value: Living Area: $49,400 1492 Assessed Value: Replacement Cost: $49,400 $ 119,815 Depreciation: 13 Building Value: $ 104,200 Construction Details Style: Interior Walls: Cape Cod Drywall Model: Residential Interior Floors: Grade: Carpet Average Grade Stories: Heat Fuel: 1 1/2 Stories Oil Exterior Walls Heat Type: Wood ShingleClapboard Hot Water Roof Structure: AC Type: Gable/Hip None Roof Cover: Bedrooms: Asph/F GIs/Cmp 3 Bedrooms Bathrooms: 2 1/2 Bathrms Total Rooms: 6 Rooms Outbuildings& Extra Features Code Description Units/SQ FT Appraised Value Assessed Val FPL2 Fireplace 1 $2,600 $2,600 Building Sketch http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_Services/Finan... 1/11/2002 Town of Barnstable Assessors Division Page 3 of 3 3 , vY. s 3 3 fl I� > .. Back -Forward Home Departments I Town Information Contact Town Hall Website Developed and Maintained internally by the Town of Barnstable Information Systems Department Town Hall-367 Main Street- Hyannis,MA-02601 -508-862-4000 DISCLAIMER: Although we strive to provide accurate information,we are only human. Please consult directly with the appropriate department if there is a question of accuracy. Copyright 20010 Town of Barnstable. All Rights Reserved. I http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_Services/Finan... 1/11/2002 L`U,C J `T ION SEWAGE PERMIT NO. VIILAGE L� INSTA LLER'S NAME i ADDRESS 0 U IL D E R OR OWNER � DATE PERMIT ISSUED 6, DAT E COMPLIANCE ISSUED 1-7 �'�'' �� ' ��+/ v% �O / '��, �/ � o� / � ,� i ASSESSORS MAP : 4 L-7 OD TEST HOLE LOGS o6b PARCEL : #" �Q -- T FLOOD ZONE: _ �7" G-f�G �.. .- SOIL EVALUAT R : j WITNESS : �.-( - L(� REFERENCE: _G �2T1, '/ ,� 7:>L07- 1'' _ DATE: I J . .__.. �'. ► `r� fi :,,ZJ ,!Jr PERCOLATION RATE: _ TH- I i TH-2 our PEW LD G�({ tw 4 LOCATION MAPiTS, pi v4u ID 6DILLz . _ 5 : Dr SEPTIC SYSTEM DESIGN FLOW ESTIMATE GAL/DAY/BEDROOM AT 72 GAL/DAY �1-t? a . _::: ..__ iul �4 "1 � SEPTIC "LANK . �� �U,�_-�. GAL/DAY x 2 DAYS - GAL `D 1�j! USE 420GALLON SEPTIC TANK I+i7���1+i!"�G f . .._. . Gam/ _ . 'l._. 7714 3 SOIL AB�SORPT ItN SYSTEM __._ _. I� -- B. MAWN r: --� ..._ \ C�b u-(�J `1 Lol 615�qLf, Pt'1 ' 725 a vro SIDE AREA Z I?j + 110 0 lj: BOTTOM AREA: ' x I -7 mx .w� ,,. EPT I C SYSTEM SECT I ON T _ _.... w 2 oi _ ` Z p , /UN 0 v M1 ":►' ' ` / \ GAL ", 71 1p - _... - / � D BOX - ! SEPT hC TANK --- W fD W r _ _...n SITE AND SEWAGE PLAN LOCATION : 473, /1 �i 'FMQ I >6 -DeNC, PREPARED FOR : - �►+'�1 - ' bF�U Wit 5iltyl6 , /may • Aq SCALE: W DAV I D B . MASON RS DATE: DBC ENVIRONMENTAL DESIGNS DA E HEALTH AGENT EAST SANDWICH . MA W W ( SOS ) 833- 2177 Z