Loading...
HomeMy WebLinkAbout0048 BRISTOL AVENUE - Health k 48`Bnrstol Avenue Hyannis F/R A 309 016 I TOWN OF BARNSTABLE °OCATION $ 19cj,574 L A. SEWAGE# f 01q /O VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S.NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) -5 66 64 eh J4,PJbS S (size) IL,X 2 NO.OF BEDROOMS 3 OWNER TA�'!�S GA►?ye.V ''. e PERMIT DATE: -?— 2 2 9 COMPLIANCE DATE: 1 I I? /Y Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet ti Private Water Supply Well and Leaching Facility(If any wells exist on i site or within 200 feet of leaching facility) I Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachm facility) , Feet FURNISHED BY G CLC4� I t Soo O Or �— � � 13 ) 2 s7 13 2, 2 • 3 .;t33 .7 3 a _..F•._ ... � ' TOWN OF BARNSTABLE t,�C LOCATION �{R &LS40 I BtUe . SEWAGE # aka- 110 VILLAGE Aeavan 15 ASSESSOR'S MAP & LOT D-0/6 INSTALLER'S NAME&PHONE NO. rrlSpn SEPTIC TANK CAPACITY � bb� LEACHING FACILITY: (type) oS C iAm arS (size) 3h , NO. OF BEDROOMS BUILDER OR OWNER G Wrunu PERMITDATE: 3- 12-0,2- 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) Feet Furnished by c .� � T �' 4� � ,` � 6 � I ,� s b O �,; s a , s �, 7 No.. V 1O Fee. y V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 9ppfication for 30isposal x,,�bpstem Construction Permit Application for a Permit to Construct V_4---1Z_epair(z)pgrade( Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. yg. ERI?/DL 1},119- Owner's Name,Address,and Tel.No. As<sessor's Map/Parcel 5,9f_/ Installer's N Address,and Tel.No.,f 08'S''A2—9173 CY Designer's Name,Address,and Tel.No.Sa '3G D- 33 ri e 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(min.required) 230 gpd Design flow provided gpd Plan Date q J7— ©J Number of sheets Revision Date Title Size of Septic Tank S—Od Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) /�=�/ / /OD 6,w J/= ,1'iG 7,7zek 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 Certificate of Compliance has been issued by this Board of Health. ;Sjeddgv"71�._:��_gDate Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ( U G7 Date Issued , �"+�,.�.�.- ,. ..-1-i.....t...�". .....-"�• •--=.r+f'.•�rM-s•.5;�"'�-fir, ..,ti..�..,rlt+'. � ♦x '.,,fir-.+.. .��4�.{`•r•..•. r .` ->t.-.. --,•--..�.., ,._,.. - .. .r.. 7.1 No. d - I U 1 ,.. Fee h - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpticatlon for Misposi W- pstem Construction jhrmit Application for a Permit to Construct(--Repair(=)__�U­pgraA( )1 Abandon( ) ❑Complete System U4endiidual Components Location Address or Lot No. 11Y& �'iQ%5/aL 149 VA?' Owner's Name,Address,and Tel.No. r; J�,v/i is z)41r�/J�6y7 s Als',ssor'sMap/Parcel!o9l -/r;,. Installer's Name,Address,and Tel.No.j D�'yv� _ �3 G ': Designer's Name,Address,and Tel.No. Sv ��.r✓f?l,T;.:��[3�YVO.Sf � f��/�y'•:=�''i"..S-d �s"1"�Vc, Type of Building: r' Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '3 y gpd Design flow provided gpd Plan Date 9 -17- 0/ Number of sheets Revision Date Title Size of Septic Tank /rad Type of S.A.S. Description of Soil 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 Certificate of Compliance has been issued by this Board of Health. Si _ ed pry Date Application Approved by tnwi Date 6 / Application Disapproved by Date for the following reasons Permit No. o L� f i0 / Date Issued /Cj THE COMMONWEALTH OF MASSACHUSETTS "�-- BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(U)-- Repaired Upgraded( ) Abandoned( )by <? �c ��✓a'/'r�r_� t`' at y� �1R/ ,T�� /;r//f _ �=}��,��!f�/� has been constructed in accordance y with the provisions of Title 5 and the for Disposal System CtoInstruction Permit No.�2ol ,_% dated 3 1/ . , .Installer O.-tA� �r�/�/'d> Designer �. #bedrooms ~1, Approved design flow 370 gpd The issuance of this permit shall not a construed as a guarantee that the system ill f-c i.n esne DateInspr , c- ............... No. 2_f - ! Fee D 0 THE COMMONWEALTH OF MASSACHUSETTS ; PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction i3ermit Permission is hereby granted to Construct( ) Repair( )' Upgrade(`).---• Abandon( ) System located at %� /J�/Q/STGL A=/;//= and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must becompleted within three years of the date of this permit. Date I ( / Gf, Approved by S i Town of Barnstable Regulatory Services Richard V. Scali,Interim Director MAS& Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 3 Sewage Permit# Q/q-M P/ Assessor's Map\Parcel v l O I L Designer: Installer: s S C Address: P C) sox '1'1( Address: 3 2� l c%5�,� a� 6 ��0 was issued a permit to install a (date) (installer) septic system at 4-g) R PJ STV 1. r1 V L based on a design drawn by (address) /� �l�G►^ (�"l A4 dated ' 1 -7 — O L . (designer) X I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the INA approval letters(if applicable) { s ler's Signature) 1140 Dc �F (Designer's Signature) (Affix e PLEASE RETURN TO RA STABLE PUBLIC HEALTH D ON. CERTIFICATE ; OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designer Certification Form Rev 8-14-13.doc Town of Barnstable Barnstable Inspectional Services AlIll-Me`ca�j • BA XAS&SLE, y�A1639. ,�� Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas A.McKean,CHO FAX: 508-790-6304 CERTIFIED MAIL#7015 1730 0001 4987 9583 March 15, 2019 GARVEY, JULIE E 48 BRISTOL AVE HYANNIS, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 48 Bristol Avenue, Hyannis,MA was inspected on 02/19/2019 by Robert Paolini, certified Title V Septic Inspector for the State of Massachusetts. The inspection of tle'septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1) year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\48 Bristol Avenue Hyannis.doc Town of Barnstable • • lARN$GBIE. • ,� Regulatory Services Department -- - -- - Public Health Division - 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1)YEAR DEADLINE CRITERIA /y-tatic liquid level in the distribution box above outlet invert due to an overloaded or VV clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any"conditionally passed systems" (broken cover,relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments „ r 48 Bristol Ave. Property Address _ GARVEY, JULIE E r Owner Owner's Name information is Hyannis MA 02632 2/19/19 -: required for every page. City/Town State Zip Code Date of Inspection -a 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 A. General Information s/# /ac��� filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Robert Paolini use the return key. Name of Inspector Robert Paolini Septic Service IL�I Company Name 17 Playground Lane Company Address Yarmouthport MA 02675 City/Town State Zip Code 508 362-3555 S14454 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. I am a DEP approved system inspector pursuant to Section 16.340 of Title 5(310 CMR 15.000). The system: ❑ Passes ❑ Conditionally Passes Fails ❑ Needs Further Evaluation by the Local Approving Authority 2/19/19 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Bristol Ave. Property Address GARVEY,*JULIE E Owner Owner's Name information is Hyannis MA 02632 2/19/19 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 described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. 'Comments: Leaching chambers were full at tim of inspection. 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-3/13 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 48 Bristol Ave. Property Address GARVEY, JULIE E Owner Owner's Name information is required for every Hyannis MA 02632 2/19/19 page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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 inorder 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Titre 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Bristol Ave. Property Address GARVEY,JULIE E Owner Owner's Name information is Hyannis MA 02632 2/19/19 required for every page. City/Town 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 ❑ 0 Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Fx� ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ❑x Liquid depth in cesspool is less than 6" below invert or available volume is less than day flow t5ins•3113 Tile 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts up Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Bristol Ave. Property Address GARVEY,JULIE E Owner Owner's Name information is required for every Hyannis MA 02632 2/19/19 page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) Yes No ❑ Z Required pumping more than 4 times in-the last year'NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ O 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. ❑ p Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ p Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ 0 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.] ❑ FX1 The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. 0 ❑ 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 ' Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Bristol Ave. Property Address GARVEY,JULIE E Owner Owner's Name information is required for every Hyannis MA 02632 2/19/19 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 ❑x ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ❑x Were any of the system components pumped out in the previous two weeks? ❑ ❑x Has the system received normal flows in the previous two-week period? ❑ ❑x 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) x❑ ❑ Was the facility or dwelling inspected for signs of sewage back up? ❑x ❑ Was the site inspected for signs of break out? ❑x ❑ 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? ED ❑ 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: ❑x ❑ 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 t5im•3113 Title 5 Official inspection Form:Subsurface Sevrage Disposal System•Page S of 17 Commonwealth of Massachusetts UJ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Bristol Ave. lu Property Address GARVEY,JULIE E Owner Owner's Name information is required for every Hyannis MA 02632 2/19/19 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? O Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑x No information in this report.) Laundry system inspected? 0 Yes ❑ No Seasonal use? Yes ❑ No Water meter readings, if available last 2 ears usage d 2017:10,000 g ( y g (gp ))' 2018:12000 Detail: Sump pump? ❑ Yes ❑x No Last date of occupancy: NA 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 Els No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Forth: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 48 Bristol Ave. Property Address GARVEY,JULIE E Owner Owner's Name information is required for every Hyannis MA 02632 2/19/19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: 2/19/19 Date Other(describe below): General Information Pumping Records: 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: ❑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) ❑ 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 1/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ns-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 i ' Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Bristol Ave. Property Address GARVEY,JULIE f Owner Owner's Name information is Hyannis MA 02632 2/19/19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed (if known) and source of information: 2002 Were sewage odors detected when arriving at the site? ❑ Yes ❑x No Building Sewer(locate on site plan): 1' Depth below grade: feet Material of construction: ❑ cast iron 0 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight No evidence of leakage.System vented through the building vents. Septic Tank (locate on site plan): 1' Depth below grade: feet Material of construction: 0 concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 6" Sludge depth: t5ins.3/13 TiBe 5'Officiar Inspection Form:Subsurface Sewage Disposal System.Pago 9 of V ' Commonwealth of Massachusetts Title 5 Official, Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Bristol Ave. Property Address GARVEY,JULIIE E Owner Owner's Name information is required for every Hyannis MA 02632 2/19/19 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 I 12" Scum thickness Distance from top of scum to top of outlet tee or baffle 2" Distance from bottom of scum to bottom of outlet tee or baffle 4 How were dimensions determined? Measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump tank every two years.Inlet and outlet tees are in place.No evidence of leakage. 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Offi-cial- In-spectio-n- Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Bristol Ave. Property Address GARVEY,JULIE E ,Owner Owner's Name information is Hyannis MA 02632 2/19/19 required for every page. City/Town 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 11 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Bristol Ave. Property Address GARVEY,JUUE E Owner Owner's Name information is required for every Hyannis MA 02632 2/19/19 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert yes 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.): Box is level.Box has one outlet lateral.No evidence of leakage. I 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.): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption'System'(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: i . tSins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 117 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments " 48 Bristol Ave. Property Address GARVEY,JULIE-E Owner Owner's Name information is Hyannis MA 02632 2/19/19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: O leaching chambers number: 2/500 L.C. with 4'stone ❑ 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.): Leaching was full at time of inspection. 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 Dimensions of cesspool Materials of construction Indication of groundwater,inflow ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Bristol Ave. Property Address GARVEY,JUUE-E Owner Owner's Name information is Hyannis MA 02632 2/19/19 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.): i t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 assessing As=Built C;aras rtttps:�itownutoarnsttto�e.usn�eparuntmrr�sscss�n�rri uNC,►y_vau TQWN OF BARNSTABLE LOCATION q9 frif-40Plug SEWAGE N d=2 VILLAGE. Afo eyj�S ASSESSORS NNAP&L6 INSTALLER��NAME8tPHONEN0. rytS�ri �L "7"1517�( SEPTIC TANK CAPACITY gj,1 LEACHING FACII.tT'Y: (type)a MO 413 lR -91 NO.OF BEDROOMS-3— ' BUILDER OR"OWNER- QAC-vftv- f PERMrrDATE: .A-0-6-2, COMPLIANCE DATE: - Separation Distance Between the: Maximum Adjusted Cimnodwater Table to the Bottom of Leaching Facility .Private Water Supply.Well andUachiug Facility.(If any wells exist on site or within 200 feet of leaching faciiiry) Edge of Wetland and Leaching Facility(If any wcdands exist within 300 feet of leaching facility) Furnished by " " O • 2 of l (\ 2/.19/2019,2:0! • Commonwealth of Massachusetts Title 5 OfficaF Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Bristol Ave. Property Address ,GAR VEYJU.LIE:E 'Owner Owner's Name information is required for every Hyannis MA 02632 2/19/19 page. City/Town 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 Feast 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 -tSns•3113 Tide 5 Offidal'Inspection F.orm:.SubsuBace Sewage Disposal System•Page 15&17 ' Commonwealth of Massachusetts Tit[e 5 Ofificial' Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 48 Bristol Ave. Property Address :GARVEY,>.JUUE.E Owner Owner's Name information is required for every Hyannis MA 02632 2/19/19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: 0 Check Slope ❑x Surface water ❑ Check cellar El Shallow-wells Estimated depth to high ground water: 12' Seperation between bottom leaching and adj. groundwater Please indicate all methods used to determine the high ground water elevation: j ❑ 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) X1 Checked with local Board of Health-explain: As=Built ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS observation well data.USED:Technical bulletin 92-0001 annual ranges of groundwater elevations. polar@ tilling this Inspection Report, please see Report Completeness Checklist on next page. •Ti to 5 offj6ailpspection Form:Subsurface Sewage Disposal System•Page 16 of 17 15bw•-/10 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 48 Bristol Ave. Property Address _GARVEY _J:ULIE_E Owner Owner's Name information is required for every Hyannis . MA 02632 2/19/19 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ❑X Inspection Summary: A, B, C, D, or E checked Inspection Summary D (System Failure Criteria Applicable to All Systems) completed Fx1 System Information—Estimated depth to high groundwater Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 45ins•:3/93 Title 5'40fficiaFdnspection•Fowm Subsurface Sewage-Disposal System—Page 47 of47 i USPS TRACMNG# First-Class Mail Postage&Fees Paid Permit No.G-10 9590 9402 4798 8344 8589 85 I I United States •Sender:Please print your name,address,and ZIP+4®in this box• I Postal, i I s Town of Barnstable Health,Division 200 Main Street Hyannis,MA 02601 I I I ,,SENDER: COMPLETE THIS SECTION �COMPLiTE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. 0 Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article) D. Is delivery address different from item 1? ❑Yes Ik If YES,enter delivery address below: 0 No k GARVEY, JULIE E l 48 BRISTOL AVE HYANNIS, MA 02601 j II I IIIIII II II III I II IIII III I I III'IIII I II I(III Ei❑ dul Mail Express@ t Service Restricted Delivery ❑Registered S gn tu red Mail Restricted 9590 9402 4798 8344 8589 85 Certified Mail® Delivery I ❑Certified Mail,Restricted Delivery '�Return Receipt for ❑Collect on Delivery Merchandise 2. Article-Number Crransfer_frnm cacvir_s+-r�r,�n -❑-CcAl—t-Delivery Restricted Delivery ❑Signature Contirmatlonrm I .. - ❑Signature Confirmation 7 015 1730 0001 4987 9583 z 3; I Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-060-9053 Domestic Return Receipt CFtNE Town of Barnstable I f U.S.POSTAGE>>RTNEYBOWES (•' °. Public Health Division MRNSTABLE.Q 200 Main Street ' I , De '� Hyannis,MA 02601 = ZIP 02601 �' 006`°800 02 4YV 0000336455 MAR. 15. 2019 7015 1730 0001 4987 9583 f GARVEY, JULIE E _ 48 BRISTOL AVE ' NIXIE 015 1:1e ..C.C„T,11 D N ,.TlV SENDER NOT DEL.IERAR.LE AS •ADDR.E.SSED UNABLE TO FORWARD ' IITF I RC: 07601 4002 kO x017i;9-03 0157_1.5 -3.8 i 111liltI1.11MIitl.jit,.41.1ttit, li,i.."It J1I11.1ilIIIid.1 lijtiIs � , f Town of Barnstable Barnstable Inspectional Services A&MIN`ca j C3ARNSTASL£, I I " . Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas A.McKean,CHO FAX: 508-790-6304 CERTIFIED MAIL#7015 1730 0001 4987 9583 March 15, 2019 GARVEY, JULIE E 48 BRISTOL AVE HYANNIS, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 48 Bristol Avenue, Hyannis, MA was inspected on 02/19/2019 by Robert Paolini, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: I • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1) year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\48 Bristol Avenue Hyannis.doc F4��V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYicatfon for Mioponl opotem Construction Permit Application for a Permit to Construct( . )Repair(X )Upgrade( )Abandon( ) O Complete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's pf} e1Lst01 Ave �HYnni, �.` James Garvey ! 66 �3 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Servic . Darren Meyer P O Box 1089 , Centerville 43 Vine St. , Duxbury, MA Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building R -s i r1 P n t-; a 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow gallons. Plan Date q�� A 1 Number of sheets Revision Date Title Size of Septic Tank f Sb D Type of S.A.S. - *, q X d nn (1 Description of Soil: / .a Nature of Repairs or Alterations(Answer when applicable) T i I e 5sepci a te—p lase f- Darren Meyer, dated 9-17-01 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 by this oar of Heal ? Signed �� Date J?— Application Approved by eiG Date Application Disapproved for the following reasons Permit No. 2 ' `� Date Issued -77 F050 THE COMMONWEALTH dF MASSACHUSETTS Entered in computer: Yes ` PUBLIC HEALTH DIVISION -TOWN OF,BARNSTABLE., MASSACHUSETTS J zA 01ppYication for 30itpont *pztem,Zongtruction Permit (; �I Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components r Location Address or Lot No. Owner's Name,Address and Tel.No. ,Assessor's%/4R�stol Ave. , Hy nnis James Garvey Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Servic Darren Meyer P O Box 1089, Centerville 43 Vine St. , Duxbury, MA ' Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building Residential No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow gallons. Plan Dated_ga Number of sheets Revision Date Title I Size of Septic Tank Type of S.A.S. -bile V— d(� C NHnn�2o/1 Description of Soil c a nA o�S XI/a X� l Nature of Repairs or Alterations(Answer when applicable) ��tic to plans 99 Darren Meyer, dated 9-17-01 , 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 by this o of Heald•. f Signed �-�� Date Application Approved by �r� Date Application Disapproved for the following reasons Pettit No. fi�`5 2 `�Q Date Issued —U 2 THE COMMONWEALTH OF MASSACHUSETTS Garvey BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( X )Upgraded( ) Abandoned( )by Wm. E. Robinson Septic Service at 48 Bristol Ave. , Hyannis has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction PermiRk�2- /I,O dated _5 Installer Wm. E. Robinson Sr. Designer Darren Meyer The issuance of this pef 't shall not be construed as a guarantee that the sy em will nCnasA ' ned. Date peg! t L Inspector No. 'r•> �f�" J -------------------------Fee $50 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS li!5paaf *p.5tem Qtongtruction Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) System located at 48 Bristol Ave. , Hyannis 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 it. Date: c, ! �'� !/ —ApproveddY%l/ AsBuilt Page 1 of 1 TOWN OF BAR NSTABLE (L LOCATION q3 (-�"(. SEWAGE# e9COa- 110 VILLAGE 41gann'S ASSESSOR'S MAP&L6T--ZY)y-0/6 INSTALLER'S NAME&PHONE N0. 6 r,):5Dn SEPTIC TANK CAPACITY I' 15 a:I LEACHING FACILITY: (type) ;2 Iba 4PI QkAmkorS (size) � * 2 NO.OF BEDROOMS_ BUILDER OR OWNER G ArUtEv PERMIT DATE:_3-I2-Or3- COMPLIANCE DATE:Separation Distance 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 Weiland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i ' T F' 9a o� 0 a http://issgl2/intranet/propdata/prebuilt.aspx?mappar=309016&seq=1 3/22/2019 u I TOWN OF BARNSTABLE f C. LOCATION q2 &-iS4a 1 Prt SEWAGE # dCO,o - 110 VILLAGE 4,- o rY-)15 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. -17-7 SEPTIC TANK CAPACITY 15bO I LEACHING FACILITY: (type) 2�'M !at-B fir» er (size) 13 .a5 NO. OF BEDROOMS BUILDER OR OWNER G'Prut-,v PERMITDATE: 3rm la-ba- COMPLIANCE DATE: I 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 A d ASSESSORS MAP : � NOTES: a� TEST 'HOL r' LOGS PARCEL: 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH SO I L EVALUATOR : DAICUN A 0-1 �{,�,,C5E �TtHIS PLAN, 1995 MASSACHUSETTS TITLE V & TOWN OF FLOOD ZONE' �IUNzoc WITNESS : (, (;(o�N -T p t�A ,TSa BOARD OF HEALTH REGULATIONS. lit REFERENCE ► IA DATE: S eg- 0 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, PERCOLAT ION RATE: L. 2 MIN I�fil�' SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO INSTALLATION. �9 �� TH- I � 9775 TH-2 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE 5 �� f�I U... 7 DETERMINATION. 1 �p� Sip 4) ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "/ FOOT. (UNLESS 1 0 �.�y _�� 2! SPECIFIED OTHERWISE) q s� r LOCATION MAP .T S �f l` �$ �4mj SAND S S) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A U A ., i°y'�/� ` ,,9�,�s I GARBAGE DISPOSAL. 3� p ly N�E.DtuM Q 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) � w + G 92,2S MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON A BASE OF 6"OF CRUSHED STONE. /9- 7, /�o �n/owAJ P ><�-ram l � Q, alsmN • 1�5�I fllf�Z PU KE{ --- O69c-2.V45 SEPT I (. SYSTEM DESIGN FLOW U)TIMATE /03 PlAtz /�f 1. it l y w f�ui�t'►�! Bil 1. /a) BEDROOMS AT .10 GAL/DAY/BEDROOM - GAL/DAY SEPTIC TANK GAUDAY x 2 DAYS - 660 GAL J log ' USE /? pU GALLON SEPTIC TANK /- , / SOIL XaSORPTION SYSTEM . G zs r , o % I DE AREA:1 �3Z� � -(`i�z x 7, x o.7 q, , o ICJ I EOTTOM AREA: 32- x X Q,7 �Z- 5T1,t. j 1L. 04(>6U4,J� 33 �, 'tS «© 7 3�a 1�100 SEPT I ( SYSTEM SECTION qt _.W. ......W __�. . � a 7 tic.;e2 G S ay+ t_ � t 5cav cAl+� 4eslD-Box 96 / %..t SEPTIC TANK (Wi /Gve/ns� �1 / � )LAM �2 7 �KN€� 57�rvr S 2 - 37- So Of SITE AND SEWAGE PLAN LOCATION : . 4-0 f2E-le7r t" '4yelyvE PREPARED FOR 0 W SCALE DARKEN M. MEYER, R.S. 0 43 VINE STREET DATE: -/?-a Z Z DUXBURY, MA 02332 W Z DATE HEALTH AGENT (781) 585-0293 ASSESSORS MAP : TEST 'HOLE LUGS NOTES: PARCEL: 1)` THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH 'tt SOIL EVALUATOR': �A`f� o�I• NdE, kl 01 C51: THIS PLAN, :1995 MASSACHUSETTS TITLE V & TOWN OF FLOOD ZONE: (�kt�N ^ ZpC�L-f� '�" �$ ._.. BOARD OF HEALTH REGULATIONS. W#7NESS : LF�• I'�c,CaNN�+ �h�a-►��� N�A�'W Nam Gjt REFERENCE: NIA DATE: ,PT��u E . 0 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, PERCOLATION RATE: SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO INSTALLATION. TH- I �(, 9�>?S 7H-2 3) THIS PLAIN SHALT. BE USED FOR SEPTIC SYSTEM INSTALLATION ONLY, AND SHALT. NOT BE USED FOR PROPERTY LINE DETERMINATION. Lofmf sffi�p © 4) ALL PIPING TO BE.4" SCHEDULE 40 @ 1/8 "1 FOOT, (UNLESS q(o.ZS SPECIFIED OTHERWISE) LOCATION MAP N-T-S b�' t Rj " j SAND S/ � 5) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A Ioy�./� �^ qy.*7s' GARBAGE DISPOSAL. /Ar_-V IVA4 Q b) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) C q2,Z� MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON G G bb ! A BASE OF b"OF CRUSHED STONE: jr�, 5 � 7 nl / � F l� / � 7, No �lo�iv�l PQav 1�1.�1 j \ $7`S° Ark `D lib �jr2vi�NG>W�i �. y i ` y SEPT I C SYSTEM DES] ON #1 w s va'rI'v 8-4� �� FLOW E,`)T 1 MATE BEDROOMS AT 110 GAL/DAY/BEDROOM . 550 GAL/DAY SEPTIC TANK - GAL/DAY x 2 DAYS - GAL USEGfO GALLON SEPTIC C TANK— : f � Io o ._... r levy! SOIL A3SORPTION SYSTEM Y-// 1p .: .:........:. ..�.►..;. ._.�. .i .,.,.: .._,.'^ _:.:.;.-.. _ma's�.:`"" t� .. i -rig` w - ..:1DE AREA: (3]� 7, 4-61` z., x 2- x o,7 4 r a ! U571 PviZ. I E'OTTOM AREA: 0•7� Z13 . �Z- 1 .33 � ; I SEPTTIC.- SYSTEM SECTION t94 G 7; f119 ,Lr 70 F EG,.l ' 1 7 J7 Id' I / 11,56? GAL °%30'lX0- DARRENf 9�. 3 illS7 U / .=70 %ram SEPT#C TANK / /nt�s� I .1i1 Ll L f2,7 �tI�SN1rD �7N S 2S 3z'x 9' g7 S .13O VAA Dar 2 L , U ya _ SITE AND SEWAGE . PLAN n1 ' . LOCAT I ON • 4 15V17 R�osA' � PREPARED FOR : yN M. MEYER, R.S. scA>; 43 VINE STREET DATE: -l7-o DUXBURY, MA 02332 DATE HEALTH AGENT (781) 585-0293