Loading...
HomeMy WebLinkAbout0291 CASTLEWOOD CIRCLE - Health r 291 .CastleW6 d Circl ' {H annis ,A = 2t 046 h y � I II I 0 1 it i O TOWN OF BARNSTABLE C—LOCATION �Y\ <<>rF� +i�Ch[�C� Lt'rct2 SEWAGE# VILLAGE ��y�c�,,�tii ASSESSOR'S MAP&PARCEL Q,13-()tjC . INSTALLER'S NAME&PHONE NO. =,V- , SEPTIC TANK CAPACITY _1 D 0 0 g c ►�u„ LEACHING FACILITY:(type) H C,2% (size) .5�) NO.OF BEDROOMS OWNER 6A O I( "Qo-ri PERMIT DATE: o- I - I COMPLIANCE DATE: Separation Distance Between the: A)0 N e a 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 { d � � a t � v . %a. 0 G C No. 0 0 `alb Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpphtatlon for Disposal *pstrm Conetruttion 3pPrmit Application for a Permit to Construct( ) Repair(e4 pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �{/(�5 f�� r,,v J �d� Owner's Name,Address,and Tel.No. Assess6r's Map/Parcel �2_ i Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms y Lot Size PA-7 sq.ft. Garbage Grinder( ) Other Type of Building _rr: !z .-,vim No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided oV'j';Yj `/ gpd Plan Date 7—R i—>9 Number of sheets 2, Revision Date Title > / Size of Septic Tank y:i5yirvC Type of S.A.S. 3 S'�O 4CaIlek., / `90 L"l�lG�I �T Description of Soil Nature of Repairs or Alterations(Answer when applicable) /� 3 S"DO ,G`�G,•! 11'1e.9 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. Signed 1 a//l� Date 1 Application Approved by V Date Application Disapproved by Date IF for the following reasons Permit No. iLci '3/0 Date Issued _t �! 1 } a i �.. xi No. �.d L� '31a Fee—l THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for Disposal i�pstem Construction 3permit Application for a Permit to Construct( ) Repair(,4pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Y/�5¢/C J l%vc Owner's Name,Address,and Tel.No. AssessYNs Ma Arcel 2 g? , /�G�i�4✓/ Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size %1A 7 sq.ft. Garbage Grinder( ) Other Type of Building �y No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided� , y gpd Plan Date T, s i q Number of sheets 2 Revision Date _a ( � - Y Title Size of Septic Tank y Type of S.A.S. ) Description of Soil Nature of Repairs or Alterations(Answer when applicable) Von 4,4- Jr-e-C Date last inspected: Agreement: f" 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. Sign 1 — nn Date Z,,--!% Application Approved by • IE S 3 Date Application Disapproved by �, Date for the following reasons ti Permit No. I ci 3 t0 Date Issued t THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(-'--Upgraded( ) Abandoned( )by 0 at 7�, /„� /a `� „/ �/,.,� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.d 3/0 dated Installer :V Designer #bedrooms Approved design ow gpd The issuance of this ermit hall not be construed as a guarantee that the system will ct as designed. Date Inspector - - ----------------J-�----------------------------------------------------------------- ---- No. Fee Gt v THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Nsposal 6pstem C ustruction 3permit Permission is hereby granted to Construct( ) Repair( Upgrades( ) Abandon( ) System located at of�r f/.., / /,i✓ H� .�,✓ 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 be completed within three years of the date of this permits 2 .� j Date —( Approved by 0 I Town of Barnstable .orrIME r Regulatory Services Richard V. Scali, Interim Director BARN$'fABLE, 90 6 . Public Health Division O 39• �� ATEDMA'�6 Thoinas McKean,Director 200 Nlain Street,Hyannis, VIA 0260.1 Office: 505-862-464 Fax: 0s-790-630a Installer &Designer Certification Dorm Date: (� l t"I t� Sewacye Per- �tC'J 1 — 1 b `i 0 Assessor's jNja Tar•cel Z�� ^O C C—��+2e AZ- Designer: Installer: A Address: 1Z Ivy C-bz,;sr Address: _� � . 3,,, 0,4 - On l - '(�-fir .G�,,Z �„� -- _._ ` as issued a permit to install a (date) (installer) septic system at 29 t C451'6e--u-I ( C hayed on a design dra��n by (address) t .: �eTr}�J l`L'u✓1•ts I>'t� dated `71 (designer) ---'Icertify 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 «rith State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (ii:required) Nvas inspected and the soils Were found satisfactory. I certify that the system referenced above was constructed in th the terms of the BA approval letters(if applicable) T �s4��Ls Pee- REE lm nst er's Signature) ctv+t t4o.351tss .q�REO15SE� � (Designer's Signanu"e} {Affix Designeere)--- PLEASl, RETUILN TO BARNSTABLE•PUBLIC HEALTH[ DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE, PUBIC HEALTH DIVISION. Q:`.Sci;tic Lcsigner Certification Form Rev 3-t—I 3.doc Engineers note:This certification is limited to ar as-buat inspection of sysvem cernponenis as installed prior to backfill.The engineer did not supervise construction of the system. The!nsta;ler assurles resuonsibi!.(y:or all malerials,workmanship:back`lling to specified grades with proper ccmpactio and seturc rjsers.,covers as sr.ovvn on the design plan. 1 p C Certified Mail#7005 1160 0000 0191 0164 Town of Barnstable O� Regulatory Services BHA 2 isrnBUE r1AS& g Thomas F. Geiler,Director ��rFb M1�+�1� Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 - Fax: 508-790-6304 February 12, 2008 Libero Molinari 11 .Sheep Pasture Way COPY East Sandwich, MA 02537 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 291 Castlewood Circle,Hyannis was inspected on January 1, 2008 by Timothy O'Connell,Health Inspector for the Town of Barnstable. The following violations of the State Sanitary Code were observed: 105 CMR 410.450—Means of Egress. Observed rooms being used as bedrooms within basement without proper second means of egress as required by 780 CMR 3603.10.4.1 of the Mass State Building Code. You are directed to correct the violations listed above within twenty four (24) hours of your receipt of this notice by removing all beds from basement and ceasing and desisting from using any part of basement as sleeping quarters. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH t Q:\Order letters\Housing violations\Rental ordinance\56 Seabrook Road lower level.doc 1 Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Timothy O'Connell, Health Inspector n t � QAOrder letters\Housing violations\Rental ordinance\56 Seabrook Road lower level.doc r Y J c�`( �� � = i(O��y „' �j� ��Y FORM30 CAW HOBBS&WARREN'" THE COMMONWEALTH.OFMASSACHUSETTS t S O A R,,Q OF' A H CITY/TOWN W W DE ARP TMENT > a ADDRESS 1M Sy0"0 T EPHONE Address & I Occupant - Floor Apartment No. .No. of Occupants No. of Habitable Rooms No.Sleeping Rooms No.dwelling or rooming units No.St ri ` Name and address of , n"r Remarks Reg. Vio. YARD Out Bld s.: enceb : Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. —Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: 17, Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 °o 6 F Bedroom 4 Hot Water Facil. 'Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties.- Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION E ORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF P J R �_^ INSPECTOR TITLE DATE — TIME (� M A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of Ieadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony,,roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. f F,oRta30 Caw HOBBSR WARREN TM THE COMMONWEALTH OF MASSACHUSETTS F� _ BOARDy OF HSAL H CITY/TOWN } a. ~ DEPARTMENT - . Ko-� ;4 ADDRESS i TELEPHONE c Address Occupant— Floor Apartment No. No. of Occupants _ �r No.of Habitable Room No.Sleeping Rooms f No. dwelling or rooming units No.Stories Name and address of owner _ s11 p �. Remarks Reg. Vio. YARD Out Bld s.: Fences: " Garbage and Rubbish Containers.- Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: f Dual E' ress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: „ Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: 7,7 Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: ` Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room t , Bedroom(1). 70 ✓ Bedroom 2 Bedroom 3 4 ` Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,.Safeties:__ -="' K'ifchenFacilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Otfi'er,- E ress Dual and Obst'n: ' General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION.,REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY.'' INSPECTOR i" TITLE A.M. DATE ' TIME THE NEXT SCHEDULED REINSPECTION � P.M. 1 i i 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises.This listing is composed of those items which are deemed to'always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH OF.......................................................................................... ApptirFatijan for Uiipniitt1 Work.5 Tnnitrnrtinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: n02-c')......PA .._e--- ----------------------------------------•--------.._........_.._......._._.._.._..............---- Location-Address or Lot No. .D.1 ��.1�......_ c�1s�Ms. -'�`� ......... ......: �1..� ..iP Czt.u �..._ n `1 0 Address ,1 ?� XjG ,r. L�_t-5�b�t?.":�. _ �J �C!��IS�t,Y' S..----- .S AC-^1................. ..----.... l.. ... ......... Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.................................._..........Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons____________________________ Showers — Cafeteria 04 Other fixtures ---------------------------------- W Design Flow........,t!_a,_______________________gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length........ _...�___ Total leaching area....................sq. ft. Seepage Pit No...1-�v.C2.... Diameter-_._ `.IC_ Depth below inlet... Total leaching area..... .......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-..-__-----------___---- (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------------------------------------•----------------•---•--..__....•......................................................... 0 Description of Soil....................................................................................................-------•-----------------------------------------------------_----- x U ----------------------------------------- --------------------------------•-----------------------------------....------------------------------------------------------------------------. U Nature of Repairs or Alterations—Answer when applicable.......)D_Q----...1__-:.._\_00.e)--_--- .......................... ---=--------------------------------------------•-----------------------------------................------------------------------------------------------------------------------------------....------ Agreement: The' undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with I the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee ued by the boar, lth. \ �g S --------- � ... ` r t _.Date Application Approv y------- - ------- --------------•----•---------•--------••--•------------------------- .......... �� . r•• ate Application Disapproved f th f o owing reasons-------------------------------------•------------...--.--.................................................... ........................................._. ........ ---•--..__._.......-----------------------•---•.--....-•--------------------------------------•-•............................................. ... Date PermitNo......................................................... Issued....................................................... Date C• �.. Nd.......^ .� .....:3.................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................--..........-----..OF...............I....--....---•--........ .............•-......................... Appliration for Uhipouttl Works Tonstrurtinn "truth Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ----�.asa � 2_Q40. -.....P� ................................................................................................. Location-Address or Lot No. Ow Address -cre ..... .{NY.*j. % es .................. Installer Address Type of Building + Size Lot............................Sq. feet V Dwelling—No. of Bedrooms....L4................................... Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ------------------------- ------------••---•... W Design Flow.......././ ........................gallons per person per day. Total daily flow............................................gallons. 04, Septic Tank—Liquid"capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal'4Trenc1T- No.................... Width.................... Total Length.............. Total.leaching area....................sq. ft. Seepage Pit No..\O©_a:____ Diameter... _�a. Depth below inlet_-...a........... Total leaching area....N.`.........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P ------...-•-----------------•-------------........-----------------........_•-------•-•...-•-----•--......................................................... 0 Description of Soil........................................................................................................................................................................ W U Nature of Repairs or Alterations—Answer when applicable-----PCV-0------1..---. __[?? 2_:__._ .."' ........................... ---------------------------------•-----------......--------------------------------...---.........------------------------......-----------------------------------------------.....----------....----• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has �Q __u d b the boar lth I5. _ _••___ .__U`S ..... ... _•__ _ • _Sate Application Approv �Y- — .... r----------•..................................•------... ......... ate� t -------- Application Disapproved thef f owing reasons:................................................................................................................ ----------------------------------------• • . • ---•••-•--.....-•--------•••----...----------•-------------------•----...------------....•--•-••-•-•----------•---•---•------•-•--------...... Date -, Permit No:-----•---------•--- -•..... Issued..------•---•------------------------------------------------------------- Date --•-------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i ..........................................OF..................................................................................... r� &rtifiratr of Toutpliunrr TH1 IS TO , That the Ind vidual Sewage Disposal System constructed ( ) or Repaired by------J . ........9- - 1�------------- Installer at.- ..............�' c�c '` .• . - has been installed in accordance with the provisions of TI'� ' 5 cci�f Th State Sanitary Code s des ,in the application for Disposal Works Construction Permit No._-- ...!._-..._Lf _....... dated_..-. ................_;A!;Z................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS S A GUARANTEE THAT THE SYSTEM! WI FU C�fTION SATISFACTORY. DATE..- .- F ................................................. Inspector. ...................................................... THE COMMONWEALTH OF M SACHUSETTS BOARD OF HEALTH �^ ,/`L / :..............................OF..................................................................................... / No.....................f. FEV/1................. Dispos l t , . ku ThInstrurtion Virrutit Permission is hereby ranted..... . ... to Construct,( -) or per ( /' n divi al Sewage Disposal System atNo..........MW..21---_.7< ........ --------------------------------•------------------••••-•--••••••---•----••-•--•-•--------••-•---•-------------............ _._ - -- - Street as shown on the application for Disposal Works Construction Permit No.---- -.e Dated.......................................... ...................... ...... •--------------------••--------••••-•---•-...----- Board of Health DATE-----------------•------------------------------..............--- FORM 1255 A. M. SULKIN, INC., BOSTON ,L O CATION S E W A G E PERMIT NO. VILLAGE 1 A LLER'S ApI�& A DRESS U.ILDER OR OWNER s ' ERIII ISSYED L:llo — � Rr �UlAN.CE ISSUED , f�0 sa` s -100——EXISTING CONTOUR N x 100.98 EXISTING SPOT GRADE PB 197-PG g7 —W—EXISTING WATER SERVICE G EXISTING GAS SERVICE wqr —�H. W--OVERHEAD WIRES �j TEST PIT s o xC BENCHMARK LOCUS r/ EXISTING SEPTIC TANK LEGEND s U U f TOP OF TANK, EL.=98.30 IN V.(OUT)=96.95t(VERIFY) N LOCUS MAP NOT TO SCALE S 12'0 '45" W r 99.94 X 114.19' IZ 0 SLAB 10 .30 W 99 34 � GENERAL NOTES: X 100.3 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 98,85 BOARD OF HEALTH AND THE DESIGN ENGINEER. u �� 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 100.40 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 9, 2. :"'..`' GARAGE X EXISTING 100.69 M I �) LOCAL RULES AND REGULATIONS. PIT 0 0 HOUSE(#291) + EXISTING LEACHRNSE �- WA I O 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO BE REMOVED w .21 T.O.F.=100.65E f TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE (SEE NOTE 11) - v Z o O DESIGN ENGINEER. 100, 3 BH O 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING CL ff) Y o u) FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN .n ei . . .:':,;,:99 83:`' ENGINEER BEFORE CONSTRUCTION CONTINUES. r` ct 5. ALL ELEVATIONS BASED ON AN ASSIGNED DATUM. N •,.,�.+.. . ,0.. �, WALK � C� 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF '::•:`i'': / `�, �� THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF G DECK ;�S'� 98,68 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. PROPOSED S.A.S. p; ;:; 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 1o,•� .,.. :.. `"..,.:.: .. : CAI 3-500 GALLON CHAMBERS I f'.'''. ;:';• .. Q 100.30 SURROUNDED W/4' STONE 100, I ` : � `:. :.. .'"; ' ;,; ; �s O �/'� 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. :..:•O':,:: :':Q'.,i � 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS VENT z LOT AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE v.. PROP S A.S,. ;` 9027 1 1 DIRECTED BY THE APPROVING AUTHORITIES. ii Q- ;,.. T `'',: .': ..`'• `::' —\� 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY IP FND 98.73 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 99.19 DRIVEWAY ": ; 89.08 99 CONSTRUCTION. : 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS N 12*22 00 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND ® REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 99.48 edge of pavement 99.16 9,8.74 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. �— 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES.ONLY AND NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. CA S T LEW 0 0 D CIRCLE r 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLAN F O ,y 1 Ass9� I PARCEL ID: 273-046 PETER McENTEE PROPOSED SEPTIC SYSTEM UPGRADE PLAN CIVIL N o. 35109 291 CASTLEWOOD CIRCLE, HYANNIS, MA G/STF Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. No. p, E MOLINARI, LIBERO J & NANCY Engineering Works, Inc. 1"=20' P.T.M. 220-19 1 11 SHEEP PASTURE WAY r EAST SANDWICH, MA 02537 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 7/21/19 P.T.M. 1 of 2 t i NOTE: TO PREVENT BREAKOUT, FINAL GRADE SEPTIC TANK SHALL NOT BE AT, OR BELOW, E'=96.88 INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE QF 15' FROM THE EDGE OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL H-20 RISER, FRAME & PROPOSED S.A.S. SECURED COVER SET TO GRADE INSTALL H-20 RISER, FRAME & SECURED COVER OVER GARAGE T.O.F=100.65t (WATERTIGHT) ONE CHAMBER SET TO ';GRADE. (WATERTIGHT) F.G. EL.=100.4f F.G. EL.=100.2t F.G. EL.=99.6f F.G. EL=99.6V i VENT ilk L = 35, L = 5 i O ��: CAD S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 2 DOUBLE WASHED STONE 2„ - �� N 14 (OR APPROVED FILTER FABRIC) �• N 10 °I as Ba . 4"6 Bab®6696TEXISTING 48" UOUID aaaaaaa --�-3/4" TO 1-1/2" DOUBLE to tij LEVEL WASHED STONE to L'� T ADD INV.=96.60 PROPOSED INV.=96.43 4' 5.2' - 4' N i 0� •— _t T. GAS BAFFLE D B X EFFECTIVE WIDTH - 1.2.8' INV.=96.95t 3 OUTLETS (EXISTING-VERIFY) INV.=96.38 I N FLt 3-500 GALLON LEACHING CHAMBERS 1 PROP. S.A.S. EXISTING SEPTIC TANK SURROUNDED WITH STONE AS SHOWN NOTES: H-20 RATED 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & TOP CONC. ELEV.=97.5t INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BREAKOUT ELEV.=96.88 ease SEPTIC LAYOUT INV. ELEV.=96.38 aaaaa 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE aaaBaaaaaaB ON A MECHANICALLY COMPACTED SIX INCH CRUSHED maaaaaaaBaa STONE BASE, AS SPECIFIED 310 CMR 15.221(2). BOTTOM ELEV.=94.38 4' 8.5' 4' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 4' OF NATURALLY OCCURRING 4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE PERVIOUS MATERIAL VARIES-REFER TO SKETCH AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION U 0 0 U 0 U U U U BOTTOM OF TEST PIT, EL=89.3 = U U U U U U U U U U U 33" d w ®®®®®® ® ®®®® N z ®�®®®® ® ®®®® SEPTIC SYSTEM PROFILE 102" SOIL LOG '----25 O_- - 4" KNOCKOUT DESIGN CRITERIA r- 5. -1 DATE: JULY 19, 2019 (REF#TPT-19-77) KNOCKOUT DIA. COVER T SOIL EVALUATOR: PETER McENTEE PE(SE#1542) NUMBER OF BEDROOMS: 4 0 PROP. S.A.S. WITNESS: DAVID STANTON R.S. HEALTH AGENT N BOTT. AREA 4" KNOCKOUT 4" KNOCKOUT 58" SOIL TEXTURAL CLASS: CLASS I 1r I - 428.8 SF I"? ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH 0 DESIGN PERCOLATION RATE: <2 MIN/IN __, I N 99.3 A o" 99.5 A 0" (0.74 GPD/SF LOADING RATE) -,0 I I I LOAMY SAND LOAMY SAND DAILY FLOW: 440 GPD ao, _L--J 98 8 B 10YR 4/2 6„ gg O B 10YR 4/2 6, 4" KNOCKOUT DESIGN FLOW: 440 GPD LOAMY SAND LOAMY SAND GARBAGE GRINDER: NO � �12.8'�I 12 2' 10YR 5/8 ' 10YR 5/8 500 GALLON CAPACITY H-20 LOADING. LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF 96.6 C1 34h 968 C1 32 CHAMBERS .74 GPD/SF PERIMETER--92.6' PERC EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 30"%48" SAS DIMENSIONS N.T.S. PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS SKETCH l PROPOSED SEPTIC SYSTEM UPGRADE PLAN MED SAND MED SAND USE 3-500 GALLON LEACHING CHAMBERS IN SERIES 2.5Y 6/6 2.5Y 6/6 291 CASTLEWOOD CIRCLE, HYANNIS, MA SURROUNDED BY 4' DOUBLE WASHED STONE-ALL SIDES SIDEWALL AREA: 92.6'(PERIMETER LENGTH) x 2'(EFF. DEPTH) = 185.2 SF Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 428.8 SF(BOTTOM AREA) = 428.8 SF Engineering by: SCALE DRAWN JOB. NO. " Engineering Works, Inc. N.T.S. P.T.M. 220-19 TOTAL AREA:.................................................................................... 614.0 SF 89.3 120"' 90.3 120 g g 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(614.0 SF) = 454.4 GPD NO GROUNDWATER, PERC RATE: <2 MIN./IN. (508) 477-5313 7/21/19 P.T.M. 2 of 2