Loading...
HomeMy WebLinkAbout0032 CRAIGVILLE BEACH ROAD - Health 32 CraigVille.Beach, Lane Hyannis F A 288 ,{002.r 1 I t a TOWN OF BARNSTABLE LOCATION 3a �� SEWAGE # !ALLAGE��Je ��� ASSESSOR'S MAP & LOI'��Zf� 3Ti INSTALLER'S NAME&PHONE NO. SFPTIC TANK CAPACITY LEACHING FACIL=: (type) (size) NO.OF BEDROOMS PAID® i�f BUILDER OR OWNER ,VS �. PERMTTDATE: COMPLIANCE DATE: lV 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 ^�-- f Co ' � �, " � -� ..,,, \ � ...� � ,, TOWN OF BARNSTABLE (LOCATION 3a CR t2q'Y�'& l � /?6 SEWAGE #a003':0fo wj VILLAGE f�stf►rS ASSESSOR'S MAP & LOT 2 W-6 2 INSTALLER'S NAME&PHONE NO.. Co SEPTIC TANK CAPACITY /-!�,©o LEACHING FACILITY: (type) r r (size) 5- NO.OF BEDROOMS BUILDER OR OWNER �O"1� M1A v ���' Id►er� PERMITDATE: 4 '�—3 -()Sr COMPLIANCE DATE: ens Separation.Distance Between ttie: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Welland Leaching Facility (If any wells exist �/� on site or within 200 feet of leaching facility) ` Feet Edge of Wetland and Ceictiing Facility (If any wetlands exist within 300 feetceka,Ching facility) Feet Feet Furnished by �0"r L v1 l i ro C7 . . y s +100.0 7+ S . F . +99./ ! \ 35 / IOO.J 99.4 / mo 5 HIGH CAPACITY ! yry I NF I L TRA TOR CHAMBERIS / CESSPOOL `'' w'/3.5'' STONE AROUNID 1 1500 GALLON 91 25 SEPTIC TANK I l00.1 99. BAI CB/DU FAQ STOCKADE FEWE/ W CORNER CONCRETE EL.-l00.70 \ i BLOCKS. EL-100.42 / \ l 1 \ \ 9R�dE 51 ooM DBE`` EXI STING IRON PIPE FNDJ PP W v BAR 9 N i \/ V! CONVERT TO - Z_ ADDITION GREAT ROOM N 0 AD N 940 NL 1211 l- 89.00' -4L PAVED DRIVE _�__100-__-- -___- . COMMONWEALTH OF MMSACHUSE17S -` EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS . DEPARTMENT OF ENVIRONMENTAL PROTECTION__. 004 FAILED INSPECTIf�N2� �`�..2DEC 2 WV w _� . . 10.,i,,�%F aAr..rdSTAELE � . ,TITLES r,,LTH DEPT. OFFICIAL INSPECTION FORM—'NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 32 Craigville Beach Road Hyannisport Owner's Name: Kevin Duggan RECEIN E® Owner's Address: Date of Inspection: / ® o�C s Z004 RNSTA Name or Inspector:(please print) W 1 1 i am _ Robinson S r,« TOWHEpLTH DEPT.BLE Company Name: William E. Robinson Septic Service Mailing Address: P O Box 1089 Centerville, MA Telephone Number. (5081 775-8776 CERTIFICATION STATEMENT i certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the timd of the inspection.The inspection was performed based on my . training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Co ditionally Passes eeds Further Evaluation by the Local Approving Authority Fail Inspector's Signature: Dotes I The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of HeatBror 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 approxing' authority. .>t Notes and Comments 1 ****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. _ o Title 5 Inspection Form 6/15/2000 page 1 Page 2 of l 1 r . OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued)4'"'t� Property Address:_ 32 Craigville Beach Road Hyannisport Owner: Kevin Duggan Date of Inspection: ✓' 4 JidET Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. Sy,tem Passes: have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 o in 310 CUR 15.304 exist.Any failure criteria not evaluated are indicated below. Commen B. System onditionally Passes: One o more system components as described in the"Conditional Pass:'section need to be replaced or repaired.The ystem,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,n or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The se tic tank is metal and over 20 years old*or the septic tank(whether metal_or not)is structurally unsound,ckhi its substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the - -existing tank i replaced with a complying septic tank as approved by the Board of Health. •A metal sep c tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating tha the tank is less than 20 years old is available. ND explain: Obs ation of sewage backup or break out or high static water level in the distribution box due tabroken or _ obstructed ipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with approval o Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND exp in: e system required pumping more than 4 times a year due.to broken or obstnxted pipe(s).The system will' pass insp ction if(with approval of the Board of Health): broken pipe(s)are replaced obstruction,is rrmotred ND exg ain: ; Pagg 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 32 Craigville Beach Road Hyannisport Owner: Kevin. Du an s Date of Inspection: C. J urther 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 fail' g 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 ystem is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated.wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the syste 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 Sur t cc water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. he system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ I he system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more frond a privat water supply well•• Method used to determine distance '•Th system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacte 'a and volatile organic compounds indicates that the well is free from pollution from that facility and - the p esence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other fail a criteria are triggered.A copy of the analysis must be attached to this form. 3. ther: I , 3 L �� Page 4 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 32 CraicLville Beach Road Hyannisport Owner: Kevin Duggan Date of Inspection: /> , D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes Ng" 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 IA day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped J/Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within I00.feet of a surface water supply or tributary to a surface /water supply. r/ Any portion of a cesspool or privy is within a Zone 1 of a.public well. _ y portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.(This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free.from pollution from(fiat facility and the presence of ammonia nitrogen and nitrate titrogen 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(his form.] �(Yes/No)The system fails.1 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 Heal to deterWine wha will be necessary t correct the ail e. E. Large Systems:To be cons dered a large system the system must serve a facility with a design now of 10,000 gpd to 15,000 hpd• You must' dicate either"yes"or"no"to each of the following: (T'he folios ing criteria apply to large systems in addition to the criteria above) yes no _ e system is within 400 feet of a surface drinking water supply _ — e system is within 200 feet of a tributary to a surface drinking water supply he system is located in a nitrogen sensitive area(interim We Protection Area—1WPA)or a mapped Zone 1l of a public water supply well If you h ve answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"i4 Section D above the large system has failed.The owrtcr or operator of arry large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.3 4.The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address:_ 32 Craigville Beach Road Hvannisport , Owner: Kevin Duggan Date of Inspection: ,/! 4L O'er/ Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes — Pum No / ping information was provided by the owner,occupant,or Board of Health _ �cre any of the system components pumped out in the previous two weeks? _ Has the system received normal flows in the previous two week period? Nave large volumes of water been introduced to the system recently or as part of this inspection?,. l/ Wcre 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,dimensio s,depth of liquid,depth of sludge and depth of scum? �w7 - . Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no Existing information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)13 10 CMR 15.302(3)(b)) 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 32� Craielville Beach Road Hyannisport Owner: Kevin Du Date of Inspection:.LZ-1 4 „641 FLOW CONDITIONS. RESIDENTIAL Number of bedrooms(design):. 3 Number of bedrooms(actual): DESIGN now based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):/ Number of current residents: Does residence have a garbage grinder(yes or not-k Is laundry on a separate sewage syste. (y or no)� [i(yes separate inspection required] Laundry system inspected( es or no7 Seasonal use:(yes or no):•V Water meter readings,if available(last 2 years usage(gpd)): 0 3/0 4 — 14, 2 50 . Sump pump(yes or no): 6 0 — 133, 500 Last date of occupancy: COMMERCIA NDUSTRIAL Type of establis ent: Design flow(b ed on 310 CMR 15.203): Rpd Basis of desi flow(seats/persons/sgR,etc.): Grease trap p esent(yes or no): Industrial w to holding tank present(yes or no):_ Non-rani waste discharged to the Title 5 system(yes or no):— Water met readings,if available: Last date occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part or the inspection(yes or no):_ If yes,volume pumped:_gallons--How was quan 'ty pumped determined? Reason for pumping: 6-0 - TYPE OF SYSTEM _Septic tank,distribution box,soil absorption system _ ' gle cesspool verflow 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 contact(to be obtained from system owner) —Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all c�po date installed(if known).and source of information: Were sewage odors detected when arriving at the site(yes or no) 6 I I'agc 7 of I I OFFICIAL INSPECTION FORM—NOT FOIL VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 32 Craigville Beach Road Hyannisport Owner: Kevin Duggan Date of Inspection: BUILDING)SENER(locale on site plan) Depth belowc Materialsofuction:_cas►iron 40 PVC other(explain): Distance Goate water supply welt or suction line: Comments( dition of juu,s,venting,evidence of leakage,etc.): SEPTIC TANK: locate on site plan) Depth below grade: Material of construction:_concrete metal fiberg ass�,olyeUlylene _odict(cxplain) If tank is metal list age: Is age confirmc } a C ' ificate of Compliance(yes or no):_(attach a cvpy of certificate) Dimensions: Sludge depth: Distance Gom top of udgc to bottom of outlet Ice or battle: Scual Il1ickn's" Distance from toronsdetc:rmincd: o lop of outlet Ice or baffle: Distance frorn bom to bottom of outlet ice or baffle: I low were dimcn Comments(oil pumping recvmnrcndations, inlet and outlet tee or battle condition,structwal integrity,liquid levels as related to ou et invert,cvidcncc of leakage,ctc.): GREASE TRA :_(locate on site plan) - Depth below griadc:_ Material of co struction:`concrete metal fiberglass_pol}•ethylene`olller (explain):_ _ — Dimensrckn Scum th Distanceof stun,to top of outlet Ice or baffle: Distanceom of scum to bottom ofowlet Ice or baffle: Dale of g:COnU1,Cping reconlinendatiuns,inlet and outlet Ice or battle cunditiva,structural integrity,liquid levels as relateinvert,cvidcncc of leakage,etc.): 7 'agc 8 of I I x OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORA PART C SYSTEM INFORIIIATION(continued) Property Address:32 Craigville Beach Road Hyanni siport Owner: in Duggan Date or Inspection:_ _&lr6 TIGHT or IIOLDING TANK:/Crele lank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction:�co _metal—fiberglass_polyethylene other(explaut): Dimensions: Capacity: allons Design Flow: gallons/day Alarru present(yes or no Alarm level: arm in working order(yes or no): Date of'last pumping: Comrne�ts(condition f alarm and float switches,etc.): DISTRIBUTION BOX: (if present must be opencd)(locate on site plan) Depth of liquid level ab ve outlet invert: Conunents(note if bo is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out o ox,ctc.): PUMP CHTcro ,csorno): (locate on site plan) Pumps in wr no):— Alarms in or no):_Connents pump chamber,cundition of pumps and appurtenances,etc.): Page 9 of I I • OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 32 Craigville Beach Road Hyannispor Owner: Kevin Duggan Date of Inspection: --a SOIL ABSORPTION SYSTEM(SAS):k(locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: leaching trenches,number,length: � �1 aching fields,number,dimensions: t/overflow cesspool,number: innovative/altemative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): CESSPOOLS:Z' (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: , �,`�f,e. ,f Depth—top of liquid to inlet invert: �j Z Depth of solids layer: Depth of scum layer: ` Dimensions of cesspool: l Materials of construction: <c Indication of groundwater inflow(yes or no): Comments(nglg condition of soil,signs of hydraulic failure,level bonding,condi 'on of vegetation,etc.): _ J(ne oc a on site plan) s ction: condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 OFFICIAL INSPECTION FORM.-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION(continued) Property Address: 32 Craigville Beach Road Hyannisport Owner: Kevin Duggan Date of Inspection: Ci SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. Irk 60 10 Page 1 I of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 32 Craictville Beach Road Hyannisport Owner. Kevin Duggan Date.of Inspection: �(L�• SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-if checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation(„ i 11 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 $ o71'r"1.4 at 3 2dcl Al' has been constructed in accordance with the provisions f Title 5 and the for Disposal System Construction Permit No. D W S-o S0 dated ;2- —O.S- Installer Designer The issuance of 's ermi shall not be construed as a guarantee that the tem 'll f tion as des' Date Inspector - ---__.._.,.—_ ----------- —------- No. )_t6OS V r►'t/m Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. � Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplicotion for Zi5pooal *patent Con!5truction Permit Application for a Permit to Construct Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 32, crz r, -Ile 2C-"k /�Owner's Name,Address and Tel.No. J ✓� �xe-� 284 Assessor's Map/Parcel *D,41, (`�v� +• D-Z.171,1 r.a 7 1�oo L Installer's Name,Address,and Tel.No. S�j11 0 Of t't� Designer's Name,Address and Tel.No. eicr�¢ Swn/ey,� Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building,,, +�_No.of Persons a Showers(-�k) Cafeteria( ) Other Fixtures a Design Flows gallons per day. Calculated daily flows --gallons. Plan "Date >M.'e5 Number of sheets / Revision Date Title Size of Septic Tank / 'D I Type of S. .S. • f� Description of So It Nature of Repairs or Alterations(Answer when applicable) CO ir.1p/ �4���r✓1 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-Bo of Hea /1 Signed LfYFA Date rt S Application Approved by Dat)-- Application Disapproved for the following reasons Permit No. V l S—DSO Date Issued 2— 3-01- No. Fee 1 THE cbMMONWEALTH'OF"SSACHUSETTS - Entered in computer:V PUBLIC HEALTH DIVISION -TOWN O# . F BARNSTABLE, MASSACHUSETTS�r;4�' ;Yes`, ;[ppfication for Mfi5pogal 6pgtem Con6truction Permit Application for a Permit to Construct )Repair( )Upgrade( )Abandon( ) Complete System ElIndividual Components Location Address or Lot No.�.7, Cam; vilic Bca,c 1, Owner's Name,Address and Tel.No.lk'XtJ)^ r:-..t n,11 11a,\ni3 � 3 -r,JAfia cwmAor1s Or. Assessor'sMap/Parcel Z 2 /Var� { �,nc.�,NAk. oZ/71 V .t Installer's Name,Address,and Tel.No. Sot+ Tome y Designer's Name,Address and Tel.No. Eu� s,..ry C__. SN,.{,Ilv��l, i+tP. �2s'37 `1ZS 2�c 6A Sa8 3bZ-�it32 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 1K,11-7=sq.ft. Garbage Grinder( ) Other Type of Building <_r'� S' n No.of Persons .? —Showers(2, ) Cafeteria( ) Other Fixtures 2 u-tl_ r.., I k'1,L..,. Design/Flow l) gallons per day. Calculated daily flow -AD gallons. Plan Date ///o/o.S Number of sheets / Revision Date Title Size of Septic Tank 0 Type of S A.S.' Description of Soil /0&M u • Nature of Repairs or Alterations(Answer when�applicable) Co n•.A/P_ 44 S 1-4 44P -I '\ . i � Date last inspected: Agreement: { The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued y-this Board of Health. J, Signed r\ � Date 1 Application Approved by 1 11 jlp�3/?S. Date_U C Application Disapproved for the following reasons Permit No. u o -o KV _ Date Issued 2- 3 , 4 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 S ro / /f at r r . , i .t,4� / has been constructed in accordance with the provisions df Title 5 and the for Disposal S stem Construction Permit No.D(4r�=u C-D dated .'2- 2 �- Installer Designer The issuance of thi permit shall not be construed as a guarantee that the tyjtem�will function as des Date Inspector / -./ . - �- �� Q No. Fee /. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ligogal *pgtem Cougtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at `S:2 r.ram. /�c g-, , /,� Ilr� and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this-permit Date: 2 -c>> Approved by 1 INE Tati�` Town of BariYstable HP �t Regulatory Services BARNSTABLE, 9 Mass. Thomas F. Geiler,Director �.e 1639. 10� rfo MAC° Public Health Division Tho mas McKean Dire ctor 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Designer Certification Form Date: Designer: �'�c� fFvf-5 Address: 2 3 lee, 77-- e.,,4 On � 01� was issued a permit to install a 4(d4a!t _ (installer) septic system at 32 e X-kI 4 v I L Le 6C—^-C I4 � based on a design I drew, (address) dated lz/z3 f o q I certify that the septic system referenced above was installed substantially according to the design. I certify that the septic system referenced above was installed with changes but in accordance with State & Local Regulations. Revision or certified as-built by designer e r to follow. b� QQee (Designer's Signature) ( .ffix lamp Here) PLEASE RETURN 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 PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form i f I f �. ttVIVO■u w 1\ I ��I, �■ �i o � .; 1 1 1, i 1� Elm ■ Elmo, 1,111111i ll low All RIS a � �� ■ r �� Ii;tl i .1 li '` �■� ���■�:� � �! ��-�I- �� Ili;■.;iiE � ►; li■G iii i�; �■ ;I—�ii ifi �G C ■1 � /��� loin [;; ; .,e��■ ■■■;[ ���;��► .�/sir � �, I� � ■1 1 � ■; ; ��� �i !. , .� it ;� ,. . . ;JIM1 • p �I�)r��i�l .. i�lrl�t�t • '�I■I�I�I�I � 1 I 1 ;iE Niel 11 1;!1�u1il; 31 IN milli,1 -- "in 1111 HO III I �. i � � ■I■ 1 � Ilya,�� ... f °�: :�1�:1�'�:ilei ' ■�.�;%;�� c„tea+ • I i i 1 I 1 i MEMO- � .,; . 1 1�1E �� �■� � Ices mz I ` I I I I • �'i' - mmi �MWI&FO Fig 1�i E �. .Coal � — .Neie�4 1 � �. . � , � ,. ICE ■ � � , :I:■I■ oil NONE gill, I �I I f. I _ - riiwlQrww ■L■�� wTlr.wW■ �I ■I■i■_ c Ii = ■I■Lr = n �wi■�■wlw r■wm■mww I���s■w wwul�wlw MOWNMINI 1 RR Emu Egan w�sw■wllurrl�a■w�l�w��wwwn��w �iiwv� _—__--- ;; � >•wl�a.�wrww■■w■��.v�ww���.www�■ www w ■7■0■iff��■■W��■rvi■I�Irt■1■I>•■��wl �IW1 ia� - - ■w■�1■1wl r■'■w■■■■ /�■�N w■1>®rv�>•rw■u■uwwru��■u■ulw�www� ■�rw� ■■ ■I■I■ r■I■w iwow■ Ili :il ■u■= — = ■■III ■�■�w.■■I�aw■a>•a■��ws■lu�a■i■sww�sii� I��ru r � rr■�■ �I�I� Ii�w.r■� -- .,....�. — ■,■�■ ■■■ �■I■�■� = ..� � �waww>•w�a■w■w�■w�lw.■ww.w�w��w�■rw■ Iw>.w .■�! ■�■■■ ■I■I■ ■■ ■■�s�l =_ uet■nwwu �wuomww�nw��wnu� �nwrw Iw logo= L ■'■I■ I��wt. - I = ■�.. R I wurl•�u�>Irwtuwwoow■www�w�wutn� w�■w I�■ ■I■!■'jm■�■ ■_i■_Is I■ ' �•=� - _ -_ �= ■Iwa■��unww■r��w�ww�swl>.wr��wu■ .Iu=�� is --- �■ wY ■�tMlr = I■.■�■ !■I■n!■I �I���I — m r� y I�r■����I■w����'•�■�i�ri i�i�wii�■ ��7 u ���im(u■�■'i��I♦i�w�� — -- ..w.w = t�nn11 WI NJ ■in■. wvw���>ol�w�r■w■a■w■Iwl■�■uYYI■■■ ■isu �■i��s•s..•I�Y ■.■w■w■ = ,,`J ,I,I� j■!■■I — .■OI ! 1■■7�wwlwlwl■1�■�■I■�f�wr�l�■W■��� � � �r■ww■�_ _ate! ; r■rrl�r■�■■■fA��iw■t1 i , ■�awwwl.■�.�s•i.s.�..�..s•..r a�.s ■11■� ■��r�r■i/�M!■■■■1■rr nm I .4 It■■i■11•■I■�■m>o1■■m■ "I m■o.Yws•.��wrw�wmw�r swn j ■i���wlw�■Iwwllwl RJ•�Iwwlwtl■Iww1■1■■1•■1■Iwl ■� II�YNAM1111 1■���■tom■ I .■■■lwlrOw■fr�ll•r�>•>•wl�wlv�■Ii 1 �wl>•1■■Ir■1•�wt•■wlw�■lwl■■■■w�■Iwuww�w W Iw!■IR>•■mmmmw■� m AI■■w�■■w��Ivw.w�w�iwlO�■MO Iwr� �YQwawl � I■s•a■�`.�_����,w��r =w1■I�l.■l�mlVl�■II_■LI•■�A.■�■�I_ sW i ii I �� • �� w I I ef3-o P45�c.L- D Z ; r� 10) 0 p41 v 2 ;PJ o m �I�o w O s 0 \ 3� • M IOU Cp,fa mm sip Fop N N n \,'� ° ® A \ U�D Q�np Z ( Fm� Oc Q er- �yp0 F11,gt V` n r 1- 0 / r G m Jv Fir >MAI A n C�4� �-fz �p r qz i���� . ear,, i G rn ,A z v 0—tj o 8 -o" 0 -� 0 �� m o m >m0 �7- tj m � ft oil IA U L c 42-0 q / � 7 � a o :E 0 41 4'z-SR-cgs.:: r � co+aoFx wA \/ < 711 e) Pg©X.-cols° To �e . i I — VEP`>leeE4� 5'r i I � 9 i / I I 1.-K Go�IS�"P��.►C.z-� r.► 5N Au- e'E%W ego�oS E �a ofll�r►a,.t -r -rrtt ; !" Gol.tt=oP,wwq�.tcE WI-TVAS MAAj6A<-%AUcCM p.0 Ca CaAttA. O-E.NGE ._ �iTATF— P- t� atttt4 G � A Oot-AE> ALL aj.2..GPiLcI V►u_E . �A�bl PAC ._ t_ocis � b-fArtMi5POP,-r}_►N-AShA- uu 7-- 2, AL-L- �+MEN�j10N6j `71-4AIa1. �a�V�l�,.i� -- — -FIE= B`{ "F14E-;6 MFiA.t_. c o v-4-rPy Ad,To v, rt°t'tw- '7";7^svr �oF c-o Krr f°a U c-r 1 o t-A 3 ALL FO U1J OATI ON la®a'P I t4 qS 61= F®UW0E.0 N LdN I � f - I I I ID mn- qpT.` F. i 1G�Z DOTZ 13 © n � rp fn8 I� i ill; - �� � tr xi k v .�. . �J x no�- i'� j : : �• z a: s Q � fst W o w a — Q i �m rn f v n G r s:m ifo ryry �y � fn 10 rn Ol 4 � ;�dip. � � •;, :� ,` II II � N_ � � fv +. 5 ` -- r, > - ,, ,, _ .,. . ,, _ a. , - _., , . I I. x. ^; r. , , . .,. v , :: 11 e. ' ^ ,. ,,. - ^ , +, .. a , , I a -, i ., ,1 -. , - ' ':. ;::'1�1:;:I1:1i:.��:�,!�i�,:��I1I,:�IIII­1�'L�,';�-'":,""_1-"�II,-""�­",1.I�II�1��­:I'j,1�:I�111I'�,��­,,,II���",I,�.��,-"1:,'-',­'"��"-I,1-�I-11,I,,�_;I I�1 1I.-,:I���"��l%`,��­',��I,II_,-�-��.�I'II�I 1',1-1 l,�.11�.�,,1,,,�,.,,1�I I 1".I­,I'�I�',:I;�'­,1�,.I1"���­�1I l��­"l11 II�­1 t",';,l��I 1'�,'___.-I,:"�II.�1 1,I,l"l�....,,­��,,,,1',,­­1l.1-"�1r"I-��:I�,-�,,-1:,l,���..,,�,,­�I.,;,`1i I'-�I1"_lI1.,,_�.,::I,,_I,,"�,�-'�1l,��,,�,',1"­"�,1I�'1,.��*.�,,,-`_I'-�`­,�I 1,_II.1:1 1�,"l1_-1,'�,,I�,���'.i�­C,�1�I,';�,`��,�"__1��1 1 II-�I1I­I�,,,l 1.'.I�1I",I,��1-_,1,1,-I_��_�,:1,I�''1,�_,II,,,,-,,'11.1�Ll���I--�I-,�,�_--,l :^ .. .:Ir1I'.'.*0.;I�I1�.I�;1�II!��1In%I,�­.;II:�1T rI��I I�I-..I�I1 I��T��I-I1�1I�_"-1.N.�,I�L,�>�1 II I.,\I,Ik�I"I-1II:I1I�I,\-,��I,1.�1II.�',�II��.I;�..I II,-��.JI�I�LI�.,I I,-I�,-/.�I II�I,�I-/IjIII�,,I�I II� x _<. - , ::. ., . .. ..tiff "­,I`�,.�_z,l1 I1I,���,I"_,,1:,I­1I�"-I'�1e,1,-,I.1"1,',1,.j­:�,�.�-�I�,,".I-:III�"I.�1�4,,,.I,1�l�.,I,,II L II,�",l,,I�I�-I,'I1;���111 1�'II'l�.I�,­:I,I,�.l,'-1,��-I�.I�I,"I"1 I"�I 1�I.-'1,I,.�I�;�1 II��II�.,-1,1 I�_I'".I1 I.'-,��I:"I�,.,_­7,,1___I;��,,-.1,��I,-��',�III,::-�I I1 l.1 I-L1�1 I l,1lJ�,I�1,I�.':I�.I�;�1�I,,,",��-,l..II,I"I Il I,II,�'­_�'I 1,��-�'�"�,',�",��1I,,II,1,,I I I.r-I.I"I l r�1 I,�n1,�I.'�'r,�,�II,,I,I�I"I,_�,"I-��.,,,,,,� �I,1,,-I I 1�1�I--II11 I IIII.1I 1 II 1I I I.I�I-II:I II�-I..�;,II 1�1-1 1_I�.1.I I-�"I I1�I�1 1�1,�1.r.-1 I�-III,1��I I.,I`1,I�I I.IL.I.I I I4�I�I%1.-I��_­I�.,.�I�-II�I,II'I....IIII.�11 II�III�-1�'11 II­�I.�I II�1I'-.II'..:I,,�I I I"I-1��-��;II I.�1 II�,�..II II.,I-I'�I�L,I,,lII I�_�I�­'I I.I'I��"I II-I-I I I II I�,�11�.-II.I I.��II�I',lI.I��,I;III l.�I.I�.I I I II I�.II�_.�,I I.I�1I III1'I,,�I I 1 I­�1II 1�I�1 I II1 I.III-,,I.r I 1II,1:1I)1 I­I-�III�II I�,�I�I,1�I 1L I 1'I I�I1 1I1,III.���I I�I-�N:I II11�I,11 I�II I-_-III I�l I'I I I��III I..�1,II1,I-�.1.I��,c�1.1l 1.lI1�f I�.�I,,1 i r.���I.1I.,!.I,­5 1I"I�I\,I I�'I-.��.II,-�1 I.�\�.I.''l�IA,I,­I�.I,�I`�,1"Il'.I..-.<I I�\,�'-III1�.III1',�'j I.:7�I-�2-­.1�:'z.-I... I­-�1-I,II�),:.�I.I!�Ij,-�:\"!1;-c,,�1I,.Vi I,�.I1�.:�I',I ACCESS �COV S MUST. Wl HIN ,"",1 1-­11_I�,-I.1I,�-I I,1 I-I,,9I,_,I,I I�I....IL 6­-IIII 1 II-,II�-.I.-.'IWrI I'I-�LI.I I�I.II 9I,I.I­1I-"",I1 I I-�I.�7 I.�III,."I III"I.�" .II�.lII I�:I,_�I, ER 8E TH Ns r ON I P C 1 9MINIMUM f'1V V �. ER T EL E VA T ! ONS 1ES L_ F E GENERAL ,_6 O FINJSHGRADO TE5 0 ,. T , .< ,3 , MAX J MUM CO ER g : . INVERT AT BUILDING U LDING " . �t D Sl N £S T !00.5 E G FLOW F T .. IRS 2 TO 9 " J.IN ET; J P 7 35 THIS' PLAN' IS'F , BE L£YEL V R N SE TIC,,TANK 3 BEDROOMS 1T_IID G.P.D. PER OR THE�,DESIGN AND CONSTRUCTION M!N 2 OF PEASTONE s=,: , �OF TH E S WA , 4. INVERT OUT SEPTIC TANK. 97, JBEDROOM EOUALS 33O G.P,D. E GE.D?SPOSAL SYSTEM :ONLY. _., Air ,, 3/4 - 'I l/2 .DJA, ' INVERT IN DIST. BOX . 2. YER C J AL ATM n NO GARBAGE GR ND R T b U !S °ASSUMED. FOR N MA o I E : BE CH RKS 9 NV 6,8 1 ERT OUT DlST. BOX, _, $� _ . DOUBLE WASHED STONE , , 97.9 97. I 8.8 tO ;, ;, , S ET 5£E $/ A .r cAs TE,PL N. 95:8 96 3.v l NYER T I N LEACH CHAMBER. .6 97.35 96.97 96.63 AF B FLE SEPTIC A ,;, ,_ T NK REQUIRED 5 H Gh GAPACI / T 9 .8 ti _ 5 I TY NFlLTRA OR 0 DM OF " A > _,. . B TT iE CH CHAMBER : 3 0 LfT UT 3 ALL CONSTRUCTION METRO 7 ,< ,. 3 0 G.P.D. X 200x . 660 GAL. DS AND MATERIALS AND , f ' CAM R W/ S N�, -,.: N B S 3.5 TO E AROUND , _ ADJUSTED GROUND WAT N/A ; „ .D BOX ER A SEPTIC AN M INTfNANCE OF T E SEP ! . ,. 500 A - T K.PROVlDED l540 GAL: MIN. H T C SYSTEM SHAtt / G L µ . . , . _ O N x I I 8 x IOd ' . , : ,,. _3 OBSERVED D RO N A N A RE G UDWTER , - CONF M , 0: PTI OR T MASS. D.E.pf P. ;TITLE 3,AND LOCAL . - : SE TANK C - 6 CRUSHEQ STONE OR a * 87 3 M_ _ . BOTTO OF TEST HOLE 1. SO L AB 0 P : BOARD OF HEALTH REGULATIONS -, ; - COMPACT A J S R _T JON SYSTEM REQUIRED ._ CEDBSf INDEX WEL MIW 2 0 S . :L 9. Z NE B DE IGN PERC-RATE C S MlN/INCH .,y 4 A , L S TIC M SOI A - L EP SYSTEM CO PONEN S 0 ;. ' .• PROF / LE ._NOT TO SCALE NOV O4 READING 9,2 ADJ 3.5 L TEXTUR L CL,gSS I T L CATEb UNDER_ r AREAS SUBJ C F T TO VEH1 U -F , , -., .,. E FLUENT LOADING RATE 0, 4 GPD/SF_ E C LAR TRA FlC OR GREATER .,, ,, A _: , THN3 /NDE 5A ,330 'GPD / 0.74 GPD/SF 446'S.F, REQUIR D PTH H LL BE CAPABLE OF WITH _.;, STANDING H 0 ti � 2 WHEEL LOADS. ,, PR V , 0 IDED S HIGH CAPACI TY, INFILTRATOR , . , _ �, AL SW A S L E ER IPE SHA ,. CH MBERS W/3.5 STONE AROUND. A 460 S.F. P LL BE SCHEDULE 40 OR „ , - < ,,, 460 S.f. x '0.74 340 GPD APPROVED EOUAL.`: _.,,; . I. , 6. S P _ . I E T I C TANK"AND D BOX SHAL B FO L E REiN RC£D,,, ;w 5 . , i O / TEST L E T PIT DATA RECAST CONCRETE AND WATERTIGHT. D�80X,.SHALL `' - BE AT ER S C i 0/CAT S E TE TED TO HECK FOR LEVEL WHEN THERE _ . .,. I E DI CA TES , PERCOLATION _ OBSERVED RE THAN ONE OUTLET. . TES - T GROUNDWATER YF -. 7. _ . BEFORE CONSTRUCT ON CA , l L L _ D 1 G SAFE P 10867 ' 148 - -S 8 D/G AFE AND THE L 0C L WA R I F0 <,0 A TE _.DEPT, , ,,. R L GA ION OF UND OR T ERGROUND UTILITIES. H IZON TEXTURE COLOR ;, ..0 99.3 r_, t.s,. 100.0 A - -� ARE l3 / l7 S . F . MY l 0YR 8 ':> ..,,,, SEPTIC E T C SYSTEM /NSTA� Q LLER SHALL, NOTIFY 'THE... . .. , ..:,.. ,,r , N SA D 3/3 S` - . " _ _ DE J GN ENGINE 0 A _ �. ti _:........ ..:.......................:.: ER TW D YS PR/OR;'T0 CONSTRUCTION , . , _ 98.5 _ O ,- ,,,. OF•T x � HE SYSTEM TO 0 .__ I ALL W FOR SCHEDUL ING OF THE. . ss.I L 70YR -� CONSTRUCTION INSP C S • 5 ,, ,r £ TlON ., , 3 SANQ ., 4/6 ,.,. 8 ; ,... 5 _ 2 -i 97.0 9. XIST£ J NG-CESSPOOLS.. ,^ ,, TO BE'PUMP D ., .. .,. :. toa:a M ME .DRY. -REMOVED ... , o I ED l U lOYR ,. o , ,. Cl ,. .. IF 1N THE;AREA OF THE NEW YS T :.... SAND 6/8 S EM AND `BACKFILL£ ,: x WI H r,- o A T CLEAN SAND. / , . g. _ ! l0. ALL UNSUITABLE MATERIAL fA d OD-Any B;HR 1 ZONS J I , . g6 ENCOUNTER 0>::- s RICH cAPAc TY ED BEL W THE INVERT OF THE LEACHING INFILTRATOR CHA RS AtBE . FACI I O M • - Wi : L. TY T BE RE OVED FOR-A DISTANCE OF 5 SSP 0 S.S STONE AROilIaD M CE 4 L AROUND AND REPLACED WITH AND IN AC t+� • ,,., o I S CORDANCE E F f500 GALLON 1 wl rH`TI rLE` 5. D , l ) 100.2 C� \. SEPTIC TANK t _ S y. _ " 8fl 91l- BAI. C8/DH FND .., FENCE _. STOCKADE E / 0 �. / EL-100.70 N WATER sU.CORNER CONCRETE l 44 87.3 - / _ , ...- L DCKs L•"oo C 8 E l i2 .- _ . -:.. ..: r / , . . i AT D M. j ,. D E ECE BER 6. 2004 - t r TEST BY STEPHEN HAAS T •t a t r , P # (N i F1fi ti W!TNESSED Y v t, 8Y DA 1 b STANTON a _ �N 5 fX1S TING /, o / ti � PERG RATE. { M T vb o� 2 /N/l NCH . o h a IRON PIPE F ARN P 0 s -i NVERT to _. CO . SED Q �,. PROPO _ - ROOM � ('BEAT N , , ADDI TION N . 1 1 ,. 4o s 3 1, \ , ;. ,. Et ,y \__-l \ .o I. , .. ,. <.. - _ ` 8 ', , ..: to h N .� r r . A w� T , c NL l8ll oil ..7 P T / C .SYSTE-M CUES / CAN , _ - 8 _.,., . PAY D ORt 3 CR,4 E VE 2 / GV / L L E BEAC" RU.4D MAP 288 P,4`R,CEL 2 _ 1 ;: . . l-f Y,4 N1V / S P C? T Y __ B A R N S 7"A > x Qz .. __ B�. E MA , . _, ,� . , J ` , PR P RED FOR F , �-: .> . } , , \ j / / 4 KE: V /' '1 V , D CU.f A /� �I O _ .., ND v. L EGE . _- t. _ 3 7 / L BEN, COMMU/V S F,'., /V C� OR TH_, OU I NCY M.4 02 / 7I. L O . 4,a _ e , M , r ,, , s :- . . ■ aONCRETE BOUND . .. r._.� �, d . . . E /. 2 O L7 ECEMB R 3 � �. E 2 20.04 ' . r . w - ATER LINE F .-. 4 .: . EV S ! 4 RED ED JANUARY 7. :2005 �i .,_. HYDRANT ,^ _u HYANN/SPQR .p r G` \ G A S GSi/NE ..... : i GOLF CLt18 .A�i -.. ,, es: r _ l j �. .. � , E. URE I Y... --P.. .' 1 - -.' .. -..... < OVER H AD W � - QHW £ IRES , t � t L GtI 923 :'Routes t .' ,_,. _ ,.- E Y/ND£RGROUND ELECTRIC LINE a rma u t h o'r t _ MA . 6 , _...- .r T UND O ERGR UND TELEPHONE L l NE r�` `� 5 0 8 3 6 NYANNlS I / ! D G Y CT Nb GRO N ,. ., . �! ER U D CABLEVISlON N 508 AR R , l L! E _: 432 5333 _.N so ! i _: , p 4 ''0.4 S O E ATI N-f- T L EV O ' .. 4O , .. -.. X T/ G ON F E JS N C TOUR .' : , -, p ., f 0 OSED CONTOUR "I LC Cl MAP 0 O O 4 - , t JOB NO 04 / I F 6 ! ., ELDCWIEEK CAC / F F . _ L _SAN C ,W CHECK, CFW __. .DRN. SAH ., ,, . , „- . , _x`; �: II , ..:: „ ', ,.,. r . : o ,