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Home My WebLink About0042 LAFAYETTE AVENUE - Health 42 La.Fayette Ave Hyan iisPort, MA 02647 A = 287�=�A40 I i i i AUG-11-2004 07 :59. AM DOWN CAPE ENGINEERING 508 362 9880 P. 02 wm 14 G � FOR VOLUNTARY ASSESSMEM SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION office(509)775-77.44 /" Mask Pobdu (508) 255-3050 1h�perty Addtdet �i f G 4 e e 1� �o Cell(508)380-7790 Owner -TECH Date Dote or Inspection,: SEPTIC INSPECtIONS System Fa1Wre Criteria applicable to all systettts: MASS-LICENSED You mutt indicate'Yea"or'ad'to cub of the following for A,iaspoctinas: D.E.P. CERTIFIED Yes No of sewage into tit ft or system Component dtte to Overloaded or db=W SAS or oesspoW ✓�e�fiangs or pvadrng otellivenl to the starfaax of the ground or surface waters due to.an Overloaded or ol�od SAS or oesspool --- _ Shfic 1kpdd level in the dbtribution We above outlet=9ft due to=oaloaded or clogged SAS or asspovl dapt6 is cetapoot is less than 6"below inert or available volume is less than yi tiny now Pumping mote theta d times in the last pear .N Ldue to cioggod or p;pa=). Number turned pmr4nd a[ ' pw wvf the SAS,cesspool or privy is below high Smmd water elevaaoa Auy portion of ccsgml or p i y is within 100 fact of a suAcc water supply or m tluuy to a surface (//water suppwp / w pomm of a mspool or privy is within a Zone i of a public deli. My portion of a oesapooi or privy is within 50 feet of a private water supply well. �Y p01im Of a cesspool or Privy is less Q=100 fart but gaemer than So Rrx Ih m 4 pmwe water, supply wdl with no acoeptIN water quWk-v analysis [This sysmat pass S the 90 W~X21*1116 performed at a DEP cerdf ed laboratory,for eollrorm bacteria and volatile organic Compounds iadlcatq t\at the well is free hum pollution from that facility and the ptwace of amatoela u roges and nitrate nknM a is equal to or leas tban S ppm,provided that ao ether folture crib. ov tr igpred.A copy of the analysis merit be attached to this form.l Na (Yes/No)The system fd.I have determined that one or more of the above failure Cicala can as dt�cr'bed in 310 CMR I3.303.therefore the system fails. 19 L�' /3� — o2 0 Al Ol e,- Plow - Ce-r1,-0o0/. T 'd OSi?E 296 E30S 313d d10 :20 -�0 61 08a Dec 13 04 02: 03p PETE 508 362 3450 p. 1 tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass02675 down cape engineering civil engineers& land surveyors structural design Arne H.Ojala P.E.,P.L.S. Daniel A.Ojala, P.L.S. land court Timothy H.Covell,P.L.S. surveys August 24, 2004 site planning As per phone con ens avid Stanton, Barnstable Boards of Health, sewage system designs in regar to 42 Lafayette Avenue, Hyannisport, home -ner can add on to inspections house as long as there is no increase in the number of bedrooms or increase in flow. Home currently has existing cess pool with an.overflow cess pool that has passed permits Inspection. I TOWN r51F i :NSTABLE --� LOCATION,5,�� z,�,v645:i SEWAGE # � VILLAGE YX �' '''/ 'r ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. � • SEPTIC TANK CAPACITY LEACHNG FACILITY: (type) (sine) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 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 i 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----------------- Ar a ' I 1 i 13a - a o 1 ,d OSbE 29E 130S _ . tea 1 f� LOC&TION!-' : 5E\,NJ®C,E PERMIT Q0. 19�1STpLLER S`�d' E h DDRESS 5UILDER 5 10..1 &MF— ®,0DRE SS DATE PERNAIT 155UED Db,TE COKAPLI &KaCE ISSUED : ---- - i .�i l TOWN OF BA1.`INSTABLE #i LOCATIOr4 zw 2 SEWAGE # VILLAGE �l �rvey ASSESSOR'S MAP& LOT INSTALLER'S NAME&P130NE NO. SEPTIC TANK CAPACITY: LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER y PERMTTDATE: 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 o2 0 a 'f F /i'io,►� - 6etl�vul a - Ofrt'►r- F/,vw - �efl�ov/. T -ci `' osbe 296 809 ` _ , j13d d l_OCQ,TION ' SEWDCjE PERMIT IJO. �/IL.L GE � — — - - - - - - - - - WSTL ER 5` E ADDRESS BUILDER 'S Q &MF- ADDRESS a DATE PER"IT ISSUED DATE COMPLI &MCE ISSUED : 2 �� _ __ _ __ � -_:_-__...__ _-y�-- _ �o —�_ ,i 4 �� I ` :i 1 1 y r� n I ' No......................... Fmic .......................... THEBOARD COMMONWEALTH OF H A MASSACHUSETTS T 'A OF.......... . ......... . ........................... Appliration -for Ditipa5al Works Totuarurtion Vautit., Application is hereby made for a Permit to Construct or Repair an Individual (Sewage, Disposal Syste"t:, ------------------------------------------ .... ....................................................... .&cati An-Address so Lot No.,J, .. ........ ... ........ ..... ... ............................................. .......f...../ OWXdress — ............VV........................................................... .... ....., ...iw.................. ................. ............................. Installer Address Type of Building Size Lot-._.:._---_________ ______Sq. feet U Dwelling—No. of Bedrooms---------------0..................-___.Expansion Attic Garbage Grinder a O ther—Type of Building ----------------------_--- No. Of persons---------------------------- Showers Cafeteria 1� Other fixtures ---------------------------------------------------------------------------------------------------------------------- W Design Flow.. ----------------_-----------gallons per person per day. Total daily flow--------------------------------------------gallons. 9 Septic Tank-t Liquid capacitv/,$'7_�__ allons Length________________ Width--------------_ Diameter.____...__...... Depth..... ---------- Disposal Trench—No- --------------------- Width., Total th.. .. .. ...... Total leaching area.......... ------------sq. f t. Seepage Pit N /--------------- Diameter_ ...... ... epih"�( o,, in-le ----- Total leaching area------- ----------sq. ft. 0. en 0 Ai_ e4................ Other Distribution box Dosing tank ( Percolation Test Results Performed by----------- .............................................................. Date---.----------------------------------- Test Pit No. I----------------minutesperinch Depth of Test Pit_..____.......____.. Depth to -round water___.-._________.__.____- .. (� est it No. 2................minutes per inch Depth of Test Pit.__--___-____ Depth to gro nd water------------------------ . ........ --------- ........... _441, -------------- -------------------------------- 0 Description of Soil---------- ------- �7, U ----------------------------------------------------------- ....... ----------------------------------------------------------------------------------------- W --------------------------------------------------------------------------------------------------------------- ------------------ A �------------............. 7- U Nature of Repairs or Alterations—Answer when applicable._.___A . ,V----------------- .......... ------- - --------------------- ------------------ Agreem,e// ---------- ,,It: -1., 0000,00, --------------------------- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been d by the and of heAlth. Sign9e.. ...... ................. .... ............. ... Applicatio,n Approved By 1444 Date-7/, ----- -------- . . ........ ................................... -- ---------- Date Application Disapproved for the following reasons:------------• -----------------( ........................................................................... ..........................-------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------- Date Permit No............................................... Issued._.. ...................... Date ------------I------------------- No......................... Ficic ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD ;O E A T "� ....OF......... r .. . ..... .................... Appliration -for M-4poiial Works Tomitrurtiou Vrrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal Syst 7 at:, .................................................................... ................................................................................................. Locatidn-Address 0........... ......................................... ..... ...... J11..et ....C..................................................... V �Adresy 07 .................... ...... .. ........ Installer Address Type of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms.............. _-.--.Expansion Attic Garbage Grinder ( ) aq Other—Type of Building ---------------------------- No. of persons..-_____---_______----_--.__ Showers Cafeteria ( ) P4Other fixtures ------------------------------------------------------ ---------------------------------------------------------------------------------------------- Design Flow............................................gallons per person per day. Total daily flow............................................gallons. P4 Septic Tank—Liquid capacity------------gallons Length________________ Width..........--._.. Diameter..............._ Depth..--_-_-_----.-. x Disposal Trench—No..................... Width-_---__-_-----_----- Total Length_-_-___-_-__..___--- Total leaching area--------------------sq. ft. Seepage Pit No..................... Diameter_--______-____--.-.- Depth below inlet.................... Total leaching area------- ......._sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by------_------ ---------------------------------------------------------- Date---------------------------------------- Test Pit No. I________________minutes per inch Depth of Test Pit-.-_--_--___--__---- Depth to ground water_--------------------- G14 Test Pit No. 2----------------minutes per inch Depth of Test Pit---------- - Depth to ground water------------------------ ..................................... ............................................................ 0 Description of Soil------------_--- ....... -------------------------------------------------------- ------------------------------------- ................ ..lj6-------------------------------------------------vl� U .......................... ---------------------------------------------------- ----- ------------------------------------------------------------------------------------------------------------- -- --------- - ---------------------- U Nature o Repairs or Alterations—Answer when applicable......A ..Ve Z----------- .........4 v............... -- - --------------------------------------------------- ......... ........... .. .....r....... ............ .......................... Agreer4/nt: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sign pod"_ ...................... ...... -). ..... y Date Application Approved By--.-"/,)/-, -------- ---------------- Da't-e Application Disapproved for the following reasons:...................... ......../............................................................................ .......................................................................................................................................................................... .............................. Date PermitNo........................................................ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ell;11 ........../ e ................................OF............d;et-A 4,-le..... ............ Tutif iratr of (loutpliaurr THI CIST RTIF iat t��/ ndividual Sewage Disposal System constructed or Repaired by .................. ..................................................................................... ........... -kc .. 111 .. Installer............ at............ ----- --- ---- ----------- ............ .................................. -ie State S,nitary Code as described in the ,.i � has been install n cordance with the provisions of A 1701T)Xeof TI 'r application for Disposal Works Construction Permit No.--_ ......V4---------_----- dated'_2_-.o�...!Y--7-6............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO TRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATelACTORY. DATE--- ..................... Inspector--.- .......01.�_T............................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH ..........OF...;6.............................. ...........* ................... ................ No. Di-spatial Norkq. an 1 111 Vrr it FEYOZ.- �J/. -I- _.;....j ........... ..............................Permission is hereby grante =....../- -------- ... .... . ........ V1 ewa m epair an In vdi 'd 'I S to Con. t u t at No .......0 a-._ ------ ---- -- - 41...... --------- Street as shown on the application for Disposal Works Construction mit Dated t e d -7 el............ r% Board of Health DATE?�_.#!�../------------------------------.............................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r , , SlLzsnnl)VSSVN •LuoasiuuvxH WINZAv ZssZxVJVrl SIP R HUMISH9 31vvrl[) IBM 01 SMOUVAON38 < a a QwWV." alloyls,"�1 sooluI I 1 4 I y I II I'I a I,I �/ II • � � y I QC I I ��pp Ipl 0 I I I ,v� IL Rolm _ - - -T �® O L ob i Q o 0 I N IL p --- O p g a 1 QC I a 4 1 I p pl II I . 1 p ®. pl I ♦ I I I I I I 1 a 'ia�. ,. ? I p pl I ♦ I I I t I I I I I • - -►..� �:,.. _... - rl 0 III I .... �\ I 1 .- 1.1 O I I I � e L O I I I I I I I d t I u I p o ® N I p I ' W 1 I ,A I I I ' a I I 1 I I I I 1 I 1 � - I a 1 s z 1 z < z J � W U N 3 W m W U a ZLL ° 1' iu p z > gg L P Z p ,1 I I � I I 11 I 11 15 I 1 I I vm► > L If - � El A � A S I 8 T- 8 s � A 4T H a O ° Q El I II I Eli 0 ' � I 1 1� I 1 1 i I I 1 I 11 � I� 1 I I RENOVATIONS TO THE CLARK RESIDENCE a - 42 LAFAYETTE AVENUE Q 1 1 1 HYANNISPORT, 1MASSACHUSETTS S i s R« � 1 a In ro Ag D 01 u= � m _ 0 z , z-q 0 4� IE :� all 19 i N 1 �� A I ILJ r R RENOVATIONS TO THE CLARK RESIDENCE V� 42 LAFAYETTE AVENUE 2 HYANNISPORT, MASSACHUSETTS 6