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Home My WebLink About0348 MEGAN ROAD - Health 348 Megan Road, Hyannis A r t • ,ti ,per -\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL d0 DEPARTMENT OF ENVIRONMENTAL TECTZON �J ONE INTER STREET, BOSTON, MA 02108 617 R -500 Rfc�ryr0 ECEI r[[ m 'AUG 21 1997 W1LLIAM F.WELD TOWNOFBAANSTABLE RUDY CORE Governor HEALTH DEPT. Secretary ARGEO PAUL CELLUCCI AVID B.STRUHS Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION y Commissioner PART A $ CERTIFICATION Property Address: 348 Megan Rd, Hyannis Address of Owner: Donna Hart Date of Inspection: 7- 7"q�7 (If different) 260 Oakneck Rd Name of Inspector: Wm E Robinson Sr Hyannis, '-,MA 02601 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: Wm E Robinson Sr Septic Service Mailing Address: PO Box 1089 , Centerville, MA 02632 Telephone Numbeb 0 8 77 5—8 7 7 6 \ CERTIFICATION STATEMENT I certify that 1 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site;,egeisposal systems. The system: sses Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails ai/ Inspector's Signature: W Date: Y The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A] SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] Icatee CONDITIONALLY PASSES: e or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon pletion of the replacement or repair, as approved by the Board of Health, will pass. Ind no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Pago 1 of 10 DEP on the World Wide Web: http:/twww.magnet.state.ma.us/dep > Printed on Recycled Paper t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) /� 0 Property Addressc�6 3,48 Megan Rd, Hyannis Owner: W32 nnAHairt Date of Inspection: Cj' c i.1 A Bj SYSTEM CONDITIONALLY PASSE$ (continued) :i29 J►ifU1 1 Tg3OHTJW ! Sewage backupor breakout or high static water level observed in'the distribution box is due to broken or obstructed +. pipe(s),,,,or duelto a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the \Q1B0vaMfHealth). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four 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 obstruction is removed C] FUR HER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: onditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the ublic health, safety and the environment. 1) YSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE) DETERMINES THAT HE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE E VIRONMENT: _ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. _ The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTH R --------------- (revised 04/25/97) Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 348 Megan Rd, Hyannis Owner: Donna Hart Date of Inspection: �r 7 7 SYSTEM FAILS: You must indicate eit,,er "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Ye No Backup of sewage into facility or system component due to an 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARG SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the following: �The'following criteria apply to large systems in addition to the criteria above: �he system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner r operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requireme�'f of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/97) Page 3 of 10 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 348 Megan Rd, Hyannis Owner: QLonna Hart Date of Inspection: 7 q /J Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health. _ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. L-11r1c _ The facility or dwelling was inspected for signs of sewage back-up. Vim_ _ The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. �CS _ All system components, excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. _ Existing information. Ex. Plan at B.O.H. T Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) [15.302(3)(b)] (revised 04/25/97) Page 4 of 10 .. 1l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 348' Megan Rd, Hyannis Owner: Donna Hart Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow: 66�0 p.d./bedroom for S.A.S. Number of bedrooms:I Number of current residents: Garbage grinder (yes or no):LO Laundry connected to system ( es or no):)� Seasonal use (yes or no):, 1995 - 1996 3 6 7 5 0 Water meter readings, if available (last two (2)year usage (gpd): r g Sump Pump (yes or no): i+-0 1996 - 1997 35, 250g Last date of occupancy: COMMERCIAUINDUSTRIAL: Type of establishment: Design flow:_gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: Systird pumped as part of inspection: (yes or no),A-6 If yes, volume pumped: gallons Reassdn for pumping: TYPE OF d(STEM 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) I/A Technology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components,date installed (if known) and source of information: /1 7 2, Sewage odors detected when arriving at the site: (yes or no)-Lz'c�) (revised 04/25/97) Page 5 of 10 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 348 Megan Rd, Hyannis Owner: Donna Hart Date of Inspection: �-' a 9- BUI ING SEWER: (Locate on site plan) Depth be ow grade: Material f construction: _cast iron _40 PVC_other (explain) Distance from private water supply well or suction line Diamet.r Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK: (locate on site plan) Depth below grade: Material of construction: Vconcrete _metal _Fiberglass _Polyethylene —other(explain) If tank is metal, list age _ Is age confirmed by Certificate of Compliance _(Yes/No) Dimensions:�S Z /•r Sludge depth: Distance from top of sludge to bottom of outlet tee or baffler_ Scum thicknessg� t Distance from top of scum to top of outlet tee or baffle:_ , Distance from bottom of scum to bottom of outlet tee or baffle: / - How dimensions were determined: Div C-a c✓-Z GVW 67aal Comments: (recommendation for pumping, condition f inlet and outlet tees or baffles, depth of 1' uid level in relation to outlet invefitructural integrity, evidence of leakage, etc.) �� "- - GR A5 TRAP: (locate n site plan) Depth low grade: Material f construction: _concrete _metal _Fiberglass _Polyethylene —other(explain) Dimensio s: Scum thi kness: Distance rom top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of ast pumping: Commen s (recomme dation for pumping,condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, vidence of leakage, etc.) (revised 04/25/97) Page G of 10 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 348 Megan Rd, Hyannis Owner: Donna Hart Date of Inspection: SOIL ABSORPTION SYSTEM (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:--I leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (note_condition of foil, si ,s of hydraulic failure, level of ponding, condition of nvegetation, etc.) 5' �a ��s CESSPP LS: _ oh site Ian) (locate p Number a d configuration: Depth-top of liquid to inlet invert: Depth of olids layer: Depth of cum layer: Dimensio s of cesspool:. Material of construction: Indicati n of groundwater: inflow (cesspool must be pumped as part of inspection) Commen, (note con1tion of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: (locate on site plan) Material of construction: Dimensions: Depth solids: Comment (note condifi n of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 04/25/97) Page a of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 348 Megan Rd, Hyannis Owner: Donna .Hart Date of Inspection: TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth low grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene ^other(explain) Dimen ions: Capaci gallons Design ow: gallons/day Alarm le el: Alarm in working order_ Yes; _ No Date of revious pumping: Commen s: (conditio(h of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) 1464- PUMP AMBER:_ (locate o site plan) Pumps i working order: (Yes or No) Alarms in working order (Yes or No) Com nts: (note ndition of pump chamber, condition of pumps and appurtenances, etc.) IF V—Z (revised 04/25/97) Page 7 of 10 v SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 348 Megan Rd, Hyannis Owner: Donna Hart Date of Inspection: �� r SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) 3 )9 (revised 04/25/97) Page 9 of 10 w SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 348 Megan Rd, Hyannis Owner: Donna Hart Date of Inspection: �.—7—7 17 Depth to Groundwater -Ze Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site (Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators, installers Use USGS Data r Describe in your own words how you established the High roundwater Elevation. (Must be completed) 6 �ed the_ Aa 4 .S (revised 04/25/97) Page 10 of 10 ASSESSOR'S MAP NO. e-'-1 PARCEL - LOCATION SEWAGE PERMIT NO. ILLAGE INSJA LLER'S NA i ADD ESS 0. C.�o2 4�1D B U I L D E R OR OWNER DATE PERMIT ISSUED z3 DATE COMPLIANCE ISSUED 12 � ` i '� �' s � � ;I; G?� �' Z o � �� 'h'1 �—'� r � e",. N1`.�'� l � � � \ W� a � a r ' �\ � o� /. � � '� ry . JN TOWN OF BARNSTABLE LOCATION a�� {ye t, „ Z2d SEWAGE # o� `1ILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITYAtype) � / (size) zw a_ C NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: , DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �/ . '� \�\` �� \\�� '� ` � � � '� _\ � �. �'� ��o N� �� ry s � / s � � � ! / � ' �/ � p� � // / //ice .f �� It _ i l Fxs......$...30........._ THE COMMONWEALTH OF MASSACHUSETTS APPROVED BOARD OF HEALTH ®amstable Conservation DWOMOM TOWN OF BARNSTABLE 30 ,Qjz Appliration for Uiipooal Works TonotrTfio pati# We Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: . .... Megan .Road Hyannis ----------•------------------------•------------ Daniel Burns Location-Address or Lot No. W J.P.Macomber Jr. Owner Address Installer Address Q Type of Building Size Lot............................Sq. feet V Dwelling X-No. of Bedrooms......... .Ex Expansion Attic Garbage Grinder ►•a g P ( ) g ( ) pa., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ..................... d ------------------------------ -------------•---------.-......_...----------- W Design Flow............................................gallons per person per day. Total daily flow...................................0.0._....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..................... Diameter.................... Depth below inlet....._.............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit...................- Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of,Test Pit...:................ Depth to ground water•-._--_____•_-_.__.____- P4 ----------------------------------------------------------•----•---- ....................................................................................... 0 Description of Soil----•-----------------•---------------------•-------.-.-......-------------------------------------------------------------------------------- •---------•--------------- USand--&--.Grauel..................................................................=-...........................-..............-................................................... W x ----•-------•---- -------- -----------•---------•-----------------------•---•--•-----•-••--••-••-••------••--------------------•-•---•---------•-••----................................................ U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------_......................................... p-ac.17.inz—_-pit.--------•-••--------••--------------------------------------------------------------------------------------•---------_.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code--The undersigned further agrees not to place the system in operation until a Certificate of Complia e has b sued y the bO rd Of he th. Signed '......----''-- -----9/28�92- Date Application Approved By ........... . ...-..... " - --�--,,J ------------------- ---------J..-D.to -`- ------ Application Disapproved for the following reasons: ...................... ........'- . ........ ..---"------.--------------"----..--.......... '-'-----'--......---'-'-- -- --'-----'............................ .'...................................---...........---........-- ' Date PermitNo. .......Y��.................'- Issued ......................................................----- Date No 9'-l- y Fxa.....$... c�......... THE COMMONWEALTH 'OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE , -3� ,5z Apptiratiou for Raplaoal arks Touts rurtiod1hrmit Application is hereby made for a Permit to Construct ( ) or Repair (KX) an Individual Sewage Disposal System at: �48 Megan---Road Hyannis --•-•••-•--•--------•-•••---•--------------•-•---•-----•--•-••---------....._...----------.....-•- ..... ........_ . ....----•------.....__... ...... Daniel Burns Location•Address or Lot No. ........................................................................... ----••--•-••-•-•--• ..........--...................................................................................... Owner Address W J.P.Macomber Jr. a ........................................ -----------•---------------•--------•••-•-•-_.... --•----•••--•---------................----•-•• re---••-•-••-•-•-----------------•---------•-•- Installer Address Type of Building Size Lot.......................t...Sq. feet DwellingX No. of Bedrooms.........3...............................Expansion Attic ( ) Garbage Grinder ( ) aOther Other—Type of Building .........................! NO.`t of persons.....__...._............._.. Showers ( ) — Cafeteria fixtures -----------------•-------------------------------------•-•------•-••••••••---•-••----------•-----•-•-•-•---••--------••-......_......---••••--_---••• W Design Flow............................................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--------------------- Diameter.................... Depth below, inlet_____........._.....Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) /' IH Percolation Test Results Performed by---------------------------------%..Z -------------------................ Date........................................ - -Test Pit No. I................minutes per inch Depth of Test Pit.___'f__ ..__....'_. Depth to ground water........................ GX, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -•••------••--•-•---••••••••--•--••-•--•--•-•-•-••••••.......................................•---•-•-----------------------___---------------•---------_----- 0 Description of Soil..................................................................=------••••-......---•----------------•••---•------••-••---•-•--•••------•-•-----••-----........-•- V ...9._d...c�-..Gr,Ore l................................... •-----...........i V---•-----------•----------_---------------•-••------•---------•---------------•----•-------_-_____--- W r eh/ UNature of Repairs or Alterations—Answer,when applicable............................................................................................•.. Agreement: r v The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the St ate�Environmental Code—The undersigned further agrees not to place the system in operation until a Certifica4e,)of Compliance has;Den issued y the boa d of hea th.Signed . � .... ......9/28/92 Date nn Application Approved By .......... --- --------- ..... -7 Date Application Disapproved for the following reasons- -------------------- ------- ----------------------------------------------------------------------- ------------------------ ---------------------------- ------------------- --------------------------------------- ---- -------------------- --- ---------- --------------------------------------------........----------- ---------------------------------------- ,- Date PermitNo. -----? ........... t'�--------------_--------- Issued ---------------------- ....----................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (11pertifirate of C�umytiax><ce THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX J ) J P. Macomber r. by............................. ---------------------- ------------ ------------------------------------------------------------------------------------------------------- --------------------------------------------------------- - Installer at .....348.. Megan_. Road Hyannis------------------------------------------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of T"he State Environmental Code as described in the application for Disposal Works Construction Permit No. -.-�5-�_-V----57-.-:�......... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........... s' 3..'.-.1..r..------------------------------------ Inspector ..............U,.� ......................................................................... j. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.....1...� qq - TOWN OF BARNSTABLE FEE. ......r�.r........-- Dispotia1 Workii Tonofrudivit amit Permission is hereby granted.. -•••....................... to Construct ( ) or Repair 6X) an Individual Sewage Disposal System atNo.....34R._Me as--Road•._Hyannis-------•----------------•--.-•••--•----------•-•••••-•---•••-•---•-...---•-•-•-----••-•--•-•••......•----.._............... Street ! i as shown on the application for Disposal Works Construction Permit No..r71'7.C�_?__ Dated.......................................... ............................................................Board of Health DATE..............-5 )2_:-•-• .............•----••---------- FORM 36508 HOBBS&WARREN,INC..PUBLISHERS W........597C-_6 i5 F>�s............. _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH n 1 „( �� ( 1!V..............OF..................L„�� sST ................. Applir Winn for Uiiipuuttl Works Tonstrurtiun Permit Application is hereby made for a Permit to Construct (K) or Repair ( ) an Individual Sewage Disposal System at: ....--•--- ••-- '..........................•-..........------. ............ .�`:L. =...A...1Locatiot -Addres_s. .......................... .. .......or Lot-No........................................... Owner Address W .......:: ......................... ....•-•---................._..•••................................_................................ Installer Address q Type of Building Size Lot.....�-.1,11 .1........Sq. feet ., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building .... No. of persons............................ Showers 04 YP g •--------------•--•-••-• P ( ) — Cafeteria ( ) a" Other fixtures .......................••-----•--......-----------..........__ W Design Flow..............1.1 Q...................gallons per person per day. Total daily flow.................3�.. . C)............gallons. WSeptic Tank—Liquid capacitv=.Ogallons Length.�$_.t!i._. Width:4'.10_... Diameter......_._...... x Disposal Trench—No..................... IAidth.................... Total Length.........�..t.� Total leaching area....................sq. ft. 3 Seepage Pit No...O.-US.... Diameter.......10_..... Depth below inlet......yt........ Total leaching area..................sq. ft. Z Other Distribution box Dosing tank0-4 ( ) a Percolation Test Results Performed by._..�.4t.1- i.................. Date........�5-_. —.�.�p....... minutes per inch Depth of Test Pit..... Depth to ground water...... _ .. �.. . :. �..... Test Pit No. 1............... 12.- 44 Test Pit No. 2....�.....minutes per inch Depth of Test Pit.....6a.:S.... Depth to ground water........ ':.2.._... O De ription of Soil ! �i�.. 1 ..'... � Q� ..T� .._ y. .bP _?5?.�.._ �,�_�'� Z:3... P i1 J ---�tz......G�. ............................................ w --------------------•--•------------ ----.._.........------------......------.........------------....------................................... V Nature of Repairs or Alterations—Answer when applicable...............................:............................................................... ............. ---......... -...------.......---.--------- --........... -................. .............. ....------•----........................... ...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LITL U 5 of the State , itary Code—The undersigned further agrees not to place the system in oper tion until a Certifi to of Co n ha been issued by the boa l�eal.th, ............... - a . �.. f� Date App'ication pprov By------------------------•--.................... ....` -•-•-• ••........................ ........................................ Date Application Disapproved for the following reasons:... ..................•---..............----------......-•----•---.................•-•--.....•--'••......... •-'.............................•---•---.......---'-•-------•---'•---•---••--'..................------..........-•----...---•----...................................-----•••----••••••-'•••-•--••....._ Date PermitNo......................................................._ Issued.......... &;;.........Date THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH -! �c- 1..............OF................. .-... ... .....::,1 ...................... Appliratiun,fur %V� .aal Works Toubtrud ion rrrmit Application is hereby made for a Permit to Construct (K) or Repair ( ) an Individual Sewage Disposal System at: - A. : :::..R -.14! .....................................c r c t ._.r .. - .......•................................. .. 1`- , `�-Loc -Address or Lot No. ................ � ...ation_ kr� t mil.......................... ..•---•----••-----------------•--•----•--._ ......------..............••-•.....-_._---.. W Owner Address a • ......- ---------=.................................................... .......----•-•••---•---•--•-••---....•-------.........--•---..................................---- Installer Address Type of4Building Size Lot.....J ..... ........Sq. feet V Dwelling No. of Bedrooms.............................. .....Ex Expansion Attic� g— •••-•••-- p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons..............._............ Showers ( ) — Cafeteria ( ) 6 Other fixtures ..----•-----••-------------------------------•-•----.....-----------......------------------••----....------......---•-•-----......................... W Design Flow..............I.A.0...................gallons per person per day. Total daily flow............... ?.............gallons. WSeptic Tank—Liquid capacity M_(gallon Length.5R:.�L'.'. Width:4"_1Q`... Diameter..._._`..... Depth.`A—.". x Disposal Trench—No. ................... Width.................... Total Len .................... Total leachingq, P l r area.... ft. 3 Seepage Pit No.. t_ .... Diameter.......� :...t Deptht.below inlet......:-........ Total leaching area.................sq. ft. z Other Distribution box ( �) Dosing tank ( ) to a Percolation Test Results Performed ............... Date....:... 'C.......�.. .Test Pit No. I.......a.....minutes per inch Depth of Test Pit NK. Depth to ground water 44 Test Pit.No. 2.....:�.....minutesper' inch Depth of Test Piu .... Depth to ground water.........`�.Z...... :....... ..................•---............. ............................................................._...............- .._....... O Description of Soil : «�. llLa_'�?a l? � :t __ `11 1-- -C1�1 D....... ... V c ` ...................................._ ....._.�,+�..,;1 ............................. . - W -•................... ......... l .........................................................................•---- fr V Nature of Repairs or Alterations Answer when"�applicable............................................................................................... ............................•----•-••------••---•-.....�...-•----.............---.......•-•-•...•--.........----------------------•---------------.......------•---•------•-----..................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of AITLZ 5 of the State itary Code— The undersigned further agrees not to place the system in ope do until a Certifi to of Co n ha been issued by the boa ealth. ( / ned.......... I ...�-:'�-- ............................. ....Y 3.� ...... Application pproved By.......................• f#/� Date 1..... ....................... ........................................ Date Application Disapproved for the following reasons:..0..................•-----...............---•-•-•-------•--•---•-----•-..............-••.................... -- .......................................................................................... ---.....---------.--- ------------. ..............-•------------ .......... Due PermitNo......................................................... Issued........................................................ Date - -' •'(f-+,.r .....�._.<...... ..:.:�:... a+- .«.. .�,,.x n.�.q a.r..l:..h p kq...'..t.i.,a f.,.a a A..>M 4�+c.w�:s THE COMMONWEALTH OF MASSACHUSETTS • J , BOARD O HEALTH_ Trrtifiratr of Tnmplutnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired R / 1 ) 4 g P �' (�)� ( ) by......................... ..... ..........................._C:..^`.s�l� i'rl ...r�6 G r U Pf .5:.................................. ........ ' } Installer at.......--•-----•�� 121.e S.w_ �0 �� y.'`T� ..0...�.......................z..................---- ............ ........._.............................................................................. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the -application for Disposal Works Construction Permit No....... ? <�.. .......... dated...... .2..c�1...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................................. :1 ......... Inspector. ....------.......................................-•----. -•----............. w.._..... r.�_•...r...•.��... � ��.. ....:._w-.. �.DE'SIGNII�G�ENGINEER-MUST SUPER....,_<.....: ry �' VISE c1��y l��f THE COMMONWEALTH OF MASSACH ,, LATION AND CERTIFY IN WRITING // THE SYSTEM WAS INSTALLED IN STRICT BOARD O HEALTH - -7_z-, �,,,,� b f�a 1 / O I.t/n ......:-':OF.................. 1/✓IST��I �� T PLAN. _ No.. .............................. O Fzz........................ 3�is�rn tt1 ur 11 nstruduin Prrmit Permission is hereby granted.... !)/ .9-t .. O n� / ............................... ._.. :...................................... ... •---............. - to Construct ( V)-or Repair ( ) an Individual Sewage Disposal System 1 atNo......................... b_ - --......_1.....?....=..........................................L ....` t , �► . ._..... .. ..... ..... ..........•-• • Street J as shown on the application for Disposal Works Construction Permit No6 � ....f:�Da ted.._._..,.:�'_Jr..�.s .YC.......... L� �l ..............._ DATE. i ZS �° is�araof health -.iI 362-4541 926 main street rt 6A yarmouthport mass.02675 down rope eagineerinf e. civil eggineers& land surveyors structural design 1 Arne H.Ojala P.E.,R.L.S. and court Richard R.Fairbank P.E. surveys site planning November 4, 1986 u„sewage system designs Mr. John Kelly Barnstable Board of Health Barnstable Town Hall inspections .South .Street Hyannis, MA 02601 permits Dear John, c On October 30, 1986 Down Cape Engineering inspected the septic systems at Lots 93 & 94, Megan Road. The system on Lot 93 was back filled with the exception of the pipe at the foundation wall. This pipe is approximately 1.0' higher than shown on the proposed site plan. Assuming ' that minimum slopes were carried out throught the system, the leaching area could be as much as 5' above the adjusted water levels. The elevations of the system on Lot 94 are according to the proposed site plan. If you have any questions or require additional information, plese call me at 362-4541. i Sincerely, Arne H. Ojala, P.E., R.L.S. AHO/amp SEC'i:� "SWAGE Z o R )_ M I N. F RF vN,i-�ACaE ZO rT. —SEPTIC TANK— —"D"BOX- —LEACH a TOP OF FDN M I t� ►,.1 .1iI. I O r�• ........(MSL)i "2..OF t/eTO W" i Z�r5d�1V KS WASHEDSTONE FRDIJ� 20 FY• �2.o. C,cVE.>^�� SErf ,�O C•rRAi?� i r Lo � i 10 FT: I� NIiN• K �� ! � 2 IN' N OUT• - IN• I O Q D G QUT IN• I LOT / 5SEPTIC O, 2. E . Z9. Z TANK .Z�,l ELEV. ELEV. ELEV. ELEV. ELEV. ELEV. � LT. • e - OFYi-=1;V' Q�e � ' 1 MeQ , •WASHED STONE V CF I f'Ill ® ti� Z Y TEST HOLE LOG �� Aa�.� T - - ' EL.E� = Z�.I lam'( f I TEST BY f-1. IcPONJOU& T rl� KEGrJ � .J, .) - \ . 11, IImo} + FT i �- l\ I ; \ TEST DATE SAY�', WITNESS - - >> DESIGN . BEDROOM HOUSE T.b: s i 3al T.H. +� 2 23.G PROP. RE-TAfQ:. 1 ELEV. "rt ELEV. Br,p�odM WALL ft j 3 DISPOSER DISPOSER _ PI^IElLI1Jls \ �J z�.t z7•b 2v.� PERCRATE. MINAN.. o` FLOW RATE .2,-1 •(GALJDAY) � x� c � E A r`1 � -9 9 S / -�p• , ,_`... �4 • 8 . SEPTIC TANK 33d. (I•`,� a/// M .o i u M- REQ'DSEPTIC TANK SIZE ti / 1r s •..._ I 5 LEACH' FACILITY ::. c aa,�� ! SIDE WALL �N TCto)4= (Z.25} . 282.E G/D. l .v ' 14s" .. --- �' \\ I 80rrOM �f7� �! - �F +^^-a� 4' (0,�3} 73• I G/D: I �71 0 ' }. ii \ / TOTAL 3 5 •�? �/� \. r USE: ' LEACHING j FJ�La WATER ENCOUNTERED �P)CAKC)U-r �0 NQMS: (UNLESS.OTHERWISE NOTED) � S r I tlo 1.DATUM(MSyi TAKEN FROM �I ~�I`' QUADRANGLEMAP.: , Fo�E 2.MUNICIPAL WATER I=r AVAILABLE ZL; 3.PIPE PITCH:t4"PER FOOT 4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- -44 S.MIN.GROUND COVER OVERALL SEWAGE FACILITIES:(2)FT. 6:PIPE JOINTS SHALL BE MADE WATERTIGHT -.- - -- 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. - - p STATE ENVIRONMENTAL CODE TITLE 3 SITE „� _ LOCUS: .1.-,c.;t fAP _E, -.---- - --- ------- -- --_ J vf' �� - -- - - -- -- - N �� r�l i , REG.PROFESSION ENGINEER^ A� � �!aF�� AP 29I �AI 2�7G ' REF: f /ae, PREPARED FOR: down cape eftlIfteer«g { CIVIL ENGINEERS. U. BOARD OF HEALTH LAND SURVEYORS REG.LAND SURVEYOR- (EXISTING) CONTOURS -•......----- soZOIdaIA8t., SCALE (PROPOSED)-0-0-0-4- APPROVED DATE _ MA i r . . 'DATE �'Lc• - ( I