HomeMy WebLinkAbout0089 MIDWAY DRIVE - Health 89 Midway,Drive
Hyannis
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TOWN OF BARNSTABLE
LOCATION Z O- kr-e- SEWAGE #
ASSESS & L T .a 7 3-01 q
INSTALLER'S NAME&PHONE NO. �✓ ✓
SEPTIC TANK CAPACITY
LEACHING FACII,TTY 3C //7/_ '�: (type) � -L � � (size)
NO. OF BEDROOMS
BUILDEROR OWN ER r S t
PERMIT DATE: COMPLIANCE DATE: //a lU 2-
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
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpplication for Zi5poar *p5tem Construction Permit
Application for a Permit to Construct( )Repair(/<Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. �� I Irl V� Own is Name,Address and Tel.No.
Assessor's Map/Parcel 3 _ i I (n VLf
1
Installer's Name,Address,and Tel.No. Designer's Name,Address amd Tel.No. - n..l15
Pa V 11
d �.J , 0(ort— �►-��� Cif&—q,_1Z3/
I� M 14 02-3
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures 2
Design Flow gallons per day. Calculated daily flow 3✓ L gallons.
Plan Date Number of sheets P Revision Date
Title
Size of Septic Tank � o T E7X,Sl< -s Type of S.A.S. aN.
Description of Soil a�lt�7
Nature of epairs o Alterations Answer when applicable) / d UX % �4�
n W O ill illa CQM5i,5Mn C 4 _aG,
Date last inspected:
DESIGNING ENGINEER MUST SUPERVISE
Agreement: INSTALLATION AND CERTIFY IN WRITING
t ar aSTRICT
The undersigned agrees to ensure the construction and maintenance o'rM Ic a tsposa system
in accordance with the provisi ns of Title 5 of the Environmental Code anMQW, eTRRWn operation until a Certifi-
cate of Compliance has been is ed by is Board of
Signed Date 91r7h0,9,,
Application Approved by Date 7 /62
Application Disapproved for the fo lowing reasons
Permit No. Date Issued
7.-
Fee
4&0.
772.
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
V1
Yes
,,PUBLIC HEALTH.DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Appitratton for Mts paal *pwm Con!5trurtiotf 3dermtt
Application for a Permit to Construct Repair(i,,<Upgrade Abandon El Complete System El Individual Components
Location Address or Lot No. Sq bri v6- Owner's Name,Address and Tel.No.
annis.
Assessor's Map/Parce
3 Hid"31r,
Installer's Name Address and Tel.No. Designer's Name,Address and Tel.NO. J a Me) Ph V 1,
Ou 4tie - C4 a
45 1'61 a Le 60 f6 14 0-0 4
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Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder
Other Type of Building No.of Persons Showers Cafeteria(
"Other Fixtures,
Design Flow `—,-,..kgallons per day. Calculated daily flow 3 3 gallons.
Plan Date e7 149 Q� Ndihber of sheets Revision Date
Title
Size of Septic Tank MC(_, `&-,4,r-Q k�- —Type of S.A.S.
Description of Soil
Nature of ep iV Alterations(Answer when applicable)ut, (5 1-, n-5
I. L7hQ 04 6 nf/hLra-h�Y-5 (Ij L--
5 '57
n ew r)(W U06? ilv H —7
41 " 546DII al .5)(11.5 ad ic.hil
Date last inspected;
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
j. in accordance with the provisi1 s of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate
n of Compjiande7G's�eeiriliued by s Board of aft.
Signed NA11111 A)Aa Date-&/rZ 0 rA�,
Application Approved by V_ Date
Application,Disapproved for the fofio-wing reasons
f
Permit No. Date Issued
- -------------------------------- ------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certiftrate of Compliance
THIS IS TO C8,.gTIFY that the 0 sit S Disposal System Constructed Repaired Upgraded p,,, psij;wage isp
Abandoned(_ by
-ac���n_
or ance
at )L((,i P(40nn. 1-5 has been constructed in d
with the pro is )i; Title 5 an ord -2--'� dated
System Constructidn Permit No. 2QS
Installer Designer
The issuance of tAis pe shall not be construed as a guarantee that the sys tio_n as des
Date Inspector 6j
% des
V
————---——————————————————— ———————
N Fee
0.
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MAVSTP�MER
ALLATION AND CERTIFY
RTIFY IN WRITING
Mtzpoal *Pqlem -onotrurtton 414JUM o
PAN
ALLED IN STRICT
Permission is hereby granted to Construct Repair V)Upgrade Abandon
System located at
0� M 1(j lka-U JAI Ulf / lk4 If)- n
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: Constructionust be completed within three yearsof the date of this permit.
nj
Date: D LQ Approved by-!,\_�
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TOWN OF BARNSTABLE �L
LOCATION O- SEWAGE # 3�
VII,LAGE ti ASSESS &L T ot73—GJN
INSTALLER'S NAME&PHONE NO. ,
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type)
NO.OF BEDROOMS
BUILDER OR OWNERS r 5 t
PERMIT DATE: &1:2 COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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August 12, 2002
Outback Engineering
106 West Grove St.
Middleboro, MA 02346
(508) 946-9231
Town of Barnstable
Health Dept.
200 Main St.
Hyannis, Ma 02601
Re: 89 Midway Drive
Septic System Inspection
To Whom It May Concern:
Please be aware that Outback Engineering has conducted the necessary inspections for
the newly installed Title 5 system at the referenced property and found the system to be
in conformance with the approved plan.
Very truly yours,
r-44
?ames�APavlik, P.E.
- III
AS_� G�'10n - - - - -
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FORM 30 C&w HOBBSB WARREN'"
THE COMMONWEALTH OF MASSACHUSETTS
� BOARD OF HEALTH
CIT OWN
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DEPARTMENT
�1M SVB�,me �\ppp, W^ RESS
ryry �y ELEPHONE `
Address ►SC "' �^ 6 +1 Occupant I-so, a'vo+"C
Floor Apartmen o. No. of Occupants
No.of Habitable Rooms =� No.Sleeping Rooms___
No.dwelling or rooming units No.Stories
ame and address of owner
Remarks Reg. Vio.
YARD Out Bld s.: Fences:
® l Garbage and Rubbish
1 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:
Dampness:
Stairs:
Li htin :
STRUCTURE INT. Hall,Stairway:
Obst'n.:
Hall, Floor,Wall,Ceiling:
Hall Lighting:
Hall Windows:
HEATING Chimneys:
Central 154 ❑ 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 Roo
Bedroo
—Bedroonim
—BedroonIM
Bedroom 4
Hot Water Facil. Sup.Yen.M5 Oil, Elect.:
Stacks, Flues,Vents,Safeties:
_ Kitchen Facilities Sink ilk
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:
I
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
PEN JURY."
INSPE R TITLE $_
DATE / I ' TIME A��� P.M.
A.M.
THE NEXT SCHEDULED REINSPECTION P.M.
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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 10.5 CMR
410.150(A)(1)and 410.300.I '
(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.
r
(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.
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BENCH MARK.: TOP OF FND. J s'
' ELE.= 70,0,0 (SAS) SHALL BE V� .
MANHOLE COVERS TO EXTEND TO .25' LONG I � `� t^��G
11
WITHIN 6' OF FINISH GRADE .0' WIDE A
10' DEEP �
�P
y. BAFFLE REQ'D +
w
�o EL-.
1C1�s?�1JC� �` D.B. 2' PEASTONE TOPPING
000
CAP ENDS GENERAL NOTES:
s«D TONE:
3[4" DOUBLE WASHED. — ELEVATIONS SHOWN BASED ON U.S.G.S. DATUM.
EL=(p5� 03 STONE ALL AROUND SYSTEM PIPE SHALL BE EITHER C.I. OR
SCHEDULE 40 P.V.C.
THE BOARD OF HEALTH SHALL BE NOTIFIED
20' MIN.
_--.1.5 31.25' 1.5L PRIOR TO BACKFILLING OF SEPTIC SYSTEM.
— SEPTIC SYSTEM STRUCTURAL COMPONENTS
USE FIVE (5) INFILTRATORS SHALL BE CAPABLE OF WITHS-IXNDING A
SOIL TEST LOG PROPOSED SEPTIC SYSTEM WITH 4.0• OF STONE ® SIDES TE H-10 LOADING, UNLESS SPECIFIED OTHERWISE
PERC RATE=< 2 MIN/INCH — NO S AlE — 10135' O ASTONE
0 ENDS ����� �� �,� I S o��� SEPTIC SYSTEM UNDER DRIVEWAYS SHALL
COMPLY WITH A H-20 LOADING.
DEPTH ELEV.= (O�( O -�o L T?F'IS — THE DESIGN AND COMPONENTS OF THE SEPTIC
A LoAWY SAND 10YR 3 t SYSTEM STATE OF MALL BE. IN COMPLIANCE WITH THE
EFTS
-Losan SAND torn 4.+b TITLE V, AND SHALL BE IN COMPLIANCE WITH
THE LOCAL BOARD OF HEALTH RULES AND
Cl MEDIUM SAND tarn REGULATIONS.I� THE CONTRACTOR SHALL BE RESPONSIBLE FOR
LOCATION OF ALL UNDERGROUND UTILITIES AND
G / I 4- SHALL NOTIFY DIG - SAFE PRIOR TO
010' #s a -- 10l t/ — NON GARBAGE GRINDER
q o �-r DESIGN CRITERIA:
LEGEND: - T o• ��� �jo° (o�i DESIGN FLOW
EXISTING CONTOUR
ti - 0� 3 BEDROOMS AT 110 G.P. . / DAY 330 G.P.D.
— — — — — ,.___, ,___ :_.__ �--� 3 ", B
WATER SERVICE W W--- 40 REQUIRED SEPTIC TANK:
TEST HOLE �(� /� � 2 73
GAS SERVICE —G--6 `v, t t l, , SEPTIC TANK PROVIDED
BENCH MARKH� DESIGN PERC RATE <2 MIN/INCH
LOT o ► 4
SIZE OF REQ'D (SAS) AREA = 330/0.74 = 446 S.F.
SIDEWALL 2) 0.83)(34.25)+(2)(0.83)(11)= 75.12 S.F
BOTTOM (11�(34.25) = 376.75 S.F.
- SIZE OF LEACHING FACILITY PROVIDED:
NOTE: DR � V� 376.75 S.F. + 75.12 S.F. = 451.87 S.F.
PRIOR TO INSTALLING THE NEW (SAS) THE '� .- _
4.
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CONTRACTOR SHALL PUMPOUT ALL CESSPOOLS -
_ - EFFECTIVE DEPTH: 10"
AND BACK FILL WITH CLEAN MEDIUM SAND - __ _
IF CESSPOOLS ARE ENCOUNTERED IN THE ` - - -- '� EFFECTIVE LENGTH: 34.2 '
(SAS) AREA THEY SHALL BE REMOVED WIDTH: 11.0REMOVED -
..
OUTBACK ENGINEERING
JP VLIK AMES A. G�`, 106 WEST GROVE STREET
CIVIL CAMIDDLEBORO, MA 02346
No.36488 (508) 946-9231
I I It / )o O90 9F��S �Q PROJECT: SEPTIC SYSTEM REPAIR
As sHowN j,
DUD Zq a 2 MAP 41 / LOT O I g-
OWN R:
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