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Home My WebLink About0015 SKATING RINK ROAD - Health ol 15 SKATING RINK ROAD, HYANNIS A = 291 209 t . TOWN OF BARNSTABLE )C C=, LOCATION 1�"�' l" l'� "�t,`.O SWAGE # VILLAGE f� �j ,,,�,, ASSESSOR'S MAP & LOT O INSTALLER'S NAME & PHONE NO. /�p �- y'0 �'7 5"7-9 Z SEPTIC TANK CAPACITY LEACHING FACILITYArype) 6 0 (size) NO. OF. BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER,/� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �/'. s s' ., m f° e ��' �� \. �. `� � r P $30 00 No.. Fss............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at 15 Skating Rink Rd. ..... -_- ................. •--------•------_-••-.....--------•-•-.......... •-•--------••-----•••-..........--•------•-•-----------......••---------•----------•---------•- Location-Address or Lot No. Mrs. McPhee W W.E. Robinson Sep�icrService P.O. Box 1089 Ceneedi Mlle Installer Address Type of Building 3 Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther 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 ( ) aPercolation Test Results Performed by.......................................................................... Date.....................-.................. Test Pit No. 1................minutes per inch Depth of Test Pit............_....... Depth to ground water........................ rZ4 Test Pit No. 2................minutes per inch Depth of.Test Pit--- ................ Depth to ground water........................ 9 •---•-----------------------------------•-------....-----------.._..--------._.......---•._.................................................................. 0 Description of Soil x aYel:..:-••-•----•----••------•-------••••-....----•-•--••---•••--•-•-••••-••-••--•----••--•••-•-•-••-•--••••----................................. VW •-••--•-••-••...............•-----••--••--------•••----•••-•-------•••-••-••-•----------•-•-•••-••••----•-------•----•--•-------------•-•-•••--------••••••-•------•------••-•••--•-••••-•--•-•-••_-••-- Nature of Repairs or Alterations—Answer when applicable............................................................................................... ....... nstall-a-�.,_000-._gal-•leachpit 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 Compliance has bee iss d by the boar f health. �� Signed --- .. ...... .................. ---- -----------------� �te - Application Approved Bye='-- - - ---... -- ....... ...� Xf-- ...................... ...... ."----.............................. ....Date.-...-....-------- Application Disapproved for the following reasons' ---------------------------------- ..d �...... ... - --------------------------------------- --------------------------- q .Date PermitNo. ..................... ....-�-------------------------------- Issued �............. Date / - 0 Ficz 30._00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE . ppliratiun for Disposal Murks Tonstriirtiun 1rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: ......1.5 Skating,Rink,Rd--------------------••-•-•--••-•-_......._..... -••----------------•-------------_------------------------------------- Mrs. McPhee ---------___.----- Location-Address or Lot No. -_ Owner Address W W.E. Robinson Se_tic Service P.O. Box 1089 Centerville ,a P .......... Installer Address Type of Building 3 Size Lot---------------------------Sq. feet Dwelling—No. of Bedrooms.................................._---------Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of ersons____________________________ Showers Other—Type g ---------------------------- P ( ) — Cafeteria ( ) dOther 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 arm.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date-------__------------------------------- M Test Pit No. I________________minutes per inch Depth of Test Pit____________________ Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ---------------------------------------------------------•-•------....._..-----••-••••••-•--•-••----......................................................... 0 Description of Soil----------ara e.1-----------------------••-•.........-----------•---_--. W V ---------------•------------------•------------------------------------•-----------•----------- W UNature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ Vic ??it-----------•--•---------••-------------------------------------------- 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 Compliance has bee iss ed by the boar f health. � �JSigned . ✓ ---------- te Application Approved By .. `q`.:`___--- .. ice Date Application Disapproved for the following reasons- ---------------------------------- ------Z--------------------------------------------------------------------------------- - --------------------------------------- PermitNo. _ ' ..._._t ..�1 Issued - '� .`... " "___l Date__... - ------------------------ - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer#itiratr of (111'IImpiinure THIS IS TO CERTIFY,,That the Individual Sewage Disposal System constructed ( ) or Repaired ( x ) by �. ,. -cq-;T, lbb.�r';son---Septi -...s�'�:.rvicf--------------------------Ins stall l - .er..---------- ------------- ------------------------------------------------------------------------------------- at .....5" Skating Rink-Rd------Hyannis---------- ------------------------------------------------------------------------------------------------------------------------------------------------ has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ___... ., __T.. ...__ dated .._ -.✓ __' � THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------------------f;L-1---�.�'✓..J.;/.. ------------.-------- Inspector .----------- {"1 -------•------------------------------------------------ . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE N.._.... .....�.� 530.00 FEE.--••-•....•-•......._-- Diupusal Workv GUuntructiun rrmit Permission is hereby granted.... Fta Po!� s��' Septi-c_,Se-rv{ce................................................................-.... to Construct ( ) or Repair (x) an Individual Sewage Disposal System at No.. 15 Skating- Rink Rd Hyannis ----------------------------------•--------------------------------------------....... Street el fp/ / *J as shown on the application for Disposal Works Construction Permit / _ Da ed___/j.................................... -- •••-•••• Board of Health DATE----._... ._.... FORM 36508 HOBBS Q WARREN,INC.,PUBLISHERS ------------ 7 ---------- 1 (7W UY- I � I 7 3 - Commonwealth of Massachusetts ' E xecutive of E nvironmental Affairs J c f ` U � DEFT co Department of 1�`gb� Environmental Protection SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM 9 - 6 PART A CERTIFICATION Property Address: 5 S taking R R d._Hyannis, M a. Address of Owner: Barry Mc Phee (if different) Po Box 554. West-Barnstable, M a 02668 Date of Inspection: 07111/96 Name of Inspector: Michael D eD ecko Company Name, Address and Telephone number: Atlantic Environmental P.o Box 2384 - M ashpee. Ma 02649. Tel : (508) 4771420 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 time of inspection . The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. The system Passes ---- Conditionally Passes ---- Needs further evaluation by the local Approving Authority ---- Fails Inspector ' s Signatar : �,r Date: 07/12/96 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 or the Department of EnvironmentalProtection. The original should be sent to the system owner and copy sent to the buyer,if applicable and the approving authority. SUBSURFACE SEWAGE DISPOSAL,SYST PART A EM INSPECTION FORM CERTIFICATION (continued) Property Address: 15 Skakin Owners: 9 Rink Road. Hyannis, Ma. ' Date of Inspection: Barry McPhee OT11 1!96 INSPECTION SUMMARY. Check A, B, C, or D A)SYSTEM PASSES: �- I have not found an . y information which indicates that the system violates failure criteria as defined in 310 CM 15.dic e ' indicated below y failure criteria not evaluated d fare e B)SYSTEM CONDITIONALLY PASSES: completion of the replacement or re .... One or more system components need to be replace air, passes inspection. d or repaired. The system, upon P Indicate yes` no. or not determinate J Describe basis of determination in all instances. If not determinated" in, explain why not. --- The septic tank is metal, cracked, struckurally unsound. exfilkratian, or tank failure is imminent The system will Pass inspection if the septic tank is replaced with a conforming shaves substantial infiltration or Health. ng septic tank as approved by the Board of --- Sewage backup or breakout or high static water level box is due to broken or obstructed pipe(s)or due t distribution box. The system will pass i observed in the distribution Health). o a broken, settled or uneven nspection if(with approval of the Board of broken pipets)are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times PrPe(sJ• The system will pass inspection if(with approval oval of the due a broken or obstructed e Board of Health): .... broken pipets)are replaced obstruction is removed SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) ,Property Address : 15 S kating R ink R oad. Hyannis, M a. Owner : Barry McPhee. D ate of I nspection : 07111196 C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: ---- Conditions exist which require further evaluation by the Board of Health in order to de- termine if the system is failing to protect the public health , safety and the environ- ment. 1) SYSTEM 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 of water ---- Cesspool or privy is within 50 feet of a bordering vegetated wetland or a small marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNC- TIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT. ---- The system has a septic tank and soil absorption system and 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 is within a Zone I of a public water supply well. ---- The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. ---- The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analy- sis 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 notrogen is equal to or less than 5 ppm. D) SYSTEM FAILS: -- I have determined that the system violates one or more of the following failure criteria as defined in 310 CM R 15.303. T he basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to cor- rect the failure. --- Backup of sewage into facility or system component due to an overloaded or or clogged SAS or cesspool. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) �roperky Address: 15 Skating Rink Road. Hyannis, Ma Owner: Barry Mc Phee Date of Inspection : 07/11/96 D) SYSTEM FAILS (continued) -- 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 over- loaded 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. --- R equired pumping more than 4 times in the last year NO T 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 cesspool or privy is within 100 feet of a surface water supply ortributary 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 ana- lysis. 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. I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) NopertyAddress: 15 Skating Rink Road. Hyannis Ma. Owner: Barry M c Phee Date of Inspection: 07/11/96 E) LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above : The design flow of system is 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 : --- 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 11 of a public water supply well. The owner or operator of any such system shall bring the system and facility into full compli- ance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please, consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST ,a Property Address: 15 S kating R ink R oad. Hyannis M a. Owner: Barry M c Phee. Date of Inspection: 07111/96 Check if the following have been done : -x Pumping information was requested of the owner , occupant and Board of H ealth. --x None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during the period. Large volumes of water have not been introduced into the system recently or as part of this inspection. --x As built plans have been obtained and examined. Note if they are not available with N lA. --x The facility or dwelling was inspected for signs of sewage back-up. --x The system does not receive non-sanitary or industrial waste flow. --x The site was inspected for signs of breakout. --x All system components, excluding the Soil Absorption System, have been located on the site. --x The septic tank manholes were uncovered, opened and the interior of the sep- tic tank was inspected for conditions of baffles or tees, material of construc- tion, dimensions, depth of liquid, depth of sludge, depth of scum. ---x The size and location of the Soil Absorption System on the site has been deter- mined based on existing information or approximated by non-intrusive methods -- x The facility owners and occupants if different from owner were provided with information on the proper maintenance of Subsurface Disposal System. r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 15 Skating Rink Rd. Hyannis, Ma. Owner: Barry Mc Phee Date of Inspection: 07/11/96 RESIDENTIAL: Design flow : O-D.b gallons Number of bedrooms : 02 Number of current residents:Q Garbage grinder (yes or no) : N� Laundry connected to system (yes or no): �CS Seasonal use (yes or no) :. NO Water meter readings, if available: t,31w , Last date of occupancy : ; COMMERCIAL/INDUSTRIAL: 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) : Dater meter readings,if available : Last date of occupancy Other: (Describe) ............................................................................................................ Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and sour a of information : System pumped as part of inspection (yes or no):......NSA....... if yes, volume pumped : .................... gallons Y Reasonfor pumping :_........................................................................................................... SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 15 S kating R ink R oad. Hyannis, M a. Owner: Barry M c Phee. Date of inspection: Will/96 TYPE OF SYSTEM --- Septic tank/distribution box/soil absorption system --- Single cesspool --- Overflow cesspool --- Privy --- Shared system (yes or no) (if yes, attach previous ins eckion records, if any) x .... Other (explain).. .e oaf.. .. , -*. A 4 �4� .. . AP OXI MAT A�}E AGE of all components,`d^a�te�installed (if known) and source of information W..............................................cmtly kN...�.��:..:.-.... ?�? " ..�r'� .1.�.................... ................................ Sewage odors detected when arriving at the site : (yes or no).Vo... SEPTIC TANK : ...tom.... (locate on site plan) Depth below grade: .......... Material of construction: :...... concrete ......... metal ........ FR P ........ other (explain) ................................................................................................................................................ Dimensions: .................. Sludge depth :..........:.... Distance from tap of sludge to bottom of outlet tee or baffle:.............................. Scum thickness :..................... Distance from top of scum to top of outlet tee or baffle: ... .. ..... affle: ....:................ ..... Distance from bottom of scum to bottom of outlet tee or baffle :......................... Comments : (recommendation for pumping , condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.)...................... ................................................................................................................................................ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) RropertyAddress: 15 Skating Rink Road. Hyannis, Ma. Owner: Barry M c Phee. Date of inspection: 07/11/96 GREASE TRAP : .......0 (locate on site plan) Depth below grade: ............... Material of construction: ........concrete.........metal........FR P........other(explain).... .......................................................................................................................................... Dimensions:............................... Scum thickness:........................ Distance from top of scum to top of outlet tee or baffle:....................................... Distance from bottom scum to bottom of outlet tee or baffle:............................... Comments: (Recommendation for pumping condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc:)........................ ................................................................................................................................................ ................................................................................................................................................ TIGHT OR HOLDING TANKS:.... ��.... (locate on site plan) Depth below grade:............... Material of construction:........concrete........metal.........FR P..........other (explain).......... ................................................................................................................................... Dimensions:............................ Capacity:....................gallons Design flow:...............gallons/day Alarm level:............................. Comments: (condition of inlet tee, condition of alarm and float switches, etc.) ................................................................................................................................................ 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 15 S kating R ink R oad. Hyannis M a. Owner: Barry M c Phee Date of inspection: 07/11/9S DISTRIBUTION BO ::.09.. (locate on site plan) Depth of liquid level above outlet invert:................... Comment: (note if level and distribution equal evidence of solids carryover, evidence of leakage into orout of box, etc.).................................................................................................................. ................................................................................................................................................ ................................................................................................................................................ PUMP CHAMBER:....N�.... (locate on the site) Pumps in working order: (yes or no).;............. Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.).................... ................................................................................................................................................ ................................................................................................................................................ SOIL ABSORPTION SYSTEM (SAS):... �S............ (locate on site plan, if possible; excavat�n not required, but may be approximated by non- intrusive methods) if not determined to be present, explain: ................................................................................................................................................ ................................................................................................................................................ Type leaching pits, number: .......'.......... leaching chambers, number:........ leaching galleries, number:........... leaching trenches, number, length:..................... leaching fields, number,dime lions:... ....... overflow cesspool, number:..t.� Comments: (note condition of soil , sign of hydraulic failure, level of ponding, condition Qfyege tion, ,......... �d. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property address: 15 Skating Rink Road. Hyannis Ma. Owner: Barry Mc Phee Date of inspection: 07/11/96 CESSPOOLS:A?5...... (locate on site plan) Number and configuration: ...k.. 2OUT'3. ............... Depth-top of liquid to inlet invert: ..................... Depth of solids layer: ....3:.........: Depth of scum layer: .......'................. Dimensions of cesspool: .!a � Materials of construction:Qrsrc..rr �... Indicator of ground water: ..ti?.��............. inflow (cesspool must be pumped as part of inspection) r...v .................................................................................. ................................................................................................. Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc PR I' Y : ... (locate on the site) Material of construction: ................................... Dimensions: ...................... Depth of solids: ................ Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) . ...........................:..................................................................................................................... SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address : 15 Skating Rink Road. Hyannis, Ma. Owner: Barry M c Phee. Date of inspection: 07111196 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate at wells within 100' I 2c ; a O O DEPTH TO GROUNDWATER: Depth to groundwater: ...feet Method of determination or approximative: ............... ,a,-..... .................. .....................................:. l �2