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HomeMy WebLinkAbout0127 BASSETT LANE - Health 1.27�BassetViLane x 1 o ° �I' e o ° ° ° o 0 } k ° ° ° No. //!i v Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF.BARNSTABLE, MASSACHUSETTS Yes ZppYiCation for W6pogal *pgtem Con trUCtton iOCrm* tt Application for a Permit to Construct O Repair O grade W Abandon(p ©.Complete System ❑Individual Components Location Address or Lot No. 21 S KL S S 1. Owner's Name,Address;and Tel.No. 1-00r/ OP I qAp\)s I AgL£. 061ioo-1) HYAt�&lIS M+� 02('0 I Assessor's Map/Parcel Installer's Name,Address,and Tel.No. RIG N"Czem Designer's Name,Address and Tel.No. 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(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date -�� Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ?n'L"al (ZG Irl0\J t.. .CFPTt` `Tip ally (CANING Sywk;,M Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this BoaEqefrealth. Sign Date Application Approved by Date Application Disapproved by: _ Date for the following reasons i Permit No. Date Issued '� I�`rN..+�r�,„F;:�.:tl.;,, .b•.�"'�.h.rA'Hwy.1,�Cq�'.�r=J�►V..��.,.+n'.•-1Y''r�1+�Mir�'r�.+•cera'w�'^�iJ..�,'�,�"r�;3f�•'h'�4--1''''�r�.;.TY M-.F+r..n •:/'^rm� "v ,h^�ywv^�•r�r-�'�; t'dv1.. 1 No. v Fee T, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH.DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS .12-appYicatiatt for �Biopo!gal *pgtem Con0truction Permit I., Y • � I Application for a Permit to Construct( ) Repair( ) U grade Abandon(p ©.Complete System ❑Individual Components Location Address or Lot No. 121 ST N S S 1•• Owner's Name,Address;and Tel.No. 1o�.JN oF'gFllZNS I Agl i. �3ogoo-1) HYANNIIS Mrs 02-('01 Assessor's Map/Parcel Installer's Name,Address,and Tel.No. 1 UCH FI WPM 1�EP I Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) i • Other Type of Building No.of Persons Showers( ) Cafeteria( ) { Other Fixtures i Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date 1 Title ti 4 i Size of Septic Tank Type of S.A.S. . Description of Soil Nature of Repairs or Alterations(Answer,when applicable);qI I (ZT:mMJFtL. oc Date last inspected: Agreement: q The undersigned agrees to ensure the construction and ma ntenance of the afore described on-site sewage disposal system in I, accordance with the provisions of Title 5 of the Environmental C dejand not to place the system in operation until a Certificate of j Compliance has been issued by this Boar ealth. 1 Signe I Date _.�Zl _ ' Y Application Approved by. ' Date Application Disapproved by: Date for-the followingreasons Permit No. /, Date..Issued �. ,} THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned(( )by HIGF-Jj,,)/kj _bf-PT'. Fdwry nF (:3(1RIJSiA (3l� at 12-1 5►CVC U S ST. N-1 A t,� 1S M A has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 1 �`VeOh---dated / �� Installer Designer #bedrooms Approved design flow gpd The issuance of thi permit shall not be construed as a guarantee that the system f ctioZigned. � Date Inspector tii !2/ ————————-——————— ----------------------- - No. � �� - Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS .,,,e wigpoe al *potem construction permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon (x ) System located at 127 Si reyfr=►�I 5 i and-'as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be comp.eted within three years of the date of tthi pa Date a r Approved y � ,,., _.� .� .,..-,.....rye ...� .�.4f.,—.. -__.-... "•�...,.._. .„,.. .....-_-+.:...........v. ti -. ._. „ ... .- -�-..-. .. _ _ .v. _ .. .. .: THE COMMONWEALTH OF MASSACHUSETTS FEE ` BOARD O�FA�HEALTH / :TQ?nf� OF �<✓��rNV S y l/� APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (X Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Comp' as- a 6 — aru"4 j6a,4 J q6t,-I u Q. X-C- on / OwnewMQ,Q JQ Ora� ' r — "Alf Map/Parcel# Address Lot# ati I ems/ G a.�c� staller's Nkme Ile sig Nam^ /, o7 ��y� y /S/� e A 1 Al ` ,n 9C3 f���I Gt i 3'�- G�'Nt o-,Y�...�0✓ f J 9'/ ! //P� ✓/f► ddrel a q17'-1(/!G'�C�.' /I/� lY i J V�_ dd_r}ss�/ Telephone# Telephone# Type of Building: �4 Lot Size 13, 5'�V Sq.•feet Dwelling—No.of Bedroom Garbage Grinder (No) Other—Type of Building No.of persons ///J//( Showers ( ), Cafeteria ( ) Other fixtures L( Design Flow(mi req ired)- *0 gpd Calculated design flow / gpd Design flow provided gpd Plan: Date 2-3 017 Number of sheets Revision Date Title 7 ZaI L? E Description of Soil(s) D S Soil Evaluator Form No. Name of Soil Evaluator P. Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The unde ig"installescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and fu ' perofion until a Certificate of Compliance has been issued by the Board of Health. Signed Date . 2-3 G Inspectio FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 ---- -------------------------------------------------------------------- No.c�?007 095,q E COMMONWEALTH OF MASSACHUSETTS FEE S BOARD OF HEALTH CERTIFICATE OF COMPLIANCE i Description of Work: ❑ Individual Component(s) ❑Complet System The undersigned hereby certify that the Sewage Disposal System;Constructed Repaired( ),Upgraded( ),Abandoned( ) by: ,Qe- y£s of l...)` at�� 7 �3 9-!' L�cty✓E 7 -�ia�ryis e has been installed in accordance with the o�s 10 MR 1 00 (Title 5) and the approved design}}plans/as-built plans relatinplication No. �7��"(dated 3/ �� Approved Design Flow -7' (gpd) Installer �dES ,,eL't) w , s Designer: a � 6 s�� aInspector Date The issuance of this certificate all not strued as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 G'•�-n'�,� ,� "fYs+.:�+4r"KCY^v+r "�r•+r .v- -'r`Y5F iV' r*ri�.,�"' Y` No.6nlCl ,THE•_CdMMONWEALTH OF MASSACH SETTS FEE �'= "t' 4 . '�r ) BOARD OF HEALTH Y / / ' r ,1kt'. A OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (� Repair ( ) Upgrade ( ) Abandon �( ) - ❑Complete System ❑41ndividual Comp{0-nts �(rd +N"Nan Yll o 4J � `U k I /Gr rv\ }4 ,1 C � -`Jocation rC _ Owner's N tme 9 G remit' �ct�n�v K`�'l� Map/Parcel q !=;: ! Address + Lot q ''\1 Teleph ne# i JJaN1e/ Gia�a staller's Ngme Desigp Name f�97` /f1�'1 A✓y`i % ddre(CN& Telephone It Telephone# Type of Building: Z� / /),C,,fyA� Lot Size��, y yD Sq.feet Dwelling—No.of Bedroom Garbage Grinder (No) Other—Type of Building e Sli V /14-( No.of persons Z j/K Showers ( '),,Cafeteria ( ) - Other fixtures Design Flow(mi req fired) y 0 gpd Calculated design flow / gpd Design flow provided gpd Plan: Date 23 p 17 Number of sheets I Revision Date t Title _r L'I E Description of Soil(s) D S Soil Evaluator Form No. Name of Soil Evaluator /`J Date of Evaluation •,,DESCRIPTION OF REPAIRS OR ALTERATIONS 1N5 t/9' l 57J7J The�unde "fig ed_agrees.tojnstall�the above described Individual Sewage Disposal System in accordance with the provisions of •w.TITLE Sand r agrees not to place 'e system' perotion until a Certificate of Compliance has been issued by the Board of Health. signed Date -S ?3 d c� 7 Inspectoo 5 7V F gT QRM t APPLICATION FOR DSCP DEP APPROVED FORM 5/96 y i� f _ -�. T•. �r�/sl� — t - —r—— ——r —————— —C-m——o—.e r—— w—.— ——— NOG'` 07 ��� ��T, H d.�E+COMMONWEALTH OF MASSACHUSETTS FEE � edrZ_V57&6Z_,E BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complet System r The undeersigned hereby certify thatthe Sewage Disposal System;Constructed Repaired( ),Upgraded( ),Abandoned( ) at A r2-2 AT-3 9 Z 4"4E_T-TY� '��a/i_S AA19" has been installed in accordance with the rovtstons bf 310 MR 1 00 (Title 5) and the approved desig�n.J�laits/as-built plans relatin lication No01 7� dated �/ �� Approved Design Flow Ti/� (gpd) v Installer /�-,eQ�/f S ax Designer: o � I Inspector Date +,. The issuance of this certificate s all not b strued as a guarantee that the system will function as designed. c FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No.c�=7 c'�nc;"QJTHE COMMONWEALTH OF MASSACHUSETTS FEE— J�S ��G� BOARD OF HEALTH DISPOSAL SYSTEIy CONSTRUCTION PERMIT Permission is.herebyranted Constru (✓) Re air ( Upgrade ( ) Abandon ( ) an individual sewage disposal system at 4 M as described in the application for Disposal System Construction Permit No. o'�r�o7"-a1 dated 573 �/D Provided: Constructio/ sh)all a completed within three years of the date�f this perZ't. o�Icon�ditions must be met.Date / -'/� Board of Heall�t ��"� FORM 2 - DSCP DEP APPROVED FORM 5/96 i FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM PUBLISHERS- BOSTON . 3 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION w M + d � W TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION MAPS----°�'° PARCEL Property Address: 127 BASSETT LANE HYANNIS 02601 3 C) 60 ACT Owner's Name: EVANDRO DECASTRO Owner's Address: BOX 3018 NANTUCKET MA. 02584 Date of Inspection: 2/16/04 FHEEAFLTEHDEPT. IVED Name of Inspector: (please print) JOHN GRACI,INC. Company Name: SEPTIC INSPECTIONS 5 2004 Mailing Address: P.O. BOX 2119 TEATICKET,MA.02536 RNSTABLE Telephone Number: 508-564-6813 FAX 508-564-7270 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 the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: X Passes _ Conditionally es _ Needs Furth' 9 aluation by the Local Approving Authority Fails j fI Inspector's Signature: 1 Date: 2/16/04 is The system inspector shall submit a 6.opy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection . If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shA submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments SYSTEM PASSED TITLE V INSPECTION. SEPTIC TANK,D-BOX AND OVERFLOW PIT NSIED TO BE PUMPED NOW AND MAINTAINED EVERY ONE YEAR TO PROLONG THE SYSTEM'S USEFUL LIFE. SOLIDS IN D-BOX DUE TO LACK OF TANK MAINTENANCE PRIOR TO NEW FIELD INTALLED. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Titles 5 Tncna.ntinn Fnm-n in smr)n 1 PAge 2 of 11 OFFICIAL INSPECTION FORM-.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 127 BASSETT LANE HYANNIS 02601 Owner: EVANDRO DECASTRO j Date of Inspection: 2/16/04 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: SYSTEM PASSED TITLE V INSPECTION. RECOMMEND PUMPING EVERY ONE YEAR TO PROLONG THE SYSTEM'S USEFUL LIFE. B. System Conditionally Passes: _ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. n/a The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: n/a n/a Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): _ broken pipe(s)are replaced _ obstruction is removed _ distribution box is leveled or replaced ND explain: n/a n/a The system required pumping more than 4 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 ND explain: n/a ' t ,Page 3 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 127 BASSETT LANE HYANNIS 02601 Owner: EVANDRO DECASTRO Date of Inspection: 2/16/04 C. Further Evaluation is Required by the Board of Health: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. I. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance'n/a "This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: n/a Phge 4 of 11 O� OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 127 BASSETT LANE HYANNIS 02601 Owner: EVANDRO DECASTRO Date of Inspection: 2/16/04 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all-inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped NOT IN THE. LAST YR INFO FROM OWNER. X Any portion of the SAS, cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this forma NO (Yes/No)The system fails. 1 have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes" or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply _ X the system is within 200 feet of a tributary to a surface drinking water supply X 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 If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. a Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 127 BASSETT LANE HYANNIS 02601 Owner: EVANDRO DECASTRO Date of Inspection: 2/16/04 Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X _ Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection'? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up`? X _ Was the site inspected for signs of break out? X _ Were all system components, excluding the SAS, located on site'? X _ Were the septic tank manholes uncovered,opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction,dimensions, depth of liquid,depth of sludge and depth of scum X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes no X _ Existing information. Forr example, a plan at the Board of Health. X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 127 BASSETT LANE HYANNIS 02601 Owner: EVANDRO DECASTRO Date of Inspection: 2/16/04 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 4 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use: (yes or no): NO Water meter readings, if available(last 2 years usage(gpd)):Via. G a Sump pump(yes or no): NO Last date of occupancy: n/a U COMMERCIAL/INDUSTRIAL Type of establishment: n/a Design flow(based on 310 CMR 15.203): n/agpd Basis of design flow(seats/persons/sgft,etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO Non-sanitary waste discharged to the Title 5 system(yes or no): NO Water meter readings, if available: n/a Last date of occupancy/use: n/a OTHER(describe): n/a GENERAL INFORMATION Pumping Records Source of information: NOT IN THE LAST YR INFO FROM OWNER Was system pumped as part of the inspection (yes or no): NO If yes,volume pumped: n/agallons--How was quantity pumped determined? n/a Reason for pumping: n/a TYPE OF SYSTEM X 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) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank Attach a copy of the DEP approval Other(describe): n/a Approximate age of all components,date installed(if known)and source of information: ORIGINAL SYSTEM 1989/INFILTRATORS 1 YR-PER OWNER Were sewage odors detected when arriving at the site(yes or no): NO . � I Page 7 of 11 zr- OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 127 BASSETT LANE HYANNIS 02601 Owner: EVANDRO DECASTRO Date of Inspection: 2/16/04 BUILDING SEWER(locate on site plan) Depth below grade: 22" Materials of construction:_cast iron X40 PVC_other(explain): n/a Distance from private water supply well or suction line: n/a Comments(on condition of joints, venting, evidence of leakage, etc.): TOWN WATER SEPTIC TANK: X(locate on site plan) Depth below grade: 14" Material of construction: Xconcrete_metal fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: L 8' 6" H 5' 7" W 4' 10"" Sludge depth: 7" Distance from top of sludge to bottom of outlet tee or baffle: 27" Scum thickness: 12" Distance from top of scum to top of outlet tee or baffle: 3" Distance from bottom of scum to bottom of outlet tee or baffle: 9" How were dimensions determined: MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of.leakage,etc.): SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND AND FUNCTIOING PROPERLY. TANK NEEDS TO BE PUMPED NOW AND EVERY ONE YEAR TO PROLONG THE SYSTEM'S USEFUL LIFE- LACK OF MAINTENANCE CAUSED HEAVY SOLIDS AND SCUM IN SEPTIC TANK,D-BOX AND PIT GREASE TRAP:_(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from-bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): n/a Page8ofII OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued). Property Address: 127 BASSETT LANE HYANNIS 02601 Owner: EVANDRO DECASTRO Date of Inspection: 2/16/04 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): n/a DISTRIBUTION BOX: X(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): THE DISTRIBTION BOX IS STRUCTURALLY SOUND-THERE WAS 2" SOLID CARRYOVER DUE TO LACK OF MAINTENANCE OF THE SEPTIC TANK PUMP CHAMBER: _(locate on site plan) Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): n/a u Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 127 BASSETT LANE HYANNIS 02601 Owner: EVANDRO DECASTRO Date of Inspection: 2/16/04 SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan,excavation not required) If SAS not located explain why: n/a Type 1000 GAL 6' X 6' leaching pits, number: 1 n/a leaching chambers, number: 0 n/a leaching galleries, number: n/a n/a leaching trenches, number, length: n/a I leaching fields, number: FIELD- INFILTRATORS n/a overflow cesspool, number: n/a n/a innovative/alternative system Type/name of technology: n/a Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of vegetation,etc.): THE FIELD WAS INSTALLED ONE YEAR AGO PER OWNER- INFILTRATORS WERE EMPTY AT THE TIME OF INSPECTION.THE LEACH PIT WAS FULL.THERE WAS SOLID CARRYOVER DUE TO A LACK OF MAINTENANCE OF SEPTIC TANK. BOTTOM OF PIT 9' 6" BOTTOM OF FIELD AT 7' CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: n/a Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater inflow(yes or no): NO Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a I Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 127 BASSETT LANE HYANNIS 02601 Owner: EVANDRO DECASTRO Date of Inspection: 2/16/04 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. ORO IR 10 C � A AA ►3 k aL �4 3 in Wage I I of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 127 BASSETT LANE HYANNIS 02601 Owner: EVANDRO DECASTRO Date of Inspection: 2/16/04 i SITE EXAM _Slope _Surface water _Check cellar Shallow wells i Estimated depth to ground water 12+feet Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record- if checked,date of design plan reviewgd: n/a YES Observed site(abutting property/observation hole within 150 feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators, installers-(attach documentation) NO Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: GROUNDWATER DETERMINED FROM HAND AUGER- 12+FEET 1\�17� 512(-%^4�ARNSTABLE " LOCATION t 4111 SEWAGE # 7 �6 VILLAGE �C�%i A ASSESSOR'S MAP& LOT " Oc f INSTALLER'S NAME&PHONE NO. 22— SEPTIC TANK CAPACITY Cff r�-S. k 6"k Co LEACHING FACILITY: (type) ��Vt� �� (size) 431 4 r,k ;S�m ' NO.OF BEDROOMS -` y BUILDER OR OWNER CL;Ir\L)S PERMIT DATE: Sr COMPLIANCE DATE: Separation Distance Between the: 1 G Maximum Adjusted Groundwater Table and 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 n ,��� within 300 feet of leaching facility) Jv Feet Furnished by i i 43 Ll ®. r TOWN OF BARNSTABLE _LOCATION I,? 7 SEWAGE # VILLAGE 0 ASSESSOR'S MAP & LOT 30`f DO17 INSTALLER'S NAME & PHONE NO. VID Cam<d 775"4J( ya SEPTIC TANK CAPACITY 10Ce-) LEACHING FACILITY:(type) (sue) /Oro c-,q NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER 54, BUILDER OR OWNER 415 Selro//k1i DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No C_l � �. Q � U .. �. J .� _ � ^. � � � � TOWN OF BARNSTABLE SEWAGE # LOCAMON ASSESSOR'S MAP &LOT- ' ViLtAC I�AliLER:S NAME&PHONE N0. le SEP'iIC TANK CAPACITY size ,�t.` s ,�, LEACHING FACILITY: (tYPe) L y V �•.cS tr Np :OF BEDROOMS-3- OWNER CL,,r BMDER OR Wd PEltt�iMDATE: �1 COMPLIANCE DATE: 1 i� Septiiation Distance Between the: t )(t M-J Feet Ad'usfed Groundwater Table an Bottom of Leaching Facility ;�:'.' Maximum J wells exist l Well and Leaching Facility (If any n��.^,( Feet Prig 'Water Supply p :pt�..sile of within 200 feet of leachingy Wetlands exist U✓"� Feet Edg ... Wetland and•L:eaching Facility( If..: within 300 feet of leaching facility) Famished by ... . Sh ,An a � •. - h i �s ate' �.s V8 � 5 301- oo -3 No. .F !'�~ Fee J THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pp[ication for Mioaal bpgtem Con6truction Permit Application for a Permit to Construct( )Repair( Xupgrade( )Abandon( ) ❑Complete System ❑Individual Components 1 Location Address or Lot No. r' Owner's Name,Add ss and Tel.No. Or la rc% Assessor's Map/Parcel §q- � j a In taller's Name,Addreeu,and Tev. _?2 ��n Designer's Name,Address and Tel.No. • �0� Cti �crTiw � V Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage GrinderAo Other Type of Building No. of Persons Showers( .) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank M Type of S.A.S. Description of Soil Nature of Repairs or Alter tions(Answer when applicable) r& Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss by this o Signed Date tl 0 �7 Application Approved by C Date ' — T Application Disapproved for the following reasons Pe Q L to Issued 2 No. a � Fee w w �� + !� w THE COMMONWEALTH OF MASSACHUSETTS j Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS ' 01ppYication for Migpogal *pgtem Congtructioh jjer 4 Application for a Permit to Construct( )Repair( .VJ Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Add ss and Tel.No. V� laato Q4SSe�fC OC �oS ,�ek-r c-,. + + • Assessor's Map/Parcel —o o ., P-tf "N /a G 06 JS�1. Lc O H `3 In caller's Name,Address and Tel.No. V V'�'�=C I n 1� Designer's Name,Address Tand Tel.No.`�• Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder " Other.._.,,, Type of Building No.of Persons Showers( ) Cafeteria( ) • � �� ,Other Fixt ru es-•� ` Design Flow`�. gallons per day. Calculated daily flow gallons. Plan Date �''''� Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil r f � �P S� . �C -Nature of Repairs or Alterations(Answer when applicable) C K[ � , Date last inspected: ' Agreement: 'The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the systeri'im operation until a Certifi- cate of Compliance has been iss by this oar l Signed 52 Date q 7 Application Approved by CA2f Date' - Application Disapproved for the following reasons Permit No. - Date,Issued - - 7 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS r- Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (✓)Upgraded ( ) Abandoned( )by Ve C'C l� .,at�l „� {� QaSSc or 1 7 has been constructed in accordance a with the provisions of Title 5 and the for Disposal System Construction Permit No. Yk dated Installer Designer The issuance of this permit shall not be o strued as a guarantee that the syste will unction as designed. ' Date Inspector — --— - -- -- No. p��/ yG� ————————————————— -- -----Fee l� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 'Wfgpont 6pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair(I/)Upgrade( )Abandon( ) System located at QC,, 09SS5-C CSC CnAA t 0 r J� 7 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. ' t Provided:Construction must be completed within three years of the date of this permit. ; Date: !� - 7 Approved by 6t"i4LC NOTICE: This 1?.orm is to be used for the Repair of mailed Septic Systems Only CEWFIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONS7'RUC LION PE1011'I' (1V1'1'II0UI' QES1GNEll PLAID 1, a M c�r�•�� , hereby certify that the application for disposal works co on permit ermit signed by me dated �02� I ? ' concerning the property located at 1 o�G ��� �" meets all of the following criteria: There are no wetlands within 300 feet of the proposed septic system ' There arc no private wells within 15o feet of the proposed septic system The observed groundwater table Is 14 feel or greater below the bottom of the leaching facility There is no increase in now andfovcha.nge.ln-use proposed There are no variances requested or needed. � I DATE: . SNED:O LICENSED SE IC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER IAtlach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). .� . �� �`�J �,, r. d � :� �.. '� -� ` -�. � �, r< �� �_, �� f ,. •, �� 5 � .. �s•"`-<. ."�' �[:�7('8 n„ {}� �._ :saw. P. Hyannis, Massachuse�T� �.,(� THE COMMONWEALTH OF MASSAL U��TTS BOAR® OF HEALTH GWYI...................�F�4.3ma lea...........-----------.------------......................... Appliratiun for Diipu.i al Works Tonfitrurfiun truth Application is hereby made for a Permit to Construct ( ) or Repair ( .) an Individual Sewage Disposal System at: ................................ .................................................................................................. [� Lo ation- %ddress ,I / or Lot No. iERQP.iRAt1.. R���s.................................................... [ .7. QrSs�l�-/�t�aaar ------ Owner ,y� Ift d-res `, Je Y).C.0...........................................••--------------------.... /IICYin i�. b .-�CQClt10.Gtr�t�1.---•--..........--- Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) U aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other 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 ( , ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water------................... (i Test Pit No. 2................minutes per inch Depth of Test Pit...---......---..... Depth to ground water...-------------.-..---. ----------------------------------------------------------------------------------------------------------•••--.........--•••-------•-----.--•---•---•------ 0 Description of Soil........................................................................................................................................................................ x U ---•-•••-------•----••----•------------------•-----••--••••-•-•-----•---------•-----•----------•--•-••••••-••--------------•----------------••••-•-•••--•••--------•---••......----•------------•....... x ----•••---•-----------------•......-•---------•--------•--•----•-------••---• ................................;;.. Nature of Repairs or Alterations—Answer when apt)Iicable�nQ � ...Itv.0.0.g --SeP. AG........... r..l,t�A�N3.. .---. ...1 c1r4---------------------------------------------------------------------------- --------------------------- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L I L 1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued y the board of health. Signed ••••. ..-• .............................................. .......... Date Application Approved By...................... - - ------- -- Date Application Disapproved for the following reasons-------------------------------------•-----------------------------------------------------------------.......... •--------------------------------•-----•----------•---------------------....----.............---------------•-••••---•---------•------------•-------•-•-•----------------•--•-••------•-•-•-•---•------- �^ Date PermitNo.--------�_--------.---- -------------- Issued_....................................................... Date . ... 64, No..�} Fps...:.....:.._.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................QF ................................ Apli iration for Uiopoottl Vorko Tonotrurtion rrniit Application is hereby made for a Permit to Construct ( ) or Repair (-)(—) an Individual Sewage Disposal System at Location-(Address or Lot No. Owner 1 Address Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................. .....Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................. No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other 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 ( ) 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------------------------ ------------------------------------------------- ODescription of Soil....................................................................................................................................................................... x U ...---•------•-•---•----•--•----------------------------------•-•--------------------•......-••--•---------•------------•••-•----•---•-•------•---------................................................ W ------•--•--------------------------•-----•--------------•--------------•-------•--•-----------...------------•------•----------------•-----......--------•---•---•-------------------•--•-------- UNature of Repairs or-Alterations—Answer when applicable-_!___.___<< 1. %����.................f ---- -- 1 .. .' I d ' t..l .. L ---r <— ..._ �� C- �... Agreement: 'The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with .the provisions of i l:IE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in p p ed by-,the board of health. operation until a Certificate o Compliance as been_lssu -� -, _ - Signed :_... =` = /--:.....--- r Date Application Approved By..... 4d=------• .----- Date Application Disapproved for the following reasons-----------------------------------------------------------------------------•-------------------..._...--_------ ...................•...---------•-------.............---•---•--------------------•-•.........----------•----•----....•----••---------•----------•-------•--••---•---------------------•••-------......_. V^ - �t 57 2 Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ry, , (9rrtifiratr of Tontplinnrr THIS ISAO �RTIF , That the I 'ividual Sewage Disposal System constructed ( ) or Repaired (}C) by j ''--------------------------------•----•--.................------------------.......................:--.....----------._.............-.......--------......------------ Installer� at------ ----------------•---•----••-----•- ---------------..------ -......---•-•----• .. - -•----•-•-•---•-•----•------••---------••--------------••---•----- has been installed in accordance with the provisions of TIt— _5 1 tate Sanitary Code as described in the 07 application for Disposal Works Construction Permit No______________ ____ ._.......:.. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................7..c.. .L...- ..............................• Inspector................. ....., ............................................... �'• C 1 1'`"'� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �1. 35� . ,1....................OF..-.. .... ..(vI` NO.-•-••-•................. FEE......___...._.......... uiovooa� rko no itrtion lermit Permission is hereby granted............................................................................................................................................... to Construct 9 4 oj Repai ( ) n- ividuQb Sewage �'sposal S stern at No. � ..:... ................ Street as shown on the application for Disposal Works Construction Permit No.... ......... ... Dated.......................................... I .............•-••---------------_.... -----•--••-------•--•--------•--••-------••-•-----•-----•---.... 7' ................................ \ Board of Health DATE -----• .....---- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS . .,..-o .;:'.:^.y%".�"`'uf_'/»kti-;fY+i�+... '•w.i.`+cf✓r w.rv+vt`TM!� .{�'(It..*.d F �bj'.J,.�Jh/7fh'T'v`-t�+vY!'�" ...�',+.w �...,;�rlr.l..:�: �a fir.^ .� 4 TOWN OF BARNSTABLE BZMW ° . . .Ordinance or Regulation • WARNING NOTICE Name';of Offender/Manager - /1. ,l .MVP ! V f 0--� dob . of Offender MV/MB Reg.# Village/State/Zip _ pI 1 - Oo 00( SS#� 5 r f Business Name am/pm; onV qA20Q Business Address � I / •P t'A f signature of'Enfob ing Officer Village/State/Zip x .Location ofVOff Le SA/)V— WISA4 w �O Enforcing Dept/'vision 91 Offense LZ Facts 16 This will `serve only as—a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain ' voluntary compliance. Subsequent violations will result in appropriate legal action by the Town c ...". J...h�y.;._..a'+b_,.{..�: }n2�... n ...:fi">•.i_+...ca.�.`'y.. .....1:.._..1:t�:'..b,!.. ..� .tl...J.art.c....,r,6•.:,.ti...\�.i, �... ..,e".,.:Nf../w«. �Vtas d4.�P.3,.,t,..e.t, 3.:s�,'1,. :....c f,...1 n-}...... � �..#_�; TOWN OF BARNSTABLE BAW . Ordinance or Regulation WARNING NOTICE Name of Offender/Manager n c .c,Vi ? - MV/MB Re' - Address of Offender �1�� ( {11{ (�. g- # Village/State/Zip Business Name amOn on �"'J / 20, i l r Business Address Signature of- Eifor'dPi g Officer Village/State/Zip Location of Offense (�/,SA4 Enforcing Dept/Di'vision Offense � 1►.` '. .� 1.��-, ' C, � � .�li� -=- 01 L j r0lc?I rl n z Facts a r r� !//U C--�(!.� This will 'serve only as a. warning. At this time no legal action has been taken. It is the goal of Town agencies 'to achieve voluntary compliance of Town `Ordinances, Rules and Regulations. Education. efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in, appropriate legal action by the Town. ' C: a W r � , t� W 4 i 6 ! I j f � � : c r r T- + f _ I I � I�w• 3 I I � . _wSUn15 z si z V Z`O e, 1111 ' i 14. r i2 I w 5 �_—.._.._..__._...........__ .............._....,...: ..._............_....__..._...:-. __.. ....-.........,...:.._...... I f I . ............. _........ .........--:... ... .. t• i j. Q i I - .: i -71 Of if .............. • " I I i t f_ . J - - -- _ I I , � s i r--I -r-j .. I ..........--------------- IL o� a I m i F • m m � m O . 2 W Z i I 1 j • I ' 'ISS' i, UO 1 li { - Z I nil 3 j f5 y.,9:9. LL . 71 Ali• o II!) aD E _._. .�.__._._:.__.._....:-- .:.� I 1 a3ewnN 7NIMtlaO .b3G:11'7'1i'iu+0:4!rlor 1p�L1?y97 . 17/Quoo�c I;A AB43AOaddV Y•b�.r.3 - ....._......._. "_. ._.... ....__...... a 1Y�5 _......... _....._.. ' _-- - ...... i ��iC�►,!��..v_rf..__._ :. a; is _ �079 i i ;. : _ 4 !.N I f - ----. ------- .. ........._ _.._...__.—..._-__--- -._ - - ...._ _..... _ + it t ; i ��axn��ss.o,�z;:i �A.;9:s_ 3.►. �:s���:�":.�=:���i I� � � i i t� i C Ls m ; r • - 1 :'�_—_.�� —!ITT u. __•__.,_ N. G � f � i I' ^�:"_=•.�ie^•rurc�i.. :wn,� "'"lt�.�.>_'_'�o..w+,c"'_a a:...a:_-.....�.e,.�.• . 1s i ?;f 77 zz f;j INI yrl }N � N, j ili=:nti m I::; I • Z' (2) COVERS TO WITHIN 6" FINISH GRADE H-20 CONC. COVERS H-20 CONC. COVER WITHIN 6" GRADE (1) COVER TO WITHIN 3" OF FINISH;GRADE _TOP FOUNDATION EL. 41.0 GROUND 39.6t BLOCKS OR FINISHED n� 30 • 8 REVEAL BLOCK UP D-BOX, RISER FILTER FABRIC PRECAST RISERS GROUND 39.5t o o MAP 09 * * o fO TO 6" OF GRADE, MORTAR ALL COMPONENT OVER STONE H-20 2'L0. PITCH 2% MIN. Cb 3° Q --z-L AP f PRECAST H-20 a (TY P.) P. ... a � 1 q3°9 9 A 3p9 2.0 MORTAR ALL TOP OF CONCRETE EL. 36.5 / * r64 r r CO PONENTS INV'S EL.35.5 t j 71 c` A P .•..: '• � tf e t J ��09 A u g 3 "N 6.59 14„ ; ... ::.. •: «. • ' . '• :. ;' .:. ' .:•,, o0 19' AT 2.5% 36.12 ". 10" 1500 GAL H-20 0 00000000 000goga ®®�® ®®®® ®®®• LJ®® ® ®® ®®®® o0000000 000o S e� oft M ' o 0 0 0 0 0 0 o v f e N Q,n 9 ao 4"0SCH40 PVC TEE TEE ? °o°°°°°° o°o°o°o �®® ° ° o ° o ° ° ° n 11�L-I ° ° ° ° ° ° ° ° ':• O O O O O O °o°o°o°o °o°o°o°o o 0 0 0 0 0 0 0 ? MAP 4' LIQ. LEVEL o 0 0 0 0 0 o M ° ° ° ° ° ° ° ° °°°°°°°° °°°°°°°° M/tchells 9 4AT2% o 0 0 0 0 0 0 0 ° ° ° ° ° ° ° ° O O O O O O 18' AT 1% oo°o°o°o °o°o°o°o °°o°o°°° o°°°o°o° 1 *Is 09 GAS BAFFLE .. 4"�scH4o Pvc °°°°°°° °°°°°°° 4"�scH4o Pvc °°°°°°°° °°°°°°°° ®®®®®®® ®®® ® ®® ®®®® mormn ®®®® LOCUS t. H NNIS ELEMENTARY 14 ACME OR EQUAL ° ° ° ° ° ° ° ° �00000000c0000°000 oUth rj " "AP�309 30 PIPES LEVEL 1ST 2' ° ° ° ° °° ° ° ° $ ' MM y 32.7 35.62 NOTE: UNSUITABLE SOIL H-20 500 GAL. LEACHING CHAMBER BY ACb(E PRECAST EL. 33.5 ai Main • ' " r' ' OR SHEA CONC. PRODUCTS DRY WELL 500 GAL H-20 OR EQUAL. West Moin St. $t. o� \ MA •" ' " H-20 D-BOX ON 12" COMPACTED GRAVEL . . REMOVAL REQ. SEE SOIL LOGS 3 UNITS REQUIRED o "�^ \ 6" GRAVEL.& MECH. ACME DB5 H-20 OR EQUAL ) gf V O 309 ` COMPACTION (TYP.) 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. SGpda O MAP AT SIDES AND ENDS OF PRECAST STRUCTURES 5.5' e. 309 1 9 9 M OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.5' X 12.83' x 3' DEEP PJ y r 430 SEPTIC PROFILE NAP 3p9 r� 3 NOTE: FINISH GRADES TO BE PITCHED AWAY FROM FOUNDATION, DIRECT ANY APPROX. SCALE: 1/4 = V-0" LOCUS DOWNSPOUTS AWAY CELLAR WALL. L EL. 28' BOTTOM TH1 MAPr a KENNEDY MEMO 309 1P 309 M P�9 NO GROUNDWATER FOUND ASSESSORS MAP 309 PARCEL 7 KATING RINK $� GW EL. 20 PER TOWN MAP aA%P \ 8e MAP ¢309 r +F 1 gRSFS 30 A 30 *1 V X--�►••�.. AIAPQ35�9 e 9 3 9 �a09 X X X * D /� P q09 X--X-._ NOTES: �!� LOCUS �o X X UPOLE 1'YP. r j AP roc " 09 P o 108. 1 X 1. THE LOCATION OF EXISTING UNDERGROUND UTILITIES SHOWN ON THIS PLAN IS 0 MAP 309 APPROXIMATE. PRIOR TO ANY EXCAVATION ON THIS SITE, THE EXCAVATING * 36 CONTRACTOR SHALL MAKE THE REQUIRED 72 HOUR NOTIFICATION TO DIG SAFE MAP 309 EET (1-888-344-7233) AND ANY OTHER UTILITIES WHICH MAY HAVE CABLE, PIPE OR 6 os STR P 0 EQUIPMENT IN THE CONSTRUCTION AREA FOR VERIFICATION OF LOCATIONS. * STEVENS y r�1 ' 2. MUNICIPAL WATER IS AVAILABLE L -� O �y 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. AP 9 P 0 09 > II N EXIST. SPOT GRADE (TYP.) 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO-H-20 r * 30 LIMIT OF 5' UNSUITABLE I V - 5. PIPE JOINTS TO BE MADE WATERTIGHT. ° 309 MAP I S,PIL REMOVAL AROUND SAS I 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. z 4? 1 I 3 ENVIRONMENTAL CODE TITLE V. a z 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE P I '- ____-_-- I USED FOR LOT LINE STAKING. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. * _ ° 08 4 08 j f j TH3 I, I 9. NO GARBAGE DISPOSER ALLOWED. -_ P P 11 SAS TH4 9)I X� 10. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT s 49 09 I, I II INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 1 °e C FROM BOARD OF HEALTH. 24 HOUR NOTICE REQ. 08 ° P o91 00� I I I 11. ENGINEER TO INSPECT REMOVAL AND REPLACEMENT OF P O1 I I II I I UNSUITABLE SOIL, AND CONSTRUCTION OF SYSTEM 24 HR. NOTICE REQ. P 8 1tt1\\1 I 1 W i I Q i f,, 12. FINISH GRADES TO BE PITCHED AWAY FROM FOUNDATION, DIRECT ANY I TH2 j I I I x DOWNSPOUTS AWAY CELLAR WALL. " 1 I I I °8 20.0 z 13. VERTICAL DATUM IS ASSUMED FROM HYANNIS QUAD/ TOWN GIS SPOT GRADES. * - I 14. CONTRACTOR TO COORDINATE UTILITIES WITH APPROPRIATE VENDORS. o P � a~ I DBOX _ _ _- l N P 308 q 0 LOCUS XISTING CONDITIONS / LOCUS PLAN S/T O DATE: 5/17/07 P#11799 DATE: 5/17/07 P#11799 I 3g MAP L 7 `U EXCAVATOR: BAYBERRY EXCAVATOR: BAYBERRY SCALE: 1 = 100 (OFF LOCUS FROM TOWN G.1S. DATA, APPROXIMATE) • 1 TH 1 6 O 30 � � ` B.O.H. AGENT: DONNA MIORANDI IRS B.O.H. AGENT: DONNA MIORANDI IRSo II v 13,540i sq. ft• -P y` ENGINEER: DAVE FLAHERTY. IRS , y ENGINEER: DAVE FLAHERTY. IRS ASSESSORS MAP 309 PARCEL 7 3 LAND COURT PLAN 13609E LOT W+V CERT. #172151 0,311 acres + - v LOCATION: TP-1 LOCATION: TP-2 LOAD ROUNDING PB 481 PG 39 i I / .� 1 I ?ONING: RB: SETBACKS 20/10/10 29.6/17.5' PROVIDED O.K. I I y ELEV. DEPTH ELEV. DEPTH 4. 10.�' 39.0 0.0 39.4 0.0 F.EMA FLOOD ZONE: C (NOT A FLOOD HAZARD ZONE) II e Ck i �p GROUNDWATER OVERLAY PROTECTION: AP (� FILL FILL TOWN WATER PROPOSED. ON SITE SEPTIC EXIST./PROPOSED (4 BEDROOM DESIGN SHOWN) 0 i UNSUITABLE UNSUITABLE PROPOSED FLOOR AREA RATIO: 1 ,668/13,540 = 0.12 <.30 O.K. PER RAZE AND REPLACE BYLAW 0 I [40] I PROPOSED STRUCTURE LOT COVERAGE incl. deck: 1513/13540 = 11 .2% < 20% O.K. c9 1 I i SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) 34.5 54" 35.4 48" DESIGN FLOW: -_4 BEDROOMS ( 110 GPD) = 440 GPD I PERC MIN. ' USE A 440 GPD DESIGN FLOW I I BOTT. T 80 SEPTIC TANK: 440 GPD ( 2 ) = 880 C MED. SAND MED. SAND II P R J� I 2.5Y 7/4 2.5Y 7/4 U�j;E A 1500 GALLON SEPTIC TANK I LEACHING: I E�I__I N I `�/ 28.0 29.4 0 I BOTTOM 132" BOTTOM 120 2(33.5 + 12.83) 2 (.74) = 137 T ,F N �� I NO GROUNDWATER FOUND NO GROUNDWATER FOUND . ' SIDES: I D • BE�lCHMARK: CENTER OF CEMENT BOUND 1 I ELEVATION: 39.45 NGVD FROM GIS DATUM LOCATION: TP-3 LOCATION: TP-4 �30TTOM: 33.5 x 12.83 (.74) = 318 I 1 I TOTAL: 615 S F 455 GPD I ELEV. DEPTH ELEV. DEPTH USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR 39.6 0.0 39.5 0 0 EQUAL) WITH 4' STONE ALL AROUND FILL FILL UNSUITABLE UNSUITABLE L - _ Q� (� • v e 34.6 r 1 i 60" 33.5 72„ o� V BENCHMARK ) - PERC 2 I MIN./IN CENTER OF BOTT. T 120' 3 // APPROX. CATCH BASIN MED. SAND MED. SAND WATER I �� EL. 38.52 ' 2.5Y 7/4 2.5Y 7/4 I VERIFY � 1� � SlrrE P WITH DEPT. �� . 29.6 ." 29.5 BOTTOM 120 BOTTOM 120 EXIST. NO GROUNDWATER FOUND NO GROUNDWATER FOUND OF LAND IN HYANNIS, MA I TREE 68� TEST HOLE LOGS TYP. r V(� I #127 BASSETT LANE I 3 off 508-362-4541 fax 508 362-9880 ���pa-cNOFMgs�cy jNOFMAs59c PREPARED FOR: � public) �o DANIELA,. GN o DANIEL ti� �50 Wide 1 o OJALA o� BAYBERRY BUILDING CO, INC. CIVIL CA OJALA 1. ROPOSED SITE PLAN ca street do wn cope engineering, in c. q No.465020 �� No.4 stevens Cl VIL ENGINEERS �� �IST �� �� �9� ss% �� • 10 0 1 O 20 30 Feet LAND SUR t/EYORS s/z3/v'I SCALE. 1 10 DATE. 5/23/07 03-195 SCALE: 1" = 10' 939 Main Street - YARMOU THPOR T, MASS. DANIEL A. OJALA PE, PLS DATE 7 03-195 BASE2.DWG (DAO)