Loading...
HomeMy WebLinkAbout0182 BRIDGE STREET - Health lea �ri�- Skr�� , ps�rv�llc� N N r ' M t � P r cp UPC 12134 No. 2�153LGN H"TWG8,WN TOWN OF BARNSTABLE LOCATION �8a��i0(iFJ`I ©,N. 1'1A2i�/F SEWAGE# 400 - O VILLAGE �5�tr y I C r ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO.� �. LoZ��a/��- sog-yae-ssd 9 SEPTIC TANK CAPACITY /+C�O C - O LEACHING FACILITY:(type) V�'Y• (a) Xts t.1 a (size) NO.OF BEDROOMS OWNER 0�(S c Nk if-fC PERMIT DATE: 400 COMPLIANCE DATE: lH ,/ aOOA 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 mew-., Worn,gn,J In le 3� r SD i i— c q6' o� �� r ��Sl , 'SoX �cr PIP L 1 -\ COMMONWEALTH OF MASSACHUSETTS ' ExEc=T E OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTIO yy� � De, TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE:SEWAGE DISPOSAL SYSTEM FORM ' PART A CERTIFICATION L-Z ' Property Address: 18-7— Ii f i�tc; 5 CSYL�iZ C1 t L C.(F vt{ l Owner's Name: —e _ Owner's Address: s z ' GjiL:�cTI cJ`tt UtLf[=E �c'C.�S�. Date of Inspection: 2/i le I Name of Inspector: (please print) tFti,'ILc-kc&— Company Name: l k.'u. -ji C.50A 7Y:550C4. L 4c Q. Mailing Address: - c 3c K g-5-c, Telephone Number: 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: Passes Conditionally Passes ' Needs Further Evaluation by the Local Approving Authority Fails Inspectors Signature. — Date: d The system inspector shayll.submit,aeopy of is inspection report to the Approving Authority(Board of Health or ]3b)within 30 days of.som,pletin:g this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent.ao the system owner and copies sent to the buyer, if applicable,and the approving ,1 authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that- time. This' inspection does not address low the system will perform in the future under the same.-or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 1 Page 2 of 11 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART A CERTIFICATION (continued) 1 Property Address: rTz Owner• G: i l . , -3r C,, Date of Inspection: S h /O/ 1 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D 1 A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CUR 1 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: 1 V 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. 1 `Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. ' Nf) 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. 110 explain: scm,zc ;4uc- is 3 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 f ND explain: Pict �cs�e2:.3 k.��,.c Bo;c ��c s�� zr-,q.02 ' k© 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: T7tc s rr��•s�e n,. tt Ps tit�c�2 Bc-��+ t�cc.�„�P�� To Vic— 3r-s F 4- 2 _ � i Page 3 of l l 1 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 1 Property Address: 1 y Z 6�--Os&e 5 i Owner- c,f-+. Date of Inspecti n: �Li Ice 1 C. Further Evaluation is Required by the Board of Health: 1 ^41C' 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. 1 1. 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: ALL Cesspool or privy is within 50 feet of a surface water 1 a C- Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 1 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the 1 system is functioning in a manner that protects the public health,safety and environment: Wo 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. ' 40 The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. — _ PP .Y ' Alo The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. UL :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 "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 1 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: ' rAA[fC JS +tCO; 7lcZ CO[>•C is !_fpA( /G G 74,V iC TGG Sint Q GL SFJUL[.L'r) 3 f ' Page 4 of I I ' OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) ' Property Address: 197- s ,- c9 ST�tZ J c c c V.C.A Owner: ' Date of Inspection: ;%i o e D. System Failure Criteria applicable to all systems: You must indicate"yes'.'or"no"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _ e C Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool NO Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ AO Liquid depth in cesspool is less than 6"below invert or available volume is less than%day flow Aa-3 Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped ' — !O Any portion of the SAS,cesspool or privy is below high ground water elevation. Aid Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. t = NO Any portion of a cesspool or privy is within a Zone 1 of a public well. n►G Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ mc 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 form.1 K0 (Yes/No)The system fails.I 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 sidered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indica ither"yes"or"no"to each of the following: ' (The following criten ply to large systems in addition to the criteria above) t yes no the system is within 400 of a surface drinking water supply the system is within 200 feet of a to to a surface drinking water supply the system is located in a nitrogen sensitive ar .Interim Wellhead Protection Area-IWPA)or a mapped Zone H of a public water supply well 4. 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 o 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 Dep"gn t. 4 Page 5 of 1 I OFFICIAL INSPECTION FOR M-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM-INSPECTION FORM i ' PART B CHECKLIST Property Address: 18 e- Gc -ST I , — Owner: 0• of. y, 3 dZ.L ' Date of Inspection: e2/i /c-) I Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No Pumping information was provided by the owner,occupant, or Board of Health k Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period'? Have large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined?(If they were not available note as N/A) _ Was the facility or dwelling inspected for signs of sewage back up? 4 0 4c L kti Was the site inspected for signs of break out? Fat X't Were all system components,ei y p �g-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.For example,a plan at the Board of Health. ' cX _ Determined in the field(if any of the failure criteria related to Part.0 is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] 5 - J f Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM_ PART C SYSTEM INFORMATION Property Address: ►A2k�, �- s ' w( zy'i LCC:�- 4tiCH Owner: a ti 3 R, C Date of Inspection: 4%r J v 1 ' ' FLOW CONDITIONS RES NTIAL Number.o ooms(design): Number of bedrooms(actual): DESIGN flow b on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Number of current rest ts: Does residence have a garba der(yes or no): Is laundry on a separate sewage s (yes or no):_ [if yes separate inspection required] ' Laundry system in (yes or no):_ Seasonal use:(yes or no):_ Water meter readings,if available(last 2 years us d)): Sump pump(yes or no):_ ' Last date of occupancy: COMMERCIAL/INDUSTRIAL ' Type of establishment: v+4.t4.2 i at A Design flow(based on 310 CMR 15.203): 'c gpd t t-z- stet P Basis of design flow(seats/persons/sgtetc.):. to,c: 5LA as Grease trap present(yes or no): 4o ' Industrial waste holding tank present(yes or no): ntG Non-sanitary waste discharged to the Title 5 system(yes or no): *q �:=� � .G r✓u Water meter readings,if available: s ° ;/, —e- OO Zc Ica fir j� Tf,'y ._{z f ©��'9 ' Last date of occupancy/use: t m A&:- OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: e w�,4 e . 4- —,c,cry ki W LL)d p Was system pumped as part of the inspection(yes or no): If yes, volume pumped:= too Gallons—How was quantity pumped determined? Reason for pumping: -VAS 4tc staff, �o r �� ���,�t�z� bu czr o c< a � r t} s J ' TYPE OF SYSTEM Septic tank, eii;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): ' Approximate age of all components,date installed if known and source of information: P ( ) Aj .30 Were sewage odors detected when arriving at the site(yes or no): Air; 6 ' Page 7 of I I ' OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) ' Property Address: t ejZ o3(Zr i�UE s Owner. 0 3, iZ• 0- Date of Inspection: 8/' /d BUILDING SEWER(locate on site plan) ' Depth below grade: - Zr✓" Materials of construction:_cast iron 40 PVC_other(explain): oia-aicc <c- Distance from private water supply well or suction line: * t:Y ' Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: _y (locate on site plan) Depth below grade: ± z ' Material of construction: x concrete_metal_fiberglass___polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) ' Dimensions: y z q'V" x .s- Sludge depth: T z' Distance from top of sludge to bottom of outlet tee or baffle: z' ' Scum thickness: r-7" Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: �rdz`(aT vav:� ry at ' Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): \\ ' �YrC.i.-LC�1 S�C.L F2ti�rfl(r 1�1Z% SF�5 IUOO c1� Tti�r�L1C, SrkrJvcG' aC' ��{jCq • GREASE TRAP:_(locate on site plan) Aj tDepth below _ Material of constru concrete_metal_fiberglass_polyethylene_other ' (explain): Dimensions: Scum thickness. Distance from top of scum to top of outlet tee baffle: ' Distance from bottom of scum to bottom of outlet t r baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee ffle condition, structural integrity, liquid levels ' as related to outlet invert,evidence of leakage,etc.): 7 ' Page 8 of 11 ' OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ' SYSTEM INFORMATION(continued) Property Address: i 3i:Z4 Owner: Date of Inspection: Q%i ' TIGHT or LDING TANK: tank must be pumped at time of ins ection locate on site plan) ( P P P )( P ) t Depth below grade: Material of construction: oncrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons, Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): DISITRI� N BOX: (if present must be opened)(locate on site plan) KiL c ✓i2�s r "� ' Depth of liquid level above uo tCfiinvert: Comments(note if box is level and dist bun'on-t outlets lets equal,any evidence of solids carryover,any evidence of 1 leakage into or out of box,etc.): PUMP C ER: (locate on site plan) nt c).-c- "p:z.�s<=`%u 7- Pumps in working order(yes or n _ Alarms in working order(yes or no): Comments(note condition of pump chamber,condition ps and appurtenances,etc.): 8 f Page 9 of 11 ' OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART C SYSTEM INFORMATION(continued) Property Address: "l 3 z, Owner: e'•0, N, P . L Date of Inspectio : iSOIL ABSORPTION SYSTEM(SAS): .ham (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number._ leaching chambers,number. leaching galleries,number: leaching trenches,number, length: _leaching fields,number, dimensions:rSj k j z. 'w r,-H z Y,s- u.0 C-7;S .Sc� +tic src)LL-_� .3' j3 00 ) t-Z 3(a fj u,rr ' overflow cesspool,number. innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): ' kc, :S;C—kt g Or til0 Situ S pa �oey' c�i G O� 3Ac e. cz P p �, s'd2[liii.L� S AlG C'eocG t�1C a:r CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number configuration: Depth-top o 'd to inlet invert: Depth of solids layer. Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, �elof condition of vegetation, etc.): ' PRIVY: (locate on site plan) Materials of construction: I ' Dimensions:, Depth of solids: Comments(note condition of soil,signs of hydraulic level of ponding,condition of vegetation, etc.): r ' 9 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART C SYSTEM INFORMATION(continued) Property Address: t 6 Z osr���� Owner: o`{ 3 2.c Date of Inspe tion: 8• e)/ 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. a a1 7.8 7 7 4 ` 5 4.0 7.8 4� 6.5 �- 1) 5, 5 7.3 7�a 7.8 `C7 79 T8 C/ 7. 7 7. 7. �� Rr°• 7.6� '. '' 7 a 7 , 6.8 7 1 6�• !`2 6. 6.9 6.9 7.J 6.9 7 Marsh i� n ' 10 Page 11 of I 1 ' OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM- PART C ' SYSTEM INFORMATION(continued) Property Address: t E;z Owner: 0 3 -, C Date of Inspedi n: B/% 771 SITE EXAM Slope Surface water - Check cellar — No cc—._cA P cn _ Shallow wells kiokc` cu s r- i k A}k?i=zi Y y��c c-� �'zL_4? ? Estimated depth to ground water-t4 y feet pis=r.e�'C ;ri, rrrUH. � .�� u =�,��:�.�r�a v ;3✓ Please indicate(check)all methods used to determine the high ground water elevation: Y/L Obtained from system design plans on record-If checked,date of design plan reviewed: �- - Observed site(abutting property/observation hole within 150 feet of SAS) X Checked with local Board of Health-explain: aowu Cio kwp 1?,1z x Checked with local excavators,installers-(attach documentation) X Accessed USGS database-explain: emu' a2r i=r,F� t�kfe ' You must describe how you established the high ground water elevation: + Mori' OPC, aCf 771�d4 L . h(%zw .T A a W 1A _-H QAf. 6d ES7" Ntei [c P eT -SAS -t Guy b lc�a���� � rdEZFr�iu� T(i Ott l � r�f�c'� O��C�rishi r odf arJezG ik5'c72 iN 0185Ge? ')'z +-0",F c.'r-t+t`i4 L"A-S r,k-cte6�"i U1r�� r I 11 .7e `,n..? ..... . � Y Date Work Done Contractor � ' a�g ` i Septic systems are individual wastewater treatment systems that use the soil to treat small waste- water flows,usually from individual homes. They are typically used in rural or large lot settings where centralized wastewater treatment is impractical Y a IF There are many types of septic systems in use today. While all septic systems are individually designed for each site, most septic systems are based on the same principles. "TIC SEL A Conventinllai " Y " Septic System t, TEM e+✓it ° Zlr.2� WyNbrke �_. , M: n, Nt; 1 �� y *r A videotape version of this brochure,also entitled "Your Septic System:A Guide fo,� � w EPA Homeowners," available through the r �. Small Flows Clearinghouse.Call 1-800-6248301. �� �5 AMENw MI For more information about maintenance % ape or inspection of your septic system, contact = ? — ,` your local board of health or the[Department �y of Environmental Protection: f a`d Central Regional Office: i z y (508)792 7650 ; aas-o—m Northeast Regional Office: = �tysy -7600 A septic system consists of a septic After the partially treated wastewater (617)932 -- 1 tank, a distribution box and a drainfield. all leaves the tank. it flows into a distribution Southeast Regional Office connected by pipes.called conveyance lines. box, which separates this flow evenly into a A 1 (508)946 2700 network of drainfield trenches. Drainage Your septic system treats your household holes at the bottom of each line allow the was- Western Regional Office: wastewaterbytemporarilyholdingitintheseptic tewateriodrainintograveltrenchesforternpo (413)784-1100 tank Where heavy solids and lighter scum are rar stora e. This effluent then slow) see i �~ allowed to separate from the wastewater. This y g y p Boston Officer into the subsurface soil where it is further ; (617)292-5673 separation process is known as primary treat- treated and purified(secondary treatment). Published 1990 by the Northern Virginia Planning District ment. The solids stored in the tank are decom- A properly functioning septic system does not commission with assistance from Virginia water Control Board, Dosed by bacteria and laterremoved.along with pollute the groundwater. National small Flows Clearinghouse,and the Northern Virginia a the lighter scum,by a professional septic tank Health Deoanments. Reprinted 1994 by the Division of Water , _ t� Pollution Control of the Massachusetts Departn,eni of Environ- punlper. mental Protection. "e..5.v Cru«:...e-,. 1 rrA:l..: „+:.-.r.it,- ..'.f:,. ..;.. ➢ I'rrifnd on noe I dPx • • „74?ih� 1�^.�y_�+rx sa`'s'�'`-6Y'-'� � utPz.?���•'�ems"**' �at� E” y, +�sPs. ._`�a��+,• �"�.. M. - ��.r`c, _ �'. �{s�, _-� x � .-i-.t-". 2"•4 _ + ' -� ,hg ,mr�''"r'�: ,y � y v.� F 5 9 tr tT ^:ri �' i 3 n .wa -t a>•, e'. F _ ,, *''. ��,�f,��E W���asap �4�&,S��ss� f='. 3��� :�� The accumulated solids in the bottom of be very expensive-to repair, the septic lank should be pumped out every DO have your Tank pumped out and DON'T allow anyone to drive or park and,put thousands of water supply users system inspected ever y y y part Y three to five years to prolong the life of yol.lr p y 3 to 5 Pars b� over an �rt of the system. The area at risk if you live in a public water supply system. Septic systems must tie main- watershed and fail to maintain your sys- a licensed septic contractor(listed in the over the drainfield siiol.11d be left undis- rained regularly to stay�,vorkini tern. yellow pages). Curbed wiiil oniy a mowed grass cover. Roots born nearby trees or shrubs may h•leglect or abuse of your septic system Be alert to these warning signs of a failing clog and damage your drain lines. Failing , ®®keep a record of pumping,Inspec- can ral_Is,': It b tail. u l ,y septic systems >ystem: r-an tions,and other maintenance. Use the DON'T sewage surfacing over the drainfield back page of this brochure to recordmake or allow repairs to your cause -r �erinus health Threat to your (especially after storms), maintenance dates. septic system without obtaining the i family and neighbors' sewage back-ups in the house, quired health department permit. Use professional licensed septic.contractors degrade the environment, especially lush,green growth over the drainfield, ®practice water conservation. Re when needed. lakes.streams and groundwater, pair dripping faucets and leaking toilets, slow draining toilets or drains, run washing machines and dishwashers reduce the value of your propeny, = sewage odors. only when full.avoid long showers,and 9 ���r use cormnercial septic rani: use water-saving features in faucets, additives TI ese products usually rip riot help and some may hurt our system in shower heads and toilets. P Y 1 r the long run. ° ®O learn the location of your septic 9 ° DON'T use your toilet as a trash can system and drainfield Keep a sketch of it handy for service visits. If your system by dufnping nondegradables down your u _ tnspe non lPumu:� 1� ts.`' has a flow divel Sion Valve,teal rl its iota- t011Ft'JI '�r:_InS !so,don't pOISOn yOUr tion, and turn It once a year. Flow septic systern and tnC gioundwa er ray diverters can add many years to the life pouring harmful chemicals down the TeB of your system. drain. They can kill the beneficial bacte- ria that treat,your wastewater. Keep the t Scum _ ..list:Treated Was1 w ter fo10'rJing materials OUf Of /Our septic I lei:Saweg Goes to Distribution Box I nter 31w liousa t ° DO divert roof drains and surface water and Drain Field system. from driveways and hillsides away from the septic system. Keep sump pumps and house footing drains away from the septic system as well. se,disposa dr lastics etc DO take leitoverhazardoushousel1,old chemicals to your approved hazardous ;{ PO wastecollectioncentertordis osal Use p gasoline bleach,disinfectants,and dram and toi- Irin, pr- gv and in ., let bowl cleaners s I1 hlnner.pestfp E � k' accor- dance with product f oduC.t t 4 M n J No. ci-_Ic Fee THE!COMMONWEALTH OF MASSACHUSETTS Entered in computer: i Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for -Mi gal bpgtem Cottgtruction Permit Application for a Permit to Construct( Re air grade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /6 Z B9 AC--S7- Owner's Name,Address and Tel.No. C7ysr� �ESS yroCl�sr$4s��v R C�eio Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ,4.At. !J(GWAI flssoe,,SnfC°. ?O ate' 4414 3�Ratsnaa�� "c�s•�sa o3oz� Type of Building: Dwelling No.of Bedrooms Lot Size A �2- 5-A Garbage Grinder( ) Other Type of Building Wmme eei AC. No. of_-P ScIPS "9c_-? Showers(Z ) Cafeteria( ) Other Fixtures Design Flow /0 svP a _ gallons per day. Calculated daily flow gallons. Plan Date 8' o� Number of sheets / Revision Date Title .7ce.3sce,��i4e.� ,feadac..sr b1S^,S4C_ J�;; e- Size of Septic Tank s000 9 Type of S.A.S. Description of Soil: Flr,- ot,&m s',*a! E- 1r4AJ c� Nature of Repairs or Alterations(Answer when applicable) R_—mesa e L x<s <.crG T�tt,t ht�1 Date last inspected: c,4a/ 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 issued b this Bo�aard ealth. ell Signe /- Date �/ D Application Approved b Date /1,3 Application Disapproved for the following reasons Permit No. Date Issued 1-2-4121 !fix r %-7, THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of QCompliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired Upgraded Abandoned( )by ONs7'�, �'�+4�?o•�•t s�e�i2 i (<C -- i r•�,Ct'4'(� i�Rt r at __1 P Z 3217ese-r %5. , OSTwrle"..E' has been constructfd i accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 7e)d /-5 7 S dated 'U_aLol Installer Designer *, -PI,G!i 6So,(< 4-sso e— /4r- The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector 1�' =No ._.mom`L 7�•} —'j � �i 7;;;�7 Fee � �� c l<_. /i Off! i/C l THEZOMMONWEAWH OF MASSACHUSETTS Entered in computer: Yes - PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 1 r ZIppYication for p�ooar bpqtetn Congtruction Permit Application for a Permit to Construct( �Re air grade( )Abandon( ) ❑Complete System ❑Individual Components w Location Address or Lot No. /8 Z 79R i hC-&_ Sr Owner's Name,Address and Tel.No. OSTt�U�CCF, difq., 0 �37aff-d< H04040F�S gr�Cwr Assessor's Map/Parcel 93 ,1-7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Pp wow Sr8 6, ,. ZAte4/57W_RCC n/rt ocro 3o 0,7 Type of Building: - Dwelling No.of Bedrooms Lot Size - `" .s4•fd. Garbage Grinder( ) Other Type of Building 04PAYu —y A G No. o SU PS : Showers(Z ) Cafeteria( ) Other Fixtures Design Flow /d gallons per day. Calculated daily flow gallons. Plan Date FA!ZIa-, Number of sheets / Revision Date Title b/S,ors,ac e- 41 Size of Septic Tank 2DDo 9 Type of S.A.S. ., _. Description of Soil; F'« ove-2 g G- SAN,� Nature of Repairs or Alterations(Answer when applicable) Reed 04-:- x is f�.c✓tr T.�y� AJ b15_1Z1,_,3g7.20AI 80-Y -Y SpLt1!°E' f_/RrE S Date last inspected: I? 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-riot to place the system in operation until a Certifi- cate of compliance has been issued b this Board f ealth. �. Signed LGGC ' " Date f/ 5^D l Application Approved b Date 2 3 Application Disapproved for the following reasons Permit No. "4 00 / 53'7 5 Date Issued- -- —————————— —— ———————————— ———— QO 157 5 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 .4g A4.1<1 C- t',Cx t e/ at / R C— s P', ; © r -r/i to has been construc:ed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ZeV /-S 7 S dated 0 Installer Designer �s►. rn. td<`soc� .gsson. ��tie The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. Gr)C) I "� �� ------------------------Fee THE COMMONWEALTH OF MASSACHUSETTS ? �'PUELIC HEALTH DIVISI®N - EARNSTABLE,,�MASSACHUSETTS lwiopool *pgtem Construction Permit Permission is hereby granted to Construct( )Repair(Y)Upgrade( )Abandon( ) System located at /&e- Y?-: Os 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: Construction must be completed within three years of the date of this t. .v f � ` Date: //`� �'' �A4afp Approved ,g: i f` • � 1 Search for MaplPareel - `093027 1 mTowra_'ofxBarristabte For ParcelwNumber:093027 �, , ' �% F� rtt operty(y/NT + Busness,Name . _ � _ ZoneoftConttibNitton(1(IN} Area . Number Contammant Rel /l+t Phone' ' 000 , 0000000 3 duel 9,6 g Tank er nit Card On Ftle .y a §s Pere Test Construction Well Permit Opt, A ,k , 2001575 File/Permit No. 0 r � Issuance Date, 08/23/2001 f�a Poo ,x a Gortrpletton Hate: Size of,Septw;Q £T 7Size of S 1 r 5l X12X1 LF " Tank 2000 r,• ^�� � `��;;"G`�Om 0ntS a' ' rY '' c� �� s ',� �.0 ;k:= '�,�.,.� < ,,np�s,-.. NEW ST&DBOX PER INSP. �� mappar.;] 093027 ®wnem, OYSTER HARBORS YACHT BASIN `'-pr'8p oc 182 BRIDGE STREET °,w'--! .. Ls�- r, �Inno�atcvelternative�TechnofogySe�tic Systems E = � � SrnFe"oi „ Clustered, �A/A Type ilA Se v ce Type dii records delete recordIN er-- o I F . r v ® ' e 0 p J / No. F X6 1 THE COMMON ALTH OF MASSACHUSETTS Entered in computer: • PUBLIC HEALT DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS . Application for 30i.5po!5ar *p$tem Congtructton Vermtt Application for a Permit to Construct O Repair X Upgrade O Abandon O ❑Complete System ❑Individual Components Location Address or Lot No. /' f 'ST..Btrr Owner's Name,Add s,and Tel.No. 061 e�vt fie .Al c�i c� eat Or dcv, �al+-1• last^ . „I*p ay Assessor's Map/Parcel 47 3 A 7_11 �, JJ Installer's Name,Address,and Tel.No. � � GLC� Designer's Name,Address and Tel.No. ,�vg-ya8-s saq ?014' r �. M. cC z„e orl bL Type of Building; _ Dwelling No.of Bedrooms Lot Size °�t S sct-ft— Garbage Grinder ( ) Other Type of Building �o����rc No.ofPQfsens Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) ra V�Jls",p -%Zo gpd Design flow provided gpd Plan Date YA7 A I Number of sheets Revision Date Title 4SJ h-66re $e c...s %5190$ L. 7 Size of Septic Tank �L ova a Type of S.A.S. Description of Soil Fr // o V U �4 eoj j v^n 5�,,. I f F,// evrr M wA — Co cure. Nature of Repairs or Alterations(Answer when applicable) grLe-cQ. •<-�Kos-n n) _rv,k O 614 101STyi4u-t7vw ay-Z 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 Board of Health. Signe _ Date '%l ' t Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued ---y't....;v.v-�r.•4„r.,;,,�.,..��'1...«, ,-.. _-.,,,. -Tti_ ,.-t'�.S;a'.'-"'..-1.:=' _ „' yr:.r�.rr �'=,.�.-,-+:./'',.,<< i4t ,yam--.� c.}. .� ./ i No 'A THE COMMONfALTH OFtMASSACHUSETTS Entered in computer: f �! PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS. S ay ' Application for atgo al 6rac ,Con0tructton Permit Application for a Permit to Construct O Repair Upgfade(„ ) Abandon( ❑.Complete System ❑Individual Components Eti 3 Location Address or Lot No. J&>x STP ee'T' Owner's Name,Add;a5s,and Tel.No. ry ' bS'Y Y/'V171C , /�'1aSJ�;y; 4 O�St.e/ /"'�0/,4avj �aCl1Y BwSli► � � C'bvlp Ire, g rl d S%fv ee"r Assessor's Map/Parcel Q mf 3 A 2r : oat.e�v 6 s' �r �4f 2017 Installer's Name,Address,and Tel.No. 0-� Designer's Name,Address and Tel.No. S`O% s�� yak-ssaq ?o,�,��r._ . M. a.,l:e,., asset �C a e A4 1QJr!ro 263a -r )Type of Building: <` ! Dwe,tling No.of Bedrooms } Lot Size °�'`�` sq-ft- Garbage Grinder ( ) Other Type of Building C0.M/k.t/`c t,J `' No.otP ®ns 4) Showers( ok Cafeteria( ) - .v�Other Fixtures -ti, 2S LL.tgj Design Flow(min.required) 9 IJ19 P G gpd 'Design flow provided gpd Plan Date Y/z7�C� Number of sheets */; Revision Date Title rv4 V-4uae_ SO---e-C. a- ,p,g�A,-& oo.e DL., 7 q, L Size of Septic Tank 1 pie .�� _IType of S.A.S. e /ot Description of Soil F. // e V U .li1e�1. ...�. � S...,,dl �F,// a�A- M Q,d �'o o..r e j Nature of Repairs or Alterations(Answer when applicable) _ �Qyl,c.tQ �cts�„sue Te..b! acid 101ST%;#4u'fi.ow v Date last inspected: Agreement: �+ The undersigned agrees to ensure the construction and maintenance of the afore described on-sit el segagejd;aposal 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 Board of Healt1 1107 +� 3 SignedJ1 Date . e i/l Application Approved by J Date 'I .Application Disapproved by: Date for the following reasons Permit No. f Date Issued THE COMMONWEALTH OF MASSACHUSETTS �� �j BARNSTABLE, MASSACHUSETTS .. ' Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( '%6 Upgraded ( ) . Abandoned( )by e ri• fIg/6•..S /t'1cri.0 — l;�/vcv— 114CA(Lr5ty— at .N o has been constructed in ccordance with the provisions of Title rand the for Disposal System Construction Permit No. dated Installer I UC a t�,G���. S P/ Designer l v,/3',,,. ,4 CS C- 4 #bedrooms `� }` Jl- Approved design flov�0� gpd The issuance of tis permit shall not be construed as a guarantee that the system�u�t t'on as designe..Date t � Inspector 77-- lit,-' ———————————————— - ——————— - ————————————————-- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS It.5pogar i§pftem Con5tructton Permit Permission is hereby granted to Construct ( ) Repair ( x) Upgrade ( ) Abandon ( ) System located at / a1 G3 t.o.� S 1 Qs't-.t 00 //per /�+tiSS 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: Conststjruc ion st b ompleted within three years of the date of this rm t. Date liI Approved by I _ , 1 ! i 1 ! N OR TI-4 WEST �r 8AY RC) C 7 5 / y BRrOGEr 5T 6.0 \ I WEST / 4 . 4)1 !SAY ILI [. CAT! 0N MAP 6 Reference: / 5 �I ISE 3--2777 Order (if CQrtditions 7/20/94 / - Marsh �8 - - - - 4.4 1 Special Condition #4. 1 4L e �f _ .8 / ��. 7 0 7,4 ' - __ 4.0_ Edge _ - - , "Proposed Maintenance Dredging Plan" Fey \X PROPER 7 Y L I�tiE A.M. Wilson Associates, Jane 113, 1994 I 7.8 �i "Workshee!" By A M Wilson A 9rc i tcs Showing S rlt Marsh, }alt' 12 1994 3 7.4 - Top Of Slope 8 ----__-,-_ ._._ Plan Rook 4: 8 Page .31) F�,r Property Line / �7S p S\\�A `M,�7.9 50t 7.8 6 PR 1ER/wpRK ` 8.2 55t 4 / 7.7 BARP I { \� 7.9 7�4 7.5 I } boat house � PROPOSED 10 MIN / - 14.00 D-BOX dirt floor el. - 7. 0'± H-20Project Title: 7.5 7.7 \ i ! 7. SPT#5 Q o 7.6 �\ 4 \ I �O - 51.00 71 I - EXISITING 51x12xl SAS �- ---"� PROPOSED 2000 GAl_ H--2 I Q EXISTING SEPTIC TANK i 0-y"s t /�^! >OD ZONE A13 EL 11 / SEPTIC TANK TO7.1 I ' �00180 �' / 7 1 6.8BE A ANDONED O HGrb ors s AND REMOVED JUI': 1992 r 1 6 9 _ 7.1 7.1 I \ ' 6.9 J ( 7.2 Ycch t 89 f 7.2 APPROXIMATE LOCATION OF WATER SERVICE. MANY" BURIED UTILITIES ON PREMESES. in / 6. 87t W W W W W EE, 10TE 6 W e� ---- W W 6-g W---_P`W�r�k i n 9 I \ r n 6, aoe i (Os e rg v///e) 6.9 7. .1 6.6 h R ------- _- g m s %.../l Fi, -A� P aJern .� J �� \ \ E d9e -7 f existing deck � I MaI S I __ and catwalk M. N. W. 1 GraVe� t \ Z� Lwn ArNa j o Marsh I r (4) Jers Barriers Larg - P Plank, / / �rY, �- ' Born stoble, MA Moir Street 02630 ems:_.._ THREE WATERTIGHT C.I. MANHOLES TO FINISH GRADE TOP OF LEBARON LTW 300 FOUNDATION 7.4 t i ( k M. Wilson ass©Cletes Inc. I ?" MIN, 36' MAX 2 - 4"ID SCHED 40 PERF PIPE .. 1.00' MIN, 3.00' MAX 508 375 0327 f FAX 375 0329 - - 0.17 SPACING ---- --- Test Pit rota - --- � - LEVEL 2' MIN DrawingTitle 1 ; 1.60 I 2" PEASTONE I Indicates BENCHMARK: 5.60 6,50 017 J --- j ± VI-T, •. Groundwater INVERT 5.42 5.33 f -- 5.25 .5 I 0.83 -____ ._ - i 5.05 _ �_._., --5 --- 5.22 - -- ---- --__ -- -- - - 13/4" TO i-1/2„ LR.?µOFk1��s� s Ground Er = _`, f3' GISTRIBiITION BOX DOUBLE WASHED STONE 9ERNAIR 0 _--___._-- -------_-_._-__-_-- JOHNYtwNG ---T-- l H-20 ! No,3%,,: g Medium Pit No. j 6" STONE ON NATIVE SOIL OR MECHANICALLY COMPACTED BASE WATER TEST TO PROVE. 4.0 I '�9�' Rca Coarse M.J. Donovan EQUAL FLOW 1 `,e,sT urf, bsu Test By- Sand 2000 GALLON SEPTIC TANK EXISTING 12 W x.5l'L xl'H SAS f Test Date: 4/5/88 ST-2000-H-2oSystem Profile -- -- Sewcge� : Botforn Hnl�--n_ Witness: G. Dunning B.O.H. Perc Rate: __________ ___._ __ - _ _ -._._.__.__ ! PROB. HIGH GROUND WATER ELEV 2.2 D i ' I I Design Flow: Notes: �--- OBSERVATI_r?N HOLE DATA I / P / 92 Slips x 10 GPD/Slip = 920 GPD (PRIOR FULL YEAR CENSUS) Il l � - 1. Unless otherwise noted, all construction SP T #5 TES' 8} A !01. W#LSON ASSOCIATES� ; methods and materials shall conform to GR^ EL. 7i5t WITNESSED BY: NA Title V of the state environmental code DATE: 02/15?00 ¢� .:., Y EL NA _ CERTtf iED ar: BERNARD J. YOUNG, a Septic Tank Requirements: and any applicable local regulations. # ;-_!.. ELEV SURF-ACE SC.L t SOIL SOIL SOIL I BALLAST CALCULATION -_-_ 2. Precast concrete septic tank, d-box, DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER 920 GPD x 2 = 1,840 GPD and leachin facility to withstand H-20 DISPLACEMENT: 11' x 6' x 7.33' X 62.4#/CUFT = 30187# --- ! 9 Y - I 1 Ground D.= 6.0 Use 2,000 Gal. Tank loading. WEIGHT (CATALOG VALUE) 25080# - J. All pipes in the system shall be schedule 4 5 0-36" FILL 3 C.I. MANHOLE COVERS 2700# ----- -- P P ys Medium-- Pit No. 40 or equal. ' Coarse EARTH COVER (13 x6 x1'x31#/CF} 2418# Leaching Facility Requirements: q MEC'.UM SINGLE GRAIN Test By.- M.J. Donovan TOTAL WEIGHT 30198# 4. No field modifications to the sewage 1 3.5 36-48" C1 SAND 10YR 5/6 - LOOSE i Sand disposal system shall be made without 1•�' Test Dote: 4/5/88 MARGIN 11# 920 GPD p I MEDIUM SINGLE GRAIN prior written approval of the engineer � > .Bottom Hole Witness: G.Dunning B.O.H. -`- and the local board of health. 2.5 48-60" C2 SAND 10YR 6/4 -- LOOSE Score. 1' = 2 ' I Perc Rote: <2 Min/Inch - 5. This system is not designed for a MEDIUM SINGLE GRAIN ` - �- garbage disposal unit. -0 5 60-96" C3 SAND 10YR 5/1 - LOOSE ,0 0 - 10 �--� Leaching Facility Existing: ----- 30 6. Locations of all utilities are to be MEDIUM SINGLE GRAIN I - -------�, verified in the field by the contractor -4.5 96-120" C4 SAND 10YR 4/1 - LOOSE Dote: Aug 21, 2001 TDwg [51'x12'x1.00GAL/(SF-DA) + 2x(51'+12')x2'x2.50 GAL/(SF A} prior to excavation. - resi n: BJY I = 927 GPD (EXISTING, 1978 CODE)] - k "heck: Drawn: i.V.B./`B.J.Y. �; eb No: 2.0230.15 Sheet 1 of 1 J�'