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HomeMy WebLinkAbout0047 CURRYCOMB CIRCLE - Health r 47 Currycomb Circle, W. Barnstable r A=151-0611 F h tip , G TOWN OF BARNSTABLE LOC UION ?64(1'/" C A?� C112fk SEWAGE # —3$' VILLAGE 4(11 ,?M 514'hle ASSESSOR'S MAP & LOT /�/— INSTALLER'S NAME&PHONE NO. Bow � ��o�?ts 7 SEPTIC TANK CAPACITY 4fl'DD&-,e--t__. LEACHING FACILITY: (type) P 1 7-- (size) /---> .P' 1JL— NO.OF BEDROOMS BUILDER OR OWNER �-aT PERMUDATE: '9--/Z 'V- COMPLIANCE DATE: Separation Distance Between the: 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 within 300 feet of leaching facility) Feet. Furnished by o �� ��, ��� � ` S�, /���-�S" r ., ��t-�'i ,. �� l l M-7 No. Fee 1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Z(ppYication for 1ji!gpoal bpgtem Conotruction Vermtt Application is hereby made for a Permit to Construct( )or Repair(c/an On-site Sewage Disposal System at: Location Address or Lot No. Ll GU�+'r�/ �j® G�j" Owner's Name, ddress and elj N �y Assessor's Map/Parcel /� In aller's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. avwn Gave Type of Building: Dwelling No.of Bedrooms Garbage Grinder( � Other Type of Building�. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow © gallons per day. Calculated daily flow 330 gallons. Plan Date / /D Number of sheets / Revision Date Title Description of Soil N tore of epairs or Altera 'ons(Answer when applicable) G O U G!'' Date last inspected: Agreement: The undersigned agrees to ensure the construction A 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 thi Signed Date Application Approved by �' Date — Application Disapproved for th ollowtng reasons Permit No. /Ao Date Issued No. r ` Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS i 01ppYtcatton for ;Di!6po!aY bpgtem Con5truction Permit Application is hereby made for a Permit to Construct( )or Repair(/an On-site Sewage Disposal System at: Location Address or Lot No. (�7 �^U�r C��6 G�/ Owner's Name,Address and Tel,No. f fYDw C✓// �l�� e"o/��/ Assessor's Map/Parcel Installer's Name,Address;and Tel.No. Designer's Name,Address and Tel.No. 80✓'�-o Lo�1 i C��srry�'j`�o� t��wh J � s Type of Building: ~; Dwelling No.of Bedrooms Garbage Grinder(A/0 Other Type of Building - le;tell,4e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow lO gallons per day., Calculated daily flow 3 3D gallons. Plan Date 1011e l�'` Number of shee�s / ' Revision Date Title Description of Soil Nature of repairs or Alterations(Answer when applicable) OF �4. i Date last inspected: i Agreement: The undersigned agrees to ensure the construction wD&fif&hr=nwwvof 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 this�Bo of H alth. Signed � Date Application Approved by Qs�,...._ , Date Application Disapproved for th ollow ni g reasons /l Permit No. � 0 7 Date Issued i —————— ——----------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced( on by Installer �0/"�pLd7�j C Dt�151`• at 7 CG/�`)hY l"t�l� G/Ili G L'Y� O✓r/5/`gd/C has been constructed in accordance with the provisions of�Title 5 and the for Disposal System Construction Permit No. dated Date � Inspector \ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT"THE SYS- TEM WILL FUNCTION SATISFACTORY. —————————— —— ————————————— ———— ——-— No. �� c � D /7 Fee THE COMMONWEALTH OF MASSACHUSETTS ` PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mfi6p0ar bpgtem Congtru/ction Permit Permission is hereby grante o ,D Or d L®T�/ C -�/�J/ /��G�le t to construct( )repair( an On-site Sewage System located at No.# !./r r l Street and as described in the above Application for Disposal System Construction Permit. 714 No. Date The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within three years of the date below. /�-Date: Approved by Board of Health r CERTIFICATION OF SKETCH AND APPLICATION FOIL A DISPOSAL WORKS CONSTRUCTION 1'EltAll*l' (IYI'I'IIOU'I' DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated 8°l/9��� , concerning the property located at tl 7 6&f'•X 2,WZ C-11W'e ur• meets all of the following criteria: W✓ Thcre are no wetlands within 3ou rat of the proposed septic system ✓/The here arc no private wells within 15o rest orthe proposed septic system Observed groundwater table is 14 feet or greater below the bottom of the leaching facility v: T cre is no increase in flow and/or change in use proposed Thcre are no variances requested or needed. SIGNED: DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER (Attach a sketch plan or the proposed system. Also if the licensed Installer posesses a certified plot plan, this plan should be submilledl. >•sr-��<I z3" r �� .' ' J. oi.s s r s." ... gP �y' hc_rrt t - � y �„"" w �' r .�;.x t ,3,•,y;�''' e ,�f,� x .t r^v c t .� y s; -�. S 5 "xSs. .r ,�'..^:� 1F `:� 3 $€Y.h� ."�,a h� •G :��5�v;.rt;"Y,. "�3" 1 iY-+,r 4�v x�+l'1 s.. :�y 3 bz s,»�, :h.` Y.S s'`.Hc3 .�..'w ix���':t � ,;: �'' t"{ n "nX.:> 'kt'�$�`, N6101 sk ....z� C pGCI G�!1 St#� ,y,l► t6l G )qv 1 `�O.00 142 40 04 Lo J i 14G 1d'M% 148 � i2� 15 0 �oT 4 / - N ISo Qp 154 o , 154. 15 G - � f � Qo, *�—A or " SITE. PLAN E 1� Fz{eoY 301 -�,�' <� AH" LOCUS: LOT qO Cl1R�'t'C�NI �2cc OJALA Mrs 026US Af ST ;�� REF: down cope engineering 'L A PREPARED FOR: CIVIL ENGINEERS LAND SURVEYQRS -REG LAND SURVEYOR SCALE D� � ' ., ., - '-� F � � 2 �i�-� ��� � �� � �� � � AUG ? 2 199G - Commolrnweatth of Mossochusetts HEALTH DEPT. - ExecuWe Office of ErMronmentai.Aff sTOMOFBARNSTABLE ohn Grad -QZ21xitle V Septic Inspector -Department-of P.O. Box 2119 Environmental Protection Teaticket,IviA 02536 (508) 564-6813 _. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ASSESSO�SIl1 '' T - CERTIFICATION - - PARCII NO: Property Address: 47 Curry Comb Circle,W.Barnstable Address of Owner: Date of John nt;Inspection: - (If different) Name of Inspector.John Graci McGwd11:30 Higgins Croll Rd.W.Yarmouth,-Ma.02673 � Company Name,Address and Telephone Number: _ CERTIFICATION STATEMENT I cerify that I have personally inspected the sewage disposal system at this address and that the information reported below is true; accurate and complete as of the time of inspection.-The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _ Passes _ Conditionally Passes _ Needs Furth r Ev nation By the Local Approving Authority Inspector's Signature: / Date: 7122196 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B,C, or D: A] SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria c'efined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: _One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no,or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why not.) The septic tank is metal, cracked;structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 11115/95) One Winter Street • Boston,Massachusetts 02108 . FAX(617)556-1049 • Telephone(617)292-5500 1 � SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART A CERTIFICATION (continued) Property-Address: 47 Curry Comb Circle,W.Barnstable - Owner. McGrai1:30 Higgins Croll Rd.W.Yarmouth,Ma.02673 - Date of Inspection:7119196 Sewage backup or breakout or V..igh static water level observed in the distribution box is due to a broken, settled or uneven distribution bo).. The system will-pass inspection if(with approval of the Board of Health): - - broken pipe(s)are replaced _ obstruction is removed - — distribution-box is leveled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): - broken pipe(s)are replaced - obstruction is removed C] 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 the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria volatile organic compounds indicates that the well is free from pollution fo-that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm. 3) OTHER D] SYSTEM FAILS: X I have determined that the sysfem violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage in-acility or system component due to an overloaded or clogged SAS or cesspool. + _ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged cesspool. XSAS is in hydraulic failure. (revised 11115195) . 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) P ro party Address: 47-durry Comb dfcle,W.Barnstable Owner: McGrail:30 Higgins Croll Rd.W.Yarmouth,Ma.02673 Date of Inspection-:7119196 _ D] SYSTEM FAILS(continued) Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow.- _ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped - Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a.surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area (IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 11115195) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST - - - Property.Add ress: 47 Curry Comb Circle,W.Barnstable Owner: McGrall:30 Higgins Croll Rd.W.Yarmouth,Ma.02673• - Date of Inspection:7119/96 -- Check if the following have been done:. - x Pumping information was requested of the owner, occupant, and Board of Health. - - X None of the system components have been pumped for at least two weeks and the and the system has been receiving normal flow rates during that period. Large-volumes of water have not been-introduced into the system recently or as part of this inspection. - X As built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. x The site was inspected for signs of breakout. X All system components,excluding the Soil Absorption System, have been located on the site. x The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees,material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11115195) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 47 curry comb Circle,W.Barnstable _ Owner: _ McGrall:30 Higgins Croll Rd.W.Yarmouth,Ma.02673 Date of Inspection:7119196 FLOW CONDITIONS RESIDENTIAL: Design flcw: 330 gallons _ Number of bedrooms: 3 Number of current residents: u Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No - I Water meter readings, if available: rVa Last date of occupancy: 1 month ago COMMERCIAL/INDUSTRIAL: Type of establishment: Na Design flcw:0 gallons/day Grease trap present:(yes or no) No Industrial Waste Holding Tank present: (yes or no) No Non-sanitary waste discharged to the Title S system: (yes or no) No Water meter readings, if available: n1a Last date of occupancy: o1a OTHER: (Describe) rVa Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: none System pumped as part of inspection: (yes or no)No If yes,volume pumped: 0 gallons Reason for pumping: n1a TYPE OF SYSTEM x Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) ( if yes, attach previous inspection records,if any) Other(explain) APPROXIMATE AGE of all components, date installed(if known)and source information: 1985 Sewage odors detected when arriving at the site: (yes or no) No (revised 11115195) 5 rt 3, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C - SYSTEM INFORMATION (continued). Property Address: 47 Curry Comb Circle,W.Barnstable ` OW ner: MCGrall:30 Higgins Croll Rd.W.Yarmouth,Ma.02673 Date of Inspection:7119196 - - - SEPTIC TANK: X _ (locate-on site plan) Depth below-grade: r5" Material of construction:X concreate metal_FRP_other(explain) Dimensions: 18'6'H5'7'W4'10" Sludge depth:5. — - - - - -Distance from top of sludge to bottom of outlet tee or baffle: 22• : Scum thickness:IS' - - - Distance from top of scum to tap of outlet tee or baffle:6'_ Distance form bottom of scum to bottom of outlet tee or baffle: 12" Comments: ' (recommendation for pumping, condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) Septic tank and all components are structurally sound.Recommend pumping system every two years for maintenance. GREASE TRAP:_ (locate on site plan) Depth below grace: Na Material of construction:X concrete_metal_FRP_other(explain) Dimensions: n1a Scum thickness:-da Distance from top of scum to top of outlet tee or baffle:nta Distance from bottom of scum to bottom of outlet tee or baffle: nia Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) nla (revised 11115/95) 6 t`— ...._.. ..,-,H.. a:'�'t`*,.:.(.,,.'.-.F 5 .331=;iv.'a,'`i ._y�""";`A:J^rx:s�'��+a...:.::c.. _..�i:- .a'` .,_,.. z � n:afF.'?;4=`�.'�_«�ur'���`t°:1.�..�.._..F.,x...,✓t"�..,kir.,'�:�3'A*k=r.:,"�' 3,k'Y � t`�=-a�f:tit..•. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 47 Curry Comb Circle,W.Barnstable _ - - Owner: McGra11:30 Higgins Croll Rd.IN-Yarmouth,Ma.02673 _ Date of Inspection:7119196 TIGHT OR HOLDING TANK: _ (locate on site plan) Depth Ibelow-grade: n1a Material of construction:X concrete_metal—FRP_other(explain) Dimensions: n1a Capacity: n1a gallons .Design flow: n<a gallons/day Alarm level: n1a Comments: (condition of inlet tee, condition of alarm and float switches, etc.) nla DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert: Liquid level with bottom of pipe. Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box etc.) D-box is structurally sound. PUMP CHAMBER: (locate on site plan) Pumps in working order.(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) nla (revised 11115195) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 47 Curry Comb Circle,W.Barnstable _- 0 HI Ins Croll Rd.W.Yarmouth Ma.02673 McGrail.3 gg , - O er: _ uCD- 7119196 Date of Inspection: , SOIL ABSORPTION SYSTEM (SAS):x (locate on site plan,if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Na — - Type: _ leaching pits, number: 1,000 gallon leach pit leaching chambers,number:n/a leaching galleries, number: n1a leaching trenches,number, length: n/a leaching fields, number, dimensions:n/a overflow cesspool, number:n/a Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) The leach pit is in hydraulic failure. CESSPOOLS:_ (locate on site plan) Number and configuration: n/a Depth-top of liquid to inlet invert: n/a Depth or solids layer: n/a Depth of scum layer: n1a Dimensions of cesspool: n1a Materials of construction: n/a Indication of groundwater: n/a inflow(cesspool must be pumped as part of inspection) Na I Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Na PRIVY:_ (locate on site plan) Materials of construction: n/a Dimensions: n1a Depth of solids: Na Comments: (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) Na (revised 11115125) SYSTEM INFORMATION (continued) property AddresS: 47 Curry Comb Circle,W.Barnstable = )wner: MCGrall:30 Higgins Croll Rd.W.Yarmouth,Ma.02673 ate of Inspection:7119196 - KETCH OF SEWAGE DISPOSAL SYSTEAT: - include ties to at least-two permanent references landmarks or benchmarks locate all wells-within 100' y I � 4 I- R C 6A �� 36 DEPTH TO GROUNDWATER Depth to groundwater:12 feet method of determination or approximation: USGS MAPS AND CHARTS (revised 11115195) 9 #"347 /6/—�' ESSORS MAP NO: — J .r`,: R ;` i s PARCEL NO.� . E ,E P€. R M'! T NO. ILL AUG E �Ih5TALLER'S NA M E ADDRESS 2 i3 I L P k R OR OWN €R D-TTC iERMiT iS4UE0 7D zyt -5� DATE C0MPLIA ## CE i S S U E D 1 / 1. No................ ...... FEs.................. THE COMMONWEALTH OF MASSACHUSETTS R BOARD OF .HEALTH + Applira aan for Disposal 11orks Towitrudion flrrmi# Application is hereby'made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal :• 'System at ............... °�C... cila. i�- -:�-�........:1�k:��L�t. �Z _..... ..._:_.. --•--��Locatioh-Ad ess or Lot No. .............. Cw��'.. .. .. .L'��C��_.... .... .......... ......................»..... Ofvner ddress a ...._...:_ Installer Address Type of Building Size Lot._1_�92Sq- fee .-. Dwelling—No. of Bedrooms.............. -------------------- Attic ( ) Garbage Grinder N Other—T e of Building ................... No. of persons____________________________ Showers —,Cafeteria QOther fixtures ............................ W Design Flow........... ?.....................gallons. er.wean pier V. Total daily pw........ ?R� ..._.._.._._.. gallons WSeptic Tank—Liquid capacity (Dgallons Length_�._(6._ Width:.—_ A.._ Diameter_.................Depth__-. __.d x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area___._______._... .sq. ft. 3 Seepage Pit No.___._.__L__....... Diameter......1<=> _. Depth below inlet.............Total leaching area. q.77� ft. Z Other Distribution box ( Dosine tank.C r s! y . .. r.'... Date Percolation Test Result Performed b .:.1.......:-r!--" r�__� ��- :. �...1-`I �i......... a Test Pit No. 1.. ......minutes per inch Depth of Test Pit._144"._:_. Depth to ground water..:910_11�_AIG;7 C14 Test Pit No. 2................minutes per inch Dep Test Pit.................... Depth to ground water........................ Description of Soil....jC-ea....... .....................,. V .............. .... t . /..�.......!.... -------•---.___..................-........ .... .... W UNature of Repairs or Alterations—Answer when applicable_____________________`_._.__..._...._.._....__:__..._....._._._..-_...._......._4......._.._.. Agreement: The, undersigned agrees to install the aforedescribed Indiv• ual Sewage Disposal System in accordance with the provisions of LITL: 5 of the State Sanitary Code— The u er d further agrees not to place the system in operation until a Certificate of Compliance has be s d b of health. Signed.. ••-•-- . ........................................... /. ../D& f Application Approv •••--••-=•-_••-•-• •-•• ••.. ... ..._.... �......_. ©_�.__.. ate Application Disapproved for the fo o ing reasons:.............:.. •----•......................................................•----.............._..__......................_...........••-•-•--•••--•- •-----•----...-•••••-••••--•_.....__.... . ._....... Date Permit No........................ ._ .. Issued_____________________ ;'j, ----------- ---•--.. r; .._...... Hate._....._....-•--`----.......... „ No..... ... �. _. Fas............. IL • I THE COMMONWEALTH OF MASSACHUSETTS :R BOARD OF HEALTH ._..: try via..tj......_OF....."I .... :� . ....... rt , lirtt#ilatt- flar Uiipniiul Workii Toastrnrtion Permit Application is hereby.made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at •• Location-Address or Lot No. L.-e 1 �. L- _ _. Owner / Addrres's --� w .............. G:� u % � ......... . _.. r ,/ a - •l- ---------------------- ,.... .. - . M � , Installer Address Q7i Type of Building ...�,. Size Lot._...I••..-�.�-••.... Sq. feet -: V Dwelling—No. of Bedrooms................�'�.___._.._.____._..___.Expansion Attic ( ) Garbage Grinder ( i l a Other—Type of Building .........:.................. No. of persons............................ Showers ( ).— Cafeteria -,( Other ) Other fixtures ...:..............................• a .• . ---------------------------------------------------------------------••••---........-•--•---- Design Flow_____..___�_S_ ......................gallons er.mason pier day. Total daily Ppw........:... ��................gallons �i Septic Tank—Liquid"capacityl gallons Length_6'._.l_D.. Width:.* Diameter'............... DepthA -% xDisposal Trench—No. .................... Width....................Total Length....................Total leaching area.........._..:._.._.sq. ft. � Seepage Pit No..................... Diameter..._._ Depth below inlet-_..........-Total leaching areaZ6. ..7.Osq. ft. Z Other Distribution box (IS4` Dosing tankM1� ' Percolation Test Results Performed by... !;!T!. ...... ...... ? - :. •.:. Date....._��._2.. Test Pit No. L.02......minutes per inch Depth of Test Pit... �E"_r.. Depth to ground water... /)!l! fs. Test Pit No. 2................minutes per inch Depth Test Pit.................... Depth to.aground water........................ ait;........ .......... ................... ......... ...et................................................... O Description of Soil.....-a...... ---.... v t•L -- " '•-`, 1�..5 ...................... V -------------- ---------- .........!_....... t 1- -' Y- ! ��---•--.....................•............................. ........................................................................................... UW ...............................................................................................:............••--•-•---•_------ ----=""------------------•------------,;-.--,------..------------.--- Nature of Repairs or Alterations—Answer when applicable................................................................................................ ............................................•-------•------•-------..........-•------..........................------------....------...---.....:.-----------•----------------------.................... Agreement: `' f The undersigned agrees to install the aforedescribed IndivVual Sewage Disposal System in accordance with the provisions of TITTLE 5 of the State Sanitary Code— The u ' ersi'WQA further agrees not to place the system in operation until a Certificate of Compliance has been"} su'ed �-t e b-ar, of health. Signed.............. _.... � .� ' �f.._._../. /_, .._` ...✓.J r Die Application Approv ... :.. 9 . 6 .................. Date Application Disapproved for the f of o ing reasons------------------•-----•---.............-----------......._...-----------------...............................•- ..................................................•--•-------...................................----.............. ......................... ........................... ' .......--- Date PermitNo......................................................... Issued........................................................ Date ............. _ ................... . .�_. .L��v ....o.,.,,.>.....a .................. .,...... 1 . / THE COMMONWEALTH OF MASSACHUSETTS 7 BOARD'6F HEALTH . .......................................... OF...� ....:.:...'!.rfi... ,/... .:.,....... I (Intif irate of `Tomplittnrr Vr THIS`IS 0 CE FY Th .-the Individual Sewage,Disposal System constructed (�")i Repaired ( ) by.......... .` -..� y ....................� :��G�/ �.Of! ...................................... •-••---•---........ . M_ [ r / / at. .` (/ f 1_ ...( y�� a, / .. .C.............. /�:_f �f �... tr .._ t .._ ... has been"installed•in accordance with the provisions of TITLE of The State Sanitary Code as des ribed in the application for Disposal Works Construction Permit No.._. .... � _.____. D...�_?. � ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ..-=�•~''� DATE............ . __ ..._..: '�s!:.: ....._....... Inspector.... .. y� ................ . .. .._.F....a�rn e...._�..w.,.,�yti.... ...y...»v.....•s.............:afa:t-,;i•......... ,..»•.r......... THE COMMONWEALTH OF MASSACHUSETTS owo oC+S• BAARDr F HEALTH c. -r-r . �t ............................ No... ��.... Ut✓J I FEE........................ isposd Works Tunstrurtiun 11rrmit Permission is hereb`- ranted... •-C'6��/Y r � ���/ .............................................. to Construct or Repair,( ) an Individual Sewage D•spos� System / j•.Street �5 � q S u + 9 " i as shown on the application for Disposal Works Construction Permit No �.... �Da d..__�1�............... -�......... .............................. _-� ............... -_� ._.... #i+ j •f f t s Board of Health DATE.........A............................................................. 362-4541 926 main street yarmouth mass. 02675 down cape eagineeiing civil engineers& land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys site planning sewage system May 9, 1986 designs inspections Barnstable Town Hall Board of Health permits South Street Hyannis, MA 02601 Gentlemen: Please be advised that Down Cape Engineering inspected the septic system installation for Lebel-Sollow Realty property located on Currycomb Circle, Hunter Hill, Centerville. We hereby certify that the installation complies with the intent of our site plan #85-215-40 dated February 3, 1986. Sincerely �4�z� Arne H. Ojala Inspected by: Michael McDonough May 5, 1986 AHO/amp t SECTION. SEW AGE J. • .. - i' • • rz, -SEPTIC TANK _..D..BOX=. : .. � —LEACH TOP OF FD _ . 11� (MSL)• "2"OF:18 TO Jh" ,,. WASHED STONE A�' 140' -- —'C =0.40' 142 14 , 8 4- IN- �//���/. OUT• IN• IN• -1LQ G .SEPTIC �} .: ` I b TANK _ 'I4� ELEV. ELEV. ELEV. ELEV. i CO r r - 14 ELEV. ,ELEV. JC9a V L c>T 3 I � 1 zo y { WASHED STONE 4-, M .. TEST HOLE LOG (4a elev. i 2.p •:�, t5o TEST BY ✓✓�1�1�� i' WITNESS 3 BEDROOM HOUSE / TEST DATE DESIGN i - T.H: r 1 T.H. +' 2 ISO Q) ..: �o p Isz -� ELEV.} ,0 ELEV. NO PERC RATE � MINAN. DISPOSER DISPOSER a FLOW RATE 33fl(GAL./DAY) SEPTIC TANK (I.")- REO'DSEPTIC TANK SIZE 00 + LEACH FACILITY IS6 ` SIDE".WALL. l2 i = ,5U17Z (i,�ro) 25G11� ;G/p \_ r BOTTOM («!z')2Tc t f3:D4_ (DI'i() . 801 Z•5 G/D. _ 144 �3Z��1 TOTAL 2L3,8 at- - 33(�,A.S &/D —�_� . 158 /2 USE: n'"I LEACHING =Qo, CJ WATER ENCOUNTERED NOTES: (UNLESS OTHERWISE NOTED) 1.DATUM(MSU+ TAKEN.FROM �� -I W I (� QUADRANGLE MAP 2.'MUNICIPAL WATER oVAILABLE 3.PIPE PITCH:W"PER FOOT �f 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO- -44, S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. _+ ARNE H. G L IS S'1� p 1 �/l;-LOF'M E4.11" 6.PIPE JOINTS SHALL BE MADE WATERTIGHT ;! GALA ��-r�� G� �y'p+� N Of -- 7-CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. t -� tom' STATE ENVIRONMENTAL-CODE TITLE S -- •+i ��� C` I ;�� ARNf yGj+ SITE. _PLAN-PLAN. LOCUS: 1_UT q CuretycCII�tt� C2C(� l�� i I�1 7, �'n`�•- ' OJAi�1► Q3-A Z`/�3(+�.. i HA 9,G►�-v�.,sV�T Ag ^ yy�� A p I>j 1 — 7,`� yY�i n 126348 $` . - RE'CilPRO,�£�SFONALENGINEER �✓ri+^ i iD G�t�v 13(o.00 To "PEE— �MoVeTj �>�� P� Cs.� • r A REF. - I _ i . f S1 y . W lTi'r .GIE;P e�� ME)�VM 'Ca CO��-. rJ �-�2- Ib "- gown ca.Pe engineering► ��:L PREPARED FOR: ��•L��E.a► tC �OL.L04�S i_c_-,^-II { i i ,1 Cr y-• _ Ir CIVIL ENGINEERS ---- ��,�1IIlI�S 6: ' LAND SURVEYORS -------- BOARD OF HEALTH92a REG.LAND SURVEYOR SCALE :v / (O 1� Q� CONTOURS (EXISTING)-------... �A2N STABLE MA MaIiA�. J- `7 PROPOSED) O- APPROVED DATE — �� t DATE