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HomeMy WebLinkAbout0274 AMES WAY - Health 274 Ames Way Centerville A= 170 125 S M E A C No.2-153LOR UPC 12534 smead.com • Made in USA J,tcrcyb G �� 4 i' Commonwealth of Massachusetts / p--/1z F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 274 Ames Way �J Property Address { ; Judy Scavarelli -` Owner Owner's Name " information is Centerville ✓ Ma 02632 4-20-17 ':'' required for every ,,�, page. City/Town State Zip Code Date of Inspection NO c,r°t Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information -5,/# a on the computer, use only the tab 1. Inspector: key to move your cursor-do not Matthew Gilfoy use the return Name of Inspector key. B&B Excavation „b Company Name 374 Route 130 Company Address Sandwich Ma 02563 Cityrrown State Zip Code (508)477-0653 S113640 Telephone Number License Number B. Certification 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 ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 4-20-17 Inspector's Signature Date The system inspector shall submit a copy 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 shall 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. ****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. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System X1 - `Page 1'of177 © /�V V Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 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 was in working order at time of inspection. 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. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. 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. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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. 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: ❑ 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent 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: 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 ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of 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. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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 considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ 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 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. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 274 Ames Way "M Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. CityTTown State Zip Code Date of Inspection C. Checklist 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 ❑ ® 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? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ 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? ❑ ® 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: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® 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(5)] D. System. Information Residential Flow Conditions: 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): 340gpd t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d See below 9 ( Y 9 (gP ))� Detail: 2015- 113,000gallons 2016- 113,000gallons (310gpd) Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: NA Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.).- Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9M 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Owner- last pumped about 1 year ago Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® 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) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �.� 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: New SAS added to existing tank in 2007 (COC) Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑ cast iron ❑ 40 PVC Under Deck ❑ other(explain): Distance from private water supply well or suction line: Town feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000gallons Sludge depth: 5 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 31" Scum thickness 1 Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 16" 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.): Tank was in working order at time of inspection with liquid level equal to outlet invert. Tank is not in need of pumping at this time but should be pumped every two years for maintenance. Inlet cover is under deck and has a small hatch for access. Grease Trap (locate on site plan): Depth below grade: NAfeet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. Citylfown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: NA Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments G'M 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 11 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.): D-box was in working order at time of inspection with no sign of back up. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): NA * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 274 Ames Way _ Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: (2) 500 gallons ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ 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.): Leaching was in working order at time of inspection with no sign of back up. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration NA Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: NA Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): I t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 274 Ames Way �M Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately DRIVEWAY' REAR �3 DECK Al-26`6" - I ' A2- 0 6" 82.22` A3-63' 83-28' �A4.6 `g �✓ A5-72 85«58' i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 ili Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: No GW @132" feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed. 9-23-07 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain.- El Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Plan on file with BOH. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 274 Ames Way Property Address Judy Scavarelli Owner Owner's Name information is required for every Centerville Ma 02632 4-20-17 page. CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked E Inspection Summary D (System Failure Criteria Applicable to All Systems) completed E System Information— Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 I ' nn �j - �r- No. �b tJ. / � �J Fee Q THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIpplication for ;Migpotal *pgtem Cuttgtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a-j 1 -Me S WO y Owner's Name,Address and Tel.No. Assessor's Map/Parcel Ce.n+ervitte. S�oyvt►tq _►� rt, z�4 kmes \Aja C�n�e -V lite CIA Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �bef-r C-41 two -13-t C3 Excct\,a-t on Davy o ,�•wso n eab l F_S env.,on TA L- 5 3 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3J gallons per day. Calculated daily flow 33 b gallons. Plan Date qIZ310-7 Number of sheets f Revision Date Title Sl+e+ liewtiAe. to r 1 Size of Septic Tank Type of S.A.S. Description of Soil; Nature of Repairs or Alterations(Answer when applicable) 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 issued by this Bwrd of Health. Signed Date 9 1261,n Application Approved by Date Application Disapproved for the follo ng reasons Permit No. �2 Db 7- Lf 7i Date Issued C( .2-1,0 D Fee 1 b Q THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION ;TOWN OF BARNSTABLE, MASSACHUSETTS-'-' ZippYication for 30isspont *pztem Construction Permit. Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.o�,4 A l-n e s v J n y Owner's Name,Address and Tel.No. Ce�1�er��111 >r 1 zuoyvio'Q . z Assessor's Map/Pazcel Al)lee M0. "1"ip Irlree 12 1, Cen�e� ville MA staller's Name,Address,and Tel.No. Designer's Name,'Address and Tel.No. UbeZT C-, II-[ v� - 181 � L= Xcnvnllvn �n•t�c� ,t�tasvn , I �13C n\iif( N V,IAL�ZS3 `i TeCberr _ v -`b�eS�CiGIe C � N o r 1 Type of Building: 7 Dwelling No.of Bedrooms � Lot Size sq.ft. Garbage Grinder( ) " Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 0 gallons per day. Calculated daily flow 3 3 U gallons. Plan Date 9 123 1 C��1 _ Number of sheets Revision Date 4 Title Iie 1 SewCIGe- 0CAn Size of Septic Tank Type of S.A.S. Description of Soil J, Nature of Repairs or Alterations(Answer when applicable) 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 issued by this Board of Health. Signed Date G 1 2 1`5 L 1 Application Approved by 1/' r _ ( Date �o Application Disapproved for the follo mg reasons f Permit No. 2 Ub:Z- L4 2,7 Date Issued q 2-- o C 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-P)i 1--� F_X( in V<I A I b (1~` at VJ n�, t' I l P ti V I I 1 '0- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Per;m-i,t No.20 0�' dated -� Installer (? 1 C`7 1 L 1 L�% Designer �JC1 ►./� C15U rl 1�1 Y1v i l-C. ' �(��{CL� The issuance of this=ta,11. of be-construed as a guarantee that the syot- )&Wic,� n ' de n /Date / Inspector /� _..7bb7' / �� ------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS M!5pool *pgtem CZon.5truction Permit u V Permission is hereby granted to Construct( )Repair( ✓)Upgrade( )Abandon( ) V System located at 2 I y l�\C ne rn i n\4 re- s- 1 -i,1-! 04 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 permit. c_ Date:_ &3 - " Approved by Town of Barnstable Regulatory Services Thomas F.Ceder,Director 'AM Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Vt1)ec Z�20b� Designer: --DWI Q f2. VAk" Installer: 6 FAX Address: . Address:On was issued a permit to install a (date) (installer) septic system at 15!� based on a design drawn by (address) 'r`IkD dated - (designer) I-certify that-the septic system referenced above was installed substantially according to the design, v4iich may include minor approved changes such as lateral relocation,of the distribution box and/or septic tank. I certify that the septic system referenced above was mstalled with major changes.(Le. greater tim 10 lateral rdocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State.&Local Regulations. Plan revision or certified as built by designer to follow. s ) (Affix Defth"?-s` W Here) PLEASE R +'TURN TQ BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMrLmmcE WIOI:L NOT BE ISSUED UNTIL BQ7g-THIS FORM AND AS- BUII,T CARD ARE BY TEM BARNSTABLE PUBLIC HEALTH DIVISION THANKY©U ' Q:Hedlb/3eptidDesiperCeiNcation Form Town of Barnstable P# qV —a I/.— Department of Regulatory Services 1 MRMAR , : Public Health Division Date 200 Main Street,Hyannis MA 0A01 Date Scheduled4:MIT-me Fee Pd. C� Soil Suitability yyAssessment for Sewage Disposal Performed By.. i'/ ' v Witnessed By: LOCATION& GENERAL INFORMATION Location Address C,y 1A mes vQ v Owner's Name U-U f)\, \ / I J n"1 er�(I a Address of 7 y m e S wa y , CanAssessor's Ma �Parcel Engineer'sName �)O V l o Q so n NEWCONSTRUCTION �, �RE�PAArIR Telephone# Land Use R� ©""/s'.' / Slopes(50) � � Surface�Slones /�✓ _ Distances from: Open Water Body ft Possible Wet Area A��ft Drinking Water Well -A ft Drainage Way /y ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) yvl tNf'1��J De pth to Bedrock Depth to Groundwater. Standing Water in Hole: A-//4 Weeping from Pit Face Estimated Seasonal High Groundwater F0 DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used:- Depth Observed standing in obs.hole: in, Depth to soil mottles: in. Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor— Adj.Groundwater Level PERCOLATION TEST Date , Tlme Observation /f, Hole# / Time at 9" Depth of Pere 25 —Ibp Time at 6" Start Pre-soak Time @ 'lime(911•6") p Had Pre-soak 4<:� A! Oil/ Rate MinJlnch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) S Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTICU'ERCFORM.DOC 1 DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. istencGravel) Zb 1 b�/ Z'� C ,� lb � • O !r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) ,E L DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency, Flood Insurance Rate Mau;- Above 500 year flood boundary No_ Yes Within 500 year boundary No '�' Yes Within 100 year flood boundary No � Yes Depth of Naturally Occurring;Pervious Material = Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the t? area proposed for the soil absorption system? If not,what is the depth of naturally occurring per tour-material? ..' ..� I, Certification I certify that on 0 (date)I have passed the soil evaluator examination approved by the Department of Envi nmental Protection and that the above analysis was performed by me consistent with the required training,expe 'se and xp rience described in 310 CMR 15.017. Signatur . Date q - D� Q:\.SEPT10PERCFORM.DOC TOWN OF BARNSTABLE LOCATION P74/ Arles Wcty SEWAGE # 0007 - 'Y P 9 VILLAGE Cc nJ, r u►1 )r— ASSESSOR'S MAP & LOT 1-70 I/PS INSTALLER'S NAME&PHONE NO. oy% S0'9 DGS3 SEPTIC TANK CAPACITY /000 o-I LEACHING FACILITY: (type) SOOgc-.l eI%ctwi5 C3� (size) 13 x aS' x Z NO. OF BEDROOMS BUILDER OR OWNER L) ) la. PERMITDATE: 9'.2G - 0:2 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Al Al-50 .. f3Z -XI/ y A3 -63 , a 3.-y8" A4-66" s0 y -y8� o As -Za ' Front 1�wo I1 1 11 9 THE COMMONWEALTH -0f7 MASSACHUSETTS BOAR® OF HEALTH Tovm.. .............OF..........Barnstab.le--------------------------•--------............ App ira#ion for Uispoii al Works Tonitrurtion ramit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Amez..Way...........Centerville.............. ..................................L.Q&...225•............................................ L cation-Address C �,,,� '" , .................. —o••LJQ ---•--............................. .......... .. �� Owner + Address )ejs.z------•-•-••..................................... .. ..............---...__...--.----•------•-•----••--- Installer Address 17,025 dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.............3_............................Expansion Attic ( ) Garbage Grinder PO) '_l Other—Type e of Building No. of persons............................ Showers — Cafeteria a yP g P ( ) ( ) Pa Other fixtures •--------------------------••••. . W Design Flow................55.......................gallons per person�p�>,tday. Total daily flow ..........................gallons. WSeptic Tank—Liquid ca.pacity.-_.------.allons Length.........ti ...... Width---�:_-__11---__ Diameter-_.____________. Depth... ..... x Disposal Trench—No-------------------- Width.................... Total Length-------.......__... Total leaching area_.....___.__._ _sq. ft. 1 lo' 6' 267___.._s ft. � Seepage Pit No..................... Diameter....... Depth below inlet.... Total leaching area.___.__.._. q. Other Distribution box ( X) I Dosing tank ( ) '-' Percolation Test Results Performed b Ap! ..Cod Survey COnsultantSDate....g 9 7g aTest Pit No. 1.... __________minutes per inch Depth of Test Pit.._...12_...._.. Depth to ground water-____none----__ . Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......... p p 0.0-�;5 wood loam 6. =2:0 subsoil 2.�=b: .med;..--._.o . ,,zk�.oE.nags�gy Description of Soil-- ' -------- -- a o x Sand;..6:C.=11'*� 66T*- white San RENWICK ----------------------------------------------------------•----•-••---••-.. -- -----•. . .. -• ----- ----•------ �....._..--- w -------------------------------------------------------------------------------------------------------------------- - .......---••-••---- e y /� MAPMAN U Nature of Repairs or Alterations—Answer when applicable._______________________•__--_CF`�____� .................... --•...............•----------•---•-------•-•--•---------•------------......-•-----•-••---•-•----•-•--•--••----.__..---................................ 7E����� Agreement: �SS�ONAL ENG\ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accorda the provisions of iITNU 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 by the board of health. Sied-----•- -`fit-'.'--...��---Si7�^_�^----------------•-----------•- •---------------._......._...... Date Application Approved B 1 -4- .--••-•-••••••- PP PP y---_.. Z-� i " , Date Application Disapproved for the following reasons:.................................................. ................................. .......................... ......................................-••------------------•----•-------•-------------•---•-----•-------...-•-•---------•-------------------•--•--••--------------•-••----- ---------------•-------- Date PermitNo......................................................... Issued-....................................................... Date Nopno_...... r FEB ............... THE COMMONWEALTH OF .MASSACHUSETTS BOARD OF HEALTH TOx+llra.....................OF..........Barnst.able................................................ Appliratiou for Ui_qvuiial Works Tom ritrtiatt rrutit Application is hereby made for a Permit to Construct ($ ) or Repair ( ) an Individual Sewage Disposal System at: ................_Amy$_.Way......a---Gtintermi le......_...-•-- ................................. _ p Location-Address �" or Lot N ........... .�t`_ ..:_i .. d 3Z�--- a.. ` �A°ti.L. .... G+ Owner Address ------•- ir� / Installer Address a ! �05 d Type of Building Size Lot............................Sq. feet Dwelling—Nor of Bedrooms............3.............................Expansion Attic ( ) Garbage Grinder P©) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) aOther fixtures -------------------------------•-----------------------•-•-----•--••••---••••---....--------------••-••... d W Design Flow................:..•-------------.. ._ gallons per perso day. Total a 1 w..__.._________.____...-__.--------•-_-- WSeptic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench—NQ_____________________ Widt _. _.............. Total Length------- - ._ Total leaching area_._.. . sq. ft. Seepage Pit No................ Diameter.................... Depth below inlet.....�r......... Total leaching area...�6 ......sq. ft. Z Other Distribution box ( ) Dosing tanlb�d) SurveyConsultants � 2$ 79 Percolation Test Resu s Performed b .... ............................. .._ .............._ Date.... �...._..._.._..____.._. 12, none a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_..........._........_.. G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water............. 0 0.0 0":3 Mood -�:®sa��.. a.5-2.a••st�bs t 1'.... i _e .......... rpss Description of Soil = . ../�.---- 90 x sand b.e = ":0 med: wbbe s o= ti V REND* u, W B o . to U CHAPMAN Cn U Nature of Repairs or Alterations—Answer when applicable......................... ...�____ _ __ ._ ...A .-A 1V'o 77654 p � -----•----•-----•-----•...............•-•---•--------•----•-----•--•--•---------•----••-•---------•-•-----------•--------------•-•----.....---••-•-••-•••---•-•-•••-•••--.. Agreement: �FFSS/ ST The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accor the provisions of TITLL 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 by the board of health. Sied_-•---• --------------•-----.......-•-•-•-----•------....---------•-----•-•--•-••---- ................................ Date r [ Application Approved BY {�. °--------------- Applieation Disapproved for the following reasons______________________________________________ -----------------------------•---•-----------------------•-.......---------------•-----•-------------------••-••--•-----••-•-•---•----------••------•-••••-•--••-------- ------------------ ------------ Date PermitNo................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........Tawas.....................OF...................�stable.................................. (Intifiratr of Taamptiattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (X) or Repaired ( ) bY---------..V41Qmt1o_/_�.,bx.o.tkl£�8------- -----------•--......z......-----------------------------------------------------------..........-•-.._..-----...._..------------ .iJot 2�5 Ames Wit -C.nntervi .l-W-aller at.... G ---------- --- V has been installed in accordance with the provisions of Tyr M 5 of The State Sanitary Code as described in the . application for Disposal Works Construction Permit No..�__-_V.1jLa................. dated___. ----------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI L FUNCTIO S TISFACTORY. DATE --•-/- .�------------- Inspector_...... .� .......•-:....._41....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town . =......--•--•-•............._. z No........_-.0;.i...... FEE........................ - Dispoottl Work,5 Tomitrur#uait rrmit Permission is hereby granted...._..VL 0.r.ina Brother 3 to Construct ( r Re air 1 a In Ividua wage Disposal System at No. L©' Z ATfI 1c e22@iQ............................................................. ------•----------------------------.................................... Street as shown on the application for Disposal Works Construction Permit IN0.7 --/-'• Dat d T' 1 �..'--------------------- .............. zd.� Boar of Health y DATE......-•-----................................................................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS LOCATION 3 " SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME i ADDRESS C 4Z42f�/ti IUILDEIII OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED fJ JYd r 4 1.2 -� , -, v.:.-,...,.,+xn�_-.�. _n A,-: "^'r.�..-- . +Y �..-, 4 ,v _ __— .r.-, -I T . -. . . - x ^. --I I.. -,••T++af .w ____ I I _ ' C t a,- .,,_ * z . *,, > ,,`Lr J r _•. ,r { J s.:Y I f*I F - ;`e'.y. s r.� -� Il.t..v.�., .e - _ .. s�11 7t 4 �r , 0, .'" _ i -.v' J ,,--`!4 ap...r - as r, 1 lc sr+- ' . S'O''t i.. LO w I.4—'�r l-0l..$40ft+J:I11, 'I n1k MI II II Il Ij 1 „44. : r�J. t + 'y,'S+ 'S''t' w+ t, +. t=♦_ .. + i- F` wY',_S- t .. 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'� , . p e = r , F. t; € ,,; )C {� 7 -., :c , .a• 3 ., .. u, . :-/� r. 4 : •'J J 0 ..,+N`.- *Y rtw ,,.r A. . •k..7f . t -� ;s . • y4 P!2'A,-V .S . -f nI.�I •., ► 0�a A °A^'-c - Y.'Lt-,.; q wr X- I r. T . , ,,,,��tt _ .. I� t 1 A 4' _ *' 3«.,tij3;- �.''F. Y:»' 3.: �,.r +7 .,'Ef 2Q• tlf Ma N.: + `s�'i.!� ~:`: �J,•d el.l - { r .i f .y _ - .. 5".+. " ' - FOUNDATION, {,1' f', .'AlI N,. -:,, t .,, 0, 4« _t,• t, / .s ;. }. '>* f � ..:1,. ,.3`-�,-.� ,� w:Y'i.°"a..A'',F._ .�., . _ WASHED ,.STONE; .�, 4 ��C.' - f,}�y.5°`t#,F+�Tr ' .. „ „s,.,w.i"� k,,„�}.. yy.,s-s. " x. ;:f I ' ~1 ., 2.. .. :y-. '- "�,.' s. 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I + .. . - ..0,•e,.,"'� _ ,._r ....wi,.,.._ .�.e.+.»,,.- .-.'..,.,-,. ... _.---_ ,-+'„ I-f-._, —..e �. , . ,«,._ . _+. .. , _ . t.:. }. � �a.-.•,.•,,.�-,.-«»._.-...-.. .. - .,,..,,,,"..,,.,,,,III-«« ,,.°' y 4. . v� . 1 .r•j0' - ..........,..ram"-" ... _ '. i l f r+r • 1"J•rrr ,--- .rru• 's.�" "'..� J1II \ .,-" .',' pM. t " I • ." '1 •'' C1;3. _ � Q2 o�� RENVt�iC}i cy� 1 . , . �..- C,4 I , AF5 v CHAPMAN v, t, . . w .#�+ J /_p � I ,F,.No 27654 Q � ,V1 ,o - - r A� .. {r , t ._ - - �)�a)#! ,4t:r�c►tc-r 16" 47414. 90 - Ada.` A;01— /.f 17, •'t , ' '7'�`rp" ?,f.-y si,F, fff 0- "0 . .. , ;; 'r a , , - 3A} 'j fi,�•e.r 1�,,*'r&,e* . .Q ie,+;Pd 4.� G.4 '7`2. �,r�4�# ` 'ELEVATION SCHEDULE • ", - PROPOSED SITE PLAN ` 'q4"4 - L iINV. AT FOUNDATION = - � , .<= - w. • ` SEWAGE SYSTEM DESIGN { 4-.4Z . I i = 2. fN,V.` INTO "SEPTIC TANK = - f IN , 1 I,-;.{: { 3. I-NV.` OUT'-OF SEPTIC TANK = a,' aR4�AJZrA F :' �+eeS v II..(,,.& ". �A 15 �:. �. - _ . '"{&"' 4. INV._ INTO DISTRIBUTION_ BOX 1*`A. q ' r SCALE. Irt._ , .� 7 19'7 f " CY> .r q x R 4 5. INV. -OUT OF-DISTRIBUTION BOX = 8 . -- C �'I43—os 1 : 6. INV. INTO. SEEPAGE PIT _ /.3 0 CARE ' COD SURVEY CONSULTANTS ' ROUTE 132 . '''" *- 7, BOTTOMS OF PIT I . • ' = 81, 70 • • ,f ' ' HYANNIS ,MASS. } t' � - - I 6." y. a I ASSESSORS MAP f _ ._ ..»_ -..____._ ._�_. TEST HOLE LOGS NOTES: PARCEL : W FLOOD ZONE: J `' f G�6 SOIL EVALUATOR: �. WITNESS : WWA "log-AA-A(A I ' 1) The installation shall comply with Title V and Town of Barnstable Board of REFERENCE: . DATE: Zj PPI Health Regulations. PERCOL T I ON RATE: �. 7- tom• t , 2) The installer shall verify the location of utilities, sewer inverts and septic c',.. °� ¢ry 1!�!4... _. �t�� 7+ components prior to installation and setting base elevations. ..•� - �� TN-2 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8' per foot. The first ` � S - / � two feet out of the d-box to the leaching shall be level. 0 G L 4) This plan is not to be utilized for property line determination nor any other purpose other than the proposed system installation. Z o 5) All septic components must meet Title V specifications. o , 6) Parking shall not be constructed over H10 septic components. �3' 7) The property is bounded b property corners and property lines. YP P Y P P Y LQCAT I ON MAP 8) The property owner shall review design considerations to approve of total design flow and number of bedrooms to be considered for design. Receipt of t-` payment for the plan and installation based on the plan shall be deemed approval of the design flow by the owner. 9 The existing leaching or cesspools h) g g pao s shall be pumped and filled with material per Title V abandonment procedures. Those within the proposed SAS shall be 3r� removed along with contaminated soil and replaced with clean washed sand � per Title V specs. 10 System components to be 10 feet from water line. Sewer line r 1 � ) Y P s crossing the - g ..�.� . .� water line shall be sleeved with 4 inch SCH 40 PVC with ends grouted if SEPT I C SYSTEM DES I G N applicable. 11) If a garbage grinder exists it is to be removed and is the responsibility of the P Y { FLOW ESTIMATE owner to ensure such. t 1,2 The installer is to take caution in excavation around the line ' O ) gas ie if applicable. r 3 BEDROOMS AT 110 GAL/DAY/BEDROOM - 3 GAL/DAY 13)The installer shall verify the location, quantity and elevation of the sewer lines E f 0 exiting the dwelling prior to the installation. SEPTIC, TANK 'Aj , .". ,. . GAL/DAY x 2 DAYS - GAL USE ���GALLON SEPTIC TANK��j`��� tl t t n _ f,% �✓� t .,. SOIL ABSORPTION SYSTEM I Z\� �J���s If SIDE AREA: 4. - , ' v BOTTOM AREA: �-� SEPT C SYSTEM SECTION 1 W_ : . §- �. J F f `' l w p o 9'M�d ' v , p�gFt 2 PPl £ :. fit - '. i Mtn• 1� �..,..�. I.I a.`� / ��� �� .3xr= ' � °� } �Y R � �-�5'.aR LL f'� •i fa GAL : 'i.�7 C�vQ,.f� � ICI �--�"°� �� qIl'7�S E Pr,l C TANKcry,/644 ?f,\ t(.Cydj ",. f 'MIZ.Z' LOCATION : �2�' q��.� �4 PREPARED FOR XG' +,� { In / o - SCALE. DAV I D B . MASON,RS DATE: 1431 z DBC ENVIRONMENTAL DESIGNS z EAST SANDWICH . MA W W DATE HEALTH AGENT ( 508 ) 833- 2177 Z