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HomeMy WebLinkAbout0056 BAIRD WAY - Health 56.Baird Wa,, Centerville A 171 277001 0��t fo n cd, NO. 1521/3 ORA , I ti- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is required for Centerville MA 02632 10/16/07 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your Robert J. Bortolotti cursor-do not Name of Inspector use the return key. Bortolotti Construction, Inc. 1Q Company Name f� P. O. Box 704 45 Industry road Company Address Marstons Mills MA 02648 City/Town State Zip Code 508-771-9399 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and thafthe information reported below is true, accurate and complete as of the time of the inspection. T4.he 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 1S.340:of Title 5(310 CMR 15.000).The system: Passes ❑ Conditionally Passes ❑ Fails € •, FiJ ❑ Needs Further- valuation by the Local Approving Authority t� (0 57 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. l5insp•08106 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts f N W Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form -Not for Voluntary Assessments' ` 56 Baird Way Property Address Rachael Cole - 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is required for Centerville MA 02632 10/16/07. every page. City/Town 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: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N,.ND) in the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying.septic tank as approved by.the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years.old is available. ND Explain: ❑ 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. t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts . Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form Not for Voluntary Assessments 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is Centerville MA 02632 10/16%07 required for every page. City/Town State Zip Code Date of'Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ 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 pipes) are replaced ❑ obstruction is removed ND Explain: 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 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. t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments" 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is required for Centerville MA 02632 10/16/07 every page. City/Town . State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board,of Health (cont.): ❑ 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 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 El ❑ 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 ❑ El Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool a ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow ❑, ❑ 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. El El tributary portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-,Page 4 of 15 g� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form =Not for Voluntary Assessments 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is required for Centerville MA 02632 10/16/07 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ❑ 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- 10,000g pd. ❑ ❑ 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 15,060 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. t5insp-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts s W Title 5 Official Inspection Form Subsurface Sewage Disposal System form-Not for Voluntary Assessments 56 Baird Way Property Address Rachael Cole - 152 Caribe Isle, Novato, CA 94949 . Owner Owner's Name information is required for Centerville MA 02632 10/16/07 every page. Cityrrown 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- 0 ❑ 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? El ®, Has the system received normal flows in the previous two week period? ❑ M 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) . 0 ❑ 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)] l5insp-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is required for Centerville MA 02632 10/16/07 every page. City/Town State Zip Code Date of Inspection 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): 330 Number of current residents: vacant Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available (last 2 years usage(gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: seasonal residence Commercial/Industrial Flow Conditions: Type of Establishment: 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: Last date of occupancy/use: Date Other(describe): l5insp•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form �s Subsurface Sewage Disposal System Form Not for Voluntary Assessments 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato; CA 94949 Owner Owner's Name information is required for Centerville MA 02632 10/16/07 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: .Source of information: Never,been pumped -only five years old 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 copyof 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: Five years -information provided by owner Were sewage odors detected when arriving at the site? ❑ Yes ® No t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 115 ' Commonwealth of Massachusetts = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is required for Centerville MA 02632 10/16/07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: Inlet 12"-Outlet 14" 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: 10.5' x 6' x 5' Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 31f Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle ll How were dimensions determined? physical observation t5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form =Not for Voluntary Assessments 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is Centerville MA 02632 10/16/07 required for every page. City/Town 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.): It's a 1500 gallon precast septic tank with inlet cover 12"and outlet 14" to grade,,it has plastic inlet and out let tees with 3" scum and 2" sludge at time of inspection. Grease Trap (locate on site.plan): . Depth below grade: feet 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 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: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): t5insp 08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth,&Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is required for Centerville MA 02632 10/16/07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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 Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert Working level 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.): Distribution box is 28"to grade and at working level at time of inspection. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No l5insp-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 15 I_ Commonwealth of Massachusetts u W Title 5 official Inspection Form Subsurface Sewage Disposal System Form= Not for Voluntary Assessments M 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is required for Centerville MA 02632 10/16/07 every page. City(rown State Zip Code Date of Inspection M System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 3 ❑ 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.): There are three 500 gallon leaching chambers with component and top of chambers 3' to grade-they were dry at time of inspection with no indication of having been any higher. 15insp•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °F 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is required for Centerville MA 02632 10/16/07 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 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 Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): l5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form w a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ^M 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is required for Centerville MA 02632 10/16/07 every page. City/Town State Zip Code bate of Inspection . D. System Information (cont.) 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. ISC D 5-ep ,3 p �3 or) &Y � d (Alba l5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 15 Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 56 Baird Way Property Address Rachael Cole- 152 Caribe Isle, Novato, CA 94949 Owner Owner's Name information is required for Centerville MA 02632 10/16/07 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells P Estimated depth to ground water: A5 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: Date ❑ . Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) [ Accessed USGS database-explain: You must describe how you established the high ground water elevation: or l5insp•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 Permit Number: Date: Completed by: a,!57 HIGH GROUND-WATER LEVEL COMPUTATION r Site Location: f � Lot No. Owner: �/� Address: Contractor: _ Address: �✓ ✓i',. k/5 ��1 i. Notes: i STEP 1 Measure depth to water table to nearest 1/10 ft. ................................ ......... . .............................. .Date.." month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: OAppropriate index well ... .............. ...:... �� O.Water-level range zone ....... ................... ...... v STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to water level for index well ............................. d9k � month/year STEP 4 Using Table of.Waterdevel Adjustments for index well (STEP 2A), current depth to water level for index well (STEPS), and water-level zone (STEP 213) ' determine water-leve ustment .........................................................................................: STEP 5 Estimate.depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ............................................................................................................. Figure 13.--Reproducible computation form. 15 A' F ^ 00 1.d ii yo) f is J Town of Barnstable OF THE Tp� Regulatory Services B„�SrABLE Thomas F. Geiler,Director MAM 9$ 16 9. ,0� Public Health .Division ArEp�yp Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the "Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. Mar 13 03 02: 03p Stan Schneider 508 457 6490 p. 1 w D 1� n Q? 0 7 JgOCl6 .I J� / r' may' '5Z J, 2-6 � � 3�' TOWN OF BARNSTABLE # Z66Z—I`79 �SESSOR'S SEWAGELOCATION � — `� &LOT t�"f� Yl/i�� MAP J oZ VILLAGE �� a din n Q sd y INSTALLER'S NAME 8c PHONE NO. /S60 SEPTIC TANK CAPACITY (size) LEACHING FACILITY: (type) 1 No.OF BEDROQMS BUILDER OR O R ,ch t 2� p 2 COMPLIANCE DATE: PERMIT DATE. Separation Distance Between the: hingFaciFeet Maximum Adjusted Groundwater Table to the Bottom off a wells exist lity Feet Private Water Supply Well and Leaching Facility (B Y on site or within 200 feet of leaching facility) exist Feet Edge of Wetland and Leaching Facility(If any within 300 t of leaching facility) Furnished by n ) C_ 30- 6 `l S W j A 0- 35-= 3". g G TOWN OF BARNSTABLE 4 LOCATION /► S / % e'Gll �,L�Cc l.1 SEWAGE # VILLAGE ( �kr74e ASSESSOR'S MAP & LOT I'� - 27�I'Oo r INSTALLER'S NAME&PHONE NO. L-TA 5r/N SEPTIC TANK CAPACITY 15'Q LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWN R l C/1 PERMIT DATE: -[ Z� U'Z 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 t of leaching facility) Feet Furnished by _� �� 2Pas -iv OL G No.�`--`�_ - - �lJt��U Q Fee Il)O THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS �* 2ppfication for Migogar dip.5tem Conotruction Permit Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. �� (�p�� I.Ae� �ak�er� Owner's Name,Address and Tel.No. e e I ISM, Call Assessor's Map/Parcel 14 SG Pat, St,.0 AW+ A- 1�6 171 - Pe-1 277-1 5 Installer's Name,Ad a�s s, d Tel.No A, Designer's Name,Address and Tel.No. SO IF—i ZZ -r 13/ V `pK %t 15 �otUa`�t I�Soxtor, a1�c t I-d•0•a�we^ 10 Ll 2-0—qq OZ �sker�0 rYlass. O 2�S.S 1 Type of Building: ODwelling No.of Bedrooms -M -ce- Lot Size -72, $01 sq.ft. Garbage Grinder(N e( Other Type of Building No.of Persons Showers( ) Cafeteria.-( ) Other Fixtures Design Flow- A I BO !%&2A/6 fJVV:w% gallons per day. Calculated daily flow ��® gallons. Plan Date 41111 ez at • Number of sheets 0".- Revision Date Title �Whe_ *i s ho- Ge-6 9a - 541 Gay v J (., f4 Size of Septic Tank s s-oo Type of S.A.S. duec4 oCA~aril (3S 'X 12.E n t'6 j,,, Description of Soil, 12&474, J-• so; l tar v-. platys P- 10t Z®S Nature of Repairs or Alterations(Answer when applicable) ` I Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance wit a provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has issued by this d of Health. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued 1 25 ZC� c�— L Enter d in computer: THE COMMONWEALTH OF MASSACHUSETTS, � '. g p � , ,- / A '' 'PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MAS.SACHUSETyS .$ zM 3paprication for Migpozal *pgtem Con.5truction Vermit t y Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. RacHc1 M. Coll Assessor's Map/Parcel ~\�'�\ ` Iq 56 Pa fpf h c ,- Installer's Name,AdrJ�ess, d Tel.No. (^ ,^ Designer's Name,Address and Tel.No. So S-q ZS' p nn Fd OX ?p.�" LoTU��M t 1 al�oxtw hJyc t410 Hnl•,yw. —""�� ' Osler�� nlc 02Gss �Nie of Building: �'P g: O Dwelling No.of Bedrooms Th r cc- Lot Size -7 2. 1,o► sq.ft. Garbage Grinder Wo) 'Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures L Design Flow '1 I jv2d(6cd10. gallons per day. Calculated daily flow .3.3 O gallons. Plan Date 411116z Number of sheets awc_ Revision Date 411�'oZ Title 5ck2hc Scet►c. V-0-49A - SG I�c�ircQ Qc.4 y Size of Septic Tank /Soo Gallus Type of S.A.S. hce--b 64,4+h is 35 %(12_')C z'L,i�, '"D=cription of Soil R L7, d.. -5 o 1 16 4,o c.-. 1 r ,- P- 10. Z o s -- =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 widt4,ie provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance ha7sbeck issued by this d of Health. Signed Date Application Approved by Date Ll/),7 Application Disapproved for the following reasons Permit No. �' \�Cl Date Issued 7 0-25— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the_0 -site Sewa a Di o al ystem Constr�. Rep-aired( )Upgraded( ) Abandoned( )by 1 at 15 L-I Q-4`:",ILk i y rhas' been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No ]f - 1`7ci dated yr�LCl2 Installer Designer The issuance of thfs peryiit shall not be construed as a guarantee that the sys will fu tion as des'gn d. s Date Inspector f No. C")�� - `�� -------------------------Fee �U�THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migozar *pg;tem Con.5truction permit Permission is hereby granted to Construct )Repair( )Upgrade( )Abandon( ) System located at i '�'�l 1 � l C !✓, k� I 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:(Co struction must be completed within three years of the date oft ' .permit. Date: 6 L ch Approved by ' r s j C 1-FlF C, COL C cCHl 7Y-,utc �� � � Sib$ -� �120 - �113 L J-1 3 I I e j � ol /.f f �I _ I 1 t� I t _-------------- 38' 10'6 5'5 22'1 8'4 2'2 T6 9'4 ��5'3 10' a co o c� a 9'9 N N So 50 N N N 54 53 rn �— ao 17'11 ao `a M CV) rn � UP • � M L 15'7 411 7 42 10 7 4'11 16'1 JUVING AREA 21'11 1064 sq ft M k 38' J. 38F- ' 6'2 25'8 6'2 7 `t vr �o co V N . UP `r �t LIVING AREA 43 sq ft 38' LIVIN(i AREA 1 064 sq it --- .. --- ---- --- 38' - -- 4'8- 5'6 - ---- - ------- - -- 27'10 i i (O FO I � i i i I I i T T i r I co I i I i I i I I I T r T T co Zo T T I I I I 38' LIVING AREA 1099 sq ft ' ^ XS ,,?•cox R / ASPF+ALT SHINGLE 0 c— E>< I 1'l Y ,R $HEETROCK I • l i TYVEC t ,R'COX PLYWOOD ! j 2X4 16'O/C 7 • i 3�r ;- ,. vmtTE C"cD R S�iWGLE. �• ' r _ —_..._ f :L 4a ER SEAL !ALLY COLS IM:.-.�—___-'— �I Y COvCRETE FLCC.R : r 016 VONC�Rl,7E P1(15.CONCE _ :F.00TING'€i�r' FOOTINGS �h�lr a "�l' - Y. W f qq`lt'IL.ix'Tf ,�'-"��.r. .:..i..4Y•i.Lin.l;i1i • r � r y , _ i "l:'oWn of BarnstAble Depa Hill oil t.af,lle;trllit;Safety, and Cnvironulental Services. ,lier>j l'uiillc I ea Wit Divisiota: : Date 3(17 Win 51rco,Ilymulls MA 62601 1 nArwetAnr.F = IaJy. `0�' 16.79. Bale Sciledtlled 2 finie ) a I b UU�Tr Fee I'tl. I - Soil Suitability Assesmient,for Sewage Disposal I'crRmucd I)y: (-A)i)ser) hvllness.ed By:-. 'Da,P>:. � •:.�CJ.C�,:X:�UN �.�l,1VX.;XtA� lN>i.Ultri�A.taUN t,oenildii Address. ,�, V ^.I�cQ (, // L Owner's Nnu1e /�ic�c*,2� c / " 6C PI V C'r,j I Y oll•z' _ '� Address 'C�a,�z-stir/Gc Assessor's Map/I'nrccL 101 J�% ©/ 77'-/ tinginecr's Nnmc NMV CONSTRUCTION ,,_v"_ RGPAIIY '1•elcphonc ll .5t -4.zpr—c 13 Lnnd Use Y'¢S teA4.n 6AL-r '1I r1.6d Slopes("/") Soifnce Strnlcs Distances from: Uperr Wnler Body Il Possible Wet Alen (1 Drinking Willer Well it Drainage 1Vny' . It. I'ny1c11y l.11ic It Olbcr SKETCH: (Street onme,dimensions of lot,c,.enct locntloos of Icst holes R pert tests,locntc wc(lnnds in proximity Ill holes) 134,,E TIP i 4U P6 r I'nrent Innleritrl(geologic) Qa 14at,k Du!w Depth to Bedrock Depth to Groundwater: Stmding Wnter in Ilole: Wccping from I'll Pnce . r Gstimnleil$easonnl I ligh Groundwater 01V: ;( XtS,ON L.1Z.1GA1V '1' + 'i' 113LL' . Method Used. Ueplh Observed stranding In ohs.hole: In. Dc11111 to soil 1110NIes: Depth to weeping frolii side probs.hole: in. Gruundwnler Ad•lustmenl Il, ,-�r- Inrle.r Well N_.. Rr.nding Dnle;__._•, .lndcx Well level _ Aril.'I'nc!or ._ Adl,(irunndwnlcr i.c%'ci _ Z.a✓XtCGIL x�ON:. ::;.,lid >;:. ..;... .. Observniimi Flolc N Time nl 9 Depth of Pere Time al G" Stmt.l'rc-sank"Time Q Time Gad Pre-sonk I , hale Min,/Inch Sllc Suiinbility Assessment: Sile Pnssed ,.i;; Site fnllcd: Addiliminl Testing Nccdcd(YIN) Original: Public,Ilenitll Divisloli Observation 1101c Win To De Coniple(ed un Bncli j Copy: Applicnnt '. . I .. ` �P . ' . ,.. . 1. .. . .. .. .. .,;: . .:;::':.: : . ;::::. :;. IGIC" � 'v "> X v X1Ct�X DC (eta# .. . Depth frani Soil I lorizon So11 Texture Boll Color Soil Other Surface(In.). (USDA) (Munsell) Mottling (Structure,Stones'fJoulJeres. . . may.%Graveh .,4:ee. 0 -li // See-rQ da���n r 0t? S/ . . tr q ,, . mar �-Q!. ., {Yl-t- .SP - !.a Y►z A . . c> r stoA-xON.ft.*O >. #o1e:: . beplh froin • Soll Florizon Soil Texture ' Soh Color Soil Other Surface(in) (USDA) (Munsell) Mottling (Struclure,.Stoiles,I3uulderes. . ° d_ ri 0— -. : 0. .q b. o r G I. S•< fa w 7' I. . �"C�►X3 XtVA' 'xlON C� : :Lb fait;- bepih horn Soli Florizon Soli Texture ....Soi(Color Soil : Other . .. ..:. Surface(in•) (USDA). ,(Munsell) Mottling (Structure,Sloncs,[louldcres. . : . . . .. ,t'sisie y,_%Gravell . , . . . - . . . . . .. _ .. . . . . , . . f 1 0: :;:..,:... .. .: ..... D�C)<:QS. .ILATICII'V HC)L 'Tis.O:G '`<> >`:'::''' Depth froth..' .Soil Horizon .Soil Texture Sotl Color Soil Othcr.: . 5utface(in.) (USDA) .(Munsell) Mottling (Structure,Stones,tloulderes. 0 cv:%Gravpil ten . .. , ..... . . . __ _ ,4 . . . . .. FloodJasutance Rate Mao ti 40 . Above S0 year flood tioundary` No Yes . _ With!"500'year tioundary No Yea_ a . . . W.Illdti l00 year'(lood boundary:No YesT De' tI of N tiraliv Occurring Peryiouc MaferlaI: . :.: ::I Does at least four feet of naturally occurring pervious material exist in ail areas observed throughout the , urea proposed for file soil absor.1 ►. system? ;...v It`not; 'what is the depth of naturally occurring pervious material? : . ,: yea ".. Cet tification l . .. t. l . I certify that on 6 T- ,(date)I leave passed the soil evaluator examination approved by the:. bepalt(nent of fin;, ronmental Protection acid that the above;analysis was performed by me consistent with' file required training,expettise anil'experierice described_iti 10 CM1Z 15 017. Signature, Date 4 w ® .. a. , .. / �" . , — - - . 'To Nva1 Of Barnstable Depnrtgtent of.11e;hlth,Snfety,'aud. Cnvlronnteni.al Services �Of MR Public He"llth Divisioli< Dale jo Main SlrccI,i lymmis MA 02601 nAtwrrunt.F ! gale Scheduled ,'� �� •riii;c �.b;ou 4v✓j i�rc Ind. _lam.._._-------- Soil Suitability As�sessi»ent,for SeWa e Disposal I'crfonued Uy:_Sat,vc, ��i l.�Crt 4YlUressed IJy,; �lJati�.. .S 7�ty4'�LJI'_--� N . . d: f1'1'IQIY &.GLVNtAAL 1NFQ' 104A't1 N Locniion Address. , 6 Cc m vi fro i r �j Address N Gc�z✓-rr-yr/Gc Assessor's Mnp/I'nrccl: 0AO,/;P' / Zy7-/' hnglne 's Nnmc NEW CONSTRUCTION 1/nn i 13PAIR 'Telephone It Lnnd Use re's teQII.n Ft�eX /fl6 Life '1 rVA Slopes("/") suirnce Stones bfslnnces Rom: Open Water[Jody It 'Possible Wcl Arcn it Urhrking Wilier Well II Urninnge Wny . 11. Properly I,Iric II t)tircr SKETCH: (Street name,dimeiulons or lot,c,enet locn000s of Icsl hales A perc Icsts,locnle wetinnds in proximity to holes) l- A`� P6 t Parent Innlerial(geologic) G ( Oul-w Depth to Ucdruck Depth to Groundwater; Sianding Water Ill I Jule: 1Yccping from I'll lace . rslimmea Sessonnl I Ilgh Groundwater ( Xt:8E. SONAL11.1 ��VA`l'!t 'I`:AllUf Method Used: Depth Observed standing In ohs.hole: In. Deihl In soil inoflles: Index W01 d rtrndhig Dale: Indcs Wcli Icvcl AdL'I'nclor Adl,Urountl��nicr i,ercl ::.•..::: .:.. 1.1�N:�'�.,5.1'• :a)gff:ii Illk . ; Observa0mi lolc H 'I'Ime nt 9". i)epth of Pere 'Time nt 6" Stmt.l'rc-snnk Time Q Time(911.611) ` End Pre•sonk Rate MinJinclr _ Site Suilabilily._Asscssntetd:.,Site Passed_{i : . Site mailed: Addilionnl Testing Nceded(YIN) OriglirnI: Publio.licnlilr Division Observation hole Dntn To Be Completed un Brick j Copy: Applicant Depth from Sofi Horizon Soli Texture "Soil Color Soil Olh r Surface(in) (USDA) (Mansell) MolllLig (Structure,Tones,noulderes. . . l! // :_:' SAt«_��q �e:esaaq•y .�.� Sri/. ,r ..eil' 17)vEY' i�BSRyATIC�NUL'�L,�C I#ole# . . beptit from Solt Florizon Soil Texture Soil Color Soil Olhei Surface(m.) (USDA) (Munsel.0 Mottling (Structure,,Stones,Doulderes. Consisic i.% ,rave Depth from $oil Horizon Soll Texture Soii Color Soft Other Surface(in,) (USDA) (Munsell) Mottling (Structure,Stones,Ooulderes, e Depth from `foil Horizon. Soil Texture Soil Color Soli Olir r Surface(in.). (USD,A) .•. (M.unsell) mottling. .(Structure 8:ones,Doulderes. 'Flood lusurance Rate Man Above 500 yerlr flood 6oundary` No Yes MINI 500 ybar boundary No lam : Yes Wltldn 100 year'(lood.botindary`:No ! I Yes tenth o Nnhtrally Oc,grrinQ'Pervlous material., Does at least four feet of naturally occurring pervious.material.exist in all areas observed throughout die ..area proposed for the soil absorPoll system? 1 ]f not, 'what iS the:deptli,of naturally occurring pervious material? Certification t I certify that on r /`yLS (date)I have passed the soil evaluator examination approved iry the Departinent of environmental Protection and that the above,.analysis.was performed by me cols;istent with require traiiiitig,expertise and':experience described in 310,CMIZ 6 17` Signature ��xa i'�R rrW Date C 4" A" LEGEND EXISTING SOIL IDGS PROPOSED PK/NAIL FND "Yy ...... DATE:Aprfl 4,2002 0 0 *V15 p 4. P# P 10,205 PK/NAIL FND All, Stake & Toc Set/Found ENGRVEER: BOARD OFBEALTH AGENT: #A, 1, 4 N-� A,00% PK Nail Set/Found 0 Stephen Wilson P.E. Dave Stanton Concrete Bound 40 @ Gas Gate lo, (I ri .0. TEST PIT 2 ER TEST PIT I !�7 I tl i Meter,, 7 Electric 0 G.S.E. 52.4± Catch Basin G.S.E. 52.4± \�B/DH FND 0" 0" TV/Cable Box , 4-, 0 E LINE TABLE PK/NAIL FND ne' Ris&I Telepho L1 4 5- TH BEARING NE LENG ility Pole ra Ut Ll 9()00' NO2-53'59-W UP../#1231/4 5" 4" Contours 0 CB/DH FND Spot Grade E 20000 1�h Sandy Loom Sandy Loom 41� PK/NAIL FND/CL/IN Test Pit 10 YR 5 _12 311 9 9" 10 YR - j -A PK/NAIL FND 9" 9" `t7j Sandy Loom V .4 or r n 2 Ac 22 10 YR 5/6 22" 10 YR 5/6 A� STK/FND 22" 22" C C JF Medium Sand Gravel Medium Sand & Gravel 120- 10 YR 5/4 120 10 YR 6/4 TK/FND PERC 54* NO WATER ENCOUNTERED RATE= <2 MINIIN LOCUS MAP 4 TP UNABLE TO SOAK 1000, 56 4 X 2 Cj WOODED ZONING DISTRICT: RC CB/DH SET 4 51.7 51 GENERAL NOTES : BUILDING SETBACK REQUIREMENTS j C, X X 4 FRONT= 20 SIDE= 10 REAR= 10 �,S) ct 11N, OVERLAY DISTRICT: (GP) GROUND WATER OVERLAY PROCTECTION DISTRICT UP/#9135/15 U) ALL SYSTEM COMPONENTS SHALL 13E INSTALLED IN ACCORDANCE WITH C4 TITLE V OF THE STATE SANITARY CODE DATED MARCH 31,1995 ANY LOCAL RULES APPLICABLE LOCUS PROPERTY IS COMPRISED OF: ASSESSOR'S MAP: 171 LOT: 277-1 STK/FND IN C22 ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING DEED REFERENCE: #5252/255 X � PLAN REFERENCE: PLAN BOOK 549 BY DESIGNING ENGINEER PAGE 27 OPEN FIELD%. N/F FINAN WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILUNG, COMMUNITY PANEL NUMBER 250001 0015 C NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C, PROPOSE 1.5" WASHED FOR INSPECTION. AN AREA OF MINIMAL FLOODING. WATERLINE 12 FOUNDATION ELEVATION MUST BE CHECKED WHEN COMPLETED. UP#- 5 2,1 35' THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN 4 N/F MAGUIRE APPROVAL BY DESIGNING ENGINEER STK/FND LOT 3 PLAN OF LEACH CHAM8ERS 4 N/F SMALL NO SCALE ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" PVC., SCH 40 LOT I WOODED #--- UP/ x\x�, EXCAVATE AND kEPIACE ALL UNSUITABLE -MATERIAL SURROUNDING %L SURROUNDING THE LEACHING FIELD FOR A DISTANCE' OF ,5',',PER TP #1 x`52-4 310' CMR' 115.255. UP../#%35/158 UP../# 52�5 TP #2 V S, -0- x/ 4 STK/SET -<> PROJECT BENCHMARK DATUM NGVD j DRILL HOLE IN CONCRETE BOUND ELEV 53.38' UP../# F-5 G2 PROJECT BM 12' LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND CB/DH FND ELEV. 53.38' STK/FND FINISHED GRADE x52.7 /V SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE 36"MAX.- N \N TED FILL UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. 9"MIN. COMPAC .................... WOODED 5 2" OF PEA 5TONE:::::.... .......... TO 1 112 314 n Of 4b PARCEL AREA .,Ib 24, DOUBLE TEPHE 72,301± SQ. FT. EFFECTIVE J0 DEPTH WASHED STONE ALL 1.66± ACRES is o. 29874 5 12 1 01 239.7,V 1�1 SECTI IST ST NO SCALE 5 A S 27*21*W* W �al C) n4-41 -.01- N/F MASON N/F ROBERTSON N/F LUPO N/F KENNEY N/F McSHANE PLASTIC LEACHING CHAMBER DETAIL 56 Baird Way Cuentervillev Massachusetts I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE,FOUNDATION PREPARED FOR SHOWN HEREON IS IN COMPLIANCE WITH THE APPLICABtI7 SANDWICH ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND IS NOT Rachel Maguire Coll LOCATED WITHIN A SPECIAL FLOOD HAZARD AREk THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. --------- TITLE Sanitary Disposal System L -c),L FINISHED GRADE 52.5± TYPICAL SYSTEM PROFILE DESIGN SCHEDULE ELEVATION R ISTERED OFESSIONAL LAND SURVEYOR DATE NOT TO SCALE TOP OF FOUNDATION 53.5 i FINISHED BASEMENT FLOOR TOP OF FOUNDATION FINISHED GARAGE FLOOR 52.5 BAXTER, NYE & HOLMGREN, INC. 53.5 FINISHED GRADE OVER SEWER INVERT AT FOUNDA71ON 50.5 TANK 52.5j- Registered Professional FINISHED GRADE OVER D. BOX 5Z5± SEWER INVERT INTO SEPTIC TANK 50.3 87MIN. FINISHED GRADE OVER LEACHING TRENCH 52.5.t SEWER INVERT OUT OF, SEPTIC TANK 50.0 Engineers and Land Surveyors SEWER INVERT INTO DISTRIBUTION BOX 49.8 812 Main Street� Ostervifle, MA 02655 4" SCH. 40 PVC 4" SCH. 40 PVC (TYP CAL) SEWER INVERT OUT OF DISTRI13UTION 13OX 49.6 Phone- (508)428-9131 Fax - (508)428-3750 FIRST 2- (TO BE LEVEL) 6.Olin. 9" (min) Cover 0 2.0% )---I - then 0 2.OX SEWER INVERT'INTO LEACHING SYSTEM OL2 min 49.4 0 2.0% 36" (max) Cover Pviff BOTTOM OF LEACHING TRENCH 47.4 C, S Leaching Area Requirements GAS BAFFLE 6- SUMP FINISHED . . I CONSTRUCT ACCESS 4" SCH. 40 PVC WATER TABLE: NONE OBSERVED AT ELEV. 42.4 MANHOLE OVER INLET BASEMENT 2"Loyer 1/8"tol/2" FLOOR TO TANK TO AT LEAST 3 BEDROOMS AT 110 GPDIBEDROOM 330 GPD 40 0 40 80 Peastone WITHIN LEACHING CHAMBERS 6* FINISH REINFORCED 6* CRUSHED 7 sond STONE BASE ADDITIONAL 50% FOR GARBAGE DISPOSAL --NA-GPD FOOTING SCALE IN FEET 4- PVC PERC RATE < 2 MIN. INCH (CLASS 1 SCALE.1 " 40' DATE: 4111102 ion WO LTAR 0.74 GPD/S.F. REV. DATE: REMARKS MIN. LEACHING AREA OF S.A.S. 4/17/02 DRIVE LOC. 1500 CALLON SEPTIC TANK DISTRIBUTION Box 5` MIN Col 330 GPD/ 0.74 GPD/S.F.= 446 S.F. MIN. TO BE INSTALLED ON A LEVEL STA13LE BASE TO BE INSTALLED (N A LEVEL STABLE 13ASE No Groundwater Observed 0 Elev. 42.4 WAWW NWBM PROPOSED SYSTEM 449 GPD WILEACHING AREA OF 608 SF H:\2002\2002-022 �,sheet,V2002:-022ws2.dwq Job # 2002 -022