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HomeMy WebLinkAbout0035 CENTERBROOK LANE - Health 35 Centerbrook Lane Centerville A = 172 240 No. 42101/3 ®RA 10%' 41 0 O commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Centerbrook Lane Centerville MA Property Address Evelyn H and James T TRS Carswell 4871 Raintree St L ' OW ner Owner's Name t , information is Bradn 4T/, FL 34203 8/6/2015 -_required for every -�. page. City/Town State Zip Code Date of Inspection c� 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. lnpoant:When o filling out farms A. General Information on the conputer, use only the tab 1. Inspector. / 1 617 key to move your cursor-do not use the return of Inspector key. 306 McMns ACCI r Copcheck ao Company Name 27 Northside Dr. Company Address DeRnisr rrarr ;' City/Town State Zip Code i 385- s8gj � / �{7 Telephone Number SO License timber 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(3 0 CMR 15.000). The system: Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority spector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health orDER)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 4A402!t; 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 doe s not address how the system will perform in the future under the same or different conditions of use. t5r�•Yt 3 - h at t VS Title 5Mcier ins pez don Famy Sttbsurrose Sewage asp $yft--PaQo t nr 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments -- 35 Centerbrook Lane Centerville MA Property Address Evelyn H and James T TRS Carswell 4871 Raintree St - Ow ner Ow ner's Name information is required for every Bradenton FL 34203 8/6/2015 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: t17 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 P section need to be replaced or repaired. The system, upon completion of the replac ent or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined"(Y, N, N r the following statements. if"not determined,"please explain. The septic tank is metal and over 20 years old* a septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or ex ation or tank failure is imminent. System will pass inspection if the existing tank is replaced . a complying septic tank as approved by the Board of Health. *A metal septic tank will pass i ection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that th ank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): [Sir.-3/13 r:sasornrW iMpecaonFa=SubaWfacs SeregeDISpoBd S)Gtcm•Pogo 2of l7 L Commonwealth of Massachusetts �- U, Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary,Assessments .== 35 Centerbrook Lane Centerville MA Roperty Address Evelyn H and James T TRS Carswell 4871 Raintree St ON ner ON ner's information is �� required for every Bradenton FL 34203 8/6/2015 page. City/Town State Zip Code Date of Inspection B. Certification (corn.) ❑ 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 er level in the distribution box due to broken or obstructed pipe(s)or due to a broken, sett) 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 laced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system requi d pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pas inspection if(with approval of the Board of Health): ❑ bro n pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ struction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation/hee ed by the Boa of Health: ❑ Conditions exist whi further eva ation by the Board of Health in order to determine if the system is failingpublic h th, safety or the environment. 1. System will pasBoar of Health determines In accordance with 310 CMR 15.303(1)(b)that thi of functioning in a manner which will protect public health, safety and the enviCesspool orithin 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Uns 113 Tine5officia hcapectlanFgm Subsufare Sewcge0lspo.A System.Page 3of II Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for VoluntaryAssessmen s 35 Centerbrook Lane Centervle I�IA Property AddremEvelynH and James T TRS Carswell 4871 Raintree St oNner owner's Name FL 34203 8/6/2015 information is Bradenton required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of HeaX ublic Water Suppl' , if any) determines that the system is functioning er that protects a public health, safety and environment: ❑ The system has a septic tank and soil absstem (S )and the SAS is within 100 feet of a surface water supply or tributarye w r supply. ❑ The system has a septic tank and SAS an i thin a Zone 1 of apublic water supply. The system has a septic tank and SAS an is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and thess 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 wate analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent d the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided t t 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 fo)lowing.for alt 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 El than depth in cesspool is less than 6"below invert or available volume is less than %day flow '5rr.•3113 Ti0&5 of ficJd 1r s p�c€ion Fetrte&utsurrase SeWge Dlspoes!Spstem•Page 4 of 17 I Commonwealth of Massachusetts z_ - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary,Assessments 35 Centerbrook Lane Centerve MA PropertyaddressEvelyn H and lames T TRS Carswell 4871 Raintree t Owner owner's Nam FL 34203 8/6/2015 information is Bradenton required for every page. City/rown State Zip Code Date of Inspection B. Certification (cons.) Yes No ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ L 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 CM i5.303, 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 mu serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"n " o each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the syste within 400 feet of a surface drinking water supply ❑ ❑ t ystem 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 ve answered`yes"to any question in Section E the system is considered a significant threat, or swered 'yes"in Section D above the large system has failed. The owner or operator of any large ism 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 rMo 50rfidW 1Mp=don Fos Subs fao"SomQ&Di-.pmd System-Page 5 of I? Commonwealth of Massachusetts • Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary,Assessments 35 Centerbrook Lane Centerve MA Property Address Evelyn H and James T TRS Carswell 4871 Raintree St Ow ner Owner's Name information is required for every Bradenton FL 34203 8/6/2015 page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You most indicate'yes"or"no"as to each of the following: Yes No Yes ❑ Pumping information was provided by the owner, occupant, or Board of Health 4/101/10f/ P U MPOG( �CP" ~VAJ /l_ ❑ QV- Were any of the system components pumped out in the previous two weeks? K' ❑ Has the system received normal flows in the previous two week period? ❑ &K- 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 WA) 12 ❑ Was the facility or dwelling inspected for signs of sewage back up? �f ❑ Was the site inspected for signs of brgak out? ❑ Were all system components, e' g the SAS, located on pe1 site? �/ ? e1•1,� s# p oT- .Govw2 L7 r El 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? LR ❑ 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: LK ❑ 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: / r Number of bedrooms (design): Number of bedrooms (actual): -3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x #of bedrooms): 33q--+-- 0 (Sina-303 Tiga5 Official IrBpec6arFamSUbstefaw geQispasal5ptcm•P3ge6pf17 Commonwealth of Massachusetts -_ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Centerbrook Lane Centerville MA Y Property Address Evelyn H and James T TRS Carswell 4871 Raintree St Ow ner Ory ner's Name inforrration is Bradenton FL 34203 8/6/2015 required for every page. City/Town State Zip Code Date of Inspection D. System Information Description: L�/ v/7i4l s • 3 — �`X q X 2- �� Get'gA.&ev f .Sa y 5 a/1^ dRy we// Number of current residents: n 2 X �5�'Z� XbO-e" 2, Does residence have a garbage grinder? ff Yes ❑ No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes 02000'No information in this report_) Laundry system inspected? Al)/1T ❑ Yes ❑ No Seasonal use? Q" Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): 7 c Detail: 2 S o o 13 Sump pump? ❑ Yes No Last date of occupancy: 4?-4 "'- Date 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/ ,etc.): Grease trap present? ❑ Yes ❑ No Industrial waste ding tank present? ❑ Yes ❑ No Non-s ary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ns•3/13 rhe5Offfdaf Ins pectionFomt SU113WOeS=�gel)iaposM System•Palle 7of17 L� Commonwealth of Massachusetts Y Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ` 35 Centerbrook Lane Centerville MA Property Address Evelyn H and James T TRS Carswell 4871 Raintree St owner n�s F L 34203 8/6/2015 information is Bradenton required for every page. Olyfrown 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: 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: ASeptic 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/Altemative 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 VA system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. Cl Other (describe): Lone-3/13 Title 50rficial!nspecdonfam Subneme Seuxgsoispmd System•Pape 80f 17 If Commonwealth of Massachusetts T Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Centerbrook Lane Centerville MA PropegAddre.wEvelyn H and James T TRS Carswell 4871 Raintree St Ow ner Owner's Name information is Bradenton FL 34203 8/6/2015 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: �- Were sewage odors detected when arriving at the site? ❑ Yes No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron 940 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, e%idence of leak ge, etc.): C /V Septic Tank(locate on site plan): �1 Depth below grade: 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: fa » Sludge depth: t5ir¢-3113 Tid+e5offidal Irg peetian Fmrrt Subsrafece Sege Dlspcsa!System-Page 9 or 17 Commonwealth of Massachusetts -- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Centerbrook Lane Centerville MA Property AddressH and James T TRS Carswell 4871 Raintree St Owner Owner's Name information is Bradenton FL 34203 8/6/2015 required for every page. Ctylrown 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 2'' Scum thickness ` T Distance from top of scum to top of outlet tee or baffle ! l� Distance from bottom of scum to bottom of outlet tee or baffle �How were dimensions determined? o 474 ke Ile— Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, eHdence of leakage, etc.): h/n5 PvL 14 l.P 7- 1-e �e- / ve, 01-"�T- -1�-e-e ia. . , ca M1 �� A715 ,trti �ivg// joa-CPXif• /G� C 141 a JC7 d Grease Trap(locate on site plan): G�v,r✓-p`t es S PfS Depth below grade: f Material of construction: ❑ concrete ❑ metal :E1 li ass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance f top of scum to top of outlet tee or baffle Di nce from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Data tine-3113 - _ Title S:CIfti linspectlonFerrm SubstfflnceSevMeDisposal System.Page 10•d V Commonwealth of Massachusetts __ - -- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Centerbrook Lane Centerville MA Property Address Evelyn H and James T TRS Carswell 4871 Raintree St aNner aNners Narne information is Bradenton FL 34203 8/6/2015 required for every page. Cityfrown 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 spection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete El ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm prese ❑ Yes ❑ No Alarn I el: Alarm in worldng order. ❑ Yes ❑ No Da of last pumping: Date Comments (condition of alarm and float switches, etc.): `Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No cans•3/13 TiU9501UChd tnspse6anFonrr Subsurface SsvwgeDispasal System.Pegs 11 of 17 Commonwealth of Massachusetts W _ --_- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Centerbrook Lane Centerville MA Property Address Evelyn H and James T TRS Carswell 4871 Raintree St Ow ner Owners Name information is Bradenton FL 34203 8/6/2015 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Sox (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert ' �Pw 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.): kuas 67V P L77Z A d s7_,q-1•,-" �. /7-C. by Pump Chamber(locate on site plan): Pumps in working order. Yes ❑ No' Alarms in working order. ❑ Yes ❑ No* Comments (note condition of pump chamber, con on of pumps and appurtenances, etc.): If pum or alarms are not in working order, system is a conditional pass. if Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ns-Y13 7rrtle50fftddIn3pxUonFo=Submeam SevagaoispoW Swain-?age 12 d 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for VoluntaryAssessments 35 Centerbrook Lane Centervle MA lopertyAddressEvelyn H and James T TRS Carswell 4871 Raintree St Ow ner Owner's Name information is Bradenton FL 34203 8/6/2015 required for every page. atyrrown State Zip Code Date of tnspmtion D. System Information (cont.) Type: ❑ leaching pits number 11Q leaching chambers number. 3 ~ 2' j ❑ leaching galleries number. ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number. ❑ innovativetaltemati%e system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): S, SA-5 / ,1 51 _ SI e��va��S C ���► !� Cesspools(cesspool must be pumped as part of inspection)(locate on site pla Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum er Dime ions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ' ❑ No ts^rs•3113 rotla5 Official trspxtlonForm SutsurfaceSe•aogeDispcsd Swim-Pogo 13of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ' Subsurface Sewage Disposal System Form-Not for Vol unta Assessments 35 Centerbrook Lane Centerville MA Prop"AddressEvelyn H and James T TRS Carswell 4871 Raintree St QN ner Ow ner's Karr inforrmhon is Bradenton FL 34203 8/6/2015 required for every page. City/Town State Zip Ccde Date of thspecdon 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: Dimensions Depth of solids Comments (note condition soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 15ns-3113 Tife5Qrfcial tmpecoanFom subm facs sa%%geoispom slstem•pape 14 d 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary,Assessments 35 Centerbrook Lane Centerville MA RopertyAddress Evelyn H and James T TRS Carswell 4871 Raintree St a++ner owners Name information is Bradenton FL 34203 8/6/2015 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cost.) 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 7e public water supply enters the building. Check one of the boxes below: hand-sketch in the area below ❑ drawing attached separately W ZE7hL hi=z2F, 44=23 z"29'82-32s � . 2 , 43= 32 71T_ ���=�3 Nor Poi .•- a • tom. v,` • • _ r Z LSina-3/13 . Ti9a50l9da11rs pectian Fcsrtc Sutscuface Sauwge oisps�System.?age 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 35 Centerbrook Lane Centerville MA Property Addrew Evelyn H and James T TRS Carswell 4871 Raintree St Cwner owners Narne Bradenton FL 34203 8/6/2015 information is required for every grate Zip Code Date of Inspection page. City/Town D. System Information (cont.) Site Exam: %O'Check Slope (9'Surface water [!(Check cellar Shallow wells f y Estimated depth to high ground water. 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) 04,-' Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation)" ( Accessed USGS database-explain:' Gt SG-s Pd c c •�„� At A70 You must describe how you established the high ground water elevation: ( vi, t.s lol ..s.31 iL Cr r a. Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15m,3ft3 Tige 5 Offlcial kapec don F rrm Sutroatexe Sav,090D vp-A 8ygiem•PnUa re of 17 Commonwealth of Massachusetts Title Officialinspection Form Subsurface`- I sak System Fort -Not r Volunta. Assessm t M7e rook Lane . Centerv`�le A Property Address ve yn H and James T TRS Carswell alntree st Ow ner p v riffs i.'ame information is Bradenton FL 34203 $/6/2015 required for every -- page. My/Town State ._ Zip Code Date of hspection E. Report Completeness Checklist Inspection Summary A-13, C, D,.car-E checked + inspection Summary D{System Failure Criteria Applicable to All Systems)completed OE(-System IrafGrrnatlon Estimated depth to high-groundwater- J Cy'/Sketch of Sewage Disposal System,either drawn on page 15 or attached in separate file terra-W13 px3cnFar._5;.:ixsaefam S)aLam.•Flag* 7 d 17 ,No. R00-a —S F0 Fee 50 .00 / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppiication for -Mf!5po!9a1 *p6tem Conotruction Permit Application for a Permit to Construct( . )Repair(x)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 35 C e n t e r b r o o k Ln Owner's Name,Address and Tel.No. 9 7 8—3 71 —1 5 61 Centerville Chung Der Assessor�sMap/P�� 79 Crabtree Rd Concord MA Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. W.E. Robinson Septic P.o. Box 1080 Type of TQW.ry i l l e Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank r 0 00 Type of S.A.S. Description of Soil n d Nature of Repairs or Alterations(Answer when applicable) Title 5 leach system to plans of Down Cape Engineering 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 B d ealth. Signed r Dated ✓� Application Approved by ( Date �o� �.�_Q Application Disapproved for the following reasons Permit No. 9000L 5 00 Date Issued ct Ile iiyy��jj}LL No. OQ� 'Jt g0 Fee 5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: � Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zippfication for-Mi5poaf Opotem Construction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 35 Centerbrook Ln• owner's Name,Address and Tel.No. 9 7 8—3 71 —1 5 61 Centerville Chung Der Assessor'sMap/Parcel 79 Crabtree Rd Concord MA l � ayb Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. W.E. Robinson Septic P.o. Box 1080 Type ofBQ rviIle Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank l)oU Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) T i t-1 P S 1 P a r,h S F S t rim to plans of Dowm Cage Enaineer(brig 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 B d ealth. Signed �t Dateo � Application Approved by t l c .� f Date Application Disapproved for the following reasons s Permit No. AOOA_.S 90 Date Issued 1a '00- THE COMMONWEALTH OF MASSACHUSETTS Chung Der BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( X)Upgraded( ) Abandoned( )by W F., Rohi ncnn Rent I C at 35 Centerbrook Ln Centex-vi1_1_P has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.A=-590 dated Installer -W.F. R nhi n earl Sep � t i Designer The issuance of s permit shall not be construed as a guarantee that the syste will nction as de 'gned. nn Date I ►3 D a, Inspector— No.oZG6oZ` 5 00 Fee 50.00 THE COMMONWEALTH OF MASSACHUSETTS ChungPIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 1wtopo5al *p0tem Construction Permit Permission is hereby granted to Construct( )Repair( X:P(Upgrade( )Abandon( ) System located at 35 Centerbrook Lane Centerville 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. (� Date: a" P `'O c3- Approved by c X C ,y\n_A_A A TOWN OF BARNSTA.BLE LOCATION 3 S C a ryki R SEWAGE # Oaf—csSd VILLAGE ASSESSOR'S MAP & LOT_L7 D INSTALLER'S NAME&PHONE NO. )UiiL- r ;—, 2 7'S` 7� SEPTIC TANK CAPACITY 016-6- LEACHING FACIL=: (type) 3- Jrw9 a -`— 4- (size) NO.OF BEDROOMS L BUILDER OR OWNER 1 0 Joogq, PERMITDATE: a /2 Y /;?-—a COMPLIANCE DATE: '-6a"a 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 i 1 1 I y i i \ , v n� I� �r 6 TOWN OF BARNSTABLE LOCAnON S~ a k R o !y SEWAGE # Oof—,-5'E-O VILLAGE- C/- ASSESSOR'S MAP & LOT O R4STALLER'S NAME&PHONE NO. )7 SEPTIC TANK CAPACITY 26,2-- LEACHING FACIL=: (type) 3' ���1 a 2-" L e- (size) 22"? NO.OF BEDROOMS BUELDER OR OWNER_ �L!�1 0 �L✓b� PERMITDATE: a 12 d;2-—a ;L . COMPLIANCE DATE:J oZ--d c3 4 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 pek j 1 J i Cot 23 01 01 : 40p p• 2 BORTOLOTTI CONSTi?.UCT1ON, INC. P. 0. BOX 704, MAIISTONS MIL.I S, MA 02648 17, `�� 50s=771-9399 508-428-8926 508-428-•9399/F,,4,Y SEWAGE DISPOSAL SYSTEM EVALUATION Inspected By: _ Date: 29n/Proper ty Addt es . n 1P &Lnt# ' Own. r/)iuyer: a'dinyl Address: NOTT': A satisfactory evaluation does not guarantee that the System will continue to jimcGion• fib` A Sketch of the properh,and sewage disposal components must accompatiy this form. 12ESIDLNTZ9l C'OI!L�EI?ML USE � LUt Size; Lot Size: No- of a rooms: Ty1)e of use Garbage Grinder,� I. ater o tener Sq. Ft of Bldg.: • Other Water Use:(Appliances) � No. of EmlrloyPes Water Uie Activity: Year hound: eS asona12 r.. Watep.Source: Water Source: Septic System Installed(Date): TWO V No. Size Length Type Ft. to Ft. to Condition � Well Wetland Building Sewer \ Septic Tiank �s.5'IY5' ` e, A/A A.r A ,Effluent Pipe Dist.Box Diat..Pipe Leach Pit /f �/� Flow Diffussers Leach Trench Stolle Cesspool PumplChamher Evidence of Ground Stain )es { ) No Unknorvn ( ) Evidence of Breakouiloverload Yes ( ) No Unknown ( ) Lvidcncc of Uverftofv to Surface Yes ( ) No { Unknown: ( ) Evidence of Lush Growth around Pit/Cesspool Yes ( } .No (✓f Unknown ( ) Standing Liquid in Pit 112 or Manp F rrll Yas (✓j .No ( ) Uracrcvwil ( ) Evidence of Excessive pumping Required Yes (ye No ( ) Unknown ( ) vmnxenrs. 7° - - c. _ CiC/ l <21-d lP I Oct 23 01 01 : 40p p, 3 �Q 3� ' .......... Fizz.............................. ..... . THE COMMONWEALTH OF MASSACHUSETTS _----- BOARD OF HE tTH C.7' .......................... .!�O,##.7..............0 F.­-, . ........ . ....... Appliration for Uhiposal Works Tonstrurtion Vamit Application is hereby made for a Permit to Construct (,.-<Or Repair an Individual Sewage Disposal System t: ........ .... ............. Z... .............. Lxl� ----�< or .. .. ... ...... .6. L tion-,A�drpss Alf— .................. ...S-Q.reP­t............................. ------------------ owner Address /-Yl..0........................................ j. ..... . .. -------------------I......... ...... .............................. Installer Address Type of Building Size Lot./ _a-Sq. feet U ...3...............................Expansion Attic Garbage Grinder (t.0 Dwelling—No. of Bedrooms..._._. Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow...........=.................gallons per person per day. Total daily flow________-3,1c)....................gallons. r4 Septic Tank—Liquid*capacity/ W f P-9.0gallons Length................ Width___________.___- Diameter._.___....-._._. Depth...._........._. Disposal Trench—No..................... Width....._...._.._._.... Total Length..._.._............. Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.._..........._..... Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing Percolation Test Results Performed by X1....Me--Y� .....ro..J14-Ci Date....9/ ./9 `4 0. e ..1/2 Test Pit No. ------minutesperinch Depth o est Pit--- ........ Deptla.4o ground water-,,.,;,,,.,- Test Pit No.,,,,-- A..minutes per inch Depth of Test Pit__- -------- Depth to,.ground water,...................... .......... ------------------------------------------------------------------ - ------ -----:�...::,"­ 0 Description of Soil 64 4. ...... ... .. . -­-­------------------------- . .................................... U ................. zxz­ 611A. -72 QN� �- 9 ... ...... ---- ---- ................................................................................--------------------------------- U Nature of Repairs or Alterations—Answer when applicable........................................... .................................................... -----------------------------------------------------------------**-------*'*"*--------------------*---------*-----------------------------------------------------------------------------*----------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'1ITLIZ 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 bo of health-. Signe ..... .. . ...... . . ... ................... Application Approved By........ ... ........................... .... .. .............. Date Application Disapproved fort following reasons:............................................................................................................... ......................................................................................................................................................................................................... Date Permit No._---..IZR�>,.�..... Issued.....':�L .................... Date ---------- -------­­­---------------------—------------ Fss............................_ N -' THE COMMONWEALTH OF MASSACHUSETTS BOARD Off` H..E LTH ' ....... .....OF... ........................... AppliraftlaYt nx Dispaoal Works Tvnif drurfivtt 1hrmit Application is hereby made for a Permit to Construct ( or Rep;Ai ( ) an Individual Sewage Disposal System - Location:,Address °�;�°�, r r Lot No, Owner ) Address `�}-C.rk3. ,.�:---•. � - �� Q?1--------------------------•-• ...............................................n .......................................... Installer Address Type of Building Size Lot,e!0_;"___f .0..Sq. feet Dwelling—No. of Bedrooms._..._,................................Expansion Attic ( ) Garbage Grinder/o Other—T e of Building ............... No. of persons'__-_____•__-__-_-__-__-____ Showers — Cafeteria Other fixtures -----•--•--------- ------------------------------------ = W Desig Flow g P P p Y Y ----••. .....••-_lam ._______ ______ ___gallons per person per day. Total daily flow._._....__ Ions. WSeptic Tank—Liquid capacity S2tt. allons Length._. Width............... Diameter................ Depth................ Dispoll Trench—No. .................... Width.................... Total Length.................... Total leaching.area.....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area.....................sq. ft. Z Other Distribution box ( ) Dosing tank ) '-' Percolation Test Results Performed b - ' ' '.t""rc"!_��_e -._:. Date..._ Test Pit No. j� ....:: o..___minutes per inch Depth .. Test Pit._./_. ........ DepthAo ground water____.___ _. .-_. (s, Test Pit No _s.....minutes per inch Depth of Test Pit--,( ......... Depth to ground water----------- --- Description of Soil r tl t --------------•--------------- U 5- _______________ ._ --..__.__....._-•-----•------_. U Nature of Repairs or Alterations—Answer when applicable................................................................. ............................ Agreement: The undersigned agrees to'install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 boa pd.of..health.,, Signed - R = •------------------• .. �� • Da Application Approved By....... ------- -•-- ••. -f--•-•-•--•-•--•----•-•------ '' _ - .-------- Date Application Disapproved for following reasons------------------•---------•--------•--•------------------------------------------------------..._......_...__.. ...................................................... ------------------------.........._...------....--•-------•---••-•--•--•-•-••------._.---•-••---•••--•--•---••----••-----•------•----•-•----•---- �:' Date Permit No.......- ........................ '� '`` Issued....�,,••.'�-.-_�S„�..................... Date n, THE COMMONWEALTH OF MASSACHUSETTS -- BOARD OF HEALTH !" ................OF. .......: ? ............................... f�rrtifirtt� laf f�utit�rli�tttrr TICjS.TO CTIFY, at the Individual Sewage Disposal System constructed ( or Repaired ( ) by = 4 ....... ...... �^ has, been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described. in the " application for Disposal Works Construction Permit No................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE .. SYSTEM WILL FUOCTIOM SATISFACTORY. . . ................................. Inspector.......... = DATE................. . ' . THE COMMONWEALTH OF MASSACHUSETTS BOARD, OF HEA T s--e :....... �. .............. No..... ................. FEE.. ................. Dispogo Mork �attstr wit rrutit ° Permissionis ereby granted---- �= ._.tf'4��rf c" '- ----•-------------------------------------------•-•------..................._..._ to Construct ( or,R-pair ) an Individ al Se ge Dis osal System Street as shown on the application for Disposal Works Construction PermjA No LQ. _ Dated_._. .......... .................... ---------------••. ------------------------------•-----------------------•---- DATE .. ............................................. oard of Health FORM 1255 A. M. SULKIN, INC., BOSTON A/ p .a r .,fit ywx E+n' +:: XW S �•! + _ - ".7�5• j+.. xy ✓ate Cw. �I r r� r•,*O tl(>y x"v ✓t: }K /COD GAFL `.c l/ }� _mod em. ;O Y,^,•, ;s-Fa v $ , D 5 T' 6 I 8 IO/ 'V s`^�,.ry s �� 4, I � f'�'.f.T�t}"j�"1• f}. � 1 M .�...y�V / _ ..I_l � I � 5►/`� � �wN N�• �_ Arl ! " r W > �'r ;..�: r''+,-as.1st fis H�b'%• ay°>r f.'a.• { Iy -�'✓ '1r e+-4./ !{,4"t z`iq .{ • a $�is ` h` P �`N r -,5 : ZA ! A ktz wnM mot, /l�S�a D(9 Sim ,,` r �N13FM�I y. :i w i' a r 3r far l. f e ' ! �y SS- r z. i Ste. �iY C.KS bRSE Y 10951 O UF I + =r �R Y _IEQENDBRUCE ELDRED WISTINA :SPOT EL9.VATIONj,< OxO CERTIFIED PLOT" PLAN } > 'INO CONTOUR`--•- 0 / t ' ED =SPOT ELEVATION F��; '��or�` Lo T c ✓ R,B o�c .vE s � DfCONTOURt 0 ,. =_ },� _' t' ��i✓`t'�/�( JLL f x I'i �locat onr of3j any ,exis,ting underground sewerage.; ,r otivv her utilities shown. on ,tris}=plan is approx ; x ,; . iaQnl a determined from records and%or "verbal �_ 4� ; n�v ma ton; The' contractor is, respgnsib £oar`'the r� ationxofT:the '.exisiin ,. 3h n DATE`! k;�REDGE`�'NGINE'ER/NG=�Gt l QR��v)3Fs'rcr4 C MN � T. �. = I kCERTiFY THAT THE.y PROPOSED t RE419TLRFO £. JOB;Np. , �73lb 9UIl.;DIN0;. SHOWN" ON -THIS PL AN. ' LAND X k� .,� , j►/ �4CpNFORMS TO THE, '20NIN©t LAWS DR.'BYV4FpAgNSTA:B E MAg. 1. "STREET- p CN /''' ,��"y 3 4g c ' z , ut 'H�YA;NN I °` fi:0F '� DA. E RE(i: LAND SURVEYOR 20 FT. M/N. /VOTE /F E/TNER TNE.,SEPT/C TANk OR " LEACHZiVG P/T ARE /YORE TNA.,V I2"SAFLOW /O PfT. M/k .rsRADE,A 24"O/AMETEK CONC'R.F 7- COieE4! 4'PVC P/PE 5."ALL 8E aAro /6NT TO 6RALpE.Ci4,V.EXTRA CONCRarrE M/N. O/TCN HEAVY CA ST/RON COP/ER .S/'lALL DE USEO - 4E ?S O COVERS �PFiQ IF/N 'DR/VEJ=t/A y CC/VCRIwTE A . d7tAOE co KER CLEAN SANG BACXF/LL ,q"DPI►. � UQU/D LEVEL -' - SCNEDUw40 Z�LAYER { G/4L. o 'o o • P,o o CIF A'-J/B` M/lV.P rew 1• • . • . . o ► e • V4"PCrR!? SEPTIC TANK DlST. o •a• 1 / . • • • • • • e WASHED SMNE BOX n s • • / � • . • • • 1 .•►lp 14•- /2" =a= y • • . • 1 •• P&R7- I • 1 • o WA5WED STONE 7 ,S _ 4-7 d _ • /. ► s• 1 • . • • • •• PRECr45T SEEJCMGE j. !Ni%CR'T 2`L EVAT/OMS plT cq-pAci T y S'4 �� w' � • ►o • • / •. • • • • • o P17 OR ZvU/V. INYERT AT oU/LD/NG ZS Cr INLET SCPTiC r,4�NK AFT, � w FT. OIAM. CCSEE7;UVJ.AT/O/V, OUTLET SEPT/C• TANK ?zl /N,CET DlSTRl6l/T/ON BOX ?/ g FT.. SECT/Q/V OF GROV V0 �gTER TA�.E OtJT2�'TD/STielf®!!T/OIV BC1X 7/•7, INLET Lgi4CN/h/4 I�/T -71. Cr •5�1�11�GE D/S/®O�TAl SYS7'EM Ti4XlLAT/ON LRACHIMIl PIT DES/6!V CR/TERIA scwt_E : %s"' _ /=o' P MEmF10Al A Z6 XT. D/AfAWSlaN NU/rfBER OF BE�ROOlyS 3 D/MEA/S/ON C�FT./t2/M% GAR�.4GE0/SPO.S14L awn— /t/oNE SO/L LOG TOTAL 9PAL.1DAV SOIL.TEST A#/ SO/1- 7EST,02 SO/1- TaEST /YUN76ER AF LEACN!/YI. PITS �^E�LE✓. 73, ZELAW S/DE LEACHlN6 PER P/T 519 Pj, Ir .ram- 0 Z .DATE OF SOIL TEST RESULTS AV/T/VESSNP S.V ✓d� CT 1=foz4> 007"TOM 7 S' $Q� F7- •o _ Lt7sA-/�f_ o� PZ�RCOLAT/O!V RAT / L-�s� M/ tNCN TOTAL LE/4CN/NG. AR—=A 26!' -S FT. .5 3 Sni C_ i✓ . Q• J fleCOLAT/ON RATE 2 2�d M/Al.�lNCN RESERVE LEACNIN6 AREA __4,6 S.P. FT �iizA+iE� so �� 7-e5s T P_ 3sgz za RflRERT �G � v ALBT�/� J BRUG /lil�Ol:t/: ELOR.E ca a M f VAS GlSTEP6\� EL "�r� Z.y 7tP' i4lN' -I-r 14YA/f//V/ • ���.x -�_ �,�J .u� , �`r�dJ�yr �1�1� i�' !"�1VC'���7�'�Ei� ;4�. r: . �►.1�"�'t � .�4 � x: . ... •..f: '..... . .. ..,. L S.<'.:` :. t.A^.;, t F ..., .^i ,•, >, '�'r.. sty..� �:'�.y ! i .F`! a .�y :.p.,..., 5.;.t ..%i,.,-. ... ,: :... ;'; ... ;'k.,.•.0 q-a.., �-^A'+, ... :^ < ..,;v:=,.. 4:. _•.• La•,; z+h. r`. .'C�j�[-'�(J .:. « .. :Y A '..a-,:'s_ �r v �.1 .�.,�} w».�S C - ..7..�= ...A!". c: #.,„,,�J':z•iv v. y M. 4:Y. "�: X'.. ��j�'�`�• LL .''4. .T r,�•. .: .«•. .-. .2. ..!; .Ai[^r,p,,. •'•'l .�r .' .. -±;- i.-'! • <:�":i`�...'s•... �k. e...:r .!I d� .�. q ., � VARY�yI��.A••- .. �- A r.�w. ? .�... �,v. w.: r-;+ �• ... f.:. � 1 e.x,v...:• «,j .�. � _.z�, rl- �'-v-.. „� .,fib..-,-`s.-' x �. . R':: „ ..aa.= ..lr:..k- '.ri,.cos-tx 'cnt ..a':. Z_ +;-> Y 'r..,._. 4 -;^r:. �'., a,` .?v. -+a *sf-e 5... r:'�i,. E �+. ..a., t k. n, >. c.' it .�_ w roc=,k.s f 7 .. ... -< .:�-..-.. .'�-,d,.h° .+"j .�'..:v. :r'�-�xm�A��..,\ tK:�F:. �s .x.:v;�.+m .. $:S>C�:" .�. .,•r�..r.�.-v�+.:.'s'^^^,5..^'.• f ,�.>. -.V�+rn^^w*•--- ,., ..... .tr;.e...v+:=.n�..�:.w�-.N,�t'sfifF r sn., t .3. 4 .�`,.7..,� LOCATION +` SEWAGE PERMIT NO. L(,4 Cc t.,A-t vlo coo i, c. 4S5 l VILLAGE C-e� c 0 '( I N S T A LLER'S NAME f ADDRESS co 11 Doti. VLlA t l40*v,) W1� bl S R U I L D E R OR OWNER ~- DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �1. i :32� f 321 C-0 S PROFILE TEST HOLE LOGS TOP FNDN, AT EL, 75.7' SYSTEM ACCESS COVER TO WITHIN 6' OF FIN. GRADE (NOT TO SCALE) ARNE H. OJALA, PE ACCESS COVER (WATERTIGHT) TO ENGINEER: --------- MINIMUM .75' OF COVER OVER PRECAST WITHIN 6' OF FIN, GRADE 2% SLOPE REQUIRED OVER SYS-IEM 73.8 WITNESS: DAVE STANTON 2' DOUBLE WASHED PEASTONE DATE: 2/13/01 i i FOR FIRST 2' < 2 MIN/INCH 3' MAX. PERC, RATE EL 72.1' RUN PIPE LEVEL E! 1 EXISTING1000 70.8' LOCUS GALLON CLASS I SEPTIC 70.7 ± S SOILS P# nl TANK (H_ _L0 GAS GA 1, fT TANK BAFFLE I J, "--r� � ------ = ED 0 M 0 0 m F-1 0!(RE- 81 - 7 r 70.2 69.98' 0 D 0 E_-) CD 0 1:J 2.5' AT SIDES T2. 5, T 2 AT EN 67.98' 0 M ED I-] = ED Cl ED El 2.25 ENDS 6' CRUSHED STONE OR MECHANICAL\ 2' 05 El Cl Cl m m F-1 0 Cl ELEV, COMPACTION, (15.221 (23) 01 DEPTH OF FLOW 4 % SLOPE) % SLOPE) 3/4' TO 1 112' DOUBLE WASHED STONE O/A TEE SIZES 1 LS INLET DEPTH = 10" 10YR 3/2 6" OUTLET DEPTH 14 E LOCATION MAP N FOUNDATION EXIST SEPTIC 'TANK- 32' D' BOX 12' -LEACHING FACILITY FS ASSESSORS MAP 172 PARCEL 240 5' 9 10 YR 5/1 B LS 71.1 10YR 4/4 70 34" 7' 6 3.0' c 71.2 COBBLES & + 7 Q MED/COS GRAVEL 7LO 10YR 4/6 BENCH MARK - CIR. OF CATCH BASIN EL. 70,5 IASSMD G-LS.) 70,9 126" 63.0' NO WATER ENCOUNTERED N01 ES; + 72, + .5 Z 7 APPROXIMATED FROM CIS ELEV. SEPTIC DESIGN: (GARBAGE DISPOSER is NOT ALLOWED 1, DATUM I 7 74.6 LOT 6 W* DESIGN FLOW: 3- BEDROOMS (110 GPD) 13_015PD 2. MUNI c,IPA15- \A/A ER i EXISTING T 15,000± SO. FT. USE A 330 GPD DESIGN FLOW 3, MINIMUM PIPE Pif'Cid 71] BE- 1/8' PE_'P I 'Wil UNITS 10 4. DESIGN LOADING FOR ALL PRECAST UNT ' TO BE AASH� �H 7 711 SEPTIC TANK�330 GPD ( 2 660 EXIST. DWELL. I 5 74.1 TOP FNDN , PIPE JOINTS TO BE MADE WATER TIGHT, USE A 1000 GALLON SEPTIC TANK (EXIST) 75.7' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MA'_Is. 1i + 73.6 LEACHING; ENVIRONMENTAL CODE TITLE V, SIDES: . 2(30 + 9.83) 2 (.74) = 118 7, THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT EXIST, 1000 GAL TO BE USED FOR ANY EITHER PURPOSE. ST (RE-USE) 30 x 9,83 (74) = 218 BOTTOM: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40--4' PVC. 7 .9 DECK 74.1 2 TOTAL: 454 S.F, 336 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT .1 HAMBERS (ACM INSPECTION BY BOARD OF HEALTH AND PERMISSION EIPTi",INED 0 A USE (3) �00 GAL. LEACHING C E OR FROM BOARD OF HEALTH. AT+ 73.6 EQUAL) WITH 2,5' AT SIDES AND 2,25' Al -AILED LEACH PIT FAILED LE H PIT 10. PUMP 9, REMOVE (OR FILL W/CLEAN SAND) r *WATERLINE SHOWN IS 3.6 VERY APPROX 4, (UNMARKED AT TIME OF o TEST HOLE). VERIFY + 73.3 TH LOCATION PRIOR TO 12" OAKS LEGEND <+ c2-, EXCAVATION AT ED E OF LAWN/WOO[��, TlTLr_ Z) si- PLAN + 4 100.0 PROPOSED SPOT ELEVATION 7 OF + 74.1 35 CENTERBROOK LANE 100X0 EXISTING SPOT ELEVATION IN THE TOWN OF: 7 9 00 PROPOSED CONTOUR JA, ( CENTERVILLE ) BARNSTABLE 100 EXISTING CONTOUR + 73,5 PREPARED FOR: CHUNG DER + 73.7 20 0 20 40 60 BOARD OF HEALTH MA DATE: DECEMBER 18, 2001 73.8 1 20' APPROVED DATE SCALE: off 508-362-4541 fox 508 362-9880 OF clown cope engineering, inc, OF ARN ARNE H OJAI.A Y� ��:: I QkAkA CIVIL ENGINEERS CiVIL No,26 LAND SURVEYORS allWN,? Ilk ag I I < 01 -307 939 main st. yormouth, ma 02675 � AR OJA A, DA Tl,,