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Home My WebLink About0007 COLLINS AVENUE - Health 7 C JLLINS AVENUE, CENTERVILLE A = 190 089 UPC 12534 ' No.2®OR HASTINGS,MN Commonwealth of Massachusetts Executive Office of Enviromnental Affairs Dept. of Environmental Protection ,Jolm Grad One winter Street,Boston,Ma. 02108 D.E.P. Title V Septic Inspector P.O. Box 2119 T eaticket, MA 02536 (508,564=68.1 WILLIAM F.WELD /+ Governor ARGEO PAUL CELLUCCI Lt,Governor ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ��/� eal�.�V PART A — �O CERTIFICATION 'ou IP t?o c0 Property Address: 7 Collins Av.Centerville Map 190 Par 89 Address of Owner: Date of Inspection: 718/98 (If different) lF 1 Name of Inspector: John Graci Estate or Lillian I.Frew CIO 13 Primrose Lane Agawan Me.01001 A, I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) Company Name,Address and Telephone Number: CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: x Passes This Inspection Is based on criteria defined InTItIe V code 310 CMR 16.303.My findings are of how the system Is _ Congubmit asses performing at the time of the Inspection.My inspection does Nee Evaluation By the Local Approving Authority not Imply any warranty or guarantee ofthelongevityofthe septic system and any of Its components useful life. FailsInspector's Signature: Date: 7120198 The System Inspector shallopy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C,or D: A] SYSTEM PASSES: x I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. Indicate yes,no, or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of CoThpliance(attached)indicating that the,tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal, is cracked,structurally unsound, shows substantial irlflltialion of o4lhali0n, 01 Wilk failure is imminent.The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04f27)97) One Winter Street Is Boston,Massachusetts 02108 a FAX(617)556-1049 Is Telephone(617)292-5500 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 7 Collins Av.Centerville Map 190 Par 89 Owner: Estate of Lillian I.Frew C/O 13 Primrose Lane Agawan Ma.01001 Date of Inspection:719199 _ Sew.aae backup or.breakout or high static water level observed.in.the distribution box is due to a broken. or obstructed pipe(s)or due to broken,settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced _The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed . C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL-UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method usedto determine distance (approximation not valid) 3)Other D] SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: _ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage in facility or system component due to an overloaded or clogged SAS or cesspool. _ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged cesspool. SAS is in hydraulic failure. (revised 04127)97) f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION continued Property Address: 7 Collins Av.Centerville Map 190 Par 89 Owner: Estate of Lillian 1.Frew C/O 13 Primrose Lane Agawan Ma.01001 Date of Inspection:718198 Dj SYSTEM FAILS(continued) Yes No Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04127)97i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 7 Collins Av.Centerville Map 190 Par 89 Owner: Estate of Lillian I.Frew C/O 13 Primrose Lane Agawan Ma.01001 Date of Inspection:718199 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: _c_ — Pumping information was requested of the owner,occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the and the system has been receiving normal flow rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this inspection. x As built plans have been obtained and examined. Note if they are not available with N/A. x The facility or dwelling was inspected for signs of sewage back-up. x — The system does not receive non-sanitary or industrial waste flow. _c_ — The site was inspected for signs of breakout. x All system components, excluding the Soil Absorption System, have been located on the site. x The septic tank manholes were uncovered,opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction,dimensions,depth of liquid,depth of sludge,depth of scum. x The size and location of the Soil Absorption System on the site has been determined based on — — The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. x Existing information. Ex. Plan at B.O.H. x Determined in the field(if any failure criteria related to Part C is at issue,approximation of distance is — — unacceptable)]15.302(3)(b)] (revised04 D97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 7 Collins Av.Centerville Map 190 Par89 Owner: Estate of Lillian i.Frew C/O 13 Primrose Lane Agawan Ma.01001 Date of Inspection:7l8198 FLOW CONDITIONS RESIDENTIAL: Design flow: 3M g•p•d./bedroom for S.A.S. Number of bedrooms: 3 Number of current residents: 0 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings,if available:(last two(2)year usage(gpd): Na Sump Pump(yes or no): No Last date of occupancy: Feburary1999 COMMERCIAL/INDUSTRIAL: Type of establishment: nia Design flow:0 gallons/day Grease trap present: (yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no) No Water meter readings,if available: nia Last date of occupancy: nia OTHER:(Describe) Na Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: Na System pumped as part of inspection:(yes or no)No If yes,volume pumped:0 gallons Reason for pumping: Na TYPE OF SYSTEM x Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) ( if yes,attach previous inspection records,if any) I/A Technology etc.Copy of up to date contract? Other: APPROXIMATE AGE of all components,date installed(if known)and source Information: 1977 Sewage odors detected when arriving at the site: (yes or no) No (revised 0427197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 7 Collins Av.Centerville Map 190 Par 89 Owner: Estate of Lillian I.Frew C/O 13 Primrose Lane Agawan Ma.01001 Date of Inspection:718198 SEPTIC TANK: x (locate on site plan) Depth below grade: 1' Material of construction:x concreate_metal_FRP_Polyethylene_other(explain) If tank is metal, list age nia . Is age confirmed by Certificate of Compliance No (Yes/No) Dimensions: L8'e^H5.7"W4'10•- Sludge depth:"' Distance from top of sludge to bottom of outlet tee or baffle: 33" Scum thickness:4" Distance from top of scum to top of outlet tee or baffle:6" Distance form bottom of scum to bottom of outlet tee or baffle: 14" How dimensions were determined: Measured Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) Septic tank and all components are structurally Bound and functioning properly.Recommend pumping every two years. GREASE TRAP:_ (locate on site plan) Depth below grade: rda Material of construction: _concrete_metal_FRP_Polyethylene_other(explain) Dimensions: nra Scum thickness:rda Distance from top of scum to top of outlet tee or baffle:rda Distance from bottom of scum to bottom of outlet tee or baffle: rda Date of last pumping;,,_ Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) We BUILDING SEWER: (Locate on site plan) Depth below grade: 1-6-- Material of construction:_cast iron_40 PVC_other(explain) Distance from private water supply well or suction linetown Diameter: We 1�va,mments: (conditions of joints,venting, evidence of leakage,etc.) (revised 04127)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 7 Collins Av.Centerville Map 190 Par 89 Owner: Estate of Lillian I.Frew CIO 13 Primrose Lane Agawan Ma.01001 Date of Inspection:718198 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: rda Material of construction:_concrete_metal_FRP_Polyethylene_other(explain) Dimensions: nre Capacity: r0a gallons Design flow: rVa gallons/day Alarm level:_nra Alarm in working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) Na DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: nla Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box etc.) rda PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no) jo Alarms in working order(yes or no)Yea Comments: (note condition of pump chamber, condition of pumps and appurtenances,etc.) rda (revised 0427197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 7 Collins Av.Centerville Map 190 Par 89 Owner: Estate of Lillian I.Frew CIO 13 Primrose Lane Agawan Ma.01001 Date of Inspection:719199 SOIL ABSORPTION SYSTEM(SAS):x (locate on site plan, if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: Na Type: leaching pits,number: 1oWyellon[each pit leaching chambers,number:nra leaching galleries,number: rda leaching trenches,number,length: rva leaching fields, number, dimensions:rda overflow cesspool,number:nra Alternate system: nra Name of Technology:_nra Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) The leach pit was structurally sound and functioning properly.The leach pit had 4'of water In It At time of Inspection It was empty. CESSPOOLS:_ (locate on site plan) Number and configuration: rtla Depth-top of liquid to inlet invert: r9a Depth of solids layer: rVa Depth of scum layer: rda Dimensions of cesspool: ria Materials of construction: rda Indication of groundwater: rda inflow(cesspool must be pumped as part of inspection) nra Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) nra PRIVY:_ (locate on site plan) Materials of construction: rya Dimensions: nia Depth of solids: rda Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) nra I (revised 04127)97) . K SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(contlnued) 7 Collins Av.Centerville Map 190 Par 89 Estate of Lillian I.Frew CIO 13 Primrose Lane Agawan Ma.01001 718198 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) fi Dec[ Lb AA AR a� (Ac y� (revised04)27197) Page ! of 10 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 7 Collins Av.Centerville Map 190 Par 89 Estate of Lillian I.Frew C/O 19 Primrose Lane Agawan Ma.01001 718r98 Depth of groundwater 12 Please indicate all the methods used to determine High Groundwater Elevation: Obtained from design plans on record. Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check pumping records. Check local excavators, installers x Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS Maps and Charts (revised04WI97) page 10 at 10 77 ..... � t No....-•---��-2`3-- - .r°Fus � ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' OF..... ............ Appliration for Uispaoaal Works Tonstrurtiun Fermi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: F ..!....�..,...c.$..r��_.s.�._....._....1�..ti../.�ll<< ..f... R�' Lf-ems .ZOT �....z.....C6u.y�✓��u._s... �.-..� �C��N%r1..�.°t.' .Yl- t4 ZGDRANA 5#01 C® k, -•--------------------------------------------------------- ........... ®Gp.... LPtion-Address o� i o ° E ...................................................... z c -------- ... z..... � Owner r Addre s a �.4/7ES D®zt.A k)4 It - C9�D S l D� C�<d �� Yl�S,SP. ----------------------------------------------------------------------------------•-------_..... -----------•............•-••••......-•-•- x---•••.. R-•-..........4...-•-•- Installer Address UType of Building Size Lot..L3j.ao ........Sq. feet No •--Dwelling r—/ . of Bedrooms......-- ........•....--....•.............Expansion Attic (WO) Garbage Grinder (WO) 04 Other—Type of Building ............................ No. of persons....... ................. Showers (/ ) — Cafeteria (A✓o) Q' Other fixtures -•___-•--__-_____•_______________ �_S..........................gallons per person per day. Total daily flow.....3.3. ..�...................... W Design Flow.__....... .. g p p p y. ygallons. WSeptic Tank/--Liquid capacity/.#'#.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.....1.4.......... Total Length......`,a.......... Total leaching area.... ....sq. ft. Seepage Pit No------f------------- Diameter.................... Depth belo inlet.__.... .._._..... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosin tank ( ) - /�G Q-2 6- 7 ? 2G - 77. Percolation Test Results Performed by.._ __ _._D.._ .14J�. ....................... ....... Date._... ...._....____.._.......__. a ,-a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.................... G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_:_________-•__.----___. - -- ..__.... O Description of Soil---•-0 �� " H` ---------•-- .. c.� Le,�•� . .•.........................................................:.......---------- W UNature 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 bMissu.A b die bo of health. Sign ------ •..... ..................................... 4 Date Application Approved By------ f. t� A �2 c1 7 Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------------------------•--•---•- ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date 7� No.......�.`.. ...} _ ' Fes$' ......_............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (................OF..... .Gfr .......................................... Apptiratilan for Uiipnsa1 Works Tnns#rnr#iun Frrmit i h Application is hereby made for a Permit to Construct, ( ) or Repair ( ) an Individual Sewage Disposal System ,ri7 � Yf�iC.-�� Ca �hv& aP f cOZZ[NS AVZ C�1TAVX4r ill ....._._._.. -----_----s:.-------- S is 6� vz i¢F� t rro Sic W. 0/0 Xo --..........__........................................................................ •----.....________________--.'--__.... .� = � Ad ress .........................................................'NW O Ca" �Id6_t rlps, Installer Address U Type of Buildings Size.Lot._/___/...................Sq. feet Dwelling—No. of Bedrooms....e�...................................Expansion Attic (A/O) Garbage Grinder — (do) pa Other—Type of Building ____________________________ No. of.persons_____..�._______.__..____ Showers (( ) Cafeteria Other fixtures .___._._•--•••••••--•--••----- .z W Design Flow_________ _ _ ________________________gallons per per 'son per day. Total daily flow____ __ ......................gallons. WSeptic Tank—Liquid capacity/ __gallons Leligth................ Width__ ----------- Diameter................ Depth................ x Disposal Trench—No_____________________ Width..../h.......... Total Length...... �__._..____ Total leaching area---Z.A 4_____sq. ft. Seepage Pit No.....,)------------- Diameter-------------------- Depth belo inle�__..._ _..._.___. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosin talk ( Cat " ~' Percolation Test Results Performed by._ .. ;��_ '.. !_______________________ ________ Date____ '_��_'_ T. aTest Pit No. I________________minutes per inch Depth of Test Pit..................... Depth to ground water__-___--___________-_--. f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... •• -----------•-----_-" Description f f oili � 6 A x C .eyt .e 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'I"11 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issue by e bo d of)health. g41 . _____________________________ _____ -_.._________________ - Application Approved,By...... Si ` fit. Date Application Disapproved for the following reasons________________________________________________________________________________________________________________ -------•------------------"-----"--------------------------"----------"------___..._.._...-"-" Date PermitNo......................................................... Issued....................................................... Date ' THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH ......... .... ...OF...........X;�....... ...... .... .1-,ee.......... Trdif iratr -of Toutplittnrr.. T S JS T CRRTI v, That the Individual Sewage Disposal System constructed (�r Repaired ( ) t :has been installed in accordance with the provisions of 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit o _____L?__ _________________ dated--, ............... THE ISSUANCE OF TKA ;CE'RTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM "WILL FUNCTIQN"SATFSFACTORY. DATE --------•--/�:� ---___--- Inspector THE COMMONWEALTH OF MASSA US TS BOARD F'1-HEALTH No......................... FEE..Jr -" •-..'-- i �r�annl nrk tr ion rrnti# Permission is hereby granted_. ^-"""-" to Con c ( ) or Repair ) In �id '�,.�wa e D osal Sys - . :at No. � "._�._ Street a as shown on the application for Disposal Works Construction P No...... ____� ated____ :.,........................ .s Board of Health DATE FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS. -77 COL L INS A VE .40' WA /OOx J � Jgx� Y . Q � I J '85.00 I loox I I 67 of QIW ILI N o � I l PROPOSED ++ g-BEDROOM 0 7- 0 � =/000 OAS. IU TEST SEPTIC DIST. y IO LFAC'H/NC; F3ox / /007 /OOK 8 - 0 FXP,gNS/GN to/x 2 l.p2X 8 0 , nn r i �J LO.T .1 . ► _LO_T 2 1 �1(DTE I) AL C WORxMANSH/P ANC MATERIAL S SN.nL L 13E /N AC C'OPD1l:)NCE Lv/T/•/ PRO VI S/OHS OF D. E'.'Q. E._ TITLE --S__ i9 N D THE 7-01W/\/ OF l3P,RN STi9,B L E RULE--, 19/,/D RF6°U.LA7-/0/V S C-Ohm SUC3 SURFI�CF_ o/ShOSAC O/=' SIN/Ti9RY SEW/q61-F- 2) EX/ sT'/ni(2 IRIVD ,C'I AIA( <3/2l902FS TO L3F_ - SSHA/7-/)9LC-' 7-14F \ZN OF M4S tH OF,y RICHARD v ��r RICHARD n Z ig JAMES JAMES G I co O'HEARN �, c� O'HEARN ^' LEGEND : No- 694 Q r No. 27871 y EXISTING SP071 ELEVATIONS (Dx0 0 EX/S7-ING CONTC)UR - - - O- - - 3, �� '1. /STER oQ" FIAIIS14ED SPOT ELEVATIONS O.O �SANITAR�P �SVRVE4 FIN/SHED CONTOUR O APPROVED: BOARD OF HEALTH CERTIFIED PLOT PLAN /N .8E3P-/./ST/-�I3LE, MASS. DATE AGENT 1.07- *4 - I Cr9T1FY THAT THE PROPOSED RICHARD J. L.S., R. S. 1FBUILDING SJ-IOWN ON THIS PLAN I9J MAIN ST. (RTE. CONFORMS TO THE ZONING LAWS WEST DENNIS , MASS . OF /W/4SS S. DATE: _ 7 7 SCALE L/O�B N:O. 123 _ C L/,E V/ C`'ir F �� TOP Ooc.Fou/vo 20 F T / I,',l. F_ c = /03._0 CLEAN SAND /O F'T//// 4 SCN. 40 CONCRETE � pVC PIPE CONCRETE COVERS COVER MIN. PJTC H- 1a- �� Ye `PER FT. 27 mw Z z 12"MAx. PITCH • FLOW I_ —� Z LWE N t 4"CAST IRON �, F 2 LAYER /� PIPE- f. c c o OF /8= V2 i PIPEI 7CH MIN D/ST. o W o pvQSHED STONE r 1 aPER FT - .�•'..: BOX � ,_ 3�4�-//2�� / T 2 0 4 \ W o W4SHED STONE /00 O GAL. (a kQ p p PRECAST LEACHING LO,9, SEPTIC 4 C W PIT OR EQUI✓. • TANK � j = � F=+1 � --- —�U13�GI C INVERT EL E VAT IONS !-/Fr o •. INVERT AT BUILDING ao.8 FT. INLET SEPTIC TANi< loa• 6 FT GROUND WATER TABLE /" 7-0 TON F_ 5 OUTLET SEPTIC TANK /o0• 4 FT. SECTION OF INLET DISTRIBUTION ,BOX oo. Z FT.. SEWAGE DISPOSAL SYSTEM :$ ,,OUTLET D/STRIBUT/ON BOX oo• 0 FT. /voT To SCALE INLET LEACHING P/T e FT. SOIL TEST R DESIGN CALCULATIONS DATE OF SOIL TEST 4 z 6 ? -? f WITNESSED BY `? /- y F' /� NUMBER OF BEDROOMS 3 r PERCOLATION RATE ' z MIN /NCH. P`SH of�,qs ,P��H OF,yq�. GARBAGE DISPOSAL UNITT. . . . . . . . . . . . . . . . . . /`/0^/F SI DEWALL AREA 2 GAL.IS.F, RICHARD �`'•`�� 0`'3� s9�A TOTAL ESTIMATED FLOW.. . . . . . ... .. .. . ... .. . 3-3 O GALI DAI ,BOTTOM AREA GAL/S.F. t 1AMES S RICHARDJAMES GALIBRIDAY X 3 BR FLEVAT/Onf = /o Z• 2 c No. 2 871 o ti oo A4No y REQUIRED SEPTIC TANK CAPACITY........ 42 GAi- —LO/q '7, c/STIL y0� FG/STEa�' ACTUAL SIZEOF SEPTIC TANK O SURv� V TO ,BE 1A(STALLED. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . /00 U GAL. Y.EL10I/v SU13_50/C LEA CNING P%T(S) 1- /O F r DIAMETER — 30" REQUIRED LEACH/NG AREA . . Ag 0 S.F. Lor 4 (3• -L FT. EFFECTIVE DEPTH �, F S,S,<,,r> j� ^/�T.h r� C/Z , MASS. AC TlUAL LEACH//VG AREA 067 S.F. i" 7-0 3" �� FT. EFFECT/l/E DEPTH sro NE s RICHARD J. OWEARN,R.L.S.,R.S. RESERVE I_FAc141/V G AREA z 6 ? S.F. WEST 9 DENAI S S MASS. • — /`� Joe No. cc/Ewr: NO JA//P 7-F JZ E NC°G UN 7-.,-- 2 F 0 L./C2 c c rs 1IZ17 A L • - - DATE: ' P/T 1 �/z 7 77 SHEET Z OF Z LOCATION SEWAGE PERMIT NO. VILLAGE tqD I NSTAL LLER'S NAME & ADDRESS BUILDER OR OWNER DATE PERMIT `ISSUED DAT E COMPLIANCE ISSUED (�J w �y I