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HomeMy WebLinkAbout0039 EMERSON WAY - Health 39 EMERSON WAY, CENTERVILLE " w5 111 UPC 12534 ' o.2.•1 L R HASTINGS,UN Commonwealth of Massachusetts /89- Da Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Emerson Way Property Address h;`r Cheryl Heinzmann Owner Owners Name information is : required for every Centerville ✓ MA 02632 8/17/2018 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. Please see completeness checklist at the end of the form. Important:When A. Inspector Information filling out forms p on the computer, use only the tab Paul C. Martin key to move your Name of Inspector cursor-do not Cape Cod Septic Services Inc. use the return Company Name key. 350 Main Company Company Address West Yarmouth MA 02673 City/Town State Zip Code 508-775-2825 S15016 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 8/24/2018 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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments •� 39 Emerson Way Property Address Cheryl Heinzmann Owner Owners Name information is Centerville required for every MA 02632 8/17/2018 page. Cltyrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System is in working condition. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board'of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form F Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owner's Name information is Centerville required for every MA 02632 8/17/2018 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box.,System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. 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: 15insp.doc rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 i L\ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owner's Name information is Centerville required for every MA 02632 8/17/2018 page. Cltyrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owner's Name information is Centerville required for every MA 02632 8/17/2018 page. Cltyrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) 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 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. ❑ ® 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 water supply 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 2000 gpd- 10,000 gpd. ❑ ® 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. 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 11 of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•page 5 of 18 Commonwealth of Massachusetts l? Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for VoluntaryAssessments �. 39 Emerson Way Property Address Cheryl Heinzmann - Owner Owner's Name information is Centerville required for every MA 02632 8/17/2018 page. Cttyfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes"or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 16 Commonwealth of Massachusetts Ip Title 5 Official Inspection Form !� Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owner's Name information is Centerville required for every MA 02632 8/17/2018 page. Cltyrrown State Zip Code Date of Inspection D. System Information 1. 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): 110x3= Description: 330gpd Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system?(Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): 2016=186gpd Detail: 2017=129gpd Sump pump? ❑ Yes ® No Last date of occupancy: Current Date t5insp.doc rev.7728/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owner's Name isrequired for every Centerville MA 02632 8/17/2018 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: 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 below): 3. Pumping Records: Source of information: No Records Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form '! Subsurface Sewage Disposal System Form-Not for Voluntary Assessments L V~`• 39 Emerson Way 'LJ Property Address Cheryl Heinzmann Owner Owner's Name information is required for every Centerville MA 02632 8/17/2018 page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 2014 Per BOH records Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 26" feet Material of construction: ❑ cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: +10' feet Comments (on condition of joints, venting, evidence of leakage, etc.): Line was checked with sewer camera and found to be clean, properly pitched with no sign of root intrusion. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owner's Name information is Centerville required for every MA 02632 8/17/2018 page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 15" 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: 1000Gal Sludge depth: 4-6" Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 2" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Estimated Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1000Gal tank in good structural condition. Concrete baffle in place on inlet with PVC tee in place on outlet. Tank at normal operating level. Center cover has risor. Cover 5" below grade. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 �L\ Commonwealth of Massachusetts o Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Vol u ntary'Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owners Name information is Centerville required for every MA 02632 8/17/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. 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.): B. 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): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts 1 (0 Title 5 Official Inspection Form F is Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owner's Name information is Centerville required for every MA 02632 8/17/2018 page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Oil 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.): H-10 DB-3 with 1 line in and 3 lines out in good condition. Box is clean and level with outlet inverts . equal. Minimal solids carryover. No sign of overloading or hydraulic failure. Cover 2" below grade. t5insp.doc-rev.7/26/2016 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owners Name information isequired for every Centerville MA 02632 8/17/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): 650Gal Pump chamber with cover at grade. Chamber clean. Pump and alarm ok. * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1-13'x35' ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form <7' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owner's Name information equir for is every Centerville required for eve MA 02632 8/17/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 1-13'x35' Leach field with perforated pipe and stone. Lines were found dry and clean. Soil was probed and found dry. No sign of overloading or hydraulic failure. 12. 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owner's Name information isequired for every Centerville MA 02632 8/17/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owners Name information is Centerville required for every MA 02632 8/17/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 39 Emerson Way Property Address Cheryl Heinzmann Owner Owner's Name information is Centerville required for every MA 02632 8/17/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope . ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 5'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: 2014 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: Engineers letter ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Test hole data per plan on file at BOH and engineers letter on file. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form X Subsurface Sewage Disposal System Form -Not for Voluntary Assessments •� 39 Emerson Way Property Address Cheryl Heinzmann Owner Owner's Name information is -required for every Centerville MA 02632 8/17/2018 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or checked Z C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank— Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 AJJVJJlll�L-1J-.UU11L%-al UJ Page 1 of 2 TOWN O,,Ff(BARNSTABLE LOCATION L-'1 d9 hJk-1 SEWAGE# 1 VILLAGE ASSESSOR'S MAP&PARCEL 1E- Q.14 INSTALLER'S NAME&PHONE NO. 1aL,rLcy i I �"a',-�=1 7 `�1.13 SEPTIC TANK CAPACITY jTi 9A lac).6,0 a•(i�.L) 6 A&=P6. LEACHING FACILITY:(type) _ (size) �i"�K I.3 r NO.OF BEDROOMS 3 of 4U�T.-P1l t;7 OWNER ,- z PERMIT DATE: -ICr 1 COMPLIANCE DATE:�✓ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility .'I) Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) t4 h-- Ar- Feet Edge of Wedand and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) I I t Feet FURMSAED BY r 2G1,1 • � rtid h N f1 ����pTI http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar--188026&seq=1 7/30/2018 Town of Barnstable "W'°�►ti Regulatory Services . Richard V. Sc.ali,:Interim:Director n vsrno�e, MASS. Public Health Division i639' ♦0 039 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: S I1C Sewage Permit# J014.33 S Assessor's Map\Parcel 18'K OPG Designer: �L(deL W littlin 'LrtL, Installer: 20001n�i ipc -T Address: OP Q.a.t4 6A Address: golhdu4LyLb P(� On xo '/7 of-k)ICA, &_,iuc1oi was issued a permit to install a (date) (installer) septic system at '3j`�O ri °i based on a design drawn by (address) Av(1s tt., W ftt4,n 'f�ty dated eKl4fj It —�— (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the. septic system referenced above was installed:with.major,changes (i.e. greater than 10'. lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations: Plan revision or certified as-built by designer to follow. Strip out(if required):was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the IW o letters(if applicable) P p�t�i of 44gs +1 ` G FAT PIU 9 (Installer's Signature) < U ' t_tc N CIVIL No.42r•24 V(Dsigner's Signature) (Affixp Here) RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS. BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification.Forn1 Rev 8-14-13.doc, t No. Fee V �Y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pphration for Misposar *pstem Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 31 aWAM n C� Owner's Name,Address,and Tel.No. 8 r6u�J Assessor's Map/Parcel v loz& Cb�NI M n<1 n 2rhajA 301 EiTyta-S»n V-4v 604(vi llt Installer's Name,Address el and Tel. qp No. �-t7 �3 9 Designer's Name,Address,and Tel.No. /0 M . AAAAk4 1=0.L--c6 1-�f31 WJ -en SQ3 B33 6Goo Type of Building: Dwelling No.of Bedrooms Lot Size 9 t Zap sq.ft. Garbage Grinder( ) Other Type of Building Sinq L4 Pon,,)k No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33® gpd Design flow provided 33(o gpd Plan Date AdtI 1 4 Number of sheets I Revision Date Size of Septic Tank I X _ l o o iy l Type of S.A.S. � Description of Soil Lcv%m, -,-nJ (Ar4,11a-)r-, b'l•, rrt44►Yt rn 5" Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed /' Date Jul f C1/ I Application Approved by ! Y l 7 c Date Application Disapproved by Date for the following reasons Permit No. Date Issued No. S� .'. 2 THE COMMdNWEALTH OF MASSACHUSETTS Entered in compute PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for Disposal 6pstem- Construction permit Application for a Permit to Construct Repair( U_ rade Abandon(,- ) ❑Com lete S stem ❑Individual Components PP .., ( ) P ( ) Pg ( ) P Y P ll�' Location Address or Lot No. 39 AU4.60r.-\,40 / Owner's Name,Address and Tel.No. L Assessor's Ma /Parcel p2(a � ���` � �� �(h '3tl ��� p t�f� 'p�� P i�al �1 rl n2rb �� f �-sjn► 40 l(�tfL►� , Installer's Name,Address,and Tel.No. 5- -� l_c7�' Cl 9 Designer's Name,Address,and Tel.No. y-5— . . � �33 6G��j),J � C Type of Building: . Dwelling No.of Bedrooms Lot Size 9 12-Co© sq.ft. Garbage Grinder( ) Other Type of Building S+ntgLe, o, nj►„ No.of Persons Showers( ) Cafeteria( ) Other Fixtures 3 Design Flow(min.required) 33a gpd Design flow provided 33to gpd Plan Date A iAGI U4 2 t'11 xi Number of sheets I Revision Date Title &e-Alt- St4SLnm Uvafook— 96Y1, Size of Septic Tank �X - l-oo V C20 Type of S.A.S. ILQ C ,N)r,d �0 ri Description of Soil (A r .L41a-►M hl„ tYl4cl►vt rn So nLA Nature of Repairs or Alterations(Answer when applicable) Date last inspected: -'"Y/ r 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 Environr en al C d`c,nd n2o place the system in operation until a Certificate of Compliance has been issued by this Board of Health. l K- Signed - Date Application Approved by {�lC (/ ( >_� _ �, Date Application Disapproved by Date .k for the following reasons _. Permit No.��() (( �j Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance s THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by f�(I A.711 W74 Ch N 1 M4 L>Q V­J at e} �,� ;�w �.V.�ti! has been cons 'n accordance— with thekprovisions of Title 5 and the for Disposal System Construction Permit No ..-?3teld Installer Designer e #bedrooms�� Approved design flow �j gpd The issuance oft ►s permit shally�not bb const�ed as a'guarantee that the systemellngction aslesdva y �Date , � Q 1 / iInspector [, i/�1 ` Il , i No. ; Fee /00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Disposal 6pstem .Construttion Permit Permission is hereby granted to Construct( ) Repair(✓7 Upgrade( ) Abandon(' bandon( ) System located at and as described.in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following lolal provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date / / Approved by r � ' f. Tom[ of Barnstable P# Department of Regulatory Services ? [ i Public Health Division Date s s• A r639 200 Main Street,Hyannis MA 02601 An • lEc!6AA� /� t Date Scheduled i!/`�(/ /: Time . _ Fee Pd. r t. Soil Suitability Assessment for ,sew Performed-BzCi46"1 1r1 Ltd( l f i f Witnessed By: LOCATION& GENERAL INFORMATION Location Address r Owner's Name Address 3q Lt9c�cn. Assessor's Map/Parcel: /g9 to z(e Engineer's Name (f NEW CONSTRUCTIONt, REPAIR Telephone# Sc,ed— ,5 t0 9- p.2/ 0 Land Use _ i°�pin� tql es Slo P ( ) Surface Stones 1Wrl,, _ t . Distances from: Open Water Body. 1 a4 ft- Possible Wet Area 21O'o 6 ft Drinking Water Well tLA ft . t 9 Drainage Way (nc A ft Property Line _ _ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pero tests,locate wetlands{n proximity to holes) Q ew C> 1 g • tV tr"�r Q 1 ' Parent material(geologicrr 11 I Depth to Bedrock 7 y. �rf li Depth to Groundwater. Standing Water in Hole: ✓A 8 n WeeP i from Pit Fnee N A Estimated Seasonal High Groundwater �'�t�Q Q 9 DETERMINATION FOR SEASONALMIGH[WATER TABLE Method Used: 1 Depth Observed standing in obs.hole: In, Depth to soil mottles: a Depth to weeping from side of obs,hole: tJ In, Groundwater Adjuutment_ .Sr. f[. Index Well# Rcading Date: Index Well leYcl Aru,Actor— Adj,Groundwater Level PERCOLATION TEST DH10 21 1 Observation Hole# _ Time at V1 Depth of Pero _ Time at 6" Start Pre-soak Time @ d ©' �'t`I Time(9"-6") 1,0_* �, End Pre-soak 1,0 I5%'y i Rate Min./Inch Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conse>"vation Division at least one(1) week prior to beginning. Q:ISEPTIaPERCFORM.DOC i DEEP.OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders. onsistency %'Gravel) ?DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsisten % rav 774 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%a ]DEEP OBSERVATION HOLE LOG: Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Co s' to Flood Insurance Rate Map: Above 500 year flood boundary No— Yes`_.,, Within 500 year boundary No Yes Within 100 year flood boundary No. Yes Depth of NataraUy Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? I-cs If not,what is the depth of naturally occurring pervious material? Cei<tification I certify that on (date)I have passed the soil evaluator examination approved'by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required tramin ex er'se and exper' ce described in 10 CMR 1.5.017 Signature Date J� QAS.EPTiCPBRCPORM.DOC TOWN O,�F(BARNSTABLE 3 LOCATION 1 �`?Lst �P( AJA- I SEWAGE# 5 VILLAGE J'�e1.rT-LJZ-L J L4 ASSESSOR'S MAP&PARCEL 19- INSTALLER'S NAME&PHONE NO. Z�LeT—v t 6"t;7• 576 - l T i-J 3" SEPTIC TANK CAPACITY CG,�C 1 r i 1,rA 1000 &10 A e— ?G. LEACHING FACILITY.(type) F (size) ZS-fAC13 NO.OF BEDROOMS OWNER r_ PERMIT DATE: q-IC,-14 COMPLIANCE DATE: U Separation Distance Between the: i Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility _11Z) 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) /Q ( Feet FURNISHED BY r Gl I S oue l J ',r TOWN OF BARNSTABLE 3 367— LOCATION -39 C�-r-P��t SEWAGE# — '>I - VILLAGE �d=t�i` ''i=yl L i-' ASSESSOR'S MAP&PARCEI: 1 - > INSTALLER'S NAME&PHONE NO. �'�� SEPTIC TANK CAPACITY /�'C ^X') C�'f i P s 14�iL ' C� 0 LEACHING FACILITY:(type) (size) 7 'k 1 NO.OF BEDROOMS OWNER PERMIT DATE: —it 1 f COMPLIANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility z Private Water.Supply Well and Leaching Facility(If any wells exist on Feet site or within 200 feet of leaching facility) Edge of Wetland and Leaching.Facility(If any wetlands exist within fit E Feet 300 feet of leaching facility) FURNISHED BY I ..l 11. l 11 .3,yL) S r6 1 _ _ I Cheryl M. Heinzmann 39 Emerson Way Centerville, MA 02632 Map/Block/Lot 188/026/code 1010 STAIRS ME * .��`` � � LiVINGROOM BEDROOM ` a� r � CLOSET STAIRS FINISHED BASEMENT WITH NO BEDROOMS Cheryl M. Heinzmann 39 Emerson Way Centerville, MA 02632 Map/Block/Lot 188/026/code 1010 Basement . k , y. 6 Sep 15 2014 09:04AM Puzio Eye Care 5084323401 page 1 Cheryl M.Heinzmann 39 Emerson Way —4 Ca .. Centerville,MA 02632 � Map/Block/Lots 188/026/code 1010 9/15/14a 0- Attn. Mrs. McKenzie Town of Barnstable Health Dept Septic Division Basement has no rooms' .Unfinished open floor plan with exposed framed walls,ceiling and cement floor. 48x23 Washer/Dryer8x10 Garage 12x10 Stairs Stairs Stairs Furnace 48x23 12 DElu, 1b 1 COMMONWEALTH OF MASSACHUSETTS \� EXECUTIVE OFFICE OF ENVIRONMENTAL ME AFFAIR] �fCE/V�0 DEPARTMENT OF ENVIRONMENTAL PROTE TION C r ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 TQ O 6 1999 . �Al)H p�TAB(Lr TRUED OXE d ecretary ARGEO PAUL CELLUCCI D B. STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION p /� Property Address:W1�e�-���©�./� Name of Owner C c,n` 4_'�v u\e-- Address of Owner: Qc,c,;( Date of Inspection: e—VN%GV v c Name of Inspector:(Please Print) J c' M C�-zs IvR0`-u A I am a W.4ppromed system irfspector pursuant to-aection 15.340 of Title 5(310 CMR 15.000) Company Name: 10. — r Eli IJ kQ'lZ 0 d,M G,J.1 CJ— R Mailing Address: � a C', Q v 'C_ Telephone Number: b 3 °— wy 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: Ypasses Conditionally Passes Needs.Further,Evaluation By the Local Approving Authority _ F ils apector's-Signature: W Date: �o g The System Inspect r hall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within thirty(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 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. NOTES AND COMMENTS l l revised 9/2/98 Page Iof11 N ;0 Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 0=y Address: ate of Inspection: icy P..3 1 INSPECTION SUMMARY: Check A3 B, C, of D: SYSTEM PASSES: 1 have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIO LLY PASSES: One or more system mponents as described in the "Conditio al Pass" section need to be replaced or repaired. The system,upon completion of the repla ent or repair,as approved by th oard of Health, will pass. Indicate yes, no, or not determined(Y, , or ND). Describe bas' of determination in all instances. If "not determined", explain why not. . The septic tank is me I, unless the owne or operator has provided the system inspector with a copy of a Certificate of Compliance(attached) dicating that t tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank, whether r not meta is cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The s tem wi pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of H Ith. Sewage backup or brea ut or hig tatic water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, se ad or uneven istribution box. The system will pass inspection if(with approval of the Board of Health), roken pipe(s) are repl ad obstruction is removed distribution box is levelled o replaced The syste required pumping more than four times year due to broken or obstructed pipe(s). The system will pass inspectio if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed revised 9/2/98 Page 2of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) eoperty Address: Owner: Date of Inspection: C. FURTHER EVALUATION IS REQUI BY THE BO D OF HEALTH: Conditions exist which require her eval ation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the envi nmen 1) SYSTEM WILL PASS UNLESS BOAR F HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANN ICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is wit n 50 f t of surface water . Cesspool or privy is w' in 50 fee of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOA D OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PR TECTS ' E PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank an so' 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 o' absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank an soil sorption system and the SAS is within 50 feet of a private water supply well: The system has a septic tank a d soil ab rption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unl ss a well we r analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution fro that facility an the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used determine distanc (approximation not valid). 3) OTHER revised 9/2/98 Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) *Property Address: Owner: Date of Inspection: D. SYSTEM FAILS: You must indicate either "Yes" o "No" to each of the following: I have determined that on or more of the following failure conditions exist a described in 310 CMR 15.303. The basis for this determination is identified low. The Board of Health should be contact to determine what will be necessary to correct the failure. Yes No Backup of sewage into acility or system component due o an overloaded or clogged SAS or cesspool. Discharge or ponding of a ant to the surface of th ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distributio ox abov outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" low invert or available volume is less than 1/2 day flow. Required pumping more than 4 time in the ast year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absor lion System, cess ool or privy is below the high groundwater elevation. Any portion of a cesspo or privy is within 100 fe of a rface water supply or tributary to a surface water supply. Any portion of a ce pool or privy is within a Zone I o a public well. Any portion of cesspool or privy is within 50 fe of a rivate water supply well. A y portio of a cesspool or privy is less-than 00 feet but reater than 50 feet from a private water supply well with no ac ptab water quality analysis. If the we has been analy d to be acceptable, attach copy of well water analysis for colifo acteria,volatile organic compou s, ammonia nitrog and nitrate nitrogen. E. LARGE SYSTEM AILS: You must indicate ei er "Yes" or o" to each of the ollowing: The following criteria apply o large systems n addition to the criteria above: The system serves a facility,wi a desig flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environ ant ecause one or more of the following conditions exist: Yes No _ the system is within 4 feet o a surface drinking water supply the system is withi 200 feet of a t'butary to a surface drinking water supply the system is to ted in a nitrogen sens ive area(Interim Wellhead Protection Area=IWPA)or a mapped Zone II of a public water supply w II) The owner or operator of any s h system shall upgrade the sys m in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for fu her information. revised 9/2/98 Page 4of11 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Oroperty Address: 17- IC'%A G '�S J G Q Q01, Owner: Date of Inspection: n q Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yet No Pumping information was provided by the owner occupant,or Board of Health. None f the system components have been pumped for at least two weeks 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. _ ALP- As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. The syste does not ceive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. _ 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. The size and location of the Soil Absorption System on the site has been determined based on: Existing information. For example, Plan at B.O.H. Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) [15.302(3)(b)1 The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance-of SubSurface Disposal Systems. s revised 9/2/98 Page 5of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Wcaner: Date of Inspection: ® �] RESIDENTIAL: FLOW CONDITIONS � Design flow:_10 g.p.d./bedr om. �0 7/G6 Number of bedrooms(design):'3 Number of bedrooms(actdal): _ QQ Or Total DESIGN flow '2� c�O /5'0 4 6 Number of current residents: Ind® / �© Garbage grinder(yes or no):�9� ✓ /� / Laundry(separate system) (yes or no):0; If yes, separate inspection required Laundry system inspected (yes og) Seasonal use(yes or no):NO ` � y ��/ Water meter readings,if available(last two year's usage(gpd): / 1� I / Sump Pump(yes or no):� Last date of occupancy:�Z 11 -4) 0 COMMERCIALflNDUSTRIAL: Type of establishment:" Design flow: Qod ( Ba don 15.203► Basis of design flow Grease trap present:(yes or n 1 Industrial Waste Holding Tank esent: (yes or no)_ Non-sanitary waste discharge to he Title 5 system: (yes or no)_ Water meter readings,if ava'able: Last date of occupancy: OTHER:(Describe) Last date of occupancy• GENERAL INFORMATION 0 LIMPING RECORDS and source of'nfo mation- t System pumped as part of inspect n: (yes or no)_ If yes, volume pumped:-gallons Reason for pumping: TY��IOF 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) I/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components,date installed(if known) and source of information: 8 X Sewage odors detected when arriving at the site: (yes or no) revised 9/2/98 Page 6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 4 opF Address: Datenspection: BUILDING SEWER: (Locate on site plan) f J Depth below grade: Material of construction: cast iron V 40 PVC_other(explain) Distance from private water supply well or suction line�tL �—�( { Diameter 'q{ rr Comments:(condition of'oints, ventip _gvictence of leakage etc.) SEPTIC TANK:_ (locate on site plan) Depth below grade:$/0 1� Material of construction:�oncrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age— Wage confirmed by Certificate of Compliance—(Yes/No) A I/ x A ; (flat- Dimensions: o Sludge depth: Distance from top sludge to bottom of outlet tee or baffle: Scum thickness: ,( from top o scum to top of outlet tee or baffle.- Distance Distance from bottom of scum to bottom of outlettjee or baffle: % ------ How dimensions were determined: &mments: ))))) ecommendation for pumping condition f inlet and outlet tees or baffles, depth liquid el' n to outlet invert, structural in grity, evidence of leakage,etc.) �� C6 •�, C9 GREASE TRAP: (locate on site plan) Depth below grade:_ 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: 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.) revised 9/2/98 Page 7of11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) openly Address: caner: Date of Inspection: TIGHT OR HOLDING,TANK: (Tank m/pedor at time of, inspection) (locate on site plan) Depth below grade:Material of construction:_concrete mthylene_other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm present Alarm level: Alarm in orking order:Yes No Date.of previous pumping: Comments: (condition of inlet tee, condi on of alarm and float switch ,etc.) DISTRIBUTION/BX:(locate on site 1 1 Depth of liquid level above outlet invert: { omments. note if level and distribution is equal, evidence of s s carr r, evi ence of leakage or out of bo tc.) O v PUMP CHAMBER: (locate on site plan) Pumps in working order:(Yes or o) Alarms in working order(Yes or N Comments: (note condition of pump chamber, on ' ion of pumps and appurtenances,etc.) revised 9/2/98 Page 8of11 ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) operty Address: wner: Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: Type: leaching pits, number:_ leaching chambers,number:_ leaching galleries,number: ` S leaching trenches,number, length: 2 ' b leaching fields, number, dimensions: overflow cesspool,number:_ Alternative system: Name of Technology: Comments: (note condition so1_,­a,gns of hydraulic failure evel of p(ndin , dam oil, conditio of v tation, etc,).-.- _ G O 6. z; C CESSPOOLS:_ (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: 0 pth of scum layer: imensions of-cesspool: Materials of construction: Indication of groundwater: inflow(cesspool 7111a pumped as art of inspection) Comments: (note condition of soil, signs of hydraulic failure,level of pon ' g, condition of vegetation, etc.) PRIVY:_ (locate on site plan) Materials of construction: X Dimensions: Depth of solids: Comments: (note condition of soil,signs of hyd/cfailure,level of\pon * condition of vegetation,etc.) revised 9/2/98 Page 9of11 I� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) operty Address: �wner: Date of Inspection: /O A SKETCH OF SEWAGE DISPOSAL SYSTEM`. include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house)' Gn �I _ 1 revised 9/2/95 Page l0of11 G� f �I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 1 operty Address: �wner: Date of Inspection: NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Chec Cellar Shallow wells Estimated Depth to Groundwater_Feet a Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record —90bserved Site(Abutting property observation hole basement sump etc.) ,ryl0�`,I Determined from local conditions Checked with local Board of health V �' Checked FEMA Maps *_—Checked pumping records OR Checked local excavators, installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) w11 h C-� �r � � � po 1oq C-1 Z� - -mot �� a �� i�� 706)e. (q�-, Q'- I j�J 0 75) ts 3 C revised 9/2/98 Page 11of11 �. �,c-- mac h �� �S S UBSURFAI SEWAGE DISPOSAL SYSTEM INSPECTION FORM �6 -PART C ( 3 SYSTEM INFORMATION(continued) j?roperty Address PC\ Date of Inspection �.-0 ,Ll.<<� C.�j SKETCH OF SEWAGE DISPOSAL SYSTEM' include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) 1 �k ebb 'osr' J� �' !�' f C_ lksG 1 C Page 10 of 11 > revised 9/2/98 �t r No......rs FmE...`...�..................... 3 1 THE H�O�"�f�D ALT 1� FH ESA LT H TS /�o ,oa� F = Appliratiuu for Disposal Works Tuuutrurtiuu Prrutit Application is hereby made for a Permit to Construct (t ) or Repair ( ) an Individual Sewage Disposal Y st a .. ----yp- 4-1-M. - ------ . .. -----•---•-_-•--- •-•-••-••_..Location Address or Lot ----O.J.- µ. Address 1� - ---- ---- --------- --------------------------------------------------------------------------------- ---------- nstaller Address Type of Buildin Size Lot---/- �"__:__..Sq. feet U Dwelling TNo. of Bedrooms-------------- .................___.Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building No. of persons............................ Showers = Cafeteria P4 Other fixtures _______________ W Design Flow,................11�a_...___..____�tgallons per person per day. Total daily flow____.__........ gallons. P P P Y Y -- ----------------g WSeptic TankLiquid capacity_.__.___gallons Length................ Width................ Diameter................ Depth-- ------------ x Disposal i �No..................... Width------------- Total Length-----�� _ -_-- Total leaching area....'t/i'd__-'q. ft: Seepage Pit No..................... Diameter..........__.._._ Depth below inlet_.....____....._.... T 1 1 hin area s ft. P Gg z Other Distribution box ( ) Dosing tank Y10-L/-, Percolation Test Results Performed by._--.__.___=___ �' ._/__ __. __ ..... Date-___-_ --- aTest Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water— Test Pit No. 2................minutes per inch Depth of Test Pi .................... Depth to ground water_-_____________--__----- ---- ------- -- -- - - - - ...... .................. - - - - -. ------ -• ----------------------------- ------------ ------ --------------- _ ODescription of Soil---------------- W �---a----- UNature of Repairs or Alterations—A swer when applicable----------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary C de—The ndersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issue lye board of health. 2 t /7-3 Signed... . . "---- -------------------------- ----=--------------------------- Date Application Approved BY r� . . -- -- 7 Disapproved for he following reasons:._"-__ �G�9� IL -)T-.-, ate -------------------- Ati,,te -------------------------------- ------------------ Date PermitNo......................................................... Issued........................................................ Date No......I� .,. F��..:��-................ THE COMMONWEALTH OF MASSACHUSETTS x BOARD F HE LTH Appliration for Diopo a1 10orkii Tonotrnrtion Vrrntit Application is hereby Made for a'Permit to Construct or Repair (. ) an Individual Sewage Disposal SY stem a -&. We. ......................................................7......... $.,:s t_cation- ddress V t N _ � wner Address Installer Address Type of Buildin Size Lot___�__df�1 .__.__.__Sq. feet Dwelling—No. of Bedrooms____________________________________________Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ____________________________ No. of persons____________________________ Showers ( ) — Cafeteria a' Other fixtures ---------------------------------------------- W Design Flow____________________ ___ ___________ allons per person per day. Total daily flow_.______________---------------------gallons. WSeptic Tank=Liquid capacityx -gallons Length---------------- Width---------------- Diameter---------------- 1101la.40__ -------- Disposal TFe�—No_____________________ Width______ ./______ Total Length_._.__�_�+__-_ Total lea i x ng area....................sq. fit. 3 Seepage Pit No..................... Diameter.................... Depth below inlet_._._ aP�lo�g area_____.___________sq. ft. Z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed bY------- ----•-•---•-------••--------- ----------------------------•-•____ Date------------------------ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water___ �' --- ........................... _..-••• ---------- .......... D Description of Soil------------_- /� ��,. . � �. �..- � . .. i _ _.____ __ 4 _ ___.3=_F ____ ___ / X (fir` U ._________________________________________________________________�__________________________._._._.__.______.__________________.__.________..______P_____________________________.._..._________--.. VW 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beent issued by the board of health. , Signed___ fr� Date Application Approved BY a+ = ------------ " --- Application Disapproved for the following reasons:............................... ------•------------------------- ---------•------_--....... .......................................................................................................................... ...................... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ...:. ....OF............. ,.... T rtifira#r of Tontplianrr TH IS TO TIFY, T�e i ual Sewage Disposal System constructed ( or Repaired ( :) byL?'•" -----------------------------------------------------------"------------- at - ----------------•---•----_____-•--------------------------•------------------ has been installed in accordance with the Vrovisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No________________ 73.�.____________ dated. . h -� _____________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST E® AS A GUARANTEE THAT THE SYSTEM WV;t� ION SATISFACTORY. DATE t I Spector ��Le---------•-•- �� / -•• a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF :HEAL:!.�.. No. `� FEE__ ; y iott1 . Ton- 1 rtr Permission is hereby granted___.. .. ._ f --- ............. to Constr t ( or Repatri( ) an Indtvtdti 11 Sewage Dtspos Syst r x f at No._ _ - ?'c_t� ^� �" -�.. .... ---- --- ----- ., _�� as shown on the applieatton for.Disposal Works Construction PerrriUU No.__ -Boardf He DATE.....-•"• :- ---------------------=-- o Health FORM 1255 HOBBS & WARREN. INC.• PUBLISHERS - TOWN OFBARNSTABLE BARBS M3a 039. BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........MEr=C..3MU.CT.URFa' ...INC......... TYPE OF CONSTRUCTION .....................Q4.q ............................................................. ................. ...........19.7.3... TO THE INSPECTOR OF BUILDINGS: The undersigned. hereby applies for a permit according to the following information: Location ...............1,at--5-5----11mersj=.-Way.....Centex-ville,..Mass.......................................... Proposed Use ..............Pr-:Lva-te..Dwe11irig..................................................... Zoning District ..... z.....................................Fire District .... all, .............. ...................... .......... Name of Owner ...... ...................................Address ... ester, Mass. ............I.............................. . Name of Builder YJETR1Q..;5.MQ.T.VRE Rd. .... ...... ...............Address ....... ...... ...Prin..c..e.ton., Mass. .............................. Name of Architect -.Ruszell...S-0atman..........................Address ....Qld..Calony..Road..-...Pmiac.eton.,..zaaa Number of Rooms ............ 5......... .................... ..................Foundation ......2-5!...z..48. QQatj.R1a.Q1.ka..Q.QXj�,.r Exierior .........Texture...I,I I ................................................Roofing ............&4Q..AP.PbA111 Floors ........... PjywD.cxd.......Carpet.........................Interior .............V.... ...:Dpppr.iA1..Board............ Heating ........For-ced-Hot-Water:.......................................Plumbing ..........I-Z...Baths Fireplace .......Free..Stand:Lng..............................................Approximate Cost ..... 00 12 4, Definitive Plan Approved by Planning Board -------19-------- ,- Diagram of Lot and Building with Dimensions oVor To Sc..QgA 4 rIAwr a.-IV SUBJECT TO APPROVAL OF BOARD OF HEALTH CIALVAcCjNAj . L 41 K1'O ST BE RASS t @ N COMPILIANCACHJC� TT§ E 2Q 00 1; ITH ARTIC-! E IN STATE 4 a , - W$A N t"AR ;L SL A� CC- E AND TOWN kl tic 7 Z,(. 41 L 5 ----- - 1,-e I hereby agree to conform to all thdNuLfreHs cifid Regulations of the To f Barnstable r ardin the above construction. Name_ . .......... .. ... ............. .. ............... AsBuilt Page 1 of 1 TOWN O`F�BARNSTABLE LOCATION J_qHc c lt���1 SEWAGE# ; • j,3 VILLAGE (�xt ,L-,Ja .'I LLO ASSESSOR'S MAP&PARCEL 1 ZZ b INSTALLER'S NAME&PHONE NO. 21 t(f SEPTIC TANK CAPACITY,, LEACHING FACILITY;(type) (size) 3S�K1.3 NO.OF BEDROOMS OWNER z PERMIT DATE: -!(,-! COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility .1D Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) N _ Feet Edge of Wetland and Leaching Facility Of any wetlands exist within t 300 feet of leaching facility) I I ! Feet FURNISHED BY lzC IJy,Y��T G�S',oAc rye h 3;i' y96 3t ay Ll I I I I http://issgl2/intranet/propdata/prebuilt.aspx?mappar=188026&seq=1 11/28/2017 ­________.l_­_.______,__ _________,_, ___________ _-, , ___ - _ -, , __ - - --- �-----------__________ ....... __ �...__ __ __ ________ _________ --- ______ll�_­ --___ __--__­­_ - __- ­­___ - - -­ -- __ �--- �-__--I -__-------------i--"-,�-----.--.-----------�-------------,-�,--,-----,---,-----------------,---�----�--------___--,---,--------,--.-,�-�---,-----,--,_,________._____----------�--,��---,------",------------,L--------------,-..,----�------------ _,___,______ __ _ ,-- __ � - ­ - --,-,-., � ­ __ ­ I I . I - 1-1-I I­_l _.­ . -1 I ­___ �------1-1-1�------.------,�1--l'-�-,-.--l-11-1 ------I---------_____­_______._­______­_-,----------------­ ___­______­_ ______________­____, I ; i I I I I I I I , I I I i I � I I I I � I � � I I . � 1 7 1 : I � I � : I I I I I I , . I . I I � . I I : I---- - _____ . I I - I I � � , i - : � PROVIDE 24"DIA.WATER . I � i 5/8"PERFORATIONS SPACED AT 4"SCH.40 PVC 4"SCH.40 PVC OBSERVATION PORT I .1 I I , I � I I � -I'.....'.- I TIGHT FRAME AND COVER - I 6'INSTALLED IN ACCORDANCE DISTRIBUTION LATERAL,SLOPE AT ­INSTALLED IN ACCORDANCE WITH 310 CMR I I i'a I I 1 : I I �.� . SET COVER 6"BELOW GRADE � , � , WITH 310 CMR 15.251(8) 1 15.240(13) 1 =,I i I .�,�!­ � TO GRADE I I � 0.5%TO DRAIN(TYP.) ! , � ", I-I ­ I I I �: l 01 , � I ".I .." I I (D I 'a I I ? " III,,,\ ,,,,,Ili, � � .- �1111111111;J111111111111111111 1 ,11'�C."�66'�1111111111111!11111111I 1�1.� I >,, a ::-z%l ______ � � I , , � � ,­ � I _, I I M, I ____ ;wc&'W�i'6� .�,� - I-- I DISTRIBUTION LATERAL,SLOPE AT CL i I AE�)­_­_, I I I i�I I I I I Lll Ll 11,U I I U 21f IL ii I fl�fl��,11'1& APPROVED EQUAL' -_��- 1,. ,I I I � � I 1 11/2"DIA THRU WALL WITH CONDUIT I - ____ U011111fl U111111rill! I EL.i100.5 ��flllllll 0� .2� I I I .. .. I kl: 711 0.5%TO DRAIN(TYP.) I CC) � . ..f,.-;.I., , FINISH GRADE OVER TANK EL.= 100.11 � '1�I ': LOAM&SEED � I � _T � I 1. ,-, , '1111/I /I/ �11 �,-,,'�,, SEAL AND NON SHRINK GROUT TO � .1111-1 I i Ell. . . . . � EL. 100.1 01 . .:..1 !111�illifilli�illifilluill��ftll!,I��ilil,lillillitillifillitillitil4li���llii�lliu�illi�1l�fflilli�lla�L4g"'.'W11/111111111118/1`18/1, � -, I ...., . . I'll .11 I -- HILANDSCAPE (D .% .1-IT11- I 1 r-.,..,,,.m 330 GALLON PUMP CONTROL PANEL ... : TOP:OF D-BOX EL.99.78 W-501--W:-------- � - I .l.. - : I �� III =I I--- 4 1 . I 1,111­11111 I I - - - ... .. ,,,, I I I�T=1�t . illt 1-1 - = .. 11 � � -_ ---­ 11­1- 1.11­ :t-'? .. A M A N D S E E D WL-11 TALLIF,�,l Air I:I__-1:1 I=I 1 It=I I I_-I I I�=T-11�­­, - 1111 11- 1-11-1 EMERGENCYSTORAGE . . : . �'­,�l .111-:1,-."--"-�-""-�--,---,",----__________, -- --- ____", - _=_7_7...7_:­�, � --, . " 1--li.* .. . - , . ... . '_­__:�- - ----------__,_ __- .- .. ---1-I -.1: ---- ,""""-,­ --- - - -:- ­-, ,--,,�"",�.""7,--�--7--,-.:7,:,�:",---,-,----, -1 � I I ,:" - . ....: ... I _11'�,'I,�11. ­11 �_ ---------- I— ___ .-I-1­1­111- 1"_"I,_ �--- ----------_..._-, I . .�... -, . ... ... ...� ... . , ;� .I "',� 'll .. . , ��,�_� ,1111_ _-------� ----­11.11------ --- - --- _:-__:7,_:7_,. - " _­_--,-- 'F5 3: '� .�`.. .�� I 1:11-11ii IF HIM .I -1.I......11-1 ?" ,1� - I 1� I i I li�1:�= :: - - To -IM I M - :."�,.-­., I ABOVE WORKING LEVEL E .99.27 - 2 HOLES FOR 3/8"BOLTS FOR . , . ;!I ____ 1.01 ­.­-1- -- __ ____ ._,"" "' _�__ _". -0 .r ,, ._��­ ---------------_ - ,-_--,--------___---__-___-,-1 ____ . : I . Z�,l �,�� - 11._�"- -_ --i--,-�-"---.,".:,�-,-�-".,�'.'��.-"-,�-.--------,-",,"""---,�,,",�,,: .- - ",..,t* .�'� I � ,,,� ,__, J7 -.' - FL I i > .. .1 7_1 , ",�:" EACH SUPPORT BRACKET i - �I , ,7 I FL I .. I[ I �­��­' ',.­�,'-,�CLEAN BACK. ILL ------- ---- --- ------ -- - -- ------ 7-7 _ 0 f. .. ­ 11 ­ I ,,,1 I I .� .. - ` ��:-:-�--�--�:�-�,�--:--:--:-----:---- -_ -------------1.1.11,11, ­1---­-­11_.­­1 I.,---­1-_� 0) INVERT EL.=98.2 _1 . fl`j�'122,1 I'?�' - ,"' "'' I—"I­1 I.,-- ------------�_.- __- ---------____------__.",-,__--_ � a) .:..-�,.; I 4"SCH 40 PVC FROM --­,"':�,, �I =1 I 1=[1,- .., 1 r)0 . :_7'-,,,,, " , "', ""-,"' ­­­-,"'"'---,- --­ ,_­___ ____­_7,_:_�,7-- ------ ---- I 1 ­',7-�"'--, ,------------,-- ­­­ ---------,�,�-------------------,--,-.- t2 �2 , -," - _1­­I� 11­ - ___- __ 0 1, - ­ "I-1 I I�-1,7��'_:­::_"*_�­_'�_­_,­', �,�11_7_11`....17',:,�"`_�71,�__�__ ___ -----___:,�:__:,�...17-:-.:-_ ,:_�:__�__:__ ,, - --------------- I......._,_­","-,-.7-7-:--7.:-,.�--�--.-�:",.�,-­-_,_______­__'­'____­,­___,___ ,"" _ ­­­.", , - - - ...'. . I N,��l . ''I , ______, __ �_l - ___'., 1_11"_--------- --- ----------- ... .. ...� ,�___�_,'. I EXISTING SEPTIC TANK 5' �- �_ "I- I 1;,�,:,_Tl I I�, I .- - ----I , BREAKOUT EL 99.08 '=__7,:7,7_7�___:,%�",:7,:,_," ­7­7 ,"""__----__ 7:7_7�,:�_11_ 11 111-11111 ,11 1­7 _,��­­ . %'." ±99.3' C-1 - - I ,l.lr__,__,2_,l',lll"l'l, I - . . - ­ . - t� I - , . . -.­�---�7 I", .-:,� 1�__`.... -111 � I -I., � ­ I . t .: i '..... .. ..�.: ; . 2-7. � ?�771'�'�7� , . . I r- "... . . .. I . , . ;',�" � ��_��1�4­ -, ­k.-'' . EL.97.52 �- � . .- I . I 1 2"SCH 40 PVC FROM . -4"SCH 40 PVC TO LEACHING FIELD . . I . � � IL i IL - , 1. .. :..-� I ...... .. . . . INVERT IN EL . 5(BEGINNING),98.58(END) � � I I � � u_� U_ 0. � . I I � �9 � �11 I'll,I I�­1-11 I'll,- --I'--_--1 � ;�;%.:-!., .,., I ',] - __* PUMP CHAMBER .111-1111'... I . 1 6"I ,, - ,:..... .. - ,t,*, __�,�_A I __ � I. I I < - - , '_ EL'98.78 . -1 I , - � � - "-�,�,�.,--1.4,�""""�"'Y', (/) w LU I I M - 3/4" 1 1/2"DOUBLE WASHED M , I \ 4' L- 2"SCH 40 PVC TO DISTRIBUTION BOX STONE 3/4"-1-1/2"DOUBLE Wfi EDSTONE I 1...... 330 GALLON EMERGENCY -77- I� I - I 1 3"MIN I� I" I r-L.UO.UO­0 � � I-,-,_,JU , BOT OF SYSTEM EL 98.25(BEGINNING),98.08(EN � I � mm I � I - .-I EL.97.52 �"---,I I I" --I I I'=1���"'"i I �,��,,, ",1 -- I - I � .. STORAGE ABOVE � ­�I"',='I 1...�... ....­ - _7,� 1 . � I I 1­1 , �'l I -I I I-. , , � - - - -11 I -I I I - -I I I C 1 1_7�11­ I'll I 11 11-11-,I 111-11 I­­­ .:- INVERT IN ..' � I I 1-1 I I .. I I 1_1 I I I I ..: . .. �_ � I I � I I � - . Il- Iq i I i , , i , i , � - -111-11 U - - � 11 � . � .. . INVERT IN WORKING LEVEL ,:�', - ,, '\- SLIDE RAIL MOUNTED PUMP UNDISTURBED , , lil -I I .2 _��_ \'11.1" IT I I - .�:,I I., EL.=_97.8 . i i ,� , I I I `� '"', I * � �11 �l 9"OF 3/4"COMPACTED 1.5' - i UNDISTURBED EARTH/EXISTING LEACHING FIELD(SEE NOTE 17) - Z-15 :;= � I ca I .. .�P.'..., .... , I I EL.=±97.55 1 1 . I .1 '.'.� I I 1, .. HIGH LEVEL FLOAT EL.94.62 ",'' C� 4�- 1/4"WEEP HOLE IN DISCHARGE PIPE A2 EARTH 5.00, .cn Q !-- I I 0 4 e:?.., .. 1*4 1 - -CRUSHED STONE BASE -1.51 1 - � > 0) 0) � "�%: .'. I - I �� !�`� I I I -5.0' 0 - lff� a a I � I :,.. *." I i a) ______ �.........-""� . .I : , ..�' I . ", ' I I," ' " ,",, : , .. 41 ­1 UNDISTURBED EARTH/EXISTING LEACHING FIELD(SEE NOTE 17) __ � ... ...l. .- . _� TYP. i I.. ... i � I l.. 'MIN. � NEW INLET TEE I PUMP ON FLOAT EL.94.12 1 .-'- CHECK VALVE I , . I . I �,�ll ,,, INLET TEE 1 35' - 13' - 0� - �� ai �. I I �� � � I v I � A�4 . .�1' �,�I � . . I- I �� I = I - I NEW POLYLOK PL-68 EFFLUENT FILTER �11 PUMP OFF FLQAJ EL.93.52 , 4 HOLES FOR 1/2"BOLTS FOR NOTES: . , . . . I I . "' I I -1 WATER EL.93.0 TYPICAL FIELD SECTION 11 , -l"- I � TYPICAL DISTRIBUTION LINE PROFILE I ESTIMATED SEASONAL HICI I . ­ �(- - PUMP BREAKAWAY BASE PROVIDE 5 OUTLET DISTRIBUTION BOX WITH BAFFLE INSTALLED ON LEVEL STABLE BASE. �;, , I . i--='�-�_­,­­-,'7.................�'�'.�l ­ . I �, I .�..---��-�-_­:_­V__._. .*. . .. . . . , I , .. . - -�.-- �-:.': � ` '= ... , . :. -I- -, - Ca I . -- -�__;__­..­,­_._­_ " .. , . �i BOTTOM TANK EL.92.52 ,­� I N. ls� (BASED ON SOIL MOTTLING IN TP-1) % I �, I z � .I �l ...... . INSTALL FIRST 2 FEET OF OUTLET PIPES LEVEL. THREE OUTLETS USED,2 OUTLETS CAPPED. _l*� -1 - ... � � NOTES: � " ­­ I "I __ , , �­R,L 1�I I I I � ��. , " � ,� �___l" ,,"I, , ,I le�­:'' I I , ,, ,"I', ";,11" , CL . 1� - -�_, I I 1. LANDSCAPE FABRIC SHALL NOT BE PLACED OVER f , 47 11 -6 u_ I -I I I �l ; �l ll,� I � 11, , �' , 11 I i , � 0 �� " - I � , �� _r - I'll THE LEACHING FIELD FOR MULCH/WALKWAY I� 1; I �,,' () "I " , , , , I I wc ,, " - ­1 , I I I I PROPOSED 5 OUTLET H-10 DISTRIBUTION BOX DETAIL LEACHING FIELD DETAILS CONSTRUCTION. , I z � EXISTING 1,000 GALLON SEPTIC TANK PROFILE I ll'� I "Ill, ,� . llll,�� I , , ­I, I . I WERS SRM4 PUMP(CONTRACTOR TO VERIFY NOT TO SCALE NOT TO SCALE I , zN1 . �� I NOT TO SCALE I I FLOATS FROM HAI�4'GER VOLTAGE REQUIREMENTS PRIOR TO ORDERING � - 1 . I � WITH WEIGHT AND WHETHER EXISTING HOMEOWNERS PANEL I I ; . �;, = . 9"3/4"COMPACTED HAS CAPACITY FOR PUMP) � � � 0 to M W I I r- C a --.) I , �--- I I � CONCRETE ADHESIVE BETWEEN- -30NM PVC \_11 ZONING & RESOURCE PROTECTION NOTES - .0 3: -V,-�'J," .,I CRUSHED STONE BASE 1 12" 1 �;:��ARVN�,�,�_-`,�I 1_._��......�......��4�,Ali.-V,.�Vl-;;�_--� - -.N'l,,,-17 .r-�- ,k ,,, .,�% I LAYERS GEDMEMBRANE LINER _L = E2 " ��_ * I - I - � _\ fi a a 11 I . 1�,.,,1, 1, I . CAP STONE-\ LOAM&SEED 1 4" 1 '. 39 EMERSON W,A .� W., , �_ll Z7 I,I PUMP CHAMBER CALCULATIONS 1. PARCEL ID:188/026 1 � 0 � � � . I I -1.I I I 11 I I-.-.1-1....­­.A§�.� � - I I I . 1­1 I..'',",...­ ­ ''I'll, : I M 0 .. I , , " W*',I�,,,6 171 N .. >1 I " ,. -il I T A R / - * .IN I 1.11.11, .....- � I I - -7,4_�;_ I " v I DIAMETER 5.00�FT 777', '7\ �,--,� g�'-`�­#_� � 0 1, I 1. " I I I I :,P', 7"-,,--,7 M � -,;yi - I ,\ ��, '14 ". I 1 2 � I STANDARD UNIT /�­� I �, 1, " i, -/,­v;,�-­ 0� I � . - I�l 14"I', ll�_ AREA (INSIDE) 19.63'FT I ,,X� ,-,,,,�,,� 2. OWNER OF RECORD:CHERYL M.HEINZMANN I 2 2 -0 = �,,�.. ­�Ml '��,_%61,1_el'�___,.`l - '. �" I 111.1 I'll � I ­ I— . I " `111,,,,;,��, , --I 8" t-- I a) W il ­_� , I I-,�l ,��,, , � I PRE "I ,\\�1,11_S\ll`l'l , � 1, ��A "I ­1 - I CAST CONIC. . , _; � C --) w, . .""/ , �6�4 �' 0 1% E I I I L' "� � , - I , ,"I HEIGHT�JNSIDE) 4.42:FT "I 7-- �_­t I ,( � , - ",�rw,\ - 11 I I I 11 I .1 I 11 I I ''I'll'', ­ ­ � - "I _,­�i "),lj,,��/ ,�­ r, , , I / - - ,�K .", I c WALL(MATCH ,4 Mat 1'�� .0 - - � MAX. 11, , MIRAFI 14ON FILTER 3. ADDRESS: 39 EMERSON WAY,CENTERVILLE,MA � E 0 , , :I'-. I I VOLUME PER FT. 146.87,GAL �­ 11 'U,__ _f la_"'yl.g//4'�� �-* , -,-�Q� 7", ,4, ,�_�;,­ ,R, I " 1. _!�_l I I �,�__,, I - a W ��) (a I I � �.l . _______J , ,�. lkl-In", 0) , ", ,g,g EXISTING) _L\l', R M ­,,�_A I � �,� I HEIGHT �4 I FABRIC OR �O 0) a �7\" ,� ­ - � -�,- n ' w 0 r. �1- ,�F ' ', I "'- I . *0 L.. 4) -1 . �,,,N,,�,-6_ I , . .. -A"w �, I�;"­T,." �� I �, .'It � I . OF FLOODPLAIN(AS SHOWN ON F.I.R.M.MAP 25001CO5631 DATED JULY 16,2014). .2 � / ,�"4 , ; 1 2.9' . V,"I"� APPROVED EQUIVALENT 4. THE LOCUS IS IN LOCATED IN FLOOD ZONE X(AREA OUTSIDE THE 0.2%ANNUAL CHANCE 1 C4 ,"d, I I N;`�, 0'4C'*efy/ , t,- i I'. I�V?". I ,,, ,6 . k,.,(, "f,/'ll k I I �w -F. t: L ,��/.l,I 1, I-I, )t -, . I � ; 8 8 . .q W,,,� I -_ Q , R��!��,L�. �,L � � .. . ­,�I�,, I I lz .- .0 11 I I I 11, " zs�l 4. 4" . -A ) 11 I . ,�,'J"� 5. THE SITE IS LOCATED IN THE SALTWATER ESTUARY PROTECTION AREA. 11 -1.1 "� �_,_( I - - I Q) Q) ,;;� - IQ LO a - , I , ! ��A - ", , --, L 13,4all,'9711, `;� Q Q �;'r<l,�' ��_>�llg_:,� , j"' , � FLOA T FLOA T .. I.M. I I ,��41 ��L'��" �, I-All A LL L.) !SEPA RA TION, (FT)�SEPA RA : LEVA I DRIVE �: UJ �, - I�T I'W, �" .,) �"J�'­�' "' ' . - ,� rn ; .1 STORA GE(CA TION, (IN) DESCRIPTION E TION(FT) WAY . , I�1.i I- _0 jl�,Jl I . ­LL-L L­LLLLL"L'LL LLLLL. ­L­­LL,L"LL LL ZL­LL L-L L ", I I 1111111111.1. .11 .11. 1 I'LL— I L 11 I I .1.1.............................L.......L I.. ­­LLL LL �/ "I" ,� " L - . I I ­.tll. .I I , , -- ':,�%'L,�_�,��-'_ 1�_l IV - � I". " " , , ,",�"' .. .:4. ,.. . N ,-,",,�, 11", ­ L � I I " .* Ilk�lllf� , " ,",�," ,;, . . 74/ �,_" .INVERTIN 1 97.52 ,/ /"ll , ,� , ........�, . . I >% - - 0 �%o V. 11 1.1-1 .11,...:..I . .1 I I , , , .. 4) 11-4 C -C (a T �_ ll� , �0 - ,-):, , _ I I 11 I 1L. I . ­- I 11 � ILI"I I 11 I 11 11 I , I ," , ` " � , 'ANGULAR CLEAR "I ll�Z_" I e I . ,"' I � M I �� , I ,� - __ I 's I W . 00 L , ', L, U'll I " .. .. - .: 6­1 1 I �", , ., ­11- :��_�....z-'<'\?t I I , WASTEWATER NOTES V) M ­- I �l .�"-'_ , ',,,, " 330�� 2.25 FORCEMAIN OUT 97.52 � I , ) 1-11,111,­­­11 I I " ­-­­ "" ­­11 I'll I 11 I ll�­­­­­.............-----------­­ ­ '­ , ­ I _tiv� 0 FINES) Z) ��10 ,Q�, �L_' �� -'- I 1� '­ "I��Q� I I �11 % . . i*.: ,..,.,.*.. I., , IV �:: GRAVEL(N 4: 4 z �b �",'­ , ' "1 73� 0.50 6, ALARM ' ­­_­"­­­­­k62 � � '� I . . . . , l'o . V) M 0 ,�,� I -i I -l�U1_11lUUll_ " ': . ,L-.L.. a 00 1-11 1 ­4 k ­1111 I I I �I I I ­­­ ­ ­ I I I I I, I I I-I I.-I"I'll,........I------_ 1111111, I'll I'll, ­­­ I'll I I I - I I�P ... ..!.. - . , . , " I "") _ "I , 71) ' ev­-,�e ,, ��/* "7- � I .. T 2 I.M. a p :) I p,,'�... L 1'�,� ',�.� erry,�,(,-';�,-,, �V - . I :...A, .. . " I ll� r , L_ I _/ -,: : ,"!ft�'9-,',-&-, "" t I Go a& LL� - :,,�,_�- _ . I IN I 1�,. ,----',,) I . 8L L ­- I 1.L, I I I L 1. I 11 I I I 1. I..", I'll, . I _ . < I � . - , I I i�- --�� , '' 6"MIN. - " 0 " 7 �,,,,-U I , 88� 0.60� 7.20 LEAD 94.12 Ll- :'I ., . . ,�lil� ','T I i'Aq I 11 U _4,/,<_�'' . L I I ­ I ", ,t _�" I W 1 1 PUMP OFF 93.52 !-U It 7IFF, ", _ �", i­ - N 2 .� , e, 11 I lz I _I_ -L 1. ELEVATION,PROPERTY LINE AND EXISTING CONDITIONS ON THIS PLAN ARE BASED ON A SURVEY CONDUCTED BY HORSLEY WITTEN GROUP,INC,JUNE 2014. , , , I',' , v F, i� , e* H , w Q M Q Q I �N--­_' I )\ r, , , ", , I..; � 147� 1.00; 12 66 �",, __Mr OMPACTED WELL GRADED CRUSHED M ,,, C"", .I ­j�& �J�" 0 11. - ­-,*',l ILI''. - I I .1 ­­LL'LL-l-L.­ Ll ''...''.....I--...-....1.11...I...I...L.........................­­­­ L�' 11 I I I­­­.-­.,......­­­­-,......L...L'. I I 1 113, , . - ,�,�,,: - Xl , ", �fl 11 X co I Cb co Lo LK 0 �1, _!� "� Q 111, 1� 0� 0.00 LBOTTOM OF TANK 'I...I 4' I i T .11 ­lu, - A"I-I '?'.,�g t L'�5'�_, 1 1 �,� '�� I I .��'- -4-,, 1 0.00' 9252 1 GRNVEL FOOTING PER MANUFACTURERS . I ­L­LLL I IL L L L L I I 11 L I I I I I I'll ...L.....L . L I L L ' "_�,; �]` W­ I __ - .g.�l I 5L . L 1�- L 2. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS SHALL BE IN ACCORDANCE WITH THE STATE ENVIRONMENTAL CODE AND THE RULES AND REGULATIONS OF I , -, 11 11 I �17M '9' ""`?­�' - gi , l-,1.11 � I" . 4')I.., wl- ; - . I "ALS ,REQU REMENTS I � � RA� t,M, �� .,171,� 6alll$,-�_, , _� . t "_4 �31. � : , " "L9 '�,",�'- 'L 638� 4.3 TO COMPACTED NATIVE- �."�,L�:�L� , \Z? �-* �*))* " lw�ll: ,.`,�`! 1� THE LOCAL BOARD OF HEALTH. .�L,�,",�"' ll I 11 I , I I I " , 1 7 .1, � SUBGRADE _��f . ; �J � I .'�­, � I , ,_� I , �)�`)I�lu;n 1�1�­,,., ( L I / I S`�;� �,� ��_prr%*l J. - ' ' /"/ -- I - ­ � - 24"MIN. - � , L , , ZV4 LV. .1., -1 ",W f , 4� I NOTES: f :, ,J. '- tl i , ..�,1;� NOTES: I � /. , �r , _11 ,�Y,�,,A V 1�1� . A-li . 11 - , 1. PREFABRICATED PUMP CHAMBER MAY BE SUBSTITUTED FOR THIS SYSTEM WHERE APPROVED �'6'i>eiTyl L' '<� - I __­� IV, , �_l � � 1 3. THIS PLAN IS INTENDED TO ADEQUATELY PROVIDE THE INFORMATION NECESSARY TO LAYOUT AND CONSTRUCT THE PROPOSED SEWAGE DISPOSAL SYSTEM REPRESENTED ON IT AND SHOULD NOT BE !� ,I I - I I 4',�,&t� �-'�_\ ',- , � 177��"E R. �­ ,,, I �'�,-�'�"L L"j, f 2� ­l,, L I I L 11,14,�,;'�(_ E-_7_17'��' � 1w ­:' L BY THE ENGINEER. USED FOR ANY OTHER PURPOSES. ,I I , _,, _�L 'L ' , ' ' I I ' L"', ­ ___ " _ -it . �L 1�� 1. WALL TYPE,COLOR AND PATTERN TO BE DETERMINED BY THE OWNER. __J._.__J ,7 �� "� 1�� C­­ i "/' I ,_ _ ­'�� _",­��_." ,J�`,,,� ­��, , I �11 I . 'C��L� . 2. CONNECT PUMP TO EXISTING BACKUP GENERATOR. I , _ _ ,T��j,',j?�,,,! I I ��, �1' vl��-I � "I - ". 1,4 i I 1 2. EXCAVATE ANY UNSUITABLE,UNSTABLE OR UNCONSOLIDATED MATERIAL FROM SUBGRADE. I I I �� �w ; 11 . 1 4. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE ENGINEER AND/OR THE LOCAL BOARD Ol"HEALTH(BOH)STAFF. I L I , ,� ':��­­-___J���� .1..._,­...... ... . .... ,.,,,.....,....,.,....M........� I . 1, . - "ll".1��­.''-,� , _:, - � ( 3. INSTALL PER MANUFACTURERS RECOMMENDATIONS AND GUIDELINES. I U) ,I , �Z )) qv­ � 0 -11 1". , -,. Ji I .11 , , , z ,,(,�,,',---,..�.r...'l'll' 11-11 1. �. f��;�,!__�-z L ..... - -� L I I L I 5' DIA. 650 GALLON H20 PUMP CHAMBER DETAIL L 4. COMPACT SUBGRADE TO 95%AND WALL FOOTING TO 98%STANDARD PROCTOR DENSITY. 5. PRIOR TO CONSTRUCTION,THE CONTRACTOR SHALL COORDINATE WITH THE PROPERTY OWNER AND ENGINEER ON THE CONSTRUCTION SITE ACCESS AND MATERIAL STOCK PILE AREAS. �_ I I I < I - I 1, LOCUS PLAN I I I SHOREY PRECAST OR APPROVED EQUAL 1 6. TRENCH SAFETY SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR INCLUDING ANY LOCAL AND/OIR STATE PERMITS REQUIRED FOR THE TRENCH WORK. THIS WORK MAY BE REQUIRED TO TAKE � _J I I I I I . SEGMENTAL RETAINING WALL DETAIL PLACE OUTSIDE OF NORMAL HOURS OF OPERATI N FOR THE FACILITY.THE CONTRACTOR SHALL PLAN ACCORDINGLY. w a- SCALE: ,1"=1,0010' I I 11 NOT TO SCALE � I � L U) L I . I 1 7. THE CONTRACTOR SHALL REPORT ANY DISCREPANCIES FOUND IN SITE CONDITIONS FROM THOSE SHOWN ON THE PLAN TO THE DESIGN ENGINEER. -1 w . L I I I �_--­�.,�_,_ I I 1 8. FAILING TO PROPERLY INSPECT OR PUMP THE SEPTIC TANKS AND TREATMENT SYSTEM OR CHANGES TO EFFLUENT FLOW,GRADING,OR LANDSCAPING,EITHER ON-SITE OR ADJACENT TO THE SITE, _r in : L L I L L I ,,�� L I L MAY RESULT IN IMPROPER FUNCTIONING OF THE SEPTIC AND LEACHING SYSTEM(S). � 0 � � ."��L I I L � I L L I .�-_� I L I _-� 9. CALL"DIGSAFE"AT LEAST 72 HOURS PRIOR TO COMMENCING CONSTRUCTION AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES TO FIELD VERIFY LOCATIONS OF EXISTING UTILITIES. < I I . 0-11, I I I I (D I I L I I L I I I I I L I I �, 10. THIS ON-SITE WASTEWATER TREATMENT SYSTEM IS NOT DESIGNED FOR USE WITH A GARBAGE GRINDER. I z a- � , I I I I I I L . . I L 0 W Z) I I I . I I 11. THE OWNER SHALL INSPECT AND PUMP THE SEPTIC TANK ONCE EVERY 2 YE I ARS. I U) < � . I I I I . I L I I I I � I 1 12. PROVIDE WATERTIGHT SEALS BY USE OF NON-SHRINK GROUT AT ALL POINTS WHERE PIPES ENTER OR LEAVE ANY CONCRETE STRUCTURES. ,I ()� 2 2 L I I . � . 11 � I I . - � I I I I I I I w w I I I 1 13. USE SCH.40 PVC PIPING WITH WATERTIGHT JOINTS UNLESS OTHERWISE NOTED ON PLAN. ALL PIPE SHALL BE PLACED ON A COMPACTED FIRM BASE. I I I � 0) I I � . ,� 11 I I I 11 I I . I I L I . . I I � I � I . 2 _J I- � L L 1� I ,�, L 1� I I I I - 1 14. ALL STONE TO BE DOUBLE-WASHED AND FREE OF DIRT,DUST,AND FINES. I I (n L t: 3: � I L L L I I I 4 . I I w _J >_ - : -a I I I I , AL I , ., % f,�,� I I . I 1 L=188.627, R=295�310--,, , (� , 11 1� � - I ,I I . PUMP CALCULA116NS.J_� �,t,�,� L ii ,_� � 15, THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING OPERATIONS AND MAINTENANCE INFORMATION FOR THE SEPTIC SYSTEM TO THE ENGINEER,IF NECESSARY. M, �� 'r^ I � ,1� - , I I -1 I -, I I I - -_ I : I L IL I - I , _0 L - I - I - __ I , , L' i 7 11 , ,6J.f � � - _:� I- L I - - I" L I i I L'I I __11- � 990 GALIDAY ALL PROVIDE A DEWATERING PROTOCOL PRIOR TO CONSTRUCTION IF GROUNDWATER IS ANTICIPATED DURING CONSTRUCTION. I I . ; I , L AN,�3 - I . I ----I \ I I PEAK FLOW CO b� L I I I .1.1, , __1 1%. (�,� I _'____,l­______ \ 16. THE CONTRACTOR SH I I � I I -A I M4X DAY FLOW 330 GALIDAY - 1 . � I I I I I'll *-, 'p , -� -- . I �" � . w 0 ; I EXISTING LEACHING PIT 1\\, ,4 ,IN _......__ �. '� 'A, I / r <,, ,� I _, , \, A L (TYP.4) 1 �,,�� <,N4 . - ­_� AVG FLOW 1 165 GA LIDA Y . 17. THE EXISTING LEACHING FIELD STONEAND PIPING IS TO BE REMOVED AND DISPOSED OF AS NECESSARY TO INSTALL THE PROPOSED LEACHING FIELD. UNSUITABLE SOIL AND EXISTING LEACHING 0 1 1 25.0' BUFFER FROM \ ___,_ _ \11 WX DAY FLOW . 14 GA LIHR FIELDAREAS MUST BE REPLACED WITH TITLE 5 SAND AS SPECIFIED IN 310 CMR 15.255(3). ANY ADDITIONAL AREAS THAT ARE FOUND TO HAVE UNSUITABLE MATERIAL SHALL BE REPORTED TO THE �_ �_ I : T_ I I LEAC ING PIT(TYP.) \ . 11 I \11 I ENGINEER. . � z CL I I � I I I I L T_ I �11 \_L---100�000, R=255.310 \ I w , L NT EXISTING CATCHBASIN (TYP.) I , I 1� / /�H , M4X DAY FLOW 0.23 GALIMIN L w I (,) 1, � L 1� I \ ,� -­­­'­"­' L 1 18. ALL SEPTIC COMPONENTS SHALL BE INSTALLED WITH MAGNETIC WARNING TAPE. L - M I . Z,/l I L�I I,,�'�� ,,��,��, \ I 0 U) 0 OBSERVATION PORT I �'_� I /_/ll � ,,�,,,' I .1 \1 PUMP CHAMBER 19. ALL SEPTIC TANKS SHALL BE APPLIED WITH 2 COATS OF DAMP PROOFING OR BITUMINOUS MATERIAL. � �/, I- - 111-1 I-- x T_ /I ,.9, X ___ "" � ­ I 1 1 , I DIAMETER(INSIDE) 5 FT I -1 -­-- I ,,-" -1 L Ict I I , ",- �, 7��- I \ "'.1, , I � I I V_ REMOVE UNSUITABLE MATERIAL 0� �_I---- ,// , `�' I-- . \ . TRUCTION SHALL BE LEFT NATURAL. 1 4i 6 _;�� // <\"ll 11 ", �'__�130 1 . \ VOLUME PER FOOT 147 GALIFT 20. THE CONTRACTOR SHALL RESTORE ALL SURFACES EQUAL TO THEIR ORIGINAL CONDITION AFTER CONSTRUCTION IS COMPLETE. AREAS NOT DISTURBED BY CONS a) �i I I 11/1 � l/ � I THE CONTRACTOR SHALL TAKE CARE TO PREVENT DAMAGE TO SHRUBS,TREES,OTHER LANDSCAPING AND/OIR NATURAL FEATURES. WHEREAS THE PLANS DO NOT SHOW ALL LANDSCAPE FEATURES, U) P_ ! . 5.0'AROUND SYSTEM TO THE I Irl, ,, /\ � C C � ; W I I " 'l/ " \ EXISTING CONDITIONS MUST BE VERIFIED BY THE CONTRACTOR IN ADVANCE OF THE WORK. M M I� I Ile, � � . 0) I BOTTOM OF THE EXISTING `�L z I/ 1/�l PROPOSED RETAINING WALL WITH 30MM PVC \\ I PUMP SYSTEM - a. a. i I L I i I C LEACHING FIELD±EL. 94.0 ,,` L=263W',R=255.310 - ,/�l (SEE DETAIL) I \ PUMP RATE 20 GALIMIN 21. ALL UNPAVED AREAS DISTURBED BY THE WORK SHALL HAVE A MINIMUM OF 4-INCHES OF LOAM INSTALLED AND BE SEEDED WITH GRASS SEED AS SHOWN ON THE PLAN AND/OR DIRECTED BY THE - L I L � . "' - ­ " � 1, I I / A,L � �"",/ ,\ � 11 11 3: � I , \ TOP OF LINER EL 99.08 1 FORCEMAIN DIAMETER 2 IN I ENGINEER. THE CONTRACTOR SHALL BE RESPONSIBLE FOR WATERING ANY LOAM AND SEEDED AREAS UNTIL LAWN GROWTH IS ESTABLISHED AND APPROVED BY THE ENGINEER AND/OR OWNER. I LEACHING FIELD I 'X 1� \ I I I- 1 ,4,_,1;1� . " , BOTTOM LINER EL 98.0 FORCEWIN LENGTH 10 FT I . 2 �_ . / 1,,_,�/ i \ 22. ALL EXISTING SEPTIC COMPONENTS SHALL BE ABANDONED IN PLACE IN ACCORDANCE WITH TITLE 5,310 CMR 15.354(3)AS DESCRIBED BELOW: I 0 35'Xl3'WITH THREE (3) 1 _,l ,// I z", I -�_�l ,-, "', < 33.5' DISTRIBUTION /1-11 z (1) zlz" ,�\ ��"l \, PIATCH EXISTING I WALL STYLE I� 1 22.1. 14 DAYS PRIOR TO DISCONTINUING USE OF THE PXISTING SYSTEM THE CONTRACTOR SHALL APPLY TO THE BOARD OF HEALTH FOR SYSTEM ABANDONMENT. I C : .F lz I I 11 , 11 I _, ­I 22.2. UPON APPROVAL FROM THE BOARD OF HEALTH,THE CONTRACTOR SHALL PUMP THE EXISTING LEACHING PIT OF ITS CONTENTS BY A LICENSED SEPTIC HAULER. C I I I U LATERALS (SEE DETAIL) I \\ 1,,�/,/I- "I ­..." .1 " � ,_,99_ _ __ _�. ....._ ­­ ­­­ -'- SYSTEM DISCHARGE RA TE 0.04 CFS L 22.3. THE BOTTOM OF THE EXISTING PIT SHALL BE OPP-NED OR RUPTURED TO PREVENT RETAINAGE OF WATER. . CIO ", 0- I X LL ). ,L _",_ "� /I Clq \ J I CROSS SECTIONAL AREA 0.02 SF THE EXISTING LEACHING PIT SHALL BE COMPLETELY FILLED WITH CLEAN SAND OR OTHER SUITABLE MATERIAL APPROVED BY THE BOARD OF HEALTH AND ENGINEER. . E I L I a) I/ , /.. I ,,_I. //` I\ -L 22.4. N I I 11, L I - ,'�I I EX LEACHING FIELD VELOCITY 1.95 FTISEC I � L w z z/I/ I L ./-/, , C"I , I P/ L I I I a � /',' � /� I., 12.3' 'L\L" "'L I I //l / , ­,'....h LL I 2-50'TRENCHES I L I PE VOLUME 0.23 CF a) i I _,�� I ; 0 / I/ � I I � I I WASTEWATER INSTALLATION INSPECTION NOTES J I " 1 14>\ - I I I _r G = I ,/' I...11 I : , END PROPOSED LINER PIPE VOLUME 2 GAL / .1 ,,,,�1�_ I . ��/ "I...11 L I ", 1, � I 1. THE CONTRACTOR SHALL PROVIDE A MINIMUM OF 24 HOURS ADVANCE NOTICE TO THE ENGINEER AND LOCAL BOARD OF HEALTH FOR ANY INSPECTION. 3: < . ,� , , ,__-, � 1� � CL q 4�^ I "L" . L: ­E a M \ 1, ! 11 "I, I L ., 1-1 ��,' '717�1 1, , ", / , I ES TIMA TED VOLUME PUMPED PER DA Y 326 GAL I I 0 , (1� �11 1), 'Z - I I : a) -.960-\ / _4" /, 111 /111 ,��,, .11��1'1,11'11'11 I 11 ", . L.L 0 : �i L.- -L L L2. ALL WASTEWATER SYSTEMS, INCLUDING THE LEACHING SYSTEM,SHALL BE INSPECTED BY THE ENGINEER OR THE LOCAL BOH REPRESENTATIVE PRIOR TO BACKFILLING. AT A MINIMUM THE FOLLOWING - fn � � 11 0.8!1�"',`_,�" �' I "a = I : U) ,,',','�'.,_ . \ L t", ------ 100' BUFFER TO BOG L....LL' I L % (D 2 1 EXISTING DISTRIBUTION ',' S50`26'21 24"W__ L ­­11.�l .1, PAVED \ . .... ­-98. .... _,,,, ,-"-L,L 41 E -- I __ .. I ITEMS SHALL BE INSPECTED: I L 2 45 N f I I I I cc CD E 2 C= .. BOX TO BE ABANDONED L X 76.990 �,- '?X'� _,, ...11..... I I STATICHEAD 6FT 2.1. EXCAVATION OF LEACHING FIELD PRIOR TO PLACING SYSTEM STONE/COMPONETS I CL J__ I I a) , X/ \ , )Y, �;l..... I Q6qVE __1 I " ,_,,, . �� L I 1�,­.� . ....��." 1" ", I ,,,.,,,,.,,:� I L C) co 0 0- LL I C ,L-,__. - I '1/�l I 11 ��w,,,, I I lw _N27` 51'4836"W I L FRICTION LOSS IN FITTINGS & VALVES 2 FT 2.2. LEACHING FIELD COMPLETE INSTALLATION PRIOR TO BACKFILL I 0 /' \ .-.-,,.:::"-.:::.":.:,i�*.'�:Y:::::::: 11 . 2.3. ALL SYSTEM COMPONENTS BASE AND INSTALLATION PRIOR TO BACKFILL I �E i ,, 5 OUTLET DISTRIBUTION \1, "' I \,A, , - ::::::`, 11 105.300 L L I FRICTION LOSS IN FORCEMAIN 0.09 FT i , '� , '' I I "�Z I ,`�"" -xi::;,.4�, I �, ­­/\ ,� ...... I I I I cri �3 BOX(SEE DETAIL) I X , I 1,1­I .. .1...::� ,*�, --��: L" 0 L , L L 1 2.4. LEAKAGE TEST ON SEPTIC TANK(MIN.24 HR) I ; - i � _� , I �l ­1 11 ��`ll . 2.5. START UP TEST OF SYSTEM WITH ALL COMPONENTS INSTALLED AND FUNCTIONING AS DESIGNED : Z. 11...... ..�1, - 7> , ,_; I. . _... \ , ""i",klj,� �.-:-:-:-:-:.: `* \, RAISE GRADE FOR NEW LEACHING FIELD AND I EXISTING CATCHBASIN (TYP ) \ \, ..�. .. I �...... . cr) I . I I : .... .......; -; _,,,� � _,,,p ":*,.*.,* 1:1,". / REPLACE LANDSCAPE SURFACES TO MATCH EXISTING ...... , HEAD LOSS 8 FT . _ .." - , . " ,�� 0) \ L . 2.6. FINAL INSPECTION OF BACKFILLED SYSTEM I CIO 7V ."1.,.-.: . ,"ll", �­­. I L I e:*.*., . :::::.... '11-1 I I I � 1� 1XI X:,x .,.-::.-:: _'A___ , � \ ' L C) . 1 , ..%...� � " � I I I . 1 I � I I ,I I tl� .9 .%...� I ... .. I X LL ,/I,, - - __ ....L. ....- - L ! I : '�� -, , � ......:.,.** � 11 2" PVC FORCEMAIN : ��,' .....l.......... ­11 "I'll" I \�.... I......- -----L' ...l. .111 1­1 9t... ... ... _­­., ­..- - � .:::: ­�­ 1 3. THE CONTRACTOR SHALL BE RESPONSIBLE TO MAINTAIN UP-TO-DATE AS-BUILT DRAWINGS AND NOTES INDICATING THE HORIZONTAL AND VERTICAL LOCATION WITH TWO TIES OF ALL SYSTEM COMPONENTS INSTALLED. T_ . _.. . :-.,�-:-:.: . . ...� � � � I", I 1\ ­1 I il ""�I I EMERGENCY S TORA GE 24.00 HR I I IS, L - I. 0 \ "It L=35 �_ ' I -"'i_. b., 0 . I I THESE AS-BU ILT DRAWINGS AND NOTES WILL BE UTILIZED BY THE ENG INEER FOR THE PREPARATION OF RECORD PLANS. T_ f I ­ I A-- ­. EXISTING WALL � I . . � I I � , - . I I I ­ �_ ll� I ", "'' I 9 1 1 1 1 1 PROPOSED 5' DIA. 650 GALLON � �") " �:-,-,,-,.,:",�-,,,,,` L f, 9 330 GAL I i . A o,,/,,, J ' I I L I I _� . p I . I I It .1 ,�_ 11 K, - C� �� \ L __ I I I I � ­­­',�,­ I M " I ­_ I I I ... " � 1­1'�,�"I I ' PROPERTY 1­1 __111, , I - 1 _'_�7' \ 11 1110 .. .. I I I ,. ; I T_ PUMP CHAMBER(SEE DETAIL) 1� I ­, " L I - I I I . ­_11 I I I I L'�',��11 � � I, � I \ __­ i I I 0 I I I I I '� \ i , , I � LINE (TYP.) ......... I PUMP RA TE 20 GALIMIN \\ L , I � . ___,�, I i4�yl ,.. 1, \ ; i I _... _..._ ­­­­ 11 L I L _ 1. ,_1 11 . -F "\ I -, , I I ...... I­11, I ,�...... I I . ; ... ....... __,."- L H' 40 PVC - -0 .. 23 3' \_ -.111, I \ I.." ,_� . I I CN ______,::�� 4"SC ,\\ -,. I , \ , , I I I I i L ­­_ ­­ _._,_ .­­, ­ , �.-�­­_�_'�,__­ .- I I I I . . I I�11 * " I 11 , ...I—. 96 . I HEAD LOSS 10 FT I . 1. , 11, : I . � Ix/ I ; , __ I L . I Cn I L=3', S=1.0% � , f , 1001 \ I A 0- i I I 11 I GRAVEL \11 - -I Ill— I'll'.., ____ _ I L 11 I 11 I I I I 1\� ,ni, 7 " 1 , I I �> __ � . t I I k, f L I i ,.- I . I L I \,\"�:" \-, I'll I, 11 , I . -- \ I 0- L ,,��L I L I I 'L . (1) \ 'LLL I �11 L . DRIVE ," �� 11,11"L'L' I I I I 11 I I L I 11 I 11.1. 1111­1_ 11 L I I I - ­ 11 I ! I .0 I \ L EX. D-BOX \ \? Ill � I I � I X, I- I L L . I SOIL TEST PIT DATA L = . L I L_ I'L'9'SEPARATION I " I "", , " \� ,/ I? 1__� \-L=50.360, R=205,240 : ,� �".1 ,\ 'JIV ,I. 39 EMERSON WAY i � / 1 ', Z, I ,,,,,,,,I,,,- : I I 111111111.1111- L - I DESll.GN­CR.fTE'R.L4L 1 2 1 1 1 , I'll """ ­­"­­­­L'I'LL L' ' I I I I I I'll I 11 L 0 L -I�ER SERV ,�", L 11 i I I / \�, 1� "I, L I _ TO EXISTINGWA ICE "I 11 I I � ",/ I (D L . . I FF=1 0 1.91 1 . , - , � - - --- ­­ 3 1 1 1 / , , g6 _­ ...... '_ - I C) __l: I I , , _ "" I ­­ I L LL I I I I 11 . L I I PERFORMED BY: J. LAMOUREUX, HORSLEY WITTEN GROUP, INC i I I I EX.1,000 GAL. 1\11, 1 11.6' 1 1 1 1 , / \',­� I/ ­­V,�� / I 11 I L 11 I a M C:) Co . e 11 ""I IGPD - 'D I 1 9 .1 1, � I j " I . / I ,-,,,,� ,�) I ", I FLOW PEP ROOM 110, LO I , I � I / I I I I 11 1''.." I .11, ­­­­.­­ll­­ 11 I'll .1 - � I 11 I I I I ,11. 1-11-1111...I I'll 1111.111.1­..........­ 51 1-�r . _17 ,L \ , ,/ / � / � "'Is , / . WITNESSED BY: DONNA MIORANDI, HEALTH AGENT a) " 20 - . I I ,,--" SEPTIC TANK " 1 i I I I \/ ,/ / I M *=: C'4 Cn Cl) - , \ . , �,L' I ,,,, , ,e """,��"11` I DESIGN FLOW 330 GPD - I DATE: J U N E 24, 2014. C) I 11 1 L ! I <�\ � I .- I - � z \ `�,� I L' " I I I ''I'll, I 11 I 11...L.11.1- -I .L''.I L I I L"'LL-L LL I L L ­ L I I ''I I'll I I - C; - I TO REMAIN (SEE DETAIL) ,,-- F I �".,�� \ 11 �.,�w . L I L I (D w C, L I I ,, \__ I � j 1, ,, ,\\"v,,L .I I \\�, L" I �_L"1, I L I I I , i�: < - M I I . I ,,\\\" I - I ,/,I I I I < � CO CO a) : = I " I I / " \\, LL" I I 11 IL I I I - I . I I'll 11.11.1,L" L"L.L ­ L LL 'ILI I I ­­­ I I I I "I'l""I'll""I'llIll""I'll'"I -1 1 -2 1 1 . I i I , RAISED '�\­�>' , I ll� I TP TP I >% C-0 - C5 - C (p ' L SEPTIC TANK 2 -C= SOO = I . I /I � I .�l I I O.- 99.0 O.- a- (D CD ---� >% , 1+ \' "> " 1 ' I � I I I I I I'L L L' L L L L I L I I I I I I . " I t i I � / DECK ,;, I "� . I 1 99.2 -:5 A2 i ,�=98.2 1 . � I 11 9 . I � w -a C 5� .2 INV. OUT - ,��, I , L _ >1 - 4i S i:i M I i 4 =38.004,11i'= 05.240 1 1 \ -/' I � ��, I - ,,� I 11 L 11 ­ I'll", I 11-1,111... 1,11 ''I'll I I L 11 I I ' "L'"''"""""LL"­­ ' I ' ' I 11 I'll 0 :. I �, ! /­ ,'�, ,/" I I I � '1/1 I'll . I C 0 L � "Rt Z / 1.�", zll , Z, 11 - I 11 EXISTING SEPTIC TANK: L 1,000,GAL. . :3 C) - N350 05'58�76`k,%l_X q / � I I I I ­ // - BM (H&T): ,__l I ­­ ­ I I .I 1.111-1.1-1.1....1.1-L.... L­LL L-L"Ll- 11 LL I L''.1.11­11.111. I—-...L' I I . I -I-I--I-I I'll,11 L I L - 0) M U)L a- L.L in v , I . I ' � ' � I I I I � ' - __� ,,, I � I I I . L I 1 102.410 ,,,,,, " I�: L , L ", I I T_ I I I , I " 1. 1, L L ____ ,� EL.=94.59' �L' I 11 ' 'I I I ­ I I ­ 11,11.11 11.1111.111, ­­11 Ll I I --­­­­_­_­,­ , ' 11 �l I "I'll",...�..........................­­ I FILL FILL I : , I " Z";;* I L I I " Z / /I L _�-_ l.v I I "I USE EXISTING 1,000 GALLON SEPTIC TANK Registration: I T_ , I 11 I I I I I ­ LL L­ . 11 I � L __ I I L Z " I", R I /I I � 11 I I I I 11 1. GENERATOR I �l , I I I I I I I a) I I MAP 188 PARCEL 026 1 / "_z '11� I 11 I I I 11 .11.....................­­ '- L I I I 1,--I.""..",1,-I.''I 'll" I I I I I I­ -I I I I''I'll- I I 11 I,­I 11 � C) L I CONNECT PUMPS TO I'll I I "-- I ��'l L 26' 96.8 28'- -96.9 1 . ,,, LOT SIZE: 0.23 A LLLLLLL C I . n"' . 1�1 z 1��I'l . L LEACHING SYSTEM DESIGN CRITERM I I B I I -6 L I I EXISTING GENERATOR cbl ' I I/ ,&,-�/ I , I I I'll -I 11 I""'­­...........L.......­LL­-"L L ­ I I I'll I . I'll, ............­­ I I I'll I - L ,%%OF I L "_ I I , , �l I L B 1 0 YR 7/8 �� ) I b" I : 0) I L L, "I � / .1 I "I",. _<11c\ ��,�11� I I I I I I I I'll I-11.1111.1111.1...,..­­­.­­­"-­­­, L. L I _­1,­­­ ­­ ­LLLL, I I, I I -- I -1-i ,I 11 " I a '/L I I ��"l X I I I 11 I I --I'll, I LOAMY SAND A% I L I I , . � L 10-1 I SOIL ABSORPTION SYSTEML . I 0 YR 7/8 ; C: I L . ,X 11 I I � .= I I I I L 11 -I , � N "I 11 11 I I ­­­I """""""'L 11 L 'L L I I I I I I 1, 11 ­..........""L' I 11 L LOAMY SAND 32"-50" DEPTH FAT FP41 U , ,� I I a .4 0. I L L I I I 1�. I " I /,,/,��,�/ I 1>��­ ,- � - . I -,""I'll, I I L L � I CJ LEE as I 091? z I ­ .............................L L,,L L, L L I I I I ­­­­ I - L I �, - I I I I "'� I L I L <2 MIN/INCH CMIL I PROPOSED PUMP CONTROL PANEL '�b I I/I L I/L' LEACHING SYSTEM USED: �BED I . I PERC RATE No.42824 1 1 IL I CS x I/ , L I I I - 11 . L LL L . I . I .11 I q L 11 -_ I (EXACT LOCATION TO BE FIELD ' / L "I I I I . L 60'�- 1 -94.0 611'�- 94.1 1 z _"� L ll� DESIGN PERCOLATIONLRATE: L 2.MINAN. lql- I L ' L L I I—I 11,11 ­.­ - I'll, I I I I I - I 11 I'll L L L I I 1,11,111,...I ........4..............­-­­­­­­­............ L -4. DETERMINED) , 1�11 I L . . . I SOIL CLASS: I� L I It- L I I /Z . AL L z /,/ I I 11 I 1.1.11­­..1.­­..L I -L L L I LLL L L L L LL ­­�­­­ L'LL, L I 11 I'll I I -I-1.� _� I I I "­­......................'- ' I L I I ) I I I I . I I C:) C610 I z I LONG TERMACCEPTANCE RATE(LTAR): , 0.74 GPD/S.F. : I V_ I 1 . I 1-1 z � I . ,­1 I ­ ,-'""""'�,-""""""'"',"""L,L"LL'LLLLLL"",L LLLLLL L . ........................L L L L ' , -I'll ,III,1111,411-1­.­.­­­­­­­­ L L C C I : _� I I I 11 I / . /I L/l/ L I 1.I�I I I ­ 1. L' L . L I TOTAL AREA REQUIRED: , I 461S.F. 10 YR7/4 10 YR 7/4 1 : L I M I GRAPHIC SCALE I X , L I I I I I I . I —. I �­'L L''' L LL I I I I LZ I / I I � 0 1 Z I L , I I MEDIUM SAND MEDIUM SAND . I I - LI I 11­11.111''I'll,.......11 L­L­­­­­ I L I "Ill,",- 11-1111.111111111111 I I I'll .1 ­,­'­.,­,­­ ,,,,, 11 11 . I L z, Sl*reet� -6 L 20 0 10 20 1 40 1 1 ''L 80 1 /Z I I I 11­­­­.--LL' I LL .L I I . TO..TA.L'L...A..R.EA�LPRO�'O'SED:L � I Project Number: 11 - 11L......11 L 'LL . I .11'..."...'',.......I....,.....L... I . I I I I I - /' I I . � �­­.... ..LL'LL,LLL, I I 0) r=v Ill - == . I I /Ll/ I L . I I L 1 14103 1 of 1 ­­ ­ I I I I = 1 06-11111 9= 9== - MMA 1 L /,/ . N 11 I I I I ­­­ - IL L L L' 11 ,� "I'll I''I'll, I I AREA I:-1 35 1 L�x 11 13W: I "''''' " , I - 1 45 1 5�S.F.­ I I 11 I I I � i5_ I � I z I I I I � . , I - ; 1. � I I 0 1 1 1 1 1 � � I . 1 I 11 , DESIGN FLOW PROVIDED 336 1 GPD I I I I I /Z I", ' ' I I I I I 11.11,,,,"I 11,111,I I-"I'll" I,I . I I I, I "I ,,, 11 I I I 11 ' 'I'll......... _ I I 11 Sheet Number: o I (in feet) I I I I I . I � I E , I / � � � I I I I I � , 11 I -111 ­ I I I I I I 11 11 111111-l"­­�-�.-� - I I I I I I I'll 11­­­ � I . I - I . I . . . . I - I 4-i 1 INCH = 20 FEET I I USE I -351 x 13W LEACHING FELD 1 96 � 91.0 96 91.2 � . Cn � I I I 11 I . I I ; i ____ I - - - , , , , , "' "_ " ' - IN ' ' - - '�'_'_ k 1'..' I I-- - I :­ - I -1 � - - "I � " ll`_"_ � � _____ __ � __ - - � ­ - , � � I , I I , ,/ilml, r I f 74 - --I- , - ­ , /__ -�_'- I / ­ - I I �-­ - ,I-_11, I I 1­1"I__ - I- - - -1 - :1 - -i-- �.,. - ' 7 _­1 1-1 - � � __­I-- _ I ­­ I M _It EN -1-1/2'=DOUBLE WA r��IC��EW , , , � F'*�t , ­'- 11 ­_­-1 _' ___ '--1-1__ _' "-___ ' "­ ____-1 '_-_ I,- - I ...... �l * (END)I 1 3 08(EN -I I 1-1 I I- - __:::i�_I I �I I I I- , I I I 1111 I 1 1 N V�R91 i; �l I I -_ I", EL._i ., ... I . , , ... F�L�TERJ I . _ _, , __ .. , . .. . . _ . .�, ) ` _J �,"­ ".:,tu, I CU I 11 I I I I I I I I I MOTTLES AT 6' (EL 93.0) MOTRES AT 6.2- (EL 92.8) C - 1 � I I I I � I � I � I I ! ,I _____________ - --- I --- -_ I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII . 5 - I - ____ -_ I ___________ --- I . I I I I - __ � . I I � : I � I I I � I I I L I I � ! ; I � I I i I � I � I I i I ; . I I ! I � 11 I I I . : I : � I I : I I � I - . I I '_ - � I I ­1­1.1 __ _­ ­­1­1­1 I __', .- - ___I- _ __,___ l.___­l­.__­ -­­.----­- ­_l______ ­­­ ­ ­_______ ____ �­ _________________ ___ ­ - ­ I' ll ____.__,__,_______--- -----____ __- -_________--,--.--- - _­___________._______l_____ __ --I---.-.------ I---- -,--­_1___­ I- -� -__, I- __ - __-- -____ ---- ------- _______ __ _________ -----"-- ____________------------------------.-- ----- � ��-,-,-----,�------------.-",-,--,--,----------------- �------------------------- ,-.-.- ' '---"--- -', -- " --- � __ _______._____,____________________ ------- -_______________