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HomeMy WebLinkAbout0071 GOFF TERRACE - Health 71 Goff Terrace Centerville A = 170 - 079 I 0 d i "'cyctto Cot UPC 12543 No. 53LOR 'ogpo�CONSJ��� HASTINGS, MN Nq. Dud—.2aO Fee THE COMMONWEALTH OF MASSA CHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES:MASSACHUSETTS 01pplitation for Migpool *pgtem Con!Aruction permit Application for a Permit to Construct( )Repair)()Upgrade( )Abandon( ) 0 Complete System O Individual Components . Loc on,4ddress or Lot No. le., Owner's Name,Address and Tel.No. 5©a-o 1 to(3 Assessor's Map/Parcel —� v ?I C=oF� I fc�cq, C:�-�-le��t fie_ 00 -r9 . Installer's Name Address,and Tel.No. ��� �� Designer's Name,Address and Tel.No.5Q��3(Q� or-N Type of Building: Dwelling No.of Bedrooms -3 Lot Size sq.ft. Garbage Grinder A Other 'type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)MYS40 A .C1__neiy --r1 Ti m J 1 _k\ -�D 1 s Cc- ' .-#:: ET6- 36 157 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal-system in accordance with.the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B and of Health. Signed Date_ s✓"G Application Approved by Date r----/o Y Application Disapproved for the ollowing reasons Permit No. / Date Issued . V Fee i n THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. �-- PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 2-nprication for Miooni l *pztem Construction Permit Application for a Permit to Construct( . )Repair( >6 Upgrade( )Abandon( ) O Complete System El Individual Components { etaU013 , Location dress or Lot No. Cex-Aelr�, �� Owner's Name,Address and Tel.No. 5W, �. Assessor's Map/Parcel `.70/�9 "�( `j.o K ` �( 1 GCE, .�V t C Installer's Name Address,and Tel.No. 503--`775'- 7?6 Designer's Name,Address and Tel.No. 5OW -3t.04—0 F q L' tA)r, �'r-,5c>,\5X se, 4, iC_ FICO r v, I1e_ ' Type of Building: rr�� Dwelling No.of Bedrooms J Lot Size sq.ft. Garbage Grinder q Other TI pe of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date 4 Title jl Size of Septic Tank Type ofS.A.S. Description'of Soil Nature of Repairs or Alterations(Answer when applicable) MYSAJ e.6L--Q > �1+I e 5 �P. Q.�1 SVSAeJ ,<\ f ® -:r40C.V-?, -i:� E71-6- 301 . Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. _ Signed Date I?—li.K", Application Approved by Date R 1. Application Disapproved for the Hollowing reasons Permit No. 22LJ Date Issued THE COMMONWEALTH OF MASSACHUSETTS M BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that toe On-site Sewage Disposal System Constructed( )Repaired ( Upgraded( ) Abandoned( )by (,J M G: i rt St- Se PA-Sc, - at `7 �SD `'C�P��Ca C t? C 2�'1'�(' J l has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0 7-_1 dated Installer Designer / A o The issuance of this permit s(h,a n t�b�eo stru d as�a guarantee that the Sys will functti n as desig d U Date Inspector —7 U f =---=--------------- No. 37 -------Fee THE COMMONWEALTH OF MASSACHUSETTS Mfi�1 PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpozar *p!5tem Construction Vermit Permission is hereby granted to Co struct )Repair( )4 U grade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed.within three years of the date of thi p it. � r Date: — Approved by /�✓. . TOW -of Bariastable Re l-ato Semees Thomas F.G eiler,_Director EARASTABLR MASS. @� Public Heaith:division g� Thomas:Mc eaii,Director 200-Alain-Streeet,Hyannis,MA 02601--. Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification-Form- Date:f�'?--G 8� Sewage Perndtff:Gf 3 7 q Assessor's Map\Parcel 00 -9 _ Designer: Installer: SZ Address: . CC:� Address: PC) �0 - �OgQI On 1--/e cr Q� t� ,was issued a permit to.install a (date)::- .. (installer);.,-- septic.system at 71 ��� �-�,� ce;�1-�2.�V i [LQbased on:a design drawn by _ _ (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include-mmor-_approved changes:such as lateral-relocation.of the.- distribution box and/or:septic tank:.:_= I certify that-the septic.system-referenced above was installed with major changes (i.e., .greater than-.Ifl' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in acciiidaiice with State&iiYca1 0 Plan revision or certified.as-built by designer to follow. � �,pA OF, S - - OA EN . G R �. . ` (Installer's Signature) No: 1140 G/.STER T� Designer'§:Signature) - (Affix.Designer's Stamp,Here) PLEASE RETURN- TO- -BARN ABIlE. .PUBLIC HEALTH: DIVISION:- CERTIFICATE OF NPLIANCE WILL NOT:-BE- ISSUED- UNTIL BOTH THIS -FORM AND-AS-BUILT CARD ARE . '.-. RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. ---- - Q:Health/Septic/Designer Certification Form34".d6c }, TOWN OF BARNSTABLE /LOCATION 7f SEWAGE# VILLAGE (itA-k_-'; I + ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. ivwt.E.Zb+.,t. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) X /Q X c2 T'- NO. OF BEDROOMS ,OWNER 1aGti PERMIT DATE: y o I D COMPLIANCE DATE: o4. 'Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility feet Private Water Supply Well and Leaching Facility(if any wells exist on site or within 200,feet of leaching facility) feet Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching.facility). feet FURNISHED BY Jr'S°ra ���w ���31-D 1 12e r 1),,r ho oC— © /� ''••// dP --__. ;3 3 /-1',' S a 3 = 39 '(o S�—s- SEPT 2008 SOIL TEST L O G DATE OF TEST: DAVID D. C 12. ANO APPROVED SOIL EVALUATOR: DAVID O. COUGHANOWR. u461 � WITNESSED BY: DAVID STANTON. HEALTH DEPT. PERC NUMBER: 12347 NO TEST PIT I PARENTUNDWATEMAATERI L EPROGLACA LED OUTWASH k PERC AT 66 to - 2 MIN/INCH_IN C SOILS. ELEVATION DEPTH ' SOIL_ USDA SOIL SOIL COLOR •-SOIL 4 OTHER 54.50 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING ! • _ 0-5 FILL - 5-7 O WOOD LOAM -10 YR 2/1 NONE- FRIABLE -10 E LOAMY SAND -10 YR 4/1 -- NONE - FRIABLE ' I i 10-14 A LOAMY SAND 10 YR 4/3 NONE FRIABLE 14-38 B LOAMY SAND 10 YR 5/6 NONE LOOSE 51.33 ; 36-126 C MEDIUM SAND 10 YR 5/4 NONE LOOSE 44.00 E. NO k NDWATER NCOUNTE TEST PIT 2 PAARENOTUMAATER AL:EPROGLACALD OUTWASH I 2 MIN/INCH IN C SOILS ELEVATION DEPTH -SOIL - USDA SOIL SOIL COLOR SOIL OTHER { 54.30 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING ! 0-6 O LOAMY SAND 10 YR 2/2 NONE FRIABLE 6-10 A LOAMY SAND 10 YR 4/3 NONE FRIABLE i 51.47 10-34 B -LOAMY SAND. 10 YR 5/4 NONE LOOSE # P 42.80 34-138 1 C MEDIUM SAND 10 YR 6/4 NONE LOOSE _ �DEEY UlibL+KVA"1'IUN t1UL1:LUIT ^�'""n�le�r ' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C nsi to c Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsi ten 1 Flood Insurance Rate Map: - Above 500 year flood boundary No_ Yes Within 500 year boundary No v' Yes Within 100 year flood boundary No 4z Yes Depth of Naturally 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? YeS If not,what is the depth of naturally occurring pervious material? Certification p 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 w'tSH OF S� the required training,expertise and experience described in 310 CMR 15.017. DAVID (��r/� f 2 Zt�(� °�� Signature Date 5�P � � U D. ' N COUGHANOWR `SO CENS A0 Q:\S.EpnoPERCFORM.DOC /t EVALUP� Town of Barnstable P# IaV3 oFTME Department of Regulatory Services . . ,STAB,X , Public Health Division Date v t HAM 200 Main Street,Hyannis MA 02601 QQ{{ Date Scheduled ��' " '' Time Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: 4V1b CQt)6gh3Q WZ - 40 Witnessed By: Icblri LOCATION & GENERAL INFORMATION Location Address �l 6 -� Teo to Le Owner's Name A%A h Mcit l e hoc( CM-rut l Address Go F �NP t�fGe r. l� �� � C�l�17�rv11� t �� Assessor's Map/Parcel: Engineer's Name t� Ul b ��C/0c/L3:F[kV PGJP1 NEW CONSTRUCTION REPAIR Telephone# Land Use Mi APhj'G AA Slopes(4b) Surface Stones Ul D K j�,�qq Distances from: Open Water Body V } ft Possible Wet Arearr 1 OQ t ft Drinking Water Well D V t ft Drainage Way ft Property Line L D ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) —� ll5.90 F! �A ,R® a ILI GROUNDWATER ADJUSTMENT EXISTING GROUNDWATER LEVEL �I jm BASED ON TOWN OF BARNSTABLE ml m GIS DEPARTMENT RECORDS. I j INDICATED GW 34.00 INDEX WELL SDW-252 ZONE D j READING DATE AUGUST. 2008 READING 47.5 ADJUSTMENT 4.0 ADJUSTED GW 38.0 ` t 115M Ff ` GOFF TERRACE Parent material(geologic) f D �a�tu( ott+W45h Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Nd Weeping t1rom Pit FAce M me Estimated Seasonal High Groundwater ���y e DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: e• Cj by U E, Depth Observed standing in obs.hole: ___ id. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adl,factor Adj,Clroundwater Level,, PERCOLATION TEST Date 3 1 I?j 0 Thne f6 IS M Observation Hole# /h Time at 9" Depth of Perc w 6 h Time at 6" � y Stan Pre-soak Time @ Time(9"-6") . End Pre-soak b D" Rate MinJWch 4 YAP,, Site Suitability Assessment: Site Passed, Site Failed: Additional Testing Needed(Y/N) _ Original: Public Health Division Observation Hole Data To Be Completed on Back----------- i ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTICU'ERCFORM.DOC rib No.--/ ...--.�`S_.. �� �' /YE JC.3.0..st.).o THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di!ipniul Wnrkii Tomitrur#iurt ramit Application is hereby made for a Permit to Construct ( )_or Zcpair (L-',T0`an Individual Sewage Disposal System a : vl C ........�..I........ _ C --- ---------:--•-------___ `7 iocatcoc -Address j or Lot No. 7.1 ll 1 l/P,.�, � `_( -1�1n _______________'_'_'__._'. ..........._._...._.__L.l..._1.2©'__'.--...-.-11�._._Y--.�.,S.C..�a__......_...._........._..____ W 1 Owner Address Installer = -=--=k'1��.e` Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms----------- _________________-__---_--_Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons--_-...__.-______-._______._ Showers ( ) — Cafeteria ( ) d Other fixtures ...................................................... W Design Flow--------------------------------------------gallons per person per day. Total daily flow-------------------------------------,......gallons. WSeptic Tank—Liquid capacitv............gallons Length---------------- Width---------------- Diameter---------------- Depth..--________--.. x Disposal Trench—No. .................... Width-------------------. Total Length.................... Total leaching area________-_.-_----_-_sq. ft. Seepage Pit No..___-___----._-._. Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by,......................................................................... Date........................................ 04 Test Pit No. 1----------------minutes per inch Depth of Test Pit_.___________-..._-_ Depth to ground water........................ (14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 1:4 -•---------------------------------------------------------------------------------- ---------------- -------------------------------------- •--•.--•----•------ 0 Description of Soil........................................................................................................................................................................ x V .-------------------------------------------•------"-------.....-"-•---"-----------------------------------------------------------•---------••-- ----------•--------••-------------"--"-• ---"---""----- W Nature,gf/�2epairsoror{A erations—Answerhwh� ap fable. _...... to a_.__.---_ �'' I.�_.._. �..� .............. t�e►� -- -- - - - )----a'e�-4-,---.----- . g !� �.Q -------( 4J_�c..�...... Agreement-. &A'Ae•wc The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of ConAiance has been issued by the b rd of health. Signed ...r �tg• 1� 4a� ---------------------------- -`'... --. .... Dace Application,Approved By ------ --- - -........... -----o.... .t.._..4�' Dace Application.Disapproved for the following reasons: _----------------------------------------------------.._----------------------------------------------..--------------- ...................... ...... ..............._........... .. .. .. ...._......_................... . ..... -- ------(Q..�---2.1^.1-f...... //__ Dace Permit No. ----- ,5 y 7&0.............. Issued ........__.. ^a� ------- ...... Dace 14� THE COMMONWEALTH OFt"MASSACHUSETTS s �,. ' BOARD OF �IEALTH TOWN OF BARNSTABLE l Avvftration for Dt.1vn Sul 3Vnrk,6 Tomitrnrttnn FurAft Application is hereby made for a Permit to Construct ( ) ,or tepair (�an Individual Sewage Disposal System at: p Mcation-:\ddnss or Lot No. 77 1Owner Address ).340. tK Installer Address UType of Building Size Lot............................Sq. feet L•, Dwelling— No. of Bedrooms.--_--__-----------.._._______--.___Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons-------- Showers ( ) — Cafeteria ( ) dOther fixtures -----------------------------------•------------•-•------------------ :. W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity_____--____gallons Length_______________ Width---------------- Diameter---------------- Depth................ xDisposal Trench—No_ ____________________ Width-------------------- Total Length-------------------- Total leaching area....................sq. ft., Seepage Pit No_____________________ Diameter-------------------- Depth below inlet.................... Total leaching area_...............sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY------------•------------------------- --------------------------------- Date--------------------------- ----- Test Pit No. I................minutes per inch Depth of Test Pit'�.--________-_---___- Depth to ground water........................ t�l Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil........................................................................................................."I - x ' U ------------------------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------- x�, ------------------------•-----------------------------------------------------------------------------;-:--------- ----=------- -•• ------- -------------------------------------- ___ U Nature of epairs or A erations—Answer when apit;able.__-_-_______. ._.l,, ��-•.�-c----- _��-.............. ............• D-7ic �� y :. < fir-,-4. �a -------1 ... ...........+-�.t.4.k......................................... Agreement: - 'The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees,not to place the system in operation until a Certificate of Compliance has been issued by the bo rd of health. Signed1 ---- ---------- Dare ...... . - ��. dn. . ... _...... �......... A lication Approved B 1 PP PP Y ..... ^2 ----------------------- ---------------------------- --- ..- --_^4-------- I Application.Disapproved for the following reasons: -------------------------------------------------------------------- ----------------------------------------- --------------------------------- ----- -^2 ---- Permit No. ...../ — •/Z /67?--------------- Issued ---------------- 4 Dare...... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �� l' ertifirate of CITumplianre T IS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired 7( by ..... fir,.sr.1 o .k.�e s� p (� Inu:Jlrr at ........_ ......... .. ...........G.f�.'T"C .Y"Y' �.......... .......... -........ .----------.-*... ... ------------- .... -------------- has been,installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..._r dated ----Grw1..�..��''�..��.-._--.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT-THE SYSTEM WILL FUNCTION SATISFACTORY. _ �- Inspector - -....DATE ' ' G - a N -------.------..... �G�V^I(S R��, �C�a�'c, s THE COMMONWEALTH OF MASSACHUSETTS` ���`� R�__����,�_"��-- MAP# 1"10 " BOARD OF HEALTH q gyre j *, &l q TOWN OF BARNSTABLE c No......................... FEE.•--3•...pC7 R111101le nrk �u #rr#ilan �ernti# Permission is hereby granted C- =---------------------------- to Construct ( ) or Repair (-A,agindividual Sewage Disposal System at No.. �� 1` ............ y"1C`4.;`x- ----------------------------- i--•--....... y Street {j as shown on the application for Disposal Works Construction Permit No.75-� v Dated____ _� _1^F - ..----.... ----.....•-•---••------•_-----�- r DATE.---- ............................................. iad of Health FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS �o17' CERTIFIED SEPTIC SYSTEM REPORT I ECE t j JUN 2 6 1995 LOCATION `_- 71 GOFF TERRACE 1 CENTERVILLE, MA MAP 170 PARCEL 079 LOT 7 PREPARE FOR SELLER MR. & MRS . CHARLES A. ROHRBACH 432 MAIN ST . CENTERVILLE, MA 02632 BUYER MR. & MRS. ROBERT MACH 72 HILLSIDE DR. CENTERVILLE, MA 02632 PREPARED BY HILLIARD HILLER, JR. P .O . BOX 250 CENTERVILLE, MA 02632 508-778-1472 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property 7/ GaFG rE.Q 19Cf- owner' s name cf/lW. (_ S ,q , /11v1_7 5es,5,I1t/ Date of Inspection h/#16- PART A CHECKLIST Check if the following have been done: Pumping information was requested of the owner, occupant, and Board of Health. !-"'*" None of 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. 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. 4-"' The site was inspected for signs of breakout. t/ All system components, �cluding the SAS , 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 SAS on the site has been determined based on existing information or approximated by non-intrusive methods. The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS If residential __ number of bedrooms 8 number of current residents Al. garbage grinder, yes or no _/�S laundry connected to system, yes or no seasonal use, yes or no If nonresidential, calculated flow: 9� a33,� Water meter readings, if available: 6y"t'Ai,C4 of 9y Last date of occupancy GENERAL INFORMATION Pumping records and source of information: 9- /d PS,P C.o4i YFS System pumped as part of inspection, yes or no if yes, volume pumped 'F'Z:2 Reason for pumping: To /�GvG Gt/��,o HAG /,d 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) Other (explain) Approximate age of all components. Date installed, if known. Source of information: /,ris��!O /,lJ l98� P� /�liSI�GL,�iPS Gf,�24 _ Sewage odors detected when arriving at the site, yes or no SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANK: qy`S (locate on site plan) depth below grade: material of construction: 4---concrete metal FRP other(explain) dimensions: ��8" X sad �oO� /w10110;14111:�' hl-x� �i9L G� sludge depth dP distance from top of sludge to bottom of outlet tee or baffle 3" scum thickness -/77' distance from top of scum to top of outlet tee or baffle y" distance from bottom of scum to bottom of outlet tee or baffle 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, recommendations for repairs, etc. ) Ti9,r/A' ZAAV 74F.0 46t"& 0 G<2%0 _X� Fo/l GyC,Cea lfioG,E Gd�flGf� Gv/lS GG6�O 4 Y DISTRIBUTION BOX: ( locate on site plan) O depth of liquid level above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc. ) TCrExTi�� ZAJlzlZld,6 ,QY PUMP CHAMBER: (locate on site plan) pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc. ) THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BAR(�NSTABLE (fPrtifirate of U IIit p ianre T IS IS TO CERTIFY, " hat the Individual Sewage Disposal System constructed ( ) or Repaired ( 1✓� by .... .......Ick. �.. -t�.w......... .......... ..........in....... at ----------------------MA...........Gt--64------ f..........--...............--........ ._......_... ._......._........._..-.._.......... ...... has been installed in accordance with the provisions of TITLE 5 f The State Env'ronmental Code as described in the application for Disposal Works Construction Permit No. ....... .... dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT-THE SYSTEM WILL FUNCTION SATISFACTORY. ✓l2-c. DATE...... � '� .. ---_.....................- f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued, SOIL ABSORPTION SYSTEM (SAS) : (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to- be present, explain: Type leaching pits and number leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields, number, dimensions overflow cesspool, number Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) A/y s/G,y Cal- /=�i/G�/�, /v/T c oria rr��ws /.y 7H.0 Dim l�oT �isf/IR�rivT /l. CESSPOOLS (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 (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) PRIVY: (locate on site plan) materials of construction dimensions depth of solids Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc. ) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM -- PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' 71 G � ao, PoRcH r6 DEPTH TO GROUNDWATER 7,31 depth to groundwater method of determination or approximation: 13 .'YS�i�ivG � !' ��4�i'cT/ � ��-�Tf� ✓iV T/�',� /�/T A / ' �1�'pTi/ 141/1,6W T Gvv�/1 T/j� f3oT/ bl' T//E p/T 12;1z Is o s 7'HELzUt ? e- f✓T,0N 33•o/ 7N4 vs�s cv/1R�c-Tires/ S.Ocv'o�So� Z4 x Y 33- 33 c> — 7 37 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined" , explain why not) Backup of sewage into facility? _ J/ Discharge or ponding of effluent to the surface of the ground or surface waters? Al ' Static liquid level in the distribution box above outlet invert? VA Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? _ V Required pumping 4 times or more in the .last year? number of times pumped 0 Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS , cesspool or privy: below the high groundwater elevation? /If within 50 feet of a surface water? _ILI within. 100 feet of a surface water supply or tributary to a surface water supply? A✓ within a Zone I of a public well? within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS) ? Al within 50 feet of a private water supply well? less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysi . for coliform bacteria , volatile organic compounds, ammonia nitrogen and nitrate nitrogen. r TOWN OF &,09y ,vsTZ29Z—, BOARD OF HEALTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D - CERTIFICATION -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS 71 ASSESSORS MAP, BLOCK AND PARCEL # f 7yzb 79 OWNER' s NAME PART D - CERTIFICATION NAME OF INSPECTOR COMPANY NAME COMPANY ADDRESS /0::9 13r7� .�iy �,�'.riTC/IUAcG z Street Town or City State ZIP COMPANY TELEPHONE ( ) 77 - �y]a FAX CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposd-I system at. this address and that the information reported is true , accurate , and complete as of the time of inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have conducted has found that the system fails to protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form. Inspector Signature 24KZ Date G of Jr One copy of this certification must be provided to the OWNER, the BUYER ( where applicable ) and the BOARD OF HEALTH. * If the inspection FAILED, the owner or operator shall upgrade the system within one year of the date of the inspection, unless allowed or required otherwise as provided in 310 CMR 15 . 305 . partd.doc Fims......G:. ..°......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 170-07� ..............O F.. ...--..-.------------•---•-----•------ Appliration for Uiipoii al Works Towi rur#ion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: �T ................ _.. . C? .f?_f?_...:1 ae.2 iS«..... ..................... •--- .................................................._----•- L tion-Address 'or Lot No. ....._. .. 19 _P.�' � ix.p! Zz. ,5.....I-`�C (?- wner Address I Installe Address Type of Building Size Lot. �Q ...... feet Dwelling—No. of Bedrooms...........3..........................Expansion Attic ( �--� Garbage Grinder ( ) aOther—Type of Building .......................:.... No. of persons___--____-__-_-__.-_-__-___- Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................ Design Flow.......... /. __ gallons per person per day. Total daily flow............. -...... --_ _ _gallons. 1 .1� g P P Y W Septic Tank—Liquid capacity_Jf--------gallons Length_ `�.. Width................ Diameter__ ��b_�� Depth_..`Q''.__. --- -- x Disposal Trench—No. .................... Width.................... Total Length.........._.____. Total leaching area....................sq. ft. . Seepage Pit No-------1.......... Diameter.....?__._...... Depth below inlet.._.....Cz.......... Total leaching area...2 a .....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date......................................... Test Pit No. 1._/ _ _minutes per inch Depth of Test Pit....... . /__. Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Ri ..................V--•----••-------------------------------/-------------- --/-r---------------•----•--------------------------------------------------� x Descriptioji of Soil-•--•--- ---1.. ---------.1.042#0ft......�-Z,/.... -3--P----------- �- ci ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------••••-----.------ U Nature of Repairs or Alterations—Answer when applicable------------------------------------------..............................._..................... ..............................................................-......................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi 1L 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the boa of health. ned -----------••-----•- g � �� Application Approved By....-- ... •-------•---•-----•-----... ----•--------•----•--•••--•......-•--...._.._.. l/DD�a ..... Application Disapproved f t following reasons:................................................................................................................ ------•-------•---•-•---••-••---------••-••--•----•--••-----------------•-------------..........••-•--....-•---------•-------•••-------•----•-----•-•--••............................................... Date PermitNo......................................................... Issued....................................................... Date • .2 Fxs............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH Appliration for UWpooal Work.5 Tiamitrnrtiun runfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: tjTL 'on Address Lot N a caner [ >�....� ..7►e ! '...-•-^.............. Installe Address Type of Building Size Lot..f ,! _.....Sq. feet Dwelling—No. of Bedrooms............ ---------------------------Expansion Attic Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) ,� �•---•--•---•.....----••... ••--.•-•-- -• Design 'Flow..._ ___________________gallons per person e Total daily flow__._._.. __._. 11 ns Other xtures ................... _ W �' Q, '. WSeptic Tank—Liquid capacity_.��-------gallons Length--?-'.."... Width................ Diameter__.10--- Depth...._..._--__-. x Disposal Trench—No..................... Width.......1............. Total Length................. .• Total leaching area.._... -----------sq. ft. 2.%<a Seepage Pit No........00---------- Diameter......X_....... Depth below inlet.......6......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by................................... ..................................... Date........................................ Test Pit No. I.../_....�_minutes per inch Depth of Test Pit....... . °...... Depth to ground water________________________ 4, -Test Pit No. 2................minutes per inch Depth of Test Pit.............. Depth to ground water......................... --- ---.�.... Descriptio of Soil � - .j 340 +; �+ S S40♦4„ ---------------•--. ............................I -------------------------------------------------------=--------------------- ----------•-------------...------------------------------------........................................................... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ..................................................:..................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beeikissued b thelboar of health. ��_ - Signed -- -------- -----..... ; ,f •--••--------------------- ---• --- - } Date^2 __... Application Approved By...... ...... .............................. { Y •-------------------•-•---............----_. .......... .. .......--- --•-----•------- ,l I � Date Application Disapproved for`tl�e' following reasons:----------------------•----.....----•---------•-------•----------------------------..._..... a.t.e.-----•.•. ......................................-•------------•---•---------•----•....------•--.......•------•••-•-------------•--•---••--•-•-------------------------------••-----•......-----------........... Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..................................................................................... f ! Tnr#ifiratr of Toutpliana THIS IS TO CER-TIFY, That the I�ad:vidual Sewage Disposal System constructed ( ) or Repaired ( ) *A---------------------------------------------------------------------------------------------------------------------------- • Installer 7- .-A at........------•------- - _.. t �-••--.. .y- has been installed in accorda ee ith the provisions of TITLE 5 of. ke,State Sanitary od .fides i ed in the i ,r application for Disposal Works'C onstruction Permit No.........................................3__ _._-_�.._._...._.. dated_.. __ ..... . ..................... THE ISSU C . OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIL TION SATISFACTORY. DATE.....f .. .................................................................. Inspector ---• -------------------------------------------•------------•-----•-•---- _ i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �r �.-.. ..........................................OF..................................................................................... ... No...::.. ....•-•.•..... FEE.---.........-•......... Permission is here y granted........ ` .`.{_: ...._---------------------------••- uaew,avge Pisposal System at Construct ( )>or Re ai, --an ndivi.rl;:...._.... ••---•------------- ---------------------------------•-------------------•-•-•" ` a: Street as shown on the application for Dispos orks Construction Permit No...._.�.... . .. Dated........................................ ,r ----------•----•-. ------------------------------••------•------•--......-•-----•---- f Board of Health DATE......................... ....................................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS TOWN OF BARNST_, 1 LOCATION 47 SEWAGE # ) IILLAGE G ASSESSOR'S MAP & LOT/_291C9V INSTALLER'S NAME&PHONE NO. 6!?,V/J/.0% AelC, yddf-5-9416 -SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 'P//— (size) �0 'NO.OF BEDROOMS Bta-B£R OR OWNER rGfiLLS S�5'F�l/ .Poi ?G.f PERMITDATE: OrPyIB� COMPLIANCE DATE: 111,'? Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 7.�4 + 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 ofleachin facility Furnished by /� /" � G - K4,�— r 7/ � AG �y I LI 7 ?3 ,1. LOCAT19IN SEWAGE PERMIT NO. viL:iACE _ 1170 1 � INSTALLERS NAME i - ADDRESS B U I L D E R OR OWN ER DA T E PERMIT ISSUED DATE C0M ►LIANCE ISSUED � � . ,_. ��as� o� �9v� ��. � test, �� ���,� � � Q�� � o ,y�- e y� .�� pESI6Ki DATA ;I SINGLL- FAMILY - •BEORooM II I,1D GAQgAGE �jWNDE2 _ __ _ _ FL0V IISU x 3 - 330G.Pt7 5EPTi4Z► TAt-JK 330x15�% 495G.P. o U51✓ l000 GAL. j I o15Po5A1_ P►T U5E 1000 GAL. 5 I Dt:WALI_ A26A - I�o•S,F aox 15O s.1= X a•5 = ^ 3?5 �.Po s.r. 5�s.8 � � 50T TOM AREA= • j O 5•F, 5 a S.F x l• o � 5 o G•P o._. . . Q `a -ToTA C>ES1C-W 2 ,z G•RD. 'TOTAL- DA I L L-ov( = j PE2COLATIo4 RATE : I IN 2MIN BAN Q MA�4, cj O ALAN RICHARD G� a v� ✓ I� I i A BAXTER i JONES 2 o No.24048 v 'T `T #�zZzB� ;y9•o Y/y' Top FND=�oo.o F 1000 INV• 97 ;`' 't. SvB to/L D 15T. . GAL. Z , S6PTiG 97 3 I Op0 INY• BMX INS 97•/ -�-pp •�' L�AGu PIT INV. INV. N/F� WITu .• �G.f 9L.9 3/q• Vi VJASN�D i 6Tv N6 � A//Z ','// CERTIFIED PLOT PLA►�!• 1.oCA'T ION � IV4 N O SCALE 5 CA L. P REFE2EW C.E ` • GE RTIFY 'THAT 'TµV--- ExtS-rlKIS Fy7,5N0WN "E_REo►,! COMPL` 15 YJITI-I'THE S I oEL.IN 0?.- ; A W D 56T5AGK R.6Qu►R.>✓MENTl�, oFTN� -Tc>WN Or-. 0A2"-'ABW-- ANU IS tJoT aleZ7s Locp.T -%NMAIW N•E P+ -oQD PLa.IN DATL-e LZ� Q a XT e N E I N C• I' REG IgS�Q6�'t.Au 5 u�v 6Yoe`� 'Tu15 PL6,Kl ►'a NCT' 4tv5c D oId AIJ OSTEl2.VILt.,E MASS• �I Iw5-T?-uM6NT 5U2Vey a -THE orF5E75 Su0UL3> nF'TF i aj& QL= Lc)T %-..IW APPLICA,►-IT���� �! /�C ALL PIPE SPECIFIED ARE ATIONS FLOW PROFILE EXPRESSED INV DECIMAL FEET NOT FEET ANDT INCHES ELEVATIONS TOP OF FOUNDATION RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE ONE INSPECTION RISER FOR LEACHING GALLERY TO EL = 55.51 +- WITHIN 3 INCHES OF FINAL GRADE AS INSPECTION PORT. 0 54.50 BE D—BOX MAXI SCHEDULEALL PIPET40 PVC 3" DROP o AND TO PITCH AT FLOW LINE II II 51.75 1/8 to/Ft. MIN. 10 4e- GASH PRECAST BAFFLE DRYWELL \52.02+- 6 In BOTTOM OF STONELEACHING LEACHING EXISTING EXISTING BASE 51.18 GALLERY EXISTING 51.35 GALLERY EXISTING 1000 GALLON 5100 (END VIEW) 49.00 5.00 Ft + SEPTIC TANK SEE DETAIL ON REVERSE EXISTING 9 Ft of 5 Ft 10 F t b) 15 Ft ADJUSTED SEASONAL P 38.0 HIGH GROUNDWATER m m N \ I/V A i` \� cc cp + v O I � / = z o p f UI ' > \`\ > rn rn2 / co m o ` z o M z C C: M � Z c- > Ej _� n ° i Zx 3m m z yp �� / Z r zX m =r--OR1= o >w m p� \ 3� F . o>-orY) `� 2 UI nop h > O 03nlr--0 m O� ®�� ( (n � `` / �x �z rrl rn-<r- M p . z T `� F- Z Wc o�:E rno z -i 0� _ ® CO f�1 ® ilJ f N I r F co �D 3 /` FC-7m am �� 1P ° L �OZco (� m N mu) �Sa �� I cf rn � d =ooro UI CD rn(F 41 >z>Do -p 'CA.)cr) I >cn-�:i> O > m � COMym o y� 0o '-1 z mz °aooZ � �ncn � � y � m c� rnrn� cf) rnm Q a m O � m = o -I O 2 y 01 O �rn>rn3 Tl -0 ZG7 3 < O cS m ow z o t a23 Mn O (n m� u) z -d N a �O m m m 9 0 m Smnm m x u)o u) N 3cil ,1 O X O 2 F� S���a� a y m o0o O y m Z n Z (� pd08 �I N 2 1-u c: CO rn p (n S 11� y� u6p C y co y f I I I z O tip rn3vmri < rn N `-.� rn � r m �� 3 0ED (nf�c o (� rno > A �_ D r 3 � (11 (�) �5 n�My��y� o �l o n Z C m co�� yam^' DRIVE ro;moo o (� m J� p `� n z -i �? F-_ 2 �7 - �. m y m T m O r--�n n ? rrn- > = m �j � < m = 0 D 0 � �� Rl Co � n cn z N 3 n 3 D z > . G „ �m 2 O Y c rncnz m r N z o m �� p X O r 3 o F rnoo�z z ��� a ° z UCj ❑ O m m ��� 3 p Z Sit S a S 0 I TEST 0 „ LATE OF TEST: S-EfPTEMBER 12. 2008 , . ,. APPROVED SOIL_EVALUATOR: DAVID D. COUGHANOWR. &461 DESIGN A�L_ C u L_ A T�l 0 N S WITNESSED BY: DAVID STANTON. HEALTH DEPT. PERC NUMBER: 12347 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS NO GROUNDWATER ENCOUNTERED USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL TEST PIT 1 PARENT MATERIAL: PROGLACIAL OUTWASH CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) PERC AT 66 In - 2 MIN/INCH IN C SOILS DISTRIBUTION BOX: USE 3 OUTLET D-BOX. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SOIL ABSORBTION SYSTEM: A 29 Ft x 10 ft. x 2 ft LEACHING GALLERY CAN LEACH (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 54.50 Abot = ( 29 x 10 ) = 290 sf 0-5 FILL AsrJ,, = ( 29 + 29 + 10 + 10 ) x 2 = 156 sf Atot = 446 sf 5-7 O WOOD LOAM 10 YR 2/1 NONE FRIABLE Vt 0.74 x 446 = 330.04 GPD 7-10 E LOAMY SAND 10 YR 4/1 NONE FRIABLE USE A 29 ft- x 10 ft x 2 ft GALLERY. Vt = 330.04 GPD > 330 GPD REQUIRED 10-14 A LOAMY SAND 10 YR 4/3 NONE FRIABLE 51.33 14-38 B LOAMY SAND 10 YR 5/6 NONE LOOSE 38-126 C MEDIUM SAND 10 YR 5/4 NONE LOOSE 44.Bm LEACHING GALLERY 1000 GALLON SEPTIC TANK TEST PIT 2 NO GROUNDWATER ENCOUNTERED USE SHOREY PRECAST 500 GALLON NOT TO DIMENSIONS AND DETAIL NOT TO PARENT MATERIAL: PROGLACIAL OUTWASH LEACHING DRYWELL (H-10 LOADING) SCALE USE EXISTING H-10 UNIT SCALE 2 MIN/INCH IN C SOILS ELEVATION CONSTRUCTION DETAIL SEPTIC TANK IS TO BE PUMPED DRY DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER AT TIME OF INSTALLATION AND IS TO (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING DRYWELL UNIT BE EXAMINED FOR STRUCTURAL 54.30 STON INTEGRITY. INSTALL NEW PVC OUTLET 0-6 O LOAMY SAND 10 YR 2/2 NONE FRIABLE 29.0 ft 7 TEE EQUIPPED WITH A GAS BAFFLE. 6-10 A LOAMY SAND 10 YR 4/3 NONE FRIABLE 7m 1 In 51.47 10-34 B LOAMY SAND 10 YR 5/4 NONE LOOSE N TAPER 34-13B C MEDIUM SAND 10 YR 6/4 1 NONE LOOSE m �O �O Q (D c 42.60 e 0L-q_ o p 03 o i GROUNDWATER ADJUSTMENT 4 4:'t 8.5 FL 4 Ft e.5 Ft 4 ft 29.0 Ft Lo EXISTING GROUNDWATER LEVEL 1C ,P ,. .•4i BASED ON TOWN OF BARNSTABLE lm GIS DEPARTMENT RECORDS. 8 F£_ 6 -° ' •'� ` INDICATED GW 34.00 500 GALLON DRYWELL In A - , INDEX WELL S D W-252 DIMENSIONS AND DETAILINLET OUTLET COVER ' 'F4, . READING DATE AUGUST. 2008 USE H-10 UNIT INSTALL ONE INSPECTION COVER .. RISER TO WITHIN THREE READING 4�.5 INCHES OF FINAL GRADE 3 IN DROP ADJUSTMENT 4.0 AND INDICATE LOCATION —� FLOW LINE —► ADJUSTED GW 38.0 Il - ON AS-BUILT PLAN BUILDING IB to = 14 TO LDING ? In D-BOX 48 in LIQUID GAS, NOTES o 33 LEVEL BAFFLE 00 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 000OO0000000 0�l In 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED ���0000 0� N(` CROSS SECTION VIEW FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. G�8 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS 10Z In OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. CROSS SECTION VIEW SEWAGE DISPOSAL SYSTEM PLAN 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED. 2 in PEASTONE 2 in PEASTONE 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. -TO SERVE EXISTING -DWELLING Cl 7) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES o 24,, AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. 28 3/4�n ro EFFECTIVE i4 ro 26 ANNE MARIE MACH 1 n - J^CJ7A VEL DEPTH 1-112 i.,CRA VEL i n 6) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT 71 GOFF TERRACE CENTERVILLE, MA PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 31 In 58 In 31 in EEO-TECH ENVIRONMENTAL 9) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL 120 in STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE 43 TRIANGLE CIRCLE SANDWICH MA 02563 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED- T-O •MINIMIZE UNEVEN SETTLING. FABRIC IN PLACE OF THE PEA•STONE LAYER SPECIFIED. ETE-3015 I SEPTEMBER 13. 2008 1 1212