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HomeMy WebLinkAbout0088 HARBOR HILLS ROAD - Health 88 Harbor Hills Road Centerville A = 247 086 0)), fo rd NO. 152 1/3 ORA Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name + information is required for West#yaanisKrt C.e4t, Ma 9-1.7-19 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. Inspector Information c When filling out P �S/� jam//Co forms on the computer, use Douglas A Brown only the tab key Name of Inspector to move your D.A.Brown Inc cursor-do not Company Name use the return key. P.o Box 145 Company Address Centerville Ma 02632 Cityrrown State Zip Code 508-420-4534 S14297 �fl°0 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 9-17-19 Inspec 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 Commonwealth of Massachusetts 1P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. Cityrrown 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: At time of inspection this system met all passing requirements. This system was installed in 2002 and consists of a 1500 poly tank d-box and 2 500 gallon leach chambers with 4 ft of stone. The tank was pumped in July of 2019 By Wind River Environmental. This report can predict the future performance under the same or increased usage. 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 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t; 88 Harbor Hills Rd Property Address Mclaughlin Owner information is Owner's Name required for West Hyannisport Ma 9-17-19 every 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: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments v 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. Cityfrown 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 �. ,2-� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. City/Town 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 'h 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 15,000 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 II 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 �n ,IF Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. City/Town 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 18 Commonwealth of Massachusetts �v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. Cityrrown 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): 330 Description: 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 ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): na at time of insp Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: currently occupied t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts ,IF Title 5 Official Inspection Form III Subsurface Sewage Disposal System Form - Not for Voluntary Assessments •� 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. CityTrown 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: Owner stated pumping in july of 2019 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Reason for pumping: Maintenance 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 •� 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. Cityrrown 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: system installed in April of 2002 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts l�p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 2 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: 1500 poly Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank was pumped in July of 2019. (Tank is a 1500 gallon plastic tank) All tees in place at time of inspection. The covers did not fit to great typical of poly tanks. t5insp.cloc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments L 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every 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.): 8. 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 ,tp Title 5 Official Inspection Form III� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. City/Town 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 resent must be opened) locate on site plan): ( p p ) ( P ) Depth of liquid level above outlet invert 0" 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.): Box was functioning properly at time of inspection. t5insp.doc-rev.7/26/2018 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 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. Cityrrown 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.): * 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: 2 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ 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 �- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments V 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every 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.): At time of inspection there was 18 inches of usable space in the leach chambers. 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 �v ,I-P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. Cityrrown 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 I Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments L 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. Cityrrown 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 �n Title 5 Official Inspection Form t Subsurface Sewage Disposal System Form Not for Voluntary Assessments L 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. Cityrrown 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: no water encountered at time of perc 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: attached Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: attached design plan 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 �v ,�-p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 88 Harbor Hills Rd Property Address Mclaughlin Owner Owner's Name information is required for West Hyannisport Ma 9-17-19 every page. Citylfown 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 ® 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 S TOWN OF BARNS''ABLE LOCATION r r' A/%} fC - --SEWAGE# Z ' 097 VII.LAGE Ni 13 1%r ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. -S� IQ k CQro fru- SEPTIC TANK CAPACITY ! S CEO LEACHING FACILITY: (type) Z- , � (size) NO.OF BEDROOMS 3 BUILDER OR OWNER v • Me-I a 144n PERMTTDATE: 3-12 -o l COMPLIANCE DATE: a2 2 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i ® �7 i 3. 1 if, y 301zv y 2, S- 27 '7 � 37f7t� ` No. G _.".` �- Fee Uri It— I g THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: _L__Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pYication for Miopooal bpotem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. C Owner's NWe,Address and Tel,No. !/ Assessor's Map/Parcel //y�J C' L zk� 1R ~ Is Installer's Name.,,Address,and Tel.No. Designer's Name,Address and Tel.No. n� C IW Type of Building: Dwelling No.of Bedrooms_ �f Lot Size sq.ft. Garbage Grinder( ) Other Type of Building $ No.of Persons . 3 Showers(7 Cafeteria( ) Other Fixtures -31 Design Flow f2 —gallons per day. Calculated daily flow gallons. Plan Date ?=_ —j2•LNumber of sheets Revision Date Title Size of Septic Tank e Type of S.A.S. Description of Soil 0 C 0 Yl Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the e d ribed on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and ,E o ce the system in operation until a Certifi- cate of Compliance has been issued by t1tjgE!Mjard of HeAW Signed Date a4F9 Application Approved by v Date 3-1;Z^U Application Disapproved for the ollowing reasons Permit No. aw-1 Date Issued 7=/2-U-2 ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS t Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at rj has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a 00 2 M 7 dated a -0 A Installer - Designer The issuanc of this permit shall not be construed as a guarantee that the syste'-.gill function as de d. Date qta a� Inspector i �i�l SYSTEM PR❑FILE TEST HOLE LOGS TOP FNDN EL. 32.8'�ACCESS COVER TO VITHIN 6'�FM GRADE �T TD SAS) RICK JUDD. RS ACCESS COVER(WATERTIGHT)TO ENGINEER+ - _ ,(ININUM.75'DF COVER OVER PRECAST/ V,THIN 6-OF FIN.GRADE 2X SLOPE REQUIRED OVER SYSTEM 32 T WITNESS DAND STANTON I )acus `�Ho1L DATE, 2/15/02 / I HXas' p9 ` RUN PIPE LEVEL r DOUBLE VASHEO PEASTCI� _ 4 2 MIN INCH �oa Fu+sr r }'MAX. PERC. RATE - (PROP) PGAL�pN SEPTIC 29.25' 29.T CLASS I. SOILS PR 10.168 29.50 TANx a-�_) GAS 29.0' L 29,17' C C C7 C C C3,0 C3 28.6T C]C C C O C C C C a•AT SIDES ELEV. f_—Z SLOPE) 6'CRUSHED STONE OR MECHANICAL C C O C C C C C`C � � COMPACTUDL(15221 E23) 2' C C O C C C C C C 26.87' AD DEPTH OF FLOV• ' 0,1 I I Y SLOPE) (J_X SLOPE) TEE SIZES, 3/4' TO 1 1/2' DOUBLE WASHEI STONE SL INLET DEPTH•to, 11" 10YR 3/2 LOCATION MAP NOT i0 SCALE OUTLET DEPTH- 14, B. FOUNDATION— 10' —SEPTIC TANK--- 8 D' BOX 15' LEACHING LFS ASSESSORS MAP 247 PARCEL 86 FAI3LITY tOYR 4/4 --THIS IS A PROPOSED MINIMUM INVERT OUT ELEVATION. CONFIRM FEASIBILITY PRIOR TO INSTALLATION OF ANY PORTION OF SEPTIC Ilil SYSTEM. C COS 20.7' ' 2.SY 5/6 +32.5 144' 20.7' +33A 27 NO WATER ENCOUNTERED N❑TES +3 . i 14'OAK +32.6 32 SEPTIC DESIGNr (WBAGE D[sPasER IS NOT ALLOWED ) 1. DATUM IS APPROXIMATED FROM QUAD 3 �S OT• DESIGN FL^W+ Z PEDP.00M ( i0 Gpn) - 330 GPD �,;xi PAL WATER IS FXISPNS H3 oA, ,.:==USE:A 330 GPD:DESIGN,FLOW .3 MINIMUM PIPE,PITCH 7O.,BE,1/8„PER FOOT. _l0 SPRUCE re .w+..3 .. 32A�+ .TM.. .7 arer,-fit 32.3.t '. l �. 660. a, DESIGN LOADING FOR ALL,PRECAST UNITS"r0 H�E aASHO'.t1-�O SEPTIC TANK- 330 GPD (,2 > _ _ 1500 i S. PIPE JOINTS TO BE MADE WATERTIGHT. +314 USE A __ GALLON SEPTIC TANK I 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. PROP.EXPANSION )08' L A H N + ENVIRONMENTAL CODE TITLE V. �o "SIDES 2(25 + 12.83)2 (.74) 11 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING. 3783 (.74)25 x 12. = � CONC. BLK. Ex15T.SHED(RE—LOCATE) BOTTON� -- B. PIPE FOR SEPTIC SYSTEM TO SCN. 40-4' PVC. ") 2322/ PATIO 349 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT TOTAL, <?2 S.F. _GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 39 132.5 USE(2) 500 GAL LEACHING CHAMBERS(ACME OR EXIST.DYEu. FROM BOARD OF HEALTH. TF.-120 +31.7 EQUAL)WITH 4' STONE ALL AROUND 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING CESSPOOLS. A LOT 7,494t SO. FT./ ,,B �• �E .N TITLE 5 SITE PLAN W�� I o 31.3 300.0 PROPOSED SPOT ELEVATION OF ., 88 HARBOR HILLS ROAD 4'OAKS F 4e4' 1OOxO EXISTING SPOT ELEVATION w 3`a1 o IN THE TOWN OF: 6 + a 100 PROPOSED CONTOUR ,5,9 +„ +3 WEST HYANNISPORT �BOR 2� 7 —100••ASSUMED WATERLINE I (UNMARKED AT PR —EXISTING CONTOUR EPARED FOR: G. MCLAUGHLIN +Ifl \ I CONFIRM f.LS+ TINE OF PERC TEST).CONFlRY LOCATION PRIOR TO ANY EXCAVAnDN 20 p 20 40 60 RO91j BOARD OF HEALTH 30.0 MA SCALE: DATE: MARCH 5. 2002 BENCH MARK - CTR. OF C.BASIN APPROVED DATE ELEV. 29.7' o: M of OF down cape engineering, inc. o APKHB d` CIVIL ENGINEERS 'sza3(a -- LAND SURVEYORSfa '939 noln St, yarnouth, n0 02675 ARNE H. OJA L.S. DATE �U?—015 TOWN OF/BARNSTABLE i LOCATION 0 �/ r <' �/} R 2wZ 09 7 SEWAGE # I'ILLAG ASSESSOR'S MAP & LOT12YV;� FG INSTALLER'S NA &PH NE 9 let C ti ct 66 SEPTIC TANK CAPACITY LEACHING FACIL=: (type) 2— ` _ (size) �J X NO. OF BEDROOMS 3 BUILDER OR OWNER G M6/ ' 4 n PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by :i f+ is 4 S L V 13 ` S Ol l � �r Zq r/ t V Z . z - S 3 7 `� �` i No. _ 247 ti Fee-Idd THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes w✓ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Digozar bpotem Conztruction Permit Application for a Permit to Construct( ')/Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's NCe,Address and Tel,No. Assessor's Map/Parcel24_� � , ( a Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1C �� . �C�1� �c?J✓r +i' A4 U`tn[h ODy�^ C f Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Buildin $ No.of Persons 13 Showers(z) Cafeteria( ) Other Fixtures .1�1, Design Flow 3 -:54 gallons per day. Calculated daily flow gallons. Plan Date �_ —®�ber of sheets Revision Date --- Title -� Size of Septic Tank e Type of S.A.S. / Description of Soil Nature of Repairs or Alterations(Answer when applicable) ke(zl Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of th1<0 , d ribed on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and ce the system in operation until a Certifi- cate of Compliance has been issued bBe Signed Date Application Approved by Date Application Disapproved for the ollowing reasons Permit No. cQoh —(L�'7 Date Issued YL-12-0 a — 20(1.2- — ---------------------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS �tg�o�aY �pgtertY �on�tru�tiott �.errrtit G�� ,� Permission is hereby granted to Construct �`eP� ( )Upgrade( )Abandon( ) System located at U ,Aj, n/1. and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her>duty to i comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date:S - /2_Q 2 Approved by - No i Fee— Entered in computer: /1 1 THE COMMONWEALTH OF MASSACWSETTS Yes PUBLIC HEA ITH=DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS i �. 01ppYication for 30igpozaf *patent Con.5truction Permit Application for a•Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �'' � � / Owner's ame,Address and Te<No. IAI Assessor's Map/Parcel � � 41f, A � V /C. ' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: 411,1 1 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Buildin 12-P.�r No.of Persons Showers Z) Cafeteria( ) Other Fixtures .S/ Design Flow _ gallons per day. Calculated daily flow gallons. Plan Date —9ZNumber of sheets Revision Date Title -• Size of Septic Tank 6 ` e 14 Type of S.A.S. f/ -Description of Soil 4 C 4Ok 0/ 0)S 0 l Nature of Repairs or Alterations(Answer when applicable) } Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the a de Bribed on-site sewage disposal system in accordance witli the provisions of Title 5 of the Environmental Code and o . ce the system in operation until a Certifi- cate of Compliance'has been issued b e�aktfVL7 ' Signed Dater Application Approved by. �./ Date Application Disapproved for the ollowing reasons Permit No. DA —n of"7 ,y Date Issued,. 7 *_ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at , rr lRnAi I has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ;t Do-')-M 7 dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the syste''will funCtion as de 'g •d. Date L1 1,?:d d Inspector A J . n e a TOWN OF BARNS14ABLE LOCATION rl�nr -A SEWAGE # 2W7- 097 VILLAGE be4 M rS 4rf ASSESSOR'S MAP & LOT V#7 7� P6 INSTALLER'S NAME&PHONE rNO. -T°° it CIL C AAA ®N SEPTIC TANK CAPACITY ` s �® / Z-� �J�i G 3 p g LEACHING FACILITY: (type) L 00 (size). X 2-r NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: 3-12 -o 7- COMPLIANCE DATE: vbdj Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 Zq 30 Z S! Z? '7 P E i TOWN OF BARN�SJTABLE liOCATION ,� go, be /�I ,JCS CJI SEWAGE # VILLAGE i?/:S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.; SEPTIC TANK CAPACITY LEACHING FACILITY:(type) f 1 r NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER V BUILDER OR OWNER , , A DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 2 - C VARIANCE GRANTED: Yes No i i 1 i i � - // " �fT j G I t i TOWN OF BARNSfABLE LOCATION 0 r r ^�6 A SEWAGE# 2W Z 097 VILLAGE M t 3 44 ASSESSOR'S MAP & LOT 2 VV;� �6 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size). J3 X �S NO.OF BEDROOMS 3 ) BUILDER OR OWNER G �C/ /t A PERMITDATE: -12 -o 71COMPLIANCE DATE:444 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet ` Private Water Supply Well and LeachingFacility .ty (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 Zq i i I 3. 1 30 Z 5- Z7 7 � 37 7 i i R �4 Fizz.$....z:Q.,�C�.... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................T o.-wn..............0 F.....B ax..n.s.t.ab.1.e...------.--------------=-----------•.--------------.. Appliration for Uiiputial Warks Tnnitrurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair tX ) an Individual Sewage Disposal System at: ............& J1ax hcLr.---IU1d.S.Rn.ad...C en t e.x.u.i.11.� .....................••-•---------..............---•-------........----.....................-- .. Location-Address or Lot No. lYl]GlE @W-3 C ............................................................. ...........•...................................................................................... Owner Address a ........J.._P...Ma.c.nmher-....................................................... --------------------------------------•--------•------•------------------------------------------- Installer Address dType of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a Other—,Type g .............. No. of persons............................ Showers ( ) — Cafeteria ( ) Other— e of Building .............. a' Other fixtures .......................................... W Design Flow................................•........•._gallons per person per day. Total daily flow.......................-....................gallons. WSeptic Tank—Liquid capacity............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....................................... Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ( Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_-_____--._.___-_--___- •-------•------------------------•..--------------------------------.....----................................................................................ ODescription of)Soild...&...Gx a Y al•••••---....----•-••••••••.............•---••---••••----•---•-------------••----••-••-•••••-•-----•-••••-•--•••......--•••--•••••-••-••••--- x U •-•-••••---•---•-•-----....•-•--•---••-•--.....--•--••----•••••..............................•-•-----•--•-•-••-•-•-••......••-•------••....... ..................................................... W --•-••-----------------------------•----•-----•---•---•---------------•--•-••--•-••••-••-•••-----•••----•--•--••---------------•------•••--••-•-•-----•-•-•--•••-----•-•••••--•--•••-•-••-----------••-- UNature of Repairs or Alterations—Answer when applicable---------- ---ga. l-orr- 1 ea•c-h---g t--------------------- ....................................... -----------------------------------..........------------------------------------------------------------------------------------------....---•------•••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITT.;�. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...................................................................................... 4/21/8 8 Date Application Approved By........ ---------------------------------- Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- --•-•...••-•-••---•--•-•------••....••-•-•--••••••--•-----••--••...............•••••••----............................................................................................................. Date PermitNo........OLD.......127---------------_-----.- Issued....................................................... Date � Fuz�����. � THE COMMONWEALTH orMAssAo*uSsrrs � U����� ��K� ���� 0�������U� ��=°^"" ^�� ~=" " .�-" ^~~ " " " .................ToW-n..............Op'j0mrn,ata-bla...... -....................................... Appliration for Application is hereby made for u Permit to Construct ( ) or Repair f� ) an Individual Sewage Disposal System at: �������=-�~~~�~-�--~ ------- or Lot No. ------------------------------' -----------------------------------------'---'---' »°"� ��'=" .-------------------------__' ________..________._______________________________. Installer Address � I`me of Building Size Lot- So feet Dwelling }Jo of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( \ 04 Other—Type of Building ............................ No. ofyecuona---.----_-- Showers ( ) -- Cafeteria ( ) P4 Other fixtures ................................................................................................................................................ __ Design Flow............................................gallons per person per day. Total daily flow............................................ . Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter------.. Depth................ Trench--No. .................... Width.................... Total .................... Total area....................sgf t. Seepage Pit Nu-__---- Diaoeter------. Depth below inlet.................... Total leaching area..................sq. ft.' Z Other Distribution box ( ) Dosing tank ( ) _ ~~ Percolation Test Results Performed by._-- ................................................................ Dote........................................ Test Pit No. l................minutes per inch Depth of Test Pit.................... Depth to ground vrotoc-_--.--_.. Test Pit No. 3................minutes per inch Depth of Test Pit................... Depth to ground water........................ _ ---_--._-_-.--_---'-_--__-_-_----'--'-----'---------'-_---_---'--'----_" 0 Description oG5pW...PA...catmv-el........-------------------------------------------------------------................................................................... ......................................................................................................................................................................................................... ---'---------__'---.-_.-_-.--_------__--_-'_------.-_--._.-_'__-'-'..'._'_-'------.. ��o� � ��u� or ��o�o �o�� �b� ���b� �� �cpu o»-- ^^ ---' .................... ...................................................................................................................... ............................................................................... Agreement: The undersigned agrees to install the afondescribnl Individual Sewage Disposal System in accordance with | the provisionsofIlILE 5 of the State Sanitary Code— The undersigned forther agrees not m place the system in � op«zodoo until o Certificate of Compliance has been issued bv the board ofhealth. 4����8.8 Date Signed � , Date Application Disapproved for the nol Date Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired Installer has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH to Construct or Repair an Individual Sewage Disposal System Street 4ry as shown on the application for Disposal Works Construction Permit No.---XY Dated.......................................... !Eard of Health FORM 1255 HoaBS WARREN, INC.. PUBLISHERS � � - l � � SYSTEM PROFILE TEST HOLE LOGS TOP FNDN EL. 32.8' (Hor To SCALE)ACCESS COVER TO WITHIN 6 OF FIN. GRADE RICK JUDO, IRS ACCESS COVER (WATERTIGHT) TO ENGINEER: WITHIN 6' OF FIN. GRADE DAVID STANTON LOCUS a s� MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 32 7' WITNESS: 4 P FARM HILL s• RUN PIPE LEVEL 2' DOUBLE WASHED PEASTONE\ DATE: 2/15/02 -i HAR60 HILLS pro \22-�* - FaR FIRST 2' < 2 MIN/INCH �� (PROP) PROPOSED 1500 3 MAX. PERC. RATE = $ r GALLON SEPTIC 29 25' 10,168 0 29.50' 29.7' CLASS I SOILS P# TANK (H- 10 ) GAS 29 0' o BAFFLE 29.17' «"'� �_______ CO © Cl Cl. C 1 O C) G7 0 2$.$7' Q o 4' AT SIDES (�_G SLOPE) �6' CRUSHED STONE OR MECHANICAL Q Q Q C3 Q Q Q Q [.] ELEV. COMPACTION. <15.221 123) '� $ 2' Q 00 Q M 0 m � 1*] 0 26.87' 0--- 32.7' DEPTH OF FLOW = 4' ` (� SLOPE) t�,_% SLOPE) Ap TEE SIZES, 3/4' TO 1 1/2' DOUBLE WASHEI. STONE SL N INLET DEPTH = 10 11" 10YR 3/2 OUTLET DEPTH = 1._ 4 ._ LOCATION MAP NOT TO SCALE BW FOUNDATION--- 10' SEPTIC TANK 8' D' BOX 15' LEACHING LFS ASSESSORS MAP 247 PARCEL 86 FA('ILITY �2„ 10YR 4/4 , *THIS IS A PROPOSED MINIMUM INVERT OUT ELEVATION. CONFIRM FEASIBILITY PRIOR TO INSTALLATION OF ANY PORTION OF SEPTIC SYSTEM. C COS 20.7' 2.5Y 5/6 + 32.5 + 33.0 144" 20.7' + 3 2.7 NO WATER ENCOUNTERED NOTES: 14" OAK + 32.6 32 APPROXIMATED FROM QUAD SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED > 1 DATUM IS , 3 �# A. DESIGN FLAW: 3 I'EDFOOMS' ( 410 GPD) - _330 GPD PAL WATER t EXISTING 10" SPRUCE + 3 .6 + 32.8 TH .7 + 32.3 - USE A 330 GPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8' PER FOOT. • SEPTIC TANK: 330 GPD ( 2 ) - 660 4, DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 1500 5. PIPE JOINTS TO BE MADE WATERTIGHT. + 3i.4 J08 3 USE A ____ GALLON SEPTIC TANK C a�y� 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. PROP. EXPANSION LEACHING: ( ENVIRONMENTAL CODE TITLE V. •,`4 s.8, ;� 2(25 + 12.83) 2 (.74) - 112 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT T❑ BE SIDES: o �3• USED FOR LOT LINE STAKING. O / N CONC. BLK. EXIST. SHED (RE-LOCATE) BOTTOM: 25 x 12.83 (.74) 237 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 2.2 32.2/ PATIO TOTAL. 472 S.F. 349 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT 319 32. + 32.5 USE (2) 500 GAL. LEACHING CHAMBERS ACME _OR INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED EXIST. DWELL. 32.1 FROM BOARD OF HEALTH. TF = 32.8' + 31.7 EQUAL) WITH 4' STONE ALL AROUND 2.i 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING CESSPOOLS, 2.0 LOT 21 A 7,494t SQ. FT. 1.8 � LEGEND i.4 TITLE S SITE PLAN W ** 31.3 � 100.0 PROPOSED SPOT ELEVATION OF 88 HARBOR HILLS ROAD +.3o.t 4" OAKS 100x0 EXISTING SPOT ELEVATION IN THE TOWN OF: .., � � o 6 00• z + t + 31. + 3 .5 F1070 PROPOSED CONTOUR WEST H YA N I y I S P 0 R T �0 9•7 100 EXISTING CONTOUR PREPARED FOR: G. M cLAU GH Ll N ASSUMED WATERLINE LOCATION (UNMARKED AT TIME OF PERC TEST). CONFIRM LOCATION 9 PRIOR TO ANY EXCAVATION 20 0 20 40 60 BOARD OF HEALTH 30.0 BENCH MARK - CTR. OF C.BASIN 300 APPROVED DATE MA SCALE: 1" _ fie' DATE: MARCH 5, 2002 ELEV. = 29.7' off 508-362-4541 fax 508 362-9880 Of MAs��ti Of clown cape engineering, inc, CIVIL ENGINEERS two LAND SURVEYORS °.� rstt�`�s°Q Q -2- 'Col 6 02--015 939 rlain st. yar outh, ma 02675 C. ARNE H. OJA .L.S. DATE