HomeMy WebLinkAbout0099 KATHERINE ROAD - Health 99 KATHERINE RD.
-CENTERVILLE
A = 228 080
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M
99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is required for every Centerville MA 02648 01/07/2013
page. City/Town State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered,in any
way. Please see completeness checklist at the end of the form.
Important:When A. General Information
filling out forms
on the computer,
use only the tab 1. Inspector:
key to move your
cursor-do not Mike DeCosta, Jr.
use the return Name of Inspector
key.
Wind River Environmental
r� Company Name
1958 R Broadway
Company Address
Raynham MA 02767
City/Town State Zip Code
(508) 822 -2003 13230
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection. The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title 5(310 CMR 15.000). The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority
.p January 7 2013
Inspector's Sign 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 is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time. This inspection does not address how the system will perform in the future under
the same or different conditions of use.
t5ins•09/08 Title 5 Official Inspection orm:Subsurface Sewage Disposal System•Page 1 of 17
Commonwealth of Massachusetts
w Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
,M 99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is required for every Centerville MA 02648 01/07/2013
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
Inlet cover 14" below grade outlet cover now 6" below grade with polyfilter installed on outlet.
Remember filter must be cleaned on annual basis.
B) 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):
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
S �
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is required for every Centerville MA 02648 01/07/2013
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes (cont.):
❑ 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):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. 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:
❑ 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
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Y
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is Centerville MA 02648 01/07/2013
required for every
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
2. 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 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.
3. Other:
D) 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
❑ ® 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 '/z day flow
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is required for every Centerville MA 02648 01/07/2013
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
❑ ® 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 well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 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.
E) 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 D.
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
If you have answered "yes" to any question in Section E the system is considered a significant threat,
or answered "yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is Centerville MA 02648 01/07/2013
required for every
page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no" as to each of the following:
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)]
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): 4 Number of bedrooms (actual): 4
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 gpd
t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
t
Commonwealth of Massachusetts
w Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is Centerville MA 02648 01/07/2013
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 2
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ❑ Yes ® No
Seasonal use? ❑ Yes ® No
Water meter readings, if available last 2 ears usage d 682 gpd
9 ( Y 9 (gpd))-.
Detail:
See attached water readings.
Sump pump? ❑ Yes ® No
Last date of occupancy: current
Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M
99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is required for every Centerville MA 02648 01/07/2013
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: Wind River Environmental
Was system pumped as part of the inspection? ® Yes ❑ No
If yes, volume pumped: 1500
gallons
How was quantity pumped determined? Previous pump records
Reason for pumping: To check structural integrity of septic tank
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):
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
4
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
' M 99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is Centerville MA 02648 01/07/2013
required for every
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
July 25, 2000 per design
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: aftfeet
Material of construction:
❑ cast iron ® 40 PVC ❑ other(explain):
Distance from private water supply well or suction line. 0
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
All joints sealed no evidence of leaking vent on roof.
Septic Tank(locate on site plan).-
Depth below grade: 14 inches
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: 10' x 5' x 5'
Sludge depth:
8"
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
Commonwealth of Massachusetts
w Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M
99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is Centerville MA 02648 01/07/2013
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle 32
Scum thickness 8
Distance from top of scum to top of outlet tee or baffle 6
Distance from bottom of scum to bottom of outlet tee or baffle 15"
How were dimensions determined? tape measure
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Inlet cover 14" below grade. Outlet cover 1 ft below grade. Outlet cover will have riser and filter
installed on outlet-tee to prevent sludge carryover from entering leaching. Liquid level normal, heavy
solids and sludge. Tank is structurally sound and not leaking. Recommend pumping tank and
cleaning filter on annual basis.
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
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is required for every Centerville MA 02648 01/07/2013
page. CitylTown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of 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
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
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M
99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is Centerville MA 02648 01/07/2013
required for every
page. CitylTown State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box (if present must be opened) (locate on site plan):
11
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.):
Distribution box is 3 ft below grade. Distribution box has one outlet to leaching chambers. Distribution
box is in very good condition, not showing signs of deterioration. Liquid level normal, moderate solids
carryover into box. Box will be pumped as part of inspection. Recommend installing riser on
Distribution Box to bring cover within 6" of grade.
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.):
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
^M 99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is required for every Centerville MA 02648 01/07/2013
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
® leaching chambers number: 3 @ 500 gallons;
33' x12.8' x2'
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
Dry, sandy, soil, no ponding. Showing no signs of hydraulic failure. Vegetation is normal.
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
t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is Centerville MA 02648 01/07/2013
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy (locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.)-.
t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
°M 99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is Centerville MA 02648 01/07/2013
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
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
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
°M 99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is required for every Centerville MA 02648 01/07/2013
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
® Surface water
® Check cellar
® Shallow wells
Estimated depth to high ground water: 11 ft+
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: September 1999
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:
Obtained ground water information from original application for construction dated September 1999.
During testing two (2) test holes were dug at 132 inches and 141 inches and no groundwater was
encountered.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
w Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
�M 99 Katherine Road
Property Address
Mannal, Richard
Owner Owner's Name
information is Centerville MA 02648 01/07/2013
required for every
page. City/Town State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary: A, B, C, D, or E checked
® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed
® System Information— Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
Dec. 19, 2012
Septic system inspection
Wind River Environmental
Jan. 7, 2013 between 7:00 AM and 12 noon
Water usage for:
2010—266,000 gal
2011 —225,000 gal
Documents—attached
Design plan
As-built septic plan
No pump out records—has not been pumped out in past 2 years
Estimated cost $949.11
Each hour of additional labor $150
Yq I1000
Z'4 "®^-,-rR s= ZV 4 S
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30 rj) s
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FEE t
q Y Z L COMMONWEALTH Of MASSACHUSETTS
Board of Health, LY.t le— MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct(,�Repair( ) Upgrade( ) Abandon( - ❑Complete System ❑Individual Components
Location Owner's Name U) C' /
ap�arcel# U ¢ Address 1
Lot# (o O Telephone#
Installer's Name ' �d I}s 1'�2 _ Designer's Name 'a !
Address � 4 - M� PA,f rl l Address — � Z
Telephone# Telephone#
i
Type of Building eP ni a I Ofy-% Lot Size sq.ft.
Dwelling-No.of Bedrooms 'T Garbage grinder A
Other-Type of Building No.of persons Showers( ),Cafeteria O
Other Fixtures
Design Flow Omin. equired) (� gpd Calculated design flow 44(� Design flow provided 4s4 gpd
Plan: Date IoZ '�Gl C1 Number of sheets Revision Date
Title !J I� e SOP T
Description of Soil(s)
Soil Evaluator Form No. Name of Soil Evaluator troc Date of Evaluation k
DESCRIPTION OF REPAIRS ORALTERATIONS
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further s't not to lace the tem in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed Date
l�-30-94
Inspections
i
a
f COMMONWEALTH OF SS CIIUSETTS FEE
Board of Health, 2t� MA.
CERTIFICATE OF COMPLIANCE
Description of Work: ❑Individual Components) ❑Complete System
The undersigned hereby certify that the Sewage Disposal System; Constructed( ,Repaired( ),Upgraded( ),Abandoned( )
by:
—T
has been installed in accordance with the provisions of 310 CMR 15.00(Title 5) and the approved design plans/as-built plans relating to
application No. 111 1/-/ , dated/A1'jb' 'Approved Design Flow (gpd)
Installer
Designer: Inspecto ts-�!'' CfiJ ,'r Date:
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
w
No.7T- _7-LL� -
C®A'MONWF.ALTII Of MASSACIIUSETTS FEE
Board of Health, g,. jL MA.
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to; Construct(\,/)/Repair( ) Upgrade( ) Abandon( )an individual sewage disposal system
4 at A I t J C4 r l(n as described in the application for (�
Disposal System Construction Permit No. dated z/L fa
Provided: Construction shall be completed within three years of the date of this permit. All�nditions must be met.
Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date zl z y/�Board of Health 9
IR
.77
TOWN OF BARNSTABLE
LOCATION SEW
G #
---
VILLAGE ? .�Z --
//
r �Fp SSOR'S
ASSE
LOT _
I INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type)
r (size)
1 N EDROOMS "1
EtDE ` R OWNER 60
PERMITDATE: ✓ {S 1' '
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)
Edge of Wetland and LeachingFeet
Facility(If any wetlands exist
within 300 feet acing facility) .
��Z Furnished b 1-,� Feet
,51
"q
s 'Tee z "A0 ,A Qr
,oe
0
EL. -Io2'
TOP OF FYI UNDATlON
� 20' MIN.
10 MIN. CONCRETE COVERS
4"SCHEDULE 40 P.VC
II j MIN. P17CH 118 PER FT. 2 LAYER OF
VENT
4 �B MAX _T ' ' . . i / CONCRETE COVER WASHED STONE
Of
EL = 83.0' 4"CAST IRON PIPE
.. OR
EQUAL' MIN/MUM
P17 1/4 PER FT. CLEAN SAND
FLOW LINE =BB '
+� INVERT - 10" EL. ___0 ,
1 14" o000 0 0000
_ 91.5' Af/N.
---- INVERT �-2.0'- o 0 0 0 0 0 0 0 0 0 o g
OAS LEVEL - pO , o00000o0000 °a
INVERT B'u`''P�' EL•= 90.75' INVERT 6 SUM °° - - 0 0 0 0 0 CO 0 0 0
INVERT o0000000000 °°8° =85.5,
EL.= 90.25_ EL.= 90.0"- 4' ° 4
(M DE PLACED ON FIRM BASE) DISTRIBUTION (3)SOO CAL LEACH/NC CHAMBERS
MLL"HANICALLY COMPACTED OR 6"OF STONE BOX EL•=B7 5 „
_-100--_GALLONS !z a'x 339'TRENCH fORMATION O
7YI BE WATER TESTED
IF MORE THAN ONE OUTLET
SEPTIC TANK SOIL ABSORPTIONko
PROFILE OF PLACE ON s"STONE 314" TO 1-1/2. r
SEWAGE DISPOSAL SYSTEM °°URGE WASHED S7n"E SYSTEM (SAS)
NOT TO SCALE
TOP OF MARSH ELEV.= 75.5
EDGE OF KATHERINE ROAD ELEV.= 83.5_
NO OBSERVED WATER TABLE (9109199) ELEV.= 84.25_
PERCOLATION RATE <Z-- MIN/INCH 0 54"
OBSERVATION HOLE I ELEV.
DEPTH HORIZ TEXTURE COLOR OTHER OBSERVATION HOLE 2 ELEV.=96___
I GENERAL NOTES 0-24" FILL FILL N/A DEPTH HORIF TEXTURE COLOR
24"-34" A LOAMY SAND 10YR 4/3 0-10" A LOAMY SAND 10YR 4/3
1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 34"-48" B LOAMY SAND 10YR 5/8 10'-30" B LOAMY SAND lOYR 5/8
TITLE 5 AND THE TOWN OF BARNS ABLE--_- RULES AND 48"-60' CI MEDIUM SAND lOYR 6/8 PERC 30'-4B Cl MEDIUM SAND lOYR 6/8
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 6o"-132" C2 FI,VE/MED SAND IOYR 6/4 48"-141' C2 F1NE/MED SAND 0YR 6/4
2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO NO WATER ENCOUNTERED NO WATER ENCOUNTERED
WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12"
3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF DATE OF SOIL TEST 9109199 SOIL TEST DONE BY BRUCE G. MURPHY, R.S.
WITHSTANDING
DRIVESIOR PARKING AREAS. H-20 LOADING SHALL BE G UNLESS THEY ARE UNDER OR WITHIN
WITNESSED BY: DONNA MIoRANDI DESIGN CALCULATIONS:
USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS.. NUMBER OF BEDROOMS4
4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTERED IN PLACE. P#9¢14 GARBAGE DISPOSAL . NO 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH TOTAL ESTIMATED FLOW
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO INSTALL- ( Ilo---GAL/BR./DAY x 1--- BR.) 440 GAL/DAY
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. (3) 500 GAL LEACHING CHAMBERS REQUIRED SEPTIC TANK CAPACITY 1500 GAL
6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR WITH 4' STONE ALL AROUND
IS TO CALL 'DIG— SAFE" AT 1=800-322-4844 AT LEAST 72 HOURS 12.6' X 33.5' SOIL CLASSIFICATION . . . . 1
PRIOR TO COMMENCING WORK ON SITE. DESIGN PERCOLATION RATE . . . < 2 MIN./IN.
7) CONTRACTOR IS VERIFY GRADES AND ELEVATIONS AS WELL AS INSTALL LEACHING IN Cl HORIZON EFFLUENT LOADING RATE . .74 GAL/DAY/S.F.
SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. -EXCAVATE 5'BELOW LEACHING FIELD TO LEACHING CAPACITY (AREA X RATE) 454 GAL/DAY
B) PARCEL IN FLOOD ZONE__--C'____ RESERVE LEACHING CAPACITY. 454 GAL/DAY
VERIFY MEDIUM SAND AND NO GROUND WATER 33.5X12.BX 74 t 33.5t33.5t12.8t12.8 X.74 X2
9) LOT!S SHOWN ON ASSESSORS MAP 228 AS PARCE S 8011461147 TO BE WITNESSED BY HEALTH DEPT. ( ) ( ) )
u) --------- SHEET 2 OF 2 JOB NUMBER _ 52065------
i
' r
O AS LOT 83-2
a
I N>i ST%rT
/S 4 4B 50 E' !O 9 PI I
O
HSE ,p9
S \Oro
pp /O o AS LOT 82 4�v1P� I� I
AS LOT 79
I - 584' :702p / / / � I
/ I10.34'/ / _I. S64 8.4T E //
�I I 106 '"P F ,az — LOCUS MAP
O T07AL AREA = 36,000 S.F.I o 1 e UNs I�LEV.= 100 (ASSUMED)
I �104 , I \ l 1 �p OL 719TAL AREA: 36000t sq//t
�102 /AS I47/// -p05 TP fin r �p/ / CATCH BASIN ASSESSORS MAP. 228 L075 80/146/147
lo0 ° NA ✓ O q �I PLAN REF• LC 30469A LOTS- 16117119
a 9B ^ 6T�zev-y3 y0 ZONING. RC"
66 0 A 30.2, ��N I FLOOD ZONB:• "C"
ZOL / S,I 'c� / COMMUNITY PAN f
96 l w I
250001 OOOB D'1 I� Po I\, en�� • J� I OVERLAY DISTRICT.` AP"
_ f�°� ` 92 ti / PROJECT L OCA TON a 930E 6� � l 9 KA THERINE' ROAD
L-- HSE
AT O \ 4 / ASSESSORS MAP- 228 LOTS 8011461147
- A PPL ICA N T-
tA G UY COLE'TTI
AS LOT B1
78.39
/DE �� T pNRs III, a � YANKEE SURVEY CONSUL TANTS
E WE — �� J P.O. BOX 255
VEMENT 78.39 EOW f• .�T' i q UNIT 5, 408 INDUSTRY ROAD
' o // � �� �� Y��� �� MARSTONS MILLS, MA. 02648
f of
ytlQ 81.68 BOW ICI' X�N rsp, �4 -0055 — FAX(508�420-5553 PH,(508�428
y. 80.64 EOW
•.• SCALE.• 1""=40' DATE.' 12127199
/ TOP OF MARSH
EDGE all, 75.5
h3.95 EOW 01, All, — 69.88 REV. REV.
TOP OF WATER
I,11
JOB NO. 52065 CB SHEET I OF 2
i
No. L i i FEE
t
Board of Health, n �rA S+c'k-\0 'e-, MA.
APPLICATION FOP, DISPOSAL SYSTLM CONSTRUCTION PERMIT
Application for a Permit to Construct(,�R pair( ) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components
Location Owner's Name �ji V l c
o ap-arr el# (� Address
Lot# I ' Telephone#
Installer's Name �(f�-�a jjs'i'�2 Designer's Name Q
Address Q AA'. Address +( '
Telephone# Telephone#
Type of Building ice z,- l kenlla Arne_ Lot Size sq.ft.
Dwelling-No.of Bedrooms + Garbage grinder AN O
Other-Type of Building No.of persons Showers ( ),Cafeteria ( )
Other Fixtures
Design Flow.(/min. equired) C) gpd Calculated design flow� Design flow provided�gpd
Plan: Date IOZ �'�G( Cj Number of sheets Revision Date
Title rJ)� e ^� ��t� 1 C
Description of Soil(s)
Soil Evaluator Form No. Name of Soil Evaluator VC Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further a s t not to lace the sntem in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed Date 62-aV-C"7
ti -3v-9�
Inspections
r 1 9 y FEE
PTO;
Board of Health,_ &-A +C,10 1(Z-, MA.
-APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construc4,�Repair( ) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components
Location �� Owner's Name G U I C U J P 74
ap Parcel-- 0 ,:,,*Address
Lot# + Telephone# .
Installer's Name -r0 Designer's Name J
Address aSu O, Q 1,+� / In. (S Address 1 R r y
tTIephone# T4 ��� ' r Telephone# nD
r
Type of Building lid I UM _ Lot Size W sq.ft.
� �
Dwelling-No.of Bedrooms + ' Garbage grinder Ajo
Other-Type of Building No.of persons Showers ( ),Cafeteria ( )
Other Fixtures
Design FlowAE
d) 4-�C� gpd Calculated design flow 0 Design flow provided �h gpd
4 Plan: Date � c1 Number of sheets Revision Date
Title IC (G.l�
Description of Soil(s)
Soil Evaluator Form No. Name of Soil Evaluator 13 rv(r- m Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS
y
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further E
s t not to lace the tem in operation until a Certificate of Compliance has been issued by the Board of Health.
> Signed Date o2 " -2 y- p"
-Inspections
No.-� FEE C� s
Board of Health, MA.
CERTIFICATE OF COMPLIANCE
Description of Work: ❑Individual Component(s) ❑Complete System
The undersigned hereby certify that the Sewage Disposal System; Constructed Repaired ( ),Upgraded ( ),Abandoned ( )
by:
at k .x
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built.plans relating to
application No. 1 1- , dated/ - " Approved Design Flow (gpd)
Installer 4.1 04A /w d
Designer: Inspector Date: +�
The issuance of this permit shall not be construed as a guarantee that the system will function a designed.
No. - ly I FEE le 4
Board of Health,_Pn",, � MA.
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby a granted to; Construct(>1 Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system
'4 at A � �.� G,,41A,,,, �� as described in the application for
Disposal System Construction Permit No. //` / ,dated Z Z �
Provided: Construction shall be completed within three years of the date of this permit. All 1 cal conditions must be met.
Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date z/Z Ic Z�ZJ Board of Health (.t.
`
t
TOV IE
W'N OF BARNSTABL qG �
LOCA'TiGN SEW G #
VILLAGE n Ord ASSESSORM &.. LO _
INSTALLER'S NAME&PHONE NO._Ajkin 0,I e
SEPTIC TANK CAPACITY /3"dD �frL
p
LEACHING FACILITY: (type) 3 A-dy 4AJ_ d►anb•_(size) col.F IC�s'� S .�
CN EDROOMS 14
UILD R OWNER u UV C a LI e k1
PERMIT DATE: �'�✓�S"' 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 ea g facility) Feet
Furnished by .. '�t N
�o
s
ear
3
`fY'
TOWN OF BARNSTABLE
LOCATION if ISEW G # —
1
I. VILLAGE_ 4�i / :d —
.� ASSESSOR'S & LOT _
INSTALLER'S NAME&PHONE NO.
I
SEPTIC TANK CAPACITY b A-L
LEACHING FACILITY: (type)
I r (size) ld.f x33 5 X
N EDROOMS "1
UILD ' R OWNER G fw
PERMTTDATE:
COMPLIANCE DATE: '' '-�
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bo
ttom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet ac g facility)
Furnished by � - Feet
I ,Vf` 8S
bL ,1h
6 S 'Tee es �0 91 e P
oe ) `
ot9£v
ON,
AS LOT 83-2
I icnq_Qy P1Ng STR�
48 50'E � t Z
c
RD
0
IN
HSE / 6
1O& /k O AS LOT 82
1 I n
AS LOT 79
cp
S84 49 30 E 110. / / / 1 S84• q' Q
/ 34 / �- //'' 106.47
/ LOCUS MAP
I � 106 /� i/ / / / 17t7P F FN�>!02 - - CROP ,
TOTAL AREA - 36,000 S.F. \� LEV.= 100 (ASSUMED)
1ptF � / I O � � � �1, F. TOTAL AREA: 36000f sq/ft
AS LOT 147� / \ G' ro/ CATCH BASIN
W 1p2 / / 5 TP12 9 r ASSESSORS MAP. 228 LOTS 80/146/147
lOp PLAN REF• LC 30469A L0TS- 16117119
I oo h/ 98 96 �,^ 9 o wa[�sr-6 0 V 9/ `p\ ✓ �'�4 ZONING: "RC"
Ty 30.2' Sal O I FLOOD ZOAE-
cab I COMMUNITY PAN/
250001 0008 D
`6 PROP I` ,,,gym • �� �� I 0 VERLA Y DISTRICT "AP"
92
S833930" J _ 1� % ti / f , PROJECT L OCA TION
_ �� f ��:.� . 9 KA THERINE ROAD
I - I 1 9�AS LOTj40 y° ASSESSORS MAP.- 228 LOTS 8011461147
►� I =
88
N
I = HSE
APPLICANT-
VIA , p0E
\ N67.5 G UY COLETTI
AS LOT 81 �(� f 78.39 -
,�I,, YAWEE SUR VEY CONSUL T11 N iS t
sy P. O. BOX 265
/ AVEMENT 78 39 EOW £. UNIT 5, 4OB INDUSTRY ROAD
Y MARSTONS MILLS, MA. 02648
of, pwm
F
r 0'� DGE� 81.68 EOW PH.(508)428-0055 — FAX(5O8)42O-5553
,.< 80.64 EOW "�"'i "` SCALE. 1"=40' 12/27/99
� $�` DA TE.
/ TOP OF MARSH
GE
� ED 75.5 REV.• REV.•
`7'3.95 EOW .III, �I�, 69.88
TOP OF WATER IP&B—NO. 52065 CB I [SHE-ET 1 OF 2
i
t
102' _ t -
TOP OF FOUNDATION
20 MIN.
10' MIN. CONCRETE COVERS :. 4" SCHEDULE 40 P. VC
MIN. PITCH 1/8 PER FT. 2 LAYER OF
VENT
O / / CONCRETE CO VER
WASHED STONE
0. 6" MAX i i / / / / i / i i i
� EL = 93.0• ELEV--� 92.0_
4" CAST IRON PIPE
(OR EQUAL MINIMUM
PITCH 1/4 PER FT. CLEAN SAND
FLOW LINE
EL.= 8_e.0'
INVERT 1MIN 14" —2.0•� o °o 00000M00000 °g0oo
_ 91.5'
L.
--- CAS INVERT LEVEL °oo 0 00000000000 oo0
6 SUM °° 00 0 0 0 0 0 0 0 0 0 0 0 ° o
INVERT BAFFLE EL = 90. 75 INVERT INVERT °o° o 0 0 0 0 0 0 0 0 0 0 0 00 = 85.5
EL.= 91.0' EL.= 90.z5_ EL.= 90.0"_ 4' 4
(70 BE PLACED ON FIRM BASE) DISTRIBUTION (3) 500 SAL LhACHINC CHAMBERS
MECHANICALLY COMPACTED OR 6" OF SMNE BOX EL•= 875
--1;200 _GALLONS TO BE WATER TESTED 12 6' X 33 6' TRENCH FORMATION O
SEPTIC TANK IF MORE THAN ONE OUTLET p
PROFILE O F PLACE ON 6" STONE SOIL ABSORPTION �' ~
3/4 2"
SEWAGE DISPOSAL SYSTEM DOUBLE WASHED STONE SYSTEM (SAS
NOT TO SCALE
TOP OF MARSH ELEV. = 75.5
EDGE OF KATHERINE ROAD ELEV. = 835__
NO OBSERVED WATER TABLE (9109199) ELEV.= 84.z5
PERCOLATION RATE <2 MIN./ INCH ® 54"
OBSERVATION HOLE 1 ELEV.__se__
DEPTH HORIZ TEXTURE COLOR OTHER OBSERVATION HOLE 2 ELEV.= 96'
GENERAL NO TES DEPTH ORIZ TEXTURE COLOR
0-24.. N FILL FILL /A
24"-34" A LOAMY SAND 10 YR 4/3 0-10" A LOAMY SAND IOYR 4/3
1) ALL WORKMANSHIP AND MA TERIALS SHALL CONFORM TO D.E.P. 34"-48" B-
LOAMY SAND 10 YR 5/8 10"-30" B LOAMY SAND 0 YR 5/8
TITLE 5 AND THE TOWN OF _BARYS�B_LE____ RULES AND 48"-60' Cl MEDIUM SAND 10 YR 6/8 PERC 30;'-48; Cl MEDIUM SAND IOYR 6/8
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 60'-132" C2 FIXE/MED SAND 10 YR 6/4 48 -141 C2 FINE/MED SAND V 0 YR 6/4
2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO NO WATER ENCOUNTERED NO WATER ENCOUNTERED
WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12"
.3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF DATE OF SOIL TEST 9109199 SOIL TEST DONE BY BRUCE G. MURPHY, R.S.
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN WITNESSED - BY: DONNA MIORANDI
10 F'T. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE DESIGN CALCULA TIONS.'
USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4
4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL NUMBER OF BEDROOMS .
BE MORTERED IN PLACE. P,P414 GARBAGE DISPOSAL NO
5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH TOTAL ESTIMATED FLOW
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO INSTALL- ( 110GAL/BR./DAY x 4___ BR.) 440 GAL/DAY
`f OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. (3) 5 GAL LEACHING CHAMBERS REQUIRED SEPTIC TANK CAPACITY 1500 GAL
6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR WITT H 4' STONE ALL AROUND
IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS 12.6' X 33.5' SOIL CLASSIFICATION . 1
PRIOR TO COMMENCING WORK ON SITE. DESIGN PERCOLATION RATE < 2 MIN./IN.
7) CONTRACTOR IS VERIFY GRADES AND ELEVATIONS AS WELL AS INSTALL LEACHING IN CI HORIZON EFFLUENT LOADING RATE . 74 CALIDAY/S.F.
SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. *EXCAVATE 5' BELOW LEACHING FIELD TO LEACHING CAPACITY (AREA X RATE) 454 GAL/DAY
RESERVE LEACHING CAPACITY . 454 GAL/DAY
8) PARCEL IN FLOOD ZONE___"C" ___ VERIFY MEDIUM SAND AND NO GROUND WATER
228 801146/147 TO BE WITNESSED B,Y HEALTH DEPT. (33.�X12.8X 74)+(33.5+33.5+12.8+12.8)"X. 74)
9) LOT IS SHOWN ON ASSESSORS MAP----- AS PARCELS) ----- SHEET 2 OF 2 JOB NUMBER-_ 52065 ----__
120
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ALTERNATE SAVE DETAIL wl
5'-10 3/4• 4•-4 --3•-6 1/r r-2
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2X4 NAILER APPLIED BY PANEL CO. OAK OR DOUG-FIR / \
TIMBER FRAME j� v
GALVANIZED DRIP EDGE lY� Q Z
GALV _ -� Z LU
IX3 1 IX8 FASCIA TRIM v Q
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2X9 NAILER 16'• O.C. I\2' DRYWALL DECK
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1/2' AC PLYWOOD SOFFIT we
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STRESS SKIN PANEL _
SIDING ; b.
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TYPICAL EAVE DETAIL ; K17CHEN
19'-O' x 16-0" O
NO SCALE SCREENED IN PORCH O
29'-O• x 12'-O' I -
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1 I 28'-0' x Ic-O'
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TIMBER FRAME
a^ T' {— :2 a
co
GALVANIZED DRIP EDGE ? ¢ ~
C- o o GARAGE DINING ROOM \ / F O aD
IX3 t IXB FASCIA TRIM I I 24'-0' x 25'-0' Ic-O' �e
N ' / WII r
2X LOOK OUT 16' O.C. SCREWED �J(/y\ eEDRoon u3 u �• _ `O Q,
N'-O' x 9'-P U o
TO 5\8' PLYWOOD 1 THEN SCREWED 1\2' DRYWALL
I NAILED TO STRESS SKIN PANEL ' _ a^ O
IX 6',8',10',OR 12' SOFFIT I WII UP N RISERS AT
3 I\2' STRUCTURAL �-----------------' -----------------, LE55 THAN 8 1/4' a^ '3 h O
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SIDING .. ..
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ALTERNATE' E_AVE DETAIL I ' wl wl
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