Loading...
HomeMy WebLinkAbout0146 KNOTTY PINE LANE - Health 146 Knotty Pine Lane A= 191 — 093 Centerville (� TOWN OF BARNSTABLE LOCATION SEWAGE # ��s a A I / VILLAGE d�,t"&✓✓l l� SESSOR'S MAP & LOT �q` '0�� s INSTALLER'S NAME&PHONE NO. ci � SEPTIC TANK CAPACIT`� S71 5 /60 6 LEACHING FACILITY: (type) ,a �L 36 J d S (size) /& �'�/ Ka�� NO. OF BEDROOMS BUILDER OR OWNER �Cf" PERMITDATE: DATE: Separation Distance Between.the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet ,�. Furnished by h k 61 l* TOWN OF BARNSTABLE LOCATION/ ���T 4v �� SEWAGE # �� :�C VILLAGE 0,e elIVI ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.4f 1.1) /46 Li-1 d a 39f �i f SEPTIC TANK CAPACITY /0 00 r LEACHING FACILITY:(type) 6p, (size) NO. OF BEDROOMS PRIVATE WELL O PUBLIC W TE g BUILDER OR OWNER 3�94' C 5 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ,. y/ /� , v ,'��� y _- � ��� � �� � �� � �� � ��y r �,.J;.. No.—1C1 ��7 Fee r s THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE. MASSACHUSETTS es ZIppYication for ;Di000f *pgtem Conotruetion Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) D Complete System ❑Individual Components Local on Address or Lot No. Owner's Name,Address and Tel.No. j�l(� Kn�prle scn��iC� -3rtacis h� Asses or' Map/Pazce /+ J I _ Installer's Nam Address, d Tel. o. Designer's Nams ddre and Tel.No. Sh \.j a n i 19 oz�� 1(_P Type of Building: Dwelling No. of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 0 gallons per day. Calculated daily flow J�pr 0 gallons. Plan Date °l a4/h 6.12,24 Number of sheets Revision Date Title Size of Septic Tank loo Type of S.A.S. 3050 s Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by is Board of Health. Signed _ Date Application Approved by Date C3 Application Disapproved for the following reasons Permit No. C Date Issued L No.c�L On( —O U '^ Fee /40 THE COMMONWEALTH OF MASSACHUSEETTS.,,-y Entered in computer: p/ * ' PUBLIC HEALTH DIVIS.ION.- TOWN OF BARNSTABLE, MASSACHUSETTS Yes RpPlication for Bt!5pozar *pgtem Couttruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 1r As knv�y y1q1 esor Map/Pazce �c15,ha -D 3 )1+6 Vrvorry Plrw, lzyr_ Cen�r=vl 1l Installer's N Address,end Tel o. Designer's Name,. ddress and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow—>� 3U gallons per day. Calculated daily flow 3�� �7 gallons. /�Plan Date Q46 b i.2066 Number of sheets / Revision Date Title Size of Septic Tank 0/X�S T1q j Type of S.A.S. 3y�U 5 3 r, Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: , - The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by thisBoard of Health. Signed �Zi h —Date-3/1/0, Application Approved by l Date 3 9 Applicafion Disapproved for the following reasons �. Permit No. cs-C�V(o Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY that the On-sit Sewage,Disposal System Constructed ( )Repaired ( )Upgraded( �) Abandoned( )by at b _/(fY ,b� 0 . Llf has been constructed in c ordance with the provisions of Title 5 and the A, iisposal Sy,,.tem Construction Permit No. -'���dated Z ti �� Installer Il� o l �9_ Designer n The issuance of t 's p Ut'�"shall not be construed as a guarantee that the system will func ior) 17s ed,(')' Date WJ Inspector � "'OgQ--- ----- -------------Fe—-- No. u e THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1i5po5ar *pgtem Con!5tructfon Permit Permission is hereby granted to Construct( )Repair( )Upgrade(,)0)Abandon( ) System located at l 7(0 `-'d 0-e- '(- and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction mu t be/qompleted within three years of the dat of this lus permit. Date:_. -3��/� Approved by •4� : 1 't ti r , 08/25/2018 03:37 FAX fR 002/002 Town of Barnstable Regulatory Services �. Thomas F. Geiler, Director 1 ' Public Health Division 6 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office; 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 3-29-06 Designer: Shay Environmental Services,Inc. Installer: Robert Septic Services. Address: P.O. Box 627 East Falmouth Address: 5 Trenton Street MA 02536 'Yarmouth, MA On 3/6/06 _ Robert Septic Service was issued a permit to install a (date) (installer) septic system at 146 Knotty Pine Road, Centerville, MA based on a design drawn by (address) Shay Environmental Services, Inc., dated 3/05/06 (designer) _29L I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. installer's ' ature) A 'a 0 U o. 81 o (Designer's Signature) (A ix � Nf rAW p re) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVI CERTIFICATE OF tOMPLIANCE VVILL NOT B ISSUED UNTIL BQTR THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLICCAMAUTH DIVISION THANK YOU, Q:Healrh/Scptic/Designer Certification Form I 9116/03 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM CI I I, u a hereby certify that the engineered plan signed by me dated cZ-(e-o ,concerning the property located at n `Jo meets all of the following criteria: i • This failed system is.connected to a residential dwelling only. There are no.commercial or business uses.associated with the.dwelling. • The soil is.classified as.CLASS I and the percolation rate is less than or equal to 5 minutes ' per inch. The applicant may use historical data to conclude this fact or.may conduct deep test holes and percolation tests.at the site without a health agent present. • There is no increase in flow and/or change in use proposed I • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the. Frimptor method when applicable] I - Please complete the following: A) Top of Ground Surface Elevation(using GIS information). Go,©b I B) G.W. Elevation 30 +adjustment for high G.W. 1, } . = 31 0 DIFFERENCE BETWEEN A and B i SIG D DATE: i NOTICE Based upon the above information; a repair permit will be issued for bedrooms maximum.. No additional bedrooms are authorized in the future without engineered septic system plans. l gASeptic\percexemp.doc 1 it (� TOWN O�F-�BcARNSTABLE LOCATION / l �h'v" �`lf" SEWAGE # NfILLAGE 02—t-V- SESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. �52'1 J7-:�L& . SEPTIC TANK CAPACITY sT; '/"-S /i!:W 0 LEACHING FACILITY: (type)Z` ,,L ��J d S (size) ,�� Kc";� X��f NO. OF BEDROOMS 3 BUILDER OR OWNER °� ' t��'�-J PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or'within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 6 r Town of Barnstable oFTME o Regulatory Services BARNSTABLE, Thomas F. Geiler, Director 9 MASS: fc 39. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 _ Office: 508-862-4644 Fax: 508-790-6304 February 28, 2006 Mr Michael Bradshaw 146 Knotty Pine Lane Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 146 Knotty Pine Lane, Centerville, MA,was last inspected on February 2nd, 2006, by Patrick M. O'Connell, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system has "failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following. System fails due to lack of effective leaching. You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder, please feel free to contact the Barnstable Health Department. BARNSTABLE ALTH DEPARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS-,, DEPARTMENT OF ENVIRONMENTAL PROTECTION ,eW 01N FEB 21 AN 10: 19 see TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 146 Knotty Pine Lane Centerville MA 02632 Owner's Name: Michael Bradshaw Owner's Address: Same Date of Inspection: February 2,2006 Job#06-30 Name of Inspector: PATRICK M.O'CONNELL Company Name: SEPTIC INSPECTION SERVICES CO. Mailing Address: 189 CAMMETT ROAD MARSTONS MILLS MA 02648 Telephone Number: 508-428-1779 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of 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: `�„5',^;°?�tt►q�� Passes , S , Conditionally Passes Needs Further Evaluation by the Local Approving Authority PAT 'IC :cGn X Fails — m= . �; Inspector's Signature: M Date: 2/2/06 �','k '•� o . , : The system inspector shall submit a copy of this inspection report to the A 'of Heaf1�NSPEG\���` DEP)within 30 days of completing this inspection. If the system is a shared s y system or hasa design flow of I0 0o0 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. Notes and Comments: Tank and pit full to top of structures,system has no effective leaching. ****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. I Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 146 Knotty Pine Lane,Centerville Owner: Michael Bradshaw Date of Inspection: February 2,2006 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: 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. Answer yes,no or not determined(Y,N,ND) in the 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: 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 obstruction is removed ND explain: I Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 146 Knotty Pine Lane,Centerville Owner: Michael Bradshaw Date of Inspection: February 2,2006 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. I. 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 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 and volatile organic compounds indicates that the well is free from pollution from that facility 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: Page 4 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 146 Knotty Pine Lane,Centerville Owner: Michael Bradshaw Date of Inspection: February 2,2006 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X — Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool — _X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool — _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than_day flow — —X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. — _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. — —X— Any portion of a cesspool or privy is within a Zone 1 of a public well. —X Any portion of a cesspool or privy is within 50 feet of a private water supply well. — _X_ 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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.) _Yes_(Yes/No)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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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. Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 146 Knotty Pine Lane,Centerville Owner: Michael Bradshaw Date of Inspection: February 2,2006 Check if the following have been done.You must indicate"yes"or"no"as to each of the following Yes No _X_ — Pumping information was provided by the owner,occupant,or Board of Health _X_ Were any of the system components pumped out in the previous two weeks? _X_ _ Has the system received normal flows in the previous two week period ? — _X_ Have large volumes of water been introduced to the system recently or as part of this inspection? _X_ — Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X_ _ Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs of break out? _X_ — Were all system components,excluding the SAS, located on site _X_ — 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? X_ _ 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: Yes no _X_ _ Existing information. For example,a plan at the Board of Health. _X_ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of. distance is unacceptable)1310 CMR 15.302(3)(b)] Page 6 of 1 l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 146 Knotty Pine Lane,Centerville Owner: Michael Bradshaw Date of Inspection: February 2,2006 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 Number of current residents:3 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no): No Water meter readings, if available(last 2 years usage(gpd)):2 years total: 275,000 gal.=376 gpd. Sump pump(yes or no): No Last date of occupancy: Currently Occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):— Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records: Tank pumped over 8 years ago. Source of information: Owner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _X_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) Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if known)and source of information: 1988 Were sewage odors detected when arriving at the site(yes or no): No Page 7 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 146 Knotty Pine Lane,Centerville Owner: Michael Bradshaw Date of Inspection: February 2,2006 BUILDING SEWER: XX (locate on site plan) Depth below grade: 16" Materials of construction:_cast iron _X_40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints, venting,evidence of leakage,etc.): SEPTIC TANK:XX (locate on site plan) Depth below grade: 2' Material of construction:_X_concrete metal fiberglass_polyethylene —other(explain) - - If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no): certificate) —(attach a copy of Dimensions:8.5'long x 5.2'wide—1000 gal. 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: STICK WITH HINGE FLAP. 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 to full to measure scum and stud a lavers or to check structural intezrity of tank. GREASE TRAP: No (locate on site plan) Depth below grade:_ Material of construction:_concrete metal fiberglass_polyethylene other (explain): — — — Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 146 Knotty Pine Lane,Centerville Owner: Michael Bradshaw Date of Inspection: February 2,2006 TIGHT or HOLDING TANK: No (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/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: No (if present must be opened) (locate on site plan) Depth of liquid level above outlet invert: 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.): PUMP CHAMBER: No (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 146 Knotty Pine Lane,Centerville Owner: Michael Bradshaw Date of Inspection: February 2,2006 SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required) If SAS not located explain why: Type _X_leaching pits,number: One 6x6 pit. _leaching chambers,number: _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.): Liquid level at tot)of structure and has previously been at ton of risers observed excessive solids carryover.System fails due to lack of effective leaching. CESSPOOLS: No (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 or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: No (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.): Page 10 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 146 Knotty Pine Lane,Centerville Owner: Michael Bradshaw Date of Inspection: February 2,2006 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. Knotty Pine Lane 47 38 i t 3 ... .... .... Page 1 I of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 146 Knotty Pine Lane,Centerville Owner: Michael Bradshaw Date of Inspection: February 2,2006 SITE EXAM Slope None Surface water None Check cellar Dry Shallow wells None Estimated depth to ground water Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record- If checked,date of design plan reviewed: 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 e high round water elevatio n: on. A pert test will be performed prior to repair to determine groundwater elevation. i TOWN OF BARNSTABLE A71ON SEWAGE # VFF—LAGE ASSESSOR'S MAP & LOT INS R+6 NAME&PHONE NO. D SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS B —DR OWNER L Dd&JyLJ PERMITDATE: _ COMPLIANCE DATE: Separation Distance Between the: .gip I Maximum Adjusted Groundwater Tab e to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by THE COMMONWEALTH OF MASSACHUSETTS BOARD OF , HEALTH ��/ ��I �6a� I �.....-- .........._0F... t' ............................................ Appliratiun for Uiupuuttl Works Tomitrurtiun rprutit Application is hereby made for a Permit to Construct (\) or Repair ( ) an Individual Sewage Disposal System at ..................................o.r. .L..o.t..No. Lbcatio -Address - P `t I /�� - --- �— Owner Address .............................. ........... . ................. ............ Installer Address Type of Building Size Lots. 0 C'....._.__-Sq. feet Dwelling—No. of Bedrooms......... _:?•_--_.--_-___•-___-------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.._.L,.................... Showers ( ) — Cafeteria ( ) Otherfixtures --------------------•----------------.......------------•----------------------------------------------------------------------------•---...--------- W Design Flow............ ......................gallons per person per day. Total daily flow___� � ..........................gallons. 1 - t r �l WSeptic Tank—Liquid capacity))bW.gallons Length ?_.�rs..... Wldth..._....�_ _ Diameter................ Depth_.:5..7._.. x Disposal Trench—No..................... Width.................... Total Length................... Total leaching area....................sq. ft. Seepage Pit No.--____�.---_-______ Diameter-- Q _ .___. Depth below inlet... ........ Total leaching area.�)6_C.__ _.s ft. �-----`�--- P - g q• Z Other Distribution box ( � Dos' g tank ( ) `b�Z Percolation Test Results Performed bn-� -. ... Sl ? ���.'..`_�__ _. Date.���-.j�-g.lq _.. Test Pit No. 1-__-g-.......minutes per Depth of Test Pit--l �.._...__ 17e th to ground water____. .__._ P P . P g'I ---.6-------------- PL4 Test Pit No. 2-----2.......minutes per inch Depth of Test Pit.)4.U........... Depth to ground water---- ---_____-_. W ._..._............................................................... ............ x Description of Soil 9�_ i...v'2 " �I j auk-i-t9� b % „-l " p > ►.. .z_ W = ............................... _.......------------------------ -------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable._.............................................................................................. ---------............................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss dby the board o th. Signed---------- --- -----. --• - Date Application Approved By.------ - �+ Date Application Disapproved for the following reasons-----------------------------•-----•-------------------------....-----------...----.....----------••----•------- --------------•--•------------------•--------•-••----------...-----------.....•------•-•----------------•---------------.......-----------••-----------------------------------------------------------. Date PermitNo....... ,a --------------------------- Issued....................................................... Date r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.4.....;.! !.✓ Y.....�"\ ...•._ ApplirFatiun for Dispwi al Works Toustrudion Prrutit Application is hereby made for a Permit to Construct (-✓) or Repair ( ) an Individual Sewage Disposal System at: --� IL-1-1 -................................l t 1 .:�._.. �n ,,u:: 1,;�_tl, Y�I�_ ........ .: r y Lbcatio -Address ((// or Lot No.- �... i.... ..1_...........................�L� .�.......�.1.... .............. (:;—A— Owner Address a ------------------------------.... •-.----.-(:::� . .--.---------- Installer Address _ UType of Building Size Lot ..�...�'.........Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) p`�.1 Other—Type of Building ............................ No. of persons_._..:...................... Showers ( ) — Cafeteria ( ) PaOther fixtures .----•------•---••---------------•-•------...-•--------•-•••••.........•-• Design Flow.............��'_ ............_.........gallons per person per day. Total daily flow_._.._� t- .....-........._......_ W g g P P ,�1? Y Y -_ gallons WSeptic Tank—Liquid capacity. ._. _gallons Length.!:_' �.�__._ Width... Diameter................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......I__--._______ Diameter',...! .':.__ Depth below inlet...(!?-. CI�� � P� - ----- p �........ Total leaching area__.-:............sq. ft. Z Other Distribution box ( � Dosing tank ( ) `� ` `�Z c' aPercolation Test Results Performed b.......4 __.:,.. �.E .E- -�.t'C't:!;: 6`,.:. Date.:�....................................- ' ' . ,4 Test Pit No. 1----L........minutes per inch Depth of Test Pit.14S.':.......�. Depth to ground water....2�'>-r.......... fZ4 Test Pit No. 2..... ...___minutes per inch Depth of Test Pit-.)y_ ....._.__. Depth to ground water------ .......... LY ................................ ......-•-•---------•-------•-----•----------------- -----------------•------....--------------•----------•------ Descri Description of Soil>� 1 r� ._ 1.� s. f o..( '__ 7V"_. : �klritC Jan P 1 `�--------.••... U w�nc �_.SG :i1lt�``•:�'�� , ` ..................... Cr��rl•��1`.. 1 ` _Z_.c�ct-yv� W -••---. •.................• -•-••-•• -••--••• --•••... ..--••--------•••....••--• V Nature of Repairs or Alterations—Answer when applicable............................... ............................................................ --•-------------------------------------------•--•---------------------------------------•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss by the board o th. Signed----- ----•- .---- G' ............................... Date Application Approved By......... . .... .............................. _...._.-;�-_-•-- Date Application Disapproved for the following reasons:-•-•--•---•---•-----------------------------•------•----••--•---------•-------..........•.......-•-•.....------ ...............••••-•---.............................................••--••••-•-.................:...................•-•----••--•••-•-•-••--•-•••-••-••••••-••-•-•••-•••••-••••....••-••.....•••---•--•-- Date PermitNo....... -L."I—-------------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH n� I ........... ..........OF................ C,.............................. (Inrtifirtttr of Tuntplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (Ns<j or Repaired ( ) by.. ....: ..........................-•-•• ---••••---•----•--•--•----•-•-•---•..................-•--••-•-•--.........--------••-•----•---- / Installer �p at-•••••......{r a /..------- ca, E3 A .Qp...... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-------�?.-,9j---___. --.---• dated_............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A A 4jUARANTEE T THE SYSTEM WILLFUNCVIO SATISFACTORY. Q DATE--------- ..... LJ ......................................... Inspector................ ----0 --------------•--------•---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........O F..............tP, :� .: ................-------- ........... .. ........ NO.. . ....... FEE..2 ....... Disposal urku �unu#r tiun rrmit p. Permission is hereby granted--••••-•-•••• - -'-•----G am.a .x---------------•-•-----•-------------•-----.--.-.--------------.-.---••-•------•--- to Construct ()<) or Repair ( ) an Individual Sewage Disposal System atNo......../,. �-- ram. .. ....... -2 .s.y?-r�-------------------------•----------•----•---•-----...... Street as shown on the application for Disposal Works Construction Permit _. Dated.......................................... ..................•------• �;L .....•--••---------•....----•••-•.....••-•-•........--•--- DATE.................... Board of Health. --�-�-4"-1?.g...----•------------- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS OAAND M1La!*NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. SECTION A -A ALL OUTLET PIPES FROM THE [house --10' min. from PROFILE VIEW OF LEACHING SYSTEM DISIRWTM BOX SMALL BE Existing Foundation to septic tank TOP OF FOUNDATION = ELEV. 100.00 (Assumed) Septic tank covers moat be SET LEVEL FOR AT LEAST 2 FT- CONCRETE COVER a D-BOX cover must be 12' Within 6 in. of finished grade within 6 in, of finished grade Not t0 $COIe i Grade over Septic Tank- 9800 Grade over D-Box- 98.00 over SAS- 93.00 / _ 3-5•007LET 2 �£ (( b1en•msh,Ln'; i A•of 1/8'- ilk* Imhd P-10. <`. KNOCKOUTS iu li $,3j4,�L ,;Y0sv6l��•:�� �? _ /4• to f 0/2 ' Wash"6hroAot Stow 5,51 1 f 12• INLET ` Zr;,Q 1 S ! 0.02 3 HOLE H-10 4'PVC(CAPPED)INSPECTION PORT TO BE ; , OUTLET 6• 8 e o i/ I O 20' EXIST. S=0.01 or Greater ST. BOX 3' Maximum Cover INSTALLED AND TO BE WITHIN B'/ GRADE /_ y ,.�$ EXIST- PIPE 'n LO 1,000 GAL 0 1�14LNt2"a Ln FRpt EXIST. FOUNDATmN o) N SEPTIC TANK O 25• 001•Per foot I Top Of SAS-Elev. 9600 155' , (. (s rn co m 4• - SCH. 40 T t.7s• r ° - S +°r > p H-10 a' n 5' Effective Depth PLAN SECTION CROSS-SECTION `' ' A° VM0I, a J CONCRETE FULL FOUNOA y p 24 Effective F Gns n 3 Units a 7' = 2L' �Sid¢v�ai:l SYSTEM PROFILE ��ted stone 2` m > 2 3• 1' 3 HOLE H-10 DISTRIBUTION BOX '/ �•`°` -7 compacted c 5 4 3' 'n , p+ cT b Not to Scale - c o p In NOT TO SCALE .-urt ✓ `+ r1�aYhR�p.o c Effective V/Idth p 9' i'.'PHGd ItafyiNow"a2ANlN41/IEO `d, 1 �. " c 'o Effective Length 6 in.of 3/4*-1 1/2* m GENERAL NOTES NOTE: '',ALL COMPONENTS MUST HAVE RISERS TO WITHIN s" BELOW GRADE compacted atone SOIL ABS❑RPTI❑N SYSTEM (SAS)m 1. Contractor is responsible for Digsafe notification, Verification of Utilities INFILTRATOR MODEL 3050 (H-20 L❑ADING)/ SUMNER & DUNBAR and protection of all underground utilities and pipes. Bottom of Test Hole 1 Oev.-87.00 O Test Hole /1 EQUIVALENT OR Groundwater Observed -_ NONE OBSERVED ( ) 2. The septic tank and distribution box shall be set - NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30" /EFFECTIVE HEIGHT IS 24' level on 6" of 3/4'-1 1/2" stone. 3. Backfill should be clean sand or gravel with no stones over 3" in size. Design Calculations 4. This system is subject to inspection during installation by Carmen E. Shay - Environmental Services, Inc. ma Bedroom Bath Living Room Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V) 5. The contractor shall install this system in accordance Garbage Grinder. No with Title V of the Massachusetts state code, the approved plan Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) and Local Regulations. Bed Bed Septic Tank : - 2 x 330 Gal./Day = 660 USE EXIST. 1,000 GAL Septic Tank. 6. If, duringinstallation the contractor encounters an Dining Kitchen SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch soil conitions or site conditions that are different room room Bottom Area: 0.74 al s ft. x 290 s . ft. = 214.E PROJECT BENCH MARK from those shown on the soil log or in our design g / q• q gallons Sidewall Area: 0.74 gal./sq. ft. x 156 sq. ft. = 115.44 gallons TOP OF FOUNDATION installation must halt & immediate notification be Garage Providing: = 330.04 gallons ELEV. = 100.00 (Assumed) made to Carmen E. Shay - Environmental Services, Inc. 7. No vehicle or heavy machinery shall drive over the 3 BE HOUSE FLOOR SCHEMATIC Use: (3) 3050 H-20 INFILTRATOR CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, I septic system unless noted as H-20 septic components. ' (4' W x 7' L) TO BE USED WITH 3' OF WASHED STONE ON THE SIDES AND LOT #25 j 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. 4' OF WASHED STONE ON THE ENDS. 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. ell 10. All solid piping, tees & fittings shall be 4" diameter to I Schedule 40 NSF PVC pipes with water tight joints. PE 11. Municipal Water is Connected to ALL OF The Residence and Abutting 284.90' ��` `� j Properties Within 150 Feet. THE PROPERTY LINES ARE APPROXIMATE AND I COMPILED FROM THE SURVEY PLAN GENERATED BY CAPE & ISLANDS SURVEYING of MASHPEE , MA ENTITLED "CERTIFIED PLOT PLAN OF LOT 24 KNOTTY PINE DRIVE, CENTERVILLE, MA" DATED DEC. MARCH 21, 1988 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN IT SHOULD BE USED FOR NO PURPOSE OTHER THAN ASPHALT ,1J DECKlzzlz� EXISTING DRIVEWAY THE SEPTIC SYSTEM INSTALLATION. GARAGE EXISTING LEACH PIT TO BE PUMPED OUT& REMOVED. NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE FROM THE EXISTING LEACH PIT TO BE DISPOSED 'LOT #24 �\ \�� #If46 j OF AS PER BOARD OF HEALTH SPECIFICATIONS. . 001 Square Feet T -90-` \ 27 / \ \ -Mttr+tetpaHNo­tef L7Me EXISTING j O THERE ARE NO WETLAND ARE PRESENT WITHIN 200' OF THE PROPERTY 3 BEDROOM D-Box I SOUSE V i l ASSESSORS MAP 191 PARCEL 093 ` \ TEST HOLE #1 O I LEGEND ® \ ELEV.= 98.00o i ►- `� \� ` TEST HOLE #2 ��\ .y l ��r 111 � � ;4 , DENOTES PROPOSED 88---- --- Failed 104X 1\ �\ \\ ELEV.= 96.00 • =3; Leach Pit SPOT GRADE 000, I 1 I DENOTES EXISTING L- --J • `\ i X 104.46 SPOT GRADE 24' i PL PROPERTY LINE EXIST. 1,000 GAL. ` 0 SEPTIC TANK 269.10' ` �� 1 ` I {966PP -- PROPOSED CONTOUR I \� �� �\ ` f� -- --- -97 EXISTING CONTOUR DEEP TEST HOLE & 2-18• DIAM. ACCESS MANHOLES PERCOLATION TEST LOT #23 PERCOLATION TEST LOCATION 6 FOOT STOCKADE FENCE -' === " ' Date of Percolation Test: MARCH 2, 2006 Test Performed By. CARMEN E. SHAY, R.S., C.S.E. o Results Witnessed By. WAIVER ( per BARNSTABLE B.O.H.) / / 1 THE ACCESS COVERS FOR THE SEPTIC TANK, EXCAVATOR: Shay Env. Svcs. MLET 1 DISTRIBUTION BOX AND LEACHING COMPONENT Percolation Rate: Less Than 2 MPI ® 32" pU SET DEEPER THAN 6 INCHES BELOW FINISHED PLOT PLAN • �- �-- p GRADE SHALL BE RAISED TO WITHIN 6' OF c� Y` FINISHED GRADE Test Hole Test Hole OF PROPOSED SEPTIC SYSTEM UPGRADE INSTALL TUF-TITE GAS BAFFLES OR EQUALS No, -;-:-`•r,:� DEPTH SOILS ELEV. DEPTH SOILS ELEV. PREPARED FOR STEEL REINFORCED PRECAST CONCRETE 0 98.00 0 96.00 PLAN vlEw Amy Amy MR. MICHAEL BRADSHAW 3-24- REMOVABLE COVERS 10 YR 3/2 10 VR 3/2 AT _ 01-6" A, 97.50 0`-6• Ae 95.50 # 146 KN0TTY PINE LANE - 4- y Sttd3 min ��ane - Loamy SandC E N T E R V I L L E M A t3• NIET�' pVl-ET e' miT�2_ rain. inlet to outlet 6.� '�}r- 1`qu- Tevei- _ OUTLET }- 10 YR 5/8 10 YR 5/6 2 10•min. 1C UUU s. _7. - = .'s' -T 6 30• Be 95.50 6"- 32" 8e 93.33 a MED-Course MED-Coarse �(N P�/is f= .E V a4 - 4•-O• mn. Sand sand `� s - 7REPARED BY: o'a .sisift Liquid depth w/ vel & Cob leg w oval dt Cob lea '- G`? u/� Y i 30-- 72" 2.5 Y 7/4 CA i �i U CY1 RffEW E. S l rl l 2.5 Y 7/4 ,•� � �; G 92.00 32"- 72 G 90.00 0 � U, -_= -_- .• _ 'i MED MED 0 20 40 50 to t a' ENVIRONMENTAL SERVICES, INC. a-o• 4' -10• d Sand Pert1 2-5 Y 8/6 CROSS SECTION END-SECTION 25 Y 8/6 Depth to Perc: 32" to 50' ISTEF�� °' P.O. BOX 627 72-- 132 c, 8700 72"- 132 C2 8500 Perc Rate= 2 MPI sgNIrAR�P� FI- EAST FALMOUTH, MA 02536 Groundwater Not Observed TEL/FAX 508-539-7966 No Observed ESHWT " USE EXISTING 1000 GALLON H- 10 SEPTIC. TANK SCALE: 1 =20 ADJUSTED H2O Elev. = None SCALE: 1" NOT To SCALE =20 DRAWN BY: CES DATE: MARCH 6, 2006 PROJECT#SD871 FILENAME: SD871 PP.DWG SHEET 1 OF 1 NOT TC SCALE TOP FDN. FINISH GRADE C'9, o FINISH GRADE OVER EL . iio•.5" :a..°o.°. FINISH GRADE OVER DIST. BOX SEPTIC TANK FINISH GRADE OVER L EA CHING PIT VARIES '7 � 0• _ O ,0. •.D•ra• ,.p ...b,,.,.e•.•.Q:•.t.'b o.;•:O::a,p..e;•,�.::i• •e••.'p'.' •.p' ^� ./ ry MAX o, •: p:;d .0.. .'gyp.. p..•e:i :0.:'.O,..G:..:'0:.'.•.b.'. •d.':b.•.'.•e: ...o':- O:p,•'Qfb:O.�D J " OF 1/6 N. — 11 " '�G�~ !!f�/l ASHED PEA STONE PRECAST CONC. OR o ••n': . 3 ?'o:•eTr:.v.o-- BRICK C MORTAR OUTLET PIPE LEVEL FOR 2 Fr. MIN. % TO 12" BELOW GRADE O: r,• • . /C1.�;'� O'.•,e•.,e.p.o: n•.• C. I. OR PVC TEES _. /air gas o° ,o,:e Q:..• a ..a.::e'• -a a `c loo.•o o,�• qe f, .- va _ pD .o: BSMT T. FL R. Q 6 0 , .� /�0 O O GALLON a DIS TRI UTION BOX.•�. p o• .o• e: o PRECAST `e ONCRE TE AS TALL ON LEVEL BASE 314 " TO 1-112" as 6 b WASHED PECA S T . . p o.•a,'.o..'o'.:o'.'.: - o CRUSHED �/ �'0 REINFORCED I CONCR, TE a¢ o.°•o• ,®.o-d•.e•..v:'o:::o :o, c o a;. n.:a:o p'•c::..:.e':'d. 'o.' o:o:o: STONE b ;0;.°, O,.p.O�.o:O p•,O,•p.O.,.o;•Q•.Q.b,•p:P D':O'd..• :O:. D;.•G•GI:D:: _. •a , ;. • :Q •4f 'O:.i H-- 1O .REINF,, I o: a �- SEPTIC TANK INS TA L ON C_EVEL BASE d NOTE' EXCA VA TE TO ELEV. 9s: 0 OR LOWER TO REMOVE ALL IMPERVIOUS AM TE•RIA L BENEA TH THE L EA CHING AREA ,• o.. o „ RFPL A CE EXCA VA TED MA TEAIAL WI TH = `s CLEAN, CLAY FREE SAND EFFECTI VE DI METER r GEM-7 yl 'P t.. O TEe LEACHING PIT •V°� �ter; p PRECAST CONCRETE -- w.__— ;.. :,�.� u . ^ LEACHING PIT INSTALL ON LEVEL BASE , h s 1. ALL EL EVA TIONS 5HO °N ARE &ASE0 ON' ,4 5 s v c L� 2. ALL PIPES IN Thl=- S YS TEM MUST BE CA S T IRON r/ - OBSERV/A TION PIT SO©0 GALLON 3. THE BOARD OF HE' TH MUST BE NOTIFIED PRECAST CONCRETE WHEN CONSTRUCTI9N IS COMPLETE PRIOR _ . p 6 8 2 --el � SEPTIC TANK TO BA CKFIL1,..ING PERCOL A TION RA TE.' "-- - T,. B� N z"" 4. ANY CHANGE.'' IN TfIS''PLAN RUST BE APPROVED MIN./IN. B Y THE e BOA,r?D OF HE, _'TH AND CAPE C ISL ANDS WI THE SSED B Y.- " : ' ,9 Br1,w. Hs c v z o ' SURVEYING A' 3., I,VC. 5. MATERIALS AND 1,lSTALLA TION SHALL BE IN , ,p G COMPLIANCE' WITH THE STATE SANITARY �-7'''' x. BAD. OF HEAL TH DESIGN DA TA N / / CODE — TITLE V �- AND LOCAL APPLICABLE DA TE.' / RULES AND P CULAi TIONs - 6. NORTH APP0,41 IS RE-ROM '0t"4D PLANS AND T"'" I rt"PsQ NUMBER OF BEOPOOMS �/ ' bubam,l �Subeaxl IS NOT To BE USED FOR SOL A A PURPOSES GARBAGE DISPOSAL / � 7. FLOOD HAZARD ZONE �`' z" Z� +�'� � DAILY FLOW GAL . ��'/ B. WATER '7UPPL Y r l � ., � Rn<Ky pocky CEP TIC TANK RE 'D. ,� c:A GAL . o � N J o e '' °` ' / r 4 i �,ra I SEP TIC TA NK PRO VIDED r o r,,c> GAL . 47 �,/ LEACHING REOUIRED .3.3 GPD. vv SIDEWALL AREA a ✓: '0 S. F. 16-OS.F. X 2. 61 G/S. F. - 3 i''.«�,�GPD eoTroM AREA = -To s. F. LEGEND o� s`a S. F. X /,o G/S. F. GPD 2 7 7 C> C) s .s2" .s w r '32 L EA CHING PRO VIDED — , �//'�� GPD r' Ne�W/+-rhss �pN� w�-•� `/ PRO"DOSED EL TION /S'�` --—/og—— EXI31TING CONTOUR .' OSSI-RVA 770N PI :%_4 SINGL E FA MIL Y, , RESIDENCE �S►', ❑ DIS rRIBUTION BOX ��� t. p de ,\ PROPOSED SE;'A GEDI `PO�S`A L S Y,�°TE•M ;: ; / O LEACHING PIT FcisrF�-° `� l PREPARED »FOR ® SEP7.IC TANK l '0.'.f hL � ',' N J R SHA W CONSTRUCTION COM ,4 N Y 0 ,s iP R sRVE LOT 24 KNOTTY PINE LANE r ,Akl/;D it BARNS TA.BL E MA SS PPt- INVERT ELEVATION � .�. _ 1 i tic-; 1 DA TE: PLOT PLAN m 1- CAPE N I.�LANDS SUP VEY. NG, INC. �, � s 'a SCALE A S NOTED ,e . .� scAL E.' 1 "� . o �,� � ��,�,, P. O. BOX 334 „t` ,"T PL A IVN'JJ, .S ? r�3' T, . 3aar..x�u,uv;a.F.rGe,:a.aiwn•u•.�+rawcca.vnarwkeaa am.:a.:ou.s.,eeon.wrunrsn.:txcaw da:.xz,xxvu.�„s+.ri,ym+w.rA•s;..wry+vxewwuu;Q»wsawarm.,:wwz+ern+:rr:..rrtr..ur.vvn.•w:ah'.r.r ..:nac.rww:x:xenon,sufr,•awtamuuswr..se<u.wr,:enrw�vw�:ti+vuor�aae•..sx...sa•.v waua•.tsvrma-.w=^.. �sn. •mra:..vwa..n.r...s..ar�...+,h�c»..r ..,w,:•rr„xur,.r•,.+.xx,.::n:.,.anm-�1sa;gm>.rwm nr.r..:x+.aa,*i rw.aaxae+.-eaeammxx..au.uv.ass,uur..wa3,arrasnosirra:a,+arnx�wr.e..rsw.v..=urx.sar..w.rt:.w++ar�m.tmw.r,;..sm• .re.rn.+a. . .. _ . `aw.rv,.no..v+.,.st��.w.:n.��xre-r>xu+,.w�vm,:.iw,rverrs.��.yaw..�.t.aoxeza.x-awmnuzTa•a:.s�,rrr.<.rea:rxrw,r.,,n-c+.ck:x.,r�..va.-..�,.n�,cw+;✓.+sa,:rr:�s•.k: