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HomeMy WebLinkAbout0005 LAWRENCE LANE - Health 5 Lawrence Lane Centerville C—P I�P� A = 190 247 0 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 5 Lawrence Ln. Property Address DiLoreto Owner's Name Centerville MA 02632 6/17/14 Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. A. General Information 1. Inspector: Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 Cityrrown State Zip Code 508.272.6433 Telephone 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. 1 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 6/17/14 Inspectoft&-gignaturb 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. Vkllj —15 Lawrence Ln-03/08 Title 5 Official Inspection Frface Sewage Disposal System-Page 1 of 15 Commonwealth of Massachusetts u W Title 5 Official Ins pection ection Form p o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 5 Lawrence Ln. Property Address DiLoreto Owner's Name Centerville MA 02632 6/17/14 Citylrown 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: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Pumping suggested every 3 yrs to prolong the life of the system 13) 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: n/a ❑ 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 5 Lawrence Ln•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 5 Lawrence Ln. Property Address DiLoreto Owner's Name Centerville MA 02632 6/17/14 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: n/a ❑ 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: n/a 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 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. 5 Lawrence Ln•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 5 Lawrence Ln. Property Address DiLoreto Owner's Name Centerville MA 02632 6/17/14 City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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: n/a 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 1/z day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 5 Lawrence Ln•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ^M 5 Lawrence Ln. Property Address DiLoreto Owner's Name Centerville MA 02632 6/17/14 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® 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. 5 Lawrence Ln•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 5 Lawrence Ln. Property Address Dil-oreto Owner's Name Centerville MA 02632 6/17/14 Cityrrown 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)] 5 Lawrence Ln•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 5 Lawrence Ln. Property Address DiLoreto Owner's Name Centerville MA 02632 6/17/14 City/Town State Zip Code Date of Inspection D. System Information 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: 0 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 years usage(gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: seasonal Date Commerciallindustrial Flow Conditions: Type of Establishment: n/a 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: Last date of occupancy/use: Date Other(describe): n/a 5 Lawrence Ln•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 5 Lawrence Ln. Property Address DiLoreto Owner's Name Centerville MA 02632 6/17/14 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: No pump history given Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: Original tank per age of home, new d-box and SAS 2002 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ® No 5 Lawrence Ln•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 5 Lawrence Ln. Property Address Dil-oreto Owners Name Centerville MA 02632 6/17/14 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 18 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: >10'feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 10"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: 1000g Sludge depth: trace Distance from top of sludge to bottom of outlet tee or baffle >12 Scum thickness trace Distance from top of scum to top of outlet tee or baffle >21. Distance from bottom of scum to bottom of outlet tee or baffle >2" How were dimensions determined? Measured 5 Lawrence Ln-03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 5 Lawrence Ln. Property Address DiLoreto Owner's Name Centerville MA 02632 6/17/14 Cityrrown 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.): Pumping suggested every 3 yrs to prolong the life of the system Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): n/a Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): n/a 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): n/a 5 Lawrence Ln-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 15 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 5 Lawrence Ln. Property Address DiLoreto Owner's Name Centerville MA 02632 6/17/14 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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.): n/a Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): 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.): D-Box in very good condition Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 5 Lawrence Ln•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 5 Lawrence Ln. Property Address DiLoreto Owner's Name Centerville MA 02632 6/17/14 Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): n/a Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 4 Infiltrators ❑ 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.): SAS probed, soils are compact and dry, no indication of past backup 5 Lawrence Ln•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 5 Lawrence Ln. Property Address DiLoreto Owner's Name Centerville MA 02632 6/17/14 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): n/a I 5 Lawrence Ln-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15 Assessing As-Built Cards Page 1 of 2 TOWN OF BARNSTABLE �. LOCATION S L�y���'c° G~ SEWAGE p r-,Or `r4� VELLAGE GC5 'z ChPley 4 ASSESSOR'S MAP&.LOT INSTALLERYS NAME&PHONE NO. SEPTIC TANK CAPACITY /04kP'Ple + c�X/ LEACHING FACA.TTY:(type) NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: 7 fn�-ZZ COMPLIANCE DATE: II ? 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 4 /*�S' 14 A 8 s .a i Sox f�BN' , o 0 I G http://www.town.bamstable.ma.us/assessing/HMdisplay.asp?mappar=190247&seq.=1,_ 6/18/2014 Commonwealth of Massachusetts w W Title 5 Official Inspection Form Subsurface.Sewage Disposal System Form - Not for Voluntary Assessments M 5 Lawrence Ln. Property Address DiLoreto Owner's Name Centerville MA 02632 6/17/14 Cityrrown 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: >126"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: 2002 NGW 126" 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: see above 5 Lawrence Ln•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 15 NEW O r ANDERSEN TW2442-2 It B It NEW CARPET 4 PAD NEW FLOOR COVERING a v ANDERSEN NEW 3'-4• v A21-3 ANDERSEN C m nnFF�� FWG 6068 NEW DECK SLIDER COMPOSITE DECKING b ANEW 60' CO NEW 3266 UP DDO MATCH EX_ GARAGE m EXISTING ----- ----------- r---------------------- EX. NOU5E 1 ' I I I 24'-O' INDICATES NEW WALL CONSTRUCTION ' NQIE6 FIRST FLOOR PLAN THESE DRAWINGS AS SHOWN ARE FOR ILLUSTRATIVE PURPOSES ONLY, FIR CONTRACTOR IS TO SITE VERIFY ALL EXISTING VS, PROPOSED CONDITIONS PRIOR TO AND DURING CONSTRUCTION AND TO MAKE ALTERATIONS AND/OR ADJUSTMENTS TO WORK AS IT PROGRESSES TO PROVIDE FOR A COMPLETED PROJECT IN COMPLIANCE WITH DESIGN - PARAMETERS AND MINIMUM STANDARDS SET FORTH IN MA STATE BUILDING CODE AND APPLICABLE TOWN CODE5/ORDINANCE5, CONTRACTOR TO VERIFY ALL DIMEN510M5 PRIOR TO BEGINNING OF CONSTRUCTION_ STAMP: r r nuvERSEN rW -2 NEH ANDERSD TWdd2-3 NEW CARPET L PAD FLOOR COVERING NEN q n § A�NOgRSEN NEW 3'-d' n A DEREENOL! 8 G L u�u pere m SLIDER ppSITE DECKING b d d2•HIGH HALL I.! - b r sruas uP � IX.pfDR !2• 4 NEW 32G! p b TTO IaIATt q LARPEr F COVERING µDFRSEa ry V d IXISTING —.2 N$ 3 Z N n I•I Z Q Z 0 !'R ENAL mW �N iC] 'KNEE NALL 1 I _____ ______________________ N w Z U 24•-W O Z w a o aQ > cn -J:2 O w w Z � U w SCONF FLOOR PLAN O Ca—J W 5 of ® INDIGTES NEW WALL CON9TRIKTION u Z L 112M V) D Q~ FIRST LOOR PLAN THESE DRAWINGS AS SHOWN ARE FOR 14YSTRATIVE PURPOSES ONLY. Z (' J Z CONTRACTOR IS TO SITE VERIFY ALL IXISTING IS.PROPOSED CONDITIONS PRIOR TO AND WRING O IyJ CONSTRUCT—AND TO MAKE ALTERATIONS AND/OR AONSTMENTS TO IHORK AB IT PRWRESSES TO PROVIDE FOR A Cf11TPL1ED PROTECT IN CNTPLIANCE WITH DESIGN PARAMETERS AND MINII—I STANDARDS SET FORTH IN MA STATE BUILDING CODE AND BRING NEW WOOD WALL Q w APPLIGBLE TOWN CODESVORDINAN - CONTRACTOR TO VERIFY ALL DIMENSIONS AWAT FROM PIPES Q Q IXISITNG FLOOR ACCESS I 1 TO LIEANO�T1 UP TO.61 GINNING OF F TR11CTION. 1 TITLE, IPI NEW WOODppe 1•—SOFFIPIPT BEAM I I wILLITNG FND C0.UMN WRAP 1t 1 Ipl TO WDE EKIlI I I I •IN SUL LALLY COLS. FIRST FLOOR p(aR TTP OF(3) PLAN 1 —111 AT SEAYIS-T I I'RIGID INSUL I I I I ICI I I V2'AIR SPACE 1 GRPET I-RPETOUTDWR I I ON IX. DATE ISSUED: ' NNH ICON[.RLOOR 1 I m/2s/¢oIT 3�9-"T'A IN i REVISIONS: .1 STUD usTUD WALL -- ox. CAR DOOR/OUTDOOR 34�'RiNSUL R IN PET ON IX,LONG. V1'GYP WALL ED UP FLOOR PAINTED 1 6!9ASEBD RAMSET PT 214 SHOE TO NM EP DRAWN BY: ____ j IX.COWL.FLOOR INDICATES NEW WALL CONSTRUCTION DRAWING NO. BASEMENT WALL SECTION BASEMEN PLAN—NEW GAME ROOM A 1 11 SCALER14'�I'-1 Eu.. L No. �Y q. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppYication for Migoml *p!tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. SL..6 m ee^^G d- ^'' "`^'7,` Owner's Name,Address and Tel.No. �GN�L/lo�/ �C.dJ�Jn Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �7-AV Z.-cd*OG6UJ` 7 J"'oyo3' e0e;Caet7 cMP -d!A-d; CrG�`'�'�•,J Type of Building: Dwelling No.of Bedrooms '� Lot Size ]� )M_Lsq.ft. Garbage Grinder Other Type of Building 4f dO'X, No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow .�s gallons per day. Calculated daily flow -.? ® gallons. Plan Date -�"-�'� Number of sheets / Revision Date Title Size of Septic Tank XiJ?J•e.a /000. Type of S.A.S. /�.,�JL�t'•tr��.J' 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 issue by this Board of Health. Signed Date 7-3? Application Approved by Date c� Application Disapproved for the following reasons Permit No. `_2C-xD'1'256_ y Date Issued �Z No. Fee - Entered in computer: f THE�COMMONWEALTH`OF MASSACHUSETTS � . •ti -• % u al Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for Migogar *pgtem Cougtruttion Permit Application for a Permit to Construct( )Repair( )Upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. S`G,Q L6jeee-iVc e Owner's Name,Address and Tel.No. Assessor's Map/Parcel /SY O Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. & J` i ' Type of Building: Dwelling No.of'Bedrooms Lot Size ��2- sq.ft. Garbage Grinder NO Other Type of Building A .0 X- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow .$T/ gallons per day. Calculated daily flow .�} Q , gallons:' }' Plan Date d<— Number of sheets / Revision Date Title Size of Septic Tank hxit'Tiw,.► -,eoo47 t' Type of S.A.S. S'/ f " f Description of Soil ' Nature of Repairs or Alterations(Answer when applicable) 0' l Date last inspected: Agreement: ' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed nn Date 7 ��� Application Approved by - \1 Date Application Disapproved for the following reasons t Permit No. -?_Cx72 t-4 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS it Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded Abandoned( )by at d` 1 ?e-Aee Cti r edA-/� has been constructed in ccordance with the provisions of Title 5 and the for Disposal System Construction Permit dated 7 "7 Cl2 Installer (I"/-o" .� sG°`G� Designer The issuance of t •s p rmit shall not be construed as a guarantee that the syst m wlll fy.jkction as designed. Date "7 1 U Inspector w f ' --- ----------------------------------- No. ��-�c->- �J�`� Fee so— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE,, MASSACHUSETTS Dizpogaf *pztem Construction permit Permission is hereby granted to Construct( )Repair( )Upgrade D<Abandon( ) System located at Z" .!a!Av o0el'et .../ti G f,ftT and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to omply with Title 5 and the following local provisions or special conditions. 1 ided: Construction must be completed within three years of the date of this p A •t. r D Approved by �-� �� TOWN OF BARNSTABLE LOCATION Lri SEWAGE # VILLAGE ASSESSOR'S MAP & INSTALLER'S NAME&PHONE NO. 0—/-0,2 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) `' _fi`s�d (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 7 9`"O COMPLIANCE DATE: 11 U Separation Distance Between the: Maximum Ndjusted 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'wetiands exist within 300 feet of leaching facility) Feet Furnished by Chi r TOWN OF BARNSTABLE LOCATION S` ��`� � 4'V SEWAGE # 07:fo-, VILLAGE �f-4Yr- e eli/Z(f: ASSESSOR'S MAP&.LOT�97 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY f0qop e - LEACHING FACILITY: (type) ��''�✓� �� (size) /o�• NO.OF BEDROOMS '3 BUILDER OR OWNER PERMIT DATE: 9"G'"z COMPLIANCE DATE: !I U 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 t6, 0,/e'" �o 3/ )y a� i S EETSER EN GI P:O:.BOX71 ,—SOUTH;DENNIS MASSACHUSETTS.02660 TEL(508) 398-3922 FAX(508) 399-3063 LAND SURVEYING—ENGINEERING--TITLE 5 SEPTIC.SYSTEMS. PROPERTY SURVEY AND FLOOR PLAN SKETCH Please fill out this form,including the floorplam sketch, and return to us with the signed proposal.and retainer. Total#of Rooms Year—Round—Home Seasonal:FTomie _ Owner Occupied Rental #Bedrooms NO Family Room/Den —)L Living Room _ x DmingRoom #Bathrooms Washer/Dryer Dishwasher a Disposal Gas Service Town.Water In-ground.Sprinkler Cellar. _Full' Partial(Crawl) Slab Wells: Main Use Trrigation Only (please provide location of"all wells) PLEASE USE.THE SPACE BELOW AND/OR.THE BACK OF THIS SHEET TO PROVIDE US ' WnH A.ROUGH SKETCH OF THE.EXISTING FLOOR PLAN(ALL FLOORS)this will be needed to complete the engineering design and is required by the Board of Health. -- RUN A� u j .1. 5/25/01 NOTICE: This Form-Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM 1, Theodore A. Dumas, R.S. , hereby certify that the engineered plan signed by me dated .Tune 5. 2002 , concerning the property located at 5 Lawrence Lane, Centerville meets all of the following criteria: - 4- 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 preliminary tests at the site without a health agent present. 4 There is no increase in flour and/or change in use proposed • There are no variances requested or needed. The bottom of the proposed leaching facility will not be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation (using GIS information) 64' B) G.W. Elevation 3n, +adjustment for high G.W. 4.5' _ 34.5' D=RENCE BETWEEN A and B 29.5' I performed a oil test on 6/4/02, see attached sheet SIGNED : "� , DATE: 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. q:health folder:percexmp l 6 WL-L 1,1,L'R L GINLLRING P.O. BOX 713 - SOIJTI-I OFNNIS - MIASSACHUSe& IS 02660 'I•r-1- (508).399-3922 rAY. (508) 398-30R3 1_nNp SUr?VFYIIJc. - ENGINFFRING Soil Suitability Assessment for On-site Sewa a-Disposal Performed by: 71E ',�4/1WR Dale: C� �- O Z. : 6ACW3�0E — Gt�En ' QB>��z7� Re airlNew: Z ADDRESS: OWNER: . � .ap: ole•Number: 1 Date: je�th horizon 4teAure color mottling other Q percolation test ✓ 0"— byR_ done by: T J date l� a de th 60 • „ �f pre-soak 0:00 I 5^yrr�tt e k HIS S CJyR and i O 1- IT Cr I 9' � t 6' ---- perc rate L ._cth-to Groundwater. Standin 1'ee in : Kole Number: 2 Uate: .eot horizon tedtlre color mottling other percolation test rr� 0.._. done b : date depth pre-soak 0:00 end 9' 9'-6• perc rate e th to Groundwater: Standinnc; W,eeiin : Estimated Seasonal High Water Table Method ((,bserved\Mbttles): Adjustment : ndex well: Readin elate: Index well level _ -----��—�.......�...,.�..,....,. � ...'-.Adjustt n en t factor; Does at least four feet of naturally o._cct.tring material exist in all areas observed throughout the area proposed for the soil absorption system? If not what is the depth of naturally occurinR envious material? No....... `may..._ F>s.. ............... THE COMMONWEALTH OF MASSACHUSETTS MAP' 19 fl BOARD OF HEALTH PARCEL ; ?4 l L .lam......................0F.. ........ . LOT Appliration for Disposal WorkilTonotrurtion iermLi�"'—' Applicay�on is hereby made for Permit to C struc ( or Repair ( ) an Individual Sewage Disposal Sy tem at:""�" t5'u9te P n e °Y't�� C� •.Loc do -Ad s / Lot No. 9 f/.. .... /l��?� fl.! ..: f Ace YJ Q d7......�.......�`�....:�1,... p....•••...-.. ...._... -- Address 14 ............................... ............................................................... .............. -......._ --.................----.......-----.......----.... Installer Address Type of Building Size Lot...........................Sq.. ��fgget Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (�1� N Other—Type of Building No. of persons............................ Showers a YP g -------------•----...-----•- P ( ..)..— Cafeteria ( ) Otherfixtures ..••.....--•-•••••••----•--•--•••••-•-.....-•-•-•-••...................•. W Design Flow..... ......................gallons per person per day. Total daily flow.._...._5� _____......_.._....gallons. WSeptic Tank—Liquid'capacity1a�gallons Length.............•.. Width........_._.._.. Diameter..-___-____:___- Depth................ x Disposal Trench—No. ................... Width..._...__._........ Total Length.......__.... Total leaching area....................sq. ft. rr Seepage Pit No_ ................ iameterS�........ Depth below inlet..Se�............ Total leaching area.cW_.1....sq. ft. Z Other Distribution box ( ✓� Dosing ) '-' Percolation Test Results Performed by._-.... �_-_�........... -•__....-a ...-----•----------•---------------- Date_. -•--.. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.._._.________.__....__. G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+' ---------------------------------------- •• Descr!* tin of Soil cL u O 2- 2"� � �'�� x 9 .---•--•-----••••. ................ ••---------------•-•------------- 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 kied the board f health. jj��Sig ed••• -- -•••-•• = --.. Gl.. Application Approved' By...... Dat t -- -------------••------------ ----•-— Date Application Disapproved for the following reasons:................................................................................................................ ••--•..........•••-•......................•••••••-••••-•••-••-•-•••-----•--•••••••--•---•-••-••••---•--••-•--••••....•-•••-••••--•••••-••--••---••-•••---------•-••-•-••-•--------•••---•-••--•••-•--•-- 0-o Date Permi it No......................................................... Issued•........e`` Date (0 NO. -3J�-- ---- Fss.. .............. THE COMMONWEALTH OF MASSACHUSETTS + BOARD OF H ALTH ....................OF.. ............. .................... Appiiration for UWposFal ,ark, TonAtrurtiun .eruti# Application is hereby made for ermit to C struc ( or Repair ( ) an Individual Sewage Disposal Sy tem at: f P�►e5 �,� __ Lo ti Ad s " �- ... ..... - --- --- ----- -•---•.... .. ►W-� f ZC A06 Address .............................. .. ...................................... .............. � '� T` • Installer Address U Type of Building 2 Size Lot............................Sq. f et Dwelling ........ ►-� g—No. of Bedrooms... ..................................Expansion Attic ( ) Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) � Oth ures ..__.._.. W Design Flow..... ................f,,a.gallons per person per day. Total daily flow__-_--_ -_�_._...................gallons. WSeptic Tank—Liquid'capacity.........gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No.._................ Wid h�t�__......._._.._. Total Length_._._______._____.. Total leaching area....................sq. ft. Seepage Pit`No...I--______-e iameterl ..._._._ Depth below inlet__ t► ._... Total leaching area.CxQ_I....sq. ft. Z Other Distribution box ( Dosing .:........k_( a Percolation Test Results Performed by....... f............................................... Date_. __ __ . 04 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.___................___. 114 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --- .---- DescrnL of Ll /'S4. - ------- - ------------ -....-- --------- --- "�' ---------------•---------------------------•---•------•-------------•------...........------••----....---•-----•-•. W UNature of Repairs or Alterations—Answer when applicable............................................................................................... -------------------------------------------••--------------•-----...--•----•-•-------•----......--•---------•-----------------------------------------------------------------------......_.._....---••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has kied the board f health. Sigd.__ . ... .. ..............•---......••-- - Dat Application Approved By ,....... '' f Date Application Disapproved for the following reasons----------------------...---•---------------------- ............................................................ •-•--•••----------••........-••-•-•-•-•---------------••--•...----•-....••----•---•---•--•---•-••------•-••-•-•-•-...-----•---••-••---------------••••----•--••-•-•••---•••••••----•••••--•••••--••--•-- Date PermitNo.. Issued................•--••---------------------------•--••••. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........4 :...V..• '•i• .........OF....... .....✓/...� .. .... Crrtif irtt#r of junt�Itttnrr T I O C TI. Ylhut the Individual Sewage Disposal System constructed ) or Repaired ( ) //�//�/,/J --- - j/ - -- ------------------- at.... - --•----- .I__. !. -------sta --------- - ---L-... .1A ...�__ -- ....................... been installed in accordance with the provisions of r r of Th Stat! anitary Code a described in the application for Disposal Works Construction Permit No .._ .._...�_ _._.._.... dated---7-'_.?�_"'-: ................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................:.... C-i� .... ---= ...... Inspector.= ._... �c THE COMMONWEALTH OF MASSACHUSETTS 11 BOAREVDF�EAL H {.,.................................OF.... ....../.S .................._......_........... No.......`..`.`.......................... FEE......... ............ Disposal Wor . Tnnstr ivit rrutii Permission is hereby granted -----••---...•..----•••--- -•----•--•---•--•............. . ....... to Cons�dor Rep ( ) an Individual Se age Disp ystem + oSf A. .-•-•-•• ••••. at No.. • ---••�- CLY�L1'2 .... K _ as shown on the application for Disposal Works Construction P ee o------ f........ ated...��a ....' `.�......-_ ----- -----ft.:................- Board o Health DATE................................................................................ FORM 1255 HOSES & WARREN. INC.. PUBLISHERS i 4t_ti s:1.-c>v'/ Ito at t / r� .y�Qp �. wit: ='T' C. (-°�.1..i iC`, � ��.! !f'j�i �/.. • ��.�>f7.;?C?. �_�Ctl �• '+�''7'7 USC-- k C]C>C)� C,4L». rl1(f =SPA: hfl. t->t"t' - ysE �l�+�c ��. / .,. t -.......,. Tc%rAt- ToTot t�a.t t�f Fc.o>�c;r = �3a Q.P.U. �t,• " � dU� ``, ` It.ylAl t dt- 'PG-n COLA -1 o13 T64 ' .POO 6 PP09-0 t15.,VOLUAtl tT sox EL ti w •. tiJV. i ocoo ukr. w 7vPifizplL. r �,Q SEpnc to A Gvtnst: 1 oc>o qG t Nv.Boy tEl 1it�•� .9ti•8 ;. T. s „ • Wire .; WAS►+ICD �1. ---- t_E..C'T t r—t tw,lD P Lb't' Lr.thl't.v�1 c,r. CA17�Ele-,Vl� t t.. E !t G, W Q sc��t✓ c.nt. ;/ins 'S .t bA, - _ . .�/. of a w 1 CalZTtt='-{ TWAT' T14G. 'OI.�NDATlo�lSslc t�t•l f-�'_b.t..t �2 t= GC- t-1f.i?t3C�iJ CtxvlPt,�f� W tTt-1 "S"+-.1�..: �!Y]� �1►.-1E: AWt> T1,,,&e ! ti,' (lctt6.'E�f�trr,� 1' �i 0t= T►-tE.; �� Q oyj t2cGtS'tt?cv s�.1,.1G SUL'V�.`<o',= ''('1-1 t 5 17 E_!�� !� U dT t?„AS�C7 U h-i A.�.i O�'�E 6:�/l l_t..L. c,� �Srt�C.`i• u�sre�Mt::,l.1� �,U[..Ic`f ,� 't'tic;. �t=t=,r:C`; St•1e�wtxo At�t�l_t (.A.t-JT_ ��'��,�!7'�:�tf*�.G�• �o�P� t. G•,r ft.f= tl�.0 i� (Cs 1'.0 PEt'_Ml+�ll:z �,,.Ca`(" 1..1t..1�.:.•�, TOP OF FOUNDATION ZO FT. MINIMUM FROM CELLAR SOIL TEST DATE OF SOIL TEST &NE �29Q 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE ELEV. _ l00.00 10 FT. MINIMUM CLEAN SAND _ SOIL 1'ES1' DONE BY SWE£TS£R FN.2N.EE$[RG (ASSUMED) CONCRETE INSPECTION PORT 4 99.0 SCHEDULE '4o PVC PIPE LOAM AND SEED OBSERVATION 'HOLE 1 ELEV. _._. MIN. PITCH 1/8" PER FT. _ / 2" LAYER OF PERCOLATION RATE _C 2__ MIN. INCH AT 60 INCHES A'I" TO 1/2" LEGEND: DEPTH HORIZ TEXTURE COLOR MOTT. OTHER W SHED STONE. _ " MA 99.50 MAX. 1 f VENT 2,50 4" CAST IRON PIPE 7.25 MIN. NOT REQUIRED EXISTING SPOT ELEVATION ObxO 0-8 Ap LOAMY SAND 10YR2/1 ROOTS (OR EQUAL) MINIMUM EXISTING CONTOUR ----00---- PITCH 1/4" PER FT, 1 CU. FT. OF FINAL SPOT ELEVATION = 8-24 B LOAMY SAND 10YR5/6 ROOTS CONCRETE FINAL CONTOUR ANCHOR SOIL TEST LOCATION Q 24-54 C1 COURSE SAND 10YR6/8 40% COBBLES FLOW LINE 98.50 °� UTILITY POLE -0- ELEV. 97.50 10" TOWN WATER —WW -----^' ` 'MIN. 22,0„ o 0 0 / \ 54-126 C2 MEDIUM SAND 10YR6/6 ELEV. 986.55 LEVEL 10" o CATCH BASIN l m) -- 9317 GAS LINE ----�--- T ELEV. = 96 _. ADD GAS ELEV. 98�4Q_ 6" SUMP ELEV. _ __96.,�.'S "� r _ ELEV. _ -- CLEAN OUT C. . BAFFLE •DIS 11tIBU�ON CESSPOOL C.P. t� LIQUID •OUTLET ELEV. _ 4 HIGH CAPACITY INFILTRATORS WITH DEPTH TEE (EXISTING) BOX �$�4_ STONE IN AN 4 FEET 14 INCHES TO BE WATER 'TESTED z 5 FEET 19 INCHES IF MORE THAN ONE OUTLET 11' X 36' X 10* TRENCH FORMATION 8.87 6 FEET 24 INCHES 1000 (TO �+ pc/� b-ry 'n N0 WATER ENCOUNTERED AT _.128" ELEV. 8 FEET 39 INCHES SEPTIC TANK (TO BE PLACED ON FIRM BASE) SOIL ABSORPTION ION ONE 3/4- TO 1 1/2" CLEAN J SYSTEM (SAS) INDEX DOUBLE WASHED STONE ADJUST FREE OF FINES SILT DESIGN CALCULATIONS c� USGS PROBABLE WATER TABLE ELEV. _ NUMBER OF BEDROOMS 3__ SEWAGE DISPOSAL SYSTEM STEM PROFILE OBSERVED WATER TABLE ( / /; ) ELEV. - GARBAGE DISPOSAL UNIT NOT TO SCALE BOTTOM OF TEST HOLE ELEV: _ �$,5Q_ TOTAL ESTIMATED FLOW v ( 110 GAL/13R.fbAY k _.,3._ BR.) GAL./DAY REQUIRED SEPTIC TANK CAPACITY Q GAL. ACTUAL SIZE OF SEPTIC TANK E)QSTING -!-QNL GAL. SOIL CLASSIFICATION 1 DESIGN PERCOLATION RATE Ste$ MIN./IN. EFFLUENT LOADING RATE 0.7-r_ GAL./DAY/S.F. �'._ LEACHING AREA !f74M SO. FT. —_ (l l X38)+(47X2X1 Q/12) LEACHING CAPACITY (AREA X RATE) M1,QQ GAL/DAY 474.33 X 0.74 -`- _ RESERVE LEACHING CAPACITY XQ9_'GAL./DAY NOTES: 0``ZA J- �b _ t ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. �D TITLE 5 AND THE TOWN OF _.-6...,AI�N$TAM_._,.,._. RULES AND ----- „ 7 REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. - 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE, 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 98' i ,w r [�, _.:__._____ 10 FT. OF DRIVES OR PARKING AREAS.7H-20 LOADING SHALL BE ' USED UNDER OR WITHIN 10 FT. OF DRIVES OR :PARKING AREAS. 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL . BE MORTARED IN PLACE. k 5. NODETERMINATION`HAS` E N MADE AS T COMPLIANCE WITH B E C3 COM U CE A , DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO q 4, OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY, 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, .EXCAVATION CONTRACTOR © ! IS TO CALL "DIG-SAFE" AT 1-688-344-7233 AT LEAST 72 HOURS PRIOR TO COMMENCING °WORK ON SITE. 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER IMMEDIATELY. S. PARCEL IS IN FLOOD:ZONE ___-C - - _ 9. LOT IS SHOWN ON ASSESSORS MAP 19Q AS PARCEL ,_247_�. y SOIL TEST .:_ .� .__- /r 10. EXISTING LEACH PIT IS TO BE PUMPED AND REMOVED. DRIVE r r OF'�q`��9� w � 4tHb114� W 1100 �, RO �� s p 1000 GALLON EXISTING V4RLCk `�'+ ! 19 o o GAs G s �> �1 ti� APPROVED. BOARD OF HEALTH O >, SEPTIC TANK x � X r m S f/ O C a Z {` cd co Z:x7 S t7ARNa� ( � c G7OG7 III q ' DATE AGENT PROPOSED SEPTIC DESIGN r > suN Roots z {CRAWL) _ FOR B. wMELVIN CLAPP J_ P p c LJ PROJECT LOCATION LOT 1 AREA 15,082-f s F ��, - A MARSH RD 5 LAWRENCE LN, BARNS'TABLE y o� ° m SWEM ►'ER MVGLNZMUffG _ z 235 GREAT WESTERN ROAD ?� rn 508- P. 0. BOX 713 398-3922 SOUTH DENNIS, MASS. 02660 CD ro DATE JUNE 5, 20 2 SCALE 1 ,r 20' REVISED . JC)B NCI. 5454—§ LOCATION MAP REVISEDSHEET 1 OF 1 C. 6 PRO,15454-00 6v 5454-OO.DWG ;02002 SWEETSER ENGINEERING L 0 CAT ION �aw��,�iC;r L, q �S E W GE PERMIT NO. VILLAGE I N S T A LLER'S NAME i ADDRESS 3UILDER OR OWNER �� ?Y✓ Ir C y DATE PERMIT ISSUED !7 DATE COMPLIANCE ISSUED C ' _�S;� p S