HomeMy WebLinkAbout0206 NYE ROAD - Health 206 Nye Road
Centerville
A= 147 099
UPC 12534
�.2153L b,r
w
O
TOWN OF BARNSTABLE
LOCATION 0�p (/(� D�iC.r SEWAGE#
VILLAGE �k"�/? �'%��/� ASSESSOR'S MAPP&PApRCEL dK7,e p q
INSTALLER'S NAME&PHONE NOJ-0E
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) U �/Q�/f d�/ ize) f 3 x .2
NO.OF BEDROOMS
OWNER �&v L Z
PERMIT DATE: COMPLIANCE DATE: ' 15�-202 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
4 L
A
Nye
froh T
No. Fee
THE COMMONWEALTH SSACHUSETTS Entered in computer:
z+
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es
Application for Mioogar *pg;tem Cougtructiou Permit
Application for a Permit to Construct(Repair V,)-1 pgrade( ) Abandon( ) ❑ Complete System ❑Individual Components
Location Address or Lot No. Q�O �L Owner's Name,Address,and Tel.No.
614
Assessor's Ntap/Parcel/y7'_a 9 2 / _
Installer's Name,Address,and Tel.Nosaf"y2 Designer's Name,Address and Tel.No._5 0 —''?7 Ye,4161
✓osCp� 0� 0 ✓ t�VC,
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(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) T ` —
2 - oo ter/. ,_-14i.'rti-4,
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 Certificate of
Compliance has been issued by this Board of Health.
05,
Signed Date
Application Approved by Date
Application Disapproved by: Date
for the following reasons
Permit No. Date Issued
Y�
. .wi<,
No. Fee
THE COMMONWEALTH OF SSACHUSETTS Entered in computer: t
'PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es
2pprication for Migo Al 6p6tem Construction Permit
Application for a Permit to Construct(i)'•Repair( )f'Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components
Location Address or Lot No. /Gib✓ �j /10 Owner's Name,Address,and Tel.No.
6,
Assessor's Map/Parcel/F7_� el, (`/'I I / s )
Installer's Name,Address,and Tel.No.) Designer's Name,Address and Tel.No. -5' / fC G
// /,1z v i 14 t' r, J i!1%i�7 / l.?e X r' rl I•`''! 7
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(min.required) 3 gpd Design flow provided ' r gpd
Plan D t' �.- Number of sheets Revision Date
Title a
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) ;`�7,y`1'1�t'
Date last inspected: r
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 Certificate of
Compliance has beeh issued by this Board of Health.
Signed y, ��/�j "�1 �r/� y c, a - Date
Application Approved by i� / � 11 / !� Date ),
Application Disapproved by: Date
for the following reasons
Permit No. Date Issued Mal
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of (fompliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( -) Upgraded (�)
Abandoned( )by
o
at r G it%(//= �! / >�' ,///� f has been c s ruct i a;erdance
with'the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Designer Installer , > �;J�� /�a ��4/"l� ` ner �- =L -
g {�
#bedrooms Approve design ow gpd
The issuance of this permit shall not be c nstrued as a guarantee that the sy tem will fun,io a esl ned. '—
Date C4.r Inspectors„
No
Fee-—���%f���,-
�` THE COMMONWEALTH OF MASSACHUSETTS —
I� IC HEALTH DIVISION ' BARNSTABLE MASSACHUSETTS
t!5po!9at 6pgtem CowarUction Permit
Pe fission is hereby granted to Construct ( ) Repair Upgrade Abandon ( )
System located at 2041 Al-I
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 :'ust bl cco%m' leted within three years of the date of thi pit.
Date �> //ll�r/L Approved by
" .
Town of Barnstable }
Inspectional Services
g Public Health Division
PNMI , Thomas McKean, Director
a ' 200 Main Street,Hyannis,MA 02601
:
{
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date:-:s- f r-�0 .4ewage Permit# Assessor's Map\Parcel 1q v
Designer: EA vv9A/� � �
g � Installer.
Address: z — Z�_ Address:
was issued a permit to install a
(date) (installer) I
septic system at 0 Col M based on a design drawn b
(address) �� g y
1 v t cj 7-FAQ 4 FZz"j dated -s 4Ps�-tom �p�c7
(designer)
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. Strip out (if required) was inspected and the soils
were found satisfactory.
I certify that the septic system referenced above was installed with majoi 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. Strip out(if required) was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constructed.4 ance with the to rms of
the.I\A approval letters (if applicable)
DAVID 3
D.
GJ22 FLAHERTY, JR. CA
(I ler's % na e) No. 1211
9
�oY �
MOO
(Designer's'Si nature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
\1toaldeptsWEALTFASEWER connect%EPTIODmiper Certification Form Rev 8.14-13.DOC
4
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Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
Inspection results must be submitted on this form or on the official Title 5 Inspection Form dated
611512000.Inspection forms may not be altered in any way.
A. Certification
1. Property Information: 9�
206 Nye Rd. S7 G
Property Address
Maguire
Owner's Name
54 Baird Way
Owner's Address
Centerville MA 02632
Cityrrown State Zip Code
Date of Inspection: 7.11.06
Date L
2. Inspector:
Frank Nunes III
t
Name of Inspector
saa w
Company Name
25 deer Ridge Rd
Company Address ; u
Mashpee MA 02649 (--D r
City/Town State p Code
508.272.6433 `
Telephone Number
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. 1 am a DEP approved system inspector pursuant to Section 15.340 of
Title 5(310 CMR 16.000).The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Fu E uation by the Local Approving Authority
7.11.06
Inspectors g' t re 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
W4
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.
206 Nye Rd assist 2 sell.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
° Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
A. Certification (cont.)
206 Nye Rd
Property Address
Centerville
City/Town State Zip Code
Owner's Name Date of Inspection
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:
n/a
206 Nye Rd assist 2 sell.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
a` Subsurface Sewage Disposal System Form
A. Certification (cont.)
206 Nye Rd _
Property Address
Centerville
city/Town State Zip Code I
Owner's Name Date of Inspection
B) System Conditionally Passes(cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will
pass inspection if(with approval of Board of Health):
❑ broken pipe(s)are replaced
❑ obstruction is removed
❑ 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
206 Nye Rd assist 2 sell.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
` Subsurface Sewage Disposal System Form
A. Certification (cont.)
206 Nye Rd _
Property Address
Centerville
Cityfrown state Zip Code
Owner's Name Date of Inspection
C) Further Evaluation is Required by the Board of Health(cont.):
2. System will fail unless the Board of Health(and Public Water Supplier,if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well".
Method used to determine distance: n/a
*"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:
Ma
206 Nye Rd assist 2 sell.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
A. Certification (cont.)
206 Nye Rd
Property Address
Ce11tefyffle
cityrrown State ZipCode
Owner's Name Date of Inspection
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 %day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public 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 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 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.
206 Nye Rd assist 2 sell.doc•1 M004 True 5 Official Inspection Form:Subsurface Sewage Disposal System
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
° Not for Voluntary Assessments
` Subsurface Sewage Disposal System Form
A. Certification (cont.)
206 Nye Rd
Property Address
Centerville
Cityrrown State Zip Code
Owner's Name Date of Inspection
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 CIVIR 15.304. The system owner should contact the appropriate
regional office of the Department.
206 Nye Rd assist 2 sell.doc•110004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
` Subsurface Sewage Disposal System Form
B. Checklist
206 Nye Rd
Property Address
Centerville
Cityrrown state Zip Code
Owner's Name Date of Inspection
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(3)(b))
206 Nye Rd assist 2 sell.doc•1 V2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Commonwealth of Massachusetts
Title 5 Official Inspection Form
° Not for Voluntary Assessments
M gv v
` Subsurface Sewage Disposal System Form
C. System Information
206 Nye Rd
Property Address
Centerville
City/Town State. Zip Code
Owner's Name Date of Inspection
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:
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: Jan. 06
Date
Commercial/Industrial 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):
206 Nye Rd assist 2 sell.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Commonwealth of Massachusetts
Title 5 Official Inspection Form
° Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
C. System Information (cunt.)
206 Nye Rd
Property Address
Centerville
City[Town State Zip Code
Owner's Name Date of Inspection
General Information
Pumping Records:
Source of information: owner, Pumped Nov. 2005
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: n/a
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)
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components, date installed(if known)and source of information:
1992 per As Built
Were sewage odors detected when arriving at the site? ❑ Yes ® No
206 Nye Rd assist 2 sell.doc•1112004 We 5 Official Inspection Form:Subsurface Sewage Disposal System
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
C. System Information (cont.)
206 Nye Rd
Property Address
Centerville
Cityrrown State Zip Code
Owner's Name Date of Inspection
Building Sewer(locate on site plan):
Depth below grade:
1'6"
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.):
no adverse conditions
Septic Tank(locate on site plan):
Depth below grade:
1'
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 ❑ Yes ❑ No
certificate)
Dimensions: 1000g
Sludge depth: 0
Distance from top of sludge to bottom of outlet tee or baffle n/a
Scum thickness 0
Distance from top of scum to top of outlet tee or baffle n/a
Distance from bottom of scum to bottom of outlet tee or baffle n/a
How were dimensions determined? measured
206 Nye Rd assist 2 sell.doc•1112004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
-1-
f
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
y` Subsurface Sewage Disposal System Form
C. System Information (cont.)
206 Nye Rd
Property Address
Centerville
Cityrrown State Zip Code
Owner's Name Date of Inspection
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Liquid level is V below outlet. Owner states that system was pumped then
little to no water use in home. Tank liquid level was raised w/garden hose 3"
and observed for 1 hr. with no drop in level
Grease Trap(locate on site plan):
Depth below grade: n/a
feet
Material of construction:
❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan):
Depth below grade: n/a
Material of construction:
❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain):
206 Nye Rd assist 2 sell.doc•11/2004
Y Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Commonwealth of Massachusetts
Title 5 Official Inspection Form
° Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
C. System Information (cunt.)
206 Nye Rd.
Property Address
Centerville
Cityrrown State Zip Code
Owner's Name Date of Inspection
Tight or Holding Tank(cont.)
Dimensions: n/a
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.):
Distribution Box(if present must be opened)(locate on site plan):
Depth of liquid level above outlet invert level w/the bottom of the pipe
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.):
no adverse conditions
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No
Alarms in working order: ❑ Yes ❑ No
206 Nye Rd assist 2 sell.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
>` Subsurface Sewage Disposal System Form
C. System Information (cunt.)
206 Nye Rd
Property Address
Centerville
City/town State Zip Code
Owner's Name Date of Inspection
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:
❑ 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.):
no adverse conditions exists pit was video inspected and was dry at the time of
inspection
206 Nye Rd assist 2 sell.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
C. System Information (cont.)
206 Nye Rd
Property Address
City/Town State Zip Code
Owner's Name Date of Inspection
Cesspools(cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration n/a
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: n/a
Dimensions
Depth of solids
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
206 Nye Rd assist 2 sell.doc•11/2004 Title 5 Official Inspection Form:Subsurface Sewage Disposal System
Commonwealth of Massachusetts
Title 5 Official Inspection Form
° Not for Voluntary Assessments
` Subsurface Sewage Disposal System Form
C. System Information (cunt.)
206 Nye Rd
Property Address
Centerville
City/Town State Zip Code
Owner's Name Date of Inspection
Site Exam:
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water:
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: 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:
Ground Water> 12' per local knowledge
206 Nye Rd assist 2 sell.doc-11/2004 Title 5 Official Ins
pection spedion Form:Subsurface Sewage Disposal System
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Not for Voluntary Assessments
Subsurface Sewage Disposal System Form
C. System Information (corn.)
206 Nye Rd
Property Address
Centerville
Cityrrown State Zip Code
Owner's Name Date of Inspection .
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.
t
� t �
- 75
1
Tide 5Template doc•112004 Title 6 OMc iai inspection Form.Subsurface Sewage Disposal System-
THE COMMONWEALTH OF MASSACHUSETTS A�Q
BOAR® OF HEALTH I� VVV
-----....7o_W!4..........OF. '"
,a .......................................
Appliration for Uiopooal Workii Towitrnrtion Vernfit
Application is hereby made for a Permit to Construct ( f<or Repair ( ) an Individual Sewage Disposal
System at: qg,� 2(� / j
................ ..................... .►7. .!......!.............................. ............_._.........................CIJ�1 .........................................
capon A dress r t N
r .................................... / ._ �,Ph .�° ��Y- ....-I-II�/�51b '�1/
Owner Address
W
Installer Address
d Type of Building Size Lot....
•��..5..I ._._Sq. feet
Dwelling—No. of Bedrooms......______...........................Expansion Attic ( ) Garbage Grinder ( )
P` 4 Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
P., Other fixtures ------------------------- -----------------•-----• ...
---------- -••-------------------
W Design Flow..............�_.5........................gallons per person per day. Total daily flow......................._...3_3®.._._gallons.
WSeptic Tank—Liquid'capacity 1QS0..gallons Length................ Width---------------- Diameter---_-__--___.._- Depth_-________--___.
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area------ ........sq. ft.
Seepage Pit No-----------I_____----- Diameter........ ___._. Depth below inlet........(P........ Total leaching area.... 0...sq. ft.
Z Other Distribution box (d) Dosing tank ( )
W Percolation Test Results Performed by__.....�ACC>f ?L..... _ -�------------------- Date........ .`��' °�►
Test Pit No. 1------ '___minutes per inch Depth of Test Pit........_t.M... Depth to ground water___________-'---_,__-
Gz, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-__________-----._..___-
•---•---••-----------------...............................
-...
------------------------
-.....
....
------•...
----------
-------------
--•-•.......
•---------------
0 Description of Soil................................. --...................... ,.• •-•----•-------•-----------•-----•----------------------------------------------------•-•----------
c4 ---•-------------------•--•------------------------ 1 /( °-----•---�!®`a......---------------•--....--•---•---------------•-...........-----....-•-•----•-•--•---••-•---..
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 Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance b n is ue e b ar o health.
Signed ......... ....---- .. .... .. . ........................... ��.
�...-vase' --- ... --
Application Approved By ............ ...----�.. .. 31
Dare
Application Disapproved for the following reasons- ------------------------------------- -- ---------------------- ----------- -------------------------------- ----------------
.......... ............................................... .... .. ..................... .................... --------------- --------------------------- --------------
Dare
Permit No. ................... Issued ...............
D�e
I /
,1
FE$....2:5 ......�•'
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................la.WO..........OF......... -� � .1 i" " :
Appliratiun for Diupuual Works Tonutrnrtiun ramit
Application is hereby made for a Permit to Construct ( 411"or Repair ( ) an Individual Sewage Disposal
6-71
System at: _......... !`�4 - .................................. .....----•-------••------- .... ..................................
ocation-A ress r t N
° ti -T•�. Corll '�.-.....T✓.-•• ISD /- Gb�'� l�l�!`e.. �1� SfO '�/ S
--------------------------• ------••.........•-
Owner Address
W
a -•-•-----•--•------•-----------------------------------••-•-...--•---................._.........._
Installer Address
Type of Building Size Lot....
1.7,, 2 .Sq. feet
1-� Dwelling—No. of Bedrooms............13...........................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons.........,.................. Showers ( ) — Cafeteria ( )
a' Other fixtures ---------------------------••--- •. •
W Design Flow.............. 5........................gallons per person per day. Total daily flow...............T-------_----3.3 P...._gallons.
WSeptic Tank—Liquid capacity 19. ..gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area------ .--.._ sq. ft.
z Other Seepage Pit Distribution box
(� Diameter.--Dos .... Depth
(th)below inlet.._.....4'....... Total leaching area.... o...sq. ft.
Percolation Test Results Performed by____.._ Af '�'` ,........... 4q ................. Date........4. 13
Test Pit No. I................minutes per inch Depth of Test Pit---------1.__+.. Depth to ground water _-___-_ ___.-.
fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 ----•..............................................................................................•--------
---------
--------------------------.-----
ODescription of Soil................................... ...._._................... ..._.......------------------
•------••---•--------••-•-•---------------------------------------------
�D'..............?... 1
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 Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance b n is ue by oar o ealth.
-.�.
Signed ........... .�= ......-...-.
t i
�'`^'`!� Date
Application Approved BY ------------ V.. -- .. ..�- '_"1`:.t617.--
Date
Application Disapproved for the following reasons: ..................... ........-.......--------------- ........................
.................................. ............................. ...... --
c/ G ^7 Dare
Permit No. --.IJ.../..---"- .-Jam-----/..3....................... Issued -------------------- o to
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH r
- - �....... OF .........
(tezttfirate of(fompliunre
THIS T CR �y, Th t t *idual Sewage Disposal System constructed ( >;:7) or Repaired ( )
by
nInsaller
at . G Q G 1...-....... . ..
............................... -- ........................................
has been installed in accordance ddith the provisions of TITLE 5 The State En as described in
the application for Disposal Works Construction Permit No. ....... . dajmolj,�ode
ed ................................................
THE ISSUANCE OF -HIS CERTIFICATE SHALL NOT BE CONSTRUE A UA ANTEE THAT THE
SYSTEM WILL FUNCTIPIPSAYI.JFACTORY. .
DATE ............. ----------------------- Inspector ............. ... ........-.. ...-- ......................
/ 10o THE COMMONWEALTH OF MASSACHUSETTS
.._..•, BOAR[?OF
F HEALTH
q r ..............OF..........t--?.�.i�.l�h�,!...�`��.................................. l�v
No.... .:.S..Z.,3 FEE. .
�tu�ruuu unu#r iun rrmit
Permission is hereby granted..._...._. (/.L
50
to Construct ( f or Repair ( } an Individual Sewage Disposal Sy ter
Street 2
as shown on the application for Disposal Works Construction Permit eBQd
_-Iated.._.... 1 .� . ...... ....
of Health
DATE............. ! -'-3 ;.;.-.........................
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
11�E 100� C�LLL.Or.I SBP'ilc l A•raK I �s•"-± � ,_.�
7,syos��pct•�- usE ,oil-Ezat,,,o�1�R- � �z o�c��,-� 6'
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�� r 160 SF j� 5.�a.v� •'•.
C 9 tr!*�sosF Cvs is 3Z5G?D
O-WA4 rr<s 6069 -4.p : So 690
L 71� �+48
17) 5 7-�
To-rAc. '��t-`t mow 33O Cz'PD ��
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EL 39.0 LOCATION:
1 :5'O "?ATE:
"Pl.-AX R1rF>=.R>rN�G
GEK'T'1FY 'T'!-�/�`1-"f�•EE.�o�N��;loo..>e. SHaw�l ��6•ts�ERt� t�A,ty-Q su��l�a-�,
\N,R '6TZ- aAte-K aF-"ltkE �?s-� �►1, E✓, -- tAh� .
coWQC.*r— Aemsrp,&.a . AW70 1S or .� ,'a.F� �L_
aCA' D 4c/tl'�JUT�}E �' Lltt1�. Ttils R-A►� 15 t tO �nSEp Ot\►AN INSTRuM NT
SuK\rC\f AND THF- OFFSETS •SHoWN SHAULT) Jq4T
C„� J $E USET� TLC
L)NE S.
c }a.x to.VA.T$.,.;,.-.
AsBuilt Page 1 of 1
)1„" _,_,, - tvwN Ur bAriNJTAHLE (fir' 01dJ17
LOCATION_ 4fV7 �7/ j��' 4!gl�SEWAGE
VILLAGE ASSESSOR'S MAP & LOTJ��-D1��
INSTALLER'S NAME & PHONE NO.d&V,67 tQ�7(fcAj5 j
SEPTIC TANK CAPACITY /lGIQ
LEACHING FACILITY:{type) lei
NO. OF BEDROOMS PRIVATE WELL O��BLIC WATER
Ulw OWNER 001e-46ff
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
-----------
3716
ht.tp,://.issgl2/intranet/propdata/prebuilt.aspx?mappar=147099&seq=1 12/13/2010
TOWN OF BARNSTABLE
LOCATION ems/ ,r-71 /(IXF SEWAGE #
VILLAGE C-&F-ArTaUlUt ASSESSOR'S MAP & LOT/'X7-D,9,9
INSTALLER'S NAME & PHONE NO. wy(foJjSi
SEPTIC TANK CAPACITY
LEACHING FACILITY:(tVpe) --size)
NO. OF BEDROOMS PRIVATE WELL O�PUBLIC WAT
UILDE OWNER
DATE PERMIT ISSUED: 10
l
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes ��No
_ __ ,_ _�
�S` � � �
��
;tea' �°�
�� 1/ �f
1i1 a LOCUS OF
LOCUS DATA CUMB Z �c�'� EDWARD ELECTRIC CO. EASEMENT
ERT o EDWARD
�� ROPC STONE
CURRENT OWNER FILIP PEOXOTO �-p �PRPMPG No.2 9
RANGEL �y
LOCUS � Z
PLAN REFERENCE 386-94 N i — -----
DEED REFERENCE 25255-235 ------- - —
28
ZONING DISTRICT RC / GP
LOCUS MAP BENCHMARK
FLOOD ZONE "X" CORNER OF PATIO cr 656
NOT TO SCALE:
ELEVATION 47.00 16
E
1
ASSESSORS MAP 147 20-0129 0�0�2 CONTRACTOR TO REMOVE SANDY LOAM
PARCEL 099 WITHIN LIMITS OF LEACHING AREA AND
5' ALL AROUND IF OBSERVED. NONE
OVERLAY DISTRICT ZONE II \ VISIBLE IN DEEP TEST HOLE #2
LOT AREA 17,574f S.F.
— — — \\ 20 PINE
\ 46.7 X 47.3 N
/ 41
o
SITE & SEWAGE EXISTING I X D.T.H. #1 i _ TREEOS REMVE o
REPAIR PLAN �� DRIVEWAY �� 1 i
� � i
06
0
rri
1 47 I� p LAN
YE o
ROAD 1 � _ - � J �
T — � ) Oct
J
IN 1 �� 20.0' o
�� I D. H. #2
C E N TE R VI LLE, MASS EXISTING LEACHING PIT TO BE
LA rn U' \ PATIO j�� PUMPED, CRUSHED AND
DATE: AUGUST 18, 2020 1 o J I \ ABANDONED IN ACCORDANCE
X \ \ #206 �\ �,� WITH TITLE 5.
REV: AUGUST 22, 2020 ` f 46.9 \ 3 BEDRIOOM 6" MAPLE \
APPLICANT: DWELLING �� , LOT 672
HELIO & MARIA RANGEL m ��
206 NYE ROAD o I \
4�
CENTERVILLE, MA 02632 v i \ d 46.5 46.5
SHEET 1 OF 2 I Z X
o L O T 6 71 46.5 REBAR / CAP
17,574f•S.F. FOUND & HELD
PREPARED BY: c
oCCL
EAS SURVEY, INC. " LOT 673
P. O. BOX 1729 � S 85'10'54 W 149.99'
PROPOSED S.A.S.
(2) GALLON
SANDWICH MA 02563 EXISTING 1,000 H-200000NCRETE o 20 30 40
a' GALLON SEPTIC
' TANK TO REMAIN CHAMBERS. 13'x25'
I
CELL (508) 527-3600 LOT 670 GRAPHIC SCALE:
EAS.SURVEY@YAHOO.COM i 1 INCH = 20 FEET
SYSTEM DESIGN
RAISE COVERS TO WITHIN 6" OF FINISH GRADE
FIRST 2' LEVEL RAISE ONE RISER DESIGN FLOW
TCF = 48.00 FINISH GRADE TO WITHIN 6" 2L BEDROOMS AT 1 00 GPB/D 330 GPD
GRADE 47.20 ELEV. 46.7 FINISH GRADE OF FINISH GRADE
46.8 ELEV. 46.9 REQUIRED SEPTIC TANK
///� /�� ��///�� �� �� �� �� /��///�� 330 x 2 = 660 GAL.
FILTER FABRIC OR -- -- -----
EXISTING 4" PVC 5'C�DS=0.02 TOP ELEV 44.0 1 MIN.-3' MAX. COVER 2" MIN 1/8--1/4- EXISTING SEPTIC TANK = 1.000 GAL.
• SCH 40 -+r 4" PVC SCH 40 O 00 00 0 0 0 00 00 DOUBLE WASHED
�;- INV.= INV.= 2 MIN-3 MAX o PEA STONE SIZE OF LEACHING FACILITY REQUIRED
EXISTING 44.76 10"TEE 14"TEE INV.= O O o o O O O
O 0000 0 0 00 00 ``� 3 4" DOUBLE DESIGN PERC RATE _ <20 74__MIN./INCH
INSTALL 6" 00 00 0 0 0 00 00 WASHED STONE LONG TERM APPL. RATE-_� GPD/S.F.
GAS BAFFLE 3 OUTLET
4'-1" LIQUID LEVEL H-20 DB3 TWO 5'-0"x8'-6"x3'-O" H-20 CHAMBERS
INV.=43.27 0 ci INV.=43.00 SIZE OF LEACHING SYSTEM PROVIDED:
o- W S.A.S. (13' x 25')
DATUM: INV.=43.10 REQUIRED a w ELEV. 41.00 330 - 46 0.74 SF/GPD = 4 S.F. MIN. REQ.
" co
"T
Sri Sri NOTE: USING 2 CHAMBERS WITH 4' STONE AROUND
VERTICAL DATUM: EXISTING 1,000 GALLON TEST PIT #1 CONTRACTOR TO REMOVE SANDY LOAM
MSL± / BARNSTABLE GIS SEPTIC TANK TO REMAIN ELEV 35.4 G.WATER ENCOUNTERED WITHIN LIMITS OF LEACHING AREA AND SIDEWALL = 2(13+25') x 2 = 152 S.F.
BENCH MARK SET: 5' ALL AROUND IF OBSERVED. BOTTOM = 13' x 25' = 325 S.F.
CORNER OF PATIO OTHERWISE SYSTEM IN C-1 HORIZON TOTAL LEACHING AREA = 477 S.F.
ELEVATION 47.00 CONSTRUCTION NOTES: AS NO SANDY LOAM WAS VISIBLE IN 477 S.F x 0.74 = 353 GPD
20-0129 DEEP TEST HOLE #2.
1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND 353 GPD PROV > 330 GPD REQ. = 23 GPD RES.
ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING
SITE & SEWAGE
WORK ON THE SITE. I CERTIFY THAT I AM CURRENTLY APPROVED BY THE NO (GARBAGE DISPOSAL / GRINDER ALLOWED)
2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE DEPARTMENT OF ENVIRONMENTAL PROTECTION TO CONDUCT
WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS SOIL EVALUATIONS AND THAT THE RESULTS OF MY SOIL TP#20-164
REPAIR PLAN
TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. EVALUATION ARE ACCURATE AND IN ACCORDANCE WITH 310
3. VEHICULAR TRAFFIC, PARKING OF VEHICLES AND PLACING CMR 15.1 RO 107. D.T.H. #1 ib D.T.H. #2 >
, 206 MATERIALS OVER THE SEPTIC TANK, DISTRIBUTION BOX AND DATE: 8/17/20 DATE: 8/17/20
S.A.S. AREA IS PROHIBITED
N YE ROAD - -- -- - -- - - -_ GROUND ELEV. 46.9 GROUND ELEV. 46.9
EDWARD A. STONE, CERTIFIED SOIL EVALUATOR NO GROUNDWATER NO GROUNDWATER
GENERAL NOTES: f
IN 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. A/E A/E
C E N TE R VI L L E, MASS TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS LOAMY SAND LOAMY SAND
FOR SUBSURFACE DISPOSAL OF SEWERAGE. SHOE 1OYR 5/2 10YR 5/2
2. AT LEAST ONE ACCESS POINT OVER TANK TEES SHALL BE gd' DAVID 6" 4"
DATE: AUGUST 19, 2020 ACCESSIBLE WITHIN 3 OF FINISH GRADE, WITH ANY REMAINING D B B
o
ACCESS PORTS BROUGHT TO WITHIN 12" OF FINISH GRADE. c� FLAH LOAMY SAND LOAMY SAND
7.5YR 7/6 7.5YR 5/6
REV: AUGUST 22, 2020 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE No.
APPLICANT: CAPABLE OF WITHSTANDING H-10 LOADING UNLESS p EL. = 44.7 26" EL. = 44.6 28"
OTHERWISE SPECIFIED. `` /
H E LI 0 & M A R I A R A N G E L 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION AIVI ARkPNA (, C-1 C-1
OF ALL 5. ANY MASONRYES PRIOR TO ANY UN UNITS USED TO BRING COTVERS TO GRADE DTH #1 INDICATES
HOLE OYR 7/6 0YR 7/6DEEP n1 ED. SAND 54" n1
ED. SAND
206 NYE ROAD OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. 66" 66"
CEN TER VI LLE MA 02632 6. FINISH GRADE SHALL HAVE A MINIMUM OF 0.02 FEET PER EL. = 41.4 EL. = 41.4
FOOT OVER THE S.A.S. AND DISTRIBUTION BOX. ! INDICATES C-2
7. SEPTIC TANK SANITARY TEE'S SHALL BE CONSTRUCTED OF P-1 54" PERC TEST SANDY LOAM
SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE 1OYR 7/3
SHEET 2 OF 2 THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND NO MOTTLING EL. = 38.4 102" C-2
LOCATED DIRECTLY UNDER THE CLEAN OUT MANHOLES. NO WEEPING C-3 COARSE SAND
8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN COARSE SAND 2.5Y 7/4
PREPARED BY: 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT ■♦ 138" INDICATES ADJ. GROUNDWATER 2.5Y 7/4
ELEVATION OF THE OUTLET PIPE. NO OBS. GROUNDWATER NO G.WATER 138" NO G.WATER
E A S SURVEY, INC. 9- THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES EL. = 35.4 EL. = 35.9 132"
10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS
BAFFLE, 4 INCHES IN DIAMETER AND CONSTRUCTED OF 4" PVC NO OBSERVED GROUNDWATER B O
P. O. B 0 X 1729 11. DON DESMARAIS
ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND
SHALL BE SLOPED 1/4 INCH PER FOOT MIN. EXCEPT FOR THE DEPTH TO BOTTOM OF HOLE 11.5' SOIL EVALUATOR
SANDWICH , MA 02563 FIRST TWO FEET OUT OF THE DISTRIBUTION BOX WHICH SHALL I VARIANCES REQUESTED ED. STONE
BE LEVEL BACKHOE OPERATOR.
12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION NONE JOEY DeBARROS
TO EAS SURVEY INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW SOIL TYPE:
CELL (508) 527-3600 AND APPROVAL.
13. MAGNETIC TAPE ON ALL COMPONENTS. I PERC RATE: <2 MIN. PER INCH
EAS.SURVEY®YAHOO.COM LOADING RATE: 0.74 GAL/SF/MIN