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HomeMy WebLinkAbout0141 OLD STAGE ROAD - Health 141 Old Stage Road Centerville A= 189-86-002 s. No. 42101/3 ORA ESSELTE 10% 8 O O O R I "P e 1 to �.� I� _ _.. I y d, r . iPR \ Commonwealth of Massachusetts B9 -00�" Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Old Stage Road Property Address Shapiro owner owner's Name information is required for every Centerville t/ Ma 02632 6/16/2020 page Cityrrown state Zip Code Date of Inspecton Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important A.When tillingngoutf A Inspector Information 1'46 9 on the computer, Sean M. Jones use only the tab ._.__.. key to move your Nam of Inspector cu►sor-do.not S.M.Jones Title V Septic Inspection use the return Company Nam - key. 74 Beldan-Lane Company Address Centerville Ma 02632 City/Town state Zip Code 774-248-4850 smjonestitle5@gmaii.com, SI4522 Sean@Smjonestitle5.com License Number B. Certification I certify that:t am a DEP approved system Inspector In full compliance with Section 15.340 of Title 5 (310 CMR 16.000); l have personally inspected the sewage disposal system at the property address listed above;the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 6/16/2020 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing.#his inspection.if the system has a design flow of 10,000 gpd or greater, the inspector and the System owner shall submit the repot to the appropriate regional office of the DEP.The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note:This report only describes conditions at the time of inspection and under the conditions of use at that time.This Inspection does not address how the system will perform in the future under the same or different conditions of use. t5nsp.doc•rev:7/2610i8 Tdie 5 official Inspedion Form:Subsurface Sewage Disposal System Page i ofIll Commo'nwealth'of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments 141 Old Stage Road Property Address Shapiro Owner owner's.Name information is Centerville ,requPape. Ma 02632 6/16/2020 ired forevery CityTown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes:, • 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: The property located at 141 Old Stage Rd Centerville is served by a Title V septic system consisting of a 150.0 gallon septic tank, distribution box and 2 leach trenches. Although the system was found to be in proper working condition at the time of inspection this repod.does not guarantee future performance under similar or increased usage 2) System Conditionally Passes: ❑ one or"more system components as described in the"Conditional Pass" section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined"(Y, N, ND)for the following statements. It"not determined," please explain. The septic tank is metal and over 20 years old'or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5inap4m.rev.7120=16 TWe 5 Of dal Inspection form;Subsurface Sewage Nspasal"e'"•PR90 2 Of 4.9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Old Stage Road Property Address Shapiro Owner Owner's Name information i e required for every Centerville Ma 02632 6/16/2020 page. cityrrown state Zip Code Date of inspection C. Inspection Summary (cont.) 2) System Conditionally Passes(cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval If pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(is)or due to a broken, settled or uneven distribution box. System will' pass inspection if(with approval of Board of Health): broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain belowy ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(.).The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below). ❑ obstruction is removed ❑ Y ❑ N (I ND(Explain-below) 3) Further Evaluation is Required by the Board of Health:. ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 16.303(1)(b)that the system is not functioning in a manner which will.protect public health, safety and the environment: t5insp,doe r iev.,V284018 TItla 5 Official Inspection Farm:Sub"otace Swage Disposal System.Page 3 of 18 Commonwealth of Massachusetts =- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments - 141 Old Stage Road Property Address Shapiro owner Owners Name information is required for every Centerville w Ma 02632 6/16/2020 page., City/Town State Zip Code Date of lnspedion C. Inspection Summary (cont.) Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fall 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. El The system has aseptic tank and SAS and the SAS is within a Zone 1 of a;public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well ❑ The system has a septic tank and.SAS and the SAS Is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered:A copy of the analysis must be attached.to this form. c. other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters: due to an overloaded or clogged SAS or cesspool t5lrm.d=o rev.7/26=18 Title 5 Official limpectian Form.Subsurface Sewage Disposal System•Page 4 of 18 Cornmonwealftli of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Old Stage Road Property Address Shapiro Owners Name refu iredfn"is Centerville Ma 02632' 6116/2020` required for every , page, C�FO= State Zip Code Date of Inspection C. Inspection Summary `(cone) 4) System Failure Criteria Applicable to All Systems:(cont.) Yes No Eg 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 YS day flow E Required pumping more than 4 times in the last year NOTdue 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 waiter supply or tributary to a surface water supply. ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. El M Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private waterrsupply 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 a ppm, provided that no other failure criteria are triggered..A copy of the analysis and chain of custody must be attached to this form.] 0 ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. 0 [ The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR'15.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary,to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(interim Wellhead Protection Area—IWPA)or a mapped Zone11 of a public water supply well istnw.cloc-rev.712O 10 T iUo 6 Official Inspection Form.Subsurface sewage oisposal system,-Pago s of 19, Commonwealth of Massachusetts Title 5 Official Inspection Form. Subsurface Sewage Disposal System Form-Not for:Voluntary Assessments . . 141 Old Stage Road Pmperty Address Shapiro Owner Owner's Name information is Centerville Ma 02632 6/16/2020 required,for every _ ... page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered° es"to an question in Section C.5 the system is considered a si' nificarif Y any y 9 threat, or answered"yes"to any question in Section CA above the large system has failed.The owner or operator of any large system considered a significant threat under Section C.5.or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.,304.The System owner should;contact the appropriate regional office of the Department. 6. You must Indicate"yes"or"no"for each of the following for a!/Inspections: Yes No Pumping information was provided by the owner,occupant, or Board of Health' ❑ ® Were any of the system components pumped out in the previousawo 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? 0 ❑ Was the site inspected for signs of breakout? Were all system components, excluding the SAS, located on site? 19 ❑ 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)] t5ir4.doc•rev.M2811018 Title 5 Official Inspection Form;Subsurface Sewage Olsposa65ystem•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Old Stage Road Property Address Shapiro Owner Owner's Name " information is required for every Centerville Ma 02632 6/16/2020 page. City/Town State Zip.Code. Date of Inspeaion D. System Information 1.. Residential Hoar 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 gpd Description: .., w..--_..._........................_................... Number of current residents: 2 -- Does residence have a garbage grinder? ® 'Yes No Does residence have a water treatment unit? ❑ Yes No If yes, discharges to: ........... ............... Is laundry on a separate sewage system?(include laundry system inspection information in.this report.) ❑ Yes No Laundry system inspected? ❑. Yes No Seasonal use? Q Yes M No Watermeter readings, if available(last 2 years usage(gpd)): Detail:- Sump pump? ❑ Yes E9 No Last date of occupancy: current Date t$bisp,dms-rev.M2612010 Title 5 Official Inspection Fotm:Subsurtaee Sewage Disposal System•Page?,o118 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Old Stage Road Property Address _ Shapiro Owner Owner's Name inforrnation.is Centerville Ma 02632 6/16/2020 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (.cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No: Water treatment unit present? ❑ Yes 0 Na If yes, discharges to: i Industrial waste holding tank present? ❑ Yes ❑. 'No Non-sanitary waste discharged to the Title 5 system? 0 Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes No If yes, volume pumped: gallons How was quantity pumped determined? --- Reason for pumping: - isinsp doc•rev,7I26f4m1 a Tula 5 Of icW Inspection Form:Subsurface Sewage Disposal System-Page S of W I Commonwealth of Massachusetts Tithe 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Old Stage Road Property Address Shapiro _.. �.,.W ,...__._..._. Owner Owner's Name information Is Centerville Ma 02632 6/16/2020' required for every page. Cityrrown State Zip Code Dete of inspection D. System Information (cont.) 4. Type of System: Septic tank, distribution box, soil absorption system Single cesspool Overflow cesspool El Privy Shared system(yes or no)(if yes, attach previous inspection records,if any") lnnovative/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 UA system by system operator under contract El Tight tank.Attach a-copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed(if known)and source of information: system installed 1/17/2012 Were sewage odors detected when arriving at the site? ❑ Yes CD No 5. Building Sewer(locate on site plan): Depth below grade: feet Material of construction: El cast iron 40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Joints in good condition, no leakage, vented though roof. 15hrpAde rev,7W.,6/2018.. Thle 6 OMIJE l lnspeditm farm 8LJbS faW Se"Ue Disposed Spleen-.Page of 11i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for•Voluntary Assessments 141 Old Stage Road Property Address Shapiro Owner Owner's Name information ie re quired for every Centerville Ma 02632 6/16/2020 , age.. C1tyrrown State Zip Code Date of Inspection D. System Information (cunt.) 6. Septic Tank(locate on site plan): 2.5 Depth below.grade: fee Material of construction: concrete ❑ metal ❑fiberglass ❑ polyethylene a'other(explain) If tank is metal, list age: Years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes El No Dimensions: 1500 gallons 5„ Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 3' - 2, Scum thickness 711 Distance from top of scum to top of outlet tee or baffle - -- Distance from bottom of scum to bottom ofoutlet tee or baffle 10" How were dimensions determined? Opened covers.and took measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity; liquid levels as related to outlet invert, evidence of leakage, etc.): Tank does not need to be cleaned now but should be done soon and again every 2 years for proper maintenance water level was even with outlet tank was not leaking and was structurally sound. t5inq�eoc•rev.Ir2GI20t8 Title 5 Official Inspedionform 3ubadare&w oe Disposal 3Y5lem Pace 10 or10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Old Stage Road Property Address Shapiro Owner Owner's Name information is Centerville Ma 02632 6/16/2020 required for every page, Cq/Town State Zip Code Date of lnspedlon D. System. Information (cunt.) 7. Grease Trap(locate on site plan): ,Depth below grade: feet Material of construction: concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: oat® Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels;as related to outlet invert, evidence of leakage, etc.). 8. Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete ❑ metal ❑fiberglass ❑polyethylene ❑-other(explain), Dimensions: Capacity: gallons Design Flow: gallons per day l5insp.dw•reb.712QMI8 Title 5 Of ial Inspedion Fans:3ubsuHace Sewage Disposal Syslem•Page 11 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 141:Old Stage Road Property Address Shapiro° Owner Ownees.Name information is Centerville Ma 02632 6/1.6/2020 required'for every Cppt� �----- State Zip Code Date of Inspedion page D. System Information (cont.) '8: Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: -- Alarm in working order: [Q Yes [ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): •Attach copy of current pumping contract(required):Is copy attached? E] Yes Q, No 9. 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.): Distribution box was level and in good condition with no rot.Water level was even with outlet invert with no signs of past backup Dls S em•Pa 12:ot 16 45insR.doc•rev,7I28t2018 Title 5 Official Inepeetlon Form:Subewfaae SewaSe P� Y�. Se. Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Old Stage Road Property Address Shapiro Owner Owners Name .�_.�....,�_.._w._...:m_. .. information is Centerville Ma 02632 6/16/2020 required for every — —. page. CityrTown State Zip Code Date of Inspection D. System Information (coat.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No' Comments(note condition of pump chamber,.condition of pumps and appurtenances, etc.): If pumps or alarms are not in working order,system is a conditional pass. 11. Soil Absorption System (SAS)(locate on site plan,excavation not required): If SAS not located, explain why: Type: leaching pits number: El leaching chambers number: leaching galleries number: -- leaching trenches number, length: 2 x 65 Q leaching fields number, dimensions: overflow cesspool number: innovative/alternative system Type/name of technology: t5iftsp;doo•rev.Us' ' is' Tltle 5 Otndal Inspection Form;Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Old Stage Road Pmperty,Address Shapiro Owner Owner's Name information Is Centerville Ma 02632 6/16/2020: required for every. City/Town State Zip Code Date of inspection page. D. System Information (cunt.) 11. Solt Absorption System(SAS)(cunt.) Comments(note condition of soil, signs of hydraulic failure,level of ponding, damp soil, condition of vegetation, etc.): s.a.s. consists of 2 leach trenches 65'x 2'x2'. No signs of past overloading, no lush vegetation. 12., Cesspools(cesspool must be pumped as part of inspection) (locate on site plan.): Number and configuration �- Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp aoc•rev,Mewls Tdle 5 Oftel tnspecdon Fort:Subaurfece Sewage Dlapoael System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form•Not for Voluntary Assessments 141 Old Stage Road Property Address Shapiro Owner Owner's Name requin is red foe Centerville Ma 02632_ 6/16/2020 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction Dimensions _._... __._. ,.,..., Depth of solids - Comments(note condition of soil, signs of hydraulic failure, level of+ponding, condition of vegetation, etc.): t5i�e,doc,rev;,it W018 Title 5iNflrdal inspection Form;subsurface sewage wwosel System Pegs 15 of 18- Commonwealth of Massachusetts Title 5' Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Old Stage Road Property Address Shapiro -- Owner, Owner's Name 106ffnattonas Centerville Ma 02632r 6/16/2020 regtilred for every C' /Town State Zip Code Date of Inspection page. sX D. System Information (cunt.) 14, Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: hand-sketch in the area below drawing attached separately 119 _l Ak T P3 � S 3Z 16insp.doc•rev,712MOIS Us 6 Official Inspsaan Form Subsurface Sewage Disposal Sptam•Pap 16VI 16 Commonwealth of Massachusetts Tithe 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Old Stage Road Property Address Shapira Owner Owner's NameInfo required ion 1e Centerville Ma 02632 6/1W2020 required for every --�" page. Cityrrown State Zip Code Date of Inspection D. System Information (cant.) 15. Site Exam: ❑ Check Slope ❑ Surface.water Check cellar ❑ Shallow wells feet Estimated depth to high ground water. 1 et -- - -- 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: pate ❑ Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: ❑ Checked with Iocal:excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Groundwater was established by accessing town of Barnstable groundwater contour maps.. i Before filing this Inspection Report, please see Report Completeness Checklist on next page. f5lnspA ge.rim;712fiMlB Title 5 Qlfidul hispeillim Fumy Suusurlaw 8ewao niestsal System•Page 17 a1'18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 141 Old Stage Road Property Address Shapiro Owner owner's Name informatio. n is Centerville Ma 02632 6/1612020required for every Cityrrown State Zip Code Date`of InspWion !page'.: E. Report Completeness Checklist Complete all applicable sections of this form Inclusive of 0 A. Inspector Information: Complete all fields in this section. B. Certification: Signed& Dated and 1, 2, 3, or 4 checked C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4(Failure Criteria)and 6(Checklist)completed D. System Information: For 8:Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included j tt Nt Vots rev.712WMI8 Title,6 Official Inspection form.Subsurface Sewage Disposal System•Page 11801118 I - No. g°1 (� '�71��� � YOUjov/1f le C.1.c✓l�eJ Entered THE COMMONWEALTH OF MASSACHUSETTS Fee = d in computer: PUBLIC HEALTH DIVISION - TOWN,OF BARNSTABLE, MASSACHUSETTS Yes 01ppliLatlon for jBispoSal 6pstem Construction Permit Application for a Permit to Construct Repair( ) Upgrade( ,) Abandon( ) Acomplete System ❑Individual Components Location Address r Lot_No. 14f Old Stage Rd. Owner's Name Address and Tel.No. Assessor'sM Map/Parcel (� 189 86-0p Robert h. Dunphy 781 —71 8-0881 2 Hersey St. S.Yarmouth Ma. 0266 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Adam Riker, 774-S3Y-6401armouth,Ma ' Type of Building: Dwelling No.of Bedrooms 3 Lot Size 10, 0 01 . sq.ft. Garbage Grinder( ) Other Type of Building Residence No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 330, gpd Plan Date 1 0/1 4/1 0 Number of sheets 1 Revision Date Title Proposed septic design for Dublin Const. , 141 Old Stage Rd. Size of Septic Tank Type of S.A.S. Centerville,Ma. Description of Soil See plan Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 3 sa 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 Certificat Cd Compliance has been issued by this Bo d of alth. r-.q Sig Date Application Approved by V Date Application Disapproved by Date for the following reasons Permit No. 0 ynV Date Issued 3 - No., �♦� je C4ew rf THE COMMONWEALTH .OF MASSACHUSETTS Fee. /� - Entered in computer:_L� , 4 s . Yes PUBLIC`HEALTH DIVISION - TOW"— RNSTABLE, MASSACHUSETTS + 2pplitatlon for Vspos, 1Y, pBtr tt (Construction 3pPrmit Application for a Permit to Construct ) Repair( ) Upgrade4), Abandon( ) Complete System ❑Individual Components Location Address pr Lot Into. 141 Old Stage Rd. Owner's Name Address and Tel.No. ( l N, u Robert ]3. Dunphy 781 -718-0881 Assessor'sMap/Parcel 189 86-00�, 2 Hersey St. S.Yarmouth,Ma. 0266 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Adam Rijer, 774-13�-6401 o n armouth,Ma Type of Building: Oa� Dwelling No.of Bedrooms 3 Lot Size 10,0 01 . sq.ft. Garbage Grinder( ) Other Type of Building Residence No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 . gpd Design flow provided 330, gpd Plan Date-1 0/.14/10 Number of sheets 1 Revision Date Title Proposed septic design for Dublin Cons t. , 1411mOld Stage Rd. y en erv� e,I a. Size of Septic Tank Type of S.A.S. �, - Description of Soil See plan i Nature of Repairs or Alterations(Answer when applicable) Y ! ♦ Y Date last inspected: - Agreement: T 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 Bo d of lipalth. Signg.d , W Date Application Approved by ) Alr Date & (/ Application Disapproved by Date for the following reasons Permit No. -2 o /U— y�V Date Issued 3 f ^ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(X) Repaired( ) Upgraded( ) Abandoned( )by at It f rj � has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. u ' 0 dated Installer Designer #bedrooms 3 Approved design flow 3 3 o gpd The issuance of this permit shall not be construed as a guarantee that the system t=- Date I l I? ) i'�''�- Inspector - ---------------------------------------------------------------------------------------------------------------------------------------- No. �0 I U -tl d",) Fee l.S� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS -MIsposal *pstem Construction joermit Permission is hereby granted to Construct( epair( ) Upgrade( ) Abandon( ) System located at I ? and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with 4 Title 5 and the following local provisions or special conditions. Provided:Constru tion ust be completed within three years of the date of this permi Date 3 /Y Approved by X ). Town of Barnstable Regulatory Services Thomas F. Geiler,Director PAAM Public Health Division " _Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790- 304 Installer&Designer Certification Form Date:0 11141JOiP, Sewage Permit# `d 0/0 9 0 Assessor's Map\Parcel C Designer: SGuuP - Installer: Address: P t(5, Aa 7 13 Address: R o, 5 ay 7�Z On 0 was issued a permit to install a dat (installer) septic system at � ©` �7 based on a design drawn by (address) 1SW y (� dated O� I�{ ad 1y S�I fevlseev (desig erl I-certify that the septic system referenced above was installed substantially according to the design, which may include minor approved-changes such as lateral relocation of the distribution box and/or septic tank. I certifythat the septic stem referenced above was installed with major changes i.e. p system J 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. `4S�-tN OF 4jIScQ TERENCE (Installer's Signa HAVES No. 979 cG!S,TS j `',ANI TAR( _.-(Designer's-Signature). „ . .(Affix Designer's Stamp Here) PLEASE RETURN t 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. Q:Health/SepticMesigner Certification Form 3-26-04.doc TOVIN Mr- BARVISTABLF j4 ti4� a f i D V S.IO- 3 A TOWN OF BApARNSTABLE �y LOCATION I SEWAGE# G' 4196 VILLAGE ASSES77S��ORR/ 'S MAP&PARCEL 18q A,,IJ 96-0 INSTALLER'S NAME&PHONE NO. /`,'/1C/` //< �.�. .5i "7i' �((' SEPTIC TANK CAPACITY /6001/�.S �. X LEACHING FACILITY:(type) Le k TCrc� (size) G � A 01 NO.OF BEDROOMS OWNER 1/7v b�t'� . Q,�'S 4 u c�1 PERMIT DATE: /y COMPLIANCE DATE: /��— Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /I�hft�"" f Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) "ro(wt, Feet Edge of Wetland and Leaching Facility(If any.wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY /46km j�• �i i //�. . Gl V� �y r } L/1-eC/Gf c, oc/vvdm aV -K sa- a WINDOW SCHEDULE ANDEwgEN.ip SERxs LPv Ewxo0x5 wntl 6DHC.xe po cR�LLEs LTR. OTY. ROUGH OPENING REMARKS GLAZING A' 10,,LTwsHm12x83=69.b6f. B $ r55b+}B?i8• TW213B TRT\MASH DR }X696=tEOSP, rKITCHEN C 7 1•a M Ss3CA A AO A D 2 +?A-+I•a• AN2M AWNING E F 1 -51R'r 3'a 1? CTR60 TRANSOMDINING TRAY CEILING TO II' G 2 GARAGF TRwNSUuMASTER BEDROOM 6 A GARAGE QpF2(FRONT GABLE END Q�I TOTAL 133.8E S.F. LIVING ROOM DOOR SCHEDULE M OTY. DOOR SIZE REMARKS GLAZING 7 -I TO-x sa(tz•sioouq,¢) ENTRYwNs 84ml—R6— 8.0S:F. 9P F 2 15 axes 266E 6 PANEL INTERIOR OOOR 3 7 Z%xs% 286841rtE STEEL FI OOR R-5—L 6. S.F. q 1 2-0'xsa 208E 3 PANEL INTERIOR r2 r2 JO 5 1 YSX68 24686 PANEL INTERIOR r � B — 6 1 6'%r6% FW1f0®SLIDPIG G?IISS 30 S.F. PANTRY OSET Imo\ is 7 1 2axs8- 2688 INTERIOR OOOR IV/GLASS REF. `J ® 8 2 SPX r-a 80700 HEAD GARAGE DOOR 3 O ---------- _— 9P � _ 9 2 9•%XB-6' 30666PANEL INTERIOR 3P 1 2-B•XB'a• 2868 INTERIOR POCKET 9P 4 3'0•X6'-B• 3068IN RIOR POCKET 21'a w N � TOTAL 492 S.F. O O� O _ § 2 _ V 5 GCSE 1 O 2-CAR 3ARAGE ca'cJSEoaaEmme CLOSET 'm � oPENmc s-r _-_---_---_ LAUNDRY - sX9 O MASTER L 'v ----_..—_—_-- _---------- DDRRER Aeove -- �-'/ s.- BATH m T TER6DaH 5 I O (or�Exwc N ` / i 1 X 11 r---------- r---------- O FOYER �+ I I I I a a w O SHEATH ING: I I I I PYJDR RN � OP SECTION_A I I I 1 WALL D LENGTH OPENINGS FULL HT. REO . PROVIDED 6% 2 —f-- 1 1 I (COVERED PORCH 1 z FRONT IST FLR 64.0 38,7 25.3 27% 39% o 2ND FLR 37.5 13.5 24.0 i3% 04% DEN 4 � REAR 757 FLR 84,0 18.3 45.7 2% T2°h Anc -—-—-— 11'6X 1D E 2ND FLR 27.2 10.0 77.2 19% fin. LEFT IST FLR 40.0 50 35.0 66% 87% CLOSET CLOSE RIGHT 7SF2NDFL . R 40.0 5.0 35.0 65% 8%� _—_—_—_—_ _—_—_—_—_ i y 2ND FLR U. 34% 100% a SECTION C a% xa FIRST FLOOR LIVING SPACE 1847 SF =SMOKE DETECTOR O=HEAT DETECTOR CO =CARBON MONOXIDE DETECTOR ' FIRST FLOOR PLAN. GREYWING DESIGN OATS FEB 142D1t PROJECT. STAGE ROA,CI—E FE8381tEV'(Mea111��1..)50 Den entry' 141 JEOLDSTAGE ftOAD,DENTENVII.LE SCALE 04•=T• 9 EEDRGD 31Q BATH 131 QUAKER MEETINGHOUSE ROAD,EAST SANDWICH,MA 02537 27+I5F (508�688-0 WWW.grl:ywing.corn 886 ®2010 Grey:ving DeSO SM E98-08IN�..p . PROJECTNO G110105 SHEET: M.F5 Isr f04' Y-A` YtS` 11P f 9'-e' J'A' TT 11 A a E 5 BATH J mil_ BATH CLOSET 0. IF RI G BEDROOM 3 r O e 106' � Il g-Ri, I 2 2 N A, i BEDROOM 2 a CLOSET iI' rl LIN'G LnEI , If.CEI peen to Foyer s �O ROOF FRAMING LAYOUT I/W=T-W T SECTION-A _ - __ I. A'u�tEGWAu I � D O � I SECTION C I � D xzo- m I' 12CB TIEgACK O _ RAFTER9�t6'I O.G TMV F,I I CEILING W SECOND FLOOR LIVING SPACE 900 SF I 1 31 A i.o 2 N FASTENER SCHEDULE FOR STRUCTURAL MEMBERS .IMTTOSILLOROWpER TOE NAIL 3BEI SOLEPLATETO JOiSTOR,TOE 16D i6.O.G STUDT 51XE E 2 16D STUD TO TOP RATE 2-16D WILT-UP E .E tOD 2A•OC.MIN. BullT•UP HEADER iWD PIECES W/1R'SPACER 16D 18'D.G EDGE �2-2r12r WOOD CEILING JOISTS TO ',IT, RATE 38D BEAM CEILING JOI TO PARa41El RAFTERS 31 D RA O PLA OE NAIL [-16U BUILT-UP CORNER STUDS. 10D 26'O C. RAFTERg TO R A VALLEY R RAFI E.S. —15 - RAFTER TIES TOO RAFTERS 3 BD IEDGES) ba 6,oC . FASTENER SCHEDULE FOR STRUCTURAL MEMBERS EING TO TOS DS EDDE 8D I Cc. J EPLATE TO GBI V,TOENAIL 3A0 SHEATHATNtNG TUp3 DS(--E-1 gD IYQC. SOLEPLATETOJO,OR BLO KING 16D 16'OC. tlP SHEATHING iO STUOS(GABLE tYALL3) BD 8'O.G STUD OTOL RATE ai I- STUD TO TOP PLATE 10n f4 � DOUBLE STpD$FACENaL 100 2A•OC:MIN. BUILT-UP READER-0 PIECES WTI?SPACER 18D 18'O.C. EDGE CEILING J05TS TO PLATE TOE RATE 3 Ap CEILING JOISTS TOP RAFTERS 3-IM RAFTERTOPLATETD NAIL, 2-180 BUILT-UP CORNER STUDS. 100 A 26 O.C. H EAb ER SGHEO ULE RAFTERS TO OGE•VALLEY OR IIN RAFTER 1 61 RA � 2nd FLOOR FRAMING LAYOUT BUFPGanrvc aOlSwLv ilxcl upaparluCtsTptvAeovE RAFTER TIES T TO RAFTERS 62 D sp a o.c. -- .iac=- OP➢OR' ueFLOD"10 JOIST INTE MTEIA 12'0.C. 1-lSII �I-011 - 1lT SHEATHING OSTUO.S EDGE f - 5NEATIUNG TO 5TU135 INTERMEDIATE) gO 12-O.C. - - 1 A 10 TUDS ELYAL 8p B'O.C, SECOND FLOOR PLAN& FRAMING LAYOUTS. GREYWING DESIGN DATE FEB a 20tt PROJECT: ANAPIRORESIDENCE FEB IB}tEV:(Nedth a0l.,)6B pxn enlly. tat OLD STAGE ROAD,CENTERVILLE SCALE 1f0'=1'-C 3 BEDROOM 3112 BATH 131 QUAKER MEETINGHOUwSE ROAD,EAST SANDWICH,MA 02537 �2010 Greyavlg Design 508 888-0886 2ur AF I 1 , w .g,Dywingxo,(508)888-0886 . .a....,. ... ' PROJECTNO:G110,0.6 SHEET: A4OF5 SOIL TEST TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR OR CRAWL SPACE DATE OF SOIL TEST OCT0JER 13L 2 010 10 FT. MINIMUM FROM SLAB _ ELEV. _ • _ 10 FT. MINIMUM CLEAN SAND SOIL TEST DONE BY q&ETSER_ENGINEERING P# 13084 CONCRETE WITNESSED BY _Q AN�_aTTQN--------- - COVERS INSPECTION PORT a" SCHEDULE 40 PVC PIPE LOAM AND SEED OBSERVATION HOLE 1 ELEV.=--95.4- MIN. PITCH 1/8" PER FT. 2" LAYER OF MANHOL COVER 1/8 TO 1/2" PERCOLATION RATE < 2 MIN./INCH AT __54___ INCHES WASHED STONE �� 4" CAST IRON PIPE 98.07 MAX. OR FILTER FFAA�BRIC RVENT EQUIREDE " HORIZ FILL---TEXTURE COLOR NO TT. OTHER -023 --- --- (OR EQUAL) MINIMUM --- - -- ---- ----_------- PITCH 1/4" PER FT. _z 23-37" A- LOAMY SAND 10YR5/1 ROOTS TEE I 37-40" B LOAMY SAND 10YR6/4 ROOTS o, ELEV. 9510 - --- ---- ._-_. ------ - - -- ---- FLOW LINE _ 95.07 = 40-132" C COARSE SAND 2.5Y7/4 ------ ELEV. _ ��_ t0" -- ELEV. _ -- - - MIN. --�--- �4.41 132= $4.4 ° o ° °S=.005 MIN. ° ° zr, _ NO WATER ENCOUNTERED AT _ ELEV. _ L ELEV. _ _95.00 / 2'0" ° ° ° -- ELEV = _ , " _ GAS = 94.87 J6" SUMP ELVV.L= _ W79 o ° °° °° ° °° °°° ° °° ° °° ° o OBSERVATION HOLE 2 ELEV.=------ BFFLEA ELEV. ------ ° ° o ° o ° ° o o °o ° °° ° ° o ° DISTRIBUTION - ° o° ° o ° °2'4�° 92.41 A M� DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 0 0 ° ° ° °° ° o 0 0 0 ° ELEV. ANYL -- - LIQUID OUTLET $�,�Z_ UNER 0-27"_ FILL NO BOX (H-20) ------ ----- 4 FEET 14 INCHES DEPTH TEE (TO BE PLACED ON FIRM BASE) TO BE WATER TESTED '" 27-40" A LOAMY SAND 1OYR5/1 ROOTS 40-45" B LOAMY SAND 10YR6/4 ROOTS 5 FEET 19 INCHES IF MORE THAN ONE OUTLET Z i 6 FEET 24 INCHES 1500 GALLON 4" SCHEDULE 40 PERFORATED PIPE --- -- -- 7 FEET 29 INCHES (TO BE PLACED ON FIRM BASE) ? WELL �NA 45-120" C COARSE SAND 2.5Y7/4 L8 FEET 34 INCHES SEPTIC TANK 3' X 62' X 2' TRENCH FORMATION a'� ZONE 3/4" TO 1 1/2" CLEAN --------- -- ;o INDEX NO WATER ENCOUNTERED AT __1 20_ ELEV. _ _ 85_8 _ DOUBLE WASHED STONE SOIL ABSORPTION ADJUST - ELEV = _91.10 FREE OF FINES & SILT 0 OBSERVATION HOLE 3 ELEV.=_95_9 TOP OF FOUNDATION _ SYSTEM (SAS)(H-� ) O PERCOLATION RATE _ < _2 MIN./INCH AT 57 _ INCHES (EXISTING) SEWAGE DISPOSAL SYSTEM PROFILE ELEV. = 109•0_ NOT TO SCALE USGS PROBABLE WATER T,�BLE ELEV. DEPTH HORIZ TEXTURE COLOR MOTT. OTHER - _(ASSUMED) - `y OBSERVED WATER TABLE ( / / ) ELEV. _ ______ 0-20" FILi* NO BOTTOM OF TEST HOLE ELEV. = _ 4_ 20-37" A - LOAMY SAND 10YR5_/1 - _rt ROOTS z 37-42" 8 LOAMY SAND t 0YR6/4- ROOTS - 61.52' - - - ------ --- LIMIT OF 5' C. 10L59 42-132" C COARSE SAND 2.5Y7/4 OVERDIG \ �. NOTES. A _ o NO WATER ENCOUNTERED AT --132_ ELEV. _ 8_4.9__ 40 ML VINYL-LIN • 96 3 VEN 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. �.0' SOIL -- Mi_ _ _ TPTLE 5 AND THE TC-NN'S RULES AND REGIA.ATIONS FOR OBSERVATION HOLE 4 ELEV.-_ 96.1 - TEST SOIL / i - - - THE SUBSURFACE DISPOSAL OF SEWAGE. TEST 2 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO • 62.Do' WITHIN 6" OF FINISHED GF, `)E. DEPTH HORIZ TEXTURE COLOR MOTT, OTHER VENT -- - _ \ 1 - 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF 0-2.0" FILL NO I _ _ --- --- - - - __ WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN " 20-30 A LOAMY SAND 10YR5/1 ROOTS 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE " RESERVE SAS o - USED UNDER OR WITHIN 10 FT OF 'DRIVES OR PARKING AREAS. 30-38 B GAMY SAND 10YR6/4 ROOTS 3� 4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL 38-120" C COARSE SAND 2.5Y7/4 _ _ BE MORTARED IN PLACE. TEST 3 J BOX ` - _ - i / 5. NO DETERMINATION HAS BEEN MADE AS TO CGktPLIANCE WITH NO WATER ENCOUNTERED AT 1��_ ELEV. _ _ 86_t� SOIL ,Q , WE DEEDED OR ZONING REGULATIONS. OWNER / A PIUCANT IS TO LOT U 1500 GALLON O TEST 4 / I OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. • 96.8 = 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR SEPTIC TANK 70, 001. 5 f S.F. IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS DESIGN /��� I I PRIOR TO COMMENCING WORK ON SITE. DESIGN CALCULATIONS O 9 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS .AS WELL AS NUMBER OF BEDROOMS 3 97.0 6.8 / I SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION ;ARB,AGE D'SPOS L Ur'4I' ,F S TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER TOTAL ESTIMATED FLOW " 97.' �- MMEDIATELY. 110 GAL/SR./bAY X -aL BR.) ��Q_ GAL./DAY _ 8. PARCEL IS !N FLOOD ZONE __C____. REQUIRED SEPTIC TANK CAPACITY _ _ GAL. - `- ARAM 9. LOT IS SHOWN ON ASSESSORS MAP �1_ _ AS PARCEL _ _0_ ACTUAL SIZE OF SEPTIC TANK _ GAL. (SLA9) / 3 I 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER AND SOIL CLASSIFICATION _--I- _0 99 5 / f - REPLACED MINIMUM OF 5' AROUNDSPOIL ABSORPTION SYSTEM 5.25AND BE DESIGN PERCOLATION RATE 5-5-- MIN./IN. EFFLUENT LOADING RATE Dj-4- GAL./DAY/S.F. C.O. FILL FpUNDA-n�� ~- `- J j+ 11. THE INSTALLER TO GIVE THE ENGINEER A MINIMUM OF 48 HOURS LEA`HIN82 {E ) - SQ. FT. - 2 WORKING DAYS) NOTICE FOR THE FINAL INSPECTION (NUMBER BELOW). ( _ 12. EXISTING DWELLING AND CESSPOOL ALONG WITH ANY POLLUTED SOILS LEACHING CAPACITY 446 ARE TO BE REMOVED FROM SITE AND DISPOSED OF PROPERLY. •00 X 074(AREA XRATE) ,3,'�Q GAL/DAY 103.3 13. ALL UTILITIES ARE TO BE DISCONNECTED AND REPLACED TH NEW. RESERVE LEACHING CAPACITY =94 GAL./DAY �r�-�• 1 r!--'!? �-�_. ,����l"�.,�� _i_�_-' _�----- __ ass-•`7 __-_.-_. _ ROpOS9 D S T .�;Y I APPROVED. BOARD OF HEALTH 9.4 / I P SEDR F T ,�, 101.5 / 1 ITAR\PN I 98.2 10 ` C^ T� AGENT �002 PROPOSED SEPTIC DESIGN 9, ,,.2 � 99.2 � CENTERVILLE, MASS. I e.H• i 8.5 ' / �.. FOR 47' C 28 ► DUBLIN CONSTRUCTION / O TE --- - - • 134 �� R°U 141 OLD STAGE RD. IAT B -X02.0 =Zt BARNSTABLE, MASS. SWEMS'LR RNGMERM 203 SETUCKET ROAD REv. 508- P. 0. BOX 713 LEGEND: ---- L cus o�0 385-6900 SOUTH DENNIS, MASS. 02660 EXISTING SPOT ELEVATION 00,0 i EXISTING CONTOUR ----00---- i REV. MAR. 9, 2011 µ DATE OCT. 1 4, 201 0 SCALE 1 " - 10 FINAL SPOT ELEVATION cor 14' it SF FINAL CONTOUR 0 Kt0I REV. ® .� I REV. JOB NO. SOIL TEST LOCATION c,ENTERVILLE, MASS. UTILITY POLE --0- I MAR, 1 , 2011 DEC. � , 2010 fi967-00� TOWN WATER -WSW- CATCH BASIN ®� GAS LINECLEAN OUT G � ` REV. FEB. 7, 2011 SITE OVERVIEW ' � LOCATION MAP REV. jAN. 10, 2011 � ISHEET 1 OF 1 CESSPOOL C.P. 0 C: lS8�PRC✓�6967-00�DWG�6967-SA55.DKIG 02010 SWEETSER ENGINEERING