Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0475 OLD TOWN ROAD - Health
475 Old Town Road ' A = 248- 131 Centerville S M E A D� Na Zdam UPC In" .+n..a eom • Yaa.b um LOX ATION ` � l SEWAGE PE MIT NO. j UC VILLAGE INSTA LLER' , NA E & ADDRESS 0 UILDE R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED r 31 V �. --.CY a TOWN OF BARNSTABLE o � �oEri�% ®/S L(?GATION �7-" -- �Qa SEWAGE# ��� ZZ - VILLAGE � �� ��SSESSOR'S MAP&PARCEL':1-5�'�,"'�/,-?/ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY,4'0-Ae" 6;4Z ®Zy LEACHING FACILITY: (type) (size) NO. OF BEDROOMS^ ` OWNER L PERMIT DATE: 100l — 00'.5" COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /Z 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 t J '0'0" / 61 d-f ,- led a pe' 3� i6 2. c tS 1 No. a _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplifation for Misposal *pstrm Construction Permit Application for a Permit to Construct Al Repair(�pgrade( Abandon( ) Complete System ❑Individual Components Location Address or Lot No.��e ®Z,6 T cG A, 9wner's Name,Address,p Tel.No. Assessor's Map/Parcel �" /� Installer's Name,Address and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building4-IT41-P No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �' gpd Design flow rovide gpd -sr1 Plan Date 90 ej Number of sheets 101, Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Pd— Ones, oil Nature of Repairs or Alterations(Answer when applicable) %P 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 his Board of Heogn /� ig Date Application Approved by Date Application Disapproved b Date for the following reasons Permit No. '' Date Issued ua� i Nd. Fee THE COMMONWEALTH OAF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISIONw TOWN,OF'BARNSTABLE, MASSACHUSETTS application for disposal *pstem Construction Permit Application for a Permit to Construct('�RepairUpgrade( Abandon( ) omlete System ' El Components p Location Address or Lot No. C� e,6 ,,�y wner's Name,Address, Tel.No. Assessor's Map/Parcel ©c .�� `}�'' � +( /dam X0(;:pCPO 7,�,9 t Installer's Name,Address and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms �r Lot Size sq.ft. Garbage Grinder( ) Other Type 4 Building 4 40tr No.of Persons 'Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3-.0, oe gpd Design flow provided ,,i - gpd Plan Date /G? o�./f"' - Number of sheets ✓ : Revision Date Title Size of Septic Tank,/�!-O"'A �S"d0 �+ Type of S.A.S. �� ^J Description of Soil M Nature of Repairs or Alterations(Answer when applicable) � �.t'�/✓ Date last inspected: i Agreement: y 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 this Board of He igned /1 ' r— Date Application Approved by / �/ _ Date Application Disapproved by / —� Date u t for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS i Certificate of Compliance 010 THIS IS TO/C..ERRTIFY,that the On-site Sewage Disposal system Constructed(Ar Repaired( ) Upgraded(') Abandoned( )by V J�%M+� C� d�`v�`� �'�°'i' ` I at L %✓` :^'' J 'f ee con cte a c with the provisions of Title 55 and the for Disposal System Construction Permit No. ed Installer., ,Oy .4/. e.00'1`60 'f Designer,01.04d'J dl�.�/f,, ©R+' Q�'. #bedrooms 3 Approved design flow ; gpd The issuance of this ve V ) ll not be construed as a guarantee that the system will func'© s d signed. Date r +.—Inspector (A -----------y-------- l--j -------_---_-------------r1r--------------- -------------------- ---------------------- --------^.�--�--� No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS -Misposar *pstetn Construction 3permit n Permission is hereby grarited to Construct( // Repair( ) Upgrade( Abandon System located at 4 � and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Consttrucn must e,com leted within three years of the date of this permit. Date J ilk,/ t Approved by i .. {. Town of Barnstable P�o4r►+Er Regulatory Senices ell Richard V.Scali,Interim.Director sAarrsrAet.e.�%� r� s63q. 10� Public Health Division pTfOrAAtN. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 50&862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 12 '0 ZMOSewage Permit# `� �Assessor's Map\Parcel f olz/ Designer: j, (! Installer-71__:S i 1Sercwf=7 Address: �i1 '�_ �: T Address: On � was issued a permit to install a (date) ��( all�er) � septic system at �� ��`� DIY based on a design drawn by (address) �+ tD �. �"� 2� dated ` o— �J (designer) s Y �Irtify 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 major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed inc, fiance with the terms of D 4 approval letters (if applicable) 7aF�l�gs, �� a1 [)AVID Installer's Signature) Pr1AS01`a � (Designer's Signature) (Affix Des1 -�r:. mp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE NVILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE .PUBLIC HEALTH DIVISION. THANK YOU. Q:�Scptic\Designer Certification Form Rev 8-14-13.doe AM 4rA r w W__0-I-- INFILTRATOR"' 1 M-1 50 tanks Features & Benefits The Infiltrator IM-1530 is a lightweight strong and • Strong injection molded durable septic tank. This watertight tank design is polypropylene construction offered with Infiltrator's line of custom-fit risers ill - Lightweight plastic construction and heavy-duty lids. Infiltrator injection and inboard lifting lugs allow for molded tanks provide a revolutionary easy delivery and handling improvement in plastic septic - Integral heavy-duty green lids that tank design; offering longterm interconnect with TWTm risers and exceptional strength and pipe riser solutions watertightness. • Structurally reinforced access ports eliminate distortion during installation and pump-outs • Reinforced structural ribbing and fiberglass bulkheads offer additional strength Can be installed with 6"to 4811 of cover 1' ,... Can be pumped dry during pump-outs • Suitable for use as a septic tank, pump tank,or rainwater (non-potable)tank Inlet Side • No special installation, backfill or TANK CUTAWAY infiltrator water filling procedures are required TW Riser System `i Partition baffle wall HEAVY DUTY LID CUTAWAY Reinforced 24"structural access port Structural bulkheads MID-SEAM CUTAWAY i Reinforced water tight mid-seam connection g sketed a Protecting the Environment with Innovative Wastewater Treat.m......e.....n....t...S....o..l..u...t...ions INFILTRATOR' .......... ....................... ...... .......... ............. systems iris_ n 'd L06L 'IN ML6:6 SIH 'z[ "ON A' IM-1530 General Specifications and Illustrations LIFTING LUG(NP.) RISER LONNECTtON(TYP.) LIFTING STRAP(NP.) The IM-1530 is an injection molded two piece mid- seam plastic tank.The IM-1530 injection molded plastic design allows for a mid-seam joint that has precise dimensions for accepting an engineered D o o ^1 61.7 EPDM gasket, Infiltrator's gasket design utilizes — ° ° EXTERIOR technology from the water industry to deliver D ° WIDTH proven means of maintaining a watertight seal. The two-piece design is permanently fastened using a series of non-corrosive plastic alignment - --- ,75.aH.00]EXTEMORLENGTH— dowels and locking seam clips.The IM-1530 is assembled and sold through a network of certified TOP VIEW.' Infiltrator distributors. OUTLET TEE (TYR) t 54S 11,394] EXTERIOR Working Capacity 1537 981(5818 L) SEAM CLIP- HEI HT MA..1 Total Capacity 1787 gal(6765 L) UFTING 8 Airspace 1 B.9a/o (NP' Length 176"(4460 mm) _ `.: AND.VIEW I Width 62"(1567 mm) Length-to-Width Ratio 2.8 to 1 024A(BtOtACCESSPOR7 04(102) WITH LOCKING LID(3) Height 55"(1384 mm) PYC OR AeS INLET TEE 10.1(2571 FREEBOARD 0411021 Liquid Level 44"(1118 mm) OUTETTH Invert Drop 3"(76 mm) NLET 18.9%AIR BPAC _` ounsr (761 PER CODE _0.2(5)WALL Fiberglass Supports 4 445 L TniCk.Egg PER (44.0 Compartments 1 or CODE LIQUID 2151)x3 tall DEPTH FlIIEPctos I Maximum Burial Depth 48"(1219 mm) iTMP;oRT(4] Minimum Burial Depth 6"(152 mm) '�' Maximum Pipe Diameter 4"(100 mm) SIDEVIEW Weight 501 Ibs(228 kg) CONTINUOUS TANK TOP HALF ELABTOMERIC GASKET TANK INTERIOR SkAM CLIP ALIGNMENT DOWEL —TANK BOTTOM HALF (Ij , d Business;7Park RDaa P.O.O.Box 68 Old Saybrook,CT 06475 860.577-7000•Fax 660.677.7001 INFI LT AT R' ;MIp-NIGHT)S£AMaSECTION . t-800-221-4436 lystelns Inc. www,lnllllehloraysteme.com U.S.Patents:4,759,%1:&.017.041:5.156,466:5,336,017;5,401,116;5,401,4%;5,511,803;5,716,160;5,589.77815,a39,844 Canadian Patents;1,$29,959;2,004.504 Other Datents pentling,Infiltrator, Equaazer,Qulck4,and Sidewinder am replatered trademarks of Infiltrator Syateme,Inc.Infiltrator Is a reglstared trademark in France.Infiltrator Systems,Inc.is a regimared trademark In Mexico. Contour,MICTOLeaching,PoryTuff,ChamberSpecer,MumPorf,PosiLock,Guickcul,oockPlay,Snap Lock and SI*htLock are trademarks of Infllrater Systems Inc. PolyLok Is atratlelnark of PolyLOR,Inc.TUF-TITE Is a registerea trademark of TUF-TrTE,INC.Ullra•Rle Is A trademark of IPEX Inc. 02014Infiltrator Systems,Inc.All rights reservea.Primed in U.S.A. IM21 0214 EMEND• 11111 - -• • ill 6 'd L06L 'ON Wd :6 S�0z 'z� 'AON Town of Barnstable P#� f y��d Till ' Deparbinent of Regulatory Services UMSTAar� 1 Public Health Division Maas Date 200 Main Street,Hyannis MA 02601 ' jEp Mp`l h Date Scheduled Time b 1 Fee Pd. -ri Soil Suitability Assessment for Sew e I)ispos Z b Perfenmed By:. 4 Witnessed By: Location Address LOCATION& GENERAL INFORMATION D 0 t 0 44600AARP Owner's Name , Address Assossor's Map/Paroek �e'J 'I/ ®�J��� Q Engineer's Name�j�d/� ,��j�./��/✓ NEW CONSTRUCTION REPAIR a6 7 Telephone# Land Use. Slopes(96) Surface Stones . Distances from: Open Water Body ft Possible Wet Area tt Drinking Water Well . ft Draihago Way ft Property Ud'e . ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test ho(a 8yprerc tests,locate wetlands?n proximity to holes) I Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Fnee Estimated Seasonal High Oroundwater Method Used: DETERMINATION FOR SEASONAL'HIGI1 WATER TABLE Depth Observed standing In obs.hole: ib. Deptit to avll tncJttlaa: DcA to weeping from side of obs,hole: Index Well# Gro Reading Dato: Index Well Leval undwater Adjuatment fit, dj.factor Ar((.Groundwtiter 1 I Observation PERCOLATION TEST bate Titus Hole# --,*- Time at 9" — Depth of Pero Time at G" Start Pro-soak Time @ 2 Timo(9"-G") �- i End Pro-soak • Rate Mih./Iuch14V Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Complete3d on Back------= ***If percolation test is to be conducted within 100' of wetland,you must first notify tbe. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sdil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. isistency,%Orayell �116 KILL" i 14A /10 �PW40. w DEEP OBSERVATION HOLE LOG ]Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in-) (USDA) (Munsell) Mottling (Structure,Stones,Bouldera. Consistenov.%Oravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture. Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. DEEP OBSERVATION HOLE,LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,S(oltes,Boulders. C n9 Flood Insurance Rate Map: Above 500 year flood boundary No_ e Within 500 year boundary No` es ' Within 100 year flood boundary No., YEs Depth of Naturally Occurrine Pervious Material Does at least four feet of naturally occurring pervi us mtiterial exist in li areas observed throughout the area proposed for the soil absorptibn system? _--� If not,what is the depth of h turally occurring pervi us material? Certification q I certify that on. b• 1 • (date)I have passed the soil evaluator examination approved by the Department of Enviro mental Protection and that the above analysis was performed by me consistent with . the req ' ed training,experti and a ie a de cribed in 10 CUR 15,017. '7A Signature Datt;NIJ Q-.\S EPTIC\PERCPORM-DOC .4/ No...........Z........ ...... THE COMMONWEALTH OF MASSACHUSETTS ------- BOARD OF KEALTH ......................... Appliratiou for Bispviial Works Towitrudivit ramit Application is hereby made for a Permit to Construct or Repair LT—an7ndividual Sewage Disposal System at, .............. jM �.... � �� »»............................. cation"7jWr'e. or Lot No. ...... — ............. ......................................I....... .. ..** ...........*-------------------- ----------*...............*------------ r Address 1. ........................................ .................................................................................................. WinstaE Address Type of Building Size Lot............................Sq. feet U ................Expansion Attic Dwelling—No. of Bedrooms............................ Garbage Grinder ( Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( Otherfixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. P4 Septic Tank—Liquid capacity............gallons Length................ Width.......____.__.. Diameter.............._. Depth................ Disposal Trench—No. .................... Width_...__.._..._____... Total Length____............___. Total leaching area....................sq. f t. Seepage Pit No..................... Diameter............___.___. Depth below inlet......_........_.... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by.......................................................................... Date..... ....... ...... �-1 ----------------------Test Pit No. I----------------minutes per inch Depth of Test Pit_._._..........._... Depth to ground water_.__.._.._...__....__... 0-4 44 Test Pit No. 2................minutes per inch Depth of Test Pit__..__._........._.. Depth to ground water...................._._. P4 ............................................................................................................................................................. 0 Description of Soil........................................................................................................................................................................ U ..................................................................................................................0..................................................................................... .......................... -------------------------------------------------------------------------------------------- ---- --- ----- ....1..... U Nature of Re airs or —Answer when applicable tions . .... - ------- i ........................................................................................................... ......................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL ITI M 5 of the State Sanitary Code—The undersigned further agrees not to place the system in .d operation until a Certificate of Compliance has issue by the board Sign . . ....... ........ .......X.__4.......... Date �Z4 7 Application Approved By..... .;.... .............. . ....... .. ....... __= ........ .. .............. ........ Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... ) _� —704L Date PermitNo......................................................... Issued..7 ------ -------------------------------- Date NO........... ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HJEALTH ........................... for Ditipa5al Mirk5 Tomitxurtion runfit Application' is.hereby made for a Permit to Construct- or Repair an 7ndividual Sewage Disposal System at, ........................ ..............I—-........................ ocation Address or E;No. . ................................. ....................................................:............................................ r-in""'W _r Addr�ss ....................................- ---------- ------------- ......--------------------------------------------------------- S I-"7 Install Address Pq Type of Building 'tSi" Lot............................Sq. feet U Dwelling—No. of Bedrooms-_- Garbage Grinder..............................Expansion-Attic ( ) 44 Other—Type of Building .....7z...................... No. of persons........... Cafeteria 04 Other fixtures ............................................................ ................................................... ..................................... Design Flow............................................&allons,_.`perTp; erson per day. Total daily flow..._........._..._ .. 04 Septic Tank—Liquid capacity .7............. gallons. ht. ......... Width................ Diameter_______:!k...�.,Depth:.............. ........ 116 L�p Disposal Trench—No............. Widths................ Total Length.................... Total1eaching area..._.._._......_._ gq.%ft. Seepage Pit No---------_--------- Diameter9w inl et I . ......... Total;leaching area.................sq. f t. z Other Distribution boxDosing Percolation Test Results Performed ..................................................... Date...._._......._.._....._.... ........ .Test Pit No. I................minutes per inch-,.--bepth .6f .......... Depth to ground water........._...._.__..... Test Pit No. 2................minutes per Inches Pth of, Test Pit._..:..........._._. Depth to ground d water............_........... ... .................. --- ---------------- .............................t. ..... ................. ............... ........ 0 Description of Soil...............................................................................................I...... .......1�"1111111111111111..........I......... ............................................................................................. U ..................................................................................................... ............. ------------ ............................... U Nature of .................................................... --_---------------- ....... Re airs —Answer when applicable...4 a s tions - . ... ............. ... ....... .. ........... ................................................ ..................................................... .......................... Agreement: The underkig* ned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the pr6visions of T I T ILE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has issue by the boardf I Sign . . ........ ..... .. .... Date ... ......... .. Application Approved By....._ ........ Date 'Application Disapproved for the following reasons:...............................................................t................................................ ............................................................................ .............................................................................. ........................ ................. Date PermitNo....................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..ee.0, 0 .............................................. TH I TO KJWY, Tha e In" dual Sewage Disposal System constructed (% _),or—Repaired ------------- by------ - ----- ...... .. .... ......................................................................... at. Instf-IV ... K.7, ------ ---------------------------------------------------- has been installed in accordance with the provision,� o e State Sanitary Code as described in the application for Disposal Works Construction,Perinjit No. -------- _r------y. ........ dated-..------7-_11-..7.dP........... THE ISSUANCE OF THIS CERTIFICATE SHXLL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......... ..................................................................... Inspector.......................................... ............................................... THE COMMONWEALTHn- ' CHUSETTS .- �6101;MASSAASSA BOARD OF HEALTH *4 0 F.... ..... .................................... Al N EE • .1. . ............... N 11V F ....... 0.................... Rojills Mork 11 w rrutit ...............................................Permission is hereby granted...... ...... .. .. ......... ....................... p ir , jj to Construpt L. R -4. ,Individual 'ew, e Di" i al-S"tyk �! __ ........................................................................... at No.....IF-A-5-------- ----- Street as shown on the application for Disposal Works Construction P No._,,.._ ...... Dated.....7:.&.-..;? ............ a = G 1............................ Boar of Health DATE......T.—. . 74 1-* .. .......................................................... FORM Ig55 HOBBS & WARREN, INC.. PUBLISHERS TOWN OF BARNSTABLE LOCATIONCO. SEWAGE# VILLAGE d*--"--l-7���/-/''ASSESSOR'S MAP&PARCEL':1-5'0',"��-7/ INSTALLER'S NAME&PHONE NO. ��S-"B-7®;;- SEPTIC TANK CAPACITY/41-�/" V LEACHING FACILITY: (type) c,���„�� (size) NO.OF BEDROOMS 13 OWNER �yy PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: r`-,P `fs4,,4tZ, i Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility -o� 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 V J E, r'ey/' o / l � 9 i, LOX ATION C � 1 SEWAGE E MIT NO. VILLAGE UC INSTA LLER' V NNAANE i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED G ASSESSORS MAP : PARCEL : TEST HOLE LOGS 1) '1 he ills(allatioll Shall collill kvitIl -Lille V and I(mll ol'7'yxyk�Boald 01 FLOOD ZONE: ti10-T SOIL EVALUA'f011:_0101V 1;1 WtDd,C� I lealth ItCgUlaliollS. REFERENCE: WITNESS : iV41 f& . 2) The installer shall verily the luc,,itioliol'titilities, sevvel- invells and Septic Zop i m DATE t Components prior to installation and set(ing base clevaliolls. �A W— PERCOLAT 1014 RA'I'E: 0 he fit -Ye 3) All gravity septic piping to be 4 illell ScIl ,l() IVCat 1/8- )el- j,0 (. ,I I st i two feet cut of(lie d-box to (lie leaching shall be level. TH- 1 : 1 4) This plan is nom be utilized for property title detenninn(ion nor any Other purpose other than the proposed systein, installation. Lry j 1:1 UA-." 5) All septic components must meet'l'itle V specilications. e. 1V 6) Parking shall not be constructed over 1110 septic components. AL4 7) The property is bounded by property corners and propeity Iiiies. 8) 'I'lie property owner review design consideratimis toapprove of total LOCATION MAP eA design flow and member of bedrooms to be considered lbr design. lZeCeip( of payment for (lie plan and installation based on the plan shall be deemed approval of(lie design flow by the owner. 9) The existing leaching or cesspools shall be pumped and filled with material per Title V abandonment procedures. 'Fllose within (lie proposed SAS shall OLD TOWN ROAD be removed along with contaminated soil and replaced with cleall s, (I 'Mlle V specs. '111 per 00, 1HO L_pLwy, WK.1-1-- 10)Systenicomponents to be 10 feet li-orn water title. Sewer linescrossing tile -j7 water line shall be sleeved with 4 inch SCI 1 ,10 PVC With ends grouted if Ay _1;) applicable. 'I'lie proposed SAS is being installed below the water service line. I'lie title is to be sleeved as al'oremendonedaii(I maintainedI i place. 3 E P-I' IC SYSTEM - DESIGN 11) If a garbage grinder exists it is to be removed and is (lie responsibility of the 14.4 owner to ensure such. FLOW ESTIMATE 12)'1 he installer is to take caution in excavation around tile gas line it'such exists. LOT 12 BEDROOMS AT GAL/DAY/BEDROOM GAL/DAY 13)Tiie installer shall verily the location, quanlity and elevation OfIlle sewer Ld lines exititiP the dwelling prior to the installation. SEP'rIC TANK 14)'I'Iiis plan is representative only that a system call fit oil a prep meeting Title V requitements. ,O / p l DZ'K '~ \ 2�20AUDAY x 2 DAYS - 6LJ)GAL I�GONK t,7PA LOT 13 VIL.,1V LOT 14 USE: ' S". GALLON SEPTIC TA So �ABSoIiPTION-SvsEM-- S52109 L 0 OF& SIDE AREA: AVID 60 9:P. /17 'Z S -LT JASON - :-BOTTOM' AREA: c:) 0 NU.106 6 LOT 11 SEPTIC SYSTEM SECTION 16F ol% rcuHmD, /49 L F, iL 0 th 71 —ilo 1_fe� 'D �q,7 GAL loinZ AM Mo SEPT I C TA14K _7 �..-- - q y 0 00 &f-v 0 SITE AND SEWAGE PLAN LOCAT 1014 : � 475 OLD 70W lZolAr,> PREPARED FOR 0 510f::� 6Ffl let?SCALE: o DAVID. B . MASON FI-5 DATE: DBC ENV I RONMENt 1*AL DESIGNS EAST SANDWICH . MA DATE HEALTH AGENT ( 508 ) 833- 2177