Loading...
HomeMy WebLinkAbout0053 PINEY POINT DRIVE - Health WF53 PINEY POINT ROAD, CENTERVIL A=229 — I &Kim& � s o TOWN OF�BARNSSTABLE LOCATION ( �`� p-�fJL� Y 05TAe I/ esEWAGE # VILLAGE l V I C I�tJ�. A/ ASSESSOR'S MAP & LOT �IV INSTALLER'S NAME&PHONE NO. /�t I SEPTIC TANK CAPACITY 15 LEACHING FACILITY: (ty NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: D 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 f31 Up • C�4 3 O z 1 � r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owner's Name information is required for every Centerville MA 02632 07/13/10 page. Cityrrown State Zip Code Date of Inspection 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. Irn When fillingng out A. General Information out forms on the computer, � use only the tab 1. Inspector: L) DI key to move your cursor-do not Michael Kellett use the return Name of Inspector key. Aardvark Environmental Inspections „y Company Name P.O. Box 896 Company Address East Dennis MA 02641 Cityrrown State Zip Code 50&385=7608 SI 3742 Telephone Number License Number B. Certification o o 0 I certify that I have personally inspected the sewage disposal system at this address and thab-nhe z information reported below is true, accurate and complete as of the time of the inspection. Tinspsction was.performed based on my training and experience in the proper function and maintenance-ef on'Vite sewage disposal systems. I am a DEP approved system inspector pursuant to Section I&340Wf Title 5(310 CMR 15.000).The system: Cn 3 Cn ® Passes ❑ Conditionally Passes ❑ Fails N A i W ❑ Needs Further Evaluation by the Local Approving Authority M �rG 07/15/10 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 this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater; the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use '. at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owner's Name information.is required for every Centerville MA 02632 07/13/10 page- Cityrrown State Zip Code Date of Inspection B. Certification (cost.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.30.4 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. Check the box for"yes", "no"or"not determined"(Y, N, ND)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. ❑ Y ❑ N ❑ ND(Explain below): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 't 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owner's Name information is required for every Centerville MA 02632 07/13/10 page. Cityrrown State Zip Code Date of Inspection B. Certification (coat.) 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 ❑ Y ❑ N ❑ ND(Explain below)-- obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ 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(s). 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 ❑ ND(Explain below): 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 16.303(1)(b)that the system is not functioning in a manner wrhich will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privyis within 50 feet of a bordering.vegetated wetland or a salt marsh 9 9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owner's Name information is required for every Centerville MA 02632 07/13/10 page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis,performed at a DER certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis.must be attached to this form. 3. Other: 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 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owner's Name information.is required for every Centerville MA 02632 07/13/10 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. El 0 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 fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply El El the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 89 Piney Point Drive Property Address Dorothy Bornstein Owner owner's Name information is required for every Centerville MA 026.32 07/13/10 page. Citylrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes or"no"as to each of the following: Yes- No El ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ 0 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? ❑ 0 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? Z ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ❑ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] C. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owner's Name information is required for every Centerville MA 02632 07/13/10 page. City)rown State Zip Code Date of Inspection D. System Information Description: 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 Seasonaluse? ® Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date 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 Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owner's Name information is required for every Centerville MA 02632 07/13/10 page. City/Town State Zip Code Date of Inspection D. System Information (cont:) Last date of occupancy/use: Date Other(describe below): General Information 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: 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) El Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval: ❑ Other(describe): Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owner's Name information.is required for every Centerville MA 02632 07/13/10 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed(if known)and source of information: 1.1/14/01 per BOH Were sewage odors detected when arriving at the site? ❑ Yes Z No Building Sewer(locate on site plan): Depth below grade: 2.5 feet Material of construction: ❑cast iron ED 40 PVC ❑other(explain): Distance from private water supply well or suction tine: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1.8 feet Material of construction: ®concrete ❑ metal ❑.fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: . 1500 gal Sludge depth: 3" Commonwealth of Massachusetts u''�` Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owner's Name information is required for every Centerville MA 02632 07/13/10 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cunt.) Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 2" Distance from top of scum to top of outlet tee or baffle 6 „ Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tank was sound and tight with tees in place and liquid at outlet invert. Grease Traplocate on site plan): ( P ) Depth below grade: feet Material of construction: 0 concrete ❑ metal ❑fiberglass 0 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 89 Piney Point Drive Property Address Dorothy Bornstein Owner owner's Name information is required for every Centerville MA 02632 07/13/10 page. Cityrrown State Zip Code Date of Inspection D. System Information (coat.) 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: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): Attach copy of current pumping contract(required), Is copy attached? 0 Yes 0 No Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 89 Piney Point Drive Property Address Dorothy Bomstein Owner Owners Name information is required for every Centerville MA 02632 07/13/10 page. Citytrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert Even 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.): The box was level and tight with no sign of carryover. Rump.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.): Soil Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .�' 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owners Name inquired foon r Centerville MA 02632 07/13/10 required for every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: leaching chambers number: 2 ❑ 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.): This system has two 500 gallon drywells surrounded by three feet of stone.There was no sign of ponding or failure in the stones. 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 d Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owner's Flame information is required for every Centerville MA 02632 07/13/10 page. Cityfrown State Zip Code Date of Inspection D. System Information (cone) Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Commonwesfth of Massachusefts Title 5 Official Inspection Fora Subsurface Sewage Dismal System Form-Not for Voluntary Assessments 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owner's Name information is required for every Centerville MA 02632 07/13/10 page. c4rTown State Zip Code Date of inspection D. System Infonnati n (cunt.) 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 6�ecor re �a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y� 89 Piney Point Drive Property Address Dorothy Bornstein Owner Owner's Name information is required for every Centerville MA 02632 07/13/10 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground.water. 4.4feet 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: I augered to 5.1 feet and found damp sand. ladjusted to 4.4 feet. Bottom of leaching is at 3.0-feet: Before filing this Inspection Report please see Report Completeness Checklist on next page. ,w Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 89 Piney Point Drive Property Address Dorothy Bornstein Owner owner's Name_ information is required for every Centerville MA 02632 07/13/10 page. Cityrrown State Zip Code Date of tnspedion E. Report Completeness Checklist Z Inspection Summary:A, B, C, D,or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file TOWN OF BARNSTABLE CF TN E t�lr OFFICE OF i 11Aaa9TaHn i BOARD OF HEALTH y Mas6. p� °O i639• \e0 367 MAIN STREET o1�pYp HYANNIS, MASS.02601 February 2, 2000 Edward Stone 141 Route 6A P. O. Box 1729 Sandwich, MA 02563 RE: 53 Piney Point Road, Dear Mr. Stone: You are granted a variance on behalf of your client Dr. Jagdish Shah, from multiple provisions of the State Environmental Code, Title V, to construct a septic system at 53 Piney Point Road, Centerville. The variances granted are as follows: 310 CMR 15.405: To reduce the separation distance between the soil absorption system and the property line to zero feet in lieu of the ten feet separation distance required. 310 CMR 15.405: To reduce the separation distance between the proposed soil absorption system and the foundation wall to ten (10) feet in lieu of the twenty (20) feet minimum separation distance required. Part VIII, SECTION 10.0: To reduce the separation distance between the proposed soil absorption system and Long Pond to 85 feet in lieu of the 100 feet minimum separation distance required. Part VIII, SECTION 10.0: To use an application rate calculation of 0.74 in lieu of the 0.50 calculation required. Part VIII, SECTION 10.0: To utilize the sidewall areas of the proposed soil absorption system in the calculation for the purposes of sizing the leaching facility in lieu of this provision which disallows such sidewall area use in the sizing calculations. stone The variances are granted with the following conditions: (1) No more than four (4) bedrooms are authorized. Dens, study rooms, finished attics, sleeping lofts and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (2) The septic system shall be installed in strict accordance with the revised plans dated January 18, 2000. The revised plans show an impervious barrier between the foundation wall and the leaching facility. (3) The designing engineer shall supervise the construction of the septic system and shall certify in writing to the Board that the system was installed in strict accordance with the revised plans dated January 18, 2000. This variance is granted because the existing cesspool is located less than 60 feet away from Long Pond and is in all probability, sitting in the groundwater table. The proposed replacement septic system may alleviate a source of pollution to the pond. Sincerely yours, tuan G. Ra R.S. Chairperson Board of Health Town of Barnstable SGR/bcs stone z 2 4,1-1 Piz C� S Cc- lL-17-c--,f �o �r 1�4 2 ro 2p00 ltvt, �-: 1i6i99 NOTICE: This To Be Used For e Repair Of Faile eptic Systems Only. CERTIFICATION OF S CH AND APPLICATION FOR A DISPO AL WORKS CONSTRUC7fON PERMIT (W=OUT DESIGNED P L.A-NS) I, hereby certify that the applicati n for disposal works con=cti permit signed by me dated concerunQ the property locate t meets all of the following criteria: . jr • The failed systeai is canner ea a residential d !fin only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I th ercol on rate is less than or equal to 5 minutes per inch. • There are no wetlands wi 1 100 feet of o posed septic system • There are no priva wets within 150 ` _t of the pro used septic system • There is no ' crease in dow and/o change in use oropos • There ao varianc= repues d or ne`ded_ • The botto of the propos l eaching fac liry will not be located l s than five feet above the ma:-= adj me an Adjust the group ater table using the Frimptor methcd when applicabl • If the S.A.S. will ocated with 250 feet of any vegetated wel ds. the ttom of the proposed leaching facility, ill not be !crated less than fourteen(1Y) fe , above the cimum adiused groundwater ta' e e!evadon_ Please corn fete the rollowing: A) op of Ground Surface S?e on(using CIS information) G.W. Elevation _the 'ALK !~Iigh G.W. Adjusment DtF EREtiCE 3 TWEEN A and 3 SIGN-ED (Sketch proposed plan of systern on back;. q:hCaith ioldcr.:ct io ------------- TOWN OF�BARNSTABLE LOCATION J� �(L � SEWAGE # ?O0 ' �Ok C,� � IZ Z n VII LAGS_ ASSESSORnS ! INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (ty ) (size) NO. OF BEDROOMS I BUILDER OR OWNER i PERMITDATE: COMPLIANCE DATE: i 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 zo £ �e � - a 0 I ►�9t�1 - €� 9-eo/ V� )2)A No. Fee THE COMMONWEALTH HUSETTS Entered in computer: !Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS . .� application for MtggaY pgten Conztrurtton Permit Application for a Permit to Construct(�)Repair( . )Upgrade( )Abandon( ) O Complete System El Individual Components PP Location Add ss or Lott No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel t Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. `,tAU a��JS �:ndtut Alt-, �t I I I , "YcoviCN) 9-aAD Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building ' {S -No.of Persons Showers( ) Cafeteria(. ) Other Fixtures Design Flow + t v gallons per day. Calculated daily flow 4 tr gallons. Plan Date Number of sheets e� Revision Date K aD0--v Title Size of Septic Tank I ✓`oo Type of S.A.S. 4 Elmo Description of Soil y -7 S or,� Nature of Repairs or Alterations(Answer when applicable) T d- L_,,"V,jINEER MUST SUPERVISE ANE) CERTIFY IN W THE SYRTF WAS INSTA L M i G. L ACCORDANCE TO PLAN STMT. , Date last inspected: ,.;.� Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. 9 Signe;or Date 7 - .. Application Approved by Date Application Disapproved the following reaso ?1 Permit No I Date Issued t � ..�. Entered in computer: "� THE COMMONWEALTH HUSETTS e I, PUBLIC HEALTH DIVISION -TOWN OF BA NSTABLES MASSACHUSETTS 01ppricatiou for Digpoal *pztem Comaructiou Vermit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assw.,M,55� r&tj Insstallller's Name,Address,and Tel.No. Designer's Name�jAddress and Tel.No. V l:Yl+r 15wr Cor'15�r% c.�'10�_ ?_ - )`7 t- "�. c'4 Type of Building: 1^ Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 5 Design Flow t�` gallons per day. Calculated daily flow L, L, gallons. Plan Date- 14 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. tt__ Description of Soil W e 17 �✓i j►�� Nature of Repairs or Alterations(Answer when applicable) 4'ti °.z Date last inspected: y � Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has,been issued by this Board of Health. Signed - Date Application Approved b '47 A Date Application Disapproved f oRowing reason Permit No. Date Issued 11 ----------- -------------- --------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (1iJ Upgraded( ) Abandoned( )by at has been constructed in accordance .� � -�— Mtn y with the provisions of Tit e 5 and je for Disposal System Cons` f ruction Permit o. dated Installer Designer The issuance of s permit shall not be construed as a guarantee that the system will function as esigned. Date Inspector No. � � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE MASSACHUSETTS lwi5 opal stem Cou5tructio AND CERTIFY IN WRITING p AS INSTALLED IN STRICT Permission is hereby granted to Construct( )Repair(—J Upgrade( )Aband OF)DANCETO PLAN*.=`' System located at 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:Constructio must b completed within three years of the date of thi rm' . Date: Approved by �%/ 41- u `�%� WILLIAM LIEBERMAN 235 TIMBER LANE MARSTONS MILLS. MA 02648 TELEPHONE (508) 428.2592 August 31, 2000 Donna Miorandi Barnstable Board of Health 367 Main Street Hyannis, MA. 02601 RE: #53 Piney Point Drive, Centerville Ma. Title V System Upgrade-Single Family Dwelling-Map 229 Par 1 Dear Donna: Please be informed that I have inspected the Title V Septic System Upgrade installed at the Referenced Location in Centerville, Ma. by Enwright General Contractors. . I have found the Instalation to be significantly in compliance with the approved Title V Upgrade Plan prepared by Edward A. Stone R.P.L.S. and myself dated 12/6/99 and revised 1/18/00. Enclosed is the "As Built" Plot Plan Prepared by Stone dated 8/30/00 showing the Ties and Invert Elevations for the installed system. The following items are changes from the drawing and comply with Title V and the Town of Barnstable Regulations. 1. The installed chambers are H2O Loading 2. The bottom of the chambers were set slightly more than five feet from the adjusted high water table,i.e. dropped approximately eight inches and the top of the chambers are slightly less than 36 inches from the surface. 3. The pipe slope from the foundation to the septic tank is increased fron 3/16" per foot to 5/16" per foot. 4. A vent pipe was added to the system. �`S i Wnc �4ss AM Vi !!! ER MAN M WiAiamie erman, R.P.E 9140. 13971a ti enc: "As Built" Plan °6 S �S J�,�4►'� PREFSS.VLM ( 0Nnt E y�Y Town of Barnstable 5'x7k I)eltartntent of Ilealth,Safety,and Environmental Services Off 1fe�� 1'llblic Health Division D:IIC 7-1410 a� 367 Main Street,I lyannis MA 02601 • IARNBTARM y MASS. t679• �� prfn►nA+" Dale Scheduled 7" /6 — 9� Time /D 4AI I cc I'll. /00 T 13 9 `9 Soil Suitability Assessment<for Sewage Disposal �< y li rated IJy \Vilncsscd IJy: •p AvA/9 /'//a/P/9AJ��.� 9,1114 660-4*414 UU �TZ s��✓icy /d?f _ HOC ,',�;ION & GENERAL INI+0101ATION I.ocaIioo.Ad.dress ©9&Y//a».1A 6m" eCe Owner's Name '�Q. �js/��j %!4 iD BcgZA0,vw9 y ?At4 0y'�Z.& ��it�Q Address e �y/o L9m6 Assessor's Map/I'arccl: Fngincer's Name �Pf PV ' NE\V CONS]RUCI ION REPAIR I cicphonc tl �_ 6�9 1-111d Use /� �F% 11 Slopes 1%)�- 3—/0 Surface Stones �t� `/LA./L�WPJ 4fir C —OA.6 / Dislrntces from�J) lien Water[Jody 109 Il Possible We(Arca 111'fl Drinking Water Well AJA- Il 1,1 4 rainagc Way /77 it Properly L,inc R OIhcr Il SKE it CI1: (Street onntc,dimensions of lot,exact Ile I I s oftcst Miles&perc Icsls,locale\vcllands in prosioiity to holes) b L cc)ts Ott �p� j40 I uwl N �o Cio3d2) �� p, t a\ 0.-�:CA ; on-W, �Tv el iL Parent malcrial geologic) f,p Dcplh to Hedrock Dcplh to Groundwater. Standing Witter in I Idle: \Vccping from Ili(Pace Estimated Seasonal I ligh Groundwater /Aj<17 12 Method Used. rl/ U2� / ��9 y�/td �O�p1Ci�1Vl� ;It 21;% �3'7 E'l�ead Z ,J �� /�t�. �56 3 •'fJT>G d'cs•.r1�9-�¢•�v�91 Depth Observed standing in ohs,hole: IVOA lr, in. Dcplh to soil mottles: �J.d/e ill. Depth to weeping from side ofobs.hole: Al y in. Groundwater Adjustment Inrlcx Wcll N Rending Dale:_ _ hulcx\Vcll IC-,,CI faclor Adj.Groundwater I.c%cl Z'ERCOLA ION TEST . i>lie,: >:u. ifitc /O � d �> 5-77 Observation �• ii �/ }tole If I/7 2 -- I IIIIC at 9" Depth of Perc /y °/J�— CJ�fj 1'imc al G" Start Pre-soak"I'intc @ nn � time(9"-G') ,,aa EnJPrc-soak /yo/��� 74,7d/4 /64,A / Rate Min./Inch ��p Site Suitability Assessment: Site Passed Site palled: Additional'I csling Needed(Y/N) Original: Public health Division Observition hole Daln To Be Colttpleled ()It l3rtcl( j copy: Applicant OI3 jgkv TIOT HOLE LOG title## ��rv3J� '` ssv�i� Depth from Soil Horizon Soil Texture Soil Color Soil Other %lsa44 Surface m. ) (Munsell) g (Stricture,Stones,Boulderes. Ra-a'ZJ (' ) (USDA) Munsell �Moulin ° 3©it GiGGiCr.� n i tenc ° r el r << YX3/z al b 32�-fib � C• ��� � qL eVV'I- DEP.. BERyATION DOLE liO,G Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) , Mottling (Structure,Stones,Boulderes. nitncy.%Gravel)- r; H I' E S I2VA`�ZON HOU, t,OG Hole# . Depth from Soil Horizon Soil Texture Soil Color Soil - Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. n i tenL°° ravel .. DLEP OBSERVATIbN HOLE L( G :ole#::; .. .. . . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency-% ra el i F Flood Insurance Rate9 Above 500 year flood boundary No— Yes V , Within 500 year bourdary' No_ Yes Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Y�T If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of E ironmental Protection and that the above analysis was performed by me consistent with the required train* expprtise and experie scribed in 310 CMR 15.017. i Signature Date 16-9� L rr 1;[ Business: (508) 888-3619` .?J Home. (508 398-6813 SURVEY, INC. s�,C��em.?Agc. 141 ROUTE 6A _ SALT POND BUILDING P.O. BOX 1729 SANDWICH, MA 02563 TO: Barostable Board of Health December 6,1999 RE: #53 Piney Point Road Map,229, Parcel 1 Dr. &Mh Residence, Centerville,MA 02632 S(JBJ: Repair/Upgrade Site and Sewage Plan Va& ceR_equo W, er 310 CMR 15.405 Per Title V W CMR 15 211--Mi--Minimum Setback-—able 1). S.A.S. to property line(street line-.-R.O.W.) 0'provided--10'variance requested 2). S.A.S to cellar wall, minimum 20' 10'provided--10'variance requested 3). S.A.S. to water service line 5' pmvided--5'variance requested Town of Ba-)stable B.O.H. Regulations 4). Section t.13 S.A.S. to water course (Long Pond level elev. 94.3, located 2-18-97 by C.R. Short) 85' pro,6ded--15'variance requested from 100'required 5). Section :1.14, S.A.S. calculation 0.74 provided-424 variance requested from 0.50 required 6). Section 1.2, S.A.S. calculation Side.and bottom area provided--side area variance requested from botton area only Regect lly Sub ittTEDD A. STO. fi 0*1HE tp� DATE: O ♦ r FEE: BMWgrABGE y MASS. $ �� �" •� �A 1639• REC. BY Town of Barnstable �+LIVEO S CHED. DATE: DEC 7 1999 Board of Health TowNO wNsT V 367 Main Street, Hyannis MA 02601 NIX7N DEPr Office: 508-790-6265 \Q Susan G.Rask,R.S. FAX: 508-790-6304 / 1 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION Property Address: Assessor's Map and Parcel Number: �q/d ZZ ,�4;2K , Size of Lot: Wetlands Within 300 Ft. Yes V Subdivision Name: No Business Name: APPLICANT CONTACT ERSON- Name:7Lk R. SH-14,04 Name: 22 S "u/r / i fib o � 2�J Address:l4�/14aleA✓ /IOtf✓> Address: G ✓�ti//GGf �i¢ DZf�i,3 �•�i�vc�JcLe /�•Z d Z 90� Phone: 44 l— Z'7 2— 7Z SS Phone: 5 19 — Bva) FAX: 3"D O o 4P7 9-- ZG76 FAX: .V 63 —&�9& — Z49,6 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 41^/0" t/a /v rl/,90C., 1?6V. W,c Ceu PC c v. Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(same owner/leasee only),outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G. Rask, R.S., Chairman NOT APPROVED Sumner Kaufman, M.S.P.H. REASON FOR DISAPPROVAL Ralph A. Murphy, M.D. Q:/WP/VARIREQ t M, � n N <�R N G 0 ICAO _ 0 1 �Pol e 12 �a of c, 0LtE �1�1,Jw1�V „M) = 1 D¢ Ali �aot c, 71 PE �-6 V.SE 10� t 6Z , 40 - �' F (z,1Gi7 ..11G1 ry A"64 L� J J V = 1 D Z. I U OVTz�T/M F4 . A - 2 w'-Z" G-Z IA 7" PJG 0 rJ �ajC s1u�p w�swe v -Dlf�, t� r�la L rJ LC-T- = I OD , o ¢ � 5c P-n cr TA 1�"'�izi R5 �J✓• G - - •p A--azn-�E-r = 9G7 22 '- 9" �"T'��/ 9 9• S r-ou(Z(a-) sr�6rAL GF4t�,n�E�" 1a�1I l^��-CT = aJ�• ' /STV'JE) = 97, r �ra0f-4,rZZ7ur-J,:;) Nt 170 v✓Arc �orz-O Fic..0 1- �S�tJ l L-1':1 !� �STA�TI/�L_GDM LI Anl Lt= vy l'h�-F l � � 1��� �= PLAnJ'� v 1 L•T .10-C O F3 Y l: j/.A J(2 AP -.A/GR 5y Fa a+J s-m 10 LE E� 14, = H�REr3Y c.�L'T 1 Fy -rtr+a-c' -rv;c FEDT GONFm "P"T11E 13v1LT�lNj6R i HG ft.C�.w Wt-T T 4& S7 -�a tA -TO fl1ME r, lzc-Q01TZ. -m*,,,rm t wHE►J co s i CULTEs7 g/�.Rfv ST,� �jLC C=E-C�F Y � o ► �Z- 0 8 r 3 O- ovy� FAti-i-- wt rg t a 0s= ►t� f000 H 4-:61,eV AIZ� d t 15 %2 c�r u 1�A LT t-F 1D'ES1 U A `V7 A� �O�J E � G " pti1 F1�1d� � 2 0 001- s�r rs'r�t.� g- ��- �S ��P. PAY o �=-sY�►���� 7 z-9� Rt=?275•t5 IC03 Uly A►s D is N oTJ E t o �►.lvwrca�MA.oZ5lo 3 1-t�� �t='ram-• - _ tN of o EDWARD A. . AKA-�4 STONE �'-% Pf No.28960 "Py°11 ' /' � r� ���' �~✓�� � -� �/ ��3D ' D� �d�ti JSLj � Y s. �lNl.,� �M LY �/Q.QO A, �Ur`1 E Tz=P L• Z�9�0 - �L�117 Ph t L - O� MAP 22� � r'✓� TOP OF FOUNDATION 0 �- _ - EL-- 104.90 -r-- eGiti` To -J 15 / 0 / �.M .'Gn�s,on�>vv po l�as� RAISE wtTH HZD �!� �. 4- 5� I �� FSE„tc H MA-2 K r -�, }{ �. 4? e.r.1 P>2 a v t +C GRADE ELF�aID3.� '��8��' cis-- EXISTING AND FINAL GRADE EL ►04 .a,^�Not_GS EXISTING AND FINAL GRADE ELFl� ID4.O Q �o EXI TIN AND FINAL RARE E I , EL- O 1rr �D5 rC =D.DZ�' FzE�� 4v177; +CIS ' • ' " fi0 11 Y ^► �- 1 M I N .3-O MAX = E 1—' 1 y 1.4' INV EL LES -____ _ — _ FLOW LINE - ��,-� ��7 �_ ✓Aet�s� E�� s�� ti y i I fnI __- - ---- t 13 O �� ('ovzv :ov.ow EL= Iol:o y"r9ur asuen��►aJ��t�s?on.) r/1 Lt a I = ZC�C� INV EL-1d�.90 - 14" INV EL= I ao.7v 0 t w ' INV EL'IOD(�D INV EL= 05'43 -- i, _._ _ 2"MIN-3"MAX =ll li=1L-L INV EL' loo.w O - `~ �. Q. . ¢ l/z 1 U 5 7 , { I 4'-4" �, t.I 6" BASE OF CRUSHED STONE Z -o d ©v O Q 14`-F 1/2" - 4'-1" LIQUID LEVEL EL- 4)6 - e: r GAS BAFFLE �` 2'- 7 15 1/2" W X 30 1/2" X 20" H -- T -- _ _ - EL= %�-3� 3 INLETS------5 OUTLETS — -, --- --- ---- - �_ _ _ - - = WATER TEST REQUIRED H2O �ov� - SOOc-,AL GHsM�Gc•s �4-tD` - G"� FLOW DIFFUSORS WITH ^ OF STONE " ALL AROUND AND e'BELOW INVERT 5M7� PTzo 6 BASE OF CRUSHED STONE 3�N , y b H20- DISTRIBUTION BOX D/B 8 5� BOTTOM OF TEST HOLE l���. I O ' x 4-o v •pT�.,�, � EL= �t•Z ,QE�SqL> <..o� O Ir NLIakA.vJ.�2D, w�tc.- o,� ri ��HaFa,�s 1500 GALLON P/C SEPTIC TANK S = �•,-eV �Z•� eL�,c 4 2. ,8 ,9, �•�•�w.f P&. WITH H10 LOADING �cPT P`�� ��.T�� -� o -�7 G - SOIL ABSORPTION SYSTEM ��cr-1o. 43- 4Ra.►� PROFILE OF SEWAGE DISPOSAL SYSTEM (TRENCH FORMATION) G� 92•�L SOIL TL.;T RESULT�:FORM # 1 1---� 9P.8 Yip N HOLE # _ HOLE # y' �t �� oF �S 3 g�,i f. I Et_V x�10 2 .. ELV --- e) 0� e 24 Logyys,�✓� >�°s�5✓� �.a� ��` /2- Z S. l/2ranc.eGZ�31 D CM(- 15,ao 5 g ea r� \o C9 ✓ - 1 �° 0 — 36.. 0 l' 9' PS� Sa✓� f n/30NMy7/AA5 /-%� TitL' V 31b C,M2 15. 1,t- Mlh%mon� <kTa�le -- PER /SON M.Elrr/�vGs ems/ /- /8 Ov Co�/O�rIvrJS ` by 48" _ -- pro 1 S•%�.+ram Prut-vly I\,ne�v,24Itne-P_D W �___ -- J--qA"D i f(1 /1 L� � �Z� q�� ` ` 3a r I /7 n o'Ao,) ►jo d -lo'v&ocncereQues1 ! - „ L 60' f�PG. Q2 5.A.5.to cdIrey �f�Jl, y\\AirAiVA 20' —�o- 15rat-t-(Mo4, �M)L• �►-y.)gMr�lrCViouS QdRrI� R. � of �, � f7A q>r�`. �, r�� �A�o _--"" 9,��) e `oOiP Sq�/ ID PYOVJled-��'v�riZhc¢Yer{v� .cd 2 — sE o�►E e,� " �b���) '� �2" m _t " _ _ y __y KeJ_0CATE WAT&C 5�r,�it4_E -ro I vVnA►4, 0.5r. rV-01✓t z (h { �� �+ 44 d r�*� ���°,� •!�� ' .• + iS�r� G NG JF;AN GU v - 84 w/�/ego%r�G'o ,� �,v el��J ✓�•rl 1 ,,lAn'" coo C22V-2 ) v N`/��T Cs=v-/ to C/ nw ' . C w� (���El.gTia - i //`�q� 1 v \ e f� `Jt i C��L7/f' iT�L T� L51_5S7 96' QcvTCHEs TowA a+ BE►m51chG._ E30_H. k;wvl�li��, s , Anima` , �� Jn%F/4.'MARY tows=v � F�w1V--,4 ek-v, ioc�e�t 2-I8 )i by n ♦ �1 "- / l9iP/�. cur CL �x3 94 �, "� Co9RSF7 ✓v 't `35' G'1'avclad- I�' vavr2v14eT P��1 �YoM lodyejf'o/red ti rl� e - / / ✓�,�1� itf�,�/ Q� `�oE n•/�o�9CCE3S cST, rTN /dFS/]S 120 - -- - '� �. y►; / �` ; `� Ti► Off 8DX c /� -/f DAt� ✓ I ,, ,, t� ,�:.✓E S4�o ► calc.,IziCo� 4 'i y Q1 ?��Jb �►� / add E \ / n G2 I �S, Zsy7/3 �P/; �r ion 1. 4.. ✓ !j i i / �� h ��;' a �) 6 �h5RA4,At,V' TDw"N,/v.�/2524- n 132"� - -- 0.74 provid. d D, V�rdnCPYNAJ�..�. rvrn D,a� Y fU �' ��) (1�' �I _ -- 144.. -- _.__ /� i s Q S:-" ia» 1,2� S,�:�.Ca►G„I��on / Z� �Aj LV= �I.'1 ELV S�c1Q��d bvkom aroma ��ro✓i� -side area vav�ar�cP recaVes-1ed{��mborn a✓ �,r,ty `'r �� , di x� �S G�LG�.iii✓D�/r S S C COUNTERED_=%oR tFiSsa` C 11 z. F a ` v f NOGROUN WATER EN � 0�• r-� Ca�.av� '` r• �,s o,.�i�1 b, 1 tJ V �w - 4 TEST DATE: -7- i 4e- `:�B.O.H. M�� _- �-� tJ � � ,� Ids � � l b. �w � 1' 1�1' SOILS EVALUATOR: F_t7 o rJ�= 8,4CKH0)r: aJrcGo'Bu--Fi�at�4 n -yn` 1Q ~ I / PERC RATE `--Z MIN/IN �� " HOLE #•'t A: ! !� �'cxlut-I llA.► .� �� 6,0. ] 1. 1-1 6 00 ME�T.telb_ _ p � -_- - r�� Q3 Po� �`I t�NE COIL TYPE: � , LOADING, nATED•74-GAUSF/MIN I� 1 �f ,- . �5V TI M L&-fo0-r Tu PEE twr,\1 ,, Eeo �I�<15' &0 6`l �.E? L 17. �fizo ` o. `� Ma r�z t 1 01 Q �.- }-+`t1' �%d 6 ��a JE rL 5d.,v/�Lt�•�A-s as / � � 2, 6YSilrM ro BE Ir�Sf C� E�J �� RAG- far- 5v85iA� TI&L_ 6oiAPLIiWCE TO LOC-hL &-1p "jzATE CC?OF-J � . P, t.` �• C�?CAOd b 3. SY ht a l..A`� �1 I LTj � �.�, �/E RT, Lvc.ATl o�J 19-Y C .L"h" / �� '��� ��J �D �� ' { PE IGN CALCULA i 1ONS '!� � � � '9 tot o y. P ' 0 . 4 r(,o - •iUMBEROF BEDROOMS . 413R( TITLE V ,MINNIMUM-3] � �� 11 t �c�f1�P' �� l �� \ t / � r 7� h GARBAGE GRINDER :-- NONE PERMITTED \ Pc, (A o� a I L TOTAL DESIGN FLOW : a 110 G/D/BR. X 4 BR'S =440 G/D / a, RAN SEPTIC TANK:- H ZO 4 40 X 2.0= 880 GALLONS ' 1 I z1TLE V MINIMUM 6SE 1500 GALLON TANK ( ] 5.S A.S. FLOW PROVIDED E30TTOM AREA : !D' X 44 =4D0 gQ. FT. � �f� � ! �.o_...- � rI t •�� t=, - Go � '� 5-C� � � 1 I G' r SIDE AREA : Z` vc 100 = 20o SQ. FT. �� ,'`/ \� ,� a2 �- AO 6 YAI Lr /�/'o c,,R- 4 Y TOTAL AREA : 4.00+ Zoo = lvoo SQ. FT. / J TLOW PROVIDED :=- -00 Xo-74=� G/D Is ' >��� -% 11, ` 6.RESERVE S.A.S. CAPACITY � � P `\ � n1 RESERVE : 4-44- - 44o = 4-- G/D wvv,d.a. wvtcl R4sevve- �tL �/ ���` ^ ` � � • � f 4 c• LI ft__�EA GENERAL NOTES_ �° .•° �,F 'r I 1.ALL WORKMANSHIP AND '`AATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND TOWN OF 'P�ARtJSTAbLE.. RULES ANC REGULATIONS FOR SUBSURFACE DISPOSAL OF SEWERAGE. �1Y ` ;�� A A 2.AT LEAST ONE ACCESS PORT OVER TANK TEES SHALL BE ACCESSIBLE WITHIN 6 INCHES OF G✓ FINISHED GRAoE,WITH ANY REMAINING ACCESS PORTS BROUGHT TO WITHIN TWELVE INCHES OF FINISHED GRADE. STANDING / L 2 4� ?j(� J�I`., 6 2000 3.ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITH H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FEET OF DRIVES OR "ARKING THEY aJ `' `? ' /F / f t��'1 x9 - t i. CT.4 L 7 G, d 70L"JFi OF BARNS-kdL€ MUST WITHSTAND H2O LOADING,WITH W-Zo Rt tzS Q M-li s� '�`�� l �_pT- C - i 9 D T VATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UTILITIL::. PRIOR TO HEALTH oEPr. 4. HE EXCA � fi.� ��SKr!-.•_'0 �T, r= ANY EXCAVATION. / ��LE M 9 /VIA . L�/ 9 i D '����•v�•Y F'r: ; VFW/✓r t 5.ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL SHIALL BE r.;I,0TARED IN �� PLACE 6.FINISHED GRADE SHALL HAVE A MINIMUM SLOPE OF 0.02 FEET PER FCIOT OVCQ;'n-'� ' � -�� �110 3 S.A.S. AND DISTRIBUTION BOX, w NTH N-zo �-►SErz�-av >�t•►�• -ram 4�v�• �, y� R� �•� P �� 7.SEPTIC TANK SANITARY TEE'S SHALL BE CONSTRUCYED OF SCHEDULE 40 PVG fs+'✓ �,1ALL CONSTRUCT N N TE :- - ,J 44) D SITft AND EWAGE PLAN TH F OW LINE AND SHALL BE ON THE CEN -RUNE Ewa e e tG� I o rntN o s-� < o�1nN.E.��.� 1 G� �j '� EXTEND A MINIMUM OF 6 INCHES ABOVE E L I• LE t OC AT q '~ AND OCATED DIRECTLY UNDER THE CLEAN OUT MANHOLES. A i �rztiS s-t-a. B>-� �.d-� , �L �Io.��nE % , � �° 1 � e! � FOR: -- c ^= 2.TNSFlytL ItsPF�vtoUS FAF@E1 .s�T nI To t �' ��r. rb F�10we �� �n , I/ +��wGc��o2 �. -r-o 8E Mtnl,lvMlL.t DLY Dl ��j3 {�,.sEY 1✓oI.JT G?a. ./¢ ,� 8.'rHE: INLET PIPE INVERT ELEVATION SHALL BE NO LESS TI1AN 2 INCHES NOR MORE7HAN 3 E��/I po.�i, �ETWE>=N�PT.Ik•t�t� 6o�e,toF�v 9�•S, Z_ � � `� ! t +► ota d L INCHES ABOVE THE INVERT ELEVATION OF THE OUTLET PIPE T AND 3 ° q 4- F LOT: �1J01--­ � SIT E= A- 97HE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. 3.CONTRACTOR/INSTALLER SHALL VERIFY GRADES AND ELEVA IONS T SITE CONDITIONS PRIOR TO COMMENCING WORK ON THE SITE. ;!,. ; �v' 10 THE OUT LET SANITARY TE_ SHALL BE EOUIPED WITH A GAS BAFFLE. c 4, NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDf_:` ECWp DATE: 12-�- 99 GLtElJT': .TA4vtsN Q-�. I�1iwiAsT s*+''`� t 1 i.THE GAS TRAP IN THE TWO COMPARTMENT SEPTIC TANK SHALL BE 4 INCHES IN F_)iAMTER ASSESSORS MAP#2?9 PARCEL # 1 �41 WILL+HM � � A. REV• 1 - I e'-00 " I D Rj��K- ,A-y eoav AND CNSTRUCTED OF SCHEDULE 40 PVC PIPE AND WITH A GAS BAFFLE AS SHOWN OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH - E 40 PVC SEWER PIPE AND SHALL BE SLOPED 1/4 INCH PER DETERMINATION FROM APPROPRIATE AUTHORITY. PLAN REFERERNCE. 0 'MoP 19�S4-L� 5 �v t �IEHERMAN 4. '�F SCAl.E:,4s 1•lo rav "�,ov t --7,Z ---7 , ,5 - • o Z�IDh 1,4 12. A`L PIPES SHALL BE SCHEDU` �10 23l1,i trio S`�80 FOOT MIN EXCEPT FOR THE FIRST TWO FEET OUT OF THE DISTRIBUTION BOX WHICH SHALL 5; VEHICULAR TRAFFIC, PARKING OF VEHICLES AND PLACING MATERIALS � ' .�TA8L6�. ILK i47 4 103 ,�� �a BY: 40l - Z-7 2 - - 25S ,J Ln(-G�'r" �n�EY ar i'odv +' � G�sTgP�`.r� �j�. CFa�s) sas- G --�� �8 BE LEVEL OVER THE SEPTIC TANK, DISTRIBUTION BOX AND S.A.S. AREA IS PROHIBITED. —'�'`?` ssr�Npt Ea ' �,oy 1 ,A�_ �,a.. Sv rz�g Y Z►.t� . Io.IAl�vt_.t- S��TitzAs.PG��.-ttH$�St�1 t�J¢tnlC��o►.15l�.�K.TlC,NJ Or LCJ7rl",'�ST�1� Lto-+ 4�iEEOi.1U B V_kkq $l c JEE:F' � -790� FG.'s t7►�a.t-7'7 �� �vA- �08o tT 5d.+vw�N,Ms. of 3 - — - J3 -mot -a Z4-174