HomeMy WebLinkAbout0002 ROSEMARY LANE - Health 2 ROSEMARY LANE, CENTERVILLE
A= 147 007.025
Ill
UPC 12543 a
No.53LOR
HASTINGS MN
TROY WILLIAMS
SEPTIC INSPECTIONS
Certified by MA Department of Environmental Protection (508) 760-1819
40 Old Bass River Road
South Dennis,MA 02660
C ffnx wveatth of MOSSOC xuetts COPY
Executhre Office of EI'MofineMd Affairs
Department of 15
• Environmental Protection
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Trudy Cozo O /sP i
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM 119g6
PART A
n CERTIFICATION [
Property Address: Ro 5¢ N+a.� L/h ��ry•t I c i►ddress of Owner. ,
Date of Inspection: /O/A3 /5 J` �%j f G
i c �.i
Name of I Of different) C
nspector�oy �; I jicx&") ^ -e .
Company Name,Address add Telephone Number:
<SGe- fl6o,,,- .
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate
and complete as of the time of inspection..The inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems. The system:
-k— Passes
_ Conditionally Passes
_ Needs Further Evaluation By the Local Approving Authority
Fails
Inspector's Signature: Date::
The System Inspector shall submit a copy` o`ff this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection.
The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority.
INSPECTION SUMMARY:
Check A, B, C, or D:
AI SYSTEM PASSES:
1 have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303.
Any failure criteria not evaluated are indicated below.
e) SYSTEM CONDITIONALLY PASSES:
One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair,
passes inspection.
Indicate yes, no, or not determined (Y,N,or ND). Describe basis of determination in all Instances. If'not determined',explain why not)
The septic tank is metal,cracked, structurally unsound, shows substantial infiltration or cxf kration, or tank failure is
imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as
approved by the Board of Health.
tr"ised $/mS/95) 1
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: o? /PoSc.c4�y
Owner: L'1- �/,-
Date of Inspection: /D /.23/rt, S
B) SYSTEM CONDITIONALLY PASSES (continued)
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the
Board of Health):
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass
inspection if(with approval of the Board of Health):
broken pipe(s) are replaced
obstruction is removed
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 the
public health, safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER
WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT
THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE
ENVIRONMENT:
The cvctem has a septic tank ano soli absorption system and is within 100 feel to a surface water supply or tributary tc a
surface water supply.
The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well.
The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water
supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is
free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5
ppm•
Oj SYSTEM FAILS:
I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis
for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct
the failure.
_, Backup of sewage into facility or system component due to an 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.
revised 8/15/95) 2
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: a 5, .*,µ,-
Owner.
Date of Inspection: /a3�ys
DI SYSTEM FAILS (continued):
Static liquid level in the distribution box above outlet invert due to an overloaded or dogged SAS or cesspool.
Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day,flow.
Required pumping more than 4 times in the last year NOT due to dogged or obstructed pipe(s).
Number of times pumped
Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
Any portion of a 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E) LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria above:
The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety
and the environment because one or more of the following conditions exist:
the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone It of a
public water supply well)
The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program
requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
(revised 8/i5/95) 3
i
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: a RbSt v►�ury
Owner: 1-,44Ix-
Date of Inspection:
Check if the following have been done:
1Z Pumping information was requested of the owner, occupant, and Board of Health.
None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates
during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection.
ZAs built plans have been obtained and examined. Note if they are not available with WA.
The facility or dwelling was inspected for signs of sewage back-up.
, The system does not receive non-sanitary or industrial waste flow
ZThe site was inspected for signs of breakout.
ZAII system components, excluding the Soil Absorption System, have been located on the site.
✓The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or
tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum.
_ZThe size and location of the Soil Absorption System on the site has been determined based on existing information or
approximated by non-intrusive methods.
V The facility ovmp, (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-
Surface Disposal System.
(revised 8/15/95) 4
e
�4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: o2 9O S-vh"-y
Owner:
Date of Inspection; /o Xq 3 /y S
FLOW CONDITIONS
RESIDENTIAL:
Design flow: alIons
Number of bedrooms:
Number of current residents: y
Garbage grinder (yes or no): Wd
Laundry connected to system (yes or no):-�LCS
Seasonal use (yes or no): N,'>
Water meter readings, if available: Y - /o y J o y
3 1.2 oC //0 h S
Last date of occupancy: 0
COMMERCIAUINDUSTRIAL• P/.9
Type of establishment:
Design flow:_-gallons/day
Grease trap present: (yes or no)_
industrial Waste Holding Tank present: (yes or no)_
Non-sanitary waste discharged to the Title 5 system: (yes or no)_
Water meter readings, if available:
Last date of occupancy:
OTHER: (Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information:
YV�"70t 0A o2 LJ�tI. S oQr J r f'� S b L c�J7
System pumped as part of inspection: (yes or no) Al-
If yes, volume pumped. t?allons
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)
Other (explain)
APPROXIMATE AGE of all components, date installed (if known) and source of information: Z)V
Sewage odors detected when arriving at the site: (yes or no)LID
(revised 8/15/95) 5
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:' o? Qa s� .•,4�y
Owner: L; apt
Date of Inspection: /6 /a3/y
SEPTIC TANK:
(locate on site plan)
i
Depth below grade:____
Material of construction: _kfo'ncrete _metal _FRP_other(explain)
Dimensions:__ S /X 9 IX�
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle:
Scum thickness: A161VC
Distance from top of scum to top of outlet tee or baffle: N,� s
Distance from bottom of scum to bottom of outlet tee or bafflers
Comments:
(recommendation for pumping, conditLof inlet and utlet tees or baffles, depth of liquid level in relation to outlet invert, structural
ntegrity, evidence of leakage, etc.) /..c_�s ,,�„t 4-o .., o
d-7f G o L S --4.,
GREASE TRAP:�.�
(locate on site plan)
Depth below grade:
Material of construction: concrete _metal _FRP —other(explain)
Dimensions:
xum thickness:
Distance from top of scum to top of outlet tee or baffle:
distance from bottom ni cr1im i. honer^ of ou?(?! tee or barite,-
Comments:
recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
,ntegrity, evidence of leakage, etc.)
,revised 8/15/95) 6
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: o9 go
Owner.
Date of Inspection: /o /.z 31 y S
TIGHT OR HOLDING TANK:...,�/�/q
(locate on site plan)
Depth below grade:
Material of construction: _Concrete_metal _FRP—other(explain)
Dimensions:
Capacity: gallons
Design flow: aallons/day
.alarm level:
Comments:
(condition of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX:
klocate on site plan)
Depth of Iiquid level above outlet invert: !w<-/ w
Comments:
,note if level and distribution is equal, evdence of solids carryover, evidence of leakage into or out of box, etc.) -4-2—/3 mx wck- s
_�n✓ /,emu
to ek 12 Rra ga
PUMP CHAMBER:)V/4
(locate on site plan)
Pumps in working order:(yes or no)
Comments:
(note condition of pump chamber, condition of pumps and appurtenances, etc.)
(revised 8/1s/9s) 7
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 0? R0}c-mr Ary
Owner: L-,44
Date of Inspection:
/a/a3/,F s
SOIL ABSORPTION SYSTEM (SAS):Jl
(locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods)
if not determined to be present, explain:
Type:
leaching pits, number: 6'k6 '�I, < <, 4o: 3— w 3 �S fvti L,
leaching chambers, number:_
leaching galleries, number:
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
Comments: (note condition of soil, signs of Jhydraulic failure, level of pond in condition of ve etation,etc.) Sa �1d�.dC
-k 1k _s h I.LI ..L 4�Gl 4 . �1 C� �/{�4.1� V / /1,
'T
CESSPOOLS: L�A
;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:
ndication of groundwater.
inflow (cesspool must be pumped as part of inspection)
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
PRIVY: 111119
(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.)
irevised 8/15/95) 8
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: Ro SG It,.✓�
Owner.
Date of Inspection:
SKETCH OF SEWAGE DISPOSAL SYSTEM:
Indude ties to at least two permanent references landmarks or benchmarks
locate all wells within 100'
a/�
:2-)l
3� v /01ao9w�
3 's,Aati
OEPTH TO GROUNDWATER
Depth to groundwater: feet _ adjusted high groundwater level
method of determination or approximation: _ /�- .t y y� y 6 c �o .•i �<a �, ', ,,, ;- _
,revised a/15/95) 9
i
TOWN OF BARNSTABLE
LOCATION av��. �u SEWAGE #
VILLA ASSESSOR'S MAP &LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
61
LEACHING FACEL TY: (type) `��` (size) S�ti
NO.OF BEDROOMS
BUILDER OR OWNER 4 ;
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 b J �.�
9
ohm r �
�h
TOWN OF BARNSTABLE
LOCATJON OT SE ,X L.N SEWAGE # � 4a �3
VILLAG &495-"
ASSESSOR'S MAP & LOT -
� NSTALLER'S NAME & PHONE NO. ,44 6 N 6,13 7 -7 51 3,9
SEPTIC TANK CAPACITY (c
LEACHING FACILITY:(type) Z-.:.9 c/ (size)(/-) C X E
NO. OF BEDROOMS - 3 PRIVATE WELL O PUBLIC WATER
BUILDER OR OWNER Zl�II A-1 U
DATE PERMIT ISSUED:
DATE ,COUPLIANCE ISSUED: - 1 7 c6
VARIANCE GRANTED: Yes No
6A,?9 G
e �9
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
--E
--.....•... 4�4...........OF.... h.��". L ....................
Appliratiun for Mipauttl Works Tomitrurtiuu rrrmit
Application is hereby made for a Permit to Construct ( _) o'r Repair ( ) an Individual Sewage Disposal
System at:
.....................
or
o.
J .......Lr�V ✓Address................................... ......................................................Lot N................................_........
D.
w ................ wtner' ........................ ....._^^._...............................Address---•-•-•--•-...............................
Installer Address
Type of Building Size Lot...... ?5�. l...Sq. feet
., Dwelling—No. of Bedrooms..................?-�-�--....................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures .......................••----•......---............................--•---............---.....................----.......................
W Design Flow..............�.1 ...................gallons per person per qy. Total dap}y�flow................ ..............gallons.
WSeptic Tank—Liquid capacity._CtPgallons Length............... Width:.4.'.U'.. Diameter....__._-_...... Depth.:E, ;--� *
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No....Q.9E. Diameter........1.Q._..... Depth below inlet.......... .... Total leaching area.... ?,Qq. ft.
z Other Distribution box ()<) Dosing tank n
Percolation Test Result Performed bE-'xl�.l�Psl�IrK. .... Date.......
Test Pit No. 1................minutes per inch Depth of Test Pit.... U4 Depth to ground water......1�.��.1 ...:.
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
a x .............. . .. . O....l-.L....
�.._.1.....�Description of Soil...... �c� C.C. _ M.. ..__ ... o...................l........l.. .......-
.
.....................'---•'--....................----------•-...----------............------------........................... ...................•.
w
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
................................•-•.........-----•------.............----------'-----•----------...----..........---............
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of LITLU 5 of the State Sanitary Code— The undersigned further agrees not to. place the system in
operation until a Certificate of Compliance has be ued by �oar� hSigned.. .............................. ���......
Application Approved By........ ...................... . . .....................-----.......... ..::........ `C....
Date
Application Disapproved for the following r ons:.................•-----•-•-------•----..................---.....................................................
•---•-•'...................•-••--•----.................................---.........-•---•...'--•--...........--'.........._...................._..................................... ..............
Date
-emit No. ....._...___....�2 .._.....__. Issued................
Date
........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF: HEALTH
OF... .......... r ------------------- q
Appl ration for Disposal Works Tonstrurtiort Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: ,
....................
L)cation,-
iAddress or Lot No.•-
i
w .... `/y^: ......«........... WRCi._.^..................................... ..............-----•--•--••-•-•--•- Address***. .................................«......_.
..............................
.......r)L.. ...................I.....O.j.V:=.-....................................... •--•--•-•-•-..................----••---------•-•--................---.............................
Installer ��(( Address
Type of Building V � 5 a-).
� ,R ,. Ix . ._ � Size Lot.-•--•-•--....:. ..Sq. feet
., Dwelling—No. of Bedrooms............. . � :..................Expansion Attic-(---)` Garbage Grinder ( )
a Other—T e of Building ._ -
. a —Type g --------=--=--=-=-=-_--No:"of"persons-�
---.."�._..------•.-----...--- Showers ( ) — Cafeteria ( )
d Other fixtures . ....-•-•.. .............•--•--- ---
.......
......
_.._..
DesignFlow..............�. .��....-.._._........gallon r rson er da Total dail flow.._.........._ ........................gallons WW � Pe Pe P' {�y- � y i� �l
WSeptic Tank—Liquid capacity.►( '�( gallons Length._ .�'. . Width:.';_2... Diameter.._= Depth................
x Disposal Trench—No..................... Width.....___....._...... Total Len ...._...............Total leaching q.P Length ng area....................s ft.
Seepage Pit No.... Diameter.......t 0..... Depth below inlet......... .... Total leaching area... ft.
Z Other Distribution box ("O Dosing tank ( )
a Percolation Test Results Performed by.......... � `+ 4T'`�� :�'�.. . �..... Date..... % :: -
Test Pit No. 1..... -----..minutes per inch Depth of Test Pit..... Depth to ground water...... ......
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a .--••--.._..: --- •......................•----•.......••----......--------._...._..------................--•.........._....................
Description of Soil....../.....L ����aC�t � 14, G(_�p�_� ,_V> , � �t�
P ----•------------•..................•---..�1..-......................--•-•---•-•
---•-•---•--•-----------•--•-•-•---•-•-•-•.........................................••-•-•------•-----......-•--------••-----.... --••.... ...........................
x .......................... ........... ..............................................................................--------_------...----------.....................................................
U Nature of Repairs or Alterations'Answer when applicable...............................................................................................
t
.......................... ------......--••-----..............................................................................................................................................
Agreement: Nk
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of:I':LZ 5 of the'State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by t.h e board of-h-ealth.
Signedren_ - ......................................... !/...:.�.�'.f,./....` ..r.,.. Date
f
Application Approved By.................----i�......��_,AO;., ..._....................._......•--• ....... ..`.......:.....�-�...
Date
Application Disapproved for the following reasons:............................. ..........----------------••-•--------------•-••--•----......................
.............................•------------..........-----.....--•----•-----•------...---.....-----..........-----.............---...---...--•---••----...----..........................................Date
PermitNo...... ................ ------------- Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1�!.................OF.......... .
.. .......................................
Tntif irtttr of Tomplittnrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
...... ..... C
.
-Installer at _L� ....... ------ .------�'------ .... ----- .......!.....................................
has been installed in accordance with the provision f Ti- L _5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No. Via.:..p_. _ - .......... dated........fh::..I19_' gr
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.............................--•-•.... ............... Inspector. .....---•--.. ... . ..............................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........................OF..........1 � 1V..........................
No..........................
Disposal Works Tonstrnrtion Permit
Permission is hereby granted------.....-�J V ti-t:.......---•- / 'i.._,.,--•......................................................
to Construct ) or Repair ( ) an Individual�Se.wage Disposal S//��st
at No.... ..-• Z�� -...._.... - L.✓�.............. .- �. ---i........ ..........
--• .. .
Street .. .....��
/1f�`1 0 b
as shown on the application for Disposal Works"�struct' n ermit No.�................. Dated..__._ ..................................
t...........................................
r� lloard of Health
DATE............G/.........._.`...... ......s�..�..............�....�:
SECTION - SEWAGE - o-cE: BEr.�cH_MA2K EL.42 s4 --
_'oP of C.6: e-S.E, -
' = IGoll t' SCVTH of
T C>F RoSEMAfRY LA• y�,
�;. N?� o �
t�Y>` t� R
SEPTIC TANK.- 5 -"D"BOX - cc, -LEACH P 11 �✓�� �
TOP OF FDN p
-5-.50(MSL)N '
2 ^�''
..2..OF itaTO�/z" � �� `Vli•!� / \
1 WASHED STONE 15 \39 G�
15
IN• OUT• IN• OUT• IN•
IoGO _. /
----G
SEPTIC
O r
S 4 ::25 TANK 4G.Od
ELEV. ELEV. ELEV. ELEV.
- .
L('5.87S"10 39,50
ELEV. ELEV. Ea EV. 2� ./L, !' ( • a~ -�.
WA51-�EDSTONE r
TEST HOLE LOG P 1}03'2 `x `� '
D /(
3'S� � j
TEST BY �.Fa1t�r�It.PE. „T 1' IGK E.Gh x' `-
2-$- IZ WITNESS �-V1Z I -a � '�
TEST DATE DESIGN 3 BEDROOM HOUSE
T.H. #
-T.H. 1 . 2 r e\ ILI
-
ELEV.g•'1.12= ELEV. N0 € +
2 DISPOSER ~DISPOSER � G� (� S � I �',
LowIL- " PERC RATE MIN/IN. -
- FLOW RATE 330 (GAL.iDAv-)
42
SEPTIC TANK 330 Y. (1.5) 4.95 . ,
REQ'D SEPTICTANK SIZE 10 U�
`. ��
k < / \za$o� -J
Ma:D i LEACH FACILITY R-
. SIDE WALL 1 ( 2.5) _ �� G/D. , k �• , L�' o.:���'» > .
BOTTOM �� '�' 4 _ 'IS.S ( (.0) _ `7$:S G/D. y 9�-� O
TOTAL 26°7.O S.-�. = 54g '? G/0- (Z Q �J" M l'o THY'
• d.
USE: LEACHING
NO WATER ENCOUNTERED10
IOI E DIf4 J( �IEF_DEflI M I�fJSA (/-
-
NOTES:' (UNLESS-OTHERWISE NOTED) 4'
l:DATUM,(MSL)+ TAKEN FROM 1 4x+A N N 1 S_ - -QUADRANGLE MAP
2.MUNICIPAL WATER__r�_ -r- :_.—_---AVAILABLE - ----- ��N-DE__Mgs� - y1�(T�jN �
- O
3.PIPE PITCH:W"PER FOOT - - -- -
4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- ) 44 -
5.tNIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1) FT. ��� ARNE 9�yG APNE-H•- 4+T�----DISTANCE AS CERTIFIED
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6.PIPE JOINTS SHALL BE MADE WATER TIGHT • -
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7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS: �` OJALA' y, t_a C'�,''t- ' .'-'SITE-----E.U�!A
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