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HomeMy WebLinkAbout0029 SHEAFFER ROAD - Health 29 Sheaffer Road,`Cent_erville LA 172 - 076 �QECVCIFp�o J Z� O _2 UPC 12543 No. 53LOR �pon•coNS°� HASTINGS, MN �+ Q TOWN OF BARNSTABLE `LOCATION c�9 Ji1C,Qq 9 ap SEWAGE#o?OQS ' /! VILLAGE ASSESSOR'S MAP&PARCEL /7S 07Cv INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY G `^ LEACHING FACILITY:(type) •D. q, t, (size) �2( / NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: 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 i A1. 34�' � G � a, 3� 1 ' a s ` h c Q Cf e N TOWN OF B S LE roc ATION SEWAGE # f, c LAGE C a�/�`z� V SESSOR'S MAP & LOT > INSTALLER'S NAME&PHONE N0. �b��'rS SEPTIC TANK CAPACITY V ST t b CTO1. LEACHING FACILITY: (type) - f ^727 - (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIAN DATE: 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 i b `3 LTIi a� 3� 3, a 3 , . .l No Fee L^. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for Mioonl *patent Con!5tructiou Permit Application for a Permit to Construct( . )Repair)Upgrade( )Abandon( ) ❑Complete System x1dividual Components Location Address or Lot No. s6 ` _, azewAc RA, ..Owner's Name,Address and Tel. No. Assessor'sMap/Pazcel � vt aeI %`c a Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ��1�k� � �Ca2 �E�►4a 4'1.11j.. �:1CS� (n4�-S3\o S39-� Type of Building: Dwelling No. of Bedrooms Lot Size.IS'2 b-sq.ft. Garbage Grinder(Nr Pr Other Type of Building A C)n? No. of Persons _ A Showers( (f Cafeteria( ✓) Other Fixtures lc�Zrl GLrlfc. I_Auor)e^? Design Flow 441D gallons per day. Calculated daily flow -3 odd gallons. Plan Date CPU I ns Number of sheets / Revision Date Title `C S42M tj Size of Septic Tank Dto Type of S.A.S. I C) ` X so t I��C-'� �'1 Description of Soil _ee_ LTf�s�QS Nature of Repairs or Alterations(Answer when applicable) 73�e�QicQ� r ec) Date last inspected: Agreement: The undersigned agrees t ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisi ns of Title 5 of the Environmental Code and not to place the system in operation ntil a ertifi- cate of Compliance has been is e by his Board o h. Signe Date C Application Approved by Date Application Disapproved for the following r a ns Permit No. Date Issued No / Fee _. THE COMMONWEALTH OF MAS:SACHUSET S Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for Migpo.5af *p5tem Congtruction Permit `` 1 Application for.,,,Permit to'Construct( )Repair, )Upgrade( )Abandon"( ) ❑Complete System dividual Components Location Address or Lot No. *p Cj(`' 0.Q Owner's Name,Address and Tel.No. Assessor's Map/Parcel Ce'�`�"4_v t ,e t M`A J� � t-A C_CCC-_V^'_6' Installer's Name,Address,and Tel.No. S�tv�CR Designer's Name,Address and Tel.No. t�v\62ckg S c SAV F.av. (04le>-51) o S 39 -_+ikv b Type of Building: .v Dwelling. No.of Bedrooms Lot Size OJ j oZ5b s .ft. Garbage Grinder(N1 Other Type of Building A Or)Q No. of Persons Showers( 6686'is( ✓) Other Fixtures �A�ta7vRY_ l��rc��f.n1 �tr�11G'� L,rauN��'l Design Flow 4'O gallons per day. Calculated daily flow 3 r 'b gallons. Plan Date C4 0-4u l OS' Number of sheets Revision Date Title 'C 5 5�0_m tj 4Size of Septic Tank Sl SST I d0o o\ -±ca Type of S.A.S. IO X 50 Description of Soil: r �� -Nm p\G^ /� !—t zT �D�S Nature of-Repairs or Alterations(Answer when applicable) 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 provisil ns of Title 5 of the Enyironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is s Certifi- ed by this Board Neialth.Sign � Date Application Approved b � / ®© Dater 911M Application Disapproved for the following 16 ns Permit No. U Date Issued THE COMMONWEALTH OF,MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-,site Sewag Disposal System Constructed( )Repaired( )Upgraded) Abandoned )by bV1,qLb _ at / h/ se n constructed in ac rda ce with the provisions o Title 5 an�/�thlael �ir Dispos ' ystem Construction Permit No "f'1 dated c Installer ^` �� .�� K�1J Designer i The issuance of this permits all not be construed as a guarantee that the syste m it a coo as designed. Date ,/D iz`„S.— Inspecto�, .� — �------=----- No —9 ---------------Fee THE COMMONWEALTH OF MASSACHUSETTS- PUBLIC HEALTH DIVISION;- BARNSTABLE., MASSACHUSETTS �Bigogar 4&p.5tetit Con.5tructton Permit Permission is hereby gra ted t Construct'( )Repair( )Upg.ad e 4 Aband p n_( ) System located at Palv AU`t'a t and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction most beicom�l ted within three years of the date of this p P / Date: A roved _Y PP I ----------------------------------- 16.01 - N Wood Deck 40.0' .5 Dining Bath Area Kitchen AAA Bedroom Bath 16.0' ------------------------------------------ o - N r�L'aSoID First Floor Bedroom c 1 car garage b Living Room o (Family Room) N Storage Above; oN m Cathedral Ceiling - n 16.0' 40.0' Eaves Storage l Storage b C 16 Bedroom .0' v Second Floor 0 24.0' Eaves Storage �0/ /a j 0. Property Location: 29 SHEAFFER ROAD MAP ID:172/076/// Bldg Name: State Use:1010 Vision ID:11822 Account#101614 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:09/29/2005 13:10 UTILITIES.'- ;',S O D LOCATION ,z,- CURR-ENTASSESSMENT CCARTHY,STEVEN D&LAUREL f 1 Level eptic 1 aved Description Code JAppraised Value Assessed Value as S LAND 1010 135,100 135,100 801 9 SHEAFFER RD ublic Water ESIDNTL 1010 140,000 140,000 tarnstable 2005 Data,M. ENTERVILLE,MA 02632 -SUPPLEMENTALDATA` ^ " dditional Owners: Other ID: Plan Ref. 247/084,252/032 Tax Dist. 300 Land Ct# er.Prop. #SR Life Estate ♦ ISION DL I LOT 146 Notes: DL 2 GISID: 11822 ASSOCPID# Total 275,1001 275,100 -' aRECORD OF OWNERSHIP BK-VOL/PAGE SALE DATE:. /u vA SALE PRICE V.C. PREVIOUS ASSESSMENTS HISTOR y CCARTHY,STEVEN D&LAUREL A 12304/176 05/28/1999 Q I 150,000 00 Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code Assessed Value AROTTA,FRANCIS G&PATRICIA L 11171/195 01/15/1998 Q I 116,000 00 2004 1010 101,300 2003 1010 44,600 2002 1010 449600 ONOFRIO,STEPHEN 9014/330 01/15/1994 Q I 98,000 2004 1010 125,900 2003 1010 102,500 2002 1010 102,500 IZGIRDA,ELENA 8942/058 12/15/1993 U I 1 A _ IZGIRDA,VIKTORAS M-792 8942/059 U 0 A IZGIRDA,VIKTORAS& 2195/321 Q 0 Total: 227 200 Total: 147,100 Total: 147 100 �. ,, -'> "EXEMPTIONS:; °`` >"a. _�a --OTHERrASSESSMENTS _� n�� = This signature acknowledges a visit by a Data Collector or Assessor I. y s Year Type Desciiption Amount Code escri lion Number Amount Comm.Int. 'APP"ISED,VALUE°SUMMARY,`Totak Appraised Bldg.Value(Card) 0 ;ASSESSING NEIGHBORHOOD Appraised XF(B)Value(Bldg) 2 R. 500 NBHD/SUB NBHD NAME STREET INDEX NAME TRACING BATCH Appraised OB(L)Value(Bldg) 0 /A Appraised Land Value(Bldg) 135,100 NOTES Special Land Value 0 1 Total Appraised Parcel Value 275,100 Valuation Method: O Adjustment: 0 et Total Appraised Parcel Value 275,100 ., • "' BUILDING PERMIT RECORD,= VISIT/CHANGEHISTORY Permit ID Issue Date Tvve Description Amount Insp.Date %Comp. Date Comp. Comments Date Type IS ID Cd. Purpose/Result 12/30/1999 MF 00 eas/Listed t N LI LANDNE�VALUATIONSECTION= . . B# Use Code Description Zone D lFronta fe De th Units I Unit Price L Factor IS.A. S.O. I C.Factor ST.Idx Ad'. I Notes-Ad' S ecial Pricing Ad'. Unit Price Land Value 1 1010 RC 3 0.34 AC 170,000.00 2.34 5 5 1.00 0105 1.00 135,106 1 Total Card Land Units: 0.34 ACI Parcel Total Land Area: .34 AC Total Land Value: 135,100 Property Location: 29 SHEAFFER ROAD MAP ID:172/076/ Bldg Name: State Use:1010 Vision ID:11822 Account#101614 Bldg#: I of 1 Sec#: 1 of I Card I of 1 Print Date:09/29/2005 13:10 ? CONSTRUCTIONDETAIL CONSTRUCTIONDETAIL(CONTINUED Element Cd. Ch. Description Element Cd. Ch. Description Style 04 Cape Cod Model 01 Residential Foundation 01 16 Grade C Average tones 1.4 1 Story F A Bath Split 11 Occupancy --MDffD USE WDK 10 10 Exterior Wall 1 14 Wood Shingle Code Description Percentage Exterior Wall 2 14 1010 Single Farn 100 16 Roof Structure )3 Gable/Hip 4 36 Roof Cover 3 sph[F GIs/Cmp Interior Wall 1 )5 Drywall tcrior Wall 2 -COSTIMARKET VALUATION 7 Interior Fir 1 14 Adj.Base Rate: Interior Fir 2 5 leplace Cost 16 Heat Fuel 3 kylB FAT Heat Type 5 Hot Water BAS 1975 )ep Code 8 BMT 28 AC Type 1 one 1985 Jnadj.Base Rate Total Bedrooms 3 3 Bedrooms F emodel Rating Total Bthmis 1 V'ear Remodeled 18 GAR Total Half Baths I )ep% 20 Total Xtra Fixtrs; uncnl Obsinc Total Rooms 7 7 Rooms ,con Obsinc Bath Style 0 ;tatus Kitchen Style Cost Trend Factor 40 6 Complete 1 6 16 0 verall%Cond I I pprais Val YB 0 ep Ovr Comment isc Imp Ovr 0 gisc Imp Ovr Comment 2ost to Cure Ovr 0 2ost to Cure Ovr Commei �OB-OUTBUILDING&YARD ITEMS(L)IXF--BUILDINGEXTRA FEATURES(B) - Code Description Sub ISub Descript UB JUnits Unit Price Yr Gde Rt Cnd %Cnd pr Value FPL2 Fireplace B 1 3,000.00 1985 1 100 2,500 No Photo On'Record BUILDING SUB-AREA SUMMARYSECT[ON Code Description LivingArea Gross Area Eff Area Unit Cost Undreprec. Value 'r BAS First Floor 1,120 1,120 1,120 0.00 0 BMT Basement Area 0 1,120 112 0.00 0 ,120 AT Attic,Finished 1,120 111 560 0.00 0 GAR Attached Garage 0 320 112 0.00 0 1 0 WDK Wood Deck 0 160 16 0.00 0 Ttl. Gross Livllease Area:! 2,2401 3,8401 1.9201 f 9/16/03 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM hereby certi that the y fy engineered plan signed by me dated. aU ®5 concerning the property located at SLR meets all of the following criteria: • This failed system is connected to a residential dwelling only. There.are.no.commercial or business uses,associated with the.dwelling. g • The.soil is classified as CLASS I and the percolation rate i p s less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or.may conduct deep test holes and percolation tests.at the site without a health agent present. • There is no.increase in flow and/or change in use proposed • There are no variances requested or needed. The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the. Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) S B) G.W.Elevation C�D +adjustment for high G.W.3,ko = 3 S o (p DIFFERENCE BETWEEN A and B O SIGNIrD : DATE: _ Cj NOTICE Based upon the above information; a repair permit will be issued for. bedrooms maximum.. No additional bedrooms are authorized in the future without engineered septic system plans. gASeptic\percexmV-doc Town of Barnstable °F1HE r° Regulatory Services Thomas F. Geiler, Director + BAMSTABLE, � UAM. Public Health Division A'ED1AP�A Thomas McKean, Director -200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 8S Designer: Shay Environmental Services,Inc. Installer: � rS Address: P.O. Box 627 Address: cpn•�c� � -, East Falmouth, MA 02536 YPIR.&k0if-Di, H f\ On a q 05 � �s �G was issued a permit to install a (date) (installer) septic system at 91 ACV aP-Ws- ` �n ctj��`� based on a design drawn by (address) ShU Environmental Services, Inc. dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. 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. OF 11.1gS S CARMEN stalIer's Signa e) E. SHAY No. '1181 � a �GIsTe SANI TAR\PN (Designer's Sigri4W (Affix De i tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Heal th/Septic/Designer Certification Form s BORTOLOTTI CONSTRUCTION,INC. r TOy oFeq�a 1997 +� 765 WAKEBY ROAD,MARSTONS MILLS,MA 02648 [Ty�F jrge�F 508-771-9399 508-428-8926 FAX: 508428-9399 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. S► y PART A , CERTIFICATION J Property Address: �2 J h e cL. )CFe r Leo a.d (Ile n 4e n L ri ' I e Date of Inspection:_ 1,3 A 19 7 Inspector's Name: �c, Q• �{-�. l o , Owner's Name and Address: 0 e CC. 9, L---) . Ono p c " O 013 3 I CERTIFICATION STATEMENT: I certify that I have personally inspected the sewage disposal system at this address and that the informa- tion reported below is true,accurate and complete as of the time of inspection.The inspection was per- formed based on my training and experience in the proper function and maintenance of on-site sewage disposal 4ystems. The System: y/ Passes Conditionally Passes Needs Further.Eval 'tion By t e L al Aproving Authority Fails= :} Inspector's Signature: ;. .Date: The System Inspector shall submit a copy of this inspection report to-the Approving:authority within thir- ty(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: A)SYSTTM PASSES: 1 I 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. B)SYSTEM CONDITIONALLY PASSES; One or more system components need to be replaced or repaired. The system,upon comple- tion of the replacement or repair,passes inspection. Indicate yes, nor,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;structuratly,unsound, shows substantial;infiltration o " " exfiltration,or tank failure is imminent: The system will pass inspection if the existing sep- tic tank is ieplaced with a conforming septic tank as approved by The Board of Health. Sewage backkup 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): - 1 - r)"SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A. > A CERTIFICATION (continued)' -.Aiken Pe i (s)replaced P .X'-Obstruction is removed T: k't 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 FUNCTION- ING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system1as a septic tank and soil absorption system and is within 100 Feet to.a surface water supply or tributary to a surface water supply. . The system has a septic tank and soil absorption system and is with 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. I VI 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 the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D)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 efluent 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 clog- ged SAS:or'cesspool. Liquid depth in�cesspool is:less than 6" below invert or available volume is less than 1/2 day flow. Requiied pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped 2- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 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 I 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,privat. 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 a large system in addition to the criteria above: The design flow of a 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 II of a'pulilic'water supply mell: 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. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Check if the following have been done: --"Pumping information was requested of the owner,occupant,and Board of Health. None of the system components have been pumped for atleast 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. As-built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. _/_.The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. ✓ All system components,excluding the Soil Absorption System;have been located on site. The septic tank manholes were uncovered,opened,and the interior of the septic tank was in- spected for condition of baffles or tees, material of construction, dimensions,depth`of liquid, i depth of sludge, depth of scum. ✓The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. -3- fi= i • Y T"e ` f tt }S' i � i�y'5V, r t Y - - a�, {t `�,>a.� s•,� er is J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) ZThe facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION - { FLOW CONDITIONS - RESIDENTIAL Design Flow: 330 gallons Number of Bedrooms: .3 Number of Current Residents: U Garbage Grinder: A/0 Laundry Connected To System: qkxl, Seasonal Use: 1 C Water Meter Readings, if available: U Last Date of Occupancy: !2' m GOMMER . AIANDIJSTRTAi , Type of Establishment: Design Flow: gallons/day Grease Trap Present: (yes or no) Industrial Waste Holding Tarik Present: j Non-Sanitary Waste Discharged To The Title V System: Water Meter Readings, If Available: Last Date of Occupancy: OTHER: Describe) Last Date of Occupancy: - GENERAL INFORMATION PUMPING RECORDS and source of information: ~. System Pumped as part of inspection: n r , If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool . Overflow Cesspool Privy Shared System(If yes,attach previous inspection records, if any) Oilier(explain): 5 .p.L'c I a o k u i, ll- .6.5 . ke-&g= ; i-77 APPROXIMATE AGE of all components,date installed(if known)and source of,information: ` Sewage od rs detected when arriving at the site: -4- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . ., .,.1 . . `PART C .. .. GENERAL.INFORMATION (continued) SEPTIC TANK: Depth below grade: 3 y„ Material of Construction: ✓concrete metal FRP_Other (explain) Dimisions: 53.5 'X L 'K t ' Sludge Depth: Y Scum Thickness: y '' Distance from top of sludge to bottom of outlet tee or baffle: 3 �� Distance from bottom of scum to bottom of outlet tee or baffle: " Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity,evidence of leakage,etc.) _Q; & i G GREASE TRAP: irr& Depth Below Grade: Material of Construction:_concrete_metal_FRP_Other (explain) Dimensions:' Scum Thickness: Distance from top of scum to top of outlet tee or baffle: ` Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,'depth•of liquid- level in relation to outlet invert,structural integrity;evidence of leakage,etc.). TIGHT OR HOLDING TANK:1910 Depth Below Grade: Material of Construction:_concrete_metal_FRP_Other(explain) Dimensions: Capacity: gallons Design Flow: gallons/day. Alarm Level: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX: Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) PUMP CHAMBER: )�-_ . _ __ ---- Pump is in working order. _ Comments: (note condition of pump chamber;condition.of pumps and appurtenances,etc.). . -5- a i SUBSURFACE SEWAGE'DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SOIL ABSORPTION SYSTEM(SAS): (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: 1 Leaching chambers, number: Leaching galleries,number: Leaching trenches,number,length: Leaching fields, number,dimensions: Overflow cesspool,number: Comments: (note condition of soil, signs of h,Xdraulic failure level of ponding,condition of vegeta 'on, etc.) L > > CESSPOOLS:_/9 0 ' 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(cesspool must be pumped as part of inspection) Comments: (note condition of soilk, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) PRIVY: /L'J Materials of construction: Dimensions: Depth of Solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) -6- ti a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION(continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references, landmarks or benchmarks. Locate all wells within 100 Feet. GAcv1E� 1-�k 1 � 4 DEPTH TO GROUNDWATER: i Depth to groundwater: f Feet Meth of Determination or Appro 'mation: -7- ��b• I `�1- p5 4 - O.0 L1, '1 EW/i C;E�PERMIT U O' VILL4GE - - -- - -- - - ----DATE PERMI-T COMPLI-&IACE_ / U F R i&...I.d.................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® gf HEALTH OF.................... ............._..... .. _.._................. Appliratiuu -fur Di,i uutti Worko Tonotrurtiuu Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal %dE� 5. e Rd �,cCclw��Pr� I`�1�11J G.k¢eitUd/e -N` -Js. I --- --- = ------------------------------------ ocation•Address or Lot No. ` Address (�lywner ................. .......................... . Installer Address Q Type of Building Size Lot....................... ----Sq. feet U Dwelling L No. of Bedrooms.... -----------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ___________________-__--_-_ No. of persons.........._.._-------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ----------------------------_- ._ g 5®.........................gallons per person per day. Total daily flow___-__2 ________________ g W Desi n Flow__ _______ gallons. P4 Septic Tank-LLi uid capacity-140(?__gallons Length................ Width--------- Diameter_-______.----- Depth---------------- xDisposal Trench ikNo_ ____________________ Width-------------------- Total Length-___-__-_____._-__.- Total leaching area--------------------sq. ft. .�______________ Diameter___4-000_.___. Depth below inlet__.._.____...._.... Tot 1 le ping area_.___.___.-------sq. ft. Seepage Pit No.____ � �F z Other Distribution box ( ) Dosing tank �" aPercolation Test Results Performed by-------------------------------------------------------------------------- Date................_-.--------------------- a Test Pit No. 1...•------------minutes per inch Depth of Test Pit____________________ Depth to ground water--------- Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ro und water__._._i_________.____. _ d .... ---- --- - ----- --Description o Sol xj -�- --- -------7.... /A- -1 �._�a�'`s4/1.�,,{ �%R�1L�- W VNature 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 Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee * sue by e rd of health. Date Application Approved B -------------- -------- Date Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------- •---•--•-•-•----•-•=---•-----...--•-•-------••------•-- -------------=----------- -•-----•------------------------------------------ _ "+------.-•--- i ��. Prmit No......................................................... Issued-----...... . Date r; .! 1 l }; No........ Fas...�.(�................... THE COMMONWEALTH OF MASSACHUSETTS BOARD (;�F HEALTH� OF,.......... ................................................... Avv irtt#ion -for IMBVaoal Workii Towi#rur#ion Urrind Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at• 1' L /46 6ha�/Jer Pcl• ,)ctI10I01,/ i�'l,�iti >,�,�Yulll� ��7�.JJ- ._..••-•-•------•--••---------------•---••-•-•••-•-•---•-----•--•-----------------...-------•-••-- -----•-•---------------•--•-•-----•----•-••-••--•-•---•--------•-•---•-•---------•---------•----. u :4 it Location-Address �j or Lot No —, j_k/UY<<J �l•?,C,1 ✓'`4 .................................................1.1.1Pt�4 s/ (1VC�1o��r✓ j r.)1 -------------•• ----.. ._. _.. A• net Address Installer Address Type of Building CC}} Size Lot__-_______________________Sq. feet }-� Dwelling-E No. of Bedrooms----et-----------------------------------Expansion Attic ( ) Garbage Grinder ( ) p`�-, Other—Type of Building ---------------------------- No. of persons---•------------------------ Showers ( ) — Cafeteria ( ) dOther fixtures --------------- ------•------ W Design Flow.............512_________________________gallons per person per day. Total daily flow------ ------------•_.__._-.._____gallons. W Septic Tank L Liquid capacity_��40..gallons Length................ Width................ Diameter............•--- Depth---------------- .-.. x Disposal Trench 2 No_ ____________________ Width.................... Total Length------ Total leaching area.-.--..._-.-._---_-_sq. ft. Seepage Pit No.....j______________ Diameter....L_0AQ---___ Depth below inlet___________________:Total leaching area------------------sq. it. z Other Distribution box ( ) Dosing tank ( ) 6 1 0�,. -- 0 6- je7c./14,.. - P- - .2 /- 7-�—a Percolation Test Results Performed by.......................................................................... Date-----^--^------------------------------- .a Test Pit No. 1----------------minutes per inch Depth of "Pest Pit............._...... Depth to ground water..-._--.._.--.-.--.-_._. rZq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to 7 < r ground water_..-_._._'_.-`-'_`_____-_.__". -0-------- � -- -- -f --r.` .............`-=.......................... 0 Description of Soil---- --- ------ � � --t'� x W •-•------• -------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------- V Nature of Repairs or Alterations—Answer when applicable.................._--------------------------------------------------------------------------- ------------------------------------------------------------------------------- ••------^-----••----------------------------------------------•--••--------__------•---•-------•-------------------•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with 'the provisions of Article XI 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 the board of health. gned_ -__v____•_. ...� ..^-^----•---'--•------•� ------------------------ '••..._..�._..--•---------^--- f r ,Date Application Approved B .... C__:.. ......AAA .................. '�.-��.--•-- PP PP Y , , }� Date Application Disapproved for the following reasons:....---^--------------- ..........._----------------------------•--------------------------------------- I Ha17 qte• ----------- PermitNo.--••---•---•------•-----•---------•-•---•--------------- Issued_---------- .................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH 1..... .,< !1............OF....... . ..V...!.... . ............................. / (Irr#ifira#r of VO-lom rliattrie THIS 1SJT0, EI�r- Y tat the Individual Sewage Disposal System constructed (4') or Repaired ( ) by ��' - yG u -',-� n / Installe�` ` at -- has been installed in accordance with the provisions of . rti e XII of TT.he State Sanitary Code as_described in the application for Disposal Works Construction Permit No._ ___ ___.___.._..____.__.__.. dated...- .__'. -'�-3_�_2._'.lr.....��" THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST ED AS A GUAIRANTEE THAT THE SYSTEM WILL FUNCTION SAT\FACTORY. r DATE....... _�.. '-S --- ?•J............................... Inspector--•,-...... ^ s = THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH , 7i ...............OF..... ... t •C1.l�. ._.......------.......... _---�� No.••------•>- -----•_. FEE. -------------- �i����ttl �rk �g� �#� -•at �rr�ti# Permission'is hereby granted------ e_o =-•-^--^-y -• . .... •^------- ........................................................... to Const "ct ( or Rep it ( ) an Indio Swage ,�posal ysT"etn at No. P1`� ------ �F�¢E ' = = r�LY ' Street as shown on the application for Disposal Works Construction Permit'9o..______ .__-v_ D _ --------------- 7-S-y.___ 7 _________________•--__- Board of ealth DATE------_�..__._��..:♦:..-�=---��-- - FORM 1255 HOBBS & WARREN. INC., PUBLISHERS OO.pt3 j J5,Z5o , I s. { `P tA PLC-, -PI CLn. iE � r n'�er+li�I2 .• L0i•1A6 5eu2 i ., Ce 0,&, yik'ort�s Vi�9i SQo�' Hoose i Garage s h¢r r ` �. S sitM Gcna r N exl5ilr1:q sewa9e b.F0!s,a ,Y .Z -4 40'-0' v F , w is correcf a� Cut, or r++ .�i1114 4 O �a1w� 3 1 1` '��� 52t�ttc F@�ui`te1mE'.nls 4�' =� Q C,C) 197 t®o:ao� ��'JH Of 9 5HEAFPLR Roc4d E y� o UGENE a MANOMAITIS o No. 1156240 4` t P0i Oar's map and lot number SEPTIC &YT ,�,, . INSTALLED IN COMPLIAMM. '�: �' WITH. ARTICLE If STA Sewage Permit number ... „..:.:.......... ... .. ......................... SANITARY C ON T"Er°�� TOWN OF BARN �E IAH"ST"LS, i 0p9. BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........................................' / Al Jul/ TYPEOF CONSTRUCTION ..............#bo. .7i.:...................................................................................................... ................................................19........ f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit. according to the following information: Location LC`�! J��IQcZ. e AVCf (Zw**el A!!d' t (fe'd'ept'le d.. .................,,............. t....... ..............................., .. . .................................. ProposedUse. ...............C�2lCred�c................................... .. ................ .................. ....................................................... Zoning .District ....../....................................................................Fire District ...................................................................:............ Name of Owner ...................................' orQJ l Ci...................Address ..........AdaeAwz..`.5/....Aox,_4PJ/2v.....1"An . Name of Builder � L ' ! ll2cditf c�'� c Am, 'A?Q a21?/ ...............:Address Qh Nameof Architect ..................................................................Address .................................................................................... C©j,cve/e Numberof Rooms .....��.........................................................Foundation .................................... ......................:................. //v h Exterior ......... C.D�..........................................................Roofing .............��k/..... 1`5.......k............................ Floors .................. .................................................................Interior ........................................ .............................. Heating Tr war ,UcJ��vr� i�Wov,, 6 ..Plumbing ...... �fQ. �Jq/li...'d.....t�lllChe�l.:..................... t......�..................................... ... . .........4... .. . ............. Fireplace ....®�1 e...!�r'tCI .... 4< .......................Approximate Cost .. QQQ.:�.. Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ................ ...... ........... Diagram of Lot and Building with Dimensions Feet....... . ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 0, o �0 ZA'-� b 160'-0 ( er I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. :4 Name ...... . . ..... I *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. to' min. from VENT PIPE (A Least 24 inches tau) SECTION A -A ALL OUTLET PEES FROM THE Schedule 4d PVC w/Charcoal Odor Filter DISTRIBl1T10N Box SHALL BE e Existing Foundation �house to septic tank PROFILE VIEW OF ADDITION TO LEACHING SYSTEM SET LEVEL FOR AT LEAST 2 Fr_ -12' cor+cRETE aovEK Septic tank covers must be D-BOX cover must be TOP OF FOUNDATION ELEV. 100.00 (Assumed) within 6 in. of finished grade OUTLET within 6 in. ai finished grade _ _ -- _ '.. - Grade over Septic Tank - 99.50 Grade over D-Box- 99.50 over SAS - 99.50 3" of 1/8 - 1/2 Washed Peost '� ��• KNOCKOUTS 3/4' to 1 1/2 ' Washed Crushed Stone : ! f - - r , � S •� 0.02 ., 5 5• OU TLET �` 12" INLET 4• PVC(CAPPED)INSPECTION PORT TO BE 3 HOLE H-10 INS7NIED Ate TO BE 'MTHM 6'OF GRADE _ \\� 6' �•`'2 '} ST. BOX 3' Maximum Cover u7 20 EXIST. 5=0.01 a Greater Top OF System- Elev. -95.75 -e _ 2" a �2!S`'ealfer Rd.' a, 21 EXIST, PIPE � N 1,000 GAL. 25 Sa 0.01" per (oat • 10' Effective Depth 15.5 4" - SCH. 40 T w 1.75" tr 4l o t FROM EXIST. FOUNDATION a, SEPTIC TANK S ° H-10 ° ° 5Units - PLAN SECTION CROSS-SECTION CONCRETE FULL FOUNDA N p ,ri rn 0.83' (10 inches) ® - - N 1 N N SYSTEM PROFILE 6 In.of 3/4"-1 1/2- 1 3.13' 375 3.I3' 3 HOLE H-10 DISTRIBUTION BOX .1 c compacted stone > u o rn 0' NOT TO SCALEIR�m; Not to Scale - c o 1 ( sap ` s ) > > 3.5' �� I -3.5' It Effective Length c�'u am°M`+t v&4gpwy6-W'wA IF') C c _ 3 --j S❑IL ABS❑RPTI❑N SYSTEM (SAS) GENERAL NOTES 6 in.of 3/4"-1 1/2 p 10' y compacted stone O Effective vldcr, INFILTATR❑R HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE _J m 1. Contractor is responsible for Digsafe notification, Verification of Utilities o (OR EQUIVALENT) Not to Scale and protection of all underground utilities and pipes. I' Bottom of Test Pit = Elevation 88.00 NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10" 2. The septic tank and distribution box shall be set level on 6" of 3/4"-1 1/2" stone. vObs. Groundwater - Test Hole 1& 2 Elev.= None Observed 3. Backfill should be clean sand or gravel with no stones over 3" in size. 4. This system is subject to inspection during installation Design Calculations by Carmen E. Shay - Environmental Services, Inc. 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan Number of Bedrooms: 3 Equivalent to 330 Gal./Day and Local Regulations. Garbage Grinder: No 6. If, during installation the contractor encounters any Leaching Capacity Proposed: 440 Gal./Day Minimum (AT OWNERS REQUEST) soil conditions or site conditions that are different Septic Tank : - 2 x 440 Gal./Day = 880 USE EXIST. 1000 GAL. Septic Tank. from those shown on the soil log or in our design installation must halt & immediate notification be SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch mode to Carmen E. Shay - Environmental Services, Inc. Bottom Area: 0.74 gal/sq. ft. x 500 sq. ft. = 370 gallons Sidewall Area: 0.74 gal./sq. ft, x 99.6 sq. ft. = 73.7 gallons 7. No vehicle or heavy machinery shall drive over the Providing: = 443.70 gallons septic system unless noted as H-20 septic components. 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. Use: (7) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, 9. All Distribution Lines shall be 4' diameter Schedule 40 NSF PVC pipes. TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3' OF WASHED STONE 10. All solid piping, tees & fittings shall be 4" diameter ON THE ENDS. NO STONE UNDER. Schedule 40 NSF PVC pipes with water tight joints. 100.00 11. Municipal Water is Connected to ALL OF The Residence and Abutting Properties Within 150 Feet. THE ARE -PERCOLATION TEST COMPILEDP PERTY FROMLINES THE SURVEY PPLANMATE GEN RATTED BY EUGENE MANOMAITIS, RLS OF HYANNIS, MA Date of Percolation Test: SEPTEMBER 22, 2005 3 ENTITLED "CERTIFIED PLOT PLAN OF LOT 146 SCHAEFFER ROAD, Test Performed By. CARMEN E. SHAY, R.S., C.S.E. CENTERVILLE, MA' DATED DATED SEPTEMBER 7, 1975 Results Witnessed By. WAIVER (per Barnstable B.O.H.) AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN EXCAVATOR: Shay Env. Svcs. IT SHOULD BE USED FOR NO PURPOSE OTHER THAN Percolation Rate: Less Than 2 MPI ® 38" TEST HOLE #1 THE SEPTIC SYSTEM INSTALLATION. Vent nt PVC ELEV.= 99.50 __-- -- -- - Ve Test Hole Test Hole EXISTING LEACH PIT TO BE PUMPED OUT AND FILLED IN PLACE. No. 1 No _ c ,a� ,`� onx•--x,- _�, >.` - x �`; D-Box NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE DEPTH SOILS ELEV DEPTH SOILS ELEV. o 99.501 0 99•00 �^ FROM THE EXISTING LEACH PIT TO BE DISPOSED - -�- »- Sandy Loom Sandy Loam =='NcxrL_�„4L= , •�`:vr - �,-Y n-, OF AS PER BOARD OF HEALTH SPECIFICATIONS. 7.5 r 10 YR 3/2 10 YR 3/2 THERE ARE NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY 0"-9" A, 98.25 0"-9" As 98.25 Sandy Sandy TEST HOLE #2 ASSESSORS MAP 172 PARCEL 076 Loom Loom Failed 10 YR 5/6 o YR 5/6 PROJECT BENCH MARK ELEV.= 99.00 /� Leach Pit LEGEND s"- ao' Medium iu 96.17 9"- 38" Bs 95.83 TOP OF FOUNDATION 3s' Medm Medium ELEV. = 100.00 (Assumed) Sand sand 99-- ------- --- ------- - - F �__ --- -- O-; __ � 1 DENOTES PROPOSI�t:) 2-5 Y 8/4 2.5 Y 6/4 DECK v '� h J�4X SPOT GRADE 38'- t32 C EXIST, 1000 GAL.\\ 40"- 132 c, ko SEPTIC TANK \ X 104.46 DENOTES EXISTING �i \ SPOT GRADE ko EXISTING \\I pL PROPERTY LINE 3 BEDROOM I11 -- HOUSE PROPOSED CONTOUR EXISTING I 1 - -97 EXISTING CONTOUR #29 - - - - GARAGE Perc #1 j Depth to ''Perc: 48" to 66" II DEEP TEST HOLE & Perc Rate= 2 MPI t PERCOLATION TEST LOCATION OBSERVED H2O Elev. = None Observed �_ I __�, 6 FOOT STOCKADE FENCE 99--- ---------------------------- -r 2-18" DIAM. ACCESS MANHOLES 6 LOT #146 ::E1 � 15,250 Square Feet +/- I x ? I P LOT PLAN t l ' o G-A OF PROPOSED SEPTIC SYSTEM UPGRADE INLET ) THE ACCESS COVERS FOR THE SEPT\EW / 1 -------J------ ---- -- : OU ET DISTRIBUTION BOX AND LEACHING C -- ------------------------------�- 98sET DEEPER THAN 6 INCHES BELow 100.00PREPARED FOR � GRADE SHALL BE RAISED TO VA THIN FISHED GRADE. S T EV E N M c C A R T H Y _ , " �.�- 1z -."� INSTALL TUF-TITE GAS BAFFLES OR .- ." ''. STEEL REINFORCED PRECAST CONCRETE AT PLAN VIEW --------------------------------------1 --- -- - #29 S C H A E F F E R ROAD 3-24"� REMOVABLE COVERS S l 0-A� CENTERVI LLE, MA 3• min clearance - (40 FOOT RIGHT OF WAY) - 8' min�_127 min. Inlet to outlet ,3' WIFT PREPARED BY: INLET - - - F '- Liquid level + OUTLET ��'� 10"min.. I ,a• 1. t N E. A�.I�.A Y 5 -7' -7' S `� ENVIRONMENTAL SERVICES, INC. :. E a I 4'-0' min. 50 CJ Ct �., U) o �. r Liquid depth 0 20 40 �a P.O. BOX 627 sTE� EAST FALMOUTH, MA 02536 "6-0"± 4:.-10• " - SAN7T00'� TEL/FAX . 508-539-7966 CROSS SECTION END-SECTION SCALE: 1 "=20' TYPICAL 1000 GALLON SEPTIC TANK SCALE; 1 "=20' DRAWN BY: CES DATE: SEPT. 26, 2005 NOT TO SCALE PROJECT#SD806 FILENAME: SD806PP.DWG SHEET 1 OF 1