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Home My WebLink About0027 THOREAU DRIVE - Health 27 Thorea drive ---- Centerville P A = 191 232 I UPC 12534 No.2153LOR HASTINGS. AWN No. Z003-05� t Fee 50 .00 - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for Migpooaf bpotem Construction Permit Application for a Permit to Construct( . )Repair( )Upgrade(x)Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 27 Thoreau Dr Owner's Name,Address and Tel.No. Assessor'sMap/Parcel Centerville Betsy and Ross Alpers Iql—Z32 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. W.E. Robinson Septic C.R. Short P.O. Box 1089 P.O. Box 1044 Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( no Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) Revised plan by C.R, Short added chairiber 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 B d of He Signed Date 4"S 03 Application Approved by Date Z ci 3 Application Disapproved for the following reasons Permit No. Zyo 3—o Date Issued 2 5' 03 1 No. 200 3-0 5 1 - v } e�,- _.., Fee 50 00 I" Entered in co uteri THE COMMONWEALTH OF MASSACHUSETTS p Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2ppri,cation for Migogar 6pgtem Congtruction Permit Application for a Permit to Construct( . )Repair( )Upgrade(x)Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 27 Thoreau Dr Owner's Name,Address and Tel.No. Assessor's I, Ivapy-arcei— Centerville Betsy and Ross Alpers Installer's Name,Address'and Tel.No. Designer's Name,Address and Tel.No. W.E. Robinson Septic C.R. Short - _. P.O. Box 1089 P.O. Box 1044 1 6 A Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder(k no Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number.of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) Revised plan by C.R, Short added chamber 1l. 32- Da te last inspected:; t, t 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 issue by t ' B d of Health. Signed Date A;'`S 03 Application Approved byF Date Z S 3 Application Disapproved for the following reasons Permit No. 12-00 3"C>Sq Date Issued 2 S 0 3 T THE COMMONWEALTH OF MASSACHUSETTS Alpers BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( ) Repaired( )Upgraded( x) Abandoned(( )by W.E. Robinson Septic Service at 27 'Thoreau Dr Centerville has been constructe i accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ZQD 3 —o 5? dated 21516 3 Installer Designer The issuance oft s e t shall not be construed as a guarantee that the system w•,li fu �� Date d Inspector r No. ZOO 3 Fee 5 0.0 0 Alpers THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS lwi5paal *pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(x )Abandon( ) System located at 27 Thoreau Dr Centerville i 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:Cons ct on must be completed within three years of the date of this pe Date: 2 S p 3 Approved by TOWN OF BARNSTABLE �J LOCATION SEWAGE # CJIJ ✓� VILLAG ASSESSOR'S MAP &LOT i INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) '—e, (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: ,z.-;�-y COMPLIANCE DATE:' ;2 ` 0. 3 j 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by I 1 G i - ' TOWN OF BARNSTABLE L'3CATION - i�o i2p'L' SEWAGE # G(? C�Sf VILLAGE e sg, 7' ASSESSOR'S MAP & LOT t�/— 2�2 INSTALLER'S NAME&PHONE NO. , alp i A. SEPTIC TANK CAPACITY /! LEACHING FACILITY: (type) — (size) .NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: "y 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 3 � .� 1 �\ v/ U� �G a TOWN OF BARNSTABLE LOCATION' a7 Fhb -►QU DQWC-- SEWAGE # ;lOUoZ - 3(09 VILLAGIE C6N�-1tV_Z /t ( k ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. Wo c aN 50t+V SEPTIC TANK CAPACITY O o C LEACHING FACILITY: (type) 7 r- C(l S (size) a t3 a S NO. OF'BEDROOMS 3 BUILDER OR OWNER At,( 6 a PERMITDATE:_ IT�I�1 �- COMPLIANCE DATE: 7 f 0 a 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 C3AC�C o (SOUS F � 7 J T -h OO ' 0 T/ TOWN OF BARNSTABLE LOCATION 7` ! �l uregv I dr. SEWAGE # r VILLAGE .e-Jr,"I t t ASSESSOR'S MAP & LOT I q Z32 E'4STALLER'S NAME&PHONE NO. �� pp SEPTIC TANK CAPACITY I M �btAil ,M LEACHING FACILITY: (type) � (size) NO. OF BEDROOMS BUILDER OR OWNER ire�p2�-t'tc7� PERMITDATE: 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 Fumished by �Ay1 1 C 0 i No. �00 2_ 3�� Fe$50 .00 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 21pphratiou for lh5po5al bpotem Com5truction 3dermit Application for a Permit to Construct( , )Repair:kx)Upgrade( )Abandon( ) ❑Complete System gpdividual Components Location Address or Lot No. 27 Thoreau D r. Owner's Name,Address and Tel.No. Assessor'sMap/Parcel Centerville, MA Alpers 9 1 - 23°�- Same lnstaller'Vqane, dre Tel.No. Designer's Name,Address and Tel.No. m. to�inson Septic Service Craig R. Short P.O. Box 1089 P.O. BOx 1044 Centerville S. Dennis, Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building residential No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature f Re rs or Alterations(Answer when applicable) We will Install a new Title-5 Yea�' i system to the plans of Craig R. Short # 1 -930 dated 8/23/02 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 Environ ental Code and not to place the system in operation until a Certifi- cate of Compliance has been is d by this Boaz He h. Signed Agen"- Date Application Approved by ZN&ME Date - (a- G�— Application Disapproved for the following reasons Permit No. 2 U 01 Date Issued 2 L L I TOWN OF BARNSTABLE LOCATION a7 TkQt2C--AU 17c2i�JC SEWAGE #, aOUa - -3 VILLAGE CC-rJ}fit -LO k ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. RG"o i atv SOyy SC-AC. ?7 S—g 7 7C SEPTIC TANK CAPACITY t O O LEACHING FACILITY: (type) 2. 2S/ G.DC-(( S (size) a?1'-13 X a S NO. OF BEDROOMS 3 BUILDER OR OWNER A L PC--2S PERMITDATE: COMPLIANCE DATE: V;a 2 4.a 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 urnished by - — hack -0� kcluSE v c�. i i I z -h II No. 2 / tFJ Entered in computer: "/ THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 2pprication for �Digpogal *p5tem Construction Permit Application for a Permit to Construct( )Repairkx)Upgrade( )Abandon( ) ❑Complete System �I dividual Components Location Address or Lot No. 27 Thoreau Dr. Owner's Name,Address and Tel.No. Assessor'sMap/Parcel Centerville, MA Alpert I9 ( - 22J2 Same Installer' ame, dres and el.No. Designer's Name,Address and Tel.No. m. . l�obinson SHptcl& Service Craig R. Short P.O. Box 0089 P.O. BOx 1044 Centerville &Ai 02632 S. Dennis, Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building residential No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature f Re irs or Alterations(Answer when applicable) We W i l l l Ins$$11 a neewTi t l e-5 Yeas system totthh plans of Crag R. Short # 1-930 dated 8/23/02 '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 Environ ental Code and not to place the system in operation until a Certifi- cate of Compliance has been is d by this Boar He R 1 Signed r Date Application Approved by Date G�- Application Disapproved for the following reasons t Permit No. Z U P I �3 C j Date Issued R 2(o I b- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Alpert Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(Kx )Upgraded( ) Abandoned( )by Wm,; E. Robinson Septic Service at 27 Thoreau Dr. , Centerville has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 200 2`3 19 dated Installer Wln. E. Robinson Sr. Designer Craig R. I Short_ The issuance of thi permit shall not be construed as a guarantee that the syst u �1 nde, ned. Date Z 7 1A 2 Inspector I No.2 CU O-L - ?j(o`} Fee'_5 0.9 n Alpers THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS lwigpozar *pgtem Construction Permit Permission is hereby ranted to Construct( )Repair(Icx)Upgrade( )Abandon( ) Systemlocatedat �7 Thonaau Dr. , Centerville, MA 02632 � 1 and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 andrthe following local provisions or special conditions. Provided: Coonstructiori must be completed within three years of the date of this p t. Date: b 2 61 U 2" Approved by a ' C01BION EAI:TH OF MASSACHUSETTS _ EhECUME OFFICE OF ENMONNIE\TAL AFF.A RS F -• _ DEPARTMENT OF ENVIRONMENTAL PROTECTION ONT ICI.\'TER STREF- .BOS;O\M.A 0210� (617.1 292-550v TRIM COL Secretary ARGEO PALL CELLUCCI DAVID B STR7u5 Governor Conuniss:one- SUBSURFACE SEWAGE DISPOSAL SYSTEM MISPECTION FORM PART A CERTIFICATION Property Address:27 Thoreau Dr. Name of owner D P 1 a r P s D unn ing Centerville Address of Owner: Date of inspection: 3 0 C'P-� Name of Inspector:(Please Print)WM. E. Robinson Sr. 1 am a DEP approved s erq inspector to Section 15.340 of Title 51310 CMR 15.000) Company Name: Wm. E . Robinson Septic Service Ma3ingAddress: PQ BOX 1069, Centervill 1VIA Telephone Number: CERTIFICATION STATEMENT ' 1 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 sew disposal systems. The system: Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signawre: oci ) Date: G"«� The System Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)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. NOTES AND COMMENTS n o d 7 \ r rev sed 5/2/9E PaRrlorll �: ^^�ei o^ReaiKd Panr• SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM r PART A CERTIFICATION(continued) Nvp"Address: 27 Thoreau Dr. , Centerville Owner: Delores Dunning Date of Irtspection: G--*3 6— INSPECTION SUMMARY: ChseirjA B, C, o/ D: A. SY PASSES: 1 have not found any information which indicates tliat'any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. YSTEM 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. 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,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty 120)years prior to the date of the inspection; or the septic tank,whether or not metal,is cracked,structurally unsound.shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipets) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipets)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 pipets). The system will pass inspection if twith approval of the Board of Health): broken pipets)are replaced obstruction is removed rev;se^,. 5 2 96 Page 2 of 11 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION fcorrtimmd) Property Address: 27 Thoreau Dr . , Centerville Owner: Delores Dunning Date of Inspection: C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: onditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the p blic health, safety and the environment. 1) S STEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES W ACCORDANCE WITH 310 CMR 15.303 11)(b)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 surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) S STEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS NCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS 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. Method used to determine distance (approximation not valid). 3 OTHER �At' sE 5j2�96 1`2Rc3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (confined) Property Address: 27 Thoreau Dr . , Centerville Owner: Delores Dunning Date of Inspection: G _3 6> &---a D. SYSTEM FAILS: You m t indicate either "Yes" or "No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this etermination is identified below. The Board of Health should be contacted to determine what will be necessary to correct.the failure. Yes Backup of sewage into facility-or system component due to an overloaded orclogged 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 112 day flow. 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 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 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. RGE SYSTEM FAILS: You m t indicate either "Yes' or "No' to each of the following: The following criteria apply to large systems in addition to the criteria above: he system serves a facility with a design flow of 10,000 gpd or greater(Large System) and the system is a significant threat to public ealth and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area- IWPA) or a mapped Zone II of a public water supply well) The ow er or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office o the Department for further information. rev seQ Cj 2/J- t Pagt4of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM, PART B CHECKLIST Prop"Address27 Thoreau. Drive , Centerville Owner: Delores Dunning Date of Inspection: e -,I*— 6— 0 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No / Pumping information was provided by the owner, occupant, or 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. ✓ _ 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. V _ All 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. / The size and location of the Soil Absorption System on the site has been determined based on: V _ Existing information. For example, Plan at B.O.N. _✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) 115.302(3)(b)1 _ The facility owner (and occupants,if different from owner) were provided with information on the propermaintenaarii-0f SubSurface Disposal Systems. rev-1 seC °;2/58 Page 5ofII f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Irop"Address:27 Thoreau Drive , Centerville owner: Delores Dunning Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow: 3G 0 g.p.d./bedroom. Number of bedrooms(design(: Number of bedrooms (actual): 3 Total DESIGN flow :T G n Number of current residents: Garbage grinder(yes or no):,A�V Laundry Iseparate system) (yes or no):9!61 If yes, separate inspection required Laundry system inspected (yes or no) Seasonal use (yes or no):-11v 0 Water meter readings, if available (last two year's usage(gpd): 1999 44 r 000 gal. Sump Pump(yes or no):Z--O 1998 42, 000 gal Last date of occupancy: COMMERCIAL/INDUSTRIAL: Typ of establishment: Desi n flow: gpd ( Based on 15.203) Basis f design flow Greas trap present:.(yes or no)_ Indust ial Waste Holding Tank present: (yes or no)_ Non-s nitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings,if available: Last ate of occupancy: O R:(Describe) Las to of occupancy: GENERAL INFORMATION PUMPING RECORDVnVoice of information: System pumped as part of inspection: (yes or no)A 0 If yes, volume pumped: gallons Reason for pumping: TYPE OF YSTEM 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) I/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed lif known) and source of information: T•R 3 Sewage odors detected when arriving at the site: (yes or no) /L d revised Page 6(if II SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 'roperty Address:27 Thoreau Drive , Centerville Owner: Delores Dunning Date of Inspection: BUIL G SEWER: (Locate on site plan) Depth b ow grade:_ Material f construction:_cast iron_40 PVC_other(explain) Distanc from private water supply well or suction line Diamet r Comm nts: (condition o joints, venting, evidence of leakage,-etc.) SEPTIC TANK: (locate on site plan) 1 Depth below grade: Material of construction: '/concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal, list age_ (sage confirmed by Certificate of Compliance_(Yes/No) Dimensions: G •Cr '�� Sludge depth: ,.•3' .,` Distance from top of sludge to bottom of outlet tee or baffle: s Scum thickness: f—3 Distance from top of scum to top of outlet tee or baffle: o Distance from bottom of scum to botto of outlet tee or baffler How dimensions were determined: 'omments: (recommendation for pumping, condition of inlet Aand outlet tees or baffles, depth of liquid 13ye in relation to outlet invert, tructural jntegrity, evi�c_e,of leakage, etc.) / coo U .0 )Ma< }-I C � 0�.D C. 1. GR E TRAP: (locate on site plan) Depth elow grade:_ Materia of construction:_concrete_metal_Fiberglass _Polyethylene_other(explain) Dimens ons: Scum ickness: Distan a from top of scum to top of outlet tee or baffle: Dista a from bottom of scum to bottom of outlet tee or baffle: Date f last pumping: 'Co ants: (reco mendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evid nce of leakage, etc.) revised 9/2/98 page 7or11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Aroperty Address:2'7 Thoreau Drive , Centerville Owner: Delores Dunning Date of Inspection: G-3 _ Cyt, TI OR HOLDING TANK: (Tank must be pumped prior to, or at time of, inspection) (Iota a on site plan) Depth below grade: Materi I of construction:_concrete_metal_Fiberglass_Polyethylene_other(explain) Dimensi ns: Capacit : gallons Design ow: gallons/day Alarm p esent Alarm I vel: Alarm in working order: Yes_ No_ Date of previous pumping: Comm nts: (condi on of inlet tee, condition of alarm and float switches, etc.) DISTRI UTION BOX: (locate on site plan) Depth of liquid level above outlet invert: Com ents: (not if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) PUMP C AMBER:_ (locate o site plan) Pumps in working order: (Yes or No) Alarms i working order(Yes or No) Commen s: (note co dition of pump chamber, condition of pumps and appurtenances,etc.) revised 9/2/98 page 8oril SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM I PART C SYSTEM INFORMATION(continued) 'rop"Address27 Thoreau Drive , Centerville Owner: Delores Dunning Date of Inspection: 4 _a O 0 ti/ SOIL ABSORPTION SYSTEM(SAS): / (locate on site plan, if possible;excavation not required,location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits', number:_ leaching chambers,number:_ leaching galleries, number:_ leaching trenches, number, length: leaching fields, number, dimensions: overflow cesspool, number:_ Alternative system: Name of Technology: Comments: i (note condition of soil, signs of hydraulic failure, level of ponding, damp C soil,ponditio of vegetation, etc. CESS OLS:_ (locate n site plan) Number nd configuration: Depth-to of liquid to inlet invert: Depth of olids layer: lepth of s um layer: Dimension of cesspool: Materials o construction: Indication groundwater: in low (cesspool must be pumped as part of inspection) Comment (note co dition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: (locate o site plan) Materials of construction: Dimensions: Depth of olids: Commen s: Incite co dition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) -evis-e: 5/2/7C Pegc 9 of 11 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) -rop"Address: 27 Thoreau Drive , Centerville Jwner: Delores Dunning Jate of Inspection: 4 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) C 9 Z 1 revised 9;2/98 PAgV10of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) roperty Address: 27 Thoreau Dr. , Centerville Owner: Delores Dunning Date of Inspection: NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells G Estimated Depth to GroundwateWFeet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site (Abutting property, observation hole, basement sump etc.) Determined from local conditions ./Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators, installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) revised Page 11or11 .- -� �. t,. �, -:� # �� { .d�` � � i �; { ,� � ,�- � �""� d r, �� -�-� , -- - (, � ! { / (j 1 # .�� . � � �� r��, � � , � � �� __.� ,� f F� ��- F i I 1 _ / 1 � l 1 L .l No...l..................... Fxs ................... THE COMMONWEALTH OF MASS�wyACHUSETTS j 7...'j0V.V.t7 ----....OF...... ...............:............. Applixation for Dhipasal Works Tonotrurtion Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at• - ---- r' ----------------- .......................... ......................................................... Location-Address or Lot No. ..... ........._.............. � ....... - .. ?� .�! +G. .......................... O er i Address ............................ Installer Address. Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms________________________________ Expansion Attic ( ) Garbage Grinder ( ) ~ ..__.__.. No. of ersons•_-_____-__-•--------------- Showers — Cafeteria a Other—Type of Building ................... p ( ) ( ) Q' Other fixtures -----•--------..................................... Design Flow...............t ........ ........gallons per person per day. Total daily flow.........��!l =................gallons. WSeptic Tank—Liquid capacit ..gallons Length________________ Width................ Diameter..__....____._.. Depth................ x Disposal Trench—No. ................. i `.... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No. )�_. .._ Diam_ _ .. Depth below inlet•....... ....... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) �h- 7� 'G Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1]`/_---_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 ground water........................ p . 7. Description of Soil - .. ��/ ----- x . c ' c.� �- =� ------------------ W ----------------------------- ---- -----------------•--••-------------•-------•---•---•-----------------------------------------------------•---------------------•---------------------....--•-..---- UNature 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 bee issued b e boa.d of health. P P Y Signedp Date Application Approved By....¢�� ='`' 9.%I. ... ....................... ... 2 �. . Date �_1..._ Application Disapproved for the following reasons:________________________�__.____............................................................................... ----------- •-••--------------•--•-•---.--.----•--------------------------•---------------------------------------•--------------------- -----••---------- Date PermitNo......................................................... Issued...................-----................................ Date 71 g .Mr No.- y................ Fim .. ............ THE COMMONWEALTH OF MASSACHUSETTS ® ? ®A R® F H�., • � I '"� ifs - --- ..............OF...... . ..... ..--- ----- .:.................. Appftration for Bitipmal Workii Tonotrndinn Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at - . ...... +G w + ................... .......................... ............................................................. Location• ress or Lot No. .. ' '- ...... ............+w» ./!A4- ............................ O er Address Iwo ........ "`'�! ? ..:�'.................. ... W +!'-':+" - Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms____.___.__ _____Expansion Attic ( ) Garbage Grinder ( ) -I — `4 Other—T e of Building ____ No. of ersons____________________________ Showers Cafeteria a' Other fixtures -------------•- •------------ - - W Design Flow............... r..:�......_._.._.._.__gallons per person per day. Total daily flow......... 4t--' ."_...........gallons. WSeptic Tank—Liquid capacit _ _gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No.. _ _________ > �____ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No. _ .__ Dia ___ De th below inlet............... . Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank, ( ) 44. I904:� ~' Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1.4�" `__.I.....minutes per inch. Depth of Test Pit____________________ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --- + � � 'O ----Description of Soil x :................................................................. •-----------•••---•-•---------- -----------------------•--------•-------------------------•-•-•--................................ 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 Article XI of the State Sanitary Code— The unders• ned further agrees not to place the system in operation until a Certificate of Compliance has bee > ued by e boa of health. Signed ......................... -----••• ----------- -------- -------•-- ff�` Date yf Application Approved BY..... > ' c% l• Application Disapproved for the folloiwing reasons:_`:- ••-- ------------------------------------••- Date ,�.. ' Date 4 Permit No. •`===-------•-----------•--......... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALT .-..:rv��4. .............::pOF. ....... Wnrttf iratr of Tlxmptlanrr THIS TO . RTI That the Individual Sewage Disposal System constructed ( or Repaired ( ) by-- .......... y � •-•- ►. �„ ...' - • .Install --•.�.. �--• -- at..... ---•-- m has been installed in accordance with the provisions of Article XI of �he State Sanitary Code as described in the application for Disposal-Works Construction Permit No.._.__._, _.__ _ _______________1; dated..---b! W.;3�1`"r_.,7`..__......__. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM, WILL FUNCTION,SATISFACTORY.- DATE.............................................................. . Inspector............ .......,........ THE COMMONWEALTH OF MASSACHUSETTS .90ARD OA HEA4TH No ........... d dy- . ..OF........ FEE-_f.. ..--. M.A.4t0_! ��ti.�n prntit. Permission is hereby granted....... 1------ `.................................................. . to Constru r Repair" an Individual Se e Disposal Sy atNo. �4't.�.. ,trG�-.... ,�, ........................................ o street as shown on the application for Disposal Works Construction Permit No_____________________ Dated___ ........... .......................................•-•----_-•--•--------•---•---........-----.....---..._-..__....._ Board of Health DATE................................................................................. FORM 1255 HOBBS & WAOREN, INC.. PUBLISHERS .l' � � N�»__ Fmic-^w�:��. THE oomMomvvsAcrH or m*sSao*ussrrs U�� K� �� °�=~^"" ~= �� _.��-------- ...... OF---'4�5�.��.��'�=�.-----.......... xx �Y4Appliration for Ro ML~ Application is hereby made for a Permit to Construct Repair an Individu Sewage Disposal System kwn Address Installer Address PLI Other--Type of Building ............................ No. c6 persons............................ Showers ( ) -- Cafeteria ( ) 1� C/' �..- Ions per person per day. Total daily flow..... Seepage Pit No......./........... Diame- ------------------ pt i be Vin et.... hing area. Z ucocc Distribution vox \ / Dosing tau ............ ;4� =- ~~ Percolation Test Results Performed bv.......................................................................... Date----.,�--'��-��'.......-.. Test Pit No. l................minutes per inch Dco16 of Test Pit.................... Depth to ground water---------- P4 O ----.----------_-_--------_--.--'.-.-.---------------------_----_-----.-.-_---_------------- | U Nature of Repairs or Alterations--Answer when applicable.---.-------.----_------------------------- -'---------------'--------'---------'---'----------'--'-------------''---'-''-----'-------'-- ^�grceozeor: The undersigned agrees to install the uforodoecribcd Individual Sewage Disposal Systcm'{n accordance with the provisions of Article XI of the State Sanitary Code The ndersigoed furper agrees not to place the system in n9ccazinu nou/ a Certificate of Compliance has been ' ' Signe ----------' '............................... '-,,------ '-pp'-'-- -'---- - ---'-~~--'�-'=-v''~-- ��-~�---- / '~ . - No......J'-Vfr7—. Fimim THE COMMONWEALTH OF MASSACHUSETTS BOARD O.-�EALTH .OF............ t""'t+. m.►`"'�"!I+�w•....... .......... Appliratinn for .1%iV gal Marks Tnmitrnrtinn Permit Application is hereby made for a Permit to Construct. ' or Repair ( ) an Individual Sewage Disposal System .... � - -- .. ... ...... ... -• • ----- ------ - .-- Locatiddress or Lot No. +r:r .......... --•--. .A.............. ........................................... -•-•--•--••-••-------••-•-•••............•.... .. W wn Address a ... ............ -•---•------------------------•---........._._ ... .----•---.....---••------••---......_. ,. I.nstaller .,Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms____.._____________`____ _Expansion Attic ( ) Garbage Grinder ( ) a — aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) Cafeteria ( ) Other fixtures ---•-••----------•-----•---••-••----•--•-----------••- W Design Flow___________________________________________gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No.____________________ Width.................... Total Length-................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter_.__.__.___________ Depth below inlet__._ Ching area__ sq. ft. otal 1 Z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed b _________ _________ __ Date_. ____._... .._....__........ _. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 Test Pit No. 2................mirlutes per :inch De th of Test P• .................... Depth to gro d water........................ O Description of Soil....................................... U -----------------------•-•----•--._....._..------------------------••-•---- ---------• • -•------•-•-------. --•--- ----•-. -- •-•-•-------•-------........._-----------•. 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 XI of the State Sanitary Code— The undersigned fur er agrees not to place the system in operation until a Certificate of Compliance has been issued by the boa hell h. _ .. Application Approved By... Z./D Date Application Disapproved for the following reasons: .......... • ---•-•-•....--•--•--•-•---------------•-------------------•---••--••......----•---------------•--•-•-----•------•-•--------. --•-•-----•------ Date PermitNo......................................................... Issued......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD Of HEALTH . ......:... ... . ........ ....... (�rrfii$ir��r of ��nt��i�nrp einstalled RTIF hat the Individual Sep ge Disp 1 S ste construe or Repaired ( ) by... ---•- ................. I lei �"IiF ....................•........_.._ at.....-hase dance with the provisions o Article XI of The State Sanitaryde s desc e in the application for Disposal Works Construction Permit No........... dated-Al- THE _ dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A O ARANTEE THAT THE SYSTEM WILL FUNCTION. SATISFACTORY. r, DATE.... I-- J i_. Inspector..... ........... ............................. ._.........-------••---........._...--••---••---••....-- THE COMMONWEALTH OF MASSACH'U5:E_TTS " BOARD OF . HEALTH�• , 7t ............OF....... ......... ...... No........Xr FEE-Z,........... oll � rtn anti :. Permission is reby granted---•- ..... _ _. _ ............ .............................................................. to;Construe r air (', idual Sewage Dis al ysttri r r Street t. as shown on the application for Disposal Works Construction Pe No.____ ... /�f Board of Health DATE ::_...��y�.... -[% ------------- --•---- FORM 1255 HOBBS & WAR EN, INC., PUBLISHERS - _ •, Y • " P Y " ,.t NCI" UM SOIL TEST TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR DATE OF SOIL TEST _S7/L-z_a_2 _ /n�•Q 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE " --� SOIL TEST DONE BY �.� >^� £LEV. _ CLEAN SAND WITNESSED BY "�"'� a2� z t�� e+..► {ASSUMED) CONCRETE COVERS -0BSERVAT ON HOLE 1 ELEV.- 4" SCHEDULE 40 PVC PIPE LOAM AND SEED MIN. PITCH 1/8" PER FL PERCOLATION RATE Z_ MIN./INCH AT '� G4 INCHES 2 LA�,�R OF LEGEND. DEPTH HORIZ �TEXTURE COLOR MOTT. OTHER 1/8" TO 1/2" 6 MA C4 �. WASHED STONE rJc, (� 4" CAST IRON PIPE " 0MAX. EXISTING SPOT ELEVATION OOXO 3 14 Sa I (OR EQUAL) MINIMUM 977-AIN. - EXISTING CONTOUR ----00---- PITCH 1/4 PER FT. �� IZ _ d FINAL SPOT ELEVATION l/FINAL CONTOUR 0a/ L37 4. SOIL TEST LOCATION FLOW LINE 9 G,Otf Cca�►.Sr /ply w� UTILITY POLE -O- � C ir. �j✓'ave� PLUMBING ELEV. - 97,Qd 10" ❑ ❑ ❑ ❑ [3 0 ❑❑ ❑❑ C', TOWN WATER —W_W �.f i .Sc. '� •/ '7/� MIN. 9G 3 2'p" o 0 o CATCH BASIN \®j G TO BE RAISED ELEV. _ " : LEVEL o ° ❑ ❑ ❑ ❑ ❑❑ ❑ ❑ ❑ ❑ 0 ° GAS LINE C yi� AND RE-PIPED BY q .I LICENSED PLUMBER ELEV. _ .�3 00GA; ELEV. = 95 SO 6" SUMP ELEV. 95.3� o o ° CLEAN OUT BAFFLE ° c 000 ❑ ❑❑ ❑ ❑ ❑ ❑ ❑ o Z o CESSPOOL C.P. O As NEEDED DISTRIBUTION ELEV: - ° ° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ . LIQUID OUTLET BOX .5� ° °° o olio o ELEV. 4 FEET 14 INCHES DEPTH TEE (TO BE PLACED ON 'FIRM BASE) TO BE WATER TESTED GZ 500 GALLON DRYWELLS WITH I 138 , 5 FEET 19 INCHES IF MORE THAN ONE OUTLET , STONE !N AN 6 FEET 24 INCHES 1000 GALLON . C 6• 7`�� /�raWATER ENCOUNTERED .AT ELEV. 8 FEET 34 INCHES SEPTIC TANK (TO BE PLACED ON FIRM BASE) /3 X' ..�.. TRENCH FORMAT! N z WELL NIA ZONE X__ 3/4" TO 1 1/2" CLEAN SOIL ABSORPTION ;� INDEX�( (E x ! S r//v c, ) DOUBLEEOF WANES dcSTONE SILT SYSTEM (SAS) , ADJUST X_ DESIGN CALCULATIONS NUMBER OF BEDROOMS p USGS PROBABLE WATER TABLE ELEV. = GARBAGE DISPOSAL UNIT !�/o SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / f ) ELEV. = TOTAL ESTIMATED FLOW NOT TO SCALE BOTTOM OF TEST HOLE ELEV. s - _ O I �3 GAL./DAY REQUIRED SEPTIC TANK CAPACITY EX/•3T. o GAL. t ( ACTUAL SIZE OF SEPTIC TANK �- /eoo GAL. SOIL CLASSIFICATION r I DESIGN PERCOLATION RATE < MIN.JIN. EFFLUENT LOADING RATE 2 GAL./DAY/S.F. LEACHING AREA ? SO. FT. 13xZs t ` LEACHING CAPACITY (AREA X ATE) GAL.JDAY • RESERVE LEACHING CAPACITY _ GAL./DAY NOTES: h 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE 51 . DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO �j ' WITHIN 6" OF FINISHED GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN \� 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF.DRIVES OR PARKING AREAS. 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED 1N PLACE. 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH . _ _ DEEDED_OR ZONING REGULATIONS. OWNER / APPLICANT IS TO 1' / OBTAIN SUCH i DE`IERMINATiON FROM APPROPRIATE--AUTHORITY. \ 01 6. UTILITIES SHOvkN, ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE. 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER IMMEDIATELY. G 8. PARCEL IS IN FLOOD ZONE 9. LOT IS SHOWN ON ASSESSORS MAP _�f 9�AS PARCEL Z3 Z /�I 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER, AND T/ FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM, j' POOL / 0 v f AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3) (I.E. TITLE 5) IF ENCOUNTERED BELOW S.A.S. PIPE INVERT. 77�=: . t 11. EXISTING c SAC i4 Pir TO BE PUMPED AND FILLED WITH SAND OR REMOVED ,. �� ✓ dry OF ,; Roe, f yY Ij APPROVED: BOARD OF HEALTH f T t S4IOF1 of EXISTING tNo.2I 3, , j SHED /x \.'Oq f DECK DWELLiNG �f tc 4� t p ; DATE AGENT AREA � '-: . PROPOSED SEPTIC DESIGN 17,961 S.F.� FOR . 41 ACRES �- „ � �' � ,�� ROBINSONr ALPERS � / J b r j t`.� ' I LOC. LOT 87 \l/VJ 27 THOREAU DR, CENTERV CRAIG R, SHORT, AR 235 GREAT WESTERN ROAD . 508— P. 0. BOX. 1044 y 39$-8311 SOUTH DENNIS, MASS. 02660 DATE AUG 23, 2002 SCALE 20' REVISED JOB N0. 1...g30 LOCATION MAP REVISED SHEET 1 � OF 1 C.• S8 PROD 349-00 dw 2349-00.DOV 0 2002 CRAIG R. 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I �I I - L � r - r I I 11 . � r I � I I I . LEACHtNO 'CAPAClTY (AREA X RA I I .-..GAL./bAY' �L I I I I,I � I I , . '. 11 1, I i- � I r I L'' . �� 1, - I I I I I � I I . I . I L I r I � L I r I I L 'r L � � '.."k," I 11 I � - "I � , ,", L-,� r I I r I r , I � �l r . ,. � L'.. . I I I I . I I . � � L I I � L r GL � AP ' L - ..,. I '� I 1 I I L � .1 . I I : � LEACHIN GAL./DAY I � I . I . I I I I I I I L RESERVE I C ACITY�: , I r 1 I - - L r . � , I L I � . I r I . I I I I � I � I � � r . I 11, . � I � I I I I I I L L I � I I I r I I I 11 .11 L I , .L. � 1, I I - L 1,� �.I ,L I I r I I I I I I r L r � � 1: . r- I - I ,, r � I I � . r . I I I I IL - I r r I r L I � I r I L ,r'L I r � .1 I �I 1� I I - I I rl�", r-1 I I I I I r . I I L . I I I . t L I IL 11 I I I . I . I I ll�_1, � I I I - , , I I . I I r , - . I I I r � . � .� � �, . , I,,rr I I I L I I L I I 1� I I . I L � I � L NOTES: ,, r . I I I�r - � I � . L I ' ' :" 'L.' ' . I I . r I . ;i I I " 'L�, � I � I. - r',, I L r., . S I L I I I I I I � I I � 1�I L I : I I� . .I 11 I L l.,ALL WORKMANSHIP AND MATERIALS SHALL coNFORm-,TOr O.Ep,, I --- � :I � r 11 iRP ' �' L ' - I I I .� r r . I . r 0 IL - I � . ! . I I I � - I � TITLE 5 ,AND- THE TOWN RULESr,ANDr,REGULATIONS FOR THE 'SUBSU ACEr I LL L` � I I - I q, -1, I 4 . r L I I . I I I I I ,SEWAGE.,r ",� � . : __ ,Lt . I * - � I I L , r I I . . _ r , 11 L' �L ' � -. I. ��,�, *,-_.I L,,I -,L�. , . I I � 1, L . ,r r I � I 'r . I L 'r I r -1 � r . I I I I I L I � L - 7_k" L I . DISPOSAL OFL'TOLSANITXfr SA r ' ' Lg ' ' L , - I"� - r , " ll�: ,Y,L'jk I 11 I 1� L L V 'L . 2. ALL'COVERS r TS" ALL BE ROUGHT TO ', I r , I I � I % L I . I I I I r L r � I L : � ., :�'�:��" ' ' L','' L � I I __' I - -6" OF FINISHED_ I 11 . . I, . I I � I 1) / L I I I I WITHIN� 'GRADE.; � 1,., I �r� r ", I I L r I I '� L � L I I i- �"I6, . I I I I I I r r r .1 I � I I r r - . ll , i L , r : I . L I I I I � I I \/ , I ll� 'A j I I I I . L L � 3, ALL COMPONENTS,OF THE,-S,ANtTA'RY. 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I/� r g . - !, t. � � I � I L I 1 15. NO DETERMINATION HAS BEEN 'MADE AS To COMPLIAN ' TH L L.,�� r I I - L I I L . I L � , ,,/L" I , . r I '. I r I r r I CE W 1, r- 'r I 11 _ r I I, I Ir I I I: I I &/ - ,�l � / ;. - I I I 11 I - � I . I I 11 I� I IL I 11 DEEDED OR ZONINO'RtGUILATIONS. OWNER /,APPUCANT f8t O�' - 1� . , I � I I I I r r - I I I - r . f r � . " JD/ , �- .,., I , 11 L I r I L I I -1 . I I I OBTAIN �SUCH DETERMINATION FROM APPROPRIATE .AUTHORITY. r ,,,,,,,r� ' L: L " ' , L- rr I � - 0 / I � ,/ ,Z� A- � \ �%4�.*, '�� " r, L _.� � I I I Z.�_, 11 , I I TION CONTRACTOf�.r I L _' _r' '.I I , � 1� , I IF A 0 j t4 1 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVA . L L,r L � L -I .-I- / L\ . I . I I I . . I.r I r I � � r CALL "DIG-SAFE" AT 1-888"544-7233 ATLEAST,72 H I , r ', ll;�., I" li I I I L I 11 IS TO OURS 1' �I I -, 1. � . L 1, I - L lix , I I ,�_ ,V I �Q 0 �q , I -r I � �� , � I__ I. I 1� 'r I . I I L I I , . . r I "\ 11 I / .,/ I I -1__�, I L. i - 11 I I I . I I � PRIOR TO COMMENCING WORK ON SITE �l .r I . �% 'L I " � � � . r' I I r � - , I �. r I I . � I - � I I I -, ,_ ._t' -$,Lq . I I � . I 11 I I L I I 'TIONS AS WE 'AS� 'L-1 I ; I" . I p,�i, , 1, I , L I I , r - I I I L r 7. CONTRACTOR IS'TO VERIFY LGRADES VA _LL r L . �-L. .' ' L , . I r I I I I . I_:��l . /, ll�l --,., ,�, 11 f - IN ,L I L . I I r I . I AND ELE I r , r r I L lll""�� 11 -..-� . r - � r I L L � )ON _ 1 . I " I I /L ,�, 4 e 4 1 . I I L SITE CONDITIONS -PRIO,R ,TO COMMENCING WORK ON 'SITE.LANY VARIAT , I I , I I - L " � - I :.; .r I - I � I I I . . I " _ �, - i , ( I . I I I - - ID I I � -://, � ,� � i � r \ :, (/ , " I I � I L IS TO BE,BROUGHT TO,`THE, ATTENTION OF THE E$IGN ENGINEER� ,:��: , I I I I � ", i . , , , , \ � L r " L � r I I I . r : I . I �L I r L I I � . it ,.,I I /11 - -.. 1, , I � t� , %_ L. ,_" I I � "L rr . r I , L � . -I , � I ,�_m_ . ,�'- I L I I L L I " <N I I rL 1. I � � . L . . L rl � r ii , -� � I . : I I IMMEDIATELY. . 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