Loading...
HomeMy WebLinkAbout0108 WEQUAQUET LANE - Health 108 WEQUQUET LANE, CENTERVILLE A = 250 153 i UPC 12534 No.2_OR HASTINGS,MN I� 4 I I II �, ...o i �I �, �' � � �,..� � i ,- __.. ,, �. � �, } �. E t 4 1 aIDS No. Fee THE COMMONWEALTH OF MASSACHUSETTS �' Ectred in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Migogaf *p5tem Construction Perron Application for a Permit to Construct( )Repair(J pgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1025 W e QA)c+,cj UtT L c..u,e, Owner's,^'� v ,. Nam/,e,Address and Tel. fN,o.— Assessor's Map/Parcel S `53 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. --;2,L.-�S o � � ILI Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow �3y gallons per day. Calculated daily flow 3S__0 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank e'-X"Sn'��SOMA, Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) -_J=7�5rW t BAL 'ttitr A( � x,) +(/ /c�a DEL� �-�'�-F-i'► 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 th nvironmental Codp and not to place the system in operation until a Certifi- cate of Compliance has b s Signed Date �S '97 Application Approved by Date A� - f 2 Application Disapproved for the fo owing reasons Permit No. 9v .Z Date Issued 7 �� vM^ •r . \ n.. , T — No. 7" ��. n) n,. a Fee' THE COMMONWEALTH OF MASSACHUSETTS r4'Efi'&din�computer- Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Migpogal 6potem Conotruction permit Application for a Permif to Construct( )Repair(Upgrade( )Abandon( ) Q Complete System ❑Individual Components Location Address or Lot No. 1 0& W, Uc.T L04.u-e, Owner's Name,Address and Tel.No. Assessor'sMap/Parcel ;I SG ,`5 14Ut mak`/__JL;Aw K /" Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. } °job���'�•��S .Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 33U gallons per day. Calculated daily flow gallons. 1 Plan Date Number of sheets Revision Date , Title ` Size of Septic Tank #a- (Ocx-) —)A l(ram- Type of S.A.S. L7'-4lut2 Description of Soil C Y-)S�` vn,,r V P r2 M • Nature of Repairs or Alterations(Answer when applicable) Z'V��-�51[1 (f O�rG f_--t V- id, �+ Cµ✓J/Cl7 y �'K-�[L�f Vow C.Lr V ac. / �(� -5T-- -L.. aw Sir✓e S i 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 nvironmental Cod and not to place the system in operation until a Certifi- cate of Compliance has bid b f H'' lth - Signed 1, Date S Application Approved by [. Date Application Disapproved for the following reasons Permit No. Date Issued s- ---------------- - - THE COMMONWEALTH OF MASSACHUSETTS BARNSTA LE, MASSACHUSETTS (tertificate of (Compliance THIS IS TO CERTIEY, that the 0jte ewage Disposal System Constructed( ) Repaired( )Upgraded(L-< Abandoned( )by ' v c.✓ (�-...dS at /d (��9 U a 9 ur �- --- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �22 WD dated A Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will unction as designed. -�> s Date Inspector No. g / '—o� C,� ------------------------------ - Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE., MASSACHUSETTS Mwigpogal *pgtem C ngtruttiou Permit Permission is hereby granted to Construct( )Repair( Upgrade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this/hermit. Date: Approved by ( ->�2Z� t NOTICE: This Form is to be used for the Repair of Failed Septic Systems Only CC_ItTIFICATIUN OF SKETCI[ AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PEItMI'l- (WITIIOUT DESIGNED PLAN hereby certify that the application for disposal works construction permit signed by me dated concerning the property located at 10 8 (L-7u Lc e meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED: DATE: —7� LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. j:ccrt CAL TOWN OF BARNSTABLE LOCATION C��% l� Ck� v ey ° SEWAGE # 7' VII.LAGE L '«' �`J<<\f ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. SEPTIC`TANK CAPACITY LEACHING FACII,ITY: (type) .Two a L c" "t c> 5 __ (size) //� �`� NO.OF BEDROOMS �3 l BUILDER OR OWNER PERMITDATE: '� I S - COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If.any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by S t: tiz 4r. ----------� r , \ V a 153 rods ' ti��le9 1 c 9 9 tioFTsj�` 9] BORTOLOTTI CONSTRUCTION,INC. 765 WAKEBY ROAD,MARSTONS MILLS,MA 02648 508-771-9399 508-428-8926 FAX: 508-428-9399 Y yt SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: /019' Date of Inspection: Inspect is Name: Owner's Name and Iress Ou 60 CERTIFICATION ST TFM NT• 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 systems. The System: Passes Conditionally Passes Needs Further Eva lion By cal Aproving Authority Fails _ Inspector's Signature: Date: The System Inspector shall submit a copy of this inspection report to the Approving authority within tlur- 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 of 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. "I �. V a INSPECTION SUMAIARYo 0,51697 A)SYSTEM PASSES: 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 faiiure 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, structurally unsound, shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing sep- tic tank is replaced 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): - I - P> .. s ,ram SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is levelled or replaced The System required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of The Board of Health): Broken pipe(s)are replaced Obstruction is removed C)FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by The Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1)SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 Feet of a surface water Cesspool or privy is within 50 Feet of a bordering vegetated wetland or a salt marsh. 2)SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTION— ING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has 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. 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)S EM FAILS: I have determined that the system violates one or more of(lie following failure criteria as defined in 310 CPAR 15.303. The basis for this determination is identified below. The Board of Health shoul4,6 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. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped -2- �T 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 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)LAAGE 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 tlie`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 public water supply well. The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CNM 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. tv 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,,, depth of sludge,depth of scum. _,-___�e 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- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) V The 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: gallons Number of Bedrooms: Number of Current Residents: Garbage Grinder: Laundry Connected To System:_` Seasonal Use:AA) Water Meter Rea di gs,if ailable: Last Date of Occupancy: Q,000tj4 /X" C'OMMERCLAL/INDUSTRIAL://O Type of Establishment: Design Flow: gallons/day Grease Trap Present: (yes or no) Industrial Waste Holding Tank Present: 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: NO System Pumped as part of inspection: y if yes,volume pumpe : Wllons Reason for pumping: TYPE O SYSTEM: eptic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(If yes,attach previous inspection records, if any) Other(explain): ADDROXIMATE AGE f all components,date installed(il known and source of information: Sew ge odors detected wh arriving at the site~ -4- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK: Depth below grade: // Material of Construction: cc✓O i�crete metal FRP Other (explain) Dimisions:g•S'X 'X S 1 Sludge Depth:_L�!/ _Scum Thickness: Distance from top of sludge to bottom of outlet tee or baffle: '"Al Distance from bottom of scum to bottom of outlet tee or baffle: ffrz� ,h e t(/By !yi � yr/v�oay��>�/✓ Comments: (recommendation for pumping,condition of inlet and outlet tees orb es,depth of liquid leyel in elation to utlet invert, structural integrity,evidence of leakage,e c.) v I/ ed GREASE TRAP:_ 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: Depth Below Grade: Material of Construction:_conerete_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 lev 1 and distribution is equal,eyiden of solid carryov r,evidence of leakage into 0 out of box,etc.) ' PUMP CHAMBER: Pump is in working order: Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) -5- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (coulinued) 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: t--�Leaching chambers, number: Leeching galleries,number: Leaching trenches,number, length: t,Leaching fields,,number,dimensions: ,Overflow cesspool;number: - Comm ts: (note condition of soil, signs.of hydraulic failure leve of pondin condition of ve etation, etc.)" r. CESSPOOLS:, 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: Materials of construction: Dimensions: Depth of Solids: Comments: (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.) -6- r 'J 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. .a 0 1p �� 4 7� 3 DEPTH TO GROUNDWATER: / Depth to groundwater: /$' Feet Meth of Determination or Ap roxir�ation: �'DX/�l�} . -7- 9 RE r EO AP4 1 2 1999 a TOWNOFWDMW S HFALiH 0EP1: TH OF MASSACHUSETTS IV OFFICE OF ENVIRONMENTAI AFFAIRS John Grad DEPARTMENT OF ENVIRONMENTAL PROTECTION DEP Title V Septic Inspector ONE WINTER STREET BOSTON MA 02108(617)292-3500 P.O.Box 2119 TeaTicket,Ma. (508)564-6813 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 108 WEQUQUET LANE CENTERVILLE MAP 250 153 Name of Owner PHIL LLEWELYN Address of Owner: SAME Date of Inspection: 416199 Name of Inspector:(Please Print)JOHN GRACI i am a DEP approved system inspector pursuant to Section 15.340 of Tide 5(310 CMR 15.000) Company Name: John Graci Title V Septic Inspection Mailing Address: P.O.Box 2119 TeaTicket,Ma.02636 Telephone Number: (608)664-6813 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.The system: X Passes The inpectlon Is based on criteria defined in Title V Conditionally Passes code 310 CMR 15.303.My findings are of how the system is Needs Further Evaluation By the Local Approving Authority performing at the time of the Inspection.My inspection does Fails not Imply any warranty or guarantee of the longgevity of the septic system and any of Its components useful life. Inspector's Signature: Date:4/9/99 The System Inspector shall ibmit 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 THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND PUMPING SYSTEM EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. revised 9/2/98 Page 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 108 WEQUQUET LANE CENTERVILLE MAP 260 163 Owner: PHIL LLEWELYN Date of Inspection:4/6/99 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. COMMENTS: System passes Title V Inspection B. SYSTEM CONDITIONALLY PASSES: Ila 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. na 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(20)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. na Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box.The system will pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced na 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 revised 9/2198 Page 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 108 WEQUQUET LANE CENTERVILLE MAP 260 163 Owner: PHIL LLEWELYN Date of Inspection:416/99 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 IN ACCORDANCE WITH 310 CMR 16.303(1)(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) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH 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 n(a_(approximation not valid). 3) OTHER nta revised 9/2198 Page 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 108 WEQUQUET LANE CENTERVILLE MAP 260 163 Owner: PHIL LLEWELYN Date of Inspection:4/6/99 D. SYSTEM FAILS: You must 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 determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow, X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Wa. X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy Is within 50 feet of a private water supply well, X 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 ompounds, ammonia nitrogen and nitrate nitrogen. X The liquid level In the SAS is over the invert pipe,is in Hydraulic Failure. E. LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: The following criteria apply to large systems in addition to the criteria above: _ The 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 health and safety and the environment because one or more of the following conditions exist: Yes No X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X 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 owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 108 WEQUQUET LANE CENTERVILLE MAP 250 163 Owner: PHIL LLEWELYN Date of Inspection:4/6/99 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. X 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. X As built plans have been obtained and examined.Note if they are not available with N/A, X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout, X All system components,excluding the Soil Absorption System,have been located on the site. X 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: X Existing information,For example,Plan at B4O,H, X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) 11 5.302(3)(b)] X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. revised 9/2/98 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 108 WEQUQUET LANE CENTERVILLE MAP 260163 Owner: PHIL LLEWELYN Date of Inspection:4/6/99 FLOW CONDITIONS RESIDENTIAL Design flow:,=g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual):A Total DESIGN flow: = Number of current residents:2 Garbage grinder(yes or no):NQ Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no):JtQ Seasonal use(yes or no):M Water meter readings,if available(last two year's usage(gpd): n(a Sump Pump(yes or no): NQ Last date of occupancy: nla COM MERC IAL/I N Dt1STRIAL Type of establishment: n& Design flow: n/a gpd(Based on 15.203) Basis of design flow: Wa Grease trap present:(yes or no):�LQ Industrial Waste Holding Tank present:(yes or no): NQ Non-sanitary waste discharged to the Title 5 system:(yes or no):NQ Water meter readings.if available:n& Last date of occupancy: n& OTHER: (Describe) n& Last date of occupancy: n& GENERAL INFORMATION PUMPING RECORDS and source of information: NONE System pumped as part of inspection:(yes or no):YE$ If yes,volume pumped 20M gallons Reason for pumping: MAINTENANCE TYPE OF SYSTEM _ Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes.attach previous Inspection records,if any) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other: n1a APPROXIMATE AGE of all components,date Installed(if known)and source of information: ORIGINAL SYSTEM INSTALLE 1996 WITH FIELD IN 1997 Sewage odors detected when arriving at the site:(yes or no): NQ revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 108 WEQUQUET LANE CENTERVILLE MAP 260163 Owner: PHIL LLEWELYN Date of Inspection:4/6/99 BUILDING SEWER: (Locate on site plan) Depth below grade: JLC Material of construction:_ cast iron X 40 PVC _ other(explain) Distance from private water supply well or suction line: TOWN Diameter: nLa Comments: (condition of joints,venting,evidence of leakage,etc.) Wa SEPTIC TANK: X (locate on site plan) Depth below grade: V Material of construction:X concrete_ metal_ Fiberglass _ Polyethylene _ other(explain) nLa If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NQ nta Dimensions: L 8'6"H 6'7"W 4'10" Sludge depth: 5" Distance from top of sludge to bottom of outlet tee or baffle: M Scum thickness: 7" Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: 11_" How dimensions were determined: MEASURED 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.) SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING SYSTEM EVERY TWO YEARS. GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete_ metal_ Fiberglass _ Polyethylene_other(explain) nLa Dimensions: nLa Scum thickness: n& Distance from top of scum to top of outlet tee or baffle:j)& Distance from bottom of scum to bottom of outlet tee or baffle nLa Date of last pumping: n& 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.) nLa revised 9/2/98 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 108 WEQUQUET LANE CENTERVILLE MAP 260 163 Owner: PHIL LLEWELYN Date of Inspection:4/6199 TIGHT OR HOLDING TANK: NO (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: n/A Material of construction:_ concrete_ metal_ Fiberglass _Polyethylene_ other(explain) n& Dimensions: n/a Capacity: Wa gallons Design Flow: n/a gallonstday Alarm present: NO Alarm level: n/a Alarm in working order:Yes_No_: NQ Date of previous pumping: n(a Comments: (condition of inlet tee,condition of alarm and float switches,etc.) nLa DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet Invert:LIQUID LEVEL WITH BOTTOM OF PIPE Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) DISTRIBUTION BOX IS STRUCTURALLY SOUND PUMP CHAMBER: NQ (locate on site plan) Pumps in working order:(Yes or No): NQ Alarms in working order(Yes or No): NO Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) nLa revised 9/2/98 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 108 WEQUQUET LANE CENTERVILLE MAP 260 163 Owner: PHIL LLEWELYN Date of Inspection:4/6199 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: n(a Type: leaching pits,number: 1000 GALLON LEACH PIT leaching chambers,number: _i& leaching galleries,number: j(a leaching trenches,number,length: ONE TRENCH.BE leaching fields,number,dimensions: n& overflow cesspool,number: ji& Alternative system: n& Name of Technology: _n& Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE SAS IS FUNCTIONING PROPERLY LEACH PIT IS STRUCTURALLY SOUND CESSPOOLS: _ (locate on site.plan) Number and configuration: nla Depth-top of liquid to inlet invert: WA Depth of solids layer: Wa Depth of scum layer. Wa Dimensions of cesspool: nla Materials of construction: n& Indication of groundwater: n& inflow(cesspool must be pumped as part of inspection)n& Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) nla PRIVY: _ (locate on site plan) Materials of construction:n& Dimensions:n/A Depth of solids: nia Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n& revised 9/2/98` Page 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 108 WEQUQUET LANE CENTERVILLE MAP 260163 Owner: PHIL LLEWELYN Date of Inspection:4/6/99 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) n/a P� Oe(v �A 0 r3C b Ag(� na 31 ¢A a� revised 9/2/98 Page 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 108 WEQUQUET LANE CENTERVILLE MAP 260 163 Owner: PHIL LLEWELYN Date of Inspection:4/6/99 NRCS Report name: nLa Soil Type: WA Typical depth to groundwater: n& USGS. Date website visited: nLa Observation Wells checked: NQ Groundwater depth:Shallow _ Moderate _ Deep _ SITE EXAM _ Slope _ Surface water ` _ Check Cellar Shallow wells Estimated Depth to Groundwater 12 Feet Please indicate all the methods used to determine High Groundwater Elevation: _ Obtained from Design Plans on record X 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 X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS AND VISUAL-12+FEET a revised 9/2/98 Page 11 of 11 TOWN OF BARNSTABLE LOCATION Q-AL SEWAGE # VILLAGEL)�1�/),� ASSESSOR'S MAP & LOT NAME&PHONE NO.1^`'`� arna,✓ ���gS'.2(o SEPTIC TANK CAPACITY /0106 QdJ- )a05G f LEACHING FACILITY: (type) (size) /000 NO.OF BEDROOMS BUILDER OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet. Privste 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 1� o �1.01 ' •�'"� TOWN OF BARNSTABLE Lc`r,ATION 102, U� ` r� `- o. SEWAGE # 1 7. 2 91 VJ.LLAGE ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. &L6 Z SEPTIC TANK CAPACITY cTi,k t cvtQ LEACHING FACILITY: (type) (size) 16cc)-J Y_�V- NO.OF BEDROOMS BUILDER OR OWNER cyN&Qc PERMIT DATE: _ 1 S y "] COMPLIANCE DATE: 57 ct- e7 7 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by r t cy eO dcf� 0 -2,- �s ra No. ..'. ... ........................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TH ................oF.... a► ..ry ��. -_--�..... --------------- 04 Applirativaa for UiupuuFal arks Tomitr .rttuat ramit Application is hereby made for a Permit to Construct (VI/or Repair ( ) an Individual Sewage Disposal System at: ....ln�- .Y_... v `. . e. ....... ,- .��C ------ ------------------- ��.ac ion Addre or No. d 1.9r st_S. .. -- - .. 1-i JDr .... fhl�✓1:.. .............. - ._.. ....._...---............ .... Owner e Address Installer Address U ..�.Type of Building Size Lot__A 0b0.t ..Sq. feet Dwelling—No. of Bedrooms___...._a_______________________________Expansion Attic ( ) Garbage Grinder ( ) PL4Other—T e of Building ............................ No. of persons............................ Showers — Cafeteria a' Other fixtures -------------------------------- --- w Design Flow...........................................gallons per person per day. Total daily flow-___-3_3_F.2.........................gallons. tY' Septic Tank—Liquid'capacity 0.0..gallons Length................ Width................ Diameter................ Depth__��_-4 w Disposal Trench—No.......)............ Width.................... Total Length.................... Total leaching area--------------------sq. ft. x Seepage Pit No--_----------------- Diameter...6_.&—L/...... Depth below inlet.................... Total leaching area.. 4.....sq. ft. Z Other Distribution box ( ) Dosing tank a Percolation Test Results Performed by__ 4.2�1'_.K_ 5 �?.C�si. .�.... Date..... /_,� Test Pit No. 1__< __minutes per inch Depth of Test Pit____________________ Depth to ground water.�'l... -._ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............-• ••--..................... escri tono Soil .... ....- L- •-•- ---- - ------ � ------ U ---....• --"'--- .... --------------------------------------------------------------------------------------------------------------------- w ...............-......................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ..............-......................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI.E 5 of the State Sanitary Code—The undersi ed furth r agrees not to place the system in operation until a Certificate of Compliance has bee su the bo ie Sign -'-- � -------•- ...�-.... ---��-� / ate ApplicationApproved By... .../. ..1��=`-••---....--••---------------------------•--••---•---•----•-----.....--•--- 3- - �..._ ................ Date Application Disapprove f or a following reasons:..........................................................................------------------------------------ ............................................... ............................._...................................................................................................................... Date PermitNo......................................................... Issued---------------_-----................................ Date •IV.. .'"' ... Fu$... ............. THE.6641MONWEALTH OF MASSACHUSETTS BOARD OF H EAL'TH r aA [fY lis .... ...........OF..... � :!'. !�..�..�r `'' - Appliration for Disposal Works. Toustrurtintt Prrutit Application is hereby made for a Permit to Construct ( for Repair ( } an Individual Sewage Disposal System at: l L 1 r •oca on-Addres or t o. n r 'y `-•I�- i ..... o?` .� •----�. L x-......................................... .✓.t?��1:..,t`ca,�: Owner Address tf- ......................... ---------•-------------.........---....---•---•----...............------------•---------------.... Installer Address Type of Building Size Lot... l✓ ---Sq. feet �-, Dwelling—No..of Bedrooms........................................Expansion Attic ( ) Garbage Grinder ( ) WOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ..-•-•-----•-•. -•--------••--•••----•-••..........•••---•-•••••••--•---•----••.......................••----•••••••---•-..........••--•-...---•----- W Design Flow...........................................gallons per person per day. Total daily flow-----:3.i.V........................gallons. a WSeptic Tank—Liquid capacity/..6*V--.gallons Length................ Width................ Diameter................ Depth._. f '..� x Disposal Trench—No........I........... Width.................... Total Length.................... Total leaching area................__..sq. ft. Seepage Pit No-_----------------_ Diameter.... Depth below inlet.................... Total leaching area---c;�44....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by...sl!'�/',r �'�,r�+r.�c _ r 1. ,r1 ... Date...... Test Pit No. 1...�-P` minutes per inch Depth of Test Pit.................... Depth to ground water.6._.!' .. O'j.741 fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ - j " � /�-O Description of Soil........�--•----- � .------. � r6y� U .............................I.' --------------------------------------- ----- 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 TITLE 5 of the State Sanitary Code— The undersig'ed furti: r agrees not to place the system in operation until a Certificate of Compliance has bee (^issue the boa of�+ e .t .... to Application Approved By..ljo7llowing ........................................•. ... .... l � -----•---••-. DateApplication Disapproved o reasons---------------------------------------------------------------------------------------------------------------_ --------------------•-•--•••--•-•---•--•--•.••-•••••••••----•...-•-••••••---•--•......---...-•••••---•---'••••-•-----•-•-••--------•-•-----•-----••••-•-•-•----------•-................................. Date PermitNo......................................................... Issued....................................................... Date ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 i . .OF........... aka -A .t.. ............... . ............................ Tatifiratr of Tompliattrr T S t O CERTIFY, That the Individual Sewage Disposal System constructed r Repaired , � g P �' ( ( ) by---•- ....................l -------- ---------------------------------------.------------------------------------------------- nstaller at.... .•............. . e 4 .....--------------------------------------------• P has been installed in accord ce with the provisions of TI`�L: C of e State Sanitary Cod s cr>bed in the application for Disposal Works Construction Permit No. it.? ........... d-ated_....f-_:, ! -- -- -------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED S A GUARANTEE THAT THE SYSTEM VHI FICTION SATISFACTORY. DATE.....rl . .. •...:.......................•------••......••..--•-- Inspector.•••. .... .....,.--•--•------•-•-•••••••--------•.....---...............-•-•-•••. THE COMMONWEALTH OF MASSACHUSETTS t/ BOARD OF HEALTH - �f ...........................................OF..;................................................................................... No... . ..•••••••••--••-- FEE...!''0............. �t��rrrs � � �.�tt��rttr�uatt �erntt� Permission is reb ranted---- -- to Construc ) Repair ( dividual �, Dis ystat No.. ---•-•--•- ..... . Street as shown on the application for Dispos Works Construction Permit No..................... D ..� -....... rd of Healt.�DATE-------------------------•••----•-••--•••-. � FORM 1255 HOBBS & WARREN, INC., PUBLISHERS LOCATIONS SEWAGE PERMIT NO. LC1 LA VILLAGE INSTA LLER'S NAME ADDRESS � • U I L D E R OR OWNER L � DATE �PEkMIT ISSUED DATE COMPLIANCE ISSUED I' `3Pt)C 9 �o 4 . IG'-`- I/2" 1 F`Bu".o�o�n K e a 3 �p��cv.�� r��ka y M el I i f I _ e le,"r I O"Anchor belte w/ `i� ' j Orop T•O.P.B"for Plowello er r' �•�j1 "'1 o"x o"x I/4'•Flwta wweher� --., I rld I/�"G"Diu pllLoo Wlkhewd - LL O ------------ , L p Q I I P 9 I I I O•'m 4'ano+ubrf/6igfootw2 4 y 1 _J L______1_______ I i , Poured concrate cdum'n fool inq -F I I UP j I / wnd oiimpeona ADU 4 4 poet Ix.— h 0 I � �"Poured concre}e•.Iwb y i ; -f « - Q mil.poly v.por barrier I r____________________________i 1 Fin new foo,W, n to old w/Gew. I I1 Q 1 I .._................................... .\_•4><I O"rabr hillad iota 1 I I I � -� � �'� I l� I old foundw+ion wnd ourad into naw. I I Andarano2 a 1 7 I �� r.o.s-a 1 4 x 1-7 14 I I - 1 remove exi>tinq bulkhewd/wwll I I Jl S' '4 L 41_0"Poured ratwininq.,It. ..L f------------ ----------U i 6xle}inq house found.}ion -- Pin new iounAw#ion to old I I ' •4 x 1 D"rebwr ' drillad Into—� I I LU A,, fou.ulw+ion wnd Pured into new. I I I I 4"-G"x a".1 G"come#e Moak Po I I connected fo ereting elwb. � I I I .` I I 1 I I I II J� 0 V 2,_On I 0 I I I � I Jl I I I c r i rl � \ v I ` '• Z E Q I � y1 mm j4aimp+onw LUM 2 I O hwngtr., I Q W L U A FouNAATIoN PLAN 1/4"- 1'-O" 1 1'-B7/B" < � a� W NU 3Q � 3 Ploor brwalnq a 4'-O"a.c PT.2 xG a#ep Joy Pwnel connac+'woe Add#ion AepeN�w#ior L/W 1- 1:00 m < •+ _ f I _ I ____p_____-__ All Haeuramen+cl Oiman.lo,:e wro to ¢ I $ 1 .E / I be Bite verified by Gancrwl Goy#rwcI— Q I a I wt time of cone+rvc#ion V 8 2x12Joy#ea lG"o.c. U o I I .t� na`LHwxo LU"20 hwngera— V / I � � roimp�ena•LHwxo N I #iae � '°' I from Joiet4#o bewm! I G"o.L. i I # WuveNTIAL3u it, o- I 1.F- of.n4 prime}o inaluda remove,supply.wnd In•stwll naw w,phwl}sel+ingla�on existing building. MUM j 1 I c f to includs new fi—dings wnd iLa and wwtar proteLtion.l d Himpoono LU4a 2 1 O hwo4aro i 2.PriLe of new W.G.%hin4I—on wddi}ian to include rap.ir of W.G.%hingI—on en}ire house. > 1 Goncre}a floors to include repwira to exis}inq 4.—).floor. jI / ° 4.R•emova,supply,wnd inatwll new qu}}ar wnd downepaut on front of elwrwge. $$'`e,f;o .a' 't 4 ate.Pwin}inq to iwWde oil new wnd exi,tinq exterior trim. �a x, -Tw.window.of zwme eise. ��€ a,�� Q N I E I I G.hll a.�t;ng windows wre}o be raplwea w/Andereen 4 00 � w L m' c W dnLv II DRAPV INC,TYPE: FoUnda}'ion Plan �pj1F1�,T FLOOF-PF-AHe First Floor Frame Plan SHEET NUMBER: A I 00 •+wi . 9'-9 9/0" �� a uou"� d III I 60'-1 1/2" q•-I /C p .a 59ue$gO+ ab�o�a= m tI I o o e r3 P �Ou}door+howcr L -- _ Al a a pndaraanm NW 2^.'1-2 04"MU11) o \ G i'" 17� I.ndarbanmTw I B4 1 0/17HP'/04 I OTw I B9 1 0 E L L ` — � OJON- .y e LY I 1 2 r 1 2 Deck sir� 'p _ � O ili ` W � I..1 1 /• � li. O Q 'i. V U Andar-,a ne'PW4�oOroO Qf o J i I b I •;Lt - I i I J __________—_ 00 U., S m N _ Q © .tiyT_:` p PI�hT FLOOD PLAN •f.e p U Go ., J , —roimP,.on H 2.^i hurricwne#iae e 1 ro••o.<. Ifi. � � ® J ?� s _ _ __ _ _ _ _ _ _ __ _ :is�< � °a Nw ww6e wra to � _______________________ ____________ ---------------- 1 piminie mPo ba eita�arSiad by Ganrrwl Gontrwctor O � for pwnal connactiono � - � w#tuna of corntrUL#ion I � I � I I I - E•eaFFlom woad ehoch.rwl pwnel.with w i i—thick—of 7/1!e Inch(I 1.1 mml wnd w I zrlo�wf#arse 10•'0.0. 1 <�mum epwn aI aigh#faat(2 4 e B mml�hwtl be Ij parmiti ad for opan�nq prohaNior:in one-wnd � Q I 1 twovtcrr bUild'inga.FwnaJ.ehwll ba pracut#o zb�c s E c I I war+he glwsad apemnge with.##wchment ��oa°� � O hwwra Proyidad.Att,a—te ehwtl ba 6}u b k wrd erd.hwll ba d-01—J ae +ha 7 d 9 13 q � i ' components wnd cl.,ddinq lowda datsrminad in �o a`7 Eo � �� . r- -------------I .. wcaordwnca with tha prwwions of tha In#arnwtionwl pudding Goda but U#ilislnq#hc I �carnu#or..e i 2"o.c. wind IawM eat forth P ISO lhf.6•.00. O o o i0'3 c tl f d i <y II II R O,— FF-AMe MAN �i - �C'g,".,z �n E .j.c oo howls: I/4"- 1'-O" � '-good 7 ql 01 0 DRAWING TYPE: Firs+Plonr PI<,n �noE Frwme plan SHEET NUMBER: A200 S/TE PL A/V TYPICAL PROFIL E' SCALE F L 1�, L -7 C7 NOT TO SCALE /8 STD. L 7- wG r C.I. MH CO VER 7 4"C I, PIPE 4"BIT FIBER PIPE TIGHT JOINTS r OUTLET' LEVf r7 FLOW L INE 0 TO FIRST JOINTj F - ' c 0 DWEL L//VG 1. A� 14 a c ? L_ 1 _ rEE STANDARD PRECAST CONCRETE GALLON SEPTIC TANK -- I , B 01S TRIBU T-!OA( BOX TO BE INSTALLED ON LEVEL , 57,48LF BASE SEPTIC TANK TO BE INSTALLEV ON T kzo LEVEL , STABLE BASE e L Ci.4 5 0 1 1.41 1 2 //8 TO 112" WASHED' PEA 5 T6)N.;- LEAC-H111IG PIT ALL AROUND FREE OF IRONS, FINES SASE TO BE L E VEL AND DUST INPLACE 00, BRICK 8 MORTAR COURES 314" TO I-112" WASHED CRUSHED AS RE-CUIRED TO BRING STONE ALL AROUND FREE Of' COVER ro GRADE 24"C.1. 4fH COVER IRONS, FINES AND DUST /,N PLACE Nf AN FRA ME LEACHING PIT SECTION- IAJ T4 -LOW L INE I�V 8' t,TP 0$ZC-64"'T 6a&Jc- , _�-AL_ Iftf T , - PIPE i. CONCRETE TO BE 4000 PSI 28 DAYS -�g�PTic 'TA"i4_ -a. 2. REINFORCED WITH 6" - 6" N0- 6 GA. W.W.M 16' L 5 i L_ 7- 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER 11'7 DEPTH REQUIREMENTS. OPENING WITH 4 11BE 4 NUMBER OF PITS REQUIRED PE OUTER DIAMETER 8 1-314 INS/OE DIAMETER NOTE EXCAVATE TO ELEVATION %_a_l__OOR LOWER AS REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH P, N ; — PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN' n , GRAVEL TO DESIGNED GRADE 0 -T 4- 6,_5 • 4*_O MIN. EFFECTIVE DIAMETER (NO T TO E)(CEE0 3 TIMES EFFEC T1 VE DEPTH) hi v � wa � rrcAA T WATER TABLE ( " s h1a IE Q Lc L) k.r2- r-- 0 kj 7- a SO/Z_ A NO FERC. 04 7A_ GENERAL NOTES L) T �j aa P EILR C. RATE - F:-271 WN. /IN . r-, NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. SEPTIC TANK, DISTRIBUTION TEST BY: W',A, 1k)A 12 VJ e-64- �-j C BOX , LEACHING PITS TO BE STANDARD PRECAST REIf4F("RCEC CONCRETE UNITS WITNESSED BY F3. A ALL SYSTEM, COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE EN'ViRONMENTAL CODE TEST PIT GR EL.: DATE ' MINIMUM REQUIREMENTS FOR THE SJB5UFACE DISPOSAL OF TEST PIT NO I TEST PIT NO, 2 SANITARY SEWAGE EFFECTIVE I JULY 1977, 0 4 0" ANY CHANGES TO THIS PLAN MUST BE APPROVED Bf THE -ry P L_V A A-A__ BOARD OF HEALTH, AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. A Q r-' PITCH ALL SEWER LINES 1/4'' / FT UNLESS INDICATED OTHERWISE. N.10 DESIGN DATA BEDROOMS DISPOSAL L2 v EST. TOTAL DAILY EFF —GALS L EGENO SEPTIC TANK - GAL SIDEWALL AREA z5—GAL./SO. FT O.XOO EXISTING GRADE BOTTOM AREA GAL./SO. FT S)4:7��IGE DISPOSAL SYSTEM L.EACHING REQUIRED__LJk_�L-2`LSQ FT FOR j _?� - F P.C7' 'AL LEACHING AREA _ _t_'_ 't,?-_SQ.FT Z0NE FINISHED GRADE U -�; T NATER V_J A T re m INVERT ELEVATiON DOMESTIC I SOURCE TP v-J LO T 4 u)e�L)A 6z L) PROPERTY LINE a V I L- L_ tz_' A tZ Q 'l T A P,5 L e Pt SCALE: AS INDICATED DATE ! L-AN REFERENCE : 6 4119 r7 0> ME4N HIGH 'WATER - __!�_LL,21J�_ BENCH MARK DATUM: TV rf a AL k--- MARSH WM M. WARWICK 8 ASSOCIATES 90X 801 - NL.)RrH FALMOUrH 4:::: L_ ,;7•;, Cj- c-> A_j F--- pj 0 Q - z-1 A A W. v '441_5'5­4 C HU_3E r r- 02556