HomeMy WebLinkAbout0016 ZENO CROCKER ROAD - Health 16 ZENO CROKER RD.,CENTERVILLE
A= 171224
UPC 12534 '
No.2� 153LOR `�
HASTINGS,MN
)
Commonwealth of Massachusetts
Executive Office of Environmental Affairs - John Grace
D.E.P. Title V Septic Inspector
Department of _ P.O. Box 2119 _
48
_ - -.Environmental Protection Teaticket, MA 02536 -
- - - (508) 564-6813 _
Witham F.Weld
Trudy Coxe
- Saereury,EOEA _ _ -
�_ David B. Struhs
Commissioner
_. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A ✓
CERTIFICATION .. -. �//v
Property Address: Address of Owner: 01
Date of Inspection: V ���C1 (If different) f
Name of Inspector: _
Company Name, Address and Telephone Number: -
_ 9
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:
t 'Passes
_ Conditionally Passes
Needs Further Evalua on By the local Approving Authority
Fails
Inspector's Signature: Date:
The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this
inspection. If the system is a shared system or has a design floe, 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 tc: me system o�%ner and copies serf to the bu�ci, ifappiicable and the appro,inb au:1—ont).
INSPECTION SUMMARY:
Chec()A B, C, or D:
A] SYSTEM PASSES:
Li( e not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303.
Any failure criteria not evaluated are indicated below.
B] SYSTEM CONDITIONALLY PASSES:
One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair,
passes inspection.
Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not)
_ The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is
imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as
approved by the Board of Health.
(revised a/15/95) 1
One Winter Street • Boston,Massachusetts 02108 • FAX(617)556.1049 • Telephone(617)292-S500
110 Printed on Recycled Paper
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_ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM -
PART A
CERTIFICATION (continued)
Property Address:
Owner.
Date of Inspection: --
BJ SYSTEM CONDITIONALLY PASSES (continued) - -
Sewage backup or breakout or high--static water level observed in the distribution box is due to broken or obstruct
pipes) or due to a broken, settled or uneven distribution box. The.system will
_ - Board of Health): x_ .s pass inspection if(with approval
of
broken pipe(s) are replaced
obstruction is removed _
distribution box is.levelled or replaced
The system required pumping more than four times a year due to broken or-obstructed l
- inspection if(with approval of the Board of Health): P pe(sl. The system will pass
broken pipe(s) are replaced
obstruction is-removed
CJ 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 i
public health, safety and the environment: Y s failing to protect the
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,
THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE IF APPROPRIATE)
ENVIRON' LENT PUBLIC HEALTH AND SAFETY AND THE DETERMINES THAT
I hP ldnh all SUn duSorption 5y5ien� an(j ij Yv,il},i, i Vv foci iG d 5u�d�c _
surface water supply. .atc, 5�__,,
The s\tp . ha, a sept,c tank and soil absorption system and is within a Zone I of a public water supply well.
— The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well.
The s'1stern has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private
supple well, unless a well water analysis for coliform bacteria and volatile organic com t ate water
free from pollution from that facility and the presence of ammonia nitrogen and nitratepnitr denn indicates that the well is
PPm• nitrogen equal to or less than 5
D] SYSTEM FAILS:
I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The ba sis
for this determination is identified below. The Board o determine what will be
of Health should be contacted t
the failure. necessary to correct
Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or.
(revised 8/15/95)
2
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)_
Property Address: -
Owner.
Date of Inspection: . — --
DISYSTEM FAILS (continued): - - - -
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" be-low 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 _
_ 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] LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria above:
The design flov., of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety
and the environment because one or more of the following conditions exist:
the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone 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 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
(revised 8/15/95) 3
1 -
- SUBSURFACE-SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B _
- CHECKLIST -
Property Address: v", zQ t—Nc' -
Owner: _ �Ctd^lQ(p
Date of Inspection:
Check if the following have been done:
—L-P-Limping information was requested of the owner, occupant, and Board of Health.
>&ie 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.
f j /)°s built plans have been obtained and examined. Note if they are not available with N/A.
die facility or dwelling was inspected for signs of sewage back-up.
the system does,not receive non-sanitary or industrial waste flow
site was inspected for signs of breakout.
L-Afif system components, excluding the Soil Absorption System, have been located on the site.
i,_T�e 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 existing information or
approximated by non-intrusive methods
The f2 :u•.. a ,� fr difforvni frnn, o�tinf : were provided with information on the proper maintenance of Sub-
Surface .,
Surface Disposal System.
(revised 8/15/95) 4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
_ PART C
SYSTEM INFORMATION
Property Address: �b �p�l� ( .7 ca j
-`Owner:
Date of Ine
- FLOW CONDITIONS _ -
RESIDENTIAL: -
Design flow: aAons _
Number-of bedrooms: J
Number of-current residents:,, _
Garbage grinder (yes or no):_CV3
Laundry connected to system (yes or no):`�e
-Seasonal use (-yes or no)(�A/-�- _ -
Water meter readings, if available:
Last date of occupancy:
COMMERCIAL/INDUSTRIAL:r�V:lr
Type of establishment:
Design flow: gallons/day
Grease trap present: (yes or no)_
Industrial Waste Holding Tank present. (yes or no)_
Non-sanitary waste discharged to the Title 5 system: (yes or no)_
Water meter readings, if available:
Last date of occupancy:
OTHER: (Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING RE RDS and source of information:
System pumped as pan of inspection: (yes or no( � .
If yes, volume pLImped eallon�
Reason for pumping:
TYPE OF�SYSTEM
peptic tank/distribution box/soil absorption system
Single cesspool
Overflow cesspool
Privy _
Shared system (yes or no) (if yes, attach previous inspection records, if any)
Other (explain)
APPROXIMATE AGE of all components, date installed (if known) and source of information:
Sewage odors detected when arriving at the site: (yes or no) l
(revised 8/15/95) 5
LOCATION �07� 4 SEWAGE PERMIT NO.
63 a �,va c2�K /��� /71
VILLAGE
C .£NTif i tVl LLE
INSTALLER'S NAME A ADDRESS
Icy
Nl-
B U I L D E R OR OWN ER
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED Q_ � ,Z 7g`�
-rO wAj
aa�
,.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM -
PART C
- SYSTEM INFORMATION (continued)
Property A ress: ,�
Owner: 0 �IY�( Q9c . = _-
Date of Ins edion_. �� \
SEPTIC TAN16:1, w
(locate on site plan)
Depth below grade:��t( _-
Material-.of construction:-�ncrete _metal _FRP —other(explain)
Dimensions: +t. C„il l _�,3—l`I
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle.-- l
Scum thickness: t
Distance from top of scum to top of outlet tee or baffle:_
Distance from bottom of scum to bottom of outlet tee or-baffle: (ncl
Comments:
(recommendation.for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
int�rity, e�iderQf leakage, etc.) ff c_p f 1 . C'r d coL r- r, 0f P _C ;(;Cit c',I.r�a
� , .'f 7 X"d �J(_X`!!.f`1 r,c `rat n -, S u jj_(r' P; +-t 6 i C
v '
GREASE TRAP:
(locate on site plan)
Depth belo„• grade:
Material of construction: _concrete _metal _FRP _other(explain)
Dimensions:
scum thlckne.,.
Distance from top of scum to top of outlet tee or baffle:
Dioanro from bottom n+ < im fn hnttom 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.)
(revised 8/.5/95) 6
SUBSURFACE:SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
- SYSTEM INFORMATION (continued)
_Property dress: =-
Owner:
Date of Inspectib _
TIGHT OR HOLDING TANK:Dv� - - -
(locate on site plan)
Depth below grade:
Material of construction: _concrete _metal=FRP _other(explain) - -
Dimensions:
Capacity: >;allons
Design flow: gallons/day
Alarm level:
Comments:
(condition of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX:_✓�
(locate on site plan)
Depth of liquid level above outlet invert: �,i`
Comments: �
(not level and distr ouuur, eyua , e,.Uci,cc of soul_ co�i)o�cf, evidence of leakage into or out of box, etc)
PUMP CHAMBER:_L`R
(locate on site plan)
Pumps in working order.(yes or no)
Comments:
(note condition of pump chamber, condition of pumps and appurtenances, etc.)
(revised 8/15/95) 7
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM -
_ PART C -
SYSTEM INFORMATION (continued)
Property'Address: ff �R.!
- .. .. Owner. �_.J
Date-of Ins cctcon
SOIL ABSORPTION SYSTEM (SA\S):-
_Oocate on site plan, if possible; excavation not required, but may be.approximated by non-intrusive methods)
If nor-determined to be present, explain:
-Type _ - -
leaching pits, number:�IoU�'
leaching chambers, number. -
leaching galleries, number: _
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
Comments: (notq condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etcJ_ �\Pyf, i.0 tNS`f fiCtn�,
CESSPOOLS:
(locate on site plan)
Number and configuration
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool
Materials of construction:
Indscation cf groundr.a:c-
inflow (cesspool must be pumped as part of inspection)
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
PRIVY:
(locate on site plan)
Materials of construction: Dimensions:
Depth of solids:
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
(revised 8/15/95) 8
:x
- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C -
_ SYSTEM INFORMATION (continued)
Prope- -Address: % nV
Owner:� a[ (22 6
Date of Insp ion:
SKETCH OF SEWAGE DISPOSAL SYSTEM:
-include ties-to at least two permanent references landmarks or benchmarks
locate all wells within 100'
- ll
O
CIA
o
AC 39.
A D $b
3�b
DEPTH TO GROUNDWATER
Depth to groundwater: " feet
method of determination or approximation:
(revised 8/15/95) 9
'. s..
�S — 3YJ........................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
...........................................OF.... .........d,
ppliration for Billpo a gar � Tnnitrnrtinn ramit
Application is hereby made for a Permit to Construct (✓) 'or Repair ( ) an Individual Sewage Disposal
System at:
Location-Address or Lot No.
Owner ./ Addre
-- , > ,� G� ,�Q '.. --•-•-.���� = ... .
� Instal Address f__
Type of Building r� Size Lot_1__._..___....�..Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Q, Other—Type of Building ................7........... No. of persons............................ Showers ( ) Cafeteria ( )
a' Other fixtures ..................................
W Design Flow........ ........................gallons per person per day. Total daily flow-.•-_-��42.....................gallons.
WSeptic Tank—Liquid capacity.jVUggallons Length.` ... Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.........._.....___.sq. ft.
Seepage Pit No....__.__.I..._.._... Diameter.._..._ �.i_.... Depth below inlet__._��t ___-- Total leaching area_Zd?...sq. ft.
Z Other Distribution box (+�) Dosin tank
aPercolation Test Results Performed byli�1L: _ `_. _ Cj +.................... Date....,�_�_�__l. l
a Test Pit No. 1......Z---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........................
-------------------------------
x - j - ---•---•---------.....-••-•-----..,....f..__•-•--k.........................................................� � ���'`���
O Description of Soil---------•••-•-® ....---- � -.....
w ....._....-•--•-7 }z_'----�LJkisv)..._.�. Q=---._!�P;a
J.0.
-
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 iITLL 5 of the State Sanitary Code—The Mdersigned further agrees not to place the system in
operation until a Certificate of Compliance has be u�e�/by d of health.
�� Si ed. ._ . ,1 �at
ApplicationApproved By.....-• -•-•--•••-•••--• . ••-• •---- -•-••-•. •-_•--_..` �.... ._..
Date
Application Disapproved for t following reasons---------------------•--•------------------------------------------------------------------------•---•-•-----•---
Date
PermitNo......................................................... Issued_.......................................
r
Date
s �
L. dam'
i
No........................ Flcz..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
............. ....................90F...... "or lAppliratiutt fur Uiu�uualC�uttutrurtiutt ".truth
Application is hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal
System at:
Location-Address .. or Lot No.
J.e? t � lz T � ..1�"?r-- A-(Q` N IJ ti_� ►`!�_�_S S
--------------_--. -----... .... ----•----• --.....---..... /. --..............
• Own -^- ...�-^"" ddres�/
......... _> '_ c- �I
Installer Address
Type of Building 19; Size Lot.... _Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures .............•--•-------•-----•----------....------------••-----•---......._..-------------------•---•-----------------------...--••-----....-•-••---
W Design Flow..__......*.J>*.J�........................ per person per day. Total daily flow.......�a 1.7,,J -�............--......gallons.
WSeptic Tank—Liquid capacity..JU'5�egallons Length___`$$ . Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No...........I......... Diameter.........VZ_..... Depth below inlet.._..�e(,=.... Total leaching area.2.4!!2..sq. ft.
Z Other Distribution box ( V) Dosing tank ( ) +
'—' Percolation Test Result Performed b 1 C_ ._.:._ UG._._ ( 1 f
a Y Z , Date ...l. - .
a Test Pit No. I................minutes per inch Depth of Test Pit.......1--__....... Depth to ground water........'--:__--__---.
(% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................
r . t.
0 Description of Soil-•-------------- ."_..Z �r� ....��'�,,7_ 5 1- -/ p ............A.../......L
x --•------------------------------------•---• ..................------------....--------••-•----
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 TL I TLE 5 of the State Sanitary Code—The ukldersi ned further agrees not to place the system in
operation until a Certificate of Compliance has been"} ed.by t� o _fd of health. _ --
�� d f r
`� Sig ed :... .!.._
A lication A roved B .... ..__�w -1?-------------
Date
PP PP Y•..... .... -_.. . .._ ....--•-----•---•..--_...
Application Disapproved for t following reasons--------------------•------------------------------- ............................................................
.............................................. •••----•------•--•-•••----•...--•--•---•---•--•-----•---•-......-•---•--.._..-•--•---•-•---------•--•--•-----------••----••----•--------................
Date
PermitNo......................................................... Issued---• ......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F , HEALTH
J
..........................................OF........:.:...: �� �..� 1..:`.....: ....... .................
(Irrtifiratr of Toutpliatt•rr
THI ,TO C R FY, f t e�i ci ivadual S ge Disposal Stem constructed ( �r Repaired ( )
by------.-.. �i`._j:.; .. ,��......{ -! ' :_..�d.�.. = ....-------------------------------------------------------•---...........------
2- ._ ��r: S .er tal C�
has been installed in accordance with the provisions of TITLE �` of�Thhe State Sanitary Code as described in the
application for Disposal Works Construction Permit No.._._....11-5___________-___�__.... dated_.-.__.___._._:____________.___................
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONST E® AS A GUARANTEE THAT THE
,,SYSTEM WILL FUNCTION SATISFACTORY.
DATE...... .................�.�.....-•-------------....... Inspector ---- .. ..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD yOF
HEALTH
�g .....................................oF....... .... :. .� -�
No......................... FEE........................
"fut ��at� ter unfit
Permission h ebgted-..i .. ...... .....�_r
to Constr ct,( 41
ror Reptr •
;
}� an Indiv' al Sewage ASS sal ystern
i
at No....' - _?..----•----• ----•--- . % —..--------- ---------•--------._...-------•-----------•--•-'--'----•-•------------................
Street
as shown on the application for Disposal Works Construction Permit No..gr'. ��.Da ed.._... :j.� Z 3..�- �.
s - ,.�.. �.- ..
fJ� oa d ealth
DATE ...• --------•--------
f .,FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
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-� cPL�ANREF DATE `�
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BENCH�MARK�DATUM A:55UAAJEr p
. M. WAR WICK 8 ASSOC., INC.
�F DOMESTIC WATER SOURCED ► -� kLA--'r'
• „ i� ... _ BOX 801 -- NORTH FA L MOUTH
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t-!.[,:5 ' %sue D
f � ;�FL'OOD*ZONE. - MASS. 02556 - (6/7) 563 -2638
Xlll�lr' `,� LEACHING- BASIN 'SECTION Nor ro scacE Shce� 2,, to 24"C.LMH COVER
F,L L3" ' BRICK AND MORTAR COURSES AS.REO D• TO BRING
k M«.=.� 4r y _`r•`- w.^ COVER-TO,GRADE
.TO WASHED PEA rONE FREE OF.IRONS,
FINES AND DUST /N PLACE ,* .„ 11 v u,. l •� '— •• q t' TO l%2 N WASHED CRUSHED STONE.'FREE OF
OPENING W/TH 4/B.
OUTER DIAMETER IRONS, FINES AND DUST. /N PLACE
AND l3/4" INS/DE
� a x D/AMETER
I. CONCRETE TO BE 4000 PSI ` 28 DAYS
2. REINFORCED WITH 6%6" NO. 6 GA. W.W.M.
' 3:. 21 AND 4' SECTIONS ARE 'AVAILABLE FOR
✓ A� vnz `" , GREATER. DEPTH REQUIREMENTS
--{---6 0" I 3 4. NUMBER OF PITS REQUIRED: 0
Ili
��z � 40 r NOTE: EXCAVATE TO ELEVATION'3�l OR
NOTE
1st �a M/N
EFFECT/VE DIAMETER
y (Norio EXcEEo 3 TImEs EFFEcr/VE DEPrH) LOWER AS REQUIRED TO REMOVE ALL
_
WA MR rAeLE - LOAM AND CLAY BENEATH PIT. REPLACE
EXCAVATED MATERIAL WITH CLEAN
TYP/CAL` PROFILE GRAVEL TO DESIGNED GRADE. -
3` •,Pa:
++ 4s lB"STD. LT. WGr. C./.MH COVER
p �� ��' �o 5t ,�,M1• 2.0 1
4"BIT FIBER PIPE
4 C.l P/PE E TIGHT✓0/NT OUTLET LEVEL
�� +. DWELL lNG FLOW L/N _
_ _ � TO FIRST JOINT
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1 1
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SEPT/C TANK TO•BE 1 1 I $0 O O 0 ( I I
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IDES/GN��'DATA`w` GENERAL NOTES
8EDROOMS N0 HEAVY EQUIPMENT T4 RUN OVER SYSTEM.
ISPO,SAQ� U y SEPTIC TANK, DIST. BOX '.AN LEACHING BASINS T'0 BE STANDARD
.14
ESTFTOTALDAILYEFFL GPD.. PRECAST REINFORCED CONCRETE 'UNITS.
ovo y` ALL .SYSTEM COMPONENTS SHALL BE INSTALLED IN A SEP#T,ICTANK GAL ACCORDANCE
TO REVISED TITLE, 5' OF'THE STATE ENVIRONMENTAL CODE,
Sl DEWALL1 AREA GAL/SO.F.T MINIMUM.REQUIREMENTS FOR THE SUBSURFACE DISPOSAL`,OF
BOTTOMAREA` l GAL/SQ.FT SANITARY SEWAGE EFFECTIVE ON JULY I , 1977.
�r ,
' f -EACHING'.REQUIREOZ"o 'SQ.FT = ANY-CHANGES-TO THIS PLAN MUST BE APPROVED BY THE BOARD
� OF HEALTH.`.
FACTUAL BLEACHING AREA "
. Q.FT. AT -COMPLETION OF CONSTRUCTION PRIOR TO A
B C K FI L I`
LNG THE
BOARD OF HEALTH. SHALL BE NOTIFIED FOR INSPECTION.
1
PITCH ALL SEWER LI
NES NES /411
/ FT. UNLESS INDICATED OTHERWISE.
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