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HomeMy WebLinkAbout0109 ZENO CROCKER ROAD - Health ? .1 Zeno Crocker Road, Centerville ti SIII� �jp J�kECYC(ppCp �7jC'Q(�O 2 ym UPC 12543 o- No. 53LOR •0l4}7�•CONSJ�� HASTINGS, MN No. J `THE COMMONWEALTH. OF MASSACHUSETTS FEE —� / IBOARD OF HEALTH OF APPLICATION FOR DISPOSAL SYS M CONSTRUCTION PERMIT Application for Permit to Construct ( )) Repair ( ) Upgrade ( Abandon ( ) - ❑Complete System ❑Individual Components //� liW`�jjO �-CJ -�l/VL.., ; e L catio Owner's Name ` M /Parcel 4 Address # 1 Telep e Installer's Address Address dq Telephone## Telephone# Type of Building: &A fl Lot Size feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min requ' ed) ft—gpd Calculated design flow gpd Design flow provided gpd Plan: Date -1 Number of sheets Revision Date Title TT Description of Soil(s) Ll Soil Evaluator Form No. Name of Soil Evaluator &;�,_ - . . Date of Evaluation I 12!tq DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above describe^dividual Sewage Disposal System in ccordance with the provisions of TITLE 5 and further a s not to he syste ' ope tion til a C ate of Compliance has n issu by the Board of Health. Signed DateIz Inspections FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 NO. THE COMMONWEALTH OF MASSACHUSETTS FEE ; O AaR D O-F/HEALTH OF APPLICATION FOR D19POSAL SYS EM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade ( Abandon ( ) - ❑Complete System ❑Individual Components EZI ZCWO C4QY © L catio Owner's Name M /Parcel W Address �,_��Rt Telep pe �0 WL _� �/ Iw� � Installer's es' r' ame Address Address ,d` a Telephone# hhTelephone# Type of Building! ����`"t +` Lot Size fJPLsq.feet Dwelling i No.of Bedrooms e Garbage Grinder - Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures'''` � 2 DesignFlow(min requ' ed) gpd Calculated design flow gpd Design flow provided 7 gpd Plan: Date �1 Number of sheets Revision Date Title Description of Soi);(S) t.. Soil Evaluator F rmf uato o No. Name of Soil Evaluator� Date of Evaluation' DESCRIPTION OF "EPAIRS OR ALTERATIONS The undersigned agrees to install the above describe Individual Sewage Disposal System in ccordance with the provisions of TITLE 5 and further a 'es not to c e syste oper tion'until a C rti cafe of Compliance has n iasu d by the Board of Health. Signed Date r Inspections F FORM 1 14APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No., Xj��/ / THE COMMONWEALTH OF MASSACHUSETTS FEE / v BOARD OF H E A LT H CTIFICATE OF COMPLIANCE Description of Work: ® Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Const cted( ),Repaired( ),Upgraded �,Abandoned( ) by: at 17,1 has been installed in accordancg.,with the provisions of 310 MR 15 Title 5) and the approved design plans/as-built plans relating to application No /7 c��� dated • ���� Approved Design Flow 330 (gpd) Installer C4J J,W*I,, v� . Designer: Inspec r Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE D;EP APPROVED FORM 5/96 No.0 ' ~gagI THE COMMONWEALTH OF MASSACHUSETTS FEE —6L BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTIO - ERMIT Permission is hereby ranted t Construct ( Repair ( ) Upgrade Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. c9G�/-7 �S dated �/ ` �✓ Provided: Constructio shall be completed within three years of the date o his perms�ll lCc al conditions must be met. Date 7 Board of Health ___ FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBSB.WARRENTM PUBLISHERS- BOSTON Town of Barnstable Regulatory Services Richard V. Scali,Interim Director * snxtvs'rnere. 9� KAS& �0� Public Health Division p3�A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 r y. Office: 508-862-4644 Fax: 508-790-6304 / Installer&Designer Certification Form Date: ft g 1) Sewage Permit#ZO/ Assessor's Map\Parcel Designer:�gvre� /3, l'�4�Gdu Installer: Address: X 4=,'�iIAUA V� rA Ai q-. Address:;z Wf-n9"P go. On �-g / �/l®��wc( ,Ml was issued a permit to install a (dat (installer) septic system at based on a design drawn by address 6 - dated 2 / (designer I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I rtify that the system referenced above was constructed in co nJ*ance with the terms o the IAA approval letters.(if applicable) .� �� nFA4gs t �P dy\•. VAV11) ( st 1 Signature) MASON No.1066 a . F`G1S TE`�� NITAfk\ -J De ' er's Signature) Affix Desi inp Here PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH;DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc TOWN OF BARNSTABLE LOCATION Z-Z/ Zjf.A)(,CACA SEWAGE #�fda-f-S1 �VILLAGE�L/,ctjr-e-kV ��ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NOeD,�tl//�, ��C'LU—I SEPTIC TANK CAPACITY LEACHING FACILITY: (ty NO. OF BEDROOMS BUILDER OR OWNER U/e-9 4 L-- PERMITDATE: COMPLIANCE DATE: 9PA S / 7 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 r 10 i O 3 q6 r Town of Barnstable P# Department of Regulatory Services aAMSTAK&c Public Health Division Date 1659.p�� 200 Main Street,Hyannis MA 02601 Mla Date Scheduled _714 _,? Time Fee Pd.�v Soil Suitability�Asses 1�ment for Se _e Disposal Performed By:. V� �/i �,01r�"�1 Witnessed By: LOCATION&� GENERAL INFORMATION Location Address �o/y,to /,r7�J`�'W� Owner's NamenQ �� !4r Cjt'y ,I(yl� 11 Address Assessor'sMap/Parcel: Engineer's Name NEW CONSTRUCTION REPAIR Telephone# $�;�Z-1 1 Land Use Slopes(%) Surface Stones Distances from:' Open Water Body ft Possible Wet Area ft Drinking Water Well -ft Drainage Way It Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) W Parent material(geologic) Depth o Bedrock Depth to Groundwater:Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level _ Adj.factor Adj.Groundwater Level_ - PERCOLATION TEST Date Time Observation Hole# Time at 9" it Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak / Rate MinAnch Site Suitability Assessment Site Passed_jVSite Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPT[C\PERCFORM.DOC VS DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Stricture,Stones,Boulders. Consistency,%Gravel � V r ' " t DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency,%Graven DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv%GraveD DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) Flood Insurance Rate May: Above 500 year flood boundary No es VZ Within 500 year boundary No s Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of na lly occurring pe i^ terial exist in all areas observed throughout the area proposed for the so' abs rption system? If not,what is the depth f n fly occurring pe iouu material? Certification I certify that on no (date)I have passed the soil evaluator exa ation pproved by the Department of Enviro en Protection d that the above analysis was pe orme by me consistent with the re uired training,exp is and ri n described in 310 CMR 15.01 . Signatur Date �(�' Q:\SEPTIC\PERCFORM.DOC L Z 203 499 106 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do rjpt use for International ail See everse 0 4 et/N P e,& [PC Postage $ Certified Fee Spada]Delivery Fee Restricted Delivery Fee L Return Receipt Showing to Whom&Date Delivered a Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees is V) Postmark or Date € /2-. 91/7 LL Cn Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. Ln 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. to 1 6. Save this receipt and present it if you make an inquiry. 102595-97-e-0145 a �tHF1gr, Town of Barnstable BAaxsrABt,e. : Department of Health, Safety, and Environmental Services MASS. Public Health Division s639• A'ED�A P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health December 2, 1997 Ted and Helene Illston 121 Zeno Crocker Road Centerville, MA 02632 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410 00 STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE BOARD OF HEALTH NUISANCE CONTROL REGULATION NUMBER ONE The property owned by you located at 164 Saddler Lane. W. Barnstable was inspected on November 21, 1997, by Jerome Dunning, Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the Nuisance Control Regulation Number One Regulation and the Sanitary Code II were observed: Garbage observed on the ground at the rear of the house. Also, garbage was observed in plastic bags on roof shed. All refuse must be stored in a rodent-proof receptacles with tight fitting lids. You are directed to correct violations within seven (7)days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven(7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected.. PER ORDER OF THE BOARD OF HEALTH �omasKean Director of Public Health cc: Adrienne Siegel NOTICE TO ABATE VIOLATIONS OF 105 CMR 410 00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE BOARD OF HEALTH NUISANCE CONTROL REGULATION NUMBER ONE The property, d-by you located at was inspected on 1997, by , Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the Nuisance Control Regulation Number One Regulation and the Sanitary Code II were observed: {RJR'+ ' '�'' You are directed to correct vi ations within of receipt of t is notice. You may request a hearing if written pe ' ' same is received by the Board of Health within seven(7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health A � - s 16 4l S I��� e� �- o3S �' 4 ��j ��� r� " �' �/ (96 - 3 ��) � . � r- 96 � �S � , � � � 2 � � � PAR ] Real Estate System - General Property Inquiry] Help [ ] Parcel Id: 170 143- - Account No: 97488 Parent : Location: 121 ZENO CROCKER RD Neighborhood: 37AC Fire Dist : CO Devel Lot : 625 Lot Size : . 39 Acres Current Own: SIEGEL, ADRIENNE G State Class : 101 164 SADDLER LANE No. Bldgs : 1 Area: 1556 O 7/� Year Added: W BARNSTABLE MA 2668 Deed Date : 110185 Reference : 4784/324 January 1st : SIEGEL, ADRIENNE G Deed MMDD: 1185 Deed Ref : 4784/324 Comments : Values : Land: 27900 Buildings : 83200 Extra Features : Road System: 121 Index: 1894 (ZENO CROCKER ROAD ) Frntg: 121 Index: ( ) Frntg: Control Info: Last Auto Upd: 050695 Status : C Last TACS Update : 110686 Land Reviewed By: Date : 0000 Bldgs Reviewed By: ML Date : 1092 Tax Title : Account : Taken: Account Status : Hold Status : Cancel [ ] Press XMT for more data Next screen [PAR ] Action [ ] Owners Name [ ] Road Index [ ] Road Name [ ] Parcel Number [170] [144] L ] L ] L ] � _ _, . i �: ,� 0 No Fims... . .....�. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................... .................... .. . ............OF....... L).. -T -----•------. ApplirFation for BhiposFal . larks Tonstratr#inn Prrutit Application is hereby made for a Permit to Construct (A or Repair ( ) an Individual Sewage Disposal System at: L,0 j(O7i Gl 2 1�lJO 6 Z O G I-�Z �.oA.D G N'C" �/t�.�-� ..... -• •--•--•_-- .. - f % .. .................... Location-Address or Lot No. ......��!%il�'y�t.vw 5 �------•........._--------------------------------0�!7 fi ...�'�7 . �.`T A �.(:ti�7, M.-As'7--------------•...--•------_.•...........---------- --• --•- Owner �r A drys W Installer Address d Type of Building 10 Size Lot__�_ �`��23_Sq. f V Dwelling—No. of Bedrooms._..,....................................Expansion Attic ( ) Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a4 Other fixtures ............................... . . W Design Flow....... �1.............................gallons per person per day. Total daily flow............. ..................gallons. WSeptic Tank—Liquid capacity.VALgallons Length-............... Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No..........I---------- Diameter------11-_---__- Depth below inlet........ 3 u..... Total leaching area.Zt.'!:)...sq. ft. Z Other Distribution box (✓) Dosin tank ( ) `-' Percolation Test Results Performed by....A r w�G-�• ._ y am __________________ Date...... a �..2.Test Pit No. 1................minutes per inch Depth of Test Pit....12........... Depth to ground water----------_-__-_----.- fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------------------------------------------• --••----•---•-•-•-••--•••-•.......-_-•.......---•---_•-••---••-••_•-•--•--•--••--....._......-_--.•••-- O Description of Soil.........v Z-,-� `?vd1 � = '�-.Go'M.�A6�'TL� ��} .1 :_.. W ----•--------------------------------------------•--------------------------------------------------------------------------------=----------------------------------------------------------------•-- VNature of Repairs or Alterations—Answer when applicable............................................................................................... •------------------- ----------------------------------------------•---------------•----•---------------••---------------------------------------------------------------------------••••............... A4em ndersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with tns of iITL4: 5 of the State Sanitary Coe The and sign further agrees not to place the system in ontil a Certificate of Compliance has bee s t e ar ealth. S- ned...... • ••-•----- .....................-.............•. ....... --'Da...... . A lication Approved By-•-.. - ...... -:...(,c'.^=--------------------------------------------- ........................................ Date Application Disapproved for the following reasons------------------------------------------------------------------ ------------------------------------••-•-•---• --------------------•-----•-••--------------•---------------......--•--•--•-••----------------------...•-••-•-•-----•------•--------------------------------------------------------------------------- Date 9 PermiNo......................................................... Issued......................................................= Date 13 LOCATION SEWAGE PERMIT NO. VILLAGE INST ALLER'S NAME A ADDRESS ��^^ �If G 6VI /.i42dV.f r,4,61-C �1 a UILDER OR OWNER A .0/fz�z L DATE PERMIT ISSUED DATE COMPLIANCE ISSUED g ,� ��` � ��� �i� /�� �` ® a� /6� �'3� THE COMMONWEALTH OF MASSACHUSETTS. BOARD_ " F HEALTH f :.OF.... .... . (Irrtif iratr of Tountliattrr THIS IDS TO��ERTIFYehat the Individual Sewy e Disposal System constructed (&,or Repaired ( ) by---- % �' � '"a j ' = . .......................... ............................................................... i �' ,,w•'' �^ Inst ler w. PP p ,with the provisions of m � C�5 G; _5 4!� bed in the --- application location foreen 11Dised 1 osalc��VorkseConstru tlon Perm t �,of I ��'�'� of The State Sanitary Code as described � THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR ® AS A GUARANTE AT T E SYSTEM WILL F CT ON SATISFACTORY. DATE............... ._.b.._._ ........................................ Inspector...............• •. THE COMMONWEALTH OF MASSACHUSETTS t B&ARD90F HEALTH r . ' . raj ......................................0 F . ,f"~P. ....... -`��-............._.. No.. ... FEE.._.... :.......... Disposal Permission is hereby granted.....•= -.....t./� •. '� ....! �r ,:� � . .... ...da.... --� ......................... to ConsjrucWf oar! epair ( ) an Individual Sewage Disposal System at No. Street . — r 2-_,,,,. as shown on the application for Disposal Works Construction Permit No......�=-_�'__=-�D'ated,....``�:.__.. "� ..... / /, ^„ Board-,of Health DATE.....••=• •- -- ...... •-•--•-•-•••......--•-••......•-•.....•••. FORA 125 HOBBS & WARREN, INC., PUBLISHERS . ' - THE COMMONWEALTH OF -MASSACHUSETTS BOARD OF HEALTH OF...-.....'%... ...r. l.' � l- Applirafin' for MipaviFal Works Tomitrnrtion VarAit Application is hereby made for a Permit to Construct ( f) or Repair ( ) an Individual Sewage Disposal System at: car 41 r2 .� v�� © Gti� :Z✓i�� 1 ----------------_______.............• = ----------•-=------------•=•----✓--•--•--•--- --•-•--------------•------•---•-----..._..--------------------.._..----•...._..._....._..------•-- Location-Address or Lot No. ......................-.......................................................................... •--....•••--•--••---••-•••-•--•--.._..------••--••-•------....-------••-•-•---•---•....._......--- /+ Owner� r Add --•--•------ Installer Address Q Type of Building Size Lot_____4°..................%.Sq. fee U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder } Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) aOther fixtures -------------------------................................................... W Design Flow....... _____________________________gallons per person.per day. Total daily flow...._.._____: _%` __................gallons. WSeptic Tank—Liquid capacity_ .'«L_gallons Length________________ Width___.___._._.._._ Diameter__-_.__._._.____ Depth................ Disposal Trench—No.............:....... Width.................... Total Length.................... Total leaching area___.................sq. ft. Seepage Pit No-----------------_- Diameter.......2:_........ Depth below inlet...... Total leaching area__Z_tt2...sq. ft. z Other Distribution box (/) Dosing tank ( ) a Percolation Test Results^ ' Performed by.!Al '�__.`.'.'_�: !:lG.� _.__.�'%_`w-�••__________________ Date........ ............................. Test Pit No. 1....______ 'minutes per inch Depth of Test Pit.•__:z_____.____. Depth to ground water-----_-'_______________ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --•----•--••---___-__-•------•---•-•-•---•------•-------------------•--_--------­------------------------------------------------------------------------- /Description of Soil--------•`=�� � ''�1 ,t-)F:=`ate 1 i--- ; Z ` • C �t' '�= � ��!,r. t -----•-•------•-------------•---•---- ........................................ -----•----__ = = UNature of Repairs or-Alterations—Answer when applicable_______________________________________________________________________________________________ -•-----=-------------------------••••-----•-----.-•-----------•------------------------------------•----------•-•------------•-------••-=--•-----=-------------=-------------•----•-•--........••-•-•-- Agr 'eme T e ttndersigned•agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the roe ions of TITLL 5 of the State Sanitary Code The and sign further agrees not to place the system in o ion until a Certificate of Compliance has been s ' t e �ar ealth. S?Jgned......lt�. ..... ..... .............................. ..,. ._ ate • Alication Approved B 12�, _- _- 3 ..P PP y ••-----. . ......................................••_... ..._.__..._._.......................... Date ZI Application Disapproved for the following reasons-.................................................... -•-------•--------------- ....................••----------•-•-••--...-••--....----•--••-------•---•-----••-•------....----....................................................................................................... Date PermitNo--------------------------------------------------------- Issued....................................................... Date c t 51lE PL A N SHEET I of 2 SCAL E: I c (v3, 04: �O:q f, r-,P-r I L --r A fJ V­ ►`� ?7 D tJ L' (V i I I Of � v A �AfILLI aBA M. 73P9S96a CK. y No 19771 RE6 L AND SURVEYOR FOR_ L► l_ L—!� '� L_ Z. ZONE- �G. G � NT / iL- L Nl JOSS, PLAN REF. DATE BENCH MARK DATUM A.' `4U WM. M. WARWICK 8 ASSOC., INC. DOMESTIC WATER SOURCE BOX 80I - NORTH FALM061TH FLOOD ZONE. i�P G MASS. 02556 - (6/7) 563 -2638 �r r i j i ASSESSORS MAP : '� - TEST HOLE* LOGS PARCEL : !-� • --____-�_ 1) The Installation Shull cc»npl� with 'I'ille V unl) 'I'cr��n of lrxrrd al FLOOD ZONE: SOIL EVALUATOR,: t 1 , MIS 6' I leulth RegulitHolls, W I TNESS : , �. bl�l>�I VI/� l 2) 'I'Ire iusttlllc,c skull verriiy llto local ul'ulilitics, 5�4V1.1 III Qlll) :�l,l)tll, REFERENCE: DAM �V components prior to installation and setting hose elevations. ' �1l . ) gravity P pip PERCOLATION Rl� E. .G 1 � 3 All �ravit septic ring to be 4 inch Sch�lU PVC at V8" per toot. 'I'I�e first two feet out of the d-box to the leaching shall be level. 0 " --- -- ----- - _ � t 4) This plan is not to be utilized for property line determination nor any other - � 1 H 2 purpose other than the proposed system installation. 7i A tt7�3 I A' `IO 1 5) All septic components must meet Title V specifications. i 6) Parking shall not be constructed over H 10 septic components. J 7) The property is bounded by property,corners and`J property lines.P p i ,, 1 \✓� �,, Ip L1� 8) The property owner shall review design considerations to approve of total LOCATION MAP design design flow and number of bedrooms to be considered for design. Receipt of payment for the plan and installation based on the plan shall be deemed /l approval of the design flow by the owner. Ct � Vt � 0 9) The existing leaching or cesspools shall be pumped and filled with material 2, 1 per Title V abandonment procedures. Those within the proposed SAS 'shall be removed along with contaminated soil and replaced with clean sand per � �40� Tale V specs. I 10)System components to be 10 feet from water line. Sewer lines crossing the j f o water line shall be sleeved with 4 inch SCI 140 PVC with ends grouted if applicable. The proposed SAS is being installed below the water service line. The line is to be sleeved as aforementioned and maintained in place. SEPT I C SYSTEM DES I G N 11) If a garbage grinder exists it is to be removed and is the responsibility of the owner to ensure such. O O FLOW ESTIMATE 1 MATE 12)The installer is to take caution% in excavation around the gas line if such ' i,;j exists. BEDROOMS AT I GAL/DAY/BEDROOM - GAL/DAY 13)The installer shall verify the location, quantity and elevation of the sewer lines exiting the dwelling prior to the installation. SEPTIC "LANK 14)This plan is representative only that a system can fit on a property meeting ` c>I �`�" �� Title V requirements. — GAL/DAY x 2 DAYS - WD GAL _ USE IO GALLON SEPTIC TANK SOIL �,B`:ORPT I OF1 SYSTEM ! 0 a 1 DE AREA Z �i / "Li Z �( t7�� = � 1�► � o�� DAVIO �•!,a w ��� � MASON . BOTTOM AREA. r- �ZJ�'?� n y No.toss , i I SEPTIC SYSTEV SECT- 1 ON ' U S,SG p� 02 r ,�, 1'c rT of 0 1 Zo T G26 T ^5' I ` S h `� 6 t G� 0 �„ 71� l� .�1 �� ►� '� � o 55� Iv SEPTf T K I V - — w� 5 35, Z9 - SITE AND SEWAGE PLAN LOCAT I ON 690�,KM _R0.AP G�'f�YI��l✓ PREPARED FOR : P i Il.l., M r , SCALE: DAV I D 13 . MASON > DATE: Z�J s DBC ENVIRONMENITAL DESIGNS a 'EAST SANDWICH . MA DATE HEALTH AGENT _ -