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HomeMy WebLinkAbout0033 BETH LANE - Health 4 33 Bet�h Lane'' ; Hyannis A— 27fh 75 :.I F Jf7II I { Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal,System Form - Not for Voluntary Assessments wM 33 Beth Lane Hyannis,-MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24, 2010 every page. City/Town State Zip Code Date of Inspection Inspection results must.be submitted on this form. Inspection forms may not be altered in any way. Important' A. General 'Information When filling out forms on the computer,use 1. Inspector: . only the tab key to move your Patrick T. Sullivan cursor-do not Name of Inspector use the return key. Ready Rooter, Inc. Company Name r� PO Box 371 .-17 Jan Sebastian Dr. Company Address Sandwich MA 02563 !"0 City/Town State Zip Code 508-888-2805 S112843 Telephone Number License Number B. Certification 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 the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority c, March 26, 2010 p ' = Inspector's Signature Date . ) The system inspector shall submit a copy of this inspection report to the Approving Autho'ty (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system..Mr has a design flow of 10,000 gpd or greater, the inspector and the system owneri shall sut@iit the report to the appropriate regional office of the DEP. The original should be sent.to the sy m Sher and copies sent to the buyer, if applicable, and the approving authority. w -- r� ****This report only describes conditions at the time of inspection and under the conditions of use, at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. 1 33bethlane•03l08 Title 5 Official Inspection Form:Subsurfac ewage Dispo al Syst -Pagel of 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 33 Beth Lane Hyannis, MA 02601 ' M Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24, 2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not'found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described i he"Conditional Pass" section need to be replaced or.repaired. The system, upon comp) on of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) ' the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 2 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits sub antial infiltration or exfiltration or tank failure is imminent. System will pass inspection if t existing tank is replaced with a complying septic tank as approved by the Board of He h. *A metal septic tank will ss inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicatin that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high atic water level in the distribution box due to broken or obstructed pipe(s) or due to a broken ettled or uneven distribution box. System will pass inspection if(with approval of Board of He h): ❑ broken pipe(s) are replaced ❑ obstruction is removed 33bethlane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 2 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 33 Beth Lane Hyannis, MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24 2010 every page. City/Town State Zip Code Date of Inspection B. Certification.(cont.) B) System Conditionally Passes (cont.): ❑ distribution box.is leveled,.or replaced ND Explain: ❑ The system required pumping more an 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(wit approval.of the Board of Health): ❑ broken pipe(s) are rep ced ❑ obstruction is remo ed ND Explain: 'C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the oard of Health in order to determine if the system is failing to protect public health, safeYtermines e environment. 1. System will pa/functioning less Board of Health in accordance with 310 CMR 15.303(1)(b)that tem is not functio ng in a manner which will protect public health, safety and the enent: ❑ Cesspool y is within 50 et of, surface water. ❑ Cesspool y is withi 0 feet of a bordering vegetated wetland or a salt marsh 2. System will fass th Board of Health (and Public Water Supplier, if any) determines that tte is functioning in a manner that protects the public health, safety and envirot:❑ The systea septic tank and soil absorption system (SAS) and the SAS is within 100 feet oace water supply or tributary to a surface water supply. ❑ The systea septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 331bethlane-03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 3 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 33 Beth Lane Hyannis, MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24, 2010 every page. cityfrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (c ): ❑ The system has aseptic tank and SAS and the SAS s less than 100 feet but 50 feet or more from:a private water-supply well**. � Method used to determine distance: **This system passes if the well water anal is, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presenc of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other f lure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to 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 cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z 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 SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or - tributary to a surface water supply. 33bethlane-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal'System-Page 4 of 4 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 33 Beth Lane Hyannis, MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24, 2010 every page. City/Town State Zip Code Date of Inspection B. Certification '(cont.) D) System Failure Criteria Applicable to All Systems (cont.): r Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 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. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The'system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ 0 The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. . For large systems, you must indicate either"yes" or"no" each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 fe t of a surface drinking water supply ❑ ❑ the system is within 2 feet of a tributary to a surface drinking water supply ❑ ❑ the system is locat d in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or mapped Zone II of a public water supply well If you have answered "yes" to any estion in Section E the system is considered a significant threat, or answered "yes" in Section D ove the large system has failed. The owner or operator of any large system considered a significa threat under Section E or failed under Section D shall upgrade the system in accordance with 3 CMR 15.304, The system owner should contact the appropriate regional office of the Depa ment. 33bethlane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 33 Beth Lane Hyannis, MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24, 2010 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ®' ❑ Pumping information was provided by the owner, occupant, or Board of Health ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ ' Was the facility or dwelling inspected for signs of sewage back up? N ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS', located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® O Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 33belhlane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 6 Commonwealth of Massachusetts W . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 33 Beth Lane Hyannis; MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24 2010 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 340 GPD Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): 2008= 53 GPD 2009= 28 GPD Sump pump? ❑ Yes ® :No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 ystem? ❑ Yes ❑ No Water meter readings,,if available: Last date of occupancy/use: Date Other(describe): 33bethlane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 7 Commonwealth of Massachusetts W Title 5 Official .Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 33 Beth Lane Hyannis, MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24, 2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Owners records: Pumped 2006 Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy T ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the i/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: Septic tank installed 1980. D-Box and SAS installed February 2006. As-built and engineered plans on file at Board of Health. Were sewage odors detected when arriving at the site? ❑ Yes ® No 33bethlane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 8 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 33 Beth Lane Hyannis, MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is West Yarmouth MA 02673 March 24, 2010 required for - every page. City/town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 1 g"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: 10"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by4a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: 8'X 4.5'X 4.5' 1000 gallons „ Sludge depth: 5 Distance from top of sludge to bottom of outlet tee or baffle 30" Scum thickness 11" at inlet, 1"at outlet Distance from top of scum to top of outlet tee or baffle 8 Distance from bottom of scum to bottom of outlet tee or baffle 12" How were dimensions determined? Tape measure and dip tube. 33belhlane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 9 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 33 Beth Lane Hyannis, MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Recommend maintenance pumping within 6 months to remove heavy solids on intlet side of tank. _ Inlet PVC tee and outlet concrete baffle in place. Liquid level at outlet invert. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete Elmetal ❑ fib rglass Elpolyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top.of scum to top :f outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: ` Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ /rglass ❑ polyethylene ❑ other(explain): 33bethlane-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 10 Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 33 Beth Lane Hyannis, MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner information is owner's Name required for West Yarmouth MA 02673 March 24, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank (cost.) Dimensions: Capacity: gall s Design Flow: gallons per day , Alarm present: El Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No 9 Date of last pumping: Date Comments (condition of alarm an float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box (if present must be opened) (locate on site plan,): 'Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): One inlet, two outlets w/speed levelers in place. Equal flow. No solids carryover. No high water staining over outlet inverts. Riser brings cover within 6"of grade. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: - ❑ Yes ❑ No 33bethlane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 11 of 11 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 33 Beth Lane Hyannis, MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24, 2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If,SAS not located, explain why: i i l • Type: ❑ leaching pits number: ® leaching chambers number: 2-500 gal ea w/4' of stone. ❑ �eaching eachin-g galleries number: trenches number, length: { ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: i } Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): C Liquid level 111" from top of chambers. No sign of past hydraulic failure. Clean stone visible through sidewalls. Riser brings cover(#4 on as-built)within 6" of grade. 33bethlane-03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 12 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments uM 33 Beth Lane Hyannis, MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24, 2010 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (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 Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of so' , 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 hydr lic failure, level of ponding, condition of vegetation, etc.): 33bethlane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 13 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M ,•''y 33 Beth Lane Hyannis, MA 02601 Property Address Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. VN : , I I I I I � { I , I , ' 1 ' ' I U 33bethlane-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 14 r Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 33 Beth Lane Hyannis, MA 02601 Property Address ' Diego Cavalcanti 70 Adams Road Owner Owner's Name information is required for West Yarmouth MA 02673 March 24, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells r Estimated depth to high ground water: >5 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: January 27, 2006. Date ❑ Observed sit6(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local' Board of Health -explain:. ❑ Checked with local excavators, installers- (attach documentation) ® Accessed USGS database-explain: ma.water.usgs.gov terraserver-usa.com You must describe how you established the high ground water elevation: Test hole to elv: 52.3 found no ground water(2006). Property elv= 63. Base of SAS at elv=58.6. Accessed local ground water contours and topo mapping. No high ground water in area of system. 33bethlane-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 1 o , On January 30 I received a Nextel from Jim LeBoeuf at 1:06 PM. He was asking for an inspection at 33 Beth Ln., Hyannis. Ellen Wadlington told me after I spoke with LeBoeuf that he had called the main line and asked for an inspection a couple of minutes earlier and was denied because of the 1 o'clock cut off time. Because of LeBoeufs' health I agreed to do the inspection so he wouldn't have to stand in the rain the next day. LeeBoeuf asked for the last inspection of the day (3:15 PM). LeBoeuf had taken out the permit the same morning. When I arrived at 3:15 PM the septic system was not completed. The system needed: - Top layer of stone (2"peastone) - Pipes cut back in D Box - D Box not level - ` Speed levelers - Pipe to D Box not completely exposed LeBoeuf was not present, but his employee was. I informed him that I would not pass the system due to the fact the job was not complete. He was snide to me saying" I cant argue with you". I left and of a nextel from LeBoeuf where he started berating me about g Y g g not passing his system installation. He came into 200 Main at 4 PM and demanded I speak to him in a conference room. I declined due to the fact I had work to do and was not going to be berated by LeBoeuf again. Town of Aarnstable Regidatary Services . Thomas F.Geiler,Director public Health Division • .. _ Thomas McKean,Director 7.00 Main Street,Hyannis,MA 02601 Fax: 508-790-6304 Qffi= 508-862.4644 • Us taller& Designer Certification Form ` Date: SC InstaIIer:� - .k- A- Designer: �• -- _ Address: 61,04t� 'P� Address: - 4 on: �. insr�u - was issued a pemodt to install a J�_ �. V !� on a design drawn by septic system ( dress ` orb a dated 0 . �� (designer) • / referenced above was installed substantially according to V I certify tJaat fihe septic system such as lateral relocation of the the design,which may include minor approved changes distribution box and/or septic tarok_ I certify that the septic system referenced above was installed with jonajor changes,(i.e. greater than 1W lateral rdlocation of the SAS or any vertical relocation o€�mvisionor of he Septic system)but m accordance with State&Local llegdlatim- certified as built by designer to foIIow. =- i 's ignalure) t Desi` - PLEASE RETURN TO $ARNSTABLE PUBLIC TH N. 1'IFZCAT OF C011IANCE WII.L NOT BE ISSUED ifNTIL TICS FOIaM Alm AS- $UII,TCARD ARE RECEIV33 BY iWANW BA►RNSTABLE aC$FACTS DISiOAT. THANK YOU. HeawseovDedp'Cafficafim Form r TOWN OF BA.RNSTABLE LC,'",4►TION /7 < SEWAGE # off ® 3 3 VILLAGE ����'���'� � ASSESSOR'S MAP& LOTS INSTALLER'S NAME&PHONE NO. SEPTIC 'TANK CAPACrrY .� /o ® qi6Z, LEACI SUNG FACILITY: (type) �� � (size) 'F NO.ncb a15ROOMS BUII.DER OR OWNER PERMITDATE: ® � ®� COMPLIANCE DATE: I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility i 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 `� �. EE S % 1, I• TOWN OF BARNSTAB.LE LOCATION 3 J ��C�, (,��� SEWAGE#o '- (t)3 VILLAGE, ASSESSOR'S MAPc&PARCEL, INSTALLERS NAME&PHONE NO. Lam. SEPTIC TANK CAPACITY O C& LEACHING FACILITY: � (type) L c a&ry�(�.,N,,(�,�r, (size) NO.OF BEDROOMS X oD OWNER „o PERMIT DATE: ® 06 COMPLIANCE DATE: �-��p, . ZX-noc 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) A Feet FURNISHED BY R,� .rl ►o��`�l , �G v V f \� \ cp i r c� c6 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Bi$ onl *pgtem Cow5trurtton Verratt Application for a Permit to Construct( ) Repair(4"' Upgrade(Al Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No._ J�BST Lti. /�jY Owner's Name,Address,and Tel.N Assessor's Map/Parcel��� '� /'r lam/ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms —� Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building f7P�r.� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) -s gpd Design flow provided gpd Plan Date r `� Number of sheets J9 Revision Date Title Size of Septic Tank " e of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar lth. p / Signed Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. �OQ �D r� 3 Date Issued 1 - Fee THE COMMONWEALTH OF MASSACHUSETTS Enteredi}computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for �Bigonl *V! tem Construction Permit Application for a Permit to Construct( ) Repair(/Y' Upgrade(e Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.3,5� /�/ . Owner's Name,Address,and Tel. Assessor's Map/parcel,7.7� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. . Type of Building: 'Dwelling No.of Bedrooms -' Lot Size sq. ft. Garbage Grinder ( ) Other.- Type of Building �' s No.of Pe sons Showers( ),,,,Cafeteria( ) Other Fixtures Design Flow(min.required) -3 3 gpd 'Design flow provided 'Y a gpd Plan Date `� Number of sheets Revision Date Title Size of Septic Tank YP 1�"�C/1' ��+•q - ®� ZT e of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of L Compliance has,been issued by this B I oar744ealtt. Signed Date + ' © � Application Approved by Date 30 �{ Application Disapproved by:, Date for the following reasons Permit No.. D Uo (D '-o .3 3 Date Issued / r7 O THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( � Upgraded Abandoned( )by �� G�'�OL`y at -7 —; ��'Ti L J'r�dY.Q���/ `r has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0-00(40 -03 dated Installer �J� "1���31���,/�' Designer /0 / cr #bedrooms 'Approved design flow _�3 gpd The issuance of Phis i�zit shall not be construed as a guarantee that the system will functioonas desi ned1 =D L{0 Date l � Inspector ,yy//�C ^'"� ) 0.No. --- ���—————————————————————— Fee / -- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Digoml 6pgtem Co 5tructtou ermit 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 S and the following local provisions or special conditions. Provided: Construct' n must b�completed within three years of the d to of this pe Date �/ Approve bK S1Z5101 Notice:, This Form-Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST ALTO SOIL EVALUATION EXENtPTION IRONY I, AY hereby certify that the engineered plats signed by me dated Zb b& ,concerning the property located at LA f "t> meets Ali of the following criteria: s This failed system is connected to a residential dwelling only. 'There are no commercial or business'uses associated with the dwelling. i + The soil is classified as CLASS I akd the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present + There is no increase in flow and/or change in use proposed o There are no variances requested or needed. + The bottom of the proposed osed leaching facility will be located no less than five feet above the maximum adjusted groundwater table;elevation. [Adjust the groundwater table using the l;rimptor method when applicable] Please complete the following: A) Top of(around Surface EIevation(using GIS informs B) G.W.Elevations 321 +adjustment for high G.W.'l • �� i DIFFERENCE BETWEEN A and B Z7,lb SIGZD DATE: I /o to NOUCE Based upon the above biformWon,a repair permit will be issued for brooms maximum. No additional bedrooms are authorized in the future without engineered septic system Plans. q,hcshh foldor.pereexmy LO, CAT`lON SEWAGE PERMIT NO. VILLAGE �y�h h ins I H S T A LLEll NAME i ADDRESS JOH:N A. AALTO .BACKHOE SERVICE 150 Walnut Street West Parnstah1p, Mass f 96AR BUILDER OR OWNER DATE PERMIT ISSUED OMPLIANCE ISSUED DATE C �7 -z-7� 0 W No. - Fizz............................. THE COMMONWEALTH OF MASSACHUSETTS J `� BOAR® O�f HEALTH ..........OF......... ............. .......................... App iratinn for Ui4pnoa1 Works Tnnitrnr#iun 11amit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at• OL LOE .......... .. T��..L#.• /�...� is ---- .....--- � ----`�8--------- --------------------------------------eVA Lo n- ddre s �r w., ..........ljD#N------- e'Q_....... - -------------- `i���1��1,t S?•Addr E l/�L .M! _ Installer Address ` Type of Building Size Lot.. .......Sq. feet Dwelling—No. of Bedrooms....... ................................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) p' Other fixtures ............................ . W Design Flow........................ S...........gallons per person per day. Total daily flow-_______-._•-__-.�_.....................gallons. WSeptic Tank—Liquid'capacity.�o4D.gallons Length___..__6.... Width= °�Q.... Diameter`.............. Depth.57.'`/" x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......L------------ Diameter../ `...... Depth below inlet.......(_t._.... Total leaching area-_--- ft. Z Other Distribution box (t--)' Dosin tank ( ) o '~ Percolation Test Results Performed by... .'............................... Date.... ........ aTest Pit No. 1..<�� ___minutes per inch Depth of Test Pit....12......... Depth to ground water----- f% Test Pit No. -1...minutes per inch Depth of Test Pit------1 ......... Depth to ground water_..__1 �.� O Description of Soil.,...-- - -- -- - x x ------------------------ ------------`------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 LITL L 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ed by the board of h 1 - ti Si ed- = / /,� Date Application Approved BY •-•-��. 4 " 2�-Z. Date ell Application Disapproved for the following reasons________________________________________________________________________________________________________________ --------------------•----••-----------.....--•--....---•-•--------------•----------------•--••---•---•--......-----•---•-------••-•---•••••-•. _ -----------------•----......................... Date Permit No......................................................... Issued:-- ' "z= -`•4 No......................... Fics............................. THE COMMONWEALTH OF MASSACHUSETTS A R D . ............... .........................OF.......................... ............ ............................................ Apphra#ioit for Bhivvii al Vjarkfi Tonitrurtion rumit Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at ......... ,3.._.4 21..1g_--11m,ems------- ------- $ -- oc ddress �" or o ......_ ���� -, "- 11/111/_ .._,F1,.,G11 �Ps®t.....__ C , ...'-•-, ,��!".CY,� ---- Installer Address / Type of Building Size Lot!_SIP¢ ........Sq. feet `., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) P-4-1 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 114 d Other fixtures ------------------------------------------•------------------------------------------------------•---------------------------••------------•--------- W Design Flow............................................gallons per person per day. Total daily flow.......................-....................gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..__•-------------_- Diameter.................... Depth below inlet._._._.________.___. Total leaching area..................sq. ft. Z Other Distribution box ( ) - Dosing tank ( ) 0--1 Percolation Test Results Performed by------••--••----•-•••--••-•-••-------•••------•-----••---••••-----------•- Date............................-........... aTest Pit No. I................minutes per inch Depth of Test Pit-_____._............ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •----------------------------------------................... -... ---------------------- •------------ ---------------------- •------------------ •--------------- 0 Description of Soil..............................-----...--------------•---------•--•----.....------------------------------------------------....-----------......-•---------------_•••-- x U •--•--•-••••••---••------•••---•------•------•-•••--•-••-••---••-------•-•---•••••-•••--••-••--•-•••--••-••-•---------••--••-•-•-•-••-•-•----•---••-•-•................................................ 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 TIT1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Co liance as been ' sued by the boar of heal . - Application Approved By....... ......... ......... D/�' '70- Date Application Disapproved for the following reasons---------------------------------------------------------------•-----------------------------------._...--•-•••-- .................................. ------•------------ -------...---•---------•------•----•------•--.-•-----...--------•••--•--------------------••---•--•- Date sPermit No-------------------------------------------------------- Issued........................................................ Date y THE COMMONWEALTH OF MASSACHUSETTS :. w BOARD /j�//�yJ•p.�. HEALTH ...................O F...........+....►1......................................._............................... Qrrtifiratr of t'ootpliFaurr , T O hat e Individual Sewage Disposal System constructed ) or Repaired ( ) yb = . •--. -------••-•........•----....... p y,.. "sYdler..r �� has been installed in accordance with the provisions of e State Sanitaryode as described in the ur application for Disposal Works Construction Permit No.____ _-_ -_____-•-_. da.ted .:._"�... .��` ................ THE ISSUANCE OF THIS CERTIFICATE, SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIV FUJ4CTION SATISFACTORY. DATE LY /v 2 ?� Inspector ------------------��''��� l �. THE COMMONWEALTH OF MASSACHUSETTS ' BOARD HEALTH .OF....._ ........ ...................... ..�..«M '1 No......................... FE -•-•-- Diollaao I orko n ion Vrrmit Perm> s>o ereby granted::_: ------------------------ .......-----•- .• ..................... to Cons ) o pair ) div 1 ewag s osal System '? _ :at No.. -•-- -- •-- -- ._... E r , '¢ ieet ...... f as shown on the application for Disposal Works Construction er it'No Dated_ :,.. .,•._.. -- _ .......................... a O ea_ DATE--- --a-....... ------------------------------- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS v: - e ,{��` F, F. 53, oa TYPICAL SYSTEM PROFILE AREA PLAN FINISH _ :1 ,00 SH GRADE 1 __ NOT TO SCALE FDN TOP SCALE : I ' = 40 " 52.00 FINISH GRADE OVER TANK= `yZ .00 GRADE OVERPIT-51�.'oo I LOT 48 BETH S LANE PVC OR a O O e . . e e 151 000 �3 , , �C. I. TEES 4�,67l V. .33 • e • t e t e 0 '• �J► ••, � n..b•u::":•o•..•o...'.'•:o.:'•, v.:. , 0 e 1 e • • • 0 / e e ;4 BSMT ���� GAL. 4 °g8,25' e e t e • • '� e • e 1 FLR__ REINFORCED DIST. BOX e e e ,• • • . e e o / a i CONCRETE '? 8 TO BE INSTALLED ON a e e 'e • • s . e 1 • . A LEVEL STABLE BASE • • a . • -1 / 1 e"1 ... SEPTIC TANK ,.• 1 i 1 1 • • • • e t' e � TO BE INSTALLED ON�-A e } LEVEL STABLE BASE e e 1 • • • ► 1 / e 1 • • • e e e e l I 2a_1/8"- 1/2 "WASHED PEASTONE ALL BRICK a .MORTAR COURSES AS AROUND FREE OF IRONS, FINES 1 e • • • e 1-411 • o e 1 e REQUIRED TO BRING COVER TO GRADE AND DUST IN PLACE 24 "C.I. MANHOLE COVER 81 3/4 "TO 1-1/2 "WASHED CRUSHED LEACHING PIT FRAME - SEE DETAIL STONE ALL AROUND FREE of BASE TO BE LEVEL IRONS, FINES AND DUST IN PLACE I READ) FOR FIN. GRADE SEE SYSTEM PROFILE SOIL AND PERCOLATION 4" - DATA At - - -- -- - - 1 �-- PR-CA5T CWCI-ETF- LEACHIt —.� �. .' s , :.: PERC. RATE : < 2 MIN./IN. 1 25,00 PIT^- ► �EQ(>- -�-SEF— PROFILE -- -- — — --�° ; n Q I� IJETAlt,S 4 FOR INV. ELEV SEE LOT 4 INLET SYSTEM PROFILE 6u TAKEN BY . C. D. SPOHR (48' LINE ° V ° o ° WITNESSED BY: BAP-145TABLE 5D. OF I4I Al_TN PRECAST' CON(CR-E,7M OI5'rRlB0- l0C J - ° ' D OPENINGS W/4-1/8 no 5 D.EC. 19-7O BOX SEE PROF11L— 0 OUTER DIA. a 1 -3/4 _ DATE. -a 7 0 ° TEST PIT GND ELEV.' 0 ` INSIDE DIA. D 51.94e a I , TOTAL Q �Q 5 O O 0 S.F I I QP0 r A L P RFCAS�2- COM C 'r. S�EPTtC I ,' _ o D 3 �.., o D 21 LOAM S. 5 r izn a�s>-a OTA t�i k —SF-F- PI4 F'!I~> D AREA D ` M �s.lk• z; o D o 0 2 g P'+ D o o CL EAN Cc>aRSr- NO RU5't I.E'DGE u N NOu5 , -- m' • . 0 01 0 D 0 D 0 p�j r S'a�t{ O 'WAT1=I:. o r. (SiDIE} Q LOT �49 8' ° ,'. 0 0 0 0 0 D O O p ° LOT # `f � TOvv l+i WATT 1L w �40, _ —�nl = — � 1 ' v_.. CC.AQBV-- 1N E�I t�I"� L r Fa1T U} 2 6 ` 6 DIA. 2� SA+t�t l;? er BONEY GRA4FI,- BOT. PERC. HOLE 125.Oq` i0 (�, EFFECTIVE DIA. DOWN 36 II . -- S 3° 25, 58" ' LEACHING PIT — SECTION I R 2! NO SCALE I A DESIGN DATA . BE TH S ` LANE NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM No. of BEDROOMS .3 1 A. DISPOSAL LEACHING PIT NOTES EST. TOTAL DAILY EFFLUENT *�� GALS. 1 . CONC. TO BE 4000 P.S.I a 28 DAYS'. SEPTIC TANK I Ot?C> GAL. , OWNERS � BUILDER: - 2, REINF, W 6 ° x 6 " *6 GA- W. W. M. CLARK � FLYNN BUII� DEQ 3. 2SAND 4 SECTIONS ARE AVAILABLE FOR GENERAL ' NOTES GREATER DEPTH REQUIREMENTS BACO M FARM j�,OAD 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN NOTE: ACCORDANCE WITH TITLE OF THE STATE SANITARY CODE FAL:MOL)TN M /� �" EXCAVATE TO ELEV. 44•00OR LOWER AS L DATED JULY 11977 a ANY LOCAL RULES APPLICABLE. REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING ' ' • MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL 2• ANY CHANGE TO THIS PLAN MUST BE APPRD. BY THE B. 'Yt• NOT WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY BD- OF HEALTH, AND CHARLES D. SPOHR. COMPACTED 1 N PLACE. }� .3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, AL.L, ELF-VS BASED CAN PA`�Et�iE1t T E F NOTIFY THE ENGINEER FOR INSPECTION. c LOT C. AS5 UIjF.D F LEY + -0,O 0 SIDE AREA — S.F.�_S.F./GAL � GALS BOTTOM AREA=` 7 S.F. 1 •0 S• F./GAL 'a 7 GALS 4. FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED. 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT:WRITTEN � TOTAL AREA _ �.�� S. F. � TOTAL 5�3 2. GALS APPROVAL BY CHARLES D. SPOHR. LEGEND ' 6. FOUNDATION INSPECTION READ. WHEN EXCAVATED. ' AREA PLAN : ' PQEPAQED" FRO" SL)w44°M- 11- ` PL—A d `+50.OR EXIST. GROUND ELEV. I FINISH GROUND ELEV: UNDERLINED y FOR C . �- � + j3oii L.DF—R. 5, SCA1... I 'a = 50.0� a, a, OCT, 79 BY J ' r. DOYLE. R . L. , S . 4750a PIPE INVERT. ELEV. REV. DATE DESCRIPTION o TEST PIT LOCATION SEWAGE DI SPOSAL- SYSTEM i FOR o ry, o SEPTIC TANK CLAR � -; v p � � -. T 1 - wN ATE. _ _K FL N U ,LDERS . il DISTRIBUTION BOX LOT * Lf'1{VE ~ n f•'` 9 � 4 C. I . PIPE C'har2� D.' (P I TC H ER S WAY) HYAII 1 -ttttiti-f- 4 BIT. FIBER PIPE `TIGHT JOINTS F , p n -� 4 lu " P<7, 7468 4� ,`"!'� DESIGNED: C:D.SPOHR DATES DEC.' 1 QtRAWI N G N0. - -- - PROPERTY LINE FSS DRAWN: CIS, SCALE:AS SHOWN MAP SEC PCL LOT MIN. CODE DISTANCE +� r, I 2 B L CHECKED: C. D. S . ASSESSORS MAP : 7� _ TEST HOLE LOGS PARCEL: G . NOTES: SOIL EVALUATOR : FLOOD ZONE: WITNESS : �� tG REFERENCE: P�Si� DATE: 1) The installation shall comply with Title V and Town of Barnstable Board of PERCO�ArTONATE: t 9 Health Regulations. - -� -- --- (� 2) The installer shall verify the location of utilities, sewer inverts and septic TH- 1 TH-2_-� components prior to installation and setting base elevations. 3 Al ,� l gravity septic piping to be 4 inch Sch 40 PVC at 1/8 per foot. D/p 6►4`t� p (0*M ytM,1v' y 4) This plan is not to be utilized for property line determination nor an other purpose other than the proposed system installation. 5) All septic components must meet Title V specifications. ' 60�� 6) Parking shall not be constructed over H10 septic components. ►+/1 Pik • b �� 1► 7) The property is bounded by property corners and property lines. LOCAT I ON MAP( Ly.�)' G l IUVA Ib 8) The property owner shall review design considerations to approve of total �lJ& eu�.1 y7p LA design flow and number of bedrooms to be considered for design. Receipt of bMY payment for the plan and installation based on the plan shall be deemed _ti, M approval of the design flow by the owner. li'J G 9) The existing leach pit(s) shall be pumped and filled with material per Title V 1713 —2, 3 abandonment procedures. Those within the proposed SAS shall be removed along with contaminated soil and replaced with clean washed send per Title V specs. 10)System components to be 10 feet from water line. 11) Ifa-garbage grinder exists it-i-&tobe_removed and is the responsibility of the SEPTIC SYSTEM DESIGN owner to ensure such. FLOW ESTIMATE i BEDROOMS AT //0GAL/DAY/BEDROOM c-� GAL/DAY O _ SEPTIC TANK , 22 c� GAL/DAY x 2 DAYS •�AL • USE/GALLON SEPTIC TANK - C1`J�I Y - SOIL ABSORPTION SYSTEM SIDE AREA: Zk zy -} t c"� x2 ,'7 � , �� �'�t o Aa A BOTTOM AREA: � � ?C t��"7 ^- ca _ cT c� � �? �, 1 DAV1D s B. MASON in x SEPTIC SYSTEM SECTION V � / ` 6z b,o ; — — ��% GAL S /�7� ���P � - SEPTIC TANK $Uf__fU14-_ � - SITE AND SEWAGE PLAN LOCATION : v } �,�AcVjE_ PREPARED FOR : _TVVt_/A �t2 � 0 SCALE: 12 W DAV I D B . MASON,RS DATE: ZS _ DBC ENVIRONMENTAL DESIGNS d EAST SANDWICH . MA W DATE HEALTH AGENT ( SOS ) $33- Z 177 Z