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HomeMy WebLinkAbout0057 BETH LANE - Health Hybnnis e Commonwealth of Massach usetts usetts C®� . Title 5 Office_ al Inspection Form � Subsurface Sewage Disposal System Form = Not for Voluntary Assessments M 57 Beth Lane Property Address Peggy Koenig Owner Owner's Name information is required for Hyannis MA 02601 every page. City/Town -date o2013 State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness p checklis t at the end of the fo rm. 'mp°rta"t When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Wayne Archambeault cursor-do not use the return Name of Inspector key. Company Name — '� "PO Box 914 Company Address Hyannis MA ---- - _ 02601 City/Town — State Zip Code 508-775-1362 355 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 Lo Approving Authority 5/20/2013 rtispector's Signature i Date _ The system inspector shall submit'a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****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. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 1 of 17 Commonwealth of Massachusetts u - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M - 57 Beth Lane Property Address Peggy Koenig Owner Owner's Name information is required for Hyannis _ MA 02601 5/20/2013 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: ® I 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 in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined,"please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 k Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments "MM 57 Beth Lane Property Address Peggy Koenig Owner Owner's Name information is required for Hyannis MA 02601 5/20/2013 every page. Cltyrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑, broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M- 57 Beth Lane Property Address Peggy Koenig Owner Owner's Name information is required for Hyannis MA 02601 5/20/2013 every page. City/Town State Zip Code Date of Inspection B. Certification (Cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and 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. ❑ The system has a septic tank and SAS and the SAS is 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 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 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 Y day flow t5ins•11/10 Title 5 Official Inspection Forth:Su¢surface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 57 Beth Lane Property Address — Peggy Koenig Owner Owner's Name information is required for Hyannis MA 02601 every page. City/Town -date o2013 State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. ❑ ® 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. ❑ ® 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"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area*(Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system.in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 57 Beth Lane Property Address - - Peggy Koenig Owner Owner's Name — information is required for Hyannis MA 02601 every page. Cltyrrown — -- 5/20/2013 C. Checklist State Zip Code Date of Inspection 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? ® ❑ 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? ® ❑ 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)] D. System Information Residential Flow Conditions: Number of bedrooms 4 (design): Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for.Voluntary Assessments 57 Beth Lane Property Address Peggy Koenig Owner Owner's Name - information is required for Hyannis MA 02601 5/20/2013 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundryse on a separate sewage system? [If yes separate inspection required] ❑ Yes ® No Laundrystem inspected?ected. y p El Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 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 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-11/1 o Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ` M 57 Beth Lane Property Address Peggy Koenig Owner Owner's Name information is required for Hyannis MA_ 02601 5/20/2013 .every page. City/Town State Zip Code - Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: owner _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 ❑ 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): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Aum Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 57 Beth Lane Property Address Peggy Koenig Owner Owner's Name information is required for Hyannis MA 02601 5/20/2013 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: installed 10/17/2005 permit#2005-572 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1' 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: 1' feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene El other(explain) If tank is metal, list age: yea rs fl Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 8.5'x5'x5' Sludge depth: 2" t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 57 Beth Lane Property Address — P�-_ gy Koenig Owner Owner's Name information is required for Hyannis MA 02601 5/20/2013 every page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 35" Scum thickness 2" Distance from top of scum to top of outlet tee or baffle 5 Distance from bottom of scum to bottom of outlet tee or baffle 13" — How were dimensions determined? measuring rod Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): tank appears to be stucturaly sound and shows no leakage 9 Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene El other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 57 Beth Lane Property Address Peggy Koenig Owner Owners Name — information is required for Hyannis _ MA 02601 5/20/2013 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.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade.- Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t51ns•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 57 Beth Lane Property Address - Peggy Koenig Owner Owners Name information is required for Hyannis MA 02601 5/20/2013 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): box level and water tight no signs of deteriation Pump Chamber(locate on site plan): Pumps in working order: El Yes ❑ No Alarms in working order: ❑ Yes ❑ No 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 locate d, explain why: t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments *�-- 57 Beth Lane Property Address ------ Peggy Koenig Owner Owner's Name - information is required for Hyannis MA 02601 5/20/2013 every page. Cityrrown State ZipCode Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 3 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: — ❑ innovative/alternative system . Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): no sign of stain line or liquid in pit 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r` *M - 57 Beth Lane Property Address --- Peggy Koenig Owner Owner's Name ——- information is required for Hyannis MA 02601 every page. City/Town — 5/20/2013 State Zip Code Date of Inspection D. System Information (cont.) 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.): t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 57 Beth Lane Property Address ----- — Peggy Koeni Owner Owner's Name - -- -- information is required for Hyannis— MA 02601 5/20/2013 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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 p supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 TOWN OF BARNSTABLE .4 /"- SEWAGE# LOCATION y� �Z•/7- r /�//��✓�/jr _ASSESSQR'S MAP 8ty09�3e D,O7 INSTALLER'S NAME 8c PHONE NO. 001. T/^� SEPTIC TANK CAPACITY (siu)�' X y�C •x' . LEACHING FACILITY:(type) NO.OF BEDROOMS 1 BIJII DER OR OWIvTER ye_?-w� COMPLIANCE DATE: i !l7 pERMTTDATE: / Separation Distance Between the: J Fees le to the Bottom oanLea ge xi astlity Maximum Adjusted Groundwater Tab / FuK Private Water Supply Well and Leaching Facility (If y well on site or within 200 feet of leaching facility) Edge of Wetland and'Leaching Facility(B'any wetlands exist � Feet within 300 feet of leaching facility) ' -&0�' Furnished by C�J kit L � / O -Aa Commonwealth of Massachusetts w W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for.Voluntary Assessments 57 Beth Lane Property Address Pace gy Koenig Owner Owner's Name -- information is required for Hyannis _ MA 02601 5/20/2013 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 25' +- f eet 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: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain.- town GIS maps ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: GIS ground water depth 25' bottom of SAS 5' seperation 20' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M- 57 Beth Lane Property Address Peggy Koenig Owner Owner's Name -- - - information is required for Hyannis MA 02601 5/20/2013 _ every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file I t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 No. � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs MASSACHUSETTS 2pprf cation for Miopont bpgtem tongtruct on Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ,jr-7 3,9- 14 e Owner's Name,Address and Tel.No. yci n n f•.S Q eaeo] Assessor's Map/Parcel --j 17-3 Z q P5( y3el-A N Installer's Name,Address,and Tel.No. Designer's Name,Address and TeL No. 77 S' f3d'.2 Type of of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building X6 IJ&WeC No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) t G w kz 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 plac 'the system in operation until a Certifi- cate of Compliance has been issued by this oard.o Signed Date_ (o Application Approved by Date Application Disapproved for the following rea6w Permit No. Date Issued No.. >. e — ; f THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: >� Yes PUBLIC HEALTH DIVISION'-TOWN OF BARNSTABLES MASSACHUSETTS. ZIppricat pp for Migpogal *pMem Congtruction Permit } Application for a Permit to Construct(.. )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components R- Location Address or Lot No. .j-7 �%!n 1'� �� Owner's Name,Address and Tel.No. j� $r 3�/ g 13 y Y,�n/7/ff k1be-11ZI, Assessor's Map/Parcel �y?)y ' 173 �t 9 4 �5 t2t�"A Installer's Name,.'Address,and Tel.No. Designer's Name,Address and Tel.No. w JA 1-3 �G>"► Cal_+ -�-�, -a-- —�y- � .i. Type of Building: i Dwelling No.of Bedrooms Lot-Size sq.ft. Garbage Grinders( Other Type of Building Re-) No. of Persons Showers( ) Cafeteria( ) ; Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title , " Size of Septic Tank Type of S.A.S. Description._of Soil , Nature of Repairs or Alterations(Answer when \applicable) e �l G i ��,/ Date last inspected: �4 - Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-;, Cate of Compliance has been issued by this Bpard of He Ith Signed r " Date Application Approved by ° Date Application Disapproved for the following reas n - i1XIC Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO�CERTIFY, hat the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded( ) Abandoned( )by ✓Y� at ' ha b I constructed ' ccor- n/�"e with the provisions o itle 5 and the for Disposal Syst m Construction Permit No. dated 1 +'�'. Installer � '� D.esigne The issuance of this permit s 1 not,e/�onstrued as a guarantee th`tt the s stem will ctiin� desiened, Date p g Inspec�r— t No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpogar *pgtem Congtruction Permit Permission is hereby granted ons ct ep it pgrad A b�ril(tj� ' System located at n/�� 1 and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction m st be ompleted within three years of the date of th' ermi Date:_ Approved by A, e c `� m3 c J�0 L - Z 3gCj .y. „g Q , Y t. a u x d p T % L N tj 1A 0 Ono. 7 �iCn A Z1 p a d r 3 A 1 e N z d r 0 o I 1� r 5 i d � - i i r 9 i a ' i i � I Np N N N y jrN�ff 0 S a a m 7,70 F i IX IN C - N N l p z r s TOWN OF BARNSTABLE LOCATION �' n ''� �_ SEWAGE # A-vE ASSESSOR'S MAP LOTzza INSTALLER'S NAME&PHONE NO. � �'� �e-_41" SEPTIC TANK CAPACITY LEACHING FACILITY: (type) r � (size) 9X NO. OF BEDROOMS BUILDER OR OWNER PERMIT DATE: !0' � COMPLIANCE DATE: Separation Distance Between the: / Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) i Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �J�' �� � �� �' o� �, (� � `�, o � , ��� ��. �' � � � � � � �� � °� .� ,� 1 D� '� � .� � � � � �` , � ', � ;� No v Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplic tion for -Migpozal *pgtem (Com6truction Vermit Application for a Pen-nit to Construct( )Repair( A116pgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. -$""'�'� ,jam Owner's Name,Address and Tel.No. Assessor's Map/Parcel oa 7.,% IlnstaTller'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 c�-l'. No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 1i�y� gallons per day. Calculated daily flow f�a gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank �Ci.!'TYi:� /'� 4' Type 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 Certifi- cate of Compliance has been issu y this o d f Hea h. ®S Sign J AA <* d Date Application Approved by Date Application Disapproved for the following re o s Permit No. Date Issued tom- ...�: c � .,• rD� o �� I� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �s PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Mgotal *pttem Construction Permit Application for a Permit to Construct( )Repair( 114pgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel.Z 7 e�- /7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 0>..V '-e-- ".r- Type of Building: Dwelling No.of Bedrooms /— Lot Size sq.ft. Garbage Grinder( ) Other. Type of Building G cam'-r'- No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow yi gallons per day. Calculated daily flow �a gallons.. Plan Date �o •-/.Z-0 Number of sheetsi J Revision Date Title - Size of Septic Tank �Aw CV© Type of S.A.S. Description of Soil t. Nature of Repairs or Alterations(Answer when applicable) -� '! L } f Date last inspected: Agreement: r •I The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance,has been issu o y this oard of Health. =Signe / / n 6 Date " Application Approved by l �W Dl a. �j71/ 1.I' _ Date d Application Disapproved ed�the following re �s V Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( 4)/Upgraded( ) Abandoned( )by at �`7 �9�r, �� �'• has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.�_9 5 51-,)--dated ld t) "t Installer ���'3 �� E�� -- Designer!59 y/2/) ,& i774J20!!"/ �- - The issuance of this permit shall not be construed as a guarantee that the sy tem t-c ion as designed. Date 1�V 1'��'ei Inspector t ,, -- --- No. lon '� /�-�- - Fee�( v THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Mitpotat *p5tem Cofgtruction�permit Permission is hereby granted to Construct( )Repair( <UU�;grade( )Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction m st be c41pleted within three years of the date of t 's ermit.- Al� Date:_.._ � Approved b I �_ PP Y � / f TOWN OF BARNSTABLE LOCATION - SEWAGE # V1LLAGE l' �i s / . . ASSESSOR'S MAP & LOT _ - 1 INSTALLER'S NAME&PHONE'NO. � � r ; SEPTIC TANK CAPACITY LEACHING FACILITY: (type) r's �. (size) X �� x NO. OFBEDROOMS BUILDER OR OWNER PERMITDATE: %�g COMPLIANCE DATE: �l 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) '01/ Feet Edge of Wetland and Leaching Facility(If any wetlands exist / -within 300 feet of leaching facility) / Feet Furnished by 1�J1'M � '® Ld 1 9 .2 0.. Oct 13 05 03: 56p p. l �"'�.+ Uo1!ld/US AUn ).o:,f 11AA ,Yd4iLs�OI - - srzsro� Notice. This Form.b To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND S()n,EVALUA-noN EXEMPTION FORM L4�/117 ���� hereby oertify that the engineered plan signed by me dated 1 D [11 05 ,coneeroi ng the property located at mccu 3D of the followim criteria This tailed System is connected to a residential dwelling only. Mwc are no commercial or business uses associated with the dwelling. • The soil is elusified as CLASS I and the percolation rate is loss than or equal to 5 Mhwtes per inch. the applicant may use historical data to conclude,tlsis taut Or may conduct . preliminary teas at the site without a had&agent present • T'hcre is no increase in flow andlor change in use proposed • Then are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maKimum adjusted groundwater table elevation. [Adjust the gamadwatcr table aging the 1!rimpta method when applicable] Please complete the following: A) Top of Oround Surface Elevatiog(using GIS informs ' ) • 3 B) r W.eelevation V% 37- +adjustMent for high G.W. DIFFERENCE BETWEEN A and B SIGN _. �, ---•. DATE. 112,� NOr cz Based upon the above%formation,a=pas Permit will be issued for bodzvams mmtiannm. No additional be&wms are authorized in ttte future without a 00"c'd septic sys0enr► Plum. q;WOM Aftf;PUC4MV F. Town ;of Barnstable t °FA,"E r Regulatory Services Thomas F. Geiler,Director + 'BARN.1 BLE. ASS Public Health Division FFoa�a. Thomas McKean,Director 200 Main Street,Hyannis,Na 02601 Office: 508-862-4644 r Fax: 508-790-6304 Installer & Designer Certification Form Da te: Designer: _ �D. 6. V"1A Installer: -` Address: "'I 6UY-,t� p41 � Address: F 64_1 E)w«4 IAJ� bZ52 27 On *-- _f was issued a permit to install.a (date) (installer) septic systemat -#`5 7; �sed on a design drawn by (address) � dated � (designer) VZ 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. I certify that the septic system referenced above was installedwith 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. (Inst ler s Signature) - � SOW , 1 h Ors LL11111 si er's Signature) (Affix Designer's Stamp Here) t,= 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:Health/Septic/Designer Certification Form uaitniva AUH Mai riha auasargaoa ..��,� ��• - • � SlIS/0x Notice: This Form-h To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM IJ-1)4v 1'D -6' Mlq,50�_,hereby certify that the engineered plan signed by me dated 1 O 1Z b5 ,concemixog tae property located at S7 c3E77�4 McJEZ Y�14kX 5 meets AV ofthe following criteria: • This faded system is comhected to a residential dwelling only..There are no commercial or business uses associated with the dwelling. i • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this factor may conduct preliminary tests at the site without a health agent present • There is no increase in flow and/or change m use proposed • There are no variances requested or needed. o The bottom of the proposed 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 Oround Surface Elevation(using GIS inform ati n) 6 . 3 B) G.W.Elevation +adjustment for high G.W. a 1 e DIFFERENCE BETWEEN A and B Z.7, 5 3IG DATE: /O I NOUCE Based upon the above bftmation,a Tepair permit will be issued for bedrooms matdmum. No additional bedrooms are amhorized is the future without engineered septic system per. q;heater folft peregcmp . TOWN OF BARNSTABLE LOCATION, A �� ��V. SEWAGE # VILLAGE d S . ASSESSOR'S MAP & L.OT INSTALLER'S NAME PHONE NO. SEPTIC TANK CAPACITY vow LEACHING FACILITYAtype) ®coo In `fi (sue) NO. OF BEDROOMS — PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER f DATE PERMIT ISSUED: DATE .-COMPLIANCE ISSUED-- VARIANCE GRANTED: Yes No 0 p L A p a . - / f tOyCAT�f � � SEWAGE PERMIT N0. e t V'�tLAGE �i //744h h �S , � ss I N S T A LLER'S NA-ME i ADDRESS JOH,N A. AALTO BACKHOE SERVICP- 150 walnut nu ree West Barnstable, Mass. 02668' BUILDER OR OWNER DA T E PERMIT ISSUED DAT E COMPLIA-NCE ISSUED 1 0 �h �. Q� _ -" i� �I � . . . � Ste_ � � � � i ,ice /� \ ` ~� y � ` \ \ � _ � \ � � � - � ` \ \\ �, ... ` � � \\ • � �I f`. �t`.. •� � � �1 ............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ....-•-- -_......._._..................OF.............................................-----------.._..._..__..._....---------•- pplirFation for Dispaiial Wvrk, i Tomitruriion ramit Application is hereby made for a Permit to Construct (Y) or Repair ( ) an Individual Sewage Disposal System at .---- .,.��'�'---., ..�N....._A�W� /"� -------- -----------�jL'_° r..............----I-.........�.........--.................................-- ....�lY. � � ._ tign� ress•V.�/...��R[.� ......._A1/. SSI..d..�..i. l................... �a 'f� owner D/ �Addres ) e �i�!-..D..............•-•-------...•...................-- !Q-!' ".:•....... �lJ• Installer Address QType of Building Size Lot...........................Sq. feet Dwelling—No. of Bedrooms....•._�................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ............................ ------------------------ ------------••------••-------------------••-•---•---•-------- W Design Flow...............................J....S.•.__gallons per person.per day. Total daily flow__..........._.....�3..0 .............gallons. WSeptic Tank—Liquid capacitylk'°P.gallons Length�z_ °�.___ Width .. ai.I. Diameter________________ Depths'/y_-`.f x Disposal Trench—No..................... Width.................... Total Length......._.........._. Total leaching area....................sq. ft. Seepage Pit No--_---------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. it. Z Other Distribution box ( Dosing tank ( ) aPercolation Test Results Performed by..._�a_���.. . ............ _.............. Date...5:-� 26..... Test Pit No. L 42.....minutes per inch Depth of Test Pit------L-4.1..... Depth to ground water_____ f=, Test Pit No. 2..',1...._minutes per inch Depth of Test Pit.......1.2........ Depth to ground water........................ 6yi .............................. O Description of Soil .......... - - - - -- - - - x W -------------------------------------- --•--- UNature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________•----_-. ---------------------------•---------.......----•-•---------------------------•-------------------------•-----------------------------------------------------------------------------......_.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITtZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of CompliancS Sie has bee ssued by the b and lealth. i - p / Date Application Approved By....... ! . ...• �r�f!. .. --------------•---•------ ----/..=----1......................` Date Application Disapproved for the following reasons:.................. ........................•..... •----••---•--- ----------•--•---•----------------------••--•------•-------------•--••-•----•-------------------------------•--------. Date � _ �Permit No......................................................... Issued__—..VA = - Date F No.... _ EB....�.. ''. j... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --------------- ---....-..... ......OF.......................................................................................... Appliratinn for Uiipntia1 Work.5 Towitrurtion Famit Application is hereby made for a Permit to Construct (\/ or Repair ( ) an Individual Sewage Disposal System ai� '/ !„��/ �!o �C 0 6...... .. 7 y .�tiis........... ............ 'ti - dress o No. --..l ----Ctf r s .................•o ��.... ,r �a�rr 214 a ... =: N li.�l Lr.l..l r....... ................................ ........•----N/�7L�"l.... �..... Installer Address UType of Building Size Lot... ......Sq. feet ., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( j Pa Other—TYPe of Building -------------............... No. of persons......................_._... Showers ( ) Cafeteria a' 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ 14 Test 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........................ . P4 -----------------------------------•---------------•-----...........------------•------------:.......-------•---.......-------•--•-......-•--•---•-----.•••. QDescription 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 TIT .;,,. y g g p y of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has bd. een i ed by the boar o h.. / Sig d 6 /r /' {/-✓/ ... / /.. _.._ Date Application Approved By...... .;e.... f201116.0- --.. 7,.. . ate Application Disapproved for the following reasons:..---- ------------------------------------------------------------------------------------------- .............................. •--...••-•....•-••--•-•-•......................•--•--------•----•...........-•--••--••-•--••••-•-••--•-•-••-•••---•-•••••-••------•-•-----•-----•-••.................--- Date PermitNo.......................---------------------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ;P4��r OF..........:.41614m7hattrr . ifiratr T S I TO CE FY the Individual Sewage Disposal System_constructed ( or Repaired ( ) y--- t.._... Installer at. -- -M - --•• ---------•--•----••-•--- -- has be in talle�n it I the o ' ions j of The State Sanitary Code-as described in the application for Disposal Works Construction Permit N ..-_ g_,X..aF.,........ THE ISSUANCE OF THIS CERTIFICATE SHA OT BE CONSTRUED AS A GBJARANTEE THAT THE SYSTEM .W FUNCTION SATISFACTORY. ., cs DATE........ ........ " ~��� T f -•-------------------- Inspector-• ••-• s!r`����` 1/1 .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . � .....:....®F...... FEE � S'4� �i��r�a�� �rk� �� ttrtUan �ermi# Permission is herebygrantet. d--..f�} •-•-• ..-• -->................................................ •. -•-... ' to Construct. r Repair ( Indi i�ival : e ge Disposal ys ; - -------/1-P, ......... ........ / `. as shown on the application for Disposal VVorksjConstruction Per-mi No. .............. Dated____ _"`..f = �-! -a DATE------..... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS +a ASSESSORS MAP: Z �- - TEST HOLE LOGS o�- 132, PARCEL: NOTES: FLOOD ZONE: IA16�- � -�C � - SO I L EVALUATOR WITNESS: Ur REFERENCE: 276 DATE: 1) The installation shall comply with Titl ,�I / p y e V and Town of Barnstable Board of IR,4c � ` Z 7 �- PERCOLAT I N RATE: ,G'Z wi1W, 1 Health Regulations. _................... . .. _ ._. _. J _ ) The installer shall verify the 1 rlfy ovation of utilities, sewer inverts and septic TH- I 7H_2 components prior to installation and setting base elevations. toy,jf;Q 3) All gravity septic pipi ng to be 4 inch Sch 40 PVC at 1/8"per foot. 7� P1 1,DftAj 9 ,� 1}� Lo 4) This plan is not to be utilized for property line determination nor any other • b 'd purpose other than the proposed system installation. 5 ) septic components must meet Title V specifications. 6) Parking shall not be constructed over HIO septic components. LOCATION MAPC 1,� 2 P 7) The property bounded b �` The r PertY�is Y Property corners and property lines. 8 ) property owner shall review design considerations to approve of total G ` design flow and number of bedrooms to be considered for design. Receipt of qf payment for the plan and installation based on the plan shall be deemed �- 7 Z' 7/4 approval of the design flow by the owner. n 9 1� ) The existing leach pit(s) shall be pumped and filled with material per Title V HIV abandonment procedures. Those within the proposed SAS shall be removed along with contaminated.soil and replaced with clean washed sand per Title V �0 �t�. y� tWD, 0� specs. p e i 10)System components to be 10 feet from water line. SEPTIC SYSTEM DESIGN GN 11) ffa garbage grinder exists it is to be removed and is the responsibility of the •-" 125'� owner to ensure such. FLOW EST I MATE �•. - BEDROOMS AT GAL/DAY/8 ROOM • ///j/��I GAL/DAY �W. _,''✓VJ+n./�j/ �vvi/ ,ram. R } SEPTIC 'TANK to b G%L/DAY x 2 DAYS - GAL USE 1L GALLON SEPTIC TANK APAf ilf( wimm ?-)v / i SOIL A SORP ION SYSTEM - '_Q - Lee, sl 15 xv a -D ^ yj - W ,►. _ ?� _ ti 19E AREA: 2� . 3P"t /'a x+2 X �i� AbouE•t+TTOM'AREA: X 0.0 T . Pli r T I C; SYSTEM SECT I ONV�." KIWI i�" Iqr r r �1�1� t � � ��✓ $�� (n��(� -�.f__._�fih�i0�t�� 1u��4•tA�h't�1rt� �Jb�141C i \ 0 IV e D-80 �ITERIIMP ,.. �.— _�__ t. - �: ,.• SEPTIC T,litAN 4�ok- UWI 6 '85 , t++�ir. .._fdi".'.rr _off'-:A.^J '_ r 7 A�:,�t.._.....i— ..i:Ccs?s!% ..1.•...:w":v:w.v+=L.s—:ay..;`lr.. K Y �' �`� ell 3 5 V SITE AND SEWAGE PLAN LOCATION : .?5 $& 1_9 WE 1 t J �� T R �r PREPARED FOR : � ) SCALE: DAV I D B . MASON ' DATE:/O DBC ENVIRONMEN�fAL DESIGNS W EAST SANDWICH . MA DATE HEALTH AGENT 508) 833-2177 TEST HOLE LOGS ASSESSORS- MAP: �Z____ .__.____....__ _ -__u_._ �o� l PARCEL: _.. -173 - //,�� NOTES: of C SOIL EVALUATOR� vJb FLOOD ZONE: . _._./ ' -I � ? WITNESS: ar REFERENCE: _ ¢ �7N fZ,d DATE: 1) The installation shall comply with Title V and Town of Barnstable Board of �t,�� Z7�� �.. PERCOLAT I N RA E: ,G'ZIv1IW, 1 Health Regulations. i} 2) The installer shall verify the location of utilities, sewer inverts and septic mac, � 5 _y�__ 01 /�. " ' �' ` components prior to installation and setting base elevations. __ _ .----_ r `" `+'__._. - -.,> T~•r,L„-�CC� TH_ I TH-2 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8" per foot. -AE - - f�D� � f, ftA 4) This plan is not to be utilized for property line determination nor any other l ,,, purpose other than the proposed system installation. 5 All septic components must m' (D �� 5 � �L, � ) P p meet Title V specifications. v �� It 'O' 6) Parking shall not be constructed over H10 septic components. 1 7 The property is bounded b r p perty ded y property corners and property lines. LOCATION MAPC .1, 8) The property owner shall review design considerations to approve of total w ,� �` 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} 'l approval of the design flow by the owner. 9) The existing leach pit(s) shall be pumped and filled with material per Title V 11 abandonment procedures. Those within the proposed SAS shall be removed j4/ along with contaminated.soil and replaced with clean washed sand per Title V • �� ,gyp 4 �, — specs. 10)System components to be 10 feet from water line. r 11) If a garbage grinder exists it is to be removed and is the responsibility of the SEPT I C SYSTEM DES I GN owner to ensure such. All � M , I h r r e 1 FLOW ESTIMATE BEl�R00MS AT GAL/DAY/B ROOM - GAL/DAY i x ' '' •.. o : . 3 SEPTIC TANK O � - ` 1 GAL/DAY x 2 DAYS - GAL USE AVO GALLON SEPTIC TANK U k W171. Vr,Lao Qyj SOIL A3SORPTION SYSTEM i r - -tl �-32-� x2 x ,�:1DE AREA: 2X / d j � BOTTOM AREA: d " .. D .m. "r 1 C, SYSTEM SECT I ON I F \Aj# Iky' µ jy� r^. �''oi✓ 3b���3ttIA-v� -row �W - - u J -BO �,Q •° —� I�ti 126, - 100C) GAL 'mot .':G%r. / w SEPTIC TAN �oM- I�LN�fi 6�'85 `t 58 /bumN1 SITE AND SEWAGE PLAN LOCATION : .57 $61�4 �-9WC PREPARED FORM G .-i a SCALE: W DAV I D B . MASON V-"� DATE:/O / r DBC ENVIRONMENTAL DESIGNS s E W DATE HEALTH AGENT AST SANDWICH . MA W ( 508) 833- 2177 I I - - ­ � -1­ ­­­­­ -­1_1 I., - - - I - - I � � - - ­ - I -1 I- I I - I - - I I - I I - - , " I I'll 11 "I� ,��'sel I I l,-0l_Xw,­­,.:__ "%L_ , _:_�­.-,�I I --' � I � � � I I I - I .- I . 1 7, f, - I , ,, _�, t. . � I I I I I I I'll I ......�T�v -7. ,­,�,'i­�_T_ i 'l-, ", ,, � ��" ­ I I I . I -,,�,K-­W�;,",-, 1. I I , , � -�— " , , � - I � � � . I I , , , 1,�, � � ­ I � I I - N&,,_'��,,,,�,,,,,,­,,'!,4,', 2�:,g�,,,��,1 -444, , �I �l's, , . � 1, " "" , , � , ,� , ,� , I I � I I I I . ;l , -,�_, 0 , ,,,�, ,71�z` �­ : ���, _, , I � . I ­"�'l t�- - "�� � � � 1 1-1Wp, ':- " ','�` , ,, � I , " _­��,�,­,,,, -- , � ""��",. :�Z, . ,,, ," I I 11,�"'�_';�,%,­�­,��', ­,�-� I'll�_�- -,- .1, � .I �,',,�,��-I,�- ,�,'�l�' - I � 11'j"I , . I�,­�iv., . I � ,"., ,,,�, ;,�;'_'I'll ,-���.,,�­ ,- ,,, .j I'll I ., I I :".,.," I . ., I ,�'e�­ ,_t�"�­,''� ,­�.,"�,,'�, , ,- I , I - It_17 I" � , -, . � I ;��_',,, ,`;�`%� , - , , ', .� ' ­ , , �i� ,,-,,,,, ���,,�"'�1�­, ,��_ ­��', F. V7, - ­,�J`,'�,,", _V,Zy_�, I . S3. 00 11 " _,""�,- ��,,,,�- ,�.- ";,"; , ­­,",­� '' , I .. I ­�.` ,40­,t�' , " "'', , , , , , , I ,��- , , " 4� -_ �, , � - �­�,��., ' 't, � � , , 1,1, 1 1�71���111� �­ ­4­31� i,- __ , . , TYPICAL SYSTEM PROFILE , I "" � " ,' , �­' , ��­ '_,� ­,,�lk,­��, % ,,,�� ", � . 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W, I ,�, ­ - , � I - I I,' R ,,': ,s::" -,' -, " I I I p 1.t,,,�ZW�,,,��,,�,,­? ly: 1 125, � '"'111- ,'�?T�,,�J� ,, - ,_ � - SECTION 11 11 ,2 --._ - " � 4 1 .�',-, � I A " 'I, � I �1,1�1 " , '�,�,,�� ,� V� � I ­ 1 _22�'._'___-j -----0- I - -_ I I LEACHING PIT . (I REQD.) I - . ��,�I,l It'l,",I �_,,�,"�,x,t,�,`, I;, ' ', v .J."..w.."...4, -11'- 'am"" 11 : 12- . �', " �',�_',,,,�­'I"_,� 11 I" I � - ___ ,, , - - , ,��, ­2 -f - W � '' ,�,11 I a isl I'll , , " , , , 11, - � '' 4�­ �­ , �;,��1:4'. , - 1 .5 6" "I I � :' �_'_'�___ _11'� " �_;- _ , � , .lr �","�f � � � , I I � " , .1 1. I I "'Z, " i'��' ­'*,"�'� ,,__ " 1 . I I � I 5 �1-3 2 1 E .1 11 1�1't"ll,� ,l - _'� ` , �,� I �"I - � � I I I 11 .__5,'l,,S, ,4,__',, " " "' i I _�li , , �", 4, � , _�,� 7 � � NO SCALE ,". � ,��;,� ,��1, � I , 11 , �_�__, '�` -,,,,­_��,��,,��,"' �� , � , � I � I ,� I I I . I � DESIGN DATA : I � , I I , , I 1, ""'t, ,�',4,;�,,�, _-",�� _­` _' - - , ,, , ,� '.c�� I I I I 40 I I I �... 1 ,A_" " ,,�i �, : ,� I , I I ,­,,�,e­­'j_,"�'.­"',"�,'j, " I I , 1. - �'�,�,`��_ ,,_ , -r._ ,�, ,�-,�,"-,� _', ! ��� I � I I I" ,,llClllll­l­,_,;i�'__, " ���'-'�l"-':L",�,' �"'��7-,�,�p"�' I � I -1 I . I I � NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM . ,111� '', , "' " __,_, ._ "� � i I I I � �1, 1,�I �"�"'t2 `.lL,,".'?- -�"":.,� -�_­�? �e­' ��': � . I — — - , � ,L...� 'i'',­, �,, , "" I N 0. OF BEDROOMS — N� � � ­,­ �,,,�'� " i4�',,_,4�, , - .. I 1� --- .'a"i��ll�­­1"ll , ,r-1, - --, ���,"";;:,"�- , k I I � . � . �� � I ,� ,'I,, , " ,� I I � I I ,�" --,,,��,',�,���,',,�:,,,,,,��,!,r�,�-,'-,,-,,',",,",-�.�-','."�,,-"��,,,�,�, ,�' , , 1, � ,I z I �� w , _­- 1:' ll � � 4�4,Z-, ,,,`§,��,`,,-_ -' ' " I - BET.H "S I LANE ' 1� I I � I ,, L w� , , � , - � I LA 0 D I'S POSAL � �". � � -� __ ,,, "R ,1-�`,,`��?"I`-�. �, ,�:�', I :, - , , ­ I I " ", �,t,�3,w�'_'!- � ,,­��, , I - - I I ___ " � � �q. ',�� ,, , . ,�. - � ",;, , , - -, - ,� '' 11 "I I , I '' � ",,,,,,, -, ,"." , :,, - - � � � � �; �; �; �; �; �; �; ��� " k� ­_ ��.� � � I I . � � � � � � � �k LEACHING PIT NOTES: I , I ­,, _­ , - , ,�. � , �l . . I I I '. �F - _ , � - �� �, �" ; f I �t 'L . L I I I UENT Z330 ­!-�.......-, 0 ,�,��_,_ , ,,� ,�,�,,-,.­,��,,�]��,,, "� 11 , I I I � 1, I I . . I EST, TOTAL, DA LY E FFL " , ""'! ll,�� I I , " ­,'�� , ­,�"r ,,�,�-��'"'&-*7 "' � ��"�- ",%,,,� I . � L��, I I I GALS. I , ", , . � � . � 11 ��1� � ,­,�,j,'v"' ., "X'�� 't,, ,,�,",- ,,,- I ,t I �. � i ' I �- ,��_; I ,� -, � � I - ­� - � -,, 5,�;��,�` , 11 I . CONC. TO BE 4000 P.S.1 a 28 DAYS . SEPTIC TANK 1000 GAL. 11 � , �, � - - , , �l ,;, �,,', " "� - ,�� _,� ""W." _3w �­_,,,�,,,,�, �7�pl,,,, ,1_;-,'�,,�_., ��,:,- ; ',,�,:,I,— � ,,� � " - I I z I 1� . I , � " , , I I r 1- `""" ,'�������.-,�""-���'l,�,-�,"�"�'�,��:-",�',�,�,',,��',�',�-�".,, I I ",,,�, ',,;""-,-�� 11 � 11 I � 1: ��l . � I I ­ " ,,�,�,���l .1 11 I I - I ,-", `V"'., -,:";','q 1 ., �� , � - . � 1. .1 I I I Op I$ # , ­1 ­,�l',� �_t,,-,, ­�;_,',��,��,�,,,,,_r ?c 1, I I I I r , �,��,," -,,��,�, �� , -17'1':11�,'� - 1 6 x 6 6 GA- W. W. M. I '"", ­,", I ,,, k, 112 I � I I 1 2. REINF W 11 K f " -­'--'- - -,-�`­,,A,�; ,� I I I I I � I'll I'll --­`­ ",,, "" ,"�;,�,,�� �;,_ ' 'Z� ,, I . I I I ,,--,-,, , ;'�,,,-�lll - , ", � . �",i ,,,,���,,,,.�.����t,,�,,-��-"""�"""-, , 11, ,, , � , , - , I ­ I, 1� 11 I I I I - , , , - : " ' 'I 11 I I 11 r � ­� � " �0;��t, ." , ,`­ -P "",, __,�t�, 4��,i-_,�!, , - ." I I , ., � � � I I I I I � I I ,�,l; ,,�, - I . ,�,l ��,-r,vSiL,`, , _,�,��l - , '-_,_,1,­_::,� I ,��­ 11 ; I'll, �� - 1 3. 2 AND 4 ' SECTIONS ARE AVAILABLE FOR .,, , ,'�'�­�,- ,�'�41�', '-. "._ -1 ,,,z�.' - 1 4�" � 11 I . I . I � I I ) I I Xf!;--,A, � ,-q'��k��.:,"�-.,� _ �, "y _,�'j"r, 1 F _ . . ," e � I I ,. , �,11,- -I".�. 11"ll, -� , I .� �, I � I . I -�-11 I ,".j"",r"',­4­.'l­"" ",­�,­�,,�,.� � ,, , I I I "', I I I -� I . I I I 1 �,4�'ll��p�i��4,,�,,�,-,�,,,,,,-�,A"",,�-�,,�,�--��;�� ", - GENERAL NOTES 151 ­_ _­,­­ T�� ' , I I I I I I GREATER DEPTH REQUIREMENTS I I �� ""� �, , " ,L� ; �i' I I � �� ", � '�,'�Y -`��t,�,-:-� ',�;.�-,?� ., _ .�� " � , I � � � I I � I � _ - , " I ", ., ­�,� ­Z,"��,­ - ,��v� I I . . � I , _ ,,, I 111" , I 1, '"'�,�,���.�,�,,�". '),'��-,T,k, ­,�.�,,�,;4­ ­,7�,-,ltll;�,,;�­.� .,� ''. - _" � . 11 . , � I � I I L . 11 I I � I I I I � "y ,- " � . I . I I i . - - . -,,,� - I - I I I � I I I � � 11 �­i V ,,,, " - ,­���­, "; �', �� ,. �, f 1, -�, -� . - � �� I o . I '� I " - ��,,,��-�,-',"-?",2,T�,�,�-� ,-'r, � � I I I 11 ,�,"� -" I . I � I I "I `2� ,,,­�n�,,,,��, ,"",_". , - I" �'l ,,�, " �,,, � . I I I I SYSTEM COMPONENTS SHALL BE INSTALLED IN , , , , , , " ... �,�', I �, - , I , ,,, '' - ,-, , ,I I I-,,� :i��Jm`,,,�,�',`�'-,,��,,"-,"""� _,_,�,�,,,_ , �_,-,Q I " _r_� _1�I t, I I � I I I I I . ALL - " "g',,�'P__ " ,1,4�:, I � ., I I I � I I ,,, _� �, 4.': ."�,� ,�,�i�,- " � ,�,,� I �l . I , ,;: 11, .­; �'t,�g,, , ­_,�,4, - I � 1. 1: � I I I I I I I I I . - ( ACCORDANCE WITH TITLE5 OF THE STATE SANITARY CODE '' �11 ­ ��,��*�._�,` 1.11 �,,-"K� 11 I I 1 .,__­ I -� � � � I .", " � z . ,� I .I . � � NOTE: ��, , ­ 1. I I, I � � I I I . t OR LOWER AS , ",�,-I" I I I . � EXCAVATE TO ELEV. . , __,m& - _",­_1 I . I �', . I I I 'r I � i I I I I � I � I I 1""I'l, I, �1`111 I I 4b i I I ' DATED JULY 1 1977 a ANY LOCAL RULES APPLICABLE. � , . ' I'LD � I . � ,�­,,�,, ', 11 , � 'S �'B_, , � " "'4 �"�, _ u ER9 �I - . - I Z ,� A 14,'�],�.' 000 , - _M',_,���x`­�j�s� , , I I�IV*�`­"`Ow �,,­E , r",'_ , , I . I �, ,� ­ I ... lMl__­­Z,­_ � . I I - __1 n ,"ll, 1­41,__ii�� W��* ' - I ' ' I � . I -, � . . . I . I L REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING I 7', 1;;41"W"Y'� , " - I - � � 2. ANY CHANGE TO THIS PLAN MUST BE APPRV BY THE , , , , I � I I - I I I � , I ",, , , _ ", �11:1� �11"1.- "�7��,:_�,"�,�", ; r "1, , , I - I � �1. I - 11 . - 1. � I I, 11 . "',1,. _� , :�� , 1: ,;� ' ' _�, , _ - �_ , 1.1- � I I I . , .E 2 I I ; "I'. , , " , " , � , - I - � MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL , , ., , .1, . I L I �- ,� , ", I , , 11 ,I � I..,;,� 11 '. � I I I R-1 �_ -,,t, � ,,,, '. .�p��, ,,blli�lp,s'y'l_�"'l'­l_:� , , 1 I I ­ . , � , , I ­ I - � � ...1, I 1. ,. I - , 1. I I . I I - " - , w- ., __ _j: '�, L I . 1. I �,,,�" '5 :�,-,� �e,,�,,�,F - , I -, -11,,,,�i , -","',-A, �, ,_, lk�"`l � 4 ���I I I � '. I I I BD. OF HEALTH AND CHARLES D. SPOHR. I 1. I I '_x . ,�' ,�, '­.,"��.4 "I 0, �'A_ � - I . I I I ,��, � I _ �, ,� 1� I � -1., . I I I I . il I " , ­1 � . I I I I I . . I I I "I", . _ ;_ . '� I I I . � F ", I - `:_ - '7tll! � - __ - ��,-%-,'�'_'�, ,,, . , - 11 _ " I ,� ��'x _;, ,e '' WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY , . " , ­ , , , , . � I 11 � 1, I I I - , 11 . I � I � I I . � '' , _ :� I , , � I . . I - , 11 I ., , � 'A__llp>t`_A - ,I - � � I I � I - I COMPACTED IN PLACE. � , , , " � , , � - "' ' � ,; : - I � � I � .­ I I I ­Ll'�' , ,� , , __�­T __,�, ,��', , ,- �"":', 'A'e, , � ­ ­ I I I . _- � il" , _ , ill", , Zlt',.`,':,� a, 5W VAP�l I �, , , _ , , )- so" � . I � ,-A ,6 ,- 5 � L ," , '_�,, , I , , , , � I _ , � 1 � 3. WHEN CONSTRUCTION IS COMPLETED PRIOR TO BACKFILLING 1�__ , I ��­.­ - z �` I Iz -1- I � � �l I . . I I I I I I � " �,�,,�-,`,,-v " -----,-',,,_117r,"",`�`,��11; 11,",- , I I 'll I I",L � I I I I � I , I �I I I NOTIFY THE ENGINEER * FOR INSPECTION. . I ��� I-l,"'q, 9,_,, , , , ,", , � ,"' ! 'I'll., �.�., : .� I .1 - .-. I �1, I ,I I I I 1. "­ � I � , � I I I I � I ' ' - ' . I 11,,,, - -�, , -­-�� "',�'. 7�, 1�' -1, .I 1:� 1� 1. � ". . ,% I I I . I � I I I - - �l I I � I � I � I S � ","m ��,�,,,_'­_��; �L��t,�All�_-�%,��, �r� , �l , ,:�:", - � : ­ I I I I I I � I � GALS 'S - ­:�, , -�-.:��, l ­�­,­��_­ " ��"­_A�_ ",__L"" " 1 1� '. I "I �� , I � ,I �l I I � � � 1-1 ' I I 1. ��,.,-,,--, �-o --,�,�, I. I ,� r I , '��,I � ,; , " � " �:'_",­ . I - I � ­�-��w ��­,',� , , � �," ,,,- - � - , I - S.F./GAL :!��- , � I � _4 , � �,halttAto i 0: - 4--s' , , . i. M A 5,%5 � f-2,�_-,,�,��;,!,,,_�%Z, ,, , �_ �,,.�"t-�",��i�',,,,��,J:i , " - , " -, - - I I I SIDE AREA= 198 .F.0___,,- 4 ' ' � -, 'r ,," " �,,,-,� -, , -�, I - .I I I I I - 4n I I & ,,,',, ,��, ,'�,�,, , � , � ,,� , I I . I . 4.'FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED. I 1, ---�� ­,-��­,-,',�,-','�',!,fe,it,:-�"'i,:-�:,� , - I 11 - � - I - , I-,,? 5��42,' -,�� ."'?i'-, ! , , " - - - I 1. I I _Q I ' � a7 , , , " , - 1 -`,�,��, ,_ �,, , I I I i I I I �� , '' ,� :, _�,I'll", �-*-, - ., - S. , ��I'll a__4�e ", -;0 - - - -F _� ,,,,, l,"l- _e � I � . I I F.@- - 1 - 0 S. F/GAL' GALS , � I I 4; I, - _144�1_1"Ill"", ,�,�,,:,,,,--,',-,,�,,-"-�,�-,,-,�"L-"it:­­: - �n��F,'�:�-:��. ��,� ":,:�-_', ��L"" I ,� I � - _� � , r . I I i BOTTOM AREA= I . I I "I 'll, , --�-i,�-,-,��,�,-�, - ,�, -; - , :%, I .; _' I � � I . : "I � % . ,� . I I .1 . , � _t, ,b, - . ��lll , , �­� I , ,��4 I X rk ��,,-��;, , "'4,'� '..,�,� I I 11 ,. � .� 1 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT WRITTEN . 1.11_` .� _�'__ -,��--,'; ,,, _!,�;�,� I � . I- r I 11 I I I I I 11 I - , ­­'��71,-r_ , ��`,�L,l' , �­ I ­ - I "'�,t,�,­,_�� 1, � , ' ­��,� � ��-. I I � I I �� I QvQg;,,,� -'.i,', I�1, ���:�, '4 , 2 11 , I I I I - ALS . ' I ,-_-, - ,,,,,�, ,_, _,�,,­_,�,, �­' 'e, _ � I r I ; 5,8 2Z, 1 1 ­ I . �� ��_) "I",",",',�,�,�',,�-�,����,,,,�---,,��,�,�-',�-"�,­�,, ,,­ " - _ , _�' r I I j 11. , . = 285' , 1�1 1, ,',�,',v�-�� I TOTAL AREA S. F TOTAL I I " ". ,z,���",,�L"�L�-�,,,,��,�,�:-""- " , I '�l ,� r I I I ",� ,;, 11 -14: _� * i . I � I I � I I - I . . I � ! 11111�11'11 N , _1111--o ,4, "'; , �zl­� �� I I � � I I . I �,'lliw �41'_'All­ll . �­ ,� �-7,�,R APPROVAL BY CHARLES D. SPOHR. � I ",- , 4� 1 11 I ,. , - � - , I , -, " , pl .::,',,­.. ,'_: . I ;1. � I I : � ,I I I I I I . � : � . I - I � � . ,. , I I S., ­� _�� -1:1-1�I­"I I�', I � Z, I A 1.0 ?�� m,,��;m,�� ,� . ;4,: :, _,:- ­ I I ,� , - . , I - , ", ,, , '�' " ,�,,:', �', I ,_,1-­1 , ,, ,�I ,� ­ I I . � I I ' 'I . I I I . I � I I I . � I I 11 I'll "7_, - ',_ -� I�� _r` , " I I I . I 11 I I � : ...I �­�­ �, I ­ � � � ­ I . � I . , ''I :11:: I � ,,,i, 1: ','�� 11"Ift", "I'll I , I I I � � �l I ,,,",," �w?N;"w"*ftw'"l , � �,�ll I 11",11L-:�! I I I,,,,,��,,-1- I' ll � I . I . . � I I I LLEGEND 6. FOUNDATION INSPECTION REQD. WHEN EXCAVATED. ,� �, ,-�� I I " I - "�.,�- , , , , . I 11 I � - I � I I - I L -VA.-, , , ,� ",,­,,,,,r,,,.,,,_ll ,_", ," -"'L I � . I I I P I � . "_ � � -,-- '- - - , �� % �_ �11 I � - I -. .',;,,'-,'��,�,t"';,;��, ;��,,�,r, --v",'�,�� � ��­"__ , _,", ­"', , ,��l - , - I � � � I I �, , � , �" � _ �", I �- I . �I I , , �",� I I I I � I � � I �l 737 ., ,�, �� , I- � _�:r � .r ,,,, I I " � I I ! . I . 1 � I I � I I I. I ,".-, �,_7� 1 ".- I v - 1:) 'E ' . I . I �) - I I I I � I I I I � .I I, . I I 51 'C"t�1"'w 11�11��:,_,, -� , . I ­ � � 1� , - ­F", I -,:PA--G . . I -, 1� c =A_,-� f"',� QEt\AT7_'Z �Q I, . I 11 - : I � I I �,,I-� I t,j�,. �,'­ . I , I- , + 50.O' EXIST GROUND ELEV. .1 I � I I � I , - 1 . :n " ;-.. :- - .1 �(�:f,5 -,+.SOL' 00 'I.:-. �; I I I I I-. I I I I � ­ " I `­­ \�- � - _I . � � I I I . I I � . � . 1 I � � �,�,%� ', ,� '4�11� 11 I - . � �, __ - �� :,�" I I - I I .1 I - I , .. i�btl_­'_, , � "If � I I . � ­ - � 7_ � "I �� I � �- I �, i I 11- �,,,�,�.�I` ,_� �lwii�_,,-- I I I . 1. I � I ,­�I'll, 11 ­"' , � I I I . . I ,�,,,, 4"�7, _�No�f_�­­,,"", ,.", I", , � �, ­1 ,, I I� I I I . I I I � � ­1 . � - I"-, 11 ,�t,�-,,,-� ,�I I I _:':,l:� � I � I � I � I I . R I � . 1 "'177,11171, , ',,1 �"";----�,,�"--,.141��,,,��,, ,,,��,,, 4,,�:t.' ,.�' ,_" :�,�� , i'l �- I I ' ' I - I . . .1 I I � 1 .1, I I � 1� I I � I I . I I . . I � r I I I . I 11 - _ � ',�.L�,� "L�­_�,`­"l � 1, I'� ".. I I I I , ,", I '� ",� , ,_,� - �4 , � � L I . I � . I I"�,�-5�,,��_7,1,_,��,,4�'�",,��' 1 - '�-��,r,�l'�,�,,--�-,����,9�',�, -2'UNDE LINED" , , 150.0 j�FINISH GROUND ELEV , , � "i I �_�, .1 I I 11 . � I I I I" ", , � I I I I , I'' - _ - " , " " :.1 -, . I � � . I , 11- I �",""ki,���,-�-��.,�':�,�",,,,.� '. ,.� 11 , � - I - I I � - � ,_ ,� , , I . I "EN I -, "il"ll ," �11�"*111,�11� , � , �,!!"� ,�� , . � � , , - � , I'�'r � I . I � I I I � ,,,,, _ � ��, , , , - ­ , � � ',, � � , I . � . I . " ,�,�,,"' - 't',� __I" _ � I I � I I I'll, ,� N'114'�,&_�&�'11111'1�� .,.-"..,�,�­,,,�`,,,, ­­ !� - 11 . � I " ,x ,",1,� ,",_,� W"."k, ��'l"� ,-":"'�'� � � �� �l .D E S, � �� ��0& _'r� �' " - - " , , - ' ' 1­1 � . - 1� �E",�_111;11, - ,1�11,Nt , .� �, . � . " _., I 1.1,I ��,,"_­", , .-­",_,��,�,,�'t,� _,_ _t,� I" :, � " 11 1 , . - I I I � � -, 11 � � I I I f . 11 I I I I � ; - R EV.] DA T I ..., , ­,,� "'r ' ,, - , I I I I I � E, I C R I P T I 0 N I" ''.., 1, " I L I PIPE INVERT. ELEV . I I ... I i I- -I - � I I i , I . I I I , , ry '. , , , " - ' ,�,,-," �,, ,��',� -� -,,­,�,,,, _ I - 1 � I I ,--, I �- , I I I � � ," - �gt - � !:�"'�� I"'­,:,"' .�-f, "" � �,-0.:, I 111.1 � I I� I I I I I I r , � � ,_� � , , 'R 4., 1 � -1 �, - , - ., - I I ,, , I � � �,� , : I a . I i I I I - I I, , �- � , - I I I I - 11 4� I'�A� "I I I l,"i ����' , .,l!",", -­ L'�" - c �I g, , I . . I I . I I I � I � I , ;E 4 P"I"'It 0�.-q;"�: ':­ I ,.',� - �.'l I � � I I I I I I 1. I I ' I I I I- � I I I � '� - ­­l _4 _ _ _. � I L , _, " � I I I r I � __ , , " t. , __ I'll I � _ � . 11, � L ��c , ,�­ -1 11 I . � - , I I I .....ll-, I I I :. . , � . � , , - � I � I , 1�1� - '=--,_­ , I 1 --lz ,- I I I I . � I � . . , � I SEWAGE .DI "I"..�t� ___ . � -1 I I I 10 TEST PIT, LOCATION I I - �­ �� ,�'--1 ,-- -',�,�o�"- -'' �"LL'I.L ', -,��,'�,�,� � '';�� ,. :, - , ;, - � 1. � � I I I­Wl-�­ - , _,t _ , I " L I&�,,,"�',�`, I ,-,­��,,,,,�'� � � - ' �� . I � I I ,� I I � I I ­ I � ," k _,�:�`_, , �"'. I I , 1141 , �� 't ,, � I , , , , I I :_ I I I I I . . - I I I I I . .,'g-l" ' ­F " c� 111 ,­ � I '. � I I I � � . I t I I i � I . - � . 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FIBER PIPE I � , _1 I s- 4',,,,',,,,`-,`,`��,l 111'1_11!;,4_1�'��,c , ,", "�-,-."-,,, ��---k,­,,,,,�: �� I I I 4 , ,,, ., , -�� I ,� ; I ,�",- 1.11 I It 11 � 11,111, I ��,,,,� �. - 11 I I I � , "�`­_`­ I , : . I'll 1 � I � , 19 L�j Q6' - I - ', � ,, , - � I 11 t--�,V',�j,"*V 1. ,, .., , ,", ,I I , " � I I I I . ,,t 1,�� �� ­.'ll � � 11 ", , *�, ,.� I . I I I I I I .I . I I I I ____ �- .,,�,r,;L", � 11 ', I I I I, I 11 I I � � I I i I I , ,,,,-,, I , � 4 . . I JL" - ;�� , �" , 0 ,!�NO. 740 ,�� ,�,,����,,�.�,.��i's�,,-�'il-�,-',,'i�,,�,.- ,g,"�'4-`,,��t,��- ' . I ,, ��,R, _ , , � , , � ­11 1,-I-­1 ;,�, ,"'l, - �-�,,'�4''�-,,,,,,_. �:4 :, 4'. , ",� 1 I ,� . �- I� ,�A, � , , " � � I ",I,,­­�&, � , 11 I ,� 1, . i I I I - � � I I ,� , , _ , ,, ", - ' ' -I " I 'r. ,1�1 11_ � _,, , � ,� ,,�-.,,�l '71 ,,�1',,� , , ev . I . I 1. � I I- - ��";,� ," _ � �11 .1 I �, ,- - � ", . I I I 1. � I i I., I -D-SPOHR DATE:6t)EC- "76 . DRAWING NO. , �, _ & , � , - ,� I � . I � — __ — I'S 41� DESIGNED: C ,X�,Z4� ,_�, , , ";l , I 1� � I , , ,: . . � � I , . I , _:,";I L 11 � 11 I I I I I I PROPERTY LINE 11 " q., 0_1 � @`�­ �­,I -_11_0�I �l- �, �'_',­!,-, ­_ I - __ I � . I I I :�� I I I I I . I I I . 10 --- ­­­ ". ,,, "' ", lk, �;",',"_�'��'��'-r�f��� ," - -� , � , I - 1 � -r-IJI I"','�l-l"W'l-��- _ ; - _ � L I . I I I I � __ - I, .1 X;-,�",Zl," ­,�` � , .,I ­­" ,; �'r, '':� I I�] �" "I I ," I I I I I I .1i - _' ­­­ '­ I _1 � . � I IV I .,��_ , I . I � I r I - I ' I tiN\- DRAWN: , _c,-s- I SCALE:ASSHOWN . . -,- I , rr - ­,�.�......I- " ,,_., _Z��, )�", . �" "�� ­� " ,I I � I I .1 I . � I I * MIN. CODE DI STANCE ", .- i tiN\- I , , I , I 1 i.8 _�, , , I I 11 11, I " � � , _li��_' �- , 1 -1­ r �:11 I I I , � � I I - � �1�,��, , ,_ -I � ,�', � " I I � 777ll, I ��lll -, - __ , , � ;_LOT,' � : ' - ., I I � � I , - I __ � L ,: , 11 ­ � I � I I 11 1 5 1 2 8 K ___ , -11, - , , , ­111 1 , I - � I � I � I . I I I CH,ECKED: C. D. S . I ,-�;,jt l,,­,�,:"rr,,_l I - . 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