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Home My WebLink About0036 KELLEY ROAD - Health 36 Ke11eyRoad :Hyannis I a o �ti c S v ° { I Y ' o I � 1 a a a f s ,I 1'l RECEIVED TROY WILLIAMS SEP 13 1996 SEPTIC INSPECTIONS tit- APT Certified by MA Department of Environmental Protection (508) 760-1819 so 40 Old Bass River Road South Dennis,MA 02660 Commonwealth of Massachusetts cop Executive Office of Environmental Affairs Department of Environmental Protection Gower"F.Web Trudy Coxe #19"'Paul Celluccl 8--tary LL David S.Struhs comminlorar SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART A _ CERTIFICATION I f �l Property Address: 2& k&11 i/ �l d. �� v,v, , S /Ul�n• Address of Owner. � G.✓ e P� '$� h4 Date of Inspection: �Y If different) Name of Inspector-. �" `_/ // (/�). i I;O.✓r.f Company Name,Address dnd Telephone Number. j CERTIFICATION STATEMENT 1 certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes j _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Faili I i Inspector's 9ignature� � Date: i The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000-gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B,C,or D: A] SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair, passes inspection. Indicate yes, no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If"not determined",explain why not) The septic tank is metal,cracked,structurally unsound,shows substantial infiltration or exfiltration,.or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a ponforming septic tank as approved by the Board of Health. i (revised 11/03/95) 1 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (oontinued) Property Address: Owner. Q a r C Date of Iaspeotiow BI SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The m required um more than four times a due to broken or obstructed i s). The m will _ system req pumping year P�P� �� Pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced. obstruction is removed CI FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: IV�✓9 Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: s _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. 3) OTHER iI i - 1- (revised 11/03/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: �� Ke- I'e- y Owner. vt_v J ;,�Y L Date of Inspection: /d-i DJ SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be oontacted to determine what will be necessary to oorreet the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or 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 1/2 day flow. Required pumping more than 4 times in the last.year NOT due to clogged or obstructed pipe(a). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. _ Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be aoceptable,attach copy of well water analysis for ooliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: IV14 The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area(IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. Pam (revised 11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIONYORM PART B CHECKLIST Property Address: Owner. l�G a-✓G iDate of Inspection: Check if the following have been done: _JZPumping information was requested of the owner,occupant, and Board of Health. i None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates ' during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. ! ZAAa built plans have been obtained and examined. Note if they are not available'with N/A i1/ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow The site was inspected for signs of breakout. ZAll system components, excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, 'pti red, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge,depth of scum. i The size and location of the Soil Absorption System on the site has been determined based on existing information or i approximated by non-intrusive methods. I The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub- 'i Surface Disposal System. i a a . C . (revised 11/03/95) 4 t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Properly Address (<G t'e y Owner. Date of Inspection: W �✓G RESIDENTIAL-RESIDENTIAL- FLOW CONDITIONS Design flow: � 6 ¢ ons Number of bedrooms: 3 Number of current residents: Garbage grinder(yes or no):,Ld undry connected to system(yes or no):-�/C- S Seasonal use(yes or no): jk/O Water meter readings, if available: � Last date of occupancy: V G ✓po i e- d . i COMMERCIAL/INDUSTRIAL• ,/ A ' Type of establishment: ' Design flow:_—fflllons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 Water meter system: (yes or no)_ j readings, if available: Last date of occupancy: OTHER (Describe) Last date of occupancy: GENERAL INFORMATION j PUMPING RECORDS and source of information: Na J _ T 10 /N4 I�t-c..orrlL UG/A C. (1:1 s 461. i System pumped as part of inspection: (yes or no)_A(d - If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM r Septic tank/distribution box/soil absorption system Single cesspool r Overflow cesspool Privy t Shared system (yes or no) (if yes, attach previous inspection records, if any) (' Other(explain) r APPROXIMATE AGE o components, date installed (if known)and source of information: �y�i {A II�yl �� /$ �Q �_ �s, b ! Sewage odors detected when arriving at the site:.(yes or no)N0 i (revised 11/03/95) ' 5 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontlnued) Property Address: Owner. /_��r L Date of Inapeotion: V��/a 9/�/6 i SEPTIC TANK:_✓ (locate on site plan) Depth below grade:Material of construction: ✓concrete—metal_FRP—other(explain) Dimensions: S X Cl 4, Sludge depth: tS ' i Distance from top of sludge to bottom of outlet tee or baffle:� Scum thickness: Y i/ 6 /r I Distance from top of scum to top of outlet tee or baffle: �r Distance from bottom of scum to bottom of outlet tee or baffle: /0 Comments: (recommendation for pump�ndition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) /G S W ter..- -f o.J�..�( �„ o�/ �,,. c o r d ' /�� s; elt k,g, t c7/ cka►n1. 'e. G rv� c s' 4-i � C.Or6fG✓ Aga -j + /C tt. w orH 6:c GREASE TRAP: //9 (locate on site plan) " Depth below grade: Material of construction: concrete metal FRP other(ezplain) — — — — i 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: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) I i I i (revised 11/03/95) g SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) Property Address: 36 Kit,-y Owner. W Lc'r Q. Date of Inspection: TIGHT OR HOLDING TANK: n��A (locate on site plan) Depth below grade: Material of construction:—concrete—metal—FRP—other explain) Dimensions: Capacity: gallons Design flow:_ gallona/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: LJ{- Comments: (n if level and distribution is equal, evidence of solids carr/y�over, evidence of leakage into or out of box,etc.) - [30 W'A S ✓ CA PUMP CHAMBER.�'9 (locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) (revised 11/03/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: ,3 KL.112 y Owner. 1/`� 2� ✓ c- Date of Inapeotion: SOIL ABSORPTION SYSTEM (SAS): (locate an site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: leaching Pits, number:Ck L G X leaching chambers,number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: cc Comments: (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetatio etc.)_Is a 4-- —'L-4✓►� e_ o l� i (n c �i D ✓� CESSPOOLS: L-1l//9 (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(cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) e PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments:(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 11/03/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECnON FORM PART C ff SYSTEM INFORMATION (continued) Property Address: Owner. Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: Indude ties to at least two permanent references landmarks or benchmarks locate all wells within 100' rro&n 4- ly , , _ /00 0 4 u I 3� O —rwrk 3G . DEPTH TO GROUNDWATER Depth to groundwater: — feet — adjusted high groundwater level rnethod of determination or approximation: o w . �. v 9 .. "TO,R11 OF BARNSTABLE LOCATION ., 3,v �<e,1/1,,, � SEWAGE # 1006 V?LLAGE ek AASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. ✓ f r �• SEPTIC TANK CAPACITY /CVO LEACHING FACILITY: (type) �� (size) L S� NO.OF BEDROOMS_,_ , �I BUILDER OR OWNER U t��`re, PERMIT DATE: j �l S I D �: COMPLIANCE DATE: I ZI Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching.facility) Feet Furnished by �=W t C—" Tr_'... a •. L + Y '� .. • tl \_ ^ ' V + ' + I. p � � �i -}• ` O � +� f `� �,I T r ! ',. M � , • � �;. w � - . , �k. LOCATION SEWAGE PERMIT NO. \1 VILLAGE INS A LLER'S NAME i ADDRESS U 10,476A Xiu 8 U I L D E R OR OWNER ti A-t �A 0 e.,tl f v DATE PERMIT ISSUED �1 DATE COMPLIANCE ISSUED O r l No................j a o �•ems............................ THE COMMONWEALTH OF MASSACHUSETTS r' BOARD OF HEALTH :........................O.F ...:......................_.................._...-----......_...........--------- Appliration for Disposal Morks Tunotrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-A dress- or Lot No. �r Owner Address W '� `�'` ..............ell a`? .`✓•---------••--------•- ------ `t '"'I !. c---•---•-----.�t.�i.,E.f.----------------------•------•--- Installer ! Address Type of Building Size Lot............................Sq. feet a Dwelling—No. of Bedrooms______________a2.________._.._._.__.__._Expan ion Attic ( ) Garbage Grinder (--y Q, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — CafeteriaPL4 ( ) Other fixtures --------------------- -' =- - - W Design Flow_______________ _� ° _ gallons per person per day. Total daily flow..__.:.____.; .�.9'.................. g � --------------------->� P P P Y• Y - - gallons. 94 Septic Tank—Liquid capacity__/ llons Length.......... Width................ Diameter................ Depth................ Disposal Trench—No_ ____________________ Width_._..__._._______._ Total Length_.___._..___.__.._._ Total leaching area___._.._____._______sq. ft. 3 Seepage Pit No............/....... Diameter......f_.._...... Depth`below inlet____________________ Total leaching area_1 fk___sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by.________C6_ez..__.___get�_____ l�.Y ___.._. Date_._.___6` ....... 9� y a a Test Pit No. I..____�....minutes per inch Depth of Test Pit____ _ _Y__. Depth to ground water....... G_.._.__.'� G Test.Pit No. 2................minutes per inch Depth of Test Pit..................:_ Depth to ground water........................ a ------------------------------•------------------------ --•---......-•--•----------••--•--•-•--..:_•_....... Description of Soil....................�_1....---••----------.................1_................1�-----.................��--•�' - Irx ---•---•---•-•----1-�----•------- 1 YY ------------------------- W ............................=............-........................................................................................................................................................... U Nature Repairs or Alterations—Answer when applicable............................................................................................... ----•---••- ------------------------•-----------------------------------------._....._...._...--•-----•••------------------------------------- ................................................... Agreement: The(undersigned agrees to install the 'aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in joperati un ' Cer ' cat f Compliance has been issued by the b�health./ Signed_._..-- ------------- Date A 1 c tion pproved By................. _.. �i��_____ _. _ Date 1�pplication Disapproved for the following reasons_____ ______________________________________________________________________________________________________ ...._.__...-•---------------••---•-•------...----....--•----------------=------•-•---•.....---------------._.._...__...-•--•--•--•---•-••--•-•••----------------------••-------------------....._.... Date PermitNo......................................................... Issued....................................................... Date No................-.....-- " •Flcs... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................O F....................................... APP11'ration for Bispao al Works Tatuitrur#iun Hermit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: - = ..._.. A-3......• �.....................•------•-•-........... --•-...---.....•---.......-----••-----•--......_...........-•-•---------•-••-•-••--.......•--... Location-Address _ t No or Lot 1 �<! /!2-_'_..............q G�!'...��...................................s��_�.......... ........C..?7............. .r!a, ................... ..........: Owner Address /f�!.G: yF__...... _......1.. _......_��_. $.................. Installer Address Type of Building Size Lot.................... .....Sq. feet aDwelling—No. of Bedrooms.............crams........................Expansion Attic ( ) Garbage Grinder (4 -9 a Other—Type of Building .......:.:........��....... No. of persons........................---- Showers ( ) — Cafeteria ( ' ) 11 Otherfixtures ---------- = -------------------------------------------------------------------------------------------- W Design Flow.............. .....:............gallons per person per day. Total daily flow..........;Z.2.9'...................gallons. 'Septic Tank—Liquid capacity./.gallons Length................ Width................ Diameter................ Depth......._........ ' Disposal Trench—No. .................... Width.................. Total Length.................... Total.leaching area....................sq. ft. Seepage Pit No.........../-------- Diameter..... .......... Depth below inlet.................... Total leaching area.17a....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........ .et......... es!f....... l.>y s. ....... Date....... /7 /9� y Test Pit No. I-.` .....minutes per inch Depth of Test Pit.... .Y y.... Depth to ground water...... !......... '` Erb fs, Test Pit No. 2................minutes per inch. Depth of Test Pit.................... Depth to ground water........................ a --•-.•. ----....---•••--------------••--. ------......------.....-----.........----....--..---- -•-------•---•-----..........-----•-------------•---...... O Description of Soil................=&�P, a,a(................................ 5�,.- i� ri c� --- u /. '�' ..................................... ......•-•...-•-•-------- ------------------------------------............------•------•----- -•... -•--- U Nature`Of Repairs or Alterations—Answer when applicable..............:.................................................................................. ............................=........................................................................................--=---------------------------------------------------------------------------. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions"of T ITL% 5 of the State Sanitary,Code— The undarsigned further agrees not to place the system in opTlicatio2pproved ' Cer ' cat .of Compliance has been issued by the board of health. .. Date A By..................... ._ /� / -=- ----------------------- ... ......................... Date Application Disapproved for the following reasons:...._...........1................................................................................. ......................••-•----••-------•--------...•--•-•----•--•--•------...-••--------.....------...........--•-• •-•--•••••------•---•-•---•----••--•----••••-•-• ------------------------------ Date PermitNo................................................... - Issued_------...------------------.....-------•--•-......... Date t, THE COMMONWEALTH OF MASSACHUSETTS x BOARD OF HEALTH ir ..........................................OF....................................I....................................... - Trrtif iratr of TuntpliFanrr THIS IS TO CF��FY,jh#t the Individual Sewage D's al Syst constructed ( ) or Repaired byby '- :.. .........................�'-J........----../�..��t._. ff ........................................................... = S- --------------l.y.�- . Instal er 7� has been installed in accordance with.the provisions of TITLE 5 of The AState Sanitary Code as described in the application for Disposal Works Construction Permit No............... ...h........... dated,t.............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STRUE® AS A GUARANTEE THAT THE`' SYSTEM WILL $UNC ION SATISFACTORY. b1 -------------------•---------•---.----- Inspector .-_... _....--------------........ DATE............. -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ".. ..........................OF...........-•---...................................................... .:................ ................ .................. Fn....57� Rapasal Work$ Tnns#rudiv t rrmff , Permission is hereby granted-------------------------- . ..... to Construct (L.:)dor�Repair (.- -) an Individual SewageDispgsal System , Street as shown on the application for Disposal Works Construction Permit No! .14_' PP§Dated......It- -1-3-•�1�'�..--.... �.- 4 ' DATE..............11.).LKIN 15.. .. --•--- Board of Health s 1+ 1255 A. M. INC., BOSTON E: 'e , r , SYSTEMPROFILE r NOT TO SCALE 1 TOP FON. I FINISH `GRADE e' FINISH GRADE OVER EL .i"2.�► FINISH GRADE 'O VEA DIST BOX ,f,0- 0 FINISH- GRADE: OVER , SEPTIC TANK .5-0. .3 ' LEACHING PIT moo• +� a o o =PIES 3 F / ., > 1 ff °. v. o.. o �,a.. �, : p a o,:ri• O 1/ B - 1122o 04 PRECAST CONC. OR WA SHED PEA S TONE a o.'�.. oo -ts=: a-s BRICK & MORTAR 0 o OUTL ET PIPE L EVEL 4 „ B ' 4•.• . .: .• . �: '. TO 12" BELOW GRADE o p FOR 2 FT. MIN. :.. ej a o � P• � •. a .,. 1j , n •.;o 4 o` .� Ma m. a e.d�jMo. a a �. 4, !'o;O6• d o �`— C, I. OR PVC TEES _-I T,9 9 0 o7J, o .o d �• a e 4: D, _. Q .o o- o � GALLON BSMT. FL A. o DIS TRIBU TION BOX d: ..� a o. `e v '�' ,4 Q' a A a '. b a INSTALL ON LEVEL BASE 3/'4" TO 1-1/2 " °= 6 r 4. �U PRECA S T CONCRETE PRECAST I o' Q WASHED y 0 REINFORCED I �[j 4j CRUSHED CONCRETE Qo `q,6: O:d.�•`.d-b a.: STONE G ,. .. .p •:. ¢ :'�,". b.a.O;•"Q D:.c b.is'a :;:p: ci.,:a '.;'.o..o. � H-- `/0 REINF. _Q • O SEPTIC TANK a INSTALL ON LEVEL BASE a p too `.a,v O: pa:o .a � NO TE. EXCA VA TE TO EL E V.3 0- OR o . .. . a ;c LOWER TO REMOVE ALL IMPERVIOUS Dd —'— _ MA TERIAL BENEA TH THE 'L EA CHING AREA r --_-- - ----"�_ REPL A CE EXCA VA TED MA TEAIA L WI TH 6 + 6+ s CL EAN, CL A Y FREE SANG p EFFECTIVE DIAMETER —77777 m . y , GENERAL NOTES LEACHING PIT . INSTALL ON LEVEL BASE 1 . ALL EL EVA TIONS SHOWN APE BASED ON R . x .Y.. ,, ... ., ALL PIPES IN THE SYSTEM-MUST T A EM MUS BE C S T IRON - fI + PRECAST._CONCRETE_ OR -SCHEDULE 4 ,PVC. LEACHING PIT D _ OBSER VA TION PIT .3. THE ,BOARD OF .HEAL TH MUST BE NOTIFIED �, WHEN CONSTRUCTION ION M 77�'' 7'' .V cO. Z �' I S COMPLETE E TE `PRIOR -� . A PEACOL A TION RA TE. TO B CKFILLING i , ,, . MIN. /IN. CHANGES IN .THIS PLAN MUST BE APPROVED� 4. ANY + + Y TH AND CAPE & ISLANDS WITNESSED BY: BY . THE BOARD OF HEAL �r000 GALLON SURVEYING CO. :; INC. PRECAST CONCRETE 5. MATERIALS AND; INSTALLATION SHALL BE IN .. R /{ 6a OPALrlo.'-4_2')) SEPTIC TANK ' F��` a " COMPL IA NCE WI rH THE S TA TE SA NI TA R Y BRD. OF HEAL TN DESIGN DA TA CODE - TITLE V = AND LOCAL APPLICABLE DA TE. �_ ` A„.1 UL A TIONS t 6. NORTH ARROW I NUMBER OF BEDROOMS RULES AND PEG S FROM RECORD PLANS AND p --'' ' , GARBAGE DISPOSAL _6/l� IS NO T TO 8E USED FOR SOLAR PURPOSES � / .d v 7. FLOOD HAZARD ZONE DA IL Y FL OW .cG7._ GPD L_._ ,.,F tl B. WA TER SUPPLY > .. / _ SEPTIC TANK RED 'D. �_____., GAL �.,0 ~ _' LSZ LO r" 5 SEPTIC TANK PROVIDED ,', c r GAL LEACHING REQUIRED r '' GPD ,_ �. SIDEWALL AREA h S. F. J 9,& S. F. X ,5 G/S. F. r�GPD. BOTTOM AREA . LEGEND s. F. x ` GIs. F, _ GPD LEA CHING PROVIDED 4 GPD `d G o. O u PPOPOSED ELEVA TION EXISTING CONTOUR t /l✓ �',-'� OBSER VA TION PIT ❑ DISTRIBUTION BOX R , . PROPOSED SEWAGE DISPOSAL` S YS TEM �O LEACHING PIT M.Z'AvD ? PREPARED FOR - o o SEPTIC TANK t _ ROBER T MADDOX r A>�I RESERVE PIT AREA LOT 83 KEL L EY ROAD 49ARNS TABLE -- MASS: PIPE INVERT ELEVA TION ° �: .. CAPE `6 ISLANDS SURVEYING, INC. PLOT PLAN s - " SCALE :AS NOTED , SCA L E. 1O 1 . . e P. 0. eQx �.�4 . .. A T Ck' T M PLAN NO - TEA I E ASS . AP PLOT _ . . , � , , -M SEC cL ,