HomeMy WebLinkAbout0231 LONGVIEW DRIVE - Health 231 Longview Drive
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Commonwealth of Massachusetts
Title 5 Official Inspection Form ;
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�. 231 Longview Dr.
/ Property Address
Devincentis
Owner's Name ,
--gamstable U�b1 V'l l S' _ MA 02632 10/15/12
City/i own, State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. t .
A. .General Information
1. Inspector: J
F -
rank Nunes III
Name of Inspector
saa
Company Name
Box 841
Company Address
East Falmouth MA 02536 j
Cityrrown t, State Zip Code
508.272.6433
Telephone Number ,
B. Certification:
LU
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
rz 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 16.340 of.
U`Q Titlef5:(310 CMR 15.000).The system: ,
3
Passes ° El Conditionally Passes ❑ Fails
V-4 40,' Needs Further Evaluation by the Local Approving Authority
10/15/12
Inspector's i nature o Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health4 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.
1� Cv
231 Longview Dr•03/08 Title 5 Official Ins ion Form:Subsurface Sewage Disposal System•Page 1 of 15
a
b
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not-for Voluntary Assessments
M '< 231 Longview Dr.
Property Address
Devincentis "
Owner's Name
Barnstable MA 02632 10/15/12
Cityrrown 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:
w
® I have not found any information which indicates that any of the failure criteria described k
in 310 CMR 15.303 or'in 310 CMR 15.304 exist. Any failure criteria not evaluated are
r «,
indicated below.
Comments:
Pumping suggested every 3 yes to prolong the life of the system
k
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.
Answer yes, no or not determined (Y, N, ND) in the ❑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.
ND Explain:
n/a
❑ 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
0 obstruction is removed-
231 Longview or•03/08 + �, Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15
Commonwealth of Massachusetts
Title 5 -Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
231 Longview Dr.
Property Address
Devincentis
Owner's Name
Barnstable MA 02632 10/15/12
Cityrrown State Zip Code Date of Inspection .
4 1.
B. Certification (cont.) T?;t
B) System Conditionally Passes(cone.):
❑, distribution box is leveled or replaced
ND Explain:
n/a
❑ 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):
El broken pipe(s)are replaced
r ❑ obstruction is removed
ND Explain:
n/a
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
g 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 any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system hasf aseptic 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.
4 ❑ The system has a septic tank and.SAS and the SAS is within 50 feet of a private water
supply well
231 Longview Dr•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 15
x
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage-Disposal System Form -Not for Voluntary Assessments
231 Longview Dr.
Property Address
Devincentis
Owner's Name
Barnstable MA 02632 10/15/12
CityrFown •` State Zip Code Date of Inspection
B. Certification (cont.)
C) Further Evaluation is Required by the Board of Health (cont):
❑ 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 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 tie
attached to this form. r ,
3' Other. , R
n/a
D) System Failure Criteria Applicable to All Systems: .
You must indicate"Yes" or"No"to each of the following for all inspections:
Yes No
f
. 0 ® Backup of sewage into facility or system component due to overloaded or
'clogged SAS or cesspool
El ® '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 '/day flow
El ® 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 ori4
tributary to a surface water supply.
231 Longview Dr•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 231 Longview Dr.
Property Address
Devincentis -
Owner's Name
Barnstable MA 02632 10/15/12
Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
D) System Failure Criteria Applicable to,All Systems (cont.):
Yes No
❑ ® Any portion of'a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑4 ® 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.
Ej ® The system falls.] 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._.
231 Longview Dr•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 231 Longview Dr. - {
Property Address
Devincentis
Owner's Name
Barnstable MA 02632 10/15/12
Citylrown State ,Zip Code Date of Inspection
C. Checklist
Check if the following have beendone:You must indicate"yes" or"no"as to each of the following:
Yes No a
ElZ Pumping information was provided by the owner, occupant, or Board of Health
El ® Were any of the system components pumped out in the previous two weeks?
Ej ® 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?
® ❑4 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?
Z. ❑ 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:
Z [E] ' .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
El .approximation of distance is unacceptable) [310 CMR 15.302(5)]
231 Longview or•031013 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
231 Longview Dr.
Property Address
Devincentis
Owner's Name
Barnstable MA 02632 10/15/12
Cityfrown State Zip Code Date of Inspection
y
D. System Information.
Residential Flow Conditions:
Number of bedrooms(design): . 3 +Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203,(for example: 110 gpd x#of bedrooms): 330
Number of current residents: 0
a
Does residence have a garbage grinder?" ❑ Yes ® No
Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes' 0 No
Laundry system inspected? ❑ Yes ®, No
- Seasonaluse? ® Yes ❑ No
Water meter readings;if available(last 2 years usage(gpd)):
r •
Sump pump? ❑
Yes No
Last date of occupancy: seasonal
Date
Commercial/Industrial Flow Conditions:
g - n/a
Type of.Establishment:
t
Design flow(based on 310 CMR 15.203):
4 Gallons per day(gpd)
9 e ,
Basis of design flow(seats/persons/sq.ft., etc):
r
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: t
+Last date of occupancy/use: Date
Other(describe): n/a
231 Longview Dr•03/08 w s Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 0
Commonwealth of Massachusetts
Title 5 Official Inspection . Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 231 Longview Dr.
Property Address
Devincentis
Owners Name
Barnstable MA 02632 10/15/12
CitylTown State Zip Code Date of Inspection
M. System Information (coat.)
General Information '
Pumping Records:
Source of information: No history given
Was system pumped as•part of the•inspection? ❑ Yes ® No-
If yes;volume pumped: r
f gallons
How was quantity pumped determined?
Reason for pumping' .
Type of System:
® : Septic tank, distribution box, soil absorption system
❑, Single cesspool«
El Overflow cesspool
❑ Privy b ,
❑ 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.
El Other(describe):
Approximate age of all,components, date installed (if.known) and source of information:
8/15/97 per as built
- Were sewage odors detected when arriving at the site? ❑ Yes ® . No
•
231 Longview or•03/08 " Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 231 Longview Dr.
Property Address
Devincentis
Owner's Name
Barnstable MA 02632 10/15/12 4
Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Building Sewer(locate on site plan): -
Depth below grade: 2
feet
Material of construction:
❑ cast iron ®40 PVC .. �❑ other(explain):
>10'
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):
18„
Depth below grade: '.. , _ ,. feet
Material of construction: -
E concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
Riser to 6"of grade at inlet cover
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
---------------------------------------------- ------ -------------------------------------------------------------
Dimensions: s 1500g
Sludge depth: '
LDistance from top of sludge to bottom of outlet tee or baffle --
Scum thickness trace
>2„
Distance from top of scum to top of outlet tee or baffle,
Distance from bottom of scum to bottom of outlet tee or baffle >2
Measured
How were dimensions determined?
231 Longview Dr•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15
Commonwealth of Massachusetts'
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M ' 231 Longview Dr. +
Property Address F
W Devincentis
Owner's Name
Barnstable Y MA ° 02632 10/15/12
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.):
Pumping suggested every 3 yrs to prolong the life of the system
Grease Trap (locate on site plan):
Depth below grade:
" ,, feet
Material of construction:
❑ concrete El metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
n/a
Dimensions:
'Scum thickness
Distance from top of scum to top of outlet tee or baffle
e
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping:, `
Date
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
n/a
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):
n/a t {
231 Longview Or•03/08 + Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments `
M 231 Longview Dr.
Property Address F '
Devincentis
Owner's Name
Barnstable MA 02632 10/15/12
Cityfrown State Zip Code Date of Inspection
D. System Information (cont.) s
Tight or Holding Tank(cont.)
Dimensions: t
Capacity:
gallons
'f
Design Flow:
F• gallons per day
Alarm present: . El Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
' Comments(condition-of alarm and.float switches, etc.): a
n/a
• r � t •
Attach copy of current pumping`contract(required). Is copy attached? ❑ Yes `+• ❑ No,
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert level w/the bottom of the pipe
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.):
D-box 2' below grade and in very good condition
F
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No
Alarms in working order: ❑ Yes ❑ No
231 Longview Dr•03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal,System Form -Not for Voluntary Assessments
w 231 Longview Dr.
Property Address
Devincentis
Owner's Name
Barnstable MA 02632 10/15/12
Cityrrown State. Zip Code Date of Inspection
D. System Information (cont.)
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
n/a
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why: -
Type:
❑ leaching pits number:
® leaching chambers number: 4 Infiltrators per
BOH record
❑ ,leaching galleries r number:
❑ leaching trenches number, length:
El 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.): '
Infiltrators were vidoe inspected and dry.at this time. No indication of backup
231 Longview or•03/08 ' Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,
M 231 Longview Dr.
Property Address
Devincentis `^
Owner's Name
Barnstable MA 02632 10/15/12
City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration .
Depth—top of liquid�to'inlet invert
Depth of solids layer
a
Depth of scum layer
1 • • 1
Dimensions of cesspool„ 4 4
Materials'of construction
Indication of groundwater inflow ❑ Yes .❑ No.
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.):
n/a '
y
231 Longview Dr•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15
T ,
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 231 Longview Dr.
Property Address
Devincentis
Owner's Name
Barnstable MA 02632 10/15/12
CitylTown q State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage'Disposal System: Provide a sketch ohikis sewage disposal system including ties
to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet..
Locate where public water,supply enters the building.
cl
231 Longview Dr•03108 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 15
T
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
�M 231 Longview Dr.
Property Address
Devincentis
Owner's Name
Barnstable MA- 02632 10/15/12
Cityrrown - _ ,� 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: - >12
feet t
Please indicate all methods used to determine the high ground water elevation:
aF
❑; 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)
El -Checked with local Board of Health-explain:
❑ �' Checked,with local excavators,installers-(attach documentation)
❑ , - Accessed I SGS database-explain:
You must describe how you established the high'ground water elevation:
per elevation'of home 4
231 Longview Dr-03108 w Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE.OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION ,
TITLE 5
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART,A
CERTIFICATION
Property Address: 231 Lonzyiew Drive
MA 02632- 1 0 Al S
Owner's Name: Peter&Karin Doyle �020 0
Owner's Address:
Date of.Inspection: January 23, 2007
'Name of Inspector: (Please Print) Jaines M. Ford
Company Name: James M. Ford
Mailing Address: P.O.Box 49
Osterville,MA 02655-0049
Telephone Number: (508)862-9400
CERTIFICATION STATEMENT c
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 p
training and experience in the proper function and maintenance of on site sewage disposal,systems. I am aDEP
approved system_ inspector pursuant to Section.15.3,40 of Title 5(310 CMR 15.000). The system: 1.,3.
r .
✓ Passes
Conditionally Passes
her Evaluation by the Local Approving.Authority
Needs FA
Fails
Inspector's Signature: Date: January 31, 2007
The system inspector shall submit ,opy 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.
Notes and Coimnents
****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.
Title 5 Inspection Form 6/15/2000 page 1
Page 2 of 11
OFFICIAL INSPECTION FORM,-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
.Property Address: 231 Longview Drive
Centerville, MA
Owner: Peter&Karin Doyle
Date of Inspection: January 23, 2007
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.
Answer yes,no or not determined(Y,N;ND)in the 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 inuninent. 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.
ND explain: ,
r break out or high static water level in the distribution box due to broken or
Observation of sewage backup o b
g p g
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
obstruction is removed
distribution box is leveled or replaced
J
ND explain:
The systein 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
obstruction is removed
ND,explain:
2 ,
s Page 3 of 11
OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 231 Longview Drive
Centerville, MA
Owner: Peter&Karin Doyle
Date of Inspection: January 23, 2007
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
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 coliforn
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of atmnonia 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:
3
Page 4 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 231 Longview Drive
Centerville, MA
Owner: Peter&Karin Doyle
Date of Inspection: January 23, 2007
D. System Failure Criteria applicable to all systems:
You must indicate either"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 '/2 day flow
_ ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number
of times pumped
Any portion of the 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 coliform bacteria and volatile organic compounds.
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitratenitrogen 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.]
No (Yes/No)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 System:
To be considered a large system the system.must serve a facility with a design flow of 10,000 gpd to 15,000
gpd•
You must indicate either"yes."or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
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.
4
Page 5 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 231 Longview Drive
Centerville, MA
Owner: Peter&Karin Doyle
Date of Inspection: January 23, 2007
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 detennined based on:
Yes. No
✓ _ Existing information. For example,a plan at the Board of Health.
✓ _ Detennined 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(3)(b)].
5
Page 6 of I 1
OFFICIAL INSPECTION FORM-' NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 231 Longview Drive
Centerville, MA
Owner: Peter&Karin Doyle
Date of Inspection: January 23, 2007
FLOW.CONDITIONS
RESIDENTIAL
Number of bedrooms(design): . 3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203-(for example: 110 gpd x#of bedrooms): 330
Number of current residents: 0
Does residence have a garbage grinder(yes or no): No
Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required]
Laundry system inspected(yes or no): No
Seasonal use(yes or no): No
Water meter readings,if available.(last 2 years usage(gpd)): Unavailable
Sump Pump(yes or no): No
Last.date of occupancy: Unknown
COMMERCIAL/INDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203): upd
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no);
Industrial waste holding tank present(yes or no) .
Non-sanitary waste discharged to the Title.5 system(yes or no):
Water meter readings, if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information: Unavailable
Was system pumped as part of the inspection(yes or no): No
If yes,volume pumped: gallons--.How was quantity pumped detennined?
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)
Tight Tank Attach a copy of the DEP approval
Other(describe):
Approximate age of all components,date installed(if known)and source of information:
Installed on 8115197-per as built card
Were sewage odors detected when arriving at the site(yes or no): No
6 .
Page 7 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 231.Longview Drive
Centerville,MA
Owner: Peter&Karin Doyle
Date of Inspection: January 23; 2007
BUILDING SEWER(locate on site plan)
Depth below grade:
Materials of construction: _cast iron 40 PVC other(explain):
Distance from private water supply well or suction line:
Conents(on condition of joints,venting,evidence of leakage;etc.):
SEPTIC TANK: ✓ (locate on site plan)
Depth below grade: 18"
Material of construction: ✓ .concrete _metal _fiberglass polyethylene
_other(explain)
If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of
certificate)
Dimensions: I500 zaL
Sludge depth: 2"
Distance from top of sludge to bottom of outlet tee or baffle: 301F.
Scum thickness: S"
Distance from top of scum to top of outlet tee or baffle: 6"
Distance from bottom of scum to bottom of outlet tee or baffle: 10"
How were dimensions determined: Measuring stick
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels
as.related to outlet invert,evidence of leakage,etc,).
Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs ofleakaZe
GREASE TRAP: None (locate on site plan).
Depth below grade:
Material of construction: _concrete _metal _fiberglass _polyethylene _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 baffler
Date of last pumping: ,
Comments (on pumping recommendations,inlet and outlet,tee or baffle condition,structural integrity, liquid levels
as related to outlet invert, evidence of leakage,etc.):
7
r
Page 8 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE_SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 231 Longview Drive
Centerville,MA
Owner: Peter&Karin Doyle
Date of Inspection: January 23..2007
TIGHT or HOLDING TANK: . None (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/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Coimnents(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert`. Even
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.):
The D=box was normal. No solids were present.
PUMP CHAMBER: None (locate on site plan)
Pumps in working order(yes or no):
Alarns in working order(yes or no)
Comnents(note condition of pump chamber,condition of pumps and appurtenances,etc.):
8
Page 9 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 231 Longview Drive
Centerville, MA
Owner: _ Peter&Karin Doyle
Date of Inspection: January 23, 2007
SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required)
If SAS not located explain why:
Type
leaching pits,number:
✓ leaching chambers,number: 4- infiltrators W4'stone per as-built
leaching galleries,number:
leaching trenches,number, length:.
leaching.fields,number, dimensions:
overflow cesspool,number:
Innovative/alternative system Type/name of technology.:
Comients(note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.):
The infiltrators were dry and clean. There did not avvear to be ally sirrns offailure Used a cam era to inspect
CESSPOOLS: None (cesspool must be pumped as art 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 or no):
,Comments note condition of soil signs of hydraulic failure,
( g y e, level of ponding,condition of vegetation,etc.):
L i
PRIVY: .None (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.):
ti
Page 10 of I 1
OFFICIAL INSPECTION FORM-'NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM`
PART C .
SYSTEM INFORMATION(continued)
Property Address: 231 Longview Drive
Centerville, MA
Owner: Peter&Karin Doyle
Date of Inspection: January 23, 2007
SKETCH OF SEWAGE DISPOSAL SYSTEM .
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks.. Locate all wells within 100:feet. Locate:where public water supply enters the building.
3 :
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f
• Page 11 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 231 Longview Drive
Centerville, MA
Owner: Peter&Karin Doyle
Date of Inspection: January 23, 2007
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water 30+/- feet
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record'-If checked,date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
✓ 'Checked with local Board of Health-explain' topographic and water contours map
Checked with local excavators,installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Using Barnstable topographic and water contours rttap. Map is showing approximately 30'+1-at this site.
This report has been prepared only for the septic system and components described herein. This septic system has been
inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will.,
function properly in the future. Theme have been no warranties or guarantees, either expressed, written or implied,
relating to the septic system; the inspection, this report and/or any components of the septic system which have not
been located and inspected.
11
TOWN OF BARNSTABLE
LOCATION a31 1 On C Ul LW I r. SEWAGE#
VILLAGE CZA-r SESSOR'S MAP&PARCEL QS'
INSTALLS S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) Y- I,11t(Atorj (size) y 17—OAL
NO.OF BEDROOMS 3
OWNER 1�0�►�.
PERMIT DATE: 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) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
FURNISHED BY ��Sp�,�,��on -,T- Fore t1X16-
1
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9�
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TOWN OF BARNSTABLE 9
LOCATION . f �,r- �, i� SEWAGE 7 ' al,
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. P*"
SEPTIC TANK CAPACITY 14—L oo
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
BUILDER OR OWNER 1
PERMITDATE: 9r I`! COMPLIANCE DATE: Is 9
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
r
d.
�lp Fee
No. L./
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppYtcation for Mt.9 at *pgtem �tCongtruction Permit
Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. � s Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,and Tel./�N'o. Designer's Name,Address and Tel.No.
fin
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow "q gallons per day. Calculated daily flow '03�-1 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank i^J Type of S.A.S. } V,ce,f i T `ot, ,`W,645
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 6sy 6olc
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 a not to place the system in operation until a Certifi-
cate of Compliance has ea t -7
Signed Date IY 9/
Application Approved by Date 'C','
Application Disapproved for the foil wing reasons
Permit No. Date Issued
-----------------------.--.----------—AL=---------
F , .. J;",s7Ma+`gyi++ r..•'..Tn ..m G.,._,..+-.v6`-n.Na w -•. ..._. _ - �.r�.. V
1 y
Fee
No.
Entered in computer: v
THE"COMMONWEALTH OF MASSACHUSETTS
9 +d PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE., MASSACHUSETTS Yes r
2pplicatiou for M15 o at *p5tpm Con.5tructiou Permit
Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. v . p` �`�� Owner's Name,Address and Tel.No.
- o-T'�-c`-e '
'- Assessor's Map/Parcel
InsWler ss.,Name,Add and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms ..7 Lot Size sq. ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures ,
Design Flow 3 s ib gallons per day. Calculated daily flow 3 c1 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S. �L Lta
Description of Soil
i
Nature of Repairs or Alterations(Answer when applicable) I-sob
ob
Vbo\e- \<�n.Ctx oc,,) w-y.i LZ%V `trr (I S I a� STU�-�., O N St V Z!
Date last inspected: t t t
Agreement: y
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 th Environmental Code a not to place the system in operation until'a Certifi-
cate of Compliance has,aeoFrrssrre oT ealth. r -7
Signed Date S!
Application Approved by Date
Application Disapproved for the foil wing reasons
Permit No.' -�o Date Issued
t
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS TO,9xjZTff; ,tM the Oil i1e_ScAvqge Disposal System Constructed( )Repaired( )Upgraded(✓�
Abandoned( )by - a_ /�,e�' d)D e- 3.
at �--v O U G �'�` �. C �t h�s been constructed in accordance
with the provisions of Title 5 and the for Disposaf System Construction Permit No. 2 7"%2 6 dated �S .
Installer Designer
The issuance of this permit shall not be construed as a guarantee that the systemill function as designed.
Date :9 12-7 Inspector .., .l 7
————————————————————————————--—ry ———————
�
No. 9 / �'2tl Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
mi.qpooar *p5tem n!Aructiott_
Y g P P ermtt _
Permission is hereby ranted to Construct( )Repair(� Upggrade( )Abandon
System located at U 'r oj v
v%a
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 must be completed within three years of the date of this permit_. 1 i" 4��
Date: �� ? Approved by Oeielc G� "�%C l `^C
NOTICE: This Form is to be used for the Repair of Failed
Septic Systems Only
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
NVORKS CONSTRUCTION PEItMIT (W1'1'II0U'I'DESIGNED PLANS)
hereby certify that the application for disposal works
construction permit signed by me dated "�`�`-f7 7 , concerning the
property located at 7)3` Lot,*uwA.J Drke— meets all of the
following criteria:
There are no wetlands within 300 feet of the proposed septic system
• There are no private wells within 150 feet of the proposed septic system
• The observed groundwater table is 14 feet or greater below the bottom of the leaching facility
There is no increase in flow and/or change in use proposed
• There are no variances requested or needed.
SIGNED: DATE: W
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
lAttach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan,
this plan should be submitted).
�.
S
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OQ Q
TOWN OF BARNSTABLE
LOCATION' SEWAGE #
_,V-ILLAGE` - — _ ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. ��
SEPTIC TANK CAPACITY Q�
LEACHING FACILITY: (type) (size) 5�r
NO.OF BEDROOMS—
BUILDER OR OWNER ���' q
PERMITDATE /y - 9 1 COMPLIANCE DATE: ^ IS / 7
SeparationDistance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
�
Private Waier'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 3 g.00 feet of leaching facility)
Feet
_
Furnished by
0
lA 3° a
D
39,
M