HomeMy WebLinkAbout0052 SUDBURY LANE - Health 52 SUDBURY LANE, HYANNIS
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FO
PART A °
CERTIFICATION
52 Sudbury Lane U� 1 9
Property Address:Hyannis,Ma 'JQFer�._ 1999g
Address of Owner: -
(if different)
Date of Inspection: July 16, 1999 �° q
Inspected by: James Holler
I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000)
Company Name: Holler&Son Construction LLC
Mailing Address:.P. O. Box.702, Marstons,Mills, Ma 02648
Telephone: (508) 420-0280
CERTIFICATION STATEMENT
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 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
❑Conditionally Passes
❑Needs Further Evaluation'by the Local Approving Authority
❑Fails
Inspectors Signature4 Date:
The system inspector shall sub 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 senrto 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:
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.
Indicate yes,no,or not detennined(Y,N,or ND). Describe basis of determination in all instances. If"not
determined",explain why not.
❑The septic tatilc is metal,unless the owner or operator has provided the system inspector with a copy of a
Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to
the date of the inspection-,or the septic tank,whether or not metal,is 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 conforming septic tank as approved by the Board of Health.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (Continued)
Property Address:52 Sudbury Lane
Owner:Russell and Kathleen Andrews
Date of hispection:July 16, 1999
B) 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). Describe observations:
❑ broken pipe(s)are replaced
❑ obstruction is removed
❑distribution box is leveled or replaced
❑The system required pumping more than four times a year due to broken.or obstructed pipe(s). The system
will pass inspection if(with approval of the Board of Idealth):
❑ broken pipe(s)are replaced
obstruction is removed
C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
❑Conditions exist which require further evaluation by the Board of Health in order to detennine 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.
❑ 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
PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
❑ The system has a septic tank and soil absorption system (SAS)and the SAS 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 the SAS is within a Zone 1 of
a public water supply well.
❑ The system has a septic tank and soil absorption system and the SAS is with 50 feet of a
private water supply well.
❑ The system has a septic tank and soil absorption system and the SAS 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. Method used to determine distance
(approximation not valid).
3) OTHER
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 52 Sudbury Lane
Owner:Russell and Kathleen Andrews
Date of Inspection:July 16, 1999
D) SYSTEM FAILS
You must indicate either"Yes"or"No"as to each of the following:
❑I have determined that the system violates one or more of the following failure criteria as defined in 31.0 CMR
15.303.The basis for this determination is identified below. The Board of Health should be contacted to
15.304. detennine what will be necessary to correct the failure.
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 %'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 Soil Absorption System,cesspool or privy is below the high groundwater
elevation.
❑ ❑ Any portion of a cesspool or privy is with 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.
❑ ❑ Ally portion of a cesspool or privy is with 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
ater quality analysis. If the well has been analyzed to be acceptable,
supply well with no acceptable w
attach copy of well water analysis for coliforn bacteria,volatile organic compounds,ammonia nitrogen
and nitrate nitrogen.
E) LARGE SYSTEM FAILS:
You must indicate either "Yes"or"No" as to each of the following:
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:
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(i.nterim Wellhead Protection Area-iWPA)or a
mapped Zone H of a public water supply well.
The owner or operator orally such system shall bring the system and facility into full compliance with the
groundwater treatment program requirements of 314 CM:R 5.00 and 6.00. Please consult the local regional office of
the Department for further infonnation.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 52 Sudbury Lane
Owner:Russell and Kathleen Andrews
Date of hispection:July 16, 1999
Check if the following have been done: You must indicate either"Yes"or"No"as to each of the following:
Yes No
® ❑ Pumping infonnation was provided by the owner,occupant,or Board of Health.
® El 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.
® ❑ As built plans have been obtained and examined. Note if they are not available with N/A.
® ❑ 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.
® ❑ All system components,excluding the Soil Absorption System,have been located on the site.
® ❑ The septic tank:manholes were uncovered,opened,and the interior of the septic tank was inspected for .
condition of batlles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth
of scum.
The size and location or the Soil Absorption System on the site has been determined based on:
❑ ® The facility owner(and occupants,if different from owner)were provided with infonnation on the proper
maintenance of Sub-Surface Disposal System.
N . ❑ Existing inforniation,Ex.Plan at BOH.
® ❑ Detennined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance
is unacceptable) [I5.302(3)(b)]
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
.Property address:52 Sudbury Lane
Owner:Russell and Kathleen Andrews
Date of Inspection:July 16, 1999
FLOW CONDITIONS
RESIDENTIAL
Design flow: 110 gpd/bedroom for SAS
Number of bedrooms 3
Number of current residents:2
Garbage Grinder:No
Laundry comiected to system:Yes
Seasonal use:No
Water meter readings,if available (last 2 years usage in gpd):Not Available
Sump pump:No
Last date of occupancy:Current
COMMERCIAL /INDUSTRIAL
Type of establisluiient
Design flow: gpd
Grease trap present:
Industrial Waste holding tank present:
Non-sanitary waste discharged to the Title 5 system
Water meter readings,if available
Last date of occupancy
OTHER: (describe)
GENERAL INFORMATION
PUMPING RECORDS and source Owner
System pumped as part of inspection No
Volume pumped:
Reason for pumping:
TYPE OF SYSTEM
® Septic tank/distribution box/soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑.Privy
El Shared system(y/n)(if yes,attach previous inspection records,if any)
❑I/A Tecluiology etc. Copy of up to date contract?
Other
APPROXIMATE AGE of all components,date installed(if known)and source of information: 1982,Board of
Health
Sewer odors detected when arriving at the site:No
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (Continued)
Property Address:52 Sudbury Lane
Owner:Russell and Kathleen Andrews
Date of inspection:July 16, 1999
BUILDING SEWER
(Locate on site plan)
Depth below grade 16"
Material of construction ElCast Iron ER40 PVC ❑other
Distance from private water supply well or suction lineN/A
Diameter 4"
Comments:(condition of joints,venting,evidence of leakage,etc. )
Sound and properly vented
SEPTIC TANK
(locate on site plan)
Depth below grade 10"
Material of construction® concrete❑metal ❑Fiberglass❑Polyethylene❑ other
If metal list age is age confirmed by certificate of compliance
Dimensions: 1000 Gal
Sludge depth:<10"
Distance from top of sludge to bottom of tee or baffle 24"
Scum thickness<2"
Distance from top of scum to top of outlet tee or baffle>6"
Comments:
GREASE TRAP
(locate on site plan) ,
Depth below grade
Material of construction❑concrete❑metal ❑Fiberglass❑Polyethylene❑other
Dimensions.
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Date of last pumping
Comments:
(recommendation for primping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet
invert,structural integrity,evidence of leak,etc.)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (Continued)
Property Address: 52 Sudbury Lane
Owner:Russell and Kathleen Andrews
Date of Lispection:July 16, 1999
TIGHT OR HOLDING TANK: ❑(Tank-must be pumped prior to,or 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: GPD
Alarm level: Alann working?❑yes❑ no
Date of previous pumping
Conunents: (condition of inlet tee,condition of alann and float switches,etc. )
DISTRIBUTION BOX:
(locate on site plan)
Depth of liquid level above outlet invert:0"
Comments(note if level,and distribution is equal,evidence of leaks or solids carryover,etc. )
no solids noted,sound condition
PUMP CHAMBER: ❑
(locate on site plan)
Pumps in working order: (yes or no)
Alarnis in working order:(yes or no)
Comments:(note condition of pump chamber,pumps,and appurtenances,etc.)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(Continued)
Property Address: 52 Sudbury Lane
Owner:Russell and Kathleen Andrews
Date of Inspection:July 16, 1999
SOIL ABSORPTION SYSTEM: (SAS)
(locate on site plan,if possible,excavation not required,but may be approximated by non-intrusive methods)
if not detennined to be present,explain:
Type;
leaching pits,number One, 1000 gal
leaching chambers,number
leaching galleries,number
leaching trenches,number&length
leaching fields,number&dimensions
overflow cesspool,number:
Alternative system: Name of technology
Continents:(note condition of soil,signs of hydraulic failure,ponding;vegetation,etc. )
CESSPOOLS: ❑
(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
Material of construction
Indication of ground water inflow(must be pumped as part of inspection)
Continents:(note condition of soil,signs of hydraulic failure,ponding,and vegetation,etc.)
PRIVY ❑
(locate on site plan)
Materials of construction: Dimensions
Depth of solids
Comments:(note condition of soil,signs of hydraulic failure,ponding,vegetation etc.)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION,FORM
PART C
SYSTEM INFORMATION(Continued)
Property Address:52 Sudbury Lane
Owner:Russell and Kathleen Andrews
Date of hispection:July 16, 1999
SKETCH OF SEWAGE DISPOSAL SYSTEM
hiclude ties to at least two pennanent references,or benchmarks,locate wells within 100'and where public water
supply enters house.
M
4
2
4 3
D
A I 7-z'-b
A7- 27' - O
-02, 32' - v
3 34' - 0
'53 0
Aq �s' -o
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (Continued)
Property Address: 52 Sudbury Lane
Owner:Russell and Kathleen Andrews
Date of Inspection:July 16, 1999
Depth to Groundwater 20 feet
Please indicate all the methods used to determine High Groundwater Elevation:
❑ observed from design plans on record
❑ observation of site(abutting property,observation hole,basement sump)
❑ determine it from local conditions
® check wii h local Board of Health
® check FEMA maps
❑ check pumping records
❑ check local excavators,installers
® use USGS data
Describe in your own works how you established the High Groundwater Elevation. (Must be completed)
0�1 MVPsAT� a� 'ham
3y
0 ION �.� n �. S E WA G E PERMIT NO.
OC� L1
VILLAGE
m V1 „
INSTA E �Sl""
DAME �1Or0c ` \/
er
s U I-L 0 E R OR OWNER, 4-.. ,
DATE PERMIT ISSUED
DATE C-OMPLIAI-CE IS=SdEID
oSki
O
v
C
No..a.— F.Rz .....................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........T.pw ....................OF.....Barn.s.table......................................................
Appliratiou for Uhipatial Workii Tomitrurtiou r.unfit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at:
• ....... .... ..... ......Hyamals.'..-M&.............. -------------------*............
Lion-�4dress or Lot
Capricorn ReactV rust
................................................................................................ .......7.6.5...Falma.uth..-RoacL,....Hyanxiiz.................
Steve Lebel Owner Address
....................................... .........
Installer Address
Type of Building Size Lot............................Sq. feet
U
Dwelling No. of Bedrooms...3.......................................Expansion Attic Garbage Grinder
PL4 Other—Type of Building Rian.Qla.............. No. of persons.....................--___-. Showers ( 2) — Cafeteria
dOtherfixtures .....................................................................................................................................................
Design Flow.......55...............................gallons per person per day. Total daily flow.............3.3-0-----_----_........gallons.
P4 Septic Tank—Liquid capacity.1.920. al Ions Length .....6
....... Widthk_'!.Q.,.,._ Diameter................Depth....5...
Disposal Trench—No. .................... Width............._...... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.......1.............. Diameter.--...Al......... Depth below inlet......6...i......... Total leaching area...2.6.6......sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed byllan&EQ...Engilae.erillg.............. Date....!1-2
.0 -5"-81------*.......
as Test Pit No. 1....2.......minutes per inch Depth of Test Pit-----1_.�............ Depth to ground water.-none__...QnCOunter-
44 Test Pit No. 2.... ...minutes per inch Depth of Test Pit....K/A....... Depth to ground water-----N/A.......... ed
----------------------------------*...........................**---------------------------------------I-------------------------- ---------------
0 Description of Soil-------------.Q!':n2.. ........LQam...&.2-apBail.........................................*-------------------------------------------------
W 2 '-1.Q.'...M_edjuu_Y_ejjo.w..Zand.......................................*'*'*-------------*---------
U I._-i2_'_ Med.
10 ---Mat. u
............................................................................. ...agrxd/tracas...Qf---Gxamel/no...wat.er...a. ..12 '
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 TL I TTIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been ipue)by t>hboard Of healt4,--7
ae
. .............
4 .. .... .....
gne ... ..
- ---------- .... . ..
"09igne. .............
----------------------------------------------------------- -----
Date
Application Approved ..........
Application Disapproved for the following reasons:..............................................................................................................
Date
PermitNo...Q&I......... .................................--- Issued___ ..................... .............
Date
N4• .......... Fizz.............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF.....;
ApplirFation for Disposal Workii Tonstrnrtion rruti#
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Systems at• ,
r .,
S Location-Address or Lot No.
l.a.�+11^-- t�l1 Sn;'w :.!1!1� ':Rt , - --.. .•... �s`r+:�� 'e.�i+n.n�
Owner Address y
t i?VF? ! 1y�1
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.. ................. _..._Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building m^1- ............. No. of persons....................._.._... Showers — Cafeteria
Other fixtures ---------------------------- -
W Design Flow.......55...............................gallons per person per day. Total daily flow............3.30.......................gallons.
WSeptic Tank—Liquid capacity.100gallons Lengtha...6....... Width.4..1Q.... Diameter................ Depth...5.__. ....
x Disposal Trench—No..................... Width...:................ Total Length.................... Total leaching area....................sq. ft.
> Seepage Pit No..................... Diameter......6....._....._ Depth below inlet.....6.'......... Total leaching area...2.66------sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
►b i ti. '!! 0 .., I"fl--r . ......---•--_. Date Test Results Performed by.....:...............:.............� .............._.._.... .�..._..__
Test Pit No. 1<..2! _.minutes per inch Depth of Test Pit....s?........... Depth to ground waterJ!P?1e..e11-COunter-
fi, Test Pit No. 2....N/A....minutes per inch Depth of Test Pit----K/A........ Depth to ground water-----h/A........... ed
•--••---•--•------------------------------------•--•-----..............................---•-•.-•-•--.........................................................
ODescription of Soil--------------Q!' .•....LQam.--e� ..2.a.psA11.---•--.......------------•---------••----------•----...--------......_......--••----------..
•--------------••------•--•-- �Q. iuln.. ellow..Sand..................................................................................
W ...........................................U.----- 2I...Red,---hite__..$d/traces-..of... xave.1/Yso._water--- t... 2
VNature 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 TIT12 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Complia ce has been issued b ,tthh board of health
P Sig d. ' � - .......... ................--
-- . -- --.--- --- -----•..............• ... 1
Application Approved B -----• -----•- -•---------------- ------ •--•- -•---------
- - - -----------
Date
Application Disapproved for the following reasons:---•------•---•-•-••----•----------------•------.....--•------•--•--•--......................................
..................................... ---------------------------------------------------------------------•-•-------- ...........................................
Q-( ✓ . / �
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........................O'V-71........OF...........'st:.-.: ?J�7
....
Tertifiratis of ToutpliFattu
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed OQ or Repaired ( )
by . AQVG'
�1
Installer
at g�!...3.............._..... C �'..................... C^!`�'�'�, t` '� ."--------•- -- .....
has been installed in accordance with the provisions of T�',� ,5 j�y6f The State Sanitary C..d�e .ribed in the
application for Disposal Works Construction Permit No......................._.........._._.___. dated-..:.___. .........__._.__._....__.:.._.__.....
THE ISSUANCE O THIS CERTIFICATE SHALL NOT BE CONS /AS A GUARANTEE THAT THE
SYSTEM V!/ILL N ION SATISFACTORY.
DATE........ �...... ._ .
..'... .Q ..................•-•--------............... Inspector----------------------------•----••-----------..............--------•-•---•---....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..................-�'...................O F....�.:...................... .... .....:....::............
No......................... FEE........................
1 Disposal Works y Tonotrudion .rrutit
Permission is.hereby granted......-. ......
.
to Construct ( or Repair ( )�an Individual Sewage Disposal System
at No.. . t- '..... .,�c, +".* L"` ' "'`" �' �`i d�_ /�" s:3 .............................................
Street
-------
Street '. '
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
= ...................-....................0.................
_
Board of Health
L....DATE L........
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S HOBBS & WARREN. INC.. PUBLISHERS
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No.10951 LOT 44o
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LEGEND pans oy
EXISTING SPOT ELEVATION Ox0 °9 oh CERTIFIED PLOT PLAN '
EXISTING CONTOUR --- 0 ———
FINISHED SPOT ELEVATION w g l�`f - Su�P>uR�( LA►JE
12
FINISHED CONTOUR 0 �Yl�►N�tS
I N
APPROVED s BOARD OF HEALTH
DATE AGENT f SCALE, � 30 DATE, /2-%/6/
LDREDGE ENGINEERING C IN CLIENT I CERTIFY THAT THE PROPOSED
EGISTERE REGISTERED J08 N0. 1'�S BUILDING SHOWN ON THIS PLAN
CIVIL LAND CONFORMS TO THE ZONING LAWS
ENGINEER UR EY DR.BY� OF BARNSTAB E, ASS.
712 MAIN STREET, CH. BYEAAM R$E
HYANN I S, MASS.. L TS0• i
,
SHEET OF DATE R 0. LAND SURVEYOR
20 FT. M//V. n /1l07'€ /F E/TNER THE,S-�FPT/G TAIV•IC OR. `kt-
Ei4CIVIIVG P/T ARE /"IORP TH.q:"/ /2 BELOl'✓..�
/D P'T.,MIN ;�,-?AOE� �1 24 �O/AM ETER C'OiyCR.ET� COIiER�,
4'PYC P/PE SVALL BE BR0&a"r To ;,7A0E. �,-;,'✓
CONCRCrE Y CAST /eO/v COVER Sh'.4GL 3E U5E1��. CLEV- 9S,S COVERS. - �B"PF.QFT /F//V OR/VEyi/AY
2 • MiA/. CD/VCRE TE
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____ UQU/D LEVEL ' •,�r
4"CAST 2+L AYE R
6� IRON P/PE fJ o v GIIL.: v • o o P o Q QF J�8 - ��B
MIN.P/TtX 1 • • . • . • . v •
SEPTIC TANK' D/sT. • I e 4 WASHED 57rINE
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/,?-g 4-70 G�� • a. i • . • • • • • p ••v PREG45T SEEPAGE
!VV&97 4e`II7'140/V5 O G/D ° ► ' ' ' • • • • � � ' e o PIT OR EQU/V.
INVERT AT DU/LD/NG 97 5 FT T I T CA PAC-1-7 , =SQ 8 ���0 6� O/AM.
INLET Sld
EPTIC TANK q 2 3 or . FT. 01A Al- C(5EE TA94/L.4TJ 0/V, i
O/J7LET SEPTIC TANK 92-•/ FT.
INLET DISTR/6UT/ON BOX' 91.9 FT. SECT/ON OF GROuNO WATER T,4eLE
O t/TLET D/STR/B llT/ON BOX 1 8 FT
r iE.ac/,+/n/G ,c-iT SFr. SEyflAGE O/SPO%SA L SYSTEM TABIJLAT/ON f.
LEACHING p/T
DES/6N CRI.TERl.4 sc.�LE : %" _ = O" D/HENS/O Al ATFT. r
a N T.
D/ME S/ N F
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NUMBER OF 9EDR04/ys 3 D/HENS/GN C�_F77 All IV,
(7ARaAOEVI5POs4J- SO/L LOG
TOTAL EST/MATED FLOrt/ 330 0.44.10AY SO/L:TEST / $OIL TEST 2 SOIL TEST
NC/MBEJP OF 40ACNhVI P/TS_ �_ EL E y, 9 3,3 t'
f` �ELFY. PATE OF SOIL TEST I Z
SIDE 4EACH/N6 PER P/7- l SQ I:T. O _ RESULTS iV/T/VESSED BY `J /�r���
dOT70M LEssiCH/NG PER P/T $Q• F.T. ii� 7-U/>S.t?/G PCRCOLAT/ON MATE At/
TOTrIL LEACHING AREA 26 6 Pf/tCOL.A77/ON RATE 2 T`F�"f I+�JN. INGN fff
RESERI>E LEACN/JYG AREA 2(�6 SQ. FT. I - �. -2 0
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