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HomeMy WebLinkAbout0077 TOBEY WAY - Health 77 Tobey-L Hyannis . P �. A 2471 226 I I I F TOWN OF BARNSTABLE LOCATION �7 / C.Y to SEWAGE# -26'lf' VILLAGE / YaNn S {SSSESSOR'S MAP&PARCEL2�_2 INSTALLER'S NAME&PHONE NO. 0t&o-,70 J�O­J 4z;k- 491�6i n SEPTIC TANK CAPACITY. LEACHING FACILITY:(type) 3 yw 6j.Zho,,Y05 (size) y4o Krn NO.OF BEDROOMS OWNER PERMIT DATE: / COMPLIANCE DATE: p 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 &-e 0ie44,. 0,P7 ® c1 N 4 No. O -^ �j Fee a THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Disposal *pstrm Construrtion 3pPrmit Application for a Permit to Construct( ) Repair('� Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.VARK77 %o " uy z~ 7, Owner's Name,Address,and Tel.No. Assessor's Map/Parcel '2 117 2 7 6 � � ` / 5� 044PI Installleerr's Name,Address,and Tel.No. ;!�Db _?G S/ y'-4—?7 DDees'igner's Name,Address,and Tel.No. Type of Building: /j Dwelling No.of Bedrooms 7 Lot Size 3 0 POO sq.ft. Garbage Grinder( ) Other Type of Building R A/j ta%j No.of Persons Showers( ) Cafeteria( ) Other Fixtures /! Design Flow(min.re uired) 7� gpd Design flow provided J Y y gpd Plan Date �� JZ Number of sheets Z Revision Date Title p Size of Septic Tank / Type of S.A.S. 3 y �,I�6�1ev��j2Q Description of Soil Nature of Repairs or Alterations(Answer when applicable) N4 (rA eA 6-7 h c/yr' 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 an o to lagsystem in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Z/. Application Approved by o2 2ee Date --�T Application Disapproved by Date for the following reasons Permit No.odd j Date Issued _ J 3 r No: Gf .i Fee_-� •—_^ THE COMMONWEALTH OF..MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plicatlou for Disposal 6pstem Construction i3ermit Y ;r. Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.1OW77 70 j e a �� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ? q -2 Z C '' 1 � L i Installer's Name,Address,and Tel.No. �G y'.S',f7 Designer's Name,Address,and Tel.No. f J Type ofsBuilding: Dwelling No.of Bedrooms y Lot Sizeppp sq.ft. Garbage Grinder( ) J Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided y gpd Plan Date �� 12 —/S'' Number of sheets Z Revision Date Title # Size of Septic Tank / 5"GV Type of S.A.S. C ,&v, ��c4, e if S Description of Soil i Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date T, - j_t Application Approved by _ Date I Application Disapproved by Date 4 for the following reasons Permit No. I L� Date Issued (( -' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS r'} ,n f.ve�a Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal tsystem�Constructed( ) Repaired Upgraded( ) Abandoned( )by �� �.�r,,O Diu✓-rf IJ/'�. at ,/ 7 �e���K has been constructed in accordance with the provisions of Title 5 and the for �Diissposal System Construction Permit NAO elated fliq Installer y d Zf/ a/.5 b-0 91 o Designer #bedrooms Approved design flow and The issuance of this p rmit shall.'of be construed as a guarantee that the system­will n ti desig ed. Date ( Inspector y - -- 7 ---- -- - -- - - -------- -------- -- -- - -- - Fee No. � tt �vk �"�16 ^... THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal 6pstern Construction Permit Permission is hereby granted to Construct( ) Repair( c4l*" Upgrade( ) Abandon( ) System located at e. 7 e— and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction mustbe co/ leted within three years of the date of this permit. Date ��I �.h "I Approved by U . •=IIAFL'€Sl'7fY,6 +° ;: I2.I�h'a01Y.Salt,I»tc!1;}t D►ri� tt€;r ,. q MASS; ,•• 'ub1cTealth I7tuistt)n lfio.na�k Thoktlas 1l4c,Keaca lat = >•c�t€►t 240��1aFn StF eefr�-Iyanrtts,M�0?60�.,�' ., £304 Installer,&best nSe . Certt#t anon Form �3,. I3,af Sewage P '-'� 3 ,Assessor s a�TaplPut ceI Z'L- �;: i?csnner,, �c z f�-e , n L ,� ��.G'C15 lYt 1Fi5fal.Ier: e'� •e, s<tX lt.Q` Address.: A del ress 'fin`-ems, AIA fdate 'tis MSsuedl a p�lnitt to. nst�il a M _ IS&RtFGSYSttRldt city i dtsigt dt1wti key (a dress) ----- �t ee ✓tom" j�lrs _t (de5.Igne -- l cerii,�y�tlaat:the scpite �ys'tem iefet enced aba�xe w @ ,iris I s tlod substanf€ally according to° i the.de d 'I, sign, v�rhtch ntay tnc��rde'intnor approved�hz�nges st,lclx a; laretal reloca#ic?ra �,i:'thy ts� butto box�ancUor seittc t�€rilC Strip, ottt (i.f'redit�ia�ed} �y� tnspccteci anti tb�.soil;; � tirere;:toun€i,,satts ct r}1.: a,•. E l I vettify that the septrc cysltm t4ietz>7eed abca'vc' «as Fnstalitd rvttl�, tnti��r ci ang�5,{ .c { ;. greiteF than i`0 lat�ial relci��tti�Fu i'f ihc. SAS of any �e€ii,al Feio;4�iton of any�conlpotenr, of the:Set>c a� tem� bttt 3nacG9rda€tc�«rt} zState fi irocai Re<7tl�ttaoa�s, Alata rtvFstoraor t t. ittfied as t�ullt try des7gtl�t to fol`(ow StFit oitt' If r�, ` as Y t�lerc,foun(i sattsfaetor.�.;. ( tjii',ired)F�v atrt,ptctect'aF%d the sr.ls- 1 cat tt;fiv that.the Stem ruerencecl,abti G,,`�t as-consn ilcCed la' e' 4vltn' the tcF:t; ' Y ot,the I}A '^( appl.icabl ), N►G iJ-T e lnstaier's Signatttre' ) t rya t �ia (D�srgiter's (Afftt, Desrgne tre . S EA ST RETU=RB:: A HE I JNIA J9 �3 T T k? V15 C3N,. Gr-z 2TI'kICA f'I; ©F COi1�IPLtANC �VILI i`St3I IiE -ISSUED C7i�TIL B� �I TINS lF(7R;VI. AND AS" 'BUILT, �nIZD �R'L`Rl C.LI�'GDµ 4'THI B tt2�iS TABLE.t?Ui3LIC`.tll+A— .t II;Dr1'ISI-(Uiti'- (1 SeHri,ysresrJmcr,C�nifiie'tion FoitnR�. B t'1 I .cie,r Engineers note.This cerUhcaoon is hmdeQ ta,ar-as btdt tspe hon o! ys emcompenen:w as msYali c pnorio backlitf`Ttio engrnee,`did a o'stl ersrtse cons'rtciion o the yste n rne,irs ,Iler assumes resugrtis pit ty for°`aU n aerial`s,SvbrKitianst�'ip isacRt It Hers ie speed ed'grasfQs;�vrth pri per Cerrpactign 2nd sett ng tisees.coVets a�s}oain'an t{e,dec gn,plan. ar 7*3tZ- �Y9 CONLM- ONWEALTH OF MASSACHUSETTS 07 EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ,�-17CE1. DEC 15 2004 r-7 TITLE 5 l OwN(!�BArNNSTABLE j:= TH F)E.PT. OFFICIAL INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION t Property Address: 7JELT p ,M Owner's Name: C �IQ ress r- Owner's Add vi ' Date of Inspection• _ = ` 8 1 i'3 Name of Inspector: lease print) Company Name: CM M Mailing Address: 419?"A j Telephone Number: OAd Y/ 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 the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****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 &15/2000 page 1 Page 2 of I i OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 7aAle A&ft Owner: N'Cl&G fi Date of Inspection:_ If O Inspection Summary: Check A,B,C D or E/ALWAYS complete all of Section D A. System Passes: I havemot 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 n to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by oard of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following ements.If"not determined"please explain The septic tank is metal and over 20 years old*or the sep" tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or a is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank as" oved by the Board of Health. *A metal septic tank will pass inspection if it is sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is av . le. ND explain: Observation of sewage backup or out or High static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, ed or uneven distribution box.System will pass inspection if(with approval of Board of Health): broken pipe(s)ate obstruction is removed distri ition hoc is knied or replaced ND explain: The s required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection' (with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 77 704,t Owner: Date of Inspection: l,C 411 . ps/ C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determi 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 C 15.303(l)(b)that the system is not functioning in a manner which will protect public health,safe 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 r a salt marsh 2. System will fail unless the Board of Health(and Public ater Supplier,if any)determines that the system is functioning in a manner that protects the publi ealth,safety and environment: _ The system has a septic tank and soil absorptio system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface Ovate supply. _ The system has a septic tank and SAS the SAS is within a Zone I of a public water supply. The system has a septic tank and S and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank an AS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Meth used to determine distance "This system passes if thew water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organi ompounds indicates that the well is free from pollution from that facility and the presence of ammonia trogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are tri-g ed.A copy of the analysis must be attached to this form. 3. Other: 3 a Page 4 of 11 OFFICIAL INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DESPOSALSYSTEM INSPECTION FORM ' PART.A- CERTIFICATION(continued) Property Address: Owner: Date of Inspection. D. System Failure Criteria applicable to all systems: You mast indicate`yes"or"no"to each of the following for all inspections: Yes No _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ Liquid depth in cesspool is less than 6"below invert or available volume is less than'h 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 eoflfarm bacteria and volatile organic_co indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equatto_or less than 5,ppin,provided that no other failure criteria are triggered.A copy of the analysis must be attached)to this form.] (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CN1R 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 ad flow of 10,000 gpd to 15,000 gpd. r 5 You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the a above) yes no the system is within 400 feet of a s g water supply _ the system is within 200 feet of butary to a surface drinking water supply the system is located in a gen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone lI of a public w supply well If you have answered"yes" any question in Section E the system is considered a significant threat,or answered "yes"in Section D above a large system has failed.The owner or operator of any large system considered a significant threat and 'on E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The syste owner should contact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST . Property Address: b Owner:k:-64011- Date of Inspection• lcTa 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) r — 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? 1 _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition 6jbaifles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? A _ Was the facility owner(and occupants if different from owner)provided with information on the proper matinance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no Existing information.For example,a plan at the Board of Health. f Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CUR 15.302(3)(b)] I I Paee 6 of i i OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 77 e Owner: �,� Date of Inspection: a d� FLOW CONDITIONS RESIDENTIAL u Number of bedrooms(design): Number of bedrooms(actual):. DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents: Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(yes or no):Z- [if yes separate inspection required] Laundry system inspected(yes or no):&V Seasonal use:(yes or no):ZX Water meter readings,if available(last 2 years usage(gpd)): 0 d 61 bxt-1 Sump pump(yes or no): 4;0 Last date of occupancy: COMMERCIAlA NDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): d Basis of design flow(seats/persons/sgft,et Grease trap present(yes or no):_ Industrial waste holding tank pr (yes or no}:_ Non-sanitary waste discharge o the Title 5 system(yes or no): Water meter readings,if fable: East date of occupanc se: OTHER(de e): GENERAL INFORMATION Pumping Records _-Q D Source of information: No Q.4 c"u vim Was system pumped as part of the inspection(yes or no): If yes,volume pumped: gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system ^_Single cesspool _Overflow cesspool _Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank y Attach a copy of the DEP approval —Other(describe): Approximate age�alaI�compone���11�qwn)and source of information: Were sewage odors detected when arriving at the site(yes or no): 6 Page 7 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: y Of zr_ Owner p Date of Inspection: BUILDING SEWER(locate on site plan) . K ' Depth below grader Materials of construction:_cast iron _k4o PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:Z-(locate on site plan) Depth below grade: g 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: /!mow Sludge depth: t I ., Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: _ n Distance from top of scum to top of outlet tee or baffle: t� Distance from bottom of scum to bottom of outlet tee or}aflle:1 How were dimensions determined: K "J'r Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,a .): a& ® +' �4 GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete_metal�f glass_`__polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of o et tee or baffle: Distance from bottom of scum to om of outlet tee or baffle: Date of last pumping: Comments(on pumping reco endations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,a 'dence of leakage,etc.): 7 Page 8ofII OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 7 7 -;�;(X' Owner. Date of Inspection: TIGHT or BOLDING TANK: (tank must be pumped a of inspection)(locate on site plan) Depth below grade: Material of construction: concrete m fiberglass polyethylene other(expIam): Dimensions: Capacity:_ VAIarm' Design Flow: ons/dayAlarm present(yes or Alarm level: king order(yes or no):Date of last pumping: Comments(condition loat switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into 0 out of box,etc.): t.>as PUMP CHAMBER: (locate on site ) Pumps in working order(yes or no): Alarms in working order(yes or Comments(note condition of p chamber,condition of pumps and appurtenances,etc.): r 8 Page 9 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 71 Owner. Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Ty e leaching pits,number. leaching chambers,number leaching galleries,number. leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number innovative/alternative system Type/name of technology: Comments(note condition of soil;signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): -- (j t �lc Z SC19 S V d( 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 laver. Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater i ow(yes or no): Comments(note conditio 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 conditio f soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): I 9 F ' Page 10 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) . Property Address: "cf Owner: AA& Date of Inspection: / D Ir 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. �a r Page i I of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT'S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: is Owner: 41,O&a Date of Inspection: a at,( SITE Ea Slope u" Surface water (� Check cellar Shallow wells W Estimated depth to ground water 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: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the igh ground water el vation: S GfS ' s w v" 86 II 24°7 221� . --- - -------- J-6 o s' li I , L ji Ij I',i. � I i i; i Closter j lii 1 V l I cr- i - I" i i i; [, Name TOWN OF BARNSTABLE BAR-W Ordinance or -Regulation WARNING NOTICE of Offender/Manager <.. A(LC .. dob Address of Offender MV/MB Reg.# '`"- Village/State/Zip. Business Name h yk , amt on ' 19 ` (Q Y.• Business Address Signature of Enforcing Officer r Village/State/Zip ( -+ V L � Location of Offense ' Enforcing Dept/Division Offense V10�:.�MON ,'b� w Z„1. ,�I� t � Facts T=al_k,), 3 up 6ta lestllfl,�►ovs �t�eC` 11�11�T i�G a Opp �\t�1 Call Vekdke 1p-z Q AtZ This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result rin appropriate legal action by. the Town. ' ITown of Barnstable Building Department Complaint/Inquiry Report 9 r� Date: Rec'd by: Assessor's No.: Complaint Name: Location Address: M/P Street i Village: State: Zip: Telephone: D/E Complaint - escription: J I' v Inquiry 0 Description: For Office Use Only Inspector's r� ate: Z'2�-� Ins s ` Action/Comments D ecto P Follow-up Action Additional Info. Attached Cop}•Distribution: W71,ite-Department Me i I'e!!ow-Inspector 0.-.1. r —fnr/Rphym Inn �P :Llanavwrl r ga77 LOCATION ( � SEWA E PERMIT NO. L.c`T-2.& `roeEV e �, VILLAGE i I USTA LLER'S NAME i ADDRESS oti S'C 2-3 t�3�N B UILDER ^ FOR OWN ER T DATE PERMIT ISSUED DATE COMPLIANCE ISSUED CA a &J G F. THE COMMONWEALTH OF MASSACHUSETTS ' r BOARD OF HEALTH A LE ApVfiratinn for Di!ipuutti Morhui ClI witrar#iun Prruttt Application is hereby made for a Permit to Construct ( ) or Repair (9C) an Individual Sewage Disposal System at: ---1 S -- � '--•----•---- - .... Location-Address or Lot No. ...........L.--���'_ . ....................J-(;�-�-...---•--------....------ ----- LAA-)E-...................................._..... W Owner ' A e� Address- Installer Address Type of Building Size Lot____________________________Sq. feet U Dwelling—No. of Bedrooms__________________�.._.-._.-._____-__.Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons-_---__. -__.__..___.__-___- Showers ( ) — Cafeteria ( ) a' Other fixtures _______________________________ _ _ W Design Flow................. _..__:��_�_gallons per person per day. Total daily flow____...._...'..-----®___ -------------- WSeptic Tank—Liquid capacit llons Length............ Width....,`......... Diameter------------- - Depth._—-__.__-. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area__-_-_--______-.. sq. ft. Seepage Pit No.-_-.Z----------- Diameter--------1_0...... Depth below inlet-----(p_.......... Total leaching area; ly__.-_-sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ( '~ Percolation ____on Test Results Performed b _ A_L2:U.�!.v..__... ----- Date-k_ cll ' l Test Pit No. I________ ____minutes per inch Depth of Test Pit_._.I._....._....._. Depth 'to ground water---- -__--. Li. Test Pit No. 2________________minutes per inch Depth of Test Pit-----�6.(--------- Depth to ground water_._.__...__.___--.___--. l Description of Soil_:.__�� �-�-___..5 N�p L W --------------- ------- -------------------------------•------••-----------------•-•---------------------------•-----------------•----------------•----------------••----_----------------------------- UNature of Repairs or Alterations—Answer when applicable---- -------------------------------------•------•-••----------------------------•--•---------......-•-•----•--•---•------------------•-----•--------•••----..................------._..._•---•----••---..... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL i 5 of the.State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ne -------------------------------------•--------------------'.................... Alication A roved B -----• ..............................................•---------------------- Date Application Disapprove r e following reasons:--------•--------•----•--------------•---•-------------------------------------------•----•-•--•----------- - ------....--•---......••-•-------------------•-------•---•-----------------•-------------------------•---....--------------------------...---•-------••---•--------•----•. ----------•---•--------- Date PermitNo----------------------------------------•--------------- Issued_.....................................................- Per- FEEL.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH °- . -ro U0 N OF BA?,N S7A l3 L E- .................. - . ................._.. --.......................-----........................................................... lip iration for DhiVvii al Works Tnn,itrnr#ion Urrmit 4 Application is hereby made for a Permit to Construct ( ) or Repair (K) an Individual Sewage Disposal System at: LOT 2 C— Location_Addressl �y L . '+J` � vim• r ' Owner Installer Address U .Type of Building � Size Lot____________________________Sq. feet Dwelling—No. of Bedrooms_________________________-------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fix- yes ..__ ------------ W Design Flow------------------------------- allons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity:_:`^2---gallons Length____ ........ Width---------------- Diameter________________ Depth................ x Disposal Trench—'�io_ ____________________ Width`_ ..__ Tot Length____________.__. Total leaching area �q. ft. 3 Seepage Pit No......�..---______ Diameter...........:........ Depth below inlet..... Total leaching area-- --'-).........sq. ft. z Other Distribution box ( ) Dosig )`N(1 ( ry Percolation Test Results Performed by___________________________________________ Date-----------------------------_ a Test Pit No. 1________________rrllnutes per inch Depth of Test'Pit____ ___t__________ Depth to ground water_-_--___--___--___-_---. Test Pit No. 2..........__....minutes per inch Depth of Test Pit-------------------- Depth to ground water-.-__--_-_-__-_____----- r x Description of Soil -----------------•---------------------------------------------------------------------------------------------------•--. ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- UNature of Repairs or Alterations Answer when applicable_______________________________________________________________________________________________ Agreement: r` The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Complian Xhha been issued by the board of health. S- ----•----------------•-----------•------•--•-•-•---------••---•-------------------- -------•- - Application Approved B Date Application Disapproved for the following reasons:.................................................... ......................................................... ..........................-------•--------•------------------------------•------------------_----------•------•----•----•--•-----------------------------------------------------------•----.......... Date PermitNo--------------------------------------------------- - Issued_.................................................... Date 0 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.........................................------...._.................. --•----... Trrtifiratr of T.nmptiana S TO CERTI Y, That thq&&�cdujal Sewage Disposal System constructed ( ) or Repair�) b --------,�---- ---------------------•-------------------------------------------------------------------------------------------------------------- , Installer at-....................................... ------•----•-------•-•------•- -------------------------- - e i -the has been installed - a .ordance with the provisions o ', el f The State Sam �Zo., s�describd the application for Di. al Works Construction Permit No----------------------------------------- dated------------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTI N SATISFACTORY. DATE............... _ tSS----------------------------------- Inspector.......... --....... ---- -----_----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t ` OF..: No_________________________ FEE........................ Perris is h rebY ._..�. -._.. to � it Rep i an iQJidual Sewage Disposal System. at No.................. vor --;--•------• -•---------•--•---..._._ _ --------------- - ,r .: Stree �" as shown on the applicatioisposal NVorks Construction Permit N _ ........... Dated.......................................... /r ........................ ----- -•------•---------------- ............................................ hoard of Health DATE............................... ---------------i - ------------------•---• �t FORM. 1255 HOBBS & WARREN, INC PUBLISHERS N Rudder Rd o -100--EXISTING CONTOUR Tobey WoY s x 100.98 EXISTING SPOT GRADE W EXISTING WATER SERVICE G EXISTING GAS SERVICE ►q--OVERHEAD .WIRES LOCUS TEST PIT 0 � ' BENCHMARK w m ° Shorey Rd LEGEND Croi Ville Beaches Road N m Hyannis ° _ 0 Port 3 � s ao'a D Golf Club v D � < D m D LOCUS MAP EXISTING LEACH PITS NOT TO SCALE TO BE PUMPED, FILLED WIT SAND AND ABANDONED, OR .69 99.82 V STK./TACK fence line ABANDONED WITHOUT FILLING, 95.33 IF ALLOWED / x 98.14 � �J ti 20' R.0.W. �- � x 95 49 7 � x 100.23 99.69 f 7 98.30 \ �� STUN DUND 99.89 84'03 9s.E7 S '19� V \ ROP. 27 EXISTING SEPTIC TANK x 96.36 \_ /^/SEPTIC ;;.:- +117.04':: ":. 9 TANK INV.(IN), EL.=96.84t ,,.. ,.. TO BE PUMPED, RUPTURED, FILLED 12' ° 9e.4 /. PAVED DRIVEWAY " ''' PK SET 99.68 WITH SAND AND ABANDONED g..4 Tp n COR./CONC. APRON 97.33 / �Q / m 99.96 N / 9s. �.. l AZEB EL.=9&83 20' R.O.W. r : r� : PROPOSED SEWER CONNECTION 98.73 s• 1 GARAGE P�� Pc51K ` // C0 99, / SEWER INV.=97.1f(VERIFY) 9".3 97.12 n / 100.11 97s 96.62 xa I / oo.os 1oo.oz ' PROPOSED S.A.S. 9 9 '�A'- / 3-500 GALLON CHAMBERS TBM + -I I PATIO ;. a ORANGE 00T/PAT70 I 13 .. �� } / SURROUNDED W/4' STONE EL.=98.99 8.82 100.33 4 ' I T I �+ �••...'ti•.. 100,7 6 99. `'• 100.47 t�. I 96.99 !` `1 9e,58 �s +99. 9 VENT / + 6 x �/ G o,16 100.51 DRIVEWAY SPIKEI ,EXISTING I ' HOUSE(177) WALK �`� 1 .48 r HOUSE J83 96.98 x I T.O.F.=99.7t / ose i x 3 1' 9e.62 I x 98.84 100.3 1 :+98.68 9.3 x To S KE W �� 100.33 0 � a� 1oo.1s 0 I N/ .+99.10 x 100.2 97 LO O 0 g8.25 \ I� 99.77 1 +96.79 \ I y 99.95 ` TP-3 o 0 Z \ TP-4 \\ •9 7;� V' 1I 99.46 I I 99, 9 I •Z 97.28 1 . I G 9 .43 04 I / \ 99.9 I ' LOT 26 / \ 98.67 9.16 I 30,000 ±SF l00.02 01 e 98.54 98.70 97.e7 x 97.59 x 98.52 97.71 WAY 1 1 x 96e8 / 94.85 �-� \ CA BASIN///���/� 95.35 I 97.42 1 97.57 O 165.07'�t C N 6'51'12" W / 0 P��� °F Mgss9c 97.81 PARCEL ID: 247-226 , �� yG PETER PROPOSED SEPTIC SYSTEM UPGRADE PLAN McENTEE v NoCIVIL N 77 TOBEY WAY, HYANNIS, MA O Prepared for: DiBuono Sewer & Drain, 35 Content Ln., Cotuit, MA 02635 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. C, LI, SHAN & LIN, HAIAN Engineering Works, Inc. 1"=30' P.T.M. 277-19 345 GREEN HILL ROAD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. LONGMEADOW, MA 01106 (508) 477-5313 11/12/19 P.T.M. 1 Of 2 ,r rt NOTE: TO PREVENT BREAKOUT, FINAL GRADE SEPTIC TANK SHALL NOT BE AT, OR BELOW, E'=95.50 INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE OF 15' FROM THE EDGE OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F=99.7t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=100.4t F.G. EL.=98.1 t F.G. EL.=99.4t F.G. EL.=99.5f VENT MAINTAIN 2% SLOPE OVER S.A.S. L = 38' L = 58' L = 20' ® S=1% (MIN.) © S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC @ S=1% (MIN.) 2" LAYER OF 1/8" TO 1/2" 6".. 4"SCH40 PVC DOUBLE WASHED STONE to"1 " 6 9aa1a®a (OR APPROVED FILTER FABRIC) t4" aaaaaaa INV.= 48" LIQUID aaaaaaa --3/4" TO 1-1/2" DOUBLE 96.50 LEVEL J WASHED STONE ADD INV.=95.37 PROPOSED INV.=95.20 4 5.2' 4' GAS BAFFLED-BOX INV.=96.25 EFFECTIVE WIDTH = 12.8' 3 OUTLETS INV.=95.00 PROPOSED SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN CONNECT TO EXISTING SUITABLE SEWER PIPE/S AT HOUSE, AT OR ABOVE, INV.=97.1 t verif H-20 RATED TOP CONC. ELEV.=96.10t BREAKOUT ELEV.=95.50 NOTES: INV. ELEV.=95.00 ease eases 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE aaaaaaaaaaa aaaaaaaaaaa INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=93.00 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 4' 8.5' 4' TRUE TO GRADE ON A MECHANICALLY COMPACTED. 4' OF NATURALLY OCCURRING VARIES-REFER TO SKETCH STABLE BASE OR OR SIX INCH AGGREGATE BASE, AS PERVIOUS MATERIAL J SPECIFIED IN 310 CMR 15.221(2). 5 (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION . 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=87.7 -_ 4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE (NO GROUNDWATER) AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOG BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: NOVEMBER 6, 2019 (REF#TPT-19-168) OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE SOIL EVALUATOR: PETER McENTEE PE(SE#1542) LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: WITNESS: DAVID STANTON R.S. HEALTH AGENT -310 CMR 15.405(1)(b): ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH 1) A 9' variance, S.A.S. to cellar wall, for an 11' setback. 2) A 3' variance, septic tank to garage slab, for a 7' setback. 99.4 A 0 99.3 A 0 3) A 3' variance to the 3' maximum cover requirement, for up to SANDY LOAM SANDY LOAM 6' of max. cover. S.A.S. shall be H-20 and vented. 10YR 4/2 10YR 4/2 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 98.6 B 10" 98.5 B ,g' TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND'THE SANDY LOAM SANDY LOAM DESIGN ENGINEER. 10YR 5/6 10YR 5/6 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 96.9 30" 96.7 31" FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN C1 PERC C1 ENGINEER BEFORE CONSTRUCTION CONTINUES. 26"/44" 5. ALL ELEVATIONS. BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF MED SAND MED SAND HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 2.5Y 6/6 2.5Y 6/6 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO POTABLE WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 87.9 138" 87.8 138" 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY NO GROUNDWATER, PERC RATE: <2 MIN. IN. THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING / CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS ELEV. TP-3 DEPTH ELEv. TP-4 DEPTH IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 98.8 A 0" 98.7 A 0" REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). SANDY LOAM SANDY LOAM ' 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 10YR 4/2 10YR 4/2 INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. 97.8 B 12" 97.8 B 11" 13. THE CONTRACTOR SHALL BE RESPONSIBLE FOR OBTAINING A TRENCH PERMIT SANDY LOAM SANDY LOAM FROM THE LOCAL MUNICIPALITY IN WHICH THE WORK IS BEING PERFORMED. 10YR 5/6 10YR 5/6 96.6 26" 97.4 28" C1 C1 25.0' DESIGN CRITERIA r , i / , I PROP. S.A.S. 1 NUMBER OF BEDROOMS: 4 1 BOTT. AREA I N SOIL TEXTURAL CLASS: CLASS I _ I = 428.8 SF I j MED SAND MED SAND L--- I�+ 2.5Y 6/6 2.5Y 6/6 DESIGN PERCOLATION RATE: <2 MIN/IN 12.2' 1 1 (0.74 GPD/SF LOADING RATE) DAILY FLOW: 440 GPD DESIGN FLOW: 440 GPD 12.8' GARBAGE GRINDER: NO LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF SAS DIMENSIONS 88.8 120" 88.7 120" .74 GPD/SF SKETCH NO GROUNDWATER, PERC RATE: <2 MIN./IN. PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 3-500 GALLON LEACHING CHAMBERS IN SERIES 77 TOBEY WAY, HYANNIS, MA SURROUNDED BY 4' DOUBLE WASHED STONE-ALL SIDES Prepared for: DiBuono Sewer & Drain, 35 Content Ln., Cotuit, MA 02635 SIDEWALL AREA: 92.6'(PERIMETER LENGTH) x 2'(EFF. DEPTH) = 185.2 SF Engineering by: SCALE DRAWN JOB. NO. BOTTOM AREA: 428.8 SF(BOTTOM AREA) = 428.8 SF Engineering Works, Inc. N.T.S. P.T.M. 277-1 9 TOTALAREA:.................................................................................... 614.0 SF 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. DESIGN FLOW PROVIDED: 0.74 GPD/SF(614.0 SF) = 454.4 GPD (508) 477-5313 11/12/19 P.T.M. 2 Of 2 .- .1 .. ..... �� ­­- J�­q -- . i­ ­- -'-j! -- . - �­.:- .1 -_ - - ' - .- - - . - " .I � -i 44 - I I _� .��' �... I 11 ,:1. �__­11 -,?.,! 1. -.� I -..:": - �' '; , . �4' '�'�; _'.­­.'.�� .�'­'. .11 .". 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ELEV. ~ ��& ✓.. —.-- OF3/4"- 1al7.. � tct. / 1 //' ��'a3�lEy "" J/ `/ /, �,,• WASHED STONE TEST HOLE LOG TEST BY v. 3-I3 WITNESS �` ✓r� S TEST DATE / / DESIGN __..BEDROOM HOUSE t � f �►) � , �., �'x ^~ � s ^•' T.H. # 1 T.H. # 2 r [ \ ; 1' If' I ELEV. �1(,J11 ELEV. NO ;{ / { l 1f r j / Lcsrsen s•a.,: 5r�4,.� - . eta. �. DISPOSER DISPOSER / \ t tr y Y _�^_ - _ �- --- PERC RATE _�—_._MIN/IN. � �"s"l ''` ' '�✓ - ;,�..� r.� t I z aY FLOW RATE S"x (GAL./DAY ) '' h *' I� SEPTIC TANK � 3r� N�1= tore _- - ' , , .., . J� ' REQ'D SEPTIC TANK SIZE LEACH FACILITY r MQ0, e >n r�i �s�►+i I SIDE WALL 4�rr� G = S• (Z..a: 1 = -I ' _`' G/D. BOTTOM ' --- —� I � ) -- - G D. 51 1 . �.r TOTAL 2i�-1 .0 - �tdi OccJ ��q. q �, �,� ( USE: �_ __ �4,t✓ram ^-_LEACHING _ k y� WATER ENCOUNTERED ._ - - —_—_. -_ - i ' f,�`�'! NOTES: (UNLESS OTHERWISE NOTED) 1J / tr•~ ,p{ 1. DATUM (MSL)+TAKEN FROM .....................QUADRANGLE MAP 'i 2. MUNICIPAL WATER---------- .'----..-.'-AVAILABLE r'S '1'MtK 'i tl4C jet �I a�'0 ", N � 1 l ate �^ o•Z �S 3. PIPE PITCH: 1/4"PER FOOT L t� /%:y�tP/ 4 4. DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO -- -44 / H. �, j c ' AFiNE ! r /a� PF13E N3.. r --•-�— -- �J 5. MIN. GROUND COVER OVER ALL SEWAGE FACILITIES: (1) F.T. G DI NCE AS CERTIFIED j 6. PIPE JOINTS SHALL BE MADE WATERTIGHT II. "'` I flI'� ; »a 0/ �� ~� 3jALA 1 CIVIL cr) �► �. A I 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM. OF MASS. �, 1 I I HEREBY CERTIF ATTHE BUIL NG ( (~ �� �' 517E PLAN STATE ENVIRONMENTAL CODE TITLE 5 aZ6 �8 /IJ + No 30792 + �r \ SHOWN ON THIS PLAN IS LOC D ON T \ �-- l�:I - 'To c3 GY LAns '�FCISTE0.���� �`�gsp �� c �• GROUND AS SHOWN HER &7H T / �� .. LOCUS: I I-q CONFORM TO THE ZONING BY LAWS O- E f _- 0 Y a REG. AL ENGwEER WHEN CONSTRUCTED. DATE � REF: A-PZI — 7-! t9> E> '3`r Do�'jS, C ►:)G si x 3I down cape engir� erin � PREPARED FOR: s �. CIV14L. ENGINEERS ———————————— BOARD OF HEALTH LAND SURVEYORS / ' REG. LAND SURVEYOR r (EXISTING) ---- `Zr�.0.1�JI SCALE. CONTOURS (PROPOSED)-O-O-O-O- . APPROVED DATE _ MA Y Yarrrwuth&Orleans,*MA DATE �`�799 G s,j