HomeMy WebLinkAbout0083 WALTON AVENUE - Health 83 Walton Ave
Hyannis, MA
A= 310-019
i
- t'
TOWN OF BARNSTABLE
LOCATION F3 W o k kxhA SEWAGE# 2®1 i I(Oq
?TILLAGE ASSESSOR'S MAP&PARCEL 3 0 1�
INSTALLER'S NAME&PHONE NO. ��„ ���®_An w Sc �77 ?8 77
SEPTIC TANK CAPACITY \SO0 \�-1 o
LEACHING FACILITY:(type) 2f6 &02 3fo<b "o (size) I t,S k 31 2
NO.OF BEDROOMS, \
OWNER 2.,c^v% t`S T e1�,e ��S C.&I
PERMIT DATE: Jam'31- 20 11 COMPLIANCE DATE: G — 1 - 'Lo l
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ,/Vop t/ 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)) ��, 1) Feet
FURNISHED BY 4,e.W i-L c0crpilfeS 6� L
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TOWN OF BARNSTABLE
LOCATION ? Ide SEWAGE #
VILLAGE 14-1 t1,14 S ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size) j
NO.OF BEDROOMS f
BUILDER OR OWNER G-1f - / w O d w
PERMITDATE: 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) f Feet
Furnished by ✓� J b
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No. �� I � Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Application for �,4sposai �6pstent Construction Vermit
r
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. g°3 0A j 1z/�, Owner's Name,Address,and Tel.No. 6 i
Assessor's Map/Parcel (cl p l l� � 01�1 W+I''l�`"^ ✓� 1� �q�,r
Installer's Name,Address,and Tel.No.0 Designer's Name,Address,and Tel.No.
t v f,oYL-?L3 1Mq �.C. her.+,
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures t '
Design Flow(min.required) gpd Design flow provided -(3 . 3 gpd
Plan Date �'2cl —'Z a Number of sheets t Revision Date
Title WO (--
Size of Septic Tank L �—Ld Type of S.A.S.
Description of Soil
3a�
Nature of Repairs or Alterations(Answer when applicable) y'ka� C C-�Gei S✓tO�►t
i� T-0 5 D9�� .t�E, y�� �, �� 1 Aw. 3ce OL
Date last inspected: �,Q(
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of He
Signed Date �30 —Z,0 V_A
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. dw' Date Issued S 31 _1
.. No. CtG� �) Fee
THE COMMONWEALTH OF MASSACfi'USE'TTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
TippYication for,3iisposal *pstem Construction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. (,�A\ 1uv� Owner's Name,Address,and Tel.No. 6 i s v
Assessor's Map/Parcel 3(p p 1 � �s'S g� l�J�` f`^^ l •A r
Installer's Name,Address,and Tel.No.0 Designer's Name,Address,and Tel.No.
08
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(min.required) gpd Design flow provided (. ,4 3 , 3 gpd
Plan Date 5-2 cj —2 a Number of sheets Revision Date
Title Zf &,,0 t -- � nn nA/
Size of Septic Tank I )�O -l b Type of S.A.S. � p q �,l�nAY+
Description of Soil
NAt-u-r�e�of Repairs'-orb Alterations(Answer when applicable) nIA)Gj �`p (^ / ��'r/&
3(_ 1 1 L
Date last inspected: �p(
a
a
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of HP It
Signed C571 / Date �' 30 - Z.o vt
Application Approved by - Date
Application Disapproved by Date`
for the following�reasons
Permit No. 19 01 _ 1 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(K) Upgraded( ) J
Abandoned( )by
at W has been constructed in accordance
with the provisions of Title 5 and the fo Disposal System Construction Permit No.o')Otl' /69 dated 5 3 "
Installer r b {fit Y g Designer E E-fir
#bedrooms Approved design flow gpd
The issuance of this permit shal not be construed as a guarantee that the syst ffill des ned.
Date t(J Inspectfu 'o
r
— --------------------------------- ------ ----- ---- _ ----------------------------------------------------------------- ---------------
No. 0 O Fee OLL
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstem Construction permit
Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( )
System located at / LA)
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.
c i
Provided:Construction must be completed within three years of the date of this permits
Da r' r Date A� �j ) � pp oved by /
06/07/2011 04 :47 5082730367 90212 P. 002/002
'down of Barnstable
Regulatory Services
Thomas F.Geller,Director
MAM w.. Pulblic Health Division
`die Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Date: -7 1 l Sewage Permit#7,011-10 Assessor's Map/Parcel 3"/ 4 9
Installer&Designer Certification form
Designer: S C E ee c(0 ,'T•0 C. Installer: CaOelj;de- �raEer�ccse s
Address.- 2 b.5 4 C rcxnbcrr-Y ik-:i way Address. jois.v :7(,-;
EosA WC-rclnom ttA OZ_38 ( �cd YU14 6263 .E
6o8-273••63 77
Qn C 1d (h i1 ✓")t-; was issued a permit to install a
(date) (installer)
septic system at a W al�afl U based on a design drawn by
(address)
-:1 C E,n5tine_r-cc,n5 . Tnr,_ dated �ay_Z$1 Z o 11
/ (designer)
V I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Stripout (if required) was inspected and the soils
were found satisfactory,
I certify that the septic system referenced above was installed with miior changes (i.e. .
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
Of the septic system)but in accordance with State&Local Regulations. Plan revision or
certified as-built by designer to follow. Stripout(if required) ns cted and the soils
were found satisfactory. ,KOF
JOHN L,
CHURCHILL
(Ins ler's Sign ure) I VI v
41E0'
. J
esigner s SignaturFARNSTABLE
(Affix De gn r,y. Here)
P SE RETURN TO PUBLIC REAL, DIVISION CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED-UNTIL BOTH TM8 FORM AND AS
BUILT CARD AR.>✓RECEIVED BY THE BARNSTA LE PUBLIC HEALTH DIVISION.
THANK YOU,
gAoflice rbrmsldesignercertirtmion form.doc
Town of Barnstable P#
Department of Regulatory Services M . 5 °
e �sre
Public Health Division Date J J lb
200 Main Street,Hyannis MA 02601
Date Scheduled b / Time Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Performed By: N�GH� PCav►a.1�e(�EZT,C SE Witnessed By: 1),0001d Des%oarot s, a. s
LOCATION& GENERAL INFORMATION
Location Address 3 Owner's Name
—"l Address TZN
Assessor's Map/Parcel:- �`� 1 o(9 Engineer's Name Cay2o 'k' ILL.— 64V(d. s+ 3C EwiYOW10 ,yY-
NEW CONSTRUCTION REPAIR ✓ Telephone# 5-168 y-'I X'g -77 508'27 3-a3 77
Land Use St)4 e Cam 1 -
y �It,velll�� Slopes(3'0) ®� ( Surface Stones
Distances from: Open Water Body ft Possible Wet Area _ ft Drinking Water Well ft
Drainage Way ft Property Line t" ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
see, atE,,JALA Plan
Parent material(geologic) dU 60 S%1 Depth to Bedrock 7 .12 6�'�ocJ
Depth to Groundwater. Standing Water in Hole: Weeping from Pit FACE
Estimated Seasonal High Groundwater 7 12 tO 4�05
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used: VifeCk OP setvo_40A
Depth Observed standing in obs.hole: �7 12(0 in, Depth to soil mottles: in.
Depth to weeping from side of obs.hole: _ in, Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level,w, Adj.factor - ^� Adj,Groundwater level y
PERCOLATION TEST Date .; Time.,.
Observation
Hole# Time at4" i1 !254!1
Depth of Pere 30`-y 8 a Time at 6" I '30 AN
Start Pre-soak Time @ 11:d-7 AtY
Time(9"4") ►'nt43
End Pre-soak I1:.'Z2 AM
Rate MinJInch L
Site Suitability Assessment: Site Passed YeS Site Failed: _ Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***If percolation test is to be conducted within 100' of wetland,you must first notify the.
Barnstable Con'servation Division at least one(1)week prior to beginning.
Q:\SEPTICIPERCFORM.DOC
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture .Sdil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
o i tenry.%Gravel)
0-8
LS tDI s/b —
3e�6Y G- GS 2.
�Y-12(0 y S Y14, -
DEEP OBSERVATION HOLE LOG Hole# 2-
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
onsi ten %Gravel)
D 8 - r_4
(6-30 L5 6Yr5/6 -
C-2 NS : 2:5Y%
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gra
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
Consi ten
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No✓ Yes
Within 100 year flood boundary No✓ Yes
Depth of Naturally occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on �0`Z y 9 (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with .
the required training,expertise and ex erience described in 310 CMR 15.017.
Signature Date
Q:ISEpnC\PERCFORM.DOC
Town of Barnstable Barnstable
Regulatory Services Department ADAmedca0
MASS,
1639. ,,� Public Health Division
� 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 70062150000210418092
4/15/2009
Dennis Gibson
83 Walton Avenue
Hyannis, MA 02601
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5
The septic system located at 83 Walton Avenue Hyannis, MA was last inspected on
December 10, 2008,by David B. Mason, a certified septic inspector for the State of
Massachusetts.
The inspection of the septic system showed that the system "Failed"under the guidelines
of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Backup of sewage into facility or system component due to an overloaded or
clogged SAS.
• Liquid depth in cesspool is less than 6"below invert or available volume is less
than %2 day flow.
You are ordered to repair or replace the septic system within Sixty (60) days from the
date you receive this notification.
Failure to repair/replace the septic system within the deadline period will result in future
enforcement action.
PER ORDER OF THE BOARD OF HEALTH
Thomas McKean, R.S., CHO
Agent of the Board of Health
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
t
David B.Mason,R.S,Certified Title V Inspector,508-833-2177
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A ,
CERTIFICATION
i�
cm CM3
Property Address: 83 Walton Ave,Hyannis,MA
Owner's Name:Dennis Gibson (n -'
Owner's Address: Same 31t J, < -- '
Date of Inspection: December 10,2008 �' .' ' >
w�
Name of Inspector: (please print)David B.Mason W
Company Name: N.A. 5
Mailing Address:4 Glacier Path — rco--
East Sandwich,MA 02537
Telephone Number: 508-833-2177
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 Autho 'ty
X Fails
Inspector's Signatur • Date: /Z !! ,
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: The information identified about the two cesspools inspected on December 10,2008 at Noon
represents information noted on that date and time.
****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 i l
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 83 Walton Ave,Hyannis,MA
Owner's Name: Dennis Gibson
Date of Inspection: December 10,2008
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:Parking area should be defined to prevent parking on septic tank and pump chamber.
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:
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
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will
pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Title 5 Inspection Form 6/15/2000
Page 3 of 11
PART A
CERTIFICATION(continued)
Property Address: 83 Walton Ave,Hyannis,MA
Owner's Name: Dennis Gibson
Date of Inspection:December 10,2008
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
Y P 1P Y (SAS)
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 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,provided that no other
failure criteria are triggered.A copy of the analysis must be attached to this form.
3. Other:
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
Title 5 Inspection Form 6/15/2000 3
r
Page 4 of 11
CERTIFICATION(continued)
Property Address: 83 Walton.Ave,Hyannis,MA
Owner's Name:Dennis Gibson
Date of Inspection:December 10,2008
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
Yes No
_X_ _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
_ _NA_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
_X Liquid depth in cesspool is less than 6"below invert or.available volume is less than''/z day flow
X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
X Any portion of the SAS,cesspool or privy is.below high ground water elevation.
_X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
X Any portion of a cesspool or privy is within a Zone 1 of a public well. ,
_X Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_X 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 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.]
_YES_(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 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•
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.
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Title 5 Inspection Form 6/15/2000 4
r
Page 5of11
Property Address: 83 Walton Ave,Hyannis,MA
Owner's Name: Dennis Gibson
Date of Inspection: December 10,2008
Check if the following have been done.You must indicate"yes"or"no"as to each of the following:
Yes No
_X _ Pumping information was provided by the owner,occupant,or Board of Health
_X Were any of the system components pumped out in the previous two weeks?
X _ Has the system received normal flows in the previous two week period?
_X Have large volumes of water been introduced to the system recently or as part of this inspection?
_X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A)
_X _ Was the facility or dwelling inspected for signs of sewage back up?
X _ Was the site inspected for signs of break out?
X _ Were all system components,excluding the SAS,located on site?(INCLUDING THE SAS)
_X_ _ 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?
_X_ _ 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:
Yes no
_X _ Existing information.For example,a plan at the Board of Health.
_X Determined in the field(if any of the failure criteria related to Part C is at issue approximation of
distance is unacceptable) [310 CMR 15.302(3)(b)]
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Title 5 Inspection Form 6/15/2000 5
Page 6 of 11
PART C
SYSTEM INFORMATION
Property Address: 83 Walton Ave,Hyannis,MA
Owner's Name: Dennis Gibson
Date of Inspection: May 9,2008
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design):4_ Number of bedrooms(actual):4
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):440
Number of current residents:
Does residence have a garbage grinder(yes or no): (Not Allowed)
Is laundry on a separate sewage system(yes or no): [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)): 2006;40392 gal.,2007;42636 gal.
Sump pump(yes or no):No
Last date of occupancy:Current
COMMERCIALANDUSTRIAL
Type of establishment:_Food Service
Design flow(based on 310 CMR 15.203): 330 gpd
Basis of design flow(seats/persons/sgft,etc.): Take out-No seating_
Grease trap present(yes or no):NO_
Industrial waste holding tank present(yes or no):NO_
Non-sanitary waste discharged to the Title 5 system(yes or no):NO_
Water meter readings,if available:
Last date of occupancy/use:Within I year,
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information:Barnstable Board of Health
Was system pumped as part of the inspection(yes or no):NO
If yes,volume pumped:_gallons--How was quantity pumped determined?
Reason for pumping:Maintenance pumping conducted after inspection
TYPE OF SYSTEM
_ Septic tank,distribution box,soil absorption system
_X_Single cesspool
_X 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):With pump chamber
Approximate age of all components,date installed(if known)and source of information: 1957
Were sewage odors detected when arriving at the site(yes or no):NO
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
Title 5 Inspection Form 6/15/2000
Page 7 of 11
SYSTEM INFORMATION(continued)
Property Address: 83 Walton Ave,Hyannis,MA
Owner's Name: Dennis Gibson
Date of Inspection:December 10,2008
BUILDING SEWER(locate on site plan)
Depth below grade:Approx.24 Inches
Materials of construction:_cast iron _40 PVC_X other(explain):
Distance from private water supply well or suction line:_NA
Comments(on condition of joints,venting,evidence of leakage,etc.): Will require connection to cast when new
system installed.
SEPTIC TANK:N.A.(locate on site plan)
Depth below grade:
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:
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle: \
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
How were dimensions determined:actual measurements
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.)
GREASE TRAP: N.A.
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 baffle:
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.):
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Title 5 Inspection Form 6/15/2000 7
Page 8 of 11
PART C
SYSTEM INFORMATION(continued)
Property Address: 83 Walton Ave,Hyannis,MA
Owner's Name: Dennis Gibson
Date of Inspection: December 10,2008
TIGHT or HOLDING TANK:—N.A.—(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:
Comments(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: Level with outlet invert
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.):
PUMP CHAMBER: (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
i� Title 5 Inspection Form 6/15/2000 8
Page 9 of 11
PART C
SYSTEM INFORMATION(continued)
Property Address: 83 Walton Ave,Hyannis,MA
Owner's Name: Dennis Gibson
Date of Inspection: December 10,2008
SOIL ABSORPTION SYSTEM(SAS):—X (locate on site plan,excavation not required)
If SAS not located explain why:
Type
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.):
CESSPOOLS:_NA_(cesspool must be pumped as part of inspection)(locate on site plan)
Number and configuration: 2 units with the primary acting as septic tank
Depth—top of liquid to inlet invert: 2 inches on both cesspools
Depth of solids layer:0
Depth of scum layer:0
Dimensions of cesspool: 6'x6'
Materials of construction:Concrete block
Indication of groundwater inflow(yes or no):No
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
Effluent level within 2 inches of inlet pipes on the primary cesspool and the overflow. System is hydraulically
failed.Primary pit is 1'-7"below grade and overflow pit is 2'-3"below grade.
PRIVY:—N.A._(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.):
z .
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Title 5 Inspection Form 6/15/2000 9
Page 10 of 11
PART C
SYSTEM INFORMATION(continued)
Property Address: 83 Walton Ave,Hyannis,MA
Owner's Name: Dennis Gibson
Date of Inspection: December 10,2008
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.
2
1 .
o . F-1
Front
W
Primary Cesspool Al 32'-9"
B 129'-8"
Overflow Cesspool A2 47'
B2 24'-6"
Title 5 Inspection Form 6/15/2000 10
i
Page 11 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 83 Walton Ave,Hyannis,MA
Owner's Name:Dennis Gibson
Date of Inspection: December 10,2008
SITE EXAM
Slope
Surface water
Check cellar (crawl space)
Shallow wells
Estimated depth to ground water_30_feet
Please indicate(check)all methods used to determine the high ground water elevation: ,
_X_Obtained from system design plans on record-If checked,date of design plan reviewed:
_X_Observed site(abutting property/observation hole within 150 feet of SAS)
_X_Checked with local Board of Health-explain:Recent Test Holes. Existing engineer records with BOH
_X_Checked with local excavators,installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Utilized existing site design information on file with the Board of Health. Additionally,existing site and abutting
site topography does not indicate ground water to be within 4 feet of bottom of leaching facility. Ground water map
indicates water to be approx.30 feet below grade.
Title 5 Inspection Form 6/15/2000 11
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TOP OF FOUNDATION = 51 .7'± INISH GRADE OVER D-BOX= 50.6'± 4"SCHEDULE40 PVC MIN. SLOPE 1 % FINISHED GRADE OVER BIODIFFUSERS= 50,4' - 50.6' GENERAL NOTE S
�- PROVIDE EXTENSION RISER WITH SLOPE @ 2% MIN.
CONCRETE COVER TO WITHIN 6"OF FINISH GRADE OVER TANK EL.= REMOVABLE WATER-TIGHT COVER OVER 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION
FINISH GRADE OVER INLET&OUTLET INSPECTION PORT WITH ACCESS BOX
FINISHED GRADE RISER TO WITHIN 6"OF FINISHED GRADE " METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL
@ FOUNDATION = 51 .0'± 51 .0 ± TO WITHIN 3 OF F.G. (ONE PER ROW)
5"DIA. OUTLET(S) CODE AND ANY APPLICABLE LOCAL RULES.
20"MIN.ACCESS 36"MAX. 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE
COVER(3 TYP.) 9"MIN DESIGN ENGINEER.
PROP. PVC 9"MIN. 9"MIN. PROP. 1.2'WIDE H-20
SEWER PIPE PROP. PVC 36"MAX. 36"MAX. TOP OF SAS/B.O. = 48•00' COUPLING(TYP OF 4) 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL
SEWER PIPE SYSTEM UNLESS OTHERWISE NOTED.
-�SEWER PI 2" DROP MIN.
EXIST 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN
EXISTPE MIN. 6" 3" 3" DROP MAX. 3" 9" L = 18'± PROVIDE WATERTIGHT
- MIN.SLOPE@ 1°6 Ll JOINTS(TYP.) ELEVATION =48.00' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A
IN
10" E4-PVC IN FROM 1.33'�* " �T 16" 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF
49.0 14 48.25' EPTIC TANK O 4"PVC OUT TO 0.90' 1MMwww1EMHM (TYP.) rj%yl�'jTY THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION.
LEACHING FACILITY 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM.
48.50'
OUTLET TEE 47.87' MIN.12" 6" 47.70' 47.57' 46.67' (laid flat) 2.875'(34.5")_- 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
48" 5.0' (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK
GAS BAFFLE 6"CRUSHED STONE (TYP.) 5'MIN. 11.5' FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS
OVER MECHANICALLY REQ'D NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH
10.0'TO FND COMPACTED BASE
31.2' AND DESIGN ENGINEER.
6" CRUSHED STONE 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 50.71'ESTABLISHED
OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 40.00' BIODIFFUSERS (END VIEW) ON TOP OF A SHED CORNER AS SHOWN ON PLAN.
COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET
PROPOSED 1,500 GALLON CONCRETE SEPTIC TANK H-10 PIPES TO BE LAID LEVEL. BIODIFFUSERS (PROFILE) 9• CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION
( ) (BY ADVANCED DRAINAGE SYSTEMS, INC.) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT
LENGTH 10'-6" WIDTH 5'-8" DEPTH 5'-8" (Dimensions per Wiggin CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES
`ELEVATION OF BOTH PIPES- CONTRACTOR SEPTIC TANK PROFILE Precast Corp., Pocasset,MA) DISTRIBUTION BOX DETAIL ARC 36HC (#3616BD) BIODIFFUSERS (H-20) TO THE DESIGN ENGINEER.
TO VERIFY THESE ELEVATIONS&REPORT 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT.
TO ENGINEER IF DIFFERENT NOT TO SCALE NOT TO SCALE NOT TO SCALE
11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING
TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM
PERC NO. 13292 APPROPRIATE AUTHORITY.
�` C7 INSPECTOR: Donald Desmarais, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS
0 EVALUATOR: Michael Pimentel, E.I.T. LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE
4? C.S.E. APPROVAL DATE: Oct. 1999
THEY SHALL WITHSTAND H-20 LOADING.
!, � 4
' DATE: May 27,2011 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES.
' TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE
MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY.
ELEV TOP= 50.50' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY,
S8t ELEV WATER= <40.00' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3).
- 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN
PERC RATE _ <2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
ZONE 2 DEPTH OF PERC= 30"-48" 16. PROPOSED PROJECT IS LOCATED WITHIN:
!!
TEXTURAL CLASS: 1 ASSESSOR'S MAP 310 PARCEL 19
N MAP 310 i �� ------ --------- ------------ OWNER OF RECORD: DENNIS H. & BONNIE L. GIBSON,TRUSTEES OF THE DENBON TRUST
a " ADDRESS: DENBON TRUST AS A LIFE ESTATE
Z PARCEL 20 1 : c 0 Fill 50.50' 83 WALTON AVENUE
Q PENCE EXIST. LEACHING PIT TO BE PUMPED AND FILLED ti , C� " 49.83'
LOCUS HYANNIS MA 02601
d MAP 310 •� X x-XE�TY � w/ CLEAN, COARSE SAND & ABANDONED 8
J g Loamy Sand
PARCEL 295 J X`X� '�' S7g" r. FEMA FLOOD ZONE C
k�X X25131,E EXIST. CESSPOOL TO BE PUMPED AND 0 10Yr 5/6
l 17 X _ FILLED w/CLEAN, COARSE SAND & g0" 4800' COMMUNITY PANEL# 250001 0005 C
EXIST. 41
0
1
-_ ABANDONED (TYP OF 2) A A
.
f Perc 17. DEED REFERENCE: LAND COURT CERTFICATE 187906
SHED 48" Coarse Sand 46.50'
C-1 2.5Y 616 18. PLAN REFERENCES: 1.) LAND COURT PLAN 17201-C
45.17' 2.) LAND COURT PLAN 17201-J
LIP 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
J � I i/H/W D/H/W I t3 �- ,ti
20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY
PROPOSED 1.2'WIDE H-20 5C1x4' ABOVE-GROUND MAP 310 / o , Fir @ FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY
�''C/b INV.=49.2'± x „ C-2 Medium Sand FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE.
COUPLING (TYP OF 4) r POOL POOL CID o
J 1 #83 PARCEL 19 co 2.5Y 6/6
DECK I
EXISTING 13,871 S.F.
MAP 310 EXIST. 50x2` 56x3- 1 4 a DWE ROOM C) � g LOCUS PLAN
ao
I LING 4
SHED ►� j O, CO TOF = 51.7'± k i ti `U SCALE: 1"= 1000' 126 '
PARCEL 293 O W- 2
"
-w _`" k w Z m 40.00
No Mottling, Standing or Weeping Observed
INV.=49.2'± / p5 >
50 V -f x_o TP CP CO GARAGE 116_ o DESIGN DATA TEST PIT DATA LEGEND
50.5 TP 1
Benchmark 50.5' ROP. D-BOX O Q PERC NO. 13292
Shed Comer W
Elev. =50.71' PROP. INSPECTION 5)x` 50x5' �� - /r/O�/V p O nW INSPECTOR: Donald Desmarais, R.S. n,
� _ 5O X0 EXISTING SPOT GRADE
Approx. M.S.L. PORT w/ACCESS BOX _ - x I EVALUATOR: Michael Pimentel, E.I.T.
50x6 �r - V - NUMBER OF BEDROOMS (DESIGN) 4 >« EXISTING CONTOUR
TO GRADE (TYP OF 4) X-+�_ C j C.S.E. APPROVAL DATE: Oct. 1999
PROP. TOTAL 24 ARC 36HC X X-� ( DESIGN FLOW 110 GAUDAY/BEDROOM 50 PROPOSED SPOT GRADE
S
(#3616BD) H-20 BIODIFFUSERS _ j DATE: May 27, 2011 7g0 '45-E TOTAL DESIGN FLOW 440 GAUDAY
IN A FIELD CONFIGURATION TEST PIT#: 2 50 PROPOSED CONTOUR
PROP. 1,500 GAL. SEPTIC TANK 172.93, _ / DESIGN FLOW X 200 % = 880 GAUDAY ELEV TOP= 50.50'
❑/H/W EXISTING OVERHEAD UTILITIES
USE PROPOSED 1,500 GALLON SEPTIC TANK ELEV WATER= <40.00'
MAP 310 W W EXISTING WATER LINE
PERC RATE=
PARCEL 18 INSTALL 24 - ARC 36HC #361613D BIODIFFUSERS H-20 DEPTH OF PERC TEST PIT LOCATION
=
SWING-TIES SCALE: 1"=20' SYSTEM CAPACITY TEXTURAL CLASS: 1 PROPOSED 1,500 GALLON SEPTIC TANK
DESCRIPTION HCA HC-2 (TOTAL L.F. OF BIO'S&COUPLINGS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD ------"- ----
(124.8')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 443.3 GAL. LEACHING/DAY PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE
0" -- 50.50'
SEPTIC COVER IN (1) 37.9' 21.1'
8" Fill 49 83' [] PROPOSED DISTRIBUTION BOX
SEPTIC COVER OUT(2) 45.3' 15.7' TOTALS:
TOTAL NUMBER OF BIODIFFUSERS: 24 B Loamy Sand 0 PROPOSED ARC 36HC(#36166D)BIODIFFUSER(H-20)
BIODIFFUSER CORNER(3) 57.2' 35.5' 10Yr 5/6
TOTAL NUMBER OF COUPLINGS: 4
BIODIFFUSER CORNER(4) 66.7' 34.9' TOTAL LEACHING AREA: 599.0 30" 48.00' PROPOSED ARC 36HC 1.2'WIDE H-20 COUPLING (H-20)
TOTAL LEACHING CAPACITY: 443.3
BIODIFFUSER CORNER(5) 87.3' 66.0'
C-1 Coarse Sand REV. DATE BY APP'D. DESCRIPTION
BIODIFFUSER CORNER(6) 80.4' 66.3' 2.5Y 616
-- - -- ----- - NOTE: 45.1 T PROPOSED SEPTIC SYSTEM UPGRADE
64"
EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE
HC-1 PREPARED FOR:
DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER
"MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED CAPEWIDE ENTERPRISES
DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003 (LAST MODIFIED
JANUARY 11, 2011). TRANSMITTAL NUMBER =W000052. C-2 Medium Sand
LOCATED AT
2.5Y 6/6
#83 83 WALTON AVENUE
EXISTING
4-BEDROOM ANNI , MA 02601
(6 (1 o DWELLING
3) ; TOF - 51.7'± 126" SCALE: 1 INCH = 20 FT. DATE: MAY 29, 2011
40.00'
NOTES: �4llA o 10 20 40 80 FEET
O No Mottling, Standing or Weeping Observed N uF fiOF K4,ss
(5 (2 1p�' 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE ��� PREPARED BY:
OF EACH SEPTIC SYSTEM COMPONENT. RESERVED FOR BOARD OF HEALTH USE JOHN L.
CHURCHILL JR. �JC ENGINEERING INC.
HC-
31.2' � GARAGE
2 IVIL
4) 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS&GROUNDWATER IN 4180 2854 CRANBERRY HIGHWAY
THE LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE ` ' EAST WAREHAM, MA 02538
CONSISTENCY WITH TEST PIT DATA AND GROUNDWATER ELEVATION "f �� sT `O
SITE PLAN
SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF 508.273.0377
SCALE: 1"=20' HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. Drawn By: MCP Designed By:MCP Checked By: JLC JOB No.1997