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0028 ANCHOR LANE - Health
28 Anchor Lane Cotuit - -- - A = 024 - 074 i fin 10 2016 12:16 Jim The Inspector Man 5085349919 page .1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' IV 28 Anchor Lane Property Address cr) Richard.Cubi Owner Owner's Name information is Cotuit MA 02635 6-9-16 . co for every page. CityfTown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered In any way.Please see completeness checklist at the end of the form. Important:When A. General Information filling the computer, z \``� ASH OF•A�,gs, yS, use only the tab 1. Inspector: • p?=• '•ZG IS key to move your =�; JAMES cursor-do not James D.Sears =o use the return Name of Inspector L IRS key. Capewide Enterprises, LLC Q Company Name pSPEG�`````• 153 Commercial Street Irlr—� /�-ICI Company Address Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S1623 Telephone Number License Number B. Certification . 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 16.340 of Title 5(316 CMR 15.000). The system: ® Passes ❑ Conditionally Passes` ❑ Fails ❑ Needs further Evaluation by the Local Approving Authority 6-9-16 nspector`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. ""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. (Sins o 3113 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 .. za _VS Jun 10 2016 12:16 Jim The Inspector Man 5085349919 page 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name R information is COtUIt MA 02635 6-9-16 . required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: t ® 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: The system is a.1000 Gal. Tank D Box and pit. 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. Check the box for"yes', "no"or"not determined" (Y, N, ND)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. f ❑ Y ❑ N ❑ ND (Explain below): t5ins•3l13 Title 5 Official Inspection Form:Subsur`ace Sewage Disposal System•Page 2 of 17 - Jun 10 2016 12:16 Jim The Inspector Man 5085349919 page 3 Commonwealth of Massachusetts - Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is required for every Cotuit MA . 02635 6-9-16 page. Cityfrown State Zip Code Date of Inspection B. Certification (cost.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont): ❑ 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 ❑ .Y:. ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced, ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): Y ❑ obstruction is removed ❑ Y ❑' N ❑ ND(Explain below): 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 t5ins•3113 Title 5 bfficia Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Jun 10 2016 12:16 Jim The Inspector Man 5085349919 page 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - NotforVoluntary Assessments. 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is. Cotuit MA 02635 6-9-16 required for every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has aseptic 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 60 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 1'00 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 fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must 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 r 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 1-1 ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in 411SM is less than 6" below invert or available volume is less than %day flow oPI7— l5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Jun. 10 2016 12:16 Jim The Inspector Man 5085349919 page 5 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is Cotuit ' MA 02635 6-9-16 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes .No ❑ ® 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 Beet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence. of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis ' and chain of custody must be attached to this form.] 0 ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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 16,000 gpd. , For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary'to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim.Well head-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. s '15ins•3113 Title 5 Official hspedion Form:Subsurface Sewage Disposal System-Page 5 of 17 Jun 10 2016 12:16 Jim The Inspector Man 5085349919 page 6 Commonwealth of Massachusetts Title 5 Official Inspection Form I a Subsurface Sewage Disposal System Farm -Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is required for every Cotuit MA 02635 6-9-16 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as toeach of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage,back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? . ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. 0• ® 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(5)] f D. System Information Residential Flow Conditions: -Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t51ns 3113 Title 5 Official Inspection Form:Subsurfaca Sewage Disposal System-Page 6 or 17 a Jun 10 2016 12:16 Jim The Inspector Man 5085349919 page .7 Commonwealth of Massachusetts Title 5 Official Inspection Form A a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is required for every Cotuit MA 02635 6-9-16 page. CityfTown State Zip Code Date of Inspection D. System Information Description: _ The system is a 1000 Gal. Tank D Box and pit. Number of current residents: 0 iw Does residence have a garbage grinder? ❑ Yes ® No K Is laundry on a separate sewage system? (Include laundry system inspection, information in this report.) ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): 2014-14,000Gals 2015-10,000Gal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA Date Commercialllndustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sci t., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: 15ina•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Jun 10 2016 12:16 Jim The Inspector Man 5085349919 page 8 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Anchor Lane f Property Address Richard Cubi Owner Owner's Name information is Cotuit MA 02635 6-9-16 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancyluse: Date S Other(describe below):' General Information ll 'Pumping Records: NA Source of information: Was system pumped as part of the inspection? ❑ Yes ® 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) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): g. t5ins•3113 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Jun 10 2016 12:17 Jim The Inspector Man 5085349919 page 9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 'y 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is Cotuit MA _ 02635 6-9-16 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1990 Permit# 90-33 6-9-16 New D Box. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.)-. } Pipeing is 4" PVC SCH 40. Septic Tank(locate on site plan): • " Depth below grade: 32 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal,list age: " years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) • ❑ Yes ❑ No Dimensions: 1000 Gat. Precast-H - 10. Sludge depth: 3 tsiris-3/13 Tole 5Offdal Inspection Form;Subsurface Sewage Disposal System Page 9 of 17 Jun 10 2016 12:17 Jim The Inspector Man 5085349919 page 10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is required for every Cotuit MA 02635 6-9-16 page. Cityrrown State Zip Code Date of Inspedion D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 27" Scum thickness lit , Distance from top of scum to top of outlet tee or baffle 12" Distance from bottom of scum to bottom of outlet tee or baffle 17 How were dimensions determined? Asbuilt- Plan -Tape i Sludge Judge g Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): k Tank at working level.Tank and outlet cover at 32" below grade wlinlet cover at 1'. Inlet tee,outlet baffle. No sign of leakage or over loading i ,- J , Grease Trap (locate on site plan): Depth below grade: feet 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: Date 15in5.3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Jun 10 2016 12:17 Jim The Inspector Man 5085349919 page 11 , Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is required for every Cotuit MA 02635 6-9-16 page. CityfTowp State Zip Code Date oflnspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1 x Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons , Design Flow: • gallons per day Alarm present: ❑ Yes ❑ No t Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): • g Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 o117 r Jun 10 2016 12:17 Jim The Inspector Man 5085349919 page 12 Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cub! Owner Owners Name information is required for every Cotuit MA 02635 6-9-16 page. City/Town Stale Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is 16"x16"x3T below grade wlone line out.Box is New 6-9-16 wlcover at 8". ¢ Pump Chamber(locate on site plan): Pumps in working order: ` ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No` Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): " If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Jun 10 2016 12:17 Jim The Inspector Man 5085349919 page 13 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is required for every Cotuit MA 02635 6-9-16 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 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, darrip soil, condition of vegetation, etc.): : Leaching is a 1000 Gal. precast pit w/2' stone. Pit and cover at 3'below grade. Pit clean and t dry. No sign of over loading or solid car over. No high stain line. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert 4 Depth of solids layer Depth of scum-layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No 15ins•3113 Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 13 of 17 Jun 10 2016 12:18 Jim The Inspector Man 5085349919 page 14 Commonwealth of Massachusetts Title 5 official Inspection Form a. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is required for every Cotuit MA 02635 6-9-16 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of pond ing,,condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): g F t5ins•31'3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Jun 10 2016 12:18 Jim The Inspector Man 5085349919 page 15 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is Cotuit MA 02635 6-9-16 required for every page. City/Town State ' Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 13- 3y R E,4 R B 3 - 57 A O O O s I5ins-3n 3 Title 5 Official Inspection Form:Subsurface Sewage Disposal Syslem-Page 15 of 17 Jun 10 2016 12:18 Jim The Inspector Man 5085349919 page 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is required for every Cotuit MA 02635 6-9-16 page. Citylrown state Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water. ❑ Check cellar I f; ❑ Shallow wells IV 1 Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 12-7-84 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) i ❑ 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 high ground water elevation: T.H. on Design plan 12-7-84 no G.W. at 12'+. • E. • F: Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•3113, _ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 a . y • J Jun 10 2016 12:18 Jim The Inspector Man 5085349919 page 17 Commonwealth of Massachusetts Title 5 official Inspection Form s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 28 Anchor Lane Property Address Richard Cubi Owner Owner's Name information is required for every Cotult MA 02635 6-9-16 page, City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file i a. 15ins-3113 Title 5 Official Inspeclion Form:Subsurface Sewage Disposal Syslem•Page 17 of 17 f . No. -0 Fee THE COMMONWEALTH-OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4pficatiou for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. tJ 0- OR LA 0 C; Owner's Name,Address,and Tel.No. ZG��S �c-t3i Assessor's Map/Parcel 02 &] COT t i 29 A&4=0®�! 649J,"c- G-O 1 U 1-r- Installer's Name,Address,and Tel.No. SO$—477 $ES 77 Designer's Name,Address,and Tel.No. 6w:401)45 6WJ-TW&L<6S Ccc PA 1153 u ST MASOPQ9, 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 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) _Ws(4-U, IUEW 14-4o D--B 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 the system in operation until a Certificate of Compliance has been issued by this Board of Hea Signed Date Application Approved by Date (,6 Application Disapproved by Date for the following reasons Permit No. 'go 16 Date Issued ------------------------------------------------------------------------------------------------------------------------ No. 6 Fee THE COMMONWEALTROF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ltlflcatloll for Disposal 6pstelll Construction Permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑Complete System 'Individual Components Location Address or Lot No. a N H p R, LA 0 C Owner's Name,Address,and Tel.No. C0-T lJ l T' C-G v/'S C L-10 Assessor's Map/Parcel O 0-� 2Q/Eelk.#0i� 44W4 ' - C"07(>!T" Installer's Name,Address,and Tel.No. 509--47 7—R8 7 7 Designer's Name,Address,and Tel.No. d 4&4V11)E GNTWk_k.S� L(-C. , N% sxu� Sr M i'4Sc4 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 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil a y Nature of Repairs orAlterations(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 the system in operation until a Certificate of Compliance has been issued by this Board of Heal •. Signed Date r Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 9-6 16 Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS Q (� BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by �O�Ce,/n� v�-�Am fSES �•�-�.. at j2g 44JC46L L_.4XJ,15 e,6T-u e'r has been constructed in accordance r with the provisions of Title 5 and the for Disposal System Construction Permit No. 90 6—P12-- dated b�� 40 Installer t U—C.. Designer f V n #bedrooms /y Approved design flow ` gpd The issuance of thi ernij*t shall not be construed as a guarantee that the system will ction as designed. Date /�� Inspector --------------------------------------------------------------------------------------------- - --------=-------------------- No. o90t6 — j � , �j Fee � J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal ,pstem Construction Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at A mt u D IZ L AAJg 0 6-r U s 7— 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 must be completed within three years of the date of this permit Date `[� Approved by AsBuilt Page 1 of 1 -� j TOWN OF BARNSTABLE LOCA`AONn4�I� ���'✓1�J LA-,, . SEWAGE � -0�- 33 VILLAGE 0G74U% • ASSESSOR'S MAP LOT Z It-�y F 7' INSTALLER'S NAME dz PHONE NO. J ko pC�'ilc �7 re) SEPTIC TANK CAPACITY /G/C7U LEACHING FACILITY:(type) �/ /� (size) /GG%U NO. OF BEDROOMS PRIVATE WELL OR�;PUBLIC WATER BUILDER OR OWNE�eL CO t-1 r"d DATE PERMIT ISSUED: U DATE .COMPLIANCE ISSUED• �C VARIANCE GRANTED: Yes No u 0 a yy http://issgl2/intranet/propdata/prebuilt.aspx?mappar=024074&seq=1 6/9/2016 v L�7ZY Fim ....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH _- ..©C ! .........OF.......... ".�1.✓ :._,4�z ................. Apliftration for Mipasal Workii Tunitrnrthin ranfif nQ Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: " ........ ....t fit.anon-, ��� __ o....................................... 7/� Locatio/n�-Address ���or�yLot N /�' /� ... G..!6r.:^:.�`'.%�:�`...d�:��G!��''..����._...- --•-•---��- .!�=__y:F....C.��1 ..__l�,�✓r.......................... j} Owner Ad ss Installer Address Type of Building Size Lot..!'_6,6: �J...Sq. feet Dwelling=No. of Bedrooms............ Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ................................ . Design Flow............. ........................gallons per person per day. Total daily flow_______--_- 0...................gallons. WSeptic Tank—Liquid capacityl`©op.gallons Length. ', `a. Width._'f`.__6"_. Diameter................ Depth. e.� . x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........1_.......... Diameter....... ......... Depth below inlet------f�`...__... Total leaching area.6�9.....sq---ft. Z Other Distribution box ( ) Dosing tank ( ) / aPercolation Test Results Performed by...ACrIL . .:___ ................... Date....... I........ Test Pit No. 1..... .....minutes per inch Depth of Test Pit----/Z. Depth to ground water----/JfrA_,7e, V4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ lieO Description of Soil...__n._.�. �� '�` -�'c' % 'j--- ------ 'f ` s 'lti4r?'...-- U •--•--'��t'm �t+.,,r'._.__ /',a-z� '-------------------------------•---•------------------------------•-----------------•--•-..................................... W x •--••-•----------------------------•----------•-••---------------------------•----•---------•--•-•--•----•-----------------------------••-•----•-----...------•---•------•-••-•-•-----------•----.••---- V 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 TIT1� 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i sued by the board of health. Signed---- •-••• .... ------......•---•- -�— - Date Application Approved By...... ........./ Date Application Disapproved for the following reasons: -- -----------------------------------------I--------------------------------------------•--....------- .... . ..........•--•••-•-•-----•••---•................-•-•--•-•••-•----••------•--...••. Date Permit No........[.0-. _ ....................... ........_.. .. Issued....................................................... _ Date No.. �1.'.3 ..... F>�$......d... ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH iV d..w....................oF..... /A/.S..T 34Z.......................... Appliratinn for Dispnsttl Works Tonstrnrtiun VarA t Application is hereby made for a Permit to Construct ( ) or Repair ( )man Individual Sewage D sposal System at: ............................... / 1 -•-•Location-Address or t No- G, D�121dGlPS ,„:2�...���. .. ....•---••-... ... . • �S....................., . 14 Installer Address UType of Building Size Lot._,,1 c�9..�r.�.._.)Sq. feet � Dwelling No. of-Bedrooms___..___....3................................Expansion Attic- ( ) Garage GrWer ( ) ° aOther—Type of Building ............................ No. of persons.....7...................... Showers ( ) — Cafeteria ( ) al Other fixtures ............................... . . Design Flow.............6s,........................gallons per person pqr day. Total daily flow.............3..30_...................gallons. Septic Tank—Liquid capacity/ftQ_-gallons Length.&.-O-.'-. Width_�_:"_�a��._ Diameter.............:.. Depth,�'.'���... x/ Disposal Trench—No..................... Width.................... Total Length..._.._.._;_._..____ Total leaching area....................sq. ft. Seepage Pit No._..__..I........... Diameter.......(o_........... Depth below inlet.....4.1........... Total leaching areal.:!!_....strft-qlo Z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed q....... f!_ ____________________ Date..........z`,�/__t�' ........ 04 Test Pit No. 1.....Z.....minutes per inch Depth of Test Pit.... _Z._ ...... Depth to ground water....e1 ow.e.. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 •-•-----•-•••-•---------•••-------•-•••..........::........... ....:---.._.................................................................................. 0 Description of Soil._ _.Cf__._ ...tea..,:-•--- /---� U 'd-n+C�_.._ e__ r.�_..._:� .ear/_e..Ge• ------ - .............................................................. W 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 TITLE 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. Signed....................................................................................... ................................ - Date - Application Approved By......... _ !+^... ..__.. ------... _-- --.Y.-...... -G-•- U ..--••-----------• ............................... Date Application Disapproved for the following reasons:................................................................................................................. •••..............................................................................••----•••-•-•--•--•------•---•----------------------------------------•--•---•---------------•----••----...--------•--- qq�� Date- Permit IVo.......1.. ..:.. �� --•--------_•. Issued.............•-•--••-----•- -•-•-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......./... .n/.........OF......�� 4r-�u�7 .Vie.,&.......................... f�rrtif irtttr oaf �la��rli�n��e � . THIS IS TO CERTIFY, That the Individual Sewage Disposal.System constructed ( ) or Repaired ( ) by....... �.. ...... ......................... .--•-----......_._._..._..._.....•-----_-- .. -•- --- / Installer at-----------��T..G/-/.7....:._��f�c C .� -a---------._.___. --------- -------- has been installed in accordance with the provisions of Tl '7 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......70_=_,>__t)_____________ ated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE F SYSTEM WILL CTI SATISFACTORY. ' DATE_....� ���....................................... Inspecto � �........ . .. THE COMMONWEALTH OF MASS ACHUSETTS (� 2 BOARD OF HEALTH No.7 1 _37� ......../... 2u " ...........OF.......... E .o"'"-`..................................... FEE._I Dispose l arks (lnn trurtion Y a� rrmit Permission is hereby anted_.._._( ,_e�.......1a='.?4..:--------------------------------------------------------------------------------------- to Construct (�! or Repair ( ) an ndiv-idxal Sewa a Disposal Sys atNo.......... a ........... =4° ..... . l�Q -------------------------------------------------------------- Street pp,, as shown on the application for Disposal Works Construction Permit .... Dated.......................................... ............................... - -------------------- DATE- --� ----------------------•--•- o rrl of Health -� FORM 1259 HOBBS & WARREN. INC.. PUBLISHERS 2� TOWN OF BARNSTABLE 33 LOCAMON a��� �a/�y &L., . SEWAGE # VILLAGE Oo74bi ASSESSOR'S MAP & LOT $7j l � INSTALLER'S NAME & PHONE NO. I-U PO/) f I SEPTIC TANK CAPACITY /0 000 LEACHING FACILITY:(type) // / (size) /0 00 NO. 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I 'A. . �. � e- I , I : I ,� � � I , � � I I - :- I ' ' i" , r,�1 I �, " - 3�� , M1510lum ll ,I i I . . � � I I � � 1 000000 @ @ 0 (DO 0 000 fl- I I . ", , ] , , . � � �;,�'.�: , �, , ,- 4� 1 1 . :_ I I , ,, 1 I I 1, I � I � I I i I � I � 11 � I "" _p , . I � . I I I ll� 11 - , , , L'1:.'i � � � , I I L 1". � � 1. � �,� e �. I I ____F_ I I e 000000 . I � " I , I e , " I -, I I I - I I � I LEACHING PtTS- SHAt L BE�DESIGNED FOR H�20 _lWHEE' I 11.11 " � � I , -� SANO . . � I " I I I I , . 11 . X,4 11 �, I I I � I 000000 @4@ 1 � I � 1 r, .. �� , 1� � ,�, . I I . , I , i __ " o. I " I I � - I 1 :� I � � � I , I I I I I . I I . . .� �'� . LOAD]NGS'WH EN"UN DER PAVINq. , - � ,11.11 ; 1'1�t I 1 :�� , � � 11 � I �], , � I . : . - I I I I . . " il-I I . , � I I , � i I I I , 11 * . _______._j� . I I I : , . .1000000 , h : ,,�: I I � I 1- - I -, " I -1 I 1 ��,_ �,,' 1, � 1 2 1 1 � . 8 � , � I I , I I - 11 . , I I 00000'a (A @ 0 , , _ . " I � I , I � I 11 I :L . - , 1. � ,I I � ,I I I I I I I I I . I . I I . t A 4 . I � I� I I .1�I � . � . I 11 . I I I. I 1 7. . I �I I� I I , . - I I I I I I I I � 11 . . I . I I I I "I I " I "." �, , I , L I I%�-,.z 'I.,:-,�,, �� : �l� I I.. I�, �i I .� , I i I lk It I - I . �,�, -, ,:� �_ FINE I I . i , I 110, . . I . � 0000,100 0 @ (D 000000 .. I I 1 5. REMOVE ALL UNSUITABLE MATERIAL: BENEATH .THE. - � m ,,, 1 I I - I � 11 � 11 . . . I I I . I I I I , � 1. . 1 � 14" � � I I I I I .. . .1 I I I � , f,,� I I , I r I � . I , . 1 T 3 % - - I I I I r � I �� _ 1, ,�; I . , � � �l I I , I � . 11 I � , �i I I j - I � I 11 I I GRA VEZ I I 1. . I ilz I ' ' 000000 @. @ -0 0.00000 , I 11 : INVERT ELEVATIONS OF THE. LEACHING PIT FOR I �� %1 , - � 1, �l I I I I � I I . '' I � , I , I . � ,.k A - I I I I . . - r � , I� I ...'1 _.. �,"', I I I , . I I I � I .--.-...--- ____ _____ I . � I � : I � ! % ..; I � I � ;,'' 'In . " i ,, : . I I � ' ,. I 11 000 0 C) 0 @ o boo '' I � I I . .1 , I I I . I . � I I � ' � " - to . TYPICAL DISTRIBUTION BOX - I @ 0 0 O I � � I A .DISTANCE OF, 1OFT. AND BACKFILL WITH ,6LAY- .1 . I I I !� � � , � ' '' t . � . I I . I I � I I i I " . � I , I , � I 1� , . 4'_0 1 1 11 . I I � - 11 I I 1 : . I .1, - I ` � I I'll - , �, :1 I . I 11 I . I I I I , I I I I �.. I I .1 I I � ' ' I I FREE ,SAND & GRAVEL HAVING A PERCOLATION' RATE I I ' '. I i 11 I I � I I , I . 19- I � i 1, I 1"�,_' I . � I I I i , . I I �,'�',' "', r �, ' ' I- I I I I LIQUID LEVEL , I � -A � � I I � "I _ I I � I � I . I I . ,r I � r �:, , I I I I 11 I I ,,,, � . I I � I I I I !'I 11 1� �l � � . I , I . I - T . I I , , - � �: - � I I � I . I i � I � � . OF 2 MINUTES PER INCHOR LESS. I I �", I I I I I I � i . I I N07 0,30A,LE . . I, ' -6'-O" . . � � I I . . I - I I ,, '. " , I I . 11 - � � � I I I I I I �, I I I I I I . I I I � � . I ,,, I I I I I I _ .L_ + . . - I I I I � " I - �l � - � 1, �' tl',� '', �� 1. I _.�L4_4� "I---------------i I � . .1.1--.1- - I - --I--' � I ,� .- DISTRIBUTION BOX -AND /000 I I I I . .1 - .6. THE . 11 1 1� I - - I . I ., I - I A10TZ . I I I BOARD OF HEALTH MUST , , �1, � I ' ' ?I. I".� �, ., I � . 1 . � . I I I I I I I I I . 11 I . I 11 - I I.- ' ENCOIINTERSD � � . I - 11 . � I I. I I I . . � I . I I I � I I I., . I BE NOTIFIED WHEN THE SYSTEM I S NEAR COMPLETION , . �'l i, I, NO WArfR . . I . I , I . � � I I 11 ' 11 � � . I I I I I . , . GAL, REINFORCED SEPTIC TANK BY � I � . I � . 1, � . �, II I � I . I � 11 v' I I . I -, �l � . - � I I I � I I I ( � I I - -...I" �� . � ., I � I I I � I I � , � � . I .� .. AND PRIOR TO BACKFILLING. , . I � 11 � 1. :� I : 1 . � ' ACME PRECAST OR EQUAL. I I I I 1 . . . I I I I � - -1 11 11 � I . I OBSERVATION PIT. "I �,_. _z --, TYPICAL ,/000 GAL. SEPTIC TANK , - . I I . TYPICAL : LEACHING 'PIT . .11 I � � ' . I � 1 . ' 'I I ''I I I ", , , I I I . .1 I � � I z I I I I ��, I . I 1�"I I I � I I I I I I . -, � I I I I I I I I 11 I I �7. UNLESS OTHERWISE NOTED, ALL SYSTEM,COMPONENTS I ,I , I I . I . � ,� I I � . I . I I . . I 11 _ , �� � I ,,I I I I I . . � I . . . I I I I I I I I I ' - . ,III . I I I . I I - I I � 1 . 11 I � . . I SHALL-BE INSTALLEDIN ACCORDANCE- WITH TITLEY �l 1 .11, , I I I Nor, To scAl E 1. Nor TO SCALE ,� . . I I I , , , : I PERCOLATION ,RATE=2 RINIINCH � , I I I . I � I I I � . � � L . I I I I I , " I I . � . . , . � . t�, � I I I I I I . . I . � I I � I � �'� � I OBSERVATIONS BY I � 7HOMA S Afc KeA/V ' * I AIOTZ-- TA N K S REINFORCED THROUGHOUT WITH I �. I � I I � � � 1� I . . I .1 � . . OF, THESTATE SANITARY, CODE AND ANY � LOCAL 11 , .1 - �� : � . - I I I I . � I ��,' I I - � I . I . 11 I I ' 1. I � � � 1, I I I � 11 __ - I � � . � I � . I I I I I I . I - � � I RULES �WHICH MAY APPLY. 11 . I % I ' 'I I kI � I � ' I I 11 I I I I � � I . � . I � I I I I ." . I ; . 11 I ,I,; , , r � ,;r0W1V0F8ARNS7A&E, BOARD OF-, HEALTH , ELECTRIC WELDED WIRE WITH 24-1/2, 1 . I � - I I I I I I 11 I . I I I I 11 I I I � l - �`,!-,'�! ' " , . I 11 I I I I I 11 1. I I - I . I I I I I I - 11 I I . I 11 � ,� , 11 X'. �l " I 11 . ,� ,� � I I I . I I I . . I � . 1. � "- . . .1 I . : 8. .CONTRACTOR , IS TO NOTIFY ENGINEER, 'PRIOR. TO THE - " ..,'' �� ., - . I - , I . I ; I I I , , I ENGINEER. ARROW ENGINEERING INC. - ''I , EMBEDDED STEEL RODS IN TOP B BOT . I I I I I - I I � � I I ' � I I I I I � � . I I � I I � I .1 . .11 I I � . - I I I . . I . - I � I I I 11 � I � , I - 'I,- . I � � � I INSTALLATION OF SEPTIC SYSTEM OF ANY DISCREP-- I �; I I I I " 1. 11 I . I I ' I ' ' . I I I I I I . I , � � - �l I � - I I � . I . 'O - I I � I I ��,� -c' - 10. 0,6SER VA 71 N P1 r TO BE 0(CA VA TED , I I 1'�DATE! DE ,5084R' 7, �90# � ,- :., , - TOM. CONCRETE IS 4,000PS.I. TEST. I I I . - I i�� I - 1 . - ; I . � I � I I I I � I . I . . I % � I I . 11 1 . � I . 11 . . I . 1�,'" �_ 11 I � � I 11 I I I I I 11 . . I I . . i , ANCIES BETWEEN TEST PIT RESULTS AND FIELD , - � - I I I I . ,�', I� �l I �. . I . I I I .I I I I . I � I _ 1� � I I � I I � I "I . _', . I . I �TO 4'BELOW PROPOSED 80 7710M OF P/r , ,l I I � . 1 ". � ��, � 11 . I �� I I I . I I I I � I I ", . . I I I I . I . I I I .� . 1 I I .11 I . . . I I 11 11 1 . �.l � I I �. I, � � -, - " , : . . I I I ,� I I I CONDITIONS. . I -" I I �I � I I I -I I I I I � . I I I I . I I I 11 ", I . V _ '.I 1 I 11, I I I I I I � 11 � I �I . I . .I I � . I . I I ELEVATION ;rO VERIFY SOIL COND1770N ,.' I I � - ., ; � I 1, � - ., I 11 - - . I I I I . I . 11 � I I � I I . . I I I I I I D . - 11 i � ' ' I 11 I I � � 11 I I I I I � AN e - I : I I �'� I � I I � I �l . . I - � I I .1 I 1 . .11 , I I wAr,R 7A,6LE ElvGINEER ro ,eE 9. ACCESS MANHOLES TO SEPTIC TANKS AND LEACHING I . I, , � � I I I I . I � I I . I I . I I � .'.i .I I I - I I I . I . I I I I I I . . . . I . ,�. � ,� �,� I I � . I I . . I I I � I NO TIFIED PRIOR rO CONS TRUC770N I PITS TO BE BUILT UP TO 12 INCHES BELOW FI-NISH' I I i,,I. I I I 11 1� I . . I I � I I %'. I I I . I I I . I � I . I 11 I 11 � , I . . . � I -11 � I I I. _� : I I I I � I I . � � . I . I . I I I I I . 1. . I - , . � I . I I � I I �,_�, r � � . I ,� ,LZIME SEM NO ,0.rSrA1Wfi* . � . - � 11 11 I 11 . .1. I . . 1 ' I . I � If f � � I I GRADE. � I 11 I I , � I 11, I I � ,�, I I � I I I I I . I �l .I I . . � � I , I I � � � I , I , , I I - , I I I . -1 N 5P 028'531E 40.00 I I � I I -1 - I I I . . . � . I I 7 , � I I � �� ,, " I I I . � �l I � I . I �_ I.. , I I �l I I . � 11 � � �2 N 5P OR8#5-7`F 10.00 I I I I 11 . . I I � 11 I I � I . . I I 1 . � . . I I I I I I e I I � I 1 . I I I I I .1 I If , � I I I 1 4�, ,� I .1 I I . . I 1. I I �I I I I I � .4 . I I . . . . . � I I I I I � I I . � I ",I I I 11 I I I . 3 - S 52*R8'53'jV �, I I. , - I : , ' I . I J 0.00 TOP OF I I � I . I I II 11, � . 1 - I � I � I , � I I I I I � . I . . ,r, , I � . 1 4 - S 5?*,P8'53"Af A J0.00 I . 1, . . FOUNDATION � I I . . I 11 I I � . I I I . 1 I I I I I .11 1� � . I � I I " I � � I I . I . I I . I I . I . I I ` � � I I I � � � I . . I . � ,��, ", I I ,,, . I I I I . I I I ELEV.= 47*5Y I I I I .,1, : I I I 11 , - I � I I . 'RADE FINISH GRADE OVER LEAC ' - 1.� I I � . . . I I . I I � . I I I - FINISH GRADE I � FINISH G HING � . � I I I � I � � I I I I I � I I :,�' I I I � I I I 1, I � I 11 � I I I ! I 11 11 I I � I I I I I , I ,I' �', i" I I- I � I I I . I I � I I . I I - Fl N ISH,GRADE OVER TANK I OVER D ,Box 1 . -AREA ELEV_=_,4O*6.t I I I . � I � I I . , '", . I . . 11 I I . : *O,066 + . 11 I 1. ,� .- I 11 1. � , "' : I � � - � I ,. -� I 1�,,, , I I � I I I I I . . ELEV.= 42*0.f ELEV.= 41*5t . ELEV.= I � i . I I I I I 11 I I 1 . . I � I v EXIST GROUND � - I � I I . I I � ,� I I I ",� ," -, 11 I . � � I I I � I I � I � I 17-lk"M�\xn-11�k - -\'�A\- \ ; :::::: . 1 11 � I I � I I I I I � � I I I I �,4��A '<'AW��:11��::::��!:�!��::��!!:��:��i:::�,�;�!:��;::!�::!:�:�;:�!�::: I'�I I � � � I I I rl I � . 11 11 r:: 11 :: ii:: I I I � , � I I � , . , Z I- I�' . I . - . I ,, � I , -_ -_-/_��" S :r ,,:,0 % . �___ - I I -, I � I � � \I�, �.. � , " I ,".' ' .. I --- _. I- -1 I.,I— I � I - 11.'� - � _1 .____, -_ - - I -, I---,--..-- __ .... I -_ I I __��s = 0 ?/, - . I . .- - I 'I w I 11 11 � 11 .-I.- I � � I I . _____ I . - 8' S = / , I f x /8"x 3/4" I I .0 % 1. I " I I I 11 1 40 \INV= -iflpo . .�. WASHED STONE - ;I . I __�__ �l I � INV.= 38,.46 � 1� � I . . I / I . " T � t, , � - 14 25.22 1 . . . ... . . 0 q . . I I / - - - - -- � . INV.= 38,.76 100d GAL INV.= '38*51 ,.?.,::::::: ::: : -::::::, I I I 1, . /I D)r , I I ru i _. . I DIST BOX I 00a.c....... . . . . : lix -3 11 I . i I I REINFO . . '% :::::: 24 /4"x 11/2" 1 1 1 I J07.04 1 JR5.PR %J [L-D (TO BE I EVEL I R_ ::::::: :: : : :...... WASHED STONE I , I ql . � m I I N 37`31 '07-le � N 37*31 '07'N I" I I - I I & STA`6LE) ., � _j . I . �I I- I I - - - - - - - ,- - - -,.-I I I I :: ..:: :: :: :::::::* . . . � I - I .I � / . I I � 1_. . . I I I � 1, � I . 125.1?2 1 � . _il - I . � � I 0 ....q.. .0 . . .:::::: 0 0 1 � I � I I I Sp C9 0 pt..... .# .. . I I I / . . I EPTIC TANK - . ...0.1, *.....0 0 0 *0 .0...... 0 BOTTOM OF PIT I I , I � � I - I I i � � 0 610 8 Z 1 1 1 'TO RE LEVEL & STABLE) . . INV.= 38o2l I �, . I I I 1-1, �l ,� � ELEV.=-24,21- � I . I - , Lzj , � 61 2' , , � LOT 17 4Ox7 I i . � I- �?, -I- -I- I .1I LOT 16 � , . I I---- �� � I ,, I I I I ,,,J i - I I I �s I I � I . . . I . I . � I I ,� I � I I , .4695 .F. t I � �,j . I TYPICAL ' SEWAGE SYSTEM PROFI LE PIT I I � � 4ON I 4S . I I �Qz I . E) I I - I . I . I %_ I I . . 1 40-ve ll%� I . I I . � . 1. . � � . �j . � NOF TO SCALE - � . � � I . : I . . I I I I 4OXI? 1 1 1 . I I I I . q I I I Ili I I I I I I I . �I �. \ . I I . � 1, I I 11 I I . I . m I I . I I � . I I I " I , _l* � /11 , I . I !� % I ,. I . I � " LFA�� to � I MAP SECTION RCEL LOT I 11 I I .� IN - . I ---I---- 1 - .._j6___t___ 0�10NO14 \1_1_� I . EXIST. CONTOUR - - - - 8 :;;i,� __ d � . �I I I % . V . I I � � I g- � O*SED CONTOUR-. 83[ -24 'd . 8,17 1 1 1 - I . I _,�Oox Jl '. I /_ --,\ . I Ltj . ky), v , PROP I I ON5 I � . � � . � � I I I � . . � -� k I �::; EXIST SPOT�ELEVATION 8 X 0 1 1 1 � I . % A,epwc I -4 . � I I '. ; . ..�, _ _491, 1 I N . I 1, 1 4 1 1 . . I I I � . I . :, I I / _+ . j9X9 . . I . 1. . I 11 . � � I co 59_,A ' 11) � it I 43XIT . � I c I P � EVATION , '8 +0 1 . - I . � . "' . I ZONING DISTRICT FLOCID HAZARD ZONE . , I I . 7 �d I / I %::�� . PERCOLATION TEST x I I � . - �l I.. 1 404. 55.5 1% . I ,%!� � I � I . I � � I I I I � I I I -ION PIT I RF ,I I tl) FROPOSED ,� I 1 4t 1_� OBSERVAI = I � , I I I I i I I I DWELLING mr I I - I - I . q � � I . � I . I I "I I . F.FL. = 48.5t = � � I , '. . - � I .� �� � I - I , 14.0 . I - ,, I I I � I � " I 1 41�j ,V..T � I I . . � � . ____ 11 I c I I - 1 4 5 - I I . I I I . . I . IR I? -_ � I , I 11 ll�z , I I I I 1 46-_Z� I . - I . . .. I I I PROPOSED LOCATION OF DWELLING , 11 �l 1. , I I I. I I I . I I I . I I � I I � I . I. r I I . � I I �- DESIGN CRITERIA ,,, * I I I I .%."m of' I I I I I . I �: 11 � I I � It . � 11 I . I . 11 I I . . I I I �� , I I I I I I ..., � 'Li iII , I I I I . �. �11 1 R4 - I I - , . � I I . I I . ROBERT , I B SEWAGE D,ISPOSAL SYSTEM . 11 . I ,� .1 I , . I - . I . ,,,r I I I � .r 11 I , I I � . �r', � I I ti I I � ... I I I ,� I . 'j, 1. , NUMBER OF BEDROOMS 3 1 . x F � I , �. I . �- � , �l I � . 0. .1� . a RAY' � 4" " I I I I I I I I I I rl: � I . I . � u mONE - I LOTS 16 8 17 1 � ��,'� , � -_ 0 A / . I PERSON PER BEDROOM -2- tio.19875 0 !t, . . "'y' I I I S370 *0 7"_E--�_ -, _-/_ - I .,�� , �� . I I I I I I I 0 , � I , � , . .0 � 4; cl� Ir � . I I I I �.. I I I - ", � . I . 0.2z_ 1 1 . I I GALLONS PER PERSON PER DAY --55- 1 1 1 -1 �_. I . I . I . _� I I . . I I I * . . . I I � I I C_X I I � � ;1, � , I � , PA WMEN r - , � I �_ � I A NCHOR L A IVE � �". . I 1 22 . ISTIO;� . I I I - - _ I �j, ., I 0 I- I -.V-F .e) - l-, - - - . I - I , - - - -flo(Fe- - - --, 4,V1 - - , I �e- , -7�of - - - . LEACHING REQUIRED 330-6P-A9 . L � . . r I I . I I , I � I I - 0E I . 11 I I , I � I I I I) I I " I I I I I . /� I ' - I I I ' ' '� .1 � I I I I ' ' . �, . I . 1 .549 GPD - . 1 4� f:)/ E I I I I � I A LEACHING 'PROVIDED __ - I � I - I � � 1. � I . I I � I I . - �,�� � , I I I I I I � I I NCHOR. L Z ANE . I I I . I I . � - "1.1* i 8A RNS TA 0 L_ ,t MA a I 11 � I � .1 I I I I I DISPOSAL I I NO r ./iN .f IF " I I ff lffrzjl_. _1� I I I . - I � I I I I I -_ __ /j %15" .f I I I I ,11 - � I I I I I I I I I . I �� . I I � I , " I I I . . /V I ,, I I - I I� � ", : . I � � . I - I I . - � ENGINEER : I I I I � I . . I I r�, ,11 'p", - I I 11, I % � . I I ./ APPLICANT I I ,� 11 11 . � I � , I I I n . nln_,v�i �Fl N, 11 z 1�� 11 I I . A, V .V;,�� I , I I 7 rRUST , I I J_ � �' I I I I I I I . I ,I I i CEDAR ACRES REAL 7 ARROW ENGINEERING INC. . � I I I I I - I ,�!l I i , . I I SEWER DESIGN - r 11,11 , I , I I I ' E I :1 I � I I -1. I I I . I . flogrF17 �� . � -24 GREA T P00 RD. 10 C4�PE DRIVr_ SUITE B , � 11 . � 11 . - � * ,� I I - 'I . 11 � I � � I I � I � I I . � I I E �,. � I -E, MA C"6 4 9 11 I . I . . I I u I i 411, 'S YARNOIJrH, MA. - MASHPE c- I I I I I I c I R MOND W I � I I� I � . I I . I 1 SI DE WA LL= d9_ Arjrx5x,6x25 , - 4 71 GPD . A 0 , r I I � I I I . . I �, .. All,�0 No2is83 _0�t - 1, . I 1. � I . I I .I I BOTTOM =, � it k 5px-10 I a 78 GPD � .-��, ,�� , 11. 11, SCALE': . DATE: SHEET:1 I " . I I I . I , I . �. I I I I I 11 I I I - - _ � I Q I � A") �1;1 io 'WN I JAN 23, 1990 1 � OF, / . I -- I 10, . I I � I il� ' ' I . I I ,� . I - 'TOTAL= 549 ORD ,� 'A I � I I I I . 1. I - I I . I . I 'AP-417,-40,�llup t WA I I K r. � I . �, I . . �_Wt, �11 I I I I . I . . I I - , , Y! . ... I I � I I ,OT," I I I 1 r I I . . I lotelil" I DRAWN B (7,HFC,KF.D BY APPD. BY: PLAN NO, � . 11 I . I I I . � - I " � ,; � 4 �, " �,� � . I - , � :, ., �' , " . �,,,I 1 . I , I � �l � � , .: �' '';,I,f ____ F � -T ;'l'lv*ll',_,_ E 1 17 0, 3�' I *1 I.: � I - � , N"* v ""� I /_ 7 __ __ I f _::� 1� I I � . � I I PLAN SCALE : I . I I I � I . I I � I I I � . I I I ,"..,. 1 �.�i, P I I I I ,-,----�-�,----,---,--,--,-------�-.-.--.-----t S,IR OL T , i �, I � -1 I � I . I I � ---,-----.---�.-----'-----,-------------- ____ I ____ 1.1.1.11-1-� ; I ____ - I - -Ift--l-im" - -mom.I.- - - � I I I , I . 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