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HomeMy WebLinkAbout1623 MAIN STREET (COTUIT) - Health 1623 MAIN STREET, COTUIT _ A 017 003.002 I' r r 1 Commonwealth of Massachusetts a Executive Office of Environmental Affairs Department of �yR Environmental Protections .x: William F.Weld y ; Governorr p Trudy Coxe - V� Secretary,EOEA l• Q w David B. Struhs Commissioner z ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ,r CERTIFICATION Property Address: l pZ (AcU to cS r CO`TG'r Address of Owner- . �v�\Aj c Alt c`s Date of Inspection: (If different) Name of Inspector: +c�c P�` P66 r and Teie hone umber. Company Name, Address p CERTIFICATION STATEMENT 1 certify that I have personally 'nspected`the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the I m of inspection. The inspection was performed based on my training and experience in the proper function and° maintenance of on-site s age disposal systems. The system: ,a Passes Conditionally Passes — Needs Further Evaluation By the Local Approving Authority Fails Inspector's Sig lure: Date: —a The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection:. if the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and.the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. s The original should be sent to the systern owner and copies sent to the buyer, if applicable and the approving authority. . INSPECTION SUMMARY: Check A, B, C, or D: A) SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: k - a One or more system components need to be replaced or repaired. The system, upon completion of the replacement orrrep air, passes inspection. ,.i ;t F,• Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined explain why not) ;f _ The septic tank is metal,cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure'is, r :_ (• imminent. The system will pass inspection if the existing septic tank is replaced with a conforming',septic tank as approved by the Board of Health. t (revised 8/25/95) 1 One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 • Telephone(617)292-5500 i�Printed on Recycled Paper 4. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A r CERTIFICATION (continued) Property Address: {�p � 6\cit�. 5 O1 C V h s r; Owner: Cv4\�cti�j Date of Inspection: B] SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the . Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING, IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy,is within 50 feet of a bordering vegetated wetland or a salt marsh. 2)` SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THATI x= THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE .r•:etxr ENVIRONMENT: $L{ 1 he system has a septic tank anu soil absorption syslenl anti is willm, i Ou foci to a suifacc v WEr supply or tributary'to a surface water supply. _ The system hay a septic tank and soil absorption system and is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well ; ,.�, _ The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the' ell is } free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than,5 k «. . ppm °S{. d D] SYSTEM FAILS: Y' I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. jhe basis "for this determination is identified below.,-The Board of Health should be contacted to determine what will be necessary,-to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool , . Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. (revised 8/15/95) 2 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: " �aZ E,=-� ;j% t^C T��P Owner: Date of Inspection: '—� 1� Dj SYSTEM FAILS (continued): Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow.. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. _ Any portion of a 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 I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50'feet from.a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: Th o+ f system is 10,000 gpd or greater (Large System) and the system is'a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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: The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address- ffl� Owner: Date of Inspection: Check if the (following have been done: Pumping information was requested of the owner, occupant, and Board of Health. L_4e'of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. 2he uilt plans have been obtained and examined. Note if they are not available with N/A. _/ facility or dwelling was inspected for signs of sewage back-up. vThe system does not receive non-sanitary or industrial waste flow �%The site was inspected for signs of breakout. system components, excluding the Soil Absorption System, have been located on the site. septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffle_s or tee , material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. _ The size and location of the Soil Absorption System on the site has been determined based on existing information or l;app oximated by non-intrusive methods. he facifi;) o.:,.e- ;and occupant,.if different from ovmer? were provided with information on the proper maintenance of Sub- Surface Disposal System. t 2 (revised 8%15/9.5) 4E` r r r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property.Address: I M-61-1- C I CbTV i!•T Owner: Gt•4!f is Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow: gallons Number of bedrooms: Number of current residents:_ Garbage grinder (yes or no):_ Laundry connected to system (yes or no):_ Seasonal use (yes or no):_ Water meter readings, if available: Last date of occupancy: COMMERCIAUINDUSTRIAL• Type of establishment: Design'flow: gallons/day Grease trap present: (yes or no)_ �,a'' _) Industrial Waste Holding Tank present: (yes or no)_ !" Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: 1 p ��aJi OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: Hey-e- CZe cep &r- . �a System pumped as pan of inspection: (yes or no)_ If yes, volume pomned: gallons 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).. Other(explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: Sewage odors detected when arriving at the site: (yes or no) (revised 8/15/95) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Ran I(Vyr�t tti �� &VQ% �-- Owner: Gyt�tc Date of Inspection: SEPTIC TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete ,metal _FRP_other(explain), Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: ;F Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Comments: liquid(recommendation for pumping, condition of inlet and outlet tees or baffl es,'de th p of q uid '..J level in relation to outlet invert, structural ,•_,,�, integrity, evidence of leakage, etc.) "h;,� GREASE TRAP: (locate on site plan) s}rr Depth below grade: Material of construction: concrete _metal _FRP _other(explain) Dimensions: Scum thickness: ,y. Distance from top of scum to top of.outlet tee or baffle: Distance from bottom ni cci­ to hnttnrr oi owle! tee or bailie-_r Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,'structur' integrity, evidence of leakage, etc.) fit , s•... y., t. 1.: a'.+` �S '��'�.F f'L Ki (revised 8115195) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION..FORM PART C SYSTEM INFORMATION (continued) Property Address: �,� i^tit ��\ cc' U\ Owner: oc'Akor�' r J Date of Inspection: TIGHT OR HOLDING TANK:L\/ , (locate on site plan) Depth below grade: Material of construction: _concrete_metal _FRP —other(explain) T.: Dimensions: Capacih gallons Design flo'W: gallons/day ,.i Alarm level: r' Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:_ :F (Locate on site plan) ,. Depth of liquid level above outlet invert: ° L,r t Comments: ,fr tnote n levei and distriburlui. i., eyua:, a\+Ucnce of sukd: co:r�u�er, evidence of leakage into or out of box, etc.) PUMP CHAMBEfi;C� (locate on site plan) ' Pumps in working order.(yes or no) �nrs g a Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) za dz� (revised e/15/95) 7 1 aetr7� , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:, Owner: '--tcA � +n Date of Inspection: F SOIL ABSORPTION SYSTEM (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) ,.., .If not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: f' leaching fields, number, dimensions: . overflow cesspool, number: ' Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) ,. CESSPOOLS: _ (locate on site plan) Number and configuration: Depth-top of liquid to inlet.invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: '- Indication of groundwater inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) 4kk, F h�,.t• #,�6 . 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.) r : (revised 8/15/95) t • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:/ 3 Met.✓ CCU 7TCJ 1 Owner: Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent ref ence landmarks or benchmarks locate all wells within 10Q'�� ` � s 1 O j fi "DEPTH TO GROUNDWATER . Depth to groundwater: feet {' method of determination or approximation: ' .(revised 8/15/95) 9 x aX? i' LO CAT ION/� &-a3 SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME & ADDRESS I UILDER OR OWNER b DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �3 ��fl i No-----A � 7a-�"'yA' Fps.....S..d lJo� ,. ..r. .. THE COMMONWEALTH OF MASSACHUSE'"S BOAR® OF HEALTH ...........................................OF.....................................I................ ............... .._..._........... Appliration for Dispersal Worko Tonstrnr#iun amit Application is hereby made for a Permit to Construct (f�) or Repair ( ) an Individual Sewage Disposal System at ....:...........---...�.{.� -.... -- ...........................•................. _......----••------...••••-•-•-•-•---.....---•--••••••-•-•-••-•-•-........-•---•............•..... �15�✓� F-!J��i`LocaU�n���S l�2 v�l or e No. V ` p`"i'lD tr Val CV .•...................•- .......................... ..........--...................................................................................... �p C Owner Address w .............................1. Iv ....C� f J L ............................ ......•-•-------•------••---------•--•---•---......................------......................... Installer Address Type of Building Size Lot..A I.lg2SS..Sq. feet Dwelling—No. of Bedrooms.......................................Expansion Attic ( ) Garbage Grinder (--} PL, Other—Type of Building` �,� _._ No. of persons............................ Showers ( ) — Cafeteria ( ) G4Other fixtures --------------- ------- . ....-----••------------------------•------------------------------------------............------------ w Design Flow.........sj�..........................gallons per person per day. Total daily flow.............. ................gallons. W Septic Tank—Liquid capacity.d 3..gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. .................... Widt _....._......_...._. Total Length___...--.......... Total leaching area....................sq. ft. Seepage Pit No......2----------- Diameter j jv.4�.... Depth below inlet...... ......... Total leaching area.-_/.L.Q_..sq. ft. Z Other Distribution box (✓j Dosin tank ( ) Percolation Test Results Performed b .__ ........ Date.'11_�l.Q.��'.................. a Y ` b , Test Pit No. 1.....Z-......minutes per inch Depth of Test Pit------1 2...... Depth to ground water......IZ........... 44 Test Pit No. 2....... ...._minutes per inch Depth of Test Pit.......tl ..... Depth to ground water------ Z Z-..•_.-___. P4 •-•-----•--•--••------•-•---------------- -- .................... Description of Soil..... �Z�+ ��lZZ" 5� 3 �c�iL• .. t••--.- _ ----- . _ -_ -- "-•----•----•----...--•----•----•---.......- w U Nature of Repairs or Alterations—Answer when applicable.._............................................................................................. " --•---------------------------------•------•----•-----------------------------------....-----------•--------•-----------------...--------------------------------•--•------------------......----------- Agreement: 0 The undersigned' agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of IITLU 5 of the State Sanitar, Code— T ender • ned further agrees not to place the system in der 0 1 a C rtic to Q mpliance has b iss d b the b r- of health. a _ y- Signed-•'�.....----------------•-----• •-----•--•-•--------........---------...---••-- �- 7� �� Date._... Application Approved By.......... ---------------------------------------------------•-- --•----•----.�'_ := y... ---....--•--....------ Date Application Disapproved for the following reasons-----------------------•---------------------------------------------------------•---...._...-------------••---- I •--•...............................•------•-•---•--••----•-----------------•----••---------•-•-•-•---------•----........._..-----•-----------------------------•--------------------------............. Date Permit No.......ZS .: I -----7------------------------------ Issued_....................................................... Date A ell, No........ ......... lre)­� ................. THE COMMONWEALTH OF MASSACHUSETTS L BOARD OF HEALTH .........................................OF.................................................... Appfiration for Disposal Works Tomitrurtion Frrutit fr MkW,111.0" ication is hereby made for a Permit to Construct or Repair an Individual Sewage Di posal '�`RVA 14"� ' MAO" sk, Ootvvk fA*, ' -------- . - .-.-.-.-.-.-.-.-.----- ----------------------.-.-.-.-.--------------------------.-.-.-.-.-.- .-.-.-.-.-.-.-.-.-.-.- .-.-.-.-.-.-.-.-.-.-.-.-.--------.-.-.-.-.- ion W ;r m ' - • Y" .................. v025........ wm Sf &� Iu,k - ......................... .......WITS .................. .............. ...... .......................... .... 7.... ................................................................................................... Installer Address Type of Building Size LotV�.Ftt"S....Sq. feet U 4 Dwelling—No. of Bedrooms.............................................Expansion Attic Garbage Grinder 114 Other—Type of Building vtbW.,ekk,4j�...... No. of persons............................ Showers Cafeteria 04 Other fixtures ......................... Design Flow.........Sst............... .........gallons per person per dayh Total daily flow..............4441:41.>............._...gallons. 04 , Septic Tank—Liquid capacityt,5 ..gallons Length.................Width................ Diameter-_______-__-- Depth I................ Disposal Trench—No.. ........-..._.. Width.................... Total Length.....:A,......___. Total leaching area___.._. ..........sq. ft. Seepage Pit No...... ........ Diameter....14.'... Depth below inlet......AJ*........ Total leaching area.3.f3.�....sq. f t. Z Other Distribution box Dos* g tank ........4W............ ..... .Percolation Test Results Performed b;! Ke!yilw�.......... DateJ!,.1 .................... 0-1 Test Pit No. I----2 .....0whutes per inch Depth of Test Pit-----L.2........... Depth to ground water..___. ..'. ._------jest Pit No. 2..... ....._minutes per inch, Depth of Test Pit......I?......... Depth to ground water.-_ ..___ ... ............................................................................................................................................................ 0 Description of Soil......................... ...................................... 7............................................................................................. U ......................................................................................................................................................................................................... -------------------------------------------­­........................------- ........................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable----------------------------.................................................................. ............................................................................................................................... ----------- --------------•-•--- Agreement: The undersigned agrees to install the afo edesc 'bed ividuffi Sewage Disposal System in accordance with i the provisions of TITLE, 5 of the State Sanitar d e u y gned further agrees not to place the?system in intil.-;r Cefaficad a X ompli nce has bee y lie health. I Signed': --------------------------------------------------------------------K--- -------------------------- Date A . .............t........................................... Application Approved By-------I//-------------- ............ ....... Date Application Disapproved for the following reasons:................................................................................................................ .........................................................................................................................................................................................................Date Permit No.. ....................................................... Issued...................................... ............. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD AP ft 1,b t R ................0 F.. .......... ................................................................................. Quatifiratr of Toutpfiattrr THIS 1§1R:,!41k7IFY, That the Indi*M" ual Sewage Disposal System constructed or Repaired by------:;;:.........xz.� ........ ------ ---------------- ...................................................................... ?" I ------------ at............................................................ ... staller ----------------------------------------------- mt.,/................. has been installed in accordadc'e'with the provisionsiof of The State Sanitary Code described in the application for Disposal Works Construction Permit'No................... ... ........ date"d1%-- -- ---------------- .............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAR_ NTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE" Jam.. ............................... THE COMMONWEAL-fk,'OFf'MASSACHP'SET,,TS )A R BC PjFirWgAETH .................................... 0.............. ................................ No......................... -1........................ ....... FEE........................ Permission,(is hereby qanted.................. ................ ........ ... 1 -­;ii,,,;�.....*-----I x...................... ............................................... /Iq _.,r to Construct Cc �'rof.Ri5pgif an IndiKidual Sewage Disposal System atNo........................................... ....... . .......................................................I..............................................I......................................... Street .as Shown'on the application for Disposal Works Co'nstruc'tion Permit No...................... Dated.......................................... . . ........................................................................................................ Board of Health DATE--------------............................ FORM 90STON,­­4­ SYSTEM PROFILE I NO T TO SCAL E TOP FDN. FINISH GRADE :�. .� FINISH GRADE OVER , EL . iB.a FINISH GRADE OVER , ° o SEPTIC TANK I C—fr DIST. BOX FINISH GRADE OVER L EA CHING PI T /C. --5 o. o .p 77117 VARIES o°:Pe a AQo °o : oab,bb400'.pD. ;p'b:. .a wp A4 p-pa000 dQ 3 " OF 1/8 " - 1/2 " 12 " WASHED PEAS TONE e ., PRECAST CONC. OR �• BRICK 6 MOR TA R v OUTLET PIPE LEVEL 4 " l•' TO 12" BEL OW GRADE o -_ 1 FOR 2 F T. MIN. °".o pe ° --- -a".o"a`.o. a v » tre ,oao. ti e•, �s It 18 D 'O . �'�,� � 0: ,,AA JJ O:PgA -b' .q C p •a d...o" �!: e;• , •� .:..'..7 { C �•Ls� b O O b. d -0. 0 .-. .G. C. I. OR PVC TEES --� .4 /, . /,3. 7.�'I a 'e� °o o ,: I a• .o. a• wo Q 44, BSMT. FLP. q �'• d /. Sj , GALLON 40 EL . ,� �- ,� o a a DISTRIBUTION BOX Q: I ° ° a INSTALL ON LEVEL BASE PRECA S T CONCRETE 3�4 " ro 1-1/2",-�' -�� e x 0 •a�.o "S p • PRECAST .6 '-o -6:o0 o A' Q WA SHED H— /0 REINFORCED CRUSHEDQ.I CONCRETE ' °.fl S TONE I ' Q • b:c C:o o•"dd- -o-""� e.:c`a p s� O e b �-o "p: a a'. I a� O " — 4 6•:I ! SEPTIC TANK H /0 REINF. �.O..p• .� �, .p. INSTALL ON LEVEL BASE NOTE: EXCA VA TE TO EL E V. OR LOWER TO REMOVE ALL IMPERVIOUS °o MA TERIAL BENEA TH THE LEA CHINS AREA REPL A CE EXCA VA TED MA TERIA L WI TH . CL EAN, CL A Y FREE SAND lc� n f: EFFECTIVE V25IAMETER ,-r ` r GENERAL NOTES LEACHING PIT .rd o r 1 . ALL ELEVATIONS SHOWN ARE BASED INSTALL ON LEVEL BASE > ALL PINcs IN THE SYSTEM MUST BE CAST IRDN OR SCHEDULE 4o p vC. OBSER VA TION - 3. THE BOARD OF HEA L TH MUS T BE. NO TIFIEU PIT WHEN CONSTRUCTION IS COMPLETE PRIOR ISOO GALLcxv ~"° -✓ ' TO BACKFILLING PERCOLA TION PATE: PRECAST CANCRETE s J ' MIN. /IN. SEPTIC TA w',,, I �,' ��- T 2 '��.\ 4" ANY CHANGES IN THIS PLAN MUST BE APPROVED ' . BY THE BOARD OF HEAL TH AND CAPE 6 ISL ANOS WI TNESSED BY.• SURVEYING CO. , INC. f ; t 0A �� Ip� \ / n .. r ` 5. MATERIALS AND INSTALLATION SHALL BE IN 26 _ COMPL IA WI TH THE STA TE SA NI TARP �¢`' '�' ` BAD. OF HEALTH P ' . ' DESIGN DA TA { PRECAST caws. � , �1 LEACHING PITS " °-. CODE - TITLE V - AND LOCAL APPLICABLE DATE.- RULES AND REGUL A TIONS 5. NORTH ARROW IS FROM RECORD PLANS AND NUMBER OF BEDROOMS i IS NOT TO BE USED FOP SOLAR PURPOSES GA RBA GE DISPOSAL N4 .7 FLOOD HAZARD ZONE .� "' �„ ;,� �� DAILY FLOW `��� GPD B. WA TER SUPPLY M °f;rr� - :. {f,�.� i �';✓�? ;: 4 I SEP TIC TA NK REO D. �25 GAL �P.�'L SEPTIC TANK PROVIDED ZOS© GAL J t k LEA CHING REQUIRED 440 GPD h f g Z SIDEWA L L AREA a j"4'? S. F. � ... S. F. X G/S. F. -&L GPD. y O`Y ARG�O�. D WELL �" 3� ' LEGEND e,BOTTOM AREA a__/ S. F.le 3 L..— G/ — GPD f LEACHING PROVIDED GPD i PROPOSED ELEVA TION � �,/!f ✓E�. r2 ' \\ -. � . �" � 4 RUUrV£1�•tt d'"�"�'_.._ ,E'F'�'s'.9�"�s: �!o t;"' ,?� i f '' ' EXISTING HELL — -'16 —— EXISTING CON TOUR -►� .qc (°r 7 , OBSEAVA TION PIT ❑ DISTRIBUTION BOXJAMES Lr-� f LAMA PROPOSED SEWAGE DISPOSAL SYSTEM �- / - _ "•__ :' hW reALEs �o PLACED Anav STAKED Uo LEACHING PIT BERTRANf} PREPARED FOR Me. 29994 ` __I — ALGW6 PROPOSED WORK LIMlT DURING CAtiCSTRUCTIaW t.. ; o o SEPTIC TANK ARDEL L CAL L AS /r A RPl PESERVE PI T AREAS ,.. LOT 28 MAIN STREET BARNSTABLE — COTUIT — MASS. PIPE INVERT ELEVATION DA TE. ,vv✓, i, isy�n CAPE 6 ISLANDS SUP VEYING, INC. PLOT PLAN °��v k, ' Jt SCALE AS NOTED SCALE: 1 "_ -00 ' k�; �. P. 0. BOX 334 MAP SEC L LOT H.SE t ,. " PLAN NO. S24.5-d-4 TEA TICK,E'T, MASS. ,. ...��.. r ..., z :._ .,:.. ., E ;,.t:'a sR�.:. ..,+ .5,�,�. .`t'�Si" �'.�«.'fit ... 1, .a±'se.�..�i .wR: •:.•• �`. ,� . Y•_: .. e.;14.:# 3'P.::..