HomeMy WebLinkAbout0501 MARINER CIRCLE - Health 501 MARINER CIRCLE, COTUIT
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Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
,^M 501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is Cotuit
required for Ma. 02635 4/12/2011
every page. City/Town 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: A. General Information
When filling out / n
forms on the
computer, use 1. Inspector: IlX//IlY/1 ✓`�
only the tab key
to move your Robert Paolini
cursor-do not Name of Inspector
use the return
key. Capewide Enterprises,LLC.
Company Name
P.O.Box 763
Company Address
Centerville Ma. 02632
'EN0 City/Town State Zip Code
(508)477-8877 S14454
Telephone Number License Number
B. Certification
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
tsewage disposal systems. I am a DEP approved system inspector pursuant WSection 15.340 off
Title 5 (310 CMR 15.000).The system:
® Passes ❑ Conditionally Passes ❑ Fails "
❑ Needs Further Evaluation by the Local Approving Authority
4/12/2011 r,
Inspector's Signature Date t
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.
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sew4DispSystem•/Pa�e�of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is required for Cotuit Ma. 02635 4/12/2011
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:
® 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 septic system is in proper working order at the present time.
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.
❑ Y ❑ N ❑ ND (Explain below):
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
t—
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
_ Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is required for Cotuit Ma. 02635 4/12/2011
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
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):
❑ 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is required for Cotuit Ma. 02635 4/12/2011
every page. City/Town 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 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 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
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than 1/2 day flow
Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
t5ins•11/10 P 9 P Y 9
r i
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
�M 501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is required for Cotuit Ma. 02635 4/12/2011
every page. CitylTown 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 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 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.]
❑ ® 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 15,000 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 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.
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
;M 501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is required for Cotuit • Ma. 02635 4/12/2011
every page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes"or"no"as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ 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
® El 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.
❑ ® 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)]
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
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
f
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
_ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
�^M 501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is required for Cotuit Ma. 02635 4/12/2011
every page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 4
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ® Yes ❑ No
Seasonal use? ❑ Yes ® No
Water meter readings, if available last 2 ears usage d NA
9 ( Y 9 (gP ))�
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: 4/12/2011
Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow (based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow (seats/persons/sq.ft., 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:
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is required for Cotuit Ma. 02635 4/12/2011
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other (describe below):
General Information
Pumping Records:
Source of information: Capewide Enterprises,LLC.
Was system pumped as part of the inspection? ® Yes ❑ No
If yes, volume pumped: 1000
gallons
How was quantity pumped determined? Measured
Reason for pumping: Maintenance
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):
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
^M 501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is required for Cotuit Ma. 02635 4/12/2011
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer (locate on site plan):
Depth below grade: f 6t
Material of construction:
❑.cast iron ® 40 PVC ❑ other(explain):
Distance from private water supply well or suction line: 10'+
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Joints appear tight.No evidence of Ieakage.System vented through the house vents.
Septic Tank(locate on site plan):
Depth below grade: 1
p g 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 gallon
Sludge depth:
4"
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
I
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
�^M 501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is required for Cotuit Ma. 02635 4/12/2011
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle
28"
Scum thickness
2"
6,1
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
12"
How were dimensions determined? Measured
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Pump tank every two years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears
structurally sound.
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
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
f
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
°M 501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is required for Cotuit Ma. 02635 4/12/2011
every page. City/Town State Zip Code Date of Inspection
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.):
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
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments (condition of alarm and float switches, etc.):
*Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17
r
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
^M 501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is required for Cotuit. Ma. 02635 4/12/2011
every page. Cityf town State 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 No
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.):
Box is Ievel.Box has one outlet Iateral.No evidence of solids carryover.No evidence of leakage.
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.):
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
M 501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is Cotuit Ma. 02635 4/12/2011
required for
every page. City/Town State Zip Code Date of Inspection
D. System. Information (cont.)
Type:
® leaching pits number: 1
❑ 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.):
Sandy soil.No signs of hydraulic failure.Water level was 48" below invert at time of inspection.Stain
line observed 32" below invert.
Cesspools(cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
°M 501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is Cotuit Ma. 02635 4/12/2011
required for
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
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Commonwealth of Massachusetts
ti W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is required for COtult Ma. 02635 4/12/2011
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
® Surface water
® Check cellar
❑ Shallow wells
Estimated depth to high ground water: Bottom of LP 55'
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: Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
® Checked with local Board of Health -explain:
As-Built
❑ Checked with local excavators, installers - (attach documentation)
❑ Accessed USGS database - explain:
You must describe how you established the high ground water elevation:
USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of
groundwater elevations.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection .Form
_ Subsurface Sewage Disposal System Form- Not for Voluntary Assessments
501 Mariner Circle
Property Address
Dennis Stampfl
Owner Owner's Name
information is Cotuit Ma. 02635 4/12/2011
required for
every page. Citylfown 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
r
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
. eIV
MAR `
�00�r ti�
s
COMMONWEALTH OF MASACHUSETTS ,
EXECUTIVE OFFICE OF ENVIRONMENTAI AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET BOSTON MA 02108(617)292-3500
TRUDY COXE
Secretary
ARGEO PAUL CELLUCCI DAVID B.STRUHS
Governor Commissioner
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION
Property Address: 501 MARINER CIRCLE COTUIT, MA MAP 024-0320033 02635
Name of Owner TOM KELLIHER
Address of Owner: 601 MARINER CIRCLE COTUIT,MA 02636
Date of Inspection: 3/1/00
Name of Inspector: JOHN GRACI
I am a DEP approved system inspector pursuant to Section 15.340 of Tide 5(310 CMR 15.000)
Company Name: TITLE V SEPTIC INSPECTIONS
Mailing Address: P.O.BOX 2119 TEATICKET MA.02536
Telephone Number: 608-664-6813
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate
and complete as of the time of inspection.The Inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems.The system:
X Passes
_ Conditionally Passes
_ Needs Further Evaluation By the Local Approving Authority
Fails
Inspector's Signature: Date::is1;4;si
The System Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of
completing this Inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner
shall submit the report to the appropriate regional office of the Department of Environmental Protection.The original should be sent to the
system owner and copies sent to the buyer,if applicable,and the approving authority.
NOTES AND COMMENTS
"The inspection is based on criteria defined in Title V code 310 CMR 15.303.My findings are of how the system is performing at the time of inspection.My
inspection does not imply any warranty or guarantee of the longevity of the septic system and any of its component's useful life"
THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND PUMPING THE SYSTEM EVERY TWO YEARS FOR PROPER MAINTENANCE.
revised 9/2/98 Page 1 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 501 MARINER CIRCLE COTUIT, MA MAP 024-0320033 02635
Name of Owner TOM KELLIHER
Date of Inspection: 3/1100
INSPECTION SUMMARY: Check A, B, C, or D:
A. SYSTEM PASSES:
X I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated
are indicated below.
B. SYSTEM CONDITIONALLY PASSES:
One or more system components as described In the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the
replacement or repair,as approved by the Board of Health,will pass.
Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination In all Instances.If"not determined",explain why not.
nLa The septic tank Is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance
attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,
whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The
system will pass Inspection if the existing septic tank Is replaced with a complying septic tank as approved by the Board of Health.
nla 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
n& 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
revised 9/2198 Page 2 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 501 MARINER CIRCLE COTUIT, MA MAP 024-0320033 02635
Name of Owner TOM KELLIHER
Date of Inspection: 3/1/00
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 IN ACCORDANCE WITH 310 CMR 15.303(1)(b)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 surface water
4
_ 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 AND SAFETY AND THE 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 a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well.
_ The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well,
The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a
private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the
well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less
than 5 ppm,Method used to determine distance n(a(approximation not valid).
3) OTHER
n/a
revised 9/2198 Page 3 of 11
-SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 501 MARINER CIRCLE COTUIT, MA MAP 024-0320033 02635
Name of Owner TOM KELLIHER
Date of Inspection: 3/1/00
D. SYSTEM FAILS:
You must Indicate either"Yes"or"No"to each of the following:
I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is
Identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure.
Yes No
X Backup of sewage into facility or system component due to an 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.
X 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 1/2 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 Il.
X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation.
X Any portion of a 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 I 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.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.
E. LARGE SYSTEM FAILS:
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:
The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and
safety and the environment because one or more of the following conditions exist:
Yes No
X the system is within 400 feet of a surface drinking water supply
X the system is within 200 feet of a tributary to a surface drinking water supply
_ X 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 upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the
Department for further information.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
MARINER CIRCLE COTUIT
Property Address: 501 , MA MAP 024-0320033 02635
P Y
Name of Owner: TOM KELLIHER
Date of Inspection: 3/1100
Check if the following have been done:You must indicate either'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 - None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period.
Large volumes of water have not been introduced into the system recently or as part of this inspection.
X - As built plans have been obtained and examined.Note if they are not available with N/A.
X - The facility or dwelling was inspected for signs of sewage back-up.
X - The system does not receive non-sanitary or industrial waste flow.
X - The site was inspected for signs of breakout.
X - All system components,excluding the Soil Absorption System,have been located on the site.
X - The septic tank manholes were uncovered,opened,and the Interior of the septic tank was Inspected for condition of baffles or tees,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
P q
determined based on:
X - Existing information,For example,Plan at B4O,H,
X - Determined in the field(if any of the failure criteria related to Part C is at Issue,approximation of distance is unacceptable)1 5.302(3)(b)]
X - The facility owner(and occupants,If different from owner)were provided with information on the proper maintenance of SubSurface Disposal
Systems.
revised 9/2/98 Page 5 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 501 MARINER CIRCLE COTUIT, MA MAP 024-0320033 02635
Name of Owner TOM KELLIHER
Date of Inspection: 3/1/00
FLOW CONDITIONS
RESIDENTIAL:
Design flow: 110 g.p.d./bedroom
Number of bedrooms(design): 3 Number of bedrooms(actual):
Total DESIGN flow: 330 gpd
Number of current residents:4
Garbage grinder(yes or no):NO
Laundry(separate system)(yes or no): 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 two year's usage): n/a gpd
Sump Pump(yes or no): NO
Last date of occupancy: n/a
COM M ERCIALIINDUSTRIAL
Type of establishment: n/a
Design flow: n/a gpd(Based on 15.203)
Basis of design flow:n/a
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: n/a
Last date of occupancy:n/a
OTHER: (Describe) -
n/a
GENERAL INFORMATION
PUMPING RECORDS and source of information:
n/a
System pumped as part of inspection:(yes or no):NO
If yes,volume pumped n/a gallons
Reason for pumping:n/a
TYPE OF SYSTEM
X 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)
_ I/A Technology etc.Attach copy of up to date operation and maintenance contract
_ Tight Tank Copy of DEP Approval
Other:n/a
APPROXIMATE AGE of all components,date installed(if known)and source of information:
1980 PERMIT 80-701
Swap odors dot@ct@d when arriving at the site,(yes or no) NO
r
revised 9/2/98 Page 6 of 11
r
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 501 MARINER CIRCLE COTUIT, MA MAP 024-0320033 02635
Name of Owner TOM KELLIHER
Date of Inspection: 3/1100
BUILDING SEWER:X
(Locate on site plan)
Depth below grade: 16"
Material of construction: _ cast iron X 40 Pvc _ other(explain)
Distance from private water supply well or suction line: n/a
Diameter: 4"
Comments: (condition of joints,venting,evidence of leakage,etc.)
THE SYSTEM HAS TOWN WATER.
SEPTIC TANK: X
(locate on site plan)
Depth below grade: 12"
Material of construction: X concrete_ metal_ Fiberglass_ Polyethylene_ other
explain: n/a
If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO
Age: n/a
Dimensions: 1000G L 8'6"H 6'7"W 4'10""
Sludge depth: 4"
Distance from top of sludge to bottom of outlet tee or baffle: 30"
Scum thickness: 3"
Distance from top of scum to top of outlet tee or baffle: 6"
Distance from bottom of scum to bottom of outlet tee or baffle: n/a
How dimensions were determined: MEASURED
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,
etc.)
THE SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING THE SYSTEM EVERY TWO YEARS.
GREASE TRAP: _
(locate on site plan)
Depth below grade: n/a
Material of construction: _concrete_ metal_ Fiberglass _ Polyethylene_other
Explain: n/a
Dimensions:n/a
Scum thickness: n/a
Distance from top of scum to top of outlet tee or baffle: n/a
Distance from bottom of scum to bottom of outlet tee or baffle n/a
Date of last pumping: n/a
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,
etc.)
n/a
revised 9/2198 Page 7 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 601 MARINER CIRCLE COTUIT, MA MAP 024-0320033 02635
Name of Owner TOM KELLIHER
Date of Inspection: 3/1/00
TIGHT OR HOLDING TANK: _ (Tank must be pumped prior to,or at time of,inspection)
(locate on site plan)
Depth below grade: n/a
Material of construction: _concrete_ metal_Fiberglass _Polyethylene _other
Explain: n/a
Dimensions: n/a
Capacity: n/a gallons
Design flow: n/a gallonstday
Alarm present: NO
Alarm level:n/a Alarm in working order:NO
Date of previous pumping: n/a
Comments:
(condition of inlet tee,condition of alarm and float switches,etc.)
n/a
DISTRIBUTION BOX:X
(locate on site plan)
Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE
Comments:
(note if level and distribution Is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.)
THE DISTRIBUTION BOX IS STRUCTURALLY SOUND.
PUMP CHAMBER: _
(locate on site plan)
Pumps in working order:(Yes or No): NO
Alarms In working order(Yes or No): NO
Comments:
(note condition of pump chamber,condition of pumps and appurtenances.etc.)
n/a
revised 9/2/98 Page 8 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 501 MARINER CIRCLE COTUIT, MA MAP 024-0320033 02635
Name of Owner TOM KELLIHER
Date of Inspection: 3/1/00
SOIL ABSORPTION SYSTEM(SAS): X
(locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods)
If not located,explain:
n/a
Type:
leaching pits,number:(1)1000 GAL 6 X 6'
leaching chambers,number: (nla)n/a
leaching galleries,number: (n/a)n/a
leaching trenches,number,length: (n/a)n/a
leaching fields,number,dimensions: (n/a)n/a
overflow cesspool,number: (n/a)n/a
Alternative system: n/a
Name of Technology: n/a
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.)
THE LEACH PIT IS STRUCTURALLY SOUND AND APPEARS TO BE FUNCTIONING PROPERLY.THE PIT HAD I'OF WATER IN IT AT THE TIME OF
THE INSPECTION.THE PIT HAS NOT IHAD MORE THAN I'OF WATER IN IT.
CESSPOOLS:
(locate on site plan)
Number and configuration: n/a
Depth-top of liquid to inlet invert: n/a
Depth of solids layer: n/a
Depth of scum layer. n/a
Dimensions of cesspool: n/a
Materials of construction: n/a
Indication of groundwater: n/a inflow(cesspool must be pumped as part of Inspection)NO
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
n/a
PRIVY:
(locate on site plan)
Materials of construction: n/a Dimensions: n/a
Depth of solids: n/a
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
n1a
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 501 MARINER CIRCLE COTUIT, MA MAP 024-0320033 02635
Name of Owner TOM KELLIHER
Date of Inspection: 3/1/00
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent reference landmarks or benchmarks
locate all wells within 100'(Locate where public water Supply pp y comes into house)
38
Oec�C
0 0
Q �
D C
16 ro
revised 9/2198 Page 10 of 11
y r
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 501 MARINER CIRCLE COTUIT, MA MAP 024-0320033 02635
Name of Owner TOM KELLIHER
Date of Inspection: 3/1/00
NRCS Report name: n/a
Soil Type: n/a
Typical depth to groundwater: n:a
USGS Date website visited: n/a
Observation Wells checked: NO,
Groundwater depth: Shallow— Moderate_ Deep—
SITE EXAM _ Slope
_ Surface water
_ Check Cellar
_ Shallow wells
Estimated Depth to Groundwater 12 Feet+
Please Indicate all the methods used to determine High Groundwater Elevation:
_ Obtained from Design Plans on record
X Observed Site(Abutting property,observation hole,basement sump etc.)
_ Determined from local conditions
Checked with local Board of health
_ Checked FEMA Maps
Checked pumping records
Checked local excavators,installers
X Used USGS Data
Describe how you established the High Groundwater Elevation.(Must be completed)
USGS MAPS AND CHARTS-12+FEET
revised 9/2198 Page 11 of 11
Training Manual for State Environmental Code 1995
Chapter 6
Understanding the Enforcement of Title 5
Summary of Key Enforcement and Variance Provisions
15.022: Duty of Compliance is on the owner(s) and operator(s)jointly and severally of
a facility served by a system.
15.023: Approving Authority Access Board of Health or DEP may examine systems at
any reasonable time to determine compliance — if access is denied, a warrant may be
sought 1 —filing of an application for Disposal Construction Permit (DSCP) or any other
approval under Code constitutes applicant's consent for entry at reasonable times for
purposes associated with approval.
15.024 Violations of 310 CMR 15.000 for any person to:
1. Construct and use system not in compliance with DSCP, Certificate of
Compliance, other approval or order-,
2. Use, modify, or alter a facility to increase design flows above approved capacity
without the approval of Board of Health and DEP; or
3. Aggregate facilities or divide a facility into separate facilities without having an
inspection and obtaining a certificate of compliance — if the Board of Health or
DEP determines that the ownership of facilities asserted to be in separate
ownership of facilities asserted to be in separate ownership was arranged to
circumvent the requirement:
a. To install a recirculating sand filter or equivalent technology for systems
of 2,000 gpd or greater located in nitrogen sensitive areas (Interim
Wellhead Protection Areas or mapped Zone lis) pursuant to 310 CMR
15.202; or
b. To obtain a groundwater discharge permit for systems of 10,000 gpd or
greater pursuant to 314 CMR 5.000, the Board of Health and/or DEP may
order such action.
4. Construct, upgrade, or expand a system without the prior approval of the Board
of Health or the Department in the form of a Disposal System Construction
Permit (DSCP) or approval of an emergency repair2;
5. Fail to take any necessary corrective actions as directed by the Board of Health
or DEP;
6. Fail to obtain an inspection when and as required;
7. Violate any other provision of Title 5 or applicable local requirements.
15.025: Enforcement by Approving Authorities
w/training materials/bohch6 1
Pursuant to M.G.L. c 21A §13, Boards of Health may enforce the provisions of 310 CMR
15.000 in the same manner in which local health rules and regulations are enforced.
Whenever a board of health fails to enforce within a reasonable period of time, the
Department may act to effect compliance with 310 CMR 15.000 under applicable
provisions of M.G.L. c 21A,§§ 27 through 53; M.G.L. c 21A, §§ 13 and 16 and any other
applicable law.
Notice of Noncompliance. -
The Board of Health or DEP may choose to document the noncompliance of an owner or
operator of a system through the issuance of a letter of noncompliance which requests
the recipient to perform actions necessary to come into compliance with 310 CMR
15.000 Such letter is not an order and is not appealable pursuant to 310 CMR 15.420
through 15.422.
15.026 Orders
The Board of Health or DEP may issue orders requiring the owner or operator of a
facility to come into compliance with the provisions of 310 CMR 15.000 or to take any
other action necessary to protect public health, safety, welfare or the environment. Each
day's failure to comply with the order within the timeframe specified shall constitute a
separate offense and may result in penalties.
Service of Orders
a. Personally, by any person authorized to serve civil process, or
b. By any person authorized to serve civil process by leaving a copy of the
order at his/her last and usual place of abode, or
c. By sending him/her a copy of the order by registered or certified mail,
return receipt requested, if his/her last and usual place of abode can be
determined based on a review of the local tax assessor's records, or
d. If his/her last and usual place of abode is unknown, by posting a copy of
the order in a conspicuous place on or about the facility and by advertising it
for at least three out of five consecutive days in one or more newspapers of
general circulation within the municipality wherein the affected facility is
situated.
Emergency Order
Whenever an imminent threat to public health, safety, welfare or the environment exists,
or could result during the pendency of a hearing on the order, the local approving
authority or the Department may issue the order reciting the existence of the emergency
and requiring that such action be taken.
15.421: Appeals From Determinations by Board of Health
Any person aggrieved by any order, variance, issuance or denial of a Disposal System
Construction Permit, Local Upgrade Approval or Certificate of Compliance issued by the
board of health may appeal to any court of competent jurisdiction. Pursuant to M.G.L. c
21A §13, Superior Court has jurisdiction to enforce the provisions of this code.
w/training materials/bohch6 2
15.422: Appeals of Departmental Determinations
An applicant who is aggrieved by a variance determination order, or by a commonality
determination that facilities asserted to be in separate ownership or control should be
treated as a single facility (310 CMR 15.011) by the Department may
request an adjudicatory hearing on that determination in accordance with 310 CMR 1.00
and M.G.L. c. 30A.
15.410: Variances -Standard of Review
Boards of health and the Department may vary the application of any
provisions of 310 CMR 15.000 with respect to any particular case except those listed in
310 CMR 15.415:
a. New construction —4 feet of naturally occurring pervious material;
b Upgrades or increases in flow to existing system —4 feet of naturally
occurring pervious material unless;
i. applicant demonstrates that other alternatives are not feasible and
connection to shared system or sewer is not feasible,
ii. at least 2 feet of naturally occurring pervious material is maintained,
iii. deep hole test documents that 4 feet standard cannot be met
anywhere on site,
iv. evidence that easement on adjacent property cannot be obtained that
meets 4 foot requirement,
v. sufficient evidence that documents high ground water elevation per
procedure in 310 CMR 15.103.
Variances shall be granted subject to such conditions as necessary to protect public
health, safety and the environment (310 CMR 15.413) only when, in the opinion of the
approving authority:
a. The applicant demonstrates manifest injustice; and
b. The applicant proves an equivalent degree of environmental protection
without strict application of 310 CMR 15.000.
New construction —manifest injustice includes demonstration that strict enforcement of
310 CMR 15.000 deprives the applicant of substantially all beneficial use of the subject
property.
15.411:Variance Process
1. Every request for a variance must be in writing and identify the
specific provision of 310 CMR 15.000 for which a variance is sought and include a
statement demonstrating manifest injustice and proving equal degree of environmental
protection. No application for a variance shall be complete until the applicant has
notified all abutters by certified mail at his/her own expense at least ten days before the
Board of Health meeting.
2. Emergency repairs (310 CMR 15.353) may be performed without seeking a
variance. The owner of the system must seek a variance within 30 calendar days after
w/training materials/bohcM 3
performing the emergency repairs.
3. Approvals and denials of variances must be in writing. Denials must
contain a brief statement of the reasons for the denial and may require the applicant to
upgrade the system in accordance with standards and requirements at 310 CMR 15.404
and 15.405.. A copy of each variance shall be conspicuously posted for 30 days
following its issuance; and shall be available to the public at all reasonable hours.
4. A request for a variance for a residential facility with four units or less (as described in
M.G.L. c. 111, § 31E) are constructively approved by the board of health if not acted
upon within 45 days of receipt of a complete application. Such variances are still subject
to review by the Department in accordance with 310 CMR 15.412.
15.412: Review of Variances by the Department
1. All variances other than those listed below in (2 ) must be submitted for DEP review
with copy of approved board of health variance. DEP has 30 days to act from receipt of a
complete application. DEP's failure to act results in constructive approval of the
variance.
2. No DEP review of the following variances required where the board of health has
approved the variance.
a. Reduction of property line setbacks (310 CMR 15.211), provided that a
survey of the property line shall be required if a system component placed
within five feet of the property line, and maintain a 10 foot separation between
abutting soil absorption systems;
b. Reductions of system location setbacks from cellar wall, swimming pool, or
slab foundations (310 CMR 15.211).
c. Reduction of 400 foot setback to surface water supplies to no less than 200
feet, reduction of 200 foot setback to tributaries to surface water supplies to
no less than 100 feet, retention of no less than 50 feet of soil absorption
system to surface waters, and retention of no less than 25 feet of septic tank
to surface waters. in watersheds other than Worcester, Quabbin and
Wachusett (to which MDC watershed protection regulations, 310 CMR 11.00
apply) provided that board of health specifically finds, after consultation with
water suppliers, that owing to circumstances relating to soil conditions, slope
or topography of land, relief may be granted without substantial detriment to
public good and without impairing quality of water in watersheds.
15.414: Variances for Increased Flow to Existing System
The general rule is that no increase in flow to existing systems is allowed unless system
is upgraded in full compliance with new construction requirements unless a variance is
obtained (310 CMR 15.352). To obtain a variance, the applicant must:
1. Demonstrate manifest injustice considering all relevant facts and circumstances of the
case including:
a. The applicants shall be deemed to have had knowledge of 310 CMR 1.5.352
requirements;
w/training materials/bohch6 4
b. The costs of full compliance with the requirements applicable to new
construction shall be compared to the costs of compliance with a variance;
and
c. Whether an upgrade in full compliance with 310 CMR 15.000 is feasible
without increased flow.
2. Demonstrate that the system cannot be brought into full compliance through any of
the following:
a. An upgraded system, which is in full compliance with the code;
b. An alternative system;
c. A shared system;
d.. Connection to a sewer system.
3 Demonstrate that the upgraded system with the increased flow provides better
protection of public health and safety and the environment than the existing system with
no increase in flow.
15.416: Variances for Schools
1. A school means any public or privately owned elementary, middle, or secondary
school. University, college or other adult educational facilities, regardless of ownership,
are not considered schools for these purposes.
2. Required demonstrations
a. The variance is necessary to accommodate an overriding community, regional,
state or national public interest; and
b. A level of environmental protection without strict application of 310 CMR
15.000 is obtained.
3. Additional demonstrations for flow variances:
a. Use of metered maximum daily water flow readings from comparable facilities
are or will be substantially different from those contained in flow charts at 310
CMR 15. 203 (5) because of water conservation techniques or other factors,
including consideration of occupancy and use rates;
b. System design has accounted for any anticipated pollutant loadings and greater
concentration of pollutants that result from reducing flows; and
c. Design flows with approved variances must be based on 200% of the average
daily water meter readings when school is in session.
4. A groundwater discharge permit will be required if any school with a design flow of
10,000 gpd or greater but less than 15,000 gpd is located within 400 feet of a surface
water supply, within 200 feet of tributary to surface water supply or is located within an
Interim Wellhead Protection Area or mapped Zone II unless DEP has determined, after
consideration of the factors at 310 15.304 (3) that this requirement is manifestly unjust
and the owner or operator of the school has established that a level of environmental
protection that is at least equivalent can be achieved without strict application of 310
CMR 15.000.
5. The Department may vary the prohibition on increased flows to systems with design
flows between 10,000 and 15,000 gpd set forth in 310 CMR 15.0006 (4) where the
applicant:
w/training materials/bohch6 5
a. Satisfies the criteria of 310 CMR 15.416(2)
b. Demonstrates that there are no reasonable conditions or alternatives that
would allow the system to be expanded in compliance with the provisions of 310
CMR 15.000 or other applicable requirements; and
c. Demonstrates that the upgraded system with the increased flow provides
better protection of public health and safety and the environment than the
existing system with no increase in flow.
15.417: Variances from Percolation Rate
1.To assist in determining the advisability of allowing perc rates between 30 and 60
minutes per inch, DEP may permit the construction of systems for up to 20 single family
dwellings per year.
2. Process Approval
a. RFP to be issued by DEP with procedures to obtain approvals;
b. Completed applications must include board of health support letter and
proposed monitoring plan;
c. DEP approval shall require annual inspection for at least seven years, written
notice to any purchaser of dwelling, and receipt of Disposal Construction
Permit form Board of Health, and
d. No approvals within nitrogen sensitive areas (e.g. Interim Wellhead
Protection Ares, mapped Zone Ils).
Lowering the Threshold from 15,000 GPD to 10,000 GPD Groundwater Discharge
Permit Required for Systems >10,000 GPD —314 CMR 5.00 Revisions
As required by M.G.L. c.21 § 27, the Bureau of Resource Protection (BRP) of the
Department of Environmental Protection has established a program for the regulation of
discharges of pollutants to the ground waters of the Commonwealth 314 CMR 5.00.
Activities that are exempt from the need to obtain a groundwater discharge permit are
listed in 314 CMR 5.05. In connection with the new Title 5, 310 CMR 15.000,
promulgated on September 23, 1994, BRP will be holding public hearings prior to March
31, 1995 regarding replacing current language in 314 CMR 5.05 (1) which exempts
facilities of 15,000 gallons per day or less with the following language which will exempt
the following facilities:
1.
a . Any facility which discharges a liquid effluent as a result of the treatment
of sewage at a treatment works which is designed to receive and receives
15,000 gpd or less provided that facility and treatment works were designed,
approved, constructed and maintained in accordance with 310 CMR 15.00,
"The State Environmental Code, Title 5, Minimum Requirements for the
Subsurface Disposal of Sanitary Sewage" (the 1978 Code, as is effect until
March 31, 1995), or in accordance with Article 11 of"The State Sanitary
Code Minimum Standards for Sanitary Sewage" (the predecessor to the
1978 code), as in effect, and the facility and treatment works are maintained,
including, but not limited to, upgraded, if required, in accordance with 310
CMR 15.000, "The State Environmental Code, Title 5, Standard
Requirements for the Siting, Construction, Inspection, Upgrade and
Expansion of On-site Sewage Treatment and Disposal Systems and for the
w/training materials/boheh6 6
Transport and Disposal of Septage" (promulgated on September 23, 1994,
and as in effect).
b. Any facility which discharges a liquid effluent as a result of the treatment of
sewage at a treatment works which is designed to receive and receives 10,000 to
15,000 gpd of sewage, which, pursuant to 310 CMR 15.004 (2) (b), 310 CMR
15.005 (7) or 310 CMR 15.006 may be approved, constructed and/or maintained,
after March 31, 1995; provided that such facility and treatment works are
designed, approved, constructed and maintained, including, but not limited to,
upgraded, if required, in accordance with 310 CMR 15.000,
c. Any facility which discharges a liquid effluent as a result of the treatment of
sewage at a treatment works which is designed to receive and receives less than
10,000 gpd, provided that such facility and treatment works are designed,
approved, constructed and maintained, including, but not limited to, upgraded, if
required, in accordance with 310 CMR 15.000.
In addition, 310 CMR 15.020 provides, in part, that a Disposal System Construction
permit "shall not authorize increased design flow which would bring the total design flow
to 10,000gpd or greater but less than 15,000 gpd" except for subdivisions entitled to
M.G.L. c111, §127P protection, M.G.L. c.40B comprehensive permit land, and large
systems with approved plans and disposal system construction permits issued by March
31, 1995 all as set forth in 310 CMR 15.005 (transition rules) or pursuant to a variance
issued by the Department in accordance with 310 CMR 15.414.
In light of the proposed revisions to 314 CMR 5.05 (1) and 310 CMR 15.020, when an
application for a disposal system construction permit is submitted to a Board of Health,
the Board must make a determination as to whether the volume of sewage to be
disposed of on the lot is in excess of 10,000gpd. 310 CMR 15.203 contains a table of
sewage flow estimates and specifics, for example, that the daily sewage flow for single
and multiple dwelling units is 100 gpd per bedroom.
Applicability of Title 5 or 314 CMR 5.00 to Condominiums
When an application for a disposal system construction permit is made for a new
condominium development, the Board of Health should calculate the daily volume of
sewage flow by multiplying the number of bedrooms in the entire development by 110.
To ascertain the number of bedrooms in an entire development, the Board of Health
must determine the maximum number of bedrooms allowed under the master deed(s)
for all of the phases of the development. If the master deed(s) allows for more than one
phase of development, which is often the case, the Board of Health's calculation of the
number of bedrooms in the development should not be based on the number of
bedrooms of the particular phase for which the permit application has been made, but
instead should be based on the total number of bedrooms allowed under all of the
phases, i.e., under the entire development.
In addition to providing sewage flows for bedrooms, Title 5, 310 CMR 15.203, gives
sewage flows for swimming pools, laundromats, restaurants, tennis clubs, etc. The
allowance for any of these facilities in a master deed, depending upon the type of the
particular facility, could increase the total, daily volume of sewage flow for the
development. If it is not clear from the master deed that the particular facility would
w/training materials/bohch6 7
increase the sewage flow, the Board of Health should contact the appropriate DEP
regional office for assistance in making this determination.
If a board of health concludes that the total, daily sewerage flow for a development
would exceed 10,000 gpd, the board should not issue the applicant a disposal
classification construction permit. In such cases, the board should advise the applicant
to submit to the Department a copy of the master deed(s), plans for a treatment facility
and a discharge permit application.
Expansion of Existing Developments
Proposed expansion beyond the number of units having approval, but resulting in a total
sewage flow, for the lot, of less than 10,000 gpd, is to be reviewed by the DEP and
Boards of Health in accordance with Title 5 criteria.
Expansion that would result in a total, daily sewage flow exceeding 10,000 gallons for an
entire lot or development would require DEP's approval and would be subject to the
provisions of 314 CMR 5.00.
Notes
1. A member of the Board of Health or a health agent may apply for a search
warrant and conduct the search. Be prepare to document the reasons why you
suspect a violation is occurring or has occurred on the site, the measures you
have taken to gain compliance, and the seriousness of the alleged violation. In
order to obtain a civil administrative search warrant, go to the civil, not the
criminal clerk's office of the local Superior Court. Make sure the clerk
understands you are seeking a civil — not a criminal — search warrant. If you are
concerned about your personal safety during a site inspection, you may wish to
contact your local police department so that they can accompany you during your
inspection. It is recommended that Boards of Health consult with Town Counsel
to assure that proper legal procedures are followed.
2. Emergency repairs are covered by 310 CMR 15.353, must be completed within
30 days, and are limited to the following:
a. Pumping as frequently as necessary to prevent backup;
b. Repair or replacement of structural components of system otherwise in
compliance with Code (e.g. clogged building sewer or distribution line,
damaged building sewer, septic tank or distribution box or broken tee)
which is determined to be cause of system failure and for which no
modification of system design is required.
3. Increased flows not in compliance with 310 CMR 15.000 will rarely provide better
protection than existing flows to a system designed and constructed.in compliance with
the 1978 Code or 310 CMR 15.000, but are more likely to constitute improvements over
nonconforming or failed systems.
w/training materials/bohch6 8
1 V.020�- 4f;%&F BARNSTABLE
0:2 Ma r C/rc% SEWAGE # 93 LOCATION �`�
VILLAGE('° °'I-t) ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. UV�h PA / r
i
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) loan (size) �f X /p /
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER J-i lye-"f-i
DATE PERMIT ISSUED: 11f- 51 -1 9 -
DATE COMPLIANCE ISSUED: U� ~��
VARIANCE GRANTED: Yes No
+A
22
1.
Fsa...... .....
THE COMMONWEALTH OF MASSACHUSETTS'
BOARD OF HEALTH
......................................N .....OF.........3ARNSTA e,LC
-- -----------•••••-----................-•••--
ApphrMtion for 14sposal Works Towit 'urthut rumit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
................_..... ............................................... ................. T •Z ......_MAR1,v,E/1_..C1RCI-E.-----
Location-Address or Lot No.
OTu 1 T TRUS Y 3f321 14T q h 4KSZo v! MIU.5 1'u4
......................_...... •---- ..... .. ............. ..................... ............................................................ 3 ------............
aOwner � -Address............................. (_ ►. ............ ----..........-----_.......................
Installer Address
Type of Building Size Lot.A3,).i±j.__......Sq. feet
Dwelling—No. of Bedrooms..........-a.............................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures -----------------------•------------._...------------.....--------......------.
WW Design Flow...............................:5.----".._.gallons per person per day. Total daily flow.......3��� ..........-...........--.gallons.
WSeptic Tank—Liquid capacity!p0�'...gallons Length._a'.��� Width.g��d��.... Diameter................ Depth................
xDisposal Trench—No..................... Width.................. Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........-I.......... Diameter.....!P........... Depth below inlet......�?_.......... Total leaching area...*?..fa.7_....sq. ft.
Z Other Distribution box (/C) Dosing tank (AILD
aPercolation Test Results Performed by......MV'R.t...M!;L. U:H.................................. Date.:AUG: l9�/99 .......
Test Pit No. 1.....Z........minutes per inch Depth of Test Pit........ ....... Depth to ground water..No!LE.........
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a •••-•-•--••----------•-•••••..............•••-••...............................••••----•----•............-••••--•-••-••---•••••--....••••..._.....---•-...._.
O Description of Soil..... _-. � LOAM j .4-3.5 , sv13SolC,� 3.5 -_!2 cr�4!v!"�
x ---
U •--•••-•••••••••---•-•••••-••••..._....••••-••--•-•••-••-----•....-•-••--••-•-•-•-••--•••._....-••-•-......-•-••••--...•-••••••-----•--••••-•-•.....•••-•-•....-•••••...............•••--•-••--•-•---...
W
-----------•----•.............••-•-•......••...•••••...•......••••---••......--••••-•-••......-•••----......••-•-••-•--••••••--•••-••-•••-•---......-•---•......•......•-•••-•.........................
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
---------------------------------------------------------------•---------------------------...•••-•-----•••-•••-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Complian �een edby thee board of health.
Signed . .... .. .... L� — �/: 3 0-' ��
..... ................ ................................ .. .............-- ........
Dare
ApplicationApproved By ............ r . ►. ... ..............................................................................
V Dare
Application Disapproved for the following reasons: ................................................................................._ ....------........ .............................
........................................................................................................... ................................................................................................ ........................................
,.^ I?are
PermitNo. ...... ....3.......&.17--1................. .. Issued ........................................................
Date
,:�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Td.W N..................OF.........�ARNS TA.gL.E,
................................................................
Appliratiou for Diopnsttl Marks Tons#rrur#inn rami#
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual. Sewage Disposal
System at:
...............___- ou,�E..#'5,0! L D.T....Z..........MAR IuciZ...0 19 c c E
Location-Address . ...........
or Lot No.
.................._.._ C'OTu i T-•_TRUS..Y......---------•---•------.... ......3bZl.... T ZB.......!!JAKSTa�v -�?t/LC. �. :..........
Owner Address
..........-•-••....................... ...................................°..... ..........------............................ ..............................................
Installer Address �
Type of Building Size Lot..............`.............Sq. feet
Dwelling—No. of Bedrooms.........-�..............................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures ...--•--•...............•--.....................................................---.---................. ---------
Design Flow...................................5.....gallons per person per day. Total daily flow......_330 gallons.
Septic Tank—Liquid ca.pacity.!pO v...gallons Length.-a''(#..... Width.-`}...... Diameter................ Depth................
Disposal Trench—No......................Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.......... .......... Diameter.....P .......... Depth below inlet...... 1.......... Total leaching area...;.k...7....sq. ft.
Other Distribution box (/C) Dosing tank 04-P
Percolation Test Results Performed by.....t"1�2.:...McL►Z!4 fH_._..._..•.......•.............•._ Date... ........
Test Pit No. I.....Z........minutes per inch Depth of Test Pit.......!?....... Depth to ground water...N6'yE
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-••--••---••-•---------•----•-•-----•-•••-•••--•.................•........•••--•••--..........---•--•----....-••--••••----••-••••••.....-••••••-•--..........
Description of Soil.....d :. 1...L.. .I....••.......
OAM .4- 3.5•' s v, so�C, 3:5-�Z c�;4�v D
..•.
... .............................................................. -------------
Nature of Repairs or Alterations—Answer when applicable........................................................................................0......
---•............................................•-••------...------.............--•-----.............----...---....................--•--......-•--•----....:........................••••--..............
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has en ' sued by the board of health.
Signed ......................... ................ ....... .......................:..... .... ..?...". .s
12t e
Application Approved By ..........................� \i.... �.-.. '...-(�
.. .......................................................... Ihte
Application Disapproved for the following reasons: ........................................................................................................................................
............................................................................................................................................................................................................... ........................................
`ate
PermitNo. ....................................................... Issued .............
ITate
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.....................IA-LOF ..................................................................................................
C�er#ifirate of Compliance
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or-Repaired ( )
by ...........................� ..�l -........... .......I.ti....
�,.. � �.. ..... I..e.r..........
f�
.........................................
at ................................/L� ... ........... .... .�` . .. �.....
has been installed in accordance with the provisions of TITLE 5 of Th e_E , roiffpental Code as described in
the application for Disposal Works Construction Permit No. ....:........................................... dated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL�UNCTION SATISFACTORY. -
�J
DATE......., ......................... V......-----------.. Inspector . .-- ................... ;..........................
e
i
LOT 5
N 57°44'33" E
168.00' �I
b
O�
�O
4v LOT 2
43,941 S.F. w
N J
TP
(J W
CP p
N �1
75.5
N M 2' STONE
U' ALL AROUND
c co o
1000 GA.
�? EACHING PIT / NOTES:
3 HOLE
DBOX 14' / ��� 1 . HOUSE NUMBER: 501
72't O� / 2. ASSESSOR'S NUMBER: 024-032-003,--501
3. ZONING DISTRICT: RF
C
1000 GA. �,�P 4. FLOOD HAZARD ZONES: C
SEPTIC TANK 75 5 f 5. ELEVATIONS SHOWN ARE BASED ON THE NATIONAL
GEODETIC VERTICAL DATUM.
�X 74.7 6. REFERENCE: PLAN BOOK 482 PG. 78
10' 7. PERCOLATION TEST 8096
MIN. 0 102' 8. BENCH MARK: SPINDLE OF HYDRANT AT MARINER CIRCLE
DECK ULK EAD AND ANCHOR DRIVE ELEV.=75.87
34't
HOUSE
`v FF ELEV=76.3
Q
34 74.6 w
X7 >
0 o
I � "
I 74.6
�rn 1
8\31\93 ADDITION OF MEASURED ELEVATIONS SDH MBM
p DATE DESCRIPTION Drawn Checked
R E V I S 1 0 N S
20 _ - PLOT PLAN FOR LOT 2
G G
SCALE IN FEET I �N 2`28 53 E —G___-G—G�W W—W�W�W_
PREPARED FOR
160.34 .�G—G—G--W--W--W-W C 0 TU I T TRUST�G G_---G
R=366.7B' �G_JG----G,W N'W----W W'W__-W IN
a L=10o�W SANTUIT BARNSTABLE,, MASS.
I MAR' X 7 4.2
SCALE: 1 "=20' DATE: 8/31 /93 ; H ¢ Ni ro
$f , 'r�" t holmes and mcgrath, onc. tAICH L` J\
z'.' ' Mc;BATH `=<�
r _ }: civil engineers and land surveyorsOVIL
t v
200 main street
falmouth, ma. 02540 508 548-3564
DRAWN: SDH CHECKED:-�� 2
��'�'� f, :'sea�P2.bwc JOB N0: 93184 DWG. NO: 55-3--13 SHEET 1 OF 2
Finish grade above and adjacent to system shall slope away at a min. of 2%. SOIL TEST
4" diam. cast iron or Schedule 40 PVC pipe (tight joints). - Date of soil test: AUGUST 19, 1993
20' min. distance (building to edge of leaching system) Test taken by: M.B. McGRATHResults witnessed by: JERRY DUNNING
10' min. dist. Percolation rate: 2 MIN./IN.
GENERAL NOTES Ground water NONE ENCOUNTERED
First floor elev. = 76.27 1) No change to this system shall be made unless
Removable covers within approved in writing by holmes and mcgrath, inc. SOIL LOG
_= 12" of finished grade 2) Subject to inspection during construction by the
4. S = .02 Board of Health and holmes and mcgrath, inc. NO 1
Dist. box 3) Heavy construction equipment shall not travel
over disposal system during or after construction. DEPTH SOILS ELEV.
emovab e cover P g
- 2' S=.02 -� Clean backfili 4) Disposal system to be constructed in accordance 0 75.5
level ( with Title 5 of the State Environmental Code. 0.4' LOAM 75.1 t
i ui eve ° ° 2" layer of 1/8" to 1/2" 5) A copy of these plans must be kept on the site
S = 02 __-_-_ _7 o°o° ..0 washed washed stone during the time of construction. SUBSOIL
r rl-r N a- 0- °c c o 6) A copy of these plans must be furnished to the 3.5' 72f
N
h -SEPTIC TANK 3� N c o a o o contractor constructing the disposal system.
Foundation _�_ �n o '- °� �' 0 2 ft. of 3 4" to 1 2" washed stone 7 Before backfillin the contractor shall notify
II 1000 GAL. r N r Precast ° / / ) 9, y
design II II o II concrete :°� °o all around precast pit, providing an holmes and mcgrath, inc., or the Board of Health
by others a� =�, > 'I it ' ' leachin o`a' ° Agent to inspect the system as constructed.
�, > > a� a 9 °c o effective diameter of 10 ft. 9 P Ys
pit °C o ° 8) If the contractor encounters any variation between SAND
o0 o a the existing conditions shown on the plan and the
c > oo� °°0000 Elev.= 65.0 conditions encountered on the site, or any soil
condition different than shown on the soil log, or
c \ any adverse soil, the contractor shall immediately 12.0' 63.5f
1O'Nometbr contact holmes and mcgrath, inc. Holmes and '
PROVIDE 12" LAYER OF 1\ i mcgrath, inc. will examine the soil condition
Not to Scale COMPACTED GRAVEL UNDER' 3 f and report to the owner any suggested revisions.
THE DISTRIBUTION BOX
Elev.= 62t
BOTTOM OF TEST HOLE
THE CONTRACTOR SHALL EXCAVATE 4' BELOW
THE BOTTOM OF THE LEACHING SYSTEM TO CONFIRM
THAT THE SOILS ARE CONSISTENT WITH THE SOILS
FOUND IN THE TEST HOLE. IF THE SOILS ARE NOT
Design Criteria CONSISTENT WITH THE TEST HOLE RESULTS,THE
CONTRACTOR SHALL IMMEDIATELY CALL THE ENGINEER.
Number of bedrooms: 3 Equivalent to 330 gals/day
Garbage disposal unit: No
Leaching area — capacity required: 495 gals/day
Side area proposed: 188 sq. ft.
Bottom area proposed: 79 sq. ft.
Total area proposed: 267 sq. ft.
Proposed leaching capacity: 549 gal/day
Water supply: Town
Precast concrete units: H-10 loading design
8'-6"
ALL ACCESS MANHOLE COVERS FOR
o SEPTIC TANK, DISTRIBUTION BOX,
i AND LEACHING STRUCTURE SET MORE
THAN 12" BELOW FINISHED GRADE,
INLET 1 OUTLET SHALL BE RAISED TO WITHIN 12" OF
\ FINISHED GRADE.
FRAME & COVER
STEEL REINFORCED PRECAST CONCRETE
OVER "T'S' WHERE REQUIRED.
PLAN VIEW 8\31\93 ADJUSTMENT OF INVERT ELEVATIONS SDH MBM
PRECAST CONCRETE DATE DESCRIPTION Drawn Checked
3'
3" TANK RISER WHERE R E V I S O N S
REQUIRED
REMOVABLE COVERS
. �. 4" INSTALL TUFTITE SPEED LEVELERS PLOT PLAN DETAILS
3" min. clearance required y - ALL OUTLET PIPES FROM THE ON ALL OUTLET PIPES _
i� INLET "T" ;'. DISTRIBUTION BOX SHALL BE
INLET 8 2" min. inlet to outlet 6" min SET LEVEL FOR AT LEAST 2 FT. 12" CONCRETE COVER OF PROPOSED SEWAGE' DISPOSAL SYSTEM
OUTLET
10" min. �— �/' — PREPARED FOR
Liquid level 3 - 5" OUTLET COTU I T TRUST
s
KNOCKOUTS
�� FOR LOT 2, ANCHOR DRIVE
' IN
0-0 o� � � 15.5" � �` � 28" INLET
1 -5i OUTLET SANTUIT BARNSTABLE MASS.
J /
12
V.
- 3"
.o.
777
15.5 8._0" 4'_1 " 1 75" SCALE: AS SHOWN DATE: AUG. 17,1993 � a��t1 �.' X�
PLAN SECTION CROSS—SECTION holmes and mcgrath, inc. � . .
E�9lCHAEL 0.
CROSS—SECTION END SECTION ! McGRIATi
civil engineers and land surveyors i CIVIL J�
TYPICAL 1000 GALLON SEPTIC TANK 3 HOLE DISTRIBUTION BOX 200 main street a � �iv4�
falmouth, ma. 02540 �FF
NOT TO SCALE NOT To SCALE DRAWN: SDH CHECKED'--6
JOB NO: 93184 DWG. NO.: 55-3-13 SHEEV2 of 2