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HomeMy WebLinkAbout0039 MELISSA LANE - Health 39 Melissa Lane -- Cotuit A = 010 010003 , Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 4' 12/10/2009 * every page. City/Town State Zip Code spate 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 forms on the computer,use 1. Inspector: 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 01 City/Town State Zip Code (508)428-4028 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 sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails pt o ❑ Needs Further Evaluation by the Local Approving Authority W12/10/2009 ' Ins or's Si a`tt a Date The system inspector shall submit a copy of this inspection report to the Appro ing Authorrity(Board of Health or DEP)within 30 days of completing this inspection. If the system is. shared�syster�;gr has a design flow of 10,000 gpd or greater, the inspector and the system owner shall suRit 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•09108 Title 5 Official Inspection Form:Subsurface ewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 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•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 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 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 1h day flow t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 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•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 5 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 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 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•09/08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 every page. City/Town State Zip Code Date of Inspection D. System Information Description: The septic system consists of a 1500 gallon tank,D-Box and four infiltrators. Number of current residents: 2 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 Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2008:179,000 9 ( Y 9 (gpd)): 2009:92,000 Detail: 2008:490 gpd 2009:252gpd. Sump pump? ❑ Yes ® No Last date of occupancy: Date 0/2009 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 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: 1500 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•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 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: 2002 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 4, _ Depth below grade: feet 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: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) j If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Sludge depth: 0" t5ins•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 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 NA Scum thickness 0" Distance from top of scum to top of outlet tee or baffle NA Distance from bottom of scum to bottom of outlet tee or baffle NA How were dimensions determined? Tank pumped at inspection. 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 septic tank every two years.lnlet and outlet tees are in place.No evidence of leakage.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-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �GM 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 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-09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 every page. City/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 lateral.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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 4-Infiltrators ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system I Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Sandy dry soil.No signs of hydraulic failure.No ponding or damp soil. I Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration —Depth to of liquid to inlet invert P P q Depth of solids Layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09/08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 every page. City/Town 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•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system,-including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately J� I 15 4,5 I 18 311 3 5 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 i Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is required for Cotuit Ma. 02635 12/10/2009 every page. City/Town 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 leaching 26' 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.USE D: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•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,.' 39 Melissa Lane Property Address Linda Reilly Owner Owner's Name information is Cotuit Ma. 02635 12/10/2009 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 t 1LL if lvltr r✓✓✓v_.._.--IN -- —— CLIENT- DUI NG,KIRI:ANE, MCNICHOLS &GARNER LLP - DEED BOOK 17564 LOT 3 L 16 OWNER: HAR,OLD&LINDA RE ILLY _ PLAI B'_OK 426 PAGE 99-LOT 3 APPLICANT: ,�EF�FREY A.&JOANNA CABRAL-PETZOLP ASSESSORS PLAN 10 PLOT 03 MORTGAGE INSPECTIP4 OF LAND a 061-1 p{q 14 LOCATED ."' ;�o( �a�(��� 3 9 MELISSA IAN E � BARNSTABLE_, 1SS -E+[USETTS CIS} January 11, 2010 SCALE: 1 =60' ,". b t i lit 44 Lz � M CERTIFY TO DUNNDC G,KIRRANE,MCNICHOLS &GARNERR LLP,FAIRWAY INDEPENDENT MOR1`GAG CORP.d/b/a 1 AIRWAYNEW ENGLAND MORTGAGE, ANTI►IT'S TITLE INSURANCE COMPANY,•TIIAT THER RE NO VI l IBLE ENCROACHMENTS OR EASEMENTS E XCI PT AS SHOWN AND 'L H1 is I 141S PLAN WA PREPARED UNDER MY IMMEDIATE SUPERVISION. THE LOC�,TION OF-'1HE DWELLING AS SHOWN HERECI� IS IN CUMPLIANC'" WITH THE LOCAL APPLIC� BI;I ZONING :3Y-LAWS WITH RESPECT TO HORIZOIN T/d. �N DIMENSIO 1 AL REQUIREMENTS. THE DWE:i.LING SHOWN.HERE DOES NOT FALL WI'It A SPECIAL. FLOOD HAZARD ZONE AS DELINEATED ON f MAP OF COMMUNTTY#25001-0021D DATED 7/2/92 BY TI7: F.I.A. TOWN OF BARNSTABLE A ;:- LOCATION - SEWAGE #20&0 q,.9 VILLAGE Get,a ASSESSOR'S MAP & LOT �- INSTALLER'S NAME&?PHONE NO. makv{� SEPTIC TANK CAPACITY 566 Q a 1 LEACHING FACILITY: (type') jl-,atPS (size) 3-1 X NO. OF BEDROOMS 3 BUILDER OR OWNER e& PERMITDATE: �O / COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by J !4 S Qd o TOWN OF BAMSTABLE A =- 0I001OM22j LOCATION- SEWAGE # qj t{ •�.J VILLAGE ASSESSOR'S MAP & LOT Lq 4 3 INSTALLER'S NAME&PHONE NO. I��I at1 y{� aHr r. �• S-eg� Y� �qSY SEPTIC TANK CAPACITY 1 ,56A Q a l LEACHING FACILITY: (type) 4gat-af6yS (size) NO.OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: I;� �o�/ COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted� Groundwater Table to the Bottom of Leaching Facility A'Lit .4 Feet • Private Water Supply Well and Leaching Facility (If any wells exist on site or within4200 feet of leaching facility) �a rs v Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 3100 feet of leaching facility) Feet Furnished by r fly� 1;SSA R7 ` } [3 '3 cx No. C9�1 •: Y� S' THE COMMONWEALTH OF MASSACHUSETTS �r t �FE BOARD OF HEALTH f OW nl OF ,a&d S 71Mk; APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION Application for a Permit to Construct (%.44,epair ( ) Upgrade ( ) Abandon ( ) - omplete System ❑Individual Components Location Owner's Name v a3 Map/Parcel# C1 Address Lot# Tele hone# taller's Name Ins signer's Name Address r Telephone# Telephone# Type of Building: aEqu f am L Lot Size -0%1_Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required)&�30 gpd Calculated design flow gpd Design flow provided gpd Plan: Date _ Number of sheets Revision PAte Title &S l— Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS !!ff The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. 4 Si neSi ned GIM�J Date O I� E7 C�i,,- S,cu"ac, V--tp�-k I La// 0 FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 i,!�:, _,,,a,_.,. J/ y rr y �..' r"1��, Ir ,(•. f f. R Fi '°T .. r l e. ` i. ) No. �/��p•,�II yifZ+G5 }�. w4Q^.. ! 4` ; ?""11 1- WI THE COMMONWEALTH OF M'ASSACHUSETTS ....: E 3 ,. BOARD .OF H.EALT.H ;. ZM_ — OF 46A1f61W194& APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION P Application for a Permit to Construct (-,)''Repair.( ) Upgrade (, ) Abandon ( ) - omplete System El Individual Components Location nerSName."T.` Map/Parcel# Address V \TeJe qne v#�in \ ^� Installer's Name �I ! si neF s Na c i4, S 01 --C�7 AL.e:s Telephone# Telephone# sir . { Type of Building: �D � LSD t'1 Lot Size ;1t[1 f Sq.feet Dwelling—No.of Bedrooms `- Garbage Grinder ( ) Other—Type of Building ... No.of persons Showers ( > Cafeteria ( ) Other fixtures Design Flow(min.required)060 gpd Calculated design flow gpd Design flow provided 38?-'gpd Plan:-Pate JJ t Number of sheet3 Revision Plate Titlel�Usl- - Description of Soil(s)'_ 5 Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation ;. •-arseir.; DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance`with the provisions of TITLE 5 and rther agrees of yolace the system in operation until a Certificate of Compliance has been issued by the Board of Health. i Si ned MACIMt. Date.. � �� ,`�,Q / lu FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 r t; f _-_ _-__,. -- _� �-�..,.Q ..,_- __r..,.--_.-_ --.,_-_ ___ NO.1(20D' �/ ��} THE COMMONWEALTH OF MASSACHUSETTS �wp FEE _ b ^. F` RV 7�)Q_4 BOARD OF HEALTH CERTIFICATE OF COMPLIANCE 'Description of Work: ❑ Individual Component(s) Complete ystem _:The undersigned hereby certify that the Sewage Disposal System;Constructed( ,Repaired( ),Upgraded( ),Abandoned( ) by: is at - has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. ��'al dated _'_JAP10 j Approved Design Flow S3 0 (gpd) 'l"', Installer Q"� v aD Designer: �-(M \LOA A Inspector \Q�ate . - i The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 1 No.RCb/_)y3 THE COMMONWEALTH OF MASSACHUSETTS FEE 1C BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage h. disposal system at RX l<1 as described in the application for Disposal System Construction Permit No. 64001 dated��(� Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. 9bIn/ d Date Board of Health UAL FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HosBs&WARREN'M PUBLISHERS- BOSTON 1 r t No.9Zb�—)U3 THE COMMONWEALTH OF MASSACHUSETTS FEE - 2HA1)2-11NAQZ>1-e BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission istereby granted to Construct (x) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at _� + as described in the application for Disposal System Construction Permit No. 9CJI_:1 CFI dated .�oI Provided: Construction shall be completed within three years of the date of this permit.All local conditions must be met. 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P.ram.nary plans ana layout{by RC.O.are for[he use.of,tne.o customs omy Any otne. u>e.>stet ny F.oPio.tc � AREA PLAN • S YS TEM PROFILE M; SCALE: 1 "-50 ' FINISH GRADE NOT TO SCALE FINISH GRADE FINISH GRADE NOTES.. `, ; C .�5 G .a OVER TANK OVER TRENCHES . .O I .} TOP FNO APPLICATION NUMBER P-8456 y SCH 40 PVC e tg4.80 i OR — " . CAST IRON TEES Sti 1i y.! 1. ELEVA TIONS BASED ON ASSUMED {' � ... •�t lo4.Z(o wd•.tQ 2. TOWN WATER ON SITE BSM'T FL „'`• t ;� r ya 5500 GAL. EQUALIZERS Co3. p 3. FLOOD ZONE 'C' RE_ `- INFORCED ,. N� GAS DIST.BOX .. .� CONCRETE ,f s•'•��:�;:..':::,•..,,.•;:;..�:.,•; '�;•.-:•SL '4��:,.:..... .• j ,,,,,.. ...,.,•. . ;.' ........ ..,;,::. BAFFLE ;s.:%t..�..•-.�. .1. . ...=:- 's:•.'..,,•Z;•- :. ....�.,. .,�•.:.!.�:::.•., •.;.:o.,i.• • .Y TO BE INSTALLED ON A �="• • '"•" • LEVEL STABLE BASE SEPTIC TANK TRENCH -LENGTH TO BE INSTALLED ON A 32 0_0 it NOTE.' LEVEL STABLE BASE THIS PLAN IS A REVISION OF 5'MIN.HEIGHT A PLAN DATED MARCH 28, s995 NOTE: � O ND T RUN HEAVY EOCJIPMENT OVER S YS TEM A6ovE OBSERVED __.� __._..,... _,.._...._ GROUND WATER LEACHING INFIL TPA TOP SECTION NOT TO SCALE SOIL AND PERCOLA TION DATA NOTE., FOR FINISH GRADE A SOIL EVALUATION IS REOWRED PRIOR TO EXCAVATION. THE SEE S YS TEM PROFILE - — CONTRACTOR IS TO CONTACT MIN. 2" — 1/$"-1/2" FERREIRA.ASSOCIATES TO VERIFY , ^ �� / Ur; • r /, r rhP r rsui,,�.� ,RetC•';F'V A r�iq/ � A' A/iX'.6'�! - '°,� 5 MIN/IN. /-- WASHED s TONE PERC. RA TE THE SOIL CONDITIONS ON SITE } (12"MIN.J TAKEN BY RMHAW FEMEIRA WITNESSED BY ED &IWY ►. •, •: DA TE MARCH 24 J&W 4"CIA PIPE 'a '• ' ' :;..,. .. •• •• TEST PIT ELEV. 66.7 REVISED 5/15/02 SH0WIN6 ,•, �,. :. (PERC'D AT 60'I APPLI. AV.P-B4W RELOCATED HOGCSE/6ARASE CU9VE RADIUS ARC �- NA TOPAL SOIL ••°' 4 ;; EFFECTIVE 0 RELOCATED SEPTIC 25.00 21.74 y e;i•, DEPTH + (J 3/4 -1 1/2 -.e. e . .-. .. QPSOIL-S T GlB.SOIL WASHED STONE ..• : .o. i• . • • :� 96" _..__ ;_.._. __ __ I EFFEC TI VE WIDTH �r 10'-10' EXCA VA TEL) SIDEWALL I , a 4•-0• 4-—0' a NUMBER` OF TRENCHES 1 d LOT 2 I NUMBER OF INFIL TRA TORS 4 # Ao AZ. 44 4�' 48 60 5Z � 58 �° 144•t_ _&ROLWOWATER._ 20 FT' . MIDE ORAINA6E EASEAJENT 171 S. F. SIDEI✓A L L AREA . 74 GALS/SF 126 GALS. ' NO.OF BEDROOMS 9 N 73 40'14'E ( f DISPOSAL NO 170.B4 f 346 S. F. SOT TOM AREA . 74 GAL S/SF 256 GALS./ EST. TOTAL DAIL Y EFFLUENT 39 GALS. I f ,f F !' 1500 0 /_ SEPTIC TANK GAL. 1 1 ; ► ;� IS 517 S.F. TOTAL AREA GAL SISF 382 GAL S. / t Sq Aa 7B• � g roFj �� n •7n1ns ,.., R / aEV ` = : ��,�,,F _ GENERAL NOTES r tea'SO .......= '�� C1 . .. ! sy s e9. NOTE., 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN EXCA VA TE TO EL EV. ACCORDANCE WI TH TI TLE 5 OF THE STA TE SA NI TARY CODE ` raao`� "-� -_ 't•Op F . OR LOWER AS REQUIRED �• �w DATED MARCH 1995 AND ANY LOCAL RULES APPL ICABL E ° 0� BAL. G� TO REMOVE ALL LOAM AND CLAY CONT4INING LOT 3 P". c� e�� -0 - MATERIAL BENEATH THE LEACHING AREA.REPLACE 2. ANY CHANGE IN THIS PLAN MUST BE APPROVED Baww. ` 1, eAW `' T rTH M) - EXCA VA TED MATERIAL WITH CLEAN CLAY FREE GRAVEL B Y THE BOARD OF HEAL TH AND FERREIRA A SSOC. MALK-O!/T r N 43,, 561 S. F. jwrL rm7a98 MITH U� -+'�'---cc , sraAcc ARau� MECHANICALLY COMPACTED IN PLACE 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING � � Fj s�• x so•-so• x a. / , Pti? O�e�j� rsE�w+a�:L� NOTIFY BOARD OF HEAL TH FOR ,INSPECTION SLOT 4 4. FND. EL EV V. MUS T BE CHECKED WHEN COMPLETED REVISED 9/29/02.' 5. THESE ELEV.MUST NOT BE CHANGED WITHOUT i , 0 L EGEND SHOW SANTUI T RIVER THE BOARD OF HEAL TH APPROVAL z� 6 200' SETBACK BWFER ' 6. BOARD OF HEALTH INSPECTION RECJ D WHEN EXCA VA TED r G0-- EXIST.GROUND EL V. } FINISH GROUND ELEV.' I M ti S _ q bad f{ 175.14 „ SEWAGE DISPOSAL SYSTEM PLAN ' .8r� PIPE INVERT ELEV. ` ^ S 70 351oe�W • -^ PREPARED FOR \ � 9 TEST PIT LO%'A TION M,46 47 : 64 . tr o o SEPTIC TANK COMPASS REALTY TRUST fr r� Drsrareurroa eox LOT 3 MEL ISSA LANE LOT A 4•c.r.OR scH 40 PVC 3. BARNSTABL E — MASS. 4"BIT.FI8ER PIPE-fiIGHT ✓OINTS r r r .. s 4 .q " PROPERTY LINES ;{ DESIGNED: SAP DATE:MARCH 1, 2001 rit n v:; FERREIRA ASSOCIATES. SETBACK DISTANCE �' '� " x.. ,x<; •; WN. SCALe AS SHOWN 131 SPRING BARS ROAD •.:. ♦ , , DRA gk .t 0 3 3 t FALMOUTH MASS. W 6 .' CHECKED. 6S -ORA IN NQ 030101 T SE MAP E. S C PCL L O H . v - , , "I ,-, ,- , , ,, ,", , ,� I I I I I � - I I I . I I I . - I � - I " . ". - : , , , - , . ... �- ,,,- I "�" - -�-,,;,,,� , ":, ,-- 1, , , , .,, �,-, ----r--- ,� "'�,', I , ,, ,, I� � � � I , ,- v I � '�l - :,, ,,��-,,� , � ,, , , -, �,,;,, li,I,�I '-�--I 1-,�; , , ���, .,,,,"�1,'��-,,T�,, - - ;��, _T'.. 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I , -1, ,.� �T' .�,�,r".�,',, 1 _: 1� I I . �,1-1,�171, . - �, . ,r I I � � - � ,- , , . . . .. r I. I .1. � r I�. .. I .1 - I . I rr �, - v .w AREA PL AN SCALE: 1 "-5O ° S YS TEM PROFILE FINISH GRADE NOT TO SCAL E FINISH GRADE FINISH GRADE NOTES.' Col a '`.'► --"° — �� OVER TANK OVER TRENCHES TOP FND rC ,( .� ,c4 cv�NM• \ �• \a \���\ �• \c/�/�., ,� `►Y/ �� w I� /\ APPLICATION NUMBER P-8456 • "•' . .' • .'. . '- ' r SCH 40 PVC , %• OR 30. IF i _ CAST IRON LEES ¢. �� > IV 1. ELEVATIONS BASED ON ASSUMED .: �`� '.' `1'..;,,�;,;;: R-•;.';; '3.94 ..�.• ,, ,,v ,! �4.Z1:, Gad-.iQ 2. TOWN WATER ON Sr TE BSM'T FL R 1500 GAL. ! EQUAL IZEfRS 3. FLOOD ZONE C 't -- r. REINFORCED CONCRETE GAS DIST•BOX v� _ BAFFL E �``i e ; ..�.• :. :• ., TO BE INS TA L ED ON A ;°;'':.-. ;. .�:•:... •— r LEVEL STABLE BASE SEPTIC TANK TRENCH LENGTH TO BE INSTALLED ON A NOTE.' LEVEL STABLE BASE 32•_0 THIS PLAN IS A REVISION OF A PLAN DA TED MARCH 28, „ 1995� 5'MIN.HEIGHT NO TE: DO NO T RUN HEA V Y EQUIPMENT O VER S YS TEM ABOVE OBSERVED GROUND WATER LEA CHING INFIL TPA TOR SECTION NOT TO SCALE SOIL AND PERCOLA TION DATA NOTE. - A SOIL EVALUATION IS REOUIRED FOP FINISH SPADE PRIOR TO EXCAVATION. THE SEE S YS TEM PPOFIL E CONTRACTOR IS TO CONTACT MIN. 2 FERREIRA ASSOCIATES TO VERIFY ,< /� r(rr//Pri/C "'w THE SOIL CONDITIONS ON SITE ! > WASHED S TONE PERC. RA TE 5 MIN/IN. (12"MIN.l 1 TAKEN BY RICHARD FE/WIRA WI TNESSED B Y ED BA49Y :.e • '•: ' 7. DA TE MARCH 241 1995 4"CIA.PIPE TEST PIT ELEV. BB.7 foe `!• '' ,� (PERC'D AT 60 r) APPLI. /Vb.P-B456 CLA9VE RADIUS ARC - NA TL/PA L SOIL - foe 0 - � � F T V _ 1 25.00 21.74 EF EC I E 0 y 9 �,;. w DEPTH 3/4"-1 1/2" T0pS0IL—S[A9SOIL WA SHED S TONE °••' •' EFFECTIVE WIDTH 36' i EXCA VA TED SIDEWAL L 20'-10' , z 4'-0' 4 � I r, NJ� SAM 95ER . O,�' TREr'VCHE.S i .. _ rcr LOT 2 NUMBER F 4 a•;• '`� a L: O INFIL TR.� TORS � 4 a42 A4 4$ 5fl5 E 4 44. AK7 GROIANVMA TER AGE EASEMENT DESIGN DA TA N '»•40'14'E r E 171 S. F. S.IDEWAL L AREA . 74 GAL S/SF .i26 GALS. B F _ MS 170.B4 i ' NO.OF BEDROOMS 346 S. F. BO T TOM AREA . 74 GAL S/SF 256 GALS. DISPOSAL EST. TOTAL DAILY EFFL UENT 330 GALS. 517 S. F. TOTAL AREA GALS/SF 382 GALS. SEPTIC TANK 1500 GAL. 40 40 P I f 6q�t. 3n PO'Pins / r '4 P ' : •�`,, ?a _" cs `,�o- q�'F ..._ ! _ GENERA L NO TES NO TE.' a9• x' I . AL L S YS TEM COMPONENTS SHAL L BE INS TA L ED IN R ;�,\ �' �c t•00 4�~F EXCA YA TE TO ELEV• 5 .5 "OR LOWER AS REouIRED ACCORDANCE WITH TITLE 5 OF THE S TA TE SA NI TAR Y CODE • ' yrP ge Y a' ? TO REMOVE ALL LOAM AND CLAY CONT4INING DATED MARCH 1995 AND ANY LOCAL RULES APPLICABLE e cv LOT 3 7 MATE,4IAL ;BENEATH THE LEACHING AREA.REPLACE 2, ANY CHANGE IN THIS PLAN MUST BE APPROVED � � y "1• � Q,� .`,'.•;. o DSST. �/' ��lT A4A�LLSfO LEAL�II/W 43° 561 • F. S9 0 eax �,P TES Mrn+ (4) EXCA VA TED MA TERIAL WI TH CL EA At, CL A Y FREE GRA VEL N N XW.MTRATOW MYTH B Y THE BOARD OF HEA L TH AND FERREIRA A SSOC rsoo eAc. �40 4• sraVE ALL AaocAV MECH4NICALL Y COMPACTED IN PLACE 7AWSip q(�j p' � �L x R• 3. WHEN CONSTRUCTION IS COMPL E TED, PRIOR TO BA CKFI L L ING NO TIFY BOARD OF HEA L TH FOR INSPEC TION ` ` � .,\ a• s°� �p �Oqh� LOT a 4. FND. EL EV V. MUS T BE CHECKED WHEN COMPL ETED `z LEGEND 5. THESE ELEV. MUST NOT BE CHANGED WITHOUT y THE BOARD OF HEAL TH APPROVAL + ' z° 6. BOARD OF HEAL TH INSPECTION REG 'D WHEN EXCA VA TED 1 EXIST.GROUNE7 ELEV. FINISH GROL41D ELEV: :75. s4 SEWA GE DISPOSAL S YS TEM PL AN S 70.35'04"W fo4_ PIPE INVERT ELEV. ' + 5 TEST Pr L01,ATION : a. PREPARED FOR 46 AZ ` 58 54 44 4b xfl p o SEPTIC TANK ' �fr • COMPASS REAL T Y TRUST [3 DISTRIBUTION Box LOT 3 MEL ISSA LANE LOT A / 4"C.r.OR SCif 40 PVC ' BARNS TABL E -- MASS. 4*Br T.FIBER PIPE-TIGHT JOINTS PROPERTY LINES z w 8 DESIGNED SAP DATE:MARCH J. 2001 " FERREIRA A SSOCIA TES ' s a SETBACKDISTANCE _.. . <.. . , _W ,. DRAWN: SCALE. W ,. tp A E As SHOWN 13.1� SPRIG BARS ,• 10 sD 3 e N ROAD .;. FALMOUT �� H MASS. �. GYILCKED . W G ` MAP - SEC PCL LOT HSE QR,4 IN NO. 090J01 ,.. , . .•. to "f:'Wl,. .. ✓'.'^w ,..: .,-,c:,+ , p' x, .. .. ,..n..... ,.,..z, :..: r ,.... ....._,.. ,. ...f,. , ...:.. ., z: AREA PL AN SCALE.' 1 S YS T �:. . PPOFIL E s 50 ' j,::1rNIs1-1 GRADE N07' T.0 SCALE _ FINISH GRADE FINISH GRADE NOTES.' G7.0 �s. f 7 OVER TANK OVER TRENCHES TOP FND APPL ICA TION NUMBER P-8456 SCH 40 PVC OR ' 64.B0 ►i.�. CAST 1 RON l EES S. ^ 1. ELEVATIONS BASED ON ASSUMED4-• P T r: i 2. TOWN WATER ON Sr TE BSM'T FL R ? !0 4.2Ca �d .I O ' : r ` ; " '•'•.• 3. FLOOD ZONE "C ; `.i 1500 GAL. :+ EOUALIZE•RS REINFORCED `i• :► CYNVCRETE •{ BAFFLE GAS DIST.BOX _.. ,... , ,• ,^ e,• • .�.�� �. .�; . , .tyy;r;.. �•...y. TO AE INSTALLED ON A I:;'::.: %.:�: i•; :•+� LEVEL STABLE SASE SEPt'IC TAII'�IK TRENCH LENGTH TO BE XNSTALLED VIVA 32 -0 3 NOTE.' jREVISION OF LEVEL STABLE BASE THIS PLAN IS A REV A PLAN DATED MARCH 28. 1995� V V 5`mm.HEIGHT NOTE. DO /Vor RUN HEA Y E(.�UIPMENT O ER SYSTEM ABOVE OBSERVED f GROUND WA TER c,A CHING INFIL rPA TOR SEC TI61Y -F - NOT TO SCALE SOIL AND PE `COLA TION DATA NO TE., A SOIL EVALUATION IS REQUIRED FOP FINISH GPADE PRIOR TO EXCA VA TION. THE SEE SYSTEM PPOFIL E CONTRACTOR IS TO CONTACT FERREIRA ASSOCIATES TO VERIFY �� . 1L�THE SOIL CONDITIONS ON SITE �.. //� / // 'iAl/ ice/ /�� /� / WASHECTLNE PERC RATE " " MIN/IN. 02"MIN.J TAKEN BY Rlaft 1D FEMETRA WITNESSED BY ED BARRY :'g:`.: ;• ,. DA TE MARCH 24. 19W 4"CIA.PIPE ° too' '•• • TEST PIT ELEV. 66.7 CU4VE RADIUS ARC �- NATURAL SOIL a�i°� f•• � � EFFECT!'VE � '�D AT 60'� APPLI. MD.P-B456 1 25.00 21.74 'y e'�•�• DEPTH 0� ' ►•'• ,'', ••�a 9 a • TOIPSOIL-SG9SOIL WASHED STONE ..• •• ••a���S'.'e:°.t':;:; •. �. s.. '� SSr EFFECTIVE WIDTH A ._... _.__.. . ..... ____._____.... EXCAVATED SIDEWALI t0'—to" L_ _ MEDIUM Svl/VD _ - NUMBEP OF TRENCHES �4 V. LOT 2 t " A° �2, �$ �_o �� 5� u •� NUMBER OF INFIL TRA TORS 4 k sill NO eR0iMWATER DESIGN DA TA i 20 FT. HIDE DRAINAGE`EASEMENT_ ' N 73.40'14•E , 171 S. F. VDENAL L AREA . 74 GAL S/SF 126 GAL S. s NO.OF BEDROOMS 346 S. F. BOTTOM AREA . 74 GALS/SF 256 GALS. DISPOSAL NO EST. TOTAL DA IL Y EFFLUENT 330 GALS. 517 S. F. TOTAL AREA GALS/SF 38`2 GALS. SEPTIC TANK 1500 GAL• m i f / �� j �'� ,' ;` �. _✓� 00 / 1 B5' r ( sEi�allupl �Zo no j ; ✓s ' �sa_._ ELEV••70. __.q 1 1LqN GENERAL NOTES 'ria S C o s NOTE.' \ /� ��o e9 va 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN s';v?4 �51 _ J 00•49`F EXCAVATE, TO ELEV, 57 a OR LOWER AS RE@UIRED ACCORDANCE WI TH TITLE 5 OF THE STA TE SANITARY CODE o . , ,•,.�, { �` DA TED MARCH 1995 AND ANY LOCAL RUL ES APPL ICABL E . N \ e �� TO $EMOVE ALL LOAM AND CLAY CONT4INING b ° '' LOT .3 `,'' �---���` MA T�'RIAL BENEA TH THE LEACHING AREA.REPLACE 2. ANY CHANGE IN THIS PL AN MUS T BE APPRO VED GIST. �J PROPOSED LEACHIM6 • M 1 oo/�j am / �; �e rAEn�H wrTH !�� EXCA VA TED MA TERIAL WI TH CL EAN, CL A Y FREE GRA VEL BY THE BOARD OF HEALTH AND FERREIRA A SSOC. •=4 N N .43, 56.i S. F. `� ��L 4 rWZ1.VUT0RS WrH cy 1500 SAL. • ('� - +,� ` STcwE ALL ARO(N�I' MECHANICALLY COMPACTED IN PLACE \\ 1 G`• SEPTIC/ P 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BA CKFIL L ING TAB '` �? 0•hh lSEE PHQFrLEJ NOTIFY BOARD OF HEALTH FOR INSPECTION 40 `��� \ ____ so` ' 0� roA•of �L LOT 4 4. FND. EL E V. MUS T BE CHECKED WHEN COMPL E TED h __ Gz 5. THESE EL EV V. MUS T NO T BE CHANGED WI THOU i ! o L EGEND THE BOARD OF HEAL TH APPROVAL t 6. BOARD OF HEAL TH INSPECTION REOJ D WHEN EXCA VA TED c04-- EXIST.GROUND ELEV. FINISH GROUND ELEV. 1 1 '� i175. 14 ' Ca4•gp PIPE INVERT ELEV, a` f -SEWA GE DISPOSA L S YS TEM PL A N PREPARED FOR TEST PIT L OCA TION 46 4Z 52 54 44 4` '+ sb O O SEPTIC TANK COMPA SS REA L T Y TRUS T o DISTRIBUTION BOX � LOT 3 MEL ISSA LANE LOT A 4"C.r.OR SCH 40 PVC ��<f"f =-y BARNS TABL E -- MASS. �++t►w. 4"BIT.FIBER PIPE-TIGHT JOINTS ._ PROPERT I LINE'S t DESIGNED: SAP DA TE:MARCH J. 2001 FERREIRA ASSOCIA TES SETBACK DISTANCE DRAWN: J,p SCALE!AS SHOWN 10 10-3 3 131 SPRING BARS ROAD -�� `•< ,+ +`' ' FALMOUTH — MASS. MAP SEC PCL LOT HSE +• CHECKED 6.4 DRAWING NOV 030101 '