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HomeMy WebLinkAbout0115 SANTUIT ROAD - Health 115 SANTUIT ROAD, COTUIY --- --- A= 021084 09a, TOWN OF BARNSTABLE LOCATION //5 50-0 k l SEWAGE # VILLAGE Co klr.- ASSESSOR'S MAP & LOT QrrV T.N,S c, S f z/a�s -: NAME&PHONE NO. �0� SEPTIC TANK CAPACITY ./coo & z aa" LEACHING FACILITY: (type) R 6 (size) /000 NO.OF BEDROOMS OWNER 3S S N `t�h k�R• CT PERMUDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 f5 s► fie, 3� C p 44 IT Y 7/�y ~lI. ,� ,. . ;: « tit ��F •. O ,�co • V71 Vi .. , ...+«r.r 9. Y. 4 .a - a �1 °C+aF•,C°e-a. v! .-�.f5 < !,'off T BF BORTOLOTTI CONSTRUCTION, INC. 4 765 WAKEBY ROAD,MARSTONS MILLS,MA 02 V 508-771-9399 508428-8926 FAX: 5t18-028-9399 f I 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: I V � ' bate of Inspection: i-� Inspector's Nacre: Owns is Name and Address: , S CERTIFICATION STATEMENT: I certify that I have personally inspected the sewage disposal system at this address and that the informa- tion reported below is true,accurate and complete as of the time of inspection.The inspection was per- formed b&5ed on my training and experience in the proper function and maintenance of on-site sewage disposal stems. The System: Passes Conditionally Passes Needs Further Evaluation Local Aproviog Authority Fails Inspector's Signature: Date: cT11 d9� .,The System Inspector;shall submit a copy of this inspection report to the Approving authority within thin- -ty(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 Vrofection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority.. INSPECTION SUMMARY: A)ST&M PASSES: I have not found any information which that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B)SYSTEM CONDITIONALLY PASSES; One or more system components need to be replaced or repaired. The system,upon comple- tion of the replacement or repair, passes inspection. Indicate.yes,nor,or not determined(Y,N,OR ND). Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal,cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing sep- tic tank is replaced with a conforming septic tank as approved by The Board of Health.- Sewage backkup 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): - 1 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART'A CERTIFICATION (continued) a Broken pipes)replaced Obstruction is removed Distribution Box is levelled or replaced The System required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of The Board of Health): Broken pipe(s)are replaced Obstruction is removed C)FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by The Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1)SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 Feet of a surface water Cesspool or privy is within 50 Feet of a bordering vegetated wetland or a salt marsh. 2)SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTION- ING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 Feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is with a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 Feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 Feet but 50 Feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from the•facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D)SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined 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. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of efluent to(lie surface of the ground or surface•waters due to an overloaded or clogged SAS or cesspool. ,, Static'liquid level in th6distnAution box above outlet invert due to an overloaded or clog- 4. 'ged SAS or cesspool. s ", „t Liquid depth in cesspool ideas than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped 2- ' SUBSURFACE SEWAGE DISPOSAL SYSTEM-INSPECTION FORM_ PART A - CERTIFICATION (continued) Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 Feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a:public well. Any portion of a cesspool or privy is within 50 Feet of a private water supply well. Any portion of a cesspool or privy is less than 100 Feet but greater than 50 Feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed table,attach to be acceptable, ch co of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. Z)LARGE SYSTEM FAILS: "Ilad dition to the criteria above: The following criteria apply to a largesystem r The design flow of a system is 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following F.,conditions exrst: The system is within 400 Feet of a surface drinking:water supply., 1 1" 7.71;he system is withifi209 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 11 of a public water supply well. . • ._. The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CIIECKLIST Check if the following have been done: Pumping information was requested of the owner,occupant,and Board of Health. ,/ None of the system components have been pumped for atleast 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. ✓ As-built plans have been obtained and examined. Note if they are not available with N/A. -"-The facility or dwelling was inspected for signs of sewage back-up. ,The:system does not receive non-sanitary or industrial waste flow. t j The site was inspected for signs of breakout. ro`., . ✓,All�system components;excluding the Soil Absorption System, have,been located on site. 1/ The septic tank manholes were uncovered,opened,and the interior of.the septic tank was in- :' spected-for condition of baffles or tees,,inaterial•of construction,.,dimensions,depth of liquid, depth of sludge,depth of scum. sO/The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. -3- r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) '" The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System a SUBSURFACE SEWAGE DISPOSAL SYSTEM,INS,PECTION FORM„ PART C ; SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL! Design Flow: 030 gallons Number of Bedrooms:_ Number of Current Residents: 3 Garbage Grinder: /10 Laundry Connected To Systcm:�e _ Seasonal Use:b e Water Meter Readings,if available: Last Date of Occupancy: - O M RCIAIJINDUSTRIAL:: Type of Establishment: . -Design Flow:- • - - - galldns/day Grease Trap Present: (yes or noj -Industrial Waste Holding Tank Present: Non-Sanitary Waste Discharged To The Title V-System: Water Meter Readings, If Available: Last Date of Occupancy: OTHER: Describe) Last Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS and source of informat-how - System Pumped as part of inspection: i1 0 If yes,volume pumped: gallons Reason for pumping: TYP OF SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(If yes,attach previous inspection records,if any).. . - Other(explain): APPROXIMATE AGE of all components,date installed(if known)and'source of'inforination: -Sewage odors detected when arriving at the site: -4- SUBSURFACE SEWAGE DISPOSAL SYSTEM,INSPECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK: Depth below grade: jy" Material of Construction: concrete metal FRP_Other (explain) : Dimisions: �.S'�X(v X _S Sludge Depth: a Scu m Thickness: 4 b 50 Distance from top of sludge to bottom of outlet tee or Wle: . Distance from bottom of scum to bottom of outlet tee or baffle: ,dog-e 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. av ,, GREASE TRAP: h o Depth Below Grade: Material of Construction: concrete metal FRP_Other (explain) Dimensions: 'Scuni"Thickness: Distance from top of scum to top of outlet tee or baffle: Comments: (recommendation for pumping,condition of inlet and outlet tees or'bal1lles,depth of liquid level in relation to outlet invert;structural integrity„evidence of leakage,etc.)' ' TIGHT OR HOLDING TANK: no Depth Below Grade: Material of Construction: concrete metal FRP , Other(explain) Dimensions: Capacity: gallons Design Flow: gallons/day Alarm Level: Comments: (condition of inlet tee,condition of alarm and float switches,.e(e_) DISTRIBUTION BOX: Depth of liquid level abov outlet invert: LA lrr�, kt-"C, (VIJ Comments: (note if lev land dist ibution is equal,,evidence of soli(Wcarryover,evidence of leakage into or out of box,etc.)2 .z' y-3 I.,la> A.., L cP O .,. _ •.XwtA�i.i..$..3,Ifif__,...n.if f i ;8'�yl,�. i-s� z L" "la#a� a�f e.'nx Za;a> _Pump is in working order. Cotments:-(note condition of pump chamber;condiUon'of pumps and appurtenances,etc')' DISPOSAL SYSTEMINSPECTION FORM SUBSURFACE SEWAGE S PART C SYSTEM INFORMATION (continued) SO1Q.ABSORPTION SYSTEM(SAS): (Locate on site plan, if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: Type: Leaching pits,number:_Leaching chambers,number: Leaching galleries,number: Leaching trenches, number,length: Leaching fields,number,dimensions: Overflow cesspool,number: Comments: note condition of soil, s' ns of h draulic failur level of po ding,c ndition of vegetation, et . /Uo 0AZ .i m CESSPOOLS: f10 Ivumber'and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of Cesspool: Materials of construction: . Indication of groundwater: Inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soilk, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) PRIVY: no Materials of.construction: Dimensions: Depth of Solids: Comments: (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.) s -6 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART'C . SYSTEM INFORMATION (conlirmcd) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references, landni, or benchmarks. Locate all wells within 100 Feet. 40 " r-v,,r 10 30 • � 3� 35 L DEPTH TO GROUNDWATER: 1 Depth to groundwater: / Feel Method of Determination or A roxi ation: -7 a , S TOWN OF BARNSTABLE LOCA`hON (..o SEWAGE VILLAGE ahz f, ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. > �{' cv;-v7 SEPTIC TANK CAPACITY 12 LEACHING FACILITYAtype) � � (size) NO. OF BEDROOMS / PRIVATE WELL OR UBLIC WA BUILDER OR OWNER e S �y- V DATE PERMIT ISSUED:" f l DATE',,' OLiPLIANCE ISSUED: VARIANCE GRANTED Yes No n. • (//�1f YAI 1 y Finc..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ------ .........OF.ta..M...S� ...f(L-bLQ- .. .. .............**---------------------- ------ Appliration for Disposal Works Tonstrurtion rrrmit Application is hereby made for a Permit to Construct V).or Repair an Individual Sewage Disposal System at: A .. . ............................. .................................... ...............................-.-.-.-.-.-.- ......localioldress or No.0 . ...b . ...............................................Owr Address ................. ...... -i _ ................................ ......................................................*....... Ins� er Address Type of Building Size Lot__70.tOM......Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons.._.._...................... ................... Showers Cafeteria Other fixtures Design Flow................. ...................gallons per person per day. Total daily flow---3.a�%...........................gallons. 9 Septic Tank—Liquid'capacity.!.LOOOgallons Lengthk�> ..U,'.... Width. . Diameter._-_____----._-Diameter-------_------- Depth5L1" � Disposal Trench—,No..................... Width.:-............... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No. Q.. Length.................... ..... ............. Diameter.. Depth below inle't_.'__'_x.r1... Total leaching area. .....sq. ft. Z Other Distribution box ( V) Dosiqg tank P_1v355 0-4 Percolation Test Results Performed 1.4 - Test Pit No. ..........minutes.....minutesper inch Depth of Test Pit.-).L4,+................. epth to ground water..�IOYL�....... I. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.-_.............._.. Depth to ground water.___....._..........____ 9 .........;;=V............................................................................................................................................. 0 Description of Soil0'.'.::.'Z..q.......... �4 il ............................................................................................... ---------------- ................................**.................................................................. ...................I.........................................................................................................................................................................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 TL LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the board of health. Signe . . ..... ................................................. ................0......... Date Application Approved By......_.... . .................. ......... .. ......... .... .. ..... ..... Application Disapproved for the following reasons:....... . .. .. .. .....................Date............. ..................................................................................................... .. .. ....................................................................................... Date Permit No.-- ........................... Issued........ .................. Date r� THE COMMONWEALTH OF MASSACHUSETTS FEz BOARD OF HEALTH .......... G Wn..........OF.-:.a.�.......m.S.i ..bU..---•----------------------------- Appliraation for Disposal Works Tonstrtirtion rnmit Application is hereby made for a Permit to Construct ( V) or Repair ( ) an Individual Sewage Disposal ystem at t..33.__�, �......R<<............................. .. .... . -------------------....... .--------..........-----................. Location-Address •-.-or Lot No. e� ..........-------.... ir..........---------............................ W �Iinst Address a ---••-•----•......--•-••--• ------------------------------------- •---•-•-----•-•-••--•-----......_....-----•--•----------•-•--........._--•--.-------•----------. Address Type of Building Size Lot._0t_0Q. ...... feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons........L0.............. Showers — Cafeteria dOther fixtures -----------------------------------------------------------------------------------------------------------•---------.........-•--•-•--•......--..•--- W Design Flow................. ..G�._........_._.._.__..gallons per person per day. Total daily flow...3 v........................--.gallons. Wa"('V Diameter................ De th5_ .'_Se tic Tank—Liquid ca acitY allons Len _ Width.� v 7 x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area............_.......sq. ft. Seepage Pit No.................... Diameter..R .v Depth below inlet.5'1.......... Total leaching area.2 _ .......sq. ft. z Other Distribution box ( ) Y '�"t-� ( S�f4lG.� _ l�Y1�1n!-� = Date 2 _t,rl b � 35 Percolation Test Results Performed b -. ` a �_ Dosi tank , a Test Pit No. I.....Z......minutes per inch Depth of Test Pit..q.1.....__..6epth to ground water-0.6Ylk......... rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----- ------------------------ -------------- ------------ -------- •--------------- •--- ------- ------------------ --------- ----------- O Description of Soi � fit' �`�?�.t ` ��' h� L. ---•-•-----•---------------------------------------------------------------------------------•----- v -------------------------L`------ .1.4 ''----(YtiE�I-•--�---S --1....---------------------------------------------- ......----------------------------------------- VW --------------------------------------------------------------------•-----••----••--••--••••••••--••-•••-••-•-•------•--•••-••--•--•--•--••-•--••-•••---•••---••-•-----••-•-•...._...........--•----•--- 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 TITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has 4beeissued /by�the board of health. Signet: �' .. --^:.. _' ................................ Date Application Approved BYllc .....--=-:� ----. .....`...----- '.� T" �1 ^` --7--- . • • -• -•........................................Date ` Application Disapproved for the following reasons:__----�_...`... ........ .......:--y��;,��� - ------------------------------------------------------- ................................................ .........----•----------------------------------------------------------------------------•--. Date Permit No.--a 7_"_. __ ............................ Issued.....- _----- --•7 ? .................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,,j' .G..G:::y'r..............OF...... �t ..l :. ? .Q ��-9�................................. .... Tnrtifirab of TontpliFanrr THI IS,,,��0 C}RTIFY. That the Individual Sewage Disposal System constructed QW) or Repaired ( ) Gi,vtr /� �.. Installer has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the �. application for Disposal Works Construction Permit No.....5.2-1.5./............ dated........ . _^__Fs. ............. `. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION ATISFACTORY. DATE.. 4%... --------:�........-•-•---•--•---...--•---. Inspector.................................................................................•.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Q - l .....1.. .................OF........r... ...cc + �� .................................... ---- Dispos al Works Tons#rurtiott Prrutit Permission is hereby granted...... _....•. ....... ------ . ................................................................._ to Construct �f) or Repair ( ) an Individual Se �age�System atNo...... Q_ `...... `.'....... . .... s..---•----••-•---•------...•-••---•.....------•----•••-•-•--••••---••-••---••..........................Street as shown on the application for Disposal Works Construction Permit No97-1a/.._. Dated...-:!,..-_.9..'-.. .? --------- ..� ................... - -- ---------------------•---•---•-- 3 ,� C/ � DATE--- /.. �-•••-•-•�!7••-•••••••-•...................•-•----_._... Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i S YS TEM PROFILE NOT TO SCALE TOP FDN. FINISH GRADE�'. 5 FINISH GRADE OVER EL .48.5D ;o:.aa;:l; FINISH GRADE OVER DIST. BOX �� . 5 FINISH GRADE OVER o • :0' SEPTIC TANK42 . 2 LEACHING PIT.41• VARIES o ' 0' :o 0 0.:0 .•o a:e• ..°•.•.e:•;r .e•: ,, .o .�. .,o•e 3" OF ?/8" — 1/2" 12" MAX �0.0�,.a .p.•• e•.'e:e b' .A:...e:.'..s:. •o.':o.. :e:• e':. e;d••o:c:e' o ASHED PEASTONE PRECAST CONC. OR :;o.:a 3„ a o. a e:o.e: BRICK 6 MORTAR e OUTLET PIPE LEVEL ` TO 12" BELOW GRADE o• '° FOR 2 FT. MIN. '�:.�Q:•p' �• O O •o.•• .o.•n..:• :b..o ,e••o. .0_a.ri. C .e. Q .••fie: -.�-- - 45.0�'� - s" '+ :..,.;. .• '° ..•.—..-r::r••... o° •:;.•° 44.�8 s e 4.53 44 9'S •.. .'O• C . ti.•. ••••'•: ... b : .,,^�,••.,:,•.� C. I. OR PVC TEES 'Z o: e•:°• :d.'o°o. BSMT. FLR. - 1000 GALLON DISTRIBUTION BOX I INSTALL ON LEVEL BASE 3'-� 4: PRECAST CONCRETE 3/4 'o ?-1/2 4 PRECAST :o: ° .•e'. °'. o:o: e a WASHED 16°:°••°.,•;••:°'.'•: H— l 0 REINFORCED o CRUSHED CONCRETE o• a. .b,o.o:•c°3°:o:c°oaD.c,•°o°o:°•oeo.'•'eoo•,o o•Qo90 o:..do:d.op.eeb000.. STONE •s H— 0 REINF. SEPTIC TANk' INSTALL ON L VEL BASE -� ° ° ° ° 4:e• 4 ne e ' •o.°•.e o NOTE.- EXCA VA TE TO ELEV. 34.4 OR LOWER TO REMOVE ALL IMPERVIOUS MA TERIAL BENEA TH THE LEACHING AREA 3 '-0 " 3 '-0 " REPL A CE EXCA VA TED MA TERIA L WI TH 6 '—0 It, CL EAN, CL A Y FREE SAND .. L_ oT Sro LOT 5E> LOT cD4 EFFECTIVE DIAMETER 40 42 38 GENERAL NO TES LEACHING PIT 25.00 1. ALL EL EVA TIONS SHOWN ARE BASED ON ASSUMED INSTALL ON LEVEL BASE A, LL PIPES IN THE SYSTEM MUST BE CAST IRON OR SCHEDULE 40 PVC. �8 3. THE BOARD OF HEAL TH MUST BE NOTIFIED \ WHEN CONSTRUCTION IS COMPLETE PRIOR TO BA CKFIL L ING PERCOL A TION RATE.' LOT 52 L o-r ?J J L o T 34 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED 2 MIN./IN. `} 3 20 0O� S� BY THE BOARD OF HEALTH AND CAPE 6 ISLANDS WI TNESSED BY.• SURVEYING CO., INC. N. L I TNER 42 5. MATERIALS AND INSTALLATION SHALL BE IN BARN. BAD. OF HEAL TH COMPL IANCE WI TH THE STA TE SA NI TARY DESIGN DA TA CODE — TITLE V — AND LOCAL APPLICABLE DA TE.• FEB_ 13, 87 � p �.• � , d- '� RULES AND REGULATIONS NUMBER OF BEDROOMS 3 �, _� 6. NORTH ARROW IS FROM RECORD PLANS AND U �� 2 GARBAGE DISPOSAL NO 4G r- Z IS NOT TO BE USED FOR SOLAR PURPOSES TOPSOIL 6 7. FL 000 HAZARD ZONE C SUBSOIL DAILY FL ON 330 GAL . 35• \ }�12OpOs -p 1 Q N 5. 8. WA TER SUPPL Y TOWN WA TER 24 SEPTIC TANK REQ 'D. 1000 GAL . N 3 BDC2M. NSF. s000 GALLON SEPTIC TANK PROVIDED 1000 GAL . 48 BULL "D5m dr, tr PRECAST CONCRETE 46 SEATrC TANK LEA CHING REQUIRED 330 GPD. t• ` 44 PN T CON ETA MEDIUM SAND LE c PIT ", cv , SIDEWALL AREA ?35 S. F. �P�� ►l, 40135S. F. X 2. 5G/S. F. = 338GPD BOTTOM AREA = 113S. F. 42 113S. F. X 1. 0 G/S.F. = 113GPD LEGEND • L EA CHING PRO VIDED 451 GPD 40 PROPOSED EL EVA TION 144"."1 NO GROUNDWA TER C-L. j --40 —— EXISTING CONTOUR AhLT U I T 2 CAA 0 OBSERVA TION PIT DISTRIBUTION BOX ���N OF 50 4-'8 PROPOSED SEW GE DISPOSAL SYSTEM Q LEACHING PIT C.3 PREPARED FOR 0 o SEPTIC TANK tj yo�F ,j li r C� i DAMES BA RGEP lR?+ RESERVE77 LOT 33 SANTUI T ROAD CO TUI T — BARNS TABL E - MASS. 45.00 PIPE INVERT EL EVA TION ' DA TE.' F�E-5. ( 5, 105 CAPE 6 ISLANDS SURVEYING, INC. PLOT PLAN SCALE AS NOTED SCALE,* 1 "= 3 O z i g 2 3�, P. 0. BOX 334 . �.AN /1�0. S1�1 f?,? TEA TICKET MASS.