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Home My WebLink About0090 THANKFUL LANE - Health L0341 Lane W w I Town of Barnstable IDepartiment of Regulatory Services Public Health Division Date MASS. 1699- ,y�� 200 Main Street,Hyannis MA 0260. f�[t Date Scheduled_ d Time Fee Pd l�✓�.' Sol. uitnbilzty .AAssessrnent,f®r° Sew Dis o Performed By: 1 AN1 Witnessed By: -(3 �lD LOC & GENERAL MORIVIATION / Location Address tad Wul � Owner's Name Address Assessor's Map/Parcel: Engineer's Name vvw� V1J� NEW CONSTRUCTION REPAIR 1'� Telephone# Land Use Slopes(96) Surface Stones r Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SICEI TCLI:(Street name,dimensions of lot,exact locations of test holes&Pere.tests,locate wetlands(n proximity to holes) NO ..., Ca 110 r_.V 9 Parent material(geologic) Depth to Redrock Depth to Groundwater. Standing Water in Hole: Weeping fl'om Pit PIIoe ESdmated Seasonal High Oroundwater DETERMINATION FOR SEASONAL.MGi WA`rERT.t BL,E Method Used: Depth Observed standing in obs.hole: lu, Dcpdt to soil inottles: Ili, Dcpth to weeping from side of obs,hole: ill, Groundwater Adjustment' ft. Index Weli# Reading Date: Index Well level___.,�._ AciJ.tSdetOr AtIJ.Utowidwater level m PERCOLATION �EST DALUw__,�,_,_, Time_Observation /lei Hole# Time at 9" Depth of Pere Time at 6" Start Pre-soak Time @ Time(9" 6") 7i End Pre-soak Rate Min./Inch eSite Suitability Assessment: Site Passed Site Failed: Additional Testing Necded(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- \ ***1f percolation test is to be conducted within 100' of wetland,you must first notify tile. Barnstable Conservation Division at least One (1) week prior to beginning. Q:\S EPTIC\PfSRCrO RM.DOC DEEP.OBSERVATION HOLE.LOG Hole# Depth from Soil Horizon Soil Texture Sdil Color Soil Other Surface 0[0 (USDA) (Munsell) Mottling (Structure,Stones;Boulders. onsi§tency,46'oravel) v- � /D ✓1,3 DEEP OBSI+;R V'ATION MOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,% ravel DE LIP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co 1 tc cy,%Orayclj DE El P 61 SER VATION HOLE LOG Dole# Depth from Soil Horizon Soil Texture Soil Color soil Other Surface(ill,) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Cons' ten 6 a w Flood Yns'nrance Igate Ma � i Above 500 year flood boundary No Yes Within 500 year boundary No es ' Within 100 year flood boundary No Yes Dentli of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervi L arial exist in all areas observed throughout the area proposed for the soil absorption system? --i—�__ If not,what is the depth of natur ily`occurring pervious matortai? f Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Envir nmental Protection and that the above analysis was performed by me consistent with the re Zuiining,exper'se an xp ie cedescribed in)10 CNM 15.017.Signa Date QA EPTlaPERCP0RM.DOC TOWN OF BARNSTABLE LOCATION 90-r6anX4 u 1 L AJ SEWAGE# y\VILLAGE C'o4u;-F ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. B* Q E Xc AJcL ;c/\ SEPTIC TANK CAPACITY /000 LEACHING FACILITY.(type)I"r cn c kc (size) 2 x 3 x 33 NO.OF BEDROOMS 2. OWNER PERMIT DATE: )-29 - 114 COMPLIANCE DATE: 01114 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 a�= Z$ z AZ-3z � A3. y, ' y B3- 2s3 A4-bot By- 3s�5 REA No. O Fee , THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplitation for Mispo8al 6pstrm Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.��q 0 Q Owner's Name,Address,and Tel.No. Assessor's Map�arcel c/A'1 Ott ft Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �t13 �XC-7V,%fi0n .SO, -477 6&63 7 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �-� gpd Design flow provided gpd Plan Date i 1 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued b this Boar f h. ig ed4 ) Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: } PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for -Disposal 6pstent Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.el /� Owner's Name,Address,and Tel.No. Assessor's Map/Parck Cq(-e e-(7 el q Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 3t/.3 �MCIVallel)n 50,d -L/77-6&6_3 ��V(,,on ��/� 1 609433 7 Type of Building: a Dwelling No.of Bedrooms 0? LoeSizel1 .-r, j sq.fl. Garbage Grinder)? J03 Other Type of Building No:of Persons Showers( ) Cafeteria'( ) Other Fixtures Design Flow(min.required) 2 U gpd Design flow provided gpd Plan Date I tic) 111 Number of sheets � Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil / ar., r i Nature of Repairs or Alterations(Answer when applicable) r t / - I Date last inspected: Agreement: iul The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board."ealth. i ed Qt Date Application Approved 6y Date Application Disapproved by Date w y for the following reasons i Permit No. Date Issued j f THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by -4 9 �_X L A UCA f (j n at () jb t(1 k h)I _ l a O Q , (Q11)1 Thas been cons cted in ac ce with the provisions of Title 5 and the for Disposal System Construction Permit No ated Installer4 ( �r/j�/ Designer - #bedrooms 9 1 Approved desi flow Z Z() / > gpd The issuance of t 's p it sha�l not a construed as a guarantee that the system will function fs desi ed./ Date t I Inspector ' I = ----------.----- I- -.-.-_ ------ : - . -- : . _ -- . —. ' - - --- No. l THE COMMONWEALTH OF MASSACHUSETTS Fee PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal 6pstttn Construction i3trutit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at q 0 --rl--\ L an P r T)T I ) I I and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction �t b c e d within three years of the date of this permit. Date Approved by om a Town of Barnstable Regulatory Services Richard V. Scali,Interim Director • antayszneIZ:, MAffi. �� Public Health Division A'F1 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer &Designer Certification Form 41 Date: Z Z®� ewage Permit# ® Assessor's Map\Parcel l/ Designer: t _ Installer: Address: � �`(. Address: On �� 1 was issued a permit to install a (dateh ��" (installer) septic system at b 1 �P�-�1k/_ffJL, Lj based on a design drawn by (address) 1 dated AU n (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed ' ce with the terms of the IAA approval letters (if applicable) �K OF Mq�`r9 z DAVID(S�A DA-4-L9,CV-Q1 8. c (In estaller's Signatu o MASON y No.1066 0 �y ��/STERN esi is Signature (Affix Desig Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc Town of Barnstable Barnstable Regulatory Services Department '`-.RNs`AB r Public Health Division iGg9 �� 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 •x Richard Scali,Acting Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL 417012 1010 0000 2851 0985 November 7, 2013 Brownie E. Green 199 Church Street Duxbury,.MA 02332 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE. TITLE 5 The septic system located at 90 Thankful Lane, Cotuit, MA was last inspected on 10/18/2013 by Ricky Wright, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • System is in hydraulic failure • Replace Distribution box • Riser on tank must be within 6" to grade You are ordered to repair/replace the septic system within sixty (60) days from the date you receive.this notification.. Failure to.repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF T E BOARD OF HEALTH �OmscKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\90 Thankful Ln Cotuit Nov 2013.doc Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=2492 / c ILI Logged In As: Pa rCel Deta I( Tuesday, November 5 2013 Parcel Lookup Parcel Info Parcel�039-041 1 Developer LOT 50 ID 1 Lot 3 Location 190 THANKFUL LANE 200 Pn Frontage Sec _ ) Sec Road Frontage I Village;COTUIT Fire District District Town sewer exists at this Road i1704� address,No Index Asbuilt Septic Scan: Interactive v 1 039041 1 Map 1 Al q r Owner Info Owner IGREEN, BROWNIE E Co- Owner Streetl 1199 CHURCH STREET Street2 City I DUXBURY State Zip 02332 Country Land Info Acres 10.58 Use Single Fam MDL-01 Zoning�F _ �� Nghbd[0105 Topography Above Street Road FlPaved Utilities jPublic Water,Gas,Septic Location Construction Info Building 1 of 1 Year 1985 i .Roof Gable/Hip Ext[VinylSiding Built 1 Struct Wall=m— Living 1154 �� Roof Asph/F GIs/Cmp AC'— Area Cover— Type woK Style Ranch Int Drywall i Bed 2 Bed( ro oms --�j '4b Wall Rooms' Int Bath 3 __ _ Model Residential �arpet 1 Full- 1H� Floor Rooms Heat Totals Grade Overage _J Type Hot Water Rooms i5 Rooms Stories j 1 Story Heat Oil Found-iPoured Conc. ` Fuel ation Gross http://issg12/intranet/propdata/ParcelDetai1.aspx?ID=2492 11/5/2013 �wr o�✓�ri��w/SN ti + izFx Commonwealth of Massachusetts .. _ w Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form .- Not for Voluntary Assessments 90 Thankful Lane Property Address: .... . Brownie Green Owner Owner's Name information is - Cotuit MA 02635 10/18/13 required for 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:When filling out foRns A. General Information- on the computer, . use only the tab - key to move your 1. Inspector: cursor-do not. Rick. Wright V use the return: key. Name of Inspector B & B Excavation;Inc. Company Name 14 Teaberry Lane - Company Address n ; Forestdale MA: 02644 City/Town State Zip Code 508-477-0653 S14595 Telephone Number License.Number B. Certification certify that I have personally inspected the sewage disposal system at this address and 1hat 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: I i 0 Conditionally Passes� Passes. ® _Fails 0 Needs Further Evaluation by the_LQcal Approving Authority 10/18/13 Inspector's Signature Date The system inspector shall submit a.copy of this inspection report to the Approving Authority(Board of Health or.DEP)within 30 days of completing this inspection. If the system is a shared system or has a design.flow of 10,000 gpd or greater,:the inspector and the system owner shall submit the. report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to.the buyer,.if.applicable, and the.approving.authority..... ***This report only describes conditions at the time.of inspection and under the conditions of use at that time.This inspection does.not address how.the system.will perform in the future under the same or different.conditions:of use. - - - pp t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System:•Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 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: 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 metall 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 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 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 FIND (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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has 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 Y day flow t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM , 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 page. Cityrrown 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 CM 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 .. Title 5 Official Inspection. Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 90 Thankful Lane N e Property Address ... Brownie Green Owner Owner's Name information is required for every. Cotuit MA 02635 10/18/13 page,: Cityrrown .... State Zip Code Date of lnspection C. Checklist .. Check if.the following.have been done:You must indicate"'yes"or"no" as to each of the following: Yes: No El ® Pumping information was provided by the owner, occupant, or Board of Health ❑ N 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. Tans of they stem obtained and examined? If the P Y ( Y 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 breakout? ® ❑. 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. El ® Determined in the field (if any of the failure criteria.related to Part C is at issue ::approximation of distance is:unacce table 310 CMR 15.302(5)]PP _.. D. System Information - - - Residential.Flow Conditions: 2 _ 2 Number of bedrooms(design)., Number of bedrooms (actual), DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms) 220 t5ins•11/10.. T Offi F S I . itle 5 cial Inspection Form:Subsurface ewage;Disposa System�Page 6 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 90 Thankful Lane �M Property Address Brownie Green Owner. Owner's Name information is required for every Cotuit MA 02635 10/18/13 page. CitylTown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 3 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 years usage(gpd)): Detail: Sump puimp? ❑ Yes ® No Last date of occupancy: current 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 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: Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): l5ins-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 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1985 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 1/2 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: >20feet Comments(on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appeared to be in working order. No sign of leakage or blockage. Septic Tank(locate on site plan): Depth below grade: 1 1/2' 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 gal Sludge depth: 6" t5ins•11/10 Title 5 Official Inspection Form: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 °M 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 page. CitylTown 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 31" Scum thickness 6" Distance from top of scum to top of outlet tee or baffle 5' Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? scour stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection septic tank appears to be structurally sound. No sign of back-up. Grease Trap (locate on site plan): Depth bellow 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 page. CitylTown 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 Row: 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 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 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): At time of inspection d-box is deteriorated and must be replaced. 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 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 2 ❑ 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.): At time of inspection leachign is in hydraulic failure. Water level above the outlet. 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 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 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.): i 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.): l5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 17 , Commonwealth of Massachusetts Title. 5 Official Inspection Form o Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments w 90 Thankful Lane .Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 page. Cityrrown State Zip Code Date of Inspection A 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 �z '23t A3-31 I I AIL t Pay O 3 t5ins•11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 15 of 17 V Commonwealth of Massachusetts • _ v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shalllow wells Estimated depth to high ground water: >12'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: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: 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 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 90 Thankful Lane Property Address Brownie Green Owner Owner's Name information is required for every Cotuit MA 02635 10/18/13 page. Cityrrown 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 t ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file l5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 y AA' LOCATION -SEWAGE PERMIT NO. 039 VILLAGE INSTALLER'S NAME & A .DDRESS B U I L D E R OR OWNER DATE PERMIT ISSUED g� DATE COMPLIANCE ISSUED it 9 PY J �.. 1VJ 00 + I�41Cf: - , l • r+ FEB .0 M ap a-7 THE COMMONWEALTH OF MASSACHUSETTS '" BOAR® ( �j►�1'IOF HEALTH ............./cdL411r1............OF.........,L7- sktc�j l-_�'--........................................... a� A lirFatilin for Dig as al arks Tonstrnrtiun ami# a a fix � Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal R System at 4 �1�------.. :ankw-�......�---�__Clle:..................................... ..............40:-�....-s_.o--------------------------------- - Location-Address t No. -------- Owner Address W _ Installer Address Type of Building �^ Size Lot_�s _._._S feet U YP g - q ,-., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) /V49Garbage Grinder ( ) 04 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixture ---------------------------- - ---------------- .......... •--------------- WDesign Flow__________________ _ ___________________gallons per person...p�day. Total daily flow_.____._,�_0__..________._ __._________gallons. WSeptic Tank—Liquid capacity/04)-__gallons Length________________ Width. '=k.____. Diameter__-_____________ Depth___YP' -. x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area_____ __. ....sq. ft. Seepage Pit No......./----------- Diameter__._ ____ Depth below inlet..... _.......... Total leaching area... 31_....sq. ft. Z Other Distribution box ( ) Dosin tank/S �) 1 //, '-' Percolation Test Results 2 Performed by---0�ls.!F1C'h _ '. _ ___�:___.__. Date......!__)/ Test Pit No. I___ ___minutes per inch Depth of Test Pit.. ®........... Depth to ground water--------hona w Test Pit No. 2---�________minutes per inch Depth of Test Pit... ............ Depth t r.. _._. �tN Mq8 r ......-----••-- O Description of Soil---�--�-P_�_... s. 9O:+ .o. ._.f......` --�� ----------------- ..................... - (xj ---------•----•---•-------------------------•- -----•----------•--•------ -- ...------------------��---GF--�V--------------- RNKitt Im ----•---------------- W ............................................................................................................................................... 37.7.2 ...................... U Nature of Repairs.or Alterations—Answer when applicable---------------------------------------- i0 9PglP ��e -----••------•--------•---•--------------------••-•--•------- 88l0(I�l E�6 ............................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI HE. -5 of the State Sanitary Code—The undersi ed further agrees not to place the system in operation until a Certificate of Compliance has b n issede b , ,the of/healltth` Signed ------ --_�!!.✓/"_ ___ _______l..C".... ...._� e' S A� gate Application Approved By......... • ................ --- - ; - - •- --- ' �--- -D t j Application Disapproved for t following yeas <----- ------_ - -.........._®-t...-- -p=-_ ---- .................................•-----------------------•---------------------------...---•----------------•----•-----..--.---------__.---------------------------------------------------------------- Date Permit No....... --•----------------•--- Issued_........�+ s g --•• -•--••--•---- --•--•----- Date �. FES... M+tiY.'3q'- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. ( L.y.t >-`OF....:;..... '. � f" -------•"---.----.-"----------------------- .� lirtt#tan filar phip sal Marko Tonstrurtion famit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: f --- .....l Y.O.O.&IJ...... .c,e----.................................. ---------------��r��....� ...................................................... Location-Address o Lot No. >&e! --•---•--•---•----•--.....----•------------ _1__.. .�.t �_ Owner Address W -•----..... -•---••-•-.....-•.............................•- -•--••-•----..................--•-•-...---- -----........-•-..-•••••••----........--------•--•--- Installer Address ,^,� /„/� S feet d Type of Building Size Lot..Z_, ,.tl~/!G Sq. Dwelling—No. of Bedrooms.-,..........................................Expansion Attic ( ) /V(iGarbage Grinder ( ) F aOther—Type of Building ...... No. of persons............................ Showers ( ) — Cafeteria ( ) +, Other fixtures -----•---=----------------------------•---------------•••••••---••---••--•-••--•--••••-----••--••-- ......-•=-•••--•....---••-•••-•••-•---------• E , Design Flow.................... . g P person. . W � _________________gallons er. pe�day. Total dailyflow------.�_J1`1__.__..._.._.._._.___._._..gallons. WSept Tank—Liquid'capacity Ions Length___bb._�__...... Width..(/:7 ..... Diameter................ Depth.... 6.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........f Diameter...../. - ... Depth below inlet...... .......... Total leaching area.....--12..39_...sq. ft. Z Other Distribution box ( ) Dosing tank ( '-' Percolation Test Results Performed by....,Ou.,.t(-:1N7r4... _(,et_AL(.....(SO ....... Date._..__��2 aTest Pit No. 1....4,_2_-minutes per inch Depth of Test Pit...j____...________ Depth to ground water........b -aa. Test Pit No. 2----A_1".2....minutes per inch Depth of Test Pit....�u........_.. Depth to ground water.......Z.&fp. �-1 �.,, F--__-..__---•----------------'__- _.(_-------"---•--•----F...........- .�'?oP Q'�.:...... -...__ _....._ .__-•---- O Description of Soil ;,r _t _... c1� t ...# ,E'till+Qfa / f % ------------------------- Rc 4 .. �l i__________________________________________________________________________________________________ __________________________________ _ __ _._RANT w . eZ1T�T U Nature of Repairs or Alterations—Answer when applicable--------------------------------- r E-___ -----3772..... •- "_--__-_---__----. --------------------------------------------------------•--••- '"9p�¢ArsreQe ---•-------•-•------- Agreement: �E88IORAL :The undersigned agrees to install the aforedescribed Individual Sewage Disposal accordance:with -the ;of iITI1, 5 of the State S'anit o �The fined further agrees not to place the system in operation until a Certificate of Compliance I oar " Signed___. ............................................ ................................ Date -.. Application Approved By........._ �___ I//��wwr�� //e�/// ate VV Application Disapproved for t following reasons. . ..................•-••--•--••-•----•-••-•--•••---•----•---••--•••......---•••---•• ....... .----•--•-.....-••••----••-•------- r ----. ..-- 6 ----- ••---- ---- Date Permit No.... ��,�:.:._ !!�,`..----.....•------...... Issued It-__ •__- �-��•--••-------- T. ---. to THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....U.........................OF..:.:.... 3t :j3�t'�t..t!T�� ....... Trrt ir4tr of TontpliFaltrr THIS IS TO CERTIFY, That the`Individual Sewage Disposal System constructed ) or Repaired by................................................................................................................................................ 11 ------/.' J Installer at.............•�-''--i -a- •----•-•--•--- �� G9 Y?_ I.-•--••.... `1t:7&------------------------------........................................................ has been installed in accordance with the provisions of TITLE of The State Sanitary Codj as qescribed in the application for Disposal Works Construction Permit No----------- ........... dated-------I__ -----�EE UJ .j--_•-------_-_-_--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A G RAN THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..........5 ..... _--•i�---------------------------------•---- Inspect or........ � ------ THE COMMONWEALTH OF'MASSACHUSETTS BOARD OF HEALTH /�1 2...........O F..... ?G rJS .��.ka .. No... . . . . FEE._ S.0 Disposal lVarks Tone ur tion rrntit VVVV Permissionis hereby.granted......................................................---•--••-•---•---•-•-••••--•---••-•••---••-••-----••-••-••••......•••--........--•-•_.. to Construct or Repair ( �,. n Ind iv ,�u 1 Sew ge Disposal System at N (rfU �C�.�:-1.V•�.-_._... G✓t G ----"--------------------•--- ---- ------ ---- -------- -- ----- - - --- as o I j* for.Disposal Works Carist� air n' - --, D _! y sg . Board of Health DATE............................................................................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS i ASSESSORS MAP : � TEST HOLE L 0 G S 1 PARCEL : L//- -T 1) 'rhe installation shall con,i.;, witli '1'itle V aid "Town of 0*l3oard olr. G� FLOOD ZONE : �/� �p�LiG��sL --` SOIL EVALUATOR : AV1q � I"1�Jam-# 1 Iealth Regulations. ---- ---- --------- WITNESS : �W'� 1 1 r 2) The installer shall verify the location of utilities, sewer inverts and septic REFERENCE: I W components prior to installation and setting base elevations. -- PERCOL T ION RAT : G 2-VAIVI, 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8" per foot. "I'he first �� . K two lcet out of the d-box to the leaching shall be level. I 4) 'I�his plan is not to be utilized for property line determination nor airy other TH- I TH-2 purpose other than the proposed system installation. j- lU 5 All septic components must meet Title V specifications. 1� n LO � � � �'�t�`1 `r1�4> ) P co P P 6) Parking shall not be constructed over 1110 septic components. 7) "Clie property is bounded by property corners and property lines. I 8) Tlie property owner shall review design considerations to approve of total l� �6* �.�� AGE LOCATION MAP �'�j Z� design flow and number of bedrooms to be considered for design. Receipt of payment for the plan and installation based on the plan shall be deemed In�e•r-� c/�� approval of the design flow by the owner. 9) The existing leaching or cesspools sliall be pumped and filled with material per Title V abandonment procedures. Those within the proposed SAS shall '7 be removed along with contaminated soil and replaced with clean sand per I 'Fitle V specs. WQj !�°�4b � �wui 10)System components to be 10 feet from water line. Sewer lines crossing the �- water line shall be sleeved with 4 inch SCI 140 PVC with ends grouted if Ib' �'�� applicable. The proposed SAS is being installed below the water service - - -- - - j line. The line is to be sleeved as aforementioned and maintained in place. SEPT I C SYSTEM ! DES I G N 11) If a garbage grinder exists it is to be removed and is the responsibility of the owner to ensure such. 12)"The installer is to take caution in excavation around the gas line if such FLOW ESTIMATE exists. (2' 13)The installer shall verify the location, quantity and elevation of the sewer BEDROOMS AT i GAL/DAY/BEDROOM - GAL/DAY 1 � lines exiting the dwelling prior to the installation. 14).1 his plan is representative only that a system can fit on a property meeting SEPTIC TANK I 'title V requirements. \ e Z20 GAL/DAY x 2 DAYS - � AL USE GALLON SEPT IC TANK 1✓�C,w11�LP SO 1 L _YKA .,I�SOR PT I ON_ SYSTEM�►21W1pt�.2� _J�_ _ .., EI — �� of WL7' MASON ` " t No. 1066 0 �� SIDE AREA: 2- ZX X 01 = )�III STEP6, BOTTOM AREA: a 1 4 t S E P T I C SYSTEM SECT I ON 5ew 7)vl1 GAL gee_ mop of !_ � _ ,,I �j, "1 1 �,6b ''- / SEPTIC TAN �D�I I.> Ej ° � /671 114C- - N 7�� n� SITE AND SEWAGE PLAN LOCATION : �qO klI�Al., (,IvI.17i 60fVrF , �- PREPARED FOR : 6iuG�lV SCALE : " DAV I D B . MASON,RS DATE: 1 0 201 J DBC ENVIRONMENTAL DESIGNS w EAST SANDWICH . MA W DATE I HEALTH AGENT Z ( 508 ) 833- 2177 PRECAST LEACHING P/ T M H Cover .to within PRECAST SEPTIC TAN/ (NOT TO SCALE) 12 "of Finish Grode SO. FT PIT fa !I! O L3 O �� t� O ❑ �) l' 2 WASHED 0 o C7 o n o Z2. WASHED U � C 7� STONE %8 TO%2 0 o o ��p r� 0 0 o STONE: Q . , � p ❑ o o ucp o 0 0 p lii WASHED l�l tf j,l WASHED a 0 a o L_-3 0 0 0 - , TII STONE: /qTO/4 - p 3 STONE: 0 31 TO I f 8 ~ ;,, a 0 O O O C7 0 0 0 8 - 611 -- NOTE: /F THE L/OU/D DEPTH OF T HE $Z'PT/C TANK /S 5 'FEET, THE OUTLET TEE SHALL EXTEND /9 " SOIL LOGS B EL OW THE FLOW L /NE. T. P. l T. P. 2 T. P. 3 T P. 4 /17(2� - Is Ll '7 Lj Lj A U H PERCOLATION RATE OF MINUTES / INCH. \\ Qz \ PRESENT _ DURING _..TESTS /0z 1 AGENT —_ SECTION THRU SYSTEM (NO T Tq SCALE) MH Cover to within 12 of Finish Grode rl 1 `` `•�~ 1C�2 '- 5c n4 "� C� c, P VC Sch 40 PVC - - v u SEPTIC TANK LEACHING P/T � � I /0 \ '•\ (MIN) 20 \ (MIN) PROPOSED FLOW LIME GRADES BENCH MARK - DESIGN CR/ TER/A _ 3 PROPOSED SAN/TA6Y �YSTEM A /NV. AT FOUNDATION � ��r Le r�� -(�..r ��cc,• �{- BEDROOM DWELLING AT n SC Ie �ec �Fcr� Ll V INTO SEPTIC TANK //O - T C K oo, 13cl c�� D"c , Mt A G.P.B.D. = 330 G. P. D. is IN OUT OF SEPTIC TANK I y S`� �-G x 12-6 n�;,C�r ,7q #-'� f DRAWN FOR - V. INTO D/ST. BOX ly, Y�' ti^ ' V. OUT OF D/ST. .BOX "� ao�cti� Avec,_ /� x L r //3rw;M""_*NN VAUTR/NOT B WEBBY CO. couNTY RD. PLYMPTON, MASS. V. INTO LEACH/NG P/T !`- 4 � J T-�od � J� C i+ DRAWN BY SHEET PLAN NO. TTOM OF LEACH/NG P/T ..e G 3 � CHECKED BY. ' i<TER TABLE '� ✓ 1 rv =�(� APPROVED BY PLAN DATE. q SCALE. I �0