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HomeMy WebLinkAbout0100 ACORN DRIVE - Health /DD moro -Drive., 64e,r-vi I ;Ro - � 1 .t 3 'i i �f No. �v � l '2�`"3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered incomputer:,,/ _ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplicatiou for Disposal bps m Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) omplete System ❑Individual Components Locatio A ss o No. Owne ' r T N d o Ass ssor's Map/Parcel Installe 's Name, ddress, d Tel. o. Designer's Name,Address, d Tel. o. iA4M M, type of Building: Dwelling No.of Bedrooms Lot Size ©t Ze sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re q ire ) 2 gpd Design flow provided ,> gpd Plan Date Number of sheets Revision Date Title 1 Size of Septic Tank Type of S.A.S. Description of Soil 4 Nature of Repairs or Alterations(Answer when applicable) v , Date last inspected: Agreement: The undersigned agrees to ensure the const tion m intenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envir nmen 1 C e and not to place the system in operation until a Certificate of Compliance has been issued by this Board of t Stgnl Date fd Application Approved by !V Date Application Disapproved by : .. Date for the following reasons Permit No. 2G 0- Date Issued 3i 9 j rt3 1 No. 1�1 ho- ! Fee THE COMMONWEALTH OFF MASSACHUSETTS Entered in compu er: Y� es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS t ftplication for MispoBal 6pstem Construction Permit Application for a Permit to Construct( ) )Repair( ) Upgrade( Abandon R'omplete System ❑Individual Components • a Location Address or�Lot No. Owner's NamGe,AAdddrreess,and Tel.No. Assws Ma.p/Parcel Installer's Name,Address,an Tel. o. Designer's ame, ddress,an Tel. o. C.�11ZA1�.� Type of Building: , Dwelling No.of Bedrooms I Lot Size O9 2. —sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re ire ) �� gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title (' Size of Septic Tank Type of S.A.S.Tk W Description of.Soil '� `! Nature of Repairs or Alterations(Answer when applicable ") Date last.inspected: rAM Agreement The undersigned agrees to ensure the construction.an in intenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envir en 1 C e and not to place the system in operation until a Certificate of Compliance has been issued by this Board Xof .. lt ; Signe Date jo Application Approved by - Date ;'Application Disapproved by Date for the following reasons Permit No. W Date Issued r 9 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 . sty at I t2r)J6 e W JAJ I �\/� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. o/q dated 3 S Installer f">I)t.,t '( / t. Designer' '�,( � a ! P . #bedrooms Approved design flow p gpd The issuance of this permit shall of be construed as a guarantee that the system will nitio designed. 9 Date ( Inspector n.. r _ No. 7 0 c) Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC-HEALTH DIVISION-7 BARNSTABLE,MASSACHUSETTS Misposai *pstem Construction j0prunt rPermission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon( ) System located ate —IQ l C�-�Q LA 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 m t be c 4npleted within three years of the date of this permit. , Date % Approved by Town of Barnstable . gap, o Regulatory Services Richard V.Scali,Interim Director 9 KM Public Health Division 1619. ►+�"'' Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862 4644 Fax: 508-790-6304 Installer&Designer Certification Form, .Date. Sewage Permit# Assessor's Map\Parcel Designer: �� Installer. Address: l �a"f' lj � C�1 Address: On l was issued a permit to install a ( e) (i er) septic system at 'IL(, >aQ 9WI based on a desigh drawn by 'A (addres ) TOP - y�'` � dated C (designer) . ZI 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 fo_11ow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was construes+ -nuance with the terms of the IAA approval letters(if applicable) f►►�=j OF,I q� ss.Nt VAVIU _ � t 8- v MASON � E (Installer's Signature NO loss o, Z!1. �� FQ/s rE?'�` (Designs s,Signature)-/` . ...... (Affix Designhr s Stamp Here). . PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE .WILL NOT BE ISSUED UNTH, BOTH THIS ,FORM AND AS- BUELT CARD ARERECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QAsepticbesignea Certification Foam Rev 8-14-13.doc �,v. r :...1-v '.r"..,. -..,%„ y^'>.-.2 .'w. .,,F Yl.ae.1-+' r'..;,.e...,-.t +..::...;'P"..":..FP.-e +w.e^.++.-•T'}.. c.'F 1'."'-T"v^F - �i:','• -`Y""-.-�"r'"/, '-Y TOWN OF BARNSTABLE BAR_W '3442 Ordinance or Regulation WARNING NOTICE �3 Name of Offender/Manager # . (�a Address of Offender . - 1 ' � / MV/MB Reg.# Village/State/Zip A ; �0 , MA 017S-1 , Business Name am%, m on 20 / p . ,. Business Address �� �-lj��� • t9 � .�1,��{:.��° SIignature -ojEr Enf'oreing Officer Village/State/Zip Location of Offense ( , Enfo rc ing Dept/D(ivi"sioh Offense > �" kf1'd' Fact s �� P , � 7z,l�'D �/ ��� (yk/ 64w, N_ 6Ay61) ,.1)PP)VN1e1L_ 091"t � 'I,' This will serve only as a warning.' At this time no legal action has 'been 'taken. It is the goal of Town agencies to achieve .voluntary compliance of Town Ordinances Rules and Regulations.g Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. _� -;_:. .... r..:: ...: .i+i..e:a "C?"' 1,._T,✓'q 'tt-'�,. :pw t i:- -TY'-.. M+t'.. }:i.' v. r - •. TOWN OF BARNSTABLE BAR-W '" '` Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender °x P ;" MV/MB Reg.# }} � j Village/State/Zip '( t f' �A f f Business Name ' am/pm,;)p p ,;) n ,, 20j� r-,�.,.,_ o. Business Address ? 0 :`� � 4 Signature .of'' Enforcing Officer Village/State/Zip Location of Offense #2 r ; �1 Vt"-- - ' /�') I 5�, � 0&4'J Enforcing Dept/Division Offense tow1v oF lllzejALKA'f�%'Lrn" Facts �.,,,i -'U Kb t� : .t.}.i �` t% f' � f $ "' x� ell olr This will serve only as a warning. At this time no legal action .has been taken. `" ` It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance.. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-`ENFORCING OFFICER GOLD-ENFORCING DEPT. 4 = - u 4'Jy, t �► b . z - AN ' ' - P Ali { P We. ,k 10 =� MAlr lk 41 At t z TOWN OF BARRNSTABLE LOCATION JP AWAJ 'EM0, SEWAGE# VILLAGFO-57 � - ASSESSOR'S MAP&PARCEIIW „ 5 J INSTALLER'S NAME&PHONE NO� 1 !� ('T' SEPTIC TANK'CAPACITY '��cdG � r �-T LEACHING-FACILITY.(type a; L 4,3 (size),J?- 13 NO)OF BEDRO.MS. �. OWNER hry 1 t PERMIT DATE: ( t� COMPLIANCE DATE:,F / Separation Distance Betw en 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 r + TOWN OF BARNSTABLE LeKi- ION SEWAGE # VILLAGE-51 V V10 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. A r 2 o ®`6 f SEPTIC TANK CAPACITY LEACHING FACIL=: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMPTDATE: 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 r O3 1 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL 3 DEPARTMENT OF ENVIRONMENTAL ON ONE WINTER STREET,BOSTON MA 02108 (617) " 0 Wall"F.WELD .~.i _, ) 8 Y CORE Governor '0 199 Secretary ARGEO PAUL CELLUCCI O �lTyr�lF ,D sai . STRUHS Lt. Governor Commissioner � 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: ►oc>Ac az,.z"tpr.,O,T%%L%j tt, % "Q, Address of Owner: Date of Inspection: 'XW-, (If different) Name of Inspector: M.ca,�e��� Qybcckc� Company Name, Address and Telephone Number: N't y tOT%L '�Nv�ec�N tatr t 1?.L) A-4bLk CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function-and maintenance of on-site sewage disposal systems. The system: Passes _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: „ Check A, B, C, or D: A] SYSTEM PASSES: _ I have not found any information ,which indicates that-the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, 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 septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 11/03/95) z� t.� PnotNi on Reacted Pacer SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A i N,j CERTIFICATION (continued) PA o y Addris: t y , Owner: �" Date of Inspedion: BI< �. SYSTEM CONDITIONALLY PASSES (continued) >>" Sewage backu`p'or breakout or high static water level observed in the distribution box i due to broken or obstructed pipe(s) or�due to a broken, settled or uneven distribution box. The system will pass i pection if(with approva o the s'—...Board'of Health): broken pipe(s) are replaced 'A obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four times a year due to broken r obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed q FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of ealth 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 DETE INES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND S ETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a su ce water — Cesspool or privy is within 50 feet of a b rderin g vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF EALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MAN ER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank d 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 t k and soil absorption system and is within a Zone I of a public water supply well. _ The system has a septic nk and soil absorption system and is within 50 feet of a private water supply well. _ The system has a Sept' tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution rom that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. 3) OTHER (revised 11/03/95) 2 i4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: Date of Inspection: L D] SYSTEM FAILS: ' I have determined that the system violates one or more of the following failure criteria as defined in 10 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine hat will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogg SAS or cesspool. Discharge or ponding of effluent to the surface -of the ground or surface waters a to an overloaded or clogged SAS or. cesspool. Static liquid level in the distribution box above outlet invert due to an over aded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volum is less than 1/2 day flow. Required pumping more than 4 times in the las year NOT due to cl gged or obstructed pipe(s). Number of times pumped _. Any portion of the Soil Absorption System, cesspool or privy is elow the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a su ace water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of public well. " Any portion of a cesspool or privy is within 50 feet of private water supply well. Any portion of a cesspool or privy is less than 100 eet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well h een analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, mmonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: The following criteria apply to large systems in dition to the criteria above: The system serves a facility with a design flo of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environm t because one or more of the following conditions exist: the system is within 400 feet a surface drinking water supply the system is within 200 f t of a tributary to a surface drinking water supply the system is located i a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone II of a public water supply ell) The owner or operator of any such stem shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 a 6.00. Please consult the local regional office of the Department for further information. (revised 11/03/95) 3 y F � SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: %OO MEGZ-40�� Owner: Xj,'Q.%%vZ cA Date of Inspection: 5� 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 at least two weeks and the system has been receiving normal flow rates I 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. XThe site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11/03/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 100 A�Q.►.� Owner: TSe.M f.A Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow:5'bQ gallons Number of bedrooms:-_p_-�!:, Number of current residents:_. Garbage grinder(yes or no):(�,Z Laundry connected to system (yes or no):v�S Seasonal use (yes or no): N0 Water meter readings, if available: ►jI^ Last date of occupancy: N COMMERCIAUI N D USTRIAL: Type of establishment: " Design flow: gallons/day - Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)- Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: SSA�\�L�IV� M/� `w\L-LT� y Uw\Q-e ` U �2\C�N7 �'i� �NS�71a System pumped as part of inspection: (yes br no)_ If yes, volume pumped: gallons Reason for pumping: TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) APPROXIMATE AGE of all components, date installed'(if known) and source of information: t— Sewage odors detected when arriving at the site: (yes or no) (revised 11/03/95) 5 l r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: Date of Inspection: SEPTIC TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP—other(explain) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liqui n to outlet invert, structural integrity, evidence of leakage, etc.) GREASE TRAP:_ (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP _other(explai 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 b 1e: Comments: (recommendation for pumping, condition of inlet an outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (revised 11/03/9 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: ' Date of Inspection: TIGHT OR HOLDING TANK:_ (locate on site plan) 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, etc.) DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: _ .. Comments: { (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) PUMP CHAMBER:_ (locate on site plan) Pumps in working order:(yes or no) .. Comments: (note condition of pump chamber, co ition of pumps and appurtenances, etc.) (revised 11/03/95) 7 1, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Epp Owner: _—Qz r4A% Date of Inspection: �,,`�3`�•-� SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number:,(-K tj) Comments: (note condition of soil, signs of hydraulic failure, I�vel of p ding, condi ion of ve-etation,etc.) , o ' rn CESSPOOLS: %yCs - 5«- ?�*i� `\• (locate on site plan) Number and configuration: 1i. Depth-top of liquid to inlet invert:ss - t. Depth of solids layer: '& \ (o" Depth of scum layer: ;0' Dimensions of cesspool:' 1- he 53 - 66 9S Materials of construction: ep,= Indication of groundwater: a� inflow (cesspool must be pumped as part of inspection) w�v :3?uyySao_A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) h a �, c_ 3- 1� PRIVY:�JQ (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.) (revised 11/03/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ' SYSTEM INFORMATION (continued) Property Address: 1 oc ACU4bQ6&_)-->e_ Owner: �P!`4L��� Date of Inspection:a` SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks " locate all wells within 100' Tk 1oCj� Zi �,t,,rL NL 3 -3Z > C7Z>- �3- 3� DEPTH TO GROUNDWATER Depth to groundwater: feet method of determination or approximation: Q.Q (revised 11/03/95) 9 ASSESSORS MAP : TEST HOLE LOGS 1) T e installation shall comply a�H . with the State Environmental Code Title V and Town of o/ - ��✓� PARCEL : �--� . I f Board of Health Regulations. SOIL EVALUATOR . �� �1 �'i/ 2) The septic system as proposed on this plan shall not be installed until a licensed town installer FLOOD ZONE : 1A07 -'��7,�I�' ., _ -I WITNESS : 1 V�tj receives approval and an installation permit from the applicable town. REFERENCE : D BfG ) tile verify , �.t,� ����� z� DATE: 1 3 Prior to installation, le installer shall veri the location of utilities sewer inverts, sewer lines PERCOLAT I ON RATE : 2 MI 1 and existing septic components prior to installation. -------- f, v. ,Ong V. 4) All gravity sewer piping is to be 4 inch schedule 40 PVC at 1/8" per foot. The first 2 feet out ofol ; TH- I TH- the distribution box shall be level. All piping connections to be glued. 5) This septic design plan is not to be utilized for property line determination or for any other IL L_ purpose other than the proposed septic system installation. 6) All Title V components are to meet Title V specifications. ✓, l (� C� �{ 0� )(� b Q� 7) Parking shall be prohibited over Title V components unless components are F120 loaded: j 8) The existing leaching or cesspools shall be pumped and filled with material per Title V LOCATION MAP 2A 14 �D � abandonment procedures. Leaching and cesspool(s) and contaminated soils within the C1�2 proposed SAS shall be removed and replaced with clean sand per Title V specifications. 9) Septic components are to be 10' from a water service line. Sewer lines crossing a water line shall be sleeved with an appropriately sized schedule 40 PVC with ends grouted. The water service line or the septic line can be sleeved with the sleeve being a distance of 10' on both sides of - �/�� crossing the line. W "� _ c)'_�� ✓ 10) If a garbage grinder exists in the structure, it is to be removed if the septic system is not designed to accommodate a garbage grinder. SEPTIC SYSTEM DESIGN 11) The installer is responsible for care of excavation around all utilities on the property and protecting the structural integrity of all structures during the installation process of the septic o , _ system. FLOW U T I MATE 12) This plan only represents that a septic system can be installed on the property meeting Title V ---- — — �\ ' _ --- ---- / D'q/ CO ---' ( - ' ,� requirements. trJ 1p�,1141 r �! Bt: °:UOMS AT I I� GAL/DAY/BEDROOM -ZZD GAL/DAY 13) The property owner shall review design criteria to approve the total number of bedrooms and \ 1 SEPTL' ANK design flow. Installation of the septic system as proposed and receipt of payment for the design I ' I>�1��7 _ . __ shall be deemed approval of the design criteria by the property owner or agent of. --0 l„i./DAY x 2 DAYS - GAL 14) The validity of this plan shall expire with the expiration of the town installation permit issued for L- this plan or the validity of this plan shall expire on the expiration of the Certificate of Compliance I USE _ GA1.-LON SEPTIC TANK issued for the installation of the proposed system on this plan. \ O O 01E 9 SORPT FOW SYSTEM --- -----/-F 4J�r\) ?f JIf \ "� `� 1 - _ ` AREA: >_. l �� _ ^` �`r 1 Q 1 �� If ,q / / ^ ; J ��I U �� `U 30TTOM AREA: Z� X ! Az SEPT _ SYSTEM SECTION ALI --- , - ^�- M5_ O 1� 6TDW _ GAL _ 4T io SEPTIC TANKS . E UAWD Yi\\�1 /l�! l B.� MASON S I TE AND SEWAGE PLAN �1 � ��1 I�' 9 No. 1066 LOCATION : 1�( 14 PREPARED FOR : M I O SCALE : '' DAV I D B . MASON RS DATE : Z DBC ENVIRONMENTAL DESIGNS Q J U 3 DATE HEALTH AGENT W Z