Loading...
HomeMy WebLinkAbout0046 BLOSSOM AVENUE - Health ,, " 46 •BlossomG��Avenue� �� ��, �` � � '_;� ��t , 1 :w . ��n{., �rff E}iiF &}•,Sr ,ar q..� kr�a 1 �, 1"~'v hj L:.. .. .. t 77, - � .,, „ �i-.,,�Yh '�'•,�-.�� �l;.f�k fl3?�'?;�i�1�t. p�.R..! F i�.;w� `t i•l' _ i s O'72 ����: rt n {J G � a e n J • <. .. •' .: ,. a P l ar 01 ,2016 20:05 Jim The Inspector Man 5085349919 page 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 46 Blossom Ave_ r+ Property Address v Kathryn Corcoran a~g Owner Owner's Name information is required for every osterville i/ MA 02655 3-1-16 page. City/Town Slate Zip Code Date of Inspections CO 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 A. General Information filling out forms 5/4 //L L 2 rJ, \`ptUfultnrNU�r� on the computer, !! -/ �J o`--' ��� '(NOFMq use only the tab 1. Inspector: key to move your ;O= '•�G cursor-do not James D.Sears JAMES 08 use the return - ,�-5���: key. Name of Inspector Capewide Enterprises, LLC X-.o Company Name 153 Commercial Street Company Address Mashpee MA 02649 CitylTown State Zip Code 508-477-8877 S1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to'Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 3-1-16 pector'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. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Mar 01 2016 20:05 Jim The Inspector Man 5085349919 page 2 Commonwealth of Massachusetts uA Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Blossom Ave. ,p - Property Address Kathryn Corcoran Owner Owner's Name information is required for every Osterville MA 02655 3-1-16 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments.- The system is a 1500 tank D Box and one 500 Gal. Chamber. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined"(Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old' or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent.,System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): . t5ins•3A3 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 2 of V Mar 01 2016 20:05 Jim The Inspector Man 5085349919 page 3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 46 Blossom Ave. Property Address t Kathryn Corcoran Owner Owner's Name information is required for every Osterville MA 02655 3-1-113. page. Cityfrown State Zip Code Date o°Inspection B. Certification (cont.) , ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) ::System Conditionally Passes (cont.):, ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation Is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health ii order to determine if the system is failing to protect public health, safety or the environment. r 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-3112 Title 5 Of iiclel Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 i i ,Mar 01 , 2016 20:05 Jim The Inspector Man 5085349919 page 4 Commonwealth of Massachusetts _ Title '5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Blossom Ave. Property Address Kathryn Corcoran Owner Owner's Name information is Osterville MA 02655 3-1-16 required for every page. CilyrTown 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 fee_t 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 coiiform 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 0 is less than 6" below invert or available volume is less than day flow 15ins•3,113 Titie 5 Official Inspection Form:Subsurface Sewage Disposal Syslem•Page 4 of 17 Mar 01 , 2016 20:05 Jim The Inspector Man 5085349919 page 5 Commonwealth of Massachusetts Title 5 Official Inspection Form R o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 46 Blossom Ave. Property Address Kathryn Corcoran Owner Owners Name information is required for every Ostetville MA 02655 3-1-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than b.ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15,303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water•supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area —IWPA) or a mapped Zone I I 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. • i 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 or 17 1 1 j i Mar 01 , 2016 20:06 Jim The Inspector Man 5085349919 page 6 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 46 Blossom Ave. Property Address Kathryn Corcoran owner Owner's Name information is required for every Osteryille MA 02655 3-1-16 page. CitylTown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes"or"no"as to each of the following: Yes No ❑ 0 Pumping information was provided by the owner, occupant, or Board of Health Were an of the system components pumped out in the previous two weeks? ❑ ® Y Y P P p ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS; located on site? s ® ❑ 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. Q ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 1 Number of bedrooms (actual):. 1 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 110 [Sins•3113 Title 5 Official Inspection Form:Subsurfaos Sewage Disposal System•Page 6 of 17 i ,Mar 01 2016 20:06 Jim The Inspector Man 5085349919 page 7 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 46 Blossom Ave. ' Property Address Kathryn Corcoran Owner Owner's Name information is required for every Osterville MA 02655 3-1-16 page. City/Town State Zip Code Date of Inspection D. System Information Description: The system is a 1500 Gal. Tank D Box and one 500 Gal. chamber. Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection' ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2C14-26,000Gals 9 ( Y 9 19P )) 2015-71,000Gal's Detail Sump pump? ❑ Yes ® No Last date of occupancy: Date Commercialllndustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): canons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ ,Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No k Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: 151ns•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 - - s i f Mar 01. 2016 20:06 Jim The Inspector Man 5085349919 page 8 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments , 46 Blossom Ave. Property Address Kathryn Corcoran Owner Owner's Name Information is required for every .Osterville MA 02655 3-1-16 page. CitylTown 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: NA 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(10 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): 15ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Mar 01 2016 20:06 Jim The Inspector Man 5085349919 page 9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Blossom Ave. Property Address Kathryn Corcoran Owner Owner's Name information is Cisterville MA 02655 3-1-16 required for every — page. CityfTown State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed (if known)and source of information: 2008 Permit # 2008-316. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 26 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4" PVC. SCH 40. Septic Tank (locate on site plan): Depth below grade: 16" 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: 1500 Gal. Precast H-10 Sludge depth: 6" ISins•31113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System.Page 9 of 17 Mar 01. 2016 20:06 Jim The Inspector Man 5085349919 page 10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 46 Blossom Ave. Property Address Kathryn Corcoran Owner Owner's Name information is required For every Osterville MA 02655 3-1-16 page. City/Town State Zip Code Date of Inspection D. System Information (cost.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 24" Scum thickness Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 17 How were dimensions determined? Asbuilt-Tape- Plan Sludge Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank at working level. Tank and covers at 16" below grade. In and outlet tee's. No sign of leak age or over loading. z Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions:. Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t t5ins-M 3 Title 5 Official Inspedion Form;Subsurface Sewage Disposal System-Page 10 of 17 g IMar 01 2016 20:06 Jim The Inspector Man 5085349919 page 11 N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 46 Blossom Ave. Property Address Kathryn Corcoran Owner Owners Name information is required for every Ostervilie MA 02655 3-1-16 page. Cityfrown State Zip Code Date of Inspection D. System Information (cost.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc,): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow; gallons per day Alarm present: ❑ Yes ❑ No . Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): 1 i Attach copy of current pumping contract(required)_ Is copy attached? ❑ Yes ❑ No I I ' I t5ins•3M3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 i t i E i I Mar 01 2016 20:07 Jim The Inspector Man 5085349919 page 12 Commonwealth of Massachusetts = Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 46 Blossom Ave. Property Address Kathryn Corcoran Owner Owner's Name information is required for every Ostetville MA 02655 3-1-16 page. Cityrrown 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.): D Box is 16"x16"-2' below grade. Box is clean and solid w/one line out. No sign of over loading or solid carry over. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* l I Alarms in working order: . ❑ Yes ❑ No* • i Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.), . i x * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required).- If SAS not located, explain why: t E f b t5ins•3/13 Title 5Official Inspection Form:Subsurface Sewage Disposal System•Page 12 or i i f E i Mar 01 2016 20:07 Jim The Inspector Man 5085349919 page 13 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Blossom Ave. Property Address Kathryn Corcoran Owner Owner's Name information is required for every Osterville MA 02655 3-1-16' page. Citylfown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 1 ❑ 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.): Leaching is one 500 Gala Precast Dry well chamber w/4'stone on ends and.31"on sides. Chamber is clean and dry. Wall's like new. Chamber at 2'-8" below grade w/cover at 10". r 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•3113 Title 6 Official Inspection Form:Subsurlace Sewage Disposal System•Page 13 of 17 Mar 01. 2016 20:07 Jim The Inspector Man 5085349919 page 14 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 46 Blossom Ave. Property Address Kathryn Corcoran Owner Owner's Name information is required for every osterville MA 02655 3-1-16, page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 i Mar 01. 2016 20:07 Jim The Inspector .Man 5085349919 page 15 Commonwealth of Massachusetts Title 5 Official Inspection Form 1 �� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Blossom Ave. Property Address Kathryn Corcoran Owner Owner's Name information is required for every Osterville MA 02655 3-1-16 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) 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 6,11�ek Ta P 'ZI Gf'f v f �7 _ 1 _ j3 _G I i - - a9"-�� y -3 ` a 6 r L fe F,4,e 09 - y- 59'-3� �15 0 I i i� 4 { { t5ins•3i13 Title 5 off offal Inspection Forth:Subsurface Sewage Disposal System-Page 15 of 17 i f i Mar 01. 2016 20:07 Jim The Inspector Man 5085349919 page 16 Commonwealth of Massachusetts ROM Title 5 Official Inspection Form x Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Blossom Ave. Property Address Kathryn Corcoran Owner Owner's Name information is required for every Osterville MA 02655 3-1-16 page. CilylTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 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: afe1-07 ❑ Observed site(abutting property/observation hole within 150 feet of SAS) i ❑ Checked with local Board of Health -explain: I� i I ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database-explain: i You must describe how you established the high ground water elevation: T.H.on design plan 9-21-07 no G.W.at 12'. Bottom of chamber at 5' below grade. Bottom of chamber at 7'above T.H.Depth. • f l 1 Before filing this Inspection Report, please see Report Completeness Checklist on next page. 151ns•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 16 of 17 I " F I Mar 01 2016 20:07 Jim The Inspector Man 5085349919 page 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 46 Blossom Ave. Property Address Kathryn Corcoran Owner Owner's Name information is Ostervllle MA 02655 3-1-16 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file I , I t5ins•3i13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 j i 3 TOWN OF BARNSTABLE LOCATION -#'/v /6k5svPn SEWAGE# ' 3 Al' VILLAGE a5-l"e 'it l`2 ASSESSOR'S MAP&PARCEL i9 7.2 INSTALLERS NAME&PHONE NO.`t r SEPTIC TANK CAPACITY LEACHING FACILITY:(type):,", 4 (size) /0**X /d.•- X Q2 NO.:OF BEDROOMS j OWNER ,.f" PERMIT DATE: COMPLIANCE DATE: O Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching.Facility Feet Private Water Supply Welland 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 �F A IL .q 13 �� 7 a 3 3 30 No. t� /C� Fee 6V THE CO MONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Yes "PliCAtion for Di5pont *pztem Construction vermit Application for a Permit to Construct( ) Repair(•41f Upgrade(N/Abandon( ) Complete System ❑Individual Components A4 *L0SSDt1 A 01 1'G � Location Address or Lot No. �/ Owner's Name,Address;and Tel.No. Assessor's Map/Parcel _ 4 STEPHL.N J. DUYLUAINLY Installer's Name,Address,and Tel.No. Designer's Name,Addres4giUJ,*V URY LANE ° EAST FALMOUTM,MASSACHUSETTS 02536 AO� ov 33 If,15/egty 508/540-2534 Type of Building: sot yak 915 5 i Dwe ng No.of Bedrooms 1 Lot Size C! sq. ft. Garbage Grinder ( ) er Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 'L¢7D gpd Plan Date Number of sheets Revision Date Title L Ar� Size of,Septic Tank \ Type of S.A.S. 9,0 Description of Soil , , '-(::.o m_ Loci L. 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 �arth. Sig ed Date — Application Approved by Date ®. Application Disapproved by: Date for the following reasons Permit No. C� ^3�� Date Issued No. <i�i "� /6 Fee`F)_0 d a l THE COMMONWEALTH OF MASSACHUSETTS ' Entered in computer: PUBLIC HEALTH DIVISION�-,'�TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppfication for �Di5po5ar *p5tem Construction Permit Application for a Permit to Construct O Repair(,)/Upgrade(v)/Abandon O Complete System ❑Individual Components Location Address or Lot No. A 4 *iLO S SD t-_V1 fik--4 Y'(, Owner's Name,Address,,and Tel.No. Assessor's Map/Parcel ..�+� .r2),n \ yak IOU AO ,r!:e� +\ 9 I Installer's Name,Address,and TelNo. ` v Designer's Name,Address and Tel.No. r c. pw/tu 4. STEPHEN J.DOYLE AND ASSOCLXTES E 42 CANTERBURY LANE Type of Building: Sad 25 508/540-2534 Dwelling No.of Bedrooms Lot Size ''r: V'10•1 sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons I Showers( ) Cafete-ia( ) Other Fixtures Design Flow(min.required) 1,9 gpd Design flow provided 111919 gpd Plan Date �>a s, i ✓1,�� (�th Number of sheets Revision Date• Title `U 1ii/.0 �f/e9r) �sLi� .�lllvtt Jt'� _ Size of Septic Tank Type of S.A.S. Description of Soil ` co\(_ L•pG� t_, f Nature of Repairs or Alterations(Answer when applicable) t f Date last inspected: ;I+ 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 by this Bnoar• of Health. �y ' _ Sign Date /'o7_��ya! _ Application Approved by " -�.r....." � Date,'- � Application Disapproved by: �' 4+ t Date', r for the following reasons Permit No. r'J�-v 3/,A Date Issued '7 /3 e /G- - 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 91) #` at -;�6 1-/6 ��iSSv+r� ✓< N'' �,e(..L�t has been constructed in accordance W_ with the provisions of Title 5 and the for Disposal System'Construction Permit No. u dated Installer J C. A, /fiIp Designer t r 111P r-, #bedrooms 1 Approved design flow j,1/,/0 gpd The issuance o this permit hall not be construed as a guarantee that the system wilffun)cion adesigned. 6 _ - Date © Inspector ✓ k No. �U Fee.. ./ t/V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Migogal �&P!6tem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ✓) Abandon ( ) System located at ��� ory, A✓ t and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Titl I rid the following local provisions or special conditions. Provided: C4truction must be completed within three years of the//d-ate of this permit. Appr Date Z/3 c)A oved by Town of Barnstable Regulatory Services o� Thomas F. Geiler,-Director p�0 Public Health Division. s6; Thomas McKean;Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-190-6304 Installer&Designer Certification Form Date: o o __ Sewage Permit# 0 009 31*7 Assessor's Map\Parcel t J\ti Designer: STEPHEN.T.DnYT F AND +SSQ0.TES Installer:. 42 CANTEREiURY LANE Address: EAST FALMOUTH,MASSACHUSETTS o2w6 Address: ,pQ i3ox y On 7- 3 9-0 lk A-I-x-.0s was'issued a permit to install a (date) (installer) septic system at d ' J z s! based on a designdrawn b �7 Y �' '1 � 4rsU1�-J\ �6 C� � address uc� s!.PC.-, dated e 1 (designer) 1 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. Stripout (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. Stripout (if required)was inspected and the soils were found satisfactory. s � WV Of 0 r,�ewl �� CHRISTINE �yG Z FAIRNENY wN+ c STEFHEN . s ler s Signature) �. J. , No. 6 92 c H ' DO1'LE r► Q►ST ® ® c 1375,59 f(D igner's Signature) (Affix Designer's Stamp Here)d , o�. ,,"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 03-09-06.doc Btc 2;2$073' Ps73 040682 4b Print Form. 07--34-2008 a 01 = 57a DEED RESTRICTION Whereas STEVEN J.FUNT&LEANNE B. FUNT (owner's name) Of (address) is the owner of 46 BLOSSOM AVENUE (address) located at OSTERVILLE MA herein after referred to as PARCEL II and being shown on a plan of land entitled "Subdivsion of Land in NO PLAN MA Property of et al., I duly recorded at the Barnstable County Registry of Deeds in Deed Book I and Page Deeds in plan book 9664 and Page 137 or on Land Court Plan number WHEREAS, STEVEN J.FLINT&LEANNE B.FLINT as the owner of said lot has (owners name) agreed withthe Town of Barnstable Board of Health to a restriction as to the number of bedrooms whch can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code,TRIe V,Minimum Requirements for the Subsurface disposal of Sanitary Sewage; WHEREAS the Town of Barnstable Board of Health,as a precondition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200,State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and authorizing the issuance of a building permit for the construction of a single family home on this property,is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put o record with the Barnstable County registry of Deeds by recording this document, i NOW,THEREFORE STEVEN J.FLINT&LEANNE B.FLINT (owner's name) does hereby place the following restriction on his above-referenced land in accordance with his agreement with the Town of Bambstable Bolard of Health,which restriction shall run with the land and be binding on all successors in title: 1. 46 BLOSSOM AVENUE may have constructed upon the lot a house containing (address) no more than I' bedrooms. STEVEN J.FLINT&LEANNE B.FLINT (owner's name) agrees that this shall be a permanent deed restriction affecting 44 BLOSSOM AVE located in OSTERVILLE MA,and being shown on the plan recorded in (town) Plan Book NO PLAN and Page Or on Land Court Plan For title of PARCEL 11 see the following deed: Book 9664 and Page 137 Or on Land Court Certificate of Title No. Executed as a sealed document F day of F- F- (month) (year) Owners Signature i Owners Signature Owners Signature COMMONWEALTH OF MASSACHUSETTS (date) Then personally appeared the above-named Lapne , re known to me to be the person who executed the foregoing Instrument and acknowledged to be theesamebe tA fi o free act and deed before me, 7:�c M Gr Notary Public My commission expires: (date) TARA L.J OF ORDAN Notary PubYc W CanrtOSIM s 2M REGISTRY OF DEEDS Z890V# VL ba £LO£ °"g1VSTABLE REGISTRY OF DEEDS A TRUE COPY,ATTEST Z x JOHN F.MEADE,REGISTER Town of Barnstable P# Department of Regulatory Services s' URMYrA" Public Health Division Date — -u 200 Main Street,Hyannis MA 02601 fp MKt h Date Scheduled p A/1 WTime Fee Pd. IP(2 Soil Suitability Assessment for Sewage Disosal r Performed By: ' , �v..l 1 ✓ Witnessed By: :=Os(,i�1%4 LOCATION& GENERAL INFORMATION =` Location Address /� ` Owner's Name , .:.- A("(o T 5,L�o ty-�-1.� �,' t �VS � Address l 7uc, Assessor's Map/ParceL• Engineer's Name NEW CONSTRUCTION REPAIR Telephone# y p r& 2 3 Land Use r�ro,,,Z� il�.�(�IL Slopes(%) G Surface Stones 't,�L O Distances from: Open Water Body 10�2ft Possible Wet Area 1`D ft Drinking Water Well y�0 ft Drainage Way 0 ft Property Line IV Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In proximity to holes) -C. > •V I r� � 1�oov � � uy�',�y�� � .. ( �I o _ U _ p Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: �\o y�y\���;L�R Weeping from Pit Face I y o Aed'' n Estimated Seasonal High Groundwater " 1`� �I ly -rT i 1 ti DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: o 4­�' Depth Observea Itanding in obs.hole: in, Depth to soil mottles: in. Depth to weeping from side of obs.hole: In, Groundwater Adjustment f<• judIndex Well# Reading Date: Index Well level .... Adj.factor. .� Adj,Groundwater Level PERCOLATION TESL' Date„5- LA Thne.�,;.1.. (� Observation Hole# Time at 9" Depth of Pere dt�'t Time ut 6" Start Pre-soak Time @. 10 Time(9" ) --- ra End Pre-soak 101,10 Rate MinJlnch Site Suitability Assessment: S' Passed _ Site Failed: Additional Testing Needed(Y/N) Original: Public HealthDivisio Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:1.SEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. itGravel) ��i� � 5li l o`� 12. 31�. l�o t—a�'. 1.�0 �L� ��- ►u►� 4' DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil ther Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. N ..�'. Loo5c'6✓ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ConsistenZ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. s Flood Insurance Rate Map: . 2 ► Above 500 year flood boundary No_ Yes C�~ Within 500 year boundary No= Yes Within 100 year flood boundary No— Yes Depth of Naturally Occurrine Pervious Material Does at least four feet of naturally occurring pervio material exist in all areas observed throughout the ku area proposed for the soil absorption system? p y If not,what is the depth of naturally occurring pervious material?, ..�. Certification �� (date)I have• I certify that on '� passed the soil evaluator examination approved by the e above analysis was performed by me consistent with Department of Environmental Protection and that th c� the required training,expertise and experience described in 310 CMR 15.017. Date -C- -D Signature , Q.\SEPTICIPERCFORM.DOC I— E= E= N C=) OSHUA QO POND c EXISTING UTILITY POLE SAM 2 POND — G — EXISTING G.AS SERVICE LINE W— EXISTING WATER SERVICE LINE ! G' 'r -PW PROPOSED WATER SERVICE LINE w � f EXISTING SPOT GRADE 5(�P SON I x 41.4 FtQ � 0 PROPOSED BM: TOP CB FND. I MAIN EL. 41.14' 1500 GAL. x Spy DATUM: GIST SEPTIC TANK _ _ 41.4 F gip E T28,3� I P Py � - SST Rp X ELF �:41.0 EXISTING PAVED DRIVEWAY o G -- 0. i - LOCUS MAP X 24 x m EXISTING CESSPOOL 4: 10' .41.4 o - ASSESSORS MAP 116 PARCEL 72 ... .. F i• TO BE PUMPED 40.8 o y� 4 i w - AND FILLED , 6, , . o L D/B , HSE #46w - z LOCUS AIDDRESS. cr 22 1 BED '. #46 BLOSSOM AVE,, OSTERVILLE ,. . — I I 10'. FROM W j SAS TO p p`N a Qn DEED - _. X - I D REFERENCE- 9664 13,7 WATER LINE G G Y 40.8 c� a' N �, PARCEL 72 - X FIRM PANEL. 250001 0016 D PROPOSED 1P2 x 7,071f SF . .. . v� WATER LINE I ® ® MAP REVISED. DULY 2, 1992 40.7 SEE GENERAL PROPOSED NOTE 12 HAMBER S.A.S.G X - ZONING-DISTRICT. RC 4 Y DISTRICT & RO SHEET 2 X X I O VERLA TRICT.• WP PD ... .. 40.4 40.7 U TI L. BUI G SET ACKS P 11923 - I I � POL � H OF �� LOIN B # EXISTING BURIED GAS LINES ,� M FRONT 20' SOIL DATA:: SHALL BE RELOCATED AS REQUIRED. ��o ISTINE �y� SIDE & REAR 10' C7iR TEST DATE: 09-21.-07 AIRNENX SHEET 1: OF 2 11 SOIL EVALUATOR.: S. DOYLE No. 926 cn SEPTIC UPGRADE T �r D PLAN T LAND Tn WITNESSED BY DONNA MIORANDI �FG►S7E4�® SEPTI VPl.BADE PLA OF LAN TEST PIT #1 TEST PIT #2 I SA TAR�P`� Prepared:For PERC <2 M/INCH PERC <2 M/INCH . . . EL. 40.T �„ EL. 40.7 0 7 Z a SL lOYR 3/2 SL 10YR 3/2 s���LZN Or P1�s a�� 0 _ - In: . : A s. Oster�Tllle, l�lassa ch use t is.. B LS 10YR 5/6 B» LS 10YR :5/6 �� QSTEPHEN- - - ,> „ o EL•.37.95 33' EL. 37.95 33" DOYL�E� ; = 20 Da te: July 02, 2008 < Scale: 7 ti , -:�,� Q Prepared By. . . MED. MED. .._ _ .� �� TO PERC ® 40" TO ��, �� as Stephen J .Doyle and Associates C„ FINE. _ FINE 42 Canterbury Lane, E. Falmouth, . MA 02536 s SAND C SAND. GRAPHIC SCALE L Telephone: 508/540- _. . T ne• 2534 2.5Y 6/4 2.5Y 6/4 o� 20 0 �o Zo - - 4o ao - ]�� v� a c� -� �2 ® c EL. 28.7` 144» 1 EL. 28.7' 144"NO G%WATER OR NO G/WATER OR REDOXIMORPHIC FEATURES REDOXIMORPHIC.FEATURES IN FEET: ) . NO. : DATE - 1 inch =-20 ft. - DESCRIPTION. TOP :FND. EL. 42.57'. o� JL .l/ ' 1 -PHJL ' JL�JL V .JL 1/ ' 7 V VT FINISHED .GRADE EL. 41:0't 6» 6„ 1/8" TO 1/2" DOUBLE WASHED STONE ® 3" THICK OR GEOTEXTILE FABRIC _. 20" RISER 20" FINISHED GRADE EL. 40.8'f FINISHED GRADE: EL. 40.7'f I V EL Dia, Dia. IIIII IIIII lllllll lllllllll ll llllllllllllll 16" III lllllllllll HI IIIII lllllll I llllll l llllll 6 r 38.30' RISER 15' HORIZONTAL RISER —JNO. BREAKOUT ' _ El. 37.B0' 10" Min. 14,, Min. INV. EL a a o 0 0 o e El. 34.97' I1VV-EL INV EL . : Min: 6" . .. t� — - INV EL INV EL 36:97' 48" —48" 37.45 sum 8:5 i 10.0' 37. 70' Below Flow Line - , 37.35 37..15 Liquid Level .48" 3/4" TO 1-:1/2" 6 Stone .o - DOUBLE..WASHED STONE 34» da p. DISTRIBUTION BOX 16.5 24 o o 31 3 58,_ PROPOSED 1500 GALLON TANK - PROPOSED CHAMBER TRENCH NUMBER OF TRENCHES = ONE Tees shall: be :constructed of Schedule 40 PVC: and shall extend a BOTTOM OF DEEP OBSERVATION HO;E EL. 28.7' NUMBER OF UNITS = ONE minimum of. 6" above the flow line of the septic tank and be on PRECAST REINFORCED CONCRETE DISTRIBUTION BOX NO, GROUND WATER .OR the: centerline of the septic tank located directly under :the REDOXIMORPHIC FEATURES :OBSERVED PROPOSED LEACH TRENCH-END VIEW_ clean—out manhole. Install on a level:base The inlet pipe elevation shall. be. no less than 2" nor more than 3 Minimum wall thickness = 2" _ a bo ve the:invert elevation of the outlet pipe. : Minimum inside dimension. 12" WITH F STONE ONE 500 GALLON UN PP INSTALL Outlet inverts shall be equal- to each other :and at OUR.:FEET OF DOUBLE WASHED TON Septic tank shall be installed level and true to grade on a level, AT ENDS AND 31" AT SIDES stable base that has::been mechanically.compacted and on which 2" minimum below: inlet invert. 6 :of crushed stone :has been placed:to ensure stability and The distribution lines from the distribution box shall all ha ve equal inverts as determined by flooding the distribution box to to prevent settling. the height of the distribution:line invert after all lines have Septic tank shall have a minimum cover of 9' been sealed in lace. Design Data. Two 20' manholes..with readily removable. impermeable covers P of:durable material shall be provided.:with access ports, Invert adjustments: hall be made by filling witr durable and : The outlet tee shall be equipped with gas baffle. riondeformable material permanently:fastened to the dine or One Bedroom = 1 X 110 gpd = :I10 gpd Requzre..d Flow reconstructing the lines until all inverts are of equal elevation.. No Garbage Disposal Allowed 10'W x �' Ef th .. GENERAL CONSTRUCTION NOTES Use: Chamber.Design 16.5'L x f/Dep 1. All the workmanship and ma terials shall conform to R E.P Title 5 [16.5 + 16.5 + 10 + 10]:x 0 0 = 106 sf and the Town: of Barnstable : rules and regulations for the subsurface 16.5 x 10 = 165.sf. disposal of se wage. - - 71 x - 0 GPD 2 Access ports over. tank tees shall be accessible g ,2 0. 74 20 Total Design Flo w wi thin 6 of finish :grade. 3. All components of the sanitary system. shall be capable of �� Cr+RiSTINE ti� withstanding H-10 loading unless they are under or within 10 ft PAIRNENY. of drives or parking. . H-,20 loadings shall be used under or within SHEET 2 OF 2 P g �® SEPTIC UPGRADE PLAN OF LAND 10 ft of.drives or parking unless noted. Plastic equals may be _ �FGIST�� I in lieu of all precast units. PrepareFor. 4.. The exca va for/contractor shall call dig safe and verify. the Iota tion SANITAR�P d of all site utilities: prior to any exca va tion, and shall be responsible � �_,�._ #4 6 BLOSSOM A VENZIP' for all matters relating to electric easements. Cy _ Zs o� :5. Sewer pipes shall be 4" Schedule 4O .PVC laid at a :min. 0.02 slope ?�jXrse` n: _ . 6. Any masonry units used to bring covers to grade shall be �,►�`�� , ,®<�� Oste�"°Ville, Masse c-h use t tS mortared in place. _ 7. Finish grade shall have a .minimum slope of 0.02 ft per foot.- . P _ :F_ ► Seale. As Shown Date: July 22, 2008 " : ® �: STEPHEN 8. Existing system components -if any shall be abandoned J. per Title 5 requirements. o Do7 ; StephenD Prepared and_ _ 9. The excavator/contractor shall be responsible to contact e �_ 9�.F w 42 Canterbury Lane, Falmouth, MA 02536 E Doyle Associates 24 hours prior to any required inspections. �►rq `�` �� Telephone: 508/540-2534 10. All components shall be marked with magnetic tape or comparable means In order to Iota to them once burled. o v43 11, 36" max cover over system components: - 12. Where via ter service line is Iota ted closer than ten feet from system components, service line shall be cased in schedule 40 PVC and pressure tested: No. DATE DESCRIPTION