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HomeMy WebLinkAbout0033 BOB WHITE CIRCLE - Health �3 fob uk����e C;����e� , �s���v�l�e, ,I - -- O COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 TRUDY CORE Secretary ARGEO PAUL CELLUCCI DAVID B. STRU_iS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION 3 �o 'TIT _r Property Address: '+� — n� Name of Owner J}Address of Owner: f�£�✓ i^�<' �e j G� Date of Inspection: Name of Inspector:(Please Print) W, ° � IV I am a DEP approv ystem inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: - 6&✓r7 7-- Mailing Address: -4 K Telephone Number: q 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 E aluation By the Local Approving Authority Fails l� ` Inspector's Signature: Date: M � y 7 The System Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)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 VM system owner.and copies sent to the buyer, if applicable, and the approving authority. . NOTES AND COMMENTS t•}I 9g �Ec�r�IEO r,T 1 8 1999 1 TOWN OF BARNSTABLE HEAL' DEPT. v revised 9/2/98 Page l of 11 A i�� Printed on Recycled Paper r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 33 o���� Owner: � �— Date of Inspection: ��;�_Z/9 '7 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 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. 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, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty (20)years prior to the date of the inspection; or the septic tank, whether or not metal,is 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 complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping-more than tourtimes a year due to broken or obstructed pipe(s). Thesystem wilt7ass-- inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed revised 9/2/98 Page 2of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner: Z_SA' e­z— Date of Inspection: le/7/ `J C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH.AND SAFETY AND THE ENVIRONMENT-- Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil:absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid).- 3) OTHER revised 9/2/98 Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address- Owner: e� Date of Inspections: �0/2/? y D. SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: I have determined)that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component-due to an overloaded orclegged-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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for ►coliform bacteria, volatile organic-compounds, ammonia nitrogen and nitrate nitrogen. - E. LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of,10,000 gpd or greater(Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply - the system is-within 200 feet ofa-tributaryto a surfaoe•d6nk4ng•water-6upply -- - • __ -_ 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) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B +� 7 CHECKLIST Property Address: ✓ 7 pep /i Owner: e,6 ✓ Date of Inspection: Check if the following have been done:You must indicate either "Yes" or "No" as to each of the following: Yew No Pumping information was provided by the owner, occupant, or Board of Health. _ None of the system..components ba+webeen puw4wd4f atleast two weeks and•the system has baeo saceiviaQa�eswral flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. ✓/ _ The system does not receive non-sanitary or industrial waste flow. ✓ _ The site was inspected for signs of breakout. All system components,A _ have been located on the site. V _ 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 orrthe site has been determined based on: _ Existing information. For example, Plan at B.O.H. Determined in the field (if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) The facility owner(and.occupants,if different from.owner)..were.provWed,with informati on.nn t►a upper-rnaint n ^f Subsurface Disposal Systems. E revised 9/2/98 Page 5of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C a L SYSTEM INFORMATION Property Address: Owner: 7—�/ Date of Inspection: 1 —/ FLOW CONDITIONS RESIDENTIAL: Designn flow: _g.p.d./bedr m. Number of bedrooms Idesi 0 Number of bedrooms(actual):_ Total DESIGN flow Number of current residents: J Garbage grinder(yes Tp Laundry(separate system) (yes o693Y If yes, separate inspection.required _ Laundry system inspec d ye r no) Seasonal use(yes o Water meter readings,if available(last two year's usage(gpd): Sump Pump(yes o Last date of occupancy. CO MMER CIALIINDUSTRIAL: Type of establishment: Design flow:gpd ( Based on 15.203) Basis of design flow 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: System pumped as part of inspection: (yes o o If yes, volume pumped: gallons Reason for pumping: TYP OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes, attach previous inspection records,if any) I/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed{if known)-and source of4aformation: _',. - f .�"P"U✓�� ���s Sewage odors detected when arriving at the site:(yes oo_ revised 9/2/98 Page 6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART,C SYSTEM INFORMATION(continued) Property Address: 3 Owner: Z-&)56�7—w Date of Inspection: BUILDING SEWER: (Locate on site plan) Depth below grade:_ Material of construction:_cast iron_40 PVC_other(explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage,-etc.) _..- SEPTIC TANK: (locate on site plan) e Depth below grade: Material of construction:1concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age q_ ls.age_confirmed by Certificate of Compliance_(Yes/No) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: —. Scum thickness: rZ n N Distance from top of scum to top of outlet tee or baffle: 3 r2 Distance from bottom of scum to bottom of outlet or baffle: How dimensions were determined: ji� Comments: (recommendation for pumping, condition of inlet and outlet tees or-baffles, depth of liquid level in relation to outlet invert, structurat4ntegrity, evidence of leakage,etc.) GREASE TRAP- (locate on site plan) Depth below grade:_ 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: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation tv outlet invert, structural integrity, evidence of leakage, etc.) revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 3 3 c4" - `L Owner: G� CrL Date of Inspection: TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or 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/day Alarm present Alarm level: Alarm in working order:Yes_ No_ Date of previous pumping: 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, evidenee 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) Alarms in working order(Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances,etc.) revised 9/2/98 Pages of II SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: �j� Owner: &J /q Date of Inspection: /6�Z( SOIL ABSORPTION SYSTEM(SAS): (locate on site plan, if possible;excavation not required,location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits, number:_ leaching chambers,number:_ leaching galleriies,number:_ leaching trenches,number,length: leaching fields, number, dimensions: overflow cesspool,number:_ Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, damp soil,condition of vegetation, etc.) CESSPOOLS:_ (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 (cesspool must be pumped as part of inspection) q 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.) revised 9/2/95 Page 9of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address; 3 Owner: - p Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) pia x r 37 y r ) 6 �d idt'J—r fit revised 9/2/98 Page 10of11 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ® SYSTEM INFORMATION(continued) Property Addre : 3 Owner: Date of Inspection: /J���, NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater tQ Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed.Site(Abutting property, observation hole, basement sump etc.) . Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators,installers Used USGS-Data Describe how you established the High Groundwater Elevation. (Must be completed) C � � &1 �S revised 9/2/98 Page 11of11 0 AT ION SEWAGE PERMIT NO. VILLAGE 119 0-77 INSTALL IN AME i ADDRESS e U I L D E R OR OWN R D,A T E PERMIT ISSUED DATE COMPLIANCE ISSUED / /� R + �, _7 t �, t '� � � �� �3� ��r :2`� ��-, . N_C) No.- • - .... Fiz$.............................. THE COMMONWEALTH OF MASSACHUSETTS `- BOARD OF HEALTH ' ----- 1.�. caw...............oF............11A..................._.... -Q'..��..-...------------..........---'----- AVVftrFatiou for Dispii al Workii Tunitrurthitt. Urrutit Application is hereby made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal System at: Location-Add r ss r Lot N Owner reds nsta ler Address U Type of Building Size Lot.... ...Sq. feet Dwelling—No. of Bedrooms.....�1....................................Expansion Attic ( ) Garbage Grinder ( ) PL4Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fi ures . . ---------•-------------•------------ ............. ......................................... W Design Flow............ ........................gallons per person4er day. Total daily flow____.____�l e..........._...._._._gallons. WSeptic Tank—Liquid*capacity-�!/�l✓i.gallons Length___._ __ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No-------I------------- Diameter......1d._....... Depth below inlet......._....... Total leaching area.Z&7a..sq. ft. Z Other Distribution box (/) Dosing tank ( ) aPercolation Test Results Performed by---JIA17,.4t1.1L46__4..... _'1G................... Date..... _-. ___`��__.-_-_-. Test Pit No. 1_ _____________minutes per inch Depth of Test Pit......IZ......... Depth to ground water._NO ...... 4.1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 --------•----•------ ------------------•-•------------'-•-..._.________._......I.._ .................................._-• -•-----___" C7 l t i O Description of Soil Q•��� -7v ....��v � �= �� 12 ( _..S N? . x W ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- V Nature of Repairs or Alterations—Answer when applicable..............................•..._..........__..__.........................................._.. - K Agreement: a C The undersigned agrees to insta the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The tNdersigned further agrees not to place the system in operation until a Certificate of Compliance has b n ' ued by t of health. 7 gnd ---••• •-• -J -------.... ...... l D ._ ... Application Approved B PP PP Y--------- ----------------- ---------------••-•------------------------------•---•--- ---------------- L -G- ----•- Date Application Disapproved for the following reasons------------------------------------------------------------------------ ........................................ ------------------------------------------------------------------•........--------...-•-------•..........--•-••---...._..•--•--------------..._..--.................................................... Date PermitNo......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliraa#ivat for Bispvii al Iforkfi Tons#raufivat Prrutit Application is hereby made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal System at: ---------•- ..-----• -•-- ------------ Location-Add ess r Lot o ---...................; r<� : ����� � E........ .._.�•l=� ................ R L�n� ,. .. - ------------------------------------. ------------------•-- Owner Address W Installer Address Type of Building Size :�;._��� ....Sq. feet Dwelling—No. of Bedrooms.._.-�...................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Otherfxtures __________________________________ W Design Flow...............?._........_ ----gallons per person per day. Total daily flow........ ......................gallons. 04 Septic W Tank—Liquid Disposal Trench No capacity�l 'W adthns Lengh Total L ng hidth...----- _Total leaching area_-Depth__._._.sq. ft. Seepage Pit No...... Diameter.....Ik?-l-------- Depth below inlet............... Total leaching area.z��d9...sq. ft. Z Other Distribution box V Dosing tank ( ) ~' Percolation Test Results Performed ...... ..................... Date.... ....... ,aa Test Pit No. I.......... per inch Depth of Test Pit..... ......... Depth to ground water.ltiL�'_.:..'........ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --•----- ----------•-•--.....-••••-•••••••••••-•••..........-•••••-•-•--_•-••••...........•--•---•---•-•---•--.....-•--••-•••........--•-----.----- O Description of Soil s �� '/ r - .....�;? ._.I C.... ......................2 � x W -----•-----------------------------•-------••------------•----------------...._....----••-•---•--------•--------------------....-------•----•-•-•---•----•--•------••--•---•---•-----•......---••---•••- UNature of Repairs or Alterations—Answer when applicable............................................................................................... -----------•----------------•---...-•---•-"-----•-•----------.........------...----•--------------------------------------------------------•-••----------------------------------------•••••••••--••--. Agreement: - The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with " the provisions of TITIS 5 of the State Sanitary Code— The ndersigned further agrees not to place the system in operation until a Certificate of Compliance has b e s sue by e d of health ed._ � -- ApplicationApproved BY...................................................................................-.............. Date Application Disapproved for the following reasons:-------•-----------------------•------------•------"---•------------------------------•-----••-•--•---•-•-..._.. --•--........-•---------•...................•---•---•---------•--•--••--•-••••----•-•---•---- Date PermitNo.......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS _. BOARD OF�HEALTH . '............OF.....f- � = •.•' ... .----. ....ff............. Tntif iratr of ToutpliFaatrr THIS IS TO C RTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by .�.f-= �/. =1--------------------------------------------------------------•.....------------. •- j. �- Installer at -1--�-zz= --•---------------------- - > has been installed in accordance with the provisions of TITIZ 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................................... .................. Inspector---.-/_.��._�..1'''................................................................ THE COMMONWEALTH OF MASSACHUSETTS - BOAR F HEALTH Ile OF...f. �,, ... . ........... wr'w- al No. ............... FEE._> '....•.......... Raposat Works Twuatutrudivat ramit Permission is hereby granted..., _ � - ?-- ------•-•-----•-••••-•••.............. to Construct (�) or Repair � )fan Indivi ua1 Sewage Disposal System atNo....1 ,P �fl...............:..!1----.........-•--•-••----•--•-----..-------"----......-------------------------•-------•-----------------------------•--........... Street / as shown on the application for Disposal Works Construction Permit N u___`t 'I__ Dated------- C.` ............. Board of Health DATE..................... .......................................................... FORM 1.255 HOBBS & WARREN, INC.. PUBLISHERS NV SITE ,PL A N mrf r I�2 !. , SCALE: l . tt r 1 f I f J / U\INN � J7 r-- .-tz'EA l a o �cL. t' (pz 5 L 0 T I� r i^ o . ` D ���,�-,µc�:t�yam C•I J 1, 4 k fill. 19J71 0 lb So ---- • REG/STERED LAND SURVEYOR 0 ZONE tZ-G 5 ? v I L- PLAN REF. DATE .,,,. :_ _I C, — -7 v[� BENCH MARK DATUM WV. Af. WARWICK .0 ASSOC., INC. P DOMESTIC WATER SOURCE Taw A'Q.- 801 #OR M FAL MOUTM . FLOOD ZONE. N o nJ F-1 A z A +t p Ile, t�IA S: 4 � /�+ R 7� Iw fl�i iw•14•ILA.IjI i `+..I tf7��1 1d 6 riECTIJN IVCT TO SCALE ShGcvl 2 a f z COVI-/? 1 I:;UrIII ,\I l[L � —� BRICK AND MORIAH CUURSES AS HEO'0` TO BRING COVER TO GRADE 2' /B TO WASHED PEAS TONE FREE OF IRONS, i P/NFj i-i 7 FINES AND OUST /N PLACE / 3 .. TO /%2.WASHED CRUSHED STONE.FREE OF OPENING WITH 48 ;,,` •'(p IRONS, FINES AND DUST /N PLACE .-, •• i•. OUTER DIAMETER j AND l314" INSIDE ;• • DIAMETER t r . ' 1. CONCRETE TO BE 4000 PSI 28 DAYS 2. REINFORCED WITH 6 x 6 NO. 6 GA. W.W.M. # ! 3. 2'AND 4! SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS 4 ' 2 — i ---s'0" 2 —' 4. NUMBER OF PITS REQUIRED atJe MIN to - NOTE: EXCAVATE TO ELEVATION 3Z•o OR EFFECTIVE DIAMETER T--- (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL WATER TABLE - LOAM AND CLAY BENEATH PIT. REPLACE i Cal oN�� EXCAVATED MATERIAL WITH CLEAN I TYPICAL PROFILF_ GRAVEL TO DESIGNED GRADE. ---�� :L—. IB STD. LT WGT C.I.MH COVER 4 .o I • f 4��8/T FIBER PIPE .;.:I 4 CLPIPE OUTLET LEVEL TIGHT JOINT DWELLING FLOW_LINE 0 TO FIRST ✓O/NT ,v /4„ 0 0 I I U�0 1 1 1 44, k �2 ti� 1 10 , 00 1 1 �7 C.I. TEE ;, ' z2I i i1.000 00 0 1 1 r L}2�0 ''STD. PRECAST CONC. s�2 �)$ D/SL BOX TO BE q Z,QO P 0 00 O 0 0 1 . DOD GAL.SEPTIC TANK INS TAL L EO ON LEVEL, '1 8 0 O 0 0 0 1 I 11 STABLE BASE � :1 000 0 0 1 \SEPTIC TANK TO BE 1 000 00 0 ( I `. it loO Oa 11 INSTALL DON LEVEL, i 00 0 0 0 1 STABLE BASE. 1 0 i 1 0 0 O 0 0 0 1 i LEACHING BASIN , 1 ON O 0 0 0 1 „ BASE TO BE LEVEL 0 1 O O 0 1 1 r-,1.. • �jh,0 SOIL AND P£RC. DATA PERC. RATE �� 2 MIN. /IN. TEST PIT N0. P 3�Z3 TEST PIT N0. 2 � Top �vi�SoP � 0 TEST BY : WITNESSED BY: �� �l �o{zDP ►.J� �I�rIJO TEST PIT GR. EL.. 4A-• c7 DAT E G? -ZCv - �{ I I • Z t�o 6-4 le0p. wAf 6 3� y DESIGN DATA GFNF.RAI_ NOTES t • BEDROOMS ':;?" NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFFL.-�_20GPD. PRECAST REINFORCED CONCRETE UNITS. SEPTIC TANK . GA ALL. SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE 1. TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, SIDEWALL AREALtGAL./SQ.FT. MINIMUM REQUIREMENTS FOR,/THE SUBSURFACE DISPOSAL OF BOTTOM AREA 1-61''_GAL./SQ.FT. SANITARY . SEWAGE EFFECTIVE ON JULY 11 1977. LEACHING REQUIRED 172•1 SQ.FT. ANY CHANGES TO THIS PLAk MUST BE APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH. 2���0.FT AT .COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES 1/4" / FT. UNLESS INDICATED OTHERWISE. SE106E DISPOSAL SYSTEM «./v 1NP,RT!?� FQ�' Igor;AN L o 'C l Gj Pao k1 H 1 T� G I 1[ L-C-- ey $123417 SCALE AS INDICATED DATE i 1 I WM. N. WARWICOY 8 ASSOC., /NC. ,SOX 601 - 'NORTH fALMOUTh' MASS. 02336 - (617) 563 -?6J8 PRGFEC�)CrIAL ENCINFER ~ SITE PLAN swgEr I or 2 X $CAL E: I - i f i lo � Mtn, roe 0 41. P �J40 z j L 0 T ►e2 / 1 'I s AN .I VF Y WAR`J P.077I Tk l�-J`J�',��� �f✓ 1� 1�../� d'ice• • OR REGISTERED LAND SURVEYOR La ! Ala W u I G i L ZONE tz_G bS T v 1 uV lr-- PLAN REF. DATA - -7 BENCH MARK DATUM U h 6-2 "C p ho ..... ,.��,.,. . „�,. W8. A. .Ji'AR..Ib'ICK 8 ASSOC., INC. DOMESTIC WATER SOURCE ROX 801 - IKQR rN FA MOUTH . I FLOOD ZONE. N�� - t 1 A z A t�G7 ���� PASS" 0e338 165-S6 Se -7/7 f-,)-`�-GTION 11107- TO SCALE 71 C� W'il CO Vf P BRICK AND MORTAR COURSES AS REog, To 8RINa �2 74 COVER TO GRADE 4 OW L1. -0 WASHED PEA 5 TONE FREE OF IRONS, -i P/fi FINES. AND DUST IN PLACE WASHED CRUSHED STONE FREE OF OPFNING WITH 4Y,9' 4 TO IRONS, FINES AND DUST IN PLACE OUTER DIAMETER A 1414" INS/Di DIAMETER I CONCRETE TO BE 4000 PSI 28 DAYS 2. REINFORCED WITH 6 x 6 NO. 6 GA. W.W.M. 3. 2'AND 4! SECTI-ONS ARE AVAILABLE FOR V, GREATER DEPTH REQUIREMENTS 4`0 6'0 4. NUMBER OF PITS REQUIRED at-Jlr-- I MIN. EFFECTIVE DIAMETER NOTE: EXCAVATE TO ELEVATION ;iZ-,9 OR /Nor To EXCEED .3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL WATER TABLE LOAM AND CLAY BENEATH PIT. REPLACE (iIj EXCAVATED MATERIAL WITH CLEAN TYPICAL PROFIL F- GRAVEL TO DESIGNED GRADE. 18"STO LT w6r C.l.MH COVER G4 1�9) 4"81r FIBER PIPE 4"c.I.PIPE r16Hr JOINT OUTLET LEVEL DWEL L INGFLOW LINE 00 TO FIRS)" JOINT 14' 1 10 00 64 Z. 1 10 it 000 00 11 tt c.I. TEE 7, dZ.W STD, PRECAST CONC. 42,-) r 80 ro BE if 000 00 1 1 1 1 100 GAL.sEpr1c rANI(-. if 000 00 5 1 INS7AL4ED N LEVEL, it 000 00 0,1 5TA84F BASE It goo 00 1 1 \SfPT1C TANK TO 8E it 600 00 1 1 INSTALLED ON LEVEL, it 100 100 1 1 STABLE BASE. tIt 6 0 O 0 0 6 1 t1000 0 0 1 1 LEACHING BASIN 1 0 1 1 BASE TO LEVEL1 0 0 1 1 tL. SOIL AND PERC. PATA TEST PIT NO. TEST PIT NO. 2 PERC. RATE MIN. I N. 0— 0 TEST BY : -Of--Q� 4'e-1-P WITNESSED BY: v_or_i c-xIr-E-4[z9 , 10� IM-0 r TEST PIT GR. EL. 4A-- '5 DATE 'b 4 DES16N DAT,4 GFNERAI. NO TES BEDROOMS NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFFL��OGPD- PRECAST REINFORCED CONCRETE UNITS. SEPTIC TANK -GA L. ALL. SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, SIDEWALL AREA --"2` GAL./SQ.FT. MINIMUM REQUIREMENTS FORJHE SUBSURFACE DISPOSAL OF BOTTOM AREA I-0'-GAL./S0.FT. SANITARY SEWAGE EFFECTIVE ON JULY 11 1977. LEACHING REQUIRED "-1 SQ.FT.. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH. Z&7-aSQ.FT AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES '/4" / FT. UNLESS INDICATED OTHERWISE. SEWA GE DISPOSA L SYS TEM eM 71 ARMN. oroR.- E. 7 MORI vu H t -c r'— e—, I 923417 SCALE AS INDICATED DATE 7 - WM. 14. WARWICA' 0 ASSOC., INC. 8OX 801 - NORTH FA4MOUrS AMISS. 02.556 - (617) 56S -2638 P.ROFESSICA1,4L EN61NEER