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Home My WebLink About0164 SCUDDER ROAD - Health 154 SCUDDER RD., OSTERVIY.LE =140.034 i Commonwealth of Massachusetts Title 5 Official Inspection Form '- Subsurface Sewage Disposal System Form-Not for Voluntary Assessments` C 164 SCUDDER RD Property Address TROTTO iw+ Owner Owner's Name information is required for OSTERVILLE ✓ MA 6-8-16 ` � - every page. Cityfrown * ._ °State Zip Code Date of Inspection Inspection results must be submitted on this form.lnspection.forms may not be altered in any way.Please see completeness checklist at the end of the form. Important: When filling out A: General Information. forms on the computer,use 1. Inspector: only the tab key } to move:your DOUGLAS A BROWN'' cursor-do not use the return Name of Inspector key. D.A.BROWN INC Company Name _- [ P.O. BOX 145 Company Address CENTERVILLE MA 02632 f n Citylrown State Zip Code 508-420-4534 S14297 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 16.000).The system: ' ® Passes ❑,Conditionally Passes ❑ Fails n ❑ Needs Further Evaluation by the Local Approving Authority° 6-8-16 A Inspector Signature' Date The system inspector shall submit.a copy of this inspection report to the Approving Authority(Board of Health orDEP)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 submitthe report to the appropriate regional office of the DER The original should be sent to the system owner, and copies sent to the buyer, if applicable, andahe approving authority., G ` ****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 futufe under 1 the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection form:Subsurface Sewage Disposal System•iPage 1 of 17 . r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 9 P Y ry 164 SCUDDER RD Property Address TROTTO Owner Owner's Name information is required for OSTERVILLE MA 6-8-16 every page. CityrTown 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: ® .l 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: SYSTEM MET ALL PASSING REQUIREMENTS AT TIME OF INSP. LEACH CHAMBERS WERE DRY WITH NO SIGNS OF FAILURE OR STAINING. 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 r I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 't 164 SCUDDER RD Property Address TROTTO Owner Owner's Name information is required for OSTERVILLE MA 6-8-16 ' every page. Citylrown State Zip Code Date of 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 pipes)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): Ej broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water '❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '< 164 SCUDDER RD Property Address TROTTO Owner Owner's Name information is required for OSTERVILLE MA 6-8-16 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool 0 ® 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 Y2 day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 164 SCUDDER RD Property Address TROTTO ' Owner Owner's Name information is required for OSTERVILLE MA 6-8-16 every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) ' Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion,of cesspool or privy is within 100 feet of a surface water supply or ® tributary to a surface water supply. ❑ ®' Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.. ❑ ® Any portion of'a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified' laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a'cesspool serving a facility with a design flow of 2000gpd-. 10,000gpd. ❑ ® The system fails.I.have determined that one or more of the above failure criteria exist as described in 310 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 II of a public water supply well If you have answered"yes"to any question in Section E the systern is considered a significant threat, or answered"yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official- Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 164 SCUDDER RD Property Address TROTTO Owner Owner's Name information is required for OSTERVILLE MA 6-8-16 every page. City/Town 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 ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built 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? ® ❑ 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? ® El information 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. ❑ ® 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): 5 Number of bedrooms(actual): 5per owner DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 550 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form, Subsurface Sewage Disposal System Form-Not for Voluntary Assessments, 164 SCUDDER RD Property Address TROTTO Owner Owner's Name information is required for OSTERVILLE MA 6-8-16 every page. Cityfrown 7 State Zip Code Date of Inspection D. System Information Description: SYSTEM CONSISTS OF A 1500 GALLON TANK D-BOX AND 4 500 GALLON LEACH CHAMBERS WITH STONE. Number of current residents: 4- 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 years usage(gpd)): Detail: 2014 398 2015-------405GPD Sump pump? ❑ Yes ❑ No Last,date of occupancy: currently occupied Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 164 SCUDDER RD Property Address TROTTO Owner Owner's Name information is required for OSTERVILLE MA 6-8-16 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: currently occupied Date Other(describe below): General Information Pumping Records: Source of information: 5-6-15 4-27-12 5-09 Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: maintenance Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes,attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '( 164 SCUDDER RD Property Address TROTTO Owner Owner's Name information is required for OSTERVILLE MA 6-8-16 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components,date installed(if known).and source of information: 1-25-99 per as-built Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 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.): Septic Tank(locate on site plan): Depth below grade: 1.5 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 Sludge depth: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of V Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 164 SCUDDER RD Property Address TROTTO Owner Owner's Name information is required for OSTERVILLE MA 6-8-16 every page. City/rown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? 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 was pumped last yr( per owner) recommend pumping every 2-3 yrs for maintenance. 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 l5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts , Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 164 SCUDDER RD Property Address TROTTO Owner Owners Name information is required for OSTERVILLE MA 6-8-16 every page. Cityrrown State Zip Code Date of Inspection D. System Informatiofi (cont.) , Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): x 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.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No l5ins•3113 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 164 SCUDDER RD Property Address TROTTO Owner Owners Name information is required for OSTERVILLE MA 6-8-16 _ every page. Cityfrown 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 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.): BOX LEVEL NO LEAKAGE OR SOLID CARRY OVER. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): *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: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 164 SCUDDER RD Property Address TROTTO Owner Owner's Name information is OSTERVILLE MA 6-8-16 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: _ 4 ❑ 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.): CHAMBERS WERE OPENED AND WERE DRY AT TIME OF INSPECTION WITH NO SIGNS OF FAILURE. 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-3/13 Idle 5 Official Inspection Foam:Subsurface Sewage Disposal System•Page 13 of 17 , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r< 164 SCUDDER RD Property Address TROTTO Owner Owner's Name information is required for OSTERVILLE ' MA 6-8-16 every page. Citylrown 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.): l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of V N, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 164 SCUDDER RD Property Address TROTTO Owner Owners Name information is required for OSTERVILLE MA 6-8-16. every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building;Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments yY 164 SCUDDER RD Property Address TROTTO Owner Owners Name information is required for OSTERVILLE MA 6-8-16 every page. Citylrown 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: GREATER THAN 5 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: 6-2016 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: DESIGN PLAN / Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5lN(icial Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '( 164 SCUDDER RD Property Address TROTTO Owner Owner's Name ` information is required for OSTERVILLE MA 6-8-16 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Assessing As-Built Cards Page 1 of 2 TOWN OF BARNST LE c�o �TION �l iG d'. SEWAGE # ! AGE Q5 ASSESSOR'S MAP& LOTAZ2:10A kLLER'S NAME&PHONE NO. �I7� ' 9w 7 7 G 1C TANK CAPACITY /�« .HING FACILITY: (type) `' ". C — (size) OF 13EDROOMS DER OR OWNER �� 0 1`r 0 IITDATE: S'� COMPLIANCE DATE: — - ition Distance Between the: rum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Water Supply Well and Leaching Facility (If any wells exist site or within 200 feet of leaching facility) Feet )f Wetland and Leaching Facility(If any wetlands exist t http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar-140034&seq=1 6/8/2016 -LO T .IBf1 � ; ,30 y . L - rryry ,!_ ,� r g / _ i. b, , I Wwi ' e ARA , 10 CB 1 cos �('r>�, s z. r , ► ' I ► �_ 1 `26 3' SV BULKHEAD 21D 9E RELOCATEDMnVNG cS ~ RTR SE r I SEPTIC PIPE hrl�'AI C7 ,` g I� L �jN` P• t I� OF FND. PROPOSED p (" (rJ1.th''l►��J I I TOP, ADDITION diZ kY x to y-I EL 101. 7 . -�. «.� / g i ,�;, I ' l :, . y i I � _ —w 0 v ,�$ 39qn . 0 ,y i' ' \ 5.. Y aTM�'' ,'�gz,� CHIMNEY �J'.E� I' � �� R J'd� No �y ( V. O `k; t fi.,•.v.e�# r S' R4 aro+Cr;IIr r �-:. ;„ ''",' '- A _ 'a ».I+y Mom, h,, '�^ w:' .i i �`a �. a •. . `" �.+,r` '� ~,� ", A �..�� z.a ,y, !1 �„ . :' ASPHAL �a 67,o 11� 1.� DRlVEWA Y ;l�l 1 + jtd p '67 "t .r r::•,�r? , %ti- 1 .,� a!f*"�'^v'•r"' _ _ M r 'A!'z. T,t " "YM.'<', '� x:� C�`'v�`s"�'r�. t- a•.w''a+�, � ;a a �'< "- + w"; TOWN OF BARNST LE o C� 'LOCATION / �� SEWAGE # VI:LAG ASSESSOR'S MAP& LOT INSTALLER'S NAME dt PHONE NO. `7 C lZe i s� SEPTIC TANK CAPACITY / LEACHING FACILITY: (type) c� y ` - (size) /;-d NO.OF BEDROOMS BUILDER OR OWNER t'3` �r 0 PERMITDATE: S'T COMPLIANCE DATE: J" 9 7 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ' ioc t No. .# a �' Y Fee Bpi/ THE COMMONWEALTH}OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Migaar by.5tem Com5truction Vermit Application for a Permit to Construct( )Repair( )Upgrade(✓)Abandon( ) M Complete System ❑Individual Components Location Address or Lot No. �(�4 ��DQE� 2®�� Owner's Name,Address and Tel.No. Map/Parcel �/4V 1 D Tt�TTO Assessor's Ma p l40 -� , o.d��-w 33 Lot&,Te�G2E.C,j Installer's Name,Address,and Tel o. Designer's Name,Address and Tel.No. yAtJI:�Et stRVC'y �Ns 4 T, r�NT� 4v ,.,DUrT v s NAP Type of Building: C Dwelling No.of Bedrooms 17 Lot Size/5_G�; sq.ft. Garbage Grinder(W Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow _Z IT'S 0 gallons per day. Calculated daily flow SG 7 gallons. Plan Date // U7 19 Number of sheets 2 Revision Date Title �f G e ,Sn p t is Size of Septic Tank 11 Type of S.A.S. Description of Soil S c�_ �A N Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees toensure 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 Certifi- cate of Compliance has been iss ed by this Boar_.a of H th. Signed _< - -- Date Application Approved by Date A,,_ L Application Disapproved for th followmg reasons Permit No. '73 Date Issued No. . % frF,— FeeQ{Z t THE COMMONWEALTH(OF4"SACHUSETTS - Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 1 - ' r Rpplication.for Migpogal *pgtem Congtruction. Permit , Application for a Permit to Construct( epair( )Upgrade(✓)Abandon( ) Vcomplete System ❑Individual Components Location Address or Lot No. /G,4 S_-u DDEtZ 20P%p Owner's Name,Address and Tel.No. • '�7,qv l D T'2®T TG '""'""" Assessor's Map/Parcel,, Oa� 33 t:��w�Tc 2 C?2E_C—n� C 12 Cc,E . /4 O/0-_ a2 hS S ress Installer's Name,Add ,and Tel Designer's Name,Address and Tel.No. YAOKEE S("?VCy C,6'"Suc TANTs ,cam,M,.,DuST2)/ 2 AD Type of Building: r Dwelling,a _'7 No?of Bedrooms Lot Size/5-G sq.ft. Garbage Grinder(t%G) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow sS gallons per day. Calculated daily flow Sc-7 gallons. . .; Plan Date / 0'7 PY 0Number of sheets 2. Revision Date Title S M, Size of Septic Tank '�r• Typed of S.A.S. Description of Soil �L.A Nature of Repairs or Alterations(Answer when applicable) " Date last inspected: Agreement: " a i The undersigned agrees to;erisure 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 Certifi- cate of Compliance has been is •ed by this B oard of He. th. ' Signed . _ DAte Application Approved by Date- Application Disapproved for th followmg reasons w Permit No. Date Issued —————— ———————————————————— — THE COMMONWEALTH OF MASSACHUSETTS t BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-sits Sewage Disposal System Constructed ( )Repaired( )Upgraded( ) Abandoned( )by & / at I C,4 ,704 261R D has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 5- 7 2 _dated Installer Designer VAMKfE SURVEY ('nNSuLTA�(S The issuance o this e t hall not be construed as a guarantee that the s tern//will`function a tde ig ed. o Date Inspector _//�'L'1f 4' e No. `�1 Fee /d d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS % &.5po ar *pgtem COttgtruttion Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) a System located at At) and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to- comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be co4leted within three years of the date of this Date: Approved by e� i TOWN OF BARNST LE o Ce LOCATION SEWAGE #v��+C � !� i,L VILLAGE_ .S �C.]� ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. ?-7 7.7 IZ6i i SEPTIC TANK CAPACITY /S LEACHING FACILITY: (type) S' %� - L (size) s �' NO.OF BEDROOMS .SrJ i BUILDER OR OWNER C� `r 0 PERMUDATE: COMPLUNCE DATE: /�"ss�"97 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by I I I 7 J I i LOCATION : SEW&6-4E PERMIT UO. IWS-T < LL ADDR.ESS BUILDER.5--tJ_&MA - -. R.E SS�__ __pl�►TE_P_ERIv�1T_ISSU.ED_-- _-_.-_ .-� -. _ _ __. pATE- COMP-LL&NACE ISSUES - L� �� i T / �• � ( �.f/J� L / � No.._ �rD---.._.. F ... imic '" .... THE COMMONWEALTH OF MASSACHUSETTS B®AR® F HEALIK ......OF. ... ...... .... ... .. ..... ...o --.........._..... Appliration -for DiiiVa iial orkii C�onstrurttion jhrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) a� n Individual Sewage Disposal System at: Locati ddress or Lot No. Owne �j7 Address a `.L----•----- �•-„_ --- ----- � T `=�-"�, taller Address Q Type of Building 3 Size Lot_:..........................Sq. feet U Dwelling—No. of Bedrooms----------------------------------------Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building ____________________________ No. of persons.--___-_.-_-__-___-.-__-.._ Showers ( ) — Cafeteria ( ) Q' Other fixtures ---- -----------------•-•----- - W Design Flow---------------_____________________________gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity--___...____gallons Length................ Width................ Diameter-----....------- Depth-----........... x Disposal Trench—No..................... Width.................... Total Length-._-_--_-_______--. Total leaching area-------.-----------.sq. ft. Seepage Pit No--------------------- Diameter.........._......... Depth below inlet____________________ Total leaching area----------.-------sq. it. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY-------------------------------------------------------------------------- Date--------------------------------------.. Test Pit No. 1----------------minutes per inch Depth of "rest Pit.................... Depth to ground water-.-------------._-.----- (i, Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water__.---_---_--__---_-.... P4 •-----------•-------------------------------•----------•-----------------------•-------------------•----••---•--------------•••----•-•--•-------•-•--------- Descriptionof Soil :-------•--------------------•------•---•------•--------•----------.-•._...------------------......••----•-----------------------------------------. W ----•------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- V Nat e"f airs or teration —Answe hen ppli $1e------------------- ----------- ----- —---------------------------- ------- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b sued by_Lk board of healtl . Signed % « - -� r .................. ._. � ApplicationApproved By----- ----/L--------=----------------------------------------------------------------- ....................Date-------------- Date Application Disapproved for e f oBowing reasons:---•---•------------------------------------------------------•-----------_..........-•-------•-•----------••••- ....................... ---------------------------._.---------•-----------------------------••••-•••--- ----------------••--••--= ----•---- - ----•------------------------------ Date Permit No.......1-71..................................... Issued.- . Date No....•--••-•-•-----••--. Fss... ... .._ THE COMMONWEALTH OF MASSACHUSETTS BOARD ,,PF HEA lLTH- AVVIiratinn -for Bi_qpuntt1 Workii Tunntrnrtinn Vanfit Application is hereby made for a Permit to Construct ( ) or Repair (: �an Individual Sewage Disposal System as Locati j dress or Lot No. y� l ti �. O c�1...t!._!..t� `.�L ---------------- ------------------- t ,;/ l oWn ./ .� !, •-----•------••---.....-naaress--•---•-- ------•---------------------- !� /�mstaller Address d Type of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms---—--------------------------------------Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building ............................ No. of persons-----------.............. Showers ( ) — Cafeteria ( ) Q' Other fixtures ----------------------------------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Widtli................ Diameter................ Depth---------------- x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area-------------.------Sq. ft. Seepage Pit No..................... Diameter..._._-_._-_-...._ Depth below inlet.................... Total leaching area-------------•.-..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY----------- -------------------------------------•-------•-----•---:------ Date-•--••------------------------------.... Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water...-_--..-..-..------_- fiq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......-..--.------------ a ----------------------------•-------.....--•••--•-•----••••-•--••.....-----------------------.-•--•-......................................................... 0 Description of Soil--------------------------------------------------------------- -•-•-------•.........................----------------------------.....------------------------------- x W V Nature'of Repairs or lteratior}s—Answer when applicable __ --------------- ----- ----- ., 1........ . ---------- - -- Agreement: 6 , The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance hasbeen issued by the board of health Slgned,.-. = '=--/ ---/9/ � -�f--�'`�-- ----- '------ ------ ------- ��, C Date Application Approved BY ---... Date Application Disapproved for he following reasons----------------------------------------------------------------------------------------------------------------- ••----------------------------------------------------------------------------------------------------•-••-----------••--•••...-•••------•-•----------------••----••••••---••---------••-----------••••. Date Permit / No........� Z...--•-------•-•--------------------- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF............-....................................................................... OWrti$irate of TOmpiinure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Installer at. ----...--•--•-----... .. ............................. ............................................................................................. has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. __/..?!--------------------------- dated--------/----.1, „ :� TOLE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATEf= ( �•5-.................................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH No..........6.......-•---•• FEE.. -...:.1,.! ... �in�nntti �rrkn �nn�trnrtinn �rrntit Permission is hereby granted................. .1. /r, _ C�=; /9;�.>r 5 . ---••••....-•------•-•-•••-•••••-•-•-•-•-......••---•----.-•--- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo.-------r ..............-------•a.....--------................................ -------------------------------------------------................ Street / _ as shown on the application for Disposal Works Construction Permit No.- ------------ Dated--------a....�-.y---------------- =Brd of •...._ f oa Health ` DATE................................................................................ / , G%t FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1 _ a 0 .TER VILLE � 'o *` LOCU ��oq I v ` u, I tz o d� �► LOT 18A By PLAN) ` 'N 75°56'30„r j3y CALF., I NA•x i N75°58 3177.14 I I � � pn�R POND pOND � / - - - - - - - _IDO I o (:31 Q0 LOCUS MAP I O LOT 21A 5 I AREA = 15652f SQ.FT. low 0 II mowB �I II y :h:r'Q))j ; �00' C 263 BULKHED j � PLAN REF 146C63 BE RELOCATED To RES. ZONE' 'R 0 r EXISTING FLOOD ZONE: "C" I - �T TREES �� 1 ASSESSORS MAP 140,LOT 34 HSE' oo �r TO REMAIN- j b I I I #164 SIC PIPE (OLDER I I I I PROPOSED O EXISTING 1 I \�I I O I OF F']VD• ADDITION SEPTIC ' \ bI I� I n I TOP_ 101. 7 - 20�' �;/(70 BE PUMPED & FILLED) 1 \ o I to I of E O 11 I �� d PLAN Off' LAND I - 1 a o o - 1 ; 93.3 f. 4 ��' - \ cro \ PROJEC T L 0CA TION I 5 II " I �w39 0 .ex NEY �8_0� � �^ \\ \ �.o ` 164 SCUDDER ROAD V 00 I� GAR. 7. 0 5 - + \ 1 OSTER VILLE; MA. I ,� —cnl b o SLAB 43' 4 \\ � I \ IVEWAY 223 G' 13' O' i o \ APPL/CANT. b y I l ASPHALT�DRr _ 9. 7 - - 32 o ` ` DA VID TRO TTO I � 174• 66 I CB N80'5230 T O ' PA TH c� BENCHMARK, - I 2 `S YANKEE SURVEY CONSUL TAN TS EL.=100.0(ASSUMED BOX 265 I �.� � P. O. ON CC B. II I UNIT 1, 408 INDUSTRY ROAD "�� OF MARSTONS MILLS, MA. 02648 CB ERuc, PH:(508)428-0055 - FAX(508)420-5553 {i i luRPHY PAUL �'+ � eta.T�s � SCALE: 1 "=20' IDA TE.• 11/07/98 c. ii7Q`� No. �-� `��b/TPN� REV REV JOB NO. 51705A SHEET 1 OF 2 101. 7' q TOP OF r-FdNDII TION 20' MIN. 10' MIN. CONCRETE COVERS 4" SCHEDULE 40 P. VC. VENT IF LEACHING tip MIN. PITCH 118 PER FT 2"LAYER OF IS GREATER THAN 1/8"-112" 3 FEET BELOW GRADE s" z/ / CONCRETE COVER WASHEDS719NE EL=100.5 N 4" CAST IRON PIPE (OR EQUAL MINIMUM LMIN. p PITCH 114 PER FT. CLEAN SAND FLOW LINE EL=97.5 O. �IN4�'RT 1M N 14" °O y EL.= 98.95 _ INVERT ; LEVEL ° o 0 0 0 0 0 0 0 0 ° ° w B FFFLE _ 98 0 INVERT 6 SUMP INVERT o °0 0 0 0 0 0 0 0 0 ° o °o ° L =95' (� C� INVERT EL.- _ ° EL.= 98.25 EL.= 97.5 - EL.=97 25 4 p 4. INVERT (TO BE PLACED ON FIRM BASE) E DISTRIBUTION EL.= 97'__ MECHANICALLY COMPACTED OR 6" OF STONE BOX 1500 GALLONS TO BE WATER TESTED 43.5' X 12.5' TRENCH FORMATION SEPTIC TANK IF MORE THAN ONE OUTLET PLACE ON 6" STONE 3/4" T10 1-1/2" SOIL ABSORPTION PROFILE O F ASHED ST1�NE SYSTEM (SAS) SEWAGE DISPOSAL SYSTEM NOT TO SCALE NO TE:• NO TE• INSTALL FOUR (4) ACME SOIL ABSORPTION SYSTEM (SAS) 500 GALLON LEACHING CHAMBERS TO BE INSTALLED IN MEDIUM SAND. SPACED 6 INCHES APART AT BOTTOM p' GENERAL NO TES 4 FEET OF STONE SIDES AND ENDS SEPTIC INSTALLER TO VERIFY 43.5' X 12.5' MEDIUM SAND & 5 FEET BELOW BOTTOM OF (SAS) TO 1) ALL WORKMANSHIP AND_ MATERIALS SHALL CONFORM TO D.E.R INSURE MEDIUM SAND AND TITLE 5 AND THE TOWN OF -L?AR RULES AND THAT THERE IS NO GROUND WATER. REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. IF THERE ARE ANY CHANGES INSTALLER 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO TO NOTIFY HEALTH DEPT. IMMEDIATELY. WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" I WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN DESIGN CALCULA TIONS.• 5 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 5 FT. OF DRIVES OR PARKING AREAS. NUMBER OF BEDROOMS . 5 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL GARBAGE DISPOSAL . . . . . . . . . NO BE MORTERED IN PLACE. TOTAL ESTIMATED FLOW 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH ( 110__CAL./BIB/DAY x _5__ BR.) 550 CAL/DA Y DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO REQUIRED SEPTIC TANK CAPACITY 1500 GAL OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR SOIL CLASSIFICATION . . . . . . . . 1 IS TO CALL 'DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS DESIGN PERCOLATION RATE � 5 MIN./IN. PRIOR TO COMMENCING WORK ON SITE. � EFFLUENT LOADING RATE . . 74 GAL/DAY/S.F 7 CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS LEACHING CAPACITY (AREA X RATE) 567 GAL/DAY ) RESERVE LEACHING CAPACITY . 567 GAL/DAY SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. 8) PARCEL IS IN FLOOD ZONE 110 + (43.5 X 12.5 X . 74)f(43.5+43.5f12.5t12.5 X . 74 X 2) 9) LOT IS SHOWN ON ASSESSORS MAP _140 AS PARCEL _ 34 SHEET 2 OF R JOB NUMBER__ 51705A______ -.OSTER VILLE LOCU � o LOT 18A By PLAN) , ` b d d 75°56,30„E�By CAL � � I I I N75 058 3171 14 I I paex�R polv� - - - - - - - _Ioo I o o�lo LOCUS MAP �' II �' 0-- LOT 21Alool 9 5 AREA = 15652E SQ.FT. I I ~+ Ioa 0 0� lO �ryQ�hj 100 26.3' ®U I l y PLAN REF.- 14616 3 RELOCATED To RES. ZONE: 'RC w FLOOD ZONE. "C" EX STING HSE "D - i p TREES I 1 ASSESSORS MAP 140,LOT 34 EXISTING , ,1� l TO REMAIN � I p I I I w #164 EPTIC PIPE p�1 (OLDER) C \ I \ PROPOSED O EXISTING 1 I \ Q ADDITION j / SEPTIC \ b I Ip I TOP OF FND• - (7!7 BE PUMPED & FILLED) F o I I �I y 11 EL = 101. 7 — 20. 0' I / 1 I �� \ PLAN OF LAND 4.5 i�B• o o a 1 93 3 1 PROJECT L OCA. TION I I� 39 CHIMNEY _ ` j '. 1 �.o_ \ �164 SCUDDER ROAD I I� zv�a b �' GAR. 7.�0 _ \\ OSTER VILLE MA. o SLAB 43' S \ I I AY o1 b9 ;v ' `"' j3. 0 o \\ APPLICANT.• y I l ASPHAL7N f!IVEW 22 3 0' 174. 66' ` - DA VID TRO TTO '30 'moo �. CB N80 52 PATH o BENCHMARK.•i - I 2 `r : 1 YANKEE SUR VE Y CONSUL TAN TS EL=100.0'rASSUMED I ,, P. O. BOX 265 ON C.B. d T UNIT 1 40B INDUSTRY ROAD MARSTONS MILLS, MA. 02648 CB o, , ` BRG E Gam,' PH.(50D428-0055 - FAX(508)420-5553 e es.' JU;IPHY a PAUL so✓+ �:�I No.749 1 "=20' ISCALE. FDA TE. 11/07/98 i N Ll ...NO. 'J� a r`itT '' RE V. RE V. °Nat uaos JOB NO. 51705A SHEE T 1 OF 2 � s EL. _ 1.01.+7' Q TOP OF FOUNDATION 20' MIN. 10" MIN. CONCRETE COVERS 4" SCHEDULE 40 P. VC VENT IF LEACHING MIN. PITCH 1/6 PER FT. 2"LA YER OF IS GREATER THAN 3 FEET BELOW GRADE l(� / ♦ , , ♦ / , . . ♦ / / / / ♦ , CONCRETE COVER WASHED S710NE 6" MAX ♦ ♦ / ♦ i i i i i ♦ / i / ♦ i i i i ♦ / / . EL=100 5 a Q, n2 4" CAST IRON PIPE . i (OR EQUAL MINIMUM W PI7rH 1/4 PER FT. CLEAN SAND 9,. FLO W LINE MIN. V INVERT 1 10" EL= MIN. 14" EL.= 98.95 _ �20'� 0 00 0 0 0 0 0 0 0 w N BAS IN 98.0 1 INVERT 1sump LEVEL o 0 o p p p O o O o o o0 0 Q� N INVERT EL.— INVERT o 0 o L.=95 EL.= 98.25 EL.= 97.5 _ EL.= 97.25_ 4' 4' — -- INVERT (M BE PLACED ON FIRM BASE) DISTRIBUTION EL.= 97'__ MECHANICALLY COMPACTED OR 6" OF STONE BOX —_1500 __GALLONS TO BE WATER TESTED 43.5' X 12.5' TRENCH FORMATION SEPTIC TANK IF MORE THAN ONE OUTLET PLACE ON 6" STONE 3/4" 7Y! 1-1/2" SOIL ABSORPTION PROFILE O F WASHED S7i7NE SYSTEM (SAS) SEWAGE DISPOSAL SYSTEM NOT TO SCALE NO TE- .NO TE• INSTALL FOUR (4) ACME SOIL ABSORPTION SYSTEM (SAS) 500 GALLON LEACHING CHAMBERS TO BE INSTALLED IN MEDIUM SAND. GENERAL NOTES SPACED 6 INCHES APART AT BOTTOM 4 FEET OF STONE SIDES AND ENDS SEPTIC INSTALLER TO VERIFY 43.5' X 12.5' MEDIUM SAND & 5 FEET BELOW BOTTOM OF (SAS) TO 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. INSURE MEDIUM SAND AND TITLE 5 AND THE TOWN OF _ Z�1TS _LE RULES AND THA T THERE IS NO GRO UND WA TER. REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. IF THERE ARE ANY CHANGES INSTALLER 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO TO NOTIFY HEALTH DEPT. IMMEDIATELY. WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN DESIGN CA L C ULA TIONS.' 5 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 5 FT. OF DRIVES OR PARKING AREAS. NUMBER OF BEDROOMS . . 5 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL GARBAGE DISPOSAL NO BE MORTERED IN PLACE. TOTAL ESTIMATED FLOW 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH P ( 110--GAL./BR/DAY x _5__ BR.) 550 GAL/DA Y DEEDED OR ZONING REG ULA TIONS. OWNER/APPLICANT IS TO , REQUIRED SEPTIC TANK CAPACITY 1500 GAL OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. E 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR SOIL CLASSIFICATION . 1 1IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS DESIGN PERCOLATION RATE 74 MIN./IN. PRIOR TO COMMENCING WORK ON SITE. EFFLUENT LOADING RATE . . . . . . GAL/DAY/S.F. 7 CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS LEACHING CAPACITY (AREA X RATE) 567 CAL/DAY RESERVE LEACHING CAPACITY . . . 567 CALIDAY SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. (43.5 X 12.5 X .74)t(43.5t43.5*12.5+12.5 X . 74 X 2) 8) PARCEL IS IN FLOOD ZONE___C 9) LOT IS SHOWN ON ASSESSORS MAP _14o AS PARCEL _ 34 ;i N SHEET 2 OF 2 JOB NUMBER__ 51705A-_____