HomeMy WebLinkAbout0111 WINTERGREEN CIRCLE - Health 111 WINTERGREEN CIR., OSTERVILLE
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Commonwealth of Massachusetts
Executive of Environmental Affairs
DEP
Department of r 1 �
Environmental Protection
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A .. T 1S�
CERTIFICATION ,� ' 6'
co
Property Address: 111 Wintergreen Circle. Osterville, Ma. .9 C �
IA%
Address of Ownec Joshua &Ann Abely
(if different)
Date of Inspection: 08/03/96
Name of Inspector: Michael DeDeck0
Company Name, Address and Telephone number: Atlantic Environmental
P.o Box 2384 - Mashpee Ma 02649. Tel: (508) 4771420
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
-k Passes
---- Conditionally Passes
---- Needs further evaluation by the local Approving Authority
---- Fails
Inspector ' s Signature: � � c1�� Date: 08/05/96
The system Inspector shall submit a copy of this inspection report to the Approving
Authority within thirty (30) days of completing this inspection. If the system
is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the
system,owner shall submit the report to the appropriate regional office or the Department
of Environmental Protection.
The original should be sent to the system owner and copy sent to the buyer, if applicable
and the approving authority.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 111 Wintergreen Circle. Osterville, Ma.
Owners : Joshua &Ann Abely
Date of Inspection: 08/03/96
INSPECTION SUMMARY:
Check A, B, C, or D
A) SYSTEM PASSES:
X I have not found any information which indicates that the system violates any of the
failure criteria as defined in 310 CM 15.303.Any failure criteria not evaluated are
indicated below
B) SYSTEM CONDITIONALLY PASSES:
---- One or more system components need to be replaced or repaired. The system, upon
completion of the replacement or repair, passes inspection.
Indicate yes, no, or not determinate (Y,N,or ND). Describe basis of determination in all
instances. If "not determinated", explain why not.
---- The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or
exfiltrahon , or tank failure is imminent. The system will pass inspection if the existing
septic tank is replaced with a conforming septic tank as approved by the Board of
Health.
---- 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 four times a year due to broken or obstructed
pipe(s). T-he system will pass inspection if (with approval of the Board of Health):
----- broken pipe(s) are replaced
-•--- obstruction is removed
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address : 111 Wintergreen Circle. Osterville, Ma.
Owner : Joshua &Ann Abel
y
Date of Inspection: 08/03/96
C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
---- Conditions exist which require further evaluation by the Board of Health in order to de-
termine if the system is failing to protect the public health , safety and the environ-
ment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES 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 a surface of water
---- Cesspool or privy is within 50 feet of a bordering vegetated wetland or a small
marsh.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER
SUPPLIER, IFAPPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNC-
TIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY
AND THE ENVIRONMENT.
---- The system has a septic tank and soil absorption system and is within 100 feet to a
surface water supply or tributary to a surface.water supply.
--- The system has a septic tank and soil absorption system and is within a Zone I
of a public water supply well.
---- The system has a septic tank and soil absorption system and is within 50 feet
of a private water supply well
---- The system has a septic tank and soil absorption system and is less than 100
feet but 50 feet or more from a private water supply well, unless a well water analy-
sis 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 notrogen is equal to or less than 5 ppm.
D) SYSTEM FAILS:
-- I have determined that the system violates one or more of the following failure criteria
as defined in 310 CM 15.303. The basis for this determination is identified below.
The Board of Health should be contacted to determine what will be necessary to cor-
rect the failure.
--- Backup of sewage into facility or system component' due to an overloaded or or clogged SAS or cesspool. '
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 111 Wintergreen Circle. 0sterville, Ma
Owner: Joshua'&Ann Abely
Date of Inspection : 08/03/96
D) SYSTEM FAILS (continued)
-- 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 over-
loaded 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 cesspool or privy is within 100 feet of a surface water supply
ortributary 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 ana-
lysis.- 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.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 111 Wintergreen Circle. 0 sterville, M a.
Owner: Joshua &Ann Abely
Date of Inspection: 08/03/96
E) LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria above :.
The design flow of system is 10,000 gpd or greater Large System and the system
is a significant threat o a k public health and safety and the environment because 9 p y e
one or more of the following conditions exist :
--- 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 11 of a public water supply well
The owner or operator of any such system shall bring the system and facility into full compli-
ance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00.
Please, consult the local regional office of the Department for further information.
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 111 Wintergreen Circle. O sterville, M a.
Owner: Joshua &Ann Abely.
Date of Inspection: 08/03/96
Check if the following have been done
-x Pumping information was requested of the owner , occupant and Board of
Health.
--x None of the system components have been pumped for at least two weeks
and the system has been receiving normal flow, rates during the period. Large
volumes of water have not been introduced into the system recently or as. part
of this inspection.
--x As built plans have been obtained and examined. Note if they are not available
with N/A:
--x The facility or dwelling was inspected for signs of sewage back-up.
--x The system does not receive non-sanitary or industrial waste flow.
--x The site was inspected for signs of breakout.
--x All system components, excluding the Soil Absorption System, have been
located on the site.
---x The septic tank manholes were uncovered, opened and the interior of the sep-
tic tank was inspected for conditions of baffles or tees, material of construc-
tion, dimensions,depth of liquid, depth of sludge, depth of scum.
---x The size and location of the Soil Absorption System on the site has been deter-,
mined based on existing information or approximated by non-intrusive methods
---x The facility owners and occupants if different from owner were provided with
information on the proper maintenance of Subsurface Disposal System.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 111 Wintergreen Circle. Osterville, Ma.
Owner: Joshua &Ann Abely
Date of Inspection: 08/03/96
RESIDENTIAL:
Design flow : 330 gallons
Number of bedrooms
Number of current residents: D
Garbage grinder (yes or no) :oto
Laundry connected to system(yes or no): C, '
Seasonal use (yes or no) : Np
Water meter readings, if available: P6
Last date of occupancy : C�Ut.v�' 5v�r►vr►��S
COMMERCIAL/INDUSTRIAL
Type of establishment:
Design flow : gallons/day
Grease trap present: (yes or no)
Industrial waste holding tank present (yes or no) :
Non-sanitary waste discharged to the Title 5 system (yes or no)
Water meter readings, if available
Last date of occupancy
Other: (Describe) ..................................................:.....:. .................................................
Last date of occupancy:
GENERAL INFORMATION
PUMPIN ECORDS and s;aurce of information
System pumped as part of inspection (yes or no) :....... ......
if yes, volume pumped : :................... gallons
Reason-for pumping :.......................................................................................................:..:..
"7
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 111 Wintergreen Circle. 0sterville, Ma.
O wner: J oshua &Ann Abely.
Date of inspection: 08/03/96
TYPE OF SYSTEM
Septic tank/distribution box/soil absorption system
--- Single cesspool
... Overflow cesspool
--- Privy
--- Shared system (yes or no) (if yes, attach previous inspection records, if any)
--- Other (explain)..........:::.........:.....................................................................
APPROXIMATE AGE of all components, date installed (if known) and source of information ,
-t.�(�t� ... ...! ...
................................................................................................................................................
................................
Sewage odors detected when arriving at the site:'(yes or no)..............
SEPTIC TANK : ..L�S.....
(locate on site plan)
Depth below grade: .......
Material of construction: ..1.C.. concrete ......... metal ........ FRP ........ other(explain)
................... .............................................................................................
Dimensions: .�+�a ..XS..............
Sludge depth:.. ��
Distance from tap of sludge to bottom of outlet tee or baff le:........�3.M................
Scum thickness:....C?.`............
Distance from tap of scum to tap of outlet tee or baffle: .............W1...................
Distance from bottom of scum to bottom of outlet tee or baffle :......J.b..............
Comments
(recommendation for pumping , condition of inlet and outlet tees or baffles, depth of liquid
level in rglaan to outlet invert, structural inte rity,evidence of leak ge, etc.)........:... .........
N.. .,. . .. . .►�.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PAR T C
SYSTEM INFORMATION (continued)
Property Address: 111 Wintergreen Circle. 0sterville, Ma.
Owner: Joshua &Ann Abely.
Date of inspection: 08/03/96
GREASE TRAP : .......Q......
(locate on site plan)
Depth below grade: :—.....
Material of construction: ........concrete..,......metal........FRP........other(explain)....
..........................................................................................................................................
D imensions:...............................
Scum thickness:........................
Distance from top of scum to top of outlet tee or baffle:.......................................
Distance from bottom scum to bottom of outlet tee or baffle:...............................
Comments:
(Recommendation for pumping condition of inlet and outlet tees or baffles, depth of liquid
level in relation to outlet invert, structural integrity,evidence of leakage, etc.)........................
.......................
TIGHT OR HOLDING TANKS:..... ....
(locate on site plan)
Depth below grade:.....
rade:.....
Material of construction:........concrete........metal........:FR P..........other (explain)..........
...................................................................................................................................
Dimensions:............................
Capacity: .....gallons
Design flow:...............gallons/day
Alarm level:....... .....................
Comments:
(condition of inlet tee, condition of alarm and float switches, etc.)
...... ......
k
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION
E TION FOR
M
PART C
SYSTEM INFORMATION (continued)
Property Address: 111 Wintergreen Circle. 0sterville, Ma
Owner: Joshua &Ann Abely
Date of inspection: 08/03/96
DISTRIBUTION BOX:..t��
(locate on site plan)
Depth of liquid level above outlet invert:....�VCA. vl 007a,
Comment:
(note if level and distribution equal eviden a of soli s b,arryoAve , idence f le age into
ou of box, t�� ar....`�., ..,. .�..
......................................................... ........... ..................................
PUMP CHAMBERA—P.....
(locate on the site)
Pumps in working order: (yes or no)...............
Comments:
( pumps PP ) .
Hoke condition of pump chamber, condition of um s and a urkenances,�ekc. ....................
...............................................................
.. ...........................................................................
SOIL ABSORPTION SYSTEM (SAS):..
(locate on site plan, if possible; excavation not re aired
intrusive methods) q but may be approximated by non- ..
if not determined to be present, explain:,
.....................................................................................
Type: .............................. ....................... .............. ....................................
leaching pits, number: .!. .(r?4�O..P1
leaching chambers, num er:........
leaching galleries, number:...........
leaching trenches, number ,length:................:....
leaching fields, number, dimensions:...................
overflow cesspool, number:..........
Comments:
(note o&i ;oIji
sin f h raulicfa re evel f o conditp n of ve etat' n... :ark. �
... ... ...
�p
SUBSURFACE SEWAGE DISPOSAL
. PA SYSTEM INSPECTION F
RT C ORM
SYSTEM INFORMATION (continued)
Property address: 11 Wintergreen Circle. O
Owner: Joshua &Ann Abely skerville, Ma.
Date of inspection: 08/03/96
CESSPOOLS:....N�.....
(locate on.site plan)
Number and configuration: .........
Depth-tap 0if liquid to inlet invert: ....,
Depth of solids layer:
Depth of scum layer. .....
Dimensions of cesspool: ......
Materials of constructio .n: ......... ......Indicator of ground water: ....
inflow
(cesspool must be ............
Pumped as
part of inspection
...........................................................................
Comments:
(note condition of soil, signs of hydra
he failure, level of pondin ,
9 condition of ve
getakion,
PRIVY: ....yoD
...
(locate on the site)
Material of construction: ....
Dimensions: .........
..................
Depth of solids: ................
Comments:
(note condition of soil, signs o
etc.). f hydraul
ic failure, level of pondin ,
9 condition of vegetation,
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
:SYSTEM INFORMATION (continued)
Property Address : 111 Wintergreen Circle. Osterrrille, Ma.
Owner: Joshua &Ann Abely.
Date of inspection: 08/03/96
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks locate at
wells within 100'
C� �Z3S �Z31 c.
.2
46
DEPTH TO GROUNDWATER:
Depth to groundwater: ..'�.A...feek
Method of d termination or approximatirre:
U�S,.�colo�fw Svn1l'L �.......
............................................................................................................................................
��
FJ
LOT a
LOT 3
Q�
0w
ACCESS EASEMENT �r
I -
I 315.39'
0 \
N25'a2'Ia..E o
IN CAPE AND VINEYARD 6
0
to ELECTRIC EASEMENT
tOn a� ACCESS EASEMENT N U
_ _ J
N
E -I 20.DD
N090'12� _ S25'42.14 W 120.52' --
J
n� u,
t00 55.6 W
a
LOT 5 Co.o �
1 30.624 t S.F _�'� ck, LOT 15
ti PROPOSED f-h p
67.7 ADDITION >c" ,
LOT 2102 5'
N
`t N
•v
I_
/G S32'5 7'18-W
I 215 00•
C)r
ACCESS
EASEMENT I ---
CB/DH !^ - cw LOT 7
(End) l�
LOT.6
LOT I
SITE PLAN
Of PREPARED MR
�tH
N
SHAWN and ELLEN MAHONEY
BRB
K Of
(no disk) LOT 5, #111 WINTERGREEN CIRCLE
OSTERVILLE, MA
,iNOTES:
JE LANDERS—CAULEY, P E
,THE LOCATION OF THE CAPE AND VINEYARD ELECTRIC EASEMENT WAS CIVIL ENVIRONMENTAL ENGINEERING
TAKEN FROM BOOK 385 PACE 97 RECORDED AT THE BARNSTABLE PO BOX 364 WEST FALMOUTH. MA 02574
REGISTRY OF DEEDS (508) 540-7733 ph (508) 540-3022 ph
508 540 - 3344 (a■
EAT 5 IS SHOWN IN THE "RC- ZONING DISTRICT ASS#119-075 DATE: 03130101
SCALE I' =30 DRAWN BY JOR
_— — LOT 5 IS SHOWN IN THE "C" FLOOD ZONE JOB NO 10/7 SHEET. I OF I
. 0,
6'
M,
INING KITCHEN BATH BATH MASTER
BEDROOM
GARAGE
22'-0 24' l
LIVING ROOM
MUD ROOM SECOND
ENTRANCE BEDR❑❑M LINE OF
LDITIf1N
MAIN FLOOR EXISTING
square footage
1104
12 6'-0 "
-MAIN FLOOR ADDITION GARAGE
MUD ROOM a
ENTRANCE 2 '
square footage 2 ,
100
SECOND
BEDROOM
square footage
108
MAIN FLOOR TOTAL
SQUARE FOOTAGE
1312 6,_0�1 Y
�D
I
W .p:
L
r
r� O MQM
1 1 ® Z
w
2 W pq I--
a. � Y
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\ V
LOCATION y// SEWAGE PERMIT NO.
VILLAGE
�s7-
I N S T A LLER'S NAME i ADDRESS
tAsS U I L D E R OR OWN ER
r '
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
1
o
l
No....... ` 1�, Fps...tea..................
THE COMMONWEALTH OF MASSACHIUSETTS
BOARD OF HEALTH
OF
v
Aliptiration for 11ispos al Works Tonstrurtion runfit
Application is hereby made for a Permit to Construct (V�or Repair ( ) an Individual Sewage Disposal
System at:
r .............................. ._ � 111. .t.!l f ...................................•••--------
...... ..
- Lo ion-Address or Lot No.
.....� ..souk--...��� ...... s - •............
O, er - Address
!-57.. -------------------------------------------------------------------------------------------------
Installer Address
U Type of Building Size Lot.....�1� Sq. feet
,. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
`4 Other—T e of Building ............. No. of persons..........--.--......--.---. Showers, — Cafeteria
a - --------------..........................................................
-----------•-----------•------------------------••-••-------�.....--_---------------------------------
...............gallons per person per day. Total daily flow...........- ....O_......_............gallons.
Other fi res ______________________ _ _ i
W Design Flow______________ _ g P P P �-7 Y
WSeptic Tank—Liquid capacityPIP-4-gallons Length_'-KJ _..... Width................ Diameter--..----.------- Depth................
x Disposal Trench— o. .................... Width..._.1..........-.P .Total Length---.-........�..... Total leaching area..--...............:q: ft.
Seepage Pit No......... ........... Diameter........a....... Depth below inlet..... ......... Total leaching a.areaEa�D..s ft.
Z Other Distribution box (✓) Dosing tank ( ) /
aPercolation Test Results Performed by..ld��-L411�_ ........................................ Date---.-.io�z��.r--------
'o21,Test Pit No. 1.G.v._._.minutes per inch Depth of Test Pit...... .... Depth to ground water._11141J ........
a p, Test Pit No. 2._Gv....minutes per inch Depth of Test Pit ..... Depth to ground water------
--�
P P P
-------•--••---------------------......................................... t.....................---•-. ---•---------- ---
Description of Soil d' �} ,1 �.���- �r 1Z �� L `�........�-N-�...-•------
f
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 TITLE, 5 of the State Sanitary C e The un rsigned further agrees not to place the system in
operation until a Certificate of Compliance has bees th o f health.
Signed..... --...s.. ....-- - ....................... .......
�6
ApplicationApproved ------------------------------------•--' ... -- . ----------•------------------ ... .. ... . _......--------------
Date
Application Disapproved for the following reasons---------------•--•---------.....------------------------------------------------•--------------•----------••-•--
-----------------------------•-••••••----••-•-••--•--•-•----•---•----------------•-•-•••-....-----------•.--....-•-••-••---------------•-----•--------•------•-•------•--------••-------......--•--...---
Date
PermitNo......................................................... Issued-.......................................................
Date
;
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH '
Application is hereby made for a Permit to Construct (/� or'Repair an Individual Sewage Disposal
System at:
r Address
�a� u�u
�14 Type cfDo� �� g� � Size Lot feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
- Other—Type of Building ............................ No. of persons............................ Sbnvrccv ( ) -- Cafeteria ( )
124 ~`` Other f
jxtures --_----_-_-'_'-__--______--^--------'-_..--'__'__'--_'-__---
� Design ,^"���-
............. ........................gal>oou per person per day. Total daily 8mw.----. ......................gallons.
Other Distribution box '(/) ." ,,Dosing tank ( )
~~ Percolation Test Results Porfocnoc8^bv.1 ..................... I)uto--' �'_.__-
� �;&�� Test No.� o� l.��'/'---oz� �� �-minutes Depth u6 T��� �� ../.��..-- Depth to ground � c� --_.
Test Pit No. ......minutes per ���b Depth of Test Pit.......��'---. Depth to erovuJ water-----^Ju Pie-.-
� Description � .
--- ---'
�I ...-------_-_'--'--------_----------__._-_-_---_---.--_--_._--_'--_--_-_._____
U Nature of Repairs orAltnrud000--Aoowecwheo applicable.----_---.-.-_--_---_---.--..--..---.----_-
------.-----__---'----'_'----_'-'.--_'-_____---_-_-_.---._--'------'_-'.._.-.-'.-_-'_'-----
Agreement:~ `
The undersigned agrees to install the uforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITIE 5 of the State Sanitary Codc—The undersigned further agrees not m place the system in �
operation oodi u Certificate of Compliance has been issued bv the board ofhealth.
Signed- ........................................... ---. '----
Application Approvcd Dy--' -----
Appuouoou Disapproved for the following reasons:...Y!f........................................................................................................
.........................................................................................................................................................................................................
Date
Permit No_ _ ]
"=°
`
THE(COMMONWEALTH orwAesAonussTTs
�
BOARD OF HEALTH
~
..........................................O ' --_--_-_------''----'
turrfifiratr of Tomphaurr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or' ( )
bc'_--'----'--.-'--.-'----'---__--'--_----'_--'---_---_.--'---'_------------'_-'-----_---............. .................
at------------------------------------------------------------------------------------------------------------------------------------------------
has been inaccordance wid�6 s ]IT StateCode as in the
application for Disposal Works Construction Permit No.....P.X .......... dated............................................
-..
THE ISSUANCE OF THUS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SAT RY.
D/�7,I�------------------'.^��^^' �p�_-----' Iosy�±oc--- ---------^-------------- �---.
|
THE COMMONWEALTH or mAesxo*usErrsBOARD/�DF HEALTH
�
�
Dispia,oal Porkv T11notrudiatt -Vantif
to Construct
� or Repai d S Vage Disposal Sy
� ' .
. ~..^ � .
on the for Disposal \�oc�aCous�nodoo ��ro�t DJo-'____-' I�tcd-_..-----._---__
'. _-..—�.........
� -- � o=rd of Health
� DATE '
� . �
n,nm 1255 x000smWARREN. INC.. pvoLxoxsns �
r
S1 TE PLAN SHEET f OF 2
l SCA'LE< 1 = 40
• I �k2. G72
6iTt7, p'p.rt..4tir 40N4.
6 L 1"c.kL A
SOD w
k' bx MAN f'- G 17
-•. ®.
98 � P2o ry do •. . .g?C. Ply�-C,osr.LoNG-
PL R 3 IOoo GAI.r -hr-PTIL TAiuK
me
50 `
So `�
115p
WILLIAM M.
c
1` p
� fV
v '
V
WARWICftAl
! � G
4�Ci�'� GcJ FOR
REGISTERED LAND SURVEYOR .. PJ L;�6G1.
ZONE �G O�TR-V1l.L MA��
PLAN REF. DATE
BENCH MARK DATUM k. JM WM. M. WARW/CK 8 ASSOC., INC.,
DOMESTIC WATER SOURCE "rDwO w 8OX 80/ - NORTH FALMO!/TH
FLOOD ZONE� �G� MASS. 02556 - (6/7) 56,E -2638
LEACHIA"62r EAS/N SECT/ON NOT TO SCALE Shcc� 2 �f Z
EARTH F/L L I^
BRICK AND MORTAR COURSES AS REOD• TO BRING
4' _,r.�_ .— \ COVER TO GMUDE 1
4 8'FLOW LINE �- l s
INLET J_ _ __ _— 2' To/" WASHED PEAS TONE FREE OF IRONS,
PIPE '• 'T FINES AND DUST IN PLACE
I OPENING WITH 4% " '' /4 TO I/2 WASHED CRUSHED S r0✓E. FREE OF I -
OUTER DIAMETER IRONS, FINES AND DUST IN PLACE
• A NO 1314„INSIDE
DIAMETER 1. CONCRETE TO BE 4000 PSI 26 DAYS
2. REINFORCED WITH 6"x ro" NO. 6 GA. W.W.M.
' 3. 2'AND 4' SECTIONS ARE AVAILABLE FOR
4'0" s'o" GREATER DEPTH REQUIREMENTS
r-- 2� -- - I 2' --� 4. NUMBER OF PITS REQUIRED oN&, '
MlN NOTE: EXCAVATE TO ELEVATION 3Z•3 OR
EFFECTIVE DIAMETER
(NOT ro ExcEEO 3 r/MEs EFFECTIVE DEPrHJ LOWER AS REQUIRED TO REMOVE ALL
- - - - WATER TABLE LOAM AND CLAY BENEATH PIT. REPLACE
EXCAVATED MATERIAL WITH CLEAN
TYPICAL PROFILE GRAVEL TO DESIGNED GRADE.
9L 0 /B"STD LT WGT. C.I.MH COVER
4"C.1.P/PE .• 4"BI r.FIBER PIPE _
T/GHr JOINT OUTLET LEVEL7
DWELLING � FLOK'_LINE _ TO FIRST JOINT
,v r /4
00 o
ff7, q2.7 is �oo i1
C.I. TEE � it000 00 01
�2 Sr0• PRECAST CONC. ' f 0 0O 0 0 0 0 s i ,
I 2.6 D/ST. BOX TO BE Z, O : i i 1 060 00 0 1 GAL.SEPTIC TAN INSTALLED ON'LEVEL
STABLE BASE 1 000 00 .0)
ASEPTIC TANK To BE s '1 000 00 0 1 '
INSTALL D D LEVEL f 10010 0 0
STABLE BASE. i 1 0 0 0 0 0 0
1000IC 0 I e „
LEACHING BASIN , 1 a Q 0 0 0.0 1 , , i
BASE TO BE L EVEL s 00 O O0 t , ,.; �L.
SOIL AND PERC. DATA
PERC. RATE � 2 MIN. /IN.
Or, TEST PIT NO. Pa y Or TEST PIT NO. ��sol7
Zs Tor /15L) oI1.- . Top. /sUPvgo�L
TEST BY ' _P rzLj4,- 1--r,-1.t7 3
WITNESSED. BY: Z- 64Ir-j::�oIZP GIiGAU W4�D./ GLEa� 1tiJ
p3`�2-3 J+1.o r3ro 17 - 510Oti -6AA.a 1p
TEST PIT GR, EL.
DATE:
17— 04(0/0-+ IZ No 4qV-NP•WAVaa'Z— 12 PJo 4IZNP.WA►-t6�Z
D£S/6N DATA GENERAL NOTES
BEDROOMS 3 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM.
DISPOSAL SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD.
EST. TOTAL DAILY EFFL.l99ZGPD• PRECAST REINFORCED CONCRETE ,UNITS: j
SEPTIC TANK 100E —GA L. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE
TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE
SIOEWALL AREAZ'yGAL../SQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF
BOTTOM AREA GAL./BUT. SANITARY SEWAGE EFFECTIVE ON JULY 11 1977.
LEACHING REQUIRED 17 9ISQ.FT ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD .
ACTUAL LEACHING AREA OF HEALTH.
ZL7'�sQ.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.
°F SEWAGE DISPOSAL SYSTEM
MARTIN
E. roR'---
MORAN
'A. #23 17AA
� LO( � �,c�l 0•1 �(Z(����1•� G ( iz.Ll��
�SS'QfrAl
SCALE AS INDICATED oATE_.I v �1a
' WM M. WARWICK D ASSOC., INC. �
BOX BOI - NORrH FAL MOUTH
` h9ASS: 02556 - (6I7J 563 -2638
PROFESSIONAL ENGINEER
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