HomeMy WebLinkAbout0040 ASA MEIGS ROAD - Health F 40 Asa Meigs Road
_ Marstons Mills
.A'= 031 001010
I
I
Commonwealth of Massachusetts
w . Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
page. Cityrrown State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important:When A. General Information
filling out forms
on the computer,
use only the tab 1. Inspector:
key to move your
cursor-do not Daniel P. Croteau
use the return Name of Inspector
key.
Moran Engineering Assoc. LLC
rab Company Name
941 Route 28 (PO Box 183)
Company Address
Soth Harwich Ma 02661
City/Town State Zip Code
508-432-2878 SI 3772
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection. The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title 5 (310 CMR 15.000).The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority
Inspector's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority (Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time.This inspection does not address how the system will perform in the future under
the same or different conditions of use.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments. .
M .40 Asa Meigs Road Marstons Mills Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
_® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
Septic tank maintenance pumping recommended.
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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments
40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
page. Cityrrown 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 pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ -N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The
system will pass inspection if(with approval of the Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ .N ❑ ND (Explain below):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health 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•3113 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
M 40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
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
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
El ® 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
o
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
page. Cityrrown 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 system is considered a significant threat,
or answered "yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
l5ins•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
40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green& Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
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?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of-the Soil Absorption System-(SAS) on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® ❑ 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): 3 Number of bedrooms (actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
t5ins•3113 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
40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
page. City(rown State Zip Code Date of Inspection .
D. System Information
Description:
Number of current residents: 2
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
Seasonaluse? ❑ Yes ® No
Water meter readings, if available (last 2 years usage (gpd)):
Detail
2013: 110gpd, 2012: 77gpd
Sump pump? ❑ Yes ® No
Last date of occupancy: presently
occupied
Commercial/Industrial Flow Conditions:
Type of Establishment: N/A
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
40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is Marstons Mills MA 02648 3122/14
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: pumped in 2012 per owner
Was system pumped as part of the inspection? 0 Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping:
Type of System:
® Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract ijo 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
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
w 40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is Marstons Mills MA 02648 3/22/14
required for every
page. CitylTown State Zip Code Date of Inspection
D. System Information cont.
Approximate age of all components, date installed (if known) and source of information:
Septic Tank: 1983 per original building permit; SAS & D-Box installed in October, 2002 per sewage
permit 2002-459 and compliance date
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
2'
Depth below grade: feet
Material of construction:
❑ cast iron ®40 PVC 4"diam
❑ other(explain):
Distance from private water supply well or suction line: N/A
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
'* no evidence of leakage, backup, or other problems.
-No maintenance recommended.
Septic Tank(locate on site plan):
Depth below grade: inches
feeee t
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: 1000gal: 8.5'x4.8'x4'depth
Sludge depth:
10"
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
° M 40 Asa Meigs Road Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
page. City/Town - 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
24"
litScum thickness
Distance from top of scum to top of outlet tee or baffle
5"
Distance from bottom of scum to bottom of outlet tee or baffle
14"
How were dimensions determined? measuring stick
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
'* Inlet and Outlet PVC Tees in Good Condition; Tank structural integrity is good; Liquid is at outlet
elevation; No evidence of leakage, backup, or other problems
Maintenance septic tank pumping is recommended due to sludge depth.
-No other maintenance is recommended
Grease Trap (locate on site plan):
Depth below grade: N/A
p g 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
t5ins-3/13 Title 5 Official Inspection Form: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 40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
page. City/Town State Zip Code Date of Inspection
D. System Information (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.):
I
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade: N/A
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
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17
i
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for.Voluntary Assessments
M 40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
page. City/Town 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 @ 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.):
1 inlet, 1 outlet pipe to SAS
1.8' cover to Grade, Box is level and structurally sound
** No evidence of leakage, backup, or other problems.
-No maintenance is recommended
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.):
N/A
* 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 . .
40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
® leaching chambers number: 2 (500 GalChambers)
❑ 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.):
'* 24'x 12.5' x 2'deep 500 Gal. Chamber and Stone S.A.S. ; 2' Grade to cover w/no riser; 2' Grade
to top of Chambers; 8" standing water; No Sidewall Staining above water level; No evidence of past
backup, or any other problems
-No maintenance recommended.
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration N/A
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 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
o
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
40 Asa Meigs Road Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy (locate on site plan):
Materials of construction: N/A
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA . 02648 3/22/14
page. Cityrrown 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
a
J
/s.f W'V"'-1
I �
i I I
I I
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
40 Asa Meigs Road, Marstons Mills, Ma
Property Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
page. City/Town 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: >6
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: 10/5/02
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:
** Level run between Design Plan benchmark (TOF) and Bottom of SAS was performed to certify
that the septic system was installed in compliance with the approved Design plan & associated Test
holes performed on 10/3/02. ( SAS was found to have been installed 1' higher than design plan
elevation.)
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17
4
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 40 Asa Meigs Road, Marstons Mills, Ma
Property.Address
Adrian Green & Ryan Mann
Owner Owner's Name
information is required for every Marstons Mills MA 02648 3/22/14
page. Cityrrown 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
TOWN OF BA.RNSTABLE C
LOCATION 4/0 Ad SEWAGE #
VILI::AGE M Milk ASSESSOR'S MAP & LOT �3 I'OJ�'��0
INSTALLER'S NAME&PHONE NO. Ro L n sore SO-12-4 i c' 7-2 ;-8 7"1 6
SEPTIC TANK CAPACITY 1000
_ 1
LEACHING FACILITY: (type) Sa7q a I ohar. b-a rJ (size) a b�e Qa b�,
NO..OF BEDROOMS 3
BUILDER OR OWNER KIQnb Ile,,
PERMIT DATE: 1 D l u)0 2 COMPLIANCE DATE: 1I -04-n a
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
�pMOY, �.
r
W �
o X
LA _
o
OLDT
1 i
r
No. `� f)y Lt. �. Fe$5 0.0 0
N THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Zippfication for Otgpooaf Opotem Conotructfon 3permit
Application for a Permit to Construct( , )Repair:kx)Upgrade( )Abandon( ) O Complete System ®Individual Components
Location Address or Lot No. 4 0 Asa Me i g s Rd. Owner's Name,Address and Tel.No.
Assessor'sMap/Parcel Marstons Mills Mary Knoble
031— N00 — 016
Installer's I e,Ad less, $�liri°$on Septic Servic �signer'sNa dvla C:ougglanowr
P.O. Box 1089 43 Triangle Cir.
Centerville MA 02632 Sandwich MA 02563
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building residential No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day.!Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) we will intall a new Title-5 leach
system to the plans of David Coughanowr #ETE_1276 dated 10/5/02_
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been iss ed by s BpddLof He
Signed �' Date�� J
g _
Application Approved by Date
Application Disapproved for the following reasons
Permit No. 2 UO l—V T i Date Issued A) 'S'U
till li�_+-_��
er. No. d v 2-L/ Fe$5 0 i.
KID
l THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: _/V
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
t 6
0(pptication for �igogal *p�tem Corigtruction Permit.
-A
Application;for a Permit toConstruct( )RepairAX)Upgrade(, )Abandon( ) ❑Complete System ®Individual Components
Location Address or Lot No. 40 Asa Me i g s Rd. yy Owner's Name,Address and Tel.No.
Assessor'sMap/Parcel Marstons. Mills Mary Knoble
031- Ool- olb aadd �a�,� q
Instatler'sN e,Address,aKnODlriSOri Setaiiticservic signer'sNarr�edV1C1 l:OtfgLlanowr
t&. t±,.
P.b. Box 1089 43 Triangle Cir.
/ Center ille MA 02632 Sandwfth MA 02663
Type of Building: ,
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building residenti&A No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day.'Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) we will intall annew Title-5 leach
system to the -clans of David Counhanowr #ETE-1276 dated 10/5/02.
Date last inspected: i
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance,,has�been issued by s B atd,of Health. g
1 gned I L Dated
Application Approved by // Date
Application Disapproved for the following reasons
Permit No. 2 U 0.) -V Sy Date Issued
' THE COMMONWEALTH OF MASSACHUSETTS
Knobl BARNSTABLE, MASSACHUSETTS
(Certificate of (Compliance
THIS°'IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired (XX)Upgraded( )
Abandoned.( )by Wm. E. Robinson Smottc Service
at /40 Asa Meigh Rds, !olarstons Mills has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. a ao -r/11 dated /[ilk °z
Installer Wm. E. Robinson Sr. Designer David Coughanowr�
The issuance oft 's permit shall not be construed as a guarantee that the systomwill f nc°tion esigne akgd.
Date Da Inspector A,,J• >v�
No. .) 00,2 ' 1151 FeA 5 0.0 0
Knoble THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
0i000ar *pgtem Construction Permit
Permission is hereby granted to Construct( )Repair(XX)Upgrade( )Abandon( )
System located at 40 Asa Maigh Rd. , Marstons Mills
. r
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 completed within three years of the date oft ' rmit. r
Date: )U���D Approved by !lam
. r
TOWN OF BARNSTABLE
LOCATION 410 SEWAGE # 1Da,J_416 9
VILLAGE lei I iIS ASSESSOR'S MAP & LOT 03 I'001,010
INSTALLER'S NAME&PHONE NO. Rab+nsan Sozp41 c- 7� �•8'7'? 6
SEPTIC TANK CAPACITY IDDQ 1
LEACHING FACEUN: (type) S ea i ehiaenba r^1 (size) 2 by Q- h , a.S_
NO. OF BEDROOMS
A
BUILDER OR OWNER
PERMITDATE: 1 I a 2 COMPLIANCE DATE: 1) -04-Q-2
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
o
o
tabFk �
i•° c�
i
I)t-1-1-alb :'* 93-- 4 5�
LOCATION SEWAGE PERMIT NO.
VILLAGE
�A �,gS�oxgs
I N S T A ENIS NAME i ADDRESS
®c�ErL-r C3 • �� C� .
OR N OWNER
WN `
UILDE ER
Ace v � v Mrs
DA T E PERMIT ISSUED ZZZ
DAT E COMPLIANCE ISSUED
pig• /�h�/�.7
��
� ���
3
._ ��
3`� � �
3•.
���
No3.:•1...1....... Fps...... ...........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 9F MEAL
/� �lIl/i(/................OF.........:.. ?96W ..............................
Apptiratiou for UinVaii al Works Tomitrnrtiorn ramit
Applicatio is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal
Sysat: - -J------•--.........l�i... - C.. ................................ -• -
ocation-Addre � or ]E,
�,/ �✓
• i►loz
-••---•--•• � � 1............... .......... ')-
per .---. Add r ss
Installer Address
d T e of Building Size
U Dwelling—No. of Bedrooms-__....._._ .Expansion Attic ( ) Garbage Grin r ko—
'4 Other—Type T e of Building 1 p� yp g - /........... ....... No. of persons._..`r�......._..._....... Showers ( ) Cafeter
A4Other fixtures ------------------------- -----------------------
W Design Flow...... 0............................gallons per person er�ay. Total daily flow-___-'D.. ._.............._.............._gallons"
WSeptic Tank iquid caa , •ityA~. ..gallons Length._---. Width.�n4- r._ Diameter.__--___--__ Depth_..Z_
x Disposal Trench—:�To.. --•---•---- Width.................. Total Length_.._._.- Total leaching area__:-=...........sq. ft.
Seepage Pit No.:.... ........... Diameter----- Depth below in le t......�....... Total leaching area.Z. .sq. ft.
Z Other Distribution box ( ) Dosing tan ) /
`'' Percolation Test Results Performed b ?ice.�..•_ ._..__.__. Date_.._L�---�._/_-. :_....
a Y ---Test Pit No. l___. .-P._minutes per inch Depth of Test Pit---- 2..�Dffepth to ground water------------------------
f� Test Pit No. 2................minutes per inch Depth of Test Pit-_-___---•-..____--- Depth to ground water........................
-- - - - - -- ................................
O Description of Soil......•-q.........----�------.....-�. �1 /1i ? -___�_�__-__.._-- :4 `�r�.l ---------------------------------
xZ ---- %�'? c�.r,------'� = ------------------------------------------------r,
W --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
UNature of Repairs or Alterations—Answer when applicable.-------------------------------------------------------------------------------•-•••--•-.---__.
-•---------------------------------------------------------•------------------------....---•---•--------.....-------------------------------------------------------------------------------•-••---•--•.
Agreement:
T undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the p v siot s of'I'r'11 f the State Sanitary Code—The undersigned further agrees not to place the system in
ope t n �t' of Compliance has een is ed by thettloard of health.
p
Signe . = �?'�:.. / tJrl„� r� . - ------•f
p.lic Approved BY. ----- ----u=-`...... -------------•-•-------•----•--•--••----------------------------- 1............Z-----•-••-•---
Date
A cation Disapprov f or a following reasons:-----•----------------------------------------------------------------------•-------------......••---.....------
.....................................................---•-•---------••--•-••••--•-----•---------••----•-..---••---•-•---•-•--•--••-•-•---••-----•-•••----•--•------•--•--•--•----•-•-•--•-----..........
Date
PermitNo......................................................... Issued.......................................................
Date
No....................... Fms..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..............................---.....--..O F.-.-..--.-..-.-......--..-...--....._.....-----..........................................
ApplirFation for Dispati al Works Tomitrurtion ramit
Application is hereby made for a Permit to Construct ( ),or Repair ( ) an Individual Sewage Disposal
System at:
................__......_...................................................................... --•----•-•••...._._........-------._.....-•---•--•.....-------•----•-•-----••---------•--.....--•-
Location-Address or Lot No.
......................__........................ -•
Owner Add
-.....--•---.._._........._.....-----....-•-•---•- -••-•--•-• -••-••••....._...-----••---••--•-• .----...-••---•---------------------...------
ress '
W
Installer Address
Type of Building Size Lot____________________________ _ feet
., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grin er404
'4 Other—Type of BuildingNo. of ersons____________________________ Showers — Cafete •
P4 Other fixtures -------------------------------• -
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
04 W Septic 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. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_.______________________
rTf Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
M •-•••--••-•-•••••---•••••--••-••--••-•-••••••••••-•••••••...._.....•-•-••-•••-••-•--------------•-----------•--•---••...--••--•-•-•-••-•........._----•••--
0 Description of Soil....................................................................................................
------------------------------------------------
..._..__•---------------------------------------------------------------------------•---._._...----____....___-------------------...................._...................................................
(zl
UNature of Repairs or Alterations—Answer when applicable.-.____ • '_______________________________________________ ....................................
y
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of711Tl-I� 5'of the State Sanitary Code— The undersigned further agrees,dnot to place the system in
opera �n�un�ta (fie - to of Compliance has been issued by the board of health.
Sign •--- ----- ----- - -----•--------------....•--•-•-•-••••_........ .......
;,.. � -= '
Appl n Approved B}z..:_ -- Date ---------
'p lieation Disapprov f e f ogng reasons: ------------------------------------------------------------- ----------------------
L? . ;" Date
le�.•
Perit No..................•-••---••------•-------• .. Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF........................................I...........................................
WIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( )
by r. ....-•-•----•-•-•.. ...: ..
---------- ---------
- Installer
,r
at ---•-••-• --•- •--•-••-••-- -•--•-•••-- ••--- --•-•-----•-•--••••••••-••-•••••••-----••••••-••-•••--•--•••-
has been installed in accordance with the prov sions of T L j f T e State Sanitary od s 4si�e� in the
application for Disposal Works Constructi ermit No._ '"_ ______.____ dated_- _=_✓�______ __________________
THE ISSOJ CE THIS CERTIFICATE SHALT. NOT BE CONSTRUED S A GURANTEE THAT THE
SYSTEM Vlll FU TION SATISFACTORY.
DATE._.........
=- _...Inspector....._.._ .:.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
f >! .....................................OF.................................................................................... 41d
N .••-......•-••••....... FEE........................
fit��a��ai�an rrttti�
Permissionis tsy granted------ --------------------------------------------------------------------------------------------------------------
toy Construct r Repair an Ind- Sewage Disposal System
( 231,.......... ..........
Street
As shown on the application for Disposal Works C struction Permit No.................... d. ___ ..............................
e
oar of Health
DATE...................j47..... ....................................
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
�ytN OF
�oa� cyG
S ruis
N
lk 29874 0 rn M gi,
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a
I-c=A Gfa. A t°jt��CNs i n nl "
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i RI'i � SCPT G V
. I�QoV1M�'1E
LocAiION of
'1 AP-EA �
EA : 4 , o
. .
a�` lao a Ff?ONT�tG l 5c,'Y' l
(TTP�M t 30' F. S, B
EL = 100,0 ;
�r FA T1+E 2-
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ry U
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` LEGEND
CERTIFIED PLOT PLAN
EXISTING SPOT ELEVATION. - Ox0 ,
IXISTING CONTOUR �. O ���tHo�.M�ssq < vT /o sA -/ s
ii FINISHED SPOT. ELEVATION= °
E14111SHED . CONTOUR p �o At 1 i A �s 7J n/s /"�ic c s
Xv
r
a �n RSe
APPROVED BOARD OF 'HEALTW, A 9No io@si�o��
SAT E , AGENT Fss�oN� °��' :, SCALES. / ''� 4 o BATE t s%-7���
SEDGE ENGINEERING.
CLIENT � i CERTIFY THAT THE PROPOSED
f ll31ST.ER RE4I$TJERE0 NO ":8 /Zl.p '®UILDINe SHOWN ON THIS PLAN
. �......�.
CIVIL- ' , ..LAND CONFORMS.; 1'O THE 'YONINO. LAIRI .
A i� it j .�
ENfGINE R ' StJR.VE bl~t SY .,-,., r OF- ,BARNSYA8L M Sib Cxc �:�
712 Ni-A1' N STREET , -..
HYAWN I S MASS 6 1 '83 S
' SHEET!.0 `: DATE
N07F /F EtTNGsR Ts•!.E SEPTIC T.4N/< OR
20 /°T. -I/A,'. �rEAGt!/NG P/T ARE l"IORE THA:'J /2 8EL0/'V
to PT M/N• - rRAOE� 2p'p/AM ETER CO/yC-RET.C- COYE�°
SHALL BE eQOUr•HT To IaMA pE.6-4,Y EXT.P.�1
CONCRETE 4 PYC P/Pr �y.6,4Yy CA ST /RON 2,L OE CJSED'`
r C•OYERS ��N. P/TCK /F/N DR/VEh/A y
CO/VC.PETE
A '.IL / I �„�Aod Co VER CL EAN SANG
lie
-• .0-CAST J - :ter,, 2 LAYER
MOM P/PE /0 Q 0 v + o ' •
MIN.O/TCAI GAL. o• � 1 • • • • • • • • > .e . WASHED S701Y-C
P&A iT. SCj0r1C TANK D/sT. • � • • • . • . • • •�
BaX a n • • $ • s • • • �_ • •f
w
•• A 1 • •EFFECT/VC ` • • 314
-j _ • a , , • OEPT: 1YASAED STaNE
N.. /�Fix z.fe ¢� • � �� • • • • • • • • • v p o
O
• spa f • • e • • • • • • o ��v PRECAST SEF� frf
IJN{/L'RT �'LEYAT/OIIOS CAT AC)' >t S'4A aA41,9>A� • r. . • • . . . , • . s� ocrL
EL
INVERT AT O/IIZOIN6
6 .g.. FT oia/►/. C(sE �11
INLET .SEPT/C. TANK FT. . .� " � /O _; F 77�IJLATIo
0U7LeT SEPTIC TANK `9 8.to
/evLFr olsTR»reT1oN 8oX 9 g:4 FT. v GRouNo ,t iTEft 7, E
.fECTIG CIS
o�lTLETD/STRIBdIT/01V DGX'4f7 `
IJVZ.R r LFACRING F V 7' W$-0 FT SELVAGE A0 S,4005 4 t SY.ST�%�! '
L E�4C�1/NG PIT -rASULATION
! r DIMEN.Sl0N .j1 2'� R°T.
YCAL.E /s _ I -0
DESIGN CAITERl.4 D/�.e/vs�o�w ':$_AFT.
Nt/MSER OF dEGagOOMS 3 gwMENS/ON; c FT
GAR�iGED/SPOSAL UNIT Na / SO/L LOG
TOTAL -.37-fA$4-rED FLOAV 3 3 0 6.44L./DSO V SO/L TEST A/ SO/I. TEST**Z SD/L TEST
Nl/MBER Q� LE,acX/NG ,o/Ts -4r /°D- 10 ^-EL�Y. 0.4TE OJT SO/L,TEST
S/OE LlAC14/N6 A�'ZR PIT Sot RT. L RESULTS AV/TNESSE D Id: Y
®OTTOM LEACK/Nr PER P!T � Q. FT PEA /OYAraw
�-6e o �� RT
TaTAL L4ACN/NG AREA LC-ss
F*M1yE/1 V�/I•"AK�C'
fP
SQ. FT. . AEMCOLAT/O!b RATE 1(�2 THA+✓MIN,�lNCfd'
.eESER1�E LEAC'N/N6 AREA 2 '� SQ. FT su s o i�. 2
z i Z �L5-r 4P 30`l
Sys p� ��j�'OF Mass ° v !"T F D l U -7 L p T f p :�S sF /yj C t G S ;
AL , c SA n/r� f3 �'S 7-0�S .. tL G S
f oo ` RSE
• ,Q .o Q No.10951'�0 EL DREDGE ENCHINEERING CO I NC:
i �Q/gTg Q� '90GIST ��`` EL Y. Y Fs..O 7/2 AfA/N ST. , ./yYRN�riiS. /t!l.9SS .
SU O FFSS/ONAl.��6 II NO GROUND AA R �NCO[J/VTEREO CL/E r" :/I A
t [Q GRO uvz> Lv
:83 !z SHEET?GE z--
L1. �
' SOIL TEST LOGCALCULATIONSDESIGN
DATE OF TEST: OCTOBER 3 2002
SOIL EVALUATOR: DAVID D. COUGHANOWR. IRS WITNESSED BY: BILL ROBINSON DESIGN FLOW: 3 BEDROOMS X 110 GPD - 330 GPD
NO
NDWATER
TEST PIT I PARENTUMATERIAL: P OGLACIALDOUTWASH SEPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS
ELEVATION - 90.1 +_ PERC AT 48 in : 2 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IS SOUND STRUCTURAL
CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED)
DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET D-BOX.
(INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING
SOIL ABSORBTION SYSTEM: A 24 ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH
0-5 AP SANDY LOAM 10 YR 4/3 NONE FRIABLE A b o t - ( 24 x 12.5 ) - 300 s f
5-30 Bw SANDY LOAM 10 YR 5/6 NONE FRIABLE A s d w - ( 24 + 24 + 12.5 t 12.5 ) x 2 - 146 s f
Atoi - 446 sf
30-130 C MEDIUM SAND 10 YR 6/4 NONE LOOSE V t 0.74 x 446 - 330.04 G P D
USE A 24 ft x 12.5 ft x 2 ft GALLERY. Vt - 330.04 GPD > 330 GPD REQUIRED
LEACHING GALLERY
CONSTRUCTION DETAIL
DRYWELL UNIT STONE
8'-5-x 4'-I0'x 2'-9'
2 h EFF. DEPTH
24.0 f t
NOTES T
1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN ` Ln
L
2) ALL LINES TO-}BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. N N_
3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS — o
� OF MASSACHUSETTS TITLE 5 SEPTIC :CODE (310 CMR 15) 1 J '
4) INSTALLER .TO, VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES
BEFORE; EXCAVATING FOR SYSTEM,
2.5' 8.5 2 fr 8.5' 2.5'
5) EXISTING LEACH PIT TO BE PUMPED, COLLAPSED. AND FILLED. OR REMOVED 24.0 ft NOT TO
SCALE
6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE
7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN
8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES
AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK
9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT
PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. SEWAGE DISPOSAL SYSTEM PLAN
10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. -TO SERVE EXISTING DWELLING
11) SEPTIC TANKS SHALL BE INSTALLED. LEVEL AND TRUE TO GRADE ON A LEVEL
STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH
SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING MARY M. KNOBLE
12) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED 40 ASA MEIGS RD MARSTONS MILLS. MA
FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE.
ECO-TECH ENVIRONMENTAL
43 TRIANGLE CIRCLE SANDWICH MA 02563
ETE-1276 OCT 5. 2002 2/2
- a
la
N C` _ 4 j.
;W CONTOURS
N
0o w-j< EXISTING - - - - - - - 90 0
sm� �zo MINIMAL GRADING PROPOSED z
o<w ENS A
Ly 00>_ c SCHOOL
m0Q> 0 WNW PLAN REFERENCE L0CV5 ^p ' STREET
io PLAN BOOK 339 PAGE 55 ASA ME►�s R0
ASSESSOR'S MAP: 31
LOT: 01-10 MARSTONS M2LS RYA
'co LOCUS MAP
NOT TO SCALE
LLZ e F L 8
O p
H b
w N d..crrx:
W
r N Q `
< r
J_ z
J — 3
W >. > `
a o W z N BENCH MARK
w TOP OF FOUNDATION 90
J (� ELEVATION - 93.00
W X USGS DATIM ASSUMED 90 f 90 r LEACHNG GALLERY
o KEY
v_ EXISTING
z ^ o -0 \ 1000 GALLON o 0
W o oO OAS 90 SEPTIC TANK
O i GATE D-BOX G
LL
U w w wiz?,
w TEST PIT
N ,C U V) N
W •C `� v~i m = TREE
(10 m
� � , �� �W X ,`I EXISTNG tN�
$ W(!> LEACH PIT
LOT 10 �'
n = � % - Z ° AREA - 4IY16 sI +- UTILITY POLE $ OAIVID
c� a a �� Z O COUG' ^WR y
<.
W 3 , J WATER L_ 91 , T Aa
h
LLB m �Y
z Y2�dz
JLL _J Q \ � , GAGE h
0 �m � < ~ U' PAS° °O�Wi SEWAGE DISPOSAL SYSTEM PLAN
5 U -TO SERVE EXISTING DWELLING
o LL I,,
� LL
"' D � � 00 {t '
o w - 300 MARY M. KNOBLE
0 0 PLAN 40 ASA MEIGS RD MARSTONS MILLS. MA
SCALE. - 3o ft ECO-TECH ENVIRONMENTAL
_j J y h 43 TRIANGLE CIRCLE SANDWICH MA 0256
H $ w w w 508 364-0894 I/2
ETE-1276 OCT 5. 2002
THIS PLAN IS TO BE CONSIDERED A DRAFT PLAN UNLESS IT
BEARS THE STAMP AND SIGNATURE OF THE DESIGN ENGINEER
ORIGINAL PLANS INTENDED FOR SUBMITTAL TO THE BOARD
OF HEALTH WILL BE SIGNED IN BLUE AND STAMPED IN RED.