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HomeMy WebLinkAbout0059 AUDREYS LANE - Health 59 Audreys lane Marstons Mills F A = 028 057 J I ' III TOWN OF BARNSTABLE ®QG� 1454 LOCATION ,�,'' ,a,; �!` �9 �V�r`ej'y, ��/SEWAGE # VILLAGE M 4rg� 1 &l i I J ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. Gro.Perf SEPTIC TANK CAPACITY /v a c9 LEACHING FACILITY: (type) _ZS vO C[",���«, . ,mac (size) 1,2. k 2 5 NO.OF BEDROOMS BUILDER OR OWNER IU r'9 leYhd— PERMITDATE: H 11a1GG COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 F 03 � I Q f -3-7`°` J f. `6 2 d3IL `�Z ,5 No. + Fee 10Axk �—. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIPPYication for Migpogaf *pgtem CowAruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) 1]Complete System O Individual Components Location Address or Lot No. /7 cl Gi/ S "i-f Owner's Name,Address and Tel.No. Assessor's Map/Parcel fl-lqiak-M 14-1 111 A" J� / /L / ,s Lk Installer's Name,Address,and Tel.No. f Designer's Name,Address and Tel.No. v S 3 3 d- llr.-•i d�� �. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date ,)-Q-1 t,/-6 Number of sheets " Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil S-ff Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issuedV�="Co_l Signe Date Application Approved by Date Application Disapproved for the following rea o s Permit No. Date Issued No. x/ "t, t Fee An ; THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC,HEALTH DIVISION,-TOWN OF BARNSTABLE, MASSACHUSETTS 0(p prication for Migpogar *pttem Cowarutd on Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System-,f�Individual Components Location Address or Lot No /.t,t l•6y`1! Owner's Name,Address and Tel.No. n� . Assessor's Map/Parcel Nl y(S kn K''VVi !/ !wt""+ • �VG,I �u Installer's Name,Address,and Tfel.No. Designer's Name,Address and Tel.No. a-oJ_}`rCr Cc�Sf I_ ci�'i� Svti�.l� •h( S a 3 :6 J40 <: Type of Building: t . Dwelling_ No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other ` Type of Building No. of Persons Showers( ) Cafeteria( ) a Other'Fixtures f Design Flow. gallons per day. Calculated daily flow gallons. Plan Date J r {, Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil SP¢ Se-i Lc J Nature of Repairs or Alterations(Answer when applicable) S� p S{'`j-+ C f) 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 p ace the system in operation until a Certifi- cate of Compliance has been issued by ttus Board of Health's t Signe - -- Date v. . ' � /l 16, d Application Approved by • �r�f t d !�! // .ti Date Application Disapproved for the following rea Us Permit No. Date Issued 1� A THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sew Disposal Disposal System Constructed ( )Repaired ( )Upgraded ( ) 'Abandoned( )by JZ�//t5 ,at .S 51 4 Q A A P �4 S L,i n e. 1M n i u-n /I ha n constructe n ceordance with the provisions of Tile 5 and the for 6isposal System Construction Permit No zdated Installer J= 1+S �-r c n C}` Designer—--, The issuance of this permit shall not be scot' trued as a guarantee that he system i, f not'�n as designed Date 9 ( / Inspector . _.i No. �X ---------- -----=----------Ze—V01) �^ r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migozal *p$tem Congtructi.on Permit Permission is hereby ranted to Construct( )Repair( )Upgrade( )Abandon System located at 9 1 4 V l�r and as described in the..above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to r comply with Title 5 and the following local provisions or special conditions. LOA Provided: Construction ust be com feted within three years of the date off7,),,',, Date:_ Approved by - f � �� ,•� e t i _ Town of Barnstable r Regulatory Services o� Thomas F.Geiler,Director 1 �0� Publit-Health_Division I rr � s Thomas McKean,Director--.,. 200 Main Street,Hyannis,MA 02601 i Office:.508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: H,/-0 28 P Designer: l-kAA-S Installer: GE 5ti-l--v GAG , Address: . 923 A&&-v 7z:—;� &/, ��, s Address: 011_ N��e r' A-01tel On 3 _ 4t(- a G � s -6�s was issued a permit to install a e) (installer) I . septic sysrem at 5 l 6 V ,Q, /Z �/ L Q h t ,M GrSd„-n based on a design drawn by (ad s) L dated 20 0(o (designer) i �I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. j I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. OF (Installer's Signature) k si er's-Signature)(� 1� � ) (Affix esi er;-s Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK U. Q:Health/Septic/Designer Certification Form Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems Only ' PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, 5t2'--P �"� ,hereby certify that the engineered plan signed by me dated Z.. a :v 6 ,concerning the property located at S9 "+V_h c---'V 's t E y.. s�ri Zc S meets all of the following criteria: Two soil evaluations excavated for detailed examination(no hand augering) and two percolation tests shall be conducted. This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. ty The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. There is no increase in flow and/or change in use proposed There are no variances requested or needed. ; The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: Q A) Top of Ground Surface Elevation(using GIS information) l 7O y B) G.W. Elevation +adjustment for high G.W. DIFFERENCE BETWEEN A and B 7 9 SIGNED :9� DATE: �I NOTICE Based upon the above information,a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:\Septic\percexemp.doc TOWN OF BARNSTABLE ®6s�l! LOCATION tL,.: 9 t�l�'r`eJl�f L.,q !SEWAGE # VILLAGE M cargp 'l J ASSESSOR'S MA��P & LOT O INSTALLER'S NAME&PHONE NO. � v5 G��N //�. 07 S',,,i SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) f,2_ k 25 NO.OF BEDROOMS BUILDER OR OWNER �U rl PERMITpATE: ki It o t dG COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 a - r2.Y At 1-r ,� COMMONWEALTH OF MASSACH TPATED INSPECTION' ' EXECUTIVE.OFFICEOF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL P O'ILn RECEIVED MAY 0 6 2003 TOWN OF BARiJSTABLE HEALTH DEPT, TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY:ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: ' A. �' Owner's Name. Owner's.Address: C, (Q�/� Date of Inspection: 6ag II ,, Name of Inspector: please print )bt!'�' 1 -h Company Name: Mailing Address: `7 .4 0 �� MAP 42 Telephone Number: ,aOg•7`7/-9,��t9!�2 PARCEL CERTIFICATION STATEMENT SOT 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 ' Needs Further Evaluation by the Local Approving Authority ails Inspector's Signature: Date: �d�3 1 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. c Notes and Comments ****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. Title.5 Inspection Form 6/15/2000 page 1 P geir2f :.I1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: /kQ. Owner: Date of in pection: . 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 3:10 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more�system components as described in the"Conditional.Pass"section-,need to be replaced or 1. ,-. .-repaired°,The system; upon completion of the replacement or repair; as approved by the Board of Health, Will pass. r ,,,,,__.;Answer yes,no or not determined(Y,N;ND)in the 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 orexfiltratiori 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: 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 pipes)are replaced obstruction is removed ND explain: 2 Page 3 of I 1 OFFICIA.L INSPECTION FORM-.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: S A .4 AIA Owner: Date.of Inspection: 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 Ts 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 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 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 aseptic tank and SAS.and the SAS is within 50 feet of a private water supply we1L 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 wel. Method used to determine distance **This system passes if the well water analysis, performed at a DEP certified,laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the.presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that:no other. failure criteria are.trigger.-d.A copy of the analysis must be attached to this form. . 3. Other: 3 Page 4 of 1 1 OFFICIAL I SPECTI N ON FORM—:NOT FOR VOLUNTARY ASSESSMENT S SUBSURFAC E SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner: j Date of Inspection: a D. System Failure Criteria applicable to all systems: You mustindicate yes or no to each of the following for all inspections: Yes No s_ Backup of sewage into facility onsystem component due to overloaded or clogged SAS or cesspool Discharse or ondin of effluent to the surface of the round or surface waters duet v p g o an overloaded'or / clogged SAS or cesspool V 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'/2 day flow J. 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. An onion of a cesspool or:privy.is les y p p p y s 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm;provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] 1 Yes/No)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 10000 gpd to 15,000 gpd, You.must indicate either-"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of asurface drinking water supply the system is within 200 feet of atributary — _ y 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 .�es in'Section D'above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15,.304.The system owner should contact the appropriate regional office of the Department. i 4 Page 5 of I l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY-ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: Date of Inspection: 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) v _ 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.? _L,� 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 SoilAbsorption System(SAS)on the site has been determined based on: Yes no _ 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(3)(b)] 5 Page 6ofII OFFICIAL INSPECTION.`FORM NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PART C. SYSTEM INFORMATION Property Address: 5 ' Owner: Date of I pection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(.design): Number of bedrooms(actual): DESIGN flow based on 310.0 R 15.203 (for example: 110 gpd x of bedrooms): Number of current residents: Does residence have a garbage grinder(yes or no)- "T 1s laundry on a separate sewage system (yes or no): [if yes separate inspection required] Laundry system inspected es or no)- Seasonal use: (yes or no!)1-11k Water meter readings, i available(last 2 years usage(gpd)): ��— Sump pump(yes or no): Last date of occupan : COMMERCIAL/INDUST'RIAL a Type-of establishment: Design flow(based on 310 CMR.15.203): gpd Basis of design flow(seats/persons/sgft,etc.): 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/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: 11Z) . Was system pumped as part of the inspection(yes or no): If yes,volume.pumped:__,_.gallons--How was quantity pumped determined? Reason for pumping: TYPE F SYSTEM eptic 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 froth system owner) _Tight tank _Attach a copy of the DEP approval Other-(describe): proximate a-e of 11 co pone ts,date installed(if known)and source of information.- Were sewage odors detected when arriving at the site(yes or no 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM..INFORMA.TION.:(continued) Property Address: V Owner: Date of In pection: 3 BUILDING SEWER(locate on site plan Depth below grader Materials of construction:_cast iron 40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:Zoocate on site plan) f/ Depth below grade: Material of construction: concrete_metal_fiberglass_polyethylene other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: `a"S"ko Sludge depth: Distance from top of sludge to bottom of outlet.tee.or baffle: /g Scum thickness: /N Distance from top of scum to top of outlet tee or baffle: 3 Distance.from bottom of scum to bottom of outlet tee or baffle: 0 How were dimensions determined: Comments(on pumping recommenda ions, in et and outlet tee or baffle condition, structural integrity, liquid levels related to outlet inve ,e ' ence of leakage, etc.)- It., a ox c G, -/'//- i� &D GREASE TRAP:,OL(locate on site-plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum.thickness: Distance from top.of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: " Date of last pumping:: Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.):. 7 I_ Page 8 of]1 'OFFICIAL INSPECTION FORM-NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C SYSTEM INFORMATION(continued) Property Address: Q2 Owner: Date of Inspection: 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/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): e ate on site plan)BOX: if resent must be o ned loc DISTRIBUTION � P P )( P ) 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, ete.): _ PUMP CHAMBER: ocate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): 8 Page 9 of I 1 c OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION(continued) Property Address: (ji,wo"I j �n Owner: - I Date of Inspection: 3 SOIL.ABSORPTION SYSTEM (SAS):. /(locate on site plan,excavation not required) If SAS not located explain wily: TYP5,-- tZ _......-._ leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches, number, length: leaching fields,number, dimensions: overflow cesspool,number: __.innovative/a Item ative system. Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, o" 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 or no): 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.): 9. Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: 1/f� Date of I spection: D��;,rJ SKETCH OF SEWAGE DISPOSAL SYSTEM Provide.a sketch 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. O 10 Page 11 of 11 OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: , Date.of Inspection:%CA� �2-6103 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated.depth to ground water 36 fee[ Please indicate(check).all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed:. 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 es--ablished the high ground water elevation: 01 1 11 IL Permit Number: .Date: Completed by: � l HIGH GROUND-WATER LEVEL COMPUTATION e Sit Location: J� /TC / L e i Lot No. Owner:-- � 1"q, �� la Address: Contractor: / -elv;�/L� 1_;gf Address: L�'S7`yy Notes: STEP' 1 Measure depth to wateraable tonearest 1/10 ft. ...............' ...,.............................................................Date month/day/year STEP 2 Using Water-Level Range Zone and Index Wel1'Map locate site and determine: 5D �"3 OA APPropria•ts index well.............:...................................... • (� Water level range zone .................:.................................... STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to water level for index well .....................:..... -ZJ month/year STEP 4 Using Table of Water-level.Adjustments for index well ;STEP 2A), current depth to water level for index well (STEP 3)., and water-level zone (STEP 2B) determine water-level adjustment............................. STEP 5 . Estimate depth to high-water by subtracting the water level adjustmen- (STEP 4). from measured depth to.water level at site (STEP 1) .................... J Figure. 13.--Reproducible computation form. 15 A00 IeW,12 -rill) 5737 Sewage Permit No. Location: —41.53 _ Village: a � -�o Installer's Name & Address Builder's Name & Address Date Permit Issued 114 k-3 Date Compliance Issued .� .� w �,s j�,, ,- :�':�i'yr ti �: .� t�a�' � :' O e �'� . , ,,.K �»r�- _ - . �� ��,,, � ,� �� . � L ® CATION SEWAGE PERMIT NO• VILLAGE INSTALLER'S NAME 6 ADDRESS BUILDER OR OWNER I OATS PERMIT ISSUED O DATE COMPLIANCE ISSUED �Gs9iv . F _ � � x ROAR 35 ' o s y8 �3 No._............. ... . Fzs.............................. _//7 THE..COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH l'. o .._.-_. .. :1J..........°.OF...�1 i 1 S.° a. ��............................ 'A p iration for liapnaal Works C omdrnrtinn ramit Application is hereby made.for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Locatio�Address or Lot No.. ......................_...:: _�...i , �. %�-............._..._..........._ ..........------.�!Nil-.��?�. ��-1-�..�• -.......-=- Owner Address ,� l�•.. nstaller Address Type of Building Size Lot... ...Sq. feet V. Dwelling—No. of Bedrooms................3.....................Expansion Attic ( ) Garbage Grinder ( ) py Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ........................................... -.......................................................................................................... WDesign Flow...................`a. ..............gallons per person per day. Total daily flow.. .......... . .......gallons. 9 peptic Tank—Liquid capacity.i&t2_gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.................... q. ft. Seepage Pit No..........i......... Diameter.............. Depth below inlet...... ........ Total leaching area. .1....sq. ft. Z. Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by..-__-______'S'......_.=.€�•1.+ �1 ?.f..... / Date....a I� $ --a-`5------ .aj Test Pit No. L... ..........minutes per inch Depth of Test Pit.... ........ Depth to ground water....t, f= Test Pit No. 2.� r.....minutes per inch Depth of Test Pit.................... Depth to ground water........................ x O Description of Soil...:........... L- ......... ......I +' .......................................................... -----------=-- ----=--------= ----------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs'.oi Alterations—Answer when applicable............................................................................................... Agreement The undersigned•agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLI :.5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation-until a Certificate of.Compliance has been issued by the board of health. _....�=j... �---=------------------- --- -� - -------- igned..�. ! �!// ���' . at D Application Approved By I. �y --------------•-------.-.------.----------.------..-----•- -3 ..........-----•-- Date Application Disapproved f th following reasons---------------------------------••-•--------•---------------------------------------....._..._---------------•-- -•------------------------•-------•------•----------------------•-------...._..-----.....------ Date PermitNo.................:................•--•--•---•-•--•-•-•-.. Issued-....................................................... Date No----------------------- Fimz.............................. 3 THE COMMONWEALTH OF MASSACHUSETTS ! BOARD OF HEALTH f .............OF....,..�.... .1 . >.. .�».._........................... Applira#iun for Dhipoii al Works Tnnitrnr#iun Vamit Application is hereby made for a Permit to Construct (}t) or Repair ( ) an Individual Sewage Disposal System at: ......................... -= ;/ ............. ..!- U` tS•v. ? .�.. ............................. Location-Address or Lot o. ,a �] . . ...•-•-...-•••--••...... .............•• Owner Address .-- .............. ------------ --------- ---------.--••-...... •--------------------------. ---------...-----.---------------•---------- /Installer Address Type of Building �x Size Lot..1_l.3.11::a.V....Sq. feet V Dwelling—No. of Bedrooms.........................._...............Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Otherfixtures --------------------------------------------•----•--------------------------•----------------------------------•---------------•----------•--•------- WDesign Flow...................45_ ...............gallons per person per day. Total daily flow.................. .......gallons. WSeptic Tank—Liquid capacityl 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.��._k....sq. ft. Z Other Distribution box ( ) Dosing tank ( )_ '"' Percolation Test Results Performed by............. ..---...:':�.1. -� l.�S...•-i7.1 ... Date.... z. ./lQ.: ..._... ,a Test Pit No. L.........:....mmutes per inch Depth of Test Pit---- ._...... Depth to ground water.___F...)rJ.►_.�'„�_.__. (z, Test Pit No. 2.N .....minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------•--------------------------------------------------------•------••-•--------•--•---•--••--......................................................... D Description of Soil �" P`' . ......... 1v c�-...5-.E.----� r- ------------------------------------------------•-•-•---- U ---------------------------- ----•--.----------------•--------------------------- -----------------------------------------------•---------------.-_------------------------•------------------- 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 Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. igned•. -•..........--•-••-•--••-•--•....--•-•-•-•-...•••.............................. Dat Application Approved By .- ��Z�•`- . --•: -• --- ... Date Application Disapproved reasons----------------------------------•--•-------------------------------------------•--------------•-••••.........-- .................................•-•------------.....---..-•-•-•----------------------------------------•---------------•-•---------------•---------------------------------------------- ------------ Date PermitNo..................................------------------------ Issued........................................................ Daft E` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Trrtifiratr of TuntpliFanrr HIS IS IVCERTIFY. at the Individual Sewage DX�al System obstructed. - or Repaired ( ) ...... %.._.`�. _ ... . ............ .................... __..........................Gl..Gr/ "tF""......._.__..___.._.................._..__._.___..__ Installer '"/ has been installed in ccordance wit lx ze provisions of TITLE 5 of The State Sanitary Co . a described in the application for Disposal Works C struction Permit Nok3 _. t-&-t .................. date . :,... ... ... .......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FU CTION SATISFACTORY. -%,7_ ts' DATE................................................................................ Inspector--.--... ......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............................... FEE........................ Mops Permission ' ereby granted -------------• - ....... A ` �.� ......._..... .........................••----- to Construct ) r Re air an I ivid.ua ev, ge," isposal System at No , � .._... .----- ---------------•----•-•-•--••-......•-••--•-•-•- Street as shown on th/aplica 'on for Dispo Works Construction Permit No..................... Dated-1._... _.J�................... Board Healt ----------------------•••••..._.....DATE� ...........••••••••••-.......-•••-••••........... FORM 1255 A. M. SULKIN, INC., BOSTON fA I ­. I I I • I - . , � I , ,, ." I ... I , , "i " ..91 I�. -I �k ,1 1, 1 7-11 -11 ,i4 -, r.",.­,I�,-- � " , - 1. -�q .*, " .-. -, � t, q � - �7 .. -�z 4 4 . � -it'.�, IN I- I - . i �,,1 " �.� 1� -V , , '� . ,," i, J,, t O' - ­� V;, .J. q • i, ,�,- - .1 11 K, .- � . I&�; � 1, , -,, I I ,, 41, .,"ql�z,.,,�­'t t,,�,L 4,4+0�,I 1�'I-,. ,,� AO 4 - .. , Y.,'.�­, ", �, � i . Ix . ��u V, ,, � -,V I I ,% , -v I 4'. 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Arne H.Ojala P.E.,R.LS. land court John W.Jalicki surveys site planning March 3, 1983 sewage system designs Mr. John Kelly Town of Barnstable inspections Board of Health Town Hall Hyannis, MA • 02601 permits Dear Mr. Kelly: SUBJECT: REQUEST,FOR VARIANCE ON LOT 5, WAKEBY 'ESTATES, MARSTONS MILLS Enclosed are- prints of a proposed site plan for Lot 5, Audrey'-s Lane. The sewage system and well have, been positioned according to the layouts shown on the "Master Plan Showing Proposed Well and Sewage Locations" of Wakeby iEstates', dated May 1, 1973. This design requires a waiver.to 140' of the 150' well to sewage setback requirement. The setback involves the well on our client David Zukowski's lot. as well as the sewage system on Lot- 9. Your earliest consideration of this request would be most appreciated. Sincerely, Arne H. Ojala, 'P.E. AHO/mkh Enclosure f - -- -— - - r it , F SECTION - SEWAGE , -SEPTIC TANK - - "4"BOX - LEACM u P TOP OF FDN "REMUV� II,h\�� utilsu\-µPs�.l MA.TIrR\a� 1`a R A (MS b i sTAmcjs o1• to Ft• A'RGr.?t.t0 t)a`tI Ls 1 EA44S PIr "2"OF 111T0 1h" r� I ANV 2%P4_AG.S WkTi4 C_L_WA�%•I I CoAle sm S^%-40• WASHED STONE I �vo"4y AL L co'lla 2,s -�v 141 IS"I a �.GFi v F ' 1 'f %W%vvW C-rQA c)e- f IN» OUT» IN- t' :s V OUT» i 00 G • r r„ — !C}rJ,( C7A TANK V4 ELEV. ELEV, ELEV.. ELEV. ,Ir' T ( yam•-• �� `n o I ELEV. ELEV,. �Ci !b� '`,L►LC' 1 �-Vd OF 3A•' lah" ra+ 'i !' � I + b i �✓ WASHED STONE jz! l r' ' TEST HOLE LOG , ;1 tt, ,,, ;,,� �� - .44 l ES Y „ti':/ I a Z ,L � WITNESS � �� w TEST DATE ' BEDROOM HOUSE \. �' �`� ro .r'. � 7 1ox.. ,` ' -- � �. E> )1 K. . DESIGN U T.H. 1 T:H; 2 '+.' '°' �"" .i'00C.5.��T, �"'„�-�''� �� yr��`} > � � • � � ! • c EL V. Ic .,O ELEV.I0C 0 NO �. `yam :..+< • } �� `!P�, �� w `'r a! L� Low" DISPOSER DISPOSER .i►,� t Y ?� x PERC RATE G Z. 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Y, , `-y +^�' + I'HEI'fiE-8 CERTIFY TFiA't'YWE BUILDING �`� •,, M - -+fir•.�,•••,-« a�A .�. . SITE FLAN 3 I• TATEENVIRONMENIALCObETITLEb .. ^! NA.; OZ IS.:�r' I'I 't1'i C tf �i r ;, §. , s SHOWN ON TMI$PLAN($LOCATED ON TFdE:- ." w #: ., 1:OCltS s �--,,.•:( 1�r �42 ez+�/ Si• .., , .«. , ,._ r• • r:, ., ,, r j, � �,,. _� t GROUND AS•SHDVVNHERiwTJN&'T'HA'iI.I ,�..r. , . • a 1'Psi , � CONFORM TO THE ONI pYtLAWS OF THE ',b - I ' . 1�.'�""�'" NG �J .,. Y _ y •.Ijl. I5 4. r�'4 rowN UF' d 1. c� . .,.`r• �-a ti •� . ,• O E R 1 , 5'�. ,` �., _ ""C`Ca,V`tM.3 - •'. t�+,'!F�S »:t " •5 + 4' 4_„r„�;.`;1* •�; EG.PR NGIN E WHEN CONSTRUCTEd. DATE �''-.•, •?'ti a rt: t a + r ' mow•- rr f j '+ q •• •. '... '«r . 1I ', ' , . „ ' .t :s. �,h`.. S 1 , i v. I' ,'W�/. a.?•1. • ., , .. � ��:�A. �� r.C�IF'r ;�fl�'er///1 '`1 t., T ,. FA6PnREt? POP' -��+ �3•�+. �.��>�r.,�`'w _'w° ��a'� r > ..Y , ,Y ., ,' • , • ' { ... I; -a{a v• Ai + ,1' +,I! a - qak )r ..p :45... "9` r,-• i. .... ." ' '1•' - , VIL GI'lVEE1�$ L �•t,.t C,?�'b. .3 . ,. • = I ' r 1 , .. .. .' ' .. } ,. ,I •A.I ''a�� - 44 T�::_ . -4=r.:.�.� . ram' { CI EN r s �•.,} r. p� LTW L,AND$tJRVlwYOR a' , t BOARDtjF�I#EA ,R n—�_ J� ,-fir,--,�-r-.-�..-,-.�.i • , (EJCtSTING} - - � _ • � -f• '•�.r CONTOUR$ (PROPOSED)-O-QgO^b APPROVEb DATE_: L ' �� MA YerrrtOuthl!'OrieanS.iNA ➢. c F +� r , f r , ( R9 ) „a, _ ,. i - , �r a SECTION - SEWAGE —SEPTIC TANK — — "D"BOX — —LEACH ' `TOP OF FDN REMUVl r4h\�f U�tSvt- t3ti to I"�F1T �tAct jay R A (MSL)#a V I STANCJIM Or l0 Ft• AVCJtA40 DtP" 2 !�F�/eTO 4z" a '• ^MC e4%Vt,AGrs \IVITI� G.I USAF-i IGtJAL'�sG C NO• C WASHEDSTONE 1\ vI ipne.►y ALL cw'/67R,5 •Tea bt,l u \.OAh G;r \ f • ` IN- quT- IN• 4a� Jon 149Qew7 l OUfi- IN+ 'p ,y' .., 1 C�15•,f SEPTICG )R 1 �Qaa1• TANK -1 � y�. f. ` /� r _� �lI ELEV. LE ELEV. Q , q' I --ELEV. �. ft'L`EV. , ELEV. ELEV. OF 3/s' -1 4z' - ,. \ t f) ({� 1J /^� y�y. ( � }� • c �L � WASHED STONE r /- \ �. y, 1 <J L:FI, 1' C3' TEST HIOLE LOG ' Ew �- T>sT BY 1 4' P� t WITNESS )� - ", � f►^►'' S 1 ITEST,bA7E • .T'...,.. `_ DESIGN. . BEDROOM HOUSE \� �, �•p.,• 3rX.�' � 'r. .' ,�y,� - -, -� .-,, ,,' - . .:. TH, # 1 T.H. � 2 - -;i� ..ar° " r - � :�."'"�, � °" '4• ta` © � ,�``•�'•" , — jG LEV.,(CIC,,b ELEV.IOGi,O .'�., r;r....».�u i \ ^" / "o. nF. `A t O n NO Y i}, /4}: r } } 2 7 �` Lv' .s• 3 r DISPOSER DISPOSER ►� ,tt PERC RATE' NttN/IN. 1 �,: r� ' ��s .' •'t; d 1` ERA �B t+, f £i 6o t {kr^ 4 �� a t _ 3 , i �r �l •_ l2sn ,. `` /�W"I3.ATE' +� (GAI./DAY) /� e ,. • LO •'Y'7: � �T/v \}" `T -.iy ,t r' „rM!` 3• +\ ''- r- "• .;. � .' .' - # - , ,,,,.,.. , r.,, s:. .- • Y 3';. .i'C, .'i� a 1• t ..r'LY r... • , -+ - t » P ', a = Di4}i`s - �-- r :fir I. s. 3i 3 i C� "► .. ,rig k,:3` e Cl;�fR CLe.I` - SE T1C TANK (i.)S a� ii-.. . r,, �'' ` •Id ', w REQhD SPTI£TAIVtC SIZE Q�C7 "1twr1 V ,+ a .0.V,...„. {tiy eA _) � •q.»"y +` ','„'w- Osrr I' 'wt,".., s1 ! 'f e.,. v ,, t •'r , '�'i'' r ,. MACH.EgCI L,ITY' ! J p SIDE,.WAIL • C.�. (`L'r� 37 G D, r• ,p' C �+ /. 'raj t : ,i. i �` ''. {' �Q J +ar+...'�" ^, .'� aq -/' i e.. �•n ^,(�..�._ �{. 9 \ BOTTOM 4 tr , _ _so. G/D'. .. s _ .A { T ( _ , �rw „ � ." ry i '} �' •. .- w 14A 9 4-:t? �' t ..a ' - 'i.s ^,i r F_ , T`{• .,3,'i r' r!•' rya �i 4!i!.,1,+,. , , USE: t f• `,�. _LEACHING 1 . ` .. , ._� ..2J.t.c..\w � ..�"y: ?lrr... n•!! r ,.` �} Y+��� • r + WATER EN OU T — b • . . «., ,•. .'r)"" i •• I ! k of ,. • , �";,x } `�'Y•r. ``'1.. - .tti�t. r { t �� �L7� •jt•r �+ i E, � , t , -+,.•., F S ,, a \ NC)TES. tUNI:ESS'OTHRwISE NOTED). 2 .{ �. t 5 i ,' - _ 1 I a' "'" �3� ,r•• •r} '» a .rJ� � �,y�''�a• ;,�r� .f 3� �l,Y'r: 4 , , Y 1;DATUM. M3L)'+'TAKEN FROM'. ' �iG1*'Lj 1T� ` _w' ,�+ : j�..:F ( ^ ,�.__. _ _,QUAIaRANGLE NEAP � ✓�. 2.MUNICIPALWATER„: S�Z..w. AVAILA$LE. � . " t`` i 1;:`�. t k 3:PIPE PITCH: Vi'-'PER FOOT, ,.j �MF'1' �Cy ��a Lr "R�`"��" I #"wr;r, do +' `¢ ( y : .•. f . 4. DESIGN LOADING'FOR ALL PRE-CAST UNITS:AASHO= C> RiC1ARt , ya " r •7`b r. ! S.MIN.GROUND COVER OVER•AkL SEWAGE.FACII ITiES: (1) F1., C} , s DISTANCE 3. r ,e •�► a ,l tr , .,a`I,,' t/•i1 . t({PiG•fs:..'��l+i1J£`�1' � Q ,. T"�'O'"" AS C Rlf tFI£D 14 , } 6.PWEJOINT$SHALL'BE'MADQ WATERTIGHT " tA>iN G R; d . 7.CONSTRUCTION'DETAILS TOTE ACCORDANI3 Wll H,COMM.OF MASS. i ` H• ,�', Ft{liRBANK ` 4 i•r"�,r y1 ,r , STATE ENVIRONMENTAL CODE TITLE �. ` =.4 ALA. ,: 20204. 1 HEREBY CERTIFY THAT THE BUILDING, =y tir I » SHOWN ON THIS PLAN IS LOCATE.O ON s ` ,-, "• � , `` SITE, ' PLAN, .. �'° GROUND AS SHOWN T .ti LOCUS i EREON&THA ( CONFORM T6THe ZONING BYLAWS O fHE t TOWN,o� : `� ,q��" F f . URV EG.PR NGINEER i WHEN:O NSTRUCTED. ` DATE.. ,. �Q:\A�k.1 '�� .\.7aAr"�wr� �i#,°ti f: fl G , �f r REF: 1 i•• }- li • • .. 5 ' • i ' Y iYf±-)4 il[ ' 1' I. - ... ! I '�., >�- • g �C�n. r I fa }PREPARF4� F4R• , ' -r ti • CIVIL ENGINEERS 4 {. G?1C? S:� f3f2fti3{2 OF HFL►f TH a' LAND SURVEYORS. ' 1 FIE.G.aLAND SUi2VEYOR.,. CONTOURS' (EXI$TINCi)` r: • a' (PROPOSED)—O -0 ratlaRL7ilED + . A ' 1 a K .. } SGAL£—_� _ _ o- aC�-'.� �r..•._.. . . ( ) -S} O DATE s a A e »»- N4A Yarmouth&fl�leans,MA {Y ti fn,' q d ._ :x, ._ .• €;,., ..-.. .t ��_-�. .-� . Imo'"• �, D , ACCESS COVERS MUST BE WI THIN 9' MINIMUM. INVERT EL E VA T I ONS : DES I GN CR I TER I A : GENERAL NOTES : 6" OF FINISH GRADE 3' MAXIMUM COVER FIRST 2' TO INVERT OUT SEPTIC TANK: 100.9 DESIGN FLOW: - BE LEVEL MIN 2' OF PEASTONE INVERT IN DIST. BOX: 100.62 3 BEDROOMS AT 1/0 G.P.D. PER 1. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION INVERT OUT D I ST. BOX: 100.45 BEDROOM EQUALS 330 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. 4• Dt M P INVERT IN LEACH CHAMBER: l00.0 3/4" - l I/2- DIA. 100 g 2 �, DOUBLE WASHED STONE BOTTOM OF LEACH CHAMBER: 96.0 NO GARBAGE GRINDER 2. VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS 100.62 � $ 98.0 ADJUSTED GROUND WATER: N/A SET. SEE SITE PLAN, OBSERVED GROUND WATER: N/A SEPTIC TANK REQUIRED: 3 OUTLET 2-500 GAL LEACHING CHAMBERS 330 G.P.D. X 200x - 660 GAL. 3. ALL CONSTRUCTION METHODS AND MATERIALS AND EXISTING D-BOX W/4' STONE AROUND. 12.8'• x 25'I x 2'd BOTTOM OF TEST HOLE #2: 93.0 1000 GAL SEPTIC TANK PROVIDED: 1000 GAL` EXISTING MAINTENANCE OF THE SEPTIC SYSTEM SHALL SEPTIC TANK 6' CRUSHED STONE OR CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL COMPACTED BASE SOIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULATIONS. DESIGN PERC RATE l 5 M 1 N/I NCH PROF I L E : NOT TO SCALE SOIL TEXTURAL CLASS - 1 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER EFFLUENT LOADING RATE - 0.74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER 330 GPD / 0.74 GPD/SF - 446 S.F. REQUIRED THAN 3' IN DEPTH SHALL BE CAPABLE OF W1TH STANDING H-20 WHEEL LOADS. PROVIDED: 2-500 GAL LEACHING CHAMBERS W14 ' STONE AROUND. A-471 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR 471 S.F. x 0.74 - 348 G.P.D. APPROVED EQUAL. t P END T 1\v' 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED l \ SOIL I L TEST PIT DA TA & PRECAST CONCRETE AND WATERTIGHT. D-BOX SHALL t BE WATER TESTED FOR LEVEL WHEN THERE IS MORE INDICATES _� INDICATES PERCOLATION OBSERVED THAN ONE OUTLET. \ TEST - GROUNDWATER }� tiqzy`/�� TP #I TP #2 7. BEFORE CONSTRUCTION CALL 'DIG-SAFE". i \ 1-868-DIG-SAFE AND THE LOCAL WATER DEPT. HORIZON TEXTURE COLOR HORIZON TEXTURE COLOR FOR LOCATION OF UNDERGROUND UTILITIES. 0" 103.3 0' 103.0 1 \ \ A LOAMY IOYR A LOAMY IOYR 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE SAND 2/2 SAND 2/2 102.7DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCT IOAV 6• .......................................... 1 02.8 4' ,6 TP- \ , t\ Q SANDY IOYR p SANDY IOYR OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE s \ D LOAM 5/6 D LOAM 5/6 CONSTRUCTION INSPECTIONS. 32• .......................................... 100.6 30" 100.5 MED-COARSE IOYR C MED-COARSE IOYR 9. EXISTING LEACH PIT TO BE PUMPED DRY AND � y � i •�� y,� \ C / / SAND 7/4 SAND 7/4 BACKF I L L ED. 1z TP-I \ \ \ e m \ 48- 54- f Jl 2-500 GALLON LEACHING CHAMBERS l^•3.4 \ \ \ \ \ o ;! 1 W/4' STONE AROUND 1 RpG� \� �\ \ \� \ ' 120' NO WATER 9 NO WATER 93.0 r EXISTING (7TE : DECEMBER 14.1000 GAL T BY: STEPHEN HAAS L C�S CATCH BASIN \`t r� J TANK , ,A� I ,CB/DH D RATE: C 2 MIN/INCH RIM-101.90 EXISTING'. PIT BY-CORNER BULKHEAD 3 EL-t04.42 ppµ R v \ Be \ ROOD \ ` o gE 000 LOCUS MAP \�11 g1� , � S EP 7- / C S YS TE-M OE- 5 / G/V \S\L \ t t r .59 A UD RE- Y ' S L A /VE . "A P 2 8 . PA R CEL -5 7 LOT 5 I t 2 l,: 360- S. F•rt 1' - � < M.4 R S T O/V S " ILLS ) PREP.4 RED F-OR \\ CB/DH FND /V O RA K E /V T � \ � L EG=ND 369 CAP L / ,JA RD . CE-/VTERVILLE . MA 02632 ■ CB CONCRETE BOUND \\ • _W WATER L l NE 6�•�4 O HYDRANT S CA L - : / �' - 20 F E B R U,�1 R Y 2 8 . .20045 -' -G GAS LINE EAGLE SURVEY I NG , I NC CATCH BASIN OHW- OVER HEAD WIRES RIM-99.90 # L IGHT POST 923 Route 6 A -E- UNDERGROUND ELECTRIC LINE Y o r mo u t h p o r t MA . 02675 T- UNDERGROUND TELEPHONE L l NE ( 5 0 8 ) 3 6 2-8 1 3 2 -CTV- UNDERGROUND CABLEVISION LINE �1`t/ ( 508 432-5333 +40.4 SPOT ELEVATION f-40 EXISTING CONTOUR wo PROPOSED CONTOUR _o 10 20 40 JOB NO 05- 132 F t EL D:CFW/EEK CAL C." SAH/CFW=CHECK: CFW DRN: SAK