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HomeMy WebLinkAbout0065 BISCAYNE DRIVE - Health 65 BISCAYNE:`DC�,% f --- - A= \I-- on- o\\ ----- i RECEP L0 J U L 1 0 2000 COMMONWEALTH OF MASACHUSETTS TOWN OfwNsTnBLE EXECUTIVE OFFICE OF ENVIRONMENTAI AFFAIR HMTHDEPT. DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET BOSTON MA 02108(617)292-3500 jTRUDY COXES Secretary DAVID B.STRUHS ARGEO PAUL CELLUCCI Commissioner Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 65 BISCAYNE DR MARSTONS MILLS, MA 02648 M12 PI L23 Name of Owner BOB GOULD Address of Owner: 3 EVERGREEN CIRCLE CANTON MA.02021 Date of Inspection: 6/23100 Name of Inspector: JOHN GRACI I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: SEPTIC INSPECTIONS Mailing Address: P.O.BOX 2119 TEATICKET,MA.02636 Telephone Number: 508-664-6813 FAX 608-664-7270 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of Inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.The system: X Passes _ Conditionally Passes _ Needs Further Evaluatio By the Local Approving Authority Fails �!Inspector's Signature: Date:7/3/00 The System Inspector shall su it a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection.If t system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS "The inspection Is based on criteria defined in Title V code 310 CMR 15.303.My findings are of how the system is performing at the time of inspection.My inspection does not imply any warranty or guarantee of the longevity of the septic system and any of its component's useful life:" THE SYSTEM PASSES TITLE V INPECTION.RECOMMEND PUMPING THE EVERY TWO YEARS AS NEEDED TO PROLONG THE SYSTEM'S USEFULL LIFE. revised 9/2198 Page 1 of 11 4 b SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 65 BISCAYNE DR MARSTONS MILLS, MA 02648 M12 P13 L23 Name of Owner BOB GOULD Date of Inspection: 6/23/00 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: X I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. B. SYSTEM CONDITIONALLY PASSES: he"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the One or more system components as described in t replacement or repair,as approved by the Board of Health,will pass. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not. nia The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank, whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. p1a Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.The system will pass inspection if(with approval of the Board of Health). _broken pipe(s)are replaced _obstruction is removed distribution box is levelled or replaced nLa The system required pumping more than four 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 obstruction is removed revised 9/2/98 Page 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 65 BISCAYNE DR MARSTONS MILLS, MA 02648 M12 P13 L23 Name of Owner BOB GOULD Date of Inspection: 6/23/00 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well, The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,Method used to determine distance nIa(approximation not valid). 3) OTHER n/a revised 9/2/98 Page 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 65 BISCAYNE DR MARSTONS MILLS, MA 02648 MI P13 L23 Name of Owner BOB GOULD Date of Inspection: 6123100 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: _ I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. - X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. - X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow, X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Il. X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well, X Any portion of a cesspool'or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment(because one or more of the following conditions exist: Yes No _ X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. I .. revised 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 65 BISCAYNE DR MARSTONS MILLS, MA 02648 MI P13 L23 Name of Owner: BOB GOULD Date of Inspection: 6/23/00 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health. X - None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. X _ As built plans have been obtained and examined.Note if they are not available with N/A. X _ The facility or dwelling was inspected for signs of sewage back-up. X - The system does not receive non-sanitary or industrial waste flow. X - The site was inspected for signs of breakout. X - All system components,excluding the Soil Absorption System,have been located on the site. X _ The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.The size and location of the Soil Absorption System on the site has been determined based on: X - Existing information,For example,Plan at B4O,H, X _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)1 5.302(3)(b)] X _ The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal Systems. revised 9/2/98 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 66 BISCAYNE DR MARSTONS MILLS, MA 02648 M12 P13 L23 Name of Owner BOB GOULD Date of Inspection: 6/23100 FLOW CONDITIONS RESIDENTIAL: Design flow: 110 g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual): Total DESIGN flow: 330 gpd Number of current residents:0 Garbage grinder(yes or no):NO Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): NO Seasonal use(yes or no): YES Water meter readings,if available(last two year's usage): n/a gpd Sump Pump(yes or no): NO Last date of occupancy: n/a COMMERCIAL/INDUSTRIAL Type of establishment: n/a Design flow: n/a gpd(Based on 15.203) Basis of design flow:n/a Grease trap present:(yes or no): NO Industrial Waste Holding Tank present:(yes or no): NO Non-sanitary waste discharged to the Title 5 system:(yes or no):NO Water meter readings.if available: n/a Last date of occupancy:n/a OTHER: (Describe) n/a s GENERAL INFORMATION PUMPING RECORDS and source of information: 611/00 System pumped as part of inspection:(yes or no):NO If yes,volume pumped n/a gallons Reason for pumping:n/a TYPE OF SYSTEM X Septic tank/distribution boxisoil absorption system _ Single cesspool _ Overflow cesspool _ Privy _ Shared system(yes or no)(if yes.attach previous inspection records,if any) _ I/A Technology etc.Attach copy of up to date operation and maintenance contract _ Tight Tank Copy of DEP Approval Other:n/a APPROXIMATE AGE of all components,date installed(if known)and source of information: 1987 Sewage odors detected when arriving at the site:(yes or no) NO revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 65 BISCAYNE DR MARSTONS MILLS, MA 02648 MI P13 L23 Name of Owner BOB GOULD Date of Inspection: 6/23/00 BUILDING SEWER:X (Locate on site plan) Depth below grade: 12" Material of construction: _ cast iron X 40 Pvc _ other(explain) Distance from private water supply well or suction line: n/a Diameter: 4" Comments: (condition of joints,venting,evidence of leakage,etc.) n/a SEPTIC TANK: X (locate on site plan) Depth below grade: 3" Material of construction: X concrete_ metal_ Fiberglass_ Polyethylene_ other explain: n/a If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO Age: n/a Dimensions: 1000G L 8'6"H 6'7"W 4'10 Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle: 29" Scum thickness: 4" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 14" How dimensions were determined: MEASURED Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) THE SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING THE SYSTEM EVERY TWO YEARS. GREASE TRAP: _ (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_ Fiberglass _ Polyethylene_other Explain: n/a Dimensions:n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle n/a Date of last pumping: n/a Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) n/a revised 9/2/98 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 65 BISCAYNE DR MARSTONS MILLS, MA 02648 M12 P13 L23 Name of Owner BOB GOULD Date of Inspection: 6/23/00 TIGHT OR HOLDING TANK: _ (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_Fiberglass _Polyethylene _other Explain:.n/a Dimensions: n/a Capacity: n/a gallons Design flow: n/a gallons/day Alarm present: NO Alarm level:N/A Alarm in working order:NO Date of previous pumping: n/a Comments: (condition of inlet tee,condition of alarm and float switches,etc.) n/a DISTRIBUTION BOX:X (locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) THE DISTRIBUTION BOX IS STRUCTURALLY SOUND. PUMP CHAMBER: _ (locate on site plan) Pumps in working order:(Yes or No): NO Alarms in working order(Yes or No): NO Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) n/a revised 9/2/98 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 65 BISCAYNE DR MARSTONS MILLS, MA 02648 M12 P13 L23 Name of Owner BOB GOULD Date of Inspection: 6/23/00 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: n/a Type: leaching pits,number:(1)1000 GAL 6'X 6' leaching chambers,number: (n/a)n/a leaching galleries,number: (n/a)n/a leaching trenches,number,length: (n/a)n/a leaching fields,number,dimensions: (n/a)n/a overflow cesspool,number: (n/a)n/a Alternative system: n/a Name of Technology: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PIT IS STRUCTURALLY SOUND AND APPEARS TO BE FUNCTIONING PROPERLY.THE PIT WAS EMPTY AT THE TIME OF THE INSPECTION. CESSPOOLS: (locate on site plan) Number and configuration: n/a Depth-top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer. n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater: n/a inflow(cesspool must be pumped as part of inspection)NO Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n/a revised 9/2/98 Page 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 66 BISCAYNE DR MARSTONS MILLS, MA 02648 M12 P13 L23 Name of Owner BOB GOULD Date of Inspection: 6123/00 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) ri � A4Vi ,fig )I ik M aY as 35- 6C �7 revised 9/2198 Page 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 65 BISCAYNE DR MARSTONS MILLS, MA 02648 M12 P13 L23 Name of Owner BOB GOULD Date of Inspection: 6/23/00 NRCS Report name: n/a Soil Type: n/a Typical depth to groundwater: n/a USGS Date website visited: n/a Observation Wells checked: NO Groundwater depth: Shallow_ Moderate_ Deep_ SITE EXAM _ Slope _ Surface water _ Check Cellar Shallow wells Estimated Depth to Groundwater 12 Feet+ Please indicate all the methods used to determine High Groundwater Elevation: _ Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.) _ Determined from local conditions Checked with local Board of health Checked FEMA Maps _ Checked pumping records Checked local excavators,installers X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS-12+FEET revised 9/2/98 Page 11 of 11 + Kt Tc H EN BA-Ti4 Poo Di I r � > y e Aj i Y I °{ I � I'i. `a e I R� i ATR s � loy 3 I F ` STA)1z . = 11W { � I , t ,t; - , 32' 8' 16' 8 FAMILY ROOM 24' f \ ! ' GARAGE I I ADDITION ;;� . - C7Y? of ALL) i 8,-6" - NOTE: HCADef2S oM RCAP,WALL ARE zxi. w/y2 RYWoo� ,5 Pt+,c t R 28 68 N� Nca4 Sµowe HALF WALL zy'-o" �8b8 t4oOtF Ll - 2868 „ (o0�oS VS 308 �oiv8 1?5308 Cit-Fc�L� (31-FoL O R.o. Ct oseT Roar WALL C'Los�T oFCLOSET TO QE LOCASTE-O AT FLA-rCE,uN4 t�OrNT z tJo �t_oo 2 i e 1 TOWN OF BARNSTABLE �® 4� -i LOCATION (-OT Z 3 i1-I'Vl f we QT, SEWAGE # G VILLAGE K'l'( � ASSESSOR'S MAP & LOT LI3 INSTALLER'S NAME & PHONE NO. Cc) I SEPTIC TANK CAPACITY LEACHING FACILITY:(type) b-r ei, (size) yv 0 NO. OF BEDROOMS PRIVATEWELL R PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: c'f z®i "6 7 DATE COMPLIANCE ISSUED '7 VARIANCE GRANTED: Yes No �,I �� s y � �� �� � 3�. � -:. No.`a.........._...__.. Fizz............._............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH D.cA1N... OF........... ApplirFatinn for Dhipoii al Workii Tonstrnrtion rjernfit Application is hereby made for a Permit to Construct K) or Repair ( ) an Individual Sewage Disposal System at: .2.3....... �S..c..� _.. r U5.....1)11 o ------------------------------- tion-Address r Lot No. ... _P .�. ---•--e�, 1°.......................... ....�'�.D..... Ow �j Address W l / f C,/.A/ n r ......... --:�`... ............. ---•----------------•---------....--•--- Installer Address d Type of Building ZZ Size Lot.....4 �_?_�__..Sq. feet U Dwelling—No. of Bedrooms.._.�d__________________________________Expansion Attic (/ Garbage Grinder (4/J) Other—Type T e of Building ............... No. of ersons......_..._...............__ Showers — Cafeteria W YP g ------------- P ( ) ( ) Q' Other fixtures •----•--------• -------•------• - W Design Flow......._ .�i _.O-----_gallons per person per day. Total daily flow............... .....................gallons. P4 Septic Tank—Liquid capacity. ff.gallons Length................ Width................ Diameter________-____ - Depth................ 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 &annk ( ) a Percolation Test Results Performed by..__..(.�v ���_.. f_ Pep�t�hto Date._____ ............. ound water________________________ Test Pit No. L.�__2.._.minutes per inch Depth of TestPit._` ground (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_..................... •--------------7---------- O Description of Soil----------------D ....72 .... x ,�q- - -- -------••--•----•-... `L -•---.�Yt /?Ill M..... [' N �1 '-- W D SI I - • NG T-St11'1=fi�/iSE... x --------------INSTACCA'UON AND•-CER'TI1=Y-.tit-WRITiNG--- U Nature of Repairs or Alterations—Answer when applicable-------TF4E SYSTEM 1i A7 -INSTALL fD--IN--STRICT--- ------•--------------------------------------------------•---•------------------------..........-••-••--•••.••. Agreement: AGCORDANCE-MRAN........................................ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i?T y g g p y 5 of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. Signed....... - ---•-- . • ----)-ll.................................. Date 'Application Approved By-•--•-• .................................... ------...... V�i� -•-- ---------------------------- Date Application Disapprove or the following reasons: --•------------------------••-••••-•••-•...•-_...-- Date 7 l®'� ! Permit No.__.... Issued............_.. F� ........ ate I .....'.........-- . t� Fxs...........dY............... THE COMMONWEALTH OF MASSACHUSETTS ,�,��� BOARD OEM HEALTH _ ------..... T...f./�.C1.1 OF........... * .P f �: 7 ��.�:--------------•-------- Appliration for Dispati al Works Tonitrurtion rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at f /a o lion-Address or Lot No Owner � Address `.. � Installer Address �� � Type of Building Size Lot_______ ___ ________(_Sq. feet Dwelling—No. of Bedrooms..........................................Expansion Attic (4) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q, Other fixtures ----------------------------•--- . --------------------------- w Design Flow...........................5 .......... per person per day. Total daily flow.................�5..................gallons. G: Septic Tank—Liquid capacityjM� -__gallons Length................ Width................ Diameter................ Depth................ 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 ( ) Percolation Test Results Performed b _ Date......9.�� _ ,.� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.--..................... 0 Description of Soil....................r�-=................. � ......................................... ... . cx� --------•-------•-•---•••••-----••--•-•-••---------�- ..--!-�--�--...t?��.......5 t -- _ w , - VNature 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 TI T L?: :p J o£ 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. Signed------.C'l �/...... . Application Approved B � ... /2 ate Date ------------- Application Disapproved for the following reasons:-----••-------------------------------------- ............................................................ ------------••---------------•--•••••-•--•-••-••------------•-------------------•--....•-•---•------------•-•-••---••-•---•-••--•------•---•--•-----•••--------•••--------•------•--•----------......._. Permit No.....`� __-......&'4(8............ Issued-....._.__.9-/.2_ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD`........... O'F HEALTH ..a' ' ........ t(.., ........................ Carrtifiratr of Toutp iFanrr T IS IS TO CERTIFY That the Individual Sewage Disposal System constructed (rY) or Repaired ( ) ---------------------------------------------- at.--- - 6" � k __ Ins has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as escribed in the application for Disposal Works Construction Permit No..... ���-_- dated-_..----_�-- _�/2?7........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAR NTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............!_. "..Ils........C6.._.�............................. Inspector............ -.0..................................................... �3 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7-0.v ll<. { A i "7 .L ....................... 461 ......................... FEE.................... Diego,o o � n trttrttion rrutit Permission is hereby granted.......... .............................................................................. to Construct or Repair.(� ) an Individual Sewage DISPosal System f at No..--Y r2.. I....-- �.......1.4i � ,�Lm, .................................... SEreet q/2..as shown on the application for Disposal Works Construction P _.___. Dated----------1/ _--_ ------�/yy-� - - - -.....--•- Board of Health DATE ='= _ `...................................•-•--- IL -,�., FORM 1255 HOBB & WARREN, INC.. PUBLISHERS �`e(' .,`3 •9,. c LEVY, ELDREDGE & WAGNER ASSOCIATES, INC. ENGINEERS-LANDSCAPE ARCHITECTS-PLANNERS LAND SURVEYORS 689 WEST MAIN STREET CENTERVILLE,MASSACHUSETTS 02632 (617)775-2244 December 11, 1987 The Greenbrier Corp. P. O. Box 510 Centerville, MA 02632 Dear Mr. W. Covill: Transmitted herewith are six (6) copies of the as-built septic system for Lots 21 & 23 Biscayne Dr. Barnstable, MA. The septic system has been installed as indicated on the enclosed plan. Very truly yours, LEVY, ELDREDGE & WAGNER ASSOCIATES Paul A. Levy, P. E. PAL/mlw #1027 88 WAVERLY STREET FRAMINGHAM,MASSACHUSETTS 01701 a Department of Environmental Management/Division of Water Resources `WATER WELL COMPLETION REPORT WELL LOCATION Address a3 -RtS[& l X- City/Town h77S Ml U S w G.S.Quadrangle Map Grid Location Owner e",f1S✓1 brl/1-YL. live%Dv►levl G�-./� Address-a&x S/d cen d er✓I l f. WELL USE CONSOLIDATED WELL Domestic W Public❑ Industrial❑ Type of Water-bearing Rock -- Other Water-bearing Zones Method Drilled 1) From To 2) From_, To - ! Date Drilled 3) From To - 4) From To CASING Depth to Bedrock Length_ Diameter of Type /0y, UNCONSOLIDATED WELL STATIC WATER LEVEL Water-bearing Materials Feet below land surface Sand: fine❑ medium❑ coarse 1 Date measured 9-1-4-3'87 Gravel: fine❑ medium❑ coarse❑ GRAVEL PACK WELL Slot# length from40to,t4 Yes ❑ NoV) Split Screen(or 2nd screen) WATER QUALITY TESTS MADE Slot# length from-to— Chemical ❑ Biological Depth To Bedrock PUMP TEST Drawdown feet after pumping days hours at GPM. How measured Recovery feet after hours. LOG of FORMATIONS COMMENTS: (On well or water) Materials From To w C� 1 3 C DRILLER h Firm ord Well Nlin ,Cks I)e- Address —•0. Boz 430 5 d b City armouth, j r 02664 Registration No. 444 erator s Signature Please print firmly i CUSTOMER COPY/ 15M-2 94-17s471 i a • F Log'.Number: 7173 Bottle # E845 Date: Sept. 25, 198/. of BARti BARNSTABLE COUNTY,H.EALTH)AND.;ENVIRONMENTAL DEPARTMENT .� SUPERIOR COURT HOUSE 0 BARNSTABLE, MASSACHUSETTS 02630 �rASB±� DRINKING WATER LABORATORY• ANALYSIS "PHONE 9 311 ,ti;u�9d'Vrsfll 2otlg _guz ,^16�f� .'t)llt,11)B 'L'.,)),e, a IJ;' V/,!).t_I�VJulull,e ..,,, pI, 'IOiA�ibrli nn �,n FILE;?OfJ ri17 Ext. 337 zb':ortivrn ,�nily'riF,zme—.­ z �o:ri°isg9'z�s 1a3 n"no; �F;Pr1IC1 1'difrfio1r1dP f."),,t;it" I Cl i ehtr 10 inlm') rn,f;IilO'.Greenbriar''Development�>iooCollletor'.i1rLntJAffl`iatioMail7ng! Addressrr j , ,. x lrr„ lsc enterVl e tit •lTiih'F&1'Date'o'fn"h 1 ,, of lei&v,O01'l e�tl0n.. 91 4/R7 10.50 a.m. Telephone: Type of Supply: well Sample Location: Lot 23 Bisca ne rive Well Depth: 63' Marstons MI 1s,, PIA Date of Analysis: 9.124.127 1 .00 p-m. _ )I)fir, ?' '-PARAMETER, •'.I T.)(11 fill[I ,III '.,li;.,: r'(I SAMPLE''RESUL"T 'RECOMMENDED LIMITS ;, '.)5i I11 :)If)!)1; al O) ll)1)71 UU M.11iJ ilk) J 6v! iU .��{ :Jtf i .-•t ' .. Total Coliform Bacteria/100 ml 0 0 PH 5.2 r ;`•tt; a,�')')x9 r i zlrwvrnA .nir. (1L ni zifr2.h�•Jio�•ib 9Jlt"i!)�),!:-.Jcyrn ! Conducti v'i t ','!(mi cromhos%cm 5� 500:0 _.... .r..,UGu f)!,t#U Il)Ji1J JVl.la>i.,i1 ,i ;3, ,, tir>„s•��„• d�,,t•a4. � Iron m) <•1 0.3 Nitrate-Nitrogen ( m • 0.6 10.0 n„l! Sodid m >Ym) wiq, :,fw 1 }9)F319 ,O Inft'5€. 110 froil rTft9�r '!) ni ,)Ili:=/ nt.nt„i 11�0'.0• " ! ',flfy ,(�!51`_)',•1'%tI U(U, '�,i,fiJIJ;i !i) j),i1iIIL:<' 'J>:IISiJ OU IUIUJ I)Gi{i llUiU ii 171I;77 5111 77, ! .! 1,:!� •1•N1 t,..� j ' i t );ti;r)r{' ), ^III flglfnrtll; .ffif { (�• C. At39riV1.2't)(7 .J*qf, ' r11 IIo-i 3t) r,)ilJ. Il1t)7(tr>t +��LIJUl I r.1717ti Ut.)1:,,)1ei57.7 Tilt c1 .11 .'�'• t --r i, " • .f f f`,??'!7. 1 i;'!„tit'), I . X _Water sample meets the recommended limits for drinking of all above telsted!;parameters. II . Based only on results of the parameters tested forLthis sample,. thelwate=r P.isn ,tI{. rnt5ui tabl e"for "dri nKi ng"tbUt mayr`preseht, the''lprobl ems checked below: r •. •t c r ,( 9`ir,ll {lril': 071;3?It) irlfitfil f10 Lim ni(1OIAofn3rijor r tmunD Vw!i rnlut ill .,,lz��•stJt. f.1 .l . , A. "Water!',:sample`lhas''higher'thah•''average �leilel's'fbfr'Nitrate? Future'monitoring' is recommended (2-3 times per year) to establish any upward trends. B. The low pH of the water may shorten the useful life of the house's plumbing ="..... r1)Jf'du2' t0'fii,i:)r., C. i�liWater�.%mayf'present)`ae�theti ''�'robll'ems''(+taste'?odbi�,r'!�tainin 9 i 1; ,O\hnR 91291 grllsl")fn n, 7z(Jf� tisrn rngf; 0.1 to zza-xv ni ?,.nflttl,l[t9JfifJ7 05V)'+r�rl ; ),F.SLa uu ,?,g1IJtxJ1t nisla�,o({ no (rinl c D. Water sample has high levels of sodium. Persons on low sodium diets should consult, their doctor. III. Due to one or more of the--reasons checked below, this water sample. is unfit for i"UI P )1! TIG Oi' t t .,� r•�`.•,na fn �Ino P: i),.-r l' - -,Ril)f)? tO fi!!1{t;t:•,t ,.i'ir) fS 17i hUma'n Iconsumpti on. A. High! Bacteria B• High t�i trates 3s ��ni�ni,h'ty a-lllf72 ,9rl nftl;• t)rrrt Oi ) O.1; 1):)t12 riO ,p-to odw-!)1 goo( J t (1 2i i;[..rnlfJHll)O*ls h11"Itai(y d( fv!fi rioll n Op En 'me in'ta"l;rrl t Iritll(JIr,)•r : REMARKS: jlil 01111 a,ii ��3 ,,.•,,, .Department so 'no orse any! aem :i interpretations or conc6siorts. made by anyone else concerning these results without writtemt con"O CC: Barnstable Board of Health CC: . Clifford Well Drilling Laboratory Director 1171.85 •- _.- . -A No.- ------ -- ------- Fee------ ----- --- - BOARD OF HEALTH TOWN OF BARNSTABLE Applicat ion for Well Congtructionpermit Applicattion is hereby made for a permit to S Const ct ( ), Alter ( ), or Repair (44an individual Well at: - t-QISlOw /�-tr�/' -- ---------------------------------------------- ---------------------------------------------------------------- Location - Address Assessors Map and Parcel 9,4 2 i e &,C JJ ----------- 0, 2 !(l n // Owner Address _iJ-�__scuti-e `/----------------------------------------------------- Installer - Driller Address Type of Building Dwelling-0o"s e_ __ Other - Type of Building -------------------- No. of Persons------------------------------------------------------- Typeof Well—4t------`-�-�"-------------------------------------- Capacity----------------------------------------------------------- Purpose of Well---Do---e071 o r - - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certi'ficaatte .of ompliance has been issued by the Board of Health. Signe - --�4rens: - --- �� g�1 ��� ------------- date Application Approved By - - - —- —— -- -------- date Application Disapproved for the followi -------------------------------------------------------------------------- -------------------- --------- ----------------------------------------------------------------------------------------------------- date Permit No. -- --------- Issued---------------- ---------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certif rate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (`I bY-------------—� - --------------------------- ------------------------------------------------------------------------------------------------ //�� Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ----------___________Dated-------------_________- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- ---- ——- -- - — ----- Inspector------------------------------------------- - ------------ l (�� OO No. ------- ---------- Fee------------------------ BOARD OF HEALTH . OF B`ARNSTABLE TOWN A.0p iation r eCC Coit�truttionPermit f Application is hereby made for a permit tb Corisi} ct ( ), Alter ( ), or Repair (t/f an individual Well at: Location Address Assessors Map and Parcel i> — i Su 2i --=fib - - — - --= _ �� r M�sl ss rui C 6 y� , - _ -= - ---- ---- --- _ r 4ddress i Installer Driller �7 .Type.of,,Building . .. - _,. y r�,� ter. . - - �'h7`©'f.r Sc G- '�-a3 r •8k _?" ''3 m ,a:,t.x-s.-.:::zi. ax."!� ��,,t;' Dwelling-/ , - - .. A. Other - Type of Building ------ f No. of Persons------ ------------------------------------------- 1 T e of Well_tl--�`� — -- - ---- -- - ------------ - -'- -— ---— YP - ' - Capacity--- - Purpose of Well---D°--'--5 - ------ ------------------- Agreement: The undersigned'agrees to install the aforedescribed i dividual well in accorda e b ilb the provisions of The - Town of Barnstable Board, of Health Private We'll•Protec' ibn Regulation The.,un rsigne�urther agrees not to place'-the well-in operation until a Certiheate`of Compliance h'as been issued`:by the Board:of Health .Sign . +✓ date Application Approved By ---— - - date Application Disapprov or t e ollowing reasons:-- — --------------------------------------------------------- date </ � Permit No. —�l! --------- --------- Issued_ --�-----------------------date--- ----------------------- -------- � --- BOARD OF HEALTH TOWNj OF, BARNSTABLE o�2�I � �� -�• ��. ��� ':i •:�1 1. tCertifirate Of Compliance THIS IS TO CER I That the Individual Well Constructed ( ) Altered ( ) or Repaired ("') 4 _ U CutiN� �� - -----------_---,-- --------- '------ ----- --- ------ -' --- ----1)Y : - -- r ------------- Instal ---- ------ ; 04 p, at - -- -- --- ----- ----- --- -------- ` has been installed in n a ce;with the provis>ons of.the Town:of Barnstable Board of Health Private Well Protection ' Regulation as described in the application for Well Construction Permit No, --------------------------Dated------------------------ F THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--------- --------=- - -- __ Inspector----------------------------------------------------------------------- �m asmroe yr ap.cat+u -~~"•" n=: BOARD OF HEALTH 3 - TOWN OF BARNSTABLE Vell Con5tructionPermit iLNo. ----- ------- Fee---- --��------ Permission is h eby granted_ ��_ - -- - -- --- -- ----- to Construct1'(� "biter ( I.or Repair ( - an Individual.Well at ----- ---- - 3 No. --—--- ---- --—--- ---- -- -- --- - ¢ - street as shown on th a plicat' for a Well Construction Permit i, No,--------- l .; -=--- -------------------------- Dated----------------------------------------------- ----- ------- k ,- - --- t� - ------------ --� i t� - b, - oard of a ` DATE— - — ---- _ r ,s cGY� e � i Ii 20 FT. MIN. Tor of FOUND. SOIL TEST EL. 6 10 FT. M IN. DATE OF CONCRETE CLEAN SAND WITNESSED ED SOIL BY JFRR Yv JN�1�'iiVG PITCH COVERS 4 SC 40 R�IC PIPE IN MIN PITCH 1/8 PER FT. PERCOLATION RATE M INCH AS �fUNSrAOU-CrED _ CONCRETE OBSERVATION HOLE I OBSERVATION HOLE 2 4" CAST IR N PIPE 12 COVERS 2" LAYER OF ELEV - 73. 6- ELEV.-- (OR EQUAL) MIN. 1/8 - 1/2" WASHED PITCH 1/4 PER FT. z� STONE Top E Sc��3Soi'L ELEV - 3.o FLOW LINE - HEED/UM, SANt- 10 EL = N _ w/G�QgVEL gA AJr>5 MIN. ? -', =7-3 / - o �72—6 LEVEL ELz 7/ = ikrV- /3 0 ' + r a E ' L � � o D I S T �7-Z----� EL. = 70. _ NO BOX �`-"_-") 70 • • o WATER AT /.3 O EL,-_ WATER AT EL.= GALLON WASHED STONE If ° 0 C 000 •1 , ° u- =—� DESIGN CALCULATIONS W e° o = �4 ��• 2 SEPTIC TANK ,' PRECAST LEACHING EL. NUMBER OF BEDROOMS BASIN OR EOUIV. Z GARBAGE DISPOSAL UNIT MrA 2.0 G DIAM, Z'O TOTAL ESTIMATED FLOW SEWAGE DISPOSAL SYSTEM VROFILE vti/EL L ( GAL./BR /DAY x _3 OR ? 330 GAL /DAY /O U /AM REQUIRED SEPTIC TANK CAPACITY �Y:; NOT TO SCALE �' GAL. ACTUAL SIZE OF SEPTIC TANK IOU GAL. (k-E& 1`�•N I B�QTTTQM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL = LEACHING AREA REQUIREMENTS OBSERVED WATER TABLE ( / ! EL = WA SIDEWALL AREA G 5 4AL./S.F. 1 BOTTOM AREA / . GAL./SF LEACHING CAPACITY ( BOTTOM+ EWALL) `49 (Z 4 jc 5.0x4.0xZs")+ (3;4x 1c� x r o . LEGEND �} RESERVE LEACHING CAPACITY �4 I i _ LOT -t EXISTING SPOT ELEVATION 00x0 ----- L — ' EXISTING CONTOUR — -- - 00- --- - FINAL SPOT ELEVATION ® NOTES. � FINAL CONTOUR 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO O.E Q.E Z �. SOIL TEST LOCATION TITLE `+ AND THE TOWN OF RULES AND UTILITY POLE -O- I , REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE CATCH WATER W =W 2. ALL COVERS TO SANITARY UNITS SHALL_ BE BROUGHT . , i 7 3 ` CATCH BActN ( ® \ E . �t 7� \ ,� �/ 3. EXISTINGWITHIN 2AND FIINAL GRADES NISHED SHALLREMAIN ESSENTIALLY TI1E SAME -r _.-- ' 4 ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE N Al A 6' , OF WITHSTANDING H- 10 LOADING UNLESS THEY ARE UNDER OR 1 WITHIN 10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING 0 r v < MIN FROfWT SETBACK SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING „ F- - 1- � � : \ L-0c',A b!t _ MIN REAR SETBACK i S. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE t LLE V — 7 3 (o d9r. MIN. SIDE SETBACK SHALL BE MORTARED IN PLACE. i �e;.AA- IV6. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH ` D7 3 w "rrs'f�' DEEDED, oR ZONING REGULAT►ONS. OWNER /APPLICANT IS TO \ f'' � \ OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY / T L A L �NTicvLAPPROVED : BOARD OF HEALTH „ievcy 3«,K - NNI 1 ✓E�_ _ 1 1 1 DATE AGENT Z _ _ �- Zy .-33 _ _ - „✓', E L= '?O. 3R �'-^� l� + l� PROJECT 60CATION• - ' DRAINAGE t , _ �:�- / _, _ SE Tic .3Y.5 -4 LOT 23 81SL.1r/NE. J>Rid1>z' 4MLICANT: \ ���<P \ Q, T#yF �REEN3RIER Gt� 0I 72 \ 7b L 0 T — VACANTw�KE(iy �� Lev Eldredge & Wagner Associates RQ y, g g ssoc ates Inc. n Q Engineer Landscape Architects Planners Land Surveyors L I� �' t N 889 West Main Street ,4C-L)A L As SU/L7' ECEVA , c.0 Centerville Mo. 02632 .AC T OA L kS BUILT Z-OCAT/ON ok°r a w REVS/4N #/ i4S BOIL I' CGA/S r'!2 c/LT� U.�! /d�716'7, PAUL A• ^n L rrI-EVY .SEE L, E W SURVEY 060A' # 2/7-2- '1 NO. G'v2 NI LOCATION MA JW N0. LOC ON P / 02 7 SHEET 1 OF J _ 1 A)iA 20 FT. MIN. TOP of FOUND. SOIL TEST EL. s 76 • 10 FT. MIN. DATE OF SOIL TEST ft)AJE .'G ; .� ?7 FF jCONCRETE 4" SCH. 40 P C PIPE CLEAN SANG WITNESSED BY SECRY �rTNI ,Aj COVERS MIN PITCH 1/8 Y PER FT. PERCOLATION RATE MIN INCH AS CONSTk'UCTED CONCRETE OBSERVATION HOLE I OBSERVATION HOLE 2 4" CAST IR N PIPE 12 COVERS 2" LAYER OF ELEV. : 73• ELEV.= (OR EQUAL) MIN. Ie 2 WASHED ToP E SvL3SU�L PITCH 1/4 PER FT _—r"yt S T©NE ELEV- 3-o ' z FLOW LINE MELIuM S�4nr� EL = _ '� N. 2 __ i -N •�10 w,IGRAVEL 8AiJD5 $i � EL.= 7 2'0' EL = 7/ -7 -� LEVEL I = S v EL; 7/. EL. ELEV- DIST "EL - 70• _ No BOX • o p Uj> WATER AT /3. 0' EL.= io_:'. S WATER AT� EL.= 0 3/4"- 1 1/2" c 00° C ODD GALLON WASHED STONE • % n ° U 0 00 SEPTIC TANK W e EL.- ��.s DESIGN CALCULATIONS PRECAST LEACHING NUMBER OF BEDROOMS BASIN OR EQUIV. i GARBAGE DISPOSAL UNIT iyist u 6' DIAM. 2.0 TOTAL ESTIMATED FLOW SEWAGE DISPOSAL SYSTEM f ROFILE GAL./BR,/DAY X BR.) GAL./DAY �/� L. �(: REQUIRED SEPTIC TANK CAPACITY `�T:� GAL. NOT TO SCALE ---- _— — ` ACTUAL SIZE OF SEPTIC TANK idoy GAL. ( E& M.,u BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL.= 60 5 LEACHING AREA REQUIREMENTS OBSERVED WATER TABLE ( — 1 -- / — ) EL.= N A SIDEWALL AREA Gam. t AL./S.F. BOTTOM AREA / . O GAL./S.F. t LEACHING CAPACITY ( BOTTOM IDEWALL) 54. / L. �2x3 /4 x 5.0KG.Ox2-5) f l(s.t4x5x -Tx r•v LEGEND RESERVE LEACHING CAPACITY ,��J `�. GAL �l c� EXISTING SPOT ELEVATION OOxO L V T - EXISTING CONTOUR — -- -00- ---- �� FINAL SPOT ELEVATION ® NOTES 1 —41 1, FINAL CONTOUR 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E Q.E. SOIL TEST LOCATION 1 UTILITY POLE -0 S TITLE 5 AND THE TOWN OF •t'J,�' r_ RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. \ 7\ TOWN WATER W W 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO CATCH BASIN C' ® } \ 71 72 7 3 \ WITHIN 12 OF FINISHED GRADE , 3. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME. A- �,� ` ��' � 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE Al , 1• t � OF WITHSTANDING H- 10 LOADING UNLESS THEY ARE UNDER OR �L FA \\ z r WITHIN 10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING Pl_ WN. FRONT SETBACK �'� SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING. LEACH PrT STA cat So ' GArr rt�:n ® MIN REAR SETBACK i S. ANY MASONARY UNITS USED TO BRING COVERS T L0 jDBC�c E4 jam` .E V. 7 3,� � ,' M . SIDE SETBACK /� SHALL BE MORTARED IN PLACE. 0 GRAD E - � 4 MIN. t 6. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER /APPLICANT IS TO OT OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. ``..�� 7 t� 7HDR } OPA7 TrCAL Co>v — •• - SEE L E w APPROVED : BOARD OF HEALTH .,..jRvEy acx.„< ITN �.. i � - pI2/vim Cp 1 74 3 �,3� �'` Q J \ �. DATE AGENT r. \ _ Z`� -- r '�J t l E L= Gam• 3� Z- 1. r FF PROJECT LOCATION, -M E A r; ' ; r�Ro,�c>SE� SiT�r Anl� SEr'TiG SysTE�-t �i�+ l�► G� sa ., '�: _ � ;._ Lo Z3 ° L-3fSG.�4 yn/E .i>, /�/� p s 21. 23d�# k''� T1 is t-J., r _ yr C� w t_1 `�e- APPLICANTt ' A'- \� 73 -4 �p� ?` N k t ER Gee' I rJ 70 VA,1-A &4 / � �. Keay , j ,3 Levy, Eldredge & Wagner Associates Inc. Engineers Landscape Architects Planners 9 p Land Surveyors LT 889 West Main Street Centerville Mo. 02632 l r M 4 LOCATION MAP roe No. �. :,: l rJ2 7 SHEET 1 0F