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HomeMy WebLinkAbout0028 BLACKTHORN ROAD - Health Z$ Blackthom Road Marstons Mills l A=046 -077 - --- ` TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date " S Time: In Out Owner l 4 Tenant s r Address -3 3 Address Complia ce Remarks or Regulation# Yes VNO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities ,. q t7 �' _ ✓ 4. Water Supply MD 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms �2— Number of Vehicles Allowed (max) Number of Persons Allowed (max) �— Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here COMMONWEALTH OF aSSACHliS S E?T� h EXECUTIVE OFFICE OF E�,`�IROIE 's_a1 A-r''E_-',!PS DEPARTMENT OF RNLI IROINTMEti�-T--A,L FROTECTIO-S 0 TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSNIE»S SUBSURFACE SEWAGE DISPOSAL SYSTENI FORM PART A CERTIFICATION Property Address. GjL���O✓r.e /?CI �,• ti / � Od6Scz� Owner's Name- h / s e ar Owner's Address: Do O 6 .S ci-f O&1 . /1l1 6a'14 L Date of Inspection: 6 d -11 Name of Inspector: lease print)�G►y� �A re Company Name: —yV/0 - %E C�} ,Mailing Address: 110 Ano a f- ✓1 00!6Sc� Telephone Number p _ �y CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the infor aaaon rebored below is true, accurate and complete as of the time of the inspection.The inspection was pen, based on srL training anA experience in the proper function and maintenance of on site sewage d sposal stiste �. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 C R 15.000). The s,srem: Passes Conditionally Passes Needs p,?rher Evaluation by the Local r , Fails App<o r'ng Au�orit, 1 a rluspiector's:`Signature: /`�G��ui��i " Date. O r-a The system inspector shall submit copy of this inspection report to the Apprnvirg a;,T1,nr yV4d of r'=i or DEP)winin sG days of completing this inspection.If the system is a shared system or has a design ow of gpd or greater, the inspector and the system owner shall"submit the report to the appropriate region of--ce af-?P. �,.DE The original should be sent to the system owner and conies sent to the buyer, if aLphc-b and-fie =pro:a;erg authority. Votes and Comments- "'This report only describes conditions at the time of inspection and under the conditions of use at chat time. This inspection does not address how the system will perform in the future under the same or different conditions of use. T' , i ltle 5 ingnerti!?n rn,-m �;1 Ci7 nnn • Page 2 of I I OFFICIAL INSPECTION FORM?—NOT FOR VOLUNTARY assl`ss����s SUDSL`RFACE SEWAGE DISPOSAL SYSTElI INSPECTION FORM. PART A CERTIFICATION(continued) Property Address: Jf 9/,:::, ! 4 2 Grf y Owner: `jQ Gv --t,• ��� OdC4� Date of Inspect! ` 6 3 6 Inspection Summary: Check A,B,C,D or E/SWAYS complete ali of Section D A. Sy m Passes: I have not found any information which indicates that any of the failure criteria described in 3'0 CtifR 15.303 or in 310 CIMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. �Sy�st m Conditionally Passes: One or more system components « repaired. The system, as described in the Conditional pass"section need to be replaced or uPon completion of the replacement or repair,as approved by the Board of Eealh wdi]pass Answer yes, no or not determined(Y,V,iVD)in the explain. for the following statements If"not determined"-clease The septic tank is metal and over 20 years old*or the septic tank(whether meta!or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is existing tank is replaced wdth a complying septic tank as approved by theod imminent System will pass inspection; the *A metal septic tank will pass inspection if it is structurallyHealth. sound,not leaking and if a Cercate of Compliance indicating that the tank is less than 20 years:old is available. 1trD explain. Observation of sewage backup or break out or high static water level irl the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box System--ill pass ins to II f(t1 approval of Board of Heal: broken pipe(s)are—iac- r� obstruction is removed distribution box is leveled or replaced ND explain: Tne system reQu' (f pumping more than 4 times a year due to broken or obs1rcted p ,e(;j r �r pass -oval of the Board of Health): inspection if(with app _ e,r broken pipets)are replaced obstruction is removed \'D explain: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY AssEss�rEtiT SL-3SL"RFACE SEWAGE DISPOSAL SYSTEM L�7SPECTI -s FORM PART A CERTIFICATION(continued) Property Address: Owner: s`j P pa Date of Inspection: C. Further Evaluation is Required by the Board of Health: 1,v Conditions exist which require further evaluation by the Board of Health in order to determine if the systefi is failing to protect public health, safety or the environrnent. 1. System will pass unless Board of Health determines in accordance with 310 CNIR 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 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 nubhc water sucoly. The system has a septic tank and SAS and the SAS is within 50 feet of a private water s-apply xe'l. _ 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 OEP cerifed laboratorv, =or colifo� b'-C'er— aiid +'Oiaiiie organic compounds indicates that the well is free from Dollu:ion:15roTrn that IL Lhty_nd the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm pro- .drd that no c-—her ailure criteria are triggered.A copy of the analysis must be attached to this forte 3. Other: Page 4 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUINTARy=4-sSESs . SUBSLR -FACE SEW-AGE L,GE DISPOSA SySTEyl j-SRECTION FOR -TS PART A CERTIFICATION(continued) Property Address: C Owner: Date of Inspection: D� D. System Failure Criteria applicable to all systems: You must indicate "yes"or"no"to each of the following for all inspections: Yes No �ckup of sewage into facility or system component due to overloaded or clogged_ DischarAS or Cesspool ge or ponding of effluent to the surface of the ground or surface water due�o 2n overloaded or ogged SAS or cesspool _✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged or -- `/-fesspool quid depth in cesspool is less than 6"below invert or available volume is less than /day`low Required pumping more than 4 times in the last year i\OT due to clogged,/of times pumped gged or obstructed pipe(s).ti.,:t-ber A«'y portion of the SAS,cesspool or privy is below high ground w2ter elevation_ �'Any Portion of cesspool or privy is within water suply. �surf 100 feet of a ace water supply or butary to a mace p ✓C/Any portion of a cesspool or privy is within a Zone I of a public well. ny 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 d0 feet from a titivate water supply weIi with no acceptable water quality anal is performed at a DEP certified laboratory,for eoliformbacteriam and svolatile or es if the anie comPQ dsS' indicates that the well is freefrom pollution from that facility and#lte presence of ammonia nitrogen and nitrate nitrogen is equal to or less than -ppin.Provided that no other failure criteria !� are triggered.A copy of the analysis must be attached to this form.j Jv (Yes/\7o) The system fails.I have determined that one or more of!he above f described in 310 C`MR 15.303,therefore the system fails.The S s t ari''e ieiza zx ` Health to determine what will be necessary to correct the lr� tee` s"o"`d ° ` `he Board of E. Large Systems: To be considered a large system gpd. the system must serve a facility with a design flow of 10.000 gpd to You must indicate either";✓es"or"no" (The folio to each of the following: 1�,000 wing Criteria apply to Iarge systems in addition to the criteria above) the system is within 400 feet of a surface drinlang water supply the system is within 200 feet Of tiibutar,to a surface dr-h,icing wale:sua-01 r the system is Located in a nitrogen se tsitive area(Interim;%et11le3d PTotzCj ?ore II of a public water suppI,v weli _ Have answered es"to any question in Section E,es"in Section D a' the system iS considered a sig; �:; Dove the large system r : =calf or _.;,S1�nif Cant threat under a5<a�led.T;e 0;,;�er or operator °^ 7 r�ect.on E or failed tinder et any Qe 04, Section D shall he s' guFs mdL the sfStemcw�er should contact-the appropriate sa,=m is accLraa-i c-ereional ofce of the !� o JeL,�, eut. Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLli.NT-ARy ASSESS IEITS SUESLRFACE SEWAGE DISPOSAL SYSTEM LNSPECTION FORM PART B //�� CHECKLIST Property Address: /ylelle Owner: e yaGr 01-11 Date of Inspection: Check if the following have been done.You must indicate"Yes"or"no"as to each of the fohlowQ: - Pumping information was provided by the owner,occupant,or Board of Health <ere any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period . stave large volumes of water been introduced to the system recently or as Fa:r-t of Chas = ecLjon ? Were as built plans of the system obtained and examined?(If they were not available note asA) �/— Was the facility or dwelling inspected for signs of sewage back up? ✓//_ Was the site inspected for signs of break out? C/— Were all system components, excluding the SAS,Iocated on site? Were the septic tank manholes uncovered;opened,and the interior of the tank inspected for t e condi-io Of the baffles or fees, material of construction, dimensions,depth of liquid,depth of sludge and de th Of scum•, n _C"�_ Was the facility owner(and occupants if different from owner)provided with information on maintenance of subsurface sewage disposal systems? he proper The size and location of the Soil Absorption System.(SAS)on the site has been dete,-,•,_.;red based on: xistingnf.^.rmalion Yes no /E i � - ..��. For example,a plan at the Board of riealth. Determined in the field(if any of the failure criteria related to Part C is at issue approx.uracceptable (30 Clva 15.302(3)(b)J) tien?*disice Page 6 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLL-NT_ARy ASSESSN���5 SL�BSLRFACE SEWAGE DISPOSAL SYSTEM I\SI'ECTIOS FflRyi PART C SYSTEM INFORMATION Property Address: 9 f �jplo 4-2LA0,4 L Owner 0V r Date of Inspecti n: O RESIDEVTIAL CONDITIONS Number of bedrooms (design): 3 Number of bedrooms(actual): -� DESIGN flow based on 310 CT1vM 15.203 (for example: 110 gpd x_of bedrooms): 3-7a Number of current residents: -.2- � Does residence have a garbage grinder(yes or no):/4*19 con Is laundry on a separate sewage system(yes or no): AT27(if yes separate inspection required; Laundry system inspected(yes or no): i(/� Seasonal use: (yes or no):�Pf / Water meter readings, if available(last 2 years usage(o_pd)): !J� Sump pump(yes or no): /I/0 Last date of occupancy: C ONtMERCLAL/L'r-D USTRI AL Type of establishment: Design flow(based on 310 C M 15.203): apd Basis of design flow(seats/persons/sgtetc.): 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): GErTRAL LYFORyLATION Pumping Records Source of information: p200/ - Q w-%e Was sysrem pumped as part of the inspection(yes or no): d,,v U yes, volume pumped: gallons--How was maantity pumped determined? Reason for purnping:TYP3F SYSTEM --Septic tank; disrrib„t;on box,soil absorption syst-,u^j 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 he cr�rent opera-don and mainte-�a:tre con ci ro ae obtained from system owner) —Tight rank _Attach a copy of the DEP approval —Other(describe): Approxi^ ate age of aIi Components, date installed(if mown)ZO ceofinfor�rmation: V ere se:z,age odors detected L:-hen arriving at the site(yes or no):�/,Y, Page 7 of i i OFFICIAL INSPECTION FORM—NOT FOR VOLUNT4RY ASSESstiT Ts SUBSURFACE SEWAGE DISPOSAL SYSTEM LNSpECTIO1 FORtiI PART C SYSTEM INFORMATION(continued) Property Address: d9 ,�'y�q Gtrs �'tA�� Owner:Date of of Inspection: BliILDING SEWER(locate on site plan) Depth below grade: Materials of constructio _fit iron -40ITC_other(explain): Distance from private'.rater supply well or suction line: Comments (on condition of joints, venting,evidence of leakage,etc.}: SEPTIC TAvK:_(�e on site plan) Depth below grade: OZs / Material of constl uctiori: �Concrete metal____berglass_�olvethylene other(explain) If tank is metal Iist age: Is age confirmed by a Certificate of Compliance(ves or no certificate) _ ) _(attach a copy of Dimensions: s )( Sludge depth: o? Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: ------ Distance from top ofScum o top of outlet tee or baffle: Distance from bottom of scum to botto of outlet tee or baffle: How were dimensions determined: A —baffle: be k Comments on �<< .( pumping recommenda+dons.inlet and outlet tee or baffle condition, im e4.r tv 1i-,,;, as lated to outlet invert, evidence o leakage,etc.): —�levels v!tNt t v1 ,IC f'I$2 de� G� e.C- 7- o L, ' / GREASE TRAP:11/ (locate on site plan) Depth below grade:_ viateriai of construction: meta _fiberglass (explain): —concrete — l_ _polvethylene_other Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or bane: Distance from bottom of scum to bottom of outlet tee or baffle:_Date of last pumping:_ Comments .on pumping rP oc mmendations as related to outlet i in-let e and outlet tee or baffle condiLon s�_c -aI:nte_L,. invert, evidence of leakage, etc.}: _ e_i =T:es Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUINNTARy ASSESS -Ts SUBSURFACE SEWAGE DISPGSAI, SYSTE f rXSPECTIOti FORM PART C .Q SYSTEM INFORIYLATION(continued) Property Address: WJ Owner: Date of Inspecti a: TIGHT or HOLDING TANK:/y (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 purring Comments(condition o=alarm and float switches, etc.): DISTRIBUTION BOX:1�if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments (note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box, etc.): / / / / A � AH C /O b.eCJ 44 Von e- L OC �."G PUMP CHANIBER: / (locate 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.): • Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLL-NT_ARY ASSESS-VIE1,-fiS SUBSURFACE SEWAGE DISPOSAL SYSTEM RNSPECT'IO i FORNr PART C ^� SYSTEM E iFORI LATIOIN(continued) Property Address: Owner:_. L3-AeoA, Date oflnspection: O-b SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Typ7�- 1eaching pits,number: leaching chambers; number: leaching galleries;number: leaching trenches, number, length: leaching fields, number, dimensions: overflow cesspool_, number: innovativeialtemative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure,,level of__p//onding,damp soil,condition of veQ_etaron, etc.): 9 ii ���`N STtir n �i PoH ,.� )L yy .�4 s CESSPOOLS: /t (cesspool must be pumped as part of inspecaon)(locate on site plan) Number and configuraticn: 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,wndiaon of egetaiion, etc.;: PRIVY: (locate on site plan) Matenals of construction: Dimensions: Depth of solids: Comments (note condition of soil, signs of hydraulic faiiure, 'evei of ponding conditione- Page 10 of 11 OFFICIAL INSPECTION FORM, -NOT FOR VOL-U-N-TARY ASSESSINIEtiTS SUBSURFACE SEWAGE DISPOSAL SYSTEyr INSPECT'IO- FOR-NI PART C SYSTEM INFORNIATION(continued) Property Address: Gl a�✓ 7LLiorr� �� Owner: Date of Inspec ion: 6 0'1-V 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 bu3?ding_ � c/,- J, /I �d C ' j/. h mot-Cto� v �, la 3 mow' (toILIQ � �N/ ` page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SL"'BSURFACE SFw.AGF DTSPOSAL SYSTEM INSPECTION FORM PART C SYSTEM/LNFORMATIO (continued) property Address: �9 ��r'► !✓�`7oins I &.4 f /'7.Ac , /f17 It- Od G Lf'� owner: . 51el `o' Date of Inspection: SITE EX-Aiyl A slope J Surface water Check cellar I 0 Shallow wells ,A+.0� � Estimated depth to ground water feet Co '� 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: Owe-.red site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Rio S Checked t^th local excavators, installers-(attach documentation) jAccessed USGS database-explain: You must describe how you established the high ground water elevation: 0 d w e o. 4- L o c a,4 i o L4ofv p 0 t—' A, L✓ o+ i u 0 0 L r + gip OO � c1 C9 /0 q 6,,717 �:sc -A ag IL CAT ION E AGE PER IT NO. � "' INSTA LLER' HACH b ADDRESS B U I L D E R OR OWNER , DATE PERPIT ISSUED �I -- r4( DAT-E COMPLIANCE ISSUED ✓R.t��2 /yam /\%�'\/\� �✓{�n..t C.'sr�7 js � � I V J Ifo -ZI-341 THE COMMONWEALTH OF MASSACHUSETTS BOAR® Off` HEALTH �j ���- O .Tctwn..................oF............Barns a. ............................................. S� Appliratiou for Mipviial Vorkg Towitrnrtinn itamit Application is hereby made for a Permit to Construct ( y) or Repair ( ) an Individual Sewage Disposal System at: ................_........Blackthorn Road .................Lot 4.2.9............................................................ Location-,Address or Lot No. Mark DiRico - ..... ................................... ------------------ .----.------------------------------------------------------------- Owner Address a --•----•._......... •-• ..........•--- --------------------•-----------/ ............................................ Insta:ler Address Q Type of Building Size Lot.21,F 3 3 4.........Sq. feet Dwelling—No. of Bedrooms............ 3..............................Expansion Attic ( ) Garbage Grinder (ng aOther—Type of Building ____________________•___---- No. of persons............................ Showers ( ) — Cafeteria ( ) QOther fixtures -------•----------------•------•-------------------------•--..........-----•••••-••--•....••-•••••--••-••------------------------•-•-•----....._...... W Design Flow.................55._........_..._.._•__gallons per person per day. Total daily flow--------3 3 0 lons. WSeptic Tank—Liquid capacity1000gallons Length._$_ 6...... Width4.1_10-__I Diameter________________ Depth.. _ 4.��_.. x Disposal Trench—No..................... Width.................... Total Length.........._......... Total leaching area....................sq. ft. Seepage Pit No............1...... Diameter.....8.l.......... Depth below inlet-5.�11..... Total leaching areal9 .:_.........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by____..Cape Cod Survey Consulta�pt 3/20/84 a ........................................ Test Pit No. 1........�.__._minutes per inch Depth of Test Pit...12_....._.___. Depth to ground water none fi, Test Pit No. 2................minutes per inch Depth of Test Pit---12_,......... Depth to ground water.none 9 -----------------------------------------------•-••••••• -----•--•••-•--•-•---•--.........-----------.......----•--------------•....._. -OF. i o Description of Soil----- P#1-_0-24" topsoil & subsoil; s 24"-144" medium ?sty '�ss� x coarse sand & gravel, TP#2 0 24" topsoil and subsoil; sIFP� W 24 -144 medium coarse sand & ravel ALLYN x q SON y WIL V Nature of Repairs or Alterations—Answer when applicable-------------------------------------------------------------------- ____ -----1Qo:3Q2T6 Q -------------------------------------------•------------------•---•---------•------•-----------------------. •-•••••••. 'O IST Agreement: SS� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in ac the provisions of iI'l-L 5 of the State Sanitary Code—The undersigned further agrees not to pl s �7ARY opera ' n ntil a ertificate of Compliance has been issued by th board of health. U�3 19�8� Signe��% C•!1_..f ............................................---------------- .5 ....�.7... .y._. A lication Approved B Alrq. Date PP y------------------------------- - %......---•---- ^.. �; ................... ............... if' (;t���G , 41 y f Date Application Disapproved for the following reasons----------------------------•--------------------. .............................................................. --------------------•-----------•-----------•----------------------------------------------•---------------••---•-------•••-------------•••••--•--•-------••--•--------•--•-••------••••-•-•-••••---•--- Date PermitNo....�y- 3G/ .-•--•--------•--------------- Issued-....................................................... 4 Date r, r 1 p THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..Tow-n......... .......OF............Barnsta�bl® > . .... Appliration for Diipuiial Works Tuastrnrtiun jJrrmit ,. AApplication is hereby made for a Permit to Construct ( 10 or Repair ( ) an Individualewage Disposal System at Blackthorn Road Lot 429 ...........---•-•---•--•--�---��p ---....._..-•-•--------•---•..... ....... . ............. .v�-. -.....�......................................................... Mark ,)I jj ypnn--Address or Lot No. Installer Address U" Type of Building Size Lot..21 . _.._..Sq,_feet Dwelling—No. of Bedrooms............................................Expansion Attic 'f Garbage GrindeF (,n?l aOther —Type of Buildin_. ............................._•......................... No. of persons"_-"-_______•-:-:-_......... Showers ( ) — Cafeteria ( ) d Other fix es ..---•------------•---•................•---•--•-----........... ---.--_.. ..................... a l u............ W Design Flow ____ gallons per person gay., Tota ti flew............................................s ,� G: Septic Tank I >qutd;,c acitv________----gallons Length________________ ��%idth___„ Diameter ________._.- Depth... x Disposal Trench° .�o� ------------ Widtlj_y................. Total Length �77 Totai leaching area_l� sq ft. . Seepage Pit No___ _______________ Diameter-------------------- Depth below inlet.___.'_ ...__._:_ Total leaching area.... ...'.......sq.. z Other Distribution box ( ) Dosing t nk 6ap� �od Surve Consulta t�.-ffi 3JaQ/8� Percolation Test Results_ Performed by............................................. ....................... . Y ��tts_m.>"____.. Test Pit No. 1-___••._2_____rr_inutes per inch Depth of Test Pit non® a 3+ P P 'T- Depth to ground water. ._._____ GL, Test Pit No. 2................nu*nutes per inch Depth of Test Pit.....................Depth to ground water_.nOn® _ 3:__ ,r p TFI t3�Z4 topsoilubaollt ZIT' -I44"..aitecium Descrt tion or Soil__. .___ , , OF�yq x course sand gravel; 2 _. 4'°._.Eopsoi "ant subsoils_------ n d �y W Itec3ituta Coarse sand & grsee3. © STEP G ---- - - -------------- -- ----------------------- - = = - - N x . AtINN U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------- 0rpN -� N Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in actor the provisions of i'T rL_ 5 of the State Sanitary Code— The undersigned further agrees not to place tws operation until a Certificate of Compliance has been iss d by th oard of health. Signed �'. •' .: Date Application Approved By............ to... ..Aq*e ......... 9A1le =..zte...----= �e e/ (4! GL ✓ /`! . Date Application Disapproved for the following re sons-----------== --- -•-------- d Date PermitNo.... -------•----------------------- Issued................................................... Date TwE'COMM NW OF MASSACHUSETTS" t,. BOARD 6" E k&H . ..........................................OF............................................................................... C�prfifiratr laf Tam f aurr' TH ,,IfS ixi,.co rutted or Repaired '( Installer at............................................•--------............-•-•----------------...----..... -""""-"""-"""""-"------"--•"""""--"•> ------------ has been installed in accordance with the provisions of TT- u 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----------------------------------------- dated------------........................ :_..____;_._ THE ISSU C , F THIS CERTIFICATE SHALL NOT BE CONSTRUE®�ASUARANTEE THAT THE SYSTEM ��1; {F 1®N`SATISFACTORY"',,,, DAT ... .. Inspector-------- ------ ------•-........------•-- THE COMMONWEALTH OF MASSACHUSETTS je BOARD OF HEALTH ..........................................OF..................................................................................... No......................... FEE........................ PermisFoftrs heranted, & ._? _ "': t c c` --------------- ...... - -....._......................................... to Construct ( ) or Repair,,-,( ) an Individual Sewage}Disposal Syste: /-„V/ ,n> atNo -------_-_--------....•-•...........................•-..-- .._..._.. .._........._..---"----------"""--"-"-""""-"-----------""...-------"-_`-.......j?_t . }St", ( Street ` as,shown on the application for Disposal Works Construction Permit No..................... Dated................_........................ ,. .- ..........................................•----•-----........._....................- ---..... Board of Health _ DATE -- - ;r' R n,,,,,, ^a.2•.u2: +r X �r�vfs+s...�i'" FORM 125j�i, HOBBS &f , RREN• INC.,.PUBLISHERS ^ram�@, • a r e ,< y, r��x t r r`•i �, .� f �,.�,. ,f' ,`i a •�,� � "April 19, 1984 a 4 `•• ''`� Mr. C. Frank,Whiting . " '-Capo.r.Co'd'.Survey Consultant's. ! rP.'.Q. Box 56" Hyannis, Ma,. 02601 Dear Mr Whiting: . You firer granted:a'`variance'-on behalf of you r,.'client, Nark DiRico, to,install-' . r . "a` serptic leaching pig 120 feet from a. well_;' in. lieu' of:'the requir"ed 150"'.feet, 4 r ' on Lot. 42 ; Blackthorn, Road`,° Marsto`ns,Mi.11s', with the 'following conditions All -other requirements of Title 5, .of the. State i Environmental Code, s ; and, the�,Town of, Barn_4stOle Heal'thi;;Regu`lations-must be strictly adhered a :tor t(7, - • ar• i )( .r� e� "�C .s . ! .(2.)": TheF"sept 'c `.m systemust be ,installedFin'strict'.accordanceAwith the approved plan. 'Prior tU th'e�"is'suaaeo `'a'Disposal;xWorks` Construction Permit, the'• ; t5 ae11 mupt,.be in"stabled `and' the water,,tested' bacteriologically and chemi`ca'lly. The water, must .meet all of the. standards established ,4 •r r `.by tie Safe Drinking, Act of o-L974 r x + r X A t o i ri t d' ,,l.. t :�i: ♦, n We are quite' aware .oft Regu114tion .15.03,'iof Title 5. df.the State :Environmental Q; Code. We "consider .tit16 -5 to'•be.grossly i.nadequateJ in. protecting "the environ- ' 'inept inrmany, respects;'; tN tefoie ,we 'have :Adopted'�our'own health' regulations ` and request your coaperatfoa intlie�ir�observance F fv ••.t ✓...• �" •}:j: •f. y,� t yr * tiCt a?. , .NIa;'. ;l_ t' Ver ruly yours L - a a ! 4. J_ � 'Robert 'I:.�Chil s,•Chairman'`•' "�* . 'rf, �� ' .. y `. , i_ ' - Ann., r h.. i ; r e.` a Ir iy •� •• '. ., Fir _ ' r • 2 H• .F• nge, BOARD .OF'"HEALTH J� TOWN.•OF`BARNST'ABLE JMK mmk t �.. v ry 1 _ i e r Y ' • f. , t.M j - J . .t• ^ AN • - _ � •,]j f h . - .: '�tj `kT �•S'.� •�se ' �3 1..rka .^F • • :;j No._ f ' • DATE FEE *THETo�o TOWN OF BARNSTABLE OFFICE OF i BAHIISTAM ,o MABL BOARD OF HEALTH 16 `e 367 MAIN STREET �0 YAR k' HYANNIS, MASS. 02601 VARIANCE REQUEST FORM A11 variance requests n.ust be submitted five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT _'dark DiRico TELEPHONE NO. 542-9050 ADDRESS OF APPLICANT 775 Norfolk Street, Mansfield, Ma. 02048 NAME OF OWNER OF PROPERTY Mark DiRico LOCATION OF REQUEST Lot 429 , Blackthorn Road, Marstons Mills VARIANCE FROM REGULATION (List regul*ation) Town of Barnstable Regulation requiring 150 ft. distance between well and leach VARIANCE REQUESTED (Specific request) Uit. Please refer to attached letter. REASON FOR VARIANCE (May attach letter if more space needed) Please refer to attached letter. PLANS - Two copies of plan must be submitted clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL Robert L. Childs, Chairmal7 Ann J ne Eshbau -fi H. F. Inge, . D. r BOARD OF 1t&&JfH TOWN OF BARNSTABLE %5 C Cape Cod Survey Consultants (617) 775-7155 P.O. Box 56 76 Enterprise Road Hyannis, Massachusetts 02601 March 29 , 1984 Board of Health Town of Barnstable 367 Main St. Hyannis , Ma. 02601 Re: Request for Variance Lot 429 Blackthorn Road Members of the Board; On the behalf of Mark DiRico we are requesting a variance from the 150 foot minimum distance between a well and a leach pit. The proposed distance for Lot 429 is 120 feet. The reasons for this request are as follows : A. The site topography and compliance with breakout regulations require that the leaching pit be located away from the steep slope .in the rear of the property. B. The pit has been set to maintain the 150 foot distance from the existinc wells on the adjacent lots (#430 & #149) . C. An existing septic system on Lot 430 prevents the well from being located in the corner of the lot where Lots 430, 429 , 149 , and 150 meet. We wish to point out that the 120 foot distance is still in excess of the State requirement (Title V, Section 15. 03) of 100 feet and we request that the Board grant this variance. Very truly yours, Cape Cock Survey Consultants 7� �l C. Frank Whiting/R.L.S .. CFW/taw 03-1317 A division of Boston Surve;/Consultants, Inc. Branch offices throughout Southeastern New England Planning ,surveying Design Engineering Massachusetts Water Resources Commission/Division of Water Resources " WATER WELL COMPLETION REPORT WELL LOCATION Address LOT J! /'g&[ 1.0/,J w e �I City/Town &,rA.,374UO '-as 5 • S G.S.Quadrangle Map - ffe Grid Location Mat,, owner i�'1Lt> _�/r I C D Address 77 y AJO if&/k TT Mctftsfjkil -1O y8 WELL USE CONSOLIDATED WELL Domestic Er Public ❑ Industrial ❑ Type of Water-bearing Rock Other Water-bearing Zones METHOD DRILLED 1) From—To— Rotary(type) (Xii 60{f Cable ❑ 2) From TO Other 3) From To 4) From To CASING rr Depth to Bedrock Length _Diameter.1 Type P0C UNCONSOLIDATED WELL STATIC WATER LEVEL Water-bearing Materials Feet below land surface q 7 Sand: fine❑ medium 2 coarse g Date measured /a3f�y Gravel: fine❑ medium❑ coarse❑ GRAVEL PACK WELL Screen: Yes No Slot�1_length�_from ��� to� ❑ ❑ 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_g GPM. How measured Recovery---;—feet after hours. LOG of FORMATIONS COMMENTS: (On well or water) Materials From To AIL 2 O DRILLE/fi Firm�f.JCCcK:�SJQ 1/ j 41 Se 4/ Address pA :-SQ ' Sr66 City_/tjASjage Aga Tf Registration No. 0,Ta Operator's Signature ease print vm y 10M-8/81.164843 vc ; F - 3/o6 REVISIONS: TEST PIT DATA DATE a� TESTING: �,�,��� z�. lQa�•- PERC. TEST DATA : SEPTI C TANK DETAIL : sizE-�000 ��,�QN _ DIST. BOX DETAIL. : LEACHING EACIL I T Y DETAIL: DATE' TEST BY : R. P M,c.�ufFuV/G2B L^L ��Se_ DATE OF TESTING., / i�' 11- t'aT��4 TANK TO CONFORM TO TITLE 5 REQUIREMENTS TO CONFORM TO TlTLE5REQU/REMENTS T P WITNESSED BY T — t�-�________-_-______-__- TEST BY _r_� �� �_ca.���zr�nrxs_ NO. OF OUTLETS _ �� WITNESSED BY �_.Tr�Gd s ---- ----- �y�►_� t 7 kl__ i .-_ ---�li � �\�C ��� REMOVEAHLE COVER _-___ �/ •y/\Y/ �T+/ /u' /- '//> " - �"mi`HOL BROUGHTFINISH GRADE. ,,. .. . , 2PEASTOAE- 4614M MU /2`�MAX. --- - T 3 CLEAR 3 CLE tT r, 'r- OL LE PIPES--- DEPTH OF rESr' 9b // 6"M/N.�- 2"M/N. 6" ` ' AS REOU/REDINLETRATE m lf1C�2 /OM/N IST.---- C C � /iVLEr TEE � -GUTLE r TEE � -IQBOXpire iC 1. /000- GAL.. , S ►Jt7 i 0UrLET TEE DEPTH / N p I I I INLET AND OUTLET 4 O' MINIMUM 2 r PTi{C TA _ I 1• PRECAST OR BLOCK - TEES TO BE CAST LIQUID DEPTH /4"AT L/0U/0 DEPTH OF 4` --�"Z ----- j- -- ---- t - t --- IRON, SCHEO. 40 ,� l9 5 / /I __I.` CONCRETE V1 +:; SEEPAGE PIT 1 DEPTH OF TEST --------_---- PVC.' OR CAST/N r 24„ 6 . ; CONS kUCTICaV M/0 t - — — T ;' /o PLACE CONCRETE RATE _ CONCRETE ►' 34 B' BOTTOM ON LEVEL SrABLEBASE { - - - - - -- -- T --frsa - ---- - --- ONSTRUCT/ON - r. .• t C /WATERTIGHT!--�: r r FOUNDRY/ON 1, y •+INLET EE PROVIDED WHERE .SLOPE _- '.'�• '• ---. • • u•_'i.°••:. ice_ . .• ;• '�r•:•�i OF INLET- PIPE ErCEEDS O.QB OR I I K TO BE ABLE TO WITHSTAND IN A PUMPED SYSTEM. _— _— 2b'M!N �Q STONE I TA N BD T TOM OF TANK' ON LEVEL STABL E BASE /I /0 LOADING UNLESS UNDER ----:. If w� ' -- - ---- - j I - -- - ----- - --- --- -- r--- PAVEMENT OR/N DRIVE.H 20 I i ' LOAD/NG UNDER PAVEMENT OR i ! DRIVE. AM Wi�Tg' i j Xa .4rA"� NOTES PLAN VIEW INVERT ELEVA T/ONS� I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION OF THE SEWAGE , DISPOSAL FACIL/TYONLY. SCALE i = Zca /NV AT BUILDING -- tc''��.- �- ___ 0.t,�ofyMfs `` 2- A L L CONSTRUCTION METHODS AND MA TER/AL S SHALL CONFORM TO �p�.E ,�= .¢" _INV AT SEPTIC TANK(IN) �a_�___ t�f �,��'� MASS. D.E.O.E. TITLE 5 AND THE �'kR,ys rAr� _ _-_ BOARD OF •�"_INV AT SEPTIC TANK(our) _^QY�Q� s f� `�''�ti ( WH.t }.yk'L-' SEY[3..cyG�C j0 �F hk.`--f�'i. v No. 2986q y LNG HEALTH REGULATIONS. 1 3 A ►i4R/,gNC. /9 R6� 1F57L'r'D /°"G!i .Ra D,,c:wr, l`NE- Z1�TA/VCE a-c77—F_/1/ - fl WEAL 4 nib fl LtfiGN/NG 1-/r ?o / o ` �J.zor►�i l o '. Q--_/NV. AT O/ST BOX(/NJ _ `�'�.--INV. AT DIST BOX(OUT) ---1� _7_o_— �c�u� .� . .. f� %:.•.'`*� . AT LEACHING FACILITY' n-5e) BOSTON, MASS. WORCESTER, MASS. AT BOTTOM OFP/r= HALIFAX, MASS. NORWELL, MASS. BEDFORD, MASS. LEXINGTON, MASS. r' HYANNIS, MASS. MANSFIELD, MASS,. CRANSTON, R.I. DERRY, N.M. b !J �ikSAk'CJT GHv'-U�ATlcJ{,} '. #a e C ,. r - c 30 a t` c y� x 4 _ i" s DESI G N DATA ! OL DESIGN FLOW: ail/• rL /c0,co y `' { � `� � ... 7 i .. � .-•- � j� _.,A/O__.�i4 {iC f'aL�.Nl?E'� --�--- _- ,,,. Ile REQUIRED SEPTIC TANK r(v,oCp. ,—) "� ' r? /O 1�. �� �• ��., , �.�_.-..____ _. _ �_,.�__ .t—__,�' �r _Apt GAL. CAPE COD SURVEY SEPTIC rANK PROVIDED 1_oa4V GAL. �� ► � ' ,� _ _ _ _ _ CONSULTANTS } I I l -_ REQUIRED SIZE LEACHING FACIL TY ' y ! moo_�eIl -- HYANNIS, MASS. 02601 ov' t ti ` ' �'� �ti4� ' f ] t ,� —_ -- --- — 617 775 -7155 tK DIVISION OF ,,V LL ,�- E o j / - f BOSTON SURVEY CONSULTANTS INC. (il1 J VAii►ANGG+'REgVESrl�T6 _ / �.r' �. !/.Vs .r7 n. r-'`. / r q� rt� ! i i / ) / / r tee✓ /,f l I X ...��'' S/ZE OF LEACHING FACILITY PROVIDED ENGINEERING • SURVEYING • PLANNING ��,a''✓� / i"� LoT" TYPE OF SYSTEM _ �'X6 ' �� ► per TITLE: ------ ------- j � � � \ .i .i `- -_ r .. --- r/, 1� / / // � � � � // ® `�tOtwp►�.1 , 3+12.5 >t!Q—X 2.i'�Ap�' s __�+���/'�_ }.ax_ s4 A_{ � �'� - SEWAGE DISPOSAL SYSTEM _t"'•.i.�u�i...�L w - - DESIGN . 1 /t� rTdJ.NS Ili%L L S LOCUS PLAN • FOR: SCALE: AS SHOWN METERS y. FEET 0 DATE: a,� c r 3, /;07 4 ys- COMP./DESIGN: -SAW CHECK: DA TVM' DRAWN: e�^0 e Al FIELD: ,��;. C- 17M �,st FILE NO: � DWG. NO: co .�" JOB NO: SHEET: 1 OF: 1 .vo ; 10 - 3/o6 REVISIONS: TEST PIT DA TA DATE CF TEST(NG �y�1�c� �{� . /�84 PERC. TEST DATA : SEPTI C TANK DETAIL : sIzE- _,� �,�L��N DIST. BOX DETAIL LEACHING FACILITY DETA'/L: NO DATE TEST BY: R.P_Hi"A„ �e-ja a 2'.F,,Q-J[,(�T&� D A TE OF TES TIN G _�h+ 2t7 �Lg, TANK TO CONFORM TO T/TLE S REO U/REMEN T S TO CONFORM TO r/TL E 5 REOU/REMENTS _ r P WITNESSED BY T TEST BY _ p __r�� „E,��,y �ruz� NO. OF OUTLETS f — 1 ?P La.S ' 11T P504L --- ---` - --'-` REMO-VEABLE COVERW1TNESSED BY - "MANHOLE BROUGHT TO • 2"Pf 4STO/b1E M9 FINISH GRADE. e _ �O�.Z SU bdL — IN_ — �O�•/ _ .�1 r. .�24/ ---- — _ _ / • • • f..t.'' '. • ... ti a - s a . ♦ .• w w :. ..' •.• 4 -� •LCt4 F/L L 2 MAX. • -3 CLEAR 3 CLEAR /I 4- OUTLET PIPES (-- F DEPTH OF TEST — s"M/N. �— 2'M/N- 6"M/N '_� I� AS REOUIRED a t ,-_- -- '- -- M ovum ,v1 _ RA rE _�_tr1 1r2�h - -- /O'MI i� - i - --+--- --- ----- -- -- --- -- _. —___-�•—_ - ---- -- --- !NLET TEE --- - _— f 1 I ; C 0. g I OUTLET TEE p II ` _ r\ / i „ BOX t i c c ( 4 C.l. /000- GAL, 3 Np>i ( INLET AND OUTLET �, 4�D'� MIN/MUM .': OUTLET TEE DEPTHS PT � -- Cci TEES TO BE CAST L IOUID DEPTH !4; AT LIOU/D DEPTH OF 4 -' 2 6 Jo CONC E E / TA _ PRECAST 0R BL !' - - - - - -- - - -� - --- ----- 6tA�1" - - --- -- --- —-- 19 5, R SEEPAGE P!T SE IW IRON, SCHED. 40 ) •. i T 1. DEPTH OF TEST° I " --- CONSTRUCnmG -. -- - ------ --------- - P V.C. OR CAST IN 24 6 / 10` I . j 29"' - 7 i 9G•/ P�c� ( RATE' - - - - - - ---v PLACE CONCRETE CONCRETE .. 34 8 BOTTOM ON LEVEL Sr48LEBASE J MIN, i _ •'. -- ---- - - -- �-ss -- _ ----- ---- ---- - - - -- CONSTRUCTION • � � •'�: •i --- I (W4TERT/GHTJ i • •• • -•• :. .,.. -+ '• -., ►. o. INLET TEE PROVIDED WHERE SLOPE L- FOUNDATION i 1EXCEEDS -- =• » ---- - T� r OF,NLET PIPE 0.OB % OR -------_.-___�- TANK G BE TO bb'/,NSTA,NJ /N PUMPED SYSTEM. 20`MIN t + J r BOTTOM OF TANK ON LEVEL STABLE BAS£ H-10 LOADING UNLESS UNDER _ T �,y -�- - - PAVEMENT OR/N DRIVE.H-20 -- -'-- -- - _i /�'WA4SNED STONE L OA D I NG UNDER PAVEMENT OR t r � DRIVE � _-►� i ^00 wAr�-� i A40 W..9Tc o NOTES : PLAN VIEW INVERT ELEVATIONS I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION OF THE SEWAGE -- DISPOSAL FACILITYONLY. SCALE I "= ZU ' �V _ INV AT BUILDING /ac,s¢_ .. . ,�AiN Of 4s. � 2. AL L CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO Za��E _ ,C' /NV. AT SEPTIC TANK(IN) ' `�-- �r�` MASS. D.E.Q.E. T/TLE 5 AND THE ot,w--Lra.e BOARD OF ; ; - — �— " ` HEALTH REGULATIONS. A,L ;, �a � �„ . �— �,,,�,,�-�- _ram r'�.��.� „�'o t Q___INV. Ar.SEPr/C TANK(IXlT) _-'�'_9� :� srt,•:'�'� ,�,, ,� FRANK s i fi E - wHtTlrtG N�. 29969 •% A V��'/ANC: I' R6QtJE.S7-L�"D Pc�R .4�Dc/%:n.'G THE' Z/STI9/VCE rS�TvvEf_""Vt/ ►a� "^�'� � �. •'':+ � � Oq WE"A:.4- A N/D fl Lt ACN/IVG PI T TO /�O FRO M ISO ---- /NV. AT DIET. BOXON1 1 _Q"-_/NV A DIsT. BOX(GYJT) .7Q__ /�� ? , �• R ` AT LEACHING FACILITY 'r AT BOTTOM OF PI T. q 3 g� BOSTON, MASS. WORCESTER, MASS. HALIFAX, MASS. NORWELL, MASS. ' BEDFORD, MASS. LEXINGTON, MASS. F HYANNIS, MASS. MANSFIELD, MASS. CRANSTON, R.I. DERRY, N.H. '�{+' {, ��:ERKOJ'T �'FkI.,CULA"T1C9tJ •. 0 k _-- x 1so - 52.E ir Al at C •�, �,:� � _ .• ! � Gov K rr V• � � � j Vr�• i I 4 DESIGN DATA DESIGN FLOW cap (ARE) c�i71. �[- - /cO ,� ` M•�� � `� 1`�� �<: .� �.fJ - �at_4t3�'t� �!y'tetl?F.,�_ ------------- to *! R_EOU_IRED SEPTIC TANK_: r i '+/{/ -Z30 <sfob 'K /0,0 GAL. v✓ j d`r� `JQ�.�( SEPTIC TANK PROVIDED = �o�_ GAL. CAPE COD SURVEY J s ' - — _ _ CONSULTANTS � 9 >�f� �� I •` 2`ti � • I��� - �. �' � s 1 i - � t --' _ _ REQU/RED SIZE LEACHING FAC/L/TY� � ._ �>✓��.,� .�o�u C� ;` f ! f —_ �_ _1� _-------------- HYANNIS, MASS. 02601 v ��9 IJv 7 «ti P ��` ``,� I I r 1 r•''� t_ __ _ -- — — _ 6i 7 775 -7155 �4 ,d„��ar/0--- ----_ / 12 rJ' j.� v+z ova w ! `a-..•" �- / - ------- - ------ _ _-_ /'�.'� r / _ . . olvlsroN OF t/n: /' 1 tv��atA�c�•-••�E�.:�sr�6,) __.. ._ � l � _ -- - _ -�"•,�--'` � � BUSTON SURVEY CCJNSUITANTSINC, 9� SIZE OF LEACHING FACILITY PROVIDED ENGINEERING • SURVEYING • PLANNING TYPE OF SYSTEM wLoT TITLE: ' � ! \ t u •' .. •- 1 . . ._ - - ' � � � /I � � � / � �� 5\n41. .lam.'[f R' x Z.�6P Q '� "�S`6_�J�''_.� SEWAGE DISPOSAL SYSTEM 4C GPn _ _ - i ,.� - --- ---- DESIGN f /0 q 1, LOCUS PLAN- - Arl ,� !v ` ( Qr►ti —,.._ �,. � � o , ` i �; FOR: ' � � ` ` r •-•'` ' �"T.�"t.`,`".»•'-.».,..,;�.sr e,� `�' .�'f►� ��C' .fir.- .ate',�G SCALE. AS SHOWN L o r � � \ ,� c" t METERS FEET 0 � t COMP./DESIGN: -SAW J --7 CHECK: -- N DA TUM DRAWN: ,ez--",,: FIELD: .+� .� . ► -✓ti' x Y "" ~''' FILE NO: E3 iEi,1:70 DWG. NO: G :""y' JOB NO: G' - /, �' 7► SHEET: a OF: 1 Y .. _.. .._:,. - .. - . :-.nt...,n ,,,,: - ..�.. ., -tea'Sai+a•.°aR.'��.,.. t... -..;y :w. aws. �.,w-.r a<... vi•:- +.w '..w-. 3-ri4�r-< ..ti.:�� ..✓ f REVISIONS: ` TEST PIT DA TA : DATE OF TEST/NG _�yg�CH_� p� P ERC. TEST DATA : SEPTI C TANK DETAIL : sizE- ___ /noo �;,���.,N_______ DIST. BOX DETAIL .- LEACHING FACILITY DETAIL: NO DATE TIES IT BY a -M � :a'sR `s/r� `u_ DATE OF TEST/N6 _�1 12c2 TANK TO CONFORM TO TITLES REOU/REMENTS TO CrWFORM TO 7/7LE5REOUIREMENTS r1`��L- ----- - —T '° WITNESSED BYE _T 1,yj;,QQx-- --- ------_____ rEsr ar: -,4PE__01D _Y�._,� _�,��T�„!�_._ NO. OF OUTLETS I .@ __ T p_ Z cos - -- -+ - W/,'-NESSED BY, _s I� REMOVE ABLE COS --_ T p$0 L ( 1 I - - - -- -- ---- `�ly► �� .7r` ., /� �r /�I �1 � - ---- \�.t/'Tt�e?�� - ti DER j t i i T1�t�Go1 t' I I � MANHOLt BROUGHT TO u ^. s .� ;.r ...- •. ♦-....:r ♦•. r. e •. r FIN 2 ISH GRADE. e- • . .. ii , T� +CLEAR 3 CLEAR • � _ PL�ASTOhE C�4M� -L 9 F!L L /2 MAX . 4- -- - ' ---- -- - d4 - - - -- - ---- 3 r , OUTLET PIPES r- ! I DEPTH OF TEST 6"MIN J� z"MIN_ 6"MIN �1 AS REOUIRED ---- M +. - - - INLET , \ (I - - -"� - --- --- ----- - n1 --- - - RATE - -err: lr�hr_----- -- . 1 it ��, � D/sr. INLET TEE --- I + C L I - - I --OUTLET TEE BOX 1. i 3 No L I I S No E I I i INLET AND OUTLET OUTLET TEE DEPTH ! \ 4"C./. /000-- GAL. I i • I 4,O„ M N MUV 2' PT/C TA — ---- 1. PRECAST OR BLGtC,Yfr !' TEES TO BE CAST L/OUIDl DEPTH 14 AT LIOUID OEPTH OF 4` :0 6"" -----.-_---) 1 - -- SE /V➢r +--�I---- ---- DEPTH OF TEST' - -- --- Z4„ „ b' •`s ► • .! •. . . r. -e• .�.� Cl7NRUCT10/V /O �j + 1 SEEPAGE PlT t T I ' IRON, R C,45 I l i4" 5' V 1, I t -- P V.C.VC. OR C ST IN „ , ! ' 9 6• Pat c - -1 I I RATE . _ -__--. _.. _ _ . -- -_-__-- PLACE CONCRE E C �, T „ B' BOTTOM ON LEVEL STABLEBASE MIN. T ONCE E - ---- -- - ---- -- -- - sss - f- - - — - �4 ----- 29 I)I i CONSTRUCTION i , I - (WATERY/GHT) I r -------- -- —! 1 -►" 1e INLET T£E PROVIDED WHERE SLOPE t • OF INLET PIPE EXCEEDS 0.06 % OR FOUNDATION V. s • T. • t LANK TO BEAGLE TO W/TH5T. N - "/ I _ -______+.__. _ Bo r r•OM OF TANK ON LEVEL 5748L E BASE N /O LOADING UNLESS UNOERA /N A PUMPED SYSTEM. � AI/N. —� /�`W♦ASHED STONE _._- --- I I PAVEMENT OR/N DRIVE.h 20 —^ — t L OA D/NG UNDER PAVEMENT OR , OR/VE E.------ ---- ----« m ;WA. - j i✓o ATt i NOTES = INVERT ELEVA TTIONS: - 4 THIS PLAN IS FOR THE DESIGN AND CONSTRUCT/ON OF THE SEWAGE PLAN VIEW ' -' DISPOSAL FACIL I T Y ONL Y. SCALE / "_ G7 ' t�� I I `� of M NV AT BU LD/NG /OG,$.� �A��•� ��,� .fs• 2 ALL CONSTRUCT/ON METHODS AND MATERIALS SHALL CONFORM TO _IN AT SEPTIC TANK(IN) 1Qottz— .,�. � � C. ' j STEF10 �� fR�.NK MASS. D.E.Q.E. T/TLE 5 A ND THE�iyiey,� �€ BOARD OF �'�/NV AT sEPTIC TANK(IXlT) `L9,_1-� ' �,1, I , Wiim�,G rn v No. 29969 HEALTH REGUL ATIONS. `'ems"" r y'`',• `"' -• ` "`j'`: - " . - ti (, •3 A t/�9R/�qNC.: /� R6Qi1EST�D P'c�R 14�D+lGING TNF .I�:TANCE' 86TWEE/l✓' /NV AT D/ST BOX(/N) N WEL 1. A NO fi G E/iCN/NG �!T TO /z0 �h'O M I O I, �tr ,` r� 1►`, -INV. AT DIST. BOX(OUT) . a�N/fAR 1' r�? • c ✓�w — _— _ l AT LEACH/NG FACIL/TY� BOSTON, MASS. WORCESTER, MASS. AT BOTTOM OFPir: 93,P3 HALIFAX, MASS. NORWELL, MASS. BEDFORD, MASS. LEXINGTON, MASS. HYANNIS, MASS. MANSFIELD, MASS, CRANSTON, R.I. DERRY. N.H. �� +�fLkSAK0�3'T Ca' �J�A-nd�� ./ I s o 32' 1 C / `q�� ' / G\, s v`1\ ,� i DESIGN DATA ► DES/GN FLOW r � •q I Ivy � > ��,� ,,��' !� LaT" � ;� �� \ / _-- REQUIRED SEPTIC TANK ,moo _" � ` b ",� - i 30 G Pc x /a-o o _�`� _ GAL. SEPTIC TANK PROVIDED - _�04._ GAL. CAPE COD SURVEY r � � I CONSULTANTS y -- ' -- -. REQUIRED SIZE LEACHING FACILITY: ob ,/ 49 (v 1 / ti P !� ...r•� -- ------ — ---- _ — HYAN 617 75 -7155ory 601 / ♦��• � �' �� �o Qom` � •� / s.. � ) 1 � � � --- �y / ---L- --- Gov. w�« _.. t�- r / i / U.vd.9ti• DIVISION OF J�, ` f ( �,�00A Nola �FST F a� ` / j I J �'r� r BOSTON SURVEY CONSULTANTS INC. q•I' / -Y° SIZE OF LEACH/NG FACILITY PROVIDED ENGINEERING SURVEYING PLANNING LaT" TYPE_OF-SYSTEM_ :- 6'Y6' cc.9cn► vlr TITLE: z/, '3, J f / f` j / a S -- -- - ---- - - ----------- ------ / � 1 i _� � / f ' � � �/ S�D;.lyp►�.r`. i4L.� E1� Y 2,�lsPb�• = 9S6 _ „� � - SEWAGE DISPOSAL SYSTEM : ''� DESIGN Ilk � ' , / � _ — , � LOCUS PLAN FOR: ,•'� SCALE: AS SHOWN METERS FEET 0 DATE: COMP./DESIGN: CHECK: LJA rUM' DRAWN: �,�: €` ,. A�;1 4 x"'rr � � FIELD: E3 !E; 1::7o y ! FILE NO: l* /,17. �-.,�„' e, , , , Aj DWG. NO: JOB NO 7 SHEET: i OF: I